MAY 2014 — THEHEALTHJOURNALS.COM
WILLIAMSBURG EDITION
5 YOGA POSES
ALPHABET SOUP DECODING YOUR DOCTOR’S NAME TAG
FOR A
TIGHTER CORE IS THE
Women V.
WASHINGTON: LEGISLATING YOUR HEALTH CHOICES
USDA
MAKING US FATTER?
Women’s Health
•SPECIAL SECTION•
Breast Health Update
TRY OUR
Brain Teasers
World-Class Spine Care Here in Hampton Roads OSC COMMUNITY LECTURE SERIES
Jeffrey R. Carlson, MD
Mark W. McFarland, DO
Whether you are considering a non-surgical treatment for your neck or back or need complex, multi-level spine surgery, you can trust the Fellowship-trained Spine Surgeons at OSC with your care. Integrating the most advanced neurosurgical and orthopaedic techniques, Jeffrey R. Carlson, MD and Mark W. McFarland, DO are pioneers in the field of Less-Exposure, Minimally-Invasive Spine Surgery. Their advanced training and years of experience help them to accurately diagnose and effectively treat your spine and nerve-related issues. Our innovative outpatient procedures provide a faster recovery, quicker return-to-work and better outcomes.
WANT TO LEARN MORE? Go to osc-ortho.com to see our physician videos and read our patient success stories.
Mark W. McFarland, DO
Advanced Treatments for the Spine Fusions, Disc Replacements & More
Join Dr. Mark McFarland as he discusses advanced treatment options for the spine, including fusions and disc replacements done using Less Exposure Surgery (LES) techniques and instrumentation. Dr. McFarland will present information on the best non-surgical and surgical therapies for many spine conditions. Free to the public.
TUESDAY, MAY 20TH, AT 7PM ORTHOPAEDIC AND SPINE CENTER 250 NAT TURNER BLVD. NEWPORT NEWS, 23606
CALL TO REGISTER: 1-877-202-9130 EXT. 368
Experience Excellence at OSC.
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. Andrus, M.D. • John D. Burrow, D.O. Jamie McNeely, PA-C • Tonia Yocum, PA-C Erin Padgett, PA-C
OSC
ORTHOPAEDIC & SPINE CENTER
www.osc-ortho.com
7 5 7 - 5 9 6 -1900
250 NAT TURNER BOULEVARD • NEWPORT NEWS, VA 23606
Surgery was done in the morning, and I was up sitting in the chair by 2 that afternoon. Gail Knee replacement patient
Combining fun, motivation and encouragement through group physical therapy is one of the ways we get you up and moving quickly. If knee or hip pain is affecting your lifestyle, the experts at Sentara OrthoJoint Centers
can help. Our joint replacement program features the latest surgical techniques, exceptional surgeons and staff, dedicated patient rooms and facilities, superior outcomes and faster recovery.
Sentara OrthOJOint Center® 1-855-2ORTHOJT (1-855-267-8465).
sentara.com/OrthoJointCenter
Your community, not-for-profit health partner
Patient and physician videos: • sentara.com/OrthoJointCenter • Cox ORTHOJT Channel #1891
Cancer Care Designed to Fit Your Needs.
CANCER CARE CLOSER TO HOME. A cancer diagnosis is never convenient; but with TPMG Cancer Care now on the Peninsula, where you go for treatment can be. Guy W. Tillinghast, M.D., is board certified in oncology and internal medicine, is a member of the American Society for Clinical Oncology, the American Society for Hematology, and has served on three FDA committees investigating the implementation of microarray and sequencing technology in personalized medicine. Dr. Tillinghast has been a principal investigator for over 50 cancer clinical trials and has been practicing in Newport News since 2005.
NOW ACCEPTING NEW PATIENTS Guy W. Tillinghast, M.D. TPMG Cancer Care Mary Immaculate Medical Pavilion 12720 McManus Blvd., Suite 307 Newport News, VA 23602 757-234-6970
mytpmg.com
6 / INBOX & FEATURED READER
CONTENTS
features
7 / TALKING ABOUT 8 / EDITOR'S NOTE 10 / TAGGED 12 / PROFILE 14 / CALENDAR
departments 16 / ADVANCES IN MEDICINE Can this device cure your migrane without medication?
28 / FLAVOR Why is the USDA pushing cheese on us?
30 / LOOKING GOOD
20
SECRET BALLOT When it comes to women’s health, legislators are trying to practice medicine through bills, but why?
The perfect shoes, from the boardroom to backyard
32 / SECOND OPINION How to counteract the effects of sitting
27
33 / OUTDOORS
ALPHABET SOUP Ever wonder what those letters on your doctor’s coat stand for?
Is it time you take up cycling?
34 / OVER 50 When aging goes beyond the body
36 / FAMILY
38 / FITNESS Strengthen your core with these five yoga poses
43 / HEALTH DIRECTORY 46 / BRAIN TEASERS
{
WEB EXTRAS bit.ly/HJWebExtra THE HEALING POWER OF YOGA LIVING WITH VAN WILLEBRAND DISEASE
THEHEALTHJOURNALS.COM | MAY 2014
Community involvement through Cloverbuds
5
INBOX & FEATURED READER
Featured Reader NAN FISHER, 56
{ Virginia Beach, Va • Reader since: 2006 } Occupation: Fitquest coach, membership services for Dominion Tower YMCA in Norfolk What She Does For Fun:
I do aquatic exercises, kayaking, reading and scrapbooking. I’m also an active member of Thalia Lynn Baptist Church. What She Likes Best About The Health Journal?
It features regional people and places. I particularly like the articles about people with challenges, whether physical or otherwise, and how they are overcoming the challenges and encouraging others.
INBOX
INTRODUCING:
What restaurant is your guilty pleasure?
A “I’m very grateful for your magazine. I work at a primary care office. The magazine keeps us up-to-date on new physicians and services. Our patients get the benefits of the knowledge we receive through this informative source. Thanks again.”
BRA
ERIC EDWARDS Chick-fil-A!
- Doaty Flanigan, Oyster Point Family Practice
IN TEASERS
MARCH WINNER Flora McMullen Williamsburg, Va.
B “Thank you! I really enjoy the Health Journal and love to do puzzles.”
- Flora McMullen
Challenge your brain with our puzzles! UP FOR THE CHALLENGE? Turn to page 46 to find out how you can win a $25 gift card!
JOIN THE CONVERSATION: FACEBOOK.COM/THEHEALTHJOURNAL
POPULAR ONLINE READS
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MAY 2014 | THEHEALTHJOURNALS.COM
APRIL 2014 — THEHEALTHJOURNALS.COM
WILLIAMSBURG EDITION
TAKING CENTER STAGE 60 LIKES • 7 TWEETS
HTTP://BIT.LY/DARRELLWOOD Fitness Apps for
Every Level p. 36
Sleep Disorders in Teens p. 38
Decoding the Autism Spectrum p. 18
SPECTRUM OF CONFUSION 50 LIKES • 3 TWEETS HTTP://BIT.LY/SPECTRUMCONFUSION
Reversing Obesity in Children p. 24
TRY OUR
Brain Teasers
BEATING THE ODDS 31 LIKES • 2 TWEETS HTTP://BIT.LY/BEATINGCHRONICILLNESS
READ MORE STORIES: TheHealthJournals.com
Q:
PUBLISHERS
Brian & Page Freer brian@thehealthjournals.com
ABOUT
What’s the best advice your mother has given to you?
TALKING ABOUT
TALKING
VOL. 9, NO. 11 The Health Journal is a monthly consumer health magazine serving southeastern Virginia. Magazines are distributed via direct mail, racks and hand delivery. For more information, visit thehealthjournals.com.
EXECUTIVE DIRECTOR
Rita L. Kikoen rita@thehealthjournals.com EDITOR-IN-CHIEF
Chris Jones chris@thehealthjournals.com MEDICAL EDITOR
Ravi V. Shamaiengar, M.D.
PAGE:
ALEXIS:
Always take good care of your teeth, because your smile is the first thing people notice.
My mom is my favorite person. The list of things I’ve taken away from her goes on and on. Strength, humility, compassion... I wouldn’t be who I am without her!
CLIENT LIAISON
Jenna Rich jenna@thehealthjournals.com ART DIRECTOR
Liz Lane liz@thehealthjournals.com DESIGNER
Susan Thompson susan@thehealthjournals.com VIDEO PRODUCTION MANAGER
Alexis Kikoen alexis@thehealthjournals.com PHOTOGRAPHY
Brian M. Freer Liz Lane CIRCULATION
Ryan Bishop circulation@thehealthjournals.com
LIZ:
CONTRIBUTORS
Kim O’Brien Root Brandy Centolanza Natalie Miller Moore Shawn Radcliffe Morgan Barker Kimberley Cauchon Haugh Alison Johnson Christine Stoddard Daniel Roth, DC Susan M. Kaplan, PhD, RN ADVERTISE Email advertise@thehealthjournals.com, or call (757) 645-4475 for rates.
e
e This cycl M ag Re ine az
JENNA: Some advice that my mom gave me once was to stand up for myself. I tend to be a bit of a pushover sometimes (that person that is TOO nice) and over the years, she has taught me how to stand up for what I want and to go get it!
ANSWER ON
FACEBOOK! We want to hear from you, too! Log on to Facebook and celebrate mother’s day with us by sharing the best advice your mother has given to you!
7
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CONTRIBUTE Email editorial@thehealthjournals.com for editorial and contributor guidelines.
My mom always taught me “first we work and then we’ll play” which later in life translated to working hard and taking awesome vacations.
EDITOR'S NOTE
THE TIME MY NAME (REALLY) WAS MUD “NEVER RUIN YOUR GOOD NAME.” — GLADYS JONES, MY GRANDMOTHER
“you’re so smart, you’re stupid,” snapped my grandmother. She was in her nightgown and a pair of slippers watching as the county police officer backed his brown patrol car out of our gravel driveway. It was after 9 p.m. I stood on the front stoop trying not to wet my pants. I had done it this time. She cast her angry glare at me, something I had known since youth. “Never ruin your good name,” she said. “It’s all you have.” Her disappointment in me was as clear as the night sky I stood under that evening. An hour earlier, I was out with my three cousins cloaked in darkness. We were bagging mud balls to toss at passing cars. We lugged our artillery down the road to a wooded area where a stop sign stood. We paired off and waited for unsuspecting motorists. The first car rolled up and we all missed. Then came the second. As it started to accelerate from the stop sign, we stood up from the trees.
8
MAY 2014 | THEHEALTHJOURNALS.COM
“THWAP!” “POW! “PANG!” Brake lights. Oh. Man. The driver popped out of his car. “I’m coming back with my gun,” he yelled. One of my cousins fired back an expletive. We’re dead, I thought. Paralyzed with fear, I was grabbed and told to run. I sprinted. When I got home, my other cousins all hid. I was the smart guy who showed up in the front yard panting. Not suspicious at all. In the corner of my eye I could see flashing blue and red lights. I stared at the front door begging God to send my grandfather out. He was a mild-
mannered man who preferred to lecture. The screen door creaked and out came my grandmother. My head dropped. She grabbed me and carried me to the squad car where the officer explained the gravity of the situation and shared the motorist’s perspective with me. He let me go with a warning—it was all I needed. I was scared straight. Years later, I discovered the power behind my grandmother’s wisdom while thumbing through a Bible one day. Proverbs 22:1, “A good name is more desirable than great riches.” I can still her voice from that night. Only now it feels more like the calming guidance of a whisper in the breeze and less like the hiss of an embarrassed and disappointed grandmother. I’m sure you can relate. Our teenage years are some of our most stubborn. We’re caught in that vortex of acting like children, but looking like adults. In honor of Mother’s Day our staff shared some of the wisdom they’ve gleaned from their mothers— sage advice that has carried them courageously into adulthood—on page 7. The rest of this issue honors women’s health. From breast cancer treatment to the motivation of politicians and the bills they sponsor, we talk about the care and nurturing of women. As we celebrate Mother’s Day this month, I’m reminded of the words of Abraham Lincoln: “I remember my mother’s prayers and they have always followed me. They have clung to me all my life.” And even though my grandmother is gone, her prayers for me are still being answered. It’s such a rich inheritance. Happy Mother’s Day.
❥ PHOTO BY LIZ LANE
CHRIS JONES /EDITOR-IN-CHIEF CHRIS@THEHEALTHJOURNALS.COM
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MY CHOICE
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TAGGED WILLIAMSBURG Ford’s Colony Men’s Golf Association supports Olde Towne Medical and Dental Center for the 19th year at the OTMDC Golf Tournamanet. Over 180 golfers, volunteers and guests are involved on golf day. This event has raised over $615,000 to date.
WILLIAMSBURG Close to 700 ticket holders gathered
at Phi Beta Kappa Hall for the 5th installment of Dancing with the Stars supporting 12 local “stars,” two incredible charities and enjoying an evening of salsas, tangos and foxtrots. By all accounts, this marks the most successful episode of the fundraiser event. More than $80,000 was donated to Literacy for Life and Big Brothers Big Sisters.
WILLIAMSBURG The team and patients at New Town Dental Arts donated much needed food items from a recent collection drive to the FISH Pantry. Shown above are Dr. Sebastiana Springmann with dental assistants Summer Knight and Chelsea Hite and FISH Volunteers.
Doing something good for the community? Send your photos to tagged@TheHealthJournals.com
Your Partners in Parenthood Pediatric Associates of Williamsburg Our providers are part of a comprehensive health system just for kids. We offer convenient hours and easy access to pediatric experts. We also have: • Complimentary prenatal get-acquainted visit and monthly open house/meet-and-greet
10 MAY 2014 | THEHEALTHJOURNALS.COM
• Free infant massage, breastfeeding and baby care classes for parents of newborns • Certified lactation consultant on site
www.chkd.org/paw Visit us online to see a schedule of our classes or to make an appointment with one of our board-certified providers.
Gerald DeWitt, MD Georgia Prescott, MD Mark Downey, MD Kristina Powell, MD Christie Dry, MD Stacey Cummings, MD Jane Henley, CPNP Diana Cartagena, CPNP Beverly Coleman, CPNP
• Same day visits for sick patients • Free Reach Out and Read books at well-child visits A practice of
119 Bulifants Boulevard, Williamsburg
(757) 564-7337
Caring for Women Through all Stages of Life. Since 1976 our team of experts has been supporting women through adolescence, the reproductive years, pregnancy, menopause and beyond. Williamsburg Obstetrics & Gynecology is the exclusive provider of obstetric (OB) care at Sentara Williamsburg Regional Medical Center.
INTEGRATIVE
CHIROPRACTIC & ACUPUNCTURE
Chiropractic Therapy Naturally relieves neck and back pain as well as headaches.
Maintain your Health Chiropractic Physicians are the only ones that are specifically trained to restore spinal balance. It’s our job as chiropractors to remove any interference that the body is having, so that the body can do its job.
The spinal cord helps to control the whole body and your ability to: • Use your muscles • Use your sense of touch • Keep you breathing properly • Keep the heart beating properly • Control the body’s Immune System
Daniel G. Jenkins, M.D.
David C. Pearce, M.D.
Emily F. Roberson, M.D.
