Prime Time, October 2013 by Daily Press Media Group

Thursday, October 24

PrimeTime

OCTOBER 2013

8am – 12noon The Hidenwood Retirement Community

A Free Event

HOW TO STAVE OFF DIABETES

DEcISIOn mAkIng AS A SEnIOr

cOgnITIVE LOSS FOLLOWIng An IcU STAY

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 2

IS IT

Or Have Your Hearing Aids Seen Better Days?

STICKER SHOCK?

WE KNOW THE DRILL! ...

EVEN AFTER REBATES AND DISCOUNTS ARE APPLIED, THEY STILL WANT THOUSANDS OF DOLLARS FOR A LITTLE PIECE OF EQUIPMENT NO BIGGER THAN A NICKEL.

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CUSTOM CANAL

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Receive a Blu RCU remote FREE with any Twin Core Purchase. A $750 Value! You will be able to connect wirelessly to any Bluetooth capable device, such as, your cell phone!

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ON A PAIR OF HEARING AIDS Our Low price $1200 This Promotion -$400 Total $800 per aid

State-of-the-art features make 251 million calculated, automatic adjustments per second, creating a high-tech hearing solution that boasts unrivaled sound quality and the best in speech understanding, ensuring you don’t miss a word. REMEMBER, Easy listening isn’t easy unless it’s hassle-free.

IS IT HEARING LOSS OR JUST EARWAX?

ATTENTION FEDERAL BC/BS MEMBERS YOUR BENEFITS HAVE BEEN RESET! As of January 1st 2013 “ALL” Federal BC/BS benefits have been RESET making all Federal BC/BS Members eligible for new hearing aids with no cost to you. The 100% digital, programmable “targa” circuit is our standard Fed. BC/ BS benefits hearing aid. ACT NOW and we will upgrade you to the highly advanced “Day 4+” circuit. The new Day 4+, fifth generation, D-5 processing platform offers enhanced clarity and fidelity in an array of listening situations. Including 2 separate noise reduction programs and 4 prescription channels, Anti feedback, Directional microphones, and optional remote control all this with no money out of pocket! • UNPRECEDENTED 60 DAY TRIAL PERIOD Spend No Money, If not 100% Satisfied

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Look Around During the PrimeTime Show on October 24 from 8am-12noon

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3 — An advertising supplement to the Daily Press and The Virginia Gazette • PrimeTime • October 2013

HaveYou Seen Us Lately???

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 4

How to reduce your risk for diabetes

illions of people across the globe suffer from diabetes, a term used to describe a group of metabolic diseases in which a person has high blood pressure resulting from the body’s cells not responding properly to insulin and/ or inadequate insulin production. According to researchers at Australia’s Baker IDI Heart and Diabetes Institute, if the spread of type 2 diabetes continues at its current rate, there will be roughly 439 million adults with diabetes across the globe in the year 2030. Though some cases of diabetes cannot be prevented, a healthy lifestyle can prevent or delay the onset of type 2 diabetes. CONTINUED P8

Since 1969, The Chesapeake has provided an ‘oasis’ for retirees who thrive on personal growth, activity, and involvement. So call today and learn why The Chesapeake is the perfect place to begin the rest of your life.

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PROTECT THOSE YOU CARE ABOUT Special Invitation This educational class is free, however, reservations are required. To make your reservation or for more information, call Andrea Wohlever at 757-877-0444 or visit our website at trustbuilders.com “The seminar was excellent, everything was adequately covered.” – Rick T. – Williamsburg, Virginia “Dynamic Speakers, worth listening to.” – Kent F. – Lancaster, Virginia Estate and Legacy Planning Since 1978

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5 — An advertising supplement to the Daily Press and The Virginia Gazette • PrimeTime • October 2013

THE PERFECT PLACE TO BEGIN THE REST OF YOUR LIFE

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 6

◆ Do you have aching, fatigued, and throbbing legs that drag as the day progresses? ◆ Do your legs prevent you from doing the things you love to do? ◆ Have you written off heavy and tired legs to old age that slow you down and interfere with your lifestyle? ◆ Do you have spider veins or varicose veins that cause discomfort or prevent you from wearing your favorite sundress? ◆ Do you have leg swelling or skin changes that continue to worsen over time? ◆ Have you been treated for painful, recurrent ulcers that may be due to venous disease? If any of these questions apply to you, Dr. Hancock welcomes the opportunity to provide you with a diagnostic evaluation and develop a set of treatment options that may work for you. If you would like further information, or to schedule an appointment, please call 757-873-0138.

