OurHealth Roanoke and New River Valleys Magazine: August/September 2019

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

August | September 2019

COMPLIMENTARY COPY

OurHealthRoanokeNRV.com

When Students Aren’t Healthy, Can They Be Expected to Learn?

Is Your Family Financially Literate?

What’s All This Buzz About Fermented Foods?

Are Preventive Screenings Really That Important?

11 Annual th

Senior Healthy Living Awards

From assisted living and rehabilitation experts to restaurants, pharmacies and salons, we unveil readers’ top choices in Roanoke and New River Valleys for services they trust to keep our golden generation healthy and happy.

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FEATURES

AUGUST • SEPTEMBER 2019

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CELEBRATING THE 11TH ANNUAL SENIOR HEALTHY LIVING AWARDS Join us in celebrating the 11th Annual Senior Healthy Living Awards in Roanoke and New River Valleys. From assisted living and rehabilitation experts to restaurants, pharmacies and salons, we unveil readers’ top choices in Roanoke and New River Valleys for services they trust to keep our golden generation healthy and happy.

CHRONICALLY CATCHING UP Students with long-term illnesses often struggle with academic achievement—but with the right support and resources for families, this doesn’t have to be the case.

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DEPARTMENTS AUGUST • SEPTEMBER 2019

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The Pulse | People. Places. News to Know.

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

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Financial Literacy for the Family: Where Do You Begin? Nearly two-thirds of Americans can’t pass a basic test of financial literacy. Fortunately, there are many trusted resources and experts available throughout Roanoke and New River Valleys that can help bridge your knowledge gap and put you on a path to better financial health.

The 2019 Roanoke Valley iCan Shine program helps 24 people with disabilities learn to ride bicycles.

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

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Health Observances | Educate. Eradicate. Victory.

NATIONAL TRAUMATIC BRAIN INJURY AWARENESS MONTH | September 2019 Prompt Care for Concussions in People of All Ages Makes A Significant Difference: The damage from traumatic brain injuries can take years to detect— which is why prompt medical care is essential after all falls, blows and accidents.

Financial Wellness | Savings. Investments. Insurance.

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Preventative Care | Inform. Act. Educate.

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Food and Fitness | Nutrition. Exercise. Prevention.

Are Preventive Screenings Really That Important? With preventative screenings, you can curb serious health problems.

What’s All This Buzz about Fermented Foods? Fermented foods have been around for centuries, but have recently grown in popularity for the role they play in your overall health. But, like any product promising health benefits, it’s important to know what you are looking for to help you make the best choice.

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Funny Bone | Spot the Seven Differences

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AUGUST • SEPTEMBER 2019

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

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Tori Meador Laura Bower Kate Ericsson

CONTRIBUTING MEDICAL EXPERTS

James Farmer, MD Aaron Housh, CEO Mark McBride, MD Jim McCormick, MD Colleen Mitchell, OD Richard G. Rento II, MD Aaron Smith, CO

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ADVERTISING AND MARKETING Kim Wood | P: 540.798.2504 kimwood@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 Roanoke and New River Valleys 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.

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The Pulse INFORMATION • EVENTS • AWARENESS

New Services, Programs and Technologies Community Health Center of the New River Valley Introduces New Pharmacy Program

New Services, Programs and Technologies Carilion Clinic Combating Opioid Crisis with Virtual Care Technology Carilion Clinic has announced that through a partnership with Mytonomy, a leader in cloud-based virtual care, it is helping to combat the opioid crisis.

The Community Health Center of the New River Valley (CHC) in Christiansburg has become the first federally qualified healthcare center in Virginia to partner with Richmond-based Rx Partnership to provide affordable generic medications to qualified, low-income, uninsured residents through RxP’s Access to Medication Program (AMP).

Mytonomy recently deployed its virtual care platform at the Mayo Clinic to drive shared decision-making in oncology. This new collaboration with Carilion will produce a new virtual care offering comprised of the latest in behavioral science, cognitive learning principles and digital engagement technology. The goal is to dramatically expand the reach of education, communication and care resources available to patients, families, staff and community support services—connecting them in real time.

The AMP program reduces overall costs and creates efficiencies by centralizing pharmacy services at one location in Virginia and then shipping the medications directly to the CHC for patient pick-up. This process reduces patient transportation challenges and allows CHC staff to provide clinical education, thus promoting medication adherence.

Carilion and Mytonomy will create new microlearning video education and engagement tools to assist healthcare staff, clinicians and community support resources with the most pressing challenges they face, including:

Currently, 34 medications are available through the program for chronic illnesses, such as asthma, depression, diabetes, high cholesterol and hypertension. Patients of the CHC can determine whether they qualify for AMP by discussing with the AMP Coordinator.

We are excited about this new partnership with RxP. We know that many are faced with choosing between filling prescriptions or paying household expenses. This program will help with continuity of care and potentially cut down on missed doses that can lead to worsening of chronic conditions.

Michelle Brauns, CEO

Rx Partnership is a Richmond-based non-profit with the mission of increasing medication access for vulnerable Virginians and strengthen the health safety net.

More Information: www.chcnrv.org

• A better understanding of the biology of addiction and pain management practices • Recognizing patients who are addicted • Supporting patients and families suffering from addiction through recovery • Connecting them to the right care resources at the right time

“This is an important collaboration. This gives us the opportunity to bring the latest technology to bear upon this complex problem for our patients, families and staff,” says Nancy Agee, President and CEO of Carilion Clinic. “Our strong hope is to build a successful, scalable solution that will help other health care providers across the country.”

Carilion and Mytonomy will begin deploying this new virtual care tool set from now through fall 2019, with the aim of making it available to health systems across the country.

“Using modern tools, such as microlearning, to engage those most in need is a new frontier in medicine,” says Robert Trestman, MD, PhD, chair of the Department of Psychiatry and Behavioral Medicine at Carilion Clinic and the Virginia Tech Carilion School of Medicine. “This approach can serve as a force multiplier to reduce opioid dependence, addiction and deaths across Virginia and the country.”

More Information: www.carilionclinic.org

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Hamlar-Curtis Funeral Home, Inc., in Roanoke celebrated the retirement of H. Clarke “Duke” Curtis, second-generation owner and former Funeral Services Licensee at the 67-year-old funeral establishment, this past June.

Correct Telephone Number for Relocated River Ridge Dermatology Office in Roanoke In The Pulse section of the June/July 2019 edition of OurHealth Roanoke and New River Valleys, the phone number for the relocated River Ridge Dermatology office, located at 2110 Carolina Avenue in Roanoke, was incorrectly listed. The correct number is 540.951.DERM (3376).

River Ridge Dermatology offers medical, surgical and cosmetic dermatological procedures and carries several lines of medical-grade skin care products, including its own house brand. Appointment hours at the new location are 8 a.m. to 5 p.m. Monday to Friday.

More Information: www.riverridgederm.com

It’s a great opportunity to pause and recognize Duke’s contributions to the community. The NAACP gave Duke this recognition for the work he did for Roanoke. With Duke’s retirement, we acknowledge his service to the Roanoke Valley region and to the thousands of grieving families he has served.

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Michael L. Hamlar, third-generation owner and Hamlar-Curtis’ Funeral Services Licensee.

Curtis was born in Roanoke and graduated from William Fleming High School. He was also a past president of the Virginia Morticians' Association (1999-2000) and has been active on a variety of boards and in leadership throughout the region. Curtis was given the NAACP Lifetime Achievement Award at its 21st Annual Citizen of the Year event held in May. “Through these past few decades, we’ve grown what was already a successful company,” says Hamlar. “I’m very proud of the work we’ve done together and I’m excited to see where the future takes us. Duke has done an excellent job building Hamlar-Curtis Funeral Home and we’re all thankful for his passion to serve.”

Hamlar now manages day-to-day operations at the funeral home, which was originally opened in 1952 by his late great uncle, consummate businessman and philanthropist Lawrence Harrison Hamlar, and Duke Curtis’ father, the late Harry C. Curtis, Jr. and mother, the late Marilyn C. Curtis.

More Information: www.hamlar-curtis.com www.OurHealthRoanokeNRV.com

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• NEWS TO KNOW

Hamlar-Curtis Funeral Home Celebrates Second-Generation Owner’s Retirement

Corrections

The Pulse

Milestones and Achievements

The Pulse

• NEWS TO KNOW

New Services, Programs and Technologies Salem-based Beacon HCI Introduces New Software to Help Reduce Medical Billing Errors Beacon HCI, formerly MedExpense Solutions, has introduced a new brand that highlights its mission to illuminate healthcare costs. With an estimated $17 billion to $20 billion in medical billing errors, the company is dedicated to uncovering costly errors that greatly affect both individual payers and employers.

“The name 'Beacon' more accurately reflects who we are as an organization, offering guidance and navigation to our customers through the intimidating pitfalls of medical bill management,” says Pat Palmer, CEO and co-founder of Beacon.

Along with organization’s name change, Beacon is celebrating the launch of its new healthcare billing compliance analysis software, LumenEx. Beacon’s executive team designed the web-based software to more effectively identify errors and overcharges on hospital bills. LumenEx’s proprietary software platform utilizes billing information that isn’t analyzed by other less advanced systems and incorporates an analysis by nurses experienced in compliance regulations.

It’s estimated that more than 80% of all medical bills contain errors, which adds up to billions of dollars needlessly paid to hospitals each year.

For the first time in the healthcare industry, those % who are on the receiving end of the billing are empowered by this extraordinary tool.

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Pat Palmer, CEO and co-founder of Beacon

LumenEx gives Third Party Administrators, selfinsured groups, reinsurance-stop loss carriers, trade organization members and other healthcare payers the ability to reject erroneous and non-compliant charges including duplicate charges, canceled tests and pharmacy overcharges. With LumenEx, payers are given the resources to reject those errors, saving them thousands of dollars.

Karen Nelson, associate director of development for the Warm Hearth Foundation, has received the 2019 LeadingAge Virginia Advocacy Award.

New Services, Programs and Technologies Warm Hearth Foundation Leader Receives Statewide Advocacy Award Karen Nelson, associate director of development for the Warm Hearth Foundation, has received the 2019 LeadingAge Virginia Advocacy Award. Nelson was formally presented with the award during a ceremony held in June.

LeadingAge Virginia works with nonprofit members to create innovative practices to transform services for the aging in America. Warm Hearth has been an active member of Leading Age since 1981. The Advocacy Award recognizes an individual for exceptional achievement in advocacy initiatives who champion resident life enrichment and exceptional care delivery.

Nelson is credited with making strides in bringing supportive programs and services to the 150 low-income seniors living on Warm Hearth’s campus.

Everything from hot meals to produce grown on site and produce delivered from local farms, to personal care supplies and pet food, she has formed community partnerships to made it happen.

WHV CEO and President Ferne Moschella is proud of Nelson’s accomplishments.

“Karen has worked tirelessly on behalf of the neighbors at Warm Hearth, seeking to understand their greatest needs and identifying and implementing solutions to address those needs,” says Moschella. “Whether through providing shelf-stable groceries, fresh produce, personal care items or pet food and related supplies, Karen truly embodies Dr. Kroonte’s [Warm Hearth founder’s] belief that aging with dignity should not be limited to those with the means to afford it.”

More Information: www.retire.org

More Information: www.beaconhci.com

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The Pulse

• NEWS TO KNOW

New Services, Programs and Technologies Averett University Announces Addition of Two Nurse Practitioner Certifications Beginning in 2020, Averett University in Danville will offer a new graduate-level nursing program. The Master of Science in Nursing degree program will offer two focus areas: Family Nurse Practitioner (FNP) and Emergency Nurse Practitioner (ENP). Averett is one of only 13 schools in the country, and the only in Virginia and neighboring North Carolina, to offer a focus in ENP education — advanced, specialized training that prepares nurses for some of the most highly respected and well-paid nursing positions available. Averett will secure clinical placements for all nurse practitioner students.

“We are particularly proud of these two new nursing offerings that provide such vital services to the regions we serve,” says Averett University President Dr. Tiffany M. Franks. “It’s also important that these offerings will allow nurses in the surrounding area to train for better-paying jobs without traveling far away. We hope this will encourage these nurses to stay close, serving the people in rural Virginia and North Carolina, where the need for qualified and experienced health care professionals is great.”

Nurses who are certified as ENPs are qualified to provide care for acute and critical illnesses and to treat serious trauma and injuries. They are able to work in emergency rooms and other urgent care facilities, including Level One Trauma Centers, the highest level of emergency care accessible in a hospital setting. With the ability to diagnose, prescribe, perform procedures and confer with physicians on complex cases, ENPs are highly valued healthcare professionals with many job opportunities.

