May Special Section
2 | May 2019 | NorthFulton.com | ForsythHerald.com
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The importance of nutrition and exercise in pregnancy By Kortney Rogers Certified Nurse Midwife, Modern OBGYN Nutrition and exercise are vital aspects of pregnancy and managing each can lead to an overall KORTNEY healthier pregnancy ROGERS, CNM experience. During pregnancy, you need approximately 300 extra calories. It’s important to eat wellbalanced meals throughout the day to get the proper amount of calories, along with vitamins and minerals that support the development of your baby. A prenatal vitamin is recommended along with healthy snacks and foods that consist of a variety of vegetables, proteins, and fruits along with healthy grains. You should try to keep sweets to a minimum and avoid alcohol. A healthy diet can help common preg-
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nancy symptoms, such as nausea and constipation. Exercise is also an important part of pregnancy and is an essential tool in improving overall fitness and maintaining health. It can be used to help with some of the common discomforts that occur in pregnancy, such as lower back and pelvic pain. Exercise should be tailored to each individual, as everyone has different needs and risk factors. If you were exercising prior to pregnancy, it is usually safe to continue to do so. If
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you are new to fitness, you should start slow. Taking a walk 3 times a week for 30 minutes is a good way to start. A good rule of thumb is to exercise to a point where you can still carry on a conversation, but you can’t sing. Working your way up to 30 minutes of moderate exercise on most days is a great goal. Prenatal yoga and water aerobics are two great workout options. Try to stretch every day, especially as you get further along. Here at Modern Ob/Gyn, we rec-
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ognize how important nutrition and exercise are in pregnancy and are here to guide you in creating a plan specifically for you and your baby. Modern OBGYN has three convenient office locations. Visit our newest office at Avalon in Alpharetta located at 2710 Old Milton Parkway, Suite 100, Alpharetta, GA 30009. To schedule an appointment call 404446-2496 or visit us online at www. reyesobgyn.com.
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All mothers should be aware of preeclampsia By Dr. Lee B. Padove One of the biggest challenges of preeclampsia during pregnancy is detecting this nuanced disorder. That’s because, sometimes, preeclampsia can show no obvious symptoms. A prenatal lab examination can detect elevated urine protein levels, an indication of preeclampsia. Other symptoms can include severe headaches, vision changes, swelling, severe breathing issues and even seizures (eclampsia). Early symptom detection is important to improving the odds of a safe pregnancy. When suspicion of preeclampsia exists, a thorough evaluation may include hospitalization, so health care providers can more closely monitoring the mother, baby and placenta. The treatment for preeclampsia is the baby’s delivery. If only mild preeclampsia exists and both baby and mother are doing well, delivery ideally will be after 37 weeks. If there is a threat to either the baby’s health or mother’s life, delivery is scheduled earlier. However, the effects of preeclampsia do not necessarily end after pregnancy. Women who have had preeclampsia during pregnancy have a higher risk
post-delivery for developing blood pressure problems, high cholesterol, diabetes, along with stroke and heart disease. Women who experienced preeclampsia during pregnancy are at nearly double the risk for heart disease or stroke in the subsequent five-to-15 years. Women who have had severe preeclampsia may have a greater than six-fold risk. It is important that women who’ve experienced preeclampsia embark on a healthy lifestyle path and follow preventive measures along with continued screening for diabetes, high blood pressure, high cholesterol and premature heart disease. For recommendations specific to you, continue regular checkups with your primary care physician or cardiologist. Dr. Lee B. Padove is a board certified cardiologist at Northside Hospital, whose special interests include cardiac evaluation and treatment during pregnancy. Northside Hospital’s Maternal Heart Health Clinic educates women about their risk factors and screens them to detect the early development of cardiovascular disease before it progresses. For more information, visit northside. com/maternityresources.
