Comprehensive Internal Medicine
Serving as the Medical Home for Roswell, Alpharetta, Milton, & Johns Creek, for over 20 years
Brought to you by – Comprehensive Internal Medicine
What is a medical home?
A medical home is an approach to providing comprehensive and high-quality primary care, in a coordinated fashion with specialists and consultants.
A medical home is patientcentered with many aspects that contribute to improved healthcare outcomes
• Accessibility: Care is easy for the patient to obtain, including geographic access and insurance accommodation.
• Family-centered: The patient and family are recognized and acknowledged, ensuring that all medical decisions are made in true partnership.
• Continuous: The same primary care clinician cares for patient, aiding and support through young adulthood through elder years.
• Comprehensive: Preventive, primary and specialty care are provided.
• Coordinated: A care plan is created in partnership with the patient and communicated with all health care clinicians.
• Compassionate: Genuine concern for the well-being of the patient is emphasized and addressed.
At Comprehensive Internal Medicine, we involve many team members at various levels to coordinate and provide patient care. Our doctors lead all clinical decision-making in a team approach,
collaborating with the patient to tailor care in an individualized manner.
Understanding the intricacies of our patient’s care brings a deeper knowledge of the long-term care plan. Our team of administrative professionals strives to answer each call quickly, avoiding voice mail or a phone tree.
Our scheduling department quickly accommodates each patient’s scheduling needs.
We save appointment times for same-day appointments and are
always welcoming new patients.
Whereas it may be convenient to see Urgent Care, we believe seeing your regular doctor brings your healthcare to a higher level, being seen quickly when needs arise prevents worsening medical symptoms.
Call today to establish with one of our many doctors. We have physicians who focus on young adult care, and others who have special training in the care of geriatric patients.
Providing Medical Care Including the Prevention, Diagnosis and Treatment of Diseases
Comprehensive Internal Medicine has been serving the Alpharetta community for 20 years, celebrating this milestone anniversary in 2023.
The medical practice offers a very comfortable environment and serves a medical home where patients are seen for their wellness examinations (checkups) and for the management of multiple medical problems. Same-day appointments are always available.
We welcome new patients, take most insurance plans and discounts for self-pay patients.
Dr. Obiora has a special interest in managing medical issues such as diabetes, high blood pressure and high cholesterol. He also specializes in diabetes prevention and weight loss.
In addition, he brings expertise in allergy treatment and managing allergic rhinitis, sinusitis and asthma, and can schedule allergy testing to determine the best way to treat allergy symptoms. Alpharetta: (678)
Dr. Nandi has practiced medicine in north Atlanta for over a decade and brings expertise to her patient base in the areas of elder care, heart disease, high blood pressure and diabetes. She builds long term relationships with her patients and coordinates care with consulting physicians. She is fluent in Hindi and Bengali.
Dr. Pervaiz has built her medical practice at Comprehensive Internal Medicine over many years and looks to build long term care relationships with her patients. She has special interest in sports physicals for teen patients and the care of preventative medicine for adults. She is fluent in Hindi.
Asthma
Heart Disease • Acute Illnesses such as: sore throat, flu, cough, common cold, etc.
been a vital part of Comprehensive Internal
for 15
for her patients and their family members for over a decade.
special interest in cardiovascular risk
and high blood pressure. She is fluent in Farsi.
Jeffrey Obiora, M.D.
Sudeshna Nandi M.D.
Sumera Pervaiz, M.D.
Dr. Fatemi has
Medicine
years, caring
She has
reduction, diabetes
Arezou Fatemi, M.D.
Anju Bhushan, M.D.
Alexis Buelow , MSN,APRN,FNP-C.
Laurae Carpenetti, M.D.
Ryan Bozof, M.D.
Petula Gunn, APRN
Carol Hector, M.D.
Raphael Lopez, M.D.
Shima Mansouri, P.A.-C • Jacqueline T. Pearson, M.D., M.S.
Vegetables that go bump in the night
As a responsible parent, I try not to talk to my children about celery right before bedtime. I wouldn’t want to give them nightmares!
After all, celery is one of several plants that contain “psoralens,” a group of chemicals that can cause terrible sun burns and rashes when eaten or dropped on one’s skin.
The classic example of a rash from psoralens is the vacationer who makes himself a margarita and accidentally drips lime juice on his skin. All is well until he lies in the sun. Then, blisters develop everywhere the lime juice touched: most often in the pattern of a line down the forearm following where the lime juice dripped and ran.
But limes and celery aren’t the only culprits. Most citrus fruits, figs, fennel, carrots, and even parsnips contain psoralens. Yes, EVEN parsnips. And all this time you thought parsnips were innocent. Hah.
