Health & Wellness – March 2020

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March Special Section


2 | March 2020 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

Pediatric services now at Wellstar Avalon Health Park Same-Day Appointments Available For busy parents juggling everything from diaper changes and toddler tantrums to homework assignments and after-school activities, Wellstar brings balance to ensuring your child’s health. Wellstar’s newest pediatrics office – its first in the North Fulton area – is now open at Wellstar Avalon Health Park. Pediatricians Brandi Lewis, M.D., and Hebah Pranckun, D.O., offer a full range of personalized, close-to-home services for children and young adults, from birth to age 21. Though comprehensive services range from well child and sports physicals to developmental consultations, each physician specializes in areas aimed to help children thrive. Meals, Medicine & Milestones Dr. Lewis’s areas of interest include nutrition and culinary medicine, an emerging medical field blending the art of food and cooking with the science of medicine. “I love teaching families how the foods we eat can prevent and even treat diseases,” said Dr. Lewis. “Culinary medicine is now being integrated into medical school curriculums. It’s all about finding the right diet for people’s specific health conditions, like diabetes or high blood pressure.” Like Dr. Lewis, Dr. Pranckun is interested in nutrition and lifestyle and preventing/treating obesity in children.

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Wellstar Medical Group Pediatrics Monday-Friday, 8 a.m.-5 p.m. Avalon Health Park 2450 Old Milton Pkwy., Suite 203 Alpharetta, GA 30009 470-267-0380 Appointments also available through Zocdoc She is also committed to vaccine education. “The Centers for Disease Control (CDC) perfectly explains the importance of vaccinating: ‘On-time vaccination throughout childhood is essential because it helps provide immunity before children are exposed to potentially lifethreatening diseases.’” Seamless Convenient Care Both Alpharetta residents, and both mothers of young children, the physicians are enthusiastic about the convenient, personalized care they are offering the families they serve. “Patients will almost always see the same doctor,” said Dr. Pranckun, “so we establish close relationships with our patients and there’s continuity of care. Dr. Lewis and I share the same values and philosophies about patient care – our practices are intertwined – so in the rare event someone doesn’t see the same physician, they’ll experience our similar styles.” The physicians cite convenience as another major draw for their patients. Imaging and lab services are available at Avalon Health Park, and prescriptions can be filled nearby. “And when children reach age 22, Wellstar Family Medicine is next door,” said Dr. Pranckun. “Avalon Health Park is one convenient stop for the entire family.”

Meet Dr. Hebah Pranckun Meet Dr. Brandi Lewis “Pediatrics is my passion because there’s no better way to make a difference in the work than caring for and advocating for the next generation. They are our future!” Lives in Alpharetta with husband, and daughter, Leena (18 months) Hobbies: Scuba diving, playing/watching sports 3 years experience Fluent in English, Spanish, Arabic Medical degree: Edward Via College of Osteopathic Medicine Residency: Jersey Shore University Medical Center

“I’ve always loved working with children. During college I worked at a children’s hospital and that helped solidify my decision to go into medicine.” Lives in Alpharetta with husband, daughter, Justice (8); and son, Christian (4) Hobbies: Baking, photography, reading 10 years experience Medical degree: University of Cincinnati College of Medicine Residency: Cincinnati Children’s Hospital Medical Center

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HEALTH & WELLNESS • Sponsored Section

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BETTER HEALTH HAPPENS HERE

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4 | March 2020 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

Emory Women’s Center at Findley Road expands service to include midwifery care Emory Women’s Center at Findley Road is excited to expand our women’s health service to include midwifery care. Our Certified Nurse-Midwives are experts in providing safe and satisfying personalized healthcare to mothers during pregnancy, labor, birth, and breastfeeding. Our Certified Nurse-Midwives’ family-centered care extends throughout the postpartum period and beyond. To make an appointment call: 404-778 - 3401

Emory Women’s Center at Findley Road is excited to expand our women’s health service to include midwifery care. Our Certified Nurse-Midwives are experts in providing safe and satisfying personalized healthcare to mothers during pregnancy, labor, birth, and breastfeeding. Our Certified Nurse-Midwives’ family-centered care extends throughout the postpartum period and beyond. While midwifery has roots in traditional birthing practices, the choice to use a midwife has become increasingly popular in our modern time, with the number of hospital births attended by midwives increasing annually. In 2018 National Vital Statistics Reports recorded that Certified Nurse-Midwives attended 351,968 births nationally, which represents 9.1% of total US births.

