Atlanta’s “go-to” guide for health, beauty and happy living!
November 2014
atlanta bestselfatlanta.com
Meet the King
EXPERT CONNECT Regrow Your Hair by Ken Anderson, MD p. 53
Preventing Diabetes: Know The Risks by Richard Ellin, MD p. 54
BHRT – The Natural Approach by Jeff Donohue, MD p. 55
Facelift Q&A
by Brian P. Maloney, MD p. 57
Gestational Diabetes by Melinda Miller-Thrasher, MD, FACOG p.59
Q&A with Livi Rae by Cynthia Decker and Molly Hopkins p. 60
Lower Dose 3D Mammography by Carolyn G. Dudley, MD p. 61
Get a Lifted Look by Pradeep Sinha, MD p. 63
FOR MORE FROM THE EXPERTS, VISIT
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King of Pops founder Steven Carse makes sweet treats sustainable p. 27
The Sweet Life Get the facts on life with diabetes p. 31
Crohn’s and Colitis When it’s not just indigestion p. 67
Moustache Dash 5K
Run for men’s health on November 16 p. 10
Thanks for Teachers Atlanta PTAs spoke, and we listened! Meet some of Atlanta’s best educators p. 39
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We’ve had a challenging ride this year. Let us thank you in person at our new location!
Take 15% off any bike accessory. Mention this Best Self issue or show us a screenshot of this ad for the discount. One per person. Exp. 11/30/14.
NEW LOCATION Buckhead - 2905 Peachtree Road, Atlanta, 404.262.9853 Sandy Springs - 225 Hilderbrand Drive, Sandy Springs, 404.254.4116 www.peachtreebikes.com 4
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BEST SELF ATLANTA
10/15/14 10:44 AM www.bestselfatlanta.com
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Gardner Dermatology &Med MedSpa Spa Gardner Dermatology &
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Your self-improvement journey starts here.
PUBLISHER
Sherri Adair sadair@bestselfatlanta.com ASSOCIATE PUBLISHER
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Gardner Dermatology & Med Spa
EDITOR
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Taylor Arnold ACCOUNT EXECUTIVES
Carmen Koehler
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Aubrey Campbell acampbell@bestselfatlanta.com
Bethany Newlin bnewlin@bestselfatlanta.com
Gardner Dermatology & Med Spa
ART DIRECTOR
Dona Halliday GRAPHIC DESIGN/PRODUCTION
Miguel Velázquez
Lift your neck, brows, décolletage & more in time for the New Year with Ultherapy!
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CONTRIBUTORS
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[Date]
For print, web, email and social mediaFree advertising information contact us at: 80 West Wieuca Road, Suite 115 Atlanta, GA 30342 (404) 303-9333 x27 FAX (404) 303-0030 info@bestselfatlanta.com
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Inquiries and submissions regarding advertising and editorial should be directed to the address above. Best Self Atlanta does not knowingly accept false or misleading advertising or editorial content, nor does Publisher assume responsibility should such advertising or editorial appear. Readers are encouraged to notify Publisher when they suspect false advertising. Best Self Atlanta reserves the right to edit editorial for clarity and space availability. No content i.e. articles, graphics, designs and information (any and all) in this publication may be reproduced in any manner without written permission from Publisher.
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BEST SELF ATLANTA
10/14/142014 3:36 PM5 NOVEMBER
10/21/14 3:39 PM
contents
Meet the King
NOVEMBER 2014
We catch up with Steven Carse about his King of Pops business, which has expanded to new ventures and its own local farm
27 Life With Diabetes Can Still Be Sweet Navigate this disease that affects one million Georgians p. 31
Thanks for Teachers Meet 14 dedicated and enthusiastic educators from Atlanta schools
39
Band Together
Local business sport the pink headband to raise money and awareness for breast cancer p. 36
In every issue 10 From the Publisher
19 Best Bulletin
69 Business News
12 From the Editor
20 Best Bites
70 Best Cause
Healthy and tasty ideas to nourish your body
Thankful for Education
15 Contributors
22 Best Rx
Meet the writers, photographers and other contributors in this issue
Atlanta doctors answer your health questions
The latest from the business community Be the Match
Photos courtesy of Willett Photography (top), Sawyer Photography (bottom)
The scoop on what’s new around town
Get Your Moustache On During Movember
70 Give-Back Guide
Charity events and volunteer opportunities
64 Best Health
17 Best Advice
Learn about vein care for men and inflammatory bowel diseases
Tips for a happy, healthy holiday
on the cover:
Featured on the cover: Atlanta area teachers Caitlyn Kelly, Sara Geiger, Christina Edwards, Christiane Wyckoff, Johanna Mitchell Photography by: Sawyer Photography Hair and makeup by: Shear Salon
6
NOVEMBER 2014
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BEST SELF ATLANTA
www.bestselfatlanta.com
10/21/14 3:39 PM
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NEW! Saturday Hours At
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Johns Creek 10/21/14 10/15/14 3:39 3:01 PM PM
expert connect Health, beauty and life enrichment topics brought to you by Atlanta experts Q & A with Livi Rae Lingerie
by Cynthia Decker and Molly Hopkins The Double Divas discuss how to get the correctly fitting bra and why the perfect fit is necessary for your health. Also learn how their “virtual fit” service works for women across the country.
60
Gestational Diabetes
by Melinda Miller-Thrasher, MD, FACOG Gestational diabetes affects eight percent of all pregnant women and can increase your risk for Type 2 diabetes. In this article, learn the causes and how to treat this disease.
Regrow Your Hair
by Ken Anderson, MD Regrow your hair with Low Level Laser Therapy (LLLT), a non-surgical option for those who have hair loss or thinning hair.
53
59
by Brian P. Maloney, MD, FACS A facelift can leave you with a brighter, more youthful appearance. This article will help you determine if a facelift is right for you, or if you should opt for alternatives such as fillers or liposuction.
Preventing Diabetes: Know the Risks
NOVEMBER 2014
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With one in eight American women expected to develop breast cancer in her lifetime, early detection is key. Learn about 3D mammography, an advanced diagnostic tool
designed for early breast cancer detection.
57
by Jeff Donohue, MD This article defines bioidentical hormone replacement therapy and explains the common symptoms it can combat in both men and women, such as fatigue, hair loss and weight gain.
54 8
by Carolyn G. Dudley, MD
BHRT – The Natural Approach
by Richard Ellin, MD
Diabetes affects 29 million Americans, with close to eight million unaware that they are living with it. Use this article to familiarize yourself with the common symptoms and risk factors of diabetes.
Lower Dose 3D Mammography
Facelift Q & A
BEST SELF ATLANTA
55
61
Get a Lifted Look by Pradeep Sinha, MD
Learn the benefits of receiving an endoscopic brow lift, as well as how this procedure is commonly performed and if you are a good candidate.
63 www.bestselfatlanta.com
10/21/14 3:39 PM
Beauty: Created by BEATY and YOU!
Celebrating 25 amazing years in service with a $25 AVEDA Haircut. 25% OFF color & spa services
As a thank you to our patients we will be offering daily and weekly specials throughout the month of November. Call us, visit our website, or follow us on Facebook and Twitter for updates and details.
Call 770.993.0058 Give us an hour or a day and feel a million miles away!
Injectables: To fill lines and provide volume Belotero Botox Juvederm Plasma Therapy Restylane Sculptra Voluma
Book your experience today!
www.josephandfriends.com Mention this ad and get
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Body Contouring: Non-surgical fat reduction and lifting CoolSculpting Ultherapy Skin Resurfacing: To improve texture and pigmentation Chemical Peels Dermabrasion Portrait Regeneration Microneedling
Surgery: A direct approach to enhancement Browlift Eyelid Lift Facelift Implants Liposuction Necklift Rhinoplasty
BFPS will host our
product purchase
Annual Celebration of Thanks
on the evening of Wednesday, November 19th at Milton Hall. Please join us for light d’oeuvres, cocktails and conversation. Enjoy Exclusive Promos!
See Our Services Online!
To RSVP please call or e-mail drmarkbeaty@gmail.com as space is limited.
*No other discounts or promos; select stylists Monday - Thursday only; limited availabilty; additional services will be billed at regular price; must mention ad when booking & show when you arrive.
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Mark Beaty MD, Facial Plastic Surgery
www.beatymd.com | (770) 753-0053 2365 Old Milton Parkway, Suite #400 / Alpharetta, GA 30009 MarkBeatyMD_2-3v.indd 1
BEST SELF ATLANTA
10/14/142014 9:33 AM9 NOVEMBER
10/13/14 12:13 PM 10/21/14 3:39 PM
Free eBook!
from the publisher Get Your Moustache On During Movember
The 5K and one-mile fun run will step off from Buckhead Square, located at the corner of Peachtree Road and Piedmont Road in front of New Balance Buckhead. The whole family is welcome to sport a moustache while running this funfilled race. Men are encouraged to grow one, but we’ll also have stick-on moustaches, temporary moustache tattoos, and even face painters to give you a one-of-a-kind look for your upper lip. Whatever type you choose, wear it with a smile and spread the word about prostate cancer and other men’s health issues that need our attention and support. To register for the race, head to www.bestselfatlanta.com and fill out a registration form. See you at the race!
YOUR BEST RACE STARTS HERE.
©2014 New Balance Athletic Shoe, Inc.
Sherri Adair, Publisher sadair@bestselfatlanta.com
REGISTER NOW AND SAVE!
Photo courtesy of Sawyer Photography
Here at Best Self, we devote space each month to a wide variety of health topics. After all, knowledge is power, and there’s no better way to take care of yourself than to be well informed. This month, along with people across the globe, our focus is men’s health. “Movember” kicks off worldwide with men growing moustaches to raise awareness for prostate cancer, testicular cancer and other conditions that affect men. To support this movement, Best Self Atlanta will take our efforts beyond the pages of the magazine and literally to the streets of Atlanta for the second annual Moustache Dash 5K.
SUNDAY, NOVEMBER 16TH
The 2nd Annual
Moustache Dash 2014 Presented by
® NEW BALANCE BUCKHEAD NEW BALANCE ATLANTA ®
Stop by New Balance ATLANTA, where our unparalleled selection and Fit Specialists ensure you’ll find the right gear and the perfect fit every time.
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BEST SELF ATLANTA
Selecting the right cosmetic dentist can be a difficult and confusing process,
but choosing the right one is a crucial decision with ramifications on your looks and self-confidence that could last a lifetime. In this eBook you will find key topics covered such as:
• How to understand a doctor’s
credentials (a MUST if you want a dream smile!),
• Things you need to know in order to make an informed decision,
• Before and After pictures of Do’s and Don’ts with explanations and analysis, and
• Countless more insider tips! To download this free eBook, just visit AtlantaCenterforCosmetic Dentistry.com or scan the code below with your smart phone.
Register at bestselfatlanta.com 10/20/14 1:47 PM
www.bestselfatlanta.com
10/21/14 4:08 PM
drkin Best
WHY DO PEOPLE TRAVEL THOUSANDS OF MILES FOR ONE OF OUR SMILES? THE ATLANTA CENTER FOR COSMETIC DENTISTRY, founded by Dr. Debra Gray King in 1987, is one-of-a-kind haven for your smile transformation. World-renowned for enhancing the smiles of many celebrities, it has also transformed the lives of thousands of people from all walks of life, from doctors, to soccer moms, to business executives and beauty queens. The transformation process here is performed quickly, with lots of pampering, and minimally invasive techniques. Your smile and oral health are very important. If you have been thinking of enhancing your smile, you owe it to your self to seek out the best. After all, your smile is not the place for on-the-job training. To get optimal results, it takes a well-trained, experienced doctorartist. Dr. King is one of only a few dentists in the world to be an Accredited Fellow, which is the highest level of competence in the prestigious American Academy of Cosmetic Dentistry. She also has been extensively sought out as an expert on dental trends in the media, including CBS, CNN, Fox News, The Doctors, Extreme Makeover, Entertainment Tonight, The Wall Street Journal, Time, InStyle, Vogue, Glamour, and USA Today. To arrange a consultation, or for more information, please visit our website or call. You will love your new smile!
5014 Roswell Rd, Atlanta, GA 30342 // 404.994.2562
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10/21/14 3/10/14 9:49 3:40 AM PM 3/7/14 9:51
from the editor Thankful for Education
“I’m staying 39 for as long as I can.”
With Thanksgiving just around the corner, we here at Best Self Atlanta want to say thanks to our local teachers for the amazing work they do every day. After all, I know I wouldn’t be where I am without the teachers who drilled grammar rules into my head, challenged my writing and introduced me to great literature.
®
YOU...ONLY YOUNGER Fraxel® is proven laser technology that helps reverse the visible effects of aging. Look as young as you feel!
The same is true for the students in Atlanta classrooms. Their futures are being shaped each day by the dedicated attention of the teachers you’ll meet on p. 39. Whether they’re teaching math, coaching a school sport or guiding kids through the special education curriculum, each teacher equips his or her kids with the skills they need for success.
Improve skin tone & texture Reduce unwanted brown spots
And those skills are not limited to the classroom. The ability to research and think critically can help improve your health too. Educate yourself about diabetes (p. 31) and irritable bowel diseases (p. 67) in this issue, and continue exploring health topics online at www.bestselfatlanta.com. Education and access to information are privileges denied to many, so this month, be thankful for them and the teachers who help us all start off right.
Smooth fine lines & wrinkles As seen on
Happy reading!
FRAXEL® EVENT
Follow us on
Flannery Keck
Want to learn more?
Coming in December
Join Fraxel Expert Dr. Jordana Gilman on
tuesday, november 11th | 5:30Pm - 6:30Pm
Annual “Best of 2014” Issue!
• Special Event Savings
You nominated, you voted and you chose the Best of 2014!
