Health & Wellness, June 2015 by Appen Media Group

Appen Media Group

Health Wellness June Special Section

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June 2015

Sponsored Section • health & wellness

June 2015

Breast lift vs breast augmentation: how to tell which is needed? By Luna Plastic Surgery and Medical Spa Breast lift is ideal for a patient that is happy with the size of her breast, but has become saggy or ptotic from breast feeding, pregnancies, or just over time. Breast augmentation is for patients that will like to have more volume. Sometimes if the breast is only mildly ptotic or saggy, and the patient does not mind having more volume, a breast implant can help lift the breast some with minimal scars. How to choose the right breast implant size? We do have sizers and bras without any padding. The patients can try on sizers to see what size implant fits them best. It is also a good idea to bring some pictures of what the patient thinks is an ideal breast so the surgeon can have a better idea of the patient’s expectations. Do breast implants lift slightly sagging breasts? Yes, if the sagginess is only mild. Implants can lift the breast by filling up the loose skin with volume. Can I have breast implants under local anesthesia? It is difficult to completely anesthetize the tissues needed

to create the pocket, especially under the muscle. It is risky to do multiple injections on the chest because of the proximity to the lungs and heart in order to deliver enough local anesthetic to provide maximum anesthesia. Can I have breast implants if I’m planning to have kids in the future? Yes, absolutely no problems with pregnancy. Can I breast feed if I have breast implants? Yes breast implants do not interfere with your ability to breast feed. What is the best shape of implants to achieve more natural looking results? Depends on the amount of breast tissue that the patient has, when the breast is very small, more natural look can be obtained with anatomical shaped, or tear drop, implants. Do silicone implants harden over time? No, although any implant can become hard over time if the scar tissue becomes thicker, silicone implants normally remain soft over time. Do breast implants need to be replaced overtime? Depending on the manufacturer, most implants made in the United States have a

lifetime warranty, meaning that if the patient is happy with her results, she can keep the implants for life. How long is the downtime for breast augmentation surgery? The patient usually recovers within a week although they should not be doing any heavy lifting of more than 15lbs for 6 weeks.

Silicone vs. Saline: Which breast implant is safer? Both implants are very safe. The new generation of silicone implants are cohesive, which means that even if they rupture the silicone remains intact and stays inside the pocket. What are the risks of breast implants? The risks of surgery are like any other surgery, but in

relation to the implants, the most common complication is capsular contracture, which means that the scar tissue around the implant becomes thicker and the breast feels hard, and sometimes even painful. To learn more information visit www.lunaplasticsurgery. com or call 678-892-7820

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Thomas Eye Group Chooses CATALYS® Precision Laser System for Cataract Surgery Thomas Eye Group, a leading metro Atlanta eye care provider, has announced that it now offers patients the FDAapproved CATALYS Precision Laser System which represents a breakthrough in cataract surgery in Georgia and beyond. For the first time, patients have access to a customized laser treatment for cataracts making surgery and recovery easier. “After a great amount of research, we chose the CATALYS because it’s the most advanced and safest laser cataract system available,” said Dr. Larry Heit, M.D., who will be the first ophthalmologist at Thomas Eye Group to perform surgery with the new system. “We are excited about offering this leading procedure to our patients, and I believe we are just beginning to realize the true benefit it brings.” Cataracts, a common condition in which the eye’s lens becomes progressively cloudy, impacts millions of people and can lead to poor vision and even blindness. The condition can be caused by the aging process, but other risk factors include trauma, diabetes, smoking and alcohol use. Surgery to treat the condition is one of the most widely performed procedures world-

wide with an estimated 19 million cases treated annually. For the past several decades, cataract surgeons have used heit handheld instruments to perform some of the most challenging parts of the procedure. Today, the new technology offered by CATALYS combines a femtosecond laser, 3D imaging, sophisticated software and a number of other innovative features that make the cataract procedure highly customized, gentle and more precise than manual surgery. While there are other lasers that help with the initial incisions during surgery, the CATALYS assists the surgeon in all aspects of the cataract removal. “The imaging and laser portion of the treatment take only a few minutes and causes little or no discomfort to patients,” Dr. Heit said. “With the field of ophthalmology rapidly advancing its technologies, our practice continues its commitment to procuring leading edge surgical equipment along with highly experienced doctors and state-of-the art facilities.”

