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inspiration for better living

g to


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e n i h s n u S Pedaling ToWork


Students Safe


Desert Encounters


Approaching Chronic Pain with Mindfulness



Join Dr. Cal Robinson as he discusses how thoughts, emotions and behaviors influence one’s relationship with chronic pain. Thoughts and reactions about pain complicate the pain experience. Mindfulness offers a way to learn how to respond to pain as one embraces the fullness of life. The overarching goal of mindfulness is improved awareness as we learn how to accept life as it is — both in its sweetness and its dreadfulness. Details and benefits of the 13week Mindfulness Based Chronic Pain Management (MBCPM ) program will be discussed with personal stories from previous participants. TM

Bring a friend, have some refreshments and learn if Mindfulness is right for you! Visit for more information about MBCPM . TM

Tuesday, April 17, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd., Newport News, VA 23606 Call Shannon Woods to register: 1-757-596-1900 ext.368 or email

OSC Patient Success Stories

“While in my twenties, I injured my back working at the Shipyard. I’ve had two back surgeries and multiple spinal epidural injections, but the chronic pain never goes away. My wife referred me to the Mindfulness for Chronic Pain Program with Dr. Cal Robinson. The breathing and meditation techniques I learned help me quickly decrease my pain in a few minutes. I am grateful to Dr. Robinson for giving me the tools I needed to live a better life.”

Jarrod Burke

Boyd W. Haynes lll, M.D. • Robert J. Snyder, M.D. • Jeffrey R. Carlson, M.D. Martin R. Coleman, M.D. • Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. F. Andrus, M.D. • John D. Burrow, D.O. • F. Cal Robinson, PsyD, MSCP Tonia Yocum, PA-C • Erin Lee, PA-C • Chris Schwizer, PA-C Monica Beckett, NP-BC • Lauren Copley, PA-C



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Insurance regulations prevent the use of the insurance logos and printed name, please call if there are any questions about coverage.

for an appointment Call forCall an appointment today! today!

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April DEPARTMENTS BITS AND PIECES 06 Staff & Writers 07 Editor’s Note 08 Second Opinion


FEATURES 10 12 16 20 22 24 26

DIY: Etched Glass Charity Sunshine Fascinating Desert Encounters Listening to Charity Sunshine Health Benefits of Collagen Talking About School Shootings Keeping Students Safe Virtual Reality Helping Seniors with Dementia



LIFESTYLE 28 30 32 34

Making Our Community HEARTSafe Start Pedaling to Work Brain Fitness Aging Taste Buds

FOOD & DRINK 36 An Apple a Day ... 38 Taste Appeal 42 44 46 49 50


Pedal to Work

STAYING WELL Yoganatomy: King Pigeon Pose Accepting New Patients Health Directory Calendar Brain Teasers


Aging Taste Buds


Apple a Day

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The 2018 Kingsmill Championship returns to Williamsburg this May! Don’t miss your chance to see the best women golfers in the world compete on the famed River Course. Family friendly events will be held on Saturday and Sunday. Don’t forget kids 17 and under get in free. Tickets are available at

™ VOL. 13, NO. 11 The Health Journal is the perfect choice to reach readers wishing to stay current on healthy trends in fitness, nutrition and the art of living an informed life. We are Hampton Roads’ premier healthy lifestyle magazine. Copies are mailed and racked throughout the region.


WRITERS Teresa Bergen Brandy Centolanza Kasey Fuqua Katie Gilstrap Katy Henderson John-Michael Jalonen Alison Johnson Jason Liebler Kim O'Brien Root


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Editor’s Note Calling in the Tribe Recently, I found myself having to be in multiple places at the same time. I had a meeting at the same time I needed to pick up my daughter from play rehearsal across town. Then, I had to get her to ballet while at the same time getting my son to soccer practice. Because of my husband’s work schedule, it usually falls on me to shuttle the kids to most of the after-school activities. And they get increasingly busy as they get older. Asking them to opt out of the activities they enjoy so much isn’t an option. So, what to do? Considering I can’t clone myself, it was time to call in the tribe. Who’s the tribe? Quite simply, they are the people in my life who I can call on to help when I need it. I managed to find someone to bring my daughter home from her rehearsal and another “tribe member” to take her to ballet, leaving me able to get to my meeting and

Human interaction isn’t as it once was... now, all too often, I think we’re afraid to ask for help.” then take my son to soccer practice. After that, I picked up my daughter and her friend — whose mom helped me earlier — from ballet and brought them home. Increasingly, in our highly digital world, we hide away in our homes and behind computers and talk instead on social media and by text. Human interaction isn’t as it once was. It’s far different than ancient times, when women shared care of their babies, gathered food and cooked together. But now, all too often, I think we’re afraid to ask for help. Parents, especially women, I believe, need that tribe of other women around them. We need those friendships and someone (or many someones) on whom to depend. And it’s not just a matter of carpooling or offering to watch a kid for a few hours — it’s having someone for moral support, for that emotional backup that sometimes, only a girlfriend can give. Studies have shown that female friendships have a bigger impact on our physical and psychological wellbeing than even family relationships provide. Proximity doesn’t always matter, either. Part of my tribe is a group of women I met on an online parenting board 14 years ago. For this issue, I had the pleasure of interviewing opera singer Charity Sunshine Tillemann-Dick, who is scheduled to sing at the Chrysler Museum in Norfolk on May 10th. EDITOR'S NOTE

Charity had not just one double-lung transplant, but two — she also successfully battled skin cancer. Through it all, she’s kept singing, and perhaps more importantly, kept her truly sunny disposition and upbeat attitude. When we spoke on the phone, Charity told me she was raised with a sort of “buck-up” mentality, but recently, came to realize that it’s okay to ask for help. That doing so can not only save our lives, but perhaps put us in a better position to help ourselves as well as those who depend on us. When my kids were younger, I joined a playgroup to be around other moms — to learn from them, grow with them … sometimes, just to be with them. This tribe has changed some over the years — friends have moved, some have drifted away, others have stepped into different roles that better fit into my always changing life. But more and more, especially lately, I find myself leaning on my tribe. And I’m learning there is no shame in asking for help.



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second opinion your health care questions answered

I am having daily headaches; should I see a doctor? Yes, you should see a doctor for any of these reasons: You’re having more than two or three headache days a week; you take a pain reliever for your headache most days; you need more than the recommended dose of over-the counter pain remedies for relief; your headache pattern changes; or your headaches worsen or are disabling. Seek prompt medical care for headaches that are sudden and severe, accompany a fever, stiff neck, confusion, seizure, double vision, weakness, numbness or difficulty speaking, or that follow a head injury and worsen despite rest and pain medication. Females are more likely to experience headaches. Risk factors for developing frequent headaches increase with anxiety, depression, sleep disturbances, obesity, snoring, overuse of caffeine, overuse of headache medication and other chronic pain conditions. Keeping a diary of headache occurrences is a good strategy to determine triggers, such as specific foods or weather changes. Avoid taking over-the-counter medication for headaches more than twice a week as this increases the risk of medication-overuse headaches. To keep headaches at bay, you should get enough sleep, avoid skipping meals, exercise regularly, reduce stress and reduce caffeine. Patricia Mayes, M.D. TPMG Neurology in Williamsburg 757-707-3508

Why is it I have had no cavities for years, but I have periodontal disease? Aren’t they caused by the same thing? I congratulate you for not having cavities for a long time. I know it can be confusing when you have one condition, but not the other. This can happen because they have different causes. Periodontal disease, a condition of bone and gum loss, is caused by bacterial and mechanical factors. There are several bacteria associated, including P. gingivalis and A. actinomycetemcomitans. Stress on the bone from grinding and clenching can also induce the disease. You may have a higher incidence of either of these factors. Dental cavities are caused by the bacteria streptococcus mutans. The carbohydrates we eat are food for the bacteria, which then produce acids that destroy the protective enamel of our teeth. This, combined with dry mouth, systemic diseases and/ or acidic drinks allows the cavities to grow exponentially. You may have a lower incidence of these factors. You can prevent both conditions by brushing regularly — two times a day at a minimum — and flossing and/or using a Waterpik at least once a day. You can also prevent periodontal disease by using a night guard retainer. The more regular you are with your dental check-ups, the earlier either condition can be diagnosed, making it less painful and less expensive to treat.

Will my child outgrow his or her allergies? The answer is it depends. Regarding food allergies, most children will outgrow their milk, egg, wheat or soy allergy by the time they reach adulthood, often by the time they start elementary school. However, only about 20 percent of children with peanut allergy, 10 percent of children with tree nut allergy and almost no children with shellfish allergy outgrow their allergy. With allergic rhinitis (hay fever), which is due to environmental allergies, sometimes children with very mild symptoms will go into a remission as they hit puberty, but most children will have symptoms that persist well into adulthood, with some improvement in older age. About 75 percent of children with childhood eczema will have a remission before adolescence. Childhood wheezing tends to develop into asthma if it is associated with allergic triggers, is more severe and persistent, and if there is a maternal history of asthma. Asthma in adolescents typically persists into adulthood. The current standard treatment for food allergies is complete avoidance. For environmental allergies that cause hay fever, asthma and eczema, avoidance measures and medications can minimize symptoms, but the only way to alter the course of the disease is allergen immunotherapy (allergy shots or tablets). This treatment, which usually lasts 4-5 years, is 85-90 percent effective and should only be directed by an ABAI board-certified/ eligible allergist.

Stacey Hall, D.D.S. Stephen Shield, M.D. Williamsburg Center for Dental Health Allergy Partners of Hampton Roads 757-565-6303 757-259-0443

Addiction is a treatable disease There is no shame, there is only the opportunity for recovery when you decide to finally get help. Our Williamsburg, Virginia campus is home to one of the most respected addiction treatment programs in the country and our experienced medical and clinical staff will work with you in a safe residential environment.

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Etched Glass DIY : Etched Glass Materials: Etching cream Masking tape or vinyl Paintbrush

Customize flea-market finds

Instructions: 1. Choose your glass and design. A Silhoutte or Cricut die-cutting machine works best but you can also use a stencil or cut out by hand. When applying your design, always clean and dry the glass first; press the design onto the glass and rub hard. 2. Using a paintbrush, apply a thick layer of etching cream to the glass. (Avoid spills, since cream will leave permanent marks.) Wait one hour for better results, then rinse off the cream with warm water and remove the stencil. 3. Sit back and enjoy your new glass.


1 2

Note: To make a monogram stencil, place the desired letter on the sticky side of a piece of contact paper. Trace the letter, then cut out around the letter, creating the template. (Keep the center cut-outs of letters such as O and A.) Stick the template on your glass and follow above instructions. DIY



Travel for Wellness Fascinating Encounters in






bout 13,000 years ago, the area around Palm Springs was savannah land with 100 inches of rainfall per year and two types of mammoths. In fact, the palms dotting the desert — the remains of an ancient jungle — developed thorns to prevent the mammoths from eating their buds. Today, the jungle is long gone and desert covers a huge portion of southern California. Often dismissed as hot and dry, desert ecosystems are more complicated and delicate than they first appear. For people wanting a late winter/early spring break from colder and wetter parts of the country, that desert sunshine is a balm. The southern California deserts offer hiking, biking, camping, stargazing and fascinating encounters with geology, as well as the posher amenities of resort communities Palm Springs and Palm Desert. Here are a few highlights of a desert wellness vacation.





