Current News
2010 Schedule for Nutrition Seminars at the Dedicated Care Center
The 1st and 3rd Monday of the Month
LOCATION: Wainwright Building, 9th Floor Conference Room
________________________________
January 18, 2010
The Food Mood- Connection
– 1:30-2:30pm
Nutrition as We Age – 3:00-4:00pm
February 1, 2010
The Skinny on Fats – 1:30-2:30pm
Fueling your Fitness – 3:00-4:00pm
February 15, 2010
Understanding the Nutrition Label – 1:30-2:30pm
Carbohydrate Confusion – 3:00-4:00pm
March 1, 2010
Sorting out Sodium – 1:30-2:30pm
The Power of Protein – 3:00-4:00pm
March 15, 2010
The Beauty of Breakfast – 1:30-2:30pm
Smart Shopping – 3:00-4:00pm
April 5, 2010
Cooking “Lite” but Luscious – 1:30-2:30pm
Nutrition Myths and Mysteries – 3:00-4:00pm
May 3, 2010
Nutrition Myths and Mysteries – 1:30-2:30pm
Eating Out Hype or Helpful? – 3:00-4:00pm
May 17, 2010
The Food-Mood Connection – 1:30-2:30pm
Understanding the Nutrition Label – 3:00-4:00pm
June 7, 2010
The Skinny on Fats – 1:30-2:30pm
Fueling your Fitness – 3:00-4:00pm
June 21, 2010
The Power of Protein – 1:30-2:30pm
Smart Shopping – 3:00-4:00pm
July 19, 2010
Sorting out Sodium – 1:30-2:30pm
Nutrition as We Age – 3:00-4:00pm
August 2, 2010
Eating Out Hype or Helpful?– 1:30-2:30pm
Carbohydrate Confusion – 3:00-4:00pm
August 16, 2010
Cooking Lite but Luscious – 1:30-2:30pm
Nutrition Supplements:Hype or Helpful? – 3:00-4:00pm
September 20, 2010
Nutrition Myths and Mysteries – 1:30-2:30pm
The Beauty of Breakfast – 3:00-4:00pm
October 4, 2010
Fueling your Fitness – 1:30-2:30pm
Smart Shopping – 3:00-4:00pm
October 18, 2010
The Skinny on Fats – 1:30-2:30pm
The Power of Protein – 3:00-4:00pm
November 1, 2010
The Food-Mood Connection – 1:30-2:30pm
Festive but Fit Holidays – 3:00-4:00pm
December 6, 2010
Festive but Fit Holidays – 1:30-2:30pm
Nutrition as We Age – 3:00-4:00pm
December 20, 2010
The Beauty of Breakfast – 1:30-2:30pm
Cooking Lite but Luscious – 3:00-4:00pm
Sessions are held on the first and third Monday of each month except for the following: January 4, April 19, July 5, September 6 and November 15
To you and yours! As an added convenience we have prepared instructions for the upcoming holiday closings. As always, we here at the Dedicated Care Center hope you have a safe, healthy, and happy holiday season!
11/26/2009 -The office will be closed in observance of the holiday. Please call the after hours number at 388-1080 if you have an urgent need and would like to speak with the on-call physician.
11/27/2009 - During the hours of 8:00a.m.- 5:00p.m. there will be staff members available to answer your phone call, however the office is closed in observance of the holiday. If you are a patient of Dr. Clifford, Dr. Jones, or Dr. Damman and need assistance between the hours of 8:00a.m.- 5:00p.m., please call 388-1889. If you are a patient of Dr. Lisner or Dr. Weisman and need assistance between the hours of 8:00a.m.-5:00p.m., please call 388-1871. If you are calling after hours, and need to speak with a physician, please call 388-1080.
Schedule for Nutrition Seminars at the Dedicated Care Center
October 5, 2009 – December 21, 2009
The 1st and 3rd Monday of the Month
________________________________
Day Classes
LOCATION: Wainwright Building, 9th Floor Conference Room
October 5, 2009
The Power of Protein
– 1:30-2:30pm
Carbohydrate Confusion – 3:00-4:00pm
October 19, 2009
Eating Out – 1:30-2:30pm
Nutrition As We Age– 3:00-4:00pm
November 2, 2009
Nutrition Myths/Mysteries – 1:30-2:30pm
Nutrition Label Logic – 3:00-4:00pm
November 16, 2009
Fueling Your Fitness – 1:30-2:30pm
Festive and Fit Holidays – 3:00-4:00pm
December 7, 2009
Festive and Fit Holidays – 1:30-2:30pm
Smart Shopping – 3:00-4:00pm
December 21, 2009
Cooking “Lite” but Luscious– 1:30-2:30pm
The Beauty of Breakfast – 3:00-4:00pm
_____________________________________
Night Classes
LOCATION: Heart Hospital, Conference Room 1
October 8, 2009
Nutrition as We Age– 5:30-6:30pm
November 5, 2009
Understanding the Nutrition Label– 5:30-6:30pm
December 3, 2009
Festive and Fit Holidays– 5:30-6:30pm
Nutrition Seminars are presented by a registered dietician. Space is limited and everyone in attendance must be pre-registered. To sign up, please call your Patient Service Coordinator. The seminars are held at the Wainwright Building in the 9th Floor Conference Room.
