HealthScope Magazine Summer 2022

S U M M E R 2 0 2 2 $ 5.9 5

GOING FOR THE GLOW

SLEEVELESS STYLE BREEZY STYLES

SKIP THE SUN WITH

FROM LOCAL

SELF-TANNERS

BOUTIQUES

THE TRUTH ABOUT OCD

BERRY BLISS

WHAT IT’S

A HEALTHY

LIKE TO LIVE

TAKE ON

WITH THE

SUMMER

DISORDER

TREATS

CELIAC DISEASE

Meet Our Doctors

MANAGING AN IMMUNE RESPONSE TO GLUTEN

Love, Care, & Healing Others

See page 84 for more on Cover Models Rachel Schulson, Barbara Kennedy, and Susan Collins!

Balanced

ANNUAL

Her Story

ORAL HEALTH

Inspired & More!

F A M I L Y

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Photographed at The Edwin Hotel

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This is what we bring to the table – and what will ultimately bring you to us. If you are an individual seeking seasoned financial guidance and the comfort of working with an experienced group of advisors who call Chattanooga home, we welcome the opportunity to sit down together. www.RoundTableAdvisors.com

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877-770-0009

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423-510-8889

Please remember with us our dear friend and colleague, Fran Robertson, who passed away on April 4, 2022.

Uniquely special and never forgotten.

We love you, Fran.

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Chattanooga, TN 37421

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1200 Premier Drive, Suite 100

Left to Right: Cyndi Scheid, CSA // Sharon Sidorow, CSA // Julie Davis, FA // Austin Cone, CFP® // Dennis Wolfe, CPA, CFP® Tony D’Andrea, CPA, CFP® // Andy Burnett, CFA® // Amy Bee, CSA

Securities offered through Raymond James Financial Services, Inc. member FINRA/SIPC. Investment advisory services are offered through Raymond James Financial Services Advisors, Inc. Round Table Advisors is not a registered broker/ dealer and is independent of Raymond James Financial Services.

3D AREOLA & PARAMEDICAL TATTOOING

Paramedical Areola 3D tattooing uses permanent pigments to replicate the areola on a woman's surgically reconstructed breast. A variety of light and dark pigments are customized to create the 3D illusion of an areola and a nipple. Looking whole and feeling complete is a final step in the healing process for many women.

Skin camouflage or repigmentation can help disguise a scar or skin area missing pigment or color. This process will not restore damaged skin, but applying a pigment can improve the color differences to help disguise the scar or the area missing color. The applied pigment will make the area of concern appear less noticeable, blended, and camouflaged.

Stretchmark scarring treatment can offer patients significant decreases in the appearance of scarring.

The tattooing process allows for the addition of permanent pigments to match the unaffected skin area lessening the visual effects of the stretch marks and camouflaging them. *The Women's Health and Cancer Rights Act (WHCRA) of 1998 requires insurance to cover the cost of mastectomies and all breast reconstruction.

Amanda Booker holds specialist credentials in the advanced procedures for Paramedical Tattooing and Areola Repigmentation, Microblading, Non-surgical Scar Revision, and Stretchmark Camouflaging through the Academy of Advanced Cosmetics (AAC). She is a certified provider of VMM- 3D Areola technique, a member of the Permanent Makeup Society, and the Society of Permanent Cosmetic Professionals (SPCP). Mrs. Booker also completed an additional extensive training program in the UK to receive a master's certification for the areola tattooing technique. Amanda has been working in aesthetics for ten years and stays on the cutting edge of the industry's most advanced technologies. She is excited to offer these new treatment options to patients in this region.

"This treatment is extremely special to me because I can give women something back that they have lost during such a traumatic event, leaving them feeling feminine and confident in their skin." - Amanda Booker 6031 Shallowford Rd. Suite 105 Chattanooga, TN 37421

423.771.7731

w w w . a g a p e m e d s p a c h a t t . c o m

Publisher’s Letter

“In every single thing you do, you are choosing a direction.

Your life is a product of choices.”

— DR. KATHLEEN HALL

Many different factors affect your health: genetics, diet, physical activity level, to name a few.

While your genes are out of your control, many of the choices you make every single day – about what you eat, what time you go to sleep, whether or not you schedule that checkup – have an effect on your overall health. You won’t find any downsides to choosing a healthier lifestyle, but you will find that there is so much to gain.

In this summer issue of HealthScope® magazine, our timely topics highlight how choices we make impact our health. Starting with our feature “Bladder Cancer,” we emphasize the importance of being proactive about seeking help if symptoms arise, and “The Truth About OCD” demystifies an often-referenced mental health disorder. “Living With Celiac Disease” discusses the diligence it takes to manage this disruptive autoimmune disorder, while “Navigating Routine Care as a Senior Adult” provides an overview of routine checkups that can keep seniors feeling their best.

Also speaking to the importance of our choices is our newest section in 2022, “Balanced.” Here, local ladies tell us the intentional practices they’ve instilled in order to find a healthy balance in their everyday lives. “Her Story” and “Inspired” are equally encouraging, as local women share the experiences – and the people – that have shaped them.

You won’t want to miss our annual “Oral Health” section showcasing specialized dental procedures

and the new technologies that make them possible. This issue additionally features the section “Meet Our Doctors,” which profiles highly trained healthcare providers who serve our George Mullinix region. Their PUBLISHER knowledge and care are blessings to our community.

Inspired by the summer season, articles on refreshing strawberry recipes, top-rated selftanners, and sleeveless looks from local boutiques are also in store. Even more topics – from impostor syndrome to iron deficiencies – are inside for you to discover.

Last but certainly not least, check out our interview with cover models Rachel Schulson, Barbara Kennedy, and Susan Collins. The connection and comradery these ladies share is a reminder of how essential it is to have someone in your corner.

We hope that you find this summer issue of HealthScope® magazine to be informative and uplifting and that it will inspire you to choose balance, to choose joy, and to choose better health every single day.

Blessings always,

Celebrating 33 Years!

HealthScopeMag.com Follow HealthScope® and CityScope® magazines and Choose Chattanooga® Chattanooga Resource & Relocation Guide® on Facebook and Instagram!

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LOVE IN VERONA COLLECTION

Contents Meet Our Doctors Love, Care, & Healing Others 26

Dr. Mounzer Yassin-Kassab

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Dr. Karin Beightol Boeck

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Dr. Emily C. McDuffee

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Dr. James Morrow

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Dr. Joseph H. Miller

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Dr. Marc Cromie

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Dr. Mary DiGiulio

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Dr. David Alvarez

Be Well 44

Bladder Cancer Exploring the Causes, Symptoms, & Prognosis

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The Truth About OCD Understanding This Mental Disorder

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Living With Celiac Disease What It Is & How to Manage It

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Navigating Routine Care as a Senior Adult When to Schedule Important Checkups

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84

Stay Well Annual Oral Health Section 68

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Veneers

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Gum Recession

70

Dental Implants

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Dental Anxiety

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Full Mouth Rehabilitation

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Pediatric Dentistry

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Root Canals

Contents Look Well 84

Meet Our Models Rachel Schulson, Barbara Kennedy, & Susan Collins

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Sleeveless Style Shoulder-Baring Looks From Local Boutiques

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Going for the Glow Skip the Sun With These Self-Tanners

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The Dos & Don’ts of Healthy Feet Your Guide to Healthy, Happy Feet

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Mastering At-Home Exfoliation Top Tips to Achieve Smoother, More Radiant Skin

Her Story

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Motivating Stories From Local Women 94

Marie Mott

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Cara Woolsey

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Tara Konrad

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Tori Lozano

Feel Well 100

A Meaningful Marriage Local Ladies Share Advice

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Impostor Syndrome Understanding & Overcoming False Feelings of Inadequacy

Inspired Women Celebrating Women 105

Annie Hagaman & Liz Raulston

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Karitsa Mosley Jones & Rebecca Suttles

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Mary LeDoux & Maria DiCarlo

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Mallory Huffstetler & Laura Ter Beek

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Contents HealthScopeMag.com Summer 2022 • Vol. 33 Issue 5

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George Mullinix

Sales & New Business Development

Cailey Mullinix Easterly

Sales & Business Development

Ashley Sprason

Creative/Art Director

Emily Pérez Long

Design

Lauren Robinson

Managing Editor

Christina Davenport

Editors

Rachel Coats Olivia Halverson Anna Hill Catherine Smith Mary Beth Wallace

Director of Digital Marketing

Ruth Kaiser Laci Lanier

Live Well

Departments

110 Berry Bliss Strawberry Recipes From Locals

Health in a Minute

Marketing Assistant

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Editorial/Marketing Intern Molly Wholihan

114 An Introduction to Iron What You Need to Know

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Balanced

For the Whole Family For Him For Her

20 Ask the Doctor

Local Women Share Restorative Practices 117

Chyela Rowe

118

Demetrus Coonrod

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Yolanda Johnson

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Health & Wellness Calendar

42 Staff Spotlight

120 Mike Chen’s At-Home Functional Movement Workout A Guided Workout

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ABOUT THE COVER GOING FOR THE GLOW

SLEEVELESS STYLE BREEZY STYLES

SKIP THE SUN WITH

FROM LOCAL

SELF-TANNERS

BOUTIQUES

THE TRUTH ABOUT OCD

BERRY BLISS

WHAT IT’S

A HEALTHY

LIKE TO LIVE

TAKE ON

WITH THE

SUMMER

DISORDER

TREATS

CELIAC DISEASE

Meet Our Doctors

MANAGING AN IMMUNE RESPONSE TO GLUTEN

Love, Care, & Healing Others

See page 84 for more on Cover Models Rachel Schulson,

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Barbara Kennedy, and Susan Collins!

Balanced Her Story Inspired

ANNUAL

ORAL HEALTH

& More!

F A M I L Y

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Publisher

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B E A U T Y

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Sharing the spotlight on our summer cover are friends Rachel Schulson, Barbara Kennedy, and Susan Collins. On page 84, this trio gives us insight into their unique support system – imparting just how important it is for a balanced, healthy life!

PHOTO BY RICH SMITH

Photographers Kris Hacker/Hacker Medias Ryan Long Photography

Emily Pérez Long Rich Smith

Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Subscribe.” A one year subscription for CityScope® or HealthScope® magazine costs $18.

To receive advertising information, change your mailing address, or share your views on editorial: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Contact.”

CityScope® and HealthScope® magazines and Choose Chattanooga ® – Chattanooga 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.

CityScope® magazine Copyright, CMC Publications, LLC, 1993 CityScope® magazine is a registered trademark owned

by CMC Publications, LLC HealthScope® magazine Copyright, CMC Publications, LLC, 1989 HealthScope® magazine is a registered trademark owned

by CMC Publications, LLC Choose Chattanooga® – Chattanooga Resource & Relocation Guide® Copyright, CMC Publications, LLC, 2011 Choose Chattanooga® and Chattanooga Resource & Relocation Guide® are registered trademarks owned by CMC Publications, LLC CityScope® magazine Southern Gentleman® is a registered trademark owned by CMC Publications, LLC.

H E A LT H I N A M I N U T E F O R T H E W H O L E FA M I LY

Summer Sleep Woes In the summer, long days are full of fun in the sun, but long nights of tossing and turning are less enjoyable. Here are some tips for getting a good night’s rest in the summer months.

Keep your bedroom cool at night. The ideal sleep temperature is between 60 and 67 degrees Fahrenheit for most people. Infants, however, may benefit from rooms that are around 69 degrees Fahrenheit.

Wake up with the sunrise.

Choose curtains that allow some sunlight through in the morning. This helps prepare your body to wake up and encourages a healthy sleep schedule.

Food Safety Faux Pas to Avoid This Summer Cookouts are a staple of summertime, but food safety mistakes can spoil the fun. Here are some tips for safely enjoying food outside in the warmer months.

Choose lightweight fabrics. Breathable fabrics like cotton, silk, and bamboo are ideal for pajamas and bedding in the summer.

