Health & Wellness — September, 2019

September Special Section

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Eat more dark chocolate – doctor’s orders

By Dr. Brent Taylor Premier Dermatology and Mohs Surgery of Atlanta The best drink that I have ever tasted in my life wasn’t a cold beer or a full bodied wine; it was a paper cup of dark hot chocolate at Kollar Dr. Taylor Chocolates on Washington Street in the town of Yountville. (Their passion fruit truffle was also particularly outstanding!) I love dark chocolate. And I mean seriously love dark chocolate! There are wine people, craft beer experts, kambucha fans, but for me, dark chocolate is where it’s at. Ghirardelli Square in San Francisco is, for me, hallowed ground.

The other night, as I found myself in search of a dark chocolate late night snack, it occurred to me that I should look into how dark chocolate is good for the skin… somewhat to help my patients and somewhat to justify my vice! So this is my attempt to validate my dark chocolate habit as healthy. Enjoy!

It turns out dark chocolate has been studied A LOT. Particularly with regard to cardiovascular health. Dark chocolate contains polyphenols called flavonoids.

They have been celebrated for their antioxidant effects. Dark chocolate contains polyphenols that induce the release of nitric oxide (NO) through activation of endothelial NO synthase. This can dilate blood vessels, lower blood pressure and may be cardioprotective. An article in the Journal of the American Medical Association in 2007 reported a decrease in hypertension prevalence from 86% to 68% of their study population during an 18 week trial with consumption of between 6 and 7 grams of dark chocolate per day. White chocolate did not result in this decrease, and the study omitted the fact that white chocolate is also not as yummy.

But that was just one study. The Cochrane Database Review is considered the gold standard for determining whether the sum total of published studies have identified discoveries that are real and significant. A Cochrane Database Review found that dark chocolate “may have a small but statistically significant effect in lowering blood pressure by 2-3 mm Hg in the short term.”

Not exactly strong words, but, when it comes to dark chocolate, I will take what I can get.

What about dark chocolate and the skin? Researchers Calzavara-Pinton and colleagues were able to demonstrate that a dark chocolate extract taken every

day for a week made it more difficult for study participants to sunburn – they suggest that dark chocolate may be photoprotective. So practicing sun-safety means sun-protective clothing (check), sunscreen (check) and eating dark chocolate (triple check). Got it.

There is also a hot area of research about connections between gut health and skin health. Researchers increasingly believe that different types of intestinal bacteria may have either a pro-inflammatory or anti-inflammatory effect, and some studies suggest that dark chocolate may help shift our gut bacteria towards an anti-inflammatory milieu.

Just as importantly, the International Journal of Dermatology found that regular consumption of moderate amounts of dark chocolate worsened a number of male teenagers’ acne. Thank goodness.

This is excellent news for parents like myself whose spouses scold them for not sharing their chocolate-based desserts with their children more generously.

Dark chocolate is expensive, and my future teenage boys have no business raiding dear old dad’s pantry and eating all of his chocolate, and now science has proven it. So adults everywhere, keep calm and eat dark chocolate!

If you or a loved one hasn’t eaten enough dark chocolate, please consider Premier Dermatology and Mohs Surgery for your skin care needs. Dr. Brent Taylor is a fellowship-trained Mohs surgeon, board-certified dermatologist, vein expert and dark chocolate lover.

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Symptoms of GERD you should be aware of

By Dr. Thomas Wood Northside Hospital/Surgical Specialists of Atlanta Have you ever suffered from heartburn?

That burning sensation in your chest or throat can be very unsettling. Many times, you Dr. WOOD can taste the stomach fluid in the back of your mouth. If this is something you experience more than twice a week, there’s a chance that you may have gastroesophageal reflux disease or GERD. GERD is a digestive disorder affecting the lower esophageal sphincter (LES), which is the ring of muscle between the esophagus and the stomach. This common and chronic disease affects up to 1 in 5 or more adults in the U.S according to the National Institute of Diabetes and Digestive Kidney Diseases.