Schedule for Nutrition Seminars at the Dedicated Care Center
October 5, 2009 – December 21, 2009
The 1st and 3rd Monday of the Month
October 5, 2009
The Power of Protein
– 1:30-2:30pm
Carbohydrate Confusion – 3:00-4:00pm
October 19, 2009
Eating Out – 1:30-2:30pm
Nutrition As We Age– 3:00-4:00pm
November 2, 2009
Nutrition Myths/Mysteries – 1:30-2:30pm
Nutrition Label Logic – 3:00-4:00pm
November 16, 2009
Fueling Your Fitness – 1:30-2:30pm
Festive and Fit Holidays – 3:00-4:00pm
December 7, 2009
Festive and Fit Holidays – 1:30-2:30pm
Smart Shopping – 3:00-4:00pm
December 21, 2009
Cooking “Lite” but Luscious– 1:30-2:30pm
Cooking Lite but Luscious – 3:00-4:00pm
Nutrition Seminars are presented by a registered dietician. Space is limited and everyone in attendance must be pre-registered. To sign up, please call your Patient Service Coordinator. The seminars are held at the Wainwright Building in the 9th Floor Conference Room.
Holiday Hours
The Dedicated Care Center office will be closed in observance of Independence Day on Friday, July 3, 2009. Although the office will be closed, a Patient Service Coordinator will be standing by to help you with your immediate needs. As always, we here at the DCC are committed to providing the highest level of customer service.
If you are a patient of Dr. Lisner, Dr. Weisman, or Dr. Bethea and need assistance between the hours of 8:00 a.m. and 5:00 p.m., please call 388-1846 or 388-1082.
If you are a patient of Dr. Clifford, Dr. Jones, or Dr. Damman and need assistance between the hours of 8:00 a.m. and 5:00 p.m., please call 388-1852, 388-1069, or 388-1093.
For after hours assistance, please call our dedicated after hours line at 388-1080.
The Physicians and Staff at the Dedicated Care Center would like to wish you a safe, healthy, and happy holiday!
Schedule for Nutrition Seminars at the Dedicated Care Center
October 5, 2009 – December 21, 2009
The 1st and 3rd Monday of the Month
________________________________
Day Classes
LOCATION: Wainwright Building, 9th Floor Conference Room
October 5, 2009
The Power of Protein
– 1:30-2:30pm
Carbohydrate Confusion – 3:00-4:00pm
October 19, 2009
Eating Out – 1:30-2:30pm
Nutrition As We Age– 3:00-4:00pm
November 2, 2009
Nutrition Myths/Mysteries – 1:30-2:30pm
Nutrition Label Logic – 3:00-4:00pm
November 16, 2009
Fueling Your Fitness – 1:30-2:30pm
Festive and Fit Holidays – 3:00-4:00pm
December 7, 2009
Festive and Fit Holidays – 1:30-2:30pm
Smart Shopping – 3:00-4:00pm
December 21, 2009
Cooking “Lite” but Luscious– 1:30-2:30pm
The Beauty of Breakfast – 3:00-4:00pm
_____________________________________
Night Classes
LOCATION: Heart Hospital, Conference Room 1
October 8, 2009
Nutrition as We Age– 5:30-6:30pm
November 5, 2009
Understanding the Nutrition Label– 5:30-6:30pm
December 3, 2009
Festive and Fit Holidays– 5:30-6:30pm
Nutrition Seminars are presented by a registered dietician. Space is limited and everyone in attendance must be pre-registered. To sign up, please call your Patient Service Coordinator. The seminars are held at the Wainwright Building in the 9th Floor Conference Room.
