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yoga

revolution

Mindfulness is the New It-Word in Preventive Health Care p.48

Is Fairfax the

Healthiest County in the State? p.44

extreme obstacle races

Just for the Mud of It p.34

2013

today’s top trends in health, fitness, fashion and food!

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Medicine & Wellness

Contents Features 44 Battle of the Bulge

When it comes to healthy living, Fairfax County leads the state. For the third year in a row, the Robert Wood Johnson Foundation named it Virginia’s healthiest county. We show you how folks in Fairfax are getting, and staying, so fit. By Sabr a Morris

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Mind Over Matter Yogaville, a 600-acre ashram in Buckingham County, and the recent opening of UVA’s Contemplative Sciences Center, are helping to make Central Virginia a locus for the study of mindfulness and its role in the future of preventive health care. By Mary Burruss

Departments 7 | upfront

Virginia Beach cardiologist Dr. Sarah Joyner, raising urban hens, Health Diagnostic Lab, fit fashion, Canyon Ranch Spa, adults and ADHD, Health News & Notes and more.

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| The Go Guide From runs and races to seminars and charity tournaments, our favorite fitness events around the state this season are sure to get you moving.

23 | Profile

photo by scot gordon

Health Warrior Shane Emmett wants to transform the way you think about snack bars. By Sandr a Shelley

25 | Medicine

Tired of restless nights and perpetual exhaustion? The Commonwealth’s top sleep experts tell you how to relax and catch some Zzz’s. By Suzanne Gannon

28 | Food

Simple, healthful and easy. Recipes for grab ‘n go food that won’t make you feel guilty later.

30 | Fitness

Get your sweat on old school with the year’s top exercise trends. By valerie hubbard

34 | Sport

Get down and dirty at some of the state's toughest—and muddiest— extreme obstacle races. By Greg Lohr

54 | Finish Line

More and more Americans are traveling abroad for medical procedures, but is medical tourism worth the risk? A wry look at this growing trend. By Tricia Pearsall

Web Exclusive! Is Less the New More ? Millions of minimally invasive cosmetic surgery procedures, including Botox and microdermabrasion, are being performed each year. A look at the most popular of these “lunchtime” procedures, now on VirginiaLiving.com

36 | Best Doctors 2013

A complete listing of Virginia’s top physicians, and your guide to the best health care in the Commonwealth.

On the Cover

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Simple, healthful food that is easy to prepare.

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Upfront

Taking Heart Virginia Beach cardiologist Dr. Sarah Joyner stumps for heart health. by peggy sijswerda | photography by mark atkinson

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eing a leader in the field of cardiology means your day can run long. Dr. Sarah Joyner is up at 6 a.m. each morning to spend a little time with her husband and grab a bite of breakfast before her workday at Hampton Roads’ Cardiovascular Associates begins at 7 a.m. It continues, she says, “until the work is done.” In the evenings she does committee work, and ends her day after 11 p.m. Not that the 37-year-old Virginia Beach native is complaining—this is what she’s always wanted

to do. Her first exposure to medicine came when, as a young girl, she would visit her paternal grandmother in a nursing home in Virginia Beach. “I would shadow medical staff and play piano for residents.” Joyner received the prestigious Jefferson Scholarship to study at the University of Virginia, then went on to Eastern Virginia Medical School and volunteered in a small town in Alaska as part of a National Public Health Service program. “When I was there, there were no physicians. I worked

with a physician’s assistant and helped with school physicals,” she says. “I learned how much health care can be accomplished with limited resources.” Today, Joyner uses cutting edge technology to treat her patients, chief of which is the rare 64-slice cardiac CT scanner, a white ring-shaped device that looks like it came here from the future. The non-invasive 9-second scan is so precise that it can capture a 3D image of a beating heart, allowing Joyner to detect—and thereby prevent— potential heart problems before patients expe-

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Upfront rience symptoms, thus saving lives. The cost of the equipment and the required certification to use it make it a less commonly used diagnostic tool; only select cardiologists like Joyner have access to it. Joyner’s list of achievements is long and studded with leadership roles: She served as the 140th president of the Norfolk Academy of Medicine and on the boards of the Virginia Chapter of the American College of Cardiology and the American Heart Association. In 2007, she received the AHA’s Outstanding Women in Cardiology Award for Excellence, as well as the Young Investigator Award from Virginia Commonwealth University’s Institute for Women’s Health National Center of Excellence for her work advancing women’s health research. And in 2012, she was recognized as one of the Top 40 Under 40 by Inside Business, The Hampton Roads Business Journal. Yet Joyner is more than just good at her job. Unlike the curmudgeonly physician actor Hugh Laurie played on the FOX network’s “House,” Joyner proves that it’s possible to excel in diagnosis and treatment, while showing patience, care and compassion to patients. She “displays a rare combination of deep intelligence, graciousness, patience, sincerity, compassion, and a lovely, positive demeanor,” says Dr. Peter LaPlace, an internal medicine physician with Associates in Primary Care, P.C. in Norfolk, who succeeded Joyner as president of the Norfolk Academy of Medicine, and who has known and worked with her since she was a student at Eastern Virginia Medical School. Joyner attributes her demeanor to her parents and her upbringing. Her family ran several hotels when she was a child and today owns The Capes Oceanfront Hotel on 20th Street in Virginia Beach—so Joyner absorbed many lessons that would serve her future as a doctor. “It is interesting, looking back,” she says, “how so many of those experiences probably influenced me becoming the person that I am today.” Thinking back to the example her parents set at the hotel, Joyner remembers “the importance of good customer service, interacting well with people from different backgrounds with different ways of expressing themselves, and hard work. These things, she says “have, I think, translated into my relating quickly to people with varied needs and ways of expressing those health needs.” Asked to recall a favorite patient, Joyner remembers a woman in her 40s who was suffering from palpitations and significant shortness of breath, which was limiting her activities. Compounding the problem, the patient was “apprehensive of the health care system and physicians in general,” Joyner recalls. “I closely followed her, performing work-up studies—transesophageal echocardiogram, cardiac catheterization—which were fairly standard, and determined her diagnosis of mitral valve prolapse with severe mitral regurgitation.” The lexicon sounds natural in Joyner’s Southern accent, but it’s confusing terminology for most of us, and potentially terrifying for a patient who was already apprehensive. But Joyner saw her through, using “the personal touch to comfort her and help her through work-up and treatment,” which included heart valve surgery. Joyner describes her assistance to the patient as “probably more of the art of medicine than science.” The patient is “doing great now and her quality of life is significantly improved,” says Joyner, “she can play with her grandson now and has a lot more energy.” Despite her success, Joyner is concerned about challenges ahead in

health care, especially as the Affordable Health Care for America Act is implemented. “It’s predicted that there will be a shortage of physicians and health care providers to care for the new population of patients,” she says. Of course, when you’re Joyner and you see a potential problem, you don’t just complain about it, you lead the way in trying to fix it. And so Joyner co-chaired the Physician Shortage Task Force through the Medical Society of Virginia to help find solutions to this important issue. Similarly, she has served as a task force committee member for the Virginia Heart Attack Coalition whose special focus is on STEMI, the deadliest form of heart attack during which a blood clot can completely block the artery to the heart. The coalition is working to set up regional STEMI-care systems to ensure that local emergency medical service teams have the proper equipment and training to diagnose this type of heart attack and get the patient to the correct trauma center in time. Joyner’s special interest in women’s health has spurred her to increase awareness of women’s risk of heart attack. “Being one of a few female cardiologists in this area, I feel that I am in a unique position to help champion cardiovascular health for the women of Hampton Roads and throughout the state,” she says. “Women are more likely than men to present without chest pain,” she says. “They may have atypical symptoms, which can include indigestion or heart burn, shortness of breath, nausea and vomiting, and pain in the arm or neck.” She advises women to be aware of the symp-

Despite her success, Joyner is concerned about challenges ahead in health care.

toms and to seek medical care promptly. Like any good doctor, Joyner preaches prevention first: “One, stop smoking,” she advises. “Two, start an exercise regimen after talking with your doctor. Three, eat more nutritiously—less sugar, more fruits and veggies,” she says and suggests a Mediterranean-style diet with an emphasis on fish, vegetables, and “good” fats, like those found in olive oil, avocados and nuts. “Four, know your numbers,” she says. “Have your blood pressure, weight, cholesterol, and fasting blood sugar level checked.” Joyner acknowledges that stress is an unhealthy component of modern life and can lead to, among other things, heart problems—and she should know, given her over-the-top busy schedule. But Joyner doesn’t just talk the talk—she walks the cardiologist-walk by regularly carving time out for yoga, running and cooking with her husband (plastic surgeon Dr. Anthony Viol, whom she married in 2012). “I grew up on a lot of Southern food,” she says with a smile. Always trying to make improvements, she adds, not surprisingly, “I look for ways to make it healthier.”

Opposite page: Dr. Sarah Joyner. Above: Dr. Joyner treats a cardiac patient.

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Upfront Poultry in Motion City residents set up backyard coops.

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photo by scott wheeler

endy Camacho never imagined she’d raise chickens. She tries to live sustainably and keeps a big garden at her home in Chesapeake’s South Norfolk neighborhood, but the idea of having her own source of fresh eggs never occurred to her until she began watching her diet. What she learned surprised her. “The eggs you buy in the supermarket are a month old,” says the 50-year-old Camacho. “The chickens in these large poultry farms

are full of antibiotics and given feed that’s been genetically modified.” Given access to high quality food and space to scratch and peck, hens lay eggs that are nutritionally superior and—importantly for Camacho—lower in cholesterol than virtually all industrial-sourced eggs. They also provide a rich source of garden fertilizer. All in all, she found too many benefits of homegrown eggs to ignore. Her boyfriend Jim, who grew up on a farm, happily erected a coop for Camacho and,

in summer 2012, she installed three chickens (two Rhode Island Reds and an Ameraucana) at her home, even though at the time it was illegal to raise chickens in urban neighborhoods. She joined a grassroots movement called “4 Chesapeake Hens” whose work convinced Chesapeake’s city council to overturn the ban on chickens in urban neighborhoods; the city now allows up to six hens, confined to a coop, for each residence. The three eggs a day the hens provide Camacho “are much richer,” she says. “They’re so clear when I crack them. Anything I use them for—cakes, brownies—come out much fluffier than with other eggs.” There’s been no cluckclucking from neighbors, either. A small daily effort keeps the coop clean, and her hens are quieter than neighborhood dogs. (Only roosters cock-adoodle-do.) Camacho is part of a growing trend of Virginians campaigning for the right to keep backyard chickens. Chesapeake joins Fredericksburg and Salem as cities that recently passed ordinances allowing urban flocks. “People mistakenly think chickens cost a tremendous amount of money, but a 50-pound bag of feed lasts a couple months, and table scraps and old vegetables go to the chickens. That’s less out of my pocket and less that goes to the landfill,” explains Camacho. “The more I can do to feed my own family, it’s a win-win for everyone.” Facebook.com/4ChesapeakeHens —By Ben Swenson

hot springs' Haute Healing Famed Canyon Ranch SpaClub comes to The Homestead.

It’s the oft-heard exclamation when the offspring of two financial giants are wed: It isn’t a marriage; it’s a merger. And while the arrangement is more one of shared host duties than connubial bliss, the addition this spring of deluxe spa franchise Canyon Ranch to Virginia’s premier historic resort The Homestead is without question a synergistic union of historic and state of the art. Situated near the West Virginia border, The Homestead in Hot Springs has drawn vacationers to its restorative waters since militia Capt. Thomas Bullitt built a lodge on the site in 1766. The lodge was “modernized” in 1888 when J.P. Morgan, along with a group of investors, turned it into a full-fledged resort. Since its earliest days, some 22 U.S. presidents have “taken the waters” there and luxuriated in its elegance and Southern charm. Despite periodic updates, The Homestead—a National Historic Landmark—has remained dedicated to preserving its reputation as an icon of Southern hospitality. This spring, The Homestead adds Canyon Ranch SpaClub to its long-established spa offerings. Founded in 1979, Canyon Ranch has established a large, selective following among the health-conscious elite who enjoy exclusivity and indulgence along with their fitness regimen. In contrast to its historic rural setting, Canyon Ranch SpaClub at The Homestead offers up-to-the-minute, “healing by water” amenities, including an aquathermal oasis with experiential rains. Paired with The Homestead’s indigenous hot springs and geothermal mineral bath (to name just two highlights), the combination promises all the benefits of the best healing waters discovered over centuries. We predict this marriage will be a long and happy one. TheHomestead.com, CanyonRanch.com —By Lisa Antonelli Bacon

Ready, Set, Grow!

the moustache an attentiongrabbing “icebreaker,” but with a serious side. “A lot of our fathers sported moustaches in the ’70s and ’80s,” says MacKenzie, “and now we’ve seen them go through things like heart disease, depression and prostate cancer. So, for me at least, it’s more of an homage than a marketing tool.” The movement started in Australia in 2003, where “mo” is slang for a moustache, and came to the U.S. in 2007. So far, the global total raised is over $131 million, with $19 million coming from the U.S. To get involved, go to Movember.com and register yourself as a Mo Bro, then get ready to display that ’stache loud and proud from November 1 through 30. —By Daryl Grove

Men will be raising awareness with their hairiness this November.

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f you notice a dramatic increase in upper-lip hair on the men around your workplace this November, don’t be alarmed. Those magnificent moustaches are for a good cause—Movember. The goal of the month-long event is to raise funds for, and awareness of, men’s health issues—especially prostate cancer and testicular cancer. Evan MacKenzie, a 30-year-old Richmond-based architect who has participated every year since 2011, calls the novelty of

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Upfront It Takes a Village World Pediatric Project founder Dr. Julian Metts watches his mission grow.

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etired Richmond dentist and orthodontist Dr. Julian Metts lives on a 1,400-acre farm in Cartersville, but he looks after much more than just farmland and cows: He also tends to an international nonprofit for children that he started nearly 14 years ago. It started when Metts went on a mission trip to Guyana with the South Richmond Rotary Club in 1991 and met children who were terribly malnourished and dying of conditions easily treatable in the U.S. “They would never leave my mind,” he says. “There were children where I knew what was wrong with them. I couldn’t do anything, but I knew someone who could in Richmond.” The SRRC began sending four to six medical teams a year to the South American country, with Metts enlisting the help of his friend and colleague, Richmond pediatrician Dr. Frederick Rahal. The two drove a van to local communities, providing pediatric and dental care to children. “They would form two lines,” Metts says, describing those early days. “If you needed a tooth looked at, you would get in one line, if the child was sick, they would get in another.” The efforts continued to grow and, by the fall of 1999, International Hospital for Children was founded in Richmond.

Now with offices in Richmond and St. Louis, plus a 2011 name-change to World Pediatric Project, Metts’ organization has helped thousands of children throughout the Caribbean and Central America, sending medical teams abroad and bringing children who need more advanced care to the U.S. With fewer than 30 employees, WPP mobilized more than $7 million of donated medical services just last year. The organization brings around 40 ill children to the U.S. annually, including conjoined twins from the Dominican Republic who were successfully separated by Dr. David Lanning at VCU in 2012. In 2012, 40 volunteer teams, including plastic and orthopedic surgeons, general surgeons, physical therapists, neurologists and urologists went abroad. The organization also leads preventive efforts by training local practitioners and working with local communities to provide better care. In Belize, for example, WPP successfully lobbied for all rice to be fortified with folic acid, which prevents spina bifida. According to WPP President and CEO Susan Rickman, Metts’ “passion is just as alive as it was 14 years ago,” and the founder remains actively involved as a member of the board. “I never doubted for a minute it would get to this level,” Metts says of the organization, “I just didn’t know how much work it would be.” WorldPediatricProject.org —By Glennis Lofland

The Stuff of Dreams A visit with dream shaman Mary Elizabeth Marlow.

photo by benjamin cohen

“D

reams take us beyond our linear mind, our thinking mind, to the realm of the soul,” explains Mary Elizabeth Marlow, author, dream shaman and transpersonal teacher. “From that realm we get wisdom and guidance.” Dreams, she says, are designed to illustrate a lesson, perhaps to reveal when something we’re doing isn’t working. Marlow, who grew up in Front Royal and spent the first half of her career as an English teacher in Richmond and Newport News, leads dream shaman circles one evening a week for six weeks in her Virginia Beach home. Seated around her cozy living room in a quiet neighborhood near Rudee Inlet, six to eight participants share dreams—one at a time—and work to uncover their messages.

A handsome woman with shoulder-length silver hair and an aura of serenity, Marlow first asks each person to recite a dream from beginning to end— with eyes closed—and then repeat it. Next, she asks the dreamer to describe how she felt during her dream—afraid, anxious, happy or relaxed? She invites the dreamer to draw the dream, which helps reveal motifs and metaphors. (“Stick figures are fine,” she says.) Then, using her intuitive abilities, Marlow guides the group to a deeper understanding of what their dreams might mean in the context of their lives. “Any dream that comes is a gift. We can lessen the pain and struggle of life if we listen to our dreams.” One participant dreamed he had received a new pair of glasses.

When he put them on, the world looked different. In the discussion that followed, the man revealed that he was having issues with his son. The glasses, Marlow suggested, could be a metaphor encouraging him to try to see things from his son’s perspective. “He listened to the dream and responded with a decisive shift in perception,” she says. Ultimately, the man reconciled with his son. “All life is metaphor,” she says, “not just in our dream world, but also in our waking world.” Charges for her services vary. The dream group costs $150 for six sessions; individual counseling starts at $100 per hour. To discover the messages your dreams are sending, Marlow suggests keeping a dream journal

beside your bed to record your dreams when you awaken. Give each dream a title, draw a picture of it, Marlow advises, and let go of judgment. Marlow certainly did. As a 5-year-old, she envisioned her future as a world-renowned teacher and lecturer in a dream. When she traveled to Europe to speak about dreams years later, Marlow experienced a sense of déjà vu. Why? She’d been to these places before— in her dreams. MaryElizabethMarlow.com —By Peggy Sijswerda

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named one of Tidewater’s Best Doctors

RICH M O N D, VIRG IN IA

in Obstetrics and Gynecology Dr. Wilkes graduated Phi Beta Kappa in 1976 from the College of William and Mary. He earned his medical degree from the University of Maryland School of Medicine in 1980 and completed his residency in 1987 at Eastern Virginia Medical School, where he served as Chief Resident. Dr. Wilkes is board certified and a Fellow of the American College of Obstetrics and Gynecology. Dr. Wilkes joined Tidewater Physician’s for Women in 1984, and currently serves as President. He also serves on many committees at Mid-Atlantic Women’s Care, PLC and also with Sentara Hospitals. He is married with one daughter. He is an avid racquetball player, enjoys skiing, photography, and has a special interest in computer technology. Dr. Charles Wilkes, M.D. Fellow, American College of Obstetrics and Gynecology

Princess Anne Office 828 Healthy Way, Suite 330 Virginia Beach, VA 23462 Kempsville Office 844 Kempsville Rd., Suite 208 Norfolk, VA 23502 757-461-3890 www.tidewaterobgyn.com

Dr.’s Carl Atkins, Elizabeth Miller, Art Mourino, and Chris Maestrello

Pediatric Dentistry

At Atkins, Maestrello, Miller & Associates, our mission is to provide excellence in dental care to children, adolescents, and patients with special needs in a friendly and nurturing environment. We optimize the oral health of our patients with comprehensive preventive care, and provide innovative and effective therapeutic care in our state-of-the-art facility. Together we look forward to the opportunity to help your family create a lifetime of healthy smiles! 2560 Gaskins Road, Richmond, VA 23238 804-741-2226

www.PediatricDentistRichmond.com

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Upfront

Proof Positive

600, and a two-year, $68.5 million building expansion due to be completed this year. “I never in a million years expected it to grow this rapidly,” says Mallory, who had previously worked in both the chemical and lab industries. “We actually were cash positive in four months and hit our fiveyear business plan in 10 months.” HDL runs about 150,000 tests a day and serves physicians’ offices in 42 states in the U.S. in addition to the U.K., Norway and the Cayman Islands. The company is at the forefront of new testing that can detect early risk factors for such conditions as cardiovascular disease, diabetes and fatty liver disease. Testing like the CYP2C19 genetic test, which can identify how a patient will metabolize Plavix®, a medication for those who have recently suffered a heart attack or stroke, or suffer from peripheral artery disease, can provide physicians with valuable information on a very micro-level. HDL also provides Personal Health Coaches, which include registered dieticians, diabetic educators, nurse practitioners, smoking cessation experts, certified lipid specialists and exercise therapists, who are available to talk with patients after they receive their lab results and help guide them into making healthy lifestyle changes. The coaches also work with corporate wellness programs. “There are no other labs at this time that are doing what we’re doing,” says Mallory. “There are a few who have telephone support ... but there’s no one exactly like us.” In November, Mallory received the 2012 Ernst & Young Entrepreneur of The Year award in the emerging company category. At the award ceremony in Palm Springs, California, Mallory thanked her employees: “They are what make this company so great. They’re very passionate,” adding, “We’re out to change the way medicine is practiced— no small feat—and we’re just getting started.” HDLABInc.com —By Sandra Shelley

CEO Tonya Mallory on the rising tide of Health Diagnostic Laboratory.