In many cases GERD may be relieved through some diet and lifestyle changes. In other cases, some medication or surgery may be required to treat the symptoms.

Certain foods can also contribute to GERD. Fried foods, chocolate, garlic, onions, spicy foods, tomatoes, citrusy fruits and mint can cause GERD. This condition occurs when the LES weakens or doesn’t relax properly, which will cause the contents in the stomach to travel up into the esophagus.

With normal digestion, the lower esophageal sphincter (LES) opens up to allow the food to pass through the stomach and it closes to prevent food and the acidic stomach juices from traveling back into the esophagus.

Heartburn is one of the most common symptom of GERD, which is a discomfort that is felt behind the breastbone as a burning sensation. The feeling may intensify if the person lies down or bends over after eating food.

Other symptoms include: • Regurgitation of acid up into the throat.

• Bitter taste in mouth.

• Stubborn dry cough.

• Hoarseness.

• Tightness in the throat.

• Wheezing.

• Nausea.

• Feeling as though a piece of food is stuck in the throat.

If left untreated, GERD can lead to other serious conditions which may include: • Esophagitis - inflammation of the esophagus.

• Esophageal stricture – narrowing of the esophagus, making it difficult to swallow.

• Barrett’s esophagus- cells that line

the esophagus change into cells similar to the lining of the intestine, which can turn into cancer.

There are several different ways that GERD is often treated. Typically it will be treated with medication first. If the medication is not effective, other lines of treatment will be offered to the patient.

One of the main treatment options for those who suffer from GERD are proton pump inhibitors. These inhibitors work to decrease the amount of acid that is produced by the stomach. If a person has made significant lifestyle changes and their GERD symptoms continue, physicians may recommend surgery options.

Today, there are multiple surgical options now available for the treatment of GERD. Nissen fundoplication: It is the traditional approach where the surgeon wraps the upper part of the stomach around the esophagus forming a new valve to prevent GERD. LINX procedure: Newer procedure which involves placing “magnets” around the lower part of the esophagus forming a new valve mechanism to prevent GERD. This procedure has a lot of advantages compared to the nissen fundoplication.

TIF procedure: New edoscopic procedure which places sutures around the lower part of the esophagus.

Radiofrequency: Process of using radiofrequency or heat to scar in the lower part of the gastroesophageal junction to prevent GERD. Simple lifestyle and behavior changes can aid in relieving GERD. • Eating food in moderation and avoiding overeating.

• No eating within two to three hours of your bedtime.

• Quit smoking.

• Maintain a healthy weight.

• Sleep with your head slightly elevated when going to bed.

If you believe that you may be suffering from GERD, you should see your family or general practitioner, who will be able to refer you to a gastroenterologist. To learn more visit surgicalspecialistsofatlanta.com.

Dr. Thomas Wood is a board-certified surgeon with Surgical Specialists of Atlanta, a Northside Network provider. Dr. Wood is trained in the latest robotic and laparoscopic surgical techniques and specializes in treatment of adrenal gland, appendix, breast, cancer, colon, gallbladder, hepatobiliary, hernia, liver, melanoma, pancreas, thyroid and parathyroid, spleen, rectum, stomach and reflux conditions.

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Personalized cancer treatment

By Jonathan Stegall, MD Center for Advanced Medicine Has your oncologist ever talked to you about personalizing your cancer treatment?

In other words, has he Dr. Stegall or she looked at unique aspects of your case, and tailored the treatments accordingly?

Of all of the various medical specialties, oncology tends to be among the least personalized. All patients with a certain type of cancer typically receive the same treatment. If that doesn’t work, they will receive the next best – or second-line – treatment. This has been referred to by some critics as “cookbook medicine.” Sadly, there is some truth to that criticism.

As an integrative oncologist, I believe that treatment should be tailored to each patient as much as possible. This means that we must first peel back the various layers of each patient’s diagnosis before making treatment decisions. The type of cancer is certainly important, there are many additional details which should be

used to guide treatment as well.