Wade Quinn, DC 1318 Jamestown Road, Ste 102 Williamsburg,VA 23185
757-253-1900
www.integrativechiropractic.com
Benjamin T. Isbell, M.D.
Kristy A. Keller, M.D.
New Patient Special FREE Whitening $85 value
Swati S. Adawadkar, M.D.
Karen McNamara, N.P.
Williamsburg Obstetrics & Gynecology 1115 Professional Dr. Williamsburg, VA 23185
4939 Courthouse Street
757.259.0741
www.newtowndentalarts.net
Family Dentistry Cosmetic Dentistry Implants Invisalign Clear Braces ZOOM Whitening Six Month Smiles Dr. Sebastiana G Springmann & Dr. Harper A Thompson
We File All Insurances
500 Sentara Circle, Suite 105 Williamsburg, VA 23188
757-253-5653
with 24-hour Emergency Answering Service
www.williamsburgobgyn.net
Gentle, Affordable, Contemporary Care Located in New Town across from the theater parking lot.
PROFILE
SWING LOW Eagle Scout brings comfort, smiles to children in hospice care ❥ WRITTEN BY ALISON JOHNSON
12
MAY 2014 | THEHEALTHJOURNALS.COM
“I WANT THOSE KIDS TO KNOW OTHER PEOPLE HAVE GONE THROUGH THIS STUFF BEFORE. I WANT THEM TO SMILE.” when dillon wilbert’s brother was dying of a brain tumor 11 years ago, Dillon loved to make Matthew laugh. Just 6, he adored 10-year-old Matthew’s hearty giggles, the ones that shook his whole body and made their parents laugh, too. Now Dillon hopes his Eagle Scout project–a wooden glider swing for Edmarc Hospice for
Children in Portsmouth, Va., which helped care for his only sibling–will bring joy to other sick children. Dillon, a 17-year-old junior at Grafton High School in York County, designed the 9-foot-tall, handicappedaccessible swing himself and built it in his driveway, aided by fellow Scouts, friends and some $4,000 in donations from people nationwide who read a Facebook post about
the project. “Edmarc got my family through a lot of tough times, so doing this was huge for me,” Dillon says. “I’ve had it in my head for years. I like to picture kids swinging and having picnics on it.” Before doctors diagnosed Matthew’s aggressive brain tumor in 2001, he was a high-energy boy who liked cars and Lego toys. Dillon remembers him mostly from when he was ill, bloated from steroid medications and outfitted with a chest catheter for blood draws and intravenous treatments. But the brothers had plenty of fun together. They drove Matthew’s electric wheelchair too fast around the house, creating several wall dents, and vacationed at Disney World through the Make-A-Wish Foundation. Edmarc staff supported the family throughout Matthew’s 20-month illness and after his death on April 4, 2003, nine days after his 10th birthday. As part of his grieving process, Dillon attended a hospice-run camp with other children who had lost siblings. “It’s a club you never want to be a part of, but you sure
do need that club,” says Dillon’s father, Dan Wilbert. “Once you’re an Edmarc family, you’re always an Edmarc family.” Dillon, an aspiring engineer who joined the Scouts in first grade, got the swing idea from a magazine article on a similar Eagle Scout project. In the summer of 2012, he began consulting Scout leaders with construction expertise and later designed the swing’s roof on his home computer after taking a technical drawing class at school. Checks to cover lumber, concrete footers, rubber mulch and landscaping poured in from friends and strangers once Dillon shared his story online. All extra money will go to Edmarc. Watching the swing come together has been a bittersweet milestone for the family, but mostly sweet. “There’s no one else I’d rather have done this for than Edmarc,” Dillon says. “I want those kids to know other people have gone through this stuff before. I want them to smile.” And maybe, even, have a few giggle fits.
Life at Williamsburg Landing…
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It’s about discovering something new at Williamsburg Landing. Introducing the newly renovated Landing Building apartments you will love to call home. Enjoy maintenance-free living steps away from dining, beauty shop, bank, primary care physician and more. At our accredited Continuing Care Retirement Community, embrace an active lifestyle with healthcare if you need it. Discover Williamsburg Landing. It’s life at its best. Newly Renovated Apartments & Special Incentives Available
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Williamsburg’s only accredited Continuing Care Retirement Community.
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CALENDAR
MAY EVENTS
4TH
AGING SAFELY AT HOME
KAYAK CLASS
Instructor Tim Jones will offer this beginner kayak course.
When: 8:00 a.m. to 2:00 p.m. May 10, 17, 18 Where: Waller Mill Park Price: $65 or $50 if you bring your own kayak Contact: 757-259-3778
6TH
MY ACHING BACK: 5 SELF-HELP TIPS
BABY CARE 101
When: 5:00 p.m. to 6:00 p.m. Where: Performance Chiropractic Price: $15 Contact: 757-220-9975
Learn baby basics including how-to bathing and sleeping, belly button and diaper care and more.
When: 6:00 p.m. to 8:00 p.m. Where: Pediatric Associates of Williamsburg Price: Free Contact: 757-564-7337
ZUMBA MASTER CLASS
FAMILY FUN FEST
17TH
Bring the family out for this annual celebration. Event includes a Fun Run and good health booths.
When: 7:00 p.m. to 8:30 p.m. Where: James City County Recreation Center Price: $30 Contact: 814-661-4776
When: 11:00 a.m. to 4:00 p.m. Where: Chickahominy Riverfront Park Price: $5 per car Contact: jamescitycountyva.gov/recreation
CAP2CAP RIDE
Hop on your bike for this annual cycling event. Choose a 15-, 25-, 50-, or 100-mile ride.
When: All Day Where: Chickahominy Riverfront Park Price: Price varies depending on distance Contact: virginiacapitaltrail.org/cap2cap-ride
MAY 2014 | THEHEALTHJOURNALS.COM
15TH
Join international Zumba stars Heidy & Armando in this workout.
10TH
14
Learn how to address concerns and explore your options as you grow older at home.
When: 2:00 p.m. to 3:30 p.m. Where: Verena at the Reserve Price: $15 Contact: 757-220-9975
Learn how your back is designed and how proper care can minimize pain and disability.
9TH
13TH
10TH
PADDLE FOR THE CURE
ARTHRITIS & STENOSIS: NOW WHAT?
Learn how to cope with arthritis and stenosis, how to minimize your disability and maximize comfort.
When: 5:00 p.m. to 6:00 p.m. Where: Performance Chiropractic Price: $15 Contact: 757-220-9975
RUN FOR THE DREAM
Participate in this tennis tournament to benefit Beyond Boobs.
When: 9:30 a.m. to noon Where: Kiwanis Park Tennis Courts Price: $10 with pre-registration, $15 at the door Contact: 757-259-3760
20TH
31ST
This annual race includes a Fun Run, 8K (May 31st) and Half-Marathon (7:00 a.m. June 1st).
When: 8K, 7 a.m., Fun Run, 9 a.m., May 31 Where: Colonial Williamsburg Visitors Center Price: Fun Run, $15; 8K, $60; Half-Marathon, $90 Contact: www.runforachievabledream.com
GET MORE EVENTS AT: THEHEALTHJOURNALS.COM/CALENDAR
May 31-June 1, 2014 Williamsburg, Virginia RunForAchievableDream.com
Run Williamsburg.
For the time of your life. For the dream. Half Marathon
8K
Fun Run
Benefiting
the
and Wounded Warrior Programs
ADVANCES IN MEDICINE
COMING TO A
HEAD ❥ WRITTEN BY KIM O’BRIEN ROOT
WORKING IN CANADA AND EUROPE, COULD CEFALY BE THE AMERICAN MIGRAINE SOLUTION, TOO?
16 MAY 2014 | THEHEALTHJOURNALS.COM
THE MIGRAINE. The throbbing, pulsing kind of headache that can send you crawling under the bedcovers in unbelievable pain. Sometimes medication works; sometimes it doesn’t. Certain foods are thought to bring on migraines, so sufferers are advised to avoid them—things such as chocolate, caffeine, cheese and the additive MSG. Not drinking enough water or getting enough sleep can trigger migraines, too. Now, there’s something that’s not a medication or lifestyle change that could help. It’s a device called Cefaly—a battery powered headband that’s worn across the forehead to stimulate the nerves associated with migraines. Manufactured in Belgium, the device has been used in Europe and Canada for some time, but only recently was approved for marketing in the United States by the U.S. Food and Drug Administration. Cefaly may help patients who can’t tolerate medications for preventing or treating migraines, says Christy Foreman, director of the Office of Device Evaluation at the FDA’s Center for Devices and Radiological Health. Migraines aren’t regular headaches. They’re characterized by intense throbbing in one area of the head, usually accompanied by nausea or vomiting and sensitivity to light and sound. Their causes aren’t well understood, although doctors believe migraines might be caused by the way the brain interacts with the trigeminal nerve, a major pain pathway.
“The brain is very complex,” says Dr. Rajinder Singh, a neurologist with Peninsula Neurology in Newport News, Va. “Migraines are a complex syndrome. Everybody doesn’t get the same symptoms.” Imbalances in brain chemicals including serotonin, which helps regulate pain in the nervous system, may also play a part. Migraines are often hereditary, and are three times more common in women than in men, leading doctors to believe hormones also are involved. Some 10 percent of people worldwide get migraines, according to the National Institutes of Health. The FDA reviewed the safety and effectiveness of Cefaly based on studies in Belgium and in France. One study showed that those who used the device experienced significantly fewer days with migraines per month, and also needed less medication to treat an onset of a migraine. “The results weren’t robust, but [Cefaly is] something that’s well-tolerated,” says Dr. Amelito Malapira, a neurologist with Sentara Neurology Specialists in Virginia Beach, Va. “So it’s a welcome addition to what we have now, which is mostly medications.” Malapira has yet to get his hands on one of the devices, but he says he’s eager to get one and evaluate its effectiveness for himself. He says he’s encouraged by what he’s read and heard. Through the electrode, Cefaly generates precise micro-impulses to stimulate nerve endings.
Cefaly creates a relaxing effect through neurostimulation of the trigeminal nerve.
The accepted treatments for migraines in the U.S. are medications, lifestyle changes and Botox. Botox, which can be injected around the forehead, is thought to interfere with the release of a pain-producing chemical, therefore reducing the signals that go back to the brain. The theory is that if you lessen the signals, you lessen the migraines. Both Malapira and Singh use Botox as a migraine treatment in their offices. Patients have to try medication before insurance will approve the use of Botox, Singh says, since it usually requires three treatments spaced three months apart. Just the process of finding the right medication can be a tricky one, says Malapira. One kind might be effective for one person, but not for another. Treating migraines “is an art and science at the same time,” Malapira says. “You want to use something that’s effective and tolerable. Therein lies some of the challenge.” Malapira says Cefaly is unlikely to be covered by insurance in the U.S. at this time. The device, which uses replaceable electrodes, is available by prescription on the company’s website, www.cefaly. us, for $295. Time will tell how available it becomes. In Canada, you can buy it at Costco.
Because your loved one deserves the best.
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Experience the
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Geoffrey Bacon, MD • Timothy Queen, MD • Michael Jacobson, MD • John Howard, MD • Fred Lindsay, DO • Beverly Patterson, DNP, FNP-BC
Williamsburg
5408 Discovery Park Blvd, Ste. 300 Williamsburg, VA 23188 757-253-8722
Newport News
11842 Rock Landing Dr., Ste. 100 Newport News, VA 23606 757-873-0338
Hampton
901 Enterprise Pkwy., Ste. 300 Hampton, VA 23666 757-825-2500
Gloucester
5659 Parkway Drive, Ste 220 Gloucester, VA 23061 804-210-1424
FEATURE
ALPHABET SOUP WHAT THE LETTERS BEHIND YOUR PROVIDER’S NAME STAND FOR
“Someone will be in to see you in a moment,” the nurse says as she walks you to the exam room at your primary care office. But who will that someone be? Currently, there’s an evolution in care providers that include more people than just your traditional M.D. There are nurse practitioners, who have a master’s degree in addition to being a registered nurse, there are physician assistants, who partner with a physician to provide care, and you might see a doctor who is not an M.D., but a D.O., or doctor of osteopathy. Here’s what each of those mean:
NP:
18 MAY 2014 | THEHEALTHJOURNALS.COM
Nurse practitioners have grown in popularity as health care providers, with nearly 200,000 in the United States in 2011, including more than 6,000 in Virginia. They are also known as “advance practice nurses” due to their additional education. The American Association of Nurse Practitioners notes that NPs are already the health care providers of choice for millions of patients. People can choose to see a nurse practitioner as their primary provider. They assess patients, order and interpret diagnostic tests, make diagnoses, and initiate and manage treatment plans—including prescribing medications.
PA: A physician assistant is not the executive assistant of the doctor, nor a doctor in training. “People always ask ‘How long until you become a doctor?’” says Rochelle Hamilton, a PA with Hampton Family Practice in Hampton, Va. Although a PA is similar in function to a nurse practitioner, the educational path is different. Hamilton has a bachelor’s in health science and master’s in physician assistant studies, including a year of clinical rotations. The PA model started in the military and is more common in rural areas. A PA sees patients for physicals, preventive care, chronic conditions and acute illnesses. They can prescribe medicine, make referrals, order tests and send people to the emergency room, if needed. But an important thing to note is that they are part of a team that includes a doctor and other medical staff. With Hamilton and her supervising physician, she knows that she can consult with him on any cases or even request that he come
see them as well. “I go to him for things I deem necessary and he trusts that I know my limitations,” she says. Nurse practitioners and physician assistants can do many of the tasks of a physician, but the physician is the leader of the practice, and often the administrative head. NPs and PAs do not perform surgery or any specialized medicine. The roles of both types of “mid-level practitioners” continue to evolve, though, due to less doctor availability.
DO: There are two types of fully-qualified physicians in the U.S.—D.O.’s and M.D.’s—both of whom are licensed to prescribe medication and perform surgery. In many ways, they are similar, completing the same number of years of education, residencies and specialty training and licensing. A D.O. may have attended an osteopathic medical school or a traditional medical college with other M.D.’s. “Many people don’t even know that they are seeing a D.O. because we fill the same roles in primary care. They may not notice the different letters at the end of our names. But many people who are familiar with D.O.’s seek them out to benefit from their additional training,” says Phillip Snider, a D.O. with Bon Secours Amelia Medical Associates in Norfolk, Va. Snider says that his desire to become a D.O. came from his background in personal training and dietetics. The difference is that osteopathic medicine, a parallel branch of American medicine, has a distinct philosophy and approach to patient care. They focus on integrated medicine and receive extra training in the musculoskeletal system in order to use osteopathic manipulative treatment, a hands-on technique. According to the American Osteopathic Association, approximately 60 percent of practicing osteopathic physicians practice in the primary care specialties. Many health care professionals feel that the expected primary care doctor shortage could be helped by expanding the role of nurse practitioners and physician assistant roles. But the licensing requirements in each state, the physician professional groups and the general public’s preferences may all play a role in who opens the door to see you at your next visit.
