Health Journal - November 2018

TM

inspiration for better living

Taste Williamsburg

Oysters

FOR Your

Libido

There’s an

App for That

Foods to

Combat Depression

All Wrapped Up NOVEMBER 2018 — THEHEALTHJOURNAL.ORG

Overcoming Arthritis Pain: Effective Treatment for Hips and Knees Join Dr. John Burrow as he discusses treatment options for painful arthritis of the hip and knee. Learn about the latest non-surgical and surgical options for relieving pain and restoring function. MAKOplasty, computer-navigation, Jiffy Hip, and other surgical

OSC

COMMUNITY LECTURE SERIES Speaker: John D. Burrow, D.O.

techniques will be discussed, as well as OSC’s Outpatient Joint Replacement Program.

Bring a friend, have some refreshments, and get informed! Tour our state-of-the-art facility after the lecture.

Tuesday, November 20, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd., Newport News 23606 Call Shannon Woods to register: 1-877-202-9130 ext.368 or email lectures@osc-ortho.com

OSC Patient Success Stories

Dan Dicrisi

“I’ve had a swollen, very painful right knee for about 20 years. My stepdaughter-in-law recommended Dr. John Burrow at OSC. He said ”you need a knee replacement,” but promised I could drive and return to work in three weeks, if I worked very hard at rehab and could prove my efforts to him. I was amazed at the lack of pain when I woke up from surgery and walked on my new knee. At home, I worked hard at rehab and I was released to go back to work at my 3 week post-op visit. I can’t say enough about Dr. Burrow, his team and the PT Department at OSC. I couldn’t be happier!”

~ Dan Dicrisi

Boyd W. Haynes lll, M.D. • Robert J. Snyder, M.D. • Jeffrey R. Carlson, M.D. Martin R. Coleman, M.D. • Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. F. Andrus, M.D. • John D. Burrow, D.O. • Tonia Yocum, PA-C Erin Lee, PA-C • Chris Schwizer, PA-C • Monica Beckett, NP-BC Lauren Copley, PA-C

OSC

ORTHOPAEDIC & SPINE CENTER Open MRI Center

250 NAT TURNER BOULEVARD • NEWPORT NEWS, VA 23606

757-596-1900 • www.osc-ortho.com

Who’s the only Radiation Oncology provider in Williamsburg?

Riverside Radiation Oncology Specialists.

At a time when life is challenging enough, it’s comforting to know you can find world-class care just minutes from home.

Riverside Radiation Oncology Specialists provides the most advanced technology administered by a highly compassionate team. Together we’ll meet the challenges of cancer and associated treatments.

Areas of Service and Treatment • Intensity Modulated Radiation Therapy (IMRT) • Image-Guided Radiation Therapy (IGRT) • Nutrition Counseling with Registered Dietician

Meet the team and see patient ratings: riversideonline.com/wmbgradonc To schedule an appointment call 757-220-4900.

Radiation Oncology Specialists 3901 Treyburn Drive, Suite B • Williamsburg, VA 23185

™

VOL. 14, NO. 6 The Health Journal is the perfect choice to reach readers wishing to stay current on healthy trends in fitness, nutrition and the art of living an informed life. We are Hampton Roads’ premier healthy lifestyle magazine. Copies are mailed and racked throughout the region.

STAFF

WRITERS

PUBLISHER Brian M. Freer brianfreer@thehealthjournals.com

Megan Armentrout Teresa Bergen Kasey Fuqua John-Michael Jalonen Alison Johnson Amy McCluskey Sharyn Reinhold Kim O'Brien Root

EXECUTIVE DIRECTOR Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR Ravi V. Shamaiengar, M.D. EDITOR Kim O'Brien Root kim@thehealthjournals.com BUSINESS MANAGER Ashley Ribock ashley@thehealthjournals.com

November CONTENT

BITS AND PIECES 04 Staff & Writers 07 Editor's Note 09 Second Opinion

FEATURES 10 11 14 16 21 22

Health Briefs Game On Why You Shouldn't Delay Orthopedic Surgery Advances in Medicine: There's an App for That Iron Overload A Calendar to Live By, Literally

LIFESTYLE 26 29 32 34

GRAPHIC DESIGNERS Kristen Vann Bryant kristen@thehealthjournals.com Lisa Williams lisa@wearetusk.com VIDEO PRODUCER Toria Diesburg toria@thehealthjournals.com

Well Fed: Oysters Travel for Wellness: Puerto Vallarta Profile: Katisha Simpkins Foods to Combat Depression

STAYING WELL 36 Accepting New Patients 38 Health Directory

PHOTOGRAPHERS Kristen Vann Bryant Brian M. Freer

ALL WRAPPED UP

COPY EDITOR Beth Pepper

41 43 44 48 50

CIRCULATION Ryan Bishop circulation@thehealthjournals.com

ADVERTISE Email advertise@thehealthjournals.com or call 757 645 4475 for rates.

CONTRIBUTE Email kim@thehealthjournals.com for editorial and contributor guidelines.

All Wrapped Up Holiday Gift Guide Taste Appeal Calendar Brain Teasers

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1

KRISTEN PEYTON THE FUNCTION OF LIGHT

on exhibition through NOVEMBER 26, 2018

16 21 32

Color in essence is a function of light.

Where light exist, color follows— illuminating space and form.

44

The Linda Matney Gallery is dedicated to curating and developing innovative exhibitions and collections showcasing painting, drawing, photography, sculpture, installation, video and performance for audiences and private patrons in Williamsburg, VA and elsewhere.

To schedule an appointment: 757-675-6627 ExhibitLocal.com

Mark T. Fleming, MD Medical Oncology & Hematology

TOGETHER:

A Better Way to Fight Cancer At Virginia Oncology Associates, we know each cancer is unique and so is every patient we treat. Our team of experienced physicians and staff is dedicated to providing advanced care, innovative technology and personalized treatment options.

Virginia Oncology Associates is an affiliate of The US Oncology Network, one of the largest cancer treatment and research networks in the country. This affiliation enables us to bring the expertise of nearly 1,400 physicians nationwide to the delivery of our patients’ care.

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Virginia Oncology Associates is part of the US Oncology Network which is supported by McKesson Specialty Health. © 2018 McKesson

Editor’s Note

“

I'm just not a gamer, not since the days of Atari. I was very happy with Pacman, Frogger and Q*bert. I could swing on vines in Pitfall with the best of them.”

I

’m half-heartedly paying attention to my 10-year-old son playing a game on the Xbox, watching him hang glide (I think) from some point up above down to the ground.

His character seems to be riding a llama and carrying a chameleon in a carrier on his back. He’s also carrying a very big gun. “Give me back my loot!” he suddenly yells at the screen, where his character is now confronting someone else dressed as strangely. “You’re cheating! Give me back my stuff!”

And so goes another game of Fortnite.

I can’t even begin to completely understand the game. I know it’s some kind of online battle game akin to Lord of the Flies or the Hunger Games, where they build fortifications and have a certain amount of time to “eliminate” other players. (I’m told it’s better to say “eliminate” vs “kill” because it sounds better.) There’s also dancing involved. Truth be told, I should probably be paying better attention, but I just don’t care. I didn’t care much for Minecraft, either, even when my daughter begged me to play with her. But I’m just not a gamer, not since the days of Atari. I was very happy with Pacman, Frogger and Q*bert. I could swing on vines in Pitfall with the best of them.

According to the World Health Association, maybe I should be paying more attention. Earlier this year, the WHO classified gaming disorder as a diagnosable mental condition. WHO says people with the disorder have a hard time controlling how much time they spend playing video games, prioritizing them above all else and showing

EDITOR'S NOTE

negative behavior because of it. The classification has come with a lot of controversy, particularly from gamers, many of whom use gaming as a social activity. Some colleges have even formed esports teams for gamers to play each other.

Fortunately, research shows that most gamers, especially online gamers, have very little to worry about — that gaming can even help children’s cognitive and social skills.

Still, some experts say it’s worth being aware of the time children spend on games to make sure they don't take over their lives. That I can relate to. My son would probably play a combination of Fortnite and Roblox, another popular online game, all day if I let him.

This month in the Health Journal, writer John-Michael Jalonen takes a look at gaming disorder and what WHO says about it. He also talks to parents and the coach of a new college gaming team. Take a read and figure out for yourself if you or a loved one are spending too much time with a game controller in hand instead of out in the real world.

KIM O'BRIEN ROOT / EDITOR KIM@THEHEALTHJOURNALS.COM

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Sentara Williamsburg Regional Medical Center

Sentara CarePlex Hospital

TWO STATE AND REGIONALLY RANKED HOSPITALS ON THE PENINSULA Sentara considers it a privilege to bring high quality health care to the Peninsula.

Sentara Williamsburg Regional Medical Center and Sentara CarePlex Hospital have been recognized by U.S. News & World Report as a best regional hospital.

Thank you to all the providers, nurses and clinical care teams for your ongoing commitment to the patients you see every day.

To learn more, visit sentara.com/usnews

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In earlier days, when you had a medical question, you looked to your doctor for answers. These days, there is more medical information available than you can shake a stick at, most of which can be found with the click of a button. It informs and educates to the extent that it’s accurate, reliable and understood.

But the specific information you find has a great deal to do with how you search for it.

Your doctor can’t know everything either, but his or her education, training and experience help serve as a lens through which information is brought into focus and perspective.

Commonly discussed topics of medical care in many practices include prescribing antibiotics and ordering MRIs. As we all know but sometimes forget, antibiotics will not cure all infections and MRIs are not always the best imaging studies.

But when a patient comes to see their medical provider assuming that one of these will be provided based on information they have gathered, unmet expectations may be lurking up ahead.

There’s nothing wrong with being prepared. It’s great to read and learn about new things, but allow yourself to remain flexible and open-minded. The most important tools you can bring to your doctor’s office are questions. That way, your doctor can help complete your information “search” and offer answers you can trust.

What is earwax?

So-called due to its waxy texture, earwax is made of dead skin cells and secretions from sweat and oil glands.

Its role is to protect skin inside the ear canal, lubricating the skin and acting as a natural antimicrobial — so it stops bacterial infections before they can start. When dirt and dead skin get stuck in earwax, the earwax naturally migrates towards the opening of the ear canal to clean the ears.

Earwax is not a sign of poor hygiene and is a natural process, but too much of it could cause a temporary hearing loss. Sound travels as a vibration through the canal to the inner ear; that process is disrupted when there is a blockage.

If you feel your ears are stopped up with wax, you can clean them out safely by washing the ear and rinsing it well to flush out loosened wax.

Be careful not to remove too much, which can lead to itching. Itchy ears can be a sign of a dry ear canal.

Do not use swabs or try ear candling. Both are more dangerous than productive. If hearing doesn’t return after your ears are cleaned, talk to your doctor. A professional ear exam and hearing test can pinpoint the problem.

Lauren A. Matsko, Au.D., MPH, CCC-A Maico Audiological Services maicoaudio.com 757-547-3560

I have heard so much about getting teeth-in-a-day with implants. How do I know if I am a candidate?

Deciding to transition to teeth supported by implants should be easy considering all the advantages and few disadvantages. The process with any type of implant treatment may vary depending on the type of treatment and the quality of bone you have.

Knowing if you are a candidate and proceeding with treatment requires a well-trained dentist in implantology.

If you have good quality, dense bone and/or you are placing multiple implants in an area, temporary teeth may be added immediately. These temporary teeth would be best for looks only and putting too much force on them early could cause them to fail. The dentist would allow healing to occur and then a more permanent structure can be placed at the best timing.

