July 2019 - Health Journal

™

inspiration for better living

Dog Days

Summer of

all

about

air Quality

cold

soups

for Hot Days

JULY 2019 — THEHEALTHJOURNAL.ORG

e l c i s p r o u o w p o n y d l i Bu

HEALTHY COMMUNITIES THRIVE WHEN THEIR PEOPLE DO TOO. You deserve a healthcare organization that responds to your needs and anticipates them, too. That’s why we’re always looking at ways to make your experience better.

From offering innovative treatments and technologies, to pioneering new services and programs, we’re improving health — on the Peninsula — every day.

Learn more at sentara.com/peninsula

For career opportunities visit www.sentaracareers.com

THE OPIOID EPIDEMIC DOESN’T DISCRIMINATE According to the Centers for Disease Control and Prevention

48.5 million Americans have used illicit drugs or misused Rx drugs.

Contact the Virginia Beach Human Services Department

(757) 385-0888 State Opioid Response (SOR) Services – (757) 264-2314 VBOpiodtx@vbgov.com www.vbgov.com/opioid

TOGETHER WE CAN END THE THE CYCLE OF ADDICTION.

Be a SuperHero for a Child!

Saturday, August 10, 2019 The Vineyards at Jockey’s Neck 2659 Jockey’s Neck Trail Williamsburg VA

Presented by

2018

5K Run/Walk 8:00am

NEW! Superhero Family Challenge 8:30am Easy but FUN obstacle course open to families with children 12 and under of all abilities – obstacles designed for speed – no special skills needed!

Register or donate online at 5k.cdr.org

™

VOL. 14, NO. 14

contents july

PUBLISHER Brian M. Freer brianfreer@thehealthjournals.com EXECUTIVE DIRECTOR Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR Ravi V. Shamaiengar, M.D. EDITOR Kim O'Brien Root kim@thehealthjournals.com PRODUCTION MANAGER Ashley Ribock ashley@thehealthjournals.com ART DIRECTOR Naya Moore naya@thehealthjournals.com GRAPHIC DESIGNER/VIDEO Toria Diesburg toria@thehealthjournals.com PHOTOGRAPHERS Brian M. Freer

12

COPY EDITORS Carolyn Brandt Beth Shamaiengar CIRCULATION Ryan Bishop circulation@thehealthjournals.com

WRITERS Teresa Bergen Kat Brancato John-Michael Jalonen Kim O'Brien Root Beth Shamaiengar David Tuttle Mike Verano Shari Gann

CONNECT WITH US! 4808 Courthouse St., Suite 204 Williamsburg, Virginia 23188 Phone: (757) 645-4475 Fax: (757) 645-4473 THEHEALTHJOURNAL.ORG The Health Journal is the perfect choice to reach readers wishing to stay current on healthy trends in fitness, nutrition and the art of living an informed life. We are Hampton Roads’ premier healthy lifestyle magazine.

Copies are mailed and racked throughout the region. SUBSCRIPTION: Subscribe for $20/year.

Send a check or money order, payable to RIAN Enterprises, LLC, to the address above. Include mailing address and contact information. Notify us of any change in address.

To advertise, please contact advertise@thehealthjournals.com To contribute, please contact

kim@thehealthjournals.com

PLEASE recycle this magazine

18

24 31

27

36 Bits and Pieces 04 06 09 10 11

Staff & Writers Editor’s Note Second Opinion Well Fed: Popsicles Health Now

Features 12 16 18 20 22 24 27 28

The Air Out There Is Your Head Pain Coming From Your Teeth?

Redeem Your Ice Cream Profile: Get Lyme-Literate Lackey Clinic Cares for the Uninsured Outbreak: Measles AIM: New Hybrid Operating Room Burnout Syndrome

Lifestyle 31 34 36

Travel for Wellness: Tampa Dog Days of Summer 5 Low-Impact Exercises

Food & Drink 38 42

Taste Appeal: Cold Soups for Hot Days Let's Eat, Hampton Roads!

Staying Well 44 46 49 50

Accepting New Patients Health Directory Calendar Brain Teasers

38

editor's Note

R

"

Summer is like childhood; full of warm memories and gone too soon.

"

- Kellie Elmore

ecently, my teenage daughter headed out to the beach for an afternoon hanging out with friends.

Maggie shares my prone-to-burn fair skin. I had offered to put sunscreen on her before she left, but being 14, she refused. So I handed her sunscreen and reminded her several times not to forget to put it on. Ask a friend to help, I suggested as she ran out the door.

About five hours later, she returned … with a sunburn. Slathering aloe on her stinging shoulders and back that night, I suggested she bring my beach umbrella with her next time. “But Mom,” she insisted. “No one uses umbrellas. They just lay out on their towels and tan.”

Inside, I died a little. So much for all those years of applying and re-applying sunscreen on my kids, researching which kinds were the healthiest and trying to instill good habits for whenever they were outside, sun or no sun. With that one little sentence, it was as if all my efforts had flown out the window. I remember being 14. I remember lying out in the sun slathered with baby oil or some coconutsmelling suntan lotion with the least amount of SPF possible. I also remember some very serious sunburns. In my senior prom photos, you can see my red shoulders.

But the truth is, the sun is no joke. Not protecting our skin leaves us vulnerable to skin cancer, which can be deadly. About 90 percent of non-melanoma skin cancers and 86 percent of melanoma skin cancers — the most serious — are associated with exposure to ultraviolet (UV) radiation from the sun, according to the Skin Cancer Foundation. Meanwhile, studies have shown that using sunscreen can greatly reduce the chance of getting melanoma and less dangerous squamous cell carcinoma.

Those of us in our 40s remember childhoods of not worrying about the

sun. We got sunburns and dealt with it, and by the end of the summer we had nice golden tans. But fast forward years later, and we’re trying to cover up discolored spots on our faces with makeup and visiting the dermatologist to have suspicious moles zapped off or sometimes cut out. And you better believe we’re now slathering on the sunscreen, using SPF 50 or higher even though we’ve been told SPF 30 should be enough.

But if you spent your teen years worshipping the sun, all is not lost. Studies have shown that despite a commonly held belief that the majority of our sun exposure occurs by age 18, it’s actually adulthood when the sun can cause the most problems.

Spending more leisure time outdoors — on the golf course or just walking around the neighborhood — means it’s ever-important to protect your skin. So wear a hat and sunglasses. Cover up with a swim shirt or rash guard. Hit the beach or the pool when the sun’s rays aren’t as intense.

And please, don’t forget the sunscreen.

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

No insurance? Need healthcare?

The Lackey Clinic serves the uninsured in Williamsburg, James City, York, Poquoson, and Newport News.

Medical

Dental

Behavioral & Spiritual Counseling

Medications

Apply online at lackeyclinic.org/newpatient

THE LACKEY CLINIC INVITES YOU TO

SHARE THE CARE Tour the clinic

Meet, Eat, & Sign-Up to Become a Patient JULY 25, 2019 | 3:00 PM - 7:00 PM, 1620 OLD WILLIAMSBURG RD

Additional parking at Charles Brown Park.

WATA bus will provide transportation to Lackey Clinic.

Meet our skilled and compassionate staff Dr. Cottel, Dr. Robertson, and Grete Johnson, FNP

Enjoy FREE Two Drummers barbecue, Ben & Jerry's ice cream, music by Been There Done That Band, giveaways and raffle prizes

OUR SPONSORS

advertiser

OSC

ad size

1/2 horizontal (7.625” w x 5”h) Yorktown

due date

Thursday, June 20th

specs

4/c process 1 FREE BBQ MEAL

Valid for the July 25th event at Lackey Clinic ONLY. Additional tickets for family/friends available FREE at the door.

1 FREE CUP/CONE

Yorktown

Valid for the July 25th event at Lackey Clinic ONLY. Additional tickets for family/friends available FREE at the door.

SAME DAY CLINIC

Need to be seen the

SAME DAY?

757-827-2480 Call by 1:00PM and be seen by one of our specialists.

(Insurance Eligibility Required)

LECTURE

Join Jenny Andrus, MD for an OSC Community Lecture on

Treating Peripheral Neuropathy

TOPIC:

Treating Peripheral Neuropathy DATE:

Tuesday, July 16

An OSC Patient Success Story

Dr. Jenny Andrus with her patient Amy Williams.

TIME:

In 2012, I developed very painful shingles.

The rash went away, but the pain didn’t. I was diagnosed with post herpetic neuralgia. The pain felt like pins and needles on my chest and back. Hugging my kids caused agony and medications did not help me. Dr. Jenny Andrus suggested a Spinal Cord Stimulator.

I now have it implanted and it has totally changed my life for the better. I take no medications now for pain. Thank you for fixing me, Dr. Andrus! – AMY WILLIAMS

7:00 PM LOCATION:

OSC, 250 Nat Turner Blvd.

Newport News, VA REGISTER:

Call Shannon Woods at 757.596.1900, Ext. 368

OPEN MRI CENTER

OSC Providers: Boyd W. Haynes III, M.D., Robert J. Snyder, M.D., Jeffrey R. Carlson, M.D., Martin R. Coleman, M.D.

250 Nat Turner Blvd

Mark W. McFarland, D.O., Raj N. Sureja, M.D., Jenny L.F. Andrus, M.D., John D. Burrow, D.O., Emily A. Ludwig, Psy.D.

Phone 757.596.1900

n

Newport News, VA 23606 n

www.osc-ortho.com

Dr. Nordlund is a Board Certified Ophthalmologist specializing in the diagnosis and treatment of retinal diseases and glaucoma.

John R. Nordlund, MD, PhD Member, American Glaucoma Society; Member, American Society of Retina Specialists; Member, American Academy of Ophthalmology.

Monday – Friday 8:00-5:00 Most insurance plans accepted

113 Bulifants Boulevard, Suite A Williamsburg, VA 23188

757-220-3375

www.rgava.com

BREAKING OUT of our

SHELL

RESERVE YOUR SEAT NOW

Your Perfect Travel

Companion

NapAnywhere® is a head-support pillow designed for comfort and portability. It’s small enough to fit into a briefcase or laptop bag.

Visit waypointgrill.com for upcoming events.

Call 757-220-2228 for reservation information.

R

.net

Purchase yours exclusively at NapAnywhere.net

2

ND

Dr. David Danskin from Kansas State University estimates 85 percent of doctor visits are due to stress-related causes. But not all stress is bad. As a matter of fact, we need a healthy level of stress in order to get out of bed and be productive human beings. It is only when you cross from healthy stress (eustress) to unhealthy stress (distress) that your health and performance are negatively effected.

If the holiday season is a time of distress for you, there are several ways to help manage your stress and anxiety. First of all, take time to “deep breathe” — not into your upper chest, but into your diaphragm.

Inhale through your nose for 4 counts, feeling your belly expand.

Hold your breath for 7 counts.

Exhale through your mouth for 8 counts. If this is too difficult, simply adjust the counts and work up to it.

Shoot for 7-9 hours of sleep per night. If you find it hard to fall asleep, the breathing technique can help. Take time to pray or meditate.

Being faced with tempting holiday treats is simply going to happen — be mindful of how much and how often. Sugar and simple carbohydrates stress the adrenals.

Be sure to always exercise! You need it most during stressful times!

Rhonda Huff, M.Ed, CHHC, CPT, AADP, NLP Founder, Body-in-Balance Wellness & Fitness Studios Co-founder, The Center for NeuroRegenerative Medicine www.bodyinbalance757.com 757-715-6906

I was told my insurance might help pay for mastectomy bras and breast forms. Is that true?

The Women's Health and Cancer Rights Act of 1998 (WHCRA) is a federal law that provides protection to patients who choose to have breast reconstruction in connection with a mastectomy. Prostheses and treatment of physical complications of all stages related to the mastectomy are covered.

With that information in mind, any woman will be eligible for products for the rest of her life, after diagnosis of a lumpectomy, single or double mastectomy. She will have coverage for external breast prostheses (lightweight and silicone) and comfortable, beautiful and supportive bras and camisoles.

Radiation can reduce the breast size from a half to a full cup size, so partial forms used to create balance are available. Following a reconstructive surgery, there may still be lack of projection or balance, but with detailed fitter measurements and photos, insurance will continue to cover these items for as long as medically necessary. Many insurance companies also provide wigs for those undergoing chemotherapy.

Each insurance company has a different policy pertaining to quantities and patient expenses, but all major insurances including Medicare, provide some level of coverage.

A yearly prescription for mastectomy products from a treating physician must be on file as well.

Teresa Kelly, C.F.M. Silhouette Mastectomy Boutique silhouettemb.com 757-930-0139

SECOND OPINION

I have dentures and the lower one floats around. It makes it very difficult to eat. What can I do to be able to eat comfortably again?

The hardest dental appliance to get used to is the complete denture that replaces lower teeth. When it does not have anything holding it in, it is fighting the tongue, muscles of the cheeks and chin, and lack of surface area to create suction. There are several ways you can solve this concern.