Most psoralens stay in one’s system for about three hours after ingestion, so someone who consumes large quantities of psoralens should avoid the sun for half a day or so.
An infamous report in a 1990 volume of Archives of Dermatology details the case of a German woman who fell victim to celery. She was a vegetarian who enjoyed tanning beds, and she did not realize that celery and tanning beds are a dangerous combination. One fateful day, she cooked a one-pound celery root and proceeded to eat the entire root and all the broth in which it had stewed. One hour later, she went to the tanning bed and received her usual 30-minute treatment. Nothing seemed amiss during the tanning bed session, but over the following 48 hours, she developed fever and then diffuse swelling and large blisters. She was hospitalized, treated with steroids, and the reaction took weeks to subside.
Investigators studied a comparable celery root and determined that there was approximately 1mg of psoralens in every 10g of celery root, meaning that she had ingested approximately 45mg of psoralens. This dose of psoralens would be expected to cause the observed blistering reaction in the presence of the amount of tanning bed light she received.
For the reader interested in toxicology, the LD50 (Median Lethal
Dose: the amount of something that would be lethal in half of the people who took it) of psoralens in the absence of light is approximately 1700mg/kg in mice. This means that if a mouse receives a dose of 1700mg of psoralens for each kg of body weight, then the mouse has a fifty percent chance of surviving. If we assume the same LD50 in humans and assume a 70kg weight for the average person, then this would mean that a human would have to eat 2,600 pounds of celery in one sitting to have a 50% chance of dying from the psoralens. Of course, this is impossible. No one can eat this much celery in one sitting (do not take this as a challenge)! But, in the presence of ultraviolet light on one’s skin, just one pound of celery was enough to nearly lead to the German woman’s death. It’s a remarkable example of a toxicity that is environment-dependent to the extreme. Celery is approximately 2600 times more lethal in the presence of ultraviolet light than in its absence.
Psoralens hurt us in the presence of light because psoralens can fit inside our DNA and cause chemical reactions that depend on light to be initiated. Mutations and even breaks in DNA can occur. Even if the cell survives, the mutations can ultimately lead to cancer. Still, the small doses of psoralens the average person ingests from a normal diet allow us to usually disregard our diet when going in the sun. Large quantities of psoralens-containing fruits and vegetables are the exception.
Interestingly, we do have a clue as to why plants make psoralens to begin with. The fact that they can be toxic to animals that ingest them means that they may exist to discourage animals from eating these plants. However, a more intriguing finding is that celery stalks will increase their production of psoralens by up to ten times the normal amount when infected with certain molds. Psoralens may be a defense against mold, and we humans may be the innocent bystanders. Eating celery that was infected with this mold prior to harvesting could theoretically increase the psoralen concentration by ten times the amount, and this would mean that the German patient might have only had to eat a couple ounces of infected celery to suffer the same consequences in the tanning bed.
So, remember: Be careful with lime juice at the beach. Be cautious about celery ingestion prior to light exposure. And never, ever trust a parsnip!
Insist
Dr. Brent Taylor is a Board-Certified Dermatologist, a Fellowship-Trained Mohs Surgeon, and is certified by the Board of Venous and Lymphatic Medicine in the field of Vein Care.
He is an expert in skin cancer and melanoma treatment, endovenous laser ablation, minimally invasive vein procedures and cosmetics procedures such as Botox and injectables.
Kathryn is a certified physician assistant with over 18 years experience as a Dermatology PA. We are excited to welcome her, as she brings with her experience in general dermatology and cosmetic dermatology.
Her specialties include general dermatology such as acne, eczema, rashes, hair loss, full body skin exams, abnormal growths etc. Kathryn also specializes in cosmetic dermatology including lasers, injectables, micro-needling, PRP, facial peels, sclerotherapy for spider veins and at home skin care.
Kathryn Filipek, PA-C
Brought to you by – Dr. Brent Taylor, Premier Dermatology and Mohs Surgery of Atlanta
Making family moments possible
Everything you need to know for a healthy pregnancy
to you by - Emory Women’s Center
The journey to motherhood is a profound and transformative experi ence, filled with moments of joy, an ticipation, and sometimes, challenges. At Emory Women's Center in Johns Creek, we understand the importance of comprehensive care that begins well before conception and continues through the postpartum period. Jana Keating, MD, OBGYN at Emory Healthcare, gives her patients the top takeaways that will help them experi ence a healthy and fulfilling pregnan cy journey.
