Health Journal – May 2019

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inspiration for better living

There's Alway Time for Tea s !

Are You A Life-Saver?

Medical Device Dangers The Power of Poop

MAY 2019 — THEHEALTHJOURNAL.ORG

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VOL. 14, NO. 12 PUBLISHER Brian M. Freer brianfreer@thehealthjournals.com

contents

May is Women's Health Month!

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 DESIGNERS Toria Diesburg toria@thehealthjournals.com Naya Moore naya@thehealthjournals.com VIDEO PRODUCTION MANAGER Toria Diesburg toria@thehealthjournals.com

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PHOTOGRAPHERS Toria Diesburg Brian M. Freer COPY EDITORS Carolyn Brandt Beth Shamaiengar CIRCULATION Ryan Bishop circulation@thehealthjournals.com

WRITERS Teresa Bergen Bob Flynn Kasey Fuqua Alison Johnson Divya Manikandan Kim O'Brien Root Beth Shamaiengar Brent Wells

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.

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Bits and Pieces Staff & Writers Editor’s Note Second Opinion Well Fed: Honey Health Briefs

Features

Link Between Dementia and Hearing Loss Profile: Hallie Hovey-Murray Positive Parenting LPGA Tour: New Baby, New Outlook A Lifetime of Healthy Choices Book Look: A Future with Hope Medical Device Dangers Advances in Medicine: Power of Poop

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Lifestyle

Trail-Running Mistakes Finding Peace in the City The Gift of Life Summer Festivals

Food & Drink

Taste Appeal: Time for Tea Let's Eat, Hampton Roads!

Staying Well

Accepting New Patients Health Directory Calendar Brain Teasers

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Editor's Note

"

When women take care of their health, they become their own best friend.

"

- MayaAngelou

L

et’s talk, woman to woman. Have you gotten your mammogram yet?

Estimates say 1 in 8 women will get invasive breast cancer over the course of her lifetime.

Think about eight women you are close to. Have any of them had breast cancer? I can tick off names on one hand with little effort and keep going — including my mom.

It’s easy when you’re in your 20s or 30s to think that breast cancer is a disease that only affects older women — until it doesn’t. Just in the past decade, a close friend from childhood has battled it, along with a teacher at my children’s school and a few more casual acquaintances. One of my best friends from high school tested positive for the breast cancer gene. Then, in just the past two years, two more of my friends were diagnosed.

Over the years, guidelines have changed about when women should begin yearly mammograms. Some experts recommend 45, to avoid unnecessary testing. Others say 40, because finding it early might mean less invasive treatment if something is found.

For my two friends with recent diagnoses, their cancer was discovered on their very first mammograms. Both were 40.

“It was the possible difference between my life and death because I had a very aggressive hormone-driven cancer,” my friend Cristel told me.

IDEWATER ORTHO UPPER EXTREMITY Shoulder, Elbow, Wrist & Hand Cristel ended up getting a double mastectomy, as did my other friend, and I’m happy to report that both are now doing well. Still, the U.S. Preventative Services Task Force says regular mammograms before age 50 aren’t usually necessary. What if my friends had waited?

Breast cancer kills more American women than any other cancer except lung cancer, and it’s the most common cancer that affects women besides skin cancers. Thankfully, though, breast cancer deaths have been decreasing since 1989, especially for women under 50. The decreases are thought to be the results of increased awareness, advances in treatments and earlier detection through screening. Caught early, breast cancer is very treatable, and the chance that a woman will die from breast cancer is about 2.6 percent.

By and large, experts do agree that screening should be individualized, and that when to start getting mammograms should be a discussion that every woman has with her doctor.

My mom was 38 when she was diagnosed (she’s now a 35year survivor), so technically, I should have started getting mammograms even before the recommended guidelines. A woman’s risk nearly doubles if she has a first-degree relative (mother, sister or daughter) who has been diagnosed.

I finally started getting mammograms right at 40, after I was done having children and nursing. This year marked my 6th. I don’t find them to be much of a big deal. A little uncomfortable, sure, since you’re basically having to contort your body around a machine to get your boobs in the optimal place for photos. But what’s a little bit of discomfort if it means safeguarding your health? I’ll take that any day of the week.

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

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While I was out of town I fell and crushed my elbow. I chose to return from Boston to Virginia because I wanted to see a physician at Tidewater Orthopaedics.

I needed two surgeries on the same arm and was scheduled with Dr. Mason. I am very pleased with my surgery. He did a wonderful job and has the best bedside manner. I am so glad he decided to become a doctor and I have never regretted returning to Virginia for my surgery.

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When traditional treatments such as antidepressant medication and outpatient therapy for major depressive disorder are not working, it is often referred to as “Treatment Resistant Depression.” This means that neither medication and/or therapy has produced the desired outcome for the individual. Medications can fail due to a lack of response or an inability to tolerate side effects.

The FDA has approved Transcranial Magnetic Stimulation (TMS) for the treatment of depression in patients who have failed to respond to antidepressant medications in their current episode of depression. TMS is different from electroconvulsive therapy (ECT). It utilizes magnetic pulses to excite areas in the central portion of the brain that are not functioning appropriately. The TMS therapy increases the number of neurochemicals in areas of the brain that are commonly found in individuals without clinical depression. The treatment takes place over several weeks, with sessions lasting about 20 to 30 minutes.

TMS treatment is well tolerated and individuals can drive themselves to and from appointments. Of patients who have received TMS treatment at the Family Living Institute (FLI) in the past year, more than 85 percent have responded favorably.

FLI, Williamsburg’s only TMS center, has partnered with Brainsway Ltd. — a leader in TMS — due to its patented technology that allows for greater and deeper stimulation to areas of the brain most commonly associated with depressive disorders.

S. Zafar Ahsan, M.D. Family Living Institute familylivinginstitute.com 757-229-7927

Why should you choose an audiologist?

Developing an ongoing relationship with a local audiologist is just as important as finding a trusted primary care physician and dentist.

Audiologists are uniquely qualified health-care professionals with a minimum of eight years of college education, culminating in the Doctor of Audiology degree. An audiologist has chosen a path of strenuous education to learn how to prevent, diagnose, manage and treat hearing and balance issues from birth through adulthood.

Audiologists are educated not only in our physiology, but also on the technology of hearing devices and the science behind what hearing devices do for our hearing. That is why hearing aid manufacturers choose audiologists as the primary channel to deliver the latest technological advancements.

Direct mail, online advertisements and big box stores lure hearing solution-seeking individuals by offering deals on hearing aids, but patients need to be aware that the savings are generally achieved through offerings of inferior or outdated technology and most important of all, the lack of proper diagnostics and follow up care.

While audiologists must meet ongoing continuing education requirements, other providers are not held up to the same standards.

Hearing is one of our main senses and its preservation and restoration is critical to our quality of life. Trust your hearing care to a doctor of audiology.

Credentials make all the difference.

Bethany Tucker Au.D. Colonial Center for Hearing williamsburghears.com 757-279-7363

SECOND OPINION

My bite does not feel comfortable. It almost feels like I have two bites. What can happen if I leave this alone? How can I fix it?

When a bite does not feel right, it is important to find out what is causing it and treat the problem. Things that can cause a bite to change and feel uncomfortable can range from new dental work that is not adjusted properly to a jaw joint that is breaking down. Additional reasons your bite can feel off is orthodontics not refined when completed, tooth migration due to not wearing retainers and wanting to compensate for a restricted airway.

If this is left alone it can lead to TMJ pain, tooth fracture and loss, bone and gum loss, sensitivity to bite and headaches. It is important that a dentist with the right training in occlusal issues (the disruption of the way the teeth come together and function) evaluate your bite. She or he can do a thorough diagnostic work up of what the problem is and figure out what the least amount of dentistry you would need to fix it.

Treatment to balance the bite can range from a simple tooth reshaping to needing orthodontics and possibly crowns and veneers. The treatment should be for each individual and his or her situation. The sooner you seek treatment, the less costly and painful your condition can become.

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

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OPINION

Is Transcranial Magnetic Stimulation (TMS) an option for treating my depression?

your health care questions answered

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Working to curb the opioid epidemic Virginia-based Optima Health was able to reduce prescription opioids by 49 percent for Medicaid members by focusing on fewer prescriptions and lower doses, the company recently announced. The reduction was the result of a unique collaboration with other Medicaid health plans and health-care organizations throughout the state to address the nationwide opioid epidemic.

According to Optima Health, the effort’s results included 30 percent fewer members receiving a prescription for an opioid, a 43-percent reduction in prescriptions and 2.5 million fewer pills prescribed. In addition to increased emphasis on decreasing opioid use amongst its members, Optima Health has also committed to increasing access to addiction treatment services.

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Percentage of doctors between the ages of 35 and 44, which makes up the majority of practicing doctors, according to the Bureau of Labor Statistics.

Only 12 percent are 65 or older.

$10,000 Money a Georgia high school teacher recently won for reading the fine print in her travel insurance policy. The Floridabased insurance company Squaremouth rewarded the first person who actually read through the contract as part of its “It Pays to Read” contest.

The Hampton University Proton Therapy Institute (HUPTI) has been accepted as an associate member of the Quantitative Imaging Network (QIN) at the National Cancer Institute. This membership means access to resources intended to aid in cancer research efforts. HU is the first historically black college and university (HBCU) to become part of this network of research institutions, which promotes research, development and clinical validation of quantitative imaging tools and methods for cancer diagnosis. HUPTI opened in 2010 as the country’s eighth proton treatment center and is committed to the latest in cancer-fighting technologies.

Now Men can "breastfeed" too A Japanese tech company has created a wearable device that allows fathers to nurse babies. The device — which straps over the man’s shoulder — is shaped like a woman’s breasts and features a tank to hold milk or formula and a nipple. It also vibrates to help a baby sleep and alerts parents to feeding patterns. The “father’s nursing assistant” was introduced in March at the South by Southwest Festival (SXSW) in Austin, Texas.

“We aim to decrease the amount of burden on mothers and increase the amount of time infants sleep by enabling fathers to breastfeed,” the Dentsu Group says.

Helping the Community for Free Sentara Healthcare last year provided nearly $39 million of uncompensated medical care for underinsured and uninsured patients, community-based education and screening programs and investment in medical education at Eastern Virginia Medical School. Among the community programs that the not-for-profit hospital system offers include the HeartSafe Alliance, which works to speed bystander responses to heart attacks; mobile mammography; and an outreach program that sends nurses into homes and onto the streets to help indigent patients.

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The Link Between

Hearing Loss and Dementia

BY KIM O'BRIEN ROOT early 50 million people in the world suffer from dementia, the term for the chronic decline in mental abilities — such as thinking, remembering and reasoning — that affects many as they age. About 5.7 million cases are in the United States, and it’s a number that is expected to rise.

Another prevalent chronic condition is hearing loss, which affects more than 9 million Americans over the age of 65 and 10 million Americans ages 45 to 64.

Research over the years has shown a strong link between hearing loss and dementia. Seniors with hearing loss are significantly more likely to develop dementia over time than those who don’t lose their hearing, according to studies by Johns Hopkins and National Institute on Aging researchers.

