Medical Answer Book 2011 by Appen Media Group

2011 EDITION Appen Newspapers, Inc. | 2011 Edition |

Medical Answer Book™

Medical ANSWER BOOK © APPEN NEWSPAPERS, INC.

F O R AT L A N TA' S NORTHSIDE

Medical Answer Bookâ&#x201E;˘ | 2011 Edition | Appen Newspapers, Inc.

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The kind of hospital you want nearby, already is. Access to nearly 300 physicians delivering comprehensive, compassionate care in more than 20 medical specialties. An advanced adult and pediatric ER that makes a trip to Atlanta a thing of the past. Top of the line technology connecting board-certified radiologists and sub-specialists with your physician and a new Center for Advanced Surgical Technology. We offer everything youâ&#x20AC;&#x2122;d expect from a community hospital, and some things you would never even imagine.

E X PE RTI SE , COMP A SS ION AN D C OMMUN ITY - T he Nor thside Way Located at GA 400 and HWY 20

www.northside.com

Medical Answer Book™ | 2011 Edition | Appen Newspapers, Inc.

Welcome!

H E A LT H F O R A L I F E T I M E

Welcome to the 2011 edition of The Medical Answer Book, a guide to your medical needs and health maintenance for the North Atlanta area. This is our second edition and we have tried to provide a broad general selection of material on a wide range of health-related topics and providers. We are indeed fortunate to live in an area that is blessed with an amazing health care community including a number of major hospitals, a large number of medical practices, and a wide array of health-related businesses. Healthcare, along with technology and education are three of the high growth industries that can be counted on to provide for and foster strong economic growth, development, and thousands of new jobs in North Atlanta into the future. The proximity to the metro-Atlanta medical base as well as HartsfieldJackson Atlanta International Airport are yet additional factors that help insure our bright future and support a quality of life that is the envy of so many around the country. We look forward to starting work on next years 2012 Medical Answer Book the week after this one is published. If you have any ideas or suggestions for our next edition please email e-mail me at Appen@ NorthFulton.com and your input will be appreciated.

RAY APPEN Publisher

AppenInc. “We connect you.” Reproduction of any content is strictly prohibited without prior written permission from the publisher. All efforts have been made to verify content. The Answer Book publishes the North Fulton Edition in the fall, The Medical Edition publishes at the beginning of the year. 319 N. Main Street, Alpharetta, GA 30009 www.northfulton.com

THE MAJOR H O S P I TA L S Living in North Atlanta means you are near nationally and internationally renowned medical facilities. It’s a place that boasts world-class care from doctors, medical facilities and top-notch professional staff. The quality of life afforded in North Fulton, Forsyth and Gwinnett counties attracts the best medical talent in the country. Whatever it is you need as a patient, be it anything from a MRI to cancer treatment to cosmetic surgery, you don’t have to search for the right doctor. The right doctor is here waiting for you. The Golden Triangle of Care that lies between the two interstates, I-75 and I-85, fans out over the community and tapers down 400 in the center of Atlanta. You can rest easy knowing exceptional health care is so close to you and your family. What follows is information about health care in the region that will allow you to make an informed decision about you and your family’s health.

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We’re experts at working in small spaces.

Children’s Healthcare of Atlanta is the leader in ear tube procedures. If your child needs ear tubes, put her in the practiced hands of our specially trained pediatric surgeons and anesthesiologists. We perform more ear tube procedures than any other hospital in Georgia. That’s no small fact for parents who want the best for their child. To learn more, visit www.choa.org/eartubes Ranking based on 2009 GHA data. ©2011 Children’s Healthcare of Atlanta, Inc. All Rights Reserved. Some physicians and affiliated healthcare professionals who perform services at Children’s Healthcare of Atlanta are independent providers and are not our employees.

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NORTHSIDE HOSPITAL - FORSYTH • Number of beds: 155

• Number of doctors: more than 2,000 • Hospital space: more than 600,000 square feet • Annual patients: more than 1,466,000 treated in past 12 months • Areas of Specialty: maternity, emergency, diagnostic and interventional cardiology, bariatric minimally invasive and robotic surgery, breast care, neurosurgery, sleep disorder, spine care, imaging, plastic surgery, orthopedics, urology, and GI services, oncology, and radiation therapy. • Latest News: Medical/Surgical Expansion The Hospital completed an inpatient bed expansion in 2010, which included some renovation to existing space, as well as three new medical/surgical ﬂoors and 22 new inpatient beds, atop the surgical center. Another project began in 2010 to expand the North Tower, which serves specialty medicine patients, with a new 24-bed Critical Care Unit (CCU). The Hospital’s existing Intermediate Intensive Care Unit (IICU) and CCU ICU are is being converted to a new Clinical Decision Unit (CDU) for the Emergency Department. Women’s Center Expansion The Women’s Center also is expanding with additional inpatient and observation/extended recovery beds, dedicated to gynecologic (GYN) and women’s surgical services. The Neonatal Intensive Care Unit (NICU) is adding four new Level II beds, which will bring the total beds for the Special Care Nursery to eight. An additional four Level III beds, plus one additional Level II bed, also have been applied for. The entire expansion project for both the Women’s Center and North Tower is expected to take 18-24 months to complete and will bring the hospital’s licensed inpatient bed capacity to 188.

LYNN JACKSON, ADMINISTRATOR

State-of-the-Art Cardiac Care Northside has rapidly expanded its Cardiology Services in recent years to offer patients a wider array of options for diagnostic testing and treatment. The Hospital began offering cardiac angioplasty (now referred to as Percutaneous Coronary Interventions – PCI) and opened a second cardiac cath lab in 2010. Radiation Oncology Now Available Nearly two-thirds of all cancer patients receive radiation therapy at some point during their treatment. Northside Hospital-Forsyth began offering radiation therapy services in December 2010, in the 1100 Medical Ofﬁce Building, and plans to expand the program later this year. Excellence in Cancer Care At Northside Hospital, more newly diagnosed cancer cases are diagnosed and treated than at any other community hospital in Georgia. In 2010, the hospital was chosen by the National Cancer Institute (NCI) to join the NCI Community Cancer Centers Program (NCCCP), a national network of community cancer centers, offering expanded research opportunities and state-of-the-art cancer care. Northside is one of only three hospitals in the southeast to have this honor. NCCCP sites bring clinical research and advanced diagnostics and treatment, which often are available only at large academic medical centers and research universities, into the community, where they are more accessible to the patients who need them.

Health&Wellness Monthly Special Section We have the prescription for growing your practice:

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NORTH FULTON REGIONAL HOSPITAL

• Number of Beds:

202

• Number of Doctors: 428 • Hospital Space:

306,753 square feet

• Annual Patients: For 2010, NFH had 8,272 inpatient admissions and 79,144 outpatient visits. • Areas of Specialty: Neurosurgery/Neurosciences, Emergency Services, Oncology, Orthopedics, Women’s Services • Serving the Community Since:

1983

• Future Expansion: Physically, North Fulton Hospital has grown significantly over the last five years. As we step into the next decade, we look forward to offering a variety of enhanced programs and services, including more primary care physician offices and an expanded Pain & Spine Center. With the development of our Nine Month Network, women can take advantage of the large number of choices available to them within our obstetrics program. North Fulton Hospital will also continue to serve north Georgia with its Level II Trauma Center and outstanding full-service emergency room. • The No. 1 Message to the Community: North Fulton Hospital has been an integral part of the North Fulton community for more than 25 years. Beyond being the trusted community hospital with friendly staff and a warm atmosphere, North Fulton Hospital is also your destination for cutting edge technology and high quality healthcare. Our combination of high tech and high touch, right in the backyard of the North Fulton suburbs, helps to ensure that you will get the level of healthcare you expects without having to drive to the city.

• How the Hospital is Best Known: Emergency care is an area that many in the community associate with North Fulton Hospital. After all, with an average wait time of 8.91 minutes before being triaged by a nurse and 20 minutes before being taken to a bed to be seen, the Emergency Department is undoubtedly efficient. We have even added InQuickER, an online service to allow patients to reserve a place in line in the ER and spend their wait at home. But the hospital does much more than emergency care.

D K, CEO

NFH was recently named as one of only 22 hospitals nationwide to receive Triple Gold Distinction for its treatment of AMI, CHF and Stroke Patients. A Joint Commission Certified Primary Stroke Center for several years running, NFH continues to refine its practices related to the care of patients suffering from stroke, brain injury, and other such conditions. Working with some of the most respected neurosurgeons, neurologists, and emergency physicians in the area, the Stroke Team’s efforts have resulted not only in awards but more importantly in lives being saved.

The hospital is also becoming the destination for quality breast services. The combination of advanced breast imaging technology, a comprehensive team of clinicians led by a fellowship-trained breast surgeon as the Medical Director, and a Breast Nurse Navigator allows women to get the services they need right in town. Together with our outstanding medical staff, our hospital has been able to continuously provide a comprehensive list of inpatient and outpatient services. 3000 Hospital Boulevard, Roswell GA 30076 www.northfultonregional.com 770-751-2500

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CHILDREN’S HEALTHCARE OF ATLANTA • Number of beds: 520 staffed beds • Number of doctors: Access to more than 1,600 pediatric physicians • Annual patients: Managed more than 599,420 patient visits in 2009 • Areas of Specialty: More than 30 pediatrics specialties which include immediate care, primary care, surgery, rehabilitation and other specialty services • Serving the community since: 1998 • Future expansions: To expand its reach of quality care, Children’s is opening a new pediatric facility in Forsyth County. The pediatric neighborhood location will provide outpatient services including immediate care, rehabilitation, sports medicine, orthotics and prosthetics, specialty physician care and X-ray and laboratory among other areas. • The No. 1 message to the community: Children’s Healthcare of Atlanta strives to enhance the lives of children through excellence in patient care, research and education. With a vision to transform pediatric health care and be the leading voice for the health of Georgia’s children, Children’s is dedicated to providing a high level of excellence in pediatric care.

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EMORY JOHNS CREEK HOSPITAL • Number of beds: 110 • Number of doctors: More than 800 • Hospital space: 282,000 square feet • Annual patients: 48,312 patients (inpatient, outpatient, ER) • Areas of specialty: Orthopedics, Cardiology, Bariatrics, Neurology, Women’s Services • Serving the community since: February 2007 • Future expansions: Plans for a Comprehensive Cancer Center, directed by Emory Winship Cancer Center, one of only 65 NCI Designated Cancer Centers in the nation, offering radiation clinical trials. • The No. 1 message to the community: The hospital is best known for providing compassionate care in a truly, state-of-the-art setting with hotel like amenities. Advanced imaging, diagnostics and surgical capabilities. Cardiac Cath Lab, Only Level III Neonatal Intensive Care Unit in the Area, Orthopedic Surgery, Neurosurgery, 24/7 Emergency. Comprehensive community hospital, offering complete range of health care services – world class, Emory care in a community hospital setting. 6325 Hospital Parkway Johns Creek, GA 30097 www.emoryjohnscreek.com 678-474-7000

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GWINNETT MEDICAL CENTER President & CEO: Philip R. Wolfe Number of beds: 553 (system wide) Number of doctors: More than 800 Hospital space (square footage): approximately 1.3 million square feet among all facilities Annual Patients: 402,435 (ER discharges, surgical patients (inpatient and outpatient) and outpatient visits) Areas of Specialty: • Orthopedics (Total Joint and Sports Medicine) • Neuroscience • Minimally Invasive Surgery (daVinci Robotic Surgery and Single Incision Laparoscopic Surgery) • Women’s Services • Imaging (Screening and Diagnostic) • Bariatrics • Cardiology Serving the community since: 1941 Future expansions: Heart & Vascular Center coming to GMCLawrenceville in early 2012 The No. 1 message to the community: Gwinnett Medical Center is a not-for-proﬁt health-

care network including two hospitals, Gwinnet Medical Center-Lawrenceville and Gwinnett Medical Center-Duluth, and various other support facilities. At GMC, we are transforming healthcare, and every facet of our healthcare system is designed with the patient in mind. This transformation is evident through state, regional and national accolades, including being repeatedly ranked in the top ﬁve percent in the nation for clinical quality. As one of “America’s safest hospitals,” according to Forbes,¹ we’re taking the lead as the best healthcare provider in the region. Our staff includes some of the country’s most renowned, well-trained and well-educated physicians, specialists and employees. Gwinnett Medical CenterLawrenceville As our ﬂagship facility, GMCLawrenceville is a full-service hospital that features a new eightstory patient tower with the latest technology. The North Tower features private, spacious rooms, luxurious guest retreats, fam-

ily information centers with computer access, WIFI and a healing garden. A comprehensive array of medical specialty services and centers of excellence are offered, including Center for Orthopedics, Center for Neuroscience, Chest Pain Center, Cardiac Services and Center for Sleep Disorders. GMCLawrenceville is also the site of Gwinnett DaySurgery, Gwinnett Women’s Pavilion, Gwinnett Extended Care Center, Wound Treatment Center, Pain Management Center and Gwinnett SportsRehab. Our 24-hour emergency care includes a Level II Trauma Center and Children’s Emergency Center. Gwinnet Medical CenterDuluth Gwinnett Medical Center–Duluth is the ﬁrst all-digital hospital in north Atlanta serving Duluth, Johns Creek, Peachtree Corners, Suwanee and surround¬ing communities. GMC– Duluth offers a natural, healing environment to enhance patient comfort, restaurant-style room service, a patientdirected visita¬tion program and other hotel-like amenities. Specialty care includes Center for Orthopedics, Glancy Rehabilita-

tion Center, Center for Sleep Disorders, Gwinnett Sports Rehab, Center for Surgical Weight Management and a 24-hour Emergency Department. GMC-Duluth is also home to the state’s leading Sports Medicine program. This program’s dedicated surgical team and rehabilitation specialists help athletes prevent injury, heal and manage pain. What the hospital is best known for: • Gwinnett Medical Center is the ﬁrst healthcare system in Georgia to have a fully accredited continuum of acute stroke care. • The future Heart & Vascular Center will be home to Gwinnett’s ﬁrst open heart surgery program. • The Center for Surgical Weight Management at GMCDuluth is Gwinnett’s only comprehensive bariatric program. • Our Gwinnett Breast Center program, which offers individualized care with a patient-centered approach, offers screening imaging, same-day surgical consults, on-site scheduling and diagnostic imaging. It is also accredited by the National Accreditation Program of Breast Centers. PLEASE SEE GWINNETT, PAGE 18

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New Medical Staff Officers Take Thomas Eye Group: the Lead at North Fulton Hospital Patient Care North Fulton Hospital – Roswell, GA (January 7, 2011) – The New Year at North Fulton Hospital brings more than just confetti and champagne glass ‘clinks’…the Roswell hospital is proud to welcome the new 2011-2012 Medical Staff Leadership Team. The new medical staff ofﬁcers will succeed the past Chief of Staff, Herschel Beker, MD, North Fulton Hospital Orthopedic Surgeon. The following physicians will serve the hospital through their dedication, their expertise, and their commitment to delivering the highest quality care they are able to provide:

2011-2012 Medical Staff Officers

• Jim Velimesis, MD –

Chief of Staff • Mike Jurgens, MD – Vice Chief of Staff • Shelley Dunson-Allen, MD – Secretary-Treasurer

2011-2012 Department Chairs

Anesthesia • Ken Joel, MD – Chair • Ravi Dammanna, MD – Vice Chair Emergency Medicine • Michael Lipscomb, MD – Chair • Ed Malcolm – Vice Chair Medicine • Thomas Smith – Chair • Rajendra Patel, MD – Vice Chair+ Women & Children • Hughan Frederick, MD – Chair • Vaishali Kute, MD – Vice Chair

Radiology • Charles Sykes, MD – Chair • Boyd Byrd, MD – Vice Chair Surgery • Asaf Yalif, MD – Chair • Charles Weaver, MD – Vice Chair North Fulton hospital is thankful for the service of each and every physician currently serving on the medical staff and in leadership roles within the medical staff. Without their efforts, the hospital would be unable to perform at such a high standard of care. For more information about the medical staff of North Fulton Hospital or to locate a physician, please call 770-751-2600 or visit www.NFultonHospital.com/physician.