Accepting New Patients

11838 Rock Landing Dr Suite 100 Newport News 757-873-0138

“

My goal is to provide quality care to my patients that translates into improved health and rejuvenated lifestyle.

”

-Dr. Hancock

What are venous disease, venous reflux, and symptomatic varicose veins? Venous reflux disease, also known as venous insufficiency, is a medical condition affecting normal outflow circulation of blood in the lower extremities. Valves contained within veins normally facilitate blood emptying from the legs towards the heart. In the case of venous reflux, these valves no longer function properly, allowing blood to pool in the legs. This produces back pressure and congestion, otherwise known as venous hypertension. Venous reflux and venous hypertension can cause swelling, aching, heavy legs to serious recurring ulcers that can be limb threatening. Varicose veins are often the first recognition of venous disease, but when absent, can frequently result in delayed diagnosis. Varicose veins are enlarged surface veins that become engorged over time as a result of valve failure.

What are the causes? The underlying problem, common to most of these patients, is venous valvular incompetence. Valves are present in the heart and veins to facilitate unidirectional flow that maintains efficient circulation. Incompetent valves in the heart are responsible for regurgitant flow, which can lead to dilated heart chambers that can ultimately impair heart muscle contraction. Veins, responsible for returning blood that has been distributed to the body, dilate in response to incompetent valves. This impairs venous function, delaying return of blood to the heart and overloading the tissues in the leg which causes congestion. Heredity, female gender, pregnancy, weight, and professions requiring prolonged standing and sitting are contributing factors.

Who is affected? Venous disease occurs twice as often as coronary artery disease and ﬁve times more

and How It Can Affect You

often than peripheral artery disease in the United States. Venous disease is quickly recognized in patients with large protruding varicose veins, but in their absence, venous disease can be overlooked and interpreted as another problem. The face of venous disease can be a 30-year old woman, thin and healthy appearing, with a history of multiple pregnancies. It can also be a 30-year old man with four years of recurrent ankle ulcers and severe skin changes. And, then again, it can be a 61-year old woman with a 10 year history of leg pain misdiagnosed as neuropathy and fibromyalgia. In some cases, varicose veins are dismissed as a cosmetic problem. Venous insufficiency can significantly impact lifestyle. Occupations that require long periods of standing or sitting, thought to contribute to the development of venous reflux, provoke intolerable symptoms of aching fatigue, throbbing, swelling, skin changes, and ultimately painful ulcers. Salesmen, teachers, hairdressers, nurses, and shipyard workers are among those affected. Market research indicates that over 2 million workdays are lost annually in the US and $1.4 billion is spent each year on this common medical condition. Of the 25 million Americans with venous insufficiency, approximately 7 million exhibit serious symptoms such as swelling, skin changes, and venous ulcers. It is estimated that 72% of women and 42% of men will experience varicose veins by the time they are 60.

What are the symptoms? Varicose veins often herald the presence of venous reflux. Legs can ache and fatigue due to reflux without the obvious bulging veins. Discomfort usually worsens toward the end of the day. Sometimes, restless and aching legs at night are the predominant complaint. Although few patients describe pain per say, the discomfort can be fairly disturbing and interfere with desired activities, including exercise, work responsibilities, and keeping up at family events. People in their fifties and older occasionally dismiss the symptoms to aging and ‘slowing down.’ Other features of venous reflux disease include burning and itching skin of the lower extremities, leg swelling (edema), skin changes including darkening and thickening, and ulcers usually at the ankle level.

What are the answers? Recommendations are generated based on individual case histories, physical exam, and usually duplex ultrasound evaluation. ❖

Susan M. Hancock, MD, F.A.C.S 11838 Rock Landing Dr., Suite 100 Newport News, VA 23606 Phone: 757-873-0138 Fax: 757-873-0246 www.hancockvein.com

7 — An advertising supplement to the Daily Press and The Virginia Gazette • PrimeTime • October 2013

Venous Disease

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 8

CONTINUED FROM P4

Type 2 diabeTes is the most common form of diabetes, occurring because the body does not use insulin properly. Initially, the pancreas will make extra insulin to account for the body’s resistance to insulin, but over time the pancreas cannot produce enough insulin to maintain normal blood glucose levels. The risk of developing type 2 diabetes increases as people age, and while there is no way to halt the aging process, there are many other ways for men, women and children to reduce their risks of developing type 2 diabetes.