We must also evaluate each patient’s unique health history, family history, work history, relationships, and stress-

ors as well. Every detail matters when crafting the optimal treatment protocol for each patient. This is what personalized medicine is all about!

Getting Chaz back in the game In just his junior year of high school, Chaz Chambliss has already received 30 offers for college football scholarships.

But, without the help of Children’s Healthcare of Atlanta throughout the years, the now 6-foot, 3-inch-tall linebacker’s multiple injuries could have threatened his promising football career.

Chaz has played baseball and basketball, run track, and thrown shotput, but his favorite sport has always been football. “He started playing when he was 5 years old,” said his mom, Angela.

“People thought we were crazy to let him play at such a young age, but you can tell when he plays football, that’s just his love.”

He has been coming to Children’s since he first broke his arm on the monkey bars in preschool. Since then, he’s also been treated for a broken a bone in his foot during baseball conditioning, as well as had surgery on a cyst on his leg.

So, when Chaz developed a strain on his rotator cuff while playing baseball in middle school, Angela knew exactly where to take him.

Comprehensive care for teen athletes In the Sports Medicine Program at Children’s, Chaz met Colleen Crosby,

PT, DPT, SCS, Sports Physical Therapist, who helped him correct his throwing motion and rehabilitate his shoulder in order to get him back to the baseball diamond.

But the injuries just kept coming. In February of his eighth-grade year, Chaz started experiencing pain and found it difficult to stand up straight. It turned out he had a stress fracture in his spine.

Stephen Kroll, MD, Pediatric Sports Medicine Primary Care Physician with Children’s Physician Group–Orthopaedics and Sports Medicine, joined Chaz’s care team to treat the stress fracture.

Together, Dr. Kroll and Colleen helped Chaz get back into peak condition.

That fall, Chaz was back on the field starting his freshman year on the varsity team in his high school football debut, and he completed the season free of injury.

“Our trusted sports medicine team is trained in age-appropriate techniques and focused on treating sports-related injuries and conditions in elite young athletes like Chaz,” Dr. Kroll said. “We are dedicated to helping make sure they get back in the game quickly and safely.”

Experts in treating growing athletes Our team of pediatric orthopedic

sports surgeons, sports medicine primary care physicians, sports physical therapists and certified athletic trainers understand what it takes to get an elite athlete back on the field after an injury, and to help keep him on the field.

Not all physicians are experts in working with growing bones, but our physicians are specially trained to work with children, teens and young adults.

Where you take them matters. Visit choa.org/sportsmed to learn more about our team and how we help growing athletes get back in the game.

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We don’t treat teens like adults, because physically, they’re not where you take them matters Unlike adults, teens have growth plates where bone growth happens.

So when kids or teens get a fracture, it’s important to have them treated by a pediatric specialist. Our team of orthopedic experts understands how to properly diagnose and treat growth plate injuries. Because when it comes to growing bones, where you take them matters. ©2019 Children’s Healthcare of Atlanta, Inc. All rights reserved.

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Your smile makeover and veneers

By Dr. David Remaley Roswell Dental Care Veneers are one of the most versatile options to help restore a smile that is suffering from cracked, chipped, crooked, stained, or gapped front teeth.

They are as durable as regular teeth and are even resistant to staining that would normally yellow natural tooth enamel.

There are a lot of factors to consider when you are thinking about veneers. Some people aren’t sure how to maintain them, while others are wondering if they are even strong candidates to have them fitted.

What Are Veneers?

Veneers are custom-made, thin shields of porcelain or composite resin material that are placed and bonded to the front surface of the teeth. They may be placed on one or more teeth.

Should I Get Veneers?

If you have a tooth that is damaged, decayed, or dilapidated in any way, you are likely a excellent candidate for veneers. After we review your case, we will decide if you are a good candidate for veneers. If you are, then you will both discuss your aesthetic goals and find a dental plan that works best for you.

