HealthScope Magazine Spring 2023

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W E A R E V I C !

Photo Attributed; Casey Yoshida

As Mother’s Day approaches, we want to celebrate the amazing moms who go above and beyond their job description every single day. Tireless in their love and encouragement, these women are the glue that often hold our families and communities together. If you haven’t yet found the perfect way to say “thank you” to that special mom in your life, be sure to flip through our “Must-Have Mother’s Day Gift Guide” – a collection of unique gifts and services from stores right here in Chattanooga.

Our spring issue of HealthScope® magazine is also filled with medical insights from local experts. For example, our feature “Asthma in Adulthood” sheds some light on what causes adult onset asthma, as well as how to manage it. Our feature “Atrial Fibrillation” covers the symptoms, risk factors, and treatments associated with the most common type of abnormal heart rhythm in the United States. In “Life With Down Syndrome,” we explore how people with Down syndrome can live their lives to the fullest.

Not to be missed is our annual “Tech for Your Health” section, which highlights the latest technological advancements

in healthcare. Here, you’ll learn about everything from oxygen therapy and vestibular goggles to breakthroughs in CT imaging.

There are many more topics inside for you to discover, including a hybrid workout with Molly Uhrich, healthy cauliflower recipes, haute hats from EROS Hat Co., and our popular “Inspired” section, where local women celebrate the inspirational women in their lives. We also share advice on finances, relationships, mental health, and more.

Last, but certainly not least, check out our interview with cover model Ginny Kelly. As a lifelong fitness enthusiast and athlete, Kelly has certainly made her mark on Chattanooga’s running community – and beyond. She discusses her current goals, daily routine, and approach to wellness on page 76.

We hope that when reading through this issue of HealthScope® magazine, you will be informed, inspired, and filled with anticipation as we transition into a beautiful new spring season.

Blessings always,

George Mullinix PUBLISHER

“A mother’s love is the fuel that enables a normal human being to do the impossible.”

– Marion C. Garretty

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HealthScopeMag.com

Spring 2023 • Vol. 34 Issue 4

Publisher George Mullinix

Sales & New Business

Development Cailey Mullinix Easterly

Sales & Business Development Amanda Worley

Creative & Art Director Emily Pérez Long

Sr. Graphic DesignMultimedia Lauren Robinson

Managing Editor Christina Davenport

Editors Chelsea Risley

Catherine Smith

Rachel Studebaker

Mary Beth Wallace

Director of Digital Marketing

Ruth Kaiser De Backer

Marketing & Events Operations Laci Lanier

Digital Marketing Associate Allyson Oakley-Dobbins

Photographers

Emily Pérez Long

Karen Culp

Rich Smith Ryan Long

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CityScope ® and HealthScope ® magazines and Choose Chattanooga ® – Chatt anooga Resource & Relocation Guide ® (the magazines) are published by CMC Publications, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement.

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Photo by Karen Culp

THIS SPRING!

Any tips for a firsttime mom?

Though being a first-time parent can be frightening, your new baby is fortunately very resilient! There are several things to note if your child is hydrated enough. One, if your baby continues to make tears when they cry, that is a good sign. If you notice wet diapers once every 6-8 hours, your child is still hydrated well. However, if your child’s mouth looks dry or has crusting around it, these are some signs of early dehydration. If your child has had frequent loose stools or vomiting, be sure to offer them fluid (water or Pedialyte-like; NO sodas or juices) in small amounts around room temperature – ideally around an ounce or two every 10 minutes. Even if there is some delayed vomiting, your child’s stomach lining rapidly absorbs fluids when needed. But, if you feel your child is in need of fluids that you cannot replace, do not hesitate to seek help!

Todd Rudolph, MD

Q. I’ve recently decided to seek treatment for my disordered eating, but I’m worried that working through it in a group setting will be embarrassing. Any advice?

A. The idea of group therapy can initially seem intimidating. Opening up in front of others about specific and very personal struggles can come with a lot of fear, shame, and embar rassment. This is normal for someone beginning their search for treatment, and freedom, from the eating disorder. You may think that you are the only one to feel like you do, and that you are alone in your thoughts, feelings, and behaviors. Group therapy gives you an op portunity to interact with others going through similar experiences and recognize that you are not alone. Hearing from others about their recovery journey can also provide you with encouragement and the belief that healing is possible. Addie Bramlett, RDN, LDN, CEDRD

Q. I didn’t wear much sunscreen when I was younger, but now that I’m in my 40s, I’m noticing a lot of dark spots and sun damage. Is there anything I can do to improve this?

A. Yes! Using a prescription skincare line that is made to address pigment from sun damage is a perfect place to start. This will help to fade the brown spots on the skin’s surface and suppress melanocyte production deeper in the skin. This is typically a six-month regimen. Products such as the Obagi Nu-Derm correction kit are great. You can then refine and resurface the skin with laser light photo facials and resurfacing lasers. I recommend the stacked treatment of Broad Band Light to stimulate collagen production and the Moxi laser to promote cellular turnover and reduce pigmentation.

Melody Richt

QI notice that my baby gets dehydrated when she’s sick, but I don’t always know if it’s serious enough to call for a trip to the doctor.

Q. My elderly father will be moving into an assisted living facility later this year. Any advice on how we, as his family, can make this transition as smooth as possible for him?

A. This decision is not always an easy one, but of course you want your dad to enjoy his experience while living a worry-free lifestyle and knowing care, fun, and community are available at his future home. Communicating any of your concerns is vital in the transition process. Facility directors can take past experiences that have worked for similar families and have a positive result. I would encourage you to

bring your dad over, if possible, for a social event or perhaps a game of bingo to get a feel for the community and meet some future neighbors of his. Lastly, decorate your dad’s room like his favorite room in the house; bring his favorite chair, book collection, or painting to hang. All of these attributes will allow for a sense of familiarity and really make his new home feel like his.

Karley Bias

Q. I’ve been dealing with carpal tunnel for a while, but lately the pain has progressed. Will I need surgery?

A. In short, it depends on the severity of your condition. Carpal tunnel syndrome (CTS) can cause numbness, pain, and even weakness of the hand because of a compressed median nerve in the wrist. Maintaining a flexed or extended wrist position can lead to CTS, so wearing a brace or splint can help reduce pressure on the median nerve by keeping the wrist in a neutral position. Bracing can be especially helpful at night or when doing activities that worsen your symptoms.

Identifying aggravating activities and avoiding repetitive hand use is important in managing CTS. NSAIDs can help relieve inflammation and pain, and corticosteroids can be injected near the median nerve. These non-operative treatments can be especially helpful for milder cases, but in severe CTS, surgical treatment is often needed to prevent permanent nerve damage. That’s why it’s important to see a physician who is experienced in treating CTS for appropriate evaluation and management.

Bradford Mitchell, MD

Meet Our Experts

Todd Rudolph, MD Medical Director, AFC Urgent Care afcurgentcaretn.com

Melody Richt Aesthetician and Laser Specialist, Alchemy MedSpa & Wellness Center alchemymedspachatt.com

Addie Bramlett, RDN, LDN, CEDRD Director of Eating Disorder Programs, Focus Treatment Centers focustreatmentcenters.com

Karley

Community Relations Director, Morning Pointe of East Hamilton morningpointe.com

Bias

Bradford Mitchell, MD Fellowship-Trained NonOperative Specialist, Center for Sports Medicine & Orthopaedics sportmed.com

CEMPA COMMUNITY CARE

Zach Campbell, AGNP

Cempa Community Care has added Zach Campbell to its medical staff. Campbell earned his bachelor’s degree at Middle Tennessee State University before graduating from Vanderbilt University in August 2022 as an adult gerontology nurse practitioner.

Stacey Buckner, MSN, FNP-BC, NP-C

Stacey Buckner has joined the staff at Alchemy MedSpa & Wellness Center. She is a double board-certified nurse practitioner with over 18 years of experience in the specialties of internal medicine, hematology, oncology, and aesthetics.

CENTER FOR SPORTS MEDICINE & ORTHOPAEDICS

Joshua Lawson, MD

Dr. Joshua Lawson has joined the team at Center for Sports Medicine & Orthopaedics as a total joint specialist. The fellowship-trained, board-certified orthopedic surgeon specializes in total knee and hip replacement, complex revision surgery, and robotic knee replacement.

Vijayvargiya, MD

CHI Memorial Medical Group has announced that Dr. Prabhu Vijayvargiya has joined the Buz Standefer Lung Center and CHI Memorial Lung Care Associates. He has completed fellowships in pulmonary medicine, critical care medicine, and shock trauma critical care.

PARKRIDGE HEALTH SYSTEM

Michael

McLean, MD

Dr. Michael McLean has joined Centennial Cardiovascular and Thoracic Surgery at Parkridge. The boardcertified, fellowshiptrained cardiothoracic surgeon is a Chattanooga native who specializes in complex surgery of the heart, lungs, esophagus, and other parts of the chest.

Mindy Brown

The Austin Hatcher Foundation for Pediatric Cancer has expanded its clinical team with the addition of Mindy Brown, a recreational therapist. Brown received both her B.S. and M.S. in therapeutic recreation from the University of Tennessee at Knoxville.

HAMILTON HEALTH CARE SYSTEM

Ali Al-Azem, MD, MSHA, FCCP, FACP

Dr. Ali Al-Azem, a double board-certified pulmonologist, has joined Hamilton Physician Group –Specialty Care. Dr. Al-Azem is a graduate of Damascus University School of Medicine in Damascus, Syria, and has completed fellowships in pulmonary and critical care medicine.

ERLANGER HEALTH SYSTEM

Mitch Dizon, MD

Dr. Mitch Dizon, a subspecialist in minimally invasive gynecologic surgery at Erlanger Women’s Health, performed the region’s first laparoscopic radiofrequency ablation surgery for uterine fibroids on March 20, 2023. Dr. Dizon joined Erlanger Health System in early 2020.

ALCHEMY MEDSPA & WELLNESS CENTER

CHI MEMORIAL MEDICAL GROUP Prabhu

AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER

April 13 TASTE

Benefiting the Kidney Foundation of the Greater Chattanooga Area, TASTE features some of our city’s best foods and drinks alongside live music, a silent auction, and more. Each guest receives a drink ticket and unlimited samples of the participating restaurants’ offerings. The event takes place from 5 until 8 p.m. at the First Horizon Pavilion. tastechatt.com

21-2 3 Crabtree Farms

Spring Plant Sale & Festival

At their 2023 plant sale, Crabtree Farms will offer sustainably grown vegetable annuals, perennials, landscape flowers, plus berry and fruit plant starts for the spring and summer garden. Music, arts and crafts vendors, food, and children’s activities are also in store. All proceeds benefit the community and educational programs

Crabtree offers. Festival hours are 9 a.m. to 3 p.m. on April 21 and 22, with the plant sale continuing on April 23 from 11 a.m. to 3 p.m. crabtreefarms.org/event/ annual-spring-plant-salefestival

22 River City Ribbon Run

The inaugural River City Ribbon Run, a family-friendly 5K, will be held on Saturday, April 22, at Chattanooga State Community College. Registration begins at 8 a.m. Funds raised from the run will directly support cancer patients in Tennessee and North Georgia through the Rees Skillern Cancer Institute at CHI Memorial. memorial.org

27 The Moth Ball® by CityScope®

The Moth Ball® by CityScope® is the ultimate girls’ night out! Held at The Signal, The Moth Ball® features everything from hors d’oeuvres and drinks to dancing, giveaways, and fashions from the past. With a

mission to support local women, the 2023 event will benefit the Austin Hatcher Foundation for Pediatric Cancer. Doors open at 6:30 p.m. themothball.org

29 Believe Bash

The Erlanger Health System Foundation is preparing to roll out the red carpet for its signature event, the Believe Bash. The seventh annual black-tie gala will showcase the theme “Hollywood: The Golden Age” at the Chattanooga Convention Center. Guests will enjoy a gourmet dinner, dancing, a live auction, and more while raising essential funds to support the Children’s Hospital at Erlanger. erlangerfoundation.org/ believe-bash

29-30 Opening Weekend

at the Chattanooga Market

The Chattanooga Market’s 2023 season begins April 29 and 30 at the First Horizon Pavilion. Vendors will be ready with farm produce, artisan foods, fresh flowers, arts and crafts, and more. Visitors can also expect live music and food trucks, plus free admission. Hours are 10 a.m. to 5 p.m. on Saturday and 11 a.m. to 4 p.m. on Sunday.

