The Health Journal

Health Journalthe

TM

Vol. 5 No. 9February 2010 Williamsburg Edition

FITNESSTRENDS

AGE SPOTS?NO PROBLEM

FREE

JosephinePARTNERS IN PRACTICE

Remembering

COVE

R PH

OTO

BY

VIC

TORI

A S

UTH

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ND

250 Nat Turner Blvd.Newport News, VA 23606

1-877-202-9130

OSC COMMUNITY LECTURE SERIES – FEBRUARY 2010

Successful Treatments for Pinched Nerves —Stop the pain, tingling, and numbness.

Join Dr. Jeffrey Carlson for a detailed discussion of the latest innovations and treatment options for pinched nerves caused by slipped or herniated discs and other conditions of the spine. Educational literature and refreshments will be provided. We encourage you to bring a friend. Tuesday, February 16th, at 7:00 PM To register, call 1-877-202-9130

Jeffrey Carlson, M.D.

Learn more about our full range of orthopaedic services at www.osc-ortho.com

Proudly Accepting Tri-Care!

250 Nat Turner Blvd.Newport News, VA 23606

757-596-1900

Boyd W. Haynes, III, M.D. • Robert J. Snyder, M.D.

Jeffrey R. Carlson, M.D. • Martin R. Coleman, M.D.

Mark W. McFarland, D.O. • Edward P. Petrow, Jr., D.O.

Raj N. Sureja, M.D. • Tonia Yocum, P.A.

Jamie McNeely, P.A.

Improving Quality of Life - Interventional Pain ManagementJoin Raj Sureja, M.D. for an evening of interactive discussion regarding the latest advancements in Chronic Pain Management. Understand how Interventional Medicine can provide relief for individuals who suffer with Chronic Pain. Educational literature and refreshments will be provided. We encourage you to bring a friend!

CATCH OUR “ASK THE EXPERT”RADIO SHOW ON WNIS AM 790APRIL 4TH AND 17TH AT 7AM.

Raj N. Sureja, M.D.

OSC Community Lecture Series Presents

When:Tuesday,April 21st, at 7:00 pmTo register – call 757-596-1900

Where: Orthopaedic and Spine Center 250 Nat Turner Blvd.Newport News, VA 23606

Open MRI Center

Proudly Accepting Tri-Care!

Learn more about our full range of orthopaedic services at www.osc-ortho.com

OSC ORTHOPAEDIC & SPINE CENTER

Experience Excellence at our Port Warwick location!

We invite you to visit our Orthopaedic & Pain Management facility, designed with our patients in mind. Our facility features ample parking, a drive-through window for convenience, Open MRI and Digital Imaging suite and complete Physical Therapy Department.

Boyd W. Haynes, III, 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. Andrus, M.D.Jamie McNeely, P.A. • Tonia Yocum, P.A. • Erin Padgett, P.A.

Don’t miss Dr. Carlson’s appearance with Dr. Mehmet Oz at the Successful Aging Forum, May 14th, 2010, at the Hampton Roads Convention Center!

Magnetic Resonance Imaging (Open MRI) is an advanced diagnosticimaging procedure that creates detailed images of internal anatomicstructures. By using powerful magnetic waves and a computer, nerves, discs, ligaments, cartilage and tendons can be seen clearly.Open MRI refers to the larger space that is given for patients in the machine. This is better for all patients, especially those who areclaustrophobic, of a large build, pediatric patients or for those who suffer from Post-traumatic Stress Syndrome. Our Open systemis quiet, comfortable and very easily tolerated. We will help to make your MRI a very pleasant experience.

OSC Provides Open MRI for Patient Comfort

Join OSC for the 2010 Arthritis Walk, Saturday, April 24th, at 9:00 AM at Port Warwick

FebruaryFeatures

In Every Issue

4 Editor’s Note

5 Inbox

17 Fitness

34 Snapshots

35 Health Directory

38 Second Opinion

40 Calendar

Contents

6 Partners in PracticeFour local couples share their passion.

17 Cross Over to the CablesA step-by-step crossover cable workout.

28 IPL for the HandsLaser treatments have the upper hand on age spots.

32 The Heart of the MatterUnderstanding congestive heart failure.

42 Family Keeps Him GroundedRiverside Cardiologist Joseph Adinaro, IV.

6

22 RememberingJosephine

2010

[ ]

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THE HEALTH JOURNAL4

It’s true what they say about couples; opposites really do attract. In my marriage, for example, it’s those polar-opposite personality traits that interlock with surprising ease, complementing one another to form a whole. Brian is the classic “Type B” artist, dreamer, philosopher—unwilling to wear a watch much less conform to “the rules.” Then there’s me—the “Type A,” the natural-born planner. I manage our work and social calendars, pay our bills, keep a system of files for everything and remind Brian of what he’s most likely to forget. And like most moms, I stay on top

of Cami’s bedtime, naptime, eating and childcare schedules and never, ever leave home without a diaper bag over-stocked with the essentials.

It’s no coincidence, then, that an editor’s job is just as much about planning ahead as it is working with copy to correct grammar and refine language. At any given time, I could be working two, three, four or more months ahead, laying the foundation for upcoming issues. But every once in a while a story comes along that is so compelling that we follow our instincts and adjust our plans. Sometimes a story just has to be told.

We’d originally planned to run a feature story this month on ways people can become more heart-healthy. I’d sought input from local cardiologists and searched for artwork that would best illustrate the story. That’s when I got the e-mail: a local father, Ed Lampitt, asked whether The Health Journal would consider publishing an essay he’d written chronicling his family’s recent emotional journey beginning with the shocking diagnosis of his daughter, Josephine Rose, and ending with her tragic death, at only 10 months of age. This Feb. 16 marks the one-year anniversary of Josephine’s death; at the same time, however, the Lampitts are anticipating the arrival of their second son, due early this March. They now wrestle with a question of great magnitude: how to celebrate the birth of one child while still grieving the loss of another.

In “Remembering Josephine,” which begins on page 22, Lampitt shares insight into his family’s pain after Josephine was diagnosed with Gaucher disease Type II, an incurable and untreatable metabolic disorder, which began as a set of minor symptoms and progressed rapidly. Josephine’s struggle ended one year ago, but her family’s continues. Once rendered helpless by the disease, the Lampitts are now channeling their grief towards a larger cause: raising awareness about Gaucher Type II and helping a little-known charity in California raise money for research in hopes of one day having an effective treatment for the disorder.

This story has found a special place in my heart, and I hope it will in yours, too. We thank the Lampitt family for allowing us to share with readers some of their most treasured photos. Many of these images (including this month’s cover photo of Josephine and her father) were captured by Josephine’s great aunt, who, last February, made an overnight drive from Georgia to give the Lampitts a precious gift—a series of photographs taken during Josephine’s last days.

Though sections of it are extremely painful to read, Lampitt’s essay offers us a precious gift, too: A reminder to make the most of our time with loved ones, because we never know what tomorrow may hold. Plan as we might, he writes, we must learn to accept those things we cannot control.

Page Bishop-Freer, [email protected]

Editor’s NOTE

The Health Journal—Williamsburg Edition is direct-mailed to homes and businesses in Williamsburg, James City County and Northern York County. Newsstand, rack and countertop distribution supplement our hand-delivery program.

Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Include current mailing address and other contact information. Notify us of any change in address.

The editorial content of The Health Journal is produced with the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care.

Editorial contributions are welcome. All submissions become the property of the publisher. We reserve the right to edit for style, clarity and space requirements.

For Advertising and editorial Information, call or write:The Health Journal4808 Courthouse Street, Suite 204Williamsburg, VA 23188

(757) 645-4475 • Fax (757) 645-4473

[email protected]

PUBLISHERBrian M. Freer

EXECUTIVE DIRECTORRita L. Kikoen

EDITORPage Bishop-Freer

ASSOCIATE EDITORBeth Shamaiengar

MEDICAL EDITORRavi V. Shamaiengar, MD

ADMINISTRATIVE ASSISTANT Danielle Di Salvo

SALES EXECUTIVESDavid C. Kikoen

GRAPHIC DESIGNERSNatalie MonteithJean Pokorny

PHOTOGRAPHYBrian M. FreerPage Bishop-Freer

CONTRIBUTING WRITERSSharon Miller CindrichBridgit Kin-Charlton, CPTEdwin LampittLoel Payne, MDKeith Schumann, MDGreg Tudor, CPTJoy Vann

Health Journalthe

TM

The Health Journal is a free, monthly consumer health magazine distributed throughout Hampton Roads. Three editions are currently available: Williamsburg, Peninsula and Southside, with a combined circulation of over 78,000 copies.

CORRECTION“Local Gym Lineup” [January 2010, page 9]: The web site for the Peninsula Metropolitan YMCA was incorrectly listed. The correct Web site is www.peninsulaymca.org. Also, Phil Curtin’s name was spelled incorrectly.

THE HEALTH JOURNAL 5

FebruaryFavorites

inbox

Chobani Greek Yogurt($12 for a 12-pack, Costco)

This smooth, creamy, fruit-on-the-bottom, Greek-style yogurt tastes too good to be fat-free—but it is! Each cup packs a whopping 14 grams of protein and only 140 calories. Other attributes: Gluten-free, Kosher, no pre-servatives, live and active cultures for diges-tive health. My new breakfast-on-the-go.

Skechers Shape-Ups($110, www.skechers.com)

After some hinting, Brian bought me these shoes for Christmas. I’ve been wearing them while running errands and pushing Cami around the block in her stroller. They’re designed to tone and firm, promote weight loss, strength-en the lower back and reduce ankle strain. I definitely feel the burn in my calves and glutes, a feeling similar to walk-ing in wet sand. Skechers now carries these in all kinds of styles, not just tennis shoes (I’ve seen calf-high boots and Mary Janes)—plus famous athletic-wear brands like Avia and Reebok have followed suit with their own fitness-walking shoes.

Hot Yoga(classes range from $10 to $15 each)

Every winter I find myself returning to this great source of stress-relief. Warm, moist air makes muscles more flexible and forces your body to sweat out toxins—just be sure to drink plenty of water before, during and after a class. Most local studios offer an introductory trial week at a discounted rate (Body Balance in Williamsburg and Tidewater Hot Yoga in Yorktown both do), so check out our Health Directory in this issue for a hot yoga studio near you.

TRX Training System(www.fitnessanywhere.com, starts at $189.95)

I’ve started using the TRX regularly in my twice-weekly strength and conditioning sessions, and I can already see and feel the results in my back, shoulders and arms. On page 30, personal trainer and all-around-athlete Bridgit Kin-Charlton shows you how to use the TRX system for a total-body workout unlike any other.

page’s picks

Kudos“I love your magazine! It’s one thing to always look forward to at my doctors’ offices.” —Lynne S., Williamsburg

“Thank you for providing this resource to our community.” —Cynthia B., Virginia Beach

“Thanks so much for the wonderful articles on ‘Caring For You, Caring For Me’ [Jan. 2010, p. 28, Williamsburg Edition only] and Faith Amoroso [January 2010, p. 38 all editions]. Your publication is a wonderful service to citizens of the Peninsula, and CEAGH is very proud to be a prominent part of this edition.” —Rick Jackson, executive director, The Center for Excellence in Aging and Geriatric Health

Redesign“I just wanted to let you know that I received the newest copy of The Health Journal and love it! You all do such a wonderful job with this publication.” —Heather Cheek, graphic designer, Tidewater Physical Therapy, Inc.

“I love the new look of The Health Journal. I was pleasantly surprised to see it in Harris Teeter. Thank you and your staff for the wonderful job you all do.” —Marie C., Virginia Beach

Distribution“My family did not receive a copy of the January issue. What local business or hospital can I stop by to pick up a few copies? A location in Hampton, Newport News or York County would be best.” —Crystal P., Poquoson

Ed.: Every hospital on the Peninsula carries The Health Journal; just look for one of our racks in the lobby or cafeteria. Also, the York County Public Library and Poquoson Library should have copies available.

THE HEALTH JOURNAL6

local beat

Partners in PracticeWRITTEN BY JOY VANN

As founders of Norfolk-based Operation Smile, the world-renowned non-profit organization dedicated to treating children with cleft lips,

cleft palates and other facial deformities, Bill and Kathy Magee work together tirelessly. Add five chil-dren of their own to the equation, and miraculously is more like it.

The couple, married 42 years, started dating in their hometown of Fort Lee, N.J., while in high school. They married eight years later when Bill was still in den-tistry school at the University of Maryland.

Though the two didn’t work together until found-ing Operation Smile, they worked hard to take care of their children, starting with the first who was born 15 months after they married.

Their dual career, which they describe as a “passion,” began when the Magees founded Operation Smile in 1982. Today Kathy is the full-time volunteer president and Bill is the chief executive officer.

Taking advantage of unforeseen opportunities and chances has been the cornerstone of the Magee marriage.

For instance, during one pregnancy when Kathy went into early labor, they went to the hospital where Bill’s father was a physician. It was there that an oral surgeon encouraged Bill to pursue medical school.

Bill asked Kathy her opinion about con-

tinuing his education and becoming a craniofacial surgeon, along with the loans that went with such an endeavor. She didn’t hesitate and said, “If that’s what you want to do, do it.”

While Bill attended George Washington University Medical School (while seeing dental patients for extra income), Kathy continued her nursing and social work education at night. With children, that required a lot of coordination and sacrifice on each spouse’s part.

“We had three children under [the age of] three, and it was worth it for me to stay home, Kathy says. “At night, Bill took over. I saw the children to bed and then went to school for my master’s degree.”

For instance, while in his last year of medical school, Bill had an opportunity to study in Switzerland with a leading oral surgeon. He’d saved enough money through his dental practice to take a leap of faith and bring his family to Europe.

It was a worthwhile risk that led to a stint in Paris with world-renowned craniofacial physician Dr. Paul Tessier. Though the Magees then had four children under the age of five, they left for Paris, unknowingly planting the roots for Operation Smile.

“One thing led to the next and the next, and our openness about not having money and worrying about the shoestrings and loans paid off,” Bill says. “Both of our personalities are very accepting of challenges.”

Kathy added: “People we met along the way all be-came part of Operation Smile—in Switzerland, France, New York. We began to gather people, seemingly in the short term, making friends along the way who became long-term friends.”

Another opportunity presented itself when the Mag-ees received an invitation to go to the Philippines on a medical mission.

“The experience shocked all of us,” Bill says. “We treated 40 kids and watched as 250 were sent away. It’s one thing to watch it on TV, but to be in a small room and see what’s really going on, it’s an over-whelming experience.”

That’s when Operation Smile was born. When the couple returned from that trip, they knew that they had to go back to continue the work. They enlisted the help of a few friends, who then enlisted the help of their friends. Since that inspired beginning, Opera-tion Smile has provided free surgeries to more than 140,000 children in 50 countries.

Today Bill maintains a private practice in Norfolk and is co-director of the Institute for Craniofacial and Plastic Surgery at Children’s Hospital of The King’s Daughters. (He is also an associate professor at Eastern Virginia Medical School.)

Through their shared journey the Magees have learned to turn whatever stress they face in work-ing so closely together into something positive and productive.

“We’re two different individuals with two differ-ent approaches and skill sets,” Bill says. “Fortunately for us, they complement each other and that has become our advantage.”

Having such passion for their work means that OpSmile talk is rarely off the table, though it doesn’t overwhelm their lives.

Says Bill: “You talk about what’s important to you. We have a lot of other interests. Family is a very big in-terest, and our family is centered around one another. We take vacations, sometimes with 25 to 30 family members. We play a lot of sports and do a lot of things together. Whatever is dominant at that moment is what we talk about.”

When asked what advice the Magees could offer to other couples embarking on a shared career, Bill says, “You have to be cognizant of what each other’s strengths are and celebrate those strengths and hope that your weakness will be their strength. You have to be respectful in the process and maintain your own independence. You have to know who you are to know who the other person is.”

Kathy offers a pragmatic suggestion for couples who work together: Know when to turn the phone off.

“Some calls can wait until morning,” she says. “You have to respect that. There’s a reason it’s called a ‘crackberry.’ You have to be able to say, ‘Put that crack-berry down.’”

