Healthy Happenings Fall 2018

Healthy

HAPPENINGS THE QUARTERLY JOURNAL OF

Sports Physicals Provided year round

Physical Therapy For athletes

Corporate Care

Focusing on employee wellness

FALL 2018

The Preventative Care Issue

Play Ball When it comes to playing sports, safety is the top priority, and an annual sports physical is the first step.

Nurse practitioner Allison Wescott, NP, RN, explains that “During these annual mandatory exams, providers pay particular attention to the

Concussion Close Up Pediatrician Joshua Jakum, MD, will host a lecture on October 11 on Concussions in Kids Diagnosis and Treatment. See page 7 for details.

Annual sports physicals set young athletes up for success.

heart, as well as muscles, ligaments, tendons, and bones, to make sure students are in good health before they step onto the field for the first practice.

“In addition, if the athlete has had a previous injury, it will be assessed to identify the extent to which the injury has healed and whether any further steps are required before he or she is ready to return to full activity.”

What to Expect During a Sports Physical • Prior to arriving for the

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appointment, the athlete or parent needs to fill out the sports participation form provided by their school or sports league.

The form is reviewed during the appointment and includes a medical history section, with questions on general health, heart health and bone and joint health.

Questions also touch on past injuries, including concussions.

The athlete will lie or sit in several positions while the provider listens to the heart - to determine heart rate regularity and identify any abnormal heart sounds, such as a murmur.

For the physical activity portion of the exam, the athlete is asked to perform various tasks to determine range of motion, strength and coordination, all of which are required to safely participate in sports.

Concussion tests to determine the athlete’s baseline are not performed during a sports physical; this is typically done at the school or through the sports league. If the patient has a history of concussion, he or she will be evaluated further to determine readiness for participation.

Find a Provider Looking for a local family practice provider or pediatrician to perform a sports physical? Visit the Find a Provider link at FauquierHealth.org.

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HEALTHY HAPPENINGS

Preparing for Your Child’s Check-Up? Check.

Pediatrician Dennis Rustom, MD, says that his office has been busy providing well visits for children getting ready to return to school. But he worries about parents who come in only asking for “the shot” that meets their child’s school requirements.

“Parents ask for the vaccination required by the schools, but when their children get only those minimum vaccinations, they miss out on other important protections, and on the opportunity to discuss other health issues.”

For children entering middle school, for instance, children are required to get the Tdap vaccination (for tetanus, diphtheria, and pertussis), but they really should also be up to date with the vaccines that protect against meningitis, HPV and hepatitis A. Dr. Rustom says, “The well visit at this age is very important. Not only are these additional vaccines important, the visit is a chance to talk to your doctor about school, physical and social development, and hormones and how they affect your child. There is a lot going on at this age. The visit allows parents to ask questions and get advice on how to make sure everything is on track for your child to have a happy and healthy school year.”

4 Questions to Ask Your Child’s Pediatrician Pediatrician Mike Amster, MD, suggests four questions parents should ask at each annual check-up: • Are you concerned about my child’s development?

This gets to the root of social, physical and language development, plus the subtleties of attachment and expectation.

• What challenges can I expect in the next few months?

This allows the pediatrician to discuss the struggles likely to ensue; it can address everything from sleeping through the night to power struggles and potty training.

• What questions should I ask my child’s teacher to gauge how they are getting along at school? This should include their academic abilities, possible delays and problems, social issues and other intangibles. A teacher may be the first person to see a problem that needs attention, and offer potential solutions to parents.

• How is my child perceiving the world at this age? This question is addressed in the book Touchpoints by Barry Brazelton. It covers many of the frustrations parents have. Expectations may change if you understand that the child won’t understand abstract thinking, or may respond better to a certain approach than another at that age.

Pediatric Hospitalists Are On-Site at Fauquier Health Fauquier Health now provides 24/7 in-hospital pediatric coverage for children. Eugene Suwandhi, MD, pediatric medical director at Fauquier Health, explains that the physicians’ main focus will be in the Family Birthing Center, assisting with deliveries where they are needed and making sure newborns are healthy.