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Find out this year’s winners online at www.bestselfatlanta.com and get to know them in our December issue. Features: Caring for Aging Parents – The best local resources for your parents when they (and you!) need some extra help The Core of Back Pain – Start these gentle workouts today for a stronger core and back AND
Medical, Surgical & Cosmetic Dermatology
9900 Medlock Bridge Road | Johns Creek | GA 30097
Our Give-Back Guide…tons of ways to volunteer
www.dermatology-atlanta.com
For more of everything, go to www.bestselfatlanta.com
12
NOVEMBER 2014
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Photo courtesy of Sawyer Photography
$50 reservation fee required per attendee. All attendees will receive a $50 Gift Certificate good towards any cosmetic treatment or skin care product in our office.
www.bestselfatlanta.com
BEST SELF ATLANTA 10/1/14 12:02 PM
10/21/14 3:40 PM
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Don’t let varicose veins slow you down. As many as 1 in 3 women suffer from some form of venous disease. Symptoms could include swelling, heaviness, cramping, pain, or ulcers that make everyday activities such as walking difficult. Venous disease, commonly known as varicose or spider veins, is not just a cosmetic concern, and can become a serious problem if left untreated. Led by Dr. Joseph Ricotta, one of the top vascular surgeons in the nation, our staff of renowned, board-certified physicians understands the intricacies of the vascular system. Offering a full spectrum of vascular and endovascular services, we provide on-site evaluations and minimally invasive treatment options.
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Call (770) 292-3490 BEST SELF ATLANTA
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FITNESS IS ABOUT MORE THAN LOOKING GOOD. At Midtown Athletic Club at Windy Hill, we believe being fit is the best path to having fun. And while toned abs and strong biceps are a great bonus, fitness is about having the strength to pursue your passions and the energy to live life with a vengeance. That’s why we’re the one club that is as much about community and belonging as we are health and fitness. From tennis mixers, fitness parties and kids sports camps, to café socials, trunk shows and charity events, you’ll experience firsthand how active, social people lead happier, healthier lives.
To schedule a private preview of the club and spend a day getting fit and having fun, call 770.953.1100 or visit midtown.com/windyhill.
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BEST SELF ATLANTA
4/8/14 4:31 PM www.bestselfatlanta.com
10/21/14 3:40 PM
contributors
Photos (clockwise from top left) courtesy of Sawyer Photography, Steve Carrell, VeinInnovations, Steve Carrell, Willett Photography, Kash Ashley
Sawyer Photography is made up of Dan and Gail Sawyer. After attending classes at Brooks Institute of Photography and Pasadena Art Center College of Design, they opened their first studio in Burbank, California. Their work has appeared in many major magazines, on album covers and in corporate reports. In 1994, the Sawyers opened their full-service custom studio, Sawyer Photography, in Marietta. See their work on this month’s cover, in the Thanks for Teachers feature on p. 39 and in our Band Together Against Breast Cancer initiative on p. 36.
Morgan A. McLaughlin McFarland is an accomplished writer of both fiction and nonfiction in multiple genres. Morgan has also taught writing courses locally in addition to online developmental editing and writing coaching. She has lived in the Atlanta area for 30 years, where she has been active in the natural living and literary communities. Read her work in Diabetes: Life Can Still Be Sweet and Crohn’s and Colitis on p. 31 and p. 67.
Jessica Dauler is the founder of JessicaShops.com, where you can find valuable information on deals, steals and trends. Jessica can be heard weekly on Star 94 Radio and seen weekly on CBS Better Mornings. She also writes a weekly column in The Atlanta Journal Constitution’s Deal Spotter. Her monthly columns appear in Best Self Atlanta and Southern Journal Magazine. Check out Jessica’s pick of the month on p. 19.
David Martin, RN, CRNFA, is the CEO and president of VeinInnovations, which he founded in 2002 as the first facility of its kind in Atlanta to offer every available technique for the treatment of venous insufficiency and varicose and spider veins. They have four board-certified surgeons, two locations and the latest RFA and laser equipment available. Read his article, Giving Men’s Health a Leg Up, on p. 64.
Amy Meadows is a veteran freelance feature writer and president of Green Meadows Communications, LLC. She has written more than 1,500 articles for local, regional and national consumer and trade publications and contributed to more than a dozen hardcover pictorial books published about cities and communities around the country. Her first children’s picture book, “Emma’s American Chinese New Year,” earned a 2012 Moonbeam Children’s Book Award and a 2013 Independent Publisher Book Award. Read her article, Thanks for Teachers, on p. 39.
Gregg Willett and his wife Caroline are a photography duo based in Atlanta. They bring 10 years of professional and creative photography experience and a desire to always push for greatness. In addition to Best Self Atlanta, their work has been published in dozens of publications and industry blogs. They also cover weddings throughout Georgia and Florida. See their work on this month’s cover and in our feature profile, Meet the King, on p. 27. www.bestselfatlanta.com
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9/9/14 12:08 PM www.bestselfatlanta.com
10/21/14 3:40 PM
bestadvice
Photos (left to right) courtesy of Kristen Smith, Stephanie Clark, Sara Speert Photography, Ben Robi Photography, Christie Carden York
Tips for a happy, healthy holiday KRISTEN SMITH, MS, RD, LD
STEPHANIE CLARK, LMFT, LPC
Registered Dietitian WellStar
Atlanta Counseling Group
FOOD
How do people’s eating habits change during this time of year? Typically people’s schedules are busier, and they are not eating at their normal meal times. They are also confronted with increased food volume at work or social gatherings. What unhealthy culprits are to blame for holiday weight gain? Butter-filled desserts or cream-based casseroles are served in abundance during the holiday season. Often, people are not accustomed to eating these foods year round, so the extra calories can lead to weight gain. What techniques can help people navigate holiday food choices? Do not completely avoid your favorite holiday treats – allow yourself a small portion. You can also contribute a healthier dish to a gathering by bringing a fruit salad or steamed vegetables with parmesan. How can someone keep eating habits consistent through the holidays? Do not focus on just food at holiday gatherings – spend time socializing or dancing. Make sure to limit yourself to only one plate, and try to avoid the habit of grazing.
www.bestselfatlanta.com
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HALLIE CRAWFORD
MADISON JAMES
Career Coach
Mad About Fitness
FAMILY
WORK
FITNESS
TRAVEL
Why are holidays tough times to be around family? For some families, expectations around the holidays are very different for each member. We become attached to our holiday traditions and rituals. When those events don’t go as planned, perhaps because of a new family member or the loss of one, it can make the holiday emotionally difficult.
How should employees request holiday time off? Give your boss plenty of advance notice. Set a time to chat about it, as opposed to asking while passing the hallway.
How can people get a good workout during the busy holiday season? Circuits are one of the best and most efficient workouts. A circuit can be as simple as jumping jacks, push-ups and crunches. Do each exercise in a row for 30 seconds, rest for two minutes and repeat for three sets. It’s my favorite workout when I’m short on time.
What are the toughest parts of holiday travel? Availability and inflated rates. The Caribbean in particular is incredibly popular, and many hotels will have severe minimum night requirements (up to 14 nights) that you have to adhere to. Add on the fact that rates can be double that of any other season, and you’ve got a challenge when everyone wants the same type of destination.
What tips can help deal with a difficult family member? Acting like the painful stuff never happened can make matters worse. Acknowledge emotionally painful memories, apologize if appropriate and keep it moving. Focus on the “here and now.” What tips can diffuse family conflict during the holidays? 1. Control your emotions. Remain as calm and nondefensive as possible. 2. Talk privately. This reduces the possibility others will be pulled into the conflict. 3. Try to validate the issues of the conflict that matter most to the other person. Letting them know you understand their complaint will go far to diffuse the heightened emotion. 4. Suggest setting a different time and location to meet and discuss. Commit to it.
What should employees avoid doing when asking for time off? Don’t be vague about the time frame, and don’t ramble on about where you’re going. Focus on when you’ll be gone, how long, and have a plan for how your work will be handled in the meantime. Is it important to look like a team player and avoid taking holiday time off? You don’t have to completely avoid taking time off – everyone needs a break and balance in order to work effectively. To look like a team player, it’s more about asking for the time (not demanding it), doing so in advance (not last minute) and asking for it in the right way. If this is a busy time of year for your industry, you may stick around for the holiday but take time off before or after. How can employees fully disconnect during the holidays? Have a plan for yourself. Leave your phone in the hotel room during the day, turn it off at night – whatever you need to do to truly unplug.
If people can’t make it to the gym, what workouts can they do outside? Let nature be your gym. Walking is a great, lowimpact exercise that you can do outside. Sprinkle in some strength training like pushups, step-ups and squats. What workouts can people do during holiday travel? Remember to bring your shoes! Simple exercises like lunges, jumping jacks, squats and crunches can be done in your hotel room. Another tip: pack some workout bands. Bands are inexpensive and travel easily. I call them my gym on the go! What holiday fitness mistakes should people avoid? Not eating in an attempt to save calories does not work! Instead, enjoy healthy, small snacks like KIND Bars and fresh fruit.
CHRISTIE CARDEN YORK Century Travel & Affiliates
How can people overcome those challenges? Plan early and think outside the box. There are gorgeous places in California that are still in the low 70s during the day. Alternatively, head somewhere cool and enjoy the wintery weather, such as a ski destination. What are some tips for traveling with family or in large groups? Don’t over commit and run yourself ragged trying to see or do too much during this time of year. Keep some downtime in place to just be together. What are your favorite places to visit during the holiday season? London, Paris and Washington, D.C. are absolutely gorgeous during the holidays. If I am itching for warm weather, I’ll head to southern California.
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The scoop on what’s new around town Run with the Expert
Photos courtesy of Daniel Menacher (top left), RunPhones (middle left), Rafal Olechowski / Shutterstock.com (bottom left), HollyBeth Organics (middle right)
Olympic runner Jeff Galloway is holding the inaugural Jeff Galloway 13.1 on Sunday, December 14 in Midtown. If a half marathon sounds like too far of a distance for you, think again. Galloway, an author, speaker and runner for more than 40 years, has developed a free training program for those interested in building up their running skills in a safe, effective way. Plus, on the day of the race, you can take your pick of any of the official pace groups that will help you stay motivated and on schedule till the end of the 13.1 miles. Registration is $115 until December 8 and $130 afterward.
Details: www.jeffgalloway131.com
No More Earbud Blues Headphones come in all shapes and sizes, but not all of them are comfortable for everyone. RunPhones takes care of that by combining headphones with another must-have running accessory: a sweatband. These headphones are sewn into a moisturewicking mesh headband that keeps runners dry and keeps your music at your ears. The headphones are compatible with iPhone and most other music devices, and the headband itself is machine washable. $39.95
Open Up to Yoga Roswell Yoga Life recently opened in Roswell, offering heated and non-heated yoga, prenatal yoga and classes specifically geared toward kids and teens. At this 1,600-square-foot studio, students can also purchase healthy retail items such as fruit, nuts, nutrition bars and bottled water, in addition to custom bolsters, eye pillows and natureinspired jewelry. Owner Gretchen Griffin invites yogis of all levels to find support at RYL. An unlimited month of classes costs just $49.
Details: 408 South Atlanta St., Suite 157, Roswell, GA, www.roswellyogalife.com
A Helping Hand For a burst of summer during this cold season, HollyBeth Organics will soon release their new Orange Peppermint Hand Wash and Hand Lotion Set.The blend of essential oils will cleanse skin without drying it, as well as provide an energizing citrus scent. Plus, HollyBeth Organics is the only USDA certified organic skin care line in Atlanta that is also certified cruelty-free, so both your hands and heart can feel good this holiday season. HollyBeth Organics products available at Atlanta Made or online. $59
Details: 1187 Howell Mill Rd., Atlanta, GA, www.hollybethorganics.com
Details: www.runphones.com
National Diabetes Month Throughout Atlanta this month, the American Diabetes Association will hold events to educate Atlantans, provide resources and raise money to help put a stop to diabetes. On November 8, lace up your sneakers and head to the Step Out Walk to Stop Diabetes at Turner Field. Anyone who raises $1,000 or more will be recognized as a Champion to Stop Diabetes. Then on November 22, head to the free Diabetes Expo at Cobb Galleria. There will be a healthy cooking stage, diabetes management seminars and a special appearance by Patti LaBelle.
Details: www.diabetes.org www.bestselfatlanta.com
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Pick of the Month Want to make healthy eating easier on your wallet? Stretch your grocery budget at Whole Foods Market with these tips. Start by picking up the Whole Deal value guide found in front of the store or online, which includes coupons and budgetfriendly recipes. As you shop, look for 365 Everyday Value items from the company’s private label brand, which offers quality products at competitive prices. Save 10 percent whenever you buy a case (six or more) of an item, which can be mixed and matched – and yes, this offer is also valid in the wine department! Scoop your own grains and nuts from the bulk bins, which allow you to buy the exact right amount. Take advantage of the salad bar’s new all-you-can-fill option for $12.99. You can also join the Kids Club so your kids can enjoy a free snack while you shop. And if you’re dissatisfied with any of their products, simply keep your receipt and return the item. www.wholefoodsmarket.com Jessica Dauler For more info, visit www.bestselfatlanta.com For more info on Jessica, visit www.jessicashops.com BEST SELF ATLANTA
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Healthy and tasty ideas to nourish your body
Roasted Pear and Pecan Salad Does your holiday party really need another calorie-dense casserole? Try this fall salad idea from local produce delivery company Nature’s Garden Express. This easy dish features cranberries, blue cheese and roasted pears with dashes of cinnamon and brown sugar. With a prep time of just a few minutes, this salad lets you enjoy the tastes of the season in a healthy way. Ingredients: 2 d’anjou pears, cut from core and thinly sliced 1 tbsp butter, melted 1 tbsp brown sugar ½ tsp cinnamon Pinch of salt 1 head red oak lettuce, washed and chopped ½ cup dried cranberries ½ cup pecan halves, roughly chopped ½ cup blue cheese, crumbled ¼ to ½ cup white balsamic vinaigrette, to taste
Preheat oven to 375 degrees. Place pears in a mixing bowl, add butter and toss to coat. Add the brown sugar, cinnamon and salt and toss again to coat evenly. Place pears on a parchment-lined sheet tray and roast for 7 to 10 minutes, until pears are soft but still have a little bite. Remove from oven and allow to cool. These can be stored in the refrigerator for 5 days.