Keep perishable food in a separate cooler from beverages to avoid opening and closing the cooler more than you need to.

Find time to unwind. Longer daylight hours tempt us to be more active in the evening, but it’s best to avoid activities like exercising, drinking alcohol, and eating in the hour before bedtime.

Food shouldn’t sit out for more than two hours.

If you’re worried about getting caught up in the festivities, set a timer to remind you to pack it up.

Keep hot food above 140 degrees Fahrenheit and cold food below 40 degrees Fahrenheit. The middle of that temperature range is the “danger zone” in which harmful bacteria can multiply rapidly.

Avoid cross-contamination by bringing one set of utensils for cooking raw food and another for serving. Make sure you know which is which!

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THE SUN’S HOT. SKIN CANCER’S NOT. To learn more about skin cancer prevention and detection, visit us at one of our 13 convenient locations or online at thedermcenters.com.

Medical

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Surgical

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Cosmetic

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Aesthetic

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H E A LT H I N A M I N U T E FOR HIM

Coping With Anxiety as a Man Statistically, men are less likely to be clinically diagnosed with anxiety disorders than women, but that doesn’t mean they are less likely to experience anxiety. Here are some things you should know about how anxiety can affect men.

Symptoms of anxiety can manifest a bit differently in men than they do in women.

This is likely due to the fact that men are often socially conditioned to bottle up feelings of nervousness or worry rather than expressing them in a healthy way. As a result, common symptoms of anxiety for men are anger or irritability, trouble sleeping, muscle aches and pain, strained relationships, and use of alcohol or other substances to cope.

Some men worry that expressing anxious thoughts or feelings could be taken as a sign of weakness, but there is no need to suffer in silence. Anxiety disorders affect over 40 million adults in the United States every year, and they are highly treatable with therapy, medication, or a combination of the two.

Ticked Off Summer is a great time to get outside, but it’s also when ticks are most active. Ticks can spread a number of diseases to humans, some of which can cause severe complications. Here are some tips for dealing with these problematic parasites.

1. Avoid walking in wooded and brushy areas, grassy areas, and areas with a lot of leaf litter. If you’re going on a hike, stay on the trail.

2. In addition to wearing tick repellants on your skin, the CDC recommends wearing clothing treated with permethrin, a highly effective tick repellent.

3. Once you get home, check your clothing and your body

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thoroughly for ticks. Showering within two hours of being outdoors can help to wash off any unattached ticks.

4. If you do find a tick, remove it as soon as possible with fine-tipped tweezers, pulling up from the skin without twisting or jerking to avoid breaking off parts of the tick.

5. If a rash or fever develops within a few weeks of the tick bite, consult your doctor.

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H E A LT H I N A M I N U T E FOR HER

Dress for Less…

Sun Exposure, That Is! Summertime outfits are more than a fashion statement – they help protect your skin, too. Proper clothing can offer more foolproof protection than sunscreen, which must be applied correctly and reapplied often. Here are some tips to help you choose a summer look that’s as functional as it is fashionable.

1. Choose fabrics that are either dark or brightly colored, as they absorb more UV rays and offer more protection than whites or pastels.

2. Opt for dense, tightly woven fabrics like polyester or denim that offer more protection than lightweight fabrics, which tend to let more light pass through.

3. Wear tightly woven hats with wide brims (at least three inches) to protect common skin cancer sites like the face, neck, and ears.

4. Opt for loose-fitting clothing. Wearing tight clothing can strain the fabric and allow more light to pass through.

5. Look for clothing with an Ultraviolet Protection Factor (UPF) rating. Like SPF ratings on sunscreen, this will give you an idea of how much sun protection you can expect.

PONDERING PROBIOTICS Though research is limited, some clinical studies suggest that probiotics can improve gut health and aid healthy digestion. But how beneficial are the standard probiotic supplements you can find in the store? There are a few things to consider.

Probiotics are generally considered safe, as they contain strains of bacteria that directly add to the population of healthy microbes in your gut. However, there are hundreds of different strains of these bacteria, and they serve various purposes. Researchers

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are still trying to figure out which bacteria are helpful and which are not, and the results are currently inconclusive.

Because many probiotics are sold as dietary supplements, manufacturers are not allowed to make claims about specific health benefits under FDA law.

They must ensure the products are safe to consume, but there is no promise that the bacteria listed on the label will effectively treat the gut health concerns you are taking them for. Your best bet to maximize potential benefits is to ask your doctor what probiotics might be right for you.

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ASK THE DOCTOR

Q. I’m struggling to differentiate between when I have a cold or if it’s just allergies. How do I know the difference, and should I be treating them differently?

A.

Allergy and cold symptoms can be very similar. These include runny nose, congestion, sneezing, headache, fatigue, and sore throat. Allergy symptoms tend to strike all at once and are more common in the spring and fall when pollen counts are high. Cold symptoms are more common in the winter and can also include body aches, fever, and thick or discolored mucus. Cold symptoms start gradually, worsen over a few days, and resolve within 10 days. Allergy symptoms can persist off and on for weeks depending on the trigger. Older antihistamines like chlorpheniramine or diphenhydramine (Benadryl) can dry up a runny nose for either condition. However, newer ones (Claritin, Zyrtec, Allegra, Xyzal) will only work for allergy congestion. Decongestants can help shrink nasal passage swelling for both cold and allergy nasal

pressure/congestion, but these can increase blood pressure. Nasal saline rinses can also be beneficial for both conditions. Any congestion that lasts longer than two weeks should be evaluated by a medical professional.

NATASHA BALLARD, MD

Family Medicine Physician, American Family Care afcurgentcarechattanoogatn.com

Q.

My daughter has been getting thinner and lately refuses to eat meals with the rest of the family. I’m so worried about her. I want to get her help, but how do I know what level of treatment is best for her?

A.

You are doing a wonderful job identifying potential red flags, such as weight loss and avoiding eating with others. When determining the

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possibility of an eating disorder, or the necessary levels of care, it is important to reach out to professionals who can thoroughly assess symptoms such as overall physical condition, ADDIE BRAMLETT, RDN, LDN, CEDRD psychology, Certified Eating Disorder Registered Dietitian & Director and specific of Eating Disorder Programs, Focus Treatment Centers behaviors. A focustreatmentcenters.com/chattanooga team of professionals will

HealthScopeMag.com

help in recommending the appropriate level of treatment. Additionally, I have compiled a list of other red flags for you to keep your eye on. Concerns such as consistent dieting, use of diet pills or laxatives, fluctuations in weight, consuming very small portions or skipping meals, heightened focus around appearance or social media, extreme attention to food, and excessive exercise are all indicators for a possible eating disorder.

Q.

I’m very interested in a breast reduction, but I’m

worried about the downtime and recovery. What does life look like

MICHAEL S. KLUSKA, MD

Plastic Surgeon, Southern Surgical Arts southernsurgicalarts.com

post-surgery for that?

A.

Breast reduction is a very common procedure that is usually performed in an outpatient setting. On occasion, this procedure is covered through your insurance, but the patient must meet specific criteria prior to surgery. Recovery is as follows: first, the initial downtime is approximately three to five days, and this time requires light activity with no heavy lifting. Additionally, the patient may shower after 24 hours and perform light daily wound care. Subsequently, as the days progress, activity will progress to full activity culminating at three to four weeks. Most patients

find this procedure very tolerable with light to moderate pain in the first 48 hours which subsides very quickly over the next week to 10 days. Drains are sometimes placed during the procedure and are typically removed after three to four days. Final results from breast reduction surgery are usually seen at the three- to four-month mark once swelling has resolved. With 25 years of practice experience, I have found that patients are extremely pleased with this procedure and the only regret they have is not doing it sooner.

What makes someone with diabetes at elevated risk for limb loss?

A.

Diabetes is a disease that can ravage one’s entire body and affect all major systems. Diabetes can wreak havoc on the circulatory system, leading to aggressive hardening and narrowing of the arteries.

This causes occlusion of blood vessels in the extremities (Peripheral Artery Disease or PAD), resulting in diminished blood flow and oxygen delivery to the tissues. Diabetics with circulatory issues have difficulty healing minor wounds. In severe cases, these wounds progress to gangrene, necessitat-

ing amputation. Strict blood sugar control along with maximizing medical therapy with anti-platelet, anti-hypertensive agents and cholesterol medications can help prevent the progression of disease to amputation.

WILLIAM HARRIS, DO

Vascular/Endovascular Surgeon, Vascular Institute of Chattanooga vascularinstituteofchattanooga.com

Q.

My dad recently survived a stroke, but he doesn’t seem motivated to focus on recovery. Is this normal, or can I do something to help him?

A.

Changes in behavior, including difficulties with motivation and initiation, are quite common following stroke and can be related to multiple causes, several of which are described below.

First, approximately one-third of stroke survivors will experience significant depression, and more than 20% of individuals will experience prominent anxiety following a stroke. Each of these forms of emotional distress can dramatically impact an individual’s motivation, initiation, and engagement.

Second, difficulties with motivation and initiation could be directly attributable to the region of the brain damaged during a stroke. It is recommended that you discuss your concerns with your father’s physician so that a treatment plan can be developed, which could include medication, working with a psychologist or other counselor to address emotional distress, and providing additional structure and support strategies in the home environment to help facilitate improved motivation and engagement.

J. CHRISTOPHER YOUNG, PHD Clinical Neuropsychologist, Siskin Hospital for Physical Rehabilitation siskinrehab.org

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HEALTH & WELLNESS CALENDAR

May 30 Chattanooga Chase

Chattanooga’s oldest active competitive road race is back for its 55th running. The Memorial Day event features an 8K and one-mile race through the scenic and historic Riverview neighborhood. The top 25 male and female finishers will earn a special edition Chattanooga Chase t-shirt. Registration is available online. chattanoogachase.org

31 High Point Downtown’s Summer Rock Camp

Your child can reach new heights this summer at High Point’s Summer Rock Camp. From May 31 through

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July 30, half-day camps will be offered for boys and girls ages 5 to 14. Dedicated to teaching the basics of climbing, camp staff will coach campers on equipment usage, climbing techniques, and the importance of trust and communication. highpointclimbing.com

June 4 Chattanooga Fitness Expo

The Scenic City has a rich tradition of outdoor activities, fitness, and sporting events, and carrying on that tradition is Whitfield Media Group’s Chattanooga Fitness Expo. This event will highlight bodybuilding/

physique, fitness, and area personal trainers, and a new Mr. Chattanooga and Ms. Chattanooga will also be crowned. Pre-judging begins at 9 a.m., with the Night Show to follow at 6 p.m. at the Embassy Suites on Lifestyle Way. chattanoogafitnessexpo.com

11 Bubbles of Fun Run Benefiting the Austin Hatcher Foundation, the second annual Bubbles of Fun Run is a celebration of joy and hope as runners raise funds to provide a brighter future for families faced with pediatric cancer.

Participants can choose from a onemile fun run, 5K, or 10K, with bubbles to be blown at various stations throughout the course. Runners can also blow their own bubbles along the way! hatcherfoundation.org/run

11 Tails & Trails

For some four-legged fun, head to Lula Lake Land Trust atop Lookout Mountain for the Tails & Trails 5K Summer Fun Run. This classic course, which snakes through the heart of Lula Lake’s scenic Core Preserve, is for runners and their pups (although pup-less runners can participate as well). The race begins at 10 a.m., and everyone is invited to stick around for food, live music, and vendors in the meadow afterward. lulalake.org/events

18 100 Dinner

Crabtree Farms’ annual 100 Dinner is adding more seats to the table this year so that you have the opportunity to partake in this farm-to-table experience.