Sidney Barnes, MD

Shelley Butler, NP

Claudia Corrales, MD

Jennifer Dudley, PA-C

Leah Franks, PA-C

Jessica Fultz, MSN, RN, FNP-BC

LewisGale Physicians – Alleghany Surgery Low Moor | 540.862.7181 www.lgphysicians.com

LewisGale Physicians Neurology Salam | 540.772.3450 www.lgphysicians.com

Carilion Clinic Family Medicine Floyd | 540.745.2031 www.carilionclinic.org

LewisGale Physicians Virginia Orthopedics Salem | 540.444.4020 www.lgphysicians.com

Nurses who hold certification as a Family Nurse Practitioner are empowered to take on more responsibility and autonomy in the course of their work. FNPs provide generalized, family-focused care and are certified to perform examinations, provide diagnoses and write prescriptions, among other things. Because of the broad scope of their training and duties, many FNPs serve as the primary healthcare provider for their patients — a skill that is particularly valuable in underserved and rural areas where physicians may be few.

The addition of the ENP specialty propels Averett University into a higher tier of nursing education. None of the major nursing schools within a 500-mile radius offers it, and only 12 others in the entire United States do. We are extremely proud to be able to offer this program.

LewisGale Physicians Urology Salem | 540.772.3702 www.lgphysicians.com

Dr. Pamela Giles, Averett School of Nursing Dean

LewisGale Physicians – Blacksburg Cardiology Blacksburg | 540.961.0218 www.lgphysicians.com

The Averett School of Nursing will offer the first FNP classes in January 2020, with applications for that first cohort now open. The first group of post-master’s ENP students will begin studies in May 2020. Eligible students must already hold an undergraduate degree in nursing in order to be eligible for the MSN degree program. The FNP courses may be completed in six semesters, and students may continue their studies for two more semesters to complete the ENP courses. Nurses already holding a graduate-level nursing degree are also eligible to apply directly for the FNP and ENP post-master’s certificates.

More Information: www.averett.edu/nursegreatly

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Alyson Hartkopf, MD Carilion Clinic Pediatric Child Development Roanoke | 540.224.4520 www.carilionclinic.org

Rhonda Johnson, NP

Carilion Clinic Psychiatry & Behavioral Medicine Christiansburg | 540.731.7311 www.carilionclinic.org

Kate Gail, NP

John Patterson, MD

Herbert Pierce

Xavier Preud’homme, MD Chelsea Ress, PA-C Carilion Clinic Psychiatry & Behavioral Medicine Roanoke | 540.981.8025 www.carilionclinic.org

LewisGale Physicians Virginia Orthopedics Salem | 540.444.4020 www.lgphysicians.com

Sarah Rivelli, MD

Matthew Shortt, PA-C

Khoa Tran, MD

April Vecera

Holly Walters, BSN

Nicholas Watkins

Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Carilion Clinic Psychiatry & Behavioral Medicine Roanoke | 540.981.8025 www.carilionclinic.org

Justin Weppner, DO

Carilion Clinic Physical Medicine & Rehabilitation Roanoke | 540.985.8000 www.carilionclinic.org

Virginia O’Brien, MD

Carilion Clinic Psychiatry & Behavioral Medicine Roanoke | 540.981.8025 www.carilionclinic.org

Director of Interventional Cardiovascular Services LewisGale Medical Center Salem | 540.776.4000 www.lewisgale.com

LewisGale Physicians Blacksburg Cardiology Blacksburg | 540.961.0218 www.lgphysicians.com

Carilion Clinic Psychiatry & Behavioral Medicine Roanoke | 540.981.8025 www.carilionclinic.org

Surgical Services Director LewisGale Medical Center Salem | 540.776.4000 www.lewisgale.com

Chief Executive Officer Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com

Practice Administrator Orthopedics LewisGale Physicians www.lgphysicians.com

Emergency Preparedness Manager LewisGale Medical Center Salem | 540.776.4000 www.lewisgale.com

Welcomes our New Healthcare Providers to the Community!

www.OurHealthRoanokeNRV.com

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | STEVE MCCLINTIC, JR. photos | KATE ERICSSON

2019 ROANOKE VALLEY ICAN SHINE PROGRAM HELPS 24 PEOPLE WITH DISABILITIES LEARN TO RIDE BICYCLES iCan Shine is a charitable non-profit organization that collaborates with local organizations and individuals to conduct five-day “iCan” programs designed to help teach people with disabilities learn different recreational activities, such as swimming and biking. Since 2007, iCan Bike, which teaches participants how to ride conventional twowheel bicycles, has resulted in more than 20,000 people with disabilities throughout 35 U.S. states successfully learning how to ride through the five-day program.

2019 marked the fifth year in which the iCan Bike program was held in the Roanoke Valley. During the week of July 8-12, 2019 at Spectrum Sports Academy in Roanoke, 24 people with disabilities participated in the iCan Bike program. Each person who learned to ride a bicycle was paired with two volunteers, who worked with the participants for 75 minutes each day with the goal of each being able to independently ride a bicycle at least 75 feet with no assistance. More than 80 percent of participants are able to accomplish this feat each year, with the remaining 20 percent making tremendous progress toward reaching the goal.

The Roanoke Valley iCan Bike program was hosted by Lea and Ginny Riddle with sponsors including McGriff Insurance Services, Member One, Pitman Construction, Virginia Autism and Behavior Consulting, Down Syndrome Association of Roanoke, Interim Healthcare, and Friends of Charlie.

For more information about the iCan Shine program, visit www.icanshine.org.

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Health Scene • HAPPENINGS www.OurHealthRoanokeNRV.com

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Questions. Answers.

Knowledge.

Did you know?

August is

CHILDREN’S EYE HEALTH AND SAFETY MONTH For more information about how you can spread awareness, visit www.aao.org/eye-health.

Does hospice care end when a patient passes?

Can I depend on the vision screening offered at school to determine if my child’s vision is okay?

While school vision screenings are an excellent service, they can only measure a few specific areas of vision. Vision is a lot more than just being able to see the board in class.

“Good vision” means seeing clearly far away and up close, maintaining clear and comfortable vision for extended periods of time, having good depth perception, being able to change your focus quickly and accurately, having good control over your reading muscles and processing and remembering what visual information your brain receives.

A comprehensive eye exam will measure and screen these skills. In addition, eye muscles are checked to ensure they are collectively working well in order to be successful for reading and sports, and ocular health is assessed, inside and out.

A school screening will typically only measure the ability to see at a distance, which is easy to measure incorrectly since children are good at over-focusing during the test.

Colleen Mitchell, OD

Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

One of the most valuable gifts of hospice care is the support all family members receive when a loved one is faced with end-of-life challenges. Comprehensive hospice care provides families with access to trained social workers, chaplains and bereavement counselors who understand this type of grief and are present from the moment a loved one enters hospice to support the family and help make memories that they may keep with them after their loved one has passed. Bereavement counselors provide ongoing care for hospice families for more than a year after their loved one’s passing and also offer programs, groups and other resources for healing and growth. Often a special bond is formed between hospice and families, and it is this continued relationship that makes such a difference in the journey.

Aaron Housh, CEO

Good Samaritan Hospice Roanoke | 540.776.0198 www.goodsamhospice.org

I’m not sure if I had a measles vaccine as a child. How do I find out without medical records?

The measles vaccine first emerged in 1963, but in 1969, a revised and improved version was unveiled.

Many people born before 1970 are likely to be immune due to exposure to measles. The MMR (measles, mumps and rubella) vaccine was introduced in 1989, and as such, many people born prior to 1989 may not be fully immunized. If there is any doubt about the vaccination status due to a lack of medical records, a person can request to have a Measles Titer test be performed. A Measles Titer test is a blood test that checks for the presence of certain antibodies in the blood stream to determine whether you’re immune to a specific disease. Antibodies are made by your immune system to help fight and control an infection, such as measles.

It usually takes about two days for the results of a Measles Titer to return, but this can vary. To request a Measles Titer Test be performed, speak with your primary care doctor.

Mark McBride, MD

Physicians to Children, Inc. Roanoke | 540.344.9213 www.physicianstochildren.com

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Questions. Answers.

Knowledge.

Did you know?

September is

PROSTATE CANCER AWARENESS MONTH For more information about how you can spread awareness, visit www.zerocancer.org.

Instead of actively treating my father’s prostate cancer, his doctor has recommended “active surveillance.” What does this mean?

Because certain prostate cancers grow very slowly, a doctor may determine that this type of cancer may not likely cause a significant threat. This is only true if the type of prostate cancer is localized, meaning it hasn’t spread beyond the prostate. If this is the case, your father and his doctor can discuss forgoing immediate treatment while monitoring the cancer closely through tests such as regular rectal exams, PSA blood tests, biopsies or an MRI, among others.

This approach is called “active surveillance.” Not rushing into treatment for prostate cancer that may not cause any harm helps many men avoid treatment-related side effects. If the doctor notices changes to the cancer occurring during active surveillance, he or she will discuss beginning treatment options.

Richard G. Rento II, MD

Virginia Urology Richmond | 804.330.9105 www.uro.com

What is Cumulative Trauma Disorder?

Cumulative Trauma Disorder (CTD) is an injury to bones, joints, tendons, muscles and nerves that occur with repetitive minor stress.

Symptoms of Cumulative Trauma Disorder usually arise gradually when pain is experienced while engaged in specific activities, and the pain can progress and affect a person’s ability to perform many other activities of daily living unrelated to it. Conditions like lateral epicondylitis (tennis elbow), stress fractures and nerve injuries such as carpal tunnel syndrome are examples of those that can result in Cumulative Trauma Disorder.

The cause of injury is from repetitive minor overload in excess of the body’s ability to heal or repair the injured tissue. Tendons have less ability to heal as we age, making some of these injuries more common after the age of 40. Since the symptoms arise gradually, the patient often overlooks the immediate source of the injury.

There is usually an identifiable repetitive activity performed in the same position or movement that triggers the injury or associated symptoms.

Treatment includes first identifying the repetitive task, followed by relative rest or even temporary avoidance of the task. Those with injured tissue may be recommended using anti-inflammatory medications and/or ice, or receive deep tissue massage, injections, splinting, rehabilitation care of muscles and tendons. Modification of a work environment may also be recommended.

James Farmer, MD

LewisGale Physicians Salem | 540.444.4020 www.lgphysicians.com

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How are orthotics different from a shoe insert?

Foot orthotics are custom-made 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. A certified orthotist will first evaluate your gait and then make a mold of your feet that will be modified to create an orthotic designed to stabilize the existing condition and to provide 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, their main function is to provide comfort through the soft, gel-like material construction, but they can do little to stabilize any underlying condition.

Both inserts and orthotics wear out over time and need to be replaced periodically.

Aaron Smith, CO

Virginia Prosthetics and Orthotics, Inc. Roanoke | 540.366.8287 www.virginiaprosthetics.com

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From assisted living and rehabilitation experts to restaurants, pharmacies and salons, we unveil readers’ top choices in Roanoke and New River Valleys for services they trust to keep our golden generation healthy and happy.

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R O A N O K E & N E W R I V E R VA L L E Y S

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BRONZE

SILVER

Senior Healthy Living Awards 11

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GOLD

GOLD

Honorable Mention

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Cave Spring Place Assisted Living Community Roanoke | 540.212.9599 www.enlivant.com

GOLD

Commonwealth Senior Living at Christiansburg Christiansburg | 540.283.9667 www.commonwealthsl.com

ADULT DAY CARE CENTERS First Place

The Feinour Center at Friendship Roanoke | 540.283.4433 www.friendship.us

Second Place

Adult Care Center of Roanoke Valley Salem | 540.981.2350 www.accrv.org

Third Place

Virginia Tech Adult Day Services Blacksburg | 540.231.3161 www.ads.hdfs.vt.edu

Honorable Mention Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

Congratulations

Senior Healthy Living Awards!