Travel for Wellness

“A desert is a place without expectation.” ~ Nadine Gordimer

Biking with Big Wheel Tours

Resort Life

Big Wheel Tours’ Earthquake Canyon Express Tour starts in the Mecca-Copia National Wilderness and descends 12,000 feet along 20 miles of remote roads to the Salton Sea. Cyclists spread out to get some desert solitude as they contemplate the crazy rock formations that the San Andreas Fault pushes every which way. This is an easy downhill cruise. Intermediate bikers who want more exercise can rent a mountain bike and tackle the epic 29-mile Palm Canyon Trail.

Those who would rather swim in a pool, play a round of golf or get a massage are also well-cared for in the SoCal desert. One of many area resorts, the J.W. Marriott Resort in Palm Desert offers all the upscale amenities, plus such unexpected sights as a pond full of flamingos and a short boat ride to the bar. However, some guests don’t come here to relax. The Marriott also offers The Biggest Loser Resort, an onsite wellness program for people who want to make permanent changes in their health habits. Trainers motivate participants through hikes, exercise sessions, wellness education and spa cuisine meals.

Jeep Tour of the San Andreas Fault If you want to learn everything about the desert around Palm Springs, Desert Adventures’ Jeep drivers/tour guides will school you in the area’s geology, agriculture, Cahuilla Indians and animal and plant life. Plus, you get to Jeep through bumpy dirt tracks in one of the most seismically active parts of the country, surrounded by the enormous San Jacinto Mountains. Huge rock faces lay on their sides, pushed up by the Pacific plate as it moves northwestward. “It's the bones of the Earth sticking out here,” says Jeep driver Morgan Levine, who reads the landscape like a book. One tour highlight is a stop at one of the 28 palm canyons that straddle the San Andreas Fault. As moisture seeps up through the fault line, oases of palms spring to life in the otherwise dry desert.

Getting Away to Borrego About 90 minutes south of Palm Springs, the Anza Borrego Desert is a much simpler and less-developed region that draws serious hikers and birders. Four-wheel drive comes in handy here as you lurch over dirt tracks to arrive at a trailhead where no other cars are parked. At night, locals and visitors enjoy the stars in this internationally designated dark sky community. Anza Borrego is also home to an unusual art installation. Since 2008, sculptor Ricardo Breceda has populated the desert with more than 100 metal renditions of saber-toothed tigers, ground sloths, dinosaurs, wooly mammoths and other beasts who once roamed here, helping visitors to step back in time.

Want to Go... From Richmond, Va., American and United fly you to Palm Springs the fastest. If you’re visiting Borrego, you might want to fly to San Diego instead. Either way, rent a four-wheel drive if you want to explore the desert. Dogs aren’t allowed on trails in Anza Borrego State Park. Big Wheel Tours: Desert Adventures’ Red Jeep Tours: JW Marriott Resort and Spa: Anza Borrego Desert State Park: Borrego Night Sky Tours:



Listening to


Two-Time Double-Lung Transplantee Shares her Story of Music and Hope

Arts & Leisure


ecoming an acclaimed opera singer and classical inspiring,” says Dr. Cynthia Romero, director of Eastern recording artist is impressive enough. Virginia Medical School’s M. Foscue Brock Institute for Now consider doing so after undergoing two Community and Global Health, which is one of the sponsors double-lung transplants and surviving skin cancer. of the May 10th program. Most singers might have given up on their dreams after “For our community in Hampton Roads to be introduced going on such a medical roller coaster. Not Charity Sunshine to not just the art of opera singing, but to have that human Tillemann-Dick. When she was diagnosed at the age of 20 story of overcoming barriers and to use that message to with pulmonary hypertension — a rare condition in which inspire others to not give up hope — it’s going to be such a oxygen isn't properly absorbed privilege,” Romero says. by the body and forces the heart Along with the Brock Institute, to work overtime — Tillemann“There’s a lot of division the program is sponsored by Jewish Dick took as deep a breath as she Family Service of Tidewater, LifeNet in the world right could muster and pushed on. Health, WHRO Public Radio and Now 34, the vivacious soprano the Chrysler Museum of Art. Every now, but I breathe is at the top of her game. She spring, Jewish Family Service (JFS) with the lungs of an became a top-selling recording partners with other agencies to artist with her 2014 album, bring health issues of interest to the immigrant,” she says. “American Grace.” Last year, community, says Patti Wainger, who she published a memoir, "The serves on JFS’s board. “My doctors are from Encore," while continuing to The opportunity to get Tillemannall over the world, and perform and speak in venues Dick and Budev to Hampton Roads across the world. She has was too good to pass up, Wainger are responsible for my sung at the Lincoln Center in says: “Their story is so big, we want life. I think the story New York City, the Kennedy to share it.” The program will have Center in Washington, D.C., a local flare as well — Dr. Kamal of transplant and my Boston’s Symphony Hall and the Chemali, a neurologist and director story amplifies these National Palace of the Arts in of the Sentara Music and Medicine Budapest, Hungary. will accompany Tillemanngreater human truths." Center, Dick on the piano. Tillemann-Dick is scheduled Raised in Denver, Colo., with to sing and tell her story next month during a special appearance at the Chrysler Museum of 10 brothers and sisters, Tillemann-Dick remembers Art’s George M. and Linda H. Kaufman Theater in Norfolk, getting worn out a little more quickly than her siblings, Va. The program — Music. Medicine. Hope. — will also but she always pushed on. But in 2004, she found out she had a condition called idiopathic pulmonary arterial feature one of Tillemann-Dick’s physicians, Dr. Marie Budev, the medical director of the Cleveland Clinic’s Lung and Heart- hypertension. The right side of her heart had enlarged to three-and-a-half times its normal size — “I call it the Lung Transplant Program. reverse Grinch effect,” Tillemann-Dick jokes today. But “To actually have a physician and one of her patients back then, without a lung transplant, she faced a 70 percent who has recovered and continued to pursue her passion is



chance of dying within five years. She was also told to stop singing. Singing, however, was part of her. She was in her first choir at age 3 and saw her first opera (Hansel and Gretel) at age 5. She wasn’t ready to let the disease, rare or not, get the best of her. The American Lung Association estimates that one in 100,000 to 1 million people have idiopathic pulmonary hypertension. It is most common among women in their mid-30s. Tillemann-Dick had her first lung transplant five years after her diagnosis — by that time, her kidneys and liver had been damaged, and she had to have a heart valve repaired as well. She spent a month in a medically induced coma and three months total in the hospital, but eventually, she began to sing again. Unfortunately, the donor lungs began to fail within just a few months. Doctors told Tillemann-Dick she might not survive, but in 2012, she received the gift of a second transplant, which turned out to be a “really wonderful fit,” she says. Incidentally, her donor, a 48-year-old Honduran woman named Flora, also loved to sing. She talks about Flora’s lungs almost reverently. She is, naturally, a huge proponent of organ donation. “There’s a lot of division in the world right now, but I breathe with the lungs of an immigrant,” she says. “My doctors are from all over the world, and are responsible for my life. I think the story of transplant — and my story — amplifies these greater human truths. With organ donation, we can each be responsible for life and death outcomes. When we have nothing left to give, we can give someone else a second chance.” Rony Thomas, chief executive officer of LifeNet Health, an organ procurement organization and tissue bank headquartered in Virginia Beach, praises Tillemann-Dick for sharing her message and for speaking in favor of organ donation. She has sung about organ donation previously, and last fall, celebrated her donor by performing at the Cleveland Clinic with Esperanza Tufani, the donor's daughter. “Charity gives us the gift of her enthralling voice and music," Thomas says. "Her inspirational story involves the gift of life, that of an organ donation from a selfless donor. This event will celebrate donors, recipients and transplant health professionals all over the world.” Budev, who will take the stage with Tillemann-Dick at the Chrysler Museum, describes her patient as amazing, insightful and “the most resilient person I know.” She also says Tillemann-Dick is extremely empathetic, which has helped develop Budev’s own understanding of the empathy she believes is necessary in doctor-patient relationships. Budev plans to talk about empathy in medicine at the Music. Medicine. Hope. program, as well as to medical professionals at the Brock Institute the following day Budev and Tillemann-Dick have spoken together several times during the many speaking engagements

Want to go? Music.Medicine.Hope.

Chrysler Museum of Art, Norfolk

May 10th, 6:30 p.m.

The program is free and open to the public; however, preregistration is required. To register, go to

For information, call 757-333-6232


/ 18 /


Jewish Family Service of Tidewater’s Tillemann-Dick has had. Over the years, the pair has developed a warm friendship through their experiences together. People will see, Budev says, what a remarkable woman Tillemann-Dick is. Not only did she go through two double-lung transplants, but she also fought a battle with skin cancer a few years ago. The cancer, likely a result of the immunosuppressant drugs she was on, required more surgery — this time to remove a tumor on her face, which required cutting a nerve and causing some scarring to her face. But in typical Charity Sunshine (her full first and middle given names) fashion, she managed to find a silver lining in the surgery. It turned out that cutting the nerve in her face relieved some tension in her jaw, which has helped her to better reach the bottom range of her voice. “I’ve never sung better,” she says. “It shows there are linings. There’s joy in our sorrow and in life and death. There are all these impossibilities that open up new opportunities.” For transplant patients, rejection is something that’s always looming. But at a certain point, Tilleman-Dick says, you realize it’s part of life. You keep going forward, living your own adventure, facing whatever challenges come up. And right now, she feels good. “Knowing that we can learn and grow from those challenges,” she says, “there’s beauty in that.”

14 th Annual

Run, Roll or Stroll Sponsored by the

Copeland/Klebanoff Families Finish Line sponsored by

Dr. & Mrs. Ronald Dozoretz


May 6

24th St. Park Virginia Beach Oceanfront

8K Run 5K Run or Walk 1 Mile Run/Walk

Presenting Sponsor:

Lead Sponsor: Lee & Bernard Jaffe* Family Fund

Dr. Marie Budev, the medical director of the Cleveland Clinic’s Lung and Heart-Lung Transplant Program

of the Tidewater Jewish Foundation

*Of blessed memory

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Collagen: It Does a Body Good By Katie Gilstrap


his year could be called The Year of Glowing Skin, as skin care products, from sheet masks to serums, are dominating the health and beauty scene. Now in the limelight? Collagen. Collagen is nothing new. Although it’s been around for some time, it’s now enjoying a bit of an evolution as it becomes better understood and more accessible. And while historically collagen may have been synonymous with wrinkle fillers and injections, now a growing group of women (and men!) are seeking collagen as the source of a glowing, gorgeous complexion without a doctor’s office or needle in sight. Indeed, collagen, usually derived from grass-fed cows, chickens, fish and some plant-based sources, is enjoying its moment as the beauty drink du jour, with everyone from health and beauty bloggers to actress Jennifer Aniston herself singing its praises. But is the hype justified? First, let’s take a look at what it is. Collagen is a fibrous protein that’s a vital part of your skin’s health, keeping it youthful, elastic and resilient. It’s the most abundant protein in the body and is the main component in skin, bone and connective tissues. In addition to its skin-beautifying properties, it is also chock-full of essential amino acids that are important in keeping the body functioning smoothly, including sleep-boosting glycine, as well as skin-enhancing proline and hydroxyproline. Collagen also lubricates joints and, according to some, aids in digestion. As we age, however, our body’s collagen levels begin to fall, which is why cosmetic doctors have been using it as a go-to filler to help erase lines or to create fuller cheeks and lips. Cosmetic surgery associations aside, collagen has promising holistic beauty and health applications. In fact, a recent study found that supplementing your diet with drinkable collagen peptides significantly increased skin-hydration levels after eight weeks and boosted overall collagen density in half that time.