Tops Priorities

With seven ofﬁces and 20 board-certiﬁed physicians across metro Atlanta, Thomas Eye Group P.C. is one of the largest ophthalmology practices in GA. Founded by in 1974, the practice maintains its golden rule philosophy to treat all patients as you would like to be treated as a patient. “Our patients are the success of our practice and patient care is of utmost importance,” says Kevin Thomas MD, who currently serves Thomas Eye Group is a full-service practice consisting of the clinical activities, the optical and contact lens departments, the surgery center, and the eye aesthetic & laser center. Services range from comprehensive eye examinations to specialty services in retinal and corneal disorders, glaucoma,

cataracts, pediatrics, and plastic surgery. Care is provided by board-certiﬁed ophthalmologists, optometrists, opticians and supporting staff who are committed to protecting, preserving and enhancing patients’ eyesight. Thomas Eye Group has received the Consumer Choice Award for Eye Care Professionals every year since 2007. Additionally, it was chosen as the Readers’ Choice for 2010 by AroundAbout Woodstock and AroundAbout North Fulton. Thomas Eye Group’s ofﬁces are located in Alpharetta, Atlanta-Perimeter, Decatur, Lilburn, Roswell, Newnan and Woodstock. For information about Thomas Eye Group, visit the website at www.thomaseyegroup. com.

CHC 3655 EHVC JohnsCreek MedAnswers:Layout 1

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Emory Heart & Vascular Center at Johns Creek Our cardiologists are experts at recognizing and treating the full range of cardiovascular disorders and diseases, from prevention of heart disease to the most advanced diagnostic and interventional treatments. Emory also offers world-renowned expertise in the diagnosis and treatment of peripheral artery disease.

To schedule an appointment, please call 404-778-8240. Jeffrey Hershey, MD • Micky Mishra, MD • Gregory Robertson, MD • Don Rowe, MD

6335 Hospital Parkway Physician Plaza, Suite 110 Johns Creek, Georgia 30097

www.emoryhealthcare.org/heart

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Southeast’s Preeminent Hand & Upper Extremity Center The Hand & Upper Extremity Center of Georgia, PC is one of the Southeast’s preeminent hand surgery practices, serving adults, teens, children and newborns. Our board-certiﬁed physicians are dedicated exclusively to the care, restoration and rehabilitation of the hand, wrist, elbow and shoulder. Our patient-focused services cover all aspects of care to the upper extremity: • Treatment of injury to bones (fractures), tendons, nerves, blood vessels and skin • Treatment of arthritis • Treatment of conditions affecting nerves including Carpal Tunnel and Cubital Tunnel Syndromes • Treatment of congenital differences • Treatment of paralysis from Brachial Plexus palsies, Cerebral Palsy and strokes, among others • Treatment of sports injuries and sports-related conditions • Replantation and transplantation of digits via microvascular surgery • Evaluation, treatment and management of Workers’ Compensation cases

• On-site casting, therapy and rehabilitation The physicians at The Hand & Upper Extremity Center of Georgia are all noted experts in the field of hand, elbow and shoulder surgery. All of our physicians serve as Clinical Assistant Professors of Orthopedic Surgery at Emory University and Clinical Instructors for the Atlanta Medical Center Orthopedic Residency Program. The Hand & Upper Extremity Rehabilitation Center, L.L.C is conveniently located at both our Northside and Alpharetta Offices. Staffed by certified hand therapists and occupational therapists, our Rehabilitation Centers provide state-of-the-art splinting and therapeutic programs based on the latest techniques and research. Our therapists work with our physicians to create an important continuity of care, communicating directly with them to ensure your individualized therapy regimen is working to maximize your recovery. The Hand and Upper Extremity Surgery Center, L.L.C. is our private, state-of-the-art ambula-

tory surgical facility focusing exclusively on surgeries of the hand and upper extremity. Our team of surgeons, anesthesiologists, nurses and surgical technicians work together to provide our patients with a convenient, timely, and positive outpatient surgical experience. As a patient at the Surgery Center you will receive the ﬁnest pre- and post-operative care, and will be treated by some of the most skilled surgeons in the country.

CALL TODAY TO SCHEDULE AN APPOINTMENT (404) 255-0226 www.HandCenterGA.com Northside Hospital Doctors Centre 980 Johnson Ferry Road, NE, Suite 1020, Atlanta Northside/Alpharetta Medical Campus 3400A Old Milton Parkway, Suite 350, Alpharetta

What You Don’t Know Can Hurt You by Emory Johns Creek Hospital/ Special

Hypertension is the medical definition for high blood pressure. Experts say that Americans may be becoming more aware of the condition, but are not doing enough about it. That’s bad, says a 2010 report from the Institute of Medicine, because millions of Americans die each year from complications related to hypertension. “High blood pressure is a huge deal,” said Scott Beach, MD, board-certified cardiologist at Emory Johns Creek Hospital. “Some people don’t take it seriously, but it’s something we see every day.” That’s because approximately 30 percent of Americans have it, even children and teens. Blood pressure refers to the force of the blood pushing against the walls of arteries as the blood flows through them. If blood pressure is too high,

the force of the blood against artery walls negatively impacts the arteries and other organs, like the heart and kidneys. What makes it so dangerous, according to Beach, is that those Americans with high blood pressure are automatically at a much greater risk for heart attack, heart failure and stroke, and they may not even know it. “More often than not, people don’t experience any symptoms of hypertension. They don’t feel bad or notice anything that affects their day to day activities. That’s why it’s important for people to have their blood pressure routinely checked,” said Beach. “Of course, if they experience symptoms like headache, chest pains or blurry vision, they need to obtain immediate medical attention.” Beach said that people with no other health issues, such as diabetes, should have a physical exam PLEASE SEE PRESSURE, PAGE 18

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Urgent Care to the Rescue Over the past year, there has been deep dis-

and Garrett. Mr. Winemiller has a BS in Pharmacy

For more information,

cussion about our health care system. One main

and has worked in various health care positions

please visit

concern is that there are not enough primary care

throughout his career. “I am very excited to be a

doctorsexpress.com/

physicians to accommodate all of the individuals

part of this new venture bringing affordable, qual-

Alpharetta or call

that need their care. Even more alarming is the

ity health care to the Alpharetta, Roswell, Milton

678-762-9292

fact that the number of medical students electing to practice primary care continues to fall dramatically. Furthermore,

hospital

emergency

rooms across the country are overcrowded and stressed to the max. So, what is a viable solution?

J W, O/D  O

Urgent Care Centers are the fastest growing segment of the health care market. These centers are expanding

into local communities across the country providing convenient, cost-effective and quality health care. The modern Urgent Care Center has all the latest technology including Digital X-Ray Services and on-site laboratories which meet CLIA standards. These centers are staffed by health professionals that have extensive training and experience in emergency medicine.

No appointments

are necessary and the usual wait time to see a doctor is less than twenty minutes. Urgent Care Centers today can treat patients for a host of issues including acute care needs such as coughs, colds, sinuses, ﬂu, asthma, allergies, and much more. Today’s Urgent Care Centers can also treat non- threatening traumas, sports injuries and perform minor surgical procedures. Other services include a variety of physicals, occupational health, pre-employment screenings, and travel vaccinations. In short, it is a convenient, affordable, “one stop shop” for quality medical care. Jeff Winemiller is the Owner and Director of Operations for Doctors Express of Alpharetta, which opened in February 2011, at The Silos of North Farm, 12315 Crabapple Rd, (by the Silos).

Jeff

and his wife, Debbie, have been residents of the Alpharetta area for the past twelve years. They are the parents of three children: Megan, Adam,

area.”

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Medical Answer Book™

CHILDREN’S HEALTHCARE OF ATLANTA Children’s Healthcare of Atlanta, the largest pediatric clinical care provider in the country, provides extraordinary peace of mind for North Atlanta parents. The not-for-proﬁt health care system exists to improve the health and well-being of children from ages zero to 21. Children are not small adults; their anatomy and physiology, the kinds of illnesses they suffer from and the treatments they need are different. Children’s pediatricfocused facilities house an environment where patients can receive high quality clinical care in a child-friendly environment. In addition, children require specialized care from health care providers who understand and are trained in those differences. At Children’s, patients receive model care from medical staff, nurses, physician assistants, technicians and other medical

professionals who care for children every day, using specialized pediatric medical procedures, supplies and equipment. Children’s is committed to the expansion that will allow it to fully meet the needs of the community. Currently, Children’s operates three hospitals—Children’s at Egleston, Children’s at Hughes Spalding and Children’s at Scottish Rite— with 520 staffed beds. In addition, Children’s has 16 neighborhood locations around metro Atlanta, offering immediate care, primary care, surgery, rehabilitation and other specialty services. Children’s offers access to more than 1,600 pediatric physicians representing 30-plus pediatric specialties. To expand its reach of quality care, Children’s is opening a new pediatric facility in Forsyth County. The pediatric neighborhood location will provide

outpatient services including immediate care, rehabilitation, sports medicine, orthotics and prosthetics, specialty physician care, and X-ray and laboratory among other areas. Children’s Healthcare of Forsyth will be located in leased space at The Avenue Forsyth off Peachtree Parkway just east of Exit 13 off of GA-400. It is scheduled to open June 2011. Children’s is recognized nationally for excellence in many areas, including: cardiac, cancer, neonatal, orthopaedic and transplant services. The specially-trained team of physicians and staff, equipment designed especially for young patients and child-friendly environment work together to provide nationally-recognized care to North Atlanta’s sick and injured children.

AT A GLANCE North Atlanta locations for Children’s Healthcare of Atlanta include: Children’s Healthcare of Atlanta at Scottish Rite 1001 Johnson Ferry Road NE, Atlanta, GA 30342 404-785-5252

Roswell, GA 30076 404 785-8470 Children’s at Webb Bridge 3155 North Point Parkway, Building A, Alpharetta, GA 30005 | 404-785-7226

Children’s at North Point 3795 Mansell Road, Alpharetta, GA 30022 404-785-8540

*Coming June 2011 Children’s Healthcare of Forsyth | 410 Peachtree Parkway, Suite 300, Cumming, GA 30041 404-785-3020

Children’s at Alpharetta Highway 11835 Alpharetta Highway,

For more information about Children’s Healthcare of Atlanta, visit www.choa.org.

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Medlock Bridge Rd. Johns Creek 770.418.2772

Haynes Bridge Village Alpharetta 770.753.2300

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Medical Answer Book™ | 2011 Edition | Appen Newspapers, Inc. to academics and athletics without risk of long-term damage.

GWINNETT, FROM 11 • GMC-Lawrenceville is a national leader in minimally invasive surgery, including single incision laparoscopic surgery, and GMC-Duluth offers daVinci robotic surgery. Both surgeries offer patients a virtually scarless experience that minimizes hospital stay and decreases recovery time. • GMC is the only hospital in Georgia to offer the ImPACT (Immediate Postconcussion Assessment and Cognitive Testing) program to local high schools and the Gwinnett Football League. This program is designed to provide a framework to safely return athletes with concussions

¹Rebecca Ruiz and David Whelan; “Full List: America’s Safest Hospitals”; accessed 4-202009

Gwinnett Medical CenterLawrenceville 1000 Medical Center Blvd. Lawrenceville, GA 30046 678-312-1000 Gwinnett Medical Center – Duluth 3620 Howell Ferry Road Duluth, GA 30096 678-312-6800

The Doctor Can See You Now in Milton No w BC Acc BS ep HM ting O

DR. LENUS S. LOUIS Board certified in Internal Medicine & Member of Doctors Without Borders

DR. SAVITHA SHAMA Board certified in Internal Medicine & Member National Lipid Association

Same day appointments

Our services in Milton include the following: • • • • • •

Annual Physicals Men’s Health Women’s Health Adolescent Health Seniors Health Holistic Options

• • • • • •

Chronic Disease Management Diabetes & Hypertension Heart Disease Digestive & Kidney Disorders Neurological Disorders Hormonal Disorders

Most insurance plans and Medicare accepted.

Monday • Friday 8:30-5:00 • 12970 Hwy. 9 (across from Fry’s), in Milton.

770-754-4115 • EmoryJohnsCreekPhysicians.com

PRESSURE, FROM 14 and blood pressure checked every two years. He said a healthy blood pressure range is approximately 120/80. While it’s normal for blood pressure to rise and fall with changes in activity or emotional state, a consistent blood pressure reading of 120-139/80-89 means it’s time to make some lifestyle changes. “When a patient exhibits the warning signs of hypertension, we typically inquire about their medical history, conduct blood tests and an EKG, and check their kidneys,” said Beach.” It’s important to get a clear picture of the patient’s overall health to determine the best course of action.” Unfortunately, said Beach, the rate of hypertension in American can be attributed in large part to our eating habits and sedentary lifestyle. People who have high blood pressure can start treating it by quitting smoking, reducing alcohol and sodium intake, losing weight and getting 20-30 minutes of aerobic exercise ﬁve times per week. If that doesn’t take care of the problem, there are various medications that can be introduced to help. However, Beach said people need to continue taking them even after their blood pressure drops. Too often, he said, patients see an improvement and they stop taking medications. That can exacerbate the problem again. “Statistics show that when we treat high blood pressure, we see a 25 percent reduction in adverse events, such as stroke, heart attack and heart failure,” said Beach. “That’s proof that remaining vigilant when it comes to monitoring and treating high blood pressure saves lives.” Emory Johns Creek Hospital, located in the heart of Johns Creek, is known for its state-of-the-art technology in a luxurious, hotel-like setting. As a community hospital participating in most insurance plans, services include 24/7 emergency care, state-of-the-art all digital imaging including a 64 slice CT, MRI, The Birth Place with Level III Neonatal Intensive Care Unit, 24-hour anesthesiologists, intensive care, advanced cardiac care, vascular medicine and surgery, rehabilitation services and women’s services. Emory Johns Creek Hospital is home to the Atlanta Bariatric Center, designated a Center of Excellence by the American Society of Bariatric Surgeons.