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AFTERLIFE SERVICES First Place

Oakey’s Roanoke | 540.982.2100 www.oakeys.com

Second Place

John M. Oakey and Son Funeral Home and Crematory Salem | 540.389.5441 www.johnmoakey.com

Third Place

Rader Funeral Home Daleville | 540.992.1212 www.rader-funeralhome.com

Honorable Mention Lotz Funeral Home Roanoke | 540.982.1001 www.lotzfuneralhome.com

McCoy Funeral Home Blacksburg | 540.552.3211 www.mccoyfuneralhome.com Simpson Funeral Home and Crematory Roanoke | 540.366.0707 www.simpsonfuneral.com

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

ASSISTED LIVING COMMUNITY First Place

Showalter Center at Warm Hearth Blacksburg | 540.443.3415 www.retire.org

Second Place (tie) Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

Friendship Living Roanoke | 540.385.8720 www.friendship.us Runk and Pratt Senior Living Communities Forest | 434.385.0251 www.runkandpratt.com The Glebe Daleville | 540.795.2224 www.theglebe.org

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GOLD

Hermitage Roanoke Roanoke | 540.449.0071 www.hermitageroanoke.org

Third Place (tie)

English Meadows Senior Living Community Christiansburg | 540.382.4919 www.englishmeadowsslc.com/ christiansburg Pheasant Ridge Assisted Living and Memory Care Roanoke | 540.627.5011 www.pheasantridgeslc.com 11

11

GOLD

th annual

SILVER

First Place

Visiting Angels in Roanoke Roanoke | 540.904.7104 www.visitingangels.com/roanokeva

Second Place

11

th annual

th annual

COMPANION CARE

BRONZE

Generation Solutions Roanoke | 540.776.3622 www.generationsolutions.net

www.OurHealthRoanokeNRV.com

27

11

11

GOLD

R O A N O K E & N E W R I V E R VA L L E Y S

11

th annual

th annual

th annual

SILVER

BRONZE

COMPANION CARE

Third Place

Warm Hearth at Home Blacksburg | 540.443.3428 www.whvathome.org

Senior Healthy Living Awards

Third Place

11

th annual

GOLD

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net Care Advantage Salem | 540.343.2273 www.careadvantageinc.com

2019

Senior Healthy Living Awards

GOLD

Honorable Mention

Honorable Mention Acti-Kare Of The Blue Ridge Goode | 540.443.6223 www.actikare.com/blue-ridge

11 th annual

Vested Partners A Multi-Family Office Salem | 540.389.6060 www.vestedmfo.com

Gail Cook-Devilbiss, PC Radford | 540.639.4056

ELDER LAW ATTORNEY

FITNESS SERVICES

11

th annual

(INCLUDING YOGA AND TAI CHI STUDIOS)

GOLD

First Place

First Place

Anderson, Desimone and Green, PC Roanoke | 540.776.6434 www.andersondesimone.com

Green Ridge Recreation Center Roanoke | 540.387.6078 www.greenridgerecreationcenter.com

Second Place

Rhodes, Butler and Dellinger, PC Roanoke | 540.342.0888 www.rhodesbutler.com

FINANCIAL ADVISING First Place

Brooks Financial Group Roanoke | 540.981.0657 www.ameripriseadvisors.com/ team/brooks-financial-group

Second Place

Blue Ridge YMCA Roanoke | 540.342.9622 www.ymcavbr.org

Third Place

Carilion Wellness Roanoke | 540.989.5758 www.carilionwellness.com

Honorable Mention

Second Place

The Myrias Group – Ameriprise Financial Services, Inc. Roanoke | 540.769.0052 www.ameripriseadvisors.com/ team/themyriasgroup

Third Place

Christiansburg Aquatic Center Christiansburg | 540.381.7665 www.cacpool.com

Hollins Women’s Fitness Center Roanoke | 540.563.5318 https://hollins-womens-fitness-center. business.site

Davenport and Co, LLC Roanoke | 540.345.1909 www.investdavenport.com

Honorable Mention Beacon Wealth Roanoke | 540.345.3891 www.beaconwealth.com

THE

Edward Jones: Mike Pendleton Roanoke | 540.366.5539 www.edwardjones.com/mike-pendleton Market Square Advisors Roanoke | 540.613.8236 www.marketsquareadvisors.com Plott and French Financial Advisors Blacksburg | 540.639.2139 www.plottandfrench.com

11

11

GOLD

28

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

th annual

SILVER

2019

Senior Healthy Living Award

winners ON

Social Media!

11

th annual

th annual

Join Us in Congratulating

BRONZE

www.OurHealthRoanokeNRV.com

29

30

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

R O A N O K E & N E W R I V E R VA L L E Y S

Senior Healthy Living Awards 11 th annual

11 th annual

GOLD

GOLD

HOME HEALTH

HOSPICE CARE

First Place

Interim Healthcare of Roanoke Roanoke | New River Valley Southside | 540.774.8686 www.interimhealthcare.com/ roanoke

Second Place

Warm Hearth at Home Blacksburg | 540.443.3428 www.whvathome.org

Third Place

Kindred at Home Roanoke | 540.362.7578 www.kindredhealthcare.com

Honorable Mention Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

Encompass Health Home Health – Roanoke Roanoke | 540.774.4970 www.encompasshealthlocations.com

First Place

Good Samaritan Hospice Roanoke | 888.466.7809 www.goodsamhospice.org

Second Place

Gentle Shepherd Hospice Roanoke | 800.789.0586 www.gentleshepherdhospice.com

Third Place

Heartland Hospice of Western Virginia Roanoke | 888.304.1400 www.heartlandhospice.com

Honorable Mention Medi Home Health and Hospice Roanoke | 540.278.1322 www.msa-corp.com

New Century Hospice – Roanoke Roanoke | 540.366.0927 http://newcentury.curohs.com

11

th annual

Generation Solutions Roanoke | 540.776.3622 www.generationsolutions.net

GOLD

Medi Home Health and Hospice Pulaski | 540.980.0478 www.msa-corp.com Visiting Angels in Roanoke Roanoke | 540.904.7104 www.visitingangels.com/roanokeva

Congratulations

Senior Healthy Living Award winners!

INDEPENDENT LIVING COMMUNITY First Place

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net 11

11

11

th annual

th annual

GOLD

th annual

SILVER

BRONZE

31

11 th annual

11 th annual

R O A N O K E & N E W R I V E R VA L L E Y S

11 th annual

GOLD

SILVER

BRONZE

INDEPENDENT LIVING COMMUNITY

Second Place (tie) Richfield Living Salem | 540.380.4500 www.richfieldliving.com

Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

Third Place

Harmony Senior Services Roanoke | 540.562.8289 www.harmonyseniorservices.com

Honorable Mention

Commonwealth Senior Living at Radford Radford | 540.639.2411 www.commonwealthsl.com Elm Park Estates Roanoke | 540.613.1532 www.holidaytouch.com Friendship Living Roanoke | 540.385.8720 www.friendship.us The Glebe Daleville | 540.795.2224 www.theglebe.org

Senior Healthy Living Awards Third Place

Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com

Honorable Mention

Honorable Mention Brooks-Byrd Health Pharmacy Salem | 540.389.8111 f Brooks-Byrd-Pharmacy

Christiansburg Pharmacy Christiansburg | 540.382.9000 www.christiansburgpharmacy.com

Highland Ridge Rehab Center Dublin | 540.674.4193 www.highlandridgerehab.com

Crouch’s Pharmacy, Inc. Hollins | 540.366.3179 www.crouchspharmacy.com

Kroontje Health Care Center at Warm Hearth Blacksburg | 540.953.3200 www.retire.org

DownHome Pharmacy Roanoke | 540.966.4858 www.downhomepharmacy.net

Springtree Health and Rehabilitation Center Roanoke | 540.981.2790 www.springtreehealthrehab.com

11 th annual

GOLD

GOLD

GOLD

MASSAGE THERAPY SERVICES LONG TERM CARE First Place

Second Place

LOCAL PHARMACY

Second Place

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

11 th annual

11

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

Friendship Health Roanoke | 540.385.8720 www.friendship.us

Springtree Health and Rehabilitation Center Roanoke | 540.981.2790 www.springtreehealthrehab.com

th annual

Richfield Living Salem | 540.380.4500 www.richfieldliving.com

11

First Place

South Roanoke Nursing Home Roanoke | 540.344.4325 www.southroanokenursinghome.com

GOLD

Raleigh Court Health and Rehabilitation Center Roanoke | 540.342.9525 www.raleighcthealthrehab.com

th annual

INPATIENT REHABILITATION

Snyder Nursing Home, Inc. Salem | 540.389.0160 www.vhca.org/locator/snyder-nursinghome-inc

First Place

West Health Mart Pharmacy Roanoke | 540.774.5500 www.healthmart.com

Second Place

Martins Pharmacy Pulaski | 540.980.4060 www.martinsrx.com

Third Place

Blacksburg Pharmacy Blacksburg | 540.552.3000 www.blacksburgpharmacy.com

Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com

Third Place

Friendship Health Roanoke | 540.385.8720 www.friendship.us

Honorable Mention Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com Raleigh Court Health and Rehabilitation Center Roanoke | 540.342.9525 www.raleighcthealthrehab.com

First Place

Pampered Healing Massage Therapy and Day Spa Christiansburg | 540.641.0152 www.pamperedhealing.com

Second Place

Body and Sole Therapy Roanoke | 540.982.2639 www.mybodyandsole.com

Third Place

Erin Headrick, LMT Roanoke | 540.728.0082 www.erinheadrick.fullslate.com

Honorable Mention

Good Karma Therapeutic Massage and Bodywork Daleville | 540.685.4411 www.goodkarmatmb.com Massage Envy Roanoke | 540.343.9600 www.massageenvy.com Relax Blacksburg Blacksburg | 540.315.6844 www.relaxblacksburg.com The Mud Room: Medical Massage for Wellness and Rejuvenation, LLC Christiansburg | 540.251.5110 f themudroommassage

Congratulations to the 2019 Senior Healthy Living Award Winners!

32

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

www.OurHealthRoanokeNRV.com

33

11

11

GOLD

R O A N O K E & N E W R I V E R VA L L E Y S

11

th annual

th annual

th annual

BRONZE

SILVER

Senior Healthy Living Awards Second Place

11

th annual

Our Lady of the Valley Roanoke | 540.345.5111 www.ourladyofthevalley.com

GOLD

MEDICAL EQUIPMENT PROVIDER First Place

Honorable Mention

Honorable Mention

Heartland Rehabilitation Services Of North Roanoke Roanoke | 540.366.2243 www.heartlandrehab.com

Friendship Health Alzheimer’s and Memory Care Roanoke | 540.385.8720 www.friendship.us

Brookdale Senior Living Roanoke | 540.343.4900 www.brookdale.com

Carrington Cottage Memory Care Center Daleville | 540.300.2412 www.carringtoncottage.com

Second Place

Commonwealth Senior Living at Christiansburg Christiansburg | 540.283.9667 www.commonwealthsl.com Kroontje Health Care Center at Warm Hearth Blacksburg | 540.953.3200 www.retire.org

Third Place

Medi Home Care Roanoke | 540.342.3459 www.msa-corp.com

Heritage Hall Blacksburg Blacksburg | 540.951.7000 www.heritage-hall.org Highland Ridge Rehab Center Dublin | 540.674.4193 www.highlandridgerehab.com Salem Health and Rehabilitation Center Salem | 540.345.3894 www.salemhealthrehab.com

11

th annual

GOLD

HB Rehab Services, Inc. Roanoke | 540.777.0530 www.hbrehab.com

Lincare Inc. Christiansburg | 540.381.9270 www.lincare.com

PALLIATIVE CARE

11

GOLD

First Place

11

th annual

Carilion Clinic Roanoke | 540.985.8044 www.carilionclinic.org

GOLD

OUTPATIENT REHABILITATION MEMORY CARE

Richfield Living Salem | 540.380.4500 www.richfieldliving.com

First Place

Richfield Living Salem | 540.380.4500 www.richfieldliving.com

11

11

GOLD

34

Second Place

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

11

th annual

th annual

th annual

SILVER

First Place

BRONZE

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

POST-ACUTE REHAB SERVICES First Place

Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com

Second Place

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

Third Place (tie)

Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com

The Harmony Collection at Roanoke – Memory Care Roanoke | 540.685.4900 www.harmonyatroanoke.com

th annual

GOLD

Friendship Health Roanoke | 540.385.8720 www.friendship.us

Salem Terrace at Harrogate Salem | 540.444.0343 www.salemterrace.com

Honorable Mention

11

th annual

Carilion Clinic Outpatient Therapy Roanoke | 540.981.8050 www.carilionclinic.org

Third Place

Commonwealth Home Health Care Danville | 434.797.2332 www.commonwealthcare.com

Rotech Healthcare Inc. Roanoke | 540.344.2184 www.rotech.com

Third Place

Second Place

LewisGale Medical Center Salem | 540.776.4000 www.lewisgale.com

Third Place

Friendship Health Roanoke | 540.385.8720 www.friendship.us

Honorable Mention Richfield Living Salem | 540.380.4500 www.richfieldliving.com

Radford Health and Rehab Center Radford | 540.633.6533 www.radford-rehab.com

Honorable Mention Franklin Health and Rehabilitation Center Rocky Mount | 540.489.3467 www.franklin-health.com

Raleigh Court Health and Rehabilitation Center Roanoke | 540.342.9525 www.raleighcthealthrehab.com Richfield Living Salem | 540.380.4500 www.richfieldliving.com Springtree Health and Rehabilitation Center Roanoke | 540.981.2790 www.springtreehealthrehab.com

2019

Senior Healthy Living Awards!