13030 Warwick Blvd. • Newport News, VA 23602

www.mennowood.com

757-249-0355

Shed thoSe extra poundS

FocuS on Fiber

Being overweight increases your risk for a host of ailments, including type 2 diabetes, heart disease and stroke. According to the American Diabetes Association, losing as little as 10 to 15 pounds can make a significant difference for people looking to reduce their risks of developing type 2 diabetes. When attempting to lose weight, men and women should recognize that making lifestyle changes is a more effective way to shed pounds and keep weight off than fad diets that may promise quick weight loss but tend to be less effective at keeping that weight off over the long haul. Successful weight loss typically involves a combination of physical activity and a healthy diet. Include physical activity as part of your daily routine several days per week, taking it slow at first if you have not exercised regularly in quite some time. As your body begins to adapt to exercise, you can gradually increase the intensity of your workout routines.

way to prevent or delay the onset of type 2

Adopting a healthy diet is another way to lose weight and maintain that weight loss. A diet low in calories and fat is a good start. Men and women who need to lose a significant amount of weight may want to work with a dietitian and/or nutritionist to create a meal plan that is likely to produce the best results and address any vitamin or nutrient deficiencies they might have.

Adding more fiber to your diet is another diabetes. Foods that are high in fiber tend to make people feel fuller, reducing the likelihood that you will overeat. Fiber also helps the body control its blood sugar levels, and fiber can lower a person’s risk of heart disease. Many foods include fiber, but some high-fiber foods include beans, fruits, nuts, and vegetables.

avoid reFined carbohydrateS Studies have shown that diets rich in refined carbohydrates increase a person’s risk of developing diabetes, while additional studies have shown that diets rich in whole grains protect the body against diabetes. Researchers examining the results of several studies that explored the relationship between whole grains and diabetes found that eating an extra two servings of whole grains each day can reduce a person’s risk of type 2 diabetes by as much as 21 percent. Refined carbohydrates, which can be found in white bread, white rice, mashed potatoes and many cereals, cause sustained spikes in blood sugar and insulin levels, which can increase a person’s risk of diabetes. n

9 — An advertising supplement to the Daily Press and The Virginia Gazette • PrimeTime • October 2013

Type 2 diabetes is the most common form of diabetes, occurring because the body does not use insulin properly.

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 10

PrimeTimeSPEAKERS October2013 9:30a

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Dennis Smith www.ReverseMortgage.Pro www.LowerMyVAPayment.com

10:00a

3-D Mammography

Michael Higgins, MD, FAAOS Sentara OrthoJoint Center Orthopaedic Hospital at Sentara CarePlex

Melinda Dunn, MD Sentara Williamsburg Comprehensive Breast Center

Life at Williamsburg Landing…

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It’s about peace of mind to enjoy what’s important in life. Rely on the

strength of Williamsburg Landing, the area’s only accredited Continuing Care Retirement Community, for worry-free living now and in the years ahead. • Gated, tree-lined streets, with a choice of home styles • Maintenance-free lifestyle aided by our professional staff • Healthcare if you need it-primary care physician available • Local Board of Directors with resident representation • Not-for-profit with longstanding financial stability

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11 — An advertising supplement to the Daily Press and The Virginia Gazette • PrimeTime • October 2013

Diagnosis and Management of all types of Lung Disease.

Funeral Costs Are Rising Are You Prepared?

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 12

Sentara Introduces 3D Mammography

s part of its ongoing commitment to bring the latest technology to the Hampton Roads community, the Sentara Cancer Network has introduced 3D mammography. Highly trained physicians use this breakthrough technology to detect early breast cancer at two Peninsula locations: the Sentara Williamsburg Comprehensive Breast Center and the Dorothy G. Hoefer Comprehensive Breast Center in Newport News.

“The addition of 3D mammography is one of biggest breakthroughs in mammography in the last 30 years, It’s allowing us to see cancers we wouldn’t otherwise see.”

The Sentara Cancer Network serves the community with the latest technology. Advanced breast imaging detects cancer at its earliest stages. Shown here are Dr. Melinda Dunn, a fellowship-trained mammographer, and Patient Navigator Wendi Johnson.

