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October Special Section
2 | October 2018 | NorthFulton.com | ForsythHerald.com
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It is fall and time for falls prevention Falls can be a leading cause of fatal and nonfatal injuries in persons over the age of 65 years. That is why it is recommend that all adults older than 65 years of age be screened annually for a history of falls or balance impairment. Fall injuries result in millions of emergency department visits annually. Approximately 25% of all falls can cause serious injuries, such as fractures or traumatic brain injury. The risk of falls that can result in serious injury increases with age. Injuries, such as hip fracture, and falls are can be risk factors for placement in a nursing home, where the fall risk is nearly three times that of persons living at home. Assessment: All persons older than 65 years should be assessed by their physician annually about whether they have fallen. Documenting the number of falls they have had and if they caused injury, and whether they have difficulty with walking or balance. Non-injury falls are an indication of potentially life-threatening events and are an opportunity for your physician to intervene.
Potential Risk Factors for Falls: • Balance impairment • Gait impairment • Muscle weakness • Medication use Interventions to Help Eliminate Falls: • Exercise or Physical Therapy • Vitamin D
• Medication Review • Home Safety Evaluation • Vision Correction • Foot Care With early intervention listed above you and your doctor can effectively decrease the potential for falls. Fall prevention is reimbursed as part of the
Medicare Annual Wellness Visit. You can schedule an appointment at Alpha Family Medicine for your evaluation and assessment. Checklists for home safety and risk factors for falling (Stay Independent brochure) are available at: http:// www.cdc.gov/steadi/patient. html
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Amelanotic Melanoma – A wolf in sheep’s clothing I recently saw a new patient at my practice that presented with an advanced stage of amelanotic melanoma. Very few people know about amelanotic melanoma. Amelanotic melanoma can easily be missed if people performing self skin-exams are not careful. The appearance of amelanotic melanoma is almost opposite that of what you would expect. However, as melanoma is now one of the top cancer killers in the U.S., it is worth people knowing a little about melanoma’s insidious variants. Melanomas are the most deadly common type of skin cancer. In the United States, almost 100,000 melanomas are diagnosed annually, and approximately 10,000 deaths occur each year from melanoma. They are usually brown or black because melanomas are cancerous growths of melanocytes – the cell type that produces melanin – the pigment in our skin that determines our skin tone and allows us to tan. Most of the time, cancers resemble the normal cell types from which they arise. For example, hair tumors often can still make primitive hairs under the microscope. Melanomas usually still make melanin and are usually brown or black. But every rule has its exception. An amelanotic melanoma is a melanoma that either 1) has lost its ability to make melanin or 2) never made melanin in the first place. First, scenario number one: it might be surprising that a cancer could lose what seems to be its most defining characteristic. However, cancers are cells that have gone bad – they are broken but still growing cells. A melanoma with enough mutations can stop producing melanin and appear completely white, pink or red without any visible brown or black pigment. This is one type of amelanotic melanoma, one that may have started brown or black but then lost its pigment. Second, scenario number two: some
extremely fair-skinned individuals often or Irish or far northern European descent are born without the ability to make brown or black pigment. If a redheaded individual, albino or other person without the ability to make brown melanin (also known as eumelanin) has a melanoma develop, that melanoma will also be unable to make pigment and can be white, pink, or red. Of course, what makes an amelanotic melanoma so scary is the possibility that we might dismiss it as harmless. In the modern era, patients are fairly well trained to look out for changing brown or black spots and to see a dermatologist if a brown or black spot enlarges. But we might easily dismiss a growing white, pink or red spot as a harmless mole or growth. Fortunately, dermatologists are trained to look for all types of cancers, and the most common type of skin cancer usually presents as a pink or red bump or patch. This cancer is basal cell carcinoma, and it is often the cancer that is suspected when a dermatologist first sees an amelanotic melanoma. Cancer exhibits disorder, and it is disorder that dermatologists try to spot. If a spot is growing asymmetrically, with an irregular border, dilated blood vessels, a tendency to bleed or other surface irregularities, then dermatologists will typically perform a biopsy to rule out skin cancer. For that reason, even amelanotic melanomas will usually be detected and biopsied during a skin exam when performed by a board certified Dermatologist. If you or a loved one has a concerning spot or risk factors for skin cancer, consider an appointment with a boardcertified dermatologist. Premier Dermatology and Mohs Surgery of Atlanta provides individualized care with expertise in skin cancer, venous disease and the full spectrum of medical and cosmetic dermatology.
