Thursday,October 248am – 12noon

PrimeTimeOCTOBER 2013

The HidenwoodRetirementCommunity

A Free Event

HOW TO STAVEOFF DIABETES

DEcISIOn mAkIngAS A SEnIOr

cOgnITIVE LOSSFOLLOWIng An IcU STAY

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“QUALITY OF LIFE” HEARING AID SALECUSTOM CANAL

1WEEK ONLY SALE!

$42500Retail Price $790

All the wayup to 40db ofamplification!

SAVE50%

MILD TO MODERATE HEARING LOSS

Or Have YourHearing AidsSeen Better

Days?

STICKERSHOCK?

WEKNOWTHEDRILL! ...EVEN AFTER REBATES ANDDISCOUNTS ARE APPLIED, THEYSTILLWANTTHOUSANDSOFDOLLARS FOR A LITTLE PIECE OFEQUIPMENTNOBIGGERTHANANICKEL.

IS IT

COMPLETELY IN CANAL

Retail Price $1300

CICCOMPLETELYIN CANAL

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CALL NOW TO SCHEDULE AN APPOINTMENT

1-888-333-5744HAMPTON VIRGINIA BEACH

441 S. Independence Blvd.

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757-456-5003

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ON A PAIR OF HEARING AIDS

Copyright© 2013

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Renovations are complete,and leasing has begun!

Call Lynn today to schedule your tour.

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How to reduce your riskfor diabetes M illions of

people acrossthe globe suffer

from diabetes, a term usedto describe a group ofmetabolic diseases in whicha person has high bloodpressure resulting from thebody’s cells not respondingproperly to insulin and/or inadequate insulinproduction. According toresearchers at Australia’sBaker IDI Heart andDiabetes Institute, if thespread of type 2 diabetescontinues at its currentrate, there will be roughly439 million adults withdiabetes across the globein the year 2030. Thoughsome cases of diabetescannot be prevented,a healthy lifestyle canprevent or delay the onsetof type 2 diabetes.

CONTINUED P8

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Special InvitationPROTECT THOSE YOU CARE ABOUT

Estate and Legacy PlanningSince 1978

This educational class is free, however, reservations are required.To make your reservation or for more information,call Andrea Wohlever at 757-877-0444 orvisit our website at trustbuilders.com

SPONSORED BY: TRUSTBUILDERS LAW GROUP, BUXTON & BUXTON, PC, A PROFESSIONAL LAW CORPORATION• Yorktown •Williamsburg • Urbanna,VA

Joseph T. “Chip” Buxton III

WINNER 2013

Please join us for a FREEEstate Planning Seminar

✓ Learn how the new tax laws will affectyour ability to preserve and transferwealth.

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✓ Learn about Virginia’s new laws relatedto wills, trusts and powers of attorney.

Oct. 22, 201311:00am(lunch provided)

Bensi Restaurant5101 Kilgore AveHampton, VA

23666

Oct. 24, 201311:00am(lunch provided)

Fins Seafood3150 William Styron

Square NNewport News, VA

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“The seminar was excellent, everythingwas adequately covered.”

– Rick T. –Williamsburg, Virginia

“Dynamic Speakers, worth listening to.”– Kent F. – Lancaster, Virginia

“Best we’ve been to.”– Elmer S. – Hayes, Virginia

Since 1969, The Chesapeakehas provided an ‘oasis’ for

retirees who thrive onpersonal growth, activity,

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757-223-1650

AContinuingCare Retirement Community

Come see why we were voted ‘best of the best’!

THE PERFECT PLACE TO BEGINTHE REST OF YOUR LIFE

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Accepting New Patients11838 Rock Landing Dr Suite 100

Newport News 757-873-0138

My goal is to provide qualitycare to my patients that translatesinto improved health andrejuvenated lifestyle.

-Dr. Hancock“ ”

◆ Do you have aching, fatigued, and throbbing legs that drag asthe day progresses?

◆ Do your legs prevent you from doing the things you love todo?

◆ Have you written off heavy and tired legs to old age that slowyou down and interfere with your lifestyle?

◆ Do you have spider veins or varicose veins that causediscomfort or prevent you from wearing your favoritesundress?

◆ Do you have leg swelling or skin changes that continue toworsen over time?

◆ Have you been treated for painful, recurrent ulcers that maybe due to venous disease?

If any of these questions apply to you, Dr. Hancock welcomes theopportunity to provide you with a diagnostic evaluation and

develop a set of treatment options that may work for you.

If you would like further information, or to schedulean appointment, please call 757-873-0138.