Dr. Kelley Z. Allison

— Kelley Z. Allison, M.D., fellowship-trained mammographer and co-medical director at the Dorothy G. Hoefer Comprehensive Breast Center

Conventional mammography creates a two dimensional image of the breast much like an x-ray, making it difﬁcult to ﬁnd small cancers hidden among layers of breast tissue. This new advanced technology is an extension of 2D mammography and creates 3D breast reconstructions so radiologists can view the breast in paper thin layers. As the radiologist views each layer of breast tissue, early cancers are revealed that would not be visible using other mammography.

Collaboration results in the best patient care. Here Dr. Richard Hoefer, a fellowship-trained surgical oncologist, discusses a patient’s results with Patient Navigator Belinda Risher.

This is a paid advertorial feature

A recent study published in the June 2013 issue of the American Journal of Roentgenology (AJR) found the use of 3D mammography increased breast cancer detection by 35 percent. Even more signiﬁcantly, it increased the detection of the more deadly, invasive cancer by 53 percent. The study of 13,856 women also reduced call back rates by 38 percent. Those are times when a woman is called back for more images, and most times, no cancer is found.

“Since we began offering this service in January 2013, we’ve been tracking our own detection and call back rates. Our ﬁndings at Sentara mirror these national ﬁndings very closely,” continues Allison. Sentara is at the forefront of adoption of 3D mammography as breast cancer imaging centers across the U.S. begin to consider the new service. The Sentara Cancer Network is Virginia’s only accredited network cancer program and introduces proven technology like 3D mammography, advancing cancer detection www.sentara.com/mammogram and care in the region. or 1-800-SENTARA

Schedule Your Mammogram Today

Additional industry studies continue to become published, adding to the body of knowledge suggesting 3D mammography increases cancer detection rates, while decreasing call back and biopsy rates. At Sentara, 3D mammography has been added, or will be launched soon, at eight breast imaging locations from Williamsburg to Virginia Beach.

Gloucester

Sentara Gloucester Medical Arts

Hampton

Sentara CarePlex Hospital

Newport News

Dorothy G. Hoefer Comprehensive Breast Center* (Sentara Port Warwick)

Williamsburg

New Town Diagnostic Center Sentara Williamsburg Comprehensive Breast Center*

Isle of Wight

Advanced Imaging Center Sentara St. Luke’s

Suffolk

Advanced Imaging Center BelleHarbour* Sentara Obici Comprehensive Breast Center* *Now scheduling for 3D appointments!

It is nice to know the best healthcare is in your neighborhood.

When it comes to the number of retirement accounts you have, the saying “more is better” is not necessarily true. In fact, if you hold multiple accounts with various brokers, it can be difficult to keep track of your investments and to see if you’re properly diversified.* At the very least, multiple accounts usually mean multiple fees. Bringing your accounts to Edward Jones could help solve all that. Plus, one statement can make it easier to see if you’re moving toward your goals. *Diversification does not guarantee a profit or protect against loss.

To learn why consolidating your retirement accounts to Edward Jones makes sense, call your local ﬁnancial advisor today. James A Wright Financial Advisor

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13 — An advertising supplement to the Daily Press and The Virginia Gazette • PrimeTime • October 2013

Having More Retirement Accounts Is Not The Same As Having More Money.

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 14

Your Father Is Still Teaching You Lessons

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When you were young, your ffather Wh th ttaught ht you many thi things. With Wi every question you had, he offered a valuable lesson. Many years after he passed away, you still had questions. So you visited his resting place, grateful that he left you somewhere to reflect. It was during one of these visits when you understood the importance of this place. You understood that, even though you had decided to be cremated, your loved ones will still need a place to visit you. And you knew that, in learning this, your father was teaching you one more lesson, no less valuable than all the others. Whether you choose burial or cremation, Dignity Memorial® providers can help you find the ideal site to create a perfect place for your loved ones to visit and reflect. The Dignity Memorial network: America’s leading funeral homes and cemeteries, united to bring you the services you need when it matters most.

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CONTINUED P16

By Monte Morin

15 — An advertising supplement to the Daily Press and The Virginia Gazette • PrimeTime • October 2013

DO wE MakE POORER DECIsIONs as wE agE?

