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Y O U R L O C A L H E A LT H R E S O U R C E

October | November 2019

COMPLIMENTARY COPY

ourhealthlynchburg.com

WHAT YOU SHOULD KNOW ABOUT

SEVEN COMMON CHRONIC HEALTH CONDITIONS

HEART HEALTHY SOUPS AND STEWS PERFECT FOR THE FALL SEASON

CAN PART OF OUR BLOOD REALLY BE USED TO TREAT PAIN

AND PROMOTE HEALING?

Ladies

Taking Time for Your Own Health SHOULD BE A

TOP PRIORITY


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FEATURES OCTOBER • NOVEMBER

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WHAT YOU SHOULD KNOW ABOUT SEVEN COMMON CHRONIC HEALTH CONDITIONS According to the Centers for Disease Control and Prevention (CDC), six in 10 adults in the U.S. suffer from a chronic disease. While advancements in medicine continue to improve the lives of those limited by these incurable conditions, the best course of care anyone can prescribe to is still prevention, and it starts with changing our behaviors.

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LADIES, TAKING TIME FOR YOUR OWN HEALTH SHOULD BE A TOP PRIORITY A recent survey showed almost 80 percent of women not only rank themselves last on their health to-do list, but will put off going to much-needed medical appointments because of their commitment to managing everyone else’s health, including their spouse/ significant other, children, elderly relatives, grandchildren and pets.

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DEPARTMENTS OCTOBER • NOVEMBER

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The Pulse | People. Places. News to Know.

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Q&A on Health | Questions. Answers. Knowledge.

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Health Scene | Happenings. Who’s Who. Trending.

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Food and Fitness | Nutrition. Exercise. Prevention.

Jubilee Family Development Center celebrates its 20th anniversary by hosting Top Chef, an interactive, multi-course cooking competition between some of the best chefs in the Hill City.

Heart Healthy Soups and Stews Perfect for the Fall Season. This fall, warm up the cool, crisp season by having delicious – and heart healthy – soups and stews headline your meal plans.

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Funny Bone | Spot the Seven Differences

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OCTOBER • NOVEMBER 2019

PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION ACCOUNTING MANAGER GRAPHIC DESIGNER GUEST PHOTOGRAPHER

CONTRIBUTING MEDICAL EXPERTS

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Laura Bower Tori Meador Michael Wiggins

Soni Carlton, MD Andrea Hanlon, MSW Michael Overfelt, DPM Aaron Smith, CO Laura Smith, MD Henry Wilson, MD

CONTRIBUTING PROFESSIONAL Kelsey Casselbury EXPERTS & WRITERS Jennifer Lamont Steve McClintic, Jr. ADVERTISING AND MARKETING Cindy Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com

SUBSCRIPTIONS Subscriptions are $19.95 per year. To receive OurHealth Lynchburg and Southside via U.S. Mail, please contact Laura Bower at laura@ourhealthvirginia.com

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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2019 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.

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The Pulse

INFORMATION • EVENTS • AWARENESS

Recognitions, Awards and Accreditations Centra Lynchburg General Hospital Receives American Heart Association’s Mission: Lifeline® Heart Attack Receiving Center Re-Accreditation Centra Lynchburg General Hospital has received the American Heart Association’s Mission: Lifeline® Heart Attack Receiving Center Re-Accreditation. The hospital has consistently received the AHA’s Mission Lifeline® accreditation since 2011. The accreditation program recognizes centers that meet or exceed quality of care measures for people experiencing the most severe type of heart attack and identifies hospitals with the capabilities to provide comprehensive heart attack care, including 24/7 percutaneous coronary intervention (PCI). More Information: Visit www.heart.org or www.centrahealth.com.

New Locations, Ventures, Mergers and Acquisitions Walk-In-Care Immediate Care Opens New Forest Location Walk-In-Care, LLC, an immediate care facility, has opened a new location in Forest, serving the west side of Lynchburg, as well as the Wyndhurst, Bedford, Goode and Forest communities. Walk-In-Care focuses on a range of acute illnesses, non-life threatening injuries, and sports and DOT physicals with expanded hours during the week and on weekends. Walk-In-Care’s Lakeside Drive location has closed with current patients having the option of being seen at the expanded Forest or Candlers Mountain offices. Walk-In-Care also has locations on Wards Road and in Madison Heights and Amherst. As we move forward with the newer facility, our focus will remain on providing high-quality, cost-effective healthcare services by helping people attain better health for a better life. Shawn Crawford, CEO of Walk-In-Care and CVFP Medical Group.

The Lakeside office will officially close its doors on June 30th and will reopen in its new space in Forest on July 8th. More Information: Visit www.walkincares.com.

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The Pulse

• NEWS TO KNOW

New Locations, Ventures, Mergers and Acquisitions Centra Opens Second Rivermont School Location in Roanoke Centra Rivermont School, a network of nearly 20 schools located throughout Virginia providing therapeutic educational programs for students ages 2 – 22, recently opened its second Roanoke Valley location. The new Roanoke school is geared toward teaching students with disabilities and autism on the lower functioning levels. It is located at 1314 Riverland Road in southeast Roanoke, where the former Piggly Wiggly grocery store was occupied. In addition to traditional classrooms with small class sizes, the new school includes a sensory room (a room where teachers can bring students are in need of calming down or refocusing their attention), an independent living apartment, a speech, physical, and occupational therapy room, activity room, and outdoor playground. Included on staff at the school are board certified behavior analysts, board certified assistant behavior analysts, special education teachers, and mental health associates. The Rivermont Autism Program focuses on familycentered, evidence-based treatments with a foundation in Applied Behavioral Analysis (ABA) and Verbal Behavior. These professionals ensure that ABA techniques and methodologies are incorporated throughout individualized programs with an emphasis on communication, academics, life skills, vocational skills, and social skills.

Students are referred to Centra Rivermont Schools through public school systems' special education departments in conjunction with Community Policy and Management Teams (CPMT) and Family Assessment and Planning Teams (FAPT). Individualized programs provide:

» Academics » Behavior management » Communication » Social skills » Generalization of acquired skills » Preparation for return to least restrictive »

environment

Preparation for adult transition including activities of daily living and vocational skills

More Information: To learn more about Rivermont Schools, its autism program or the application process, visit www.centrahealth.com/facilities/rivermont-school-roanoke-valley.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside


Community Outreach The Free Clinic of Central Virginia and Lynchburg Host Lions Club Partner on Eyeglass Program The Lynchburg Host Lions Club has made a $15,000 contribution to the Free Clinic of Central Virginia to continue the Clinic’s Eyeglass Program, which provides ongoing services to those with low-incomes (at or below 200% Federal Poverty Level) in need of eye exams and eyeglasses. The partnership currently serves families who reside in the following Lynchburg zip codes: 24501, 24503 and 24504 as well as localities served by other Lions Club chapters. The Free Clinic of Central Virginia is responsible for processing applications for eyeglasses while coordinating with process applications for eyeglasses while coordinating care with Frank Villa, OD, an optometrist in Lynchburg, who provides exams and eyeglasses or bifocals to thosein need.

We are pleased to carry on this long-standing program of the Lynchburg Host Lions Club to optimize eyeglass delivery to patients. We are so appreciative of the work the Lynchburg Host Lions Club has done for years to provide eyeglasses in our community and to Dr. Villa for working with both the Lions Club and the Free Clinic to provide affordable eyeglasses. Christina Delzingaro, CEO of the Free Clinic. More Information: For more information about the program, or to request an application, please contact Olandria Sales at the Free Clinic of Central Virginia at 434.847.5866, extension 22.

