A Centreville couple receives cochlear implants at the VCU Medical Center

From VCU News Center 11/8/10

NVRC Note: We were thrilled to see this article about two people who have sup-ported NVRC for a long time. Meg Duarte has put in many years as an NVRC board member. Joe designed and built our awesome listening system and is our go-to guy for technical questions about hearing assistive technology. Joe was at NVRC’s Gala just days after surgery, making sure we had the finest listening sys-tem. At the end of the gala,he and Meg had us in stitches after they were crowned our homecoming king and queen. Be sure to check the website link for some photos and a video (3 ½ minutes, no captions).

Something magical happened the morning after Joe Duarte’s second cochlear implant was activated. As Joe drove back to the Virginia Commonwealth Univer-sity Medical Center’s Cochlear Implant Center for a follow-up appointment, he decided to check out the quality of his new stereophonic listening ability.

“I screamed, ‘Yes! Yes! Yes!’... It was amazingly beautiful. I listened to Elvis Presley and the bass was so rich that it left me in a state of awe,” Duarte said. “The voice, the words and the music and the clarity of it all was very overwhelm-ing.”

And Joe was by no means alone in his revelation. His wife of 25 years, Meg Duarte, was seated by his side. She told him to keep calm and keep his scream-ing down because he was hurting her “new ear.” Meg herself was in discovery mode, also experiencing sounds she had not heard before. She too had had a cochlear implant activated the day before – only this was her first.

“It was an awakening of the senses - I became so alert with the sounds coming in,” said Meg, describing her first impressions after her cochlear implant was turned on. “It was a relief to discover my ear was just deaf, not dead, which was the sensation I had been feeling before the cochlear implant surgery. I feel that a balance of sound will be returning to my life once again.”

She further described the new sensation of gross sounds coming to her newly activated ear, including dishes and silverware rattling in a restaurant the pair vis-ited, doors shutting, Joe sneezing and the high frequencies of people’s voices - especially the “s” and “sh” sounds.

Continued on page 6

Pump up the Volume:

H e a r i n g L o s s A s s o c i a t i o n o f C e n t r a l V A

January 2010

Volume 4, Issue 2

Say What? Inside this issue:

Jan. 2011 Pump up the

Volume

1

www.hearingimpaired.net

2

As Your Kidneys Go, So Does Your Hearing

News from Harris Communications

3 4

Meeting Schedule

Excessive Alcohol Can Influence Hearing Loss

6 7

Assisting Listening Devices for Home Use

8

Passive Smoking May Increase Risk of Hearing Loss

10

www.hearingimpaired.net When Wayne and Anne Wicklund began to be aware that Wayne was losing his hearing, they started their journey which many of you are familiar with. Anne said, “It was quite a shock to us too – where do we turn and how do we cope.” Still of working age, it was becoming more and more difficult. Anne said, “After an extensive search we were blessed to find SHHH (now HLAA) – and the support chap-

ters we were able to find in Arizona educated us and supported us. We helped to start a Chapter in Fountain Hills.”

Not knowing if Wayne would one day become Deaf, they immediately began to learn American Sign Language at local community colleges and became active in that community. While not fluent, it doesn’t matter – they can com-municate with each other.

Anne explained that once they recognized what was happening and encroach-ing fast, Wayne said “People act like I’m stupid! There MUST be a way to let them know I cannot hear them.” Well – there wasn’t. Funny, they had never noticed other people having these problems – and, of course, most were “old people” anyway and that was a natural thing. Just talk louder at them. When you are not involved, you just don’t know. So they started by making a lapel pin – they gave them away to see if anyone wanted them. Then, what were we going to do with 600? You can’t make just one, ya know?! That led to win-dow decals for the car, a visor card, a door plaque for the house, etc, etc.

When their dog Snow started working – another surprise. And their service dog supplies were born and continue to grow.

Busy travelling to let people know about their business, the Wicklunds re-cently returned from making a presentation to the New Mexico Commission for Deaf and Hard of Hearing Persons in Albuquerque, NM. Their schedule includes exhibiting at the Hearing Loss Association of America annual con-vention (Milwaukee, WI – June 17-20, 2010), DeafNation World Expo (Las Vegas, NV – July 18-23, 2010) and Association for Late Deafened Adults (Colorado Springs, CO – Sept. 1-5, 2010)

Visit www.hearingimpaired.net or www.mrpaws.com for more infor-mation. Many of their new products come from suggestions from customers. Let them know if they can make something you have been thinking would be nice to have. New products include flash cards and books for children with ASL videos, water bottles for dogs with rollerball technology, some blingy rhinestone stuff and coming soon, leather leashes that say “service dog” on them.