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What are venous disease,venous reflux, andsymptomatic varicose veins?

Venous reflux disease, also known as venousinsufficiency, is a medical condition affectingnormal outflow circulation of blood in thelower extremities. Valves contained withinveins normally facilitate blood emptyingfrom the legs towards the heart. In the case ofvenous reflux, these valves no longer functionproperly, allowing blood to pool in the legs.This produces back pressure and congestion,otherwise known as venous hypertension.

Venous reflux and venous hypertension cancause swelling, aching, heavy legs to seriousrecurring ulcers that can be limb threatening.Varicose veins are often the first recognition ofvenous disease, but when absent, can frequentlyresult in delayed diagnosis. Varicose veins areenlarged surface veins that become engorgedover time as a result of valve failure.

What are the causes?

The underlying problem, common to most ofthese patients, is venous valvular incompetence.Valves are present in the heart and veins tofacilitate unidirectional flow that maintainsefficient circulation. Incompetent valves inthe heart are responsible for regurgitant flow,which can lead to dilated heart chambers thatcan ultimately impair heart muscle contraction.Veins, responsible for returning blood that hasbeen distributed to the body, dilate in responseto incompetent valves. This impairs venousfunction, delaying return of blood to the heartand overloading the tissues in the leg whichcauses congestion. Heredity, female gender,pregnancy, weight, and professions requiringprolonged standing and sitting are contributingfactors.

Who is affected?

Venous disease occurs twice as often ascoronary artery disease and five times more

often than peripheral artery disease in theUnited States. Venous disease is quicklyrecognized in patients with large protrudingvaricose veins, but in their absence, venousdisease can be overlooked and interpretedas another problem. The face of venousdisease can be a 30-year old woman, thin andhealthy appearing, with a history of multiplepregnancies. It can also be a 30-year old manwith four years of recurrent ankle ulcers andsevere skin changes. And, then again, it canbe a 61-year old woman with a 10 year historyof leg pain misdiagnosed as neuropathy andfibromyalgia. In some cases, varicose veins aredismissed as a cosmetic problem.

Venous insufficiency can significantlyimpact lifestyle. Occupations that requirelong periods of standing or sitting, thoughtto contribute to the development of venousreflux, provoke intolerable symptoms of achingfatigue, throbbing, swelling, skin changes, andultimately painful ulcers. Salesmen, teachers,hairdressers, nurses, and shipyard workersare among those affected. Market researchindicates that over 2 million workdays are lostannually in the US and $1.4 billion is spenteach year on this common medical condition.

Of the 25 million Americans with venousinsufficiency, approximately 7 million exhibitserious symptoms such as swelling, skinchanges, and venous ulcers. It is estimated that72% of women and 42% of men will experiencevaricose veins by the time they are 60.

What are the symptoms?

Varicose veins often herald the presence ofvenous reflux. Legs can ache and fatigue dueto reflux without the obvious bulging veins.Discomfort usually worsens toward the endof the day. Sometimes, restless and achinglegs at night are the predominant complaint.Although few patients describe pain per say,the discomfort can be fairly disturbing andinterfere with desired activities, includingexercise, work responsibilities, and keeping upat family events. People in their fifties and olderoccasionally dismiss the symptoms to agingand ‘slowing down.’ Other features of venousreflux disease include burning and itchingskin of the lower extremities, leg swelling(edema), skin changes including darkening andthickening, and ulcers usually at the ankle level.

What are the answers?

Recommendations are generated based onindividual case histories, physical exam, andusually duplex ultrasound evaluation. ❖

Susan M. Hancock, MD, F.A.C.S11838 Rock Landing Dr., Suite 100Newport News, VA 23606Phone: 757-873-0138Fax: 757-873-0246www.hancockvein.com

Venous Diseaseand How It Can Affect You

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757-249-0355Contact us for more information about our services.13030 Warwick Blvd. • Newport News, VA 23602 www.mennowood.com

Type 2 diabeTesis the most common form ofdiabetes, occurring becausethe body does not use insulinproperly. Initially, the pancreaswill make extra insulin toaccount for the body’s resistanceto insulin, but over time thepancreas cannot produceenough insulin to maintainnormal blood glucose levels.The risk of developing type 2diabetes increases as peopleage, and while there is no wayto halt the aging process, thereare many other ways for men,women and children to reducetheir risks of developing type 2diabetes.

CONTINUED FROM P4

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Type 2 diabetes is the most common form ofdiabetes, occurring because the body doesnot use insulin properly.