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The Pulse

• NEWS TO KNOW

New Locations, Ventures, Mergers and Acquisitions Allergy and Asthma of Virginia Relocates Lynchburg and Danville Offices Allergy and Asthma of Virginia, a Privia Medical Group partner, has relocated its Lynchburg and Danville area offices. The new Lynchburg location is at 102 Archway Court, just off Enterprise Drive. The new Danville location is at 4545 Riverside Drive, Suite D, just off Riverside Drive. New patients are now being accepted and appointments may be made by calling 434.515.0419 in Lynchburg and 434.251.0026 in Danville. More Information: Visit www.va-allergy.com.

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Send to Steve McClintic Jr. via email at steve@ourhealthvirginia.com.

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Ashley Carpenter, PA

Centra Medical Group Stroobants Cardiovascular Center Centra Health Lynchburg | 434.392.4370 cardiac.centrahealth.com

Meaghan Crook, DO

Centra Medical Group Amherst Centra Health Amherst | 434.946.9565 www.centrahealth.com/ cmgamherst

Parichart Junpaparp, MD Firas Kaddaha, MD Centra Medical Group Stroobants Cardiovascular Center Centra Health Lynchburg | 434.200.5252 cardiac.centrahealth.com

Centra Medical Group Stroobants Cardiovascular Center Centra Health Lynchburg | 434.392.4370 cardiac.centrahealth.com

Sidney Earley, NP

Elizabeth Goff, MD

Andrea Hanlon

Diana Harris, NP

John A. Kelly, MD

Weijuan Li, MD

Ronald Pawlak, MD

Karen Siege, PA

Centra Medical Group Neurology Center Lynchburg | 434.200.3600 www.centrahealth.com/ neurology

CVFP Medical Group New London Forest | 434. 534.6868 www.cvfp.net

CVFP Medical Group Forest Forest |434.525.6964 www.cvfp.net

Centra Medical Group Stroobants Cardiovascular Center Centra Health Lynchburg | 434.200.5252 cardiac.centrahealth.com

Centra Alan B. Pearson Regional Cancer Center www.gentleshepherdhospice.com Centra Health Lynchburg | 434.200.6086 cancer.centrahealth.com Gentle Shepherd Hospice Lynchburg | 800.789.0856

Centra Medical Group Brookneal Centra Health Brookneal | 434.376.2325 www.centrahealth.com/ cmgbrookneal

Centra Medical Group Danville Centra Health Danville | 434.857.3600 www.centrahealth.com/ cmgdanville

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Jose Silva, MD

Centra Medical Group Stroobants Cardiovascular Center Centra Health Lynchburg | 434.200.5252 cardiac.centrahealth.com

Sara Valente, MD

Centra Medical Group Urology Center Centra Health Lynchburg | 434.200.5297 www.centrahealth.com

William Weber, MD

Centra Lynchburg General Hospital Centra Health Lynchburg | 434.200.3000 www.centrahealth.com/LGH

Elizabeth Zirkle, NP

Centra Medical Group Southside Neurology Farmville | 434.315.2914 www.centrahealth.com

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING photos | MICHAEL WIGGINS words | SHANNON WATTS

JUBILEE FAMILY DEVELOPMENT CENTER CELEBRATES 20TH ANNIVERSARY HONORING TOP LOCAL CHEFS Jubilee Family Development Center in Lynchburg recently celebrated its 20th Anniversary by hosting Top Chef 2019 on Saturday, September 7, 2019. Top Chef is an interactive, multi-course cooking competition between some of the best chefs in the Hill City. Each prepared tasting size portions of appetizers and entrees enjoyed by the more than 200 guests who submitted their votes for their favorites and helped crown Lynchburg’s Top Chef. This year’s participants vying for the eighth annual title included: Chef Timothy Schoonmaker with Centra Culinary Creations; Chef Candace Vinson with CulinArt Group; Chef Bob Rygielski with Jimmy’s on the James; Chef Dave Wasson with Randolph College; and Chef Angelo Harris with the University of Lynchburg.

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Chef Rygielski took home top honors for Best Appetizer with his Lobster Bisque while the winner for best entrée went to Chef Harris for his trio of Slow Braised Grass Fed Beef Short Ribs, Your Grandma’s Macaroni and Cheese and Roasted Garden Green Beans. Attendees topped off the show’s culinary creations with delicious desserts provided by the Central Virginia Community College Culinary Arts Program. An open bar, silent auction, entertainment by Jubilee’s children and tour of the newly finished Teen Teague Center at Jubilee rounded out the event that was emceed by Mistresses of Ceremonies Danner Evans and Pattie Martin of WSET. Proceeds raised from the event go toward helping sustain the important programs offered through Jubilee Family Development Center, which provides high quality academic, athletic and occupational programs that foster personal, social and spiritual growth and the stability of families. Since its inception in 1999, Jubilee has received over 30 awards, both local and national, in recognition of its outstanding achievements and service to the community. Visit www.jubileefamily.org to learn more about this dynamic community center, including how you can get involved as a volunteer or donate.

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9 1) Mistresses of ceremonies for 2019 Top Chef, WSET’s Danner Evans and Pattie Martin. 2) Over 200 people attended the popular Hill City awards show. 3) Attendees posted their bids during the silent auction, which raises funds to support the center’s programs. 4) Mango gazpacho shooters and gourmet tacos by Chef Candace Vinson with CulinArt Group were a hit! 5) A Jubilee student and her mother performed with accompanying drummers as part of the evening’s entertainment. 6) Chef Candace Vinson with CulinArt Group. 7) A drummer with Jubilee’s children performs during evening’s event. 8) Chef Bob Rygieslski with Jimmy’s on the James is awarded Best Appetizer for his Lobster Bisque. 9) All of the evening’s chefs prepared appetizers and entrees. 10) Attendees enjoyed a festive evening of food, fun and friends. 11) Dinner time! 12) Stan Webb of Webb Graphics is recognized as an Outstanding Partner. 13) Drummer for the evening’s event. 14) Chef Angelo Harris with the University of Lynchburg is awarded Best Entrée for the slow braised grass-fed beef short ribs, macaroni and cheese, and roasted garden green beans. 15) Kelvin Moore of Moore Architecture is recognized as an Outstanding Partner. 16) Lots of delicious food to sample. 17) The Hill City master Gardner Association is recognized as an Outstanding Partner.

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Questions. Answers. Knowledge.

Did you know? October is

BREAST CANCER AWARENESS MONTH

For more information about how you can spread awareness, visit www.KomenVaBlueRidge.org.

Is it better to have breast reconstruction surgery at the same time as a mastectomy or wait until a later time? The best time to have breast reconstruction surgery is often at the time of breast cancer removal, if possible. This is called “immediate” breast reconstruction. Not only does immediate breast reconstruction eliminate a separate first stage reconstructive surgery being necessary, it can increase the quality of the reconstruction or simplify its steps. Although most breast reconstruction occurs in two stages, doing so in one stage is possible. During these cases, a nipple-sparing mastectomy is completed, and a permanent implant is placed at the same time. Some patients may not be a candidate for immediate reconstruction due to advanced cancer or other medical conditions. Breast reconstruction performed months or years after a mastectomy is called “delayed” reconstruction. This approach is safer for some patients, yet still allows for highquality results. Speak with a plastic surgeon who is certified by the American Board of Plastic Surgery (www.abplasticsurgery.org) for strategic advice while planning your journey.

What is the leading cause of infertility in women?

What does precancer look like on the skin?

Infertility in women can be caused by several factors, including agerelated decreases in egg supply, problems with ovulation, fallopian tube blockage, endometriosis, and uterine factors such as fibroids. The testing that infertility specialists recommend is intended to evaluate each of these variables to determine if they are playing a role in a patient’s difficulty conceiving.

The typical precancer is called an actinic, or solar keratosis, and can look like dry, scaly, rough spots on the skin that are pink or reddish that at times can cause tenderness in the skin. These spots often appear on areas of the body that receive the greatest amount of exposure to the sun, such as the face, chest, arms and hands. The occurrence of precancerous skin conditions increases with age among those who have had excessive sun exposure.

