Simply Health - UVA Culpeper Hospital

Simply health
www.culpeperhealth.org
Fall 2012
Enriching lives for a healthier community
M A G A Z I N E
Powell Wellness
Center Aquatic
fitness to therapy.
Arena From
Turn to page 4.
ASK THE DOCTOR
Page 15
compassionate people
extraordinary care
540-829-4100
culpeperhealth.org
visit us on facebook at
facebook.com/culpeperhealth
inside this issue
4}
Save the date for Pamper Me Pink!
tuesday, october 23
5:30 to 8:30 p.m.
Daniel technology Center, germanna
Join us for Pamper Me Pink, a free evening of awareness,
indulgence, and education with healthy refreshments
and great door prizes. Preregistration starts September 25;
please call 540-829-8813. For more details on Pamper Me
Pink, see page 8.
FALL 2012
SIMPLY HEALTH MAGAZINE
is pub lished for the friends and
patrons of CULPEPER REGIONAL
HEALTH SYSTEM.
If you would prefer not to receive this
publication, please call 540-829-8813.
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Information in SIMPLY H E ALT H
MAGAZINE comes from a wide range of
medical experts. If you have any concerns
or questions about specific content that
may affect your health, please contact
your healthcare provider.
Models may be used in photos and
illustrations.
Copyright © 2012
Coffey Communications, Inc.
HSM28587
PWC Aquatic
Arena. From
fitness to therapy,
there’s something
for everyone.
6}
New medical staff.
8}
Pamper Me Pink.
Simply health
Enriching lives for a healthier community
Feature stories
M A G A Z I N E
Culpeper Regional Health System
501 Sunset Lane
Culpeper, VA 22701
www.culpeperhealth.org
H. Lee Kirk, Jr.
President & CEO
Greg Napps
Chief Operating Officer
Sandy Boone
Director of Marketing & Strategic Relations
Katy Magura
Communications Coordinator
Dave Cmeyla
Photographer
Debbie Verbeck, Molly Mueller
Contributing Writers
Looking for a healthcare partner?
Go to the Culpeper Regional Hospital website and click on “Find a Doctor”
to search for a physician who is right for you. Or call our referral line at
866-693-DOCS (3627). Go to www.culpeperhealth.org.
Meet the newest
additions to
our community.
One of the most
anticipated annual
community events.
Keeping informed
At your service. CRH offers
personalized nutrition options to
meet a variety of needs. page 7
Something to smile about.
Teaming up to help children have
healthy teeth. page 12
Kids and sports. Pediatrician Susan
Werner, MD, answers your questions
about concussions. page 15
Will you leave a legacy?
A planned gift to Culpeper Regional
Hospital can create a naming opportunity
of remembrance for a loved one and
fulfill the vision of providing high-quality
healthcare in your community.
For more information, select “Gift
Planning” on the Foundation’s pulldown menu at www.culpeperhealth.org.
www.culpeperhealth.org • Simply Health Magazine
3
pool activities
Swimming,
fitness, rehab,
and more
powell Wellness Center
(PWC) proudly celebrates five
years of serving our community
as the area’s premier medically
integrated wellness center. The
facility includes an aquatic arena
with a health and fitness center and
an outpatient rehabilitation center.
Aptly named the Therapeutic
Unique Rehabilitation TwoTemperature Lap and Exercise
(TURTTLE™) pool, it is more
than a health and fitness pool.
Along with aquatic exercise and
enjoyment, the pool provides the
perfect environment for treating
rehabilitation patients.
HeaLtH aND FItNeSS
“Aqua classes are available for all
ages and fitness levels, depending
on interests and needs,” says Amy
Wagner, Aquatic Instructor at
PWC. “We have swim lessons for
the younger generation — and
the older generation as well. And
if you’re already an experienced
4 Simply Health Magazine • www.culpeperhealth.org
swimmer, we offer a variety of pool
classes, such as water volleyball
for the young at heart, Qigong and
yoga for those looking to stretch
and relax, Zumba for the dancers,
arthritis classes to help ease joint
pain and stiff ness, personal trainers
for individuals seeking one-onone water instruction, and various
levels of cardio classes for those
interested in burning calories or
improving fitness and strength.”
Wagner says one of the greatest
benefits of a water workout is that
it is low-impact, which means
it’s easier on the joints. Another
huge benefit: Water provides more
intensity than a land-based workout.
“A lot of people think they’re
not getting enough exercise if
they’re not hammering it out on
the treadmill or cardio machine or
sweating profusely,” Wagner says.
“Most people do not realize you
actually get four times the intensity
in the water, and the benefits are so
much better.”
aQUatIC eXerCISe CLaSSeS
Cardio. PWC’s group exercise
classes are all about fitness and fun!
Classes focus on strength, balance,
resistance, and coordination and are
offered at various times to fit busy
schedules. Class offerings include:
Aqua Boot Camp, Aqua Zumba,
Cardio Deep, H2O Burn, H2O
Dynamics, Kick-Jab-Jam, Liquid Silver,
Qigong H2O, Water Games, Water in
Motion, and Yoga H2O.
Arthritis. PWC’s group arthritis
classes are taught by certified arthritis
instructors and are designed for
people with arthritis or joint-related
diseases. The focus is on exercises that
ease joint pain, reduce stiff ness, and
improve daily functioning. Three levels
are offered: Basic, Plus, and Deep H2O.
SWIM LeSSoNS
PWC offers group, individual, and family
swim lessons for ages 2 through adult.
The lessons are based on the American
Red Cross learn-to-swim program, and
the swim instructors are certified water
safety instructors or swim coaches.
