June Special Section
2 | June 2021 | NorthFulton.com
HEALTH & WELLNESS • Sponsored Section
Health Insurance – What are my options, and what is right for me? Brought to you by - Josh Dougherty, Xperience Benefits After our 2nd year of being in business, it did not take long to figure out that people absolutely love talking about health insurance! KidDOUGHERTY ding of course. However, for as much as people do not WANT to talk about it, the truth is that you MUST talk about it. Why? For business owners that sponsor benefits, typically benefits are their 2nd highest cost behind payroll itself! For individuals, it has the potential to be a family’s largest bill besides their mortgage! So, what do we do? Given that we live in the 21st century, we take up arms (our keyboard) and Google “health insurance”. Doing so will give you a litany of large companies that pay to have their websites at the top of your page and most force you to input information so that some telemarketer will call you selling whatever policy their company pushes. Ok, that may be a bit extreme, but you get the point. So, what are my options and what is right for me? Well, we begin each conversation
asking where you are. If you are a business owner and you are looking to offer benefits to your employees, there are HMO, PPO, EPO & POS plans available. There are pros and cons to each one of these plans. Also, if you and your employees are willing to undergo simple underwriting, there are self-funded or level-funded plans that (if you qualify) allow you to garner quality PPO plans, at heavily reduced rates. If you are an individual/family seeking a plan, we would ask about 2 items: 1) you and your family’s overall health and 2) your household income. Why? There are plans on the individual market that, like above, if you can pass underwriting, you may be eligible for quality plans at a discounted rate. Regarding household income, the passing of the new CARES Act has expanded what is considered the Federal Poverty Level and has increased the amounts of subsidy dollars for folks that qualify for a Marketplace (aka Obamacare) plan. If this is not a route you have looked into recently, we encourage you to do so. Obviously, we would love to chat with you about your insurance needs, but at the end of the day, we just want people to be educated on their options. If you have a quality agent, reach out
to them and go through your options. Spend some time with them to really understand items such as the difference between a deductible and max out-ofpocket, or what in the world coinsurance is and how it affects me. Xperience Benefits is an indepen-
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HEALTH & WELLNESS • Sponsored Section
Why do some tumors track along nerves? Brought to you by: Premier Dermatology and Mohs Surgery of Atlanta At a recent conference, an outstanding lecture by Dr. Scott Lester of the Mayo Clinic, Rochester, provided insight into the question of why tumors exhibit “perineural invasion” – the behavior of tumors wrapping around and travelling along nerves. The answer is another example of how nature and biology never cease to surprise. In medical school, one of my favorite professors loved to say, “50% of what you are going to learn during these four years will ultimately be proved wrong.” As I sat in my hard wooden chair taking notes on apparently error-ridden knowledge, I hoped that the 50% that was misinformation was at least not the half that mattered. As it turns out, one of the pieces of misinformation apparently concerned perineural invasion. In medical school, I was taught that some tumors track along nerves because nerves are convenient highways to other parts of the body. This was the “path of least resistance idea.” Professors also posited that some of the vessels and lymphatics running along with the nerve are an additional reason for tumor growth along nerves – essentially the idea that tumors spreading along nerves is really just tumors spreading along the surrounding lymphatics and blood vessels – “business as usual.” Several recent studies presented by Dr. Lester have provided data that sheds new light on this subject: In one experiment, scientists placed a nerve next to but well apart from a tumor growing in a petri dish. The tumor extended a strand of cells in the direction of the nerve and grew toward the