™
inspiration for better living
Meet your FutureSelf The
JapaneseArt of Forest
Bathing
New Inhalable Insulin
Avocado and
Pomegranate together
Search for
the Perfect
Running Shoe
WILLIAMSBURG EDITION — JANUARY 2018 — THEHEALTHJOURNAL.ORG
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Managing Pain from Peripheral Neuropathy: Treatment Options for a Better Life
OSC
COMMUNITY LECTURE SERIES Speaker: Jenny L. F. Andrus, M.D.
Peripheral Neuropathy isn’t a single disease, but rather has many potential causes. For that reason, it can be difficult to diagnose and more difficult to treat. Early diagnosis and treatment is key. Join Dr. Jenny Andrus as she discusses Peripheral Neuropathy and how to decrease pain and improve function, often without the use of habit-forming narcotics. Learn about pain management procedures that are performed in our office, offering you relief and a return to the activities you enjoy. Learn which options may be right for you. Bring a friend, have some refreshments and get informed!
Tuesday, January 16, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd., Newport News, VA 23606 Call Shannon Woods to register: 1-757-596-1900 ext.368 or email lectures@osc-ortho.com
OSC Patient Success Stories
“Four years ago, I started having intense leg pain from Spinal Stenosis. Standing for any length of time was almost impossible. I didn’t want surgery, so I went to Dr. Jenny Andrus for Pain Management. I had a Spinal Cord Stimulator implanted in July of 2017. My pain has decreased by 95%! I’m so very pleased and highly recommend the Drs. at OSC!”
Helen Hawks
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. • F. Cal Robinson, PsyD, MSCP Tonia Yocum, PA-C • Erin Lee, PA-C • Chris Schwizer, PA-C Monica Beckett, NP-BC • Lauren Copley, PA-C
/ 250 NAT TURNER BLVD. • NEWPORT NEWS, /VA 23606 • 757-596-1900 • THEHEALTHJOURNAL.ORG
2
Open MRI Center
osc-ortho.com
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January DEPARTMENTS BITS AND PIECES 06 Staff & Writers 07 Publisher’s Note 09 Second Opinion
FEATURES 10 13 16 19 21 22
Meet your Future Self Polar Plunging for Special Olympics The Japanese Art of Forest Bathing Advances in Medicine: The New Inhalable Insulin Life Hacks Lasers Turbocharge the Healing Process
LIFESTYLE 24 27 30 32 34 36 38
Want to Don the Blue Apron or Say Hello to Fresh? Treading Lightly: The Search for the Perfect Running Shoe Are your Breasts Telling you Something? DIY: Exfoliants Style Trends to Expect in the New Year Drink Up! Flavored Water without all the Sugar Q&A: Jessica Fechtor, author
FOOD 38 Taste Appeal: Cherry Pecan Chocolate Granola Bars 40 Kasha with Avocado and Pomegranate Seeds
STAYING WELL 42 44 46 49 50
Yoganatomy: Forward Fold Accepting New Patients Health Directory Calendar Brain Teasers
CHECK OUT our website for even more articles about fitness, health and wellness.
THEHEALTHJOURNAL.ORG
THEHEALTHJOURNAL.ORG
/ 4 / TABLE OF CONTENTS
10
Meet Your Future Self
16
19
The New Inhalable Insulin
Japanese Art of Forest Bathing The Search for the Perfect Running Shoe
34 27
40
Style Trends to Expect in the New Year
Kasha with Avocado and Pomegranate Seeds
TABLE OF CONTENTS
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â„¢ VOL. 13, NO. 8 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery. For more information, visit THEHEALTHJOURNAL.ORG.
STAFF PUBLISHER Brian M. Freer brianfreer@thehealthjournals.com EXECUTIVE DIRECTOR Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR Ravi V. Shamaiengar, M.D.
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Publisher’s Note Ahh, January. The ball has dropped and it’s time once again to hop on the hamster wheel of self-improvement—or should I say treadmill. A flurry of self-improvement advice always accompanies the new year. So, could the old and trite tagline, “New Year, New You,” be the inspiration for this? Probably not, and every time I see that tagline I feel embarrassed for the sap who coined it. And human nature, too, shapes our view of the new year. We love new, we love novelty, and every time we encounter it our bodies give us a tiny dose of dopamine. Sweet, right? What’s not to love? Especially if you’re on Facebook or Instagram, which exploit this peculiarity of ours. In the age of primitive humans, a little splash of dopamine on the brain was probably useful when a new food supply was discovered. But today’s modern primates would rather forage for “likes” to get their dopamine fix. The appeal of newness cascades over our culture. You could say it defines our culture—America is, after all,
She is the kind of person who doesn’t need a January1st to improve herself.” referred to as the New World. And our economy is largely premised on rewarding our obsession for new things like car models, fad diets, fashion trends, workout routines and new phones every few months. Phrases like “turn over a new leaf,” “make a new start,” “new and improved” and “new-found courage” are peppered throughout our vernacular. New is not going to get old anytime soon. And why should it? New is wonderful. Flowers, babies and snowflakes are all spectacularly new. Cures for diseases, vaccines for prevention and new surgical techniques are extending our lives and making them better. I am all for having scientists and physicians receive as much dopamine as it takes to keep them motivated. New hair growth on the head of a cancer survivor… deserving of dopamine. A physical therapist helping someone take their first steps after an injury…deserving of dopamine. Your child speaking his or her first words… deserving of dopamine. And finding love after loss… deserving of dopamine. Every discovery in history, everything that ever advanced culture, improved lives, or mended fences has been rewarded with dopamine.
So how are you going to get your dopamine this year? Are you going to get it scrolling through the news feeds in your social media accounts, or strolling through the park with someone you love? Are you going to watch your posts build in engagement, or will you engage with real people in the real world? When I think about new, I think of my daughter. She is always new. Every day she is creating. Every day she grows in sophistication. And every day she is showing me where I should place my attention. I’m her student and she doesn’t even know it. She is the kind of person who doesn’t need a January 1st to improve herself. It feels good to learn something new, or become someone better—she already gets that. And now I do, too.
BRIAN FREER /PUBLISHER BRIANFREER@THEHEALTHJOURNALS.COM
PUBLISHER'S NOTE
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Have we
Caught
your
Eye?
Only at Eye Center of Virginia eyecenterofvirginia.com 101 TEWNING RD. WILLIAMSBURG, VA. 23188
TEL. 757-229-1131 THEHEALTHJOURNAL.ORG / 8 /
special advertising section
Estrogen: is it right for me? After the Women’s Health Initiative trial was halted (2002 for conjugated equine estrogen [CEE]-progestin arm) and (2004 for CEE only arm), women and all clinicians from around the globe avoided hormone replacement therapy. To be clear, the results from the WHI trial did not apply to younger women aged 50-60 or Yam based bio-identical hormones (BHRT). Furthermore, many of the women who were studied in the trial were 65 years or older with pre-existing heart disease and other co-morbidities. The most harm was found with the addition of synthetic progestin (MPA or Provera). In menopause, the loss of estrogen can lead to serious health problems including osteoporosis and hip fractures, urogenital atrophy, Alzheimer’s disease, depression, macular degeneration, sleep disturbances, sexual dysfunction, cancer and death. Dr. Jennifer Blake, CEO of the Society of Obstetricians and Gynecologists of Canada (SOGC), noted a study published in 2013 that an estimated 91,610 American women died prematurely between 2002 and 2012 as a result of avoiding estrogen therapy. Four other studies and meta-analyses show protective benefits using estrogen particularly on cognition, dementia, and coronary artery disease. Bio-identical hormones are natural hormones where the chemical structure compounds are identical to the structure of hormones produced by the human body. Hormones are preventative medicine and can greatly improve your quality of life. Deborah Wainwright, DNP, ANPBC, APRN, CNOR Hormone Health & Weight Loss 757-707-1588
What treatments are available for patients with back pain who are unresponsive to traditional therapies?
I have dentures. They do not fit well and have become loose. Why does this happen and is there something better?
Back pain is common, disabling and costly. More than 80 percent of adults will suffer from back pain in their lives. In the last year alone, over half of all working Americans have reported suffering from back pain. The cost to society is immense—$50 billion is spent annually on back pain. Traditional therapies for back pain include physical therapy, aquatic therapy, non-steroidal anti-inflammatory drugs (Aleve) and non-opioid analgesics (Tylenol). If these modalities are ineffective, the patient might consider injection therapy. Injection therapies include epidural steroid injections, nerve blocks and radiofrequency ablation. Epidurals decrease inflammation and thereby pain. Radiofrequency ablation removes the nerve supply to the arthritis joint, thereby preventing the transmission of pain information from the joint to the brain and can decrease pain for years. These minimally invasive, non-surgical procedures are done in a doctor’s office. The procedures are completed within minutes and require no down time and no restrictions afterwards. If you are suffering from back pain, contact your interventional pain treatment specialist today to learn more.
Dentures are held in by the bone and soft tissue. A suction forms between the two with a small layer of fluid creating a seal. When you lose any or all of your teeth, you also lose bone over time. The changes in size and shape allow for more space to develop between the denture and tissue allowing them to lose their seal. This leads to the denture shifting and rocking, increasing the chance they could fall out. One way to improve this is to add an adhesive that increases the retention of the denture. This is a very short-term solution. A second solution is to have your dentist do a lab reline of the denture. This increases the adaptation of the denture to the bone and tissue, increasing the seal. Over time this will need to be done again; therefore, it is a temporary solution. A long-term solution would be to have some implants placed that would hold a denture or implant supported crowns in place. Implants lock the teeth in place allowing you to chew at significantly higher forces. They also help hold your bone in place, and you have less bone loss over time. Transitioning to an implant supported denture or bridge would allow you to eat and smile more comfortably without the embarrassment of them being loose.
Christopher A. Dawson, MD TPMG Interventional Pain Treatment Center mytpmg.com 757-232-8844
Stacey Hall, D.D.S. Williamsburg Center for Dental Health williamsburgdentalhealth.com 757-565-6303
SECOND OPINION
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second opinion your health care questions answered
Lifestyle
Meet Your
Future Self
BY REBECCA REIMERS CRISTOL
Lasting change requires reckoning with the present
Why is it that by mid-February our New Year’s resolutions are faded memories? It’s easy to be optimistic in your declarations with a glass of champagne in hand. Your future self is always disciplined and will never lack determination. However, when that alarm clock goes off and it’s time to hit the gym, your present self has a much harder time being dutiful.
your present self is unwilling to forego a cigarette. If the diet always starts tomorrow, it will never begin. Instead of optimistically imagining what your future self will do, focus on making it easier for your present self to follow the new direction. Everyone knows that present selves can be as hard to turn around as a cruise ship, but remember that even a slight turn of the wheel will set the vessel on a totally new course.