1. Preparation for Pregnancy: Building a Strong Foundation
Pre-pregnancy care is a cornerstone of a healthy pregnancy. "We recommend several key steps for women to take when planning a pregnancy to optimize their health before conception," Dr. Keating notes. These steps include a thorough visit with an OBGYN to assess medical history, address underlying conditions, and
provide essential vaccinations. She recommends daily folic acid intake to reduce the risk of birth defects in the brain and spinal cord. Maintaining a healthy weight through a balanced diet and avoiding harmful substances, like smoking and alcohol, are also key to a healthy pregnancy.
2. Comprehensive Prenatal Care: Empowering Women Every Step of the Way
Emory Women's Center takes pride in offering comprehensive prenatal care that empowers women throughout their pregnancy journey. Dr. Keating explains, "We monitor mom and baby with regular checkups, providing education on diet, exercise, prenatal testing, and addressing individual health concerns." These checkups include physical exams, weight monitoring, blood pressure checks, and discussions on birthing preferences and pain man-
agement options. The center also offers information sessions preparing women for childbirth, postpartum care, breastfeeding, and neonatal education, ensuring they feel informed and supported.
3. Nutrition, Exercise, and Lifestyle: Supporting Maternal and Fetal Health
Proper nutrition, exercise, and lifestyle habits are important in promoting maternal and fetal health during pregnancy. Women should prioritize a balanced diet rich in essential nutrients, stay hydrated, and engage in regular, moderate-intensity exercise. "Getting enough sleep and managing stress are also crucial aspects of a healthy pregnancy," Dr. Keating stated, adding, "Emory's care teams are always available to personalize recommendations based on individual needs, ensuring optimal health for both mother and baby.”
4. Navigating the Postpartum Period: Holistic Support for New Mothers
The journey doesn't end with delivery; Emory Women's Center continues to provide support during the postpartum period. Dr. Keating highlights, "We offer
journey
routine check-ups to monitor healing, breastfeeding concerns, and screen for postpartum depression." This comprehensive approach addresses physical and emotional challenges, providing resources and referrals for mental health support as needed. Parents can receive guidance on newborn care, recovery, and transitioning back to daily activities, fostering confidence and well-being.
At the Emory Women's Center, we are committed to optimizing every aspect of the pregnancy journey, from preconception to postpartum care. Our holistic approach, guided by experienced professionals like Dr. Keating, ensures that women receive the support, education, and empowerment they need for a healthy and fulfilling pregnancy experience.
Start Your Journey with Emory Healthcare
If you are interested in making an appointment at the Emory Women’s Center at Johns Creek location or one of our other locations, we would love to talk to you. Schedule your appointment online or call 404-778-3401.
Brought
JANA KEATING
This “good to know” moment made possible by Emory Women’s Center.
COMPREHENSIVE GYNECOLOGICAL CARE
The difference? Emory Women’s Center at Johns Creek uses research and innovation in health to provide exceptional care, close to home. From routine gynecology and menopause management, to pregnancy and specialty care, our team is here for your journey no matter where it takes you.
The di erence? Emory Women’s Center at Johns Creek uses research and innovation in health to provide exceptional care, close to home. From routine gynecology and menopause management, to high-risk pregnancies and specialty care, our team is here for your journey no matter where it takes you.
Visit emoryhealthcare.org/women to schedule an appointment.
Visit emoryhealthcare.org/women to schedule an appointment.
Hormone replacement therapy: is it right for you?
Brought to you by – OlympusMD
Wellness
Are you struggling with persistent and disruptive symptoms such as hot flashes, fatigue, or decreased libido? Do you often feel like you’re battling against your own body? You’re not alone. Hormonal imbalances can significantly impact your quality of life, but there’s a potential solution that may help restore your vitality and wellbeing: hormone replacement therapy (HRT). Whether you’re navigating the challenges of menopause or grappling with the effects of low testosterone, HRT has emerged as a promising option for individuals seeking relief from hormonal imbalances.
HRT has gained popularity as a treatment option for individuals experiencing symptoms related to hormonal imbalances. While it can offer numerous benefits, it is crucial for individuals to carefully consider whether this treatment approach is suitable for their unique needs and health circumstances.
One of the primary factors to consider when contemplating hormone replacement therapy is the specific
symptoms you are experiencing. For women, common symptoms that may indicate a hormonal imbalance include hot flashes, night sweats, mood swings, and vaginal dryness associated with menopause. For men, symptoms such as fatigue, decreased libido, and muscle loss could suggest low testosterone levels. If you are experiencing these symptoms and they are significantly
impacting your quality of life, hormone replacement therapy may be worth considering.
It is important to consult with a qualified healthcare provider before starting hormone replacement therapy. The experts at OlympusMD Wellness can evaluate your symptoms, conduct necessary tests, and recommend the most appropriate treatment plan for
your individual needs. They can also explain the potential risks and benefits of hormone replacement therapy, as well as discuss alternative treatment options.