Any babies who are born with health issues will be admitted to the NICU, where the pediatric hospitalists will oversee their care. If a newborn requires a higher level of care, the pediatric hospitalist can identify the problem and arrange for transfer to a tertiary facility in Fairfax or Charlottesville.

Pediatric hospitalists will also be available

for consultations on patient floors and in the Emergency Department.

Dr. Suwandhi says, “Pediatric patients are unique, they are not merely little adults.

Certain diseases and conditions present differently in children and require different Eugene Suwandhi, MD treatment. Children younger than 5 years old present differently than those less than 2, and differently than those who are under a year. ” THE QUARTERLY JOURNAL OF

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The best medicine: Prevention Physical therapist offers advice to keep you in the game.

Bruce Edwards, PT, Fauquier Health physical therapist, sees a lot of older athletes at Fauquier Health’s Physical Medicine and Rehabilitation outpatient office.

He says, “The aging individual is more susceptible to physical overloading, which can result in chronic or acute injuries.”

He adds, “Most injuries are mild and can be treated with a brief rest from competition or training, but when more is required, it’s best to avoid the negative effects of immobilizing a joint.” Instead, he suggests that athletes engage in active treatment and rehabilitation as well as compensatory exercise with a qualified physical therapist.

Bruce offers some tips for mature athletes to avoid injury this fall: • Increase activity gradually.

• Do a little each day, rather than trying to load all your activity into one day of the week.

• Stretch before and during exercise, but don’t stretch cold muscles. Take some time to jog or do jumping jacks to warm up before stretching. Hold each slow stretch for five to 30 seconds.

• Listen to your body. If it doesn’t feel right, back off.

• Give your body time to recover after a workout.

You’ll avoid overuse injuries and fatigue.

• Hydrate before, during and after a workout. If you are engaging in strenuous activity, it’s a good idea to drink water and electrolytes to replace the fluids you have lost.

• Learn the proper body mechanics for your chosen 4

HEALTHY HAPPENINGS

For more information on Fauquier Health Physical Medicine and Rehabilitation, call 540-316-2680, or visit FauquierHealth.org. sport. Consult a coach or another experienced player to learn proper technique.

• The best treatment is prevention. Appropriate training programs are essential for preventing injuries. Use safe equipment, start with a warm up and end with a cool down and include multi-phase training that takes balance and coordination into consideration.

Golf and Tennis • Don’t attempt to play five sets of tennis or hit two buckets of golf balls on your first day out.

• Be sure to warm up your back, hips and shoulders.

Complete warm-up swings at 50 to 75 percent of your usual speed.

Running • Replace your shoes every 300 to 500 miles.

• The most common injuries - Achilles tendinitis and calf muscle symptoms - can be addressed by modifying your running mechanics with the help of a coach or physical therapist.

Weightlifting • Work muscle groups on alternating days to give your body time to recover.

Corporate Care

Local businesses are making investments in their employees’ health.

Twenty-seven receptionists, nurses, technicians and therapists at Blue Ridge Orthopaedic & Spine Center recently made a commitment to improving their health - and their employer is helping.

The group is finishing up 17 weeks of exercise classes, lectures and coaching, provided by the dietitians and exercise physiologists at the Fauquier Health Wellness Center.

Lisa Morgan, director of the center, says that each corporate wellness program is individually designed.

Amanda Carter, one of the participants, is enthusiastic: “the program has been a very positive experience. All of the staff is friendly and helpful; they do not mind adjusting a routine or accommodating any of our needs.

They never make us feel bad about ourselves and are always very encouraging.”

Each participant schedules a onehour consultation with an exercise physiologist. Baseline physical markers are noted - including blood pressure, BMI, cholesterol, resting heart rate and fitness level. An individualized plan is developed with each person’s goals in mind.

Lectures by experts are scattered throughout the 17 weeks - on general wellness, sleep, stress, healthy eating and even “The How of Happiness.”