Thank you for advertising with us WWW.HEARINGIMPARIED.NET (editor)

Page 2

Say What?

Page 3

Volume 4, Issue 2

By Neil Bauman, Ph.D For centuries, Chinese herbalists have proclaimed that your ears and your kidneys are ―”connected”. In other words, what affects your kid-neys, also affects your ears (or maybe it is vice versa). This is nothing new. What is new is that modern medical science is fi-nally realizing just how true this is. A recent study of 2,564 adults over 50 revealed that of those with mod-erate chronic kidney disease, 54% of them also have some degree of hearing loss in the four frequencies tested (500, 1,000, 2,000, and 4, 000 HZ). (1) The scary thing is that 30% of those with moderate chronic kidney disease had SEVERE hearing loss. (The comparable figures for those with no kidney problems were 28.3% and 10%.) (2) Thus, you want to be careful to protect your kidneys from the effects of such problems as diabetes and hypertension — the two main causes of chronic kidney disease, and from drugs that are both nephrotoxic (kidney damaging) and other ototoxic (ear damaging) drugs, if you truly value your hearing. Remember, as your kidneys go, so (almost certainly) goes your hearing. (1) American Journal of Kidney Diseases (2010; 56:661-660) as reported in The Hearing Journal, October 2, 2010. http://tinyurl.com/2b7fth4.

(2) (2) Hearing Loss Associated with Moderate Chronic Kidney Disease in Older Adults. Medical News Today. October 2, 2010. http://wwwmedicalnewstoday.com/articles/20397.php

WE NEED YOUR HELP Your support is very important to us. We use your dues and donations for printing and mailing notices for each monthly meeting, quarterly newsletter and mailings, and for the June and December get togethers. We also use it for equipment if absolutely necessary.

We need your support to continue our mission. Please Help. Send Dues and Donations to HLACVA, c/o Keeney & Co. Architects, 1413 Sachem Pl, Suite One, Charlottesville, VA 22901-2497. Application on page 11.

SOME WEBSITES FOR HEARING LOSS -

Hearing Families - http://www.hearingfamilies.com

Hearing Journal - http://journals.lww.com/thehearingjournal/pages/default.aspx

Hearing Loss Association of America - http://www.hearingloss.org/

Hearing Loss Help - http://www.hearinglosshelp.com/index.htm

Hearing Loss Web - http://www.hearinglossweb.com/

How’s your hearing? - http://www.howsyourhearing.org/

Lloyds - http://lloydhearingaid.com/shopping/Accessories/

Merriam-Webster’s Learners Dictionary - http://www.learnersdictionary.com/pron.htm

NVRC - http://www.nvrc.org/

NIDCD- National Insti-tute on Deafness and Other Communication Disorders -http://www.nidcd.nih.gov/

Randall’s Cyber Listen-ing Lab - http://esl-lab.com/

As Your Kidneys Go, So Goes Your Hearing

Board of Directors

Ron Keeney, Pres. and Treas. Keeney & Co, Architects, PLC 434-978-2000 Ron@KeeneyArchitecture. com

Poppy Lesti, News. Editor, Coord. 3875 Whitetail Ln. Keswick VA 22947 434-923-0378 PoppyL@aol. com

Larry Herbert, Tech.Advisor 434-981-3004

Betty Bonvillian, Dir. 434-244-0461

Marjorie Boone, Dir. 434-244-0461

Lou Gibb, Dir. 434-293-8437

Dot Clark, Dir. 434-973-3667

Carolyn Newsome, Dir . 434-295-9094

Page 4

Say What?

News from Harris Communications

For many years, Harris Communications has been printing a product cata-log filled with assistive devices for deaf and hard of hearing people. Be-sides equipment products, the catalog included sign language books, DVDs and novelty items.

This year it was decided to split the big catalog into two catalogs, a book/DVD/novelty catalog and an equipment catalog. Customers now have the option of receiving a book/DVD/novelty catalog, an equipment catalog, or both.