If you have moderate- to poorquality bone, and/or you are placing one or few implants, it is best to wait for a healing period of 2-6 months before placing a tooth or teeth on those implants.

You will want to see a dentist who can evaluate you fully, especially with 3-D technology and digital planning, before proceeding with such treatment. Cases like these depend on a thorough work-up prior to treatment being started. Otherwise, you are cutting corners, moving too quickly and risking great long-term success.

Stacey Hall, D.D.S. Williamsburg Center for Dental Health Williamsburgdentalhealth.com 757-565-6303

Ralph Robertson, M.D. Medical Director of Lackey Clinic 757-886-0608 SECOND OPINION

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OPINION

How can I get healthrelated questions answered accurately without having to depend on information from the Internet?

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NOT d ho n a le , s E coup busines obby MOR ig b Y e m h N o A ave bec eyond a re games h ny has gone b etitions featu o e id v a p m m r o Still, c o sports” games f ing for playing t few years. “E layers compet eaming sites as tp nd str in the p he world’s bes oney, a m e t iz f r o p some llars in / 12 / s of doTHEHEALTHJOURNAL.ORG million

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NOT Reasons to delay Orthopedic Surgery —why waiting could make it worse

BY KIM O’BRIEN ROOT

Your knee has bothered you for years. You know you should have something done to it, but you don’t want to deal with the hassle of taking time off work for surgery and recovery. Or maybe your wrists ache so much they keep you up at night. You’ve tried a number of treatments, from cortisone shots to medications. But the pain is still there and you’re afraid of surgery.

There are many reasons people have for delaying orthopedic surgery — time, money and fear are just a few of them. However, having surgery sooner rather than later can often be the best option to get you living the best life you can and avoid future complications. Here are some reasons you shouldn’t delay orthopedic surgery any longer than necessary.

Your quality of life will improve

surgeons use the latest techniques

For some people, they’ve gotten so used to dealing with chronic pain From outpatient joint replacements to minimally invasive procedures, that they don’t see any reason with going through surgery. They figure there probably has never been a better time to get orthopedic surgery. they’ve made it this far, why bother?

More can be done with an arthroscope than ever before, and joint The thing is, having the necessary surgery can drastically improve replacements have made strides in terms of reliability and longevity. one’s quality of life. Dr. Michael Higgins, a hip and knee replacement Carpal tunnel surgery that used to require casts and a hospital surgeon at Tidewater Orthopaedics, often hears from patients who stay now is an outpatient procedure with no immobilization. Ankle wish they had chosen surgery sooner. replacement implants last longer than ever before.

“Most (but not all) orthopedic surgery is done for quality of life,” Infections are also far less likely in orthopedic surgery, helping to Higgins says. “If you are suffering from an orthopedic problem, you quell fears over contracting a hospital-acquired infection. Arthroscopic owe it to yourself to become educated surgery itself has a less than 1 percent about all your treatment options and make chance of infection, says Dr. Nicholas an educated decision to improve your Sablan, a Tidewater Ortho surgeon Sometimes delaying surgery or putting it quality of life.” who specializes in sports medicine and Dr. Nicholas Smerlis, a hand and wrist off for too long can make a simple surgery to arthroscopic surgery of the shoulder, surgeon also at Tidewater Ortho, says he’s fix the initial problem a much more complex knee, elbow and hip. had patients with carpal tunnel syndrome endeavor if delayed too long.”

At facilities such as the CarePlex — a tingling, numb or painful feeling Orthopaedic Ambulatory Surgery Center caused by pressure on a nerve in the wrist - Dr. Robert Mason (COASC) in Hampton, where Tidewater — deal with years of poor sleep because Ortho surgeons operate, the infection they were constantly waking from pain. After surgery and being able rate is below 0.0001 percent. Patients are largely shielded from infection to sleep through the night without a brace, they were amazed to because the center is dedicated to outpatient surgeries and everyone is realize how much they had been suffering. screened beforehand to make sure they're in good health.

“

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On the rare occasion an infection is identified, it’s treatable, says Dr. Jonathan Mason, a spine surgeon at Tidewater Ortho. “If the surgery is to improve quality of life, the benefits far outweigh the risks of a rare infection that might occur,” he says.

Additionally, anesthesia methods have changed for the better.

Although spine surgery requires anesthesia, many other orthopedic surgeries — such as carpal tunnel release, ACL repair and rotator cuff reconstruction — can be done with only pain blockers to numb the extremity being operated on.

Recovery time might not be as bad as you think

Recovery time is probably the biggest reason people delay surgery, Sablan says. The truth is, advances in surgical techniques have resulted in much easier recoveries for patients. “Because the vast majority of surgeries are done arthroscopically with small incisions, there is less pain and faster recovery,” he says.

Surgeries that previously involved a hospital stay are now often done on an outpatient basis, so that patients can heal at home. Even hip and knee replacement patients are up on their feet the day of surgery.

Fear of pain after surgery can often put people off surgery. In one study of 400 patients who described having preoperative fear, 77 percent said they feared postoperative pain most of all. But as surgery has evolved, so have methods of handling pain, and pain control is significantly better than it used to be, Higgins says.

Higgins, along with his Tidewater Ortho colleagues, uses the Healthy Patient Model, which involves a general health screening before surgery and emphasizes mobility and independence afterward.

If patients are healthy and medically prepared beforehand, they’re less likely to have complications.

There probably will be some pain from surgery — it is surgery, after all — and recovery can be unpredictable. But those fears can often be mitigated by a surgeon who is careful to explain the process and offers reassurance when needed, J. Mason says.

“I try and paint a very realistic picture of what they can expect,” adds Dr. Paul Maloof, Tidewater Ortho's foot and ankle surgeon.

“Many orthopedic surgeries can take a while to recover from and I want my patients to be as informed as possible before they make their decision.”

Your doctor won’t suggest surgery unless needed Unless you’ve got an emergent issue going on, such as bones breaking through the skin or an infection, no one says you have to rush into surgery — not even your doctor. Tidewater Ortho's surgeons agree patients should first try non-surgical methods to alleviate issues.

“Most procedures can be delayed so that conservative treatment can be attempted,” Maloof says. “This includes rest, activity moderation, immobilization, use of anti-inflammatory medications and physical therapy.”

Most conditions can have a trial of conservative management — under a doctor’s care — to see how a patient responds. For example,

while rotator cuff tears can’t heal on their own, partial and small tears can respond to treatment such as therapy and injections, Sablan says.

Oftentimes, physical therapy before surgery is beneficial because it helps put patients in a better position for successful recoveries, adds surgeon Dr. Robert Mason, an upper extremity specialist at Tidewater Ortho. With arthritic conditions, there are often lessinvasive or less-complex procedures that can be done if the problem is treated sooner than later.

And if you have a chronic condition but don’t think surgery would help, you should at least get an orthopedic evaluation. “I would much rather see a person early and get them started with non-operative management before a condition gets too severe,” R. Mason says.

Never delay if You Have: • Open fractures • Damage to your nerves or vessels • Infections involving your joints • Compartment syndrome — when pressure from internal bleeding or tissue swelling builds up in the muscles • Pain and weakness in the neck or arms, which can indicate spinal cord compression

So, what if you do wait?

Ultimately, the decision whether to have surgery rests on the patient.

But there are many factors to consider. In the case of a foot injury that involves a fracture, if you wait too long for treatment, the bones can heal in a crooked position. Even an ankle sprain not treated appropriately can lead to long-term pain and disability.

“Sometimes delaying surgery or putting it off for too long can make a simple surgery to fix the initial problem a much more complex endeavor if delayed too long,” R. Mason says.

Some repetitive-use conditions such as tendonitis can sometimes heal with symptomatic management, but for carpal tunnel syndrome, delaying surgery can lead to not only weakness in the hand, but also loss of sensation and progressive neurological loss.

Persistent symptoms from trigger finger — when the tendon in a finger gets inflamed — can lead to permanent deformity. A rotator cuff tear can cause an injured tendon to retract, making the repair vastly more difficult and increasing the likelihood of re-rupture.

The bottom line? If you’re tired of being in pain, see an orthopedic surgeon. Get evaluated and educate yourself as much as possible on the possibilities. You might just be glad you did.

“Most people who don’t want to take the time to get things fixed initially often regret putting it off,” R. Mason adds. “Once they finally see the results of the surgery and the hard work they put in during the recovery, they realize it was worth their time.”

*Responses supplied by the surgeons at Tidewater Orthopaedics, which has locations in Hampton and Williamsburg, Va.

Dr. Michael Higgins

Dr. Nicholas Smerlis

Dr. Nicholas Sablan SPONSORED CONTENT

Dr. Paul Maloof

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Dr. Jonathan Mason

Dr. Robert Mason

There’s an App for That!

Improve your health right on your smart device.

BY KASEY FUQUA

E

ven before Fitbits hit the market in 2013, health apps were taking over smartphones. Now apps and devices work together to give you more information about your health than ever before, helping you achieve goals from losing weight and getting pregnant to just learning how to slow your day down with meditation.

Women’s Health Apps

Women have tracked their menstrual cycle in lowtech ways for years, but now apps make it easy to plan around Aunt Flo (there’s actually one called Flo Period & Ovulation Tracker). The apps also can track cycles to help women conceive — or not.

Natural Cycles In August, the Food and Drug Administration approved the first app for use as a contraceptive. The $80 Natural Cycles app uses natural family planning or fertility awareness methods to predict a woman’s fertile period so she and her partner can avoid sex or use a condom to prevent pregnancy.

To use the app correctly, a woman must take her basal body temperature with a smart thermometer connected to the app first thing in the morning, before she gets out of bed. A red light warns if she has a chance of pregnancy while a green light is a go-ahead for intercourse.

Ava The FDA-approved Ava Bracelet is worn at night. It tracks your temperature, sleep, resting pulse rate and more to determine when you should try to conceive a child.

Described as a “completely unprecedented method of tracking a woman’s cycle,” the Ava bracelet also tracks your stress level and sleep quality. It’s been shown to detect an average of 5.3 fertile days per cycle at 89 percent accuracy.

THEHEALTHJOURNAL.ORG

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ADVANCES IN MEDICINE

Weight Loss Apps

While the FitBit still reigns as the top health app in downloads, many other weight loss and fitness apps are gaining in popularity. Many of these apps offer custom workouts to help you achieve your goals, whether you want bulging muscles or a trimmer physique.

MyFitnessPal The popular MyFitnessPal functions as a calorie tracker and has more than 5 million foods in its database. It also allows users to put in their own recipes and connects to apps like MapMyRun for more accurate calorie counting.

While the app is mainly used to help people diet and lose weight, it’s also proved helpful for diabetics, who must estimate how many carbohydrates they eat in order to give themselves the right amount of insulin.

ADVANCES IN MEDICINE

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Weigh-In

DietBet With DietBet, players join a game with other dieters, chipping in a set amount of money. They can choose to lose 4 percent of their weight in four weeks, 10 percent in six months or maintain their weight for a year.

At the end of the game, users send in pictures of themselves standing on a scale with a “Weigh-In” word that lets a DietBet referee know the weigh-in is legitimate.

If they haven’t lost the right amount of weight, they lose their money to the pot. If they have succeeded, they get their money back and split the pot with any other users who have also succeeded.

Lumen A new weight loss app promises to help you lose weight by “hacking” your metabolism.