The goal is to assist participants in
making progress in aquatic comfort
level and swimming ability.
pooL partIeS
The PWC pool is available for swim
parties, such as birthday celebrations
and other special events.
For more information, call
540-829-4741, or visit www.
powellwellnesscenter.com.
powell Wellness Center
1005 Golf Drive
Culpeper, VA 22701
Phone: 540-829-4741
Toll-free: 877-688-WELL (877-688-9355)
Email: contact@powellwellnesscenter.com.
For information about PWC
memberships, call 540-829-4743.
pHYSICaL tHerapY
aND reHaBILItatIoN
“We typically use the TURTTLE™
pool to treat orthopedic,
neurological, and pediatric
patients,” says Cyndi Scott, a
therapist with PWC Physical
Therapy and Outpatient. “We
see a lot of athletes and patients
with lower extremity fractures —
especially those who have limited
weight-bearing ability. We can
get them back to walking quicker
when we use the pool because of the
reduced weight-bearing feature of
the water.”
The one-on-one sessions
provided by the therapists are
usually performed in the warmwater pocket with chest-high
water. If a patient is comfortable
in water, the session may be
performed in the deep water
area, which provides a total-body,
non-weight-bearing environment.
“Aquatic therapy is wonderful,”
Scott says. “When we’re in the
water, we can do so much more
with our patients than we can
do on land. The movements
are much easier, and they
experience less pain.”
Rehab patients do not need a
PWC membership to use the pool;
however, a physician referral is
required for therapy services. In
addition to the pool and equipment,
rehab patients have access to
the hot tub, sauna, and steam
room — as long as they have
medical clearance — as well as
childcare services and locker/
shower facilities (including
shampoo, conditioner, and hair
dryers). And PWC offers two familystyle, handicapped-accessible
Physical Therapist Karen Cole
works with a patient using a
Speedo 360.
locker rooms (each with a toilet,
sink, shower, and small changing
area) for patients and members
who need to bring a spouse or other
caregiver into the locker area to
provide personal assistance.
Ramps and lift chairs are also
available for patients who cannot
enter the pool independently, and
the staff is prepared to handle
any apprehensions regarding
the water.
“It is quite common for patients
to be anxious about the pool,”
Scott says. “Some people don’t
feel comfortable in the water, and
getting into the pool is the hardest
part for them. So we offer safety
lessons fi rst, and we show them
how to move in the water, and that
helps them feel more comfortable.”
Looking back, the rehab staff
members continue to marvel at the
number of patients being added to
the success list.
“So far, the aquatic program has
turned out to be very beneficial for
most of our patients,” Scott says.
“For some, it’s the only place where
they can exercise without pain or
walk without pain. We’ve had some
people come in that could barely
walk, or they had so much pain
they were only able to walk inside
their homes, from the bathroom to
the bedroom. Now they’re able to
walk, get around the community,
and function normally. And it’s
all because they were able to get
into the pool and strengthen and
exercise in a pain-free way. So it has
been very helpful for a lot of people
and, luckily, they didn’t have to
drive very far to experience it.”
pool equipment and amenities
A variety of pool equipment is available to provide resistance in the water,
including foam dumbbells such as the Speedo 360, foam noodles, and belts used
for suspension in deep water. Other pool amenities include access to the river — a
two-lane walking oval with chest-high water and a current that can go from 0 to
7 miles an hour — a warm-water pool for exercising, separate pockets for swim
lessons and therapy sessions, and a long pocket for lap swimming and classes.
www.culpeperhealth.org • Simply Health Magazine
5
CHARLES AKERBERG, PA-C,
INTERNAL MEDICINE
Culpeper
Regional
Hospital –
Ridgeline
Physicians
501 Sunset Lane,
Culpeper
Charles Akerberg, PA-C
Meet
our new
medical
staff
at CULpeper Regional Health
System, we are dedicated to
bringing you the highest-quality
care, close to home. With our
community continuing to grow,
we are working diligently to
expand our physician base and
specialties, so you can receive the
medical care you need without
traveling long distances. We are
pleased to announce the addition
of the following medical staff to
our community.
Learn more
Visit www.culpeperhealth.org
and click on “Find a Doctor”
or call our toll-free physician
referral line at 866-693-3627.
6 Simply Health Magazine • www.culpeperhealth.org
Graduate
school:
Mountain
State University, Beckley, WV
Certification: National Commission
on Certification of Physician Assistants
R AYMOND COSTABILE,
MD, UROLOGY
UVA Specialty
Care – Culpeper
541 Sunset
Lane, Suite 103,
Culpeper
Medical school:
Georgetown
University School
Raymond of Medicine,
Costabile, MD Washington, DC
Residency: Walter Reed Army Medical
Center, Washington, DC
Board certification: Urology
BETH JENSEN, MD, FAMILY
MEDICINE
CMA Family
Physicians
16240 Bennett
Road, Culpeper
Medical school:
University of
Vermont College
Beth Jensen, MD
of Medicine,
Burlington, VT
Residency: Riverside Regional Medical
Center, Newport News, VA
Board certification: Family medicine
JOSHUA KING, MD,
INTERNAL MEDICINE
Culpeper
Regional
Hospital –
Ridgeline
Physicians
501 Sunset Lane,
Culpeper
Joshua King, MD
Medical school:
Pennsylvania State
University College
of Medicine, Hershey, PA
Residency: University of Virginia,
Charlottesville, VA
Board certification: Internal medicine
CHRISTOPHER MCCULLOUGH,
MD, GENER AL SURGERY
UVA Surgical
Services –
Culpeper
541 Sunset Lane,
Suite 303, Culpeper
Medical school:
University
of Virginia,
Christopher Charlottesville, VA
McCullough, MD
Residency: The
Johns Hopkins Hospital, Baltimore, MD
Board certification: General surgery
JAYSON TAPPAN, MD,
EMERGENCY MEDICINE
Culpeper Regional
Hospital – Skyline
Physician Services
501 Sunset Lane,
Culpeper
Medical school:
The Ohio State
University College
Jayson of Medicine,
Tappan, MD
Columbus, Ohio
Residency: Naval Medical Center
Portsmouth, Portsmouth, VA
Board certification: Emergency
medicine
Nutrition at CrH
We make it personal
Do you need a dietitian?