19 Excellent Care, Everywhere: Resurgens Orthopaedics Appen Newspapers, Inc. | 2011 Edition |

Have you ever uttered, “My aching back!” Or climbed a flight of stairs and thought, “My knees can’t take much more of this.” Or perhaps activities that once seemed effortless have become more and more difficult. If you relate to these all-too-common complaints, you are not alone. Thanks to Resurgens Orthopaedics, however, living with pain is becoming less common for Metro Atlanta residents. In addition to providing surgical and non-surgical treatment for back and joint pain, Resurgens Orthopaedics offers a full range of orthopaedic services at 21 offices around Metro Atlanta, including state-of-the-art facilities in Roswell, Cumming, and Johns Creek. With 99 physicians, Resurgens provides specialized expertise and broad experience in the areas of sports medicine, joint replacement, neck and back surgery, foot and ankle surgery, non-operative spine care, general orthopaedics, hand surgery, shoulder and elbow surgery, arthroscopic surgery, epidural steroid injection, and trauma care. Resurgens provides comprehensive musculoskeletal care in a single location, from injury diagnosis and treatment to rehabilitation services. Resurgens is helping Georgians get back on their feet, back to work, and to living their lives to

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the fullest. When the need for musculoskeletal care arises, patients can trust they are getting the ﬁnest care available. Go ahead and take a closer look at Resurgens to uncover capabilities and standards for orthopaedic care

that may not be found in any other practice. Resurgens strives to be the leader in orthopaedic care. For more information, visit www. resurgens.com

��L�� L�� PA�� Orthopaedic Physicians Specializing in: ��

Cumming Office

1100 Northside Forsyth Dr., Suite 340 Cumming, GA 30041 (770) 886-8111 Fax · (770) 205-8539

Johns Creek Office

6335 Hospital Parkway, Suite 302 Johns Creek, GA 30097 (404) 575-4500 Fax · (404) 575-4555

Roswell Office

1285 Hembree Road, Suite 200A Roswell, GA 30076 (770) 475-2710 Fax · (770) 475-0078

Restore your health. Energize your life. Get back in motion.

GEORGIA’S LARGEST ORTHOPAEDIC PRACTICE

www.resurgens.com

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Timeline of Must-Have Medical Appointments Newborn – Within just days of birth and discharge

from a hospital, a child should visit a pediatrician. This type of physician specializes in the care of children, whose bodies are different from adults. A pediatrician will tell you if a newborn has any medical problems that cause concern, what their initial weight is and what you can expect for their growth, development and eating habits.

Toddler Years

– During this time period, a child often sees a doctor more frequently than not, simply because of their developing immune systems and the

The Doctors Can See You Today in Norcross Why wait! Same day appointments, most insurance plans and Medicare accepted.

We offer same-day appointments.

exposure to childhood germs. However, in the absence of germs or injuries, it is a good idea to have a well visit once per year until the age of 10. Doctors will usually recommend the standard continued course of immunizations, including the chicken pox vaccine, which is not given until the child is at least 1 year old.

5 years Old

– A child that is ready for Kindergarten will need to go to the pediatrician to be screened and immunized, in most cases. The screenings consist of hearing, vision and sometimes blood pressure or cholesterol tests. Also, the doctor’s ofﬁce can give you the necessary forms for enrollment in a public school. Not crazy about vaccines, but still want to enroll your child in school? Schools now accept waivers (available at your school ofﬁce) that allow parents who do not immunize to request enrollment for their child in school without having such vaccinations.

Early Childhood

– From the ages of 6 to 10, annual well visits to the pediatrician are sufﬁcient.

10 Years Old – Children usually go for

another round of vaccinations.

11-18 Years Old

– Keep in mind that at any point in the teen years when a child is participating in sports, most schools will require the student to undergo a routine physical to make certain that the student is healthy enough to participate in athletics.

18 Years Old

WILLIAM H. COX, D.O.

REGINA J. WANG, M.D.

OUR SERVICES IN NORCROSS INCLUDE THE FOLLOWING: • Annual Physicals • Men’s Health • Women’s Health • Sports Phsyicals

• Adolescent Health • Seniors Health • Chronic Disease Management • X-rays In-house

• Hormonal Disorders • Heart Disease • Holistic Options • Osteopathic Medicine

Close To You, In Norcross

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• Diabetes & Hypertension • Digestive & Kidney Disorders • Neurological Disorders • Weight Management

Medlock Bridge Rd.

– Many colleges require a physical examination upon acceptance to their school, and the paperwork involved with those tests may be required in order to attend classes. Along with proof of a physical exam, colleges will want to verify that a collegeaged student has had all the required childhood immunizations. Young women at this age may also begin to schedule visits to a gynecologist, in order to schedule an annual Pap smear test. Women should begin breast self-examinations as well. At this stage of early adulthood until senior care, most adults will begin to ﬁll out questionnaires that detail their health history. Questionnaires help physicians to pinpoint risk factors, and evaluate family history issues and other general health concerns. Once an adult enters the workforce and obtains health care coverage, a questionnaire is mandatory and must be ﬁlled out in order to qualify for health care. Typical questions refer to past medical history, family history, whether the person is a smoker, consumption of alcohol, drug use and any prior surgeries.

4940 Peachtree Industrial Blvd., Suite 360, Norcross, GA Same Day Appointments Please Call 770-441-2300 to schedule.

Hours: Monday – Friday 8:30 – 5:00 | JohnsCreekFamilyPhysicians.com

– Adults should undergo cholesterol and blood pressure checks every 5 years, along with Tetanus and diphtheria boosters every 10 years. There are really no other recommended tests, unless a patient has an increased risk factor or family history of a speciﬁc disease or disorder. Skin checks for irregular moles and changes in the skin are recommended for everyone. Regular dental check-ups (twice per year) also provide optimal dental health. The inﬂuenza vaccine is now recommended for all ages.

40s for Men: For men, 40 is the age at which docCONTINUED ON NEXT PAGE

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tors may begin to recommend a prostate cancer screening. Based on risk factors or family history, this recommendation may come earlier. But between the ages of 45 and 50, most men will receive the test for prostate cancer. The American Urological Association recommends a ﬁrst PSA (prostate speciﬁc antigen) test at the age of 40 for most men. In a man’s mid-40s, doctors recommend a screen for Type-2 Diabetes as well.

40s for Women: Guidelines for mammograms change often, but as of now, doctors recommend a mammogram every year or two for women who are 40 and older. Beginning at age 45, doctors also recommend a cholesterol check for women and a blood pressure check every other year. A bone density scan may be performed if the patient is concerned about their speciﬁc risk of osteoporosis.

Food allergy facts The following represent statistics about Food Allergies according to FAAN (The Food Allergy & Anaphylaxis Network). The incidence of food allergy is highest in children- one in 17 under the age of 3, which today is estimated to be 3 million children. Given that children this young cannot effectively communi-

cate these allergies to caregivers makes this statistic quite concerning. • Peanut Allergies doubled in children over a 5 year period (1997- 2002). • Eight foods account for 90 percent of all food- allergic reactions in the U.S.. These foods include: milk, eggs, peanuts, tree nuts (walnuts, cashews, pecans, etc.), fish, shellfish, soy and wheat. • At this point there is no cure for food allergies.

50s for Men: By the age of 55, doctors begin to recommend testing for glaucoma, an eye disease that damages the optic nerve. Both men and women at this stage will most likely be checked for thyroid imbalances, eyesight deﬁciencies and blood sugar issues. 50s for Women: Once women reach the age of 50, doctors recommend that in addition to the battery of screens used in their 40s, women also begin colon cancer screenings.

60s

– Doctors are beginning to recommend the Shingles vaccine around the age of 60 for both men and women. This is a once-in-a-lifetime shot that provides protection against the emergence of Shingles. Hearing evaluations are also important at this age, since nearly 33 percent of the population age 65 and older experiences hearing loss.

65 and Older

–

Men: Men are now encouraged to undergo testing

for abdominal aortic aneurysms. This screening only occurs once, and is typically done after the age of 65. Women: In addition to all of the previous tests, doctors may now begin to perform a bone density test. With age, women lose calcium, which causes bone breakage and weakness. A bone density scan will provide information on the strength of a woman’s bones. Since the incidence of falls also increases at this age, doctors highly recommend this test. Doctors can also administer a pneumococcal vaccination, which is a one-time shot, providing protection against pneumonia. Information compiled from Group Health Cooperative (ghc.org), pgeverydaysolutions.comand webmd.com.

GREGORY T. FOUNTAIN, MD, FACOG Gregory T. Fountain is a native of Georgia. He attended high school in Warner Robins, Georgia, received a BS in Biology from the University of Georgia, completed his Medical Doctorate degree at the Medical College of Georgia, and completed his OB/GYN residency at New Hanover Regional Medical Center in Wilmington, North Carolina. He has practiced Obstetrics and Gynecology in Gwinnett County since 1992 and is pleased to announce his aﬃliation with Emory Johns Creek Hospital.

MICHAEL E. LYNCH, MD, FACOG A graduate of the University of Georgia and the Mercer University School of Medicine, Michael E. Lynch, Sr., trained in Wilmington, NC, in Obstetrics and Gynecology before serving in the Air Force as Chief of Woman’s Services at Robins AFB. He left to work at Spalding Regional Medical Center for 12 years, spending time as Chief of Surgery, Chief of Obstetrics and Gynecology, and as a member of the Medical Executive Committee. Dr. Lynch and his wife, Cheryl, have two children in college, share a passion for animal rescue, and are active in their church and other community organizations.

ONLY A FEW MINUTES DRIVE TO DR. FOUNTAIN & DR. LYNCH Downtown Duluth to Drs. Fountain & Lynch Alpharetta (City Hall) to Drs. Fountain & Lynch Roswell (City Hall) to Drs. Fountain & Lynch Milton (City Hall) to Drs. Fountain & Lynch South Forsyth High School to Drs. Fountain & Lynch

5 miles 9 miles 14 miles 10 miles 6 miles

MATERNITY

• Low-risk prenatal care and delivery • High-risk prenatal care and delivery • In-oﬃce ultrasound • In-oﬃce lab services

GYNECOLOGY

• Adolescent care • Family planning • Well-woman care • Menopausal management • Urinary incontinence treatment • Breast health education

PROCEDURES

• In-office permanent sterilization • In-office endometrial ablation • In-office hysteroscopy • In-office sonohysterography • Tubal ligation • Advanced laparoscopy • Pelvic/Vaginal reconstructive surgery

Dr. Fountain and Dr. Lynch 6335 Hospital Parkway, Ste 203 Physicians Plaza at Emory Johns Creek Hospital Johns Creek, GA 30097 Phone: 770-476-0410 Monday – Friday 8:30 - 5:00 • Most Insurance plans accepted

emoryjohnscreekobgyn.com

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The Emory Heart & Vascular Center – Advancing the Treatment of Peripheral Arterial Disease Peripheral arterial disease (PAD) is a condition that affects the blood vessels outside of the heart and brain. PAD typically involves the narrowing of vessels that transport blood to the arms and legs. The disease has few symptoms, and at least half of the people who suffer from it have no signs or indications. In fact, up to 60 percent of an artery can be blocked by the time the condition is discovered. Eight to 12 million people in the U.S. suffer from PAD and, as a result, are at an increased risk for heart disease, aortic aneurysms and stroke. Additionally, PAD can be a precursor to diabetes, hypertension and various other diseases. Symptoms A major symptom of PAD is claudication, which involves pain or cramping in the arms or legs during exercise. Every patient is different, and some may experience claudication as heaviness, burning or numbness. The pain may be severe, depending on the extent of the blockage, and typically diminishes with rest. In the legs, this symptom occurs most commonly in the calf muscles, but may also involve the buttocks or thighs. Claudication may occur in one or both legs. In severe cases, PAD can also cause intense pain at rest. Patients may ﬁnd they have signiﬁcant pain at night that is relieved by hang-

ing the foot down from the bed. Other symptoms of PAD may include: - Numbness in the extremities - A sensation of coldness in the legs or feet - Skin redness or discoloration - Foot and toe sores that will not heal - Loss of hair on the legs and changes in nail growth It is common for people with PAD to also have atherosclerosis, a disease that can affect the vascular system throughout the body. Atherosclerosis also increases the risk of heart disease, aortic aneurysms and stroke. Treatment Options • Medication Medication may be necessary to offset the effects of PAD and lower the risk of heart attacks and stroke. These include antiplatelet medications, anticoagulants and cholesterollowering medications. • Minimally Invasive Treatment If medication therapy is not adequate to control the effects of PAD, the Emory Heart & Vascular Center offers a number of minimally invasive options to open blocked or narrowed arteries throughout the body. These procedures use catheters (thin, ﬂexible tubes) inserted through small incisions in the skin to deliver various treatments to clear blockages in affected arteries. Because these treatments are minimally invasive, they are easier on pa-

tients, associated with less risk and require substantially shorter recovery times than traditional open surgery. For patients with more severe PAD, who are not candidates for the minimally invasive procedure, the Center also offers the full range of open surgical procedures, such as endarterectomy and bypass surgery. If you think you may have PAD, it is crucial that you receive treatment to avoid major complications of the disease. The Emory Heart & Vascular Center at Johns Creek Another important step in ﬁghting heart disease is to visit a health care facility with proven experience in treating complex cardiovascular conditions such as PAD. The Emory Heart & Vascular Center at Johns Creek is a leader in treating cardiovascular disease using the latest procedures and technological advancements. EMORY HEALTHCARE’s physicians and staff place an emphasis on early intervention, and they are highly skilled at identifying the risk factors and treating the conditions associated with heart disease. The Center offers a comprehensive spectrum of cardiovascular services, and our Johns Creek ofﬁce is conveniently located near Emory Johns Creek Hospital in Johns Creek, Ga. Call 404-778-8240 to schedule an appointment with an EMORY HEALTHCARE cardiologist.

OM DA O R

N CE

Dancing can be magical and transforming. It can breathe new life into a tired soul; make a spirit soar; unleash locked-away creativity; unite generations and cultures; inspire new romances or rekindle old ones; and turn sadness into joy. On a more physical level, dancing can give you a great mind-body workout. Researchers are learning that regular physical activity in general can help keep your body, including you brain, healthy as you age. Exercise increases the level of brain chemicals that encourage nerve cells to grow. And dancing that requires you to remember dance steps and sequences boosts brain power by improving memory skills. There has been some promising research in this area, according to Rita Beckford, M.D., a family doctor and spokesperson for the American Council on Exercise. For instance, a 2003 study published in the New England Journal of Medicine found that ballroom dancing at least twice a week made people less likely to develop dementia. “That is huge” says Kristine Knipp, director of the Ballroom Dance Clubs of MetroAtlanta. “We who enjoy and participate in ballroom dancing have always known the social and health beneﬁts” says Knipp,” But

BALL

Dancing into Health CLUBS nta of Atla

this conﬁrms that it can actually affect ones quality of life.” But ballroom dancing is not just a sport or hobby for those with their minds on power aging. One of the great beneﬁts of ballroom and latin dancing is that you can adjust to each individuals level of activity. “We have some exciting amateur dancers competing, in a few weeks, at a major competition. Their ages are from the mid-twenties to well into their seventies”, says Knipp “and their past level of activity ranges from mara-

thon runners to previously sedentary – but they are all dancing athletes now.” According to WebMD, and other Health experts, ballroom and latin dancing abound in benefits. Dancing can help: • strengthen bones and muscles without hurting your joints • tone your entire body • Improve your posture and balance, which can prevent falls. • increase stamina and flexibility • reduce stress and tension • build confidence • provide opportunities to meet people • Ward off illnesses like diabetes, high blood pressure, heart disease, osteoporosis and depression. So if you’re tired of the treadmill and looking for a fun and even glamorous way to stay fit and healthy, it might be time to kick up your heels!