The dinner features food and beverages sourced from within 100 miles of the farm and prepared

by Chattanooga’s best chefs, all nestled in the magical setting at Crabtree Farms. This signature event raises funds to support the many educational and community programs at the farm. crabtreefarms.org

26 Chattanooga Waterfront Triathlon

Presented by Team Magic and the Chattanooga Track Club, the spectator-friendly Chattanooga Waterfront Triathlon takes place in the heart of downtown. Athletes will participate in a down-river swim, a two-loop bike course, and a scenic run along the Tennessee Riverwalk. The 2022 race will also be the host of the USA Triathlon Tennessee State Championship. team-magic.com

28 2022 Annual Embrace Aging Forum

Presented by Chambliss Law, the forum connects people with community resources to embrace aging gracefully and confidently.

Held at The Westin Chattanooga, it includes exhibitors, light breakfast, lunch, and breakout sessions on housing and care, finances, legal planning, and more. Actress and author Tembi Locke will deliver the keynote on (and sign copies of) her New York Times bestseller “From Scratch,” which explores her journey as caregiver to her late husband. embraceagingforum.com

July

a big difference. On July 22, participating McDonald’s in the area will be encouraging customers to donate their small change between 7 and 10:30 a.m., with the proceeds going directly to RMHC. Since its inception in 2010, the event has raised more than $151,000 for those in need. rmhchattanooga.com/events

30 Bowties & Blossoms

Focus Treatment Centers and MCR Foundation are teaming up to educate Chattanooga on the seriousness of eating disorders with the 7th annual Bowties & Blossoms benefit, hosted at Stratton Hall. Proceeds from the event will fund eating disorder awareness, education, and prevention. Attendees can enjoy cocktails, hors d’oeuvres, and live entertainment by The Malemen. bowtiesandblossoms.com

3 Red, White & Blueberries

Celebrate the Fourth of July a day early at the Chattanooga Market with a firecracker fruit – blueberries! The First Horizon Pavilion will see blueberries galore, including the return of the blueberry pie eating contest, from 11 a.m. to 4 p.m. Fresh produce, cheeses, and meats from local farms, homemade baked goods, food trucks, artisan vendors, and more will also be in store. chattanoogamarket.com

22 RMHC Day of Change Every year, Ronald McDonald House Charities® of Greater Chattanooga proves that small change really can make

30 ServUp + raise your racket for cancer

ServUP + raise your racket for cancer, the first-ever tennis fundraising event for the American Cancer Society, is to be hosted at The Champions Club. Sixteen teams will compete in a round robin from 3 until 5:30 p.m., with the winners to compete against the UTC tennis team.

The cost per team is $100 or $50 per person, and all proceeds will fund research and community resources in the fight to cure cancer. That evening, the ServUp After Party will take place from 6 until 9 p.m. at Manker Patten Tennis Club. Tickets are $75 each and include food, drinks, and dancing. galaofhopechatt.org/ basic-01

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Meet Our Doctors

LOV E , CA R E , & H E A L I N G OT H E RS

— Compassionate and experienced, these doctors have studied, trained, and specialized in providing the highest-quality healthcare.

What follows are local men and women who are leading with the utmost in quality care.

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Meet Our Doctors

S E E I NG PO SI TI VE OU TC OMES

F

rom a young age, Dr. Mounzer Yassin-Kassab had the innate desire to help people. “I wanted to have a lasting impact, and I especially have a strong desire to help patients from all socioeconomic backgrounds, including a great deal of mission work,” he adds. As medical director of Erlanger Neurology, Dr. Yassin-Kassab is able to do just that, working against the clock to help patients who have suffered an acute stroke. Although, Dr. YassinKassab is quick to point out that his work is made possible in part by the skilled team at Erlanger. “The stroke team is made up of physicians representing several specialties who work in concert to provide the most comprehensive care available,” he shares.

“Together, we determine the best course of treatment that will lead to the most positive outcomes.”

DR . MOUNZER YASSIN-KASSAB ER L A N GER NEUR OLO G Y

1

What is your best advice for patients?

2

What is one of your happiest professional moments?

Have trust in your physician and remember that outside

resources (like the internet) have a lot of misleading information.

When I helped reverse the devastating effects of a stroke when

treating a 4-year-old child in Lansing, Michigan. Our team used a clotdissolving drug called tPA, which is quite potent and only approved for patients who are 18 and older. After consulting with the child’s family and thinking of my own son, we decided it was the best course of treatment.

Minutes later, the signs of the stroke started to reverse, and the patient regained his strength.

3

Why have you chosen this field of specialty?

I chose to go into neurology as I was always fascinated with

the way the brain works. All of your organs are commanded by and serve the brain, and if diseases of the brain aren’t treated quickly and appropriately, there can be devastating effects.

4

What would you consider to be your main strengths?

My dedication and commitment to my patients. I insist on

adopting a schedule that allows extra time for any patient who needs it.

5 I love being able to help patients when it matters most.”

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What is your philosophy when it comes to the care of your patients?

I received wise words from a mentor years ago: “Listen to your

patient, and they’ll tell you what’s wrong with them.” Listen to them, and try to share in and understand their suffering.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Tishreen University Medical School – Latakia, Syria Fellowship: Clinical Neurophysiology and Vascular Neurology, UT Southwestern Medical Center - Dallas, TX Certifications: Board-Certified in Neurology, Clinical Neurophysiology, Vascular Neurology, and Epilepsy Recognitions: Member, American Academy of Neurology Member and Fellow, American Epilepsy Society Chairman of the Department of Neurology, University of Tennessee College of Medicine Chattanooga American Academy of Neurology’s Best Educator in Neurology Award

M Y S P E C I A LT I E S Neurology/ Neurohospitalist Stroke Epilepsy

CONNECT 423.778.9001 Erlanger Neurology 979 East 3rd Street, Suite C-830 Chattanooga, TN 37403 erlanger.org/stroke

Meet Our Doctors

M A K I NG A DI F F ERENCE

D

r. Karin Boeck has practiced family medicine in Marion County for all 24 years of her professional career. In addition to meeting the primary care needs of her community, Dr. Boeck also specializes in hospice and palliative care. “My professional experience has been enhanced by my time working with Hospice of Chattanooga,” she shares. “I have learned so much from the nurses with hospice and have grown to appreciate the support and love provided to patients and their families as they deal with the last stage of life.” Dr. Boeck enjoys having the opportunity to care for patients of all ages, to be able to focus on preventative care and manage complex chronic care. “I value the opportunity to really get to know my patients and to hopefully make a difference in their mental and physical well-being,” she says.

DR . KARIN BEIGHTOL BOECK HOSPICE OF CH AT TA N O O G A – JA SPER

1

What is one of your happiest professional moments?

The times when I know I have made a difference in

someone’s life. Having the honor and privilege to be a part of someone’s life is very significant to me.

2 3

What is your best advice for patients?

Reduce sugar, exercise regularly, and stop smoking.

What’s the key to making a great first impression?

Taking the time to sit down, make eye contact, and

listen to patients’ concerns.

4

What would you consider to be your main strengths?

The ability to communicate with patients and their

families, having sincere compassion for the issues they are dealing with.

5 I truly enjoy going to work each and every day.”

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Why did you choose to become a doctor?

As long as I can remember, I wanted to take care of

people, and I especially wanted to take care of families and generations of families. I always wanted to practice in a rural area where I felt there was the biggest need.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: University of Tennessee Health Science Center – Memphis, TN Certifications: Board-Certified, American Board of Family Medicine

M Y S P E C I A LT I E S Family Medicine Hospice and Palliative Care

CONNECT 423.942.0793 Hospice of Chattanooga – Jasper 4926-B Main Street Jasper, TN 37347 hospiceof chattanooga.org

Meet Our Doctors

JOINING

DR . EMILY C. MCDUFFEE

PATIENTS ON

ER L A N GER ON COLO G Y A ND HE M ATOLO G Y

THEIR JOURNEY

D

r. Emily McDuffee has always had a passion for studying the human body – what makes it work, what causes it to fail – that propelled her into a career in medicine, where she ultimately specialized in hematology and oncology. “It is an honor to be a part of probably one of the scariest and most uncertain times in a patient’s life,” she shares. “I get to walk part of that journey with them and witness their strength.” Dr. McDuffee not only strives to provide the best care possible for her patients, she’s also a believer in advocating for her patients – going beyond even holistic care. This level of attention is evident in one of her happiest professional moments: helping a patient move into his new home after being diagnosed with stage IV cancer. “You get to know people and provide whatever you can for them,” she adds.

1

What do you love most about your profession?

2

What is your best advice for patients?

The privilege to walk part of a difficult journey with a patient and be a part of their story.

Be open and honest with your doctor.

3

What do you see as the most exciting new development for your profession?

4

What’s the key to making a great first impression?

5

What is your philosophy when it comes to the care of your patients?

There are so many new developments to choose from thanks to clinical research: immunotherapy, targeted therapies, and CAR T-cell therapy, to name a few.

Sitting down with a patient and getting to know them and what is important to them.

I treat them the way I would want my family members cared for.

I am blessed by each and every patient.”

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SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Virginia College of Osteopathic Medicine – Blacksburg, VA PhD: Biomedical Sciences, East Tennessee State University Fellowship: HematologyOncology, Walter Reed National Military Medical Center Certifications: Board-Certified in Internal Medicine, Hematology, and Oncology, American Board of Internal Medicine

M Y S P E C I A LT I E S Hematology Oncology

CONNECT 423.778.9250 Erlanger Oncology and Hematology 979 East 3rd Street, Suite A540 Chattanooga, TN 37403 1635 Gunbarrel Road, Suite 300 Chattanooga, TN 37421 erlanger.org

Meet Our Doctors

PU T TI NG THE PAT I ENT F I RS T

S

erving as one of PrimeImaging’s authorities in vascular and interventional radiology, Dr. James Morrow enjoys a schedule where no two days look alike. He explains, “On a daily basis, as an interventional radiologist, I not only ready and interpret studies like CT, ultrasound, and MRI, but I also do procedures such as biopsies of the lymph nodes, liver, breast, and thyroid.” Whether he’s performing a procedure or discussing treatment options, interacting with his patients is his favorite part of the job – and part of what makes his role so fulfilling. “Many of our patients are experiencing pain and discomfort, so being able to help is very satisfying,” he shares.

DR . JAMES MORROW Pr imeIma ging

1

What sets your practice apart?

2

How does your staff enhance your practice?

3

Why have you chosen this field of specialty?

4

What would you consider to be your main strengths?

5

What is your philosophy when it comes to the care of your patients?

We are the only locally owned and operated outpatient radiology center in the area, providing expertise in imaging as well as interventional outpatient procedures like biopsies and vein procedures. Our patient-friendly approach to care, combined with our superior imaging technology, allows us to create an exceptional environment for our patients.

Our staff is integral to the patient care we provide, and they always strive to give patients the best experience possible.

Radiology is unique in that we get to do a wide variety of things on a daily basis, from helping diagnose medical problems on imaging studies to performing interventional procedures such as biopsies and varicose vein therapies.

I always try to understand my patients’ perspectives.

Treatment decisions in medicine are not always black and white, so giving patients as much information as possible leads to better decision-making.

I treat my patients as if they were a member of my own family.”

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When you put your patients first, the rest of the details will fall into place.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: East Tennessee State University – Johnson City, TN Fellowship Training: Interventional Radiology, Medical College of Wisconsin

M Y S P E C I A LT I E S Interventional Radiology

CONNECT 423.893.7226 PrimeImaging Locations on McCallie Avenue, Gunbarrel Road, Highway 153, and Battlefield Parkway primeimaging.com

Meet Our Doctors

DR . JOSEPH H. MILLER

SAV I NG L I VES

D

r. Joseph Miller’s father is a neurologist and his grandfather a neurosurgeon, so to say the career “runs in the family” is a pretty accurate assessment. “My exposure to this specialty started at an early age,” says Dr. Miller. “I was fascinated with the brain and spine, so in medical school I ultimately met my mentor Dr. Mark Hadley, who was instrumental in my training as a neurological surgeon.” Dr. Miller is now a board-certified, fellowship-trained neurosurgeon, but what really sets his practice apart is how he cares for his patients like they are family. He explains, “I ask myself with every patient, ‘What would I do if this were my wife, daughter, sister, or mother?’