When deciding whether hormone replacement therapy is right for you, it is essential to consider your overall health and medical history. Certain medical conditions, such as a history of breast cancer or blood clots, may affect the safety and suitability of hormone replacement therapy. The medical team at OlympusMD Wellness will take into account these factors when determining if HRT is a suitable option for you.
At OlympusMD Wellness, we take a holistic approach to wellness and we believe our personalized treatment plans can have a positive impact on your health journey. We also understand hormone replacement therapy can be extremely beneficial, but it may not right for everyone. Before seeking treatment of any kind, it’s important to speak with your primary care physician about your symptoms. Then, visit olympusmdwellness.com to schedule a free consultation at Hydralive Therapy. Hormone replacement therapy could be your path to better aging, renewed energy and improved mental well-being.
Do YOU really think that you can make teeth last for 100 years?
to avoid damaging your gums.
“Hi, how are you doing today?”
She said, “Do you think that you can make teeth last for one hundred years?”
People are living longer. They need their teeth to last longer. Average life expectancy has been increasing for years now. I have never promised that I could make teeth last for 100 years. But it has become one of our goals at The Atlanta Center for Dental Health. I have a curious mind and have done some reading about longevity. Some great minds in science and medicine seem to be making incredible progress. Ray Kurzweil has postulated that in a few years we may reach escape velocity. His prediction is that scientific and medical advancement will reach a state of adding at least one year to life expectancy every year. Doesn’t that mean that I could live forever?
We can make teeth last 100 years, if we regularly care for our teeth and prevent problems. Maintaining dental health over a lifetime requires consistent care and good habits.
Daily Oral Hygiene
1. Brush Twice a Day: Use fluoride toothpaste and brush for at least two minutes each time. Make sure to reach all surfaces of your teeth and use a soft-bristled toothbrush
2. Floss Daily: Flossing removes plaque and food particles from between your teeth and under the gumline, where a toothbrush can’t reach.
3. Mouthwash: Use an antimicrobial or fluoride mouthwash to help reduce plaque, prevent gum disease, and strengthen tooth enamel.
Regular Dental Visits
1. Check-Ups: Visit your dentist at least twice a year for professional cleanings and examinations. Early detection of problems like cavities or gum disease can prevent more serious issues.
2. Professional Cleaning: Regular professional cleanings remove tartar that can’t be removed by brushing and flossing alone.
Healthy Diet
1. Limit Sugary Foods and Drinks: Sugar contributes to tooth decay. Try to minimize consumption of sugary snacks and beverages.
2. Eat a Balanced Diet: Include plenty of fruits and vegetables. Foods rich in calcium and phosphorus help remineralize tooth enamel.
3. Drink Water: Water helps wash away food particles and bacteria, and staying hydrated is essential for good oral health.
Avoid Harmful Habits
1. No Smoking: Smoking increases the risk of gum disease, tooth decay, and oral cancer.
2. Limit Alcohol: Excessive alcohol consumption can lead to oral health issues.
3. Avoid Using Teeth as Tools: Don’t use your teeth to open packages or bite hard objects, as this can cause fractures or wear down enamel.
Protective Measures
1. Use a Mouthguard: If you play sports or grind your teeth at night, wearing a mouthguard can protect your teeth from damage.
2. Sealants: Dental sealants can be applied to the chewing surfaces of your back teeth to protect them from decay.
Manage Overall Health
1. Control Medical Conditions: Conditions like diabetes can affect your oral health. Managing your overall health helps maintain
healthy teeth and gums.
2. Medications: Some medications can affect your oral health. Discuss with your dentist if you experience dry mouth or other side effects.
By following these guidelines and maintaining a proactive approach to your oral health, you can increase your chances of keeping your teeth healthy for a lifetime. Dentistry has incredible technology for repairing and restoring teeth. With dental implants and the vast array of great materials, we can do amazing things to fix and improve smiles. If we prevent diseases of teeth and gums and prevent people from just wearing out their teeth, I really believe that we can make teeth last 100 years.
“Preventive Dentistry can add 10 years to human life.” -Dr. Charles Mayo of the Mayo Clinic
Dr. Bradley Hepler and the experienced team at the Atlanta Center for Dental Health are dedicated to your health and longevity. We provide all the modern advances that contemporary aesthetic dentistry offers. If you would like a complementary consultation to discover your smile restoring options, please call the Atlanta Center for Dental Health at 770-9922236. It is our pleasure to serve this community and help as many people as possible live their best life.