JANICE COLLINS, CNM

CHRISTINE HIGGINGS, CNM

ANTOINETTE LEEGREGORY, CNM

MIDWIFERY AT FINDLEY ROAD FAQS What is a Certified Nurse Midwife? Certified Nurse-Midwives (CNMs) are classified as advanced practice registered nurses (APRN). In addition to traditional RN training, CNMs complete coursework through an accredited master’s or doctoral degree program. Our certifi­ed nurse-midwives can provide reproductive healthcare services, as well as care throughout and after delivery. What services can a CMN provide outside of my pregnancy and delivery needs? Emory CMNs complement our full range of women’s health services. Working in partnership with our OBGYNs, our CMNs may provide you other healthcare services such as: • Breastfeeding training and education • New parent education on infant care (i.e., SIDS and colic) • Birthing process preparation for

parents-to-be and counseling on issues including anesthesia and how to handle complications • Providing regular exams before and after childbirth • Staying with a mother during the labor and delivery process • Being on the lookout for complications that require medical intervention by one of our Emory Women’s Center OBGYNs • Providing postpartum care for mothers and infants OBGYN or CMN, how do I know which is right for me? Part of the benefit of choosing Emory Women’s Center is the partnership with our Emory faculty obstetrics and gynecology physicians who are present twenty-four hours a day at Emory Johns Creek Hospital. If you have been diagnosed with a preexisting condition that may create a need for complex care management or cesarean delivery, our OB-GYNs are on-hand to assist in any pregnancy need to safely deliver your baby. If you are interested in learning more about Emory Women’s Center at Findley Road or want to schedule an appointment with one of our Certified NurseMidwives, please contact us at 404-7783401. 12000 Findley Rd., Johns Creek, GA 30097.


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6 | March 2020 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

When you need an Advance Directive for healthcare and who you should choose By MICHELLE WILSON Wilson Legal, PC According to the Wall Street Journal today, Coronavirus has spread in CA and NY state. Nine new cases in California and four in New York. WILSON Total cases in the US is now at 100 with 10 deaths in the US according to the Centers for Disease Control and Prevention. Viruses can affect people of all ages. If you are under the age of 18, then your parents can give permission for doctors to treat you. If you are over 18, your parents would have to get your permission to give health directions to doctors. In emergency settings, hospitals will do what is needed to help you oftentimes without asking for or reading an advance directive for healthcare. O.C.G.A. 31-9-3 says that your consent is implied when your life is in jeopardy or delay might result in disfigurement or impaired faculties and under the previous section anyone related to you in the first degree – that’s a parent, grandparent, adult grandchild, aunt/uncle, niece/nephew could consent to treatment for you. What if your situation is not life threatening? Or what if the person authorizing the treatment is not the

Workshops • Probate Court Basics, March 20, 2020, 3 p.m. • Basics of Wills/Trusts/Healthcare Directives/ Financial Powers of Attorney, April 17, 2020, 3 p.m. • VA/Medicaid Basics, May 15, 2020, 3 p.m. person you want to be in charge? I have had couples tell me that they love their spouse, but their spouse is not the best person to give permission for medical treatment because they just don’t have the personality to be able to make those really hard decisions. In those situations, maybe a sibling or good friend or parent is the better choice. When we have situations like the virus infecting our world today, it’s important to stop and review the people you have chosen to handle your medical treatment decisions. If you want to make a change or even have more than one (a panel) in charge instead of the people the hospital might automatically choose, then give my office a call. We are ready to help make sure you are legally prepared to deal with the Coronavirus or any other virus that spreads to our community. Our office number is 770-205-7861.

Arbor Terrace of Johns Creek offers exemplary memory care 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.

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Addicted skin – Does your skin have a habit? By DR. BRENT TAYLOR Premier Dermatology and Mohs Surgery of Atlanta Many people assume that medications that do not require a prescription are relatively harmless. Over the Counter (OTC) DR. TAYLOR medications include drugs like acetaminophen (Tylenol®), ibuprofen, aspirin, and, in dermatology, hydrocortisone. Given the current opioid epidemic, almost everyone is aware of the dangers of abusing prescription drugs, but I have found that a fair number of my patients have caused themselves harm with some very common OTC medications. Medications like Tylenol have a lower therapeutic window meaning that the toxic dose is not much higher than the recommended daily dose. A toxic does of Tylenol causes liver failure. Other medications like aspirin can cause stomach ulcers and bleeding when taken in abundance. In dermatology, the over the counter medication with which patients often have the most problems is hydrocortisone. It is present in numerous medications including Cortizone-10® and some types of Preparation H® as well as eczema and itch-relief creams. Hydrocortisone is a topical steroid. Steroids are wonder drugs in medicine. Before steroids were available, many diseases were a death sentence or at least a sentence to a life of pain and disability. Steroids suppress the immune system broadly. They have the ability to treat patients with diseases like lupus, rheumatoid arthritis and a host of other autoimmune and inflammatory conditions. Steroids are also “dirty drugs” in the sense that they carry a host of side effects ranging from increased risk of cataracts, glaucoma, and diabetes to osteoporosis, trouble sleeping, anger issues and the list goes on. Nowadays, medications with fewer side effects are available, but steroids remain indispensable in many circumstances. When used on the skin, topical steroids are also a mixed blessing. They are amazing at helping with poison ivy and are still the go-to medication for most cases of eczema and many nonspecific itchy rashes. However, topical steroids used chronically will thin the skin, cause easy bruising, stretch marks and fragile skin. And even a few days of applying topical steroids to the face