To succeed at changing a habit, your present self must have the same resolve as the future self you envision. Your future self will not quit smoking if
Make 2018 the year that you actually get your money’s worth out of your gym membership. Here is how to set up your present self for lasting success.
Set aside time to contemplate It’s important to have blocks of uninterrupted time to focus on your goals. Make a special date with your present self to map out what you want for the year. Hold yourself accountable by scheduling monthly check-ins to celebrate accomplishments, evaluate next steps and adjust goals.
Set realistic goals Robert Shoop, a personal trainer at Iron-Bound Gym in Williamsburg, points out the instinct to have unrealistic expectations for ourselves. “When we are 40, we don’t assume our eyes will see as accurately as when we were 20. We need to have similar expectations for the rest of our body.” What is a reasonable goal? If you haven’t worked out for years, don’t expect to go to the gym and make it through a tough class. You will be frustrated and likely quit. Walking 15 minutes during your lunch hour and stretching in the evening is a realistic way to begin exercising. Make the path doable so that your present self will choose to follow it.
Get back on track You ate pizza and brownies at a party. You think, “I just blew it, I may as well eat some ice cream now.” The norm for our culture is to berate ourselves for failure. But, what would you say to encourage a friend who did the same thing? Likely it would be the opposite of what you say to yourself. You would tell them, ”It’s ok that you ate pizza at the party. You are only human and no one can eat perfectly every day. Don’t let this little setback ruin your progress. I believe in you!” Using compassionate language with yourself may seem odd at first, but your chances for success are much greater when you show yourself kindness and encouragement. THEHEALTHJOURNAL.ORG THEHEALTHJOURNAL.ORG
10 // LIFESTYLE // 10
What has worked in the past? What successful changes have you made before? Did you stop having lunch with your office mate who only likes fast food? Did getting better music for your car and leaving for work 10 minutes earlier set you up for a less stressful day? Whatever has worked, pull out your playbook and use it again.
Hire an expert What will it mean for you to no longer have the burden of your habit, thought pattern or unhealthy lifestyle? If your attempts to conquer personal albatrosses have not worked, consider what it’s worth to become the person you want to be. Specialists such as personal trainers, therapists, life coaches and yoga teachers, as well as weight loss programs and other support groups can guide you to break through your barriers.
Sleep always helps Sleep is the linchpin to successful habit change. Without enough rest, you won’t have the energy to get yourself out of bed and into the swimming pool, the willpower to get through the 4 p.m. munchies, or the clarity to resist the temptation of screens before bed. No one ever says they feel too rested.
Your new lifestyle Don’t think of habit changes as temporary; they are your new lifestyle. You must think of your future self as you, not some other person who will effortlessly make the change for you. Having compassion for your present self will support your efforts, helping to make the new habits sustainable until you become your best future self.
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CHILL OUT
YOU GOT THIS POLAR PLUNGE FESTIVAL ®
BENEFITING
SPECIAL OLYMPICS VIRGINIA
FEB. 2-3 IN VIRGINIA BEACH POLARPLUNGE.COM THEHEALTHJOURNAL.ORG
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Polar Plunging
for Special Olympics BY JOHN-MICHAEL JALONEN
T
housands of Special Olympics athletes and supporters will take the plunge into the icy cold Atlantic Ocean next month during Virginia Beach’s annual Polar Plunge Festival. It’s an event than goes back 26 years, when a few dozen people decided to jump into the ocean to raise money for charity. That’s when Special Olympics Virginia received a phone call from Jim McDevitt, the founder of an organization called Adventure Club East, offering donations from their event. “Afterwards, Jim handed Roy [Zeideman, current senior vice president for Special Olympics Virginia] a shoebox with about $10,000 in it,” recalls Rick Jeffrey, the current Special Olympics Virginia president. Since that very first Polar Plunge, the event has grown. Last February, more than 3,500 people ran into the Atlantic Ocean, raising $1.1 million for Special Olympics Virginia in the process. This year’s Polar Plunge will take place Feb. 3rd at the Virginia Beach Oceanfront. Each year, more than 21,000 athletes participate in Special Olympics events across Virginia, along with more than 11,000 volunteers that include coaches, law enforcement and area leaders who help staff and run Special Olympics programs. With a state organization that helps oversee and coordinate with local chapters from Blacksburg to Arlington, the Polar Plunge provides a major fundraising opportunity to help the non-profit pay for many of its competitions and programs, enabling them to provide resources to athletes and their families all year long. Special Olympics organizations in other states have their own versions of the Polar Plunge, many of which serve as major annual fundraising events for their programs. Jeffrey says some chapters are so good at their fundraising that they’re able to raise their entire annual budgets through the Plunge. From 50 to 100 Plunge participants in 1992 to more than 3,500 plungers expected to gather on the cold Virginia Beach sand next month, the event has taken on a life of its own. It’s “gone from an event to a full-blown festival,” Jeffrey says. The Polar Plunge Festival now takes up three blocks of oceanfront space in Virginia Beach every February. A full day of activities is planned: Costume contests judged by local celebrities, local bands performing onstage, games and programs for families and a brandnew feature this year — the Plunge Marketplace. At the Plunge Marketplace, local Virginia artisans and craftspeople will sell and sample their homemade products and goods for the festival attendees throughout the day on Saturday. Jeffrey says he not only feels pride for what the Polar Plunge Festival means for Special Olympics programs across Virginia, but also for how the festival contributes to the local community that serves as its host. The festival has a long list of sponsors and support from just about every law enforcement and public service agency in the area. SPONSORED CONTENT
“We sell out six hotels on the oceanfront, with a $10 million economic impact in Virginia Beach over the course of that weekend,” Jeffrey says. “It simply wouldn’t be possible to have an event of this size, with this much involvement, without the help of so many volunteers and sponsors. We can’t do it on our own.” Following the 4-mile and 1-mile runs in the morning, the main event is scheduled for 2 p.m. on Saturday, Feb. 3rd, when participants make a dash into the ocean. It lasts anywhere from just a few minutes to until the last Plunger is out of the water. “Depending on how cold the water is, it might be pretty quick,” laughs Jeffrey. Hundreds of Special Olympics athletes, their families and support networks will be the first to hit the water, including several athletes who are representing not only Virginia, but who are also competing to represent the United States in the 2019 Special Olympics World Summer Games held in Abu Dhabi in the United Arab Emirates. The mission of the Special Olympics Virginia and the Polar Plunge Festival is simple, Jeffrey says: “Our athletes just want to be your classmate, your coworker, your neighbor, and most importantly, your friend. Everybody goes into the water side-by-side.”
Tips for Taking the Plunge in 2018 a team: You can raise more money • Form as part of a team, and it’s easier to run into freezing cold water when you’re not alone.
a costume: Polar Plunge regulars go • Wear all out with their costumes, participating in a costume parade and contests.
ready to eat: Local and major • Come food and beverage vendors will be on site
throughout the day, so bring your wallet and your appetite.
someone to hold your towel: This • Bring recommendation comes directly from Rick
Jeffrey: “A dry, not sandy, towel is the best way to finish your plunge and warm you up quick.” Want to find out more? Go to
www.polarplunge.com
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Smart
Bodies
BY WARREN SPENCE
“I am an aging baby boomer. Since I have developed severe degenerative arthritis of the spine, I have been encouraged to participate in Pilates for core strengthening to improve posture and reduce pain. After a few months of Alona’s classes, twice a week, I can already see improvements. When I was younger, I wish I had the level of instruction that Alona provides to avoid the problems I have been experiencing.” — K “Alona has an encyclopedic knowledge of anatomy and knows how muscles and joints work together in movement. She is detail-oriented and gives explicit instructions for performing an exercise to avoid injury. Her emphasis is always on the quality of the movement, not the quantity of repetitions. She readily answers questions and continually asks for feedback to improve meeting my needs. I enthusiastically recommend her without reservation. I trust her with my well-being.” — K
Pain in your body limits your ability to move, enjoy life and maybe even sleep. You wish you could be rid of it, to regain your preferred lifestyle, hopefully without surgery or medicines. For over 10 years, Alona Casanave, owner of Smart Bodies Pilates LLC, has been promoting “intelligent exercise” in order to achieve significant results in resolving pain. “Intelligent exercise” is a key element of the approach used by Smart Bodies Pilates LLC. Alona taps into her extensive knowledge about the body’s musculature and pain centers and then imparts that knowledge to her clients. With this transfer of knowledge, you, as the client, will do a better job with your assigned movements and obtain relief from your pain more effectively. Alona describes her working relationship with each client in this way: “I act as your GPS to give you directions to reach your destination, and I expect you to resolve to follow those directions so you don’t miss achieving your goal.” The greatest source of pain is the spine, where muscle strain and spinal injury may lead to pains felt in the neck and all the way down your extremities and into your body’s core. Think of that pain as a warning for you to take action. At Smart Bodies Pilates LLC, the first step is a comprehensive postural analysis. “Each person has a different way of holding their body,” says Alona. “I need to identify imperfections in your posture that are creating strains in your muscles, so that I can prescribe the precise movements to relieve the identified strains in those muscles. I have over 500 exercises to choose from.” Alona’s Pilates program is more than an exercise routine — it is a means to correct lifelong habits that the client may be unaware of. Bad habits can lead to poor posture, shallow breathing, restricted movement and in many instances, severe pain. Another very important aspect to the treatment regimen is being aware of relevant medical history. Alona specializes in rehabilitation after injury, scoliosis, sciatica, osteoporosis, multiple sclerosis and other neurological conditions. As a client, you will provide the critical action input to your program: Resolve to learn from Alona and to perform your Pilates movements 10 minutes each day without fail. With the onset of the new year, many people are thinking about resolutions. If you resolve now to decrease your pain with Alona’s help, you can expect to see improvements that will pave the way for living a more normal and comfortable lifestyle. Smart Bodies Pilates LLC offers a variety of services, including one-, five- and 10-visit package sessions, postural analysis and 30-minute and one-hour massages. This year, Alona also plans on offering “duet” sessions, in which two people can meet with her at one time.