How Are Veneers Attached?

1. Before the veneers are designed, the front surface of the teeth will need to be reshaped. The amount is minimal and equivalent to the thickness of the veneer.

2. Next, an impression or a digital scan of the teeth is taken and sent off to the dental laboratory to cast an accurate model of the teeth, which is used to fabricate the veneers. You will be provided with temporary veneers

to protect the prepared teeth.

3. Once the veneers are designed, they will be fitted to the prepared teeth and cemented into place.

How Long Do Veneers Last?

Veneers are essentially permanent; they are designed to last between 10 and 15 years before they are replaced by another set. The secret to veneer longevity is proper maintenance, care, and taking the appropriate precautions.

Avoid Hard Foods Just like regular teeth, chewing on hard items like pens or using your teeth as tools can potentially damage your veneers. Cracking or chipping them is rare, but it is possible. Habitually chewing in the same spot or using certain teeth to open packages consistently can also wear them out over time.

Maintain Healthy Dental Hygiene Veneers can collect plaque and tartar build-up just like your natural teeth do, which is why it is so important to keep up with your dental hygiene. Brush your teeth twice a day, floss daily, and be sure to keep your biannual dental cleaning appointments. Keeping your regular cleaning appointments will prevent worse problems, such as gingivitis and cavities. With your new veneers, you can enjoy virtually any food.

Dr. Remaley and his associate, Dr. Destinee Hood will give you a complimentary smile consultation and will provide you with an accurate estimate of your new smile makeover.

If you would like to schedule a complimentary consultation or would like more information about veneers, please give our office a call at 470.288.1152.

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Ovarian Cysts & Pelvic Pain

By Dr. Christy Kenkel Modern OB/GYN When it comes to pelvic pain, there are several potential causes to consider. Besides a gynecologic source, pelvic pain can also Dr. kenkel originate from gastrointestinal and urologic origins.

Potential gynecologic origins to pelvic pain include pregnancy or pregnancy complications (such as ectopic pregnancy or miscarriage), benign ovarian cysts, ovarian torsion, uterine fibroids, endometriosis, adenomyosis, fallopian tube inflammation, pelvic infection including pelvic inflammatory disease, and more rarely, malignancies of the ovaries, fallopian tubes, uterus, or cervix.

Ovarian Cysts can be asymptomatic, or they can cause pelvic pain, pelvic pressure, and painful intercourse. Up to 15% of women will be found to have an ovarian cyst at one time or another in their lives. Ovarian cysts are more commonly benign than malignant, especially in a premenopausal woman. Despite be-

ing benign, they can still rupture, causing pain (sometimes severe pain), and they can also twist the ovary, causing an ovarian torsion, which is generally a surgical emergency.

Most cases of benign ovarian cysts in a premenopausal woman occur due to a disruption in the ovulation process, and can be filled with clear or bloody fluid; these are typically what we refer to as functional cysts. Many times, functional cysts will resolve

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Emily Dixon, CNM

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within 6 months and don’t require surgery. However, if detected, the patient should be monitored for signs of cyst rupture or ovarian torsion. Other types of benign ovarian cysts included endometriomas (cysts that are filled with fluid from endometriosis), benign dermoid cysts, or more rarely tuboovarian abscesses caused by pelvic inflammatory disease. These conditions may more readily need surgery depending on other factors at hand and their management should involve thorough

discussion with a physician.

Postmenopausal women can also develop cysts. Cysts in a postmenopausal woman are carefully screened for certain criteria to determine if malignancy is of concern.

Please contact your doctor’s office if you experience severe pelvic pain or chronic pelvic pain. It can be crucial to your health and well being to find the source of your pain. Obtaining a visit with your doctor could help alleviate painful symptoms!

My child has croup: What can I do?

Brought to you by: REVUE PHARMACY Croup is a common infection in young children. Croup is almost always caused by a virus. This means, antibiotics don’t help. The virus makes it hard for children to breathe because of swelling in the throat and windpipes.