Schedule for Nutrition Seminars at the Dedicated Care Center
October 5, 2009 – December 21, 2009
The 1st and 3rd Monday of the Month
October 5, 2009
The Power of Protein
– 1:30-2:30pm
Carbohydrate Confusion – 3:00-4:00pm
October 19, 2009
Eating Out – 1:30-2:30pm
Nutrition As We Age– 3:00-4:00pm
November 2, 2009
Nutrition Myths/Mysteries – 1:30-2:30pm
Nutrition Label Logic – 3:00-4:00pm
November 16, 2009
Fueling Your Fitness – 1:30-2:30pm
Festive and Fit Holidays – 3:00-4:00pm
December 7, 2009
Festive and Fit Holidays – 1:30-2:30pm
Smart Shopping – 3:00-4:00pm
December 21, 2009
Cooking “Lite” but Luscious– 1:30-2:30pm
Cooking Lite but Luscious – 3:00-4:00pm
Nutrition Seminars are presented by a registered dietician. Space is limited and everyone in attendance must be pre-registered. To sign up, please call your Patient Service Coordinator. The seminars are held at the Wainwright Building in the 9th Floor Conference Room.
Holiday Hours
The Dedicated Care Center office will be closed in observance of Independence Day on Friday, July 3, 2009. Although the office will be closed, a Patient Service Coordinator will be standing by to help you with your immediate needs. As always, we here at the DCC are committed to providing the highest level of customer service.
If you are a patient of Dr. Lisner, Dr. Weisman, or Dr. Bethea and need assistance between the hours of 8:00 a.m. and 5:00 p.m., please call 388-1846 or 388-1082.
If you are a patient of Dr. Clifford, Dr. Jones, or Dr. Damman and need assistance between the hours of 8:00 a.m. and 5:00 p.m., please call 388-1852, 388-1069, or 388-1093.
For after hours assistance, please call our dedicated after hours line at 388-1080.
The Physicians and Staff at the Dedicated Care Center would like to wish you a safe, healthy, and happy holiday!
Schedule for Nutrition Seminars at the Dedicated Care Center
July 6, 2009 - September 21, 2009
The 1st and 3rd Monday of the Month
July 6, 2009
The Beauty of Breakfast – 1:30-2:30pm
Nutrition Myths & Mysteries – 3:00-4:00pm
July 20, 2009
Nutrition Labels – 1:30-2:30pm
Fueling Your Fitness – 3:00-4:00pm
August 3, 2009
The Beauty of Breakfast – 1:30-2:30pm
Nutrition As We Age – 3:00-4:00pm
August 17, 2009
Smart Shopping – 1:30-2:30pm
Carbohydrate Confusion – 3:00-4:00pm
September 7, 2009
NO CLASSES: LABOR DAY
September 21, 2009
The “Skinny on Fats” – 1:30-2:30pm
Cooking “Lite” but Luscious – 3:00-4:00pm
Nutrition Seminars are presented by a registered dietician. Space is limited and everyone in attendance must be pre-registered. To sign up, please call your Patient Service Coordinator. The seminars are held at the Wainwright Building in the 9th Floor Conference Room.
Construction is underway on our new home, Fort Norfolk Plaza. Developers and officials from the city of Norfolk held a groundbreaking ceremony Thursday, February 12th, 2009. The new facility is located less than a mile from where we currently reside in the Wainwright Building. The Fort Norfolk building is located on the water across from Sentara Norfolk General and is expected to be completed in the Spring of 2010. We will be keeping you up to date on each phase of construction via the website's Photo Gallery. We look forward to extending our commitment of exceptional service by moving our ever growing practice to this larger, state of the art facility.
Schedule for Nutrition Seminars at the Dedicated Care Center
May 4, 2009- July 20, 2009
The 1st and 3rd Monday of the Month
1:30–2:30 p.m
5/04/2009 -
Nutrition As We Age
5/18/2009 - The Power of Protein
6/01/2009 - Carbohydrate Confusion
6/15/2009 - Eating Out
7/06/2009 -
The Beauty of Breakfast
7/20/2009 -
Understanding a Nutrition Label
Nutrition Seminars are presented by a registered dietician. Space is limited and everyone in attendance must be pre-registered. To sign up, please call your Patient Service Coordinator. The seminars are held at the Wainwright Building in the 9th Floor Conference Room.
To you and yours! As an added convenience we have prepared a list and instructions for the upcoming holiday closings. As always, we here at the Dedicated Care Center hope you have a safe, healthy, and happy holiday season!
12/24/2008 -
The office will be open from 8:00a.m. until 12:00
noon. Please call the after hours number at 388-1080
if you have an urgent need and would like to
speak with the on-call physician.