Thomas Eye Group is a full service eye care provider with eight offices in the greater Atlanta area providing routine eye exams, glasses, contact lenses, LASIK, as well as medical, surgical and cosmetic services. The company recently celebrated its 40th Anniversary and has been treating patients

in the Roswell area for over 30 years. Many Thomas Eye Group physicians have undergone additional, highly specialized sub-specialty training to offer services including laser cataract surgery, oculoplastics, pediatrics, cornea, retina, and glaucoma. For more information on

Thomas Eye Group and the CATALYS Precision Laser System for cataract surgery, please visit www.thomaseye. com or call 770-475-5515 to schedule an appointment. The Thomas Eye Group Roswell office is located at 11690 Alpharetta Highway, Roswell, GA 30076.

Doctors Trust Dr. Ushma Patel

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• Sedation Dentistry – relax through your entire visit • Dental Implants – permanent replacements for missing teeth • Straight Teeth in Six Months or less • Teeth Whitening, dazzling results – ZOOM! Call Today For Your • Non-Surgical Periodontal Gum Treatment Complimentary • Metal-Free, tooth colored white fillings Sedation, Implant • Porcelain veneers for crooked or stained teeth Or Cosmetic • Digital X-Rays - 90% less radiation Consultation • FDA approved NON-DRUG migraine prevention Dr. Ushma Patel is a member of the American Dental Association, Georgia Dental Association, Hinman Dental Society, Academy of General Dentistry and the Dental Organization for Conscious Sedation.

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Dr. Ushma Patel, D.M.D

6916 McGinnis Ferry Road, Suite 500 • Suwanee, GA

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A diﬀerence you can see. North Fulton’s source for Total Eye Care • Comprehensive Ophthalmology • Pediatric Ophthalmology and Strabismus • Cataract Surgery • LASIK and Refractive Surgery • Oculoplastic Surgery and Cosmetic Services • Eyewear and Contact Lenses for all ages • Retina, Glaucoma, and Cornea Services • Optometric Services

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June 2015

Restore your vision – refresh your appearance By: Dr. Kiran Sajja Our eyelids play a vital role in the normal function of our eyes and maintenance of clear vision. First, the eyelids are a physical barrier that shields the ocular surface from the damaging environment. Second, the motion of the eyelids allow for the even spread of our tears over the surface of our eyes necessary for optimal visual clarity. And finally, the eyelids define the overall aesthetic of the face and convey our emotion and mood. Eyelid dermatochalasis

or “eyelid bagginess” is related to stretching and thinning of the eyelid skin. This often affects both the upper and lower eyelids sajja giving a puffy or wrinkled appearance. At times, the excess skin can rest on or over your eyelashes interfering with your vision. Other common complaints include eyelid redness or itchiness, tearing, or headache. Women

often note difficulty applying and maintaining eye make-up, such as mascara, eyeliner or eye shadow. This condition can be significantly improved with an easy outpatient surgical procedure. Your evaluation with Dr. Sajja would determine if the procedure is covered by your medical insurance. In addition, Dr. Sajja has considerable experience in cosmetic concerns of the eyelids and face employing advanced surgical techniques and facial injectables, such as Botox®, Dysport®, Xeomin®, Juvederm® XC, Radiesse®,

Belotero®, and Restylane®. Dr. Sajja will perform a detailed evaluation and provide recommendations to allow you to achieve a balanced, youthful and energetic result. Patients often elect to combine functional eyelid correction with cosmetic procedures to help turn back the clock and restore a more healthy and vibrant appearance. Dr. Sajja has a unique blend of experience, compassion and artistry that he shares with each and every patient. With the addition of Dr. Sajja, Milan Eye Center will expand the unsurpassed level of care and services provided to

the North Atlanta community. Milan Eye Center has four convenient locations around North Atlanta: Johns Creek, Cumming, Canton, and Buford. Milan Eye Center is a premier ophthalmology practice and is affiliated with Atlanta's finest hospitals including Northside Forsyth, Northside Cherokee, and Emory Johns Creek Hospital. Dr. Sajja is accepting new patients at all Milan Eye Center locations. Please call 678381-2020 or visit our website at milaneyecenter.com for more information on Dr. Sajja and to schedule your consultation today.