In the spirit of Valentine’s Day, The Health Journal brings you stories of local couples who share more than just a marriage—they both work in the medical field, often in the same office. Read what the following four couples have to say about the joys and challenges of being partners in practice…and in life.

Dr. William & Kathy Magee: Operation Smile

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Bon Secours Announces Director of Advocacy and Community AffairsBon Secours Health System has appointed Thomas Prevette as Director of Advocacy and Community Affairs. Prevette will direct all legislative activities and initiatives for Bon Secours in Hampton Roads and will support state and federal legislative activities for Bon Secours Virginia. In addition, he will serve as the organization’s liaison with local government officials and local community and business leaders.

Bon Secours Responds to Haiti CrisisBon Secours Health System Incorporated (BSHSI) is working with various Catholic health agencies to provide relief to survivors of the Haiti earthquake. BSHSI sent $50,000 to begin relief efforts. The Bon Secours Mission Fund (BSMF) is also accepting donations from employees to support relief efforts. BSHSl will match any employee donation up to $100,000.

Sentara Williamsburg Celebrates BabiesTo help new moms and families feel good about their experience at the Family Maternity Center, Sentara Williamsburg Regional Medical Center has added a few new services. Patients and visitors will now hear a lullaby overhead every time a baby is born. Plus, new moms can enjoy a brief in-room massage to alleviate discomfort after childbirth. New infant massage classes will also be offered monthly.

HTSAC Announces New Interim DirectorHistoric Triangle Substance Abuse Coalition has named Kimberly Lucas Interim Director. Kimberly holds a PhD in health care administration and has over 13 years of experience in grant writing and management.

TPMG Williamsburg Diagnostic Cardiology Awarded Accreditation The office of Dr. Keith Hanger was recently awarded full accreditation by the Intersocietal Accreditation Commission in both echocardiography and stress echocardiography. The commission was established with the support of the American Society of Echocardiography (ASE) and the American College of Cardiology (ACC) to provide peer review and to recognize the provision of high-quality echocardiography testing.

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“We fell in love in 1988 while serving in the Air Force in San Antonio,” says Elizabeth “Betsy” Harden.

“It was 1989,” Rick gently corrects. They both laugh.Such is the give and take—and sense of humor—

that these oncology professionals have employed to build their marriage of 23 years.

Betsy is an oncologist with Virginia Oncology Associates, (VOA) and Rick is a surgical oncologist at the Dorothy G. Hoefer Comprehensive Breast Center in Newport News (his mother is the found-ing benefactor).

“Though we’re not in the same practice, we see a lot of the same patients,” Betsy says. “Rick does sur-geries and I do medical therapy and chemotherapy.”

Rick, a member of Sentara Surgical Specialists, explains that his group has a joint venture with VOA to develop oncology programs throughout the region, which often leads to treating the same patients, particularly breast cancer patients.

“We work closely together to decide on what’s best for the patient, along with mammographers and radiographers,” Betsy says. “It’s a very exciting multidisciplinary program that we have here.”

The couple doesn’t allow the stress of working together and being in such a high-pressure profes-sion to get to them.

“We have a pretty good way of turning things off,” Betsy says. “We’ll talk shop over dinner and things like that. We have a pretty good way of communicating. We have a lot of fun. It’s very rewarding to be on the same wavelength about a lot of things.”

Rick continues: “We each understand what the other’s career is like. I have a pretty good idea what

her day is like and what her stresses are like. It’s very helpful when a spouse understands what the other spouse does. I value her opinion and she values mine, which is always a good thing in a relationship.”

While both work many hours and often don’t see each other at home, they also work hard to keep their romance alive.

Says Betsy: “We try to reserve time for us. Friday night is our standing date night, and we make sure to have time with each other.” She adds that

carving out time together has become easier since she scaled back on her on-call duty to care for her ailing mother.

Adds Rick: “There always has to be some give and take. We’ve really been blessed in that we love what we do, and that’s a big help. We each respect each other in terms of his or her own career and that’s played a big part as well.”

While healing cancer patients is still the main goal for the couple, they now are willing to take a little more time for themselves.

“We both love to work and hope to keep work-ing a long time,” says Betsy. “But we’re hoping for more vacation time together as the years go on.”

Oncologists Elizabeth Harden & Richard Hoefer

“I value her opinion and she val-ues mine, which is always a good thing in a relationship.”

—Dr. Richard Hoefer

Continued on page 9

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Drs. Michelle and Scott Eichelberger, pedia-tricians at CHKD’s Chesapeake Pediatrics, fell in love while attending James Madison

University. At the time, neither imagined that in the future they might marry and work together.

The two went on to Eastern Virginia Medical School and completed residency training at East Carolina University, marrying and having their first child along the way. When Scott changed his career path from internal medicine to pediatrics, the two began to interview together, hoping to be hired at the same practice. They were thrilled when they were both offered jobs at Chesapeake Pediatrics.

“It was a very young practice and we had the opportunity to get in on the ground level and help to build it up,” Scott says. “And we’ve been here ever since.”

The Eichelbergers have four children, ages 12 to 21, and they say that working at the same practice hasn’t hindered them from balancing their per-sonal and professional lives.

“Our practice is good about granting schedule requests, and that really helps us out,” Scott says. Michelle adds: “That helps because we can take care of the kids in shifts. One of the nice things about working together is that when he was on

call and wanted to coach one of the children’s ball games, I’d hold the beeper for him. We could cover each other that way.”

Being married and working together has also enhanced their professional life.

As Scott says: “It’s been good to bounce medical issues off each other. If a patient comes in present-ing with difficult issues, we’ll talk about it. It’s like having a built-in consult all the time.”

When asked about the difficulty of ceasing talk about patients and their practice, they laugh.

“Our children have a distinct answer to that,” says Michelle. Scott follows: “At the dinner table, they’ll say, ‘OK. No more shop talk.’”

For young couples starting out, the Eichelberg-ers agree that having a foundation built on faith and trust is the most important thing for two people to share.

“We feel like our Christian faith helped us through difficult times, Scott says. And you’ve got to have trust.” “If you’re on shaky ground to start with and you’re not solid going into [a marriage], you’re put in some jeopardy because [relationships are] hard. Our advantage was that we knew each other for several years before medical school. Sometimes couples who meet in med school or residency have difficulties as their relationship grows. We got to know each other without [the] stress of med school.”

Having a married couple on the team also brings a lot of humor for the staff.

“The nurses love to hear my stories about Scott,” says Michelle, “so they can use them for ammuni-tion [to tease him]. Nothing is secret around here.”

That “everybody-knows-what-everybody-is-do-ing” element of the medical community is one that they’ve grown comfortable with over the years.

Says Michelle, “When I got pregnant during resi-dency, I had to call Scott and tell him on the phone because I knew that before I got back to the hospi-tal, he’d hear it from someone other than me.”

She continues: “Our lives are an open book, and

PAG

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SHO

P-FR

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“One of the nice things about working together is that when he was on call and wanted to coach one of the children’s ball games, I’d hold the beeper for him. We could cover each other that way.”

—Dr. Michelle Eichelberger

local beat

Drs. Michelle & Scott Eichelberger: Chesapeake Pediatrics

Continued on page 10

Continued from page 7

we’re comfortable with that. Other people in re-lationships might not be as comfortable with that and prefer to be more private.”

All and all, raising a family and working to-gether has been a boon for the Eichelbergers.

“It’s been a good ride,” says Scott. “I can’t imagine doing this without her. I can’t imagine not doing medicine, period—and I can’t imagine being in practice without her.”

THE HEALTH JOURNAL10

Jim and Cooka Shaw met in the eighth grade and married while Jim was a fourth-year medical stu-dent. When the Shaws’ first child arrived, Cooka,

a nurse, became a stay-at-home mother. Though she worked part-time on and off through the years, the thought of working alongside Jim “never crossed the radar screen.”

That changed when Jim, a pulmonologist, was still in full-time practice at Riverside Regional Medical Center. The couple felt a shared calling to serve the Peninsula’s growing number of uninsured people.

In 1995, the Shaws and a friend from Rising Sun Baptist Church in Yorktown started offering free medical treatment one night per week at the church. Two years later, as patient numbers increased along with the number of volunteers to treat them, the clinic moved to the nearby Charles E. Brown Community Center. As word spread about the clinic, it increased its hours to be open two days a week, then three, and it is now open five days a week. In 2003, the Lackey Free Clinic opened on Old Williamsburg Road (in the Lackey area of Yorktown), providing a full range of medical services daily.

Today, with more than 60 volunteer physicians, physician assistants, nurse practitioners, pharmacists and administrative staff, the Shaws have stepped back from day-to-day operations. Jim still sees patients, and Cooka works the front desk one day a week, but they now primarily enjoy watching their faith-based minis-try thrive through dedicated volunteers.

Says Cooka: “When someone has to quit or others move to warmer weather during the winter, the phone will ring with someone who wants to do just that job of the person who left….We give the credit to God.”

Working together has never been stressful for the Shaws, largely because of their calm demeanors and the fact that they kept operations manageable, growing gradually over the years.

Jim says their strengths grew to complement one another, with him providing medical oversight and Cooka providing the warm embrace they wanted their patients to feel.

“I was focused on medical issues because that’s the way I was trained and the way my brain works,” says Jim. “Cooka has always focused on love and compas-sion. Because these patients are turned away from so

many doctors’ offices, it was our vision that we make them feel welcome. They are so often pushed aside because they don’t have health insurance.”

Cooka summarizes their shared vision and work by saying, “We care about the whole person, not just the medical problem.”

Though the clinic has been prominent in the couple’s life, family, friends and outside interests have provided balance—though Cooka adds that maintaining balance takes some effort.

“You have to understand each other’s strengths and weaknesses,” she says. “Through the years, we’ve gained an understanding. He’s the brains and I’m the hands, feet and heart. He keeps me in line, and I keep him in line.”

After 44 years of marriage, the Shaws feel they can offer some solid advice to young couples considering marriage or shared careers: “Pray about it, and try to understand what each other’s position is going to be,” says Cooka. “So many people jump into marriage and don’t discuss the serious aspects. You have to ask, ‘What are your expectations of me? What do you need from me in this endeavor?’”

Having created a successful free clinic that meets the needs of the medically disadvantaged, the Shaws are happy with its success.

“We just put one foot in front of the other and went at it,” Cooka says. “It just took on a life of its own. We believe in God’s plan. We never imagined working as a team, but it’s been wonderful.”

PHO

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INIC

local beat


Patricia “Cooka” & Dr. James “Jim” Shaw: Lackey Free Clinic

“I was focused on medical issues because that’s the way I was trained and the way my brain works. Cooka has always focused on love and compassion.”

—Dr. Jim Shaw

In an upcoming issue, The Health Journal will recognize a few more dynamic duos—friends committed to improving health in Hampton Roads—in “It Takes Two,” also written by Joy Vann.


healthwire

WRITTEN BY PATRICIA REANEYNEW YORK (Reuters Life!)

Mayo Clinic Diet Book PromotesHealthy Weight Loss

Q: Why has the Mayo Clinic decided to publish a diet book?A: For a number of reasons. The first and most obvious one is that weight and obesity has become more of a problem in this country and around the world over the past decades. So, there is a need.

Secondly, many other people have been promoting so-called Mayo Clinic diets over the years but there has never been an official Mayo Clinic diet book before.

Thirdly, we think the timing is good right now. There is a lot of scientific evidence for the things we have put in the book based on research and evidence that we have accumulated here. We think we have a program that is effective, healthy, enjoyable and sustainable long-term.

Q: What is it about the Mayo diet that sets it apart from others?A: There are some unique features about the Mayo Clinic diet. It is more than a diet. It is a lifestyle change program. It is divided up into two phas-es. The ‘lose it’ phase lasts two weeks, and we think this is the healthiest way to lose weight quickly….That transitions into the ‘live it’ phase. Once people see what they are capable of doing, they change those habits into a long-term lifestyle change. Another unique feature is the Mayo Clinic healthy weight-eating pyramid based on energy density.

Q: Why do people have such a hard time losing weight?A: It starts with the approach and we try to address that. This is one of the biggest paradoxes I know—eat right, exercise more. It sounds so simple but yet it is such a complex statement. The mindset that goes along with this [equation] is negative and restrictive, and therefore it is going to be temporary and not enjoyable. So what we do is to try to help people have realistic goals and to change their attitudes so [dieting] doesn’t have to be deprivation.

Q: How big a component is exercise in your program?A: It is a big component, as it should be. That seemingly simple equation gets down to calories in versus calories burned. And energy expenditure, exercise, is very important. Exercise is the most important way to burn calories.

Q: Is the program applicable for children and adults?A: In the ‘lose it’ phase, it is based on sudden changes and habits but there isn’t anything in there that is unhealthy or unsafe—eating break-fast, eating more vegetables and fruit. What we are trying to do is take all the knowledge and the clinical experience and put it all together in one package that people can use to come up with a program for them that is effective, safe, healthy, enjoyable and sustainable.

Q: Is the book effective for someone who wants to lose 20 pounds or 200 pounds?A: Yes. It is. The principles of it apply to everyone. Admittedly, and this is in the medical literature, the greater the starting weight, the more people can lose initially, but they have a longer way to go. So, the greater the starting weight the more challenging it is to lose it and keep it off.

Q: What advice would you give to people who want to lose weight but don’t know how to get started, who find it just so daunting?A: That is exactly what we are trying to do with the book. I’d say pick up the book and read the first few chapters.

Confused by the myriad of diet books that promise to help you melt away those excess pounds and produce the body of a supermodel?

Scientists at the Mayo Clinic in Rochester, Minn., have produced a weight-loss program based on clinical research and ex-perience that they say will help people lose weight and keep it off permanently.

Dr. Donald Hensrud, a diet expert at the clinic and a co-author of The Mayo Clinic Diet, spoke about why the program is so effec-tive, the research it is based on and what sets it apart from most other diet books.

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Talking with kids about the doctor

parenting

WRITTEN BY SHARON MILLER CINDRICH

What’s Up, Doc?

“Am I going to get a shot?”It is the most popular—and anxiety-laden—ques-

tion kids ask when they hear they have an appoint-ment at the doctor’s office. “Needles, shots and finger pricks are by far the greatest fear kids have when it comes to going to the doctor,” says Sam Fabian, parent educator with Children’s Hospital of the King’s Daughters in Norfolk.

While it may be the most common reason for a child’s apprehension, getting a shot is not the only thing that causes a child’s nerves to fray when visit-ing a doctor. “The anxiety [also] stems from pain [and] fear of [the doctor] looking at their body and, more specifically, private parts,” explains Fabian, adding that generally kids between the ages of four and 12 experience the most anxiety.

Parents may view their child’s occasional doctor visit as inconsequential, but the experiences can leave lasting impressions. “Each visit will bring a new experience, and the way the parent and doctor handle even the most distraught child can make a difference in future visits to the doctor,” says Fabian.

Whether you’re taking your toddler in for the sniffles or your teen needs a flu shot, follow these tips to make the experience as painless as possible:

Avoid a surprise. “Often parents hold off in tell-ing the child until the last minute about going to the doctor,” says Fabian. “Children are no different than adults. They like to know what to expect. When we are surprised or feel like we do not have enough information, we will react and panic.”

Manage expectations. “Parents should prepare the child, depending on their age, a day or two be-fore and give them age-appropriate information that will help them understand what will happen,” says

Fabian. Talk about the waiting room, the sign-in desk and what happens once the nurse calls your child back to see the doctor. Details will help your child create a picture of the experience in his or her mind.

Be honest. Protect the trust your child has in you by answering his or her questions honestly, even if there is a little pain in the picture. “If the child is getting a shot, never lie”, says Fabian. “Let them know it is to keep them from getting sick and that it may feel like a pinch, but it will be over in two seconds or less. Never tell them it won’t hurt.”

Acknowledge anxiety. It is completely normal to be worried about getting blood drawn, a flu shot or a finger prick. Even children who are acting brave will benefit from a reminder that a little bit of worry is normal and that they aren’t alone in feeling anxious.

Remain calm. A toddler can throw a tantrum. Even an older child can be rude out of fear. As tensions get high, however, parents need to stay cool. “The more upset you get, the more the child will, too,” says Fabian. “The fear-anxiety response is something they cannot control, and it is OK.” He adds that pediatricians and their staff are well trained in working with children of every age and will not judge you if your toddler or teen gets upset.