The course includes a consultation with a registered

Chef David Martin demonstrates how to prepare healthy food from scratch, while registered dietitian Beth Potter, MS, RD, discusses the benefits of including whole grains in the diet. The cooking demo is a popular part of the corporate wellness program.

dietitian, weekly weigh-ins and motivational prizes for attendance at lectures or exercise sessions.

Lisa Morgan said that the Blue Ridge group has been extremely engaged in the process and has achieved some impressive results so far. “The exercise physiologists keep in touch with the participants to make sure they have the tools they need to succeed. That personal attention is really making a

difference.”

Blue Ridge CEO Jeff Hollis said, “I believe what the hospital is offering by way of corporate fitness is exactly what we are looking for as an employer. We are committed to helping our employees as much as possible achieve their healthcare goals, and the first step is finding a program that works for everyone – Fauquier Health’s was a perfect fit.”

The Fauquier Health Wellness Center offers a variety of corporate wellness programs.

Call 540-316-2640 to learn more.

THE QUARTERLY JOURNAL OF

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Preventative Care Guide A List of Recommended Screenings

Ages 40-49

Ages 50-64

Every 1-3 years after 25

Yearly

Yearly

Yearly

* Pap Smear

Every three years

Every three years

Every three years

Based on history

* Pelvic Exam

Yearly after 21

Yearly

Yearly

Yearly

* Mammogram

Based on family history

Yearly at age 40

Yearly

Yearly

* Osteoporosis

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-

-

Follow-up based on baseline testing.

** Testicular Exam

Yearly

Yearly

Yearly

Yearly

** Prostate Exam

-

Based on risk factors and family history.

Based on recommendation

Based on recommendation

**** Colon cancer

-

Based on family history

Every 10 years

Every 10 years

Every five years

Every five years

Every five years

Every five years

-

Beginning at 40, depending on risk

Based on risk

Based on risk

**** HIV Infection

Offered yearly based on risk

Offered yearly based on risk

Offered yearly based on risk

-

**** Hepatitis C

Based on risk

Based on risk

Based on risk

Based on risk

***** Skin Cancer

Based on risk

Offered yearly based on risk

Offered yearly based on risk

Offered yearly based on risk

Yearly (for high risk)

Yearly (for high risk)

SCREENING

MEN

WOMEN

* Clinical Breast Exam

EVERYONE

*** Cholesterol **** Diabetes

Ages 18-39

**** Lung Cancer * American College of Obstetricians and Gynecologists **American Cancer Society ***American Heart Association

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HEALTHY HAPPENINGS

**** US Preventative Services Task Force ***** American Academy of Dermatologists

Ages 65+

Classes & EVENTS

Most classes and lectures are free of cost but still require registration; please visit the Events & Education page at FauquierHealth.org to register, unless otherwise indicated.

Support Groups

Healthy Lifestyles

Addiction Recovery Support Group Tuesdays 7 p.m.

Chestnut Room Contact Suzanne Odum at 540-935-8148 or by email at suzanne.odum@welovechurch.com.

Helping Hands (for those with life-limiting illnesses) First Wednesday of the month 3:30 to 5:30 p.m.

Chestnut room Call 703-957-1867 to register.

Alzheimer’s and Dementia-Related Illnesses Support Group 4th Wednesday of the month 4 to 5:30 p.m.

The Villa at Suffield Meadows Call 540-316-3800 to register.

Lyme Disease Support Group Third Thursday of the month 7 p.m.

Chestnut Room Call 540-341-8245 to register.

Bereavement Support Group First and Third Monday of the month 1 p.m.

Chestnut Room Call 703-957-1800 to register.

Motivational Change Support Group Third Friday of the month 7 to 8 p.m.

Chestnut Room Call 540-364-0065 to register.

BLUE CREW Prostate Support Group Third Wednesday of each month 5 to 6:30 p.m.

Chestnut Room Call 540-316-2273 to register.