Operating on the brain and spine is fascinating, but more than anything, I love taking care of my patients.”

ER L A N GER NEUR OSUR GER Y & SPINE

1

What do you love most about your profession?

Neurosurgery is such a complex and challenging

profession that allows you to help someone on what is often the worst day of their life.

2

What do you see as the most exciting new development for your profession?

Targeted and individualized therapies for brain

tumors and cancer are very exciting developments.

3

Why did you choose to become a doctor?

I grew up working on a farm and always loved

working with my hands. I also loved helping people and found the practice of medicine incredibly rewarding.

4

What’s the key to making a great first impression?

My wife and I were recently discussing this with our

children. The key to a great first impression is to listen, make eye contact, and make whomever you are meeting feel like they are the most important person in the room.

5 It is an amazing feeling to save someone’s life.”

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What accolades mean the most to you?

I was awarded the James “Buddy” Nobles Award that

is named in honor of my good friend who passed away. He was instrumental in my development as a neurosurgeon, and I try to honor his legacy of excellence.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: University of Alabama School of Medicine – Birmingham, AL Certifications: Board-Certified, American Board of Neurological Surgery Recognitions: Galbraith Award for Excellence in Neurosurgery Research, 2012 James “Buddy” Nobles Jr. Award, 2012 Griffith Harsh Resident Education Award, 2013-2014 UAB Stephens Scholar in Neurosurgery, 2015-2016 Richard Morawetz Resident Research Award, 2015

M Y S P E C I A LT I E S Complex and Minimally Invasive Spinal Surgery Adult and Pediatric Brain and Neurological Surgery

CONNECT 423.778.2233 Erlanger Neurosurgery & Spine 979 East 3rd Street, Suite C-920 Chattanooga, TN 37403 erlanger.org

Meet Our Doctors

L I V I NG L I F E TO T H E FU L L EST

A

s a sufferer of severe allergies and asthma as a child, Dr. Marc Cromie knows better than most the struggles his patients go through. It’s part of why he joined Chattanooga Allergy Clinic (CAC) in 2000 and why now, 22 years later, he’s still passionate about his profession. “At CAC, our mission is to help everyone ‘live life to the fullest,’” Dr. Cromie shares. “With over 40 years of experience, our team of specialists has collectively cared for over 100,000 patients.” Despite a successful career, Dr. Cromie believes his greatest accolade comes from the positive experiences of his patients. “It means the most when family and friends meet a patient of mine, and the patient shares with them how great their experience was and how much my staff and I were able to help them,” he explains.

DR . MARC CROMIE CH AT TA N O O G A A LLER G Y CLINIC

1

What do you love most about your profession?

2

What is your best advice for patients?

3

How does your staff enhance your practice?

4

Why have you chosen this field of specialty?

5

What is your philosophy when it comes to the care of your patients?

The thing that I love most about providing care for our community is seeing positive change in a patient’s health and altering the course of allergic disease.

My advice for patients is to always be honest and aggressive with their healthcare needs. Don’t wait to seek help, start early, and if you’re not happy with your doctor, find someone you feel comfortable talking to and with whom you like interacting.

The staff at Chattanooga Allergy Clinic is the secret to our success. They are extremely welcoming, approachable, and always go the extra mile to make every patient’s visit as successful as possible.

I chose to become an allergist because I loved my childhood allergist; I wanted to be just like him. Dr. Scott Carol from the Atlanta Allergy Clinic was a very kind and gracious man who was always happy.

I consider one of my main strengths to be compassion, as well as enthusiasm for what I do.”

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My philosophy when it comes to caring for patients is “always do the right thing, and the patient always comes first.”

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Medical College of Georgia – Augusta, Georgia Certifications: Board-Certified, American Board of Allergy, Asthma and Immunology Board-Certified, American Board of Pediatrics Recognitions: 12-time Best of the Best, Chattanooga Times Free Press 3-time Who’s Who Best Allergist

M Y S P E C I A LT I E S Pediatric and Adult Allergy and Asthma

CONNECT 423.899.0431 Chattanooga Allergy Clinic Locations in Downtown Chattanooga, Hixson, Lee Highway, Ooltewah, Cleveland, Dalton, Dayton, Fort Oglethorpe, and Jasper chattanooga allergyclinic.com

Meet Our Doctors

SE T T ING PAT I E NTS U P FOR S UCCES S

A

lthough she’s been practicing medicine for 16 years, Dr. Mary DiGiulio is a recent transplant to the Chattanooga area. She explains, “My whole career up to this point has been in Army medicine, and the Army has provided me with unique experiences. I’ve worked as a physician in several different countries and have served relatively diverse populations.” No matter where she’s practicing, there’s always a constant: a passion for working with her patients. “I enjoy the opportunity to empower individuals to take control of their own health,” she shares.

“Their success snowballs, their lives improve, and it’s a joy to watch.” Dr. DiGiulio wants her patients to know that she is always listening, and that she is here to support them on their journey.

DR . MARY DIGIULIO ER L A N GER PR IM A R Y C A R E - E A ST

1

What does your daily routine look like?

There are work days, drill days (with the Tennessee

Army National Guard), and off days, but they all start early with taking care of my cats. When I’m not working, I work on projects around the house, go to the gym, or just spend time with my family.

2

How does your staff enhance your practice?

By being friendly, welcoming, and flexible. I’m especially

grateful for their patience with me as I’m learning the system here.

3

What do you see as the most exciting new development for your profession?

I believe there is a move toward a balance between

holistic health and preventive medicine and the acute care model. This is better for our patients and potentially more rewarding for medical professionals.

4

Why have you chosen this field of specialty?

Family medicine physicians can provide the foundation

for health of individuals and improve the health status of populations by doing what we do best: advocating, integrating, and educating.

I like to know my guidance improved people’s lives in tangible ways.”

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5

What is your philosophy when it comes to the care of your patients?

Be kind, be patient, be open, and inspire optimism.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Touro University College of Osteopathic Medicine – Vallejo, CA

M Y S P E C I A LT I E S Family Medicine

CONNECT 423.778.8909 Erlanger Primary Care - East 1751 Gunbarrel Road, Suite 201 Chattanooga, TN 37421 erlanger.org

Meet Our Doctors

DE V ELOPI NG A PL A N OF CARE

A

s medical director of Erlanger ExpressCare, Dr. David Alvarez wears many hats. One of his primary roles is working with Advanced Practice Providers (APPs), who are nurse practitioners and physician assistants licensed to work independently. “Many days I work as a hospitalist caring for patients in the hospital, but every day I am available to our APPs,” he explains. “If there’s ever a clinical question regarding the patient’s need, I help assess the situation alongside the APP. Having a physician available at ExpressCare in this capacity should be a great comfort to our patients.” It’s important to Dr. Alvarez that each and every patient receives the care they need.

“If urgent care isn’t the right place at the right time, our APPs collaborate with me and our patients to provide the most appropriate care.”

DR . DAVID ALVAREZ ER L A N GER E X PR E S S C A R E

1

What do you love most about your profession?

Making an impact in patients’ lives is very important to

me. I also enjoy mentoring and supporting other providers as they navigate the always-changing healthcare system.

2

What do you see as the most exciting new development for your profession?

Seeing technology give way to telehealth, allowing patients

quicker access to high-quality healthcare, has been very exciting.

Particularly in my role as a medical director for Erlanger ExpressCare during the COVID-19 pandemic, the advancements in telehealth allowed our nurse practitioners and physician assistants to safely fill a very important need in the community with telehealth visits.

3

What’s the key to making a great first impression?

4

How does your staff enhance your practice?

Uninterrupted and intentional listening.

My nurse practitioners and physician assistants, along with

their support staff, guide the patient’s experience. They increase access to healthcare in our community, and together, we ensure that our care and protocols are appropriate.

I firmly believe that we need to provide the right care, at the right time, in the right place.”

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5

What is your philosophy when it comes to the care of your patients?

I respect and take time with each of my patients to ensure

that there is a clear understanding of the care that they need.

Kindness is always first!

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Universidad Central del Este Facultad de Medicina – San Pedro de Macorís, Dominican Republic Certifications: Board-Certified in Internal Medicine

M Y S P E C I A LT I E S Internal Medicine

CONNECT 423.541.5122 Erlanger ExpressCare 325 Market Street, Suite 102 Chattanooga, TN 37402 erlanger expresscare.com

STAFF SPOTLIGHT

THE LANTERN AT MORNING POINTE ALZHEIMER’S CENTER OF EXCELLENCE Michelle Sutter

Marcia Collyer, RN, MA, CPXP

Longtime Chattanooga native Michelle Sutter has been named executive director of The Lantern at Morning Pointe of Chattanooga. Sutter, who has more than 20 years of business experience, will oversee daily operations at the Alzheimer’s memory care facility.

Marcia Collyer has been named Erlanger’s director of patient experience, where she’ll be in charge of quality, safety, and service excellence throughout the health system.

Collyer previously served in Erlanger Organizational Development – a role where she helped shape new leaders.

SISKIN HOSPITAL

SISKIN CHILDREN’S INSTITUTE Emily LaFontaine

Cindy Chestaro, MD, FAAP

Emily LaFontaine has completed Siskin Hospital’s Neurologic Residency Program, which provides advanced education and clinical experience to physical therapists in the field of neurology. LaFontaine is now in the process of receiving her title of board-certified neurologic specialist.

Dr. Cindy Chestaro has been named chief medical officer at Siskin Children’s Institute. In her new role, she leads all aspects of medical services delivered in both the Chattanooga and Nashville locations. Dr. Chestaro previously served as a developmental behavioral pediatrician.

PARKRIDGE HEALTH SYSTEM

PARKRIDGE HEALTH SYSTEM

Becky Carroll, MSHA, FACHE

Whitney Evans-Snardon, FACHE

Becky Carroll, vice president of strategy and assistant administrator at Parkridge Health System, recently became Fellow of the American College of Healthcare Executive, the nation’s leading professional society for healthcare leaders. Only 8,484 healthcare executives hold this distinction.

Whitney Evans-Snardon, a market associate administrator and co-ethics & compliance officer with Parkridge Health System, has recently earned Fellow of the American College of Healthcare Executive. As a Fellow, she is committed to ongoing professional development.

CHI MEMORIAL MEDICAL GROUP

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ERLANGER HEALTH SYSTEM

CHI MEMORIAL MEDICAL GROUP

Hillary Templeton, MSN, APRN, FNP-C

Michelle Hamilton, FNP

Nurse practitioner Hillary Templeton has joined CHI Memorial Family Practice Associates – Chattanooga. Templeton earned her Master of Science in Nursing, Family Nurse Practitioner degree from South University in Savannah, Georgia.

She is certified by the American Academy of Nurse Practitioners.

Michelle Hamilton has joined CHI Memorial Family Practice Associates – Spring City. Hamilton earned her bachelor’s degree in nursing from UTC and her master’s degree from CarsonNewman University in Jefferson City.

She is a member of the American Association of Nurse Practitioners.

HealthScopeMag.com

health & wellness Today’s most important health topics that women of all ages want and need to know for the health and wellness of their families and themselves.

HealthScopeMag.com

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Bladder Cancer

BY ANNA HILL

Though bladder cancer may not be as widely discussed as other, more prominent types of cancer, it’s more common than many people realize. In fact, it’s the fourth most common type of cancer in men. Here, we’re exploring the causes, symptoms, prognosis, and more for this type of cancer, which disproportionately affects older populations.

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DEREK HOLLAND, MD

AMAR SINGH, MD

Medical Oncologist, Tennessee Oncology

Urological Oncologist, Erlanger Urology

Types of Bladder Cancer

Cancer of the bladder occurs when the cells that compose the urinary bladder grow out of control and become cancerous. This can lead to tumors developing and can further turn metastatic if the cancer spreads to other parts of the body.

Several different kinds of bladder cancer can occur, though some are more prevalent than others.

