Ask the Expert on an Alternative Practice for Primary Care

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Ask the Expert on an Alternative Practice for Primary Care

THE EXPERT:
Phyllis C. Everett MSN, APRN, AOCN, NP-C, Sapient Health Services

Why do people come to you to be their primary care provider over other practices?
They come to us because they are tired of “big box” medicine that is focused more on production than people. People want to be heard. We have one-hour new patient visits, and 30 min follow-up visits to help explore the whole person and their needs at any given time, physical and emotional.

What type of specialty services do you offer?
Our diagnostic services are more in depth than the typical primary care practice with a combination of laboratory testing and genetics that set us apart. This includes advanced cardiovascular and nutritional testing, microbiome testing using GI Map stool tests and pharmacogenomic testing with a mouth swab to identify issues affecting medication management. We strive to find the root of the problem and not just treat a symptom. We also provide limited psychiatric counseling via telehealth and hope to expand mental health services in the coming year.

As a nurse practitioner, do you have a physician working with you?
Because of my 18 years of experience and the current state licensure requirements, I am no longer required to practice with a physician. I have what is called an autonomous license. That does not mean we do not work with our area physicians to provide care, in fact, we often refer patients for specialty care depending on the complexity of their problems. We’re also fortunate to have nurse practitioner colleagues who work in most specialties in the city of Lynchburg and surrounding areas with whom we communicate regularly for help on a variety of disorders.

Do you see children in your clinic?
My education was focused on the adult population and the age limit for children based on my certification is 13 years of age and older. We are looking forward to adding an additional provider to our Big Island location in 2024 that can see children of all ages as well as adults.

What other types of care do you provide that are unique and would attract new patients?
Because of my background in performing home visits and hospice care, I’m comfortable providing home visits. There are patients who have limited physical mobility who need care at home and so we provide that service. I go to homes myself and I also have recently hired a registered nurse who is also comfortable with home visits. In coordination with her, I can perform a telehealth visit from any location to see and hear the patient and coordinate their care. We also contract with a mobile phlebotomist to go out to the home to draw labs prior to appointments to reduce the need for patient travel.

Are you still planning to build a new location in the Huddleston area?
As some of you remember, we were donated a piece of land for the purpose of building a permanent location for the patients of the former clinic known as Huddleston Health and Wellness. We have not given up on this project but there have been many roadblocks that have occurred along the way that have delayed getting a building put on the property in Lynch station. We have not been deterred in our plan to see this happen. We continue relationships with our patients in that area through them coming to our clinic in Big Island, providing home visits and telehealth.

Do you take insurance?
Yes, we take Medicare, Medicaid, and most commercial insurance. We welcome the people that other practices limit due to poor reimbursement of their services. We are committed to caring for those who need and want the care we provide. We also have financial assistance plans for those that are uninsured.

ABOUT THE EXPERT:
Phyllis C. Everett is a nurse practitioner certified in adult primary care and oncology. She has an interest in genetics and has completed additional studies in pharmacogenetics. She is the executive director and adult nurse practitioner at Sapient Health Services and has served in rural, central Virginia since September 2017. She provides services in her clinic in Big Island, VA in addition to in-home and telehealth visits.
She received a diploma RN at Norfolk General Hospital School of Professional Nursing in 1979, a BS in Nursing with a Minor in Psychology at UNC-Greensboro in 1983 and her MS in Nursing Administration also at UNC-G in 1988.
She earned two post-masters certificates at Duke, Nursing Informatics in 1997 and Adult Nurse Practitioner with a focus in Primary Care/ Oncology in 2005. After graduation with her NP certificate, she worked in outpatient oncology in Lynchburg from 2005-2016 when she began her own practice. She has also worked part-time performing Medicare wellness exams and as a hospice provider.
Phyllis is published, and her original research has been presented in poster presentations at the national and state level. She is a speaker on a variety of topics related to her practice and certifications and has been invited to present at multiple venues around the country. Phyllis was president of the Virginia Council of Nurse Practitioners (VCNP) from 2012-2014 and was awarded the Distinguished NP Award at the VCNP annual meeting in March 2016.
Sapient Health Services-Big Island was awarded the Small Business of the Year award in September 2021 from the Bedford County Chamber of Commerce.