12/25/2008 -The office will be
closed in observance of the holiday. Please call
the after hours number at 388-1080 if you have an urgent need and
would like to speak with the on-call physician.
12/26/2008 - During
the hours of 8:00a.m. to 5:00p.m. there will
be staff members available to answer your phone call, however the
office is closed in observance of the holiday. If you are calling
after hours, and need to speak with a physician,
please call 388-1080.
12/31/2008 - The office will be open from
8:00a.m. until 12:00 noon. Please call the after
hours number at 388-1080 if you have an urgent
need and would like to speak with the on-call physician.
12/01/2009 -
The office will be closed in observance of the
holiday. Please call the after hours number at 388-1080 if you
have an urgent need and would like to speak with the on-call physician.
Heart Disease – Then, Now and in Your Future William M. Bethea, M.D., F.A.C.P.
I hope that you will allow me to reminisce a bit since today is my birthday, and I am about to begin my sixty-fourth year on earth; thirty-seven of which have been as a physician. During those years, I have witnessed changes in the treatment and prevention of heart disease that rival some of mankind’s most impressive advances. Read the full article
Successful bypass surgery has this Norfolk man back on the walking path and looking to a longer, healthier life.
In an effort to help all members of the DCC in their pursuit of optimal health, we have partnered with registered dietitian Judy Metnick, M.J., R.D. and certified personal trainer Reese Edgington with Fitness Together.
Judy will be providing bimonthly seminars on a variety of nutritional and wellness topics. A list and brief description of upcoming seminars are attached for your convenience. Space for each session is limited so contact your PSC for dates and times of each session and reserve your spot today. Seminars will be repeated over the upcoming months to allow ample opportunity for all to benefit.
Fitness Together will be offering one-on-one personal fitness assessments. Your session will begin with a baseline evaluation of your current aerobic fitness level with our microfit bicycle under the supervision of a qualified expert. A one-on-one discussion with our trainer will follow. Recommendations on beginning an exercise program or improving on your current program will be provided. All questions are fair game, so bring your comfortable clothes and get fit! Call your PSC to schedule your individual session today.
Authored by Glenn C. Jones, M.D.,M.B.A.,F.A.C.P. April 2008
There has been quite a bit of concern and confusion since the release of information about the ENHANCE trial on Zetia. We feel it is important to put this study in perspective – particularly since it raises the immediate question of whom, if anyone should use Zetia.
Zocor is a statin like Lipitor and Crestor. Zetia mixed with Zocor is called Vytorin. This combination is hoped to mix two approaches to cholesterol therapy. In simple terms, Zetia works by blocking absorption of bad cholesterol in the intestines and Zocor works by inhibiting a liver enzyme that makes bad cholesterol (LDL). The TV commercial calls this combining “the fettuccini Alfredo” (Zetia) with “the Uncle Alfredo” (Zocor).
ENHANCE is a surrogate endpoint trial conducted in only 720 patients with Heterozygous Familial Hypercholesterolemia (HeFH), a rare condition that affects approximately 0.2% of the population (2 people in one thousand). A “surrogate endpoint” does not directly measure hard outcomes like reduction of chance to die, to have a heart attach, or to have a stroke. For example, a “surrogate endpoint” is one that might be associated with reduction in risk of death or heart attacks. Bad cholesterol (LDL) in heart patients and hemoglobin A1C in diabetic patients are examples of surrogate markers.
The primary endpoint in the ENHANCE study was the mean change in the intima-media thickness (IMT) measured at three sites in the carotid arteries between patients treated with Zetia and Zocor versus patients treated with Zocor alone for a two year period. Thus, the study was designed to measure the inner lining of the carotid arteries.
There was no difference between treatment groups on the primary endpoint – thickening of the carotid arteries. The change from baseline in the mean carotid IMT was 0.011mm for the Zetia/Zocor group versus 0.006mm for the Zocor only group, which was not statistically significant. Realizing that a millimeter (mm) is less than 1/25 of an inch, this represents an incredibly small difference, whichever way the results may have come out.
The overall rates of treatment-related serious side effects or side effects leading to stopping the medicines were very low and similar between both treatment groups. Both medicines were well tolerated. Overall, the safety profiles of Zetia/Zocor and Zocor alone were very good. Specifically, no serious liver or muscle problems developed with either group.
There was a significant difference in “bad” cholesterol “LDL” lowering seen between treatment groups – 58% LDL cholesterol lowering on Zetia/Zocor as compared to 41% on Zocor alone. Lowering LDL cholesterol has been shown to lower the risk of death, heart attack, and stroke in previous outcome trials.