While there’s no evidence that hearing loss causes dementia, having hearing loss can increase the risk of developing dementia by up to five times, according to Dr. Bethany Tucker, an audiologist with Colonial Center for Hearing in Williamsburg, Va. The risk increases with the severity of hearing loss.

“We don’t know if one causes the other, and we certainly cannot say that if you have hearing loss you will get dementia,” Tucker says.

Nevertheless, studies show the link exists.

Research shows that the link may have something to do with the way the brain works. If hearing loss is present, straining to hear may overwhelm the brain, requiring more mental energy just to hear normal conversations. That could mean less energy to devote to memory, understanding and other cognitive functions. Brain activity changes.

“When we hear something, even just a sound, the temporal lobes are active,” Tucker says. “If there is hearing loss present, those temporal lobes are not getting activated the way that they should be.”

The temporal lobes are the area of the brain where hearing is processed. They are also involved in vision, sensory input, language, emotion, comprehension — and in housing memories. If areas of the brain aren’t being activated the way they should be, they shrink.

“Everything is connected; our body works as a system. If one area — one of our main senses — starts to decline, there’s certainly going to be repercussions in other areas,” Tucker explains. “When dementia is present, it is very important to have the person’s hearing tested. We need to diagnose the hearing loss, properly fit that loss with hearing aids and

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provide the stimulation to the brain again. By aiding that loss, those areas of the brain will be stimulated again and, hopefully, reactivate.”

A 2015 study by Dr. Isabelle Mosnier, a researcher at Assistance Publique-Hopitaux de Paris, showed a definite link between aiding hearing loss and cognitive function. Nearly 100 people over age 65 with deafness in at least one ear were fitted with a cochlear implant, which stimulates the auditory nerve with electricity. After a year, 80 percent showed cognitive improvement. They also reported less depression — a symptom that is common in those with dementia and hearing loss.

While having hearing loss doesn’t automatically mean someone will develop dementia, research does indicate that doing something to minimize hearing loss could prevent or delay the onset of dementia — or perhaps lessen the severity. As it stands now, one out of every six women and one out of every 10 men living past the age of 55 will develop a form of dementia, including Alzheimer’s disease.

The bottom line? Having hearing loss addressed as soon as it starts is important.

“A lot of people ignore hearing loss because it’s such a slow and insidious process as we age,” says Dr. Frank Lin, the leader of the Johns Hopkins studies who is still researching the issue. “Even if people feel as if they are not affected, we’re showing that it may well be a more serious problem.”

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Ways hearing loss may lead to dementia • The constant effort to hear may stress the brain to the point that less energy is given to functions such as memory and understanding.

• Certain parts of the brain that affect hearing can shrink when they don’t get enough stimulation.

• Being hard of hearing often leads to social isolation, which is a risk factor for cognitive decline and depression — another common risk associated with hearing loss.

• On-going research points to a possible common physiological pathway, such as high blood pressure, that contributes to both hearing loss and dementia.

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Not Your Typical

Beauty Queen

As she seeks to become Miss Virginia, W&M law student proves she’s more than her autism diagnosis.

BY BETH SHAMAIENGAR

L

aw student Hallie Hovey-Murray will graduate this month and already has a job lined up to practice public policy law. She’s written a memoir and a children’s book, created her own website, started an educational foundation and next month, she’ll compete in the Miss Virginia pageant.

And by the way, she has autism.

To many, that stellar track record might be surprising, given her diagnosis.

But throughout her 23 years, she's been determined to prove wrong all those who underestimated her. Now she’s on a mission to erase the stigma surrounding autism and show that children with autism deserve every chance to thrive.

“Everyone tends to emphasize the challenges more than the potential,” Hovey-Murray says of children diagnosed with autism. “It’s important to look at the individual, not the diagnosis, to find the best path forward.”

Hovey-Murray’s early years growing up in Richmond did not, however, suggest she was destined for success. Her mother, Jean Hovey, says her young daughter was a capable student and adept at following rules, but teachers at her preschool and, later, at two elementary schools, frequently called home about her outbursts on the playground and in the classroom.

“She would react strongly to other kids who said mean things or misbehaved,” Hovey recalls, “and she would point out teachers’ mistakes in a disrespectful way.”

But autism then was not well understood, and Hovey and her husband, Bill Murray,

had no idea what was going on. They were unable to answer their bright daughter’s question: “What’s wrong with me?”

Medical specialists and school personnel provided little help or hope, until the family met Dr. Norm Geller, then an educational consultant at the Virginia Treatment Center for Children — now part of the Children’s Hospital of Richmond at Virginia Commonwealth University — which provides outpatient and inpatient mental health services for children and teens.

Nearly 20 years ago, the tools for diagnosing autism were not as well developed as now, nor did many mental health professionals have considerable experience with autism, Geller says. When he first met Hovey-Murray, he saw signs the 5-year-old was at the high-functioning end of the autism spectrum — then known as Asperger’s syndrome. But although he suggested that diagnosis to his fellow evaluation team members, the team as a whole ultimately proposed other possibilities, and in the coming years Hovey-Murray received a laundry list of diagnoses from the VTCC, among them ADHD, oppositional defiance and bipolar disorder.

As doctors struggled to treat her, she was prescribed more than 20 different medications, which only made things worse.

“It was insane,” says Hovey-Murray, “like trying to fit square pegs into a round hole.”

She was asked to leave one school in second grade, another in third, and then was briefly home-schooled by her mom.

Finally, when one medication prompted a particularly disturbing response, HoveyTHEHEALTHJOURNAL.ORG

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FEATURE

Murray was admitted to the residential program at the VTCC. Soon after, child psychologist Susan White joined the VTCC staff, and Geller’s initial diagnosis was affirmed. Hovey-Murray was 10.

According to Geller, who has stayed in touch with Hovey-Murray, while children with autism today are often diagnosed as early as age 2, much of the research that shaped current diagnostic criteria was based on boys. There’s emerging recognition in the field that autism can manifest itself somewhat differently in girls. He says girls may be less likely to exhibit oftenstereotyped autistic behaviors such as repetitive hand-flapping but may more often experience challenges with social interaction.

“We were all so relieved to finally have a diagnosis that fit,” Hovey-Murray remembers.

But even with an individual education plan (IEP) to receive special education services at a mainstream middle school, she faced challenges. She ran away repeatedly from her special needs class, fearing she wasn’t perceived as smart. Regardless, she sailed through year-end exams with perfect or near-perfect scores.

Hovey-Murray researched autism on her own, determined to rise above others’ expectations that, due to her diagnosis, she wouldn’t finish high school before age 21, or that she might never go to college or live independently. She increasingly learned how to manage stressful situations, and at Mills E. Godwin High School in Richmond, “I set out to be a good communicator,” she says, taking part in theater, debate and public speaking to refine her communication skills.

Still, aware of the stigma of autism and self-conscious about her diagnosis, for years she kept it quiet. Determined to prove herself independent, she chose Southern Methodist University for college, in Texas far from home, and there she successfully pledged a sorority. But on an occasion when she was on deadline to write a column for an online student newspaper, she overheard a fellow sorority sister describing another young woman: “Oh, she’s so socially awkward, she probably has autism.”

Hovey-Murray knew it was time to end her silence.

She wrote her column about the childhood difficulties she had faced, about her eventual diagnosis, and how at SMU she was in a sorority, was the president of the speech and debate club, and was headed to law school at the College of William and Mary.

Her father sent her column to Richmond’s Times-Dispatch newspaper, which printed it. When a deluge of responses came in, Hovey-Murray realized she had a new calling.

She now speaks about autism in schools and to community groups, fielding questions about her journey from children with autism as well as their parents.

She wrote and self-published a memoir available on Amazon, “Overcoming Expectations,” and she’s written a children’s book, “Sadie Goes to School,” about a girl with autism attending a mainstream school for the first time.

In 2017, she established the One in 68 Foundation (reflecting the U.S. rate

of autism diagnosis then) to raise college scholarship funds and help children with autism boost their college and career readiness. She describes her work on her website, halliehoveymurray.com.

The current Miss Commonwealth 2019, Hovey-Murray has already won several beauty pageants, entering partly to receive scholarship funding but also because they’ve provided her a platform to raise awareness about autism, especially in girls. She’s assisted Hanover County Community Support Services with its annual Miss Hanover Abilities pageant for girls with special needs, and she helped mentor this past year’s winner, Amaris Marks-Stewart, a Richmond high school junior who also has autism.

Marks-Stewart says of her mentor: “She was very supportive of me and taught me that even though we have special needs, it doesn’t mean we’re helpless.”

Hovey-Murray is adamant about banishing the stereotypes of autism, and about not allowing children with autism to flounder without support and tools for their success. “Negative stereotypes can really take a toll on self-esteem,” she says, noting the high suicide rate among children with autism. And, sounding like the legal advocate she’ll soon be, she talks candidly about the need to recognize the talents of the many highly intelligent children with autism: “Communities cannot afford to allow so much human capital to go to waste.”

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Positive

PARENTING

BY ALISON JOHNSON

Free counseling program helps parents and kids

I

t’s the kind of program where, yes, every child does get an award, as proud parents shed tears. But these are different kinds of awards.

They’re not for academics or sports, but for character traits: listening skills, kindness, sense of humor, compassion or a willingness to try something new. All are crucial to a multipart counseling tactic that includes kids helping each other with behavioral, educational and social challenges.

“For so many of these kids, it’s the first time they’ve been recognized in a public setting,” says Victoria Foster, co-director of the New Horizons Family Counseling Center in Williamsburg, Va. “It makes them feel like they should believe in themselves, that they’re valuable — which they most certainly are.”

The program is the Youth & Family Program, supported by a grant from the Williamsburg Health Foundation and held at the counseling center in the College of William & Mary’s School of THEHEALTHJOURNAL.ORG

Education. It’s a free, 10-week program that offers counseling by advanced masters’ and doctoral-level students who work under the supervision of William & Mary faculty.

Local public schools often refer families to New Horizons, although parents also can self-refer. Many participants face daunting circumstances, such as financial hardship, long work hours, learning disabilities or a lack of Internet access at home, requiring earlymorning or late-night visits to the library.

“These are deeply committed parents — people who are putting in an extraordinary effort for their children,” says Rebecca Sheffield, the center’s clinical faculty director. “What we can do is give them additional tools and support to be even greater parents.”

The 10-week-long sessions target children ages 5 to 17 and generally run three times a year, combining three types of therapy into each meeting: family counseling, children’s group counseling and parent group training. Each session aims to promote positive

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parenting and improved communication and social skills, whether the issue is battles over online video games, ineffective chore charts or loneliness at school.

After an opening conversation, kids and parents split into separate groups to discuss the night’s topic with same-age peers. While children can practice friendship-building and problem-solving skills together, parents can share advice, discuss their mistakes and simply lend a sympathetic ear.

“That peer support contradicts a sense of isolation,” says Foster, a W&M professor who co-directs New Horizons with fellow Professor Rip McAdams. “Children really can help each other, just as adults can.