chattanoogamarket.com

30 Artful Yoga

Local yogis are invited to an art-inspired yoga practice with instructor Mike Weger taking place from 1:30 to 3 p.m. at the Hunter Museum of American Art. A $5 donation supports the Hunter’s educational programs. All levels of experience are welcome; participants must bring their own yoga mat. huntermuseum.org/events

5 Bunny Hop! 2023

Head to the First Horizon Pavilion from 6 until 8:30 p.m. for this family-friendly fundraiser benefiting the Chambliss Center for Children. Parents can enjoy an evening of festivities –including dinner and a silent auction – while kids participate in activities like arts and crafts, a baby animal petting station, inflatables, and more; all children in attendance will also receive a Peter Rabbit coloring book to take home. chamblisscenter.org/events/bunnyhop2023

6 ChattaDerby

Racing to end homelessness, Chattanooga Room in the Inn’s ChattaDerby 2023 is held the same day as the Kentucky Derby. While the big race is playing on a big-screen TV, attendees can enjoy complimentary hors d’oeuvres, mint juleps, auctions, and more. There will also be a Grand Hat and Best Dressed Gentleman contest! Everything takes place at the Chattanooga Whiskey Event Hall from 4:30 to 8 p.m. chattanoogaroomintheinn.com

11 Wine Women & Shoes

This fabulous fundraiser, which benefits Ronald McDonald House Charities® of Greater Chattanooga, invites women to sip, savor, shop, and support a great cause. From 6 to 10 p.m. at the Chattanooga Convention Center, attendees can enjoy wine tasting, designer pop-ups, local boutique vendors, exciting entertainment, a seated dinner, and silent and live auctions. winewomenandshoes.com/event/Chattanooga

19 Chattanooga Go Red for Women

The Go Red for Women experience continues to be the cornerstone of the American Heart Association’s Go Red for Women movement in the Chattanooga community. Taking place at the Chattanooga Convention Center, this empowering gathering focuses on saving lives and raising critical funds for the AHA. chattanoogagored.heart.org

29 Chattanooga Chase

Our area’s oldest active competitive road race, the Chattanooga Chase is a Memorial Day tradition for many. Join the 56th running of the Chattanooga Chase for the 8K race and Extra Mile for Siskin one-mile race through the scenic Riverview neighborhood. The top 25 male and female finishers will earn a special edition Chattanooga Chase t-shirt. chattanoogachase.org

52%

The percentage of children aged 6 to 8 who have had a cavity in their primary (baby) teeth, according to the CDC.

You can prevent cavities in children by: Teaching them to brush their teeth at least twice a day and floss regularly Getting enough fluoride, both through the toothpaste they use and your family’s water supply Limiting sugary foods, fruit juices, and candy

Oh, Baby!

Around 85% of couples who are actively trying to conceive will become pregnant within a year. If you haven’t conceived after 12 months of trying, it may be time to speak with a specialist.

Water Break

While optimal daily water intake looks different for everyone, many health experts agree that drinking around two liters a day, or eight 8-ounce glasses of water, will help you maintain healthy levels of hydration.

The National Institute of Mental Health reports that nearly 1 in 5 U.S. adults experience mental illness each year.

HOW TO DRINK MORE WATER:

Infuse water with fruit to give it more flavor. Consume foods with a high water content (strawberries, watermelon, lettuce, tomatoes, and cucumbers are all great options).

Fill a water bottle before you leave home and take it with you. Set reminders on your smartphone or smartwatch to drink more water. Reach for sparkling or mineral water instead of soda.

Asthma in Adulthood

Asthma is one of the most common long-term diseases among children in the United States, with symptoms ranging from wheezing and coughing to difficulty breathing. In many cases, these symptoms subside during the teenage years, but adult onset asthma is more common than many realize. Here, local experts share vital information about the disease and how it affects adults. Read on to learn how you can keep yourself and your loved ones breathing easy.

By Catherine Smith

What Is Adult Onset Asthma?

Asthma is chronic inflammation in the airways of the lungs that affects over 26 million Americans – both children and adults. It is divided into two categories: intermittent and persistent. If a person has intermittent asthma, their symptoms come and go, and they typically feel normal in between flares. Persistent asthma means the person feels symptoms frequently or most of the time. Asthma can also be classified by the cause of symptoms: allergic, meaning it is triggered by allergens such as dust, pollen, or pet dander; or non-allergic, meaning it is triggered by other factors like exercise, stress, or illness.

“Asthma can develop at any age, and the symptoms are strikingly similar in both children and adults,” says Dr. Lee M. Perry, an allergy and asthma specialist with Chattanooga Allergy Clinic. “The most common symptoms include shortness of breath, wheezing, chest tightness, and a cough that can occur at any time of the day, but is often noted to be worse at night.” Additionally, Michele Pierce, a family nurse practitioner with The Allergy Asthma Group of Galen, says, “Signs and symptoms of asthma can vary from person to person. Some people may have asthma symptoms only with strenuous activity or exercise, while others may experience symptoms more frequently.”

What Causes Adult Onset Asthma?

There are several factors thought to play a role in adult onset asthma. Dr. Perry explains, “First, a family history of asthma and environmental allergies make asthma more likely. Second, if a patient has been diagnosed with eczema, their risk of asthma is increased. Finally, a history of seasonal or year-round allergy symptoms is a major risk factor.” Some additional risk factors are more prevalent among adults than children. According to Pierce, “Environmental factors, such as prolonged exposure to workplace irritants or cigarette smoking, can lead to inflammation of the airways and contribute to the development of asthma. Less commonly considered risk factors for developing asthma include obesity and hormonal changes that can trigger an asthma flare in pregnancy or menopause.”

Lee M. Perry, MD Allergy and Asthma Specialist, Chattanooga Allergy Clinic

Michele Pierce, FNP-BC Family Nurse Practitioner, The Allergy Asthma Group of Galen

“Less commonly considered risk factors for developing asthma include obesity and hormonal changes that can trigger an asthma flare in pregnancy or menopause.”

-

Michele Pierce

How Is Adult Onset Asthma Diagnosed?

Asthma is diagnosed the same way for both adults and children. “Anyone who regularly experiences a cough, shortness of breath, or wheezing should be evaluated by an allergy/ asthma specialist, regardless of age,” says Dr. Perry. “If a patient has symptoms and a history consistent with asthma, a firm diagnosis is usually made with the help of lung function testing, or spirometry, which can be performed in-office and only takes a few minutes.”

Though clinical testing for adult onset asthma is relatively straightforward, the trouble is that, generally speaking, adults are more likely than children to have other conditions or

diseases that can complicate diagnosis. “The symptoms of asthma can mimic those associated with other conditions such as COPD, heart disease, or anxiety. But asthma symptoms tend to be recurrent and will typically involve a specific trigger to cause the cough, wheeze, or shortness of breath,” Pierce explains. “It is important to discuss your symptoms with your healthcare provider in order to determine the appropriate testing and treatment.” Remember that while it may be normal to slow down a bit with age, symptoms like wheezing and difficulty breathing should not be written off as a normal part of aging.

Marc Cromie, MD; Todd Levin, MD; Lee Perry, MD; Jennifer Patel, MD; Jessica Van Mason, MD; Hyman Kaplan, MD

Managing Adult Onset Asthma

Proper management of asthma is critical regardless of a person’s age. “Poorly controlled asthma can lead to unnecessary emergency room visits, hospitalizations, and potentially death. More commonly, asthma symptoms can prevent people from performing at their best, whether it be at work or at home,” Dr. Perry says. “Thankfully, there are excellent asthma treatments that can improve one’s quality of life significantly!” Treatments include:

Bronchodilators: These medications relax the muscles around airways so that air and mucus can pass through more easily, improving the ability to breathe. These are often taken at the onset of symptoms for quick relief.

Antiinflammatories: These medications reduce swelling in the airways and limit the production of mucous. They are often prescribed for daily use to manage chronic asthma or prevent flares.

Biologic therapies: These medications are modified from the cells of another living organism to target specific molecules in humans. In cases of severe asthma, biologics can be used to target antibodies, inflammation, or certain cell receptors to control symptoms.

In addition to medications, certain lifestyle changes can improve outcomes for people with asthma. “Lifestyle changes can have a positive impact on someone trying to manage asthma. It is important to identify triggers that may contribute to asthma symptoms and try to avoid them,” Pierce advises. “Avoiding triggers can reduce the frequency and severity of asthma symptoms. Definitely quit smoking. Exercising regularly can help improve lung function and decrease stress. If allergies cause asthma symptoms, it is important to schedule an appointment with your allergist for specific testing to help identify the potential allergic triggers for asthma.”

While there is currently no cure for asthma, there are plenty of ways to manage symptoms so that you can get back to the things you enjoy. It is important to always be aware of any new or worsening symptoms, and speak to your doctor if you have any questions or concerns about your breathing – particularly if you have a personal or family history of asthma. Dr. Perry concludes, “I cannot stress enough the importance of accurately diagnosing asthma and allergies. Once the diagnosis is made, a treatment regimen can be started that can help you live your life to the fullest.”

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Atrial fibrillation is the most common type of abnormal heart rhythm in the United States, but many people don’t realize they are living with it until it becomes a problem. Untreated atrial fibrillation can have serious consequences including stroke or heart failure, so it is important to understand the symptoms in order to catch it early. Here, local experts share critical information about diagnosing, treating, and managing atrial fibrillation.

What Is Atrial Fibrillation?

Atrial fibrillation (AFib) is a type of arrhythmia, which is an irregularity that causes the heart to beat too quickly, too slowly, or in an abnormal rhythm. The heart has two upper chambers (atria) and two lower chambers (ventricles) which must work together to effectively circulate blood through the body. With

Atrial Fibrillation

Understanding The Most Common Arrhythmia

By Catherine Smith

atrial fibrillation, abnormal electrical signals in the heart cause the upper and lower chambers to beat out of sync, impairing blood flow. “AFib is a chronic disease which typically starts out as paroxysmal (coming and going on its own) and may progress to persistent (lasting more than a week) or even permanent AFib if left untreated,” says Dr. Sean Dunn, a cardiac electrophysiologist with Hamilton Physician Group.

Symptoms

Rapid heartbeat or palpitations

Chest pain

Feeling dizzy or lightheaded

Fatigue and/or limited ability to exercise

Shortness of breath

General feelings of weakness

The effects of AFib vary from patient to patient. Dr. Kelly Richardson, a cardiologist and cardiac electrophysiologist with The Chattanooga Heart Institute, explains, “Some people can feel their heart racing or may notice palpitations. Some patients have described it as a sensation like a fish is flopping around in their chest. Others don’t really feel the heart itself, but they notice things like shortness of breath, fatigue, or swelling in their legs that impact their ability to perform daily activities.”

According to Dr. Harish Manyam, chief of cardiology and director of electrophysiology at Erlanger Health System, most AFib patients will notice at least some symptoms, but roughly 15% of AFib cases are asymptomatic. He warns, “Their first sign of having AFib could be a stroke.” For this reason, it is best to speak with your doctor about any new symptoms, even if they are vague.

Kelly Richardson, MD Cardiologist and Cardiac Electrophysiologist, The Chattanooga Heart Institute

Sean Dunn, MD Cardiac Electrophysiologist, Hamilton Physician Group –Cardiology

Harish Manyam, MD Chief of Cardiology and Director of Electrophysiology, Erlanger Health System

“Some people can feel their heart racing or may notice palpitations. Others ... notice things like shortness of breath, fatigue, and swelling.”

Atrial Fibrillation and Stroke

The greatest danger associated with AFib is stroke because AFib prevents proper blood flow, which increases the risk of blood clots forming. Dr. Richardson explains, “There is a pocket on the outside of the left atrium called the left atrial appendage, and this is where 90% of the clots that cause AFib-related strokes are formed. If that clot gets dislodged, it can then go to the brain and cause a stroke.”

Even mild AFib increases the risk of stroke significantly. “Data shows that clots can form in just minutes. We've seen some correlation with people who have had just five to six minutes of AFib that has been associated with a stroke in some cases,” says Dr. Manyam.

“Certain patients are at a higher risk for developing stroke. Known risk factors for stroke include being 65 or older, female gender, history of prior stroke, and other medical conditions such as high blood pressure, diabetes, heart failure, and vascular disease. The risk of stroke increases with each additional risk factor,” says Dr. Dunn.

Risk Factors

Sleep Apnea: Having sleep apnea puts you at significant risk of AFib. “Sleep apnea is related to an obstruction of the airways that causes an increased pressure in the lungs, and that pressure can actually stimulate the areas that cause AFib,” Dr. Manyam explains. “It is very hard to control AFib when a patient also has sleep apnea, so it is very important to treat that as well.”

