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Varicose vein myths and facts From Gwinnett Medical Center-Duluth When a vein wall weakens or a valve begins to work incorrectly, or when re-circulating blood that should be moving toward the heart actually moves away, blood can pool. Pressure can build up, causing veins to become twisted, enlarged and sometimes painful. This venous insufficiency is more commonly known as varicose veins. Contributing factors include: genetics, obesity, multiple pregnancies, trauma and/ or a profession that requires standing for long periods of time. Varicose veins are also common in people over the age of 60. Unfortunately there are a lot of myths about varicose veins: here’s a quiz to test your knowledge about this all-toocommon condition: Myth or Fact? Varicose veins don’t hurt.
Myth: Varicose veins are sometimes painful or throbbing. Plus the underlying backup of blood in the vein can lead to leg heaviness and fatigue, swollen limbs, skin changes, itchy legs and even skin ulcers. Myth or Fact? Varicose veins are only a cosmetic condition, not a medical one. Myth: Venous insufficiency or varicose veins are not just cosmetic issues.” says Brandon Kang, MD, pioneer in vein treatment at Gwinnett Medical Center-Duluth. “If not properly treated, symptoms can progress and cause more serious medical problems.” Myth or Fact? Only women are affected by varicose veins. Myth: Nearly 25 percent of all women and 15 percent of all men suffer from uncomfortable and unsightly varicose veins. Myth or Fact? Pregnancy may cause varicose veins.
Fact: During pregnancy there is a larger volume of blood, so women may experience varicose veins, especially in the last months of pregnancy. Myth or Fact? Surgery is the only lasting way to treat varicose veins. Myth: No two veins are the same and treatment options are individually based. Gwinnett Medical Center-Duluth offers both conservative and corrective treatments. Conservation treatment includes compression stockings and leg elevation. Corrective methods include Sclerotherapy and the newest laser treatment, VenaCure EVLT. In Sclerotherapy, a tiny needle is injected into the affected vein, delivering medication that irritates the lining of the vein. The vein collapses and is then reabsorbed. The VenaCure EVLT laser vein treatment uses laser energy that pulses through the
vein, causing the vein to collapse and seal shut. This minimally invasive procedure takes less than 30 minutes and can be performed in the physician’s office. The results are more than 95 percent effective. “Laser treatment of varicose veins has revolutionized vein treatment and is quickly becoming the standard of care,” says Kang. “This procedure is safe, quick, very effective, and virtually painless and requires minimal recovery time. There
is no large incision, so there is no scarring.” Gwinnett Medical CenterDuluth offers treatment options for spider veins and varicose veins that are more precise and less invasive, so there is no need to worry about those unsightly, uncomfortable veins. To schedule a free consultation, which includes an ultrasound examination, call 678-304-7008. Use code EVLT when you schedule your appointment.
ADHD – not just in children anymore Adult ADHD is associated with multiple comorbidities such as anxiety, depression, bipolar disorder and other personality disorders. Adult ADHD is a valid psychiatric disorder of adulthood distinct from these other conditions. Adult attention deficit disorder differs from the childhood variant because the hyperactivity in adults may be replaced by other symptoms such as anxiety, impulsivity and inattentiveness. In fact, prior to 2002 there were no diagnostic guidelines, but there have been great advances since. Some of the symptoms that characterize Adult ADHD are:
ADHD is a relatively common psychiatric disorder among adults. The prevalence is thought to be 3.5%-5.3%, which accounts for more than 11 million cases in the United States alone. With increased public awareness, adult ADHD became a topic of great interest so clinicians should be able to diagnose, treat, and manage patients with this disorder. Etiology is still uncertain. Genetics however is believed to play a prominent role, followed in importance by acquired injuries to the brain. ADHD was widely thought to be strictly a disorder of childhood. Now there are numerous scientific papers and clinical trials that acknowledge the existence of an adult version of this disorder, which can be traced back to the younger years. Before this time ADHD in adults was known as Minimal Brain Damage or Dysfunction (MBD).