C

onvinced that she could improve health care by creating an entity that would not only offer the latest technology in blood testing, but also help physicians and patients in developing personalized treatment plans based upon the lab results, Tonya Mallory started Health Diagnostic Laboratory in 2009 by cashing in her 401K and her children’s college savings plans. “How stupid was that?” laughs Mallory, HDL’s affable president, CEO and co-founder. The big risk paid off, and the Richmond-based clinical laboratory has experienced extraordinary growth—about 3-5% a week—in the few short years of its existence, going from 11 employees to over

Got Type 1 diabetes? There’s an app for that! There is still no cure for Type 1 diabetes, but a team of researchers at UVA is working on the next best thing—an artificial pancreas. Led by mathematician and engineer Dr. Boris Kovatchev, and physicist Dr. Patrick Keith-Hynes, researchers at the Center for Diabetes Technology at UVA are currently conducting clinical trials on an external artificial pancreas. And the most impressive thing? It’s all made possible by a reverseengineered Android smartphone. “It’s a standard cellphone converted into a hub that runs a control algorithm,” says Kovatchev, 51, who moved to Charlottesville from his native Bulgaria in 1991. The device wirelessly connects to two preexisting treatment technologies—the insulin pump and the continuous glucose monitor—which allows the algorithm to take the glucose reading and calculate the correct amount of insulin to deliver, mimicking the behavior of a healthy pancreas. Kovatchev and Keith-Hynes’ research is part of the Artificial Pancreas Project, which is funded by organizations such as the Juvenile Diabetes Research Foundation, the Richmond-based Frederick Banting Foundation and the Charlottesville-based private investment firm PBM Capital. (JDRF committed to artificial pancreas research in 2006 and funded five centers, but UVA is the first of those centers to develop a portable system.) A sequence of three consecutive studies will conclude in August, and Kovatchev believes that by the summer of 2014 there will be “sufficient evidence to be able to offer the artificial pancreas to companies to commercialize it.” Virginia.edu —By Daryl Grove

Driven to Distraction ADHD is often a family affair.

R

ichmond psychologist Dr. Steven Butnik finds that some parents of his adolescent patients with AttentionDeficit/Hyperactivity Disorder are often surprised to discover that they, too, have the neurobiological disorder. “If a child has ADHD, research shows that there is a 25 percent chance that the parent has it,” says Butnik, noting that he believes that estimate may be low. “This genetic link is so strong that some clinicians think that if one member of a family is diagnosed with ADHD, it

makes sense to screen the others.” ADHD is often missed in adults or misdiagnosed as depression or anxiety. “Many parents walk in with the perception of what ADHD might be,” Butnik says. “When they find out what it really is they realize they have symptoms that are related to ADHD.” He recalls one family in which the 10-year-old daughter was being tested for the disorder when her mother had an “aha” moment of her own. Both mother and daughter were easily distracted and would get so overwhelmed that it stymied

them from doing anything. “If I had 10 things to do, I couldn’t start because I couldn’t figure out what order to do them in,” says the mother, who asks that her real name not be used. Other symptoms of adult ADHD include problems with concentration and organizational skills. “As an adult, it’s more about procrastination, trouble prioritizing and forgetting to do things,” says Butnik. “Parents with ADHD are really overwhelmed, especially when there is no structure to their day.”

Many of Butnik’s patients are treated with a combination of a medication such as Adderall and behavioral counseling. “Medication is well accepted in kids and now in adults,” he says. “It’s important to educate people about the nature of ADHD and what you can do about it.” ADD.org —By Joan Tupponce

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NEws and notes Take a Deep Breath Sentara Williamsburg Regional Medical Center is offering a new treatment for severe asthma called bronchial thermoplasty, which was approved by the FDA in 2010. This outpatient procedure uses a bronchoscope to deliver heat to the lungs of patients with asthma in order to reduce the amount of smooth muscle in the lungs—the muscles that constrict and result in asthma symptoms. “The goal of the procedure is to improve asthma control, decrease exacerbations and hopefully decrease the amount and strength of the medications required to maintain asthma control,” says pulmonologist Dr. Vijay Subramaniam, who is currently training other physicians in the country on the new procedure. Now you can breathe easy Williamsburg. Sentara.com

Float On You may remember sensory deprivation tanks from their hippie, “Altered States” days, but the sleek space-age pods found in Chesapeake’s Float First center are an entirely new breed. For $79 an hour (or less, with a monthly plan), visitors can climb into a tank filled with continually filtered water that is heated to skin temperature and made buoyant with 1,200 pounds of Epsom salts. “It feels like you’re floating in midair, just like an astronaut,” says James Ramsey, who opened the studio with his brother Steve in July 2011. “Every muscle in your body completely relaxes.” Float’s clients include creative types, stressed-out executives and patients with chronic pain. Clients put in earplugs, slip into the water and turn off the tank’s lights. Emerging one to four (!) hours later, “They feel like they’ve been on vacation for a week,” says Ramsey. The ultimate stay-cation. Float1st.com

World’s Smallest Ribbon Cutting

photos courtesy of cathy tatusko and sharon celsor-hughes

Healing Power of Art Sharon Celsor-Hughes, creative arts director for the Alzheimer’s Association of Central and Western Virginia, arranges visits to museums for memory-impaired individuals and their caregivers. “It has been phenomenal seeing what long-term memories these visual images can trigger. Sometimes the caregiver will learn something about their loved one they never knew before,” says Celsor-Hughes who explains that the trips are part of the organization’s Arts Fusion program, which includes visual arts, music and dance. The program provides activities for those in nursing homes, including trips to the Roanoke Symphony during rehearsal times and visits to art museums. Celsor-Hughes works with docents to create a nonthreatening, positive environment that encourages participation. Says Celsor-Hughes, there is “a lot of conversation and laughter,” adding, “and laughter can be very healing, too.” A good laugh can indeed be the best medicine. Alz.org/CWVa

Last August, surgeon Dr. Tamera Howell directed a robotic arm to snip a teeny-tiny blue ribbon with a wee pair of scissors to introduce the da Vinci Robotic Surgical System to Carilion New River Valley Medical Center in Christiansburg, the latest Carilion hospital to receive the system first used by the health care organization in 2001. Doctors can use the robot to assist them in delicate and complex operations such as prostatectomies, cardiothoracic surgeries and hysterectomies. Benefits for patients include reduced scarring and pain, lower risks of infection and faster recovery times. In 2011, The Washington Post reported that 1,300 da Vincis had been installed around the country and had been used in about 220,000 operations in 2010. “Utilizing robotics allows a whole new dimension to the minimally invasive surgical technologies we offer. You can operate through very small ports using a 3D camera and instruments that are just like an extension of your hands,” says Howell. CarilionClinic.org/CNRV

Are You Dense? A new Virginia law requires health care providers to inform patients if they have dense breast tissue—a condition that can increase cancer risk and mask tumors on standard mammograms. Cathy Tatusko successfully championed the Breast Density Inform legislation at last year’s General Assembly, making Virginia the third state in the U.S. to pass such a law. The Annandale nurse learned she had breast cancer after years of normal mammograms. “Five months before my Stage IIIc diagnosis, I had a mammogram and had normal results. Because of my dense breast tissue, it really obscured the tumor. I had a false sense of security,” she says. Though Tatusko knew she had dense breast tissue, she didn’t realize the extent to which it can hide tumors often only visible through more advanced imaging such as ultrasounds, MRIs, Automated Breast Ultrasound (ABUS) and breast-specific gamma imaging. Many women don’t even know they have dense breast tissue. Supporting Tatusko in the effort to notify women with dense breast tissue were Del. Robert D. “Bobby” Orrock Sr. (R-Caroline), State Sen. John Edwards (D-Roanoke) and Are You Dense?—a national nonprofit organization dedicated to the issue. AreYouDense.org

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•2 •1

No

Excuses!

Stylish, high-tech products make workouts so much fun, you’ll never miss a gym date again.

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•3

igh performance, breathable fabrics and cool extras like concealed pockets and headphone eyelets give this spring’s activewear serious swagger. Also in the spotlight, a super-light bike that’s an urban dweller’s dream and a water bottle that doubles as a carry-all. Finally, endurance athletes will be stoking up on energized water that makes them feel like superheroes all day long.

•4 •6 •5

1. men's road shoe By S-Works, $400, ThreeSports.com 2. performance bicycle By Fuji Feather, $579, FujiBikes.com

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3. Hurricane Freak of Nature wetsuit Designed for triathletes by TYR, $1,200, TYR.com

4. all-day hydration electrolyte-enhanced drink tabs 15-tab tube by Nuun, $8, Nuun.com

5. Lip Balm Smooth Spheres By eos, $3.29, EvolutionOfSmooth.com 6. adidas barricade tank By Stella McCartney, $65, Adidas.com

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STYLE 8 •

•7

10 •

•9

11 •

14 •

12 • 13 •

7. Quadski By Gibbs Sports Amphibians, $40,000, GibbsSports.com

9. stratofly glasses By Rudy Project, $159.99, RudyProjectUSA.com

11. FUELBAND Activity-tracker by Nike, $149, Nike.com

13. Sportz m2 headphones By AfterShokz, $79.95, AfterShokz.com

8. Shot Bloks Energy Chews By Clif, $1.99 per packet, ClifBar.com

10. pack windbreaker By Scottevest, $75, ScotteVest.com

12. SPF 30 FAce Mineral sunscreen by Coola, $36, CoolaSunCare.com

14. autoseal kangaroo water bottle By Contigo, $12.99, GoContigo.com

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OSC13-001 Marvel ad-VA Living:Layout 1

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Page 1

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EVENTS March 23 Martinsville Half Marathon

and 5k (benefits Martinsville-Henry County Family YMCA’s Invest in Youth Fund), the Family YMCA, 3 Starling Avenue, 276-6326427, MartinsvilleHalfMarathon.com

April 6 Walk MS Bristol (one of many 1- to

3-mile statewide walks to benefit Multiple Sclerosis Society), Sugar Hollow Park, Bristol, 434-971-8010, NationalMSSociety.org April 13 Ukrop’s Monument Avenue 10k, Richmond, 804-285-9495,Sportsbackers. org/events/monument-avenue-10k April 13 Dismal Swamp Stomp Half

Marathon, Dismal Swamp Canal Trail, Chesapeake, 757-373-4174, DismalSwampStompMettleEvents.com

April 20 Girls on the Run of Martinsville Celebration 5k, Dick & Willie Passage, Martinsville, 276-647-5678, GirlsOnTheRunOfMHC.org

Tournaments & Benefits March 15-16 Relay for Life of Washington & Lee University (one of many local relays to benefit American Cancer Society), Washington & Lee University campus, Canaan Green, Lexington, (540) 774-2716, RelayForLife.org April 13 Mitch Turner Drive Away Cancer

Classic (benefits Colon Cancer Coalition and American Cancer Society), Forest Park Country Club, Martinsville, 276-403-5940, VisitMartinsville.com

April 13 Arthritis Ball (benefits the Arthritis

Foundation of the Mid-Atlantic region), Sheraton Oceanfront, Virginia Beach, 757456-1119, Arthritis.org/Virginia April 27 21st Annual Richmond Heart Ball (benefits American Heart Association), Science Museum of Virginia, Richmond, 804-965-6529, Heart.org April 27 Roanoke Heart Ball (benefits

American Heart Association), Hotel Roanoke, Roanoke, 540-989-2810, Heart.org May 2 15th Annual Bill Howard Golf

Tournament (benefits Alzheimer’s Association), Birdwood Golf Course at The Boar’s Head, Charlottesville, 434-9736122, Alz.org/cwva May 2-3 Over the Edge, rappel down a

skyscraper to benefit Special Olympics Virginia, Hilton Crystal City, Arlington, 703359-4301, OverTheEdgeVa.com May 17-19 Dominion Riverrock, outdoor

festival and sporting events, Brown’s Island and Historic Tredegar, Richmond, 804-2859495, DominionRiverrock.com June 17 National Capital Golf Classic

(benefits American Cancer Society), Trump National Golf Club, Washington, D.C., 703937-1912, NationalCapitalGolfClassic.org

September 7 Leukemia Cup Regatta

(benefits Leukemia & Lymphoma Society), Washington Sailing Marina, Alexandria, 703399-2900, LeukemiaCup.org/nca September 8 Manassas 9/11 Memorial Stair Climb (benefits the National Fallen Firefighters Foundation), Sudley Tower, Manassas, ManassasStairClimb.com September 14 Community Safety Fair, Jim Barnett Park, Winchester, 540-536-1043, ValleyHealthLink.com/safetyfair

Retreats March 19-22 Care-Giver’s Retreat,

Yogaville, Buckingham, 434-969-3121, ext. 108, Yogaville.org April 19-20 Virginia State Parks Women’s Wellness Weekend, First Landing State Park, Virginia Beach, 1-800-933-7275, VirginiaStateParks.gov May 2, August 1 and November 7

Women’s Health University, Fitzpatrick Hall, Roanoke, 540-981-7684, CarilionClinic. org/Carilion/Womens+Health+Events August 16-18 Women’s Wellness Weekend, Mountain Lake Hotel, Pembroke, 540-626-7121, MountainLakeHotel.com

May 21 Master Class: Living Longer,

Stronger, and Happier, part of a Brown Bag Lunch series presented by James Madison University Lifelong Learning Institute, Gilkerson Activity Center, Harrisonburg, 540-568-2923, JMU.edu/socwork/lli/

April 20 Foot Levelers Blue Ridge Marathon (“America’s Toughest Road Marathon”), Marathon, Kids Marathon, and Relay (benefits Friends of the Blue Ridge Parkway), starts and finishes at the Taubman Museum of Art, Roanoke, 540-343-1550 (x104), BlueRidgeMarathon.com

Bike Rides & Races April 20 Hampton Roads Tour de Cure (10-, 30-, 65-, and 100-mile bike rides, benefiting American Diabetes Association), King’s Fork High School, Suffolk, 757424-6662 ext. 3276, Diabetes.org/ hamptonroadsvatour May 11 Cap2Cap Ride, 15-, 25-, 50- and 100-mile bike rides along the Virginia Capital Trail (benefits the Trail’s foundation), running between Richmond and Williamsburg, 804788-6455, VirginiaCapitalTrail.org

Runs, Walks & Triathlons March 16-17 Yuengling Shamrock

Marathon, Anthem 1/2 Marathon, Townebank 8k, Operation Smile Final Mile and Leprechaun Dash, Virginia Beach, 757412-1056, ShamrockMarathon.com

April 20 Great Strides (benefits Cystic Fibrosis Foundation), Hurkamp Park, Fredericksburg (one of several statewide locations for this national walk), 804-5271500, CFF.org/Chapters/Virginia/ may 4 Girls on the Run of Central

Virginia Celebration 5k, Sweet Briar College, Amherst, 434-528-3767, GirlsOnTheRunCENVA.org

June 1 Virginia Wine Country Half Marathon, Doukenie Winery, Hillsboro, 707933-1769, Run4VirginiaWine.com June 8 Run Amuck, 3.5-mile mud run and obstacle course, Marine Corps Base, Quantico, 800-RUN-USMC, MarineMarathon.com September 1 Rock `n’ Roll Virginia Beach

Half Marathon, Virginia Beach Convention Center, Virginia Beach, 800-311-1255, RunRockNRoll.Competitor.com/Virginia-Beach

September 7 Eastern Shore 140 Ultra

Triathlon, (2.4 mile swim, 112 mile bike ride, 26.2 mile run), corner of Mason and Bay avenues, Cape Charles, 757-373-0385, ES140.com

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profile

Left: Shane Emmett. Above: Health Warrior Chia Bars.

Health Warrior Sows Seeds of Success Shane Emmett wants to transform the way you think about snack bars. << i n t e r v i e w b y S a n d r a S h e l l e y > >

photo by adam ewing

T

he work of managing an overnight sensation should be draining, but Health Warrior CEO Shane Emmett is the picture of vitality. The energetic 34-year-old arrives at a coffee shop in downtown Richmond wearing a running jacket, perhaps having just squeezed in one of his three- to five-mile lunchtime sprints around Belle Isle or the Buttermilk Trail. The week before, Emmett traveled to four states in five days, promoting his company’s popular chia seed products. It’s a schedule he has kept up since launching Health Warrior in 2010. When Emmett and friends Dan Gluck and Nick Morris—all former NCAA Division I athletes—started their company, most people didn’t think of chia seeds as something to eat. “It used to be, ‘Oh, like the Chia Pet?’” Emmett recalls. Then, last January, a full-page article appeared in The Wall Street Journal touting the benefits of the super fuel, naming Health Warrior as the brand of seeds used by Baltimore Ravens’ running back Ray Rice. Within a few hours, the fledgling company’s bagged seeds were the #2 selling food in the grocery department on Amazon. “We sold all of our inventory within a few days,” he says. By the end of 2012, Health Warrior’s sales had increased a whopping 650 percent over the year before. In December 2011, the company debuted the Health Warrior Chia Bar, a 100 percent natural, nutrient-rich bar that has picked up national distributions through Whole Foods and other

stores. Being a part of the food industry is quite a change of pace for Emmett, a Richmond lawyer and history buff whose background includes archeological digs in his childhood hometown of Williamsburg, a law degree from Oxford and a stint working in the Office of the Counselor of Governor Tim Kaine. But he couldn’t resist the lure of the tiny seeds, which he calls “a great food with an Indiana Jones history.” The seeds are packed with more omega-3s than salmon and more protein than oatmeal. “It’s a shockingly powerful food,” he says. How did your interest in chia seeds begin? Nick, Dan and I had all read Born to Run [about the Tarahumara tribe of Copper Canyon, Mexico, renowned for their barefoot running], and there are a few paragraphs in there about how these phenomenal long distance athletes eat chia seeds as their powerful fuel. And it alludes to the rich history of the chia seeds with the Aztec warriors …. who used chia seeds when they went into battle …. Nick was really the first one to start eating the chia seeds, then turned everyone else on to it. Were there other chia manufacturers then? People have been selling it for a long time, but it was not really popular until recently. When we started eating the seeds two years ago, we would order them off the Internet. The seeds would arrive in scary Ziploc bags with handmade labels

on them—but we still ate them. Or we’d find them tucked away in the fiber aisle of a health food store …. So it’s gone from that, where we literally thought about starting the company because it was just so darn hard to find good ones, to [being] the fastest growing category in the food world today. It’s been quite a thing to watch over the course of the past 24 months. Did your background as a college athlete influence your interest in chia seeds? When Dan, Nick and I were college athletes [Emmett swam and Gluck played tennis at Colgate; Morris played football at Penn] the athletic departments didn’t talk to you about nutrition the way they do now. We trained four hours a day for swimming, and yet no one talked to you about how you kept your body well fueled .… It’s too bad, because it could have made a big difference, I think, and it’s something that a lot of athletes realize now. What is the nutritional value of chia seeds? We always talk about the big four: the phenomenal amount of omega-3s, fiber, vegan protein with a full amino acid profile, and very high antioxidant level. It’s a very nutrientdense food, so for the relatively low number of calories, it represents an awful lot of nutrition— as juxtaposed with the example of corn syrup, which is a very high calorie ingredient with a very low amount of nutrition. Is yours the first bar with chia as the #1 ingredient? Exactly. If you go to a grocery store and look at the bars, most of them will not have a highnutrient superfood as the main ingredient. Our bars only have five grams of sugar per bar, which is very low compared to all the other bars on the shelf …. And what’s paired with that is the fact that this tiny bar has 16 percent of your daily fiber, which is very, very satiating. So even though it’s 100 calories, it actually fills you up. How did you come up with the Health Warrior name? In addition to connecting with the Aztec warrior story, the name applies to those who are able to overcome the challenges of modern life …. to aspire to a more healthy way of living. Health Warrior speaks to people playing pro sports and also the mom with three kids, working and trying to get in a daily three-mile jog. HealthWarrior.com

v i rg i n i a l i v i n g | m e d i c i n e & w e l l n e ss 2 0 1 3

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WHO MADE YOUR BED?

The ultimate adjustable bed is ready to give you a lift. Call 866.852.2337 for a brochure or a Virginia dealer. AssuredComfortBed.com.

We did.

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And itâ&#x20AC;&#x2122;s MADE IN VIRGINIA! Choose from our exclusive headboards and premium mattresses to add to our custom built, strong aluminum frame. Sizes: Twin, Full, Queen, Split Queen & King.

Photographed in Mountain View Estate in Roanoke, VA, a National Historic Landmark.