SMART BODIES PILATES WWW.SMARTBODIESPILATES.COM
757-603-2923
Sponsored/ 14Content / THEHEALTHJOURNAL.ORG
Mental Health
Forget your to-do list, put down your phone and go outside. \ 15 \ THEHEALTHJOURNAL.ORG
The Japanese Art of
Forest Bathing
BY TERESA BERGEN
H
iking, trail running and rock climbing are healthful and popular ways to spend a day being active in nature. But some medical studies are showing that slowing down in the forest can drop your stress levels, helping to stave off common diseases. The Japanese practice of “shinrin-yoku,” or forest bathing, is catching on in the United States. A slow approach to nature isn’t an entirely new concept — America did bring the world Walden Pond but health professionals are starting to take it seriously as a medicinal practice. There’s even an organization to support, train and certify practitioners — the Association of Nature & Forest Therapy.
Forest Bathing Basics
Health Benefits
Scientists in Japan have conducted many forest bathing studies. Some have shown promising effects, such as lowering the stress hormone cortisol and decreasing blood pressure and heart rate. Is it just because participants are getting away from traffic, fast food, computer screens, shopping malls and other constants of urban life? Maybe. But scientists are also looking at trees’ role in healing. Phytoncides—chemicals naturally secreted by evergreen trees— might lower urinary stress hormones and thus improve immune functioning. A study in Environmental Health and Prevention Medicine found that these positive effects lasted 30 days, suggesting that a monthly walk in the forest could have significant health benefits. Even before this research, many physicians championed the healing power of trees. Note the 1800s sanatoriums located in the forests of New York and Germany.
"We show you how to slow down and how to open your senses."
One of the most common questions about forest bathing is how it differs from hiking. Think meandering, rather than summiting a peak. “In forest bathing, it’s not about racking up miles or conquering anything,” says Micah Mortali, wilderness group leader and director of Kripalu Schools, a leading wellness and educational center. “You are practicing mindfulness with the intention to receive, passively really, the health-giving properties of the forest. The goal is to experience and be in awe of the simple little things that catch your attention.” In "A Little Handbook of Shinrin-Yoku," M. Amos Clifford emphasizes the slow pace of this practice. Forest bathers typically take more than two hours to walk one mile. “It’s not a one-time event,” Clifford writes. “Developing a meaningful relationship with nature occurs over time, and is deepened by returning again and again throughout the natural cycles of the seasons.” Alisa Miller, a Toano resident who’s finishing her forest therapy guide certification, recommends joining a guided group walk. Hers usually last three hours. “We show you how to slow down and how to open your senses. With the group walks, you get that sense of community because you’re sharing and witnessing each other’s journey. That’s a very powerful thing with forest therapy.” Participants are astonished by how time slips away while forest bathing, she says.
THEHEALTHJOURNAL.ORG
Try It For Yourself
If you live in the Hampton Roads area, consider joining one of Miller’s monthly public forest bathing walks. But even without guidance, you can still incorporate some of the techniques into your wellness routine. “Less is more,” Mortali says. “Don’t worry if you don’t have a national park nearby. Going outside anywhere there are trees is a good first step. Humans are soothed by open spaces, so the key is to get outside, connect with your breathing and do your best to stay in the present moment. Let your senses take you where they are drawn. Be like a little kid and just amble along.” Miller suggests taking 15 to 20 minutes to sit in your backyard. “That spot in the yard can be very powerful.” So forget your to-do list, put down your phone and go outside. Feel the bark of the trees. Notice the smells of a river, rain, flowers, dirt. Be quiet and listen. People participating in Mortali’s forest bathing workshops often tell him it’s exactly what they needed. “Often they experience a sense of wonder at the simplest things, like a little frog near them while they are meditating, or the reflection of the sunlight on a swift flowing stream, things they might otherwise miss when they are busy getting things done.”
/ 16 / MENTAL HEALTH
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His Experience with a Scalpel Gives Him the Edge In The Court Room. Stephen M. Smith, Esq.
Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.
BrainInjuryLawCenter.com | 877.840.3431 | 757.650.9818 | ssmith@BrainInjuryLawCenter.com
Advances in Medicine
The
Inhalable NEW
Insulin BY TERESA BERGEN
A
fter decades of trial and error, researchers have brought an inhalable insulin to the market that may improve the lives of people with diabetes. The new drug, Afrezza, comes in a whistle-sized inhaler. Designed to be rapid-on, rapid-off, it works faster than injectable insulin, but also dissipates more quickly to help diabetics avoid blood sugar highs and lows. Diabetics, the manufacturer and shareholders are all hoping Afrezza is a win.
The Basics
The pancreas is responsible for making insulin, which helps turn glucose into energy. After eating, carbohydrates break down to glucose, causing a rise in blood sugar. This triggers the pancreas to release insulin, which moves through the blood and alerts cells to open and allow glucose in. Once glucose is converted to energy, the body can use it immediately or store it for later. For people with type 1 diabetes, the body produces insufficient insulin. Type 2 means the body has become resistant to letting insulin into cells. Either way, glucose stays in the blood, causing a rash of health problems. Diabetics usually deal with this problem by injecting insulin two to four times a day, according to a schedule set with their doctor. Depending on the type and severity of their diabetes, Afrezza could replace the need for injections, or at least cut down on their frequency. Dr. Caroline Messer, an endocrinologist in New York, N.Y., regularly prescribes Afrezza to her patients. “I find it especially
ADVANCES IN MEDICINE
useful for patients who need a faster-acting mealtime insulin than is currently on the market in an injectable form,” she says. “I also find it incredibly helpful for patients with autoimmune diabetes who require multiple daily injections.”
Backstory
Researchers pondered the idea of inhalable insulin for decades, imagining needles being replaced by something akin to an asthma inhaler. In 2006, the Food and Drug Administration approved Exubera, the first inhalable insulin to hit the market. However, it was a $2.8 billion flop, according to a Wall Street Journal article. The most glaring problem was the enormous delivery system that resembled a bong. Needles were more discreet and less embarrassing than hauling the contraption out in public. Patients also found the dosages confusing. Pfizer pulled Exubera from the market in 2007. Afrezza, made by California-based MannKind Corp., became available to consumers in early 2015. The size is right and the color-coded dosages are easier to understand. Although many early adopters rave about Afrezza, the product hasn’t caught on like MannKind hoped, and its marketing and distribution partner cut them loose after disappointing sales. MannKind is now laboring to make Afrezza a success without a Big Pharma partner.
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Continued on page 25
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1 2 3 4
Instead of scraping ice off your car, try spraying it with a mixture of 2/3 cup vinegar and 1/3 cup water. Ice will melt right off.
5
If you have a gift card with less than $10 on it, the business is legally required to give you the rest of your balance in cash if you ask.
6
Drinking two cups of water before meals can help you lose an average of 4 ½ more pounds in 12 weeks.
7
Get rid of nighttime coughs by rubbing Vicks VapoRub on your feet and then placing socks over them. Your cough will stop within minutes.
LIFE HACKS
8
Use your browser’s incognito tab or delete your history every time you go online to check flight rates. Prices actually increase when you visit a site multiple times.
To lose a pound of fat, you’ll have to run for more than 3 hours. If you run for 27 minutes every day, you can lose a pound in a week.
You can add two eggs and 1/2 cup of oil to turn any cake mix into cookie dough.
Put a wooden spoon across a pot of boiling water to keep it from boiling over.
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Tech
Lasers “Turbocharge”
the
Healing Process BY KIM O’BRIEN ROOT
W
hen you think of lasers, what comes to mind? A game of laser tag? One of those laser pointers you shine on a projection screen during a presentation? Or maybe a little handheld flashlight you flick around to play with your cat? In fact, lasers are used in a variety of ways in the medical field, from in the dental chair to on the chiropractic table. The term “laser” stands for light amplification by stimulated emission of radiation. Unlike ordinary light, which has many wavelengths and spreads in all directions, laser light has a specific wavelength. It’s focused in a narrow beam and creates a very high-intensity light. Medical lasers use that precisely focused light to hone in on tiny areas, such as for precise surgical work or for cutting through tissue. Lasers can even be used in place of a scalpel. Lasers are used in cosmetic surgery to remove blemishes such as tattoos, scars, birthmarks, spider veins or sunspots. In dentistry, lasers are used for various procedures including tooth whitening and oral surgery. Surgery to correct vision, such as LASIK, uses lasers. And they’re used in a myriad of general surgical procedures as well. Chiropractors use lasers, too, to speed up healing.
THEHEALTHJOURNAL.ORG
At Pinto Chiropractic and Rehabilitation in Williamsburg, doctors use lasers on everything from Achilles tendonitis to skin lesions. Basically, the laser “turbocharges” healing, says Dr. Bob Pinto. In therapeutic settings, laser therapy works by emitting light into the tissue, which causes a reaction at the cell level. The light energy stimulates cell growth, which can increase the speed, quality and strength of tissue repair. Stimulating the cells can also help with inflammation and give pain relief. Once the light energy enters the cells, the cells make protein that proliferates and promotes healing, Pinto says. The first lasers on the market were continuous wave, which Pinto says were amazing for speeding up the healing process but depth of penetration was limited. Doctors could only do so much with the power level— turning up the power too much creates heat, and too much heat can damage tissue. Newer lasers pulse, which allow more energy to be delivered. Because of the pulse, the heat dissipates. The pulsing technology has gotten better over the years, so that now the laser Pinto uses in his practice pulses at 200 billionths of a second, with a peak power of 250 watts.
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His first laser was less than 1 watt. “We can get this light energy into deep tissue very quickly,” Pinto says. After struggling with a neck and shoulder issue and getting no relief, Pinto tried laser therapy himself and felt better right away. He has now been using laser therapy to treat patients for about two years. Besides treating tendonitis, Pinto has used the laser in his practice to treat shoulder impingement and bursitis. Arthritic knee issues have also responded well to the laser, as has plantar fasciitis and carpal tunnel syndrome. It can even be used on reflex points, to treat other places in the body. The laser can be used in place of older treatments such as electronic muscle stimulation and ultrasound. There’s evidence that it could be used to treat diseases such as Parkinson’s and multiple sclerosis. Mark Sakowski, a patient of Pinto’s, is a lifelong runner who began having trouble with the tendon in his left knee two years ago. He started treatment that used ultrasound and muscle stimulation, but then started having pain in the other knee – probably from overcompensation. So he started getting treatment on the right knee, too. The slow healing process was frustrating, so earlier this year, Sakowski agreed to try the newest laser therapy in
Pinto’s office. He signed up for 10 treatments, which was recommended. “Almost immediately after my first treatment, I was able to gain my walking stride back to about 90 percent improvement,” he says. “After the second treatment, I continued to improve with the same results.” After one setback from pushing himself a little too hard, Sakowski, who is 56, says he’s a fan of the laser. “Bottom line, I believe the laser is making a difference as it is increasing my rate of recovery and rehabilitation while allowing me to still maintain a basic level of fitness activity,” he says. “This is an important point for those of us who are addicted to fitness and like to be active every day and are unwilling to accept a diagnosis of completely ceasing activity.” It’s important to remember, however, that laser therapy isn’t a miracle cure, Pinto says. Rather, it is immensely helpful when combined with other therapies, such as regular chiropractic care. It’s still always preferable to find out why something is hurting. “If you don’t treat the underlying causes of the issue, all you’re doing is taking the pain away,” he says. “And it’ll come back.”