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How do I know if my child has croup?

If your child sounds like a seal when they cough or makes a high-pitched whistling sound when they breathe… they probably have croup. You are much more likely to notice these sounds during the night. Your child may also have cold- or flu-like symptoms with croup, such as: • Fever (e.g., rectal temperature above 100.4°F [38°C]; oral temperature above 99.5°F [37.5°C]) • Hoarseness (when talking or crying) • Sore throat (throat pain can make children not want to eat or drink)

What can I do to help my child breathe more easily?

Avoid giving your child cough syrup. Cough syrups don’t help a croup cough. But breathing in moist or cold air might help your child breathe a little easier. Try moist air first.

• Close the bathroom door and run very hot water in the shower. Sit in the steamy bathroom with your child for 15 to 20 minutes.

• Keep a cool-mist humidifier or vaporizer running in your child’s room, especially at night.

If moist air doesn’t help, give cold air a try: - In cold weather, try taking your child outside for about 10 minutes. Or you can go for a short drive in the car with the windows rolled down a little bit.

- Also, try opening the freezer door and letting your child breathe in the cold air for a few minutes.

• If moist and cold air treatments aren’t helping, call your child’s healthcare provider (even in the middle of the night).

They may order a medicine to help your child breathe easier.

See CROUP, Page 12

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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!

SuperSlow Zone is helping adults get fit for life!

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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 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-

You’re Invited... to a seminar on advanced directives, goals of care and navigating end of life wishes.

September 24th at 6pm

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The Memory Center’s Medical Director, Dr. Amar Mohan, will be speaking at The Memory Center. Dr. Mohan founded Transitional Care Physicians of America in order to improve the care for seniors who are often overlooked by our healthcare system. He will discuss advanced directives, goals of care, understanding how to navigate end of life and the wishes of loved ones.

Please call 770-476-3678 to reserve your spot.

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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

Croup: Continued from Page 8 What are some other ways to help my child be more comfortable?

• Keep your child calm. Crying might make symptoms worse.

• Make sure your child gets plenty of rest and has enough to drink.

• Cool drinks or eating a popsicle might help if your child has a sore throat.

• Use acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others) to treat pain and fever.

- Follow the directions on the label to be sure you give the right dose.

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.

Get in touch - ask us a question or schedule a tour of The Memory Center Atlanta to learn more about how our team provides a seamless transition for your loved one into their new home. Located 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.

• Use pillows to prop your child’s head up in bed. Do not use pillows for children under one year old.

When should I seek immediate medical care?

Call 911 (or emergency medical services) right away if you notice your child has: • Difficulty breathing or is unable to speak.

• Drooling or trouble swallowing.

• Pale skin or blue fingernails or lips.

• Whistling noise when breathing that gets louder with each breath.

Please call our Pharmacist at (470) 275 6795 for any other questions and advice.

Improve your appearance and treat headaches

By Dr. Ushma Patel, D.M.D Center For Advanced Dentistry

A brilliant, white, straighter smile deserves a beautiful framework. Whether you’re blessed with great teeth and have taken good care of them or have invested in a perfect smile through orthodontics, whitening, or other cosmetic work, you may wish to address some of those lines and wrinkles, as well.

Imagine the convenience of getting regular BOTOX™ treatment during your routine dental hygiene visits! Or perhaps you’ve been curious for a while but haven’t been able to schedule time in a cosmetic surgeon’s office. In as little as one visit, we can erase lines and wrinkles from around the mouth, ease pesky crow’s feet, and minimize stress lines on your forehead.

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You may not have heard about an FDA-approved use of BOTOX therapy for head, neck, and/or facial pain. The same effect of BOTOX that reduces the appearance of wrinkles (relaxing muscles) is used to reduce the intensity of muscle contractions. Intense and/or prolonged contractions of our muscles used for chewing can cause pain and damage to our teeth. Pain can be in the contracted muscle or can be referred to a distant site. Severe clenching and grinding of the teeth can cause the teeth to chip, break, or even need root canal treatments. One BOTOX treatment can provide relief for up to three months, and a side benefit is the reduced appearance of lines and wrinkles.