Congratulations to the

EVMS faculty phySicianS honored as BESt DoctorS. thank you for all you do for EVMS and for the people of hampton roads. alfred Z. abuhamad, MD

Joseph K. han, MD

robert M. palmer, MD

Barry Strasnick, MD

aaron D. Bleznak, MD

antoinette f. hood, MD

Holly Puritz, MD

Patricia M. strauss, MD

Michelle g. Brenner, MD

William n. Hovland, MD

John H. reed, MD

s. Keith sutton, MD

Marcia D. Carney, MD

William P. irvin, Jr., MD

amy D. riccio, MD

theodore W. uroskie, Jr., MD

gregg r. Clifford, MD

glenn C. Jones, MD

tyvin andrew rich, MD

anthony D. Villella, MD

Marissa c. Galicia-castillo, MD

John t. Kalafsky, MD

scott a. robertson, MD

aaron i. Vinik, MD, phD

Michelle Clayton, MD

Daniel W. Karakla, MD

Cynthia C. romero, MD

Steven l. Warsof, MD

lawrence B. Colen, MD

glenda s. Karp, MD

Joan H. rose, MD

Denton D. Weiss, MD

Jon lee Crockford, MD

robert B. laibstain, MD

David salib, MD

Eric Werner, MD

David H. Darrow, DDs, MD

Joel lall-trail, MD

John C. schaefer, MD

Charles a. Wilkes, MD

Bonnie J. Dattel, MD

David Kushner, MD

sherry a. scheib, MD

Judith V. Williams, MD

Margarita de Veciana, MD

thomas J. Manser, MD

stephen V. scoper, MD

Craig s. Derkay, MD

David H. McDaniel, MD

John sheppard, MD

Fredric n. Fink, MD

Michael n. shroyer, MD

robert a. Fink, MD

Mitchell B. Miller, MD Stephanie a. Moody antonio, MD

Mark c. flemmer, MD

Jerry l. nadler, MD

John t. Sinacori, MD

Christopher K. Foley, MD

robert J. newman, MD

ran Vijai P. singh, MD

l. Matthew Frank, MD

robert John obermeyer, MD

suzanne starling, MD

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gary r. siegel, MD Physicians listed in bold practice with EVMS Medical Group

2/22/13 1:01 PM


Say Goodnight I

f you feel yourself slipping into a drowsy, head-bobbing doze as you read this, you may be one of a growing group of Americans—70 million, in fact, as estimated by Centers for Disease Control—who regularly experience some form of sleep difficulty. The National Sleep Foundation recommends that adults sleep seven to nine hours a night, but 63 percent of adults report they don’t. What’s keeping them up? High-pressure jobs, financial stress, caring for children with increasingly demanding schedules, managing a loved one’s illness, frequent travel and time-zone changes, and obesity are all potential obstacles to sound sleep. Throw in the technology that has infil-

Virginia sleep experts give us the prescription for perfect slumber. By Suzanne Gannon trated our lives around the clock—tablets, laptops, cell phones—and the deck is stacked against optimum rest. That late-night game of WarCraft’s Reign of Chaos and TV news broadcasts give us about as good a chance of sleeping soundly as a screech owl on a mouse hunt. “Technology is a major contributor,” says Dr. Deborah Gofreed, medical director of Arlington Sleep Medicine, which specializes in the medical evaluation and treatment of sleep disorders. “These products create light when it’s supposed to be dark and when it’s natural to feel sleepy. You can’t go to sleep easily if, three minutes before, you’re watching something scary.” But even if you're just tuning in to “Late Night with

Jimmy Fallon,” artificial light, like that emitted by TVs and computer screens, not only suppresses the naturally occurring, sleep-promoting hormone melatonin, it also enhances alertness and shifts the circadian rhythm—the 24-hour cycle of our biological clock that changes in response to light and darkness—to a later hour, making it more difficult to fall asleep. Sleep disorders vary from severe obstructive sleep apnea—an involuntary closing of the airway due to the relaxation of muscles in the throat—to chronic insomnia, night terrors, restless legs syndrome (an unpleasant sensation upon going to bed that is sometimes alleviated by leg movements), and the rare but disturbv i rg i n i a l i v i n g | m e d i c i n e & w e l l n e ss 2 0 1 3

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medicine ing exploding head syndrome in which a patient can be jolted awake by the sensation that something akin to a bomb has detonated in his skull— among many others. The consequences can be significant—and costly. Health risks for sleep apnea sufferers include heart attacks, high blood pressure, stroke and diabetes, while patients suffering from any of these ailments can experience compromised cognitive function, depression, irritability, impaired memory and daytime drowsiness. In addition, the Institute of Medicine, under the auspices of the National Academy of Sciences, estimated that 20 percent of car accident injuries

Sleep Tight Sleep experts recommend the following tips for those suffering from insomnia: Establish regular wake-up and turn-in times, even on the weekends. Do not watch TV, read, or use your computer in bed. Exercise regularly, but not within three hours of your bedtime. Avoid caffeine after midday. Stop smoking. Take a warm bath or shower one hour before bedtime. Before you turn in, release stressful thoughts by writing them down. Reduce or eliminate evening alcohol consumption. Make your bedroom a comfortable and peaceful place. involve sleepiness at the wheel from data it gathered in a 2006 research study. Sleeping-while-driving is a threat Dr. Kathe Henke, laboratory director of the Sleep Disorders Center of Virginia in Richmond, knows well. “We’ve had patients asleep at traffic lights who haven’t woken up until a police officer knocks on the window,” she says, “and others who have fallen asleep while talking to their bosses.”

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A 53-year-old Alexandria resident who works night shifts on security detail—and who asked to remain anonymous so as not to alarm his employer—is one of those patients. “I got to the point that I was falling asleep in meetings and at traffic lights,” says the security officer who is now a client of Arlington Sleep Medicine. “It became somewhat of a hazard.” He made an appointment for what would be the first of four sleep studies known as polysomnographies, and, just 45 minutes after he nodded off, the monitoring technician diagnosed him with severe sleep apnea, a condition in which a patient can unwittingly awaken hundreds of times per minute because he is not able to breathe. Ever since, he has been using Continuous Positive Airway Pressure (CPAP), the gold-standard device that continuously pumps humidified air into the airway of the sleeping patient via a mask and hose strapped to the head, thus regulating the flow of oxygen to the brain. The once-bulky and uncomfortable device has become available in increasingly sleek and comfortable designs from manufacturers such as ResMed and Philips Respironics whose new Wisp mask does not obstruct the user’s field of vision. Sleep apnea is believed to affect between two and four percent of the population, more men than women, though the rate among post-menopausal women is higher. Although 12 to 18 million Americans—80-90 percent of sufferers— remain untreated, sales of CPAP machines like ResMed are an indication of how many sufferers are being helped. Constance Bienfait, director of investor relations, says ResMed recorded $1.4 billion in sales for the fiscal year ending in June 2012 and 71 straight quarters of revenue growth, making it one of the fastest growing businesses in the medical devices sector. (CPAPs are covered 100 percent by most health insurance.) And the technology is maturing. In addition to new lines like the S9 series by ResMed, Philips Respironics has just introduced the SleepMapper, a free, mobile, Web-based application compatible with a CPAP that enables a patient to analyze his sleep performance via a laptop, cell phone, or tablet without having to phone a physician. Other solutions available on the market include mouth guards known as mandibular advancement devices and Provent, a disposable adhesive bandage fitted with a valve for breathing that the patient affixes to each nostril upon going to bed. Henke says both devices are options for patients with milder forms of sleep apnea, but their success rates are not as high as that of a CPAP machine because they do not reduce the number of apneas (temporary suspensions of breathing) as dramatically. But what about other nocturnal challenges, such as insomnia and restless legs? Some are treated effectively with prescription drugs. Nonbenzodiazopine hypnotics like Ambien and Lunesta are used to treat short-term insomnia, while drugs often used for treating patients with Parkinson’s disease like Mirapex, Neurontin and Requip are prescribed for restless legs syndrome because they help regulate muscle movements. Parasomnias—nightmares, night terrors, sleepwalking and REM sleep behavior disorder in which one acts out a violent dream like choking a sleep partner while still asleep—are often

treated with benzodiazopenes (a subgroup of hypnotics) like Restoril, Klonopin and Valium. A methodology that has been around since the 1980s—Cognitive Behavioral Therapy for Insomnia (CBTI)—is gaining new favor in treating chronic insomnia, which, according to the American Academy of Sleep Medicine afflicts between 33 and 50 percent of the population (10 to 15 percent of that group also report distress or impairment as a result of lack of sleep). Dr. Bruce Rybarczyk, director of the clinical psychology program at Virginia Commonwealth University, is a pioneer of CBTI, an alternative to some pharmaceutical therapies that aims to help a patient reform the bad habits that may impede sleep. “Insomnia is not a disease; it’s a symptom of a problem,” says Rybarczyk. “In this therapy, we basically give patients the owner’s manual to their sleep system, and we show them how to keep it properly tuned up.” Rybarczyk, who has an 80 percent success rate with this treatment, believes that as many as 98 percent of chronic insomnia sufferers could benefit from it, though he says only those who are very persistent with their physicians find out about the treatment. “There are so many commercial products out there that really clutter things up,” he says. “The pharmaceutical industry is not really the right answer, although I have no objection to using sleep aids for the treatment of episodic insomnia—when you travel, for example.” Synthetic melatonin, for instance, can be used as a sleep aid taken several hours before bed and is most effective for easing back into a new time zone after a long trip. Dr. Rybarczyk offers a six-week course of treatment, which includes in-office counseling and homework, and guides patients through everything from stimulus control, such as removing computers from their bedrooms and participating in quiet activities for an hour before bed, to sleep restriction methods such as deliberately depriving them of sleep with late bedtimes and early wake-ups for enough consecutive nights that their circadian rhythm resets. One of Dr. Rybarczyk’s patients, 38-year-old Mehrima Matrood, worked with Rybarczyk from April to September of last year in hopes of finding an antidote to the insomnia that had plagued her for 20 years. “I was tired and cranky, and people noticed that I wasn’t my happy self,” says Matrood, who had been prescribed numerous sleeping pills over the years, including Ambien and Tegretol. But, says Matrood: “None of them worked.” After six or seven visits to Rybarczyk and faithful compliance to instructions that had her grocery shopping, doing laundry and calling on friends and family to keep her awake until 1:30 a.m. for the first two weeks, she ultimately succeeded in establishing a new sleep schedule from 11:30 p.m. to 5:00 a.m., a major improvement for someone who previously went days without sleep and often found herself sneaking off to her car for a catnap during her lunch hour. “It’s amazing,” says Matrood. “No medicine; just talking and time adjustments. I’ve got my personality back.” Sometimes, it seems, you have to wake up before you can go to sleep. Soundly. SleepFoundation.org

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JOin Our dediCAted teAm Of heAlthCAre prOfessiOnAls

Carilion Clinic is a not-for-profit healthcare organization of over 600 physicians representing more than 60 specialties in 150+ practice sites. Serving nearly one million people in western Virginia through a multi-specialty physician group, advanced primary care practices, hospitals and outpatient centers, Carilion is committed to improving outcomes for every patient while advancing the quality of care through medical education and research.

The Virginia Tech Carilion School of Medicine and Research Institute leverages Virginia Tech’s world-class strength in basic sciences, bioinformatics, and engineering with Carilion Clinic’s highly experienced medical staff and rich history in medical education.

About Our Communities

There are many benefits of living in western Virginia. Housing is affordable, whether in urban settings or smaller communities. The climate is mild, but we enjoy all four seasons. Outdoor activities include fishing and boating on Smith Mountain Lake, or camping, biking, and hiking on the trails of the scenic Blue Ridge Parkway.   Education is a priority here. We have award-winning schools and high-tech magnet centers. There are several nationally ranked and internationally acclaimed colleges and universities in the area. Western Virginia offers stunning natural beauty, exceptional amenities, and an unparalleled quality of life.   For a listing of provider opportunities, please visit carilionclinic.org/careers. Call 800-856-5206 for more information.

Providing Health Care To

• Family Centered Obstetrics • Gynecology • Ultrasound

Women Of Hampton Roads

• Well Woman Exams

For Over

• Minimally Invasive Surgery

100 years

• Adolescent Gynecological Exams • In-Office Procedures • Menopausal Management

KEMPSVILLE • 880 Kempsville Road, Suite 2200 CHESAPEAKE • 300 Medical Parkway, Suite 308 NORFOLK • 250 West Brambleton Avenue, Suite 202

Like us on Facebook!

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Jon Crockford, M.D., FACOG Holly Puritz, M.D., FACOG Martha Fernandez, M.D., FACOG Dwight Groves, M.D., FACOG Jeffrey Wentworth, M.D., FACOG Giniene Pirkle, M.D., FACOG Daniel Noffsinger, M.D., FACOG Denise Harris-Proctor, M.D., FACOG Kimberly Stockmaster, M.D. Mehdi Parva, M.D. Nancy Sinibaldi, WHNP Charlette King, WHNP Gayle Smith, CNM

(757) 466-6350 • TheGroupForWomen.com

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Dine and dash think it’s too hard to eat healthily? It’s time to put that excuse to bed. Scot Gordon food by Chef J Frank

photography by

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hile eating healthily on the run requires a little more forethought than tearing open a bag of chips or unwrapping a triple burger, it doesn’t have to be complicated. Sometimes it just means peeling a couple of pieces of fruit and flipping on the blender, or spreading last night’s veggie dip on a tortilla for a tasty roll-up. When you need to beat the clock, a quick and easy meal can be just as healthy as any that takes hours to prepare.

Pita Chips 1 package pita bread olive oil Italian seasoning blend (garlic, oregano, basil, salt, pepper) Cut pitas into eighths. Spritz with olive oil. Sprinkle with seasoning. Bake at 350 degrees for 15 minutes, until crisp. Serves 8

Chopped Greek Salad with Chicken 5 cups Romaine, washed, dried and chopped 2 tomatoes, chopped 1 cucumber, peeled and chopped ½ cup red onion, chopped ½ cup Kalamata olives ½ cups feta cheese, crumbled 2 cups cooked chicken breast, chopped Dressing 1⁄3 cup red wine vinegar 3 tablespoons extra virgin olive oil

1 tablespoon chopped fresh oregano or 1 teaspoon dried salt and pepper to taste 1 teaspoon garlic powder Whisk all dressing ingredients together. Toss in large bowl with remaining ingredients. Serves 8

Pomegranate and Quince Smoothie

Greek Meat Wraps

2 cups pomegranate juice 1 cup nonfat Greek yogurt ½ cup quince paste* 2 cups crushed ice

Filling

Blend juice, yogurt and paste in blender for 10 seconds. Add crushed ice and blend until smooth.

8 ounces cooked chicken, beef or lamb ½ cup hummus fresh arugula

Serves 4

4 whole-wheat or spinach tortillas

*available at most health food stores or specialty markets

Spread hummus on each tortilla. Add meat and arugula. Roll into a wrap. Serves 4

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Fitness

Maximum Impact Four new fitness programs that push you to your limits and make getting physical fun again. << b y Va l e r i e H u b b a r d >>

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ot enthusiastic about another round on the elliptical? Tired of watching the digital miles tick by as you trudge along on the treadmill? A new generation of fitness programs offers promise for those tired of old routines and others who, er, never quite found the inspiration to get off the couch in the first place. These new ways of getting in shape toss out the standard solitary routines on intimidating machines in favor of regimens that rely on teamwork and self-propelled exercises. Some of them even sound a bit oldfashioned. Push-ups, anyone? The good news here is that to stay on top of fitness trends in 2013, you won’t have to make serious equipment investments. Why buy what you’ve already got? Those extra pounds from overindulging become quite useful when your own body-weight provides the resistance. Body-weight exercises are a proven way to get and stay fit, according to today’s fitness gurus who have a wealth of ingenious techniques to help us get into shape. Here’s a roundup of some of our favorite new fitness programs.

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Sweat, SEAL Team-Style “Getting fit is not easy,” says John McGuire, founder of the Richmondbased SEAL Team Physical Training Inc., “so our goal is to keep it fun, and if you’re with friends mixing it up and having a good time, it makes it easier.” A former Navy SEAL, McGuire offers his programs in Richmond, Charlottesville and Washington, D.C., and hopes to expand across the country. Rain (or snow!) or shine, classes are held outside, year-round, in public parks and sometimes on college campuses. “There is no such thing as bad weather, just bad gear,” says McGuire. Participants must first complete a two-week basic fitness class. After that, they can take part in the early morning (i.e., before sunrise) classes. Participants are about evenly divided between men and women, and McGuire says every stripe of fitness level and age is represented. The classes move around from park to park and typically have members working in teams on drills as simple as push-ups and as unusual as crab soccer and tug-of-war. SealTeamPT.com

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Tighten Up with TRX Suspension Training If you prefer to workout indoors, you might try another Navy SEAL exercise innovation: TRX Suspension Training. Touted as a “full-body workout,” TRX (short for “total body resistance exercise”) uses a pair of sturdy nylon straps adjustable to different lengths, which are secured to a bar set high in the wall or ceiling. Using your own body weight, you use the bright yellow and black straps to do moves that include squats and pull-ups working either from the floor with your feet suspended in the straps, or from a standing position holding onto the straps with your hands. Home TRX kits are available for around $200, or you can take the class at a gym. “Because you can make the movement easier or harder depending on how you position your body relative to the straps, it’s an ideal, low-impact way to build strength, balance, flexibility and joint stability,” says Stephen Fralin of Gold’s Gym in Roanoke, which holds regular TRX classes. TRXTraining.com

crossfit photos by tai randall. above photo courtesy of seal team pt. trx photo by loren wright

CrossFit Takes It Old School We have the military and police academies to thank for another new fitness program: CrossFit. Described as “high-intensity group fitness workouts,” CrossFit includes completing a series of exercises—squats, push-ups, squat jumps—mixed with intervals of weightlifting during a 45-60 minute long class. “It’s sort of the new of the old,” explains Chris Garay, general manager of CrossFit Charlottesville. “We are using old-fashioned training Opposite page protocols in a different way and below to get great results and right: CrossFit have more fun doing it.” Charlottesville. These are hard workouts Above and right: that combine Olympic-style TRX at Gold’s lifting with intense cardio. Gym, Roanoke. There is even a competitive Below left: SEAL version of CrossFit in which Team workout, teams try to out-perform Richmond. each other as they go through their paces. CrossFitCharlottesville.com

You Gotta Try Tabata Another new interpretation of interval training is Tabata, named for its founder, Izumi Tabata, a professor and researcher at Japan’s Ritsumeikan University. Professor Tabata found that high-intensity intermittent training improves the aerobic system as well as the anaerobic system, resulting in better muscular performance and endurance. Tabata training typically involves eight rounds of performing a high-intensity activity—push-ups, body weight squats, medicine ball slams, rope jumping for 20 seconds— interspersed with 10 seconds of rest. “It stays fresh because the activities you can do are virtually limitless,” says Jesse Wareing, whose family owns Wareing’s Gym in Virginia Beach. The hourlong classes are usually attended by serious athletes (or those who wish to be) of every age. “It’s all about what you’re willing to put into it. That’s what you’re going to get out of it,” he says. “But I guess that’s true about just about anything.” WareingsGym.com

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Here: Robert Lamberson of Williamsburg in the Great American Mud Run. Right: Micki Long slogs through mud in the Warrior Dash. Opposite page: Nelson Wu in the Super Spartan Obstacle Race.

