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WILLIAMSBURG EDITION —MARCH 2018 — THEHEALTHJOURNAL.ORG
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COMMUNITY LECTURE SERIES Speaker: Jeffrey R. Carlson, MD
Join Dr. Jeffrey Carlson as he discusses both non-surgical and surgical treatment options for common conditions of the spine. Learn about Less Exposure Spine Surgery, which involves a smaller incision, much less blood loss, trauma, and time under anesthesia than traditional surgery. Many surgeries are done on an outpatient basis. Bring a friend, have some refreshments and get informed!
Tuesday, March 20, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd., Newport News, VA 23606 Call Shannon Woods to register: 1-757-596-1900 ext.368 or email lectures@osc-ortho.com
OSC Patient Success Stories
“I recently injured my neck in a sporting accident. A friend suggested I see Dr. Jeffrey Carlson. In November 2017, he advised me to have spine surgery. Six days after the surgery, I was completely pain free and have now fully recovered. I highly recommend Dr. Carlson.”
Lee Carter Boyd W. Haynes lll, M.D. • Robert J. Snyder, M.D. • Jeffrey R. Carlson, M.D. Martin R. Coleman, M.D. • Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. F. Andrus, M.D. • John D. Burrow, D.O. • F. Cal Robinson, PsyD, MSCP Tonia Yocum, PA-C • Erin Lee, PA-C • Chris Schwizer, PA-C Monica Beckett, NP-BC • Lauren Copley, PA-C THEHEALTHJOURNAL.ORG 2 250 NAT TURNER BLVD. • NEWPORT NEWS, VA 23606 • 757-596-1900 •
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Congratulations to Drs. Carlson and McFarland for leading Bon Secours Mary Immaculate Hospital in receiving multiple awards for Spine Surgery, including #1 Hospital in Virginia for Spine Fusion!
In 2017, The OSC Spine Team continued to bring exciting new techniques to inpatient and outpatient cervical and lumbar spine fusion surgeries at Mary Immaculate Hospital in Newport News. Please go to osc-ortho.com/vaspinalfusion for more information or call us at 757.223.9813 for a consultation.
You can find more information on CareChex™ and their hospital quality rating analysis that produced these rankings and results by visiting our website at osc-ortho.com/vaspinefusion.
OSC PROVIDERS Boyd W. Haynes III, M.D. Robert J. Snyder, M.D. Jeffrey R. Carlson, M.D. Martin R. Coleman, M.D. Mark W. McFarland, D.O. Raj N. Sureja, M.D. Jenny L.F. Andrus, M.D. John D. Burrow, D.O. F. Cal Robinson, PsyD, MSCP
250 Nat Turner Boulevard Newport News, VA 23606 OPEN MRI CENTER
phone 757.223.9813 www.osc-ortho.com
March DEPARTMENTS BITS AND PIECES 06 Staff & Writers 07 Editor’s Note 09 Second Opinion
FEATURES 11 "A Cause to Freeze For" 13 Life Hacks: Rubber Bands 14 Making an Adjustment 16 Don't Let Lice Bug You 18 Innovating Spine Surgery 20 Preventing Migraine Attacks
LIFESTYLE 22 24 26 28 30 32
Profile: Maddie Weiler Bernstein at 100 Does it Have to Be Organic? Healthy Vacation Destinations Misery Loves Companies Book Look: Finding Your Fit
FOOD & DRINK 34 How Much Wine is Too Much? 36 Late Night Snacking: Good or Bad? 38 Taste Appeal
STAYING WELL 42 44 46 49 50
Yoganatomy: Bow Pose Accepting New Patients Health Directory Calendar Brain Teasers
CHECK OUT our website for even more articles about fitness, health and wellness.
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Too Much Wine?
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Organic vs. Fresh
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Healthy Vacations
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Taste Appeal
TABLE OF CONTENTS
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Migraine Attacks
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VOL. 13, NO. 10 The Health Journal is the perfect choice to reach readers wishing to stay current on healthy trends in fitness, nutrition and the art of living an informed life. We are Hampton Roads’ premier healthy lifestyle magazine. Copies are mailed and racked throughout the region.
STAFF PUBLISHER Brian M. Freer brianfreer@thehealthjournals.com EXECUTIVE DIRECTOR Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR Ravi V. Shamaiengar, M.D. EDITOR Kim O'Brien Root kim@thehealthjournals.com
WRITERS Teresa Bergen Brandy Centolanza Rebecca Reimers Cristol John Fawkes Kasey Fuqua Katy Henderson John-Michael Jalonen Alison Johnson Jason Liebler Kim O'Brien Root
Dr. Nordlund is a Board Certified Ophthalmologist specializing in the diagnosis and treatment of retinal diseases and glaucoma.
John R. Nordlund, MD, PhD
Member, American Glaucoma Society; Member, American Society of Retina Specialists; Member, American Academy of Ophthalmology.
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BUSINESS MANAGER Ashley Ribock ashley@thehealthjournals.com
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GRAPHIC DESIGNER Lisa Williams lisa@wearetusk.com COPY EDITORS Carolyn Brandt Beth Pepper CLIENT LIAISONS/ BUSINESS DEVELOPMENT Christie Davenport christie@thehealthjournals.com CIRCULATION Ryan Bishop circulation@thehealthjournals.com
Peripheral Neuropathy
If you have pain, numbness, tingling or burning in your feet or legs or balance problems you may be suffering from Peripheral Neuropathy. Common causes of neuropathic pain causing short circuit in the nerves: Reduced blood flow to legs and feet, nerve Demyelinization due to Diabetes or Pre Diabetes, Chemotherapy, Statin overuse or Spinal stenosis.
ADVERTISE Email advertise@thehealthjournals.com, or call 757 645 4475 for rates. CONTRIBUTE Email kim@thehealthjournals.com for editorial and contributor guidelines. SUBSCRIBE Subscribe for $16/year. Send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Include mailing address and contact information. Notify us of any change in address.
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Nerves may adapt to damage by contracting. Gaps between nerves expand. Nerve impulses going to and from the brain, muscles and blood vessels become obstructed or impaired causing pain.
We treat Peripheral Neuropathy utilizing a specialized Biofeedback Circuitry which: • Relieves Pain • Improves nerve signal conductivity • Improves blood flow • Re-educates muscle
For effective and affordable treatment for Peripheral Neuropathy call 253-1900.
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Editor’s Note Taking Risks Recently, a friend of mine asked if I’d be willing to pose for a portrait with my mom and daughter. Anne, a professional photographer in Hampton, had taken photos of my family before, including photos of my son when he was just 9 days old. She does a fantastic job. Still, I’ve never been particularly comfortable with having my photo taken. Going outside one’s comfort zone is usually never easy. The thing is, doing so often has amazing results and ends up helping us grow as human beings. It might be experiencing something new, learning a new hobby or just pushing yourself to do something you’re not crazy about. Challenging yourself, and stepping outside the familiar, helps you dip into that untapped store of knowledge and resources deep inside you. You might never know what you’re made of until you step off into the unknown. In this month’s issue of the Health Journal, you’ll read about several people who went outside their comfort zone.
PHOTOGRAPH BY ANNE COMPANION
Going outside one’s comfort zone is usually never easy. The thing is, doing so often has amazing results and ends up helping us grow as human beings.” John-Michael Jalonen, one of our writers, decided last month to try the Polar Plunge for Special Olympics Virginia in order to write about it. So he and a few friends ran into the icy cold Atlantic Ocean in Virginia Beach — something they certainly have never done or even thought about before — and had a blast. Then there’s Maddie Weiler. Last year, the 13-year-old Williamsburg girl sprang into action when a man jumped behind the wheel of her mom’s car and tried to drive off with Maddie and her little sister inside. Maddie fought back furiously, and won. You’ll read about this brave girl’s actions, which she pulled from down deep inside. It’s never too late to develop a spirit of adventure! Why not take that trip, or go to that concert? Take a visit to the
beach in the winter for a different perspective. Learn to play an instrument. Run a 5K. March in a protest for a cause you believe in. Expose yourself to the arts — if you need an idea, check out “Bernstein at 100” at the Ferguson Center or Chrysler Hall this month (see our preview story on page 24). And keep an eye out for our new arts & leisure section in the magazine each month for more ideas. As for me, I did go and get that photograph taken with my mom and daughter. If you look closely, sure, you can see the wrinkles and eye bags — the things I’m uncomfortable showing the world, but you know what? Who cares? I went outside my comfort zone, and what resulted is a beautiful three-generation photograph that I’ll treasure for the rest of my life.
KIM O'BRIEN ROOT / EDITOR KIM@THEHEALTHJOURNALS.COM
EDITOR'S NOTE
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I go to the dentist for my regular checkups. All of a sudden, I have a few cavities. How does that happen? It is great that you go to the dentist regularly. When the dentist does find new cavities or decay, it is good to evaluate what has changed in the last 6-12 months. Was the dentist watching any areas on your teeth? If so, it might not be surprising if cavities popped up. A number of things can cause the condition of your teeth to change quickly. Did you change your frequency of eating or drinking acidic and/or carbohydratecontaining items? When you sip or graze on snacks, the number of “exposures” increases. The rate of decay is directly related to this. It is better to eat and drink during a sitting rather than consuming over a long period of time. Are you pregnant or suffering from sleep apnea? Both of these can increase the risk of acid reflux. The acid is toxic to the tooth structure, causing an increased risk of cavities. Were there any new health concerns or surgeries that prevented you from caring for your teeth? The mix of a medical status change and lack of care can cause sudden changes in the conditions of the mouth. All of these things should be considered when there is a dramatic change in your oral health. Continue to see your dentist every 4-6 months to catch things before they become more costly or painful. Stacey Hall, D.D.S. Williamsburg Center for Dental Health WilliamsburgDentalHealth.com 757-565-6303
Is dry eye syndrome a potentially serious condition? Dry eye syndrome, or DES, is the number one reason nationwide for people to seek eye care. Studies indicate that 5 to 30 million people suffer from DES, with it being more prevalent in women. In early stages, it is an insidious, tolerable condition, and as such makes us think it’s not serious. The truth is DES is a very complex, multifactorial ocular surface condition that is often underdiagnosed and undertreated. In its moderate and severe stages, DES can be a debilitating and even vision-threatening condition. I’d like to dispel the myth that DES is an older person’s disease. It is true there are more patients with DES over age 50. However, a large proportion of dry eye sufferers are under the age of 50. This is where patients and doctors are missing the boat. DES is in part an aging phenomenon, part autoimmune disease and part due to destruction of important glands in the eyelids, called Meibomian glands, that supply oils that stabilize the tear film. We can use a number of drugs including topical and oral antibiotics, steroids and immunomodulation therapy (Restasis, Xiidra). Lid hygiene, warm compresses and omega-3 fatty acids are also used. Lipiflow, a new treatment procedure, also can be beneficial to those with obstructed Meibomian glands. It is important to realize DES is a chronic and progressive disease and some aspects of the damage are irreversible, resulting in a lifetime of irritation, discomfort and vision problems. DES is, however, treatable, and the earlier the better. Gregory Schultz, OD, FAAO, ABO Eye Center of Virginia Eyecenterofvirginia.com 757-229-1131
When is a good time to start hormone replacement? The most common age of menopause is 51; however, for some women, pre-menopause can start as early as their late 30s. As women get older, their reproductive hormones decline, bringing about many unpleasant symptoms. Some will experience hot flashes, night sweats, mood swings, sleeplessness, depression, anxiety, headaches and memory lapses. Women are often told by their family provider that this is part of aging and there is little that can be done. This is simply not true. Starting progesterone replacement in our early 40s can ease or prevent some of the worst symptoms of menopause. Hormones control virtually all the functions of the body, including reproductive, immune and metabolic systems. When there is a hormone deficiency, there is an imbalance leading to a decreased quality of life. Bioidentical hormones derived from the yam are identical in structure to the hormones found in the body. Progesterone is a natural anti-depressant and can lessen anxiety while also improving thyroid and brain function, promoting better sleep and reducing cancer risk, migraines and estrogen-induced bleeding. Bioidentical estrogen initiated in early menopause (typically one year after your period stops) reduces the risk of osteoporosis, heart disease and Alzheimer’s disease. Nothing reverses aging; however, bioidentical hormones can help slow the process and maintain optimal health. Deborah Wainwright, DNP, ANPBC, APRN Hormone Health & Weight Loss 757-707-1588
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”A Cause to Freeze For” BY JOHN-MICHAEL JALONEN PHOTOGRAPH BY MADISON LANDIS
D
ays before the Polar Plunge Festival in Virginia Beach, I was hitting the refresh button over and over again on the weather app on my phone. Go up, I thought. C’mon … get warmer. I’d registered for the 26th Polar Plunge a few weeks before, knowing I would be writing and reflecting on my experience of actually jumping into the frigid Atlantic Ocean. I wanted to go through it for myself to see what it would be like for the more than 3,000 “Plungers” as they raised money for Special Olympics Virginia. I made my fundraising profile and encouraged a friend to come along for the Plunge. “You’re going to do what?” my chosen Plunge-mate, Chris Leber, asked me. I explained the Polar Plunge to him, and after a few minutes of convincing (and the promise of a free adult beverage or two), he was in. He created his fundraising profile, hoping at the very least to raise the $100 needed to actually participate in the Plunge. Thanks to the magic of social media, I connected with a childhood friend I hadn’t seen in almost 10 years who was also taking the Plunge: Hannah Pierce, a physical therapist at Pivot Physical Therapy in Norfolk. I reached out to her about meeting up at the Plunge Festival and took a moment to ask what her motivations were for participating. When I asked why she was plunging, Hannah’s answer was simple: “As a physical therapist, my passion is helping others reach their optimal physical potential. Special Olympics Virginia provides the younger population with intellectual disabilities the opportunity to be physically active in various sports, be engaged in their community and be the healthiest they can be. I can't imagine a better cause to freeze for!” When we got to the Oceanfront the morning of Feb. 3rd, the first things we noticed were the costumes. Vikings, pirates, mermaids, Minions. They were all there, on the boardwalk, taking photos with the Neptune statue and the commemorative ice sculpture and in line FEATURE
for free chicken sandwiches and coffee. Teams of Special Olympics athletes with their families and friends wore matching t-shirts. Inside the heated tent, we found the Plunge Marketplace, where local artisans and organizations had tables and booths set up, displaying and selling goods to everyone who came by. The environment was upbeat as a live band played on a stage. As we gathered on the shore, a long line of rescue workers wearing huge warm wetsuits walked out into the icy ocean to form the barricade that would keep anyone from getting too far out in the 43-degree water. A countdown clock displayed seven minutes left before the Plunge. A group of scantily clad, heavily bearded Vikings tossed a football on the beach as everyone lined up to get ready. I wanted to take as long as possible before finally taking off my shoes and socks. When I finally did, I learned that ice cold sand in winter feels much worse than burning hot sand in summer. We had our numbers ready, dancing in the sand to keep as warm as possible. As the countdown clock hit the one-minute mark, the cheering started. I looked at my friends, smiled, and realized that what we were about to do was the last thing I thought I’d be doing on a Saturday afternoon in February. The clock hit zero. A buzzer sounded. Music played. We cheered and ran straight into the water without hesitation. In the end, my patchwork group of three Plungers only raised a few hundred dollars for Special Olympics Virginia. Looking around though, I saw over 3,000 people, individuals, united by a common goal. Together, we raised almost $1.2 million to support Special Olympics programs and athletes across the state. The motto of Special Olympics is, “Let me win, but if I cannot win, let me be brave in the attempt.” On that beach, I saw thousands of brave people running arm-in-arm as fast as they could into the freezing waters of the Atlantic with Journey’s iconic “Don’t Stop Believin’ ” blasting on loudspeakers, and we all won. Together.