Rejuvenate Your Vision and Look. Do You Suffer From

Droopy Eyelids? Symptoms: • Eyelid heaviness and bagginess • Headaches due to lifting of forehead • Tearing • Decrease in peripheral vision • Tilting of your head to see properly Services Offered: • Upper/Lower Lid Blepharoplasty • Browlift • Ptosis Repair • Ectropion/Entropion Repair • Eyelid / Facial Spasms • Tear Duct Surgery

2013 and 2014

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For your convenience Dr. Sajja will see patients on Saturdays beginning August 1st!

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Learn more: milaneyecenter.com | Call for a consultation: 470-326-0330

Bianco Primary Care As medical students, husband and wife Drs. Michael and Shelley Bianco saw a problem emerging in healthcare. Time after time they heard their physician preceptors tell patients that there was only time to discuss one health concern during appointments. With costs growing and reimbursements from insurance and Medicare shrinking, doctors are being forced to see more patients each day. The practice of medicine has become quantity focused rather than quality focused. Drs. Michael and Shelley Bianco want to change this. Bianco Primary Care is a new type of general practice that gives doctors and patients more time together. This time allows patients the ability to talk with their doctor about health concerns without feeling rushed. They are able to take the time to listen, to develop a personal relationship with their patients and to offer more than just an additional prescription. This caliber of care is delivered within the concierge or

subscription model of primary care. In this type of medical practice, patients pay an annual fee that guarantees them more time with their physician. This fee, about the cost of a daily Starbucks coffee, allows the physician to have a smaller patient pool for their practice, giving them the ability to see fewer patients in the day and spend more time with those patients. Joining a concierge medical practice restores the strong doctor-patient relationship that many of us can still remember. Becoming a patient of Bianco Primary Care means same day or next day appointments that start on-time, having access to your doctor by phone or email 24/7, and developing a personal relationship with your doctor. Additionally, Drs. Michael and Shelley Bianco offer nutrition counseling, coordination with specialists and house-calls. Bianco Primary Care is accepting new patients, call for a 30 day no cost trial with Bianco Primary Care.

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Key to avoid heat exhaustion and heat stroke — stay cool By Chris Munn, R.N. While rising temperatures are great for outdoor activities, getting too much heat exposure can pose a danger to your body. Whether you’re running, playing tennis or working in your yard, you could be putting your body at risk for heat exhaustion and even a heatstroke. While heat exhaustion and heatstroke symptoms are similar, there’s a difference between these common heat-related illnesses — a heatstroke is a medical emergency. With heat exhaustion, which can resolve itself with proper cooling, the person usually has cool, clammy skin and can sweat profusely. However, with heatstroke there is normally no sweating and the body loses its ability to cool down. Other signs of heat exhaustion include a headache, nausea, vomiting, rapid pulse and muscle cramps. Some people can get dizzy and fatigued. Al-

though your body temperature might be slightly elevated, you will not have a high core body temperature with heat exhaustion. To treat heat exhaustion, finding an air conditioned space or shade should be your first intervention. Drink a lot of water, preferably a sports drink, or any non-caffeinated beverage. If you can, also spray down the body with cool water. Heatstroke is a little bit different. The key thing for the person attending to someone experiencing a heatstroke is to immediately call 911. The body temperature of a person having a heatstroke can sometimes rise to 104 to 106 degrees. Because the body is no longer sweating and has lost its ability to cool itself, the skin becomes dry, red and hot. The person’s pulse can be either really fast or really slow during a heatstroke. When a person is having a heatstroke and continues to stay in the hot weather or sun, they can experience confusion, disorientation, seizures and can even lose consciousness.