Mud, Sweat and Tears Physical, dirty and even a bit dangerous, extreme racing is not for the faint of heart. << b y G r e g A . L o h r > >

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elson Wu had already run a couple of half-marathons when he decided last year he needed a new challenge—something more fun and less repetitive. So Wu, a 25-yearold facilities engineer at Fort Belvoir, drove to Leesburg in September for the Super Spartan, a down-and-dirty athletic event featuring more than eight miles of military-style obstacles. His adrenaline pumping, Wu slogged through mud, scaled makeshift wooden walls, leapt over burning logs, carried heavy sandbags and even

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crawled under barbed wire. And in doing so, he joined the swelling ranks of tens of thousands of Virginians who, over the past few years, have helped fuel the staggering growth of extreme obstacle events. “It’s not your regular workout high,” Wu says. “There’s an element of danger.” Despite the veneer of danger—and partly because of it—more and more people are doing obstacle events in localities across the state, including Wintergreen, Richmond, Aldie,

Chesapeake, Sterling, Chesterfield County and Virginia Beach. The event names can be daunting and over-the-top: Rugged Maniac, Tough Mudder, Warrior Dash and the Rogue Runner, just to name a few. Then there are the Super Spartan’s sister events, the Spartan Beast and the 40-mile, invitation-only Spartan Death Race, with its bleakly blunt website, YouMayDie.com. The industry’s growth is impressive. From 2010 to 2012, Tough Mudder grew from three events to 35, with participation growing from 20,000 to 460,000. The Warrior Dash drew 2,000 people to its inaugural event in 2009. Then, with 50 races nationwide in 2012, Warrior Dash participation reached nearly 600,000. Why have these events become so popular, so fast? Danger can’t be the only appeal. (In fact, Spartan Death Race aside, these events look and sound far more threatening than they are.) Novelty—the change of pace that attracted Wu to the Super Spartan—is a much bigger draw, as is the full-body workout. Plus, there’s a nostalgic allure; participants find themselves doing things they probably haven’t done since childhood: Sloshing through mud puddles on purpose, climbing thick ropes and swinging from the cold metal rungs of monkey bars. Afterward, soggy, scratched and caked in mud, they celebrate together with free beer and live music. “It’s much more of a party atmosphere than at some traditional races, where you run and get your medal and go home,” says Micki Long,

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SPORT Want to try an obstacle race? April 20 Color Me Rad 5k, Richmond, ColorMeRad.com May 4 & 5 Rugged Maniac 5k Obstacle Race, Petersburg, Virginia Motorsports Park, RuggedManiac.com May 5 Color Me Rad 5k, Virginia Beach, Virginia Beach Sportsplex, ColorMeRad.com May 11 5k Foam Fest, Richmond, Pocahontas State Park, 5kFoamFest.com May 17 Miller Lite Filthy 5k Mud Run, Richmond, Brown’s Island, DominionRiverRock.com June 1 & 2 Tough Mudder Virginia Beach (10-12 mile race), location within 90 miles of Virginia Beach, ToughMudder.com June 22 Rogue Runner Washington D.C./Virginia II 10k, location within 2 hours of Washington D.C., RogueRunnerRace.com

Finding the Extra Gear

June 29 Henricus Dauber Dash (5 mile race), Chester, Henricus Historical Park, SportsBackers.org/Events/Henricus-Dauber-Dash

Sports psychologist helps athletes thrive.

photos courtesy of robert lamberson, micki long and nelson wu

August 25 Super Spartan Obstacle Race (8+ mile race), Leesburg, Morven Park, SportsBackers.org/Events/Henricus-Dauber-Dash

48, of Richmond. Long owns Three One One Productions, which puts on the Watermelon Festival in Richmond’s Carytown among other events. Long started exercising three years ago and quickly realized that “running down the street bores me to death.” She began boot camp work outs, then participated in the Rugged Maniac in Petersburg and the Warrior Dash. She recently signed up to go skydiving for the first time. “It gives you a sense of accomplishment,” she says, “and you kind of catch the fever.” Compared to traditional races, obstacle events provide physical and mental challenges in a more festive, unpredictable environment. That’s proving to be a powerful draw for weekend warriors who crave an experience that is more raw, more primal than their normal 9-to-5 lifestyle affords. “People are sitting in corporate America, in air-conditioned offices, remembering a time when they were more active, more fit, when they played on sports teams and spent more time outdoors,” says Jane Di Leo, public relations manager for Tough Mudder. “It really taps into the need to get out from behind your desk and to use our bodies the way they were meant to be used.” Ironically, the time we spend indoors in front of computers has helped mud-and-obstacle events gain traction. That’s because their industry’s rapid growth owes a tremendous debt

to online social media. “Ten years ago, you needed a database to do this,” says Jon Lugbill, executive director of Richmond’s Sports Backers, perhaps best known for staging two popular races, the Anthem Richmond Marathon and the Ukrop’s Monument Avenue 10k. “In today’s world, all you need is some online marketing savvy and you can get big pretty quickly.” Lugbill’s group has entered the mud-andobstacle game, too, creating the Filthy 5k on Brown’s Island and the Henricus Dauber Dash, held each summer at Henricus Historical Park. Of course, social media can fuel both rapid success and an equally rapid decline. Organizers of obstacle events realize they must create new, even more extreme challenges each year to keep people interested. They’re also facing more competition these days, thanks to the emergence of fledgling events with ever-quirkier themes, such as spraying participants with color or foam. Matt Robinson, a race organizer with Chicago-based Red Frog Events, the company behind the Warrior Dash, which was held last September at Berkeley Plantation in Charles City and attracted 9,000 (29 percent more than the year before), says he welcomes the competition. “It pushes us and everybody out there to put on events that people like,” he says. “It’s certainly an industry that’s boomed over the past few years. We want to make sure it keeps growing and getting better.”

Are you worried the Tough Mudder might be a little too … tough? Or concerned you might get conquered by the Warrior Dash? If so, heed the advice of sports psychologist Dr. Dana Blackmer: While training your body, don’t forget to train your mind. “Your head can either help you or get in the way,” says Blackmer, founder of The Extra Gear in Richmond. “That’s true whether you’re an elite athlete or a weekend warrior.” Blackmer consults with athletes of various ages and skill levels to boost confidence, reduce nervousness, recover from injuries and, ideally, find that coveted extra gear—the ability to perform their best when it really counts. He has counseled Olympic hopefuls, triathletes and members of the Richmond Flying Squirrels baseball team. Yet he says the same tips he gives them can help the rest of us do better in our 5Ks, marathons, bike races and mud-soaked obstacle events—and to enjoy them more. One key, Blackmer says, is to avoid negative “self talk,” that inner commentary that can increase anxiety and cause muscle tension. Another strategy is to do your homework: If you’re training for a race or obstacle challenge, look at photos and videos of past events. Ideally, visit the course ahead of time to mentally rehearse surmounting the challenges. Don’t beat yourself up mentally during the event, he says, even if your quads are burning, you’re out of breath and you’re tempted to quit. It’s far better, he adds, “to be positive, supportive and realistic with yourself. Say, ‘This is tough, but I can do it. Yes it’s raining today, but it’s raining on everybody.’ Just keep going, find your rhythm. Think of what a good friend or coach would say to you when you’re struggling, and that’s what you should be saying to yourself.” TheExtraGear.com

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BEST DOCTORS 2013

CENTRAL NORTHERN SOUTHERN & SOUTHWESTERN SHENANDOAH WILLIAMSBURG & TIDEWATER These lists are excerpted from The Best Doctors in America  2013 database, which includes more than 45,000 doctors in over 40 medical specialties. The Best Doctors in America  database is compiled and maintained by Best Doctors, Inc. For more information, visit www.bestdoctors.com or contact Best Doctors by telephone at 800-675-1199 or by e-mail at research@bestdoctors.com. Please note that lists of doctors are not available on the Best Doctors Web site. Best Doctors, Inc., has used its best efforts in assembling material for this list, but does not warrant that the information contained herein is complete or accurate, and does not assume, and hereby disclaims, any liability to any person or other party for any loss or damage caused by errors or omissions herein, whether such errors or omissions result from negligence, accident, or any other cause. Copyright 2013, Best Doctors, Inc. Used under license, all rights reserved. This list, or any parts thereof, must not be reproduced in any form without written permission from Best Doctors, Inc. No commercial use of the information in this list may be made without the permission of Best Doctors, Inc. No fees may be charged, directly or indirectly, for the use of the information in this list without permission.

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BEST DOCTORS, THE BEST DOCTORS IN AMERICA, and the Star-in-Cross Logo are trademarks of Best Doctors, Inc., registered in the U.S. and other countries, and are used under license.

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CENTRAL VIRGINIA Addiction Medicine

Colon and Rectal Surgery

David Wayne Brown

Charles M. Friel

Bruce D. Campbell, Jr.

Charlottesville | 434-243-9970

Free Union | 434-978-1691

W. Bruce Stewart

Catherine Casey

Mechanicsville | 804-559-3400

Charlottesville | 434-243-0700

William R. Timmerman

Robert Cross

Mechanicsville | 804-559-3400

Midlothian | 804-739-0910

Critical Care Medicine

Steven Crossman

Charlottesville | 434-973-4040

Bankole Johnson Charlottesville | 434-982-0394

Allergy and Immunology Michael Z. Blumberg Richmond | 804-288-0055

Larry C. Borish Charlottesville | 434-924-2227

Michelle Y. Whitehurst-Cook

Matthew J. Goodman

Edward H. Oldfield

Richmond | 804-828-5883

Charlottesville | 434-924-2472

Charlottesville | 434-982-3591

Charlotte B. Woodfin

Evan Heald

Christopher I. Shaffrey

Mechanicsville | 804-730-0990

Charlottesville | 434-924-1931

Charlottesville | 434-924-2203

Gastroenterology

Ira Marie Helenius

Mark E. Shaffrey

Charlottesville | 434-243-8054

Charlottesville | 434-924-2203

P. Frederick Duckworth Mechanicsville | 804-730-0792

Richmond | 804-828-5883

Thomas A. E. Platts-Mills

Charles G. Durbin, Jr.

Charlottesville | 434-924-2227

Charlottesville | 434-924-2283

Geriatric Medicine Douglas N. Cutter Richmond | 804-560-6500

Frank T. Saulsbury

Alpha A. FowlerIII

Charlottesville | 434-924-1906

Richmond | 804-828-2161

Richmond | 804-828-9357

Kurtis S. Elward Charlottesville | 434-973-9744

Lawrence B. Schwartz

Daryl R. Gress

Richmond | 804-628-4432

Charlottesville | 434-924-8371

Charlottesville | 434-924-1212

Victor Baum Charlottesville | 434-982-3889

David L. Bogdonoff

Thomas G. Cropley

Richmond | 800-762-6161

Charlottesville | 434-924-5115

Carl LynchIII

Kenneth E. Greer

Charlottesville | 434-924-2283

Charlottesville | 434-924-5115

George Rich

Mark A. Russell

Charlottesville | 434-924-9508

Charlottesville | 434-924-5115

John C. Rowlingson

Barbara B. Wilson

Charlottesville | 434-924-2283

Charlottesville | 434-924-5115

Richmond | 804-828-9160

Cardiovascular Disease

Endocrinology and Metabolism Stacey M. Anderson

Charlottesville | 434-924-1825

Richmond | 804-828-9205

John P. DiMarco Charlottesville | 434-924-2031

Gan H. Dunnington Richmond | 804-282-2685

Kenneth A. Ellenbogen Richmond | 804-828-7565

Evelyne Goudreau Richmond | 804-828-9205

Michael L. Hess Richmond | 804-828-4571

Robert L. Jesse Richmond | 202-461-7008

Diane M. Biskobing Richmond | 804-828-2161

Robert M. Carey Charlottesville | 434-924-1825

John Newton Clore Richmond | 804-828-2161

Alan Dalkin Charlottesville | 434-924-1825

Robert W. Downs Richmond | 804-828-2161

William S. Evans Charlottesville | 434-924-1825

Susan E. Kirk Charlottesville | 434-924-1825

John C. Marshall Charlottesville | 434-924-1825

Michael Ragosta

Christopher McCartney Charlottesville | 434-924-1825

Angela M. Taylor

John Edwin Nestler

Charlottesville | 434-243-9396

Richmond | 804-828-2161

James Albert ThompsonIII

Michael O. Thorner

Richmond | 804-288-4827

Charlottesville | 434-982-3591

Amy L. Tucker

Mary Lee Vance

Charlottesville | 434-243-1000

Charlottesville | 800-650-2650

Michael Valentine

Franklin J. Zieve

Lynchburg | 434-200-5252

Richmond | 804-675-5151

George W. Vetrovec

Family Medicine

Richmond | 804-628-1214

Lynchburg | 434-200-2750

North Garden | 434-243-4660

Richmond | 804-828-7069

Steven Heim

Abhinav (Bobby) Chhabra

Nellysford | 434-361-2555

Charlottesville | 434-982-4263

Richard H. Hoffman

Gregory Gerard Degnan

Richmond | 804-276-9305

Charlottesville | 434-220-3727

Micah T. Houghton

Wyndell H. Merritt

M. Lee Blackburn Mechanicsville | 804-730-0990

Jason Sheehan Charlottesville | 434-924-8129

Barbara Tyl Post

Justin S. Smith

Charlottesville | 434-243-4500

Charlottesville | 434-924-2203

Diane G. Snustad

Neurology

Charlottesville | 434-924-1212

Andrew M. D. Wolf Charlottesville | 434-924-1931

James P. Bennett, Jr. Richmond | 804-662-9185

Edward Bertram

Medical Genetics

Charlottesville | 434-924-5401

William Grady Wilson

Ted M. Burns

Charlottesville | 434-924-2595

Charlottesville | 434-924-2706

Medical Oncology and Hematology

Steven T. DeKosky

Christiana M. Brenin

Nathan Benjamin Fountain

Charlottesville | 434-243-5420

Charlottesville | 434-924-8552

Charlottesville | 434-924-5401

Manny (Emanuel) Cirenza

Myla D. Goldman

Charlottesville | 434-924-7678

Charlottesville | 434-924-2783

John Densmore

Elliott C. Haley, Jr.

Mechanicsville | 804-559-6510

Henrico | 804-282-2112

Anton J. Kuzel

Hepatology

Charlottesville | 434-982-3390

Charlottesville | 434-924-8041

Stephen H. Caldwell

Patrick Michael Dillon

Madaline Harrison

Charlottesville | 434-924-2626

Charlottesville | 434-432-1495

Charlottesville | 434-924-8668

Mitchell L. Shiffman

Michael Douvas

Karen C. Johnston

Richmond | 804-977-8920

Charlottesville | 434-982-6399

Charlottesville | 434-924-2783

Infectious Disease

Paula M. Fracasso

David E. Jones

Richmond | 804-828-5883

Mark Lepsch Charlottesville | 434-243-4500

North Garden | 434-243-4660

Charlottesville | 434-978-2126

Gerald R. Donowitz Charlottesville | 434-924-1918

Raymond Paul Marotta

Charlottesville | 434-924-2420

James G. Warner, Jr.

Robert S. Adelaar

D. Andrew Macfarlan Eugene J. Barrett

Michael J. Cowley

Peter S. Ham

Charlottesville | 434-924-1825

Charlottesville | 434-924-9591

Charlottesville | 434-982-4247

Hand Surgery

Andrew Lockman

Robert W. Battle James D. Bergin

Louisa | 540-967-2011

Dermatology

John F. ButterworthIV

Bruce D. Spiess

Matthew P. Green

Jonathon D. Truwit Charlottesville | 434-924-5219

Charlottesville | 434-924-2283

Andrew M. D. Wolf Charlottesville | 434-924-1931

C. Edward Rose Charlottesville | 434-924-5219

Diane G. Snustad

John Day Gazewood Charlottesville | 434-924-5348

Anesthesiology

Peter A. Boling

John MacKnight Charlottesville | 434-924-2472

Charlottesville | 434-973-9744

Leigh B. Grossman Charlottesville | 434-924-9141

Karen Maughan Charlottesville | 434-924-5348

Eric Houpt Charlottesville | 434-924-0497

Daniel F. McCarter Nellysford | 434-361-2555

Nellysford | 434-361-2555

Richmond | 804-828-5883

Charlottesville | 434-296-6565

M. Norman Oliver Charlottesville | 434-924-5348

Carolyn Peel Richmond | 804-828-5883

Mark G. Petrizzi Mechanicsville | 804-730-0990

John M. O'BannonIII

Charlottesville | 434-924-1904

Richmond | 804-288-2742

Tamila L. Kindwall-Keller

Lawrence H. PhillipsII

Charlottesville | 434-982-6406

Charlottesville | 434-924-5361

Barbara Gail Macik

Mark S. Quigg

Benjamin W. Purow Charlottesville | 434-924-5545

William Petri Geoffrey Roger Weiss Charlottesville | 434-243-0066

William Michael Scheld Charlottesville | 434-982-3515

William R. Moors

William W. Grosh

Sara G. Monroe

Charlottesville | 434-924-5621

Susan A. Miller

Charlottesville | 434-924-8668

Charlottesville | 434-982-6400 Richmond | 804-828-6163

Maura R. McLaughlin

Charlottesville | 434-243-6143

Michael E. Williams Charlottesville | 434-924-9637

Costi D. Sifri Charlottesville | 434-982-1700

Nephrology

Richard P. Wenzel

W. Kline Bolton

Richmond | 804-828-2161

Charlottesville | 434-924-1984

Brian Wispelwey

Kambiz Kalantari

Charlottesville | 434-982-4470

Charlottesville | 434-924-8661

Internal Medicine

Mark D. Okusa Charlottesville | 434-924-5125

Susan Pollart

Kiyoko Asao-Ragosta

Charlottesville | 434-924-5348

Charlottesville | 434-973-1831

Mitchell H. Rosner Charlottesville | 434-924-1984

Sean Reed

Kenneth A. Ballew

Charlottesville | 434-924-5348

Charlottesville | 434-924-3627

Charlottesville | 434-924-2783

David Schiff Charlottesville | 434-982-4415

Elizabeth J. Waterhouse Richmond | 804-828-9350

G. Frederick Wooten, Jr. Charlottesville | 434-924-2783

Bradford Worrall Charlottesville | 434-924-2783

Nuclear Medicine Timothy S. Burke Richmond | 804-675-5000

Melvin J. Fratkin Richmond | 804-828-8266

Paul R. Jolles Richmond | 804-828-6828

Richmond | 804-828-9682

Obstetrics and Gynecology Bruce G. Bateman

Domenic A. Sica

Stephen F. Rothemich

Daniel M. Becker

Richmond | 804-828-5883

Charlottesville | 434-924-1931

Neurological Surgery

Theresa A. Rupp

Peter A. Boling

William Jeffrey Elias

Dillwyn | 434-983-2722

Richmond | 804-828-9357

Charlottesville | 434-924-2203

Hendra Augustinus Sanusi

Kurtis S. Elward

John A. Jane, Sr.

Charlottesville | 434-973-4040

Charlottesville | 434-973-9744

Charlottesville | 434-924-2203

David Craig Slawson

Joyce B. Geilker

Neal F. Kassell

Charlottesville | 434-243-4660

Charlottesville | 434-243-4500

Charlottesville | 434-924-2735

Charlottesville | 434-654-8520

Joseph F. Borzelleca, Jr. Richmond | 804-828-4409

Ellen L. Brock Richmond | 804-828-4409

Leigh Cantrell Charlottesville | 434-924-9933

V i rg i n i a L i v i n g | m e d i c i n e & w e ll n e ss 2 0 1 3

BEST DOCTORS_listings.indd 37

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2/21/13 6:51 PM


why diagnoses go whydiagnoses diagnosesgo go why why diagnoses

why diagnoses go

WRONG WRONG WRONG WRONG

WRONG

and what you can do about it and what you can do about it and and what what you you can can do do about about it A Q&A with Best Doctors’ Vice-Chairman, Evan Falchuk

AAQ&A Q&A with with Best Best Doctors’ Doctors’ Vice-Chairman, Vice-Chairman, Evan Evan Falchuk Falchuk A Q&A with Best Doctors’ Vice-Chairman, Evan Falchuk

and what you can do about it

Q: If someone asked you to explain in 20 seconds what Doctors does, how would you Q: Q: If Best someone If someone asked asked youyou to to explain explain in in 20answer? 20 seconds seconds Q: If someone asked you to explain inanswer? 20 seconds what what Best Best Doctors Doctors does, does, how how would would you you answer? Best Doctors does,notions how would you answer? A: Wewhat are turning traditional of health care A: A: WeWe are are turning turning traditional traditional notions notions of of health health care care on their head. In today’s confusing maze of a health A:head. We are turning traditional notions care on their onsystem, their head. In get today’s In today’s confusing confusing maze maze ofofof ahealth health atohealth care we people the right answers their onsystem, theirwe head. In today’s maze to ofto a their health care care system, we getWe get people people theconfusing the right answers their medical questions. do this inright lots of answers different ways, care system, we get people the right answers to their medical medical questions. questions. We We do do this this in lots in lots of of different different ways, ways, but all of it involves figuring out what is actually wrong, medical questions. We do this in lots of different ways, but but all of all it of involves it involves figuring figuring out out what what is is actually actually wrong, wrong, asking the right questions, and getting the right answers but all ofright itquestions, involves figuring out what is actually wrong, asking asking the the right questions, and and getting getting the the right right answers answers from the world’s best expert physicians. Today, we from from the the world’s world’s best best expert expert physicians. physicians. Today, Today, we we asking the right questions, and getting the right serve 30 million members around the world, and we answers serve serve 30 30 million million members members around around thethe world, world, and and we from the world’s best expert physicians. Today, we believe that through our work we are on our way towe believe believe that that through through our our work work we we are are on on our our way way to to serve 30 million members around the world, and we changing health care forever. changing changing health health care forever. forever. believe thatcare through our work we are on our way to changing health care forever. Q: Can you give us an example of a where Best Q: Q: CanCan youyou give give us us an an example example of of a case case a case where where Best Best Doctors corrected a diagnosis? Doctors Doctors corrected corrected a diagnosis? a diagnosis? Q: Can you give us an example of a case where Best Q: Iffavorite someone asked isisayou to explain in — 20 my seconds Doctors corrected diagnosis? A: My example close to home own A: A: MyMy favorite favorite example example close is close to to home home —— mymy own own brother, Brad. He’s the co-creator of the TV show whatA:Brad. Best Doctors how would answer? brother, brother, Brad. He’s He’s thedoes, the co-creator co-creator of of theyou the TVTV show show My favorite example is Best close to home — my own “Glee,” “Glee,” and and before before coming coming to to Best Doctors, Doctors, hehe was was brother, Brad. He’s the co-creator of the TV show incorrectly incorrectly diagnosed diagnosed with with a malignant a malignant tumor tumor in in hishis “Glee,” and before coming to Best Doctors, he was spinal spinal cord. cord. His His doctors doctors had had scheduled scheduled him him for for radiation radiation A: incorrectly We are turning traditional notions of health care with a malignant tumor inthe his andand surgery surgery to get todiagnosed rid rid of the of the tumor, tumor, which which is is actually the on their head. Inget today’s confusing maze ofThe aactually health spinal cord. His doctors scheduled him for radiation right right thing thing to do to do for for that that kind kind ofhad of condition. condition. The trouble trouble is,is, and surgery toget getpeople rid of the tumor, which istoactually the that wasn’t wasn’t the condition condition he had. had. thatthat wasn’t thethe condition hehe had. care system, we the right answers their right thing to do for that kind of condition. The trouble is, medical questions. We domedical this lots of different So So we we reviewed reviewed all of his of his medical information information and andways, wasn’t theall heinhad. So wethat reviewed all ofcondition his medical information and family family medical medical history, history, and and our doctors doctors found found a a clue family medical history, and ourour doctors found a clue clue but allended ofupit involves figuring out what isturned actually wrong, that that ended up being being lifesaving lifesaving for for him. him. It It turned we So weupreviewed all of his for medical and that ended being lifesaving him. Itinformation turned out outout wewe have have afamily family a the family history history of a of condition a condition that that could could easily easily asking right questions, and getting the right answers history, and ourthat doctors found have a familymedical history of a condition could easilya clue be confused be confused for for aup malignant a being malignant tumor. tumor. Best Best Doctors Doctors that ended lifesaving for him. It turned be confused forsome a some malignant Best Doctors from the world’s best experttumor. physicians. Today, we out we recommended recommended additional additional tests, tests, which which confirmed confirmed have a family history of a condition thatconfirmed could easily recommended some additional tests, which thatthat he he didn’t didn’t have have a tumor a tumor ataround at all. all. The The treatment treatment that that serve 30 million members the world, and be confused for a malignant tumor. Best Doctors that he didn’t have a tumor at all. The treatment thatwe waswas originally originally planned planned was was in fact in fact very very dangerous, dangerous, recommended some additional tests, which was originally planned was inToday, fact very dangerous, believe that through our Today, work wehaving are onreceived our wayconfirmed to given given his his actual actual condition. condition. having received that he didn’t have a tumor at all. The treatment that given his actual condition. Today, having received both both thethe right right diagnosis diagnosis and and right right treatment treatment from from Best Best changing health care forever. was originally planned was in fact very dangerous, both the right andWhat’s right treatment from Best Doctors, Doctors, he he isdiagnosis doing is doing great. great. What’s amazing amazing about about mymy given his condition. Today, having received Doctors, he is doing great. What’s amazing about my brother’s brother’s case case isactual that is that stories stories likelike his his areare more more common common both theus diagnosis andhis right from Best brother’s case isus that stories like aretreatment more common than than most most of ofright think. think. Q: Doctors, Canofyou give an example of a case where Bestmy is us doing great. What’s amazing about than most ushe think. brother’s case is stories like his are more common Doctors corrected a that diagnosis? than most of us think.