nerve. This challenges the idea that perineural tumor growth in patients is simply cancer extension along nerves already touching a tumor. Then, the scientists tested proteins found in the nerve and found that the entire nerve did not have to be present in the dish to attract tumor growth. When scientists put a small amount of a nerve protein called GDNF (glial derived neurotrophic factor) in the dish, the tumor grew towards the GDNF. Apparently, proteins in the nerve attract tumor growth. So nerves are not just highways: some tumors seek out nerves by growing towards proteins that nerves produce. In another experiment, scientists placed pancreatic cancer cells next to the sciatic nerve inside of a live rat. Predictably, the cancer grew and invaded the sciatic nerve. The muscles relying on the sciatic nerve were unable to function which caused partial paralysis. However, when the scientists delivered radiation to the rat’s sciatic nerve BEFORE
implanting the pancreatic cancer, the tumor grew but paralysis did not occur upon tumor implantation against the nerve. Nerves that had received radiation produced less GDNF. We have long thought of radiation as primarily working by killing cancerous cells because radiation is known to cause breaks in cancer cell DNA resulting in cell death. But these studies led Dr. Lester, a radiation oncologist, to ask if radiation therapy’s effect on healthy tissue is just as important to its success as its effect on cancer cells themselves. Perhaps in some cases, radiation’s effect on growth factors in healthy nerve tissue is critical to preventing cancer recurrence. As many questions as answers are raised by these studies. Will we one day have medicines that treat perineural tumors by inhibiting neurotrophic factors? For tumors that do not track along nerves but that invade muscle, bone or other tissue, will medicines increasingly target growth factors in these tissues to prevent spread? Already, medicine that targets “vascular endothelial growth factor” is being used to treat certain cancers. Perhaps one day a local injection of a medicine that blocks neurotrophic factors will be used to help treat perineural tumors. As a Mohs surgeon, I took interest in these studies because many skin cancers track along nerves and because identifying perineural invasion under the microscope is an important part of my job. When I find significant perineural invasion, radiation therapy after surgery is an option I discuss. I hope that I might one day be able to offer a targeted pill or injection as an alternative to radiation. However, I thought that these studies are of broad general interest because they are an intriguing example of how the obvious or intuitive answer so often is not the correct answer when biology is involved. Tumor growing along nerves is not just a case of taking the path of least resistance. So much of what we assume or are taught does not turn out to be the whole story. Nature is always more complex than we imagine, and new discoveries provide opportunities for medical advancement. If you or a loved one struggles with skin cancer or any dermatologic complaint, consider Premier Dermatology and Mohs Surgery of Atlanta. Dr. Brent Taylor and Kathryn Filipek, PA-C are delighted to help you achieve your skin health goals. Dr. Taylor is a Harvardgraduate, a board certified dermatologist and vein care expert, and fellowshiptrained Mohs surgeon. Kathryn Filipek has greater than 15 years of dermatology experience with expertise in medical, surgical and cosmetic dermatology including fillers, Botox®, and sclerotherapy.
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HEALTH & WELLNESS • Sponsored Section
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HEALTH & WELLNESS • Sponsored Section
The COVID-19 pandemic has highlighted the courage, resourcefulness and dedication of essential workers who toil day and night to ensure the safety and well-being of their fellow citizens. Whether you’re a delivery person, nurse, mechanic, police officer, psychologist, grocery clerk, teacher, plumber, doctor, truck driver, social worker, pharmacist, electrician or other essential worker, in your own way, you’ve helped members of your community make it through this difficult time. To all of you we say “THANK YOU.” You’re the reason our community is making it through this crisis.