After calling 911, the victim should be moved to a cool or shady place; external cooling should also be initiated by placing cold compresses under the armpits, back of neck and groin. During the hot summer months, try to stay cool by doing physical activities in the morning or late afternoon, drink plenty of fluids and increase your rest breaks. It is the best way to avoid a trip to the emergency room. Chris Munn is Director of Emergency Services at Northside Hospital. For more information, visit northside.com.

In an emergency, experience matters Emergencies happen. And when they do, rest assured that you’ll get the best care close to home. Northside’s board-certiﬁed emergency medicine physicians and Pediatric Advanced Life Support (PALS) certiﬁed nurses are just right up the road. We hope we don’t have to see you, but if we do, you’ll be in the best possible hands. Visit us online at www.northside.com.

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Muscle-building exercise, the real key to calorie burning By Dr Robert Ladd, PH, MD What’s the difference between your 25-year-old body and your 55+-year-old body? Thirty years and 20 pounds? If so, you are about average, but don’t believe for a minute that you have to settle. This isn’t our fate as we get older. By doing some meaningful strength training, you can add back calorie-burning muscle that can really turn things around for you. Here’s the truth. As we age, we tend to slow down. With careers and busy households we may not

continue to do meaningful exercise, and without it we lose valuable muscle tissue which we exchange for fat. Less muscle mass means ladd lower metabolism and we burn fewer calories at rest. This may explain why so many of us gain weight slowly with age, even with no major changes in the number of calories we are eating. Doug McGuff, MD and John Little, authors of Body

by Science, argue that the solution is MUSCLE. According to McGuff and Little, just 5 pounds of lean muscle has a calorie-burning capacity of about 250 calories per day! The good news is that it doesn’t matter how old you are, whether you are a man or women, or whether you haven’t exercised in years, you can still regain lean muscle that improves your shape and increases your metabolism. The key to building lean muscle is doing meaningful strength training exercise. According to McGuff and Little, only a small percentage

Total body workout in just 20 minutes 1-2 times a week • Improve bone health • Greater muscle strength • Improve cardiovascular ﬁtness • Highten metabolism

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Effective and safe for all ages and body types including injury recovery “I have been a client of SSZ since July and love it. The facility is great and I like that you have one on one sessions. I had back surgery a year ago and this has helped strengthen my back and my core. I like that it is just twice a week for 25 minutes. You can fit it into your busy schedule. I love that you have no distractions and the facility is cold so you can come anytime to exercise. I am very happy with my workout routine at SuperSlow Zone and would highly recommend it.” -Judy “I can truly say that after 3 months, my back and hip are pain free. I can play 18 holes of golf again. I can run up stairs, and the pain in my hands are much better. My overall strength is far better than I thought I could ever have achieved. Thanks SuperSlow Zone.” -Ron

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of muscle fibers are required in steady-state activities, like walking or running and, in fact, the body adapts to the demands of endurance activities by dropping “useless and burdensome” muscle weight. Steady-state or endurance activity does help burn a few more calories on the day it’s performed, but it doesn’t place a high enough demand on muscle fibers to signal your body to add more lean muscle that boosts your everyday calorie-burning capacity. The best way to stimulate your body to add more muscle is to challenge your muscles at a sufficient level of intensity. This can be effectively done by strength

or resistance training. Based on the evidence and exercise guidelines, my recommendation is strength training twice a week.

