News for Living

www.sentara.com/seniors

September/October 2018

According to the data, there is a true epidemic out there. No, not obesity or heart disease. I am talking about urinary incontinence.Urinary incontinence (UI) is the involuntary loss of urine. It happens to men and women of all ages. Urinary incontinence affects an estimated 25 million people in the United States and 200 million people worldwide. It is estimated that 50 percent of older women and 15 percent of older men suffer from this problem.UI is as prevalent as diabetes and hypertension. Yet, unfortunately, it is a silent condition. Most of the time patients are too embarrassed to tell their doctor or (you may have guessed it as the title states) they feel it is a normal part of aging.Patients often think there is nothing they can do about it and so they suffer in silence. Fortunately, this is not true! There are different types of UI which require different treatments. Some patients may also have a combination of more than one type, known as mixed incontinence. The three main types of Urinary Incontinence are as follows:u Stress incontinence is leakage of urine that occurs during physical “stress”

activities such as exercising, sneezing or coughing. These activities can increase pressure within the bladder and weaken the urethral pressure.

v Urge incontinence is when one gets a strong urge to urinate and is unable to hold it till one reaches the restroom.

w Overfl ow incontinence is when the bladder overfi lls and it cannot hold any more and the urine “spills over.”

If you experience bladder leakage – you should be confi dent and talk to your doctor about it to learn what treatments are available. Treatments can vary depending on the type of problem. Often changing voiding and dietary habits may improve the problem. Sometimes medication or physical therapy may be recommended. Other times, highly successful, minimally invasive surgical procedures can provide long lasting treatment.So you are aware, here are some interesting statistics gathered from the National Association for Continence (NAFC): u More than half of all residents in nursing homes suffer from incontinence.v Stress incontinence affects approximately 15 million U.S. adult women. w An estimated 10-25 percent of patients will still experience bladder

control issues after undergoing radical prostatectomy surgery or prostate cancer surgery.

x Urinary incontinence is a common risk factor for falling, and in people ages 65 and older, falls are the leading cause of injury and/or death.

y Women wait an average of 6.5 years before seeking professional help for their incontinence problems.

BLADDER LEAKAGE: No, it’s not a normal part of getting older By: Mary Burns, M.D., Medical Director for the Sentara Pelvic Floor

Center at Sentara Virginia Beach General Hospital

U Approximately 2-3 percent of adults continued bedwetting since birth.

V One in 12 Americans, or approximately 18 million people, was estimated to have fecal incontinence, or the inability to manage bowel control. This statistic ranges from 3 percent in individuals 20-29 years old to 15 percent among adults 70 and older, according to the National Institutes of Health.

W One in fi ve adults over 40 years old have an overactive bladder, experiencing recurrent symptoms of sudden urges and frequent urination.

So remember if you are experiencing this problem – you are not alone. You do not have to accept life with a pelvic fl oor disorder. u Here is some information to have ready when you

speak to your doctor: 1. My last pelvic exam was ______ (days, weeks, months, years) ago.

v I have ______ child(ren) and delivered ______ (vaginally/by cesarean section).

w I’m having some or all of the following symptoms: • Pain, pressure or a bulge “down there” • Trouble urinating or passing a bowel movement • “Leaking” or needing to use the bathroom often • Pain during urination

x My symptoms started ______ (days, weeks, months, years) ago.

y I have these symptoms ______ (daily, a few times a week, sometimes, etc.).

U I want to fi nd ways to treat or cure these symptoms.Also, be sure to tell your doctor about any medicines you are taking and any allergies you may have.

Sentara Nursing & Rehabilitation CentersSentara Rehabilitation & Care Residence776 Oak Grove Road, Chesapeake, VA 23320

Sentara Nursing Center – Currituck 3907 Caratoke Hwy., Barco, NC 27917

Sentara Nursing & Rehab Center – Hampton2230 Executive Drive, Hampton, VA 23666

Sentara Nursing Center – Norfolk249 S. Newtown Road, Norfolk, VA 23502

Sentara Nursing Center – Portsmouth4201 Greenwood Drive, Portsmouth, VA 23701

Sentara Nursing & Rehab Center – VA Beach3750 Sentara Way, Virginia Beach, VA 23452

Sentara Nursing & Rehab Center – Windermere1604 Old Donation Parkway, Virginia Beach, VA 23454

Sentara Assisted Living VillageSentara Village – Virginia Beach3751 Sentara Way, Virginia Beach, VA 23452

Sentara Community-Based ServicesSentara PACE – Churchland5788 Churchland Boulevard, Portsmouth, VA 23703

Sentara PACE – Norfolk5900 E Virginia Beach Blvd, Norfolk, VA 23502

Mobile Meals – Norfolk | (757) 892-5211251 Newtown Road South, Norfolk, VA 23502

Mobile Meals – Churchland | 757-392-26545788 Churchland Boulevard, Portsmouth, VA 23703

Sentara LivingSentara Living

Inclement Weather PolicyAll Sentara Living programs, workshops, seminars, and meetings will be cancelled if the local school district is closed due to inclement weather.

Please check with the Sentara Living phone line, 757-306-2828, for cancellation information due to inclement weather, the day of any scheduled Sentara Living event.

fyi Would you like to receive the Newsletter, or have a friend who would?Call 757-306-2828 and leave your name, address, phone number, date of birth and email if you have one; or go online to www.sentara.com/seniors, then click on the Sen-tara Living link then click on “Subscribe.”

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2018Mark Your CalendarMonthly ProgramsSEPTEMBER

SEPTEMBER

TOPIC:

BLADDER LEAKAGE: NO IT’S NOT A NORMAL PART OF GETTING OLDER

Monday, September 10, 2018 Bayside Presbyterian Church (off of Independence Blvd.)