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His Experience with a Scalpel Gives Him the Edge In The Court Room. Stephen M. Smith, Esq.
Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.
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Life Hacks
Ru b b e r B a n d s • Avoid getting locked out by looping a rubber band around the door handles and over the latch. • Put a rubber band vertically across the top of a paint can to remove the excess paint from the brush. • Slip a rubber band on either side of a hanger to keep clothes from sliding off. • When on the go, keep sliced apples fresh by putting them back together with a rubber band. • Loop a rubber band around your car's air conditioner vent to hold your smart phone. Now you can see your directions while you drive. • With a few rubber bands you can open even the tightest lids. This trick also works on tricky or stuck nail polish bottles as well. • Keep your fragile stemware from getting knocked around too much in the washer with a few rubber bands tied together. • Use them to close and store your open food packages. • Need some extra packing space in your luggage? Roll up your clothes and wrap two elastic bands around them.
Making an Adjustment BY KIM O’BRIEN ROOT
I
f you’ve never been to a chiropractor before, what holds you back? Fear of it not working? Fear of injury? Or maybe you’re just not sure how exactly it might help you. More and more, people are turning to chiropractic care as a way to treat painful conditions without drugs or surgery. In fact, about half of American adults have visited a chiropractor; of the estimated 35 million who visit annually, 95 percent report that it is effective. Chiropractic therapy is a form of medicine that focuses on the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine. Chiropractors use hands-on manipulation to provide treatment for many conditions, including neck and back pain, headaches and migraines, pain in the extremities and for injuries. Other methods of treatment such as muscle stimulation, therapeutic ultrasound, lasers, decompression traction, massage and exercise may be involved. What then, does a chiropractor do? And what exactly is going
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on in your body when you have what’s commonly called an “adjustment?” When working on a patient, chiropractors are looking for blockages that affect the spinal joints, says Dr. Robert Pinto, a chiropractor at Pinto Chiropractic & Rehabilitation in Williamsburg, Va. The blockages are usually accompanied by inflammation of the joint and surrounding tissues along with spasming of surrounding muscles. Chiropractors refer to this disturbance of the normal vertebral motion or position as a subluxation. This blockage/misalignment doesn’t just happen in the spine, but can happen in any joint — such as wrists, hips, feet, knees, ankles, ribs and the temporomandibular joint (TMJ). “Just about anywhere there’s a moveable joint, it can become blocked and lose its mobility,” Pinto says. There are many different types of adjustments used by chiropractors, but the most common is referred to as HVLA, or
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a high-velocity, low-amplitude maneuver. This adjustment uses a quick, but not very forceful, impulse to produce movement in the joint. It works like this: a joint is comprised of two surfaces surrounded by a capsule, which is air- and watertight. Inside, there’s a fluid called synovial fluid. The chiropractor works with the motion of the joint and pushes it until it won’t go further, then pushes just a little more, causing the joint surfaces to separate. It’s then you hear a “popping” sound, which is known as cavitation. It creates bubbles in the fluid, which makes the joint more malleable and allows the chiropractor to move the joint further. Think of the process a bit like a rusty hinge on a door. You push to force open the door a little way, and immediately there’s more movement in the door than there was before. Once you start restoring some of the lost motion to a joint, you start stimulating nerve endings called mechanoreceptors. Because your brain is more concerned about mechanical stimulation than pain, the brain focuses on the stimulation first, thereby blocking the perception of pain. It’s a phenomenon called “pain-gating,” or the gate control theory of pain. For example: If you bump your elbow and rub it, it feels better. The release in the joint also releases endorphins, which are natural pain relievers. Once the joint is moving better, the movement tends to pump out inflammation, which also decreases pain. “Inflammation is a big pain stimulator,” Pinto says. “If you can lessen the inflammation, there’s less pain.” Many people will try to adjust themselves, or self-manipulate. And it can feel good — if your neck is stiff and you stretch it back and forth to pop it, there’s an endorphin release. But a short time later, the pain and stiffness will usually come back. “The difference is that the art of chiropractic is finding that
blocked joint,” Pinto says. “When you do a self-adjustment, rarely do you release the blocked joint. It takes a lot of time and practice to learn palpation skills, to feel the blockage.” For people who worry that going to a chiropractor once means committing to repeated visits, Pinto says they should instead think of it as part of a commitment to long-time health: “People realize you feel better when you go.” Also, studies show using chiropractic therapy as part of a wellness plan results in fewer surgeries and doctor visits and means taking fewer drugs. One study, published in the journal Topics of Clinical Chiropractic, found that elderly patients who had chiropractic care reported having less arthritis, were more likely to do strenuous exercise and less likely to end up hospitalized or living in a nursing home. A big part of chiropractic care is rehabilitation, because you can’t normalize a joint with one treatment, Pinto says. “There’s a tendency for muscles to go back into spasms, because they’re still trying to protect the joint,” he says. “What we do is try to rehabilitate the area and strengthen it. We teach patients how to move correctly and how to activate muscles.” And what about the concern that you’ll end up injured? It’s very unlikely, Pinto says. “There’s some fear out there, but chiropractic itself is among the safer treatments for neuro-musculoskeletal pain,” he says. “It’s safer than taking nonsteroidal drugs like Ibuprofen. The use of NSAIDs/ aspirin carries a risk of serious side effects of 153 in 1 million, while chiropractic has been reported at about 1 in 5.85 million. Chiropractors typically pay far less in malpractice premiums than other physicians due to their low injury rate.” What’s the bottom line? “If you have ever thought about seeing a chiropractor, you ought to give it a try,” Pinto says. “If you haven’t thought about it, you might want to. The movement is on.”
The release in the joint also releases endorphins, which are natural pain relievers.
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Stop the Spiral - Get the Facts. \ 15 \ THEHEALTHJOURNAL.ORG
Don't Let
LICE Bug You
BY ALISON JOHNSON
T
hey’re not a sign of illness, poor hygiene or a dirty house. They don’t prefer long hair to short. They can’t fly, jump or spread disease. In fact, they’re not as contagious as most people think. Head lice can be a source of major misery, of course — but they don’t need to be a source of panic, according to local doctors and the American Academy of Pediatrics. Lice are tiny, wingless insects that feed on human blood. They can cause intense itching, irritability and redness or a rash on skin of the scalp, ears, neck and shoulders, which can become infected with scratching. Since lice tend to be more active at night, they also can disrupt sleep. Cases are most common in preschool and elementary schoolaged children, with an estimated 6 to 12 million infestations each year nationwide, according to the Centers for Disease Control and Prevention.
Spotting live lice and their eggs, called nits, actually can be harder than it sounds, as they can resemble dandruff or residue from shampoo or hair spray, says Dr. Kristina Powell, a pediatrician with Children’s Hospital of the King’s Daughters in Norfolk, Va. However, they’re much stickier and can only hatch near the skin, where it is warm. “Nits are cemented firmly to the hair shaft and are difficult to dislodge,” says Powell, who practices at Pediatric Associates of Williamsburg. “Active infestation is suggested by the finding of many nits within one-quarter inch of the scalp.” Lice are most visible under dim light, and parents also can buy a fine-toothed nit comb at a drugstore to search, Powell adds. Parents who suspect lice should immediately see a family doctor or school nurse for a diagnosis and individualized treatment plan. After that, here are five tips to help ease any angst:
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Lice don’t spread all that easily. The bugs can only move by crawling, and they can only survive off a human scalp for about 48 hours. Therefore, most new cases happen through direct contact with an infected person’s hair, rather than by sharing of hats, clothing, hairbrushes, pillows or furniture. In fact, doctors typically don’t treat other household members preventatively unless they’ve used the same bedding; they recommend monitoring for symptoms instead. Pets also can’t spread lice.
2
Infested children may not need to miss school. While local policies vary, the CDC and AAP simply call for kids to undergo prompt treatment and avoid direct head contact with others. Lice aren’t dangerous and often have been present long before symptoms appear. “Itching occurs as an allergic reaction to saliva injected during feeding, and the onset may be delayed until sensitization occurs after four to six weeks,” notes Dr. Amira Elhassan, a family physician with Bon Secours Town Center Medical Associates in Virginia Beach. The AAP calls no-nit school rules “unjust” — especially as more lice cases occur after sleepovers, camps and sporting events — and encourages its members to educate local communities.
3
Treating lice isn’t fun, but you have options. Parents can try multiple prescription or over-the-counter topical treatments, which may require two or three applications. Systematically combing nits from wet hair, followed by use of a high-heat hairdryer, is another option (there even are companies that offer in-home services for the busy or squeamish). As for home remedies that aim to smother or repel lice by spreading tea tree or coconut oil, mayonnaise, petroleum, apple cider vinegar or Listerine on the scalp — often followed by wearing a shower cap for several hours or overnight — there’s no good data on efficacy or safety, so check with a doctor first. The same goes for "prevention" shampoos such as Fairy Tales. “It may work, but there’s no scientific evidence it will,” Elhassan cautions.
4
You don’t need to go totally nuts cleaning your home. The most important step is to wash bedding, clothing, towels and hair equipment that came in contact with an infected person in the two days before treatment, using hot water and a high-heat dryer cycle. If you can’t wash an item, such as a hairbrush or stuffed animal, store it in a sealed plastic bag for two weeks. You can also vacuum furniture and carpets, although transmission risk from those sites is low. Insecticide sprays and fogs are unnecessary and can be toxic if inhaled or absorbed through the skin.
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Tips For Preventing The Spread of Head Lice In Schools Source: The Head Lice Center
Head lice are transmitted through close person-to-person contact. Head lice cannot fly, but only crawl and can sometimes be transmitted through sharing personal belongings like brushes, combs, helmets and hats. The following measures can be put in place to avoid getting head lice in the classroom: •
Desks should be spaced apart so children are not sitting shoulder to shoulder.