There’s an APP for that! For YOUR ears and YOUR world Can you imagine being able to stream the sounds from your iPhones and iPads directly into hearing devices that NO ONE else can see? What if you could answer or make phone calls and clearly hear the person on the other end through both ears? The marvels of technology have made these scenarios possible to create a seamless connection to a world filled with sounds. More than 36 million Americans experience hearing challenges in various environments and situations - a frustrating disadvantage to those affected. Forget about what you think you know about hearing devices up to now. You will be AMAZED at how smart, how helpful, and how transforming better hearing can now be. “As an audiologist for almost 24 years, it is both exciting and overwhelming to stay on top of the latest advances in hearing technology. It is a very fulfilling time to be in a profession that is truly transforming people’s lives by connecting them to the world in a way that others take for granted” says Dr. Deborah Woodward. “Another leap forward has been the very successful extended wear option.” These devices are invisible to others, worn 24/7 for months at a time, and have no batteries to change. If you have a mild to moderate hearing loss, this cutting edge option may be right for you. As the local community’s leading link to better hearing over the past 17 years, Dr. Deborah Woodward and her staff at the Johns Creek Audiology and Hearing Center have successfully led thousands of hearing challenged patients to a more enjoyable and fulfilling life. Dr. Woodward offers

patients not only improved day to day communication, but also the solutions to those challenging listening environments such as restaurants, group meetings, phone communication, and yes, that age old argument between spouses on the “correct” loudness of the television volume. Countless devices and services are now being marketed to assist the hearing challenged but like fingerprints, no two ears are the same. Consulting with an audiologist is an absolute must. The “one model fits all” bought from a magazine or website has the potential to actually add MORE damage to your current hearing profile. If in need of help, you can rely on 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. The Johns Creek Audiology and Hearing Center is known for their competitive pricing along with award winning service. They can also provide diagnostic testing for hearing disorders, tinnitus (ringing in the ears), vertigo, and ear wax management. All major insurance plans are accepted and no interest finance plans are offered. Call (770)814-1260 to schedule YOUR life changing appointment

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Lyme disease is more common than you think By Jonathan Stegall, MD Summer is here, and with increased time outside you should be aware of ticks. Ticks can transmit Lyme disease, and sadly there is a lack of awareness that Lyme disease is present in Georgia. In addition, many doctors do not know the signs or symptoms of Lyme disease, nor do they know the proper tests to run or how to best treat it. Undiagnosed Lyme disease can be particularly devastating.

Lyme disease has a characteristic red bull’s eye rash at the location of the bite, but in over half of Lyme cases such a rash stegall is not seen. Frequently, patients don’t remember a tick bite. Early in the disease course, Lyme can be confused with the flu or another virus due to fever

and malaise. Some have joint pain, but many do not. When Lyme persists, it can cause vague symptoms such as fatigue, mild memory loss, sleep disturbances, and aches and pains. Chronic Lyme disease is very real, and is frequently the reason why people are having symptoms such as those listed above. Lyme disease is not something that should go undiagnosed or untreated! If you suspect that you have Lyme disease, please call my office.

Arbor Terrace of Johns Creek is the New Signature in Assisted Living Retirement living should be exceptional living. Situated in one of the most desirable spots in Johns Creek, this new 100 apartment community is within close proximity to world-class healthcare facilities, cultural venues, fine shopping and dining. Arbor Terrace of Johns Creek is a one-of-a-kind community offering a luxurious lifestyle with concierge services, chef-prepared meals, housekeeping and more, without a large investment or long-term commitment. “We are changing the way

people live,” says Beth Richardson, Executive Director at Arbor Terrace. “Working with strong onsite partners in healthcare, including 24 hour nursing staff and on site therapy, we can provide as much or as little care as our residents need.” Arbor Terrace’s goal is to provide the residents with comfort, security and peace of mind. This beautiful community will have all the amenities you would expect including a fitness center with a variety of exercise and educational offer-

ings as well as a vibrant social calendar. As Judd Harper, President of the Arbor Company points out, “We consider it our priority to help you stay

fit and healthy. Our dedicated staff is committed to facilitating our residents’ physical, intellectual and cultural wellbeing.”

For more information on Arbor Terrace of Johns Creek, please call (770)-999-9577 and visit our website at www.atjohnscreek.com.

