TransylvaniaHealthAndWellnessGuide2019 by The Transylvania Times

HEALTHAND WELLNESS GUIDE 2019 A special supplement to The Transylvania Times

18 Get Set Transylvania

4 Losing Weight In 2019

10 Fitness For 2019

TRAN SYLV ANIA

The 2019 Health And Wellness Guide is a publication of The Transylvania Times.

4 CONTENTS Weight Loss in 2019

Writers Derek McKissock, John Lanier, Jeremiah Reed, Park Baker and Mathew McGregor Editor Sean Trapp Magazine Design Leigh Trapp Ad Design David Metcalfe and Leigh Trapp Advertising TL Smith and Angie Baney The Transylvania Times 37 N. Broad Street Brevard, NC 28712 (828) 883-8156 www.transylvaniatimes.com

Yvonda Lamm Interior Design

Keys To Fitness

Transylvania County Parks & Rec

Get Set Transylvania

Spas

Physical Therapy & Massage

Health Insurance In 2019

Eye Care Re-Examined

Dental Care & Fluoride

Hearing Loss and Wireless Tech

Cycling For Health

Transylvania Public Health

Yoga

Alternative Medicine

Chiropractic Care

Hospitals/Clinics

Health & Wellness Directory

40 Yvonda Lamm, Interior Designer, BFA . Certified Aging in Place Specialist (CAPS), NAHB Interior Designer & Consultant for a Healthy Home & Accessibility for Clients, Builders, Residential Designers, & In-Home Care Medical Professionals By Appointment Only . EM: yvondalammdesign@yahoo.com . Brevard, NC

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LIFESTYLE CHANGES FOR If losing weight is not the top New Year’s resolution for Americans, it is certainly one of the top three. While many people lose weight on a diet only to regain it, there are ways people can lose weight and keep it off. The key is to set realistic goals and incrementally change one’s lifestyle. As with all lifestyle changes, the individual must want to make that change for himself/herself. Too often people attempt to lose weight for the wrong reason, such as pleasing their spouse. Under those circumstances, people usually lose weight initially but then regain it.

Setting a goal to lose weight gradually (1 to 2 pounds per week) lends to people being successful at keeping weight off. Once a person decides that they want or need to lose weight solely for themselves, they should follow a program that slowly reduces weight. According to the U.S. Centers for Disease Control and Prevention, “evidence shows that people who lose weight gradually (about 1 to 2 pounds per week) are more successful at keeping weight off.” Bonnie Green, a physician who worked in Florida for more than 17 years and has owned and operated The Weight Place in Brevard for the past four years, said that many of her patients had illnesses related to being overweight. By just losing weight, many of her patients resolved their illnesses. Green said people should set realistic goals, such as losing 3 to 5 pounds a month. People, however, need to establish a deadline for their weight loss. Meeting a deadline is easier if that date is one’s birthday or some other special day. Once that goal has been met, then another weight loss goal can be established. Green warns against setting too many goals at once, such as eating less and exercising more. While exercise is important, she said 85 percent of weight loss comes from adjusting one’s diet. “Exercise is just a bonus,” she said. At certain times, success also can be just maintaining one’s weight. Studies have shown that Americans often gain up to 7 pounds between Halloween and New Year’s. If people do not gain any weight during the holiday season, that can be considered a success. So what diet is the best for losing weight? That often depends on whom you ask and when you ask it. The latest consensus

LOSING WEIGHT IN 2019 fiber, as well as eating protein at every meal.

Once people have reached their desired weight and wish to maintain it, then they can add natural fruits that contain sugars.

Green also said people should eat things they enjoy and avoid items they do not. â&#x20AC;&#x153;If you donâ&#x20AC;&#x2122;t like eggs, donâ&#x20AC;&#x2122;t eat eggs,â&#x20AC;? she said.

In order to find healthy and tasty foods, people have to be willing to try new foods and recipes. There are some new low-carb foods, such as cauliflower rice, that are relative new to the market. While the low-carb diet contains more fat than some other diets, Green said she has only had two patients since 2008 whose cholesterol has increased while on the plan. Many of her patients have been quite successful. One person lost 200 pounds over two years and has kept the weight off. And when people lose weight, they are less likely to need medications for high blood pressure, diabetes and acid reflux. (continued on pg. 6) seems to be that America has become an obese nation because Americans consume too many sugars. Green encourages her clients to eat few carbohydrates. She said recent research from the AMA and British Medical Journal suggest that overweight people should reduce their carbohydrates and replace them with fats, which increases oneâ&#x20AC;&#x2122;s metabolism and makes one feel full after eating. Those foods include meat, cheese, peanut butter, cream cheese, guacamole, chicken, almonds, cashews, hardboiled and deviled eggs, etc. Green said weight loss is about controlling oneâ&#x20AC;&#x2122;s insulin. Carbohydrates do not satiate people and excessive carbohydrates cause a flood of insulin. As insulin floods the body, hunger increases and weight increases. Since most of Greenâ&#x20AC;&#x2122;s patients are overweight, they donâ&#x20AC;&#x2122;t need carbohydrates. â&#x20AC;&#x153;They are the carb,â&#x20AC;? she said. Green said people who want to lose weight should avoid all

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processed sugars, as well as items such as pasta, rice, potatoes, sodas, sweet teas and fruit juices. She recommends that overweight people eat 25-45 grams of carbohydrates a day and 25 grams of

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LOSI N G WEI G HT I N 2019 “It’s just been amazing,” said Green. She said people should set reasonable goals and achieve them. If they do not achieve that ultimate goal, whatever it is, then they are more likely to relapse. “It’s like a marathon,” said Green. “If you don’t cross the finish line, you really haven’t won.” That does not mean, however, that patients will not have relapses or eat poorly at times. They often do. When people make a dietary mistake, they should just recommit themselves to their diet. They also need to realize that even a small improvement, such as losing 10 pounds, can have a positive impact on their health, including lowering their blood pressure and blood sugar.

Green can be reached at The Weight Place, located at 6 Park Place West in Brevard. Call (828) 884-7546 or visit www.theweightplace.com.

Call (828) 884-SLIM 6 Park Place West Bonnie G. Green, MD www.theweightplace.com

S T RA TEG I ES TO CONT ROL APPE T IT E Hunger can be a formidable foe, especially for people attempting to lose weight. When hunger strikes, various appetite-control strategies can help people avoid overeating or eating during those times when boredom is more to blame than an empty belly. • Eat slowly. When a person eats, a series of signals are sent to the brain from digestive hormones secreted by the gastrointestinal tract. These signals produce a feeling of pleasure and satiety in the brain, but it can take awhile for the brain to receive them. By chewing slowly, people can give the signals more time to reach their brains, potentially preventing them from overeating. • Reach for fiber first. Another way to conquer hunger without overeating is to reach for fiber before eating other parts of your meal. Vegetables are rich in fiber, but since veggies are often served as side dishes, many people tend to eat them only after they’ve eaten their main courses. That can contribute to overeating. Fiber fills you up, so by eating the high-fiber portions of your meal first, you’re less likely to overeat before your brain receives the signals that your stomach is full. Consider eating vegetables as an appetizer or, if the entire meal is served at once, clear your plate of vegetables before diving into the main course or other side dishes. • Drink water. Perhaps the best, and least expensive, way to control appetite and ensure you don’t overeat is to drink more water. A 2010 study funded by the Institute for Public Health and Water Research that included 48 adults between the ages of 55 and 75 found that people who drank two eight-ounce glasses of water right before a meal consumed 75 to 90 fewer calories during the ensuing meal than study participants who did not consume water prior to their meals. Over the course of 12 weeks, participants who drank water before meals three times per day lost roughly 5 pounds more than those who did not increase their water intake. Controlling appetite does not have to be a complex undertaking. In fact, some of the simplest strategies can be highly effective.

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WHAT PROGRAM HAS WORKED FOR YOU TO LOSE WEIGHT?

Kristen Gentry “I find myself hating myself when I break the rules. So generally, I try to stay away from diets but limit my carb intake and eat lots of vegetables.”

Clark Lovelace “It’s a fitting time of year to ask, because I think a lot of us make a New Year’s resolution around this time. At the end of the day, it’s a matter of eating better and exercising more. I think most of us know what we need to do. It’s just really hard to find time to do it.”

Jill Murray “Last year, I started a boot camp at Brevard Health and Racquet club by chance when I was looking for a trainer. Jodi Thomas had started a boot camp, and I did that for several weeks and really got a lot out of it. It really worked for me, and I started eating better. She starting it again with employees from Gaia Herbs at a location on 167 Rosman Highway. You are working your whole body top to bottom – some of it is weightlifting, and some cardio.”

Corey Gafnea “The diet program that had me feeling the best and worked the best for my body was Dr. Fuhrman’s Eating to Live vegan diet. It was very hard to do, but it had me feeling the best. His message is salad is the main meal, and cutting out dairy, gluten and grains.”

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KEYS TO FITNESS IN 2019:

The first time a person enters a fitness facility can be intimidating. There are myriad machines, ranging from treadmills and stationary bikes to ellipticals and all sorts of weightlifting machines, as well as free weights, bars and mats. It’s hard to tell where to begin. The intimidation factor is only increased when a first-timer sees all the veterans, many slim and muscular, moving from one machine or exercise to another without a second thought. “Too many are intimidated when they enter a gym,” said Jake Dalton, owner of Next Level Fitness in Rosman. His advice: “Remember, everyone had to get started sometime!” Before selecting a fitness facility, visit several of them to see their proximity to your home and place of employment, the hours of operation, the cost for individuals and families, the amenities offered, the range of programs and equipment, the availability of staff, locker rooms and cleanliness. Some facilities, like the Brevard Health & Racquet Club, offer tennis and pickle ball courts and indoor and outdoor swimming pools, in addition to traditional exercise rooms. Other facilities offer 24-hour access to their exercise rooms. Some facilities may offer more or less than you might expect if you just drive by.

PERSERVERANCE & VARIETY “Our facility has all the equipment of the big gyms. Our main focus, since we opened, is to allow our clients ease of access, and convenience, so they can reach their fitness goals on their timetable,” said Dalton. Once you’ve selected a facility, how do you begin? According to Charity Smith of Workout Anytime Brevard, the first thing to do is to find a fitness facility employee and communicate to them your goals and previous workout experience. Be sure to mention any physical limitations. The staff member then can walk you through the gym and explain how to properly use each piece of equipment. Both Dalton and Smith said beginners should start slowly to avoid injuries. Injuries can be difficult to overcome, both physically and mentally, and make it more difficult to achieve your goals. Novices also should be comfortable with themselves and not compare themselves to others. Many gyms have programs for beginners and staff will help establish initial weights and repetitions for clients. Staff members are glad to answer questions about certain machines or exercises. Most of the cardiovascular machines today provide information as to how far and fast you’re walking, how many calories you’ve burned, etc. Staff members often help set up initial workouts on those machines. Many gyms, like WOA Brevard, offer small group classes that allow participants to encourage each other towards their goals. If you desire more personal instruction and want someone to tailor a specific program for you and spend time with you individually, most gyms offer one-on-one trainers for an additional cost.

(continued on pg. 12)

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KEYS TO FITNESS As with the race between the tortoise and hare, the benefits accrue to those who work out consistently over a long period of time. “This is not a sprint; it is a marathon,” said Dalton. Those who expect quick results are more likely to quit than those who realize becoming fit takes time. “Most people quit because they aren’t seeing any results or not seeing results quick enough,” said Smith. Dalton added that too many beginners are focused on their weight. “I tell people all the time to forget about the scale. We don’t have one in the gym for that very reason. It’s not about weight. You can be small, but if your muscle mass is low, then you are as unhealthy as a heavy person. It is all about body composition,” he said. If you work out three days a week, it will take about 30 days before you see any results. Significant changes – one’s that are obvious to you – often do not occur until you’ve consistently worked out for 90 days. While you need to consistently work out in order to see progress, you also need to change your exercise routine at least every 90 days because your body adapts to a training cycle. “If you don’t change up your routine, then you will plateau, and that is when people start to get discouraged, and bail on their goals,” said Dalton. “One thing that can keep people motivated is by mixing up the workout,” said Smith. “Don’t get into a rut where you come in and do the same thing every day. Change up your workout. When you do the same thing everyday your body gets ‘bored’ and quits making progress and your mind gets ‘bored’ also.” You also should not focus on just one facet of exercise. Dalton said he sees too many women spend time just on the treadmills or some other aerobic machine. “Cardio is only one piece of the puzzle,” he said. “You must do weight bearing training. This builds muscle to help you burn more calories at rest. It also strengthens your bones to help prevent bone loss as you age. A woman is not going to pack on muscle like a man, but it is imperative for a woman to not limit herself nor her health by not doing load-bearing exercises.” (continued on pg. 14)

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FITNESS KEYS Stretching and fluid movement also should be part of a fitness routine. Again, staff members provide advice and many fitness facilities provide Yoga, Zumba or other classes that combine aerobics with stretching and/or fluidity. Even if you follow all of these steps, there is a good chance you will hit a stretch when you do not feel like working out. There are two ways to minimize your chances of quitting. One is to exercise with a friend or co-worker. It’s harder to skip a workout if you have a constant cohort. The best way, however, is to have workouts become part of your routine. It’s just something you do without thinking about it, and if you don’t do it, you feel your day is incomplete. While exercise of all kinds, from running to lifting weights, is important to improving your overall health, exercise is a distant second when it comes to losing weight. “You can’t exercise yourself out of a bad diet,” said Smith. “Diet is 80 percent of the effort, particularly if your goal is to tone up and lose weight. Staying healthy is a combination of strength building, as you will do in a gym, and proper diet. You are what you eat. Diet must be a part of any plan to get healthy and stay healthy!” And in order to lose weight and become more fit, the lifestyle changes you make should be gradual but permanent. “It can’t be a fad. It can’t be for a limited time. It has to be permanent. Only then will you see the dramatic changes in your fitness, your appearance and your overall health,” said Dalton.

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TRANSYLVANIA PARKS & REC Jared Mull, Transylvania County Parks & Recreation director, provided the following information.

One of the goals for Transylvania County Parks & Recreation is to provide health and wellness opportunities for the public. We strive to accomplish this goal through staff directed and contracted programs. Our athletic programs for the Pre-K age group are designed to develop fine motor, teamwork and basic sports skills. The two main athletic programs are Start Smart Basketball and Future Football Stars. In addition, we have two different summer camps for this age group that meet at the Recreation Center. These camps are themed and one week is typically a sports camp. The youth sports we offer are designed to help fill in the gaps of what is not offered by the countyâ&#x20AC;&#x2122;s youth athletic associations. Currently, we offer girls youth volleyball, youth basketball, flag football and SNAG Golf. In addition to these youth sports, we offer themed summer camps, such as dodge ball,

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sports and extreme camp, that enable the kids to exercise in a variety of fun activities. Another very popular youth program that takes place in our gymnasium is Head to Toes Gymnastics, which meets Tuesday, Wednesday and Thursday afternoons. This program is led by gymnastics instructor Erin Queen.

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Adult health and wellness programs can be found inside the Recreation Center and on our athletic fields. The church league board does a great job of running adult softball in the spring

Battle for the Belt, which draws some of the best players in our county, as well as all over western North Carolina. Senior programs that are offered throughout the year include pickleball, basketball and badminton. Senior Games takes place in the spring and typically draws more than 150 county residents, allowing them to participate in as many as 20 events. In July of 2018, the county took over the senior center operations inside the Silvermont mansion. There are several fitness activities, health programs and informational sessions throughout the week that are available to our seniors in the county. For more information on our programs, visit www.coun tyrec.org or call (828) 884-3156.

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like to see. “Giving parents tools is very, very important,” Farash said. “We want to see greater school readiness and performances, higher scores for our schools.” Partners in Get Set Transylvania include Brevard College, Community Playgroups, El Centro, The Family Place, The Land of Sky Foster Grandparent Program, Hendersonville Pediatrics, Keystone Camp, Lee McMinn, Mountain Sun Community School, Rise & Shine, SAFE, Smart Start of Transylvania County, Southmountain Children and Family Services, The Children’s Center of Transylvania County, Transylvania County Administration, Transylvania County Board of Commissioners, the Transylvania County Department of Social Services, Transylvania County Library, Transylvania County New Adventure Learning Center, Transylvania County Parks and Recreation, Transylvania County Schools, Transylvania Public Health, United Way of Transylvania County and Western Carolina Community Action.