Lumen — a pocket-sized device that is in beta stages of testing — analyzes users’ breath to determine whether calories burned are coming from fat or carbohydrates. It then creates a recommended daily nutrition plan that includes how many carbs to eat and what meals and snacks are appropriate.

You can continue to use the device throughout the day to stay on track and ensure you have the right energy for a great workout. The device teaches you about your metabolism and the foods you eat so you can make better choices.

Coming April 2019

Jefit Jefit is one of the most popular workout apps for both Apple and Android, offering free, customizable workouts for men and women.

Choose from pre-made strength workouts or create your own workout program, selecting from hundreds of pre-set exercises that include instructive animations.

As you complete your workout, Jefit logs your sets and reps. It also includes a rest timer to ensure you are building muscle. Each week, you’ll receive a report letting you know how much time you exercised and how much weight you lifted.

Apps for Mental Health

Health apps are taking aim at every aspect of wellbeing, including your mental health.

They calm you down, help you meditate and even offer trained listeners and therapists to help with your problems.

Calm Calm offers hundreds of guided meditations to help you become more mindful, which is associated with better mental health. It also offers “sleep stories” narrated by calming personalities such as Bob Ross to help you relax and fall asleep faster at night. When you need to stay focused at work, the app offers music or “scenes” with ambient noise to help you.

While the Calm app offers a free version, you’ll get access to a much wider variety of music, daily meditations and stories with the premium app, which costs $60 for a year subscription.

Stop, Breathe & Think With this app, users “check in” with how they’re feeling at a particular time and are given recommendations for guided meditations, yoga and acupressure videos tuned to one’s own emotions. There’s also a version of the app for kids.

The app’s creators pledge to share 10 percent of their net revenue with Tools for Peace, a non-profit dedicated to helping at-risk youth experience the benefits of mindfulness and meditation.

10%

of revenue is shared with Tools for Peace

160,000

SuperBetter This app is actually a game intended to help build personal resilience and strengthen your ability to remain strong, optimistic and motivated when presented with challenging obstacles in life.

The apps creators say it encourages the idea of living gamefully — to bring the same psychological strengths that you naturally display when playing games, such as courage and determination, to real life. One user says it “turns something like battling depression into an epic adventure.”

There are daily quests such as “hug yourself” and “chug a glass of water.”

trained listeners and licensed therapists 7 Cups If you’re feeling depressed, sad or just a little lonely, the 7 Cups app may help. This app has more than 160,000 trained listeners and licensed therapists who are available around the clock.

Users can visit chat rooms and community forums or text one-on-one with a trained therapist, all anonymously. Each listener specializes in various categories, ranging from panic attacks to surviving a breakup.

The app also offers hundreds of free mindfulness exercises and simple activities to boost your mood.

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Iron Overload

BY MEGAN ARMENTROUT

Hereditary hemochromatosis (HH) is among the most common genetic disorders affecting Americans and is often challenging to diagnose and potentially life threatening. According to the National Institutes of Health (NIH), the disease affects an estimated one million Americans and, if left untreated, can cause serious health complications.

Sometimes referred to as iron overload, HH is a genetic disorder where excessive amounts of iron build up in the blood. Iron, a mineral found in foods such as red meat, plays an essential function by helping to move oxygen throughout the body.

However, the right balance is crucial.

If the body absorbs too much iron and the HH disrupts the natural mechanisms regulating absorption, the elevated iron levels in the blood can become toxic. As a result, severe damage to the heart, liver and pancreas can occur — potentially leading to serious health complications such as diabetes, cirrhosis (scarring of the liver) and heart failure.

Difficulties In Diagnosis Diagnosing HH can be difficult despite the genetic defect being present at birth. Not everyone experiences symptoms and many of those associated with the disease can signal other conditions, therefore complicating the process to pinpoint a diagnosis.

“Patients commonly report chronic fatigue and joint pain, which can suggest many prevalent conditions, and so there isn’t always a straightforward starting place or indication of hemochromatosis based off the symptoms alone,” says Dr. Ryan Light, a family medicine physician at TPMG Greenbrier Family Medicine in Chesapeake, Va. Men are more likely to be affected and typically begin to experience symptom onset between the ages of 30 and 50. Women, however, “often do not experience symptoms of iron overload until late adulthood as the excess iron is removed from the body naturally during menstruation,” Light says.

If hemochromatosis is suspected, Light adds, a routine blood test is ordered to initiate a diagnosis.

Referral to a hematologist — a physician specializing in blood disorders — is standard to receive further specialized tests for confirmation. Genetic testing may be recommended.

Treatment Options “The initial treatment objective for hemochromatosis is to remove the excess iron in the blood as quickly as possible through phlebotomy,” Light SPONSORED CONTENT

Left Untreated, Hereditary Hemochromatosis Can Cause Serious Health Issues says. The phlebotomy treatments are similar to donating blood at a blood bank.

Depending on the severity of the iron overload, phlebotomy may be needed multiple times over the course of weeks, months or throughout the year to remove the excess buildup of iron in the blood and manage iron levels, according to Light.

As treatment is ongoing, regular blood tests may be done to monitor iron levels and assist in determining the frequency of phlebotomy treatments.

Once the levels are normalized, a combination of phlebotomy and dietary changes — such as limiting iron-rich foods — can be a useful management option, Light says.

Genetics At Play HH typically results when a person inherits mutated genes associated with the disorder from their parents, according to the NIH. While these individuals are at a higher risk of experiencing the iron overload and related complications, there is a possibility they may not develop the disorder. It is essential, however, that these individuals — even if they do not experience symptoms — carefully monitor their iron levels and engage in preventative behaviors, such as routine annual physicals, regular blood testing and dietary changes.

If a mutated gene is passed — for instance, to a child who receives one copy of the gene — that child would be considered a carrier. Carriers might not ever develop the disorder in their lifetime; however, Light recommends they receive routine annual physicals and blood testing to monitor for the onset of symptoms and elevated iron levels.

If someone in your family is diagnosed with HH, referral for genetic testing may be suggested for their immediate family members (children, siblings and parents) to help guide and inform future monitoring and preventative behaviors. Having a thorough understanding of one’s family history is invaluable for HH patients and their families, empowering them to protect and manage their health proactively.

“Understanding your risk factors for disease and genetic conditions is crucial to managing and preventing health complications as well as for taking steps to mitigate those risks,” Light says.

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A calendar to li

BY AMY MCCLUSKEY PHOTOGRAPHY BY BRIAN FREER

live by, literally.

The Here for the Girls annual calendar serves not only as an educational tool and fundraiser, but it also gives breast cancer survivors a voice.

WOMENS HEALTH

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A

few years ago, Vanessa Larkin would never — not in a million years — have considered shaving her head, let alone be comfortable enough to model bald and brazen in front of a photographer and dozens of others.

But being diagnosed with breast cancer a little more than a year ago changed her outlook on a lot of things — not just her hair.

Larkin is one of 12 courageous women featured in Here for the Girls’ 2019 A Calendar to Live By. The calendar is an informative breast-health guide and a major fundraiser for Here for the Girls, a local non-profit that got its start in 2007 by cancer survivors Renee Bowditch and Mary Beth Gibson.

Initially named Beyond Boobs, the organization offers a unique resource and support mechanism for women affected by the disease.

Here for the Girls is now the umbrella organization for Beyond Boobs, an in-person, community based support system, and Pink Link, a private, online community for survivors.

Bowditch and Gibson created the calendar as a tool to educate people.

“We wanted to publish a calendar and show that breast cancer can happen to anyone at any age — not just older women — and we wanted it to combat the myths and fill it with information that people would find helpful,” says Gibson.

For Larkin, it did just that. She remembers receiving a calendar in 2017, not long after she was diagnosed.

When she looked through it, she said it was the first time she felt like she was going to be okay.

“I thought, ‘I can do it — I can fight this,’” she recalls.

In addition to being an informative outreach product for the organization, the calendar is also a chance for breast cancer survivors to tell their stories in hopes of lifting up others. Each year a creative team offers a different way for them to do just that.

At the helm of this year’s publication was Brian Freer, publisher of the Health Journal and creative director for Tusk Creative. Freer worked closely with Gibson and Bowditch to come up with a theme for the 2019 calendar. Inspiration struck when Freer's 9-year-old daughter Cami began reading a book of Grimms’ Fairy Tales.

“We were reading the stories together, and I just thought, ‘What a great way to reach young women — what a better device than fairy tales?’” Freer says. “I began to realize how they could be used as a metaphor for almost anything going on in your life that’s a challenge.”

Gibson agreed and was very happy with how the vision was pulled together.

“We achieved a really good balance in showing that yes, cancer has

Tusk Creative team Lisa Williams, Brian Freer and Kristen Bryant.

Here for the Girls co-founders Mary Beth Gibson and Renee Bowditch.

Behind the scenes with Belle and the Beast (Miss August Virginia Marsh and videographer Chris G).

Behind the scenes with Miss November, Jenyse White.

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WOMEN'S HEALTH

a dark side, but these women are strong,” Gibson says. “It was very healing for the women to identify with a character and wonder what their strengths are and how they could relate to it. It is also really relevant because life will throw anything your way, and you have to be prepared to open a new chapter or to imagine a new future for yourself even if it’s one you didn’t necessarily expect.”

Freer and designers Kristen Bryant and Lisa Williams, also of Tusk Creative, worked tirelessly to create a cohesive calendar. To capture the rawness and fierceness of the women portraying characters such as Maleficent, Little Red Riding Hood and Sleeping Beauty, the team spent several days with them during a weekend retreat and photo shoot — getting to know them and listening to their stories.

“We hung out with them, went to the beach with them and we’re all still friends with them — we developed relationships,” says Bryant, who also took behind-the-scenes photos. “It’s almost hard to explain. It was an amazing experience, and I’m so glad to have been a part of it.”

Adds Freer: “We had a short amount of time to do something so big. Every one of those women was so sincere in wanting to share their experiences so that others will have a better experience. They were so brave putting themselves out there.”

Behind the scenes with Miss December, Debra Carter and her horse Jacob.

Being on the front cover of a calendar is another thing Larkin never thought she’d do.

“I’m so not a calendar girl,” she says with a laugh.

But when the calendar was revealed at Here for the Girls’ annual Pink Carpet Gala in Williamsburg, Va., on Sept. 29th, there she was, looking straight into the camera, eyes piercing and looking lovely as the character Rapunzel. She chose the character because of how important Rapunzel’s hair is to her before she has to cut it — similar to what Larkin went through.

Both have a happy ending.

“Once I cut it,” Larkin says, “I loved it and embraced it and have loved it ever since.”

Or, you might say — ever after.

ALifeCalendar to Live By itself is the most wonderful fairy tale.

Hans Christian Anderson

To purchase a copy of Here for the Girls’ 2019 A Calendar to Live By, visit https:// hereforthegirls.wufoo.com/ forms/q1cgiolc1xbrl10/

2019

Miss February, Vanessa Larkin and Miss August, Virginia Marsh at the Here for the Girls retreat.

WOMEN'S HEALTH

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Oysters

Oysters put a spark in the bedroom Oysters are an aphrodisiac, helping boost sexual performance and libido, primarily in men.

Oyster water ps can filter 1.3 gallons er hour of The oyster populatio n of the Ch Bay could esa filt bay in just er the entire water v peake olume of t three days he . e pearls v a h s r e yst g Not all o capable of producin re rls a All oysters t the shiny, pretty pea no pearls, but of value.