Obesity: “Obesity is a big contributor, and studies have shown that losing weight helps reduce inflammation in the heart and therefore reduces the risk of AFib. On the other hand, if patients continue to gain weight, the AFib will continue to progress,” says Dr. Richardson.

Alcohol Consumption: “Binge drinking is a known contributor to atrial fibrillation. A long time ago, it was nicknamed ‘the holiday heart’ because people would go to parties, drink more than usual, and then end up in AFib,” says Dr. Richardson. “Patients who have even a few drinks a week will have more AFib than patients who do not.”

Age: As a person ages, their risk of developing AFib increases more and more. Dr. Dunn says, “It is estimated that 1 in 4 adults over the age of 40 is at risk for AFib.”

Heart Disease: Other heart conditions such as heart valve problems, congenital heart disease, heart failure, coronary artery disease, or a his tory of heart attacks increase the risk of AFib.

Additional risk factors include use of stimulants, high blood pressure, thyroid disease, family history of atrial fibrillation, and other chronic health conditions such as diabetes, kidney disease, or lung disease.

Treatment

“Because there is no known cure for atrial fibrillation, therapy focuses on reducing the risk of stroke, avoiding rapid heart rate, and restoring normal rhythm,” says Dr. Dunn. “Heart rate controlling medications, such as beta-blockers and calcium channel blockers, are used to prevent rapid heart rates which can contribute to symptoms and over time may lead to the weakening of the heart muscle.”

Blood thinners are used to prevent the formation of blood clots and mitigate the risk of stroke. For patients who cannot take blood thinners, procedures to close off the left atrial

appendage – where most of these clots form – can be very effective. When it comes to addressing the arrhythmia itself, there are several procedures that can be beneficial. “If a patient is very symptomatic and persistent, we want to try and get them back into a normal rhythm,” Dr. Richardson explains. “One option would be to perform a cardioversion to try and shock the heart back into normal rhythm.” Additional options include anti-arrhythmic medications or an ablation. “An ablation is a procedure that involves tracking wires up through the leg and into the heart, then using a special energy source

called radiofrequency ablation to actually cauterize the areas that are causing AFib.”

Prevention

For people in high-risk groups or anyone who wants to keep a closer eye on their heart, Dr. Richardson recommends checking your blood pressure or heart rate periodically, particularly if you feel something may be off. Technological advancements have also resulted in wearable devices, such as Fitbits, which allow you to monitor your heart rate. For those who can afford them, Apple watches can even notify you when you may be in AFib.

With treatment, atrial fibrillation does not have to hold you back from living life to the fullest. Maintaining a healthy weight, eating a balanced diet, and keeping medical conditions like sleep apnea under control can reduce the risk of AFib significantly. Above all, being cognizant of any new or worsening symptoms and seeking medical advice sooner rather than later are very important.

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Northwestern Mutual is the marketing name for The Northwestern Mutual Life Insurance Company (NM) and its subsidiaries in Milwaukee, WI. Sterner Financial is a marketing name for doing business as representatives of Northwestern Mutual. Northwestern Mutual Private Client Group is a select group of NM advisors and representatives. Sterner Financial and Northwestern Mutual Private Client Group are not a registered investment adviser, broker-dealer, insurance agency, federal savings bank or other legal entity. John Sterner was recognized by Forbes Top Financial Security Professionals list (July 2022). Research and ranking provided by SHOOK Research. Based upon data as of 12/31/2021. Northwestern Mutual and its advisors do not pay for placement on 3rd party rating lists, but do pay marketing fees to these organizations to promote the rating(s). Rankings and recognitions are no guarantee of future investment success.

Life With Down Syndrome

Roughly 5,100 babies are born with Down syndrome each year in the United States, making it the most commonly diagnosed chromosomal condition. Despite this fact, however, misconceptions about life with Down syndrome abound. Read on to learn more about how people with Down syndrome can live their lives to the fullest with insights from Dr. Jenesis Yanez, a developmental-behavioral pediatrics specialist at Siskin Children’s Institute, and Theresa Nix, founder and CEO of Downside Up, a nonprofit supporting families and children with Down syndrome and other disabilities.

By Catherine Smith

What is Down Syndrome?

Down syndrome is a lifelong condition that occurs when a baby is born with an extra chromosome. Chromosomes are bundles of genes found in each cell of the body which dictate growth and development. Typically, infants inherit 23 chromosomes from each parent for a paired total of 46, but Down syndrome occurs when an additional chromosome is present in one of the pairs – specifically, the 21st – for a total of 47. This additional genetic material alters the course of typical development, resulting in Down syndrome. There are three types of Down syndrome:

1. Trisomy 21 (≈95% of cases) – An extra 21st chromosome occurs in each cell.

2. Translocation Down Syndrome (≈3% of cases) – An extra 21st chromosome occurs in each cell but is attached to another chromosome. This typically causes the same effects seen with Trisomy 21.

3. Mosaic Down Syndrome or Mosaicism (≈2% of cases) – An extra 21st chromosome occurs in some cells, but not all. Depending on how many cells are affected, mosaicism can cause fewer of the traits associated with Down syndrome. Each type can cause some of the traits commonly associated with Down syndrome, including physical traits such as flattening at the bridge of the nose, almond-shaped eyes that slant upward, small stature, low muscle tone with potential for loose joints, and a deep crease across the palm of the hand. There is also the potential for certain health complications. According to Dr. Yanez, “These medical conditions include hearing loss, obstructive sleep apnea, and thyroid illness. Most of these conditions are treatable, and individuals with Down syndrome can lead healthy lives.”

Jenesis Yanez, MD Developmental-Behavioral Pediatrics Specialist, Siskin Children’s Institute

Theresa Nix Founder and CEO, Downside Up

Additionally, Down syndrome can cause mild to moderate developmental delays. “Children with Down syndrome often have delays in gross motor skills, fine motor skills, and communication. Early intervention through therapy services such as physical therapy, speech therapy, or occupational therapy is highly recommended to meet the needs of these children by supporting or strengthening their skills in these areas,” says Dr. Yanez. It is important to remember that each person with Down syndrome is a unique individual. The common characteristics associated with Down syndrome can show up in varying degrees from person to person; and just like people without Down syndrome, each individual will have varying abilities. Furthermore, especially with early intervention, these differences don’t have to hold people back from living happy, healthy, and fulfilling lives.

Treatments

Down syndrome itself is not a condition that has a singular treatment, so therapies and programs instead focus on maximizing an individual’s capabilities and addressing any challenges they may have. Physical therapy, speech therapy, and occupational therapy can help individuals with Down syndrome live their lives to the fullest. Early intervention programs exist to give children with Down syndrome access to these therapies as soon as possible, as they are very beneficial during early childhood development.

PHYSICAL THERAPY Because Down syndrome causes low muscle tone and the possibility of loose joints, physical therapy is very important. Activities and exercises to strengthen muscles can help to prevent injury and improve motor skills. Early access to physical therapy

can help children develop strength, improved posture, and fine motor skills that are useful throughout their lives. Furthermore, addressing any physical challenges can prevent children from developing compensatory movement patterns that can be detrimental long-term.

SPEECH THERAPY Children with Down syndrome often experience speech delays, but access to speech therapy early in life can make a significant difference. Speech therapists can help children develop the skills needed to form words, which include echoing sounds, looking at the speaker, the ability to listen to sounds and comprehend speech, and fine motor skills such as moving the lips and tongue. Starting speech therapy earlier in childhood can lay the foundation for stronger communication skills through adulthood.

OCCUPATIONAL THERAPY

Occupational therapy focuses on developing skills to gain independence. For children, the emphasis is on the ability to turn knobs or use tools such as writing utensils, the ability to dress themselves, or the ability to play and interact with others. Occupational therapists will work with each child on an individual basis to address skills that are challenging and build on each child’s individual strengths.

The Importance of Inclusivity

In addition to the aforementioned therapies, children and adults with Down syndrome benefit greatly from inclusive social, educational, and work programs. “Individuals with Down syndrome attend school, vote, have relationships, and can contribute to society in enriching ways,” says Dr. Yanez. “It is very important for us to continue to promote accessibility, accommodations, and the presence of individuals with Down syndrome in schools and in the workplace as they have so much to give back and teach others across all age groups.”

Special education services support children in inclusive environments where they can play, learn, and engage with same-age peers. According to Nix, who founded Downside Up after her son was born with Down syndrome, “Being in an inclusive environment with typically developing peers helps the child with Down syndrome interact socially in addition to their education. They learn by watching and participating alongside friends their age. But it’s also beneficial to the children without disabilities, because they learn to see the person rather than the disability and that they are more alike than different.”

For children and adults alike, nonprofits like Downside Up, which offers various programs for people with disabilities and their families, provide a place where everyone can be themselves, which helps develop confidence and decrease feelings of isolation.

“People with Down syndrome have the same emotions and want the same things that everyone else does – friendship and acceptance,” Nix explains. The feeling of belonging that comes from attending school, work, or social gatherings can significantly improve an individual’s outlook on life and their ability to thrive.

C

Tech for Your Health

Medical technology is constantly evolving to better treat today’s health and wellness concerns. From state-of-the-art diagnostic imaging to orthodontic monitoring via smartphone app, read on to learn more about the latest technological advancements in healthcare.

By Rachel Studebaker

An Expert Weighs In

“Weight-bearing CT scans capture high-resolution images of a patient in the natural standing position, when the foot and ankle are ‘at work.’ These scans are faster, more detailed, and provide more clarity when creating treatment plans for patients.”

Jesse Doty, MD Foot and Ankle Specialist Erlanger Orthopaedics

Bilateral, Weight-Bearing CT Imaging

Advancements to CT scans are making the process more efficient and accurate than ever.

A computed tomography scan, best known as a CT scan, is a medical imaging technology that provides detailed three-dimensional images of a patient’s bones and joints. Advancements to this noninvasive technology have greatly enhanced its process, exemplified by the bilateral, weightbearing system.

How Does It Work?

Unlike traditional CT scans, which require patients to lie still on a table that then slides into the scanner, a bilateral, weight-bearing CT machine allows patients to stand upright. When receiving a weight-bearing CT scan, you will first step onto a circular platform, using handlebars to assist you. The entry doors will close around your legs as you stand in place, and the operator will begin the brief scan. You will then be free to exit the machine, after which your scan is complete and ready for analysis.

The Benefits of Bilateral, Weight-Bearing CT Imaging

Multi-extremity capability . In addition to the weight-bearing function for the legs, this technology can also provide non-weight bearing scans for the upper extremities. Multiple functions allow this standing system to attend to a wide range of imaging needs.

Natural patient stance. Weight-bearing CT machines allow patients to stand normally, which helps surgeons make more informed decisions about alignment.

Quick scan time. Traditional CT scans take between 10-30 minutes, while a bilateral, weightbearing scan takes a minute or less. This efficient system optimizes the CT scanning process and allows both doctor and patient to review results sooner.

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Or thopaedics

Aspirex Mechanical Aspiration Thrombectomy System

This efficient thrombectomy device can help manage deep vein thrombosis.

A thrombectomy is a procedure that removes blood clots from the vessels of the peripheral venous system. A clot, also known as a thrombus, can prevent healthy blood flow to the extremities and organs and can cause pain and more serious complications if left untreated. Deep vein thrombosis, or DVT, occurs when a clot forms in a deep vein, typically in the legs. A thrombectomy may be recommended to help manage this condition; the Aspirex Mechanical Aspiration Thrombectomy System helps make this procedure efficient and effective.

How Does It Work?

The Aspirex is a simple and safe mechanical thrombectomy device. During a thrombectomy using this system, a catheter is first inserted via a small incision into the affected vein. An internal helix within the device will then create a powerful suction to capture the clot inside. As the clot travels through the catheter, it is broken down to mitigate clogging, and then transported out of the vein.

The Benefits of Aspirex

3-in-1 function. The Aspirex accomplishes every step of

the thrombectomy procedure as it aspirates, macerates, and transports the blood clot. This complete mechanism of action maximizes efficiency.

Minimally invasive. Compared to the surgical alternative, a mechanical thrombectomy is less invasive and gentler on the body.

Restored blood flow. With the clot successfully removed, blood flow is returned to the limb. This restoration of circulation prevents complications caused by deep vein thrombosis and helps the limb regain healthy function.