In almost one third of patients, however, female testing results are normal. If the patient has a male partner and his semen analysis is also normal, then this is called unexplained infertility. There is not one single cause of infertility for all women, so if it is taking longer than you expected for you to conceive, then you should seek an evaluation from your doctor or a fertility specialist. Laura Smith, MD

Reproductive Medicine and Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com

Precancerous moles can have a variety of appearances. They can be Asymmetric (irregular), have irregular Borders, appear as two or more Colors, measure larger in Diameter than a standard pencil eraser, or appear to be Evolving (changing). These appearances are the ABCDE features that are assessed when evaluating someone with an abnormally appearing mole. If any of these features are present, it is a clue to the dermatologist that the mole may be concerning and require further evaluation, such as a biopsy. Soni Carlton, MD

Dermatology Consultants, Inc. Lynchburg | 434.847.6132 www.lynchburgdermatology.com

Henry Wilson, MD

Centra Medical Group Plastic Surgery Center Centra Health Lynchburg | 434.200.4350 www.centrahealth.com/plasticsurgery

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Questions. Answers. Knowledge.

How bad for my feet are my high heels? Unfortunately, yes. Wearing high heels places added strain on the inner knee and forces the ankle to bend forward unnaturally, which can translate into leg, hip and back pain. Prolonged wearing of heeled shoes that are three inches or higher can put so much stress on the knee that it can increase the risk of developing osteoarthritis.

3+ inches

This doesn’t mean you have to completely cut out wearing heeled shoes altogether. Instead, reserve your high heeled shoes for special occasions and events that are limited to three or so hours at a time.

The prolonged wearing high heels

If you are suffering from foot, leg, hip or back pain that you believe is the result of high heel use, speak with your doctor or a podiatrist for help. Michael Overfelt, DPM

Advance Foot Center Lynchburg | 434.384.0481 www.advancefotcenter.com

OVER 3 INCHES

can put so much stress on the knee, that it could increase the risk of developing osteoarthritis.

Custom-made foot orthotics are medical devices designed to slip into your shoe to both provide comfort and to correct a wide range of biomechanical issues impacting the way you walk, run and stand. True custom foot orthotics are available only with a prescription after being evaluated by a doctor such as an orthopedic specialist or podiatrists. If the doctor determines that a medical condition is present and may be treated with a custom-made orthotic, the patient is then seen by a certified orthotist, who first thoroughly evaluates the person’s gait (an individual’s manner of walking), followed by making a mold of the feet that is used to construct an orthotic precisely designed to stabilize the existing condition and help provide better comfort. Simple inserts or insoles are available without a prescription at most retailers and are massproduced to fit a wide range of people. Because of this, the primary function of these inserts or insoles is to provide comfort through the soft, gel-like material construction most are made from, however, they aren’t designed to stabilize any underlying medical conditions that potentially exist. Aaron Smith, CO

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How are custom-made foot orthotics different from insert purchased at a retail store?

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Virginia Prosthetics and Orthotics, Inc. Lynchburg | 434.455.2930 www.virginiaprosthetics.com

Do hospice care services end when the patient dies? Hospice is a type of medical care delivered by healthcare providers, social workers and chaplains that’s based on a holistic approach, which means taking into account the whole person, including his or her physical, mental, emotional and social wellbeing in order to provide end-of-life care that’s best for each individual. A common misperception about hospice care is that it’s exclusively an out-of-pocket expense, when in fact this type of medical care is 100 percent covered by Medicare and most insurance providers. Another common misconception is that hospice care ends when a patient passes away. Hospice care and support continues for at least a year following the death of a loved one to help address the emotional and spiritual needs of the grieving family. Studies by the National Institutes of Health have shown that the interaction and professional support provided by a hospice care team can reduce caregivers’ feelings of social isolation and helplessness, prepare the family for the impending death of their loved one and even decrease the rate at which depression can occur after a close person passes. The grief support provided by hospice helps families better understand what to expect during the grieving process and offers comfort, hope and encouragement. These services may include: supportive phone calls, cards, educational materials, online resources, support groups and individual counseling. Gentle Shepherd also offers specialized support for children through a youth support group and summer camp. Andrea Hanlon, MSW

Director of Support Services Gentle Shepherd Hospice Lynchburg | 800.789.0586 www.gentleshepherdhospice.com


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What you should KNOW ABOUT

SEVEN COMMON CHRONIC HEALTH CONDITIONS words | STEVE MCCLINTIC, JR.

According to the Centers for Disease Control and Prevention (CDC), six in 10 adults in the U.S. suffer from one chronic disease, and four in 10 U.S. adults are affected by two or more. While advancements in medicine continue to improve the lives of those limited by these incurable conditions, the best course of care anyone can prescribe to is still prevention, and it starts with changing our behaviors.

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Chronic diseases are defined broadly as conditions that last one year or more and require ongoing medical attention or limit activities of daily living or both. Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the U.S. Following is a list of the most common chronic conditions affecting our health today according to the CDC.

Heart Disease Heart disease describes a range of conditions that affect your heart. Diseases under the heart disease umbrella include blood vessel diseases, such as coronary artery disease; heart rhythm problems (arrhythmias); and heart defects you're born with (congenital heart defects), among others. The term “heart disease” is often used interchangeably with the term “cardiovascular disease.” Cardiovascular disease generally refers to conditions that involve narrowed or blocked blood vessels that can lead to a heart attack, chest pain (angina) or stroke. Other heart conditions, such as those that affect your heart's muscle, valves or rhythm, also are considered forms of heart disease.

60% ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), SIX IN 10 ADULTS IN THE U.S. SUFFER FROM A CHRONIC DISEASE.

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SEEK EMERGENCY MEDICAL CARE IF YOU HAVE THESE HEART DISEASE SYMPTOMS: A Chest pain

B Shortness of breath

C Fainting

Heart disease is easier to treat when detected early, so talk to your doctor about your concerns regarding your heart health. If you're concerned about developing heart disease, talk to your doctor about steps you can take to reduce your heart disease risk. This is especially important if you have a family history of heart disease.

Cancer Cancer is the name given to a collection of related diseases. In all types of cancer, some of the body’s cells begin to divide without stopping and spread into surrounding tissues. Cancer can start almost anywhere in the human body, which is made up of trillions of cells. Normally, human cells grow and divide to form new cells as the body needs them. When cells grow old or become damaged, they die, and new cells take their place.

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When cancer develops, however, this orderly process breaks down. As cells become more and more abnormal, old or damaged cells survive when they should die, and new cells form when they are not needed. These extra cells can divide without stopping and may form growths called tumors. Many cancers form solid tumors, which are masses of tissue. Cancers of the blood, such as leukemias, generally do not form solid tumors. Cancerous tumors are malignant, which means they can spread into, or invade, nearby tissues. In addition, as these tumors grow, some cancer cells can break off and travel to distant places in the body through the blood or the lymph system and form new tumors far from the original tumor. Unlike malignant tumors, benign tumors do not spread into, or invade, nearby tissues. Benign tumors can sometimes be quite large, however. When removed, they usually don’t grow back, whereas malignant tumors sometimes do. Unlike most benign tumors elsewhere in the body, benign brain tumors can be life threatening.

Did You Know? There are more than 100 types of cancer. Types of cancer are usually named for the organs or tissues where the cancers form. For example, lung cancer starts in cells of the lung, and brain cancer starts in cells of the brain. Cancers also may be described by the type of cell that formed them, such as an epithelial cell or a squamous cell. To learn about specific types of cancer based on the location in the body, visit www.cancer.gov/types.

Chronic Lung Disease Chronic Lung Disease (CLD) refers to the type of disorders that affect the lungs and other parts of the respiratory system. It usually develops slowly and may get worse over time. Chronic lung disease may be caused by smoking tobacco or by breathing in secondhand tobacco smoke, chemical fumes, dust, or other forms of air pollution. Types of chronic lung disease include asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, asbestosis, pneumonitis, and other lung conditions. Altogether, lung diseases accounted for more than one million deaths in the U.S. in 2010, according to the National Heart, Lung and Blood Institute.