In a mixing bowl, toss the lettuce with vinaigrette, half of the pears, and ¼ cup each of the pecans, cranberries and cheese. Place salad into bowls and garnish with the remaining pears, pecans, cranberries and blue cheese. -- Courtesy of Nature’s Garden Express, www.naturesgardenexpress.com
Atlanta Veg Fest
Tea for a Healthy Tummy
During turkey season, what’s a vegetarian to do? Try finding like-minded friends at the Atlanta Veg Fest on November 8, which is in its third year. This day-long event brings together the plant-based eaters of Atlanta to enjoy engaging talks from vegan dietitians, chefs and hip hop artists. The day also includes displays from vegan vendors, cooking demonstrations, kids’ activities and, of course, plenty of meatless morsels for you to enjoy. The event begins at 10 a.m. at Atlanta Metropolitan State College, requests a $5 donation at the door and is a great place to explore your plant-based diet options.
After the heavy food of the holidays, you may feel the need to balance your belly back out. Probiotics are a great way to promote healthy digestion, and they can be found in kombucha, a fermented tea. This drink packs all the benefits of probiotics and is easy to incorporate into your daily diet. Try Golda Kombucha, brewed by local Melanie Wade, who follows her 92-year-old grandmother’s recipe. She brews flavors such as Hibiscus Oolong, Strawberry Mint or Pear Ginger, and you can find them at Nuts N’ Berries, Dolce Vegan Bakery, Candler Park Market and Little Vinyl Lounge for just $4 per bottle.
Details: 1630 Metropolitan Parkway SW, Atlanta, GA, www.atlantavegfest.com
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Details: www.facebook.com/goldakombucha
Photos courtesy of Nature’s Garden Express (top), Golda Kombucha (bottom right)
Method:
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Atlanta doctors answer your questions
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A mouth guard is a flexible appliance worn while playing sports to prevent injuries such as a split lip, broken teeth and jaw fractures. There are several types of mouth guards, including ones you can get at a drug store, ones that you can “boil and bite” to conform more to your child’s mouth and custom-fitted guards made by your dentist. A custom mouth guard is the best option when it comes to injury prevention as it fits tightly around the teeth, keeping everything in place during impact. A custom mouth guard is also the most comfortable option as it is molded to your child’s teeth, cheeks and lips.
Southern Plastic Surgery, PC
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Q
What is an implantless technique for ethnic rhinoplasty? Ethnic patients’ nose structures are all unique, so implants may be ineffective. For example, African American patients have more fibrous tissue, while Hispanic patients have slightly fragile nasal bridges, both of which may not effectively support a facial implant. Instead of using silicone implants or other synthetic materials, I graft my patient’s own skin, bone and tissue to augment areas of their nose. Using your own materials significantly reduces the risk of complications and provides a more natural looking result.
Is it a sinus or migraine headache? Sinus headaches could have associated eye, cheek or forehead pressure and pain. They might also be accompanied by some nasal congestion and postnasal drip. Migraines often have a preceding aura, involve one side of the head or face, or may even make one sensitive to light and sound. Sometimes migraines might be brought on by a sinus-related issue, so a complete ENT and neurologic exam and appropriate imaging will help in making the diagnosis.
Keith M. Dockery, MD Buckhead ENT
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Edmond I. Griffin, MD
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Dermatology Associates of Atlanta, PC
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Atlanta Smiles & Wellness
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Q David M. Whiteman, MD, FRCS
Marianna Kovitch, DMD
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I’m looking for a non-invasive way to tighten my aging skin. What’s the latest technology? We recently added the advanced Infini™ skin tightening system by Lutronic® to our selection of services that address familiar skin concerns such as loss of elasticity, hyperpigmentation and acne scarring. The system features two flexible hand pieces that allow for precise targeting with the unique combination of supercharged micro-needling and radiofrequency technology. These work together to volumize and rejuvenate skin while stimulating collagen production to produce tighter and more toned, refined skin.
What makes a woman a good candidate for a mommy makeover? Women experience a number of changes to their bodies after childbirth. They may notice a loss of fullness to their breasts and a change in shape. Also, the stomach may develop loose skin and an abdominal bulge that exercise just will not help. A good candidate for a “mommy makeover” experiences these changes and wants to restore her breasts and abdomen to their pre-baby condition. She needs to be Christopher Killingsworth, MD relatively close to her goal weight, in good health and ready to put herself first for Atlanta Aesthetics a short time after the procedure.
DO YOU HAVE QUESTIONS FOR ATLANTA DOCTORS? If so, please email to: editorial@bestselfatlanta.com
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Photos courtesy of Atlanta Smiles & Wellness, Southern Plastic Surgery, PC, Buckhead ENT, Dermatology Associates of Atlanta, PC, Dr. Chris Killingsworth
Q
Why should my child wear a mouth guard while playing sports, and which is the best one?
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Beauty Begins with a Smile “The value of a great smile is priceless. Atlanta Smiles and Wellness wants to help you save money through Conservative and Preventive Dentistry.”
• Porcelain Veneers • Porcelain Restorations - Crowns and Bridges • Smile Makeovers • Bonding • Dental Implants • Teeth Whitening Post Riverside 4405 Northside Parkway, Suite 110 Atlanta, Georgia 30327
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Actual cosmetic dentistry patient.
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Carrick Brain Centers and Concussion Treatment TRAUMATIC BRAIN INJURY EXPERTS DISCUSS NEURO-PLASTICITY
Frederick Carrick, D.C., PhD.
Andre Fredieu, M.D
Cagan Randall, D.C., D.A.C.N.B.
Brandon Brock, M.S.N., NP-C
James Duffy, D.C., D.A.C.N.B.
When you look at the entire spectrum of brain injury and treatment, there hasn’t been near the number of advances in more traditional settings. We offer a medical model in a non-traditional pathway.
We use various modalities to achieve optimal recovery, we can’t fix the brain injury in every case but we can strengthen the neural pathways to alleviate the symptoms and problems that inhibit the patient from living a functional, happy life.
At Carrick Brain Centers we are a concierge neuro-rehabilitation program centered on thoughtful, compassionate and innovative care for each patient and education for their families.
Carrick Brain Centers offers unique treatments that strengthen and develop neural pathways, we like to call it “Neuro-Wiring.” Patients from across the world seek this treatment as a solution.
We can focus on the specific area of injury and train other areas of the brain to adapt to the deficits, restoring more normal day-to-day function to the patient.
Concussions
What is the treatment philosophy at Carrick Brain Centers?
Accelerate Recovery
We focus on the principles of Neuroplasticity, in essence the brain has the ability to heal itself through stimulation of new neurons and the strengthening of compromised neural pathways. Our patients include athletes suffering from the short and long-term effects of concussion, elderly individuals dealing with the decline of physical and cognitive function, chronic effects of stroke, military members diagnosed with PTSD or TBI and children diagnosed with mild to severe cognitive or neurological disorders.
The immersive therapies at the Carrick Brain Centers help accelerate recovery from both obvious and hidden symptoms of concussions. By targeting the affected areas of the brain with intensive, multi-therapy regimens, we are accelerating healing, allowing the patient to recover resume normal activities quickly.
About Us Headquartered in Dallas with another location in Atlanta, Georgia (Marietta), Carrick Brain Centers is a brain rehabilitation center that gets to the root of the problem neurologically and creates a tailored path toward recovery. Each patient is treated as an individual and has their own unique program built around their neurologic deficits. We combine evidence-based diagnostics with leading-edge technologies and treatments which quickly improve patient quality of life. Patients suffering from brain injuries due to physical or emotional trauma or degenerative conditions that affect the brain and central nervous system, have experienced a dramatic improvement following treatments. Patients are supported by a staff of patient advocates, nurses,
nurse practitioners, speech therapists, physical therapists, and occupational therapists, board-certified neurologists from the discipline of medicine and board-certified neurologists from the chiropractic discipline. Our professionals work side by side to bring together innovative treatment options which address patient needs. Backed by an engineering team working at the frontiers of science and medicine to build new diagnostic and treatment approaches like the patented Off Vertical Axis Rotational Device (OVARD), Carrick Brain Centers team is delivering the future of brain health today.
Contact Us Today Dallas Campus (214)-771-8885 105 Decker Ct, Suite 120, Irving, TX 75062
Atlanta Campus (404)-334-7100 1950 Spectrum Circle, B-200 Marietta, GA 30067
Want to learn more? Schedule a consultation today! www.bestselfatlanta.com
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Toll Free: 855.444.2724
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Meet the King Steven Carse’s King of Pops business combines sweet treats with sustainability
Photo by Willett Photography
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efreshing. Flavorful. An Atlanta summer staple. These might be the descriptions that come to mind when someone mentions “King of Pops,” but when Best Self Atlanta sat down with Steven Carse, the company’s creator, we discovered there’s even more to the product than that. In addition to being tasty treats, King of Pops products are local, sustainable and help reduce food waste. www.bestselfatlanta.com
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©2014 New Balance Athletic Shoe, Inc.
YOUR BEST RACE STARTS DEFY THE DEFY THE HERE. DARK. DARK.
Carse says his inspiration struck when he visited his older brother, an anthropologist doing field work in Latin America. “The model there is pretty ingenious,” he says. Farmers take their produce to market, but not all of it sells. Instead of letting the food (and their potential earnings) go to waste, the farmers make the leftover fruit into popsicles called paletas. “That was something that just really made a lot of sense to me,” Carse explains, citing that not only does the practice extend the life of the food, but it also creates another valuable product from a local source. But Carse had a typical 9 to 5 job at AIG, so it seemed unlikely that he would be able to bring the paletas concept to America. Sometimes the push you need comes in a pink package. Well, a pink slip, to be exact. In 2009, Carse was laid off. He says at that point, “I didn’t really feel like I had anything to lose.” Without a spouse or kids to consider, he dove head first into this idea that had been on his mental back burner since that family trip. “That winter, I made a ton of pops. I don’t even really remember [the flavors]. I was trying every single thing I could consider and forcing it down people’s throats,” he jokes.
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Beyond the “making pops” part of the process, though, he didn’t have a grand plan. “I envisioned sitting there every day, just at North Highland and North Avenue, having a small following and someone eventually to help me in the kitchen.” But the hope of laid back days was soon eclipsed by long, busy hours, thanks to overwhelming consumer demand. “It kind of took off fast,” Carse admits modestly.
Soon, he asked his brother to come on board. Since his brother was leaving a lucrative law career, they made it a point to crunch the numbers and ©2014 New Balance Athletic Shoe, Inc. confirm that this popular idea could really be a successful business. Having a family member for a partner, Carse says, “has only been good. We have ® ® very complementary skill sets. We can be honest with each other and have Take your run into the darkness with NB GLOW gear—footwear each other’s best interests in mind.” Soon it was in the whole family’s best and apparel designed to help you reach the next level at any hour. Stop by New Balance ATLANTA, where our interest to be a part of the business: now Carse’s mother and father are on With a bright glow, vibrant color and striking reflectivity, the NB Stop by New Balance ATLANTA, where unparalleled selection and Fit Specialists unparalleled selection board. “It is kind of a family affair,” Carse says. “We haven’t had any bad Beacon Jacket, 1400 and 870 combine the top-notch performance ensureour you’ll find the right gear and and the Fit Specialists ensure find the right perfect fit every time. you’d expect with the glow that keeps you out after you’ll hours. experiences yet.”
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These days, Carse’s vision of selling pops from one cart has expanded to six cities outside of Atlanta, with 25 carts in Atlanta alone. Originally, he reveals, “We thought the cart was going to be a very, very small part of our business. We were going to open up a shop.” After putting the product out there, Carse says, he got feedback that encouraged them to change their original idea, leading to the cart-centered King of Pops Atlanta knows and loves today. “I don’t think our business would have been the same if we hadn’t just run with it the way we did.” That attitude of adaptation serves Carse well in the off season, too. Naturally, pop sales drop off in the winter months, but instead of slowing
Photo by Willett Photography
ATLANTA
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For MEN and WOMEN Are you Experiencing... down, the company just shifts gears. In recent years, their initiative called Tree Elves has provided a way for the team to stay busy while providing another sustainable service to Atlanta: delivering live, potted Christmas trees to Atlanta homes and then replanting them at the end of the season. This winter, Carse adds, “We’re also toying around with a high-end chocolate bar for the holidays.”
Photo by Willett Photography
Even as he branches out, Carse also prioritizes staying true to the inspiration: local, sustainable ingredients for his pops. To that end, they recently purchased 68 acres of farmland west of Atlanta, near Douglasville. “The plan is to get more serious about local than we already are. We’ll have bees for honey, and we will be doing our own compost. We’ll be starting with berries, herbs and melons.” They also want to further invest in their relationships with local farmers, emphasizing the method of using pops to preserve ingredients that would otherwise go to waste. “If these guys have extra fruit, we want to become the person that they will call.” At the end of the day, Carse says, “The more successful we are, the more help we are able to do for the local community.” By purchasing from local farmers, Carse feels he’s introducing every King of Pops customer to the delicious options that can be found right on Atlanta’s doorstep, including the options that will eventually come from King of Pops’ own farm. “One of my biggest hopes is that people can see where the food is from, taste the difference and see what it is all about.” Because whether it’s a wildly successful business or the local food movement itself, a tasty pop may be just the beginning. www.bestselfatlanta.com
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Diabetes Life Can Still be Sweet By Morgan A. McLaughlin McFarland
N
early 30 million Americans are affected by diabetes – more than one million in Georgia alone. Diabetes is one of the most common chronic illnesses in Georgia and across the Southeast, and is the seventh highest
cause of death among Georgians. Despite its prevalence, many cases of diabetes are preventable, and even those who have already been diagnosed can still enjoy a happy, healthy and productive life.
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What is diabetes?
Healthy living starts at home.
Diabetes is a metabolic disorder that prevents
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headaches, slow healing and even organ damage
the body from making or efficiently using insulin. Insulin is a hormone that helps cells absorb glucose, a sugar that provides our bodies with necessary energy. Without insulin, glucose builds up in the blood. High blood sugar – called hyperglycemia – can cause blurred vision, or coma if not treated. Type 1 diabetes occurs most often in children and young adults and comprises only a small percentage of all diabetes cases. In Type 1 diabetes, the body doesn’t produce insulin. Type 2 diabetes, by contrast, can occur at any age and is much more prevalent. In this form of the disease, the body cannot adequately use the insulin that it produces. Most cases are diagnosed in people ages 40 to 64, but Type 2 diabetes is on the rise in children as well. Other forms of diabetes include latent autoimmune diabetes in adults (LADA), sometimes called Type 1.5, and gestational diabetes, which occurs during pregnancy and typically resolves when the pregnancy ends. Type 2 diabetes accounts for 90 to 95 percent of diagnosed diabetes in adults.