Our focus is on drawing in a whole family, not just ‘fixing’ a child.”

Sometimes, fairly simple changes can go far to strengthen families, notes Colin Vaughn, a doctoral candidate in counselor education and one of New Horizon’s student directors. For example, parents can “listen to understand” rather than “listen to problem-solve.”

“The instinct can be to jump in and come up with an immediate solution, but that’s often not what kids want,” Vaughn says. “They want to feel heard and understood, and then to solve a problem more together.”

Another beneficial shift is to trade praise, which tends to focus on results, for encouragement, which acknowledges effort. He adds: “Instead of, ‘You got a 100 on your test, great job,’ you can say, ‘You must have studied really hard and planned ahead.’ Or instead of a child just saying, ‘Thanks for dinner’ — which of course is nice, too — he could say, ‘I love that you thought about my favorite foods when you fixed dinner.’ ” Hearing about the importance of “I” statements made a difference for one Williamsburg-area parent who attended the group with her 10-year-old daughter. Using the word “you” appears to blame the

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other person, which can close the door to discussion, recalls Megan, who asked to be identified by her first name.

“For instance, if someone hurts my feelings, I would say, ‘I am feeling sad because …’ instead of ‘You upset me’,” she explains. “It makes our conversations go much smoother.”

Children often need guidance in labeling and managing emotions such as anger, loneliness and sadness in order to make friends, succeed in the classroom and avoid fights and other harmful behaviors. Input from peers can have a major impact, especially for older kids. Parents, meanwhile, often build lasting friendships. “They realize that they aren’t alone, and that there are resources available to help them,” Foster says.

William & Mary educators hope to see the program replicated in other communities, especially by student graduates who set up practices outside Williamsburg. Megan, for one, says she hopes that happens.

“It is a place for growth, and for realizing that we as parents all struggle,” says Megan, adding that she’s been doing a better job taking care of herself, aiming for daily walks to reduce stress. “It also helped me realize that I am doing a great job raising my daughter, and I shouldn’t feel any less.”

Registration The next 10-week Youth & Family Program is scheduled to begin June 6, with sessions likely running from 6 to 7:30 p.m. Thursdays.

The program is free and includes dinner and childcare for younger siblings. For more information, contact your child’s school counselor, call (757) 221-2363 or visit https://education.wm.edu/ centers/newhorizons.

NEW BABY, NEW OUTLOOK W

hen LPGA pro Brooke Pancake hits the links during this year’s tournament at Kingsmill this month, there will be one extra fan in the crowd: Her baby daughter, Lucy.

Pancake returns to the LPGA tour after a year off due to pregnancy and adjusting to life as a new mom. In returning, she says she has a newfound respect for golfing mothers who paved the way before her, along with just a new outlook on life.

“I have my priorities in a different place,” says 28-year-old Pancake, a former NCAA champion for the University of Alabama.

“Good round, bad round — I get to come home to my sweet baby girl and give her all the snuggles and the love.”

The newly renamed Pure Silk Championship takes place May 20-26, with the first round on Kingmill’s River Course scheduled for May 23. The new name reflects the three-year deal Kingsmill signed with razor company Pure Silk last summer after several years searching for a title sponsor.

This year marks the 15th year as an LPGA tour stop, but the 37th year that Kingsmill has hosted a professional golf tournament.

The Michelob Championship at Kingsmill — a PGA Tour tournament — was held at the course from 1981-2002.

Although this is the first time Kingsmill won’t be the sponsor, the tournament is far from forgetting its Williamsburg roots. A key partner this year is the Williamsburg Tourism Council — motto: “Visit Williamsburg.” The council intends to step up its game in encouraging tournament attendees to visit the Historic Triangle area,

LPGA PLAYER RETURNS TO GOLF AFTER A YEAR OFF

BY KIM O'BRIEN ROOT says Council Chair Jeff Wassmer.

“What a great opportunity … for us to say, ‘Come visit Williamsburg,’ ” Wassmer says. “You know we have great golf. We have great history. We have great attractions. Our message to the world … is to come visit this destination and come back often.”

The tournament at Kingsmill is a favorite among the LPGA golfers, who speak of the family friendly, community feel. Defending champion Ariya Jutanugarn, the third-ranked player in the world, says Kingsmill has “a special place in my heart.”

Pancake says Williamsburg is a place where she feels as though she can really embrace the community and feel comfortable in return.

The Chattanooga, Tenn., native says she could even see herself living here.

“I’ve traveled and seen the world, but if I was to move somewhere to just live, it would be here,” Pancake said during a recent media event at Kingsmill. “The community, the feel, the family friendliness here — I could easily live here and be ecstatic.”

Pancake, one of about 20 players sponsored

by Pure Silk, was named the top college golfer in 2012 while at Alabama. She turned pro the following year. A back injury forced her to take 2016 off, and she returned in 2017 for most of the year, until she got pregnant.

After having Lucy in May 2018, Pancake started working to get back in shape, preparing to return for 2019. There was never any question that she would bring her daughter with her on tour, since her husband, former pro golfer Derek Rende, isn’t always able to travel with them. Fortunately, having a baby along is a feat made easier with the help of babysitters

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SPONSORED CONTENT

who travel with the tour, which includes a number of other moms, new and seasoned.

“It’s really nice to have that support system, to have other moms to confide in,” she says.

Pancake marked her return to the LPGA tour last month by bringing her daughter with her to Hawaii. Her return to Kingsmill will occur right after she celebrates her first Mother’s Day, which will be followed by Lucy turning 1 on May 31st. “We may have to bring a smash cake out,” she jokes, referring to the practice of letting babies have their own cakes on their 1st birthday.

Pancake says she’s looking forward to experiencing her career in a new light — with Lucy. Having her daughter around will force her — in the best of ways — to take a step back, especially during those times when it gets challenging to get your mind off golf and be able to just relax.

“Whether I’m having a good stretch or a bad stretch, I can leave and go have dinner or go to Busch Gardens with her, or go to Colonial Williamsburg, and to make those memories,” Pancake says. “Then … hopefully by Sunday I can be holding a trophy.”

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A Lifetime of Healthy C h o i c es

How women can stay on top of their health at any age

T

BY KASEY FUQUA

hroughout their lives, women face different health challenges than men. From reproductive health issues in their younger years to osteoporosis as they age, women need their own set of screenings and preventive services to stay healthy their whole lives.

While in childhood, boys and girls receive the same vaccines and well-child checks, but starting in the teen years, their care needs begin to change.

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FEATURE

Age 13-21 — First Trip to the OB/GYN

Age 22-45 — Preventive Health

It may come as a surprise to some parents, but the American College of Obstetrics and Gynecology recommends an initial gynecologist appointment between 13 and 15. A teen's first trip to the OB/GYN can be nerve-wracking, but adolescent gynecologists such as Dr. Mariel A. Focseneanu at Children’s Hospital of the King’s Daughters in Norfolk, Va., make it easier on teens, keeping their information confidential and helping guide them through the process.

During these adult years, women still need to keep an eye on their health with annual visits to a primary care physician. Even at these early ages, it’s possible for problems like type 2 diabetes, high blood pressure and high cholesterol to start affecting long-term health.

By their first gynecology appointment, most girls will have started their periods and gone through puberty, which may leave them with a lot of questions. Problems with periods like severe cramps can be signs of gynecological problems, like endometriosis, that respond best to early treatment. And if a girl has not started her period by age 15, that’s another good reason to see a gynecologist.

“Even if there is nothing that they are concerned about, as they enter the teen years, they are going to have a lot of questions about their development and periods and birth control,” Focseneanu says. “It is important to have a relationship with a doctor, so when issues arise, they feel comfortable.”

If girls have not received the HPV vaccine yet, it’s also a great time for them to get vaccinated. Children and teens vaccinated before age 15 will only need two shots instead of three.

At age 21, it’s time for a woman’s first Pap smear to check for cervical cancer. If the screening is normal, you will not need another screening for three years.

The United States Preventive Services Task Force (USPSTF) recommends that women receive: • Blood pressure screenings every two years • Diabetes screening after age 40 if you are overweight or obese • Depression screenings if you show possible symptoms • Cholesterol screenings every four to six years between ages 20 and 45 if you are at high risk for heart disease In addition, doctors recommend a flu shot every year, especially if you are pregnant or planning to become pregnant. Women should also make sure they perform regular breast self-exams.

Age 40 — First Mammogram At age 40, most women will need their first mammogram, with repeat screening mammograms every two years following. However, if you have a family history of breast cancer, you may need to start your mammogram screenings earlier. If a first-degree relative — mother or sister — had breast cancer in their 30s, a good rule of thumb is to get your first mammogram 10 years prior to the age of their diagnosis. So if your mom was diagnosed at 38, you should start getting mammograms at 28. Your physician can help you weigh the risks and benefits of earlier mammograms so you can choose the best time for your health.

Age 45 — First Colonoscopy In 2018, the American Cancer Society (ACS) changed their colonoscopy guidelines — moving the first test up by five years — after analyzing data that showed new cases of colorectal cancer occurring at an increasing rate among younger adults.

The ACS believes early screenings will result in more lives saved.

After your first colonoscopy, you may not need to have another for 10 years. Since you don’t need a colonoscopy after age 75, it’s possible you’ll only need three of these tests in your lifetime.

Age 50 — Menopause The dreaded “change” happens, on average, at age 51 — but that doesn’t mean you won’t start experiencing menopausal symptoms earlier as your estrogen levels decline. Hot flashes, trouble sleeping, reduced frequency of periods and vaginal dryness are all early signs of menopause.

Besides these symptoms, menopause also means big changes to your overall health. After menopause, you have an increased risk for heart attacks, strokes and osteoporosis. It’s more important than ever that you see your physician annually for a physical and screenings.

To help fight the symptoms of menopause, you may choose to take hormone replacement therapy. This therapy involves taking estrogen and, in some women, progestin to help reduce symptoms. This therapy can also reduce your risk for bone loss, though it does not improve heart health.

Hormone therapy does come with risks, such as small increased risks of breast or uterine cancer. You may be able to fight some symptoms of menopause with other treatments, such as lubrication for vaginal dryness. Your physician can help you develop a plan for menopause that fits your health needs and goals.

Age 60 — Vaccines and Hepatitis C Screening At age 60, it’s time for a few more vaccines to protect you as you age.

You may need to receive: • A shingles vaccine • A pneumonia vaccine (age 65) • A Tdap (tetanus, diphtheria and pertussis) booster every 10 years You may also need other vaccines if you did not receive the vaccines when you were younger or if you participate in risky activities like illicit drug use.

For people born between 1945 and 1965, the USPSTF also recommends a one-time blood test for hepatitis C. People born in this time may have been exposed to hepatitis C through blood transfusions (before blood could be screened for hepatitis C) or other means since hepatitis C transmission was highest in the 1960s.

The Other Docs Age 65 — First DEXA Scan As you age, your bones become less dense, putting you at risk for fragility fractures. These fractures are a leading cause of death, disability and loss of independence in seniors. Women are more likely to develop osteoporosis (weakened bones) than men, with half of all women experiencing an osteoporosis-related fracture in their lifetime.