Dr. Bradley Hepler, Atlanta Center for Dental Health
ADOBE STOCK
Find solutions to back pain with Wellstar North Fulton Spine & Pain Center
Brought to you byDr. Emily Kurokawa, medical director of Wellstar North Fulton Spine & Pain Center
Back pain is one of the most common reasons patients seek physician care. Back pain can be emotionally, mentally and physically disabling. This can all lead to sleep deprivation, mood disruption and physical limitations. If you are experiencing back pain, the expert team at Wellstar North Fulton Spine & Pain Center will provide personalized care.
There are many causes of back pain, including degenerative disc disease, disc herniations, nerve root compression and trauma. More rare causes include autoimmune
disorders, inflammatory disorders, malignancy or pregnancy.
Symptoms can range from muscle soreness to joint aching or a shooting and burning sensation down the legs. There are “red flag” symptoms that may indicate serious causes for back pain. These symptoms may present as limb weakness, bowel or bladder incontinence, or pain that awakens you from sleep. However, most cases of back pain will resolve with rest and non-surgical treatments within a few weeks.
Non-surgical treatments may include muscle relaxants, topical creams, prescription medications or over-the-counter pain medications such as acetaminophen, aspirin or ibuprofen. You may also benefit from applying heat or ice, resting and/ or seeing a physical therapist or a chiropractor.
If back pain lasts longer than six
weeks despite non-surgical therapies, then further imaging and/or injections may be needed. Injections may help reduce pain. Our boardcertified pain physicians offer a range of injections using corticosteroids into various joints or the spine.
A pain physician may recommend an epidural steroid injection if you have disc disease, spinal stenosis or disc herniations that lead to nerve compression. If you have back pain that does not travel to other parts of the body, you may be offered corticosteroid injections into the facet joints or sacroiliac joints, and if indicated, radiofrequency ablation may be offered for a longer therapeutic relief. Those who have had back surgeries and still have persistent back pain may be recommended for spinal cord stimulators, which are implanted devices that send electrical impulses
to the spine. Our pain physicians can also offer various other injections beyond the back. If you have pain in your neck, knee, shoulder or hip, our pain physicians can offer you conservative and non-surgical options.
Our patients at Wellstar North Fulton Spine & Pain Center have success because they have a whole team of experts working for them, and our board-certified pain physicians can guide you in the right direction. If you are a candidate for spine surgery, we refer you to our expert neurosurgeons at Wellstar North Fulton Medical Center, who are standing by to develop a surgical treatment plan that’s right for you.
Learn more about our services at wellstar.org/northfultonspineandpain, or call (770) 751-2719 to make an appointment.
KUROKAWA
EXPERT SPINE
Ways the
power
of in-home care can boost your quality of life
just seeking a
As we all age there comes a point when the need for in-home caregiving becomes obvious, especially when the physical activities of daily living become too difficult to manage without help. There are a wide variety of situations, however, when the power of in-home caregiving can be used to provide a major boost to the quality of life of you or your older loved one.
When home is in an assisted living community, in-home care can provide a bridge that gives you the freedom and flexibility to remain in the setting and with the friends you’ve come to love. Perhaps maintaining your independence will require extra help as you recuperate from an accident or surgery. Should fall risks emerge, your caregiver can add security and peace of mind. A skilled Home Helpers caregiver can make life and nights easier if your loved one is starting to wander. For couples, this also makes sure a good night’s rest happens for their partner. Adding in-home care to the services provided by your facility can get you through unexpected times and weave a strong layer of support that lets you continue to maintain the lifestyle you want.
Home Helpers can also provide companionship if your loved one is in a Rehabilitation Center. Recovery can often be challenging, and having a sitter who stays with them can provide both
emotional comfort and stability in unfamiliar surroundings. The warmth of a well-matched companion can also help speed up recovery and battle the loneliness that can delay their recovery. It’s a way to have peace of mind knowing someone is by their side and looking out for your loved one.
Over the years, the transition from the loss of a partner, career or shrinking circle of social contacts can make it feel like the world is smaller every day. Depression and loneliness can be as debilitating as any other health challenge. Almost a quarter of adults over age 65 are considered to be socially isolated. Forty three percent of adults in the United States over age 60 report feeling lonely. For your older loved one, promoting social interaction can truly be transformative. A caregiver with a heart centered approach and positive spirit can help reinvent ways to pursue a hobby, enjoy outings and community activities, and build relationships that make for a longer and better life.
We have a team with depth and skill that can provide the care you need from six hours a day, several days a week to 24/7 care. A Home Helpers caregiver can assist with all personal care, help around the house, accompany you on doctor’s visits and provide specialized care for Alzheimer’s, Parkinson’s, etc. For a free consultation, please call Home Helpers of Alpharetta and North Atlanta Suburbs at (770) 681-0323.