Oyste r The hig s maintain h miner al conte bone healt major c h nt in oys on ters is a bones. tributor to the strength of your

nder ir ge d usually e h t ge an chan ves as males s r e t Oys start their li s Oyster males. fe s end a

g ealin a number h p u lt in ed s spe n oysters resu ker wound r e t s i Oy inc . quic els of z system luding The lev benefits, inc our immune y th of heal nd a boost to a healing

Since they absorb nutrients from the areas where they grow, some oysters may contain pollutants and toxins, so only eat ones that are bought from a trusted source.

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Recipe on page 46

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Puerto Vallarta

A Cheerful Winter Mexican Getaway

BY TERESA BERGEN

FEATURE

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A

young girl dressed as the Virgin of Guadalupe stands piously in the back of a pickup truck. The horns of a marching band join a candlelit procession of Aztec dancers, religious-themed floats, motorcycle riders and pedestrians.

Food sellers and trinket vendors are out en masse. Across the street in the plaza, dozens of dessert sellers set up tables covered with colorful cakes.

In Puerto Vallarta, it’s hard to tell a religious celebration from a massive party.

The Guadalupe processions — held for 12 nights each December — are just one event that draws tourists from other parts of Mexico, the United States and the rest of the world. This Pacific coast city of 220,000 offers an intriguing mix of tourism and local life, resorts and religion, nature and culture. And it’s a reliably warm and cheerful place to spend a long winter weekend.

Downtown vs. Resort

As a tourist, your first major decision is whether to stay downtown or at an all-inclusive resort. Most of the resorts are located north of Puerto Vallarta. They cater to people who want quiet beaches, luxury, fun on-site activities, good restaurants and minimal hassles.

Downtown offers many affordable hotels and more interaction with local culture. It’s a potentially livelier experience and also much louder — expect church bells early in the morning. Downtown is pedestrian-friendly, while resort stays require taxis or Ubers to get downtown, if you want to leave the resort at all.

It really comes down to personal preference. If you’re looking for quiet relaxation in the sun, choose a resort. Those looking for culture will find downtown more interesting.

Exercise and adventure

Even those who come for relaxation will want to stroll the Malecon — Puerto Vallarta’s mile-long seaside boardwalk. Sculptures dot the sidewalk, which is full of tourists, local couples on dates, families, performers and vendors selling everything from fruit wedges to silver earrings. It’s a one-stop place for exercise, food, drink, swimming and people-watching. Walk over the footbridge to shop for folk art on the little island in the Cuale River, where you also might spot iguanas bathing in the river or climbing trees. The Malecon ends up at Los Muertos beach, which is a riot of activity on weekends as a bazillion local kids splash in the water and Zumba music pours from every beach blanket.

For a sweatier, more rugged walk, follow sporadic signage up the hill above Puerto Vallarta to Mirador de la Cruz, a viewpoint marked by an old iron cross. This is a chance to get close to the locals and practice your Spanish as you miss or misinterpret signs and wind up on crumbling stairways and in people’s backyards. But persevere — the view of the town and coastline from atop the hill is well worth it.

More organized adventures include zip lining, surfing lessons, scuba diving, kitesurfing and biking. Water sport enthusiasts kiteboard in nearby Bucerias, which boasts an uncrowded five-mile stretch of white sand beach. Others hoping to escape the crowds travel 20 miles south and hire a boat to Yelapa, a quiet fishing village and the starting point for a pleasant waterfall hike.

Yoga Vallarta offers English-language classes with excellent teachers.

Terry Connell, a Boston native who’s also an acupuncturist, found a much slower pace when he moved to Puerto Vallarta about six years ago. “There’s a different mindset when you’re here,” says the yoga teacher, who sometimes brings his dogs to class with him.

Philadelphia Museum of Art THEHEALTHJOURNAL.ORG

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WELLNESS

TRUST Your Hearing to a Professional

Mavis W. Garrett, Au.D., CCC-A

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Dining

Since Puerto Vallarta is a coastal city, tourists eat and drink their fill of seafood, tamales and tequila. But health-minded diners won’t go hungry, either, as the city has a long vegetarian tradition. Salud Super Food is the spot for kale and soyrizo quesadillas, green juices and superfood smoothies. Planeta Vegetariano, which serves breakfast, lunch and dinner buffets within its bright yellow walls, opened in 1995. Restaurant Vegetariano Mary has a similar buffet setup, with a different culinary theme every day.

The resorts employ top chefs. The Casa Velas adults-only resort is especially notable for having a separate vegetarian/vegan menu, an organic garden, a pillow menu (you can choose one of five to sleep on) and new-age wellness amenities such as a vitamin C sprinkler in the shower and pillows and mattresses with magnetic technology.

If You Go

Winter is high season for Puerto Vallarta, but you can still get reasonable deals. Delta and American offer convenient vacation packages that include flights plus hotels. Downtown hotels are often less expensive, but many resorts include dining and some activities.

Consider timing your visit with an interesting local event, such as the Gourmet Festival in late November or the Virgin of Guadalupe pilgrimage in early December.

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Profile Katisha Simpkins

BY ALISON JOHNSON

W

atching her son play high school football, Katisha Simpkins was just like any proud mother in the stands — except for one thought that kept running through her head.

“I’m saying to myself, ‘I know I could do that too,’” she recalls. “I’m like, ‘I could play that game for sure.’”

She was right.

At 44, Simpkins is a co-owner, coach and recently retired player for the Hampton Roads Lady Gators, a semi-pro, full-contact women’s football team that now has two seasons under its belt. Last season, the team — which plays home games at Norfolk Christian Schools in Norfolk, Va. — won the United States Women’s Football League’s Ironwoman championship, with Simpkins at center on the offensive line.

As the oldest of the 23 athletes on the 2018 squad — not to mention a mother of two and grandmother of three — Simpkins earned the nickname “Mom” for encouraging close bonds among her teammates. She credits the game with helping all of them gain physical and mental strength.

“It’s an adrenaline rush and stress relief,” she says. “Me, I love pushing people. You have to be in shape. You have to be up for a challenge. Out on the field, I found all these other women who have the mindset the same as me, to be the best we can be.

We feel we can do anything men can do.”

A muscular 5-foot-5-inch, 220-pound dynamo, Simpkins has loved sports since her childhood in Queens, N.Y. She grew up cheering for the NFL’s New York Giants and played basketball through high school. As a preteen, Simpkins picked up Double Dutch jump roping after spotting another girl practicing outside her building. She ultimately competed in world jump championships and also coached local kids after her 2003 move to Newport News, where she works as a marine painter for a shipyard contractor.

Once Simpkins caught the football bug from her older son, she tried out for a Rich-

Photo credit Pink Citrus Photography

“We can do anything men can do” Former player and now coach of the Lady Gators semi-pro football team hopes the sport empowers women mond-based team but tore her meniscus and a ligament in her thumb in practice.

“I felt that nobody cared,” she recalls. “So, while I was in the healing process, my partner and I thought it would be a good idea to start a team in Hampton Roads. We really did it for women’s empowerment.”

The interest level surprised her and the team’s co-owner and head coach, Sterge Evans. After posting a few notices on social media, they had 10 players at their first workout and 30 by their fourth, each paying registration and uniform fees. By the end of their first season, they had won six of their eight games.

Simpkins was an immediate leader, says

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Evans, himself a running back in high school: “What makes her a great player is her hard work and love of the game. Even with working full time, she finds the time to work out and train, perfecting her craft.

She also shares what she has learned with her team.”

The Lady Gators have drawn athletes from many sports, including basketball, rugby, soccer and track. Many are not only football rookies but also juggle busy careers and families. “If you’re coachable and want to play and learn, we’re not going to turn you away,” Simpkins says. “I always tell people, ‘Just come out and try it.’ I’d say 90 percent of them come back.”

To keep everyone on a small roster healthy, the Lady Gators emphasize safe tackling techniques, up-to-date protective equipment and regular cardiovascular and weight-training sessions (Simpkins can bench press 145 pounds, while a linebacker teammate can lift close to 200). Simpkins also drinks plenty of water, although she admits to certain bad eating habits — such as a fondness for fried chicken.

Workouts are ongoing for the next season, which runs from March to July. Simpkins, who expects to have 35-plus players on the upcoming squad, is reluctantly stepping off the field to focus on administrative duties such as lining up more sponsorships for the team.

She is grateful that her sons Tylee, 25, and Tyshaun, 17, got to see her in action.

Last season, Tylee, a star high school running back, helped out the team’s offensive coordinator, while Tyshaun cheered wildly on the sidelines — joined by countless other local boys and girls in the stands.

“I love that this is a sport for women where if you are strong and tough and driven, you can succeed,” Simpkins says.

“Our job is to show people we can do whatever we put our minds to. It’s so much fun. Expect us to be around for many, many years.”

Now using the Newest ITero Element Scanner Come visit us for a complimentary consultation.* Complimentary take home whitening kit for new patients. **

4939 Courthouse St. 757.259.0741 NewTownDentalArts.net *$175.00 value **$85.00 value

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Celebrating 26 years serving the Williamsburg Community

Mental Health issues affect us all Let’s be proactive and talk about it

CHESAPEAKE INTEGRATED BEHAVIORAL HEALTHCARE

757-547-9334

7 Foods to Combat

Depression

BY SHARYN REINHOLD

W

hether you’ve been diagnosed with clinical depression or just feel blue once in a while, making good dietary choices can help elevate your mood. Considering that roughly 300 million adults worldwide are affected by depression, understanding the nutritional factors that play a role in mental health can empower you to adopt eating habits that support both body and mind. Here are some of the best foods to incorporate on a regular basis.

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WELL FED

BER R

Oxidative stress caused by free radicals has been shown to play a role in depression. Foods such as berries and artichokes are very high in antioxidants, which counteract free radicals.

When it comes to berries, be sure to choose organic. Conventionally grown berries are known to contain pesticide residues because of their fleshy, soft skin.

IES

Wild-caught Fish Fish is the best dietary source of omega-3 fatty acids, which help keep inflammation in check.

Chronic inflammation has been linked to depression.

Fish is also a great source of protein, which contains the amino acids needed for neurotransmitter production.

Neurotransmitters are chemicals within the body that help regulate mood.

Examples: Blueberries, raspberries, Goji berries.

Dark leafy greens Dark leafy greens are a good source of both magnesium and folate. Magnesium is crucial to many functions in the body, including the nervous system. Folate is involved in the synthesis of the neurotransmitters serotonin (sometimes called the happy chemical), dopamine (which helps control the brain’s reward and pleasure centers) and norepinephrine (which gets your blood pumping and heart pounding). Examples: Kale, spinach, collard greens.

Examples: Salmon, Atlantic mackerel, sardines.

GRASS-FED BEEF Research has shown that women who eat red meat a few times per week cut their risk for depression in half. Grass-fed meats contain more antiinflammatory omega-3 fatty acids than grain-fed meats. Omega-3 fatty acids also help your heart and brain.

B12

Fermented Foods

WALNUTS

These nuts are a great source of selenium, a trace mineral with antioxidant properties. Walnuts are also a good plant source of omega-3 fatty acids.

PUMPKIN SEEDS They are a top source of the amino acid tryptophan (yes, even more than turkey!), which is a precursor to serotonin. Serotonin plays a big role in regulating our moods.

These foods contain beneficial bacteria that help keep the gut in balance. The gut-brain connection has been a focus of research in recent years. One example, tempeh, may have additional benefits related to mental health because it is a good vegetarian source of protein as well as providing vitamin B12, which is produced during the fermentation process. A deficiency of B12 has been linked to depression. Examples: Yogurt, kombucha and tempeh.