1. Often fails to give close attention to details or makes careless mistakes in school-work, work or other activities. 2. Often has difficulty sustaining attention in tasks or play activities. 3. Often does not seem to listen when spoke to directly. 4. Often does not follow through on instructions and fails to finish schoolwork, chores or duties in the workplace (not due to oppositional behavior or failure to understand directions) 5. Often has difficulty organizing tasks and activities. 6. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)Often loses things necessary for tasks and activities (eg. School assignments, pencils, keys) 7. Is often easily distracted by extraneous stimuli. PAID ADVERTORIAL
8. Is often forgetful in daily activities.
Some children with ADHD continue to have it as adults. And many adults who have the disorder don’t know it. They may feel that it is impossible to get organized, keep a job, or remember and keep appointments. Daily tasks such as getting up in the morning, preparing to leave the house for work, arriving at work on time, and being productive on the job can be especially challenging for adults with ADHD. These adults may have a history of failure at school, problems at work, failed relationships and traffic accidents. Like teens, adults with ADHD may seem restless and may try to complete several tasks as once, most of them unsuccessfully. They also tend to prefer “quick fixes,” rather than taking the steps needed to achieve greater rewards. Treatment is very rewarding. The first medications to be approved by the FDA belonged to a non-stimulant group of medications: Atomoxetine. The FDA later approved stimulants such as methylphenidate and mixed amphetamine salts. Group delivered cognitive behavioral therapy is recommended in some cases as a supportive treatment. If you or someone you know may have Adult ADHD, call Johns Creek Family Medicine at 770-771-6591 and schedule an appointment with Dr. Zack Charkawi.
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Why Choose Dr. Dan Myers as YOUR Family Dentist?
July 2014
One of the most intriguing developments in modern dentistry: Instant Orthodontics By: Dr. Ushma Patel
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Alpharetta | Cumming | Dunwoody | Johns Creek Serving the Atlanta community since 1968.
Douglas L. Williams, MD, FAAP
Renee A. Alli, MD, FAAP
Stephen H. Smith, MD, FAAP
Annette M. Hinchcliffe, MD, FAAP
Sue W. Chastain, Richelle A. Gonzalez, Glenda V. Pettaway, Stacey Rosenberg, MD, FAAP MD, FAAP MD, FAAP RN, CPNP
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For your convenience our offices are open Monday through Saturday. Please visit our website or contact us by phone for office hours or to schedule an appointment. Alpharetta Office: 3400A Old Milton Parkway Suite 510 Alpharetta, GA 30005 770.475.2233
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Johns Creek Office: 6300 Hospital Parkway Suite 125 Johns Creek, GA 30097 770.814.8883
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This isn’t orthodontics or teeth straightening (there are no braces used). This is quickly and painlessly altering crooked teeth so they look like they’ve had years of straightening. Instant orthodontics is done primarily with veneers, which are thin, but very hard, sheets of porcelain that are bonded to natural teeth in a way that makes the teeth appear straight and uniform, creating an attractive smile. If you’ve ever seen the hit ABC series called Extreme Makeover then you are aware of the incredible changes they can make in your appearance. People with severely crooked teeth may still require regular orthodontics, but many people have only one or several crooked or misshapen teeth. So for these people, instant orthodontics is a wonderful way to go, and not only is it far less costly than conventional braces, it can usually be completed in 1-2 office visits. Instant orthodontics, combined with teeth whitening, can make you
look years younger in just a matter of hours. This actually changes people’s lives! Another common dental problem is chipped, cracked or worn teeth. Veneers can be applied to the tooth to completely patel conceal the chip or crack and also to reshape a worn or misshapen tooth. The veneer is made to match the color of the surrounding teeth and looks completely natural. Another option is bonding. This is a process in which an enamel-like material is applied to a tooth’s surface, sculpted to an ideal shape, hardened, and then polished for a natural look. This can usually be accomplished in a single visit. Get perfect-looking teeth in just a few visits! For more information call Dr. Ushma Patel at 678-894-7926 or visit www.HiTechSmiles.com.