Turning toward
How stressed couples can support each other
In a world where stress is often a common household guest, managing our reactions and maintaining positive connections with our spouses can be challenging. However, learning to turn towards rather than away from each other during stressful times can significantly strengthen a relationship. Here are some practical ways to achieve this:
1. Recognize the Signs of Stress
First and foremost, acknowledge when you’re stressed. It’s crucial to be aware of your body’s signals, such as tensed shoulders, a tight stomach, or a general feeling of unease. This awareness can prevent the stress from escalating and affecting your interactions with your spouse.
2. Employ Quick Stress-Relief Techniques
Before engaging with your partner, take a moment to reduce your stress level. Techniques such as the S.T.O.P. method (Stop, take a breath, Observe, Proceed) can be effective.
3. Initiate Connection
For many of us, experiencing stress can lead us to withdraw from others. Instead of withdrawing, try choosing to engage. Opening about your stressors can turn a potential disconnect into a moment of connection.
4. Listen Actively
Active listening involves fully concentrating on what is being said and your spouse’s emotional state rather than passively hearing the message of
and validates their feelings.
5. Plan Stress-Reducing Activities Together
Engage in activities that both of you find relaxing. It could be a walk, a shared hobby, or simply watching a favorite show together. Shared activities can not only reduce stress but also reinforce the bond of fondness and admiration between you.
6. Maintain Physical Closeness
Physical touch can be incredibly comforting and soothing in moments of stress. A hug, a gentle touch on the arm, or holding hands can release oxytocin, reducing stress and promoting a sense of calm and connection.
Turning towards each other in times of stress involves a conscious decision to connect and communicate rather than withdraw into individual coping tactics. By adopting these approaches, couples can foster a supportive environment,
Brought to you by – Will Goodwin, M.A at Summit Counseling Center
the speaker. This demonstrates empathy
ISTOCK
A second opinion can change everything
opinion is the same as the first, it can help you feel more confident about your diagnosis and treatment plan.
Learning that you have a heart or vascular condition can create more questions than answers. What treatment is available? Is there more than one option? What will happen if I forgo treatment?
Deciding how to proceed can be stressful, and many patients feel tempted to go with whatever their doctor recommends. But at times like this, it’s essential to step back, take a deep breath and get a second opinion.
Receiving a second opinion as part of your heart care is critical because the medical world is becoming increasingly complex. A heart second opinion can help you understand your options before you make a momentous decision about your health and future. It can reveal new treatment possibilities. Or, if the second
Deciding whether to seek a second opinion can be emotional for some people. They worry they will hurt their doctor’s feelings or experience information overload. The fact is that second opinions are common in heart and vascular care. Doctors themselves seek a second opinion when they face a complex diagnosis. They know a second opinion can make the difference between life and death –especially when your heart is involved.
A second opinion can provide new hope
Your current doctor has your best interests at heart but may not know about the latest surgical and non-surgical therapies for your condition. They may mistakenly tell you that you don’t have any treatment options or guide you to
therapies that are unlikely to help. Heart and vascular specialists at Emory Healthcare have a national reputation for treating both common and complicated heart conditions. Our highly specialized teams have advanced training and expertise in medical, surgical and interventional cardiology. They can enroll patients in clinical trials that provide access to novel technologies and treatments that are not widely available. As a result, Emory Heart & Vascular offers more treatment options for the full range of heart and vascular conditions than many other institutions worldwide.
The second opinion process at Emory Healthcare
Obtaining a second opinion at Emory Heart & Vascular is straightforward. Before your appointment, our team will review your previous medical records.
Multiple physicians will discuss possible treatment options. They will reach a consensus about what options offer the most promise. During your office visit, they will share their recommendations with you. You can ask questions and decide with your care team how to proceed.
Ready to transform your Heart Treatment?
If you or someone you care about needs a second opinion for a heart condition, turn to doctors at the top of their field. Emory Heart & Vascular brings together more than 150 physicians and 18 specialized programs in cardiology, cardiac surgery and vascular surgery. Next-day new patient cardiology appointments are available at one of our 23 locations.
Visit emoryhealthcare.org/transform to learn more.
Brought to you by- Emory Heart & Vascular
Family history of heart disease? Emory Heart & Vascular can help rewrite it.
MORE TREATMENT OPTIONS
Our expert heart & vascular team pioneers the most innovative techniques and treatments. Giving you more options and better outcomes than anywhere else. To make more “tickle monster!” moments like this possible.
The difference? Emory Women’s Center at Johns Creek uses research and innovation in health to provide exceptional care, close to home. From routine gynecology and menopause management, to high-risk pregnancies and specialty care, our team is here for your journey no matter where it takes you.
Visit emoryhealthcare.org/history to schedule an appointment.