The first option would be to have the lower denture relined or even remade. Over time the tissue where your teeth were shrinks. If you do either of these options the lower denture will adapt better, making it fit better. This is your most cost effective option, but the denture will still float if you do not have enough bone height to support it. You will have to repeat this depending on how fast your bone and tissue are shrinking.

The second option would be to place two to six implants that a denture or a fixed bridge-type prosthetic would snap onto or screw into. This option does cost more, but it allows for more chewing force and comfort, and you don’t have to worry about your denture slipping out. This option takes planning and should never be done in a “cookie-cutter” approach, in which all patients of a practice get the same treatment.

If you are considering implants, the sooner you start treatment the more options you will have and the easier it will be. The choices of treatment should be what is best for you concerning cost, conserving bone and your personal expectations.

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

/ 9 / THEHEALTHJOURNAL.ORG

OPINION

Can stress be healthy?

your health care questions answered

special advertising section

BUILD YOUR

SUMMER

POPSICLE For a refreshing summer treat, why not skip the ice cream truck and make your own popsicles?

All you need are some simple ingredients, a blender, some popsicle molds and your freezer.

Yogurt Use low-fat or Greek yogurt as a base if you want a creamy popsicle. If not, skip the yogurt.

Veggies Toss in some kale, which kids can’t taste but packs a powerful vitamin boost.

Fresh or frozen fruit Throw in your favorite types of fruit.

Experiment with flavors, such as orange mango or strawberry peach.

Honey If you don’t find your popsicle mixture sweet enough, add a little honey.

Fruit juice Splash in some orange or apple juice or try V8 Fusion. If you’d prefer not to use juice, try unsweetened coconut milk.

Once you have your desired ingredients in the blender, puree and pour into molds. If you want to add some texture to your popsicles, add some chopped fruit to the puree. Freeze and enjoy!

HEALTH NOW 7

Poop Transplants on Hold

The Food and Drug Administration has suspended several clinical trials of fecal transplants. The procedure, which is not yet approved by the FDA, involves transplanting stool from a healthy person into the colon of a sick person to treat intestinal conditions, including recurrent, antibiotic-resistant Clostridium difficule (C.diff) infection. But according to the FDA, two immunocompromised adults last month received fecal transplants that contained a strain of antibiotic-resistant E. coli. Both adults got very sick, and one died. The FDA says trials will be suspended until safety standards can be assured.

Number of Hampton Roads’ hospitals awarded an A in the spring 2019 Leapfrog Hospital Safety Grade. The designation recognizes the hospitals’ efforts in protecting patients from harm and providing safer health care. The hospitals include Bon Secours’ DePaul Medical Center in Norfolk and Mary Immaculate Hospital in Newport News and Sentara’s CarePlex Hospital in Hampton, Williamsburg Regional Medical Center, Obici Hospital in Suffolk, Leigh Hospital in Norfolk and Princess Anne Hospital in Virginia Beach.

Stop and Smell the Cookies New research has found that just getting a big whiff of something you crave — such as a chocolate chip cookie or slice of pizza — could help keep you from actually eating it. A study by researchers at the University of South Florida found a connection between the amount of time someone smells something and whether they still want to eat it. People who took part in the study reported not feeling the desire to eat something after sniffing it for about 2 minutes. Apparently, a food’s aroma alone is enough to satisfy the reward circuit in the brain.

11

Ranking of Virginia Beach as a top city for a staycation by WalletHub. The consumer site compared more than 180 cities based on 43 key indicators of a fun-filled yet wallet-friendly summer escape right outside your front door. Norfolk rated 33 while Newport News ranked 111.

Use Coconut Oil with Caution Coconut oil may not be the amazing superfood some purport it to be after all, according to a Harvard professor. In fact, Karin Michels, an epidemiology professor at Harvard’s T.H. Chan School of Public Health, said consuming coconut oil carries health risks because it is almost entirely made up of saturated fatty acids, which can block arteries. Michels is not the only one to call out coconut oil. In 2017, the American Heart Association urged the public to avoid coconut oil, which has been found to spike levels of LDL — the bad cholesterol.

HEALTH BRIEFS

/ 11 / THEHEALTHJOURNAL.ORG

MEN: Sow Your Oats Before You’re Too Old Turns out men have a biological clock just like women do. According to new research, men over age 45 put the health of their partners and unborn children at risk. Older male sperm increase the risk of pregnancy complications, including gestational diabetes and preeclampsia, and put children at risk for premature birth, cancer, congenital heart disease and neurocognitive disorders, such as autism. “While it is widely accepted that physiological changes that occur in women after 35 can affect conception, pregnancy and the health of the child, most men do not realize their advanced age can have a similar impact,” says Gloria Bachmann, director of the Women's Health Institute at Rutgers University.

The Air

Out There UNDERSTANDING AIR POLLUTION AND HOW TO PROTECT YOURSELF

BY AMY MCCLUSKEY

THEHEALTHJOURNAL.ORG

/ 12 /

FEATURE

M

ost of us don’t think twice about breathing. In fact, the average adult takes around 20,000 breaths per day.

It’s a natural process of moving air into and out of the lungs — breathing in oxygen and flushing out carbon dioxide. But what do we do when that simple act of breathing becomes harmful?

According to the World Health Organization (WHO), air pollution accounts for an estimated 4.2 million premature deaths per year due to stroke, heart disease, lung cancer and chronic respiratory diseases.

While that’s hard to imagine, especially if you live in an area without smog, smoke or excess traffic, about 91 percent of the Earth’s population lives in places with worse air quality than the standards set by the WHO. “When it comes to air pollution, there are two major contributors — fine particles and ozone; these are the things that when inhaled are detrimental to your health,” says Jim Crawford, an atmospheric chemist at NASA’s Langley Research Center.

What causes air pollution?

Air pollution is a general term that usually describes a mixture of different harmful chemicals that circulate in the air. Pollutants can be natural — such as ash from a volcano or smoke from a wildfire — or man-made. Examples of man-made pollutants include carbon dioxide output from vehicles, factories and the burning of fossil fuels.

The warming of the earth has also had an effect on the air we breathe. The Centers for Disease Control (CDC) reports that higher temperatures lead to an increase in allergens and harmful air pollutants. For instance, longer warm seasons can mean longer pollen seasons — which can increase the risk of allergy attacks and cause more allergies.

Higher temperatures can also lead to an increase in ozone, a harmful air pollutant. While good ozone occurs naturally in the upper atmosphere and protects living things from ultraviolet radiation, “bad” or ground-level ozone, which is created by chemical reactions in the sunlight, can trigger a variety of health problems. Though bad ozone is colorless and odorless, when enough builds up, it results in smog.

Higher temperatures also mean drier conditions, particularly in the western part of the country, which in turn spurn more wildfires.

Wildfires release large amounts of carbon dioxide, black carbon, brown carbon and ozone precursors into the atmosphere. A 2013 report released by scientists for Climate Central, which researches climate science, found that smoke and ash produced by large wildfires threaten the health of thousands of people, often hundreds of miles away from where these wildfires burn.

“Not only do wildfires threaten lives directly, but they have the potential to increase air pollution and affect those with respiratory issues,” says Patrick Taylor, a research scientist at NASA Langley.

“Wildfires don’t have to be close to you to affect your air quality — smoke and particulate can travel long distances.”

The Effects of Air Pollution Hundreds of studies have confirmed that long-term exposure to air pollution can be linked to asthma, lung diseases, heart attacks and even cancer. When people breathe in air pollutants, the microscopic particles travel down the throat to the lungs, penetrating deep into our respiratory and circulatory systems. Over time, the constant irritation results in serious medical conditions, especially to those who already have compromised immune systems.

While many may think only those who live in the more heavily polluted cities and countries are at risk, air pollution can often travel great distances to smaller rural areas and knows no socioeconomic boundaries.

“Ground-level ozone and airborne particles are the two criteria

pollutants that pose the greatest threat to human health in this country,” confirms a spokesperson from the Environmental Protection Agency (EPA).

Though nationally the EPA reports that concentrations of air pollutants have dropped significantly since 1990, health concerns are still on the rise. In fact, researchers are still learning how air pollution affects humans over time.

A recent study in China found that breathing unsafe air for too long can create an effect that’s equal to losing a year’s worth of intelligence.

According to the research, those who are consistently exposed to polluted air can experience a large drop in language and math scores.

Similarly, a study out of the United Kingdom suggests that air pollution can potentially raise dementia risks by 40 percent. In 2017, a similar study in Canada found that those living closer to highways or major roads had a 4 percent increased risk of developing dementia.

How to protect

yourself

While government agencies work to reduce and control the amount of toxic air pollutants we breathe, the EPA suggests these ways you can protect yourself and limit your exposure.

• Check your local air quality reports. The EPA’s Air Quality Index (Airnow.gov) tool will alert the public quickly when air quality is likely to reach unhealthy levels.

• During higher-pollution periods, exercise and work outdoors early in the morning, when pollution levels are usually lower.

• High-traffic areas are more polluted; avoid them when on foot or bicycling.

• Don’t burn trash or wood outside or leave your car idling. On high-pollution days, don’t run fuel-burning power equipment.

• Don't assume face masks are going to solve the problem. N-95 masks may provide some benefit, but most commercially available air masks are not designed to protect against all forms of air pollution, like smog.

FEATURE

Treating Depression & OCD with State of the Art Technology

L I M I T E D -T I M E O P P O R T U N I T Y

Breaking the Cycle of... Depression & OCD

T

Transcranial Magnetic Stimulation • TMS is a safe, effective, drug-free treatment that does not require hospitalization.

FDA-cleared treatment • Effective, even when medication doesn’t work • Short 20-minute sessions • Non-invasive • No systemic side effects • Treatment is covered by Medicare, Tricare and almost all private insurers

ake advantage of this rare opening to join the WindsorMeade community. With a picturesque campus, fitness center, amenities, and the extended health services of Bedford Terrace, WindsorMeade is the ideal retirement setting for “Enriching Life’s Journey”.

• TOURS • DETAILS • INFO 757 941 3615 • www.windsormeade.org

Take steps to RESTART your life today Call today to schedule your free consultation 757-229-7927

Family Living Institute

familylivinginstitute.com | brainsway.com | 1307 Jamestown Road, Suite 202, Williamsburg

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,

BRAIN INJURY

coupled with his 45 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room.

™

LAW CENTER

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.

Brain InjuryLawCenter.com I 877 .840.3431 I 757 .650.9818 I

SPONSORED CONTENT

ssmith@BrainlnjuryLawCenter.com

/ 15 / THEHEALTHJOURNAL.ORG

is your head pain coming from your teeth?

BY KIM O'BRIEN ROOT

I

f headaches are getting the best of you, the answer might not be loading up on painkillers or hiding under the covers in a quiet, dark room. The answer might lie in a visit to your dentist.

As it turns out, those headaches might be the result of teeth issues that can be helped with dental treatment.

“The overwhelming reality is that a person’s bite or bite habits are the origin of the majority of head, neck and jaw pain,” says Dr. Lisa Marie Samaha of Port Warwick Dental Arts in Newport News, Va. “There is no need to live with this kind of pain.”

THEHEALTHJOURNAL.ORG

/ 16 /

SPONSORED CONTENT

Many of us suffer from headaches

One in eight Americans suffers from recurring headaches that are bad enough to keep them from living normally, according to the American Academy of Craniofacial Pain. In fact, headaches are one of the most common pain problems in the United States. The Cleveland Clinic estimates that 30 to 80 percent of the adult population suffers from occasional tension-type headaches.

Tension-type headaches, which used to be more commonly known as stress headaches, are the most common of the 300 types of headaches. These types of headaches are associated with muscle tension that could be caused by any number of things: poor posture, not getting enough sleep, stress and … jaw misalignment.

Jaw misalignment and having a bad bite can cause symptoms of temporomandibular dysfunction (TMD).

A complex series of muscles, ligaments and joints work together to keep the upper and lower jaws aligned and in balance. “When that alignment is off, the muscles and ligaments do their best to compensate, often needing to stretch, twist and torque to do so,” Samaha says. “This stretching and twisting causes pain triggers in the nerve endings of the head, neck and spinal column, even as far down as the lower back.”

A bad bite can cause many issues

Having a bad bite can make it painful simply to chew. Furthermore, if your jaws aren’t aligned properly, that could wear down or crack teeth, damage cosmetic dentistry such as porcelain crowns and veneers and cause issues with the temporomandibular joint (TMJ), which is the joint connecting your lower jaw to your skull.

If your jaw is in the wrong position, the muscles have to work a lot harder. They get tired easily, which can lead to muscle spasms. The more the muscles spasm, the more the pain increases. You may feel pain behind your eyes, in your sinuses or in your neck and shoulders.