NorthFulton.com | ForsythHerald.com | October 2018 | 3
4 | October 2018 | NorthFulton.com | ForsythHerald.com
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Together We Can End Alzheimer’s! Projections from the World Alzheimer’s Report warn that the number of people with dementia will more than double by the year 2040. The Alzheimer’s Association’s mission is to eliminate Alzheimer’s disease through the advancement of research as well as enhance care and support for those inflicted. In order to raise money for support and research, Village Park Senior Living participates in the Alzheimer’s Association Walk To End Alzheimer’s. One way to support seniors with varying forms of dementia, including Alzheimer’s, is to provide a safe and secure home with structured routines, fun activities, and individual care for stress-free living. Memory care programs provide physical activities, social engagement, therapeutic activities, nutrition, music therapy, arts and crafts, games, educational activities, outings, medication management, and as much (or little) help as needed in the activities of daily living. It can be difficult to start a new chapter in one’s life, but it can also be very rewarding. As Village Park CEO, Tim Gary says, “everyone has a story, an important life they are living and there is no doubt that Village Park is the place to tell it and share it.” This goes for the resident and the resident’s family members. It is
important for families to have peace of mind and relief from being the sole caregiver. Knowing that your loved one lives in a beautiful environment with caring staff and engaging activities allows the family to enjoy the time spent with their loved one. For this reason, Village Park offers a cozy yet spacious 18 bed memory care unit that boasts high ceilings, lots of natural light, an indoor “outdoor courtyard” feel in one of the common areas, a true outdoor courtyard, and a beautiful dining room. The memory care unit is specially designed to provide a family feel where it is easy to create routines and truly be at home. Visit the Alpharetta location at 12300 Morris Road, Alpharetta, call one of their talented community relations members at 678-740-3499 or go online at www.villageparkseniorliving. com. See what today’s memory care living is all about. Take a moment to donate to the Alzheimer’s Association. Every dollar makes a difference. Donations can be made at https://act.alz.org. Donations made on behalf of the Village Park Team page will be entered in a drawing. Wear your purple and join us and others in the Walk to End Alzheimer’s. See you on November 3, 2018 at the Duluth Town Center so Together We Can End Alzheimer’s!
Discover a new classclass in in Discover a new senior living – exclusive Discover a new class in to to senior living – exclusive Village Park — that combines senior living – exclusive to Village Park — that combines the community and character thePark community and character Village — that combines of private neighborhood with with of a private neighborhood thea community and character the culture and convenience the culture and convenience of a private neighborhood with of a modern city center. of a modern city center. the culture and convenience
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Vickery Rose Retirement Resort Imagine coming home to a warm, friendly community that’s luxurious, safe and comfortable. Maintenance and housekeeping included, and every meal of the day is expertly prepared and pleasing to the palette. With all the work done, you have time for family, friends and the important things in life. That can be your life at Vickery Rose Retirement Resort. Designed for your comfort, our community will feature studios, to 3-bedroom apartments with a variety of floor plans and smart details. Each apartment will feature window coverings, climate-controlled thermostat, ceiling fans, and ample closet space. Our kitchens will be fully equipped with a dishwasher, range, microwave, refrigerator and a garbage disposal. Washer/dryer hook-ups are located in a separate laundry closet within the apartment. Our professional staff will provide as-needed maintenance repairs and light housekeeping on a weekly basis. Vickery Rose’s stunning main dining room is the perfect setting to savor meals prepared fresh daily by the chefs in our state-of-the-art commercial kitchen. Experience our signature Freedom Dining program, which includes flexible dining hours throughout the day, plus these dining experience options: • Fine dining • Casual buffet • Chef’s Pantry on-the-go snacks • Room service Residents can access to on-site banking, salon, general store, and pharmacy services. Through our 24/7 concierge services, everything you need will be available at the touch of a button, even scheduled transportation on our shuttle. Relax by the fireplace in our community lounges, or a night of movies or live entertainment in the 150-seat theater. At Vickery Rose, there will be no shortage of social activities. Our community Lifestyle Directors consistently schedule unique activities designed to meet the resident’s requests. Ultimately, companionship and interaction with others are powerful tools to enjoy retirement and with so many entertaining options and the caring community staff on hand, Vickery Rose brings residents together.