Visit emoryhealthcare.org/women to schedule an appointment.
Facts about sunscreen
Brought
to you by
– Dr. Titilola “Lola” Sode of Epiphany DermatologyBrookhaven
What type of sunscreen should I use?
The best sunscreen is one that offers broad-spectrum protection against both UVA and UVB rays with an SPF of 30 or higher. Look for sunscreens labeled “broad-spectrum” to ensure protection against both types of harmful rays. Additionally, consider your skin type and any specific skin concerns when choosing a sunscreen. For oily or acneprone skin, opt for oil-free or non-comedogenic formulas. If you have sensitive skin, choose sunscreens labeled hypoallergenic or fragrancefree. Water-resistant sunscreens are ideal for outdoor activities or swimming. Ultimately, the most effective sunscreen is one that you will use consistently and reapply as needed.
How Often Should I Apply Sunscreen?
It’s essential to apply sunscreen liberally and frequently for adequate protection against sun damage. Apply sunscreen at least 15 minutes before sun exposure to allow it to absorb into the skin fully. Reapply sunscreen every two hours, or more frequently if you’re swimming or sweating heavily. Remember to reapply after towel drying as well. Additionally, apply sunscreen to all exposed skin, including your face, neck, ears, and any other uncovered areas. Sunscreen is a vital component of sun protection, but it’s also essential to seek shade, wear protective clothing, and avoid prolonged sun exposure, especially during peak UV hours. prolonged sun exposure, especially during peak UV hours.
Three options to replace that missing tooth
If you’re missing one or more teeth, you may be all too aware of their importance to your looks and overall health. Your teeth are designed to work together to help you chew, speak, and smile. Replacing a missing tooth (or teeth) helps to make sure that all of your teeth continue to work together. Plus, it helps protect your remaining teeth.
Effects of a missing tooth
• It may be harder to speak or chew
• Remaining teeth can drift
• Bone loss can occur, which may cause remaining teeth to become loose over time
• Loss of teeth and bone can make your face sag, making you look older
Removable Partial Dentures
A removable prosthesis can replace multiple teeth on an upper or lower jaw. Partials clasp to your natural teeth and the replacement teeth are set in acrylic that matches your gum tissue. They are typically less expensive and can be removed when cleaning. However, they can break easier and may need to be replaced more than a bridge or implant.
Bridges
A bridge can replace one or more teeth and is permanently cemented into place. However, the teeth on either side of a missing tooth must be prepared and cleaning underneath the bridge requires more effort than other options.
Implants
An implant is a titanium post that resembles a tooth root and is surgically placed into the jaw. This serves as a strong support to hold replacement teeth. An implant is most similar to a natural tooth and, with proper home care and regular dental cleanings, can last for your lifetime. However, since it is a surgical procedure, implants may not be an option for everyone, especially those with chronic illnesses like diabetes or high blood pressure.
We always welcome new patients. For more information or to schedule an appointment for a FREE consultation to have your oral health or facial concern evaluated, give Roswell Dental Care a call at 470.288.1152 or visit www.RoswellDentalCare.com
• 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:
•
• Custom Baked
Nitrous Oxide and Oral Conscious Sedation
• Facial Aesthetic Enhancements including BOTOX and Dermal Fillers
Brought to you by - Dr. Destinee Hood, Roswell Dental Care PHOTOS
Dr. David Remaley
Dr. Destinee Hood
Staying strong for the years ahead
Imagine a situation where you are as strong and robust as you were when you were thirty, but at seventy-five. Starting Strength can help!
Brought to you by - Coach Adam Martin, Starting Strength Atlanta
So, you want to get in better shape; what does this mean exactly? It is quite likely you want to get stronger than you are today. You have no desire to become the World's Strongest Human, nor do you want to oil up and show your muscles under bright lights in a scantily clad undergarment. But you would like to stay strong and well as the years continue to pass. You
would like to pick up your grandchildren, carry a case of water, or retrieve something heavy from your garage.
As of late, there are many experts talking about longevity and the importance of retaining muscle mass as the decades pass. Dr. Peter Attia presents this in a beautiful graph of two paralleling lines: healthspan and lifespan. Allow me to pose a question, what does lifespan look like once healthspan runs out? It is quite likely you see an image that represents a poor
quality of life. In an ideal situation, when we run out of "healthspan," we also run out of lifespan.
Recent studies suggest average life expectancies reach the mid-seventies for men and late seventies for women. Imagine a situation where you are as strong and robust as you were when you were thirty, but at seventy-five. Now, imagine retaining this level of physical strength right up until the end of your lifespan. I hope you are envisioning a high quality of life!