11

11

R O A N O K E & N E W R I V E R VA L L E Y S

11

th annual

th annual

th annual

GOLD

SILVER

BRONZE

Senior Healthy Living Awards Second Place

11

11

th annual

th annual

GOLD

GOLD

11

th annual

Brambleton Center Roanoke | 540.772.7529 www.roanokecountyparks.com/ 209/Brambleton-Center

GOLD

Third Place

RESTAURANT

SALON AND DAY SPA SERVICES

First Place

First Place

Second Place

Second Place

Blue Apron Restaurant Salem | 540.375.0055 www.blueapronredrooster.com

Carlos Brazilian International Cuisine Roanoke | 540.776.1117 www.carlosbrazilian.com

Third Place

Al’s On First Pulaski | 540.509.5133 www.alsonfirst.com

Honorable Mention Alexander’s Roanoke | 540.982.6983 www.alexandersva.com

Club Friendship Roanoke | 540.265.2056 www.friendship.us Hollywood’s Restaurant and Bakery Roanoke | 540.362.1812 www.hollywoodsrestaurant.com Local Roots Restaurant Roanoke | 540.206.2610 www.localrootsrestaurant.com

’ Belle Sante Roanoke | 540.566.3519 www.bellesantespa.com

Azario Salon and Day Spa Roanoke | 540.772.1300 www.azariosalon.com

Third Place

Pure Spa Roanoke | 540.904.5900 www.puresparoanoke.com

Senior Healthy Living Award

winners!

Honorable Mention

Radford Senior Center Radford | 540.731.3634 www.radfordva.gov/359/senior The Christiansburg Parks and Recreation Department Christiansburg | 540.382.2349 www.christiansburg.org/177/ Parks-Recreation Town of Pulaski Senior Center Pulaski | 540.994.8627 www.pulaskitown.org

11

th annual

GOLD

Honorable Mention Brighter Image Day Spa and Salon Roanoke | 540.265.7887 www.brighterimagedayspa.com Salon 121 and Spa Vinton | 540.857.0121 www.salon121andspa.com Tea Tree Salon at Warm Hearth Village Blacksburg | 540.443.3817 www.retire.org

11

th annual

GOLD

The Roanoker Restaurant Roanoke | 540.344.7746 www.theroanokerrestaurant.com

Congratulations

Salem Senior Center Salem | 540.375.3054 f SalemVASeniorCenter

First Place

Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

First Place

Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com

Second Place

Friendship Health Roanoke | 540.385.8720 www.friendship.us

Third Place

Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com

Honorable Mention

SENIOR RELOCATION SERVICES First Place

Crowning Touch Senior Moving Services Roanoke | 540.982.5800 www.crowningtouchusa.com

Second Place

Virginia Varsity Transfer Salem | 540.982.2202 www.virginiavarsity.com

SENIOR COMMUNITY CENTER

SKILLED NURSING CARE

Third Place

Caring Transitions Roanoke | 540.977.2801 www.caringtransitions.net/ roanokeva

Honorable Mention Lawrence Moving Roanoke | 540.966.4006 www.lawrencemoves.com

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

Heritage Hall Blacksburg Blacksburg | 540.951.7000 www.heritage-hall.org Highland Ridge Rehab Center Dublin | 540.674.4193 www.highlandridgerehab.com Raleigh Court Health and Rehabilitation Center Roanoke | 540.342.9525 www.raleighcthealthrehab.com Virginia Veterans Care Center Roanoke | 540.982.2860 www.dvs.virginia.gov/ veterans-care-centers/vvcc

2019

Senior Healthy Living Awards! www.OurHealthRoanokeNRV.com

35

11

11

GOLD

R O A N O K E & N E W R I V E R VA L L E Y S

11

th annual

th annual

th annual

BRONZE

SILVER

Senior Healthy Living Awards Second Place

11

th annual

GOLD

Carilion Clinic Rehabilitation Center Roanoke | 540.981.7000 www.carilionclinic.org/ therapy-and-rehabilitation

11

th annual

GOLD

Third Place

SPEECH THERAPY

Join us in

Congratulating ALL THE

2019

Roanoke & New River Valleys

Senior Healthy Living Award Winners!

11 th annual

11 th annual

First Place

Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com

Second Place

Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com

Third Place

Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net

Honorable Mention

Highland Ridge Rehab Center Dublin | 540.674.4193 www.highlandridgerehab.com Richfield Living Salem | 540.380.4500 www.richfieldliving.com

Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com Brandon Oaks Roanoke | 540.776.2616 www.brandonoaks.net Friendship Health Roanoke | 540.385.8720 www.friendship.us Richfield Living Salem | 540.380.4500 www.richfieldliving.com

11

th annual

GOLD

Second Place

Radar Roanoke | 540.343.1721 www.radartransit.org

First Place

LewisGale Medical Center Salem | 540.776.4000 www.lewisgale.com

36

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Martin Travel Roanoke | 540.343.5400 www.martintravel.com

Second Place

Sunshine Tours Dublin | 540.674.9517 www.gosunshinetours.com

Third Place

McDade Travel Roanoke | 540.774.2255 www.mcdadetravel.com

Honorable Mention Christian Travel Radford | 540.639.9388 www.christian-travel.com

TRAVEL AGENCY

GOLD

STROKE CARE

First Place

More at OurHealthRoanokeNRV.com

Blue Ridge Medical Transport, Inc. Max Meadows | 276.637.3755

BRONZE

TRANSPORTATION SERVICES

ON THE WEB

First Place

11

th annual

SILVER

Honorable Mention

Friendship Health Roanoke | 540.385.8720 www.friendship.us

11 th annual

GOLD

Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com

Third Place

American Medical Response Salem | 888.267.7828 www.amr.net/home/roanoke

Honorable Mention Pulaski Area Transit Pulaski | 540.980.5040 www.pulaskitransit.org

Congratulate THE

2019

Senior Healthy Living Award

winners ON

Social Media!

www.OurHealthRoanokeNRV.com

37

11 th annual

11

th annual

Brandon Oaks Life Plan Community

11 th annual SILVER

BRONZE

INDEPENDENT LIVING | ASSISTED LIVING | MEMORY SUPPORT | SKILLED NURSING CARE PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY | HOME HEALTH CARE

GOLD

3804 Brandon Avenue SW | Roanoke | 540.777.5602 | www.brandonoaks.net

About Us At Brandon Oaks, you’ll find so many ways to be enlightened, entertained, engaged, relaxed and fulfilled—often in the same day. That’s because you’ll have access to a wealth of outstanding amenities, services, resources and events that make life in this all-inclusive community one of activity, independence, ease and fun.

Amenities Get to know interesting new neighbors through the many planned social events. Enjoy a morning swim in the warm-water pool or take a wellness class in the Health & Vitality Center. Participate in one of the many resident-led interest groups. Or maybe get back into a longtime hobby or, better yet, start a new one through the many opportunities available on campus. By now, you’ve probably worked up quite an appetite thinking about all of the possibilities—we’ve got that covered too.

You’ll enjoy a range of dining venues and fare— everything from casual and grab-and-go to more traditional sit-down and get-to-know.

EVERYTHING YOU NEED, MORE OF WHAT YOU WANT, ALL IN ONE PLACE.

Spectrum of Care At Brandon Oaks, we offer the full spectrum of award-winning care including: • • • • • • •

Independent Living Assisted Living Memory Support Intensive Assisted Living Skilled Nursing Care Physical, Speech and Occupational Therapy Home Health Care

www.OurHealthRoanokeNRV.com

39

Carrington Cottage Memory Care Center SPECIALIZED MEMORY CARE SERVICES IN BOTETOURT 270 Commons Parkway | Daleville | 540.300.2412 | www.carringtoncottage.com

About Us Those suffering from memory loss often lose their freedom, their sense of self and their quality of life. The same can often be said for their caregivers, who suffer right along with them. When memory loss touches your life, Carrington Cottage is here for you, whether you’re a caregiver or a loved one suffering from memory loss.

Providing safety, support and the space to be active, Carrington Cottage is dedicated to providing compassionate care to residents.

Our comfortable environment accommodates the progressive stages of dementia with an educated, committed staff. Residents live in large private or semi-private suites that are fitted with all the necessities and comforts of home.

Each resident’s unique needs are met within our community of four distinct Memory Care neighborhoods overlooking views of the Blue Ridge Mountains. With less than 12 rooms in each neighborhood, Carrington Cottage has been uniquely designed to provide specialized Memory Care programs in an intimate setting.

CAREGIVERS AND FAMILY MEMBERS FEEL PEACE OF MIND KNOWING THEIR LOVED ONE IS SAFE AND HAPPY AT CARRINGTON COTTAGE.

Our Community Environment Each neighborhood has a variety of accommodations offering the perfect suite choice for you or your loved one. We offer a safe and secure facility, cozy common areas and living rooms in each neighborhood and an exclusive dining program catering to each resident’s likes. Residents enjoy meaningful activities that inspire physical, mental, social and emotional healing. Among other services and amenities, Carrington Cottage provides: •

On-site nurse 24 hours a day

•

Complimentary laundry

•

Housekeeping and maintenance services

•

Individualized levels of care with individual care plans

•

Open and ongoing communication with family and caregivers

•

Warm and friendly staff

•

Inviting gardens and patios

•

Family-style dining with delicious, nutritious options

Our devoted caregivers love to spend time with our residents and strive to engage them in meaningful activities, while meeting their medical and physical needs. Caregivers and family members feel peace of mind knowing their loved one is safe and happy at Carrington Cottage.

40

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Award Winning Services 10 Years in a Row

Friendship Health & Living Community INDEPENDENT LIVING | ASSISTED LIVING | ADULT MEDICAL DAY CARE | HOME CARE INPATIENT REHAB | LONG-TERM CARE | ALZHEIMER’S AND MEMORY CARE OUTPATIENT REHAB | RETAIL PHARMACY | WELLNESS SERVICES

11 th annual

11

th annual

11 th annual SILVER

BRONZE

GOLD

NORTH CAMPUS: 367 Hershberger Road | Roanoke | 540.265.2100 | www.friendship.us SOUTH REHAB: 5647 Starkey Road | Roanoke | 540.777.8300

Living at Friendship We understand the importance of living not only an independent life, but a fulfilling one. At Friendship, we offer you a supportive, thriving Independent Living community where you won’t have to worry about things like mowing the law or fixing the sink. That leaves you with plenty of time to enjoy the better things in life, like spending the afternoon swimming at our Residents Center, hosting a gourmet dinner party for your friends or enjoying a walk with your furry little buddy. (Yes, pets are welcome, too!) Located within minutes of the Roanoke Valley’s best shopping, dining and entertainment venues, Friendship gives you the freedom to live the life you choose.

If you need a little extra help, Friendship Assisted Living offers you the opportunity to continue leading a more independent life by regularly helping in the areas where you need extra assistance. We provide four levels of assisted care, from occasional assistance to 24-hour supervision. So, no matter where your life path takes you, our skilled staff of therapists and nurses can help keep you on it with the level of care that fits your lifestyle.

Support Services Friendship Home Care helps your loved one handle changes on their own terms and in their own home. Whether they need help with bathing and dressing to running errands or around-the-clock assistance, we aid your loved one in remaining as independent as possible.

The Feinour Center, Friendship’s Adult Medical Day Care, offers a more affordable opportunity for daytime care for family members who can no longer stay home alone safely. While your loved one is engaging in tailored activities and getting social, physical and cognitive needs met, you’ll enjoy a bit of respite, as well as peace of mind knowing they are safe and receiving dedicated care.

YOUR LIFE IS IN MOTION; AND WE WANT TO KEEP YOU GOING—THROUGH CHANGES, THROUGH AGING, THROUGH RECOVERY AND THROUGH WHATEVER ELSE LIFE BRINGS.

Health and Rehab Friendship Health has some of the best inpatient and outpatient services in the Roanoke and New River valleys, all thanks to the award-winning care of our staff. With our skilled nursing care, long-term care and memory care programs, we create an environment that enhances quality of life, while promoting healing and independence. Our rehab programs offer physical, occupational and speech therapies for both inpatient rehab and outpatient recovery. Let us help you find out which services are right for you.

www.OurHealthRoanokeNRV.com

41

11 th annual

Hermitage Roanoke

11 th annual

SILVER

BRONZE

INDEPENDENT AND ASSISTED LIVING | NURSING CARE | OUTPATIENT REHAB SERVICES | RESPITE CARE 1009 Old Country Club Road NW | Roanoke | 540.767.6800 | www.hermitageroanoke.org

About Us – 57 Years of Service Everyone reaches a time in their life when they need extra care and support.