You may grind or clench your teeth in your sleep, causing you to wake up with a headache. You may feel pain on the side of your face near your ears or in your cheeks. You may even have ringing in your ears, known as tinnitus.

This type of pain is called referred pain. It’s when pain originates in a part of the body that’s different from where it is felt. So a problem with the teeth — even with a single tooth — can refer pain to the head.

That’s what happened with Elise Fee, a patient of Samaha’s. Fee — a speaker, author and life coach who lives near Washington, D.C. — had been experiencing regular headaches for some time, but never knew what was causing them. A previous dentist never made the connection.

“Turns out I was clenching my teeth while sleeping and my bite was off — the combination was creating these ongoing headaches,” Fee says. “No wonder they weren’t going away.”

Even if you don’t have regular headaches, you could have a jaw alignment issue if your jaw locks, pops, clicks or deviates from side to side when you open and close your mouth, according to Samaha.

What can a dentist do?

“Sometimes we can begin to resolve a headache within 10 minutes with a simple, non-invasive device,” Samaha says.

Fee began wearing a custom-designed, very tiny sleep guard at night to keep her from clenching her teeth and was surprised when her headaches disappeared immediately.

Doris Thomas, another patient, experienced similar results.

She, too, had been living with headaches for years — waking up with them and having them linger throughout the day. A mouth guard immediately helped relieve her headaches; a full-mouth reconstruction gave her a beautiful smile.

SPONSORED CONTENT

“Dr. Samaha suggested the cause may be the way my jaw is aligned during my sleep, or that I may be grinding my teeth at night,” says Thomas, who is from Alexandria. “She fitted me with a very small device that prevents me from grinding and clenching my teeth in my sleep, and my headaches disappeared in one night. It’s the first time in years I did not reach for Motrin as soon as I got up.”

If a conservative method such as a custom-designed bite guard doesn’t work, more sophisticated care that a relatively small number of dentists are trained to perform may be called for, Samaha says.

If teeth are too far out of alignment, orthodontics or a complete reconstruction of the bite might be suggested.

“It is all depending on the dynamics of one’s bite,” she says. “More advanced techniques that include neuromuscular and structural analyses might be necessary in order to unravel the cause. Once the cause is discovered, a more advanced and strategic plan can be developed.”

Having had a holistic, biological foundation to her practice since 1982, Dr. Samaha uses the latest in technology and technique, allowing for simpler, more comfortable and comprehensive care that leads to healthier mouths and healthier bodies. Her practice emphasizes cosmetic, periodontal and reconstructive dentistry, with special attention to the growth and development of the mouth from birth through life, including the treatment of snoring and sleep apnea. Contact her at 757-223-9270 or visit her website at PWDentalArts.com.

Doris Thomas­— Dr. Samaha's patient

Before

After

If you experience one or more of these symptoms frequently, it could mean you have a TMD problem and should see a dentist.

• • • • • • • • • • •

Headaches Temple pain Pain around the ears, eyes, jaw joints or facial muscles Clenching or grinding of the teeth Neck, shoulder or lower back pain Pain upon opening the mouth or while chewing Clicking, popping or shifting of the jaw Uncomfortable or changing bite Worn down and/or chipped teeth Teeth or fillings that fracture Ringing of the ears

/ 17 / THEHEALTHJOURNAL.ORG

Redeem your This Won’t Make You Scream – it’s Good for You!

BY JOHN-MICHAEL JALONEN

ummertime and ice cream are linked in our memories. Whether it’s chasing down a neighborhood ice cream truck or trying hopelessly to out-lick a melting cone, ice cream is more than just a dessert for the end of the meal. It can often be sentimental.

Ice cream has roots going back to around 200 BC, when someone in China packed a rice-and-milk mixture into snow. What we know today as ice cream developed at some point in the 15th century in Italy and England. Since then, ice cream has conquered the world one scoop at a time as one of the most popular desserts on the planet. Americans now eat an average of 23 pounds of ice cream per year, according to the International Dairy Foods Association.

Like most other desserts, ice cream has a pretty steep downside from a health perspective. In its most commonly sold form it’s a mixture of milk, cream and sugar, along with additional ingredients. Some premium ice cream brands use whole milk in their recipes, but many use skim. However, almost all brands use whole-fat cream. When it comes to sugar content, an average half-cup serving of name-brand ice cream from the frozen foods aisle in your local grocery store contains around 15 grams of added sugar and anywhere from 7 to 17 grams of fat with 5 to 10 grams of saturated fat.

All in all, a single scoop of ice cream can account for half of your daily added sugar intake and just about 100 percent, if not more, of what your daily saturated fat intake should be. That’s why, for many, eating ice cream is either a rare occurrence or something that can make you bemoan your waistline.

If you want to beat the summer heat with a sweet treat that’s guilt-free — or at least relatively guilt-free — look no further. Here’s a few of the most popular and delicious ice cream alternatives you can find in the frozen foods aisle:

Halo Top Creamery Halo Top is the most popular of all the “healthy” ice cream brands. It was one of the first to truly go mainstream, after a 2016 Buzzfeed article advertising its great flavor and incredibly low calorie count went viral.

Halo Top ranges between 280 and 360 calories per pint and has one of the largest selections of flavors in the healthy ice cream market, including classics like vanilla, chocolate and mint chip, but also other varieties such as Peanut Butter & Jelly, Lemon Cake and Key Lime Pie. Some flavors also come in dairy-free.

THEHEALTHJOURNAL.ORG

/ 18 / FEATURE

Enlightened

Enlightened is unashamed of labeling itself as healthy. The brand is billed as “The Good For You Ice Cream!” and touts its low-sugar and high-protein content. Flavors carry fancy names such as Movie Night, Glazed Donut and Bananas Foster, along with classic staples and dairy-free varieties. Enlightened’s nutritional claims aren’t unfounded, as the brand does have less sugar, fewer calories and more protein than the other healthy ice creams. As far as taste is concerned, there’s not a distinguishable quality difference between Enlightened and others.

So Delicious So Delicious has specialized in dairy-free desserts for a long time and is finally coming into its own with the rise in popularity of and demand for dairy alternatives at the grocery store. So Delicious offers its healthy “ice cream” in frozen pints, bars and sandwiches made with coconut, almond, soy and cashew milks. Some of the most notable flavors are Salted Caramel Cluster (made with cashew milk) and the No Sugar Added Mint Chip (made with coconut milk). So Delicious even offers pints of flavors made with oat milk in some markets.

Skinny Cow Ben & Jerry’ s Moo-Phoria Light Ice Cream

If you’re a name-brand purist, you can’t go wrong with a pint of Ben & Jerry’s Moo-Phoria Light Ice Cream. Though there aren’t nearly as many fun flavors as in a traditional selection of Ben & Jerry’s pints, you can still get classic flavors like Cherry Garcia and Chocolate Milk & Cookies. The calorie, sugar and fat counts in Ben & Jerry’s aren’t nearly as healthy as other options on this list — each pint has nearly double the calories of similar brands — but considering that the average pint of regular Ben & Jerry’s is around 1,000 calories, it’s a much healthier choice. Plus, if you’re looking for the best taste in the healthy ice cream market, you can’t go wrong with Ben & Jerry’s.

Skinny Cow is another healthy alternative name brand that has been around for years. You’re most likely to find a variety of their light ice cream sandwiches and bars, though in some markets they offer pints as well. The nutritional value of these desserts isn't exceptionally different from brands like Ben & Jerry’s Moo-Phoria Light Ice Cream, but Skinny Cow offers the benefit of portion control with its bars and sandwiches. Skinny Cow also offers products with added protein and no sugar added, as well as a line of Greek yogurt-based bars. Its best offerings are Snickerdoodle sandwiches, Triple Threat Chocolate bars and the Oh La La Chocolate Truffle Bars, all with only 100 to 120 calories per serving.

Yasso

Arctic Zero

Arctic Zero has been on the market just as long as Halo Top and is available in most supermarkets with regular and dairy-free varieties.

Flavors include Peanut Butter & Cookies, Chocolate Chunk and Toffee Crunch, among others. Arctic Zero’s nutrition content is comparable to Halo Top, but Arctic Zero pints really should be eaten in one sitting because of their high potential for quick freezer burn.

Greek yogurt is generally regarded as a healthier food in comparison to regular yogurt. With a higher protein content and some fat-free offerings, Greek yogurt can be an essential part of a healthy, balanced diet. Yasso has taken Greek yogurt from the fridge to the freezer with its bars and pints, although most grocery stores only have the bars available. The bars are all made with frozen Greek yogurt, with flavors such as Butter Pecan, Black Raspberry Chip and Cookies n’ Cream.

Ranging from 80 to 130 calories per bar, Yasso is one of the healthiest and best-tasting ice cream alternatives out there.

Get LymeLiterate How one woman's 16-year wait led to a foundation that is dedicated to Lyme disease awareness

BY BETH SHAMAIENGAR

L

isa Najarian has Lyme disease, and every day is a test of her mettle.

Now 52, she estimates she’s had Lyme — a disease for which there is no cure — for 20 years. On any given day, she struggles with various debilitating symptoms, frequently multiple ones at once. It’s been a long and daunting journey, and if she preferred to now focus only on herself, on simply making the best of each challenging day, who would blame her?

Instead, Lisa has chosen a positive, proactive path to help others avoid the fate that befell her. The daughter-in-law of internationally known transplant pioneer Dr. John Najarian, Lisa is a resident of the Twin Cities in Minnesota — a region that’s No. 2 among the nation’s hot spots for Lyme infection — and in July 2018 she and her husband Pete launched the Twin Cities Lyme Foundation.

Lisa serves as executive director, and Pete, a CNBC commentator and former pro football player, is the foundation’s chief financial officer. Together they aim to raise awareness of Lyme disease and help potential Lyme patients obtain the correct diagnosis. Lisa herself waited 16 years to get confirmation.

“I think it’s in your head” Lyme disease, first identified in Connecticut in 1975, is caused by the bacterium Borrelia burgdorferi. There are 300 strains of Lyme globally, and more than 100 are found in the United States. Humans can become infected with Lyme after being bitten by an infected blacklegged tick, also known as a deer tick. Lyme disease has been recorded in all 50 states, with the most cases in East Coast states from Virginia north to Maine. The classic manifestation of an early, localized infection is an outwardly expanding rash called an erythema migrans — popularly known as a bull’s-eye rash.

Lisa’s first symptom turned up in 1999, when she awoke one day and couldn’t hear out of her left ear. She has no memory of a tick bite, or of any appearance of the bull’s-eye rash, but she was an avid gardener at the time. She didn’t know then what Lyme disease was or what symptoms it could initially cause.

THEHEALTHJOURNAL.ORG

Over time she developed other symptoms, including heart palpitations, vertigo, migraines and arthritis. She spent years visiting specialists as each new symptom appeared — an ear-nose-throat specialist (ENT), a cardiologist, a neurologist, a rheumatologist. At one point she even got a Lyme blood test, but it came out negative.

She later learned that many people with Lyme get a negative test result because the bacteria lie dormant in their bodies, but they respond to antibiotics in a way that indicates Lyme. Not until 2015 did Lisa receive her diagnosis.

“It was not uncommon for a doctor to simply say, ‘I think it’s in your head,’” she says of her years searching for answers.

Lyme affects the whole family Pete Najarian has seen firsthand — along with their daughter Lex, age 25, and son Kole, age 21 — how life-changing a Lyme diagnosis can be.

“It affects the whole family,” he says frankly, “and it changed [Lisa’s] ability to do a lot of things at home. It changed the dynamic in the house.” He remembers how, at one point, she was bedridden for weeks at a time.

Lisa’s taken three rounds of antibiotics since her diagnosis, and she could be taking multiple medications for her many symptoms, but she says emphatically, “I’m trying not to take everything!” She still cannot hear out of her left ear.

And just recently, she’s changed her approach. Her latest treatment regimen — nine months of taking two weeks of the antibiotic Tetracycline, then two weeks off, to attempt to kill the Lyme bacteria — “really ruined my gut,” Lisa says. “It was bittersweet, because it was killing the bacteria, but I felt so sick.”

In light of that, she’s halted any treatment for now, determined to regain her equilibrium with a comparatively simple approach focused on exercise, healthy eating and trying to stay stress-free.

While achieving that “stress-free” goal can be challenging under her circumstances, she does the best she can, focusing on positive efforts with her foundation.

/ 20 /

FEATURE

Helping patients find Lyme-literate doctors The foundation’s website (twincitieslyme.org) enables Twin Cities’ residents to assess their risk for Lyme and helps connect them to local doctors certified by ILADS, the International Lyme and Associated Diseases Society. Fundraising also helps provide grants for patients seeing those doctors. ILADS, based in Chevy Chase, Md., and founded in 1999, trains doctors to be “Lyme-literate,” as Lisa says, to accurately diagnose a disease with a huge range of symptoms that can be constantly changing over time. A certification by ILADS is regarded as the gold standard for physicians aspiring to correctly diagnose Lyme disease.