For more information contact Pinto Chiropractic and Rehabilitation at 757-220-8552 or visit our office in New Town at 5408 Discovery Park Blvd #200, Williamsburg, Virginia
Want to Don
Blue Apron or say Hello to Fresh? the
Meal delivery services are all the rage—we decided to try a few.
I
t sounds like a homemaker’s fantasy: quality ingredients of a delicious, healthy dinner, carefully selected and safely chilled with ice packs, arriving in a box on your doorstep, complete with recipes that don’t require the cooking savvy of Rachael Ray. What could be better? OK, perhaps the arrival of Rachael Ray herself, but let’s be realistic. When I was asked to try a couple of meal delivery services for this article, I had fun trying something that for me was, literally and figuratively, out of the box. First I tried Blue Apron, using the $30 discount for a first-timer. One of the two recipes was Italian sausages and peppers, with fregola sarda pasta and garlic-parmesan broccoli. The recipe card contained generally clear instructions, photos of all ingredients and steps in the cooking process, as well as a recommended wine pairing. The fresh vegetables required considerable slicing and dicing, and I did struggle (as I have in the past) with the task of peeling a clove of garlic to mince. The instructions about using the flat edge of a knife to create a garlic THEHEALTHJOURNAL.ORG
paste did not yield the desired results. The final dish, however, was delicious and won raves from my teenage son. Customers try these services not just for convenience, but also to learn new cooking skills and experience new foods. I’d never eaten a purple pepper before and the fregola sarda pasta, shaped like tiny firm pearls in a mix of light brown tones, was something I’d never heard of, but had a tasty, nutty flavor. Another service I tried, Hello Fresh, offered 50 percent off my first box, and I selected a meal for a family of four. It was a baked turkey burrito with spinach, black beans and cheddar. This box was clearly for families, with a fun fill-in-the-blank card for children, tips for kids helping with the recipe and even a suggestion for a dinner activity (“describe each family member at the table in three words”). It was challenging to adequately mash the black beans with a potato masher as instructed, but when my teenage son arrived after the dish was ready, he said the house smelled “fantastic!” One problem, though, was that I really could have used a side dish to round out the meal, but none was included.
/ 24 / LIFESTYLE
We’ve Moved! 500 Sentara Circle Williamsburg, VA 23188
We are the only practice delivering babies in Williamsburg.
David C. Pearce, M.D.
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Benjamin T. Isbell, M.D.
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Both these services provided lots of helpful website information and offered apps as well. But was the price of the convenience worth the benefits? On the Blue Apron dish I would have paid about $7.45 per serving if I’d bought the ingredients myself, and their two-person meals average $9.99 a serving. For the Hello Fresh dish, I would have spent about $5.60 a serving, whereas the website indicates that their meals typically average about $8.74 per serving. Clearly, you’ll pay more to have the meal planning and ingredient selection done for you. And I heard of one regular user who eventually opted out because she felt her plan didn’t offer enough variety over the long term. But you might decide it’s worth it — even just for a few weeks or months — to get a glimpse of being Rachael Ray.
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Continued from page 19
Risks and Roadblocks
Afrezza isn’t for everyone. It hasn’t been approved for people under 18, and smokers, asthmatics or anybody else with lung problems should give it a pass. Patients must take a pulmonary function test before starting Afrezza. “My only concern is for long-term lung function, but so far the data is reassuring,” Messer says. Some doctors are wary of inhalable insulin after the Exubera fiasco, and some patients have had trouble getting their insurance companies to reimburse them for Afrezza. Like all medications, Afrezza comes with possible side effects, including low blood sugar, diarrhea, coughing, sore throat, fatigue and nausea. Lung spasms and an elevated risk of heart and lung disease are more serious but less common side effects.
Patient Feedback
While the long-term effects are unknown, many patients appreciate Afrezza so far. Felice Guimont, a New Orleans nurse who has type 1 diabetes, says “the ease of use is one of the biggest advantages, especially in public settings. There’s no stigma attached to using an inhaler as opposed to injections.” The fast-acting insulin also allows her more flexibility with when she eats. Gustavo Basualdo chronicles his experiences as a diabetic triathlete online as “Diatriguy.” After initial struggles figuring the right dosage for his athletic lifestyle, he got the hang of Afrezza and was able to take off his insulin pump. “I was pump free!" he wrote in a blog post titled “An open thank you letter to MannKind and the people behind Afrezza.” "I really don’t miss having a beeper stuck to my butt 24 hours a day, that’s for sure. Now I can have both non-diabetic numbers and a mostly non-diabetic life.”
Treading Lightly
Running is already painful enough for some of us. Without the RIGHT SHOES, it can lead to cramps, aches and real injuries developed over time.
LIFESTYLE
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Men's Health • MAN FLU: FACT OR FICTION?
“IT’S EITHER PRONOUNCED ‘JOGGING’, OR ‘YOGGING’, WITH A SOFT ‘J’”
THEHEALTHJOURNAL.ORG
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The Search for the
Perfect Running By John-Michael Jalonen
Shoe
R
unning is an instinctual movement for humans. Humans run, simply, because it’s faster than walking. Running helped early humans hunt and avoid being hunted. A few millennia later, humans now run for exercise and sport instead of survival. Running is already painful enough for some of us. Without the right shoes, it can lead to cramps, aches and real injuries developed over time. However, with the right shoes, running can be a fun and comfortable way to live a healthy lifestyle. Tens of millions of Americans run or walk for exercise each year, which in turn means millions of pairs of running shoes are sold each year. Major shoe and fitness companies are meeting this demand by producing dozens of varieties of shoes designed specifically for running. Whether you’re someone looking to begin running for exercise for the first time or are an avid runner searching for the perfect pair of running shoes, the choices can be overwhelming. But picking the right kind of running shoe should be the first step in your search for the perfect pair, more so than the brand or even the price. “You want a running shoe with the best midsole you can afford,” says Jim Elder, owner and operator of Colonial Sports in Williamsburg for 23 years. The midsole is the part of the running shoe that provides stability and cushioning as you run. Picking the right kind of running shoe depends primarily on how arched your feet are, how your body distributes its weight as you run and how your foot strikes the ground. On a very basic level, if you have naturally high arches, running shoes with basic cushioning can help prevent shin splints and knee problems. The amount of cushioning in a shoe varies as well. If you have normal or medium arches, stability running shoes provide
LIFESTYLE
cushioning and support as your foot strikes the ground. If you have low arches or flat feet, motion-control running shoes are recommended to prevent overpronation, or inward moving and ankle rolling as your foot strikes the ground. Running shoe prices can range anywhere from around $50 to several hundred dollars a pair. But a high price doesn’t necessarily indicate quality or comfort. What matters most is that the shoe is right for the type of feet and gait you have, providing the most comfort and safety. “I tell my customers, if the $90 off-brand shoe works as well as the $180 big-brand shoe, I personally would buy the $90 pair,” Elder says. There are plenty of shoe-buying options online, but an in-store experience can be priceless. Getting the shoes on your feet and walking in them can help you avoid shoes that may look good but don’t feel good. Elder takes that in-store experience one step further at Colonial Sports, as many sporting goods and shoe stores do, and offers free gait analysis for customers when they come looking for new running shoes. Elder estimates that he has analyzed the gaits of several thousand people over the years, and that experience helps him guide his customers in the right direction. Getting a gait analysis can be a useful resource in narrowing down the search for the perfect pair of running shoes. How much arch support you need and how your foot strikes the ground as you walk and run helps professionals like Elder pick the most functional, comfortable and affordable running shoe for you. “My reward is someone calling me back a week later and telling me they’re really happy with the shoes they bought,” Elder says.
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Are your
Breasts
?
Telling you
Something BY KASEY FUQUA
THEHEALTHJOURNAL.ORG
/ 30 /
Y
our breasts are rarely the same from year to year, or sometimes even week to week. Hormone changes, pregnancy, aging and other health factors can make your breasts feel and look different, but it can be hard to notice these changes or know what they mean. Dr. Amna Feroze, a family medicine physician at Sentara Family Medicine & Internal Medicine Physicians in Williamsburg, suggests that every woman do a monthly self exam to understand what is normal for her breasts. “The best time to do it is right after your menstrual cycle is over because hormone changes [to your breasts] are the lowest,” says Feroze. Feroze suggests that women take note of different aspects of their breasts, including: • Any changes in the overlying skin • Changes in the shape or color of the nipple • Any discharge from the nipple • Any bumps or lumps beneath the skin
When your breasts do change, they may try to tell you something about your health, such as: Your Diet has Changed Some foods can cause breast pain, painful cysts, or enlarged or shrinking breasts. If you experience frequent pain in both breasts or notice a change in your breast size, you should try to cut back on caffeine, salt, red wine or even some cheeses.
You’ve Lost or Gained Weight Many women notice that their breasts are the first area of their body to change when they gain or lose weight. If you bra is gaping or your cups overflow, you might want to hop on the scale to see if you’ve had a change in weight.
Your Period is Coming Any hormone changes, such as those that occur toward the end of your cycle, can make your breasts feel tender or swollen. You may also notice painful lumps as your period approaches. While you can have your physician check on these lumps, they may not be a cause for concern if: • They appear in the same spot in both breasts • They appear during the same part of your cycle • They go away as your cycle progresses
You’re Pregnant Even early in pregnancy, hormones can cause tenderness or heaviness in your breasts. Your nipples may also begin to darken. As your pregnancy continues, your breasts will grow to begin preparing for breastfeeding and you may notice nipple discharge.
WOMEN'S HEALTH
Feroze suggests that you try to breastfeed your children, if possible, because studies show breastfeeding can lower your risk for breast cancer.
You’re Starting Menopause As you come closer to menopause, you begin to have lower and lower amounts of female hormones like estrogen in your body. You may notice a variety of changes in your breasts, including: • Smaller size • Change in breast shape • Change in nipple size • Increased breast lumpiness These changes are likely normal, but you can always speak to your physician if you are concerned.