Our U.S. data from 2011 showed 29% of people had been misdiagnosed, while 60% Our OurU.S. U.S. data data from from 2011 2011showed showed 29% 29% of of Ourhad U.S. data from 2011 showed 29% of required a change in treatment. people people had been beenmisdiagnosed, misdiagnosed, while while 60% 60% people had been misdiagnosed, while 60% required requiredaachange changein intreatment. treatment. required a change in treatment.

A Q&A with Best Doctors’ Vice-Chairman, Evan Falchuk

A: My favorite example is close to home — my own brother, Brad. He’s the co-creator of the TV show “Glee,” and before coming to Best Doctors, he was

best-doctors-advertorial_SPREAD.indd MW038-039vl0413.indd 38 1

Q: The public is starting to hear more about how Q: Q:The The public public isisstarting startingtotohear hearand more more about about how how often people are misdiagnosed, about getting often often people people are are misdiagnosed, misdiagnosed, and and about about getting getting Q: The public is starting to hear more about how second opinions. In this day and age, why is second second opinions. opinions. In In this this day day and and age, age, why why is is often people are misdiagnosed, and about getting misdiagnosis happening so often in the first place? misdiagnosis misdiagnosis happening happening so sooften often ininthe the first first place? place? second opinions. In this day and age, why is misdiagnosis happening so often in the first place? A: A:A:Doctors Doctors Doctorstoday today todayare are arethe the thebest best besteducated educated educated and and and best best best trained than in history. They the best trained trained than thanat atatany any anytime time time ininthe history. history. They They have have have the thebest best best A: Doctors today are best educated and technology out there, and every year more and more technology technology out out there, there, and and every every year year more more and and more more trained thanavailable. at any time in history. misdiagnoses They have the best treatments treatments treatmentsare are areavailable. available.So So Sohow how howcan can canmisdiagnoses misdiagnoses technology out there, and every year more and more still still stillhappen? happen? happen?The The Theproblem, problem, problem,we we webelieve, believe, believe, is is is in in in how how how treatments available. So how can misdiagnoses our health care system works. Doctors sometimes our ourhealth healthcare careare system system works. works. Doctors Doctors sometimes sometimes still happen? The problem, we believe, isoften in how have have totosee see30 30orormore morepatients patients aaday, day, and and often can can Our U.S. data from 2011 showed 29% ofWhat’s our health care system works. Doctors sometimes spend spendonly only15 15minutes minutesororless lesswith witheach each one. one. What’s have toishad see 30 or more patients a day, and often people been misdiagnosed, while 60% happening happening is that that doctors doctors and and patients patients just just don’t don’t have havecan spend only 15 minutes or less with each one. the thetime timetogether togetherthat thatthey theyneed needto toask ask all all the the right rightWhat’s required a change in treatment. happening is that doctors and patients just don’t questions, questions,and andmake makethe thebest bestdecisions. decisions. It’s It’s why why we wehave the that time together that is they need to ask all the right believe believe thatmisdiagnosis misdiagnosis isa public health health problem problem believe that misdiagnosis is aapublic public health problem that that doesn’t doesn’t get get the the attention attention it it absolutely absolutely deserves. deserves. questions, and make the best decisions. It’s why we that doesn’t get the attention it absolutely deserves. believe that misdiagnosis is a public health problem Q: Howlong longhas has Best Best Doctorsbeen been around? around?deserves. What What that doesn’t get theDoctors attention it absolutely Q:Q:How How long has Best Doctors been around? What was was the the genesis genesis of of the the company? company? was the genesis the company? Q: Q: TheHow public isofhas starting hear more about how What long BesttoDoctors been around? A:A:Best BestDoctors Doctors has hasof been been doingthis thiswork work for for almost almost was the genesis the doing company? often people are misdiagnosed, and about getting A: Best Doctors has been doing this work for 2525years. years. My Myfather father isis one oneof ofthe thefounders. founders. He Healmost is is 25 My father isthis oneday of the founders. He isthe ansecond anyears. internist internist and and professor professor of of medicine medicine and and saw saw opinions. In and age, why is A: Bestand Doctors has been doing this work forthe almost an internist professor of medicine saw problem problem ofofquality quality ininmedicine medicine from fromhis hisand work work as asthe 25 years. My father isso of the founders. happening often inand the place? problem of quality in medicine from his work asHe is a misdiagnosis adoctor. doctor. He He knew knew that that as as aone adoctor doctor and aafirst teacher teacher an internist and professor of medicine and saw a he doctor. He knew that a doctor and a teacher he could couldonly only reach reach so soas many many people. people. His His vision vision in in the problem of quality in medicine from his work asIt’s hecreating could Best only reach sowas many people. His vision in creating BestDoctors Doctors was totoreach reachmillions millions more. more. It’s aDoctors doctor. He knew that asthat aeducated doctor and teacher A: today are the best andamore. bestvision creating Best Doctors to reach It’s inspiring inspiring totobe be part part ofofawas a team team that isismillions making making this this vision he could reach so many Histhis vision in inspiring to beonly part oftime a team that people. isThey making vision a areality. reality. trained than at any in history. have the best creating Best Doctors was to reach millions more. It’s a reality. inspiringout to be partand of aevery team year that ismore making technology there, and this morevision a reality.

treatments are available. So how can misdiagnoses still happen? The problem, we believe, is in how our health care system works. Doctors sometimes have to see 30 or more patients a day, and often can

2/17/13 1:06 2/22/13 1:02 PM


WHAT CAN PEOPLE DO TO AVOID BEING WHAT CAN PEOPLE DO TO AVOID BEING

MISDIAGNOSED? MISDIAGNOSED? MISDIAGNOSED? MISDIAGNOSED?

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WHAT WHATCAN CANPEOPLE PEOPLEDO DOTO AVOID BEING BEING WHAT CAN PEOPLE DO TOTOAVOID AVOID BEING 1. Don’t be afraid to ask questions. You should never be a spectator in your own care. It’s your health, and your life. 1. Don’t be afraid to ask questions. You should never be a spectator in your 1.1. Don’t Don’t be beget afraid afraid totoask askquestions. questions. You You should should never bebe a spectator a spectator in your inrather your care. It’sa your health, and and your life. 2.own Always second opinion focus on never sharing your symptoms, own owncare. care.It’s It’syour yourhealth, health,and and your your life. life. than the diagnosis you received from your initial treating doctor. 2. Always get a second opinion and focus on sharing your symptoms, rather 1.2.2.Don’t beget afraid to ask questions. You should never be a spectator inrather your Always Always get a asecond second opinion opinion and and focus focus onon sharing sharing your your symptoms, symptoms, rather than the diagnosis you received from your initial treating doctor. 3. Take the time to get to know your family medical history – and make sure than than the the diagnosis diagnosis you you received received from from your your initial initial treating treating doctor. doctor. own It’s your health, yourcare. doctor knows aboutand it. your life. 3. Take the time to get to know your family medical history – and make sure 3.3.Take Takethe thetime time totoget get totoknow know your family family medical medical history history – and – and make make sure sure your doctor knows about it. your your your doctor doctor knows knows about about it.it. 4. Take someone with you to your doctor’s visits to help listen, take notes, 2.and Always get a second opinion and focus on sharing your symptoms, rather ask questions. 4. Take someone with you to your doctor’s visits to help listen, take notes,

MISDIAGNOSED?

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than thesomeone diagnosiswith youyou received from your initial treating doctor. 4. 4.Take Take someone with youtoto your your doctor’s doctor’s visits visits to to help help listen, listen, take take notes, notes, and ask questions. and and askquestions. questions. 5. Ifask you’ve been diagnosed with a type of cancer, always have your 3. Take the been time to get to know your family medical history –have and make 5. If you’ve been diagnosed with atype type of cancer, always have your 5.5.If Ifyou’ve you’ve been diagnosed diagnosed with with aa type ofof cancer, cancer, always always have your your pathology re-checked. pathology pathology re-checked. your doctorre-checked. knows about it. pathology re-checked.

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Q: Doctors choose its physicians? Q: What makes doctors the “Best?” How does Best Q:misdiagnosed? What can people dodo to avoid being Q: Q: What makes doctors thethe “Best?” How does Best Q:Q: What can people being What makes doctors “Best?” How does Best What can people doto toavoid avoid being Doctors choose its physicians? misdiagnosed? Doctors choose its physicians? misdiagnosed? its best physicians? 5. Ifthe you’ve aThe typebest of cancer, A: Doctors We thinkchoose the very doctors are onesbeen who diagnosed with A:misdiagnosed? thing youalways can dohave is to your ask questions. You make good, thoughtful decisions. Now, one way to should never be a spectator in your own care. Ask A: We the A:A:The best thing you can dodo is to questions. YouYou We think think the thevery verybest bestdoctors doctorsare are theones oneswho who The best thing you can is ask to ask questions. pathology re-checked. A: We think the very best doctors are the ones who A: The best thing you can do is to ask questions. do this would be to watch every doctor practice, but why your doctor thinks your diagnosis is right. make should never bebe a spectator in your own care. AskFind make good, good, thoughtful thoughtfuldecisions. decisions.Now, Now,one oneway waytoto should never a spectator in your own care. AskYou make good, thoughtful decisions. Now, one way should never bethinks a spectator in your care. Ask obviously that’s not practical. Sodoctor what we set out toto out what else could be causing yourisown problems. Don’t do this be to every practice, but why your doctor thinks your diagnosis right. Find do this would would be towatch watch every doctor practice, but why your doctor your diagnosis is right. Find do this would be to watch every doctor practice, but why your doctor thinks your diagnosis is right. Find obviously that’s not So what out else causing your problems. obviously that’s notpractical. practical. So whatwe weset setout outtoto out what else could be causing your problems. do over two decades ago was ambitious and gamebewhat afraid to could ask —beit’s your health, and your Don’t life.Don’t obviously that’s notago practical. So what we out to out what else could beyour causing your problems. do over decades was ambitious gamebebe afraid to to ask — it’sit’s your health, andand your life.life.Don’t do over two two decades ago wasdoctors ambitious andset gameafraid ask — health, your changing. We wanted to ask all and across the do over two decades was ambitious and gameafraid to ask your health, your life. changing. We wanted ask all the changing. We wanted ask doctors allacross across the of country, and across alltotoofago thedoctors many specialty areas Ifbe you’re going to — getit’s surgery or youand have a serious changing. We wanted to ask doctors all across the country, and across all of the many specialty areas of If you’re going to get surgery or you have a serious country, and across all of the many specialty areas of If you’re going to get surgery or you have a serious medicine who, in their experience, they thought were illness, always get a second opinion. Making sure andin across all It’s of the many areas If you’re going toa get surgery or you have asure serious medicine who, their experience, they thought illness, always getget second opinion. Making medicine who, in theirdo. experience, they thought were of illness, always a that second opinion. Making sure thecountry, best at what they a little bitspecialty like whatwere doctors you are comfortable you understand what is the best at what they do. It’s a little bit like what doctors you are comfortable that you understand what is medicine who, in their experience, they thought were the best at what they do. It’s a little bit like what doctors illness, always get a second opinion. Making sure you are comfortable that you understand what do themselves when they look for doctors — they ask happening and what is being planned for you isis do themselves when they look for doctors — they ask happening and what is being planned for for youyou is isis do themselves when they look for doctors — they ask happening and what is being planned the best at what they do. It’s a little bit like what doctors areimportant comfortable that you understand what their peers for their honest perspective. ayou really way to avoid problems. Focus their for honest perspective. aa really important way to avoid problems. Focus their peers for their their honest perspective. really important way to avoid problems. Focus dopeers themselves when they look for doctors — they ask happening and what is being planned for you is on telling your second-opinion doctor all of your on telling your second-opinion doctor all of your on telling your second-opinion doctor all of your their peers forassembled their honest perspective. aWhat reallycan important way toavoid avoidbeing problems. Focus Today, we have respected database symptoms, rather than her thinking right Q: What doctors theaaa“Best?” Howdatabase does Best Q: people doinfluencing toinfluencing Today, we have respected symptoms, rather than herher thinking right Today, wemakes have assembled assembled respected database symptoms, rather than influencing thinking right on telling your second-opinion doctor all of your of nearly 53,000 doctors that represent the top 5% off the bat by repeating what your first doctor said you of nearly 53,000 doctors that represent the top 5% off the bat by repeating what your first doctor said nearly 53,000 doctors that represent the top 5% off the bat by repeating what your first doctor said you Doctors choose its45 physicians? misdiagnosed? Today, we have assembled a respected database symptoms, rather than influencing her thinking you right of doctors across specialties and more than 400 have. of doctors across 45 specialties and more than 400 have. doctors across 45 specialties and more than 400 have. of nearly 53,000 doctors that represent the top 5% off the bat by repeating what your first doctor said you subspecialties of medicine. subspecialties of subspecialties ofmedicine. medicine. of doctors across 45 specialties and more than 400 have. Take time get to know your family medical Take thethe time to to get to can know your family medical Take the time to get to know your family medical A: We think the very best doctors are the ones who A: The best thing you do is to ask questions. You subspecialties of medicine. It’s an incredibly powerful tool. And it’s completely history — and make sure your doctor knows about It’s history —— and make sure your doctor knows about it. it. It’s an an incredibly incrediblypowerful powerfultool. tool.And Andit’s it’scompletely completely history and make sure your doctor knows about it. Take the time to get to know your family medical independent. Doctors can never pay to get on our Best make good, thoughtful decisions. Now, way to should never be a spectator in your own care. Ask independent. Doctors never totoone get Best independent. Doctorscan can neverpay pay geton onour our Best It’s anin powerful tool. And it’s completely history andtomake suremedical your doctor knows about Doctors America they (or we) ever It’sIt’s hard to— listen difficult news andand pay Doctors inincredibly Americalist, list,nor norare are they (or we) everpaid paid hard to listen to difficult medical news pay it. do this would be to watch every doctor practice, but why your doctor thinks your diagnosis is right. Find independent. 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Around Around thethe world, world, Best Best Doctors Doctors provides provides people people access toright to wait for that — we can help people through our do.needwetohave (www.bestdoctors.com) is a global health company Around theof world, Best Doctors provides peoplefor access to thethe expertise expertise the of the best best five five percent percent of physicians of physicians the for the approach and physicians’ expertise today, and so we of nearly 53,000 doctors that represent the top 5% offright the bat byright repeating what your first doctor said you founded by Harvard Medical School professors in 1989. the expertise of the best five percent of physicians for the right care care and and right treatment. treatment. For For further further information, information, call call do.

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Around the world, Best provides people access to (800) (800) 223-5003. 223-5003. Unsure if you if Doctors you have have access access to Best to Best Doctors Doctors right care andUnsure right treatment. For further information, call the expertise of the best five percent of physicians for the asas an an employee employee benefit? benefit? Take Take this this article article to your to your Human Human (800) 223-5003. Unsure if you have access to Best Doctors care and right treatment. Forarticle furthertoinformation, call Resources Resources Department. Department. asright an employee benefit? Take this your Human

It’s an incredibly powerful tool. And it’s completely independent. Doctors can never pay to get on our Best Doctors in America list, nor are they (or we) ever paid

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(800) you have access to Best Doctors Take the223-5003. time toUnsure get toifknow your family medical Resources Department. as an employee benefit? Take this article to your Human history — and make sure your doctor knows about it. Resources Department.

2/17/13 1:06 2/22/13 1:03 PM


CENTRAL VIRGINIA Pediatric Nephrology

Pediatric Specialist/ Neurology, Epilepsy

Tim O'Neil

Howard P. Goodkin

George T. Rowe

Charlottesville | 434-924-5401

Richmond | 804-754-3776

John M. Pellock

Mary Michael Schweiker

Richmond | 804-828-0442

Richmond | 804-358-4904

Pediatric Specialist/ Neurology, General

J. Mark Shreve

Lawrence D. Morton

Kara E. Somers

Richmond | 804-320-7139

John Barcia David Peter Chelmow

Garth Stevens, Jr. Richmond | 804-330-9303

Pediatric Anesthesiology

Charlottesville | 434-924-2096

Richmond | 804-828-4409

Richmond | 804-628-7337

Christian A. Chisholm Charlottesville | 434-924-3911

James T. Christmas Richmond | 804-289-4972

Stephen A. Cohen Richmond | 804-828-4409

Linda R. Duska Charlottesville | 434-924-1570

James E. (Jef) FergusonII Charlottesville | 434-924-9937

William Fitzhugh Richmond | 804-523-3712

Edward John Gill Richmond | 840-560-8950

Kathie L. Hullfish Charlottesville | 434-924-2103

Christine R. Isaacs

Ali R. Tabassian

Victor Baum

Richmond | 804-644-7478

Charlottesville | 434-982-3889

Orthopaedic Surgery

George D. Politis Charlottesville | 434-924-2283

William R. Beach

Gerald Thomas Albrecht

John Jane, Jr.

Richmond | 804-285-2300

Richmond | 804-285-1611

Charlottesville | 434-924-2203

James Browne

Arthur Garson, Jr.