*Keep in mind that dietary changes are not a treatment for depression, but rather just one component of a healthy lifestyle that promotes good mental health.

WELL FED

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Are you looking for a provider?

ACCEPTING NEW PATIENTS Are you looking for a provider?

Our featured providers are committed to serving the community with the highest-quality health care.

AUDIOLOGY

Brian Cole, CPFT, CMT

Personal Training Associates For over 20 years Brian has been building his personal training practice to serve not only those who want to improve their overall health and fitness but also those in need of postrehab conditioning following physical therapy, injury and/or surgery.

Brian is certified as a personal fitness trainer by the American Council on Exercise (ACE), a massage therapist by the Virginia Department of Health Professions, a post-rehab conditioning specialist by the American Academy of Fitness Professionals and a weight management consultant by ACE. Brian is also the co-inventor of The Back Unit for low back strengthening and injury prevention.

His trainers have college degrees in exercise science or fitness management, national certification by ACSM, ACE or NASM, and in addition, they regularly earn advanced specialty certifications in a variety of disciplines.

They are knowledgeable and experienced working with hip/knee replacements, ACL tears, spinal and shoulder surgeries, mastectomies, rheumatoid and osteoarthritis, scoliosis, etc.

Personal Training Associates - Private Studios

Oyster Point Port Warwick 738 City Center Blvd.

210 Nat Turner Blvd.

Newport News, VA 23606 Newport News, VA 23606 (757) 599-5999 www.briancoleandassociates.com

Lisa Marie Samaha, D.D.S.

Bethany Tucker, Au.D. Colonial Center for Hearing

Dr. Bethany Tucker graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program.

After completing her externship at the Virginia Commonwealth University Medical Center,Dr. Tucker practiced audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014.

Dr. Tucker is a board-certified audiologist and holds accreditation by the American Speech-LanguageHearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients.

Bethany was born in the Philippines, but raised in the Richmond, Virginia area. After almost 2 years of commuting from Chester, Bethany, her husband Tyson and their German Shepard Tuck have found a home in Williamsburg. In her spare time, Bethany enjoys reading, cooking, running and spending time with family and friends.

Colonial Center for Hearing 430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004 williamsburghears.com

PERSONAL TRAINING

WHOLE HEALTH DENTISTRY

ORTHOPAEDICS/UPPER EXTREMITY

Port Warwick Dental Arts

Dr. Lisa Marie Samaha has created beautiful, healthy smiles for Hampton Roads since opening her Newport News practice in 1982.

She and her exceptional team have created a practice of comprehensive, individualized and holistic dental care. They partner with their patients to achieve “BEST” dental health and overall wellness.

Dr. Samaha is internationally published and esteemed as an educator and top clinician. She offers a wide range of advanced cosmetic and mercury-free dental care. She also maintains focus on a leadingedge protocol for the diagnosis, prevention and non-surgical treatment of periodontal disease.

As an enthusiastic supporter of the arts, Dr. Samaha is also an award-winning watercolorist. Her most compelling contribution to the arts of Hampton Roads is her tranquil Port Warwick Dental Arts venue where she often hosts a rich and diversified array of musical talent and artistic exhibitions.

Port Warwick Dental Arts 251 Nat Turner Blvd. S Newport News, VA 23606 (757) 223-9270 pwdentalarts.com

OPTOMETRY Brent Segeleon, O.D.

Robert C. Mason, M.D.

Colonial Eye Care

Tidewater Orthopaedics

Dr. Robert Mason is joining the experienced team of specialists at Tidewater Orthopaedics. He is fellowship trained in upper extremity and will be helping patients with conditions affecting the shoulder, elbow, hand, or wrist. He attended the State University of New York Upstate Medical University in Syracuse where he received his Doctor of Medicine degree. After medical school, Dr. Mason completed his orthopaedic surgery residency at the University of Rochester Medical Center in Rochester, NY. Then he completed an additional year of training with a focus on upper extremity surgery at Wake Forest Baptist Medical Center in Winston Salem, NC. He respects his patients’ desires and strives to provide them the ability to meet their goals.

Dr. Mason is proud to be part of a practice serving Hampton Roads’ orthopaedic needs since 1970 and will be seeing patients at both the Hampton and Williamsburg locations.

Tidewater Orthopaedics

901 Enterprise Parkway Suite 900 Hampton, VA 23666 (757) 827-2480 4037 Ironbound Road Williamsburg, VA 23188 (757) 206-1004

Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. He has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas.

Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association current board member and Tidewater Optometric Society President from 2014-2016. In 2013, the Virginia Optometric Association named him Young Optometrist of the Year.

Originally from Pittsburgh, Pennsylvania, Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes.

Colonial Eye Care

5273 John Tyler Highway Williamsburg, VA 23185 (757) 903-2633 colonialeyecare.com

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special advertising section

ALLERGY & ASTHMA

ACCEPTING NEW PATIENTS

DENTISTRY

Eric Karlin, M.D.

Williamsburg Center for Dental Health

Dr. Eric Karlin is an allergist/ immunologist board-certified by the American Board of Allergy and Immunology. He is a native of South Florida and attended Rollins College for his undergraduate degree in biochemistry. After graduating from medical school at the University of Miami in 2009, he completed his internal medicine residency at Washington University in St. Louis before doing his fellowship in allergy and clinical immunology at Vanderbilt University. After completion of his fellowship, Dr. Karlin practiced as an associate professor in the division of Allergy and Immunology at New York Medical College and Maria Fareri Children’s Hospital. Dr. Karlin joined Allergy Partners in 2016.

Having had allergies himself, Dr. Karlin has experienced the significant improvement in symptoms that an allergist can offer. He is happily married to Dr. Mariel Focseneanu. In their spare time, they enjoy cooking, seeing movies and traveling.

They are excited about making the Peninsula their new home.

Dr. Stacey Hall brings her unique outlook on dental care and her personable optimism to the Williamsburg Center for Dental Health. With 12 years of solid dental expertise in the area, she decided in early 2011 to branch out and open her own local practice.

After completing her undergraduate degree from Virginia Tech in 1998, Dr. Hall graduated from VCU’s MCV School of Dentistry in 2002, receiving her D.D.S. She is a member of the Academy of General Dentistry, the American Dental Association, and was awarded member fellowship to the International Congress of Oral Implantology in 2008. Dr. Hall is a co-leader of the Tidewater Dawson Study Club and is passionate about pursuing the highest levels of continuing education. She was also voted “Reader’s Choice Best Dentist 2010” by The Health Journal.

Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie.

She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work.

Allergy Partners of Hampton Roads

Williamsburg Center for Dental Health

allergypartners.com/hamptonroads

UPPER CERVICAL CHIROPRACTIC

5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303

www.williamsburgdentalhealth.com

SLEEP APNEA AND TMJ

Via Vitae Chiropractic

Via Vitae Chiropractic

4511 John Tyler Hwy. Suite B Williamsburg, VA 23185 (757) 208-7108 viavitaechiropractic.com

LWell

Miranda Hayden is a licensed and registered dietitiannutritionist and a certified specialist in renal nutrition. She has over 15 years of experience counseling patients with chronic kidney disease, diabetes, weight loss, hyperlipidemia and hypertension.

Miranda received her master’s degree in public health/nutrition from Liberty University in Lynchburg, Va.; a bachelor’s degree in exercise science/ nutrition from Norfolk State University; and an associate’s degree in dietetics and applied sciences from Youngstown State University in Ohio. She is certified in adult weight management through the Academy of Nutrition and Dietetics and Diabetes Prevention.

“All of us are equipped to succeed,” Miranda continuously proves; she is passionate about helping others succeed with living a healthy lifestyle. Meet with Miranda at one of multiple locations in Hampton Roads, and she does take insurance. To read more, visit www.LWell.com/miranda-hayden LWell Serving patients in multiple locations throughout Hampton Roads 1309 Jamestown Rd., #102 Williamsburg, VA 23185 (757) 585-3441

BEAUTY & AESTHETICS

William G. Harper, D.D.S.

Brandon T. Babin, D.C. Dr. Brandon Babin is the owner of Via Vitae Chiropractic, a neurologically-based upper cervical chiropractic office serving the Hampton Roads area. After graduating Magna Cum Laude from Palmer College of Chiropractic in Florida, he and his wife, Heather, relocated to Williamsburg.

During his education, Dr. Babin spent countless hours outside the classroom learning how he could provide the highest quality of care possible for his patients. He discovered upper cervical chiropractic when he witnessed the life-changing effect it had on his wife, Heather, after reducing her severe migraines from 3-5 times per week down to 3-5 times per year. In 2015, Dr. Babin received his upper cervical certification and continues to learn more about this powerful, transformative technique.

Dr. Babin and Heather welcomed their first baby, Benjamin, in June and they are thrilled to be a part of the Williamsburg community to help change lives through natural healing methods.

Miranda G. Hayden, MPH, RD, LD, CSR

Stacey Sparkman Hall, D.D.S.

Allergist / Immunologist

895 City Center Blvd., Suite 302 Newport News, VA 23606 (757) 596-8025

DIETITIAN NUTRITIONIST

Coastal Virginia Sleep Solutions At Coastal Virginia Sleep Solutions, we work with your sleep medicine physician to treat Obstructive Sleep Apnea, snoring, and other sleep breathing disorders. We also work with many physicians to treat TMD/TMJ, jaw, joint, and muscle-related pain.

Dr. Harper has extensive training and experience in treating sleep apnea, including completing the University of North Carolina Dental Sleep Medicine mini-residency and is the only dentist in Hampton Roads to have received Qualified Designation by the American Academy of Dental Sleep Medicine.

Often, patients struggle with using their CPAP and many patients simply cannot use CPAP. To prevent the dangerous health consequences of untreated sleep apnea, Dr. Harper offers different types of appliances as an alternative to CPAP and Coastal Virginia Sleep Solutions works with many different insurances. Our goal is to find you the best and most comfortable appliance - leading to better sleep, improved health, and a higher quality of life.

Coastal Virginia Sleep Solutions 235 Wythe Creek Rd. Poquoson, VA 23662 757-659-1017

Steven C. Mares, M.D.

Erase the Canvas, LLC Dr. Steven C. Mares, is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and AntiAging Laser and Botox Treatments. He is a “Hokie,” having graduated with a degree in chemistry in 1986 from Virginia Tech. He received his medical degree from Eastern Virginia Medical School in 1992 and completed a pediatric residency at Children’s Hospital of The King’s Daughters in Norfolk, Va. in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Ga. in 1996, the year of the XXVI Olympics. During his time there, he was involved in taking care of the Elite Olympic hopefuls at the U.S. Track and Field Championships as well as the Women’s Olympic Softball Athletes. He moved to Williamsburg where he is involved with student athletes and the theater department at Lafayette High School. He did laser training at the National Laser Institute in Phoenix, Ariz., in 2010, and opened his clinic in 2013.