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June 2015

The new anti-aging dentistry: Your smile may make or break you By: Dr. Ushma Patel Center For Advanced Dentistry Psychologists used to say that the first feature people looked at were the eyes. Now they say it’s the mouth. According to a new nationwide survey, 92% of people perceive a great smile as a valuable asset. Men and women between the ages of 18-49 both chose a sexy smile as the most appealing gesture in a member of the opposite sex. Men and women are in agreement on what makes an appealing smile - having white teeth makes or breaks a smile, followed by straight teeth and full lips. In a recent survey conducted by the American Academy of Cosmetic Dentistry (AACD), 74% of men and women agree that an unattractive smile can hurt a person’s chances for career success. Going to the dentist used to be about cavities and drills. Today, dentistry is giving people what they want: looking good. This is, of course, in

addition to improving people’s dental health. Those cavities still have to be found and filled but cosmetic dentistry can patel make going to the dentist something we want to do, not just have to do. “Over the last 5 years dental technology has advanced to where it’s now possible to get dental care with no pain and in a comfortable way,” says Dr. Ushma Patel. “In our practice we provide blankets, hot towels after treatment, headphones for music and Satellite TV channels to relax our patients. Many of our patients even bring their own DVD and choose to watch movie while they are getting treatment done. We want them to not only feel good while they are being treated but also to simply feel good when they leave.” We also use oral

sedation (pills) for many of our phobic patients. We call it Twilight Dentistry where patients have their treatment performed while being sedated. For patients who want a Dazzling White Straight Smile instantly, we offer Porcelain Veneers. These veneers are very thin hard porcelain shells that are bonded on top of your existing teeth. Veneers can be used to reshape teeth and often are referred to as “instant orthodontics” because we can instantly straighten crooked, misshapen or excessively stained teeth without braces. This procedure typically takes two office visits. A generation ago, only people in the public eye had “movie star” smiles, but all that has changed. Today, Teeth Whitening has become the most common cosmetic procedure performed. There are typically 2 methods of teeth whitening. One procedure in done in the dental office using a high concentration bleach which is applied to the

teeth and in 1 hour you leave the office with a bright white smile. The other procedure is a home whitening system. This procedure requires you to have molds made and then a whitening gel will be given to you and you wear the custom fitted bleaching trays for 1 hour a day for up to two weeks. The results can be dazzling. A bright, gleaming smile can go a long way to improve your appearance and make you feel years younger. Many people believe that braces are only for children and take years to achieve a beautiful, straight smile We are proud to offer our patients effective, safe, and affordable cosmetic solutions, for patients 18 years and older, in just 6 months or less on average! This accelerated procedure only focuses on the teeth that show when you smile and does not make significant bite changes — but can result in a beautiful smile in less time than you might have ever expected. You can be proud

and confident showing your beautiful new smile in as little as 6 months! You may not have heard about 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 muscle 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. Botox is now available in our office. So what are you waiting for? Call Dr. Ushma Patel at 678-894-7926 for a complimentary consultation. Center for Advanced Dentistry is located at 6916 McGinnis Ferry Rd, Suite 500, Suwanee, GA 30024. For more information you can also visit their web site www.HiTechSmiles.com .

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By Dr. Brad Stephens, Emergency Clinician, Atlanta Veterinary Specialists “Heat stroke” refers to the damages done to your animal’s body systems from exposure to excessive heat. Old or sick animals, as well as “brachycephalic” breeds, such as Bulldogs, Pugs and Boston Terriers, are predisposed to the development of heat stress. Body temperatures in excess of 105 degrees F can lead to permanent brain injury, and one study found that as much as 40% of animals experiencing heat stress may not survive! One of the most common reasons for heat stress in dogs and cats is being confined to an area with high temperatures and poor airflow like getting closed in a hot car. NEVER leave your animals in a car without air conditioning for any length of time. Some animals will develop severe heat stress from being too active in warm weather as well. Signs of heat stress in your animals include: excessive panting, red to purple gums, blood shot eyes, and even convulsions or seizures. If this occurs immediately cover your pet’s entire body with COOL water. Do not get them cold or use ice because this can cause them to cool too rapidly. We

are more than happy to care for your over-heated pets at Atlanta Veterinary Specialists; and we have the most state-of-

the-art equipment to ensure that they make it back home in time to further enjoy the “Dog Days!”

