The Health Journal - April 2016 by The Health Journal

APRIL 2016 | HAMPTON ROADS EDITION

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BITS & PIECES | CONTRIBUTORS

JOSH ANDERSON

ALISON JOHNSON

Josh (M.S., PT) is the founder and editor of DIY Active: “Fit. Food. Life.” He strives to combine the latest science with fitness to help everyone exercise smarter from the comforts of their own homes!

Alison is a freelance writer who lives in Yorktown, Virginia. A former full-time newspaper reporter, she specializes in feature stories on health and parenting.

BRANDY CENTOLANZA Brandy is a freelance writer who covers health, parenting, education, travel and community issues for various publications in Hampton Roads and Richmond, Virginia.

TRACY SHACKLEFORD Tracy is a financial advisor who is passionate about helping her clients through a valuesbased financial planning process. Her clients are successful professionals and retirees who care about the people around them and want the best out of life.

KIMBERLEY CUACHON HAUGH Kimberley has a passion for fashion and food; “Look good. Eat well.” is her philosophy. She is the owner of Kimberley Ashlee Catering where she uses seasonal and sustainable ingredients.

Natalie is a freelance journalist with experience as a reporter, editor and columnist. She also works in marketing as a health care communication consultant.

SHAWN RADCLIFFE Shawn is a science writer and yoga instructor with over 15 years’ experience writing about science, health and medicine. In addition to The Health Journal, his work has appeared on Healthline and Men’s Fitness.

KIM O'BRIEN ROOT Kim has been a reporter for 20 years and previously worked for the Daily Press and The Roanoke Times. She’s been a freelance journalist since 2010.

BRIDGIT KIN-CHARLTON

BETH SHAMAIENGAR

Bridgit (M.S., Ed., C.P.T.) is a certified personal trainer and owner of Bdefined— Personal Fitness & Wellness Defined.

Beth was a writer and editor in Richmond for 11 years and then moved to Williamsburg, helping her family launch The Health Journal by serving as its first associate editor.

PEGGY WILLIAMSON Virginia Beach resident Peggy Williamson is an active mother and grandmother. Since her 1988 marriage to Pete Williamson, she has enjoyed six children in their blended family, and today is the matriarch of 10 grandchildren, ages 8-23.

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NATALIE MILLER MOORE

LILLIAN STEVENS Lillian works full-time at the College of William & Mary. Since becoming an empty nester several years ago, she has dedicated much of her spare time to her hobby: writing. Lillian lives in James City County with her husband Sam.

contents | bits & Pieces

APRIL

DID YOU

KNOW? Diabetic Ketoacidosis

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Americans consume 12.5 teaspoons more sugar each day than the American Heart Association recommends. DIGITAL ISSUE

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in the know | profile

YVETTE BLAESS By Chris Jones photography By brian freer

vette Blaessâ&#x20AC;&#x2122; natural father broke camp when she was still in utero and left the family bootstrapping in a Georgia trailer park. Her mother juggled her military career, attended school and cared for Blaess and her sister. She eventually enlisted the help of Blaessâ&#x20AC;&#x2122; grandmother to care for the girls while she rebuilt their lives.

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I wrote down everything that drove me into depression and what I didn’t like about my life. I answered honestly. I wrote that I wanted to help people. I have a passion for it. I’ve always helped my friends. I found my niche and I went for it.”

A few years later, when Blaess was 4 and her sister, 6, her mother again was faced with a difficult challenge—accept a promotion with the United States Army that involved more schooling, or pass on the opportunity. The single mother of two opted for the promotion as a way to help her family and in doing so had to choose temporary foster care for her children while she trained. Blaess hated the separation. “It was the worst experience I could have had as a child,” she recalls. “They didn’t care for us. We had meals and a roof over our head, but they had other kids and we felt like a burden.” Blaess and her sister spent six months in foster care. When her mother’s boyfriend got wind of what was happening via a letter from Blaess’ mother, the green beret took emergency leave from his mission overseas, flew back to the U.S., married her mother, and had the kids sent to her. “[When he] found out, [he] married my mom and then went back on his mission. He did that so we could get out of foster care. He gave us his last name and that got us all of the benefits of living on base so that we could have childcare and get back with our mother,” says Blaess. Blaess turned her attention to cheerleading. For 10 years, she competed around the globe taking her new dad everywhere with her. But even amidst the fun of competitive cheer, she felt like an outcast primarily because of a new challenge in her academic life—Blaess had a

learning disability. “I was diagnosed when I was in third or fourth grade,” remembers. And a few years later, puberty didn’t help her cause, either. It created a bullying problem centered around her. “I started getting a lot of attention from boys,” shares Blaess. “I was friends with a lot of the guys and I liked to play basketball. Girls in her class would talk poorly of her, sometimes approaching her and making remarks nasty to her face. Boys would act inappropriately towards her, too. “In middle school I was bullied and sexually harassed. Guys in the halls would touch me. Girls would call me names. This went on for two years,” she recounts. “They caught a guy on camera grabbing me and pushing me against a wall.” Blaess had to be escorted to all of her classes, eat lunch with her teachers and sit with her vice principal during school events. It became such a distraction that she had to exit public school. “This time shaped my depression and alcoholism,” tells Blaess who admits that the isolation led her to pick up drinking at age 14. Meanwhile, Blaess still couldn’t read. She was failing tests and shuffling between special education schools, Christian schools, and private schools for the next three years. When she finally returned to public school, she was a high school junior. Right before that, she met someone. Though the relationship started out blissfully, within a year, it became anything but. “He was my high school sweetheart. You had the cheerleader and the hot guy,” she says,

with a bounce in her voice before dropping an octave. “But a year later, he was sexually abusing me. He was also bullying me. I still have lighter burns from him on my arm.” Further bullying led to a sexual assault instigated by her former sweetheart. “He would tell people that ‘She’s this, she’s that’ and people would believe him. My family knew that I was having a hard time, but they didn’t know about any of this. They didn’t realize that [my depression] was coming from my social life,” says Blaess. She eventually completed high school receiving a special education diploma, but found herself in an adult world with little direction. She enrolled at Tidewater Community College, but confesses that she was “completely lost.” At 19 years old, still depressed, still drinking, Blaess sought help. “When I checked into rehab, I was drinking rum and Coke every morning. Even after checking out, I continued to drink,” she says. But shortly after her rehab stint, Blaess had an epiphany. The self-destructive patterns of her life were staring back at her. “I got to a point where I had went through several mentally and physically abusive relationships. I was repeating the same things over and over again. I got sick of it,” she says. “I wrote down everything that drove me into depression and what I didn’t like about my life. I answered honestly. I wrote that I wanted to make a difference. I have a passion for people. I found my niche and I went for it.” CONTINUED ON PG. 57

thehealthjournals.com | 13

in the know | Q&A

Sarah Balascio,

MEd, MPS, ATR-BC By Chris Jones

arah Balascio is an art therapist at Williamsburg Counseling. She has shoulder length brown hair and a disarming smile. We’re sitting in Starbucks at a hightop table huddling over cups of coffee and talking about what an art therapist is exactly, and chuckling about the public perception of what people think she does for a living. “Coming from the Northeast, art therapy is commonly practiced,” she leads in. “But coming here, a lot of people ask me, ‘What is art therapy?’” Art therapy is the use of art (it could be writing, music, visual art) as a tool of self-expression to work through emotional difficulty or through life transitions. Balascio's specialty is with adolescents, particularly those who struggle with self-harming behaviors or eating disorders,

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a segment she has seen a lot of healing in. “I may have told you about the guy I met who asked me about it,” she exclaims, wondering if she has or has not before continuing. “He said to me, ‘Art therapy? Art is supposed to be relaxing and therapeutic?’ And I said, ‘Well to some people it is.’ Then he said, ‘Well a couple of weeks ago we went to one of those paint nights for work and it was supposed to be a group bonding thing and I was so stressed out because I wanted it to look just like the original.’ I told him that’s not art therapy. It’s not about making a masterpiece. A lot of times, stuff gets thrown out. And likewise, people will say that ‘I’m not an artist, this is not for me.’ And I’ll say, ‘Anyone can be an artist. It’s like any skill; the more you do it the more comfortable you get. It’s ok to make stuff you think is ugly. Throw it out and start over. It’s not for artists. It’s abstract,” And of course, there’s always the misconception that she can interpret art by a concerned parent who approaches her attempting to make sense of imagery, symbols or ideas expressed in the art of their child. “[That’s] probably the biggest one—people asking me what certain symbols mean or what dreams mean. There are diagnostic tests you can do, but I’m coming from more of a philosophy of talking about what’s happening in the room,” she explains. In order to fully appreciate the work Balascio does and why she does it, we need to go back to New England where it all started. Sarah, what was it about teaching that led you to art therapy?

I really loved helping kids express themselves, but the part that I liked best was what the kids would get out of it. So talking with them about what it felt like when they were doing art or what it reminded them of. Often times I would see kids in the art room who had trouble in the classroom, but I had no idea because you wouldn’t see it when they were doing art. That was the connection for me. That’s when I said that there was something more than art teaching for me. There is something

therapeutic about it that I have more of an interest in. That’s when I decided to get a graduate degree in art therapy. So you picked up a graduate degree in art therapy from Pratt Institute. Then what did you do?

I worked in two really large psychiatric hospitals. One was in Vermont called Brattleboro Retreat. It’s one of the oldest psychiatric hospitals in the country. I was on the adolescent unit. What I did was plan the schedule of therapy groups for the day and I facilitated most of those groups. I did art therapy groups and yoga groups, but my main focus was art therapy and creative arts. We’ve moved a lot for my husband’s academic career. [After Brattleboro] I worked for New York Presbyterian Psychiatric Hospital, one of the U.S. News & World Reports top hospitals. It was a huge hospital with 12 different units and I went to each one and did art therapy with each of the different populations. What brought you from New York City to Williamsburg?

My husband and I moved to Williamsburg because he started a faculty position at William & Mary. Once we moved here, I was finally able to go into private practice. Most people are familiar with talk therapy. How does a session with an art therapist differ from traditional counseling, and who should consider consulting with an art therapist?

Art therapy is different than traditional therapy because we will be making art. Picture yourself as a kid and your parents make you go to therapy for a particular reason— if they’re getting a divorce, if there is an illness in the family, or whatever reason—and you need to speak to someone. For a kid, it’s hard to talk to some older person staring you down. So what we will do is talk a little bit, make some art, talk about the artwork, talk about the feelings that are brought up or things that might be similar in your own life. It relaxes people. Some art therapists do focus on

Q&A | in the know

symbolism in artwork—you drew that, it might mean this. I’m more about what’s happening in the room in the moment. There are certain standard symbols, but I don’t always focus on them so hard and fast. And I don’t just work with children and adolescents, I also work with adults. I’m seeing a client now who wanted to try something different. Traditional therapy wasn’t working. Anyone who generally has trouble communicating directly by just sitting and talking to someone, art therapy generally adds comfort. It also gives more insight when we talk about the artwork. How long does a session last, and how do you integrate office visits and parental collaboration?

Sessions are about an hour. Every few sessions when I’m working with children and adolescents, I set up a meeting with the

parents and ask if they’re seeing any changes and I tell them things I’m noticing in the session and how they merge. Then I tell them what we’re going to be focusing on. What’s the most important principle to embrace if I want to get the most out of therapy?

How else do you help people?

Communication. I have people who say to me, “I was seeing another therapist, and I didn’t really know what was going on with my child.” So I’ve made communication a real priority. I encourage parents to email me before sessions to tell me what’s going on. Then I can ask the child to tell me what’s going on at home or at school while we do art. So what does successful therapy look like from the standpoint of an art therapist?

That’s up to the individual. I had one client who was self-conscious and had low

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self-esteem. She was terrified to do any art. Now she’s creatively free. It’s gotten her juices flowing in her personal life, her creative life and her confidence is up. That was something that was really recognizable for me. Aside from individual work, I also do group therapy. I have a big art studio and I’m going to be doing more group work. General creative art therapy groups for children and adolescents, and disorder-focused groups. What about your work gets you up and excited each day?

I love art. I love seeing what people can make. I love being a part of the art. I love being here for people. I love to listen. I love to see that feeling when people tell you something and it becomes a release for them. I find people very interesting—and I love to talk.

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in the know | My Health

Getting My Life Back By Anthony Foglia

n the summer of 2012, I was 412 pounds. I finally had enough of being overweight, but I felt that I couldn’t do it cold turkey. I tried everything before. I was even in Weight Watchers at 12 years old. I opted for weight loss surgery when my mother found a surgeon who would perform weight loss surgery on an adolescent. After discussing all of the options, we settled on the gastric sleeve procedure. I scheduled surgery for November 8 and once the date was locked in, I knew I was ready. The weeks leading up to surgery were some of the slowest in my life. I was going to be the youngest person in the United States at the time to have this operation. Once I had the surgery, I was dropping five to 10 pounds per week for at least four months. For once in my life, I was feeling healthier. All of my classmates were

astonished on how quickly the weight was coming off. At my one-year surgery anniversary, I was 190 pounds. I shed 222 pounds in a year! However, due to the extremely rapid weight loss, I had an ridiculous amount of loose skin left.

Although I was physically healthy for once in my life, I still didn’t like the way I looked. I struggled with body image issues for the next year. No matter how much working out I did, I would never tone up all of the extra skin. I started to search for plastic surgeons. I chose on Dr. Tushar Patel from the Plastic Surgery Center in Shrewsbury, New Jersey. In August of 2014, I went to his office and explained to him that I wanted to get all of my skin removed by him. He told me I would have to split it up into three surgeries because of the amount of skin I had. After a lengthy six-hour surgery that November, I knew I made the right choice. I could see my flat stomach. As of right now, I am 203 pounds, getting ready for college, and most of all, happy.

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Gregg R. Eure, M.D., F.A.C.S, Urology of Virginia 757-457-5100 thehealthjournals.com | 17

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your health care questions answered

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in the know | advances in medicine

EnChroma enhances Vision for the Colorblind by Kim O'Brien Root

n a breezy January evening, Tristian Castleman stood on the banks of the James River and faced the setting sun. He donned a pair of sunglasses and blinked. Then he smiled. It was the first time the 19-year-old had seen a sunset in its true colors. “Cool,” he said, grinning the whole time. The Williamsburg teenager is one of an estimated 300 million people around the world who are colorblind, also known as color vision deficiency. Like most people who have the condition, Castleman is red-green colorblind, which makes hues of red and green hard to see. But other colors in the normal color spectrum can be off as well. Reds and greens usually come across as brown. Purple might look blue. Pink appears as gray. Thanks to the special pair of sunglasses Castleman now has, he can see all those colors. The high-tech specs are made by a California-based company called EnChroma, which has distributed some 25,000 pairs of their glasses since they were introduced to the public in 2012. They do not cure colorblindness, but they boost and improve color vision for the colorblind. “The glasses add more depth,” says Kent Streeb, an EnChroma spokesperson. “People will say that before, grass just looked like a brush of color. This helps them see shades of green.”