can sometimes lead to “addicted skin,” that breaks out in acne-like lesions or rashes whenever someone stops using the topical steroid. If someone unwittingly uses hydrocortisone on the face, he or she may develop a case of perioral dermatitis or steroid acne that can take weeks or months of oral antibiotics and other topical medications to quiet down and control. Another pitfall of topical steroids like hydrocortisone is their potential to make infections worse. Because steroids suppress the immune system, conditions of inappropriate immune activation like eczema and poison ivy rashes get better with steroids. Unfortunately, infections can get worse because we rely on an intact immune system to fight bacteria, yeast and viruses. If that rash you thought was eczema turns out to be fungus, then putting a steroid on it can allow the fungus to grow. Certain medicated lip balms contain hydrocortisone and cause viral outbreaks. Again, topical steroids suppress the immune system. So, if someone has ever had the “cold sore” virus HSV-1 (which between half and two thirds of the population has), then applying a topical steroid can allow the virus to reactivate and cause more frequent and worse cold sore outbreaks. Likewise, I have seen many cases recently of parents putting hydrocortisone on their children’s eczema in the setting of a molluscum infection, and the molluscum has spread and become very severe. A final important note: topical steroids generally do not cure anything – they merely control certain diseases. Whenever possible, it is important to identify the underlying cause of the disease so that it can be addressed. As a vein specialist and dermatologist, I have many patients who thought they simply had “eczema” on their legs when in fact they had “stasis dermatitis” due to underlying vein disease. Curing vein disease not only often eliminates lower leg eczema but also often cures symptoms of leg pain, heaviness, night cramps, restless legs and other lower extremity complaints. If you or a loved one has a skin ailment, particularly a concern for skin cancer or vein disease, consider making an appointment with Dr. Brent Taylor of Premier Dermatology and Mohs Surgery of Atlanta. Dr. Taylor is a board-certified dermatologist, fellowship-trained Mohs surgeon, and is certified by the American Board of Venous and Lymphatic Medicine. We look forward to taking care of you.

NorthFulton.com | March 2020 | 7


8 | March 2020 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

The New Strong Gaining control over your fitness and your life For many people, aging equals lower metabolism, weight gain and less energy for activities you enjoy. This is directly related to loss of lean muscle. While you can’t avoid getting older, there are some steps you can take to stop the process of muscle loss and start rebuilding healthy, lean muscle. It doesn’t matter how old you are or whether you haven’t exercised in years. You can still regain lean muscle that improves your shape and increases your metabolism. Our downfall is inactivity. Too much sitting is the new smoking. Our bodies were meant to be active, stay active and be strong. When we stop doing meaningful exercise, we lose ground. What is meaningful exercise? A critical component of stimulating the improvements we seek from exercise is the achievement of momentary muscular failure in each exercise performed. With steady-state activities, like walking on a treadmill or biking, there is no mo-

mentary muscular failure involved. Unless activity is demanding, it is practically worthless from an exercise perspective. However, if an activity is sufficiently demanding to take the targeted muscles to momentary failure, then it qualifies as meaningful exercise. Muscle failure should be viewed as a means of signaling the body that it needs to get stronger in order to meet the demands being placed upon it. What is the SuperSlow Zone solution? The SuperSlow Zone protocol is the original and genuine slow-motion, personal strength training workout. The exercise protocol has been proven successful in both building muscle and increasing resting metabolism, thus allowing the body to burn more calories at rest. SuperSlow Zone provides a safe and effective workout in a short amount of time so that you can get in, get out, and get on with your busy life!