Talk about the experience. No matter what happens in the doctor’s office, talk about it. Did the shot hurt as much as your child expected? Was the doctor nice? Did your child like the sticker he or she received? Giving children an opportunity to talk about their feelings will lay a foundation for their next visit and reassure them that you care about their experience.

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In most gyms, the most versatile piece of equip-ment is the cable cross-over—yet many people are intimidated by it. The

cable crossover is nothing to fear—it’s simply a pulley system attached to a weight stack and is mounted on two towers. It can bring variety to any fitness rou-tine and, if used correctly, can work every muscle group. Plus, the crossover’s attachments make it easy to transition from one exercise to another.

Cable exercises provide a unique training stimulus. The crossover’s pulley system allows muscles to maintain constant tension, allowing for greater muscle isolation and contrac-tion. In other words, it works your muscles in a completely different way than traditional free weights.

The full-body workout on the following page uses only the ca-ble crossover. The workout was designed to help you understand the machine while experiencing a radically different strength workout. I recommend that you aim for three sets of each exer-cise, 12 repetitions each.

Try the entire routine, or add one or more of these exercises to your existing program. You will definitely feel the difference and see increased results. So, turn the page—and learn how the cable crossover can create a fitter, stronger you.

fitness

Cross Over to the

CROSSOVER CABLESWRITTEN BY GREG TUDOR, CPT

PHOTOGRAPHY BY BRIAN M. FREER

Greg Tudor is a certified personal trainer and co-founder of Results Per-sonal Training Studio, Inc.



Squat & Row ❙ Attach handles to low pulley cable.❙ Stand facing the weight stack with feet shoulder-width apart. Grasp both handles, keeping the elbows bent,

hands even with your waist.❙ Slowly lower your body by bending at your hips and knees while allowing your arms to extend in front of you.

❙ When you are in a seated (squat) position, slowly reverse your movement and repeat.

Chest Squeeze ❙ Attach handles to each high pulley cable.❙ Standing in the center of the machine, with your feet shoulder-width apart, grasp each handle with an overhand grip.❙ With your arms out to the sides and elbows slightly bent,

slowly pull each handle forward and meet them be-tween your waist and chest. (Keep your back as straight as possible while performing this exercise.) Slowly

return your arms to the starting position and repeat.

Pose Curls ❙ Attach handles to each high pulley cable.❙ Standing in the center of the machine with your feet shoulder-width apart, grasp each handle with an underhand grip.❙ Slowly bend at the elbows until you have formed an “L” with your arms. Squeeze and slowly return to starting position, then repeat.

Handle Pull-down ❙ Attach both handles to one high pulley cable.❙ While seated on a fitness ball or bench, grasp each handle

with palms facing each other and arms straight up.❙ Slowly pull the handles down towards your chest and begin to separate them as you reach the bottom.

❙ Slowly return and repeat.

Tricep Rope Push-down❙ Attach the rope to high pulley cable.❙ Stand facing the weight stack with your feet shoulder- width apart, grasping each end of the rope with arms bent, elbows toward the floor, and palms facing each other at chest level.❙ Slowly pull down while keeping your elbows towards the floor and close to your sides. As you pull down, separate each handle until your arms are fully extended.❙ Slowly return and repeat.

Lateral Raise ❙ Attach handles to each low pulley cable.

❙ Standing in front of the weight stack with feet shoul-der-width apart, grasp each handle with an overhand grip and cross the wrists. With your elbows slightly bent, slowly raise each handle to shoulder height at

your sides.❙ Slowly return and repeat.

fitness

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“Since 1992, my number one focus has been helping people who suffer with severe and chronic back pain, neck pain, spinal stenosis and degenerative disc disease. I’ve dedicated my life to it. Today, chiropractic offers a wide range of therapies, and the treatment we provide does not require ‘popping or cracking.’ We have very affordable fees at our office and we accept most insurance plans...including Medicare and Anthem. If you would like to find out if our office is the right choice for you, just give us a call. We have a terrific staff, and we’ll do our very best to help you.”

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“Since 1992, I've been dedicated to one thing...Helpingpeople with chronic spinal pain. I strive to use only gentlemethods to rehabilitate the spine. That means NOpopping or cracking. We accept most insurance plansincluding Anthem and Medicare. If you'd like tofind out if my office is right for you...call me.I'd be glad to speak with you over the phoneand answer any questions you may have.If you'd like to come in as a new patient,we can get you in today.”

“Life shouldn’t be a pain in the neck…or back.”

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healthwire

Mammograms should begin at 40 for women with an average risk of breast cancer and by 30 for high-risk women,

according to guidelines released in January by two groups that specialize in breast imaging, contradict-ing controversial guidelines from a U.S. advisory panel last year.

The joint recommendations from the American College of Radiology and the Society of Breast Imaging take into account the success of annual mammogra-phy screening starting at age 40, said Dr. Carol Lee of Memorial Sloan-Kettering Cancer Center in New York, whose study appears in the Journal of the American College of Radiology.

“The significant decrease in breast cancer mortal-ity, which amounts to nearly 30 percent since 1990, is a major medical success and is due largely to earlier detection of breast cancer through mam-mography screening,” Lee said in a statement.

The recommendations have been in the works for about two years, but they serve in part as a rebuttal to guidelines issued in November by the U.S. Pre-ventive Services Task Force, which recommended against routine breast mammograms for women in their 40s to spare them some of the worry and ex-pense of extra tests to distinguish between cancer and harmless lumps.

Those recommendations contradicted years of messages about the need for routine breast cancer screening starting at age 40, sparking a rebellion from among breast cancer specialists who argued the guidelines would confuse women and result in more deaths from breast cancer.

“Amidst all the furor, the ACR and the SBI stand firmly behind their recommendation that screen-ing mammography should be performed annually beginning at age 40 for women at average risk for

breast cancer,” Lee and colleagues wrote.The recommendations also cover the use of

magnetic resonance imaging or MRI and breast ultrasound in women who are at high risk of breast cancer because they have mutations in the BRCA1 or BRCA2 genes or a family history of breast cancer.

In these women, breast mammograms should begin by age 30, but not before age 25, when the risk of radiation exposure from the mammograms begins to outweigh the benefits of screening.

Dr. Phil Evans of the University of Texas South-western Medical Center in Dallas and president of the Society for Breast Imaging said the guidelines are based on the latest clinical trial data.

“Where the data was not present, we looked at recommendations that reflect expert consensus opinion,” he said in a telephone interview.

He said they also help fill in some gaps in terms of how to screen high-risk women. In women who have BRCA mutations, the group recommends an-nual MRI screening, a more sensitive test, in addi-tion to mammograms starting by age 30.

Women who have a greater than 20 percent life-time risk of breast cancer based on family history should also have annual MRI scans starting at 30.

For high-risk women who cannot get an MRI, often because of claustrophobia, a breast ultrasound should be used instead, Evans said.

The two groups did not consider the harms asso-ciated with routine screening at an earlier age, such as false positive results, which the task force was trying to balance.

“The reason for that is there have been studies that have shown women would rather have their cancer found, even if it means having to have a bi-opsy. The harms, from most studies we’ve seen, did not seem to be all that real,” Evans said.

40New Guidelines Back Mammograms Starting at Age

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feature Remembering

JosephineWRITTEN BY JOSEPHINE’S FATHER

PHOTOS COURTESY OF THE LAMPITT FAMILY

This month, expectant parents Ed and Claire Lampitt of Williamsburg wrestle with a storm of conflicting emotions: While anticipating the birth of their second son, due in early March, the couple continues to mourn the loss of their daughter, Josephine Rose, who died Feb. 16, 2009, at just 10 months of age. Here, in a poignant narrative, Josephine’s father recounts the family’s emotional journey from Josephine’s initial diagnosis to how they are coping now as another chapter of their lives unfolds.

PHOTO BY VICTORIA SUTHERLAND



Our story began in early December 2008. We were scheduled to bring our then eight-month-old daughter, Josephine Rose Lampitt, to Children’s Hospital of The King’s Daughters (CHKD) in Norfolk. She had been seen by other doctors before for what various specialists had repeatedly described as “severe reflux,” a relatively common and benign disorder that most children outgrow.

We expected our visit to include a continuation of the reflux diagnosis but also a more detailed read-out on the cause for her newer symptoms, among them poor weight gain, unusual eye movements and persistent crankiness. The weight gain issue in particular was perplexing as we had tried for months to increase Josephine’s body weight with breast milk sup-plements, then formula, and eventually a high-calorie formula concentrate. Nevertheless, we’d been assured that there was no reason to worry.

To our horror, we soon found ourselves confronting every parent’s worst nightmare: a diagnosis of an extremely rare and incurable disease that would take our infant daughter from us.

The doctors explained that Josephine had a rare metabolic disease— specifically, a lysosomal storage disorder known as Gaucher (pronounced “go-shay”) disease. Of the three forms of the disease, only Type I has a sustainable treatment while Types II and III have a degenerative neurological component that is untreatable and incurable. Josephine had the rarest form, Type II, which affects approximately one in 100,000 live births. The average life span, we were told, was about nine months, though some children had lived as long as two to three years.

Words fall short of capturing the emotions we felt then and have felt ever since, but shock, disbelief and horror are starting points. We had no known family history of that disease nor any disease for that matter. My wife and I had above-average health. We were both college-educated and from seemingly average American families. We were financially stable with a sound marriage and strong faith. We already had one healthy son. Until

Until Josephine’s diagnosis, we naively believed that this was the type of tragedy that affected others, the proverbial “people down the street.” We could not have been more wrong.

that time we naively believed that this was the type of tragedy that affected others, the proverbial “people down the street.” We could not have been more wrong.

We learned that Gaucher disease passes down via mutated recessive genes (present in approximately one in 400 people in the general population). Neither my wife nor I had ever displayed symptoms, nor had any of our relatives. For symptoms of Gaucher disease to manifest, both parents must have the recessive gene, and even then, the couple’s offspring have only a one in four chance of manifesting the disease (each child also has a 50-percent chance of carrying the disease with no symptoms and a 25-percent chance of having no trace of the disorder).

We soon found ourselves looking back fondly on Josephine’s first six months when she behaved and appeared, for the most part, as a normal, healthy baby girl. She had been irritable at points, but that in itself had not alarmed us. Likewise, she had raspy breathing, but that had been attributed to the reflux. She made unusual facial expressions from time to time, but we (and her doctors) had reminded ourselves that every baby has his or her own ‘isms,’ quirks and silly expressions. She had made our family complete—a mom, a dad, a son and then sweet Josephine to balance the gender mix. We had all been thrilled when she was born, especially our son, who was eager to see his little sister grow up before his eyes.

Now, my wife and I were faced with how to take care of a dying child, how to ensure Josephine had the best short little life possible with the best access to doctors, the most quality time with family possible and the most comfort science and faith could offer.

We also had to consider our son’s emotional and mental health through her illness and, we feared, her impending death. My wife and I put our own needs—physical, mental, emotional—largely on hold, though we remained attuned to the fact that preserving our marriage during this time of chaos would be key to giving Josephine and our son the best support.

Josephine’s doctors reminded us of the disease’s low incidence rate and admitted their lack of experience and comfort in treating children diagnosed with it. Dr. Virginia Proud, our pediatric genetic specialist at

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PHOTO BY VICTORIA SUTHERLAND

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CHKD, admitted she had only seen one other case of Gaucher Type II in her career; our local pediatrician, Dr. Jennifer Altman, had seen none. We scoured the Web for every morsel of information we could find on Gaucher disease, Type II. We found very little.

We learned of a single organization dedicated specifically to Gaucher Type II and III—the Children’s Gaucher Disease Research Fund—through which we gained some insight but also fear and increased sadness. The group’s Website (www.childrensgaucher.org) conveyed the stories of children who had already succumbed to the disease. Each child’s story drilled home to us the reality of Josephine’s future.

By mid-December 2008, Josephine started receiving all of her meals through a nasal-gastric tube inserted through her nose. This was the only means of increasing her caloric intake since the disease had begun to impair her ability to swallow and/or swallow without liquid entering her lungs. The lasting image in my mind of a tube protruding from our child’s nose is indescribable. Moreover, the mechanical and logistical challenges of administering meals and medications through the tube only added to our physical fatigue.

On Dec. 23, Josephine had her first round of enzyme replacement therapy (ERT). The treatments, which she would need two to three times a month, helped to ease some of her non-neurological symptoms such as an enlarged spleen and liver. We undertook the lengthy, costly therapies to improve the quality of her life as no treatment can stop or even stall the neurological degeneration caused by Gaucher. In the end, the ERT treatments cost tens of thousands of dollars, but we never once hesitated to incur the cost for ourselves or our insurance provider. (Our provider, Anthem, did not balk at a single expense.)

By January 2009 we decided to bring Josephine to one of the world’s premier institutions for medical research—the U.S. National Institutes of Health (NIH) outside of Washington, D.C. We were reminded in advance that NIH’s mission is to research treatments, but that the dividends of the research process would be our (and future generations’) better understanding of the disease. Clearly, our goals for Josephine had changed. We continued to hope for a miracle, but we conceded that modern science could not save our child. We sought information from researchers to help us enhance Josephine’s quality of life and, ultimately, quality of death. Though our NIH doctors proved to be a tremendous resource as they interpreted a battery of tests, they couldn’t predict how Josephine’s specific gene mutations would manifest themselves in the coming weeks or months.

We decided we’d keep Josephine at home as much as possible, out of arm’s reach of doctors who openly admitted they could not help us. This decision, in effect, removed the uncertainty over an extremely long-shot, unproven option of a bone marrow transplant in North Carolina.

An oxygen pump and pulse-oxygen monitoring machine soon arrived at our home. The monitoring device measured the oxygen level in Josephine’s blood at night while she slept (and eventually during the day as her disease progressed). With increasing frequency, the device would emit a piercing alarm—indicating that her ever-weakening lungs couldn’t meet her body’s demands for oxygen. The alarms became so frequent that (with approval from doctors) we gradually adjusted the device’s sensitivity to allow us to sleep through some of her less-serious spells. Other nights were so rough that we took shifts sleeping

on her floor huddled in a blanket. Being closer to Josephine allowed us to respond more quickly with a direct, focused administration of life-saving oxygen and, equally important, a warm, reassuring hug for our sick, panicked child.

In short, we went to bed each night not knowing whether Josephine would still be with us in the morning. It was terrifying.

Through all our hospital visits, and especially the home visits of our warm-hearted and gifted pediatric nurse, Mr. Jaime Budy, we became increasingly well-versed in terms and concepts we had never before grappled with. We learned what a palliative care expert was, and we learned the names of medicines such as Ativan (for anxiety), Robinul (an expectorant) and morphine (for pain) and the proper method for administering these potent drugs around the clock. We came to understand the nuances of a Do Not Resuscitate (DNR) order, a legal document designed to clarify to emergency responders whether to give life-saving resuscitation.

On a more mundane level, we had to walk past the children’s spring clothing lines at stores, knowing Josephine would likely not need new outfits. We had to stop saying “It will be OK” in response to our daughter’s cries when we knew in our hearts that it would not. More disturbing, but necessary, we had to consider how, when and where Josephine might die.

In the latter half of January, Josephine’s nasal-gastric tube was replaced with a tube that went directly to her stomach, giving her tender nose reprieve from the constant rubbing of the feeding tube and allowing her hands to swing more freely. Now that the feeding tube was hidden securely under her clothes, she could finally feel her face again without risk of pulling the tube out.

Due to increasingly frequent and alarming sleep disturbances, we admitted Josephine to CHKD in early February 2009 so that doctors could conduct an overnight sleep study and hopefully determine the cause. The study revealed that the disease was causing severe sleep apnea (obstructive and central) and depriving her of “active sleep,” which is similar to REM in adults. [Ed.: Obstructive sleep apnea is the result of a collapsed or blocked airway while the central type is neurological, meaning the brain stops telling the body to breathe.] It was during that visit that CHKD Sleep Expert Dr. Michael Dubik noted the precious manner in which electrode-peppered Josephine caressed her mother’s face. His passing comment inspired me to snap a photo (above). That photo tells our story; it motivates me to this day.

