Empty Nest – June 2019

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Appen Media Group

June Special Section


2 | June 2019 | NorthFulton.com | ForsythHerald.com

Empty Nest• Sponsored Section

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When is a rash not a rash? By Dr. Brent Taylor Premier Dermatology and Mohs Surgery of Atlanta During my dermatology residency, our professors loved to talk about “imitators” – the diseases that mimic other diseases and can Dr. Taylor fool the unsuspecting student. Historically, the “Great Imitator” was syphilis because it could affect so many organ systems and manifest on the skin in numerous ways. Syphilis can show up as a sore on the skin, sores in the mouth, a rash, nodules, a collapsed nasal bridge, dementia, deafness and can occur in many other forms. Sir William Osler, one of the four founding physicians of Johns Hopkins Hospital, once said “the physician who knows syphilis knows medicine.” Nowadays, penicillin has suppressed syphilis to a great degree, and family doctors are so expert at diagnosing syphilis that it rarely makes its way to the dermatologist before being caught by someone else. Still, one of the joys of practicing medicine is making a diagnosis that is either challenging or obscure, and dermatologists across the country are ever vigilant for imitators. There are other diseases that qualify as imitators, and for this week’s article, I thought it worth mentioning a few of the common imitators that I see in clinic. For the following diseases, patients often present complaining of a “skin rash,” but what they have turns out to not be rash at all or to not be skin-based. 1. Actinic pupura – This term means sun-induced bruise. Many mature patients have bruises on the backs of their hands and their forearms, and they sometimes present to clinic asking about a rash in these locations. These are actually bruises, and they occur because years of sun-damage causes skin to bruise easily. Actinic purpura is the diagnosis when bruises are occurring only on the sun-damaged dorsal hands and forearms. Actinic purpura is, in general, not a worry. If bruises occur in areas that haven’t seen the sun, then we have to worry about a different diagnosis such as low platelets, leukemias or other blood disorders. 2. Notalgia paraesthetica – Say that word ten times fast (or even just once?!). Patients present to my clinic asking about a rash on their upper back, but there is no rash at all. The skin is completely normal, but patients are itching and uncomfortable. Notalgia paraesthetica is itching of the back caused by varying amounts of arthritis or degenerative changes in the cervical or thoracic spine irritating the

Patients often present complaining of a “skin rash,” but what they have turns out to not be rash at all or to not be skin-based. spinal nerves. These nerves go to the skin on the neck and back, so this neurologic problem is perceived as a skin problem. For really severe cases, nerve dulling medicines are sometimes helpful. 3. Diffuse actinic keratoses – Actinic keratoses or “AK’s” are pre-cancers. Because patients’ sun damage is often over an entire area such as the entire cheek or scalp, patients sometimes present to clinic worried about a rash that turns out to be a field of pre-cancers. Creams and light therapies (PDT) can help eliminate these growths before they turn into skin cancer. 4. Poikiloderma of Civatte – This is another false rash that comes from sun-damage. It occurs as a red-brown mottling of the skin usually on the neck that patients dislike either because of its cosmetic appearance or because it can sometimes be mildly irritated and symptomatic. Laser treatments in combination with sun protection can improve this condition. 5. Stasis dermatitis – In this case, the problem is actually a rash, but I include it on this list because it’s so often misdiagnosed. Patients come to clinic because they keep having “cellulitis” (skin infection) over and over, but they do not have a skin infection. Rather, their veins are not working, and venous reflux leads to inflammation in the skin that mimics a skin infection. True leg skin infections are usually in only one leg and stasis dermatitis often affects both legs repetitively. Very effective modern vein treatments (such as EVLA & ECA) are available to fix the venous system and help with leg pain, swelling or stasis dermatitis. We hope you enjoyed learning about the Great Imitator and a few Lessor Imitators. And if you or a loved one has a spot concerning for skin cancer, vein problems or other skin issues, please consider Premier Dermatology and Mohs Surgery of Atlanta. Dr. Brent Taylor is a fellowship-trained Mohs surgeon, boardcertified dermatologist and vein specialist with his practice located at the corner of North Point Parkway and Webb Bridge Rd., Alpharetta.