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HEALTH & WELLNESS • Sponsored Section

Can stress cause cancer? By JONATHAN STEGALL, MD The Center for Advanced Medicine Did you know that negative emotions such as stress increase cancer risk substantially? A study published several DR. STEGALL years ago found that women who experienced a significant, negative life event had an increased risk of developing breast cancer. The breast

An ounce of prevention … By Dr. VEENA BHAT North Fulton Smiles They say “An ounce of prevention is worth a pound of cure” This is very true in dentistry as well. In today’s world we live longer and desire to live well into our older age. We take medications for chronic illnesses and health management that affect our teeth and oral health. Our dietary habits have changed dramatically – we no longer eat “3 square meals” but rather tend to graze throughput our days and eat 5-6 smaller mini meals, without cleaning our teeth in-between meals. The abundance and availability of drinks—energy, fruit juices, water substitutes, sodas, even sugar-free drinks, contribute to a sipping-throughout-the-day-habit that becomes a constant insult to the health of teeth. Because of these reasons, it has become even more important to maintain regular visits and supplemental care to maintain good oral and dental care. The annual cost of preventative care is worth the price and proves to be cheaper, even if one does not have dental insurance. Preventative care which includes routine 6 month checkups (or more frequent as recommended by a dentist) allows for early detection of dental caries ( decay), maintenance of good gum health so as to prevent gingivitis or more advanced periodontal disease. While repairing a decayed tooth is possible and treating periodontal disease is an option, the loss of tooth structure is permanent and can be avoidable with good routine care. For a thorough assessment of your dental health, we invite you to call us at 770-569-0613 or visit our website at www.northfultonsmiles.com

cancer risk was even greater in women who experienced a severely striking life event. Other studies have shown similar findings regarding stress and cancer risk. We know that stress sets off a cascade of events inside the body involving various hormones and neurotransmitters which affect the health of the body’s cells. Our current understanding is that significant stress, especially over the long term, causes significant damage and dysfunction which can result in cancer. It turns out that the

mind isn’t a separate entity from the body, but rather, in close communication with the body at all times, with tremendous power over how the body functions! The good news is that there are many strategies we can adopt in order to reduce our stress and anxiety. I highly recommend a regular daily practice of prayer and meditation. Exercise, being outside in nature, and engaging in healthy relationships with others are also proven stress-lowering strategies.

NorthFulton.com | March 2020 | 9


HEALTH & WELLNESS • Sponsored Section

DR. J. REYES

DR. KENKEL

NURIA NELKIN, CNM

DR. MMBAGA

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women to focus on wellness. Midwives encourage women to take greater ownership of their health, their pregnancy and the outcomes of their pregnancy. According to the American College of Nurse Midwives (ACNM), benefits of midwifery care during pregnancy include decreased labor induction, augmentation and cesarean rates, reduced rates of regional anesthesia, decreased infant mortality, decreased risk of preterm birth and fewer third and fourth degree tears. ACNM also reports midwifery care

DR. KIM

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increases successful breastfeeding as well as satisfaction with quality of care. Certified Nurse Midwives traditionally provide care of low risk pregnant patients. However, through collaborative management, midwives are able to continue care for many high risk patients as well. Should a pregnancy become high risk, a midwife will consult supervising physicians, perinatologists and other healthcare professionals and make appropriate referrals as needed. During the labor and delivery process,

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a backup physician is readily available at all times should the maternal or fetal status necessitate additional assistance or intervention from an obstetrician. Certified Nurse Midwives not only provide care during prenatal visits and childbirth, but also assist women with family planning, annual visits and certain gynecologic problems and concerns. In choosing a midwife, women are choosing personalized women’s healthcare and wellness across their lifetime. Modern ObGyn invites you to our Midwife Meet and Greet at our Johns Creek office (10692 Medlock Bridge Rd., Suite 100-A Johns Creek, GA 30097) on Monday, April 20, 2020 from 6-8PM. Meet our Midwifery team, see our Johns Creek office, enjoy delicious food and be entered to win pampering giveaways just for attending! Please RSVP to pr@ reyesobgyn.com or on our Facebook or Instagram pages @ModernOBGYNPC. We look forward to meeting you!

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Midwifery services are becoming increasingly popular across the United States, including Georgia. A Certified Nurse Midwife LIZ COLEMAN, CNM (CNM) is a licensed healthcare professional specializing in women’s reproductive health and childbirth. CNMs are certified through the American Midwifery Certification Board after completion of a master of science in nursing degree that includes extensive classroom and clinical education. During pregnancy, a woman may choose to see a midwife over a physician because midwifery care focuses on pregnancy and labor as a normal life process rather than a medical condition to be treated. Certified Nurse Midwives develop trusting relationships with patients throughout the pregnancy and empower

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10 | March 2020 | NorthFulton.com

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12 | March 2020 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