1400 Ewell Road, Virginia Beach, VA 23455 10 am-12 noon

Wednesday, September 19, 2018 Sentara CarePlex Hospital 3000 Coliseum Drive, Hampton, VA 23666 10 am-12 noon

TOPIC:

NAVIGATING THE MEDICARE MAZE

Monday, October 8, 2018 Bayside Presbyterian Church (off of Independence Blvd.)

1400 Ewell Road, Virginia Beach, VA 23455 10 am-12 noon

Wednesday, October 17, 2018 Sentara CarePlex Hospital 3000 Coliseum Drive, Hampton, VA 23666 10 am-12 noon

OCTOBER

OCTOBERMonthly Programs in North Carolina

TOPIC:

BLADDER LEAKAGE: NO IT’S NOT A NORMAL PART OF GETTING OLDER

Thursday, September 6, 2018 Currituck County Senior Center (same campus as Sentara Therapy Center & YMCA)

130 Community Way, Barco, NC 27929 10:30 am-12:30 pm

Tuesday, September 11, 2018 Sentara Albemarle Medical Center Education Center — Room 1 1144 N. Road Street, Elizabeth City, NC 27909 10:30 am-12:30 pm

TOPIC:

NAVIGATING THE MEDICARE MAZE

Thursday, October 4, 2018 Currituck County Senior Center (same campus as Sentara Therapy Center & YMCA)

130 Community Way, Barco, NC 27929 10:30 am-12:30 pm

Tuesday, October 9, 2018 Sentara Albemarle Medical Center Education Center — Room 1 1144 N. Road Street, Elizabeth City, NC 27909 10:30 am-12:30 pm

4 Sentara LivingSentara Living

did you know...

See page 3 for dates, times and location of a presentation on this topic in your area.

navigating the medicare mazenavigating the medicare maze

“

”

The pathway we all need to follow when we are nearing the Medicare age of 65 is not always a

smooth one. The Medicare Maze requires us to make a number of decisions, some of which we may not be able to reverse in the future. Be careful in selecting your Plan as you, and only you, will need to be satisfi ed with the Plan you select for many years. Ask questions from many sources, don’t rely on just one source.

Let’s discuss the various options in navigating this maze.

Medicare eligibility is based upon your age of 65 and/or certain health conditions, and has four main parts, A, B, C, and D, each covering specifi c medical services. Let’s briefl y discuss the “Alphabet Soup” called Medicare. Original Medicare (OM), Part “A” (Hospital Insurance) helps cover hospital inpatient, in addition to some skilled nursing facilities, hospice, and home health care. If you have worked and paid taxes for at least 40 quarters, Part “A” premium is no cost to you. In 2017, Part “A” had a deductible of $1,260, plus additional amounts for long hospital stays. OM Part “B” (Medical Insurance) helps cover doctor visits, outpatient and home health care, durable medical equipment and some preventable services. It has a 2017 Annual Deductible of $147 and a monthly premium of $104.90. Part “C,” known as Medicare Advantage (MA), started in 1997, is administered by federally approved private insurers and includes all benefi ts and services covered under Parts “A” and “B.” Most MA plans include coverage for

prescription drugs. Part “D” (Prescription Drug Plans) helps cover the costs of only prescription drugs.

To cover medical costs not fully covered by OM, you may need to purchase a Medigap Policy, which helps cover most of these “gaps.” To purchase a Medigap policy, you must be covered by OM. There are 10 approved standardized Medigap policies. These

policies, approved by the federal government, are issued by insurance companies. These companies charge premiums for the policies that cover these gaps. The 10 standardized plans provide the same 10 levels of coverages, no matter which insurance sells you a policy. Medigap policies do not include coverages for long term care, vision care, dental care, hearing aids, eyeglasses, or private-duty nursing.

Also, OM does not cover prescription drugs. For prescription drug coverage, a Part “D” plan would need to be purchased from an

insurer marketing Part “D” coverages. Part “D” plans are approved by the federal government and marketed by various insurance companies.

The State Corporation Commission’s Bureau of Insurance has various guides to assist in your decision process. You may contact the Bureau at 877-310-6560 or on its website at www.scc.virginia.gov/boi.

— R. Weldon HazelwoodLife and Health Division, Bureau of Insurance

Virginia State Corporation Commission

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Sentara PACE - Norfolk757-252-7800

Continue Living at HomeSentara PACE is a comprehensive healthcare alternative to a nursing center that provides medical care and support services. We partner with those 55+ and/or their caregivers to help seniors remain at home and in their communities.

For more information or to schedule a personal tour, visit Sentara.com/PACE or call:

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See the beautiful faces of the survivors and post your own story

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Sentara Leigh Hospital Community FairSaturday, June 10, 9:00 a.m. – 1:00 p.m. Health information and family fun Sign in at 9:00 a.m. for theSentara OrthoJoint Center® One Mile Stroll For joint replacement patients and their family and friends. Stroll: 9:30–10:30 a.m. Free. Register for the One Mile Stroll at 1-800-SENTARA (1-800-736-8272).

Skin Cancer Screenings at the Boardwalk Art ShowTeam members from the Sentara Cancer Network will help you learn about skin cancers.Thursday, June 15 – Sunday, June 18Noon – 5 p.m. Virginia Beach Oceanfront, 20th - 35th Street Ask a question any time with the form on www.sentaracancer.com or at 888-220-2214.

Primary Care - Schedule an appointment online, any time at IWantSentaraMedicalGroup.com

Urgent Care - Skip the wait and reserve your spot online at SentaraUrgentCare.com

Continue Living at HomeSentara PACE is a comprehensive healthcare alternative to a nursing center that provides medical care and support services. We partner with those 55+ and/or their caregivers to help seniors remain at home and in their communities.For more information or to schedule a personal tour, visit Sentara.com/PACE or call:

Sentara PACEChurchland757-392-2650

Sentara PACENorfolk

757-252-7800

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E X C U R S I O N S SignaTours Presents . . . “Life Rewarding Experiences” for Sentara members, friends, and family!