NorthFulton.com | ForsythHerald.com | June 2019 | 3


4 | June 2019 | NorthFulton.com | ForsythHerald.com

Empty Nest• Sponsored Section

Soleil Laurel Canyon named Best 50 Master-Planned Communities Tucked away in the North Georgia foothills of Canton and just a short drive from exciting Atlanta, Soleil Laurel Canyon is more than a beautiful community of maintenance-free, ranch-style homes and breathtaking views. It’s the lifestyle you’ve worked your whole life to enjoy. If you are 55+, we invite you to come experience Soleil’s incomparable array of recreation, culture, and entertainment for yourself. You’ll have no doubt why it was named among the Best 50 Master-Planned Communities in the U.S. by Where to Retire Magazine in 2015. “Clubhouses, fitness centers, social clubs and education classes mean residents get much more than a house at a planned community,” said Karen Northridge, publisher of “Where to Retire.” One of the great pleasures of living at Soleil is that a low-maintenance home gives you the free time to take advantage of all that the community offers or take a trip without concern. The landscaped grounds of Soleil Laurel Canyon are always impeccably maintained, while your HOA dues cover complete lawn maintenance and an irrigation system, in-home security monitoring and maintenance, and even Comcast cable TV. Soleil Laurel Canyon offers a selection of Cottage, Traditional and Craftsman-style single-family homes from the mid $200,000s to $400,000s for adults 55+. Residents live independently in homes that range from 1,500 square feet to almost 3,000 square feet. All of Soleil’s new floor plans include elegant details and are designed for aging-in-place with stepless-entry access and wide doorways. These homes are energy efficient with HERS ratings above standard.

Soleil residents have membership in a 28,000-squarefoot clubhouse complete with an arts and crafts room, billiards room, fitness center, gourmet teaching kitchen, indoor heated saline lap pool, and library. Outside the clubhouse, residents have a heated Lagoon-style pool, a community garden and greenhouse, a 3.5-acre fishing lake and the tennis facility with a full-time USPTA-certified teaching professional. The Fairways of Canton golf course is located just

outside Soleil’s gate within Laurel Canyon, and offers challenging golf for a reasonable, daily-fee price. Two Lifestyle Directors maintain a full social calendar of events including wine socials, movie nights, trips to nearby attractions, and Grandkids day. Call Today for Your Personal Tour 678.710.9023 102 High Mountain Trace, Canton, Georgia 30114

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NorthFulton.com | ForsythHerald.com | June 2019 | 5

Postpartum Pelvic Floor Disorders – Recovery after childbirth More than a third of women experience pelvic floor disorders. Vaginal delivery can lead to more significant issues in some women; pelvic pain, urinary incontinence, fecal incontinence, and pelvic organ prolapse, all of which can require non-surgical or surgical interventions. Your pelvic floor is composed of muscles that support and allow proper function of your bladder, uterus, and bowel. During pregnancy, a mother's body prepares for childbirth. This means that the pelvic bones must separate to make room for the baby. The hormone Relaxin loosens the pelvic ligaments allowing for the expansion of the uterus and passage of the baby during delivery. This increase in hormones (around ten times the average amount prepregnancy) can also affect other ligaments. Your knees and hips may also loosen, which can contribute to pregnancy hip and back pain. While signs and symptoms may vary in severity or duration, after delivery you may experience: • Hip, groin, or pubic pain enhanced by physical activity; • Pain during sex or persistent pain; • Urinary incontinence (for example, not able to hold your urine when you sneeze or when rushing to get to the bathroom); • Increased vaginal pressure sensation Our Female Pelvic Medicine and Reconstructive Surgery experts at Emory Women's Center located at Emory Johns Creek Hospital, 6335 Hospital

Are you looking for a Female Pelvic Medicine and Reconstructive Surgery center near you? As part of Emory Healthcare, the largest and most comprehensive hospital system in Atlanta, Emory Women's Center offers our patients diagnostic and therapeutic options tailored to their specific pelvic floor needs. If you are experiencing discomfort and pain as a result of the natural changes that may occur from pregnancy and especially after delivery our experts can provide a consultation and offer therapeutic options for repair of the pelvic floor muscles. Our team of board-certified specialists are highly trained in laparoscopic, robotic, and minimally invasive surgical techniques. Make an appointment today to discuss your treatment options.

For Patient Appointments: 404-778-3401 Emory Johns Creek Hospital 6335 Hospital Pkwy, Physicians Building, 2nd Floor, Suite 210, Johns Creek, GA 30097

Parkway can provide a consultation that can assess your risk before you deliver or offer therapeutic options for recovery or repair of the pelvic floor muscles after childbirth. Sana Ansari, MD who treats patients both at Emory Johns Creek Hospital and Emory Saint Joseph’s Hospital wants her patients to know, Dr. ansari “Education with early diagnosis and intervention can expedite recovery and decrease risk of progression of pelvic floor disorders after pregnancy and delivery.” Dr. Ansari, along with her Female Pelvic Medicine and Reconstructive Surgery colleagues offer patients diagnostic and therapeutic options tailored to their specific pelvic floor needs. At Emory Women’s Center, our team of board-certified specialists is highly trained in laparoscopic, robotic, and minimally invasive surgical techniques. We have four convenient locations to serve you: Emory University Hospital/The Emory Clinic on Clifton Road, Emory University Hospital Midtown, Emory Saint Joseph's, and Emory Johns Creek Hospital. Learn More To find out more about the Emory Women's Center Female Pelvic Medicine and Reconstructive Surgery services or to make an appointment to speak with Sana Ansari, MD, call 404-778-3401.