An Expert Weighs In

“DVT is an uncommon problem for most people, but it occurs frequently enough that most everyone has heard of ‘blood clots’ in the legs. If an acute clot forms in a leg, patients generally will experience pain, swelling, and color change of the extremity. If DVT is suspected, immediately go to the ER or your primary care physician, where an ultrasound will confirm the diagnosis. Treatment is two-fold. First, an anticoagulant will be prescribed. Second, seek a referral to a vascular surgeon. They are the specialists who perform the thrombectomy, if needed.”

Chris LeSar, MD Vascular Surgeon/ CLI Specialist/ Medical Director Vascular Institute of Chattanooga

Are you at Risk?

• Adults Over 60+

• Obesity/Overweight

• If you have Cancer or AutoImmune disorder

• People with blood that is thicker than normal

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Our team of Board-Certified, Fellowship-Trained Vascular Surgeons, along with our VIC Vascular Team, delivers comprehensive treatment for ALL your Vascular, Vein + Dialysis Issues. We are VIC - Changing the delivery of Vascular Care for our region!

An Expert Weighs In

“Orthopedic surgeons are continually working to improve the success of joint replacement surgery by developing, evaluating, and refining existing and new surgical techniques. As a result, we have a range of surgical options when it comes to total hip replacement surgery. Because the anterior approach is one of many successful techniques for a hip replacement, it’s important to discuss the specific advantages and disadvantages with regards to an individual patient’s goals, anatomy, body type, and medical history when formulating a surgical plan to optimize the patient’s outcome.”

Joshua Lawson, MD

Total Joint Replacement Surgeon Center for Sports Medicine & Orthopaedics

Anterior Approach

Hip Replacement

Candidates for this total hip replacement approach can find great relief from hip joint pain.

Total hip replacement surgery relieves pain and restores mobility to individuals whose hip joints have been damaged from arthritis and have not found relief with other conservative treatments like medications, physical therapy, or injections. There are multiple approaches to this procedure – one of which is the direct anterior approach, where the joint is accessed through the front of the hip.

How Does It Work?

During this minimally invasive procedure, the surgeon makes an incision on your leg, near the groin, and removes the damaged hip joint. An artificial joint, featuring a ball and socket made of metal, ceramic, and plastic, is then installed. Recovery starts right away with patients walking the day of surgery and includes several weeks of physical therapy. Most patients can resume normal light activities within three to six weeks of surgery.

The Benefits of Anterior Approach Hip Replacement

Personalized approach. The method used for total hip replacement is decided on by you and your physician. Recipients of anterior approach hip replacement can be assured that this method was selected for their situation as part of a personalized treatment plan chosen with care.

Muscle sparing. Frontal entry makes it possible to reach the joint by separating the muscles, rather than splitting them. For the appropriate patient, this can minimize postoperative pain during the initial recovery period, and because less tissue is disrupted, postoperative hip precautions are often not required.

Restored mobility. Total hip replacement is an effective way to restore function and alleviate pain from damaged joints. Thanks to this procedure and the advanced technology that makes it possible, recipients can enjoy reduced pain, improved range of motion, and better quality of life.

Vestibular IR Video Goggles

Vestibular Infrared (IR) Video Goggles, also known as Video Frenzel Lenses, track a patient’s eye movements to assess problems with vertigo and dizziness. This advanced technology can help physical therapists accurately identify the cause of imbalance.

How Does It Work?

Vestibular goggles look similar to virtual reality headsets and fit comfortably on your head using a strap and padding. The goggles are wired into a laptop, where your physical therapist is provided with clear images of your eyes. During the testing, you will be unable to see anything except the technology displayed through the goggles. This technology tracks small eye movements that give your physical therapist a better understanding of what is causing your balance-related issues.

The Benefits of Vestibular IR Video Goggles

State-of-the-art. Vestibular goggles have revolutionized physical therapists’ ability to track patients’ eye movements. By utilizing video technology, the goggles can reveal

otherwise indiscernible eye movements that the previous optical model could not. The ability to observe these movements has greatly benefited the diagnosis process.

Broad scope. Because many different issues can cause dizziness and vertigo, vestibular goggles can identify a wide range of disorders. Ear infections, motion sensitivity, and even more serious conditions like stroke and brain injury can be identified using this device.

Informed treatment. An accurate diagnosis using vestibular goggles allows your physical therapist to provide individualized care as you return to daily activities. This technology can help inform treatment plans that aid balance, decrease dizziness and vertigo, and most importantly, improve your quality of life.

An Expert Weighs In “Vestibular IR Goggles are a necessary tool to evaluate and treat certain types of dizziness. At Siskin Hospital, we utilize the goggles with individuals who have a concussion, vestibular issues, or dizziness complaints; this allows us to provide evidence-based assessment followed by appropriate treatment.”

Kyle Binkley, PT, DPT Outpatient Therapy Director Siskin Hospital

This eye-tracking technology helps identify balance-related issues.

We help people regain balance

We know that balance is crucial to so many things that help a person live independently. That’s why our state-of-the-art Frenzel Goggles, which allow therapists to monitor minute involuntary eye movements, are an important factor in helping establish the most e ective treatment plan.

By alleviating dizziness and returning balance, we’re enabling someone to get up and get back to living. So, we consistently strive to lead the way in our eld by o ering the most up-to-date treatment options and advanced technologies, often before anyone else in the area is doing so. It’s what helps our patients progress more rapidly and what sets us apart from the competition.

We help patients make strides every day!

423.634.1200

www.SiskinRehab.org

An Expert Weighs In

“Research shows that prostate MRI is the most powerful diagnostic tool we have, detecting up to 95% of clinically significant prostate cancer. For example, PSA blood test has a 21% sensitivity in detection of clinically significant disease, and random biopsy in some studies can only be as high as 50%. A landmark paper of level 1 data in a large trial recently published in the New England Journal of Medicine showed the power of prostate MRI and targeted biopsy in drastically reducing unnecessary surgery for low-grade disease. Interestingly, this study was performed at the same institute that proved screening mammography saves lives.”

James Busch, MD Radiologist PrimeImaging

Prostate MRI

Thanks to advanced MRI imaging, prostate conditions can be accurately identified.

Prostate cancer is a common cancer, affecting 13 in 100 American men. Powerful diagnostic technology has greatly benefited the early detection of prostate cancer, particularly magnetic resonance imaging, or MRI. This machine uses radio waves and magnets to generate images of the prostate. A 3T MRI utilizes especially powerful magnets to yield even clearer images than standard MRI scanners.

How Does It Work?

When receiving a prostate MRI, you will lay on your back on the patient table, which will then move inside the MRI machine. During the scan, an electric current passes through wire coils in the machine and creates a strong magnetic field. The coils send radio waves and produce computer-generated images of the prostate for doctors to analyze. A prostate MRI typically takes 30-45 minutes.

The Benefits of Prostate MRI

Noninvasive. Prostate MRIs are a noninvasive and painless diagnostic technology. Additionally, the 3T Open MRI is more spacious than standard systems, helping patients remain comfortable during the scan.

Higher diagnosis accuracy. Compared to other diagnostic methods, such as physical exams or ultrasounds, MRIs have the highest rate of detection. The detailed images of the prostate can reveal abnormalities that may otherwise be obscured.

Faster treatment planning. The 3T MRI is the fastest prostate MRI technology available and is up to twice as fast and more accurate as standard MRI systems. Its computer-generated images can be sent for immediate analysis, meaning doctors can move forward with developing and implementing a treatment plan, if required.

ANDY KREEK, MD JIM BUSCH, MD JAMES MORROW, MD GARTH MCPHERSON, MD

DentalMonitoring

AI-powered oral observations are revolutionizing orthodontic processes.

Orthodontic treatments such as braces and aligners require regular monitoring to ensure proper alignment. While these checkups typically take place every 4-8 weeks in office, DentalMonitoring, an advanced AI-powered platform, has made remote monitoring possible. Orthodontic teams can use this system to track their patients’ treatment weekly with fewer in-office visits needed.

How Does It Work?

DentalMonitoring utilizes a mobile application coupled with an attachment for the camera lens. During monitoring, a patient will take a scan weekly. These scans take 1-2 minutes, making it possible to scan virtually anywhere. The software, along with the orthodontic team, then analyzes the images to track treatment progress and ensure all appliances are functioning as intended. The patient will also receive progress transformation videos of their teeth throughout treatment.

The Benefits of DentalMonitoring Problem prevention. Weekly scans allow orthodontic teams to address oral hygiene, proper wear of aligners, and broken appliances in a more timely manner, leading to better results. The team can also pro-

vide encouragement and instruction to patients on cleaning and caring for appliances more frequently, resulting in the prevention of potential problems later in treatment.

Convenient communication. DentalMonitoring allows patients to easily communicate with their orthodontist. Using the app, patients can message, send photos of their teeth, schedule appointments, and receive treatment instructions.

Improved patient experience. The use of remote monitoring helps patients’ treatments move along efficiently, enhancing both patients’ results and experiences. It also reduces in-person visits, allowing patients more freedom in their schedule. Less time spent at appointments leads to less missed work, school, and activities.

An Expert Weighs In

“DentalMonitoring is one of the pieces of treatment technology that I have been most excited about. I believe it will have a huge impact on patient experience.”

Brian Webb, DDS Orthodontist Webb Family Orthodontics

An Expert Weighs In

“When a close family friend introduced us to Cereset, we were amazed by the transformation we experienced through this groundbreaking technology. Being a natural and nonintrusive way for the brain to examine and address its own imbalances without the use of medication or external manipulation, we felt confident that it could bring harmony to countless others. It has been a game changer for our family and hundreds of thousands of people around the world. We are thrilled to bring this highly effective wellness experience to Chattanooga!”

Cereset

Rebalancing the brain using advanced brainwave technology can improve healthy responses to stressors.

The left and right hemispheres of the brain constantly communicate with each other, but physical and mental trauma can interrupt this healthy function. An imbalanced brain struggles to effectively manage stress. An imbalance on the left side can create a numbing effect, while on the right side, it stimulates a fight-orflight response. Cereset can confront either imbalance and situate the brain to remedy it.

How Does It Work?

Cereset is a noninvasive technology that produces brain-initiated sounds to help the brain’s hemispheres rebalance. First, highresolution brain frequency sensors record your brain’s rhythms. A synched algorithm then translates this information into a unique set of tones that are echoed to the brain. This familiar rhythm prompts the brain to relax, recognize its imbalance, and then reset. A healthily functioning brain can reduce stress, enhance learning, increase energy, and more.

The Benefits of Cereset

Restful sleep. Cereset may help the brain respond to sleep-related conditions such as insomnia and sleep apnea. A balanced brain can facilitate better sleep, as well as respond to chronic issues.

Emotional well-being . Imbalance caused by excessive emotional stress can create a cycle of unhealthy responses. Resetting the brain’s function with Cereset can benefit emotional health and promote calm, positive, and rational thinking.

Chase & Katie Whitmire

Balanced performance. Cereset empowers the brain to reset its function and restore balance to your life. A balanced brain can benefit all facets of well-being and support a healthy, harmonious life.

Owners Cereset Chattanooga

CERESET HELPS YOUR BRAIN HELP YOU

THE CERESET EXPERIENCE

Cereset® is a wellness company. The name Cereset is derived from two words, “cerebrum” (brain) and “reset”, describing how we assist the brain to reset itself to restore its natural rhythm and balance. Cereset’s patented BrainEcho® technology is safe, proven and highly effective to support restful sleep, stress relief and clear thinking. We’re so confident Cereset can improve your life that we’re offering an ‘Introduction to Cereset’ special for only $99. You’ll have an opportunity to receive an orientation with your personal Tech Coach, a baseline brain observation, your very own Personal Brain Index® and a recommended plan of action.

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Relax your brain. Reset your life.

Hyperbaric Oxygen Chamber

Hyperbaric oxygen therapy, also known as HBOT, enhances the body’s natural ability to heal by delivering a concentrated amount of oxygen to the cells. The therapy takes place in a chamber, where the air pressure is increased and allows you to safely breathe pure oxygen.

How Does It Work?

When you arrive for your appointment, a hyperbaric oxygen therapy professional will prepare the chamber for your therapy. You will then enter the chamber and lie comfortably while breathing in the concentrated oxygen. Sessions are typically one hour. Depending on the condition you’re treating, you will likely benefit from more than one session.

The Benefits of HBOT

Holistic healing. Hyperbaric oxygen therapy delivers oxygen to various parts of the body, especially wounded tissue in need of higher levels. By increasing the oxygen

levels the blood can carry, HBOT can benefit both specific needs and overall well-being.