The new 2011 Equipment catalog has all the products you expect― plus many new products. There are new products in most categories: cell phone accessories, amplified telephones, assistive listening devices, loud alarm clocks, signaling products, and emergency products. The catalog in-cludes some new features that we hope will make shopping a little easier.

In the phone section, we developed a mild-to-severe sliding scale graphic to help you find the most suitable phone for your hearing loss. Although we always list the manufacturer’s decibel rating in the catalog, manufac-turers are not consistent in how they measure phone amplification. Some phones may be listed as having 50 decibel amplification but sound like a 30 decibel phone. The sliding scale graphic lets you see in a glance whether it is for mild or severe hearing loss.

In the beginning of each catalog category, we provide some additional as-sistance. For instance, in the Signaling Section there is a simple step-by-step guide on choosing a signaling system. Throughout the catalog there are Helpful Hints that define some of the technical terms that are used.

One of the goals at Harris Communications is to provide the product in-formation you need so you can make good decisions. As HLAA members, many of you have had first-hand experience with our products. Feel free to contact us with your ideas, suggestions or complaints about the catalog. We want the catalog to be a valuable resource for you. (As always, call or email us if you need specific product information.)

If you would like to receive a new 2011 catalog, call 1-800-825-6758, or sign-up for a catalog online at www.harriscomm.com.

Thank you for advertising with us Harris Communications (editor)

Page 5

Volume 4, Issue 2

•

Meeting Schedule

We meet most months on the first Wednesday from 1:00 – 2:30 p.m. at the Senior Center, 1180 Pepsi Pl, Charlottesville, VA, 434-974-7756. ALL PEOPLES AND AGES WELCOME

January 2011—No Meeting

Feb 2, 2011— (no meeting if schools are closed due to snow) Ototxic Drugs—submit a list a drugs to: PoppyL@aol.com, then come to the meeting to find out if they are ototoxic and to what degree.

March 2, 2011—Kate O'Varanese, Deaf/HH Coordinator at UVA, who works with and helps the deaf and hard of hearing students at UVA

April 6, 2011— Karen Klotz – Speech Discrimination Skills - “What happens to understanding of speech when the brain does not receive the proper signals, due to loss of hearing.”

Page 6

Say What?

Pump up the Volume (cont)

Continued from page 1

For the greater part of their lives both Joe and Meg, who live in Centreville, have had severe to profound hearing loss. The origin of Joe’s hearing loss is unknown, but he began using hearing aids when he was just 4 years old. Meg had severe hearing loss in both of her ears since birth, and five years ago – it was literally overnight – she experienced further hearing loss in her left ear. Not even a hearing aid could help her.

Now thanks to a team of doctors, nurses, anesthesiologists and audiologists at the VCU Cochlear Implant Center, the Duartes are able to experience sound in color and more fully explore the word around them.

A visit to VCU

Joe did a lot of research before deciding where to have his cochlear implant sur-gery done. For 10 years, he had been keeping a mental tab on the various co-chlear implant centers across the country based on the surgery experiences of friends and associates.

It was after meeting the team at the VCU Cochlear Implant Center — Daniel Coelho, M.D., co-director and medical director of the VCU Cochlear Implant Cen-ter; Sean Kastetter, senior cochlear implant audiologist at the VCU Cochlear Im-plant Center; Suzanne Hasenstab, Ph.D., former director of audiology and profes-sor of otolaryngology; and Aristides Sismanis, M.D., former chair of the VCU De-partment of Otolaryngology Head and Neck Surgery — that he was sold. Joe said the team consists of “top notch professionals that inspired a level of confidence.”

“The success of my cochlear implants, and of many other people who had their surgeries at VCU, is proof of the quality of the cochlear implant program at VCU,” he said.

On Sept. 21, both Joe and Meg underwent cochlear implant surgery performed by Coelho and his team. The Duartes are the first couple in the history of cochlear implant manufacturer, MED-EL, to receive cochlear implants on the same day.