18 | thehealthjournals.com

Castleman received the glasses—thanks to an anonymous donor—after he entered a contest sponsored by EnChroma and the Clorox Company. The two companies wanted to get EnChroma glasses into the hands of colorblind schoolchildren across the country. According to EnChroma, many colorblind students struggle in school because so much information is color-coded, especially in the first 10 years of a child’s life. Think about picking the right crayon in kindergarten. Or choosing colored blocks on a worksheet. “It is important to get EnChroma eyewear to as many colorblind children as possible to level the playing field at school,” says Tony Dykes, EnChroma’s CEO, earlier this year. That EnChroma glasses help the colorblind was actually an accident. Company cofounder Don McPherson, a glass scientist, originally intended his glasses to help protect surgeons’ eyes from lasers and to help differentiate human tissue. He happened to have the glasses on while playing Frisbee with a friend, and the friend asked to try them on. The friend, who was colorblind, put the glasses on and could see colors he had never seen before. That sparked a new idea for McPherson, who obtained a grant from the National Institutes of Health to learn more about color vision and how special glasses might help. The first glasses were introduced

advances in medicine | in the know

to the public in 2012, selling for $700. bottom stop light,” says his mother, Stephanie Later improvements allowed the company to Castleman. “Before, it was just illuminated. It drop the price, and they now range from $250 to was just white.” $450. Adult and child Castleman recently models are available received a second pair When someone is colorblind, cells in sunglasses, regular of glasses, this time a in the retina that enable the brain to glasses, a hybrid clear pair that he can use between the two, indoors. He’s currently perceive color are abnormal. The most and can be made to away at Wisconsin’s common deficiency affects the red fit prescriptions that Shepherds College, and green cones in the eye, although correct vision. which offers a program When someone blue-cone abnormalities also exist. for the intellectually is colorblind, cells disabled. Castleman, in the retina that who graduated from enable the brain to perceive color are abnormal. Jamestown High School (where he was the The most common deficiency affects the red mascot for four years), is attending a program and green cones in the eye, although blue-cone there that will allow him to become more abnormalities also exist. There is such a thing as independent while at the same time study the total colorblindness, in which someone sees only culinary arts. black and white, but it’s very rare. His mom says she can’t wait for Tristian’s EnChroma’s glasses are for those with redreturn home this summer, when he’ll be able green color vision deficiency—they work by to see much more than the stark brown trees re-establishing the correct balance between he saw over the winter. signals from the three photo pigments in the “I can’t wait,” Stephanie Castleman says, eye. In a normal eye, the green and red photo “for him to see flowers.” receptors overlap, while in the colorblind, the overlap is even greater, causing distinct hues to become indistinguishable. The glasses help that. They work for four out of five people who try them, EnChroma’s Streeb says. There are competitors who also make glasses geared to help the colorblind, but Streeb says those are usually lenses that are simply tinted pink or red, which can help shades “pop” out from Take EnChroma’s online test to see if you each other. The EnChroma glasses, Streeb says, let could be colorblind: www.enchroma.com people actually see the nuances in the shades, not just that there’s a difference between them. See Tristian Castleman try on EnChroma For Castleman, the glasses are allowing him sunglasses for the first time: to see colors he never saw before. Pineapples had https://youtu.be/F3mGZAqctZA always looked brown to him—with the glasses on, they’re green. Radishes looked brown—now And see a sunset for the first time: they’re red. It wasn’t until he looked through the https://youtu.be/Z78Aqa2i5E8 glasses that he realized the colors of the College of William and Mary are green and yellow, and Want to see what life is life for the red-green not brown and yellow. color blind? Download the Chromatic Vision And an American flag? It now looks red, white Simulator app on the iTunes App Store. and blue, instead of brown, white and blue. “When he tried them on for the first time, he said, ‘Wait, it’s green?’ while pointing to the thehealthjournals.com | 19

features | women and alcohol

Women and Alcohol

By Lillian H. Stevens

he memes are everywhere, from T-shirts to social media. “Wine me up and watch me go!” or “I like to cook with wine. Sometimes I put it in the food.” Much of the hilarity is geared toward women, but the truth is simple: alcohol affects women differently than it does men. According to the National Institute of Health, women tend to have alcohol-related problems even if they consume less alcohol than men. They tend to weigh less and, pound-for-pound, women have less water in their bodies than men. This means that drink-for-drink, since alcohol disperses in the body’s water, a woman’s blood-alcohol concentration will be higher. This does not mean that every woman who enjoys a daily glass of wine must become a teetotaler. It just means that females should be cognizant about their bodies and lifestyles. The amount of alcohol that a woman can safely drink depends upon a variety of factors. What does she weigh? How old is she? Has she eaten recently? Are there genetic markers such as predisposition to heart disease and certain kinds of cancer?

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women and alcohol | features

Facts About Women & Alcohol HOW MUCH IS TOO MUCH? The United States Department of Agriculture defines moderate drinking as: up to one drink per day for women (up to two drinks per day for men). A standard drink can be defined as one 12-ounce bottle of beer or wine cooler, one 5-ounce glass of wine or 1.5 ounces of 80-proof distilled spirits. Research shows that women who drink more than light to moderate amounts of alcohol are more vulnerable than men to certain liver disease, including hepatitis, an inflammation of the liver. Women are also more likely to die from liver cirrhosis, a chronic disease that progressively destroys the liver’s ability to aid in digestion and detoxification. Still, alcohol consumption among women is on the rise. Indeed, the progression from light or moderate drinking to heavy or alcoholic drinking can be a slippery slope. Are there signs? “For all of us—women and men—it should be a ‘take it or leave it’ perspective,” says Dave Andrews, author of The 30-Day Sobriety Solution. “If you are honest with yourself, it’s just that simple. I like to compare it to gambling. I don’t have a problem with gambling. I can go to a casino and watch people gamble for hours.” If in doubt, Andrews suggests a 30-day reboot. “For one thing, it’s good for your health to give your body a break. For another, abstaining from alcohol for 30 days ought not to be a big deal. If you set out to do it and find that you are counting the days to day 30, then yes—maybe there’s a problem.” According to the National Institute on Alcohol Abuse and Alcoholism, it’s better to exercise regularly, keep a nutritious diet, maintain a healthy weight and abstain from smoking. For those who want to enjoy drinking, it’s important to know where to draw the line—and it’s important to redraw the line as they grow older. Some who drink in moderation will progress to alcohol abuse or even alcohol dependency. In fact, about half of all cases of alcoholism in women begin after age 59. If it appears that even so-called moderate drinking can be risky, it is. “Research shows that women who drink are at higher risk for breast cancer, in particular,” Andrews says. The bottom line? Women who drink should err on the light side because less is best.

• Women who consume a drink a day have a 10 percent higher risk of developing breast cancer than women who do not drink. • Pregnant woman who drink heavily put their fetus at an increased risk for learning and behavioral problems and abnormal facial features. • Women are the fastest growing segment of the alcohol abusing population. • Due to lower levels of water retained in the body, women reach higher blood alcohol concentrations than men who drink the same amount. • Women break down alcohol less efficiently than men. • Excessive drinking may disrupt menstrual cycling and increase the risk of infertility, miscarriage, stillbirth and premature delivery. • The risk of cirrhosis and other alcoholrelated liver diseases is higher for women than for men. • Research suggests that women are more vulnerable than men to the brain damaging effects of excessive alcohol use. • Moderate drinking is defined as no more than 1 drink per day for women and no more than 2 drinks per day for men. • Women with household incomes above $75,000 are more likely to binge drink than those in lower income brackets. • Women who abuse alcohol tend to seek out help four to five years earlier than their male counterparts. • Alcohol dependence is twice as deadly for women as for men. • Girls who start dieting in sixth grade are more likely to engage in alcohol misuse later in life. • Birth control pills slow down the rate at which alcohol is eliminated from the body. • Approximately 4.6 million (about one-third) of alcohol abusers in the U.S. are women. • Women’s drinking tends to resemble that of their husbands, siblings and close friends.

thehealthjournals.com | 21

Extra | Fotofinder

Skin Scanner Sharper than a Tack

FotoFinder monitors tiniest changes in skin blemishes by Kim O'Brien Root

body mapping computer system promises to offer the very latest in tracking potentially deadly skin cancer, allowing patients to get care before there’s a problem. FotoFinder is a computerized mole mapping system that a doctor uses to create a detailed account of all the moles on a patient’s body. It uses a high-resolution camera to take the clearest possible photos, while sophisticated software compares skin marks to new ones each time a patient is scanned, detecting the tiniest of changes. The goal is simple: To find problem moles or spots before they have a chance to turn into what could be deadly melanoma. “A lot of our marks and moles aren’t anything to be worried about,” says Craig Pepple, vice president of n1health, a Richmond-based concierge medicine practice. But for those that are worrisome, FotoFinder can find them. Then they can be treated.

The goal is simple: To find problem moles or spots before they have a chance to turn into what could be deadly melanoma. Typically, a full body-scan in a dermatologist’s office involves a doctor going over a patient’s body by sight, noting spots and moles on the body. If an area looks suspicious, the doctor might remove it then and there for further testing. Or, the doctor might keep an eye on a mole, taking a digital photo for comparison and telling the patient to watch it for changes.

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Extra | Fotofinder

75%

of skin cancer deaths are from melanoma, a form of cancer that begins in cells that create the pigment melanin

A scan by FotoFinder, meanwhile, involves taking numerous photos of the entire skin surface in just a few minutes, and then having the system quickly analyze the photos and determine the risk. The software identifies a mole three ways: Don’t worry, keep an eye on it, or do something now. Brian Hamilton of Richmond had a scan done by a FotoFinder a few years ago when it picked up a growth on his ear. One particular mole had grown in size since a previous visit, and Hamilton was immediately referred to a specialist. A biopsy determined the mole was melanoma, and Hamilton ended up having the top part of his ear removed. “Now I’m fine,” says Hamilton, who is in his late 40s, “although I often wonder what would have happened if I hadn’t been tested and my physician hadn’t found the problem when he did.” Skin cancer is the most common cancer, with 1 in 5 Americans estimated to develop it in their lifetime, according to the American Academy of Dermatology. More than 8,500 people in the United States are diagnosed with skin cancer every day. About 75 percent of skin cancer deaths are from melanoma, a form of cancer that begins in cells that create the pigment melanin, and is one of the most dangerous cancer types leading to thousands of deaths per year. If caught early, however, melanoma can be cut out before it has a chance to spread to other parts of the body. That’s why regular skin checks are highly recommended by the National Cancer Institute. CONTINUED ON PG. 56

24 | thehealthjournals.com

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features | Diabetic ketoacidosis

DIA BETIC

KETO ACIDOSIS by Alison Johnson

wo weeks before a family vacation last spring, 10-year-old Hailey Evans started to drink a lot more water. Her parents didn’t think much of it, given that Hailey had just joined a running team at her school in Northern Virginia and was exercising more. Not long after landing in Bolivia, where one of Hailey’s grandparents lives, she complained of a stomachache and nausea. Altitude sickness, her parents figured. Then Hailey took a sudden turn for the worse. Hospitalized the next day, she was diagnosed with Type 1 diabetes within an hour. A few hours after that, she was in coma caused by swelling in her brain and severe dehydration. The next morning, April 20th, Hailey died, two weeks shy of her 11th birthday. Hailey’s devastated parents, Vanessa and Derrick Evans, now have joined a growing chorus of voices determined to raise awareness of Type 1 diabetes and push for more regular blood sugar testing. While Type 1 diabetes is the second most common chronic illness of childhood—trailing only asthma—it can mimic other common ailments and often is missed until it has taken a potentially deadly turn.

26 | thehealthjournals.com

Diabetic ketoacidosis | features

“We had no idea,” Vanessa Evans says. “I wish I would have known, because maybe taking her to the doctor sooner would have saved her life. I would have never thought this could happen to anyone, much less us, yet here we are, left without our beautiful daughter. I don’t wish this pain on anyone. As we learned the hard way, with this disease, every minute, every hour, every day counts.” Cases of Type 1 diabetes are increasing worldwide, particularly in young children. Warning signs can include extreme thirst, frequent urination, a fruity breath odor and blurred vision, as well as generalized symptoms such as fatigue, nausea, stomachache, appetite changes and weight loss. Kids have been misdiagnosed with viruses, acid reflux, strep throat, sinus or urinary tract infections and more. “There can be a whole constellation of symptoms, many of them flu-like,” says Dr. Steven Griffen, senior vice president of Research at the Juvenile Diabetes Research Foundation. “If you’re not thinking Type 1 diabetes, it’s not that hard to miss.”

Dr. Steven Griffen Senior Vice President of Research at the Juvenile Diabetes Research Foundation

Reegan Oxendine 16-month-old, Reegan, died of DKA in 2014

It’s torture, knowing that something could have been done for Reegan. And I knew that if it happened to us, it’s going to happen again. -Darice Oxendine “So many people are ignorant,” says Darice Oxendine, a North Carolina mother whose 16-month-old daughter, Reegan, died of DKA in 2014 and inspired a first-in-the-nation bill that encourages doctors in the state to review symptoms with families. “It’s torture, knowing that something could have been done for Reegan. And I knew that if it happened to us, it’s going to happen again.”

If you’re not thinking Type 1 diabetes, it’s not that hard to miss. Type 1 diabetes develops when a patient’s immune system mysteriously destroys pancreatic cells that make the hormone insulin, which regulates blood sugar levels and helps cells use the sugar glucose for energy. While still incurable, the disease can be effectively managed with daily insulin injections or pumps. Untreated kids, however, are at risk for a life-threatening condition called diabetic ketoacidosis (DKA). DKA develops when glucose-starved cells trigger a process that makes blood more acidic.

Type 1 diabetes develops when a patient’s immune system mysteriously destroys pancreatic cells that make the hormone insulin, which regulates blood sugar levels and helps cells use the sugar glucose for energy.

thehealthjournals.com | 27

features | Diabetic ketoacidosis

A RISING HEALTH CONCERN

Cases of Type 1 diabetes are on the rise worldwide, according to the Centers for Disease Control and Prevention. About 1.2 million Americans—200,000 younger than 20—are living with the disease. Unlike Type 2 diabetes, which tends to develop in adulthood and is linked to obesity, poor diet and lack of exercise, Type 1 almost always appears before age 40. Half of patients are diagnosed by 18. By 2050 in the United States, cases in children and teenagers are predicted to more than triple, with the average age of diagnosis apparently decreasing, Griffen says. The jump is too large to attribute to genetics alone; a list of still-unproven hypotheses include environmental factors, changing diets, vitamin D deficiencies, earlier introduction of cow’s milk, less exposure to germs that occupy the immune system and overuse of antibiotics that can alter bacteria in the digestive system. In one city alone, Philadelphia, Pennsylvania, the incidence of Type 1 diabetes in children younger than 5 has more than doubled since 1985, according to a comprehensive registry developed by Terri Lipman, Ph.Dm, Professor of nutrition and professor of nursing of children at the University of Pennsylvania School of Nursing. Lipman believes the registry is a microcosm of what is happening nationwide. The disease’s mortality rate is highest in babies, toddlers and preschoolers, due to delayed diagnoses and greater vulnerability to dehydration, Lipman says. “Young children are unable to articulate some of the symptoms of Type 1 diabetes,” she explains. “Also, it is more difficult to quantitate a classic symptom—excessive urination—in a child who wears diapers.” The time between first symptoms and a lifethreatening crisis depends on how quickly each patient’s immune system destroys cells in the pancreas. However, the process tends to be more aggressive in younger children, Griffen says. Reegan Oxendine’s story is a heartbreaking example. Reegan was a healthy and joyful 14-month-old when she lost her appetite and began vomiting. Her doctor first diagnosed a virus, then acid reflux; Reegan took medication for reflux for several weeks. “Then one day she started panting, kind of like a dog,” Darice Oxendine recalls. “Her tongue was out.”