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Hypothyroidism: Understanding how it is diagnosed Brought to you by Dr. Sean Savedoff Hypothyroidism affects an estimated 27 million people. If you are experiencing any of the symptoms, it is important to see your doctor to receive a diagnosis and begin treatment as soon as possible. How is hypothyroidism diagnosed? Blood tests can usually confirm whether you are suffering from hypothyroidism. There are a few different things that your doctor can test you for. Understanding a bit of the anatomy can make it easier to understand what the blood tests mean. Your thyroid gland is located in your neck. It is regulated and controlled by a part of your brain, called the pituitary gland. The pituitary also receives feedback from the thyroid. There is another part of the brain called the hypothalamus, and it also regulates and works with the pituitary. It takes all three working together to have a properlyfunctioning thyroid system. This is called the HPT Axis. The hypothalamus in your brain releases Thyrotropin Releasing Hormone (TRH). TRH then stimulates the pituitary

gland in your brain to release Thyroid Stimulating Hormone (TSH). Now, the TSH signals the thyroid gland to savedoff release its hormones (T4 and some T3). T4 also gets converted into T3 in the liver. The thyroid also releases calcitonin, which is related to calcium and bone metabolism, but for the purposes of this, we do not need to discuss it. T4 and T3 then go about their work of maintaining a healthy metabolism, as well as ensuring proper growth in infants and children. So when you go to your doctor, there are many blood tests that can be performed. It is helpful for you to know all of the different types available. 1. Thyroid Stimulating Hormone (TSH) – This is usually the most common test. Hypothyroidism can be detected if the TSH is high. This test can also be helpful in diagnosing subclinical hypothyroidism, where you have higher than normal levels of TSH, but normal levels of T3 and T4. The TSH test is that in healthy individuals with

normal, functioning thyroids, when their thyroid hormones get too low, the pituitary knows it has to make more TSH to tell the thyroid to make more of its hormones. When the pituitary receives feedback that the thyroid has made enough hormones, then it slows its production of TSH. In the case of hypothyroidism, when the thyroid is not making enough thyroxine (T4), the pituitary tries to stimulate the thyroid to make more by producing more TSH. If the thyroid cannot make more T4 (depending on what is wrong with the thyroid), the pituitary keeps on making more and more TSH, resulting in higher amounts of TSH. When high levels of TSH are seen, it could mean that the body also has low levels of T4. Which in rare cases, may mean something is wrong with your pituitary and not your thyroid. 2. Total Thyroxine (T4) – Most of the T4 in your blood is attached to a protein. About 1% is not. A total T4 test is looking at both kinds of T4 (bound and not). The free T4 (the 1%) is what affects your tissues. 3. Free Thyroxine or Free T4 – This test checks the amount of free T4 available for actual use by your body.

4. T3 Tests – There are Total T3, Free T3, and Reverse T3 tests. Like T4, T3 circulates in the blood mainly bound to proteins, but 1% is not bound. It is that 1% that is believed to be most potent in its effects at the cellular level, even in comparison to T4. In fact, your body converts T4 into T3 in your liver. How well it does this in all individuals is a matter of how well your digestive system is working. No matter what, T3 is another important blood test to consider. The Free T3 and Reverse T3 tests can also provide valuable information. Free T3 appears to correlate best with your functioning. Reverse T3 is a controversial test that is not often done by medical doctors, because it is assumed that your body can convert T4 into T3 without problems. However, holistic practitioners, and some medical doctors, are now recognizing it as an important test. Reverse T3 is a product created when your body converts T4. It should convert it into T3, but instead it converts it into Reverse T3. This Reverse T3 is useless to your body's cells, and cannot provide the energy they need, hence the growing diagnosis of Reverse T3 dominance in my practice.