Stroke A stroke occurs when a blood clot blocks the blood supply to the brain or when a blood vessel in the brain bursts. Anyone can have a stroke, including children, and some risk factors are beyond your control such as age, sex and ethnicity. Stroke risk varies by race and ethnicity and is the fourth leading cause of death for Americans. Risk of having a first stroke is nearly twice as high for African-Americans than for Caucasians and African-Americans are more likely to die following a stroke than are Caucasians. Falling between the two is risk for Hispanics. American Indians, Alaska Natives, and African-Americans are more likely to have had a stroke than any other groups. Stroke risk increases with age, but stroke can, and does, occur at any age. In 2009, 34 percent of people hospitalized for stroke were younger than 65 years. The prevalence of stroke between men and women is pretty much the same except between the ages of 20 – 39 and 60 – 79 when a slightly higher percentage of women were afflicted from 2007 – 2010 according to the American Heart Association.

Alzheimer’s Disease Alzheimer’s disease is an irreversible, progressive brain disorder that slowly destroys memory and thinking skills and, eventually, the ability to carry out the simplest tasks. In most people with the disease—those with the late-onset type—symptoms first appear in their mid-60s.

IN ALL TYPES OF CANCER, SOME OF THE BODY’S CELLS BEGIN TO DIVIDE WITHOUT STOPPING AND SPREAD INTO SURROUNDING TISSUES. CANCER CAN START ALMOST ANYWHERE IN THE HUMAN BODY, WHICH IS MADE UP OF TRILLIONS OF CELLS.


Early-onset Alzheimer’s occurs between a person’s 30s and mid-60s and is very rare. Alzheimer’s disease is the most common cause of dementia among older adults. Estimates vary, but experts suggest that as many as 5.5 million Americans age 65 and older may have Alzheimer’s. Many more under age 65 also have the disease. Unless Alzheimer's can be effectively treated or prevented, the number of people with it will increase significantly if current population trends continue. This is because increasing age is the most important known risk factor for Alzheimer’s disease.

Diabetes Diabetes is a disease that occurs when your blood glucose, also called blood sugar, is too high. Blood glucose is your main source of energy and comes from the food you eat. Insulin, a hormone made by the pancreas, helps glucose from food get into your cells to be used for energy. Sometimes your body doesn’t make enough – or any – insulin or doesn’t use insulin well. Glucose then stays in your blood and doesn’t reach your cells.

OVER TIME, HAVING TOO MUCH GLUCOSE IN YOUR BLOOD CAN CAUSE HEALTH PROBLEMS, SUCH AS: A Heart Disease

D Eye Problems

B Stroke

E Dental Disease

C Kidney Disease

F Nerve Damage

G Foot Problems

THE MOST COMMON TYPES OF DIABETES ARE TYPE 1, TYPE 2, AND GESTATIONAL DIABETES. TYPE 1 DIABETES: If you have type 1 diabetes, your body does not make insulin. Your immune system attacks and destroys the cells in your pancreas that make insulin. Type 1 diabetes is usually diagnosed in children and young adults, although it can appear at any age. People with type 1 diabetes need to take insulin every day to stay alive. TYPE 2 DIABETES: If you have type 2 diabetes, your body does not make or use insulin well. You can develop type 2 diabetes at any age, even during childhood. However, this type of diabetes occurs most often in middle-aged and older people. Type 2 is the most common type of diabetes. GESTATIONAL DIABETES: Gestational diabetes develops in some women when they are pregnant. Most of the time, this type of diabetes goes away after the baby is born. However, if you’ve had gestational diabetes, you have a greater chance of developing type 2 diabetes later in life. Sometimes diabetes diagnosed during pregnancy is actually type 2 diabetes. Although diabetes has no cure, you can take steps to manage your diabetes and stay healthy.

Chronic Kidney Disease Chronic kidney disease, also called chronic kidney failure, describes the gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then excreted in your urine. When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in your body. In the early stages of chronic kidney disease, you may have few signs or symptoms. Chronic kidney disease may not become apparent until your kidney function is significantly impaired. Treatment for chronic kidney disease focuses on slowing the progression of the kidney damage, usually by controlling the underlying cause. Chronic kidney disease can progress to end-stage kidney failure, which is fatal without artificial filtering (dialysis) or a kidney transplant. 28


SIGNS AND SYMPTOMS OF CHRONIC KIDNEY DISEASE DEVELOP OVER TIME IF KIDNEY DAMAGE PROGRESSES SLOWLY. SIGNS AND SYMPTOMS OF KIDNEY DISEASE MAY INCLUDE:

» Nausea » Vomiting » Loss of appetite » Fatigue and weakness » Sleep problems » Persistent itching » Decreased mental sharpness » Muscle twitches and cramps

» Changes in how much you urinate » Chest pain, if fluid builds up around the lining of the heart » Shortness of breath, if fluid builds up in the lungs » High blood pressure (hypertension) that's difficult to control

» Swelling of feet and ankles

Signs and symptoms of kidney disease are often nonspecific, meaning they can also be caused by other illnesses. Because your kidneys are highly adaptable and able to compensate for lost function, signs and symptoms may not appear until irreversible damage has occurred.

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Local health. Anywhere you go. OurHealth Lynchburg & Southside magazine our community’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 400 locations throughout the area or get the digital edition by visiting ourhealthlynchburg.com.


ASK THE EXPERT

ROBERT O’BRIEN, MD INSIGHT IMAGING

2923 Franklin Road SW | Roanoke | c 540.581.0882 | w myInsightImaging.com | f f f f Hours: Monday through Friday 6 am – 10 pm | Saturday & Sunday 8 am – 4:30 pm

Can Part of Our Blood Really Be Used to Treat Pain and Promote Healing? What is platelet rich plasma (PRP), and where does it come from? Platelets are small cells found in your blood. By taking a small amount of blood from your arm and placing it into a centrifuge machine, we are able to separate red blood cells and other components from the platelet rich plasma. Then, just the platelet portion (platelet rich plasma) is injected into the injured site.

What kind of conditions benefit the best from PRP injections? PRP injections can be effective throughout the musculoskeletal system, which includes the shoulders, elbows, wrists, hands, hips/pelvis, knees, ankles and feet, and spine for a variety of injuries, such as: » Chronic tendonitis or tendon sprain

How do PRP injections help facilitate healing and manage pain?

» Muscle strain or tear

Immediately following the injection to the injured site, the PRP releases cellular growth factors that trigger the body’s natural healing response. In the months that follow, inflammation and pain will decrease and tissue repair will occur. As the tissue matures, it will strengthen the tendons, ligaments, discs or joints of the site. Pain and inflammation will typically continue to decrease as this occurs.

» Joint pain

Does the process of withdrawing the platelets or injecting them back into the patient hurt at any point? Like any procedure, the process is not pain-free. However, pain is usually mild – it’s comparable to a blood draw and a vaccination shot.

Are there any side effects or downtime after the procedure has been completed? The side effects are typically minimal. Following the procedure, we suggest limiting your activity in the joint or site on your body that you had treated, much like you might limit activity after a sprain. The physician will provide specific instructions depending on the site you had treated, so you go home knowing how to care for yourself.

» Ligament sprain, strain or tear » Osteoarthritis » Cartilage loss This minimally invasive approach is ideal for those with damaged joints who are not ready for joint replacement or spinal surgery.

About Robert O’Brien, MD INSIGHT IMAGING Robert O’Brien, MD is a board-certified interventional and vascular radiologist with Image Guided Pain Management, PC. Dr. O’Brien provides professional physician services at Insight Imaging in Roanoke. For more information, visit myInsightImaging.com or call 540.581.0882.