Charlottesville | 434-243-0278

Charlottesville | 434-924-9119

Pediatric Orthopaedic Surgery

Abhinav (Bobby) Chhabra

D. Scott Lim

Mark F. Abel

Charlottesville | 434-982-4263

Charlottesville | 434-924-9119

Charlottesville | 434-982-4215

Gregory Gerard Degnan

G. Paul Matherne

Mark J. Romness

Charlottesville | 434-220-3727

Charlottesville | 434-924-9119

Charlottesville | 434-982-4214

David R. Diduch

Nancy L. McDaniel

Chester Sharps

Charlottesville | 434-243-7778

Charlottesville | 434-924-9119

Richmond | 804-285-2300

Harry C. Eschenroeder

Karen S. Rheuban

Amir Jazaeri

David M. Kahler

Richmond | 804-288-8900

Elizabeth H. Mandell Charlottesville | 434-249-1613

Susan C. Modesitt Charlottesville | 434-924-5197

Michael D. Moxley Charlottesville | 434-243-4570

Wade A. Neiman Lynchburg | 434-239-7890

Nan G. O'Connell Richmond | 804-560-8950

Thomas C. C. Peng Richmond | 804-828-4409

John G. Pierce, Jr. Richmond | 804-828-4409

JoAnn Pinkerton Charlottesville | 434-243-4720

Ronald M. Ramus Richmond | 804-828-8468

Fidelma Burke Rigby Richmond | 804-828-4409

John Seeds Richmond | 804-828-4409

Lisa R. Troyer Richmond | 804-288-4084

Randal J. West Richmond | 804-323-5040

Christopher D. Williams Charlottesville | 434-654-8520

Ophthalmology James L. Combs Richmond | 804-285-5300

Brian P. Conway Charlottesville | 866-431-3222

Sara A. Kaltreider Charlottesville | 434-244-8610

Peter A. Netland Charlottesville | 434-982-0854

Steven A. Newman

Charlottesville | 434-243-0236

Thomas P. Loughran Richmond | 804-828-0713

John F. Meyers Richmond | 804-285-2300

Mark D. Miller Charlottesville | 434-243-7778

Christopher I. Shaffrey Charlottesville | 434-924-2203

Hans R. Tuten Richmond | 804-285-2300

Otolaryngology Laurence DiNardo Richmond | 804-628-4368

George T. Hashisaki Charlottesville | 434-924-5700

Bradley William Kesser Charlottesville | 434-924-5700

Paul A. Levine Charlottesville | 434-924-5700

Stephen S. Park Charlottesville | 434-924-5700

Spencer C. Payne Charlottesville | 434-924-5700

James F. Reibel Charlottesville | 434-924-5700

Pathology Stacey E. Mills Charlottesville | 434-982-4406

James W. Patterson

Charlottesville | 434-924-9119

Pediatric Cardiovascular Anesthesia

Hans R. Tuten Richmond | 804-285-2300

Pediatric Plastic Surgery Kant Yuan-Kai Lin Charlottesville | 434-924-2528

Victor Baum Charlottesville | 434-982-3889

Pediatric Pulmonology

Pediatric Critical Care

H. Joel Schmidt

Charlottesville | 434-982-1707

Richmond | 804-282-0831

Bennett A. Alford

Frank T. Saulsbury

Stephen M. Borowitz

Pediatric Specialist/ Adolescent and Young Adult Medicine

Charlottesville | 434-924-1906

Richard R. Brookman Richmond | 804-828-9449

Kamar Godder Richmond | 804-828-9300

Pediatric Specialist/ Child and Adolescent Psychiatry Neil A. Sonenklar Richmond | 804-828-3137

Aradhana A. (Bella) Sood Richmond | 804-828-4371

Richmond | 804-828-9605

Benjamin W. Purow

Robert J. Boyle

Charlottesville | 434-924-5545

Charlottesville | 434-924-5429

Pediatric Infectious Disease

Karen Diane Fairchild

Stuart P. Adler

Karen Hendricks-Munoz

Pediatric Allergy and Immunology

Richmond | 804-828-1807

Richmond | 804-828-4526

Leigh B. Grossman

David Kaufman

Anne-Marie Irani

Charlottesville | 434-924-9141

Charlottesville | 434-924-5428

Ronald B. Turner

Robert A. Sinkin

Charlottesville | 434-924-9141

Charlottesville | 434-924-5428

Celeste N. Powers Richmond | 804-628-0142

Mark H. Stoler Charlottesville | 434-982-0284

Mark R. Wick

Gita Vasers Massey

Charlottesville | 434-243-6147

Richmond | 804-628-7337

William Grady Wilson Charlottesville | 434-924-2595

Pediatric Surgery Charles Bagwell Richmond | 804-828-3500

Jeffrey (Jeff) H. Haynes Richmond | 804-828-3500

Patricia Lange

Claudio Oiticica

Pediatric Gastroenterology

Charlottesville | 434-982-1930

Pediatric Specialist/ Pediatric Metabolic Diseases

Pediatric Radiology

Midlothian | 804-794-2821

Kimberly P. Dunsmore

Gary Tipton

Richmond | 804-288-9898

Charlottesville | 434-975-7700

Charlottesville | 434-924-5956

Pediatric HematologyOncology

Donald A. Taylor

Charlottesville | 434-924-5643

Harry L. Gewanter

Charlottesville | 434-924-5321

Richmond | 804-754-3776

Eugene D. McGahren

William L. Clarke

James L. Sutphen

Charles Vaden Terry

Charlottesville | 434-984-3854

Pearl Lee Yu

Pediatric Rheumatology

Richmond | 804-628-7337

Robert S. Rust, Jr.

Charlottesville | 434-924-5321

Pediatric Endocrinology

Martin Graham

Richmond | 804-320-1353

Richmond | 804-828-3500

Charlottesville | 434-924-9377

Charlottesville | 434-924-5321

Paul M. Strehler

Richmond | 804-828-0442

David A. Lanning

Pediatric Dermatology Hazel J. Vernon

John M. Pellock

W. Gerald Teague, Jr.

Douglas F. Willson Charlottesville | 434-982-1707

Midlothian | 804-739-6142

Richmond | 804-828-3500

Jeannean Carver

Richmond | 804-282-4205

Richmond | 804-828-0442

Richmond | 804-828-2982

Pediatric Specialist/ Neonatal-Perinatal Medicine

Charlottesville | 434-924-9169

Charlottesville | 434-924-5978

40

Charlottesville | 434-924-2096

Pediatric Cardiology

Richmond | 804-828-7069

Richmond | 804-560-8950

Charles M. Jones

Victoria F. Norwood Pediatric Neurological Surgery

Robert S. Adelaar

Lynchburg | 434-485-8500

Charlottesville | 434-243-9414

Timothy E. Bunchman

Richmond | 804-828-3500

Bradley Moreland Rodgers Charlottesville | 434-924-2673

Pediatric Urology Frank Raymond Cerniglia, Jr. Richmond | 804-272-2411

John D. Edmondson Richmond | 804-272-2411

Boyd H. Winslow Richmond | 804-272-2411

Pediatrics/General Bobby Arnold Archuleta Richmond | 804-320-7139

David L. Arkin Glen Allen | 804-282-4210

Sandra L. Bell Richmond | 804-231-0788

Peter P. Blakey Midlothian | 804-794-2821

Sandra L. Boisseau Richmond | 804-222-7744

Tracey Deal Richmond | 804-320-7139

Michael D. Dickens Charlottesville | 434-296-9161

Charlottesville | 434-924-5428

Gordon N. KellettII Richmond | 804-320-7161

Linda Meloy Richmond | 804-828-9338

Patricia D. Mulreany Midlothian | 804-794-2821

Mechanicsville | 804-559-0447

Edward James WileyIII Glen Allen | 804-282-4210

Physical Medicine and Rehabilitation Teodoro Castillo Richmond | 804-675-5000

David X. Cifu Richmond | 804-828-4231

Paul Diamond Charlottesville | 434-243-5622

Jeffery Ericksen Richmond | 804-675-5117

Lance L. Goetz Richmond | 804-675-5128

Gary Goldberg Richmond | 804-675-5000

William McKinley Richmond | 804-828-4097

Shane McNamee Richmond | 804-675-5117

Douglas A. Wayne Midlothian | 804-270-1305

Robert Phillips Wilder Charlottesville | 434-243-5600

Nathan David Zasler Richmond | 804-270-5484

Plastic Surgery Thomas J. Gampper Charlottesville | 434-924-5068

Wyndell H. Merritt Henrico | 804-282-2112

Stephen S. Park Charlottesville | 434-924-5700

Psychiatry Charles Bruce Greyson Charlottesville | 434-924-2281

Suzanne Holroyd Charlottesville | 434-243-4646

Bankole Johnson Charlottesville | 434-982-0394

James L. Levenson Richmond | 804-828-2000

Anand K. Pandurangi Richmond | 804-828-4570

Robert K. Schneider Richmond | 804-675-5116

Joel J. Silverman Richmond | 804-828-9156

V i rg i n i a L i v i n g | m e d i c i n e & w e ll n e ss 2 0 1 3

BEST DOCTORS_listings.indd 40

2/21/13 6:52 PM


CENTRAL VIRGINIA John Urbach

Cynthia Spaulding

Curtis W. Hayes

Richmond | 804-828-2000

Charlottesville | 434-654-8125

Richmond | 804-828-1900

Pulmonary Medi cine

Radiology

Daniel Anthony Henry

Michael Jeffrey Miller

Harry D. Bear

Richmond | 800-762-6161

Richmond | 804-346-1551

Richmond | 804-828-9325

Mary Elizabeth Jensen

George Moxley

Charlottesville | 434-924-9719

Richmond | 804-828-9341

Brian J. Kaplan

Alan H. Matsumoto

W. Neal Roberts

Alpha A. FowlerIII

Bennett A. Alford

Richmond | 804-828-2161

Charlottesville | 434-924-9377

C. Edward Rose

Mark W. Anderson

Charlottesville | 434-924-5219

Charlottesville | 434-924-9377

Jonathon D. Truwit

J. Fritz Angle

Charlottesville | 434-924-5219

Charlottesville | 434-924-9401

Norbert F. Voelkel

David G. Disler

Richmond | 804-828-2161

Richmond | 804-281-8237

Radiation Oncology Mitchell S. Anscher Richmond | 804-828-7232

Douglas Arthur Richmond | 804-828-7232

Laurie Cuttino Richmond | 804-287-4340

Avery Jennings Evans Charlottesville | 434-924-9719

Mark Steven Parker

Christopher M. Wise

Richmond | 804-628-3580

Richmond | 804-828-9341

Patrice K. Rehm

Surgery

Charlottesville | 434-924-9358

Wael Saad Charlottesville | 434-924-6259

Ann S. Fulcher Richmond | 804-828-6600

Ellen Shaw de Paredes Glen Allen | 804-523-2303

Spencer B. Gay Charlottesville | 434-924-2781

Mary Ann Turner Richmond | 804-828-3151

Robert Halvorsen Richmond | 804-828-3246

Rheumatology Donald L. Kimpel

Jennifer Harvey

Charlottesville | 434-243-0223

Michael Philip Hagan Richmond | 804-675-5105

Charlottesville | 434-243-2795

Richmond | 804-828-9341

Reid Barton Adams Charlottesville | 434-924-2839

John B. Hanks Charlottesville | 434-924-0376

Bruce D. Schirmer Charlottesville | 434-924-2104

Surgical Oncology Reid Barton Adams

Urology Elwood B. Boone, Jr.

Richmond | 804-828-3250

Craig Slingluff

Richmond | 804-354-6202

Alan D. Jenkins Charlottesville | 434-924-9556

Charlottesville | 434-924-1730

William R. Morgan Thoracic Surgery

Richmond | 804-288-0339

David R. Jones

William D. Steers

Charlottesville | 434-243-6443

Charlottesville | 434-924-9107

John Allen Kern

Vascular Surgery

Charlottesville | 434-982-4301

Irving L. Kron Charlottesville | 434-924-2158

Mohammed Abdul Quader Richmond | 804-675-5403

Bradley Moreland Rodgers

Kenneth J. Cherry, Jr. Charlottesville | 434-243-7052

Irving L. Kron Charlottesville | 434-924-2158

Gilbert Rivers Upchurch, Jr. Charlottesville | 434-243-6334

Charlottesville | 434-924-2673

Charlottesville | 434-924-2839

Charlottesville | 434-924-5194

northern VIRGINIA Allergy and Immunology

Suzanne Rogacz

James P. Jenkins

Fairfax | 703-849-8440

Vienna | 703-255-9100

Richard R. Rosenthal

Peter S. Ross

Samuel M. Jones

Fairfax | 703-573-4440

Fairfax | 703-849-8440

Fairfax | 703-391-2020

Anesthesiology

Harvey A. Rubenstein

Kevin J. Kelleher

McLean | 703-448-6010

Reston | 703-230-0347

S. Mark Tanen

Janice L. Keyes

McLean | 703-448-6010

Centreville | 703-631-0331

Family Medicine

Robert Kitchen

John T. Britton Falls Church | 703-776-3138

Cardiovascular Disease

Springfield | 703-922-1000

Kevin M. Rogan

Scott F. Bartram

Annandale | 703-698-6255

Falls Church | 703-237-7707

Alexander H. Krist Fairfax | 703-391-2020

Colon and Rectal Surgery

Susan Bienert

Donald B. Colvin

Susan H. Burroughs

Fairfax | 703-280-2841

Fairfax | 703-391-2020

Alexandria | 703-922-5577

Deborah I. Leavens Herndon | 703-481-1505

David D. Leonard Fairfax | 703-352-7100

Daniel Otchy Fairfax | 703-280-2841

William H. Carter, Jr. Centreville | 703-263-9600

Lora E. Mackie Ashburn | 571-252-6000

William Seid

Katherine J. Cole

McLean | 703-287-4620

Fairfax | 703-391-2020

Critical Care Medicine

Jason A. Cooper

Terence J. McCormally Fairfax | 703-391-2020

Herndon | 703-481-1505

Robert L. Bloom Annandale | 703-641-8616

Fairfax | 703-391-2020

Stephen L. Cornwell Alexandria | 703-647-4964

James P. Lamberti Annandale | 703-641-8616

Leesburg | 703-724-7530

Ellen Clarke Vaughey Matthew Williams Annandale | 703-641-8616

Dermatology William S. Sawchuk

Scott Nagell

Rebecca J. Davison Springfield | 703-359-7878

Annandale | 703-641-8616

Victoria L. Merkel

Amy Y. Nobu Burke | 703-978-4200

Thomas P. Ehrlich Fairfax | 703-391-2020

Lynn M. O'Brien Fairfax | 703-391-2020

Michael A. Filak Centreville | 703-263-9600

Julie F. Overholtzer Centreville | 703-263-9600

Edward M. Friedler Annandale | 703-941-0267

Vienna | 703-532-7211

Eugene W. Overton Fairfax | 703-385-6789

Andrew Harding Endocrinology and Metabolism

Reston | 703-834-1473

Philip R. Peacock Gainesville | 703-753-4999

Cynthia Horner Denise Armellini

Herndon | 703-481-1505

Arlington | 703-528-6616

Thomas M. Howard Frank R. Crantz McLean | 703-448-6010

Fairfax | 703-391-2020

W. James Pettit

Mercedes G. Quintos-Gomez

Martin G. Prosky

Annandale | 703-941-0267

Annandale | 703-876-0437

Janice E. Ragland

Richard Ranard

Herndon | 703-481-1505

Fairfax | 703-560-3510

Michele A. Romano

Geriatric Medicine

Reston | 703-435-2227

Joanne Gittleson Crantz

Bruce E. Lessin

Joanne Gittleson Crantz Fairfax | 703-560-8877

Lynne L. Fagan Fairfax | 703-352-0500

Michael A. Silverstein

Fairfax | 703-560-8877

McLean | 703-821-1677

Hand Surgery

Lewis Suskiewicz

Herndon | 703-481-1505

David A. Smith Manassas | 703-257-3000

Springfield | 703-642-5990

Stephen Pournaras Fairfax | 703-391-0111

Medical Genetics

Maura J. Sughrue Fairfax | 703-391-2020

Hepatology

Alessandro Ghidini Alexandria | 703-504-7868

John Patrick Tokarz

Vinod K. Rustgi

Alexandria | 703-647-4970

Fairfax | 703-698-9254

Alton G. Tucker

Zobair Younossi

Burke | 703-440-0107

Falls Church | 703-776-2540

Jeffry T. Waldman

Infectious Disease

Medical Oncology and Hematology Thomas P. Butler Arlington | 703-208-3155

David M. Dunning

Centreville | 703-263-9600

Arthur D. Chutuape Kevin M. Weaver Andrew E. Wise

William B. Ershler Robert P. Holman

Anne M. Favret Allan J. Morrison, Jr.

Fairfax | 703-280-5390

Annandale | 703-560-7900

Alexandria | 703-922-2034

Family Medicine/ Hospice and Palliative Medicine

Falls Church | 703-241-1010

Arlington | 703-276-7798

Alexandria | 703-922-0203

Brett A. Wohler

Fairfax | 703-280-5390

Lorton | 703-339-3524

Herndon | 703-481-1505

Anthony Felice Donald Poretz

Reston | 703-709-8205

Annandale | 703-560-7900

Arthur N. Kales Richard K. Sall

Fairfax | 703-280-5390

Fairfax | 703-758-2664

Henry S. Willner Falls Church | 703-538-2065

Daniel Katcher Mary E. Schmidt

Woodbridge | 703-897-5358

Annandale | 703-560-7900

Family Medicine/ Hospital Medicine

William P. McGuireIII Marsha Diane Soni

Falls Church | 703-776-6010

Fairfax | 703-758-2664

Gregory Orloff

Benjamin H. McIlwaine Leesburg | 703-858-6000

Stephen Weinroth Fairfax | 703-246-9560

Alexandria | 703-922-5577

Gastroenterology

Marc G. Plescia

Alan F. Ansher

Herndon | 703-481-1505

Internal Medicine

Alexandria | 703-751-5763

David A. Wheeler Annandale | 703-560-7900

Fairfax | 703-280-5390

Nicholas J. Robert Fairfax | 703-280-5390

Alexander Spira Fairfax | 703-280-5390

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northern VIRGINIA Nephrology

Ophthalmology

Robert D. Fildes

Daniel M. Berinstein

Fairfax | 703-970-2600

Fairfax | 703-698-9335

David Mahoney Fairfax | 703-961-0488

Pediatric Specialist/ Neonatal-Perinatal Medicine Pediatric Cardiac Surgery

Alan Edward Silk

Irving Shen Falls Church | 703-280-5858

Pediatric Specialist/ Neurology, Epilepsy

Pediatric Cardiology

Phillip L. Pearl

Jane Grayson

Fairfax | 703-569-8400

Alexandria | 703-504-7900

Richard H. Schwartz

Stella Hetelekidis

Vienna | 703-938-5555

Falls Church | 703-776-3731

Hope T. Scott

Samir Kanani

Reston | 703-435-3636

Falls Church | 703-776-3731

Andreas Sideridis

Glenn L. Tonnesen

Alexandria | 703-924-2100

Falls Church | 703-776-3731

Thomas Joseph Sullivan

Radiology

Fairfax | 703-391-3560

John P. EssepianIII Fairfax | 703-698-8880

Christopher N. Rossbach

Fairfax | 571-226-8380

Thomas A. Rakowski Arlington | 703-841-0707

Samir F. Shabshab

Mark D. Falls Vienna | 703-790-1780

Richard A. Garfinkel

Alexandria | 703-360-3100

Fairfax | 703-698-9335

Neurology

Michael Goldberg

Ruben Cintron Reston | 703-478-0440

Heidi Crayton Vienna | 703-226-4000

Robert Kurtzke Fairfax | 703-876-0800

Barbara J. Scherokman Fairfax | 703-383-5557

Linda S. Sigmund Fairfax | 703-876-0800

Stuart R. Stark Alexandria | 703-212-0700

Nuclear Medicine Eric H. Norby Annandale | 703-698-0666

Obstetrics and Gynecology Damian P. AlagiaIII McLean | 703-748-9880

Glenna R. Andersen Fairfax | 703-560-1611

Annette Bicher Annandale | 703-698-7100

Michael Di Mattina Arlington | 703-920-3890

John C. Elkas Annandale | 703-698-7100

Alessandro Ghidini Alexandria | 703-504-7868

Nicolette S. Horbach Annandale | 703-698-7100

Hans B. Krebs

Woodbridge | 703-670-4700

Kenneth M. Karlin McLean | 703-356-6880

Robert P. Murphy Fairfax | 703-698-9335

Michael H. Osman Sterling | 703-421-0931

Edward S. Parelhoff Springfield | 703-451-6111

William L. RichIII Fairfax | 703-620-2701

Michael B. Rivers Fairfax | 703-698-9335

Michael C. Tigani McLean | 703-356-5484

Manfred A. von Fricken Fairfax | 703-698-9335

Orthopaedic Surgery Chris Annunziata Arlington | 703-810-5215

Gordon L. Avery Arlington | 703-525-6100

Michael P. Cassidy Annandale | 703-560-9495

Eric J. Guidi Arlington | 703-525-2200

Steven Hughes Vienna | 703-810-5212

Frank A. Pettrone Arlington | 703-525-6100

Robert Stinger Annandale | 703-560-9495

Annandale | 703-698-7100

Otolaryngology

Darya Maanavi

Deborah Doyle

Fairfax | 703-560-1611

Fairfax | 703-383-8130

Raymond L. McCue

Theodore (Ted) Fetter

Manassas | 703-369-1969

Vienna | 703-356-1465

Rodney McLaren

Joshua P. Oppenheim

Fairfax | 703-359-2466

Falls Church | 703-536-2729

Barbara Nies

Pathology

Fairfax | 703-698-5350

Jane E. Piness Arlington | 703-717-4093

Sarah Poggi Alexandria | 703-504-7868

G. Scott Rose

Zachary Goodman Falls Church | 703-776-3441

I-Tien Yeh Arlington | 703-558-6554

Arlington | 703-717-4070

Pediatric Specialist/ Neurology, General

Pediatric Critical Care Bennett Lavenstein Kathleen M. Donnelly

Fairfax | 571-226-8380

Falls Church | 703-776-6652

Phillip L. Pearl Stephen R. Keller

Fairfax | 571-226-8380

Falls Church | 703-776-6053

Pediatric Surgery Michael G. Vish Falls Church | 703-776-6053

Allyson Ann Askew Annandale | 703-560-2236

Pediatric Dermatology Alexander Soutter Robert A. Silverman

Annandale | 703-560-2236

Fairfax | 703-641-0083

Pediatric Gastroenterology

Pediatrics/General Serene Barmada-Mazid Fairfax | 703-391-0900

Lynn Frances Duffy Fairfax | 571-226-5600

James R. Baugh Fairfax | 703-573-2432

Ian H. Leibowitz Fairfax | 571-226-5600

Gary J. Bergman Alexandria | 703-914-8989

Pediatric HematologyOncology

Laura Byrnes Fairfax | 703-391-0900

Jennifer Dean Falls Church | 703-531-3627

Christopher J. Lawlor Falls Church | 703-531-3627

Eva B. Perdahl-Wallace Falls Church | 703-531-3627

Pediatric Infectious Disease Daniel E. Keim Fairfax | 703-226-2280

Catherine S. Casey Arlington | 703-522-7300

Sandy Chung Fairfax | 703-391-0900

Thomas R. Crock Falls Church | 703-534-1000

Saleena Dakin

Fairfax | 703-573-2432

Robert D. Fildes

Physical Medicine and Rehabilitation Abraham A. Cherrick

Burke | 703-425-4435

Fairfax | 703-573-9220

Surgery John J. Moynihan Fairfax | 703-359-8640

Roger V. Gisolfi

William J. Purkert Fairfax | 703-573-6985

Alexandria | 703-664-7285

Plastic Surgery Deborah Doyle

Surgical Oncology Donald B. Colvin Fairfax | 703-280-2841

Fairfax | 703-383-8130

Gordon Hafner James H. French

Fairfax | 703-359-8640

Annandale | 703-560-2850

Psychiatry Catherine Crone

Hernan I. Vargas Fairfax | 703-359-8640

Thoracic Surgery

Falls Church | 703-776-3380

Robert William Johnson

Paul S. Massimiano Falls Church | 703-280-5858

Falls Church | 703-883-9033

Alan M. Speir William Licamele

Falls Church | 703-280-5858

Urology John Basile Fairfax | 703-876-0288

Michael E. Beall

Fairfax | 703-391-0900

Robert L. Bloom

Simon Chung Barry S. Dicicco Fairfax | 703-391-8804

Arlington | 703-522-7300

James P. Lamberti Annandale | 703-641-8616

Reston | 703-435-3636

Springfield | 703-451-6111

Martha W. Hogan Springfield | 703-569-8400

Falls Church | 703-534-3900

Nora D. Jose Alexandria | 703-360-0300

Glenna B. Winnie

Kathleen A. Kelly

Purcellville | 703-226-2290

Fairfax | 703-934-5840

Pediatric Sleep Medicine

Anne B. Kernan-Grunzke

Fairfax | 703-208-4200

Annandale | 703-641-8616

South Riding | 703-327-0075

Stephen Gary Harrison

Pediatric Pulmonology

Rheumatology

Arlington | 703-738-4336

Pulmonary Medicine

Arlington | 703-524-5777

David J. Seidman

Alexandria | 703-504-7950

M. Jack Wilkenfeld

Arlington | 703-558-6561

Diane E. Dubinsky

William D. Goldman

Edward S. Parelhoff

Arina van Breda

David J. Reese

Falls Church | 703-776-3626

John D. Farrell, Jr.