When that time comes for your loved one, Hermitage Roanoke’s person-centered philosophy ensures compassion, comfort and security to residents in a choice of accommodations. Whether your loved one visits for just a few weeks or decides to call our “bed and breakfast”-like grounds ‘home,’ we offer Independent Living, Assisted Living and Nursing Care lifestyles throughout the continuum of care. A part of Pinnacle Living, a not-for-profit corporation, Hermitage Roanoke has been committed to providing an independent lifestyle to seniors 62 and older since 1964.

The Community While being treated like family, residents at Hermitage Roanoke receive quality care and luxurious living accommodations. An abundance of amenities and social activities enhances their well-being and quality of life. Some of the community’s most popular amenities are the large library, walking paths, exercise room, billiards, a prayer chapel and woodworking shop. Weekly outings and seasonal celebrations help them engage in rewarding activities and foster friendships. Your loved one will always have something fun and engaging to do at Hermitage Roanoke.

Services Among a choice of accommodations including independent living and assisted living apartments, Hermitage Roanoke offers community services for all its residents as well as additional on-site, specialized services including beauty and barber shops, laundry services and escort services to off-campus medical appointments. If the need arises, nursing care, rehab therapy and respite care services are just down the corridor. Your loved one will enter the continuum of care based on what kind of care and services are needed.

FROM THE MOMENT YOU PASS THROUGH THE GRAND GATES OF HERMITAGE ROANOKE, A LIFESTYLE OF PEACEFUL LUXURY COMES TO MIND.

Continuum of Care If and when changes occur, your loved one will continue to receive the care they need. This is especially important for couples when one requires more services than the other. Keeping husbands and wives together, regardless of where they are on the aging spectrum, is a priority of the customized care offered at Hermitage Roanoke.

42

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

11 th annual

Our Lady of the Valley ASSISTED LIVING | SKILLED REHABILITATION | NURSING CARE 650 North Jefferson Street | Roanoke | 540.345.5111 | www.ourladyofthevalley.com

Our Care To many seniors and their families, a retirement community may sound like a nice idea but, in reality, they may wonder, “What makes it better than staying in my own home?” At Our Lady of the Valley, we answer that question through our commitment to bring joy and fulfillment to our residents through personalized care, compassion and a joyous lifestyle that inspires the individual spirit. Through our assisted living, skilled rehabilitation and nursing services, we focus on personal well-being, respect and dignity—all from a gorgeous vista of mountain views, the city skyline and welcoming neighborhood streets. The services we offer make Our Lady of the Valley a community that seniors can call home, while giving family members the peace of mind knowing they’re receiving the very best care.

Socialization Residents at Our Lady of the Valley can foster friendships, receive support and develop a sense of community through our many social activities. They’ll have new opportunities for companionship with in-house activities, local outings, spiritual enrichment and musical entertainment. Oftentimes, residents find that living in a community among new friends boosts their mood and health.

A LEGACY OF CARING SERVING GENERATIONS FOR 30 YEARS.

Stress-free Housekeeping & Maintenance One of the greatest benefits of living in a retirement community is that there’s no longer a need to do household chores or yardwork. Seasonal obligations like raking leaves and shoveling snow become a thing of the past.

Transportation Many residents at our community still drive and are happy to learn that they can conveniently park their cars right outside our front doors. When driving is no longer an option, Our Lady of the Valley’s van can help residents stay connected to all that Roanoke has to offer. Complimentary transportation to medical appointments, surrounding shops and area attractions just makes life easier.

Meals An Executive Chef prepares three nutritious meals a day plus snacks for residents, and a registered dietitian assists with meal planning and nutritional tips. This can help residents stay healthy and looking forward to the next delicious meal!

Peace of Mind Families of residents at Our Lady of the Valley can rest assured knowing that 24-hour licensed nursing care is always available. Seniors are provided extra protection with a full-community generator, security cameras and indoor mailboxes. Since utilities are included in the monthly rent, residents are better able to manage a budget. With their dedication to enhancing the quality of life for each resident, Our Lady of the Valley gives families peace of mind knowing their loved one is fostering real friendships, enjoying many perks they can’t get at home and receiving high-quality care.

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

SILVER

11 th annual

Pheasant Ridge Assisted Living and Memory Care

BRONZE

ASSISTED LIVING | IN THE MOMENT® MEMORY SUPPORT | RESPITE CARE 4435 Pheasant Ridge Road | Roanoke | 540.632.6700 | www.pheasantridgeslc.com

Our Community One of the most challenging roles to fill in life is "caregiver." Often forced to walk fine lines, caregivers have to become experts at performing balancing acts. Keeping a watchful eye on Dad so he doesn’t fall again has to be balanced with giving him the privacy he wants. Making sure Mom eats when she doesn’t remember has to be done with compassion and respect. With our culture of caring and empathy, Pheasant Ridge has perfected this balancing act. Much more than assisted living or memory care services, we embody compassionate caregiving through multiple levels of care.

When it comes to our residents…what matters to you, matters to us.

Assisted Living When the time comes that your loved one needs more help to get through the day, Pheasant Ridge Assisted Living can help with things like meals, bathing, dressing and managing medications. We help our residents live a more rewarding life with activities, health management and any combination of our support services, while giving caregivers back some of their time.

Specialized Memory Support If your loved one needs a more guided environment, our In the Moment® Memory Support Program offers a signature approach to caring for those with memory loss. The program, which intentionally shifts away from outdated dementia care practices, embraces both a scheduled rhythm to the day, as well as spontaneous moments, while honoring each resident’s unique life history. By combining a specialized Lifestyle and Leisure program, a holistic approach to nutrition and wellness, and Six Principles of Well-Being, we craft a memory support neighborhood for your loved one that provides a personal, meaningful experience each day.

One of several activities in the In the Moment® Memory Support Program is TASTE AND TELL, an interactive, hands-on culinary collaboration that engages participants by reminiscing in the kitchen about family recipes, kitchen gadgets and iron skillets, all while preparing a family heirloom recipe together.

Respite Care Our Respite Care services offer peace of mind to you and your loved one by providing a full array of care, including on-site care services, prepared meals and plenty of social opportunities in a safe and engaging environment. You can feel at ease knowing we are caring for your loved one as well as you care for them at home, all without a longterm commitment.

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11 th annual

Radford Health & Rehab Center REHABILITATION | LONG-TERM CARE | RESPITE CARE 700 Randolph Street | Radford | 540.633.6533 | www.radford-rehab.com

About Us Whether you’re looking to settle in or need a speedy, full rehabilitation, Radford Health & Rehab Center’s different approach to care can change your life. We are a sanctuary of rehabilitation, long-term care and respite care to our neighbors in Radford and the New River Valley communities. With our creative approaches, innovative techniques and state-of-the-art rehab gym, we will provide you with the most effective treatment in a compassionate, healing environment. Opened in 2002, our 90-bed center uses our Safe Transition program to develop a customized rehab plan for both short-term and longterm rehabilitation.

Innovative Care We are doing more than the status quo; we are changing lives. We offer physical, occupational and speech therapy provided by a team of talented therapists who will use “outside the box” thinking and home visits to ensure you reach your maximum potential.

The rehabilitation and clinical care you receive in our center will give you the foundation and life skills you need to be successful. Our clinical team can also accommodate a wide range of complex medical conditions such as tracheostomy care, LifeVest monitoring and wound VACs. We also use innovative technology such as Smart Glasses, which allow us to provide tele-medicine in a HIPPA-complaint manner.

Amenities As a long-term resident, you’ll receive a wealth of amenities, such as fine dining, small and large group activities, and daily housekeeping services. Fancy a tea party? Love to read? The monthly social calendar offers something for everyone, from group exercise, book clubs and pet visits to tea parties, church services and movie nights. The beautiful grounds and joyful, social community areas at the center make each resident feel right at home. Your family and friends will have peace of mind knowing the center is offering all the fun of a vibrant retirement community with the highest quality of care.

TO ENSURE THE HIGHEST LEVEL OF CARE, WE PARTNER WITH RADFORD UNIVERSITY’S DEPARTMENT OF EXERCISE, SPORT, & HEALTH EDUCATION AS THEY DEVELOP THE NEXT GENERATION OF THERAPISTS AND THERAPY TECHNIQUES.

What Sets Us Apart In addition to utilizing the latest technology, we provide a team-based approach in designing our individualized plan of care to assist you in achieving your goals. Our team will work with you prior to entering our facility and throughout every step of your rehabilitation journey. We offer a comprehensive, interdisciplinary evaluation upon admission to address your individual needs. Based on your evaluation, we give you an estimated length of stay and a customized discharge plan. We also collaborate in your care with our partners at Radford University to ensure your success and safety at your next destination.

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

BRONZE

Salem Terrace at Harrogate INDEPENDENT LIVING | ASSISTED LIVING | MEMORY CARE | THERAPY AND REHABILITATION SERVICES 1851 Harrogate Drive | Salem | 540.444.0343 | www.salemterrace.com

Live the Lifestyle You Want at Salem Terrace Are you ready to reinvent yourself, relax in style and have the time of your life? As an active, independent senior, you’ll love calling Salem Terrace home. Set against breathtaking mountain views, our community offers you a lifestyle of comfort and luxury with awardwinning care, delicious meals and maintenance-free living.

Apartment Living residents get the full retirement experience with spacious apartments and luxurious amenities. Our exciting social events and innovative wellness program keeps you healthy, active and happy. Take in the views from our signature terraces or enjoy your morning coffee in our internet café. Weekly housekeeping, linen services and meal plans are also available.

WE ARE COMMITTED TO TAILORING COMPASSIONATE, INDIVIDUALIZED HEALTHCARE AND SUPPORT FOR EACH RESIDENT, ALLOWING THE HIGHEST LEVEL OF INDEPENDENCE.

Assisted Living with Four Care Levels Because every resident is unique, Salem Terrace offers four levels of assisted living care designed to meet individual needs. Those residents who need extra help with the activities of daily living receive a personalized assessment to determine the best level of care needed.

We perform a wide variety of services ranging from help with medications to mobility assistance, while giving both residents and family members peace of mind and compassionate support. Licensed nurses and certified nursing assistants are on duty 24 hours a day, seven days a week.

Memory Care The Dogwood Memory Care Center at Salem Terrace has been awarded for its design, functionality and care of Alzheimer’s and dementia residents. Designed with the safety and serenity of the residents in mind, each room features a private half-bath, as well as dressing and sitting areas. Individual memory boxes to display mementos and special photographs are located outside of each resident’s door.

Most importantly, we focus on person-centered care for each Dogwood resident. Every step of the way, we are close at hand to nurture, guide and assist. All activities are planned by a specially trained activities director. A secure, outdoor walking garden provides an opportunity for physical exercise and mental stimulation.

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11 th annual

11 th annual

Warm Hearth Village

GOLD

11 th annual

SILVER

BRONZE

ACTIVE ADULT INDEPENDENT LIVING | ASSISTED LIVING | MEMORY CARE SKILLED NURSING CARE | LONG-TERM NURSING CARE | HOME HEALTH 2387 Warm Hearth Drive | Blacksburg | 540.552.9176 | www.retire.org

Who We Are Rooted in the belief that “there had to be a better way,” Warm Hearth Village was created for seniors to keep them safe and supported as they age, while nestling them within the lush beauty of nature. As the New River Valley’s only comprehensive retirement community, Warm Hearth Village fosters a person-centered approach to aging in an inclusive environment that redefines retirement. The nonprofit community, established in 1974, welcomes seniors from all walks of life.

Why Warm Hearth Village?

Warm Hearth places great value on innovation, community collaboration, passion, inclusiveness and ethics. These values are the foundation of our work. We strive to be a trusted resource for all things related to seniors, to be a valued partner to those in our community and to be a sustainable organization that can stand the test of time. We are mission-driven and focused in the recruitment and development of an elite and diverse team of caregivers. Our rich history and strong mission, vision and values set us apart and make us a smart choice for you and your family when you are looking for a trusted provider of quality care and services.