“Life is a highway” By: Dr. Kevin Hudec Generally speaking, most people pay attention to auto maintenance. Whether it’s tires, brakes, transmission, or just a dirty windshield, most of people make sure their cars perform the way they should. People count on their cars to perform effectively. No one wants a surprise, especially in a critical situation. But in stark contrast, people often give less attention to their own physical function than they do to several critical performance factors related to their automobiles. The metaphor of car maintenance standing in for health maintenance is common but relevant. Many people allow their physical conditions to deteriorate beyond the point which they would ever tolerate in their cars… or even lawnmowers! The immediate consequences of such neglect manifest as diabetes, obesity, and cardiovascular disease. What changes are required with respect to our physical health and welfare? As with our cars, a “long view” is needed. Our cars require routine check-ups,
and we as flesh-andblood organisms, require similar “scheduled maintenance”. Feeling fine is not necessarily a good guide to how we are doing from a health perspective. The solution to hudec helping prevent many potentially serious health problems is to make sure you have regular check-ups. Scheduling for such check-ups will be specific to the individual, based upon age, past medical history, and family history. From blood pressure to spinal check-ups, the critical takeaway is to practice preventive health care based on the “long view”. Perform personal maintenance and service checks as needed. Hudec Chiropractic Center 10595 Old Alabama Rd. Connector Suite 9A Alpharetta, GA 30022 770-641-7811 www.hudec-chiro.com
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The perfect fit – for your ears and your world Our computers. Our cell phones. Our cars. Our homes. Our own bodies. The marvels of technology have allowed us to be “connected” to the tools we use in our daily lives, and depending on the decade you were born in, refuse to live without. As the world around us continues becoming more “tech” oriented, should not our ability to hear at a high level of detail keep up as well? If you find yourself “missing” some of this detail you are not alone. 36 million Americans experience hearing challenges in various environments and situations. This group is clearly at a disadvantage when communicating in this “new world”. As the community’s leading link to better hearing over the past 16 years, Dr. Deborah Woodward and her staff have successfully led thousands of hearing challenged patients to a more enjoyable and fulfilling life. Dr. Woodward and the Johns Creek Audiology and Hearing Center offers patients not only improved day to day communication, but also the solutions to those challenging listening environments. These include restaurants,
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group meeting rooms, phone communication, and yes, that age old argument between spouses on the “correct” loudness of the television volume. With the invention of wireless connections such as Bluetooth, Dr. Woodward can “plug” patients directly into the audio of a phone, a TV, a computer, or any other device patients may need to use throughout the day. You can now use the phone that is ALREADY in your pocket or purse to fine tune your hearing to fit the various situations you encounter. Also, you can make or receive calls and stream your music straight to your hearing devices! As for phone calls, Johns Creek Audiology can provide the optimal solution resulting in a very clear conversation in both ears simultaneously without fidgeting with the placement of the phone and without feedback from your hearing device while trying to talk!