Melissa Kern

Fairfax | 703-698-4475

Neil Stahl

Reston | 703-435-3636

Fairfax | 703-970-2600

Pediatric Ophthalmology

David Spinosa

Pediatrics/Hospital Medicine

Pediatric Nephrology

Eric A. Libre Annandale | 703-641-8616

Thomas McCabe Annandale | 703-641-8616

Fairfax | 703-208-4200

Michael R. Hardy Annandale | 703-698-1856

Sunil V. Patel Fairfax | 703-876-0288

Vascular Surgery Dipankar Mukherjee Fairfax | 703-359-8640

Ellen Clarke Vaughey Annandale | 703-641-8616

Matthew Williams Annandale | 703-641-8616

Alexandria | 703-924-2100

Glenna B. Winnie Purcellville | 703-226-2290

Steven M. Zimmet Russell C. Libby

Arlington | 703-521-6662

Fairfax | 703-573-2432

Bernadette M. Murphy

McLean | 703-734-6927

Fairfax | 703-391-0900

Annandale | 703-698-7100

Samuel Weinstein

Thomas N. Wise

William Licamele

Jeffrey A. Welgoss

Fairfax | 703-391-0900

Anthony Di Paola

Ramesh I. Patel Fairfax | 571-766-3100

John Tsai

McLean | 703-734-6927

Pediatric Specialist/ Child and Adolescent Psychiatry

Falls Church | 703-241-1851

Lorton | 703-436-1215

Fairfax | 703-391-0900

Pediatric Anesthesiology

Annandale | 703-698-7100

Thomas W. Scott

Thomas Joel Hougen

Edward F. Morris Vienna | 703-938-2244

Radiation Oncology Gopal Bajaj Falls Church | 703-776-3731

Susan E. Boylan Woodbridge | 703-670-3349

William D. Ohriner Fairfax | 703-391-0900

Ashish K. Chawla Falls Church | 703-776-3731

Kathleen O. Parente Alexandria | 703-924-2100

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Cardiovascular Disease Michael Lenhart Abingdon | 276-258-3740

David C. Sane Roanoke | 540-982-8204

Colon and Rectal Surgery Christopher C. Baker Roanoke | 540-224-5170

Critical Care Medicine Christopher C. Baker

Vinton | 540-983-6700

Roanoke | 540-224-5170

Neurology

Endocrinology and Metabolism

Robert F. Saul

Carl H. Bivens, Jr.

James W. Schmidley

Roanoke | 540-344-3276

Roanoke | 540-224-5170

Family Medicine

Obstetrics and GynecoLogy

Robert L. Lazo Galax | 276-236-5181

W. Jefferson McCarter

Roanoke | 540-224-5170

Gina G. Davis Engel Waynesboro | 540-942-1200

Charles R. Drake, Jr.

Crista N. Warniment

Winchester | 540-667-6161

Winchester | 540-450-2706

Pediatric and Adolescent Gynecology Eduardo Lara-Torre Roanoke | 540-985-9910

Donna L. Musgrave Roanoke | 540-982-8881

Pediatric Cardiology Joelle D. Miller Roanoke | 540-224-4545

Galax | 276-236-8181

Endocrinology and Metabolism

Southern & Southwestern

E. Mark Watts

Pediatric Pulmonology

Radiology

James M. Sherman, Jr.

David R. Buck

Roanoke | 540-266-6012

Roanoke | 540-981-7377

Pediatrics/General

Surgery

Colleen A. Kraft

Christopher C. Baker

Roanoke | 540-985-8230

Roanoke | 540-224-5170

Psychiatry

Vascular Surgery

David B. Trinkle

Jesse Thornhill Davidson III

Roanoke | 540-981-7653

Roanoke | 540-283-6050

Shenandoah Valley

Internal Medicine Frederick H. Kozlowski Winchester | 540-662-6135

Family Medicine

Infectious Disease

Obstetrics and Gynecology

Charles Cole

John H. Armstrong

Leonard W. Aamodt

Afton | 540-456-6710

Winchester | 540-678-2800

Harrisonburg | 540-438-1314

Robert B. Thompson Fishersville | 540-213-7750

Pediatric Specialist/ Child and Adolescent Psychiatry

Harrisonburg | 877-743-6416

Eileen P. Ryan

Urology

Psychiatry Lawrence Joseph Conell

Ophthalmology James S. Tiedeman

Staunton | 540-332-2155

Fishersville | 540-213-7484

Sam D. Graham, Jr. Fishersville | 540-932-5926

Williamsburg & Tidewater Cardiovascular Disease

Marissa C. Galicia-Castillo

Sherry A. Scheib

Scott A. Robertson

Norfolk | 757-446-7040

Norfolk | 757-252-9350

Norfolk | 757-889-5351

Critical Care Medicine William Cooper

William N. Hovland Norfolk | 757-889-2006

Robert J. Newman

Virginia Beach | 757-481-2515

Norfolk | 757-446-5955

Michael Stewart Eggert

Robert M. Palmer

Norfolk | 757-388-6115

Carlos Silva Norfolk | 757-889-6677

Dermatology David H. McDaniel Virginia Beach | 757-437-8900

Douglas L. Nelson Newport News | 757-873-0161

Norfolk | 757-446-7040

Geriatric Medicine/ Hospice and Palliative Medicine

Ann Chinnis Kilmarnock | 804-435-8545

Endocrinology and Metabolism Jerry L. Nadler Norfolk | 757-446-5908

Aaron I. Vinik Norfolk | 757-446-5067

George C. Coleman, Sr.

Neurological Surgery Ran Vijai P. Singh Norfolk | 757-622-5325

Neurology Norfolk | 877-310-8713

Hand Surgery

Obstetrics and Gynecology

Lawrence B. Colen Joan H. Rose Virginia Beach | 757-499-6400

Infectious Disease Rodrigo Romulo Norfolk | 757-455-9036

John C. Schaefer Norfolk | 757-455-9036

John Conrad Schwab Norfolk | 757-455-9036

J. Croteau

Gregg R. Clifford

Virginia Beach | 757-395-2550

Norfolk | 757-252-9250

Robert B. Laibstain

Julie Damman Norfolk | 757-252-9312

Mark C. Flemmer

Virginia Beach | 757-563-2800

Norfolk | 757-446-8920

Robert J. Newman

William N. Hovland

Norfolk | 757-446-5955

Norfolk | 757-889-2006

Cynthia C. Romero

Glenn C. Jones

Virginia Beach | 757-420-9251

Norfolk | 757-252-9282

Geriatric Medicine

Charles Alan Lisner

Alfred Z. Abuhamad Norfolk | 757-446-7900

Jon Lee Crockford Norfolk | 757-466-6350

Bonnie J. Dattel

Williamsburg | 757-220-4751

Louis J. Croteau Virginia Beach | 757-395-2550

Jonathan Mann

Norfolk | 757-446-8920

Norfolk | 757-461-6342

Joel Lall-Trail

Plastic Surgery

Norfolk | 757-461-1444

John Kalafsky Norfolk | 757-623-0526

Daniel Karakla Norfolk | 757-388-6200

Stephanie A. Moody Antonio Norfolk | 757-388-6200

Michael Shroyer

Lawrence B. Colen Pediatric Otolaryngology

Norfolk | 757-466-1000

David H. Darrow

Norfolk | 757-466-1000

Norfolk | 757-668-9327

Craig S. Derkay Norfolk | 757-668-9327

Norfolk | 757-623-0526

Pediatric Pulmonology

John Sinacori

David Kushner

Norfolk | 757-388-6200

Barry Strasnick Norfolk | 757-388-6200

Denton D. Weiss Virginia Beach | 757-490-7545

Virginia Beach | 757-466-0089

Pediatric Specialist/ Abused Children Michelle Clayton Norfolk | 757-668-6100

Pathology

Margarita de Veciana

Antoinette F. Hood

Norfolk | 757-446-7900

Norfolk | 757-446-5629

Jeff C. Hammer

Pediatric Cardiology

Pediatric Specialist/ Neurology, General

John H. Reed

L. Matthew Frank

Chesapeake | 757-547-2322

William P. Irvin, Jr. Newport News | 757-594-4198

Holly Puritz Norfolk | 757-466-6350

Steven L. Warsof Virginia Beach | 757-689-5104

Charles Wilkes

Elliot M. Tucker

Pediatric Surgery

Norfolk | 757-668-7213

Pediatric Critical Care Christopher Foley Norfolk | 757-668-7331

Ophthalmology

Judith V. Williams

Virginia Beach | 757-227-6340

David Salib Norfolk | 757-622-2200

Stephen V. Scoper Norfolk | 757-622-2200

John Sheppard Norfol | 757-622-2200

Norfolk | 757-668-6100

Norfolk | 757-668-7214

Pediatric Dermatology

Marcia Carney

Suzanne Starling

Norfolk | 757-668-9920

Norfolk | 757-461-3890

Norfolk | 757-252-9010

Thomas J. Manser

Joseph K. Han Norfolk | 757-388-6200

Robert John Obermeyer Norfolk | 757-668-7703

Pediatrics/General

Robert A. Fink

Norfolk | 757-668-7243

Virginia Beach | 757-490-7545

Pulmonary Medicine Michael Stewart Eggert Norfolk | 757-388-6115

Carlos Silva Norfolk | 757-889-6677

Radiation Oncology Tyvin Andrew Rich Hampton | 757-251-6800

Rheumatology A. Russell Dunnington Virginia Beach | 757-491-7359

Christopher A. Hakim Williamsburg | 757-220-8579

Gary R. Siegel Virginia Beach | 757-491-7359

Surgical Oncology Aaron D. Bleznak Norfolk | 757-261-5000

Fredric N. Fink

Pediatric Hematology-Oncology

Eric Werner

Denton D. Weiss

Norfolk | 757-668-7400

Norfolk | 757-461-6342

Anthony D. Villella

Theodore W. Uroskie, Jr.

Michelle Brenner

Norfolk | 757-668-8922

Norfolk | 757-668-7185

Patricia M. Strauss

Pediatric Ophthalmology

Norfolk | 757-446-7900

Norfolk | 757-252-9300

Kyle R. Allen

Otolaryngology

Norfolk | 757-252-9344

Norfolk | 757-446-7040

Waverly | 804-834-8871

Mitchell B. Miller

Mark Weisman

Richard Zweifler

Internal Medicine

Chesapeake | 757-420-8297

Norfolk | 757-252-9050

Marissa C. Galicia-Castillo

Norfolk | 757-466-1000

Emergency Medicine

S. Keith Sutton

Norfolk | 757-461-6342

Barbara Lyons Kahler Kilmarnock | 804-435-1152

Glenda S. Karp Norfolk | 757-668-6500

Amy D. Riccio Norfolk | 757-668-6500

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by

Sabra Morris

BULGE Battle of the

When it comes to healthy living,

Fairfax County leads the state.

W

When Gene Proctor of Annandale went in for his annual check-up at age 56, he received some unwelcome news: He had high cholesterol. His doctor wrote out a prescription for Lipitor and handed it to him. “I told her I wasn’t going to take medicine,” Proctor says. “She said, ‘Well, you’d better find something to do with this high cholesterol then.’” Fortunately for Proctor, it was easy to find something to improve his level of fitness in Fairfax. Last year, for the third year in a row, the Robert Wood Johnson/University of Wisconsin Public Health Institute County Health Rankings Study named Fairfax Virginia’s healthiest county. Proctor joined a training program affiliated with the Metro Run & Walk fitness apparel shop in Springfield and started running. Within a year, he had lowered his cholesterol from 230 to 180 and had dropped 60 pounds. He never filled the prescription—and gladly handed it back to his doctor at his next physical. Stories like Proctor’s aren’t unusual in Fairfax County, where more and more people are seeking healthy lifestyles. “This community is very aware of its health and keeping healthy,” says Gerald L. Gordon, president and CEO of the Economic Development Authority of Fairfax County, who holds a doctorate in international economics. “You’ll find gyms and trails and parks because there’s a demand for it.” Fairfax County’s park system is one of the best in the country. Its Park Authority is a three-time winner of the National Gold Medal from the American Academy of Park and Recreation Administration (AAPRA) and the National Recreation and Park Association (NRPA). Since only 15 to 20 percent of the parkland’s 24,000 acres are developed, the “rest of it is just nature you can access,” says Sandra Stallman, manager of park planning for the Park Authority. “We think there are spiritual and physical benefits to being outdoors ... to finding one’s place in the natural world.” On a cool and cloudy Sunday morning visit to Burke Lake Park, I find several residents “tackling the nature deficit,” as Stallman calls it, in lots of different ways. Sixteen-year-old high school crosscountry racer Louis Colson of Alexandria has run 11 miles. I see a man out for a leisurely stroll and a dad hiking the trail around Burke Lake with his two young children. I also chat with Anne

il lustr ation by dav id hol l en bach

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Johnston and John Greenlee of Fairfax Station. They have walked at Burke Lake Park almost daily for 2 ½ years. Both are in their 50s and have seen their overall health and wellbeing improve dramatically as a result. “This park is heavily wooded. It’s beautiful,” says a bundled-up Greenlee, donning iPod headphones clipped to the front of his jacket. “The wildlife is really attractive. We see heron, bald eagles periodically, ducks, chipmunks, geese, red-wing blackbirds—that’s always a thrill. We saw a woodpecker this morning.” “The fresh air and sunshine is healthy, and a lot of people forget that you can’t get that in a gym or in your aerobics class,” says Johnston, armed with light hand weights and a bright smile. Both she and Greenlee are flushed and cheerful, despite the cold. “We also get a lot out of seeing other people out here and saying hello. It’s social.” The parks aren’t the only place in Fairfax where one can blend exercise with social life. A large number of residents who enjoy this combo also play in the Fairfax Adult Softball (FAS) program, the largest Amateur Softball Association registered program in Virginia. A fixture in Fairfax County for more than 30 years, FAS has more than 900 teams that play seven nights per week during the season, which runs from April 1 to October 31. “We have a league for every skill set there is, and we even have social teams,” says Fairfax Adult Softball League representative Christine Idip, who plays first base for a co-ed division team and met her husband playing softball with FAS. In addition to men’s and women’s leagues, FAS offers church, corporate, masters (age 35+) and seniors (age 50+) leagues. But for those who prefer to sweat it out indoors, Fairfax County is gym central. It is home to a wide array of gyms and an increasing number of boutique-fitness options such as yoga, Pilates and kickboxing. “The trend in the industry is moving toward specialty-type gyms,” says Sam Heaps, co-owner of Title Boxing in Springfield. “Our classes run at high-intensity. People are getting results, and they don’t even have to think about it. They just have to show up.” On a recent visit, I find siblings Eisha, 13, Akash, 17, and Jai Sharma, 16, of

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Springfield trying their first Title Boxing class. The 60-minute workout never lets up: Remixed versions of popular songs pulse while participants do a dynamic series of punch-kick combinations called out by an instructor, sandwiched between intervals of running in place, jumping jacks and push-ups. Fifteen minutes of core exercises—some done with a medicine ball—round out the workout. A variety of ages attend the class, but everyone, no matter the fitness level, is winded. I’m at the punching bag next to 14-year-old Anna King. We power through the workout with the occasional chat and smile. But it’s tough. We wear our sweat like badges of honor. “It gives me a lot of stamina,” says King, who also runs cross-country and track. “I don’t like to stay still, so this is perfect for me.” The Sharma siblings had a good workout, too. After the class, they sign up for a membership. They, along with King, will definitely be back. Even for the most dedicated of exercisers among us, ennui can set in over time. (What runner or cyclist hasn’t reached the end of the iPod playlist with no companion in sight and miles still to go?) The Barre Method classes offered at Studio Be Pilates in Fairfax Corner are designed to provide the antidote: an intense, boredom-beating workout. The studio opened in 2005 and serves all of Fairfax County with Pilates equipment and mat classes. Owner Carla Vercoe, who bought the studio in 2008, says her clients range in age from 13 all the way up to their 70s. Each Barre Method workout combines ballet, Pilates, calisthenics and yoga to the backdrop of a disco beat. There are no tutus or genteel piano accompaniments in this class— no gliding across the floor like I remember in the nine years of classical ballet classes I took as a kid. Instead, dutiful students perform quick dance, Pilates and core movements called out by an instructor. When our hour is up, I’m surprisingly energized, though every muscle seems to be shaking. I can’t help but wonder, ‘Wasn’t this much easier when I was younger?’ Maybe the solution is to go to more barre classes, I think, as I chat with Jennifer Enga, a 38-year-old mom of two, from Chantilly. She doesn’t look a day over 31. Enga takes regular Pilates and barre classes at Studio Be with her sister-in-law. “We do class once a week. It’s a fitness thing, it’s a social thing, and it’s good!” she says. “My sister-in-law and a friend of ours chat (sometimes too much) during class. And we usually have lunch afterward, so it’s a great combo.” But it’s not all about exercise in Fairfax County. As residents have become more aware of staying in shape, they have also grown more attuned to fueling their bodies. Consumer demand has led to increased access to healthy food choices in the area, says Elizabeth Dicks, owner of Healthway Natural Foods, a family-owned business serving Fairfax County for 33 years. “It’s like country music,” Dicks laughs. “I was doing it before it was cool.” Indeed, Healthway’s Alexandria location features items that could once only be found in specialty stores: local varieties of dark wildflower or light clover honey (you can dispense your own), herbs, spices and grains in bulk, organic dairy and eggs and gluten-free pastas and baked goods. There is powdered plant protein, an aisle devoted to natural supplements and a homeopathic wall with capsules containing natural remedies organized by ailment. Nowadays, Dicks has competition from Whole Foods, as well as from larger, more mainstream chains like Giant, which has increased its natural and organic food selection. “There’s more exposure than ever before, and that’s because of the growing interest,” says Dicks. “As more people become aware that what you eat is what you are, they find there are more places to get these things.” Corresponding with this desire for high-quality food, the locavore movement has made farmers’ markets popular in Fairfax County, as it has elsewhere. “People are starting to recognize the difference in both nutrition and taste buying from the farmers’ market,” says Mae Carroll, coordinator for the Fairfax County Farmers Markets. In addition to the many independentlyowned and -operated farmers’ markets, the county runs 11 others for a total of 76 vendors. From May to November each year, customers can buy fresh produce, eggs, meats, cut flowers, artisan breads and cheeses, fresh-baked pastries and more from these local foodie havens. “In the past five or six years, the overall knowledge of our customers has gone up,” says Carroll. “They really know what to ask .… questions about how the cattle are kept for our meat vendors or how the dairy cows are milked for