GET SET

TRANSYLVANIA

During last year’s Halloweenfest in downtown Brevard, the variety of costumes and fun activities weren’t the only highlights. Get Set Transylvania, a collaboration of more than 24 local organizations aimed at helping the area’s youngest children, was launched at the festival as the new name of the Transylvania County Early Childhood Initiative. On the same day, as well as the new name, Get Set Transylvania announced its partnership with Sesame Street in Communities, a nationwide undertaking that supports parents, caregivers and community providers in ways to give all children a strong and healthy start. The partnership announcement at Halloweenfest was celebrated by appearances of Sesame Street’s Count von Count and Abby Cadabby. The partnership will allow Transylvania County to have access to Sesame Street videos, storybooks and training to help children deal with various challenges, along with providers receiving professional development resources on age-appropriate lessons on literacy, numeracy and other areas. Since Halloweenfest, one of Get Set Transylvania’s focuses has been the creation of a dental health toolkit. “Through the long-standing Healthy Smiles Program we will work with all the local daycare facilities to integrate the dental tool kits,” said Elaine Russell, Transylvania Public Health’s director. “We have established relationships for preventive dental education with these entities, so the tool kits will allow us to bring new and expanded resources to those working relationships.” County Manager Jaime Laughter also backed the toolkit project. “I think it would be an amazing asset for helping increase awareness about dental health for our preschoolers, the importance of dental care to overall health, and how parents and caregivers can be a daily influence by reminding children to brush their teeth to protect them from cavities,” she said. “The toolkit would also allow them to see what local resources there are available for dental care for children.” Other resources for parents, caregivers and community providers can be found at the Get Set Transylvania website, www.getset-tc.org.

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The resources include information about early learning opportunities, physical and mental health, recreation, family support and parenting. Get Set Transylvania’s beginnings date back to 2015. In December of that year, Transylvania County commissioners heard the findings of a “State of the Young Child in Transylvania County” report that “shocked” officials and others. For example, as of October 2015, the report found, 17 of 35 infants enrolled in the Care Coordination for Children program in Transylvania County were receiving treatment for opiate withdrawal symptoms. Other than substance abuse, other issues highlighted included challenges for some achieving health care access, the cost and availability of child care, high numbers of kindergartners tested who were below or far below proficiency for learning, and high rates of children who had “limited or uncertain access to adequate food.” “Children under 5 years of age depend completely on family and community to provide the right start and ensure that developmental milestones are being met,” the report said. “Early environment has a lasting impact on the development and life of each child and is also a factor in that child’s future economic success. Making sure that children have the right environment to learn and develop is not only an ethically sound practice, but it is also critical to the community’s economic development.” At the time, Laughter said the report, and the various data it included, was a “wake-up call.” (continued on pg. 20)

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Dr. Ann Farash, with Hendersonville Pediatrics, is encouraged by Get Set Transylvania. “The alignment of educators, child care providers and physicians with this coordinated focus on optimizing the childhoods of our preschoolers is a wonderful thing,” she said. A top challenge facing those 0 to 5 years old is opioid addiction and its consequences. “The opioid crisis that is facing America is in our back yard,” Farash said, noting that “record numbers” of children are being taken from homes by local authorities because of its impact. “As general pediatricians in this town, we are managing childhood (drug) withdrawals,” she said. Farash said many young people in the county face “lots of barriers” and that it’s important that officials and others associated with Get Set Transylvania “hear from parents.” Among her hopes for the effort is greater access to pre-school slots. “We have a lot of grandparents raising kids out there,” Farash said. “(Greater access) would definitely give positive energy to their homes.” Giving children and parents options — through programs, for example, at the recreation department and library — and getting children away from video games are other measures she’d

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SPAS IN TRANSYLVANIA Many people know that spas are a great place to relieve stress and perhaps get a massage or skin treatment. In addition to these services, though, spas offer a comprehensive set of treatments that have numerous health benefits. There are two main spas in Transylvania County – La Petite Spa and Wellness and Elements Spa. ELEMENTS SPA A spa is like a healing escape, a place where the client can leave behind the stresses of life and relax, breathe and improve one’s health, said Patti Beggs, owner of Elements Spa. “The health benefits of going to the spa are many, and the benefits of aroma therapy and massage actually cause the brain to respond to the feel-good level of hormones, and then dopamine and the serotonin are released, and it gives you that nice feeling when your body is being massaged and the circulation is increasing as the lymphatic system is draining,” said Beggs. “All of these things are happening, and with massage, it’s been shown to boost immunity and health benefits.” Elements Spa takes a holistic approach, she said, offering different therapies that are individually tailored to the client’s needs. They address skin care and various types of therapeutic massage, which, she said, helps with pain relief, headaches and immunity support. “Also, going to the spa is a very healthy way to age gracefully,

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and be healthy,” she said. All treatments at Elements Spa have the component of essential oil treatment, she added. “Just a small amount of the application of essential oils will calm and sooth the mind and body,” she said. “There is study from the European Society of Cardiologists stating

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time and money he or she spends there,” she said. Elements Spa is located at 29 W. French Broad St. For more information, call (828) 884-2701 or go to www.elementsspashop.com.

(continued on pg. 24)

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LA PETITE SPA La Petite Spa and Wellness opened in Brevard in 2005 and since then has offered a variety of services, and it continues to expand “We offer massage, reflexology, healing touch and aesthetic services, which includes facials, chemical peels, microdermabrasion, waxing, nails, pedicures and manicures,” said Pam Bingham, a co-owner of La Petite Spa and Wellness. With chronic stress being linked to six leading causes of death, such as heart disease, cancer, lung ailments, accidents, cirrhosis and suicide, according to the American Psychological Association, integrated massage, and the overall relaxing environment that a spa like La Petite Spa and Wellness provides, can be a necessity in today’s fast-paced society. “We hear about stress a lot, and we also hear about, in relation to that, the lack of

touch, which can also cause stress, and this is a common problem in the aging population,” she said. “So, when our clients come in, we try to provide a meaningful touch.” Bingham said most of their massages are integrated massages. “We have a conversation with the client and ask, ‘What are your areas that we need to work on? Is it a back issue? Is it a leg issue? Is it an overall stress? What do we need to work on?’” she said. “And that way, the massage therapist can typically determine what kind of massage is needed, if there is an area that needs addressing more than any another area. So, an integrated massage is a combination massage rather than either a deep tissue or Swedish massage.” Reflexology, she said, is bodywork on pressure points that coincide with different organs of the body. Reflexology involves applying pressure to points on the hands and feet that are said to be connected energetically with organs through channels in the body. Applying pressure to those reflex areas is said to remove energy blockages and promote health. In addition, La Petite Spa and Wellness

works in advanced skin care techniques, such as led light therapy, which is “recommended for aging, acneic and inflammatory skin conditions, using a photomodulation cosmetic treatment that stimulates fibroblasts to produce collagen, thus improving elasticity.” It’s been proven effective in treating Rosacea, hyper-pigmentation, skin slackening and broken capillaries. La Petite Spa and Wellness also recently added Melissa McCall-Owen to its staff. She is a naturopathic doctor, certified natural health professional and neuro emotional technique therapist. “She is trained in emotional weight loss therapy, as well as hormone and neurotransmitter balance,” Bingham said. McCall-Owen, who is also a physical fitness trainer and nutritionist at The Fitness Factory, gives presentations on the pros and cons of a Keto diet. “For 2019, we are expanding our reach into offering more wellness,” Bingham said. La Petite Spa and Wellness is located at 170 S. Broad St. For more information, call (828) 883-2238 or go to www.lapetite spabrevard.com

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“Since I had a rough summer, medically speaking, I’m doing much better this year, so I’m biking, going to the gym, and I just got a new Fit Bit to push myself and for my accountability.”

“With some encouragement from a friend, I’m trying Crossfit for the first time at the Commerce Center.”

Emily Crowley Martin “My husband and I are training for a half marathon in July, and we just started two days ago.”

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THE BENEFITS OF

PHYSICAL THERAPY AND MASSAGE

After suffering an injury or undergoing surgery, developing

“My clientele is mostly over the age of 60, so I have to be

mobility and strength is key to regaining a high quality of life,

more cautious since they have been through prior injuries or

and can also help prevent injury down the road.

surgeries,” said Burger, who often works with clients who have

Locally, folks can find a number of personal trainers and physical therapists who can design programs based on the individual’s needs and their desired outcomes. Jimmy Burger is a personal trainer at Fyzikal Therapy, located at 59 Oakdale St. in Brevard. He sees people come in for many different treatments, but, because Transylvania County is home to so many retirees, he sees quite a few clients with knee replacements or issues with strength and balance.

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already undergone physical therapy. “The therapists are working them out so they can be more prepared, so they can get into a gym setting and come to me for some personal training,” he said. Burger also said he treats a lot of similar conditions among his patients. “Mostly, it’s the same kind of injuries or surgeries, shoulder or back injuries or surgeries or hip replacements,” he said.

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One of the programs at Fyzikal is called Body Q, which is an assessment of a personâ&#x20AC;&#x2122;s strength and balance and which points clients in the right direction and can help them determine if they need therapy or training. Thereâ&#x20AC;&#x2122;s a balance component to the program, and it lets clients know if they are a high or moderate risk for falling. Burger said if a client is at a higher risk for falling and their balance is off, they will set the client up in a harness and work with their coordination by kicking a ball, or they can set them up on an unstable surface and work with strengthening their weaknesses. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s a pretty cool system we have in here,â&#x20AC;? he said. â&#x20AC;&#x153;A lot of the therapists develop visual exercises and start by telling clients how to do the exercises. They mostly do that with every patient. We strongly recommend the clients doing home exercises, too. Most of the time, people donâ&#x20AC;&#x2122;t do it and theyâ&#x20AC;&#x2122;re honest about it,

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THE BENEFITS OF

PHYSICAL THERAPY AND MASSAGE Chanley Layton

but it speeds the process along and it helps with them having the visual.” Some people also benefit from massage therapy and other kinds of structural manipulation. Chanley Layton is a certified Rolfer and massage therapist who works in Brevard. While she spends her time physically releasing tension in the body, she said that sometimes her clients need someone to listen to them vent as much as they need the physical release. “Some people come in more for the body and associated pain, and some people come in more for their mind,” she said. “A lot of people live in Brevard to be active — hiking and biking — so bodywork helps them to keep doing their thing without the pain. And, sometimes, people need to feel that connection, to feel cared for, to be listened to, and to slow down and find some peace for just an hour.” Layton’s Rolfing practice is based on the work of Ida Rolf, who believed that tension in the musculoskeletal system could be manipulated and alleviated through deep massage of the muscle fascia, which is the connective tissue between the muscle and the bone. Fascia can become stiff, short and even dehydrated, according to Layton. When someone spends their time hiking or biking, or even sitting at a desk, their body develops around the activity that they spend most of their time doing. As an example, if you’re a cyclist and you’re hunched over drop bars

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for hours at a time, eventually, the body will develop around that posture. Active recovery for athletes can include Rolfing for deeper issues, but she is also certified in regular massager therapy. For more information about Layton and her practice, visit www.brevardrolfing.com.

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““A A qualified, capable, and happy crew” is how one of our patients recently described our physical therapy off ffice,” stated Kevin McAlister, DPT and co-owner of Elevate Physical Therapy. Conveniently located in Sttraus Park is a 4,000 square fftt. building with ten n physical therapy assistants and three Doctors of Physical Therapy. The gym is full of state-of-tthe-art equipment to suit the capabilities of all patientss, including a traction machine, balance stability m machine, arm bikes, treadmills, ultra-sound and more. “We wanted to be a provide er of excellent physical c therapy care for Transylvania County. Kevin, being a native of Brevard, saw the need” n states co- owner Mark Bla akely DPT. “ environment “The open and friendly e where everyone gets to know w each individual patient becomes more of a friendly and productive community, rather than an intimidating and painfful physical therapy experience“ is how Laura Kruger, employee of four years, describes why she thinks Elevate patients love coming so much. h When asked what keepss nine year employee of Elevate, Emily Bryson, so excited about this company she s replied, “Them! Mark and Kevin are so good at what they do and they have been in physical therapy combined over 30 years – they know what works and what doesn’t work.” In addition to specializing in orthopedic rehabilitation, both Kevin and Mark have been involved in the development of Elevate’s vertigo rehabilitation program, which has been very successful in restoring patients with chronic and severe vertigo to all functional activities. “We were seeing so many patients who would come in for one thing, but they couldn’t function because they were dealing with vertigo” stated Kevin. “We had heard stories of the diff fficulty in trying to treat verrttigo, but knew our patients needed some relief so we began to study BPPV (benign paroxysm mal positional vertigo)”. Elevate Physical Therap py now has a very high success rate treating several vertigo cases each month. Rehabilitation services include post- operative care, balance and fall preventtion, sports rehabilitation program, sciatic/ back rehab and more. Elevate Physical Therap py can eff ffectively treat a ag wide range of patients aging ging from pediatric to geriatric. Elevate accepts all major insurances and direct access patients.

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PHYSICAL THERAPY AND MASSAGE DIAGNOSING THE DIFFERENCES BETWEEN PT AND OT The body is a complex organism that is the sum of all its parts. When a portion of the body is not working optimally, pain, lack of motion and a host of other concerns can arise. At some point in their lives, many people will visit therapists to restore functionality to a part of their body that was affected by injury. Therapists come in various types, including physical therapists, or PTs, and occupational therapists, or OTs. Some may not understand what distinguishes a PT from an OT. Although physical therapy and occupational therapy are sometimes used interchangeably, they are actually two different, but similar, disciplines. According to St. Catherine University, PT involves treating the actual impairment, while OT helps the patient complete necessary tasks with the impairment. To break this down even further, consider the following scenario: An athlete stumbles on the ﬁeld, injuring his knee in the process. While the injury does not require surgery, it is severe enough for bracing and requires that the athlete not apply pressure through walking. He visits a PT to help determine which kinds of assistive devices might remedy the situation as well as which exercises and stretches can work the knee safely so that it remains limber while healing. The OT instructs the athlete on the proper way to use

crutches, canes or a wheelchair while the knee remains immobile. The OT also can illustrate how to get in and out of the shower or walk up and down stairs with the adaptive devices. While PT may be focused on treating the injury itself, OT is more likely to help the patient adapt to home and work environments to allow for a better quality of life and help the injured person maintain his or her independence. Some OTs will do on-site assessments and help with those modifications. Despite their differences, PT and OT do overlap, and some therapists may work together to make sure there's a seamless integration of practices. Both PTs and OTs are involved in injury recovery or in assisting individuals with life-long disabilities enjoy the highest quality of life. Both professions require meeting high education standards with knowledge of physical anatomy. According to the U.S. Bureau of Labor Statistics, some entry-level occupational and physical therapists hold master's degrees, but a vast majority of these positions require a doctoral degree in the respective field. However, the schooling required can be worth it, as both fields are expected to grow considerably in the coming decades.

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HEALTH INSURANCE 2019

Even though the open enrollment for health insurance through the Affordable Care Act (ACA) closed Dec. 15, there are still options for people looking to purchase health insurance. People can apply for health insurance through the ACA if they have a â&#x20AC;&#x153;qualifying event.â&#x20AC;? Those events include changing jobs, moving from one state to another, moving back into the country, having a baby or anything else that caused a loss of insurance coverage. Paul Folckomer, who has been an insurance agent for 28 years and has been in Brevard for 14 years with Broad River Insurance, said the first thing they do with clients is determine whether or not they qualify for subsidies from the federal government through the Affordable Care Act (ACA). If people are eligible, then they try to sign them up. Applicants for ACA coverage do not have to answer any questions about their health and cannot be denied coverage for pre-existing conditions. The ACA covers people whose household income falls between 100 to 400 percent of the federal poverty level. For 2019, for a family of four, that covers incomes ranging from $25,100 to $100,400. If applicants fall within the subsidy guidelines, the insurance agents use an enrollment tool to see the cost of various plans.

10 32

Plan categories are bronze, silver, gold and platinum. The health insurance cost depends upon the type of plan, the number of people in the plan, their age, and household income. The federal government uses a Silver plan as the default guideline plan upon which subsidies and deductibles are determined. For example, a father aged 42 with a wife aged 39 and two children ages 6 and 10 might have a household income of $60,000. With a Silver plan, the cost would be more than $2,000 a month. However, since the government figures that people with that income should pay no more than 8 percent of their income in health insurance, the government provides a subsidy $1,807 per month, leaving the family to pay about $400 a month. Folckomer said people are not required to purchase that plan. They can choose a plan with lower premiums and higher deductibles and co-payments or a plan with higher premiums with lower deductibles and lower co-payments. ACA plans are based on the concept that the less money you have, the more help you need. If one makes 400 percent of the federal poverty level, he would pay more than one who makes 250 percent of the federal poverty level. (There are seven brackets: 100 percent, 138 percent, 150 percent, 200 percent, 250 percent, 300 percent and 400 percent of the

TIPS & RECOMMENDATIONS federal poverty level.) Folckomer said 60 percent of his company’s customers who receive federal subsidies pay less than $100 a month for health insurance. “You’ve helped a lot of people by doing that,” he said. Since the subsidies, however, are based on one’s projected income, it is imperative to accurately determine that income to avoid penalties, and that is not easy to do. “It gets more complicated and that’s why they need an agent,” said Folckomer, who added that his office does not charge its clients for health insurance, but is reimbursed by the company that provides the health insurance. In western North Carolina, Blue Cross Blue Shield is the only ACA provider. One complicating factor is that the costs of the plans and the amount of subsidies are based on estimated income for the coming year. That can be tricky because a person who qualified for a substantial subsidy in 2018 might have a slight increase in income in 2019 that could put them into a higher income

HEALTH

LIFE

bracket and cause their subsidy to decrease. For example, if you belong to a family of four and your household income is $50,200, the percentage of income you’re expected to contribute to health insurance is 6.54 percent, or $3,803. But if you make one dollar more and have a household income of $50,201, then you are expected to pay 8.36 percent of your income or $4,196. Deductibles also increase the more money one makes. When out-of-pocket expenses are added in, the costs of not having a subsidy can be dramatic. For example, Folckomer said if a family household income is $100,500, they would pay $1,674 per month with a deductible of more than $7,000 and receive no subsidy. Add the maximum out of pocket cost of $15,800 and the family could up spending 36 percent of their income on health care. “They can’t afford to live off that if one of them is sick,” said Folckomer.