Extended wear, invisible to others, and no batteries to change! THE FUTURE IS NOW! If you have a mild to moderate hearing loss, this cutting edge option may be right for you. Call today and schedule your 2 week – NO RISK – free trial.With all the devices now available to assist the hearing challenged, you truly need the expertise of a Doctor of Audiology and a Center with a proven TRUST record to help plan your personal and unique solution to “better” hearing. Johns
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Creek Audiology and Hearing Center can also provide diagnostic testing for hearing disorders, tinnitus (ringing in the ears), vertigo, and ear wax management. All major insurance plans are accepted, no interest finance plans are offered, and Saturday appointments are available. JCA is also offering complimentary ‘Summer’ hearing aid cleanings and inspections. Please call (770)8141260 to take advantage of this offer. THE MOST IMPORTANT COMPONET OF HEARING TECHNOLOGY IS TRUST
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Back in the Game Laser Therapy is providing Drug-Free, Surgery Free Pain Relief to the Johns Creek Area. Visit our website today at
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4310 Johns Creek Parkway Suite 130, Suwanee GA 30024
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Men, it’s time to get your life back By: Jonathan D. Stegall, MD How do you feel now compared to when you were 25? If you don’t feel as good, something is wrong. I have found that most men have decreased energy, weight gain (especially around the middle), muscle loss, and
simply don’t feel very good. In addition, many men don’t have the sex drive they used to have. Increasingly, men feel like they have lost their edge, and some even feel depressed. The effect on their lives can be severe. If this sounds familiar to you, then your testosterone
levels probably aren’t what they should be. Just about every man age 40 or older has low testosterone. I’m even finding that men in their 20s and 30s are affected. A simple blood test, which I perform in my office, can tell if a man has low testosterone. If so, the solution is simple:
testosterone replacement therapy. I help men with this every day, and the results are often dramatic. As a bonus, it not only improves the
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Grand opening of Back in the Game Laser Therapy Suwanee, GA – Back in the Game Laser Therapy is proud to provide the highest level of pain relief with the LightForce™ EX Deep Tissue Therapy Laser. Laser Therapy is a surgery-free, drug-free option for individuals suffering from both acute and chronic pain. Treatments are fast, safe, and painless. Most patients see results in 3 to 5 treatment sessions and the treatments have a therapeutic effect continuing for up to 18 hours after the treatment. Laser Therapy is clinically proven to reduce pain and
inflammation associated with many common musculoskeletal conditions, such as lower back pain, bursitis, tendonitis, and plantar fasciitis. Laser Therapy is endorsed by professional clinical organizations, including the World Health Organization (WHO), American Physical Therapy Association (APTA), and the International Association for the Study of Pain (IASP®) and over 3,000 research studies have been conducted in the field. The LightForce™ EX Deep Tissue Therapy Laser by LiteCure® Medical is FDA cleared and represents a great advance in medical technology.
About Back in the Game Laser Therapy Back in the Game Laser Therapy is a Suwanee based practice specializing in drug free, surgery free pain relief. Call today to find out how Back in the Game Laser Therapy can help improve your quality of life by reducing the pain and inflammation associated with your painful musculoskeletal condition. Back in the Game Laser Therapy 4310 Johns Creek Parkway Suwanee, GA 30024 770-545-6354 www.backinthegamelaser.com
Peace of Mind... and Outstanding Dental Care at Affordable Prices.
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10595 Old Alabama Road Con #9A, Alpharetta, GA 30022
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No Insurance? No Problem!
You can still have access to great and affordable dental care! Haynes Bridge Dental Care is pleased to provide those dental patients who do not have dental insurance our exclusive and affordable Dental Concierge Membership. Get similar benefits of having insurance without all of the hassles!
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www.HaynesBridgeDentalCare.com | 470.297.6700 9925 Haynes Bridge Road | Suite 700 | Johns Creek, GA 30022 (located in the Haynes Bridge Publix Shopping Center)
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Stay safe from the summer heat By: Northside Hospital Emergency Services Heat stroke, also known as sun stroke, is the most serious form of heat injury and may cause damage the brain and other vital organs. It can even be fatal. Heat exhaustion occurs after you’ve been exposed to high temperatures for several days and have become dehydrated. Without proper care, heat exhaustion can eventually lead to heat stroke. Before you head out for a day of fun in the sun, brush up on these sun-savvy tips to keep you and your family safe and healthy this summer: 1. Stay Hydrated. If you’re going to be in the sun all day, be sure to drink 16 to 32 ounces of fluids, such as water, fruit juices or sports beverages, each hour. Avoid caffeinated and alcoholic beverages, as these can worsen your dehydration. 2. Know the symptoms. Heat exhaustion and heat stroke share some of the same symptoms—confusion, nausea, dizziness, headache and high body temperature. A person with heat exhaustion usually perspires heavily, while someone with heatstroke has lost the ability to sweat. If you are overheated, out of breath or your heart is racing, stop what you’re doing and move indoors immediately—especially if you feel lightheaded. If you or someone you know has lost the ability to perspire, seek medical attention immediately. The CDC recommends taking a cold shower or bath, and using other cooling measures such as fans or ice towels. 3. Keep cool and use common sense. Avoid being out in the mid-day heat as much as possible. When you
do go outside, wear loose fitting, lightweight and light-colored clothing. Exposure to air conditioning, even just for just a few hours a day, can help prevent heat-related illnesses. If it’s sweltering inside your home, take a break and find a place where you can enjoy a free blast of AC. Emergency Services a Northside Hospital The state-of-the-art Emergency Department at Northside
Hospital provides 24 hour, 7-days-a-week emergency services to any medical, surgical or obstetrical patient. A team of board-certified physicians and nurses, who all are certified in BLS (basic life support), ACLS (advanced cardiac life support) and PALS (pediatric advanced life support), offers high quality, compassionate care. For more information, visit www.northside.com/emergencyservices.