Ballroom Dance Clubs of Metro-Atlanta Downtown Atlanta – 404.897.5556 North Atlanta – 678.417.7555

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Medical Answer Bookâ&#x201E;˘

Medical Answer Bookâ&#x201E;˘ | 2011 Edition | Appen Newspapers, Inc.

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Atlanta Gastroenterology Associates As the premier gastroenterology practice in the southeast, Atlanta Gastroenterology Associates’ (AGA) physicians offer the knowledge and experience valued by patients who are suffering from digestive problems and liver disease. At AGA’s offices in North Fulton and Cumming, Board Certified physicians use their knowledge, skills and abilities to evaluate and treat a wide range of disorders, including acid reflux, Barrett’s esophagus, colon cancer, constipation and diarrhea, Crohn’s disease, liver disease and hepatitis, intestinal polyps, irritable bowel syndrome, ulcers and ulcerative colitis. In addition, AGA physicians are also trained in the pain-free removal of hemorrhoids, which can be performed right in the office. For most patients, gastrointestinal problems can be diagnosed and often treated using endoscopic techniques instead of surgery. At AGA, most endoscopic procedures are performed on an outpatient basis at one of our eight state-of-the-art Endoscopy Centers, including North Fulton Endoscopy. For procedures and services that cannot be performed at one of our outpatient facilities, AGA’s physicians have privileges

at both North Fulton Regional Hospital and Northside Hospital-Forsyth. As part of AGA’s mission to provide comprehensive care to patients, specialized services are offered through several distinct groups within the practice. These include: • Center for Advanced GI Therapeutics • Center for GI Health • Center for GI Imaging • Infusion Services • The Liver Center • Nutrition Counseling • Southeastern Center for Functional GI & Motility Disorders • UC | Crohn’s Treatment Center Patients also have access to clinical trials through the practice’s research division, AGA | Center for Clinical Research. Since its formation more than 30 years ago, Atlanta Gastroenterology Associates has been committed to providing patients with appropriate and cost-effective healthcare. Today, with 28 ofﬁces across metro Atlanta and North Georgia, that mission has not changed. To ﬁnd out more about Atlanta Gastroenterology Associates, visit www. atlantagastro.com.

AGA Physicians in North Fulton and Cumming David Ateﬁ, MD David Baldrich, MD William Bizzaro, MD E. Chris Cameron, MD Robert Eisenband, MD Luis Galvez. MD Hetal Karsan, MD Kamil Obideen, MD

For appointments in North Fulton: 1340 Upper Hembree Road, Suite A, Roswell 770.569.0777

For appointments in Cumming: 1505 Northside Boulevard, Suite 2000, Cumming 770.781.4010

Since many health insurance plans require a referral from a primary care physician, please check with your individual carrier before scheduling an appointment. Atlanta Gastroenterology Associates is a participating provider for Medicare, Medicaid and most healthcare plans offered in the state of Georgia.

Take Back Your Life with Weight Loss Surgery By Debbie Spamer, RN, BSN, CPAN, CBN, Bariatric Specialist, Northside Hospital

Diet and exercise, the “keys” to successful weight loss, have the ability to inspire ambition, promise and hope in countless people. But for many, the ability to succeed with traditional diet and exercise just doesn’t work. Fortunately, there is another option… weight loss surgery. What is Weight Loss Surgery? Weight loss surgery is designed to treat obesity by changing the gastrointestinal tract, reducing the amount of food a person consumes and needs to feel satisﬁed. The surgery, only performed on people who are severely overweight and for whom diet and exercise have failed, is a life-changing decision that has the potential to resolve or improve serious obesity-related health issues and enhance quality of life. Staff at Northside Hospital have been performing weight loss surgery for more than 20 years and, in Atlanta, the hospital has been designated an American Society for

Metabolic and Bariatric Surgery (ASMBS) Bariatric Surgery Center of Excellence. Since 2007, Atlanta consumers have ranked Northside #1 in weight loss surgery in the National Research Corporation’s (NRC) Healthcare Market Guide Study. Northside offers several highly effective options for weight loss surgery, available in Atlanta, Forsyth and Cherokee. Gastric Bypass (Roux-en-Y) – Involves creating a small pouch out of a portion of the stomach and attaching (stapling) it directly to the small intestine, bypassing a large part of the stomach. This procedure limits the amount of food the patient can consume at one time. After surgery, patients feel full more quickly, which aids in controlling their hunger. With a faster weight loss, patients may improve their health issues more quickly than with the other options. As with any surgery, there are risks. Laparoscopic Adjustable Gastric Band – Involves placing a silicone band around the upper portion of the stomach to limit the amount of food the stomach can

hold at one time, thereby, producing a quicker feeling of fullness and supporting long term, sustainable weight loss. The band is adjustable through a port placed under the skin. After surgery, the patient returns to the surgeon’s office, where the port is injected to fill the band. The adjustable gastric band is reversible and can be removed. Vertical Sleeve Gastrectomy – A laparoscopic procedure that removes around 85 percent of the stomach. What remains is small, narrow or sleeve shaped and can hold only one to four ounces. This restrictive procedure not only severely limits food intake, but also inhibits hunger-stimulating hormones, both of which lead to fast and significant weight loss. The vertical sleeve gastrectomy is not reversible and there are some risks due to the long suture line of the reshaped stomach. Northside Hospital was the first hospital in Georgia to perform each of these bariatric procedures through a single-incision technique, instead of using multiple incisions. This advancement in minimally invasive surgery reduces pain and

scarring postoperatively.

Weight Loss Surgery and You If you are signiﬁcantly overweight, have a body mass index of 40 or greater or have a life-threatening condition related to your weight, weight loss surgery might be for you. However, weight loss surgery is not for everyone and you should consult with your physician to learn if you are a candidate. Atlanta’s Most Preferred for Weight Loss Surgery A leader in providing state-ofthe-art surgical services, Northside Hospital offers comprehensive weight loss services including stateof-the-art surgery, nutrition, exercise and support groups – to make sure that you are cared for emotionally as well as medically through your journey of losing weight. Free monthly weight loss surgery informational seminars provide more information about weight-loss surgery and other Bariatric Services available at Northside. For more information, call 404845-5457. www.northside.com

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Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer

Almost every adult will suffer from digestive issues during their lifetime. Whether it's a touch of indigestion or abdominal pain that won't subside, you deserve the best possible care. The Board Certified specialists at Atlanta Gastroenterology Associates are experts in evaluating and treating every type of digestive disorder, including: • Colon Cancer • Diarrhea • Hiatal Hernias • Acid Reflux • Ulcers • Crohn's Disease

Cumming

• Liver Disease & Hepatitis • Barrett’s Esophagus • Intestinal Polyps • Irritable Bowel Syndrome • Ulcerative Colitis • Hemorrhoid Banding

Duluth

North Fulton

With convenient locations in Cumming, Duluth and North Fulton, including a state-of-the-art endoscopy center, taking charge of your health has never been easier.

Now providing nutrition counseling and safe, painless hemorrhoid banding treatment

David A. Atefi, M.D. Cumming North Fulton

Robert M. Eisenband, M.D. North Fulton Saint Joseph’s

David A. Baldrich, M.D. Cumming

Luis M. Galvez, M.D. North Fulton Saint Joseph’s

Cumming 1505 Northside Boulevard Suite 2000 770.781.4010

William E. Bizzaro, M.D. Cumming North Fulton

Hetal A. Karsan, M.D. North Fulton Saint Joseph’s

Duluth 3635 Peachtree Industrial Blvd Suite 150 770.822.5560

E. Chris Cameron, M.D. Cumming North Fulton

Kamil Obideen, M.D. Cumming North Fulton

Jyotsna Talapaneni, M.D. Duluth Lawrenceville | Snellville

North Fulton 1340 Upper Hembree Road Suite A 770.569.0777

For more information, visit our web site: www.atlantagastro.com or call: 1-866-GO-TO-AGA [468-6242] Atlanta Gastroenterology Associates is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.

28 Medical Answer Book™ Providing Compassionate Care – The Gwinnett Breast Center | 2011 Edition | Appen Newspapers, Inc.

Gwinnett Medical Center is committed to providing the best in patient care and clinical quality that is why they have developed the Gwinnet Breast Center. The Gwinnett Breast Center is a program that provides individualized care with a patient-centered approach. The foundation of the program is a dynamic interdisciplinary team of dedicated breast imagers, pathologists, referring providers, surgeons, specially trained technologists, nurses and navigators. This team comes together to provide women with the most timely, modern and compassionate care for breast health. Services are available in Duluth, Lawrenceville and Hamilton Mill. Program Overview • Optimal coordination of care

• Same day surgical consults • On-site scheduling of follow up appointments • Follow up imaging from an abnormal screening mammogram within three to ﬁve business days • Diagnostic imaging appointments for new ﬁndings - same or next day appointments Gwinnett Breast Center’s patient-centered approach optimizes the process for mammogram call-back appointments. From abnormal mammogram through treatment and followup, the navigator program facilitates the patient’s coordination of care. Patients requiring additional imaging studies receive a phone call from a call-back scheduler within three business days of their screening exam. If a biopsy is recommended, patients have

the beneﬁt of working with an Access Navigator. The navigator is a member of the imaging team, who assists the patient with appointments and ensuring that services are obtained in a timely manner. This process eases the patient anxiety and reduces the confusion of negotiating through the multiple aspects of follow-up care. The Access Navigator will assist the patient in scheduling appointments with Gwinnett Medical Center’s network of participating surgeons offering same-day appointments for biopsy. This reduces the cycle time from abnormal ﬁnding to a breast specialist consult. For more information about Gwinnett Medical Center’s navigation program, call 678-3122197.

What to expect in a mammogram By Chris Williams Manager, Roswell Imaging Center North Fulton Hospital

ou have probably heard of a mammogram, but you may still have some questions about the procedure. A mammogram is a special x-ray designed to non-invasively see inside the breast. These types of procedures are performed on specialized equip-

ment by specially trained radiologic technologists (mammographers). They are then interpreted by a radiologist, a physician with advanced training in medical imaging.

Screening Mammogram

A screening mammogram is the most common type of mammogram. This procedure is performed on women with no signs

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of trouble with their breasts, and usually involves two x-rays of each breast. The American Cancer Society recommends women age 40 and older have a yearly screening mammogram. This annual test will allow your doctors to track any changes in your breast tissue, with the goal of detecting any problems as early as possible. Approximately one in eight women will develop breast cancer in her lifetime. The ﬁve-year survival statistics for breast cancer vary from 100 percent with a Stage 0 cancer to 20 percent with a Stage 5 cancer. The average size of a breast mass found using a screening mammogram is 0.2 cm. The average size of a breast mass that is discovered by a woman performing a breast self-exam is at least 1.2 cm.

Diagnostic Mammogram

A diagnostic mammogram is a targeted look at one or both breasts. This procedure can be performed for a variety of reasons. Most commonly, it is used to follow up on an abnormality seen on a screening mammogram; to evaluate abnormalities such as a lump in the breast, breast pain, nipple discharge, skin thickening or an inexplicable change in breast size or shape; or to evaluate breasts for which it is difﬁcult to obtain a clear image in a screening mammogram. Approximately 5-15 percent of women who have a screening mammogram will need to have a diagnostic mammogram. Most diagnostic mammograms (85 percent +) are found to be normal. About

10-15 percent of women who have a diagnostic mammogram will be referred for a biopsy, and only a third of those biopsies will show cancer.

How to Prepare for a Mammogram

To prepare for your mammogram, make sure to talk to your doctor about any problems or new ﬁndings in your breasts. The best time to schedule a mammogram is the week after your menstrual period. Expect the procedure to take approximately 30-45 minutes. You should inform the mammographer of any prior breast surgeries, biopsies or hormone use, as well as any personal or family history of breast and/or ovarian cancer. Make sure to inform the technologist if there is any chance you could be pregnant. On the date of the examination, please do not wear deodorant, talcum powder or lotion under your arms or on your breasts. These can appear on the mammogram as a calcium spot. The mammographer will position your breast in the mammography unit. Your breast will be placed on a special platform and will gradually be compressed with a clear Plexiglas paddle. This compression is necessary for a good study, and will be applied for less than 30 seconds. It is very important that you remain totally still while the x-ray is being taken. This will eliminate any motion artifact on the images. After your examination, the radiologist will review your images, and a report will be sent to your physician. The mammography center will also contact you with the results of your study.

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By Dr. Laura Rivers Breast Surgeon, North Fulton Hospital

They say that knowledge is power. For women, knowing about their breast health is where it’s at when it comes to breast problems, including cancer. It’s important to know that you, yourself, are the singlebest defense against cancer and the anxiety caused by worrying about cancer. It is important to be aware of risk factors that might put you at a higher risk for breast cancer. There are two types of risks: inherent and acquired. The inherent risks for breast cancer are things that you cannot change. They include being a woman, getting older, having a family history of breast cancer or other cancers, having a personal history of breast cancer or abnormal breast biopsy, starting your menstrual period early and going through menopause late. These are the things that you and your doctor can discuss to determine if your risk means that you need to be getting more frequent clinical breast exams and breast imaging. If you and your doctor determine that you are at increased risk, you should also ask about having a breast MRI, genetic counseling and the possibility of risk-reducing surgery (bilateral mastectomy or removing your ovaries). Acquired risk includes the things that you have control over. Choosing to smoke, excessive alcohol in-

take, not maintaining a healthy weight, prolonged use of combination hormone replacement therapy or recent use of birth control pills are examples of acquired risk for breast cancer. Other acquired risks include not having children or having them over the age of 30, not breast feeding, physical inactivity and being treated with radiation for Hodgkin’s lymphoma. The acquired risk category is where you can make the biggest impact. The bonus is that all the things that will positively impact your breast health also are good for preventing other health issues, such as diabetes, high blood pressure, heart disease and stroke. Just remember, being high risk does not mean you are going to get cancer. It means that you need to be followed more closely to catch the cancer (if forbid, it does happen) as early as possible. When caught early, most breast cancers are treatable and curable. For all the women diagnosed with breast cancer this year, 80 percent of them do just ﬁne. So don’t be afraid to seize the opportunity to be healthier. Simply put, how are you supposed to know if a lump is new or changed if you don’t know what your breasts feel like normally? If a woman ﬁnds a lump, she either knows it is new because she does regular BSE; or, if she doesn’t do BSE, the lump seems new. Either way, it should be evaluated to make sure it is not a cancer. In the former situation, the biopsy is not “unnecessary”, because the lump is new. In the latter case, I argue it is still not “unnecessary”, because it might be new. If the woman had had been doing her BSE, and knew that the lump was not new or changed, then she would be saving herself from a truly “unnecessary” biopsy. Dr. Laura Rivers

JOHNS CREEK

DIAGNOSTIC C E N T E R ith compassion, comfort and personal attention as high priorities, you’ll ﬁnd that Johns Creek Diagnostic Center is well equipped to take care of your medical imaging needs in a private and relaxed environment. As one of the ﬁrst outpatient imaging centers in Johns Creek, we’ve been providing medical imaging and diagnosis to hundreds of patients since 2006. The goal for our specialized radiologists and highly trained staff is simple….