DID YOU SAY DRINK IT? The ingestible collagen craze started, as many skin-care trends do, in Asia, where collagen powders, drinks and supplements have been sold for years. In the United States, the craze that had us drinking bone broth to magically heal everything from joint pain to dull hair warmed us up to the idea of drinking our collagen. More recently, beautifying supplements featuring the power protein have been hitting the market.

THE BELIEF Sipping collagen, rather than applying it topically or injecting it, provides the entire body with the foundational and building blocks it needs to support the creation and repair of the body’s connective THEHEALTHJOURNAL.ORG

tissues. Providing your entire system with collagen can help kick start its developmental abilities again. Unlike some remedies, it doesn’t matter when you drink your collagen, as long as you get your daily dose. Studies have shown that the fibroblasts — the collagen producers found in our skin — will activate when you consume between 5,500 and 6,500 milligrams of collagen peptides, no matter the time ingested. And the idea that your collagen supplement will be destroyed or disrupted by digestive acid in the stomach? It’s a myth. Collagen supplements are usually broken down by your stomach acid, with or without food, into amino acids that are then used to build more collagen. So add some collagen to your morning coffee, or mix some into your lunchtime soup. Don’t expect instant results, but over time, you’ll be pleasantly surprised by what this little protein can do.

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WHAT IS THE DIFFERENCE BETWEEN GELATIN AND COLLAGEN? They are similar, but the difference is in the processing.


Be consistent. Drinking your collagen at the same time may help serve as a handy reminder to get your daily dose. And continue drinking your collagen cocktail for several months. Collagen supplementation is not a quick fix, so it may take some time to start seeing the changes in your skin and body.

Gelatin is cooked collagen that’s been dried and processed into a powder. It will gel when it’s mixed with water. Collagen peptides are processed so the amino acids are broken down, making it easier to digest and more quickly absorbed by the body. Collagen peptides will not gel and are easily mixed into hot or cold beverages and liquids. Both are virtually tasteless and odorless.



Choose a drink that fits your lifestyle. For example, someone with a busy lifestyle might prefer a grab-and-go, pre-made beverage. Be sure to pay close attention to ingredients. Some products are made from animal protein, so vegetarians and those with allergies should beware.



















• • • • • • • •














TIP 3 Evaluate color and smell. If you’re buying a collagen in powder form, it should be colorless (when mixed with water) and tasteless.













Increases mental & physical energy Lowers blood pressure & cholesterol Improves sex drive & performance Decreases/eliminates hot flashes Improves sleep quality Decreases/eliminates night sweats Increases muscle tone Safe and effective











School Shootings BY ALISON JOHNSON


he one thing that every parent wants to tell their children after a school shooting — don’t worry, it could never happen here — simply isn’t true. Still, parents can do a lot to help students manage anxiety, experts say. The best approach combines age-appropriate conversations with action plans, says Linda Askew, supervisor of student support and the school crisis team for Newport News Public Schools. “We cannot minimize the possibility of critical incidences occurring in our schools, but we cannot live in fear or terror,” Askew says. “The main goal should be to instill in them a sense of power, so that they avoid letting random, single incidents impede their love of school and life.” One important perspective for parents is that, sadly, children today are more “used” to hearing about school violence, notes Sandy Austin, a high school counselor in Colorado. As a Crisis Professional Interest Network Facilitator for the American School Counselor Association (ASCA), Austin has responded to several school shooting sites. Last fall, Austin asked her students how they dealt with news of school incidents and social media threats. “They basically said, ‘It’s just a part of life,’” she recalls. “I asked if that made them anxious and a girl said, ‘I don’t know. It’s all I’ve known.’” The teenagers also shared that wherever they went — school, the mall, the movies — they were aware of their surroundings and potential escape routes.

Of course, violent events such as the Feb. 14 school shooting in Parkland, Fla., never stop being shocking. Afterward, kids need not only a listening ear but reassurance about the specific measures in place to keep them safe, according to the ASCA. Counselors generally recommend that parents broach the subject of a shooting, as kids inevitably will get reports from the news, social media or peers. But asking open-ended questions is better than presenting information. What has the child heard? How does he feel? “Be careful not to ‘over-talk’ and scare the kids,” Askew says. “Let their questions be the guide. This way you’re giving them useful information.” The overall message should be that while shootings are possible, they are not probable, according to the National Association of School Psychologists (NASP). Then explain why: “Your school building is safe because … ,” followed by individual school policies. Conversations will vary by age, as NASP tips recognize. Early elementary school students need only basic information about a tragedy with simple examples of how adults are working to protect them at school, such as with locked exterior doors and practice emergency drills. Upper elementary and early middle school children tend to be more questioning of whether they are truly safe. Parents who point out beefed-up security steps after the Florida shootings — locked doors, buzzer systems, identification checks,

The overall message should be that while shootings are possible, they are not probable, according to the National Association of School Psychologists.


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cameras and/or armed guards — should be ready to explain the rationale for each. Students also may need assistance in separating reality from fantasy. “When children are not given information, they often put together bits and pieces of what they have heard and create their own perception of what has happened,” says Michele Tryon, a child-life specialist and parent educator with Children’s Hospital of the King’s Daughters in Norfolk. Upper middle and high school students, meanwhile, can discuss their ideas for preventing future tragedies. As the NASP puts it, “Emphasize the role that students have in maintaining safe schools by following safety guidelines — not providing building access to strangers, reporting strangers on campus, reporting threats made by students or community members, communicating any personal safety concerns to school administrators and accessing support for emotional needs.” Speaking of emotions, never minimize or dismiss what a child is feeling, Tryon says. “It is okay to be sad or scared or angry,” she says. “Let your child know that other children may be thinking the same way they are. They are not alone.” Feeling helpless is powerful fuel for anxiety, counselors say. Parents can guide children to regain a sense of control both by maintaining normal daily schedules and brainstorming ways to make a positive impact on their community. At home, stick with healthy meals and usual bedtimes, homework and chore requirements, along with time for exercise, play and hobbies. “Focus on stuff you enjoy instead of stuff you fear,” Askew says. “Keep all routines, especially after-school activities. If not, you’re basically saying you should be scared to go to school.” Limiting media exposure also is important. “When young FEATURE

children see the event playing over and over again on television, they may think the incident is happening again and again,” Tryon explains. Kids also can be frightened or confused if they overhear new information from adult conversations. Many children heal through uplifting activities, such as making a card for someone who has been hurt, writing down a list of community protectors like police and fire officials, reading a book about a person who overcame challenging circumstances, drawing or journaling or learning calming breaths. “Doing something gives the child a sense of efficacy in an overwhelming situation,” Tryon says. At school, students can be empowered by feeling like part of the solution, counselors say. Parents can review safety procedures and identify trusted adults to turn to as needed, like if they hear about a weapon on campus or worry a peer is struggling with anger or depression. Students can also join the worldwide team of “helpers” who inevitably mobilize after tragedies. They might organize an anti-bullying club, write to legislators or send gifts to a school impacted by violence. Austin recalls how much students at one shooting site loved a 10-foot poster sent by an elementary school in Japan. As one student told her, ‘It’s really nice what the adults are doing and we appreciate it. But these posters from kids close to our age give us strength and hope, knowing we’re not alone.’” Finally, parents shouldn’t hesitate to seek outside help for a child suffering from intense or lingering anxiety, which can appear in conversations or through changes in behavior, appetite or sleep patterns. “Home should be a safe place to talk about their fears and all those questions they may be afraid to ask elsewhere,” Austin says. “Allow them to talk about it, but if they dwell on it for days, try to refocus the conversation. If it continues, seek a professional counselor.”


Keeping Students

With the recent shooting at Marjory Stoneman Douglas High School in Parkland, Fla., parents have begun to question the policies and procedures school districts enact to keep students safe. But who creates a school’s crisis plan? What should parents and students do in the case of an BY JASON LIEBLER emergency? The responsibility to establish a school crisis plan rests with each state’s legislature. The U.S. Department of Education provides substantial guidance to state and local school leaders through resources such as the Readiness and Emergency Management for Schools Technical Assistance Program, found online at In Virginia, school districts are required by state law to conduct annual school safety audits, establish a school safety committee to review the audits and submit plans for improvement, and develop a school crisis plan in coordination with local police, fire and medical personnel. The Virginia Department of Education publishes the guidelines for these requirements on its Division of School Safety website. In 2000, the General Assembly established the Virginia Center for School and Campus Safety to provide technical support, training and legislative resources to help school systems develop and improve emergency response plans. Furthermore, schools are required to conduct at least four lockdown drills with students each year to review and practice what to do in case of an emergency. Legally, school districts do not release specific information to the public, such as student movement during drills or security vulnerabilities. However, parents can review reports and general policies available on individual school district websites. Locally, policies are in place to maintain safety. Doors are locked, security cameras are in place and most schools require visitors to sign in and out through the main office. Many middle and high schools employ security guards and are assigned a law enforcement liaison officer, or school resource officer, who makes regular visits and interacts with students and staff.


So what can parents do? First, stay informed. Many school divisions have an automated telephone service that provides information should any crisis arise. Make sure contact information, including email, is up-to-date so school representatives can pass on important information. In the event of an actual emergency, as hard as it would seem to be, parents are advised to stay off school grounds so that emergency and medical personnel have clear, direct access to schools. Families will be notified with information regarding dismissal and/ or alternative pickup locations through telephone and email. This further stresses the need to keep contact information current. Second, talk to your children. In the wake of school violence, students can struggle to make sense of the events. The National Association of

emergency (such as the gym, cafeteria or hallway), they should get into the nearest classroom, lock the door, turn out the lights, move away from doors and windows and remain silent until a school official ends the lockdown. Remind students to never open any outer doors for visitors. Finally, as a parent, get involved. Attend school board meetings, open house events and school improvement meetings. Pay attention to your child’s behavior — even small changes could indicate something is troubling them — and get to know their friends. If you see children exhibiting behavior or attitudes that could potentially harm themselves or others, talk to their parents or, if it's your child, do something to stop it.