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medical facility in Tysons Corner this past August and was also recognized our creameries …. or what kinds of pesticides and herbicides are used on the as a top performer nationally in Consumer Reports magazine’s 2012 annual fields for our produce vendors.” report on quality health plans nationwide. Perhaps the most wonderful part of the experience, however, is the But keen to be certain that everything done to support the health of all teachable moments farmers’ markets provide for Fairfax County’s youngest of the county’s residents, including the three and a half percent who live in residents. “Whether it’s the nanny or the grandmother or the mom or poverty, according to Dr. Gloria Addo-Ayensu, the county’s director of health, the dad, they bring the kids out, and the kids get excited about eating the the community-based Partnership For a Healthier Fairfax is conducting broccoflower or the dinosaur kale or the vegetables that other kids might not a strategic planning process. Mobilizing for Action through Planning and want to eat. You can literally see a 5-year-old get excited about broccoli,” says Partnerships (MAPP) is aimed at identifying Fairfax County’s public-health Carroll. issues and developing ways to address them. The Partnership wants to Like exercise and food choices, health care options in Fairfax County improve access to health care and to help the current health care workforce have evolved and expanded too, with consumers increasingly embracing respond to the county’s changing socioeconomic and cultural demographic. alternative treatments. John Grimsley, 71, a tall, trim Sean Connery lookIt is also working toward new strategies for improving access to healthy alike, began coming to Serendipity Wellness Studio in Burke for regular resources like recreational areas for exercise and better food options. therapeutic massage as part of a treatment plan after two automobile “We’re trying to very systematically identify what’s in place, where the accidents and continued coming afterwards. “I felt a lot better [after the treatment period ended], and I am more flexible than I used to be,” he says. “Most of our clients are the proactive type,” says Jennifer Ferdinand, 41, the studio’s owner. “They’re trying to take care of themselves to stay out of the doctor’s office.” Standing at just five feet tall and cutting a slight figure, she’s hardly overpowering. Yet, Ferdinand’s work on the massage table has a powerful effect, according to Grimsley. He now comes for regular massage twice a month, and credits the massage therapy for helping him heal and promoting his overall wellness. “Massage helps improve the way your body functions,” says Ferdinand. “It improves lymphatic flow. It improves blood flow and helps reset your system. It allows your body to rebuild.” Pregnancy massage and isometric muscle balancing services are also on Ferdinand’s menu, as are Shiatsu, Thai and Lavashell massage. In addition, Ferdinand integrates holistic wellness coaching into her practice, highlighting diet changes, exercise and other lifestyle issues. Holistic, preventive treatments, such as those offered at Serendipity, have more and more become part of the mainstream when it comes to healthy living in Fairfax County. This change reflects a shift in national thought that’s just now beginning to take shape. “For a long time, the conversation has focused only on health care,” says Angela Russell, community engagement lead for the Robert Wood Johnson/University of Wisconsin study. gaps are and how we can address those gaps,” says Partnership co-chair Julie “While we know that health care is very important, our research shows that Knight. “We are very fortunate in Fairfax. We have a lot of good things going most of what affects our health actually occurs outside of the doctor’s office.” on. But we’re such a large community that there are pockets where people Programs offered through Kaiser Permanente and Inova, two prominent might fall through the cracks or where we’re not as efficient.” players in the county’s health care system, reflect the change in view from Back out on the trail, Gene Proctor leads a group of runners from the Metro medical care as a treatment-only endeavor to one of comprehensive, totalRun & Walk distance running group on a one-mile uphill jog. The group, wellness support. Both hospital systems offer educational classes on healthy which includes a mix of men and women ranging in age from their 30s to their living, such as smoking cessation, diabetes care and even emotional health, 60s, has already finished a four-mile loop around Lake Accotink, and everyone and they’re making them convenient to consumers. “We’re taking the educais tired. Proctor, however, shows no signs of slowing down. He’s ahead of the tion to schools, to community centers and to employers,” says Jeff Carr, corpack, calling from the front, challenging the others to get to the top. porate and consumer services growth officer at Inova. Now, at age 64, Proctor still runs an average of 30 miles per week. When it comes to treatment, both entities also feature premier In his eight years as a runner, he has finished two marathons, facilities in the Fairfax County area. Kaiser Permanente has 10 half marathons and a peppering of fun runs in between. 10 medical centers and six specialty centers, and supports When you meet Proctor, you instantly realize that 186,000 members in Northern Virginia. Inova Fairfax Find it Here his health improvements are born of some serious Hospital was named Best Nationally Ranked Hospital motivation and sparked by an inner fire. But they’re in the Washington, D.C., Metro area and #2 in the For a list of Fairfax County farmers’ markets, also supported by the fitness groups, food stores state of Virginia in 2012-2013 by U.S. News and locations and hours of operation, visit and markets, medical facilities and independent World Report. Inova Fairfax is also in the middle FairfaxCounty.gov/parks/wp-farm-mkt.htm businesses that are meeting the demand in the of an $850 million expansion, begun in 2010, region for healthier living. that will include an 11-story medical/surgical To discover Fairfax County’s parks, recreational Proctor is grateful for that support. His outlook tower and a 12-story replacement tower for the opportunities and fitness centers, visit is pretty good, too. women’s and children’s hospitals. Inova Fair FairfaxCounty.gov/living/parks He says when he lost the weight, “My doctor’s Oaks Hospital was selected as a Top Hospital in reaction was, ‘Let’s see how long you can keep it 2012 by the nonprofit Leapfrog Group and will Read about the Partnership for a Healthier Fairfax off.’ It’s been four years now. I think that qualifies debut a new cancer center in 2013. at FairfaxCounty.gov/livehealthy as a lifestyle change.” Kaiser just opened a new state-of-the-art For more on the County Health Rankings Study, go to CountyHealthRankings.org v i rg i n i a l i v i n g | m e d i c i n e & w e l l n e ss 2 0 1 3

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Mind over by Mary Burruss

No longer just New Age, contemplative practices are gaining a foothold in preventive health care.

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photography previous page and bottom left by Sherry Van Dyke, ©Satchidananda Ashram, Yogaville 2012. left by Satchidananda Ashram Photo Department

Above: The sanctuary of the Light of Truth Universal Shrine at Yogaville. Left: Swami Satchidananda with the shrine in the background.

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In the dimly lit sanctuary in the Light of Truth Universal Shrine (LOTUS) at Yogaville, an ashram on 600 acres in rural Buckingham County founded in 1986 by the late Swami Satchidananda, light beams upward from 12 altars—each representing a brand of spiritual faith—and converge into one over a central altar. “Truth is one,” says LOTUS Director Swami Dayananda, her voice skating across the dome in a soft echo, “paths are many.” I have come to this ecumenical structure whose painted dome gives it the outer appearance of a giant, pink lotus flower (an ancient symbol of spiritual revelation) to meditate, a daily noon ritual in the shrine. And I am not alone. More than 4,000 visitors from all over the world come to Yogaville for workshops, personal retreats and training each year, and nearly 200 permanent residents live in homes surrounding the retreat, which is set between the flat farmland extending eastward and the wavy wisp of azure that is the Blue Ridge Mountains to the west. Yoga, and the larger study of mindfulness—the calm observance of one’s physical, mental, emotional and spiritual sensations—is flourishing in Central Virginia. In addition to Yogaville, the University of Virginia’s new Contemplative Sciences Center and the Chinabased Arura Tibetan Medical Group, which plans to build a center in Charlottesville devoted to teaching Tibetan medicine, along with physicians who are combining Western and yogic medical techniques, are making the region a locus for the study of contemplative practices. Once considered only the ambit of the alternative-minded, these practices are increasingly becoming a significant part of the discussion surrounding the future of preventive medicine.

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photography top right courtesy Dilip Sarka; bottom right by Sherry Van Dyke, ©Satchidananda Ashram, Yogaville 2012bottom left by Sherry Van Dyke, ©Satchidananda Ashram, Yogaville 2012

Following a heart attack and open-heart surgery in 2001, cardiovascular surgeon Dr. Dilip Sarkar, 63, who is today executive director of the School of Integrative Medicine, Taksha Institute in Hampton, discovered the salutary effects of yoga. “I was already living a healthy lifestyle, the picture of health with good diet and exercise before my surgery,” he explains over a dish of Kerala-style seafood curry at Lehja, an Indian restaurant in Richmond. “My cardiologist did not know what to treat.” With no vices to eliminate, Sarkar, who had practiced medicine for 30 years, was prescribed a slew of drugs to prevent progression of heart disease. Frustrated by the lack of treatment available for his condition, he took a friend’s suggestion to visit a specialist in Ayurveda, the yogic wisdom of longevity and the healing branch of yoga. Though Sarkar is from India, he was trained in Western medicine and healing philosophy: Ayurveda and the 5,000year old yogic tradition were new concepts for him. “I was transformed completely,” says Sarkar, from the moment he met Ayurveda guru Vijaya Stallings, executive director of Taksha Ayurveda Institute in Hampton. Sarkar, who looks decades younger than his actual age, became a certified Ayurvedic practitioner and slowly began practicing yoga. Over time, he began to actually reverse his heart disease and eventually was able to stop all medication. “My medical check-ups were getting better, and the physicians kept asking me to share what I was doing to gain such improvements,” he says. In addition to feeling more energetic, Sarkar’s cardiac stress tests and profusion “My medical scans showed improvement in the blood supply to the check-ups were heart. He began to lecture on his experiences and is now recognized as an international expert in yoga as a preventive getting better, and medicine and in the combining of Western and yogic medical practices for optimal health. the physicians “What we are finding out is that practicing yoga, espekept asking me to cially when you practice a yoga lifestyle, triggers a relaxing response that is very effective in preventing and treating share what I was chronic diseases,” Sarkar says. Prolonged stress, poor diet, lack of physical activity and overwork cause the immune doing to gain such system to be suppressed, making the body vulnerable to improvements.” diseases, including hypertension, heart disease and diabetes, explains Sarkar. Yoga’s relaxation response can—as in Sarkar’s case—actually reverse disease. Sarkar currently serves on the board of directors for both the American Heart Association and the International Association of Yoga Therapists and is a member of the National Ayurvedic Medical Association, in addition to many other medical, yogic and cultural organizations. “I am a living example of how yoga works,” he says. “Yoga is more than asana, the practice of the physical poses. It is a way of living,” says 60-year-old Nora Vimala Pozzi, director of the Integral Yoga Center in Richmond. Pozzi also operates YogaHelps (an Integral Yoga Center founded in 1981 in Richmond), teaches internationally and led the way in introducing River City residents to the overall health benefits of yoga. “The goal of yoga is to still the mind,” says the small woman with the big personality and Argentinian accent. She teaches classes in Integral Hatha Yoga, (a gentle style of sequential yoga asana that includes chanting, pranayama or breathing, relaxation and meditation), yoga therapy and Raja yoga (yoga philosophy) in addition to training new Integral Yoga teachers. In her calm voice, Pozzi explains, “More and more, people are wanting to understand how yoga can help balance the mind and body.” She is part of a group of mindfulness practitioners and psychologists who are promoting yoga therapy as a complement to psychotherapy. “Our life stories, including emotions, are stored in our bodies, but they get buried in our unconscious mind even though they still have an impact in our lives, habits and life choices,” Pozzi explains. “This type of yoga therapy empowers a person to change by bringing awareness to what is happening—in the body and mind—in any given moment while Top: Dr. Dilip Sarkar. Bottom: Yoga therapy empowers a person to change the client is supported in a particular traditional yoga pose.” by bringing awareness to what is happening in the body and mind while Secular scholars at the University of Virginia have also taken up the supported in a particular traditional yoga pose. study of yoga. Last spring, the university announced plans for its Con-

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Clockwise from left: Nora Vimala Pozzi teaches a class at the Integral Yoga Center in Richmond; a student of Hatha yoga at Yogaville; Phuntsog Wangmo, director of the School of Tibetan Medicine, Shang Shung Institute, speaking at the Symposium on Tibetan Medicine in Charlottesville last year.

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photography bottom left by adam ewing; top left by Sherry Van Dyke, ©Satchidananda Ashram, Yogaville 2012; center by Zoe Krylova

templative Sciences Center (CSC), which has been endowed with a $12 million gift from billionaire Paul Tudor Jones, founder of the Greenwich, Connecticut-based Tudor Investment Corporation and a 1976 UVA graduate. His wife, Sonia, is another believer in the health benefits of yoga. She is a devotee of Ashtanga Yoga, a brand of physically challenging yoga popularized by the late Indian guru Pattabhi Jois that requires rigorous regular practice up to six days a week to perfect its gravity-defying balancing poses and pretzel-like twists and bends. “The purpose of the center is to bring together a humanistic and scientific method of research focusing on contemplative practice,” says head of the CSC John Campbell, who began studying under Jois in the early 1990s and is one of the few people in the world sanctioned by him to teach his version of yoga. Slender and well-spoken, Campbell, who holds a doctorate from Columbia University and wrote his dissertation on Indian and Tibetan Tantric systems, says the center—an interdisciplinary collaboration across the university that is part of UVA’s Tibet Center—will study the benefits of contemplative practices and yoga and integrate them into the school’s academic programs. Can contemplative practices help women suffering from major depression and reduce seizure frequency among epilepsy patients? And what can be learned from the brain scans of those engaged in deep meditation? What are the commonalities between athletes and artists who use visualization or breathing techniques to maximize performance and advanced meditation? In an article published last April on UVAToday.org, the university’s online daily news site, David Germano, a professor of religious studies who will help lead the center, said these are examples of the kind of research that the CSC will be involved in. The university has already incorporated mindfulness practices in the schools of nursing, medicine, education and psychology. “The Curry School of Education has been offering sessions in mindfulness and yoga to students and faculty each semester for the past three years on a voluntary basis with the goal of providing resiliency tools for those working in high stress jobs in pre-K-12 education,” says Senior Associate Dean Rebecca Kneedler. In partnership with the CSC and the nursing school, they plan to introduce these approaches, including meditation and pranayama into the curriculum for teacher preparation in 2013. Says Kneedler, “There is compelling evidence to support increased learning when teachers bring

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photography this page: top left and right by Sherry Van Dyke, ©Satchidananda Ashram, Yogaville 2012; bottom: dorrie fontaine, courtesy uva school of nursing

“We are part of the

contemplation activities into their classrooms.” larger discussion But it is UVA’s School of Medicine going on about that may have presaged the mindfulness trend in health care when it started mindfulness in its Mindfulness Center 15 years ago to help medical patients and staff learn ways health care: Today, to deal with stress. In 1993, the school things that once had of nursing established its Center for the Study of Complementary and Alternative a New Age Therapies (CSCAT) and, more recently, whiff are getting a launched its new Compassionate Care Initiative—an all-volunteer group of roughly second, much 60 nurses, physicians and others who are learning new techniques for improving more serious look.” their compassion as caregivers. Says Dorrie Fontaine, dean of the nursing school, “We are part of the larger discussion going on about mindfulness in health care: Today, things that once had a New Age whiff are getting a second, much more serious look.” This work and the success of Yogaville have attracted other mindfulness groups into this orbit of study and practice, including the Arura Tibetan Medical Group, a partnership of leaders from the Tso-Ngon University Tibetan Medical College in the Qinghai Province of China. Arura has chosen the Charlottesville area to build its Tibetan Medical and Cultural Center. Its visitors will be able to study Tibetan medicine and traditions, as well as receive treatment by Tibetan medical practitioners. (Tibetan medicine, which dates back 6,000 years or more depending on the source, represents the integration of medical science with Buddhist philosophy.) “We are currently looking for land in or near Charlottesville because of the Tibetan Studies program [at UVA] and because it is beautiful and easy to get to and from Washington and other big cities,” says Gyaltsen Sangpo Druknya, president of Arura Medicine of Tibet, a Charlottesville nonprofit organization that is supported by the Arura Tibetan Medical Group. Druknya, a hairdresser and owner of Salon Druknya on Charlottesville’s Downtown Mall who was born in Amdo in the northeast corner of the Tibetan plateau, dedicates all his spare time and money to bringing the “mindfulness part of medicine” to America. Pending a land purchase, the organization hopes to begin building the center, which is being designed by architecture students at UVA, in the next three years. Costs for the project have not yet been determined. Last October, Druknya partnered with the UVA School of Nursing, the CSC, the Tibetan Center and the Arura Tibetan Medical Group and Tibetan Center to organize a symposium on Tibetan medicine and meditation that attracted medical and mindfulness professionals from around the world to

Clockwise from above left: Swami Dayananda in the kitchen at Yogaville; farm stand at Yogaville; Dorrie Fontaine, dean of UVA's School of Nursing.

Virginia, demonstrating the enormous potential for collaboration between these organizations. It was at the symposium that UVA announced its plans for the CSC. It is because of this increased attention to mindfulness in American medical care that His Holiness The Dalai Lama, spiritual leader of Tibetan Buddhism and winner of the 1989 Nobel Peace Prize, made a side trip during an October 2012 visit to the U.S. to give two talks in Charlottesville and one at the College of William and Mary about ethics, compassionate care and 21st-century medicine. “The visit by the Dalai Lama brought the medical community at UVA closer together in what we know we can offer our patients and families—true compassion, kindness and caring,” notes the nursing school’s Fontaine. Back in the sanctuary of the LOTUS temple, the noon bell rings, signaling the beginning of the 30-minute meditation. Before I slip into a peaceful, thoughtless bliss, I notice the intersecting lights at the top of the dome that represent yoga’s message of whole health—mind, body and spirit—and a feeling of peace washes over me. What could be better medicine than that? UVAContemplation.org Yogaville.org AruraMT.org

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Finish Line

A Bang-up knee job in Bangkok Medical tourism is not for the faint of heart. B Y T r i c i a P e a r s a l l | i l l u s t r a t i o n by M e g a n M u l l s t e f f

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ay before the advent of globalization and buy-anything-online, I remember when medical tourism meant going over the border to North Carolina for cheap dentures or hearing aids, even though the dentures sometimes made people look like they were wearing wax buck teeth at Halloween. Nowadays, however, with well-schooled physicians and facilities worldwide, travelers routinely seek quality care at affordable prices, plus a little fun in the sun, outside the U.S., going either south or across the Atlantic or Pacific: International health travel publication Patients Beyond Borders estimates 750,000 Americans will travel outside the U.S. for medical care in 2013. It’s one thing to seek emergency aid en route, but to intentionally travel far afield for an invasive procedure? I'm not so sure. A neighbor just told me about two girls who took a little “Margaritaville” trip to Mexico for breast implants and beachfront recovery. My friend Ginger also went to Mexico, in her case for an MS treatment that she could not receive in the U.S. The results were so successful and she liked the medical community and the climate so much that she ended up moving to San Miguel de Allende. Then there’s Sam. I ran into him at a concert not long ago, and he announced, “Just got back from Bangkok. Went for my knee.” Knowing Sam, who once gathered an all-girl crew for a round-theworld sailing voyage, impulsive travel is never implausible. Sam had told me before how happy he was with an emergency root canal he had once while in Costa Rica, and the fact that he’d paid just $300 to have over 30 benign lesions removed in Thailand while on a previous Southeast Asian trip. (“Quick and easy, better than any [dermatological] treatment I’ve had in America. He even got the big one on my eyelid, and it never came back,” he recounted.) At intermission, waiting for the Brahms Piano Quintet, Sam told me how he’d gotten three references for a knee surgeon: from the Thai girl sitting next to him on the plane, the taxi driver who drove him to his Bangkok hostel, and the hostel manager. Dear Gussie, I thought, nothing like random sampling. By chance, the manager and taxi driver gave him the same name, so Sam decided to see that doctor. Warning signs popped up immediately. “Profiteers,” Sam called them. “They wanted $6,500 upfront for knee surgery!” He left. “Now what,” he chronicled, “I’d come all that way; my knee was killing me; and I couldn’t even find a physician.” He then remembered the piece of paper he’d stuffed in his pocket with the recommendation from his seatmate on the plane, and he hobbled off to Siriraj Hospital, Thailand’s oldest medical school, which just happened to be a regional leader in robotic knee surgery. “There were probably 100 people in the waiting area,” recalled Sam. “I sat for two hours. When I was finally called into the examining room, I handed the doctor the MRI I brought of my knee. He didn’t just look at it,” Sam stressed, “he studied it for a full five minutes. Then he looked me

He’d paid just $300 to have over 30 benign lesions removed in Thailand.

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in the eye and said, ‘You don’t need surgery. Go back home, and lose some weight.’ He gave me a shot of cortisone so I could walk without pain, charged me $3.00, and I caught the next plane back to Richmond. I’ve lost 10 pounds—got a few more to go—am eating healthier—no fat or red wine, and my knee’s fine.” I just shook my head. As we took our seats for the second half of the concert, part of me cheered Sam for his guts and good fortune; the other part said, Warning. Don’t try this away from home. I recently read a U.S. News & World Report story about a Woodbridge woman, a medical assistant, who suffered serious complications following a badly botched breast augmentation and tummy-tuck in Bolivia. Whoa, when I think Bolivia, it’s La Paz, Lake Titicaca (no pun intended) and trekking the salt flats of Uyuni; not first-class health care. I live to travel, but I think I’ll keep my medical care close to home. Those North Carolina dentures didn’t look like Julia Roberts’ teeth, but at least they didn’t half kill you. But then again, I don’t have dental insurance, so let’s see, maybe Mexico, Costa Rica?

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Medicine & Wellness 2013  

The premiere issue of Virginia Living Medicine & Wellness 2013, detailing today’s top trends in health, fitness, fashion and food. We visit...

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