Symptoms and Complications Of the nearly 30 million Americans with diabetes, as many as eight million aren’t even aware that they have the condition. The earliest signs of diabetes, such as blurred vision and fatigue, can be easy to miss or
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explained away as a natural part of aging. Other common symptoms include increased thirst, frequent urination, unexplained weight loss, and numbness or tingling in the feet. Less commonly, diabetes may present with frequent bacterial or yeast infections, recurring sores or boils, or periodontal disease. If diabetes progresses undetected or is poorly managed, these symptoms can worsen or develop into even more serious conditions, such as:
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tingling and numbness in the extremities. It can lead to loss of sensation, most commonly in the feet, and can lead to amputation. “Approximately 73,000 patients undergo amputations each year due to diabetes,” says
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Dr. Twiggy Harris with Kaiser Permanente. 8/27/14 10:43 AM
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While genetic predisposition and environmental factors play a role in the rise of Type 2 diabetes in kids, the largest contributing factor is the rise in childhood obesity. Childhood obesity has more than doubled over the past 30 years. Along with Type 2 diabetes, these children are also at a greater risk of high blood pressure, high cholesterol, heart disease and stroke.
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CHOOSE DERMATOLOGY & MED SPA? Extensive services to treat WHY thousands of GARDNER skin conditions affecting the skin,• hair and nails Expert medical, surgical, and non-surgical WHY CHOOSE GARDNER MED&SPA? Diagnosis and treatment of•DERMATOLOGY all types of skin cancer and cosmetic care & Expert medical, surgical, and WHYdermatologic CHOOSE GARDNER DERMATOLOGY MED non-surgical SPA? • Extensive services to treat thousands skin conditions dermatologic andof cosmetic care with the highest quality patient care affecting the skin, hair and nails •art Extensive services to treat thousands of skin conditions Cutting edge,medical, state-of-the technology with well • Diagnosis andand treatment of all types of skin cancer • Expert surgical, non-surgical affecting the skin, hair and nails • Expert medical, surgical, and non-surgical with the highest quality patient care trained,dermatologic qualified staff tocosmetic help improve and maintain and care and • Diagnosis treatment ofwell all types of skin cancer • Cutting edge, state-of-the art technology with dermatologic and cosmetic care the •overall health and beauty of your skin Extensive services to qualified treatwith thousands of skin conditions trained, staff to highest help improve and patient maintain care the quality Extensive services tospecialist treat thousands of skin conditions the overall health and beauty your Over 25affecting years experience aCutting top inskin the• skin, hairas nails • and edge,ofstate-of-the art technology with well • Over 25 years experience as anails top specialist in affecting the skin, hair and • Diagnosis and treatment of all types of skin cancer trained, qualified staff to help improve and maintain dermatology dermatology
Parents should begin encouraging healthy eating • Diagnosis treatment all types of skin cancer the overall health and beauty of your skin with the highest quality and patient careof and active lifestyle habits with children under age with the highest quality patient care • Over 25 years experience as • Cutting edge, state-of-the art technology with well a top specialist in five. “Build a foundation of living a healthy lifestyle Before and after photos of actual patients – Courtesy of Alan Gardner, MD dermatology • Cutting edge, state-of-the artand technology with well trained, qualified staff toM.help improve maintain for the bestBefore outcomes later,” Dr. Muir says. “Don’t and after photos of actual patients – Courtesy of Alan M. Gardner, MD trained, to helpskin improve and maintain the overall health andqualified beautystaff of your give up. Small gains [in health] can mean a lot the overall health of yourinskin • Over 25 years experience as aand topbeauty specialist over a long period.” Before and after photos of actual patients – Courtesy of Alan M. Gardner, MD
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time period, anywhere from 48 to 55 people with diabetes will go blind, and
diabetes is likely reach a point where insulin becomes a necessity. “Patients
that 28.5 percent of adults with diabetes have diabetic retinopathy.
should not look at the need to intensify therapy as a personal failure,” Dr.
Kidney damage. Diabetes can lead to kidney damage and eventual kidney
Noll stresses, but rather should see it as part of lifelong diabetes management.
failure, requiring dialysis. Cardiovascular disease. While all diabetes-related conditions should be taken seriously, another threat looms. Dr. Jamie Noll, Certified Diabetes Educator and author of “The 95% Vegan Diet,” reveals, “Most people with Type 2 diabetes […] don’t die from kidney failure.” Instead, she says the real culprit is cardiovascular disease. Brooks Kent, licensed dietitian and Certified Diabetes Educator with WellStar, agrees. Kent describes heart disease as the number one complication of diabetes and stresses the need for managing blood pressure and cholesterol along with blood sugar.
one of the easiest treatments to control. The most important aspect of diabetes treatment is regular monitoring. Blood sugar checks before and two hours after meals are necessary for identifying the causes of elevated blood sugar levels and adjusting medication accordingly. Regular visits with an endocrinologist, including A1c checks at least twice a year, should be prioritized. Because people with diabetes are at risk for depression, finding good emotional support is a must. Daily checks for wounds or other changes to the feet and skin should also be a part of regular diabetes management and are an important part of preventing diabetic complications.
A1c Test Results
A1c
The A1c test is a common blood test to assess a patient’s average blood sugar level for the past few months. A higher A1c level means your blood sugar is not well controlled, putting you at higher risk for complications.
While insulin is often viewed as a worst case scenario treatment, it’s actually
D B
4.5
5.7
6%
6.4%
TO
From Test to Success
D B
TO
D
8%
OR HIGHER
—Information courtesy of the Mayo Clinic
16 years ago, Elaine Hampton of Atlanta discovered her A1c test result was 9.5 percent. With the help of ertified Diabetes ducator Dr. amie oll, laine began al ing five miles er day, limiting meat inta e and eating more vegetables. o laine manages her diabetes without insulin, and she just celebrated her 78th birthday.
Treatment and Recovery
Prevention
Treatment for Type 2 diabetes is comprehensive and can change over time
While Type 2 diabetes can be managed through a combination of lifestyle
based on the current health of the individual, always with the goal of long-
changes and good medical care, those at risk for diabetes should focus on
term management of blood sugar levels. Oral medications are the most
prevention. Certain risk factors like age, race or ethnicity and family history can’t
common treatment. Metformin, which has been on the market for over 45
be changed, but many other risk factors can. Dietary changes and regular exercise
years, is the top prescribed oral agent for diabetics and often pre-diabetics
significantly lower the risk of developing diabetes.
as well. Metformin is an effective tool for managing blood sugar, and it
“According to the Diabetes Prevention Program (DPP) study, just losing seven
can aid with weight loss and help prevent heart attacks and strokes. Unlike many of the newer oral agents, metformin is very affordable, only pennies a day, and is consistently the most reliable oral treatment for diabetes.
percent of body weight along with exercise can reduce the chances of getting Type 2 diabetes by 58 percent,” says Dr. Noll. DPP participants who lost seven to 10 percent of their body weight continued to show a lower rate of diabetes
Insulin injections are another common treatment for diabetes. Insulin
throughout their lives.
may be used for long-term blood sugar management or for more
Another important part of prevention is regular screening. People who are
immediate management of symptoms. When a person with diabetes is admitted to the hospital for diabetic complications such as a build-up of sugar in the body, they are at risk for illness and organ damage. In cases like that, or if their A1c number is too high, Kent says insulin may be necessary for breaking the glucose toxicity. Insulin can be discontinued once blood sugar is back within a healthy range, and diabetes can then be managed through a combination of diet, exercise and possibly oral medications. Better eating habits and regular exercise are both an important part of diabetes management. The sooner after diagnosis that dietary and exercise habits are improved, the better for long-term health and minimizing the need for other treatments. A mix of strength training and aerobic exercises provides an ideal balance, and a daily brisk walk can be the first step toward improved health. Even with excellent diet and exercise habits, however, people with diabetes
overweight, have a family history of diabetes, have had gestational diabetes during pregnancy, or who belong to a higher risk racial/ethnic group (Black, Hispanic, Filipino, Native American or Asian-American) should consider diabetic screening every one to three years and make sure their doctors are aware of their risk factors. “Get screened, especially if you have risk factors,” Dr. Smiley-Byrd says, because though diabetes is preventable and treatable, it is still a chronic illness. “It’s serious,” Kent says. “It is a serious condition, and should be taken seriously and controlled.” Now that you have the information you need about this condition, you can take steps to ensure your own health for a life that’s just the right amount of sweet.
Editorial Resources Twiggy Harris, MD, Kaiser Permanente – www.kaiserpermanente.org Brooks Kent, MS, RDN, LD, CDE, WellStar Diabetes Educator – www.wellstar.org Dawn Smiley-Byrd, MD, Emory University School of Medicine – www.med.emory.edu
may still find an increased need for medications or insulin as they age. Over
Andrew Muir, MD, Children’s Healthcare of Atlanta and Emory University – www.choa.org
time, the pancreas produces less and less insulin. As a result, a person with
Jamie Noll, PharmD, LD, CDE – www.95percentvegan.com
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Photo by Sawyer Photography
Band Together Agai
The pink headbands pictured above are the symbol of the Band Together Against Breast Cancer initiative. The bands, sponsored by Best Self Atlanta magazine and Kaiser Permanente, were sold over the last six months to raise funds for Susan G. Komen Greater Atlanta. These proceeds help Georgians receive mammograms and other important breast health care. Thank you to sponsors Atlanta Home Improvement magazine, Gardner Dermatology & Med Spa, Premier Image and Cosmetic Surgery and Vein Clinics of America for helping us kick off the initiative at Race for the Cure in May and spread the word through social media, digital and print promotions. Thank you to Concourse Athletic Club for hosting the Band Together photo shoot and networking party, held on October 9. The local businesses who Banded Together with us and donated funds include Ackerman Security, Diagnostic Radiology Ultrasound and Breast Center, Elaine Sterling Institute, Handcrafted Homes, Institut’ DERMed, Modani Furniture, Noland, Northside Facial Plastic Surgery, Pink Barre and Radiotherapy Clinics of Georgia.
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gainst Breast Cancer 2014
Thanks also to all the individuals who supported the cause and bought headbands at races, expos and many other events over the past six months. Be sure to Band Together with us next year as the initiative continues to grow!
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Thanks for Teachers Best Self Atlanta celebrates local educators and their amazing work
Photo by Sawyer Photography
E
By Amy Meadows
verybody has one – that special teacher who always went the extra mile. Who made learning fun and easier. Who listened and really cared. During this month of giving thanks, Best Self Atlanta wants to applaud and celebrate the Atlanta educators who make a genuine difference in their students’ lives. Local area public and private schools, PTAs and students, told us about these teachers who truly stand out, not only because of their effective teaching methods, but also for the way they relate to and interact with the young people they teach every day. These instructors are just the tip of the iceberg, representing the many wonderful teachers who comprise Atlanta’s educational system. And today we say thanks to each of them for being that “one” to so many.
Pictured L-R: (back row) Patricia McCrery, Alexander Shannon, Caitlyn Kelly, Christina Edwards, Christiane Wyckoff, (front row) Geri Flanary, Donna McDonald, Sara Geiger, Johanna Mitchell
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THANKS FOR TEACHERS
Christina Edwards
Geri Flanary
“Students need a mentor – someone who can build a relationship with them to show they care.”
Tenth grade AP world history teacher Geri Flanary has a sign hanging in her classroom: “It’s not what you know. It’s what you understand.” An educator at Duluth High School for 18 years, Flanary, who previously taught AP human geography for 12 years, takes these words to heart. “I want my students to go beyond memorization and learn to think critically and analytically,” she says. “I want them to dive into their learning and to truly seek understanding – to question and then want to learn even more.”
Sylvan Hills Middle School
Every now and then, a former student stops by and says hello to Christina Edwards, a seventh grade English language arts teacher at Sylvan Hills Middle School. The visit always makes the enthusiastic educator, a 10-year teaching veteran, smile. She recalls how difficult this particular student was in a variety of classes and that, one day, the two bonded over Edwards’ nail polish. “At first, I was taken aback. But then I thought, ‘Maybe I can use this to motivate her,’” she explains. “I told her that if she would come to class and behave and complete her assignments in all of her classes, then I would take her to get her nails polished by professionals.” Edwards secured permission from the student’s parents, and after two weeks of recognizing her outstanding effort and improvement, the dedicated teacher made good on her promise. And that student improved in all of her classes for the duration of the year. “Students don’t only need a teacher – they need a mom away from home, a mentor and someone who can build a relationship with them to show they care,” says Edwards, who knew she wanted to be a teacher even as a child. “Teaching is my innate ability, and my joy of teaching hasn’t changed – even after 10 years. Seeing the faces of my students when they finally get a concept is priceless.” And the way she guides them to that understanding can be summed up in one Benjamin Franklin quote, she says: “Tell me and I forget. Teach me and I may remember. Involve me and I learn.”
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Duluth High School
“I am blessed with a career that inspires me to work hard every day.”
A teacher for 28 years and the recipient of numerous awards, including Teacher of the Year, Star Teacher and the Nasdaq Teaching Award, Flanary can’t remember a time in her life when she didn’t want to be a teacher. And ending up at Duluth High School was a dream come true. “I am surrounded by competent, capable and enthusiastic educators. They do not know it, but they push me every day to be a better teacher and a better me,” she says. “And Duluth High School has much social and economic diversity among the student body; I learn much from the students every day. They bring the world to my classroom!” They also give Flanary the opportunity to chair a unique program called the Care Team, which helps students who have financial needs that interfere with their learning at school. She says, “When I take a student to get eyeglasses, I watch them choose a pair that will help them to better participate and learn at school, but I also get to watch them take pride in their appearance. How cool is that?” With such a rich career, it’s almost impossible for Flanary to choose her most memorable teaching moment. “After all these years, I still take great delight in the daily wins that are part of a teacher’s life,” she concludes. “What is my most memorable moment? Ask me tomorrow. Chances are the answer will be different because I am blessed with a career that inspires me to work hard every day.”