Three large outcomes trials with Zetia/Zocor (Vytorin), which involve more than 20,000 high-risk patients, are currently in progress. The completion of these studies will be late 2009 and early 2010. The results will establish whether adding Zetia to a statin drug like Zocor or Lipitor will benefit patients more than just lowering their bad cholesterol about 20% more than statin therapy alone.
In summary, the results of the ENHANCE trial show no benefit from the combination of Zetia and Zocor (sold together as Vytorin) over Zocor alone in terms of affecting the rate of thickening in the carotid arteries. The study involved only 720 patients with heterozygous familial hypercholesterolemia – a group of patients with extremely high cholesterol at levels of 600 and above. Thus, it is not reasonable to assume these results apply to most of the population.
The American College of Cardiology (ACC) recommends that major clinical decisions not be made on the basis of the ENHANCE study alone. This study does deserve careful thought and follow-up. The overall incidence rates of heart attacks and strokes were very low and nearly identical between both treatment groups. Both medicines were well tolerated. The difference in carotid artery lining changes between the Zocor group and the Zetia/Zocor group was 0.006mm versus 0.011mm. This represents 5/1000 of a millimeter (mm). Remembering that a millimeter (mm) is less than 1/25 of an inch, this difference is meaningless.
Further, the ACC notes that this trial is an imaging study and not a clinical-outcome study. Final conclusions cannot be made until the three large clinical-outcome trials on Zetia are presented within the next two or three years. The ACC recommends that Zetia remain a reasonable option for patients who are currently on a high dose statin but have not reached their goal for reducing bad cholesterol (LDL). Zetia is also a reasonable option for patients who cannot tolerate statins or can only tolerate a low dose of stating therapy.
If you have any questions concerning Zetia given the above, please feel free to contact your Dedicated Care Center physician. We want you to continue your current medication regimen, including Zetia/Vytorin, until we can talk about it on your next visit.
Dr. Glenn Jones was named the 2008 Virginia Young Internist of the Year by the American College of Physicians, the academic and professional association for Internal Medicine physicians. The award was decided by the Virginia chapter’s Awards Committee, which includes a past president of the American College of Physicians, the current Governor of the Virginia chapter and the Director of Medical Services at the National Naval Medical Center. Five letters of support were required and were submitted by physicians from around the state, including one from his DCC colleague Dr. Charles Lisner. The award is designed to recognize excellence in leadership within the profession, academics, medical research, teaching and mentoring, and volunteerism. Dr. Jones is Chair of the 2008 Virginia ACP Annual Scientific Meeting being held in Williamsburg, and chairs several committees on the Governor’s Council. He served as Chairman of Medicine at Danville Regional Medical Center and volunteered as an attending physician at the Danville Free Clinic before he joined the Dedicated Care Center in July 2007. He has been a principal investigator or sub-investigator on over 40 pharmaceutical clinical trials involving diabetes, heart disease, inflammatory bowel diseases and emphysema. He has taught medical students since 2003 in his role as Visiting Assistant Professor of Medicine at the University of Virginia. He will receive his award at the Virginia ACP’s annual meeting in March.
The Dedicated Care Center is excited to announce our latest efforts to reinforce our commitment to service and efficiency by opening an on-site dispensary of prescription medications. We are currently stocked with over 100 medications and are credentialed with most major insurance carriers. If you need a prescription filled and don’t want the hassle of waiting at your local drug store chain, please stop in and see us! Holly, our licensed Pharmacy Technician will ask you for your insurance and prescription card(s) and fill your prescription in a matter of minutes! For more details, please consult your Patient Service Coordinator. As always, we are committed to exceeding your expectations and thank you for your on-going trust and confidence.
Dr. Jones graduated from high school in England where he won an academic scholarship to Eton, and then earned a Bachelor of Arts and Science degree from Stanford University in 1991. He went on to study at the Ecole Nationale des Ponts et Chaussées in Paris, and received his MBA in International Business in 1993. His medical degree is from the University of Chicago and he completed his internship and residency at Duke University Medical Center in 2001. He was certified by the American Board of Internal Medicine in 2002.
To schedule an appointment with Dr. Jones, please call (757) 388-1852.
Please join us in congratulating Dr. Bethea on setting sail toward some much needed rest and relaxation! Dr. Bethea has decided to take a leave of absence and we are looking forward to seeing him back to work at the Dedicated Care Center. If you are a patient of Dr. Bethea’s, please continue to call 757-388-1851 and a Patient Services Coordinator will be happy to direct your care to one of our other Dedicated Care Physicians.