March 2006

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         Diet vs.                      Visit Us   Search Our            Postage Paid
                                                                      Williamsburg, VA
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         Dieting                       On-Line    Health Directory
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Vol. 1 No. 10

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     Inside this Issue                                                               Vol. 1 No. 10

                               5             6
                                             Yoga Exclusive:

                           Local Beat        Understanding
                                             the mind and
                           What's            body connection
                           in Williamsburg
                           this month?

                                             8     Going Mediterranean:
                                                   A good direction to travel

             14   What's in
                  the BEEF?
                                                                            Your head-start
                                                                            guide to protecting
                                                                            your skin from the
                                                                            damaging effects of
                                                                            the sun

MARCH 2006
                                                                                        HEALTH JOURNAL   3

                                                                            The Fruits of Our Labors
                                                                                                                              Lately I’ve been contemplating my role as a writer. It all

                                                                      photo by Brian M. Freer
                           Publisher Brian M. Freer                                                                           started while I was working on a story for the February issue about Dream
                 Executive Director Rita L. Roemer                                                                            Catchers, a therapeutic riding program for children and adults with special
                                                                                                                              needs. I drove to the horse farm to meet the staff and take photos of the horses.
                              Editor Page E. Bishop
                                                                                                                              It had rained the day before, so the pastures were muddier than usual. I’m no
                     Assistant Editor Beth Shamaiengar                                                                        city girl, but neither am I what you’d call the outdoor type. But I had a job
                     Technical Editor Ravi V. Shamaiengar, MD                                                                 to do, so I asked for a pair of muck boots and ventured out into the mud and
                       Art Direction Brian M. Freer
                                                                                                                                  The afternoon light was beautiful and the magnificent horses circled around
                          Contributing Writers                                                                                me with ample curiosity. Once they discovered that my camera was not edible,
                                                                                                                              they left me alone to my work. There I met Kathleen Almeda, a young woman
           Christopher Boquist, MD      John R. Nordlund, MD, PhD
                                                                                                                              with a rare type of cerebral palsy. She agreed to an interview about her ties to
           Sandra C. Liebler, MS Ed     Keith Schumann, MD
                                                                                                                              Dream Catchers. She and I have since become friends, and we meet for coffee
                     Greg Tudor, CPT Jennifer Daly, PhD, RYT                                       Page E. Bishop
                                                                                                             Editor           on occasion. She surprised me with a gift – a framed photograph of her favorite
                         Don Harris     Jesse Madden                                                                          horse. It sits at home on my desk, the place where I do most of my writing.
                                                                                        Williamsburg Health Journal
                                                                                             After we ran the story, Ruth Hopke, executive director of Dream Catchers,
                                                                                                                              said she could sense through my writing that the story was close to my heart.
            Elizabeth Mannsfeld Brian M. Freer
                                                                                                                              This was especially gratifying for me, because my fascination with Ruth was
                         Page E. Bishop                                                                                       immediate. Her worthwhile and diligent work – on an open farm where smells
                               Proofreader                                                                                    of horses, leather and hay waft by – commands a certain respect from an
                       Sandra C. Liebler, MS Ed                                                                               outsider like myself. Her job is challenging yet rewarding. She helps disabled
                                                                                                                              children, some of whom have never walked or spoken, gain greater self-
                               Circulation                                                                                    confidence and independence. When I brought Ruth the final copy, she hugged
                            Press Run: 15,000                                                                                 me so tightly I could smell her hair and clothes. They smelled of fresh air
                           Direct Mail: 13,400                                                                                and grass. Then I thought of my workspace – desk, laptop, pens and stacks of
                       Homeowners & Businesses in
                        23185 & 23188 zip codes.                                                                              papers – and wondered if I smelled like my office, like coffee and ink, perhaps.
                          U.S. POSTAL CARRIER                                                                                     For another assignment, I spent an afternoon last month with Ramona Huff,
              Williamsburg Health Journal is direct-mailed to                                                                 a businesswoman-turned-farmer who, along with her husband, owns Gryffon’s
           nearly 13,000 homes in Williamsburg, James City                                                                    Aerie, a farm just outside of Charlottesville. I went to learn more about their
           County and Northern York County. WHJ is delivered to                                                               farming practices, which go against the grain of modern agricultural methods
           over 700 businesses in the 23185 and 23188 zip codes.
                                                                                                                              (read more about grass farming on page 14).
           Newstand and countertop distribution supplement our
           hand delivery program.                                                                                                 Upon arrival, I was immediately taken by the pastoral landscape of rolling
                                                                                                                              hills and grazing cattle. I thought back to my laptop, my desk and piles of
              Subscriptions available for $20/year. Please send                                                               papers, and wondered what it would be like to trade in my red pen for a shovel
           check or money order, payable to RIAN Enterprises,
                                                                                                                              and trade my collared shirt for a pair of coveralls.
           LLC, to address below. Include mailing address and
           contact information. Notify of change in address.                                                                      Ramona sent me on my way, graciously, with a dozen freshly-laid eggs and
                                                                                                                              a slab of natural sausage. During the drive home I reflected on my newfound
              The editorial content of Williamsburg Health Journal                                                            reverence for land and livestock. People like Ruth and Ramona seemed to live
           is produced with the highest standards of journalistic
                                                                                                                              a humble life, close to the earth and the animals, and enjoy a life filled with
           accuracy. Readers should not substitute information in
           the magazine for professional health care.                                                                         meaning and purpose. They show generosity through kind and simple gestures;
                                                                                                                              they work hard and enjoy the fruits of their labors.
               Editorial contributions are welcome. All submissions                                                               At that moment I realized it wasn’t farm life to which I aspired; rather, it
           become the property of the publisher. We reserve the
                                                                                                                              was the pride, passion and quiet dignity that these people feel for their work.
           right to edit for style, clarity and space requirements.
                                                                                                                              And if pride was what I sought, then I was overlooking my greatest source of
                               For sales, editorial                                                                           self-worth. And for me, writing reaps a harvest of its own – pride in my work
                         and advertising, call or write:
                                                                                                                              and the fulfilling relationships that I’ve formed through this magazine. Any job,
                       WILLIAMSBURG HEALTH JOURNAL
                                   P.O. Box 5175                                                                              if done well, warrants dignity.
                             Williamsburg, VA 23188                                                                               Ramona had confessed that her heart aches for the animals whenever she
                      (757) 645-4475 • Fax (757) 645-4475
                                                                                                                              leaves the farm. Suddenly I yearned to put my thoughts into words. I wanted
                  e-mail:                                                                         to be surrounded by my desk, pens and my photograph of the horse. I couldn’t
                                                                                          wait to get home and write all this down. And that’s exactly what I did.

                                                                                                                                 Page E. Bishop, Editor

    HEALTH JOURNAL                                                                                                                                                                                  MARCH 2006
    > LOCAL BEAT                                                                             Sentara CarePlex Hospital Opens
                                                                                             Second Cardiac Cath Lab
                                                                                             Two labs offer lifesaving heart treatment to Peninsula residents

                                                                                             The outcome might have been               or an artery-opening device such as a
                                                                                             different if Lawrence “Mo” Adams          balloon or stent.
                                                                                             hadn’t acted so quickly. “The doc-            The hospital’s first cath lab treated
                                                                                             tors said I died, and they brought me     approximately 1,625 patients in 2005.
                                                                                             back,” said Adams. “I'm lucky to be       The addition of a second lab will ben-
                                                                                             alive.”                                                  efit the community by
                                                                                                 Chest pains and                                      increasing the hospital's
                                                                                             shortness of breath                                      ability to provide more
                                                                                             – two classic signs of                                   life-saving treatments.
                                                                                             a heart attack in men                                        “Having a second
                                                                                             – got the attention                                      cath lab will improve
                                                                                             of this 52-year-old                                      our ability to quickly
                                                                                             Hampton resident. “I                                     serve patients within
     In The Garden by M. Elliott                 Red River Valley by Mildred Kanour          made sure I went to the                                  the community who
                                                                                             hospital, and I'm glad I                                 come to the hospital

     Art Exhibit on the Move
                                                                                             did,” says Adams. Emergency medi-         with chest pain from blocked heart
                                                                                             cal services called ahead to Sentara      arteries,” said Cardiologist Derrick E.
                                                                                             CarePlex Hospital and by the time he      Ridley, M.D. “The quicker we can get
     A 40-piece art exhibit assembled by Memories in the Making, a                           arrived, the entire cardiac team was      a patient into the cath lab, the better
     creative art-expression program for persons with early and mid-stage Alzheimer’s        assembled, ready to help restore the      chance we have of preserving heart
     disease, will travel throughout southeastern Virginia this spring and return to         flow of precious blood to his heart.      function.”
     Williamsburg in May for a final auction. Memories in the Making was established             Last month Sentara CarePlex               Having a second cath lab will ben-
     six years ago by the southeastern Virginia chapter of the Alzheimer’s Association       Hospital opened its second cardiac        efit both patients and staff. “The most
     to encourage patients to express themselves creatively through various forms of         catheterization laboratory. Now pa-       important thing that will come out of
     art-making.                                                                             tients experiencing chest pain who        this is the timeliness for opening a
         The final exhibit and auction will be May 21, from 2:30 to 5:00 p.m. at the         are brought to Sentara CarePlex will      blocked artery,” concurred Cardiolo-
     Williamsburg Community Building at 401 North Boundary Street.                           benefit from the availability of two      gist Charles M. Vaughan, M.D. “And
         Pre-bid opportunities will be available at the receptions mentioned in the          fully operational cardiac catheteriza-    studies have proven that there is a di-
     schedule. For more information, call (757) 459-2405. WHJ                                tion laboratories, both overseen by       rect link between how soon you get in
                                                                                             board-certified cardiologists. The labs   there and treat it and how good your
                                                                                             will treat patients experiencing acute    outcomes are. The new equipment will
     Below is the exhibit schedule:                                                          coronary symptoms who may need            provide better imaging and also less
     March 12 – 31                                 April 3 – 28                              cardiac catheterization, angioplasty,     radiation exposure for both patients
     The Prizery                                   James City County Public Library          or the implantation of a pacemaker        and cath lab staff alike.” WHJ
     700 Bruce Street                              7770 Croaker Road
     South Boston, Va.                             Williamsburg, Va.                          For more information about Sentara Healthcare, visit
     April 3 – 28                                   May 1 –19
     Sentara Outpatient Care Center                 Harbor Gallery
     6601 Mooretown Rd.                             1508 Colley Ave.
     Williamsburg, Va.
     Reception: April 12, 3:30 to 5:00 p.m.
                                                    Norfolk, Va.                             Community Forum to Offer Tips
                                                    Reception: May 5, 7:00 to 9:00 p.m.
                                                                                             on Successful Aging
     Auction to benefit                                                                       “Celebrate the Silver Years” is the theme for the 25th Annual
                                                                                             Community Forum on Aging, to be held March 10 from 7:15 a.m. to 2:30
     Child Development Resources                                                             p.m. in the Ferguson Center for the Arts at Christopher Newport University
                                                                                             (CNU) in Newport News. Both seniors and professionals in the field of
     Magic is sure to abound at Child           Catering and ice cream from Ben and          aging and geriatrics are invited to attend.
     Development Resources’ 28th Annual         Jerry’s will be available. The Wil-             All participants will have a choice of two workshops and a chance to
     Bid’ n’ Buy Auction, which will have a     liamsburg Build-a-Bear factory will be       hear keynote speaker Dr. Harry Moody, director of academic affairs for the
     theme of “Through the Looking Glass.”      present. Free childcare is available to      AARP, speak on a variety of topics related to successful aging. Payment
     CDR is a non-profit agency that pro-       families.                                    from non-vendors will be accepted at the door: $5 for those 60 years of age
     vides services to disabled children and        Last year’s auction raised more          and over and $20 for those under 60.
     their families. The auction will be held   than $80,000 in support of programs             Workshops for seniors and their families will include: White House
     on Sunday, March 12 at noon at Lafay-      and services for children and families       Conference on Aging Report; Tips for a Healthier Body, Mind and Spirit;
     ette High School.                          in the Greater Williamsburg area. CDR        Self-Defense Against Identity Theft; Advanced Directives; Eye Care;
         The auction will include the “Cu-      provides home visits, specialized thera-     Affordable Housing; Maintaining Strength; and Healthy Eating.
     riouser and Curiouser” silent auction at   pies, developmental playgroups, parent          Workshops for professionals who work with seniors will include:
     noon followed by the “Down the Rab-        groups and affordable child care. WHJ        Understanding and Supporting Memory Loss, Spirituality, and Depression
     bit Hole” live auction beginning at 1:30                                                among Elderly. WHJ
     p.m. Vacations, furniture, gift certifi-    For more information or questions about
     cates and jewelry are among hundreds        the auction, call 566-3300. For registra-
                                                 tion and a complete listing of auction       For more information or to register, call the Peninsula Agency on Aging
     of items up for bid.
                                                 items, visit                    at (757) 873-0541.
         Refreshments from By George

MARCH 2006
                                                                                                                                                               HEALTH JOURNAL   5
Minding the Body:
Yoga for Health and Well-Being
And now the teaching on yoga begins.                                                             yoga teaches us that the mind has its intelligence and the        ness the potential of the mind and honor the wisdom of the
Yoga is the settling of the mind into silence.                                                   body has its wisdom. So mind and body must work to-               body, we can begin to trust the process of life more. We let
When the mind has settled, we are established in our                                             gether, rather than struggle, to perform increasingly diffi-      go of the need to control and judge our experiences. We
essential nature, which is                                                                       cult actions. It is like the difference between a boss who        begin to meet disappointment and joy with similar mea-
           unbounded consciousness.                                                              constantly yells at you and one who works with you to             sures of kindness and curiosity. We start to welcome all
Our essential nature is usually overshadowed by the activity                                     reach a mutual goal. Under whom would you work most               experiences as opportunities to learn about each other and
of the mind.                                                                                     productively? Yoga teaches the mind and body to interact          ourselves and not as stresses to overcome. And we more
                     The Yoga Sutras of Patanjali
                                                                                                 tenderly, like a lover and a beloved, so that both can feel       fully appreciate what a gift it is to have life flowing through
                                                                                                 stronger and more capable. The vehicle for this marriage is       us. Namaste. WHJ