Besides health services, there are essential legal documents women should make sure they have. These will minimize conflicts or confusion should you become seriously ill or die.

Dual-energy x-ray absorptiometry (DEXA) is a noninvasive imaging test to check the density of your bones. You’ll need the test every two years to help you manage your bone health.

A Will

Beyond 65 After age 65, a woman’s need for screenings and preventive services will only increase. By having a trusted primary care physician, you can ensure you receive the services and care that are right for you based on your health, family history and lifestyle.

spells out how you’d like property and assets distributed.

A Durable Power of Attorney allows you to designate someone to make financial, legal and tax decisions on your behalf if you lose your decisionmaking capacity.

An Advanced Health Care Directive includes a “living will” that spells out your wishes regarding end-of-life medical treatment along with a health care power of attorney.

book look:

Future with Hope

a

BY KIM O'BRIEN ROOT

Carl and Christi Armato on their ranch in Clemmons, N.C.

C

arl Amato was just 18 months old when he was diagnosed with type 1 diabetes.

From an early age, he learned how to

manage his condition with the help of his parents, who pushed him to live a full, healthy life despite his diagnosis.

His journey with diabetes, he says, ignited a passion for a career in health care. Today, Amato is president and chief executive officer of Novant Health, one of the largest health-care systems in the Southeast with 500 locations across Virginia, North Carolina and South Carolina. In 2018, he published his second book, “A Future with Hope: An Inspiring Guide for Overcoming Diabetes,” which takes a frank look at diabetes and how it shaped him into who he is today.

Q: What inspired you to write a book?

A: For years, I had been jotting down notes for my future grandchildren who could possibly one day be diagnosed with type 1 diabetes. I THEHEALTHJOURNAL.ORG

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wanted them to be knowledgeable about things that they may not learn from their doctors.

The moment of inspiration to transform these personal accounts into a book came from a young girl who approached me with tears of hope in her eyes after I shared my journey at a Juvenile Diabetes Research Foundation event.

She told me she had never heard anyone talk so positively about diabetes and that my story had inspired her. It was after speaking with her that I decided to turn my personal journal into a memoir that chronicles how I’ve gained resilience from disheartening moments by remaining positive throughout my journey.

Q: How did your diagnosis impact your family growing up?

A: When I was diagnosed, there were no glucometers to measure blood sugar and no pumps to automatically inject insulin, so each morning my mother would monitor my urine glucose levels with a chemistry set. I grew up

FEATURE

in a rural part of Louisiana with the nearest hospital hours away, which meant I was only able to check my blood glucose levels once a month. During hospital visits, my mom would sit with our pediatrician to make sure she knew everything she could about my disease and how to manage it effectively. Knowing that I would eventually have to learn to take care of myself, my parents took the time to teach me how to make good health choices from a young age. They focused my attention on two things — knowing my sugar readings and how insulin and exercise could effectively combat the dangers of high blood sugar. They pushed me to eat healthy and be active so I could experience a long, fulfilled life, and I’m forever thankful for their support.

Q: As someone living with a chronic disease, how are you able to use your perspective as a patient to successfully run Novant Health?

care more affordable so patients, especially with chronic illnesses, can focus on getting the right treatment and staying healthy. At Novant Health, we are partnering with other health-care providers throughout our footprint to improve the future health of our communities by contributing millions of dollars for a variety of free programs to promote healthy living, such as mammograms, cancerprevention education and weight-management support groups and classes. By leveraging the latest technology, increasing access to affordable care and continuing to tailor brick-and-mortar services to reach excluded communities, we are reaching the patients who most need our help.

I believe that employers also have a role to play in ensuring their employees receive the care they need. At Novant Health specifically, we provide insulin pumps and testing supplies to all employees living with diabetes through our durable medical equipment supplier, covered at 100 percent.

A: My experience living with a chronic illness like type 1 diabetes allows me to look at the organization through the eyes of a patient, rather than seeing the system as numbers in an Excel sheet. Today’s health systems must be patient-focused organizations, and that starts with putting oneself in the patient’s shoes. I’ve seen firsthand the difference it makes to have a health-care provider who truly understands what it’s like to manage a complex and/or chronic condition. If we want to truly improve our country’s health-care system, we must be compassionate caregivers and draw upon our own experiences.

Q: What would you tell someone newly diagnosed with diabetes about staying positive in the face of adversity?

Q: What are some of the ways the health-care industry can be more inclusive when it comes to treating patients with chronic illnesses?

A: I want readers to know that even though they will experience challenges, they can still do anything they want to do in life. Diabetes does not have to prevent them from realizing their dreams just like it didn’t prevent me from realizing mine. That said, I feel that anyone living through a trying time or facing a personal challenge can benefit from or relate to my account.

A: Patients and their caregivers need simpler, more convenient access to providers and must be given the ability to have a voice in their care. It also goes without saying that we need to make health

A: Knowledge is power. Newly diagnosed patients should learn everything they can about the condition, the treatments and new developments and discoveries. It’s essential to remain committed by making healthy choices, eating right, exercising, relieving stress and maintaining a strong support network.

Q: What do you hope readers will take away from your book?

What is Diabetes?

There are two main types of diabetes: type 1 and type 2. Both types of diabetes are chronic diseases that affect the way the body regulates blood sugar, or glucose. Glucose is the fuel that feeds cells, but it requires insulin, which is produced by the body. People with type 1 diabetes don’t produce insulin, while people with type 2 diabetes don’t respond to insulin as well as they should and, later in the disease, often don’t make enough insulin. Type 1 diabetes, previously known as juvenile diabetes, can occur at any age.

FEATURE

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Medical Device Dangers

BY BOB FLYNN

T

im Anderson was driving home from a dinner celebrating his step-daughter’s birthday when suddenly, he blacked out.

Despite the vehicle rolling over four times, he walked out of the hospital about 48 hours later, practically unscathed.

The cause of the accident? The insulin pump he was using for his type 1 diabetes failed.

“The tubing got clogged,” Anderson recalls. “Usually it alerts me [if there’s a problem], but it did not alert me this time and basically I went into a diabetic coma while driving.”

Anderson, of Carson, Va., had to wear a neck brace for almost eight weeks following the 2010 incident, but otherwise has had no lasting effects. And although his pump failed — a risk when relying on a medical device — he says it’s a risk worth taking.

Anderson, now 41, was lucky. For thousands, the risk has resulted in deadly consequences.

Deaths and injuries There’s no question, medical devices save lives. In addition, the lives of many more people are improved with implants of all types. Omar Ishrak, the CEO of the world’s biggest device maker, Medtronic, claims his company improves the lives of more than 70 million new patients each year.

But a worldwide investigation showed that medical devices were linked to 1.7 million injuries and nearly 83,000 deaths from 2008-17, according to a report by the International Consortium of Investigative Journalists (ICIJ) in 2018. In addition, the ICIJ said surgery to remove a defective or malfunctioning device led to almost 500,000 more incidents.

Among the most common medical devices to cause problems are artificial joints, stents, transvaginal mesh and defibrillators. According to the ICIJ study, about 32 million Americans have a medical device of some sort in their body, with people 65 and older making up the largest demographic. According to one study, there could be almost 1 billion people worldwide walking around with some such device in their body by 2030.

THEHEALTHJOURNAL.ORG

The business of medical device implants As the number of people needing a medical device grows, so does the business of making the devices.

The ICIJ study showed industry sales went from about $118 billion in 2000 to about $400 billion last year. And a fund composed of leading medical device stocks posted a return of 125 percent in the past five years (as of Nov. 2018), compared to 52 percent for the broader economy reflected in the Standard & Poor’s 500.

The industry seems to know there are problems, because billions of dollars have been paid to patients. In just the past five years, according to the study, Johnson & Johnson has paid — either by agreement or court order — more than $4 billion to people in the United States who claim they were injured by defective hips, mesh and surgical staplers.

After Anderson’s pump was determined to be defective, he was sent a new device — the newest model — and hasn’t had any problems since.

He chose not to pursue any legal action, and the company didn’t put up a fight about giving him a new pump. “They never came out and said, ‘Yes, it was our fault,’” Anderson says, adding it was about time for his machine to be replaced anyway.

The FDA’s role One of the problems patients face is determining what caused a device to fail, and finding who is at fault isn’t always easy. The U.S. Food and Drug Administration (FDA) even admits it is difficult to determine when a problem leads to injury or death. Dr. Rudy Ochs, with Mercy Health Physicians Partners Hart Family Medicine in Michigan, said sometimes, particularly with joint replacement surgery, a patient might be a little too aggressive in their rehab, adding to the confusion of what is the cause of the problem.

“One of the things we encourage is first, patients (and) doctors, they can file what we call ‘adverse event’ reports through our program called MedWatch,” says Stephanie Caccomo, a press officer with

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FEATURE

the FDA. “You should also be notifying the manufacturer as well. That’s how we then investigate an issue. That’s how the manufacturer can investigate the issue.”

The FDA website — fda.gov — lists products that are subject to recall or are a safety concern. However, the list comes from news releases and other public notices, which not all manufacturers or companies provide. That is why it’s so important to file a report if you experience a problem. Another option is to sign up to receive notices from the FDA about recalls and problems with medical devices.

Just last year, the FDA announced it would begin reviewing regulations concerning the safety and effectiveness of medical devices, some of which don’t go through human testing before being used on patients. Modernizing the regulatory process would help keep pace with the increasing complexity of rapidly evolving technology, the FDA says.

Weighing the risks “Many of these devices are life-saving pieces, so there are benefits and risks,” says Caccomo, adding that a patient’s work starts the minute the doctor mentions the possibility of an implant.

“Make sure you understand what product your doctor wants to put in you, asking for information and patient brochures that go with the device,” she says. “The manufacturer has to disclose benefits and risks, and known complications.”

For Anderson, the risk of getting a medical implant was worth it. He prefers his insulin pump to when he had to give himself eight shots a day to fight his diabetes, which he has had since he was a child.

“The way I see the risk you take, it’s the same risk of walking out of your house and getting hit by a school bus,” Anderson says. “It’s very rare that it’s going to happen, but there’s always that possibility.”

But what if a device fails?

Contact your doctor. Or any doctor. Do your own research, like Hampton, Va., resident Sandi Dianna did — she turned to the Internet after having health issues after having reconstructive surgery following breast cancer, and found a community of people with breast implant illnesses.

“If they are comfortable with the original surgeon they saw, I’d send them back (to him or her) and have them evaluate the device,” Ochs says. “They’re usually pretty upfront with people and will say, ‘Yeah, we had a problem with it.’ ” If you are not comfortable talking with your surgeon, find a doctor you can discuss the problem with, Ochs says.

No one knows your body better than you, and sometimes it’s hard to explain to a doctor what exactly is wrong. The more discussions you can have, even online, the better chance you have of finding a solution.