WHat Do pregnant women,
weightlifters, 75-year-old men,
and people with diabetes all have
in common?
They could all be healthier with
advice from a registered dietitian.
No matter what stage of life you’re
at or state of health you’re in, proper
nutrition is important for everyone,
says Keri Gans, a registered dietitian
and spokeswoman for the American
Dietetic Association (ADA).
“Registered dietitians are
the nutrition experts,” she says.
“Whether you want to improve your
health or maintain your health,
you need somebody who can work
with you in an individualized way
to help you reach your own personal
health goals.”
Becoming a registered dietitian
takes a lot of specialized, sciencebased training: a bachelor’s degree,
6 to 12 months of supervised
practice, and a passing grade
on a national exam. Registered
dietitians also must complete
continuing professional education
to maintain registration.
Using that training, a registered
dietitian can — among other
things — help you:
➜ Lose, gain, or maintain weight
➜ Manage diabetes, high blood
pressure, high cholesterol, or
heart trouble
➜ Control digestive problems like
ulcerative colitis, Crohn’s disease,
or irritable bowel syndrome
➜ Deal with an eating disorder
➜ Cope with food allergies
or intolerances
➜ Get the best nutrition during
pregnancy or while breastfeeding
➜ Improve athletic performance
➜ Continue to eat healthfully as
you get older.
If you meet with a registered
dietitian, expect your fi rst session
to involve a lot of questions.
Your dietitian will likely ask
about your medical history, your
family’s history, what foods you like
and dislike, whether you routinely
cook, and if you have any allergies.
He or she may also review any recent
blood work, ask what medications
you take, and check your weight.
Many dietitians will then ask you
to keep a food journal for a week or
two. You’ll record everything you
eat and drink each day, along with
your meal and snack times and the
amount of exercise you get.
All of this data helps your
dietitian create a diet and exercise
plan for you — one that focuses on
gradual, long-term change.
Our caring Food and Nutrition Services
staff strives to meet the nutritional
needs of our patients and guests
while also making delicious meals.
We understand the significance a
well-balanced, nutritious diet has on
recovery, as well as the importance
of choices and variety. With healthy,
happy patients as our No. 1 priority, we
are pleased to provide:
✓ Room service style meals. A
hostess visits the room before each
meal to take the patient’s order.
✓ A range of options. From
standards like chicken noodle soup
and turkey sandwiches to baked
salmon and grilled shrimp, our
patients receive no fewer than six hot
entrées to choose from at every meal.
✓ Greater flexibility for patients
with diet restrictions. If an individual
is on a heart-healthy diet, he or she can
still order a hamburger, but all other
selections will be fruits and vegetables.
✓ Special requests. Staff members
visit the grocery store several times
each week to accommodate nearly
every request, such as purchasing
spinach for a spinach salad, a particular
kind of juice for a pediatric patient, or
a favorite flavor and brand of yogurt.
✓ Healthy choices for visitors.
Each day our dining room offers
a meal option that contains less
than 600 calories, so guests can
enjoy a healthy, affordable meal.
A fresh salad bar is also available
at lunch and dinner.
For more information, please visit
www.culpeperhealth.org.
Pat Carson, from Food and
Nutrition Services, reviews
healthy menu options with
patient John Shifflett.
www.culpeperhealth.org • Simply Health Magazine
7
Pamper Me Pink
Pamper
Me Pink
Tuesday,
October 23
✓ 5:30 to 8:30 p.m.
Germanna Community
College, Daniel Technology
Center, Culpeper
For more information,
call 540-829-8813.
Pepperberries’
Sharon Clark kicks
off the 2011 event.
An evening of enlightenment, indulgence, and inspiration
Pamper Me Pink
cookbooks
were created
especially for
the 2011 event.
Cookbooks are
available for
purchase, with
all proceeds
benefiting the
Pink Fund.
8 oCtoBer IS Breast Cancer Awareness
Month, and the excitement is already
building for one of our most anticipated
annual events: Pamper Me Pink!
Th is is our fi fth year co-sponsoring
the free, popular health event with
Pepperberries. Once again, attendees will be
able to sample a variety of complimentary
pampering stations, including head
and neck massages, paraffi n wax hand
treatments, and body lotions. Attendees will
also be entered into a drawing for numerous
door prizes and will have the opportunity to
purchase raffle tickets for four spectacular
grand prizes (each worth between $500
and $600!) from Pepperberries, Med Spa
of Virginia, Powell Wellness Center, and
Culpeper Regional Hospital (CRH).
“It’s all about health and pampering,”
says Sharon Clark, owner of Pepperberries
and founder/co-sponsor of the event.
“There will be so many things to do. You
might have a little hand massage, you
might do a DermaScan, you’re going
to hear a doctor speaking, there will be
delicious foods and sweets, and we’ll be
handing out goody bags, so it’s almost like
a party atmosphere. It’s a celebration of
the people in our community.”