MAKE A DIFFERENCE!

Our Current Diagnostic Imaging Services Include: • MRI (Magnetic Resonance Angiography) • MRA (Magnetic Resonance Angiography) • CT (Computed Tomography) scans • CTA (Computed Tomography Angiography) • Thyroid Biopsies • X-ray • Ultrasound

Johns Creek Diagnostic Center is dedicated to providing superior imaging services and the highest standard of healthcare that patients expect and deserve. 6920 McGinnis Ferry Road, Suite 300, Suwanee, GA 30024 | Telephone (678) 835-2299 • Fax (678) 835-2296 Hours: Mon-Fri 7:30am-7:30pm & Sat 9am-3pm • Same day appointments with STAT reads within 1 hour All Insurances Accepted and Pre-certifications is completed by our staff.

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Prostate Cancer Overview Since nearly 80% of all men will have prostate cancer by the age of 80, ﬁnding out the ways to maximize prostate health, or to treat a prostate problem is essential. Every year, over 225,000 men are diagnosed and treated for prostate cancer, and almost 30,000 men per year will die from the disease. There are only a small number of factors that may add to your risk of prostate cancer. They include family history, race and diet as well as your age. The incidence of prostate cancer increases with age. For men over 40, with a family history of prostate cancer, the risk increases. Most cancers are found in men over the age of 65; however trends indicate that the number of men age 55-65 who have prostate cancer is increasing. So, what can you do to be diligent in the ﬁght against prostate disease and prostate cancer? Well, there are few general guidelines

Q&As

What are the symptoms of prostate cancer? Most of the time, prostate cancer does not initially cause symptoms. By the time symptoms do occur, the disease may have spread beyond the prostate. Symptoms of prostate cancer may include the following: Urinary problems: • Not being able to urinate. • Having a hard time starting or stopping the flow of urine. • Needing to urinate often, especially at night. • Weak flow of urine. • Urine flow that starts and stops. • Pain or burning during urination. • Difficulty having an erection. • Blood in the urine or semen. • Frequent pain in the lower back, hips, or upper thighs. Although these symptoms can be symptoms of cancer, they are much more likely to be caused by noncancerous conditions. It is important to check with a doctor.

What is prostate cancer? Prostate cancer forms in the tissues of the prostate. Except for skin cancer, cancer of the pros-

that might help. First, see if you can make any changes to your diet. Studies show that a diet low in fiber and high in red meat content can contribute to prostate cancer. Additionally, if you are over the age of 40, make sure that you have a regular annual physical with your physician. Your physician should be performing a DRE (a digital rectal exam) and taking blood to determine your PSA (prostate specific antigen) count. These two tests combined will help to determine if cancer might be present. If cancer is suspected, based on the findings of those tests, a biopsy will be performed. The biopsy will then tell your doctor what level of cancer is present, and how much of the gland is affected by the cancer. If cancer is present, both of those findings are important. Combined, they make up a Gleason score and will help in determining what course of treatment is the

best for your situation. There are many treatment options available for prostate cancer, and it is imperative to discuss all of your options with your physician. Some of the treatments include: Radical prostatectomy – complete removal of the prostate by means of a regular surgery. Robotic prostatectomy – a surgery performed by a robot (operated by your physician) to remove the prostate. Advantages include a shorter recovery period, minimal incisions and less pain. There are two kinds of radiation treatments available. The typical high powered radioactive waves are used to kill the cancer cells. Or, you can opt for radioactive seeds. These pellets are inserted with a needle by a doctor into your prostate, and the radioactive seeds kill off the cancer cells from within. Hormone therapy is also used as treatment for prostate cancer,

and to shrink the prostate in advance of other treatment options. Because the production of the male hormone testosterone actually causes cancer to grow, this therapy stops the growth by eliminating testosterone. One new therapy that is just gaining in popularity for treatment of prostate cancer is cryotherapy. The prostate gland is actually frozen in order to eliminate the cancer within the gland. Still some men choose to wait and observe. This ‘watchful waiting’ is approved by some physicians in cases where the cancer is not spreading quickly and has not spread to any other areas of the body. As with any health issue, you should address all of your concerns about prostate health with your personal physician. For more information on prostate health, you can visit www.prostatehealthguide.com.

tate is the most common cancer in American men. It was estimated that more than 186,000 men in the United States would be diagnosed with prostate cancer in 2008 (1). In most men with prostate cancer, the disease grows very slowly. The majority of men with low-grade, early prostate cancer (which means that cancer cells have been found only in the prostate gland) live a long time after their diagnosis. Even without treatment, many of these men will not die of prostate cancer, but rather will live with it until they eventually die of some other, unrelated cause. Nevertheless, it was estimated that nearly 29,000 men would die from prostate cancer in 2008 (1).

tate cancer rises with the number of close relatives who have the disease. Some evidence suggests that dietary factors may increase or decrease the risk of prostate cancer.

rectum to find hard or lumpy areas, and a blood test that detects a substance made by the prostate called prostate-specific antigen (PSA). Together, these tests can detect many “silent” prostate cancers that have not caused symptoms. Due to the widespread use of PSA testing in the United States, approximately 90 percent of all prostate cancers are currently diagnosed at an early stage, and, consequently, men are surviving longer after diagnosis.

Who’s at risk for prostate cancer? An important risk factor is age; more than 70 percent of men diagnosed with this disease are over the age of 65. African American men have a substantially higher risk of prostate cancer than white men, including Hispanic men. In addition, dramatic differences in the incidence of prostate cancer are seen in different populations around the world. Genetic factors appear to play a role in prostate cancer development, particularly among families in which the diagnosis is made in men under age 60. The risk of pros-

What other prostate conditions can cause symptoms like these? As men get older, their prostate may grow bigger and block the flow of urine or interfere with sexual function. This common condition, called benign prostatic hyperplasia (BPH), is not cancer, but it can cause many of the same symptoms as prostate cancer. Although BPH may not be a threat to life, it may require treatment with medicine or surgery to relieve symptoms. An infection or inflammation of the prostate, called prostatitis, may also cause many of the same symptoms as prostate cancer. Again, it is important to check with a doctor.

Can prostate cancer be found before a man has symptoms? Yes. Prostate cancer screening is looking for the disease before a person has any symptoms. Two screening tests commonly used to detect prostate cancer in the absence of symptoms are the digital rectal exam (DRE), in which a doctor feels the prostate through the

How reliable are the screening tests for prostate cancer? Neither of the screening tests for prostate cancer is perfect. Most men with an elevated PSA level do not have prostate cancer (false positives), and some men with prostate cancer have a low PSA level (false negatives). The DRE is also associated with false positives and false negatives. Using the DRE and PSA together will miss fewer cancers (greater sensitivity) but also increases the number of false positives and subsequent biopsies in men without cancer (lower specificity). The National Cancer Institute’s (NCI) Early Detection Research Network (EDRN) has a Prostate Collaborative Group that is explorPLEASE SEE PROSTATE, PAGE 35

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YOUNG LIFE: ADHD: What parents should know

What is ADHD? Attention-deficit hyperactivity disorder (ADHD) is the name of a group of behaviors found in many children and adults. People who have ADHD have trouble paying attention in school, at home or at work. They may be much more active and/or impulsive than what is usual for their age. These behaviors contribute to significant problems in relationships, learning and behavior. For this reason, children who have ADHD are sometimes seen as being “difficult” or as having behavior problems. ADHD is common, affecting 4 percent to 12 percent of school-age children. It’s more common in boys than in girls. You may be more familiar with the term attention deficit disorder (ADD). This disorder was renamed in 1994 by the American Psychiatric Association (APA).

What are the symptoms of ADHD? The child with ADHD who is inattentive will have 6 or more of the following symptoms: •

Has difﬁculty following instructions

•

Has difﬁculty keeping attention on work or play activities at school and at home

•

Loses things needed for activities at school and at home

•

Appears not to listen

•

Doesn’t pay close attention to details

•

Seems disorganized

•

Has trouble with tasks that require planning ahead

•

Forgets things

•

Is easily distracted

The child with ADHD who is hyperactive/impulsive will have at least 6 of the following symptoms: •

Fidgety

•

Runs or climbs inappropriately

•

Can’t play quietly

•

Blurts out answers

•

Interrupts people

•

Can’t stay in seat

•

Talks too much

•

Is always on the go

•

Has trouble waiting his or her turn

What should I do if I think my child has ADHD? Talk with your child’s doctor. A diagnosis of ADHD can be made only by getting information about your child’s behavior from several people who know your child. Your doctor will ask you questions and may want to get information from your child’s teachers or anyone else who is familiar with your child’s behavior. Your doctor may have forms or checklists that you and your child’s teacher can fill out. This will help you and your doctor compare your child’s behavior with other children’s behavior. Your doctor will do vision and hearing tests if these tests haven’t been done recently. Your doctor may recommend trying medicine to see if it helps control your child’s hyperactive behavior. A trial of medicine alone cannot be the basis for diagnosing ADHD. However, it can be an important part of evaluating your child if ADHD is suspected. It might be hard for your doctor to tell if your child has ADHD. Many children who have ADHD aren’t hyperactive in the doctor’s office. For this reason, your doctor may want your child to see someone who specializes in helping children who have behavior problems, such as a psychologist. What causes ADHD? Children who have ADHD do not make enough chemicals in key areas in the brain that are responsible for organizing thought. Without enough of these chemicals, the organizing centers of the brain don’t work well. This causes the symptoms in children who have ADHD. Research shows that ADHD is more common in children who have close relatives with the disorder. Recent research also links smoking and other substance abuse during pregnancy to ADHD. CONTINUED ON NEXT PAGE

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YOUNG LIFE: ADHD: What parents should know •

Make sure your directions are understood. Get your child’s attention and look directly into his or her eyes. Then tell your child in a clear, calm voice speciﬁcally what you want. Keep directions simple and short. Ask your child to repeat the directions back to you.

•

Reward good behavior. Congratulate your child when he or she completes each step of a task.

•

Make sure your child is supervised all the time. Because they are impulsive, children who have ADHD may need more adult supervision than other children their age.

•

Watch your child around his or her friends. It’s sometimes hard for children who have ADHD to learn social skills. Reward good play behaviors.

•

Set a homework routine. Pick a regular place for doing homework, away from distractions such as other people, TV and video games. Break homework time into small parts and have breaks.

•

Focus on effort, not grades. Reward your child when he or she tries to ﬁnish school work, not just for good grades. You can give extra rewards for earning better grades.

•

Talk with your child’s teachers. Find out how your child is doing at school-in class, at playtime, at lunchtime. Ask for daily or weekly progress notes from the teacher.

ADHD, FROM PREVIOUS PAGE

Things that don’t cause ADHD: •

Bad parenting (though a disorganized home life and school environment can make symptoms worse)

•

Too much sugar

•

Too little sugar

•

Aspartame (brand name: Nutrasweet)

•

Food additives or colorings

•

Food allergies or other allergies

•

Lack of vitamins

•

Fluorescent lights

•

Too much TV

•

Video games

What can I do to help my child? A team effort, with parents, teachers and doctors working together, is the best way to help your child. Children who have ADHD tend to need more structure and clearer expectations. Some children beneﬁt from counseling or from structured therapy. Families may beneﬁt from talking with a specialist in managing ADHD-related behavior and learning problems. Medicine also helps many children. Talk with your doctor about what treatments he or she recommends.

What medicines are used to treat ADHD? Some of the medicines for ADHD are methylphenidate (some brand names: Ritalin, Concerta), dextroamphetamine (brand name: Dexedrine), pemoline (brand name: Cylert), atomoxetine (Strattera), and a combination drug called Adderall. These medicines improve attention and concentration, and decrease impulsive and overactive behaviors. Other medicines can also be used to treat ADHD.

What can I do at home to help my child? Children who have ADHD may be difﬁcult to parent. They may have trouble understanding directions. Children who are in a constant state of activity can be challenging for adults. You may need to change your home life a bit to help your child. Here are some things you can do to help: •

Make a schedule. Set speciﬁc times for waking up, eating, playing, doing homework, doing chores, watching TV or playing video games and going to bed. Post the schedule where your child will always see it. Explain any changes to the routine in advance.

•

Make simple house rules. It’s important to explain what will happen when the rules are obeyed and when they are broken. Write down the rules and the results of not following them.

Will my child outgrow ADHD? We used to think children would “grow out” of ADHD. We now know that is not true for most children. Symptoms of ADHD often get better as children grow older and learn to adjust. Hyperactivity usually stops in the late teenage years. But about half of children who have ADHD continue to be easily distracted, have mood swings, hot tempers and are unable to complete tasks. Children who have loving, supportive parents who work together with school staff, mental health workers and their doctor have the best chance of becoming well-adjusted adults. Source: www.familydoctor.org.

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Cancer Q&As

What is a mammogram?

Breast Cancer

A mammogram is an x-ray of the breast. Mammograms can be used to check for breast cancer in women who have no signs or symptoms of the disease. This type of mammogram is called a screening mammogram. Screening mammograms usually involve two x-rays of each breast. They make it possible to detect tumors that cannot be felt. Screening mammograms can also ﬁnd microcalciﬁcations (tiny deposits of calcium) that sometimes indicate the presence of breast cancer.

How are screening and diagnostic mammograms different? Diagnostic mammograms take longer than screening mammograms because they involve more x-rays in order to obtain views of the breast from several angles. The technician may magnify a suspicious area to produce a detailed picture that can help the doctor make an accurate diagnosis.

When does the National Cancer Institute recommend that women have screening mammograms? Women age 40 and older should have mammograms every 1 to 2 years. Women who are at higher than average risk of breast cancer should talk with their health care providers about whether to have mammograms before age 40 and how often to have them.

What are the factors that place a woman at increased risk of breast cancer? The risk of breast cancer increases gradually as a woman gets older. However, the risk of developing breast cancer is not the same for all women. Research has shown that the following factors increase a woman’s chance of developing this disease: Personal history of breast cancer—Women who have had breast cancer are more likely to develop a second breast cancer. Family history—A woman’s chance of developing breast cancer increases if her mother, sister, and/or daughter have been diagnosed with the disease, especially if they were diagnosed before age 50. Having a close male blood relative with breast cancer also

increases a woman’s risk of developing the disease.