NorthFulton.com | ForsythHerald.com | October 2018 | 5
6 | October 2018 | NorthFulton.com | ForsythHerald.com
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Reduce your taxes this year using oil and gas drilling partnerships By Casey Sullivan, CFP® and Marcus Ashworth, CFP® As Certified Financial Planners™ serving hundreds of families in the southeast, our clients frequently ask for ways to reduce their income taxes. Depending on their situation, we discuss retirement plan strategies, gifting strategies, business structures, and tax efficient portfolios. We believe one of the most under used and effective tax reduction strategies for accredited investors are Oil and Gas Drilling Partnerships. We are experiencing an American energy renaissance. With historic volumes of proven oil and natural gas reserves, the USA is poised to become a net energy exporter by 2022, according to the U.S. Energy Information Administration. To encourage investment in domestic energy production, the federal government grants direct investments in to oil and gas production very meaningful tax benefits. Properly structured oil and gas partnerships allow retail investors to reap tax benefits by investing alongside energy companies in domestic oil and gas wells. The tax deductions flow through to their personal tax returns. When used as part of a comprehensive wealth and tax management strategy, an oil or gas drilling partnership investment can be a powerful tool to reduce taxes while creating a long term tax advantaged income stream. An important consideration is the cash on cash return of the well. In other words, you want the well to pay you back. Thus every partnership must be vetted as not all are created equal. A good partnership should return the initial investment in 5-7 years, and continues producing an income stream for 20 years or more. Per the Internal Revenue Code, tax deductions from an oil/gas partnership investment are: Intangible Drilling Cost (IDC) – These may be expensed in the current tax year and may be used to offset ANY type of gain. This is an above line deduction like a charitable donation, which means gross adjusted income is reduced before any other calculations happen. In our experience, IDC deductions can be in the range of 70-85% of your total investment. These numbers can vary with each partnership. Percentage Depletion Allowance deduction. This is what makes the oil and gas income tax advantaged. Once the well generates revenue, 15% of the gross income is offset by the depletion allowance for the life of the partnership. Depreciation on well equipment. This is now accelerated and allows an
additional 10% of your investment to be deducted by the second year. (Tax Cuts and Jobs Act 2017) Besides lowering this years income taxes, oil and gas partnerships have other benefits including: Lowering the alternative minimum tax (AMT). Since IDC’s are an above the line deduction, they can lower alternative minimum taxable income without generating a tax preference. Roth IRA conversions. If you want to convert a traditional IRA or old 401k to a Roth IRA, the conversion triggers previously deferred taxes. An oil/gas partnership creates a tax loss to offset the taxes triggered by the conversion. Estate planning benefits. The IRS allows a discounted valuation for certain securities when calculating gift taxes. Per the IRC, an oil and gas partnership receives a significant discount for being a minority interest and another discount for lack of marketability. Investors can buy partnership units, use the up-front tax deductions and then gift the units to heirs at the greatly discounted valuation, effectively moving a large portion of the investment amount tax-free to heirs and provide them with tax-advantaged income. If your income is over $250K this year or your situation could benefit from the estate and tax strategies discussed, we may be able to help you. Please call our office at 770-771-5812 to discuss if an oil and gas partnership makes sense for your personal situation. Always consult your tax professional. We are happy to discuss this with them and run a no-cost tax analysis. Ashworth Sullivan Wealth Management Group, LLC is a Registered Investment Advisor. Securities offered through Triad Advisors, LLC, member FINRA/ SIPC. Ashworth Sullivan and Triad Advisors are not affiliated.