Comfortable environment. A cushioned chamber interior complete with a pillow makes it easy to relax while receiving oxygen therapy. In addition, a professional will be present to answer any questions and ensure you have an optimal experience.

Simple. Receiving oxygen therapy requires simply showing up and resting in the pressurized chamber. Painless and noninvasive, hyperbaric oxygen therapy is an attractive option to aid in healing. Consult with your doctor to see if HBOT can benefit your treatment plan.

An Expert Weighs In

“HBOT has improved the quality of life for me and my family, and I know it will for you also.”

Brandon Jones Owner Oxygen Health Spa

This comfortable chamber delivers oxygen therapy to promote healing.

An Expert Weighs In

“We are constantly looking for innovative technology to improve the quality of our treatment and the comfort and convenience for our patients. With digital impression technology we are able to achieve all of these objectives, so this was a home run investment for our practice. Patients love the digital impressions because we have eliminated the need for old, large trays full of ‘goo.’ Our team loves the system because it has improved the accuracy and quality of our clinical work.”

Michael Patterson, DDS Dentist Southside Dental

Digital Impressions

With digital 3D scanners, dental impressions are more efficient than ever.

If you are in need of dental work like crowns, dental implants, or dentures, your dentist will first take an impression of your teeth and mouth. Traditionally, this has involved biting down on dental putty to create a mold – an unpleasant experience for patients with sensitive teeth or a strong gag reflex. With digital impressions, however, your dentist can use a scanner to create a digital 3D image of your mouth.

How Does It Work?

Your dentist will use a wand-like scanning tool to capture all the details of the hard and soft tissues of your mouth. As the device scans, computer software creates a 3D replica of your mouth that is highly accurate and can be used for a variety of dental work. The entire process typically takes less than two minutes.

The Benefits of Digital Impressions

Efficiency. Unlike traditional dental impressions, the process for digital impressions is fast and efficient. The scanner can create an accurate 3D impression in under two minutes, much faster than waiting for dental putty to harden.

Accuracy. Your dentist will be able to monitor the impression as the device scans your mouth and ensure that everything is accurate and there are no errors in the scan. Furthermore, a retake of the scan is much easier than redoing a dental putty impression if something is not right.

Faster restoration. Whether you are going to the dentist for crowns, dentures, dental implants, or any other restoration, digital impressions expedite the process. While traditional impressions involve creating a physical cast of your teeth after the mold is set, a digital 3D image is ready to go immediately after the scan is complete.

A more enjoyable experience. Digital impressions eliminate the need to sit with unpleasant dental putty in your mouth. Many patients dislike dental putty either for the unpleasant taste, the way it triggers their gag reflex, or how it irritates their sensitive teeth.

Emsculpt Neo

Build muscle and burn fat with the help of advanced electromagnetic and radio frequency technology.

Emsculpt Neo is an innovative body sculpting treatment that uses high-intensity focused electromagnetic technology (HIFEM) and radio frequency (RF) energy to help recipients restore confidence in their body’s appearance and function. HIFEM technology prompts the targeted muscle to contract at intensities not achievable during a voluntary workout; this stress promotes the growth of muscle fibers. Simultaneously, RF heating causes fat cells to be damaged and naturally expelled from the body. On average, Emsculpt Neo can increase muscle volume by 25% and reduce fat content by 30%.

How Does It Work?

Receiving Emsculpt Neo treatment simply requires showing up and relaxing while the technology works. You will lie down comfortably as applicators are applied and begin to treat the target area – you may experience a heating sensation comparable to a hot stone massage. Each treatment lasts 30 minutes, with six sessions recommended for the best results.

The Benefits of Emsculpt Neo

No downtime necessary. Emsculpt Neo treatments are painless and noninvasive, making patient comfort

a priority. After treatment, patients can immediately return to daily activities with no recovery or downtime needed.

Multiple target areas. This treatment can target biceps, abdominals, glutes, thighs, calves, and more, making it an option for a wide variety of patient goals.

Two-in-one treatment. By delivering both muscle toning and fat reduction therapies in one treatment, Emsculpt Neo maximizes efficiency. Its short, 30-minute sessions make achieving results convenient for even those with the busiest of schedules.

An Expert Weighs In

“The most rewarding part of my job is contributing to our patients’ goals and watching them transform into a reality.”

Kayla Tanos Body Contouring Specialist Associates in Plastic Surgery

Emsculpt Neo is the first and only non-invasive body contouring treatment that combines muscle building and fat elimination in a 30-minute session. High-intensity electromagnetic technology (HIFEM) is paired with radiofrequency energy to give you more fat reduction and muscle growth in less time and for less money!

Emsella uses the same HIFEM technology which sends thousands of subpraximal contractions to the pelvic floor muscles, simulating 20,000 Kegel exercises in one 30-minute session. It rehabilitates and strengthens the pelvic floor muscles, eliminating urge and stress incontinence. As with the Emsculpt Neo, six sessions are recommended for best results.

Dr. Christopher Chase & Surgical Team

Her Story

Donna Johnson Embraces Life’s Challenges & Opportunities

Ten years ago, I was about to turn 50 and, for the first time in my adult life, I did not have a job. My company had reorganized and, after 26 years, I was no longer needed. I knew the change was coming and had taken steps to prepare myself for the inevitable. However, I was stunned. Only six months before, I had gone through a divorce and now, I was without a career with a company that I had grown to love. To top it all off, I was experiencing the empty nest syndrome.

My identity had been shaken. If I was not a wife, a fulltime mother, and a career woman, who was I? To say I was at a loss would have been an understatement.

All I wanted to do was rest.

After three weeks of “resting,” I knew I needed to take action.

The Bible tells us that without a vision, the people will perish (Proverb 29:18). Through prayer and meditation, I quickly realized that I was not lost but merely at a crossroads. It was time to dream big and create a new vision of what I wanted my life to be. The years of experience and mentoring I had acquired throughout my career had provided me with a wealth of knowledge that could be applied in many directions. Not only that, but as a single, empty nester, I had the freedom to try new things without the risk of failing others. My biggest obstacle

was changing my own mindset. Several years before, I had jokingly adopted the saying that if your birthday ends in a zero, you get to get a new attitude. With 50 literally around the corner, it was time to adjust my attitude.

That proved to be easier said than done. I had to challenge myself daily to do something I had never done before – both personally and professionally. Naturally reserved, I had to learn to stop playing small so that I could spread my wings. I joined networking groups and became active in community organizations. I became involved in mentoring programs (as both a mentor and a mentee) and

Photography by Vityl Media

started searching for new career opportunities. I learned to overcome my fear of heights and of open water by joining my children in new adventures such as ziplining and whitewater rafting. I began to embrace the challenges – and opportunities – that life brought my way, and in return, my life was blessed in ways that I could only imagine. I often say that I was not looking for a career in insurance, but God had other plans. After working

for several insurance companies in sales and corporate positions, I now enjoy a career as an exclusive agent for a local agency. Not only do I get to help people protect their families and their assets, but I’ve also achieved my lifelong dream of entrepreneurship. Along the way of rebuilding my career, I met my husband, Jeffery. We’ve been married for almost seven years, and we work together in the agency. People will

ABOVE

“The young ladies at CGLA are amazing, powerful, victorious, and memorable. The impact that they have had on me as I spend time with them is something I will always treasure. They aren’t afraid to dream big, and they are ready to make a difference in their communities. I cannot wait to see what they do in the future.”

Johnson was a participant in the Chattanooga Women’s Leadership Institute (CWLI) Game ChangeHer class of 2022, which provided opportunities for continued personal growth as well as the opportunity to mentor 8th grade students at Chattanooga Girls Leadership Academy.

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ask us what is it like to work with your spouse or how we make it work. My answer is that for us, it really is easy – one of us is the anchor and the other is the wings.

My journey over the last 10 years has had some incredible highs, but it has also had some extreme lows. In 2021, my daughter was diagnosed with stage 4 colon cancer. She fought bravely for over seven months before making her transition – one month after her 34th birthday. Again, I was devastated. I struggle with the loss of my daughter daily, and I probably always will. However, as a family, we have worked together to keep her legacy of lifelong learning and helping others shining bright. A scholarship fund has been established in her name, and we are currently working on the second annual fundraiser that will allow us to provide financial assistance to Hamilton County high school students pursuing a degree in health sciences. Opportunities for growth will always occur. Sometimes they will present themselves as a daunting challenge. At other times, they come to us as some new adventure. What I’ve learned is that, by trusting God and focusing on the positive, you can and will achieve anything that you dare to dream. And even through the tough times, life will become exceedingly, abundantly more than you could ever imagine.

Donna Johnson East Brainerd

Resources and research directly impact patients and their families here in Chattanooga. In 2022, ACS provided:

• 141 one way trips to and from treatment centers

• Education and resources for those needing to quit smoking and vaping

• Over 225 days of free lodging for cancer patients

• Support groups and resources for all cancer patients

Our community can’t afford to NOT support the American Cancer Society and the resources they provide to patients and our doctors right here in the Greater Chattanooga area.”

DR. ALVARO VALLE, SURGICAL ONCOLOGIST AT UNIVERSITY SURGICAL ASSOCIATES

Leaving a Legacy: The Practicalities of Wills and Estate Planning

Although it’s difficult to imagine leaving your loved ones behind, it’s an inevitability that we will all face at some point. It can be helpful to think of estate planning as simply another way of taking care of your family. Here, we talked with three experts

By Chelsea Risley

about why this is important, as well as practical ways to prepare.

Stephany Pedigo, attorney at Chambliss, Bahner & Stophel, views preparing for your death as an act of service to your family.

“In taking the time and effort to plan your estate, you relieve stress and show love to your family by clearly letting them know your wishes regarding healthcare directives and displaying that you planned for their financial welfare in a will or trust,” she says.

To help minimize difficult conversations or possible conflict among family members – and lessen estate and inheritance taxes – it’s best to begin making arrangements early. Wills are certainly important, but only a part of estate planning, which also encompasses beneficiaries and trusts as well as healthcare directives and power of attorney documents. These crucial documents define your wishes in the event that you become medically unable to make decisions, and they appoint people to carry them out.

Julie Davis, an advisor at Raymond James Financial Services, emphasizes the importance of naming beneficiaries and regularly reviewing them. “This includes beneficiaries of both qualified and non-qualified assets, whether invested or held in cash. Oftentimes clients forget to do this on 401(k)s, life insurance policies, small bank accounts, and other miscellaneous assets, or after a life-changing event, like the death of a spouse or a divorce,” she explains.

Without a strategy in place, your estate – and possibly the guardianship of your children – may be decided in probate court, which can be a long and stressful process. As Bobby Futch, an advisor at Patton Albertson & Miller, explains, being proactive is crucial to help guide your family. “Dying without a will can leave your assets subject to the intestacy laws of the state in which you live,” he says. “These laws can lead to asset distributions inconsistent with your wishes.” Depending on the size of your estate, it may be best to enlist the help of a professional to

make sure you’re covering everything you need to. In the meantime, here are a few tips to help you draft your will.

• Make a list of all of your assets. This includes property, vehicles, jewelry, furniture, bank and retirement accounts, etc. Make another list of your debts – mortgages, loans, and credit cards. Indicate account numbers, passwords, and locations of paperwork to help make it easier for someone else to handle these affairs.

• Select guardians and an executor. Choose someone you trust to serve as guardians for your kids and/or pets, and then choose a backup or two, just in case. This eliminates any confusion, and it may help your children feel more secure if they know they would be going to a safe place. You’ll also need to choose an executor, someone who will be responsible for executing your wishes if you prefer not to use your attorney.

• Make copies. You should make at least three copies of your will and associated documents – one to keep for yourself stored in a safe place, one for your partner, and one for your attorney and/or executor. Make sure all the copies are prepared and notarized according to your state’s laws.

• Revise your plan. Don’t forget to make changes to your plan after major life events, like getting married, divorced, or having a child. Otherwise, you should update it every few years.

Stephany S. Pedigo Of Counsel, Chambliss, Bahner & Stophel, P.C.

Julie Davis Partner, Round Table Advisors, Senior Financial Advisor, Raymond James Financial Services

Bobby Futch

Client Advisor, CIC, CRPC, Patton Albertson & Miller

Out of Ofce

Setting Yourself Up to Enjoy Time Off

From battling burnout to making memories with loved ones, taking time off is an important part of maintaining a healthy work-life balance. In fact, studies show that vacations can reduce anxiety and depression, improve physical health, and even boost productivity on the job. But when stress from the office tags along, vacations can become more of a burden than a blessing. Luckily, the tips below can help you prepare to enjoy your time off to the fullest.