Now accepting payments by “Credit Card” for All Day Tours!

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

****DepartureandReturnTimeswillbesentwithTourCon�rmation****Send Checks Made Payable to: SignaTours - 1237 Mall Drive – North Chesterfield, VA 23235. PleaseIncludeNoteProvidingtheFollowing:TourDate, DeparturePoint,CellNumber,EmailAddressand

TravelingPartner(s).Forquestionsandtourdetails,callusat:888 -540-0100or804.379 -6500.VisitusontheWebat:www.TravelSignaTours.com – Clickonthe HamptonRoads Link.

O�ceHoursare9:00AMt o6:00PM,Monday - Friday. Register Early as Tours Fill Quickly!

Sentara and SignaTours Do Not Assume Responsibility for Vehicles and Items in Parking Lots

The Rocky Coast of Maine . . . There’s Still Time! September 16-22, 2018 Discover one of the most beautiful places on earth with an incredible seven-day tour highlighting the best of Maine! The list of inclusions are far too many to list, but we’ll throw a few out there to peak your excitement! Visit Salem, Marblehead, the House of Seven Gables, Ogunguit, Marginal Way Walk, Kennebunkport, Boothbay Harbor, Bar Harbor, Arcadia National Park, Portland Head Light, and More! Discover history and beauty while sharing your experience with family and friends! Call for a Detailed Flyer and Pricing . . . Sight & Sound’s “Jesus” in the Land of the Dutch! September 17-18, 2018 Sight & Sound’s Millennium Theatre presents… “Jesus,” a show unlike any other! Experience the greatest rescue story of all time. Years in the making, this wonderful musical takes you on a miraculous journey alongside “Jesus.” Your Dutch Country get-away also includes American Music Theater’s “Songs of the Silver Screen,” an original production featuring movie songs spanning decades of film production. Stops made at Kitchen Kettle and Bird in Hand Farmers Market. Four meals, two unbelievable shows, shopping and more! Call for a Detailed Flyer and Pricing . . . Virginia’s Fabulous Fall Spectacular! Thursday, October 25th, 2018 Nestled in the scenic foothills of the Blue Ridge Mountains, you’ll find Jefferson’s Monticello! Enjoy lunch at Michie Tavern, a Virginia Historic Landmark where southern hospitality abounds. Tour beautiful Monticello, an architectural masterpiece designed by owner and 3rd third president of the United States, Thomas Jefferson. Monticello is the only house in America on the United Nations World Heritage List. Enjoy a guided tour with time to explore the state-of-the-art visitor center. The last stop is a “tasting” at Keswick Vineyards, located at the historic Edgewood Estate. $160 Christmas at the Jefferson Hotel! Thursday, November 29, 2018 Tour Virginia’s most iconic treasures at Christmas . . . Thomas Jefferson’s inspired Virginia’s State Capitol and Governor’s Mansion, the oldest legislative body and occupied governor’s home in Untied States. The Capitol houses the Houdon statue of George Washington, the most valuable piece of marble in the country! Enjoy lunch at the historic Jefferson Hotel, decorated for the holidays with their signature Christmas tree. The day’s last two stops are Agecroft Hall, a 15th Century Tudor Manor and Boulevard Flower Gardens, where you’ll discover over 7000 poinsettias. $136 Like us on FaceBook for a Chance to Win a Free Day Tour of yourchoosing! For a chance to win your free day tour, go to: www.facebook.com/TravelSignaTours and click the like button.

Candlelight Christmas Tour and Dinner! Saturday, December 8, 2018 Experience a unique dining holiday event in the quaint little town of Murfreesboro, North Carolina! Celebrating its 33rd Annual Candelight Christmas Tour & Dinner, Murfreesboro comes alive in their decades old holiday tradition. Stroll the candlelit streets and walkways visiting 12 historically significant homes and buildings where you’ll be served traditional holiday food at each stop, with the last stop featuring a plated sit-down Christmas dinner! Beautiful decorations and holiday music abound along your stroll. $125 Christmas at the White House December 7-8, 2018 This is your chance to see the best of Washington, D.C. during the Christmas Holiday Season! We’ve put together a two-day tour, packed with grandeur and tradition centuries in the making! Join us as we tour the White House Tour, beautifully decorated for the holidays, take your seats in Constitution Hall for the remarkable US Air Force Band and their annual Christmas concert, and always a favorite . . . tour Hillwood Mansion – beautifully decorated for the season! Catch the Holiday Spirit in our Nation’s Capitol! Call for a Detailed Flyer and Pricing . . . Due No Later Than August 31st New York City Holiday Spectacular! December 12-15, 2018 It’s the tour you’ve been waiting for all year . . . Christmas in New York City! Without a doubt Christmas in New York City is one of the most popular and spectacular tours of the year! In keeping with tradition, this year’s tour is packed full of excitement with two outstanding and Award-Winning Broadway Shows to include “Pretty Woman” & “My Fair Lady!” We’ve also added optional tours we’re sure you will love . . . “Noshing’ New York Food Tour, Luncheon Cruise aboard the Elegant Bateaux and Preferred Seating for the incredible “Radio City Rockettes!” Accommodations as always are in the heart of Times Square! Don’t miss out on this year’s shows. Call for a Detailed Flyer and Pricing . . .