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NorthFulton.com | ForsythHerald.com | October 2018 | 7
Longleaf Communities Brought to you by Kathy Rice Atlanta Fine Homes Sotheby’s International Realty Longleaf Communities is the premier luxury homebuilder for active 55+ adults in metro Atlanta. Their spectacular, English Cottage style homes and communities are designed to meet the lifestyle needs and Rice wishes of active seniors while providing low maintenance living. With three convenient locations, Longleaf Communities provides things other Active Adult communities provide: proximity to area attractions and life necessities, low maintenance and ease of living, a lock and go lifestyle and neighborhood amenities. With a Longleaf home, you can have all that plus the distinguished architecture, attention to detail and superb craftsmanship you’re accustomed to. Our elegant homes feature airy floor
plans with lofty 10-foot ceilings and solid 8-foot doors outfitted with generous millwork throughout. Choose from a variety of custom cabinetry for your designer kitchen and select your preferred finishes for your designer bath. All of our homes feature two main
floor bedrooms, each with a full bath and laundry on the main. The upstairs includes a finished loft, additional full bath and the option to add another bedroom for more livable space to welcome guests. Longleaf currently has 3 communities: Village Green of East Cobb in
Marietta, Longleaf Woodstock in Cherokee County and Longleaf Battle Park in West Cobb. Our thoughtful floor plans and Longleaf’s reputation for superior craftsmanship are what makes Longleaf the luxury builder of active adult communities. www.longleafsouth.com (678) 697-4984
Battle Park • East Cobb • Woodstock 678.523.7063
THREE NEW LUXURY 55+ COMMUNITIES
Marketing and Sales by Atlanta FIne Homes Sotheby’s International Realty - 770.442.7300. © All Rights Reserved. Equal Housing Opportunity. Information contained herein is believed to be accurate but is not warranted and is subject to change without notice.
678.523.4872
678.525.0823
Call today for a private tour.
d. 678.697.4984 o. 770.442.7300
LONGLEAFSOUTH.COM
8 | October 2018 | NorthFulton.com | ForsythHerald.com
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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 experi-
ence 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. Gary Figiel, M.D., a locally and nationally renowned expert in the field of geriatric healthcare, as the Medical Director. Dr. Figiel 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 for your loved one into their new home. Located at 12050 Findley Rd, Johns
Creek, GA 30097, less than ½ mile in from Medlock Bridge Rd. and directly behind Emory Johns Creek Hospital. Call Today – (770) 476-3678.
NORTH ATLANTA’S HOT TOPICS ON PODCAST
Go to NorthFulton.com, click on Podcasts and select Inside The Box
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NorthFulton.com | ForsythHerald.com | October 2018 | 9
Four ideas for health care planning in retirement (NAPSI)—The Employee Benefit Research Institute estimates that a typical 65-year-old couple will spend a total of $265,000 in health care costs over the remainder of their lives. This staggering amount of money has the potential to derail even the best-laid retirement plans. Vanguard and Mercer recently developed a new framework, “Planning for Health Care Costs in Retirement,” that identifies practical tips for forecasting your health care expenses. Here are four top ideas: 1. Personalize health care costs. Start by understanding how your health history and current health status will influence expenses. Even your geographic location, marital status and age at retirement will impact your forecasts. 2. Plan for long-term care. This is a tough one to assess because half of retirees won’t even incur these costs, but on the other end of the spectrum, 15 percent of retirees will spend more than $250,000. Consider potential long-term care options, such as unpaid care from family and less-expensive available facilities. 3. Create a hedge in your budget for other expenses. Research shows that retirement spending in virtually all categories other than health care tends to decline with age. By forecasting steady spending in other expense areas, you may create a buffer in your budget to deal with rising health care expenses. 4. Forecast costs in annual spending. There are so many variables involved in estimating health care costs in retirement that trying to plan around a total lifetime budget can be overwhelming. Experts recommend that you focus on annual spending plans instead, provided that you understand costs will rise as you age. For seniors who are struggling to find cash in their retirement budgets to offset unexpected health care expenses, it may be a good idea to take stock right now of all your assets. Many seniors are surprised to learn that one potential asset for generating immediate cash is a life insurance policy. You should review your life insurance policy from time to time and determine whether or not it’s still needed. A life insurance policy is considered your personal property, so you have the right to sell it anytime you like. When a consumer sells a policy— something called a “life settlement” transaction—the policy owner receives a cash payment and the purchaser of the policy assumes all future premium
Arbor Terrace of Johns Creek offers exemplary memory care payments, then receives the death benefit upon the death of the insured. Candidates for life settlements are typically aged 70 years or older, with a life insurance policy that has a death benefit of at least $100,000. If you own a life insurance policy you no longer need or can afford, you may be able to generate immediate cash to pay your health care expenses by selling that policy for immediate cash. To learn more about life settlements, visit www.LISA.org or call the LISA office today at 888-921-3793.