28 | thehealthjournals.com

Reegan’s untreated diabetes had progressed to DKA, as her body desperately began to burn fat for energy. That fat-burning process produces toxic chemicals called ketones, which can make blood so acidic that it poisons the body and brain. Reegan passed away in September 2014, after a six-week struggle in the hospital. “She fought for as long as her little body could,” Oxendine says. By April, Oxendine had connected with her state representative to create what would become Reegan’s Rule, which passed about a year after her daughter’s death. The bill encourages doctors to speak to parents about signs of Type 1 diabetes at specified intervals from birth through age 5. “Reegan came here and changed the world in 16 months. Who does that?” Darice Oxendine notes. “God blessed us with her life. Still, it doesn’t make it any easier to lose her.”

INTO THE FUTURE

Researchers are moving closer to a cure for Type 1 diabetes; one Boston, Massachusettes-based group, for example, is working on replacements for destroyed pancreatic cells. In the meantime, Reegan’s Rule has become the model for a push for similar—or, advocates hope, even stronger —bills in other states. Vanessa Evans has contacted the Oxendine family and hopes to lead an effort in Virginia in the near future. In November, Pennsylvania became the second state to pass such legislation. House Resolution 569 again promotes education by doctors and was championed by parent Debbie Healy, who nearly lost her 17-yearold son, Michael, in the spring of 2014. In the weeks before his diagnosis, Michael had been more thirsty and tired, reported some blurry vision and, as his parents later learned, had dropped 10 to 15 pounds. But the weight loss wasn’t obvious on the high school junior’s lanky, 6-foot-2-inch frame— or under his bulky winter clothes—and he also had a non-alarming raspy voice and some sinus pressure. “We thought, ‘Maybe a sinus infection or some little virus,’” Healy recalls. “He didn’t seem that sick.”

That changed on March 17, a day that Michael had missed school. “I came home from work and he just looked horrible,” Healy says. “He had a sunken-in look like he was severely dehydrated. He was gaunt. I thought, ‘Oh my God, what is wrong with him?’” At the hospital, Michael’s blood sugars were about 14 times higher than normal, so elevated that he was near death and at risk of permanent brain damage if he survived. He was lucky: after four days of careful treatment with insulin and fluids, Michael left the hospital. He is now a freshman at Penn State University, majoring in kinesiology, controlling his diabetes with insulin and healthy eating and strong enough to do long bike rides to fundraise for diabetes research. “I thought I was a bad mom because I hadn’t known how sick he was,” Healy says. “But I’m not. People just don’t know. I am so grateful that I got to keep my child. It was haunting me that other parents didn’t get that same chance. I couldn’t stand the thought of it.”

Ryan Mackenzie Pennsylvania State Rep.

I also didn’t realize how quickly the disease could progress to coma or death if not identified. Neither could Pennsylvania State Rep. Ryan Mackenzie, who agreed to sponsor House Resolution 569. “I did not realize that its first symptoms were so closely related to many common illnesses,” Mackenzie says. “I also didn’t realize how quickly the disease could progress to coma or death if not identified. I could see how anyone could mistake the common symptoms for something less serious.” Health-related resolutions often are distributed to doctors and nurses and submitted to medical publications and media outlets. “I will remain in continued conversations with medical professionals, patients and the families of those with Type 1 diabetes to increase awareness,” Mackenzie adds. CONTINUED ON PG. 56

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Food Food || food food && Nutrition Nutrition

WHAT’S IN

YOUR FRIDGE? How a Fridge Makeover Can Help You Eat Healthier by Lisa marie conklin

ave you been thinking about losing a few pounds or just want to eat healthier in general? Start with your fridge. Go take a peek. What’s the first thing you see? Soda? Leftovers from greasy take-out? A half-eaten log of cookie dough? Where are your fruits and veggies stored?

THE SCIENCE

Brian Wansink, Ph.D., director of Cornell University Food and Brand Lab and author of “Slim by Design: Mindless Eating Solutions for Everyday Life”, conducted a study and found people who moved fruit and veggies to the top shelf instead of keeping them in the crisper bin ate nearly three times more produce

FRONT AND CENTER

We’re not saying you can’t indulge from time to time. Everything in moderation, right? But if you’re trying to eat healthier, why not make it easier for yourself and the entire family? Place the fruits and veggies at eye level. Don’t limit yourself to the same varieties. Each week challenge yourself to buy a new fruit and veggie. “All fruits and veggies have different

30 | thehealthjournals.com

as they had previously. Sounds simple enough. Claudia Faretta, a Williamsburg registered dietitian agrees. “Keeping healthier foods at eye level and in front of the fridge seriously makes a difference, even with those of us who naturally eat healthy because of our profession!”

nutrients and can fit into a healthy diet,” says Gale Pearson, a registered dietitian and certified diabetes educator at Tidewater Physicians Multispeciality Group. Portion fruits and veggies in snack size bags or clear reusable containers. “It will become easier to grab a snack bag of veggies and fruit than chips and cookies,” says Pearson.

food food & & Nutrition Nutrition || Food Food

DON’T FORGET THE PROTEIN

Faretta recommends hard-boiled eggs, low-calorie Greek yogurt, plain yogurt, skim milk, tofu, lean turkey and chicken breast and salmon. To satisfy your craving for something crunchy, she suggests almonds, walnuts, pecans, pine nuts and sunflower seeds. Since they contain high amounts of oil, they’ll stay fresh longer in the fridge.

If you prefer the ease of lunchmeat to assemble the kids’ sandwiches look for low-sodium and nitrate-free options. Pre-packaged lunchmeats usually have preservatives and sodium to keep them fresh longer. “I would stick to chicken breast, roast beef and turkey breast deli meats since they’re less likely to be processed,” says Faretta.

INSIDE THE DOOR

Condiments and creamy salad dressing can add calories quickly to even the healthiest dishes. Pearson says to stock the door with assorted vinegars and mustards, hot sauce, low sodium ketchup, light mayonnaise, low sodium soy sauce, lemon and lime juice, 100 percent jams and jellies, and low-sodium/low-fat salad dressings with less than 110 calories per serving.

COOL TREATS

Faretta likes to mix salsa and hummus for a veggie dip. Since hummus calories can add up quickly, the salsa helps bulk it up and give it some kick. Craving sweet and creamy? Soak old-fashion oats in unsweetened almond milk overnight and add berries and nuts after warming it up.

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Food | flavor

by kimberley cuachon haugh

HOW & WHY

cheese for dessert TO EAT

s a caterer, I can confidently say that I’ve done my fair share of cheese platters. It’s a crowdpleasing opener. But lately I’ve been pushing more of my clients to hold the cheese for dessert. Why? Because cheese is amazing! Seriously. What I’m hearing more from my clients is that they’re looking for a dessert option that’s not too sweet, that’s refreshing, and that’s appealing to many palates. They want something different.

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Those opting for cheese plates have been pleasantly surprised, as have their guests. One guest appreciated having something to pair with her leftover wine from dinner. Time and again I’ve witnessed guests hit the cheese hard before dinner, which can wreck your appetite, but mindful portions after a meal allow you to appreciate the cheese’s flavors. I don’t know about you, but when I launch into dessert after a savory and beautiful meal, a sweet dessert erases the

meal; however finishing off on another savory level continues the experience. Make no mistake; cheese can be sweet. Super-aged Gouda possesses a slight sweetness. If you can find a 3-year-old Gouda, you’ll taste some surprising caramel notes. Also, cheese paired with dried and fresh fruits, marmalades, or jams give you a refreshing sweetness. Add some port or sherry with your cheese to enhance the experience.

flavor | Food

The Power of Three.

READY TO WOW YOURSELF AND YOUR GUESTS WITH A CHEESE PLATTER AS YOUR GRAND FINALE?

A trio will deliver enough diversity without being overwhelming. When it comes to choosing what kind of cheese, it’s best to showcase a hard, a soft and a blue.

Here are my recommendations:

HARD — PAIR WITH NUTS.

SOFT — PAIR WITH MARMALADE.

1. Aged Gouda. With its burnt caramel flavor, this staple from the city of Gouda in the Netherlands is one of the most popular cheeses in the world. It accounts for 50 to 60 percent of global cheese consumption.

1. Palet de Babligny. From the Loire Region of France. It is a soft-white cheese made from cow’s milk with a slight fruity flavor.

2. Midnight Moon. A Gouda-style cheese produced in the Netherlands and sold under the Cypress Grove label, its flavors hint of brown butter with intense caramel undertones. 3. Apple Walnut Smoked Promontory. Coldsmoked over red apples and Utah walnut wood, this cheese hosts a nutty, subtle sweet and smoky flavor.

2. Brillat-Savarin. Produced by three dairies situated in the Île de France region. This triple cream dessert cheese has a fat content of at least 75 percent. 3. Vignotte. Produced in the Champagne-Ardenne region of Normandy. It is a high fat, triple cream French cheese made with pasteurized cow’s milk.

BLUE — PAIR WITH DRIED FRUIT. 1. Roquefort. Made in France from sheep’s milk, it has a salty, sharp and tangy flavor. 2. Bleu De Causses. A close cousin to Roquefort, it is produced in the Languedoc region of southern France. It has a sharp and spicy flavor. 3. Stilton. This is the quintessential English cheese. Made from cow’s milk, it has a spicy and strong flavor.

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Food | taste appeal

French Lentil Salad with Quinoa

delicious & easy

Spring Salads Recipe by Waypoint Grill

INGREDIENTS

MAKES 1 SERVING

• 4 cups cooked french green lentils • 1 cup cooked quinoa • 12 ounces cooked petite green beans or asparagus, cut in half on bias • 2 cups shredded carrots • 1 small red onion, thinly sliced • 2 cups yellow and red grape tomatoes, cut in half • Zest of 1 lemon • Chopped parsley • Chopped fresh thyme • Salt and pepper

Dressing • 3/4 cup olive oil • 1/4 cup sherry vinegar • 2 tablespoons whole grain mustard • 1 garlic clove • 1 teaspoon sugar • Salt and pepper

DIRECTIONS 1. Place first 5 ingredients in blender and pulse to incorporate without over blending. Season with salt and pepper. 2. Toss all salad ingredients together in a large bowl, drizzle with dressing and mix well.

34 | thehealthjournals.com

Simple Persian Salad

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INGREDIENTS

MAKES 4 SERVINGS

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• 2 cucumbers, seeded, diced • 4 medium tomatoes, diced • 1 medium red onion, diced • 2 tablespoons fat-free feta cheese, crumbled • 1/4 cup chopped, fresh mint or parsley ,or 1 tablespoon dried mint or parsley

Presented by:

• 2 limes, juiced • 1 tablespoon extra-virgin olive oil • 1/2 teaspoon black pepper

DIRECTIONS 1. Mix cucumber, tomatoes, onion, feta and herbs in a bowl and refrigerate for 20 minutes. 2. In a small bowl, combine lime juice, oil and pepper. Whisk well. 3. Pour over vegetable mixture and serve.

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MAGAZINE

Food | vine & Dine

a Taste of

by chris Jones

lenn Lavender stands behind a gorgeous solid wood bar donning a red and white Silver Hand Meadery tee. He’s pouring meads for me to try. “This is a traditional mead,” he says. It’s his flagship variety, Virginia Moon, which if you know Lavender, is inspired by a song of the same title by the Foo Fighters. His bottle names are all inspired by songs and lyrics, a given since Lavender is a professional musician. “Whoa, that’s good,” I say, lowering the glass from my mouth. “It’s cool to the taste, but warm going down—and it’s sweet, too.” He smiles, then he gives me a quick primer on how bees influence the flavor of this drink widely regarded as the world’s oldest alcoholic beverage. “There are over 300 varietals of honey,” he shares. “Just like a different grape will give you a different wine, different honey will give you a different mead.” Lavender unscrews the lids off of a few small numbered bottles from a rectangular bin and thrusts a few towards me. “We got this in Spain,” he says. “It’s an avocado blossom honey. This is a goldenrod honey. Then we’ve got a bamboo honey.” He continues his discourse, “We have a Virginia wildflower honey. Then there’s clover honey—which you’re familiar with—orange blossom, raspberry blossom, blueberry blossom and another one called star thistle.” Lavender and his wife and business partner, Sherri, bring in honey from across the country and around the world where the plant varieties are most prevalent— orange honey from Florida or California where orange

36 | thehealthjournals.com

trees grow natively and blueberry honey from patches in New Jersey. In a class by itself—it’s not technically wine though it’s sometimes called honey wine—mead is the fastest growing segment of the alcohol industry. The American Mead Makers Association reports that mead sales increased 130 percent from 2012 to 2013, exceeding growth rates for beer, wine, distilled spirits and hard cider.

Pair it with pizza for a low-key night at home, or aged cheddar at a gathering amongst friends. “Mead has the creativity of craft beer and the elegance of wine,” says Lavender. “People are putting everything from coffee to cayenne pepper, to peanut butter, to chocolate in it. There are all sorts of strange things you can put into mead and still get a pretty great drink.” Once called “the nectar of the gods,” serve traditional mead chilled for those warm spring days. Pair it with pizza for a low-key night at home, or aged cheddar at a gathering amongst friends. Either way, mead is deliciously sweet and worth a first look if you’re a connoisseur of beverages, or just simply curious. Tastings at Silver Hand are free.

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Chicken Salad with Orange Vinaigrette

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Recipe by the American Heart Association

INGREDIENTS

Makes 4 Servings

Chicken Salad

EXPERIENCE DENTAL HEALTH THE WAY IT WAS MEANT TO BE

• 1 head romaine or other lettuce, about 6 cups, washed, chopped • 2 cups mixed salad greens, rinsed, dried • 20 ounces canned white meat chicken, packed in water, drained, or 2 cups shredded grocery store rotisserie chicken, skin removed, all visible fat discarded • 2 small oranges, peeled and cut in half, seeds removed, then each half cut into six parts • 1 large cucumber, peeled and cut into quarter-inch rounds • 1 small avocado, unpeeled, cut in half, pit removed, then cut into thin lengthwise slices • 4 tablespoons chopped or slivered almonds, lightly toasted for 3-5 minutes in a toaster oven or dry skillet

Orange Vinaigrette • 1/4 cup orange juice • 1 tablespoon lemon juice • 2 tablespoon olive oil or canola oil • 1/2 teaspoon Dijon mustard • 1/2-1 clove garlic, finely chopped • 1/4 teaspoon ground black pepper

DIRECTIONS 1. Divide romaine and mixed green lettuce into 4 bowls. 2. Place ½ cup of shredded chicken in each bowl. 3. Add the orange pieces to the bowls. 4. Arrange the sliced cucumbers in the salad bowls. 5. Carefully run a spoon under the sliced avocado, near the peel and put ¼ of the avocado on each salad. 6. Add the chopped or slivered almonds. 7. Place all the orange vinaigrette ingredients in a jar with a secure lid and shake together until mixed well. 8. Add 2 tablespoons of the orange vinaigrette to each bowl and serve.

harperdentalcare.com

Food | herb-n-garden Photography By Maria Daugs

Turmeric E UP H O R I C

By Maria Candelaria Daugs

urmeric grows wild in the forests of South and Southeast Asia. Although typically used in its dried, powdered form, turmeric is also used fresh, like ginger. It is one of the key ingredients in many Asian dishes. Indian traditional medicine, called Siddha, has recommended turmeric for medicine. It is used as a coloring agent in South Asian cuisine.