California’s . . . Tournament of Roses Parade! December 29 – January 03, 2019 This year’s annual “Tournament of Roses Parade,” showcases the best of southern California’s spectacular scenery and the incredible Tournament of Roses parade, now celebrating its 105th year of history. Your six-day platinum tour is packed full of excitement with inclusions too many to list in this small space. Your tour is Fully Escorted with Departure from Norfolk International Airport. Call for a Detailed Flyer and Pricing . . . All Tours Depart: Home Depot – Norfolk, Hampton Sentara Hospital Care Plex, Williamsburg Sentara Hospital.

E X C U R S I O N S SignaTours Presents . . . “Life Rewarding Experiences” for Sentara members, friends, and family!

Now accepting payments by “Credit Card” for All Day Tours!

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ****Departure and Return Times will be sent with Tour Confirmation****

Send Checks Made Payable to: SignaTours - 1237 Mall Drive – North Chesterfield, VA 23235. Please Include Note Providing the Following: Tour Date, Departure Point, Cell Number, Email Address and

Traveling Partner(s). For questions and tour details, call us at: 888-540-0100 or 804.379-6500. Visit us on the Web at: www.TravelSignaTours.com – Click on the Hampton Roads Link.

Office Hours are 9:00AM to 6:00PM, Monday - Friday. Register Early as Tours Fill Quickly!

Sentara and SignaTours Do Not Assume Responsibility for Vehicles and Items in Parking Lots

The Rocky Coast of Maine . . . There’s Still Time! September 16-22, 2018 Discover one of the most beautiful places on earth with an incredible seven-day tour highlighting the best of Maine! The list of inclusions are far too many to list, but we’ll throw a few out there to peak your excitement! Visit Salem, Marblehead, the House of Seven Gables, Ogunguit, Marginal Way Walk, Kennebunkport, Boothbay Harbor, Bar Harbor, Arcadia National Park, Portland Head Light, and More! Discover history and beauty while sharing your experience with family and friends! Call for a Detailed Flyer and Pricing . . . Sight & Sound’s “Jesus” in the Land of the Dutch! September 17-18, 2018 Sight & Sound’s Millennium Theatre presents… “Jesus,” a show unlike any other! Experience the greatest rescue story of all time. Years in the making, this wonderful musical takes you on a miraculous journey alongside “Jesus.” Your Dutch Country get-away also includes American Music Theater’s “Songs of the Silver Screen,” an original production featuring movie songs spanning decades of film production. Stops made at Kitchen Kettle and Bird in Hand Farmers Market. Four meals, two unbelievable shows, shopping and more! Call for a Detailed Flyer and Pricing . . . Virginia’s Fabulous Fall Spectacular! Thursday, October 25th, 2018 Nestled in the scenic foothills of the Blue Ridge Mountains, you’ll find Jefferson’s Monticello! Enjoy lunch at Michie Tavern, a Virginia Historic Landmark where southern hospitality abounds. Tour beautiful Monticello, an architectural masterpiece designed by owner and 3rd third president of the United States, Thomas Jefferson. Monticello is the only house in America on the United Nations World Heritage List. Enjoy a guided tour with time to explore the state-of-the-art visitor center. The last stop is a “tasting” at Keswick Vineyards, located at the historic Edgewood Estate. $160 Christmas at the Jefferson Hotel! Thursday, November 29, 2018 Tour Virginia’s most iconic treasures at Christmas . . . Thomas Jefferson’s inspired Virginia’s State Capitol and Governor’s Mansion, the oldest legislative body and occupied governor’s home in Untied States. The Capitol houses the Houdon statue of George Washington, the most valuable piece of marble in the country! Enjoy lunch at the historic Jefferson Hotel, decorated for the holidays with their signature Christmas tree. The day’s last two stops are Agecroft Hall, a 15th Century Tudor Manor and Boulevard Flower Gardens, where you’ll discover over 7000 poinsettias. $136 Like us on FaceBook for a Chance to Win a Free Day Tour of your choosing! For a chance to win your free day tour, go to: www.facebook.com/TravelSignaTours and click the like button.

Candlelight Christmas Tour and Dinner! Saturday, December 8, 2018 Experience a unique dining holiday event in the quaint little town of Murfreesboro, North Carolina! Celebrating it’s 33rd Annual Candelight Christmas Tour & Dinner, Murfreesboro comes alive in their decades old holiday tradition. Stroll the candlelit streets and walkways visiting 12 historically significant homes and buildings where you’ll be served traditional holiday food at each stop, with the last stop featuring a plated sit-down Christmas dinner! Beautiful decorations and holiday music abound along your stroll. $125 Christmas at the White House December 7-8, 2018 This is your chance to see the best of Washington, D.C. during the Christmas Holiday Season! We’ve put together a two-day tour, packed with grandeur and tradition centuries in the making! Join us as we tour the White House Tour, beautifully decorated for the holidays, take your seats in Constitution Hall for the remarkable US Air Force Band and their annual Christmas concert, and always a favorite . . . tour Hillwood Mansion – beautifully decorated for the season! Catch the Holiday Spirit in our Nation’s Capitol! Call for a Detailed Flyer and Pricing . . . Due No Later Than August 31st New York City Holiday Spectacular! December 12-15, 2018 It’s the tour you’ve been waiting for all year . . . Christmas in New York City! Without a doubt Christmas in New York City is one of the most popular and spectacular tours of the year! In keeping with tradition, this year’s tour is packed full of excitement with two outstanding and Award-Winning Broadway Show’s to include “Pretty Woman” & “My Fair Lady!” We’ve also added optional tours we’re sure you will love . . . “Noshing’ New York Food Tour, Luncheon Cruise aboard the Elegant Bateaux and Preferred Seating for the incredible “Radio City Rockettes!” Accommodations as always are in the heart of Times Square! Don’t miss out on this year’s Call for a Detailed Flyer and Pricing . . . California’s . . . Tournament of Roses Parade! December 29 – January 03, 2019 This year’s annual “Tournament of Roses Parade,” showcases the best of southern California’s spectacular scenery and the incredible Tournament of Roses parade, now celebrating its 105th year of history. Your six-day platinum tour is packed full of excitement with inclusions too many to list in this small space. Your tour is Fully Escorted with Departure from Norfolk International Airport. Call for a Detailed Flyer and Pricing . . . All Tours Depart: Home Depot – Norfolk, Hampton Sentara Hospital Care Plex, Williamsburg Sentara Hospital.