School Psychologists is a great resource — find it online at — for information on how parents and teachers can approach this conversation. Students should be encouraged to speak to a trusted adult if they suspect a threat to the school — whether they observe a threat, hear about the possibility or read of a threat online. Talk to your children about the difference between tattling and reporting. Through drills, students should have learned what to do in case of a lock-down event, such as a shooting or intruder. If a student is in a communal location in an

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Advances in Medicine

Virtual Reality for Seniors BY TERESA BERGEN




t may look like the residents of Maplewood Senior Living are sitting around the facility’s library in Westport, Conn. But in their minds, they’re reaching for beads at a Mardi Gras parade, flying over the huge Jesus statue in Rio and visiting their long-lost childhood homes. These cutting-edge seniors are using virtual-reality technology to experience places and events they otherwise could not. “I keep thinking of the penguins,” says Maplewood resident Joe Messina, whose virtual-reality episode took him to snow, the woods and to Machu Picchu, an Incan mountaintop city in Peru. In one scene, penguins were surrounding him, coming right up to him and causing him to turn to his side to look for them. “And they weren’t there!” Messina recalls, laughing at the memory of how real it seemed. In the future, he says he’d like to use virtual reality, or VR, to visit his grandparents’ home in Sicily. Maplewood’s VR gear is made by Rendever, one of several companies across the United States promoting virtual-reality experiences for seniors. Companies are increasingly using VR components in the medical and education fields, including for heart simulators to help medical students in Japan and in therapeutic devices to treat substance-abuse disorder. Rendever co-founder and CEO Dennis Lally was a healthcare investment banker who left the corporate finance world to pursue his entrepreneurial dreams. While in the MBA program at the Massachusetts Institute of Technology, he met his partner, Reed Hayes. They discussed bringing VR to seniors. After seeing the delight of an 88-year-old woman experiencing virtual reality for the first time, they were hooked. If you’ve never tried virtual reality, you might wonder how it differs from watching a video. The key is in the immersive, responsive nature. Put on a VR headset and suddenly you see only what’s in the virtual world. Turn your head, and you see what’s to the right or left. It’s a 360-degree experience that lets people feel as if they’re flying, skiing, mountain biking, wandering, swimming underwater or whatever the programmer has created. As the United Kingdom-based Virtual Reality Society explains it, “If you can present your senses with made-up information, your perception of reality would also change in response to it. You would be presented with a version of


reality that isn’t really there, but from your perspective it would be perceived as real.” Virtual reality appeals to a wide range of ages and interests. But it has special applications for seniors. In addition to the considerable entertainment value, Rendever was developed especially to work in memory care. It can track movement data to aid in early diagnosis of dementia and provide cognitive therapy to people with Alzheimer’s. Last year, Rendever won the coveted $25,000 grand prize in the MIT Sloan Healthcare Innovations competition. “I enjoyed it immensely,” Messina says of his experience. “It was a surprise because I had never done it before.” Fellow Maplewood resident John Sacco is also part of the Connecticut group experimenting with virtual reality. While he enjoyed the VR travel experience — “How about the fact that you didn’t have to climb all those stairs to be able to see Machu Picchu?” he pointed out — he says he’s more excited about other virtual experiences. As a retired physician, Sacco says he can see the potential for research projects. “I would think that immersing someone with a memory deficit into a milieu, right in the middle, over a period of time you might be able to penetrate whatever the problems are,” he says. Also, there’s football. “I think now with the drones that they’re using on the football field, we could be right in the middle of the plays,” Sacco says. “That would be interesting. Might get a couple of bruises.” The Maplewood group program is still in the betatesting phase, but residents are looking forward to more. For some residents who never had much opportunity to travel, Sacco says, they finally have the chance to see the world. There’s also potential for residents to participate virtually in private and family events that they’re unable to attend in person, such as a grandson’s wedding in Greece — a VR treat that Lally is planning for his own grandmother. Lally emphasizes how real the VR experience is to participants. “Watching a standard video or news clip that highlights Mardi Gras is nowhere near as special as putting on one of our headsets and looking around at the festivities while sitting on top of one of the parade floats,” he says. “This full immersion really shows in the residents’ reactions — residents sitting on that float will start smiling and waving to everyone on the street — and some will even try to give high fives to passers-by!”



Making Our Community HEARTSafe BY KIM O’BRIEN ROOT


ndrew Stonier was a 15-year-old freshman when he had a heart attack at school. His physical education teacher at his York County, Va., high school immediately started cardiopulmonary resuscitation. A school resource officer shocked his heart with an AED, or automated external defibrillator. Andrew survived, thanks in no small part to those quick actions. Each year, more than 350,000 cardiac arrests take place outside of a hospital in the United States, according to the American Heart Association. Almost 90 percent of those people die. But if CPR is started in the first few minutes of an attack, it can double or even triple a person’s chance of survival. A new public health initiative in the greater Williamsburg area intends to get more people in the community involved in potentially saving lives through increased CPR training, widespread AED placement and education. It’s called the HEARTSafe program, a nationwide effort to recognize and stimulate efforts by individual communities to improve their system for preventing sudden cardiac arrest. The area officially became a HEARTSafe Community in February thanks to the work of the Greater Williamsburg HEARTSafe Alliance. The Alliance is comprised of the Riverside Doctors’ Hospital Williamsburg, Sentara Williamsburg Regional Medical Center, Greater Williamsburg Chamber & Tourism Alliance, the Williamsburg, James City County and York County fire and rescue departments and the Peninsula EMS Council. The Williamsburg area is the fifth locality in Virginia to become a HEARTSafe Community. In addition, three Virginia colleges — the University of Virginia, Virginia Tech and the University of Virginia — are recognized as HEARTSafe campuses. Now, after having the designation, community leaders intend to work to better educate the community about the need to know how to respond if someone has a heart attack. “The HEARTSafe recognition for Greater Williamsburg is a true demonstration of how community partners can collaborate to improve the health and well-being of the areas they serve,” says Adria Vanhoozier, vice president/administrator of the Doctors’ Hospital. “The program lays the foundation for the community to ensure that our residents and visitors will have the immediate care they need if they experience a cardiac event.”


When a person’s heart suddenly stops, certain life-saving measures such as CPR and defibrillation must be implemented as soon as possible to keep them alive. If it happens out in public, bystanders might be hesitant to step in, worried they might hurt the victim or just not know what to do. A survey done by the College of William & Mary’s Raymond A. Mason School of Business, which is assisting the HEARTSafe Alliance, found that 67 percent of people surveyed in Williamsburg would be interested in receiving CPR training. The majority of businesses in the area, meanwhile, said they’d be willing to install AEDs, which are designed to be easily used by anyone. You do not need to be a medical professional to administer the automated commands given by these life-saving machines. About 12 years ago, AEDs were placed throughout the community by the Williamsburg Health Foundation and have since been maintained by local EMS agencies. The HEARTSafe Alliance would like to see even more AEDs out there. They’re also looking at implementing a cellphone app that would tell users when someone nearby is having a heart attack and where the closest AED is. As a HEARTSafe community, the Williamsburg area has developed criteria that supports the “cardiac chain of survival” and will work to encourage the community to work toward them. The more resources available to the community at large, the higher rate of survival. And it’s not as difficult as people might think: Handsonly CPR, which is recommended in an out-of-hospital setting, takes two-to-three hours to learn. One possibility to increase education opportunities would be to hold a mass CPR training event, says David Masterson, president of Sentara Williamsburg Medical Center. “We know we’ve got a good place to start, and we don’t want to stop,” Masterson said of the initiative. “We want to build and grow it.” Already, thanks to Gwyneth’s Law, which was passed in Virginia in 2013, public school teachers and graduating seniors are required to learn CPR. The law also encourages school divisions to have a defibrillator at every school. The law was named for 12-year-old Gwyneth Griffin, who went into cardiac arrest at her Stafford County school in 2012. Gwyneth received no CPR or first aid until rescue crews arrived about 10 minutes later. Her brain was deprived of oxygen, and she was later taken off life support.

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Like Gwyneth, Andrew Stonier, who had a known heart condition, went into sudden cardiac arrest at Grafton High School in Nov. 2016. His health and PE teacher, Amy Hunter, had recently renewed her CPR training and sprang into action, starting compressions right away. “She did everything she was supposed to do,” recalls Amanda Stonier, who says she supports schoolchildren learning CPR as early as middle school. Andrew spent months in the hospital, losing his right leg to poor circulation and eventually needing a heart transplant — but he lived. He finally returned to high school earlier this year. “If I can shine light on how important it is for people to get that training, get that education,” Stonier says of why she tells her story. “The first few seconds make a difference. It could put someone’s outcome in a different direction. Andrew is an example of that.”

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Pedaling W


hen the springtime sun comes out from behind the gray skies of winter, the temperatures start to rise and the flowers bloom. You, too, are ready to come out of winter hibernation, put down the hot comfort food and be more active. The saying might claim that summer bodies are made in the winter, but spring isn’t too late to jump on the bandwagon. But how best to incorporate exercise into your busy work and family lives? It’s already difficult trying to maintain a decent work-life balance without trying to throw extra exercise into the mix. Besides, where would you fit it into your daily schedule? If you work out in the morning, you might feel rushed to start your day, adding stress to the rest of your work. Exercise in the evening


and you might feel like you’re missing out on quality family time. What’s the perfect solution? Transform your commute into an opportunity for exercise — on your bicycle. Riding your bike to get to and from work makes it easy to incorporate exercise into your daily routine without feeling like you’re missing out or taking away from the rest of your life. A flat, five-mile commute will burn about 500 calories, making biking to work an ideal way to get your daily physical activity. Meanwhile, you save money on gas, reduce the daily aggravation that can come with dealing with other drivers and you can experience your commute in a completely new and fresh way. Plus, biking to work just might make you a happier and more productive person.

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A study published in the Journal of Transport & Health found that so-called “active commuters” were happiest with their commute trips to and from work. According to the study, using one’s daily commute productively in ways such as biking led to a higher sense of well-being than those who spent their commutes sitting in their cars or on buses and subways. Consider the Danes: In Copenhagen, the capital city of Denmark, 50 percent of its citizens bike to work or school every single day. In fact, there are more bikes in Copenhagen than inhabitants. They must be doing something right — as a country, Denmark consistently ranks at or near the top of the list of the happiest countries in the United Nations’ World Happiness Report. Cycling, like swimming, is a great form of exercise for those who find running, jogging or even walking too hard on the joints. Not only is riding a bike gentler to the joints, pedaling gives a boost to your muscles, strengthening your thighs, hips and rear end. Biking to work can also help you keep more of your hardearned money. According to the Sierra Club, it costs about $300 per year to keep bikes in shape — nearly 30 times less than cars. "If American drivers were to make just one four-mile round trip each week with a bicycle instead of a car, they would save nearly 2 billion gallons of gas,” the environmental group says. However, when you start your work day with exercise and fresh air on a bike, you might also start your day with sweat stains, weather or inconsiderate drivers on the road. With these kinds of obstacles in between you and a healthier commute, it can be tempting to leave the bike collecting dust at home and opt for the four-wheel gas guzzler parked in the garage. Once you’re ready to give biking to work a try, make sure you familiarize yourself with the cycling rules of the road, such as obeying traffic lights, keeping to the right, using proper signals when turning and always passing on the left. Remember to be courteous to other cyclists and yes, to car drivers. Finally, don’t forget to protect your head! Most state helmet laws don’t apply to adults, but that shouldn’t keep you from donning one. Head injuries are responsible for 85 percent of biking-related deaths, according to the Center for Head Injury Statistics, and 80 percent of bicyclists killed are 18 and older. Helmets reduce the risk of head injury by as much as 50 percent. So make sure you wear one on your commute.