INDIAN CAULIFLOWER AND POTATOES (ALOO GOBI) Recipe by Aarti Sequeira, The Food Network Ingredients 2 tablespoons ginger-garlic paste

Ginger-Garlic Paste Recipe:

1 tablespoon ground coriander

1/2 cup cloves garlic, whole

1/4 teaspoon turmeric

1/2 cup fresh ginger, peeled, cut into 1/2-inch slices

1 cup water, divided 2 tablespoons peanut oil 1 large serrano pepper, split down the middle leaving halves attached 1 teaspoon cumin seeds 1 small head cauliflower, cut into small florets 1 russet potato, peeled and cut into 1/2-inch cubes (similar size to cauliflower) Kosher salt 2 tablespoons freshly minced cilantro leaves, to garnish

1/4 cup canola oil Throw the garlic, ginger and canola oil in a mini-food processor and let it go until it forms a semi-smooth paste. There will still be tiny pieces in there, but overall, it should resemble a paste. Save what you don’t use in a small glass jar. It should last in the fridge for two to three weeks. It’s a delicious addition to marinades, pasta sauces, stir fry sauces, slow-cooker recipes, and gravy.

Directions Mix the ginger-garlic paste, coriander, turmeric and 1/2 cup water in a small bowl. This is a simple wet masala (spice mix). Set aside. In a large pot, warm the oil over medium-high heat until shimmering but not smoking. Add the serrano pepper, wait 30 seconds, and then add the cumin seeds and wait until they’re done spluttering. Add the wet masala (careful, it will also splutter). Cook until the paste thickens, deepens in color slightly and oil oozes out of the perimeter of the masala, about 2 minutes. Add the cauliflower and potatoes, stirring to coat the vegetables with the masala. Season with salt and add 1/2 cup water. Cover and cook over medium heat 10 to 15 minutes. Remove the lid, stir and cook until the cauliflower and potatoes are cooked through, about 5 minutes. Garnish with cilantro and serve. 38 | thehealthjournals.com

DID YOU KNOW? Long known for its antiinflammatory properties, recent research has revealed that it can be helpful in the treatment of many different health conditions from cancer to Alzheimer’s disease.

Peach and Tomato Salad

Recipe by the American Heart Association’s Simple Cooking with Heart

INGREDIENTS

Makes 4 Servings

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• 4 medium peaches or 30 oz. canned peach halves, in light syrup or packed in their own juice

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• 3 large tomatoes, sliced into wedges, salt-free • 1 small red onion, chopped • 1 bunch fresh basil, washed • 1/8 teaspoon salt

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• 1/8 teaspoon ground black pepper • 1 tablespoon extra-virgin olive oil or canola oil plus 1/2 teaspoon extra-virgin olive oil or canola oil • 3/4 tablespoon red wine vinegar or balsamic vinegar

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DIRECTIONS 1. Halve each peach, removing and discarding each pit. Slice each peach into thin wedges for about 4 cups of peaches. (If using canned peaches, drain and rinse the peaches in each can and then slice each half into thin wedges.) Add peaches into a large bowl. 2. Cut each tomato in half, removing the stem from each one and discarding it. Slice each tomato into wedges for around 4 cups of tomatoes. Add into the bowl with the peaches. 3. Chop one red onion. Add into the bowl with the peaches and tomatoes.

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4. Thinly slice the basil leaves or tear the leaves into pieces for 1 cup basil. Add to the bowl along with salt, pepper, oil and vinegar. Gently stir to combine the ingredients. Serve.

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your health | fitness

Baby’s

Got Back by Bridgit kin-charlton

ne of the body’s biggest and strongest body parts, the back is also the most complex in terms of its series of interconnected muscle groups. Strong back muscles support your spine for improved posture, protect your body from injury from everyday movements, like lifting and bending, and improve your core strength for functional fitness. And if you’re working out for the sake of looking good (and who isn’t?), then you’re probably aiming to build that signature “V-taper.”

Here are five exercises for building a better back. WIDE GRIP PULL-UPS

Works: Lats Also Works: Biceps and Middle Back 1. Grab the bar, palms facing forward, slightly wider than should width apart. 2. Pull your torso up until the bar touches your upper chest; draw shoulders and upper arms down and back. Exhale, squeezing the back muscles once you reach the full contracted position. 3. After a second in the contracted position, inhale slowly lowering your torso back to starting position.

40 | thehealthjournals.com

BENT-OVER BARBELL ROWS

fitness | your health

Works: Middle Back Also Works: Biceps, Lats, Shoulders 1. Hold barbell, palms downward. Bend knees slightly; bring the torso forward by bending at the waist. Keep the back straight until it is almost parallel to the floor. 2. Exhale, lifting the barbell to you. Keep elbow close to the body using the forearms to hold the weight. 3. Inhale, slowly lowering the barbell back to the starting position.

V-BAR PULLDOWN

Works: Lats Also Works: Biceps, Middle Back 1. Grab the V-bar with the facing palms. Lift your chest up and lean back slightly. 2. Using your lats, pull the bar down, squeezing your shoulder blades. Continue until your chest nearly touches the bar. 3. Exhale, slowly bringing the bar back to start position as you exhale.

SEATED CABLE ROW

Works: Middle Back Also Works: Biceps, Lats, Shoulders 1. Attach a V-bar to a low pulley cable machine. Lean over and grab the handles, keeping the natural alignment in your back. 2. With arms extended, pull back until your torso is at a 90-degree angle from your legs. Keeping the torso stationary, pull the handles back toward your torso while keeping the arms close to it until you touch the abdominals. 3. Breathe out as you perform the movement. Hold the contraction for a second and slowly go back to the original position while breathing in.

HYPEREXTENSIONS

Works: Lower Back Also Works: Glutes, Hamstrings 1. Lie face down over a stability ball while securing your feet against a wall. With your body straight, cross your arms behind your head. This will be your starting position. 2. Start bending forward at the waist while keeping your back flat, inhaling as you perform the movement. 3. Slowly raise your torso back to the original position as you inhale. thehealthjournals.com | 41

your health | family

PRIVATE PARTS: BALANCING OPEN COMMUNICATION AND PRIVACY WITH CHILDREN

by Ashley Wroton, Ed.S., LPC, RPT

t was a typically casual and warm early summer Saturday afternoon. Jess and Derek had friends over for a laidback cookout. Both families had young boys, aged 4 and 6, who were always excited to see each other and ready to rambunctiously play together. As the adults were talking after lunch, Jess suddenly became aware of how unusually quite the two boys had become. She walked toward her son’s room; no one was there. She listened carefully to hear soft giggles coming from the bathroom. As she opened the door, she was met with a surprise and asked, “What are you two doing?” Her son, innocently announced, “We’re taking pictures of our peepee’s! It’s gross!” he added with a gleefully sheepish smile. Her friends’ son, holding the tablet, looked up with embarrassed, yet blameless eyes. As a registered play therapist and licensed professional counselor who works with children as young as 3, I hear a variety of stories such as this from concerned and confused caregivers. When children display behaviors in play that adults consider sexualized, it is a natural reaction to begin fearing that there has been abuse. However, for preschool-aged children, it is common and a developmentally appropriate exploratory behavior. In fact, many children who engage in play or behaviors involving their private areas have not experienced any form of sexual abuse, says Natasha Elkovitch, PLMHP. Adds Elkovich, common normative behaviors of preschoolers include: touching their own private parts at home or in public, exposing private parts to others, trying to look at others private parts, standing too close to others and touching female breasts. While knowing that this curiosity and naïve exploration of their bodies and the bodies of others is a normal, developmentally appropriate stage, it does not lessen the often awkward feelings and uncertainty of how to handle it for caregivers. Often the statistics related to sexualized behaviors and the adolescent stage of development add to many caregivers’ fears.

42 | thehealthjournals.com

According to a 2008 adolescent survey report conducted by the Centers for Disease Control, 50 percent of U.S. adolescents (grades 9-12) were sexually active, 7.1 percent had their first sexual experience before age 13, nearly 15 percent had already had “four or more partners,” and 38.5 percent did not use contraception. However, when caregivers observe, or learn about, their child’s play involving private parts and respond with alarm, sternness, isolation of the child, or avoidance of the topic, the caregiver may be inadvertently shaming the child. This makes the mental connection for the child that private parts are bad and that their caregiver is not someone to talk to about their curiosity. Children who exhibit more persistent play involving private parts or sexualized behavior problems (i.e., touching others private parts, attempting to coerce others to touch their private parts, imitating adult sexual acts) tend to have caregivers who view their children as attention seeking, consider time with them as unrewarding, are emotionally distant and engage in more conflict dominated interactions within the family. Children who grow up with this parenting style tend to seek answers, nurturing and a semblance of love from others taking their cues from online information and peer pressure as they view caregivers as unreliable role-models of interpersonal relationships or invaluable resources on awkward topics. So, as caregivers what do you do to help your children bridge the expanse from developmentally appropriate curiosity of the world around them in preschool to healthy decision making and boundaries? Carlye Kincaid, a child and family psychologist at Silber Psychological Services in Raleigh, North Carolina, states that the answer is that the kind of relationship your children have with you is the key to their future resiliency in interpersonal skills, personal boundaries and healthy relational decision-making. The authoritative parenting style, balancing warmth and support with monitoring and control, is supported as most effective

across socioeconomic and ethnic groups. When it comes to gender, the balance scale between warmth/ support and monitoring/control seems to be tipped slightly differently for boys and girls. As any caregiver can attest, boys and girls generally relate to and interact with the world around them in different ways. Girls respond better to higher levels of warmth and support, as they tend to place more value on emotional connectedness; boys tend to respond more favorably to realistic rules and the structure of increased parental monitoring. Beginning in the first year of life, children are learning how and whether to trust their caregivers. Erik Erikson’s Stages of Psychosocial Development explains this, while also stating that during the preschool years, children are attempting to gain a sense of autonomy. They want and need to feel both emotionally safe enough to explore the world around them, including their and others’ bodies, as well as emotionally secure enough to seek out caregivers when confusion or “storms of life” arise. This time of your child seeking refuge in you is the most valuable and opportune time to start the lessons of interpersonal boundaries, social etiquette, family morals and values and decisionmaking skills. With preschoolers and elementary aged children, it is best to engage in these conversations and lessons through play. When children are engrossed in their toys and imaginations, they are more likely to talk. Gary Landreth, Ph.D., a pioneer in the world of play therapy, says, “Play is a child’s language, and toys are their words.” Entering your children’s world through play is the best way to speak their language about tricky topics. Watching your children play and keeping track of the themes in their play can provide you with great insight into what your children are trying to gain mastery over or what is troubling their hearts and minds. Playful lessons may seem counter-intuitive, however, they make the most lasting memories and connections for children. It also builds the bonds that helps your children feel that emotional security to seek you out when troubles come. Jess calmly, despite pounding heart beats and racing thoughts, says, “We don’t take pictures of our private parts. Please hand me the tablet, and go sit in the living room.” After a few minutes, both dads walked into the living room, finding the boys in the midst of setting up a Matchbox car race. They sat on the floor, joining in the preparation. As they worked, they took turns talking. It was a short discussion explaining that no one, except a safe adult such as parents and doctors, should ever look at, touch, or take pictures of private parts. The boys acknowledged they had heard, and the race began. *All identifying details of these stories have been altered in order to protect the identity of the persons referred to in this article.

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your health | Men's MEN's Health

DON’T THINK YOU HAVE TIME

to Exercise, Man?

You aren’t too busy to get healthy! by Josh Anderson

any of us think that we need at least 45 minutes in a gym in for the workout to be “worth it”, but is this true? Maybe that’s why many of us skip exercise altogether; we have had the aforementioned drilled into our heads. Who isn’t pinched for time these days and how could you possibly find a free 45 minutes every day to exercise between work and your home life?

THE WAY WE THINK LEADS TO LESS EXERCISE How could a measly 20 minutes of exercise be worth it? When you combine that mentality of scarcity and your busy day, then you are bound to skip workout after workout. Maybe that’s why 36 percent of U.S. adults are not physically active during their free time. I’m looking at you couch potato! This is telling us that an astonishing one-third of us don’t do anything active at all when we aren’t working. Do the math in a nation of almost 320 million people. But did you know that being active during your leisure time can add as many as 4.5 years to your life? That’s what a research by the National Cancer Institute found, so there’s still time to get healthy!

44 | thehealthjournals.com

36%

of U.S. adults are not physically active during their free time.

A LITTLE EXERCISE CAN DO WONDERS

What if it only took 20 minutes to really get a great workout in? Studies have found that simply walking at a brisk pace for only 20 minutes can significantly reduce your risk of early death and risk of heart attack by as much as 40 percent. But what if you want to do more than walk? Let’s put this into action by creating a quick, at-home heartpumping, circuit workout! Alternate between strength training and cardio exercises to get your heart pumping, calories burning and you building muscle! Pick 6-8 exercises that work your entire body and perform them in a timed fashion (30 seconds each exercise), doing as many reps as possible, for 3 total sets (more if you have time). You can blow through a quick workout like this in less than 15-20 minutes. Note: Make sure you consult your doctor before beginning an exercise program.

Here’s an example circuit you can try anywhere: 1. Incline pushups 2. Burpees 3. Squat with shoulder press 4. Jumping jacks 5. Bicycle crunches 6. High knees No, this quick bodyweight workout won’t have you building massive biceps in weeks, or help you squat 300 pounds, but it will help you crush calories and get your heart rate elevated. That’s better than sitting on the couch smashing junk food, right?

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your health | WOMeN's Health

Fertile Ground:

UNTIL INFERTILITY APPEARS, MANY PEOPLE DON’T KNOW FERTILITY BASICS

efore we talk about infertility (defined as not being able to conceive after one year of unprotected sex) we need to talk about fertility. Many people’s main source of information about getting pregnant is from as far back as health class, when the emphasis was on “not getting pregnant.” Prior to actively trying to conceive (commonly referred to online as TTC,) many women don’t spend much time investigating how it works. This means they may miss out on important information about their ovulation cycles, the primary focus for conceiving successfully. “I began taking birth control in my early 20s and vaguely understood how it prevented pregnancy. We’d been taught in school for years that if you have unprotected sex, you will get pregnant. Both of my sisters had miscarriages, so I was aware there was the possibility it might not go as planned, but I was not the least bit prepared for a yearslong battle with infertility,” says Molly Tanner, 40, from Hampton. Tanner and her husband started trying to get pregnant eight years ago.

LEARNING THE CYCLE

A woman’s ovulation cycle generally starts with her menstrual cycle, with an egg being released from one of her fallopian tubes approximately two weeks later. The egg remains in the uterus for around 24 hours, where it must be met by sperm to

46 | thehealthjournals.com

By Natalie Miller Moore

be fertilized. Knowing when ovulation is occurring is an important clue for people trying to conceive. The “fertile period” actually starts in the days before ovulation, because sperm can live in a woman’s body about four to five days. Many people don’t get a lot of information about the most important fertility concepts, until they are trying to conceive and it doesn’t seem to be working. Annie Nowinski, 31, of Virginia Beach, thought she was more knowledgeable than the average person about what needed to happen to conceive successfully. “I used an app to track my cycle all through college. I didn’t begin my menstrual cycle until junior year of high school and at that time I just marked the date of my last period on my weekly planner while I was still in high school,” she says. She started charting her cycles closely using basal body temperature and ovulation kits, even before actively trying to get pregnant. After six months of what appeared to be ideal conditions, she began getting frustrated. She was in her late 20s. “I thought since I was generally healthy and always had a ‘regular’ cycle that my fertility would be high,” Nowinski says. Looking back, Nowinski says she wishes she would have consulted with a gynecologist sooner, and then seen a reproductive endocrinologist more quickly, too.