RECOGNIZED AS BLACKSBURG’S TOP RETIREMENT COMMUNITY

What We Offer As a resident of Warm Hearth Village you have exclusive access to all the 220-acre campus has to offer. Enjoy six dining venues, village and public transportation, our bustling fitness center, a full slate of cultural, spiritual and social events and the rich array of opportunities afforded by our longstanding partnerships throughout the Blacksburg community. Virginia Tech’s Lifelong Learning Institute and NRV Alumni Chapter as well as New River Stage call us home thus bringing fun and unique programs right to your doorstep. And as your needs change, our full continuum of living options is here allowing you to choose the path and care that’s right for you and your family.

Why Blacksburg?

Blacksburg has been recognized as one of the top retirement towns in the nation because of the quality of life it affords its residents. The small college town has a metropolitan feel with eclectic restaurants, ample cultural venues including the Moss Center for the Arts, and of course, Hokie sports year-round. A short drive from the center of town, you will find troutfilled streams, the Appalachian Trail and endless recreational opportunities. Two regional health systems, HCA and Carilion, serve this community with a wealth of expertise and choice in health care services. With low cost of living and crime, and high environmental quality compared to larger cities, Blacksburg is a preferred destination.

Why Now? So you can live the life you want! Warm Hearth Village gives you the support you need within a vibrant, beautifully landscaped community without the burdens of home maintenance and yard work. Caring is at the core of who we are, what we do and how we live.

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

What’s New? The Kroontje Health Care Center and Karr Activity Center have both undergone an expansive remodel to better serve our residents. And, Carilion Clinic Family Medicine at Warm Hearth Village is now open to residents and the community!

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Kid’s Care INFORM • EDUCATE • GROW

Students with long-term illnesses often struggle with academic achievement—but with the right support and resources for families, this doesn’t have to be the case. words | KELSEY CASSELBURY

As a parent, it’s heart-wrenching to watch your child suffer from any sort of sickness, even if it’s mild or short-lived. When your child falls ill with an unpleasant but minor illness, such as the flu, the setback from missing school for even a few days in a row can be significant. There are tests to be made up, homework to catch up on and concepts to be retaught.

Now imagine if your child suffers from a lingering medical condition that doesn’t go away after a few days of rest, fluids and a round of antibiotics. Imagine if just as soon as they returned to class and caught up on the lessons they had missed, they were absent again—and again and again.

Accord ing for Dise to the Centers ase Con t Preven tion (CD rol and C), arou one in nd four ch ildr U.S. ha ve been en in the diagno with a c sed hronic illness— genera ll any con y defined as dition t betwee hat las ts n th a lifetim ree months a nd e. When has a c a stude hronic n t illness academ their ic path is often drastic ally alt ered.

When a student has a chronic illness—generally defined as any condition that lasts between three months and a lifetime—their academic path is often drastically altered. According to the Centers for Disease Control and Prevention (CDC), around one in four children in the U.S. have been diagnosed with one of these diseases, which can range from asthma and food allergies to epilepsy, diabetes, and cancer. The numbers aren’t precise, mostly because health experts sometimes disagree on what constitutes a chronic illness. What isn’t up for discussion, however, is the significant impact that it can have on a child’s academic achievements.

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Kids Care

• EDUCATE

THE ACADEMIC EFFECT

School can be challenging for the healthiest of kids, thanks to rigorous state and federal education standards. Kids with prolonged medical issues aren’t any less intelligent than their peers, but they often must overcome so many additional obstacles compared with other students to achieve the same outcome.

In 2017, the CDC took a deep dive into the research on the academic performance of students with specific chronic conditions such as asthma, diabetes and epilepsy. Upon reviewing more than 50 studies, the conclusion was clear: Chronic health conditions lead to increased school absenteeism, which in turn leads to decreased academic achievement.

CARE CONNECTION FOR CHILDREN

Care Connection for Children, sponsored by the Virginia Department of Health, is a statewide network of regional programs that provides health care coordination, community support and resources to children with special health care needs. Carilion Clinic is one of six Virginia provider networks to participate in the Care Connection for Children initiative that gives local kids with special healthcare needs access to optimally effective, community-based medical and support services. The program ensures increased access to specialty care, as well as assistance with obtaining health insurance, accessing area resources and determining eligibility for outside funding.

Care Connection’s team-based approach pulls together case managers, medical personnel, educators and family members to determine how children with special health care needs can reach their maximum potential. The programs serve as a lifeline in gaining access to and coordinating the many different services that can help a child with a physical disability. To be considered for the Care Connection program, you must live in Virginia, be under the age of 21 and have a diagnosed physical disorder that is expected to last longer than 12 months.

CONTACT

For more information about medical conditions and a complete list of cities and counties served by the center, visit www.carilionclinic.org/care-connection-children.

For general inquires, contact or have your healthcare provider contact Roanoke Area Care Connection for Children at 540.985.8470.

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A chronic illness doesn’t have to limit the achievement of affected children.

Part of the impact comes from simply missing the lessons, whether it’s because of hospitalizations or frequent medical appointments. However, constantly having to play catch-up on missed work can drastically raise a child’s anxiety levels, which has its own effect on academic progress.

Additionally, there’s consequences to the pain a child feels or medical treatments that influence a youngster’s cognitive abilities, such as focus, concentration and mental recall—and it all adds up to more frustration and a decreased desire to even attempt to learn.

THE SOCIAL FACTOR

As any parent knows, a child’s desire to go to school isn’t usually predicated on a love of learning or a passion for textbook-reading.

Rather, it’s about the friendships they’ve forged and the bonds that grow stronger each and every day the children spend together in the classroom.

What if, though, your child didn’t have those connections with other students? That’s a scenario that’s all too real for kids with chronic conditions, who often lose out because they’re out of school too often for friendships to develop. It might be because they’re unable to participate in extracurricular activities such as sports or school plays where those bonds intensify, or because they’re subject to bullying about their condition.

Without a positive social influence, kids with chronic conditions may not have the drive to get to class, despite their illness—and that often has ramifications on progress.

FINDING SUPPORT AND SERVICES

Successfully managing a student’s academic progress, particularly one with a chronic illness, is a joint effort for the student, parents, health care providers, and the school itself. The CDC’s 2017 review of research found, unsurprisingly, that the better-managed a chronic condition is, the better academic outcomes for the affected student.

The Americans with Disabilities Act, a federal law, does its part to help protect students with chronic illness by requiring schools, in

tandem with the family, to develop 504 Plans, Individualized Education Plans, or other appropriate plans to facilitate academic success. However, it’s not always a straightforward process to get started nor is it easy to know where to turn if they need more support and guidance. Parents who are unsure of how to lead their child to success can also take advantage of Roanoke and New River Valleys-led organizations staffed with folks who with niche expertise in specific chronic conditions can help.

A PATH TO ACADEMIC SUCCESS

A chronic illness doesn’t have to limit the achievement of affected children. In fact, a recent study found that children with certain conditions such as asthma, ADHD and digestive disorders reported being just as happy as those without chronic diseases—in other words, when the condition doesn’t require intensive care, most children don’t define themselves by their medical status. As a parent, you can join forces with the schools and local support organizations to ensure that, no matter what obstacles must be overcome, academic success is within your child’s reach.

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

HEALTHY OBSERVATIONS SEPTEMBER | NATIONAL TRAUMATIC BRAIN INJURY AWARENESS MONTH

PROMPT CARE for Concussions in People of All Ages

MAKES A SIGNIFICANT DIFFERENCE The damage from traumatic brain injuries can take years to detect—which is why prompt medical care is essential after all falls, blows and accidents.

words | STEVE MCCLINTIC, JR.

Suffering a blow to the head can be a terrifying experience. When you get up and walk away, seemingly unscathed, you may breathe a sigh of relief that you dodged a serious injury. Then, days, weeks or even years later, you might start experiencing headaches, cognitive problems and other signs of a traumatic brain injury— the very condition you thought you had previously avoided.

For this reason alone, it’s vital for anyone with a head injury to seek medical attention as soon as possible. However, too few people realize the potential for long-term damage and delay visiting a doctor until symptoms show up. September marks National Traumatic Brain Injury Awareness Month, designed to raise awareness about the dangers of traumatic brain injuries.

Discussion about traumatic brain injuries has been on the rise recently, due to research on sports injuries that shows playing roughly on the field or court for years may lead to not only long-term physical problems but also brain damage and behavioral changes. As a result, sports teams at all levels, from youth to professional, have taken measures to overhaul safety procedures, from mandating better equipment to improving the criteria for when injured players can return. However, traumatic brain injuries can occur from falls, car crashes and combat injuries, too.

Generally, traumatic brain injuries occur when the brain tissue is bruised or damaged from a blow – or repeated blows – to the head. Some symptoms, such as dizziness and nausea, may show up immediately, but other symptoms may show up years later.

Damage can occur even in mild cases, in which the brain recovers quickly; however, a more severe injury or repeated injuries could lead to behavioral changes, memory problems, chronic pain, poor coordination and problems sleeping.

2.5 million

Some emergency room visits were related to traumatic brain injuries in 2014.

Those injuries resulted in more than

56,000 deaths.

Children logged

812,000 of those

emergency room visits and accounted for more than

2,500 TBI-related deaths.

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SEPTEMBER | NATIONAL TRAUMATIC BRAIN INJURY AWARENESS MONTH

Center for Neurorehabilitation Services 7401 Beufont Springs Drive, Suite 205 Richmond, VA 23225 | 804.272.0114 www.centerforneurorehabservices.org OFFICE HOURS

Monday to Friday, 8 a.m. to 5 p.m.

BRAIN INJURY MEDICINE FOR THE 21ST CENTURY Since 1991, the Center for Neurorehabilitation Services has been providing comprehensive, patient-centered, medical services for individuals who have sustained brain injury as a result of trauma, stroke, infection or other causes. Its experienced team of medical professionals offers an array of disease-modifying therapies for individuals who have sustained acquired brain injuries.

Gregory O’Shanick, MD

According to the Centers for Disease Control and Prevention, some 2.5 million emergency room visits were related to traumatic brain injuries in 2014, resulting in more than 56,000 deaths. Children logged 812,000 of those emergency room visits and accounted for more than 2,500 TBI-related deaths.

Children and young adults, particularly those ages four and younger or between ages 15 and 24, are at highest risk of traumatic brain injuries says Gregory O’Shanick, MD, of the Center for Neurorehabilitation Services in Richmond. However, people age 65 and older also have a higher number of traumatic brain injuries, with four out five concussions in this age group due to falls.

Dr. O’Shanick says that he’s concerned that some doctors or emergency room personnel might not properly diagnose or address possible brain injury when treating someone with fall damage.

For instance, if the only symptom that’s observed is confusion, a physician may just send the patient home to rest without exploring the possibility of traumatic brain injuries – but a closer look could reveal internal bleeding and blood clots in the skull that could cause severe problems, or even death, at a later date. As the pressure and clots build up, the patient may only be aware of pain, feeling moody, or unbalanced, which are all easy to blame on the fall or being worn out. Eventually, though, they could experience strokelike symptoms, seizures or coordination problems.

Luckily, with more attention to traumatic brain injuries, increased efforts are leading better methods for detecting these injuries.

A proper diagnosis can lead to faster treatment, recovery and therapy, if needed. At the Center for Neurorehabilitation Services, the staff begins by learning a patient’s medical history and then speaking to a close friend or family member who has known the patient for years, Dr. O’Shanick says. This person will be asked to describe changes in behavior or abilities before and after the patient’s traumatic brain injury, which can help the doctor more quickly diagnose the issue.

Additionally, the center now uses a more precise computer-assisted neuroimaging tool called NeuroQuant, which provides a detailed look at areas of change or tissue damage. It goes beyond traditional neural imaging which usually only spots blood clots. By accurately measuring the volume of different parts of the brain, the staff can follow the course of an injury and better assess what types of injuries could be impacting a patient’s stability and recovery.

Given the statistics and health risks, medical officials and family members of those affected welcome the extra attention on traumatic brain injuries, as do advocates who hope to reduce these types of injuries – and with National Traumatic Brain Injury Month, the word can continue to spread.

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Financial Wellness SAVINGS • INVESTMENTS • INSURANCE

Financial Literacy for the Family

Where Do You Begin? words | STEVE MCCLINTIC, JR.

If you’re a person who stands by sayings like “money can’t buy happiness,” or that “money isn’t everything,” you’re not wrong. But there’s a big difference between people who lean on the abstract notion that money isn’t a necessity, yet have spent and saved smartly, and those who have no nest egg at all. Unfortunately, it’s the latter that way too many have let themselves fall into, with nearly half of Americans not expecting to have enough money to retire comfortably. And saving for the senior years is only part of the problem. Credit card debt has reached its highest point ever—surpassing $1 trillion—with the average American carrying a balance of $6,375. What about being able to come up with cash now for an emergency expense, say an amount as small as $400? Forty percent admit there’s no chance.