FEATURE

Implant Illness How one woman figured out what was wrong One aspect of medical device surgery that is sometimes overlooked is when the body rejects the new part or parts. That was the case for Sandi Dianna, who experienced numerous health problems after having reconstructive breast surgery following a bout with cancer.

“No one could figure out what was wrong,” says Dianna, an elementary school teacher from Hampton, Va. “No one even considered it could be the implants. I never considered it, never even thought that it would be a possibility because I thought they were safe.”

She and her doctors found no problems with the implants themselves. They didn’t break or leak. Still, for whatever reason, her body rejected them.

Dianna’s reconstructive surgery was in 2012, and her doctors had gone over the usual side effects. She was told that since her implants weren’t the liquid type (more like gummy bears, she said), there was nothing to leak out. Also that year, she had surgery to remove her ovaries and to implant a bladder sling.

She experienced numerous problems in the ensuing years, but with all that was going on in her body, it was difficult for her and her doctors to pinpoint the cause or causes.

“I felt like I was dying and no one could figure out what was wrong,” she recalls. “I was so sick. I couldn’t even describe to the doctors how sick I was.”

After doing research online, Dianna learned there is an entire community of people who suffer from breast implant illnesses.

While reading many of the symptoms these people were experiencing, she realized she had a number of them also. She immediately made an appointment with her plastic surgeon.

She remembers what she told him: “I am so sick, and the doctors can’t find anything that is wrong with me. The only thing I can think of is that it could possibly be the breast implants. At this point in time, I’m willing to do anything. (Just) get them out of me.”

According to Dianna, her plastic surgeon said she had a form of human adjuvant disease, which is when your body fights the foreign substance: “That was the first I’d ever heard that could be what was going on.”

She immediately scheduled surgery to have the implants removed. The day after the surgery, which was in July 2017, she started feeling better. She has continued to feel better ever since.

“I had immediate relief as soon as he took those implants out,” says Dianna, now 57. “I’ve had no problems since.”

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The Power of Poop

BY DIVYA MANIKANDAN

P

oop, number 2, stool, feces and plain old s#!* are all words that have been used to describe what is nothing more than a normal, healthy bodily process. Now, poop is being used to heal, too.

Fecal transplants are exactly what they sound like: the transfer of literal stool material from one person to another. The procedure — which continues to gain traction within the medical community — treats illnesses and infections by putting the “good bacteria” from a healthy person’s gut into the body of someone for whom these beneficial little microbes are absent.

The Why

companies as a more elegant solution. These capsules contain frozen microbes from the gut of a healthy person and can merely be swallowed by the patient.

Fortunately, studies have shown, there’s little difference in the healing outcome whether poop has been transplanted through a colonoscopy or ingested in the form of a pill.

Beyond C. diff

But why would someone even need to consider a poop transplant? The answer lies within our society’s chronically escalating dependence on antibiotics. It is common knowledge that the proliferation of these bacteria-killing drugs can be harmful to the body in many ways. Not only do antibiotics kill the harmful bacteria that cause infections, but the immunity boosters and microbial aids in the gut that are crucial to our homeostasis and good existence are also attacked as collateral damage.

As a result of this, there is a lot of empty space in the microbiota of the medicated human body — a space that can then easily be taken up by harmful bacteria, most commonly Clostridium difficile, known as C. diff. Once this infectious pathogen invades the body, it can be very hard to get rid of, even with additional antibiotics.

Due to C. diff’s virulent and resistant nature, there are typically a few spores that tend to get left behind, thus allowing the germ to recolonize the intestine. Minor C. diff infections can result in several days of diarrhea and abdominal pain; more severe infections can bring about severe diarrhea, dehydration, colon inflammation (colitis), kidney problems and more.

If, however — after the course of initial antibiotics — the patient were supplemented with the healthy bacteria from the gut of a normal, non-antibiotic taking individual, such a “gap” in the human flora would never have been created in the first place, thus curbing the C. diff monopolization. Research shows that the transplantation of a healthy microbiome into a diseased gut could result in a competition for resources against C. diff, but fortunately, the beneficial microbes would likely win.

It’s not just antibiotic-induced C. diff that fecal transplants can treat, however. Many gastrointestinal illnesses — including Inflammatory Bowel Syndrome (IBS) — have been linked to the disruption of the human gut microbiome due to the changing lifestyle of the world today. The FDA has even approved fecal microbiota transplants for patients with several different forms of GI conditions.

Meanwhile, there are species disappearing from the human ecosystem because of the increasing consumption of processed food and the overly sterile existence that we currently indulge in. These habits may inoculate the body against some pathogens, but they also deprive us of the probiotics that are vital to the smooth functioning of our immune system and metabolism.

The bottom line? It may very well be that the power of poop can keep us healthier in the long run.

The How

Now that we’ve established why one would want the good bacteria, how would this even be achieved in a sterile way? First, donors — who can be from the patient’s own family if desired — must be screened just as thoroughly as they would be for any other form of tissue donation. Then, the fecal sample is analyzed and processed to ensure that any disease-causing agents are absent. Finally, the good poop is implanted into a patient’s intestines by colonoscopy.

Although this method may seem primitive and grotesque, its ability to tame the diarrhea that accompanies C. diff infections has proven to be significant. And thanks to technological advancements, there are now several pills being developed by pharmaceutical THEHEALTHJOURNAL.ORG

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ADVANCES IN MEDICINE

COMMON MISTAKES IN

TRAIL RUNNING YOUR CHIROPRACTOR WISHES YOU KNEW

BY BRENT WELLS, D.C.

I

t doesn't really matter what level of an athlete you are — you know that proper nutrition, sleep and rest between workouts are all key factors to performing at your best at whatever sport you participate in. Trail running is no exception to that rule.

However, a common problem that athletes have is that they push themselves too hard and wind up with injuries that could have been prevented.

LIFESTYLE

Studies suggest that one in every three runners will suffer some type of injury in his or her lifetime. The most common places for injuries include the foot, shin, knee and ankle, with the back and groin following close behind. While there are always going to be risks associated with running, there are ways to lower them so that they are less likely to occur. Find out what your chiropractor wants you to know before you head out on the trail to beat your personal best.

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Health care providers see patients come into their offices after trail running with all kinds of injuries. The most common ones are: • Soft tissue injuries — ligament sprains and pulled muscles • Skin injuries — bruises, cuts, scrapes, sunburns • Shin splints • Blisters from improper footwear

You’re Not Focusing on Your Stride

By avoiding the following improper running techniques, injuries can be prevented from occurring in the first place.

You're Landing Too Hard on Your Feet When you are running on a trail, specifically if that trail goes downhill, you are more likely to land harder on your feet. It's natural for your body because of the gravity that is forcing you back down to Earth. If you listen to music through earbuds while you are running and you can still hear your feet hitting the ground it, you are definitely putting too much stress on your body. Try to avoid steep ups and downs when possible

You're Landing on the Wrong Part of Your Foot Running on flat land, you try to land on the mid part of your foot most often to absorb some of the shock of hitting the pavement or ground. That can prove to be difficult when you are running on a hill. Instead of aiming for that midfoot region, you should focus on putting your body weight on the balls of your feet.

THEHEALTHJOURNAL.ORG

Regardless of what your personal stride is, you have to avoid hitting your heel too hard on the ground, something that is referred to as heel striking. Depending on what professional running coach you talk to, some say that long strides will accomplish this. Others claim that short and quick stride movements work better. That is something that you will have to work on to determine which is best for you.

In addition to your stride, be mindful of where your arms are swinging. They should be at a 90-degree angle, and you should move them at the speed you want your legs to move. Most often, your legs are going to flow at the same rate your arms do naturally.

You’re Not Strengthening Your Hips Your knees take a lot of the force when it comes to running on trails. After just a short time, you can start to feel pain or even fatigue out because your body just can't take any more of the pressure. If you work on strengthening your hips, your body is going to automatically transfer some of that pressure and improve your running form. There are plenty of exercises you can do to accomplish this.

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LIFESTYLE

You're Wearing the Wrong Shoes

You’re Not Listening to Your Body

One reason that people choose running as a hobby is because it doesn’t require a ton of expensive gear or equipment to enjoy it.

There is one thing that you should never skimp on, though, and that's a good pair of running shoes. If you're an avid runner, you probably have at least a few good pairs of trainers lying around. It's easy to grab them and lace them up before heading out. However, trail running isn't the same as jogging on a street or treadmill. You need to pick shoes that are going to support you through the everchanging terrain.

Trail-running shoes often have stronger soles and bigger grips on the bottom to keep you from falling when the ground changes under your feet. Wearing improper shoes can result in shin splints along with other injuries that will keep you from running at all for weeks or even months at a time. Appropriate shoes are an investment worth making if you plan on continuing with your running.

Perhaps most importantly, you have to listen to your body first. If there is something wrong, your body will let you know through pain and discomfort. The most dedicated athletes out there will often try to ignore the signs that something is wrong and they will push themselves to and beyond their limits. While it might provide them with some short-term satisfaction, in the long run, there is more damage than necessary done to the body.

It's easy to think to yourself that the problem isn't that bad.

Maybe you've been molded into someone who is supposed to just suck it up and work through the pain. That may work a few times, but when your body has been stressed beyond its breaking point, something is going to snap. If you can't walk or sit down without feeling discomfort, at a minimum, you should take a few days off from running. If the problem persists, seek out medical advice from a health care provider. Fighting through the pain sounds tough, but the consequences can be severe.

You Aren't Getting Enough Proper Nutrition Along with taking care of your body on the outside, you have to properly care for what's taking place on the inside. Nutrition is more than just eating right — there are a lot of things that go into good nutrition including drinking plenty of water and supplementing the vitamins and minerals your body needs.

By following these guidelines, you will naturally have more energy and you will provide your body with a layer of protection that it wouldn't have otherwise. Research has proven that if you are following the proper good nutrition elements and suffer an injury or illness, you will recover a whole lot faster. That means that you can get back out on the trails sooner and avoid too much downtime.

You’re Not Taking Time to Rest Athletes in all different categories of sports have a history of not taking the time to let their bodies rest. There are several reasons for this, including fear of falling behind or fear of getting too lazy and quitting completely after taking a break. It isn't likely that you are going to completely lose interest in running after taking a day off.

What's most important is allowing your body the time to rest and recover, even if you haven't suffered an injury.

Frequently, when runners hear that they need to take a rest day, they will sneak in some other activity to keep their bodies active.

Cross-training can have many benefits, but you shouldn't be doing it on your rest days. If you aren't taking the time to let your body heal, you are more susceptible to injury, burn-out and poor performance when you get back to your first love of running.

LIFESTYLE

You’re Not Getting Help if You Need it Qualified chiropractors know how to get you treat running injuries, and should explain the best treatments for the overuse injuries commonly seen among runners. Chiropractor are trained to work on muscles and joints to ensure everything is functioning properly.

There is a little more to trail running than just getting out there and taking off. If you want to enjoy the sport for years to come without suffering injury, you need to avoid these common mistakes. As long as you do, you should be able to continue to improve and enjoy all that this sport has to offer you.