NAMI (National Alliance on Mental Illness) Connections-Individuals Living With Mental Challenges Third Monday of the month 6:30 to 8 p.m.

Sycamore Room Call 540-347-9104 to register.

Breastfeeding Support Group Mondays 9:30 to 10:30 a.m.

Family Birthing Center CREW (Cancer Resources, Education and Wellness) Second Monday of the month 5:30 p.m.

Chestnut Room Call 540-316-2273 to register.

Diabetes Support Group Tuesday, November 13 6:15 to 7:15 p.m.

Studio 1 at the Wellness Center Call 540-316-2644 for info.

Families Overcoming Drug Addiction (F.O.D.A.) First and Third Thursday of the month 6:30 p.m.

Chestnut Room Call 540-316-9221 to register.

NAMI (National Alliance on Mental Illness) Piedmont Family Support Meeting Third Monday of the month 6:30 to 8 p.m.

Sycamore Room Call 540-347-9104 to register.

Stroke Support Group First Wednesday of the month 12 noon to 1:30 p.m.

Chestnut Room

American Red Cross Blood Drive September 21, October 8, November 6, December 27 10 a.m. to 3 p.m.

Sycamore Room Junior Chef Program Learn the basics of cooking and nutrition using freshly grown ingredients with our executive chef. For ages 10 to 18.

Saturday, November 10 9 a.m. to 12 noon Cost: $45 Fauquier Hospital Bistro on the Hill restaurant Medicare Made Easy Thursday, December 13 1 to 3 p.m.

Chestnut Room

For Parents Breastfeeding Made Simple Mondays, October 8, December 3 6 to 8:30 p.m.

Family Birthing Center

For more information on health education, please visit FauquierHealth.org or call (540) 316-DOCS

Youth Diabetes Support Group Tuesdays, September 18 and December 18 6:15 to 7:15 p.m.

Studio 1 at the Wellness Center Call 540-316-2644 for info.

Doc TALKS

Concussions in Kids: Diagnosis and Treatment

With Joshua Jakum, M.D. pediatrics Thursday, October 11 6 p.m. in the Sycamore Room

Student athletes are at special risk for sustaining concussions.

Dr. Jakum will discuss guidelines for concussion management in the student athlete. Physical therapist Bruce Edwards, PT, will also be on hand.

Preventing Heart Disease: What To Do Now With Eugene Soh, M.D. cardiology Thursday, November 8 6 p.m. in the Sycamore Room

Learn how to improve your heart health. Dr. Soh will discuss cholesterol and blood pressure, the importance of a healthy lifestyle that includes diet and exercise, and the warning signs of heart disease.

THE QUARTERLY JOURNAL OF

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PRSRT STD US POSTAGE PAID PPCO

Published quarterly by

500 Hospital Drive Warrenton, VA 20186 Robin Earl Writer/Editor Will Thomas Director of Marketing Chad Melton President/CEO For more information on Fauquier Health services, call (540) 316-DOCS

Stay

IN TOUCH

HOSPITAL SERVICES

Fauquier Hospital 540-316-5000

Human Resources 540-316-2900

Patient Scheduling 540-316-5800 or 866-341-0845

Medical Imaging 540-316-2670 (Warrenton Professional Bldg.)

540-316-4500 (Fauquier Hospital)

Physician Referral 540-316-DOCS (3627) or 800-322-7500

Outpatient Registration 540-316-5819

The Villa at Suffield Meadows 540-316-3800

Patient Accounts 540-316-2970

Volunteer Services 540-316-2910

Patient Information 540-316-INFO (4636)

Wellness Center 540-316-2640

Physical Medicine and Rehabilitation 540-316-2680

Wound Healing Center 540-316-HEAL (4325)

Program Registration 540-316-3588 Family Birthing Center 540-316-4000 Home Care Shop 540-316-4437

Fauquier Health Rehabilitation & Nursing Center (FHRNC) 540-316-5500 Sleep Center 540-316-2660