Simply Health Magazine • www.culpeperhealth.org
giving back
Six years ago, Clark started the event
because she wanted to give something
back to the local community.
“Pepperberries just celebrated its ninth
anniversary this August,” Clark says. “And
because we were so warmly embraced by
the community early on, we thought it
would be nice to raise money for a specific
need in the community. So I had the idea
to start a pampering and fundraising
event to pay for mammograms for those
who could not afford them.”
After the fi rst Pamper Me Pink,
Clark decided to partner with the CRH
Foundation, because unlike other charitable
agencies, the CRH Foundation could fulfill
two important requirements. First, the
Foundation could guarantee the funds
raised would only be used for the intended
purpose — mammograms — and second,
the Foundation could guarantee that
the free mammograms would go only to
recipients within the local community.
“That’s how it all began,” Clark says.
“And it has been a wonderful partnership.
The fi rst year we held the event at the
Powell Wellness Center, but we outgrew
the facility pretty quickly. Now we’re at
the Daniel Technology
Center, and we may
outgrow that facility as
well, considering we had
more than 500 people
attend last year’s event.”
Even though Clark
has not been personally
touched by breast cancer,
many of her customers
have. And the response she has
received over the years has been both
overwhelming and heartwarming.
“Last year, there were so many
women who came up to me, hugged
me, shared their stories and cried
with me,” Clark says. “It was so
amazing. I couldn’t even go to sleep
that night. I kept thinking about
all the wonderful things that had
happened. Just looking out across
the audience, there was such a
variety of people — people who
never would have met otherwise —
sitting next to each other engaging
in conversation.”
The remarkable success of
Pamper Me Pink has spilled
over into different areas, even
inspiring other community groups
to contribute to the Pink Fund.
“The Culpeper Country Club’s
Tennis for [the] Ta Tas group does a
24-hour tennis event each year to
raise money, and all of the proceeds
go to the Pamper Me Pink fund,”
Clark says. “And their women’s Golf
for Second Base does a fundraising
golf tournament event. Last year
they had the most wonderful silent
auction items, and there was great
participation from the community,
so they raised a lot of money for us.”
pampering with a purpose
Pamper Me Pink is always held on
the fourth Tuesday in October, and
the theme for the event is always
cancer awareness, education, and
empowerment. Th is unique evening
of enlightenment, indulgence, and
inspiration typically features local
physicians and cancer survivors as
Specialty Care at
541 Sunset Lane
Ken West (right), from the Country Club
of Culpeper, presents David Jones, CRH
Foundation Board Chair, and Sharon
Clark, owner of Pepperberries, a check
from the Tennis for the Ta Tas fundraiser.
guest speakers, but Clark says there
is a special twist planned for this
year’s event.
“It’s kind of a secret, so I can’t
give away any details just yet,” she
says. “But the event will be the same
positive, upbeat experience that it
has been in the past. Smiling and
laughing makes you feel good, and
that gives you a more positive outlook
on life, all of which can make you
a little bit healthier. And that’s the
whole meaning behind this event.”
UVA Specialty Care – Culpeper,
in Suite 103, is open Monday
through Friday from 8:30 a.m.
to 5 p.m. In addition to our
breast surgery physicians, the
clinic offers appointments with
physicians specializing in allergy,
endocrinology, electrophysiology
cardiology, infectious disease,
pediatric cardiology, pediatric
nephrology, and pediatric
urology. For more information
or an appointment, please
call 540-829-1919.
UVA Surgical Services – Culpeper,
in Suite 303, provides highquality surgical care from a
team of experienced general
surgeons located close to home.
For more information or an
appointment, please
call 540-825-2600.
our Breast
Surgery Clinic
Close to home and all in one place,
you can receive exceptional breast
care with advanced technology
from our team of specialists at
UVA Specialty Care – Culpeper.
Through our partnership with
UVA, David Brenin, MD, and
Anneke Schroen, MD, are providing
consultations and helping patients
in our community manage breast
cancer and breast disease.
The physicians are available on
Tuesdays and Thursdays during the
first and third weeks of each month.
Patients are seen in the clinic from
8:30 a.m. to noon, and outpatient
procedures, such as biopsies and
lumpectomies, are performed in the
afternoon at the Culpeper Surgery
Center adjacent to CRH.
David Brenin, MD Anneke Schroen, MD Drs. Brenin and Schroen believe
having easy access to treatment and
resources from multiple disciplines
is a key component to quality care.
Patients coming to our clinic for
breast cancer treatment will not
only have their case reviewed by
their surgeon, but also by a medical
oncologist, radiation oncologist, and
breast cancer pathologist.
For more information about
the Breast Surgery Clinic or to
schedule an appointment,
call 540-829-1919.
www.culpeperhealth.org • Simply Health Magazine
9
A Pink Fund Success Story
tHe PAMPER ME PINK
Mammography Fund (the Pink
Fund, for short), initiated by
Sharon Clark, of Pepperberries,
was established to raise awareness
of breast cancer causes, detection,
and treatment. Funds are available
to those who need assistance
with the cost of mammography
screening, radiology reading, and
other related tests and screenings.
Local resident Jeannie Raven
realized she needed a mammogram
but had no insurance, couldn’t
afford the cost of a mammogram,
and had nowhere else to turn.
However, she received the care she
needed, thanks to the Pink Fund.
“I don’t know what I would have
done if it weren’t for the Pink Fund,”
Raven says. “The fund paid for my
mammogram, and I was extremely
grateful, but then I panicked
because they found something
wrong and I needed a follow-up test.