More Tips for Trail Runners Along with the more in-depth mistakes that trail runners frequently make, there are other actions that can be taken to prevent pain and injury while you're out working on reaching your running goals.

• Do a proper warm-up and cool-down for protection of your muscles • Drink lots of water • Don't push yourself beyond your limits • Wear sunscreen • Run in cooler temperatures • Get massages regularly

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Peace in the City Finding Refuge in NYC's Urban Jungle

BY TERESA BERGEN

A

s tourists enter the maelstrom of New York’s streets, dodging sidewalk vendors hawking cell phone chargers and cheap handbags and breathing in fumes of everything from exhaust to $6 chicken-and-rice plates from food carts, panic can set in. It’s keep up the pace or be trampled.

Few folks would pick New York City for a wellness retreat. But whether you’re there for business or for the theater, museums, shopping and general big-city excitement, you might feel the need for some mind-clearing, body-rejuvenating, spirit-cleansing breaks.

Fortunately, they’re not too hard to find.

Outdoors

Beyond Manhattan’s iconic Central Park, which includes ponds, a zoo and a massive grassy area, the New York Botanical Garden in the Bronx offers 250 acres of relief from the concrete jungle.

Depending on the season, you might encounter lilacs, roses, water lilies or orchids. In addition to peaceful wanders, the gardens offer a busy schedule of programming, including tours, lectures and kids’ activities. In 2019, they launched a residency program that brings an artist and a composer on site to further enrich the visitor experience.

Also in the Bronx, Wave Hill is a 28-acre public garden overlooking the Hudson River. Its family-friendly programming ranges from woodworking and making citrus soaps to nature talks about the tiny eels that live in the Hudson River Estuary.

THEHEALTHJOURNAL.ORG

Want to get a little exercise while never forgetting you’re in New York?

The 1.45-mile High Line is Manhattan’s elevated linear park made from an old New York Central Railroad spur. Since it opened in 2009, tourists and locals wearing everything from jogging shorts to haute couture run, stroll or shop, and even get married on the High Line.

Spas

If the weather is bleak or you want a quieter experience, try hiding out in one of New York’s spas. The Great Jones Spa is like an indoor Nordic spa, with a spacious, stone-walled sauna, a 10-person Jacuzzi, a cold plunge and a relaxation area. Visitors can combine their soak with a massage, or just come for the water circuit.

For a more traditional experience, the Russian & Turkish Baths have provided relaxation to New Yorkers since 1892. In addition to five saunas and steam rooms, a cold plunge pool and roof deck, the Russian Baths are known for their platza oak leaf treatment. This treatment — designed to open pores and eliminate dead skin — involves being beaten with a broom made from fresh oak leaves and dripping with olive oil soap.

High-tech spa aficionados will enjoy checking out one of NYC’s HigherDOSE infrared saunas, which heat your body with light rather than warming the air. You can combine your sauna with colored light therapy to increase collagen production, or try a cryo facial, wherein cold air is blown in your face to reduce inflammation and make your skin glow.

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TRAVEL FOR WELLNESS

Spiritual retreats

Cosmopolitan NYC caters to just about every spiritual path, from traditional Catholic mass to non-religious meditation groups. If you like churches, the enormous Saint Patrick’s Cathedral, opened in 1879, offers group tours, a self-guided tour app and seven masses a day. Harlem’s Gothic/Tudor Abyssinian Baptist Church — NYC’s first African-American church — welcomes tourists at its 11:30 worship service on Sundays if space permits.

If your spiritual path takes you East, visit the Jacques Marchais Museum of Tibetan Art on Staten Island for meditation, tai chi and a wander through one of the country’s biggest collections of Himalayan artifacts. For a nondenominational meditation, The Path welcomes visitors for a weekly 20-minute guided meditation followed by a group chat in the Montauk Salt Cave.

Fit Hotels

Since convenience is a major factor in adhering to a fitness routine, set yourself up for success by booking a hotel with a good gym.

In addition to free weights, cardio and strength machines, the 4,000-square-foot fitness center at Sheraton New York Times Square has a studio with 10 Peloton bikes. Guests have 24-hour access and can join frequent daily group rides. In Queens, the trendy Paper Factory Hotel offers boxing equipment. Le Parker Meridien in Midtown has a rooftop pool, while W New York hosts outdoor Barre to the Bar classes during summer, followed by cocktails.

If you’re on a budget and care more about fitness than glamour, consider staying at one of NYC’s YMCAs. The rooms are austere, but it’s like waking up in a giant gym. There’s no excuse to skip 6 a.m. boot camp when you can stumble downstairs in your pajamas.

If You Go

New York City is a short hop from Norfolk, Newport News or Richmond on most major airlines, or consider taking the bus or train. NYC & Company is a useful resource for more ideas while you’re in town.

TRAVEL FOR WELLNESS

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The Gift

Life

of

BY KIM O'BRIEN ROOT

E

very April 29th, Wallace Green has a little celebration. It’s not his birthday, or anniversary, or the date of any real significant event in his life.

But it is the birthday of the 8-year-old girl whose kidney he received four years ago. He had already had one failed transplant when he got a call two years later that another kidney was waiting for him at Norfolk General Hospital.

“It was overwhelming that I had that second opportunity,” says Green, who is from Virginia Beach, Va. “It was a bittersweet moment, because it was from an 8-year-old girl. It’s a feeling that’s hard to describe. You just finally have to say thank you.”

On May 16th, Green will be one of several panelists at a special program called “Organ Donation: The Gift of Life” at Zeiders American Dream Theater in Virginia Beach. The free event, part of the Spring into Healthy Living programming offered each year

by Jewish Family Service of Tidewater (JFS), is intended to help demystify the organ donation process and inspire people to become donors themselves.

More than 115,000 people in the United States are waiting for life-saving organ transplants, with 22 dying each day while waiting, according to Donate Life Virginia. In Virginia alone, there are nearly 2,600 people waiting for organs, including about 2,000 just for kidneys.

“We need people to understand how important this is,” says Patti Wainger, a JFS board member.

THEHEALTHJOURNAL.ORG

The program’s keynote speaker will be Dr. Janet Wright, acting director of science and policy for the U.S. Surgeon General’s office.

Besides Green, the panel includes Dr. David Baran, a transplant specialist at Sentara Heart Hospital in Norfolk; and Rabbi Jeffrey Arnowitz of Congregation Beth El in Norfolk. Completing the panel are two fathers whose family members were organ donors, including Thom Hutchins, whose son died at the age of 22.

Kyle Hutchins had suffered from asthma most of his life when complications from the disease took his life in 2017. His parents, Thom and Melissa of Chesapeake, decided to donate his organs.

Although Kyle had never checked that box on his driver’s license application, he had talked about wanting to be a donor one day. Plus, it was in his nature.

“In his whole life, he gave,” Thom Hutchins says of his son, a graduate of Norfolk Academy who spent several years at Virginia Tech. “He was a giving and compassionate kid. He was a giving and compassionate adult. This was part of his make-up.”

Kyle’s organs — both kidneys, liver and heart — went to four different people. It took a little time, but becoming an advocate for organ donation has been part of the healing process.

“It’s time for me to continue to share the message,” Hutchins says.

For Green, being the recipient of a kidney transplant gave him his life back. The retired Navy man, a Vietnam vet, had spent years buffing up his body with sports, exercise and a high-protein diet. When he was in

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LIFESTYLE

his 50s, he learned his kidneys were failing due to proteinuria, a condition characterized by too much protein in the urine.

Green ended up on dialysis, changed his diet and spent eight years on the transplant list. His body rejected the first transplanted kidney, but the second, which he received in 2015, seems to be doing fine. “I’m feeling very well,” says Green, who now runs the kidney disease prevention group Health & Awareness (healthawarenesskidneydance.com). “And that’s why I stay on the go. That’s my promise to the donors, to educate others.”

Only about 60 percent of Virginians are registered donors, although almost anyone age 13 and up can become a donor, either by signing up at the DMV or online. The organs from one person can save up to eight lives, while a single tissue donor can enhance the lives of more than 75 people. Eyes can go to help others, as can blood vessels.

There are also living donors, in which living people can donate an organ or part of an organ — kidneys and livers — to a person in need of a transplant. In Green’s case, although several friends offered to donate a kidney, none of them ended up eligible.

JFS’s hope is that "Organ Donation: The Gift of Life" will offer up information as well as support to those waiting for transplants and their family members. And hopefully, lives will be saved.

“It’s a joy to perpetuate life,” Wainger says. “People are going to get so much out of this.”

To sign up to be an organ or tissue donor, or to register as a living donor, visit www.donatelifevirginia.org/sign-me-up.

Want to Go? When: May 16th at 7 p.m.

Where: Zeiders American Dream Theater in the Virginia Beach Town Center Cost: FREE but reservations are required Register: jfshamptonroads.org/healthyliving or call 757-321-2233 This program is presented by JFS in partnership with LifeNet Health, the Brock Institute of Eastern Virginia Medical School (EVMS) and WHRO. Towne Bank is the presenting sponsor of JFS’s 15th Annual Spring into Healthy Living.

OPEN DOORS

for people with disabilities

Wellness Festival 5k &

Meditation

Fun Run

& Yoga

Golf

For 65 years VersAbility Resources has supported people with disabilities of all ages.

We offer programs that help people with disabilities thrive!

• Early Childhood • Employment • Day Support • Community Living • And much more

Food, drinks, live music and fun for the whole family!

June 29 | Kingsmill Resort Plantation Benefitting Literacy for Life twistedtri.com | literacyforlife.org | 757-221-1265

We Need Your Support, Help Open Doors Today Become a Business Partner • Donate • Volunteer

versability.org | 757.896.6461

SIZZLIN' SUMMER FESTIVALS May 4th

Blues, Brews & BBQ, Yorktown

Sample dozens of local craft beers, dig into some amazing BBQ and listen as some of the best blues musicians in Hampton Roads take the stage at Riverwalk Landing. Proceeds benefit the York Foundation for Public Education.

Cost: $30; VIP available

May 17th - June 30th

Children’s Festival of Friends, Newport News

May 4th

This festival at Newport News Park features over 100 hands-on activities including make-and-take crafts, rides, fitness activities, educational exhibits (including robotics and sheep shearing) and displays by city departments and community organizations that serve children.

Cost: $5 parking fee

May 25th - 26th

May 4th - 5th

Spring Town Point Virginia Wine Festival, norfolk

jamestown day, williamsburg

Cost: $25-45; VIP available

Cost: Site admission

Sample some of the finest Virginia wines from over 30 Virginia wineries in Town Point Park along the Downtown Norfolk waterfront.

june 1st - 2nd

Historic Jamestowne and Jamestown Settlement will mark the 412th anniversary of the founding of America's first permanent English settlement with interpretive programs on Powhatan and English interactions, military and maritime displays, family-friendly tours and activities and traditional entertainment.

Busch Gardens Food & Wine Festival, Williamsburg

Pungo Strawberry Festival, Virginia Beach

Blackbeard Festival, Hampton

Harborfest, Norfolk

Cost: Included with park admission; tastings range in price.