                                                                       photo by Brian M. Freer
                                                                                                 the asanas: We offer the body physical challenges and we
                                                                                                 listen with care and sensitivity to its reply.
                                                                                                      Yoga teaches us to be grateful for our bodies rather than     General Yoga Terms
                                                                                                 wishing that they could do more. Once you can relax and            • Om: The word Om is a seed (bija) mantra or sound
                                                                                                 feel satisfied in your body, you can gently and thought-             that is often chanted at the beginning and/or
                                                                                                 fully move it toward change. It is well known that yoga              end of a yoga practice. The sound of Om helps
                                                                                                 shapes muscles, improves joint functioning and contributes           us to transcend the logical mind—much as mu-
                                                                                                 to overall health. But people who practice yoga often lose           sic helps us to calm and connect with something
                                                                                                 weight not only because they burn calories, but also because         outside of our day-to-day experience.
                                                                                                 they are better able to trust their bodies, eat when they are      • Namasté: A traditional Indian greeting that
                                                                                                 hungry and exercise for pleasure. Yoga helps people with             means “I honor the light within you that also
                                                                                                 back pain not only because the postures strengthen muscles           exists within me.” A yoga teacher offers this
                                                                                                 and extend ligaments, but also because they learn to respect         salutation to his/her students as a reminder that
                                                                                                 pain as the body’s signal to slow down.                              teachers are students and students are teachers.
                                                                                                      Yoga also conditions the nervous system. If we inter-         • Prana: Prana means vital life force. It is found in
                                                                                                 pret an event as stressful, our bodies automatically gear up.        the breath. Pranayama is the practice of access-
                                                                                                 We tense our muscles, speed our thinking, and produce                ing this life force through controlled breathing.
                                                                                                 adrenaline (among other reactions) to prepare for action.
                                                                                                 This is the “fight or flight” response of the sympathetic          The Iyengar style of teaching
                                                                                                 nervous system. After the stress is resolved, the opposite
                                                                                                 response occurs. Our mind quiets, our body relaxes and we          focuses on three aspects:
                                                                                                 feel calm. This is a response of the parasympathetic ner-             Alignment refers to systematic instructions that
                                                                                                 vous system. Health and vigor are the result of a balanced            allow the student to perform each pose in ways
                                                                                                 interchange between the sympathetic and parasympathetic               that minimize injury or pain. Iyengar utilized
                                                                                                 systems. Too much stress chronically activates our body               props such as blocks, chairs, blankets and belts
                                                                                                 and mind. Too little stress makes us feel dull and lethar-            to correctly position the body and allow a safe
Jennifer Daly demonstrates Ustrasana (Camel pose). This                                                                                                                progression from basic to advanced postures.
intermediate-level pose loosens the shoulders, upper back and chest.
                                                                                                 gic. Through yoga practice, we learn to draw upon the en-
                                                                                                 ergy of the sympathetic nervous system while accessing                Sequencing means that classes are conducted
by Jennifer E. Daly, Ph.D., R.Y.T.                                                               the calm of the parasympathetic system. Yoga improves                 with attention to the order of the poses since
                                                                                                 health not through increases in cardiovascular capacity, al-          each pose can affect the mind and body differ-
In his 5,000-year-old Yoga Sutras, Patanjali fo-                                                 though these increases are possible at the advanced levels,           ently (e.g., stimulation vs. relaxation). Sequenc-
cuses on the mind and consciousness as the central theme                                                                                                               ing also refers to class levels, including Beginner,
                                                                                                 but through a firm harnessing of the mind’s power to the              Level I, Level II, Level III and higher. These dif-
of yoga philosophy and practice. He notes that our mental                                        body’s capabilities.                                                  ferent levels of classes allow the teacher to pro-
activities, our many thoughts and perceptions, can limit                                              In yoga, your body becomes your teacher, providing               vide students with careful instruction in a series
our true potential. This is because our minds change con-                                        you with feedback about the whole of your experiences.                of yoga poses that are categorized according to
tinuously. We miss a deadline so we feel unhappy, then we                                        The point is not to perfect the body, but to be fully awake           their physical complexity.
get an extension so we feel relief or elation. If we get too                                     to what is unfolding in each moment. It involves accepting            Timing refers to the length of time spent in pos-
caught up in our thoughts and reactions, we may forget that                                      the limits of the body, while gently transforming patterns            tures or breathing exercises. In Iyengar style yoga,
deadlines are only a small part of our lives.                                                    of thought or action that cause dis-comfort and dis-ease.             the time spent in a pose varies from brief to long
    Yoga is an ancient system for drawing attention to our                                       Yoga teaches us that you can change your mind by chang-               in order to intensify the depth and stability of
fullest experience of living. The word yoga comes from the                                       ing your body, and you can change your body by changing               the posture and to extract its maximum benefit.
Sanskrit root yug, which means to yoke or harness. It refers                                     your mind.                                                            The amount of time spent in poses in beginning
to the coming together of the mind and body to encourage                                              Most people want to feel good about their bodies, but            classes is generally less than the amount of time
energy, suppleness and calm. It involves bringing aware-                                                                                                               spent in poses in the more advanced classes.
                                                                                                 they don’t know how. They get caught up in routines and
ness to the body through the practice of physical exercises                                      feel run down or overwhelmed. Their bodies feel heavy
called poses or asanas. In an asana practice, you align the                                      with tension and fatigue; they feel powerless to change.
body to its best capability, and this alignment brings clarity                                                                                                      Jennifer Daly has practiced yoga for over 15 years. She is
                                                                                                 Yet many of us also glimpse moments of the peace and sat-
of mind.                                                                                                                                                            registered as a yoga instructor with the National Yoga Al-
                                                                                                 isfaction that we crave: delight in a baby’s smile, comfort        liance, and she has studied yoga with advanced teachers,
    One of the most respected styles of yoga in the world                                        from a warm fire, pleasure in a lover’s embrace, glory in          including John Schumacher, Aadil Palkhivala, Dean Lern-
is based on the teachings of B.K.S. Iyengar. Iyengar yoga                                        watching a sunset. Even sadness and loss can arouse feel-          er, Ramanand Patel, Beryl Bender Birch, Sean Corn, Paul
involves step-by-step instructions on how to perform asa-                                        ings of intense tenderness and poignance. It is the sum of         Grilley, Dharma Mittra and others. She holds a Ph.D. in
nas and use props, such as blankets and blocks, to support                                       these experiences, both simple and sublime, that comprises         clinical psychology and she teaches as an adjunct professor
the body. Each pose is taught separately and held for a time                                     a life well-lived.                                                 of psychology at The College of William & Mary. Her yoga
so that students can learn about the body and change its                                              Yoga returns us to the quiet center of our life. It brings    classes draw from Iyengar and vinyasa styles of practice
alignment. Through asanas, students learn that the mind                                          us back to the stillness and abundance that is our true po-        and include detailed instructions in physical postures, men-
and body must cooperate to master experiences.                                                   tential. It is a way for us to feel happier, more relaxed, less    tal focus and breath control. She can be reached by email at
     This is not a “mind over matter” approach. Instead,                                         wound up, less worried and more optimistic. As we har-   

      HEALTH JOURNAL                                                                                                                                                                                                   MARCH 2006
                        lli a                          en   ter
                                m sbur
                                         g R eti n a C

                                                                                                                 Williamsburg Pediatric, Adolescent &
                                                                  Retina Center
                                                                                                                Sports Medicine Welcomes Dr. Altman.
                        lli a                          en   ter
                                m sbur
                                         g R eti n a C
                                                                                                                                       Please join Williamsburg Pediatric, Adolescent &
                                                                                                                                       Sports Medicine, and the Sentara Medical Group in
                                                                                                                                       welcoming Dr. Jennifer Altman. As part of Sentara
                                                                                                                                       Medical Group, she’ll be working with more than
                                                                                                                                       240 fellow physicians for a healthier Hampton
                                                                                                                                       Roads. And as part of Williamsburg Pediatric,
                                                                                                                                       Adolescent & Sports Medicine, she’ll be working
                                                                                                                Jennifer Altman,       with patients right here in your Williamsburg neigh-
                                                                                                                M.D., is a pediatri-
                                                                                                                                       borhood. For an appointment with Dr. Altman, call
                                                                                                                cian. She received
                                                                                                                her medical degree     Williamsburg Pediatric, Adolescent & Sports
      John R. Nordlund, MD, PhD
                                                                                                                from Duke              Medicine at 757-253-5757. For other Sentara
                                                                                                                University School      Medical Group physicians in your neighborhood,
          Dr. Nordlund is a former University of Virginia Medical                                               of Medicine in         call 1-800 SENTARA. Or visit a few physician bios
          School faculty member with fellowship training in retina                                              Durham, North          on our web site. We’re glad to be part of the neigh-
            at the Mayo Clinic and glaucoma at Johns Hopkins.                                                   Carolina.
                                                                                                                                       borhood. Most insurances accepted.

                Practice specializes in the diagnosis and                                                       Williamsburg Pediatric, Adolescent & Sports Medicine
              treatment of retinal diseases and glaucoma.                                                           Dr. Maurice E. Graham • Dr. Linda P. Gottfried • Dr. Dan F. Via
                                                                                                                   Dr. Steven C. Mares • Dr. Cynthia G. Portal • Dr. Jennifer J. Altman
                          Most insurance plans accepted
                                                                                                                1162 Professional Drive, Williamsburg, VA 23185 • Phone 757-253-5757
                 Office hours: Monday-Friday 8:30-5:00                                                                   Appointments also available at Gloucester Convenient Care
                                                                                                                               2348 York Crossing Drive, Hayes, VA 23072

           113 - A Bulifants Boulevard • Williamsburg, VA 23188
           (off Mooretown Road, across from the new Sentara Hospital)                                                              
                                                                                                                                  Your community, not-for-profit health partner

Can Pilates Exercise Help
Decrease Back Pain?
                                                                    Yes! Pilates exercises can be
                                                                    especially effective in decreasing
                                                                    back pain if performed under the
                                                                    well-trained eye of a physical therapist.
                                                                    Why? …
                                                                    Because, Pilates exercise teaches
                                                                    “intelligent” movement of the body,
                                                                    movement initiated from our “core” or
                                                                    deep abdominal and low back
                                                                    musculature. Pilates also promotes
                                                                    good breathing technique coordinated
                                                                    with movement, preventing the
Mary Beth Bird, MSPT, Certified Pilates Instructor
& Licensed Physical Therapist                                       common “holding” patterns often seen
                                                                    with abdominal exercise.

   Did you know …
   Pilates not only works well for treating back pain but also for knee pain, neck pain,
   sacroiliac pain, and foot/ankle dysfunctions. When combined with the manual therapy
   skills of a physical therapist, Pilates can be an effective and enjoyable way to treat back pain.

   Call on the professionals of Williamsburg Physical Therapy for treatment of your back
   pain today. At Williamsburg Physical Therapy, we emphasize hands-on treatment and a
   team approach to patient care. We believe that continuity of care throughout the
   rehabilitation process is essential for optimal outcomes.

                                                                  Williamsburg Physical Therapy
                                                                  & Sports Therapy Center
A division of Tidewater Physical Therapy, Inc.                    (757) 220-8383

                                           Other Locations
Williamsburg Hand Therapy Center                                  Williamsburg Physical Therapy of Norge
(757) 565-3400                                                                            (757) 345-0753

                                                                                                   Diet vs. Dieting

                                                                   arrangement by Sandra Liebler
                                                                                                   by Sandra C. Liebler, M.S.Ed.

                                                                                                   Now well into 2006, most of originated in the California wine country
                                                                                                   those New Year’s resolutions we made            and is based on the Mediterranean style of
                                                                                                   have already gone by the wayside. It’s all      preparing and eating healthy foods. The
                                                                                                   well and good to take stock of our habits       author makes the distinction that this is
                                                                                                   and reaffirm our good intentions on an          indeed a diet, but it is aimed at gradual weight
                                                                                                   annual basis, but how many of us truly          loss, followed by a continued focus on
                                                                                                   commit to making a long-                                             healthy eating and weight
                                                                                                   term change?                                                         management for life. The
                                                                                                       A recurring theme                                                author emphasizes the
                                                                                                   in my own annual list of                                             importance of “healthy
                                                                                                   resolutions has been to                                              mealtime pleasure” and
                                                                                                   lose a few pounds. Only                                              notes that the diet doesn’t
                                                                                                   five or 10 at first, then                                            require         deprivation
                                                                                                   15, now closer to 30 extra                                           or denial; rather, it
                                                                                                   pounds grace my middle-                                              places importance on
                                                                                                   aged middle.                                                         satisfaction and eating
                                                                                                       It’s not that I never had                                        pleasure. She notes that
                                                                                                   any success at dieting – I                                           California is on nearly
                                                                                                   lost that same 10 pounds                                             the same latitude as the
                                                                                                   many times. Diets can                                                Mediterranean Sea, and
                                                                                                   work. Almost any diet                                                that most of the foods
                                                                                                   plan may work, even the                                              and wines that come
                                                                                                   one where you eat only                                               from those countries are
                                                                                                   grapefruit or the one where you can eat a       also available in abundance in California.
                                                                                                   whole pound of bacon but no bread. My               The Mediterranean-style diet is neither
                                                                                                   mistake was in thinking that those pesky        low-carb nor low-fat, but offers a healthy
                                                                                                   10 pounds, once shed, would stay gone.          balance of protein (mostly from fish,
                                                                                                   After basking in the compliments from           poultry and lean meats), carbohydrates (in
                                                                                                   friends – “You look great!” and “You’ve         the form of whole grain breads, pasta and
                                                                                                   lost weight!” (Gosh, I must have really         cereals), and “good fats” (primarily olive
                                                                                                   been looking heavy…) – I soon returned to       oil).
                                            photo by Brian Freer
                                                                                                   doing what I’d been doing before going on           This type of diet offers a long-term,
                                                                                                   a diet – that is, eating just what I wanted.    lifestyle approach to improving eating habits
                                                                                                       Who hasn’t tried a diet at some point?      and the focus on healthy foods without
Neapolitan Spinach & Beans                                                                         Such enthusiasm and willpower when we
                                                                                                   begin! We can all stay on task for a few
                                                                                                                                                   strict deprivation makes keeping those
                                                                                                                                                   resolutions seem more possible. If you’re
                                                                                                   weeks or even a few months. But to be           interested in making a true lifestyle change,
                                                                                                   denied our favorite foods forever, or to        and want a way out of the yo-yo dieting
    1/4 cup olive oil                                                                              count points and measure portions forever?      cycle, then perhaps going Mediterranean is
                                                                                                   After all, it was only 10 pounds and they       a good direction to travel. You can find out
    2 cloves garlic                                                                                went away!                                      more in related books at the public library
    1 package frozen spinach                                                                           Now well into mid-life, I find those
                                                                                                   original 10 pounds are reluctant to leave.
                                                                                                                                                   and at most local booksellers. WHJ

    2 (16 oz.) cans Cannellini beans, drained                                                      This year, I want to try something different.
                                                                                                                                                    Foods commonly found
                                                                                                   I want to resolve to keep my resolution. I
    1/2 cup grated Parmesan cheese                                                                 want to truly change my eating habits so         in a Mediterranean diet:
    Salt and pepper to taste                                                                       that, with exercise and a good diet (forget
                                                                                                   dieting), I can enjoy good health for many       Yogurt
                                                                                                   years to come.
                                                                                                                                                    Whole Grains
                                                                                                       I’ve been reading books and articles
    In a saucepan, heat oil and garlic. Add                                                        about the Mediterranean diet. Foods              Fresh Fruits and Vegetables
                                                                                                                                                    Fish and Seafood
    package of frozen spinach, cover pan and cook                                                  traditionally consumed by people in the
                                                                                                   Mediterranean countries are heart-healthy        Limited Red Meat
    over low heat until spinach is defrosted. Add                                                  and perhaps conducive to longer, healthier       Poultry
                                                                                                   life with less risk of cancer, high blood
    salt and pepper. Add beans, stir well and cook                                                 pressure, or other common “lifestyle
                                                                                                                                                    Olives and Olive Oil
                                                                                                   diseases” we see in our society. Healthy
    five minutes. Remove from heat.                                                                 weight maintenance is also seen as a benefit.    Beans and Legumes
                                                                                                   The foods are appealing and easy to obtain       Garlic
                                                                                                   and prepare (see recipe at left).                Nuts
    Toss with cheese and serve immediately.                                                            Another recent addition to the array
                                                                                                   of diet choices is the Sonoma Diet, which

    HEALTH JOURNAL                                                                                                                                                                           MARCH 2006
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 Protecting What Protects You:
                                                                               First in a series on skin cancer
     by Keith Schumann, M.D.

 The statistics on skin cancer are staggering. More getting in and out of your car to run errands around mid-
 than half of all new cancers reported in the US each year       day. All these short yet intense sun exposures add up to
 are skin cancers, and more than 10,000 people will die          chronic skin damage and greater risk of skin cancer. Sun
 from the disease this year. More than one million new           avoidance is the number one tenet in a sun protection
 cases of skin cancer were diagnosed in 2005, about 79           plan. Number two is sun-protective clothing. A hat and
 percent of those basal cell, 15 percent squamous cell,          sunglasses are the basics, but there’s more to consider.
 and five percent melanoma (the remaining one percent            Many companies now specialize in sun-protective cloth-
 were rare types of skin cancer). And while melanoma             ing that is both lightweight and versatile. Sun-protective
 is by far the most deadly type of skin cancer, basal and        clothing is especially beneficial for planned outdoor
 squamous cell carcinomas accounted for 2,340 skin can-          activities such as going to the beach. I especially like
 cer-related deaths in 2003.                                     the swimwear by TUGA that is specifically designed for
     Skin cancer strikes broadly, affecting many age             kids.
 groups with incidence on the rise in the under-40 popu-             Sunblock is the third facet of a sun protection plan;
 lation. For women between the ages of 25 and 29, mela-          and just like brushing your teeth, it should be part of
 noma is more common than any non-skin cancer. In this           your daily routine. Unfortunately, the SPF number is
 three-part series on skin cancer, each major type will be       just a rough guide for selecting a sunscreen; make sure
 reviewed in depth to further understanding and encour-          the product contains UVA as well as UVB protection.
 age prevention as well as early detection.                      To learn more about sunscreens, visit the American
                                                                 Academy of Dermatology website,
 Basal Cell Carcinoma (BCC)
 Let’s begin with the most common skin cancer and the            Warning Signs
 most common malignancy in humans, basal cell car-               Warning signs for basal cell carcinoma include:
 cinoma (BCC), which will affect 800,000 Americans                • An open sore that bleeds, oozes, or crusts and doesn’t
 this year. These cancers arise in the basal cells, which            seem to heal
 are found at the bottom of the epidermis (the outer skin         • A persistent reddish patch
 layer). Chronic sun exposure is the cause of almost all          • A shiny bump
 BCCs, which occur most frequently on exposed parts               • A pink growth with a rolled or elevated border
 of the body – face, ears, neck, hands, upper chest, and          • A white scar-like area                                                   Order sun-protective clothing on-line:
 shoulders. Rarely, non-exposed areas can be affected,                                                                                       TUGA
 too. Other contributing factors include arsenic and ra-         Learn these signs and examine your skin every month.               (800) 482-TUGA
 diation exposure, scars and burns, to name a few.               It’s often difficult to know if a growth, spot, lesion or                   Coolibar
                                                                                                                                    (800) 926-6509
                                                                 rash is worth concern. The Skin Cancer Foundation rec-
 Who Gets It?                                                    ommends a total body skin examination at regular inter-            (800) 882-7860
 Those most susceptible to BCC are fair-skinned indi-            vals by a dermatologist. A physician should suggest the
 viduals with a history of frequent sun exposure. People         correct time frame for follow-up visits, depending on                   other factors. Some of the more common treatment op-
 who work outside or enjoy leisure activities (golf, ten-        your specific risk factors, such as skin type and history               tions are topical medications, various types of surgery,
 nis, sailing, gardening, etc., in the sun) are at high risk.    of sun exposure.                                                        and radiation. Your dermatologist may suggest a con-
 If someone in your family has had skin cancer, your risk                                                                                sultation to go over the options in detail. Treatment
 may be even higher.                                             Diagnosis and Treatment Options                                         should be scheduled within one to two months, some-
                                                                 If your dermatologist suspects a skin cancer, he or she                 times sooner.
 Prevention                                                      will take a biopsy for a microscopic examination. Re-                       Fortunately, basal cell carcinomas have greater than
 Prevention doesn’t just mean slapping on sunscreen              sults are usually available as early as one week after the              a 95 percent overall cure rate when detected and treated
 when you go to the beach; it means scheduling an ear-           biopsy, and treatment options will be presented based on                early.
 ly tee time, playing tennis only at certain times of day        the findings. There are many different types of BCCs;                       “Protecting what protects you” is the motto of the
 (before or after your shadow is shorter than you), and          the best treatment option will be highly individualized                 American Academy of Dermatology, and it should be
 otherwise avoiding the mid-day sun. If possible, avoid          based on the location of the tumor, its type, size, and                 yours, too. WHJ