TESTS AND TEMPERATURES

Taking basal body temperature is a method of fertility awareness where a woman tracks her temperature, looking for a slight increase that occurs during ovulation. This uses a special kind of high-accuracy thermometer, but is generally taken orally, and the results are written down or recorded. Ovulation kits track the release of the lutenizing hormone released prior to ovulation, and are generally strips or a stick test that react if the hormone is present in the woman’s urine. Some tests use saliva, instead. For many women who go on to experience infertility, they learn over time the importance of how to read their body’s fertility. Questions include “How regular are my cycles?”, “Am I ovulating every month?”, “What are the signs my body is giving me?” “Prior to being diagnosed with infertility, I knew very little about fertility factors. I, like many thought that I would meet a boy, get married and have a kids, you know, what normal couples do. Never did I think I would be going through nearly a decade of reproductive treatment, financial devastation and heartache,” says Candace Wohl, 35, of Suffolk. Wohl says that she was shocked to find out how common infertility is, and feels that there’s a lack of information about reproductive health. “We need education on reproductive health

as well as sexual education. There is another side of the story that is never told until you become 1 in 8,” Wohl says. Today, she’s an infertility advocate, and that “1 in 8” statistic comes from the Centers for Disease Control (CDC), because infertility affects about 12 percent of women.

THE AGE FACTOR

“Young women who are trying to get pregnant generally know about a decrease in fertility with age. The majority believe that it starts after the age of 35,” says Dr. Laurel Stadtmauer, a professor of Obstetrics and Gynecology at Eastern Virginia Medical School in Norfolk and a physician scientist with the EVMS Jones Institute for Reproduce Medicine. The general recommendation by medical professionals is that couples under 35 should try for one year before seeking a fertility specialist and between the ages of 35–40 should try for six months, and couples over 40 should come immediately. Agerelated decrease in fertility starts about the age of 30 and accelerates after the age of 35. According to the American College of Obstetrics and Gynecology, women who have irregular cycles or who have been diagnosed with PCOS, or with known male or female issues should seek attention immediately. Polycystic Ovarian Syndrome, a common cause of infertility, is caused by hormonal imbalances that can prevent ovulation. The age of the man also affects fertility, because the quality of a man’s sperm decreases with age.

IT TAKES TWO

Although many people jump to the conclusion that infertility problems are “a female issue,” that is not the case. In fact, it splits evenly 40 percent each, with the remaining causes being unexplained or problems with both partners, according to the American Society for Reproductive Medicine. There are several causes of male infertility, including medical conditions, unhealthy habits and environmental chemical exposure that need to be explored if fertility issues occur. A common cause of male infertility is varicocele, when the veins inside the scrotum become enlarged, potentially blocking or slowing the release of sperm.

WEIGHT, THERE’S MORE…

The American Society for Reproductive Medicine says that 12 percent of infertility cases are a result of weighing too little or too much. Eating disorders, such as bulimia or anorexia that cause underweight status, also affect the reproductive system. Both men and women can improve their fertility with weight loss, and having a normal range body mass index also will contribute to a healthy pregnancy. Like all matters relating to our bodies, every body is different and some of these factors will affect fertility and some won’t. Many couples have more than one factor that affects their fertility. That’s why it’s important to know your body and seek the advice of a professional for additional help.

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your health | aging well

Getting Back in the Game: SEX AFTER A HEART ATTACK By Shawn Radcliffe

or heart attack survivors, each day is filled with many questions: What food can I eat? Which activities are safe? How much stress can my body handle? But the question that often goes unanswered, and sometimes unasked, is how a heart attack will affect a person’s sex life—or whether it’s safe to have sex at all. This is no small question. Sexual activity plays a big part in the quality of life for many men and women—and their partners, too.

HAVING THE ‘SEX TALK’ WITH YOUR DOCTOR

One of the best ways to ease concerns about resuming your sex life after a heart attack is to have the “sex talk” with your doctor early on.

48 | thehealthjournals.com

“It is important that patients talk to their doctor about their sexual function and concerns,” says Dr. Mary Ann McLaughlin, medical director of the Cardiac Health Program and co-director of the Women’s Cardiac Assessment and Risk Evaluation Program at Mount Sinai Heart. This conversation may happen in the hospital or during a visit to a cardiac rehabilitation center. Not every doctor, though, will bring up this topic on their own. A 2014 study published in the journal Circulation found that, after a heart attack, fewer than 20 percent of patients talked with their doctor about their sexual activity. So patients may need to take it upon themselves to speak openly with their doctor about their concerns.

WHEN IS IT SAFE TO RESUME SEX?

It’s rare for people to have a heart attack during sexual activity. But there are some patients who would be better off waiting until their cardiovascular disease is stabilized. So people should ask their doctor when it is safe for them to resume their usual sexual activity. This could be one to two weeks after being released from the hospital or after several more weeks. In general, though, sex is not as strenuous as most people think. “If a patient can walk up two flights of stairs without chest pain or gasping for breath,” says McLaughlin, “it is safe to resume sex with their usual partner.” Heart attack survivors who have sex with a new partner—especially one that is younger—may be at more of a risk of

aging well | your health

“

It is important that patients talk to their doctor about their sexual function and concerns.”

having a heart attack during sex. Whatever your situation, contact your doctor if you get chest pain or shortness of breath during sex.

OTHER FACTORS AFFECT SEXUAL FUNCTION

Even if your doctor has given you the all clear, other factors can affect sex drive and sexual function. This includes the drugs used to treat cardiovascular symptoms. People concerned about these side effects, though, should not stop their

medications without first talking to their doctor. Remember, the health of your heart comes first. Heart disease can also affect sexual function—especially in men, because erections depend upon the flow of blood to the penis. In addition, erectile dysfunction is often the first sign of a problem with the heart, sometimes occurring even before the first heart attack. While drugs used to treat erectile dysfunction are mostly safe, they may not be appropriate for men who are taking

nitrate therapy for chest pains related to coronary artery disease. Even mental health can affect your sex drive—including depression and anxiety. This can be more of a reason for heart attack survivors to talk with their doctor about their sexual activity. “After having a heart attack or a cardiac procedure, it is very common for patients to develop mild depression,” says McLaughlin, “or for it to exacerbate existing depression.”

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your health | mind matters

RECOVERY FROM ADDICTION

“Not Possible As a Solitary Endeavor” By Beth Shamaiengar

n the medical profession, addiction to drugs or alcohol has for decades been viewed chiefly as a brain disease, a mental health disorder, in which the addictive substance alters the brain’s chemistry. Increasingly, however, there’s been recognition of genetic, environmental and other factors that can make initial drug use more likely and/or help solidify an addiction. Regardless of the possible causes, though, if drug use increases, addiction becomes more likely, because the brain essentially rewires itself so it compulsively demands drug use and the resulting high that users crave. The good news is that the brain can be made to readapt to life without addiction. But coming clean can require extraordinary patience and perseverance on the part of the drug user, as well as support, accountability and medical intervention for the person addicted. Many treatment options are available, however, so even though addictions can range across a broad spectrum of severity, many users can—if they’re committed—regain control of their lives. Perhaps the most crucial fact about treatment choices is that there’s no one-size-fits-all strategy, according to Rick Gressard, Ph.D., a professor of addictions counseling at The College of William & Mary and faculty director of the college’s New Leaf Clinic. The

50 | thehealthjournals.com

ideal treatment depends on the person, Gressard says, and successful treatment (regardless of the addictive substance) typically involves: 1) Helping to provide motivation for the drug user to make changes, and 2) A long-term strategy to help the user keep making those changes. John Colaluca, M.D., medical director at The Farley Center at Williamsburg Place, which runs both outpatient and residential programs for drug and alcohol abusers in the Williamsburg area, concurs that whichever substance causes an addiction does not make a dramatic difference in the treatment process. “The lines of distinction start becoming blurred,” he says, adding that many different substances can “result in the same chaos and destructive behavior and impact on interpersonal relationships.” The treatment best suited for an addict can vary depending on factors such as the age of the user, the degree of addiction and the severity of withdrawal symptoms that may be expected, the individual’s emotional as well as financial ability to commit fully to treatment, and the extent of the individual’s support system.

mind matters | your health

Recovery options can range from outpatient programs with individual or small-group meetings once or more weekly to long-term residential programs lasting up to a year, and any treatment will begin with a process of detoxification (clearing the body of drugs). Often known as “medically managed withdrawal,” this is typically overseen by a physician and sometimes involves using less-addictive narcotics in diminishing amounts. (While aimed at reducing the craving for the primary drug, using narcotics to achieve withdrawal is not without controversy). For those struggling with alcoholism, the first-choice recovery program for decades has been Alcoholics Anonymous (AA). Founded in the U.S. in the 1930s and open to anyone who wishes to address their drinking problem, AA offers a 12-step spiritual path that can, according to aa.org, “expel the obsession to drink and enable the sufferer to become happily and usefully whole.” While the scientific validity of the program’s effectiveness is not universally accepted, countless recovering alcoholics credit it with their sobriety. The 12-step tradition of AA, which led to the creation of other 12-step programs such as the drug recovery program Narcotics Anonymous, strongly influenced the disease model that for many years has dominated

thinking about addiction. But even though “treatment for adults is almost all 12-step based,” according to Ben Newman, clinical director at Newport News Behavioral Health Center, such programs may not be most appropriate for the ways substance abuse is manifested in many teens. Twelve-step programs tend to define addiction as a disease that is progressive, chronic, and fatal, but often teens’ substance abuse has not reached that extreme and does not seem like a disease, Newman says. Rather, it often manifests itself across a broad spectrum of experimental use, heavily influenced by peer involvement and/or in response to environmental stresses. He notes also that the typical 12-step program’s requirement of abstinence may not be realistic for teens, who are frequently surrounded by temptation. Whether recovery programs are 12-step or not, a cornerstone of many is one-on-one or small-group counseling, aimed at helping addicts to examine their behavior, develop a sense of personal accountability, and perhaps most important, creating for them a supportive community. “Addiction is a disease of isolation,” says Colaluca, “and recovery is not possible as a solitary endeavor.”

thehealthjournals.com | 51

your health | money

Yielding a

Bigger Return Return on Your

HOW YOU SHOULD SAVE OR SPEND YOUR TAX REFUND by Tracy Shackleford

SPEND IT: She seems to be in a healthy financial place with financial independence. She could spend this money by paying her credit card bill to avoid interest fees.

SAVE IT: Even though she has no big purchases planned for her immediate future, you never know when large purchases like a house, wedding or even a car will arise. She could save this money and be happy she put it in the bank, or she could invest it in a Roth IRA to see her money grow tax free.

Scenario: Single late 20’s women

SPEND IT: They could use this money to purchase new baby supplies stress-free, without going into potential credit card debt or pulling from savings.

SAVE IT: They could bulk up their savings account, or they could open a 529 college plan for their new baby— it’s never too early to start saving. They could also invest the money to see returns that could eventually help pay off their mortgage.

Scenario: Couple expecting their first child

SPEND IT: If they have no consumer debt and have sufficient savings, they could save it for a special family trip or family experience before their kids go to college.

SAVE IT: They could pay off any credit card or remaining student loans (depending on interest rates), they could add to college funds for their kid, or deposit it into their own retirement accounts to help shore up long-term savings.

Scenario: Couple in their 40’s with teenage children

SAVE IT: They could make additional payments to their mortgage if they still have one, as a mortgage can be an emotional burden for some people as they head into retirement. If their goals are met and they want to help their own children, they could start an education fund for their (future) grandchildren.

SPEND IT: They could put it away for a special grandparent-grandchildren experience as the grandchildren grow (special trip, special camp, etc), or they could set it aside for the purchase of a car during retirement (when people tend to be less comfortable with car payments and are on a more limited budget).

Scenario: Couple in their mid-60’s 52 52| |thehealthjournals.com thehealthjournals.com

YOUR FINANCIAL HEALTH | YOUR HEALTH

your financial health helping to ease your personal finance concerns

How Are Social Security Benefits Taxed? Some people who receive Social Security benefits will have to pay federal income taxes on their benefits: Lump Sum Death Benefit: Income tax free Retirement, Survivor and Disability Benefits: Income tax free, unless income exceeds a specified base amount. The base amounts are: • $25,000 if you are single or head of household. • $32,000 if you are married filing jointly. • $25,000 if you are married filing separately and lived apart from your spouse for all of the year. • $-0- if you are married filing separately and lived with your spouse at any time during the year. To find out whether any of your benefits may be taxable, compare the base amount for your filing status with the total of (1) one-half of your Social Security benefits, plus (2) all your other income, including tax-exempt interest. If you are married and file a joint return, you and your spouse must combine your incomes and your benefits to figure whether any of your combined benefits are taxable. Even if your spouse did not

receive any benefits, you must add your spouse’s income to yours to figure whether any of your benefits are taxable. If the total is more than your base amount, part of your benefits may be taxable. How much is taxable depends on the total amount of your benefits and other income...the higher that total amount, the greater the taxable part of your benefits. Generally, up to 50% of your benefits will be taxable. However, up to 85% of your benefits can be taxable if either of the following situations applies to you: • The total of one-half of your benefits and all your other income is more than $34,000 ($44,000 if you are married filing jointly). • You are married filing separately and lived with your spouse at any time during the year.

Rusty Woods Advisory Representative

Lincoln Financial Securities Corporation 757-461-1539, ext. 207 Rusty Woods is a registered representative of and offers securities and advisory services through Lincoln Financial Securities Corporation, Member SIPC. Lincoln Financial Securities Corporation is a member of the Lincoln Financial Group which is the marketing name for Lincoln National Corporation and its affiliates. Lincoln Financial Securities and its representatives do not offer task or legal advice. Individuals should consult their tac or legal professionals regarding their specific circumstances. LFS-1298978-091115

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your health | outdoors OUTDOORS

H A Quiver Full of Fun

by Brandy Centolanza by Brandy Centolanza

Archery teaches skills such as focus and concentration, patience, safety, self-confidence, and self-discipline.

hanks in part to the popularity of The "Hunger Games" films, archery has become the sport du jour. Wilcox Bait & Tackle in Newport News has an indoor archery range and recently began a Junior Olympic Archery Development (JOAD) program for those ages 8-20. Through JOAD, students learn how to shoot with a bow and arrow for recreation or competition. Though JOAD focuses on the younger set, anyone can participate.

“Archery is a non-discriminatory sport,” says Tom Wilcox, co-owner of Wilcox Bait & Tackle. “It doesn’t matter if you are weak or strong, short or tall, young or old. Anyone can do it. I’ve been doing it since I was 10. I get a charge out of it. It’s a lot of fun.” Wilcox and his employees offer service in proper sizing and fittings of the bows, as well

member of Wilcox’s JOAD program, took up archery competitively in the eighth grade. She learned the sport from her father. “One of my favorite things about archery is when you shoot, it’s you and the target and nothing else,” Swartwood says. “All outside noise disappears and you get in this zone. I’ve learned several things in archery but the

& Recreation, and a USA Archery instructor. “Archery lessons should include range rules, safety information, whistle commands, information on equipment care and maintenance, and demonstration of proper shooting form and technique.” Whanger advises parents to find a reputable program before enrolling their children.

as instruction on how to correctly handle a bow and arrow, how to stand, how to aim for the target and shoot, and other safety measures. Beginning at age 6, children can take up the sport. Archery teaches focus and concentration, patience, safety, selfconfidence and self-discipline. Drawing a bow strengthens core muscles, adds balance and stability, and improves hand-eye coordination. Cassie Swartwood, a junior at Woodside High School in Newport News and a

number one thing while shooting is patience, and to have fun.” In addition to the indoor archery range, there are outdoor ranges at Newport News Park and at Lone Star Lakes Park in Suffolk. James City County offers instruction through its parks and recreation department, as does Virginia Beach. “Children and adults that are involved with archery learn to engage their bodies and minds in order to excel at the sport,” says Katie Whanger, a recreational specialist for outdoor programs with Virginia Beach Parks

“Archery equipment can be quite dangerous, for the child or others around, if used incorrectly,” she says. “I like that it is a skill that most people can pick up through practice and repetition. It is a sport where listening, being mentally engaged and continued practice are just as important, if not more so, than strength, agility or stamina. You don’t have to be the biggest, fastest or quickest person to excel at this sport. For that reason, I think it appeals to all types and all ages of people.”