By Catherine Smith

Before You Leave

Prioritize Tasks: Take some time to evaluate your projects and prioritize any deadlines that would conflict with your vacation. Your to-do list may be long, but it is better to focus on things that need to be done rather than everything you want to get done.

Plan Ahead: Establishing a plan of action is critical if you want to avoid panicked phone calls. Clearly communicating the status of any pending projects and establishing a plan for their contingency will relieve stress for you and your colleagues alike.

Fill Everyone In: If you work closely with people outside of your organization, like clients or other stakeholders, telling them about your vacation ahead of time and letting them know who will be handling things while you’re away will help to reassure them that their projects will not be put on the back burner. In the weeks leading up to your trip, cc’ing a secondary point of contact on any emails will help keep your colleague in the know and make for a more seamless transition.

While You’re Away

Set It and Forget It: It’s not easy to leave your inbox unattended, but setting an automatic email response with an out-of-office message can help put your mind at ease. Be sure to provide a secondary point of contact in the message so you can rest assured that any pressing issues can be handled without taking you out of vacation mode.

Stay Present: If you find your mind drifting back to the office, take a moment to practice deep breathing or go for a walk to help shake off any anxiety. Remember that taking this time to decompress will improve not only your personal well-being, but your motivation and job performance as well.

Maintain Boundaries: Even the best-laid plans sometimes go awry, and you may end up getting calls, texts, or emails about workplace issues. If you absolutely must respond, focus on directives that allow your coworkers to solve the problem without you. Otherwise, simply stating that you will handle it when you’re back in the office is a courteous way to remind others that you are unavailable.

Once You’re Back

Returning to work after a vacation can be overwhelming, so it’s best to be intentional about shifting back into work mode. On day one, dedicate some time in the morning to catch up on emails and reorient yourself. It can also help to schedule a meeting for coworkers to bring you up to speed on anything that happened while you were away. Overall, easing back into the swing of things can help you maintain the boost of motivation that comes after a break.

Ginny Kelly

For Ginny Kelly, health and wellness have always been a vital part of her life. With a dad who was a collegiate football coach and a career as a tennis professional after college, Kelly is no stranger to the world of fitness. But while fitness may have once looked like staying in peak physical shape and winning matches, now it’s a way to connect with friends and family and show up for those who matter most.

What is your approach to wellness, and how has that changed over time?

Both my parents were always very active, and with my dad having been a coach at Ole Miss, a disciplined exercise ethic was just ingrained in me. I’ve always heard that if you don’t take care of yourself, you cannot take care of anyone else, and I believe it! I exercise in some form every day. Whether it’s walking, running, or lifting weights, I need the mental health boost that activity gives me. With any activity I do, I also try to do it with a friend. I think the social aspects of exercise are often overlooked and underestimated. Some of my closest relationships are with the people I train with, and I appreciate the accountability those relationships provide. As I have gotten older, however, I also realize how vital rest is. I have always liked to go 90 to nothing, but now I know I’ll crash and burn if I don’t get enough rest to recover properly.

What are your favorite ways to practice self-care?

Spending one-on-one time with my husband and getting outside with friends. I listen

to a podcast called “SmartLess” when I’m out walking. It’s always sure to bring plenty of laughs, and that’s exactly what I need to get the day going.

What are the traits you most value in yourself?

A sense of humor, creativity, and resilience.

What are some of your current goals, and what are you doing to work toward them?

My main goal is to get back to my normal exercise regimen, as I’ve had two foot surgeries in the past two years and haven’t been able to trail run. I’d like to add more trail running events to grow my business, Bad Beard Events. To accomplish these goals, I will rely on a slow and steady approach with the help of family and friends. This won’t be easy for me because I am not good with slow and steady, but that’s why my friends and family are involved!

How do you approach emotional well-being?

I love being alone in nature and working through what’s going on in my life. I also read many

books on meditation. My current favorite is “Meditations on SelfLove” by Laurasia Mattingly.

What does your daily routine look like?

I am an early bird, so I make coffee and have some quiet time before sunrise. I go for cryotherapy and red light therapy after coffee and then try to get a walk in before work or on my lunch break. I also strength train twice a week. Weeknights are a little hectic, but I try to cook dinner at least three nights a week and am typically in bed by 9:30.

What’s the best advice you’ve ever received?

My parents taught me that no task is beneath me. I will do whatever I have to do to get things done.

How do you encourage health and wellness within your family?

My husband is my best friend and partner in everything I do. We encourage each other to get outside, to reset when we are feeling overwhelmed, and to talk through all the good and bad that happens throughout the day.

Photo by Karen Culp Taken on Location at The Rosecomb

What do you find the most rewarding?

Watching others meet their goals. Owning a race series, I have the pleasure of watching people evolve as they get into trail running. There is no joy bigger than seeing people challenge themselves and the smiles on their faces when they finish a race.

Monique Goodwin

On a warm Sunday morning in August, I woke up at 6 a.m. tired and short of breath. I thought it was the aftermath of spending the previous day at an amusement park with my 11-year-old nephew, Dallas. Being out of breath was not new to me because I was usually exhausted after completing household tasks and walking short distances. Something was different this particular morning, but it wasn’t drastic enough for me to consider an emergency room visit. I wanted to wait until the walk-in clinic opened that morning. My sister, however, with whom I lived, encouraged me to go to the emergency room so I could be checked out sooner. I honestly thought it was a possible case of pneumonia.

At the emergency room, there was another wave of COVID-19 cases, and only patients were allowed in the back until their test results came back negative. My sister, Stacy, decided to take the short drive back home until my results were in. I called her twice from the emergency room with updates. The ER found fluid in my lungs and diagnosed me with pneumonia.

Just moments later, things took a turn for the worst. The next call Stacy received was from a doctor asking a series of questions about my health. He stated that I had to be emergently intubated because my breathing had stopped. I was admitted to the ICU, stayed on a ventilator for several days, and was finally diagnosed with congestive heart failure. When I eventually opened my eyes, I can remember my sister telling me not to pull at the tubes and explaining to me where I was. I could not fully comprehend what had transpired, but I understood I was in the hospital. I would remain hospitalized for one week. I remember being taken off the ventilator and being so relieved and thankful that I was able to do so.

By the time I was released from the hospital, I was able to comprehend more

of what had happened to me and my diagnosis. I was in disbelief! However, acceptance came thereafter, and I was able to work toward getting better and healthier. I was under a cardiologist’s care, joined a cardiac rehabilitation program, took mandated time off work, and was put on medicine. In December 2021, my heart was still functioning at a low percentage, and the decision was made to put in a defibrillator and pacemaker. I was only 45 years old at the time.

I now realize what I had experienced leading up to my hospitalization were heart disease symptoms that I rationalized away. I thought my shortness of breath and fatigue were ramifications of getting older, an increase in weight, and just being out of shape. So, if there is one thing that I can stress to others, and women especially, it’s to listen to your body and the signs that it relays. Walking from your driveway to your front door should not knock the wind out of you. If so, it is worth having a conversation with your doctor.

Today, my heart is functioning closer to normal, and I have made the necessary changes in my life to be healthier. I work out more, eat healthier, and I choose not to stress over much. I am blessed with supportive, caring, and loving family and friends. I am so grateful to be alive today.

The American Heart Association is dedicated to building healthy lives, free of cardiovascular disease and stroke, through education, caregiver support, research, and development of healthcare professionals. Go Red for Women is a social initiative designed to empower women to take charge of their heart health by equipping them with the knowledge necessary to lead healthy lives with healthy hearts.

PHOTO BY EMILY PÉREZ LONG

Legacy of Leadership

We’ve assembled a legacy of leadership to advocate for the health of all women in our community. Together, we aim to raise crucial lifesaving funds, reach women of all backgrounds and increase engagement in the Go Red for Women Movement.

By sharing real women’s stories and meeting people where they are, we proudly aim to change the staggering statistic that 1 in 3 women die each year from heart disease and stroke. Because even one woman is too many.

involved.

GO RED FOR WOMEN LUNCHEON

Friday, May 19th, 2023

Chattanooga Convention Center

Channing Muller, 2024

Dalya

Qualls White, 2023

Stacy Lightfoot, 2023

Must-Have Mother’s Day Gift Guide

Whether you’re aiming to send a helpful hint to your husband, buying for your own mother, or just recognizing a special mother in your life, here is our collection of unique gifts from local stores that are sure to make any mother feel cherished and celebrated.

Wendy Clark Mug

Plum Nelly Shop | $45 each

“Mom is sure to love these hand-painted ceramic coffee mugs featuring a beautiful floral design. Handmade by local artist Wendy Clark of Wendy Clark Ceramics, the mugs will bring a smile to her face as she enjoys her morning cup of joe. Each piece is unique and a work of art all its own.”

About Plum Nelly Shop: Celebrating 51 years of business, we carry a unique array of locally and regionally made pottery, glass, jewelry, art, and giftware as well as stationery, invitations, and so much more.

423.266.0585 | plumnellyshop.com | @plumnellyshop

Lip Filler

Flawless Aesthetics | Prices range from $600-$750

Catharine Daniels

“Give the gift of a perfect pout! Using advanced techniques, we’re able to restore a youthful, natural-looking pout. Our moms are beautiful the way they are – we simply turn back time and bring back her youthful glow and confidence!”

About Flawless Aesthetics: Locally owned and operated, Flawless Aesthetics is dedicated to providing natural, confidence-boosting results for clients. With over 10 years of experience, the Flawless team strives to make everyone feel and look their best.

423.206.9500 | flawlesschattanooga.com @flawlesschattanooga

Lindsay Bright

Diamond Heart Necklace

Brody Jewelers | Pricing available upon request

“Share your heart with Mom, or any special woman, this Mother’s Day with this diamond heart necklace. It features an 18k white gold paper clip chain with a diamond heart pendant totaling 0.95 carats. This necklace is sure to fill Mom with love and her friends with compliments.” -

Louis Brody

About Brody Jewelers: Brody Jewelers is a family-owned and operated fourth-generation jeweler established in 1937. Celebrating 86 years of service to the community, they offer personalized attention to every client.

706.866.3033 | brodyjewelry.com | @brodyjewelers

Mother’s Day Delight Gift Box

Sophie’s Shoppe | Pricing available upon request

“Everything needed for a cozy night in, the Mother’s Day Delight Gift Box features the calming scent of lavender bath and body goods. This box also includes an organic green tea medley with a stainless-steel tea steeper for brewing the perfect cup. Self-care makes the perfect gift for Mom!”

About Sophie’s Shoppe: Founded almost 20 years ago, Sophie’s is a woman-owned, small business that prides itself in finding cool makers who create beautiful products. We carry a mix of goods including home décor, art, foodie gifts, jewelry, and accessories.

423.756.8711 | sophiesshoppe.com

@sophies_shoppe

Bracelet & Matching Ring Set

Markman’s | Pricing available upon request

Zeen Oehmig

“Make any mom feel special with this set! It features a Markman’s Signature 14k yellow gold 8-inch fancy circle bracelet containing 180 round brilliant-cut diamonds weighing 3.10 total carats and 110 round brilliant-cut rubies weighing 2.53 total carats paired with a custom Vlora 14k yellow gold fancy ring containing 110 round brilliant-cut diamonds weighing 1.02 total carats and five round brilliant-cut rubies weighing 0.75 total carats.”

About Markman’s: Established in 1976, Markman’s is a familyowned and operated third-generation jewelry store offering a wide selection of fine jewelry and timepieces.

423.894.7581 | markmansdiamonds.com

@markmansdiamonds

Scott Burnett

Mother’s Day Gift Box

Locals Only Gifts and Goods | $66

“Give Mom a gift box filled with local goods! The Mother’s Day Gift Box includes a Spirit of Chattanooga candle, Cosgrove & Lewis bath bomb, Walker’s Southern Peach Margarita Mix, and a Rangemark block printed citrus hand towel. Both shipping and local delivery are available for this gift box.”

About Locals Only Gifts and Goods: Supporting local just got easier! Locals Only Gifts and Goods carries Tennessee-made goods from over 100 local makers, specializing in high-quality, locally sourced goods from only local artists and artisans.