Urothelial carcinoma. Also known as transitional cell carcinoma, this type of bladder cancer is by far the most common one. With this type, the cancer develops within the urothelial cells that line the interior of the bladder, ureters, and urethra.

Squamous cell carcinoma. Squamous cells are thin, flat cells that line the urethra and form in the bladder after prolonged irritation or inflammation. Squamous cell carcinoma is rare and almost always invasive.

Adenocarcinoma. This is a very rare form of bladder cancer that forms in the bladder’s glandular cells. Adenocarcinomas are almost always invasive and make up under 2% of bladder cancer cases.

Bladder cancers are often described in relation to how far they have spread into the bladder wall. The cancer is labeled non-invasive if only the inner layer of cells inside the bladder has been affected, and it is called invasive if the cancerous cells have grown deeper into the layers of the bladder wall. The latter is more likely to become metastatic and is more difficult to treat.

Bladder cancers can also be classified into two different subtypes, depending on how the carcinomas grow. Papillary carcinomas grow in slender projections from the inner surface of the bladder toward the center, whereas flat carcinomas don’t grow toward the center at all and are typically either non-invasive or grow invasively into the deeper layers of the bladder.

Signs & Symptoms

Bladder cancer can sometimes be detected early due to urinary symptoms that often appear even in the cancer’s early stages. “The most common early sign of bladder cancer is hematuria, or blood in the urine,” says Dr. Derek Holland, a medical oncologist with Tennessee Oncology.

“This is usually painless, but at times can be associated with burning, frequent urination, or difficulty urinating. The overlap of these symptoms with those of urinary tract infections can sometimes delay diagnosis.” Blood in the urine can also be caused by conditions such as kidney stones or benign tumors. Regardless, it’s important to be checked out by a doctor if you notice these symptoms.

According to Dr. Amar Singh, a urological oncologist with Erlanger Urology, “Different bladder cancers can present differently depending on the type, size, and location within the bladder. Bladder cancers that are near where the kidneys empty into the bladder can present as flank pain, whereas those that are near the bladder outlet can cause difficulty urinating.” Over time, bladder cancer can

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BE WELL

also spread to other parts of the body, causing existing symptoms to advance and new ones to develop, such as lower back pain, loss of appetite or weight loss, chronic fatigue, swelling in the feet, and bone pain.

Causes & Risk Factors

Like many other serious diseases and conditions, a definitive cause of bladder cancer cannot currently be pinpointed. However, experts agree that it’s typically the combined result of genetics and additional risk factors.

The following may increase risk of bladder cancer: Family or personal history of cancer.

Having an immediate family member with a history of bladder cancer may increase your risk of developing it;

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however, it’s rare for this type of cancer to run in families. If you personally have had bladder cancer in the past, you might be at higher risk of having it again.

Previous cancer treatment. Unfortunately, some drugs used to treat other cancers may increase risk of bladder cancer, and if you’ve ever undergone radiation therapy aimed in the pelvic area, this can lead to an elevated risk of bladder cancer as well.

Increasing age, particularly for males. Men are considerably more likely to develop bladder cancer than women are, and according to Dr. Holland, “The risk for bladder cancer increases with age. Most bladder cancers are diagnosed in patients over the age of 65.”

Smoking or exposure to certain chemicals. Due to the urinary system’s role of filtering out waste and harmful substances out of the blood and into the bladder, exposure to toxic chemicals such as arsenic may lead to cancer developing in the bladder. “The most important risk factor for bladder cancer is smoking,” says Dr. Holland. “Other environmental toxins have also been associated with cancer of the bladder. Occupations with higher risks of bladder cancer include metal workers, miners, and those in the textile and rubber industries.”

Chronic bladder inflammation. Chronic urinary infections or inflammation – which can be caused by things like longterm use of a catheter – can increase risk of squamous cell carcinoma specifically.

BE WELL

Diagnosis

There are several tests that one might undergo to determine a diagnosis of bladder cancer.

A scope can be used to examine the inside of the bladder (called a cystoscopy) for any sign of disease. “Any suspicious lesions are removed in the operating room with an electric loop and sent to a pathologist to confirm that the lesion is indeed bladder cancer,” says Dr. Singh. Urine samples might also be collected, and imaging tests can be used to identify cancer not only in the bladder, but elsewhere in the body.

Treatment & Outlook

Once a diagnosis of bladder cancer has been confirmed, there are several paths of treatment that can be taken. “The treatment depends on the depth of invasion into the bladder and the aggressiveness of the cancer type,” Dr. Singh says. “All treatment strategies should be led by a urologist who can explain the treatment options based on the type of bladder cancer the patient has. Once the options have been explained, the urologist can work with the patient to find the option that is best for that particular patient.”

Surgery to remove the cancerous cells is often the first choice for early stage treatment, and it’s not uncommon for doctors to prescribe a combination of different approaches to best combat the disease. “If the tumor has invaded the muscle layer of the bladder, then a removal of the entire bladder (cystectomy) is performed,” Dr. Holland explains. “This is often done in combination with chemotherapy, either before or after surgery. For those who cannot undergo cystectomy, radiation therapy is an option.” In the past, having a cystectomy meant that patients would need to have a bag attached to their abdomen to collect urine, but that is not necessarily the case anymore. “Newer treatment options allow for an internal ‘bladder’ to be reconstructed using a portion of the patient’s own intestine.

This allows the patient to control when to empty the new ‘bladder’ and eliminates the need for an external bag, which may significantly improve a patient’s quality of life.” Dr. Singh shares.

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As is the case with many other types of cancer, the earlier bladder cancer is detected, the better the outlook. The relative survival rates of bladder cancer provide a fairly positive prognosis for those whose cancer has not yet spread outside the bladder – about 70%. This further highlights the importance of being proactive about seeing a doctor and following up when symptoms persist. “If I see a patient who has blood in the urine, frequent urinary tract infections, or even persistent painful urination despite antibiotics, then I usually suggest referral to a urologist for further testing,” Dr. Holland says.

If you notice urinary symptoms, don’t just wait for them to go away – getting them checked out might save your life.

THE

TRUTH ABOUT

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O

CD – which stands for obsessivecompulsive disorder – is perhaps one of the more misunderstood mental health disorders. Colloquially, many people believe it to simply refer to extreme organization or perfectionism; but in fact, the scope of the disorder extends far beyond those traits. Read on to learn the truth about what it’s like to live with OCD.

KRISTIN SMITH, LPC-MHSP

Director of Physician & Provider Relations – Behavioral Health, Parkridge Valley Hospital

MARGARET WILKINS, PHD

Clinical Psychologist, Children’s Hospital at Erlanger

By Anna Hill

Preferring cleanliness and order doesn’t necessarily mean someone has OCD. It’s not uncommon for certain personality types to prefer everything in their lives to be neat, clean, and orderly – with some people being more particular about it than others.

However, just because you color code your notes or vacuum every day doesn’t mean you have a disorder. The symptoms of OCD often take preferences like these to the extreme – often to an irrational extent. With OCD, such impulses become disruptive to daily life.

For example, someone with OCD might have a fear of dirt or germs so pervasive that they wash and scrub their hands until the skin is raw. Another way OCD might manifest is being unable to relax until all of your canned goods in the pantry are facing the exact same way or feeling inordinate stress until you’ve checked that the oven is off half a dozen times in a row. Unfortunately, engaging in compulsions like these often only provides temporary relief for those with OCD. “OCD is much more complex than I believe people realize. It can cause mental anguish for the sufferer and, at times, consequences with interpersonal relationships and profes-

sional issues,” says Kristin Smith, director of physician and provider relations – behavioral health at Parkridge Valley Hospital. “When people reference having OCD as evidenced by wanting a clean house or having things a certain way, it minimizes the severity of the OCD diagnosis and could cause those suffering from their symptoms to feel invalidated.”

OCD can cause intrusive thoughts that have nothing to do with neatness or organization.

OCD is characterized by both its obsessive and compulsive symptoms – the former of which is primarily mental, while the latter usually manifests behaviorally. The Mayo Clinic defines OCD obsessions as “repeated, persistent, and unwanted thoughts, urges, or images that are intrusive and cause distress or anxiety.” While these obsessions can be over a fear of germs, dirt, or contamination of some sort, they can also present as extreme doubt or difficulty with any kind of uncertainty or thoughts about acting inappropriately in public. “People with OCD can also have unwanted thoughts that are violent or sexual in nature, which can be extremely distressing to them,” adds Smith.

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The severity of OCD can vary, both from person to person and across one individual’s lifetime.

Though OCD compulsions are acted upon in an attempt to relieve anxiety, they often aren’t realistically related to any problem that needs to be fixed.

The behavioral element of OCD, OCD compulsions are repeated behaviors that someone feels compelled to do in order to reduce mental distress over the OCD obsessions mentioned previously. For example, if an individual with OCD is fixated on cleanliness, the corresponding compulsion may be that they wash their hands to the point of damaging their skin or wipe down their keyboard multiple times a day. “Some compulsions are related to obsessions over the potential of something bad happening,” says Dr. Margaret Wilkins, a clinical psychologist with the Children’s Hospital at Erlanger. This can lead to a person checking over and over to be sure that doors are locked, appliances are off, or alarms are set.

Other compulsions manifest as rules or routines that a person has created in order to control the general anxiety that accompanies obsessive, intrusive thoughts. These might include things like counting in certain patterns, silently repeating words, phrases, or prayers to yourself, or arranging things with particular symmetry or order.

While OCD can begin in childhood, it more typically manifests in adolescent or adult years. Symptoms of it rarely begin all at once – they usually develop more gradually, increasing in number and severity over time.

Not everyone with OCD experiences the same types of obsessions and compulsions, and these can also shift and change over time for individuals. A common exacerbator of OCD symptoms is stress. The greater the stress someone is under, the worse obsessions and compulsions might get, or new ones might develop.

The causes of OCD aren’t fully understood, but genetics do play a part.

“A person’s genes can be one of the biggest risk factors for developing OCD,” says Dr. Wilkins. Studies have shown that individuals with first-degree relatives – a parent, sibling, or child – who have OCD are at greater risk for developing OCD as well. However, it’s also possible that the environment may be a risk factor. Associations have been made that might indicate stressful events or childhood trauma can elevate one’s risk of developing OCD, as reactions to trauma can sometimes bring on the stress, rituals, and intrusive thoughts that are a part of having OCD. There is also a possible correlation between OCD and other disorders such as depression, anxiety disorders, or tic disorders.

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OCD can be incredibly disruptive to someone’s daily life.

One of the difficulties of OCD is that people who have it – especially adults – are aware that their thoughts and behaviors are excessive or irrational, but they still can’t stop them from occurring. According to the National Institute of Mental Health, people with OCD generally spend at least one hour each day on these obsessions and compulsions, yet often get no pleasure from doing them – only a temporary reprieve from the anxiety causing them. OCD can lead to time lost on performing rituals and routines, irritated skin from excessive washing, difficulty attending work, school, or public events, and relationship troubles, all of which can decrease someone’s happiness and quality of life.

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OCD can be managed with treatment.

Though it does feature some symptom overlap with other disorders – and some people with OCD do have coexisting disorders – OCD can be diagnosed via a psychological evaluation done by a professional. Treatment options include medication – most typically an antidepressant – and/or psychotherapy. The two types of psychotherapy most commonly used to treat OCD are cognitive behavioral therapy (CBT) as well as exposure and response prevention (ERP), which is a type of therapy that involves gradually exposing the patient to things that cause them distress in order to help them learn how to manage and resist their compulsions. A mental health professional can help those with OCD to find an individualized treatment plan that works best for them.

Lots of people enjoy cleanliness and routines.

However, if you find your fixation on them to be overtaking your life, talk to a healthcare professional about getting an evaluation. You don’t have to manage it alone.

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Living With Celiac Disease

By Anna Hill

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Celiac disease isn’t just a simple digestive problem – it’s an autoimmune disorder triggered by an immune reaction to gluten. As there’s currently no cure, being diagnosed with this disorder means living with it; however, lifestyle changes can help keep it in check. Read on to find out more about celiac disease and what it’s like to manage it.