If you’d like to discuss the possibility of relief from pain or the opportunity to look younger and fresher, call us today at 678-8947926 or visit www.HiTechSmiles.com.

Schedule 9/30/19 and get a $50 Visa Gift Card!

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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 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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The most advanced form of pain relief available Deep Tissue Laser Therapy

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, recently voted as the Best Physical Therapy Practice in North Atlanta, is the only medical practice in the area to offer Laser Therapy technology. “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

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Do You Have Back Pain? Free Workshop Sponsored by JOHNS CREEK PHYSICAL THERAPY

Fall is in the air and this is one of the best times of year to enjoy life. But often times low back pain can get in the way. Low Back Pain is the number one cause of disability in the world and affects millions of people every year. Back pain can keep you from your favorite activities and completely ruin your day. Many times back pain can turn into sciatica. Sciatica is the term given to pain that travels down the back of the leg along the path of the sciatic nerve. The sciatic nerve runs all the way down the back of the leg into the foot. Back pain and sciatica can simply be debilitating.

If you are having this type of pain you won’t want to miss the Free Back Pain and Sciatica Workshop on Tuesday, September 24, 2019 at 6:30 pm hosted by Johns Creek Physical Therapy with special guest speaker, Dr. Jason Velez from Resurgens Orthopaedics.

At the workshop you will learn the TOP THREE common causes of Lower Back Pain and Sciatica.

At the workshop you will learn the TOP THREE common causes of Lower Back Pain and Sciatica. You will also learn how you can deal with each condition using natural treatment methods without medications, injections or surgery. This very simple treatment can help you get rid of your symptoms once and for all.

Perhaps you have already had an x-ray or an MRI and you’ve been told that those findings explain why you are having back pain? We will show you that those tests are not always accurate and may have nothing to do with why your back is actually hurting.

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Don’t let back pain ruin your life! If you have back pain or sciatica come join Marc Stewart, PT and Dr. Jason Velez at the FREE workshop Tuesday, September 24, 2019 at 6:30 pm. Register by calling 770-622-5344.

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Believing in yourself Former Fannie Mae chief addresses affordable housing is thecancer cornerstone Checking for and preventing skin When pressed, I’m happy to tell how I came through the near economic collapse our country went through in 2008. It’s a story about getting knocked way down only to work a hard Geoff smith row back up. I’m assurance financial, gsmith@lendtheway.com certainly proud, and I certainly had a lot of help from some great people.

But none of it comes close to the story of my recent podcast interviewee, Egbert Perry.

Perry was born on the Caribbean island of Antigua, where today, the average salary is about $23,000 a year.

He was one of 10 siblings raised on a chicken farm there. If you ask him about it, he’ll tell you how great it was growing up there.

“We had 365 beaches there,” he says.

“And it was a real village where everyone looked after each other.”

Somehow Perry found out about a scholarship opportunity for a private high school in New York. He somehow convinced them to award him the scholarship. He went on to study civil engineering at the University of Pennsylvania, earned an MBA at Wharton School of Business with majors in finance and accounting and worked his way up to eventually becoming a chief principal at the nation’s third largest African-American owned business. He became well known around the country as a brilliant man and after the near economic collapse in 2008, was asked to sit on the board of directors for Fannie Mae. Fannie Mae was at the epicenter of the financial crisis, which was born out of bad mortgages being bundled together and sold as good mortgages. Fannie Mae’s role is to encourage home ownership by taking significant risk off the shoulders of the banks and lenders, so they’ll be more aggressive in giving people loans. Fannie Mae, and others like

I’ve seen him talk before about how

less affluent families have to live in for business success Fannie Mae was parts sameare the signs of skin cancer?