We had a serious scare on Feb. 15. Whereas previous apneic episodes had occurred at night, Josephine experienced one in the middle of the day during naptime. By chance—the monitor was not set up for daytime alerts—we discovered her mid-nap, a pronounced shade of blue. We quickly administered the oxygen pump and seconds later were relieved to have her back in our arms as a smiling child. Nonetheless, we were reminded that she was living on borrowed time. We called nearby relatives for moral support and were comforted by their visit. We sent our

We went to bed each night not knowing whether Josephine would still be with us in the morning. It was terrifying.




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son home with his cousins for a sleepover out of fear that Josephine would not make it through the night.

To our surprise, the night was uneventful. Josephine woke up the next morning looking and feeling great. We cut up an apple and let her taste it. This was consistent with doctors’ advice to allow Josephine to enjoy one of life’s most basic pleasures. As with lollipops a few days before, and decaffeinated coffee and tea before that, she lit up with excitement. Such tastes would probably excite any child, but they took on special meaning for Josephine. By this point, she was not tasting any food or liquids; her nutrients were delivered straight to her stomach via a gastrointestinal tube.

After Shutterbug Dad snapped a few photos of Josephine licking the apple, we packed her up in the car and drove to pick up her brother at our relatives’ house. Since she was doing so well and we planned to return home shortly, we left her medicines and equipment at home. We had a good visit, and Josephine even had some pleasingly strong laughs and giggles as she tasted some tea from her mother’s mug.

Monday, Feb. 16—President’s Day, I remember—was warm enough that the older children went outside to play. My wife laid Josephine down to change her diaper, and that’s when we noticed Josephine was getting short on breath. And then it happened. Despite weeks of nervous anticipation and inconsistent medical advice about how long she might live, Josephine was gone. We had known this moment would come, and had made various preparations, but nothing could prepare us for the shock. We were allowed privacy as we said goodbye to Josephine, holding her in our arms for an hour or so before we made the dreaded phone calls. She escaped this world in a natural state, free from tubes and machines and hospitals and doctors. She cutely circumvented every man-made device designed to hold on to her, undermined every plan we’d made for her last days and minutes. She reminded us of those things we cannot control.

Josephine’s death marked an important crossroads in our struggle. Her weight shifted from our arms and into our hearts, where it has remained. But we view her death as a turning point, not an end. This is not to say we are not still grieving. Under any other circumstances we’d have an almost-two-year-old running around the house. We miss her giggles, her smiles and all her silly quirks. Thoughts of her fill our lives yet we feel her absence.

In the months since Josephine’s death, bold acquaintances have asked if we feel her presence. Are there angels, and does she send us signs? Are there miracles? What else could explain the strong scent of flowers in the family van on the morning of her death and, in the months that followed, the mysterious workings of not one but two car radios, the inexplicable healing of my back pain after years of suffering, and too many rainbows over the house to count?

It had always been our dream to have a larger family of three to four children.

Josephine licking an apple on the morning of Feb. 16. This is the last picture ever taken of her.

Doctors presented various means for us to have biological children with no risk of Gaucher disease, but those options were inconsistent with our beliefs. Likewise, we knew we would not consider terminating a pregnancy if our child tested positive. After countless hours of weighing the considerations, we decided to let go and open our hearts to the possibility of conceiving again. Our conclusion rested somewhat on the realization that, had we known of the defects in our genes years ago, we might have scared ourselves out of having our healthy son and even Josephine—whose impact on the world and people who knew her will outlive even us. Some may wonder whether Josephine’s short life was somehow not worth the pain, that perhaps she, too, would have preferred to not have experienced it all. We remind everyone that she experienced laughter and love from the first day until her very last. How many of us can really expect to be that fortunate?

Last July we learned that we would be parents once again—our son is due in early March. Many weeks were filled with uncertainty—but surprisingly, not fear—as we awaited the results of amniocentesis tests that would reveal whether our child in utero would display Gaucher disease. Last October we learned the results: negative. Like our older son, this child will not manifest symptoms.

As we approach the one-year anniversary of Josephine’s death (or, her “Angel Day” as we like to call it), we are confronted with an overlap of conflicting emotions. We are joyful and thankful for the expected arrival of our next son, but his arrival cannot “replace” Josephine, nor will we “move on” or “let go.” She’s still a part of our family. We talk about her, and to her, on a regular basis. We visit her grave as well as her still-intact bedroom to feel close to her. Photos of her are prominently displayed in our home. And when videos of Josephine play on a digital picture frame, our son runs towards it just to catch a glimpse of her giggling again.

At the same time, my wife must make snap decisions as to how much to tell strangers when they innocently ask about our baby-to-be, “Is this your second child?”, or comment, “Wouldn’t it be sweet to have a little girl?” While these remarks pierce our hearts, our hard-earned Ph.D. in life and death has made us largely unfazed by what others may consider important issues or major life stresses. We’ve lived through the worst hand life can deal, and we feel we can tackle anything new that comes our way. A year ago we felt utterly helpless; we feel invincible now. And that feeling of weathered strength allows us to leverage our suffering for a greater cause (see below, “How You Can Help”).

To quote Greg Macres, founder of the Children’s Gaucher Disease Research Fund and father to the late Gregory Macres, lost 13 years ago to the disease: “We can accept our pain and do nothing, or we can channel it to make the world a better place.”

1. Share this story with a friend.

2. Visit www.childrensgaucher.org to learn more.

3. Make a donation.

• Donate directly to the Children’s Gaucher Disease Research Fund (PO Box 2123, Granite Bay, CA 95746). One hundred percent of funds raised through this organization goes to medical research.

• Federal employees may consider a donation via payroll deduction through the 2010 Combined Federal Campaign(CFC). Search the CFC catalog to get the code for the Children’s Gaucher Disease Research Fund. (Thanks in part to Josephine’s parents, this is the first year that this charity will be listed in the CFC catalog.)

As we approach the one-year anniversary of Josephine’s death, we are confronted with an overlap of conflicting emotions.


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To understand the strengths of this system, you need to know its origins. While serving in the U.S. Military, Navy Seal Randy Hetrick (now retired) often did body weight exercises like push-ups and pull-ups, but he found that he couldn’t work the muscles of his back and legs effectively. So, in 1996, he created his own suspension system from extra parachute harnesses. Once it became popular, he started manufacturing the TRX system on a commercial scale. Since then, it has become widely used throughout the U.S. and the world.

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ALL THE RIGHT MOVESHere is a circuit of six exercises designed to rebuild your body from head to toe. Perform each exercise for 60 seconds, moving quickly between each one. Work your way up to completing three sets of the entire circuit, for a total of 20 minutes.

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2. SINGLE-LEG SQUAT works: glutes, legs and coreConvert straps to the single-handle position. With back to TRX, place right toes into handle and hop left foot forward, hands on hips. Bend left knee, lowering to a lunge, keeping knee over ankle (as shown). Rise to standing position and repeat for 30 seconds. Switch legs.

3. SQUAT TO ROW works: glutes, shoulders, back and legsFacing the TRX, hold one handle in each hand. Squat (as shown). As you return to standing position, pull elbows back until the wrists are at your hips. Repeat.

4. MOUNTAIN CLIMBERS works: chest, shoulders and coreKneel, facing away from the TRX, and hook toes into handles. Walk hands forward until legs and back are straight (plank position). Bring one knee to chest (as shown) and continue to alternate.

5. HAMSTRING CURL works: hamstrings, glutes and low backLie on your back and place heels in the TRX handles, legs extended, arms at sides. Lift hips until torso aligns with the legs and body forms a straight line. Bend knees, bringing heels toward glutes (as shown). Return to starting position and repeat.

6. SINGLE-LEG PUSH-UP TO PIKE works: entire bodyKneel, facing away from the TRX, and hook right toes into handles. Walk hands forward until legs and back are straight (body is in a push-up position) and cross left foot over right. Lower into a push-up, keeping body in a straight line. Push your body up and lift glutes to ceiling, keeping legs straight and shoulders over hands (as shown). Extend body back to start position and repeat.

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mechanical failings of the heart, there are several reasons why the heart might fail: 1. Rhythm disturbances of the heart. If the heart rate is too fast, irregular or too slow, the heart pumps less efficiently.

2. Weakness in the heart muscle. Heart muscle weakness can be caused by a heart attack, multiple blockages in the blood vessels of the heart, certain viral infections, diabetes and/or uncontrolled high blood pressure, excessive alcohol use or illicit drug use.

3. Heart valve abnormalities. Leakage of heart valves, especially in the left side of the heart, results in a back flow of blood. The heart must then pump harder to maintain adequate forward blood flow. This ultimately enlarges and weakens the heart muscle, lead-ing to progressive congestive heart failure. If the leakage occurs suddenly, the heart has no time to compensate, and the individual immediately enters a state of congestive heart failure and may begin gasping for air.

Sometimes age or conditions such as high blood pressure, high cholesterol or structural abnormalities may cause the heart muscle to thicken or become too rigid. As a result, the valves do not open freely. As the valve openings narrow, the heart must work harder to push the blood through them. This process can also ultimately cause congestive heart failure.

4. Abnormal relaxation of the heart muscle. When the heart muscle is unable to relax adequately, blood does not flow freely into the heart’s left lower chamber. This can result in congestive heart failure. The two most common causes of abnormal relax-ation are uncontrolled high blood pressure and advanced age.

Much less frequently, congestive heart failure can occur in a normal, otherwise healthy heart—when the body develops an abnormally high demand for blood. This can be due to:

• Severe anemia (low red blood cell count)• Severe and abnormally high activity of the

thyroid gland, causing a very high metabolism• Extremely strenuous exercise to unaccus-

tomed levels • Very high fever and/or severe infectionsAny of the above causes of congestive heart failure can coex-

ist. For instance, a valve leakage and a rhythm abnormality can develop in an already weak heart and result in congestive heart failure. Also, if a heart is weak but still functioning adequately, even a modest degree of increase in the demands of the body can cause congestive heart failure.

How is CHF Treated?The goal of treatment is to improve quality and quantity of life

for patients. Several medications are available which can prevent deterioration or even improve the heart’s ability to pump blood. Under appropriate circumstances, surgery can be recommended to improve blood flow to the heart and also to correct valve abnormalities. In some patients, certain types of pacemakers and implantable cardiac defibrillators* (ICDs) can also be useful.

Lifestyle modification is an integral part of treating conges-tive heart failure. Here are some take-away tips to live by if you are showing early signs of this disease or may be at risk:

• Limit salt intake to less than two grams (2,000 mg) a day.• Start a regular exercise program under the

guidance of a physician. • Avoid strenuous exercise that your body is

not accustomed to. (In other words, don’t be a weekend warrior!)

• Eat sensible, moderately portioned meals.• Strive to achieve your ideal body weight—

this reduces the demands on the heart. (Visit www.cdc.gov/healthyweight/index.html to calculate your current body mass index versus where you need to be.)

• Quit smoking.

heart health

WRITTEN BY DR. VASUDEV ANANTHRAM

*An implantable cardiac defibrillator recognizes and corrects abnormal heart rhythms (arrhythmias). The device is surgically implanted within the chest wall. The ICD can prevent sudden cardiac arrest/death while a pacemaker is generally used to correct an unusually slow heartbeat.

In a normal, healthy heart, blood vessels called veins deliver impure (oxygen-deficient) blood to the right upper and lower chambers of the heart. This blood is then pumped into the lungs by the right lower chamber of the heart. Once in the lungs, the blood is enriched

with oxygen and then poured into the heart’s left upper and lower chambers. From there it is pumped by the strong muscle of the left lower chamber to the rest of the body to keep it well nourished and energized. Valves guard each of the exit points of the heart’s chambers to prevent the blood from flowing backwards.

GETTING TO THE HEART OF THE MATTER:

Congestive Heart Failure

Dr. Vasudev Ananthram is a board-certified cardiologist and founder of Cardiovascular Health, a member of Riverside Medical Group.

The Sports Care Program at Riverside Orthopaedics and Sports Medicine is your resource for diagnosing and treating sports-related injuries and all other injuries related to physical activity. Our physician specialists, rehabilitation specialists and home care and fitness professionals take a team approach to developing a completely personalized care plan that helps

get you back in the game or to your highest possible level of functioning.

For exceptional orthopaedic care, call (757) 875-7880.

The Sports Care Program of Riverside Orthopaedics and Sports Medicine:

The team that gets you back in the game.

P l a y. Just We’ll do the rest.

7.25 x 10.125

riversideonline.comHAMPTON ROADS UROLOGY

RIVERSIDE

H A M P TO N ROA D S U RO LO G Y

RIVERSIDE


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Chesapeake native and New York Mets third baseman David Wright

recently visited patients and families at Children’s Hospital of The King’s Daughters. Wright recorded a special message of encouragement for CHKD’s pediatric patients to hear when they call the hospital operator to order movies and games to their rooms.

Dr. Richard Harris, chairperson of The Consortium for Infant and Child Health,

presented Lisa Wright-Martin the Hampton Roads Child Health Advocate Award in the category of Faith-Based Advocate at the organization’s annual conference in Virginia Beach on Dec. 11.

Board-certified family physicians Drs. Dena Hall (3), Scott Fowler

(4) and Attiyah Ismaeli-Campbell (5) are now seeing patients at the new Riverfront Family Medicine and Specialty Care, located in the Konikoff Building at Harbour View. The new facility will provide the Suffolk community with specialty care services in a convenient location and reflects Suffolk’s mission to attract quality health care providers.

On Dec. 17, city officials, volunteers and senior leaders at Chesapeake

Regional Medical Center held a ribbon-cutting ceremony opening the newly expanded Emergency Department. The $6.5-million expansion/renovation project almost doubled the Emergency Department.

Students at Star of the Sea Elementary School in Virginia

Beach participated in “A Wave of Exercise,” a national program that encouraged students to exercise for a total of 10 hours in a row. (7) Star of the Sea principal Dr. Cathryn Whisman (left), with physical education teacher Louise O’Konek (right), took part in the effort. (8) Students, led by Louise O’Konek, marched in place during the event.

The Peninsula Women’s Network held its annual Holiday Social at Heritage

Commons, an active adult community in Williamsburg. The gathering was a celebration among PWN friends, members, spouses and guests.

Marking the start of construction on Bon Secours’ DePaul Medical Center,

work crews demolished the hospital’s old School of Nursing dormitory/clinic.

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SEND US YOUR SNAPSHOTS!E-mail your photos

along with a brief description [email protected]


Health Journalthe

Williamsburg Edition

Health Directory We’ve done our best to include every health-related practice or service in Greater Williamsburg. If your organization is not listed, or if your listing is not current, send your updates to [email protected].