You have Breast Disease The ducts and lobes inside your breasts can develop non-cancerous conditions, too. Fibrocystic disease can cause multiple painful cysts to develop in your breasts. Though these feel like lumps, they aren’t cancer. You can also get infections in your breast tissue, which should be diagnosed by a doctor. These infections can cause: • Breast enlargement • Red and warm breast skin • Breast tenderness • Pus discharge from the nipple • Fever and body aches
You have Breast Cancer While any breast change may immediately make you think of cancer, it’s important that you talk to your doctor before jumping to any conclusions. All the reasons listed above may be the more likely cause of breast changes. You may be at a higher risk for breast cancer, however, if you have a family history of breast or ovarian cancer, or if you smoke or have taken hormone replacement therapy. If you notice these changes, make an appointment with your doctor: • Nipple discharge • Inverted nipples (nipples that point inward when they usually pointed outward) • One breast that has grown larger than the other • A change in breast shape (especially if only on one side) • A lump or thickened tissue in your breast or armpit • Puckered, dimpled or scaly skin on the breast • Red, warm or inflamed skin on the breast Remember, only your physician can officially diagnose the cause of changes in your breast. Always turn to your trusted doctor for advice and care.
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Smooth, youthful-looking skin. Most everybody wants it, and many go to great lengths and expense to get it. But you can make safe beauty products at home for a fraction of the price you’d pay at salons.
Easy
Exfoliants BY TERESA BERGEN
to Make at Home
What is Exfoliation?
Why DIY?
Exfoliation is one of the main ways people pursue younger looking skin. Whether mechanical, like a scrub down in a Turkish bath, or chemical, like an alpha hydroxy acid peel at a salon or plastic surgery clinic, the aim is to remove dead skin cells.
With all those salons and shelves full of products, why make your own? For one thing, you know exactly what’s in your DIY concoctions. In the following recipes, all the beauty products are made from ingredients commonly found in most kitchens. If it’s safe to eat an ingredient, it’s probably safe to apply it to your skin. These DIY scrubs are also better for the environment, as they don’t contain the non-biodegradable, fish-choking plastic microbeads prevalent in many commercial exfoliants.
The American Academy of Dermatology cautions beauty seekers to proceed with care. One kind of exfoliant does not work for all. Sensitive skin needs gentler exfoliation, and those with inflammatory acne should consult a dermatologist before exfoliating. And one should never exfoliate over sunburn or open cuts.
The cost savings can also be incredible. Most consumers have noticed that those small jars of mysterious lotions and potions have correspondingly high price tags.
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Making your own cosmetics is also fun. It’s an at-home activity you can do with your kids, mother, sisters or friends.
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Recipes Coffee scrub
Super simple and effective. Coarser grinds may feel better on your body than your face.
Pumpkin sugar scrub Refined white sugar is the gentle exfoliating ingredient here. Ingredients:
⅛ cup canned pumpkin ½ cup white sugar ½ tsp. cinnamon ½ tsp. nutmeg Pour ingredients into a small bowl and stir until smooth. Gently apply to damp skin with circular motions. Rinse with lukewarm water. Eat leftovers on toast.
Ingredients:
3 tbsp. coffee grounds 1 tbsp. olive oil Mix olive oil into coffee grounds in a small bowl. Apply to body and/or face. Rinse with lukewarm water. The olive oil will leave your skin extra soft. This one tends to be messy, so give your shower and sink a good wipe down.
Avocado mask
After exfoliation, you can moisturize with this mask. Ingredients: ¼ avocado 1 tbsp. olive oil Dash of lemon
Mix until smooth. You might want to use a blender for this one. Otherwise, when you apply the mask it may look like you fell face-first into a bowl of chunky guacamole. Apply to your face and leave on for 10 to 15 minutes. Be sure to follow exfoliation with moisturizer, as it can dry your skin. How often should you exfoliate? That depends on your skin, and there’s no universal consensus. If your skin is very oily, you might opt for exfoliating every other day. Sensitive skin may benefit from weekly exfoliation.
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Though 2018 is newly arrived, this year’s hottest fashion trends were decided months ago on the runways in New York, Paris and Milan. Here are the style trends you can expect this year:
THEHEALTHJOURNAL.ORG
/ 34 /
Style Trends to expectt in the NewYear BY KASEY FUQUA
'90s Style
Printed Perfection
Gen Xers and older millennials rejoice! Your oversized parkas, grungy flannels and head-to-toe denim are all making a comeback as styles from the 1990s find their way back onto runways. Designers from Gucci to Calvin Klein showed looks with 90s influences, giving modern new twists and shapes to your favorite looks as a teen. Fingers crossed that ultra-wide leg jeans stay in the attic and off the runways.
Great, classic prints like polka dots or leopard prints never truly go out of style, but this year is all about mixing it up with prints. Many designers showed collections featuring unique, art-inspired prints on blouses, jackets, leggings and more. These loud, eye-catching designs are adding some whimsy to the fashion world.
Color, Color and More Color
Transparent layers will continue to trend when warmer months come around. Delicate, sheer layers can be the height of feminine style. These styles will be especially prominent in long, summery maxi dresses or in beautiful spring pastels. But not all see-through looks are soft; plastic-covered coats, dresses and boots all had their time on the runway. These high-fashion looks are perfect for the rainy season.
While spring will continue to feature soft, feminine pastels, 2018 is ramping up the color. The runways were full of bright, saturated rainbow colors of all types from turquoise to orange. Lavenders and lilacs played a huge role on the runways, so be prepared for subdued purples come spring. Pick a soft pink blouse or a loud rainbow striped dress, but whatever you do, avoid those neutrals when warm weather comes around.
Everyday Glam and Sparkle The runways glittered with silver and sequins, metallics and lamÊ. These looks weren’t limited to glamorous evening styles; they appeared in daywear, too, from power suits to sweaters, jean jackets to day dresses. For the girl who likes to shine, 2018 may just be your year.
Seeing See-Through
Working It When Working Out Workout wear has gotten increasingly popular over the last few years. Designers took these looks to a new level on the runways, helping you get haute and sweaty in 2018. From perfectly tailored bike shorts to oversized parkas, ultra glam tracksuits to leotards, expect a major upgrade to your workout gear.
Another Day in the Trenches New takes on the trench coat appeared in a variety of collections. Denim trenches, frilly trenches, sleeveless trenches, belted dresses and more are going to be popular looks when spring showers come around.
STYLE
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Drink Up! water Flavored
quenches thirst without all the and
sugar
calories BY BRANDY CENTOLANZA
Looking for a beverage to satisfy your thirst without sacrificing your “Two of my favorite combinations are cucumber slices, strawberries and mint leaves as well as lemons, limes and oranges.” diet? Why not give flavored water a try? When it comes to drinking, water is by far the healthier choice. It’s wiser to grab a glass of water instead of a can of sugary soda or a bottle of fruit punch.
Gale Pearson, a registered dietitian with Tidewater Physicians Multispecialty Group, suggests using an infusion cup that allows you to choose flavors.
“Staying hydrated with water helps to energize and improve performance "My favorite is fresh lemon and mint," Pearson says. "I grow different of your muscles, keeps your skin looking healthy and helps maintain kinds of mint to change the taste. I also add fresh berries to change the regular bowel function,” shares Nicole Anderson, a registered dietitian flavor. You can also add cucumber or lime. It is very refreshing, and I have increased my water consumption since using infused water. You with Bon Secours In Motion-Outpatient Nutrition Services. can also purchase infusion water pitchers.” While water is sugar-free and calorie-free, a can of regular soda has Another option is to freeze an ice cube tray filled with juice or berries and roughly 30 to 35 grams of sugar. herbs with a bit of water and then flavor your glass of water with the ice. “Regular soda and fruit drinks are less healthy drinking options due to the high amount of added sugar and empty calories they provide,” says Megan Cordova, a registered dietician nutritionist and certified Anderson. “Empty-calorie beverages are nutritionally poor choices, diabetes educator with Sentara Healthcare, suggests thoroughly as they contain a significant amount of calories but lack adequate washing citrus fruit rinds before cutting them up and putting them in nutrients.” your water, as well as tearing herb leaves first before placing them in water to release their flavor. Not a fan of plain water? Try making your own flavored water at home. Some ingredients, such as citrus fruit, cucumbers, melon and mint, “The combination options are almost limitless when it comes to adding will flavor water immediately, while other fruits and herbs like apples, fruits, herbs and spices to water to provide more flavor,” says Anderson. ginger and rosemary will need to soak in water overnight.
THEHEALTHJOURNAL.ORG
/ 36 / DIET
Interested in creating your own flavored water? Try one of these great combinations: Watermelon and basil Raspberry and pineapple Strawberry and mint or lime Blueberry and orange Ginger and cinnamon with either pear and vanilla or lemon
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Taste Appeal
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/ 38 /
& QA
Jessica Fechtor BY KIM O’BRIEN ROOT
Jessica Fechtor was a newly married 28-year-old Harvard graduate student when she went for a run one morning and an aneurysm ruptured in her brain. Because the weather was bad, she had been running in a gym, and the fast actions of people around her to get her help saved her life. Along the long road to recovery, she began examining her own health. It was in the kitchen that she truly began to recover, basking in the restorative powers of baking and cooking good food. As Fechtor recovered, she decided to write a book about her healing process. "Stir: My Broken Brain and the Meals That Brought Me Home," published in 2015, is a memoir filled with recipes and a glimpse at how food connects us to the world around us. Fechtor, now 36 and living in San Francisco with her family, answered questions about her book and what went into it. Continued on page 40
Cherry Pecan Chocolate Granola Bars Adapted from Orangette (Vegan, if you want)
Ingredients
Directions
1½ cups quick-cooking oats ½ cup rolled oats ¼ cup granulated sugar 1 cup pecan halves ½ cup unsweetened coconut chips ½ cup bittersweet chocolate chips ¼ cup dried cherries ½ tsp. salt ⅓ cup peanut butter 1 tsp. vanilla extract 6 tbsp. unsalted butter or coconut oil, melted 6 tbsp. honey 1 tbsp. water These bars are delicious with butter, but for vegan friends I’ve made them several times with coconut oil and they’re terrific that way, too. Feel free to swap it in.