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     HEALTH JOURNAL                                                                                                                                                                        MARCH 2006
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                                                                                                                                                     • Romantic Dinners
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  “Williamsburg Health
  Journal is the perfect                                                                                                                           “Just relax and let me
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  market our services. It’s
  interesting, informative                          Flu Season isn't over! Protect yourself.                                                       757.645.3129 office
  and professional.”
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    Angelina Ananthram, CMOM, RMM
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                                                        (757) 565-7570 Fax (757) 565-7573

MARCH 2006
                                                                                                                                                                    HEALTH JOURNAL   11
Explore one of Spain’s signature dishes
by Don Harris

In many parts of Spain this famous             from? Some say that                                                     as to why farm-       lar long grain is not absorbent). Use real
rice dish, paella, has been a tradition for    the dish was first pre-                                                 ers in Calasparra     Spanish saffron. In poorer times, Spaniards
centuries. Some communities even have          pared by a lover for                                                    started growing       substituted “colorante,” a yellow artificial
paella festivals with giant pans that serve    his fiancee and that                                                    rice in moun-         coloring, but it’s not the same as genu-
two thousand people at a time!                 the word is a cor-                                                      tain valleys high     ine saffron. Finally, pay attention to your
    Creating delicious paella is well within   ruption of the Span-                                                    above sea level. I    broth. Make a flavorful broth for the rice
the reach of a regular cook. If you use au-    ish words “por ella”                                                    can see now that      with fish or chicken stock (or bouillon
thentic ingredients, you do not need to be a   (meaning “for her”).                                                    the      motivation   cubes).
master chef to prepare something delight-      Others say that “pa-                                                    was to raise rice         Paella can come in handy at the most
ful for your friends and family. It can even   ella” comes from the                                                    far, far away from    unexpected times. In the aftermath of Hur-
be a joint project, with everyone pitching     Arabic word “Baqi-                                                      the disease-ridden    ricane Isabel, we were without electricity
in to prepare a perfect feast.                 yah”, which means                                                       marshlands. They      for days. One of our neighbors set up his
    My wife Ruth and I appreciated the ver-    “leftovers” (which                                                      were able to pro-     paellero (propane burner and tripod). With
satility of paella when we had to plan the     were tossed onto the rice.) More likely,       duce rice in a healthy atmosphere because      a paella pan and whatever ingredients were
rehearsal dinner party for our son Jonathan    though, “paella” takes its name from the       they could channel fresh mountain streams      at hand, he put together a delicious paella
and his bride a few years ago. We were         two-handled cooking pan, a paella (from        through aqueducts built centuries before       to feed the whole neighborhood!
to hold the party in a rented house on the     the Latin “patella,” meaning “pan”), in        by the Romans.                                     Is this a perfect recipe? Probably not.
Outer Banks of North Carolina. So, rather      which the dish is traditionally cooked.            But it wasn’t until more than 400 years    But for me the authenticity of paella is
than struggling with the logistics needed to       Paella originated in the eighth century    later that the Valencians learned that it      gauged by the community it builds. What
stage a sit-down dinner in a strange town,     when the Moors first brought sacks of a        was not the rice, but the mosquitoes in the    better way to enjoy your friends than to sit
we decided to serve festive pans of paella     strange white grain called rice to El Palm-    flatlands, that bred malaria. From this mo-    around the communal paella and share it to-
graced with local seafood.                     er, Valencia, on the Mediterranean coast of    ment onward the rice fields flourished. It     gether? That is what life is all about. WHJ
    We were no experts; we just thumbed        Spain. The locals garnished the rice with      was also at this time that outdoor cooking
through Penelope Casas’ Paella! cook-          readily available ingredients – vegetables,    of paella became popular as a festive fam-      Don Harris is a retired U.S. naval
book and selected recipes that seemed          snails, and perhaps rabbit – and the origi-    ily event in Valencia. No longer was it the     officer and a resident of Williamsburg.
particularly appealing. I assembled the key    nal paella was born. It was everyday food      simple worker’s fare.                           He and his wife Ruth lived in Spain for
ingredients, including fresh seafood from      for field workers, not a gourmet item gar-         Remember that paella is a simple            many years and are now owners of La
the local fishing boats. Then Ruth cooked      nished with shellfish and other seafood.       rice dish. So keep it simple. Use Spanish       Tienda, an online market for imported
seven paellas of various configurations            Due to the prevalence of marsh malaria     short-grained rice, such as Bomba. It ab-       Spanish cuisine and household items.
– some with seafood, many without. They        in the nearby wetlands, Valencians ceased      sorbs prodigious amounts of broth with          Visit La Tienda online at
were a big hit with the wedding party, con-    growing any rice there from 1448 until         each grain remaining distinct. (Arborio                               WHJ
                                                                                                                                              com, or visit their new showroom on
tributing to the celebratory atmosphere.       1860. They believed that the rice was a car-   rice is creamy, Asian short-grain is sticky,    LaGrange Parkway in Toano.
    Where does the name paella come            rier of the disease. I have often speculated   aromatic Basmati rice is fragile, and regu-

      Preparation:                                                                                 Ingredients:                                                 Servings: 6-8
     Heat the broth with the saffron,          minutes more, or until they barely
     Spanish paprika and the whole on-         turn pink. Remove the shrimp to                     6 cups of strong chicken broth (bouillon)
     ion. Cover and simmer 15 minutes.         the platter with the chicken. Add                   1/2 tsp. saffron
     Remove the onion and measure the          the rice to the pan and stir to coat it             1/4 tsp. of smoked Spanish paprika (Pimentón de la Vera)
     broth (you’ll need exactly 5-1/2          well with the oil. Sprinkle in the five             1 small onion, peeled
     cups).                                    tablespoons of chopped parsley and                  1 small chicken, about 3 lbs. (or 3 lbs. of chicken thighs)
         Cut the chicken into small serv-      the crumbled bay leaves. (You can                   1/2 cup olive oil
     ing pieces – the whole breast into        prepare the recipe up to this point in              1/4 lb. of cooking chorizo, in 1/4 inch slices
     four parts, each thigh into two parts,    advance.)                                           1/4 lb. piece jamón serrano ham, diced
     the bony tips of the legs chopped             Stir in the chicken broth, boiling              1 medium onion, chopped
     off, the wing tips discarded, and the     hot, the wine and peas. Salt to taste.              4 scallions, chopped
     rest of the wings separated into two      Bring to a boil and cook uncovered,                 4 tbsps. chopped garlic
     parts. Dry the pieces well and sprin-     stirring occasionally, over medium                  1 jar of roasted piquillo peppers
     kle with salt.                            high heat about 10 minutes. Bury the                1 lb. small or medium shrimp, shelled
         Heat the oil in a metal Paella        shrimp and the chicken in the rice.                 8 jumbo shrimp, in their shells, preferably heads on (optional)
     pan with about a 15-inch base. Add        Add the clams or mussels, pushing                   3 cups Bomba or Calasparra rice or other short grain Spanish rice
     the chicken pieces and fry over           them into the rice with their edges
                                                                                                   5 tbsps. chopped parsley
     high heat until golden. Remove to         facing up, then bake at 325 degrees
                                                                                                   2 bay leaves, crumbled
     a warm platter. Add the chorizo and       uncovered, for 20 minutes.
                                                                                                   1/2 cup dry white wine
     jamon to the pan and stir-fry about           Remove from the oven and let sit
                                                                                                   1/4 lb. fresh or frozen peas
     10 minutes. Add the chopped onion,        on top of the stove, lightly covered
                                                                                                   12 clams or mussels, scrubbed
     scallions, garlic and pimentos and        with foil, for about 10 minutes. To
                                                                                                   Lemon wedges for garnish
     saute until the onion is wilted. Add      serve, decorate with lemon wedges
                                                                                                   Parsley for garnish
     the shrimp and saute about three          and chopped parsley.

     HEALTH JOURNAL                                                                                                                                                          MARCH 2006
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Cardiovascular Health, PLLC
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                          Board-Certified Cardiologist

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             117 Bulifants Blvd., Suite B,
               Williamsburg, VA 23188                                                                     Phone: 757-220-4751 Fax: 757-220-4756

                        757-259-9540                                                                                3435-A John Tyler Highway, P.O. Box 2913
                                                                                                                         Williamsburg, VA 23187-2913
                      Against the Grain
                      Grass-fed Beef: Better for Peo
                      by Page E. Bishop

                      When you were young, your mother                               The decision to move cattle into crowded com-
                      probably told you to “Eat everything on your plate.”       mercial feedlots, (i.e., factory farms) or what Pollan
                      Odds are, you didn’t question her motives. She prob-       refers to as “cow cities” had a dual purpose. First,
                      ably didn’t question where the food came from or ex-       there just isn’t enough land to accommodate 100 mil-
                      actly what it contained. Few doubted the government        lion head of pasture-fed cattle. Second, feedlots allow
                      agencies that inspected it. Americans read the labels      for compact feeding troughs where a constant supply
                      and believed our country had a system that safely          of grains and cattle feed can be provided for to the
                      transmitted food from farm to table.                       animals. The notion of “Old MacDonald’s Farm” has
                          Sadly, today America’s foodways require ques-          changed.
                      tioning. With a growing population and fewer farmers            Feedlot cattle are fed mostly corn and grains
                      per capita, the meat industry has adapted to consumer      (such as wheat or barley) vitamins, growth hormones
                      demands by inventing ways to produce bigger animals        and antibiotics. But occasionally, proteins made from
                      and even bigger profits. Most of the foods we eat are      powdered animal residue, garbage, chicken feathers
                      processed, or industrially prepared. Some small farm-      and manure, stale bubblegum and even synthetic pot

                      Seventy-five percent of the grains prod
                      fed to livestock. And grain isn’t even th
                      ers, however, are going against the grain of modern        scrubbers have made their way into what is called
                      agriculture by returning to what nature intended.          animal “feedstuffs,” says Jo Robinson, author of
                          The average American consumes about 79 pounds          The Omega Diet and principal researcher for www.
                      of beef each year. Keeping up with America’s appetite, an online clearinghouse for grass-fed
                      for meat is no easy task for farmers, considering that     beef products.
                      there is only one farmer per 200 people. As a result           Genetically modified organisms (GMOs, or
                      we’ve learned to accept “fast” foods that suit our fast-   “frankenfoods”), disguised by the words “enhanced
                      paced lifestyles. But “fast food” doesn't have to be       feed crops,” make up the bulk of grain-based cattle
                      limited to burgers and fries; it can include foods that    feed. Seventy-five percent of the grains produced in
                      require minimal preparation time thanks to maximum         the US are fed to livestock. And grain isn’t even their
                      processing (i.e., “heat ‘n’ serve” meals). We blindly      natural diet.
                      accept quantity over quality. We accept compromised            According to the USDA, when the first case of
                      nutritional value and flavor in exchange for conve-        BSE (bovine spongiform encephalopathy, or “mad
                      nience. Cheap labor and a need for mass production         cow” disease) was confirmed in the US two years
                      support an industry that we, as consumers, buy into        ago in Washington State, the agency reexamined its
                      with every bite.                                           restrictions on what constituted cattle feed. Unfortu-
                          Despite recent criticism, red meat is an important     nately, the decision to ban the feeding of animal parts
                      part of our natural diet. Out of 20 species of early       (including brain and spinal tissue) to cattle in an ef-
                      hominids, homo sapiens (that’s us) was the only one        fort to control BSE doesn’t include banning protein
                      to survive. Scientists at the University of Wisconsin      powders made from animal residues. Robinson says
                      believe that meat consumption by early humans fu-          feeding animal by-products to cattle is like “turning
                      eled the brain, the most active organ in the body, al-     herbivores into carnivores.”
                      lowing it to grow larger and become capable of com-            She further asserts that cattle “should be raised
                      plex thought. If this theory holds true, then we might     on their species-appropriate diets, and feeding large
                      say meat gave rise to modern civilization. Hence the       amounts of grain to a grazing animal decreases the
                      saying, “You are what you eat.” But according to Dr.       nutritional value of its products, whether or not the
                      Michael Pollan, author of “Power Steer,” a 2002 ar-        grain is organic.”
                      ticle appearing in the New York Times, you are what            Many small farmers, calling themselves grass-
                      you eat eats, too.                                         farmers, have decided to raise animals without hor-
                          Cows are ruminants, meaning they possess a ru-         mones or unnecessary antibiotics and on pesticide-
                      men, or specialized stomach capable of converting          free pastures. They’ve returned to the pre-industrial
                      simple grasses into fats and protein. They are biologi-    way of farming; raising animals in an ethical and hu-
                      cally designed to forage for grass and enjoy hay dur-      mane manner – from birth to finish – with a longer
                      ing the cold winter months when grass is scarce. The       time in between.
                      emergence of feedlots in the cattle industry, however,         Collins and Ramona Huff are Virginia grass-farm-
                      has led to the fearsome manipulation of their natural      ers and owners of Gryffon’s Aerie (www.gryffonsae-
                      diets.                                            in Gordonsville, which is just outside Char-

     HEALTH JOURNAL                                                                                             MARCH 2006
ople, Better for Animals
  lottesville. Starting with just a few animals in 1999,       given rise to antibiotic-resistant bacteria, or “super     the meat we do consume. And we can teach our chil-
  they now tend many varieties of livestock, which             bugs” that affect humans, too. Although the USDA           dren that beef doesn’t originate in the shape of a ham-
  roam, graze and root on acres of untainted farmland.         ( claims E. coli are “easily destroyed        burger patty. Returning cattle to their natural environ-
  But these are no ordinary animals– the Huffs spe-            by cooking,” the bacterial strain is virtually non-exis-   ment doesn’t sound like a bad idea either, because
  cialize in rare breeds such as both Milking and Beef         tent in grass-fed animals.                                 as Ramona Huff says, “A happier, healthier animal
  Devon, Belted Galloway cattle, Tamworth pigs and                 Conjugated Linoleic Acid (CLA) is an essential         produces better-tasting meat.”
  Cotswold sheep.                                              fatty acid found in beef and has been shown to reduce          In a PBS interview for Frontline: Modern Meat,
       Collins, a Williamsburg native, says he got his         risk for cancer, heart disease (atherosclerosis), diabe-   Michael Pollan admitted that while it may be difficult
  first glimpse of Milking Devons as a small child in          tes and total body fat. Researchers at California State    to speculate what animal happiness is, one definition
  Colonial Williamsburg. A trip to Argentina in the late       University and the University of California discov-        could be simply doing what the animal has evolved
  1980s fueled his fascination for grass-farming, an al-       ered two to three times more CLA in grass-fed cattle       to do. “And what cows have evolved to do,” he says,
  ready established trade in that country. A few years         compared to those finished in feedlots. What else did      “is be out on grass, eating grass. And they sure look
  later Huff purchased three Milking Devons from Co-           they find? In grass-fed beef, vitamin E concentrations     happy doing it.” WHJ
  lonial Williamsburg. Today they have about 35, one           were up to three times greater while levels of Vitamin
                                                               A (beta carotene) were more than double the amount
duced in the US are                                            in grain-fed beef. Fewer calories and less fat are also
                                                               common in meat from pastured animals.
                                                                                                                             What’s Really in a Label?
heir natural diet.                                                 Grass-fed beef is also an excellent source of ome-
                                                               ga-3 fatty acids, nutrients commonly found in fish,
                                                                                                                             A label of “organic" means only
                                                                                                                             the grain fed to the cattle must be
  of the largest herds in the US.                              which are believed to help prevent the onset of heart
                                                                                                                             organic, or grown without pesticides
        “The animals are our livelihood and our compan-        disease, cancer, arthritis, memory loss and depression.
                                                                                                                             or hormones; it doesn’t refer to
  ions,” says Ramona. “They’re raised in a stress-free,        Like CLA, omega-3s are essential to human health,
                                                                                                                             the conditions in which the animal
  respectable environment. No matter how you look at           but studies show grain feeding significantly alters the
                                                                                                                             was raised. According to the USDA,
  it, it’s a win-win situation. Grass-farming is good for      omega-3 content of beef.
                                                                                                                             “Natural” or “All-Natural” means
  people, good for animals, and good for the environ-              Pound-for-pound, grass-fed meat is more expen-
                                                                                                                             no chemicals or preservatives were
  ment.”                                                       sive. One cut of filet mignon averages $25, which is
                                                                                                                             added to the meat after it was
        Grass-fed beef is often described as having a crisp,   on target with restaurant pricing for USDA prime, but
                                                                                                                             processed. “Free-range” is also an
  flinty, almost steely taste that appeals to many pal-        without the luxury of someone else doing the cook-
                                                                                                                             ambiguous label because it doesn’t
  ates, especially those of high-ranked chefs. Gryffon’s       ing.
                                                                                                                             specify how much “free range”
  Aerie products have been showcased at local restau-              But you may be losing money when you think
                                                                                                                             an animal can truly access. Look
  rants including A Chef’s Kitchen, Blue Talon Bistro          you're saving: The average factory-produced ground
                                                                                                                             for labels reading “No Hormone
  and Fat Canary, as well as both Cowboy Syd’s and             beef contains saline, which, if injected into meat, can
                                                                                                                             Implants used in Raising,” “Raised in
  Schlesinger’s of Port Warwick, Newport News.                 increase the weight of the cut by up to 15 percent.
                                                                                                                             an Open Pasture” or “100% Certified
        For nearly two decades, red meat in general has            Furthermore, your tax money provides for gov-
  been subject to criticism. Reports that consuming red        ernment subsidies which pay farmers to grow sur-
  meat contributes to heart disease, cancer, osteoporo-        pluses of corn – so as Ramona Huff notes, “You may
                                                                                                                             The USDA has its own system of
  sis, food-borne illness, even impotence, have led to         be paying more than what is simply rung up at the
                                                                                                                             labeling – grades based on marbling
  what Dr. Mary Enig of the Weston A. Price Founda-            cash register.”
                                                                                                                             (saturated fat) such as Choice, Select,
  tion, a non-profit agency that supports small farmers            Knowing where your meat comes from, how it
                                                                                                                             or Prime; and Lean (10% total fat or
  calls “the demonization of red meat.” But in reality,        was handled, and what may have been added to it
                                                                                                                             less) or Extra Lean (5% fat of less).
  says Enig, the chemicals and preservatives added to          after processing can tell you a lot about the quality
                                                                                                                             These labels reward intra-muscular
  meat after processing are just as likely to cause health     of what you are eating. Huff invites her customers to
                                                                                                                             fat, or “marbling” because of the
  problems. In the 1980's, the increasing presence of E.       come to the farm to see the animals firsthand.
                                                                                                                             flavor and juiciness it provides. Many
  coli bacteria in food cast a dark cloud over the beef            Five major corporations control almost 90 percent
                                                                                                                             people are led to believe this is how
  industry, a cloud that still hovers. E. coli is deadly       of the beef industry in the US. Therefore, by going
                                                                                                                             beef “should” taste.
  in humans and can be transmitted by eating under-            against the grain and eating grass-fed beef, consum-
  cooked meat. What many people don’t know is that             ers can support small farmers who are trying to carve
                                                                                                                              When placed side-by-side, the
  E. coli is the result of the modern feedlot, says John       a niche in the market. Perhaps eating less meat, yet
                                                                                                                             difference between grass-fed and
  Robbins, author of The Food Revolution and heir to           enjoying it more, is a reasonable trade.
                                                                                                                             grain-fed beef is visible – grass-fed
  the Baskin-Robbins ice cream empire. Robbins states              Should we feel guilty about eating ground beef?
                                                                                                                             has a few off-white flecks within the
  that E. coli bacteria are present in the stomachs of al-     Not unless it’s forbidden by religious or moral beliefs.
                                                                                                                             meat and outer fat is easily trimmed
  most all feedlot cattle.                                     But neither should we turn a blind eye toward the un-
                                                                                                                             off. It is more difficult to trim outer
        Large amounts of antibiotics are necessary be-         ethical practices that govern factory meat production.
                                                                                                                             fat from a grain-fed steak.
  cause the E. coli bacteria multiply in the cow’s acidic      Choosing an alternative that we can feel good about
  stomach, which would be chemically neutral if full of        purchasing, preparing and eating is a better solution.
  grass. The over-use of antibiotics is thought to have            As an informed society, we can be selective about