Shed thoSe extrapoundS

Being overweight increases your risk for ahost of ailments, including type 2 diabetes,heart disease and stroke. According to theAmerican Diabetes Association, losing as littleas 10 to 15 pounds can make a significantdifference for people looking to reduce theirrisks of developing type 2 diabetes. Whenattempting to lose weight, men and womenshould recognize that making lifestyle changesis a more effective way to shed pounds andkeep weight off than fad diets that maypromise quick weight loss but tend to be lesseffective at keeping that weight off over thelong haul. Successful weight loss typicallyinvolves a combination of physical activityand a healthy diet. Include physical activityas part of your daily routine several days perweek, taking it slow at first if you have notexercised regularly in quite some time. Asyour body begins to adapt to exercise, youcan gradually increase the intensity of yourworkout routines.

Adopting a healthy diet is another way to loseweight and maintain that weight loss. A dietlow in calories and fat is a good start. Menand women who need to lose a significantamount of weight may want to work witha dietitian and/or nutritionist to create ameal plan that is likely to produce the bestresults and address any vitamin or nutrientdeficiencies they might have.

FocuS on Fiber

Adding more fiber to your diet is another

way to prevent or delay the onset of type 2

diabetes. Foods that are high in fiber tend

to make people feel fuller, reducing the

likelihood that you will overeat. Fiber also

helps the body control its blood sugar levels,

and fiber can lower a person’s risk of heart

disease. Many foods include fiber, but some

high-fiber foods include beans, fruits, nuts,

and vegetables.

avoid reFinedcarbohydrateS

Studies have shown that diets rich in refined

carbohydrates increase a person’s risk of

developing diabetes, while additional studies

have shown that diets rich in whole grains

protect the body against diabetes. Researchers

examining the results of several studies that

explored the relationship between whole

grains and diabetes found that eating an extra

two servings of whole grains each day can

reduce a person’s risk of type 2 diabetes by as

much as 21 percent. Refined carbohydrates,

which can be found in white bread, white rice,

mashed potatoes and many cereals, cause

sustained spikes in blood sugar and insulin

levels, which can increase a person’s risk of

diabetes. n

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It’s about peace of mind to enjoy what’s important in life. Rely on thestrength of Williamsburg Landing, the area’s only accredited Continuing CareRetirement Community, for worry-free living now and in the years ahead.

• Gated, tree-lined streets, with a choice of home styles• Maintenance-free lifestyle aided by our professional staff• Healthcare if you need it-primary care physician available• Local Board of Directors with resident representation• Not-for-profit with longstanding financial stability

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Among just 15% of accreditedContinuing Care RetirementCommunities in the USA

Life at Williamsburg Landing… ely on it

PrimeTimeSPEAKERSOctober201310:30a SweetAdelines

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10:00a 3-D Mammography

Melinda Dunn, MDSentaraWilliamsburgComprehensive Breast Center

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Funeral Costs Are Rising -Are You Prepared?

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Preplanning is a simple thing you can do to ease burdens onyour family at a difficult time. No other form of preparation

does all of these things:• Make decisions ahead of time• Ensures wishes are carried out• Prevents overspending• Takes the pressure of selection process off your family• Keeps costs at today’s prices when paid in advance

We specialize in preplanning.Call us and we can answer any questions you may have.

Ask us about the many payment options available.

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I would like to receive more information. I understand that there is no cost or obligation onmy part, and no one will call unless I so request.

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You already know what a will does.Preplanning does more.

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Amory Funeral HomeP.O. Box 1026

410 Grafton DriveGrafton, VA 23692

(757)898-5722

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This is a paid advertorial feature

Sentara Introduces3D Mammography

Collaboration results in the best patient care. HereDr. Richard Hoefer, a fellowship-trained surgicaloncologist, discusses a patient’s results withPatient Navigator Belinda Risher.

As part of its ongoing commitment to bring the latest technologyto the Hampton Roads community, the Sentara Cancer Network

has introduced 3D mammography. Highly trained physicians use thisbreakthrough technology to detect early breast cancer at two Peninsulalocations: the Sentara Williamsburg Comprehensive Breast Center andthe Dorothy G. Hoefer Comprehensive Breast Center in Newport News.

Conventional mammography creates a two dimensional image of thebreast much like an x-ray, making it difficult to find small cancers hiddenamong layers of breast tissue. This new advanced technology is anextension of 2D mammography and creates 3D breast reconstructions soradiologists can view the breast in paper thin layers. As the radiologistviews each layer of breast tissue, early cancers are revealed that wouldnot be visible using other mammography.