Heat the oven to 350 degrees. Grease an 8-inch square baking pan and line with parchment paper. You’ll want to cut the paper long enough to have some overhang on two of the sides. Lightly grease the paper. In a large bowl, stir together the oats, sugar, pecans, coconut, chocolate chips, cherries and salt. In a separate bowl, whisk together the peanut butter, vanilla extract, melted butter or coconut oil, honey and water. Pour the wet ingredients into the dry ingredients and stir well. Transfer to the prepared pan, cover loosely with a sheet of plastic wrap (to prevent the mixture from sticking to your fingers), and press firmly into the pan. Remove the plastic wrap and discard. Bake for 20-30 minutes, until golden brown. Don’t worry that the mixture feels soft; it will harden as it cools. Set the pan on a rack and let cool for 15 minutes, then run a sharp knife along the edges of the pan. Cool completely, still in the pan, then cover and refrigerate for 30 minutes. Lift onto a cutting board, and cut into squares with a sharp knife. Store in an airtight container between sheets of wax paper. TASTE APPEAL
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& QA
What was your recovery like? The surgery to repair the aneurysm had been successful, but there were complications. I lost my sense of smell, which eventually came back, and the vision in my left eye, which did not. I developed a life-threatening infection in the tissue surrounding my brain, and a portion of my skull became so diseased the surgeon had to remove it. (She wore a medically prescribed helmet for a year, then got a prosthesis.) The physical recovery was hard. I was often nauseated, dizzy and very tired. Worse, though, was my loss of faith in my body, my strength, my vitality. It was a real identity crisis. I was someone who ate her vegetables, exercised, flossed. I felt broken and betrayed by the body I’d always taken care of. What made you decide to write a book? I had questions. I knew baking, cooking and writing about it had felt like an engine for my recovery, but I wasn’t sure why. What was this link between identity and food, and why was it so important to me? Since writing is how I figure out what I think and feel, I decided to write a book to answer my own questions. It was my way of learning how to relate to what had happened to me, to claim it.
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Do you have a favorite recipe from your book? Why is it your favorite? My touchstone recipe is Marcella’s Butter Cake, the first recipe in the book. It’s a very simple cake — butter, flour, eggs, sugar and a little bit of vanilla and almond extract. It comes together by hand in 10 minutes, and then you pour it into a fluted tart pan. I sprinkle some toasted sliced almonds and sugar on top. I like it because it's really simple and at the same time, special: rich, beautiful, the kind of cake you'd be proud to serve at the end of a grown-up dinner party, but equally at home on a weekday afternoon with a cup of tea. You also began writing a food blog. What do you focus on? I started writing Sweet Amandine (www. sweetamandine.com) in January of 2009 at the suggestion of a friend who came to visit when I was in the darkest part of my recovery. She helped me realize that at a time when I was feeling estranged from my body, my work, my home and my life, it was important for me to spend whatever energy I had on something I loved. She knew I loved to bake and to write. I focused on recipes that made me feel the most like myself, simple things like drop biscuits, vegetable soup, banana bread, and wrote down the stories they carried with them. Health-wise, how are you now? I am 100 percent well. I'm still blind in my left eye, but over time my brain has remapped itself and now I barely notice the deficit. What do you most hope people take away from your book? Beginnings are everywhere.
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Kasha with Avocado and Pomegranate Seeds Ingredients ½ cup cooked kasha (buckwheat groats) A few slices of avocado A handful of pomegranate seeds A drizzle of extra-virgin olive oil A generous pinch of salt flakes; I use Maldon
Bring 2 cups of water to a boil. Add ½ cup of dried kasha and return to a gentle boil. Cook for about 10 minutes, stirring occasionally. If you get the heat under the pot just right, all of the water will have either absorbed into the kasha or evaporated by that time. If the kasha is fully cooked and you have extra water still in the pot, it's better to drain off the remaining water (use a fine-mesh sieve) than to keep cooking it, lest you end up with mush. Serve with sliced avocado and pomegranate seeds. Store leftovers, covered, in the fridge.
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Yoganatomy
BY KATY HENDERSON PHOTOGRAPHY BY BRIAN FREER MODEL LIBBEY YORK
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Forward Fold
Uttanasana (OOT-tan-AHS-ahna)
Start standing with feet hip width or wider. Inhale, sweeping the arms up overhead. Exhale, bending knees slightly, core engaged, hinging from the hips, and forward fold the upper body towards the thighs. Grab the opposing elbows. Shake the head yes or no. Allow the upper body, head and neck to relax. Inhale, lengthening the crown of the head toward the ground. Exhale, bringing the hips toward the sky, lifting the knee caps and spiraling the inner, upper thighs back. Hold for 3 to 5 full breaths. Inhale with a strong core and straight spine, reach the arms out to the side and reverse the hinge of the hips back to standing upright.
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Benefits: Forward fold opens and stretches the entire back side of your body from your heels to the head. It promotes strength and flexibility in the spine by putting space between the vertebra, increasing circulation. Contraindications: Those with spinal conditions and concerns and osteoporosis should consult their physician before practicing forward folds.
Dr. Nordlund is a Board Certified Ophthalmologist specializing in the diagnosis and treatment of retinal diseases and glaucoma.
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Member, American Glaucoma Society; Member, American Society of Retina Specialists; Member, American Academy of Ophthalmology.
113 Bulifants Boulevard, Suite A Williamsburg, VA 23188
757-220-3375
www.rgava.com
Monday – Friday 8:00-5:00 Most insurance plans accepted
ACCEPTING NEW PATIENTS COSMETIC SURGERY
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PEDIATRIC OPTOMETRY
Mark Kanter, M.D.
TPMG Peninsula Cosmetic and Reconstructive Surgery Mark Kanter, M.D. completed his undergraduate degree with distinction in Biology and Chemistry at Virginia Military Institute. He earned his medical degree from Eastern Virginia Medical School and completed residency through the University of Kentucky. Dr. Kanter is Fellowship trained in Cosmetic Surgery and board certified by the American Society of Plastic Surgeons. Dr. Kanter specializes in: • Body Sculpting • Breast Augmentation/Reduction and Mastopexy • Liposuction: Traditional and SmartLipo (Laser) • Neck and Jowl Reshaping (Laser) • Skin Tightening • Cellulite Treatment (Laser) • Face, Neck, and Brow Lifts • Nose Reshaping • Eyelid Rejuvenation • Botox, Juvederm, Radiesse Facial Injections
Kelsey Guth, O.D. Colonial Eye Care Dr. Kelsey Guth is Williamsburg’s first residencytrained pediatric optometrist and is currently accepting new patients. Dr. Guth received her biology degree from Virginia Tech and graduated with honors while earning her Doctor of Optometry degree from Nova Southeastern University in Fort Lauderdale, Florida. She then completed an externship at the world-renowned Bascom Palmer Eye Institute in Miami, Florida and her Pediatrics and Vision Therapy residency in Memphis, Tennessee, focusing on vision disorders such as amblyopia, strabismus, convergence insufficiency, and learning-related vision problems. Dr. Guth is an active member of the American Academy of Optometry, American Optometric Association, Virginia Optometric Association, and the College of Optometrists in Vision Development. Originally from Manassas, Virginia, Dr. Guth recently relocated to Williamsburg with her husband, Matt, and feels right at home in the community. In her free time she enjoys traveling, physical fitness, playing with her puppy, Mabel, and all things Virginia Tech.
ALLERGY & ASTHMA Stephen Shield, M.D. Allergy Partners of Hampton Roads
Dr. Stephen Shield knows allergies and asthma. As a child growing up in Newport News, Virginia, he suffered from both problems. As the parent of children with allergies, he’s aware of the impact allergies can have on a child’s educational and social development; and as a board-certified, fellowshiptrained specialist who’s been in practice for over 20 years, he has the knowledge and experience that can help you and your children with your quest for better health. He knows that allergies and asthma don’t have to control you. He helps you control them. Practicing locally since 1993, Dr. Shield joined with Allergy Partners, the nation’s largest medical practice dedicated to treating allergies, in 2010. This partnership allows patients on the Peninsula to receive some of the most advanced care available from a local physician who cares about his community. Dr. Shield sees children and adults, and is accepting new patients in his Williamsburg and Newport News offices.
TPMG Peninsula Cosmetic and Reconstructive Surgery 4000 Coliseum Drive, Suite 110 Hampton, VA 23666 (757) 827-8486 Fax: (757) 827-8718
Colonial Eye Care
5273 John Tyler Highway Williamsburg VA 23185 (757) 903-2633
Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443
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MASSAGE Laurie Andrews, LMT Oasis Healing Massage
Laurie Andrews, LMT, owner of Oasis Healing Massage, is a graduate of the Utah College of Massage Therapy and brings over 20 years experience to the Williamsburg area. After receiving her diploma in Advanced Clinical Massage Therapy, with an emphasis in Clinical Injury Massage and Traditional Chinese Medicine, Andrews went on to receive diplomas in Natural Health Consulting and as a Relaxation Therapist. She has been an instructor of Massage Therapy since 1999, and has written and published more than 30 student handbooks. Andrews is a long time member of the American Massage Therapy Association, state licensed with the Virginia Board of Nursing and is proficient in many therapeutic modalities including traditional Swedish and deep tissue massage; trigger point, myofascial and injury massage; reflexology, acupressure, aromatherapy and hot/cold stone therapies. She specializes in restoring body rejuvenation, balance and relaxation, and is dedicated to bringing a place of healing refuge to the community of Williamsburg. Oasis Healing Massage
Jamestowne Professional Park 1769 Jamestown Rd - Suite 209 Williamsburg, VA 23185 804.916.9494 o-h-m.weebly.com
AUDIOLOGY Jude Liptak, Au.D. Colonial Center for Hearing Dr. Jude Liptak holds a doctorate degree in Audiology from Salus University. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio and graduated Magna Cum Laude. He is a fellow of the American Academy of Audiology and a member of the Academy of Doctors of Audiology. Dr. Liptak has been practicing audiology since 2000. As a board-certified audiologist and expert in his field, he has helped thousands of people rediscover the joys of healthy hearing. In 2003, he founded Colonial Center for Hearing, a state-of-the-art audiology practice, located in McLaws Circle in Williamsburg, Virginia. Dr. Liptak is passionate about patient care and believes in educating patients about his findings so that they understand their hearing loss and his course of treatment. To Dr. Liptak, you are not just a patient— you are an individual with a hearing situation that requires prompt attention. Colonial Center for Hearing
430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004
www.williamsburghears.com
DERMATOLOGY Joselin Tacastacas, M.D.