423.541.4438 | localsonlygiftsandgoods.com

@localsonlygiftsandgoods

Hydrafacial

Premier Medical Aesthetics | Pricing available upon request

“Give Mom the gift of glow! The hydrafacial combines three simple steps – cleanse, extract, and hydrate – to bring you the best skin of your life! Our aestheticians will personalize the treatment to cater to Mom’s specific needs and have her ready to take on the day with confidence.”

About Premier Medical Aesthetics: Premier Medical Aesthetics’ mission is to help women feel like the most confident version of themselves. Your happiness is our standard for success.

423.498.5777 | premiermedspachatt.com

@premiermedspachatt

Dysport

Premier Medical Aesthetics | Pricing available upon request

“Whether you’re looking to honor a pet mom, plant mom, or super mom, Dysport is the perfect gift! Our wrinkle-reducing neurotoxins roll back the years in just a few days. We customize an anti-aging, wrinkle reduction treatment that makes you look and feel youthful, refreshed, and vibrant.”

About Premier Medical Aesthetics: Premier Medical Aesthetics’ mission is to help women feel like the most confident version of themselves. Your happiness is our standard for success.

423.498.5777 | premiermedspachatt.com

@premiermedspachatt

Dr. Alisha Armstrong

Dr. Alisha Armstrong

Danielle Landrum

Layered Diamond Necklaces

Fink’s Jewelers

Diamond 3-Station Necklace $5,795 | Diamond Flower Necklace $3,050

“Layer the love this Mother’s Day with dainty diamonds from our exclusive Sabel Collection. This set features a diamond 3-station necklace in 18k white gold and a round diamond flower necklace in 18k white gold.”

About Fink’s Jewelers: Family-owned and operated since 1930, Fink’s takes pride in offering the same quality, service, and selection as the day they opened the first store. With over 90 years of experience, Fink’s offers a vast selection of fine jewelry, Swiss timepieces, and an expansive collection of fine diamonds.

423.894.1188 | finks.com | @finksjewelers

OG Boob Box

Boob Box | Prices Vary

“Boob Box is built on support for the breastfeeding mom. With four pre-built box offerings and a build-your-own-box option, you’re able to select the nursing and pumping essentials you or an expectant mom needs. We carry the best in breast care and everyday essentials, because you deserve it. It’s the perfect self-care package you can gift this Mother’s Day.”

About Boob Box: A curated mix of breastfeeding essentials and new mama care – welcome to Boob Box! Started and operated by a mom and certified breastfeeding counselor, Boob Box is your resourceful one-stop shop for all things breastfeeding.

shopboobbox.com | @boob.box

Jewelry Box Session

Hunter Halleen

Epperson’s, A Fine Jewelry Studio | Pricing available upon request

“Give Mom the gift of exactly what she wants with a custom jewelry design session. One-on-one, she can design the exact piece of jewelry she’s always wanted. Reimagining jewelry she already owns, or starting from scratch sourcing desired diamonds or gemstones, she’s sure to create a custom piece perfect for her.”

About Epperson’s, A Fine Jewelry Studio: Ellen is a secondgeneration jewelry designer whose passion is creating clients’ dream jewelry. Committed to quality craftsmanship and unmatched customer service, Epperson’s offers delivery, design, and personal shopping appointments for Cleveland and Chattanooga clients. Open by appointment.

423.479.2847 | eppersonsjewelers.com @eppersonsjewelers

Ellen E. Wiberley

Antony Sprason

Sunny spring days are the perfect excuse to don a stylish hat, and EROS Hat Co. is here to supply the hat of your dreams with its premier custom hat bar experience. Get creative with the countless combinations available and pair your creation with the shop’s permanent jewelry or vintage denim. Whether it’s

HAUTE HATS

treating yourself to a new accessory, bonding with a bachelorette party, or snagging a special souvenir while in town, EROS has you covered with Western wear-inspired fashion that is truly one-of-a-kind.

“When you step into EROS, it’s your chance to really let your creative juices fly! We’ll be right there to guide you. Coming for a custom hat? Let’s get you sized and figure out your preferred crown and brim styles and color. From there, we decide how we want to adorn it, choosing bands, feathers, pins, and branding. Go wild – make it uniquely yours! Then sit back and sip some bubbles while we bring your vision to fruition.”

Kim Thompson, founder and owner of EROS Hat Co.

Photography by Rich Smith

Smile On

By Christina Davenport

It’s common for beauty ideals to come and go, but one that has stood the test of time is teeth whitening. Discoloration is just a natural part of life, and there is a myriad of ways to tackle the issue. If you’re on the hunt for some simple solutions to achieve a brighter, whiter smile, look no further. Here are a few easy tips to help!

Maintain proper hygiene.

Good dental habits can go a long way in making sure your teeth are resisting stains. Brushing twice daily and flossing regularly are crucial to maintaining good dental hygiene. You should also replace your toothbrush every three months so that your bristles aren’t becoming worn down. Having a fresh toothbrush and flossing those hard-to-reach areas will help prevent stains between the teeth.

Limit added sugar and acidic foods.

In addition to the more obvious culprits, having a diet full of added sugar and acidic foods could be doing you a disservice when it comes to the color of your teeth. Acidic foods – such as berries, tomatoes, and oranges – can erode tooth enamel, making it easier for teeth to stain. In addition, foods high in sugar can interact with the naturally occurring bacteria in your mouth and produce acid, which again, can cause you to lose enamel and allow your teeth to yellow.

Avoid foods and drinks that stain.

We know. This one isn’t much fun, but if you’re looking to make a big impact on stained teeth, the best way is to avoid the foods and beverages that caused the staining in the first place. While not everyone’s teeth are discolored due to their diets, for many people it’s a leading cause. Common offenders are coffee, red wine, cola, tea, fruit juice, berries, tomato or soy sauce, curry, and balsamic vinegar. If eliminating these items is out of the question, try limiting them, rinsing your mouth with water after consuming, or using a straw for liquids.

Consider whitening products.

If you’re looking for a faster approach, there is no shortage of whitening products and services on the market. The safest solution is any service that is provided by your dentist, and these procedures typically mean access to higher prescription or more concentrated products. In addition, teeth whitening kits, strips, and toothpastes can all be purchased over the counter, and laser teeth whitening can also help remove staining. Experts suggest that your whitening toothpaste contains at least 1350 ppm (parts per million) of fluoride to make sure levels are sufficient enough to prevent tooth decay.

Pick your colors carefully.

Another less obvious way to make your teeth appear whiter is to consider the colors you’re wearing in your clothes and makeup. In general, the whiter your clothing is, the less white your teeth will appear by comparison, so choosing off-white shades will work wonders. When it comes to lipsticks, opt for colors that have a blue undertone – not yellow – as a way to make your smile appear whiter.

Spring Into Cleaning

Spring is synonymous with fresh starts. Warmer weather ushers in a whole host of new traditions and tasks, and one that has been at the forefront for centuries is the notion of spring cleaning. While there are certain tasks such as dusting or vacuuming that should be done with much more regularity, others tend to take a backseat. Below are just a few less-remembered tasks that should have a place on your cleaning checklist this spring!

Wash baseboards, window sills, and walls

Clean vents

Dust overhead lights and fans

Vacuum lamp shades

Clean out unused and expired items from your pantry and refrigerator

Vacuum and mop behind appliances

Clean interior of your fridge, oven, and dishwasher

Polish furniture Shampoo carpets

Wash throw pillows, curtains, and bathmats

Change batteries in smoke alarms and carbon monoxide detectors

Replace or wash shower liners

Thoroughly dust blinds

Discard expired makeup and clean holders and cases

Degrease backsplash and tops of cabinets

Vacuum dryer lint trap

Reseal grout lines

Polish metal door and window hardware

Wax floors

Wash window screens

Dust or wash trim and moldings

Wipe down kitchen and bathroom drawers

Sharpen knives

Descale kettle and coffee makers

Donate unused items and clothes

Clean television and computer screens

inspired by CINDY MILLS ANGIE HULLANDER STIGGINS

Angie,

I’ve reflected a lot on the strong female leaders who shaped my career in some shape or form. I have been blessed to work with many female leaders during my career who exemplify many of the traits that I now want to pour into others that I have the privilege to mentor myself.

Being surrounded by strong female leaders throughout my career has taught me a lot about the importance of not just a diverse team, but a diverse leadership team, too. It’s something I’ve always felt was non-negotiable when it comes to building an inclusive environment where everyone can feel safe and has a sense of belonging.

You are a leader who is admired by all who work and cross paths with you. You have a deep understanding of how to establish connection with any person or audience, but most importantly, you show your gratitude and appreciation for the people you work with. You are a pro at eliminating tension amongst other leaders and encouraging collaboration. I’ve watched you take steps that others would have found challenging and difficult to ensure that the right people made it onto teams and were supported and empowered along the way. You are tireless in your support and empathy for those you lead and serve.

The ability to be vulnerable, nurturing, and when necessary, assertive in one’s leadership style is the hallmark of a fantastic leader.

Thank you for LEADING the way!

- Cindy

“You are a leader who is admired by all who work and cross paths with you.”

PHOTO BY RICH SMITH

Angie (Left) and Cindy (Right)

inspired by

Dear Toccora,

I want to first start by thanking you! Thank you for your encouragement and support over the years. Thank you for showing me how much hard work truly pays off. Representation is important and needed for women of color, and you so graciously embody that. You are truly an amazing role model. Your tenacity, passion, and dedication are unmatched. I sometimes just sit back in amazement of all your accomplishments and the way you somehow manage to juggle the many hats you wear: CEO, wife, friend, mentor, and the list goes on. You are so genuine in everything you do. You push me to challenge myself and you believe in me, and for that I am grateful. If I can be half the woman you are, I know I will be okay in this world. Thank you for always advocating, challenging, and cheerleading for me. You have really brightened my professional career and made me a better person. It is truly an honor to be in your presence and witness your greatness. Thank you for caring about my growth professionally and personally the way you do. Continue to shine, and thank you for making a difference in my life.

With love,

- Kayla

“It is truly an honor to be in your presence and witness your greatness.”

KAYLA BATES TOCCORA JOHNSON-PETERSEN

Toccora (Left) and Kayla (Right)

PHOTO BY EMILY PÉREZ LONG

inspired by KATIE DYSON MARY FORTUNE

Cheerleader, mentor, comedian, leader, teacher, friend – it’s rare to find all these things bundled into one human, but somehow you make it look easy.

You’re a force for your people, making sure they feel valued and supported through thick and thin. You’re a guide through new territory when people feel lost or uncertain. You’re a hug for the discouraged. You’re entertainment in the mundane. You’re consistent in the midst of chaos. You’re authentic in a room full of masks. I could keep going, but I think you get the point.

They say not all heroes wear capes, and I know you would never draw that much attention to yourself, but you’re one of my heroes. You’ve taught me what humble leadership looks like, and you embody all the best qualities of a leader. You’ve shown me what it looks like to be a good mentor regardless of a title, and a good friend regardless of age or life stage. Thank you for being entirely you. Every day. No matter what.

I hope you know how incredibly awesome you are, but here’s a quick reminder just in case you forgot.

- Katie

Mary,

“You’ve taught me what humble leadership looks like, and you embody all the best qualities of a leader.”

Katie (Left) and Mary (Right)

PHOTO BY EMILY PÉREZ LONG

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inspired by

Tammy,

Around mid-January of last year I thought I was simply getting a new black lab puppy from a friend of my mom’s. Little did I know my life would soon change for the better. I gained a new best friend/mentor and someone who constantly inspires me. Whether it be our past experiences, our overflowing love for black Labradors, or our joy in hosting, I knew we’d be great friends immediately. You not only inspire me, but you are constantly encouraging to me through your cards that somehow appear exactly when I need encouragement the most.

You have welcomed me into your home for family dinners, helped me with cake decorating, and invited me to learn how to help train my puppy. You and Dan have invested so much time not only into my life, but into my sweet little puppy, Magnolia, as well.

You have truly inspired me to be the best version of myself. You’ve encouraged me to get back into Bible study and have helped me to regain a feeling of selfimprovement after tough life situations.

Your love for others is clearly evident through the work you do at a local nonprofit and the time you pour into other local women’s and teenage girls’ ministries. I am so thankful for our friendship and know for a fact that God brought us together in this phase of life for a reason!

- Autumn

“You have truly inspired me to be the best version of myself.”

AUTUMN NEWMAN

TAMMY MCCALLIE

Tammy (Left) and Autumn (Right)

PHOTO BY EMILY PÉREZ LONG

18K white gold and multi-shape diamond halo pendant

Families Who Travel Together, Stay Together

Local Luxury Travel Planners Offer Expertise on Multigenerational Vacations

By Chelsea Risley

One of the biggest benefits of any vacation, whether it’s with your immediate or extended family, is the opportunity to get out of your normal routine, and as Amber Dixon and Jessica Crutchfield of Limitless Destinations explain, “Exploring the world together creates familial bonds and core memories.”