ASK THE EXPERT

RON FEINMAN, ESQ. VIRGINIA ELDER LAW, PLC

801 Main Street, Suite 702 | Lynchburg | c 434.528.0696 | w virginia-elderlaw.com Elder Law | Medicaid Planning | VA Benefits Planning | Asset Protection | Long Term Care Qualification Powers of Attorney | Wills & Trusts | Sophisticated Estate Planning | Special Needs Trusts

Planning For When You Can’t Plan Anymore What is a power of attorney? When you sign a power of attorney, you name one or more people – considered your agent – to act on your behalf. A power of attorney can be for a limited purpose, such as to sign a particular deed if you are not available, or it can be a general power of attorney authorizing almost any act to be conducted on your behalf. However, there are still a few things your agent won’t be able to do for you, such as executing your will or filing a divorce on your behalf.

What is the difference between a living will and an advanced health care directive? A living will is the document in which you express your desires for the kind of care you would like to receive in an end-of-life situation. If your death is imminent or if you are in a persistent vegetative state that leaves you unable to experience a meaningful life, do you want to forgo life prolonging procedures? In Virginia, many attorneys will combine a health care power of attorney, naming an agent to make healthcare decisions, with a Living Will to create what is called an advance medical directive.

What should my power of attorney document include? Over the last 10 years or so, the commonwealth of Virginia (and other states) have been increasing the number of powers that must be specifically identified in the power of attorney in order for the agent to exercise them. This is a special concern for those preparing for end-of-life and governmental benefit planning, and why consulting an elder law attorney can be so important.

What factors should I consider when it comes to choosing a power of attorney? Choose someone you trust and who has good judgment. Many of my clients feel more comfortable naming an agent who resides close to them, especially someone who lives in the same state, rather than far away. Often family dynamics come into play; if there isn’t a good reason to choose otherwise, many will simply use age as a default or choose two people. However, before deciding to appoint multiple agents, it’s important to consider whether they will serve jointly or consecutively. Will they be of like mind, and do they have a good working relationship with each other? Are one or more of them somewhat stubborn? Are they both nearby? Requiring two signatures can create an administrative burden if it is hard to reach one of them.

If I don’t have these documents, what will happen if I become unable to communicate my desires personally? If you don’t create a written financial power of attorney and you become incapacitated, a conservator of your estate will have to be appointed by a court. This can be an expensive and time-intensive process which often results in disputes among interested relatives and others who may have a vested interest in your affairs. If you don’t have a written health care power of attorney, the law will provide a list of those who can make decisions for you, opening the door for someone to be given the right to make decisions for you that you may not have chosen yourself.

If I change my mind about who or what is named in these documents, can I modify them? Fortunately, it is very easy to change who will be your agents for these documents, and you should review them every few years to make sure they reflect your current choices.

About Ron Feinman, Esq.

VIRGINIA ELDER LAW, PLC

A native of Lynchburg, Ron Feinman is an attorney with more than 40 years of experience who has focused on Special Needs planning and Elder Law since the late 1990s. He is a member of WealthCounsel, a national collaborative of estate planning attorneys developing and sharing planning techniques, and its sister organization, ElderCounsel, which has a similar focus on Elder Law. Ron has also participated as a member of Medicaid Practice Systems, another nationwide Elder Law attorney consortium, and is a member of the National Association of Elder Law Attorneys (NAELA) and board member for the Virginia Academy of Elder Law Attorneys (VAELA) and for the Commonwealth Community Trust, to name a few. For more information, visit https://virginia-elderlaw.com or call 434.528.0696.


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Ladies,

Taking Time for Your Own Health SHOULD BE A

TOP PRIORITY words | JENNIFER LAMONT

I was waiting in my doctor’s office recently, half-listening for my name to be called. Hunched over my phone, swiping and typing, I was returning work emails, making a grocery list, texting and looking up superhero party ideas for my grandson’s third birthday. After several minutes, the nurse opened the door and ushered me down the hall. I took a deep breath as I followed her to the exam room. I wasn’t nervous about seeing the doctor. This quarterly visit was part of my routine over the last three years to monitor my Hashimoto’s thyroid disease and fibromyalgia symptoms. I just needed more air. I had been holding my breath much of the time I was sitting there trying to get things done with the few minutes I had to ‘spare.’ Like many people, my breathing becomes shallow when I’m unconsciously stressed. And I’m stressed a lot. Just like every other woman I know. As a mother, daughter, grandmother, friend, co-worker and full-time caretaker to a 91-year-old grandparent, my plate is beyond full. I often need to remind myself to stop and breathe for a minute. Of course, I’m not alone. Roles Eighty percent may be blurring, but family health needs, nurturing and caretaking of women not only continues to fall mostly on women. Naturally, or by necessity, women rank themselves last become the family’s nutritionist, health researcher, care advocate on their health to-do list, and appointment scheduler – but for everyone else. but will put off going to

Ladies, Do You Take Better Care of your Pet Than Yourself?

much-needed doctor’s appointments because they’re too busy.

Most women will take the family’s beagle to the vet before they take themselves to the doctor. A recent survey showed almost 80 percent of women not only rank themselves last on their health to-do list, but will put off going to much-needed doctor’s appointments because they’re too busy taking children, elderly parents, spouses and pets to their appointments.

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ASK THE EXPERT

WYNDHURST

MEDICAL AESTHETICS & HORMONE CLINIC 200 Archway Court | Lynchburg | 434.386.8894

www.wyndhurstaesthetics.com Q: HOW DOES COOLSCULPTING® WORK? Coolsculpting® is a non-surgical fat-reduction procedure that involves placing an applicator over the area you wish to treat. Through precisely controlled cooling, the fat is cooled to the point of killing the fat cell. Once the fat cell dies, it is gone for good and is naturally eliminated by your body. Each treatment of CoolSculpting® results in approximately a 20 – 25 percent reduction of fat!

Q: WHERE CAN YOU USE BOTOX®? Botox® can be used in many different ways. It is most commonly used to treat the dreaded forehead lines, crows feet, and let’s not forget the “elevens” that some people get between their eyebrows. Botox® can also be used to give the eyebrows a lift. Do you struggle with hyperhidrosis or excessive sweating? Botox® treatment can also be applied to the armpits and the hands!

Q: WHAT CAN HELP WITH SKIN TIGHTENING? There are many different modalities that are used to promote the production of collagen and elastin in the skin, from lasers and radio frequency to chemical peels and more! At Wyndhurst Medical Aesthetics and Hormone Clinic, we can also recommend a combination of treatments with your medical grade skincare routine!

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OPEN HOUSE!

Whether it’s societal conditioning or genes, we tend to take better care of others than we do ourselves. To be honest, I had rescheduled this appointment with my primary doctor twice before when other responsibilities came up. But delaying this visit indefinitely isn’t an option.

“My doctor relies on my exam and lab results to keep my thyroid levels in optimal ranges. Without regular visits, I don’t receive my prescriptions, so that makes it easier for me to keep the appointment. But other appointments, like specialists, dentists or diagnostic tests, can sometimes feel more optional.” – JENNIFER LAMONT As a working caregiver, I’ve learned the hard way that putting off a doctor’s appointment can turn a cough into pneumonia with a three-day hospital stay, and a shoulder injury into a full-blown torn rotator cuff. The few hours I would have spent going in for initial treatment was far less than the several weeks I needed to recover from both of those health issues. More than losing time from work, I was not able to care for anyone, let alone myself. So, I know that making time for my regular doctor visits, like this, is a priority. But even while the nurse was taking my blood pressure in the exam room, I was wondering if I’d make it out of there in time to stop by the grocery store, pick up my grandmother’s prescription and have her dinner on the table by 5:30. To make my appointment productive, I did a few things to maximize my time. These tips not only help my doctor get the most out of our visit, they also help me better manage my health overall:

How to Help Your Doctor Help You: 4 Tips A

Write down any questions or concerns before the appointment on paper or a note-taking app on your phone.