Dermatology Specialists Dr. Tacastacas joined Dermatology Specialists on August 1, 2017 after completing her dermatology residency at the University Hospitals Cleveland Medical Center. She has a special interest in cutaneous T-cell lymphoma and other skin cancers. She completed internal medicine training at the State University of New York Downstate Medical Center in Brooklyn, NY. She is board certified in internal medicine and dermatology and is a Fellow of the American College of Physicians. Dr. Tacastacas practiced as a primary care physician for six years in Lebanon, VA and Grants Pass, OR. Dr. Tacastacas welcomes patients of all ages to the Newport News office on Mondays and Tuesdays and the Williamsburg office on Wednesdays, Thursdays and Fridays. Dermatology Specialists 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161 opderm.net
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PULMONOLOGY Vijay Subramaniam, M.D. TPMG Lung and Sleep Specialists
Vijay Subramaniam, M.D. was born in Pune, India, and moved with his parents to the United States where he grew up in Logan, West Virginia. After graduating college, he traveled back to India to attend Mahadevappa Rampure Medical College and then joined Overlook Hospital in Summit, New Jersey, where he completed his internship in internal medicine. He completed his residency at Mercy Hospital of Pittsburgh, and an additional three years as a pulmonary and critical care fellow at Allegheny General Hospital in Pittsburgh, Pennsylvania. Dr. Subramaniam is board-certified in critical care medicine, pulmonary medicine, sleep medicine and internal medicine. He is proficient with advanced diagnostic techniques, including bronchoscopy and endobronchial ultrasound.
TPMG Lung and Sleep Specialists 5424 Discovery Park Boulevard Building B, Suite 204 Williamsburg, VA 23188 (757) 707-3999
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DENTISTRY Stacey Sparkman Hall, D.D.S. Williamsburg Center for Dental Health 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. Williamsburg Center for Dental Health
5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303
www.williamsburgdentalhealth.com
DERMATOLOGY Colonial Psychiatric COUNSELING Associates / PSYCHOTHERAPY Jason D. Mazzurco, D.O.
Dr. Donna Haygood-Jackson, Ed.D, LPC, NBCC is now affiliated with Dr. Jason D. Mazzurco is a Colonial Psychiatric Associates board-certified dermatologist
Dermatology Specialists
Dr. Donna Haygood-Jackson, Ed.D, LPC, NBCC Colonial Psychiatric Associates
Dr. Donna Haygood-Jackson and fellowship trained is a therapist in Williamsburg, Mohs Surgeon. He earned Virginia. She received her his Bachelor of Science Psychology degree from the University of Alabama and Master of Science degrees from The Ohio Dr. Haygood-Jackson and her Doctorate from The College of William State University, where he was a two-time Big Ten & Mary. She has been licensed since 1988. Dr. is now accepting referrals Champion Gymnast. He continued his education Haygood-Jackson was at William & Mary for 27 fromCollege the community. at Ohio University Heritage of Osteopathic years, first as a therapist, and then as Acting Director Medicine, where he earned his medical degree. of the Counseling Center, and finally as Senior He completed a residency in dermatology and a To request additional information Assistant Dean of Students. During her time at fellowship in Mohs micrographic surgery at St.a Joseph or make referral simply W&M, she made a very heartfelt decision to return call 757-645-4715 or fax 757-645-4720 Mercy Hospital through Michigan State University to her passion: Therapy. Her specialties include life and served as the chief resident. transition issues, chronic and acute health related Dr. Mazzurco practices surgical dermatology treating issues, trauma to include PTSD, disordered eating both benign and malignant lesions of the skin. He and body image concerns, pre-natal and postpardum specializes in the diagnosis and treatment of skin cancer, depression, couples and family therapy, Traumatic Mohs surgery and reconstructive surgery. Brain Injury (TBI) and substance use disorder issues. Dr. Mazzurco joined Dermatology Specialists Dr. Haygood-Jackson lives in Williamsburg with her in 2014. husband Rick.
Dermatology Specialists
11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161 www.opderm.net
Colonial Psychiatric Associates 318 Jamestown Rd., Suite. 101 Williamsburg, VA 23185 (757) 645-4715 708 Mobjack Place Newport News, VA 23606 (757) 873-1958 www.colonialpsychiatricassociates.com
ACCEPTING NEW PATIENTS PEDIATRIC DENTISTRY Rana GrahamMontaque, D.D.S., M.S., M.S.D. Pediatric Dental Specialists of Williamsburg A native of West Point, Virginia, Dr. Rana GrahamMontaque has returned home to serve the area’s youth and patients with special needs by providing specialty care. She completed her undergraduate and master’s degree at Hampton University. She graduated from VCU/MCVs School of Dentistry in 2006. After practicing in private practice and public health, Dr. Graham-Montaque returned to VCU to complete a residency in pediatric dentistry, where she was awarded an additional master’s degree. As Williamsburg’s full-service pediatric dental practice, she provides one-year-old first dental visits, oral sedation, nitrous oxide, dental trauma management, growth and development checkups as well as general anesthesia cases at a local hospital. She is a member of the American Academy of Pediatric Dentistry and the American Dental Association. She was awarded the public service award at VCU School of Dentistry. She serves as adjunct faculty in the dental programs at VCU and serves on the Board of Advisors for TNCC. She establishes a “dental home” for patients by reaching them by age one. Dr. Graham-Montaque is board certified. Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg, VA 23188 (757) 903-4525 www.williamsburgpediatricdentist.com
BEAUTY & AESTHETICS Steven C. Mares, M.D. Erase the Canvas, LLC Steven C. Mares, M.D., is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and Anti-Aging 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, Virginia, in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Georgia 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 Championshipsb as well as the Women’s Olympic Softball Athletes at the Venue and Softball Olympic Village in Columbus. 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, Arizona, in 2010, and opened his clinic in 2013. Erase the Canvas, LLC 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390 www.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 (877) 389-4968 ALLERGY & ENT Advanced ENT & Allergy 11842 Rock Landing Drive, #100 Newport News (757) 873-0338 Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004 BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066 CHIROPRACTIC & ACUPUNCTURE 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) 645-9353
COSMETIC & PLASTIC SURGERY Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275 DENTISTRY Healthy Smiles Dental Center 9581 Shore Drive Norfolk, VA (757) 393-6363 664 Lincoln Street Portsmouth (757) 393-6363 Historic Triangle Dental Care Michael J. Whyte, DDS 1769 Jamestown Road, Suite 2B Williamsburg (757) 903-2527 New Town Dental Arts Sebastiana G. Springmann, D.D.S, F.A.G.D. 4939 Courthouse Street 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 Boulevard, 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 DERMATOLOGY Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030 Dermatology Specialists Michael C. White , M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466
DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444 Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000 FREE CLINICS American Red Cross Adult Dental Clinic 606 West 29th St. Norfolk (757) 446-7756 Angels of Mercy Medical Clinic 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 Beach Health Clinic 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601 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 825 Fairfax Avenue Norfolk (757) 446-6190 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 Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132 Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060 GASTROENTEROLOGY Colonial Gastroenterology 11803 Jefferson Ave., Suite 230 Newport News (757) 534-7701
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400 Sentara Circle, Suite 103 Williamsburg (757) 534-7701 Digestive Disease Center of Virginia, PC Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Suite 104 Williamsburg (757) 206-1190 HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (877) 840-3431 Mellette PC 428 McLaws Circle, Suite 200 Williamsburg (757) 259-9200 HOME CARE Visiting Angels 704 Thimble Shoals Blvd., #600-B Newport News (757) 599-4145 HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital 2 Bernardine Drive 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 Bon Secours Surgery Center at Harbour View 5818 Harbour View Blvd., Suite 102 Suffolk (757) 673-5832 Chesapeake Regional Medical Center 736 Battlefield Blvd. North Chesapeake (757) 312-8121 Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098 CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363
/ 46 / HEALTH DIRECTORY
Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Suite 130 Newport News (757) 594-1899 Hampton Roads Community Health Center 664 Lincoln Street Portmouth (757) 393-6363 Ocean View Medical and Dental Center 9581 Shore Drive Nofolk (757) 393-6363 Park Place Family Medical Center 3415 Granby Street Norfolk (757) 393-6363 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 Drive Hampton (757) 736-1000 Sentara Heart Hospital 600 Gresham Drive Norfolk (757) 388-8000 Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000 Sentara Norfolk General Hospital 600 Gresham Drive Norfolk (757) 388-3000 Sentara Obici Hospital 2800 Godwin Blvd. Suffolk (757) 934-4000 Sentara Port Warwick 1031 Loftis Blvd. Newport News (757) 736-9898 Sentara Princess Anne 2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000 Sentara Virginia Beach General Hospital 1060 First Colonial Road Virginia Beach (757) 395-8000
Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000
AWARE Worldwide, Inc. 6350 Center Drive, Bldg. 5, Suite 228 Norfolk (757) 965-8373
MASSAGE THERAPY
Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222
Oasis Healing Massage Jamestowne Professional Park, 1769 Jamestown Roadd 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) 622-2989 Alzheimer’s Association 6350 Center Drive, Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900
Here for the Girls 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649 Cancer Care Foundation of Tidewater 5900 Lake Wright Drive Norfolk (757) 461-8488 Center for Excellence in Aging & Lifelong Health 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751 CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229 Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300
Hampton-Newport News Community Services Board 300 Medical Drive Hampton (757) 788-0300 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 Kelly Weinberg Foundation www. kellyweinbergfoundation. org, info@ kellyweinbergfoundation. org (757) 250-3220 Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501 Leukemia & Lymphoma Society 6350 Center Drive, Suite 216 Norfolk (757) 459-4670
American Cancer Society 11835 Canon Blvd., Suite 102A Newport News (757) 591-8330
Citizens’ Committee to Protect the Elderly PO Box 10100 Virginia Beach (757) 518-8500
American Diabetes Association 870 Greenbrier Circle, Suite 404 Chesapeake (757) 424-6662
Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200