•
Children with long hair should be encouraged to tie it back.
•
Have separate pegs for coats and hats. Children shouldn’t hang coats and hats on top of those of other children or pile them on top of each other.
•
Ensure ample space between children in lines or when working together as groups.
•
Minimize shared use of headgear such as earphones, helmets and clothing (such as concert costumes). Hand-vacuum these items between users.
•
Make sure that the health curriculum of all pupils contains information about head lice and how they are identified, transferred and treated.
Try not to feel ashamed. Lice happen — regardless of parenting skill, season, income level or any other factor. Don’t feel guilty if you didn’t immediately realize your child was affected. Don’t blame yourself if a case returns; the cause may simply be resistance to a certain medication. In general, your best move is to screen children about once a week and notify schools or other community groups of a problem. As the AAP policy puts it: “It’s important to remember that head lice is a nuisance, not a serious disease.”
FEATURE
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Innovating
Spine Surgery BY KIM O’BRIEN ROOT
T
he years weren’t good to Bob Thomas’s back. doesn’t require hospitalization. They can get fixed and they can An old basketball injury, combined with years in the go home.” military and just plain life, left him in pain. He had Today, Thomas says his back doesn’t bother him at all. “Now, back surgery previously, but even after years of recovery, he still I have no problems,” he says. “I stand, I run, I walk. I average had trouble. And it kept getting worse. [walking] three miles a day.” “It was to the point where I couldn’t stand straight,” says Carlson, the president and managing partner at OSC, has Thomas, a radio personality with 95.7 R&B FM in Norfolk, Va. been doing LES for spine procedures for about five years. The “I’d walk 10 yards and have to sit down. I couldn’t stand at the types of surgeries are the same – treating cervical and lumbar bank. I couldn’t stand at church.” spine issues as well as disc herniations, nerve compression, Thomas, who lives in Hampton, didn’t want another surgery, spinal stenosis, spinal cord compression and arthritis in the back but then he heard about a different kind of back surgery, one around the joints – but require much smaller incisions. that was less invasive, would fix the problem and have him Rather than exposing a large portion of the spine, LES moving again normally in no time. techniques allow surgeons to “just open what we need to open, Although skeptical, Thomas agreed to the surgery, which see what we need to see,” Carlson says. It uses the smallest involved the fusing of vertebrae in his back. incision possible, sometimes smaller than an inch, and does “I was blown away,” Thomas recalls of the surgery, which he the same work through a midline approach just as effectively. had last year. “As soon as I got out of recovery, I was walking.” Patients experience less pain because the technique employs a After a few weeks, he says he felt like a new man. trajectory that lessens disruption to soft tissue and muscles. The surgery, performed LES reduces time in the by Dr. Jeffrey Carlson, operating room as well. Less Exposure Surgery is done with less pain, Whereas conventional back a spine specialist at the less blood loss and has a speedier recovery. surgery might take four to Orthopaedic & Spine Center (OSC) in Newport six hours, LES takes one to News, Va., was Less two hours. Recovery is also Exposure Surgery (LES), a technique that’s less invasive than faster. Instead of taking months to return to normalcy, patients traditional surgery. LES uses smaller incisions through which are back to walking immediately and usually resume all activity a surgeon only exposes what needs to be treated for maximum within weeks. After Thomas had his first conventional back effectiveness, sparing damage to nearby muscle and tissue. The surgery, he was out of commission for two to three months. result is a quicker surgery that results in less pain, less blood After LES, he only missed a few weeks of work. loss and has a speedier recovery. LES is most often done on an “I was blown away,” Thomas says. “Dr. Carlson gave me back outpatient basis, meaning patients can recover at home, where a life I hadn’t had in years.” they're more comfortable and won’t run the risk of getting a LES is “really a shift-change in how we think about surgery,” hospital-based infection. says Carlson, who adopted the techniques through the Less “Our patients aren’t sick,” says Carlson, who is considered an Exposure Surgery Society, a group of physicians and researchers industry leader in LES along with his OSC colleague, Dr. Mark who collaborate on the growing practice. The LES Society also McFarland. “They have a back problem or nerve problem that strives to show that the LES “less is more” philosophy and THEHEALTHJOURNAL.ORG
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treatment options contribute to lowering the cost of healthcare, while also improving outcomes and patient satisfaction. The LES philosophy hails back to spine surgeon Dr. Kingsley R. Chin, who founded SpineFrontier, a Massachusetts-based medical device company that makes spinal implants and instrumentation and works with surgeons to develop LES techniques around the world. The company has become known for its philanthropic outreach, donating its products and, through the LES Society, providing surgeon support in such places as Chin’s native Jamaica and most recently, in Ethiopia. Williamsburg, Va., resident Susan Finkel is one of those helped by LES. The 60-year-old says she could hardly believe it when she walked out of the hospital after having back surgery several years ago. A failing artificial disc in her back had led her to Carlson. At the time, she couldn’t walk without “horrendous pain – it had gotten to the point where I couldn’t sleep at night,” she recalls. Bon Secours Mary Immaculate Hospital in Newport News, where Finkel had her procedure and where Carlson operates, is among the top 10 percent of hospitals in the United States for spinal surgery and the top hospital in Virginia for spinal fusion. Finkel’s surgery, a spine fusion, required less than a two-inch incision – small enough to be covered by a Band-Aid. She stopped taking pain meds after only five days and didn’t require any physical
therapy. Best of all, the pain was gone, and she was back to work within a couple of weeks. “A lot of people think your back goes bad because you’re getting old, and you have to suffer because of it,” says Finkel, who runs a real estate title company. “There’s just no reason for it. You can be 80 years old and they can still do something. To me, this surgery is the easiest possible way to fix the problem. It’s been miraculous.”
Stepping in to Help In the impoverished African nation of Ethiopia, few patients with spine issues are able to get them fixed. So the Less Exposure Surgery Society stepped in to help. The Society, a group of surgeons trained in the techniques of Less Exposure Surgery, dispatched a University of Rochester Medical Center orthopedic surgeon to Ethiopia in December to perform spinal surgeries. Meanwhile, medical device manufacturer SpineFrontier donated the implants and instrumentation needed to perform the surgeries. The week of philanthropic outreach was part of the mission to spread the LES philosophy of less-invasive surgeries beyond the United States. Among the surgeries
— performed by Dr. Addisu Mesfin and Dr. Abraham Tadele of St. Paul’s Hospital Millennium Medical College in Ethiopia — was a procedure to help a 17-year-old girl with scoliosis. The LES movement has grown since spine surgeon Dr. Kingsley R. Chin founded SpineFrontier and the LES Society about a decade ago, spreading across the country and now, the world. Chin has also brought LES practices back to his native Jamaica. “The society was created to advance research, education and technology for surgeons all around the world,” says Breanna Goodrow, who does outreach for the LES Society. “Our philanthropic efforts are an example of that.”
What is Less Exposure Surgery? Less Exposure Surgery, or LES, is based on a philosophy of performing surgery that is less invasive than conventional measures. The technique focuses on minimizing tissue disruption during spine surgery with the smallest incision necessary. Small incisions mean less blood loss, less pain and a quicker recovery time for the patient. Historically, spine surgery involved a large incision to open the back, which exposes nerves and discs. Surgeons have worked over the years to make smaller incisions
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and perform back surgery through tubes, retractors and endoscopes. Even with this type of minimally invasive surgery, surgeons aren’t able to fully visualize what they need to and often compensate by using X-rays. LES uses specific technologies and techniques to allow the surgeon to work using the smallest incision possible, sometimes only an inch long. Basically, surgeons go in at a different angle that causes the least disruption possible to surrounding tissues and muscles. The result is a quicker surgery that requires less time and gets the patient home sooner.
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Y
our fingers start to tingle. You try to focus your eyes, but nothing looks quite right. Your head feels fuzzy, and you’re unable to think clearly. Then comes the pain — dull and throbbing, or intense like a screwdriver. You feel like you might throw up. If you suffer from migraine headaches, you know these feelings all too well. Migraines seemingly spare no one, wherever they live. “It feels like your head is in a vice and it keeps getting tighter and tighter,” says 50-year-old Samantha Simmons of San Diego, Calif., who is on disability in part due to migraines. “My jaw is sore, as though I've been grinding my teeth for hours,” says Casey Seyb, 48, a science data archivist in Sierra Madre, Calif. “Sometimes there's a strange taste in my mouth.” “My ribs can actually be pulled out of alignment and I get sensitive to light and sound,” says Theodore Holdt, 46, an artist in Portland, Ore. “Feels like my head is going to explode and I want to crawl up in a ball and sleep,” says Lynn Cooper, 38, a marketing consultant in Washington, D.C. Symptoms might be different for each sufferer, but they are uniformly terrible. In the United States alone, more than 37 million people experience migraine headaches — the majority of them women. It’s the sixth-most disabling illness in the world, according to the Migraine Research Foundation. Migraines are not just bad headaches, but a neurological disorder involving nerve pathways and brain chemicals. They tend to be hereditary, and can be brought on by a myriad of things, from certain food and drinks to flickering lights and changes in the weather. Fortunately, two new medications may bring relief to migraine sufferers. Erenumab and fremanezumab showed promise in two recent large studies published in the New England Journal of Medicine. Unlike most drugs currently used for migraines, these new drugs — by the Israeli pharmaceutical company Teva — are used as a preventative, rather than taken at the onset of migraine symptoms. Depending on approval from the Food and Drug Administration, one or both of these drugs could make it to market this year. There are dozens of potential treatment options, including natural remedies, Botox and over-the-counter and prescription medications. Current treatments, however, are often drugs designed for treating other ailments such as depression, epilepsy
THEHEALTHJOURNAL.ORG
/ 20 / ADVANCES IN MEDICINE
Advances in Medicine
Some researchers liken raines ig m to unpredictable
electricstorms zooming the
brain.
through
and high-blood pressure. All usually have unpleasant side effects, including weight gain and fatigue. The new drugs are the first aimed directly at migraines, says Dr. Peter J. Goadsby, a professor of neurology at King’s College in London, who led one of the studies. Some researchers liken migraines to unpredictable electric storms zooming through the brain. One of the key migraine chemicals is a protein called calcitonin gene-related peptide, or CGRP. Both fremanezumab and erenumab can bind to CGRP, thus blocking it from releasing its full havoc in the brain. Dr. Stephen Silberstein, a Pennsylvania neurologist and leader of the fremanezumab study, has compared this effect to soundproofing a room. ADVANCES IN MEDICINE
The erenumab study, led by Goadsby, involved giving patients different doses of the drug along with a placebo. Researchers found that monthly doses of erenumab significantly reduced migraine frequency, the effects of migraines on daily activities and the use of acute migraine-specific medication over a period of six months. Silberstein, who heads The Headache Center in Philadelphia, focused his fremanezumab study on even more severe cases — patients who suffered from headaches at least 15 days per month and had migraines on eight or more days per month. He compared groups with a quarterly, monthly and placebo dose of the medication. The monthly schedule saw the greatest success, with 41 percent reporting half or fewer their usual number of headaches. The biggest side effects — at least in the short term — were pain and hardening of skin at the injection site. There was, however, a powerful placebo effect, with patients who got the placebo also reporting a drop in migraines. Still, Dr. Andrew Hershey, who directs the headache center at Cincinnati Children's Hospital in Ohio, called the new drugs “modest but meaningful” in an editorial accompanying the research. Other migraine drugs could be coming down the pipeline as well. Indiana-based Eli Lilly and Company is developing a monthly CGRP medication — galcanezumab — to prevent migraine and cluster headaches. The medication would be a once-monthly, self-administered injection and is currently being reviewed by the FDA. “Preventive treatments are used to reduce the number of migraine attacks, lessen the intensity of pain and prevent the onset of future attacks,” says Dr. Eric Pearlman, a medical fellow with Eli Lilly and Company. Millions of patients suffering from migraines are losing at least one month per year to their migraine headaches, Pearlman says, and the estimated healthcare and lost productivity costs may reach as high as $36 billion annually. “We hope and believe the CGRP class will substantially improve care for these patients,” he says.
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Profile
MADDIE WEILER BY ALISON JOHNSON PHOTOS BY BRIAN FREER AND KRISTEN BRYANT
When a would-be carjacker jumped into her mom’s car, this girl fought back — and won.