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EYE CARE - RE-EXAMINED After the brain, your eyes are the second most complex organ in the body. For that reason, it is very important to proactively take care of them. You can accomplish this by getting a comprehensive medical eye exam each year. It is recommended that you begin this process around age 40. Dr. Pooja Sethi, an ophthalmologist at Carolina Ophthalmology, PA, in Hendersonville, said annual eye exams are important to screen for a variety of conditions. “There are many ophthalmic diseases that can be recognized even before the patient may have pervasive symptoms, and can prevent significant pain or discomfort to a patient,” she said. “For example, conditions such as dry eyes and allergic conjunctivitis are often present on an eye exam even in patients who are having zero to minimal symptoms, and it is prudent for them to be recognized and treated early to prevent patients from having uncomfortable symptoms. Patients can also start to develop nuclear sclerosis, or the early development of cataracts, in their fifth decade, and while oftentimes surgery is not indicated until years after development of cataracts, it is important for them to be followed closely. Both glaucoma and macular degeneration are eye conditions that often have very minimal or subtle changes to the patient that may not be recognized early.” Though stepping out of the eye doctor’s office with dilated eyes can be annoying, Sethi said eyes need to be dilated at least once a year to catch any possible “sightthreatening” conditions. “And, finally, many systemic diseases (diabetes, high blood pressure and high cholesterol, to name a few) can show up first and foremost in the eye — perhaps even before your next physical,” she said. WHAT’S NEW IN EYE CARE? “Ophthalmology is one of the most evolving and changing fields in medicine,” Sethi said. “A few decades ago, cataracts were removed in much more invasive ways, requiring an overnight stay in the hospital. Now, thanks to micro-incision surgery, patients are in and out of their procedures in a fraction of the time and rarely require sutures or stitches. Advancements in taking measurements of the eye have allowed for the precise correction of near and far sightedness, as well as astigmatism through either corneal or cataract surgery. And because technology has made so much progress in this field, patients can be an active part of the conversation in communicating their desired goal after eye surgery.” Dr. Sethi and Dr. Jonathan Fritz, another ophthalmologist with Carolina Ophthalmology, are the only doctors in the area who offer laser-assisted, bladeless cataract surgery. The use of this technology provides image guidance and can help ensure a more predictable outcome with enhanced precision. Carolina Ophthalmology began offering this procedure in 2014 through the use of the highly advanced LenSx Laser. Another procedure offered exclusively by Carolina Ophthalmology is ORA system technology. “ORA is something that we are proud to offer our patients. It can be used with or without laser assisted surgery. This system allows the surgeon to take additional measurements of the eye during surgery to ensure the most accurate intraocular lens is selected,” Fritz said. Finally, premium lenses are a big advancement in cataract surgery. “In the past, the only option was monofocal lenses that only correct for either distance or near vision at the time of cataract surgery,” Sethi said. “But now we have multi-focal lenses, which allow you to correct for near, intermediate and distance vision. We also have toric lenses that can help reduce the amount of astigmatism. These lenses can frequently reduce your dependency on glasses.” For more information about Carolina Ophthalmology, which is located at 1701 Old Village Road, Hendersonville, go to www.carolinaeyemd.com.

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Clayton H. Bryan, MD Mark A. Joseph, MD Robert I. Park, MD Christina H. Choe, MD Jonathan P. Fritz, MD Raj N. Patel, MD Pooja Sethi, MD Thomas C. Perraut, MD

DENTAL CARE & FLUORIDE well as the commonalities, and they found that natural fluoride in the water was a big factor [in dental health],â&#x20AC;? Cozart said. Given that fluoride is naturally occurring, and given Transylvania Countyâ&#x20AC;&#x2122;s abundance of water sources, Cozart said well water from around the county contains differing levels of fluoride. Cozart said heâ&#x20AC;&#x2122;s spent years testing water from wells in different areas of the county and found that water in Little River has the highest concentration of fluoride. However, in terms of the public water supply, Brevardâ&#x20AC;&#x2122;s city water does not contain fluoride. Fluoride was first introduced into Brevardâ&#x20AC;&#x2122;s water supply in 1980, until city council voted to remove it in 2007. In 2013, council voted unanimously against re-introducing fluoride into the water supply. Roughly 87 percent of North When it comes to a personâ&#x20AC;&#x2122;s overall wellness and health, oral hygiene plays an important, but sometimes overlooked, role. Regular teeth brushing, flossing and dental exams are part of oral health, but another component is protecting the enamel of teeth, which is where fluoride comes into play. Fluoride is a naturally-occurring compound that helps to re-mineralize and strengthen the enamel of teeth, with the ultimate goal of preventing cavities. And while there are several ways to deliver fluoride, one measure that has been debated, both locally and nationally, is adding fluoride to a public water source. Fluoridated water is an issue that dates back to the mid-

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20th century. According to Sim Cozart, a practicing dentist with Cozart & Associates in Brevard, the earliest studies in-

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volving fluoridated water began in the 1940s and examined different communities in Colorado and Michigan to evaluate the difference in rates of tooth decay. â&#x20AC;&#x153;Those early studies were looking at different populations and studying why one population has a lower level of tooth decay than others. They began looking at the differences, as

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Carolina’s population has fluoridated water. While fluoridation of public water is a debatable issue, med-

ical experts are in consensus as to their advocacy of fluoride as

Let Our Famil a y Ta ake Care of Yo o Family our

one of the tools for dental hygiene. “As somebody whose goal is to help people with their oral

health, you look for all the tools and resources possible to pro-

vide adequate dental health, and fluoride is one of those tools

that we use,” Cozart said. Sim’s son, Ben, who practices alongside his father, agreed

that fluoride is an important component to oral health. “Fluoride is a huge benefit to the structure of teeth, to

strengthen them and makes it less likely to develop cavities,” he

said. One group that benefits greatly from fluoride is children.

Candace Newman, a registered dental hygienist with Carolina

Smiles, said children are particularly prone to tooth decay and

introducing fluoride, through a source like water, is one of the

most effective ways to limit those rates of decay. “Especially among children, one of the top diseases is cavi-

ties,” she said. “And it is proven that one of the best things we

can do to decrease those chances for kids having cavities is to

fluoridate the water.” According to the American Dental Association, the appropri-

ate level of fluoride in water is seven parts per million. Newman

said that equated to roughly one inch in a 23-mile stretch. Delivering fluoride through water is called systemic delivery,

compared to topical delivery a person gets through toothpaste

or mouth wash. Ben Cozart, who serves as dental director for Blue Ridge

Community Health and works with the Western North Carolina

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Children’s Oral Care Initiative, has compared rates of tooth decay

among different communities across the state and said fluori-

dated water is a cheap, effective way to deliver fluoride to pop-

COZART DENT TAL A

ulations who might not have access or be able to afford trips to

the dentist. “Cost-effective measures, like fluoridated water, help the

most vulnerable people,” he said. “There are a lot of people who

can’t afford to go to the dentist regularly. So, as kids, it really

helps if fluoride is available through the water they drink.” (continued on pg. 38)

Ben and Sim Cozart

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DENTAL CARE & FLUORIDE Sim Cozart said fluoride is even more important for chil-

man said xylitol, in the right amounts, can help prevent

dren because the teeth and the enamel are still forming, and

against cavities. Xylitol is found in many fruits and is also pres-

the more exposure the tooth has to fluoride, the more it ab-

ent in sugarless gum and hard candies.

sorbs from an early age.

Pediatricians can also provide fluoride supplementation

Although Brevard’s water supply doesn’t contain fluoride,

through vitamins. In the end, whether you get your fluoride

there are many other ways a person can introduce fluoride

through water, toothpaste, mouthwash or some other means,

into their dental hygiene. The majority of toothpastes contain

the experts agree it plays an important part in oral health and

fluoride, as do many mouthwashes. Some brands of bottled

showing off a healthy smile.

water also contain fluoride.

“The best-case scenario is to combine fluoride, xylitol and

Newman said patients at Carolina Smiles can opt to have

reduce the amount of sugar in your diet,” Newman said. “That

a fluoride varnish applied to their teeth during visits, which,

is the perfect situation, but we aren’t perfect people. So, if you

she said, provides about three to four months worth of

can do any of those three things, it’s helpful. We have all these

benefit.

tools that are great to benefit dental health, and it’s good for

There are also alternatives to fluoride, such as xylitol. New-

the public to decide what tools are best for them.”

WIRELESS TECHNOLOGY TAKES HEARING AIDS TO NEW LEVELS

Hearing loss may not be something people want to contemplate, but it is more common than many people may think. Hearing deficits may occur from birth or be acquired due to injury or prolonged exposure to loud noises. The National Institute on Deafness and Other Communication Disorders says approximately 15 percent of American adults (37.5 million people) aged 18 and older report some trouble hearing. Age is the strongest contributor to hearing loss, with people age 60 and older with the highest levels of impairment. People with hearing deficits can access a growing number of assistance devices to make their lives easier. From telephones and doorbells that trigger a blinking light rather than a bell to closed captioning and voice-to-text conversion to a greater understanding and widespread usage of sign language, the deaf and hearing impaired have many options to help them overcome hearing loss. As technology advances, so, too, do the options for the hearing impaired. One innovative piece of gadgetry is sophisticated wireless hearing aids that are compatible with personal electronic devices. Thanks to Bluetooth technology, hearing aid manufacturers are har-

nessing this science to expand the abilities of hearing aids and to develop new products. In the past, in order to use an MP3 player or mobile phone, a person would need to remove traditional hearing aids to accommodate a pair of earbuds. Furthermore, hearing aids may have had their limitations in filtering ambient noise. Although Bluetooth-powered hearing devices are still in their infancy, Oticon, a global hearing technology company, has developed its own communication and entertainment solution called ConnectLine that enables people to connect hearing aids with different devices. This transforms hearing aids into a personal wireless headset for listening to music, watching television or video chatting. Many other companies, such as ReSound and Starkey, also offer Bluetooth-enabled devices. Their devices may be compatible with Android and iPhone models, some of which may only require an app or direct connectivity to the device. In fact, Apple has patented a specific Bluetooth connectivity with certain hearing aid manufacturers. Others may require an accessory of some sort to make connections possible, especially when pairing with a TV or other audio device.

Brevard Hearing Center Judy C. Welch, AuD, FAAA

Audiology & Hearing Aids Hearing Evaluations • Hearing Aid Sales & Service

FULL TIME LOCAL PRACTICE

828-966-4327 424 South Caldwell Street • Brevard, NC 28712 Serving Transylvania County Since 1986 39

CIRCLE BACK TO CYCLING

FOR GREAT PHSYICAL CONDITIONING Cycling is a great way to springboard any fitness goals for the New Year. Not only is it fun to ride a bike, but also it’s low impact, meaning riders can get some cardio without wear and tear on the knees and other joints. You don’t need to spend thousands of dollars on a fancy bike to start riding, especially if you are just trying to get the blood moving and get into shape. A nicer bike makes riding more comfortable and fun, but it’s not necessary to get the heart working. Something that fits you, like that bike that’s been in the garage for 10 years, is fine. It might need a tune up and new tires, but that old bike will serve you well. If you’re shopping for a bike, fit is important. A bike that doesn’t fit your frame can be uncomfortable and if you ride it for too long, you could injure yourself. A quick trip to a local bike shop can help you tune up your old bike or find a new one. Efficiency is the name of the game in cycling; the idea is to be able to propel yourself forward with as little effort as possible. The less effort, the longer and further you can go. KINDS OF BIKES There are several kinds of bikes. Hybrid bikes are great all-around bikes that are typically used on bike paths and for commuting around town. Hybrids put the rider in an upright position giving the rider a more comfortable position on the bike. Recumbent bikes are just that — bikes where the rider lays back in a seat with a backrest and steers with their hands by their hips. Recumbent bikes are generally ridden by people who have trouble with balancing a regular bike, or folks who may have an injury or condition that prevents them from riding an upright bike. Recumbent bikes are generally geared higher than regular bikes, making them significantly slower. Recumbent bikes are best left to multi-use paths and not ridden on the roads due to their slow speed. Cross bikes are a “cross” between a mountain bike and a road bike. Transylvania County is home to hundreds of miles of gravel roads throughout our national forests, state parks and other public lands, which makes owning a cross bike justifiable. Riding these gravel roads is not easy though. Many of them are chunky, rocky and will flatten an improper tire quickly. Check out the Bike Transylvania website, www.biketransylvania.com, for some cross bike routes that vary in length and difficulty. Road bikes are meant to be fast and efficient on asphalt. They vary in their purpose, from aggressive speed machines to more comfortable touring models, but the end result is the same. Transylvania County has some of the finest road riding in the country. Not many counties have

10 40

the Blue Ridge Parkway in their backyard or country roads that twist through Christmas tree farms. Cyclists can leave from Brevard and ride the flat roads through the French Broad River valley gaining little elevation, or they can climb to the Parkway or descend to South Carolina and climb back up to North Carolina. Road bike routes from beginning rides to centuries can also be found at www.biketransylvania.com. Mountain bikes are made for riding single-track trails. Brevard has long been an international destination for its mountain biking, and the bike shops here cater heavily to mountain bikers. Both Pisgah National Forest and DuPont State Recreational Forest are home to hundreds of miles of world-class trails, and draw thousands of riders each year from all over the world. A good mountain bike is sturdy enough to handle rough terrain but lightweight and efficient enough to climb to the top. Mountain bikes range in purpose, just like road bikes. Super-efficient cross country bikes are made for riders who are looking to cover distance and be competitive in local races like the Pisgah Stage Race, and trail bikes are made for just getting out there and enjoying the forest. Trail bikes have more suspension travel than cross country bikes and may be more balanced, meaning they are just as fun going downhill as going up. Mountain bike rides can be found at www.biketransylvania.com. GETTING STARTED Brevard has several miles of a relatively flat multi-use path, making getting in shape while riding pretty safe. Many riders park their cars at Lowe’s to ride the paved path into town, giving riders a roughly 10-mile round trip back to the car. Some folks ride into Pisgah National Forest on the Eastatoe Trail, which ends at the Davidson River Campground. This section of trail is wide, flat and has fine gravel on it, so it is not muddy. There are a couple of bridges on this section, which can be icy in the winter, since the trail is located on the north side of the hill. Clothing choice is important too for cycling, but it’s not necessary to spend a bunch of money on fancy bike gear, although it will make your experience more enjoyable. If you’re just riding to get some exercise around town, clothes that you might go hiking in are fine. Moisture wicking layers like wool in the winter and a windproof or rain jacket can help against the winter wind. In the summer, lightweight and breathable clothing is best. Cycling specific gear can be found at any of the local bike shops, and one key piece of gear for cycling longer distances is a good chamois, which is a padded pair of shorts or pants. This pad prevents you from putting pressure on the perineum when riding, which can cause other health issues like constipation or soreness, for example. Hydration is important year round when cycling. Proper hydration can prevent cramping in most people and should be taken seriously. Brevard and Transylvania County are a bit more humid than other places, so people sweat more when they exercise. Sweating is good for you, of course, but that water needs to be replaced even when it is cold out. Giving your bike a once over is important before hitting the trails or road. If your bike has been sitting for a couple of years, taking it to any of the local bike shops for a tune up or any needed replacement parts will ensure that you don’t get stranded. Bike tuneup costs range from a few dollars for a possible broken shifter cable to hundreds for suspension overhaul. Staying on top of bike maintenance makes the experience more fun, and, just like a car, less expensive in the long run. All of the local shops employ professional mechanics who want to keep your bike running well, so you can enjoy the county’s roads and trails.