American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610
Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd, Suite 2E Newport News (757) 833-7845
National Alliance on Mental IllnessWilliamsburg Area P.O. Box 89 Williamsburg (757) 220-8535
Dream Catchers Therapeutic Riding 10120 Fire Tower Road Toano (757) 566-1775
National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298
Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251
Norfolk Community Services Board 229 W. Olney Road, Room 1 Norfolk (757) 664-6670
Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007
Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 873-0541
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) 229-0643 The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-1700 Avalon: A Center for Women & Children Williamsburg (757) 258-9362
Faith in Action 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890
National MS Society 760 Lynnhaven Parkway., Suite 201 Virginia Beach (757) 490-9627 The Needs Network, Inc. 9905 Warwick Blvd. Newport News (757) 251-0600
312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277
Food Bank of the Virginia Peninsula 2401 Aluminum Ave. Hampton (757) 596-7188
Peninsula Institute for Community Health 1033 28th St. Newport News (757) 591-0643
Food Bank of SEVA 800 Tidewater Drive Norfolk (757) 627-6599
Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273
Protect Our Kids P.O. Box 561 Hampton (757) 727-0651 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 RSVP: Retired Senior Volunteers 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037 St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208 Sarcoidosis Suport Group/Charity #teamandreafight llc (757) 309-4334 The Sarah Bonwell Hudgins Foundation 1 Singleton Drive Hampton (757) 827-8757 Senior Center of York 5314 George Washington Hwy. Yorktown (757) 898-3807 Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Drive, Suite 101 Norfolk 757-222.4509 Susan G. Komen Tidewater 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794 United Way 11870 Merchants Walk, Suite 104 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 VA Medical Center 100 Emancipation Drive Hampton (757) 722-9961 We Promise Foundation 160 Newtown Road Virginia Beach (757) 233-7111 OBSTETRICS & GYNECOLOGY Williamsburg Obstetrics & Gynecology 500 Sentara Circle, Suite 105 Williamsburg (757) 253-5653
ONCOLOGY The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia 229 Clearfield Avenue Virginia Beach (757) 457-5177 Virginia Oncology Associates 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 5900 Lake Wright Drive 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 Drive, Suite 102 Virginia Beach (757) 368-0437 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 OPTOMETRY & OPHTHALMOLOGY MyEyeDr. Jeanne I. Ruff, OD 4655 Monticello Avenue, Suite 201, Williamsburg (757) 259-6823 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) 873-1554 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
PHYSICAL THERAPY & REHABILITATION
1817 Laskin Road, Suite 100 Virginia Beach (757) 437-0471
135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512
1745 Camelot Drive, Suite 100 Virginia Beach (757) 961-4800
1253 Nimmo Parkway, Suite 105 Virginia Beach (757) 943-3060
927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436-3350
4624 Pembroke Blvd. Virginia Beach (757) 460-3363
235 Hanbury Road East Chesapeake (757) 391-7660
101 Long Green Blvd. Yorktown (757) 952-1900
1580 Armory Drive, Suite B Franklin (757) 562-0990
100 Winters St., Suite 106 West Point (757) 843-9033
2613 Taylor Road, Suite 102 Chesapeake (757) 465-7651
Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton (757) 825-9446
6970 Fox Hunt Lane, Gloucester (804) 694-8111
156-B Strawberry Plains Road Williamsburg (757) 565-3400
Bon Secours In Motion Physical Therapy 13609 Carrollton Blvd., Suite 15 Carrollton (757) 238-2690
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 2 Bernardine Drive Newport News (757) 886-6480
466 Denbigh Blvd. Newport News (757) 875-0861 729 Thimble Shoals Blvd., Suite 4-C (Pediatrics) Newport News (757) 873-2932 301 Riverview Ave. Norfolk (757) 963-5588
2106 Executive Drive Hampton (757) 838-6678 9 Manhattan Square, Suite B Hampton (757) 825-3400 7190 Chapman Drive Hayes (804) 642-3028 751 J Clyde Morris Blvd Newport News (757) 873-2123
500 Rodman Ave., Suite 3 Portsmouth (757) 393-6119
612 Denbigh Blvd. Newport News (757) 874-0032
885 Kempsville Road, Suite 300 Norfolk (757) 955-2800
5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700
12494 Warwick Blvd. Newport News (757) 599-5551
Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554
6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890
Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900
154 E Little Creek Road Norfolk (757) 797-0210
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 4677 Columbus Street, Suite 201 Virginia Beach (757) 463-2540
Pivot Physical Therapy 4020 Raintree Road, Suite D Chesapeake (757) 484-4241
250 West Brambleton Ave., Suite 100 Norfolk (757) 938-6608
204 Gumwood Drive Smithfield (757) 357-7762 2007 Meade Pkwy. Suffolk (757) 539-6300
4037 Ironbound Road Williamsburg (757) 206-1004 Urology of Virginia Physical Therapy 225 Clearfield Avenue Virginia Beach (757) 466-3406 PODIATRY
The Devine-Jordan Center for Reconstructive Surgery & Pelvic Health — a division of Urology of Virginia 225 Clearfield Avenue Virginia Beach (757) 457-5110 Urology of Virginia 4000 Coliseum Drive, Suite 300 Hampton (757) 452-3441 11848 Rock Landing Drive, Suite 402 Newport News (757) 873-1374 3640 High Street, Suite 3B Portsmouth (757) 452-3400 2000 Meade Parkway Suffolk (757) 934-9300 225 Clearfield Avenue Virginia Beach (757) 457-5100 400 Sentara Circle Suite 310 Williamsburg (757) 345-5554 The Paul F. Schellhammer Cancer Center – a division of Urology of Virginia 229 Clearfield Avenue Virginia Beach (757) 457-5177
Ambulatory Foot & Ankle Center Calvin H. Sydnor IV, DPM, FACFAS Earnest P. S. Mawusi, DPM, FACFAS 1618 Hardy Cash Drive Hampton (757) 825-5783
2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
DECEMBER SUDOKU
BRA
4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 Tidewater Orthopaedic Associates 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480
7300 Newport Ave., Suite 300 Norfolk (757) 217-0333
930 W. 21st St. Suite 105 Norfolk (757) 738-1500
7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753
UROLOGY
DECEMBER WORD SEARCH
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"Celebrate what you want to see more of "
WILLIAMSBURG, VA.
THEHEALTHJOURNAL.ORG
/ 48 / HEALTH DIRECTORY
-Tom Peters
January2018 WHAT IS GOING ON IN
5 LIBERTY’S ICE SKATING PAVILION
Bring the family out for ice skating. WHEN: Open daily through February 20; times vary WHERE: Colonial Williamsburg $$: See website for skate rental fees CONTACT: colonialwilliamsburg.com
6 TOANO FARMERS MARKET
This farmers market, featuring fresh local produce, is open year-round. WHEN: 8 a.m. to noon Saturdays WHERE: Corner of Forge and Richmond Roads $$: free CONTACT: 757-566-1905
8 INDOOR POOL-SUP YOGA
Learn yoga techniques while stand up paddleboarding. WHEN: 12:30 p.m. Mondays WHERE: James City County Recreation Center $$: $15 CONTACT: 757-259-4176
FLOATYOGA CLASS
Join us for an aerial yoga class using a hammock to assist with stretching. WHEN: 5:30 p.m. Mondays WHERE: The Inspire Studio $$: $25 for drop in or $200 for a 10 pack CONTACT: Lia Bollinger, jakekelsy@cox.net
DOG STREET PUB RUNNING CLUB Come out for this weekly family and pet friendly 5K run. WHEN: 6 p.m. Mondays WHERE: DoG Street Pub $$: free CONTACT: dogstreetpub.com
9 SECRETS OF THE CHOCOLATE MAKER
Learn how chocolate was used in 18th-century recipes. WHEN: 9:30 a.m. to noon WHERE: R Charlton’s Coffee House,
Colonial Williamsburg $$: Included with price of admission CONTACT: colonialwilliamsburg.com
13 CABARET & COCKTAILS
The Williamsburg Symphony Orchestra presents this event. WHEN: 8 p.m. WHERE: Williamsburg Lodge $$: See website for ticket information CONTACT: williamsburgsymphony. tix.com
GAIT ANALYSIS
Dr. Daniel Shaye with Performance Chiropractic will perform a free gait analysis. WHEN: 3:30 to 6:30 p.m. WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4176
16 NAMI CONNECTION MENTAL HEALTH SUPPORT GROUP
ADULT GROUP SWIM LESSONS
This class is designed for adult beginners to swimming. WHEN: 7:30 p.m. Tuesdays and Thursdays through February 1 WHERE: James City County Recreation Center $$: $45 CONTACT: jamescitycountyva.gov/ recreation
Those struggling with mental health issues are invited to gather for support. WHEN: 7 to 8:30 p.m. the first and third Mondays of each month WHERE: St. Stephen’s Episcopal Church, Richmond $$: free CONTACT: meetup.com
10
20
YOGA ETIQUETTE & SAFE PRACTICE WORKSHOP
FITNESS OPEN HOUSE
Check out the class offerings at James City County Recreation Center. WHEN: 9 to 11 a.m. WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4176
Learn basic yoga techniques and safety tips in this workshop. WHEN: 2 p.m. WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4176
11 PEDIATRIC ASSOCIATES OF WILLIAMSBURG OPEN HOUSE
TRACK YOUR HEALTH/KNOW YOUR NUMBERS
PAW hosts this open house for those looking for a pediatrician. WHEN: 5:30 to 6:30 p.m. WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: 757-564-7337
Come in for a free health screening for cholesterol, blood pressure and body mass index. WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4176
GRANDPARENTS CLASS BREASTFEEDING CLASS
This class is intended to provide breastfeeding support for mothers. WHEN: 7 to 9 p.m. WHERE: Sentara Regional Medical Center $$: free CONTACT: 800-736-8272
CALENDAR
Grandparents are invited to learn ways to support parents of a newborn. WHEN: 10 a.m. WHERE: Sentara Williamsburg Regional Medical Center $$: free CONTACT: 800-736-8272
\ 49 \ THEHEALTHJOURNAL.ORG
24 TOP TIPS FOR HEALTHY EATING IN 2018
Learn tips to lose weight the healthy way. WHEN: 5:30 p.m. WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4176
FAMILY STRESS
Learn ways to decrease stress in your family life. WHEN: 6:30 p.m. WHERE: CHKD Health & Surgery Center at Oyster Point, Newport News $$: free CONTACT: chkd.org
27 FAMILY HEALTH FAIR
The Arc of Greater Williamsburg hosts this event featuring health demos and activities. WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: 757-229-3535
30 RAD BASIC PHYSICAL DEFENSE
James City County Police Department offers this self-defense class for women. WHEN: 6:30 p.m. Tuesdays and Thursdays through February 8 plus select Saturdays WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4200
B
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SPRAINS, TWISTS, PULLS AND BREAKS DON’T STAND A CHANCE AGAINST OUR
O N E P OW E R F U L T E A M — W I T H T H E R I G H T E X P E RT F O R YO U R O R T H O PA E D I C T R E AT M E N T A N D R E C O V E R Y A stress injury of the hand or foot requires different expertise than a torn rotator cuff or a chronic condition like arthritis. That’s why we introduced the concept of super-specialized orthopaedics to the region. Whether you just got hurt playing your sport, or need relief from aches and pains that have hindered your mobility for years, we’ll match you with a doctor who has dedicated an entire career to orthopaedic issues like yours.
RATED
S
100% SPECIALTYTRAINED ORTHOPAEDICS
Specialized Care You Can Trust
HAND AND WRIST | FOOT AND ANKLE | HIP AND KNEE | NECK AND SPINE | SHOULDER AND ELBOW JOINT REPLACEMENT AND REVISION | SPORTS MEDICINE | TRAUMA AND FRACTURES
HAMPTON | 901 Enterprise Parkway, Suite 900
(757) 637-7016
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