Sam Biglari The Galloway School
“Teachers can learn from students as much as students can from teachers.” Sam Biglari often has his work cut out for him. Not many freshmen enjoy political science or government, so this 22-year teaching veteran at The Galloway School has to find ways to make the subject as engaging as possible. And he clearly does. In fact, Biglari says, one of the most rewarding parts of teaching ninth grade political science, 10th grade AP U.S. government and 12th grade AP comparative government is “seeing students who were not even interested in government or politics at the beginning of their freshman year take all of my government classes, major in political science or international politics, get involved in political campaigns and civic organizations and pursue a career in law or politics.” In many instances, students can credit Biglari and his personal teaching philosophy for helping them develop that enthusiasm for the field. “Students learn best when they are drawn to learning,” he notes. “And teachers can learn from students as much as students can from teachers.” That reciprocal approach to teaching has been apparent in Biglari’s classroom – and championed by The Galloway School – since he became a teacher in 1992. According to Biglari, “I have the support of our school and administration, which is very important for a teacher to be successful. I have always had a passion and interest in working with students, and being at Galloway has maintained my energy and passion for the profession.” BEST SELF ATLANTA
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THANKS FOR TEACHERS
Sara Geiger
St. Pius X Catholic High School
“I wanted to help build confidence in [young girls] so they could go on to do big things.”
adolescents. I also have a big heart for all of the young girls that struggle with body image and wanted to help build confidence in them so they could go on to do big things in their lives.”
For Sara Geiger, who teaches ninth, 10th and 12th grade math, including algebra, geometry and statistics, it was her own high school experience that encouraged her to enter the teaching profession. “My high school years were so important to my growing as a person, and I learned so much about myself that I wanted to help others do the same,” says Geiger, who also serves as assistant athletic director, head women’s soccer coach and assistant cross country coach at St. Pius X Catholic School. “I wanted to become a teacher because I wanted to provide a positive role model for
For the last seven years, she has done just that – and was awarded the Teacher of the Year honor for the 2013-2014 school year. Geiger attributes her success in the classroom not only to the supportive St. Pius community, but also to using humor and her own passion for math to help gain her students’ attention and make the subject interesting to them. It also helps that she is a truly vibrant, creative and tech-savvy educator who wants to see her students flourish in all areas. “I really enjoy getting to know my students by showing them that I am interested in their successes in math as well as their other classes, team performances and social areas,” she concludes. “So many times you will see someone in your class succeed, and that slight bit of success will help build confidence that is inside each child. Seeing their glowing faces makes it worth it every day.”
Jason Holcombe Dacula High School
“Education is not a job to me – it is a way of life.” During his 14-year career as a teacher, Jason Holcombe has had the honor of working at Cedar Shoals High School, Dacula High School, North Gwinnett High School and Jackson County High School. In each school, he found great success. But he loved Dacula High School and the surrounding community so much that he recently returned to teach 10th grade AP world history, as well as serve as assistant athletic director and director of football operations. “I have made it my home,” says the University of Georgia graduate, who is fully certified to teach broad field social studies and AP courses for U.S. history, American government and world history. “Education is not a job to me – it is a way of life. I absolutely love that my job allows me to raise my family and let them be a key part of what I do for a living.” And what Holcombe does, along with his “band of brothers and sisters” in the social studies department, is quite impressive. “My teaching philosophy is to teach students the relevance of history and how it shapes their lives,” he explains. “I try to make them productive citizens who want to improve our society. I try to make history fun and interesting rather than just names and dates.” That approach helps Holcombe dare to be great – something he encourages in and expects from each of his students. “I challenge my students to be great in all things because there are so many negative forces in the world that we must face. And they are not alone in this challenge because I’m doing it with them as we go through the year.” The effort clearly has worked. In fact, Holcombe’s favorite experience as a teacher is watching his students walk across the stage at graduation. Often, one stops to thank him for the hard work and lessons they learned – something he remembers www.bestselfatlanta.com
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from his own high school days. “It is those relationships that I cherish most,” he says. “Knowing that you have had a positive influence on a student and the world makes all the long hours and hard work well worth it.” BEST SELF ATLANTA
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THANKS FOR TEACHERS
Jeremy Karassik Chamblee Charter High School
“Nothing comes easy, but when it does come, the payoff is tremendous.” Jeremy Karassik is honest about his first day as a teacher. “I had no formal training and no idea what to really expect,” he muses. Things certainly have changed over the last 10 years, as the ninth grade U.S. government/civics and 12th grade economics teacher has become one of the most respected educators at Chamblee Charter High School. Much of that success can be attributed to his approach to teaching. “A quote from Frederick Douglass that has been on my syllabus more than others is, ‘If there is no struggle, there is no progress,’” he says. “Nothing comes easy, but when it does come, the payoff is tremendous.” And Karassik, who also serves as an athletic liaison, wants his students to experience that kind of payoff. That’s why he strives to make the material he presents daily relevant to their lives. “If they can make a personal connection to the lectures, activities and assignments, they are going to remember it and, more importantly, apply it,” he notes. Because he understands that the subject matter may not be terribly compelling to young people, he tries to bring his lessons to life. For instance, instead of lecturing about the three branches of the U.S. government, he invited a federal law enforcement agent into the classroom to make it more interesting. It’s that kind of unique thinking that makes him stand out. Yet, Karassik is humble and actually credits his longtime colleagues with allowing him to enjoy success at Chamblee Charter High School, where he has spent his entire teaching career. “My department is great. I have worked with Steve Rubino, Jennifer Tinnell, Kurt Koeplin, Gail Barnes and Brian Ely my entire career. They are the best resources I know,” he says. “Most of them attended my wedding, and they are great friends and real inspirations. They are all much more deserving of attention than I am.”
Erica Pereira
BEST Academy High School
“My teaching philosophy is to celebrate our mistakes.” Being in Erica Pereira’s Spanish class doesn't always mean sitting in a desk. In fact, you never know where you might end up. “We have hiked volcanoes in Nicaragua, visited the Panama Canal, seen the Mayan pyramids in Tikal, Guatemala, and visited U.S. diplomats at the embassies abroad,” explains Pereira, who teaches all levels of Spanish to grades nine through 12 at BEST Academy High School, an all-male, public school in Atlanta’s Bankhead community. These once-in-a-lifetime experiences are part of the school’s annual study/ volunteer abroad program, which Pereira herself started. The program is supported financially and logistically by parents, the administration, and people and resources in the host countries. www.bestselfatlanta.com
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The program allows students to visit Spanish-speaking locales, live with host families for two weeks, volunteer with local children’s organizations and immerse themselves in the language and culture. “The students return seeing themselves as global citizens and have more of an understanding of their place in the world and their community here in Atlanta,” she continues. “It is life changing to my students and their families.” The opportunity to share these experiences with students is something Pereira never expected, especially since she had no plans to be a teacher. A former interpreter and translator, as well as an adult educator at Berlitz Language Centers, Pereira was encouraged by a friend to apply for a teaching job in the Atlanta Public School system. She finally did and has now been a teacher for 12 years; she also is a founding teacher of the relatively young BEST Academy. Her extensive experience made her a perfect fit for teaching young people, and her unique teaching philosophy has made learning a new language more accessible to them. “My teaching philosophy is to celebrate our mistakes,” she notes. “Learning a new language can be a daunting task, especially for teenagers who want to express themselves in a clear and mature way. However, when you learn a language, you have to make mistakes. On the first day of class, I explain to the students that they have to make a million mistakes to become fluent. This makes class a lot less stressful, and you can see them becoming braver and more confident throughout the school year. Celebrating mistakes and even learning to laugh at yourself are vital in Spanish class – and even more so in life!” BEST SELF ATLANTA
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THANKS FOR TEACHERS
Patricia McCrery
Jim Reason
“All children are special, and all children can learn.”
“I set high standards for my students and athletes. I expect their best effort at all times.”
Patricia McCrery was inspired to pursue a career in teaching when she was in the seventh grade. Her teacher, Mrs. Pat Kidder, was the kind of instructor that she knew she wanted to be. “She demonstrated patience, empathy and respect for all of her students,” says McCrery, who has taught fifth grade math and science at Montgomery Elementary School since 2007. “You could tell when you walked in her classroom every day that she cared about you and that she wanted you to be successful. She even made diagramming sentences seem fun!”
When Jim Reason’s neighborhood swim team needed a coach in 1990, he decided to give it a try. He had been a swimmer since childhood, and it seemed like a good fit. Little did he know that his hobby ultimately would lead him to a career teaching U.S. history. “Working with kids, coaching and my love of history – it just made sense to pursue this career,” he says. Today, Reason is in his 21st year as a teacher, and his 16th at Duluth High School. He teaches AP U.S. history to juniors and coaches the swim team. “I’m so thankful for the people around me – the other teachers and coaches that share my experiences,” he notes. “I can lean on them and learn from them, and we work together well.”
Seeing that kind of passion and attentiveness has translated into McCrery’s own 16-year teaching career. “All children are special, and all children can learn,” she notes. And she credits a particular source for her ability to succeed in her profession while providing her students with the tools they need to perform at the level she knows they can achieve. “I would not be able to perform my job effectively without the support of my [students’] parents,” she concludes. “Fortunately, over the years, I have had extremely supportive and helpful parents. They have donated their time and resources to help me be the best teacher that I can possibly be. For that, I am truly thankful!”
Of course, Reason always strives for improvement from both his students and himself. “Be pleased but never be satisfied,” he says. “I set high standards for my students and athletes and tell them I expect their best effort at all times. I try to create a comfortable classroom setting that allows them to think for themselves and learn to improve in all areas.”
Montgomery Elementary School
Duluth High School
He also is grateful for the many experiences he has had at Duluth High School, including being recognized as a National Board Certified Teacher and watching Kelsey Scott become Duluth’s first individual girl state champion swimmer when she won the 500 Freestyle in 2005. “It doesn’t get much better than that,” Reason says.
Johanna Mitchell KIPP STRIVE Academy
"I believe in love and logic, optimism and leading by example.” Johanna Mitchell, who teaches seventh grade English and seventh and eighth grade journalism at KIPP STRIVE Academy, recently found herself in awe of her students. “My journalism students had the opportunity to interview the superintendent of our school district,” she recalls. “I’ll never forget the immense amount of pride I felt while I watched them apply their reporting skills and represent their school in an impressive way.” For Mitchell, these are the moments that confirm she chose the right career path seven years ago. “It’s gratifying to hear them use new vocabulary words in conversation and make connections between our class novels and current events,” she says. “Most of all, I love witnessing their unbridled enthusiasm and excitement for learning, especially when they finally understand a challenging concept.” The daughter of an educator, Mitchell's perspective on education has always been a positive one. “I believe in love and logic, optimism and leading by example,” she says. “All children can achieve great things, and all teachers can help their students be successful, but both parties must be unrelenting in their pursuit of excellence. A teacher who has a mindset of continuous improvement inspires students to do the same.”
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THANKS FOR TEACHERS
Caitlyn Kelly
Charles Brant Chesney Elementary School
“Students with special needs teach me more in a day than I can teach them in a lifetime.” Caitlyn Kelly teaches students with severe and profound disabilities in the second, third and fourth grades. The terms “severe” and “profound” are based on a range of IQ scores, but that’s not how this devoted educator sees the children in her classes. “My students are much more than IQ scores and labels,” she asserts. “They are smart, kind, funny children, and they are just like everyone else.” That keen understanding led Kelly to pursue a career in teaching with an emphasis on special education. And for the last two years, she has adhered to an important teaching philosophy. “Every student can learn,” she says. “Sometimes it takes some creativity and out-of-the-box thinking to give students with special needs access to the general education curriculum. My philosophy involves making sure that all students are receiving what they need to be successful. If a strategy is not working, it is important to come back to the drawing board until something is found that works.” That includes finding resources that are grade-level appropriate and will
challenge students, such as the poem “The Bear in There,” which her class truly enjoyed and comprehended – just like the general education class. It also involves Kelly working with her fellow teachers and visiting therapists to tailor lessons to the students’ motor skills and communication needs. But in the end, it all comes down to one thing for Kelly. “There are fewer opportunities for people with special needs, and it is important to me that this changes – that people with special needs have just as many opportunities,” she concludes. “I love to teach because I love to come up with these opportunities and hopefully create opportunities for my students once they leave school. I wanted to become a teacher because I fell in love with students with special needs. And they teach me more in a day than I can teach them in a lifetime.”
Alexander Shannon Tapp Middle School
“Now is the time to make an investment in the person you want to become.” Alexander Shannon considered himself an unlikely candidate for a job in teaching. He initially wanted to work in law enforcement and, upon graduating from Mississippi State University, accepted a position as a juvenile probation officer assisting with closing probation cases. His job brought him to many schools to speak with probationers, and one day he had a realization. “Most of the students I was interacting with were young men of color who were doing poorly in school,” he relates. “I began to wonder why so many of these young men found themselves in trouble in and out of school – and what I could do to help curb this problem.” After much soul searching and counsel from his pastor and a
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fellow church member, he decided to go into education and was hired as a middle school special education teacher. “This began my unlikely tenure as an educator some 17 years ago,” says Shannon, who has worked at Tapp Middle School for the last eight years and currently teaches sixth grade science. “My reason for choosing this profession has not changed. I’m still very passionate about young people realizing that they have endless potential and possibilities if they are willing to work hard,” Shannon notes. In the classroom, he often tells his students, “Now is the time to make an investment in the person you want to become.” But he also wants them to know that he is making an investment in them as well. “The essence of this profession lies in one’s ability to see the endless possibilities within each student. And not only seeing the possibilities, but also motivating, challenging and inspiring students to take an introspective look at themselves.” Just when he needed confirmation that his approach truly makes a difference, Shannon received an email from a former student. She had been trying to locate him and wanted to inform him that she was attending college and studying to earn a degree in education. “She wanted me to know that I made a positive impact on her life, and she wanted to say thank you,” he says. “Needless to say, I was more than appreciative to have gotten this email. The daily work of educating young people will never be in vain when you are working in your God-given purpose.” www.bestselfatlanta.com
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THANKS FOR TEACHERS
Christiane Wyckoff Sope Creek Elementary School
“My teaching philosophy: teach with passion and humor, create problem solvers and encourage a sense of morality and respect for others.” The students in Christiane Wyckoff’s fifth grade class at Sope Creek Elementary School get paid to be there. Well, they get paid in Wyckoff WildCat dollars, which they use to rent their desks, computers and cubbies, pay for taxes and insurance and make charitable contributions. “We have a mini-economy, which means that every student has a class job that they apply for and are hired for the whole year,” says the 13-year teaching veteran. “And at the end of every semester, a group of students researches a few charitable organizations, and they vote on where to give their real, hard-earned-at-home dollars.” In the last few years, Wyckoff’s class has donated to Project MailCall (which sends care
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packages to military men and women overseas), the Children’s Miracle Network, Children’s Hospital at Scottish Rite, the World Wildlife Fund and Toys for Tots. She explains, “Beyond the curriculum, I like to think that I teach my children to be wonderful human beings who are organized, enthusiastic learners, and compassionate and caring toward others.” Wyckoff’s lessons, as well as her penchant for wearing fun hats and playing Enya music during tests, have made students remember her long after they leave her classroom. And that’s what she wants, especially since fifth grade is the last year of elementary school, as well as the last one in which students have one teacher for all subjects. Wyckoff wants to make the most of that precious year. “I am a farmer. I sow seeds into young minds that will grow in a variety of different ways – many of which I will never actually witness in full bloom,” she notes. “There are three main tenets to my teaching philosophy: teach with passion and humor, create problem solvers who will become good contributing members of society and encourage a sense of morality and respect for others, our community and our country.” With such a deep-seated love of teaching and a truly effective instructional approach (as well as a degree in elementary education from Skidmore College), it’s almost hard to believe that Wyckoff was a stockbroker for 16 years before becoming an educator. However, after leaving the brokerage industry to spend more time with her three children and being asked to be a supply teacher in the Target program at Sope Creek, she was hooked. And she’s been an educator ever since. “My favorite quote is from Ghandi: ‘Be the change you wish to see in the world,’” she concludes. “And I strive to live up to it every day.”