Dr. Jonathan Otten, a naturopathic physician in the Twin Cities who specializes in complex illness, has received patients through the foundation’s website, and now patients with tick-borne illnesses make up more than half his practice. Diagnosing Lyme is tricky, he says, because despite the assumption of many doctors, it relies chiefly on clinical diagnosis — a physical exam and medical history — rather than a blood test.

“I can see why well-intentioned physicians might send patients to specialists,” he says, “but the specialists aren’t really trained [to look for symptoms of Lyme disease], or they may simply think, ‘We’ve got a test for this.’ ” But current Lyme testing is very poor, Otten says, estimated to miss about half of the actual cases because the bacteria lie dormant. Lyme is also a great imitator, appearing under the microscope like many other diseases such as multiple sclerosis, fibromyalgia and ALS (Lou Gehrig’s disease).

Equally problematic is that Lyme symptoms are unique in each patient, according to Otten, because there are so many strains of the bacterium that cause Lyme and so many different tick-borne coinfections that can appear alongside it.

Lyme cases on the rise Otten believes Lyme is greatly underdiagnosed, and adds that, though doctors aren’t sure why, the bacteria seem to increasingly evade initial antibiotics. So diagnoses are on the rise.

Roughly 300,000 new cases are diagnosed every year — making Lyme more common than breast cancer, HIV and Hepatitis C — but estimates are that there could actually be over 600,000 cases identified every year if detection was better.

Oddly enough, Pete Najarian says, more and more children are being diagnosed with Lyme, and the majority of those cases are children who got it in utero from parents who didn’t know they had it.

“People are very unaware of how prevalent Lyme is,” Pete says. “My wife’s been really in front of it, trying to get that message out.” Pete and Lisa hope to wield their impact beyond Minnesota as fundraising allows.

Otten emphasizes that Lyme is an issue all over the world. “It’s got to be on your radar.”

FEATURE

Tips for Preventing Lyme Disease • Use chemical or natural repellents whenever you are outdoors.

• Avoid particular habitats, such as long grass, where ticks may hide.

• After outside activity, finish your day with a shower using a scrub-type cloth. This helps to slough off any clinging ticks before they become embedded.

• Some ticks can be as tiny as a speck of pepper, so be diligent when checking yourself or examining others.

• If a tick bites you, watch for the appearance of the bull’s eye rash, an outwardly expanding rash that indicates early Lyme infection. Note, however, that there are many atypical rash variations, and the majority of patients with Lyme disease have no recollection of a rash. Rashes may feel warm, but are typically painless. Often, early on, infected individuals will also experience flu-like symptoms including fever, chills, fatigue and muscle aches.

• If you suspect you may have Lyme, and especially if you know you've been bitten by a tick, find a Lyme-literate practitioner in your area, as they are experienced and educated by the International Lyme and Associated Diseases Society (ILADS, at www.ilads.org). Lyme disease is most easily treated in the very early days of the infection. If left untreated, the infection can spread to joints, the heart and the nervous system.

For more on Lyme disease, such as how to remove a tick, see: twincitieslyme.org bayarealyme.org globallymealliance.org

/ 21 / THEHEALTHJOURNAL.ORG

LACKEY CLINIC:

OFFERING FREE MEDICAL CARE TO THOSE INELIGIBLE FOR EXPANDED MEDICAID Yorktown facility provides free health care and medications to uninsured adults.

BY SHARI GANN

L

ackey Clinic has provided free medical, dental and specialty care services for uninsured adults in Williamsburg, James City County, York County, Poquoson and Newport News for almost 25 years.

When Virginia expanded its Medicaid coverage earlier this year, many of the Yorktown clinic’s long-term patients became eligible for the government-subsidized program, according to Amber Martens, the clinic’s director of Eligibility and Community Outreach.

Contrary to the belief of many, however, the expanded Medicaid coverage still left thousands of Virginians without any health insurance at all. Even with Medicaid expansion, there are still more than 300,000 adults statewide who have no health insurance, Martens says.

“With the continued rise in health-care costs and the lack of real income growth for lower- and middle-income workers, more people than ever may lack the financial resources to afford insurance or to pay for even basic medical expenses,” Martens says.

Clinics such as Lackey strive to serve those who remain uninsured and fall into a health care gap because they make too much money to qualify for Medicaid but can still not afford health insurance, Martens says. Many are working in food service, retail, construction, or the hospitality industry or are self-employed or contract employees.

“Everything has changed — I can now jump, kick, walk upstairs and live my life without feeling tired every day. I feel like I have a new body and a new lease on life. I don’t know where I would be today without the help from the Lackey Clinic. I think I would have just kept going on with my old life, experiencing pain and lack of energy — I’d probably just maintain to get by. And that’s not how I’d like to live my life. It’s been a blessing to come here, as I feel I’ve received excellent care and gotten my life back on track. They don’t charge for their services; however, I make a donation each time I come for an appointment. I know it’s not much, and it’s not required, but it’s my way of saying “thank you.”

— Toni, Lackey Clinic patient

Take patients such as Doug, who calls the clinic the “best place I’ve ever been to get medical care” in his life. “I’ve always been treated well here, regardless of my situation,” says Doug, 58, who has been a patient there for 10 years. “Dr. [Ralph] Robertson always says he’ll help me figure things out.”

As part of the health safety net in our area, Martens says, Lackey’s goal is to reach out to those stilluninsured individuals to welcome them to use the clinic as their medical home. In addition to providing a family doctor, Lackey offers specialty care, dental care, medication assistance and behavioral health services. The clinic also has charity care agreements with all three local hospital systems — Riverside, Sentara and Bon Secours — to provide lab work, diagnostics and surgeries, if needed.

Through a grant from the Virginia Healthcare Foundation, in partnership with the Williamsburg Health Foundation, Lackey Clinic has been able to give over $11 million worth of free and low-cost medications to its patients during the past fiscal year.

“At Lackey Clinic, we put the care in health care for thousands of uninsured patients on the Peninsula,” Martens says. “For many in our community, Lackey Clinic literally can be a lifesaver — a place to find care and restore dignity and hope.”

Federal poverty levels The clinic will continue to serve area adults who: • Have no medical insurance.

• Are not eligible for Medicare, Medicaid or veteran’s benefits.

• Have lived in the United States for at least one continuous year.

• Have income between 139 percent to 300 percent of the U.S. poverty level. Below 138 percent poverty level qualifies for Medicaid.

• Live in our service area which includes: Newport News, York County, Williamsburg, Poquoson and James City County.

Size of Household 1 2 3 4 5 6 7 8 9 10

138%

300%

$17,236 $23,336 $29,435 $35,535 $41,635 $47,734 $53,834 $59,993 $66,033 $72,133

$37,470 $50,730 $63,990 $77,250 $90,510 $103,770 $117,030 $130,290 $143,550 $156,810

For those who are without insurance and need health care, Lackey Clinic is holding a “Share the Care” open house on July 25 from 3 to 7 p.m. Visitors can tour the clinic, meet doctors, dentists, pharmacists and staff, and sign up to become a patient. There will also be raffle prizes, free food, Ben & Jerry’s ice cream and live music.

To become a new patient or for more information about Lackey Clinic, visit lackeyclinic.org or contact Amber Martens, director of Eligibility and Community Outreach, at AMartens@lackeyhealthcare.org or 757-886-0608, ext. 252.

Thanks to the sponsors for making this event possible: Virginia Association of Free and Charitable Clinics, RX Partnership, Riverside Health Systems, Health Journal, Ben & Jerry’s – Yorktown Riverwalk Landing and WATA.

SPONSORED CONTENT

/ 23 / THEHEALTHJOURNAL.ORG

OUTBREAK: What You Need to Know About the Measles Virus

LAST YEAR, ACCORDING TO THE CDC, OUTBREAKS IN NEW YORK AND NEW JERSEY WERE ASSOCIATED WITH TRAVELERS WHO BROUGHT MEASLES FROM ISRAEL, WHERE THERE IS A LARGE OUTBREAK.

BY DAVID TUTTLE

O

ver the past few years, measles has become ubiquitous with another word: panic. In America, there have been more than 1,000 reported cases of measles in 28 different states this year, with enormous effects on many communities throughout the country.

But why is this all happening now? Why has measles made such an abrupt and noticeable return after having been declared eliminated from the United States in 2000? The Centers for Disease Control (CDC) says the number of measles cases is at the highest level in 27 years.

THEHEALTHJOURNAL.ORG

What Is Measles?

To start, let’s first understand the subject at the center of this discussion, the measles virus. Measles, or rubeola, is a highly contagious viral infection that starts in the respiratory system. The virus spreads through the air, normally through a cough or a sneeze.

Because of this relatively simple pathology, an unvaccinated person has a 90 percent chance of contracting measles if he or she is near an

/ 24 /

FEATURE

infected person. It generally takes 10 to 14 days for the appearance of symptoms, which can include cough, runny nose, inflamed eyes, sore throat, fever and a red, blotchy skin rash. Complications are usually much more severe in infants and young children, as well as in people who are immunocompromised.

“It's one of the most contagious infectious diseases,” says Dr. Nipunie Rajapakse, a pediatric infectious diseases specialist at the Mayo Clinic. “Measles infection is spread through the airborne route, which means you have to inhale the infectious virus. And because it is very tiny droplet nuclei, those can remain suspended in the air for up to two hours after someone with measles has left an area.”

Left untreated, measles can cause severe health complications, such as pneumonia and encephalitis, which is swelling in the brain and can lead to permanent brain damage. The CDC estimates that 1 in every 20 children who contract measles will also get pneumonia, which is the most common cause of death in young children with measles.

Before a vaccine was developed and made available to the public in 1963, nearly everyone got the measles. In 1971, a combination vaccine — the MMR — was released to protect against measles, mumps and rubella. Today, it’s the vaccine most often associated with measles.

Spreading Across The Country Currently the measles outbreak is mostly concentrated in parts of New York, New Jersey, Michigan and Washington. Areas such as New York's Rockland County and New York City, where there was an outbreak in Brooklyn’s Orthodox Jewish community, have even declared states of emergency. However, there are measles cases all throughout the U.S., posing the threat of an even greater outbreak should the virus continue to spread.

So what is causing this outbreak of measles in the United States?

The most likely culprit would be an unvaccinated individual who traveled out of the country and contracted the measles virus. Because measles has an incubation period of 9 to 12 days, it’s feasible that one wouldn’t know he or she had contracted the disease until back in the States. Once back home, any unvaccinated individual that the contagious person came in contact with could catch the disease, further spreading it.

Last year, according to the CDC, outbreaks in New York and New Jersey were associated with travelers who brought measles from Israel, where there is a large outbreak. Europe, meanwhile, is in the middle of its own measles epidemic, with over 34,000 reported cases in 42 different countries in just the first two months of 2019, according to the World Health Organization (WHO).

It’s been shown that measles can be a plane ride away. Last month, a child contracted measles while out of the country and returned through Dulles International Airport, prompting a health advisory in Northern Virginia to locate people who might have been exposed. It wasn’t clear at the time whether the child had been vaccinated.

The Need For Herd Immunity The rise of anti-vaccination movements and the plethora of states that have personal exemption laws regarding vaccines have contributed to America’s inability to achieve herd immunity against measles. Herd immunity is the principle that 100 percent of a population does not need to be immunized if the vast majority of a population is vaccinated and immune to a particular disease. Then, there’s no way for the disease to travel if introduced into the community.

“When measles is imported into a community with a highly vaccinated population, outbreaks either don’t happen or are small,” says Nancy Messonnier, the director of CDC’s National Center for Immunization and Respiratory Diseases. When measles shows up in a community with low vaccine coverage, “it is difficult to control the spread of disease.”

The less infectious a disease, the lower the vaccine coverage needed for herd immunity. Herd immunity is of great importance to public health since there are certain subsets of the population who cannot be immunized for either medical or religious reasons. For a tremendously infectious disease such as measles, a vaccination rate of around 92-95 percent is the minimum required for herd immunity, according to the CDC. As of 2016, according to the CDC, the U.S. was at 91.1 percent of

"THE MMR VACCINE IS VERY SAFE AND IS 99 PERCENT EFFECTIVE AT PREVENTING MEASLES WHEN GIVEN IN TWO DOSES.”

FEATURE

—Dr. Joseph Baust Jr. young children immunized. While this number seems high, it does not reach the minimum recommended percentage of immunized children to achieve herd immunity, something that is very likely contributing to the outbreak that the U.S. is currently experiencing.

For children who can’t be vaccinated, getting the measles “can be fatal or wind up causing serious complications,” says Dr. Yvonne Maldonado, a pediatric infectious disease expert at Stanford University School of Medicine. “That’s a real fear for [these] families.”

How Should People Protect Themselves?