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bout 11 months ago, Maddie Weiler fought off a would-be carjacker who tried to drive away with her and her little sister, Mollie. Maddie was 12. Her life hasn’t been the same since. The Williamsburg girl, now 13, has done multiple interviews with newspapers and television stations, including an appearance on The Steve Harvey Show where she and Mollie, 8, scored free tickets to Universal Studios Hollywood. Maddie will have to tell her story once more next month, when the carjacking case is finally scheduled to go to trial. “I feel OK about testifying, because people need to know what he did,” she says. “If I can go on national television, I can do this. And I would be super happy if he gets a fair punishment.” The April 15, 2017, incident permanently changed her, Maddie says. It made her a little more nervous when leaving her home, but it also made her appreciate her life. “Sometimes when I go out, it’s in the back of my head that something else could happen to me,” she says. “I’ve also realized how blessed and grateful you need to be in life, because things can be gone in an instant.” Maddie was headed to Busch Gardens with her mother and Mollie when they witnessed a two-car accident near the intersection of John Tyler Highway and Greensprings Road. Her mom, Brandie Weiler, stopped to help. While Weiler was standing outside talking to a 911 operator, a man involved in the crash — later identified by police as Williamsburg resident Paul Salsman — suddenly made a beeline for her van. Maddie, sitting in the front passenger seat, didn’t hesitate when the man got into the driver’s seat. As she yelled at Mollie to get out of the back seat, she began pummeling the man’s face, arms and legs. She also shifted the gear into drive and held it there, aware that would prevent the van from starting. “I was never really scared,” Maddie recalls. “I was more like, ‘this guy is about to get a beat down, because no way am I letting this happen.’ Only later did I freak out.” In fact, Maddie was thinking so clearly that she kept her seat belt on, in case the car did start and she got into a crash. Eventually, Brandie and Mollie joined the fight. Giving up, the man tried to steal another car before police officers arrived and took him down with a Taser, Brandie says. He reportedly told police he had used crack cocaine and LSD; Salsman, 21, was charged with multiple felonies. The trial has been postponed several times, most recently so Salsman can undergo a mental evaluation. Four hours later, after all the adrenaline had worn off, Maddie realized her right wrist was aching badly. An X-ray revealed a fracture in her growth plate, caused either by her punches or the pressure of gripping the gear stick. Brandie Weiler wasn’t particularly surprised that Maddie, a seventh grader at Greenwood Christian Academy, held her own against a grown man. Her daughter, she says, is remarkably poised, hailing from a family
THEHEALTHJOURNAL.ORG
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PROFILE
of firefighters and police officers. She’s ridden horses since age 3. “I figured if she can control a 1,500-pound animal, this guy wasn’t going to get away easily,” Weiler says. “For me, everything happened in slow motion. I was on the phone with 911 the whole time, just screaming.” Like her daughter, Weiler is eager for the alleged carjacker to face consequences. “I know he wasn’t in his right mind, but I’m angry he stole some of my children’s innocence,” she says. “Mollie especially doesn’t like to go anywhere alone. She sticks to Maddie like glue.” Weiler took her girls to talk therapy for a time, but they found open communication at home was more beneficial. Barn time also has become an anxiety buster, particularly since Maddie’s riding trainer has a counseling degree. “Long-term, I don’t know,” Weiler admits. “That is what I am worried about.” When the case goes to trial, Maddie is due to testify either in open court or in a private room with the jury. She says she is fine with either, noting that while she was shaking with nerves before filming with Steve Harvey in Los Angeles, she relaxed as soon as she was on stage. Looking forward, Maddie hopes to go to Virginia Tech and become an equine vet. She also loves photography, hunting, fishing, singing and playing the guitar and, as her brush with fame has taught her, her hometown. “I don’t want to go back to California, ever,” she says. “It was too big and city-ish for me. I’ll take Williamsburg any day. I’m grateful for what I have.”
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PHOTOS COURTESY OF THE LEONARD BERNSTEIN OFFICE, INC.
Bernstein at 100 BY JASON LIEBLER
T
April 13th at the Ferguson Center for the Arts in Newport News April 14th at Chrysler Hall in Norfolk Tickets: Start at $25 with discounts for students, seniors and the military More Info: vafest.org
he Virginia Arts Festival and Virginia Symphony Orchestra will join many of the most prestigious ensembles across the globe to celebrate the 100th birthday of the beloved musician, composer, educator and humanitarian Leonard Bernstein. “Bernstein at 100” is a worldwide appreciation of one of the most influential American musicians — the first American-born conductor to achieve worldwide fame. More than 2,000 events will be held across six major continents over a two-year period. Celebrations will take place in Hampton Roads, Va., on April 13th and 14th, with a distinguished group of artists performing selections of Bernstein’s most exhilarating works to illustrate the versatility and creativity of the legendary music icon. Bernstein died in 1990 at the age of 72 but would have been 100 this August 25th. “His music touches people on so many different levels because of how broad his output was — everything from sacred music to Broadway to orchestral music,” says Robert Cross, executive director of the Virginia Arts Festival. “The breadth and depth of his interests … [his compositions], his ballets, his success on Broadway — very few composers have had success in all three of these fields. Take on top of that, he was a world-class pianist and conductor — probably one of the most important American conductors to this day.” Cross, an accomplished musician himself, still remembers his interaction with Bernstein in a reading rehearsal in the late 1970s. “You know, when you’re a kid,” he recalls, “it’s a really, really big deal.” Bernstein’s influence on Cross is not unique. “We have an interesting number of connections to Bernstein in our community, which is kind of remarkable,” he says.
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/ 24 / ARTS & LEISURE
Transposition: Asian Cultures Cross-Cultural Exhibits of Asian and American Art
JoAnn Falletta, in her 27th year with the Virginia Symphony, will serve as conductor. As a student at Julliard, Falletta made the transition from classical guitarist to conductor under the tutelage of Bernstein. She is also a member of the Leonard Bernstein at 100 Honorary Committee. Grammy- and Tony Award-winning music director Robert Fisher, a graduate of Norview High School in Norfolk, will also join the event. “Robert is considered one of the leading, if not the leading, music directors on Broadway and has worked with The Bernstein Foundation for decades,” says Cross. “He was chosen to kick off the world celebration at the Kennedy Center last fall with Jamie Bernstein, and he is also doing the New York event with the New York Philharmonic at Carnegie Hall for their celebration. We’re really lucky that the Festival has a relationship with Rob and he is doing a major concert with us.” A frequent member of many of the major orchestras in North American and Europe, Grammy-nominated violinist Robert McDuffie will lend his genius for the performance of Bernstein’s “Serenade.” Award-winning clarinetist Jon Manasse will perform “Prelude, Fugue, and Riff” with Todd Rosenlieb Dance, which will include choreography specifically written by Rosenlieb for the events. Charles Woodward, choral director for the Governor’s School for the Arts and Virginia Chorale, will serve as artistic director. Soloists from Virginia Children’s Chorus will also perform. To top it all off, Leonard Bernstein’s daughter, Jamie Bernstein, will anchor both events and share her personal insights into her father’s legacy. With an extraordinary amount of talent and perspective on the life of Leonard Bernstein, the “Bernstein at 100” performances promise to be an authentic and enriching experience with something for everyone. “[The audience will] get to hear some of their favorite things they’ll recognize,” says Cross. Most will recognize selections from “West Side Story,” “On the Town” and “Chichester Psalms,” he says, “but I also want them to go away with some things they’ve never heard before. I think very few people will know ‘Prelude, Fugue, and Riff ’ — it’s just not performed that often, but it’s a great piece. I want people to go away with discoveries.”
Jam
es Jo
nes
The Linda Matney Gallery, the Landmark Art and Cultural Exchange, and the Peninsula Fine Arts Center are collaborating on a joint exhibition and program showcasing Chinese art and artists. For information on exhibitions and events:
757-303-6881
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Lifestyle
Does it Have to Be Organic?
Freshness Important Might be More BY JOHN FAWKES
A
rticles about healthy eating almost always tell you to eat organic, local, seasonal and/or fresh foods. Unfortunately, these terms are often conflated, making it difficult for consumers to weigh the relative benefits of each. What if you were told that fresh food could be better for you than organic? Would it change the way you eat? The way you shop? Shahla Wunderlich, a professor of nutrition and food studies at Montclair State University in New Jersey, says that eating fresh food is far more important than eating organic. Here’s why.
study done at the University of Alberta in Canada, the impact of the greenhouse gasses from food transportation diminished the benefits of environmentally friendly organic growing methods and was comparable to transporting the same amount of conventionally grown produce. Over the past decade, several systematic reviews have failed to find clear and significant benefits to consuming organic foods in place of conventional alternatives. Most studies, including Wunderlich’s, have focused on plant foods, and there is at least some evidence that eating organic offers more benefit when it comes to animal products.
Why You Need Fresh Produce
How to Buy the Best Produce
In one study, Wunderlich found no significant difference in vitamin C content between organic and conventionally grown broccoli. However, she did find major seasonal differences — broccoli purchased during the fall had nearly twice as much vitamin C as that purchased during the spring, regardless of whether the broccoli was organic or conventional. “We use vitamin C as a biomarker [of overall nutritional content] because it’s one of the nutrients that degrades most rapidly due to heat and time,” Wunderlich explains. Most nutrients degrade more slowly than vitamin C, with fat-soluble vitamins, like vitamin A, likely being the most durable, she says. However, many vitamins and minerals start to degrade noticeably within just a few days. As for methods of preservation, Wunderlich says that refrigerating, or better yet freezing, works well. Her research found that the nutritional quality of frozen fruits and vegetables is only slightly lower than that of fresh produce, and significantly higher than canned produce. While organic produce doesn’t contain more nutrients, it does tend to have fewer toxins — including pesticide residues — than conventional produce. However, the actual difference is small, and contrary to popular belief, organic farming does use some pesticides. From an environmental perspective, this would seem to make organic farming better for the environment. Organic farming, however, averages 20-percent lower crop yields, thus requiring more land to produce the same amount of food, largely offsetting any environmental benefit of organic farming. In addition, organic produce has to be shipped — just because it’s organic does not mean it’s local. According to a
Organic produce commands a hefty price premium — typically around 50 percent higher than conventional produce. As Wunderlich acknowledges, “People who buy local or organic often don’t care about price.” However, she stresses that eating fresh foods, and by extension, seasonal and locally produced foods, is both more important and more affordable than buying organic. Most nutrients begin to break down the moment a fresh piece of produce is picked, so the sooner it gets to you, the better. Many studies have shown that a fruit picked closer to ripeness is more nutritious than one — organic or not — picked before or after its peak of ripeness. Wunderlich advises buying seasonal, locally produced fruits and vegetables whenever possible, ideally The Environmental Working from farmer’s markets. Although their Group lists these foods produce may not be as the “Dirty Dozen,” labeled organic under suggesting that it's better United States Department of Agriculture to choose organic because standards, many local of pesticide residue: farmers have environmental goals similar to Strawberries Grapes those of organic farmSpinach Pears ers. Where fresh food is unavailable, frozen Nectarines Cherries food is preferable to Apples Tomatoes canned or non-preserved foods. Peaches Bell peppers
Celery LIFESTYLE
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Potatoes
5Destinations Healthy Vacation By KASEY FUQUA
V
acations can do so much more than get you out of the office — they also give you a chance to relax and slow down for a little while. Some vacation destinations go the extra mile to help you actually improve your health. “Travel is an investment,” says Allyson deHaven Harris, owner and manager of The Travel Corner in Williamsburg, Va. “Travel is a memory. Our job is to make your stay as comfortable and healthoriented as possible. We want you to leave feeling better than when you arrived.” DeHaven Harris says that many travelers today aren’t looking for a big-box experience, but small, bucket-list experiences. These unique resorts offer spa services, organic dining and more to help you improve your health, whether you have a weekend away or weeks to spare. For an Active Family Vacation Keystone Resort — Keystone, Colo. Keystone Resort features over 3,000 acres for skiing and snowboarding over three different mountain peaks. With familyfriendly services, it’s the perfect place for snow bunnies of all ages to get moving on vacation. After days on the slope, you can continue to improve your health at the resort’s yoga classes or by relaxing in the spa. Kids can participate in Kidtopia activities that keep them entertained and wear them out. The whole family can have fun, relax and enjoy this snowy spot. For the Active Eco-Tourist eXtreme Hotel — Dominican Republic This small, 22-room resort in Cabarete, Dominican Republic, is built on sustainable values. The hotel is powered by solar energy, features organic, locally grown foods on the menu and uses rainwater collection systems to water the gardens. No detail is overlooked; rooms feature low-flow faucets, low-wattage lightbulbs and lowenergy fans. While these green features keep Mother Earth healthy, the unique activities at the resort can help keep you healthy, too. From circus classes and kiteboarding to surfing and horseback riding, this hotel helps you have fun and keep moving throughout your vacation.