Here’s how you can prepare for switching gears on your morning and evening commute: Wear athletic wear on your ride. Bring work clothes in a backpack. There’s nothing worse than wearing sweaty work clothes all day long. If you can avoid wearing your work clothes while you ride, the more comfortable you’ll be for the rest of your shift. Prepare for the inevitable. Invest in an over-the-shoulder bag or backpack that has room to carry everything you’ll need for your day. This includes travel-sized toiletries, a hand air pump and patch kit for your tires, water and everything else you need for your work day. Don’t forget the snacks. When you transform your morning from a sedentary to active commute, you’ll be burning more calories throughout your day. This could lead to increased hunger and cravings. Pack healthy, protein-filled snacks to keep you full throughout the day. Try it on a weekend first. Get to know the roads, the route you’ll take and familiarize yourself with the timing on a day off. By practicing your commute, you’ll have a better idea of what you’re doing, which will increase your confidence and motivation to ride on Monday morning. Take a class to build up your confidence on the road., the official site of the League of American Bicyclists, provides a search option for finding local road biking classes in your area and offers many other cycling resources. The website also offers tips for finding the best kind of bicycle to suit your needs.


Brain Fitness:

5 Fun Ways to Keep Your Mind Active BY KASEY FUQUA


our brain is like a muscle; it’s use it or lose it. But just as you exercise your body to stay active, you can also exercise your brain to keep its function sharp through all stages of life. By keeping your brain in shape, you can build up what neuroscientists call “cognitive reserve,” which is your brain’s ability to find new ways to function. People with a large cognitive reserve may be resistant to dementia and other neurodegenerative disorders. You can work on improving your brain health and cognitive reserve at any point in your life in fun ways that suit your tastes. Keep your brain fit and active by following these tips:

Learn a New Skill

If you’ve always wanted to learn photography, woodworking or how to decorate a cake, you now have the perfect reason to pick up those skills: it’s great for your cognitive health. “The key to keeping your mind active is to participate in activities that expose your mind to new topics,” says Dr. Melissa Hunter, a neuropsychologist at Sentara Neurology Specialists in Norfolk, Va. “Mentally challenging activities like learning a new skill, learning a new hobby or even engaging in formal education can have both short- and long-term benefits for your brain.” No matter what you choose to do, it’s important that you choose a new hobby that interests and excites you. The more you enjoy an activity, the more likely you are to stick with it even if it is difficult to learn.

Head Back to School

Most adults probably don’t think heading back to the classroom is a fun idea, but Hunter suggests that adults check out classes at community colleges. “Another way to stay mentally active is get as much formal education as you can at any point in life,” Hunter says. “Formal education can be very helpful in building cognitive reserve.” There’s no need to sit through business or Biology 101. Instead, focus on classes you find exciting. You could learn a new language, how to play a musical instrument or how to use that camera your children got you for Christmas. You could take classes you may have missed as a young adult, but would enjoy now without worrying about the stress of grades.



Take a Hike

Working your actual muscles can be good for your brain, too. Physical activity that is good for the heart is also good for the head. “One way to think about physical activity and mental activity and how they help the brain is that physical activity preserves the neuronal structural integrity of the brain, like the hardware of the brain,” Hunter says. “Cognitive activity strengthens the functioning and elasticity of the neural circuit, so it’s more like the software of the brain. So these activities support your cognitive reserve in different ways.” Exercise can also help protect you against risk factors for memory problems, such as stress, anxiety, depression and insomnia. To get the most brain-health benefits from exercise, make sure you are moving at a brisk pace. Hiking, walking the dog or dancing can raise your heart rate and really get the blood flowing through your whole body — including your brain. Aim to get 30 minutes of physical activity three to five days a week. No matter what your age, always talk to your doctor before starting a new exercise program to ensure it is safe for you.

Eat Like an Italian

Like exercise, diets that are good for your heart are good for your brain, too. The Mediterranean diet, which is common among people in Italy, Greece and Spain, centers around eating healthy foods grown in that region. You can reap those benefits by eating these foods: • Plant-based foods like whole grains, nuts, fruits and vegetables • Olive oil, instead of butter • Herbs and spices, instead of salt • Red wine in moderation • Fish and lean poultry Numerous studies have shown that people who eat a Mediterranean diet have lower rates of Alzheimer’s disease, Parkinson’s disease and heart disease.

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Join the Club

Though you may have been in clubs when you were a teen or student, it’s also important to keep up with those extracurricular activities as an adult. Social engagement can help you keep your mind healthy, possibly reducing your risk for depression and dementia. “Things like participating in clubs, volunteering and community support can meet your needs,” Hunter says. “They can mentally challenge you and also provide you with some social support.” Find a club that supports a passion or hobby of yours. Whether you volunteer to build homes for Habitat for Humanity or join a book club, these social activities offer multiple benefits to improve your health. There’s no single activity, program or smartphone app that can guarantee that you maintain a healthy, active brain. But if you focus on finding hobbies, clubs, exercise or food that enrich your life, you’ll likely find they support your brain health, too.

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John R. Nordlund, MD, PhD

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Monday – Friday 8:00-5:00 Most insurance plans accepted





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S verything changes as you get older — including SO how food tastes. As you age, taste buds decrease and get smaller. Over time, you have less of an ability to distinguish between tastes like sour and sweet. As a result, food may taste blander and less appetizing. But if a poor appetite leads to a poor diet, you can experience serious health problems, HEATHY SOLUTIONS SINCE 1895 including malnutrition and poor immune function. Kristen Nagy, a registered dietitian at Bon Secours in Motion in Hampton Roads, Va., says it’s not just taste buds that are responsible for changing eating habits as you age; it’s a variety of factors. “While the taste buds are changing, it’s not playing as COFFEE ARABICA huge of a role as we were initially thinking,” Nagy says. “It’s more commonly issues in the mouth due to chewing Professional Grade crystalline xanthine alkaloid problems, tooth loss or dentures that can interfere with taste 8 oz of 95mg caffeine sensation and saliva reduction.” Research also suggests that a fading sense of smell plays a huge role in decreasing appetites. Some 75 percent of people over age 80 have trouble smelling. Because your sense of smell is related to your sense of taste, it can affect how food tastes and cause disinterest in eating. “Smell is a huge part of how we taste and our ability to capture the flavor of food,” says Nagy. “Loss of the ability to smell also decreases the role the aroma of the food plays in stimulating your appetite.” Poor appetite is just one barrier to good nutrition in older adults. As we get older, our bodies are also less able to absorb nutrients in the intestines. Poor absorption can lead to nutrient deficiencies and weight loss. In turn, decreased weight can lead to low energy, poor immune function and reduced bone health. When you have poor absorption and a poor appetite, it can be increasingly hard to eat as much food as necessary to get the nutrients and calories you need. But it can be done. Nagy suggests finding ways to encourage eating in older adults so they get the proper amount of food each day. LL





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Your Comfort Counts!







“If mealtimes are in group settings, then it will encourage food intake because it is more of a social event,” Nagy says. “You should also let older adults have their favorite foods if their appetite is severely declining.” You can also bulk up meals with supplements like Ensure, or add higher-calorie options to meals such as whole milk or dried fruits to help increase caloric intake, Nagy says. “I would also recommend that seniors take a multivitamin to help get more of those vitamins into their GI tract since they are going to be absorbing less from the foods,” she says. Making foods more flavorful can also help seniors eat. Seniors often need more spices and salt to taste food than younger adults. While reducing salt is often the dietary recommendation, Nagy says seniors and their physicians must weigh the benefits of eating more versus an increased sodium intake. If an older adult is losing too much weight, more salt may be necessary for their health. However, if they have sky-high blood pressure, more sodium may not be the answer. “Even enhancing food with other flavors like garlic, basil or other herbs can help,” says Nagy. “Some spices have a strong smell, which can help to get that food aroma to seniors.”


When to See Your Doctor About Taste Changes While the loss of taste or smell could be a natural part of the aging process, it could also be due to medicines you are taking or a health condition. Many common diseases can affect your senses, including: • Alzheimer’s disease • Multiple sclerosis • Parkinson’s disease • Liver disease • Cancer • Hypothyroidism If you experience a change in how you taste or smell, you should always see a physician to rule out these conditions.


Taste Appeal




Apple a Day...



e’re all familiar with the old adage “an apple a day keeps the doctor away.” But is there really any truth to this statement? Considering all that’s packed into a single apple, it’s a good food to eat as part of a healthy diet. “Apples are very nutritious and low in calories,” says Gale Pearson, a registered dietitian and certified diabetes educator with Tidewater Physicians Multispecialty Group (TPMG) in Hampton Roads, Va. “Apples are also a great source of soluble fiber and antioxidants and a good source of Vitamin C. They also have over 16 different phytonutrients, especially quercetin, which give them their antioxidant capacity.” Because most of the fiber and the phytonutrients are concentrated in the skin, it’s OK to eat the entire apple — well, mostly. The seeds contain a substance called amygdalin, which

when chewed or crushed release small amounts of cyanide. Cyanide is highly toxic, but you’d probably have to chew and swallow hundreds of seeds at once to notice any adverse effects. Apples also promote healthy bacteria in the stomach and aid with reducing blood pressure and cholesterol as well as lowering the risk of cancer and heart disease. They may even help with weight loss. In a 2014 study, Washington State University food scientist Guilana Noratto found that apples help restore the microbial balance in the gut, which reduces chronic inflammation and boosts feelings of fullness to help stave off overeating. Most apples are great for snacking, while others are used for baking, or for making applesauce or apple juice. Although all apples will give you health benefits, tart Granny Smith apples contain the highest concentration of fiber and polyphenols


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(naturally occurring micronutrients that act as antioxidants) and have low carbohydrates. “When choosing which variety to purchase, it really depends on the taste, color, or texture you are looking for,” notes Julie Wells, a registered dietitian and nutritionist with Bon Secours In Motion-Outpatient Nutrition Services in Chesapeake, Va. “All varieties of apples will give you the same healthful benefits.” More than 2,500 varieties of apples, all with their own unique taste, are grown in the United States alone. The fruit can be consumed in numerous ways, although cooking destroys the polyphenols. “Apples are a convenient fast-food that is actually good for you,” says Wells. “Slice, cut, or eat whole. They can easily be

tossed into a lunch bag as a naturally sweet addition to your meal or cut up to top a salad. For a satisfying snack, why not pair an apple with a handful of nuts or tablespoon of nut butter? Go beyond apple pie and try a European twist on dessert, or serve apple slices with a variety of cheeses.” Apples are also one of Pearson’s favorite fruits to enjoy. “I love apples and cottage cheese, or chopped apples and cinnamon in oatmeal, or an apple for my afternoon snack,” she says. “I also add them to butternut squash soup. One of my clients loves to bake an apple in her air fryer. Stew apples with water and spices without frying them. Granny Smith and McIntosh apples are good for applesauce. With all the varieties available and nutrition benefits of apples, surely you can find one you like and ‘keep the doctor away.’”

Apple Slaw Recipe Ingredients

3 cups chopped cabbage 2 green onions, finely chopped 1 unpeeled red apple, cored and chopped 1⁄3 cup light mayonnaise 1 unpeeled Granny Smith apple, cored and chopped 1⁄3 cup brown sugar 1 carrot, grated 1 tbsp. lemon juice, or to taste ½ cup finely chopped red bell pepper


In large bowl, combine cabbage, apples, carrot, bell pepper and onions. In small bowl, mix together mayonnaise, brown sugar, and lemon juice. Pour dressing over salad.



Apple Pie Oatmeal

Many instant oatmeal packets are loaded with added sugar. It’s easy enough to flavor your own. This apple pie oatmeal is naturally sweetened with apple slices and cinnamon. And who thought you couldn’t have dessert for breakfast!