Cost: Free admission; $10 on-site parking; $25 carnival wristband Friday only.

Cost: Free; Pirate’s Ball requires a ticket.

Cost: Free

Guest can unleash their inner foodie enjoying 43 specialty entrees and desserts from around the world, 35 different wines, 33 craft beers, 30 unique cocktails and 11 specialty cocktails — all only available during the festival.

June 8th

Arts & crafts, a grand parade, continuous entertainment, pony rides, down-home-style food, an agriculture and Armed Forces display area, carnival rides, 4H events, a youth art exhibit, pig races – you name it, this festival has it. Plus, plenty of mouthwatering strawberries.

Here Comes Summer Festival, Poquoson

Honey Festival, Virginia Beach

Cost: Free

Cost: Free

June 22nd

Craft show, children’s activities and Over 40 vendors including live music at the Virginia Beach handmade one-of-a-kind gifts as Farmer’s Market. well as other merchant fares at the popular Poquoson Museum.

There will be food, music, children's area and much more.

Living history and family fun go handin-hand as Hampton reenacts and celebrates the demise of Blackbeard, one of the fiercest pirates ever known. Live entertainment, pirate encampment, children's activities, sea battles, fireworks and more.

June 28th - 30th

Hampton Jazz Festival

The Hampton Jazz Festival attracts the nation's top blues, soul, pop and jazz performers and fans from across the nation.

Cost: $76

May 11th

June 7th - 9th

Event includes tall ships and the Parade of Sail, the largest waterfront fireworks show on the East Coast, local, regional and national entertainment, family activities, unique and unusual performances, water activities, work boat races, build-a-boat contest and more.

June 28th - June 30th

Sandstock: A Tribute to Rock & Roll, Virginia Beach

A beach-inspired variation on “Woodstock.” National and regional tribute artists who cover performers from The Who to Van Halen to Led Zeppelin will crank out hit after hit on two beach stages at the Virginia Beach oceanfront!

Cost: Free

upcoming events that will heat up summer 2019

all summer long events

Wednesdays, May 22nd - Aug. 28th

Sundays, may 26th - sept 1st

Summer Concert Series at Port Warwick, Newport News

Groovin’ by the Bay, Hampton

Cost: Free

Cost: Free

Enjoy the summer night air on Styron Square listening to the area’s best music, starting at 6 p.m. Bring your own lawn chairs (no tents), blankets, food and drink – beer and wine allowed.

June 28th - 30th

Summer evenings are rocking at Buckroe Beach in the summer with a musical mix that includes beach, pop, oldies, Motown and swing. Whether listening or dancing, you’ll enjoy this evening of music under the stars.

July 24th - 25th

Thursdays, June 6th - August 29th

Sounds of Summer Concert Series, Yorktown

Summer Breeze Concert Series, Williamsburg

Bring your lawn chairs and coolers to outdoor concerts by the river, starting at 7 p.m. You’ll get to jam to some of the area’s top acts playing beach favorites, Motown, disco, funk, R&B, pop & more.

Kick-off your summer in Merchants Square. Concerts begin at 7:00 p.m. Bring a chair and enjoy music, dancing and fare from your favorite Merchants Square restaurants. We'll see you in the Square!

Cost: Free

Cost: Free

Norfolk Latino Music Festival

July 27th

Bayou Boogaloo Music & Cajun Food Festival, Norfolk

Chincoteague Island Pony Swim and Auction

Norfolk’s annual love-fest with New Orleans’ vibrant spirit captures the melting pot of Bayou culture. This popular 3-day festival delivers the heart and soul of Louisiana to visitors of Town Point Park in true Cajun and Creole style.

Annual round up of the wild ponies from Chincoteague National Wildlife Refuge on Virginia's Eastern Shore.

Volunteer firemen round up the ponies on Assateague Island and swim them across the channel to Chincoteague Island, where they rest before being paraded down Main Street to the carnival grounds.

Live music, Latin food, dance lessons, face painting, crafts, soccer, bilingual story time and more in Town Point Park, 5-10 p.m.

Cost: $10-20

Cost: Free, unless you buy a pony.

Cost: Free

August 24th

August 24th

Wednesdays, July 3rd - August 28th

August 3rd

Whistle Belly Beer Festival, Williamsburg

More than 45 breweries, 90 beers, delicious food and live music on Duke of Gloucester Street.

Proceeds benefit local non-profits & scholarships for high school students via the JWCW. Cost: $55-75

August 24th - 25th

August 30th - Sept. 1st

World Arts Celebration, Newport News

Neptune’s Coastal Craft Beer Festival, Virginia Beach

Seawall Art Show, Portsmouth

Festival goers will get to sample local Virginia beers and cask ales, as well as national and regional craft beers.

Enjoy over 65 beers from 30 breweries, live music, food trucks and more.

Featuring the talents of more than 80 select artists, works include oil painting, wood carving, art glass, fine jewelry, pottery and more. Includes a student art show on Saturday, food and entertainment in Historic Olde Towne.

American Music Festival, Virginia Beach

Cost: Free

Cost: $30-40

Cost: Free

Cost: Many shows free; some require tickets.

Annual event in City Center at Oyster Point celebrates cultures from around the world.

Experience an evening of free, family fun with music and dance, international food, displays and hands-on cultural craft activities.

Lifestyle \ 37 \ Thehealthjournal.org

The largest outdoor music event on the East Coast, the American Music Festival brings together national, regional, and local acts to play on stages in all the parks along the boardwalk.

Taste Appeal Presents:

Time for

Tea

planning a health-conscious tea party

The tea party C

akes and candies and bread with butter — the BEST butter, mind you, if you’re Alice in Wonderland. Perhaps some scones and clotted cream. Tiny sandwiches. And then of course, tea. If you drink tea like a true Englishman, don’t forget the milk and sugar.

Attend a tea party in the South, and you’ll probably find ham biscuits and sweet tea on the menu.

How about for this Mother’s Day, you treat your mom to a more health-conscious tea party? Yes, that might mean leaving out the ham biscuits, but here are our suggestions for some (mostly) healthy, tasty dishes to serve with tea.

Pinkies up!

A note about adding milk to tea: Milk can temper the strong flavor of some teas, such as Assam black tea.

Generally, the lighter the tea, the less milk it needs.

Green, white and yellow teas, as well as floral teas, should be drunk without milk.

Healthy Egg Salad 6 eggs, hard-boiled ¼ cup plain, non-fat Greek yogurt 1 tsp. Dijon mustard (or powdered mustard) 1 tsp. chopped fresh dill

Peel and chop the eggs, discarding two of the yolks if you prefer a slightly less “eggy” taste. Place in a mixing bowl, then fold in the yogurt, mustard, dill, salt and pepper. For sandwiches, spread on toasted whole wheat bread, then top with spinach leaves.

Salt & pepper to taste Fresh baby spinach

Tea Pairing

assa

cucumber & avocado sandwiches 1 (8-oz) package Neufchâtel 8 slices bread, crusts removed 1 cup fresh arugula 1 English cucumber, peeled and thinly sliced 2 avocados, peeled and thinly sliced

In a small bowl, combine Neufchâtel, salt and pepper.

Spread about 1 tablespoon of the mixture onto a slice of bread. Layer arugula, cucumber and avocado, then sprinkle with dill. Top with a second slice of bread. Cut sandwich into four rectangles.

Repeat with remaining ingredients. Serve immediately.

Tea Pairing

1 tsp. chopped fresh dill Salt & pepper to taste

sil

ver

Needle white

tea

m black tea

Taste Appeal

Traditional Scotch Scones Okay, so these scones might not be the healthiest of all time, but they sure are yummy! For variety, try mixing in blueberries, cranberries or orange zest.

2 cups white, all-purpose flour Preheat oven to 425 degrees. In a large bowl, combine flour, sugar, baking powder, baking soda, salt 2 tbsp. sugar and sour cream. Add remaining ingredients, stirring until dough 3 tsp. baking powder clings together. On a well-floured surface, toss dough lightly until no longer sticky. Knead 12 to 15 times. ¼ tsp. baking soda Divide dough in half. Pat each ball of dough into a 6-inch circle with 1 tsp. salt the top slightly rounded. Brush each surface with milk; sprinkle ½ cup sour cream with sugar. Cut each circle into six wedges. Place 2 inches apart on a cookie sheet. Bake for 10-12 minutes ¼ cup oil or until golden brown. Serve hot with butter. Makes 12 scones.

3 tbsp. milk 1 egg, slightly beaten

Tea Pairing

Zucchini Bread 1 cup white, unbleached all-purpose flour 1 cup whole-wheat flour 1 tsp. baking soda 1 tsp. baking powder 1½ tsp. cinnamon ½ tsp. salt

Preheat oven to 325 degrees. Line a 9 x 5 inch loaf pan with 2 sheets parchment paper, or grease and flour the loaf pan. In a large mixing bowl, combine the flours, baking soda, baking powder, cinnamon and salt. Whisk to combine. Place the shredded zucchini between paper towels to squeeze out any extra moisture. In a medium mixing bowl, combine the zucchini, white sugar, honey, Greek yogurt, eggs and coconut oil. Stir to combine.

Gradually mix the zucchini mixture into the flour mixture. Mix in nuts if 2 cups shredded zucchini desired. Transfer the batter to the loaf pan. Bake for 60-70 minutes, ½ cup white granulated sugar or until a knife inserted in the center comes out clean. Cool in the pan for 10 minutes, then remove and ¼ cup honey cool on a wire rack for another 10 minutes. Slice and serve. Store at ½ cup plain, non-fat room temperature up to 3 days Greek yogurt wrapped in plastic wrap.

2 large eggs

Recipe from tasteslovely.com.

Tea Pairing

6 tbsp. coconut oil, melted and cooled 1 cup chopped nuts (optional)

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TASTE APPEAL

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Chai black tea

Let's Eat, Hampton Roads! mother's day << 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 La Tienda Tapas Bar 1325 Jamestown Rd. Williamsburg, VA 23185 757-253-1925 tienda.com

Carrot Tree Kitchens

3

1303 Jamestown Rd. #135 Williamsburg, VA 23185 757-229-0957

4

323 Water St. Yorktown, VA 23690 757-988-1999 carrottreekitchens.com

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FOOD & DRINK

5

The Williamsburg Winery 5800 Wessex Hundred Williamsburg, VA 23185 757-229-0999 williamsburgwinery.com Aticha Thai Cuisine 1430 High St. Williamsburg, VA 23185 757-378-3773 atichathai.com

2 3

6

8 9

6 7

Fat Canary 410 W Duke of Gloucester St. Williamsburg, VA 23185 757-229-3333 fatcanarywilliamsburg.com Fin Seafood 3150 William Styron Sq. Newport News, VA 23606 757-599-5800 finseafood.com

8

Second Street American Bistro 140 Second Street Williamsburg, VA 23185 757-220-2286 115 Arthur Way (Kiln Creek) Newport News, VA 23602 757-234-4448 secondst.com

FOOD & DRINK

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9

Vineyards Trattoria & Pizzeria 1405 Kiln Creek Pkwy Newport News, VA 23602 757-874-0114 thevineyardstrattoria.com

ACCEPTING NEW PATIENTS

Stephen Shield, M.D. Allergy Partners of Hampton Roads

Dr. Stephen Shield knows allergies and asthma. As a child growing up in Newport News, Va., he suffered from both problems. As the parent of children with allergies, he’s aware of the impact allergies can have on a child’s educational and social development.