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6 | June 2021 | NorthFulton.com
HEALTH & WELLNESS • Sponsored Section
Hey, Man — Know Your Stats If you’re a baseball fan, you probably know the batting average of your favorite player. If you look forward to football in the fall, you likely study the numbers to pick the perfect fantasy football team. You may know that COX NBA Hall of Famer Dominique Wilkins ranks first in Atlanta Hawks history for PTS (points, and Wilkins scored 23,292) and the Atlanta Braves’ Mike Soroka’s career ERA (earned run average) is 2.86. But there are other numbers even more important for you to know — your health stats. Do you know your BP (blood pressure)? What about your BMI (body mass index)? Maybe you can run an eight-minute mile or bench press 250 pounds, but when was the last time you got a good look at your health at an annual checkup? Men are less likely than women to regularly see a doctor. They might feel confident they’re healthy and only seek care if they get sick, or they may want to deny the signs of an issue. But it’s still crucial that men stay on top of their
health — and that includes knowing those stats. “Men need to check in with a doctor at least once a year for their annual physical,” said Wellstar Primary Care Physician Dr. Stephen Cox. “It’s better to be proactive with your health, find issues early and prevent problems before they start.” Men should know their health stats including: PSA (Prostate-Specific Antigen Test). Men who are 50 or older should discuss testing with their provider, according to the American Cancer Society. Men at a higher risk, including African American men and those who had a brother or father diagnosed with cancer before age 65, should ask their provider about testing at age 45. Patients who had more than one close relative with prostate cancer at an early age should have this conversation with their provider when they’re 40. LDL & HDL (low-density and highdensity lipoprotein cholesterol). This blood test measures cholesterol levels and should be part of your wellness routine starting in your 20s. For men age 20 or older, healthy LDL levels should be under 100 milligrams per deciliter, and
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aim to keep your HDL above 40. ALP (alkaline phosphatase), ALT (alanine transaminase) and AST (aspartate aminotransferase). These are enzymes made by the liver and will be included in the results of your comprehensive metabolic panel. Normal results are 40 to 129 units per liter for ALP, 7 to 55 for ALT and 8 to 48 for AST. BMI (body mass index). This metric determines whether you have a healthy body weight and categorizes obesity levels. A normal BMI range is between 18.5 - 25. BP (blood pressure). Your provider will take your blood pressure during your regular visit, but you can also find blood pressure checking stations at many pharmacies or buy your own device to use at home. Blood pressure under 120/80 is considered normal. BGL (blood glucose level). If you are diabetic, you should test your blood sugar regularly. Speak with your provider about if this is a health stat you need to monitor. Along with staying up-to-date on those health stats, men should also be getting regular colorectal cancer screenings. The American Cancer Society recommends that people at average
risk for colorectal cancer screening get checked regularly beginning at age 45. Screenings should continue through age 75, and after that patients can discuss their personal risk and history with their provider. Depending on your personal and family health history, your provider may recommend additional screenings. Be sure not to skip your annual physical, and reach out to your provider right away if you notice something wrong. To find a primary care provider to partner with you in getting healthy, call (470) 267-0360 or visit wellstar.org.
HEALTH & WELLNESS • Sponsored Section
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JOHNCARE John Petrick loves the simple life – like crisp wind in his face during his morning bike ride and the spin of the reel on his fishing rod when he’s hooked a “big one.” Perhaps he revels in simplicity because, beneath the surface, John’s heart health is rather complicated. With diagnoses of ventricular tachycardia (VT), atrial fibrillation (AFib) and congestive heart failure, one thing is certain – John’s heart requires tailored treatment. That’s why he chose Wellstar. Here, we know every person’s heart is one-of-a-kind. At Wellstar North Fulton Hospital, our entire team of general and interventional cardiologists as well as electrophysiologists treat conditions from murmurs to heart attacks. Patients with complex cases can access advanced heart failure and peripheral vascular cardiology specialists and even structural heart care experts. And, when it comes to our world-class cardiac surgeons, your heart is in the best hands. That way, you can focus on the more important things in life. Which, in John’s case, is going fishing. wellstar.org/peoplecare Wellstar North Fulton Hospital 3000 Hospital Blvd | Roswell
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HEALTH & WELLNESS • Sponsored Section
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We Salute All Essential Workers! Thank you for sacrificing your time, your energy, your safety and your lives for those of us who cannot do the work you do.