A recent study publishedin the June 2013 issue ofthe American Journal ofRoentgenology (AJR) foundthe use of 3D mammographyincreased breast cancerdetection by 35 percent. Evenmore significantly, it increasedthe detection of the moredeadly, invasive cancer by 53percent. The study of 13,856women also reduced call backrates by 38 percent. Thoseare times when a woman iscalled back for more images,and most times, no cancer isfound.

“Since we began offering this service in January 2013, we’ve beentracking our own detection and call back rates. Our findings at Sentaramirror these national findings very closely,” continues Allison.

Sentara is at the forefront of adoption of 3D mammography as breastcancer imaging centers across the U.S. begin to consider the newservice. The Sentara Cancer Network is Virginia’s only accreditednetwork cancer program andintroduces proven technologylike 3D mammography,advancing cancer detectionand care in the region.

Additional industrystudies continue tobecome published,adding to the body ofknowledge suggesting 3Dmammography increasescancer detection rates, whiledecreasing call back andbiopsy rates.

At Sentara, 3Dmammography has beenadded, or will be launchedsoon, at eight breast imaginglocations from Williamsburgto Virginia Beach.

Schedule YourMammogram Todaywww.sentara.com/mammogramor 1-800-SENTARAGloucesterSentara Gloucester Medical ArtsHamptonSentara CarePlex HospitalNewport NewsDorothy G. Hoefer ComprehensiveBreast Center* (Sentara Port Warwick)WilliamsburgNew Town Diagnostic CenterSentara Williamsburg ComprehensiveBreast Center*Isle of WightAdvanced Imaging Center -Sentara St. Luke’sSuffolkAdvanced Imaging Center -BelleHarbour*Sentara Obici ComprehensiveBreast Center**Now scheduling for 3D appointments!

The Sentara Cancer Network serves the community with the latest technology. Advancedbreast imaging detects cancer at its earliest stages. Shown here are Dr. Melinda Dunn,a fellowship-trained mammographer, and Patient Navigator Wendi Johnson.

Dr. Kelley Z. Allison

— Kelley Z. Allison, M.D., fellowship-trained mammographer andco-medical director at the Dorothy G. Hoefer Comprehensive Breast Center

“The addition of 3D mammographyis one of biggest breakthroughs inmammography in the last 30 years,It’s allowing us to see cancers wewouldn’t otherwise see.”

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James A WrightFinancial Advisor

10357 Warwick BlvdNewport News, VA 23601757-595-1258

Having MoreRetirementAccounts IsNot The SameAs HavingMore Money.

When it comes to the number of retirement accounts you have, the saying “moreis better” is not necessarily true. In fact, if you hold multiple accounts with variousbrokers, it can be difficult to keep track of your investments and to see if you’reproperly diversified.* At the very least, multiple accounts usually mean multiple fees.

Bringing your accounts to Edward Jones could help solve all that. Plus, one statementcan make it easier to see if you’re moving toward your goals.

*Diversification does not guarantee a profit or protect against loss.

To learn why consolidating your retirement accounts to Edward Jones makes sense,call your local financial advisor today.

www.edwardjones.com Member SIPC

The state-of-the art lasertechnology for treating this problemis now available on the Peninsula.

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—14

Got Bugs?UNDER STRUCTURE REPAIRS?TERMITES? WARRANTY? BED BUGS?

Commercial or Residential

Call for a free inspection.

757-873-2030 or bugs@commonwealthext.com

www.commonwealthext.com

With Virginia Oncology behindme, so is my cancer.As a cancer survivor, I endured the physical and emotional battle with cancer and won. Every day, VOA doctors help other cancer patients becomesurvivors by delivering comprehensive, compassionate cancer care. They helped me understand my cancer type and explained the latest therapyoptions for my disease. Together, we developed a program to fight my cancer using proven treatments.

Cancer Doesn’t Care.We do.

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By Monte Morin

DO wE MakE POORERDECIsIONs as wE agE?

CONTINUED P16

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hen it comes to making boneheadedchoices, teenagers usually win society’saward for overall poor decision-making.

In fact, the study found that in certain

situations, the decision-making ability of

people older than 65 was worse than that

of adolescents. While teens were more apt

to drive carelessly, study authors argued

that seniors were more likely to make poor

medical or financial decisions.

“We found that even the healthiest of elders

show profoundly compromised decision-

making,” wrote senior study author Ifat

Levy, an assistant professor of comparative

medicine and neurobiology at Yale University

in Connecticut.

The study involved 135 men and women

between ages 12 to 90. Each was assigned a

sum of money -- $125 -- and then asked a

series of “lottery questions.” The questions

were designed to gauge risk aversion,

consistency of thought and rationality.