What Is Celiac Disease?

SEAN RICE, MD

Gastroenterologist, Erlanger Gastroenterology

CAMILLE SOMMER, MD

Gastroenterologist, Galen Medical Group

Celiac disease is a hereditary autoimmune disorder that can develop at any time after a person begins to eat food or take medications containing gluten. Celiac disease, though it is linked to food, is not the same thing as having a food allergy. “Celiac disease is not an allergy; it is an autoimmune disease. This means that the immune system mounts an exaggerated response to gluten that subsequently causes damage to our own tissue or mucosa,” explains Dr. Camille Sommer, a gastroenterologist at Galen Medical Group. If a person with the disease continues to ingest gluten – a protein found in wheat, barley, and rye – this immune response can cause damage to the small, finger-like projections (microvilli) that line the small intestine to allow nutrient absorption. “When the small intestine gets inflamed, these microvilli become flattened, thereby decreasing the body’s capacity to efficiently and effectively absorb important nutrients from food,” says Dr. Sommer.

Another thing to note is that gluten sensitivity and celiac disease are not synonymous. While the former can cause digestive and other physical symptoms of varying severity, it typically does not cause injury to the intestines like celiac disease, which can be confirmed in diagnosis via blood tests. Before restricting yourself to a gluten-free diet, it is important to speak with your care provider to confirm that it is safe and necessary for you to do so. According to Dr. Sean Rice of Erlanger Gastroenterology, “Many people have the misconception that a gluten-free diet is inherently healthier than a regular diet, but this is not true. Gluten-free diets can restrict essential food groups and can be expensive.”

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Symptoms & Triggers Unsurprisingly, many typical symptoms of celiac disease are digestive. This includes diarrhea, bloating, gas, abdominal pain, constipation, nausea, vomiting, and weight loss. However, it’s not uncommon for other physical symptoms to arise as well. “Some non-GI symptoms include skin rashes, dental enamel defects, tongue soreness/burning, and neurologic symptoms including depression, anxiety, headaches, and peripheral neuropathy,” Dr. Rice explains. “Other commonly associated findings, which may or may not have symptoms, include anemia, osteoporosis, and other vitamin deficiencies.” For children with celiac disease, such nutrient deficiencies can lead to stunted growth and development.

On the surface, triggers to avoid for those with celiac disease may seem straightforward: nothing that contains wheat, barley, or rye. However, far more foods – especially processed foods – contain these ingredients than many people realize. Below are examples of just some of the things that someone with celiac disease should avoid (unless the label says otherwise):

• Beers and ales • Breads • Cakes, candies, and pies • Cereals • Cookies and crackers • Croutons • Fries • Gravies or malts

• Imitation meats and seafood • Pastas or matzo • Processed sausage and lunch meats • Sauces and salad dressings • Seasoned foods or seasoning mixes • Soups • Sauced fruits or vegetables

Risk Factors & Complications The exact cause of celiac disease is currently unknown, though it’s generally agreed upon that the disease is genetic and activated by the consumption of gluten. “Celiac disease occurs in genetically predisposed individuals and is very common. About one in 100 people in the United States have celiac disease,” says Dr. Rice.

Celiac disease is, however, more common in some people than others, including people with family members who also have the disease; people with type 1 diabetes, Down syndrome, or Turner syndrome; people with thyroid autoimmune disease; people who have microscopic colitis; and people with Addison’s disease.

Celiac disease can increase a person’s risk of other health conditions as well. The damage that celiac disease can cause to the intestines might also lead to lactose intolerance, but this intolerance can often be reversed if the intestine is healed. According to Dr. Sommer, “More severe, albeit rare, complications of untreated celiac disease include lymphoma and cancer of the small intestine and perhaps esophagus. Because of these complications, it is important that your physician monitors your vitamin and mineral levels regularly and that you have routine bone (DEXA) scans.”

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Getting a Diagnosis Many people are suffering from celiac disease without realizing it. The disease is often mistaken for food sensitivity or irritable bowel syndrome. Fortunately, if celiac disease is suspected, the diagnosis is relatively straightforward. Two different blood tests are used as diagnostics: serology testing, which will identify antibodies that indicate an immune response to gluten, and genetic testing, which rules out celiac disease by testing for certain antigens. If the results of these blood tests are indicative of celiac disease, your doctor is likely to order an endoscopy to check for damage to the small intestine that celiac disease would inflict. During this time, a tissue sample might also be taken for examination.

Managing Celiac Disease At this time, there are unfortunately no procedures or medications available to treat or cure celiac disease. “Celiac disease is treated by avoiding all foods that contain gluten because it is gluten that precipi-

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tates the inflammation in the gut,” says Dr. Sommer.

“When gluten is removed from the diet, inflammation is subsequently improved, and the intestine can heal.” This means not only avoiding trigger foods that clearly contain gluten, but also actively reading the labels of any food or medication purchases, being conscious of what you eat at restaurants, and making those around you aware of your dietary needs. “It is very easy to have ’cross-contamination’ of otherwise gluten-free foods. This can occur at restaurants or at home when cooking utensils used for glutencontaining foods are also used to cook for gluten-free individuals,” says Dr. Rice. If newly diagnosed patients are struggling with the diet, a registered dietician can offer guidance.

Those with celiac disease may also need vitamin supplements at certain points in order to counteract any nutritional deficiencies resulting from the strict diet or the disease itself. It’s also important to stay on top of follow-up appointments with your doctor in order to ensure that the healing process in your intestines is progressing as it should.

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Certified Family Nurse Practitioner, Morning Pointe Senior Living

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Navigating Routine Care as a Senior Adult

By Anna Hill

No matter your age, regular checkups and preventive care are important when it comes to maintaining your health. However, the medical needs of adults change as they age, so routine care looks different at age 72 than it does at 27. Here, we’ve consulted with healthcare professionals to learn what optimal routine checkups should look like for seniors.

Most people are aware of the importance of routine checkups, and the first ones that come to mind are usually an annual exam with a primary care physician, dental checkups, and annual eye exams. However, the body’s needs change as adults grow older, and increasing age often carries an increased risk of developing a variety of health conditions.

While it’s still important for seniors to keep up with the routine checkups mentioned above, those are no longer the only routine exams that they should be scheduling.

Should Senior Adults Go in for Routine Checkups More Often?

The answer to this is often “yes,” according to Nancy Bagamery, a caregiver with Live Oak Caregivers. “It depends on medical history,” she explains. “There is no hard and fast rule about how often seniors should see their

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BE WELL healthcare provider. However, it really is ideal for seniors to have their yearly checkup at the very least. Taking preventive measures helps slow down the progression of many common diseases in seniors.”

Everyone knows the saying, “An ounce of prevention is worth a pound of cure,” and this is especially true when it comes to seniors and their health. Even if you feel perfectly fine and healthy, a

range of conditions – some of which can be life-threatening – present no symptoms in their early stages. It’s important to keep up with routine checkups not only for the sake of maintaining your health and well-being, but to maintain relationships with your healthcare providers. It’s always beneficial to have go-to doctors and specialists who are familiar with your medical history.

Greg Joyner, a nurse practitioner with Morning Pointe Senior Living, has some advice for making sure you have access to routine testing. “It is recommended that older adults utilize the Medicare Annual Wellness Visit every year. This physical incorporates an extensive clinical exam, lab work, and testing that is specific to the older adult,” he shares. “Outside of this exam, additional exams may be warranted based on the individual’s health needs.”

What Routine Exams Do Seniors Need?

Aside from the aforementioned exams that all children and adults need, a variety of screenings are also recommended for adults past a certain age, including but not limited to:

Hearing tests.

Older adults are at greater risk of hearing loss, and it’s one of the most common conditions that affects the elderly. Screenings can assess your hearing health and help to determine if hearing aids are necessary in order to maintain quality of life.

Bone density scans.

Osteoporosis can affect both men and women over the age of 65. According to Joyner, “Most of the time we attribute bone loss to the female population. However, it is important to monitor bone loss through bone density testing for both aging men and women.”

EKGs.

Electrocardiograms – known as EKGs – are often recommended every few years to screen for any heart irregularities or problems, as risk of heart disease increases with age.

Colonoscopies.

A colonoscopy to screen for colon cancer is recommended every 10 years in adults 45 and over, or more frequently if someone is at higher risk due to factors such as family history of disease.

Cancer screenings.

The risk of developing certain types of cancer increases with age, especially after the age of 50. Joyner says, “Screening tests for cancer – including colorectal, cervical, breast, lung, and prostate – become particularly important to maintain as we age.”

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Mammograms.

Opinions vary slightly when it comes to mammograms. Some experts believe that women over 40 should undergo regular mammogram screenings, while others say women over 50. Family history of breast cancer can influence how soon and how often these breast exams are necessary, and it’s always good to do monthly self-breast exams at home.

Pap smears and pelvic exams.

It’s important that women over 65 still receive regular pelvic exams and pap smears, especially if they have a family history of cervical or vaginal cancer.

Skin checks.

If you don’t regularly visit a dermatologist, it’s important to regularly check yourself for any new or otherwise irregular moles and to see a professional if any are discovered. Annual exams with a dermatologist are recommended to decrease the chances of skin cancer going untreated.

Outside of these, annual exams with your primary care provider should be

including blood pressure screenings, height and weight checks, routine blood work, and any necessary vaccinations.

It is important to monitor any symptoms that seem abnormal and consult your doctor, but understand that they may or may not find additional testing to be necessary. “Sometimes the danger of doing a test can be greater than the potential benefits,” Bagamery explains.

Keeping up with routine exams can help your doctor make decisions for testing as well as treatment that are best for you based on greater knowledge of your medical history.

How Can Adult Children Help Seniors Navigate Routine Care?

This higher volume of preventive screenings is likely to feel overwhelming – especially if someone is already dealing with and being treated for

existing conditions. For adult children looking to help their senior parents manage their appointments, here are some tips.

“You can assist them with appointment and medication reminders by helping them set up calendars, alarms, checklists, and weekly pill organizers,” Bagamery recommends. “If you attend doctor appointments with them, let them speak, listen attentively, and write down anything that needs to be remembered.” However, if your parent is beginning to experience cognitive decline, it can be important to step in by sharing your observations regarding their health and behavior, such as things they don’t realize they’re doing or don’t remember doing. “Children can be of assistance by providing additional information that may be seen in the home setting but may not be present or evident in an office setting. This information is often helpful in facilitating early intervention and treatment of various medical conditions,” Joyner shares.

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STAY WELL

Annual Oral Health Section

BY RACHEL COATS

Healthy teeth are an easy thing to take for granted, which is why it’s all the more important to take good care of them. In this section, we feature some of the best dental technologies, procedures, and services that can improve the function and appearance of your smile. Through proper upkeep and the support of professionals, you can take charge of your oral health.

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Veneers This convenient dental fitting can remedy cosmetic concerns and create a confident, natural-looking smile.

An Expert Weighs In “When considering cosmetic dentistry, it’s important to research which options are best for you. Braces, whitening, and veneers are among the most common options, but not the only ones. Scheduling a consultation with your dentist is the first step. Be sure to communicate any questions and concerns you may have and be clear about what your desired expectations are. Sometimes what you are hoping to achieve might not be realistic. It’s better to have these conversations beforehand. After careful examination, your dentist will develop a personalized treatment plan for your smile goals.”

Dr. Mandy Shearer Dentist Soddy Daisy Smiles

What Are Veneers?

Dental veneers are thin shells made from porcelain or ceramic that are adhered to the front surface of teeth. These enamel-colored fittings are a durable and often permanent solution to common cosmetic concerns.

Who’s a Good Candidate?

Veneer recipients often have damaged, misshapen, or severely discolored teeth. Veneers can replace a single tooth or multiple, depending on the needs of the patient. They are also a great option for someone who is looking for quicker smile restoration, as the entire process can be completed in just two weeks.