5. Thyroid Antibodies – It is quite common for someone with hypothyroidism to have thyroid antibodies, created when the body attacks its own tissues. This is the only way to properly diagnose Hashimoto’s Thyroiditis. The reason most doctors do not request this test is because even if it comes back positive, there treatment will be the same as for a standard hypothyroid case. Thyroxin will not address the inflammation causing the autoimmune attack on your thyroid. It only makes your TSH values look normal…. By gaining an understanding of these different lab tests and there proper values, I believe the majority of people with a thyroid disorder will be able to get a true diagnosis and see significant improvements in their symptoms. If you or someone you know may have a thyroid disorder and want to correct this condition, please call (770) 731-9410 or visit www.DrSavedoff.com and schedule an appointment with us today.

Exceptional family and cosmetic Do You DREAD Going to the DENTIST? OUR Patients Do Not! dentistry services in Roswell Brought to you by: Roswell Dental Care As a parent, you want to do everything you can to keep your family safe, healthy, and happy. Looking after your family’s teeth won’t just keep their smiles bright—it can also boost their general wellbeing. A healthy mouth is important for keeping a healthy body. When it comes to your family’s health, you shouldn’t trust just anybody—you should see a compassionate dentist with years of experience. Dr. David Remaley of Roswell Dental Care has been providing local families with top-quality family and cosmetic dentistry services for nearly 35 years. Family Dentistry Services Over the years, most families experience a wide range of dental issues. Here are a few of the services that you and your family members can receive at Roswell Dental Care. • Orthodontics: About 45% of children need braces to correct serious malocclusion, or tooth misalignment. At our office, we will evaluate your orthodontic needs and refer

you to a Orthodontic specialist. • Routine Cleanings: Seeing a dentist for a routine cleaning is an essential aspect of good dental health. Dr. Remaley employs excellent, skilled dental hygienists that are proficient and have the expertise necessary to clean the teeth of children and adults of all ages. • X-Rays and Exams: Xrays are important for identifying issues that aren’t visible from the outside. In addition to taking x-rays, Dr. Remaley is fully qualified to screen for a wide range of oral conditions, including oral cancer. Keys to a Healthy Mouth Encouraging your family members to engage in good dental practices can help keep them healthy for years to come. Here’s a brief review of how you and your family members can keep your teeth healthy and your smiles bright. • Brushing: Home care is a huge part of good dental health. Most dentists recommend that you brush twice every day. For the best results, you should brush for at least two minutes every evening.

• Flossing: Flossing once a day is important for getting the plaque that accumulates between the teeth. It’s a good idea to consult a dentist to make sure you have the proper flossing technique. • Healthy Diet: Dentists recommend that you limit your intake of sweets, soda, and other items that can potentially cause decay. Staying away from sugary foods isn’t just good for your teeth, but for your whole body. If you need a dedicated and skilled family dentist, look no further than Roswell Dental Care. Dr. Remaley and his team can provide excellent dentistry services for everyone in your family. The office is conveniently located off of Old Alabama Road in Roswell. Call (470) 375-9244 to make an appointment.

“If I could make a trophy like they do in show biz, it would be for the first Dentist I not only have not dreaded to come see, but furthermore the First Dentist I actually look forward to my visits with! I am so happy that You are MY DENTIST!” ~Sarah Stroud

Why Our Patients Love Our Office:

• Anxiety-FREE Dentistry (nitrous oxide) • Affordable Dentistry For The Entire Family • FREE Cosmetic Consultations and Second Opinions • Caring, Knowledgeable Doctor and Staff • Digital X-Rays- Less Radiation • Convenient Payment Options

Excellence in Dentistry Call now for a FREE Consultation!

We have been dedicated to treating patients like family for over 25 years... your comfort 1570 Old Alabama Road • Suite 102 and satisfaction is our Roswell, GA 30076 main concern.

470.375.9244

Dr. R. David Remaley

www.roswelldentalcare.com

Welcoming New Patients... Exceeding Expectations

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