B

Keep a list of all the medications with dosages and supplements you’re taking. I do this for everyone I help take care of, including myself. Keeping a list of medications, allergies and important dates right on my phone makes filling out medical forms and answering questions faster and easier.

C

If you think of a question during the visit, ask it. If there is something you don’t understand, get clarification.

D

Be honest about any symptoms or issues you’re having.

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The exam went smoothly, and I left my doctor’s office that day with no changes in my lab results, which was a good thing. It’s after I walk out of her office and in between these appointments that making my health a priority is easier said than done. Finding a good balance between taking care of myself and others can be difficult while trying to get things accomplished each day. Managing my time effectively helps.

It’s Time to Be Your Own Caretaker

“To really find that balance, I need to be ‘selfish’ at times. Meaning, I need to make myself a priority for at least some small part of each day. You know that safety demonstration you watch before every flight that tells you to put on your own oxygen mask before you apply your child’s mask? It seems counterintuitive as a parent, but you must help yourself first so you can help others. You’re no good to anyone if you run out of air.”

Making yourself a priority will not only will improve your health and happiness, but you owe it to yourself and the ones you love. There are many ways to treat yourself with the same love, respect and care you give to others. They’re some of the very same things you’d want your best friend, spouse or child to do. Here are nine of my favorite ways to stay balanced, productive, happy and healthy:

1

Include Whole Foods While Meal Prepping.

2

Keep Yourself Strong.

3 4 5 6

– JENNIFER LAMONT

Nothing zaps your energy and health more than processed and fast foods. Spend a couple hours one day each week to cook up nutritious meals for the next seven days. Each Sunday, I cook up a few different recipes so my grandmother and I have healthy meals during the week. This saves us both time, money and frustration, while helping us eat a healthy diet most of the time.

Lifting weights is not only beneficial for women of all ages, it’s proven to reduce stress and boost self-esteem, while preventing aging and illnesses. It also helps you function better in your daily activities, making injuries less likely. Combine with walking or your favorite type of cardio to burn fat, get lean and increase those feel-good endorphins. Get outside to exercise whenever possible, but go to the gym if that’s what you prefer.

Keep Organized with To-Do Lists and a Calendar Schedule. To-do lists allow you to not only set priorities and stay focused, but they help motivate you when you cross off completed items. Having a central calendar in the kitchen, as well as on my phone, helps me keep track of everyone’s appointments, including mine.

Take Time to Enjoy Your Friends. Studies show the healthiest people in the world are those who have a strong support system. People who have fun on a regular basis with others – those who they like to be around – live longer and feel more purpose in life as they age. Even better, do a physical activity with your favorite friends and you get even more benefits.

Keep Your Dentist and Doctor appointments. While women go to the doctor more frequently than men, they are just as likely to suffer from chronic conditions without getting treatment. That’s why regular checkups are so vital. You may not feel sick or be experiencing any issues, but it doesn’t always mean you are healthy.

Join a Support Group if You’re a Caregiver. There are working caregivers everywhere. In fact, over 40 million unpaid caregivers in the U.S. are taking care of at least one family member over the age of 65 right now. Support groups for caregivers are especially important because they understand your situation. Friends can support you, but they can’t relate or give you proper emotional support like other caregivers can.

I know that sometimes

PUTTING MY NEEDS FIRST IS NOT SELFISH; it’s essential.

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7

Increase the Gratitude and Positivity in Your Life.

8

Ask For Help and Then Take a Nap.

9

Do Nothing.

Keep a gratitude journal, even if you only write one line a day. Find the humor and positivity in situations and people. Surround yourself with those people who bring happiness, positivity and hope into your life.

Hire a cleaning service when you need it. Ask your kids, spouse or other family members to help with chores or errands. Get enough sleep at night so you can function at your best level during the day.

Sometimes you need a break from everything and everyone. It’s okay to say “no” to everything once in a while, and just be present with yourself. But it doesn’t count if you’re on your phone.

Sometimes, I find myself ‘in-between’ errands, family, working and projects where I realize I suddenly have a few minutes to myself. Here are some quick ways I de-stress and recalibrate:

Six Ways to Take Care of Yourself When You Only Have 5 Minutes: A

Breathe deeply, inhaling for 4 seconds and exhaling for 4 seconds. Set a timer for 5 minutes.

B

Do 20 wall push-ups, 20 squats or lunges, and 20 jumping jacks.

C D E

Stretch your legs, ankles, shoulders and neck.

F

Read a few lines from an actual book you hold in your hand, not an e-book on your phone.

Walk outside. Find a quiet corner to meditate, pray or think about something for which you’re grateful.

As a woman in the unique position of being able to take care of two young grandsons and her grandmother, I know that sometimes putting my needs first is not selfish; it’s essential. The quality of care they get from me is dependent on my own health and happiness. Putting myself first doesn’t mean I’m putting them last. It just enables me to give them the best version of myself.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside


Commonly Overlooked CONDITIONS Who Can You Turn to in Lynchburg and Southside For Help?

POLYCYSTIC OVARY SYNDROME affects seven to 10 percent of women

1

Polycystic Ovary Syndrome (PCOS)

What is PCOS?

What are the symptoms of PCOS?

Polycystic Ovary Syndrome (PCOS) is a condition in which the ovaries produce an abnormal amount of androgens (male sex hormones) that are usually present in women in small amounts. The name polycystic ovary syndrome describes the numerous small cysts (fluid-filled sacs) that form in the ovaries. PCOS affects seven to 10 percent of women of childbearing age and is the most common cause of infertility. In the U.S., an estimated five to six million women have the condition. PCOS is the most common hormonal disorder among women of reproductive age, but many women don’t know they have it.

Because there is such a wide range of symptoms, PCOS is defined as a syndrome, not a disease. The most common symptoms are irregular menstrual cycles, acne, weight problems, such as weight gain or upper body obesity, and abnormal hair growth. Many women also experience infertility or pregnancy loss. The ovaries often become enlarged and may contain one or more abnormal cysts. Enlarged ovaries are easily detected by transvaginal ultrasound. Many symptoms occur either early in the condition or develop gradually. Women with PCOS, especially overweight women, may have insulin resistance and have an increased risk for diabetes and high lipids.

How is PCOS diagnosed? There is no single test to diagnose PCOS. It is diagnosed in women who have irregular menstrual cycles when blood tests or physical symptoms suggest they may have elevated levels of male hormones, hirsutism (abnormal growth of hair on a person’s face and body, especially on a woman), or the typical PCOS pattern noted on ultrasound. Many women are diagnosed with PCOS after being evaluated for miscarriages and infertility. According to the American Society of Reproductive Medicine (ASRM), the criteria to diagnose this condition includes having two of the following three findings: • High androgen levels

of childbearing age and is the most common cause of infertility.

Where in Lynchburg & Southside Can I Get Help? * Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

Lewis Dabney, MD Lynchburg Gynecology Lynchburg | 434.385.7818 www.lynchburggynecology.com

Reproductive Medicine and Surgery Center of Virginia Charlottesville | 434.654.8520 www.rmscva.com

• Irregular menstrual cycles • Polycystic appearing ovaries on ultrasound

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2 Where in Lynchburg & Southside Can I Get Help? * Ward Gypson, MD UVA Health Charlottesville | 434.243.5639 www.uvahealth.com

Will Likins, DC Chiropractic Care Center Forest | 434.525.4588 www.drlikins.com

Akhtar Purvez, MD Pain and Spine Center of Charlottesville Charlottesville | 434.328.2774 www.painspinecenters.com

East West Acupuncture Lynchburg | 434.851.8533 www.eastwestacupuncture.net

Fibromyalgia

What is fibromyalgia?

What are the symptoms of fibromyalgia?