The Johns Creek Audiology & Hearing Aid Center provides the most innovative treatment options and technology available today to improve hearing. On-site audiology services are provided by a staff who is medically trained to assess your current hearing profile. Call Today and schedule your visit to update your hearing sensitivity and we can explore the options together. We can accommodate every budget – ASK US HOW!
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Dr. Deborah Woodward
Dr. Deborah Woodward Doctor of Audiology
Best of North Fulton & South Forsyth
2013
4045 Johns Creek Parkway, Suite B Johns Creek
770-814-1260
www.JohnsCreekAudiology.com All major insurance plans accepted.
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More restful sleep may be in your future By: Dr. Myers Do you lose sleep due to snoring? Does your partner lose sleep due to your snoring? Do you wake up tired in the morning? Snoring is a serious condition and can be an early warning sign of sleep apnea. An estimated 160 million people are affected by snoring and many of them suffer from obstructive sleep apnea. Lack of sleep places undue stress on your heart and other major organs. Untreated Obstructive Sleep Apnea (OSA) can lead to heart attacks, strokes and excessive daytime sleepiness. More than 100,000 people are killed or injured each year in crashes attributed to a driver who has fallen asleep at the wheel. Sufficient sleep is fundamental to your over-
all health and wellness. Dr. Dan Myers of The Cosmetic Dentistry Center of Alpharetta has made treatment of this serious condition a priority. A sleep study by your physician would be recommended to determine the severity of the condition. myers The appropriate oral appliance or a CPAP (continuous positive airway pressure) machine would be suggested for treatment. There are other approved types of oral devices that can give you relief and from snoring and eliminate sleep apnea. Contact Dr. Myers at 678.293.8758 for a complimentary consultation.
July 2014
Georgetown Pediatrics Georgetown Pediatrics, P.C. is one of the oldest private practices specializing in Pediatric Medicine. Founded in 1968 in the Dunwoody area, the practice serves patients primarily in its four locations, Alpharetta, Cumming, Johns Creek, and Dunwoody markets. Our doctors are all board certified as Fellows of the American Academy of Pediatrics and our nurse practitioners all hold the Certified Pediatric Nurse Practitioners certification. We are committed to delivering the highest quality of care with unparalleled execution to patients from birth to the age of twentyone. As board-certified practitioners, we practice medicine according to the guidelines mandated by the American Academy of Pediatrics, the Centers for Disease Control, and the Advisory Committee on Immunization Practices. Our providers also have areas of interest ranging from early
childhood development, asthma, obesity and weight management, infectious diseases, and all other areas of general pettaway pediatrics. We are also excited to introduce our two newest providers joining the staff, Dr. Glenda Pettaway and Dr. Richelle Gonzalez at our Alpharetpettaway ta location, 3400-A Old Milton Parkway, Suite 510. For more information about our practice, please visit us at www.georgetownpediatrics. com, like us on Facebook or meet us at our Expectantly Expecting Class on Tuesday and Thursday evenings.