TRAVEL FOR WELLNESS
For a Quick Trip The Ritz-Carlton — Charlotte, N.C. You don’t have to go far to find a healthy resort, says deHaven Harris. The Ritz-Carlton in Charlotte, just a five-hour drive from Hampton Roads, offers a 13,000-foot spa and wellness center that includes a pool, whirlpool, relaxation area, treatment rooms and a large 24-hour gym with plenty of equipment as well as yoga classes. The hotel also offers organic and locally sourced foods, some of which are grown in its rooftop greenhouse or collected from its beehives. To add to your eco-friendly experience at this sustainably designed hotel, you can take advantage of complimentary bicycles and hybrid vehicles to explore Charlotte. For the Healthy Foodie Miraval Resort — Tucson, Ariz. This all-inclusive resort offers over 120 complementary wellness activities including fitness classes, meditation, mindfulness counseling, rock climbing, ziplining and more. But for the foodie, this resort offers enough activities to keep you satisfied all week long. In addition to enjoying delicious, gourmet foods at the resort’s restaurants, you can also take cooking classes to learn how to make cocktails, bake gluten-free goodies and create healthy dishes. You can also enjoy nutrition classes about mindful grocery shopping, switching to a plant-based lifestyle and eating to improve your digestive health. For the Yoga Enthusiast Shreyas Yoga Retreat — Bangalore, India Shreyas Yoga Resort offers a journey of self-discovery for all its guests. You can enjoy daily yoga and meditation as well as spa treatments, Ayurveda and organic vegetarian dishes. Surrounded by nature, this 12-cottage resort gives you a quiet place to reflect, relax and focus on your physical and emotional health. These healthy vacation choices are just a sampling of dozens of destinations across the globe that focus on putting your wellness first. If you have trouble deciding which spot is best for you, you can always turn to a travel expert, who will help you figure out exactly what you’re looking for. “I can promise there is a perfect fit for everyone,” deHaven Harris says.
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Misery Loves
Companies BY MIKE VERANO
Americans seem to have a love/hate relationship with work. While some find personal fulfillment, financial gain and supportive friendships, others sing “Take This Job and Shove It” as their unofficial national anthem.
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THEHEALTHJOURNAL.ORG 3030 WELLNESS THEHEALTHJOURNAL.ORG
The Art of Hating Your Job Quietly
I
t is almost impossible for anyone, even the most ineffective among us, to continue to choose misery after becoming aware that it is a choice. — William Glasser Sigmund Freud suggested that to be truly healthy as an adult, one must develop competency in the areas of love and work, saying that “Love and work are the cornerstones of our humanness.” Given the fact that, according to the website Mental Health America, 70 percent of those employed are currently looking for other jobs, it would seem that this cornerstone rests on shaky ground. Americans seem to have a love/hate relationship with work. While some find personal fulfillment, financial gain and supportive friendships, others sing “Take This Job and Shove It” as their unofficial national anthem. In spite of the angst, many people choose to remain at jobs that they openly disparage — and not just for economic reasons. Why do many people make so much noise about not liking jobs they continue to show up for? Do they hate their jobs but love complaining? Do they love their jobs but love complaining more? Or maybe, they just don’t know how to hate their jobs quietly. While some jobs do include distasteful duties, what most people hate about their jobs seems not to be the actual duties themselves. Common factors are minimal wage growth, lack of opportunity to advance, excessive overtime hours, conflict with coworkers or bad leadership. The misery caused by spending a large portion of one’s day surrounded by other miserable people explains why many people point to their coworkers as a primary source of stress. It may also explain the alarming statistic that most heart attacks take place on Monday mornings. From a sociological perspective, work, especially in American culture, has gone through many transformations. We have
evolved from manual labor to meet one’s basic needs, hard labor to earn the grace of God, forced labor during the industrial revolution, labor unions to protect worker rights and, most recently, to a labor of love where one finds personal growth and fulfillment. The fact that so many Americans rate work as harmful to their psychological and physical health suggests diminished feelings of self-worth. The misalignment between expectations and reality, and the added economic instability, have given rise to the sentiment that work, itself, is an occupational hazard. Strangely, in a service economy, where more people work with their heads than their hands, hating one’s job seems to serve as a cultural badge of honor — an acknowledgement of one’s work ethic. Being grumpy at work has taken the place of dirt under the fingernails and calloused hands as an indication of one’s hard work. If you doubt that there is an actual societal bonding around this experience, try the following: walk proudly into your workplace and announce loudly that you love your job. Not only will your sanity be questioned, you may be asked to take a drug test. The anger management movement learned long ago that expressing anger leads to the boomerang effect of the anger returning to lodge itself in one’s psyche — anger out, anger in. So, too, with misery. The stress and strain of the workday only compounds when we join the chorus of other disgruntled souls who raise vibrational energy to toxic levels. If Freud was right, we’re going to have to find ways to be happier with our jobs. This doesn’t mean that we surrender to the misery or simply suffer in silence. Conversely, it doesn’t mean that we have to job-hop, desperately searching for the dream job that will never disappoint or let us down. It does mean that we have to tone down the anti-work rhetoric and learn to hate our jobs quietly until we can learn to like them loudly.
Hating our jobs quietly can be reduced to a few simple steps: 1.
Admit to ourselves that, until we hit the lottery, work is a vital part of the adulthood equation.
2.
Stop expecting people to recognize our redeeming qualities if we refuse to show them.
3.
Realize that living paycheck to paycheck is still better than living with no paycheck.
4.
Accept that work/life balance is a false scale — it’s work-life and non-work life, and the more you blend the two the more miserable you are.
5.
Commit to seeking out mentors, coaches or counselors who have lived the wisdom, “If you find a career path with no obstacles, it probably leads nowhere.”
Book BY BRANDY CENTOLANZA
I
n a world where unrealistic body standards are constantly on display on social media, author Kimberly King is working to promote healthy body image in children in her newest book. “Finding Your Fit: A kid-to-kid guide to fitness, food, and feelings,” focuses on wellness and self-esteem when it comes to eating and exercising. King, who lives in Virginia Beach, Va., collaborated on the book with her daughter Gabby as well as with fitness and nutrition expert Jim White of Jim White Fitness & Nutrition Studios, which is based in South Hampton Roads. The book, published last year by Virginia Beach-based Koehler Books, takes young readers on a journey “through real-life scenarios and kid-friendly talking points as experienced, perceived and inspired by main character Gabby,” King explains. “What is unique about this story is that it is told through the voice of Gabby and is full of kid-friendly language. We wanted to write a book that would help kids start off on the right foot and find a way to health and wellness from the very beginning.” King, who has also written children’s books on sexual-abuse prevention and dealing with divorce, said she was inspired to pen ”Finding Your Fit” in part because of her daughter’s struggles with an eating disorder as a teenager. King connected with White as part of her daughter’s treatment, which eventually led to a partnership on the book. “Actively learning about health and wellness with real people is what made the difference for Gabby,” King says. Gabby is now 20 and a student at Virginia Commonwealth University in Richmond. “Finding Your Fit,” designed for children ages 5 through 10, is interactive and includes a reflection journal to encourage further dialogue between parents and children. The book includes tips on eating healthy foods, food portions and eating in moderation, ways
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to get your body moving, how to be more positive and how to practice self-care. “We wanted to share a book about fitness and wellness that would help young kids really understand the basics,” says King. The book “is not about a number on the scale or reading labels,” she says. “It is about realizing that bodies come in all different shapes and sizes, that you can start doing healthy things for your body today, and that health and wellness start with a few simple steps in the right direction. It’s about accepting and loving yourself for who you are and learning how to take the best care of your body and spirit that you can.”
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King’s goal is for parents and children to continue with ongoing discussions long after reading the book. She also writes about proactive parenting on her blog, found through her website, kimberlykingbooks.com. “Caregivers play a vital role in promoting the kind of positive body image that can help children feel more comfortable and confident,” says White, who weighed in on the fitness and nutrition points of the book and even posed as a character in the story. “Rather than obsessing over food or weight, children with good self-images tend to have more energy and attitudes they need to enjoy physical activity, while children with negative self-images feel more selfconscious and tentative and are at a greater risk for weight gain or eating disorders.” King agrees. “I found that eating disorders are very common for our children and they are developing unhealthy relationships with food and their bodies at a very early age,” King says. “Parents can play a huge role here. As long as kids are eating healthy foods, moving their bodies and taking care of themselves, they can lay the foundation for a life full of healthy eating habits and possibly avoid some of the pitfalls out there like negative self-esteem, negative body image, and eating disorders.”
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Is alcohol impeding your life goal of being healthier or having better communication with your family? If so, are you ready to trade in your glass of wine for a full night’s rest, increased energy, better digestion, a younger complexion and improved relationships?
Food & Drink
E
xhausted from a long day, you indulge in the perfect liquid — wine. It’s delicious, may be good for your heart and melts away your stress. That glass of wine eases an evening filled with endless tasks, perhaps monitoring your children’s homework and bedtime routines. Maybe it feels like everyone wins: you treat yourself to a soothing drink and your household gets a more patient you. But what if that one glass turns into two and then three, and before you know it, the bottle is almost gone? When do you say enough? “Having a glass of wine with dinner every night is fine, but it can become problematic when you routinely have two or three glasses,” cautions Danielle Cauley, a licensed professional and certified substance-abuse counselor in Williamsburg, Va. “More importantly, what are the reasons that you are drinking? If you are connecting with your partner about your day, that is much different than needing it to cope or to tackle your evening.” If you know that alcohol is negatively impacting your health, the way you are managing your life or your relationships, then it’s time to take a hard look at how much and how often you drink. “There is a fine line between enjoyment and abuse, where you end up needing to consistently drink,” Cauley advises. “Even if you say you just enjoy the taste, there can be deeper reasons causing you to drink every day. If someone has commented about your drinking or shared a concern about it, that’s a red flag,”
Best Ways to Limit Drinking What are the best ways to limit your alcohol intake? One option is to go cold turkey for six weeks. If you can make it that long, you most likely aren’t suffering from substance use disorder, the new name for alcoholism. If you fall back into your habits, you will need a new approach. “The best way to stop is to not have it in your house,” Cauley recommends. “You may be able to resist it for a week or more, but if it’s there, you will eventually drink it. Talk with a friend or significant other for support and accountability. If those two strategies don’t work, seek outside help. Often just talking with a counselor for a few sessions about how drinking hinders your life goals can help.” If you do abstain from alcohol, you may find yourself craving sugar — a natural reaction to abstinence. “Your body turns alcohol into sugar and carbohydrates, so when you stop drinking, your body looks for that sugar spike,” Cauley says. “The first four days can be the hardest as your body learns to adjust. It’s helpful to understand this is why you are craving sugar and realize this is a secondary step. Drink lots of water to flush the system during this adjustment.” Fluids with electrolytes can also ease your transition, as can exercise, which reestablishes circadian rhythms, releases endorphins to boost your mood and makes you feel mentally and physically stronger.
Strategies to Deal with Peer Pressure
Sleep problems, poor digestion and pasty skin Alcohol in moderation is fine, but nightly drinking can have a pretty drastic effect on your body. One drink lowers your inhibitions, paving the way to imbibe subsequent glasses of chardonnay and to eat more than you should. Your evening plans to be productive can get sidelined as you binge-watch Netflix or crash early. Alcohol can adversely affect your sleep, making it harder to get up in the morning and leaving you tired all day. Without the energy to cope in healthy ways, the stress piles on, which then makes drinking all the more enticing. This circular pattern is unhealthy, Cauley says: “Sleep problems due to drinking are the most common side effect I see in my practice. Alcohol makes it difficult to get into REM or restorative sleep, which happens in cycles during the first five hours.” If you drink before you go to bed, you are robbing yourself of the most restful time of the night, leaving you exhausted the following day. Alcohol also increases the acidity in your stomach, causing digestive problems such as bloating, the second-most common side effect that Cauley hears about. Women also complain to her about their complexions. Alcohol dehydrates your body, resulting in pasty and older-looking skin.
FOOD & DRINK
Even if you abstain in your house, you will encounter people who will pressure you to drink. Here are some tips to deal with those situations: • Be upfront and reveal that you have decided to cut back. You might be admired and asked for advice. • Make the excuse that you are on a medication that reacts badly with alcohol or that you are on a special diet. • Order seltzer with a lime to look like a cocktail, cranberry juice in a wine glass or a mocktail. • Set a phone alarm with an encouraging reminder of your moderation goals for the evening. • Drink a lot of water to curb your thirst before you head out. • If you end up with a cocktail, take it to the bathroom, dump it out and refill with water. • If you know there is no hope for controlling yourself, just skip the party and see your friends at a non-alcoholic event.