54 | thehealthjournals.com

Some places in Hampton Roads that offer archery instruction include:

SPONSORED BY YORK COUNTY PARKS, RECREATION AND TOURISM

James City County Parks & Recreation Providence Classical School in Williamsburg Newport News Parks & Recreation Newport News School Division Norfolk Parks & Recreation Virginia Beach Parks & Recreation Wilcox Bait & Tackle

Local archery organizations: Kingsboro Bowmen Archery Association (kingsborobowmen.com) Tidewater Bowhunters & Archers Association (tba3-d.com) Wilcox Bait & Tackle (wilcoxbaitandtackle.com/archery-range)

Katie Whanger with Virginia Beach Parks & Recreation Department suggests parents look for an archery program with a certified instructor. Equipment should be purchased from a reputable dealer or store based on the type of archery you want to participate in (hunting or target practice, for example). “Basic equipment consists of a bow fitted for your level, size, and type of archery, arrows that are suitable for the bow and the targets you will use, and a proper target and back stop,” says Whanger.

WWW.YORKTOWNMARKETDAYS.COM or 757 890 3500

TPMG Chessen TPMG Behavioral Chessen Health

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ADD and ADHD Addictive Disorder Adolescent Problems Alcohol Abuse Anxiety and Panic Disorder Behavioral Pain Management Bipolar Disorder Depression Detox Treatment Drug Addiction Eating Disorder Geriatric Age-Related Conditions • Grief and Loss • Hypnosis

• Individual Counseling • Marital and/or Family Therapy • Medication Management (Psychopharmacology) • Mood Disorder • On-site Drug Testing • Pain Group Therapy • Post-Traumatic Stress Disorder (PTSD) • Psychotic Disorder • School/College Problems • Stress and Trauma • Suboxone Therapy • Substance Abuse Treatment • Women’s Issues

ACCEPTING NEW PATIENTS Warwick Medical and Professional Center 12420 Warwick Boulevard Bldg. 7, Suite C Newport News, VA 23606

(757) 595-3900

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features CONTINUED FROM PG. 24 SKIN SCANNER SHARPER THAN A TACK

CONTINUED FROM PG. 29 DIABETIC KETOACIDOSIS

Terri Lipman Ph.D., professor of nutrition and professor of nursing of children at the University of Pennsylvania School of Nursing If providers do not consider diabetes as a possible diagnosis when a child is ill, the diagnosis will be delayed.

It’s better than the human eye, and better than the human brain. It has the ability to catch something when it might be the difference between a little scar and a big scar.” The company that makes FotoFinder was originally founded in Germany in 1991, later expanding to the United States. The FotoFinder bodystudio system was presented at the Congress of the German Dermatology Society in May 2013. “Our skin is a large organ that takes a long time to examine,” Andreas Mayer, managing director of FotoFinder Systems in Bad Burnbach, Germany, told Business Wire in 2013. “Thanks to the impressive total body photographs, doctors can spot any conspicuous features and changes at a glance. In this way, the system supports the medical expertise of the dermatologist and gives patients more security.” A FotoFinder machine isn’t cheap and isn’t covered by insurance, which is why it’s not available in most dermatology offices. A screening involves little more than standing in a few different poses against a blue screen while an automated camera attached to a robotic arm takes a series of photos. Afterward, the doctor provides the results on a CD, which can be given to a specialist if any follow-up is suggested. “This technology is pretty amazing,” says Pepple. “It’s better than the human eye, and better than the human brain. It has the ability to catch something when it might be the difference between a little scar and a big scar.” Hamilton says he probably would have noticed the mole on his ear eventually. But then, it might have been too late. “Sometimes,” he says, “you just get lucky.”

56 | thehealthjournals.com

Advocates also would like to see blood sugar monitoring become a more routine part of health care, including at appointments for sick children. “If providers do not consider diabetes as a possible diagnosis when a child is ill, the diagnosis will be delayed,” Lipman says. Other ideas: school nurses sending home information with kids who report flulike symptoms and parents keeping home glucose monitors at home, just as they do thermometers. Speaking up at doctor visits also is important, Griffen says: “Trust your parental instinct, and push for them to be tested if you suspect something is very wrong.” As Vanessa and Derrick Evans struggle through the first anniversary of Hailey’s death with their surviving daughters Kayla, 15, and Isabelle, 10, they are determined to honor her short life by speaking out. “It’s been very difficult to focus on anything other than just surviving day to day, but we are very passionate about spreading awareness so no other family has to go through this,” Vanessa Evans says. “Not only here in Virginia but in every state across the nation. It’s a big motivator for us.”

profile | in the know CONTINUED FROM PG. 12 YVETTE BLAESS

That’s when Blaess discovered pageants—the perfect vehicle for someone with strikingly good looks and a huge heart. “Pageants are a lot about what you’re doing in the community and what you can do to help someone else. I love that. I tried it out and I’m hooked,” she exclaims. In 2015, Blaess won Miss Virginia Beach United States building her platform on something close to her heart. “My platform was foster care. It started my entire life. I chose it because it was a small [part of my] story, but led to other big events,” says Blaess, who promotes Braley & Thompson in Chesapeake— a therapeutic foster care agency that helps children get placed into loving homes, — and other charities. She’s now competing now for Miss America World where her platform is beauty with a purpose, foster care and helping people. “I help people that want to reach their goals. I know I can provide that for them. At one time in my life, I needed that push. I can be for someone else what I wanted,” she says. Blaess is currently writing a book, working within the community with anti-bullying groups, and she speaks on behalf of the Dyslexia Foundation, an organization that allows her to help those with learning disabilities. “I don’t want other children to have to go through what I did,” states Blaess. “I want to use the events in my life to make a difference.”

His Experience with a Scalpel Gives Him the Edge In The Court Room. Stephen M. Smith, Esq.

Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.

BrainInjuryLawCenter.com | 877.840.3431 | 757.650.9818 | ssmith@BrainInjuryLawCenter.com

PERSONAL TRAINING Brian Cole, CPFT, CMT

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

PHYSICAL THERAPY Allen R. Jones Jr., D.P.T., P.T.

Personal Training Associates For over 20 years Brian has been building his personal training practice to serve not only those who want to improve their overall health and fitness but also those in need of postrehab conditioning following physical therapy, injury and/or surgery. Brian is certified as a personal fitness trainer by the American Council on Exercise (ACE), a massage therapist by the Virginia Department of Health Professions, a post-rehab conditioning specialist by the American Academy of Fitness Professionals and a weight management consultant by ACE. Brian is also the co-inventor of The Back Unit for low back strengthening and injury prevention. His trainers have college degrees in exercise science or fitness management, national certification by ACSM, ACE, or NASM, and in addition, they regularly earn advanced specialty certifications in a vatriety of disciplines. They are knowledgeable and experienced working with hip/knee replacements, ACL tears, spinal and shoulder surgeries, mastectomies, rheumatoid and osteoarthritis, scoliosis, etc. Personal Training Associates - Private Studios

Oyster Point Port Warwick 738 City Center Blvd. 210 Nat Turner Blvd. Newport News, VA 23606 Newport News, VA 23606 (757) 599-5999 www.briancoleandassociates.com

SKINCARE & AESTHETICS Izabela Padurariu Beauty Therapy by Iza Iza is a master aesthetician, wax technician, threading specialist and massage therapist practicing in Williamsburg, Virginia. She is originally from Romania, and has worked as a master aesthetician in a variety of settings including in London where she graduated from the West Thames College with a license in aesthetics. She has been working in skin care and beauty therapy industry for over seven years. Upon moving to the United States, Iza continued her education and training at the American Spirit Institute in Williamsburg, Virginia. She is dedicated to helping men and women improve and maintain their skin care regimen. At her Williamsburg location, she’s created a place of tranquility and serenity where clients can come to restore the mind, body and spirit. Beauty Therapy by Iza offers a wide menu of therapeutic skin care treatments including facials, microdermabrasion, microcurrant, Epiblade, chemical peels, Derma Roller, waxing, threading, eyebrow and lash tint, make-up consultations and massage. Beauty Therapy by Iza

161 C John Jefferson Road Williamsburg, VA 23185 (757) 634-4044

www.beautytherapybyiza.com

Dominion Physical Therapy & Associates, Inc. Dominion Physical Therapy & Associates, Inc specializes in the treatment of neck and back pain, sports and personal injury and other musculoskeletal conditions. Dominion has six locations throughout Hampton Roads and has been in business more than 25 years. Dr. Jones earned degrees in physical therapy from the University of Connecticut and from Rocky Mountain University School of Health Professions where he received his Doctor of Physical Therapy. Governor McAuliffe appointed Dr. Jones to the Virginia board of health professions and Virginia board of physical therapy. Dominion offers an Annual Doctorate of Physical Therapy Scholarship to second year students enrolled in the Physical Therapy program at Old Dominion and Hampton University.

Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446 www.dompt.com

*See Health Directory for additional locations

COSMETIC DENTAL Lisa Marie Samaha, D.D.S. Port Warwick Dental Arts

Dr. Lisa Marie Samaha has created beautiful, healthy smiles for Hampton Roads since opening her Newport News practice in 1982. She and her exceptional team have created a practice of comprehensive, individualized and holistic dental care. They partner with their patients to achieve “BEST” dental health and overall wellness. Dr. Samaha is internationally published and esteemed as an educator and top clinician. She offers a wide range of advanced cosmetic and mercury-free dental care. She also maintains focus on a leadingedge protocol for the diagnosis, prevention and non-surgical treatment of periodontal disease. As an enthusiastic supporter of the arts, Dr. Samaha is also an award-winning watercolorist. Her most compelling contribution to the arts of Hampton Roads is her tranquil Port Warwick Dental Arts venue where she often hosts a rich and diversified array of musical talent and artistic exhibitions. Port Warwick Dental Arts

251 Nat Turner Blvd S Newport News, VA 23606 (757) 223-9270 www.pwdentalarts.com

CARDIOLOGY

ONCOLOGY/HEMATOLOGY

Masood Ahmed, M.D., F.A.C.C. TPMG Heart and Vascular Center

Ranjit K. Goudar, M.D.

Nicholas K. Sablan, M.D.

Virginia Oncology Associates

Tidewater Ortho

Dr. Ahmed completed a Postdoctoral Cardiology Research Fellowship, as well as completing a Nuclear Cardiology Fellowship at Yale University School of Medicine, Connecticut. He went on to complete an additional Cardiology Fellowship at Sinai and St. Luke’s Medical Center at University of Wisconsin and an Interventional Cardiology Fellowship at Tulane University Heart and Vascular Institute, New Orleans, Louisiana. Dr. Ahmed specializes in coronary and peripheral interventional cardiology and cardiovascular imaging. He has attained board certification in internal medicine, nuclear cardiology, echocardiography, general cardiology and interventional cardiology. He is a member of the American College of Cardiology, American Society of Nuclear Cardiology, American Society of Echocardiography, American Heart Association, American Medical Association and American College of Physicians. TPMG welcomed Dr. Masood Ahmed in May 2015 and the opening of TPMG Heart and Vascular Center in Newport News.

A Virginia Beach, Virginia native, Dr. Ranjit Goudar received his bachelor of science in chemistry from the University of Virginia, where he was a Jefferson Scholar. He earned his doctorate in medicine and completed both his residency in internal medicine and fellowship in hematology/oncology at Duke University. He is a graduate of the City of Hope Intensive Course in Cancer Risk Assessment. Dr. Goudar is board-certified in medical oncology, hematology and internal medicine. Dr. Goudar’s particular clinical interests include the care of patients with breast cancer, precancerous breast biopsies and comprehensive genetic risk assessment for patients at higher risk of cancer due to family history or deleterious mutations. He serves as the director of the Hereditary Cancer Program for Virginia Oncology Associates at the Lake Wright location.

12720 McManus Blvd., Suite 201 Newport News, VA 23602 (757) 875-5332

TPMG Heart and Vascular Center

Virginia Oncology Associates 5900 Lake Wright Dr. Norfolk, Virginia 23502 (757) 466-8683

www.mytpmg.com

www.VirginiaCancer.com

ALLERGY & ASTHMA

PEDIATRICS

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

SPORTS MEDICINE

Dr. Nick Sablan, an expert in the field of sport medicine, joined Tidewater Ortho in the fall of 2011 after having completed his residency in orthopaedic surgery at the University of Connecticut, and a fellowship in orthopaedic sports medicine in the Kerlan Jobe clinic in Los Angeles, California. In Los Angeles, Dr. Sablan served as assistant team physician to the Kings, Lakers, Dodgers, Anaheim Ducks and PGA Tour, as well as college and high school sports teams. He joined Tidewater Ortho because he shares the same commitment to providing excellent subspecialty care. His goal is to help relieve the pain and improve the joint conditions of the weekend warrior to the serious athlete and get them back in the game. Dr. Sablan provides expert care to athletes from Hampton University to Hampton high school teams, as well as the casual athlete who wants to continue to be active after an injury. Tidewater Ortho

901 Enterprise Pkwy, Suite 900 Hampton, VA 23666 (757) 637-7008 5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 637-7008 www.tidewaterortho.com

SLEEP HEALTH

Thevarajani Rajakumar, M.D., FAAP

Francisco Vega, M.D., Ph.D.

Hampton Roads Community Health Center

TPMG Sleep Health Clinic

Dr. Stephen Shield knows allergies and asthma. As a child growing up in Newport News, Virginia, 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.

Born in Sri Lanka, Dr Raji (as her patients affectionately call her) graduated from the Faculty of Medicine, University of Jaffna and completed her post graduate training at Long Island College Hospital in New York. With over 13 years of Pediatric experience, Dr. Raji began her medical career as a Pediatric Hospitalist. In 2010, her passion for children led her to outpatient care at Hampton Roads Community Health Center where she’s able to interact with children and their families every single day. Her areas of expertise are childhood obesity, childhood asthma and newborn care. She says that the best part of her job is being able to not only make a difference in children’s lives, but being able to interact with their families as well. The most satisfying aspect is watching her patients grow into healthy adults. Dr. Raji is board certified in pediatrics and enjoys traveling, reading books and spending time with her family. Dr. Raji has proven to be a tremendous asset to the dedicated team of providers at Hampton Roads Communtiy Health Center.

Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443

Hampton Roads Community Health Center 664 Lincoln Street Portsmouth, VA 23704 (757) 394-3160

www.allergypartners.com/hamptonroads

www.hrchc.org

Francisco Vega, M.D., Ph.D. received his Doctor of Medicine and Doctor of Philosophy (Neurophysiology) from Johns Hopkins University School of Medicine in 1993. He completed his internship at Johns Hopkins Bayview Medical Center in 1994 and a residency in Neurology at Johns Hopkins Hospital in 1997 in Baltimore, Maryland. Dr. Vega completed a fellowship in Sleep Medicine, Clinical Neurophysiology and Epilepsy at the National Institute of Health in Bethesda, Maryland in 1999. Dr. Vega is board certified in Sleep Medicine, Neurology and Clinical Neurophysiology. Treatment provided for sleep apnea, insomnia, daytime sleepiness and restless leg syndrome. TPMG Sleep Health Clinic - Newport News 11832 Canon Blvd., Suite E Newport News, VA 23606 (757) 706-3481

TPMG Sleep Health Clinic - Williamsburg 5424 Discovery Park Blvd., Bldg. B, Suite 102 Williamsburg, VA 23188 (757) 706-3481 www.mytpmg.com

ONCOLOGY/HEMATOLOGY special advertising section

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

Izabela Padurariu Beauty Therapy by Iza Iza is a master aesthetician, wax technician, threading specialist and massage therapist practicing in Williamsburg, Virginia. She is originally from Romania, and has worked as a master aesthetician in a variety of settings including in London where she graduated from the West Thames College with a license in aesthetics. She has been working in skin care and beauty therapy industry for over seven years. Upon moving to the United States, Iza continued her education and training at the American Spirit Institute in Williamsburg, Virginia. She is dedicated to helping men and women improve and maintain their skin care regimen. At her Williamsburg location, she’s created a place of tranquility and serenity where clients can come to restore the mind, body and spirit. Beauty Therapy by Iza offers a wide menu of therapeutic skin care treatments including facials, microdermabrasion, microcurrant, Epiblade, chemical peels, Derma Roller, waxing, threading, eyebrow and lash tint, make-up consultations and massage.

Loel Z. Payne, M.D.

Ligeng Tian, M.D., Ph.D. Virginia Oncology Associates Dr. Ligeng Tian is boardcertified in medical oncology, hematology and internal medicine. She received her medical degree from Beijing Medical University in China and her doctor of philosophy in molecular biology and genetics from Weill Graduate School of Cornell University in New York, New York. Tian completed her internal medicine residency at Long Island Jewish Medical Center of Albert Einstein College of Medicine in Bronx, New York, and her medical oncology/hematology fellowship at Yale Medical School in New Haven, Connecticut. Dr. Tian is a member of several professional organizations including the American Society of Clinical Oncology and American Society of Hematology. Dr. Tian’s particular clinical interests include providing personalized cancer care to patients with lung cancer and hematology. (757) 873-9400 Newport News 1051 Loftis Blvd., Ste. 100 Newport News, VA 23606 Hampton 3000 Coliseum Dr., Ste. 104 Hampton, VA 23666 www.virginiacancer.com

SKINCARE & AESTHETICS

ORTHOPAEDICS

BEAUTY & AESTHETICS Steven C. Mares, M.D. Erase the Canvas, LLC Steven C. Mares, M.D., is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and Anti-Aging Laser and Botox Treatments. He is a “Hokie,” having graduated with a degree in chemistry in 1986 from Virginia Tech. He received his medical degree from Eastern Virginia Medical School in 1992 and completed a pediatric residency at Children’s Hospital of The King’s Daughters in Norfolk, Virginia, in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Georgia in 1996, the year of the XXVI Olympics. During his time there he was involved in taking care of the Elite Olympic hopefuls at the U.S. Track and Field Championshipsb as well as the Women’s Olympic Softball Athletes at the Venue and Softball Olympic Village in Columbus. He moved to Williamsburg where he is involved with student athletes and the theater department at Lafayette High School. He did laser training at the National Laser Institute in Phoenix, Arizona, in 2010, and opened his clinic in 2013.

Tidewater Orthopaedics Dr. Loel Payne has been with Tidewater Orthopaedics since 1995 and has built a superior reputation for his care of shoulder and knee problems. Dr. Payne attended undergraduate school at Duke University and medical school at the University of North Carolina, Chapel Hill. He completed his residency and internship at Yale University before completing his fellowship training in shoulder surgery and sports medicine at The Hospital for Special Surgery in New York, New York. While completing his fellowship training, Dr. Payne had the opportunity to work with the New York Mets and currently is one of the team physicians for the Apprentice School. He performs surgeries at Sentara Williamsburg Regional Medical Center and the Orthopaedic Hospital at Sentara CarePlex, the only dedicated orthopaedic hospital on the Peninsula. His outpatient surgeries are performed at CarePlex Orthopaedic Ambulatory Surgery Center, where staff and facility are specialized in treating orthopaedic patients. Tidewater Orthopaedics 901 Enterprise Parkway Suite 900 Hampton, VA 23666 (757) 637-7008

5208 Monticello Avenue Suite 180 Williamsburg, VA 23188

www.tidewaterortho.com

PEDIATRIC DENTISTRY Rana GrahamMontaque, D.D.S., M.S., M.S.D. Pediatric Dental Specialists of Williamsburg A native of West Point, Virginia, Dr. Rana GrahamMontaque has returned home to serve the area’s youth and patients with special needs by providing specialty care. She completed her undergraduate and master’s degree at Hampton University. She graduated from VCU/MCVs School of Dentistry in 2006. After practicing in private practice and public health, Dr. Graham-Montaque returned to VCU to complete a residency in pediatric dentistry, where she was awarded an additional master’s degree. As Williamsburg’s full-service pediatric dental practice, she provides one-year-old first dental visits, oral sedation, nitrous oxide, dental trauma management, growth and development checkups as well as general anesthesia cases at a local hospital. She is a member of the American Academy of Pediatric Dentistry and the American Dental Association. She was awarded the public service award at VCU School of Dentistry. She serves as adjunct faculty in the dental programs at VCU and serves on the Board of Advisors for TNCC. She establishes a “dental home” for patients by reaching them by age one. Dr. Graham-Montaque is board certified.

161 C John Jefferson Road Williamsburg, VA 23185 (757) 634-4044

Beauty Therapy by Iza

Erase the Canvas, LLC 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390

Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg, VA 23188 (757) 903-4525

www.beautytherapybyiza.com

www.erasethecanvas.com

www.williamsburgpediatricdentist.com

NEPHROLOGY John T. Vengal, M.D. TPMG Nephrology John T. Vengal earned his undergraduate degree at Columbia University, and his medical degree at The Ohio State University College of Medicine in 2004. He completed a residency in Internal Medicine at Ochsner Clinic Foundation, New Orleans, Louisiana, and a fellowship in Nephrology at University of Virginia, Charlottesville, Virginia in 2011. Dr. Vengal is board certified in Nephrology and Internal Medicine. Dr. Vengal provides Nephrology care in Newport News, Williamsburg, West Point and White Marsh office locations.

ACCEPTING NEW PATIENTS

TPMG Nephrology (757) 599-3436

Newport News • Williamsburg West Point • White Marsh www.mytpmg.com

AUDIOLOGY Cindi Sanders, Au.D, CCC-A TPMG Williamsburg Audiology Dr. Cindi Sanders graduated from West Virginia University, earned her master’s degree at Western Michigan University and her doctorate from A.T. Still University. She holds her certificate of clinical competence in audiology, is a member of the American Academy of Audiology and the American Speech and Hearing Association. Dr. Sanders has been providing audiology services to patients in Williamsburg and the surrounding area for over 15 years. She has over 20 years’ experience in adult and pediatric diagnostic audiology services and extensive experience fitting and dispensing the latest digital hearing aids. Her commitment to excellence in all aspects of patient care is evident and her motto has always remained to work hard, offer the very best to her patients and do what it takes to help them hear better.

New Location TPMG Williamsburg Audiology Tidewater Medical Center at New Town

DENTISTRY

OPTOMETRY

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.

Gregory M. Schultz, OD, FAAO, ABO Eye Center of Virginia

Dr. Schultz has made patient education the cornerstone of his practice. Specializing in ocular disease and medical optometry, 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, Tennessee, 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.

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

Williamsburg Center for Dental Health

Eye Center of Virginia 101 Tewning Road Williamsburg, VA 23188 (757) 229-1131

www.williamsburgdentalhealth.com

www.eyecenterofvirginia.com

AUDIOLOGY

OPTOMETRY

Jude Liptak, Au.D.

Brent Segeleon, O.D.

Colonial Center for Hearing

Colonial Eye Care

Dr. Jude Liptak holds a doctorate degree in Audiology from Salus University. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio. 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, Virginia. Dr. Liptak is passionate about patient care and believes in educating patients about his findings so that they understand their hearing loss and his course of treatment. To Dr. Liptak, you are not just a patient— you are an individual with a hearing situation that requires prompt attention.

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 current board member and Tidewater Optometric Society President from 2014-2016. In 2013, the Virginia Optometric Association named him Young Optometrist of the Year. Originally from Pittsburgh, Pennsylvania, 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.

5424 Discovery Park Blvd., Bldg. B, Suite 205 Williamsburg, VA 23188 (757) 707-3517

430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004

Colonial Center for Hearing

Colonial Eye Care

www.mytpmg.com

www.williamsburghears.com

www.colonialeyecare.com

5121 Center St., Suite 102 Williamsburg, VA 23188 (757) 903-2633

COMES E R A FU C F

LL CIR C LE

LEGAC YO

STAYING WELL | ONE LAST THOUGHT

by Peggy Williamson

ho knew that my husband’s family garden plot would eventually sprout and grow a health care system that today reaches from Chesapeake to Virginia Beach? Back in 1963, when the city of Chesapeake was officially founded, it had 69,000 residents, only 12 physicians and no hospital. In 1967, the Chesapeake Hospital Authority surveyed several tracts of land as possible sites for a medical facility. The site they chose was an ideal location; a 35-acre parcel owned for generations by my husband Pete’s family, the Williamsons. Pete told me stories of many adventures he had there while growing up, many involving exploits with the farm’s animals, including rides in a cart hitched to their goat. Later, the field became popular with local residents as Pete’s brother, Porter, raised vegetables there, selling them at their “Red Shed” farm stand. An offer was extended for the land, which Pete accepted, after the family decided that the field’s development would be good for the growth of the city and the long-term health of its residents. The seed for the hospital was planted with groundbreaking in 1973, and by 1976 Chesapeake General Hospital opened its doors. It was still in such a remote location at the time that once a cow got loose from a neighboring field and was captured in the parking lot! As the hospital grew, our entire family came to rely on its services, with Porter even spending his last days there.

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Near the end of his life, Pete had been taken to Virginia Beach General Hospital, which is close to where we live. When he needed further care, the hospital suggested Atlantic Shores Retirement Community in Virginia Beach as an option. I also had several friends who lived there, so I was comfortable with choosing it. Despite receiving exceptional care, when his condition did not improve, Pete was recommended for hospice care. There were several agencies to choose from, but ultimately I chose Chesapeake Regional Healthcare’s ComfortCare hospice program, because of our family’s close personal ties with the hospital. Because Atlantic Shores had recently entered into a partnership with Chesapeake Regional to offer access to their specialty doctors, surgeons and programs at Atlantic Shores, including this hospice program, I was able to allow Pete to remain at Seaside.

Pete’s passing, I felt “ After comforted that Pete’s story had

come full circle—the hospital that purchased his land ended up caring for him at the end of his life. Who is ever prepared for a journey like this? I didn’t know what to expect with the hospice process, but we never had to ask for anything. After Pete’s passing, I felt comforted that Pete’s story had come full circle—the hospital that purchased his land ended up caring for him at the end of his life. And the legacy of that little field has grown from Chesapeake to Virginia Beach, and will continue to touch lives well into the future.

”

HEALTH DIRECTORY | STAYING WELL

HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802

National Suicide Crisis Hotline Toll-Free: (800) 784-2433

National Suicide Prevention Hotline

Toll-Free: (800) 273-8255

120 Kings Way, Suite 2550 Williamsburg (757) 534-5909

Reneau Medical Center for Age Management & Aesthetic Medicine

FAMILY PRACTICE

400 Sentara Circle, Suite 103 Williamsburg (757) 534-7701

Riverside Family Practice & Extended Care

11803 Jefferson Ave., Suite 230 Newport News (757) 534-7701

120 Kings Way, Suite 2550 Williamsburg (757) 345-3064

Williamsburg Plastic Surgery

5231 John Tyer Highway Williamsburg (757) 220-8300

Riverside Norge Internal Medicine & Pediatrics Center

Poison Control Center

Toll-Free: (800) 222-1222

333 McLaws Circle Williamsburg (757) 345-2275

ADDICTION TREATMENT

DENTISTRY

The Farley Center

Healthy Smiles Dental Center

5477 Mooretown Road Williamsburg (877) 389-4968

664 Lincoln Street Portsmouth (757) 393-6363

120 Kings Way, Suite 1400 Williamsburg (757) 345-2555

ALLERGY & ENT

9581 Shore Drive Norfolk, VA (757) 393-6363

FITNESS

Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722

11842 Rock Landing Drive, Suite 100 Newport News (757) 873-0338 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

Historic Triangle Dental Care Michael J. Whyte, DDS

1769 Jamestown Road, Suite 2B Williamsburg (757) 903-2527

New Town Dental Arts Sebastiana G. Springmann, D.D.S

4939 Courthouse Street Williamsburg (757) 259-0741

Williamsburg Center for Dental Health

Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303

Wyatt Orthodontics

7364 Richmond Road Williamsburg (757) 345-0011

Riverside Williamsburg Family Medicine

Bdefined— personal fitness & wellness defined. 5207 Center St. Williamsburg (757) 345-6801

LWell - Longevity Wellness 301-A Village Ave. Yorktown (757) 585-3441

Angels of Mercy Medical Clinic

Beach Health Clinic

DERMATOLOGY

Chesapeake Care

The Pavilion at Williamsburg Place

5483 Mooretown Road Williamsburg (800) 582-6066

CARDIOLOGY Riverside Cardiovascular Health

117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540

CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser

Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900

Pinto Chiropractic & Rehabilitation

5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9353

17 Manhattan Square Hampton (757) 838-8030

Dermatology Center of Williamsburg

Riverside Williamsburg Gastroenterology

457 McLaws Circle, Suite 1 Williamsburg (757) 221-0750

GENERAL SURGERY Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141

HEALTH CARE ATTORNEYS Brain Injury Law Center

Mellette PC

606 West 29th St. Norfolk (757) 446-7756

12528 Warwick Blvd. F Newport News 757-595-7990

BEHAVIORAL HEALTH & PSYCHIATRY

Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190

American Red Cross Adult Dental Clinic

AUDIOLOGY & HEARING

Associates In Dermatology, Inc.