For decades, medical providers misdiagnosed fibromyalgia, a condition indicated by widespread, general pain and fatigue, or simply refused to diagnose patients at all. Thankfully, physicians are more frequently – but not always – recognizing fibromyalgia for the difficult and very real issue that it is. Around five million adults, of which 80 to 90 percent are women, suffer from fibromyalgia, which affects a person’s soft tissue. The cause is unknown, but factors could include infections, physical or emotional trauma, long-term stress and genetics.

Fibromyalgia presents much like arthritis, but doesn’t cause the same sort of joint and muscle inflammation and damage as that particular condition. In addition to widespread pain and fatigue, fibromyalgia symptoms include headaches, irritable bowel syndrome, painful menstrual periods, sensitivity to heat and cold, concentration and memory issues (often referred to as “fibro-fog”) and tingling and numbness in the hands and feet.

3

Genesis Health Solutions Forest | 434.381.1986 www.genesishealthsolutions.net

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OurHealth Lynchburg ON YOUR TABLET OR SMARTPHONE

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At one time, physicians diagnosed fibromyalgia by checking known trigger points and pressing on certain areas of the body to determine if they were painful. Those points included the back of the head, upper chest, knees and elbows. While painful trigger points are still standard for fibromyalgia, they’re no longer the primary way to diagnose. Instead, a doctor might determine a patient has fibromyalgia if they’ve experienced general, widespread pain for at least three months and have no other diagnosable medical condition to explain it.

Chronic Fatigue Syndrome

What is Chronic Fatigue Syndrome?

Where in Lynchburg & Southside Can I Get Help? *

How is fibromyalgia diagnosed?

When it comes to invisible diseases, chronic fatigue syndrome (CFS) might be the most invisible of all. Little is known about the disorder, which was only recently recognized to be a legitimate condition. CFS could be the result of a viral infection such as Epstein-Barr, but researchers have yet to find a definitive link. Healthcare professionals also point to immune system problems and hormonal imbalances as potential culprits. Life with CFS can be isolating, leading to complications such as depression, increased work absences – and, as a result, difficulty climbing the career ladder – and a restriction on daily activities that can keep a person healthy and happy.

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

What are the symptoms of CFS? As the name suggests, severe fatigue is the main indicator of CFS. It gets worse after physical or mental activity, but the exhaustion doesn’t get better after rest. This form of fatigue isn’t just feeling tired, but rather an all-consuming exhaustion that has lasted six month or longer. People with CFS often experience problems with thinking and memory, as well as dizziness or weakness while standing or sitting up. They might also feel muscle or joint pain and headaches, although those aren’t symptoms experienced by everyone with the condition.

How is CFS diagnosed? Diagnosing CFS isn’t easy – for the patient or the physician. There isn’t a test that can plainly tell if a person has CFS, so it’s mostly a diagnosis of elimination by testing for and ruling out other diseases, such as sleep disorders, hypothyroidism and mental health issues. However, even if CFS is diagnosed, there’s no true treatment—and there’s certainly no cure. Instead, the focus is on relieving symptoms through medications such as antidepressants, cognitive therapy and a few minutes of movement a day that’s gradually increased to help reduce hypersensitivity to exercise.


Those with

IRRITABLE BOWEL SYNDROME suffer with upset stomach, cramping and diarrhea

at least three days every month.

4

Irritable Bowel Syndrome (IBS)

What is Irritable Bowel Syndrome? The fact that irritable bowel syndrome is often overlooked in women is ironic; the condition, also known as spastic colon, affects more females than males. Although everyone deals with an upset stomach, cramping and diarrhea on occasion, those with IBS suffer from it at least three days every month (and, for the most part, much more often than that). Although the two conditions sound similar, IBS isn’t the same as inflammatory bowel disease, which is much more serious and has drastic complications.

What are the symptoms of IBS? Irritable bowel syndrome often starts with cramping and abdominal pain, then progresses to bloating, gas, and episodes of both constipation and diarrhea. The pain will likely go away after a bowel movement, but will inevitably return. Women often have more symptoms around the time of their periods, and some say IBS gets worse during pregnancy. A change in diet to avoid “trigger” foods – including cruciferous vegetables like broccoli, kale and cauliflower, and legumes such as beans and lentils – often successfully manages the worst IBS symptoms.

Where in Lynchburg & Southside Can I Get Help? *

How is IBS diagnosed?

Lynchburg | 434.384.1862 www.gastrocentralva.com

Many doctors will diagnose irritable bowel syndrome based on symptoms, but some might want to do a few additional tests to rule out other potential conditions. For example, the symptoms could be caused by an infection or another disorder such as celiac disease, so the patient might need to provide a stool sample or undergo a blood test. If a doctor suspects the symptoms are being caused by a more severe disease, such as colitis, Crohn’s disease or cancer, they might perform a colonoscopy. Over the past five years, blood tests to help diagnose IBS have appeared on the market. However, it only has the potential to diagnose forms of IBS in which diarrhea is the prominent symptom, rather than constipation, so it’s not a catch-all for helping everyone who suffers from the condition.

Gastroenterology Associates of Central Virginia

Danville Gastroenterology Center Danville | 434.791.1152 www.yourgastrocare.com

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Women develop

AUTOIMMUNE DISEASES at a rate of 2:1

Where in Lynchburg & Southside Can I Get Help? *

compared to men, with the condition typically appearing during her childbearing years.

Rheumatology (arthritis)

OrthoVirginia Lynchburg | 434.485.8590 www.orthovirginia.com Dermatology (psoriasis)

Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com Dermatology (psoriasis)

RidgeView Dermatology Lynchburg | 434.363.4190 Forest | 434.333.7370 Smith Mountain Lake | 540.759.7500 Farmville | 434.607.4599 www.ridgeviewdermatology.com Gastroenterology (Celiac disease)

Gastroenterology Associates of Central Virginia Lynchburg | 434.384.1862 www.gastrocentralva.com Endocrinology (thyroid conditions and Grave’s disease)

Centra Medical Group Endocrinology Center Lynchburg | 434.200.4422 www.centrahealth.com Gastroenterology (Celiac disease)

5

Autoimmune Disorders

What are Autoimmune Disorders? Rather than just one disease, autoimmune disorders are a cluster of individual conditions that occur when the immune system attacks the body’s own tissues rather than fighting infections from outside invaders. Women develop autoimmune diseases at a rate of 2:1 compared to men, with the condition typically appearing during her childbearing years. There are more than 80 known autoimmune disorders, but common conditions include: • Rheumatoid arthritis

Gastroenterology Associates of Central Virginia

• ●Lupus

Lynchburg | 434.384.1862 www.gastrocentralva.com

• ●Guillain-Barre

Support Group: Lynchburg Lupus Support Group

• ●Grave’s disease

Visit f LynchburgLFASG1 for updates on current events and support groups planned.

42

• ●Multiple sclerosis • ●Hashimoto’s thyroiditis • ●Celiac disease

What are the Symptoms of Autoimmune Disorders? Although autoimmune disorders aren’t just one disease, early symptoms are often similar. These include achy muscles, fatigue, swelling and redness, hair loss, numbness and tingling in the hands and feet, rashes and trouble concentrating. Some autoimmune diseases, particularly rheumatoid arthritis and psoriasis, have symptoms that come and go. These periods of time are known as “flare-ups;” when the symptoms go away, it’s known as “remission.”

How are Autoimmune Disorders Diagnosed? No matter which autoimmune disease a person is suffering from, diagnosis typically starts with an antinuclear antibody test. If the test comes back positive, it means a person might have an autoimmune condition, but it won’t indicate exactly which one. From there, a doctor will likely take symptoms into account to diagnose the specific disorder. Because symptoms are so generalized and often come and go, some doctors might not take a person’s complaints seriously. Reaching out to a specialist that has experience dealing with specific symptoms—for example, a gastroenterologist if constipation and diarrhea are a major issue—can often help increase the chance for a diagnosis.