Even if someone has received a measles vaccine, one dose is only 93 percent effective at preventing the disease, says the CDC. A booster can be administered to increase the effectiveness even more. Boosters work in the same way that vaccines work, re-exposing people to the disease so that they are able to create more antibodies to fight the disease should they come into contact with it. The American Academy of Pediatrics (APP) recommends that children receive two doses of the MMR vaccine between ages 1 and 6.

However, the effects of vaccines can lose their potency in the body over time. Antibodies that were created when the vaccine was first administered can die off over the years so their levels are lower. By

/ 25 / THEHEALTHJOURNAL.ORG

receiving a booster, individuals can increase their chances of staying healthy in a measles outbreak by ensuring that their body is well equipped to fight measles.

“A third dose of [MMR] vaccine isn’t going to harm you,” says Dr. Joseph Baust Jr., a pediatrician at TPMG James River Pediatrics in Newport News, Va. “Probably the largest factor we're fighting is misinformation. According to the Red Book, a leading text on pediatric infectious diseases, the MMR vaccine is very safe and is 99 percent effective at preventing measles when given in two doses.”

The best course of action is to not travel to areas where there are recent documented cases of measles, especially if travelling with an unvaccinated individual. Places like Western or Southern Europe where the outbreak is not as prominent, or states such as Maine, South Carolina or Hawaii where no measles cases have been reported are safer choices than others.

Additionally, experts say, unless a medical condition prevents it, receiving the proper, recommended vaccinations is an important step to ensure that the measles outbreak, and any other potential preventable, infectious disease outbreak, spreads as little as possible.

“We cannot say this enough,” U.S. Health and Human Services Secretary Alex Azar said in June when the number of cases hit 1,000. “Vaccines are a safe and highly effective public health tool that can prevent this disease and end the current outbreak.”

Do I Need a Measles Booster?

If you were born before 1957, probably not. The majority of people born before 1957 are likely to have been infected naturally and are presumed to be protected against measles, mumps and rubella.

Additionally, those who have documentation of receiving LIVE measles vaccine in the 1960s do not need to be revaccinated.

If you were born after 1957, you don’t need a booster if you have evidence of immunity that includes: • one or more doses of a measles-containing vaccine on or after the first birthday for preschool-age children and adults not at high risk for exposure and transmission.

• two doses of a measles-containing vaccine for schoolage children and adults at high risk for exposure and transmission, including college students, healthcare personnel, international travelers and groups at increased risk during outbreaks.

If in doubt, talk to your doctor. Blood tests can check your immunity, and there is no harm in getting a booster even if you are immune.

Source: Centers for Disease Control

Hybrid Operating Room brings doctors to the patient

BY KIM O'BRIEN ROOT

Dr. Joseph Piotrowski, left, and Dr. Ernest Zichal show off the new hydrid operating room at Riverside Regional Medical Center.

A

new operating room at Riverside Regional Medical Center not the sterility standards of a traditional operating room. only represents the latest in cutting edge medical technology, “Sometimes, vascular diagnosis is pretty complicated,” says Dr. Ernest but also means the Newport News, Va., hospital can offer more Zichal, a vascular surgeon at Riverside. “There are cases where you don’t to its patients. really know what you have until you start with an angiogram.”

The new OR is uniquely designed as a hybrid, meaning that An angiogram is a test that uses X-rays to look at blood vessels. It’s doctors can seamlessly switch between specialties — vascular to done by delivering dye through a catheter into the arteries, which cardiac — during a single procedure without having to leave the makes them visible on the X-ray. room. Basically, doctors travel to the patient and not the other way With the new, multi-million dollar imaging machine, doctors can around, which means increased efficiency and ultimately, better take X-rays right in the OR without having to bring in an extra unit. patient outcomes.

The equipment features a huge, robotic arm that can move in multiple Designed for higher-risk vascular procedures, the room allows directions in order to capture images while a patient is lying on the table. doctors to be able to operate right there if a minor case turns serious The imaging machine is also tied into the mapping system used by the in a hurry, rather than having to move the patient to a separate doctors to visualize the veins, arteries and heart on a television screen. operating room. Everything needed is right there, including new, The way the X-rays are taken with the new machine — a pulsating state-of-the-art imaging equipment that allows surgeons to better vs. continuous beam — also means less radiation exposure for the visualize their field. doctors and the patients. So it’s “This is top of the line,” Additionally, the room Riverside is the only hospital on the Peninsula to have safer. says Dr. Joseph Piotrowski, a features a new lighting system vascular surgeon at Riverside.

— some of the lights can be a cardiac and vascular hybrid operating room.

“Before this, we couldn’t turned to green — which allows offer the same services the for a clearer, sharper image of bigger centers do. Now we’re equivalent to them in every way.” the X-rays on the screen.

Many vascular procedures, such as cardiac catheterizations and The hybrid OR took about a year to put together as a $9-million balloon angioplasty, typically take place in a catheterization laboratory project for Riverside. It involved the transformation of a former — usually referred to as a cath lab. A cath lab has diagnostic imaging equipment storage room and the purchase of the ARTIS Pheno equipment that doctors use to visualize the arteries and chambers of imaging system. The room went into use in May. the heart before treating any abnormalities they find.

It didn’t take long for the room to prove its worth. Shortly after Sometimes, however, what starts as a routine cath lab case — the room went operational, Zichal said they had a case in which a minimally invasive procedures that involve a thin, hollow tube called patient’s splenetic artery ruptured during a procedure. If he hadn’t a catheter being threaded through a vein that leads to the heart — been in the hybrid OR, the patient would have to have been quickly turns serious. That’s when a patient has to be rushed to an OR for moved and prepped for surgery. surgery. It can eat up precious time to make sure the OR is ready and “He was bleeding to death at that time, essentially,” Zichal says. all the necessary specialists are in place.

“We were able to keep working while they got anesthesia in and then With the new hybrid OR, it can all be done in one place. If do surgery.” a vascular team has a patient who suddenly needs surgery, an Riverside hopes that eventually, the hybrid OR can be used for anesthesiologist and cardiac team can swoop in. The room meets all even more advanced cardiac procedures.

ADVANCES IN MEDICINE

/ 27 / THEHEALTHJOURNAL.ORG

THEHEALTHJOURNAL.ORG

/ 28 / LIFESTYLE

BURNOUT SYNDROME It's now a medical disorder, says the World Health Organization

BY MIKE VERANO

I

n what could be a game-changer for the workplace, the World Health Organization (WHO) recently designated burnout as a medical disorder.

Burnout, as defined by the International Classification of Diseases (ICD-11) — WHO’s handbook to guide medical providers in diagnosing diseases — is “a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed.” A diagnosis may be made if someone shows one of three symptoms: • Feelings of energy depletion or exhaustion • Increased mental distance from one’s job, or feelings of negativism or cynicism related to one's job • Reduced professional efficacy For many stressed-out workers, this will be met with sighs of relief and nods of “yeah, we knew that.” Others will invariably

workers saw no distinction between stress and hard labor. The Protestant work ethic guaranteed heavenly rewards to those who toiled and abhorred idleness. When the work culture shifted toward the self-fulfillment model, workers began to calculate the cost of one’s career by more earthly measures of satisfaction, monetary gains and access to free time.

One of the fallouts of the new work paradigm has been a grail-like quest for the stress-free job that ends not with a medical condition but the contentment of a hammock swinging in the breeze — retirement. Certainly one of the contributing factors to “increased mental distance from one’s job” is the habitual retreat to one’s “happy place” when the new job turns out to have old problems.

One has to wonder if, in response to the disease of burnout, all workplaces will have to post a Surgeon General’s warning: “Quitting your job now greatly reduces serious risks to your

Many struggling workers will simply add burnout to the ever growing list of personal ailments that come with aging, along with hair loss, weight gain and the desire to watch cable news. see this as yet another sign of a “soft” generation that turns everything into a disease to be treated with medication.

Somewhere between the assurance that the medical community gets it and the dismissive “here we go again,” there are real challenges created by moving burnout out of the category of an occupational hazard into the realm of a diagnosable syndrome.

Some of the obvious questions that are sure to arise include: • Who is most likely to get it?

• Is it contagious?

• Is there an antidote?

• Does it count as a disability?

The mental health field routinely describes burnout as one end of a continuum of responses to work overload. Trainings, books, manuals, etc., preach both prevention and treatment. Like many other mental health concerns, burnout has been a moving target — often self-diagnosed and then confirmed by a therapist after listening to an exhausted worker describe the job from hell. The prescription will usually be a combination of quality time away from the office, supporting the development of appropriate boundaries and developing the resiliency muscle.

Acknowledging burnout as a disease opens a Pandora’s Box that most weary workers would just as soon keep the lid on — what do I do if my job is killing me? Previous generations of LIFESTYLE

health.” Perhaps there will even come a day when an enterprising pharmaceutical company creates a patch that helps wean one off the need to work for a living. Until that time, many struggling workers will simply add burnout to the ever growing list of personal ailments that come with aging, along with hair loss, weight gain and the desire to watch cable news.

The future treatment model for burnout remains unclear at the moment. What is certain is that going cold turkey from work, in the absence of hitting the lottery, is not an option for most workers. Perhaps the solution lies, as is so often the case, in the middle ground of treating stress symptoms as they arise, redefining career success, replenishing energy reserves through meaningful leisure activities and refusing to feed the spiral of cynicism.

As an employee-assistance professional who daily hears from stressed-out workers from all walks of life, I applaud WHO for drawing attention to what I often see and hear on a regular basis.

Undoubtedly, this will assist those who have long searched for a way to frame their work experience. Whether or not this leads to organizations shifting their focus from their product to their people remains to be seen. Encouragingly, the current trend toward worker-engagement surveys suggests that the age-old adage of “a happy worker is a productive worker” is alive and well. And it just got a big shot in the arm from health professionals.

/ 29 / THEHEALTHJOURNAL.ORG

Advanced Pain Relief Advanced Whether it’s back or neck pain, joint pain or arthritis, we can help you!

Painless Painless Non-Invasive Non-Invasive Side-Effect Side-EffectFree Free Researched Researchedand andPROVEN! PROVEN! Scientifically proven to be effective, ourour laser therapy Scientifically proven to be effective, laser therapy techniques provide soothing relief of chronic pain from techniques provide soothing relief of chronic pain from arthritis, degenerative disc conditions, nerve pain, radiating arthritis, degenerative disc conditions, nerve pain, radiating pain, intervertebral disc problems and muscle pain. pain, intervertebral disc problems and muscle pain.

This therapy has been cleared by the FDA and penetrates deep into the tissues to accelerate new cellhas growth repair by tissue.

This therapy beenand cleared the FDA and penetrates deep into the tissues to accelerate new cell growth repair tissue. swollen areas and can even cause new This technology reduces scarand tissue, reduces growth of capillaries which speeds up the This technology reduces scar tissue, reduceshealing swollenprocess. areas and can even cause new growth of capillaries which speeds up the healing process.

Williamsburg Laser Therapy Center

Wade Quinn, DC Williamsburg Laser Therapy Center

1318 Jamestown Road, Ste 102 | Williamsburg, VA 23185

Wade Quinn, DC

253-1900 253-1900

1318 Jamestown Road, Ste 102 • Williamsburg, VA 23185

Put your best face forward

Come and find out how...

Join us for a

Botox, Filler and Skin Health Care Session with Dr. Guarnieri September 19th, 6-8:30 p.m. light refreshments served RSVP required seating is limited

Dysport | Botox® | Kybella | Vipeel Facial Veins | Diet and Your Skin | Voluma Restylane | Juvederm | Sculptra®

Johnstuart M. Guarnieri, M.D. Board Certified Plastic Surgeon Yale University School of Medicine

WILLIAMSBURG

"Every Body is Born Beautiful."

Plastic Surgery 757.345.2275

williamsburgplasticsurgery.com 333 McLaws Circle, Suite 3, Williamsburg, VA 23185 TRAVEL FOR WELLNESS

Tampa: Relaxation, fitness & wildlife on Florida’s West Coast

BY TERESA BERGEN

A

n alligator swims in front of the canoe — just his snout, eyes and ridged back visible above the waterline — then silently slips beneath the surface. A roseate spoonbill and an anhinga flap their wings and thrust their necks, fighting for a coveted spot on a branch, while brown water snakes, wrapped around a branch jutting into the river, relax in the sun.

“We always tell people you’re visiting their home,” says canoe guide Mike Cole as he deftly paddles the canoe down the Hillsborough River. Cole grew up in these woods. He knows that the green heron sometimes plucks its own emerald feathers to use as fishing lures, and that a normal alligator is more afraid of a human than vice versa.

It’s hard to believe this remote setting is only 20 minutes from the bustling business, entertainment and cultural center that is Tampa.

Outdoor Tampa Some destinations lure visitors with mountains or rock formations.

The Tampa area has water, sun and city amenities. It’s a fun, vibrant city with the optimism a growth spurt brings.