5

E X C U R S I O N S SignaTours Presents . . . “Life Rewarding Experiences” for Sentara members, friends, and family!

Now accepting payments by “Credit Card” for All Day Tours!

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

****DepartureandReturnTimeswillbesentwithTourCon�rmation****Send Checks Made Payable to: SignaTours - 1237 Mall Drive – North Chesterfield, VA 23235. PleaseIncludeNoteProvidingtheFollowing:TourDate, DeparturePoint,CellNumber,EmailAddressand

TravelingPartner(s).Forquestionsandtourdetails,callusat:888 -540-0100or804.379 -6500.VisitusontheWebat:www.TravelSignaTours.com – Clickonthe HamptonRoads Link.

O�ceHoursare9:00AMt o6:00PM,Monday - Friday. Register Early as Tours Fill Quickly!

Sentara and SignaTours Do Not Assume Responsibility for Vehicles and Items in Parking Lots

The Rocky Coast of Maine . . . There’s Still Time! September 16-22, 2018 Discover one of the most beautiful places on earth with an incredible seven-day tour highlighting the best of Maine! The list of inclusions are far too many to list, but we’ll throw a few out there to peak your excitement! Visit Salem, Marblehead, the House of Seven Gables, Ogunguit, Marginal Way Walk, Kennebunkport, Boothbay Harbor, Bar Harbor, Arcadia National Park, Portland Head Light, and More! Discover history and beauty while sharing your experience with family and friends! Call for a Detailed Flyer and Pricing . . . Sight & Sound’s “Jesus” in the Land of the Dutch! September 17-18, 2018 Sight & Sound’s Millennium Theatre presents… “Jesus,” a show unlike any other! Experience the greatest rescue story of all time. Years in the making, this wonderful musical takes you on a miraculous journey alongside “Jesus.” Your Dutch Country get-away also includes American Music Theater’s “Songs of the Silver Screen,” an original production featuring movie songs spanning decades of film production. Stops made at Kitchen Kettle and Bird in Hand Farmers Market. Four meals, two unbelievable shows, shopping and more! Call for a Detailed Flyer and Pricing . . . Virginia’s Fabulous Fall Spectacular! Thursday, October 25th, 2018 Nestled in the scenic foothills of the Blue Ridge Mountains, you’ll find Jefferson’s Monticello! Enjoy lunch at Michie Tavern, a Virginia Historic Landmark where southern hospitality abounds. Tour beautiful Monticello, an architectural masterpiece designed by owner and 3rd third president of the United States, Thomas Jefferson. Monticello is the only house in America on the United Nations World Heritage List. Enjoy a guided tour with time to explore the state-of-the-art visitor center. The last stop is a “tasting” at Keswick Vineyards, located at the historic Edgewood Estate. $160 Christmas at the Jefferson Hotel! Thursday, November 29, 2018 Tour Virginia’s most iconic treasures at Christmas . . . Thomas Jefferson’s inspired Virginia’s State Capitol and Governor’s Mansion, the oldest legislative body and occupied governor’s home in Untied States. The Capitol houses the Houdon statue of George Washington, the most valuable piece of marble in the country! Enjoy lunch at the historic Jefferson Hotel, decorated for the holidays with their signature Christmas tree. The day’s last two stops are Agecroft Hall, a 15th Century Tudor Manor and Boulevard Flower Gardens, where you’ll discover over 7000 poinsettias. $136 Like us on FaceBook for a Chance to Win a Free Day Tour of yourchoosing! For a chance to win your free day tour, go to: www.facebook.com/TravelSignaTours and click the like button.

Candlelight Christmas Tour and Dinner! Saturday, December 8, 2018 Experience a unique dining holiday event in the quaint little town of Murfreesboro, North Carolina! Celebrating its 33rd Annual Candelight Christmas Tour & Dinner, Murfreesboro comes alive in their decades old holiday tradition. Stroll the candlelit streets and walkways visiting 12 historically significant homes and buildings where you’ll be served traditional holiday food at each stop, with the last stop featuring a plated sit-down Christmas dinner! Beautiful decorations and holiday music abound along your stroll. $125 Christmas at the White House December 7-8, 2018 This is your chance to see the best of Washington, D.C. during the Christmas Holiday Season! We’ve put together a two-day tour, packed with grandeur and tradition centuries in the making! Join us as we tour the White House Tour, beautifully decorated for the holidays, take your seats in Constitution Hall for the remarkable US Air Force Band and their annual Christmas concert, and always a favorite . . . tour Hillwood Mansion – beautifully decorated for the season! Catch the Holiday Spirit in our Nation’s Capitol! Call for a Detailed Flyer and Pricing . . . Due No Later Than August 31st New York City Holiday Spectacular! December 12-15, 2018 It’s the tour you’ve been waiting for all year . . . Christmas in New York City! Without a doubt Christmas in New York City is one of the most popular and spectacular tours of the year! In keeping with tradition, this year’s tour is packed full of excitement with two outstanding and Award-Winning Broadway Shows to include “Pretty Woman” & “My Fair Lady!” We’ve also added optional tours we’re sure you will love . . . “Noshing’ New York Food Tour, Luncheon Cruise aboard the Elegant Bateaux and Preferred Seating for the incredible “Radio City Rockettes!” Accommodations as always are in the heart of Times Square! Don’t miss out on this year’s shows. Call for a Detailed Flyer and Pricing . . .