EMERGENCY NUMBERSNational Response CenterToll-Free: (800) 424-8802

National Suicide Crisis HotlineToll-Free: (800) 784-2433

National Suicide Prevention HotlineToll-Free: (800) 273-8255

Poison Control CenterToll-Free: (800) 222-1222

ALLERGISTS & ENTAllergy & Asthma of Oyster Point-Williamsburg217 McLaws Cir., Suite 5Williamsburg (757) 873-3882

Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic120 Kings Way, Suite 2600Williamsburg (757) 345-2600

VA Adult & Pediatric Allergy & Asthma PC1144 Professional DriveWilliamsburg (757) 259-0443

Williamsburg ENT - Allergy 400 Sentara Circle, Suite 300Williamsburg (757) 253-8722

ASSISTED CARE & SENIOR LIVINGChambrel of Williamsburg3800 Treyburn Dr.Williamsburg (757) 220-1839

Colonial Manor8679 Pocahontas TrailWilliamsburg (757) 476-6721

Consulate Health Care1811 Jamestown Rd.Williamsburg (757) 229-9991

Dominion Village of Williamsburg4132 Longhill Rd.Williamsburg (757) 258-3444

Heritage Commons236 Commons WayWilliamsburg (888) 711-6775

Madison Retirement Center251 Patriot’s LaneWilliamsburg (757) 220-4014

Morningside Of Williamsburg440 McLaws CircleWilliamsburg (757) 221-0018

Patriots Colony at Williamsburg6000 Patriots Colony Dr.Williamsburg (757) 220-9000

Riverside Adult Daycare3435 John Tyler Hwy., Bldg. 2, Ste. 1-AWilliamsburg (757) 565-5305

Ruxton Health of Williamsburg1235 S. Mt. Vernon Ave.Williamsburg (757) 229-4121

Spring Arbor935 Capitol Landing Rd.Williamsburg (757) 565-3583

Williamsburg Landing5700 Williamsburg Landing Dr.Toll-Free (800) 554-5517

WindsorMeade of Williamsburg3900 Windsor Hall DriveWilliamsburg (757) 941-3615

CARDIOLOGYAdvanced Cardiovascular Institute5215-A Monticello Ave.Williamsburg (757) 229-1440

Cardiovascular Health117 Bulifants Blvd., Ste. BWilliamsburg (757) 259-9540

Sentara Cardiology Specialists500 Sentara Cir., Ste. 100Williamsburg (757) 984-9800

TPMG Williamsburg Diagnostic Cardiology4125 Ironbound Rd., Ste. 201Williamsburg (757) 565-0600

CHIROPRACTIC & ACUPUNCTUREAcupuncture Works, Inc.362 McLaws Circle, Suite 2Williamsburg (757) 565-9611

Beverly E. Boone, DC213 McLaws Circle, Ste. 1Williamsburg (757) 596-7605

Chiro Care Plus, PC3204-A Ironbound Rd.Williamsburg (757) 565-6464

Commonwealth Family Chiropractic140 Professional Cir.Williamsburg (757) 220-9670

Christopher Connolly, DC5252 Old Towne Rd.Williamsburg (757) 220-0060

Teresa Green, L Ac7131 Richmond Rd., Ste. 302Williamsburg (804) 561-1258

Integrative Chiropractic & Acupuncture1318 Jamestown Rd., Suite 102Williamsburg (757) 253-1900

Terry Liber, DC, CST489 McLaws Cir., Ste. 1Williamsburg (757) 565-6363

Performance Chiropractic1307 Jamestown Rd., Suite 103Williamsburg (757) 229-4161

Pinto Chiropractic & Rehabilitation5408 Discovery Park Blvd., Ste. 200Williamsburg (757) 645-9299

Platinum Chiropractic3709-D Strawberry Plains Rd.Williamsburg (757) 229-6069

Tai Acupuncture362 McLaws Cir., Ste. 2Williamsburg (757) 565-9611

The Spine Center of Williamsburg219 McLaws CircleDaniel S. Carlson, DCWilliamsburg (757) 259-0077Mark Croucher, DCWilliamsburg (757) 259-1122

Walsh Family Chiropractic, PC1309 Jamestown Rd. Williamsburg (757) 220-4917

Williamsburg Chiropractic Clinic5252-A Olde Towne Rd. Williamsburg (757) 220-0060

DENTISTRY & ORAL HEALTHBoxx, Blaney Lachine & Bowe1118-A Professional DriveWilliamsburg (757) 229-5570

D. W. Cherry, DDS2225 S Henry St.Williamsburg (757) 253-2500

Michael J. Coleman, DDS6969 Richmond Rd.Williamsburg (757) 564-0041

Curry Dental Center312-H Lightfoot Rd.Williamsburg (757) 220-3450

Bruce DeGinder, DDS240 McLaws Circle, Ste. 153Williamsburg (757) 220-9492

John P. Doley, DDS1116-A Professional Dr. Williamsburg (757) 229-4181

Sam E. English, DDS4680-16A Monticello Ave.Williamsburg (757) 258-1042

Peter S. Evans, DDS120 Kings Way, Ste. 1300Williamsburg (757) 220-1999

Gisela K. Fashing, DDS325 McLaws Circle, Suite 1Williamsburg (757) 229-8991

Gilbert J. Frey, DDSLawrence R. Samiere, DDS1161 Professional Dr. Williamsburg (757) 253-0400

Terry H. Hake, DDS1761 Jamestown Rd. Williamsburg (757) 229-4115

Hampton Roads Neuromuscular & Aesthetic Dentistry1313 Jamestown Rd., Ste. 205Williamsburg (757) 229-3052

Hampton Roads Oral & Maxillofacial Surgery1147 Professional DriveWilliamsburg (757) 258-8913

Paul Hartman, DDS1323 Jamestown Rd., Suite 203Williamsburg (757) 253-2393

Adam J. Kadolph, DDS 7151 Richmond Rd., Suite 303Williamsburg (757) 565-3737

Lifetime Family Dental7349 Richmond Rd.Williamsburg (757) 564-8942

Carol F. Morgan, DDS1130 Old Colony Ln.Williamsburg (757) 220-6727

Thomas J. Morris, DDS491 McLaws Cir., Suite 1Williamsburg (757) 253-0598

Robert F. Morrison, DMD William Broas, DDSPete Foster, DDSIra Goldstein, DDSShanail Moorman, DDSStephen L. Murphy, DDS1131 Professional Drive Williamsburg (757) 220-03307151 Richmond Rd., Ste. 305Williamsburg (757) 258-7778

Mark M. Neale, DDS, MAGD5000 New Point Rd., Ste. 2101Williamsburg (757) 229-8050

Sebastiana Springmann, DDSSonia Tao Yi, DDSMaria L. Freyfogle, DMD, MAGD, ABGD4939 Courthouse StreetWilliamsburg (757) 259-0741

Norge Dental Center7450 Richmond Rd.Williamsburg (757) 564-0804

Edward A. Owens, DMD211 Bulifants Blvd., Bldg. 14, Ste. AWilliamsburg (757) 229-6414

Parks Orthodontics1116-A Professional Dr.Williamsburg (757) 253-0521

Christine Piascik, DDS1769 Jamestown Rd., Suite BWilliamsburg (757) 229-8920

Richard A. Pugliese, DDS502 Strawberry Plains Rd.Williamsburg (757) 259-9703

Nancy Yang Schumann, DDS5309 Discovery Park Blvd.Williamsburg (757) 564-0900

Ronald J. Smalls, DDS1309 Jamestown Rd., Suite 103Williamsburg (757) 229-0620

K. L.Tankersley, DDS, MD1147 Professional Dr. Williamsburg (757) 258-8913

David G. Walker, DDS813 Richmond Rd.Williamsburg (757) 229-6278

Williamsburg Oral & Maxillofacial Surgery195 Strawberry Plains Rd.Williamsburg (757) 229-6692

Williamsburg Orthodontics4097-A Ironbound Rd.Williamsburg (757) 253-1200

Williamsburg Dental Group1319 Jamestown Rd.Williamsburg (757) 229-7210106 Bacon Ave.Williamsburg (757) 229-3099

Williamsburg Family Dentistry213 Bulifants Blvd., Ste. 15-EWilliamsburg (757) 345-5500

Williamsburg Periodontics & Implants200 Packets CourtWilliamsburg (757) 221-0249

Walter G. Winneberger, DDS104 Bypass Rd., Suite 202Williamsburg (757) 229-6960

Wyatt Orthodontics7151 Richmond Rd., Suite 303Williamsburg (757) 565-3737

DERMATOLOGYAgeless Dermatology & Laser Center5309 Discovery Park Blvd.Williamsburg (757) 564-1200

Dermatology Center of Williamsburg5335-A Discovery Park Blvd.Williamsburg (757) 645-3787

Dermatology Specialists475 McLaws Cir., Suite 1Williamsburg (757) 259-9466

Joseph W. Musgrave, MD1139 Professional Dr.Williamsburg (757) 220-2266

Pariser Dermatology Specialists 207 Bulifants Blvd., Suite CWilliamsburg (757) 564-8535

DIAGNOSTIC IMAGINGCranial Facial Imaging Center7151 Richmond Rd., Ste. 306Williamsburg (757) 476-6714

Riverside Diagnostic Center120 Kings Way, Suite 1200Williamsburg (757) 345-6700

Tidewater Diagnostic Imaging100 Sentara CircleWilliamsburg (757) 984-6000

Women's Imaging Center100 Sentara CircleWilliamsburg (757) 984-6000

ENDOCRINOLOGY Williamsburg Endocrinology, Inc.207 Bulifants Blvd., Ste. DWilliamsburg (757) 565-9586

Riverside Diabetes Education120 Kings WayWilliamsburg (757) 534-5918

FAMILY PRACTICE

Family Care of Williamsburg117-A Bulifants Blvd.Williamsburg (757) 565-5440

Tommy Johnson, MD1313 Jamestown Rd., Ste. 103Williamsburg (757) 229-1259

Bruce Mayer, MD, PC4622 Rochambeau DriveWilliamsburg (757) 566-2045

New Town Family Practice4374 New Town Ave., Ste. 200Williamsburg (757) 220-2795

Riverside WilliamsburgMedical Arts Family Practice120 Kings Way, Suite 1400Williamsburg (757) 345-2555

Riverside Williamsburg Medical Arts Urgent & Primary Care5231 John Tyler HighwayWilliamsburg (757) 220-8300

TPMG Family Medicine132 Professional CircleWilliamsburg (757) 645-2981

TPMG Norge Family Practice7151 Richmond Road., Suite 405Williamsburg (757) 564-3700

Williamsburg Family Physicians227 McLaws CircleWilliamsburg (757) 564-8182

Williamsburg Internal Medicine400 Sentara Circle, Suite 400Williamsburg (757) 345-4600

FITNESS & WEIGHT MANAGEMENT

Anahata Yoga Center104 Bypass Road, Suite 201Williamsburg (757) 253-0080

Baeplex Family Martial Arts Center3435-A John Tyler HighwayWilliamsburg (757) 229-2237

B-defined Personal Training4801 Courthouse St., Suite 122Williamsburg (757) 345-6801

Body Balance Studio370 McLaws Cir. Williamsburg (757) 221-0774

Bodyfit5251 John Tyler Hwy.Williamsburg (757) 221-6688

CORE FITNESS Performance Training Center344 McLaws CircleWilliamsburg (757) 564-7311

Curves For Women4511-B John Tyler Hwy.Williamsburg (757) 221-0330107-A Bulifants Blvd. Williamsburg (757) 565-5655

Equilibrium Exercise Gallery 7880 Richmond Rd.Toano (757) 566-0077

FT - Fitness Together4854 Longhill Rd., Ste. 1-AWilliamsburg (757) 345-2246

Healthy Equation701 Merrimac Trail, Ste. KWilliamsburg (757) 200-5838

Ironbound Gym4325 New Town AvenueWilliamsburg (757) 229-5874

Jazzercise455 Merrimac TrailWilliamsburg (757) 220-8020

Knee Pond Yoga, LLC3356 Ironbound Rd., Bldg. 2, Ste. 202BWilliamsburg (888) 524-4985

Ladies Workout Express3709-B Strawberry Plains Rd.Williamsburg (757) 220-2992

The Pilates Center1130 Old Colony Lane, Suite 201 Williamsburg (757) 229-5002

Pilates With Cindy6580 Wiltshire RoadWilliamsburg (757) 645-2542

Quarterpath Recreation Center202 Quarterpath Rd.Williamsburg (757) 259-3770

R. F. Wilkinson Family YMCA 301 Sentara CircleWilliamsburg (757) 229-9622

Reach for Performance, Inc.312-J Lightfoot Rd.Williamsburg (757) 258-1221

Results Personal Training Studio, Inc.3206-C Ironbound Rd. Williamsburg (757) 565-5000

Sante Living!5301 Birdella Dr.Williamsburg (757) 208-0314

Tidewater Systema Russian Martial ArtWilliamsburg (757) 810-8104

Transitions Lifestyle3244 Windsor Ridge S.Williamsburg (757) 645-5737

Williamsburg Indoor Sports Complex5700 Warhill TrailWilliamsburg (757) 253-1947

WJCC Recreation Center5301 Longhill RoadWilliamsburg (757) 259-4200

GASTROENTEROLOGY Colonial Gastroenterology400 Sentara Circle, Suite 350Williamsburg (757) 253-5771

TPMG Specialist Center4125 Ironbound Rd.Williamsburg (757) 903-4807

Williamsburg Gastroenterology457 McLaws Circle, Suite 103Williamsburg (757) 221-0750

GENERAL SURGERYHampton Roads Surgical Specialists120 Kings Way, Ste. 2800Williamsburg (757) 345-0141

TPMG Specialist Center4125 Ironbound Rd.Williamsburg (757) 345-2071

Williamsburg Surgery, PC500 Sentara Circle, Ste. 202Williamsburg (757) 984-9850

HAND SURGERYRobert A. Campolattaro, MDNicholas Smerlis, MD5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004

HEALTH PRODUCTS & EQUIPMENTBike Beat4640 Monticello Ave., Ste. 9-BWilliamsburg (757) 229-0096

Bikesmith of Williamsburg515 York StreetWilliamsburg (757) 229-9858

Bikes Unlimited141 Monticello AvenueWilliamsburg (757) 229-4620

Ceo Maidin FeirmCommunity Supported AgricultureToano (757) 566-0009

Conte's Bicycle & Fitness4919 Courthouse StreetWilliamsburg (757) 565-1225

General Nutrition Center4680-18B Monticello Ave.Williamsburg (757) 565-5100

HEARING & AUDIOLOGYColonial Center For Hearing337 McLaws Circle, Suite 3Williamsburg (757) 229-4004

Hampton Roads Ear, Nose and Throat11842 Rock Landing Dr., Ste. 100Newport News (757) 873-0338

Hearing Evaluation & Noise Protection Assoc., Inc.1321 Jamestown Rd., Suite 104Williamsburg (757) 229-4335

Riverside Williamsburg ENT & Allergy Clinic120 Kings Way, Suite 2600Williamsburg (757) 253-1832

Williamsburg ENT-Allergy400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

HEARING AIDSBeltone/Ledford Audiology& Hearing Aid Center 1303 N. Mount Vernon Ave.Williamsburg (757) 220-8975

Bowers Assistive Hearing Service113-L Palace LaneWilliamsburg (757) 220-3674

Moran Hearing Aid Center1158-C Professional Dr.Williamsburg (757) 564-5902

HOSPICE & HOME CAREAgape Home Care354 McLaws Circle, Suite 1Williamsburg (757) 229-6115

At Home Senior Consultants213-A Quarter TrailNewport News (757) 528-0552

At-Home Care366 McLaws Circle, Suite 2Williamsburg (757) 220-2112

Bayada Nurses 7151 Richmond Rd., Suite 201Williamsburg (757) 565-5400

Brookside Home Health460 McLaws Circle, Ste. 250Williamsburg (800) 296-2536

Comfort Keepers15441-A Pocahontas Trail, Lanexa (757) 229-2777

Concordia Group1524-C Merrimac TrailWilliamsburg (757) 229-9930

Hand 'N' Heart461 McLaws Circle, Ste. 3Williamsburg (757) 565-0216

Harmony Care106 Queen Anne Dr.Williamsburg (757) 784-7650

Hope In-Home Care4512 John Tyler Hwy., Ste. GWilliamsburg (757) 220-1500

Hospice of Virginia7231 Forest Ave., Ste. 100Richmond (804) 281-0451

Hospice Support Care4445 Powhatan Pkwy.Williamsburg (757) 253-1220

Intrepid USA212 Packets CT., Williamsburg (757) 220-9331

Karya Home Care, Inc. 376 McLaws Circle, Ste. B1Williamsburg (757) 259-7411

Personal Touch Home Care & Hospice of Va.5581 Bulifants Blvd.Williamsburg (757) 564-6455

Sentara Home Care Services1100 Professional Dr.Williamsburg (757) 259-6251

Riverside Home Care856 J. Clyde Morris Blvd., Ste. CNewport News (757) 594-5600

Riverside Hospice12420 Warwick Blvd., Ste. 7-DNewport News (757) 594-2745

Therapeutic Holistic Wellness Care311 Raven TerraceWilliamsburg (757) 645-2926

HOSPITALS & CLINICSAngels of Mercy Medical Clinic7151 Richmond Rd., Suite 401Williamsburg (757) 565-1700

Berkeley Outpatient Medical & Surgical Center136 Professional CircleWilliamsburg (757) 253-2450