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Biology always surprises and is (nearly) impossible to predict By Dr. Brent Taylor Premier Dermatology and Mohs Surgery of Atlanta In this month’s March issue of JAMA (the Journal of the American Medical Association), an interesting article apDr. Taylor peared entitled “The Surprisingly Positive Association Between Obesity and Cancer Immunotherapy Efficacy.” The article summarized recent findings that modern immune-system based anti-cancer medications sometimes work better if a patient is obese. This seems to be true in the case of melanoma in males. Obese men with melanoma exhibited increased survival on immunotherapies than non-obese men. This was not true for traditional chemotherapy. Before we get ahead of ourselves and encourage the men in our lives to eat more and exercise less, it’s worth mentioning that other studies have found that obesity increases our risk of developing cancers in the first place. This is also true for melanoma – in one study, obese men were 31% more likely to develop melanoma than non-obese men. The aforementioned article simply supports that obese men with a melanoma diagnosis on certain medicines may fare better than fit males with a melanoma diagnosis. To a physician, the finding of a positive effect of obesity in cancer is even more surprising because obesity is generally thought of as an immunocompromised state. In general, obesity weakens the immune system. Why would a medicine that depends on the immune system work better in someone with an unhealthy immune system? Perhaps the medicine does not so much depend on the immune system to work as bolster the immune system. If a lack of a healthy immune system is part of the obese patient’s problem, then should we not have anticipated that the obese patient would experience greater benefit from an immune-bolstering therapy? Biology is very difficult to predict one or two steps ahead. It is easy to formulate a hypothesis for why an immunebased therapy would be more effective in someone with a compromised immune system, just as it is easy to formulate a hypothesis for why such a medicine might be less effective. Perhaps immunocompromise means immune-based therapies can’t exert their maximum
effect. Or perhaps immunocompromise means immune-based therapies are even better than anticipated because they are meeting a greater need. Regarding the melanoma case, why would obesity be helpful in men and not women for certain cancers? Women deposit fat differently; fat in different locations can produce different hormones and be more or less pro-inflammatory, and perhaps women were designed to be able to be healthy with higher levels of adipose tissue, but what is the key factor? Biology is very difficult to predict by first principles alone. That is why a familiarity with the medical literature, a willingness to study, and a reliance on experimental results are so critical to a physician’s efficacy. All this is what is meant by the buzz phrase “evidence based medicine.” And as surprising as it may be that obesity may offer a rare health benefit, you might be interested to find that several “unhealthy” things may result in various benefits. If you’re curious, then look into the evidence that tobacco use may lower the risk of Parkinson disease, ulcerative colitis and be associated with lower risk of obesity… almost everything carries risk and reward. Many times, a physician’s job is to help you balance risk and reward: Is it really important that you spend less time in the sun? Should you have this surgery? These are all risk and reward questions that can be answered with the help of a (or several) qualified physicians. Dr. Brent Taylor is board certified in dermatology, certified by the American Board of Venous and Lymphatic Medicine, and is fellowship-trained in Mohs micrographic surgery, cutaneous oncology and the treatment of varicose veins and venous disorders. If you or a loved one has a history of skin cancer, a suspicious spot, a vein issue or other dermatologic need, consider making an appointment at Premier Dermatology and Mohs Surgery of Atlanta today.
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6 | May 2019 | NorthFulton.com | ForsythHerald.com
Eye allergies As many of us start to notice a faint yellow dusting on our cars, windows, and patio furniture, we can say that it is officially pollen season in Georgia! As we begin spending more time outside with our friends, families, and pets to enjoy the beautiful spring weather, we need to be aware of common environmental allergens in Georgia that can affect our eyes and respiratory systems. Eye allergies occur when the body’s immune system becomes hypersensitive to an allergen, or small particles in the environment like pollen, pet dander, dust mites, and mold, that causes an allergic reaction. An allergic reaction happens when allergens come in to contact with antibodies in the eyes, which release chemicals that cause the eyes to become red, itchy, and watery. These symptoms may seem trivial, but some eye allergy symptoms can be so severe that they cause ocular inflammation and impaired vision. In addition, many eye allergy symptoms are similar to symptoms of more serious ocular diseases, so an accurate diagnosis is crucial to
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rule out more serious eye problems. Whether an eye allergy causes mild redness, or severe itching and discharge, a proper diagnosis will allow you to manage your allergy, and continue to enjoy seasonal activities such as spending time outdoors or with your pets without hindrance. Our doctors at the Thomas Eye Allergy Clinic in our Roswell location specialize in the diagnosis, treatment, and management of common eye allergies and their symptoms in adults and children aged five and older. Thomas Eye Ocular Allergy Specialist, Stuart Newman, M.D. asserts, “Doctors Allergy Formula provides an FDA approved non-invasive, no-needle, proprietary diagnostic test designed to objectively diagnose specific allergies. This tests for allergens that are most common along with those specific to our geographic location in Georgia.” Contact our Roswell Office today to schedule your spring allergy consultation in the Allergy Clinic. The Thomas Eye Group Roswell Office is located at 11690 Alpharetta Highway, Roswell, Georgia 30067. For more information or to schedule your appointment, visit www.thomaseye.com or call us at 770-475-5515.
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You can’t SEE your HEART.
How do you know it’s healthy? We can Help. The Know Your Heart screening can determine your risk of heart disease, stroke and other serious conditions — things you may not even be aware of. It’s simple, fast, affordable, and provides insight into your heart’s overall health. Your test results will be reviewed with you by a WellStar Cardiovascular Medicine healthcare professional.