Read the full story at http://www.news.vcu.edu/news/Pump_up_the_Volume

From www.nvrc.org

November Meeting – Brenda M. Ryals, Ph.D. is an internationally recognized researcher in the areas of auditory plasticity and hair cell

regeneration gave a terrific and very informative talk on "A look to the future: Will we be able to make new ears?" Many people commented that this talk was very interesting more

Thank You

Page 7

Volume 4, Issue 2

FROM THE EDITOR

I want to thank everybody for this op-portunity to get out our news. If you have any questions, comments, or articles for future newsletters, please call me at 434-923-0378, email me at PoppyL@aol.com, or write me at Poppy Lesti, 3875 Whitetail Ln, Keswick, VA 22947

HOPE TO SEE YOU AT OUR NEXT EVENT

Excessive alcohol can influence hearing loss

Irish Medical Times - November 19, 2010

By Aoife Connors aoife.connors@imt.ie

Excessive alcohol consumption may affect our hearing, new research has found. While many people are aware of the obvious risks associated with binge drinking, it is not commonly known that excessive drinking can cause loss of hearing.

Dr Nina Byrnes, Irish GP and Medical Liaison Officer with Hidden Hearing — the Irish hearing healthcare pro-vider — explained that studies have shown that high al-cohol consumption over a long period of time can result in damage to the central auditory cortex of the brain and may lead to brain shrinkage. As the damage to the audi-tory nerves adds up, even moderate drinkers may risk nerve damage and hearing loss.

Researchers from the University of Ulm in Germany tested both heavy and social drinkers’ Brainstem Auditory Evoked Potentials (BAEP) levels, by testing the level of damage in the part of the brain that enables one to hear. The results indicated that drinking affects the ability to hear.

The research shows that alcohol can result in brain dam-age, but the quantity of alcohol and the length of time needed to accomplish this remains unknown. Although the ears may continue to function perfectly, the brain is no longer able to process the sounds.

The study also shows that people who suffer from alco-holism may suffer damage within their ears.

The high levels of alcohol in the bloodstream can create a toxic environment known as ototoxicity, which can dam-age the delicate hair cells in the cochlea. “We all know that alcohol can cause nerve and brain damage. A previ-ous British study has shown that alcohol and noise can cause temporary hearing loss. All of the participants in one study were found to have temporary hearing loss.

Researchers also believe that a regular ingestion of alco-hol may lead to permanent hearing loss in the long term.

Continued on page 8

Excessive Alcohol Cont from page 7

However, this new research suggesting the link between alcohol and hearing loss is very interesting and would warrant further investigation,” said Dr Byrnes. “As people’s ability to hear reduces, it can often lead to other problems, such as less social interaction, lack of confidence, depression and irritability.”

A previous British study has shown that alcohol and noise can cause temporary hearing loss. All of the participants in one study were found to have temporary hearing loss.

Researchers also believe that a regular ingestion of alcohol may lead to permanent hearing loss in the long term.

From bhNEWS

.

Page 8

Say What?

Assistive Listening Devices for Home Use 5 Ways Assistive Listening Devices Can Enhance Life for the Hearing Impaired Assistive listening devices enhance the quality of life for people with mild to moderate hearing impairment. A portable personal amplifier that boosts sound in public and private spaces is one example of an assistive listening device.

But losing the ability to clearly hear speech and conversation in public is only one of many problems faced by the hearing impaired.

Watching TV, answering doors and telephones, and waking with alarms are all taken for granted by those with normal hearing.

For people with hearing loss, these daily pastimes may become a frustrating experience. Loud TV sets can fray tempers of spouses, phone conversations become riddled with miscom-munications, and mornings are lost to oversleeping.

Fortunately, assistive listening devices provide easy and affordable solutions to these common problems!

Using amplification, visual alerts, and vibrations, assistive listening devices can make house-hold systems user-friendly and functional once again.

Here are 5 ways assistive listening devices can improve life in your home!

1. Hear what you’re missing on TV with assistive listening devices With hearing loss, simple home activities like watching TV can become a problem. To cope with hearing loss, many people simply crank up the volume on their TV set. This, in turn, strains the patience of family members and friends, and disturbs the peace and harmony of your home.

TV listening systems restore pleasure to your nightly viewing by boosting volume in a per-sonal headset while everyone else hears the TV at comfortable levels.

Here are a few examples of economical TV listening systems:

• Personal amplifiers and headphones often can plug directly into the output jack of a television, allowing them to function as economical TV listening systems.

• Wireless FM TV listening systems give you freedom of movement without the worry of tripping over wires. Since radio signals travel through walls, they also keep the sound going when you run for the fridge.

• Wireless IR TV listening systems are ideal for households where FM signals could interfere with other wireless systems.