4111

TRANSYLVANIA PUBLIC HEALTH tĹ&#x161;Ä&#x17E;Ĺś Ĺ?Ć&#x161; Ä?Ĺ˝ĹľÄ&#x17E;Ć? Ć&#x161;Ĺ˝ Ć&#x2030;Ć&#x152;Ä&#x17E;Ç&#x20AC;Ä&#x17E;ĹśĆ&#x;ĹśĹ? ĆľĹśÄ&#x161;Ä&#x17E;Ć&#x152;Ä&#x201A;Ä&#x201A;Ĺ?Ä&#x17E; Ä&#x161;Ć&#x152;Ĺ?ĹśĹŹĹ?ĹśĹ?Í&#x2022; Ć&#x2030;Ä&#x201A;Ć&#x152;Ä&#x17E;ĹśĆ&#x161;Ć? Ĺ&#x161;Ä&#x201A;Ç&#x20AC;Ä&#x17E; ĹľĹ˝Ć&#x152;Ä&#x17E; Ć&#x2030;Ĺ˝Ç Ä&#x17E;Ć&#x152; Ć&#x161;Ĺ&#x161;Ä&#x201A;Ĺś Ć&#x161;Ĺ&#x161;Ä&#x17E;Ç&#x2021;Ç&#x2021; ĹľÄ&#x201A;Ç&#x2021; Ć&#x161;Ĺ&#x161;Ĺ?ĹśĹŹÍ&#x2DC;

Ä&#x201A; Ćľ Ä&#x161;Ä&#x161;ĹŻ ĹŻ Ä&#x201A;Ç&#x2021; Ä&#x201A; Ä&#x201A;ĹŻĹŹ Ĺ? Ç Ç ĆľĹŻÄ&#x161; ĹŻ Ćľ Ä&#x161; Ä&#x201A;Ĺ? Ä&#x161; ĹŹ Ĺ?Í&#x2DC; Transylvania Public Health (TPH) works hard to serve and to protect the health of all people in Transylvania County. Many people know that the â&#x20AC;&#x153;health departmentâ&#x20AC;? offers shots and inspects restaurants, but thatâ&#x20AC;&#x2122;s only a little bit of what public health does in Transylvania County. Everyday Public health staff conduct inspections for clean and safe food, well water, lodging and septic systems. They help families get nutritious food through WIC, encourage good dental care, provide screening exams and coordinate health care for pregnant women and children. Everywhere TPH staff can be found in places all over Transylvania County, including homes, schools, child care centers, doctorâ&#x20AC;&#x2122;s offices, camps, businesses, restaurants, hotels, pools, tattoo parlors and coalition meetings. Everyone Transylvania Public Health has services for business owners, travelers, young people, parents, preschoolers, seniors, pregnant women and you! Public health is the backbone of a thriving, healthy community. It is a quiet but steady partner in economic development, a valued member of any health crisis or disaster preparedness team, and an outspoken player in community health and promotion. To learn more about Transylvania Public Health and what it can do for you, visit www.transylvaniahealth.org or call (828) 885-3135. Offices are located at 106 E. Morgan St. in downtown Brevard. Personal health and WIC services are on the third floor, while environmental health and administrative services are on the first floor.

Ä&#x201A;Ç&#x2021; Ä&#x201A; Ä&#x201A; Ä&#x201A;ĹŻ Ä&#x161; Ä&#x201A; Ä&#x201A;ĹŻ Ćľ Ä&#x201A; Ç&#x2021; Ä&#x161; Ä&#x161; ĹŹÍ&#x2DC;

,Ä&#x17E;Ć&#x152;Ä&#x17E;Í&#x203A;Ć? Ĺ&#x161;Ĺ˝Ç Ç&#x2021;Ĺ˝Ćľ Ä?Ä&#x201A;Ĺś ĹľÄ&#x201A;ĹŹÄ&#x17E; Ä&#x201A; Ä&#x161;Ĺ?ÄŤÄ&#x17E;Ć&#x152;Ä&#x17E;ĹśÄ?Ä&#x17E;Í&#x2014; dÄ&#x201A; dÄ&#x201A;ĹŻĹŹ Ä&#x201A;Ć&#x152;ĹŻÇ&#x2021;Í&#x2DC; ^Ć&#x161;Ä&#x201A;Ć&#x152;Ć&#x161; Ĺ&#x161;Ä&#x201A;Ç&#x20AC;Ĺ?ĹśĹ? Ä?Ĺ˝ĹśÇ&#x20AC;Ä&#x17E;Ć&#x152;Ć?Ä&#x201A;Ć&#x;Ĺ˝ĹśĆ? Ç Ĺ?Ć&#x161;Ĺ&#x161; Ç&#x2021;Ĺ˝ĆľĆ&#x152; Ä?Ĺ&#x161;Ĺ?ĹŻÄ&#x161;Ć&#x152;Ä&#x17E;Ĺś Ç&#x2021;Ĺ˝Ćľ Ć&#x161;Ĺ&#x161;Ĺ?ĹśĹŹ Ć&#x161;Ĺ&#x161;Ä&#x17E;Ç&#x2021; Ä&#x201A;Ć&#x152;Ä&#x17E; Ĺ˝ĹŻÄ&#x161; Ä&#x17E;ĹśĹ˝ĆľĹ?Ĺ&#x161; Ć&#x161;Ĺ˝ Ä?Ä&#x17E; Ä&#x161;Ĺ?Ć&#x152;Ä&#x17E;Ä?Ć&#x161;ĹŻÇ&#x2021; Ä&#x17E;Ç&#x2020;Ć&#x2030;Ĺ˝Ć?Ä&#x17E;Ä&#x161; Ć&#x161;Ĺ˝ Ä&#x201A;ĹŻÄ?Ĺ˝Ĺ&#x161;Ĺ˝ĹŻÍ&#x2DC; dĹ&#x161;Ä&#x17E; Ć?Ĺ˝Ĺ˝ĹśÄ&#x17E;Ć&#x152; Ç&#x2021;Ĺ˝Ćľ Ć&#x161;Ä&#x201A;ĹŻĹŹ Ć&#x161;Ĺ˝ Ć&#x161;Ĺ&#x161;Ä&#x17E;ĹľÍ&#x2022; Ć&#x161;Ĺ&#x161;Ä&#x17E; Ĺ?Ć&#x152;Ä&#x17E;Ä&#x201A;Ć&#x161;Ä&#x17E;Ć&#x152; Ĺ? Ä?Ĺ&#x161;Ä&#x201A;ĹśÄ?Ä&#x17E; Ç&#x2021;Ĺ˝Ćľ Ĺ&#x161;Ä&#x201A;Ç&#x20AC;Ä&#x17E; Ĺ˝Ä¨ Ĺ?ĹśĹ&#x2021;ĆľÄ&#x17E;ĹśÄ?Ĺ?ĹśĹ? Ć&#x161;Ĺ&#x161;Ä&#x17E;Ĺ?Ć&#x152; Ä&#x161;Ä&#x17E;Ä?Ĺ?Ć?Ĺ?Ĺ˝Ĺś ĹśĹ˝Ć&#x161; Ć&#x161;Ĺ˝ Ä&#x161;Ć&#x152;Ĺ?ĹśĹŹÍ&#x2DC; dÄ&#x201A; dÄ&#x201A;ĹŻĹŹ KĹ&#x152;Ä&#x17E;ĹśÍ&#x2DC; KĹśÄ?Ä&#x17E; Ĺ?Ć? ĹśĹ˝Ć&#x161; Ä&#x17E;ĹśĹ˝ĆľĹ?Ĺ&#x161;Í&#x2DC; ,Ä&#x201A;Ç&#x20AC;Ä&#x17E; ĹŻĹ˝Ć&#x161;Ć? Ĺ˝Ä¨ Í&#x17E;Í&#x17E;ĹŻĹ?ĆŠĹŻÄ&#x17E; Ć&#x161;Ä&#x201A;ĹŻĹŹĆ?Í&#x; Ĺ?ĹśĆ?Ć&#x161;Ä&#x17E;Ä&#x201A;Ä&#x161; Ĺ˝Ä¨ Ć&#x161;Ć&#x152;Ç&#x2021;Ĺ?ĹśĹ? Ć&#x161;Ĺ˝ Ć?Ä&#x201A;Ç&#x2021; Ä&#x17E;Ç&#x20AC;Ä&#x17E;Ć&#x152;Ç&#x2021;Ć&#x161;Ĺ&#x161;Ĺ?ĹśĹ? Ä&#x201A;Ć&#x161; Ĺ˝ĹśÄ?Ä&#x17E;Í&#x2DC; hĆ?Ä&#x17E; Ä&#x17E;Ç&#x20AC;Ä&#x17E;Ć&#x152;Ç&#x2021;Ä&#x161;Ä&#x201A;Ç&#x2021; Ć?Ĺ?Ć&#x161;ĆľÄ&#x201A;Ć&#x;Ĺ˝ĹśĆ? Ć&#x161;Ĺ˝ Ć?Ć&#x161;Ä&#x201A;Ć&#x152;Ć&#x161; Ä?Ĺ˝ĹśÇ&#x20AC;Ä&#x17E;Ć&#x152;Ć?Ä&#x201A;Ć&#x;Ĺ˝ĹśĆ?Í&#x2DC; ZÄ&#x17E;Ĺ?ĹśÄ¨Ĺ˝Ć&#x152;Ä?Ä&#x17E;ĹľÄ&#x17E;ĹśĆ&#x161; Ĺ?Ć? Ä?Ć&#x152;ĆľÄ?Ĺ?Ä&#x201A;ĹŻÍ&#x2022; Ä&#x201A;ĹśÄ&#x161; Ä?Ĺ˝ĹśÇ&#x20AC;Ä&#x17E;Ć&#x152;Ć?Ä&#x201A;Ć&#x;Ĺ˝Ĺś Ć?Ĺ&#x161;Ĺ˝ĆľĹŻÄ&#x161; Ä?Ĺ&#x161;Ä&#x201A;ĹśĹ?Ä&#x17E; Ä&#x201A;Ć? Ç&#x2021;Ĺ˝ĆľĆ&#x152; Ä?Ĺ&#x161;Ĺ?ĹŻÄ&#x161; Ä&#x161;Ć&#x152;Ä&#x17E;Ĺś Ĺ?Ä&#x17E;Ć&#x161; Ĺ˝ĹŻÄ&#x161;Ä&#x17E;Ć&#x152;Í&#x2DC; Ć&#x152;Í&#x2DC; Ä&#x17E; ĹŻÄ&#x17E;Ä&#x201A;Ć&#x152;Í&#x2DC; dÄ&#x17E; dÄ&#x17E;ĹŻĹŻ Ç&#x2021;Ĺ˝ĆľĆ&#x152; Ä?Ĺ&#x161;Ĺ?ĹŻÄ&#x161;Ć&#x152;Ä&#x17E;Ĺś Ć&#x161;Ĺ&#x161;Ä&#x201A;Ć&#x161; Ç&#x2021;Ĺ˝Ćľ Ä&#x17E;Ç&#x2020;Ć&#x2030;Ä&#x17E;Ä?Ć&#x161; Ć&#x161;Ĺ&#x161;Ä&#x17E;Ĺľ ĹśĹ˝Ć&#x161; Ć&#x161;Ĺ˝ Ä&#x161;Ć&#x152;Ĺ?ĹśĹŹ ĆľĹśÄ&#x161;Ä&#x17E;Ć&#x152;Ä&#x201A;Ĺ?Ä&#x17E;Í&#x2DC; &Ĺ?Ć&#x152;ĹľĹŻÇ&#x2021; Ä&#x17E;Ć?Ć&#x161;Ä&#x201A;Ä?ĹŻĹ?Ć?Ĺ&#x161; Ć&#x161;Ĺ&#x161;Ä&#x17E; Ć&#x152;ĆľĹŻÄ&#x17E;Ć? Ć&#x161;Ĺ&#x161;Ä&#x17E;Ç&#x2021; Ć?Ĺ&#x161;Ĺ˝ĆľĹŻÄ&#x161; Ä¨Ĺ˝ĹŻĹŻĹ˝Ç Í&#x2DC; dÄ&#x17E; dÄ&#x17E;ĹŻĹŻ Ć&#x161;Ĺ&#x161;Ä&#x17E;Ĺľ Ä&#x201A;Ä?Ĺ˝ĆľĆ&#x161; Ć&#x161;Ĺ&#x161;Ä&#x17E; Ä&#x161;Ä&#x201A;ĹśĹ?Ä&#x17E;Ć&#x152;Ć? Ĺ˝Ä¨ Ä&#x161;Ć&#x152;Ĺ?ĹśĹŹĹ?ĹśĹ?Í&#x2DC; Ć?ĹŹ Ć&#x161;Ĺ&#x161;Ä&#x17E;Ĺľ Ä¨Ĺ˝Ć&#x152; Ä&#x201A; Ć&#x2030;Ä&#x17E;Ć&#x152;Ć?Ĺ˝ĹśÄ&#x201A;ĹŻ Ä?Ĺ˝ĹľĹľĹ?Ć&#x161;ĹľÄ&#x17E;ĹśĆ&#x161; Ć&#x161;Ĺ˝ ĹŻĹ?Ç&#x20AC;Ä&#x17E; Ä?Ç&#x2021; Ć&#x161;Ĺ&#x161;Ä&#x17E; Ć&#x152;ĆľĹŻÄ&#x17E;Ć?Í&#x2DC; >Ä&#x17E;Ä&#x201A;Ć&#x152;Ĺś ĹľĹ˝Ć&#x152;Ä&#x17E;Í&#x2014; Ç Ç Ç Í&#x2DC;Ć&#x161;Ä&#x201A;ĹŻĹŹĹ?Ć&#x161;Ĺ˝ĆľĆ&#x161;ĹśÄ?Í&#x2DC;Ĺ˝Ć&#x152;Ĺ?ÍŹĆ?Ć&#x161;Ä&#x201A;Ć&#x152;Ć&#x;ĹśĹ?Í˛Ć&#x161;Ĺ&#x161;Ä&#x17E;Í˛Ä?Ĺ˝ĹśÇ&#x20AC;Ä&#x17E;Ć&#x152;Ć?Ä&#x201A;Ć&#x;Ĺ˝ĹśÍŹ

MAN ON THE STREET - BROUGHT TO YOU BY FISHER REALTY

WHAT ARE THE BIGGEST OBSTACLES TO GETTING HEALTHY?

Daniel Cobb “I’d like to stop going out to eat as much. That’s a killer for me. I won’t mention it by name, but there is a restaurant that has far too much of my business right now. I have a sweet tooth, and then there is balancing time. I don’t like to work out in the mornings, but it’s hard to do it in the evening.”

Aaron Bland

Jason Brown

“I have a sweet tooth. Also, I have a 20-month-old toddler, so it’s been hard to get workouts in sometimes.”

“Finding time to eat right is hard with how busy I am all the time.”

Tipanay Flagg “The biggest obstacle is with being a business owner you don’t get a lot of time to make healthy choices. So, for lunch today I grabbed some donuts, Flavor Blasted, Extra Cheddar Goldfish and chicharrones because it’s just easy.”

Fisher Realty - Offering Homes, Homesites, Land, Commercial Properties, and Property Management. Serving Western North Carolina Since 1977 10 Park Place West, Straus Park, Brevard, NC (828) 883-9895 www.FisherRealtyNC.com

THE BENEFITS OF INCLUDING

YOGA IN YOUR EXERCISE ROUTINE traced to many factors, including a growing awareness among the general public regarding the impact a healthy lifestyle can have on both short- and long-term health. An essential component of a healthy lifestyle involves taking steps to protect our bodies, and that can include making an effort to reduce the aches and pains that are often associated with aging. “The relaxation techniques incorporated in yoga can lessen chronic pain, such as lower back pain, arthritis, headaches and carpal tunnel syndrome,” explained Natalie Nevins, DO, a boardcertified osteopathic family physician and certified Kundalini Yoga instructor. The American Osteopathic Association notes the benefits of yoga extend even further than relieving chronic pain. According to the AOA, yoga can help men, women and even children increase their flexibility as well as help them build stronger, more toned muscles. Additional benefits of yoga include weight reduction, improved cardiovascular and circulatory health and improved energy and vitality. But the benefits of yoga extend beyond the physical to the mental. The American Psychological Association notes that several studies have shown that yoga can help strengthen social attachments, reduce stress and relieve anxiety, depression and insomnia. For example, a 2012 study from researchers at the University of California, Los Angeles, found that a particular type of yoga that included brief, daily meditation reduced the

Yoga continues to grow in popularity. In a questionnaire administered every five years as part of the National Health Interview Survey, the National Center for Complementary and Integrative Health and the National Center of Health Statistics found that the number of people practicing yoga increased dramatically between 2002 and 2012, when approximately 21 million adults acknowledged practicing yoga. That figure equated to nearly double the number of people who practiced yoga just 10 years earlier. The almost meteoric rise in popularity of yoga can likely be

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stress levels of caregivers tasked with caring for people suffering from Alzheimerâ&#x20AC;&#x2122;s disease and dementia. One of the more attractive aspects of yoga is that it requires little or no financial commitment on the part of the people who practice it. Unlike fitness centers that typically require members to commit to yearly contracts or even potentially costly monthto-month memberships, many yoga studies do not require longterm commitments, instead asking that customers pay a small amount each time they visit if they are hesitant to commit to memberships. In addition, yoga requires just a mat and some appropriate clothing, ideally clothing thatâ&#x20AC;&#x2122;s conducive to flexibility but not so loose that it will prevent you from performing certain poses. Before including yoga in your exercise regimen, speak with your physician. Once you get the green light, look for a beginnerâ&#x20AC;&#x2122;s course, explaining to your instructor that you are just starting out. Many yoga studios offer introductory classes that help men and women acclimate their bodies to yoga and the various poses it entails before moving on to more challenging poses.