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20 MAY 2014 | THEHEALTHJOURNALS.COM
FEATURE
WOMEN’S HEALTH AS A POLITICAL WEAPON
❥ WRITTEN BY NATALIE MILLER MOORE
IMAGINE WALKING INTO YOUR DOCTOR’S OFFICE TO A GROUP OF PEOPLE SHOUTING AT YOU ABOUT WHAT THEY THINK YOU SHOULD DO IN THERE. WOULD YOU BE SHOCKED? In essence, this is what’s happening in legislatures all over the country—people are lobbying (some quite loudly) about your health care. They are sending emails, making phone calls and visiting lawmakers to pressure them into introducing bills about health care. With the large number of bills related to health introduced in the past few years in Virginia, it may seem that you and your doctor aren’t alone in the exam room. There may be a procedure they have to do–even if they don’t need to, a warning paragraph to read to you or a procedure you want but they can’t do in your state. With all this interest in the how, what and when certain types of health care are delivered, we have to ask, “Why?”
Legislators face intense pressure from organizations aiming to limit certain medical procedures, especially related to reproductive health. “Abortion and reproductive rights are far and away more on people’s minds than other health issues,” Senator John Miller (D-1) says. Anti-abortion groups do not consider abortions to be health care but acknowledge they must work with in the current system. Virginia-based Family Foundation seeks “to enhance the value of human life through increased restrictions on elective abortion…” Foundation president Victoria Cobb says, “…As long as abortion is legal in Virginia at all stages of pregnancy we will also work to ensure that women who face an unplanned pregnancy have the resources they need to make a better choice for life.” These groups make their voices heard through advocacy days at the Capitol, visiting legislators and donating through political action committees like the Virginia Society for Human Life. The Concerned Women for America, Virginia Chapter, delivers cookies and prayer notes to legislators. “We will continue to identify voters
PRESCRIPTION FOR CONTROVERSY
Emotional testimony presents a challenge for physicians who know the likely effects of a law. In particular, Stolle mentions a 2013 bill about Lyme disease testing requiring a doctor to provide two paragraphs written by the General Assembly, in discussing results with a patient. “Doctors spoke up against it and the impact on [the] patient. It passed on emotion. Our job is to consider how it’s written, but also the intent and the repercussions,” Stolle says. If the Lyme disease test changes, will the written notice be irrelevant? Lieutenant Governor Ralph Northam, a pediatric neurologist, says that he got involved in politics because of the outside influences on how he was practicing medicine. Northam says, “Medicine is a science. The practice of medicine is an art.” So what does that make the legislation of the practice of medicine? Stolle and former Senator Northam were called to explain to their peers in 2012 that the phrase “standard medical practice in the community” related to House Bill 462 was actually a transvaginal ultrasound, and not the abdominal or “jelly on the belly” ultrasound. Many legislators, including the sponsor of the bill, did not realize the standard practice for the first trimester of pregnancy uses a probe inserted into the vagina for ultrasounds. The controversial bill required any woman considering an abortion to have this procedure, prompting criticism for the physically invasive procedure and the interference between doctor and patient. The requirement for an ultrasound and its notation in the patient’s medical record passed into law in 2013 with the type of procedure changed to a transabdominal ultrasound.
21
Because most legislators are not trained medical professionals, it falls to the few who are to explain the impact of laws on medical decisions. One is Delegate Chris Stolle (R-
EMOTION OFTEN CARRIES THE DAY
THEHEALTHJOURNALS.COM | MAY 2014
who align with our values, educate and mobilize them to both vote according to those values and then hold their elected officials accountable,” says Cobb. Christopher Newport University Political Science professor Quentin Kidd notes an irony in the politics of reproductive health: “On this matter, it’s actually the Left that is conservative, and the Right is not. One wants change and the other doesn’t. There’s no movement to further protect or expand access, it’s just reactive.” He says that the anti-abortion groups have consistent energy on this topic, and often go back to their base on fundraising appeals to help change the current status.
83), an obstetrician and gynecologist, who cites the influence of politics on health care as a reason he ran for office. “Health care workers and doctors need to be more engaged in politics. They often say ‘I’m not political, I’ll stay away.’ But our ability to practice is now dependent on external pressure. So we have to be engaged,” Stolle says. Stolle is concerned that the patient care environment is stifling [for health care workers and doctors] and continues to constrict. “People want to do good things but those ‘things’ could eat up all of a doctor’s time. I often remind people, ‘That’s a wonderful idea, but we shouldn’t be directing how to practice medicine,’” he says.
PRIVACY AND PERSONHOOD
Numerous bills about “personhood” have been introduced around the country in past years, including Virginia in 2012, defining personhood as beginning at conception, or the fertilization of the egg by the sperm. One of the largest opponents to these bills is the National Infertility Association, known as Resolve. The organization protests all “personhood” bills because of the common practice to fertilize multiple eggs to increase the chances of conception. Often embryos are frozen for future attempts. Resolve has concerns about criminal liability for unsuccessful embryo transfers, legal responsibility, privacy intrusions and the status of frozen embryos. “With Personhood legislation…anything that puts an embryo at risk could be a criminal violation, even if its goal is the undeniable social good of helping someone have a baby,” states Resolve’s policy on personhood legislation. Norfolk-based doctors Howard and Georgeanna Jones piloted the first successful IVF procedure in America and Dr. Howard Jones lobbied against the personhood bill in an editorial in 2012. “I am concerned that poorly written personhood legislation in Virginia and other states does not reflect our understanding of the ‘facts of life’ and may criminalize the appropriate management of life-threatening conditions, as well as interfere with the routine practice of in vitro fertilization,” Jones wrote. The bill passed the House but ultimately failed.
22 MAY 2014 | THEHEALTHJOURNALS.COM
I DIDN’T VOTE FOR THAT…OR DID I?
It’s unclear if legislators understand how popular forms of birth control work. Many legislators voting affirmatively for the personhood bill were surprised to find themselves accused of “voting to ban birth control.” The ambiguous consequences have been debated wherever personhood legislation has been introduced. The personhood legislation was strongly opposed by the American College of Obstetricians and Gynecologists based partly on systemic birth control methods that may affect implantation. IUDs and oral contraceptives use multiple ways of preventing pregnancy, including suppressing ovulation, preventing fertilization and preventing implantation. “These ‘personhood’ proposals, as acknowledged by proponents, would make condoms, natural family planning and
spermicides the only legally allowed forms of birth control. Thus, some of the most effective and reliable forms of contraception, such as oral contraceptives, intrauterine devices (IUDs), and other forms of FDA-approved hormonal contraceptives could be banned in states that adopt “personhood” measures,” says ACOG’s statement.
shot back with a website called “MasonLies.com,” calling the claims false. “It couldn’t be any more disingenuous. I feel it was egregious on this issue,” says Watson.
Watson ran on workforce development and transportation, so how did he get caught in a swirl of controversy about bills he didn’t sponsor? Watson gave numerous examples of his ELECTION PRESSURE philosophy to “vote on the writing of the Debates about reproductive health often bill, not the propaganda” and may have galvanize the supporters of pro-abortion fallen into political quicksand related to the rights, driving them to the polls on Election intention of the bills. Day. The 2013 Virginia gubernatorial race “I often heard ‘I like you on jobs. Why do showed a large gender you vote against gap, and pundits attributwomen?’” ed this to Republican Watson says. In a 20 PERCENT OF THE STATE Ken Cuccinelli’s strongly close race where BUDGET IS HEALTH CARE. conservative views on Mason won by a abortion which hurt thousand votes, it may have made the difference. him with female voters. Exit polls noted “I think that race was unique. Mason Democrat Terry McAuliffe won votes of 59 chose to focus on those sets of issues. He was percent of people who said abortion was the disciplined and stayed focused on them, as a most important issue to them. Nationally, a 2012 Gallup poll suggests that result, was able to take a competitive seat,” CNU professor Quentin Kidd says. abortion is the most important issue for one in six voters, split equally between pro-abortion rights supporters and those who are STRANGE BEDFELLOWS anti-abortion, with 45 percent of people citHealth care and politics seem destined to ing it as a one of many important factors. In remain intertwined. Debates about health the 2012 presidential election, debates about care appeal to passionate advocates and Planned Parenthood funding, birth control make headlines. Reproductive rights are coverage by health insurance and Medicaid hotly partisan issues that bring in campaign services rose to the top, even with candidates contributions and votes. claiming the economy was the top priority. Whether they ran on health care or aborBesides getting out the vote, fundraising tion rights issues or if they got pulled into may be a major part of the reason these issues the fray with their votes, why do politicians remain topical. Millions of dollars are raised care about health care? and donated by pro-abortion advocates, such In some cases, they care because they as Planned Parenthood, and anti-abortion promised voters they would, and in others, groups like National Right to Life. According they have to or their opponent will use to the Center for Responsive Politics, more it against them. Whether they do it for funding, publicity, personal interest or party than $8.7 million was contributed nationally pressure, the end result in the 2012 election on the single issue of is that your discussions abortion policy. Health issues in general elicwith your doctor about ited more than $300 million in contributions your health care have during the past two election cycles. been and likely will be influenced by them. So CAMPAIGN CONTENTION With so much attention focused on health beware, that smiling care, it should be no surprise that campaign- face on the campaign postcard may be ing for one of Virginia’s General Assembly making health care races was affected by this issue. decisions for you in the In the 93rd District House race last fall, General Assembly. incumbent Mike Watson faced challenger Monty Mason. Mailers from the Mason campaign said “Mike Watson: Taking steps to ban ALL abortions and restrict access to birth control,” specifically citing affirmative votes on HB 1 and HB 462 in 2012. Watson
Special Section
Breast Health
Update SPRING 2014
in Breast Cancer Screening By Melinda M. Dunn, M.D.
igital breast tomosynthesis (DBT), or 3D mammography, is rapidly emerging as an important clinical tool in the fight against breast cancer. Excluding skin cancer, breast cancer is the most common cancer among women in the United States and the second leading cause of cancer death after lung cancer. The American Cancer Society estimates that in 2013 there were about 232,000 new cases of invasive breast cancer and another 55,000 new cases of ductal carcinoma in situ (DCIS), with almost 40,000 women dying from breast cancer that year alone. Approximately 78% of diagnosed breast cancers occurred in women over 50 and about 17% of cases are diagnosed in women in their 40s. Screening mammography saves lives. Multiple randomized studies, the only way to prove that a screening test saves lives, have shown that screening mammography starting at age 40 reduces the chance of dying from breast cancer by 30%. Screening mammography is the only technology that has been shown to decrease mortality from breast cancer.
Mammography is not a perfect tool. A major limitation of mammography is superimposition of breast tissue. Conventional 2D mammography depicts a 3D structure (the breast) as a 2D image with superimposition of the entire thickness of breast tissue, creating two major problems. Normal overlapping breast tissue can both hide abnormalities, as well as form a “summation” shadow, a “fake out,” which looks like a breast lesion when none is really present. DBT, or 3D mammography, addresses this problem of tissue superimposition. With 3D mammography, the mammography unit moves in an arc across the breast acquiring 15 low-dose images per view from different angles, all in 4 seconds. The images are then reconstructed in paper-thin 1mm slices. The overlap of breast tissue is significantly decreased, allowing the radiologist to see the breast in much greater detail and detect masses and distortion that would not have been visible with traditional 2D mammography alone, as well as determine that a summation shadow is really just normal breast tissue. Combined with 2D mammography, 3D mammography is the most
revolutionary and advanced tool for breast cancer screening and detection, benefiting all women regardless of age and breast density. Studies, both in the U.S. and abroad, have shown that 3D mammography increases breast cancer detection by 35% while reducing the chance of being called back for “extra” imaging by 38%. A “callback” is when a woman is asked to return for “extra” imaging after a screening mammogram to get a “closer look” at a particular area. Usually a “callback” does not result in a biopsy but may create some anxiety. In the U.S. the average callback rate before the use of 3D mammography was 10%. The callback rate will decrease with this new technology at the same time that breast cancer detection will increase. In other words, both the sensitivity and specificity of mammography will increase. Without question, screening mammography saves lives. 3D mammography is revolutionizing our ability to detect breast cancer early and will become the standard of care for mammographic screening.
Special Section
Greek Quinoa Salad Ingredients The Salad: 2 cups water 1 cup quinoa 1 cup grape tomatoes, halved 1 cup chopped cucumber 1/3 cup pitted kalamata olives, halved 1/4 cup diced red onion 1/3 cup feta cheese * Salt and freshly ground black pepper, to taste
The Dressing: 1/4 cup olive oil 3 tablespoons red wine vinegar 1 teaspoon dried oregano
* This delicious recipe is brought to you by Two Peas & Their Pod twopeasandtheirpod.com/greek-quinoa-salad/
A simple quinoa salad with all of your favorite Greek flavors.
Directions
YIELDS 6 SERVINGS
1. Using a strainer, rinse the quinoa under cold water. Add quinoa, water, and salt to a medium saucepan and bring to a boil over medium heat. Boil for 5 minutes. Turn the heat to low and simmer for about 15 minutes, or until water is absorbed. Remove from heat and fluff with a fork. Let quinoa cool to room temperature. 2. In a large bowl, combine quinoa, tomatoes, cucumber, kalamata olives, red onion and feta cheese. 3. To make the dressing, whisk together olive oil, red wine vinegar and oregano in a small bowl. Pour dressing over the salad and stir until mixed well. Season to taste with salt and pepper.
Special Section
Knowing Your
Family History By Belinda C. Risher, MS, RN, AOCN – Breast Cancer Nurse Navigator
It has become common these days to hear about celebrities dealing with breast cancer and their journeys with this disease. Most recently, Angelina Jolie shared her personal experience of undergoing bilateral prophylactic mastectomy—surgery to remove both breasts in hopes of reducing the risk of breast cancer—after finding out that she carries a genetic mutation for breast and ovarian cancer. We applaud her for sharing her story and helping open up the dialogue that so many other families need to have. Why is this important? Knowing your family history can help you and your health care provider create your own personal prevention and surveillance plan. An ounce of prevention, the old saying goes, is worth a pound of cure. While there is no vaccine or “magic bullet” cure for breast cancer, early detection gives the best chance for successful treatment and cure since the cancer is detected before it could spread to other parts of the body. The biggest risk factors for breast cancer are being female and getting older; however, there are some risk factors that increase your chances for developing the disease. One indication of increased risk is a history of breast and/or ovarian cancer in family members, either from your mother’s or your father’s side of the family. Hereditary breast and ovarian cancers occur because of a mutation in either the BRCA1 or BRCA2 gene. Normally, these genes help protect against cancer. A woman in the general population faces about a 12.4% lifetime risk of developing breast cancer. This risk remains low before age 50; the majority of risk occurs after age 60. Women with a BRCA1 or BRCA2 mutation have a much higher lifetime risk for breast cancer, and much of the risk occurs at a younger age. Ms. Jolie revealed that she is a carrier of a genetic mutation for BRCA1. Since the risk of developing breast cancer is so high, women with a genetic mutation are often counseled on the option of prophylactic mastectomy. Although this does not completely eliminate the risk of developing breast cancer, the National Cancer Institute reports that prophylactic mastectomy in high-risk women may be able to reduce the risk of developing breast cancer by
The likelihood of a harmful mutation in BRCA1 or BRCA2 increases with certain familial patterns of cancer. The U.S. Preventive Services Task Force recommends consideration of genetic testing in the following familial patterns:
Women with a BRCA mutation have: • Up to a 50% risk of developing breast cancer by age 50 • Up to an 87% risk of developing breast cancer by age 70 • Up to a 64% risk of developing a second breast cancer • Up to a 44% chance of developing ovarian cancer by age 40
For Women of Ashkenazi Jewish Descent: • Any first-degree relative diagnosed with breast or ovarian cancer • Two second-degree relatives on the same side of the family diagnosed with breast or ovarian cancer
90%. For some women, knowing that they have done everything reasonably possible to prevent the cancer from occurring gives them peace of mind. While prophylactic mastectomy can significantly reduce risk of developing breast cancer, this surgery is also a serious choice, and not all women feel the same. Other options can include increasing surveillance with mammography and Breast MRI, along with more frequent clinical exams by a health care provider. The idea behind this is to find breast cancer at the earliest stage possible. Cancer is still a word that strikes fear into people’s hearts, producing a deep sense of powerlessness. The main goal behind genetic testing is to empower women with knowledge and help them take some action into their own hands.