Packages Available Starting at $49 Call 770-956-STAR (7827) to learn more or schedule an appointment. All services performed at WellStar North Fulton Hospital 3000 Hospital Blvd, Roswell, GA 30076
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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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WE GOT NICK BACK BEHIND HOME PLATE WHERE YOU TAKE THEM MATTERS 9 Sports Medicine Doctors and Surgeons 25+ Locations 35+ Sports Physical Therapists 40+ High Schools and Club Sports Affiliations
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Personal care community the way it used to be One inclusive fee, no levels of care and a two-year rent guarantee; all this to simplify your life Finding the right mix of “peace of mind” and economic value for the services rendered to a frail loved one can be a difficult situation. To avoid surprise expenses it is imperative that families carefully explore all available options. This can seem to be a daunting task but in the end the security of knowing your care choice is one that you can feel good about long term is worth the extra effort. A move can be hard on an aging loved one; every effort made to assure it is a positive long-term decision will be worth it. Hearthstone Personal Care Community prides itself on easing this process by providing peace of mind and financial certainty for our families thru transparency of care at one simple all-inclusive rate. From the time that you enter our doors, you will feel the warmth and compassion that is an integral part of daily life here. Our team values each person’s individuality and his or her personal needs with the respect that each person deserves. We work to enhance the life of each individual producing comfort and security.
Come for a tour of our cozy, tranquil assisted living community located in the heart of Roswell. We are a small, 24 suite property providing the utmost in personal care and attention for your loved one and all for
one low monthly fee of $2,895 with only the addition of supportive care for residents requiring assistance with incontinence issues. Come home to peace of mind, come home to Hearthstone.
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NORTH ATLANTA’S HOT TOPICS ON PODCAST Cancer … Now what? By Jonathan Stegall, MD Many people envision cancer as a foreign invader, such as bacteria, but it is not. Rather, it occurs as a result of the body’s own cells becoming so worn down and damaged that they must mutate in order to survive. As these mutated Dr. Stegall cells grow, a tumor forms which affects the body in significant ways. This process is quite complicated, requiring many steps over a significant period of time. For this reason, I find it baffling that mainstream cancer treatment takes such a simplistic approach. Although surgery, chemotherapy, and radiation are valuable treatments which we need, they are not nearly enough to address the many facets of cancer. If we truly want to improve our cancer treatment outcomes, we must broaden our horizons and incorporate a wider variety of treatments, including sound nutrition, intelligent supplementation, exercise, and stress reduction, just to name a few. This requires good science and an open mind. For this reason, I have created a website, cancersecrets.com. This website has lots of free content including podcast episodes as well as blog posts. It also has information about my bestselling book. I highly encourage you to utilize these resources if you or a loved one is dealing with cancer! It could mean the difference between a good outcome and a bad one.
Go to NorthFulton.com, click on Podcasts and select Inside The Box
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12 | May 2019 | NorthFulton.com | ForsythHerald.com
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The Memory Center Atlanta offers all inclusive care
We provide care for some of Georgia’s favorite Moms.
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
Don’t let a crisis determine where your loved one can receive care. 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.
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Erosion: What you eat and drink can impact teeth By Dr. David Remaley Roswell Dental Care Think that only sweet-tasting drinks and snacks are harmful for your teeth? Think again. Sugar isn’t the only dietary factor that can Dr. REMALEY damage your smile. Foods and beverages that are high in acids wear away the enamel that protects your teeth, a process known as tooth erosion. This changes the appearance of your teeth and opens the door for bacteria that can cause cavities or infection. What does tooth erosion do to my teeth? Tooth erosion is permanent. If your enamel has started to wear away, you may: • Feel pain or sensitivity when consuming hot, cold or sweet drinks • Notice a yellowish discoloration of the teeth • Find that your fillings have changed • Face greater risks for more cavities over time • Develop an abscess, in very extreme cases • Experience tooth loss, also in very extreme cases • Once erosion occurs, you may need fillings, crowns, a root canal or even tooth removal. Veneers may also be an option to restore the look of your smile. Acidic foods and beverages to watch for Here’s a quick tip: If what you’re eating or drinking is citrus or citrusflavored, carbonated or sour, it’s best to limit how much you consume. Nutritious, acidic foods like tomatoes and citrus fruits can have some acidic effects on tooth enamel, so eat them as part of a meal, not by themselves. Dried fruits, including raisins, can also cause problems because they are sticky and adhere to teeth, so the acids produced by cavity-causing bacteria continue to harm teeth long after you stop eating them. Still, the major erosion culprit is soft drinks, especially soda and sports drinks. Even if they are sugar-free, they are more likely to be acidic thanks to carbonation. That bubbly fizz raises the acid level of any drink, regardless of its flavor. Acid in beverages can also come from citrus flavorings such as lemon, lime and orange. Even all-natural beverages like orange juice or fresh-squeezed lemonade are higher in acid than regular water, so make them an occasional treat instead of a daily habit. And speaking of treats, some sour candies are almost as acidic as battery acid, and many use citric acids