TREAT THE ROOT CAUSE,

Transylvania County is home to many holistic health practitioners – people who believe in approaching health and wellness not just as a reaction to a problem, but rather as something you practice daily to live out your best life and reach your potential. “Holistic is everything: the mind, the body, the spirit, the community, the country and your world – it’s everything,” said Stella Godwin, owner of Health Harvest Natural Foods.

“Whatever you can do for yourself that is healthy or holistic, one also wants to

choose the ingredients for themselves that help the community. At Healthy Harvest, we source local foods from local farmers and bulk herbs from fair trade companies. It’s a larger viewpoint of holistic health. It’s not about me or you, it’s about everyone. It’s the big picture. It feels healthy and right.” Godwin said she has had excellent results with herbs, proteins and minerals. They have helped her become physically stronger and less dependent on pharmaceutical methods that weren’t helping her in the first place. For example, she said, one of her best sellers is the black elderberry syrup made by local company Gaia Herbs. “If you have the flu, black elderberry will shorten the

10 46

828-233-5576

www.througghwoods.com

NOT JUST THE SYMPTOM duration of it,” she said. “It works by imploding the nucleus of the virus itself. I think people also are really tired of going to the doctor and getting the antibiotics and steroids and expecting different results. Trying an alternative may give them the answers they are looking for. Insanity is repeating the same thing over and over and expecting different results. What they call health care, I call sick care.” Not all holistic health practitioners are shopkeepers. Brevard is home base for more than one acupuncturist, such as Paul Buchman, who said there isn’t really any other medicine that treats the whole person — taking the whole human system into consideration. Buchman said that people in the West get excited about visceral health, but that Chinese medicine practitioners, like himself, look at the deeper energetic imbalance. “We use the symptoms to track backwards,” he said. “This is how you can consider the spirit and also treat the inner health — the psycho-emotional health. It almost sounds blasphemous as a westerner, all in the same breathe, because we have doctors and physiologists and priests and all to handle the different aspects, and they are thereby inseparable. “I had a (woman) this morning on my table. She’s an older patient, so she goes through routines. I was reassuring her that her back pain, if it got better, was the result of the deeper meridians becoming healthier, and the resolution of the back pain would be the side result. This is contrasted with a palliative notion – whether I use a drug or use my acupuncture needle to take away pain.” (continued on pg. 48)

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Community-style treatments available Thursday nights between 5-7pm, Visit KaraHainesAcu.com for more information.

47 11

TREAT THE ROOT CAUSE,

Paul Buchman, a traditional acupuncturist in Brevard, administers treatment for a patient. Buchman believes that the body has an energetic flow and he can enhance that flow with needles.

10 48

NOT JUST THE SYMPTOM Buchman said any experienced acupuncturist can treat the underlying imbalances, but, in the West, we tend to give attention to the symptoms after they come up. He said this is akin to digging a well after you’re thirsty. “The symptom is calling us to give attention to the deeper system,” he said. “In the West, if you get heart burn, you take Tums. In the East, we wonder why the energy is rising up into your throat and going in the wrong direction. “You’ve got to come from the perspective that there is a subtle, beautiful energetic mechanism that is understood in the body that accounts for all the body’s activities. You have to look from the perspective that we are beautiful and high functioning. We’re a magnificent system, and Chinese medicine has found a way to understand and care for that. After a couple of thousand years of observation, we understand the maps of the energy flows in the system. I can use my needles to enhance that energetic flow. “Without getting into really strange philosophical conversations, there is subtle communication throughout the body. If you understand those relationships, you can care for the human physiology and anatomy by enhancing the communication and balance.” Another local acupuncturist, Belinda Roberts, is part of a team of practitioners at Elk Haven Wellness Center. “With acupuncture, we can treat almost anything because it’s working to create balance in the body,” Roberts said. “It can treat depression, migraines, pain of musculoskeletal origin, weight-loss, sleep and anxiety. Acupuncture and Chinese medicine addresses anything in the body.”

(continued on pg. 50)

CARING TREATMENT OFFERED BY

PAUL J. BUCHMAN L AC., M.AC., BOARD CERTIFIED

SINCE 1994

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“DISCOVER WHAT IS POSSIBLE...” Carolina Acupuncture LLC

49 11

TREAT THE ROOT CAUSE, NOT JUST THE SYMPTOM

Pilates, named after Joseph Pilates, is resistance work designed to strengthen targeted areas of the body. The team at Elk Haven Wellness Center was assembled to provide people with affordable holistic health care alternatives, Roberts explained. “We are a many-purposed wellness center,” she said. “We have two acupuncturists here, and we have a massage therapist, Pilates instruction,

yoga instruction and a practitioner of healing touch. She also practices rapid-eye technology, which is a healing modality that involves the eyes,

but it can be for things like post-traumatic stress disorder or trauma that we aren’t completely aware of. We also do cranial sacral therapy and acu-

pressure. “The folks who work here have come because they have a similar philosophy. We work together, and we have something called Wellness

Wednesday, where we have one practitioner a month who presents a health topic for the public. What’s been interesting to me, when that person

is presenting, almost all of the other providers show up to learn from what the speaker is doing. In many ways, we are a team.” Roberts said there are also two medical massage therapists at Elk Haven, who can work from a doctor’s clinical diagnosis or on whatever the

client wants addressed. Another popular service they offer is Pilates, an effective technique for improving posture and developing core strength. “Any of the modalities we offer here can address anything,” said Roberts. “Once you see the body as a whole, you know that something

as specific as posture can lift the spirit and help that person with self confidence, which can be an unraveling of the good kind.”

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10 50

CHIROPRACTIC CARE

Whether it’s a nagging back injury, sore muscles or an injury incurred during exercise, millions of Americans seek relief every year through chiropractic services. Chiropractic treatment involves physical manipulation of a person’s spine with the goal of alleviating pain without the need for surgery or more invasive procedures. At the core of chiropractic is the relationship between the spine and the nervous system, and the reduction of pain through the manipulation of the spine. Proper chiropractic treatment can help alleviate pain in a number of areas, including muscles, joints, bones and connective tissues, such as ligaments and tendons. In most instances, chiropractic treatment involves a series of adjustment sessions, typically six to 10. It is also common for a chiropractor to provide dietary and nutritional counseling, as well as incorporate other forms of rehabilitation into the treatment plan. The exact course of treatment a chiropractor will suggest depends on many things, including health history, the nature of the injury, overall health and ongoing medical conditions, among others. This is why it is important to conduct a thorough background health screening and consultation prior to undergoing treatment.

In most instances, chiropractic care is covered by insurance, but patients should check with their provider and chiropractor to make sure they have proper coverage. In terms of results, chiropractic adjustments have been shown to be beneficial, but that benefit varies from person to person depending on a number of factors. However, for those looking for a less-invasive and more natural way of seeking pain relief, chiropractic treatment is well worth exploring and can yield successful results. The following is a list of chiropractors located in Transylvania County: •Cagen Family Chiropractic, 1486 Asheville Highway, Brevard. (828) 885-7100 •David Dungan, 124 Hendersonville Highway, Pisgah Forest. (828) 884-5557 •Dr. Frank E. Trozzo, 15 Rosman Highway, Brevard. (828) 5533007 •Ham Chiropractic Center, 19 Chestnut St., Brevard. (828) 8838262

Your Invitation To T Spiritual Welln ness In 20 01 Most of us work to improve our physical, emotional, e and financial well-being. We invite you to make 201 the e year you include spiritual health in your wellness plan. Center for Spiritual Wisdom, a Brevard based non-p profit, was founded to transform lives from the inside out, one soul at a time. We crea create ate retreats, workshops, and d oneone on-one "soul friend" sessiions to help you begin within and discover your best self. It doesn't matter what sorrt of seeker you are. We welcome all: the spiritual but not religious, spiritual and relligious, or simply questioning. w hosted various events that have touched the t Since our founding, we've lives of 00 people. Might M you be number 01? Go o to center4spiritulwisdom.org to see what we e're pla anning for 201 .

enter for Spiritua Ce al Wisdom Ro ob Field, Director r Ca all (828) 577-8168 8 dir rector@center4spiritua alwisdom.org

Lo ocated in The Elk Ha aven Wellness Center r, 100 Elks Club Roa ad, Brevard, NC

HOSPITALS/CLINICS

TRANSYLVANIA REGIONAL HOPSITAL Transylvania Regional Hospital (TRH), a member of Mission Health, is a full-service, not-for-profit community hospital serving

Transylvania and the surrounding counties. The hospital offers 30 inpatient rooms and 10 transitional care unit rooms. With more than 450 employees and 100 volunteers, TRH offers comprehensive services through more than 100 physicians and advanced practitioners representing a full spectrum of specialties. TRH is focused on its patients’ health and wellbeing. Formed in 1933 with the mission to serve the healthc are needs of the community, TRH remains true to that commitment by providing state-of-the-art health care delivered with the personal attention. TRH’s comprehensive range of services includes acute care, outpatient adult behavioral health, critical care/intermediate care, cardiac/pulmonary rehabilitation, chemotherapy and infusion services, lab

services, urology, gynecology, general surgery, orthopedics (including joint replacement), endoscopy, pain management, physical, occupational and speech therapy, radiology, sleep lab, wound care, short-term skilled nursing facility/TCU, diabetes prevention/management and CarePartners Home Care & Hospice Distinctions & Advancements in Care With the close of 2018 came several advancements in care at TRH. One of those milestones was the opening of the new emergency department (ED). The complete renovation of the emergency department includes 12 beds in larger rooms, new and expanded support spaces and much more. This expansion decreases wait times for patients, provides safe rooms for individuals who have behavioral health needs, offers

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family-friendly waiting rooms and spaces for physicians to confer with families privately, and allows the staff to operate at peak efficiency. The Transylvania Regional Hospital Transitional Care Unit earned a 5-star overall rating (out of 5 stars) for the fourth year in a row from Nursing Home Compare at www.Medicare.gov. Only 12 percent of the nationâ&#x20AC;&#x2122;s nearly 16,000 skilled nursing facilities received this highest ranking. Receiving this 5-star overall rating sets apart the Transylvania Regional Hospital Transitional Care Unit in comparison to the others in the country, providing above average quality of care, promoting health and improving quality of life to all residents in western North Carolina. Looking to continue to advance care in the new year, TRHâ&#x20AC;&#x2122;s diabetes prevention program will offer successful strategies for those at risk. A recent Community Health Needs Assessment revealed that Transylvaniaâ&#x20AC;&#x2122;s top health concerns are obesity and lack of phys-

ical activity. This newly implemented and innovative program will support those community members who are at risk for diabetes or have pre-diabetes by learning and practicing nutrition-rich and exercise-based lifestyle changes in conjunction with medication management when appropriate. Participants can lower their diabetes risk, and feel better too. TRHâ&#x20AC;&#x2122;s cancer services will continue to expand with the new cancer center, expected to open in 2019. The Brevard Cancer and Infusion Center provides treatment to chemotherapy patients and essential infusion services for those with osteoporosis, rheumatoid arthritis and multiple sclerosis, and will continue to do so with the coming of the new cancer center. This year will also give the community access to a new, state-of-the-art CT scanner and MRI. While TRHâ&#x20AC;&#x2122;s diagnostic services have state-of-the-art technology, itâ&#x20AC;&#x2122;s the skills of expert technologists and radiologists that make TRHâ&#x20AC;&#x2122;s services truly extraordinary. They all hold radiology degrees and

are registered with the American Registry of Radiology in various practice modalities. Lastly, Transylvania Regionalâ&#x20AC;&#x2122;s operating rooms are being renovated and equipped with state-of-the-art equipment and technology. TRH is an integral part of the local community and wishes to thank every patient, family member and community advocate for their loyalty, dedication and support of the services made available locally through the affiliation with Mission Health. The tight bonds that develop between hospital staff, patients and community are a result of building trust and patients knowing Transylvania Regional Hospital sees each person as an individual. The relationships built are healthcare professionalsâ&#x20AC;&#x2122; richest rewards. For more information about TRH, or to schedule an appointment at one of TRHâ&#x20AC;&#x2122;s practices, visit www.missionhealth.org/ Transylvania.

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HOSPITALS/CLINICS

Appalachian Shoulder Specialists Shoulder Pain? Arm Pain? Don’t Shrug It Off

PARDEE Since 1913, Pardee UNC Health Care has provided high-quality, compassionate health care to residents of Hendersonville and surrounding counties. A not-for-profit hospital managed by UNC Health Care, Pardee is licensed for 222 acute care beds. Pardee has multiple facilities separate from its main campus throughout Henderson County, south Buncombe County and Haywood County, making health care even more accessible and convenient. These locations include a state-of-the-art cancer center, a comprehensive physician practice network, three urgent care locations, three rehabilitation and wellness centers, and five orthopedic clinics. Pardee offers primary care services in Etowah and has a new urgent care location in Mills River, both convenient to Transylvania County residents. In addition, Pardee Sports Medicine provides certified athletic trainers free of charge to Transylvania County middle schools and high schools. The hospital’s medical staff represents more than 40 specialties, including oncology, cardiology, orthopedic surgery, general surgery, weight loss surgery, sports medicine, pulmonology, women’s health, family medicine, internal medicine, diabetes care, rheumatology, neurology and more. The hospital is also home to western North Carolina’s only fellowship-trained breast surgeon. Pardee has been honored with numerous national awards and accreditations for patient safety, service, quality and value by wellknown organizations, including the Centers for Medicare and Medicaid Services (CMS) Hospital Compare, Healthgrades, The Leapfrog Group, Blue Cross Blue Shield, Healogics, the American Heart Association, the American College of Cardiology, the American College of Surgeons’ Commission on Cancer, the American College of Radiology, and the American Association of Cardiovascular and Pulmonary Rehabilitation. To learn more, visit www.pardeehospital.org.