Veneer Placement

The process of placing veneers usually takes place across two dentist visits. At the first, some prep will be done to ready your teeth for the veneers. This usually includes buffing and surface shaping.

A dental impression will then be taken via an intraoral scanner and sent to a lab, where they will craft your custom-made veneers. In the meantime, your dentist will apply temporary veneers and set up a second appointment with you.

At this second visit, the temporary veneers will be removed, your teeth will be cleaned, and the new, permanent veneers will be placed

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using a strong adhesive. Once this occurs, your teeth will be cured under a light for 60 seconds to complete the bonding process. After a cleanup and polishing, you’ll be good to go!

Veneer Upkeep You will care for your new veneers just as you would your natural teeth. Dentists recommend against certain habits, such as chewing ice or biting your nails, to avoid any problems with your veneers.

Though they may require replacement eventually, taking proper care of your veneers will ensure that they last as long as possible.

Cosmetic Bonding If you want to repair your smile, but aren’t sure if you’re ready to make the commitment of veneers, cosmetic bonding is an excellent alternative, as it follows a similar, yet shorter and simpler process. It can remedy milder superficial flaws such as gaps between teeth, irregularly shaped or chipped teeth, and discoloration.

Whether you opt for veneers or cosmetic bonding, both can provide you with a smile to be confident in!

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Dental Implants Replace damaged or missing teeth with a permanent solution that looks, feels, and functions like a real tooth.

An Expert Weighs In “As dental medicine advances, the options for replacing a lost tooth advance and improve as well. While there are many solutions for tooth replacement, dental implants will provide the most natural results when it comes to restoring your smile. Replacing a failing or lost tooth with a dental implant is easier than you might think, and it can be done at the same time that your diseased tooth is being removed.”

Dr. Brandon C. Stanley Oral & Maxillofacial Surgeon and Implant Specialist Implants and Oral Surgery of Chattanooga

What Are Dental Implants?

Dental implants are tooth replacement devices that are surgically installed to restore a mouth’s function and appearance. These implants fuse to the patient’s existing jawbone to create a permanent base that mimics a natural root. A successful dental implant will rely on a healthy foundation of bone and soft tissue, some of which may need to be augmented depending on the patient.

Why You Might Need a Dental Implant

The failure or loss of a tooth, which can be caused by gum disease, decay, or trauma to the mouth, can be a difficult thing to grapple with. It can damage self-esteem and seriously hinder the health and functionality of your mouth. Damaged or missing teeth can make eating and speaking laborious, as well as lead to the degeneration of your remaining teeth, gums, muscles, and jawbone.

What to Expect From the Procedure

When you go in for a procedure either to remove the failing tooth, have an implant placed, or prepare for an implant with bone grafting, sedation can be done with local numbing medication, or general anesthesia if the

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latter is preferred. Procedures can often be done on the same day as the evaluation, with the entire process usually taking a few months. At the final stage, your dentist will secure a permanent crown to your implant, fully restoring your smile.

Advancements in Digital Implants As surgical techniques and materials are advancing, it’s become easier than ever to remove a diseased or damaged tooth and follow immediately with the placement of a dental implant. Improvements in digital technology and scans can now expedite the process as well as increase the predictability of the procedure, and the uncomfortable process of making manual dental impressions is often no longer necessary.

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Full Mouth Rehabilitation Using dental crowns, this comprehensive process can restore a healthy, functional mouth.

An Expert Weighs In “People walk into my office every day with worn down, cracked, or broken teeth. The conversation typically begins with them feeling hopeless and being in the mindset that they need a full mouth of implants or even dentures. While implants are a superior choice for tooth replacement, oftentimes we can work with what nature provided. If the foundation is good, we can often rebuild or rehabilitate the natural dentition.

This can restore the health of the teeth, the chewing function, relieve headaches or jaw pain, aid in airway opening for better sleep, and reverse the aging process by restoring a more youthful size and shape of the teeth and creating the smile they dream of and deserve. This can be accomplished in just a few short weeks versus months. Never give up on your smile; you deserve it!”

Dr. Kristen Conner Dentist Northpoint Dental Co.

What Is Full Mouth Rehabilitation?

Full mouth rehabilitation is a process that rebuilds worn or damaged teeth to completely restore a mouth’s appearance and its ability to chew and speak normally. While there are multiple methods that can accomplish this, dental crowns are a popular and effective option.

What Are Dental Crowns?

These protective tooth-shaped caps completely enclose the afflicted teeth. Crown materials, such as porcelain, can mimic the appearance of a natural tooth, making them a visually appealing option for full mouth rehabilitation.

Who Is Eligible For Full Mouth Rehabilitation?

Candidates for full mouth rehabilitation have dental problems that affect the majority of their teeth. This can include multiple broken teeth, excessive wear, and widespread decay. These dental problems can hinder healthy functions and lead to more damage if left untreated.

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Crown Installation Accomplishing full mouth rehabilitation through crown installation typically involves an assessment followed by two appointments – preparation and then installation. First, the teeth are filed down to make space for the crowns. For teeth with excessive damage or decay, a filling material may be used to provide more structural support. An impression of the teeth is then made and sent to a laboratory that will create your full set of dental crowns. Temporary crowns placed in the first visit will then be replaced by the custom-made set during your second visit.

You can aid the longevity of your crowns by practicing good oral hygiene and avoiding habits that can wear down a crown, such as chewing ice or clenching and grinding your teeth.

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Gum Recession Receding gums can elongate a tooth’s appearance and significantly harm its stability.

Thankfully, a solution exists that can rebuild gums to be even stronger than before.

What Is Gum Recession?

Gum recession occurs when gum tissue wears away and pulls back, exposing more of the tooth.

This process happens gradually, and it may take some time before you notice its effects. Early signs include tooth sensitivity, a notch felt near the gum line, and visibly longer teeth.

What Causes Gums to Recede?

There are several potential causes of gum recession. Gum disease is the main cause, as the infection destroys gum tissue. Other causes include habits such as excessive tooth grinding or aggressive tooth brushing – these can create wear on the enamel, and consequentially, the gum tissue. Insufficient dental care can cause buildup of tartar, which can also impact the gums.

The Effects of Gum Recession

When gums recede, teeth can lose needed stability. If left untreated, the supporting tissue and bone structures of the teeth can be severely damaged, which can lead to tooth loss. Gaps can also form between the teeth and gum line, making it easy for disease-causing bacteria to build up and cause further harm. Additionally, the appearance of elongated teeth can cause cosmetic concerns.

Gum Grafting

Receding gums can be restored through gum grafting, a treatment that grafts new tissue onto worn gums, restoring their strength and providing resilience against future recession. During the grafting process, the operating periodontist can shape the new tissue to create a natural smile.

This procedure is performed while the patient is under IV sedation, preventing pain. The healing process can be expedited through platelet-rich fibrin, or PRF, treatment, which encourages innate healing abilities to act faster and minimize discomfort during recovery. After only one or two days, you’ll be ready to return to your normal routine!

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An Expert Weighs In “Treating gum recession can have a profound impact on a patient’s oral health. Healthy gum tissue protects the teeth from gum infections, helps stabilize the teeth, and prevents extra plaque buildup. In addition, soft tissue grafting can significantly reduce sensitivity caused by exposed root surfaces and offers great esthetics. Soft tissue grafting is a procedure that can offer health, function, and cosmetics all in one procedure.”

Dr. Elizabeth Felts Randall Periodontist Chattanooga Periodontics & Dental Implants

www.ChattanoogaPerio.com 951 Riverfront Parkway, Suite 102 Chattanooga, TN 37402 | 423.756.2450

Our goal is to provide quality oral health and improved esthetics & function in a relaxed, convenient atmosphere.

Dr. Randall and her team did a phenomenal job with my procedure! My smile looks 10x better, and I am finally able to enjoy my favorite foods again without being extremely sensitive to hot and cold temperatures. My only regret is that I didn’t come to them sooner!

BEFORE

- HOLDEN AFTER

Charles B. Felts III D.D.S., M.S.D. Diplomate of American Board of Periodontology Elizabeth Felts Randall D.M.D., M.S. Diplomate of American Board of Periodontology

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Dental Anxiety If just thinking about your biannual dentist appointment makes you nervous, you’re not alone, and there are options available to help.

An Expert Weighs In “Dental anxiety is real! I have patients who require sedation simply to get their teeth cleaned. All of our senses are on red alert in the dental chair. The whirring of the bur, the scraping, the smell, the needles — it’s all fear-inducing. We offer oral conscious sedation and IV sedation in our office because I want my patients to have the most comfortable experience possible. That way, I know they will leave healthier and with less fear than when they braved the first visit to our office.”

Dr. Damien Armstrong Dentist Mint Dental

What Is Dental Anxiety?

There are varying degrees of dental anxiety, ranging from minor stress to severe phobia.

Common causes include a fear of pain, feelings of helplessness and embarrassment, or negative past experiences. Dental anxiety is extremely common, affecting between 30 and 50 million people.

What Can It Lead To?

If the anxiety is extreme enough that it’s causing you to avoid dental appointments, your oral health will suffer. Skipping regular checkups can put you at a higher risk of developing dental issues, which can lead to more urgent visits and therefore an increase of stress and fear.

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How to Combat It

If you have dental anxiety, taking these steps can help you manage it:

DISCOVER the options available to you. A popular choice is sedation den-

tistry – the use of medication to help patients relax during dental procedures. Dentists with specialty training and licensure can administer differing levels of sedation, ranging from minimal, where you are awake but relaxed, to general anesthesia, where you are completely unconscious.

CONSULT with your dentist about sedation options. Many offices just offer nitrous oxide, also known as laughing gas. Although regularly used, this gas is often not enough to fully remove anxious feelings. Conscious sedation, on the other hand, effectively allows a patient to dissociate from their stressful experience. This medicine is typically administered through a pill or an IV and leaves most patients with little to no memory of the dental procedure. Your dentist can determine if you are a candidate for either oral or IV sedation and help you take the steps necessary to ensure a comfortable experience and maintain your oral health.

BE BRAVE. If you struggle with dental anxiety, take the first step and make

an appointment to discuss your concerns with a sedation dentist and find the best option for you. You can reclaim ownership of your oral health and begin going to the dentist without associating these visits with fear.

Providing the most efficient and effective dentistry care in Chattanooga.

3D impressions, 3D scans, 3D printing

Offering a Full In-House Lab exclusively at Mint Dental S C H E D U L E YO U R A P P O I N T M E N T TO DAY:

423.486.9650 | MyRiverCityDentist.com

FAMILY, COSMETIC, & SEDATION DENTISTRY

1 4 0 5 C O WA RT S T R E E T, S U I T E 1 0 1 C H AT TA N O O G A , T N 3 7 4 0 8

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Pediatric Dentistry Pediatric dentists can provide your child with specialized care to help their oral health start and stay strong.

An Expert Weighs In “Dental caries remains the most common chronic disease of childhood. Early dental visits can help prevent suffering, reduce dollars spent on future surgical and emergency dental services, and maximize the chances for children to grow up with healthy, happy smiles. One purpose of these visits is to educate parents and caregivers on healthy oral habits and identify factors that may place the child at more risk for developing caries. The goal is to promote a positive experience that will ensure a lifetime of smiles.”

Dr. Peter Stanley Pediatric Dentist Children’s Dentistry of Chattanooga

General Dentistry vs. Pediatric Dentistry

Though general dentists can treat children, pediatric dentists are specially trained to do so. They understand how to work with developing teeth and kids’ demeanors. Pediatric dentists also have tools and equipment to accommodate smaller mouths and can provide informed care for children at all stages of their tooth development, from babies with only a few teeth to elementary schoolers in the process of gaining permanent teeth.

When Should a Child’s First Dental Visit Be?

A child’s first oral health checkup should take place before they turn one, as their baby teeth start to emerge – which can begin as early as six months. This appointment may seem early, but it is important to ensure your child’s teeth are developing properly and to check for early signs of decay. After this initial visit, you should bring your child to the dentist every six months for a biannual checkup.