Arbor Terrace of Johns Creek uses Teepa Snow’s trademarked Gem Programming, Positive Personal Approach and other techniques in caring for residents with a dementia challenge. This approach helps families relate to their loved one in a meaningful, engaging way. They offer personal appointments and tours for families to come and learn more about the Arbor Advantage and their 60-day guarantee of satisfaction. This exemplary resort-style community offers beautiful apartments for Seniors at every stage of their care needs. They have several floorplans for Assisted Living and in their Bridges neigh-
borhood. Families love Bridges higher engagement activities designed for early cognitive challenges. Their Evergreen Memory Care Neighborhood is available for when higher care is needed on their dementia journey. They also offer a furnished suite when needed. Families can now focus on the relationship with their loved one in a less stressful manner and begin to feel the peace of mind that comes from knowing their loved ones are exceptionally cared for by a well trained caring team of professionals. Call Arbor Terrace of Johns Creek at 770-676-2410 to schedule a personal tour.
remember b
THE MOM YOU IS STILL IN THERE ...
SHE DESERVES PREMIERE MEMORY CARE at Arbor Terrace of Johns Creek
• Positive, personalized approach • Activities tailored to needs at each stagee • Dedicated, trained staff CALL 770-790-0893 TO SCHEDULE A TOUR. ASK ABOUT OUR SUMMER SPECIAL RATES!
3180 Karen White Drive, Suwanee, GA 30024 | www.at-johnscreek.com
10 | October 2018 | NorthFulton.com | ForsythHerald.com
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Laser therapy comes to Johns Creek Class IV Laser Therapy is the most advanced pain relief technology available to the public and it’s now available right here in Johns Creek. Laser therapy uses a process called photo-bio-modulation to enhance your body’s ability to heal itself. Laser Therapy works by flooding the tissues with photons, energizing the damaged cells and increasing circulation to the painful area. Treatments are fast, painless and don’t require any down time but the therapeutic effect continues to soothe and heal long after you leave the office. Laser Therapy is FDA cleared to treat pain, inflammation, arthritis, and muscle spasms and are a great alternative to medications and injections. Laser Therapy can treat a host of conditions including rotator cuff injuries, post operative pain and soreness (for any surgery), frozen shoulder, Achilles tendonitis, plantar fasciitis, tennis elbow, neck pain, muscle strains, low back pain, migraines, and can even be used to relieve pain associated with diabetic neuropathy. Johns Creek Physical Therapy is the only medical practice in the area to offer Laser Therapy technology. “In the fourteen months we’ve had the Laser, I am constantly amazed at what it does for our patients,” says Marc Stewart, PT, owner at Johns Creek Physical Therapy. If you are experiencing any type of pain, Call 770-622-5344 to schedule your Free Consultation. Johns Creek Physical Therapy 4060 Johns Creek Parkway, Suite H Suwanee, GA 30024 770-622-5344 PAID ADVERTISEMENT
Solving Neck and Shoulder Pain at the Workshop Sponsored by JOHNS CREEK PHYSICAL THERAPY
The holidays are right around the corner and it’s time to start getting ready. Whether it is putting up the decorations, cooking a big holiday feast, or just getting out of the house this is the time of year you need to be able to turn your head and neck to see the traffic and use your shoulder to plan your festivities. The most common shoulder injuries involve the rotator cuff. This normally presents itself with pain while reaching out to the side, over your head, or behind your back. But sometimes shoulder pain can actually be coming from your neck and it’s important to sort out where the pain is actually coming from before trying to address the problem.