Dr. Suzanne Hall, is the only Fellowship Trrained Shoulder Specialist, in Western North Carolin na whose practice p is entirely y devo oted to WKH shoulder. She is a Board Certified d Orthopedic Surgeon. • Not on nly listens, but takess the time to “hear” you • Explains diagnose es clearly • Uses nonoperative treatments whenever e possible •

Uses gentle surgical techniques to minim mize pain, speed healing, an nd maximize results Early treatment gives the best chance of a great recovery.

iaalliliz Compassionate, C Co om om mppaasssssi sio ion oC nnaaattee, In Individualized, ndi div ivviiiddu duua ize zeeddd, Ex E Expert xppe peerrrtt Ca C Care aree ar For an Appointment Call (828) 697-19 944

Appalachian Shoulder Specia alists 8791 1027 Fleming St. Hendersonville, NC 28 www.apportho.com

MERCY URGENT CARE Mercy Urgent Care provides highquality, affordable and convenient medical care for non-life-threatening illnesses and injuries. It has six urgent care centers staffed with licensed, certified and highly-trained professionals, ensuring patients receive above quality care. Its doctors, nurses, and support staff provide more than 60,000 service visits each year. To date, they have served more than 1 million patients in western North Carolina. Mercy Urgent Care Brevard also offers primary-care services through Frances Warde Family Health and is accepting new patients. Frances Warde Family Health was started more than 30 years ago to provide health care for the people living in rural Rosman, and it’s named for Frances Warde, the first Sister of Mercy to come to the United States. Today, family nurse practitioner Carol Hoban heads the practice. Supporting the residents and visitors of western North Carolina is a top priority, and to do this effectively, Mercy Urgent Care, as an independent provider, accepts most major insurances, including Blue Cross Blue Shield North Carolina; offers a self-

pay option for those without insurance, with simple, tiered “fee for service” pricing; and has a compassionate care financial assistance program for qualifying patients. Donations to not-for-profit Mercy Urgent Care’s Catherine McAuley Mercy Foundation enable care throughout WNC in Brevard, Burnsville, Weaverville, three Asheville locations and, soon, Columbus, providing more than $500,000 in charity care locally and internationally. Mercy Urgent Care is located at 22 Trust Lane in Brevard. For more information, call (828) 883-2600. ADVENTHEALTH Since its founding in 1910, AdventHealth Hendersonville has grown from a destination for people seeking to improve health through nutrition, exercise and rest, to a leading health care organization, directly caring for more than a thousand people across western North Carolina every day. Its mission of “Extending The Healing Ministry Of Christ” is grounded in a legacy of faith-based health care built on the philosophy of whole-person care including mind, body and spirit. (continued on pg. 56)

HOSPITALS/CLINICS ADVENTHEALTH (continued from pg. 55) Continuum Of Care On Jan. 2, Park Ridge Health became AdventHealth Hendersonville, with the brand transformation of what was the Adventist Health System network of one of the nation’s largest faith-based health systems, with 47 hospital campuses in nine states, including Park Ridge Health. The name change for the organization is part of a system-wide brand transformation to become a more consumercentric, connected and identifiable national system of care, enabling consumers to easily distinguish locations and services across its vast care network, which serves more than 5 million patients annually. People Are The Focus For AdventHealth Hendersonville, this brand transformation is simply a renewal of its mission and commitment to putting the consumer at the center of the focus of care. The new brand embodies AdventHealth Hendersonville’s promise to deliver whole-person care to patients and their loved ones, meeting their physical, emotional and spiritual needs. With this transition, you and your loved ones will have access to a unified network that is dedicated to delivering exceptional care and striving for excellence. Innovating Your Care Options Leading the way in medical firsts for the region, AdventHealth Hendersonville is the first hospital in western North Carolina to hold The Joint Commission’s Gold Seal of Approval for the Spine Center of Excellence Certification, a symbol of quality that reflects an organization’s commitment to providing safe and effective patient care. It is also the first in the region to offer nanomedicine in the operating room, with the nanoLOCKTM Spinal Implant technology, Mazor XTM Robotic Platform for Spine Surgery, the MisonixTM Ultrasonic Spinal Surgery technology, and NAVIO Robotic Assistance for partial and total knee replacement. In 2018, AdventHealth Hendersonville received the National Accreditation Program for Breast Centers (NAPBC) accreditation. This is the fourth time AdventHealth Hendersonville has been honored with this accreditation from NAPBC. The Breast Center was one of the first 94 hospital programs to be accredited in 2009 and the first to be accredited in western North Carolina. AdventHealth Hendersonville has also achieved national recognition and awards for its cancer services program, and for The Baby Place labor and delivery center. It is home to nationally-accredited imaging services, including 3D Mammography, a 128-slice CT scanner, MRI and mobile Digital X-ray. To learn more about the care options at AdventHealth Hendersonville, visit www.adventhealth.com or call (855) 774-LIFE (5433) to speak with a member of the Patient Resource Team.

MINUTECLINIC MinuteClinic, the retail medical clinic of CVS Health, is located inside select CVS Pharmacy, including in Brevard, and

Our PASSION makes us different The Lodge at Mills River A leader in Short term Rehabilitation takes pride in excellence. We promise to serve the residents and families with compassion and integrity. The Lodge is committed to providing experienced care in a cheerful environment that features: • Private Rooms • TV/Internet Services • Ice Cream Shop • Rehab Gym • Salon & Spa • Spacious common areas The Lodge offers physical, speech and occupational therapies in the community. Therapy services can be provided in an inpatient or outpatient need. We invite you to visit the community, meet our dedicated staff and discover for yourself what makes The Lodge at Mills River a leader in Short Term Rehabilitation.

Now Accepting Patients. Call Today.

828-684-4857 5593 Old Haywood Rd., Mills River www.sanstonehealth.com/lodgeatmillsriver

Target stores. MinuteClinic is the largest provider of retail clinics, with more than 1,100 locations in 33 states and the District of Columbia. A MinuteClinic is staffed by nurse practitioners who specialize in family health care and can diagnose, treat and write prescriptions for common illnesses, such as strep throat and ear, eye, sinus, bladder and bronchial infections. Minor wounds and abrasions, and sprains, strains and joint pain are treated, and common vaccinations for conditions, such as influenza, tetanus, pneumonia, and hepatitis A and B are available, as well. Prevention and wellness services offered at MinuteClinic include screening and monitoring for diabetes, high blood pressure and high cholesterol, tuberculosis (TB) testing, contraceptive care, motion sickness prevention and smoking cessation. In addition, MinuteClinic nurse practitioners can evaluate and treat common skin conditions, such as acne, dermatitis and rosacea. At the conclusion of each MinuteClinic visit, patients receive educational material, a prescription (when clinically appropriate) and a visit summary. A copy of the diagnostic record can be sent electronically, or by fax or mail, to a primary care provider, with patient permission. Most major health insurance is accepted at

MinuteClinic. For patients paying cash or credit, treatment prices are posted at each clinic and online at www.minuteclinic.com. The cost for most services is between $89 and $129. Individuals who visit MinuteClinic and do not have a primary care provider are given a list of physicians in the community who are accepting new patients. A new digital tool accessible via www.minuteclinic.com allows patients to view wait times at all MinuteClinic locations. Patients can also hold a place in line or schedule a future appointment on their smartphone, computer or tablet. Nationally, the company has provided care through more than 42 million patient visits, with a 95 percent customer satisfaction rating. MinuteClinic is the only retail health care provider to receive four consecutive accreditations from The Joint Commission, the national evaluation and certifying agency for nearly 21,000 health care organizations and programs in the United States. The MinuteClinic in Brevard, located at 371 Asheville Highway, is open from 8:30 a.m. to 7:30 p.m., Monday through Friday; 9 a.m. to 5:30 p.m. on Saturday; and 9 a.m. to 4:30 p.m. on Sunday. For more information, visit www.minuteclinic.com.

TRANSYLVANIA HEALTH AND WELLNESS DIRECTORY

ACUPUNCTURE A CUPUNCTURE Flower F lower Mountain Mountain Acupuncture Acupuncture 235 2 35 Rosman Rosman H Hwy., wy., B Brevard, revard, N NC C ((828) 828) 4 84-1050 484-1050 w ww w..naturra alpathwaysclinic.com www.naturalpathwaysclinic.com See S ee ad ad on on p pg. g.

Transylvania’s premier affordable acupuncture and detoxification clinic. We are a cutting edge natural wellnesshealingƫ center dedicate ed to bringing safe therapies to our community. Our medical professionals have extensive training, specializing in drug-free pain management, women’s health, anxiety and depression, joint health, migraines, weight loss,ƫ anti-aging and digestive health. To reach optimal health, call Flower Mountain Wellness for your free consult.

Kara K ara Haines Haines A Acupuncture cupuncture 147 147 E. E. M Main ain St., St., Suite Suite 1 102, 02, Brevard, Brevard, N NC C (828) 575-0123 (828) 575-0123 www.karahainesacu.com www.karahainesacu.com See S ee a ad d on on p pg. g.

Kara Haines Acupuncture is a warm and welcoming environment where natural healing takes place. Acupuncture andƫ Chinese medicine encou urage the body to balance and maintain health and wellbeing. Acupuncture is a great way toƫ treat and prevent a mu ultitude of ailments naturally without side effects. Common concerns such as pain, arthritis, immu-nity, stress/anxietty y/depression d and more are benefited.

Traditional T raditional Acupuncture ra Acupuncture 4 55 S. S. C Caldwell aldwell St. St. 455 B revard, NC NC Brevard, ((828) 884-8812 828) 884-8812 See S ee a ad d on on p pg. g.

For 2000 yearsČ Chinese e medicine has been known for its elegant simplicity in treating the body and its diseases. Bothƫ The National institute o of Heath and the World Health Organization recognize the efficacy of acupuncture. Traditionalƫ acupuncture seeks to restore the natural balance and strength within the body, greater mental clarity and enriched emo-tional health. Come e see what is possible!

TRANSYLVANIA HEALTH AND WELLNESS DIRECTORY

AUTOMOTIVE A U TO M O T I V E Charlie’s C harlie’s T Tire ire C Center, enterr,, IInc nc 1 177 77 N. N. C Caldwell aldwell S St., t., B Brevard, revard, NC NC ((828) 883-2815 828) 883-2815 w www.charliestirecenter.com ww.charliestirecenterr..com See S ee ad ad on on p pg. g.

Charlie’s Tire Center is a leader in offering name brand tires, wheels and auto repair services for customers in Brevard,ƫ Hendersonville e, Cashiers and surrounding areas. Providing great customer service is the foundation of our business.ƫ Charlie's Tire Center C employs a well-trained staff specializing in the sale and installation of passenger carr, performance,ƫlight truck k or SUV tires.

COMMUNITY C O MMUN IT Y S SERVICES E RV I C E S Mountain M ountain N Neighbors eighborrss N Network etwork P PO OB Box ox 2 263, 63, B Brevard, revard, N NC C ((828) 490-7390 828) 490-7390 w www.mountainneighborsnetwork.org ww w..mountainneighborsnetwork.org See S ee a ad d on on p pg. g.

Mountain Neighbors Ne etwork is the local member of the nationwide Village to Village Network serving Transylvaniaƫ County residents by offering resources that address physical and social needs to help those who wish to do so remain inƫ their own homes ind dependently for as long as possible. It is a 501(c)(3) tax-exempt organization; all member servicesƫare provided by y vetted volunteers.

CYCLING C Y C L I NG Sycamore S ycamore Cycles Cycles 112 112 New New H Hendersonville enderrssonville Hwy. Hwy wy. P Pisgah isgah F Forest, orest, NC NC ((828) 877-5790 828) 877-5790 See S ee a ad do on np pg. g.

Sycamore Cycles offers fast turnaround on most repairs and services. Our service technicians are experts with manyƫ years of experience. We e take tremendous pride in offering only the highest quality bicycle service available. You o canƫ trust us to keep your bike maintained and in top-notch condition so that you can enjoy your ride instead of wonderingƫabout your b bike.

TRANSYLVANIA HEALTH AND WELLNESS DIRECTORY

DENTAL D E N T AL Blue B lue Ridge Ridge Orthodontics Ort rthodontics 4 Market Market S St. t. S Suite uite 4204, 4204, B Brevard, revard, N NC C ((828) 585-6045 828) 585-6045 w ww.blueridgeorthodontics.com www.blueridgeorthodontics.com See S ee ad ad on on p pg. g.

At Blue Ridge Orthodon ntics, our focus is changing your smile to the healthy, straight, beautiful one that youâ&#x20AC;&#x2122;ve alwaysĆŤ wanted. Our extended hours, flexible payment plans, multiple locations and complimentary consultations make it simpleĆŤto get started witth braces or Invisalign. We look forward to seeing your smile!

Carolina C arolina S Smiles miles F Family amillyy Dental Dental 4M Market arket S St., t., S Suite uite 4202, 4202, B Brevard, revard, N NC C ((828) 884-3702 828) 884-3702 w ww.carolinasmilesdentist.com www.carolinasmilesdentist.com

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Carolina Smiles Family FamilyDental Dentalis is a highly regarded Brevard dental practice. We are committed to delivering the Carolina Smiles a highly regarded Brevard dental practice. We are committed to delivering the highest highest qualitycare dental care do advanced so using advanced dental equipment.Â As a local dentist, we create lifelong we create lifelong relationships quality ĆŤdental andc do soand using dental equipment.Â As a local dentist, relationships p withĆŤour pa atients and their workthat to ensure that they receive treatments in a comfortable and with our patients andp their families andfamilies work toand ensure they receive treatments in a comfortable and relaxed relaxed environ-ment. environment.

Cozart C ozart Dental Dental 3 44 Gallimore Gallimore R Rd., d., Brevard, Brevard, N NC C 344 ((828) 884-4433 828) 884-4433 w www.cozartdental.com ww.cozartdental.com See S ee a ad do on np pg. g.

We at Cozart Dental hav ve been a part of the Brevard and Transylvania County community for more than 35 years. WeĆŤ appreciate the opportunity to continue providing dental care for our growing family of patients by offering a wide rangeĆŤof dental servicess suited to the individual needs of each patient. We continue to accept new patients.

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DENTAL D E N T AL Water W ater O Oak ak Dental Dental Group Group 1 23 E. E. Main Main S St., t., S Suite uite 300, 300, Brevard, Brevard, NC NC 123 (828) 884-3421 (828) 884-3421 www.wateroakdental.com www.wateroakdental.com See S ee ad ad on on p pg. g.

Water Oak Dental Group p is a family dental care center committed to exceptional state-of-the-art dentistry, located inƫ Brevard. We believe e in tailoring excellent, personalized care for each of our patients. We achieve this by informing ourƫpatients of o all the dental options available and being completely engaged in their care and continued treatment.

EYE E YE C CARE/OPHTHALMOLOGY A R E / OP H T H A L M O L O G Y Carolina C arolina O Ophthalmology phthalmology 1 701 Old Old V Village illage R Rd., d., Hendersonville, Henderrssonville, NC NC 1701 ((828) 693-1773 828) 693-1773 w ww.carolinaeyemd.com www.carolinaeyemd.com See S ee a ad d on on p pg. g.

Carolina Ophthalmology y has been serving the people of western North Carolina for over 35 years and our reputation forƫ quality surgical outc comes is well established. Our physicians are highly experienced and specialty trained to treatƫ cataracts, glaucoma, rettinal disease, corneal disease and facial aesthetic problems.

GENERAL G E NE R A L H HEALTH E A L TH S SERVICES E RV I C E S CarePartners C arePartners rs H Health ealth S Services erv rvices 6 8S Sweeten weeten C Creek. reek. Rd., Rd., Asheville, Asheville, NC NC 2 28803 8803 68 (828) 277-4800 (828) 277-4800 www.carepartners.org www.carepartners.org See S ee a ad d on on p pg. g.

CarePartners Health Serrvices, a member of Mission Health, offers post-acute care services including a rehabilitationƫ h hospital, it l h home health, h lth outpatient rehabilitation, hospice, palliative care, adult day, private duty, PACE (Program of Allin-clusive Care for the Elderly), orthotics and prosthetics. CarePartners is dedicated to helping people of western NorthƫCarolina live full a and productive lives, despite illness, injury, disability or aging-related issues.

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GENERAL G ENERAL HEALTH HEALTH SERVICES S E RV I C E S NC N C2 2-1-1 -1-1 Brevard, NC NC Brevard, ((888) 892-1162 888) 892-1162 w ww.nc211.org www.nc211.org See S ee a ad d on on p pg. g.

NC 2-1-1: Dial 211 or Ä¨888 8Ä©Æ« 892-1162, or go to www.NC211.org for free, confidential information and referral 24/7 7/365 / fromÆ«trained specialists.. Information about mental and physical health, food, utilities, education, housing, substance abuseÆ«and other local re esources is available in multiple languages. NC 2-1-1 is a United Way program.

GYMS/FITNESS G YMS/FITNESS C CENTERS ENTERS Brevard B revard Health Health and and Racquet Racquet C Club lub 1325 1 325 Country Country C Club lub Road, Road, B Brevard revard 1& 1& ((828) 883-3005 828) 883-3005 w www.brevardhealthandracquetclub.com ww.brevardhealthandracquetclub.com See S ee a ad d on on p pg. g.

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The T he Fitness Fitness F Factory actory ry 1266 Asheville Asheville Hwy., Hw wyyy.., Brevard, Brevard, N NC C 1266 (828) 883-9832 (828) 883-9832 www w..thefitnessfactoryy..biz www.thefitnessfactory.biz See S ee a ad d on on p pg. g.

The Fitness Factory is a fully equipped gym, offering a wide variety of top-notch exercise equipment, personal trainingÆ« and programs.. The Fitness Factory also has free classes, free 24-hour access, functional training, locker rooms, cardioÆ« equipme ent and free weights. Members may join on a month-to-month basis or through an annual membership plan.Æ«Family membership is available, as well. Locally owned & operated for 23 years.

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GYMS/FITNESS G YMS/FITNESS C CENTERS ENTERS Next N ext Level Level F Fitness itness 264O Old ldRosman Rosman H Hwy., wyy.., B wy Brevard, revard re rd, N NC C 264 ((828) 966-4419 828) 966-4419 w ww.facebook.com/pg/nextlevelfitnessnc www.facebook.com/pg/nextlevelfitnessnc See S ee ad ad on on p pg. g.

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Workout W orkout Anytime Anytime â&#x20AC;&#x201C; Brevard Brevard 239 Forest Forest G Gate ate Dr., Drr.., S Suite uite 115, 115, P Pisgah isgah F Forest, orest, N NC C 239 (828) (828) 883-9628 883-9628 www.workoutanytime.com/brevard www.workoutanytime.com/brevard See S ee a ad d on on p pg. g.