Who needs genetic testing?
Only a fraction of breast cancers result from an inherited gene mutation. This is where genetic counselors are vital. They are the professionals who can navigate patients through this process, making sure they meet the criteria for genetic testing, understand all aspects and get the support they need. Education is essential. A BRCA1 mutation does not guarantee a malignancy (cancer), but it can increase the person’s risk, along with other factors such as family history, lifestyle, etc. And just because a patient who has a BRCA1 mutation elects for a prophylactic double mastectomy and removal of the ovaries, there is no guarantee that they won’t develop some other malignancy related to this mutation. BRCA1 mutations have also been linked to melanoma, prostate, gastric and pancreatic cancers. There is no current research to show what the decline is, if any, in these other types of cancers after surgical removal of the breast and ovaries. More research is needed. To learn more about genetic testing, contact our Nurse Navigators, Belinda Risher at (757) 594-1939 in Newport News or Wendi Johnson at (757) 345-4204 in Williamsburg.
For Women Who Are Not of Ashkenazi Jewish Descent: • Two first-degree relatives (mother, daughter or sister) diagnosed with breast cancer, one of whom was diagnosed at age 50 or younger • Three or more first-degree or second-degree (grandmother, aunt) relatives diagnosed with breast cancer regardless of their age at diagnosis • A combination of first and second-degree relatives diagnosed with breast cancer and ovarian cancer (one cancer type per person) • A first-degree relative with cancer diagnosed in both breasts (bilateral breast cancer) • A combination of two or more first or second-degree relatives diagnosed with ovarian cancer regardless of age at diagnosis • A first or second-degree relative diagnosed with both breast and ovarian cancer regardless of age at diagnosis • Breast cancer diagnosed in a male at any age
Special Section
Eat Your Way to Better Health
By Megan Cordova, Registered Dietitian, Certified Diabetes Educator, SWRMC Diabetes and Nutrition Outpatient Center
As a registered dietitian, certified diabetes educator and breast cancer survivor, I believe these words are powerful. What we eat can greatly affect our health. While there is no “magic pill” or diet to prevent breast cancer, there are several things we can to do to reduce our risk of developing the disease. Here are my top tips:
1. Maintain a healthy weight. Being overweight is a risk factor for both
first-time and recurrent breast cancer. Any amount of weight lost can decrease your risk. Use the BMI chart to see where you fall and aim for a 5 to 10% weight loss over 6 months. A BMI of less than 25 is desirable.
2. Aim for a plant-based diet. Fruits, vegetables, whole grains, beans and legumes are loaded with antioxidants and phytochemicals, which are diseaseprotective. Try to choose the foods with lots of deep, dark colors for more nutrition (blueberries, sweet potatoes, spinach to name a few). With whole grains, look for “whole” as the first ingredient and make sure at least half of your daily grains (or about 3 servings) are whole grains. Examples of whole grains include whole wheat bread, oatmeal, quinoa and brown rice. Try to include 2 cups of fruit and 2½ cups of vegetables per day. 3. Drink more water and limit sugary drinks. Regular soda, sweet tea, lemonade, juice and juice drinks can add empty calories. An extra 200 calories per day is 20 lbs. of weight gain per year! Better drink choices are water, unsweetened tea, small portions (4oz.) of 100% juice and low-fat milk. Try filling an ice cube tray with 100% juice and add one to your glass of water for a different flavor without so many calories and sugar.
“Your choice of diet can influence your long-term health prospects more than any other action you might take.” —C. Everett Koop, M.D., Former U.S. Surgeon General
4. Increase monounsaturated fats and omega-3s, and limit intake of processed and red meat. Nuts are an excellent source of
monounsaturated fats but be careful with portion size and aim for about an ounce per day. Other good sources of monounsaturated fats include olives, avocados and olive oil. Sources of omega-3s include salmon, mackerel and other coldwater fish. Aim for fish two times per week.
5. Limit alcohol. Research has shown that even 1 drink per day can
increase the risk of breast cancer. If you drink alcohol, consume no more than 1 drink per day. A drink is defined as 5 oz. wine, 1.5 oz. liquor or 12 oz. of beer.
6. Be active. Women who exercise regularly have a lower risk of developing
breast cancer. Do something active every day. Move, move, move. If you have a pedometer aim for 10,000 steps per day, which is about 5 miles, or try to get in 150 minutes per week of moderate physical activity. Park at the far end of the parking lot and take the stairs versus the elevator. You can even do short bursts of exercise during commercials while watching TV. Food is good and should be enjoyed. I like to throw the word “diet” out the door. My philosophy is that there are no “bad” foods. Some foods are more nutritious than others but anything can be worked into your meal plan. I use the 80/20 rule. What you do 80% of the time is what counts. Healthier food choices can make a difference in your well-being, so eat well and feel great!
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FLAVOR
Let Them eat
28 MAY 2014 | THEHEALTHJOURNALS.COM
❥ WRITTEN BY KIMBERLEY CUACHON HAUGH
i first read about checkoff programs—a marketing initiative by the United States Department of Agriculture (USDA) to increase domestic or international demand for an agricultural product—a couple of months ago. The agency levies a small fee on the product and uses it to promote by-products. With milk, the USDA is promoting cheese consumption. Think of all the milk and cheese ads you’ve seen. That said, the USDA spends millions of dollars to boost pizza consumption. About 350 slices of pizza are sold every second. And this doesn’t take into account the pizzas we are making at home—frozen or fresh. I can see how the agency chooses to ride this coattail by adding more cheese to pizzas—we’re already eating it. In 2009, when sales were dipping and surveys showed the chain to have the worst-tasting pies, Domino’s Pizza teamed up with Dairy Management to create a new line of pizzas with 40 percent more cheese—translation, more fat! Did you know that one slice of Domino’s Pizza equates to as much as two-thirds of our daily recommended amount of saturated fat? And contrary to what you may think, Dairy Management is not a private consulting company—it’s a marketing subsidiary of the USDA. That’s right, the same people who are at the forefront of the
pizza anti-obesity movement are saying, “Here, have another slice.” I can already see my husband giving me the stink-eye. He is a self-proclaimed pizza connoisseur whose dream job is to travel around the globe eating pizza. But the truth is, we don’t need any more pizza. According to the National Association of Pizza Operators, we’re already consuming 23 pounds of pizza each year. While the pizza stimulus is great for dairy farmers, why couldn’t the USDA find a healthier dairy campaign, like those “Milk does a body good” commercials starring Tiffani Amber Theissen circa 1993? I’d much rather my daughter admire a healthy-looking, nonanorexic, successful actress or athlete
than extreme close-ups of an overloaded cheese-stuffed crust that clearly illustrates what clogged arteries look like, now that I think about it. Heart health in mind, and determined to find a commercial that’s an ode to fruit and vegetable farmers, I came across two: Tropicana orange juice and Hidden Valley dressing—yes, something highly caloric to dip your veggies into. But where is the stimulus plan that tells Americans to eat their greens? Where is the collaborative effort to amp vegetable consumption across the nation? One that outlines the First Lady’s movement that encourages a healthier diet? Apparently it’s smothered in cheese.
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Johnstuart M. Guarnieri, M.D. Board Certified Plastic Surgeon Yale University School of Medicine
"Every Body is Born Beautiful."
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find us on facebook Formerly known as Aesthetic Center for Cosmetic and Plastic Surgery
Simply visit our website TPTI.com to find a location nearest you!
LOOKING GOOD
Upping Summer Game YOUR SHOE
30 MAY 2014 | THEHEALTHJOURNALS.COM
His and her trendy footwear for all occasions â?Ľ BY MORGAN BARKER
IN THE OFFICE EVERYDAY ELATION FLAT RESTRICTED These mint and cream patent leather flats are sure to jazz up any summer outfit. With its flirty bow, it pairs nicely with airy summer skirts and pastel tops.
IN THE BOARDROOM
ON THE PATIO
LOVE FURY NINE WEST
WHATEVA WEDGES STEVE MADDEN
Take charge in these nude platform pumps. Pair them with a pants suit or skirt suit for a confident, corporate look that’s attractive and feminine.
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FOR MEN
IN THE OFFICE BAHAMA 2-EYE SPERRY Pair the versatile boat shoe with summer khakis and seersucker shirts in the office, and then shorts and a button down for after hours or on casual Fridays.
TRACE LOAFERS MADDEN These sleek, brown leather classics pair well with a suit for work or dark denim and a blazer for less formal settings.
ON THE PATIO ROSHERUN HYPERFUSE NIKE
31
Choose from five colors and rock these kicks to your neighbor’s barbecue. You’ll feel comfortable helping out on the grill or tossing a football around in the backyard.
THEHEALTHJOURNALS.COM | MAY 2014
IN THE BOARDROOM
SECOND OPINION
Q:
How does working
at a desk affect my back?
We’re Growing Our Physical Therapy Team Seeking Physical Therapist Orthopaedic & Spine Center Physical Therapy Department is seeking a full-time Physical Therapist to join our busy outpatient Physical Therapy clinic.
Job requirements:
Current VA state licensure or eligibility • Minimum of one year’s work experience; Manual therapy skills preferred
OSC Physical Therapy Center offers: Continuity of Care between Physicians and Therapists • Excellent Work Environment in new, state-of-the-art treatment center • Competitive Salary + Sign-on bonus, with Productivity Bonus • Great Benefits: Health/Dental/LTD/VAC/Sick, Continuing Education • Professional Development Opportunities – Surgical Observation, Community Lectures/Outreach • Program Development Opportunities
A:
the longer you sit, the more damage can occur. Sitting (especially incorrectly) can place almost double the compressive load on your spine than standing. This can add up quickly to pain, and even worse, a spinal injury. A long period of sitting tightens muscles. This can form muscular imbalances in the body causing muscles, joints and discs to overwork, and create damage through stress in these regions. When you add the repetitively tightened muscles to the compressive forces of sitting for long periods of time, neck and back pain can be inevitable.
OSC
Please forward resumes to RTyler@osc-ortho.com or fax to:
866-853-4930
ORTHOPAEDIC & SPINE CENTER www.osc-ortho.com
Attn: Rachel Tyler, Clinic Director
250 NAT TURNER BOULEVARD • NEWPORT NEWS, VA 23606
In-Home Personal Care
32 MAY 2014 | THEHEALTHJOURNALS.COM
How to counteract this • Proper workstation ergonomics. Get professional advice on how to design your work area so that it places the least amount of stress on your neck and back. • Frequent breaks. Make time to stand up and stretch. A short break every 30 minutes is recommended. • Preventative program. Taking time outside of work for your body is important to counteract the daily grind. Examples include massage therapy, chiropractic care, yoga, relaxation techniques, regular exercise or a stretching regimen. • Proper sleep and diet. Believe it or not, these can play a role in your posture at work. If you are tired, it will be harder to sit correctly, causing additional stress on the body. We sit more than we used to. Increased technology use is making neck and back pain more prevalent. Counteracting these stresses will not only pay off now, but may help to prevent any long-term damage. Dr. Daniel Roth is a chiropractor in Williamsburg, Va., and is the owner of Williamsburg Neck & Back Center.
Tender
Hands
,LLC
We provide services to assisted living communities, nursing homes, hospitals and private homes. Services we offer include: Bathing Grooming • Assistance with dressing • Companion care • Errands • Medications reminders
Assistance to doctors’ appointments Meal Preperation • Light housekeeping • Outings • 24/7 Personal Home Care
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tenderhandsva.com Call to learn more
(757) 707-3790
7 HEALTHY BENEFITS:
OUTDOORS
❥ WRITTEN BY SHAWN RADCLIFFE
BICYCLING whether you enjoy rushing down a steep mountain trail, riding along country roads or commuting to work on two wheels, bicycling can help you reach the government’s recommended 150 minutes a week of moderate exercise. And since it’s easy to learn—and hard to forget—this low-impact exercise is great for all ages. The best part is that the more miles you ride, the more you’ll reap health benefits like the following.
IMPROVES HEART HEALTH
GENTLE ON JOINTS
“As a cardiovascular exercise it’s excellent,” says Bruce Drees, president of the Tidewater Bicycle Association. “I think it rates right up there with running and swimming.” Because bicycling works the heart, blood vessels and lungs all at the same time, it also decreases your risk of stroke, high blood pressure and heart attack.
Unlike other forms of exercise, bicycling is low-impact so it will put less strain on your joints. That’s why many runners make the switch to biking when their knees start to go. “Runners readily adapt to bicycling,” says Drees, “because it is cardiovascular exercise, but it’s less impact on the knees.” Even older adults who have had knee or hip replacements often find bicycling easy on the joints.
STRENGTHENS MUSCLES IMPROVES BALANCE & COORDINATION Moving your feet and steering with your hands and body at the same time, will improve your coordination. And staying upright—on road or trail— can help you fine-tune your sense of balance.
According to the Centers for Disease Control and Prevention, regular physical activity, like bicycling, can increase your chances of living longer, as well as reduce your risk of chronic diseases like cardiovascular disease, type 2 diabetes and some forms of cancer.
BOOSTS MENTAL HEALTH “Another advantage of bicycling is that it gets you outside, typically in the fresh air and sunshine,” says Drees, and “that always is very helpful for your outlook and mental state.” Research has shown that exercise combats depression, helps you sleep better and may even sharpen your thinking. Bicycling has all of that, plus a great view along the way.
BURNS CALORIES Bicycling is not only great for toning your legs, but it will also help you trim your waistline. With one hour of leisurely riding, a 160-pound person can burn almost 200 calories. You can burn even more by increasing your speed or tackling a few hills along the way. To maximize the weight loss benefits of bicycling, combine it with a healthy eating plan.
THEHEALTHJOURNALS.COM | MAY 2014 33
HELPS YOU LIVE LONGER
Bicycling will definitely tone your leg muscles—especially when climbing hills—but Drees says that the focus in biking is less on raw muscle power. “You really want to get into an aerobic zone where you’re spinning [the pedals] faster,” he says.