Seniors “disturbingly” chose irrational wager

options 25% of the time, according to the

study authors. An example of an irrational

choice would be to bypass a sure gain of $5

in favor of an ambiguous or risky choice to

win the same amount of cash.

Bycontrast, adolescents chose irrational options10%of the time, while young andmidlife adultschose them only 5% of the time.

Seniors were far more cautious than theother age groups when choosing between twopossible cash gains. If faced with the optionof receiving $5 for certain, or a lottery thatpaid $20 with a 50% chance of winning,seniors chose the $5.

When seniors faced a choice between twolosses, however, such as losing $5 for certainor choosing a lottery in which they stood a50% chance of losing $20 or nothing, theychose the riskier option with the higherpotential loss.

Seniors also lacked consistency, the authorsfound. When a certain question was askedfour times, seniors switched their answers“significantly” more than all other age groupsand roughly twice as often as adults ages 21 to50, the authors found.

The authors argued that the pattern ofdecision-making among elder participantsin the study was not a function of illness orage-related dementia. The 36 seniors whoparticipated in the study were all screenedand determined to be healthy.

Levysaid thefindings fall in linewithagrowing

body of research that suggests older adults

make decisions detrimental to the wealth,

health and general well-being. For instance,

they generally borrow at higher interest rates,

incorrectly estimate property values and pay

more fees to financial institutions.

The reason for such behavior remained a

mystery, but it did raise potential policy issues,

considering that seniors are more likely to fail

to choose health plans correctly and more

likely to make voting errors, the authors wrote.

“The decrease in consistency and rationality

may be due to a general reduction in cognitive

function, which occurs even in healthy aging,

although we were surprised that it is so

extreme,” Levy said.

“As for the risk preferences, it may be that

as they are getting closer to the end of their

life, people assume that it is less likely for

uncertain events to actually happen to them,

which drives them to take less risks with gains,

but more risks with losses,” Levy said. “But

that is pure speculation – more research is

needed to understand these phenomena.” n

Yet a study published recently in the journalPNAS suggests that our ability to make wisechoices changes over time, and actuallydeclines with old age.

CONTINUED FROM P15

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after an ICU stay, cognitiveloss is common,

study says

Two-thirdsof patientssick enough to

land inahospital intensive careunit come away from the experience

with substantial mental deficits, a newstudy has found.

CONTINUED P20

By Melissa Healy

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others came to intensive care after

suffering a stroke, a sudden turn in

an ongoing illness, or injury.

The authors of the study,

physicians at Vanderbilt

University Medical Center and

Thomas Hospital in Nashville,

were cautious in explaining why

ICUpatients so often emergewith

substantial cognitive impairment.

While suspicion has long fallen on

the widespread use of powerful

painkillers and sedatives in the

ICU, they found few clear links

between the medications a

patient got in the ICU and his or

her subsequent cognitive health.

At the same time, the study

authors observed a weak

relationship between post-ICU

mental decline and the use of

benzodiazepines — anti-anxiety

and hypnotic medications

including diazepam (marketed as

Valium). While that link “should

be interpreted cautiously,” the

authors said, its weakness should

not encourage physicians to

minimize the use of such drugs

where possible.

The researchers suggested that

delirium itself may contribute

to loss of mental function,

given that it is also linked to

inflammation and the death of

brain cells, which may either

start a downward slide in brain

health, or serve as a signal of that

process. n

The new research, whichquantifies a phenomenonlong observed by critical-carephysicians, found that threemonthsafter leaving thehospital,4 in 10 patients continue to havecognitive problems on a par withthose seen in cases of moderatetraumatic brain injury. Andmore than a quarter experiencea decline in mental functionakin to that seen in patients withmild Alzheimer’s disease, thestudy says.

For 58% of patients who’veexperienced a stay in the ICU,those intellectual deficits are stillthere a year after they have beenreleased from the hospital, thestudy found.

The latest research, publishedWednesday in the New EnglandJournal of Medicine, found thatthe sudden decline in mentalfunction was as likely to affectyoungpatients as it was thosewhowere older. And it was no morelikely in patients who were ill

even before their hospitalizationthan it was in those who hadbeen healthy.

In fact, only one factor appearedto predict which patients wouldsustain mental deficits after anICU stay: the length of time thepatient experienced delirium, acommon occurrence among thehospitalized critically ill. The studytracked for a year 821 patientswholanded in the ICU from a widerange of circumstances. Somewere admitted following surgery;

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3DMammography finds 35%more cancer.*

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