Buying a TV listening system that fits your home and budget is one obvious way to improve your daily life. But many other assistive listening devices can enhance the household alerting systems we often take for granted.

2. Stop missing telephone calls with alerting devices and amplifiers Hearing incoming telephone calls can become difficult with hearing loss. Here are some assistive listening devices designed to amplify ringers or enhance the audio quality of phone conversations for the mildly hearing impaired:

Continued on page 9

Page 9

Volume 4, Issue 2 •

• Telephone ringers and incoming call alert systems come with a wide array of features. Some can be config-ured to have different ringtones for different phone lines. Others feature flashing ringers. Still others signal incoming calls (and caller ID information) on your TV screen.

• Telephone amplifiers boost the volume of the phone call so you can hear the caller once you pick up the phone. In-line amplifiers are assistive listening devices inserted between the phone base and handset that feature enhancements such as noise filters and equalization to clarify speech.

• Dedicated amplified telephones are the best all-around solution for the hearing impaired. These include fea-tures such as extra amplification, programmable volume levels, and cordless operation.

Letting you know when the phone is ringing is one thing. But a knock at the door or a push of the doorbell is as easy to miss as a ringing telephone!

3. See when someone is knocking at your door Assistive listening device manufacturers offer a variety of visual alert systems to let you know when someone’s at the door, no matter where you are in the house.

An LED flasher is a highly visible and basic assistive listening device. Operation is as simple as hanging the flasher on the door. The vibration of the knock triggers a bright flash to grab your attention.

Other systems alert use a push button transmitter attached to the door that triggers a flashing receiver that can be moved anywhere in the home, garage, or garden.

4. Wake up with alarm clocks made for the hearing impaired Sleeping through the alarm clock is another common household problem, whether you’re hearing impaired or simply a sound sleeper.

An unheard ringing alarm can not only cause you to miss appointments, but also annoy neighbors and fellow sleepers. Amplified alarms are a simple solution to this problem for anyone who has difficulty getting out of bed in the morning.

If a loud alarm simply isn’t enough to rouse you, or if you want to avoid disturbing fellow sleepers, bedshakers are a bet-ter option. These devices slip under a pillow or mattress and produce a vibration to gently (or not so gently) awaken you – and only you!

5. Schedule silent alarms that free you from relying on sound Like alarm clocks and clock radios, many wristwatches feature alarms as well. Vibrating wristwatches provide timely alarms even in places where you can’t hear a beep!

These stylish timepieces are not only perfect for people who are hearing impaired, but also for anyone who doesn’t want to disturb business colleagues or friends with the beeping of a standard digital watch.

They are also ideal for factory workers, musicians, sound engineers, and anyone else who works in a noisy environment.

Vibrating wristwatches boast a wide range of features including stopwatches, countdown alarms, and multiple pre-set timers- a great feature for setting reminders for repetitive tasks or taking medications.

Find an assistive listening device that’s right for you These are only some of the household assistive listening devices that can improve daily life for the hearing impaired and their families. With assistive listening devices, household systems become easy to use once again, and domestic tranquil-ity is restored.

If you still need help finding an assistive listening device, email AudioLinks or call our experts at 1-800-516-6955! They’ll help you find the ideal assistive listening solution that fits your needs and budget.

Printed with permission from: https://www.audiolinks.com

Assistive Listening Devices (cont from page 8)

Our HLACVA meeting room has an

INDUCTION HEARING LOOP

Just turn on the telecoil in your

hearing aid to hear clearly.

FREE FREE HEARING SCREENINGS!HEARING SCREENINGS!

60 Day Trials & 3 Year Warranties!

Latest Digital Hearing Aid Technology – Financing Available!

*Custom Molds for iPods *Cell Phone Bluetooth *Custom Hearing Protection

Adoption Program for Hearing Aids Purchased Elsewhere

www.HearVirginia.com

Toll Free: 866-341-HEAR

CALL US TODAY! Charlottesville 434-245-1115

Culpeper 540-825-1805 Harrisonburg 540-421-7736 Fishersville 540-943-0007 Lexington 540-460-8809 Covington 540-968-2852

Passive Smoking May Increase Risk Of Hearing Loss From Catharine Paddock, PhD, Medical News Today 11/16/10 http://www.medicalnewstoday.com/articles/208153.php

Passive smoking, or regularly breathing in smoke from other people's cigarettes, is linked to some degree of hearing loss in non-smokers, say US researchers in a leading journal.