First Med of Williamsburg312 Second St. Williamsburg (757) 229-4141

Lackey Free Family Medicine Clinic1620 Old Williamsburg Rd.Yorktown (757) 886-0608

MedExpress Urgent Care120 Monticello Ave.Williamsburg (757) 564-3627

New Town Urgent Care4374 New Town Ave., Ste. 100Williamsburg (757) 259-1900

Olde Towne Medical Center5249 Olde Towne Rd.Williamsburg (757) 259-3258

Riverside Williamsburg Medical Arts Urgent & Primary Care5231 John Tyler HighwayWilliamsburg (757) 220-8300

Sentara Outpatient Care Center301 Sentara CircleWilliamsburg (757) 984-9900

Sentara Williamsburg Regional Medical Center100 Sentara Circle Williamsburg (757) 984-6000

Travel Health of Williamsburg287 McLaws Cir., Suite 2Williamsburg (757) 220-9008

HYPNOSISJoan R. Milkavich, LPC352 McLaws Cir., Suite 3Williamsburg (757) 564-4590

Linda Pincus, RN, CH240 Patrick's CrossingWilliamsburg (757) 565-6156

Williamsburg Healthy Hypnosis1769-107 Jamestown Rd.Williamsburg (757) 254-1104

INTERNAL MEDICINEKevin R. Bedell, MD4622 Rochambeau Dr.Williamsburg (757) 566-4246

Greensprings Physicians2000 Easter CircleWilliamsburg (757) 564-5540

Internal Medicine of Williamsburg227 McLaws CircleWilliamsburg (757) 564-8182

Kingsmill Internal Medicine477 McLaws Circle, Suite 1Williamsburg (757) 208-0010

The Massey Clinic322 Monticello Ave.Williamsburg (757) 229-0919

New Town Internal Medicine4374 New Town Ave., Ste. 102Williamsburg (757) 259-6770

Riverside Norge Internal Medicine & Pediatrics7364 Richmond Rd.Williamsburg (757) 345-0011

Riverside Williamsburg Primary Care5231 John Tyler Hwy.Williamsburg (757) 2208300

Williamsburg Internal Medicine400 Sentara Circle, Suite 400Williamsburg (757) 645-3150

MEDICAL TRANSPORTATION Lifeline Ambulance24-Hour Service/ Emergency & Non-Emergency TransportationToll-Free: (800) 476-5433

LogistiCareToll-Free: (866) 386-8311

RIDES (Non-Emergency)7239 Pocahontas Trail Williamsburg (757) 345-6166

NEPHROLOGY & RENAL HEALTHDaVita Williamsburg Dialysis500 Sentara Circle, Suite 103Williamsburg (757) 206-1408

Renal Advantage, Inc.4511-J John Tyler Hwy.Williamsburg (757) 229-57017364 Richmond Rd.Williamsburg (757) 229-5890

Sentara Nephrology Specialists500 Sentara Circle, Suite 102Williamsburg (757) 984-9700

TPMG Williamsburg Nephrology105 Bulifants Blvd., Ste. BWilliamsburg (757) 903-4807

NEUROLOGY & NEUROSURGERY

Hampton Roads Neurosurgical & Spine Specialists120 King's Way, Suite 3500Williamsburg (757) 220-6823

Riverside Williamsburg Neurology & Sleep Disorders Center for Adults & Children120 Kings Way, Suite 2700Williamsburg (757) 221-0110

Sentara Neurology Specialists400 Sentara Circle, Suite 305Williamsburg (757) 388-6105

NON-PROFIT ORGANIZATIONSAlzheimer’s Association213-B McLaws CircleWilliamsburg (757) 221-7272

American Red Cross1317 Jamestown Rd., Suite 105Williamsburg (757) 253-0228

Arthritis Foundation-Va. ChapterToll-Free (800) 456-4687

Avalon312 Waller Mill Rd., Ste. 300Williamsburg (757) 258-9362

Bike Walk VirginiaP.O. Box 203 Williamsburg (757) 229-0507

Child Development Resources150 Point O' Woods Rd.Norge (757) 566-3300

DreamCatchers10120 Fire Tower Road Toano (757) 566-1775

Faith in Action354 McLaws CircleWilliamsburg (757) 258-5890

FISH312 Waller Mill RoadWilliamsburg (757)220-9379

Historic Triangle Substance Abuse Coalition161-A John Jefferson SquareWilliamsburg (757) 476-5070

La Leche League of VirginiaWilliamsburg (757) 220-9187

Meals on Wheels227 Richmond Rd.Williamsburg (757) 229-9250

National Alliance on Mental Illness - Williamsburg AreaWilliamsburg (757) 220-8535

National Federation of the BlindWilliamsburg (757) 565-1185

Peninsula Health District1126 Professional DriveWilliamsburg (757) 253-4813

Senior Services Coalition161-A John Jefferson Sq.Williamsburg (757) 220-3480

SpiritWorks Foundation5800 Mooretown Rd.Williamsburg (757) 564-0001

The ARC of Greater Williamsburg202-D Packets Ct.Williamsburg (757) 229-3535

The Center for Excellence in Aging and Geriatric Health3901 Treyburn Dr., Ste. 100Williamsburg (757) 220-4751

United Way312 Waller Mill Rd., Suite 100Williamsburg (757) 253-2264Help Line: (757) 229-2222

Williamsburg AIDS Network479 McLaws Circle, Suite 2Williamsburg (757) 220-4606

NUTRITIONThe Nutrition and Wellness Center151 Kristiansand Dr., Suite 101Williamsburg (757) 221-7074

OBSTETRICS & GYNECOLOGY TPMG Williamsburg OBGYN105 Bulifants Blvd., Ste. BWilliamsburg (757) 903-4807

Wetchler and Dineen Gynecology217 McLaws Cir., Suite 5Williamsburg (757) 229-3254

Williamsburg Obstetrics & Gynecology1115 Professional Dr. Williamsburg (757) 253-5653

Womancare Of Williamsburg120 Kings Way, Suite 3400Williamsburg (757) 253-5600

ONCOLOGYHampton Roads Surgical Specialists120 Kings Way, Suite 2800Williamsburg (757) 873-6434

Peninsula Cancer Institute120 Kings Way, Suite 3100Williamsburg (757) 345-5724

Radiation Oncology Specialists3901 Treyburn Dr., Ste. BWilliamsburg (757) 220-4900

Virginia Oncology Associates500 Sentara Circle, Suite 203Williamsburg (757) 229-2236

OPHTHALMOLOGY Advanced Vision Institute5215 Monticello Ave.Williamsburg (757) 229-4000

Cullom Eye & Laser Center120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

Anthony J. DeRosa, MD101 Tewning Rd.Williamsburg (757) 223-5321

Paul J. McMenamin, MD1155 Professional Dr. Williamsburg (757) 565-2500

Retina & Glaucoma Associates113 Bulifants Blvd., Suite AWilliamsburg (757) 220-3375

OPTOMETRYCullom Eye & Laser Center120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

Eye 2 Eye1147-A Professional Dr.Williamsburg (757) 259-2300

Eyewear Plus Optometric Center101 Tewning Rd.Williamsburg (757) 229-1131

Hampton Roads Eye Associates120 Kings Way, Suite 1300Williamsburg (757) 345-3004

Richard K. Lodwick, ODPamela Lundberg, OD101-A Bulifants Blvd.Williamsburg (757) 564-1907

Carter Murphy, OD5251 John Tyler Hwy.Williamsburg (757) 229-8660

Rosser Optical150-B Strawberry Plains Rd.Williamsburg (757) 220-2020

Jeanne I. Ruff, OD, LLC1107 Richmond Rd.Williamsburg (757) 229-4222

Forest SchaefferMonticello MarketplaceWilliamsburg (757) 258-1020

Williamsburg Eye Care101 Bulifants Blvd., Ste. AWilliamsburg (757) 564-1907

ORTHOPEDICS & SPORTS MEDICINE

Riverside Orthopedics & Sports Medicine120 Kings Way, Ste. 3500Williamsburg (757) 838-5055

Tidewater Orthopaedic & Spine Specialists5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004

TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine4125 Ironbound Rd., Suite 200Williamsburg (757) 345-5870

Virginia Orthopedics & Sports Medicine5335-B Discovery Park Blvd.Williamsburg (757) 253-0603

PAIN MANAGEMENT

Tushar U. Gajjar, MD400 Sentara CircleWilliamsburg (757) 345-4400

Tidewater Pain Management4125 Ironbound Rd.Williamsburg (757) 258-2561

PEDIATRICSPediatric Associates of Williamsburg119 Bulifants Blvd.Williamsburg (757) 564-7337

Riverside Norge Internal Medicine & Pediatrics7364 Richmond Rd.Williamsburg (757) 345-0011

Williamsburg Pediatric, Adolescent & Sports Medicine4374 New Town Ave., Ste. 202Williamsburg (757) 253-5757400 Sentara Circle, Ste. 310Williamsburg (757) 253-5757

PHYSICAL THERAPYBonSecours In Motion Physical Therapy & Sports Performance5700 Warhill TrailWilliamsburg (757) 221-0101

Comber Physical Therapy101-B Bulifants Blvd.Williamsburg (757) 229-97405388 Discovery Park Blvd., Ste. 100Williamsburg (757) 903-4230

Dominion Physical Therapy & Associates, Inc.243 McLaws Cir., Suite 102Williamsburg (757) 564-9628

Norge & The Lymphedema Treatment Center7151 Richmond Rd., Ste. 191Williamsburg (757) 345-0753

PEAK Physical Therapy & Sports Rehabilitation344 McLaws CircleWilliamsburg (757) 564-7381

Reach for Performance, Inc.312-J Lightfoot Rd.Williamsburg (757) 258-1221

Riverside Rehabilitation Outpatient Therapy at Williamsburg120 Monticello Ave., Suite 200Williamsburg (757) 345-3795

Sentara Pediatric Rehabilitation Services5301 Longhill RoadWilliamsburg (757) 984-9900

Sentara Rehabilitation Services301 Sentara Circle Williamsburg (757) 984-9900

Anne K. Sullivan, Ed1769 Jamestown Rd., Ste. RWilliamsburg (757) 564-7002

Williamsburg Hand Therapy Center156-B Strawberry Plains Rd.Williamsburg (757) 565-3400

Williamsburg Physical Therapy4125 Ironbound Rd., Suite 100Williamsburg (757) 220-8383

PLASTIC & COSMETIC SURGERYAesthetic Center for Cosmetic & Plastic Surgery333 McLaws Circle, Suite 3Williamsburg (757) 345-2275

Peninsula Plastic Surgery Center324 Monticello Ave.Williamsburg (757) 229-5200

Plastic Surgery Center of Hampton Roads4374 New Town Ave., Ste. 205Williamsburg (757) 873-3500

PODIATRYMichael Dente, DPM, PLC120 Kings Way, Suite 2900Williamsburg (757) 345-3022

Lightfoot Podiatry Center213 Bulifants Blvd., Suite AWilliamsburg (757) 345-3679

Williamsburg Foot & Ankle Specialists453 McLaws Cir., Ste. 1Williamsburg (757) 220-3311

PREVENTATIVE MEDICINE

Reneau Medical120 Kings Way, Ste. 2550Williamsburg (757) 345-3064

Renaissance Integrative Therapy1158 Professional Dr., Suite DWilliamsburg (757) 220-4996

Williamsburg Health Evaluation Center332 N. Henry St.Williamsburg (757) 565-5637

PROSTHETICS & ORTHOTICSCertified Prosthetic & Orthotic Specialists156-D Strawberry Plains Rd.Williamsburg (757) 833-0911

PSYCHIATRY & MENTAL HEALTHADR Clinical Associates1309 Jamestown Road, Suite 101Williamsburg (757) 220-8800

Colonial Services Board 1657 Merrimac TrailWilliamsburg (757) 220-3200

Lester Dubnick, EdD1309 Jamestown Road, Suite 101Williamsburg (757) 220-0645

Eastern State Hospital4601 Ironbound Rd.Williamsburg (757) 253-5161

Jose A. Erfe, MD and Associates481 McLaws Circle, Suite 1Williamsburg (757) 229-9286

Family Living Institute1318 Jamestown Rd., Ste. 101Williamsburg (757) 229-7927

Insight Neurofeedback & Counseling354 McLaws Circle, Suite 3Williamsburg (757) 345-5802

Charles L. Koah, LPC1769 Jamestown Road, Suite 104Williamsburg (757) 871-3693

New Horizons Family Counseling Center205 Jones HallWilliamsburg (757) 221-2363

Poplar Creek Psychological & Counseling Center3305 Poplar Creek Ln.Williamsburg (757) 564-8522

Psychological Associates of Williamsburg1313 Jamestown Rd., Suite 105Williamsburg (757) 253-1462

Paul D. Reilly, MD1115 Old Colony LaneWilliamsburg (757) 253-0691

Richmond Road Counseling Center1001-A Richmond Rd., Ste. 2 WestWilliamsburg (757) 220-2669

Anne K. Sullivan, EdD, LCP1769 Jamestown Rd., Ste. RWilliamsburg (757) 564-7002

Williamsburg Center for Therapy217 McLaws Circle, Suite 2Williamsburg (757) 253-0371

Williamsburg Psychiatric Medicine, PLLC372 McLaws Circle, Suite 1Williamsburg (757) 253-7651

Your Next Chapter Coaching & Counseling Services1769 Jamestown Rd.Williamsburg (757) 258-0853

RHEUMATOLOGYArthritis & Rheumatic Diseases, PC329 McLaws CircleWilliamsburg (757) 220-8579

SLEEP DISORDERSPulmonary & Sleep Consultants of Williamsburg, PC120 Kings Way, Suite 2200Williamsburg (757) 645-3460

Sentara WRMC Sleep Center400 Sentara CircleWilliamsburg (757) 345-4050

Sleep Disorders Center at Williamsburg Neurology 120 Kings Way, Suite 2700Williamsburg (757) 221-0110

SPAS & MASSAGEAll of You Salon & Day Spa511 York StreetWilliamsburg (757) 784-1869

Blue Sky Wellness - Reiki & Reflexology5008 Liza LaneWilliamsburg (757) 876-6185

Nicole Carson, NCTMB1769-210 Jamestown Rd.Williamsburg (757) 561-9591

Elements Spa at Great Wolf Lodge Resort559 E. Rochambeau Dr.Williamsburg (757) 229-9700

European Beauty Concepts1248 Richmond Rd.Williamsburg (757) 229-2440

European Day Spa3206 Ironbound Rd., Ste. AWilliamsburg (757) 220-4959

Illusions by Marcus374 McLaws Circle, Ste. 1Williamsburg (757) 253-7790

Jamestown Therapeutic Massage4608 Yeardley LoopWilliamsburg (757) 784-8093

Jana Roselynn Laird, NCTMB4939 Courthouse RoadWilliamsburg (757) 846-5707

Massage Therapy Center 1158-A Professional DriveWilliamsburg (757) 880-9020

Refresh! Center for Massage & Healing7151 Richmond Rd., Ste. 302Williamsburg (757) 345-2457

The Right Touch5252 Olde Towne Rd.Williamsburg (757) 229-1866

Positive Energy Massage, LLC1769 Jamestown Rd.Williamsburg (757) 810-4482

Saving Face Day Spa7151 Richmond Rd., Suite 301Williamsburg (757) 221-0490

Serenity Nail & Spa Studio1781 Jamestown Rd.Williamsburg (757) 220-8510

Serenity Place Spa & American Spirit Institute360 McLaws Circle, Ste. 1Williamsburg (757) 220-8000

The Skin Clinic483 McLaws Circle, Suite 1Williamsburg (757) 564-SKIN

The Spa of Colonial Williamsburg307 S. England St.Williamsburg (757) 220-7720

The Spa at Kingsmill1010 Kingsmill Rd.Williamsburg (757) 253-8230

The Spa at Manor Club 101 St. Andrews Dr.Williamsburg (757) 258-1120

Transformative Energy Work7151 Richmond Rd., Ste. 302Williamsburg (757) 229-7819

Tranquil Reflections Massage Therapy & Spa at King's Creek Plantation Resort111-B Petersburg CircleWilliamsburg (757) 345-6789

William A. Diog Health Club & Spa 3000 The MallWilliamsburg (757) 565-6545

Williamsburg Pain Relief Breakthrough 1769 Jamestown Rd., Ste. 109Williamsburg (757) 869-1936

Williamsburg Salt Spa1111 Old Colony LaneWilliamsburg (757) 229-1022

SUBSTANCE ABUSE & ADDICTION 24-Hr. Addictions Referral NetworkToll-Free: (800) 511-9225

Al-AnonToll-Free: (888) 425-2666

Alcohol-Drug Treatment ReferralToll-Free (800) 662-4357

Alcoholics Anonymous(757) 253-1234

Bacon Street Youth Counseling Center247 McLaws CircleWilliamsburg (757) 253-0111

Colonial Services Board 921 Capital Landing RoadWilliamsburg (757) 253-4061

Families AnonymousToll-Free: (800) 736-9805

Narcotics Anonymous(757) 875-9314

Opiate Addiction SpecialistsWilliamsburg (757) 229-4141

Williamsburg Place & The Farley Center5477 Mooretown Rd. Toll-Free: (800) 582-6066

UROLOGY Hampton Roads Urology120 Kings Way, Suite 3200Williamsburg (757) 253-0051

TPMG Williamsburg Urology105 Bulifants Blvd., Ste. BWilliamsburg (757) 903-4807

VASCULAR SURGERYPeninsula Vascular Surgery156-A Strawberry Plains Rd.Williamsburg (757) 229-7939

Pitman Surgical Associates326 Monticello Ave.Williamsburg (757) 229-4958

Williamsburg Dialysis

Dr. Shuping Wang, MD, Medical DirectorNicole Lee, RN, Administrator

(757) 206-1408500 Sentara Circle, Suite 103 | Williamsburg, VA 23188

In-center hemodialysis, peritoneal dialysis, and home hemodialysis. Visiting dialysis patients also welcome.