It’s one thing to know you need to
have a mammogram and you don’t
have the money to pay for it, but a
totally different thing when your
mammogram reveals a problem
and you can’t afford to pay for a
follow-up image. I am so thankful
the Pink Fund paid for the second
scan, because there was nobody else
I could turn to for help.”
Results from the second scan
revealed there were no serious
problems, but to this day, Raven
continues to express her gratitude to
Sharon Clark and Culpeper Regional
Health System for the assistance
she received. The fund not only
helped Raven through a frightening
health scare, but it also continues to
help others in the local community
who find themselves not knowing
how they’re going to pay for the
mammograms they need.
“It’s not one of those things
where no news is good news,”
Raven says. “If you get the news,
and you know what the results
are, you can be proactive. Breast
cancer is highly treatable if caught
early. The early warning provided
by a mammogram is the key.
And the Pink Fund really makes
a difference.”
Jeannie Raven
Did you know?
The Pink Fund has provided more than 70 mammograms to local
community members at no charge.
The fund was originally established to provide mammogram screenings
for patients who could not afford the screenings. The fund was expanded in
2011 to include treatment. The dollar amounts raised include all gifts (event,
cookbooks, etc.).
✓ $10,401
✓ $20,972
✓ $4,927
✓ $2,967
2009
Laurie Ludwig, Health Educator
at Powell Wellness Center,
tells her survivor story at the
2009 Pamper Me Pink event.
10 Simply Health Magazine • www.culpeperhealth.org
2010
2011
2012
EARLY BREAST CANCER
Understand your options
More WoMeN toDaY are getting
mammograms on a regular basis
than in years past, and that’s good.
Also good: Advancements
in technology have made
mammography itself more
sensitive and better able to
spot the tiniest of abnormalities.
According to the College of
American Pathologists, these
two factors have resulted in
a jump in the number of diagnosed
cases of ductal carcinoma in
situ (DCIS), a very early form
of breast cancer.
vessels, and ducts.
DCIS gets its name from its
location within the breast. The
cancer is confi ned to a duct and
has not spread to any surrounding
areas (in situ).
DCIS is the earliest possible
diagnosis of breast cancer. The
tumor is so small that it’s rarely
found by touch. Most often,
it is discovered on a routine
mammogram, where it is visible
as tiny specks of calcium, called
microcalcifications.
earliest breast
cancer diagnosis
If your doctor suspects that you
have DCIS, you will probably
have a biopsy. If the diagnosis
is confi rmed, you and your doctor
can discuss treatment options.
Most doctors believe DCIS needs
The breast consists mostly of fatty
tissue. Other parts include milk
glands — called lobules — lymph
vessels, connective tissue, blood
treatment not clear-cut
Mammary
lobule
Areola
Nipple
Invasive
DCIS
cancer cells cancer cells
Rib
Breast
Muscle
Duct
Blood vessel
Fat
Lymph vessel
Cross section
of breast duct
Coffey infographic with information from the american Cancer Society
Source: american Cancer Society; National Institutes
of Health
Mammography
department
gets the gold
Ductal carcinoma in situ (DCIS)
DCIS is considered a noninvasive (in
situ) cancer because it’s confined to
a breast duct. Invasive cancer cells
can spread to other parts of the
breast and body.
to be treated, but there is some
debate about how best to do so.
Experts think DCIS can
sometimes be present for a long
time without causing problems.
It’s estimated that only about
30 percent of cases will develop
into invasive cancer within a
decade of diagnosis.
However, there is no way to
tell which tumors are most likely
to spread. That can make the
decision about how to treat DCIS
a difficult one.
Which treatments are best for
you can depend on several factors,
such as your personal risk for
additional breast cancer. Review
all the benefits and risks of any
treatment with your doctor.
The Culpeper Regional Hospital
mammography department has
been awarded the American College
of Radiology (ACR) Gold Seal of
Accreditation, which represents the
highest level of image quality and
patient safety. It is given only to facilities
meeting ACR practice guidelines and
technical standards after a peer review.
This accreditation means that we
meet nationally accepted standards of
care; our personnel are well-qualified
to perform medical imaging, interpret
images, and administer radiation
therapy treatments; our equipment is
appropriate for the test or treatment
patients will receive; and our
department meets or exceeds quality
assurance and safety guidelines.
This accreditation affirms our
commitment to providing the highest
level of image quality and patient
safety to our community.
www.culpeperhealth.org • Simply Health Magazine
11
Jeff Laughlin, DDS,
MPH, Clinical Director
of Piedmont Regional
Dental Clinic (PRDC)
(left); Lee Kirk,
President/CEO of CRHS/
CRH; Kelli Mitchell,
Executive Director
of PRDC; and Andre
Hintermann, PRDC
Board President, proudly
display the generous
donation made by CRHS to
PRDC. This donation made
it possible to purchase
equipment and instruments
needed to treat children
with extensive tooth decay
in the CRH operating room.
“PRDC is
doing a
fantastic job
and began
regular visits
to schools
this year. We
are delighted
to support an
organization
that shares the
same mission
and core values
as our health
system.” — Lee Kirk,
president/Ceo of CrHS/CrH
CRHS helps create
healthy smiles
at CULpeper Regional Health System
(CRHS), we take pride in who we are,
what we do, and the organizations
we align ourselves with. So when we
learned about the Piedmont Regional
Dental Clinic (PRDC) in Orange — a
nonprofit group whose mission is
to provide affordable dental care to
children and adults — we felt the need
to show our support.
“CRHS provided a $10,000 donation,
which we used toward purchasing
the OR equipment we desperately
needed,” says Kelli Mitchell, Executive
Director of PRDC. “They also provided
a facility for us to use for our sedation
dentistry services.”