During the workshop you will learn the top three common causes of Neck and Shoulder Pain. If you are having neck or shoulder pain you won’t want to miss the next Free Neck and Shoulder Pain Workshop on Saturday, November 10, 2018 at 10:00 am. During the workshop, you will learn the top three common causes of neck and shoulder pain. You will also learn how shoulder pain can come from a problem in your neck. If you don’t find the actual source of the problem, you can find yourself constantly chasing your symptoms. When you come to the workshop,
we will teach you how to find the real source of your pain and treat yourself naturally, without medications, injections, or surgery so you can be ready for the holidays.
WINNER 2018
Best Of North Atlanta Presented By
If you have neck or shoulder pain, please accept our invitation to our next Free Neck and Shoulder Pain Workshop on Saturday November 10, 2018 at 10:00 am. Register by calling 770-622-5344 or visit www.johnscreekpt.com Johns Creek Physical Therapy, 4060 Johns Creek Parkway, Suite H, Suwanee, GA 30024, 770-622-5344
Marc C. Stewart, PT Johns Creek Physical Therapy, LLC
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NorthFulton.com | ForsythHerald.com | October 2018 | 11
Assisted living with passion and purpose We had a chance to catch up with the President of Brickmont Senior Living, Cheryl Kochensparger, to find out how Brickmont Senior Living at Milton came to be. Here’s what Cheryl had to say. WHAT SPARKED YOUR INTEREST IN SENIOR LIVING? My brother and I were searching for the perfect senior living setting for my mother. We wanted certain amenities with a nicely appointed feel, larger living suites and an overall elegant, vibrant atmosphere that was affordable. We really couldn’t find anything that fit the bill. WHAT IS IT ABOUT BRICKMONT THAT SETS IT APART FROM THE OTHERS? In our research, we found that pricing for assisted living and memory care was really confusing and never really consistent. Most pricing is dependent upon “levels of care” which can always be increased. We have all inclusive pricing which gives our residents and families peace of mind. Additionally, we had been in the hotel business for many years we knew we could build and create a beautiful environment with a
strong focus on customer service and hire experienced professionals to ensure the best care, activities and dining; all for an incredibly affordable price. We are a smaller company and that allows us to be really nimble and accommodating – we want to be the community of choice. IS THERE ANYTHING NEW ON THE HORIZON WITH BRICKMONT SENIOR LIVING? We have all kinds of exciting things in the works. We continue to add to our resident engagement activities which is truly exciting and we have a new community under construction in Woodstock, Georgia that’s scheduled to open late summer of this year. Honestly, we have experienced such a great reception to our Milton community that we felt compelled to offer this kind of value in other locations. IS THERE ANYTHING ELSE YOU’D LIKE TO SAY? We are just honored to be doing what we are doing. We care for very special people and feel a sense of pride every day. www.BRICKMONT.com
Live Where You’re Loved! Welcome to Carefree Living at Brickmont.
All inclusive pricing starting at $3500 a month. • Wellness & Engagement Programs • Spacious Studios, One Bedrooms and Two Bedroom Suites in Assisted Living
Schedule your personal tour today! 678.765.9882
• Memory Care Shared Suites and Studios Available
2925 Webb Road Milton, GA 30004 Brickmont.com
Veteran’s Administration Adopts 3 Year Lookback Period It’s official. As of October 18th, 2018, the Veteran’s Administration has adopted a 3 year lookback period for veterans and their dependents applying for the VA Pension Benefit plus Housebound or Aid and Attendance benefits. But it’s not the end of the world. Come join us on November 9th, 2018 to hear
more about the new VA rules and how you or your friends and family can still apply and receive this wonderful income-tax free income for life. Wilson Legal, PC 407 East Maple St., #105 Cumming, GA 30040 (770) 205-7861
12 | October 2018 | NorthFulton.com | ForsythHerald.com
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