           MARCH 2006
                                                                                                                                                                                     HEALTH JOURNAL   15

Breakthrough Treatment for Diabetics
by Jesse Madden

For the millions of Americans who                 needed insulin to manage their disease had         lin caused minor declines in the amount of
suffer from diabetes, the Food and Drug           only one way to treat their condition,” says       air the lungs can hold. Other side effects
Administration’s approval of an inhaled           Dr. Steven Galson, Director of the FDA’s           included cough, sore throat, shortness of
version of insulin is a welcome break-            Center for Drug Evaluation and Research.           breath and dry mouth.
through. The life of an insulin-dependent         “It is our hope that the availability of in-            According to the FDA, patients with
diabetic is filled with needles – from the        haled insulin will offer patients more op-         asthma, bronchitis, or emphysema should
tiny pin pricks that test blood sugar levels      tions to better control their blood sugars.”       not take Exubera. Also, patients who smoke
to the injections of insulin that regulate            Exubera is a powdered form of recom-           or who have only recently quit smoking
those levels.                                     binant human insulin that can be used by           in the past six months should not use the
    Over time, many diabetics simply grow         patients with type 1 or type 2 diabetes. The       product.
weary of the constant sticks and pricks           patient inhales the substance into the lungs            The FDA recommends that patients
and begin neglecting their treatments. The        via an inhaler that is about the size of an        who do take Exubera have baseline tests
American Diabetes Association estimates           eyeglass case.                                     for lung function after the first six months
that over 15 percent of diagnosed diabet-             But if you’re a type 1 diabetic, don’t         of treatment and every year thereafter, even
ics do not take the insulin treatments they       toss out your needles just yet. Exubera            if there are no pulmonary symptoms.
need. However, when left untreated, diabe-        only replaces short-acting insulin that is              Pfizer plans t“o release the drug to the
tes can result in a number of physically de-      normally taken with meals. It is not meant         public in June at a price that will make it
bilitating and even life-threatening conse-       to be used as a substitute for longer-acting       competitive with traditional insulin treat-
quences such as kidney disease, blindness,        insulin.                                           ments. It’s hoped that as more people begin
nerve damage, limb amputation and heart               Patients with type 2 diabetes who take         using the product, advances will be made
attacks.                                          pills to control their blood sugar can take        that will decrease the size of the inhaler
    Since the discovery of insulin in 1921,       Exubera in addition to their pills or any          and perhaps eventually allow longer-act-
doctors have searched for easier ways for         longer-acting insulin they may use.                ing insulin to be inhaled as well. With the
patients to receive it. The release of Pfizer’s       Studies have shown that Exubera is             number of diabetics in the world projected
new Exubera may just be the long-awaited          safe for short-term use, but it is still unclear   to double to over 300 million by 2025, the
first step toward achieving that goal.            what effects long-term use may have on             demand for easy-to-use treatments couldn’t
    “Until today, patients with diabetes who      patients. In clinical studies, inhaled insu-       be more urgent. WHJ

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                                                                                          The culmination of years of scientific research and
                                                                                          advanced technological breakthroughs in modern
                                                                                          dentistry, neuromuscular dentistry addresses problems
                                                                             with jaw alignment.

                                                                             And J. Stuart Oglesby, DDS, believes it's the foundation of a beautiful,
                                                                             healthy smile.

                                                                             Dr. Oglesby doesn’t only repair or replace damaged teeth. He
                                                                             corrects the cause of the damage, preventing future problems.

                                                                             The difference is a healthy, beautiful smile that stays healthy.

                            1313 Jamestown Road                                 To find out if neuromuscular dentistry is right for you, call
                            Suite 205                                           J. Stuart Oglesby, DDS, and schedule a personal consultation.
                            Williamsburg, Virginia

                            (757) 229-3052
  Health Directory
Acupuncture &
                                            Scott Y. Pharr, MD                            Bldg. 2, Suite 1-A
                                            Angela C. Stonebraker, MD                     Williamsburg (757) 565-5305                  Hampton Roads Cardiovascular
                                            120 Kings Way, Suite 2600                                                                  Associates, PC
Chiropractors                               Williamsburg (757) 345-2600                   Williamsburg Landing
                                                                                          5700 Williamsburg Landing Dr.
                                                                                                                                       4511 John Tyler Hwy.
                                                                                                                                       Williamsburg (757) 594-2839
                                            Williamsburg Ear, Nose, Throat                (800) 554-5517
A1 Performance Chiropractic                 & Allergy PLLC                                                                             Peninsula Williamsburg
Daniel Shaye, DC                            Brian Hasslinger, MD                          Windsor Meade of Williamsburg                Cardiology Associates
3204-A Ironbound Rd.                        6601 Mooretown Rd. Suite 300                  453 McLaws Cir., Suite 2                     Keith E. Hanger, MD
Williamsburg (757) 229-4161                 Williamsburg (757) 253-8722                   Williamsburg (757) 565-9670                  120 Kings Way, Suite 2500
                                                                                                                                       Williamsburg (757) 565-0600
Acupuncture Chiro Care Plus                                                               York Convalescent Center
Dennis Gesualdi, DC
                                            Alcohol Abuse                                 1113 Battle Rd.
3204-A Ironbound Rd.
Williamsburg (757) 565-6464
                                                                                          Yorktown (757) 898-1491
Colonial Chiropractic, PC                   & Addiction                                                                                Blaney, Lachine, Boxx & Bowe
Kristen A. Meyer-Teagle, DC
120 Kings Way, Suite 2100                   A1 Call Answer                                Audiology                                    1118-A Professional Dr.
                                                                                                                                       Williamsburg (757) 229-5570
Williamsburg (757) 258-4500                 Toll Free: (800) 511-9225                                                                  804-F Merrimac Tr.
                                                                                          Beltone/Ledford Audiology &
                                                                                          Hearing Aid Center                           Williamsburg (757) 229-6545
Commonwealth Family Chiropractic            Alcohol-Drug Treatment Referral
                                            Toll Free: (800) 454-8966                     Lori Weingart, MA, CCC-A
Adam L. Wilding, DC                                                                       1312 Mt. Vernon Ave., Suite 2B               James A. Burden, DDS
140 Professional Cir.                                                                     Williamsburg (757) 220-8975                  481 McLaws Cir.
Williamsburg (757) 220-9670                 Alcoholics Anonymous                                                                       Williamsburg (757) 229-1224
                                            404 S Henry St.
                                            Williamsburg (757) 253-1234                   Bowers Assistive Hearing Service
Integrative Chiropractic &                                                                Linda Bowers, MS, CCC-A                      D. W. Cherry, DDS
Acupuncture                                                                               113 Palace Lane, Suite, L                    2225 S Henry St.
Wade Quinn, DC, CCSP                        Williamsburg Place                                                                         Williamsburg (757) 253-2500
                                            5477 Mooretown Rd.                            Williamsburg (757) 220-3674
Mark Hundley, DC
1318 Jamestown Rd., Suite 102               Toll Free: (800) 582-6066                                                                  Michael J. Coleman, DDS
                                                                                          Colonial Center For Hearing
Williamsburg (757) 253-1900                                                               Jude Liptack, MA, CCC-A                      (757) 564-0041
                                                                                          337 McLaws Cir., Suite 3
Pinto Family Chiropractic
Robert M. Pinto DC, CCSP                    Ambulance                                     Williamsburg (757) 229-4004                  Curry Dental Center
                                                                                                                                       Lisa J. Curry, DMD
5601 Richmond Rd. Suite 14
Williamsburg (757) 220-8552                 Service                                       Hearing Evaluation & Noise
                                                                                          Protection Assoc., Inc
                                                                                                                                       312-H Lightfoot Rd.
                                                                                                                                       Williamsburg (757) 220-3450
                                                                                          Eric B. Hecker, PhD
Terry J. Lieber, DC                         Lifeline Ambulance                            1321 Jamestown Rd., Suite 104                Bruce DeGinder, DDS
491 McLaws Cir., Suite 3B                   24-Hour Service/ Emergency                    Williamsburg (757) 229-4335                  240 McLaws Cir., Suite 153
Williamsburg (757) 565-6363                 & Non-Emergency Transportation                                                             Williamsburg (757) 220-9492
                                            Toll Free: (800) 476-5433                     Riverside Williamsburg Ear, Nose,
Walsh Family Chiropractic, PC                                                             Throat & Allergy Clinic                      John P. Doley, DDS
Kevin Walsh, DC                                                                           Cindi Sanders, MA, CCC-A                     1116 Professional Dr.

                                            Assisted Living
1309 Jamestown Rd.                                                                        120 Kings Way, Suite 2600                    Williamsburg (757) 229-4181
Williamsburg (757) 220-4917                                                               Williamsburg (757) 253-1832
                                                                                                                                       James F. Dollar, DDS
Williamsburg Chiropractic Clinic
A.L. Wilding, DC
                                            Communities                                   Williamsburg Ear, Nose, Throat
                                                                                          & Allergy PLLC
                                                                                                                                       Matthew D. Dollar, DDS
                                                                                                                                       Patrick R. Wyatt, DDS
5252-A Olde Towne Rd.                       Chambrel of Williamsburg                      Jude Liptack, MA, CCC-A                      7151 Richmond Rd.
Williamsburg (757) 220-0060                 3800 Treyburn Dr.                             6601 Mooretown Rd.                           Williamsburg (757) 565-3737
                                            Williamsburg (757) 220-1839                   Williamsburg (757) 253-8722
                                                                                                                                       Sam E. English, DDS
Allergists/Ear,                                                                                                                        4680-16A Monticello Ave.
                                            Dominion Village of Wmbg.
                                                                                                                                       Williamsburg (757) 258-1042
Nose & Throat
                                            4132 Longhill Rd.
                                            Williamsburg (757) 258-3444
                                                                                                                                       Peter S. Evans, DDS,MS
                                                                                          Advanced Cardiovascular Institute            120 Kings Way
Allergy & Asthma of                         Micand Retirement Center                      William Beneke, MD
                                            251 Patriot's Ln.                                                                          Williamsburg (757) 220-1999
Oyster Point-Williamsburg                                                                 Anh N. Campbell, MD
Ann P. Zilliox, MD                          Williamsburg (757) 220-4014                   5215 Monticello Ave., Suite A                Gisela K. Fashing, DDS
217 McLaws Cir., Suite 5                                                                  Williamsburg (757) 229-1440                  150 Strawberry Plains Rd.
Williamsburg (757) 873-3882                 Morningside Of Williamsburg
                                            440 McLaws Cir.                                                                            Williamsburg (757) 229-8991
                                                                                          Cardiovascular Health
VA Adult & Pediatric Allergy                Williamsburg (757) 221-0018                   Vasudev Ananthram, MD                        Gilbert J. Frey, DDS
& Asthma PC                                                                               117 Bulifants Blvd., Suite B                 Lawrence R. Sarmiere, DDS
Stephen W. Shield, MD                       Patriots Colony At Williamsburg               Williamsburg (757) 259-9540
                                            6000 Patriots Colony Dr.                                                                   1161 Professional Dr.
1144 Professional Dr.                                                                                                                  Williamsburg (757) 253-0400
Williamsburg (757) 259-0443                 Williamsburg (757) 220-9000                   Colonial Cardiology Assoc.
                                                                                          Stephanie L. Goodwin, DO, FACC               Terry H. Hake, DDS, MS
Riverside Williamsburg Ear, Nose,           Riverside Adult Daycare                       3901 Treyburn Dr., Suite 100
                                            3435 John Tyler Hwy.                                                                       1761 Jamestown Rd.
Throat & Allergy Clinic                                                                   Williamsburg (757) 259-8300

     We have done our best to include all health professionals within Williamsburg and James City County using the current available resources. Our goal is to be the most
         up-to-date and reliable health directory available. If you cannot find your organization, or if your information is not current, please contact us at: 757-645-4475.

MARCH 2006
                                                                                                                                                              HEALTH JOURNAL   17
Williamsburg (757) 229-4115                  Edward A. Owens, DMD                         Williamsburg (757) 229-6960                          Michael Fitzpatrick, MD
                                             5252 Old Towne Rd., Suite C                                                                       Christopher Massengill, MD
Hampton Roads Oral &                         Williamsburg (757) 229-6414                                                                       Christopher Boquist, MD
Maxillofacial Surgery
W. Les Davenport, DDS                        Williams R. Parks, DDS                       Dermatology                                          120 Kings Way, Suite1400
                                                                                                                                               Williamsburg (757) 345-2555
1147 Professional Dr.                        531 Mill Neck Rd.
Williamsburg (757) 258-8913                  Williamsburg (757) 253-0521                  Dermatology Center                                   Tidewater Physicians
                                                                                          Of Williamsburg                                      Multispecialty Group
Paul Hartman, DDS                            Christine Piascik, DDS                       Donna M Corvette, MD                                 Mary J. Hill, MD
1323 Jamestown Rd.Suite 203                  1769 Jamestown Rd., Suite B                  287 McLaws Cir., Suite 1                             Laura E. Higdon, MD
Williamsburg (757) 253-2393                  Williamsburg (757) 229-8920                  Williamsburg (757) 645-3787                          Jeffrey G. Blanchard, MD
                                                                                                                                               Michael B. Potter, MD
B. B. Hawthorne, DDS                         Richard A. Pugliese, DDS                     Bruce E. Fuller, MD                                  Lanna Krout-Cole, CFNP
John H. Speegle, DDS                         502 Strawberry Plains Rd.                    120 Kings Way, Suite 3300                            7151 Richmond Rd., Suite 405
7349 Richmond Rd.                            Williamsburg (757) 259-9703                  Williamsburg (757) 564-9220                          Williamsburg (757) 564-3700
Williamsburg (757) 564-8942
                                             Nancy Yang Schumann, DDS                     Joseph W. Musgrave, MD                               Williamsburg Family Medicine
Hampton Roads Oral &                         3435 John Tyler Hwy.                         1139 Professional Dr.                                Charles Seager, MD
Maxillofacial Surgery                        Williamsburg (757) 564-0900                  Williamsburg (757) 220-2266                          132 Professional Cir.
Jeffrey N. Kenney, DDS                                                                                                                         Williamsburg (757) 345-6491
N Ray Lee, DDS                               Ronald J. Smalls, DDS                        Oyster Point Dermatology
1147 Professional Dr.                        1309 Jamestown Rd., Suite 103                475 McLaws Cir., Suite 1                             Williamsburg Family Physicians
Williamsburg (757) 258-8913                  Williamsburg (757) 229-0620                  Williamsburg (757) 259-9466                          Elizabeth Burkey, MD
                                                                                                                                               David Hundt, MD
Carol F. Morgan, DDS                         New Town Dental Arts                         Pariser Dermatology Specialists                      3901 Treyburn Dr. Suite101
1130 Old Colony Ln.                          Sabastiana Springmann, DDS                   Kenneth S. Hunter, MD                                Williamsburg (757) 564-8182
Williamsburg (757) 220-6727                  3204 Ironbound Rd.                           Linda Serwatka, MD
                                             Williamsburg (757) 259-0741                  217 McLaws Cir., Suite 5                             Williamsburg Family Practice
Thomas J. Morris, DDS                                                                     Williamsburg (757) 564-8535                          John J. Ball III, MD
491 McLaws Cir., Suite 1                     K.L.Tankersley, DDS, MD                                                                           Thomas J. Powers, Jr., MD
Williamsburg (757) 253-0598                  1147 Professional Dr.                        Schumann Dermatology Group                           Richard B. Theis, MD
                                             Williamsburg (757) 258-8913                  Cosmetic Dermatology                                 502 Strawberry Plains Road
Robert F. Morrison, DMD                                                                   Keith W. Schumann, MD                                Williamsburg (757) 220-2795
Stephen L. Murphy, DDS                       David G. Walker, DDS                         3435-B John Tyler Hwy.
William Broas, DDS                           813 Richmond Rd.                             Williamsburg (757) 564-1200