Mitchell says the CRHS contributions
were extremely important, considering
the need. When the hospital made the
operating room (OR) space available,
there were already 21 children on the
waiting list.
about prDC
Piedmont Regional Dental Clinic (PRDC) is a nonprofit dental practice
treating eligible low-income patients in Culpeper, Orange, Madison,
and Greene counties. Care is primarily provided to children and adults
covered by Virginia Medicaid. Uninsured and financially eligible patients
can also qualify for PRDC’s discounted dental services program.
In May, PRDC launched a mobile unit, funded in part by a $25,000 donation
from Dominion Power, to visit local schools. Services provided include exams,
x-rays, cleanings, fluoride treatments, and sealants for eligible students.
PRDC is located at 13296 James Madison Highway in Orange.
For more information, call 540-661-0008 or visit www.vaprdc.org.
12 Simply Health Magazine • www.culpeperhealth.org
“These kids are either special needs
children, kids who won’t sit in a chair
because they had traumatic incidents
before, or kids who have anxiety toward
the dentist,” Mitchell explains. “So what
typically happens is these kids go without
dental services, and they end up with an
infection or serious tooth decay.”
According to Mitchell, when PRDC
opened its doors in July 2011, there were
no other practices within a 50-mile
radius providing the same type of service.
The closest facilities were located in
Richmond and Harrisonburg.
“With the help from the CRHS
donation, we were able to purchase the
supplies and equipment we needed to go
outside of our office to provide sedation
and OR services,” Mitchell says. “But more
importantly, they gave us a facility to use.”
Jeff Laughlin, DDS, MPH, Pediatric
Dentist and Clinical Director of PRDC,
has privileges at Culpeper Regional
Hospital (CRH) and uses the OR space
one day a week. Most times, he can treat
two children per visit.
In addition to the OR space, PRDC also
receives referrals from the Free Clinic of
Culpeper and the CRH emergency room.
“One of the top reasons people are seen
in the ER is dental pain experienced over
the weekend, usually resulting from an
abscess or infection,” Mitchell says. “Since
ER doctors are limited to providing medical
assistance, and not dental assistance, it’s
good to know there’s another resource out
there for low-income patients who present
at the hospital with dental pain.”
Your investment
in our community
makes a difference
It WaS Late oNe MorNINg,
and I had a meeting at Powell
Wellness Center (PWC). While
waiting, I sat in the café marveling
at all the people in motion.
People were walking the track,
using the cardio equipment,
and participating in group
exercise classes.
What really caught my attention
were two individuals methodically
exercising in the TURTTLE™
(Therapeutic Unique Rehabilitation
Two-Temperature Lap and
Exercise) pool. A physical therapist
was guiding a patient through
her exercise routine. When they
fi nished, the therapist walked to the
pool lift and transferred the patient
from the pool to her wheelchair. I
asked the patient how her session
went that morning.
“I have been confined to this
wheelchair for years,” she responded.
“It is only when I am in the pool that
I have use of my legs and feel like a
whole person. I am so grateful that
we have Powell Wellness.”
Her experience was possible
because of gifts to Culpeper
Regional Hospital (CRH). The
TURTTLE pool and the pool lift
exist in our community because
of donations to the Here’s to Your
Health Campaign and to the Area of
Greatest Need Fund.
The Area of Greatest Need Fund
is an annual fund that is used just
like its name says: wherever it is
most needed. Unrestricted gifts
to this fund help to create new
programs and innovative solutions.
The flexibility of unrestricted giving
allows the CRH Foundation to
respond to a broad range of pressing
community needs, ensuring CRH’s
future in the most profound way.
Your contributions help CRH
continue its mission to be the fi nest
patient-centered community hospital
The Dr. Christopher Zielinski
Healing Garden at CRH
in the country. Donations directly
affect the programs and services,
equipment and supplies, and, most
importantly, our patients and their
families who entrust us with their
care. With every gift you give, we
fulfi ll another mission: yours. It is
with great pride that we honor your
donation by ensuring that it benefits
as many patients as possible.
Every gift, of any size, helps us
provide the most comprehensive
medical care close to home. Your
thoughtful and generous donations
continue to make a significant
difference in the lives of our
patients, just like the patient
at PWC. Thank you!
Cindy Colson, executive Director,
CrH Foundation
You can make a difference in our community
If you would like to make a
gift to the Area of Greatest
Need Fund, please complete,
cut out, and mail the reply
card to:
Culpeper Regional
Hospital Foundation,
Attn.: Area of Greatest Need
501 Sunset Lane, Culpeper,
VA 22701.
For more information,
please contact Mike
Alexander, Development
Officer, at 540-829-8817
or malexander@
culpeperhospital.com.
Clip and mail
✃
Name:
Mailing address:
City, State, ZIP:
Phone:
Email:
Please accept my gift of: $1,000 $500 $250 $100 $50 $25 Other $
Enclosed is my check made payable to Culpeper Regional Hospital Foundation.
Please bill my: MasterCard Visa Discover
Name on card:
Card number:
Expiration date:
Signature:
Thank you for your donation to the Area of Greatest Need Fund!
www.culpeperhealth.org • Simply Health Magazine
13
Get the OK
t play
Sports physicals help young athletes stay safe, healthy
Sports are a great way for kids to have fun and stay active. But
before your child suits up, make sure you get the green light from your
child’s doctor. Sports physicals should include both a medical history
and a physical exam.
The medical history portion of the physical should include a review
of past injuries, surgeries, and illnesses. The doctor should also be
told about any medications your child takes, drug allergies he or
she has, and signs or symptoms of potential health problems.