OVER 50
not just health care...it's
Mind-Body-Soul Care ❥ WRITTEN BY NATALIE MILLER MOORE
isolation hurts our health, and loneliness decreases our lifespan, according to a 2010 university of chicago study. Socially-engaged people are more resilient, and it’s why care for the aging population has become more holistic. It's about more than just fixing problems that come with age—there’s a strong component of keeping the mind, body and soul strong. Home Care Assistance is a company that follows a “Balanced Care Method” based on research about longevity in Japan. In addition to a healthy diet and physical activity, it lists “sharp minds,” “social ties” and “calmness and purpose.” Andy Grimm, owner of three Home Care Assistance franchises in Virginia, says, “Our assessment is not only activities of daily living. It’s also ‘Do you have something to look forward to when you get up every day?’”
34 MAY 2014 | THEHEALTHJOURNALS.COM
Spiritual Connection
Spirituality often emerges as an important concern as people age, whether or not they were active in a religious community earlier in life. “It’s a natural phenomenon, in the later stages of life, for people to be thinking about spiritual matters,” says Grimm. He says that even people who were active in their places of worship become less involved due to mobility issues, or needing a ride to attend events. At Riverside PACE centers, full-time chaplains are part of the care team. “At our Richmond center, the chaplain hosted a non-denominational Christian service in our center, to the home of a participant in the end stages of life to play Buddhist chants for him, and led a service at home with a Jewish family,” says Kathy Menefee, executive director of Riverside PACE. Even though much of the later years of life are focused on the body, it’s clear that everyone needs purpose, social interaction and connection: mind, body and soul.
Social Engagement
Part of remaining socially engaged is finding interesting activities to do, ideally with other people. Outings like visiting the farmers’ market, learning a new language or taking an art class can engage the brain and be emotionally satisfying. “We had a client, a woman who was homebound and depressed. We found she’d been a master’s level bridge player, one of the best in the world. But she’d stopped because she had Alzheimer’s and couldn’t remember to go to games or the names of people there. We told her, ‘we’ll set up appointments and a caregiver will help you remember names.’ So we overcame some of the objections, and her executive function was still intact. We found she can still beat anyone at bridge!” Grimm says.
Mental Stimulation
“Most of our participants come in for the socialization. It’s lonely at home and they want to be more active. That’s why we give them lots of options,” Menefee says. At the Hampton PACE, a group is participating in UVA’s free online course about Thomas Jefferson, learning about history and participating in discussions. Creating memory books with stories and photos to share with loved ones is another mind-focusing activity. Menefee says staff often plays favorite music to help stimulate memories. “It’s surprising what type of emotions or memories come up for people when you play songs from the Big Band era or Motown,” she says.
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STEVEN B. HOPSON, M.D., F.A.C.S, DIRECTOR
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A Daily
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FAMILY
❥ WRITTEN BY BRANDY CENTOLANZA ❥ ILLUSTRATIONS BY BOB OLLER
36 MAY 2014 | THEHEALTHJOURNALS.COM
instilling a sense of community in children
elementary students are learning what it is like to be part of their community through the 4-H Cloverbuds program. The program, designed for children ages 5 through 8, teaches life and leadership skills in three areas: science, healthy living and citizenship. Each monthly meeting provides hands-on activities covering a range of topics from gardening and environmental education to personal development and community service. Lane McCann has been club leader for two years. Recent lessons have focused on fitness, self-esteem, geography, time management, patriotism and the government. Occasionally, McCann brings in guest speakers to share their expertise. “I have had fitness instructors, master naturalists and military members come and talk with the children and share their knowledge,” says McCann. “Last year, I had a fitness instructor come in to show the children easy exercises they could do and she taught them about their heart rate. This year, I will have a meeting teaching
the children healthy lifestyles to include eating well and exercising.” Heavy emphasis is placed on healthy living as well as the environment. Through the years, students have learned the
importance of physical activity, as well as how to choose healthy snacks. During one lesson, students measured the amount of sugar in different beverages
so they could see just how much sugar they may be consuming. Some meetings are held outside, weather permitting, so that students develop an appreciation of nature. The 4-H Cloverbuds program “encourages children to be curious, active, kind and silly all at the same time,” says McCann. That’s what Adrianne Tropilo likes about the program. Her two 6-year-old daughters are current members. “My girls have benefited from this program in several ways,” says Tropilo. “They have made new friends. They are encouraged to speak in front of the class and that is always a good experience for their future classes and jobs. They are made to feel as though their answers are ‘right’ even when it might
yourself
FEEL LIKE
AG A I N ! ati ebr ng
25
cel
STEPHANIE SUTTON, DEE MAY & AMMON YOUNG
s
year
I want to remain healthy and fit when I retire... I’m planning to improve my golf game while remaining healthy and fit when I retire. While my game will never be one for the LPGA Tour, thanks to Stephanie and Ammon’s patience and hard work, it’s one that I can be proud of and enjoy. My doctor is also happy and that makes me happy. — Dee May
Dr. Robert Pinto | Dr. Anne Pinto Dr. Kenneth Boecker | Dr. Michael McConnell Schedule a consultation today, call 757.645.9353
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“Both girls talk about the friendships that they have formed and confidence they gained to participate in other extracurricular activities beyond the Cloverbuds program,” Elim-Durden shares. “They also value the time spent with youth, which has flowed into other facets of their lives, such as babysitting and mentoring. Personally, I love the fact that Cloverbuds is for both boys and girls and its curricular framework enables you explore and learn on almost any topic that interests the members. We had fun.” For more information on the 4-H Cloverbuds program visit bit.ly/cloverbuds to find a program in your area.
THEHEALTHJOURNALS.COM | MAY 2014 37
not be what Lane is looking for with her question. I like the overall acceptance to be kids. So many things nowadays are pushing our kids to be stronger, more competitive, smarter, and 4-H simply encourages their childhood. It shows them they are an important part of the world around them and that even the little things that little hands do make a huge difference.” The goal of the program is to get children to take what they’ve learned and apply it to the real world. Tamra Elim-Durden’s two daughters, now 20 and 15,went through the 4-H Cloverbuds program and have since moved on to other 4-H service programs.
FITNESS
5 YOGA POSES TO
strengthen your core ❥ WRITTEN BY SHAWN RADCLIFFE
❥ ILLUSTRATIONS BY LIZ LANE
Building a strong core is about more than just working on your six-pack abs. Your core also includes the muscles of the lower back, the sides of the torso, the hips and pelvis. While you could easily find dozens of yoga poses that focus on the core, these five provide the strength and endurance you need to move efficiently and avoid injuries.
Supine Chair
1
Side Plank 38 MAY 2014 | THEHEALTHJOURNALS.COM
VASISTHASANA
2
WHAT IT DOES: Like the standing version of this pose, holding a chair while on your back builds awareness of the core muscles. “It’s a static movement, but it’s really powerful,” says yoga instructor Katy Henderson, founder of Studio South in Williamsburg, Va.
WHAT IT DOES: “Stabilizing is a great way to strengthen core muscles,” says yoga teacher Biz Magarity, co-founder of Nava Yoga Center in Philadelphia, Pa. Doing side plank smoothly requires you to use all of the core muscles, not just the abs.
WORK THE CORE: Pull your stomach in and up as you exhale. As you inhale, let the stomach muscles soften slightly.
WORK THE CORE: For beginners, Magarity recommends “balancing on the forearm instead of the hand, in order to draw the awareness to the core muscles.” For more, try placing the sole of your top foot on the inner thigh of the other leg or holding a yoga block between your thighs.
Boat
NAVASANA
3
Bridge SETU BANDHA SARVANGASANA
WHAT IT DOES: Boat is a classic core pose that targets the lower abs, the hip flexors and the muscles of the spine. “Avoid jumping right into the full expression of the pose,” says Magarity, “because it is so easy to go for the final pose and end up with bad alignment and restricted breath.”
WORK THE CORE: Engage the abdominal muscles as you exhale, and relax them slightly as you inhale. Also, don’t let the lower back round.
WORK THE CORE: If you find yourself clenching the buttocks, lower the hips slightly until you can relax the muscles of the bottom. Or try supporting your hips with a yoga block. “Do this with the block on the highest height that is comfortable,” says Magarity, “in order to feel a nice stretch of the lower abdominals and hip flexor muscles.”
WORK THE CORE:
5
WHAT IT DOES: Extended side angle strengthens and stretches the muscles of the side of the torso. Because it’s a standing pose, you will also work the muscles of the legs and hips.
Extended Side Angle UTTHITA PARSVAKONASANA
For a less intense version, cross your arms over your chest and bring the side of your torso toward your thigh. To work the core more, says Henderson, “lift your bottom arm up and reach through both, so you have to ignite both obliques,” keeping your arms parallel to the line formed by your torso.
THEHEALTHJOURNALS.COM | MAY 2014 39
4
WHAT IT DOES: Bridge pose not only strengthens the core muscles, but will also stretch the lower abdominal and hip flexor muscles.
AUDIOLOGY
G N I T P E ACC ew
Jude Liptak, Au.D. Colonial Center for Hearing
Dr. Jude Liptak holds a doctorate degree from Salus University Audiology. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio. 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, 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. 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.
n
Colonial Center for Hearing 430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004
www.williamsburghears.com
OPTOMETRY Brent Segeleon, O.D.
40 MAY 2014 | THEHEALTHJOURNALS.COM
Colonial Eye Care
Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. Dr. Segeleon has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas. Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association and vice president of the Tidewater Optometric Society. In 2013 the Virginia Optometric Association named him Young Optometrist of the Year. Originally from Pittsburgh, Pa., Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes. When not in the office, you can find him training for an upcoming triathlon or mountain biking on Williamsburg’s fantastic trails. Colonial Eye Care 5121 Center St., Suite 102 Williamsburg, VA 23188 (757) 903-2633
www.colonialeyecare.com
DENTISTRY Stacey Sparkman Hall, D.D.S.
Williamsburg Center for Dental Health Dr. Stacey Hall brings her unique outlook on dental care and her personable optimism to the Williamsburg Center for Dental Health. With 12 years of solid dental expertise in the area, she decided in early 2011 to branch out and open her own local practice. After completing her undergraduate degree from Virginia Tech in 1998, Dr. Hall graduated from VCU’s MCV School of Dentistry in 2002, receiving her D.D.S. She is a member of the Academy of General Dentistry, the American Dental Association, and was awarded member fellowship to the International Congress of Oral Implantology in 2008. Dr. Hall is a co-leader of the Tidewater Dawson Study Club and is passionate about pursuing the highest levels of continuing education. She was also voted “Reader’s Choice Best Dentist 2010” by The Health Journal. Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie. She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work. Williamsburg Center for Dental Health 5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303
www.williamsburgdentalhealth.com
PAIN MANAGEMENT Kinjal Sohagia, M.D. Hampton Roads Orthopaedics & Sports Medicine
Kinjal Sohagia, M.D. is fellowship trained in the nonoperative management of spine and sports medicine problems. He has experience in a variety of nonsurgical procedures with special interest in back pain and overuse injuries. Dr. Sohagia completed his medical degree and internship in Ahmedabad, India before moving to the United States for the remainder of his training. He completed his residency at the Institute for Family Health, New York, N.Y., where he provided medical coverage for the New York City Marathon. During his fellowship training at the University of Utah in Salt Lake City, Dr. Sohagia provided medical care for acute sports and orthopaedic injuries for various athletic events. Dr. Sohagia is a member of the North American Spine Society, American Medical Society of Sports Medicine, the American College of Sports Medicine, and the American Academy of Family Physicians. He enjoys painting, outdoor sports and spending time with his family. Hampton Roads Orthopaedics & Sports Medicine Pain Management Office 732 Thimble Shoals Blvd, Suite 803 Newport News, VA 23606 (757) 933-8888
www.hrosm.com
SPECIAL ADVERTISING SECTION
PHYSICAL THERAPY Allen R. Jones Jr., P.T.
Dominion Physical Therapy Allen R. Jones Jr., a Licensed Physical Therapist, is the owner and CEO of Dominion Physical Therapy. He earned his degree in physical therapy from the University of Connecticut in 1987 and holds a postgraduate certification in Clinical Management of Head, Facial, Neck Pain and TMJ Disorders. He has been a member of the American Physical Therapy Association since 1988. He started Dominion Physical Therapy with one office and a goal of combining high-quality therapy with superior customer service in a friendly environment. Over the last two decades, Jones expanded the practice to include six locations—one of which is dedicated to the rehabilitative needs of children—located in Hampton, Newport News, Williamsburg, Portsmouth and Norfolk, Va.
Each location is staffed by highly-trained and licensed therapists.
Jones remains active in the Hampton Roads community by awarding an annual doctorate PT scholarship to a deserving student as well as serving on several boards including Virginia Company Bank, Hampton Roads Academy, Business Advisory Board of CNU and the Advisory Board of Health Science at ODU. Dominion Physical Therapy 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446
WEIGHT MANAGEMENT
ORTHOPAEDICS
Caroline Fornshell, MS, RD, CPT
Colin M. Kingston, M.D.
Caroline is an integrative nutritionist who opened LWell, a modern health club for real people. By incorporating all the components of weight loss into one warm and friendly hospitality-oriented fitness and wellness facility, she guides people towards better health by improving nutrition, fitness, fun, stress, sleep and support. Caroline works to support you and your physician in improving your health through wellness. Caroline enjoys working with a wide range of nutrition-related conditions and concerns. She graduated from Virginia Tech with a bachelor’s degree, then worked as a personal trainer for many years before becoming a registered dietitian and earning a master’s degree in nutrition from State University of New York (Oneonta). She is a member of the academy of Nutrition and Dietetics (AND), the American Association of Diabetic Educators (AADE), the American Diabetes Association (ADA), IDEA and the Physician’s Committee for Responsible Medicine (PCRM). She is certified in Adult Weight Management (AND) and is a Certified Personal Trainer (NASM).
Dr. Kingston, a sports medicine and joint replacement specialist, is originally from Long Island, N.Y., and has been with Tidewater Ortho since 2003. A proud former member of the United States Air Force, Dr. Kingston was a flight surgeon and orthopaedic surgeon during operations Desert Storm, Enduring Freedom and Iraqi Freedom. During his years in the military, he attended medical school at the Uniformed Services University of the Health Sciences in Bethesda, Md., and residency at the Uniformed Services Health Consortium in San Antonio, Texas. While in medical school and in the USAF, he played rugby and was selected for Top Knife Fighter Surgeon Schools I and II. Dr. Kingston has completed a Certification of Added Qualification in Sports Medicine, providing expert care for any sports injury. Dr. Kingston is the medical director of the Orthopaedic Hospital at Sentara CarePlex Hospital, the only dedicated orthopaedic hospital on the Peninsula. He takes the majority of his patients to this center of orthopaedic excellence.