As a board-certified, fellowship-trained specialist who’s been in practice for over 20 years, he has the knowledge and experience that can help you and your children with your quest for better health.

He knows that allergies and asthma don’t have to control you. He helps you control them.

Practicing locally since 1993, Dr. Shield joined with Allergy Partners, the nation’s largest medical practice dedicated to treating allergies, in 2010.

This partnership allows patients on the Peninsula to receive some of the most advanced care available from a local physician who cares about his community. Dr. Shield sees children and adults and is accepting new patients in his Williamsburg and Newport News offices.

Allergy Partners of Hampton Roads

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

HOLISITC HEALTH

Lara Bell, CHHC LWell

Lara Bell is a certified holistic health coach with a passion for inspiring, educating and motivating others in search of healthy lifestyles.

She received her bachelor’s degree from the University of Richmond in 1996. After spending over 15years in both the education and corporate workplaces, she decided to fulfill her lifelong passion of empowering others to improve their health. In 2014, she graduated from the Institute for Integrative Nutrition based in New York as a holistic health coach. Lara, who is also a certified yoga instructor, is currently enrolled in the Dr. Sears Wellness Institute, based in Colorado, to hone her skills in working with seniors, adults, families and prenatal/postpartum women.

Lara joined the local LWell team of registered dietitians to provide new remote health coaching services and accountability programs. Call LWell to make an appointment with Lara, and live your healthiest life!

LWell 1309 Jamestown Rd., #102 Williamsburg, VA 23185 (757) 585-3441 lwell.com

ALLERGY & ASTHMA

AUDIOLOGY D. Krystin Farrell, Au.D., CCC-A Maico Audiological Services Dr. Farrell has been with Maico for the last 4 years.

She received her Bachelor’s Degree in Communication Disorders (cum laude) from San Diego State University and her clinical Doctorate in Audiology from Gallaudet University. She is proficient in American Sign Language and is an advocate for the Deaf. She is a Fellow of the American Academy of Audiology and is certified in clinical competency with the American Speech Language and Hearing Association. Dr. Farrell has been practicing since 2006, with 9 years of experience in the ENT setting. She is highly respected by her patients and the medical community in which she’s worked. She enjoys riding her motorcycle on sunny days.

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

1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 allergypartners.com/hamptonroads

206B Gumwood Drive Smithfield, VA 23430 (757) 365-9933 maicoaudio.com

OPTOMETRY

ORTHOPAEDICS/UPPER EXTREMITY

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

Robert C. Mason, M.D. Tidewater Orthopaedics

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

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

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

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

Dr. Steven C. Mares, is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and 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 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390 erasethecanvas.com

DENTISTRY Stacey Sparkman Hall, D.D.S.

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

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

Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie. She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work.

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

SLEEP APNEA AND TMJ

Brian Cole, CPFT, CMT

William G. Harper, D.D.S.

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

Jaron Woods, RDN LWell

Williamsburg Center for Dental Health

PERSONAL TRAINING

Personal Training Associates

DIETITIAN NUTRITIONIST

Coastal Virginia Sleep Solutions

Dr. Harper has focused a significant part of his practice on sleep apnea and TMJ. He works closely with local sleep medicine physicians to diagnose and treat sleep apnea, snoring, teeth grinding and TMJ problems.

When a CPAP device is not successful or necessary, Dr. Harper then uses his extensive training and background to choose the right custom appliance for his patients. His experience with many different appliance designs increases comfort and success of the appliance, and leads to better sleep, improved health and a higher quality of life.

Dr. Harper uses his background and knowledge of TMJ disorders to prevent common side effects of sleep apnea appliance therapy including bite changes, tooth pain and TMJ pain. He also helps patients who suffer with TMJ disorders and were not properly diagnosed or were given a thick plastic “night guard” but still suffer from tightness, tension, pain and worn/fractured teeth.

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

Meet LWell’s newest dietitian and health coach! Not only has Jaron Woods completed all required training through Virginia State and Riverside to achieve the registered dietitian credential, Jaron can personally relate to patients if they are struggling with proper dieting, lack of motivation and/or feeling completely lost on the journey to becoming healthier. Jaron was once on that journey, and he has lost more then 50 pounds personally. His coaching style integrates his personal experience with his education and training to coach individuals to achieve their health goals.

He is particularly passionate about working with individuals struggling with excess weight, prediabetes and diabetes. Jaron offers accurate body fat testing and accurate calorie expenditure (BMR) testing in addition to nutrition therapy and health coaching.

Call LWell to make an appointment with Jaron or check out www.LWell.com/Jaron-Woods to read more.

LWell Serving patients in multiple locations throughout Hampton Roads 1309 Jamestown Rd., #102 Williamsburg, VA 23185 (757) 585-3441 lwell.com

WHOLE HEALTH DENTISTRY 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

HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222 ADDICTION TREATMENT The Farley Center 5477 Mooretown Road Williamsburg (757) 243-4426 ALLERGY & ENT Allergy Partners of Hampton Roads 1144 Professional Dr. Williamsburg (757) 259-0443 895 City Center Blvd., Suite 302 Newport News (757) 596-8025 Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500 11803 Jefferson Ave Suite 260 Newport News (757) 643-7028 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 279-7363 BEHAVIORAL HEALTH & PSYCHIATRY 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 2111 Hartford Road, Suite C Hampton (757) 864-0606 Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270 Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303

DERMATOLOGY Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030 Dermatology Specialists Michael C. White , M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 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

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

Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000

HOME CARE

FREE CLINICS

HOSPITALS & MEDICAL CENTERS

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

Visiting Angels 704 Thimble Shoals Blvd., #600-B Newport News (757) 599-4145

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

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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 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 Protect Our Kids P.O. Box 561 Hampton (757) 727-0651 Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771 Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386 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

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

Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk (757) 222-4509

500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

Susan G. Komen Tidewater 6363 Center Dr. Suite 205 Norfolk (757) 490-7794

Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

United Way 1182 Fountain Way Suite 206 Newport News (757) 873-9328

OPTOMETRY & OPHTHALMOLOGY

ORTHOPEDICS & SPORTS MEDICINE

5400 Discovery Park Blvd., Suite 104 Williamsburg (757) 253-2264

Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554

The Up Center 1805 Airline Blvd.

Portsmouth (757) 397-2121

5335 Discovery Park Blvd., Suite B Williamsburg (757) 253-0603

222 W. 19th St. Norfolk (757) 622-7017

Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1900

Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 823-1600

VersAbility Resources 2520 58th St. Hampton (757) 896-6461

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

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

HEALTH DIRECTORY

OBSTETRICS & GYNECOLOGY

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

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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

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

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

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

APRIL WORD SEARCH

APRIL SUDOKU

BRA

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 a gift card!

Congratulations to our

APRIL WINNER

MICHELLE BUSZARD NEWPORT NEWS

APRIL CRYPTOGRAM

APRIL HATH PUT A SPIRIT OF YOUTH IN EVERYTHING. ~ WILLIAM SHAKESPEARE THEHEALTHJOURNAL.ORG

/ 48 / HEALTH DIRECTORY

WHAT IS GOING ON IN

4

May

2019

9

BIKEWALK WILLIAMSBURG: PEDAL THE PARKWAY

BikeWalk Williamsburg is proud to announce the 22nd annual Pedal the Parkway event. Come join more than 1,000 of your closest friends for the rare chance to bike, walk or run the Colonial Parkway from Jamestown to Williamsburg completely carfree. Pedal the Parkway is co-hosted by BikeWalk Williamsburg and the National Park Service.

WHEN: 8a-1p WHERE: Colonial Parkway, Williamsburg $$: FREE MORE INFO: gretchen@oddmoxie.com or 757-561-0779

STROKE SENSE: CAUSES AND SYMPTOMS, INTERVENTION AND REHABILITATION

Join Dr. Ramakrishnan from Riverside Neurovascular Specialists and Dr. Soueidan from Riverside Neurology and Sleep Specialists as they inform our community about what a stroke is, some causes and symptoms, what stroke treatments are available and what is involved in the rehabilitation process.

WHEN: 6-7p; doors open at 5:30p WHERE: Riverside Doctors' Hospital Williamsburg $$: FREE RSVP: riversideonline.com/rdhw/doctor-is-in.cfm

12 MOTHER'S DAY MUFFINS AND MIMOSAS FAMILY WORKSHOP

Bring the family and join us at AR Workshop for a DIY class to make a plank wood sign, round lazy susan, plank trophy shelf, youth 12×16 wood sign, 12x16 game board, pedestal tray, pillow case or wood photo frame! In the workshop, you will have the opportunity to customize your project with your choice of designer paints and (non-toxic) stain colors.

WHEN: 12-3p WHERE: AR Workshop Virginia Beach $$: Depends on project: $40+ MORE INFO: arworkshop.com/virginiabeach

Coming in June

BODACIOUS BAZAR

20

31 1

Over 250 vendors, artists, crafters and several of Virginia's finest wineries at the Hampton Roads Convention Center, where there is something for everyone!

WHEN: 10a-7p WHERE: 1610 Coliseum Dr, Hampton $$: Adult $7, Children $4, Strollers FREE MORE INFO: facebook.com/BodaciousBazaar/ bodaciousbazaar.com/spring/

WALK TO CURE ARTHRITIS

Be the one. Whether you're an arthritis warrior yourself or care about someone who is, sign up to walk with us at the Inaugural Walk to Cure Arthritis - Williamsburg.

Walk by yourself, with friends, family or colleagues, form a team, raise money and then celebrate all that we can accomplish together!

WHEN: 9a WHERE: Pecan Square Park, New Town, Williamburg $$: Registration is FREE MORE INFO: walktocurearthritis.org/williamsburg

CALENDAR

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13TH ANNUAL HISTORIC VIRGINIA LAND CONSERVANCY GOLF CHALLENGE

Join us for a day of fun, golf, raffles and an awards dinner at Ford’s Colony Country Club to benefit the historic Virginia Land Conservancy. Captain’s Choice, flighted, net golf tournament followed by an awards dinner. All registrations must be received by Monday, June 17th.

WHEN: Registration begins at 11:30a with a shotgun start at 1p.

WHERE: Ford’s Colony Country Club, Blackheath Course $$: $100 per individual player/$360 per foursome MORE INFO: 757-565-0343 or visit HistoricVirginiaLandConservancy.org

Complete all three puzzles correctly for a chance to win* a Gift Certificate to the Williamsburg Salt Spa! 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

IN TEASERS BRA

STRETCH YOUR MENTAL MUSCLES AND WIN!

Winner announced in our next issue in the Inbox. SeeO bottom of page for submission deadline and details.

CRYPTOGRAM

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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