Peace of Mind&Undeniable ValueAt Heritage Commons, when your needs change, you don’t have to change your residence. Here, as you need additional health services, you will havepeace of mind knowing that you can stay in your home and receive all of the benefits supplied by our partnerships with local healthcare providers.

To find out more about our healthcare partnerships or to schedule a personal tour, contact us today.

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Riverside Cardiovascular Health

Vasudev G. Ananthram, MD, FACC, Board-Certified Cardiologist, Board-Certified in Nuclear Cardiology

Joseph T. Adinaro IV, MD, Board-Certified Cardiologist

Darlene Hinojosa, MSN, FN-P, CS, Nurse Practitioner

• Permanentpacemakerimplantations• Diagnosticcatheterization• Holtermonitors

RIVeRSIDe CARDIoVASCulAR HeAlTH

Wekeepyougoingstrong.AtRiversideCardiovascularHealth,Drs.AnanthramandAdinaro,board-certifiedincardiovasculardisease,andMs.Hinojosa,NursePractitionerarededicatedtoprovidinghighquality,uptodate,compassionatecaretothecommunitiestheyserve.

Theyprovideawidearrayofcardiacconsultingservicesincluding: • Echocardiography • Nuclearmedicine • Stresstesting

117 Bulifants Blvd., Suite BWilliamsburg, VA 23188

757.259.9540New patients welcome • Office hours by appointment

At Riverside Cardiovascular Health, Drs. Ananthram, Adinaro, board-certified in cardiovascular disease, and Ms. Hinojosa, Nurse Practitioner, are dedicated to providing high-quality, up-to-date, compassionate care to the communities they serve.

30 PEOPLE WANTED......to try the absolute latest wave in Digital Hearing Aid Technology—RISK FREE!

“An audiologist is the most qualified person to evaluate and interpret the results of your hearing tests. In addition, he or she may find problems or syndromes that have been overlooked by hearing aid specialists.”

When I needed a hearing evaluation, I consulted an audiologist.

Candidates will be selected by February 28th. Those interested need to Call for an Appointment.

(757) 229-4004

Dr. Jude Liptak will perform comprehensive hearing evaluations AT NO CHARGE for the first 30 qualified callers to determine if you are a candidate for this program. Applicants selected will be asked to evaluate the latest Hearing Aid Technology for 30 days. Participants who wish to keep the instruments after their clinical field demonstration can do so at a tremendous savings due to their participation.


Q:

second opinion

Loel Payne, M.D., is an orthopaedic surgeon with Tidewater Orthopaedic Associates Shoulder Specialists. He completed a fellowship in shoulder surgery and sports medicine at the Hospital for Special Surgery in New York. He has written multiple articles and book chapters and lectured nationally on shoulder conditions.

ulder sevnful. Wh

I injured my shoulder several months ago and it is still painful. What could be wrong?

A: Each year an estimated four million people seek medi-cal attention for shoulder injuries. As a shoulder surgeon, I frequently see patients with one of three main shoulder complaints: their shoulder is unstable after an injury or dislo-cation, their shoulder is stiff and they have limited movement, or they feel pain and weakness when trying to reach over-head—pain that often gets worse at night. Here’s a look at the three most common sources of shoulder pain:

Shoulder instability is more prevalent in younger patients and often occurs after a fall when the ball (humeral head) of the shoulder joint is knocked out of the socket (glenoid). The cartilage (labrum) that supports the glenoid may tear, or the ligaments that connect the humeral head to the glenoid may stretch. This injury can lead to a continuing sensation that the shoulder is slipping out of its socket.

Shoulder stiffness, or “frozen shoulder,” is a condition where the shoulder spontaneously stiffens and becomes pain-ful even though the patient has not experienced an injury. For reasons not well understood, the lining of the shoulder joint thickens and contracts, thus limiting movement. The condi-tion is more common in middle-aged women and is particu-larly worse in diabetics. People often tolerate a stiff, painful shoulder for months until they can’t reach behind their back or out to the side. Arthritis of the shoulder causes similar symptoms but can be ruled out with X-ray imaging.

Rotator cuff pain is the most common cause of shoulder pain. The rotator cuff is comprised of four muscles and their tendons that attach to the humeral head. Rotator cuff pain is usu-ally caused by inflammation of the tendons, a condition called tendonitis or bursitis. The bursa is a small, fluid-filled sac that rests on top of the rotator cuff tendons and helps lubricate the tendons as they glide under the acromion, a bony ledge found on top of the shoulder. If a bone spur develops here, it pinches or rubs (impinges) on the tendons and bursa, causing bursitis. Repetitive overhead motion produces a similar type of pain. The outer portion of the upper arm hurts each time the arm is raised overhead (some people feel pain when lying on their side, which makes sleeping uncomfortable). The rotator cuff tendons can also tear as a result of repetitive rubbing, similar to how rubbing an old rope between your hands will cause it to tear, as a result of a traumatic injury such as a fall. The pain of a rotator cuff tear is similar to that caused by bursitis, but the night pain is worse and weakness in the shoulder and arm may develop.

Q: What are my treatment options for chronic shoulder pain?

A: Exercises designed to strengthen the rotator cuff are often the best means of treating shoulder instability caused by stretched ligaments. A torn labrum, however—especially in younger patients—often requires a surgical repair to prevent further dislocation.

If detected early, a frozen shoulder can be managed with non-surgical interventions such as anti-inflammatory medica-tions (e.g., ibuprofen), physical therapy to stretch the shoulder and cortisone injections into the joint. Sometimes a patient will benefit from physical manipulation—stretching the shoulder while a patient is under anesthesia—to help regain mobility in the shoulder. If other measures fail, a surgeon can cut through the tight areas of the joint’s lining to improve movement.

Bursitis pain usually resolves with rest, ice and occasional medication. Physical therapy or a cortisone injection may be needed if the pain persists. Arthroscopic surgery to remove the bone spur and inflamed bursa is recommended as a last resort treatment.

Complete rotator cuff tears do not heal without surgery, though some patients choose to live with the condition.

Q: Is shoulder surgery painful? How long is the recovery time?

A: Advancements in the understanding of shoulder injuries as well as newer treatment options are dramatically improving surgical outcomes with better results and reduced pain. For most patients, today’s surgeons can restore shoulder function to near normal.

In the past, shoulder repairs were done through large, open incisions and required an overnight hospital stay. Modern arthroscopic techniques now allow surgeons to repair tears di-rectly, without compromising other structures in the shoulder.

Arthroscopic surgery works like this: A small camera is inserted into the shoulder joint to inspect the problem, and the tear is repaired through two or three additional quarter-inch incisions. Anchors that are eventually absorbed by the body are inserted into the bone where the rotator cuff tendon or cartilage has torn, and sutures are passed through the torn tissue and tied to secure the repair. The surgery is performed in an outpatient setting and can be done without general anesthesia. There is still a lengthy three-to four-month recov-ery process involved, but sparing healthy tissues starts the patient on the right path toward full rehabilitation.

860 Omni Blvd., Suite 204 | Newport News, VA 23606 | 757-874-1077 | 1-800-889-3627 | www.bonsecourshamptonroads.com/hernia

Keeping You Active.

STEVEN B. HOPSON, M.D., F.A.C.S, DirectorThe Hernia Center at Mary Immaculate

The region’s only comprehensive hernia care center.

• inguinal• incisional• laproscopicandsinglelumen(SILS)•umbilical• sportshernia

4801 Courthouse St., Suite 122(located in the SunTrust Building of New Town)

Call (757) 345-6801

My husband and I celebrated our 20th wedding anniversary last May by taking a cruise. I’d always thought of myself as a “fit” person, but fell off the workout chart about four years ago.

A friend referred me to Gina French at B-defined. Every workout was a challenge. She also encouraged me to make better food choices outside of the studio.

By the time we left for our cruise, I had met my weight-loss goal—a huge accomplishment. I have more energy, sleep better and just feel better overall. Making an investment in my health and personal fitness has been one of the most important choices I’ve ever made.

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Full Service, State-of-the-Art, Gentle Dental Care lFamily Dentistry lCosmetic Dentistry lImplants lInvisalign Clear Braces lZOOM Whitening 4939 Courthouse StreetWilliamsburg, Virginia 23188757.259.0741

Located in New Town across from the theater parking lot.

5408 Discovery Park Blvd., Williamsburg, VA 23188 www.pintochiro.com

Call to schedule your appointment.

757.220.8552

Your well-being is always at the center of our attention.

Dr. Anne Pinto and Dr. Robert Pinto, would like to welcome

Dr. Michelle Booth to their practice.

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FebruaryCalendar2010

20th

2824th

20th

7thPilates DemoStop by Body Balance (370 McLaws Circle, Williamsburg) with a friend between noon and 3 p.m. to learn about classes offered and see yoga and Pilates demon-strations. New clients will receive a free class pass, and current clients who bring a friend will get a discount on any purchases made that day. Cailin Yates, independent consultant with Arbonne International, will provide samples of Arbonne’s Sea Source Spa Detox Set. For more information, call (757) 221-0774

Meet and GreetJoin Pediatric Associates of Williamsburg (119 Bulifants Blvd.) at 5:30 p.m. for an open house. If you are a new parent, new to the area, or simply looking for a pe-diatrician, you’ll enjoy meeting their physicians and nurse practitioners as well as receive a tour of the facility. Call (757) 564-7337, option 3, to register.

Baby Care 101New and expectant parents are invited to learn ways to provide a safe and secure environment for their infant during a free class offered at Pediatric Associates of Williamsburg (119 Bulifants Blvd.) from 7 to 9 p.m. Topics will include soothing your baby, belly button and diaper care, how to position your baby for sleep and general household and car seat safety tips. Call (757) 564-7337, option 3, to register.

Youth Athletics & Camp RegistrationFrom 9 a.m. to 1 p.m., James City County residents are invited to the James City/Wil-liamsburg Community Center to learn about the recreational programs and services available through James City County Parks and Recreation. Parents can opt for early en-rollment in summer camps, and all local athletic leagues will be providing information.

Health & Wellness ExpoMeet The Health Journal staff during a free health and wellness expo, to be held from 10 a.m. to 2 p.m. at the offices of Maidstone Dental and Chickahominy Family Physicians Maidstone in New Kent. Contact Lisa Robertson at [email protected] for more information.

18th

“The Doctor Is In”After a brief hiatus during the holidays, Riverside’s free monthly health lecture series, “The Doctor is In,” resumes with a fresh lineup of Riverside Medical Group’s physicians eager to share information on health topics related to aging. Each month’s talk begins at 9 a.m. in the Food Court at Patrick Henry Mall (near the fireplace). Chick-fil-A provides complimentary coffee at each meeting.

31st Annual Colonial Half MarathonHead to William and Mary Hall for the 31st Annual Colonial Half Marathon, hosted by the college’s Department of Track and Field. Registration will be held from 10 a.m. to noon, with a half marathon (13.1 miles) beginning at 1 p.m. and a 5K (3.1 miles) starting at 1:10 p.m. Both events are open to the public. Cost to register is $55 for the half marathon and $30 for the 5K. Apply online at www.tribeclub.com or www.active.com. For more information, call William and Mary Special Events at (757) 221-1599.

th

11th


FebruaryCalendarABORTION RECOVERY GROUPMary Immaculate HospitalTuesdays, 7 p.m.(757) 886-6364

ABUSEDating Violence

Wednesdays, 4:30 p.m.(757) 221-4813

Domestic abuse/assault

Mondays, 7 p.m.(757) 258-5022

Williamsburg Baptist ChurchMondays, 7 p.m.(757) 258-9362

ADDICTIONgamblers anonymous

Williamsburg PlaceMondays, 7 p.m.(800) 522-4700

sexaholics anonymous

E-mail for dates/[email protected]

AIDSWilliamsburg AIDS Network2nd & 4th Wednesday(757) 220-4606

ALCOHOL & DRUG RECOVERYColonial ChapterMeets monthly.(757) 253-4395

Bethel Restoration CenterMondays, 7 p.m.(757) 220-5480

KiDs’ group

Spirit Works (757) 564-0001

parents’ group

Bacon Street Mondays, 6 to 7:30 p.m.(757) 253-0111

Women only

Spirit Works Wednesdays, 7 to 8:30 p.m.Thursdays, 2:30 to 4 p.m.(757) 564-0001

al-anon/alateen

Meetings held daily.Visit www.va-al-anon.org

alcoholics anonymous

Meetings held daily.Visit www.aa.org.

marijuana anonymous

Tuesdays, 7 p.m.Mt. PleasantBaptist Church(757) 476-5070

narcotics anonymous

Meetings held daily.Visit www.na.org.

suboxone therapy

Mary Immaculate Hospital3rd Wednesday, 7 p.m.(757) 886-6700

ALZHEIMER’S DISEASE Immaculate Conception Church2nd Monday, 1 p.m.(757) 873-0541

Morningside Assisted Living3rd Wednesday, 2 p.m. (757) 221-0018

Morningside Assisted Living2nd & 4th Wed., 5:30 p.m.(757) 594-8215

Dominion Village 3rd Thursday, 2 p.m.(757) 258-3444

Williamsburg United Methodist Church3rd Tuesday, 11 a.m.(757) 724-7001

Eden Pines2nd Tuesday, 7 p.m.(757) 826-5415

Second Presbyterian Church1st Tuesday, 7 p.m.(757) 930-0002

James River Convalescent Center2nd Friday, 10 a.m.(757) 595-2273

The Chesapeake3rd Tuesday, 1 p.m.(757) 223-1658

Family Centered Resources3rd Thursday, 1:30 p.m.(757) 596-3941

Warwick Forest2nd Thursday, 7 p.m.(757) 867-9618

Family Connections2nd Tuesdays, 1 to 3 p.m.Registration required. (757) 221-7272

early memory loss Mary Immaculate Hospital 2nd Tuesday, 10 a.m.(757) 599-6847 or(757) 930-0002

ARTHRITISMary Immaculate Hospital4th Tuesday, 10:30 to noon(757) 886-6700

AUTISM Peninsula Autism SocietyKing of Glory Lutheran Church Last Thursday, 7:30 p.m. (757) 259-0710

Grafton Baptist Church2nd Monday(757) 564-6106

BEREAVEMENT/GRIEF Sentara CarePlex Hospital2nd & 4th Wednesday 5 to 6:30 p.m.(757) 827-2438