10/14/14 9:17 AM www.bestselfatlanta.com
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Donna McDonald Birmingham Falls Elementary School
“Our future is in delightful hands.” For years, Donna McDonald worked in a variety of industries, from retail to consulting, and every job focused on training and teaching adults. “Adults learn just like young people, and now I get to work with young people,” says McDonald, who joined Birmingham Falls Elementary in August 2013 as a fourth grade teacher. This year, she moved into teaching fifth grade math and science. And regardless of what – or whom – she is teaching, her approach remains the same. “I am truly dedicated to my classroom, and my students come first,” McDonald says. It’s a straightforward philosophy that has given this enthusiastic educator unparalleled joy and a deep sense of gratitude, as well as great hope for the future. “The rewards that come daily from the excitement on a student’s face when they grasp a difficult concept [are the most memorable to me],” she continues. “I will never forget the incredible talents that our young people share. I have gotten chills from the stories they have written, the skits they perform and the talents and gifts I see exhibited during extracurricular activities that I feel privileged to be invited to see. Our future is in delightful hands.”
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WHAT ARE THE RISK FACTORS FOR
DIABETES, AND HOW CAN I LOWER MY
RISK OF DEVELOPING THE DISEASE? A family history of diabetes increases your risk of developing both Type 1 and Type 2 diabetes. While it is unclear how to prevent Type 1 diabetes, research shows that obesity is a leading risk factor for Type 2 diabetes. Lower your risk by maintaining a healthy weight, exercising regularly and eating a healthy diet.
Educate yourself about diabetes, its risk factors and the preventive measures you can take today to avoid a troubling diagnosis later in life. HOW DOES DIABETES AFFECT
THE BODY? Type 1 and Type 2 diabetes are the most common forms of the disease. Your body naturally produces insulin to regulate the blood glucose level. Type 1 diabetes occurs when the body does not produce enough insulin. The condition, which is treated with insulin supplements, is prevalent among children and teens. Type 2 diabetes occurs when the body cannot respond normally to the insulin it produces. WHAT ARE THE SYMPTOMS
OF DIABETES? Contact your doctor if you are experiencing one or more of the following symptoms: frequent urination
extreme hunger
excessive thirst
extreme fatigue
unexplained weight loss
irritability blurry vision
IF I HAVE DIABETES, WHAT STEPS CAN I TAKE TO MANAGE IT PROPERLY?
ee your blood sugar glucose levels ell controlled. Test your blood sugar to be sure it is in the target range set by you and your doctor. a e blood sugar medication as prescribed by your doctor. Ask your doctor if you should take lowdose as irin along ith cholesterol or blood pressure medicine to help prevent heart attack and stroke. at a healthy diet. he right nutrition is ey to reventing and managing diabetes. tay or become more hysically active. ry al ing for minutes at least five days a week. If you’re overweight, losing as little as seven to 15 pounds can make a big difference in your health.
Sponsored by: Kaiser Permanente Alpharetta Medical Office | www.kaiserpermanente.org www.bestselfatlanta.com BEST SELF ATLANTA 5 4
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EXPERT CONNECT
The Natural Approach TO HORMONE THERAPY DR. JEFF DONOHUE Jeffrey A. Donohue, M.D., is the leading provider of BHRT in the Greater Atlanta Metro area. He is a member of the American Academy for Anti-Aging Medicine and has completed the fellowship in Anti-Aging and Regenerative Medicine. Dr. Donohue earned his medical degree from Louisiana State University (LSU) in 1992 and completed his residency in Family Practice at the University of Alabama College of Community Health Services in 1995. Dr. Donohue received the Resident Excellence in Teaching Award in 1994 and was the Chief Resident in 1994. e as Board ertified as a Diplomate by the American Board of Family Practice in 1995. Board CertiďŹ cations, Associations and Training: Member of BodyLogicMD, a national network of highly trained physicians specializing in Natural Bioidentical Hormone Replacement Therapy (BHRT) Member of the American Academy for Anti-Aging Medicine Extensive training in anti-aging provided by the fellowship in Anti-Aging and Regenerative Medicine M Board ertified Family Practice Board ertified in ABOM American Board of Obesity Medicine Board ertified in egenerative and Functional Medicine
Sponsored www.bestselfatlanta.com
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s we age and begin to approach mid life, men and omen often find themselves thinking about hormone therapy and whether it is the right thing for them to do. While traditional methods of hormone replacement have been shown to increase your risk for certain types of cancer and heart disease, there are more natural options available to you. Many people are choosing to take a more natural approach to hormone health through bioidentical hormone replacement therapy, or BHRT. BHRT offers patients who are looking for relief from their imbalanced hormones a more natural option and none of the synthetics that are found in traditional hormone therapy. BIOIDENTICAL HORMONES DEFINED Bioidentical hormones are created to replicate the chemical structure of hormones in your body and come from naturally occurring sources, such as yams and soy. Specialized compounding pharmacists can determine your current hormone level and then create a bioidentical hormone regime that fits ith your body and needs. arge pharmaceutical companies are unable to patent bioidentical hormones due to the fact that each patient’s regimen is customized. When going through menopause or andropause, bioidentical hormones can be more appealing to patients because they are derived naturally and the body can metabolize them safely.
COMMON HORMONE IMBALANCE SYMPTOMS For women: Fatigue Hair loss ot ashes Night sweats Weight gain Mood swings For men: Fatigue Hair loss Loss of sex drive Loss of energy Poor mental focus Weight gain
BHRT AT BODYLOGICMD At BodyLogicMD, Dr. Donohue will assess your hormone imbalance symptoms to decide if you are an appropriate candidate for BHRT. Services for BHRT include a comprehensive review of symptoms, medical, family and personal history, accurate testing: saliva, urine and/or blood laboratory analysis, ongoing evaluations with a highly-trained physician, natural hormone balancing using bioidentical hormones, a customi ed fitness rogram, stress reduction plans and nutrition planning.
by: BodyLogicMD of Atlanta | 2941 Piedmont Rd. NE, Suite C | Atlanta, BEST GA SELF30305 ATLANTA Phone: (404) 334-5781 | www.atlanta.bodylogicmd.com
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Q & A with Dr. Maloney WHAT FACELIFT EXPERIENCE DO YOU HAVE? chose to s eciali e in surgery and re uvenation of the face and nec . s a result, in my years of ractice, have erformed thousands of facelifts. I have detailed some of the advances of my cosmetic rocedures in over boo cha ters and articles hich have authored. have also taught facelift courses across the country and internationally. WHAT ARE ALTERNATIVES TO A FACELIFT IF I AM NOT READY? here are lots of great o tions to e lore. verything from fillers to li osuction and hermi can hel to restore a more youthful loo right in the office. During consultation, e ill discuss your goals and use com uter imaging to illustrate otential outcomes. e ill or together to find the right “fit” s ecifically for you.
B THE “BEAUTY” OF GIVING BACK Dr. Maloney, and each member of his Maloney enter team, is committed to treating atients as “family.” atients from all over the orld come to see Dr. Maloney because of his artistry and genuine com assion. t’s a culture of caring that naturally s ills over into the tlanta community. ach year, he Maloney enter is leased to host harity Days to benefit local, tlanta organi ations.
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EXPERT CONNECT
Brian P. Maloney, M.D., F.A.C.S. VOTED BEST SELF MAGAZINE’S “
B
FACELIFT As time begins to change the face, tight nec s and ell defined a lines are re laced ith marionette lines, o ls and fullness in the nec . s this rocess unfolds, bright, youthful faces often become tired and grum y loo ing. facelift is the rocedure that hel s to lift the nec and chee area restoring the youthful features bac to the face. ty ically see t o grou s of atients for facelifts. he first grou often has a strong family history of double chins. hese atients are usually in their late s to early s, and elect to have the lift so it is a more subtle change, but they get to en oy it longer. he second grou is usually in the year old range. ith these atients, the facial s in has rela ed significantly and the results are more dramatic. he best ay to understand the aging of the face is to think of the face as having several layers, similar to a ca e. he aging rocess not only affects the outer s in layer, but the underlying fat, muscle and bone layers. very face is uni ue to start ith, and ages differently. herefore, every facelift should be customi ed to hel restore that individual’s natural loo . ver the years, different ty es of facelifts evolved to address different features of the aging face. Some ractitioners muddy the ater for atients by creating cute mar eting names
”
for their rocedure. ften, the more aggressive lifts lead to an unnatural, ulled loo . s an educator, e lain to atients hy their face is aging and ro ose a ro riate o tions to hel them achieve a natural loo . Because loss of volume is also a factor in making the face look hollo and older, the facelift rocedure is commonly combined ith fat transfer to hel restore the youthful contours to the face. atients should make certain that a facelift rocedure is erformed in a fully licensed and accredited facility ith board certified anesthesiologists. ecovery for most facelifts is about a week. De ending on heredity and s in ty e, the results of most facelifts are generally still being en oyed years later.
Dr. Maloney is an award-winning, internationally recognized, double board certified facial plastic and reconstructive surgeon. He is the founder of the world-renowned Maloney Center for Facial Plastic Surgery located in Atlanta. Dr. Maloney is a National Trainer for Allergan, the maker of Botox Cosmetic,® Juvederm,® Voluma,® and Latisse.® He instructs doctors from all over the world on the latest facial cosmetic surgery procedures and has been regularly featured in national media including Discovery Health, The Learning Channel, CNN Headline News, ABC News and more.
The Maloney Center for Facial Plastic Surgery | 6111 Peachtree Dunwoody Road, Building E, Suite 201 2014 57 BEST SELF ATLANTA AUGUST 1 Atlanta, GA 30328 | Phone: (770) 504-6243 | www.MaloneyCenter.com 10/21/14 10/20/14 3:41 3:19 PM PM
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Gestational Diabetes AN EARLY INDICATOR OF A PREVENTABLE CHRONIC DISEASE?
G
estational diabetes is a condition that affects eight percent of all pregnant women. There are generally no symptoms. Therefore, it is usually diagnosed as part of a screening test that measures your blood glucose levels. his test is performed on all pregnant women bet een ee s.
MELINDA MILLERTHRASHER, MD, FACOG INNOVATIVE WOMEN’S HEALTHCARE SOLUTIONS (IWHCS)
Buckhead, Midtown, and Smyrna/Vinings Melinda Miller Thrasher is a native of NYC and attended Cornell University, Mt. Sinai and NYU for her residency training. er e ertise includes fibroids and minimally invasive surgical rocedures to treat fibroids. he is on staff at Emory University Hospital and Piedmont Hospital. Dr. Miller hrasher has been selected as one of Atlanta’s Top Doctors each year since 2009 as listed in Atlanta Magazine, one of the Gynecologists You Love (Essence Magazine) and she is a Patients’ Choice Award recipient. She is also a member of the ebMD medical revie board. er ne boo , “The Innovative Women’s Guide o Managing ibroids ithout ysterectomy” ill be available in late 2014.
Sponsored by: www.bestselfatlanta.com
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or some omen, this ill be the first time they ill be educated regarding this condition. his is an im ortant first ste in their preventive health care planning because having gestational diabetes means an increased risk for Type 2 diabetes in their lifetime. It is extremely important that you follow your doctor’s advice regarding blood glucose level control while you are pregnant to ensure a healthy pregnancy and outcome for you and your baby.
CAUSE
Although the exact cause of gestational diabetes is un no n, it is believed that lacental hormones, most notably uman Placental Lactogen, which peaks in mid pregnancy, creates a condition of insulin resistance, thereby ma ing it hard for your body to roduce and use the insulin it needs. hen there is insufficient insulin, the blood glucose levels rise, and can cause roblems ith both mother and the unborn child. The extra glucose crosses the placenta to the fetus, causing macrosomia (very large babies . his increases the ris of rolonged labor, sections, shoulder dystocia an obstetrical emergency and birth trauma. Metabolic roblems that re uire close monitoring of the ne born are also more common. Additionally, the children born from mothers having omen s ealthCare Solutions | Phone: 404
4 1 2
gestational diabetes during regnancy are also at ris for develo ing obesity and all of the medical conditions that accompany this condition.