By Josh A. Hammel, MDof town that do not have theWhat schools Henry skinFord can- has Board-Certified andor opportunities as the more Melanoma, the most lethal form of at the epicenter ofDermatologist quoted as cer,toeither develops new or withinbeen a pre-existing Fellowship-Trained Mohsaffluent Surgeonparts of town. And he’d like the financial crisis, figure out how we can mix peoplemole. with It is normal to develop newsaying moles “Whether into young economic backgrounds. adulthood. Any person over age 40 youwho think you a develops In the U.S., more different than 9,500 which was born out One roadblock is that land hasnew be-mole should be evaluated bycan or think you a Board-Certified people are diagnosed with skin expensive that it’s really dermatologist. hard can’t… you’reany An existing mole that exhibits cancer every day andcome moreso than of bad mortgages developers right.”

And he for was of sell the ABCDE features should also be referred two people die of the for disease every to build houses that for under still consultation. Asymmetry, right.

This couldn’t expert Border Irregularihour. It is estimated that the $300,000 these days and being bundled make cases a profit. Certainly in more afflube more important ty, Color Change, Diameter > 6mm, and Evolution/ number of new melanoma entincrease areas, where land values are even in starting, operatElevation are diCk all signs that a previously benign diagnosed in 2019 will by Dr. HAMMEL jones together and sold higher, the problem is even worse.mole In the and growing has changed further scrutiny.

7.7 percent. Basal cell carcinoma, founder & and Presidentnow needsing simply sales cell carcinomas interview, seemed to be under thecell andjones a small business.

Basal squamous appear the most common form of skin Perry cancer, and squaas good mortgages. affluent people do So, dothat youbleed think as non-healing pearly or scaly bumps mous cell carcinoma,impression the secondthat mostmore common

not want live near less affluent peopleand areyou can, or do you think can’t? easily sometimes tender to theyou touch. form, rarely spread beyond thetoskin.

Melanoma is he cancer had an and argument for this: We can talk all we want about the most lethal form and of skin is fortua city planner, you is skin cancer work ethic, planning, decision-makdiagnosed? nately the least common“If of you the are three main types ofor if How has any say in where it like Freddie Mac, theskin Federal Housing ing and hundreds other All three types of skin cancerofare bestattributes diagcancer.

However,are thesomeone rates of who melanoma conthings getyoung built,women, think ofand where haveby biopsy.

Administration and Veteran’s associated successfully runnosed A smallwith sample of the skin can tinue toAffairs, rise, largely affecting it you to live if youofdon’t make a lot basically tell banks andislenders you common a small business.

However, the be taken withning almost no pain.

A small needle is now the“ifmost cause cancer death in of money, ask yourself if you would want underwrite your loans according to our ofthe success is believing used to numbcornerstone the skin and straight blade can young adults ages 25and to 29. someone you love living there,” hebesaid. guidelines, we’ll pay you back for losses in yourself.

This notofonly used to shave a small portion the has skinconfor “I think if wecancer? make it personal, weevaluation may incurred if the borrowerWho stops notations to the yourequires have, and diagnosis.

Thisattitude technique is making at greatest risk for skin start thinking differently this.” monthly payments.” alsoperformed your vision that anything is no suture andbut when properly on a small The greatest risk factors for melanoma are about a Heofsaid the will and of the to leaves no Fannie Mae’s way ofpersonal doing that is to history possible. tumor perceivable scar. or family melanoma thepeople has benumerous there, because only way for buildpromise to buy the loans from the Henry Ford always believed he presence of bank atypical or (>50) the moles. build affordable houses is is skin cancer or lender, no matter what.

So risk in 2008, could create an automobile, but no How treated?