Sobering statistics like these do more than just ruin the romance of letting love be all you need to live on. They uncover a fact that should be considered as unfathomable and unacceptable as being pushed through the education system without learning how to read or write, which is that nearly two-thirds of Americans can’t pass a basic test of financial literacy.

What is Financial Literacy?

DID YO U

K

NOW? Nearly two-th of Am i erican rds s can’t pass a basic te financ ial lit st of e Fortun racy. ately, t her tr

e are m usted r availab esources and any le e and Ne throughout xperts Roano w Rive ke r Valle can he ys t lp knowle you bridge y hat ou d a path ge gap and p r to bett ut you er finan o cial he n alth.

Financial literacy is defined as the education and understanding of various financial areas, including topics related to managing personal finance such as investing, insurance, real estate, paying for college, budgeting, retirement and tax planning. This sounds solid as a broad-based definition, but it lacks the specifics consumers—including parents and children—need to help them achieve the goal of becoming financially literate.

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Financial Wellness

Virginia was one of only five states to receive an “A” from Champlain College in its 2017 National Report Card on State Efforts to Improve Financial Literacy in High Schools.

(The others were Alabama, Missouri, Tennessee and Utah.)

Yet, 30 percent of states received a grade of “D” or “F.” States receiving an “A” met a majority of the following requirements:

1. Financial literacy is taught in a course

(typically a one-semester or half-year course of personal finance instruction) that students must take as a high school graduation requirement.

2. Teachers of these courses have received specialized training in personal finance.

3. State or national funding has been

secured to ensure personal finance courses are offered to all high school students statewide.

4. Standardized tests are administered.

5. Educators are given access to quality

curriculum including lesson plans, videos, games, activities, projects, case studies, articles and expert speakers.

Ideally, each state also provides an accessible online financial education platform.

O P E R

D R A C RT

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nlo n St ard o C ial t r po nanc ls i e F R l e ona prov choo Nati To Im n High S s t by r d or Effo teracy i vide o r p Li e pCo. or View

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• FINANCIAL LITERACY

According to the independent non-profit financial consulting agency www.Credit.org, there is no one agreed-upon list of financial literacy standards, but there are many topics like those listed below that experts broadly agree are necessary to understand as a part of being considered financially literate.

Taxes.

Understanding the effect taxes have on your income, and why your take-home pay is often much less than your salary.

Basic Money Management.

Knowing how to create a budget, set and meet financial goals and make solid decisions with regard to your personal finances.

Credit and Debt Basics.

Understanding the difference among loans of various types, what borrowing with credit costs in the long run, the impact interest rates and fees associated with borrowing can have on the amount you repay, borrower’s rights and responsibilities, how to obtain and interpret a credit report and FICO score, and the bankruptcy process and its consequences.

Saving and Investing.

Recognizing the different options for long-term saving and how to make informed decisions about investments and financial planning.

Insurance.

Discovering how insurance works, its role in family financial planning and how to make choices that help manage risks to your personal finances.

Spending wisely.

Being a cautious consumer who makes good decisions with regard to spending and assessing the value of goods and services and difference between needs and wants. A key element of spending wisely is understanding and analyzing advertising and sales pitches.

To those who are financially literate, this may seem like a rather basic overview. But for someone starting from scratch in his or her education of finances, it can be a lot to take in and digest at once. Like any unfamiliar subject, becoming financially literate is achieved over the long term, and learning never truly ends as methods and strategies for being financially savvy are constantly evolving.

Resources in Roanoke and New River Valleys to

HELP CONSUMERS BECOME

Financially Literate 1

Despite receiving high marks for financial literacy, there remains many consumers in Virginia—including here in the Roanoke and New River Valleys—who not only struggle when it comes to being financial literate, but also are unaware of where to turn for help.

Having access to a trusted list of resources for consumers—both adults and children—and teachers to help further promote the importance of financial literacy can mean all the difference in you reversing routines that could literally be costing you and your future security more than you know.*

Freedom First Credit Union Financial Education Freedom First offers financial counselors who can provide answers and individualized guidance for money-related questions such as how to improve your credit score, reduce debt, find a better way to pay off student loans, set up a budget and ways you can save. During a free, one-on-one coaching session, you will receive a personalized action plan based on your goals.

CONTACT | To set up an appointment with one of Freedom First Credit Union’s certified financial counselors, contact Courtney Campbell at 540.339.3468 or via email at education@freedomfirst.com. Visit www.freedomfirst.com/financialeducation for additional information.

Freedom First offers financial counselors who provide answers and individualized guidance for money-related questions.

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Junior Achievement of Southwest Virginia Financial Literacy for Youth

Through programs designed for students at the elementary, middle and high school levels, Junior Achievement of Southwest Virginia helps prepare young people for the real world by showing them how to not only generate wealth, but effectively manage it. Currently, there are 15 programs that focus on age-specific elements of financial literacy that ultimately provide students the knowledge for achieving financial health and wellness through money-management strategies, including earning, employment and income, budgeting, savings, credit and debt, consumer protection, smart shopping, risk management, and investing.

Junior Achievement of Southwest Virginia helps prepare young people for the real world.

CONTACT | To learn more about financial literacy programs offered through Junior Achievement, call 540.989.6392 or visit www.juniorachievement.org/web/ja-swva/programs.

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Virginia Council on Economic Education

Since 1970, the non-profit Virginia Council on Economic Education has been driven by its mission to provide Virginia’s K-12 students with the economic knowledge and financial skills needed to thrive. The organization is an advocate for required high school courses in economics and personal finance and the inclusion of key economic concepts at each grade level, from K through 12, as well as a resource for teachers, school divisions, and local and state governments. The Virginia Council on Economic Education provides quality professional development opportunities for K-12 teachers to assist them in teaching economics and personal finance. With the support of donors and partners, the organization’s institutes and workshops are provided at no cost to teachers or school divisions.

CONTACT | To learn more about the programs and institutes offered through the Virginia Council on Economic Education, call 804.828.1627, send an email to vcee@vcu.edu or visit www.vcee.org.

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Virginia Employment Commission The Virginia Employment Commission offers resources for helping people realize financial literacy, including through two online organizations it endorses:

A www.MyMoney.gov:

MyMoney.gov is a product of the Congressionally chartered Federal Financial Literacy and Education Commission, which is made up of more than 20 federal entities that are coordinating and collaborating to strengthen financial capability and increase access to financial services for all Americans. The Commission was established by the Financial Literacy and Education Improvement Act, Title V of the Fair and Accurate Credit Transactions Act of 2003 (P.L. 108-159).

B www.SmartAboutMoney.org: SmartAboutMoney.org is one of the many programs of the National Endowment for Financial Education®. NEFE® is an independent nonprofit foundation committed to educating Americans on a broad range of financial topics and empowering them to make positive and sound decisions to reach their financial goals.

CONTACT | To learn more about financial literacy programs and resources available through the Virginia Employment Commission, call 866.832.2363 or visit www.vec.virginia.gov/find-a-job/financial-literacy.

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The organization is an advocate and resource for required high school courses in economics and personal finance.

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

The National Endowment for Financial Education® is an independent, nonprofit foundation committed to educating Americans on a broad range of financial topics and empowering them to make positive and sound decisions to reach their financial goals.

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Virginia Cooperative Extension Financial Management Virginia Tech | Virginia State University Family The Virginia Cooperative Extension’s Family Financial Management programs help secure healthy financial futures for Virginia families by working with people of all ages, from children through the elderly, to promote sound practices. A variety of topics addressed include financial, consumer and housing issues, establishing budgets and creating goals, using credit wisely and improving credit scores, reducing debt, planning for home ownership, preventing foreclosure, avoiding predatory lending, preventing bankruptcy (offer the personal finance class required by those filing for bankruptcy), preventing identity theft, planning for baby, the consumer issues, learning how children influence family finances, caring for elderly parents: financial issues, and teaching children financial management skills. Also provided are several simulations such as Life in the State of Poverty, Kid’s Market Place and Reality Store. Teacher training is provided to help meet the financial literacy objectives required by the Virginia Department of Education.

CONTACT | For questions regarding financial management programs offered through the Virginia Cooperative Extension, visit www.ext.vt.edu/ offices.html and select the county in which you reside for the applicable unit office contact information.

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Financial Literacy Quiz How financially literate are you? Test your financial knowledge and decision-making with this quiz.

1. Which of these bills should you pay first each month?

A. Credit card bills B. Car lease or auto loan payment C. Rent or mortgage payment

2. What is a good size for an emergency savings fund?

A. One paycheck B. 3 to 6 months of living expenses C. One year’s living expenses

3. Will applying for a credit card impact your credit score?

A. Yes B. Not if the application is approved C. Not if the application is declined

4. Which mortgage typically has higher payments but lower interest over the life of the loan?

A. 30-year mortgage B. 15-year mortgage

5. What is the threshold for a “good” credit score?

A. 680 B. 800 C. 9206

6. The best way to save for a financial goal is:

A. Save every spare cent you can until the goal is met B. Save 25% of your total income, and be consistent C. Write your savings goal down and factor it into your budget

7. The best way to save for a comfortable retirement is: A. Social Security B. An Individual Retirement Account C. Mutual funds

8. What’s the first step to take if you are the victim of identity theft?

A. Put a “credit freeze” on your accounts B. Call the authorities, including the police and the

Federal Trade Commission C. Call your creditors and cancel the affected accounts Answers: 1) C 2) B 3) A 4) B 5) A 6) C 7) B 8) C Source: Credit.org

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Virginia Jump$tart Coalition

The Virginia Jump$tart Coalition is a non-profit, volunteer-driven organization representing more than 100 individuals and organizations in business, government, association/nonprofit and education who have joined together to improve the financial literacy of Virginians.

Virginia Jump$tart Coalition Goals Include: • Continually assess the level of financial literacy in Virginia using available surveys and testing of student performance.

• Develop and maintain a clearinghouse of personal financial resources, statewide bureau of contacts and speakers available for training and information on personal financial literacy.

• Serve as a resource for the state legislature to assess effectiveness of pertinent legislation.

• Build awareness of and promote support for the need for personal finance education.

The Virginia Jump$tart Coalition is an independent affiliate of the national Jump$tart Coalition for Personal Financial Literacy. The national Jump$tart Coalition is a 501(c)(3) tax-exempt non-profit organization headquartered in Washington, D.C. CONTACT | To learn more about the Virginia Jump$tart Coalition, call 202.846.6780, send an email to info@jumpstart.org or visit www.jumpstart.org/who-we-are/states/virginia.

Don’t Miss!

www.checkyourschool.org Money management is one subject everyone will use throughout their lives. But not all schools offer effective financial education. The Check Your School campaign is led by the Jump$tart Coalition on behalf of its national partners, affiliated state coalitions and network of talented educators, and is designed to complement other efforts to advance financial literacy. Utilizing a grid of essential elements, CheckYourSchool.org will promote quality and effectiveness in classroom-based financial education without prescribing a single curriculum or program—enabling teachers to use the wide array of excellent resources currently available from Jump$tart Coalition partners and other providers.

*This is not an exhaustive list of all financial literacy resources available in the Roanoke and New River Valleys. Most financial institutions offer financial education programs.

Check your financial institution’s website or contact a local branch office to learn more.

ON THE WEB More at OurHealthRoanokeNRV.com

www.OurHealthRoanokeNRV.com

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SPONSORED CONTENT

Are Preventive Screenings Really That Important?

With Preventive Screenings, You Can Curb Serious Health Problems words | Jim McCormick, MD, Regional Vice President, Health Services, Senior Product

About half of American adults suffer with at least one chronic condition, such as heart disease, cancer or diabetes, according to the Centers for Disease Control and Prevention. However, many of these conditions are preventable or can be detected early through check-ups and screenings, which oftentimes are free or covered at low costs by most health plans.

Being proactive by regularly taking advantage of the availability of preventive tests can decrease trips to the doctor or the emergency room and help detect chronic conditions before they become serious and require expensive treatment.

MANY HEALTH INSURERS, LIKE HUMANA, OFFER REWARDS, SUCH AS FREE OR DISCOUNTED MEDICATIONS, FOR TAKING THESE PREVENTIVE TESTS.

To encourage their members, many health insurers, like Humana, offer rewards, such as free or discounted medications, for taking these preventive tests.

However, despite these benefits, there is concern that adults aren’t getting the preventive care they need for lifelong health and well-being. Here are three key areas where Humana suggests you get preventive care: CANCER. Fewer than half of adults over age 50 are upto-date with screenings for colorectal cancer. However, estimates suggest that a screening, such as a colonoscopy— recommended every 10 years by the CDC—could help save more than 18,000 lives annually from colorectal cancer, the second-leading cause of U.S. cancer-related deaths.

