September Special Section
2 | September 2022 | AppenMedia.com HEALTH & WELLNESS • Sponsored Section PROVIDED
Brought to you by –Home Helpers of Alpharetta and North Atlanta Suburbs Home is a source of comfort and the place where the vast majority of seniors want to age in place. If you or your older loved one are faced with current health care issues it’s time to consider the long-term benefits, increased safety and poten tial cost savings of live-in care. Finding appropriate care for those most at risk makes this a wonderful alternative that may be a perfect fit and makes economic sense. What is Live-In Care? In time, we all need some help and in-home care provides both personal care and emotional support. Whether in your own home or an assisted living commu nity, challenges like decreased mobility, increased fall dangers, occasional night time help or conditions like Alzheimer’s and Parkinson’s may make 24-hour sup port a necessary and ideal choice. Here’s how 24-hour live-in care works. A heart-centered, carefully matched Home Helpers caregiver lives in your older loved one’s home. Your dedicated caregiver supplies all the daytime support care needed and sleeps there, so they are available at night for minimal quick toilet ing assistance or when emergencies might happen. A caregiver needs five hours of uninterrupted sleep and eight hours total sleep for a good night’s rest. They will also take a break at opportune times, like when your loved one is napping, but al ways be there to provide a safe and secure environment.Whatifyour older loved one needs care throughout the night? We can pro vide a nighttime caregiver who provides supplemental assistance, allows your primary caregiver the rest they need and is still more economical than care priced by the hour. This provides a continuity of care that is a major benefit for your older loved one. One-on-one care is round the clock, totally customized for their special needs. The warm emotional bonds formed with a carefully selected caregiver can truly help with social isolation that can be devastating. With no shift changes during a day, this reliability and constancy can create a safe, calming environment for your older loved one. There are many advantages with this approach. Cost savings can be considerable, as live-in care has a daily versus hourly fee. You get the security of 24-hour assistance while your loved one stays in their home with the familiar belongings and surroundings they prefer, or even remain with a beloved pet and still have the space, privacy and independence theyAdesire.carefully matched live-in caregiver provides the security of a skilled, trained professional who can make sure con nections with family members are main tained, manage infection control, ensure safe interactions with friends and neigh bors, assist with food preparation and allow your older loved one to thrive. We’re here to help provide the best quality of life for our clients and their families. For a free in-home consultation to determine if live-in care is right for you contact Home Helpers of Alpharetta and North Atlanta Suburbs today at (770) 6810323. new look at live-in care
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This option utilizes traditional single vision contact lenses that correct each eye for a different functional vision task. Typically, your dominant eye utilizes a prescription power for distance vision, and your non-dominant eye uses a prescription power for near vision. This method is very effective for younger presbyopes. Monovision contact lenses may involve an adjustment period as your brain gradually adjusts to this optical setup. In combination with your individual lifestyle demands and eye health history, there are many factors to consider when choosing a contact lens option. Consult your personal eye doctor to determine the most appropriate treatment for your needs.
Reading with Soft Contact Lenses
Brought to you by: Johns Creek Research Clinic
Whether you have successfully worn glasses or contact lenses for years or never needed vision correction, most people over the age of 40 will begin to notice a gradual decline in their near reading vision. This gradual inability to focus on nearby objects is known as Presbyopia. Although relying on reading glasses is a commonplace solution, for many entering their presbyopic years, the dependence on reading glasses can be discouraging and frustrating. One approach to achieving functional near vision without glasses is through the use of soft contact lenses. When handled properly, soft contact lenses are a safe and viable choice for vision correction. The following are the most common soft contact lens options for presbyopic vision correction: Multifocal Soft Contact Lenses
Multifocal soft contact lenses have both distance and near zones designed within a single contact lens. Unlike traditional bifocal or progressive glasses, the optics for both distance and near are presented in front of the pupil simultaneously so there is no need to look through a distinct section of the contact lens. Therefore, there is a smooth transition between different viewing distances with multifocal soft contact lenses.