California’s . . . Tournament of Roses Parade! December 29 – January 03, 2019 This year’s annual “Tournament of Roses Parade,” showcases the best of southern California’s spectacular scenery and the incredible Tournament of Roses parade, now celebrating its 105th year of history. Your six-day platinum tour is packed full of excitement with inclusions too many to list in this small space. Your tour is Fully Escorted with Departure from Norfolk International Airport. Call for a Detailed Flyer and Pricing . . . All Tours Depart: Home Depot – Norfolk, Hampton Sentara Hospital Care Plex, Williamsburg Sentara Hospital.

E X C U R S I O N S SignaTours Presents . . . “Life Rewarding Experiences” for Sentara members, friends, and family!

Now accepting payments by “Credit Card” for All Day Tours!

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ****Departure and Return Times will be sent with Tour Confirmation****

Send Checks Made Payable to: SignaTours - 1237 Mall Drive – North Chesterfield, VA 23235. Please Include Note Providing the Following: Tour Date, Departure Point, Cell Number, Email Address and

Traveling Partner(s). For questions and tour details, call us at: 888-540-0100 or 804.379-6500. Visit us on the Web at: www.TravelSignaTours.com – Click on the Hampton Roads Link.

Office Hours are 9:00AM to 6:00PM, Monday - Friday. Register Early as Tours Fill Quickly!

Sentara and SignaTours Do Not Assume Responsibility for Vehicles and Items in Parking Lots

The Rocky Coast of Maine . . . There’s Still Time! September 16-22, 2018 Discover one of the most beautiful places on earth with an incredible seven-day tour highlighting the best of Maine! The list of inclusions are far too many to list, but we’ll throw a few out there to peak your excitement! Visit Salem, Marblehead, the House of Seven Gables, Ogunguit, Marginal Way Walk, Kennebunkport, Boothbay Harbor, Bar Harbor, Arcadia National Park, Portland Head Light, and More! Discover history and beauty while sharing your experience with family and friends! Call for a Detailed Flyer and Pricing . . . Sight & Sound’s “Jesus” in the Land of the Dutch! September 17-18, 2018 Sight & Sound’s Millennium Theatre presents… “Jesus,” a show unlike any other! Experience the greatest rescue story of all time. Years in the making, this wonderful musical takes you on a miraculous journey alongside “Jesus.” Your Dutch Country get-away also includes American Music Theater’s “Songs of the Silver Screen,” an original production featuring movie songs spanning decades of film production. Stops made at Kitchen Kettle and Bird in Hand Farmers Market. Four meals, two unbelievable shows, shopping and more! Call for a Detailed Flyer and Pricing . . . Virginia’s Fabulous Fall Spectacular! Thursday, October 25th, 2018 Nestled in the scenic foothills of the Blue Ridge Mountains, you’ll find Jefferson’s Monticello! Enjoy lunch at Michie Tavern, a Virginia Historic Landmark where southern hospitality abounds. Tour beautiful Monticello, an architectural masterpiece designed by owner and 3rd third president of the United States, Thomas Jefferson. Monticello is the only house in America on the United Nations World Heritage List. Enjoy a guided tour with time to explore the state-of-the-art visitor center. The last stop is a “tasting” at Keswick Vineyards, located at the historic Edgewood Estate. $160 Christmas at the Jefferson Hotel! Thursday, November 29, 2018 Tour Virginia’s most iconic treasures at Christmas . . . Thomas Jefferson’s inspired Virginia’s State Capitol and Governor’s Mansion, the oldest legislative body and occupied governor’s home in Untied States. The Capitol houses the Houdon statue of George Washington, the most valuable piece of marble in the country! Enjoy lunch at the historic Jefferson Hotel, decorated for the holidays with their signature Christmas tree. The day’s last two stops are Agecroft Hall, a 15th Century Tudor Manor and Boulevard Flower Gardens, where you’ll discover over 7000 poinsettias. $136 Like us on FaceBook for a Chance to Win a Free Day Tour of your choosing! For a chance to win your free day tour, go to: www.facebook.com/TravelSignaTours and click the like button.

Candlelight Christmas Tour and Dinner! Saturday, December 8, 2018 Experience a unique dining holiday event in the quaint little town of Murfreesboro, North Carolina! Celebrating it’s 33rd Annual Candelight Christmas Tour & Dinner, Murfreesboro comes alive in their decades old holiday tradition. Stroll the candlelit streets and walkways visiting 12 historically significant homes and buildings where you’ll be served traditional holiday food at each stop, with the last stop featuring a plated sit-down Christmas dinner! Beautiful decorations and holiday music abound along your stroll. $125 Christmas at the White House December 7-8, 2018 This is your chance to see the best of Washington, D.C. during the Christmas Holiday Season! We’ve put together a two-day tour, packed with grandeur and tradition centuries in the making! Join us as we tour the White House Tour, beautifully decorated for the holidays, take your seats in Constitution Hall for the remarkable US Air Force Band and their annual Christmas concert, and always a favorite . . . tour Hillwood Mansion – beautifully decorated for the season! Catch the Holiday Spirit in our Nation’s Capitol! Call for a Detailed Flyer and Pricing . . . Due No Later Than August 31st New York City Holiday Spectacular! December 12-15, 2018 It’s the tour you’ve been waiting for all year . . . Christmas in New York City! Without a doubt Christmas in New York City is one of the most popular and spectacular tours of the year! In keeping with tradition, this year’s tour is packed full of excitement with two outstanding and Award-Winning Broadway Show’s to include “Pretty Woman” & “My Fair Lady!” We’ve also added optional tours we’re sure you will love . . . “Noshing’ New York Food Tour, Luncheon Cruise aboard the Elegant Bateaux and Preferred Seating for the incredible “Radio City Rockettes!” Accommodations as always are in the heart of Times Square! Don’t miss out on this year’s Call for a Detailed Flyer and Pricing . . . California’s . . . Tournament of Roses Parade! December 29 – January 03, 2019 This year’s annual “Tournament of Roses Parade,” showcases the best of southern California’s spectacular scenery and the incredible Tournament of Roses parade, now celebrating its 105th year of history. Your six-day platinum tour is packed full of excitement with inclusions too many to list in this small space. Your tour is Fully Escorted with Departure from Norfolk International Airport. Call for a Detailed Flyer and Pricing . . . All Tours Depart: Home Depot – Norfolk, Hampton Sentara Hospital Care Plex, Williamsburg Sentara Hospital.