3 tips to prevent muscle cramps in growing athletes As growing athletes participate in sports training, they may experience muscle cramps as a result of heat, dehydration and improper stretching or warm-ups. “Muscle cramps are involuntary contractions of the muscles that can occur at any time, interrupting a workout or game in the blink of an eye,” says Lindsey Ream, MEd, LAT, ATC, Athletic Training Manager in the Children’s Healthcare of Atlanta Sports Medicine Program. What causes muscle cramps? Muscle cramps may be caused by extended periods of exercise, muscle fatigue from overuse, dehydration or muscle strain. They can occur anywhere on the body but typically target the lower extremities like calves or feet. 3 tips to prevent muscle cramps 1. Drink plenty of fluids. • Pre-hydrate 30 minutes before an activity. Drink until no longer thirsty, plus another 8 ounces. • Drink 5 ounces every 20 minutes of activity for kids and teens weighing less than 90 pounds. • Drink 8 ounces every 20 minutes of activity for kids and teens weighing more than 90 pounds. For activities that last longer than

an hour, it is best to find a sports drink designed for rehydration during exercise. Specifically, one that contains electrolytes and about 6-8% of carbohydrates (sugar), such as Gatorade or Powerade. We do not recommend drinking fruit juice or soda, as they contain too much sugar and can cause cramping. 2. Stretch your muscles every day. It is important for growing athletes to warm up properly, whether that be a dynamic warm-up or activity specific stretching, ideally before and after an activity. While kids are still growing, stretching before bedtime is also recommended, because they tend to get night cramps. 3. Don’t suddenly increase activity or the amount of exercise. An athlete should gradually start an activity they have never tried before or haven’t done in quite some time. We recommend slowly getting back into the activity over a few weeks’ time and suggest a proper warm-up before beginning exercises. How to treat muscle cramps in teen athletes If a growing athlete does get a muscle cramp, stretching and massaging the

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Our Sports Medicine Program Because their bones, muscles and bodies are still growing, young athletes need specialized care after a sportsrelated injury or illness. So, where you take them matters. The Sports Medicine Program at Children’s is one of the only programs in the country dedicated exclusively to caring for growing athletes. Visit choa.org/sportsmed for more helpful resources for your growing athlete. This content is general information and is not specific medical advice. Always consult with a doctor or healthcare provider if you have any questions or concerns about the health of a child.

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area can help alleviate pain. Most cramps subside within a few seconds, if not one minute. If a muscle cramp becomes too painful, the athlete can take an over-the-counter medicine like acetaminophen or ibuprofen. Be sure to follow dosage instructions. If the muscle cramp doesn’t go away and is non-emergent, we recommend following up with your child’s pediatrician. Typically, muscle cramps are not an emergency, but if they persist, check with your child’s doctor to make sure there’s not an underlying issue.

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HEALTH & WELLNESS • Sponsored Section

NorthFulton.com | March 2020 | 13

Denzel King, ACL Tear

His skills are still growing, so is his body. Injuries to teen athletes require special care that they can only get at Children’s Healthcare of Atlanta. Our team of experts know how to diagnose and treat injuries to help prevent reinjury, so they can stay out on the court doing what they love. It’s why where you take them matters. It’s why you take them to Children’s.

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14 | March 2020 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

The Memory Center Atlanta

The Memory Center Atlanta is the most unique and comprehensive community for those living with Alzheimer’s and dementia. Devoted specifically to memory care, our expertly designed program meets the challenging conditions of an aging brain with a caring, interactive community. We understand a diagnosis of dementia doesn’t mean you or your loved one stops living, rather it means finding new ways to live by providing assistance to maintain an active and meaningful lifestyle. Our residents enjoy music, dancing, live entertainment, art, gardening, - even outings, pet therapy and religious services. Enjoy a drink in the Chattahoochee Tavern, grab a movie in the Fox Theater or ice cream at the Bull Dog Café. All residents experience socializa-

tion and activities accessible across all levels of dementia. Even those who need 24/7 care benefit from life at The Memory Center. Overseen by our medical director who specializes in the field of geriatric healthcare, our team of Licensed Practical Nurses and Certified Nursing Assistants provide the best 24/7 care. Don’t let a crisis determine where your loved one receives care. If you are considering memory care, we encourage you to explore options as early as possible. Take the time to ask questions, tour and include your loved one in the decision making process. Transitioning to memory care early ensures the best quality of life with daily socialization and engaging activities designed to meet the needs of you or your loved one.

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cated at 12050 Findley Rd, Johns Creek, GA 30097, less than ½ mile from Medlock Bridge Rd. directly behind Emory Johns Creek Hospital. Call Today, (770) 476-3678.

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