1131 Professional Dr.                        Williamsburg (757) 229-6278
Williamsburg (757) 220-0330

Donald G. Moskowicz, DMD
                                             Peter D. Wendell, DDS
                                             4097-A Ironbound Rd.                         Emergency                                            B-defined
200 Packets Ct.                              Williamsburg (757) 253-1200                                                                       4801 Courthouse St., Suite 122
Williamsburg (757) 221-0249                                                                                                                    Williamsburg (757) 345-6801
                                             L. Warren West, DDS
Norge Dental Center                          195 Strawberry Plains Rd.                    National Suicide Crisis Hotline                      Body Balance Studio
Tim Johnston, DDS                            Williamsburg (757) 229-6692                  (800)-784-2433                                       370 McLaws Circle
Stacey S. Hall, DDS                                                                                                                            Williamsburg (757) 221-0774
C. Ray Henley, Jr., DDS                      Williamsburg Dental Group                    Poison Control Center
7450 Richmond Rd.                            William M. Bennett, DDS                      (800)-222-1222                                       Bodyfit
Williamsburg (757) 564-0804                  Corydon Butler, DDS                                                                               5251 John Tyler Hwy.
                                             Barry Green, DDS                                                                                  Williamsburg (757) 221-6688
Hampton Roads
Neuromuscular &
Aesthetic Dentistry
                                             Ana Maya, DDS
                                             1319 Jamestown Rd.
                                             106 Bacon St.
                                                                                          Family Practice                                      Core Fitness
                                                                                                                                               5609 Richmond Rd.
J. Stewart Oglesby, DDS                      Williamsburg (757) 229-7210                  Medical Center Family Physicians                     Williamsburg (757) 564-7311
1313 Jamestown Rd.                                                                        Shane H. Peng, MD
Williamsburg (757) 229-3052                  Walter G. Winneberger, DDS                   Glenn T. Rauchwarg, DO                               Cuts Fitness for Men
                                             104 Bypass Rd., Suite 202                    Tom Hoag, MD                                         4320-23 George Washington
                                                                                          Jane L. Tucker, MD                                   Memorial Hwy. (Route 17)
                                                                                          6601 Mooretown Rd., Suite 450                        Yorktown (757) 696-2887

     Senior Independence
                                                                                          Williamsburg (757) 345-4600
                                                                                                                                               Curves For Women
                                                                                          Premier Physicians                                   4511-B John Tyler Hwy.
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         up-to-date and reliable health directory available. If you cannot find your organization, or if your information is not current, please contact us at: 757-645-4475.
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                                                                                                                                                                             MARCH 2006
Curves For Women                            Terryl D. Times, MD                           Hand 'N' Heart                                   5249 Olde Towne Rd.
1915 Pocahontas Tr., Suite F5               120 Kings Way, Suite 2800                     461 McLaws Cir.                                  Williamsburg (757) 259-3256
Williamsburg (757) 220-5506                 Williamsburg (757) 253-0777                   Williamsburg (757) 565-0216
                                                                                                                                           Riverside Urgent Care
Ironbound Gym                               TPMG-Colonial Surgery                         Maye We Help You?                                5231 John Tyler Hwy.
1228 Richmond Rd.                           Mark D. Wood, MD                              Concierge Service                                (757) 220-8300
Williamsburg (757) 229-5874                 4125 Ironbound Rd., Suite 200                 757-593-4103
                                            Williamsburg (757) 345-2071                                                                    Sentara Williamsburg
Jazzercise                                                                                Meals on Wheels                                  Community Hospital
455 Merrimac Tr.                                                                          227 Richmond Rd.                                 301 Monticello Ave.

                                            Health & Diet
Williamsburg (757) 220-8020                                                               Williamsburg (757) 229-9250                      Williamsburg (757) 259-6000
Ladies Workout Express                                                                    Riverside Home Health Agency                     Sentara Outpatient Care Center
3709 Strawberry Plains Rd., Suite B
Williamsburg (757) 220-2992                 Products- Retail                              Williamsburg (757) 594-2656                      6601 Mooretown Rd.
                                                                                                                                           Williamsburg (757) 345-4490
                                                                                          Senior Advocate, LLC
Results Personal                            Arbonne International                         Case Management Service
                                            Barb Schroeder                                                                                 Sentara Williamsburg
Training Studio Inc.                                                                      Williamsburg (757) 897-3075                      Urgent Care
3206 Ironbound Rd., Suite C                 Williamsburg (757) 253-0003
                                                                                                                                           James E. Barton, MD
Williamsburg (757) 565-5000                                                               Sentara Home Care Services                       Steven Cummings, MD
                                            Carolyn Petrina                               1100 Professional Dr.
                                            Nutraceutical Consultant                                                                       James Hess, MD
The Pilates Center                                                                        Williamsburg (757) 259-6251                      Clarice Moussalli, MD
1130 Old Colony Ln., Suite 201              (757) 645-5737
                                                                                                                                           5251-15 John Tyler Hwy.
Williamsburg (757) 229-5002                                                               Visiting Angels                                  Williamsburg (757) 259-1900
                                            General Nutrition Center                      Living Assistance Services
Williamsburg Indoor                         Monticello Market Place                       12388-203 Warwick Blvd.
                                            Williamsburg (757) 565-5100                                                                    Travel Health of Williamsburg
Sports Complex (WISC)                                                                     Newport News (757) 599-4147                      Virginia D. Wells, MD
5700 Warhill Tr.                                                                          Williamsburg (757) 258-8558                      287 McLaws Cir., Suite 2

Williamsburg (757) 253-1947                                                                                                                Williamsburg (757) 220-9008
Williamsburg/James City County
                                                                                          Hospitals &
Recreational Center
5301 Longhill Road
Williamsburg (757) 259-4200
                                            Andrea "Andy" Atkins
                                            1769-107 Jamestown Rd.                        Clinics
                                            Williamsburg (757) 254-1104
                                                                                          Angels of Mercy Medical Clinic
Yoga Center Inc.                            Joan R. Milkavich, LPC                        7151 Richmond Rd., Suite 401
Indira Ghosh                                352 McLaws Cir., Suite 3                      Williamsburg (757) 565-1700
5609 Scotts Pond Dr.                                                                                                                       Kevin R. Bedell, MD
                                            Williamsburg (757) 564-4590                                                                    4622 Rochambeau Dr.
Williamsburg (757) 253-0027                                                               Berkeley Outpatient Medical &                    Williamsburg (757) 566-4246
                                            Linda Pincus                                  Surgical Center
                                            240 Patrick's Crossing                        John A. Lanzalotti, MD
                                                                                                                                           Greensprings Physicians
                                            Williamsburg (757) 565-6156                   136 Professional Circle                          George McBeath, DO
                                                                                          Williamsburg (757) 253-2450                      Kathleen M. Tylman, DO
                                                                                                                                           Thomas A. Tylman, DO
Colonial Gastroenterology
Kenneth A. Adams, MD                        Home Health                                   First Med of Williamsburg                        2000 Easter Cir.

                                            Care Services
Sandra Holloway, MD                                                                       Todd E. Simo, MD                                 Williamsburg (757) 564-5540
Lisa Odabasi, MD                                                                          Richard A. Campana, MD
6601 Mooretown Rd. Suite 350                                                              312 Second St.                                   The Massey Clinic
Williamsburg (757) 253-5771                 At-Home Care                                  Williamsburg (757) 229-4141                      William Massey III, MD
                                            366 McLaws Cir., Suite 2                                                                       322 Monticello Ave.
Williamsburg Gastroenterology               Williamsburg (757) 220-2112                   Lackey Free Family Medicine Clinic               Williamsburg (757) 229-0919
Richard J. Hartle, MD                                                                     Jim Shaw, MD
Joseph O. Converse, MD                      Bayada Nurses                                 1620 Old Williamsburg Rd.                        Treyburn Internal
457 McLaws Cir.                             7151 Richmond Rd., Suite 201                  Yorktown (757) 886-0608                          Medicine Associates
Williamsburg (757) 221-0750                 Williamsburg (757) 565-5400                                                                    Roger L. Clevinger, MD
                                                                                          MedExpress Urgent Care                           James P. Majdic, DO
                                            Brookside Home Health                         120 Monticello Ave.                              Philip S. Walter, MD

General Surgery                             Williamsburg (800) 296-2536                   Williamsburg (757) 564-3627                      156-C Strawberry Plains Rd.
                                                                                                                                           Williamsburg (757) 259-6770
                                            Comfort Keepers                               Olde Towne Medical Center
Hall Renfro Howard, MD                      Non-Medical In-Home Care                      Alan Norman, MD                                  Williamsburg Internal Medicine
5251-15 John Tyler Hwy                      15441-A Pocahontas Trail
Williamsburg (757) 220-4377                 Lanexa (804) 966-1997
Williamsburg Surgery PC                     Concordia Group
Michael C. Lilly, MD                        1524-C Merrimac Tr.
Mark P. Moniz, MD                           Williamsburg (757) 229-9930

       Charles L. Koah
                 Licensed Professional Counselor                                                   �����������������
             Individuals, Couples & Family Counseling                                                �����������������������������
                    Intensified Marriage/Relationship Sessions
                        Career Choice/Personality Testing
                        Depression/Stress/Drug & Alcohol


                  757-871-3693                                                                         �������������������������������������      �����������������
     We have done our best to include all health professionals within Williamsburg and James City County using the current available resources. Our goal is to be the most
         up-to-date and reliable health directory available. If you cannot find your organization, or if your information is not current, please contact us at: 757-645-4475.

MARCH 2006
                                                                                                                                                               HEALTH JOURNAL   19
Pranav Parikh, MD                                                       The Leukemia & Lymphoma Society      Advanced Vision Institute
Patricia Marcuson, MD
Kent Marcuson, MD
                                        Organizations                   2101 Executive Dr., Twr. Box 21
                                                                        Hampton (757) 838-9351
                                                                                                             Glenn C. Campbell, MD
                                                                                                             Juan A. Astruc, Jr., MD
6601 Mooretown Rd. Suite 400                                                                                 Pranay Gupta, MD
                                        Alzheimer's Association                                              5215 Monticello Ave.
Williamsburg (757) 645-3150             263 McLaws Cir., Suite 203      United Way
                                                                        312 Wallermill Rd. Suite 100         Williamsburg (757) 229-4000
                                        Williamsburg (757) 221-7272
                                                                        Williamsburg (757) 253-2264
                                                                                                             Anthony J. DeRosa, MD
Nephrology                              American Cancer Society
                                        895 Middleground Blvd.
                                        Newport News (757) 591-8330
                                                                        Williamsburg AIDS Network
                                                                        479 McLaws Circle, Suite 2
                                                                                                             101 Tewning Rd.
                                                                                                             Williamsburg (757) 229-1331
(Kidneys)                               American Diabetes Association
                                                                        Williamsburg (757) 220-4606
                                                                                                             Cullom Eye & Laser Center
                                                                        Williamsburg Arthritis Project       Mary Ellen Cullom, MD
Peninsula Kidney Associates             Chesapeake (757) 464-6662                                            R. Douglas Cullom, MD
Shuping Wang, MD                                                        Arthritis Foundation
                                                                        Williamsburg (757) 220-1811          Jose M. Portal, MD
6601 Mooretown Rd., Suite 305           American Heart Association                                           120 Kings Way, Suite 1300
Williamsburg (757) 258-2511             Norfolk (757) 623-2075                                               Williamsburg (757) 643-8800

Neurology &
                                        American Red Cross
                                        1317 Jamestown Rd., Suite 105   Obstetrics &                         Paul J. McMenamin, MD
                                                                                                             1155 Professional Dr.

                                        Williamsburg (757) 253-0228

                                        BikeWalk Virginia
                                                                        Gynecology                           Williamsburg (757) 565-2500

                                                                                                             Williamsburg Retina Center
                                        PO Box 203                      Mary Kay Dineen, MD                  John R. Nordlund, MD
Hampton Roads Neurosurgery              Williamsburg (757) 229-0507     217 McLaws Cir., Suite 5             113-A Bulifants Boulevard
& Spine Center Inc.                                                     Williamsburg (757) 229-3254          Williamsburg (757) 220-3375
Matthew Y. Chang, MD                    The Center for Excellence in
Candace Ross-Cleary, CRNP               Aging and Geriatric Health      Williamsburg Obstetrics
Glynis M. Davis, CNP                    3435-A John Tyler Highway       & Gynecology
Wallace K. Garner, MD
James E. Lesnick, MD
                                        PO Box 2913
                                        Williamsburg, VA 23187-2913
                                                                        Daniel G. Jenkins, MD
                                                                        Roger W. Jones, MD                   Optometry
William H. McAllister, MD               757-220-4751                    David C. Pearce, MD
M. Erin Renkel, NP                                                      Emily F. Roberson, MD                Eye 2 Eye
217 McLaws Circle, Suite 3              Colonial Services Board         1115 Professional Dr.                Matt Gada, OD
Williamsburg (757) 220-6823             (Mental Health, Retardation     Williamsburg (757) 253-5653          5252-B Olde Towne Rd.
                                        & Substance Abuse)                                                   Williamsburg (757) 259-2300
Robert I. Solomon, MD                   1657 Merrimac Tr.               Womancare Of Williamsburg
3901 Treyburn Dr., Suite 100            Williamsburg (757) 220-3200     Camilla M. Buchanan, MD              Eyewear Plus Optometric Center
Williamsburg, (757) 259-8710                                            Beth Scharlop, MD                    101 Tewning Rd.
                                        Historic Triangle Substance     Susan M. Lontkowski, MD              Williamsburg (757) 229-1131
Williamsburg Neurology PC               Abuse Coalition                 Jane McMillan, MD
& Sleep Disorders Center                161-A John Jefferson Sq.        120 Kings Way, Suite 3400            Hampton Roads Eye Assoc.
D. Thompson Bond, PsyD                  Williamsburg (757) 476-5070     Williamsburg (757) 253-5600          120 Kings Way, Suite 1300
Patricia Eller, MD                                                                                           Williamsburg (757) 345-3004
Patrick N. Harding, MD                  Hospice Support Care of
                                                                                                             Pamela Lundberg, OD
Shawke A. Soueidan, MD                  Williamsburg
120 Kings Way, Suite 2700               4445 Powhatan Pkwy.                                                  Richard K. Lodwick, OD
Williamsburg (757) 221-0110             Williamsburg (757) 253-1220                                          101-A Bulifants Blvd.
                                                                                                             Williamsburg (757) 564-1907
                                                                        Peninsula Cancer Institute
                                        Senior Services Coalition       Mark Ellis, MD
Non-Profit                               161-A John Jefferson Sq.
                                        Williamsburg (757) 220-3480
                                                                        Laura Kerbin, MD
                                                                        120 Kings Way, Suite 3100
                                                                                                             Carter Murphy, OD
                                                                                                             5251 John Tyler Hwy.
                                                                                                             Williamsburg (757) 229-8660
                                                                        Williamsburg (757) 345-5724
                                                                                                             Rosser Optical
                                                                        Virginia Oncology Assoc.             150-B Strawberry Plains Rd.
                                                                        Bruce Booth, MD                      Williamsburg (757) 220-2020
     James City Innovative Manual Therapies                             John Paschold, MD
                                                                        David Powell, MD                     Forest Schaeffer
          Specializing in cranial sacral and integrative manual         Christina Prillaman, MD              Monticello Marketplace
                                                                        3901 Treyburn Dr., Suite 200         Williamsburg (757) 258-1020
         therapy for solutions to and relief from stress and pain.      (757) 229-2236
                                                                                                             Michael G. Sternberg

                                                                                                             1107 Richmond Rd., Suite 1
     • TMJ Dysfunction                                                                                       Williamsburg (757) 229-4222
     • Chronic muscle tension
     • Lower back and neck pain
     • Migraines                                                                                                                     Will
     • Plantar fasciitis                                                                                                             natur sburg's
     • Tendonitis                                                                                                                     for h choice
     • Carpal tunnel                                                                                                                        ealth
     • Chronic stress-related disorders
     • Joint pain & more                                                                                      Anne E. Pinto, DC
                                                                                                              Robert M. Pinto, DC, CCSP
                                                                                                              • Certified Chiropractic Sports Physician
                       Free Consultation and Assessment                                                       • Certified In Spinal Rehabilitation
                                                                                                              • Massage Therapist On-site
                      David R. Herring, C.M.T                               SPINAL DECOMPRESSION
                        134 Winston Drive                                                          
                       Williamsburg, VA 23185                                                                                       Most major
                                                                            FULL SPINAL REHAB FACILITY                              insurance accepted
                      (757) 869-1936
          Massage and myofacial release therapy also available
                                                                             5601 Richmond Road • Suite 14
                                                                              Williamsburg, Virginia 23188      (757) 220-8552