Tampa’s revitalization centers on the Hillsborough River. The Riverwalk stretches 2.6 miles, connecting hotels, the Tampa Museum

TRAVEL FOR WELLNESS

of Art, restaurants, the Straz Center for the Performing Arts and a series of parks. Locals and visitors love the Riverwalk, which is clean and well-lit at night. Joggers and dog walkers enjoy the river views while getting some exercise, or people can mount one of the ubiquitous blue bikes from the Coast Bike Share program.

Tampa takes advantage of its warm weather by offering lots of outdoor fitness classes — from yoga to Zumba to bootcamp — in various parks. Armature Works, a converted streetcar barn which is now a bustling food market, regularly hosts free yoga classes in its courtyard. Curtis Hixon Waterfront Park offers free exercise classes five evenings per week.

Folks who yearn to get on the river can rent kayaks and stand-up paddleboards. “You get a different perspective from the water,” says Aida Perez, manager of Urban Kai, one of the rental shops along the Riverwalk. “You get that feel of a really live and active city when you’re paddleboarding on the river.”

While people occasionally spot small alligators in Tampa, they can see a lot more — a whole lot more — by taking the 20-minute drive to Thonotosassa. “When people come to Florida, they typically want to see an alligator,” explains Cole, Canoe Escape’s general manager. In a two- to four-hour paddle, people usually see 30 to 50 gators.

/ 31 / THEHEALTHJOURNAL.ORG

A Manatee Excursion For a less toothy wildlife encounter, drive 78 miles north of Tampa to Crystal River, known as manatee central. In winter, when water temperatures in the Gulf of Mexico drop, manatees swim up the seven-mile river to Kings Bay. There, more than 1,000 springs regulate the temperature, making it a winter haven for these enormous marine mammals.

Florida is the only place you can legally swim with manatees in North America. Several outfitters offer boat tours for snorkel adventures.

Captain Ross Files, who works for the Plantation on Crystal River, has been leading trips for 12 years. Before boarding his boat and setting out, participants watch a short film on the basics of passive observation — no pursuing, grabbing, bothering or riding the manatees.

When Files spots a likely place, the adventurers don masks and snorkels and quietly slip into the water. Manatees are gentle, sensitive creatures who loathe splashing, so everyone is reminded to swim with their hands and feet under water. It’s a bit of a challenge to stay still when a creature that looks like a 2,000-pound potato with flippers and a small head silently rises from the murk straight toward you, but it’s an awesome experience that will thrill almost anyone.

THEHEALTHJOURNAL.ORG

/ 32 /

TRAVEL FOR WELLNESS

Sleeping, Eating and Relaxing The Tampa Marriott Water Street recently unveiled its new Stay Well rooms. Located on the 15th floor, some have spectacular river views and all feature extra comfortable mattresses. Unusual amenities include an air purification system and circadian lighting that guests can set to different modes to induce relaxation, energy or play. The Stay Well vitamin-infused showers promise softer skin and hair.

The Epicurean Hotel’s Spa Evangeline specializes in customized massages for couples.

Receptionist Jade Kirsh recommends a private soak in a two-person Jacuzzi followed by side-by-side massages with agave scalp rubs, plus champagne or wine.

For fresh Vietnamese food, including vegetarian pho and salad rolls made on the spot, try Bamboozle. Dixie Dharma serves vegan Southern food inside Armature Works. Located in the former cigar-making neighborhood called Ybor City, the Columbia Restaurant takes up a whole city block, serves Spanish food and features thousands of beautiful handmade tiles. For vegan treats, Sweet Soul engineers creative — and nutritious — soft serve in flavors like vanilla bean charcoal and coconut algae.

If you visit the more laid-back town of Crystal River, the Plantation is a resort with something for every family member, whether they like golf, kayaking, lounging at the poolside tiki bar or shopping for manatee souvenirs in the gift shop. For Citrus County’s best restaurant, head 10 miles down the road to Katch 22 in Lecanto.

If You Go Fly into Tampa International Airport, which consistently wins awards for being one of the country’s best. If you’re confining your visit to Tampa proper, it’s easy to get around by walking, free streetcar and rideshare. If you want to explore further afield, rent a car. Tampa promises year-round fun, but if you want to see manatees, plan your trip for winter.

Dog Days of Summer

How to keep our furry friends cool on the hottest days

BY KIM O'BRIEN ROOT Let’s face it, our pets probably enjoy the air-conditioning as much as we do. When it heats up during the summer months, our furry loved ones are just as at risk of dehydration and heatstroke as the rest of us. Here are some tips on keeping them cool.

For all pets

Make sure they have plenty of fresh, clean water. Check your pet’s water bowl regularly and fill it up whenever it’s low.

Never, ever leave pets in a parked car, even with the windows cracked.

For dogs

• Offer an ice pack or wet towel to lay on.

• Add ice cubes to the water dish.

• Set up a hard plastic kiddie pool outside and fill with shallow, cool water.

• Create shade in the yard by stringing up a tarp between two trees.

• Take a collapsible water dish on your walks.

• Replace a portion of their regular diet with canned food.

• Avoid letting dogs walk on hot pavement — it can burn their feet.

Consider booties to protect their pads and insulate their toes.Tip: To see if the pavement is too hot, hold the back of your hand to it for 7 seconds. If you struggle to keep it there, it’s too hot.

• Early morning or evening playtimes, exercise and walks are best. Be especially careful with pets with white-colored ears, who are more susceptible to skin cancer, and short-nosed pets, who typically have difficulty breathing.

• Give your dog some homemade frozen treats. (see recipe below)

Signs of heatstroke in dogs Symptoms of heatstroke in dogs include raised temperature (101.5° is normal), glazed eyes, rapid breathing and panting, excess salivation and thickened saliva, fatigue or depression, muscle tremors, a deep red or purple tongue and staggering.

Frozen Dog Treats You’ll need silicone baking molds (bone or paw shapes are cute) or simply use ice cube trays.

Peanut Butter: Blend together 4 ounces of peanut butter, 3 ounces of water and 2 ounces of plain yogurt. Pour into molds and freeze. Try substituting pumpkin or sweet potatoes for peanut butter.

Blueberry: Whisk together 4 ounces of plain yogurt and 4 ounces of water, pour into molds until partly filled. Add blueberries and freeze.

Try substituting blueberries with chopped green beans or apples. You can also blend the ingredients for a smoother consistency.

Note: If using peanut butter, make sure it doesn’t contain the sweetener xylitol, which is poisonous for dogs.

Summer gear for your pets Green Pet Shop Self-Cooling Pet Pad

This pad is weight-activated, so it knows when to start the cooling process. Available at Chewy.com.

K9 Chill Dog Cool Collar

Moisten with water and this collar will keep your dog cool for hours.

Available at Amazon.

TRIXIE’s Splash Pool

Use for a pool, bathtub or cooling spot. Folds flat. Available at Walmart.

THEHEALTHJOURNAL.ORG

/ 34 /

LIFESTYLE

Compound:

For cats:

• Ensure outdoor cats have a shaded spot — if there are no naturally occurring spots, create one by placing some cloth or cardboard over an area to keep the sun out.

• Brush your cat daily to prevent matted hair from trapping heat.

• Use damp towels to cool down your cat, gently stroking their heads and down their back.

• Keep your cat calm from running around too much on hot days, so it won’t become exhausted and dehydrated.

• Create a cool, indoor retreat. Place a cardboard box on its side, line it with a breathable fabric such as a cotton towel, and place it somewhere cool and quiet in the house.

• Put a few ice cubes on the floor so they can chase them as they scatter around the floor. Tip: Flavor water with a little chicken stock before freezing.

• Close the curtains or blinds to keep the sun out.

Installation by Matt Lively at Linda Matney Gallery June 11th - August 17th

Signs of heat stroke in cats

Symptoms of heat stroke in cats can include agitation, stretching out and breathing rapidly, extreme distress, skin hot to the touch, glazed eyes, vomiting and drooling.

If you’re at all worried about your pet, contact your vet immediately.

Musher’s Secret Paw Protection Balm

This research-based contemporary gallery develops collaborative art projects with international and American artists. They specialize in strategic services for corporate and private collectors See us at Current RVA 2019. Walk-in for a preview Thursday-Saturday 11am-5pm or call (757) 675-6627. First 15 who visit will receive a free print from our Annex Collection.

Vitamin E-infused moisturizer for paw pads heals wounds and acts as a barrier against heat/snow/ice. Available at Walmart.

SwimWays Paddle Paws Dog Pool Float

Pet-friendly float lets your dog float by your side in the pool. Available at Walmart.

RUFFWEAR Grip Trex

Durable shoes to take your dog hiking can also be used to protect their paws from hot pavement. Available at Amazon.

Sources: vets-now.com, rover.com, humanesociety.org

Linda Matney Gallery specializes in strategic services for corporate and private collectors, team building, and the facilitation of art exhibitions and acquisitions in public and private settings.

For information on exhibitions and events: 757 675 6627 ExhibitLocal.com

Low-impact Exercises for a Healthier You

BY KAT BRANCATO

Whether you are beginning a new exercise routine or have to start with a gentle workout due to health conditions, low-impact exercises can give significant results. The following exercises can help tone, build endurance and burn calories without additional strain from high-impact workouts.

> Yoga > Pilates

There are many styles of yoga to choose from. You can begin with less strenuous forms such as Hatha or Iyengar.

As you become more flexible, you can try styles such as Power Yoga and Ashtanga to increase muscle tone and strength. Yoga can help you:

Pilates has a variety of styles and equipment to choose from. You can begin with simple mat Pilates and move on to utilizing equipment to increase difficulty, strength and flexibility. Pilates health benefits include:

• Increase flexibility • Improve posture • Increase strength • Lower blood pressure • Reduce stress • Boost mood

• Increased core strength • Improved flexibility • Reduced chronic pain • Increased focus • Boosted brain power A study done in Brazil found that women participating became 19 percent more flexible after 20 Pilates sessions.

Studies have shown that after completing yoga programs, people showed improved mental health and experienced less stress, anxiety, fatigue and depression.

> Walking A simple, yet powerful, low-impact exercise is walking. You can enjoy the outdoors or use a treadmill to reap substantial health benefits. Walking 30 minutes a day can help: • Reduce body fat • Decrease heart disease • Improve lung health • Increase endurance • Improve circulation • Boost energy • Reduce joint pain Walking is a great way to start a regular exercise routine without expensive equipment, and you can do it anywhere.

> Swimming Swimming is the ideal low-impact exercise. You use your entire body, and it is one of the few exercises that doesn't stress the skeletal system.

The water supports the body’s weight and is perfect for people with injuries or who struggle with other fitness routines. Regular swimming:

> Cycling Cycling can burn mega calories. You can burn anywhere from 400 to 1000 calories in a onehour session. Studies have shown that cycling can reduce your risk of heart disease and cancer by as much as 50 percent. Cycling has been shown to:

• Improves flexibility • Tones muscles • Increases lung volume • Boosts endorphins • Burns calories Swimming burns 400 calories or more an hour with even a low- or moderate-lap routine.

• Increase stamina • Improve cardiovascular health • Improve flexibility & mobility • Reduce stress • Build & tone muscle • Reduce body fat Cycling is a perfect outdoor workout. You can go to the park, ride in your neighborhood or hit some trails. For rainy days you can utilize a simple stationary bike and still burn a ton of calories.

Remember, something is better than nothing. You can pick your favorite low-impact workout or rotate between all five to get maximum health benefits. Switching things up can keep you from getting bored with your fitness routine and help you get healthier.

LIFESTYLE LIFESTYLE

/ 37 / THEHEALTHJOURNAL.ORG

H

t o

a D

s y

Hot, steamy days call for cold soups! We asked Chef Angelique Santana, author of the vegan cookbook “food is love: there are no rules in food and love,� to share some healthy soup recipes that are sure to satisfy your belly this summer. All recipes are vegan.

Carrot Orange Ginger Spice see page 40

Carrot Orange Ginger Spice

Lemony Asparagus Soup

3 cups water or vegetable broth 1/2 cup, fresh-squeezed lemon juice 2 cups orange juice, squeezed 1/2 cup yellow onion, chopped

1-2 cups water or vegetable broth 1 pound asparagus, chopped

1 cup red bell pepper, chopped 1 pound carrots, chopped 1 tablespoon ginger, grated 1 teaspoon cumin Salt, to taste Add liquids to a high-speed blender first, then add remaining ingredients and blend until thoroughly combined.

Chill and serve.

1/2 cup yellow onion 1 clove garlic, minced 1/2 teaspoon sea salt Black pepper to taste Add liquids to a high-speed blender first, then add remaining ingredients and blend until thoroughly combined.

Chill and serve.