What are the chances that a woman in the U.S. might develop breast cancer? Age is the most important risk factor for breast cancer. The older a woman is, the greater her chance of developing breast cancer. Most breast cancers occur in women over the age of 50. The number of cases is especially high for women over age 60. Breast cancer is relatively uncommon in women under age 40. The NCI fact sheet Probability of Breast Cancer in American Women provides more information about lifetime risk. This fact sheet is available at http:// www.cancer.gov/cancertopics/factsheet/ Detection/probability-breast-cancer on the Internet.

What is the best method of detecting breast cancer as early as possible? Getting a high-quality screening mammogram and having a clinical breast exam (an exam done by a health care provider) on a regular basis are the most effective ways to detect breast cancer early. As with any screening test, screening mammograms have both beneﬁts and limitations. For example, some cancers cannot be detected by a screening mammogram but may be found by a clinical breast exam. Checking one’s own breasts for lumps or other unusual changes is called a breast self-exam, or BSE. Breast self-exams cannot replace regular screening mammograms or clinical breast exams. In clinical trials (research studies), breast self-exams alone have not been found to help reduce the number of deaths from breast cancer.

What are the beneﬁts of screening mammograms? Several large studies conducted around the world show that breast cancer screening with mammograms reduces the number of deaths from breast cancer for women ages 40 to 69, especially for those over age 50. Studies conducted to date have not shown a beneﬁt from regular screening mammograms, or from a baseline screening mammogram (a mammogram used for comparison), in women under age 40. Source: National Cancer Institute

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Fighting through prostate cancer By LOGAN THOMAS logan@northfulton.com www.northfulton.com

FORSYTH COUNTY - The diagnosis of prostate cancer in November 2007 stunned Bill Neils to the point he was mentally “wandering around in a fog.” “I didn’t know what to do next,” the semiretired Forsyth County resident said. “Mortality just hit me right between the eyes.” Neils asked his doctor for advice, but received “seven or eight options” and a large number of statistics for men in his age bracket. “I felt ignorant,” he said. “I would ask questions and get statistics.” A week after the diagnosis, Neils “googled” prostate cancer and came across the American Cancer Society and decided to call the number around midnight when he couldn’t sleep. The experience was “eye-opening.” “I realized right away she was giving me a great deal of information,” he said, “but then I noticed she was acting as an advocate for me. She was telling me how to make decisions and how to interview my doctors. It opened my eyes to the right way of doing things. I really think God sent me to talk to her that night.” Armed with this newfound knowledge, Neils did interview doctors and started doing his own research. It was during this time he met Phil Eve, the current co-chair of the Forsyth County Relay for Life.

PROSTATE FROM PAGE 31 ing a variety of strategies to find better ways to detect prostate cancer early. In addition, NCI’s prostate cancer Specialized Program of Research Excellence (SPORE) is funding projects to identify new diagnostic and prognostic biological markers, or biomarkers, of prostate cancer besides PSA.

How is prostate cancer diagnosed? A diagnosis of prostate cancer can be confirmed only by biopsy. During a biopsy, a urologist (a doctor who specializes in diseases of urinary and sex organs in men, and urinary organs in women) removes tissue samples, usually with a needle. This is generally done in the doctor’s office with local anesthesia. Then, a pathologist (a doctor who identifies diseases by studying tissues under a microscope) checks for cancer cells. Men may have blood tests to see if the cancer has spread. Some men also may need the following imaging tests:

Bone scan: A doctor injects a small amount of a radioactive substance into a blood vessel, and it travels through the bloodstream and collects in the bones. A machine called a scanner detects and measures the radiation. The scanner makes pictures of the bones on a computer screen or on film. The pictures may show cancer that has spread to the bones. Computerized tomography (CT) scan: An x-ray machine linked to a computer takes a series of detailed pictures of areas inside the body. Doctors often use CT scans to see the pelvis or abdomen. Magnetic resonance imaging (MRI): A strong magnet linked to a computer is used to make detailed pictures of areas inside the body. Prostate cancer is described by both grade and stage. Grade describes how closely the tumor resembles normal glandular tissue of the prostate. Stage refers to the extent of the cancer. Source: www.cancer.gov.

Eve had been through prostate cancer and shared his experience with Neils. Neils eventually decided to go through a prostatectomy in February 2008. Following the procedure, his Prostate-specific antigen (PSA) was zero for the first nine months. Neils said Eve helped him prepare for the days following the procedure. “Phil told me, ‘this is how you’re going to feel and you will look back a year from now and laugh,” he said. “Phil really told me some of the subtle aspects of recovery. It was nice.” Neils decided last year to get involved with the Relay for Life and felt changed by the experience. “I was really encouraged by the wonderful people,” he said. “Some were struggling, some had lost loved ones. It was a wholesome community of people who have encountered cancer in various ways. It was a great thing to see so many come together for this event.” Neils fight with cancer is still “ongoing,” he said. Doctors noticed a rise in his PSA and he is ongoing a low radiation treatment that doesn’t hamper his ability to work. “I’m looking at all the positives,” he said. “I’m so happy to be part of a community and church with other cancer survivors.” Neils recommends others diagnosed with cancer gather information as that was “the most overwhelming part.” “Without that phone number I called in the middle of the night,” he said, “I would still be trying to figure out what to do.”

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YOUR NEW

DOCTOR

IS HERE! Dr. John A. Webster has over 26 years experience in helping people regain their health from pain, sickness, and injuries. In his practice in North Carolina, he treated over 15,000 patients with impressive results. Dr. Webster has served in numerous positions of leadership and authority including president of the North Carolina Board of Chiropractic Examiners. He is well versed in the science, art, and philosophy of chiropractic practice. He knows when to treat and when to refer to another specialist. He has testiﬁed as an expert witness many times in court in order for his pa-

Are you suffering from low back pain, sciatica, headaches, neck pain, shoulder and arm pain, injury from motor vehicle accidents, numbness and tingling in arms or legs, weakness or on the job injuries?

tients to receive the compensation they deserve. Dr. Webster and his family moved to Roswell to be closer to his wife’s, Dr. Victoria, family. Dr. Wbster received his doctorate in chiropractic medicine in 1983. He completed a one year internship at Laurenburg Chiropractic Center in Laurinburg, N.C. in 1984. Dr. Webster opened his practice, Webster Chiropractic and Wellness Center in Whiteville, N.C. in January 1985. Dr. Webster purchased Roswell Health and Injury Center on November 1st, 2010. “The people here

are great! We love it and look forward to caring for our patients here with the same love and respect as the last 26 years.” “I have a well trained team of professionals, including a support team member who is bi-lingual. We are ready to serve.” Call my ofﬁce at 770442-3343 and make an appointment. When you come in, we will discuss in detail your major health concerns. Next, we will do a complete exam. If appropriate, we will take X-rays. We will then schedule a time for you to review your exam and X-rays in detail.

I will tell you what I found and what I think I can do to help you. I will also give you different approaches to your condition, and let you choose what you would like to do. If you like, I will call and make the referral for you, if needed. No pressure, no hassle, no coercion … It’s your body, your health – you decide. If you’re sick and tired of being sick and tired, call 770-442-3343 and make your appointment. I’m here, I’m ready. Let’s get you healthy! We accept most insur-

ance, including medicare, personal injury, and major medical. Consultation is always free.

Dr. John A Webster

Roswell Health and Injury Center 11490 Alpharetta Hwy, Ste. 100 Roswell, GA 30076 Located across from Nalley Jaguar. Look for the royal blue sign, “Because We Treat You Like Royalty” Dr. Webster gives weekly work-shops on wellness. Call if you would like to attend. He is also available for motivational presentations on success, health and wellness.

THE SMARTEST DECISION YOU’LL MAKE ALL YEAR If you suffer from:

• Low Back Pain • Sciatia • Headaches • Neck Pain

• On the Job Injury • Shoulder or Arm Pain • Injury from Motor Vehicle Accidents • Numbness & Tingling in Arms or Legs • Weakness

HEADACHE RELIEF More than 15 million Americans suffer from persistent recurring headaches with no obvious cause. Why suffer when Chiropractic care could put a smile back on your face?

Most insurance accepted!

(770) 442-3343

Roswell Health and Injury Center Dr. John A. Webster 11490 Alpharetta Highway (across from Nalley Jaguar)

BACK PAIN 80% of us suffer with back pain at some time in our life. Experts recommend Chiropractic care for back pain.

CALL TODAY TO MAKE AN APPOINTMENT

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Medical Answer Book™

BREAST CANCER?

YOU ARE NOT ALONE.

OurTeam isYourTeam. Made up of board-certified radiologists,

general and reconstructive surgeons, and medical and radiation oncologists, the North Fulton Breast Health Team develops a personalized and complete plan for each patient. To serve you and your doctor, our Team’s Nurse Navigator will be by your side providing guidance, education and advocacy through the journey. If you would like a physician affiliated with North Fulton Hospital, and our Breast Health Team, call 770.751.2600, or log onto www.nfultonhospital.com.

YOUR NORTH FULTON HOSPITAL BREAST HEALTH TEAM

Laura Rivers, MD Breast Surgery, Breast Program Medical Director

Michael Jurgens, MD

David Rallis, MD

Jerome Silver, MD

Charles Sykes, MD

Jeff Tucker, MD

Mark Wilkmeimeyer, MD

James Waldschmidt, MD

Ronald G. Steis, MD

Silpa C. Reddy, MD

Boyd Byrd, MD

John S. Harvey, MD

Michael Hoffman, MD

George Shaak, MD

Radiology

Medical Oncology

Craig Wilkinson, MD Radiation Oncology

Radiology

Medical Oncology

Henry D. Cline, MD Radiation Oncology

Radiology

Asaf Yalif, MD Plastic and Reconstructive Surgery

Radiology

Medical Oncology

Brian Howard, MD Plastic and Reconstructive Surgery

General Surgery

Mark Klein, MD Plastic and Reconstructive Surgery

General Surgery

Jeff Hoadley, MD General Surgery

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Let the Emory Heart & Vascular Center at Johns Creek help you fight the number one killer: heart disease Heart disease is the leading cause of death in the United States. In fact, more than 2,500 Americans die of heart disease every day, which amounts to more than 900,000 deaths a year; 500,000 of those deaths are women. Many women who die of heart disease have no prior symptoms, while others experience symptoms that are not recognized or diagnosed.

The risk is greater than you think

One woman dies from a heart attack or stroke every single minute in the United States, but still many women believe cancer is a greater threat. Nearly twice as many women die of heart disease and stroke than die from all forms of cancer combined. In fact, after menopause, the risk of heart disease rises so dramatically that one in four women age 65 and older has heart disease.*

Heart disease in women vs. men

Compared to men, women are more likely to have an inconclusive result from a typical stress test and are referred less frequently for a coronary angiogram.† In addition, women are less likely to be prescribed the standard post-heart attack regimen of aspirin and beta-blockers or receive medication that can prevent blood clots and subsequent heart attacks. †A coronary angiogram is a procedure physicians use to view the heart and arteries.

Recognizing the signs of heart disease

Symptoms of heart disease differ signiﬁcantly in men and women. Consider the important facts listed below: Heart disease symptoms prevalent in men: • Chest pain or pressure • Pain at rest • Pain radiating down the left arm and shoulder • Weakness

Heart disease symptoms in women: • Shortness of breath • Flu-like symptoms such as nausea, vomiting or cold sweats • Fatigue or weakness • Pain in the chest, upper back, jaw or neck • Feelings of anxiety, loss of appetite, malaise

Women must take preventive measures to lower risks

Women have the power to shape the choices their families make and can implement lifestyle changes that lower the risk of heart disease. Maintaining a healthy lifestyle is the best way to reduce the risks of a heart attack. A proper diet, an appropriate exercise program and eliminating the use of tobacco can go a long way toward preventing heart disease.

Emory Heart and Vascular Center at Johns Creek

Another important step in ﬁghting heart disease is to visit a health care facility with proven experience in treating complex cardiac-related issues in men and

women. The Emory Heart & Vascular Center at Johns Creek is a national leader in treating heart disease. Emory clinicians and staff are skilled in helping women and men recognize, understand and address the specific risks they face. The Emory Heart & Vascular Center at Johns Creek is at the forefront of technological advancements in cardiac care. Emory Healthcare’s awardwinning physicians place an emphasis on early intervention, and they are highly skilled at identifying the risk factors and treating the conditions associated with heart disease. Emory’s board-certified physicians provide a comprehensive spectrum of cardiovascular services, and our Johns Creek office is conveniently located near Emory Johns Creek Hospital at 6335 Hospital Parkway Ste., 110 Johns Creek, GA 30097. Call 404778-8240 to schedule an appointment with an Emory Healthcare cardiologist or to learn more about the Emory Heart & Vascular Center at Johns Creek.

*Source: Centers for Disease Control and Prevention

Local cardiologist talks matters of the heart What are common factors leading to heart disease?

Extensive clinical and statistical studies have identified several factors that increase the risk of coronary heart disease and heart attack. Major risk factors are those that research has shown significantly increase the risk of heart and blood vessel (cardiovascular) disease. Other factors are associated with increased risk of cardiovascular disease, but their significance and prevalence haven’t yet been precisely determined. They’re called contributing risk factors. Some of them can be modified, treated or controlled, and some can’t. The more risk factors you have, the greater your chance of developing coronary heart disease. Also, the greater the level of each risk factor, the greater the risk

What are the major risk factors that can’t be changed?

• Increasing age — Over 83 percent of people who die of coronary heart disease are 65 or older. At older ages, women who have heart attacks are more likely than men are to die from them within a few weeks. • Male sex (gender) — Men have a greater risk of heart attack than women do, and they have attacks earlier in life. Even after menopause, when women’s death rate from heart disease increases, it’s not as great as men’s. • Heredity (including Race) — Children of parents with heart disease are more likely to develop it themselves. African Americans have more severe high blood pressure than Caucasians and a higher risk of heart disease. Heart disease risk is also higher among Mexican Americans, American Indians, native Hawaiians and some

What are the major risk factors you can modify or control by changing your lifestyle or taking medicine?

• Tobacco smoke — Smokers’ risk of developing coronary heart disease is 2–4 times that of nonsmokers. • High blood cholesterol — As blood cholesterol rises, so does risk of coronary heart disease. • High blood pressure — High blood pressure increases the heart’s workload, causing the heart to thicken and become stiffer. • Physical inactivity — An inactive lifestyle is a risk factor for coronary heart disease. • Obesity and overweight — People who have excess body fat — especially if a lot of it is at the waist — are more likely to develop heart disease and stroke even if they have no other risk factors.

What other factors contribute to heart disease risk?