TREATMENT
he good ne s is that gestational diabetes can be easily diagnosed and treated, ensuring a healthy pregnancy and a wonderful outcome. This is one of the reasons it is critically important that all women receive the proper preconception counseling as part of their women’s wellness visit to see if they are at ris for gestational diabetes. Based on their history and that of their family, proper counseling can lead to revention and early detection, hich both play an important role in minimizing the impact on mother and child. It is important to note that although recent ublic health guidelines suggest that a smears may only need to be performed every two years, they fail to convey the importance of continuing your yearly women’s wellness visit. The yearly wellness check allows for your provider to screen for other conditions, do a thorough breast e am breast cancer affects one out of seven women and early detection is ey , a elvic chec for abnormal masses a ossible indicator of uterine or ovarian tumors), provide family planning advice and preconception counseling. At Innovative, our mission is to empower omen by informing, roviding resources and su ort, thereby enabling them to make choices that will have a positive and lifelong impact on their health and that of their families and communities. For more information on women’s health issues and the women’s health services we rovide, lease visit our ebsite at www IWHCS.com. | info iwhcs.com www.iwhcs.com BEST SELF |ATLANTA AUGUST 2014 5 9 1
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EXPERT CONNECT LiviRae Lingerie’s Double Divas Founded by Molly Hopkins & Cynthia Decker in 2006, LiviRae Lingerie is a lace here omen of all sha es and si es can sho for gorgeous lingerie in a udgment free one. heir rimary mission is to hel omen at any age, receive the proper education about bra fit. arrying bra si es from , ivi ae ingerie fits everybody ith every body heir tag line says it all, “ o Bust oo Big or mall, e it m ll” and they do just that! ivi ae ingerie is located in ennesa , eorgia and rovides a lingerie e erience that hel s omen feel confident and comfortable through their entire sho ing e erience. ivi ae ingerie s eciali es in bra fitting, custom lingerie, plus size bras and specialty roducts such as augmentation and mastectomy bras. he ladies of ivi ae love hat they do because of the difference that they are able to ma e in omen’s lives. “ e believe e have a od given talent to bra fit omen, and e love nothing more than to use that talent every day ” Molly
ynthia
Q&A
WITH
WHAT IS THE FIRST THING YOU LOOK FOR TO RECOGNIZE THE WRONG SIZE?
DO YOU THINK THAT AN ILLFITTING BRA CAN LEAD TO HEALTH ISSUES?
he band of the bra is the sole of the fit, so that’s the first thing e chec . of omen are earing a bra that is t o bands too big and t o cu s too small. ince the band is the most im ortant iece e al ays start there.
es, an ill fitting bra can definitely have a negative effect on you. hen a bra does not fit correctly, omen carry e tra ressure in their shoulders, causing indentations, neck ain, and bac ain and in the long term, the Dillinger’s hum . f the ire rests on the breast tissue instead of at against the rib cage, that ressure can also cause calcification of the cells ithin the breast tissue.
HOW DO YOU ENSURE THAT EACH OF YOUR CUSTOMERS GET THE PERFECT FITTING BRA? ach of our bra fitters has an eye for the erfect fit. e allo our customers to try on different bra o tion during their fitting, giving them lots of styles to try on, and e laining to them hy each style is im ortant to their bra ardrobe. of omen are earing the incorrect bra si e most are earing t o bands too big and t o cu s too small. e ta e the time during a fitting to rovide an education about bra fit and breast health, ans ering the uestions omen al ays ondered but never thought to as . e leave our clients ith all of the no ledge that e have, understanding the fit, the im ortance of breast health, and hy the bras they urchased are going to change the ay they feel in their daily lives. WHY DO YOU THINK A CORRECTLY FITTING BRA IS SO IMPORTANT?
HOW DOES THE “VIRTUAL FIT” ON YOUR WEBSITE WORK? irtual it is a revolutionary rocess e have created a ay to bring our uni ue bra fitting techni ue to omen all around the orld from the comforts of their o n home e use y e to reach omen no matter here they are, and give them a ersonali ed bra fitting e erience. ollo ing the fitting, our virtual fitters ill al their client through the online sho ing rocess, hel ing them to navigate the site and sho them hat styles and roducts ill or best for them. he fitters ass on their roduct no ledge and teach their clients hat they need to no about bra fit and breast health, ma ing sure they leave ith some of hat they ant, and most of hat they need.
ro er fitting bra is so im ortant for many reasons. he first and most im ortant is general breast health. utside of the health benefits, it also ma es omen loo good and feel good in hat they’re earing. t boosts self esteem and ma es them feel comfortable and confident in their o n s in. s e al ays say, you change your bra, you change your life, and e truly believe in that.
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by: Livi Rae Lingerie | 440 Ernest Barrett Pkwy, Suite #31 | Kennesaw,BEST GA, 30144 SELF ATLANTA Phone: (770) 429-7004 | www.liviraelingerie.com
AUGUST 2014
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EXPERT CONNECT
Answers to Your Questions ABOUT LOWER DOSE 3D MAMMOGRAPHY
• ignificant reduction in recall rates by up to 40 percent. 5,7 • Lower dose and faster 3D mammography through C-View™ software, which uses 3D data to create 2D images, eliminating the 2D X-ray exposure and shorting the exam scan time. FREQUENTLY ASKED QUESTIONS Early detection using the latest technology. We offer BRCA cancer screening testing. Ask us about it.
CAROLYN G. DUDLEY, MD DIAGNOSTIC RADIOLOGY ULTRASOUND & BREAST CENTER
Carolyn G. Dudley has over 30 years’ experience in breast imaging. She attended Bryn Mawr College, Howard University and completed her Diagnostic Radiology residency at Saint Joseph Mercy Hospital in Pontiac, Michigan. he is board certified by the American Board of Radiology and is a member of the Alpha Omega Alpha (AOA) Honor Medical Society. Dr. Dudley was one of the pioneers in developing techniques to diagnose breast cancer utilizing MRI. Presently, she has a private practice in Atlanta, Georgia where she offers patients a wide range of outpatient diagnostic services in a convenient and patientfriendly environment. Her practice is the first non hos ital facility in eorgia to offer the latest advancement in mammography: 3D Mammography (breast tomosynthesis). In addition, Dr. Dudley provides 2D Digital Mammography, bone densitometry and ultrasound utilizing the most up-to-date technology available.
The American Cancer Society says that one in eight women will develop breast cancer in her lifetime. The stage at which breast cancer is detected in uences a oman’s chance of survival. f detected early, the five year survival rate is 98 percent.1 3D mammography is an advanced, clinically proven screening and diagnostic tool designed for early breast cancer detection. With conventional digital mammography, the radiologist is viewing all the complexities of the breast in one image. Sometimes breast tissue can overlap, giving the illusion of an abnormal area, or hide a small cancer. During the 3D mammogram, the X-ray arm sweeps over the breast taking multiple low dose images. Then, a computer produces a 3D image in one millimeter slices, decreasing tissue overlap. With the new C-View™ software, the 3D data is used to create the 2D images, eliminating the need for an additional X-ray exposure. esearchers are finding that ologic breast tomosynthesis combined with 2D mammography provides: • Greater than 25 percent improvement in overall cancer detection rates, finding 40 percent more invasive cancers than conventional 2D mammography alone.3-5 • Better visualization of masses, distortions and asymmetric densities.6
What should I expect during the 3D mammography screening exam? 3D mammography is performed at the same time as the 2D mammogram with the same system. There is no additional compression required and the exam time may be just about the same or shorter than a 2D exam. Is there more radiation dose? With the lower dose 3D mammography, very low X-ray energy is used during the exam, just about the same as a standard 2D digital mammogram, and lo er than a traditional film mammogram. Who can have a 3D mammogram exam? It is approved for all women who would be undergoing a standard mammogram, in both the screening and diagnostic settings. What is the difference between a screening and a diagnostic mammogram? A screening mammogram is your annual mammogram that is done every year. Sometimes the radiologist may ask you to come back for follow-up images, called a diagnostic mammogram, to rule out an unclear area in the breast or if there is a breast complaint that needs to be evaluated. Diagnostic mammogram focuses on the area of abnormality or the area of complaint. It is important to have the original images available if you go to a different facility for your follow-up exam. Please call Diagnostic Radiology Ultrasound & Breast Center at (404) 252-3430 to schedule your lower dose 3D mammogram.
BREAST CANCER FACTS & FIGURES 2011, AMERICAN CANCER SOCIETY. 2 RAFFERTY E, PARK J, PHILPOTTS L, ET AL. “ASSESSING RADIOLOGIST PERFORMANCE USING COMBINED DIGITAL MAMMOGRAPHY AND BREAST TOMOSYNTHESIS COMPARED WITH DIGITAL MAMMOGRAPHY ALONE: RESULTS OF A MULTICENTER, MULTIREADER TRIAL.” RADIOLOGY. 2013 JAN; 266(1):104-13. EPUB 2012 NOV 20. 3 SKAANE P, BANDOS A, GULLIEN R, ET AL. “COMPARISON OF DIGITAL MAMMOGRAPHY ALONE AND DIGITAL MAMMOGRAPHY PLUS TOMOSYNTHESIS IN A POPULATION-BASED SCREENING PROGRAM.” RADIOLOGY. 2013 APR; 267(1):47-56. EPUB 2013 JAN 7. 4 CIATTO S, HOUSSAMI N, BERNARDI D, ET AL. “INTEGRATION OF 3D DIGITAL MAMMOGRAPHY WITH TOMOSYNTHESIS FOR POPULATION BREAST-CANCER SCREENING (STORM): A PROSPECTIVE COMPARISON STUDY” THE LANCET ONCOLOGY. EPUB 2013 APR 25. 5 ROSE S, TIDWELL A, BUJNOCK L, ET AL. “IMPLEMENTATION OF BREAST TOMOSYNTHESIS IN A ROUTINE SCREENING PRACTICE: AN OBSERVATIONAL STUDY.” AMERICAN JOURNAL OF ROENTENGENOLOGY. 2013 JUN; 200(6): 1401-1408. EPUB 2013 MAY 22. 6 ZULEY M, BANDOS A, GANOTT M, ET AL. “DIGITAL BREAST TOMOSYNTHESIS VERSUS SUPPLEMENTAL DIAGNOSTIC MAMMOGRAPHIC VIEWS FOR EVALUATION OF NONCALCIFIED BREAST LESIONS.” RADIOLOGY. 2013 JAN; 266(1):89-95. EPUB 2012 NOV 9. 7 CONANT E, GAVENONIS S, WEINSTEIN S, ET AL. “EARLY IMPLEMENTATION OF DIGITAL BREAST TOMOSYNTHESIS: COMPARISON OF CALL-BACK AND CANCER DETECTION RATES IN A CLINICAL SCREENING PRACTICE.” (PAPER PRESENTED AT THE ANNUAL MEETING OF THE RADIOLOGICAL SOCIETY OF NORTH AMERICA, CHICAGO, IL, NOVEMBER 2012). 1
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Q & A with Dr. Sinha What are the benefits to getting an endoscopic brow lift?
Endoscopic surgery produces successful results without creating full-sized incisions, which helps minimize scarring and preserve the hairline. How do you help a patient decide whether or not to have the procedure?
Like all cosmetic surgeries, the decision to proceed with a brow lift takes careful consideration. I offer a thorough consultation to provide patients with individualized procedure recommendations. I will take into account your personal medical history, use computer images to pinpoint your desired outlook and discuss financial assistance. Under what conditions is the surgery performed?
A patient can choose to undergo a brow lift/forehead lift under local or general anesthesia. Either way, I perform the surgery in an accredited and licensed ambulatory surgery center ne t to my tlanta office.
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Get a Lifted Look BENEFITS OF A BROW LIFT A drooping brow and furrowed forehead lines are some undesirable, yet common, signs of aging. Those looking to get a fresher appearance by repositioning sagging eyebrows and removing forehead wrinkles may choose to undergo an endoscopic forehead lift or brow lift, a plastic surgery procedure that corrects expression lines and signs of aging in ways that otherwise cannot be controlled. Endoscopic brow lifts are performed by making a series of small “keyhole” incisions behind the hairline. Then, the doctor inserts a specialized surgical telescope called an endoscope in order to see the forehead anatomy up close. The doctor incises small muscles in the forehead that cause furrows and re-drapes the tissue to fully remove wrinkles and drooping brows for an overall more youthful look. The recovery period for an endoscopic brow lift is relatively quick. Your stitches will be removed in about two weeks, and the incision points typically heal very well. Serious problems from endoscopic brow lifts are rare, with the American Society for Aesthetic Plastic Surgery reporting that less than one percent of patients experience complications. There are some common side effects after the procedure, such as forehead discomfort (which can be treated with medication), swelling (managed with head elevation) and numbness. However, these Dr. Sinha is a Double Board Certified Facial Plastic effects generally do not last Surgeon specializing in cosmetic and functional surgery more than a week, so you of the head and neck. He has successfully treated can be back on your feet in thousands of patients and is highly regarded and well no time.
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besthealth Giving Men’s Health a Leg Up By David Martin, RN, CRNFA
On November 1, razors around the world will go on break – at least as it relates to moustache hair. For “Movember” – men’s health awareness month – men will start sprouting moustaches to show their support of the men’s health movement. In support, I have a special invitation with regard to men and their legs, as leg health plays a fundamental role in a man’s overall health. Take advantage of a free Duplex Doppler Ultrasound screening to rule out venous insufficiency if you are having any symptoms of fatigue, swelling, pain or restlessness in your legs, or if you have varicose or spider veins. Healthy legs make it easier to exercise and rest well, and venous health is a critically important part of overall leg health. Leg veins carry blood pumped by the calf muscle up, against gravity, to the heart and lungs to be re-oxygenated. Vein problems – usually caused by the failure of delicate, one-way valves in the veins – impact some 20 to 30 million Americans. When the valves fail and blood flows backwards, or refluxes, blood pools, pressure builds and varicose and
spider veins may appear. Other symptoms of venous insufficiency may include achiness, swelling, itching, a need to move at night or a sense of having “crawling flesh.” While the majority of our patients at VeinInnovations are women, we know that men also believe heavy, tired and restless legs are just part of aging. With men more likely to ignore symptoms, and because symptoms build at such a slow rate, many men don’t realize how badly they are hurting. By the time they come for treatment, many have tortured, bulging veins. Some have stopped exercising; many have not slept well in years. The combination of losing exercise and sleep impacts overall quality of life, diminishes health and ages you prematurely. After our minimally invasive treatments, many patients are amazed by just how quickly treatment restored their vitality and ability to rest. While in Movember men become “walking billboards” for men’s health by growing moustaches, they should also “walk the walk” with healthier legs. Don’t ignore your symptoms anymore – instead, schedule an ultrasound screening and take an important step toward better health.