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Thank you doctors, nurses & healthcare workers. Please stay safe! WINNER 2017
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Serving Communities North of Atlanta www.HomeHelpersHomeCare.com/Alpharetta
For a free consultation, please call 770-681-0323
10 | June 2021 | NorthFulton.com
HEALTH & WELLNESS • Sponsored Section
Smile Doctors by Jordan Orthodontics and Awbrey Orthodontics Brought to you by: Dr. Jeffrey Jordan and Dr. James Awbrey This summer, we celebrate over three decades of providing quality orthodontic services in the Alpharetta and Dunwoody areas. We truly appreciate all the families that have supported us over the years as we have enjoyed changing lives one smile at a time. We are proud to be the “neighborhood” orthodontists of our communities. In 2018 we partnered with an orthodontic organization known as Smile Doctors. We were excited about the opportunity to join a trusted organization that focuses on a culture of integrity, excellence and care for patients, families and our teams. Smile Doctors provides us with immediate support and systems to allow us to focus on why we got into this profession in the first place: patient care and excellence in orthodontics. Smile Doctors was founded by and is comprised of talented, like-minded orthodontists who have a shared passion for technical excellence and highquality care, the basis of our camaraderie. Smile Doctors uses the most advanced technologies such as Invisalign and Dental Monitoring, as well as traditional braces that offer self-ligation and lower profile materials. With Dental Monitoring we are able to offer an excellent patient experience by offering virtual visits and communication. Patients appreciate the respect of their time and love being able to be “seen” on a regular basis without having to take time to come into the clinic, making their in-person visits
more streamlined and efficient. With Smile Doctors we are afforded cutting edge and novel technologies for the benefit of our patients. We are not just straightening teeth—We are
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HEALTH & WELLNESS • Sponsored Section
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Compression Therapy: Squeezing the pain right out of your body Brought to you by: Hydralive Therapy Whether you’re an elite athlete or just someone who likes staying active, aches and pains are almost unavoidable. It’s easy to reach for a bottle of pain-relievers and hope it gets you through your work day or next workout. But alternative healing such as compression therapy is becoming more popular among Americans. Compression therapy uses inflatable sleeves that apply pressure to the legs, hips or arms. This therapy aims to increase blood flow and combats soreness, inflammation and swelling. Who would benefit from compression therapy? Athletes If you’re using your legs, compression therapy is right for you! Runners, swimmers, cyclists, triathletes, weightlifters, crossfitters, mudders, walkers and many others. Anyone who works on their feet all day. Gravity causes poor circulation in your legs when you are standing all day such as Nurses, Doctors, Chiropractors, Construction Workers, Wedding Photographers/Videographers and much more. Anyone who battles poor circula-
tion would benefit such as Diabetes, Varicose, Peripheral Artery Disease and just about any circulation disease with the exception of Deep Vein Thrombosis. Any who enjoys a relaxing massage! The NormaTec compression therapy feels like a gentle myofascial massage–which we recognize is a contradiction in terms! Just envision sitting back and relaxing with a post-workout beverage for anywhere from 10-60 minutes, having your legs massaged, flushed of lactic acid and reinvigorated for your day! I guess you just need to try it to believe it. How often should you get treatment? The frequency of treatment depends on lifestyle, but it’s important to remember compression therapy works for people of all walks of life. For top-tier athletes, it can be almost daily. For high school athletes, compression therapy is beneficial post-practice or game. It also works for anyone trying to boost recovery, whether you’re training for a 5K or a marathon. Bring a friend to Hydralive Therapy® and come get your “squeeze”, freeze and IV Drip on!
12 | June 2021 | NorthFulton.com
HEALTH & WELLNESS • Sponsored Section
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Brought to you by: David Remaley, DDS Roswell Dental Care The Surgeon General’s Report on Oral Health states that good oral health is essential to good general health. And specifically for women, a REMALEY growing body of research has linked gum disease to a variety of health problems that affect women. Because gum disease is a bacterial infection, it can enter the bloodstream and may be a factor in causing other health complications: • Heart disease: People with gum disease may be more at risk for heart disease and have nearly twice the risk of having a fatal heart attack. Heart disease is also the number one killer of American women.1 • Stroke: One study found a casual relationship of oral infections as a risk factor for stroke.2 • Diabetes: People with diabetes are more likely to have gum disease and may make it more difficult for diabetics to control their blood sugar. Gum disease may also be a risk factor for diabetes, even in otherwise healthy indviduals.3 • Respiratory problems: Bacteria that grow in the oral cavity can travel to the lungs causing respiratory disease such as pneumonia - especially in people with gum disease.4 • Pregnancy outcomes: Pregnant women who have gum disease may be more likely to have a baby born too early or too small. Gum disease may also trigger increased levels of biological fluids that induce labor.4 Because gum disease is usually painless, many women may not even realize they have it until it reaches an advanced state. Your best defense is to brush and floss daily and see your dentist regularly. How do My Oral Health Needs Change Throughout My Life? Women have special oral health requirements during the unique phases in their lives. Changes in female hormone levels during puberty, menstruation, pregnancy and menopause exaggerate the way gums react to plaque. So at these times, women need to be especially thorough when brushing and flossing every day in order to prevent gum disease. Other important information you should know:
• Menstruation — some women find that their gums swell and bleed prior to their periods, while others experience cold sores or canker sores. These symptoms usually go away once your period starts. • Oral contraceptives — inflamed gums are one of the most common side effects. • Pregnancy — studies show many pregnant women experience pregnancy gingivitis, when dental plaque builds up on the teeth and irritates the gums. Symptoms include red, inflamed and bleeding gums. Prenatal care is especially important. • Menopause — oral symptoms experienced during this stage of a women’s life include red or inflamed gums, oral pain and discomfort, burning sensations, altered taste sensations and dry mouth. • Osteoporosis — a number of studies have suggested a link between osteoporosis and bone loss in the jaw. Researchers suggest this may lead to tooth loss because the density of the bone that supports teeth may be decreased. When combined with gum disease, osteoporosis speeds up the process of bone loss around the teeth. Your mouth is the gateway to your body and is directly related to all systemic problems. Maintaining good oral health habits now is especially important because unhealthy bacteria in the mouth not only can harm your teeth and gums but may be associated with serious medical conditions. Research has shown that infections in the mouth may be associated with heart disease, stroke, diabetes, pneumonia and other health problems that are common in older adults. It really only takes a few simple steps, including brushing and flossing at least twice daily, visiting your dentist regularly and eating a healthy diet. Roswell Dental Care can help you keep that healthy smile for a lifetime. Dr. David Remaley and Dr. Destinee Hood have been treating patients like family for over 30 years in Roswell and the North Atlanta area. We ALWAYS welcome new patients. Give our office a call at (470) 288-1152 for a FREE 2nd Opinion or the schedule for a regular dental checkup.
HEALTH & WELLNESS • Sponsored Section
CBD and Catching some ZZZ’s Brought to you by: The Hemp Farm Store Almost 80% of Americans admit to having trouble sleeping at least once per week. Sleep deficiencies can wreak havoc on our bodies and impair our immune system and mental health. Cannabidiol (CBD) can offer some relief to help you get more restful sleep. While CBD is most sought out for relief from chronic pain and anxiety, alleviating those issues can also help you relax and fall asleep without the troubling circles your brain plays at night. CBD and other cannabinoids interact with proteins and cells in your brain and throughout your
body. This network of cells and neurotransmitters, known as the endocannabinoid system, plays a vital part in regulating numerous body systems such as circadian rhythms, mood, appetite, and sleep. CBD is a safe, non-habit forming, natural alternative to prescription sleep aides that may help you get some muchneeded sleep. There are several different delivery formats, i.e. vapes, edibles, tinctures, as well as multiple concentrations of CBD and other cannabinoids. Do some research and speak to a qualified representative to find what products can most help your needs.
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HEALTH & WELLNESS • Sponsored Section
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June is National Cancer Survivor Month Brought to you by: Jonathan Stegall, MD The Center for Advance Medicine
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This month, we celebrate cancer survivors as part of National Cancer Survivor Month. STEGALL For those of you who are reading this who are cancer survivors: congratulations! Surviving a cancer diagnosis is a significant accomplishment. Despite the media attention given to the number of people diagnosed with cancer, as well as those who die from cancer, I believe we should also focus on cancer survivorship. It is estimated that there are roughly 17 million cancer survivors in the United States. Due to significant advances in research and education, many people who are diagnosed with cancer are beating the disease. I am very proud of the fact that I have many cancer survivors in my oncology practice. I can attest to the significant amount of hard work on the part of patients and their families, as well as medical personnel, required to beat cancer. It truly takes a team of dedicated people to achieve that level of success, and my staff and I are honored to join our patients in their cancer journeys. If you are a cancer survivor, keep up the good work! Stay motivated in your quest to keep cancer at bay. For cutting edge cancer information, please check out cancersecrets.com to learn more about my bestselling book and award-winning podcast.
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