The study, conducted by researchers from the University of Miami, the International University of Florida, also in Miami, and Starkey Laboratories, a hearing technology company in Eden Prairie, Minnesota, was published this week in BMJ's Tobacco Control.

Doctors have known for some time that regular smokers are at higher risk of hearing loss, but until this study it was not clear if this might also be the case for passive smoking.

For the study, the researchers used 1999-2004 data from the National Health and Nutrition Examination Survey (NHANES), a yearly survey which covers a nationally representative cross-section of US households and where the par-ticipants also undergo a physical examination and give blood samples.

The data they analyzed belonged to 3,307 current non-smokers aged 20 to 69 years whose blood samples classed them as passive smokers because of the level of cotinine, a tobacco smoke constituent, in their blood.

All the participants had also undergone hearing tests and given complete data on medical history, level of noise exposure and smoking history (for instance had they ever smoked and/or lived with a smoker).

The degree of hearing loss in each ear was measured by testing the ability to hear pure tones over a range of frequencies from low and mid (500, 1000 and 2000 Hz) to high (3000, 4000, 6000 and 8000 Hz).

For the full article: http://www.medicalnewstoday.com/articles/208153.php ‘

Study: "Secondhand smoke exposure and the risk of hearing loss."

David A Fabry, Evelyn P Davila, Kristopher L Arheart, Berrin Serdar, Noella A Dietz, Frank C Bandiera and David J Lee.Tobacco Control, Published Online First 15 November 2010.DOI:10.1136/tc.2010.035832

From www.nvrc.org

We thank donors for their very generous support ! SILVER

Lu Gibb

Ron Keeney

FRIENDS

Marjorie Boone

Eleanor Breitinger

DONATION CATEGORIES

Platinum -$400 or more; Gold - $200 to $399; Silver. -$100 to $199; Bronze -$50 to $99; Friends.-Up to $49

DUES ARE DUE

The annual chapter fee becomes due each year on September 1st. Our chapter meetings, the newsletter, and other outreach activities to benefit all hard of hearing Central Virginians are possible only with the financial help of our members and the gener-ous donors listed on page 7 of this newsletter. A few members have al-ready renewed for 2011. Please join them by using the form in this news-letter to renew. All donations to the Hearing Loss Association of Central VA or to the Hearing Loss Associa-tion of America are tax deductible.

The HEARING LOSS ASSOCIATION OF AMERICA is a volunteer association of Hard of Hearing people, their relatives and friends. It is a nonprofit, non-sectarian educational organization devoted to the welfare and interest of those who cannot hear well. Membership is by annual dues which are separate from the annual Chapter Fee paid to this local chapter. National membership includes a subscription to the bimonthly publication Hearing Loss Magazine.

National dues are: Individual: $35; Student: $20; Library/Nonprofit: $50; Professional: $60; Corporate: $150

To join, please send your name, full mailing address, email address and a check or money order in the appropriate amount to:

Hearing Loss Association of America For more info: www.hearingloss.org

—————————————————————————————————————————————————————————————————————

HEARING LOSS OF CENTRAL VIRGINIA — ANNUAL DUES, SUBSCRIPTION, DONOR FORM—2010/2011 CALENDAR YEAR

Name ________________________________________________________________________________________Date_____________________

Address______________________________________________________________________________________Apt.Number________________

City_____________________________________________________State_________________________________Zip______________________

Phone(Voice) _______________________ (TTY) ________________________ email________________________________________________

PLEASE CHECK APPROPRIATE LINE: Annual Chapter Fee: $15 - or Newsletter Subscription Only: $7.50 ______

Donation to the Chapter $ _____ to the Hearing Loss Association of America $ _____

Please make check payable and mail to: HLACVA, c/o Keeney & Co Architects, 1413 Sachem Place, Ste One, Charlottesville, VA 22901-2497

.

Hearing Loss Association of Central VA c/o Keeney & Co. Architects, PLC 1413 Sachem Pl, Suite One Charlottesville VA 22901-2497

CHANGE SERVICE REQUESTED

PLEASE confirm your address…and if this mailing is not of interest,

Tell us at (434) 978-2000…or fax us at (434) 978-7438