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LateNight
SNACKING:
Good or Bad? BY ALISON JOHNSON
I
n the hours before bedtime, the kitchen often seems to gain inexplicable power. The late-night munchies have chipped away at many a diet plan, leading to overeating, slowed digestion, painful heartburn and disrupted sleep. But what if that growling stomach simply won’t go away? Don’t ignore it, nutrition experts say — just be smart. “I never recommend going to bed hungry,” says Kristen Nagy, a registered dietitian with Bon Secours Health System in Hampton Roads, Va. “Try to have finished eating two hours prior to bedtime, but if you are really hungry just before bed, snack suggestions are similar to what they would be throughout the day.” Nagy’s top picks combine protein, which is filling, and a healthy carbohydrate, such as Greek yogurt with fruit, an apple with peanut butter, whole-grain crackers with cheese, or carrots with hummus. “Best” lists from other local physicians and dietitians are heavy on fruits, vegetables and whole grains, including:
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String or cottage cheese with a serving of whole-grain crackers Turkey slices on a piece of whole-wheat bread Avocado on crispbread (Wasa and Ryvita are two popular brands) A handful of almonds and grapes A small “pizza” made with tomato and a sprinkle of shredded cheese on a wheat English muffin Two or three cups of air-popped popcorn, which is rich in fiber, perhaps with a few favorite nuts mixed in Eating at night doesn’t necessarily translate to weight gain, as what matters is total calories over a 24-hour period, says Caroline West Passerrello, a Pittsburgh, Penn.-based registered dietitian and spokesperson for the Academy of Nutrition and Dietetics. While the body does burn more energy earlier in the day, portion control is most important, Passerrello stresses.
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your caloric bottom line.” Soda and alcoholic beverages, on “My advice is to figure out what you crave and eat a small amount of that — slowly and mindfully,” she advises. the other hand, often add excess calories and contribute to insomnia. “Otherwise, you can eat your way around the kitchen trying Beyond thirst, late-night hunger can be the symptom of to avoid what you actually want. There are really no bad another problem, such as stress, boredom, exhaustion or a foods, just bad portions.” For example: Enjoying a prelack of filling foods during the day. “People beat themselves measured snack baggie of favorite chips is fine, but inhaling up for being ‘weak’ at night, but they can’t fix it because a big bag in front of the TV isn’t. they’re not addressing the underlying issue,” Passerrello says. High-fat foods do take longer to digest, leaving acidic Focusing on sleep habits, relaxation techniques, freestomach juices around longer to potentially cause reflux. So time activities and especially daytime diet can help. “Back staples of fast-food runs, such as pizza, Chinese, burgers, loading” too many calories can overwhelm the metabolism fries and milkshakes, can be trouble. Spicy, sugary or and boost fat storage, Nagy says. “Try to spread your calories caffeinated items — think hot Indian or Mexican dishes, more evenly throughout the day,” she recommends. “Start cookies, candy or chocolate — also can wreck sleep, eating within one to two hours of waking up, to get your affecting the normal production of appetite-regulating metabolism going. Try not to go longer than five to six hormones for the next day. hours without eating something. A good balanced meal Sometimes, no food is the right choice, Passerrello should hold you at least three to four hours.” says: “When you feel hungry, you actually might be thirsty As bedtime approaches, look for alternatives to snacking, instead.” Plain water is always safe (albeit not so much as to she adds: “If you’re feeling stressed, try something relaxing, trigger frequent overnight bathroom runs); for a fizzy drink like taking a warm shower. If you’re bored, try getting some without caffeine or a lot of sugar, mix three parts club soda or seltzer water and one part juice. For those craving a warm things crossed off your to-do list or pick up an enjoyable drink, herbal teas are good options. hobby.” Finally, if nothing else works, simply disarm the kitchen “Even decaf coffee has a little caffeine in it, and it only by freeing it from temptations. In other words, keep the takes a little to disturb your sleep,” says Kevin Wolf, a cookies and potato chips off the shopping list. “Plan for family medicine physician with Riverside Primary Careyour food-eating habits when you go grocery shopping so Hidenwood in Newport News,Va. “A calming tea with you only have healthy choices, any time of day,” Wolf says. something like chamomile or mint can be incorporated “The timing isn’t nearly as important as the quality.” effectively as part of a wind-down routine and not affect
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Taste Appeal
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/ 38 / TASTE APPEAL
Rosemary Marinated Lamb Chops Ingredients
• • • • • •
2 teaspoons rosemary 1 teaspoon thyme leaves 1 teaspoon ground black pepper 1 teaspoon garlic powder ½ teaspoon salt 1 cup finely chopped onion
• • • •
½ cup orange juice ¼ cup dry white wine 3 tablespoons olive oil, divided 8 loin lamb chops, cut 1 to 1 ¼ inch thick, trimmed
Directions
Mix rosemary, thyme, black pepper, garlic powder and salt in a bowl. Add onion, orange juice, white wine and 2 tablespoons olive oil. Whisk together and reserve ½ cup marinade mixture for later use. Place lamb chops in a self-closing plastic bag; add marinade. Turn to coat. Refrigerate 30 to 60 minutes. Remove lamb from marinade and blot dry with a paper towel. (Do not remove onion pieces from chops). Heat remaining oil in a heavy skillet over medium-high heat. Place lamb in skillet. Sear one side of lamb approximately 4 minutes or until well browned. Turn chops over and cook 4 minutes longer or until desired doneness. Add reserved marinade and simmer 2 minutes. Remove lamb to a serving plate. Pour reduced marinade over lamb.
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Roasted Garlic & Asparagus Salad Ingredients • 2 heads garlic • 3 tablespoons extra-virgin olive oil, divided • ½ teaspoon salt, divided • ½ teaspoon freshly ground pepper, divided • ¼ cup minced fresh chives • 2 tablespoons finely chopped fresh garlic scapes or • 2 teaspoons finely chopped garlic cloves • ¼ cup lemon juice • 2 bunches asparagus, trimmed • 2 teaspoons freshly grated lemon zest • ½ cup walnut halves, toasted and chopped
Preparation
Preheat oven to 400°F. Slice the tips off the garlic heads, exposing the cloves. Place the heads in a small baking dish. Pour 2 tablespoons oil over them and sprinkle with ¼ teaspoon each salt and pepper. Roast until the garlic feels soft when you squeeze the bulb, 20 to 40 minutes, depending on size. When cool enough to handle, gently squeeze garlic cloves from the skins into the dish (discard skins). Add chives and garlic scapes (or chopped garlic). Swirl in lemon juice. Peel the tough outer layer off the bottom half of asparagus stalks, if desired. Place the asparagus on a rimmed baking sheet; drizzle with the remaining 1 tablespoon oil and sprinkle with lemon zest and ¼ teaspoon each salt and pepper. Roast, shaking the pan halfway through, until the asparagus is just tender, 10 to 20 minutes. Let stand for 5 minutes. Divide the warm asparagus among 6 plates. Top each portion with about 2 tablespoons roasted garlic vinaigrette and 1 generous tablespoon walnuts. Make Ahead Tip: Cover and refrigerate roasted garlic cloves in oil (Steps 1-3) for up to 3 days; bring to room temperature before finishing Step 3. For the best flavor, toast nuts before adding to recipe. Spread whole nuts on a baking sheet and bake at 350°F, stirring once, until fragrant, 7 to 9 minutes. For chopped nuts, place in a small dry skillet and cook over medium-low heat, stirring constantly, until fragrant and lightly browned, 2 to 4 minutes.
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Yoganatomy
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/ 42 / YOGANATOMY
Bow Pose Dhanurasana
(don-your-AHS-anna) Remember all those years your mom told you to stand up straight and you didn’t listen? Have no fear, bow pose is here. Dhanurasana provides an intense stretch in the shoulders and strengthens the back to open the chest and counter all the slouching of everyday life.
Begin by resting on your belly with legs hipwidth apart. Bend your knees and bring the feet as close to the glutes as possible. Grab the outside of the ankles with the hands. (If this is accessible and comfortable, try grabbing the inside of the ankles for the second set.) Inhale, kicking the feet away from the body to bring the thighs and chest off of the ground. Breathe. Your shoulders should come away from the ears by drawing the shoulder blades onto the back. Find ease in the effort of the back muscles. Hold for 20-30 seconds, remembering to breathe the entire duration of the posture. Keep the knees hip-width apart. If you should feel any pressure in your lower back, come out of the pose. Exhale as you slowly release back down to the floor. Repeat two more times. Follow the pose with child’s pose to flex the spine in the opposite direction. CONTRAINDICATIONS Anyone with back or neck concerns should consult their physician before performing bow pose. BEGINNER’S TIP If you find it challenging to lift your knees off the ground, try rolling a blanket and placing it under the thighs before doing the pose. MODIFICATION If you can’t reach your ankles, no problem. Grab a strap or tie and place around the front of the ankles. Hold either end in each hand. Continue the pose as originally described.
BY KATY HENDERSON PHOTOGRAPHY BY BRIAN FREER MODEL TIFFANY REAVES
Mom also may have advised a good night’s rest. In order to comply, be sure not to practice bow pose later in the evening as this invigorating pose may interrupt your ability to sleep.
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PEDIATRIC OPTOMETRY Kelsey Guth, O.D. Colonial Eye Care Dr. Kelsey Guth is Williamsburg’s first residencytrained pediatric optometrist and is currently accepting new patients. Dr. Guth received her biology degree from Virginia Tech and graduated with honors while earning her Doctor of Optometry degree from Nova Southeastern University in Fort Lauderdale, Florida. She then completed an externship at the world-renowned Bascom Palmer Eye Institute in Miami, Florida and her Pediatrics and Vision Therapy residency in Memphis, Tennessee, focusing on vision disorders such as amblyopia, strabismus, convergence insufficiency, and learning-related vision problems. Dr. Guth is an active member of the American Academy of Optometry, American Optometric Association, Virginia Optometric Association, and the College of Optometrists in Vision Development. Originally from Manassas, Virginia, Dr. Guth recently relocated to Williamsburg with her husband, Matt, and feels right at home in the community. In her free time she enjoys traveling, physical fitness, playing with her puppy, Mabel, and all things Virginia Tech. Colonial Eye Care
5273 John Tyler Highway Williamsburg VA 23185 (757) 903-2633 www.colonialeyecare.com
MASSAGE Laurie Andrews, LMT Oasis Healing Massage
Laurie Andrews, LMT, owner of Oasis Healing Massage, is a graduate of the Utah College of Massage Therapy and brings over 20 years experience to the Williamsburg area. After receiving her diploma in Advanced Clinical Massage Therapy, with an emphasis in Clinical Injury Massage and Traditional Chinese Medicine, Andrews went on to receive diplomas in Natural Health Consulting and as a Relaxation Therapist. She has been an instructor of Massage Therapy since 1999 and has written and published more than 30 student handbooks. Andrews is a long-time member of the American Massage Therapy Association, state-licensed with the Virginia Board of Nursing and is proficient in many therapeutic modalities including traditional Swedish and deep tissue massage, trigger point, myofascial and injury massage, reflexology, acupressure, aromatherapy and hot/cold stone therapies. She specializes in restoring body rejuvenation, balance and relaxation, and is dedicated to bringing a place of healing refuge to the community of Williamsburg. Oasis Healing Massage
Jamestowne Professional Park 1769 Jamestown Rd - Suite 209 Williamsburg, VA 23185 804.916.9494 o-h-m.weebly.com
AUDIOLOGY Jude Liptak, Au.D. Colonial Center for Hearing Dr. Jude Liptak holds a doctorate degree in Audiology from Salus University. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio and graduated Magna Cum Laude. He is a fellow of the American Academy of Audiology and a member of the Academy of Doctors of Audiology. Dr. Liptak has been practicing audiology since 2000. As a board-certified audiologist and expert in his field, he has helped thousands of people rediscover the joys of healthy hearing. In 2003, he founded Colonial Center for Hearing, a state-of-the-art audiology practice, located in McLaws Circle in Williamsburg, Virginia. Dr. Liptak is passionate about patient care and believes in educating patients about his findings so that they understand their hearing loss and his course of treatment. To Dr. Liptak, you are not just a patient— you are an individual with a hearing situation that requires prompt attention. Colonial Center for Hearing
430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004
www.williamsburghears.com
ALLERGY & ASTHMA Timothy J. Campbell, M.D. Allergy Partners of Hampton Roads
Dr. Timothy Campbell made Allergy and Immunology his medical career choice because it allows him the opportunity to care for both adults and children. A graduate of Miami University in Oxford, Ohio and Northeast Ohio Medical University, he completed his internal medicine residency at Summa Health System in Akron, Ohio, followed by a fellowship in adult and pediatric allergy, asthma and immunology at Cleveland Clinic. He was nominated to AOA and Gold Humanism Medical Honor Societies. Dr. Campbell joined Allergy Partners in 2014. He diagnoses and treats the full spectrum of immunodeficiency and allergic disorders including asthma, allergic rhinitis, stinging insect allergy, drug reactions, eczema, hives, sports-induced asthma and food and latex allergies. Dr. Campbell finds it very rewarding to improve quality of life for his patients that are debilitated by their allergic illnesses. He is accepting new adult and pediatric patients in the Williamsburg and Newport News offices.
Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 allergypartners.com/hamptonroads
DERMATOLOGY Joselin Tacastacas, M.D.
Dermatology Specialists Dr. Joselin Tacastacas joined Dermatology Specialists on August 1, 2017, after completing her dermatology residency at the University Hospitals Cleveland Medical Center. She has a special interest in cutaneous T-cell lymphoma and other skin cancers. She completed internal medicine training at the State University of New York Downstate Medical Center in Brooklyn, N.Y. She is board-certified in internal medicine and dermatology and is a Fellow of the American College of Physicians. Dr. Tacastacas practiced as a primary care physician for six years in Lebanon, Va., and Grants Pass, Ore. Dr. Tacastacas welcomes patients of all ages to the Newport News office on Mondays and Tuesdays and the Williamsburg office on Wednesdays, Thursdays and Fridays. Dermatology Specialists 475 McLaws Circle, Suite 1 Williamsburg, VA 23185 (757) 259-9466 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161 opderm.net
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SPORTS MEDICINE Lara Quinlan, MD, CAQSM TPMG Orthopedics
Lara Quinlan, MD, CAQSM earned her Bachelor of Science in Chemistry at the College of William and Mary and her medical degree at Virginia Commonwealth University School of Medicine. Dr. Quinlan completed both her internship and residency in Family Practice at Virginia Commonwealth University--Fairfax Family Practice. Dr. Quinlan is board certified in Family Medicine. Her special skills include musculoskeletal injections, concussion management, casting/splinting/bracing and fracture management, dermatologic procedures and basic sports nutrition. Dr. Quinlan serves as the Medical Director for Newport News Public Schools Athletic Department. As a specialist in Sports Medicine, she is thoroughly trained in caring for all athletes and patients with musculoskeletal related issues, acute injuries and educating the public about primary care sports medicine. TPMG Orthopedics
5424 Discovery Park Blvd. Building B, Suite 105 Williamsburg, VA 23188 (757) 345-5870 860 Omni Blvd., Suite 113 Newport News, VA 23606 (757) 327-0657
DENTISTRY
Dr. Donna Haygood-Jackson, Ed.D, LPC, NBCC is now affiliated with Dr. Jason D. Mazzurco is a Colonial Psychiatric Associates board-certified dermatologist
Dermatology Specialists
11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161 opderm.net
J. V. (Ian) Nixon, MD, FACC, FAHA, FACSM TPMG Cardiovascular Diagnostic Center
Williamsburg Center for Dental Health Dr. Stacey Hall brings her unique outlook on dental care and her personable optimism to the Williamsburg Center for Dental Health. With 12 years of solid dental expertise in the area, she decided in early 2011 to branch out and open her own local practice. After completing her undergraduate degree from Virginia Tech in 1998, Dr. Hall graduated from VCU’s MCV School of Dentistry in 2002, receiving her D.D.S. She is a member of the Academy of General Dentistry, the American Dental Association, and was awarded member fellowship to the International Congress of Oral Implantology in 2008. Dr. Hall is a co-leader of the Tidewater Dawson Study Club and is passionate about pursuing the highest levels of continuing education. She was also voted “Reader’s Choice Best Dentist 2010” by The Health Journal. Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie. She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work. Williamsburg Center for Dental Health
5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303
J. V. (Ian) Nixon, MD, FACC, FAHA, FACSM is a cardiovascular specialist with extensive experience in the diagnosis and treatment of complex cardiovascular disease. He joined TPMG in 2017, opening the Cardiovascular Diagnostics Center in Williamsburg. Dr. Nixon earned his medical degree from the University of Manchester and completed his residency at Worcester City Hospital in MA. He completed a fellowship in Cardiology at Harvard Medical School Peter Bent Brigham Hospital in Boston and a post-doctoral fellowship in Cardiology at Southwestern Medical Center/University of Texas Health Science Center. He offers consultation and diagnostic testing services for cardiovascular conditions to include: Coronary Artery Disease, Atrial Fibrillation, Congestive Heart Failure, and Hypertension. TPMG Cardiovascular Diagnostic Center Tidewater Medical Center at New Town 5424 Discovery Park Boulevard Bldg. B, Suite 201 Williamsburg, VA 23188 (757) 565-0600
www.williamsburgdentalhealth.com
BEAUTY & AESTHETICS Steven C. Mares, M.D.
Dr. Donna Haygood-Jackson, Ed.D, LPC, NBCC Colonial Psychiatric Associates
Dr. Donna Haygood-Jackson and fellowship-trained is a therapist in Williamsburg, Mohs Surgeon. He earned Va. She received her his Bachelor of Science Psychology degree from the University of Alabama and Master of Science degrees from The Ohio Dr. Haygood-Jackson and her Doctorate from The College of William State University, where he was a two-time Big Ten & Mary. She has been licensed since 1988. Dr. is now accepting referrals Champion Gymnast. He continued his education Haygood-Jackson was at William & Mary for 27 fromCollege the community. at Ohio University Heritage of Osteopathic years, first as a therapist, and then as Acting Director Medicine, where he earned his medical degree. of the Counseling Center, and finally as Senior He completed a residency in dermatology and a To request additional information Assistant Dean of Students. During her time at fellowship in Mohs micrographic surgery at St.a Joseph or make referral simply W&M, she made a very heartfelt decision to return call 757-645-4715 or fax 757-645-4720 Mercy Hospital through Michigan State University to her passion: Therapy. Her specialties include life and served as the chief resident. transition issues, chronic and acute health-related Dr. Mazzurco practices surgical dermatology treating issues, trauma to include PTSD, disordered eating both benign and malignant lesions of the skin. He and body image concerns, pre-natal and postpardum specializes in the diagnosis and treatment of skin cancer, depression, couples and family therapy, Traumatic Mohs surgery and reconstructive surgery. Brain Injury (TBI) and substance-use disorder issues. Dr. Mazzurco joined Dermatology Specialists Dr. Haygood-Jackson lives in Williamsburg with her in 2014. husband Rick.
Dermatology Specialists
DIAGNOSTIC CARDIOLOGY
Stacey Sparkman Hall, D.D.S.
DERMATOLOGY Colonial Psychiatric COUNSELING Associates / PSYCHOTHERAPY Jason D. Mazzurco, D.O.
ACCEPTING NEW PATIENTS
Colonial Psychiatric Associates 318 Jamestown Rd., Suite. 101 Williamsburg, VA 23185 (757) 645-4715 708 Mobjack Place Newport News, VA 23606 (757) 873-1958 colonialpsychiatricassociates.com
Erase the Canvas, LLC Dr. Steven C. Mares, is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and AntiAging Laser and Botox Treatments. He is a “Hokie,” having graduated with a degree in chemistry in 1986 from Virginia Tech. He received his medical degree from Eastern Virginia Medical School in 1992 and completed a pediatric residency at Children’s Hospital of The King’s Daughters in Norfolk, Va. in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Ga. in 1996, the year of the XXVI Olympics. During his time there, he was involved in taking care of the Elite Olympic hopefuls at the U.S. Track and Field Championships as well as the Women’s Olympic Softball Athletes. He moved to Williamsburg where he is involved with student athletes and the theater department at Lafayette High School. He did laser training at the National Laser Institute in Phoenix, Ariz., in 2010, and opened his clinic in 2013.
Erase the Canvas, LLC 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390 erasethecanvas.com
HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222 ADDICTION TREATMENT The Farley Center 5477 Mooretown Road Williamsburg (877) 389-4968 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 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004 BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066 CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900 Pinto Chiropractic & Rehabilitation 5408 Discovery Park Blvd., Suite 200 Williamsburg (757) 645-9353
COSMETIC & PLASTIC SURGERY Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275 DENTISTRY Healthy Smiles Dental Center 9581 Shore Dr. Norfolk, VA (757) 393-6363 664 Lincoln St. Portsmouth (757) 393-6363 Historic Triangle Dental Care Michael J. Whyte, DDS 1769 Jamestown Road, Suite 2B Williamsburg (757) 903-2527 New Town Dental Arts Sebastiana G. Springmann, D.D.S, F.A.G.D. 4939 Courthouse St. Williamsburg (757) 259-0741 Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg (757) 903-4525
DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444 Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000 FREE CLINICS American Red Cross Adult Dental Clinic 606 West 29th St. Norfolk (757) 446-7756 Angels of Mercy Medical Clinic 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 Beach Health Clinic 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601
HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (877) 840-3431 HOME CARE Visiting Angels 704 Thimble Shoals Blvd., #600-B Newport News (757) 599-4145 HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital 2 Bernardine Dr. Newport News (757) 886-6000 Bon Secours DePaul Medical Center Granby St. & Kingsley Lane Norfolk (757) 889-5310 Bon Secours Maryview Medical Center 3636 High St. Portsmouth (757) 398-2200
Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141 Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200 Riverside Regional Medical Center 500 J. Clyde Morris Blvd. Newport News (757) 594-2000 Sentara Independence 800 Independence Blvd. Virginia Beach (757) 363-6100 Sentara CarePlex Hospital 3000 Coliseum Dr. Hampton (757) 736-1000 Sentara Heart Hospital 600 Gresham Dr. Norfolk (757) 388-8000 Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000
Chesapeake Care 2145 South Military Highway Chesapeake (757) 545-5700
Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800
Pediatric Dental Specialists of Hampton 2111 Hartford Road, Suite C Hampton (757) 864-0606
The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060
Bon Secours Surgery Center at Harbour View 5818 Harbour View Blvd., Suffolk (757) 673-5832
Sentara Obici Hospital 2800 Godwin Blvd. Suffolk (757) 934-4000
Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270
H.E.L.P. Free Clinic 1320 LaSalle Ave. Hampton (757) 727-2577
Chesapeake Regional Medical Center 736 Battlefield Blvd. North Chesapeake (757) 312-8121
Sentara Port Warwick 1031 Loftis Blvd. Newport News (757) 736-9898
Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098
Sentara Princess Anne 2025 Glenn Mitchell Dr. Virginia Beach (757) 507-0000
CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363
Sentara Virginia Beach General Hospital 1060 First Colonial Road Virginia Beach (757) 395-8000
Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Newport News (757) 594-1899
Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000
Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303 DERMATOLOGY Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030 Dermatology Specialists Michael C. White , M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466
H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577 HOPES Free Clinic-EVMS 825 Fairfax Ave. Norfolk (757) 446-6190 Lackey Free Clinic 1620 Old Williamsburg Road Yorktown (757) 886-0608 Olde Towne Medical and Dental Center 5249 Olde Towne Road Williamsburg (757) 259-3258 Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132 Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060 GASTROENTEROLOGY Digestive Disease Center of Virginia, PC Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Suite 104 Williamsburg (757) 206-1190
THEHEALTHJOURNAL.ORG
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
/ 46 / HEALTH DIRECTORY
Sentara Norfolk General Hospital 600 Gresham Dr. Norfolk (757) 388-3000
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) 622-2989 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) 229-0643 The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-1700 Avalon: A Center for Women & Children Williamsburg (757) 258-9362 AWARE Worldwide, Inc. 6350 Center Dr., Bldg. 5, Suite 228 Norfolk (757) 965-8373 Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222 Cancer Care Foundation of Tidewater 5900 Lake Wright Dr. Norfolk (757) 461-8488