Please call first to verify the meeting has not been changed sincenewsletter publication.

For a complete list of support groups visit www.sentara.comor call 1-800-SENTARA (1-800-736-8272)

southsideAlzheimer’s Support

1-800-272-3900Bereavement Support Group

Norfolk: Every Wednesday, 2PM757-388-2631 or 757-388-7817Suffolk: 1st Thursday, 6PM757-934-4504

Better BreathersSentara Obici Hospital757-934-4263

Breast Cancer SupportNorfolk: 2nd Tuesday, 6PM757-388-20622nd Thurs., 7PM, 757-261-50334th Wednesday, 6PM757-261-5404Suffolk: 1st Wednesday, 12PM757-934-4395Virginia Beach: 2nd Monday, 6:30PM757-395-6317 or 757-395-8421

Caregivers’ Support Group2nd Wednesday, 10AM-12NOONVB Central Library757-385-4135

Depression/Bipolar SupportMonday, 7PM (NORFOLK)757-456-0657

Diabetes Support3rd Wednesday, 7-8PM757-507-2711

Esophageal Cancer Support2nd Tuesday, 7PM757-261-5405

Family and Friends of Peoplewith Chemical Dependency

Every Tuesday, 7PMNan at 757-333-7222 x402

Grief Support – Virginia BeachBible Based:Tuesdays, 6:30-8PMSecular Based:Tuesdays, 10AM-12NOONContact Patty Hendricks at 757-689-2803

Hampton Roads Pulmonary Fibrosis Support Group

3rd Wednesday every month at SNGH-Heart Pavilion757-343-9630

Heart Failure Mgmt. ClinicSentara Obici Hospital Therapy, Testing, Resources, Education. For more information: 757-934-4579

Lung Cancer Support2nd Tuesday, 1PMTeleconference meetings To join, please call 1-877-466-2185, Access Code 892285

Mended Heart SupportSentara Virginia BeachGeneral Hospital757-721-7330Sentara Norfolk General Hospital757-560-7753

Oral, Head and Neck Cancer Support Group

3rd Monday, 7PMCancer Resource Center 757-388-2062

Pancreatic Cancer Support1st Tuesday, 7PM757-270-8250

Parkinson’s Support GroupContact 757-495-3062 to find a group in your area

Prostate Cancer SupportNorfolk: 3rd Tuesday, 7PM757-366-2062Suffolk: 4th Tuesday, 6:30PM757-934-4395Virginia Beach: 3rd Thursday, 6:30PM757-395-6317

Sentara Obici Hospital Cancer Support

Contact Amy @ 757-934-4395 for times and dates of other cancer support programs.

Still Standing Survival Suicide Group

Spring Branch Community Church, 2nd Tuesday, 7-9PM757-464-9289

Yoga for Cancer SurvivorsContact Kerry Clay at757-395-6317 for more info.

peninsulaAlzheimer’s Support

1-800-272-3900Bereavement Support

Sentara CarePlex Hospital Meets Monthly757-827-2438 Williamsburg: Contact Hannah Creager for location and times at 757-206-1177

Breast Cancer SupportSentara CarePlex Hospital3rd Tuesday, 7-8:30PM757-594-1939

Caregiver Support Group for MENWilliamsburg United Methodist Church 3rd Wednesday, 11:15-12:30PMComplimentary care is available for your loved one; pre-register with Charlie Martino at 757-564-0098 or Carolyn Yowell, 229-1771 ext. 354

community calendar For a complete list of support groups visit www.sentara.comor call 1-800-SENTARA (1-800-736-8272)

Please call first to verify the meeting has not been changed since newsletter publication.

Colorectal Cancer Support Group3rd Wednesday, 1PM757-736-1234

Depression Support2nd & 4th Wednesday, 10:30AM757-247-0871

Grocery Store TourLed by a registered dietician Williamsburg Call 1-800-736-8272 for dates, times and location.

Stroke Support3rd Wednesday, 4PM757-984-9900

Women’s Heart Support1st Monday, 7PMContact Cindy Steger at757-258-9128

northcarolinaBreast Cancer Support

National Peer-to-Peer Reach to Recovery1-800-ACS-2345 or www.cancer.org

3rd Monday, 6PMArts of the AlbemarleContact Ann Ruiz at 252-435-7937

Christian Focused/All Welcome:3rd Thursday, 2PM6077 Martin’s Point Rd, Kitty Hawk252-256-2081

3rd Thursday, 2PMSouthern Shores252-441-5232

Cancer SupportFriday, 6:30PMBethel AME Zion Church, Elizabeth City

3rd Thursday, 2PMJarvisburg Church of Christ, Edenton252-491-8412

1st Tuesday (except July), 7PMBaum Center, Kill Devil Hills252-423-0050

American Cancer SocietyContact Carol West at 877-249-1345 or www.cancer.org

Caregivers’ Support/Education2nd Tuesday, 5PMChowan Life Center, Edenton252-482-1199