Now, let's discuss how a barbell and a coach can help you with muscular strength and bone density. Your Starting Strength Gym understands the importance of stress, recovery, and adaptation as it relates to making you stronger than you are today.
We do this by having you complete normal human movement patterns with a bit more stress (weight) than you did last time. As we repeat this process over and over, you become far stronger in just a few months!
Often, we describe exercise as medicine. Like medicine, exercise should be given in the least effective dose, not the greatest tolerated. Remember, physical strength is the most important thing in life; this is true whether you want it to be or not.
Starting Strength Atlanta Contact Info: 9775 Medlock Bridge Rd Suite K Johns Creek, GA 30097 (470) 944-7715
Website: atlanta.startingstrengthgyms.com
Is Your Skin Summer Ready?
August Special
Micro Needling (SkinPen)
Special $300 per treatment or $1000 for a package of 4 (Regular price $400/$1200)
Schedule your appointment today!
3400 Old Milton Pkwy. | Bldg. C, Ste. 465 | Alpharetta, GA 30005
Phone: (678) 888-4460 | info@gallowayderm.com
* We accept most major insurance *
Sunscreen and sun protection play a pivotal role in shielding our skin from the sun’s damaging ultraviolet rays.
The sun’s ultraviolet rays not only can lead to a painful sunburn, but also can contribute to premature aging and the formation of skin cancer.
Selecting the right sunscreen is crucial for sun protection. The following specifications are important to consider when selecting a sunscreen:
1. Broad Spectrum means coverage of UVA and UVB rays. UVA rays contribute to premature aging and skin cancer, whereas UVB rays contribute to sunburn. The best sunscreens will protect against both UVA and UVB.
2. SPF (Sun protection factor) indicates the level of protection against UVB rays. Select a sunscreen with a minimum SPF of 30 which blocks about 97% of UVB rays. Higher SPF offer more protection, but no sunscreen
can block 100% of the sun’s rays.
3. Water Resistance is important if you will be swimming or sweating. No sunscreen is waterproof, so reapplying sunscreen every 2 hours is important.
4. Chemical versus Physical Sunscreen : Chemical Sunscreens contain ingredients such as oxybenzone, avobenzone, octisalate, octocrylene, homosalate and octinoxate. Physical Sunscreen contain ingredients such as zinc oxide and titanium dioxide. The chemical sunscreens work by absorbing the harmful UV rays whereas the physical sunscreens create a physical barrier and block the UV rays from the skin. Whether you use physical or chemical sunscreens the most important thing is to reapply your sunscreen every 2 hours.
Galloway Dermatologic Surgery
3400 Old Milton Pkwy Building C suite 465, Alpharetta, GA 30005 (678) 888-4460
https://www.gallowayderm.com/
Trephina Galloway, DO is a skilled and compassionate skin cancer surgeon who has cared for patients in Alpharetta, Georgia, and surrounding areas since 2007
Brought to you by – Galloway Dermatologic Surgery
PEXELS
Rethinking chemotherapy
Brought to you by - Jonathan Stegall, MD
Chemotherapy side effects such as hair loss, nausea, and vomiting are the result of the high doses of chemotherapy typically administered. This method of administration is called maximum tolerated dose, and typically requires between 1-3 weeks of recovery time before another dose can safely be given. Such breaks are necessary to reduce (but not eliminate) the risk of more significant side effects. However, I believe there is a better way, which is to administer chemotherapy more often using lower doses. This method is known as fractionated metronomic
chemotherapy. It allows for more frequent “hits” to the cancer cells, while also improving the safety profile considerably. Research studies support these findings. I have been administering chemotherapy in my oncology practice this way for years and have been amazed by the results. The risk of side effects, while certainly not eliminated, is significantly lower. As a result, patient quality of life is much better, all while still routinely seeing a good clinical response to treatment. This integrative approach also includes a focus on supportive therapies such as good mistletoe, hyperthermia, nutrition, supplementation, and stress reduction, to name a few. For more information about this treatment approach, as well as many other tools in the anti-cancer toolbox, please check out my redesigned website at drstegall.com.
ISTOCK
STEGALL
INVESTIGATIVE REPORTING
While covering Milton election operations, Appen Media analyzed historical voter data and identified possible disenfranchisement.
This reporting caused a statewide watchdog to get involved and, eventually, the city moved to add a polling place to the area. Later in the year, Appen discovered that the feasibility report the City Council used when voting to run their own elections was not the original document. Two residents on a working committee had altered it after city staff had completed it and before its presentation to council. Appen Media reporters identified all of the differences between the two documents and then created an interactive digital document. Readers and officials were able to scroll through the materials and read notes from the newsroom explaining the differences. You can find this document at appenmedia.com/electionsreport.