LWell
LWell 301-A Village Ave. Yorktown, VA 23693 (757) 585-3441
Tidewater Ortho
Tidewater Ortho 901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7016
www.dompt.com
www.lwell.com
www.tidewaterortho.com
FAMILY MEDICINE
INTERNAL MEDICINE
AUDIOLOGY
Darany Toy, D.O. Tidewater Physicians Multispecialty Group
Tidewater Physicians Multispecialty Group
12695 McManus Boulevard, Building 6, Suite A Newport News, VA 23602 (757) 969-1755
Dr. William E. Brown III is known for his bedside manner, active listening skills as well as his clear and accurate care explanations; all characteristics that are dying arts in the field of medicine. Born and raised in Hampton Roads, he attended the University of Virginia, trained at the Medical College of Virginia at VCU and brings to you a wealth of experience in internal medicine. After serving a decade in the Air Force, Dr. Brown is excited to be practicing medicine in his home town of Hampton Roads. Dr. Brown joined TPMG Hartford Internal Medicine on April 1, 2014, and is enrolling new patients to fill a limited number of slots. If you, an associate or a loved one is seeking a new physician, he would be delighted to hear from you so do not hesitate to call to schedule an appointment!
Hartford Internal Medicine 2100 Hartford Road Hampton, VA 23666 (757) 826-2102
www.mytpmg.com
Maico Audiological Services Jodi Ritchie, M.Ed, CCC-A, joins Maico Audiological Services after 16 years in private practice in the Hampton Roads area where she specialized in adult hearing aid fittings. She has also worked as a clinical audiologist at Riverside Regional Medical Center. Jodi received her master’s degree from the University of Virginia in Charlottesville, Va. She is a past affiliate faculty member at Eastern Virginia Medical School, and is currently a member of the Tidewater Audiology Society and the American Speech, Language and Hearing Association. Jodi and her husband make their home in Newport News. They enjoy traveling and spending time on the beach as well as boating. They are enthusiastic college football fans and often join their son and daughter for tailgating at their schools’ games. Maico Audiological Services 703 Thimble Shoals Blvd., Suite C-3 Newport News, VA 23606 (757) 873-8794 1021 Eden Way North, Suite 110 Chesapeake, VA 23320 (757) 547-3560
maicoaudio.com
41
www.mytpmg.com
Hartford Internal Medicine
Jodi Ritchie
THEHEALTHJOURNALS.COM | MAY 2014
Dr. Toy received her undergraduate degree in biology from the University of Kansas, and her Doctor of Osteopathy from the Edward Via Virginia College of Osteopathic Medicine in Blacksburg, Va. She completed an internship and residency in family medicine at the Wesley Family Medicine Residency Program in Wichita, Kan., where she served as chief resident. Dr. Toy is board certified in family medicine and welcomes new and existing patients! Call today to schedule your appointment with Dr. Toy.
William E. Brown III, M.D.
ACCEPTING new
OPTOMETRY Gregory M. Schultz, O.D., F.A.A.O.
Ocular Disease & Medical Optometry Dr. Schultz has made patient education the cornerstone of his practice. He received his undergraduate degree at Ursinus College in Pennsylvania, then attended the Pennsylvania College of Optometry in Philadelphia, graduating with honors. With advanced training in medical and surgical eye care, Dr. Schultz is uniquely positioned to manage and treat complex diagnoses and eye diseases. He completed his Ocular Disease and Surgery Residency at OMNI Eye Services in New Jersey in 1994. Dr. Schultz has practiced in some of the most prestigious eye centers in the country, first at OMNI Eye Services, then at Vision America in Memphis, Tenn., where he was chief residency supervisor and head of student programs. He relocated to Virginia in 2004, joining Virginia Eye Consultants as clinical director. Most recently, he served at Advanced Vision Institute, directing their Hampton clinic at Sentara CarePlex. A fellow of the American Academy of Optometry, Dr. Schultz is considered a leader in his field. He is certified by the American Board of Optometry and lectures internationally on new developments in ocular disease treatment and management. Gregory M. Schultz, O.D., F.A.A.O.
101 Tewning Road Williamsburg, VA 23188 (757) 229-1131
www.eyecenterofvirginia.com
MEDICAL ONCOLOGY Christina W. Prillaman, M.D.
42 MAY 2014 | THEHEALTHJOURNALS.COM
Virginia Oncology Associates Dr. Christina W. Prillaman graduated Phi Beta Kappa from the College of William and Mary. She is an Alpha Omega Alpha graduate of the University of Virginia - School of Medicine. She completed her internship and residency in Internal Medicine at the University of Virginia Health Sciences Center, where she also served one year as the Chief Medical Resident. Dr. Prillaman is board certified in Internal Medicine and Medical Oncology. She completed a two-year fellowship at the University of Virginia in Hematology/Oncology. She is currently practicing with Virginia Oncology Associates in Williamsburg, Virginia.
Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg, VA 23188 (757) 229-2236
www.virginiacancer.com
DENTISTRY Kasey Petersen, D.M.D.
Williamsburg Center for Dental Health Dr. Petersen shares Dr. Stacey Hall’s dedication to providing patients with personalized care and the best treatment possible. She feels blessed that God has provided her with the opportunity to practice with a team that shares a common vision of serving the community. Dr. Petersen received her undergraduate degree from the University of North Carolina at Chapel Hill in 2003 and then graduated from the University of Louisville School of Dentistry in 2007. She received a scholarship in dental school through the U.S. Army and was stationed at Fort Eustis from 2007-2010. She worked in private practice for two years and began working at Williamsburg Center for Dental Health in November 2012. She is a member of the American Dental Association and Virginia Dental Association and is currently training with the Dawson Academy. Kasey and her husband John live in Newport News and recently celebrated their one-year anniversary. They enjoy spending time with their friends, traveling and cheering on their favorite sports teams. Williamsburg Center for Dental Health 5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303
www.williamsburgdentalhealth.com
DERMATOLOGY Keith W. Schumann, M.D.
Schumann Dermatology Group Dr. Keith Schumann is a board-certified, Cleveland Clinic-trained Dermatologist. He completed his undergraduate B.S. in chemistry at the University of Richmond. Following medical school at the Medical College of Virginia/Virginia Commonwealth University, he completed both an internship in internal medicine and residency training in dermatology at the Cleveland Clinic Foundation. His professional interests include skin cancer screening and surgery, light therapy and lasers, and the specific treatment of general skin conditions. With 15 years of experience in anti-aging skin care, he employs and develops state-of-the-art medical technology that provides solutions for damaged skin. Dr. Schumann lives in Williamsburg, Va., with his two sons. In his free time he enjoys spending time with his family and friends, long distance running, playing lacrosse and soccer, and piloting his own plane. Schumann Dermatology Group 5309 Discovery Park Blvd. Williamsburg, VA 23188 (757) 564-1200
www.agelessderm.com
EAR, NOSE & THROAT Elizabeth Atkinson, M.D. TPMG ENT, Audiology & Allergy Clinic
Dr. Elizabeth Atkinson graduated cum laude with a bachelor of science in chemistry and biology from the University of Richmond in Richmond, Va., and her medical degree from the Medical College of Virginia also in Richmond. Dr. Atkinson performed her surgical internship and her otolaryngology residency at West Virginia University in Morgantown, W.Va. Afterwards, she spent 13 years in private practice in northern Virginia before relocating to Georgia. She has a special interest in nasal and sinus disorders, allergy and pediatric ear, nose and throat problems. Her special skills include, but are not limited to, balloon sinuplasty, transnasal esophagoscopy and minimally invasive office surgeries. She is a fellow of the American Board of Otolaryngology and the American Academy of Otolaryngology–Head and Neck Surgery.
TPMG Williamsburg Ear, Nose, Throat, Audiology and Allergy Clinic Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Suite 201 Williamsburg, VA 23188 (757) 345-6330
www.mytpmg.com
SPECIAL ADVERTISING SECTION
ALLERGY & ASTHMA Stephen Shield, M.D.
Allergy Partners of Hampton Roads Dr. Stephen Shield knows allergies and asthma. As a child growing up in Newport News, he suffered from both problems. As the parent of children with allergies, he’s aware of the impact allergies can have on a child’s educational and social development; and as a board-certified, fellowship-trained specialist who’s been in practice for over 20 years, he has the knowledge and experience that can help you and your children with your quest for better health. He knows that allergies and asthma don’t have to control you. He helps you control them. Practicing locally since 1993, Dr. Shield joined with Allergy Partners, the nation’s largest medical practice dedicated to treating allergies, in 2010. This partnership allows patients on the Peninsula to receive some of the most advanced care available from a local physician who cares about his community. Dr. Shield sees children and adults, and is accepting new patients in his Williamsburg and Newport News offices. Visit allergypartners.com/hamptonroads or call 757-259-0443 to schedule your appointment today. Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443
ALTERNATIVE MEDICINE Christopher Bosco, D.C.
BioHarmony Rejuvenation Center Stress is one of the leading causes of illness and disease. Dr. Christopher Bosco, a graduate of the Life University School of Chiropractic, helps his patients to enjoy a higher quality of life through Bioenergetics, a practice that helps the body naturally recover from various forms of stress. The result is a healthier, more efficient flow of energy throughout the body and a better release of toxins, all of which affect the body’s performance. A New Jersey native, Dr. Bosco relocated to Williamsburg, Va., to introduce this exciting new therapy, the first of its kind in the Commonwealth. He aims to educate his patients on the emotional triggers of stress that lead to illnesses and provide people with healthy alternatives and nutritional recommendations that can put them on the path to wellness and optimal health. Call 757-645-3545 today to schedule an appointment with Dr. Bosco at his convenient New Town office. BioHarmony Rejuvenation Center 4808 Courthouse St., Suite 208 Williamsburg, VA 23188 (757) 645-3545
www.allergypartners.com/hamptonroads
www.bioharmony1.com
UROLOGY
FOOT & ANKLE
Geoffrey B. Kostiner, M.D.
TPMG Williamsburg Urology
TPMG Williamsburg Urology Tidewater Medical Center at New Town 5424 Discovery Park Boulevard, Suite 203 Williamsburg, VA 23188 (757) 345-6223
www.mytpmg.com
Tidewater Ortho
Dr. Paul Maloof, originally from Bergen County, NJ, began his path to becoming an orthopaedic surgeon at Tufts University where he did his undergraduate work. After spending three years in Steamboat Springs, Colo., Dr. Maloof attended New Jersey Medical School for medical school and his residency, where he served as Administrative Chief Resident in one of the busiest level one trauma centers on the east coast. He completed his fellowship training in Foot & Ankle Surgery at Duke University, a known pioneer in ankle replacement surgery. He will be bringing this procedure to Hampton Roads along with numerous other cutting edge treatments for various foot and ankle disorders. Dr. Maloof will be settling his young family in Williamsburg where he hopes to pursue his passion for playing golf. Tidewater Ortho 5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 206-1004 901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 827-2480
www.tidewaterortho.com
Jude Liptak, Au.D. Colonial Center for Hearing
Dr. Jude Liptak holds a doctorate degree from Salus University Audiology. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio. 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, 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. 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
OPTOMETRY Brent Segeleon, O.D. Colonial Eye Care
Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. Dr. Segeleon has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas. Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association and vice president of the Tidewater Optometric Society. In 2013 the Virginia Optometric Association named him Young Optometrist of the Year. Originally from Pittsburgh, Pa., Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes. When not in the office, you can find him training for an upcoming triathlon or mountain biking on Williamsburg’s fantastic trails. Colonial Eye Care 5121 Center St., Suite 102 Williamsburg, VA 23188 (757) 903-2633
www.colonialeyecare.com
THEHEALTHJOURNALS.COM | MAY 2014 43
Geoffrey B. Kostiner, M.D. received his undergraduate degree in Mechanical Engineering from McGill University in Montreal, Quebec, Canada. He earned his Doctor of Medicine at the University of Colorado School of Medicine Health Sciences Center in Denver, Co. He completed a residency in General Surgery and Urology at Virginia Commonwealth University/Medical College of Virginia in Richmond, Va. Dr. Kostiner is board certified in Urology and has been dedicated to providing medical care to patients since 2001. He joined TPMG Urology in 2005. He served as the Director of Urological Services at Mary Immaculate Hospital from 2009 to 2012 and at Sentara Williamsburg Regional Medical Center from 2013 to the present. He has privileges at Sentara Williamsburg Regional Medical Center and Mary Immaculate Hospital. He is an active member of the Williamsburg/JCC Medical Society, the Tidewater Urological Society, the Virginia Urological Society, the American Urological Association, and a 20 year member of the American Medical Association.
Paul Maloof, M.D.
AUDIOLOGY
Mellette PC AT T O R N E Y S AT L AW
Mellette PC represents health care providers before both state and federal agencies and courts, and guides clients through complex state and federal health care laws.
Serving Health Care Providers Call Peter Mellette, Harrison
Gibbs or Nathan Mortier for a consultation today.
428 McLaws Circle, Suite 200 Williamsburg, VA 23185
Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma.
(757) 259-9200 www.mellettepc.com
• Macular Degeneration • Diabetic Retinopathy • Glaucoma Dr. Nordlund was on faculty at UVA Medical School, and is a current clinical faculty member at VCU Medical Center. John R. Nordlund, MD, PhD
Member, American Society of Retina Specialists Member, American Glaucoma Society
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Monday-Friday 8:00-5:00 www.rgava.com 113 Bulifants Boulevard, Suite A Williamsburg, VA 23188 757-220-3375
SPECIALS
AT BODY BALANCE
Body Balance Studio offers several Yoga classes taught in a multi-level format with safe modifications and is appropriate for all ages and fitness levels.