*The medical practices and providers listed in the Community Care Connection do not necessarily represent a comprehensive listing of professionals in the Lynchburg and Southside communities that specialize in the related conditions.

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

ON THE WEB

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Food Fitness NUTRITION • EXERCISE • PREVENTION

Heart Healthy

Soups &Stews Perfect for the Fall Season words | OURHEALTH STAFF WRITER

This fall, warm up the cool, crisp season by having delicious – and heart healthy – soups and stews headline your meal plans. No doubt about it, backyard barbeques and burgers are the benchmarks of a scrumptious summer food season. While putting a wrap on warm weather might not mean the end of outdoor cooking for the diehard grill masters among us, it does signal the start of when savory soups and stews made with nutritious fall harvest foods can take center stage on the menu, whether it’s at your next tailgate party or quick family dinner. And with so many heart healthy and flavorful ways to prepare these hearty bowls of goodness, you can be assured of pleasing even the pickiest person’s palate on your team.

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Kale and Red Quinoa Soup This protein-packed soup is an ideal dinner for busy days. Herbes de Provence lend a flavor of the French Riviera and the smoked paprika harmonizes nicely with the pepperiness of the kale. Nutritional Information Calories: 245 | Total Fat: 6 g Saturated Fat: .5 g | Trans Fat: 0 g Polyunsaturated Fat: 1 g Monounsaturated Fat: 3 g Cholesterol: 0 mg | Sodium: 294 mg Total Carbohydrates: 40 g Dietary Fiber: 10 g | Sugars: 6 g Protein: 10 g

Slow Cooker Size/Shape: 3 to 4 ½ quart; round or oval Slow Cooking Time: 6 to 8 hours on low; 2 to 3 hours on high Ingredients | Makes 4 servings (1 1/2 cups) • • • • • • • • • • • • • • •

1 14.5-ounce can no-salt-added whole tomatoes, undrained 1 14.5-ounce can no-salt-added Great Northern beans, rinsed and drained 4 cups coarsely chopped kale (1/2 of a 5-ounce bunch), any large stems discarded 2 cups fat-free vegetable broth (low-sodium) 1/2 cup red quinoa, rinsed and drained in a fine-mesh sieve 1 medium carrot, cut into 1/2-inch slices (about 1/2 cup) 1 medium rib of celery, cut into 1/2-inch slices (about 1/2 cup) 1/2 cup chopped red onion 1 tablespoon olive oil 2 medium minced garlic cloves 3/4 teaspoon dried herbes de Provence or dried thyme, crumbled 1/2 teaspoon crushed red pepper flakes 1/2 teaspoon smoked paprika (sweet or hot) 1/4 teaspoon salt 1/4 teaspoon pepper

Directions Put all the ingredients in the slow cooker. Cook, covered, on low for 6 to 8 hours or on high for 2 to 3 hours, or until the vegetables and quinoa are tender.

Recipes courtesy of American Heart Association, Copyright © 2019

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Black Bean Soup You will love this Simple Cooking with Heart Mexican recipe because it’s simple to make, it’s heart healthy and budget friendly.

Ingredients | Makes 4 servings • nonstick cooking spray • 1 medium onion (diced) • 1 tablespoon garlic (jarred, minced) • 2 teaspoon ground cumin • 1 jalapeño (chopped) • 2 16-oz canned, low-sodium black beans (undrained) • 1 15-oz canned, no-salt-added, diced tomatoes (undrained) • 1 cup low-sodium chicken broth • Chopped, fresh cilantro (optional)

Directions

SHOP LOCAL, SUPPORT LOCAL TIP Freshly picked foods like kale, onions and carrots, and even herbs, as well as locally raised meats are plentiful during the fall season, and can be found at many farmers markets in and around Lynchburg and Southside, including:

Bedford Farmers Managed Market, LLC Where: 220 West Washington Street | Bedford When: May – December: Tuesdays: 3 pm – 6 pm Fridays: 8 am – 1 pm | First Saturdays: 8 am – 1 pm

More Information:

c 434.770.8500 m

thefarmermanagedmarket@gmail.com

f TheBedfordFarmerManagedMarketLLC

Danville Farmers Market Where: 629 Craghead Street | Danville When: January – March: Saturdays 9 am – 1 pm May – October: Saturdays 7:30 am – 12 pm July – August: Wednesdays 3 pm – 6 pm

More Information:

A

Spray large pot with cooking spray, over mediumhigh heat add onion and cook until translucent (Five minutes).

c 434.797.8961

Forest Farmers Market

Add garlic, cumin and jalapeño and cook one minute more.

Where: 15583 Forest Road | Forest

C

Add beans to pot and lightly mash with a potato masher or fork.

More Information:

D Add tomatoes and broth – bring to a boil and reduce to medium heat, cover and simmer for 15 minutes.

w

B

E

Serve topped with chopped fresh cilantro (optional).

When: April – October: Saturdays 8 am – Noon

c 434.665.5475

www.forestfarmersmarket.com

Lynchburg Community Market Where: 1219 Main Street | Lynchburg When: Year Round: Wednesdays and Saturdays 7 am – 2 pm

More Information:

c 434.455.4485

Nutritional Information Calories: 245 | Total Fat: .5 g Saturated Fat: 0 g | Trans Fat: 0 g Polyunsaturated Fat: 0 g Monounsaturated Fat: 0 g Cholesterol: 0 mg | Sodium: 34 mg Total Carbohydrates: 45 g Dietary Fiber: 12.9 g | Sugars: 6 g Added Sugars: 0 g Protein: 15 g

f LynchburgCommunityMarket

Martinsville Farmers Market

Quick Tip Serve this black bean soup as a side to a meal or warm in microwave and use as a filling for tacos!

Where: 65 West Main Street | Martinsville When: April – November: Saturdays 8 am – Noon July – September: Wednesdays 8 am – Noon *Closed Saturday, October 5th*

More Information:

c 434.665.5475 w

www.martinsvilleuptown.com/farmers-market.cfm

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Turkey Chili Warm up with this Classic American staple turkey chili that’s both savory and satisfying.

Ingredients | Makes 6 servings • Cooking spray • 1 1/2 tablespoon. canola or corn oil • 1 medium or large onion, chopped • 20 oz. ground, skinless turkey breast • 2 large garlic cloves (minced) OR • 1/2 teaspoon garlic powder • 2 teaspoon chili powder • 1/2 teaspoon pepper • 1/2 teaspoon ground cumin • 15.5 oz. canned, no-salt-added pinto beans (rinsed, drained) • 15.5 oz. canned, no-salt-added black beans (rinsed, drained) • 14.5 oz. canned, no-salt-added, diced tomatoes (undrained) • 1 3/4 cups fat-free, low-sodium chicken broth • 1 cup frozen whole kernel corn • 6 oz. canned, no-salt-added tomato paste • 4 medium green onions (green part only, sliced)

Directions A Lightly spray a Dutch oven with cooking spray. Add the oil and heat over medium-high heat, swirling to coat the bottom. Cook the onion for three (3) minutes, or until soft, stirring occasionally. B Reduce the heat to medium. Stir in the turkey. Cook for five (5) minutes, or until browned, stirring frequently to turn and break up the turkey.

Nutritional Information Calories: 347 | Total Fat: 5 g Saturated Fat: .5 g | Trans Fat: 0 g Polyunsaturated Fat: 1.5 g Monounsaturated Fat: 2.5 g Cholesterol: 64 mg | Sodium: 129 mg Total Carbohydrates: 42 g Dietary Fiber: 10 g | Sugars: 34 g Protein: 34 g

C Stir in the garlic, chili powder, pepper, and cumin. Stir in the remaining ingredients except the green onions. Cook for five (5) to seven (7) minutes, or until heated through, stirring frequently. Just before serving, sprinkle with the green onions.

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Recipes courtesy of American Heart Association, Copyright © 2019

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