Sapient Health Services
10961 Lee Jackson Highway
Big Island, VA 24526
434-299-5029 • Fax: 540-297-6048
Email: sapientoffice@protonmail.com
www.sapienthealthservices.com




Ask the Expert on Long Term Insurance

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Ask the Expert on Long Term Insurance

THE EXPERT:
Donna Fore, Mutual of Omaha

Why is long-term case insurance important?
You probably know someone who has required long term care services. Or, maybe you’ve been a caregiver yourself. Either way, you may wonder how you’ll handle your own long term care needs should they arise. Will your family take care of you? Will you be able to stay in your home? How will the need for care impact your retirement funds? It’s hard to think of becoming chronically ill and needing long term care, but it’s estimated that nearly 70 percent of people over age 65 will require long term care services – for an average of three years. And, 20 percent of those individuals will need care for more than five years. (US Department of Health and Human Services Study)

What is long-term case insurance?
A customized plan to cover costs associated with getting the help you need to do the things you’ve always been able to do for yourself, such as: fixing meals, driving, cleaning the house, and shopping; as well as many personal care services like taking your medications, walking, eating, bathing/ showering, and dressing.

What is the value of having long-term case insurance?
A long-term case insurance plan is designed to help you pay for these types of diverse long term care services, whether the assistance is temporary or permanent. It can help protect your retirement funds and other assets by providing a readily accessible source of funds earmarked to take care of you.

How does a long-term case insurance policy work?
When you begin to lose the ability to do some of your Activities of Daily Living (walking, dressing, bathing, eating, getting in or out of bed/chair, etc.), a licensed health care practitioner will evaluate your needs and certify you are chronically ill and need help. At that point, you receive long term care benefits from your plan.

Who needs long-term case insurance?
Anyone who wishes to remain in their home as long as possible and wants to avoid entering a facility. People who value staying close to family and friends and want to continue enjoying those relationships. Anyone who worked hard to save for retirement and doesn’t want to spend their life’s savings on long term care.

How do you start receiving your long-term care benefits?
When we meet and design your custom plan, you will select an elimination period during which time your long-term care services are your responsibility. This period is variable and can be as short as a few months, depending upon your needs. After your elimination period is over, your plan covers long term care, whether at home or a facility.

How do I determine my needs?
We will meet together and review your lifestyle, age, your state/location for care, your family, health, plans for the future, the average amount spent for long term care in your area, the cost of inflation regarding long term care, your budget, and other important factors. The benefits of owning Mutual of Omaha long-term case insurance: Mutual of Omaha provides a customized plan for ensuring that you obtain the right level of long term care services at your preferred location, whether at home or in a facility. Our plans include a Cash Benefit option – it allows you to pay a portion of the policy’s benefit just for home health care. Call me today, I can definitely help you and your family!

ABOUT THE EXPERT:
Donna is a retired military officer, serving 30 years at senior levels of the military. A survivor of 9-11 at The Pentagon, she understands that life can change quickly.
A hard-working veteran of two overseas combat operations, she is dedicated to serving her country, church, and community. She has extensive experience with helping people to protect family, income, property, and businesses due to a sudden disability or death. Some of the products/services she can provide are: Life insurance, Medicare plans, Long term care coverage, Financial strategies, Employee benefit plans, Business planning, Key employee insurance, Buy-sell arrangements, Estate planning, Disability insurance, Critical illness plans, Supplemental retirement funds, Annuities, and more.

Donna Fore – Mutual of Omaha
4005 Electric Road, Floor 3,
Roanoke, VA 24018
Office: 434-665-1434
Cell: 434-665-1434
donna.fore@mutualofomaha.com
agents.mutualofomaha.com/agents/va/roanoke/donna-fore




DIY Spice Blends: How to Create Your Own Signature Seasonings

Creating personalized spice blends offers a unique opportunity to enhance your dishes with flavors tailored to your preferences—they also make fantastic homemade gifts. By combining various herbs, spices, and seasonings, you can produce unique blends that add depth and character to your dishes. Not to mention, homemade spice blends are often healthier, as many commercial spice blends are loaded with excess sodium. Whether you’re a beginner or an experienced cook, crafting your signature spice blends can be an enjoyable and rewarding aspect of cooking.