(757) 221-0774 ✤
Learn more at www.BodyBalanceWilliamsburg.com
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
ALLERGY & ENT HAMPTON ROADS ENT & ALLERGY 5408 Discovery Park Drive Williamsburg (757) 253-8722 11842 Rock Landing Dr., Suite 100 Newport News (757) 873-9579 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500 RIVERSIDE EAR, NOSE & THROAT PHYSICIANS & SURGEONS 120 Kings Way, Suite 2900 Williamsburg (757) 345-2600 895 Middle Ground Blvd., Suite 152 Newport News (757) 599-5505
7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478
WADE QUINN, DC 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900
AUDIOLOGY & HEARING
COSMETIC & PLASTIC SURGERY
COLONIAL CENTER FOR HEARING 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004
BEHAVIORAL HEALTH & PSYCHIATRY
RENEAU MEDICAL CENTER FOR AGE MANAGEMENT & AESTHETIC MEDICINE 120 Kings Way, Suite 2550 Williamsburg (757) 345-3064
THE PAVILION AT WILLIAMSBURG PLACE 5483 Mooretown Rd. Williamsburg (800) 582-6066
WILLIAMSBURG PLASTIC SURGERY 333 McLaws Circle Williamsburg (757) 345-2275
CARDIOLOGY
DENTISTRY
RIVERSIDE CARDIOVASCULAR HEALTH 117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540
NEW TOWN DENTAL ARTS SEBASTIANA G. SPRINGMANN, DDS 4939 Courthouse Street Williamsburg (757) 259-0741
CHIROPRACTIC & ACUPUNCTURE
RUBENSTEIN ORTHODONTICS LORETTA RUBENSTEIN, DDS 12725 McManus Blvd., Suite 1B Newport News (757)874-0990
PINTO CHIROPRACTIC & REHABILITATION 5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9353
WILLIAMSBURG CENTER FOR DENTAL HEALTH STACEY SPARKMAN HALL, DDS 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303
DERMATOLOGY ASSOCIATES IN DERMATOLOGY, INC. 17 Manhattan Square Hampton (757) 838-8030 SCHUMANN DERMATOLOGY GROUP 5309 Discovery Park Blvd. Williamsburg (757) 564-1200
DIAGNOSTIC IMAGING ORTHOPAEDIC & SPINE CENTER 250 Nat Turner Boulevard Newport News (757) 596-1444 TIDEWATER DIAGNOSTIC IMAGING 100 Sentara Circle Williamsburg (757) 984-6000
ENDOCRINOLOGY RIVERSIDE ENDOCRINOLOGY & DIABETES CENTER 120 Kings Way, Suite 2550 Williamsburg (757) 534-5909
RIVERSIDE NORGE INTERNAL MEDICINE & PEDIATRICS CENTER 7364 Richmond Road Williamsburg (757) 345-0011 RIVERSIDE WILLIAMSBURG FAMILY MEDICINE 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555
FITNESS B-DEFINED INNOVATIVE PERSONAL TRAINING & WELLNESS 4801 Courthouse Street Williamsburg (757) 345-6801 BODY BALANCE STUDIO 370 McLaws Circle Williamsburg (757) 221-0774 445 Prince George Street Williamsburg (757) 221-0774 LWELL - LONGEVITY WELLNESS 301-A Village Avenue Yorktown (757) 585-3441
FAMILY PRACTICE RIVERSIDE FAMILY PRACTICE & EXTENDED CARE 5231 John Tyer Highway Williamsburg (757) 220-8300
FREE CLINICS AMERICAN RED CROSS ADULT DENTAL CLINIC 606 West 29th Street Norfolk (757) 446-7756
With BAYADA Home Health Care…
“ Ginne is my safety angel. I salute her.” – Henry S., Client
Client Henry S., a decorated WWII veteran, with his BAYADA HHA Ginne Humphries, a member of the Air National Guard
BAYADA provides: • Nursing, rehabilitation, and assistive care • Thoroughly screened health care professionals • Clinical support 24 hours, 7 days • A variety of payment options Nursing/therapy: 757-565-5400 | Assistive care: 757-229-0019
Compassion. Excellence. Reliability.
Gentle Care for the whole family Helen C. Fiscella, DDS
At Fiscella Family Dentistry gentle care is our hallmark. Anxiety and fear do not have to be part of your dental experience. We take great care to make sure that you and your loved ones are comfortable during your visit. Experience what a gentle touch can do.
We’ll give you a reason to smile, call (757)253-0400. Fiscella Family Dentistry • Helen C. Fiscella, D.D.S. • 1161 Professional Dr. • Williamsburg, VA 23185
HEALTH DIRECTORY
health directory
HEALTH DIRECTORY
ANGELS OF MERCY MEDICAL CLINIC 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 BEACH HEALTH CLINIC 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601 CHESAPEAKE CARE 2145 South Military Highway Chesapeake (757) 545-5700 THE COMMUNITY FREE CLINIC OF NEWPORT NEWS 727 25th Street Newport News (757) 594-4060 H.E.L.P. FREE CLINIC 1320 LaSalle Avenue Hampton (757) 727-2577 H.E.L.P. FREE DENTAL CLINIC 1325 LaSalle Avenue Hampton (757) 727-2577 LACKEY FREE CLINIC 1620 Old Williamsburg Road Yorktown (757) 886-0608 OLDE TOWNE MEDICAL CENTER 5249 Olde Towne Road Williamsburg (757) 259-3258 SURRY AREA FREE CLINIC 474 Colonial Trail West Surry (757) 294-0132 WESTERN TIDEWATER FREE CLINIC 2019 Meade Parkway Suffolk (757) 923-1060
GASTROENTEROLOGY COLONIAL GASTROENTEROLOGY 400 Sentara Circle, Suite 103 Williamsburg (757) 534-7701 11803 Jefferson Ave., Suite 230 Newport News (757) 534-7701 DIGESTIVE DISEASE CENTER OF VIRGINIA, P.C. RICHARD J. HARTLE, MD 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190 RIVERSIDE WILLIAMSBURG GASTROENTEROLOGY 457 McLaws Circle, Suite 1 Williamsburg (757) 221-0750
GENERAL SURGERY
46 MAY 2014 | THEHEALTHJOURNALS.COM
RIVERSIDE HAMPTON ROADS SURGICAL SPECAILISTS 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141
HEALTH CARE ATTORNEYS BRAIN INJURY LAW CENTER 2100 Kecoughtan Road Hampton (877) 840-3431 MELLETTE PC 428 McLaws Circle, Suite 200 Williamsburg (757) 259-9200
HEALTH SPAS THE SPA OF COLONIAL WILLIAMSBURG 307 South England Street Williamsburg (757) 220-7720
HEALTH FOOD STORES VIRGINIA GOURMET MARKET, CAFE & CATERING 264 McLaws Circle, Suite K Williamsburg (757) 645-2970
HERNIA SPECIALISTS
SENTARA INDEPENDENCE 800 Independence Boulevard Virginia Beach (757) 363-6100 SENTARA BELLE HARBOUR 3920 Bridge Road, Suite A Suffolk (757) 983-2200
222 W. 21st Street, Suite F-308 Norfolk (757) 622-2989 ALZHEIMER’S ASSOCIATION 6350 Center Drive, Suite 102 Norfolk (757) 459-2405
SENTARA CAREPLEX HOSPITAL 3000 Coliseum Drive Hampton (757) 736-1000
213-B McLaws Circle Williamsburg (757) 221-7272
HOME CARE
SENTARA BELLE HARBOUR 3920-A Bridge Rd. Suffolk (757) 983-0000
AMERICAN CANCER SOCIETY 11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330
BAYADA 263 McClaws Circle Williamsburg (757) 229-0019
SENTARA HEART HOSPITAL 600 Gresham Drive Norfolk (757) 388-8000
AMERICAN DIABETES ASSOCIATION 870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662
TENDER HANDS 4391 Ironbound Road Williamsburg (757) 707-3790
SENTARA LEIGH HOSPITAL 830 Kempsville Road Norfolk (757) 261-6000
AMERICAN HEART ASSOCIATION 500 Plume Street East, Suite 110 Norfolk (757) 628-2610
VISITING ANGELS 12388 Warwick Blvd., Suite 206 Newport News (757) 599-4145
SENTARA NORFOLK GENERAL HOSPITAL 600 Gresham Drive Norfolk (757) 388-3000
AMERICAN PARKINSON’S DISEASE ASSOCIATION 4560 Princess Anne Road Virginia Beach (757) 495-3062
SENTARA OBICI HOSPITAL 2800 Godwin Boulevard Suffolk (757) 934-4000
AMERICAN RED CROSS 1323 W. Pembroke Avenue Hampton (757) 838-7320
SENTARA PORT WARWICK 1031 Loftis Blvd. Newport News (757) 736-9898
1317 Jamestown Road, Suite 105 Williamsburg (757) 253-0228
THE HERNIA CENTER AT MARY IMMACULATE HOSPITAL 860 Omni Boulevard, Suite 204 Williamsburg (757) 874-1077
HOSPITALS & MEDICAL CENTERS BON SECOURS MARY IMMACULATE HOSPITAL 2 Bernardine Drive Newport News (757) 886-6000 BON SECOURS DEPAUL MEDICAL CENTER Granby Street & Kingsley Lane Norfolk (757) 889-5310
SENTARA PRINCESS ANNE 2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000
BON SECOURS MARYVIEW MEDICAL CENTER 3636 High Street Portsmouth (757) 398-2200
SENTARA VIRGINIA BEACH GENERAL HOSPITAL 1060 First Colonial Road Virginia Beach (757) 395-8000
BON SECOURS HEALTH CENTER AT HARBOUR VIEW 5818 Harbour View Boulevard Suffolk (757)673-5800
SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER 100 Sentara Circle (757) 984-6000
BON SECOURS SURGERY CENTER AT HARBOUR VIEW 5818 Harbour View Blvd., Ste. 102 Suffolk (757) 215-0499
INDEPENDENT SENIOR LIVING
CHESAPEAKE REGIONAL MEDICAL CENTER 736 Battlefield Boulevard North Chesapeake (757) 312-8121 CHILDREN’S HOSPITAL OF THE KING’S DAUGHTERS 601 Children’s Lane Norfolk (757) 668-7098 DOROTHY G. HOEFER COMPREHENSIVE BREAST CENTER 11803 Jefferson Avenue, Suite 130 Newport News (757) 594-1899 RIVERSIDE HAMPTON ROADS SURGICAL SPECIALISTS 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141
GREENFIELD SENIOR LIVING OF WILLIAMSBURG 251 Patriot Lane Williamsburg (757) 220-4014 VIRGINIA HEALTH SERVICES 540 Aberthaw Avenue Newport News (757) 595-2273 WILLIAMSBURG LANDING 5700 Williamsburg Landing Dr. Williamsburg (757) 585-4436
24/hour Helpline: (800) 272-3900
6912 George Washington Memorial Highway Yorktown (757) 898-3090 VERSABILITY RESOURCES 2520 58th Street Hampton (757) 896-6461 THE ARC OF GREATER WILLIAMSBURG 202 Packets Court Williamsburg (757) 229-0643 THE ARTHRITIS FOUNDATION 2201 W. Broad Street, Suite 100 Richmond (804) 359-1700 AVALON: A CENTER FOR WOMEN & CHILDREN Williamsburg (757) 258-9362 AWARE WORLDWIDE, INC. 6350 Center Drive, Bldg. 5, Ste. 228 Norfolk (757) 965-8373 BEACON HOUSE CLUBHOUSE FOR BRAIN INJURY SURVIVORS 3808-C Virginia Beach Boulevard Virginia Beach (757) 631-0222
NEUROLOGY
BEYOND BOOBS! INC. 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649
WILLIAMSBURG NEUROLOGY & SLEEP DISORDERS CENTER 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
CANCER CARE FOUNDATION OF TIDEWATER 5900 Lake Wright Dr. Norfolk (757) 461-8488
NEUROSURGERY
CENTER FOR EXCELLENCE IN AGING & LIFELONG HEALTH 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751
RIVERSIDE DOCTORS’ HOSPITAL 1500 Commonwealth Ave. Williamsburg (757) 585-2200
RIVERSIDE NEUROSURGICAL & SPINE SPECIALISTS 120 Kings Way, Suite 3500 Williamsburg (757) 220-6823
RIVERSIDE REGIONAL MEDICAL CENTER 500 J. Clyde Morris Boulevard Newport News (757) 594-2000
NON-PROFIT ORGANIZATIONS ACCESS AIDS SUPPORT 218 S. Armistead Avenue Hampton (757) 722-5511
CHEAR, INC. C/O DEPARTMENT OF OTOLARYNGOLOGY, EVMS 600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229
CHILD DEVELOPMENT RESOURCES 150 Point O’ Woods Road Norge (757) 566-3300 CITIZENS’ COMMITTEE TO PROTECT THE ELDERLY PO Box 10100 Virginia Beach (757) 518-8500 COLONIAL BEHAVIORAL HEALTH 473 McLaws Circle Williamsburg (757) 220-3200 DENBIGH CLUBHOUSE FOR BRAIN INJURY SURVIVORS 12725 McManus Boulevard, Suite 2E Newport News (757) 833-7845 DREAM CATCHERS 10120 Fire Tower Road Toano (757) 566-1775 EDMARC HOSPICE FOR CHILDREN 516 London Street Portsmouth (757) 967-9251 ENDEPENDENCE CENTER, INC. 6300 E. Virginia Beach Boulevard Norfolk (757) 461-8007 FAITH IN ACTION 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890 FOOD BANK OF THE VA. PENINSULA 2401 Aluminum Avenue Hampton (757) 596-7188 FOOD BANK OF SEVA 800 Tidewater Drive Norfolk (757) 627-6599 HOPE HOUSE FOUNDATION 801 Boush Street, Suite 302 Norfolk (757) 625-6161 JEWISH FAMILY SERVICE 260 Grayson Road Virginia Beach (757) 321-2223 LEE’S FRIENDS: HELPING PEOPLE LIVE WITH CANCER 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501 LEUKEMIA & LYMPHOMA SOCIETY 6350 Center Drive, Suite 216 Norfolk (757) 459-4670 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 ILLNESS-WILLIAMSBURG AREA P.O. Box 89 Williamsburg (757) 220-8535 NORFOLK COMMUNITY SERVICES BOARD 229 W. Olney Rd., Room 1 Norfolk (757) 664-6670 PENINSULA AGENCY ON AGING 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541 PENINSULA INSTITUTE FOR COMMUNITY HEALTH 1033 28th Street Newport News (757) 591-0643
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 Avenue Norfolk (757) 627-5386 RSVP: RETIRED SENIOR VOLUNTEERS 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037 ST. MARY’S HOME FOR DISABLED CHILDREN 6171 Kempsville Circle Norfolk (757) 622-2208 THE SARAH BONWELL HUDGINS FOUNDATION 1 Singleton Drive Hampton (757) 827-8757 SENIOR CENTER OF YORK 5314 George Washington Hwy. Yorktown (757) 898-3807 SENIOR SERVICES COALITION 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-3480 UNITED WAY 739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328 5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264 THE UP CENTER 1805 Airline Boulevard Portsmouth (757) 397-2121 222 W. 19th Street Norfolk (757) 622-7017 VETS ADVOCATING FOR VETS Hampton (757) 722-9961, ext. 3009 WE PROMISE FOUNDATION 160 Newtown Road Virginia Beach (757) 233-7111
OBSTETRICS & GYNECOLOGY RIVERSIDE PARTNERS IN WOMEN’S HEALTH 120 Kings Way, Suite 3400 Williamsburg (757) 253-5600
ONCOLOGY RIVERSIDE PENINSULA CANCER INSTITUTE 120 Kings Way, Suite 3100 Williamsburg (757) 345-5724 12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555 VIRGINIA ONCOLOGY ASSOCIATES 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400
5553 Portsmouth Blvd. Portsmouth (757) 465-7906
500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403
3300 High Street, Suite 1-A Portsmouth (757) 673-5689 4900 High Street West Portsmouth (757) 483-4518
1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437
7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333
5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215
885 Kempsville Rd., Ste. 300 Norfolk (757) 955-2800
150 Burnett’s Way, Suite 310 Suffolk (757) 539-0670
14703 Warwick Blvd., Ste. B Newport News (757) 947-1230
5900 Lake Wright Drive Norfolk (757) 466-8683
2 Bernardine Drive Newport News (757) 886-6480
825 Fairfax Ave., 3rd Floor Norfolk (757) 466-8683
OPTOMETRY & OPHTHALMOLOGY RETINA & GLAUCOMA ASSOCIATES 113 Bulifants Boulevard, Suite A Williamsburg (757) 220-3375
13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651
Williamsburg (757) 565-3400 7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 6965 Fox Hunt Lane, Suite 201 Gloucester (804) 694-8111 7190 Chapman Drive Hayes (804) 642-3028 204 Gumwood Drive Smithfield (757) 357-7762
4020 Raintree Road, Suite D Chesapeake (757) 484-4241 131 W. Hanbury Road, Suite C-1 Chesapeake (757) 819-6512 6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890 VIRGINIA HEALTH REHAB 204 Nat Turner Boulevard Newport News (757) 594-0330
RIVERSIDE HAMPTON ROADS EYE ASSOCIATES 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001
5 Armistead Pointe Parkway Hampton (757) 224-4601
PROSTHETICS & ORTHOTICS
ORTHODONTICS
1817 Laskin Rd., Ste. 100 Virginia Beach (757) 437-0471
RUBENSTEIN ORTHODONTICS LORETTA RUBENSTEIN, DDS 12725 McManus Blvd., Suite 1B Newport News (757)874-0990
ORTHOPEDICS & SPORTS MEDICINE HAMPTON ROADS ORTHOPAEDICS & SPORTS MEDICINE 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554
1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060 101 Long Green Blvd. Yorktown (757) 952-1900 DOMINION PHYSICAL THERAPY & ASSOCIATES, INC. 304 Marcella Road, Suite E Hampton (757) 825-9446 466 Denbigh Boulevard Newport News (757) 875-0861
4374 New Town Rd., Suite 102 Williamsburg (757) 873-1554
301 Riverview Avenue Norfolk (757) 963-5588
ORTHOPAEDIC & SPINE CENTER 250 Nat Turner Blvd Newport News (757) 596-1900
729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932
RIVERSIDE ORTHOPAEDICS & SPORTS MEDICINE 120 Kings Way, Suite 2800 Williamsburg (757) 534-9988 TIDEWATER ORTHOPAEDIC ASSOCIATES 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Avenue Williamsburg (757) 206-1004
PAIN MANAGEMENT RIVERSIDE PAIN MEDICINE & REHABILITATION SPECIALISTS 120 Kings Way, Suite 2550 Williamsburg 9757) 345-3050
PHYSICAL THERAPY & REHABILITATION BON SECOURS IN MOTION PHYSICAL THERAPY 5838 Harbour View Blvd. Suffolk (757) 673-5971 2012 Meade Parkway Suffolk (757) 934-3366
243 McLaws Circle, Suite 102 Williamsburg (757) 564-9628 500 Rodman Avenue, Suite 4 Portsmouth (757) 393-6119 HAMPTON ROADS ORTHOPAEDICS & SPORTS MEDICINE 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 ORTHOPAEDIC & SPINE CENTER PHYSICAL THERAPY 250 Nat Turner Boulevard Newport News (757) 596-1900 TIDEWATER PHYSICAL THERAPY 2106 Executive Drive Hampton (757) 838-6678
REACH ORTHOTIC & PROSTHETIC SERVICES 11747 Jefferson Ave., Ste. 5-A Newport News (757) 595-9800 SILHOUETTE MASTECTOMY BOUTIQUE 12715-V Warwick Boulevard Newport News (757) 930-0139
SLEEP MEDICINE PULMONARY & SLEEP CONSULTANTS OF WILLIAMSBURG 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460 WILLIAMSBURG NEUROLOGY AND SLEEP DISORDERS CENTER 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
URGENT CARE MD EXPRESS 120 Monticello Avenue Williamsburg (757) 564-3627 4740 George Washington Memorial Highway Yorktown (757) 890-6339 12997 Warwick Boulevard Newport News (757) 369-9446 3321 West Mercury Boulevard Hampton (757) 224-0056 RIVERSIDE WILLIAMSBURG FAMILY PRACTICE & EXTENDED CARE 5231 John Tyler Highway Williamsburg (757) 220-8300
9 Manhattan Square, Suite B Hampton (757) 825-3400
UROLOGY
12695 McManus Blvd., Building 6, Suite B Newport News (757) 874-0032
RIVERSIDE HAMPTON ROADS UROLOGY 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051
771 Pilot House Drive Newport News (757) 873-2123 12655 Warwick Boulevard, Suite B Newport News (757) 599-5551 156-B Strawberry Plains Road
RIVERSIDE PENINSULA VASCULAR SURGERY 156-A Strawberry Plains Road Williamsburg (757) 229-7939
2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676
828 Healthy Way Virginia Beach (757) 463-2540
VASCULAR SURGERY
THEHEALTHJOURNALS.COM | MAY 2014 47
WILLIAMSBURG OBSTETRICS & GYNECOLOGY 1115 Professional Drive Williamsburg (757) 253-5653
1051 Loftis Boulevard, Suite 100 Newport News (757) 873-9400
HEALTH DIRECTORY
PENINSULA PASTORAL COUNSELING CENTER 707 Gum Rock Court Newport News (757) 873-2273
BRAIN TEASERS
BRA
IN TEASERS
STRETCH YOUR MENTAL MUSCLES AND WIN!