½ cup quick-cooking or rolled oats 1 cup water 1 medium apple, sliced or diced 1 tsp. cinnamon 1 tbsp. walnuts or pecans Dash of salt


Mix all ingredients together in a microwave safe bowl and microwave on high for 2-3 minutes. Stir and enjoy. RECIPE BY JULIE WELLS

His Experience with a Scalpel Gives Him the Edge In The Court Room. Stephen M. Smith, Esq.

Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options. | 877.840.3431 | 757.650.9818 |


There are about 7,500 varieties of apples grown across the world, including 2,500 in the United States. Here are some fun facts about some favorites.

McIntosh Est. 1820s One of the best-known apples, the juicy McIntosh has a crisp, sweet flavor with just the right amount of tartness and spiciness, making it a favorite dessert apple. It has pale yellow skin that’s flushed and striped with bright and deep red. The McIntosh is also a great breeding apple and is parent to varieties including Empire, Cortland and Spartan. Granny Smith Est. 1860s This large, bright-green apple is named for the Australian woman — Maria Ann “Granny” Smith — who found a seedling growing out of a pile of discarded apples. It’s a late-season apple, making it perfect for use in fall recipes (think cider and sauces) and particularly Thanksgiving pies. It has a thick skin that makes it resistant to bruising. Golden Delicious Est. 1900s

If you think Golden Delicious apples are bland, you’ve probably eaten one that was picked too early or stored too long. In reality, a freshly picked Golden Delicious has a rich, custardy taste. First found on a West Virginia farm in 1912, this golden, conical-shaped apple is now the second-most popular dessert apple in the United States.

Fuji Est. 1962 Don’t let the dull-red color fool you — the Fuji is one of the sweetest apples there is. A cross of two other apples, Ralls and Red Delicious, the Fuji was bred in Japan in the 1930s and named in 1962. It’s a popular Virginia variety and tasty as a snack right off the tree. Honeycrisp Est. 1960s

Descended from Golden Delicious, Honeycrisp apples are a product of the apple breeding program at the University of Minnesota. Discovered in 1962, these crunchy, exceptionally juicy apples didn’t hit the U.S. market until 1991. Honeycrisp are one of the most sought-after apples, so they tend to be more expensive. The flavor has been described as similar to that of fresh apple cider.

Pink Lady Est. 1970s

Another relative newcomer to the apple world, Pink Lady apples didn’t hit the market until the 1990s. They’re the only pink (well, reddish-pink) apples out there, and the first to have a trademarked name. Pink Ladies are on the tart side, but pleasant with an effervescent finish.

Unexpected Ways To Use Apples Source:

Keep cake, brownies and soft cookies from going stale by dropping a few apple wedges into a sealed container with the baked goods. For a fun twist on a classic breakfast, core an apple and slice it horizontally into quarter-inch pieces. Dip the apple slices into the pancake batter to coat well. Cook each apple ring on a griddle per pancake instructions. Serve warm with maple syrup! Apple peels are great for cleaning aluminum cookware. The acid in the peel removes stains and discoloration from aluminum pots and pans. Fill the pan with water, add the peels and simmer for about 30 minutes.

Ingredients 2 large sweet-tart apples, such as Fuji or Braeburn, sliced 1 large bulb fennel, trimmed, cored and thinly sliced, plus 1 tbsp. chopped fronds for garnish 1 large red onion, sliced 1 tbsp. plus 2 tsp. canola oil, divided 1 lb. pork tenderloin, trimmed 1 tsp. kosher salt ¼ tsp. freshly ground pepper 3 tbsp. cider vinegar


Roasted Pork Tenderloin

Preparation Position racks in upper and lower thirds of oven; preheat to 475°F. Toss apples, sliced fennel and onion with 1 tablespoon oil in a large bowl. Spread out on a rimmed baking sheet. Roast on the lower oven rack, stirring twice, until tender and golden, 30 to 35 minutes. About 10 minutes after the apple mixture goes into the oven, sprinkle pork with salt and pepper. Heat the remaining 2 teaspoons oil in a large ovenproof skillet over medium-high heat. Sear the pork on one side, about 2 minutes. Turn the pork over and transfer the pan to the top oven rack. Roast until just barely pink in the center and an instant-read thermometer registers 145°F, 12 to 14 minutes. Transfer the pork to a cutting board and let rest for 5 minutes. Immediately stir vinegar into the pan (be careful, the handle will be hot), scraping up any browned bits, then add to the apple mixture. Thinly slice the pork; serve with the apple mixture and sprinkle with fennel fronds. © MEREDITH CORPORATION. ALL RIGHTS RESERVED. USED WITH PERMISSION. EATINGWELL MAGAZINE AND EATINGWELL.COM.

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King Pigeon

Eka Pada Rajakapotasana

Transposition ends April 14 Alison Stinely’s Gilded Splinters opens April 21

King Pigeon pose is beautiful and incredibly intense, stretching the thighs, groin, psoas muscle, abdomen, chest, shoulders and neck. As an advanced yoga posture, it takes some skill. But by breaking it down to several layers, there is something for almost everyone. Begin by warming the body up with several rounds of Sun Salutations and postures that focus on the hips.

Variation A Leg Positioning

Start in Downward Facing Dog. Lift your right leg high towards the sky. Bend the knee and place it on the floor behind the right wrist. The right shin should be angled towards the left hip with your right foot placed underneath the left hip crease. Many yogis have tight hips. Spending your days at a computer can easily lead to this. If you fit in this category, grab a towel or yoga block, placing it under the right glute to support. Tuck the left toes. Bring your left hip a bit forward and your right hip a bit back. Try to line your hips up by squaring them off. You are in the pose. Stay here for 3 to 5 breaths. Repeat on the opposite side.

Variation B Bent Knee

Pick up where Variation A left off. Place your left hand beside the middle of your right shin. Bend your left knee, bringing the heel as close to the glutes as possible. Grab the outside of your left foot with your right hand. Kick into the hand. Making sure your core is engaged, draw your tailbone down and your hips forward. Remember not to sink into the back. Lift the chest and hold for 3 to 5 breaths. Repeat on the opposite side.

Variation C Full Expression

If you can hold Variation B without the support of your hands, you may be ready to consider Variation C. This is an advanced posture. Honor your body and love it for where it is in the present moment. Place the loop of a yoga strap around the ball of your left foot. Tighten the strap with the buckle on ball of foot. Place the strap to the right side. Bring your left hand to the floor beside the right shin. Bend the left knee, bringing it close to the glutes. Grab hold of the strap. Lift your elbow up to the sky by internally rotating your shoulder. With a strong core, press your sternum towards the sky. If you can easily grab your foot, drop the strap and grab your toes. Bring your left hand out in front. Bring the thumb and pointer finger together for Jnana Mudra. This hand Mudra seals in the wisdom of your practice, elevates your energy and connects you to your higher self. Hold this posture for 3 to 5 breaths and repeat on the other side. With this pose, be cautious if you have sacroiliac, ankle or knee injuries or tight hips and thighs. Always consult your physician before beginning any exercise regimen.

Transposition: Asian Cultures The Linda Matney Gallery, the Landmark Art and Cultural Exchange, and the Peninsula Fine Arts Center are collaborating on a joint exhibition and program showcasing Chinese art and artists. To schedule an appointment: 757-675 6627

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ACCEPTING NEW PATIENTS Are you looking for a provider? Our featured providers are committed to serving the community with the highest-quality health care.

OPTOMETRY Brent Segeleon, O.D. Colonial Eye Care

Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. He has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas. Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association current board member and Tidewater Optometric Society President from 2014-2016. In 2013, the Virginia Optometric Association named him Young Optometrist of the Year. Originally from Pittsburgh, Pennsylvania, Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes. Colonial Eye Care

5273 John Tyler Highway Williamsburg, VA 23185 (757) 903-2633



Laurie Andrews, LMT

Gale Pearson, MS, RD, CDE

Oasis Healing Massage

Laurie Andrews, LMT, owner of Oasis Healing Massage, is a graduate of the Utah College of Massage Therapy and brings over 20 years experience to the Williamsburg area. After receiving her diploma in Advanced Clinical Massage Therapy, with an emphasis in Clinical Injury Massage and Traditional Chinese Medicine, Andrews went on to receive diplomas in Natural Health Consulting and as a Relaxation Therapist. She has been an instructor of Massage Therapy since 1999 and has written and published more than 30 student handbooks. Andrews is a long-time member of the American Massage Therapy Association, state-licensed with the Virginia Board of Nursing and is proficient in many therapeutic modalities including traditional Swedish and deep tissue massage, trigger point, myofascial and injury massage, reflexology, acupressure, aromatherapy and hot/cold stone therapies. She specializes in restoring body rejuvenation, balance and relaxation, and is dedicated to bringing a place of healing refuge to the community of Williamsburg. Oasis Healing Massage

TPMG Nutrition Services Gale Pearson is a Registered Dietitian and Certified Diabetes Educator with over 25 years of experience. She received her undergraduate degree from Hampton University and her Master degree from Howard University. Gale is an active member of the Academy of Foods and Nutrition and the American Association of Diabetes Educators. Classes Available for: • Diabetes • Pre-diabetes • Cholesterol • Weight control • Cooking Additional Services: • Grocery store tours • Individual counseling for nutrition related illnesses • Meal planning TPMG Nutrition Services

860 Omni Boulevard, Suite 106 Newport News, VA 23606 (757) 232-8768

Jamestowne Professional Park 1769 Jamestown Rd - Suite 209 Williamsburg, VA 23185 804.916.9494

Tidewater Medical Center at New Town 5424 Discovery Park Boulevard, Bldg. B, Suite 201 Williamsburg, VA 23188 (757) 232-8768

DERMATOLOGY Joselin Tacastacas, M.D.

Dermatology Specialists Dr. Joselin Tacastacas joined Dermatology Specialists on August 1, 2017, after completing her dermatology residency at the University Hospitals Cleveland Medical Center. She has a special interest in cutaneous T-cell lymphoma and other skin cancers. She completed internal medicine training at the State University of New York Downstate Medical Center in Brooklyn, N.Y. She is board-certified in internal medicine and dermatology and is a Fellow of the American College of Physicians. Dr. Tacastacas practiced as a primary care physician for six years in Lebanon, Va., and Grants Pass, Ore. Dr. Tacastacas welcomes patients of all ages to the Newport News office on Mondays and Tuesdays and the Williamsburg office on Wednesdays, Thursdays and Fridays. Dermatology Specialists 475 McLaws Circle, Suite 1 Williamsburg, VA 23185 (757) 259-9466 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161

ALLERGY & ASTHMA Eric Karlin, M.D.

Allergist / Immunologist Dr. Eric Karlin is an allergist/ immunologist board-certified by the American Board of Allergy and Immunology. He is a native of South Florida and attended Rollins College for his undergraduate degree in biochemistry. After graduating from medical school at the University of Miami in 2009, he completed his internal medicine residency at Washington University in St. Louis before doing his fellowship in allergy and clinical immunology at Vanderbilt University. After completion of his fellowship, Dr. Karlin practiced as an associate professor in the division of Allergy and Immunology at New York Medical College and Maria Fareri Children’s Hospital. Dr. Karlin joined Allergy Partners in 2016. Having had allergies himself, Dr. Karlin has experienced the significant improvement in symptoms that an allergist can offer. He is happily married to Dr. Mariel Focseneanu. In their spare time, they enjoy cooking, seeing movies and traveling. They are excited about making the Peninsula their new home. Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443

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TPMG Peninsula Cosmetic and Reconstructive Surgery Mark Kanter, M.D. completed his undergraduate degree with distinction in Biology and Chemistry at Virginia Military Institute. He earned his medical degree from Eastern Virginia Medical School and completed residency through the University of Kentucky. Dr. Kanter is Fellowship trained in Cosmetic Surgery and board certified by the American Society of Plastic Surgeons.