     HEALTH JOURNAL                                                                                                                             MARCH 2006
                                            Gerald W. Dewitt¸ MD                         240 McLaws Cir.                                                   Williamsburg Physical
Orthopedics                                 Mark Downey, MD
                                            Kristina Powell, MD
                                                                                         Williamsburg (757) 229-1041                                       Therapy of Norge
                                                                                                                                                           Ginger Benziane, MSPT, OCS, ATC
                                                                                                                                                           7191 Richmond Rd., Suite A
                                            Georgia A. Prescott, MD
Arthritis & Rheumatic Diseases, PC          119 Bulifants Blvd.                                                                                            Williamsburg (757) 345-0753
Elena F. Flagg, MD
Christopher A. Hakim, MD, FACR
                                            Williamsburg (757) 564-7337                  Physical                                                          Williamsburg Hand
Misty Mason, MS, RN, FNP
329 McLaws Circle
                                            Williamsburg Pediatric Adolescent
                                            & Sports Medicine                            Medicine &                                                        Therapy Center
                                                                                                                                                           Marcia Miller, PT, CHT
Williamsburg (757) 220-8579                 Linda P. Gottfried, MD
                                            Maurice E. Graham, MD                        Rehabilitation                                                    156-B Strawberry Plains Rd.
                                                                                                                                                           Williamsburg (757) 565-3400
Mid-Atlantic Spine Specialists              Steven C. Mares, MD
                                            Cynthia T. Portal, MD                        Comber Physical Therapy
Hallett Mathews, MD
                                                                                                                                                           Plastic &
                                            Dan F. Via, MD                               Erika J. Comber, PT
Paul E. Savas                                                                            101-B Bulifants Blvd.
4125 Ironbound Rd.                          1162 Professional Dr.
                                                                                         Williamsburg (757) 229-9740
                                                                                                                                                           Cosmetic Surgery
Williamsburg (757) 253-0700                 Williamsburg (757) 253-5757
                                                                                         Dominion Physical
Tidewater Physicians
Multispecialty Group
Michael B. Potter, MD
                                            Pharmacies                                   Therapy & Associates Inc.
                                                                                         243 McLaws Cir., Suite 102
                                                                                         Williamsburg (757) 564-9628
                                                                                                                                                           Aesthetic Center for Cosmetic &
                                                                                                                                                           Plastic Surgery
Glen T. Feltham, MD                                                                                                                                        Johnstuart M. Guarnieri, MD
                                            CVS Pharmacy                                                                                                   333 McLaws Cir., Suite 3
Daniel E. Carr, MD                          1256 Richmond Rd.                            Reach for Performance Inc.
Jeffery D. Moore, MD                                                                                                                                       Williamsburg (757) 345-2275
                                            (757) 229-0015                               Sheila M. Robinson, MSPT
4125 Ironbound Rd., Suite 200               1187 Jamestown Rd.                           312-J Lightfoot Rd.
Williamsburg (757) 345-5870                                                                                                                                Williamsburg Plastic Surgery Ctr.
                                            (757) 564-1005                               Williamsburg (757) 258-1221                                       David G. Teasley, MD
                                            700 Merrimac Tr.                                                                                               227 McLaws Cir.
Virginia Orthopedics & Sports               (757) 258-4450                               RehabCare Physical Therapy
Medicine PC                                                                                                                                                Williamsburg (757) 253-8875
                                                                                         120 Monticello Ave., Suite 200
Alexander L. Lambert II, MD                 Eckerd Drugs                                 Williamsburg (757) 259-9755
Charles E. Wilhelm                          115 Colony Sq.
4125 Ironbound Rd., Suite 201
Williamsburg (757) 253-0603
                                             (757) 220-1315
                                            4511 John Tyler Hwy.
                                                                                         Riverside Physician Associates
                                                                                         C. Renee Moss, MD                                                 Podiatry
                                            (757) 253-8003                               120 Kings Way, Suite 1200
Williamsburg Orthopedic                     701 Merrimac Tr.                             Williamsburg (757) 345-3050                                       Commonwealth Foot Care
Associates                                  (757) 229-0131                                                                                                 Jean M. Clay, DPM
Philip M. LeNoach, MD                                                                    Sentara Physical Therapy Services                                 156 Strawberry Plains Rd., Suite D
John J. McCarthy, MD                        Farm Fresh-Farmco Drug Center                6601 Mooretown Rd.                                                Williamsburg (757) 220-3338
6601 Mooretown Rd., Suite 320               455 Merrimac Tr.                             Williamsburg (757) 345-4490
Williamsburg (757) 345-4500                 Williamsburg (757) 253-2304                                                                                    Michael Dente, DPM
                                                                                         Williamsburg Physical Therapy                                     120 Kings Way, Suite 2900

Pain                                        Jamestown Pharmacy
                                            1781-160 Jamestown Rd.
                                                                                         John A. Mitrovic, PT
                                                                                         4125 Ironbound Rd.
                                                                                                                                                           Williamsburg (757) 345-3022

Management                                  Williamsburg (757) 565-7570                  Williamsburg (757) 220-8383                                       Williamsburg Foot
                                                                                                                                                           & Ankle Specialists
                                            Olde Towne Pharmacy
Tidewater Pain Management                   4854 Longhill Rd.

Mark W. Newman, DO                          Williamsburg (757) 220-8764

                                                                                                    E CL
4125 Ironbound Rd.
Williamsburg (757) 258-2561                 Professional Pharmacy of Wmbg

                                            11302 Mount Vernon Dr.
                                            Williamsburg (757) 229-3560

Pathology                                   Rite Aid Pharmacies
                                            Ewell Station Shopping Ctr.                                                                   Drop in for
                                                                                                                                                                        Yoga and Pilates
                                                                                                  limit one per person expires 3/31/06

Dominion Pathology Laboratories             5601-B Richmond Rd.                                                                          a free class
Kevaghn P. Fair, DO                         Williamsburg (757) 565-6407
                                                                                                                                          when you
801 Boush St., Suite 204
Norfolk (757) 664-7901                      Ukrop's Pharmacy                                                                               present
                                            4660 Monticello Ave.                                                                           this ad!
                                            Williamsburg (757) 564-0471

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                                            4630 Monticello Ave.
                                            Williamsburg (757) 564-9835                                                                                                     221-0774
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                757.564.6553 OFFICE • 757.869.2364 CELL                                     We have done our best to include all health professionals within Williamsburg and James City County using the current
                                                                                            available resources. Our goal is to be the most up-to-date and reliable health directory available. If you cannot find your
                                                                                                             organization, or if your information is not current, please contact us at: 757-645-4475.

     We have done our best to include all health professionals within Williamsburg and James City County using the current available resources. Our goal is to be the most
         up-to-date and reliable health directory available. If you cannot find your organization, or if your information is not current, please contact us at: 757-645-4475.

MARCH 2006
                                                                                                                                                                                            HEALTH JOURNAL       21
Mark Gardner, DPM                    Paul D. Reilly, MD
                                                                                                                                   Henry M. Prillaman, MD
453 McLaws Cir., Suite 1             1115 Old Colony Ln.                                                                           Bishop P. Read, MD
Williamsburg (757) 220-3311          Williamsburg (757) 253-0691                                                                   Richard G. Rento, MD
                                                                                 European Beauty Concepts                          Roger E. Schultz, MD
                                     Williamsburg Psychiatric                                                                      Anthony J. Taylor, MD
                                     Medicine, PLLC                              1248 Richmond Rd.
Psychiatry &                                                                     Williamsburg (757) 229-2440                       Lawrence R. Volz, MD
                                     Kelly Chun, MD                                                                                120 Kings Way, Suite 3200
                                     1313 Jamestown Rd., Suite 203                                                                 Williamsburg (757) 253-0051
Mental Health                        Williamsburg (757) 253-7651                 European Day Spa
                                                                                 3206 Ironbound Rd.
                                                                                 Williamsburg (757) 220-4959                       Virginia Urology
                                                                                                                                   (including Pediatric Urology)
Lester Dubnick, EdD
1309 Jamestown Rd., Suite 101                                                    Elements Spa at                                   G. Bryan Duck, MD
Williamsburg (757) 220-0645                                                      Great Wolf Lodge Resort                           Leon I. Smith-Harrison, MD
                                                                                 555-559 East Rochambeau Dr.                       Boyd H. Winslow, MD
                                     Peninsula Radiological Assoc.                                                                 Valre Welch, RN, CPNP
Jose A. Erfe, MD                     120 Kings Way, Suite                        Williamsburg (757) 229-9700
481 McLaws Cir., Suite 1                                                                                                           7151 Richmond Rd.
                                     Williamsburg (757) 345-6700                                                                   Williamsburg (757) 220-6632
Williamsburg (757) 229-9286                                                      Golden Braid Massage Therapy
                                     Tidewater Diagnostic Imaging                1769-106 Jamestown Rd.
Family Living Institute                                                          Williamsburg (757) 565-5004
Teri Ancellotti, PhD
Carl J. Beffa, MSW
                                     301 Monticello Ave.
                                     Williamsburg (757) 259-6070
                                                                                 James City Massage
                                                                                                                                   Vascular Surgery
Thomas D. Coe, PhD                   Women's Imaging Center                      & Manual Therapies                                Russell Campbell, MD, FACS
Donna K. Griset, LPC                 Sentara Outpatient Care Center              134 Winston Dr.                                   Joseph Piotrowski, MD, FACS
David Hopkinson, PhD                 6601 Mooretown Rd.                          Williamsburg (757) 869-1936                       156-A Strawberry Plains Rd.
John J. Lee, MD                      Williamsburg (757) 345-4000                                                                   Williamsburg (757) 229-7939
Thayer Cory, LPC, LMST                                                           Inner Harmony
Lillian W. Lieverman, LCSW                                                       1915 Pocahontas Tr., Suite 1A
Alfonso Lopez-Cardona, MD
Jo-Ann Wagner, LCSW
1318 Jamestown Rd.
                                     Sleep Disorders                             Williamsburg (757) 220-1392

                                                                                 Saving Face Day Spa                                  The Williamsburg
Williamsburg (757) 229-7927          Sentara Williamsburg Community              7151 Richmond Rd., Suite 301
                                     Hospital Sleep Wellness Center
                                     1308 Mt. Vernon Ave.
                                                                                 Williamsburg (757) 221-0490                          Health Journal is
Charles L. Koah, LPC
1769 Jamestown Road, Suite 104
Williamsburg (757) 871-3693
                                     Williamsburg (757) 259-6290                 The Spa at Manor Club
                                                                                 101 St. Andrews Dr.
                                                                                                                                      full of timely and
Teresita L. Noveras, MD
                                     Sleep Disorders Center At
                                     Williamsburg Neurology
                                                                                 Williamsburg (757) 258-1120                          well-written articles
3305 Poplar Creek Ln.
Williamsburg (757) 564-8522
                                     Patricia Eller, MD
                                     Patrick N. Harding, MD
                                                                                 The Spa at Kingsmill
                                                                                 1010 Kingsmill Rd.
                                                                                                                                      on pertinent health
Let's Talk
                                     D. Thompson Bond, PsyD
                                     Shawke A. Soueidan, MD
                                                                                 Williamsburg (757) 253-8230
                                                                                                                                      issues that impact
                                     120 Kings Way, Suite 2700
Leslie N. Brown, LCSW
1312 Mount Vernon Ave., Suite 1312   Williamsburg (757) 221-0110
                                                                                 Wmbg. Wellness Center & Spa
                                                                                 3404 Acorn St.                                       all of us in our
Williamsburg (757) 221-0091                                                      Williamsburg (757) 345-2457
                                     Pulmonary & Sleep Consultants                                                                    community.
                                     of Williamsburg, PC
Psychological Associates of Wmbg
Marnee S. Colburn, PhD, LCP
                                     Alexander Haraldsted, MD
                                     120 Kings Way, Suite 2200
                                     Williamsburg (757) 645-3460
                                                                                 Urology                                                 John C. Paschold, M.D.
Patricia A. Ondercin, PhD, LCP
1313 Jamestown Rd., Suite 105                                                    Urology Of Virginia, PC                                 Virginia Oncology Associates
Williamsburg (757) 253-1462                                                      Scott Burgess, MD
                                                                                 Steven E. Marks, MD

 Health Classifieds                                                                                                   Call (757) 645-4475 for rates.
                                                           Medical Staff Wanted                                        Sentara Williamsburg
      Relay For Life 2006                                  Full-time, experienced professional needed
                                                                                                                       Community Hospital
                                                                                                                       Women’s Imaging Pavilion will offer a Breast Cancer
                                                           for our Williamsburg practice. Great                        Survivors Retreat on April 22. Cost is $25 per
                                                           opportunity to grow with us! Fax resume to                  person. Call 259-6297 for more information.
       Relay For Life of Williamsburg is now               564-0034
       recruiting new teams for Relay 2006!
                                                            Certified Personal Trainers Wanted                          Free Mammogram Upon Referral
       Become a Team Captain or Co-Captain!
                                                                                                                       Sponsored by Sentara Williamsburg Community
                                                            Experience preferred, although some
                                                                                                                       Hospital Auxilary. Must be 40-65 (or under 40 with family
       This year's Relay will be June 2-3 at                training can be given to those who have
                                                                                                                       history of breast cancer), uninsured, and a resident of
                                                            potential. Flexible hours. Excellent pay.
       Jamestown High School. Relay For Life                In a private personal training studio.                     Greater Williamsburg. Call 259-6079 to schedule an
       is an opportunity to celebrate survivors             Call 565-5000                                              appointment. Leave name and number.
       as well as remember those we've lost.
                                                            Home Care Field Staff Wanted                               Williamsburg Arthritis Project
       Start your team today! Call 258-9696 or              PT, OT, ST, MSW and HHA’s needed for new Home              Team Captains are needed for the next Arthritis
       visit                 Care Agency servicing Williamsburg and surrounding         Walk on Sat. May 6 at Governor’s Land.
                                                            counties. Supportive environment and competitive visit     Register on-line at, or contact
                                                            rates. Call 757-565-5400 for more information.             Annie Magnant at (800)456-4687, x-308.

     HEALTH JOURNAL                                                                                                                                                     MARCH 2006
From Dry to Wet:
Exploring Age-Related Macular Degeneration
by John R. Nordlund, M.D., Ph.D.
                                                                                                                                         Third In Series

If you read last month’s column,              retina, called choroidal neovascular          clinical examination, help the doctor        mended every three months for treat-
you’ll recall that age-related macular        membranes (CNM). Even if no signs             determine the most effective treatment       ment of wet AMD.
degeneration (AMD) is the leading             of wet AMD exist, further testing may         for the patient’s affected eye.                  Another breakthrough treatment, a
cause of vision loss in people ages 55        be needed because approximately 10                Prior to the 1980s, patients with wet    medication called Macugen, was ap-
and older. “Wet” AMD accounts for 80          percent of membranes are occult (they         AMD had few treatment options. Left          proved for clinical use in 2004 and is
to 90 percent of all cases of severe vision   cause symptoms but show no signs of           untreated, the affected eye would usu-       now used to treat all types of wet AMD.
loss. The remaining cases are caused by       disease). Identifying these growths           ally develop a macular scar, making it       When injected into the eye, Macugen
an advanced form of “dry” AMD. As we          early, when the lesions are small, leads      difficult for a person to identify the big   blocks the activity of a specific growth
discussed last month, wet AMD cannot          to better treatment results.                  “E” on the eye chart. The first break-       factor (VEGF 165) that promotes blood
be prevented, but it can be delayed with          Testing     for   wet    age-related      through came in 1981 when thermal            vessel growth. Macugen is given as
use of dietary supplements.                                                                                                              an injection every six weeks. Either of
    Wet age-related macular degenera-         Prior to the 1980s, patients with wet                                                      these treatment methods can be admin-
tion usually causes visual symptoms.
Most patients describe a rapid yet pain-
                                              AMD had few treatment options.                                                             istered on-site and are convenient for
                                                                                                                                         patients who live in nursing homes or
less loss of vision, or distortion. Symp-     macular degeneration consists of              lasers became available to cauterize the     have limited transportation.
toms often occur in one eye at a time         fluorescein angiography (FA) and              choroidal neovascular membrane. If the             Follow-up appointments are re-
and are more likely to occur after the        optical coherence tomography (OCT).           CNM was not beneath the center of vi-        quired to monitor the effectiveness of
age of 75, although anyone with AMD is        Fluorescein angiography is the gold           sion, most treated eyes retained good        either treatment procedure in patients.
at risk. We ask all patients with AMD to      standard for identifying the presence of      sight, at least for a while. If the CNM      Both treatment methods are improve-
look at an Amsler grid each day, which        new blood vessel growth and defining          was beneath the center of vision, how-       ments compared to just five years ago,
consists of both horizontal and vertical      its size and type. FA involves injecting      ever, treatment caused an immediate          but neither has been able to completely
sets of parallel lines. By looking at the     a vegetable-based dye into a person’s         and permanent loss of vision. In the long    restore a patient’s vision to normal.
grid with one eye at a time, a patient can    vein and then photographing the retina        run, thermal lasers were helpful because         Although ophthalmologists cannot
easily identify changes in vision such as     as the dye passes through his or her          they limited the “size” of the loss.         entirely prevent vision loss that may
missing lines (scotomata) or wavy lines       eyes. It’s a simple test done in the office       Another major advancement was the        result from wet age-related macular
(metamorphopsia).                             setting, and millions of these tests          Food and Drug Administration’s 1995          degeneration, treatments are enough to
    Any change in vision detected with        have been performed with few overall          approval of photodynamic therapy             enable patients to live independently.
the Amsler grid should immediately            complications.                                (PDT) with Visudyne, a photoactive           Next month our discussion of age-re-
be reported to a specialist so he or              Optical coherence tomography is a         dye. Visudyne is injected intravenous-       lated macular degeneration will con-
she can examine the retinae carefully.        newer imaging modality that involves          ly and then activated by a cold laser.       clude with a discussion of more of the
A retinal exam may show blood,                bouncing light off the layers of the          The photoreactive dye binds to new           latest diagnostic and treatment methods
yellow deposits (called exudates) or          retina. Data is used to generate a col-       blood vessels, and when stimulated by        as well as a soon-to-be approved medi-
thickening of the retina. These clinical      or image of the affected area. OCT is         a certain wavelength of light, causes a      cation (Lucentis) that has been shown
signs usually indicate the presence of        a great tool for finding swelling within      chemical reaction that closes the blood      in studies to improve vision among pa-
new blood vessel growth beneath the           the retina. These two tests, along with       vessel. Photodynamic therapy is recom-       tients who suffer from wet AMD. WHJ

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 reliable home care.
 I needed to know that
 she was in the best
 hands possible.