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HEALTH H EALTH FOOD F O OD P PRODUCTS R O DU C T S Green G reen H Heart eart J Juice uice 100 1 00 Elks Elks Club Club R Rd.Brevard, d.Brre evard, N NC C (828) (828) 2 275-4008 75-4008 www.greenheartjuice.com ww ww w.greenheartjuice.com See S ee a ad d on on p pg. g. _ ___ __

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HEALTH H EALTH FOOD FOOD P PRODUCTS R O D U C TS Morningside M orningside F Ferments erments 1 100 00 Elks Elks C Club lub Rd., Rd., B Brevard, rre evard, N NC C ((828) 828) 4 403-9743 03-9743 w ww w w..morningsideferments.com w www.morningsideferments.com See S ee a ad d on on p pg. g. _ ___ __

COPY C OPY HEALTH H E A L TH F FOOD OOD Food F ood Matters Matters rs M Market arket Market S St., t., B Brevard, revard, N NC C 1 Market ((828) 885-3663 828) 885-3663 www.foodmattersmarket.com www.foodmattersmarket.com

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Food Matters Market iss a North Carolina owned and operated community-centered neighborhood health market. Yo ou’llƫfind it all here from m quality and local meats, produce and dairy to natural and organic foods and products. Grab ou’ll love the selection of vitamins and aƫ healthy lunch from our cafe or a coffee featuring local roasters. Yo supplementsƫplus specialty alty beers and wines.

Healthy H ealthyH Harvest arv rvest Natural NaturalF Foods oods 2 9W. W. F French rench B Broad roadSt., ro St.,S Suite uite 105, 105, Brevard, Bre evvard, NC NC 29 (828) 885-2599 (828) 885-2599 w ww.healthyharvestnaturalfoods.net www.healthyharvestnaturalfoods.net Healthy Harvest Natural Foods, proudly serving the local community since 1998, is your local destination for all l Foods, proudly serving the local community since 1998,ƫ is your local destination for all t Naturaand Healthy Harvesyummy things healthy, organic! At Healthy Harvest, we pay special attention to ingredients and work diligently hy, yummy and organic! At Healthy Harvest, we pay special attention toƫ ingredients and work t l a e h s g thin to carry only the highest quality whole food vitamin, mineral and herbal supplements, health and beauty products he highest quality whole food vitamin, mineral and herbal supplements,ƫ health and beauty arry only tlocal, ently to cnon-GMO, diligorganic, and gluten-free and vegan healthy foods. products and organic, non-GMO, local, gluten-free and vegan healthy foods.

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HEALTH H EALTH FOOD F OO D Transylvania T ransylv lvaniaFarmers Fa F armers rs M Market arket C ornero offJ Johnson ohnson S St. t. a and ndJ Jordan ordan S St. t. Corner Bre revard rd, N NC C Brevard, h ttp:// //www ww. w w w..transylv lvaniafarmersmarket.com http://www.transylvaniafarmersmarket.com See See ad ad on on p pg. g.

The Transylvania Farme ers’ Market is a great source for fresh and local produce and products. The market is open everyƫ Saturday year-rou und, with dozens of vendors selling items grown or produced within 100 miles of Brevard. Winter market runs frrom 10 a.m.-12 p.m. on Saturday mornings from December thr+1#$ April. From May thr+1#$ November, hourrs are 8ƫa.m. until noon.

HEALTH H EALTH INSURANCE I N S U R A NC E Chase C hase Insurance Insurance Group Group 19 C Chesnut hesnut S St., t., Suite Suite 6 6,, B Brevard, revard, N NC C 19 883-3200 ((828) 828) 8 83-3200 w ww.chaseinsgroup.com www.chaseinsgroup.com See S ee a ad d on on p pg. g.

gents in Brevard, North Carolina, free to choose the best carrier for your insurance needs. We We are Independent Ag doƫ not work for an insurance company; we work for you. Chase Insurance Group represents a carefully selected group of financially stro ong, reputable insurance companies, therefore, we are able to offer you the best coverage at the mostƫcompetitive prrice.

HEARING H E AR I N G S SERVICES E RV I C E S Brevard B rre evard H Hearing earing C Center enter 424 4 24 S S.. C Caldwell aldwell S St., t., B Brevard, rre evard, N NC C (828) (828) 9 966-4327 66-4327 www.brevardhearingcenter.com ww ww w.brevardhearingcenterr..com See S ee a ad d on on p pg. g.

The Brevard Hearing Center is passionate about helping you hear better and enjoy the full life that good hearing allows you to have. Hearing is vital to people’s well-being and happiness. We know addressing hearing loss can be stressful, so you will be relieved with our professional, yet friendly, service.

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HERBAL H ERBAL SUPPLEMENTS S U PP L E M E N T S Gaia G aia H Herbs erbs 1 0 Gaia Gaia H Herbs erbs R Rd., d., Brevard, Brevard, NC NC 10 ((828) 884-4242 828) 884-4242 w ww.gaiaherbs.com www.gaiaherbs.com See S ee a ad d on on p pg. g.

, Gaia Herbs is Since 1987, Gaia Herbs has h been connecting plants and people to nurture health and well-being. Today o theĆŤ leading premium he erbal supplement brand in North America focused on organic farming from seed to shelf. We offerĆŤfree shipping on alll orders over $49 on the Gaia Herbs website. Learn more at GaiaHerbs.com.

HOSPITALS H O S P I T A LS Mercy M ercy Urgent Urgent C Care are 2 2T Trust rust L Lane, ane, B Brevard, revard, N NC C 22 (828) 883-2600 (828) 883-2600 www.mercyurgentcare.org www.mercyurgentcare.org See S ee a ad d on on p pg. g.

Why have more than o one million patients in WNC chosen Mercy Urgent Care for their non-life-threatening illnesses andĆŤ injuries? The six co onveniently located urgentÂ care centers are staffed with licensed, certified and highly trained professionals, ensuring above quality care. Plus your support ofÂ local, not-for-profit Mercy Urgent CareÂ enables care forĆŤthe less fortunate he ere and internationally. Mercy makes us different.

Pardee P ardee UNC UNC H Health ealth C Care are - U Urgent rgent C Care are 3 334 Boylston Boylston H Hwy., wyyy.., S w Suite uite 1 10, 0, Mills Mills R River, iverr,, N NC C 3334 (828) 694-8100 (828) 694-8100 www.pardeehosiptal.org www.pardeehosiptal.org See S ee a ad d on on p pg. g.

When you need promptt medical attention for an injury or illness that is not life threatening and cannot wait for an ap-pointment with you ur regular physician, Pardee Urgent Care locations are a great option for you and your family.Â Loca-tions are op pen every day, including holidays and accept most major insurances.

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HOSPITALS H O S P I T A LS Transylvania T ransylvania R ra Regional egional H Hospital ospital 260 Hospital Hospital Dr., Drr.., Brevard, Brevard, NC NC 260 (828) 884-9111 (828) 884-9111 www.missionhealth.org/member-hospitals/transylv lvania/ www.missionhealth.org/member-hospitals/transylvania/ See S ee ad ad on on p pg. g.

Transylvania Regional Hospital is a full-service com mmunity hospital offering comprehensive services through more thanƫ 100 active, consulting and courtesy physsicians. Transylvania Regional Hospital is fully accredited by The Joint Commission on Accreditation of Healthc care Organizations and was recently named one of the country’s To opƫ20 Critical Access Hospitals. TRH is a member of o Mission Health, a To op 15 Health System.

HOLISTIC H OLISTIC TREATMENTS TR E A T M E N T S Ashgate A shgate P Pathways athways Kimberly K imberllyy Wohlford, Wohlforrd d, Brevard, Brevard, N NC C ((412) 412) 8 67-1228 867-1228 ww w www.ashgatepathways.com ww w w.ashgatepathways.com See S ee a ad d on on p pg. g.

As a practitioner of Energy Medicine, Kimberly works with individual clients and holds group workshops throughout the year. Her seasonal cooking classes focus on the health benefits of culinary herbs and plant-based ingredients. The studio and classroom are located in an idyllic setting that enriches the healing and learning experience. For details and to view the class schedule, visit AshgatePathways.com.

Brevard B rre evva ard Craniosacral Craniosacral 41 4 1 N. N. R Rice ice St., St., B Brevard, revard, N NC C ((828)384-0998 828)384-0998 ww w www.brevardcraniosacraltherapy.massagetherapy.com ww w w.brevardcraniosacraltherapy.massagetherapyy..com See S ee a ad do on n pg. pg. __ ___ __

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HOLISTIC H O L IST IC T TREATMENTS R E A T M E NT S Elk E lk Haven Haven W Wellness ellness C Center enter 1 00 Elks Elks C Club lub Rd., Rd., Brevard, Brevard, N NC C 100 (828) 862-3492 (828) 862-3492 www.elkhavenwellness.com www.elkhavenwellness.com See S ee ad ad on on p pg. g.

Elk Haven Wellness Cen nter is a community-oriented holistic health center offering a wide range of classes, therapies andƫproducts to supportt your mind, body and spirit. We have a community room that is available for events, as well as aƫgluten-free commercia al kitchen. At Elk Haven we invite you to experience community, healing and growth.

Nancy N ancy B Blue lue - Certified Certified Healing Healing Touch, Touch, B Beyond eyond Surgery, Surgery ryy,, R Rapid apid Eye Eye Technology Technology 100 Elks Elks C Club lub Rd., Rd., Brevard, Brevard, N NC C 100 (828)230-9388 (828)230-9388 nancyblue555@gmail.com nancyblue555@gmail.com See S ee a ad d on on p pg. g.

Nancy Blue believes in the body’s ability to heal itself when supported in a holistic manner. She often combines Rapidƫ Eye Te echnology w with Healing To ouch, Mind/Body techniques and essential oils to facilitate healing on all levels. She alsoƫ uses these the erapies individually for stress relief, pain relief, symptoms of PTSD, recovery from surgery or illness andƫmany other c common issues.

IINTERIOR N T E RI O R D DESIGN ESIG N Yvonda Yv Y vonda Lamm Lamm IInterior nterior Design Design B revard, NC NC Brevard, yyvondalammdesign@yahoo.com vondalammdesign@yahoo.com

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Yvonda Lamm Interior Design creates new and remodeled floor plans, elevations and interiors to support individuals Yvonda Lamm Interior D Design creates new and remodeled floor plans, elevations and interiors to support individuals of all ages with physical disabilities and sometimes mental challenges. When areas of a home or business cannot be ofƫ all ages with physical disabilities and sometimes mental challenges. When areas of a home or business cannot be accessed with mobility aids, including wheel chairs, those living spaces can be modified to be barrier-free as well as ac-cessed with mobility y aids, including wheel chairs, those living spaces can be modified to be barrier-free as well as supportive of “Aging in Place.” sup-portive of “A Aging in n Place.”

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LAW L AW FIRMS F I RM S The T he N Neumann eumann L Law aw Firm Firm Park P Place lace West Suite West Suite 102, 102, B Brevard, revard, NC NC 9 Park ((828) 828) 884-6575 884-6575 w ww.brevardnclaw.com www.brevardnclaw.com See S ee a ad do on np pg. g.

Neumann Law Firm serv ves the needs of western North Carolina with practice areas including real property law, estateĆŤ planning, probate admin nistration, business law, family law, criminal defense, personal injury, bankruptcy and civil litigation. We take pride in n providing our clients with quality legal service while maintaining an atmosphere built on personalĆŤconnections an nd genuine concern for each client.

MASSAGE M ASSAGE THERAPY T H E R AP Y Alan A lan Paduano Paduano 41 41 N N.. R Rice ice S St. t. B revard, N NC C Brevard, ((828) 828) 3 384-0998 84-0998 See S ee ad ad o on n pg pg. g.

Alan Paduano, MS bega an working in the healing professions after earning his Masterâ&#x20AC;&#x2122;s Degree in Clinical PsychologyĆŤ from Pittsburg State Un niversity in 1992. In 1994 he began his career as a Bodywork Therapist focusing on Sports Massage and Injury Rehabiliitation Massage. In 1996, he became an Upledger Institute Certified Craniosacral Therapist and isĆŤworking toward becoming certified in Visceral Manipulation.

Bliss B liss IIn n The The M Mountains ountains 4840, 4 840, 3 35 5W W.. P Probart rro obart St. St. S Suite uite D D,, B Brevard, rre evva ard, N NC C ((828) 828) 7 707-2437 07-2437 w www.blissinthemountains.com ww w w.blissinthemountains.com Lisa Glines offers a safe, fast and effective way to resolve chronic pain. She melts away restrictions in your connective tissue, aligns your hips and resolves sciatica, neck, shoulder and hip pain the long lasting, gentle way. See S ee a ad d on on p pg. g.

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MASSAGE M AS S A G E T THERAPY H E RA PY Path P ath o off M Massage assage & Wellness Wellness - B Bobby obby W Wilson, ilson, M Massage assage Therapist Therapist 41 N N.. Rice Rice St., St., B Brevard, revard, N NC C 41 (828) 384-3869 (828) 384-3869 https://www.facebook.com/pathofmassageandwellness/ https://www.facebook.com/pathofmassageandwellness/ EREZLOVRQ #JPDLO FRP EREZLOVRQ #JPDLO FRP See S ee ad ad on on p pg. g.

Path of Massage & Wellness offers a unique touch of therapeutic massage bodywork. Bodywork sessions are specificallyƫ catered to the need of each individual. Deep Tissue / Clinical Massage / Thai Bodywork. For more information visitƫhttps:/ // /www.facebook.com/pathofmassageandwellnessċ

NATUROPATHIC N ATUROPATHIC MEDICINE M E D I C I NE Through T hrough tthe he W Woods oods N Natural atural H Health ealth 1 Market Market S St., t., Brevard, Brevard, NC NC ((828) 233-5576 828) 233-5576 w ww.throughthewoods.com www.throughthewoods.com See S ee a ad d on on p pg. g.

Naturopathic doctors Gllenn and Marty Ingram, the “Nature Docs,” offer guidance, support and time-tested herbal andƫ homeopathic remedies ffor modern ills. They commonly address digestive complaints, insomnia and fatigue, hormonalƫ and mood disruptions, weight loss, high blood pressure, allergies, inflammation and auto-immune conditions using foodƫand herbs as medic cine. Dr. Glenn also specializes in helping people with chronic foot problems.

OUTDOOR O UTDOOR L LIFESTYLE 5(7$,/ IFESTYLE 5(7$,/ DD D DB Bullwinkel’s ulllw winkel’s 60 6 0E E.. M Main ain S St., t., B Brevard, revard, N NC C ((828) 828) 8 862-4700 62-4700 www.ddbullwinkels.com w ww w w.ddbulllw winkels.com See S ee a ad d on on p pg. g.

D.D. Bullwinkel's Outdoors & Moose Tracks Footwear is Transylvania County's premier outfitter for outdoor adventures. We feature casual clothing as well as gear and footwear for hiking, camping, climbing, backpacking and travel. Gear up with our knowledgeable staff and get out there!

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PEDIATRICS P E D I A TR I C S Hendersonville H enderrssonville Pediatrics, Pediatrics, P PA A 1 57 Medical Medical Park Park D Dr. rr.. # #A, A, B Brevard, revard, N NC C 157 ((828) 884-3440 828) 884-3440 w ww.hendersonvillepediatrics.com www.hendersonvillepediatrics.com See S ee ad ad on on p pg. g.

For over 65 years, Hen ndersonville Pediatrics, P.A. has provided pediatric services to the children of Henderson, Transylvania, Buncombe e and surrounding counties. On-call physicians are available 24 hours a day, 7 days a week. On-site services include e well and sick child care, pediatric behavioral health and nutrition counseling. Our doctors haveƫreceived the highest honors for quality care and patient satisfaction.

PILATES P I L AT E S The T he S Studio tudio o off P Pilates ilates a and nd Movement Movement - Eva Eva C Cavros avros 100 1 00 E Elks lks C Club lub R Rd., d., B Brevard, revarrd d, N NC C ((828) 828) 384-1536 384-1536 ww w www.facebook.com/thestudiopilatesmovement ww w w.facebook.com/thestudiopilatesmovement See S ee a ad do on n pg. pg. __ ___ __

PHYSICAL P HYSICAL THERAPY TH E R A P Y Elevate E le evvatePhysical Physical T Therapy herapy 4Market Market St., St., Suite Suite4103, 4103, B Brevard, revard, NC re NC ((828) 877-2110 828) 877-2110 www w ww ww w..elevate eyyourtherapyy..com www.elevateyourtherapy.com See S ee a ad d on on p pg. g.

Elevate Physical Therapy is a privately owned, outpatient clinic specializing in orthopedic, geriatric, balance/ vestibularƫ (including Vertigo) and sport specific rehabilitation since being established in 2013 2013. Owners Dr. Mark Blakely, PT, OCSƫ and Dr. Kevin McAlisterr, PT, OCSČƫ both have a clinical certification in orthopedics with nearly 40 years of combined experience. Most insurances are accepted including Medicare.