Taste Appeal

Red Pepper Gazpacho 2 cups red bell pepper, chopped 1 pound heirloom tomatoes, chopped 1/2 cup red onion, chopped 1/2 cup cilantro, chopped 1 tablespoon lime juice, squeezed 1 jalapeno, seeded and chopped 1 clove garlic 1/2 teaspoon sea salt 1/4 teaspoon black pepper Add liquids to a high-speed blender first, then add remaining ingredients and blend until thoroughly combined.

Chill and serve.

Cucumber-Mint Gazpacho 2 pounds cucumber, peeled and chopped 1 cup fresh mint 2 tablespoons fresh-squeezed lemon juice 1 clove garlic, minced 1 teaspoon sea salt Add liquids to a high-speed blender first, then add remaining ingredients and blend until thoroughly combined.

Chill and serve.

Let's Eat, Hampton Roads! << our go-to dining guide

1

4 5

7

1 2

Waypoint Seafood & Grill 1480 Quarterpath Rd. Williamsburg, VA 23185 757-220-2228 waypointgrill.com

3

Repeal Bourbon & Burgers 202 22nd St. Virginia Beach, VA 23451 757-321-8885 repealvb.com

Stuft 24 N Mallory St. Hampton, VA 23663 757-224-1314 stuftstreetfood.com

4 5

THEHEALTHJOURNAL.ORG

/ 42 / FOOD & DRINK

Voila!

509 Botetourt St. Norfolk, VA 23510 757-640-0343 voilacuisine.com Terrapin 3102 Holly Rd. Virginia Beach, VA 23451 757-321-6688 terrapinvb.com

2 3

6

8 9

6 7

Mango Mangeaux: A Simply Panache Bistro 33 E Mellen St. Hampton, VA 23663 757-224-9189 mangomangeaux.com Aldo's Ristorante 1860 Laskin Rd. Virginia Beach, VA 23454 757-491-1111 aldosvb.com

8

The Grey Goose 118 Old Hampton Lane Hampton, VA 23669 757-723-7978 greygooserestaurant.com

FOOD & DRINK

/ 43 / THEHEALTHJOURNAL.ORG

9

Kotobuki Japanese Restaurant 721 W 21st St. Norfolk, VA 23517 757-628-1025 kotobukisushibar.com

ACCEPTING NEW PATIENTS Are you looking for a provider? special advertising section Our featured providers are committed to serving the community with the highest-quality health care.

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

williamsburghears.com

ALLERGY & ASTHMA Timothy J. Campbell, M.D. Allergy Partners of Hampton Roads

Dr. Timothy Campbell made Allergy and Immunology his medical career choice because it allows him the opportunity to care for both adults and children. A graduate of Miami University in Oxford, Ohio and Northeast Ohio Medical University, he completed his internal medicine residency at Summa Health System in Akron, Ohio, followed by a fellowship in adult and pediatric allergy, asthma and immunology at Cleveland Clinic. He was nominated to AOA and Gold Humanism Medical Honor Societies.

Dr. Campbell joined Allergy Partners in 2014.

He diagnoses and treats the full spectrum of immunodeficiency and allergic disorders including asthma, allergic rhinitis, stinging insect allergy, drug reactions, eczema, hives, sports-induced asthma and food and latex allergies. Dr. Campbell finds it very rewarding to improve quality of life for his patients that are debilitated by their allergic illnesses. He is accepting new adult and pediatric patients in the Williamsburg and Newport News offices.

Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 allergypartners.com/hamptonroads

OPTOMETRY

Brent Segeleon, O.D. Colonial Eye Care

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

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

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

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

AUDIOLOGY Stephanie Howard, M.A., CCC-A Maico Audiological Services Stephanie Howard has been providing audiological and hearing aid services in the Tidewater area for over 25 years. She received a Bachelor of Science degree from East Carolina University and a Master of Arts degree from University of Tennessee-Knoxville. She holds the certificate of clinical competence from the American Speech-Language and Hearing Association and is a Fellow of the American Academy of Audiology.

Stephanie joined MAICO in April 2019 and brings with her over 30 years of experience working with ENT physicians as a clinical audiologist. She provides diagnostic testing and hearing aid services for infants, children and adults.

Maico Audiological Services

703 Thimble Shoals Blvd., Suite C-3 Newport News, VA 23606 (757) 873-8794 1021 Eden Way North, Suite 110 Chesapeake, VA 23320 (757) 547-3560 206B Gumwood Drive Smithfield, VA 23430 (757) 365-9933 maicoaudio.com

PERSONAL TRAINING Brian Cole, CPFT, CMT

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

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

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

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

Personal Training Associates – Private Studios 210 Nat Turner Blvd.

738 City Center Blvd.

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

BEAUTY & AESTHETICS Steven C. Mares, M.D. Erase the Canvas, LLC

DENTISTRY Stacey Sparkman Hall, D.D.S.

Williamsburg Center for Dental Health

DIETITIAN NUTRITIONIST

Kerri Blaesser, RDN LWell

Dr. Steven C. Mares, 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, Va., in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Ga., in 1996 — the year of the XXVI Olympics. During his time there, he was involved in taking care of the Elite Olympic hopefuls at the U.S. Track and Field Championships as well as the Women’s Olympic Softball athletes.

He moved to Williamsburg where he is involved with student athletes and the theater department at Lafayette High School. He did laser training at the National Laser Institute in Phoenix, Ariz., in 2010, and opened his clinic in 2013.

Erase the Canvas, LLC

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

Kerri is a highly engaged and seasoned registered dietitian and nutritionist. Her experience ranges from treating eating disorders to helping athletes, addressing issues such as stubborn weight loss and diabetes in patients of all ages. She specializes in clinically significant lifestyle changes for those with nutritional concerns.

Her undergraduate degree is in Exercise Science and her graduate degree is in Clinical Nutrition, both from California Polytechnic Institute. She has specialized training in challenging nutrition. Her experience is diverse, including as a CalPoly Triathlon Club coach, an outpatient collegiate eating disorder specialist at Virginia Tech and a clinical dietician at Brigham and Women’s Hospital, associated with Harvard University. Kerri’s kind, patient and empathetic approach is complimented by her commitment to her patients’ specific goals and health outcomes. In her free time, she enjoys running, biking and cooking with her family.

Contact LWell to make an appointment with Kerri or any LWell Registered Dietitian and Nutritionist, and get on the way to your healthiest you!

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

1309 Jamestown Rd, Suite 102 Williamsburg, VA 23188 (757) 585-3441 lwell.com

SLEEP APNEA AND SNORING

THERAPY/ DEPRESSION & OCD

WHOLE HEALTH DENTISTRY

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

William G. Harper, D.D.S. Coastal Virginia Sleep Solutions

Patients who snore or who have been diagnosed with Obstructive Sleep Apnea (OSA) can benefit greatly from custom Oral Appliance Therapy (OAT). Custom OAT is often better tolerated than continuous positive airway pressure (CPAP) and can improve health and lifestyle outcomes similarly to CPAP therapy. Dr. William Harper is the only dentist on the Peninsula/ Williamsburg area who is Qualified by the American Academy of Dental Sleep Medicine (AADSM) to treat Obstructive Sleep Apnea (OSA) and snoring patients with Custom Oral Appliances. Most medical insurances will pay for OSA therapy. Coastal Virginia Sleep Solutions is familiar with insurance requirements and will file all necessary documents on your behalf.

Untreated OSA is proven to increase your risk of stroke, heart attack, atrial fibrillation (AFib), diabetes and other dangerous health conditions. It is a major factor in daily fatigue, memory issues, depression/anxiety and neurocognitive function. Dr. Harper has worked with many patients to improve their quality of sleep and quality of life, as well as that of their bed partners.

Coastal Virginia Sleep Solutions 235 Wythe Creek Rd. Poquoson, VA 23662 (757) 868-8152 coastalvasleepsolution.com

Brent Peterson, Ph.D., LPC

Family Living Institute

Dr. Brent Peterson is the Clinical Director of the TMS (Transcranial Magnetic Stimulation) program at the Family Living Institute. He received his B.S. in Psychology from the University of Utah before going on to study art therapy. He received an M.S. in Art Therapy from Florida State University and a Ph.D in Art Therapy from Eastern Virginia Medical School.

He is a forensic psychotherapist with over 16 years of experience in treating children, adolescents and adults in various outpatient and residential settings including the Department of Juvenile Justice, community mental health, private practice and pastoral. He performs various court evaluations for the public and those ordered by social services.

Dr. Peterson is passionate about helping those suffering from therapy-resistant depression and OCD. Using state-ofthe-art TMS therapy, he is able to successfully treat both Major Depressive Disorder (MDD) and Obsessive Compulsive Disorder (OCD). The Family Living Institute is currently accepting new patients for the TMS program for both MDD and OCD. Call for a free consultation.

Family Living Institute

1307 Jamestown Rd., Suite 202 Williamsburg, VA 23188 (757) 229-7927 familylivinginstitute.com

LWell

Lisa Marie Samaha, D.D.S.

Port Warwick Dental Arts

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

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

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

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

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

HEAL TH D I REC TORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222 ADDICTION TREATMENT The Farley Center 5477 Mooretown Road Williamsburg (757) 243-4426 ALLERGY & ENT Allergy Partners of Hampton Roads 1144 Professional Dr. Williamsburg (757) 259-0443 895 City Center Blvd., Suite 302 Newport News (757) 596-8025 Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500 11803 Jefferson Ave Suite 260 Newport News (757) 643-7028 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 279-7363 BEHAVIORAL HEALTH & PSYCHIATRY B3 Emotional Wellness Michelle Hill, LPC, NCC 1769 Jamestown Rd, Suite 107 Williamsburg (757) 524-2650 The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066 BREAST HEALTH Victorious Images Mastectomy Care and Support 7191 Richmond Rd. Suite E Williamsburg (757) 476-7335

CHIROPRACTIC & ACUPUNCTURE Comber Physical Therapy & Fusion Chiropractic 201 Bulifants Blvd., Suite B Williamsburg (757) 603-6655 5388 Discovery Park Blvd, Suite 100 Williamsburg (757) 903-4230 Integrative Chiropractic, Acupuncture & Laser Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900 Pinto Chiropractic & Rehabilitation 5408 Discovery Park Blvd., Suite 200 Williamsburg (757) 220-8552 COSMETIC & PLASTIC SURGERY Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275 DENTISTRY Affordable Dentures & Implants Jamiah K. Dawson DDS, MICOI, MAAIP 12731 Jefferson Ave. Newport News (757) 886-5370 New Town Dental Arts Sebastiana G. Springmann, D.D.S, F.A.G.D. 4939 Courthouse St. Williamsburg (757) 259-0741 Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg (757) 903-4525 Pediatric Dental Specialists of Hampton 2116 Executive Drive Hampton (757) 864-0606 Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270 Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303

DERMATOLOGY Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030 Dermatology Specialists Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 Dermatology Specialists 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 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 830 Southhampton Ave, Norfolk (757) 446-0366 Lackey Free Clinic 1620 Old Williamsburg Road Yorktown (757) 886-0608 Olde Towne Medical and Dental Center 5249 Olde Towne Road Williamsburg (757) 259-3258 Park Place Dental Clinic 606 West 29th St. Norfolk (757) 683-2692

THEHEALTHJOURNAL.ORG

/ 46 /

Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132 Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060 GASTROENTEROLOGY 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 (757) 244-7000 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 Dr. Newport News (757) 886-6000 Bon Secours DePaul Medical Center Granby St. & Kingsley Lane Norfolk (757) 889-5310 Bon Secours Maryview Medical Center 3636 High St. Portsmouth (757) 398-2200

Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Newport News (757) 594-1899 Hampton Roads Community Health Center 664 Lincoln St.Portmouth (757) 393-6363 Ocean View Medical and Dental Center 9581 Shore Dr. Nofolk (757) 393-6363 Park Place Family Medical Center 3415 Granby St. Norfolk (757) 393-6363 Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141 Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200 Riverside Regional Medical Center 500 J. Clyde Morris Blvd.

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

Virginia Beach (757) 363-6100 Sentara CarePlex Hospital 3000 Coliseum Dr. Hampton (757) 736-1000 Sentara Heart Hospital 600 Gresham Dr. Norfolk (757) 388-8000

Bon Secours Health Center at Harbour View 5818 Harbour View Blvd.

Suffolk (757) 673-5800

Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000

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

Sentara Norfolk General Hospital 600 Gresham Dr. Norfolk (757) 388-3000

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

Sentara Obici Hospital 2800 Godwin Blvd.

Suffolk (757) 934-4000

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

HEALTH DIRECTORY

Sentara Port Warwick 1031 Loftis Blvd.