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Mis-Diagnosed Hip, Low Back and Groin Pain? ...You may be suffering from Sacroiliac Joint Dysfunction The sacroiliac joint is often overlooked by most doctors. Symptoms may include unexplained groin pain, back pain, leg pain, leg inflammation and even sciatic type nerve problems. Many options for treating the S/I joint are available. The goal of these treatments are NOT only pain suppression, but rather to eliminate the cause by correcting malaligned structures, improving the health of the joint and reducing the ligament laxity or weakness. Call to schedule an appointment with the physicians at Total HealthCare to see if you may be experiencing sacroiliac joint dysfunction.
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besthealth Crohn’s and Colitis
The facts of inflammatory bowel disease By Morgan A. McLaughlin McFarland Crohn’s disease and ulcerative colitis, the two primary types of inflammatory bowel disease, affect a combined 1.4 million Americans – one in 200 people in the United States alone. Inflammatory bowel disease is an autoimmune disorder characterized by chronic inflammation of the mucosal lining of the gastrointestinal (GI) tract. The pain and digestive problems from Crohn’s and colitis can be debilitating and embarrassing, but with earlier, more accurate diagnosis and continued improvement in treatment options, those living with Crohn’s or ulcerative colitis have every reason to hope for a better and healthier future.
What’s the Difference? Dr. Douglas Wolf of Atlanta Gastroenterology Associates says the conditions are more similar than they are different. Both are types of inflammatory bowel disease (IBD), and they share many symptoms, such as cramping, persistent diarrhea or a feeling of urgency to have a bowel movement. Both conditions also share extra-intestinal symptoms, including joint pain, eye redness, skin rashes, mouth ulcers, and diseases of the liver, gallbladder and pancreas. The important distinction between Crohn’s and ulcerative colitis is which parts of the GI tract they affect. Ulcerative colitis affects the colon only, ranging from inflammation of the rectum (ulcerative proctitis) to inflammation of the entire colon (pancolonic). Crohn’s disease, by contrast, can affect any part of the digestive tract from mouth and esophagus to the rectum. Overall, Crohn’s is a “much deeper, penetrating disease” than ulcerative colitis, Dr. Wolf says.
A Disease of the Young Unlike many chronic illnesses, Crohn’s and ulcerative colitis frequently affect people in their teens and early 20s. According to Mary Esna-Ashari, Crohn’s and Colitis Foundation Director of Education and Support for the Southeast, the average age of diagnosis is 14.
A BETTER QUALITY OF LIFE For people suffering from inflammatory bowel disease, quality of life is a constant concern. At Atlanta Gastroenterology Associates, we understand. By creating individualized, on-going treatment plans, our physicians work with patients to alleviate symptoms and promote remission. Then the most up-to-date therapies are used to get flare-ups under control and to maintain remission. AGA offers: • Personalized treatment plans that promote remission • Access to the most current therapies • Seven locations for infusion services • Access to FDA-approved clinical trials for patients who qualify For chronic conditions like Crohn’s disease and ulcerative colitis, get the help you need.
“Crohn’s disease may present in a variety of different ways in children, including abdominal pain, diarrhea, decreased appetite, weight loss (or failure to gain weight), delay of puberty, fatigue and anemia,” says Dr. Nirav Patel, a pediatric gastroenterologist with Atlanta Gastroenterology Associates.
The Importance of Early Diagnosis Early detection and treatment can dramatically improve a patient’s outcomes. Unfortunately, Crohn’s and colitis haven’t always had the best record for early diagnosis. “Historically there has been long delay in diagnosis of Crohn’s and colitis because symptoms may be misinterpreted,” Dr. Wolf says.“When the condition is mild, symptoms might be mild and overlap with IBS.” GI symptoms alone aren’t enough to actually diagnose Crohn’s or ulcerative colitis. Diagnosis requires a full physical and blood labs, as key markers like anemia can suggest inflammatory bowel disease. If IBD is suspected, doctors can use a long, flexible camera during a colonoscopy or upper endoscopy to identify inflammation or bleeding in the colon, esophagus and stomach. Capsule endoscopy (a small, pillshaped camera that is ingested) can be particularly useful in diagnosing Crohn’s in a younger patient.
Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer
1.866.GO.TO.AGA www.atlantagastro.com IBD CAN HAPPEN TO KIDS TOO At AGA’s Pediatric & Adolescent Division, our board certified specialist provides comprehensive care for infants, adolescents, ‘tweens and teens who may suffer from IBD.
Treatment Options The first line of defense against Crohn’s and colitis is a whole host of antiinflammatory agents. The options range from oral mesalamine/ASA derivatives, steroids, immunomodulators to IV infusions or injections of anti-TNF drugs like Remicade and Humira. www.bestselfatlanta.com
For Appointments 404.843.6320 AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.
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Unfortunately, both Crohn’s and ulcerative colitis patients IBS (irritable bowel syndrome) often need surgery. “Surgery is reserved is typically triggered by stress and may for patients who occur intermittently or sometimes not have incapacitating recur at all. It may affect someone for symptoms despite two to three months and then clear up. optimal medical therapy,” Dr. Bullock IBD (inflammatory bowel disease) is a lifelong genetic condition. says. As both Crohn’s Both Crohn’s disease and ulcerative and colitis increase colitis are inflammatory bowel diseases. the risk of colorectal cancer, additional surgery or treatment may be needed if cancerous polyps or lesions appear. An ileostomy or colostomy (a prosthetic medical device that collects waste outside the body) may be required as part of these treatments.
IBS vs. IBD
An Ounce of Prevention Lifestyle factors can affect the frequency of Crohn’s and colitis flares. Eating smaller, more frequent meals, cutting down on greasy or fatty foods and limiting dairy intake can all help control flares. Smokers with Crohn’s will likely see a reduction in flares if they quit smoking. Interestingly, the reverse is true of smokers with ulcerative colitis – when they quit smoking, they may actually experience an increase in the frequency of flares.Though with today’s treatment options, it’s still a better idea to stop smoking rather than manage colitis flares with tobacco usage.
B. Young Nutrition & Wellness
Stay Supported Whether you’ve been newly diagnosed or are a long-term Crohn’s or colitis patient, support and education play an important role in continued physical and mental health. The Crohn’s and Colitis Foundation of America provides many classes and support groups throughout the United States. In the Atlanta area alone, CCFA offers support groups for kids, teens and parents at Scottish Rite, monthly adult meetings at Piedmont Hospital, and an ostomy support group at Gwinnett Medical. “It can be very overwhelming,” CCFA’s Mary Esna-Ashari says. “Go to the first support group available and meet some other patients so you can see they are managing their disease, and you can live a normal life.” Dr. Wolf agrees that IBD patients have reasons to be hopeful, as less invasive and more effective treatments have been discovered with increasing frequency in the past five to 10 years, with the next five to 10 years promising even more improvements. He says, “The future is bright.”
Editorial Resources Melvin Bullock, MD, Gastroenterology Consultants, P.C. – www.atlantagiconsultants.com Mary Ball Esna-Ashari, MPH, Director of Education and Support, Southeast Region, Crohn’s & Colitis Foundation of America – www.ccfa.org Nirav Patel, MD, Atlanta Gastroenterology Associates – www.atlantagastro.com Douglas C. Wolf, MD, Atlanta Gastroenterology Associates – www.atlantagastro.com
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Brian Hudes, M.D., D., Medical Director, D Dimple mple Raina, M.D., Long B. Nguyen, D.O., F. E Edward ward LeVert, M.D.
, LLC
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businessnews Local restaurant Bantam + Biddy, which serves local, pastured chicken and a variety of other locally sourced fare, now has a third location. It opens at Lenox Mall this fall and will offer breakfast, lunch and dinner daily. www.bantamandbiddy.com A new location of barre3 is now open in The Avenue Shopping Center of East Cobb. Married couple Steve and Izabela Amos own this barre studio at 4475 Roswell Road Steve and Izabela Amos in Marietta. As with barre3’s first Atlanta studio, which is located in Buckhead, child care is provided during some classes. www.barre3.com
Photos courtesy of barre3 (top), Morehouse School of Medicine (bottom)
To offer a larger range of cardiac services, the Emory Clinic Heart and Vascular Center and Emory Cardiovascular Specialists have combined practices. Now, 18 physicians can care for patients needing general cardiology, preventive cardiology, cardiac sports medicine, adult congenital cardiology and more. The new practice can be found at 5671 Peachtree Dunwoody Road, Suite 300. www.emoryhealthcare.org Morehouse School of Medicine recently elected its first female president, Dr. Valerie Montgomery Rice. Her inauguration coincided with the establishment Valerie Montgomery Rice, MD of a $1.5 million Presidential Scholarship Fund to offset costs for students. www.msm.edu Piedmont Healthcare and Rockdale Medical Center are now affiliated, combining their expertise and resources to better serve the community. Patients in Rockdale County and nearby areas now have expanded access to Piedmont’s specialized services such as interventional cardiology. www.piedmont.org
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VeinInnovations, which offers minimally invasive varicose and spider vein treatments, now offers Saturday hours for free ultrasound screenings, new patient office visits and sclerotherapy at its Sandy Springs office. www.veininnovations.com www.bestselfatlanta.com
• Colitis • Fatigue
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bestcause
The Gift of Life
It sounds like a serious commitment – and it is – but one that’s relatively easy to see through. Even Atlanta Falcons linebacker Paul Worrilow went through the entire process without any real interruption to his busy life. Worrilow joined the Be The Match Registry in his sophomore year of college and was later found to be a match for a young girl in need of a marrow transplant. When he got the call about the need for his donation, Worrilow says,“My initial reaction was excitement and pride. To be given
the chance to save a person’s life was a tremendous blessing.” Be The Match guided him through every step of the process from then on, answering all his questions. Then, his PBSC donation itself was very simple.“The process was very similar to donating blood,” he says.“I experienced no side effects and was at workouts the next afternoon.” If you, like Worrilow, are between the ages of 18 and 44, you are considered a highly eligible donor. Be the Match also encourages people of diverse racial and ethnic backgrounds to join the registry, so that every patient has a better chance of finding his or her match. So take a moment this holiday season to join the Be The Match Registry. You might get the chance to give a different kind of donation than you may have had in mind, but one that could turn out to be the most meaningful gift of all. www.bethematch.org
MOVING DAY ATLANTA Walk Centennial Park to support the National Parkinson Foundation. Yoga, dance and Tai Chi will also be offered in the Movement Pavilion. www.parkinson.org
2014 STRONG LEGS RUN Support Children’s Healthcare of Atlanta at this annual event, which offers 10K, 5K and 2K options at Turner Field. www.choa.org
Nov. 2 MOVE FOR MOMS This 5K walk in Piedmont Park raises awareness for maternal mental health, benefiting Mental Health America of Georgia. www.moveformoms.com
ATLANTA LOBSTER FESTIVAL From 1 to 6 p.m., this inaugural festival offers signature lobster dishes from Atlanta’s best
Nov. 7 A MEAL TO REMEMBER 2014 Enjoy a multi-course dinner at this black-tie reception for Meals on Wheels Atlanta. Live and silent auctions feature wine and restaurant packages. www.mealsonwheelsatlanta.org
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Nov. 9 14TH ANNUAL AFTERNOON IN THE COUNTRY This afternoon of Atlanta chefs, local farms and fine wines raises funds for Georgia Organics, The Giving Kitchen and others. Tickets start at $35. www.ldeiatlanta.org
TASTE OF SOUTH COBB
This sporting clays tournament benefits Children’s Healthcare of Atlanta. This year’s event offers an Annie Oakley shooting clinic for beginners. www.choa.org
This annual fundraiser highlights the distinct flavors of the region with events like a celebrity cooking pavilion and a first responders cook-off. All proceeds benefit Sweetwater Mission, Amateur Advocate Association, Inc. and South Cobb Arts Alliance. www.tasteofsouthcobb.com
Nov. 8
Nov. 16
CLAYS FOR KIDS
STEP OUT WALK TO STOP DIABETES Support the American Diabetes Association at this walk, which takes place at Turner Field. www.diabetes.org
MOUSTACHE DASH 5K/1M Presented by New Balance Buckhead, this second annual family-friendly race steps off from the store at 8 a.m. Grow or stick on a moustache to support
Movember and men’s health issues like prostate and testicular cancer. Men can also get free prostate cancer screenings from Georgia Urology. www.bestselfatlanta.com
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restaurants to benefit Children’s Healthcare of Atlanta. www.atlantalobsterfestival.com
-BACK IVE
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For a complete list of upcoming events, visit www.bestselfatlanta.com
LUNT EE R•
thegive-back guide Featured events
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Photo courtesy of Be The Match
They can turn to you. Be The Match is a national organization working to include as many potential donors on their Be The Match Registry as possible, increasing the likelihood of each patient finding a match. To join the registry, all it takes is a simple cheek swab. Once your information is in the database, you may be called on at any time to donate peripheral blood stem cells (PBSC) or bone marrow.
Group of marrow/PBSC donors and transplant recipients at this year’s Atlanta Be The Match Walk+Run
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People diagnosed with blood cancers like leukemia or lymphoma need transplants of healthy blood-forming cells to combat their diseases. For a successful transplant to occur, though, doctors must find a “match” – a donor whose human leukocyte antigens (HLA) are compatible with those of the patient. Unfortunately, 70 percent of these patients don’t have a matching donor in their family. Where can they turn for a life-saving transplant?
Nov. 19 – Dec. 7 HOME FOR THE HOLIDAYS In Buckhead, view local and national design work at a newly constructed English-style home. A portion of the proceeds will benefit the Southeastern Horticultural Society’s Children’s Learning Gardens and Farms. www.atlantaholidayhome.com
Dec. 5 CAPTAIN PLANET FOUNDATION GALA The event, hosted at the InterContinental Buckhead Atlanta, supports global environmental projects. www.captainplanetfoundation.org
Look for this icon to find out where you can volunteer.
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The Precision of a Heart Surgeon to erase your veins
TEE R• YOUR Cardiovascular surgeon Vein Specialist
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