3rd Thursday, 7PMGEM Adult Day Services, Kill Devil Hills Public Library252-480-3354

Depression SupportHertford United Methodist Church252-426-5467

Diabetes SupportStepping StoneDare County Regional Medical CtrCall for dates and times: 252-255-6000

DEAL with Diabetes Education Classes (Discussing Everything About Living)

4th Monday (except Jun-Aug., Dec.), 4PMAlbemarle Hospital Education Center. Contact Patsy Marriner at 252-384-4139 or Albemarle Regional Diabetes Care at 252-338-4370

Widow’s Support GroupHertford United Methodist Church252-426-5467

2018 Healthy Living with Diabetes Class

Sentara Virginia Beach General Hospital

Physician referral required. Call 757-395-8836

Sentara Senior Services

Assisted Living

Rehab Centers

Mobile Meals

PACE

Nursing Centers

757-SENIORS

(736-4677)

Sentara.com/Seniors

Stroke Support Group3rd Wednesday, 2:30-4PM

Sentara VIrginia Beach General Hospital, Diabetes Resource

Conference RoomContact:

Janice Taylor at 347-752-1384, Ed Silverman at 757-486-7799, or

Ken and Valorie Sumner at 757-651-3370

7

did you know...You may hear the phrase “plant-based diet” more and more lately and for good reason as research shows that it plays an important role in cardiovascular disease risk reduction.

What is a plant-based diet?It is typically defi ned as a “whole-foods, low-fat, plant-based diet” that includes vegetables, fruits, whole grains, legumes, seeds and nuts (in small amounts) with the total absence of meat and dairy.1 Foods included in the plant-based diet are nutrient dense and low in calories which allows for no restrictions on portion sizes of vegetables, fruits, whole grains and legumes. However, it does restrict nuts, seeds and avocados to small portions, defi ning the diet at low-fat. Omega-3 fatty acid rich foods such as ground fl ax seed and chia seeds are unlimited. Overall, plant-based diet guidelines recommend consuming 10% of calories from fat, 15-20% of calories from protein, and 70-75% from carbohydrates.2

How is this different than a vegan diet?The vegan diet excludes all animal products such as meat, seafood, and dairy with no specifi c guidelines on avoiding or limiting processed foods with excess sugar or fat (for example Oreo’s are vegan).

Why should we consider plant-based eating?Heart disease is the number one killer in America. Take a look at other countries around the world with low rates of cardiovascular disease, they are consuming mostly plant-based diets. A study from the Lifestyle Heart Trial showed that 82% of the patients diagnosed with heart disease who followed a plant-based diet had some level of regression of atherosclerosis.2

If it is proven to reduce risk of heart disease, what about diabetes? In a study comparing a low-fat vegan diet with the American Diabetes Association diet guidelines, 43% of the participants following the vegan diet reduced their diabetes medications compared to only 26% of the ADA participants. The vegan diet participants also saw a greater decrease in their HbA1C (an average measure of blood glucose over a 3 month period).3

How do I take steps forward plant-based eating?Maybe you are not ready to jump into total plant-based fanfare, but you would like to incorporate more plant

Plant-Based Diet By: Jessica ShickelHealthy Mom & Baby, Healthy You, Healthy Family, Nutrition & Fitness

based meals into your diet. First, think about the meatless meals you are already making, like a lentil soup or vegetarian lasagna and make adjustments to include whole grains.

If you plan to go full speed ahead with plant based eating one health care system recommends the following:

• Start your meal with a soup or salad

• Fill half of your plate with legumes/whole grains/starchy vegetables + half with non-starchy vegetables

• Finish the meal with a piece of fresh fruit1

The Bottom Line:Increasing plant foods and substituting plant protein for animal protein is associated with improved cardiovascular risk factors and benefi cial to your overall health.

As always, talk to a medical professional before making changes to your diet if you have a chronic disease and/or medical condition. If eating a strict plant-based diet, you may need to supplement vitamin B12, calcium, vitamin D and iron as these are predominantly found in animal products.

Sources:1. Tuso PJ, Ismail MH, Ha BP, et al. Nutritional Update for Physicians: Plant-Based Diets.

Perm J Spring; 17(2): 61-66. DOI: http://dx.doi.org/10.7812/TPP/12-085

2. Ornish D, Brown SE, Scherwitz LW, et al. Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet 1990 July 21; 336(8708):129-33. DOI: http://dx.doi.org/10.1016/0140-6736(90)91656-U

3. Barnard ND, Cohen J, Jenkins DJ, et al. A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes. Diabetes Care 2006 Aug; 29(8):1777-83. DOI: http://dx.doi.org/10.2337/dc06-0606

Jessica Shickel is a Registered Dietitian, a graduate of James Madison University, and an inpatient clinical dietitian at Sentara RMH Medical Center in Harrisonburg, Virginia. Jessica is passionate about educating patients on vital nutrition changes that can benefi t all aspects of health and wellness.

Editor:Cynthia Colimon757-306-2851chcolimo@sentara.com

3751 Sentara WayVirginia Beach, VA 23452

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Wellness & Prevention Information

THE LAST WORD

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Sentara Village Virginia Beach

Editor:Linda Dietz — 757.306.2828lldietz@sentara.com

What a good reminder that it is ourselves, not our circumstances, which make us happy. We all know by

now that life is rarely perfect; we sometimes find ourselves in less-than-ideal circumstances, from a job to a relationship, from a financial situation to a health condition, etc. But even in times of challenge, we can feel happiness, gratitude, and comfort…if we allow ourselves to.

This week, allow yourself the joy of being happy, not the pressure of trying to get happier.

— from Optima EAP

“It isn’t our position, but our disposition that makes us happy.” — Anonymous