 With Bayada Nurses,
 we have it all."

 Skilled Nursing � Therapy � Social Work � Home Health Aides
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                             Williamsburg, VA 23188

                       JCAHO Accredited/State Licensed

                                                              Back to the Basics:

                                    photo by Brian M. Freer
                                                              Techniques for Safe and Effective Lifting
                                                              by Greg Tudor, C.P.T.

                                                              Think of how many times each day you bend down
                                                              to pick something up – a basket of laundry, your pet’s water

                                                                                                                                                                                                    photos by Brian M. Freer
                                                              bowl, that pen or piece of paper you dropped on the floor.
                                                              You put stress on your back every day by bending over to lift
                                                                                                                                   The DOs and DON'Ts of Lifting
                                                              even the smallest objects, making your lower back extremely
                                                              vulnerable to injury. Nearly 80 percent of people will develop
                                                              some form of lower back problem due to improper lifting.
Greg Tudor is a certified per-
sonal trainer and co-owner of                                      But lifting, even when done on a regular basis (for
Results Personal Training Studio.                             example, if your job requires heavy lifting), doesn’t have to
He specializes in one-on-one                                  be something you fear or avoid. By familiarizing yourself with
personal training for all fitness                             the basic techniques of lifting and bending, you can protect
levels.                                                       your back from unnecessary stress and possible injury.
                                                                   The most common mistake people make while lifting
                                                              is using the wrong muscles. People tend to use their back
                                                              muscles instead of the muscles in their legs and buttocks.
                                                              Bending over at the knees and keeping the trunk vertical
                                                              creates a solid foundation for the spine. Bending at the waist,
                                                              however, can place hundreds of extra pounds of pressure on
                                                              the lower back. This added pressure may eventually cause
                                                              damage to the spinal discs and/or severe muscle strain.
                                                                   Another frequent mistake is lifting an object too far from
                                                              the body. Get close to whatever you are lifting: Begin with
                                                              the center of the weight no more than eight inches from
                                                              your body. Keeping your back straight, lift the object by
                                                              engaging your leg and buttock muscles. Using those muscles
                                                              will decrease the amount of pressure on your spine and help          Don't bend from the waist.   Do take a balanced stance
                                                              minimize the risk of injury.                                         This places tremendous       with your feet shoulder
                                                                   When lifted at arm’s length, an object weighing just 10         pressure on the spine.       width apart and squat to lift.
                                                              pounds will place 150 pounds of pressure on your lower back.
                                                              If that object weighs 85 pounds, a force of more than 700
                                                              pounds is then pressing against your spinal discs. As a general
                                                              rule, avoid lifting any object weighing over 80 pounds more
                                                              than the distance of one foot per five minutes. The heavier the
                                                              object, the shorter distance it should be lifted.
                                                                   Limit twisting the body as much as possible when lifting
                                                              any object. If you must turn in the process, pivot your feet
                                                              instead of twisting your back. Be aware of your footing
                                                              because even a slight trip could place an enormous amount of
                                                              added stress on the back, which could result in a severe injury.
                                                              Make sure that your feet are no less than shoulder width apart;
                                                              if your feet are too close together, you’ll have poor leverage
                                                              and be more likely to round your back.
                                                                   Beware of fatigue. The more you bend and lift, the more
                                                              tired your muscles will become, placing you at greater risk
                                                              for injury. If you start to feel muscle fatigue, take a break and
                                                              let your muscles relax. This will help rejuvenate your strength
                                                              and once again reduce the risk of injury.
                                                                   Ideally another person or a machine can help you with
                                                              lifting, but if you’re on your own, following proper technique
                                                              and form is essential for your own safety.
                                                                   Pay attention to your body – Are you using both hands
                                                              to lift slowly and deliberately? Are your movements smooth
                                                              and controlled? Is your neck in a neutral position? Is your
                                                              back straight? Afterwards, if your back feels tight or sore,
                                                                                                                                   Don't twist or bend from     Do change directions by
                                                              apply ice.
                                                                                                                                   the trunk while lifting a    pointing your feet and
                                                                   Pay attention to the object in front of you – Is it balanced?
                                                                                                                                   heavy object.                turn your entire body.
                                                              Does it seem too heavy? Can you get a good grip on it? Can
                                                              you carry the object in the space between your shoulders and
                                                                   Try the following techniques for bending and lifting
                                                              objects safely and effectively. WHJ

     HEALTH JOURNAL                                                                                                                                                                    MARCH 2006
Community Calendar
   If you and/or your organization would like to list any future events in the Community Calendar, please call us at (757) 645-4475 or
   send information to Events must be health-related and occurring within the Williamsburg area.

MARCHNutrition Month
March is National
                                           “Family to Family”
                                           Understanding Mental Illness
                                                                                      Infant Massage Course
                                                                                      York River Baptist Church
                                                                                                                                 Endometriosis Support Group
                                                                                                                                 6:00 p.m. – 8:00 p.m.
                                                                                                                                                                            Prostate Cancer Support Group
                                                                                                                                                                            Sentara Williamsburg Community Hospital
                                           Sentara Williamsburg Community Hospital    10:00 a.m. – 11:30 a.m.                    229-0623                                   6:30 p.m. – 7:30 p.m.

3/1 Wednesday                              7:00 p.m. – 9:30 p.m.
                                                                                      566-9777 *Fee

                                                                                                                                 3/20 Monday

Free Blood Pressure/Diabetes Screenings
Jamestown Pharmacy
All day; walk-ins welcome                  3/8 Wednesday
                                                                                      Parkinson’s Disease Support Group
                                                                                      Williamsburg Landing
                                                                                      1:30 p.m. 220-2627
                                                                                                                                 Infant Massage Course
                                                                                                                                 York River Baptist Church
                                                                                                                                                                            “Family to
565-7570                                   Free Blood Pressure/Diabetes Screenings                                               10:00 a.m. – 11:30 a.m.                    Understanding Mental Illness

“Healthy Habits for Life”
                                           Jamestown Pharmacy
                                           All day; walk-ins welcome                  3/14 Tuesday                               566-9777 *Fee                              Sentara Williamsburg Community Hospital
                                                                                                                                                                            7:00 p.m. – 9:30 p.m.
Weight Management Program
James City/Williamsburg Community Center
10:00 a.m. – 11:00 a.m.

                                           “Healthy Habits for Life”
                                                                                      Iyengar Style Yoga
                                                                                      Quarterpath Recreation Center
                                                                                      9:00 a.m. – 10:30 a.m.
                                                                                                                                 3/21 Tuesday
                                                                                                                                 Iyengar Style Yoga

                                                                                                                                                                            Underage Drinking Forum
229-4636                                   Weight Management Program                  259-3760 *Fee                              Quarterpath Recreation Center              James Blair Middle School
                                           James City/Williamsburg Community Center                                              9:00 a.m. – 10:30 a.m.                     7:00 p.m. – 9:00 p.m.

3/2 Thursday                               10:00 a.m. – 11:00 a.m.
                                                                                      Tai Chi for Arthritis
                                                                                      Sacred Grounds, Lightfoot
                                                                                                                                 259-3760 *Fee                              476-5070

Williamsburg Walkabout
Historic Triangle Senior Center
9:00 a.m. 259-4233
                                           Stroke Support Group
                                           Sentara Outpatient Care Center
                                                                                      10:00 a.m. – 11:00 a.m.
                                                                                      220-8494 *Fee
                                                                                                                                 Tai Chi for Arthritis
                                                                                                                                 Sacred Grounds, Lightfoot
                                                                                                                                 10:00 a.m. – 11:00 a.m.
                                                                                                                                                                            3/29Pressure/Diabetes Screenings
                                                                                                                                                                            Free Blood
                                           4:00 – 5:00 p.m.                           Fibromyalgia Support Group                 220-8494 *Fee                              Jamestown Pharmacy
Iyengar Style Yoga                         345-4490                                   Sentara Williamsburg Community Hospital                                               All day; walk-ins welcome
Quarterpath Recreation Center                                                         5:30 p.m. – 7:00 p.m.                      American Red Cross Blood Drive             565-7570
6:00 p.m. – 7:30 p.m.                      Multiple Sclerosis Support Group           879-4725                                   Virginia Gazette
259-3760 *Fee                              James City/Williamsburg Community Center                                              10:00 a.m. – 2:00 p.m.                     Infant Massage Course
                                           5:30 p.m. – 7:30 p.m.                      “Family to Family”                         253-0228                                   York River Baptist Church
Diabetes Support Group                     220-0902                                   Understanding Mental Illness                                                          10:00 a.m. – 11:30 a.m.
Topic: “The Aging Eye”                                                                Sentara Williamsburg Community Hospital    “Family to Family”                         566-9777 *Fee
Speaker: Dr. John R. Nordlund
James City/Williamsburg Community Center
7:00 p.m. – 8:00 p.m.
                                           3/9 Thursday
                                           Williamsburg Walkabout
                                                                                      7:00 p.m. – 9:30 p.m.
                                                                                                                                 Understanding Mental Illness
                                                                                                                                 Sentara Williamsburg Community Hospital
                                                                                                                                 7:00 p.m. – 9:30 p.m.
                                                                                                                                                                            American Red Cross Blood Drive
                                                                                                                                                                            Sentara Williamsburg Community Hospital
1-800-SENTARA                              Historic Triangle Senior Center
                                           9:00 a.m. 259-4233                                    Wednesday
                                                                                      3/15Pressure/Diabetes Screenings           220-8535                                   Noon – 6:00 p.m.
Breast Cancer Support Group
Williamsburg Hospice House
7:00 p.m. – 8:30 p.m.
                                           Arthritis Support Group
                                           Sentara Williamsburg Community Hospital
                                                                                      Free Blood
                                                                                      Jamestown Pharmacy
                                                                                      All day; walk-ins welcome
                                                                                                                                 3/22Pressure/Diabetes Screenings
                                                                                                                                 Free Blood                                 3/30 Thursday
259-4233                                   12:30 p.m. 259-6777                        565-7570                                   Jamestown Pharmacy                         Williamsburg Walkabout
                                                                                                                                 All day; walk-ins welcome                  Historic Triangle Senior Center
Alliance for the Mentally Ill              Iyengar Style Yoga                         “Healthy Habits for Life”                  565-7570                                   9:00 a.m. 259-4233
Family Support Group                       Quarterpath Recreation Center              Weight Management Program
Sentara Williamsburg Community Hospital    6:00 p.m. – 7:30 p.m.                      James City/Williamsburg Community Center   American Red Cross Blood Drive             American Red Cross Blood Drive
7:30 p.m. – 8:30 p.m.                      259-3760 *Fee                              10:00 a.m. – 11:00 a.m.                    Eastern State Hospital, Bldg. 33           Women’s Club of Toano
220-8535                                                                              229-4636                                   8:00 a.m. – Noon                           3:00 p.m. – 7:00 p.m.

3/4 Saturday                                         Friday
                                           3/10 Forum on Aging                        3/16 Thursday
                                                                                                                                 253-0228                                   380-3442

Williamsburg Walkabout
Historic Triangle Senior Center
                                           Ferguson Center for the Arts
                                           Christopher Newport University
                                                                                      Williamsburg Walkabout
                                                                                      Historic Triangle Senior Center
                                                                                                                                 Infant Massage Course
                                                                                                                                 York River Baptist Church
                                                                                                                                 10:00 a.m. – 11:30 a.m.
                                                                                                                                                                            3/31 and Down the Road”
                                                                                                                                                                            “Here, Now
9:15 a.m. 259-4233                         7:00 a.m. – 2:30 p.m.                      9:00 a.m. 259-4233                         566-9777 *Fee                              Tips for Concerned Parents
                                           873-0541                                                                                                                         Williamsuburg Public Library
Colon Cancer-Free Zone                                                                American Red Cross Blood Drive             Multiple Sclerosis Support Group           9:45 a.m. – 11:30 a.m.
James City/Williamsburg Community Center   Raquetball Tournament (Fri-Sun)            Williamsburg Outlet Mall (D-Wing)          James City/Williamsburg Community Center   566-9777
10:00 a.m. – 2:00 p.m.                     Benefits College of William & Mary          Noon – 4:00 p.m.                           5:30 p.m. – 7:30 p.m.

Red Cross Baby-Sitting Course
                                           Riverside Wellness & Fitness Center

                                                                                      Alzheimer’s Support Group

                                                                                                                                 Gluten-Free Support Group
                                                                                                                                                                            4/1 Saturday
                                                                                                                                                                            Williamsburg Walkabout
(Must be 12 years-of-age or older)
James City/Williamsburg Community Center
10:00 a.m. – 2:00 p.m.
                                           3/11 Saturday
                                           Williamsburg Farmers' Market
                                                                                      Dominion Village at Williamsburg
                                                                                      2:00 p.m. 258-3444
                                                                                                                                 Ukrop’s Conference Room
                                                                                                                                 6:30 p.m. – 8:00 p.m.
                                                                                                                                                                            Historic Triangle Senior Center
                                                                                                                                                                            9:15 a.m. 259-4233

259-4233 *Certification fee                 8:30 a.m. – 12:00 p.m.
                                           Merchants Square                                      Friday
                                                                                      3/17 and Down the Road”                    3/23 Thursday                              4/4toTuesday
3/6 Monday
Infant Massage Course

                                           Williamsburg Walkabout
                                                                                      “Here, Now
                                                                                      Tips for Concerned Parents
                                                                                      Williamsuburg Public Library
                                                                                                                                 Williamsburg Walkabout
                                                                                                                                 Historic Triangle Senior Center
                                                                                                                                                                            “Family Family”
                                                                                                                                                                            Understanding Mental Illness
                                                                                                                                                                            Sentara Williamsburg Community Hospital
York River Baptist Church                  Historic Triangle Senior Center            9:45 a.m. – 11:30 a.m.                     9:00 a.m. 259-4233                         7:00 p.m. – 9:30 p.m.
10:00 a.m. – 11:30 a.m.                    9:15 a.m. 259-4233                         566-9777                                                                              220-8535
566-9777 *Fee

                                           3/12 Sunday                                Salvation Army Annual Dinner and Band                 Friday
                                                                                                                                 3/24 and Down the Road”                    4/5 Wednesday
3/7Style Yoga
                                           “Through the Looking Glass” Auction
                                           Sponsored by Child Development Resources
                                                                                      Colonial Heritage, 7015 Statesman Dr.
                                                                                      7:00 p.m. 229-6651
                                                                                                                                 “Here, Now
                                                                                                                                 Tips for Concerned Parents
                                                                                                                                 Williamsuburg Public Library
                                                                                                                                                                            Free Blood Pressure/Diabetes Screenings
                                                                                                                                                                            Jamestown Pharmacy
Quarterpath Recreation Center              12:00 lunch/ 1:30 auction                                                             9:45 a.m. – 11:30 a.m.                     All day; walk-ins welcome
9:00 a.m. – 10:30 a.m.
259-3760 *Fee
                                                                                      3/18 Saturday                              566-9777                                   565-7570

Tai Chi for Arthritis
Sacred Grounds, Lightfoot
                                           3/13 Monday
                                           American Red Cross Blood Drive
                                                                                      Williamsburg Walkabout
                                                                                      Historic Triangle Senior Center
                                                                                      9:15 a.m. 259-4233
                                                                                                                                 American Red Cross Blood Drive
                                                                                                                                 Ukrop’s Supermarket
                                                                                                                                 3:00 p.m. – 7:00 p.m.
                                                                                                                                                                            Infant Massage Course
                                                                                                                                                                            York River Baptist Church
                                                                                                                                                                            10:00 a.m. – 11:30 a.m.
10:00 a.m. – 11:00 a.m.                    James City/Williamsburg Community Center                                              253-0228                                   566-9777 *Fee
220-8494 *Fee                              9:00 a.m. – 3:00 p.m.                      Therapeutic Drumming Class

Alzheimer’s Support Group
Alzheimer’s Association Branch Office
                                           253-0228                                   James City/Williamsburg Community Center
                                                                                      10:30 a.m. – 11:30 a.m.
                                                                                                                                 3/25 Saturday
                                                                                                                                 Williamsburg Walkabout
213 McLaws Circle, Suite 2B                                                                                                      Historic Triangle Senior Center
11:00 a.m. 221-7272                                                                                                              9:15 a.m. 259-4233

MARCH 2006
                                                                                                                                                                                               HEALTH JOURNAL   25
            ANDREA ATKINS
                               Certified Hypnotist
                            Healthy Hypnosis
       Certified in Clinical Hypnosis, Stress         • Weight Reduction         • Stress-Management
      Management, Management of Pain and             • Smoking Cessation        • Self Confidence
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                                                     • Alcohol Abuse            • And Much More...

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     HEALTH JOURNAL                                                                                                                                     MARCH 2006
                                                                                                                                                         SECOND OPINION

                                    photo by Page E. Bishop
                                                              Q                     My husband and I are trying to conceive a baby. How long will it
                                                                                    take before my birth control pills become ineffective? How long after
                                                                                    giving birth will I be able to safely resume a birth-control regimen
                                                                                    without affecting my baby's health?