The physical exam should always include measurement of
height and weight; vision and hearing tests; and a check of vital
signs, such as blood pressure and pulse rate.
The doctor will also examine your child’s head, ears, nose,
throat, abdomen, joints, bones, muscles, and ligaments and
listen to your child’s heart and lungs.
A sports physical is a good way to help make sure your
child is healthy and can safely play the game.
It’s also designed to:
➜➜Identify medical problems that may place your child at
risk for injury or illness.
➜➜Identify problems that may impair your child’s ability
to perform.
➜➜Assess fitness levels for certain sports.
➜➜Teach you and your child about injuries and other healthrelated sports issues.
➜➜Meet legal and insurance requirements.
After conducting the physical, the doctor will tell you whether
or not your child is in good enough health to take part in a certain
sport. If clearance is denied, the doctor will also let you know what
needs to be done before your child can participate.
American Academy of Pediatrics; American College of Sports Medicine
Make a play for safety
Never mind the scoreboard. When it comes to youth sports, safe kids are the big winners.
Many youth sports injuries can be prevented. To help reduce the risk of injuries,
the American Academy of Pediatrics says you should encourage your child to: ✓ Wear
proper protective gear. ✓ Stretch muscles and tendons before and after games.
✓ Learn — and use — the proper techniques for different sports. ✓ Take rest breaks
during games and practices. ✓ Play a variety of sports. A two-month break from a specific
sport can help prevent overuse injuries. ✓ Play safe and follow the rules of the sport.
✓ Stop playing if he or she is in pain. ✓ Drink plenty of fluids before, during, and after
games and practices.
By teaching your child how to play sports safely, you can help your son or daughter
become a winner both on and off the field.
14 Simply Health Magazine • www.culpeperhealth.org
Does your
child need
a physical?
The following
practices in Culpeper,
Madison, and Orange
provide school and
sports physicals:
CMA Family Physicians
16240 Bennett Road,
Culpeper
540-825-5951
CMA Pediatrics
633 Sunset Lane,
Suites A and C,
Culpeper
540-825-5381
Commonwealth
Medical Associates
1043 Oaklawn Drive,
Culpeper
540-825-6263
Culpeper
Family Practice
1200 Sunset Lane,
Suite 2210, Culpeper
540-825-6100
Madison
Family Physicians
125 S. Main St., Madison
540-948-6861
Madison Primary Care
1480 N. Main St.,
Suite A, Madison
540-948-6743
Wilderness
Medical Center
4376 Germanna
Highway, Locust Grove
540-972-7798
You can
also visit
www.culpeperhealth.
org and click on “Find
a Doctor” or call our
physician referral line at
866-693-DOCS (3627).
Ask the doctor
Advice from Susan J. Werner, MD
Q
our son was hit on the head while
playing football. How can we tell if
he has a concussion, and if he does, what
should we do?
A concussion is basically an altered
mental status, usually following
some kind of trauma, caused by impact or
shaking. Here are the
three most important
steps I recommend
to parents:
Look for
symptoms.
Dizziness is one of
the most common
Susan J. Werner, MD symptoms; it occurs in
Culpeper Pediatric about half of all kids
Services, 633 Sunset Lane, Suite A, with head injuries.
Culpeper
If your son has a
540-825-5381
mild-to-moderate
concussion, he may also experience
persistent headaches, nausea, or a change
in mental status. A change in mental status
could mean he’s responding more slowly
to your questions or making decisions in
a way that is different from normal. For
example, he may not be able to tell you
whether or not he is hungry or thirsty.
Other symptoms of a mild-to-moderate
concussion may include emotional
changes, such as being more prone to
anger or tears; sleeping problems, such as
sleeping too much, not being able to fall
asleep, or waking frequently; and problems
with concentration, such as not being able
to remember what he recently read.
With a moderate-to-severe concussion,
your son may experience vomiting. He
may also have amnesia, meaning he can’t
remember anything that happened in the
immediate half hour leading up to the
concussion, or a more distant amnesia
where he can’t remember events earlier
in the day or the day before the injury. A
loss of consciousness or unresponsiveness
is another serious symptom. He may also
have a seizure, where he suddenly stiffens
and jerks and is unresponsive. If any of
these symptoms occur, seek medical
attention immediately.
A
1
2
Seek medical attention.
If the head injury occurs
during the time your doctor’s
office is open, and there are no signs
of severe concussion, such as seizures
or loss of consciousness, make a prompt
visit to your doctor’s office. If the office is
not open, go to the emergency room.
And, of course, if he experiences
any of the severe symptoms listed
above, take him to the emergency
room immediately.
Concussions are very serious, but sports are
Allow adequate healing.
an asset for most children. Sports help get
If your child experiences
kids
into an exercise program and they make
a concussion, he must come
exercise
more fun, which promotes lifelong
out of the game immediately
healthy
habits.
Sports also teach kids about
and not return. He should
teamwork
and
help to improve selfalso be evaluated by a medical
esteem,
so
involvement
in sports
professional the same day and
should
be
encouraged.
should be given a list of instructions,
including the requirement for both
physical and mental rest. Th is means no
aerobic activity and no mental activity
until the symptoms have abated.
If your doctor prescribes both mental
and physical rest, this means your son won’t
be allowed to go back to school, text his
friends, communicate on Facebook, read,
or return to sports until the symptoms
(headache, dizziness, etc.) go away.