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Five secrets about head lice every parent should know (NAPS)—A nightmare common among parents with school-age children is one your family can avoid. The Problem A notice comes home from school about an outbreak of head lice. Head lice infestation is the most frequent health issue (after the common cold) facing children ages 3 to 11, with 12 million cases reported in the U.S. annually. A growing number of “lice clinics” have opened across the country, but with the right information and new innovations in treatment, parents can also address the problem at home. Expert Advice Anna Warren, owner of the Asheville Lice Treatment Center in North Carolina, advises school nurses, teachers and parents on how to respond in the case of an outbreak. Warren says these five facts and tips can help you save time, worry and money, not to mention the misuse of potentially harmful pesticides. • Today’s pesticidebased products have become largely ineffective. Lice have developed resistance to many of the over-the-counter treatments that have been around for years and in certain areas of the country, these “super lice” are the norm. • If the treatment does not kill nits (eggs), it won’t work. The lice life cycle can be difficult to break because nits are hard to eradicate, often leading to prolonged infestations and a frustrating series of treatments with chemical products that can be harmful if overused. • Recent breakthroughs in pesticide-free products kill lice and nits. New innovations in lice treatment options have led to effective, pesticide-free consumer products that can eradicate and prevent lice infestation, even among the pesticide-resistant super lice. • A lice comb should be used to remove all lice and nits. A professional-grade steel lice comb should be used to ensure that hair is completely free of any lice and nits post treatment. In fact, a full comb-out performed weekly on your kids is a good habit to start. • A preventative shampoo can break the life cycle. A shampoo that kills lice before they can lay eggs is critical for
Maintaining oral health in the aging population A weekly comb-out with a professional-grade steel lice comb can help ensure that your child’s hair is free of lice and nits. closing the “bridge” from one head to another. Lice specialists now recommend parents seek effective, pesticide-free options. One such product, Vamousse, is made in the U.S. and considered 100 percent effective in killing lice and nits. Available at Walmart and Amazon.com, it also offers a preventative shampoo that can be used daily by the entire family and is safe for children as young as 2. For more information, visit www.vamousselice.com.
Like your teeth, your dentures should be brushed daily to remove food particles and plaque. Brushing also can help keep the teeth from staining. Rinse your dentures before brushing to remove any loose food or debris. Use a soft bristle toothbrush and a non-abrasive cleanser to gently brush all the surfaces of the dentures so they don’t get scratched. When brushing, clean your mouth thoroughly—including your gums, cheeks, roof of your mouth and tongue to remove any plaque. This can help reduce the risk of oral irritation and bad breath. When you’re not wearing your dentures, put them in a
safe place covered in water to keep them from warping. Occasionally, denture wearers may use adhesives. Adhesives come in many forms: creams, powders, pads/wafers, strips or liquids. If you use one of these products, read the instructions, and use them exactly as directed. Your dentist can recommend appropriate cleansers and adhesives; look for products with the ADA Seal of Acceptance. Products with the
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6916 McGinnis Ferry Road, Suite 500 • Suwanee, GA
ADA Seal have been evaluated for safety and effectiveness. If you have any questions about your dentures, or if they stop fitting well or become damaged, contact us at Haynes Bridge Dental Care 470-297-6700. Be sure to schedule yearly dental checkups with us, too. Dr Andrew Soulimiotis can help maintain your dentures, and he will examine your mouth yearly to ensure that your dentures continue to fit properly.
Johns Creek Family Medicine for the Extra Level of Care
• Comprehensive medical care for the entire family for pediatric adult and geriatric patients • Caring, thorough, and individualized philosophy • Well trained warm and efficient staff • Accepting new patients and sick walk in • Office welcomes most insurances including Medicare
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6300 Hospital Parkway, Suite 100 Johns Creek, GA 30097 770.771.6591 www.johnscreekdermatology.com
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Fewer Stitches. Faster Recovery.
Robotics - Minimally Invasive, Extraordinary Results. Gwinnett Medical Center is transforming healthcare by offering a more precise and less invasive alternative to traditional open surgery. Robotic-assisted surgery provides many benefits including: significantly less pain, shorter hospital stays, faster recovery and minimal scarring. For more information about robotic surgery at GMC-Lawrenceville and GMC-Duluth, visit gwinnettmedicalcenter.org/robotic or for a physician referral, call 678-391-4264.
July 2014