Cancer Support Group - Kelly Weinberg Foundation kellyweinbergfoundation. org, info@ kellyweinbergfoundation.org (757) 250-3220 Center for Excellence in Aging & Lifelong Health 3901 Treyburn Dr., Suite 100 Williamsburg (757) 220-4751 CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Dr., Suite 1100 Norfolk (757) 388-6229 Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300 Citizens’ Committee to Protect the Elderly PO Box 10100 Virginia Beach (757) 518-8500 Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200 Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd, Suite 2E Newport News (757) 833-7845 Dream Catchers Therapeutic Riding 10120 Fire Tower Road Toano (757) 566-1775 Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251 Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007 Faith in Action 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890 Food Bank of the Virginia Peninsula 2401 Aluminum Ave. Hampton (757) 596-7188 Food Bank of SEVA 800 Tidewater Dr. Norfolk (757) 627-6599 Hampton-Newport News Community Services Board 300 Medical Dr. Hampton (757) 788-0300 Here for the Girls 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649 Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161
Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220 Jewish Family Service of Tidewater, Inc. 5000 Corporate Woods Drive, Suite 400 Virginia Beach (757) 321-2222 Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501 Leukemia & Lymphoma Society 6350 Center Dr., Suite 216 Norfolk (757) 459-4670 National MS Society 760 Lynnhaven Pkwy., Suite 201 Virginia Beach (757) 490-9627 The Needs Network, Inc. 9905 Warwick Blvd. Newport News (757) 251-0600 National Alliance on Mental IllnessWilliamsburg Area P.O. Box 89 Williamsburg (757) 220-8535 National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298 Norfolk Community Services Board 229 W. Olney Road, Room 1 Norfolk (757) 664-6670 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 873-0541 312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277 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
RSVP: Retired Senior Volunteers 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037
Virginia Oncology Associates 725 Volvo Pkwy, Suite 200 Chesapeake (757) 549-4403
St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208
3000 Coliseum Dr., Suite 104 Hampton (757) 827-9400
Sarcoidosis Suport 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 Hwy. Yorktown (757) 898-3807 Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk 757-222.4509 Susan G. Komen Tidewater 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794 United Way 11870 Merchants Walk, Suite 104 Newport News (757) 873.9328 5400 Discovery Park Blvd., Suite 104 Williamsburg (757) 253-2264 The Up Center 1805 Airline Blvd. Portsmouth (757) 397-2121 222 W. 19th St. Norfolk (757) 622-7017 VersAbility Resources 2520 58th St. Hampton (757) 896-6461 VA Medical Center 100 Emancipation Dr. Hampton (757) 722-9961 We Promise Foundation 160 Newtown Road Virginia Beach (757) 233-7111 OBSTETRICS & GYNECOLOGY Williamsburg Obstetrics & Gynecology 500 Sentara Circle, Suite 105 Williamsburg (757) 253-5653 ONCOLOGY The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177
1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 5900 Lake Wright Dr. Norfolk (757) 466-8683 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670 1950 Glenn Mitchell Dr., Suite 102 Virginia Beach (757) 368-0437 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 OPTOMETRY & OPHTHALMOLOGY MyEyeDr. Jeanne I. Ruff, OD 4655 Monticello Ave., Suite 201 Williamsburg (757) 259-6823 Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375 ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 5335 Discovery Park Blvd., Suite B Williamsburg (757) 873-1554 Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900 Tidewater Orthopaedic Associates 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 4037 Ironbound Road Williamsburg (757) 206-1004
PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy 13609 Carrollton Blvd., Suite 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 2613 Taylor Road, Suite 102 Chesapeake (757) 465-7651 1416 Stephanie Way, Suite A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 14703 Warwick Blvd., Suite B Newport News (757) 947-1230 2 Bernardine Dr. Newport News (757) 886-6480 7300 Newport Ave., Suite 300 Norfolk (757) 217-0333
4677 Columbus St., Suite 201 Virginia Beach (757) 463-2540
135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512
1253 Nimmo Parkway, Suite 105 Virginia Beach (757) 943-3060
927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436-3350
101 Long Green Blvd. Yorktown (757) 952-1900
1580 Armory Dr., Suite B Franklin (757) 562-0990
Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton (757) 825-9446
6970 Fox Hunt Lane, Gloucester (804) 694-8111
4624 Pembroke Blvd. Virginia Beach (757) 460-3363
2106 Executive Dr. Hampton (757) 838-6678
100 Winters St., Suite 106 West Point (757) 843-9033
9 Manhattan Square, Suite B Hampton (757) 825-3400
156-B Strawberry Plains Road Williamsburg (757) 565-3400
466 Denbigh Blvd. Newport News (757) 875-0861 729 Thimble Shoals Blvd., Suite 4-C (Pediatrics) Newport News (757) 873-2932 301 Riverview Ave. Norfolk (757) 963-5588 500 Rodman Ave., Suite 3 Portsmouth (757) 393-6119
930 W. 21st St. Suite 105 Norfolk (757) 738-1500
5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700
3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 5838 Harbour View Blvd. Suffolk (757) 673-5971 1417 North Main St. Suffolk (757) 934-3366
Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900
HAMPTON, VA.
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) 452-3441 11848 Rock Landing Dr., Suite 402 Newport News (757) 873-1374
7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753
751 J Clyde Morris Blvd Newport News (757) 873-2123
3640 High St., Suite 3B Portsmouth (757) 452-3400
4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383
612 Denbigh Blvd. Newport News (757) 874-0032 12494 Warwick Blvd. Newport News (757) 599-5551
2000 Meade Parkway Suffolk (757) 934-9300 225 Clearfield Ave. Virginia Beach (757) 457-5100
Tidewater Orthopaedic Associates 901 Enterprise Pkwy, Suite 900 Hampton (757) 827-2480
6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890
400 Sentara Circle, Suite 310 Williamsburg (757) 345-5554
4037 Ironbound Road Williamsburg (757) 206-1004
250 West Brambleton Ave., Suite 100 Norfolk (757) 938-6608
The Paul F. Schellhammer Cancer Center – a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177
Urology of Virginia Physical Therapy 225 Clearfield Ave. Virginia Beach (757) 466-3406
154 E Little Creek Road Norfolk (757) 797-0210
FEBRUARY WORD SEARCH Untitled P J O P E T A L O C O H C M L U F D V F
Congratulations to our
SHEILA FERGUSON
UROLOGY
1745 Camelot Dr., Suite 100 Virginia Beach (757) 961-4800
7190 Chapman Dr. Hayes (804) 642-3028
IN TEASERS
FEBRUARY WINNER
Ambulatory Foot & Ankle Center Calvin H. Sydnor IV, DPM, FACFAS Earnest P. S. Mawusi, DPM, FACFAS 1618 Hardy Cash Dr. Hampton (757) 825-5783
2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
FEBRUARY SUDOKU
BRA
PODIATRY
2007 Meade Pkwy. Suffolk (757) 539-6300
1817 Laskin Road, Suite 100 Virginia Beach (757) 437-0471
885 Kempsville Road, Suite 300 Norfolk (757) 955-2800
5553 Portsmouth Blvd. Portsmouth (757) 465-7906
204 Gumwood Dr. Smithfield (757) 357-7762
Pivot Physical Therapy 4020 Raintree Road, Suite D Chesapeake (757) 484-4241
T F O Y K F J D Y N E T T I M S E Y A L
Amorous
M F J Z C N S S E N R E D N E T B Y L O
X Y W N Y J L C M C I T N A M O R V E W
W Q Y D N A C S U O R O M A Q N U B N E
W R N T M A L C H S O Y Q G C H A C T R
U N O K P J E R I E W N P I E P R F I S
Q P N M D Q V V J Y A E S F Q I Y F N H
W V P T Z Y H M H B S R E T A J P O E M
O N O I T A U T A F N I T T R J S E R H
O D E O Y P C P C Q Y G I T H U E F V B
R V A R A L F E D A Q X K M H E C R S Z
Y N Y R A O M E N A E L V I V R A K P K
Q C F E K V M S Y A R B H C S I O R Y H
I T L P K E V V C Z M L I O E S K B T F
N R S Y P B V P G P K O I D P D F N D L
C E D X T I P W Y R I F R N K B X V K O
D R V Y N R K R R N S O F E G Q V X U X
H E G K G D U U J F Z S L L D V W R L L
B K S H W S N J U U G D E V O L E B P Z
UP FOR THE CHALLENGE?
Beloved
Chocolate
Candy
Darling
Enamored
February
Flowers
Gift
Heartthrob
Kiss
Lovebirds
Moonstruck
Poem
Romantic
Smitten
Sweetheart
Tenderness
Valentine
FEBRUARY CRYPTOGRAM Infatuation
Challenge your brain! Turn to page 50 to find out how you can win a gift card!
ALL YOU NEED IS LOVE. BUT A LITTLE CHOCOLATE NOW AND THEN DOESN'T HURT. - CHARLES SCHULTZ THEHEALTHJOURNAL.ORG
/ 48 / HEALTH DIRECTORY
March2018 WHAT IS GOING ON IN
5 FLOATYOGA CLASS
This aerial yoga class uses a hammock to assist with stretching. WHEN: 5:30 p.m. Mondays WHERE: The Inspire Studio $$: $25 for drop in or $200 for a 10 pack CONTACT: Lia Bollinger, jakekelsy@ cox.net
DOG STREET PUB RUNNING CLUB Come out for this weekly family and pet friendly 5K run. WHEN: 6 p.m. Mondays WHERE: DoG Street Pub $$: free CONTACT: dogstreetpub.com
6 FERMENT BEER DINNER
Virginia Beer Company hosts this event benefitting E.A.T. Foundation. WHEN: 7 to 10 p.m. WHERE: Virginia Beer Company $$: $85 CONTACT: virginiabeerco.com.
7 MEDITATION WORKSHOP
Learn different styles of meditation during this workshop. WHEN: 6:15 p.m. WHERE: James City County Recreation Center $$: $5 CONTACT: 757-259-4176
Share your experience, strength and hope in dealing with chronic pain and illness. WHEN: 6:30 to 7:30 p.m. Thursdays WHERE: Orthopaedic & Spine Center, Newport News $$: free CONTACT: 757-690-4200
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GROCERY STORE TOUR
Learn how to read food labels and make healthier food choices on this tour. WHEN: 10 a.m. to 11:30 a.m. WHERE: Food Lion, Premium Outlets $$: free CONTACT: 800-736-8272
BIRTH CIRCLE
Pregnant women and new mothers are invited to gather for support. WHEN: 6:30 to 8:30 p.m. WHERE: Williamsburg Regional Library $$: free CONTACT: bmva.williamsburg@ gmail.com
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WILLIAMSBURG FARMERS MARKET
Williamsburg Farmers Market reopens for the new season. WHEN: 8 a.m. to noon Saturdays through Dec. 22. WHERE: Merchants Square $$: free CONTACT: williamsburgfarmersmarket.com
Center $$: $30 CONTACT: williamsburgva.gov/rec
JAMESTOWN 4-H DISCOVERY RUN 10K
This race benefits Jamestown 4-H Educational Center Camp Scholarship Fund. WHEN: 9 a.m. WHERE: Jamestown 4-H Educational Center $$: $10-$35 CONTACT: Ruben Brown, 757-604-2130
COTTAGE GARDENS
Learn about the history and design of cottage gardens and the plants found in them. WHEN: 9 a.m. WHERE: Freedom Park $$: $5 suggested donation CONTACT: Gordon Chappell, gordonchappell@cox.net
DOG STREET STRUT
This walk benefits Heritage Humane Society. WHEN: 9:30 a.m. WHERE: Duke of Gloucester Street $$: $30 CONTACT: heritagehumanesociety. org/strut
SPRING WINE EXPO
Sample more than 50 wines during this wine expo. WHEN: 1 to 3 p.m. WHERE: Riverwalk Restaurant, Yorktown $$: $45 CONTACT: 757-875-1522
SHAMROCK THE ‘BURG
Kiwanis Club of Williamsburg invites you to celebrate St. Patrick’s Day with Irish fare and entertainment. WHEN: 4:30 p.m. WHERE: Williamsburg Community Building $$: $10-$30 CONTACT: williamsburgkiwanis.org
RUNNING CLINIC
Learn about working and running in the field of exercise science. WHEN: noon to 2:30 p.m. WHERE: location TBA $$: $100 CONTACT: pesfit.com/upcomingevents
CYCLING CLUB
Choose from a 25- or 40-mile bike ride along the Virginia Capital Trail. WHEN: 9 a.m. Sundays WHERE: Williamsburg Winery $$: free CONTACT: williamsburgwinery.com/ cyclingclub
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CHRONIC PAIN ANONYMOUS
PEDIATRIC ASSOCIATES OF WILLIAMSBURG OPEN HOUSE
PAW hosts this open house for those looking for a pediatrician. WHEN: 5:30 to 6:30 p.m. WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: 757-564-7337
CALENDAR
19 NAMI CONNECTION MENTAL HEALTH SUPPORT GROUP
Those struggling with mental health issues are invited to gather for support. WHEN: 7 to 8:30 p.m. the first and third Mondays of each month WHERE: St. Stephen’s Episcopal Church, Richmond $$: free CONTACT: meetup.com
24 PICKLEBALL PALOOZA
Adults 16 and over are invited to participate in this pickleball tournament. WHEN: 8:30 a.m. WHERE: Quarterpath Recreation
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26 CARDIO-FIT TENNIS CLINIC
Hit the tennis courts with us and try this new fitness class. WHEN: 7:15 p.m. WHERE: Kiwanis Park tennis courts $$: free CONTACT: williamsburgva.gov
31 QUEENS LAKE 5K RUN
This race benefits the Colonial Road Runners Scholarship Fund. WHEN: 8:30 a.m. WHERE: New Quarter Park $$: $8-$30 CONTACT: Paul Pelletier, 757-253-0625
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4037 Ironbound Road Williamsburg, VA 23188
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