6 | June 2019 | NorthFulton.com | ForsythHerald.com

Empty Nest• Sponsored Section

Village Park Milton Located directly across from the Wills Park Equestrian Center, Village Park Milton is a luxury senior living community as vibrant as the park that neighbors it. Enriched by its equestrian community history, Village Park offers modern farmhouse style including repurposed materials from the original equestrian property and natural stone paired with charming walking paths, best-in-class amenities, invigorating social activities, and come-to-you-care. This inviting community is ideal for singles or couples seeking experience-rich community living along with customizable care options. Choose from a variety of cottages, bungalows, assisted living, and independent living options and a fully staffed Memory Care neighborhood to meet your right-sizing needs. Bungalows and cottages are the perfect place for residents to host family, friends, and neighbors, while assisted and independent living apartments and studios offer cozier spaces thoughtfully designed to fit every need with warmth, style, and comfort. Village Park’s multifaceted

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Empty Nest • Sponsored Section

NorthFulton.com | ForsythHerald.com | June 2019 | 7

The Memory Center Atlanta The Memory Center Atlanta is the Southeast Region’s most unique, allinclusive, residential memory care community for people living with Alzheimer’s and any other form of dementia. A diagnosis of dementia does not mean that you cannot keep many aspects of your current lifestyle. It simply means you may need assistance maintaining that lifestyle. At The Memory Center Atlanta, we strive to ensure you truly live with us. Daily activities include Music, Dancing, Local Entertainment, Outings, Art Therapy, Pet Therapy, Religious Services and more. Enjoy a drink in the Chattahoochee Tavern, grab a movie in the Fox Theater or enjoy an ice cream cone at the Bull Dog Café. All residents experience socialization and activities and

those who need 24/7 medical care will benefit from the care provided at The Memory Center Atlanta. We are proud to have Dr. Mohan, a locally and nationally renowned expert in the field of geriatric healthcare, as the Medical Director. Dr. Mohan works with our team of Licensed Practical Nurses and Certified Nursing Assistants to provide 24/7 care within the comfort of your loved one’s new home. Don’t let a crisis determine where your loved one can receive care. Deciding on memory care early enough, will allow your loved one the opportunity to have the best quality of life and that decision is priceless. Schedule a tour of The Memory Center Atlanta and learn more about how our entire team works together to provide a seamless transition

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from Medlock Bridge Rd. and directly behind Emory Johns Creek Hospital. Call Today – (770) 476-3678.


8 | June 2019 | NorthFulton.com | ForsythHerald.com

Empty Nest• Sponsored Section

East Haven offers choices for 55+ active adult living Choosing a new home, especially when you are near retirement, must include different factors. Your home should make it simple to enjoy your lifestyle and meet new people. It should be convenient to all your favorite areas around town and it should be easy to navigate around your home. East Haven in East Cobb offers great choices for 55+ active adult living. Currently under construction, these luxury townhomes priced from $695,900 are ready to have design choices made. The model home is ready to take homeowners on a tour of what their future home may look like. Other homes are currently under construction featuring three floors and elevator access. Lock & Leave Enjoy the greatest benefits of living in a 55 and better community. The ability to lock up your home and leave for a weekend or a month without worry is one

of the best reasons to buy a home at East Haven. Choose your home from one of the 28 luxury townhomes for those who are 55 and better. While you are at home, enjoy great amenities like a social gathering area, pavilion with pool and built-in grill. Inspired living right where you want it from $695,900

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©2019 Berkshire Hathaway HomeServices Georgia Properties. An independently operated subsidiary of HomeServices of America, Inc., a Berkshire Hathaway affiliate, and a franchisee of BHH Affiliates, LLC. Berkshire Hathaway HomeServices and the Berkshire Hathaway HomeServices symbol are registered service marks of HomeServices of America, Inc.® Equal Housing Opportunity. Restrictions apply. See Sales Agent for details.


Empty Nest • Sponsored Section

NorthFulton.com | ForsythHerald.com | June 2019 | 9

So you put your house in your trust. Now what? By Michelle Wilson Eldercare Attorney, Wilson Legal, PC Transferring your home to your trust is only the first step. What happens if there’s a house fire? What happens if you died in that house fire? If you were the primary claimant on your homeowner’s insurance policy, the insurance company will send a check payable to the Estate Wilson of “You.” Oops. You cannot deposit the check in your personal account nor can anyone else. You need a bank account in the name of your estate. How do you get a bank account in the name of your estate? You have to open a probate case. You have to file your will and a petition to probate your will and approve your executor with all the correct signatures, pay filing fees, wait for the court to review your filing and issue an order. And that’s the simplest it can be. What if one of your siblings decides they are mad at you because the house wouldn’t have burnt down if you hadn’t left dad’s heating pad on or some other reason and they won’t sign the probate petition acknowledgment form? ---- WAIT ---- how do you avoid all of this? Make sure your trust is listed as the primary claimant on your homeowner’s insurance. A pro tip from your friends at Wilson Legal, PC. Wilson Legal, PC 407 East Maple St., #105 Cumming, GA 30040 (770) 205-7861

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10 | June 2019 | NorthFulton.com | ForsythHerald.com

Empty Nest• Sponsored Section

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