TRANSYLVANIA HEALTH AND WELLNESS DIRECTORY

PHYSICAL P HYSICAL THERAPY TH E R A P Y Fyzical F yzical 5 9 Oakdale Oakdale S St., t., B Brevard, revard, N NC C 59 (828) 966-9036 (828) 966-9036 www.fyzical.com www.fyzical.com See S ee ad ad on on p pg. g.

At FYZICAL, our highly y skilled, compassionate team of doctors of physical therapy is 100 percent focused on achievingƫ optimal health h and wellness for our community to get people back to living their best. Our back, neck and shoulder programs are specifically and uniquely designed for patients. With over 20 therapy services we pride ourselves on helping pattients LOVE THEIR LIVES.

IIntegrate ntegra rate Physical Physical Therapy Therapy B revard, NC NC Brevard, jjoybaron@yahoo.com oybaron@yahoo.com ((828) 606-6578 828) 606-6578 See S ee a ad d on on p pg. g.

Integrate Physical Thera apy is an outpatient practice that comes to your home. Joyanne Baron is a Physical Therapist certified in Manual Therrapy and uses a hands-on approach in her treatment. She will work with you one-on-one to helpƫ you achieve your g goals. Joy has 20 years of experience here in Brevard and accepts Medicare and Advantage Plan insurances.

Reset R eset Physical Physical T Therapy herapy 259 N. N. B Broad road St., St., B Brevard, revard, N NC C 259 ((828) 883-3141 828) 883-3141 www.resetphysicaltherapy.com www.resetphysicaltherapy.com See S ee a ad d on on p pg. g.

Our goal at Reset Physsical Therapy is to help you achieve your personal goal! We understand goals are different forƫ each person, and we c commit to honor your goals and work diligently to help you achieve them. No matter your personalƫgoal or your personal challenge, we want to partner with you on your road to success.

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PUBLIC P UBLIC HEALTH HEALTH SERVICES SER VICES C.A.R.E. C .A.R.E. C Coalition oalition 1 06 E. E. Morgan Morgan S St., t., S Suite uite 105, 105, B Brevard, revard, NC NC 106 (828) 884-1750 (828) 884-1750 www.transylvaniacare.org www.transylvaniacare.org See S ee ad ad on on p pg. g.

The C.A.R.E. Coalition iss committed to reducing substance abuse and underage drinking in Transylvania County by con-vening interested community c members to facilitate collaboration and coordinated efforts with existing local resources.ĆŤ C.A.R.E. work ks to change community norms, limit access and availability of drugs and alcohol, promote recovery and re-duce ha arm.

REAL R EA L E ESTATE S T AT E Fisher F isher Realty Realty 1 0 Park Park Place Place W., W., B Brevard, revard, N NC C 10 (828) 883-9895 (828) 883-9895 www.fisherrealtybrevardnc.com www.fisherrealtybrevardnc.com

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Founded by Brevard n natives Lloyd and Mary Kathryn Fisher, Fisher Realty has served the real estate needs of 3esternĆŤ North Carolina for over 40 years. Our team of professionals is dedicated to our community and takes pride in our repu-tation for pu utting clientsâ&#x20AC;&#x2122; needs first. Whether youâ&#x20AC;&#x2122;re looking to buy or sell, the Fisher Realty Te eam stands ready to help.

ROLFING R OLFING & MASSAGE M A S S A GE Brevard B revard R Rolfing olfing and and M Massage &KDQOH\ assage &KDQOH\ / /D\WRQ D\WRQ 4 41 1N N.. Rice Rice S St., t., Brevard, Brevard, N NC C ((828) 421-9554 828) 421-9554 www w ww www.brevardrolfing.com w ww w.brevardrolfing.com See S ee a ad do on np pg. g.

I offer two types of bodywork, Rolfing and massage therapy. Rolfingâ&#x20AC;&#x2122;s goal is to organize your body in the field of gravity. It releases your connective tissue and fascial web to balance the â&#x20AC;&#x153;blocksâ&#x20AC;? of the body â&#x20AC;&#x201C; head, chest, pelvis and legs.ĆŤ We work to get the system sufficiently resilient to be able to change, and it will change!

TRANSYLVANIA HEALTH AND WELLNESS DIRECTORY

ORTHOPEDISTS O RT H O PE DI S T S Appalachian A ppalachian S Shoulder houlderSpecialists Specialists 1 027F Fleming lemingS St., t.,H Hendersonville, enders rsonville, N NC C 1027 ((828) 697-1944 828) 697-1944 www w ww. w ww w..apportho.com w www.apportho.com See S ee ad ad on on p pg. g.

Dr. Suzanne Hall is a Fe ellowship Trained Shoulder Specialist. Her extra expertise creates a very different experience. Weƫ really listen to you, exams are thorough, and diagnoses are clearly explained. Non-operative treatment is tried whenƫ possible, and gentle surgical techniques are used to minimize pain, speed healing and maximize results. Postsurgical exercises can ussually be done at home without therapy.

PHYSICIANS P H Y S I C I A NS Dr. D rr.. S Stewart tewart T Trimble rimble 1 664 Probart Probart S St., t., B Brevard, revard, NC NC 1664 884-4119 ((828) 828) 8 84-4119 w ww.stmdllc.com www.stmdllc.com See S ee a ad d on on p pg. g.

Dr. Stewart Trimble, boa ard certified in internal medicine, has been practicing in Brevard since 2006, serving patients pri-marily at the Proba art Street outpatient clinic in addition to hospitals, nursing homes and private homes. He practices tra-ditional W Western medicine and has an abiding interest in alternatives to pharmaceuticals, such as lifestyle changes, diets,ƫsupplem ments, physical therapy, massage therapy, chiropractic and acupuncture.

RETIREMENT R ET IR EMEN T C COMMUNITIES OM M U N I T I E S Affinity A ffinity Living Living G Group roup - Cedar Cedar Mountain Mountain H House ouse 1 1 Sherwood Sherw rwood R Ridge idge Rd., Rd., Brevard, Brevard, N NC C 11 (828) 884-9510 884-9510 (828) www.affinitylivinggroup.com www.affinitylivinggroup.com See S ee a ad d on on p pg. g.

Cedar Mountain House is a fun, energetic assisted living community only a few minutes away from downtown Brevard.ƫOur residents e enjoy all the privacy and comforts of home while receiving medical assistance as needed. We also takeƫpride in the serenity and peacefulness the mountain setting provides our residents.

TRANSYLVANIA HEALTH AND WELLNESS DIRECTORY

RETIREMENT R E T I R E M E NT C COMMUNITIES O MMUN IT IES Affinity Af A ffinity L Living iving Group Group - K Kingsbridge ingsbridge H House ouse 1 0 Sugar Sugar Loaf Loaf R Rd., d., B Brevard, revard, N NC C 10 (828) 884-6137 884-6137 (828) www.affinitylivinggroup.com www.affinitylivinggroup.com See S ee a ad do on np pg. g.

Kingsbridge House is a m memory care community located in Brevard. The caring staff at Kingsbridge has specializedĆŤ training to care for ind dividuals with Alzheimerâ&#x20AC;&#x2122;s and memory-related dementia. We are dedicated to helping residentsĆŤachieve their â&#x20AC;&#x153;best life.â&#x20AC;?

College C ollege Walk Walk Retirement Retirement CommunityÂ CommunityÂ 100 College College 5RZ Brevard, 5RZ Brevard, N NC C 100 ((828) 828) 884-5800 884-5800 w ww.collegewalkretirement.com www.collegewalkretirement.com See S ee a ad d on on p pg. g.

With no buy-in fees, a and three independent lifestyle options that include homeownership, cottage rentals and apartment rentals, it is all about choices you can feel good about. Residents enjoy restaurant-style dining, a full activity pro-gram and trransportation Â services. Whether meeting neighbors in the cafe, the library or enjoying a game of bocce, theĆŤfocus is on n staying active and engaged.

Four F our Seasons Seasons 571 S. S. A Allen llen R Rd., d., Flat Flat R Rock, ock, NC NC 571 (828) (828) 692-6178 692-6178 www.fourseasonscfl.com www.fourseasonscfl.com See S ee a ad d on on p pg. g.

Founded in 1979, Four Seasons serves 11 counties across WNC, providing Care Navigation, Home Care, Palliative Care,ĆŤ Hospice Care, Berreavement Support and Clinical Research. We are a national leader in high quality, personcenteredĆŤ care, committed to providing an exceptional end-of-life experience, proven by our consistent rank in the top 10 percentĆŤof provid ders in the country for family satisfaction.

TRANSYLVANIA HEALTH AND WELLNESS DIRECTORY

RETIREMENT R ETIREMENT RETIREMENT 5(+$%,/,7$7,21 COMMUNITIES 5(+$%,/,7$7,COMMUNITIES 21 COMMUNITIES & &(17(56 (17(56 The The T he Lodge Lodge Lodge 5593 Haywood Mills 5 593 Old Old H Haywood ayyw wood Rd., RRd., d., M Mills ills R River, iRiver, verr,, N NC CNC 5593 (828) 684-4857 (828) (828) 684-4857 684-4857 www.sanstonehealth.com www w..sanstonehealth.com www.sanstonehealth.com See ___ See S ee ad a ad d on on p pg. g.

A leader in short term rehabilitation, The Lodge takes pride in excellence. We promise to serve residents and familiesƫ with compassio on and integrity. The Lodge is committed to providing experienced care in a cheerful environment. Ourƫ passio on is what makes us different. Discover for yourself how The Lodge at Mills River is a leader in short term rehabilitatio on.

SPAS S P AS Elements E lle meennttsstS spaS Spa aho& Shop hop Elements E em Spa &pS Shop pS 2 W W. French nro Broad B aidte1 St., S t4.,B , re Suite uvva 1 104, 04, B Brevard, revard, N NC C 29 29 29W. W WF French F. re r.eF nrcehB Broad rcohadS dSt d S St St., tr.,o S Suite u 104, 04 0 Brevard, rS eva ev e aitrd red,N NC C ((828) 8288)) 88 884-2701 8-42-7 207101 84-2701 ((828) 88 84 4 70 w w www.elementsspashop.com www.elementsspashop.com w ww w..eelleem meennttssssppaasshhoopp.c.coom m See ___ See S ee ad ad a d on on pg. pg.

servic individually tailored the individual. Spatreatments skin careoffer treatments Elements Spa’s Spaŏ/services ces Elements are are individually tailored to the to individual. Elements Elements Spa skin care organic, offer orgfacials anic, or nurturin ng facials or and anti-ag ing skinBody peels and include treatments. Body therapies include our nurturing anti-aging skin peels treatments. therapies our signature integrated massage, hot sig nature integrated assag !, hot stone bodysauna, scrubs and wraps. Relax in our infrared or ƫ and stone and body scrubsma and wraps. Relax in our infrared or experience our Migun Physiotherapy Tablesauna, based on experience our Migun n Physiotherapy T a able based on chiro-practic, acupressure, massage and far infrared heat chiropractic, acupressure, massage and far infrared heat therapy. therapy.

La La L a Petite Petite P etite Spa SSpa pa 170 Broad Brevard, NC 1 170 70 S. S. B Broad road St., SSt., t., B Brevard, revard, N NC C (828) 883-2238 (828) (828) 883-2238 8 83-2238 www.lapetitespabrevard.com www.lapetitespabrevard.com www.lapetitespabrevard.com See pg. ___ See S ee ad ad on on p g.

When entering through our lavender haven at La Petite Spa, the world outside disappears, yet the friendly persona carries you into a world of personalized attention. Our interest in you and our goal is to gift you with an exceptional, personal experience. W When you leave La Petite Spa you leave feeling relaxed, refreshed and rejuvenated. Yo ou also leaveƫ–ƫa friend.

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100 Elksfor Club Rd., Brevard, NC Center Spiritual TRANSYWisdom LVANIA HEALTH AND WELLNESS DIRECTORY (828) 577-8168 SPIRITUAL WELLNESS 100 Elks Club Rd., Brevard, NC www.center4spiritualwisdom.org (828) 577-8168 Center for Spiritual Wisdom www.center4spiritualwisdom.org 100 Elks Club Rd., Brevard, SPIRITUAL S PINC RI T U AL W WELLNESS E LL N E S S (828) 577-8168 Center for Spiritual Wisdom www.center4spiritualwisdom.org 100 Elks Club Rd., Brevard, NC (828) Center C ente577-8168 r ffor or Spiritual Spiritual Wisdom Wisdom www.center4spiritualwisdom.org 1 00 Elks Elks C Club lub Rd., Rd., Brevard, Brevard, N NC C 100 ((828) 828) 5 577-8168 77-8168 w ww.center4spiritualwisdoWEIGHT m.org www.center4spiritualwisdom.org

LOSS Center for Spiritual Wisdom is aWEIGHT non-denominationa al, interfaith spirituality center in Brevard. We organize and host a LOSS

va-riety of events to promote Vibrant Spiritual Life: one-day workshops, multi-day learning events, retreats, conferences,ƫ “soul friend” sessions and pilgrimages. Our office is located at Elk Haven Wellness Center; events are held in a variety ofƫlocations.

WEIGHT LOSS

The Weight Place 6 Park PlacePlace West, Brevard, NC The Weight (828) WEIGHT W EIG HT L LOSS O SS 6 Park884-7546 Place West, Brevard, NC www.theweightplace.com (828) 884-7546 The Weight Place www.theweightplace.com 6 Park Place West, Brevard, NC WEIGHT W EIG HT L LOSS O SS (828) 884-7546 The T he W Weight eight P Place lace www.theweightplace.com Park Place Place West, West, Brevard, Brevard, N NC C 6 Park (828) (T 8 2 8 ) 884-7546 8 8 4 7 5 4 6 The he Weight Weight P Place lace w w w . t h e w e i g cree.cva orm www.theweightplace.com Park Place Place West, Whetp stl,aBrevard, B d, N NC C 6 Park

medica The p al weight loss clinic. We educate, motivate and use medication (828) (828Weight ) 884-7546 884-7Place 546 is a physician-supervised as appropriate to help p patients achieve healthy we eight loss. The Weight Place is owned and operated by Bonnie www.theweightplace.com www.theweightplace.com Green,ƫ MD, a board cerrtified family medicine physician who was trained at the University of Florida and has over 20 of experience. medica Theyears Weight Place is a physician-supervised p al weight loss clinic. We educate, motivate and use medication as appropriate to help patients p achieve healthy we eight loss. The Weight Place is owned and operated by Bonnie Green,ƫ MD, a board cerrtified family medicine physician who was trained at the University of Florida and has over 20 years of experience.

YOGA YOGA YOGA Y OG A

Brevard Yoga Center 29 Brevard B reW. varFrench d Yoga Yo Y oga Broad Center C enterSt., Suite 211, Brevard, NC (828) 2 9W W..551-6641 French French B Broad road St., St., S Suite uite 211, 211, B Brevard, rYOGA evard, N NC C 29 www.brevardyogacenter.com (Brevard 828) 551-6641 551Yoga -6641Center (828) w ww ww w.bFrench revardyBroad ogaceSt., nterr.Suite .com 211, Brevard, www.brevardyogacenter.com 29w W. YOGA Y OGNCA (828) At Bre551-6641 vard Yoga Center, we believe yoga is for everybody. With nearly 30 classes each week, students of all ages andƫ YOGAyles that work for their lives. Arthritic or athletic – or both! – you Brevard Yoga Center can llevels l off experience n find teachers and yoga sty www.brevardyogacenter.com are welcome explore e with us what can do 29 ƫW. FrenchtoBroad St., Suite 211, yoga Brevard, NCffor your body, mind and approach to life. (828) 551-6641 Brevard B revard Yoga Yo Y oga C Center enter www.brevardyogacenter.com 2 9 W. W. French French B Broad road St., St., S Suite uite 211, 211, B Brevard, revard, N NC C 29 Rhae R hae M Mozley ozley (828) 551-6641 551-6641 (828) Elk E lk H Haven aven W Wellness ellness C Center enter ww ww ww w.brevardyogacenterr..com www.brevardyogacenter.com 1 100 00 E Elks lks C Club lub R Rd., d., Brevard, Brevard, N NC C A v7 ar3d-5 Yo ((301) 3t0B1r)e8 873-5267 2g6a7Center, we believe yoga is for everybody. With nearly 30 classes each week, students of all ages andƫ

llevels l off experience can n find teachers and yoga sty yles that work for their lives. Arthritic or athletic – or both! – you Tare hisƫwelcome is a yoga c lasexplore s to reegwith ain fle xib ility ayoga nd stcan rengdo th iffor n a your suppbody ortive, mind settinand g. Spapproach ecific instrto uclife. tions and modifications are to us what offered. It is appropriate for beginners and experienced practitioners.

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