Digestive Disease Center of Virginia, PC

FREE CLINICS

Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-9108

430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004

Colonial Gastroenterology

2100 Kecoughtan Road Hampton (877) 840-3431

7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478

Colonial Center For Hearing

GASTROENTEROLOGY

COSMETIC & PLASTIC SURGERY

7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601 2145 South Military Highway Chesapeake (757) 545-5700

The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060

428 McLaws Circle, Suite 200 Williamsburg (757) 259-9200

HEALTH SPAS/ ESTHETICIANS Beauty Therapy By Iza

161-C John Jefferson Road Williamsburg, VA 23185 (757) 634-4004

Spa of Colonial Williamsburg 307 South England Street Williamsburg (757) 220-7720

HERNIA SPECIALISTS The Hernia Center at Mary Immaculate Hospital 860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077

Donna M. Corvette, M.D. 5335 Discovery Park Blvd., Suite A Williamsburg (757) 645-3787

H.E.L.P. Free Clinic

1320 LaSalle Ave. Hampton (757) 727-2577

HOME CARE

Dermatology Specialists

H.E.L.P. Free Dental Clinic

Agapé Home Care

1325 LaSalle Ave. Hampton (757) 727-2577

350 McLaws Circle, Suite 2 Williamsburg (757) 229-6115

Lackey Free Clinic

Visiting Angels

Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161

DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444

1620 Old Williamsburg Road Yorktown (757) 886-0608

12388 Warwick Blvd., Suite 206 Newport News (757) 599-4145

Olde Towne Medical and Dental Center

HOSPITALS & MEDICAL CENTERS

5249 Olde Towne Road Williamsburg (757) 259-3258

Bon Secours Maryview Medical Center

3636 High St. Portsmouth (757) 398-2200

Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800

Bon Secours Surgery Center at Harbour View

5818 Harbour View Blvd., Ste. 102 Suffolk (757) 215-0499

Chesapeake Regional Medical Center

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

Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098

CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363

Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Suite 130 Newport News (757) 594-1899

Hampton Roads Community Health Center 664 Lincoln Street Portmouth (757) 393-6363

Ocean View Medical and Dental Center

9581 Shore Drive Nofolk, VA (757) 393-6363

Park Place Family Medical Center

3415 Granby Street Norfolk (757) 393-6363

Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141

Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200

Riverside Regional Medical Center

500 J. Clyde Morris Blvd. Newport News (757) 594-2000

Sentara Independence

800 Independence Blvd. Virginia Beach (757) 363-6100

100 Sentara Circle Williamsburg (757) 984-6000

Surry Area Free Clinic

Bon Secours Mary Immaculate Hospital

474 Colonial Trail West Surry (757) 294-0132

2 Bernardine Drive Newport News (757) 886-6000

3000 Coliseum Drive Hampton (757) 736-1000

ENDOCRINOLOGY

Western Tidewater Free Clinic

Bon Secours DePaul Medical Center

Sentara Heart Hospital

Tidewater Diagnostic Imaging

Riverside Endocrinology & Diabetes Center

2019 Meade Parkway Suffolk (757) 923-1060

Granby St. & Kingsley Lane Norfolk (757) 889-5310

Sentara CarePlex Hospital

600 Gresham Drive Norfolk (757) 388-8000

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STAYING WELL | HEALTH DIRECTORY Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000

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

American Red Cross

1323 W. Pembroke Ave. Hampton (757) 838-7320

Sentara Obici Hospital

3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228

Sentara Port Warwick

6912 George Washington Memorial Highway Yorktown (757) 898-3090

2800 Godwin Blvd. Suffolk (757) 934-4000

1031 Loftis Blvd. Newport News (757) 736-9898

Sentara Princess Anne

The Arc of Greater Williamsburg

2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000

202 Packets Court Williamsburg (757) 229-0643

Sentara Virginia Beach General Hospital

The Arthritis Foundation

1060 First Colonial Road Virginia Beach (757) 395-8000

Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000

MASSAGE THERAPY Beauty Therapy By Iza 161-C John Jefferson Rd. Williamsburg, VA 23185 (757) 634-4004

Massage By David

David Presnesll, CMT Yorktown/Newport News/ Williamsburg (860) 449-3156

NEUROLOGY Williamsburg Neurology & Sleep Disorders Center 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

NEUROSURGERY Riverside Neurosurgical & Spine Specialists

120 Kings Way, Suite 3500 Williamsburg (757) 220-6823

NON-PROFIT ORGANIZATIONS Access AIDS Support

2201 W. Broad St., Suite 100 Richmond (804) 359-1700

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

AWARE Worldwide, Inc.

6350 Center Drive, Bldg. 5, Ste. 228 Norfolk (757) 965-8373

Beacon House Clubhouse for Brain Injury Survivors

3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222

Beyond Boobs! Inc.

1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649

Cancer Care Foundation of Tidewater 5900 Lake Wright Drive Norfolk (757) 461-8488

Center for Excellence in Aging & Lifelong Health

3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751

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

218 S. Armistead Ave. Hampton (757) 722-5511

PO Box 10100 Virginia Beach (757) 518-8500

222 W. 21st St., Suite F-308 Norfolk (757) 622-2989

Colonial Behavioral Health

Alzheimer’s Association

6350 Center Drive, Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900

American Cancer Society

1657 Merrimac Trail Williamsburg (757) 220-3200

Denbigh Clubhouse for Brain Injury Survivors

12725 McManus Blvd, Suite 2E Newport News (757) 833-7845

Dream Catchers Therapeutic Riding

11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330

10120 Fire Tower Road Toano (757) 566-1775

American Diabetes Association

Edmarc Hospice for Children

870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662

516 London St. Portsmouth (757) 967-9251

American Heart Association

Endependence Center, Inc.

500 Plume St. East, Suite 110 Norfolk (757) 628-2610

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6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007

Norfolk (757) 627-5386

Faith in Action

RSVP: Retired Senior Volunteers

354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Food Bank of SEVA

800 Tidewater Drive Norfolk (757) 627-6599

Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161

Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220

Jewish Family Service

260 Grayson Road Virginia Beach (757) 321-2223

Lee’s Friends: Helping People Live with Cancer

12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037

St. Mary’s Home for Disabled Children

The Sarah Bonwell Hudgins Foundation

Retina & Glaucoma Associates

1 Singleton Drive Hampton (757) 827-8757

Senior Center of York

5314 George Washington Hwy. Yorktown (757) 898-3807

Susan G. Komen Tidewater 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794

United Way

11870 Merchants Walk, Suite 104 Newport News (757) 873.9328

Leukemia & Lymphoma Society

The Up Center

6350 Center Drive, Suite 216 Norfolk (757) 459-4670

1805 Airline Blvd. Portsmouth (757) 397-2121

National MS Society

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

9905 Warwick Blvd. Newport News (757) 251-0600

National Alliance on Mental Illness-Williamsburg Area P.O. Box 89 Williamsburg (757) 220-8535

National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298

Norfolk Community Services Board

229 W. Olney Road, Room 1 Norfolk (757) 664-6670

Peninsula Agency on Aging

739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541

VersAbility Resources

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

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

Williamsburg Obstetrics & Gynecology

1115 Professional Drive Williamsburg (757) 253-5653

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

ONCOLOGY

Peninsula Institute for Community Health

Riverside Peninsula Cancer Institute

1033 28th St. Newport News (757) 591-0643

120 Kings Way, Suite 3100 Williamsburg (757) 345-5724

Peninsula Pastoral Counseling Center

12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555

707 Gum Rock Court Newport News (757) 873-2273

Protect Our Kids

P.O. Box 561 Hampton (757) 727-0651

Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771

Ronald McDonald House 404 Colley Ave.

5900 Lake Wright Drive Norfolk (757) 466-8683

OPTOMETRY & OPHTHALMOLOGY

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

The Needs Network, Inc.

2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670

6171 Kempsville Circle Norfolk (757) 622-2208

7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501

760 Lynnhaven Parkway., Suite 201 Virginia Beach (757) 490-9627

5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215

113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

Riverside Hampton Roads Eye Associates 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

ORTHODONTICS Wyatt Orthodontics

Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-9108 12528 Warwick Blvd. F Newport News 757-595-7990

ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine

730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 4374 New Town Road, Suite 102 Williamsburg (757) 873-1554

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900

Riverside Orthopaedics & Sports Medicine

120 Kings Way, Suite 2800 Williamsburg (757) 645-0145

Riverside Orthopedic Specialists

12200 Warwick Blvd., Suite 310 Newport News (757) 234-7882 850 Enterprise Parkway, Suite 2000 Hampton (757) 234-7882

Tidewater Orthopaedic Associates

901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Ave. Williamsburg (757) 206-1004

PAIN MANAGEMENT Riverside Pain Medicine & Rehabilitation Specialists 120 Kings Way, Suite 2550 Williamsburg (757) 345-3050

Virginia Oncology Associates 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy

5838 Harbour View Blvd. Suffolk (757) 673-5971

725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403

2012 Meade Parkway Suffolk (757) 934-3366

1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437

5553 Portsmouth Blvd. Portsmouth (757) 465-7906

HEALTH DIRECTORY | STAYING WELL 3300 High St., Suite 1-A Portsmouth (757) 673-5689

101 Long Green Blvd. Yorktown (757) 952-1900

4900 High St. West Portsmouth (757) 483-4518

Dominion Physical Therapy & Associates, Inc.

7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230  2 Bernardine Drive Newport News (757) 886-64å80 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 1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540  1817 Laskin Road, Ste. 100  Virginia Beach (757) 437-0471

304 Marcella Road, Suite E Hampton (757) 825-9446

Hampton (757) 827-2480

Smithfield (757) 357-7762

URGENT CARE

5208 Monticello Ave. Williamsburg (757) 206-1004

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

MD Express

Tidewater Physical Therapy

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

2106 Executive Drive Hampton (757) 838-6678

466 Denbigh Blvd. Newport News (757) 875-0861 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932

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

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

730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554

1580 Armory Drive, Ste. B Franklin (757) 562-0990

4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383

Orthopaedic & Spine Center Physical Therapy

901 Enterprise Parkway, Suite 900

1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060

Riverside Peninsula Vascular Surgery

120 Kings Way, Suite 2200 Williamsburg (757) 645-3460

2007 Meade Pkwy. Suffolk (757) 539-6300

156-A Strawberry Plains Road Williamsburg (757) 229-7939

Williamsburg Neurology and Sleep Disorders Center

204 Gumwood Drive

Riverside Hampton Roads Urology

VASCULAR SURGERY

Pulmonary & Sleep Consultants of Williamsburg

7190 Chapman Drive Hayes (804) 642-3028

Tidewater Orthopaedic Associates

UROLOGY

120 Kings Way, Suite 3200 Williamsburg (757) 253-0051

SLEEP MEDICINE

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

250 Nat Turner Blvd. Newport News (757) 596-1900

5231 John Tyler Highway Williamsburg (757) 220-8300

6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890

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

Hampton Roads Orthopaedics & Sports Medicine

Riverside Williamsburg Family Practice & Extended Care

927 N. Battlefield Blvd., Ste. 200 Chesapeake (757) 436.3350

12494 Warwick Blvd. Newport News (757) 599-5551

500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119

3321 West Mercury Blvd. Hampton (757) 224-0056

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

612 Denbigh Blvd. Newport News (757) 874-0032

5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700

12997 Warwick Blvd. Newport News (757) 369-9446

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

751 J Clyde Morris Blvd Newport News (757) 873-2123

301 Riverview Ave. Norfolk (757) 963-5588

4740 George Washington Memorial Highway Yorktown (757) 890-6339

1745 Camelot Drive, Ste. 100 Virginia Beach (757) 961-4800

9 Manhattan Square, Suite B Hampton (757) 825-3400

120 Monticello Ave. Williamsburg (757) 564-3627

WEIGHT LOSS

120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

Riverside Weight Loss Specialists

850 Enterprise Parkway, Suite 1300 Hampton (757) 637-7637

MARCH WORD March2016 SEARCH*

MARCH SUDOKU 6

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IN TEASERS

MARCH WINNER MARSHA W. RUSH WILLIAMSBURG, VA

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UP FOR THE CHALLENGE? Challenge your brain! Turn to page 64 to find out how you can win a gift card!

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Kidneys NationalDoctorsDay NationalNutrition Pisces Poetry MARCH CRYPTOGRAM Puppies Shamrock Spring StPatricksDay WomensHistory WorldWildlife It is better to create than to learn! Creating is the essence of life. —Julius Caesar

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LET THE SPECIALISTS AT TIDEWATER ORTHOPAEDICS

PUT SPRING BACK IN YOUR STEP! CALL FOR AN APPOINTMENT 757-637-7016

Managing Shoulder Pain Nicholas K. Sablan, MD

Advancements in Treatments for Knee Pain

April 13 at 6:30pm

Tidewater Orthopaedics 901 Enterprise Pkwy, Suite 900 Hampton

Michael E. Higgins, MD

April 19 at 6:30pm

Tidewater Orthopaedics 901 Enterprise Pkwy, Suite 900 Hampton

Total Ankle Replacement Paul B. Maloof, MD

April 26 at 6:30pm

Tidewater Orthopaedics 901 Enterprise Pkwy, Suite 900 Hampton

Join Us For An Informative Lecture â&#x20AC;˘ To RSVP 757-827-2480 ext. 332

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 Nicholas K. Sablan, MD Paul B. Maloof, MD

Williamsburg | 5208 Monticello Avenue, Suite 180 | Williamsburg, VA 23188 Hampton | 901 Enterprise Parkway, Suite 900 | Hampton, VA 23666

Loel Z. Payne, MD John J. McCarthy III, MD Jonathan R. Mason, MD Amanda K. Watkins, PA-C Gabrielle Lanzetta, PA-C

757-637-7016

www.tidewaterortho.com

Weâ&#x20AC;&#x2122;re All About Family Time! FAMILY MEDICINE IS OUR FOUNDATION

TPMG doctors have been caring for Hampton Roads families for over 50 years. Weâ&#x20AC;&#x2122;re committed to providing outstanding care for all ages. With over 170 physicians and advanced practice clinicians, TPMG is the leading choice for complete family care.

PENINSULA LOCATIONS Denbigh Family Medicine 13347 Warwick Blvd. Newport News, VA 23602 (757) 877-0214 Family Practice of Hampton Roads 2117 Hartford Road Hampton, VA 23666 (757) 825-4273 Grafton Family Medicine 222 Grafton Drive Yorktown, VA 23692 (757) 898-7737 Hampton Family Medicine 410 Marcella Road, Suite A Hampton, VA 23666 (757) 223-4992 Hartford Internal Medicine 2100 Hartford Road Hampton, VA 23666 (757) 826-2102 Hidenwood Family Medicine 12655 Warwick Blvd., Suite A Newport News, VA 23606 (757) 595-9880 Kiln Creek Family Medicine 1405 Kiln Creek Parkway, Suite K Newport News, VA 23602 (757) 369-5784 Newport News Internal Medicine 860 Omni Boulevard, Suite 110 Newport News, VA 23606 (757) 877-4221

Patrick Henry Family Medicine 12695 McManus Blvd. Building 6, Suite A Newport News, VA 23602 (757) 969-1755

Granby Internal and Family Medicine 110 Kingsley Lane, Suite 309 Norfolk, VA 23505 (757) 889-2006

Peninsula Internal & Geriatric Medicine 555 Denbigh Blvd., Suite C Newport News, VA 23608 (757) 243-8550

Greenbrier Family Medicine Walk-in Express Care 1100 Volvo Parkway, Suite 100 Chesapeake, VA 23320 (757) 389-5370

Peninsula Internal Medicine 860 Omni Boulevard, Suite 111 Newport News, VA 23606 (757) 369-8138

Holland Road Family Medicine 351 Edwin Drive, Suite 102 Virginia Beach, VA 23462 (757) 499-5550

Tidewater Family Medicine 2114 Hartford Road, Suite A Hampton, VA 23666 (757) 826-3460

Indian River Family Practice 1016 Justis Street Chesapeake, VA 23325 (757) 420-8297

Yorktown Family Medicine 307 Cook Road Yorktown, VA 23690 (757) 898-7261

Town Center Family Medicine 100 Constitution Drive, Suite 217 Virginia Beach, VA 23462 (757) 963-7676

SOUTHSIDE LOCATIONS Atlantic Coast Family Medicine 1020 Independence Blvd., Suite 111 Virginia Beach, VA 23455 (757) 301-7729 Corporate Landing Internal & Family Medicine 1232 Perimeter Parkway, Suite 101 Virginia Beach, VA 23454 (757) 821-2088 Coastal Internal Medicine and Tidewater Bariatrics 1405 Kempsville Road Chesapeake, VA 23320 (757) 842-6267

Tidewater Sports & Osteopathic Medicine 1100 Volvo Parkway, Suite 100 Chesapeake, VA 23320 (757) 410-3231 100 Constitution Drive, Suite 217 Virginia Beach, VA 23462 (757) 963-7676

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