Erase the Canvas, LLC 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390 erasethecanvas.com

HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222 ADDICTION TREATMENT The Farley Center 5477 Mooretown Road Williamsburg (757) 243-4426 ALLERGY & ENT Allergy Partners of Hampton Roads 1144 Professional Dr. Williamsburg (757) 259-0443 895 City Center Blvd., Suite 302 Newport News (757) 596-8025 Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500 11803 Jefferson Ave Suite 260 Newport News (757) 643-7028 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 279-7363 BEHAVIORAL HEALTH & PSYCHIATRY

Integrative Chiropractic, Acupuncture & Laser Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900 Pinto Chiropractic & Rehabilitation 5408 Discovery Park Blvd., Suite 200 Williamsburg (757) 220-8552

DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1444 Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000

COSMETIC & PLASTIC SURGERY

FREE CLINICS

Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275

Angels of Mercy Medical Clinic 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700

DENTISTRY

Beach Health Clinic 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601

New Town Dental Arts Sebastiana G. Springmann, D.D.S, F.A.G.D. 4939 Courthouse St. Williamsburg (757) 259-0741 Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg (757) 903-4525 Pediatric Dental Specialists of Hampton 2111 Hartford Road, Suite C Hampton (757) 864-0606 Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270 Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303

Chesapeake Care 2145 South Military Highway Chesapeake (757) 545-5700 The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060 H.E.L.P. Free Clinic 1320 LaSalle Ave. Hampton (757) 727-2577 H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577 HOPES Free Clinic-EVMS 830 Southhampton Ave, Norfolk (757) 446-0366 Lackey Free Clinic 1620 Old Williamsburg Road Yorktown (757) 886-0608 Olde Towne Medical and Dental Center 5249 Olde Towne Road Williamsburg (757) 259-3258 Park Place Dental Clinic 606 West 29th St. Norfolk (757) 683-2692

The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066

DERMATOLOGY

CHIROPRACTIC & ACUPUNCTURE

Dermatology Specialists Michael C. White , M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161

Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060

Dermatology Specialists 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466

Digestive Disease Center of Virginia, PC Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Suite 104 Williamsburg (757) 206-1190

Comber Physical Therapy & Fusion Chiropractic 201 Bulifants Blvd., Ste B Williamsburg (757) 603-6655 5388 Discovery Park Blvd, Suite 100 Williamsburg (757) 903-4230

Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030

Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132

GASTROENTEROLOGY

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HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (757) 244-7000 HOME CARE Visiting Angels 704 Thimble Shoals Blvd., #600-B Newport News (877) 618-4748 HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital 2 Bernardine Dr. Newport News (757) 886-6000 Bon Secours DePaul Medical Center Granby St. & Kingsley Lane Norfolk (757) 889-5310 Bon Secours Maryview Medical Center 3636 High St. Portsmouth (757) 398-2200 Bon Secours Health Center at Harbour View 5818 Harbour View Blvd.

Suffolk (757) 673-5800

Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141 Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200 Riverside Regional Medical Center 500 J. Clyde Morris Blvd.

Newport News (757) 594-2000 Sentara Independence 800 Independence Blvd.

Virginia Beach (757) 363-6100 Sentara CarePlex Hospital 3000 Coliseum Dr. Hampton (757) 736-1000 Sentara Heart Hospital 600 Gresham Dr. Norfolk (757) 388-8000 Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000 Sentara Norfolk General Hospital 600 Gresham Dr. Norfolk (757) 388-3000

Bon Secours Surgery Center at Harbour View 5818 Harbour View Blvd., Suffolk (757) 673-5832

Sentara Obici Hospital 2800 Godwin Blvd.

Suffolk (757) 934-4000

Chesapeake Regional Medical Center 736 Battlefield Blvd. North Chesapeake (757) 312-8121

Sentara Port Warwick 1031 Loftis Blvd.

Newport News (757) 736-9898

Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098

Sentara Princess Anne 2025 Glenn Mitchell Dr. Virginia Beach (757) 507-0000

CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363

Sentara Virginia Beach General Hospital 1060 First Colonial Road Virginia Beach (757) 395-8000

Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Newport News (757) 594-1899

Sentara Williamsburg Regional Medical Center 100 Sentara Circle Williamsburg (757) 984-6000

Hampton Roads Community Health Center 664 Lincoln St.Portmouth (757) 393-6363 Ocean View Medical and Dental Center 9581 Shore Dr. Nofolk (757) 393-6363 Park Place Family Medical Center 3415 Granby St. Norfolk (757) 393-6363

HEALTH DIRECTORY

MASSAGE THERAPY Oasis Healing Massage Jamestowne Professional Park, 1769 Jamestown Road Suite 209 Williamsburg (804) 916-9494 Spiral Path Massage and Bodywork 215 Ingram Road, Suite D Williamsburg (757) 209-2154

NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511 222 W. 21st St., Suite F-308 Norfolk (757) 640-0929 Alzheimer’s Association 6350 Center Dr., Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900 American Cancer Society 11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330 American Diabetes Association 870 Greenbrier Circle, Suite 404 Chesapeake (757) 424-6662 American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610 American Parkinson’s Disease Association 4560 Princess Anne Road Virginia Beach (757) 495-3062 American Red Cross 1323 W. Pembroke Ave. Hampton (757) 838-7320 3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228 6912 George Washington Memorial Highway Yorktown (757) 898-3090 The Arc of Greater Williamsburg 150 Strawberry Plains Rd, Suite D Williamsburg (757) 229-3535 The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-4900 Avalon: A Center for Women & Children Williamsburg (757) 258-5022 AWARE Worldwide, Inc. 6350 Center Dr., Bldg. 5, Suite 228 Norfolk (757) 965-8373 Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222 Cancer Care Foundation of Tidewater 5900 Lake Wright Dr. Norfolk (757) 461-8488

Cancer Support Group - Kelly Weinberg Foundation kellyweinbergfoundation. org, info@ kellyweinbergfoundation.org (757) 250-3220 Center for Excellence in Aging & Lifelong Health 460 McLaws Circle Suite 110 Williamsburg (757) 220-4751 CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Dr., Suite 1100 Norfolk (757) 634-3272 Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300 Citizens’ Committee to Protect the Elderly PO Box 10100 Virginia Beach (757) 518-8500 Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200 Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd, Suite 2E Newport News (757) 833-7845 Dream Catchers Therapeutic Riding 10120 Fire Tower Road Toano (757) 566-1775 Edmarc Hospice for Children 516 London St.Portsmouth (757) 967-9251 Endependence Center, Inc. 6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007 Faith in Action 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890 Food Bank of the Virginia Peninsula 2401 Aluminum Ave. Hampton (757) 596-7188 Food Bank of SEVA 800 Tidewater Dr. Norfolk (757) 627-6599 Hampton-Newport News Community Services Board 300 Medical Dr. Hampton (757) 788-0300 Here for the Girls 1309 Jamestown Road, Suite 204 Williamsburg (757) 645-2649

Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161 Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220 Jewish Family Service of Tidewater, Inc. 5000 Corporate Woods Drive, Suite 400 Virginia Beach (757) 321-2222 Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501 Leukemia & Lymphoma Services 6350 Center Dr., Suite 216 Norfolk (757) 459-4670 National MS Society 760 Lynnhaven Pkwy., Suite 201 Virginia Beach (757) 490-9627 The Needs Network, Inc. 9905 Warwick Blvd.

Newport News (757) 251-0600 National Alliance on Mental IllnessWilliamsburg Area P.O. Box 89 Williamsburg (757) 220-8535 National Alliance on Mental Illness-Norfolk Contact Lynn Martin Norfolk (757) 401-6318 Norfolk Community Services Board 225 W. Olney Road, Room 1 Norfolk (757) 664-6670 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 823-1600

Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771 Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386 St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208 Sarcoidosis Support Group/Charity #teamandreafight llc (757) 309-4334 The Sarah Bonwell Hudgins Foundation 1 Singleton Dr.Hampton (757) 827-8757 Senior Center of York 5314 George Washington Memorial Highway.

Yorktown (757) 890-3444 Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk (757) 222.4509 Susan G. Komen Tidewater 6363 Center Dr. Suite 205 Norfolk (757) 490-7794 United Way 1182 Fountain Way Suite 206 Newport News (757) 873-9328 5400 Discovery Park Blvd., Suite 104 Williamsburg (757) 253-2264 The Up Center 1805 Airline Blvd.

Portsmouth (757) 397-2121 222 W. 19th St. Norfolk (757) 622-7017 VersAbility Resources 2520 58th St. Hampton (757) 896-6461

312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277

VA Medical Center 100 Emancipation Dr. Hampton (757) 722-9961

Peninsula Institute for Community Health 1033 28th St. Newport News (757) 591-0643

We Promise Foundation 5700 Cleveland St. Suite 101 Virginia Beach (757) 233-7111

Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273

OBSTETRICS & GYNECOLOGY Williamsburg Obstetrics & Gynecology 500 Sentara Circle, Suite 105 Williamsburg (757) 253-5653

Protect Our Kids P.O. Box 561 Hampton (757) 727-0651

HEALTH DIRECTORY

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ONCOLOGY The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177 Virginia Oncology Associates 725 Volvo Pkwy, Suite 200 Chesapeake (757) 549-4403 3000 Coliseum Dr., Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 5900 Lake Wright Dr. Norfolk (757) 466-8683 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670 1950 Glenn Mitchell Dr., Suite 102 Virginia Beach (757) 368-0437 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 OPTOMETRY & OPHTHALMOLOGY Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375 ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 5335 Discovery Park Blvd., Suite B Williamsburg (757) 253-0603 Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1900 Tidewater Orthopaedic Associates 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 4037 Ironbound Road Williamsburg (757) 206-1004

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PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy 13609 Carrollton Blvd., Suite 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 2613 Taylor Road, Suite 102 Chesapeake (757) 465-7651 1416 Stephanie Way, Suite A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 14703 Warwick Blvd., Suite B Newport News (757) 947-1230

4677 Columbus St., Suite 201 Virginia Beach (757) 463-2540

730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554

250 West Brambleton Ave., Suite 100 Norfolk (757) 938-6608

1817 Laskin Road, Suite 100 Virginia Beach (757) 437-0471

Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd.

Newport News (757) 596-1900

154 E Little Creek Road Norfolk (757) 797-0210

Pivot Physical Therapy 4020 Raintree Road, Suite D Chesapeake (757) 484-4241

2007 Meade Pkwy.

Suffolk (757) 539-6300

1253 Nimmo Parkway, Suite 105 Virginia Beach (757) 943-3060 101 Long Green Blvd.

Yorktown (757) 952-1900 Comber Physical Therapy and Rock Steady Boxing (Parkinson’s Program) 5388 Discovery Blvd., Ste 100 Williamsburg (757) 903-4230

2 Bernardine Dr. Newport News (757) 886-6480

201 Bulifants Blvd., Ste B Williamsburg (757) 229-9740

7300 Newport Ave., Suite 300 Norfolk (757) 217-0333

Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton (757) 825-9446

885 Kempsville Road, Suite 300 Norfolk (757) 955-2800

466 Denbigh Blvd.

Newport News (757) 875-0861

930 W. 21st St. Suite 105 Norfolk (757) 738-1500

729 Thimble Shoals Blvd., Suite 4-C (Pediatrics) Newport News (757) 873-2932

5553 Portsmouth Blvd.

Portsmouth (757) 465-7906 3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 5838 Harbour View Blvd.

Suffolk (757) 673-5971 1417 North Main St. Suffolk (757) 934-3366

301 Riverview Ave. Norfolk (757) 963-5588 500 Rodman Ave., Suite 3 Portsmouth (757) 393-6119 5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700 Hampton Roads Orthopaedics & Sports Medicine

135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512 927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436-3350

6970 Fox Hunt Lane, Gloucester (804) 694-8111

100 Winters St., Suite 106 West Point (757) 843-9033

2106 Executive Dr. Hampton (757) 838-6678

156-B Strawberry Plains Road Williamsburg (757) 565-3400

9 Manhattan Square, Suite B Hampton (757) 825-3400 7190 Chapman Dr. Hayes (804) 642-3028 751 J Clyde Morris Blvd Newport News (757) 873-2123 612 Denbigh Blvd.