• Individual response to stress may be a contributing factor. Some scientists have noted a relationship between coronary heart disease risk and stress in a person’s life, their health behaviors and socioeconomic status. • Drinking too much alcohol can raise blood pressure, cause heart failure and lead to stroke. The risk of heart disease in people who drink moderate amounts of alcohol (an average of one drink for women or two drinks for men per day) is lower than in nondrinkers. It’s not recommended that nondrinkers start using alcohol or that drinkers increase the amount they drink. Aman Kakkar, M.D. Cardiologist on staff at Northside Hospital

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Medical Answer Book™

Beating the odds Vicky Wyche survives cancer By JENNIFER CHAPMAN news@northfulton.com

It’s a warm September afternoon near downtown Roswell and Vicky Wyche is ready to be photographed. Standing in blue jeans and a pink tank top, she’s a vision of perfect health – toned arms, slender and a big, warm smile on her face. Attached to her pink tank top is a pink ribbon, symbolizing breast cancer awareness. She’s not just supporting the cause, Wyche, a Milton resident, has fought the disease and she’s a survivor. A nurse for 36 years and married with two children, Wyche found a lump in her breast on a Saturday in August 2008. She called her doctor the following Monday and by 1 p.m. that day, she was at North Fulton Hospital getting an ultrasound. By Thursday that week, she had a biopsy. “Everybody worked so quickly and closely together,” said Wyche. The next week, Wyche learned the lump in her breast was cancerous and had surgery by the end of August. “I had all of the tests done and all of the reports to know how to go about it and what the best plan of action was,” she said. Wyche had yearly mammograms and a strong family history of breast cancer in her family. Her mother is a 37-year survivor and her grandmother also had breast cancer, so Wyche began mammogram screenings when she was 35 years-old. “In the back of my mind, I always wondered if I’d find that lump because of my family history, but I was surprised how quickly it came up,” she said. “I had a mammogram that previous April and it was normal compared to the others I’ve had in the past. This just came overnight.” Doctors were able to catch Wyche’s breast cancer early on in the process. Wyche underwent surgery then chemotherapy and radiation treatment. She was the first patient at North Fulton Hospital to have a head to toe bone scan to make sure the cancer didn’t spread to other parts of her body. “I wanted to address the breast cancer but also make sure it wasn’t in another area,” she said. “I had every test I needed to make sure. A lot of people can’t tolerate that but to me the most difficult part to deal with is the unknown. Once you have the information, as negative as it can be, you can then face it and work with your medical team.” Like so many survivors, Wyche is thankful to the medical team at North Fulton Hospital for the care they provided. “It’s amazing how you bond with the doctors, how unbelievably compassionate and witty they are – you feel like you’re the only patient who has come through the door that day,” said Wyche. “It means a lot when you’re on the other end of it. As a health care professional myself, you can get caught up with work but this allowed me to see a whole new side of things.” Wyche’s faith, family and friends helped her beat cancer and she is now a 2-year survivor.

Photo by John Haigwood

Vicky Wyche, a Milton resident and nurse, was diagnosed with breast cancer two years ago.

“The support of my family was just incredible,” she said. “I lost my hair and my husband even shaved his own head for me. I really found out what was important in life – which is the family and friends who helped me and my faith, too.” Wyche, who participates in the Atlanta 2-Day Walk for Breast Cancer, said patients should bring a family member or friend with them to the doctor. The friend or relative can take notes and listen to the doctor, she said, because the patient is usually ﬁxated on one thing: cancer. Wyche said she encourages breast cancer patients, survivors and families to join in support groups. “People really reach out to you and I was always the one who was a giver,” said Wyche. “It was humbling to be on the receiving end.” Breast cancer has taught Wyche how unique it is to reach out to others, she said. “I’m a real hugger…I was before (cancer) but I’m a real hugger now,” she laughed.

Medical Answer Book™ | 2011 Edition | Appen Newspapers, Inc.

H E A LT H F O R A L I F E T I M E

EMPTY NESTERS You did it. The kids are gone and you have the house to yourself. Time to get ready for retirement and those golden years. While you’re dusting off the golf clubs and buying new luggage for the vacation, it’s important to know you’ve chosen the right doctor for these upcoming years. If you are new to the area, rest assured you have the best doctors and medical facilities to help you through the aging process. Your health care needs are going to change. Talk to your doctor and make sure you are ready to enjoy becoming an empty nester. The following pages help become a starting point as you become more informed about health issues affecting you and other local residents.

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Medical Answer Book™

Needed medical procedures for seniors to maintain optimum health First and foremost: Get regular checkups. These other tests, however, are also necessary as you age. Bone density test: A bone density test will find out how strong your bones are. The test will tell you if you are at risk for osteoporosis. If you are age 65 or older, schedule a bone density test. If you are age 60 to 64, talk to your doctor about testing your bone density. If you are at risk for osteoporosis, your doctor may recommend getting a bone density test every 2 years. A bone density test doesn’t hurt. It’s like an x–ray or scan of your body. It only takes about 15 minutes. Flu shot: Get a seasonal flu shot every year to prevent the flu. The seasonal flu shot is especially important for adults ages 50 and up It’s also a good idea to get a flu shot if you live or work with people at high risk for complications from the seasonal flu. For example, get a flu shot if you live with an adult age 65 or older or work in a daycare or

nursing home. Pneumonia shot: If you are age 65 or older, ask your doctor for a pneumonia shot. This shot is called PPV.

Pneumonia is a serious illness that can sometimes lead to death, especially in older adults. The good news is that some types of pneumonia can be prevented. If you get the pneumonia shot at age 65, you should be protected from the most common type of bacterial pneumonia for the rest of your life. Colorectal cancer test: If you are age 50 or older, get tested regularly for colorectal cancer. All it takes is a visit to the doctor to have a special exam called a screening. You may need to get tested before age 50 if colorectal cancer runs in your family, so talk to your doctor. There are many ways to have your colon checked. Some tests are done every 1 to 2 years. Other tests are done every 5 to 10 years. How often you get screened will depend on your risk of colorectal cancer. Your doctor can help you de-

cide which test is right for you and how often you need to get screened. Hearing test: If you are over age 65, get your hearing checked. Many people lose their hearing slowly as they age. One out of three Americans between ages 65 and 74 has a hearing problem. Half of adults over age 75 have a hearing problem. If you have hearing loss, you are not alone. Start by asking your doctor for a hearing test. Your doctor may refer you to a hearing specialist. Vision test: If you are age 65 or older, have your eyes checked every one to two years. People with diabetes should have their eyes checked more often. Regular eye exams help your doctor ﬁnd eye problems early, when they can be easily treated. There are 2 types of doctors that can perform an eye exam: optometrists and ophthalmologists The doctor will put drops in your eyes to enlarge (or dilate) your pupils. A dilated eye exam is the only way to ﬁnd some types of eye

disease. You will read charts with letters and numbers to check your vision. The doctor will also do tests to look for problems with your eyes, including glaucoma. Aneurism test: If you are a man age 65 to 75 and have ever smoked, talk with your doctor about abdominal aortic aneurysm (AAA). Your doctor may order an ultrasound test to check for AAA. An ultrasound uses sound waves to look inside the body. The risk of AAA increases as you get older, and it’s more likely to happen in people between the ages of 60 and 80. Men are much more likely than women to have an AAA. You are 8 times more likely to develop an aneurysm if you smoke. Aneurysms usually grow slowly with no symptoms. If they grow large enough to burst (or break open), aneurysms can cause dangerous bleeding and death. If AAA is found early, it can be treated to stop it from bursting. Source: U.S. Department of Health and Human Services

Medical Answer Bookâ&#x201E;˘ | 2011 Edition | Appen Newspapers, Inc.

Fire & Rescue in the area North Fulton boasts several major hospitals and dedicated public safety personnel, so residents and visitors should know they have the best here to help in times of emergency. Here you will find all your local police and fire stations as well as contact information for your some major local hospitals. ALPHARETTA

DEPARTMENT OF PUBLIC SAFETY

Alpharetta Police Department 2565 Old Milton Pkwy Alpharetta, GA 30009 (678) 297-6300 http://alpharetta.ga.us Alpharetta Fire Department Headquarters Station 1 2970 Webb Bridge Rd Alpharetta, GA 30009 (678) 297-6270 http://alpharetta.ga.us $OSKDUHWWD ×&#x201E; UH station 2 3070 Market Place Blvd. Alpharetta Ga 30009 (678) 297-6282 $OSKDUHWWD ×&#x201E; UH VWDWLRQ 9600 Westside Pkwy Alpharetta, GA 30009 (678) 297-6283 $OSKDUHWWD ×&#x201E; UH VWDWLRQ 525 Park Bridge Pkwy Alpharetta, GA 30009 (678) 297-6284 $OSKDUHWWD ×&#x201E; UH VWDWLRQ 1475 Mid Broadwell Rd Alpharetta, GA 30009 (678) 297-6285 $OSKDUHWWD ×&#x201E; UH VWDWLRQ 3275 Kimball Bridge Rd Alpharetta, GA 30009 (678) 297-6286

_______________________ CUMMING POLICE DEPARTMENT 301 Veterans Memorial Blvd Cumming, GA 30040 (770) 781-2000 www.cummingpd.net

)RUV\WK ×&#x201E; UH VWDWLRQ 2720 Holtzclaw Rd Cumming, GA 30041

FIRE DEPARTMENT Gwinnett station 19 3275 North Berkeley Lake Rd NW Duluth, GA 30096

)RUV\WK ×&#x201E; UH VWDWLRQ 5775 Dahlonega Hwy Cumming, GA 30040

Gwinnett station 13 343 US Highway 23 Suwanee, GA 30024

Cumming, GA 30040

DULUTH POLICE DEPARTMENT 3276 Buford Hwy )RUV\WK ×&#x201E; UH VWDWLRQ Duluth, GA 30096 6015 Keith Bridge Road (770) 476-4151 Cumming, Ga www.duluthpd.com ______________________ )RUV\WK ×&#x201E; UH VWDWLRQ FORSYTH COUNTY 7385 Browns Bridge Rd SHERIFFâ&#x20AC;&#x2122;S OFFICE Gainesville, GA 30506 Headquarters/Jail 202 Veterans Memorial Blvd )RUV\WK ×&#x201E; UH VWDWLRQ Cumming, GA 30040 3680 Old Atlanta Rd (770) 781-2222 Suwanee, GA 30024 www.forsythsheriff.org )RUV\WK ×&#x201E; UH VWDWLRQ (unstaffed) 2â&#x20AC;Ť×&#x2020;â&#x20AC;Ź FH RI WKH 6KHULâ&#x20AC;Ť ×&#x192;â&#x20AC;Ź Storage facility at Browns 202 Veterans Memorial Blvd Bridge and Shady grove Cumming, GA 30040 roads (770) 781-3077 )RUV\WK ×&#x201E; UH VWDWLRQ Annex - civil and records 3530 Settingdown Rd 875 Lanier 400 Pkwy # 144 Cumming, GA 30040 Cumming, GA 30040 )RUV\WK ×&#x201E; UH VWDWLRQ (770) 781-3091 (unstaffed) 1525 Doctor Bramblett South Precinct at South Road Forsyth High School Cumming, GA 30040 585 Peachtree Pkwy Cumming, GA 30041 )RUV\WK ×&#x201E; UH VWDWLRQ 800 McFarland Pkwy North Precinct at Central Alpharetta, GA 30004 Park 2300 Keith Bridge Road, )RUV\WK ×&#x201E; UH VWDWLRQ Forsyth County, GA 1525 Buford Hwy Buford, GA 30518 Training at Public Safety _______________________ Complex GWINNETT COUNTY 3420 Settingdown Rd. SHERIFFâ&#x20AC;&#x2122;S DEPARTMENT Cumming, Ga. 30028 2900 University Pkwy ______________________ Lawrenceville, GA 30043 FORSYTH COUNTY (770) 619-6500 FIRE DEPARTMENT www.gwinnettcountysheriff.com Fire headquarters/Training facility Jail 3520 Settingdown Rd 2900 University Pkwy Cumming, GA 30028 Lawrenceville, GA 30043 (770) 781-2180 (770) 619-6500 www.forsythco.com _______________________ )RUV\WK ×&#x201E; UH VWDWLRQ GWINNETT COUNTY 234 Castleberry Industrial POLICE DEPARTMENT Dr 770 HI Hope Road Cumming, GA 30040 Lawrenceville, GA 30043 (770) 513-5000 )RUV\WK ×&#x201E; UH VWDWLRQ www.gwinnettcounty.com 4055 Carolene Way Cumming, GA 30040 Justice and Administration Center )RUV\WK ×&#x201E; UH VWDWLRQ 75 Langley Drive 4125 Dr Bramblett Rd Lawrenceville, GA 30044 Cumming, GA 30040 (770) 822-8000 )RUV\WK ×&#x201E; UH VWDWLRQ 3805 Canton Hwy

_______________________ GWINNETT COUNTY

Gwinnett station 7 3288 Duluth Highway 120 Duluth, GA 30096 _______________________ JOHNS CREEK FIRE DEPARTMENT Johns Creek Fire Station No. 61 10205 Medlock Bridge Parkway Johns Creek Fire Station No. 62 10925 Rogers Circle Johns Creek Fire Station No. 63 3165 Old Alabama Road JOHNS CREEK POLICE DEPARTMENT: 11445 Johns Creek Pkwy Johns Creek, GA 30097 (678) 474-1600 www.johnscreekga.gov _______________________ MILTON PUBLIC

SAFETY DEPARTMENT 3ROLFH ×&#x201E; UH KHDGTXDUWHUV 13000 Deerfield Parkway, Suite 107 Milton, GA 30004 (678) 242-2500 www.cityofmiltonga.us Milton station 42 15260 Thompson Rd Milton, GA 30004 (770) 240-2422 Milton station 41 12670 Arnold Mill Rd Milton, GA 30004 (770) 740-2406 Milton station 43 750 Hickory Flat Rd Milton, GA 30004 (770) 777-6592 _______________________ ROSWELL POLICE DEPARTMENT Roswell Police Department: Headquarters/jail 39 Hill St Roswell, GA 30075 (770) 640-4100 www.roswellgov.com _______________________ ROSWELL FIRE AND RESCUE DEPARTMENT 38 Hill St # 235 Roswell, GA 30075

(770) 641-3730 Headquarters 1810 Hembree Rd Alpharetta, GA 30009 (770) 641-3730 Roswell station 1 1002 Alpharetta St Roswell, GA 30075 Roswell station 2 11115 Crabapple Rd Roswell, GA 30076 Roswell station 3 740 Jones Rd Roswell, GA 30075 Roswell station 4 1601 Holcomb Bridge Rd Roswell, GA 30076 Roswell station 5 1200 Hembree Rd Roswell, GA 30076 Roswell station 6 825 Cox Rd Roswell, GA 30075 Roswell station 7 8025 Holcomb Bridge Rd Roswell, GA 30076 SUWANEE POLICE DEPARTMENT 373 Buford Hwy Suwanee, GA 30024 (770) 945-8995 www.suwanee.com

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Medical Answer Book™

Medical Practices Bank on Experience There was a time when simply being a good doctor and providing outstanding care could ensure success in the medical business. Not anymore. Consider all the complications ranging from one-sided contracts with managed care organizations, deeper cuts to Medicare, exorbitant malpractice insurance fees, claims appeals, electronic medical records — and the unknown details of healthcare reform. The business side of medicine has become a distraction, taking away valuable patient time, and resulting in potential lost revenue to the practice. One key plan to regain control and put the focus back on patient care — is to be financially prepared for practice transitions, expansions, office renovations and investments in new technologies. This is where having a bank with a team experienced in medical banking can help. KeyWorth Bank opened its doors in 2007. The directors and management envisioned a bank dedicated to strong, yet cautious growth serving the business communities in north metro Atlanta. As the bank has grown to nearly $300 million in assets with three offices in Alpharetta, John’s Creek and Duluth, it has become clear that this is the heart of Atlanta’s medical community — a community of physicians and dentists with very specific business

Doctors, like Samantha Benson, MD, are finding the true benefit in working with a team like KeyWorth’s, saying, “KeyWorth Bank put a medical banking team in place that knew the medical field and how a successful medical practice works before they ever talked to us. Other banks made no such effort.”

tices may need to purchase new equipment to stay abreast of the latest medical innovations — and they can’t always depend on timely collections. A strong bank that has money to lend provides security and can help practices get better loan terms in many cases. Additional ﬁnancing solutions such as real estate or construction loans, working capital lines of credit and practice buy-in loans could all come in handy throughout a practice’s lifecycle.