DENTISTRY Williamsburg Center for Dental Health

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Williamsburg Center for Dental Health

DERMATOLOGY Colonial Psychiatric COUNSELING Associates / PSYCHOTHERAPY Dr. Donna Haygood-Jackson, Ed.D, LPC, NBCC is now affiliated with Dr. Jason D. Mazzurco is a Colonial Psychiatric Associates board-certified dermatologist

Dermatology Specialists

11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161

Bethany Tucker, Au.D. Colonial Center for Hearing

Dr. Bethany Tucker graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program. After completing her externship at the Virginia Commonwealth University Medical Center,Dr. Tucker practiced audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014. Dr. Tucker is a board-certified audiologist and holds accreditation by the American Speech-LanguageHearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients. Bethany was born in the Philippines, but raised in the Richmond, Virginia area. After almost 2 years of commuting from Chester, Bethany, her husband Tyson and their German Shepard Tuck have found a home in Williamsburg. In her spare time, Bethany enjoys reading, cooking, running and spending time with family and friends. Colonial Center for Hearing 430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004


Dr. Donna Haygood-Jackson, Ed.D, LPC, NBCC Colonial Psychiatric Associates

Dr. Donna Haygood-Jackson and fellowship-trained is a therapist in Williamsburg, Mohs Surgeon. He earned Va. She received her his Bachelor of Science Psychology degree from the University of Alabama and Master of Science degrees from The Ohio Dr. Haygood-Jackson and her Doctorate from The College of William State University, where he was a two-time Big Ten & Mary. She has been licensed since 1988. Dr. is now accepting referrals Champion Gymnast. He continued his education Haygood-Jackson was at William & Mary for 27 fromCollege the community. at Ohio University Heritage of Osteopathic years, first as a therapist, and then as Acting Director Medicine, where he earned his medical degree. of the Counseling Center, and finally as Senior He completed a residency in dermatology and a To request additional information Assistant Dean of Students. During her time at fellowship in Mohs micrographic surgery at St.a Joseph or make referral simply W&M, she made a very heartfelt decision to return call 757-645-4715 or fax 757-645-4720 Mercy Hospital through Michigan State University to her passion: Therapy. Her specialties include life and served as the chief resident. transition issues, chronic and acute health-related Dr. Mazzurco practices surgical dermatology treating issues, trauma to include PTSD, disordered eating both benign and malignant lesions of the skin. He and body image concerns, pre-natal and postpardum specializes in the diagnosis and treatment of skin cancer, depression, couples and family therapy, Traumatic Mohs surgery and reconstructive surgery. Brain Injury (TBI) and substance-use disorder issues. Dr. Mazzurco joined Dermatology Specialists Dr. Haygood-Jackson lives in Williamsburg with her in 2014. husband Rick.

Dermatology Specialists


Stacey Sparkman Hall, D.D.S.

Dr. Stacey Hall brings her unique outlook on dental care and her personable optimism to the Williamsburg Center for Dental Health. With 12 years of solid dental expertise in the area, she decided in early 2011 to branch out and open her own local practice. After completing her undergraduate degree from Virginia Tech in 1998, Dr. Hall graduated from VCU’s MCV School of Dentistry in 2002, receiving her D.D.S. She is a member of the Academy of General Dentistry, the American Dental Association, and was awarded member fellowship to the International Congress of Oral Implantology in 2008. Dr. Hall is a co-leader of the Tidewater Dawson Study Club and is passionate about pursuing the highest levels of continuing education. She was also voted “Reader’s Choice Best Dentist 2010” by The Health Journal. Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie. She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work.

Jason D. Mazzurco, D.O.


Colonial Psychiatric Associates 318 Jamestown Rd., Suite. 101 Williamsburg, VA 23185 (757) 645-4715 708 Mobjack Place Newport News, VA 23606 (757) 873-1958

Erase the Canvas, LLC Dr. Steven C. Mares, is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and AntiAging Laser and Botox Treatments. He is a “Hokie,” having graduated with a degree in chemistry in 1986 from Virginia Tech. He received his medical degree from Eastern Virginia Medical School in 1992 and completed a pediatric residency at Children’s Hospital of The King’s Daughters in Norfolk, Va. in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Ga. in 1996, the year of the XXVI Olympics. During his time there, he was involved in taking care of the Elite Olympic hopefuls at the U.S. Track and Field Championships as well as the Women’s Olympic Softball Athletes. He moved to Williamsburg where he is involved with student athletes and the theater department at Lafayette High School. He did laser training at the National Laser Institute in Phoenix, Ariz., in 2010, and opened his clinic in 2013.

Erase the Canvas, LLC 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390

HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222 ADDICTION TREATMENT The Farley Center 5477 Mooretown Road Williamsburg (877) 389-4968 ALLERGY & ENT Allergy Partners of Hampton Roads 1144 Professional Dr. Williamsburg (757) 259-0443 895 City Center Blvd., Suite 302 Newport News (757) 596-8025 Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004 BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066 CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900 Pinto Chiropractic & Rehabilitation 5408 Discovery Park Blvd., Suite 200 Williamsburg (757) 645-9353

COSMETIC & PLASTIC SURGERY Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275 DENTISTRY Healthy Smiles Dental Center 9581 Shore Dr. Norfolk, VA (757) 393-6363 664 Lincoln St. Portsmouth (757) 393-6363 Historic Triangle Dental Care Michael J. Whyte, DDS 1769 Jamestown Road, Suite 2B Williamsburg (757) 903-2527 New Town Dental Arts Sebastiana G. Springmann, D.D.S, F.A.G.D. 4939 Courthouse St. Williamsburg (757) 259-0741 Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg (757) 903-4525

DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444 Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000 FREE CLINICS American Red Cross Adult Dental Clinic 606 West 29th St. Norfolk (757) 446-7756 Angels of Mercy Medical Clinic 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 Beach Health Clinic 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601

HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (877) 840-3431 HOME CARE Visiting Angels 704 Thimble Shoals Blvd., #600-B Newport News (757) 599-4145 HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital 2 Bernardine Dr. Newport News (757) 886-6000 Bon Secours DePaul Medical Center Granby St. & Kingsley Lane Norfolk (757) 889-5310 Bon Secours Maryview Medical Center 3636 High St. Portsmouth (757) 398-2200

Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141 Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200 Riverside Regional Medical Center 500 J. Clyde Morris Blvd. Newport News (757) 594-2000 Sentara Independence 800 Independence Blvd. Virginia Beach (757) 363-6100 Sentara CarePlex Hospital 3000 Coliseum Dr. Hampton (757) 736-1000 Sentara Heart Hospital 600 Gresham Dr. Norfolk (757) 388-8000 Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000

Chesapeake Care 2145 South Military Highway Chesapeake (757) 545-5700

Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800

Pediatric Dental Specialists of Hampton 2111 Hartford Road, Suite C Hampton (757) 864-0606

The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060

Bon Secours Surgery Center at Harbour View 5818 Harbour View Blvd., Suffolk (757) 673-5832

Sentara Obici Hospital 2800 Godwin Blvd. Suffolk (757) 934-4000

Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270

H.E.L.P. Free Clinic 1320 LaSalle Ave. Hampton (757) 727-2577

Chesapeake Regional Medical Center 736 Battlefield Blvd. North Chesapeake (757) 312-8121

Sentara Port Warwick 1031 Loftis Blvd. Newport News (757) 736-9898

Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098

Sentara Princess Anne 2025 Glenn Mitchell Dr. Virginia Beach (757) 507-0000

CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363

Sentara Virginia Beach General Hospital 1060 First Colonial Road Virginia Beach (757) 395-8000

Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Newport News (757) 594-1899

Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000

Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303 DERMATOLOGY Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030 Dermatology Specialists Michael C. White , M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466

H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577 HOPES Free Clinic-EVMS 825 Fairfax Ave. Norfolk (757) 446-6190 Lackey Free Clinic 1620 Old Williamsburg Road Yorktown (757) 886-0608 Olde Towne Medical and Dental Center 5249 Olde Towne Road Williamsburg (757) 259-3258 Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132 Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060 GASTROENTEROLOGY Digestive Disease Center of Virginia, PC Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Suite 104 Williamsburg (757) 206-1190


Hampton Roads Community Health Center 664 Lincoln St. Portmouth (757) 393-6363 Ocean View Medical and Dental Center 9581 Shore Dr. Nofolk (757) 393-6363 Park Place Family Medical Center 3415 Granby St. Norfolk (757) 393-6363


Sentara Norfolk General Hospital 600 Gresham Dr. Norfolk (757) 388-3000

MASSAGE THERAPY Oasis Healing Massage Jamestowne Professional Park, 1769 Jamestown Road Suite 209 Williamsburg (804) 916-9494 Spiral Path Massage and Bodywork 215 Ingram Road, Suite D Williamsburg (757) 209-2154

NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511 222 W. 21st St., Suite F-308 Norfolk (757) 622-2989 Alzheimer’s Association 6350 Center Dr., Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900 American Cancer Society 11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330 American Diabetes Association 870 Greenbrier Circle, Suite 404 Chesapeake (757) 424-6662 American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610 American Parkinson’s Disease Association 4560 Princess Anne Road Virginia Beach (757) 495-3062 American Red Cross 1323 W. Pembroke Ave. Hampton (757) 838-7320 3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228 6912 George Washington Memorial Highway Yorktown (757) 898-3090 The Arc of Greater Williamsburg 150 Strawberry Plains Rd, Suite D Williamsburg (757) 229-0643 The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-1700 Avalon: A Center for Women & Children Williamsburg (757) 258-9362 AWARE Worldwide, Inc. 6350 Center Dr., Bldg. 5, Suite 228 Norfolk (757) 965-8373 Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222 Cancer Care Foundation of Tidewater 5900 Lake Wright Dr. Norfolk (757) 461-8488

Cancer Support Group - Kelly Weinberg Foundation kellyweinbergfoundation. org, info@ (757) 250-3220 Center for Excellence in Aging & Lifelong Health 3901 Treyburn Dr., Suite 100 Williamsburg (757) 220-4751 CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Dr., Suite 1100 Norfolk (757) 388-6229 Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300 Citizens’ Committee to Protect the Elderly PO Box 10100 Virginia Beach (757) 518-8500 Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200 Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd, Suite 2E Newport News (757) 833-7845 Dream Catchers Therapeutic Riding 10120 Fire Tower Road Toano (757) 566-1775 Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251 Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007 Faith in Action 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890 Food Bank of the Virginia Peninsula 2401 Aluminum Ave. Hampton (757) 596-7188 Food Bank of SEVA 800 Tidewater Dr. Norfolk (757) 627-6599 Hampton-Newport News Community Services Board 300 Medical Dr. Hampton (757) 788-0300 Here for the Girls 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649 Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161

Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220 Jewish Family Service of Tidewater, Inc. 5000 Corporate Woods Drive, Suite 400 Virginia Beach (757) 321-2222 Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501 Leukemia & Lymphoma Society 6350 Center Dr., Suite 216 Norfolk (757) 459-4670 National MS Society 760 Lynnhaven Pkwy., Suite 201 Virginia Beach (757) 490-9627 The Needs Network, Inc. 9905 Warwick Blvd. Newport News (757) 251-0600 National Alliance on Mental IllnessWilliamsburg Area P.O. Box 89 Williamsburg (757) 220-8535 National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298 Norfolk Community Services Board 229 W. Olney Road, Room 1 Norfolk (757) 664-6670 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 873-0541 312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277 Peninsula Institute for Community Health 1033 28th St. Newport News (757) 591-0643 Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Protect Our Kids P.O. Box 561 Hampton (757) 727-0651 Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771 Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386

RSVP: Retired Senior Volunteers 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037

Virginia Oncology Associates 725 Volvo Pkwy, Suite 200 Chesapeake (757) 549-4403

St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208

3000 Coliseum Dr., Suite 104 Hampton (757) 827-9400

Sarcoidosis Suport Group/Charity #teamandreafight llc (757) 309-4334 The Sarah Bonwell Hudgins Foundation 1 Singleton Dr. Hampton (757) 827-8757 Senior Center of York 5314 George Washington Hwy. Yorktown (757) 898-3807 Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk 757-222.4509 Susan G. Komen Tidewater 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794 United Way 11870 Merchants Walk, Suite 104 Newport News (757) 873.9328 5400 Discovery Park Blvd., Suite 104 Williamsburg (757) 253-2264 The Up Center 1805 Airline Blvd. Portsmouth (757) 397-2121 222 W. 19th St. Norfolk (757) 622-7017 VersAbility Resources 2520 58th St. Hampton (757) 896-6461 VA Medical Center 100 Emancipation Dr. Hampton (757) 722-9961 We Promise Foundation 160 Newtown Road Virginia Beach (757) 233-7111 OBSTETRICS & GYNECOLOGY Williamsburg Obstetrics & Gynecology 500 Sentara Circle, Suite 105 Williamsburg (757) 253-5653 ONCOLOGY The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177

1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 5900 Lake Wright Dr. Norfolk (757) 466-8683 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670 1950 Glenn Mitchell Dr., Suite 102 Virginia Beach (757) 368-0437 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 OPTOMETRY & OPHTHALMOLOGY MyEyeDr. Jeanne I. Ruff, OD 4655 Monticello Ave., Suite 201 Williamsburg (757) 259-6823 Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375 ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 5335 Discovery Park Blvd., Suite B Williamsburg (757) 873-1554 Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900 Tidewater Orthopaedic Associates 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 4037 Ironbound Road Williamsburg (757) 206-1004

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy 13609 Carrollton Blvd., Suite 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 2613 Taylor Road, Suite 102 Chesapeake (757) 465-7651 1416 Stephanie Way, Suite A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 14703 Warwick Blvd., Suite B Newport News (757) 947-1230 2 Bernardine Dr. Newport News (757) 886-6480 7300 Newport Ave., Suite 300 Norfolk (757) 217-0333

4677 Columbus St., Suite 201 Virginia Beach (757) 463-2540

Pivot Physical Therapy 4020 Raintree Road, Suite D Chesapeake (757) 484-4241 135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512

1253 Nimmo Parkway, Suite 105 Virginia Beach (757) 943-3060

927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436-3350

101 Long Green Blvd. Yorktown (757) 952-1900

1580 Armory Dr., Suite B Franklin (757) 562-0990

Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton (757) 825-9446

6970 Fox Hunt Lane, Gloucester (804) 694-8111

4624 Pembroke Blvd. Virginia Beach (757) 460-3363

2106 Executive Dr. Hampton (757) 838-6678

100 Winters St., Suite 106 West Point (757) 843-9033

9 Manhattan Square, Suite B Hampton (757) 825-3400

156-B Strawberry Plains Road Williamsburg (757) 565-3400

466 Denbigh Blvd. Newport News (757) 875-0861 729 Thimble Shoals Blvd., Suite 4-C (Pediatrics) Newport News (757) 873-2932 301 Riverview Ave. Norfolk (757) 963-5588 500 Rodman Ave., Suite 3 Portsmouth (757) 393-6119

930 W. 21st St. Suite 105 Norfolk (757) 738-1500

5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700

3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 5838 Harbour View Blvd. Suffolk (757) 673-5971 1417 North Main St. Suffolk (757) 934-3366

Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900

7190 Chapman Dr. Hayes (804) 642-3028 751 J Clyde Morris Blvd Newport News (757) 873-2123 612 Denbigh Blvd. Newport News (757) 874-0032 12494 Warwick Blvd. Newport News (757) 599-5551 6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890 250 West Brambleton Ave., Suite 100 Norfolk (757) 938-6608 154 E Little Creek Road Norfolk (757) 797-0210

2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316 1745 Camelot Dr., Suite 100 Virginia Beach (757) 961-4800

7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 Tidewater Orthopaedic Associates 901 Enterprise Pkwy, Suite 900 Hampton (757) 827-2480 4037 Ironbound Road Williamsburg (757) 206-1004 Urology of Virginia Physical Therapy 225 Clearfield Ave. Virginia Beach (757) 466-3406




Ambulatory Foot & Ankle Center Calvin H. Sydnor IV, DPM, FACFAS Earnest P. S. Mawusi, DPM, FACFAS 1618 Hardy Cash Dr. Hampton (757) 825-5783 UROLOGY The Devine-Jordan Center for Reconstructive Surgery & Pelvic Health — a division of Urology of Virginia 225 Clearfield Ave. Virginia Beach (757) 457-5110 Urology of Virginia 4000 Coliseum Dr., Suite 300 Hampton (757) 452-3441 11848 Rock Landing Dr., Suite 402 Newport News (757) 873-1374 3640 High St., Suite 3B Portsmouth (757) 452-3400 2000 Meade Parkway Suffolk (757) 934-9300 225 Clearfield Ave. Virginia Beach (757) 457-5100 400 Sentara Circle, Suite 310 Williamsburg (757) 345-5554 The Paul F. Schellhammer Cancer Center – a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177

UP FOR THE CHALLENGE? Challenge your brain! Turn to page 50 to find out how you can win a gift card!

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2007 Meade Pkwy. Suffolk (757) 539-6300

1817 Laskin Road, Suite 100 Virginia Beach (757) 437-0471

885 Kempsville Road, Suite 300 Norfolk (757) 955-2800

5553 Portsmouth Blvd. Portsmouth (757) 465-7906

204 Gumwood Dr. Smithfield (757) 357-7762







Enjoy this race along Duke of Gloucester Street in Colonial Williamsburg. WHEN: 7:30 a.m. WHERE: Duke of Gloucester Street $$: $15-$40 CONTACT: 757-253-0277

WHEN: 8 a.m. to noon Saturdays through December 22 WHERE: Merchants Square



Learn the safe use and handling of recurve bows and arrows. WHEN: 6:30 p.m. Thursdays through May 3 WHERE: Warhill Sports Complex

Bring your bike in for a safety inspection then enjoy a ride on the Virginia Capital Trail. WHEN: 9 a.m. to 2 p.m. WHERE: Chickahominy Riverfront Park

The Williamsburg Symphony Orchestra and guest artists present this concert. WHEN: 8 p.m. WHERE: Williamsburg Community Chapel

SINGLETRACK MANIAC 50K TRAIL RUN Explore the trails at Freedom Park with this run. WHEN: 7 a.m. WHERE: Freedom Park $$: see website for fee information CONTACT: This aerial yoga class uses a hammock to assist with stretching. WHEN: 5:30 p.m. Mondays WHERE: The Inspire Studio $$: $25 for drop in or $200 for a 10 pack CONTACT: Lia Bollinger,


Learn what summer camp options are available during this event. WHEN: 3 to 7 p.m. April 27; 9 a.m. to 1 p.m. April 28 WHERE: James City County Recreation Center $$: free CONTACT:














Join families and friends on an uplifting memorial 2 mile walk. WHEN: 9:30 a.m. WHERE: Governor’s Land CONTACT:


The Williamsburg Symphony Orchestra and Williamsburg Youth Orchestras perform. WHEN: 4:30 p.m. WHERE: Jamestown High School $$: $5-$20 CONTACT: 757-229-9857


Learn to make syrups, tinctures, infusions and cordials using herbs. WHEN: 1 p.m. WHERE: King of Glory Lutheran Church $$: free CONTACT: 757-608-8929


Learn how to attract butterflies to your garden. WHEN: 2 p.m. WHERE: Stryker Center CALENDAR



For more events and information check out our website.


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Excellence Outpatient Joint Replacement at Tidewater Orthopaedics Is joint pain keeping you from staying active, restricting you at work, or preventing you from doing what you love? At Tidewater Orthopaedics, we understand that joint pain can keep you from living life to the fullest. Our board-certified outpatient joint replacement surgeons are all specialty-trained in the latest joint replacement techniques to get you back in action quickly and safely. Outpatient joint replacement procedures are performed at the CarePlex Orthopaedic Ambulatory Surgery Center, providing the best, most advanced orthopaedic care. The COASC is the ONLY outpatient surgery center in the region to offer so many joint replacement procedures . . . knee, hip, shoulder, ankles, knuckles, and more.

Don’t let fear get in your way. Return to the life you love. To see if you are a candidate for an outpatient joint procedure, call (757) 637-7016 for an appointment today. 5 Reasons to Choose Outpatient Joint Replacement: 1. Faster recovery time with accelerated rehabilitation in the comfort of your own home 2. State-of-the-art technology, such as “jiffy hip,” computer-guided knee replacement, and 3-D virtual shoulder replacement 3. Orthopaedic specialty-trained anesthesiologists and staff 4. Lower cost compared to inpatient surgeries 5. Less than 0.1% infection rate

Specialized Care You Can Trust Hampton


901 Enterprise Parkway, Suite 900 Hampton, VA 23666

4037 Ironbound Road Williamsburg, VA 23188

Robert M. Campolattaro, M.D. • Michael E. Higgins, M.D. • Colin M. Kingston, M.D. • Paul B. Maloof, M.D. • Jonathan R. Mason, M.D. John J. McCarthy III, M.D. • Loel Z. Payne, M.D.\ •51Nicholas K. Sablan, M.D. • Nicholas A. Smerlis, M.D. \ THEHEALTHJOURNAL.ORG

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After Hours Care • Allergy • Immunology • Audiology • Cardiology • Central Laboratory • Clinical Research Cosmetic and Reconstructive Surgery • Dermatology • Endocrinology • ENT • Otolaryngology • Family Medicine Internal Medicine • Geriatric Medicine • Gastroenterology • General Surgery • Hernia Center • Colorectal Surgery Hospitalists • Imaging and Breast Center • Nephrology • Neurology • Nutrition Services • Obstetrics and Gynecology Ophthalmology • Orthopedics • Spine • Sports Medicine • Foot and Ankle • Pain Medicine • Pediatrics Physical Therapy • Fitness • Procedure Suite • Psychiatry and Behavioral Medicine • Pulmonology • Rheumatology Sleep Health • Urology • Weight Loss Medicine

Chesapeake | Norfolk | Virginia Beach | Suffolk | Hampton | Newport News Williamsburg | Yorktown | Gloucester | Urbanna | West Point THEHEALTHJOURNAL.ORG

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Health Journal - April 2018  

Inspiration for Better Living

Health Journal - April 2018  

Inspiration for Better Living