Monovision Soft Contact Lenses
HEALTH & WELLNESS • Sponsored Section AppenMedia.com | September 2022 | 3
anticancer tool? Research
Brought it comes to Botox®, and other you know that exercise is a pow erful has found that exercise reduces the growth and division of cancer cells, and also stimu lates cancer cell death. has even been shown to improve im mune system function as well.Whether you have cancer or are trying to prevent it, the best time to start exercis ing is now. People who exercise regularly have a lower risk of developing cancer, and also tend to have better treatment outcomes if they do get Evencancer.ifyou have cancer and have not been participating in an exercise regimen, research tells us that you will benefit from starting an exercise program now. In addition to improv ing treatment outcomes, exercise also helps with fatigue, depression, anxiety, and even sleep. The good news is that you only need to exercise 30 minutes a day, three times a week, to derive these benefits. An activity such as a brisk walk is per fect, at a pace which allows you to talk but not sing. Resistance training also has many benefits. As always, please get approval from your doctor before embarking on a new exercise regimen. Choose an activity you enjoy and make it a regular part of your life. You’ll be glad you did!
to you by – Jonathan Stegall, MD, The Center for Advanced Medicine When
Exercise
Exercise fights cancer
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4 | September 2022 | AppenMedia.com HEALTH & WELLNESS • Sponsored Section Specialist inOncologyIntegrative CancerIncluding:Treatments Chemotherapy Nutrition Immunotherapy Supplementation Jonathan Stegall, MD 3333 Old Milton Pkwy. Suite 560 • Alpharetta, GA 30022 (770)tcfam.com551-2730 Oncology Best AtlantaNorthOf 2016, 2018, 2019, 2020, 2021 Presented By WINNER AlternativeHolistic/Medicine Best AtlantaNorthOf2016 Presented By WINNER Nutritionist Best AtlantaNorthOf2016 Presented By WINNER Feel good about your teeth. • One-Day Crowns • 770 northfultonsmiles@gmail.com569-0613|www.northfultonsmiles.com12315CrabappleRoad,Suite121,Alpharetta,Georgia30004LikeusonFacebook! We provide full-service general and cosmetic dentistry for our valued patients and measure our success in our ability to always exceed your expectations. HonoredWinneras Best Dentist 2019 Best AtlantaNorthOf2018 Presented By Honored as 1st Runner Up Best Dentist 2018 Best AtlantaNorthOf2020 Presented By Honored as 1st Runner Up Best Dentist 2020 Best AtlantaNorthOf2021 Presented By Honored as 1st Runner Up Best Dentist 2021 • Implant Therapy • General and Cosmetic Dentistry
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Natural pain relief — such as spinal manipulation, often referred to as a spinal adjustment — is recognized by leading healthcare agencies including the U.S. Food & Drug Administration, the U.S. Department of Health and Human Services, the National Academy of Medicine, The Joint Commission on the Accreditation of Healthcare and the CDC.
TIRED OF LIVING WITH BACK PAIN?
Since the 1990s when opioids became the drug of choice for pain relief, other types of pain relief have been proven more effective with better outcomes for patients.
* According to a study published in the NCBI.
Find a chiropractor near you for non-opioid pain relief at ReliefWithoutAddiction.org and follow @ReliefWith outAddiction on Facebook and Instagram for pain relief tips.
Chiropractic adjustments for back pain are proven to be effective. Only 1.5% of people with back injuries who are treated by chiropractors are likely to have surgery. Patients who saw a surgeon for their pain were 42.7% more likely to have surgery.*
HEALTH & WELLNESS • Sponsored Section AppenMedia.com | September 2022 | 5
relieftoandbackabouttruthpainhowget
FIND A CHIROPRACTOR NEAR YOU FOR NON-OPIOID PAIN RELIEF AT
Back pain affects almost everyone. Office workers, truck drivers, parents, athletes, weekend warriors. And maybe even“Howyou.you address your pain could be a life and death decision,” said Dr. Leana Kart, D.C., spokesperson for the ‘Relief Without Addiction’ public awareness campaign.
ReliefWithoutAddiction.org and follow @ReliefWithoutAddiction on Facebook and Instagram for pain relief tips.
Opioid back pain treatment
While “life and death” may seem dramatic, it’s based on reality. People with back pain are sometimes faced with the opportunity to take dangerous prescription opioids.According to the Mayo Clinic, anyone who takes an opioid repeatedly may become addicted because it acti vates powerful reward centers in the brain. The CDC says the likelihood of long-term opioid use increases sharply after 3 Addictiondays. leads to poor quality of life and overdose deaths. In 2020, more than 1,300 people in Georgia died in opioid-related overdoses, according to the Georgia Department of Public Health.
Spinal adjustments for back and neck pain are of fered by chiropractors, who also teach patients about stretching, strengthening and lifestyle changes.