Hospice House2nd Monday, 7 p.m.(757) 258-5166 or (757) 229-4370

Mary Immaculate Hospital 1st & 3rd Thursday, 7 p.m.(757) 886-6595

Mary Immaculate Hospital2nd & 4th Monday, 6 p.m.(757) 737-2287

chilD loss

Williamsburg Hospice House2nd Monday(757) 645-2192

St. Luke’s United Methodist Church1st Monday, 7:30 p.m.(757) 886-0948

Morningside Assisted Living2nd and 4th Wed., 5:30 p.m.(757) 594-8215

Riverside Hospice2nd Thursday, 7 p.m.(757) 594-2745

JCC/W Community Center1st Tues., 7:30 to 8:30 a.m.(757) 253-1220or [email protected]

miscarriage / stillbirth

Mary Immaculate Hospital3rd Thursday, 7:00 p.m. (757) 886-6791

suiciDeCatholic Charities3rd Tues., 7 p.m.(757) 875-0060

young WiDoW/WiDoWerWilliamsburg Hospice House1st Monday(757) 645-2192

BREASTFEEDING La Leche League of Va.Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m.(757) 766-1632 or (757) 224-8879

Sentara Williamsburg Regional Medical CenterYorktown RoomM., W., Thurs., 10 a.m.(757) 984-7299

Riverside Cancer Care CenterMondays, 11 a.m.(757) 594-3399 CANCERBreast CanCer

Riverside CancerCare Center2nd Thursday, 7 to 8:30 p.m. (757) 594-4229

Mary Immaculate Hospital3rd Wednesday, 7:30 p.m.(757) 874-8328

Sentara CarePlex Hospital3rd Tuesday, 7 to 8:30 p.m.(757) 594-1939 Young women's group3rd Sunday, 2 p.m.Call for location.(757) 566-1774

Post-menopausal group1st Monday, 1:30 p.m.Call for location.(757) 258-4540

colorectal cancer

Sentara CarePlex Hospital3rd Wed., 1 to 2:30 p.m.(757) 736-1234

leuKemia/lymphoma Sentara CarePlex Hospital1st Tuesday, 7 to 8:30 p.m.(757) 827-2438

The Leukemia and Lymphoma SocietyYoung Adult GroupCall for meeting dates, times and locations. (800) 766-0797

"looK gooD, Feel better"Sentara CarePlex Hospital2nd Monday, 2 to 4 p.m.(757) 827-2438

Sentara Williamsburg Regional Medical Center2nd Monday, bi-monthly(757) 984-1218

lung/respiratory cancer

Sentara CarePlex Hospital1 to 2 p.m., call for dates.(757) 827-2438

prostate cancer Sentara CarePlex Hospital2nd Tuesday, 7 to 8:30 p.m.(757) 827-2438

CAREGIVER SUPPORTMary Immaculate HospitalFirst Wednesday, 1 p.m.(757) 886-6700

Colonial Heritage Clubhouse3rd Thursdays, 2:30 p.m.(757) 253-1774 or(757) 345-6974

York Public LibraryCommunity Room2nd Tuesday, 7 p.m.(757) 890-3883

CELIAC DISEASE Monticello Ukrop’sCall (757) 564-0229

CHRONIC FATIGUE SYNDROMEMary Immaculate Hospital1st Thursday, 7 p.m.(757) 886-6700

CROHN’S DISEASE/COLITIS Sentara CarePlex Hospital1st Saturday, 1 p.m.(757) 736-1234

DIABETES Mary Immaculate Hospital2nd & 4th Tuesday, 1 p.m.(757) 886-6100

Sentara Williamsburg Regional Medical CenterCall for day and time. (757) 984-7106 or (757) 984-7107

Sentara Center for Health and Fitness3rd Wednesday, 4 to 5 p.m.(757) 827-2160

Mary Immaculate Hospital3rd Tuesday, 1 p.m.(757) 886-6700

type 2Riverside Regional Medical Center3rd Tuesday, 11 a.m.(757) 534-5918

insulin pump

Riverside Regional Medical Center4th Tuesday, 7 p.m.(757) 534-5918

EATING DISORDERSOvereaters AnonymousChestnut Memorial ChurchMondays, 7 p.m.; Thursdays, 11 a.m.(757) 898-3455

FIBROMYALGIA Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725

HEARING LOSS Hearing Loss Association2nd Sat., 10:30 a.m. (757) 564-3795

HEART DISEASERiverside Regional Medical CenterCall for dates/times.(757) 875-7880

Women only

Sentara Williamsburg Regional Medical Center1st Monday, 7 [email protected]

HUNTINGTON’S DISEASEMary Immaculate Hospital3rd Friday, 7 p.m.(757) 886-6700

JOB TRANSITIONGreat Harvest Bread Co. Wednesdays, 7 a.m.

KIDNEY DISEASESentara CarePlex Hospital 1st Wed., 6 to 7:30 p.m. (757) 244-3923

LOU GEHRIG'S DISEASE (ALS)St. Luke's United Methodist 4th Thurs., 6:30 p.m.(866) 348-3257 or www.alsinfo.org

MENTAL ILLNESSsupport

St. Stephen Lutheran Church1st Tuesday, 7 p.m. (757) 220-8535

500-C Medical DriveWed., 6 to 7:30 p.m.(757) 503-0743

recoVery

Denbigh Church of Christ1st & 3rd ThursdaysCall for time.(757) 850-2279

St. Stephen Lutheran Church1st Tuesday, 7 p.m.(757) 220-8535

Depression/bipolar

St. Mark’s Episcopal Church2nd & 4th Wed., 10:30 a.m.(757) 247-0871

obsessiVe-compulsiVe

Riverside Behavioral Health Center3rd Thurs., 7:30 p.m. to 9:30 p.m.(757) 827-1001

MULTIPLE SCLEROSISJCC/W Community Center2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902

aFrican-americans Hampton Public Library1st Thursday, 10:30 a.m.(757) 490-9627

MYASTHENIA GRAVISJames City County LibraryEvery other month on the 4th Sat., 1 p.m.(757) 810-1393

OSTOMYSentara Williamsburg Regional Medical Center 1st Sun., 3 p.m.Meets Quarterly. (757) 259-6033

PARENTINGJCC/W Community CenterThursdays, 6 to 7:30 p.m.(757) 229-7940

chilDren With Disabilities

St. Martin’s Episcopal Church2nd Thursday, 6:30 p.m.(757) 258-0125

JCC/W Community Center1st Tuesday, 12 to 1 p.m.(757) 221-9659 or e-mail [email protected]

Fathers only

York River Baptist Church1st & 3rd Mondays, 6 to 8 p.m.(757) 566-9777

granDparents as parents

Williamsburg LibraryConference Room C2nd Tuesday, 10 a.m.(757) 253-2847

hispanic parents

Wellspring United Methodist Church1st & 3rd Fri., 10 a.m. Transportation available.(757) 566-9777

neW mothers

Sentara WilliamsburgRegional Medical CenterThursdays, 10 to 11:30 a.m.(757) 259-6051

St. Mark Lutheran ChurchThursdays, 10 to 11:15 a.m.(757) 898-2945

stay-at-home moms

Olive Branch Christian ChurchFridays, 10 a.m.(757) 566-3862

stepFamilies

Williamsburg UnitedMethodist Church4th Monday, 7 p.m.(757) 253-2971

PARKINSON’S DISEASE Sentara CarePlex Hospital1st Tuesday, 3 p.m.(757) 827-2170

Williamsburg Landing2nd Monday, 1:30 p.m.(757) 898-6674

Riverside Regional Medical Center4th Wednesday, 7 p.m.(757) 875-7880

Mary Immaculate Hospital3rd Wednesday, 1 p.m.(757) 886-6381

PMSHistoric Triangle Senior Center2nd & 4th Wed., 5:30 p.m.(757) 220-0902

POLIOSentara CarePlex Hospital3rd Saturday, 2 to 4 p.m.(757) 596-0029 STROKE/BRAIN INJURYR. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m.(757) 984-9900

Va. Peninsula Stroke ClubRiverside Rehabilitation Institute 1st Wednesday, 10 a.m.(757) 928-8327

Riverside Rehabilitation InstituteWednesdays, 3:30 p.m.(757) 928-8327

Riverside Rehabilitation InstituteLast Wednesday, 4:30 p.m.(757) 928-8050

VASCULITISMary Immaculate Hospital1st Sat., 10 a.m. to noon(928) 380-0319

VISION LOSS1st Saturday, 1 p.m.JCC/W Community Center(757) 565-1185

WEIGHT MANAGEMENTmall WalKing club

Meets at Patrick Henry MallCall for date/time. (757) 249-4301

Warwick Memorial United Methodist ChurchWednesdays, 9 a.m.(757) 850-0994

St. Mark’s Methodist ChurchThursdays, 8:30 a.m. (757) 850-0994

Hope Lutheran ChurchMondays, 5:45 p.m. (757) 850-0994

First Christian ChurchThursdays, 6:00 p.m. (757) 850-0994

Fox Hill Road Baptist ChurchMondays, 6:30 p.m. (757) 850-0994

Olive Branch Christian ChurchTuesdays, 9:45 a.m. (757) 850-0994

WOMEN'S ISSUESWilliamsburg Baptist ChurchMondays, 7 p.m.(757) 258-9362

Support Groups


Joseph Adinaro showed an interest in medicine at an extremely early age. In fourth grade, when a fellow classmate fell and hurt his head, Adinaro pushed through the crowd of children gathered around to assess the scene. “I said,

‘Let me have a look at him.’ My teacher turned to me and said, ‘Where’s your doc-tor’s license?’”

The rest is now history. After receiving his undergraduate degree from George Mason University, Adinaro earned his medical degree from Eastern Virginia Medical School in 2000. During his residency, he spent several months as an Air Force doctor, serving in Afghanistan and Iraq. “We had 600 pounds of equipment that could turn any airplane into an emergency room,” he says.

While he admits it was sometimes lonely as the only doctor at 30,000 feet, these days Adinaro has his feet planted firmly on the ground. He practices with Cardio-vascular Health in Williamsburg and is an active medical staff member at Riverside Regional Medical Center in Newport News and Sentara Williamsburg Regional Medical Center.

As a busy father of five young children, his plate is quite full—literally. Finding time for some of his favorite sports—golf and volleyball—can be difficult amid long work hours and taking care of family, so Adinaro has turned to another favorite activity. “I also enjoy cooking,” he says. “When I was young, my grandmother would host din-ner for the extended family on Sunday afternoons. I have resumed the tradition and enjoy hosting dinners for family and friends.”

Recently, The Health Journal asked Adinaro to offer his top tips for heart health and more. Here are excerpts from our interview:

INTERVIEW BY SHARON MILLER CINDRICH

PHOTOGRAPHY BY BRIAN M. FREER

Joseph T. Adinaro, IV, M.D.

profile

Why he chose cardiology: Cardiology became an inter-est during my medical training. I was looking for something that had continuity. I wanted a relationship with my pa-tients. It is a very research-driven field. It’s very mechani-cal—fairly complicated, but simple in my mind. You can really wrap your mind around it.

On his training in Iraq and Afghanistan: I spent one month in Afghanistan and three months in Iraq. I found it fantastically rewarding. My job in Iraq was critical care. I was flying with an intensive care unit and transporting critically injured soldiers. Within 20 minutes they were in a chopper, in an hour they were in surgery in an operating room to get stabilized, then they could be flying to Germany by the end of the night.

Who he helps now: College students. Middle-aged people. Seniors. There is a wide range in age, but I see many more 80- and 90-year-olds than any other type of patient.

The biggest myth about heart health: I think there’s a general misunderstanding about how heart dis-

ease really works. We used to believe that blockages would progress over time and eventually close the artery, but we have discovered that mild blockages can break open and the artery can suddenly close with a clot. Inflammation and the endo-thelium [a thin lining of blood vessels in the arteries] are big players. Treating risk factors—like high blood pressure, high cholesterol, diabetes and smoking—is what makes a difference.

What people can do to keep their heart healthy: Exercise, aerobic exercise specifically, actually keeps your heart in better shape, as does modifying your risk factors. Smoking is the single worst thing you can do for your heart. The nicotine paralyzes the lining of the blood vessels. When that happens, you’re at higher risk for heart disease.

Biggest professional challenge: Trying to get through to patients who have their mind set against making a positive change, like quitting smoking. Or they don’t want to take medications. Also, keeping people from being their own doctor. The patient that frustrates me the most says, “This is what I believe, and that’s the way it is.”

Who he admires: The folks who trained me—I’ve trained with some amazing phy-sicians. Their work ethic, tenacity and brilliance are inspiring. I do my best to come close to that. Everyone has their own thing—some docs have great bedside skills, other folks have the science down pat. You take pieces from everyone and try to be the best you can.

What surprises him most in his practice: Everybody’s different. I see everyone from the teen with palpitations and it’s nothing, to the 40-year-old who has horrible cancer and will die soon, to the 80-year-old who’s out on the golf course.

The most beautiful thing about the human heart: The heart is fascinating and elegant in its design and function with its own mechanical, plumbing and electrical systems. Many animals have the same design—including pigs and cows—which is useful when you need to exchange a part.

Honestly, the most beautiful thing about the human heart, which is unique to the species, is its metaphorical exploration by artists, poets, songwriters and philoso-phers. The fleshy pump keeping us all going is quite humble compared to the lofty poetic heart.

Who Would you trust With your joint replacement?

Hampton office:901 Enterprise Parkway, Suite 900Hampton, VA 23666

www.tidewaterortHo.com

williamsburg office:5208 Monticello Avenue, Suite 180Williamsburg, VA 23188

he just got a joint replacement at tideWater ortho...she didn’t.


u Loel Payne, MD


u Paul Savas, MD



u Sara Bouraee, DPM u Robert Campolattaro, MD u Nicholas Smerlis, MD

u Jenell Eddins, PA-C


(757) 637-7016

If painful joints are keeping you from enjoying life, please call the specialists of Tidewater Ortho. Our dedicated team of physicians, physical therapists, and health professionals will get you back to conquering the hills again.

Who Would you trust With your joint replacement?

Hampton office:901 Enterprise Parkway, Suite 900Hampton, VA 23666

www.tidewaterortHo.com

williamsburg office:5208 Monticello Avenue, Suite 180Williamsburg, VA 23188

he just got a joint replacement at tideWater ortho...she didn’t.


u Loel Payne, MD


u Paul Savas, MD



u Sara Bouraee, DPM u Robert Campolattaro, MD u Nicholas Smerlis, MD

u Jenell Eddins, PA-C


(757) 637-7016

If painful joints are keeping you from enjoying life, please call the specialists of Tidewater Ortho. Our dedicated team of physicians, physical therapists, and health professionals will get you back to conquering the hills again.

NEWPORT NEWS Riverside Cancer Care Center

12100 Warwick Blvd., Suite 201, Newport News, VA 23601

757-534-5555

GLOUCESTER Middle Peninsula Cancer Center

7544 Medical Drive, Gloucester, VA 23061

804-693-9037

WILLIAMSBURG Riverside Healthcare Center

120 Kings Way, Suite 3100, Williamsburg, VA 23185

757-345-5724For more information, please visit our website: www.peninsulacancerinstitute.com

Peninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment right here in Williamsburg. All PCI Doctors are Board-Certified by the American Board of

Internal Medicine in Medical Oncology. Selected physicians are also Board-Certified in Hematology and Palliative Medicine. The following services are housed under one roof and integrated into the treatment of each patient

according to need and desire: patient navigation, chemotherapy, radiation therapy, genetic counseling, nutritional counseling, family services, massage therapy, pet therapy, music therapy, patient/family education, and cutting-edge clinical research trials. PCI is a member of the Cancer Trials Support Unit (CTSU) as an independent clinical research site. CTSU is a project sponsored by the National Cancer Institute.

Mark E. Ellis, MD; Laura D. Kerbin, MD; Nancy F. McKinny, MD; Lynn B. Ellis, CFNP; Holly Chesebrough, CFNP; and staff at the Williamsburg Location.

PENINSULA CANCER INSTITUTE In the Riverside Healthcare Center | 120 Kings Way, Suite 3100, Williamsburg, VA 23185PCI

PCI_JAN2010.indd 1 12/31/09 10:52 AM

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