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Allergies Farmers’ Market May Day Barbeque Festivals Memorial Day Beach Fiesta Mother’s Day Bicycling Flowers Sneezing Blooming Golfing Sunglasses Camping Hiking Vegetables Cinco De Mayo Margaritas
al sic py y Ph era Th
Bracing and Castin g
ic aed hop ory Ort bulat nter Am ry Ce ge Sur
Paul B. Maloof, MD
Tidewater Orthopaedics
FOOT CENTER OF EXCELLENCE Di g Ul ital tra X so ray un d
Tackle foot pain this year
Community Lecture May 19, 2014 - 6:30pm
Join Paul Maloof, M.D. at the Williamsburg Library for an informative talk.
TREATMENTS FOR FOOT & ANKLE PROBLEMS 515 Scotland St, Williamsburg VA 23185 RSVP by calling 757-827-2480 ext 332 Light refreshments served • Free and open to the public
Ex On-s tre mi ite ty MR I
&
Fello wsh Foot ip-Train ed &A Surg nkle eon
Board-Certified Podiatrist
Dr. Paul Maloof began his path to becoming an orthopaedic surgeon at Tufts University where he did his undergraduate work. He attended New Jersey Medical School where he completed his residency and served as Administrative Chief Resident in one of the busiest level-one trauma centers on the east coast. He completed his fellowship training in Foot & Ankle Surgery at Duke University, a known pioneer in ankle replacement surgery. Dr. Maloof brings many cutting-edge treatments to Hampton Roads, specializing in comprehensive, complex foot and ankle care.
TIDEWATER ORTHOPAEDICS Serving all of your orthopaedic needs from hip & knee replacements to problems with spine, shoulders, hands, foot & ankle, and sports medicine. Colin M. Kingston, MD Robert M. Campolattaro, MD Michael E. Higgins, MD Nicholas A. Smerlis, MD John J. McCarthy III, MD
williamsburg | 5208 Monticello Avenue, Suite 180 | Williamsburg, VA 23188 hampton | 901 Enterprise Parkway, Suite 900 | Hampton, VA 23666
Nicholas K. Sablan, MD Sara M. Bouraee, DPM Melissa M. Erickson, MD Paul B. Maloof, MD
(757) 637-7016 www.tidewaterortho.com
My recovery was so fast, after four days I was off all pain medications. Lorene Knee replacement patient
C
ombining fun, motivation and encouragement through group physical therapy is one of the ways we get you up and moving quickly. If knee or hip pain is affecting your lifestyle, the experts at Sentara OrthoJoint
Centers can help. Our joint replacement program features the latest surgical techniques, exceptional surgeons and staff, dedicated patient rooms and facilities, superior outcomes and faster recovery.
Sentara OrthOJOint Center® 1-855-2ORTHOJT (1-855-267-8465).
sentara.com/OrthoJointCenter
Your community, not-for-profit health partner
Patient and physician videos: • sentara.com/OrthoJointCenter • Cox ORTHOJT Channel #1891
LWell Offers... + Personal Training & Fitness Center + Healthy Cooking Classes + Diabetes-specific Workshops + And much more!
Call to Schedule Your Tour Today! 757.585.3441
Call today for a personal tour. 757.223.0888
301-A Village Ave. Yorktown, VA 23693 Located behind Village Square Shopping Center.
www.LWell.com Thomas A. Alberico, MD
What Sets Us Apart. • RN or LPN on every shift around-the-clock • All-inclusive rate plan • No large entrance fees • Continuum of Care in the event that
At Virginia Oncology Associates, we provide more than cancer care. We provide hope with proven cancer treatments that are personalized just for you. Our team of 39 physicians and expert staff will make you and your family feel right at home. We’ve been practicing cancer care with compassion for over 35 years, and are committed to providing the most advanced cancer treatment to our community. We have access to proven therapies as part of our affiliation with The US Oncology Network, the nation’s largest community-based cancer treatment and research network. At VOA, we treat you, not just your cancer.
The Huntington at The Newport
11143 Warwick Boulevard / Newport News, VA www.thehuntingtonatthenewport.com
A member of the Virginia Health Services family
VirginiaCancer.com
PENINSULA (757) 873-9400 | Hampton • Newport News • Williamsburg SOUTHSIDE (757) 466-8683 | Chesapeake • Franklin • Norfolk • Suffolk • Virginia Beach NORTH CAROLINA | Elizabeth City (252) 331-2044 • Kitty Hawk (252) 255-6122
THEHEALTHJOURNALS.COM | MAY 2014
rehabilitation or other medical attention is needed
Cancer doesn’t care. We do.
51
Calm and Caring Watch Dr. Drapach explain his passion for patient care.
RI VER SID E PA
Dmitry Drapach, D.O. I was raised in a family of doctors, so a career in medicine was a natural fit for me. I look at the full picture of a patient’s health and share that information so that the patient can understand his or her situation and treatment path. As a doctor, you have to spend time with your patients and feel a
New Name. Same Co
passion for what you do. You have
to be sincere. Having a calm, caring More highl
locations t and clear approach earns a patient’ s
locations i
trust, which is often the first step toward a successful outcome.
Partners In Women’s Mercury West MedicalHealth Center 2148 West Mercury Boulevard Hampton, VA 23666
Newport News
Lisa A. Casanova, M.D. Monilla M. Dent, M.D. Barry Gross, M.D. Jeffrey L. Henke, M.D. Leslie Hurt, M.D. Diane A. Maddela, D.O. Welcome. Maya Tyler, N.P.
To select Dr. Drapach as your physician, call (757) 827-1940 or visit us online at www.riversideonline.com/drapach Appointments Available Now. Medicare Patients
In addition we curren invasive gy in the area
For more i an appoint
Newport
William Irvi (GYN Oncol
(757) 594
Williams
Krystal Ains
We’ll fix it all—except for the bruised ego.
Jeffrey Moore, MD • Michael Potter, MD • Daniel Carr, MD • Robert Grant, MD • Lara Quinlan, MD • Thomas Durbin, MD • Benjamin Proto, DPM • Matthew Hopson, DPM • Alicia Lewis, PA-C
TPMG Orthopedics, Spine and Sports Medicine Two Locations & a 24-Hour Athlete Hotline 860 Omni Blvd., Ste 113 | Newport News, VA 23606 | 757-327-0657 5424 Discovery Park Blvd., Ste 204 | Williamsburg, VA 23188 | 757-345-5870 24-Hour Athlete Hotline | 757-813-5613
mytpmg.com
Spring Into Better Hearing
Jodi Ritchie, M.Ed., CCC-A
Sandy Burkes-Campbell, M.S., CCC-A Mavis W. Garrett, Au.D., CCC-A
MAICO AUDIOLOGICAL SERVICES
Your Hometown Hearing Center Evaluations for Adults & Children • Hearing Aid Demonstrations Hearing Aid Sales – Try Before You Buy • Hearing Aid Service & Repair Assistive Hearing Devices for TV & Telephones • Everyday Fair Pricing Participating with most insurances & discount programs We welcome FEP & Shipyard plans Newport News 703 Thimble Shoals Blvd, C-3 757.873.8794
Chesapeake Smithfield 1021 Eden Way North 1702-B South Church Street 757.547.3560 757.365.9933
Like us on Facebook
www.maicoaudio.com
FA M I LY FU N DAY Inflatable Juggle Zumba Fitness Soccer Activities Balls Teens with a Health Purpose Step and Fitness & Dance Displays Hurrah Giveaways Players
FREE!
Saturday, June 14, 10–12:30 Town Point Park, Norfolk (Following RunWalk for the Kids) CHKD.org/KohlsFitKids
MAY 17
24TH STREET PARK, VIRGINIA BEACH 804.240.3917
KidneyWalk.org
join us!
cfa5k.com
We’re Here For tHe
Heroes.
Keith was a tough, hard-working firefighter — until he was stricken by a life-threatening, unknown illness. He arrived in critical condition. EVMS doctors worked until they achieved the impossible — a diagnosis, a successful treatment plan, and a man on the road to recovery. You’re healthier because we’re here.
EVMS.edu/MyStory
Project CARE recognizes these practitioners for their exceptional service to the Hampton Roads Community.
James River Physicians
may 24, 2014 the mariners' museum, newport news
Hugh Berckmeuller, MD
Newport News Location 704 Thimble Shoals Blvd, Suite 100 Newport News, VA 23606 • 757-595-8404
We’ll put the spring back in your step
Our surgeons are the exclusive providers of care at the only dedicated Orthopaedic Hospital in the region. Michael E. Higgins, MD
Community Lecture
Tidewater Orthopaedics
“The SpecialiSTS Group”
May 20, 2014 - 6:00pm
Join Michael E. Higgins, M.D., at our Hampton office for an informative talk.
DIRECT ANTERIOR HIP REPLACEMENT (JIFFY HIP) 901 Enterprise Pkwy, Hampton, VA 23666 RSVP by calling 757-827-2480 ext 332 Light refreshments served • Free and open to the public
TIDEWATER ORTHOPAEDICS Serving all of your orthopaedic needs from hip & knee replacements, to problems with spine, shoulders, hands, foot & ankle, and sports medicine. Colin M. Kingston, MD Robert M. Campolattaro, MD Michael E. Higgins, MD Nicholas A. Smerlis, MD John J. McCarthy III, MD
williamsburg | 5208 Monticello Avenue, Suite 180 | Williamsburg, VA 23188 hampton | 901 Enterprise Parkway, Suite 900 | Hampton, VA 23666
Nicholas K. Sablan, MD Sara M. Bouraee, DPM Melissa M. Erickson, MD Paul B. Maloof, MD
(757) 637-7016
www.tidewaterortho.com
r i v e r s i d e d o c to r s ’ h o s p i ta l w i l l i a m s b u r g
Because emergencies aren’t about waiting
Heading to the Emergency Department means you need medical treatment. That’s why we work hard to make sure you will be seen as quickly as possible. • Advanced technology and an electronic medical record assist our staff in initiating diagnostic testing quickly. • Help us to help you by carrying your medication list with you on your visit. • RDHW is staffed by Board-Certified Emergency Physicians 24/7/365. • Many patients can alert us that they are headed our way by using InQuicker, an online program that works similarly to “call ahead seating” at a restaurant. Go to Riversideonline.com. You can’t always avoid accidents and illness. But you can avoid long waits for emergency treatment. Count on Riverside for care that is effective, efficient and fast.
You’re not just a patient, you’re our priority.
Battery B o entrance ulevard now open . You can now access the hospital from R Turn on to Q oute 199. uarterpath Road (by Ha rris Teeter) and then me rg to Battery Bo e right on ulevard.
riversideonline.com/rdhw
Your doctors. Your facilities. Our commitment to Williamsburg.