“Chiropractors help people find the root cause of their pain and fix it, rather than masking it with painkillers,” Dr. Kart said. “Pain is often caused by repetitive motion like how you position yourself while you work or sleep. Simple changes often prevent future pain.”
MayoSources:Clinic: stopopioidaddictionGeorgiaacute-pain/low-back-pain/index.htmlacute-pain/low-back-pain/index.htmlCenterart-20360372prescription-drug-abuse/in-depth/how-opioid-addiction-occurs/https://www.mayoclinic.org/diseases-conditions/forDiseaseControl&Prevention:https://www.cdc.gov/andhttps://www.cdc.gov/DepartmentofPublicHealth:https://dph.georgia.gov/
What’s holding you back? Get relief by finding the root cause of your pain and how to fix it.
Natural back pain treatment
Brought to you by – Relief Without Addiction
“Preventive Dentistry can add 10 years to human life.” -Dr. Charles Mayo of the Mayo Clinic A healthy mouth is part of a healthy body. Our wish for you is that you look and feel your best in 2022!
Dr. Bradley Hepler, Dr. Jeffrey Pri luck and the experienced team at the At lanta Center for Dental Health provide the most modern advances in cosmetic dentistry. Experience immediate results with procedures to greatly enhance your smile and your health. If you would like a complimentary consultation to dis cover which of these options is best for you, please call us at 770-992-2236. Dr. Hepler and Dr. Priluck are highly trained and certified to provide you with the latest and best techniques to allow you to achieve your cosmetic and restorative goals.
A relaxing visit to the dentist
Many people get nervous going to the dentist. There are so many reasons to be nervous. So many people have had bad experiences in the past or just don’t like it. You may not have realized that there is an alternative. You can have comfort able, anxiety-free visits to the dentist with Sedation Dentistry. Dental offices like the Atlanta Center for Dental Health offer comfort amenities including bottled water, snacks, courtesy Wi-Fi, a warm inviting environment, relaxing music, noise-cancelling headphones, Netflix movies and series, lavender eye pillows and warm neck pillows, cozy blankets, and warm face towels to make your visit as comfortable as possible. In addition to all those amazing benefits, you can also choose from a range of sedation options. Sedation Dentistry focuses on keep ing the patient comfortable and relaxed while receiving much needed dental care. Some patients choose to have their mouth numb so they don’t feel anything and then just relax with their eyes closed while listening to music. Nitrous oxide, or laughing gas, inhala tion sedation is also a popular option that relaxes you while your procedures are completed. At the end of your visit, you simply breathe pure oxygen and then can drive yourself home. Many people choose Oral Sedation that allows you to sleep through the dental visit, have all your work completed in one visit, be easily awakened, and not remember the experience of your visit. With Oral Sedation, you simply swallow some pills prescribed for you, lay back and fall asleep, and wake up at the end with your procedures complete and your new smile. All dental procedures can be completed with Sedation Dentistry from routine preventive care to a complete Smile Makeover.
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6 | September 2022 | AppenMedia.com HEALTH & WELLNESS • Sponsored Section TRUSTED,DENTALCOMFORTABLECARE. • General and Cosmetic Dentistry • Crowns and Implants • Root Canals and Tooth-Colored Fillings • Invisalign Atlanta Center for Dental Health 11190 Haynes Bridge Rd., Alpharetta (770) 992-2236 • atlantacenterfordentalhealth.com • Whitening • Sedation Dentistry • Smile Enhancements with Botox and Dermal Fillers Most Insurance Plans Accepted FinancingAvailableOptions
Brought to you by – Dr. Bradley Hepler and Dr. Jeffrey Priluck, The Atlanta Cen ter for Dental Health
HEALTH & WELLNESS • Sponsored Section AppenMedia.com | September 2022 | 7
Ulysses Price could barely do a double take, much less play doubles on the court. With chronic neck and shoulder pain, Ulysses worried his tennis days were in the past. But since a state-ofthe-art spine surgery at Wellstar, he’s serving overhead shots with ease and living life, pain-free. With Wellstar’s neurosurgery experts on his team, Ulysses is acing his game again — this time, even better than before. wellstar.org/peoplecare
NEURO CARE | PRIMARY CARE | HEALTH
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Brought to you by - Dr. Brent Taylor, Premier Dermatology and Mohs Surgery of Atlanta