Other factors forers all to forms ofmore skin cancer for local to have the politiit was buying billions ofinclude dollarsfair in bad one that could mass-proEarly forms of believed basal cell andhesquamous cell skin, a history of municipalities blistering sunburns cal will to offersun incentives to builders loans. It was near the brink of collapse duce except him. His assembly skin cancer may bethem, treated non-surgically us(especially in childhood), excessive exposure, specifically forormore affordable and was bailed out by the line concept is not only used today for ing liquid nitrogen (cryosurgery), electrocautery, UV taxpayers. tanning booth usage, personal family history housing.

It was a fascinating for me It is still owned by the federal cars, but also for hundreds of other currettage, light-based treatments, laser treatof skin governcancer, a weakened immune system, interview and and I hope you’ll go in and have aments listen.and topical ment today. Perry was put on theage. board products. creams. Surgical removal is also advanced You can find it at https://businessrato help right that ship during the worst a “can do” and used to eliminateHaving these cancers, bymentality excision or by diox.com/podcast/north-fulton-studio/ economic storm in recent history. maintaining it is very difficult and performing Mohs micrographic surgery.

If melaHow can you prevent skin cancer? atl-developments-geoff-smith-egbertThen, five years into the job, he was requires focus a meticulous noma is diagnosed, and is inand its earliest stages,work a The best way to prevent skin cancer is to avoid perry-integral-group-llc. asked to be chairman. exposure to ultraviolet Things to don’t get done by just dermatologistethic. may choose surgically remove it in radiation, which is known I was of course thrilled to be about able to90% of skin cancers. Ultraviolet rathinkingifabout them. They get done their office. However, the melanoma has spread to cause Geoff is asources mortgage banker beyond with interview him and talk diation about his time through work,more learning from the top layer ofhard the skin, extensive from either the sunSmith or other causes Assurance Financial focusing on residenthere, and what the atmosphere wasto like andThis failures, getting up treatment willmistakes be needed. often and requires havDNA damage the skin.

Cells with damaged tial home loans Wear for refinances home at Fannie Mae during that I’mones a that whenremoved you’re knocked down.surgeon or the melanoma by a general DNAcrisis. are the form cancer. protec- anding purchases. mortgage banker, so clearly I wantedwhen to outdoors Successful business ownsurgical oncologist, and maysmall also include radiative clothing and consider avoidknow as much as he was to exposure talk ers know this firsthand, because they tion, chemotherapy and/or immunotherapy treatingwilling outdoor from 10 AM to 4 PM when Smith On exposed skin, about it. But I also wasthe very interested said “no” to can’t and “yes” to can. ments. ultraviolet light isGeoff strongest. gsmith@lendtheway.com in something else he is wear doinga today that with Theyyou justtodidn’t taketime, no for anthe answer We encourage take the not sunscreen SPF 30 or greater. Apply it is starting to gain traction throughout and tried tried againfor when they yourand appointment a comprior to sun exposure770-674-1433 and reapply every two hours, risk, and schedule Personal: the country. Maybe it’sespecially because ofif his hit screening a roadblock.

While this slogan has prehensive skin by calling Dermatology swimming or with NMLS#104587 excessive sweating.

Business: roots, but he seems to be driven the tanning used close to one hundred Specialists of been Georgia at for 770-452-5667.

And, avoidbyindoor bedsNMLS#70876 altogether. *The views and opinions expressed in desire to see less affluent families live years, it remains relevant today for this column do not necessarily reflect the and play in the same communities as any and all small business owners views of Assurance Financial Group more affluent families. looking to be successful.

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16 | September 2019 | NorthFulton.com | ForsythHerald.com

Health & Wellness • Sponsored Section

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Date: Every Thursday this October (3, 10, 17, 24 and 31) Time: 10:15am-11:15am or 2:30pm-3:30pm (no appointment necessary) Location: 4360 Chamblee Dunwoody Road, Suite 260 It’s a fact, skin cancer is the most common cancer in our country, but the good news is it’s also highly treatable when caught early. So, please take the time and drop in for your free screening this October.

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Josh A. Hammel, MD Board-Certified Dermatologist Fellowship-Trained Mohs Surgeon