These trips, no matter your destination, allow you to get to know each other in new ways – especially children, who may see adults outside of their caregiving roles for the first time. “Multigenerational travel offers a rich experience when you explore new cultures and discover new passions with the people you love the most. Who knew that Nana was a great salsa dancer? Or that Uncle David could cook a mean ratatouille?” Dixon and Crutchfield elaborate.

Amazing benefits aside, planning these trips can be tricky. The more people you

invite, the more needs and preferences there are to accommodate. You’ll need to be mindful of choosing accessible activities for the youngest and oldest members of the family as well as dietary requirements for everyone.

Jenny Park of Wild & Precious Travel suggests adventurous families try “bucket list” trips like luxury safaris that are “both educational and exhilarating, and logistics are handled by the local guides and lodge staff, which reduces the need for group decision-making.”

For families that are more interested in relaxing, Park suggests a luxury all-inclusive resort in the Caribbean or Riviera Maya – “these resorts offer a range of dining and activity options along with excellent kids clubs.”

Of course, it’s doable to plan your own trip, but you may find the whole experience more enjoyable and stress-free if you choose a professional to help make all your vacation dreams come true.

Tried-and-True Travel Tips

Limitless Destinations

Check your passport expiration date — many destinations require six months or longer validity after your travel dates. Renew or apply for a new passport as soon as possible to avoid last-minute travel stress.

Wild & Precious Travel

Always have your transportation from the airport to your hotel booked before your arrival! Particularly with international travel, some arrival areas can be quite chaotic, and some destinations do not allow Uber and have limited public transit.

Amber Dixon Luxury Travel Advisor, Limitless Destinations

Jessica Crutchfield Luxury Travel Advisor, Limitless Destinations

Jenny Park Luxury Travel Advisor, Wild & Precious Travel

Cauliflower Power

Cauliflower has recently gained a lot of steam, and with good reason – it’s versatile and absolutely packed with nutrients. This cruciferous vegetable is also a good source of choline, which is crucial for brain development and not found in many other foods. It’s perhaps most well-known as a weight-loss-friendly food because it’s primarily water and very high in fiber.

The options for preparing cauliflower are endless – try it as a gluten-free pizza crust, an alternative to rice or mashed potatoes, or as steaks or “wings.” These locals offer creative and delicious ideas for cooking with this fantastic veggie.

Photography

by Rich Smith

“This is a light and refreshing ceviche; it is versatile for vegetarians and vegans alike. Ceviche is historically rich in antioxidants. Cauliflower has high levels of vitamins C and K and is fat- and cholesterol-free. Shiitake mushrooms help to boost white blood cells and support immunity as well as protect against cell damage.”

– Executive Chef Allan Ubas

State of Confusion’s Vegan Ceviche

YIELDS: 6½ CUPS

• 4 lbs. cauliflower florets, blanched and chopped into small ¼-inch pieces

• 2 lbs. shiitake mushrooms, stemmed and chopped into ¼-inch pieces

• 1 cup fresh lemon juice

• 2 cups fresh lime juice

• 4 tsp. sea salt

• 46 oz. tomato juice

• ¼ cup tomato paste

• 4 cups pico de gallo (use your favorite store-bought variety)

• ¼ cup white miso paste

Optional toppings:

• Avocado, sliced

• Fresh cilantro

• Confusion Seasoning (can be purchased at State of Confusion)

• Lemon, sliced Place cauliflower, mushrooms, lemon juice, lime juice, and salt into a non-reactive bowl (such as stainless steel, ceramic, or glass). Mix until well combined. Place mixture into the refrigerator for a minimum of 4 hours. For best results, refrigerate overnight.

Strain vegetables and discard citrus blend. Place tomato juice, tomato paste, pico de gallo, and miso paste into a mixing bowl and whisk until smooth. Add vegetables and mix until incorporated. Refrigerate for an additional 2 hours. Top with fresh avocado, cilantro, lemon slices, and Confusion Seasoning, and serve with tortillas or tortilla chips.

Maggie Tate’s Vegan Roasted Buffalo Cauliflower Tacos

YIELDS: 4 SERVINGS

For the roasted buffalo cauliflower:

• 1 head of cauliflower

• Spray oil

• 2 tsp. garlic powder

• 1 tsp. chili powder

• 1 ½ Tbsp. Frank’s Red Hot Sauce

• Salt, to taste

For the cashew cream:

• 2 cups soaked cashews, drained

• ¼ cup nutritional yeast

• 2 cloves garlic

• 1 tsp. salt

• 1 cup fresh water

• Juice from 2 lemons

For the tacos:

• Corn tortillas

• Cabbage, shredded

• Pickled red onions

For the roasted buffalo cauliflower: Clean and cut the head of cauliflower into bite-size florets and place into a bowl. Spritz the cut florets several times with the spray oil, stirring between sprays. Sprinkle the garlic powder, chili powder, Frank’s Red Hot Sauce, and salt to taste over the spritzed florets, stirring well to distribute the seasoning. Roast the cauliflower on a lined baking sheet in the oven at 425° for 20 minutes.

For the cashew cream: Add all ingredients to a blender and blend until smooth. Store in the refrigerator.

For the tacos: Assemble warm corn tortillas, cauliflower, shredded cabbage, pickled red onions, avocado, and cilantro, then top with cashew cream.

“Whether it’s a side dish or the star ingredient in plant-based tacos or plant-based buffalo dip, roasted buffalo cauliflower should be on your plate. Low in calories and nutrient dense, cauliflower is surprisingly high in vitamin C! Check out the varieties you can get at the Chattanooga Market – some are orange and purple!”

Broiled Asparagus Spears With Lemon

SERVES 4

Take advantage of spring flavors with this tangy asparagus recipe. Pair it with your preferred protein and a whole grain for a wellrounded meal!

• 2 medium lemons, thinly sliced

• 1 Ib. medium asparagus spears (about 24)

• Cooking spray

• 2 tsp. olive oil (extravirgin preferred)

• ¼ tsp. salt

• tsp. pepper

Preheat the broiler. Line a broiler pan with aluminum foil. Arrange the lemon slices close together in a single layer in the pan. Arrange the asparagus spears in a single layer on the lemon slices. Lightly spray the asparagus with cooking spray. Broil about 4 inches from the heat for 6 minutes, or until just tender-crisp.

Transfer the asparagus to a serving plate. Drizzle the oil over the asparagus. Sprinkle with salt and pepper. Drizzle with any accumulated juices from the broiler pan. Place the lemon slices on or around the asparagus.

Calories 51 | Total Fat 2.5g | Sodium 145mg | Total Carbohydrate 5g | Dietary Fiber 3g | Sugars 2g | Protein 2g

Source: American Heart Association

7 Signs You

Have a

Nutrient Deficiency

By Mary Beth Wallace

Whether due to allergies, accessibility, time constraints, or food preferences, it’s not always easy to eat a balanced diet – which, unfortunately, can lead to nutrient deficiencies. Even if you are meeting your daily quota of fruits and veggies, how do you know for sure that you’re getting enough of the vitamins and minerals you need?

Being able to recognize the signs of a nutrient deficiency can help you adjust your diet accordingly or seek outside help. Here, we’re covering some of the most common signs to watch out for.

Fatigue

Fatigue – defined as the constant feeling of tiredness or lack of energy – can be attributed to a number of health problems, making it one of the sneakiest signs of a nutrient deficiency. Yet chronic fatigue should never be ignored! One of the first things to try is upping your iron intake, as iron is a key component in ensuring your red blood cells get enough oxygen. Foods like lean red meat, seafood, legumes, and dark, leafy greens can give your iron levels a boost and help fight fatigue.

Changes in hair quality

Physical changes, especially to your hair, skin, and nails, can point to nutrient deficiencies as well. If you’re experiencing an increase in hair breakage or thinning, there could be one of several nutrients you’re missing: specifically, folic acid (also known as vitamin B9), vitamins B6 or B12, or iron. Each of these nutrients helps maintain a healthy blood supply that transports oxygen to your hair and scalp.

Mood shifts

If you’re noticing an uptick in mood swings and have ruled out common culprits such as hormone shifts and PMS, a diet low in omega-3 fatty acids could be to blame. Omega-3s play a critical role in building brain cells. To get more of this nutrient, try adding fatty fish – including salmon, trout, and sardines – or nuts and seeds to your plate.

Bleeding gums

While bleeding gums might be a sign of gingivitis, or gum disease, they could be telling you to consume more vitamin C. Research suggests that even a mild vitamin C deficiency can affect your oral health and cause gum bleeding. But don’t fret! Vitamin C can be found in plenty of foods ranging from bell peppers and broccoli to strawberries and citrus fruits.

Vision changes

You’ve probably heard that eating more vitamin A can improve your vision, but did you know that vitamins C and E are also crucial for good eye health? When you are low in these vitamins, you’re missing out on protective antioxidants that work to keep your eyes in tip-top shape – and it could eventually lead to diseases like agerelated macular degeneration and cataracts. Mangos contain both vitamin C and E, while nuts, seeds, and certain oils contain the most vitamin E per serving.

Muscle spasms

Muscle spasms and cramps that accompany other symptoms of nutrient deficiency, like fatigue and tingling in the arms, legs, and feet, are usually an indicator that you aren’t getting enough calcium. Calcium plays a huge role in how your muscles function, as well as your blood vessels and some hormones. Dairy is a go-to source of calcium for many, but non-dairy foods such as black beans, leafy greens, and sardines are great sources, too.

Bone pain

Another common deficiency in the United States is vitamin D, which can cause symptoms including muscle pain, muscle weakness, and bone pain. Fortunately, there are two ways to get more vitamin D in your system: diet and increased sun exposure. Vitamin D supplements are also routinely prescribed to help get vitamin D levels in check.

If you’re concerned you may have a nutrient deficiency, talk to your doctor. A quick finger-prick test can assess the levels of different vitamins and minerals in your blood, clueing you in to any deficiencies. Your doctor may recommend a supplement plan, or refer you to a registered dietician to discuss your diet.

“This workout provides a great balance of cardio and resistance work. For a full workout, complete each exercise for 40 seconds. Rest for 20 seconds before moving on to the next exercise and complete each exercise three times. Part of what makes this workout great is that it is easy to modify by reducing the weight or losing it altogether.”

Molly Uhrich’s Hybrid Workout

Photography by Ryan Long

Weighted Clean and Press

Starting in a squat position with a weight centered between your feet, grab the handle with an overhand grip. Keeping your back flat, explode through the hips, bringing the

weight to one shoulder in a power position. Explode through the hips again, pressing the weight up and overhead. Return to the starting position and repeat on the opposite side.

Sledgehammer Chops

With your feet shoulder-width apart and your knees slightly bent, grip a sledgehammer with one hand roughly four inches from the head and the other four inches from the base. With an explosive upward movement, lift the hammer, stopping the momentum when it’s directly overhead. In another controlled movement, hinge at the hips while swinging the sledgehammer downward, making sure to stop the momentum right before hitting the ground. Make sure to keep your core engaged the entire time.

Weighted Bar Overhead Lunge

Begin with your feet shoulderwidth apart and your knees slightly bent while holding a weighted bar horizontally. As you raise the bar above your head, take a step back into a lunge position. Keep the weight directly overhead and centered between your shoulders. Exhale as you return to the starting position and then repeat on the other side.

The day Tim Price’s grandson took his hand to lead him out of Siskin Hospital, after six months as an inpatient. Tim, his family and his entire treatment team, who lined his pathway to cheer him home, all cried tears of joy. Despite arriving to Siskin Hospital completely paralyzed from the neck down due to Guillain-Barre, Tim WALKED back out the front doors.

A miracle.

Yes.

And one that wouldn’t have happened without the specialized technology at Siskin Hospital.

Tim’s team of therapists, nurses and physicians used every piece of technology available in their inpatient facility and medical model tness center to ensure he was able to regain the skills he had lost. From a lift that transferred Tim from place to place before he could even move, to various technologies that helped him regain balance, take his rst steps again, bring life back to his arms, learn rst to swallow and then to eat, & much more, Tim’s Siskin Hospital “family” was able to match their passion to get him back to life, with tools to make it a reality. Without this life changing equipment, Tim would not have been able to return home. And this precious moment would never have happened.