                                                              Oral contraceptive pills (OCPs) are                          You’ll be faced with a number of options         be started as early as three days after deliv-
                                                              one of the most commonly used forms of birth             for birth control after your pregnancy. Doc-         ery. The primary concern with the mini-pill
                                                              control on the market today. Overall, they               tors may have differing opinions as to which         is that it must be taken at the same time every
                                                              have many advantages over other types of                 methods are the safest for your newborn. The         day for it to be effective. The progestin-only
                                                              hormonal birth control methods. Perhaps one              key factor in considering any option is wheth-       pill tends to have a slightly higher failure rate
 Dr. Christopher Boquist is                                   of the greatest advantages is a quick return to          er you plan to breastfeed. Hormonal forms            than the traditional combined pill. Other op-
 board-certified in family                                    fertility after discontinued use. Women often-           of contraception can interfere with a nursing        tions include the progestin injection, such as
 practice and currently                                       times regain their fertility in just one to two          mother’s milk production, and some doctors           the Depo-Provera brand, which is injected
 practices with Riverside                                     weeks. In rare occurrences it can take as long           believe that a breastfed newborn could be ex-        into the arm once every three months. Keep
 Williamsburg Medical                                         as six months for a woman to begin ovulating             posed to the OCP hormones, though studies            in mind that this method can make it difficult
 Arts - Family Practice                                       again, mainly among women whose menses                   have not solidly confirmed that this occurs.         to get pregnant again for up to a full year after
 in Williamsburg, Va. He                                      were irregular prior to initiating OCPs.                     Due to these concerns, your doctor may           discontinued use.
 previously served in the US                                      The combined oral contraceptive (pro-                recommend waiting until at least the sixth               Non-hormonal methods (for example,
 Army for seven years and                                     gestin and estrogen) pills work primarily by             week post-partum to begin a combined oral            barrier methods, such as condoms) remain the
 returned to Williamsburg                                     preventing ovulation. OCPs also aid in thick-            contraceptive regimen, largely due to the es-        ideal contraceptive method for breastfeeding
 last summer.                                                 ening the cervical mucous, thereby making it             trogen component. Most doctors agree that            women, since there is no possibility that they
                                                              more difficult for sperm to reach and fertil-            the estrogen in OCPs decreases milk produc-          will interfere with the baby or with lactation,
                                                              ize an egg. They also thin the uterine lining,           tion, and waiting six weeks allows a woman’s         though there is little data available to validate
                                                              making it more difficult for a fertilized egg to         lactation to become more established. More           any recommendations. You should consult
                                                              implant itself on the uterine wall. Most for-            conservative medical organizations recom-            your doctor to help make a decision that is
                                                              mulations of combined oral contraceptives                mend waiting up to six months post-partum.           right for you and your baby.
                                                              have three weeks of “medicine” and one fi-               Some even suggest waiting until your infant              There are many choices and factors to con-
                                                              nal week of placebo pills. Women who take                is fully weaned.                                     sider when it comes to choosing a birth con-
                                                              OCPs menstruate during the final week. The                   If there is a need to resume birth control       trol method both before and after pregnancy.
                                                              first three weeks of medication essentially              prior to six weeks post-partum, the proges-          Oral contraceptive pills are a good choice for
                                                              trick the body into believing that it’s preg-            tin-only pill, or mini-pill, is a viable alterna-    many women, especially when used appropri-
                                                              nant. After the fourth week of pills, the cycle          tive. Because there is no estrogen in the pill, it   ately, correctly, and under the supervision of
                                                              starts anew.                                             should not reduce milk production and could          a doctor. WHJ

      PET ADOPTIONS                                                                                                                                 Paws Applause
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        Max                                                               Chatter
      Max is a five year old sheltie mix. He                            Chatter is a 2-year-old calico who was
      weighs 30 lbs, has a very nice disposition                       dropped off in the parking lot of the shelter
      and he is a medium size dog. Max has                             a couple of months ago. Since she was a
      not been neutered yet. He seems to be                            stray, we don't know how good she is with
      good with other dogs.                                            other animals.

                                                                                                                                               For Pets with Discriminating Taste
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                      430 Waller Mill Road, Williamsburg, VA 23185                                                                                     Located in Monticello Marketplace
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                                757-645-4475                                                                                                               757-565-7970
MARCH 2006
                                                                                                                                                                                                        HEALTH JOURNAL   27

                                                    Skin Treatment Using Photorejuvenation                                                                                                                                                     Shiela M. Robison, MSPT
                                                                                                                                                                                                                                                    Reach for Performance, Inc
                                                                    help restore your skin’s                                                                                                                                                            312-J Lightfoot Rd
                                                                                                                                                                                                                                                     Williamsburg, VA 23188

                                                                   youthful look
                                                                                                                                                                                                                         Physical Therapy

                                                                                                                                                                                            • Musculo-Skeletal
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                                                                                                                                                                                            • Pre & Post-Surgical
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                                                                                                                                                                                            • Golf Workshops
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hoose an audiologist and hearing device?
                              Safe, quick,          downtime –
  your finger down the list of hearing aidnosame quality of sound customers
 alists in any telephone book and you’ll Skin Photorejuvenation hearing in
                              Non-laser find are accustomed to
                              corrects cater movie theatres,
 y of companies ready and willing toconditions such as: but is instead used                          Key facts
                                                                                                 Call today for a consultation with
 of hearing. The key to finding the best one, to simulate “hearing scenarios” so                     • Individuals seeking help with hearing impairment
                              • Sun damage • Brown spots
 o Jude Liptak of Colonial Center for that patients may “test drive”                             may W. under the misinformed assumption
                                                                                               KeithproceedSchumann, M.D.
w do I choose an audiologist and hearing device?
                              • Rosacea         • hearing aid instruments. Settings
 Williamsburg, is choosing someone qualified Unsightly small veins
                                                      PERSONAL TRAINING AND REACH FOR HEALTH         that a hearing instrument specialist can provide the
                              • Other skin conditions quiet, traffic, a restaurant,

   comprehensive evaluation of your hearing include                                                  same expertise in assessment and rehabilitation as
                                                            FITNESS CLASSES AVAILABLE.
  you in selecting a device that is right for you. group settings or even crowd noise.               an audiologist.

     T do I choose an audiologist and hearing device? 757-258-1221
                               We Also Offer:
                         race your the down Liptak wrote his thesis on quality
                                                   the list of
 n is to help our patients • Laser fingerbestCleansingTM hearing aid same THX of • Audiologists, studying a minimum of six years at
                            hear to & Light                                                  sound customers
                                                                                                                                                                                                                            Call for more details
                                  Key facts
                         specialists in any telephone book and you’ll find are accustomed to hearing in
 ity,” says Liptak. “Hearing aids are like sound systems and understands
                           • Non-surgical ready and willing
                                                                                             the college level, undergo far more sophisticated
                         plenty of companies“Radio Facelift” to cater movie theatres, but is instead used
                                                                                             training than         instrument specialists.
 n a way. Different the hardof hearing The key how to use best one, test simulate “hearing scenarios”hearing • Individuals seeking help with hearing impairment
                               of hearing. aids
                  to kinds• Wrinkle-reducingto findingrace themfinger down the list
                                                                        to to hearing

                                                    Treatmentsand                                           so
                   losses, to like certain Colonial Center for that patients hearing aid same may proceed under the
 ifferent hearing accordingjust Jude Liptak of instruments your to help patients ofmay “test drive” quality of sound customers misinformed assumption
work better for certain illnesses.”
                  Hearing Williamsburg,     Key facts
                                               Specialist specialists in any in a multitudeand you’ll Settings accustomed to instrument
                           •inSkin Canceris choosing someone qualified telephone aid instruments.find situations.that a hearinghearing in specialist can provide the
                                                            better companies ready
                                                                                            of to cater
                                                   explore plenty ofhearing hearing and willinglistening movie theatres, but is instead used
                     to perform a comprehensive evaluation of your hearing         include quiet, traffic, a restaurant,     same expertise in assessment and rehabilitation as with hearing impairment
                                                                                                                                                        • Individuals seeking help
                                                          to the hard of hearing.
   experienced to and to assistthe nuances ofa device that is right for have The key to finding the best one, noise.
                     deal with you in selecting                                                                     to simulate “hearing scenarios” so
                                                       “Individuals who you. been diagnosed with a hearing deficiency should keep their optionsproceed under the misinformed assumption
                                                                                    group settings or even crowd             an audiologist.                may
                                                          according to Jude Liptak of Colonial Center for that patients may “test drive”
   completed at least six years of university open when deciding which hearing aid toqualified hearing aid advised. Unlike some retail hearing instrument specialist can provide the
                                                          Hearing in Williamsburg, is choosing someone purchase,” Liptak instruments. Settings              that a
                                                          to hear
                                                       hearing aidtoa the best Liptak wrote for Hearing not                                  studying
                                                                                                                             • Audiologists,restaurant,a minimum of six years at
                     “Our mission is to help our patientsperformcenters, Colonial Centerof your hearing isTHX under contracta to sell hearingsame expertise in assessment and rehabilitation as
                                                                        comprehensive evaluation his thesis on include quiet, traffic,                       aids

                                            WANTED: 30 People with Hearing Loss
                                                       “Hearingassist you any                                                                             far more
                                                                                                                             the college level, undergo choice sophisticated
                                                          and to aids by selecting a device that is right for you. group settings or even an unlimited an audiologist.
                     of their ability,” says Liptak. manufactured areinlikeone company. Instead, customers can select from crowd noise.
                                                                                    sound systems and understands
  e in Speech        antibiotics in a way. Differentof hearinghearing aids how anyuse them to test hearing
                                                        kinds of aids produced by to company in the world.                   training than hearing instrument specialists.

                                                                                                                                                                                                                                          Live like a
  diology from                                            “Our mission is to help instruments and to help patients
                     work for different hearing losses, just like certain our patients hear to the best Liptak wrote his thesis on THX                      • Audiologists, studying a minimum of six years at
                                                          of their ability,” says Liptak. “Hearing hearing in
                                                                                    explore better aids are like sound systems andsituations.               the college level, undergo far more sophisticated
 rate (Au. D.).                                                                                                  may save of listening understands
                     antibiotics work better for certain illnesses.” hearing checked by audiologists a multitude some people time and money
                                                       Having your
                                                          antibiotics in a way. Different kinds of hearing aids how to use them to test hearing             training than hearing instrument specialists.
                                                                  these hearing “Individuals who haveof detected ear disorders and diseases before
                                                                                                 capable been instruments a hearing deficiency
                                                       becausethe nuances of experts arejust like certain diagnosed withand to help patients should keep their options
                     “Those best experienced to deal work for different hearing losses,
  gent level to                                              have completely for certain Liptak said.
                                                       theyyears of work betterdeveloped,illnesses.” which hearing aid to purchase,” Liptak advised.listening situations.

                                                                                                                                                                                                                                          Star at...
 certified audiologists, who have completed at least six  antibiotics university open when deciding                 explore better hearing in a multitude of Unlike some retail
 ducate them
eld,” he said.                                                                      hearing aid centers, Colonial Center for Hearing is not under contract to sell hearing aids
 being offered                                            “Those best experienced to deal with the Colonial         “Individuals who have been an assessment
                                                       Other services and products available at nuances ofCenter for Hearing include diagnosed with a hearing deficiency should keep their options
                                                                                    manufactured by any one company. Instead, customers can select from an unlimited choice
                      hearing loss are certified       and therapy completed ofleast six years produced by any hearing in the world. hearing aid to purchase,” Liptak advised. Unlike some retail
                                                                                                     of university open when testing and
mple, holds a Bachelors degree in Speechaudiologists, who have for tinnitisat(ringing in the ear), industrialcompany deciding whichdata analysis in
                                                                                       hearing aids
                               in the field,” he said.
                      trainingin Audiology from
udiology, a Masters degree                                                                                            keep aid water or noise.
                                                       compliance with OSHA and customized earplugs tohearing outcenters, Colonial Center for Hearing is not under contract to sell hearing aids
slonial Center
   pursuing his Audiology Doctorate (Au. holds a Bachelors degree in SpeechHaving your hearing checked manufactured by any one company. Instead, customers can select from an unlimited choice
                      Liptak, for example, D.).                                                                      by audiologists may save some people time and money
 g by allowing                                                                                                         hearing aids detected ear can assist
                                                       Liptak and his staff welcome these hearing expertsofincluding ofproduced by any company in the world.
                      Pathology and Audiology, a Masters degree in Audiology frombecause patients of all ages, are capable children. Theydisorders and diseases before
  trained they         more stringent level to
 nditionson a muchKent State and is pursuing his Audiology Doctorate (Au. D.).they have completely developed,care physicians. They also by audiologists may save some people time and money
                                                                                                                    Having your hearing checked are familiar
                                                       prospective clients in obtaining referrals from primary Liptak said.
 lients’ hearing, are able to educate them
   features the                                        with billing Medicare and Medicaid.                          because these hearing experts are capable of detected ear disorders and diseases before
                     Audiologists are offered
 y choices of hearing aids now beingtrained on a much more stringent level toOther services and products available at Colonial Center for Hearing include an assessment
                                                                                                                 they have completely developed, Liptak said.

         WANTED: 30 People with Hearing Loss
 s.                  evaluate their clients’ hearing, are able to educate themand therapy for tinnitis (ringing in the ear), industrial hearing testing and data analysis in
                     through the many choices of hearing aids now being offeredcompliance with OSHA and customized earplugsproducts available at Colonial Center for Hearing include an assessment
                                                                                                                 Other services and to keep out water or noise.
 uipment available on-site at Colonial Center
                     by manufacturers.                                                                           and therapy for tinnitis (ringing in the ear), industrial hearing testing and data analysis in
 her enhances the staff’s training by allowing                                                                    patients with ages, and customized earplugs to keep out
                                                                                Liptak and his staff welcome complianceof all OSHA including children. They can assistwater or noise.
                     The high-tech equipment
 rience hearing in the sound conditions theyavailable on-site at Colonial Centerprospective clients in obtaining referrals from primary care physicians. They also are familiar
                     for Hearing features the
  ar in. A THX equipped room further enhances the staff’s training by allowingwith billing Medicare and Medicaid. and his staff welcome patients of all ages, including children. They can assist
                      patients to experience hearing in the sound conditions they                                   prospective clients in obtaining referrals from primary care physicians. They also are familiar

                                                 30 People30this opportunity! Loss
                                         WANTED: WANTED:misswith Hearing Hearing Loss
                      would like to hear in. A THX equipped room features the                                       with billing Medicare and Medicaid.

                                                     Don’t   People with
                                                    30 people who have difficulty hearing, especially                          Finally, a rental retirement community that allows you to live the lifestyle
                                                                                             Don’t miss Don’t miss this opportunity!
                                                    in noisy situations, to evaluate new digital,this opportunity! you deserve, letting go of life’s tiresome chores. At Chambrel we never
                                                             reduction hearing aids, RISK FREE!                                loose sight of the finer details that set us apart from other retirement
                                                                     30 people who have difficulty hearing, especially communities.
                                                   Colonial Center for Hearing will perform comprehensivehave difficulty hearing, especially We offer spacious apartments and cottages with every
                                                                                          30 people who Hearing
                                                                                                          new to
                                                                     in noisy situations, to evaluatecallers digital, noise
                                                    Evaluations AT NO CHARGE for the firstnoisy situations, to evaluate new digital, noise
                                                                                          in 30 qualified                      service and luxury you expect so you can enjoy life to the fullest.
                                                                               reduction hearing aids, RISK that aids, RISK FREE!
                                                  determine if you are a candidate for this program. Applicants FREE!
                                                                                                       reduction hearing
                                                                     Colonial Center for Hearing latest Hearing Aid will perform comprehensive Hearing restaurant-style dining • Housekeeping services
                                                     are selected will be asked to evaluate the will perform comprehensive Hearing
                                                                                            Colonial Center for Hearing
                                                                      30 days. ParticipantsEvaluations AT first 30 qualified the first 30 Transportation
                                                      Technology for Evaluations AT NO CHARGEwishthe NO CHARGE for callers to qualified callers to services • 24-hour staff available • Exercise programs
                                                                                               that for to keep the
                                                                     determine if you are a determine if you are a candidate for this that
                                                    instruments after their clinical soundcandidate for this program. Applicants program. Applicants that
                                                                                             field demonstration can                                   Daily activities and/or events, and much more!
                                                                        are selected will be to their participation. Hearing Aid
                                                                                                are selected will be latest
                                                       do so at a tremendous savings dueasked to evaluate the asked to evaluate the latest Hearing Aid
                                                                                               Technology for 30 days. to keep the
                                                                       Technology for 30 days. Participants that wishParticipants that wish to keep us treat you like a star...Enjoy an afternoon with us and
                                                                                                                                               Let the                                                                                                               let our
                                                                                              clinical sound field demonstration field
                                                                     instruments after their instruments after their clinical sound can demonstration can
                                                                                                                                                           fine dining and excellent service delight you.
                                                                        will at a selected savings due 27.
                                                            Candidates do so be tremendousdo so June to their participation. their participation.
                                                                                                 by at a tremendous savings due to
                                                                         Candidates will be selected by                          Seeing is believing but tasting is even better!
                                                                         March for an Appointment
                                                  Those interested need to Call31. Those interested need
                                                                                                                                          Join us for lunch and a tour.

                                                                          (757) 229-4004
                                                                                      Candidates will be 27.
                                                                    Candidates willan Appointment. Juneselected by June 27.
                                                                         to Call for be selected by
                                                                                Those interested need to Call for an Appointment
                                                                             Those interested need to Call for an Appointment
                                                                                                              (757) 229-4004
                                                                                                    (757) 229-4004                                          178935401

                                                                                                                                                                                                           3800 Treyburn Drive • Williamsburg, VA 23185

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