KeyWorth Executive VP and Chief Lending Ofﬁcer, Neil Stevens, says that’s exactly what he had in mind when putting this group together. “We know that the last thing doctors have, is excess time. We understand their unique business situations and can help them navigate without having to review the basics.”

Dr. Charles Machemehl III, of Johns Creek Family Orthodontics remarks that his bank has been critical to the ﬁnancial success of the practice. “KeyWorth Bank is very strong and stable,” he says, “It’s reassuring to know my bank and team of professionals will be around when I need them.”

In addition to a variety of checking accounts, online banking, money markets and CDs, there are a few extra beneﬁts that dentists and physicians should look for in a bank. One of the most innovative is Remote Deposit Capture — saving trips to the bank through a web-based application that reduces the risk of check fraud. Merchant service offerings should also be considered, allowing practices to accept credit, debit and gift cards.

Speaking of “being around,” the Medical Banking specialists at KeyWorth go out of their way to meet with doctors and dentists on their schedule. “It’s not about ‘banker’s hours’ anymore,” states KeyWorth President and CEO, Jim Pope, “it’s about the most effective way to get business done.”

needs. KeyWorth has carefully crafted a team of bankers dedicated to meeting those needs.

Perhaps the most helpful beneﬁt is the provision of multiple ﬁnancing options. Some prac-

To sum it up, there IS a difference in banks when it comes to medical banking business. A team of professionals that understands those differences can put the focus quickly back on the patient. And you can bank on that.

We put a banking team in place linked to the medical field that understands how successful medical practices work.

Doctors Bank on Us. (you should, too!)

Medlock Bridge Rd. Johns Creek 770.418.2772

Haynes Bridge Village Alpharetta 770.753.2300

Sugarloaf Parkway Duluth 678.475.5120

www.KeyWorthBank.com KEY-10801 AppenMedicare Ad.indd 1

1/18/11 2:21 PM

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EVERY SECOND COUNTS Whether you are a man or woman, no matter your race, in the prime of life or enjoying your golden years, you may be at risk for a stroke. According to the Centers for Disease Control and Prevention, stroke is the third leading cause of death in Georgia. The best protection for you and your loved ones against this potentially debilitating and life-threatening event is to know the warning signs and symptoms of stroke and receive prompt medical assistance when they appear because every minute counts.

What is a Stroke? A stroke occurs when the brain’s blood supply is suddenly obstructed, cutting off the ﬂow of nutrients and oxygen needed for the brain to function and resulting in the death of brain cells. It can be brought on by a blockage or clot in the blood vessels that lead to the brain (ischemic stroke) or, less common, when a blood vessel bursts and bleeds into the brain (hemorrhagic stroke). Warning Signs and Symptoms Stroke is a life-threat-

LEARN LEARN THE THE SIGNS SIGNS AND AND SYMPTOMS SYMPTOMS OF OF STROKE STROKE

ening emergency and should be treated with the same urgency as a heart attack. The good news is that when medical attention is sought within the ﬁrst three hours of the onset of symptoms, treatments are available to reduce disability and save lives. If you or a loved one experiences any of the following warning signs and symptoms, call 9-1-1 immediately. • Sudden numbness or weakness in the face, arm or leg, especially on one side of the body • Sudden confusion, trouble speaking or understanding • Sudden trouble seeing

•

with one or both eyes Sudden trouble walking, dizziness or loss of balance or coordi-

•

nation Sudden severe headache with no known cause

LASIK gives the gift of clear sight Q: How much does LASIK cost? A: The FDA regulates the safety and effectiveness of medical devices for their intended use. The FDA does not regulate the marketing of or any fees associated with the use of that product. Again, you may want to go to your library and see if there is a local community services magazine that may provide comparison information of services for doctors in your area. Q: How can I ﬁnd out if a particular laser has been approved to treat my refractive error (nearsightedness, farsightedness and/ or astigmastism)? A: You can ﬁnd approved devices, their approval date, and a synopsis of the approved indications on the FDA-Approved La-

assess the capabilities of speciﬁc laser systems and make your own comparisons. The approval number for each laser on the FDA-Approved Lasers page is linked to these documents, which provide additional, detailed information about the clinical trial results and indications for use. Discuss any concerns you may have with your doctor. sers page. Q: Which laser is the best for treating my refractive error? A: FDA does not provide comparisons between refractive lasers. FDA approves the safety and effectiveness of a device independent of any other product. However, you are encouraged to review the approval documents to

Q: What percentage of patients attain 20/20 vision or better without glasses or contacts? A: Data in the Approval Orders and related documents summarizes the outcomes from the clinical trials submitted to the FDA for each approved device. Links to these documents are included on the FDA-Approved Lasers page.

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Medical Answer Book™

What everyone should know about osteoporosis You can’t feel your Is bone health on your bones becoming weaker. mind? Maybe not, but it You could have osteoposhould be. Here’s why: rosis now, or be at risk Some people think of for it without realizing it. bones as being hard and Often, breaking a bone is lifeless, but bones are acthe first clue that sometually living, growing tisone has osteoporosis. Or, sue. Throughout our lives, by the time a person nowe constantly lose old bone tices that they are gettissue while making new SHAMA ting shorter or becoming bone at the same time. stooped, the disease is adOsteoporosis is a medical condition that affects the vanced. Fortunately, a bone minbones, wherein they become weak eral density (BMD) test can help and more likely to break. Osteo- diagnose osteoporosis before it is porosis can occur when a person too late. This makes it possible to loses too much bone, makes too treat the disease early to prevent broken bones. little or both. How do you interpret BMD Approximately 10 million Americans have osteoporosis, and results? BMD test results indicate if approximately 34 million are at risk. Being at risk for osteoporosis bone density is normal, osteopenmeans a person is more likely to ic (lower than normal, but not in get the disease. Medical research- osteoporotic range) or in osteoers estimate that about half of all porotic range. Individuals with women over 50 years of age and osteopenia have an increased risk one in four men will break a bone of fractures. Individuals with osteoporosis have the highest risk. because of osteoporosis! It is important to understand Why is this big deal? Breaking a bone is serious, that although low BMD measures especially in older people. In se- can help predict risk of future fracrious cases, something as simple tures, the risk of fracture given as a sneeze can cause a bone to any BMD may vary from person to break. Broken bones cause severe person depending on their health pain that may not go away. They status. There are many risk faccan cause people to lose height tors that make a person more likeand become shorter. When ver- ly to develop broken bones, includtebrae begin to break or collapse, ing being female, being older in a person’s posture is affected and age or having a family history of the person becomes stooped or osteoporosis or a family or personhunched. Osteoporosis may even al history of broken bones. Other affect a person’s daily activity by risks include being small and thin, limiting their mobility. Twenty maintaining a diet low in calcium percent of seniors who break a hip and vitamin D and other hormondie within one year from problems al imbalances in women and men. related to the broken bone itself or In addition, certain medications the surgery to repair it. Many of like steroids and certain diseases those who survive need long-term like rheumatoid arthritis, gastrointestinal diseases and othnursing home care. ers can significantly increase the Interested in bone basics? During childhood and teenage risk for broken bones in patients years, we make new bone faster with osteopenia and osteoporosis. than we lose old bone. Our bones Therefore, combining risk factors get denser until they reach a peak with BMD results is a more accubone mass between the ages of rate way to predict an individual’s 18 and 25. After age 25, we start future fracture risk. So, it is imto slowly lose more bone than we portant for people to discuss their form. In midlife, bone loss usually overall health in addition to BMD speeds up in both men and wom- results with their doctors to come en. For most women, bone loss up with an individualized prevenincreases after menopause, when tive and treatment plan to best estrogen levels drop sharply. In protect their bone health. Tips for healthy bones fact, in the five to seven years af• Calcium is key! It is a ter menopause, women can lose up to 20 percent or more of their building block of bone. Vitamin bone density. Broken bones due to D is important as well, because it osteoporosis are most likely to oc- helps the body use calcium. Adults cur in the hip, spine and wrist, but under age 50 need a total of 1,000 milligrams (mg) of calcium and other bones can break, as well. Osteoporosis can sneak 400 - 800 international units (IU) of vitamin D every day. Adults age up…

50 and older need a total of 1,200 mg of calcium and 800 - 1,000 IU of vitamin D every day. This includes the total amount of calcium you get from both food and supplements. • Eat a well-balanced diet, rich in fruits and vegetables. In addition to calcium and vitamin D, magnesium, potassium and vitamin K are a few of the many minerals and vitamins that are important for bone health. Most experts recommend multivitamins or supplements for people who do not get enough minerals and vitamins from foods. • Avoid these: Foods that are extremely high in non-dairy sources of animal protein, sodium and caffeine, as these may cause the body to lose calcium. Avoid smoking and excess alcohol. Smoking is harmful to your bones in many ways. For women, smoking can prevent estrogen from protecting the bones. Drinking heavily can reduce bone formation. • Exercise! Certain types of regular exercise can help keep your bones strong. This includes weight-bearing exercises, such as lifting weights and strengthening exercises like fast walking.

• Don’t be afraid to ask for medical help. If necessary, a physician may prescribe various medications to help prevent bone loss, build bone and prevent fractures. Wish you the best! Savitha Shama, MD Emory Johns Creek Physicians 12970 Hwy 9, Milton GA 30004 770-754-4115

Senior Helpers In Home Care · Family Owned & Managed Whether your loved one is simply dealing with the normal struggles of aging or coping with the affects of Alzheimer’s or dementia, there’s no need to go it alone– let Senior Helpers help! Please call Pam at Senior Helpers to set-up a FREE assessment. She will come and meet with you and your loved one and help you figure out the best care. Senior Helpers is a family owned and managed company based in Alpharetta that serves the Greater North Atlanta Area. They are State-licensed and insured and provide professional and loving caregivers. Their services range from one hour peace of mind visits all the way up to 24 hour and live-in care. Senior Helpers focuses on: •

Dependability of Service

•

Peace of mind for the family

•

High Quality of life for our Clients

•

Continuity of Caregivers

•

Open and Effective Communication

Our Services Include: • Transportation & Errands • Hospital Sitters & Fall Risk Care • Dementia & Alzheimer’s Care • Surgery, Transition & Recovery Care • 24/7, Live-in & Overnight Care • Custom & Flexible Schedules from One Hour a day to 24/7

From our Family to Yours`

Pam Hodgson Pam Hodgson Senior Helpers

770-442-2154 • 294 South Main Street #500 • Alpharetta, GA 30009

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What are common factors that prevent people from getting a restful night sleep? The most common reasons that people report a poor night’s sleep are related to either insufﬁcient sleep quality or sleep quantity. Within these two broad categories there are a number of medical, psychological and behavioral causes for poor sleep. The most common medical causes include Sleep Apnea, Restless Legs Syndrome (RLS), Insomnia and drug effects. Sleep Apnea occurs in between 4-8 percent of the population and is associated with snoring, gasping for breath during sleep, headaches, dry mouth, night sweating, difﬁculty staying asleep, and daytime sleepiness. It is also a major cause for other diseases and conditions such as high blood pressure, obesity, heart disease, type 2 diabetes, stroke and heart attack. RLS is even more common (up to10 percent of the population) and is associated with an irresistible urge to move the lower and/ or upper extremities while at rest in the evening or night, and excessive movement of the legs during sleep. The effects of untreated RLS include an increased incidence of high blood pressure and insulin insensitivity, and research suggests that RLS is linked to a similar scope of medical diseases as seen with Sleep Apnea.

Psychological problems associated with stress, depression, anxiety and other thought and mood disorders can cause unrefreshing sleep, insomnia, restlessness and daytime sleepiness. Inadequate sleep time and improper sleep-related behaviors (like watching TV in bed, eating in bed, texting, doing work, and having too much light at night) can precipitate poor sleep and reduce the actual sleep time. Treatment for sleep disorders requires training patients with regard to proper sleep behaviors since a therapy to improve sleep quality cannot restore daytime function if the sleep time is still too little. Have you seen an increase in people struggling to get restful sleep due to the added stress from the current economy? Yes, economic stress is not just statistically associated with marital discord, it can also cause sleeplessness. Insomnia is clearly on the rise with the worries induced by the current economic crisis. Self-referred patients with complaints of daytime sleepiness, depressed mood and insomnia are on the rise. The direct effect of anxiety on sleep is well known from many years of research and illustrated on a daily basis in clinical practice. In fact, physicians sometimes treat insomnia with anxiety-reducing drugs, relaxation techniques and stress-reducing exercises, as well as with traditional sleep aids. Determining the appropriate therapy

for a speciﬁc patient is the role of the sleep medicine physician, and proper diagnosis is the ﬁrst step to recovery. Overnight diagnostic testing in or out of a sleep laboratory or center may be required, as well as blood work, and in some cases, medical imaging. Luckily, most bouts of insomnia or restless sleep caused by economic worries are selflimited. Once the inciting cause is relieved, the symptoms usually improve with or without interventions. The most important thing to remember is that if you have had over 3 weeks of sleep problems due to stress or for no other apparent reason, you have a higher risk of developing chronic insomnia. In this case, seek the advice of a sleep professional before things get out of your control. If it has been longer than a month, you already may have chronic psychophysiological insomnia, which often requires a combination of therapies to treat the underlying cause. Jeffrey S. Durmer, MD, PhD Medical Director, Fusion Sleep - Sleep Medicine Program Dr. Durmer is the Medical Director of the Fusion Sleep Medicine Program located in Johns Creek and East Cobb. Sleep consultations for children and adults do not require a physician referral. Fusion Sleep accepts most medical insurance plans. Learn more at www.fusionsleep.com or call 678-990-3962.

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