Recently, several articles were published demonstrating an increased risk of non melanoma skin cancer (squamous cell carcinoma and basal cell carcinoma) and use of blood pressure medicine hydro chlorothiazide (HCTZ). Armed with this data, the FDA has changed the labeling on HCTZ to reflect this increased risk. What is interesting, however, is the way the fda. gov website characterizes this risk. The FDA’s website states, “The U.S. Food and Drug Administration has approved chang es to the hydrochlorothiazide (HCTZ) drug label to inform health care profession als and patients about a small increased risk of non-melanoma skin cancer.” …… Small? Judge the data for yourself: Taking HCTZ was overall associated with nearly double the ratio of developing squamous cell carcinoma (SCC). The odds ratio was 1.9 meaning someone taking HCTZ is 1.9 times as likely to develop SCC as someone not taking this medicine. But some people take HCTZ for longer periods than others, and the odds ratio of 1.9 was for patients who had taken the medicine for less than four and half years. Often, once people are put on blood pressure medication, they remain on it for life. When factoring this, the risk of the us age of HCTZ becomes, in this physician’s opinion, much more than “small”. Studies •report:Acumulative HCTZ dose of 50,000 mg or greater (about 6 years’ use) was associ ated a risk of SCC that is four times as high. (Odds ratio 4.0) • A cumulative HCTZ dose of 200,000 mg or greater (about 20 years’ use) was as sociated with a risk of SCC that is is 7.7 times as high (odds ratio 7.7). Much of this data comes out of Den mark. So what does that mean for the average Georgia resident? It is reasonable to assume that a person of Northern Eu ropean descent living in a sunny southern latitude like Georgia or Florida could be at even higher risk than what was reported above.When judging whether risk is “small,” we must consider the baseline risk. Ac cording to skincancer.org, about 1 in 5 Americans will develop skin cancer by age 70 with nearly all cases developing in non-Hispanic whites. Individuals in that demographic therefore have a high baseline risk. In addition, the most recent data suggests that more people might now be dying each year from SCC than mela noma. We usually think about melanoma as more dangerous, and, on a case by case basis, melanomas are more danger ous than squamous cell carcinomas, but melanoma is rare and SCC is common, so the total number of SCC deaths is reach ing or exceeding melanoma deaths. Exact numbers are not available because SCC is not a reportable disease, but approxi mately 15,000 people die of SCC each year in the United UnderlyingStates.riskfactors can lead to even greater mortality. Patients who have received an organ transplant are approxi mately one hundred times (100x) more likely to develop skin cancer than the general population. By comparison, tan ning bed use has been associated with an increased risk of SCC of 90% (odds ratio 1.9). Thus, with respect to squamous cell carcinoma, HCTZ use has roughly the same risk as tanning bed use! As of 2019, HCTZ was one of the top 20 most commonly prescribed medica tions in the United States with more than 38 million prescriptions per year. We don’t often think about oral medi cations as increasing our skin cancer risk. But this is true for HCTZ. Every medica tion has risks and benefits. It is important to consider pros and cons before starting a new medication. When a medication is discovered to have previously unknown risks, companies and agencies, includ ing the FDA, should be careful not to minimize risks that might be significant. Instead, risks of SCC need to be weighed against the risks of hypertension, and consideration should be given to ques tions such as: Is there an alternative blood pressure medication with a better side-effect profile? and Is this patient at high-risk for skin cancer? What do you think? Is an odds ratio ranging from 1.9x to 7.7x or higher a “small” risk? If you or a loved one has a skin can cer or a skin care need, please consider Premier Dermatology and Mohs Surgery of Atlanta. Dr. Brent Taylor and Kathryn Filipek, PA-C are delighted to help you achieve your skin health goals. Dr. Taylor graduated from Harvard in three years, is board certified in dermatology, board certified in micrographic dermatologic surgery (Mohs surgery), fellowship-trained in Mohs surgery and venous medicine and certified by the American Board of Venous and Lymphatic Medicine. Kathryn Filipek has greater than 15 years of dermatol ogy experience with expertise in medical, surgical and cosmetic dermatology.
HCTZ and skin cancer -- how much risk is a “small” risk?