DIABETES. Diabetes, which affects 24 million Americans, is the leading cause of heart disease, stroke, blindness, kidney failure and lower-extremity amputation. With tests available to monitor for cholesterol, blood sugar, blood pressure, blindness and foot issues, it is easier than ever to diagnose diabetes and reduce the progression of related complications.

HEART DISEASE AND STROKE. Heart disease and stroke are the first- and third-leading causes of death, respectively, also accounting for a large number of disabilities for Americans. Cardiovascular screenings every five years to test cholesterol, lipid and triglyceride levels can help detect conditions leading to a heart attack or stroke.

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

A comprehensive health and business strategy, Humana’s Bold Goal is working to help improve the health of the communities it serves by 20 percent by 2020 and beyond. The company reports its learnings and results across specific conditions and social determinants of health, as well as in populations through lines of business such as Medicare Advantage, Group and Medicaid.

LYNN ATKINSON

The following key highlights reflect the progress Humana members and the communities the company serves achieved in 2018.

Humana Medicare Advantage members are improving A their overall health (including those in Virginia). Medicare Advantage members living in the company’s original seven Bold Goal communities have seen a 2.7 percent reduction in their Unhealthy Days since 2015.

The first Bold Goal community, San Antonio, is halfway B to its 20 percent healthier goal. Since 2015, Humana Medicare Advantage members in San Antonio have experienced a 9.8 percent reduction in Unhealthy Days.

500,000 C

members, employees and patients were screened for social determinants of health in 2018.

Humana worked with internal business partners, physician practices and community organizations to screen for food insecurity and loneliness and refer those who screened positive to community resources. They set a new goal of 1 million people screened by the end of 2019.

For more information on Humana’s Bold Goal, visit Lynn Atkinson, a licensed Humana Health insurance agent, at the Humana MarketPOINT Office in Roanoke at 3800 Electric Road, Suite 406. Lynn is available during regular business hours (9 a.m. to 5 p.m.) or by appointment.

The Roanoke office recently added a virtual customer service kiosk on site to assist Humana members with their health insurance questions and concerns. The Customer Service Kiosk can connect a Humana member with a Customer Care representative, no waiting or transferring.

THE REPRESENTATIVE CAN ANSWER QUESTIONS ON:

» The benefits of the plans » ID cards, which can be printed and mailed to the member

» Primary care physician changes » Claims » Billing » Pharmacy services, as well as order medications

The Humana Roanoke office location offers education classes and social activities. To receive information about upcoming events, please call the office at 540.772.5760 or 800.967.9386. Office hours are 9 a.m. to 5 p.m. Monday to Friday.

Visit www.humana.com/Medicare for information on 2020 Medicare Advantage and Prescription Drug Plans.

www.OurHealthRoanokeNRV.com

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Food Fitness NUTRITION • EXERCISE • PREVENTION

words | TRICIA FOLEY, MS, RD, ACE®, CHC

Have you ever wondered what turns grapes into wine or barley seeds into beer? Well, the secret lies in a process called fermentation. From sauerkraut and miso to kimchi and kefir, fermented foods have been around for centuries. Recently, they have drawn a lot more attention for the role they play in your overall health. But like any product promising health benefits, it’s important to know what you are looking for to help you make the best choice.

More Common Than You May Think Although you may cringe at the thought of eating something fermented, chances are you consume these foods regularly. Pickles, yogurt, olives and even aged cheese are examples of common fermented foods. Other examples include the popular drink kombucha and the vegetarian dish tempeh. Even your grandma’s famous canned beans were more than likely fermented.

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Food Fitness

• NUTRITION

Fermented Foods 101 Raw, fermented foods all have one thing in common: micro-organisms.

To ferment, they require an anerobic environment, which is one absent of oxygen, so bacteria can grow and thrive. These foods also need a culture and time to ferment. This process involves exposing the food or beverage to starches and sugars that bacteria can feed on. Although the words bacteria and sugar may raise a nutritional red flag, the duo create lactic acid as a byproduct, which protects the food from spoilage.

Adding salt provides another layer of protection by pulling out moisture to keep bad bacteria away while allowing good bacteria to flourish. The technique was originally used to preserve food, but we now know it produces amazing health benefits as well.

Why Fermented Foods are Fantastic

These shelf-stable super foods contain significant nutrition qualities, including vitamin K, calcium, magnesium, potassium, fiber and, if in raw form, probiotics. Thanks to lactic acid, B vitamins and digestive enzymes are also produced. Fermented foods also boast a greater nutrient bioavailability than their unfermented counterparts, meaning our body can use more of the nutrients. For example, vitamin C is 20 times more bioavailable in sauerkraut compared to cabbage.

What are Probiotics?

Probiotics are live bacteria and yeasts that are good for you, especially your digestive system. We usually think of these as germs that cause diseases.

But your body is full of bacteria, both good and bad. Probiotics are often called “good” or “helpful” bacteria because they help keep your gut healthy.

Emerging research shows promise in the use of raw fermented products in areas of weight maintenance, improved mood, allergies, immunity and gut health.

This may be due in part to the powerful probiotics they contain.

Probiotics are living microorganisms, which, when administered in adequate amounts, provide a health benefit to the host.

Foods You Didn’t Know Were Fermented These foods contain vitamins, minerals, antioxidants and gut-friendly probiotic bacteria. Some of these foods are not always fermented, so make sure the check the food label with the tips on the next page. .

SAUERKRAUT | Fermented red or green cabbage PICKLES | Cucumbers fermented in lactic acid MISO | Fermented soybeans, barley or brown rice YOGURT | Fermented milk RAW CHEESE | Cheeses made with milk that hasn’t been pasteurized KOMBUCHA | Fermented black tea with sugar, fruit or honey APPLE CIDER VINEGAR (Raw and contains “the mother”) | Fermented apples 70

When buying fermented foods and drinks, always read the food labels first. Look for key words like “unpasteurized,” “live cultures,” “raw” or “naturally fermented,” as these provide optimal probiotic properties.

Read Fermented Food Labels First When buying fermented foods and drinks, always read the food labels first. Look for key words like “unpasteurized,” “live cultures,” “raw” or “naturally fermented,” as these provide optimal probiotic properties. Keep in mind that although sugar is needed for fermentation to take place, there should not be excessive amounts.

In addition, products with ingredients that don’t belong, such as “substitutes,” should be avoided. Keep it simple, and always search for a short ingredient list. Don’t be fooled! Commercially bought foods like pickles are not always prepared using live cultures and therefore do not contain probiotics. As a final test, when you open a jar, look for active bubbles. This lets you know that the organisms are alive and well.

Fermented Foods Should Be Introduced Slowly to Your System Fermented foods can be enjoyed every day, but use caution.

Introducing these foods and drinks too quickly and/or in large quantities can result in excess gas, bloating, diarrhea or even constipation. Your body will let you know what you can tolerate.

Start with small portions of fermented food and drink and increase them overtime for optimal benefits.

Choose Variety To get the greatest bang for your nutrition buck, choose a variety of raw fermented foods and beverages to introduce more forms of healthy bacteria to your body.

Much like a rainforest thrives from the many species of plants living in it, your body will thrive from a variety of healthy bacteria living in you. Adding fermented foods to a nutritious diet helps create an environment in your body that supports overall health.

EXPERT CONTRIBUTOR Tricia Foley, MS, RD, ACE®, CHC, is a registered dietitian and Wellness Health Coach with CareHere, LLC.

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Food Fitness

• NUTRITION

Sauerkraut One 32-ounce jar makes 16 servings.

Ingredients: » » » » »

1 small head green cabbage 1 Tablespoon sea salt 1 large carrot 1-2 cloves of garlic Black pepper to taste

Instructions: 1

Rinse cabbage and carrots.

2

Remove outer leaves of the cabbage and set aside. Slice cabbage into thin strips and peel and grate the carrots.

3

Place 1/3 of the sliced cabbage into a large bowl. Sprinkle in 1 teaspoon of salt. Using clean hands, squeeze and stir the cabbage until the cabbage is wet.

4

Repeat this process adding 1/3 of the remaining cabbage at a time with the salt.

5

Peel and dice the garlic.

6

Add the shredded carrots, garlic and black pepper to the bowl and combine.

7

Fill one 32-ounce jar evenly with the mixture, pressing the veggies down so that the water rises above the vegetables. Repeat this until there is 2 inches of space remaining at the top of the jar.

8

Push the large outer leaves of the cabbage (that were set aside) into the top of the jar so they are wedged above the vegetables, keeping the veggies underneath the water away from air. There is no need for a lid yet.

9

Use a small bowl or sterile rock (boiled prior to use) as additional weight to keep the vegetables down.

10

Set the filled jar on a flat container with an edge in case of spillover. Keep at room temperature where it will not be disrupted.

11

Check on your raw sauerkraut every other day to make sure that the water level has remained above the vegetables and that no vegetables are touching the surface, contacting air. If you do see anything touching the surface, use a clean spoon to remove it. You may also see some growth or mold form around the top of the liquid. This is typical, but you should remove it. If you need to add liquid to the jars, include some fresh water to make sure that everything is below a water line. The weights should also help with this.

12

After one week (seven days), remove the weight and cabbage leaf from the top.

13

Taste-test the sauerkraut by taking a small amount from the top. It should be sour, but it is probably not quite ready. Allow the sauerkraut to sit for at least two weeks and taste it occasionally until it reaches your desired flavor.

14

Once the sauerkraut is to your taste, place the lid on it and store it in the refrigerator. It will last several months while refrigerated and will not continue to ferment.

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Start with small portions of fermented food and drink and increase them over time for optimal benefits.

Nutrition Facts: (Per ¼-cup Serving) 20 calories, 3 grams carbohydrate, 1 grams fiber, 0g fat, 0 grams protein, 330 milligrams sodium

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Funny BONE HUMOR • SEARCH • CHECK

OURHEALTH

ADVERTISER DIRECTORY 11 Allergy and Asthma of Virginia 43 Alzheimer’s Association 68 American Heart Association 17 American National Bank & Trust 29 Anderson Desimone & Green, P.C.

6 Asthma & Allergy Center

21 Blacksburg Eye Associates 24 Blue Ridge Cancer Care 28 Bowen Jewelry Company 39 Brandon Oaks 3, 37 Carilion Clinic 40 Carrington Cottage Memory

Care Center 56 Center for Neurorehabilitation Services 49 Children’s Trust 33 Crowning Touch 23 Cundiff Heating & Air 61 Excel Prosthetics & Orthotics 2, 41 Friendship Living 29, 73 Green Ridge Rec Center 31 Good Samaritan Hospice 42 Hermitage of Roanoke 66-67 Humana, Lynn Atkinson

4 Interim Healthcare

27 LewisGale Medical Center 63 Marks-Tiller Insurance

Can you spot the SEVEN differences between the two cartoons?

75 Medical Facilities of America

5 Mills and Shannon Dentistry

65 Mountain View Orthodontics

Be the first reader to email us describing what the seven differences are and you will earn the satisfaction (and bragging rights) of having your name in print in the next edition. OK, START YOUR SEARCH!

53 New Beginnings Pediatrics

Email info@ourhealthvirginia.com with the subject line Funny Bone Roanoke & NRV.

11 Physicians to Women, Inc.

21

New River Periodontics

44 Our Lady of the Valley 54 Paul C. Kaiser, Ltd. Orthodontics 45 Pheasant Ridge Assisted Living & Memory Care 11 Physicians to Women, Inc. 26 Rader Funeral Home

Visit www.OurHealthRoanokeNRV.com or our Facebook page @OurHealthRoanokeNRV and sign up for our e-newsletter for more fun games, quizzes and contests to win great prizes!

46 Radford Health and Rehab Center 13 Reproductive Medicine and Surgery Center of Virginia, PLC 34 Richfield Living 15 Roanoke Valley Speech and Hearing Center, Inc. 47 Salem Terrace at Harrogate 35 Susan G. Komen Virginia Blue Ridge

CONGRATULATIONS

MASON LEON OF RADFORD

9 Sunnyside Communities

71 The Happy Housekeepers 30 The Harmony Collection at Roanoke 15 Total You Health 63 Valley Cryotherapy 38 VCOM 23 Virginia Prosthetics & Orthotics

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Mason Leon of Radford was the first person to email the correct seven differences in last issue’s Funny Bone.

33 Virginia Veteran Care Center

For the full list of answers, visit our facebook page @OurHealthRoanokeNRV.

57 YMCA of Virginia’s Blue Ridge

76 Vistar Eye Center 48 Warm Hearth Village

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