October 2013 • PrimeTime • An advertising supplement to the Daily Press and The Virginia Gazette — 16

CONTINUED FROM P15

hen it comes to making boneheaded choices, teenagers usually win society’s award for overall poor decision-making. Yet a study published recently in the journal PNAS suggests that our ability to make wise choices changes over time, and actually declines with old age. In fact, the study found that in certain situations, the decision-making ability of people older than 65 was worse than that of adolescents. While teens were more apt to drive carelessly, study authors argued that seniors were more likely to make poor medical or financial decisions. “We found that even the healthiest of elders show profoundly compromised decisionmaking,” wrote senior study author Ifat Levy, an assistant professor of comparative medicine and neurobiology at Yale University in Connecticut. The study involved 135 men and women between ages 12 to 90. Each was assigned a sum of money -- $125 -- and then asked a series of “lottery questions.” The questions were designed to gauge risk aversion, consistency of thought and rationality. Seniors “disturbingly” chose irrational wager options 25% of the time, according to the study authors. An example of an irrational choice would be to bypass a sure gain of $5 in favor of an ambiguous or risky choice to win the same amount of cash.

By contrast, adolescents chose irrational options 10% of the time, while young and midlife adults chose them only 5% of the time. Seniors were far more cautious than the other age groups when choosing between two possible cash gains. If faced with the option of receiving $5 for certain, or a lottery that paid $20 with a 50% chance of winning, seniors chose the $5. When seniors faced a choice between two losses, however, such as losing $5 for certain or choosing a lottery in which they stood a 50% chance of losing $20 or nothing, they chose the riskier option with the higher potential loss. Seniors also lacked consistency, the authors found. When a certain question was asked four times, seniors switched their answers “significantly” more than all other age groups and roughly twice as often as adults ages 21 to 50, the authors found. The authors argued that the pattern of decision-making among elder participants in the study was not a function of illness or age-related dementia. The 36 seniors who participated in the study were all screened and determined to be healthy.

Levy said the findings fall in line with a growing body of research that suggests older adults make decisions detrimental to the wealth, health and general well-being. For instance, they generally borrow at higher interest rates, incorrectly estimate property values and pay more fees to financial institutions. The reason for such behavior remained a mystery, but it did raise potential policy issues, considering that seniors are more likely to fail to choose health plans correctly and more likely to make voting errors, the authors wrote. “The decrease in consistency and rationality may be due to a general reduction in cognitive function, which occurs even in healthy aging, although we were surprised that it is so extreme,” Levy said. “As for the risk preferences, it may be that as they are getting closer to the end of their life, people assume that it is less likely for uncertain events to actually happen to them, which drives them to take less risks with gains, but more risks with losses,” Levy said. “But that is pure speculation – more research is needed to understand these phenomena.” n

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CONTINUED FROM P18

others came to intensive care after suffering a stroke, a sudden turn in an ongoing illness, or injury. The authors of the study, physicians at Vanderbilt University Medical Center and Thomas Hospital in Nashville, were cautious in explaining why ICU patients so often emerge with substantial cognitive impairment. While suspicion has long fallen on the widespread use of powerful painkillers and sedatives in the ICU, they found few clear links between the medications a patient got in the ICU and his or her subsequent cognitive health.

The new research, which quantifies a phenomenon long observed by critical-care physicians, found that three months after leaving the hospital, 4 in 10 patients continue to have cognitive problems on a par with those seen in cases of moderate traumatic brain injury. And more than a quarter experience a decline in mental function akin to that seen in patients with mild Alzheimer’s disease, the study says.

For 58% of patients who’ve experienced a stay in the ICU, those intellectual deficits are still there a year after they have been released from the hospital, the study found. The latest research, published Wednesday in the New England Journal of Medicine, found that the sudden decline in mental function was as likely to affect young patients as it was those who were older. And it was no more likely in patients who were ill

even before their hospitalization than it was in those who had been healthy. In fact, only one factor appeared to predict which patients would sustain mental deficits after an ICU stay: the length of time the patient experienced delirium, a common occurrence among the hospitalized critically ill. The study tracked for a year 821 patients who landed in the ICU from a wide range of circumstances. Some were admitted following surgery;

At the same time, the study authors observed a weak relationship between post-ICU mental decline and the use of benzodiazepines — anti-anxiety and hypnotic medications including diazepam (marketed as Valium). While that link “should be interpreted cautiously,” the authors said, its weakness should not encourage physicians to minimize the use of such drugs where possible. The researchers suggested that delirium itself may contribute to loss of mental function, given that it is also linked to inflammation and the death of brain cells, which may either start a downward slide in brain health, or serve as a signal of that process. n

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