Newport News (757) 874-0032 12494 Warwick Blvd.

Newport News (757) 599-5551 6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890

WILLIAMSBURG, VA

7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 Tidewater Orthopaedic Associates 901 Enterprise Pkwy, Suite 900 Hampton (757) 827-2480 4037 Ironbound Road Williamsburg (757) 206-1004

PODIATRY Ambulatory Foot & Ankle Center Calvin H. Sydnor IV, DPM, FACFAS Earnest P. S. Mawusi, DPM, FACFAS 1618 Hardy Cash Dr. Hampton (757) 825-5783 UROLOGY The Devine-Jordan Center for Reconstructive Surgery & Pelvic Health — a division of Urology of Virginia 225 Clearfield Ave. Virginia Beach (757) 457-5110 Urology of Virginia 4000 Coliseum Dr., Suite 300 Hampton (757) 457-5100 7185 Harbour Towne Pkwy., Suite 200 Suffolk (757)457-5100 2202-A Beechmont Road, South Boston (434)333-7760 400 Sentara Circle, Suite 310 Williamsburg (757) 345-5554 The Paul F. Schellhammer Cancer Center – a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177

OCTOBER WORD SEARCH

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OCTOBERS POPLARS ARE FLAMING TORCHES LIGHTING THE WAY TO WINTER - NOVA BAIR

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“The best of all gifts around any Christmas tree is the presence of a happy family all wrapped up in each other.”

- Burton Hillis, columnist and author

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W AYS 4

ROAD T

To Be Smart While Holiday Shopping

Online shopping makes life easier, but stay safe from cyber thieves before you “buy now.”

Check website security.

Only visit secure shopping websites — look for the “lock.” Check the address bar for a padlock symbol indicating it’s a secure website. Before handing over personal information, make sure the URL begins with “https:” to signify encryption.

Travel Tips

RIP

If you and your family plan to hit the open road this year, check out these tips for a safe and enjoyable journey.

CAR MAINTENANCE TECHNICIAN

TIRES

COOLANT

Consider having your car checked by a technician before a long trip.

Check tires monthly for tread wear. Make sure all tires (including the spare, are properly inflated)

Check the coolant level and condition, making certain the proper 50/50 mixture of water and coolant is present.

OIL

Make sure websites ask for a CVV (3- or 4-digit code on the back of your card). This is an important security feature for any website requesting payment.

Check the level and condition of the engine oil. The owner’s manual will have specific recommendations.

BELTS & HOSES Look for worn, cracked, blistered or soft belts and hoses. Always perform this check with the engine off.

BATTERY Hot weather can shorten the life of a battery. You can have it tested by a qualified technician.

TRAVEL PLANNING Use credit instead of debit.

Credit card companies often offer better fraud protection than debit cards.

EMERGENCY KIT

SECURITY

Carry an emergency kit with a flashlight, batteries, warning devices (such as flares or reflective triangles), jumper cables, a first-aid kit and extra water.

Lock your car when you leave it, and keep your valuables out of sight.

FUEL Don’t let the gas level get below one-quarter of a tank.

SAFETY Secure children and adults in car seats, booster seats or seat belts.

ENTERTAINMENT ROUTE-PLANNING

Set up identity theft protection.

Be proactive with ProtectMyID Deluxe, which monitors signs of fraud for you.

Use the AAA Mobile App to plan your route ahead of time. Make stops every 100 miles or 2 hours to avoid drowsy or fatigued driving.

ACCOMMODATIONS

Bring books, games or music for the ride.

INFORMATION Bring information on your destination to make the most of your trip.

Reserve all accommodations in advance, but be flexible if you need to stop an extra night due to traffic, fatigue or change of plans.

For more driving and travel safety tips, visit Exchange.AAA.com

AAA members can get ProtectMyID Deluxe for only $8.95/month (60-percent savings), or get limited features free with ProtectMyID Essential. Learn more at AAA.com/IDTheft or call 877-440-6943.

Need help with these car maintenance tips?

Visit aaa.com/repair to locate a repair shop in your area.

The Holiday Gift Guide Roller $28 | Elixir Oil $15 Maximize your skincare routine by incorporating this crystal roller to massage your skin. This facial oil helps improve circulation, and brings a healthy, calm and glowing complexion.

Available at honeybelleshop.com

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Taste Appeal Taste of Williamsburg

As the days turn chilly, warm up with some comforting dishes that bring the flavors of autumn into your kitchen. Recipes courtesy of Colonial Williamsburg Executive Chef Travis Brust.

PHOTOGRAPHY BY BRIAN FREER

African Stew

Braised Beef with Cauliflower Silk

cover photo

Ingredients 3 tbsp. butter ½ cup Virginian ham, diced 2 onions, diced 2 medium carrots, diced 1 rib celery, diced 3 garlic cloves, sliced 2 cups butternut squash, roughly chopped 1½ tsp. salt 3 ⅓ tsp. pepper 2 tbsp. flour 1 tbsp. tomato paste 2 cups mushrooms, quartered 1½ quarts stock 1 cup diced tomatoes 2 ears corn, kernels removed, cobs scraped 15 oz. black-eyed peas, cooked

Ingredients 4- 5 lbs. boneless short ribs 1 cup carrots, peeled and roughly chopped 2 cups onions, roughly chopped 1 cup celery, washed and roughly chopped (leaves off) 1 cup leeks, washed and roughly chopped 5 garlic cloves, crushed ½ cup tomato paste 5 sprigs thyme 5 sprigs tarragon 1 bay leaf 2 cups cabernet or other red wine 1 quart chicken stock Salt, pepper and vegetable oil as needed

Combine the butter, ham, onions, carrots, celery, garlic and butternut squash in a medium sauce pan. Season with salt and pepper. Add the flour and stir, cook for 2 minutes. Add the tomato paste and mushrooms and cook 1 minute. Add the cobs from the corn and the stock and simmer until mushrooms are tender. Add the corn kernels and tomatoes, cook for 2 minutes. Add the black eyed peas and cook another minute. Serve with cornbread.

Cornbread Ingredients 6 tbsp. unsalted butter, melted 1 cup cornmeal ¾ cup all-purpose flour 1 tbsp. sugar 1½ tsp. baking powder ½ tsp. baking soda ¼ tsp. salt 2 large eggs, lightly beaten 1½ cups buttermilk

Sear the beef on all sides in a cast iron or roasting pan; set beef aside.

Caramelize the carrots in oil until golden brown. Add the onion, leeks and garlic and caramelize until golden brown. Add celery, herbs and bay leaf and cook for 5 minutes. Add tomato paste. Cook for 10 minutes. Add cabernet and reduce to a thick syrup. Add the chicken stock and bring to a simmer. Spread the beef in one layer in the pan.

Place in a 275-degree oven until the beef is tender, 3 to 5 hours. Remove the beef and turn the liquid to a high simmer. Skim the fat from the liquid as it reduces. Reduce until desired consistency. Season the beef to taste with salt and pepper; serve with reduced sauce over cauliflower silk. Yields 4-5 servings.

Cauliflower Silk

Preheat the oven to 425 degrees. Lightly grease an 8-inch baking dish. In a large bowl, mix together the cornmeal, flour, sugar, baking powder, baking soda and salt. In a separate bowl, mix together the eggs, buttermilk and butter. Pour the buttermilk mixture into the cornmeal mixture and fold together until there are no dry spots (the batter will still be lumpy). Pour the batter into the prepared baking dish. Bake until the top is golden brown and tester inserted into the middle of the corn bread comes out clean, about 20 to 25 minutes.

Remove the cornbread from the oven and let it cool for 10 minutes before serving. Makes four servings.

TASTE APPEAL

Ingredients 5 tbsp. extra virgin olive oil 3 cloves garlic, chopped small ½ onion, peeled and diced 1 cauliflower head, roughly chopped 2 cups chicken stock 2 tbsp. fresh herbs, minced fine (chives, flat leaf parsley, tarragon) Kosher salt & fresh cracked black pepper In a sauce pot over medium heat, add the oil and heat. Add the garlic and onions and cook till softened. Add the cauliflower and stock, then cover and steam for 6-7 minutes over high heat. Place the mixture into a blender and blend till very smooth. Season with herbs, salt and pepper.

\ 45 \ THEHEALTHJOURNAL.ORG

Oyster Stew 8 ounces whole butter 1 pound bacon lardons 2 pounds smoked sausage 2 onions, diced 2 pieces fennel, diced 8 large ears of corn, cut from cob 3 tbsp. paprika 12 ounces flour 1 gallon chicken stock 3 quarts whole milk 1 quart heavy cream 3 pounds red bliss potatoes, medium diced 1 tub oysters, drained and rinsed 2 lemons, juiced 1 ounce fresh thyme, minced Âź ounce tobasco 1 ounce Worcestershire sauce 2 ounces sherry wine 3 tbsp. kosher salt 1 tsp. fresh ground pepper In a large pot, melt the butter and render the bacon fat.

In the same pot, saute the sausage, onions, fennel, corn and paprika.

Add the flour and incorporate well to create a roux with the fat and sautĂŠed mixture.

Add cold liquids in a steady stream, continuing to whisk while adding.

Add potatoes and simmer until potatoes are tender.

Mix in the oysters.

Season with lemons, thyme, tobacco, Worcestershire, sherry, salt and pepper.

Yields 3 gallons.

PHOTOGRAPHY BY KRISTEN BRYANT

Whipped Mascarpone Ingredients 1 quart heavy whipping cream 2 scoops mascarpone 6 tbsp. granulated sugar 1 tsp.vanilla extract In a stainless mixing bowl, whip the cream, sugar and vanilla by hand until medium peaks form. Fold in the mascarpone and whip to a stiff peak.

English Toffee Pudding with Whipped Mascarpone This traditional British dessert might not be especially healthy, but it sure is comforting on a chilly fall day. Better yet, serve it as a gooey decadent finale to your Thanksgiving meal. Go on, at least try a small piece — a little goes a long way.

Ingredients 4 1/4 cups flour 4 tsp. baking powder 3 cups pitted dates 5 cups water 4 tsp. baking soda 1 cup softened butter 3 cups sugar 4 eggs, lightly beaten 4 tsp. vanilla

TASTE APPEAL

Butter a deep square half-hotel pan (6x10), set aside. Sift the flour and baking powder onto a sheet of parchment paper. In a small pot, add the dates to the water, bring to a boil and add baking soda; set aside. In a mixing bowl, cream the butter and sugar. Add the vanilla and then eggs one at a time, mixing until each is incorporated. Slowly add the sifted flour and baking powder. Add the date mixture into the batter and mix until fully incorporated.

Pour into the prepared baking pan, bake at 350°F until the pudding is set and firm on top, about 45 minutes, or until a toothpick comes out clean.

While the pudding is baking, prepare the sauce: Combine unsalted butter, heavy cream and brown sugar in a small sauce pot and bring to a boil, stirring constantly. Reduce to a simmer for about 8 minutes. Remove from heat.

Once pudding is done, cut into pieces, spoon sauce over the top and place back in the oven for about 5 minutes. Serve with whipped mascarpone. Yields 12-16 servings.

\ 47 \ THEHEALTHJOURNAL.ORG

WHAT IS GOING ON IN

November

9

MILLION BULB WALK

Walk through two miles of spectacular holiday light displays nightly through Dec. 15th. After the walk, a tram takes you back to the start where you can visit the café and gift shop. Picture-taking is encouraged; use hashtag#NBGLights2018.