Newport News (757) 736-9898 Sentara Princess Anne 2025 Glenn Mitchell Dr. 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 Williamsburg (757) 984-6000 MASSAGE THERAPY Oasis Healing Massage Jamestowne Professional Park, 1769 Jamestown Road Suite 209 Williamsburg (804) 916-9494 Spiral Path Massage and Bodywork 215 Ingram Road, Suite D Williamsburg (757) 209-2154 NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511 222 W. 21st St., Suite F-308 Norfolk (757) 640-0929 Alzheimer’s Association 6350 Center Dr., Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900 American Cancer Society 11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330 American Diabetes Association 870 Greenbrier Circle, Suite 404 Chesapeake (757) 424-6662 American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610 American Parkinson’s Disease Association 4560 Princess Anne Road Virginia Beach (757) 495-3062 American Red Cross 1323 W. Pembroke Ave. Hampton (757) 838-7320 3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228 6912 George Washington Memorial Highway Yorktown (757) 898-3090 The Arc of Greater Williamsburg 150 Strawberry Plains Rd, Suite D Williamsburg (757) 229-3535 The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-4900

Avalon: A Center for Women & Children Williamsburg (757) 258-5022

Food Bank of SEVA 800 Tidewater Dr. Norfolk (757) 627-6599

AWARE Worldwide, Inc. 6350 Center Dr., Bldg. 5, Suite 228 Norfolk (757) 965-8373

Hampton-Newport News Community Services Board 300 Medical Dr. Hampton (757) 788-0300

Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222

Here for the Girls 1309 Jamestown Road, Suite 204 Williamsburg (757) 645-2649

Cancer Care Foundation of Tidewater 5900 Lake Wright Dr. Norfolk (757) 461-8488 Cancer Support Group - Kelly Weinberg Foundation kellyweinbergfoundation. org, info@ kellyweinbergfoundation.org (757) 250-3220 Center for Excellence in Aging & Lifelong Health 460 McLaws Circle Suite 110 Williamsburg (757) 220-4751 CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Dr., Suite 1100 Norfolk (757) 634-3272 Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300 Citizens’ Committee to Protect the Elderly PO Box 10100 Virginia Beach (757) 518-8500

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 Dr. Suite 400 Virginia Beach (757) 321-2222 Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501 Leukemia & Lymphoma Services 6350 Center Dr., Suite 216 Norfolk (757) 459-4670 Mended Hearts of Williamsburg Ch. 427 100 Sentara Circle Williamsburg (757) 645-5514 National MS Society 760 Lynnhaven Pkwy., Suite 201 Virginia Beach (757) 490-9627

Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200

The Needs Network, Inc. 9905 Warwick Blvd.

Newport News (757) 251-0600

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 Edmarc Hospice for Children 516 London St.Portsmouth (757) 967-9251 Endependence Center, Inc. 6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007 Faith in Action 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890 Food Bank of the Virginia Peninsula 2401 Aluminum Ave. Hampton (757) 596-7188

National Alliance on Mental Illness-Norfolk Contact Lynn Martin Norfolk (757) 401-6318 Norfolk Community Services Board 225 W. Olney Road, Room 1 Norfolk (757) 664-6670 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 823-1600

Peninsula Institute for Community Health 1033 28th St. Newport News (757) 591-0643 Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771 Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386 St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208 Sarcoidosis Support Group/Charity #teamandreafight llc (757) 309-4334 The Sarah Bonwell Hudgins Foundation 1 Singleton Dr.Hampton (757) 827-8757 Senior Center of York 5314 George Washington Memorial Highway.

Yorktown (757) 890-3444 Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk (757) 222-4509 Susan G. Komen Tidewater 6363 Center Dr. Suite 205 Norfolk (757) 490-7794 United Way 1182 Fountain Way Suite 206 Newport News (757) 873-9328 5400 Discovery Park Blvd., Suite 104 Williamsburg (757) 253-2264 The Up Center 1805 Airline Blvd.

Portsmouth (757) 397-2121 222 W. 19th St. Norfolk (757) 622-7017 VersAbility Resources 2520 58th St. Hampton (757) 896-6461 VA Medical Center 100 Emancipation Dr. Hampton (757) 722-9961 We Promise Foundation 5700 Cleveland St. Suite 101 Virginia Beach (757) 233-7111

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

HEALTH DIRECTORY

/ 47 / THEHEALTHJOURNAL.ORG

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

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

PHYSICAL THERAPY & REHABILITATION Comber Physical Therapy and Rock Steady Boxing (Parkinson’s Program) 5388 Discovery Blvd., Ste 100 Williamsburg (757) 903-4230

Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd.

Newport News (757) 596-1900

154 E Little Creek Road Norfolk (757) 797-0210 204 Gumwood Dr. Smithfield (757) 357-7762

Urology of Virginia Physical Therapy 225 Clearfield Ave. Virginia Beach (757) 466-3406

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

2007 Meade Pkwy.

Suffolk (757) 539-6300

PODIATRY

2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316

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

135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512

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

927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436-3350

466 Denbigh Blvd.

Newport News (757) 875-0861

1580 Armory Dr., Suite B Franklin (757) 562-0990

4624 Pembroke Blvd.

Virginia Beach (757) 460-3363

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

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

2106 Executive Dr. Hampton (757) 838-6678

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

729 Thimble Shoals Blvd., Suite 4-C (Pediatrics) Newport News (757) 873-2932 301 Riverview Ave. Norfolk (757) 963-5588 500 Rodman Ave., Suite 3 Portsmouth (757) 393-6119 5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700 Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554

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

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

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

1745 Camelot Dr., Suite 100 Virginia Beach (757) 961-4800

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

The Devine-Jordan Center for Reconstructive Surgery & Pelvic Health — a division of Urology of Virginia 225 Clearfield Ave. Virginia Beach (757) 457-5110 Urology of Virginia 4000 Coliseum Dr., Suite 300 Hampton (757) 457-5100 7185 Harbour Towne Pkwy., Suite 200 Suffolk (757) 457-5100 2202-A Beechmont Road, South Boston (434) 333-7760 400 Sentara Circle, Suite 310 Williamsburg (757) 345-5554 The Paul F. Schellhammer Cancer Center – a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177

JUNE WORD SEARCH

JUNE SUDOKU

BRA

UROLOGY

7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753

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

Ambulatory Foot & Ankle Center Calvin H. Sydnor IV, DPM, FACFAS Earnest P. S. Mawusi, DPM, FACFAS 1618 Hardy Cash Dr. Hampton (757) 825-5783

IN TEASERS

UP FOR THE CHALLENGE? Challenge your brain!

Turn to page 50 to find out how you can win.

Congratulations to our

BRAIN TEASER WINNER

SANDY CHRISTENSEN HAMPTON, VA

JUNE CRYPTOGRAM

IN EVERY WALK WITH NATURE ONE RECEIVES FAR MORE THAN HE SEEKS ~JOHN MUIR THEHEALTHJOURNAL.ORG

/ 48 /

HEALTH DIRECTORY

July

WHAT IS GOING ON IN

4

2019

4

LIGHTS OF FREEDOM Experience 18th-century fireworks set to colonial and patriotic Americana musical favorites. Each boom and burst of radiant colors is set to a patriotic musical score. Enjoy innovative effects from the first soaring volley of pyrotechnic salutes to the thrilling — and thunderous — grand finale.

WHEN: 9-9:40p WHERE: Palace Green in Colonial Williamsburg $$: FREE MORE INFO: colonialwilliamsburg.com/plan/ calendar/lights-of-freedom

MOONLIGHT FISHING 4TH OF JULY: STARS IN THE SKY Everyone is invited to the Virginia Peninsula's biggest Independence Day party. This waterside park is filled with 10,000 people who come to celebrate our nation's birthday. The evening begins with summer's favorite foods from a variety of vendors. As dusk approaches, the stage comes alive with music. As the concert ends, the sky over the James River explodes with a kaleidoscope of color in a spectacular show of fireworks.

WHEN: 7-10p WHERE: Victory Landing Park, Newport News $$: FREE MORE INFO: virginia.org/listings/ Events/4thofJulyStarsintheSky/

13

Calling all fishermen! If you’ve ever wanted to fish at night, this is a great time to get outdoors and put your poles in the water under the glow of the moon! A Virginia fishing license is required to fish in the lake.

WHEN: 8p-2a (Must register by Thursday prior to event) WHERE: Waller Mill Park, Williamsburg $$: Boat Rental Pass holder: $12 / $20 non-pass holder; launching own boat pass holder: $7 / $13 non-pass holder; electric motor & battery: $20/ night; battery only: $10/night; light set: $10/night MORE INFO: williamsburgva.gov/rec.

Register at (757) 259-3778

29 20

20

PARKVIEW 5TH ANNUAL CHRISTMAS IN JULY Come join us at the 5th Annual Christmas in July as Parkview Church of God once again invites you to enjoy a day of shopping inside out of the heat. Guests, young and old, can enjoy a photo op with Summer Santa when he comes for a visit!

Grab a bite to eat and do some shopping.

WHEN: 10a-3p WHERE: 1122 Briarfield Road, Newport News 23605 $$: FREE; If you can, bring non-perishable food items to donate to 4th Week Food Ministry.

MORE INFO: 4eventplanning.com/ parkviewchristmasinjuly.shtml

PUB CRAWL TIDEWATER SPRINT TRIATHLON Buckroe Beach Park provides a stunning setting for this mid-summer race. The 400-meter point-topoint swim takes place in the Chesapeake Bay and goes around a large pier. The 10-mile bike course is closed to traffic and is a fast, 2-loop course. The run is a fast and flat out-and-back new 2-mile course on the boardwalk and First Street.

WHEN: 7a WHERE: Buckroe Beach Park, Hampton $$: Ranges from $100-130 (Registration ends July 16) MORE INFO: kineticmultisports.com/races/ tidewatersprint/ CALENDAR

/ 49 / THEHEALTHJOURNAL.ORG

Experience a historical pub crawl filled with drinks and revelry, where the stories of a libation’s origins are paired with pours of the drinks themselves! For an hour and a half, you’ll follow an experienced interpreter down Dog Street, be guided around tavern debauchery and be shown what it’s like to walk in the sloshy shoes of our forefathers in days of yore! This program by content and consumption is only for those 21+ years of age.

WHEN: 7-8:15p WHERE: Shields Tavern Garden, Colonial Williamsburg $$: $29.99 MORE INFO: colonialwilliamsburg.com/plan/ calendar/pub-crawl or 1-866-702-0814

Complete all three puzzles correctly for a chance to win* a Complimentary Intro Month at Studio South Yoga & Barre!

Snap a photo of this page and email it to contest@thehealthjournals.com, or tear this page out and send it by mail to: The Health Journal 4808 Courthouse St., Suite 204 Williamsburg, VA 23188 O Winner announced in our next issue in the Inbox. See bottom of page for submission deadline and details.

IN TEASERS BRA

STRETCH YOUR MENTAL MUSCLES AND WIN!

CRYPTOGRAM

F=A T=E U=I W=O L=U

USE THE ABOVE CLUES TO UNCOVER WORDS AND DECIPHER THE HIDDEN QUOTE. SOME CLUES HAVE BEEN FILLED IN FOR YOU.

A

OFR BQT FC

PT

BQUEG

XUHQB

BQT

BW

WA O

A X T T I W O,

IW

FC

PT

N K T F C T,

VLB I

WNNWXBLEUBR ~N T B T X

SUDOKU

BW

IW

PQFB

UC

OFXCQFKK

WORD SEARCH

* ENTRIES MUST BE RECEIVED BY THE 26TH NAME :

FC

E

U

XUHQB

EWB

OF JULY

banana-split chocolate cookies-n-cream creamsicle drumstick

PHONE:

EMAIL: ADDRESS:

THEHEALTHJOURNAL.ORG

/ 50 /

PUZZLES

gelato milkshake mint neapolitan orange

pistachio popsicle rocky road sherbet snowcone

sorbet strawberry sundae vanilla wafflecone

Your business deserves some Tusks.

c r e a t i v e

a g e n c y

EST

TA

CR

EA

Video Production Photography

BLISHED 20

c r e a t i v e 05

a g e n c y

wearetusk.com

Y

ES

2005

TIVE AGEN

Art Direction

C

Communications

Strategy

True Care Experience

Coordination of

After Hours Care • Allergy • Immunology • Audiology • Cardiology • Central Laboratory Clinical Research • Cosmetic and Reconstructive Surgery • Dermatology • Endocrinology • ENT Otolaryngology • Family Medicine • Internal Medicine • Geriatric Medicine • Gastroenterology General Surgery • Hernia Center • Colorectal Surgery • Hospitalist • Imaging and Breast Center Nephrology • Neurology • Nutrition Services • Obstetrics and Gynecology • Ophthalmology Orthopedics • Spine • Sports Medicine • Foot and Ankle • Pain Medicine • Pediatrics Physical Therapy • Fitness • Procedure Suite • Psychiatry and Behavioral Medicine • Pulmonology Rheumatology • Sleep Health • Urology • Weight Loss Medicine

Chesapeake | Norfolk | Virginia Beach | Suffolk | Hampton | Newport News Williamsburg | Yorktown | Gloucester | Urbanna | West Point