In the case of a head
After the symptoms go away, your son
injury, the most
can go back to school, but I recommend
important thing an
only a half-day for the first day or two,
adult can do is monitor
to make sure he is OK. He also should
the child right after
not return to any sports until he is able
the injury. Do not send
to complete a full day of school without
him or her back into
worsening fatigue, headache, dizziness, or
the game. If the child
any other symptoms.
gets a second head
Before returning to full sport activity,
injury on top of the
I recommend brief, less strenuous
first concussion, which
activities — sprinting for 100 feet or
could happen in the
riding a stationary bike for 10 minutes
same game if he or she
at moderate speed — to make sure the
is sent back in to play,
symptoms do not return. He also should
the rate of severe longnot return to competitive sports until at
term problems goes
up dramatically. Severe
least two weeks after the injury occurred.
long-term problems
You’ll want to make sure your son has
can include seizures,
normal cerebral functioning and thinking
permanent changes in
in school activities before you allow him
memory, and death.
to return to sports.
3
to play or
not to play?
avoid a
second
head injury
www.culpeperhealth.org • Simply Health Magazine
15
Serving
you
CULPEPER REGIONAL HEALTH SYSTEM
501 Sunset Lane
Culpeper, VA 22701
Nonprofit Org.
U.S. Postage
PAID
Jacksonville, FL
Permit No. 1176
To learn more
about Culpeper
Regional Health
System, please visit
our website at www.
culpeperhealth.org.
Save
the date
For more information, visit
www.culpeperhealth.org and
click on “Classes and events.”
September
Thur
20
17th Annual
CRH Foundation
Golf Classic
➜ Noon, Culpeper Country Club
The event begins with lunch, a raffle,
and a shotgun round and concludes
with dinner and a special recognition
ceremony. Contact Mike Alexander
at 540-829-8817 or malexander@
culpeperhospital.com if you would
like to form a four-person team for
the event!
Fri
CRH Thrift Shop
Grand Opening
21
Continues on September 22
➜ Friday, 9 a.m. to 5 p.m.,
➜ Saturday, 9 a.m. to 3 p.m.,
Meadowbrook Shopping Center
Come celebrate the grand opening of
our newly expanded Thrift Shop. Also,
if you are interested in volunteering,
please contact Thrift Shop Director
Dottie McConchie at 540-825-7523 or
Kim Stewart at 540-829-4280.
Sat
Oyster Fest
22 ➜ 4 to 8 p.m., Bull run
Hunt Club, $60 per person
The Free Clinic of Culpeper presents its
second annual Oyster Fest fundraiser.
Along with oysters on the half shell,
sautéed, and fried, there will be barbecue
and trimmings. Entertainment, a raffle,
and a silent auction are all part of the
evening’s festivities. Tickets must be
purchased in advance. Sponsorships are
available. Please call 540-829-5035 for
more information.
Culpeper Regional Health System Farmers’ Market
October
Sat
6
Tue
Zumba Me Pink!
➜ Daniel technology
Center, germanna
Join us for a Zumba party to raise
funds for Pamper Me Pink. For more
information, call Mike Alexander
at 540-829-8817.
Tue
Medicare Lecture
9 ➜ 6 to 7:30 p.m.,
CrH Cafeteria
Free
Join us for a lecture sponsored by
Culpeper Regional Health System
(CRHS). Understanding the many
aspects of Medicare will allow you to
choose the best healthcare for yourself,
so that you can get out there and enjoy
your golden years.
Thur
11
CRHS Farmers’ Market
➜ 10 a.m. to 3 p.m., rain
or shine, outside the hospital’s
main entrance on Sunset Lane
Produce includes eggs, corn, tomatoes,
zucchini, squash, various greens, and fruit.
Second Thursdays of the month through
November. October proceeds benefit
the Pamper Me Pink Fund and November
benefits the Green Team.
Pamper Me Pink
23 ➜ 5:30 to 8:30 p.m.,
Daniel technology Center,
Free
germanna
Join us for an evening of awareness,
indulgence, and education with healthy
refreshments and great door prizes.
Preregistration starts September 25.
Call 540-829-8813. Sponsored by
Pepperberries and CRHS.
Thur
25
American Red Cross
Blood Drive
➜ 9 a.m. to 2 p.m., Culpeper
regional Hospital (CrH)
Be a hero today! Blood is needed for
all types, especially O-, O+, B-, and
A-. Walk-ins are welcome, or you can
call Kim Stewart at 540-829-4280 to
reserve a time. Please bring photo ID.
November
Mon
5
20th Anniversary of the
Free Clinic of Culpeper
Congratulations and thank you
to the Free Clinic for 20 years of service
to our community.
Fri
9
Veteran’s Day
Celebration
➜ 7:50 a.m., CrH main entrance
Please join us for a flag-raising ceremony
in honor of our veterans.
Fri
Prepared Childbirth
16 Series
Continues on Saturday
➜ 7 to 9 p.m., CrH Boardroom,
$90
The first part of the class is held on
Friday evening. The class meets again
the next morning at 9 a.m. and runs
until 2 p.m. This is an interactive class
taught by Family Birth Center nurses
who are certified childbirth instructors.
It prepares the expectant mother and
her support person for the birthing
experience. Our physicians recommend
that all first-time mothers take a
prepared childbirth class.
Ongoıng
Diabetes Support
Group
Free
First tuesday of each month
➜ 7 to 8 p.m., CrH Boardroom
Come, share, and learn. This group is
open to the public.
Smoking Cessation Class
Mondays, November 5, 12, 19, 26,
December 3, 10
➜ 5:30 to 6:30 p.m., CrH Medical
Staff Conference room, $40
CRH is a tobacco-free campus.
We offer a six-class series
periodically. Registration is
required. Call 540-829-5008.