to get that desired effect. If you like a little sour with your sweet tooth, please pucker in moderation. Tips for protecting your teeth You can reduce tooth erosion from what you eat and drink by following these tips: • Wait an hour before you brush after eating acidic foods to give your saliva a chance to naturally wash away acids and re-harden your enamel. • Limit – or avoid – acidic beverages like soft drinks. If you do indulge, use a straw. • When drinking something like a soft drink, do not swish or hold it in your mouth longer than you need to. Just sip and swallow. • After acidic meals or beverages, rinse your mouth with water, drink milk or enjoy a snack of cheese right afterward. • Dairy and other calcium-rich foods can help neutralize acids. • Saliva helps keep acids under control. To keep your saliva flowing and protecting your teeth, chew sugarless gum with the ADA Seal of Acceptance. • Look for dental health products with the ADA Seal of Acceptance. This means the product is safe and effective, and some have been awarded the ADA Seal specifically because they help prevent and reduce enamel erosion from dietary acids. • Talk to your dentist. Your dentist can explain the effects of nutritional choices on your teeth, including the various foods and beverages to choose and which ones to avoid. Knowing all you can about the effects of what you eat and drink on your teeth can help keep your smile bright over a lifetime. If you think you have sleep apnea, make sure to speak with your physician or dentist for more information and possible evaluation. Roswell Dental Care offers a complete assessment of your oral health and will help establish a plan to eliminate any sleeping disorders that you might be experiencing. Dr. David Remaley was designated the ”BEST OF THE BEST” Dental Practice in North Atlanta by Appen Newspaper for 2018, the 4th year for this designation. We offer a comprehensive list of general, restorative and cosmetic dental services designed to meet the needs of the entire family. We have been serving and treating patients in Roswell and the North Atlanta area for over 30 years. WE ALWAYS WELCOME NEW PATIENTS. Give our office a call at (470) 375-9244 to make an appointment today.
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Snoozing in the dental chair
to anesthetic. They just can’t get numb. Other people simply don’t have the time to make repeated visits to the dentist and would rather have all their work done in one longer visit. Sedation Dentistry takes care of both problems.” As our gift to you, we are offering
$200 Off First Sedation Fee (normally $375 now $175)! For more info, call 770884-7151 or visit on the web at www. JohnsCreekSedationDentist.com. If this sounds like you or a loved one or someone you know then please let them know that they have an option.
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Millions of Americans avoid the dentist. Some had traumatic experiences as children. Others suffered pain as adults. No matter the reason, far too many of these individuals simply stopped seeking routine dental care because they were frightened. Now’s the time to move forward into a healthier future. Modern dentistry offers many new tools and options that make necessary treatments not only tolerable but even comfortable. Now there’s a new way for the dentally challenged to get their needed treatment without having to go through all the fear and anxiety. And, what’s more, they likely won’t even remember going to the dentist. It’s called “Sedation Dentistry” and is available right now at our dental office. Not all dentists are qualified or licensed to use this option. Approximately 1 in 8 dentists in Georgia is licensed to do Sedation. “The way it works is quite simple,”
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Dr. Ushma Patel, D.M.D and Dr. Brittany Corbett, D.D.S Center For Advanced Dentistry
says Dr. Ushma Patel. “One hour before the appointment the patient simply takes a pill that we have dispensed to them. By the time they arrive, they are very relaxed.” The patient is then escorted to the dental chair. They gradually progress to a deeper level of sedation but are still able to respond to their environment and to questions from the doctor. Dr. Patel explains, “The patient will feel no pain and in fact will have little or no memory of the experience after it’s all over.” The patient’s vital signs are constantly monitored throughout the treatment. “When they awaken a friend drives them home and in an hour or so they are pretty much back to normal,” says Dr. Patel. “The best part is that they have no bad memories, and they don’t experience any pain or anxiety.” The patient isn’t “knocked out” or in total sedation like they would be for a surgery. The level of sedation isn’t that deep, but just deep enough so that they feel nothing but are still conscious. Is Sedation Dentistry only for fearful patients? Dr. Patel says no. “Some people, while they are not at all afraid of dental treatment, are highly resistant
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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 60day 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 neighborhood. 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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Introducing
north fulton serves ON PODCAST
Episode 7 Theo Keyserling
Episode 8 Donald Mitchell
This week Jason welcomes Managing Partner of Meridian Group, Theo Keyserling to discuss community outreach and much more.
This week Jason welcomes Council Member Donald Mitchell to discuss Arts Alpharetta and the growth and future of the Alpharetta art scene!
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with Jason Binder
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3 SELECT North Fulton Serves
Other podcasts available: News
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