Understanding the Basics

Before diving into the process of making custom spice blends, it’s important to understand the different components involved in creating a spice blend that’s balanced. Spices and herbs form the foundation of these blends, each contributing distinct flavors, aromas, and intensities. Common spices such as cumin, paprika, cinnamon, cloves, and coriander, alongside herbs like basil, thyme, rosemary, and oregano, provide a diverse palette of flavors to work with.

Key Considerations

  1. Flavor Profiles: Define the flavor profile you aim to achieve. Consider whether you are looking for a spicy, smoky, savory, or aromatic flavor. Balancing complementary and contrasting flavors is crucial for a well-rounded mix.
  2. Ingredient Quality: Opt for high-quality, fresh whole spices whenever feasible. Grind or crush them just before blending to retain maximum flavor and potency.
  3. Texture and Consistency: Determine the desired texture of your blend based on intended use. Experiment with grinding techniques to achieve the ideal consistency, whether fine or coarse. Different cooking methods utilize different spice blend textures. For example, if you’re grilling, a more coarse spice blend can help you achieve a delicious, flavorful crust. If you’re roasting vegetables in the oven, a finer spice blend may be better so the flavor comes through without the bite.

Creating Your Signature Blends

Follow these steps to develop your unique spice blends:

  1. Base Selection: Choose a primary spice or herb to serve as the base for your blend. For example, cumin or paprika could be an excellent starting point.
  2. Complementary Additions: Introduce complementary spices or herbs that enhance the base flavor. Experiment with proportions to achieve a harmonious balance. For instance, coriander or chili powder could complement cumin exceptionally well.
  3. Experiment and Adjust: Blend small quantities of the chosen spices and taste-test your mixture. Fine-tune the ratios as needed to achieve the desired flavor profile. Small adjustments can significantly alter the final outcome.
  4. Aromatics Inclusion: Consider adding aromatic elements like dried citrus zest, garlic powder, or onion flakes to add depth and complexity to your blend. Experiment with these ingredients for a unique aroma.
  5. Testing and Storage: Once satisfied with your blend, store it in an airtight container, away from direct sunlight, moisture, and heat. Experiment with the blend in various dishes to fully understand its flavor profile.

Some Of Our Favorite Spice Blends

The sky is the limit when it comes to creating your own personalized spice blends. Here are a few of our favorites.

  1. Smoky Southwest Blend:

    • 2 tbsp paprika
    • 1 tbsp cumin
    • 1 tbsp chili powder
    • 1 tsp garlic powder
    • 1 tsp onion powder
    • 1 tsp oregano
    • ½ tsp cayenne pepper (adjust for desired heat)

This blend is great for homemade tacos, fajitas, or nachos, and is also delicious in chili.

  1. Herbes de Provence-Inspired Blend:

    • 2 tbsp dried thyme
    • 1 tbsp dried rosemary
    • 1 tbsp dried savory
    • 1 tbsp dried oregano
    • 1 tsp dried lavender flowers (optional for a floral note)

This blend is perfect on a roasted chicken or any meat or vegetable with a lighter flavor profile. 

  1. Garam Masala-Style Blend:

    • 2 tbsp ground cumin
    • 2 tbsp ground coriander
    • 1 tbsp ground cardamom
    • 1 tbsp ground cinnamon
    • 1 tsp ground cloves
    • 1 tsp ground black pepper

Add this blend to roasted chickpeas and cauliflower for a Middle Eastern-inspired side dish, or season a yogurt sauce with the blend before serving alongside a spiced curry.

Crafting your spice blends is an enjoyable culinary journey that empowers you to infuse your dishes with distinctive flavors. Embrace experimentation and don’t hesitate to adjust ratios or incorporate unique ingredients to suit your taste preferences. Over time, you’ll develop a repertoire of signature blends that elevate your cooking to new levels. Enjoy the process of creating and savoring the unique tastes you’ve crafted with your own hands.