8 | September 2022 | AppenMedia.com HEALTH & WELLNESS • Sponsored Section
Botox® and Dentistry
Depending on the type of treatment, there are many reasons for Botox® treat ment. Cosmetically is one and is known worldwide, however Botox® comes in handy when your oral health is affected, and your daily life is being interrupted by the side effects of prolonged clench ing and grinding. Wouldn’t you seek Botox® from a dentist for those specific needs? Dr. Hood is AAFE certified and is continually learning new techniques to administer Botox® in those other annoy ing areas cosmetically. Roswell Dental Care has been named “BEST OF THE BEST” Dental Practice in North Atlanta by Appen Newspaper for the 7th year running. We’ve been serving patients in the area over 40 years. Schedule your COMPLI MENTARY smile makeover consultation by calling (470) 288-1152.
Botox at a dental office?
Brought to you by – Astra Richards, Treatment Coordinator, Roswell Dental Care When it comes to Botox®, and other neuromodulators, many believe it to be a cosmetic procedure only. Of course, Botox® is used to help with aging, get ting rid of wrinkled skin, and the ability to look 10 years (or more!) younger with zero downtime. However, did you know Botox® is also used for true dire purpos es? One of those purposes is treatment for the masseter muscles located at an angle from your cheekbone all the way down to your lower jawbone, which is not only important to know but neces sary for those patients who suffer from extreme clenching. How is Botox® associated with dentistry? It is very important to seek a certi fied professional when receiving Botox® treatment for clenching. A dentist is specially trained in the facial muscles and nerves, so who better to evaluate and treat the muscles of the face with Botox®? Clenching causes extreme wear and tear on the teeth especially the molars. Once those molars are affected, we are now looking at the possibility of crowns, root canals, and extractions, all due to extreme clenching. In addition, prolonged grinding leads to the masseter muscles enlarging over time, which then causes the jaw to widen. (Who likes wide jaws?): once that happens a slue of other health problems can then follow; persis tent headaches, migraines, irritability, and a constant uncomfortable feeling. What a dental visit for Botox® looks like At Roswell Dental Care, we strive for excellence, so let us take you through a step-by-step Botox® Reduction treat ment visit. A new health update is required before seeing the doctor, then blood pressure is taken, and the doctor will examine you addressing any ques tions or concerns before getting started. The injection sites are cleaned, and Botox® is then administered into the masseter muscle. Over the following two weeks, Botox® will target the muscle contraction process and reduce the amount of force your muscle can con tract aka clench. (Remember those wide jaws?) Well, this relaxation in the muscle leads to atrophy of the muscle which will then cause slimming of the jawline. (Bye-bye wide jaws!) Once the Botox® is finished the doctor will then clean the areas again, provide an ice pack along with post op instructions and schedule a two-week follow-up.
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HEALTH & WELLNESS • Sponsored Section AppenMedia.com | September 2022 | 9 Excellence in Dentistry 1570 Old Alabama Rd • Ste 102 • Roswell, GA 30076 470.288.1152 • roswelldentalcare.com Dedicated to providing exceptional dentistry and creating beautiful, healthy smiles for over 30 years. • Crowns and Bridges in a few days • Porcelain Veneers • Tooth Colored Composite Fillings • Teeth Whitening- no sensitivity • Oral Cancer Screenings on all patients • Teeth Cleanings, Digital X-Rays and Comprehensive Oral Exams on all new patients • Cosmetic Smile Makeovers and Full Mouth Reconstruction (Complimentary Consultation) • Occlusal Guards and Bite Adjustments • Snore Guards and Sleep Apnea Analysis • Digital X-Rays (90% less radiation) and Intra-Oral Photos • Digitally Scanned Dental ImpressionsNo more gooey impressions! • Electronic Records • Accept and File all Major Insurances • Implants • Root Canals • Extractions • Spa-like Relaxing Atmosphere Our services include: Same day appointments available! DigitalFREEX-Rays$100Value New patients only. • Custom Baked Cookies Daily • FREE Nitrous Oxide and Oral Conscious Sedation • Facial Aesthetic Enhancements including BOTOX and Dermal Fillers Dr. David Remaley Dr. Destinee Hood Thank You for Voting US Best Dentist in North Atlanta for 7 Years! Best AtlantaNorthOf2015 Presented By Best AtlantaNorthOf2016 Presented By WINNER Best AtlantaNorthOf2017 Presented By WINNER Best AtlantaNorthOf2018 Presented By WINNER Best AtlantaNorthOf2019 Presented By Best AtlantaNorthOf2020 Presented By WINNER Best AtlantaNorthOf2021 Presented By WINNER
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