WHEN: 4-9 p.m.

WHERE: Norfolk Botanical Garden $$: $10-17 CONTACT: norfolkbotanicalgarden.org/mbw/

10

MARKET DAYS HARVEST FESTIVAL

Visit the Historic Yorktown waterfront for a pre-Thanksgiving celebration! Shop for turkeys, pre-order your pies from Carrot Tree and sample other holiday treats during our extended hours. Enjoy kids’ activities and crafts, an animal show, live music and a pieeating contest.

WHEN: 9 a.m.–3 p.m.

WHERE: Riverwalk Landing, Yorktown $$: Free CONTACT: www.visityorktown.org/225/ Market-Days

17

COLISEUM CENTRAL HOLIDAY PARADE

Kick-off the holiday season with Coliseum Central’s 20th annual holiday parade. Join in the excitement as the marching bands, floats, squads and animals parade by. Give a warm welcome to Santa Claus!

WHEN: Entertainment begins in Town Square at 9 a.m.; parade starts at 9:30 a.m.

WHERE: 4410 E. Claiborne Square, Hampton $$: Free CONTACT: www.coliseumcentral.com/ holidayparade

17

GRAND ILLUMINATION PARADE

Downtown Norfolk’s 34th annual holiday parade brings out thousands of spectators to take in the beauty, magic and electric holiday spirit. This year’s theme is “The Lights are Bright on Broadway.”

WHEN: 7 p.m.

WHERE: Downtown Norfolk $$: Free; street seats available $10-25 CONTACT: wwww.holidaysinthecity.net

17

CHRISTMAS TOWN AT BUSCH GARDENS

Christmas Town opens on select days through Jan. 5, 2019. Enjoy the largest light display in North America as Busch Gardens decks itself out with more than eight million lights. Festive food and drink, special dining experiences, holiday shopping and heart-warming shows make the season come alive.

WHEN: 2-10 p.m.; 12-10 p.m. Saturdays WHERE: Busch Gardens, Williamsburg $$: Tickets required CONTACT: wbuschgardens.com/williamsburg/ events/christmas-town

22

CELEBRATION IN LIGHTS

Through Jan. 1, 2019, Newport News Park will be transformed by more than 1 million lights to create animated holidays and fanciful scenes.

Over 300 individual pieces, 43 arches and three miles of rope lighting enhance the beauty of the two-mile drive through the park.

WHEN: 5:30-10 p.m.

WHERE: Newport News Park $$: $12/person; $60/car CONTACT: www.nnva.gov/1762/Celebrationin-Lights

2018

22

BLUE TALON BISTRO TURKEY TROT

The thing to do in Williamsburg on Thanksgiving morning! This festive 5K features a course that runs through Colonial Williamsburg and the campus of the College of William & Mary. End the race with a visit to the best post-5K buffet anywhere. Benefits local charities. Don’t miss the post-race raffles!

WHEN: 6:30 a.m. registration; 8:30 a.m. start; 9:45 a.m. 1-mile Fun Run WHERE: 420 Prince George St., Williamsburg $$: $40; $45 on race day CONTACT: www.bluetalonbistro.com/bluetalon-bistro-turkey-trot-5k.html

22

THE BIG TURKEY BURN 5K TURKEY TROT

New Town’s second Turkey Trot is a great fitness and family oriented event with something for everyone. Proceeds benefit the R.F. Wilkinson YMCA. Participants are asked to bring nonperishable food items for FISH, a nonprofit that helps feed needy families.

WHEN: 8:30 a.m.; kids’ race 9:30 a.m.

WHERE: Sullivan Square, Center Street, Williamsburg $$: $40; $45 on race day CONTACT: www.btb5k.mettleevents.com/

30

YORKTOWN CHRISTMAS TREE LIGHTING

An annual tradition going to back to 1945!

Gather at Yorktown Victory Monument for live music, then proceed to Riverwalk Landing for the tree-lighting ceremony. Stay for a visit from Santa and Mrs. Claus.

WHEN: 6:30-8:30 p.m.

WHERE: Riverwalk Landing, Yorktown $$: Free CONTACT: 757.890.3500 or email tourism@ yorktown.gov

WHAT IS GOING ON IN

1

December

HOLLYDAZZLE

Annual holiday celebration around the fountain and surrounding streets of City Center. This year, the event will feature a choreographed light show.

WHEN: TBA WHERE: City Center at Oyster Point, Newport News $$: Free CONTACT: www.nnva.gov/1772/Hollydazzle

1

YORKTOWN LIGHTED BOAT PARADE

Start with caroling around a beach bonfire, enjoy a musical performance by the Fifes & Drums of Yorktown and watch the boats make their way down the York River in a dazzling show of lights. Participants are asked to bring flashlights to navigate.

WHEN: 6-8:30 p.m.

WHERE: Yorktown Beach $$: Free CONTACT: 757.890.4970 or www.visityorktown.org/ calendar.aspx

1

WILLIAMSBURG CHRISTMAS PARADE

Celebrate a Miracle on DoG Street at this parade featuring a variety of floats, bands, organizations and more. May the theme promote a vast array of miracles of the holiday season, from the smallest kindness to large and amazing things.

WHEN: 9 a.m.

WHERE: Richmond Road from Brooks through Merchant’s Square $$: Free CONTACT: www.williamsburgcc.com/parade

1-2

THE NUTCRACKER

Celebrate the holidays with the Hampton Roads Civic Ballet’s annual production of the Nutcracker.

Join Clara and her Nutcracker prince on their magical journey through the enchanted snowy forest. A family friendly Christmas tradition you do not want to miss!

WHEN: 7 p.m. Sat.; 3 p.m. Sun. WHERE: Dr. Mary T. Christian Auditorium, TNCC, Newport News $$: $8-12 CONTACT: www.academyofballetandevents.com

2

GRAND ILLUMINATION

Join Colonial Williamsburg for this special day by strolling the Historic Area and viewing all the unique decorations. Enjoy musical performances on multiple stages throughout the Historic Area and simultaneous fireworks displays from the Capitol, the Magazine and the Palace.

WHEN: 4-7:30 p.m.

WHERE: Colonial Williamsburg $$: Free CONTACT: colonialwilliamsburg.com/plan/ calendar/grand-illumination

2

CHRISTMAS TOWN DASH 8K AND THE RUNNING OF THE COWS FUN RUN

Enjoy the sights, smells and sounds of Christmas as you wind your way through the world’s most beautiful theme park in this exciting 8K run through the wonderfully decorated Christmas Town. Kids can run a half-mile with the Chick-fil-A cows.

WHEN: 8 a.m. Fun Run; 8:30 a.m. 8K WHERE: Busch Gardens Williamsburg $$: $35-60; Fun Run $10 CONTACT: christmastowndash.com

2&8

JINGLE BELL RUN

Tie jingle bells to your shoelaces and don your favorite holiday costume for the Arthritis Foundation’s annual Jingle Bell Run. This festive 5k Run/Walk also has a kid’s 1-mile Fun Run. Proceeds go to raise funds and awareness to cure America’s No. 1 cause of disability. Dogs welcome, too!

WHEN: 8:15 a.m. same-day registration; 5K starts at 9 a.m.

WHERE: Mt. Trashmore, Virginia Beach (2nd); Mariner’s Museum & Park, Newport News (8th) $$: $15-75 CONTACT: Email ktwine@arthritis.org, call 703-3001589 or visit events.arthritis.org

8

HAMPTON HOLLY DAYS PARADE

The Peninsula's largest illuminated parade! Join us for an evening of enchantment as you view the creative floats, listen to the high school bands, salute the military marching units and exciting drill teams and wave at the beauty queens. The parade ends with Santa Claus.

WHEN: 7 p.m.

WHERE: Downtown Hampton $$: Free CONTACT: 757-727-8311

8

YORKTOWN HOLIDAY MARKET & TOYLAND PARADE

Get your holiday shopping done and enjoy a day of fun! Children’s activities include colonial crafts, holiday music and rides on the Polar Express.

Parade begins at 1:30 p.m. led by the Fifes & Drums of Yorktown. Decorating tips and ornamentmaking workshops available.

WHEN: 9 a.m.-3 p.m.

WHERE: Riverwalk Landing, Yorktown $$: Free admission CONTACT: 757.890.3500 or www.visityorktown. org/225/Market-Days

8

OLDE TOWNE HOLIDAY MUSIC FESTIVAL

The Olde Towne Music Festival features strolling carolers, featured performers and children’s activities. Other highlights include a children's parade, which begins at 10 a.m, and fire pits for roasting marshmallows.

CALENDAR

2018

WHEN: 11 a.m.-3 p.m.

WHERE: High Street, Portsmouth $$: Free CONTACT: www.portsvaevents.com/ december-2018/

9

HAMPTON LIGHTED BOAT PARADE

Festivities begins at 6 p.m. with the boat parade setting sail at 7 p.m. Join Santa aboard the Miss Hampton II tour boat (call 757-722-9201 to register) or hear a bedtime story by Santa.

WHEN: 6-9 p.m.

WHERE: Downtown Hampton waterfront $$: Contribution of unwrapped toy for Toys for Tots CONTACT: www.downtownhampton.com/do/ lighted-boat-parade

14-15

SURF -N- SANTA 5 MILER

Are you feeling Naughty or Nice? Choose a Santa suit or race shirt to wear for this festive 5-mile race at the Virginia Beach Oceanfront, which goes along the boardwalk past the holiday lights.

Winner of the 2016 Guinness World Record for World's Largest Santa Run. WHEN: Rudolph's 1K on the 14th, 6:15 p.m.; 5 Miler on the 15th, 4:30 p.m.

WHERE: Virginia Beach Convention Center $$: $20-50 CONTACT: surfnsanta5miler.com

15

AT CHRISTMAS BE MERRY

Sir George Yeardley, Virginia's Governor in 1620, invites you to an early Virginia Christmas celebration complete with a seasonal bonfire, caroling, dancing and firing of the Christmas guns. A unique opportunity to see Jamestowne aglow with firelight and experience early English Christmas traditions.

WHEN: 6 & 7:30 p.m.

WHERE: Historic Jamestowne $$: $18 CONTACT: historicjamestowne.org/visit/ calendar/2018-12-15/

16-31

GARDEN OF LIGHTS

Drive through the Norfolk Botanical Garden’s 25th annual light show for a magical holiday experience.

The garden is transformed into a winter wonderland bringing the four seasons to life.

WHEN: 5:30-10 p.m.

WHERE: Norfolk Botanical Garden $$: $24-30 per car CONTACT: norfolkbotanicalgarden.org/dgol/

\ 49 \ THEHEALTHJOURNAL.ORG

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Your Life. Your Style. Your Plan.

Better Fitness. In Just One Move.

Can one move enhance your health and fitness? If that move is to an elegant home or apartment at Williamsburg Landing, then YES!

Premier Health Club and Spa • Cardio Gym • Heated Indoor Pool • Personal Trainers Expert Staff • Tennis Courts • Outdoor Pool • Picturesque Walking Paths At Williamsburg Landing, you have so many opportunities to stay active with no worries about future healthcare. Whether participating in a class led by a certified instructor or taking a relaxing stroll through our community, the choice is always yours.

Call today to schedule a personal tour and receive a FREE 7-day pass to our health club!

757-585-4437

w w w. W i l l i a m s b u r g L a n d i n g . o r g

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