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Creating a Kid-Friendly Experience

Pediatric dentists are intentional about creating an environment and experience that is comfortable for children.

Cheerful colors and music create an inviting space as toys and children’s television shows associate the dentist with positive experiences. Pediatric dentists are trained in calming energetic or nervous kids of all ages, ensuring that your child’s visits go as smoothly as possible!

Dental Sealants

Sometimes brushing is not enough, especially when it comes to hard-to-reach spots in your child’s mouth. It can be difficult for a toothbrush to reach between small cracks and grooves on teeth. If left alone, these tiny areas can develop tooth decay. Pediatric dentists can add a sealant to give your child’s teeth extra protection against decay and help prevent cavities.

CLAY PAUL GOINS, D.D.S. | PETER STANLEY, D.D.S.

DR. CLAY GOINS DR. PETER STANLEY

W O RLD - C L A S S P E DI A T R I C DE N T I STRY I N A W ORLD - C LASS ENV I RONMENT. EV ERYTIME .

Just step through the doors of Children’s Dentistry of Chattanooga and it isn’t hard to see why we are like the Disney World of Pediatric Dentistry! Both kids and parents alike love that they can count on having a premier dental experience at each visit with the best in comfortable, modern, preventive dentistry that keeps young smiles strong and healthy. We take serving our community seriously – we’ve been doing it for decades – and go out of our way to treat every child just the way we would our own.

GREATSTARTHEALTHYSMILES.COM • 1612 GUNBARREL RD STE 102, CHATTANOOGA, TN 37421 423.954.9511 • INFO@CHATTYTEETH.COM • @NOOGAPEDO • @CHILDRENSDENTISTRYOFCHATT

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Root Canals A widely preferred alternative to tooth extraction, root canal treatment can relieve dental pain, protect against future infection, and preserve your natural smile.

An Expert Weighs In “When seeking root canal care, patients should consider seeing an endodontist, a dental specialist trained in treating tooth pain and performing complex root canals.

Multirooted teeth like molars and premolars may be difficult to treat with standard root canal therapy.

Fortunately, endodontists have experience in treating these root canal systems. When it comes to dental discomfort, an endodontist can typically relieve your pain and get you back to work the same day.”

Chattanooga Area Endodontists

The Anatomy of a Tooth

Teeth are made up of four different kinds of tissues – three hard, and one soft.

The soft tissue, the pulp, is located at the center of the tooth in the pulp chamber.

Pulp consists of connective tissue, blood vessels, and nerves, all of which can become inflamed if bacteria enter the pulp chamber. This can lead to infection, decay, abscesses, and even bone damage and cell death. The causes of this invasive bacteria can include repeated dental procedures, a faulty crown, or a cracked tooth.

What Is a Root Canal?

A root canal is a procedure that removes dead, infected, or damaged pulp from a tooth. This can relieve pain as well as protect your gums, jaw, and surrounding teeth from further infection or nerve damage and decay. In the past, the primary treatment for unhealthy tooth pulp was simply tooth extraction. Now, whenever a root canal is feasible, it is generally the better option as it allows you to keep your tooth and preserve your smile.

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Signs You May Need a Root Canal • • • • • • • •

Your tooth is extra sensitive to heat and cold.

Your tooth is dark or discolored.

Your tooth or filling is cracked or broken.

You have severe pain with pressure or eating.

You have a large, visible cavity.

You have an abscess on the gum line.

You have pus draining into your mouth.

You have a foul taste or odor emanating from the tooth.

A Three-Step Procedure The procedure itself is painless, as your dentist or endodontist will use a local anesthetic to numb the affected area. First, they will open the top of your tooth to expose the damaged pulp. Following this, they will clean the interior of the tooth and replace it with a filling. Finally, they will seal the tooth back up, and in some cases, place a crown in order to prevent bone loss and the spread of infection.

Aftercare You may experience some discomfort following the procedure, but it can be managed with proper aftercare. To assist a smooth recovery: • Take over-the-counter pain medication if needed.

• Refrain from sticky and hard foods.

• Avoid chewing with the treated area.

• Brush and floss as normal.

• Complete an antibiotic regimen as prescribed.

Your Chattanooga Area Endodontists Root Canal Specialists We support the Greater Chattanooga area General Dentists and we are proud to partner with them to make every effort to help patients maintain their natural teeth and keep healthy, beautiful smiles.

EAST TENNESSEE ENDODONTICS ENDODONTIC GROUP PC

Joseph B. Milholm, DMD Erik E. Jansen, DMD

Kevin P. Bryant, DMD

Jason D. Latham, DMD, MSD

1001 Carter St., Suite H

Cara McCary, DMD

Chattanooga, TN 37402 (423) 267-1853

Dugald McMillan IV, DMD Chattanooga: 1720 Gunbarrel Rd., Suite 308 Cleveland: 2222 Chambliss Ave. N.W.

SOUTHEASTERN ENDODONTICS

Matthew Brock, DDS, MSD Yvette Burns, DDS, MS 2030 Hamilton Place Blvd., Suite 380 Chattanooga, TN 37421 (423) 892-4727

Ooltewah: 5572 Little Debbie Pkwy., Suite 120 (423) 892-3131

Specialist Members of the American Association of Endodontists www.aae.org

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life & style From skin care and style to food and fitness, check out all these healthy ways to look and feel great – physically and mentally.

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MEET OUR MODELS

Rachel Schulson, Barbara Kennedy, and Susan Collins

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W

hile Barbara Kennedy may have first met Susan Collins and Rachel Schulson through separate professional endeavors, it didn’t take long for these ladies to recognize the outstanding love and support one another offered. In time, Susan went from being a colleague to a confidant and helped Barbara navigate the ups and downs of being a working mother, while Rachel bonded with Barbara over shared interests and life events that have now spanned more than two decades. Now, this trio has cultivated a unique support system where differences of opinion are valued and life’s successes are celebrated.

Photography by Rich Smith

What are some valuable traits of the other ladies that make them such an integral part of your support system?

SC Barbara is smart and extremely capable, and she has one of the most fun and witty personalities of anyone I know. She’s calm in times of stress, and she’s wonderful to her friends.

Her presence always makes any situation better, whether it’s a fun occasion or one that requires a steady hand or a word of sympathy. And I’ve always admired Rachel for her commitment to doing the right thing and her efforts to actually make a bad situation better.

RS Barbara is calm and thoughtful. She can look at a situation with many moving parts and see how they can go together in a way that works for all parties concerned. She is not quick to judge, and her fascination with people is what makes her both a great conversationalist and companion.

Susan is one of the most well-read people I know.

Many of the recommendations she makes and books she loans to Barbara make their way to me.

Susan’s broad taste in books has exposed me to many kinds of people and perspectives.

Why do you think it’s necessary to have a support system in place?

SC Oh my, how could you not? Now that I am alone, my friends are my tribe. Since I was widowed in 2018 after 28 years of a wonderful, happy marriage, my friends have helped me survive as a single person for over four years now.

I learned a lot about self-sufficiency from Barbara.

She has helped me stay busy and positive.

RS Having the benefit of other people’s perspectives reminds me that what may seem obvious to me is not necessarily how others would view a situation. An honest friend offers, not just a shoulder to cry on, but a different take.

Of course, I appreciate when they commiserate or celebrate with me, but I also appreciate when what they say is not what I want to hear.

BK As hard as it is for women of my generation to admit it, we can’t do it all. We can try, and believe me, I have, but it eventually takes its toll on a person’s mental and physical well-being. A support system helps take the weight off of whatever the load may be that one is shouldering, provides balance, and helps create a healthier perspective.

What’s the most important thing you’ve taught each other since meeting?

SC Barbara has taught me a lot about being self-sufficient and speaking up for myself. I hope what she may have learned from me is that you never have to feel old if you have the right attitude. I love that she thinks of me as a fun big sister.

RS I can’t say what I’ve taught Barbara, but she’s taught me that acting quickly is not the same as acting decisively.

She is thoughtful without being overly cautious, and I have learned from watching her approach.

BK Having a support system was revelatory to me. Susan and Rachel have taught me that it’s okay to be vulnerable and forthright about fears and feelings. They are also very good about being attentive to the care and thoughtfulness that is necessary to nurture relationships, and I think I have gotten better at that thanks to them.

What are your favorite ways to bond and lift each other up?

SC We often meet for a walk and discuss all the good and bad things that are going on in our lives. We also bond through trading good books, and I love when Barbara calls out of the blue and asks if I can help her with a project she’s working on at school.

RS Barbara and I bond through honesty and humor.

There’s something about talking while doing something – a jigsaw puzzle, or in our case, walking – that makes the conversation flow more easily. When the conversation includes the willingness to be vulnerable, you get more from it, and it enhances all the other areas of your life.

BK The bond is there and is tight, so just touching base with a quick call or texting is a bright spot. If it’s sprinkled with some sarcastic humor, that is always fun.

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LOOK WELL

Sleeveless Style PHOTOGRAPHY BY RICH SMITH

When the temperatures make their summertime summit, fashionistas shed their sleeves in favor of shoulderbaring looks. And this summer, your arms deserve to swish alongside the best that fashion has to offer. Here for a little sleeveless style inspiration, we have three looks from area boutiques that deliver on more than one trend. In addition to bare shoulders, earth tones, botanical patterns, and maxi dresses are making quite a splash in fashion this season. These looks really do have it all. Shopping spree, anyone?

ANN TRAMMELL NEWTON Embellish

Ulla Johnson Sylvan dress in olive KATHERINE ROBERTS BURGER K Boutique

SILVINA PERALTA- RAMOS Antibes

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“From the minute I saw this dress walk down the runway, I knew it would be one of my absolute favorite pieces this season. I love all things green, but the colorful stitching on this dress gives it an unexpected twist. Pair it with a fun shoe, and you will be sure to turn heads!” – Ann

MODEL: SARAH REILLY

Marella tie waist maxi dress in emerald “This maxi dress from Marella is the perfect dress to usher in warm summer weather. A flattering tie waist and elegant pleats add subtle touches of flair to this dress’s timeless silhouette.”

– Katherine

MODEL: KATHERINE ROBERTS BURGER

Scotch & Soda halter top and wrap skirt “This is the summer of botanicals in clothing. We love the palm trees and flowers together in a neutral monochrome look. This outfit is super chic and fun.” – Silvina

MODEL: KRISTEN MALIN PHOTO BY EMMA KERLEY

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LOOK WELL

Going for the Glow Skip the Sun With These Self-Tanners Warm weather and tanned skin go hand and hand; unfortunately, spending hours in the sun isn’t the healthiest way to achieve a classic summer tan. If you’re after a convincing glow without the skin damage, a self-tanner could be the perfect addition to your beauty arsenal. The following products deliver a streak-free finish you can feel good about – just don’t forget to apply sunscreen afterward!

For a fool-proof tan:

For a fragrant tan:

St. Tropez Self Tan Express Bronzing Mist Self-tanner beginners should check out this easyto-use aerosol mist from St. Tropez. The 360° mist ensures even coverage and a natural-looking finish – once applied, just wait one to three hours before showering (less for a sun-kissed glow, more for a deeper, darker bronze).

L’Oréal Paris Sublime Bronze Self-Tanning Water Mousse A self-tanning mousse that checks all the boxes, L’Oréal Paris’ offering boasts a lightweight, hydrating formula with a fresh tropical scent – all at a reasonable price point. Ingredients such as coconut water and vitamin E mean softer, smoother skin as well as a natural-looking tan.

For a gradual tan: Tan-Luxe The Gradual Illuminating Tan Lotion This ultra-hydrating lotion from Tan-Luxe is your favorite moisturizer and self-tanner all wrapped up into one product. The nourishing formula, which includes raspberry seed oil, vitamin E, and aloe vera, smooths and conditions skin while helping it appear firmer. Apply daily or as desired to build up your radiant, gradual glow.

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For an instant tan: Clarins Self Tanning Instant Gel For a tailor-made, buildable tan, look no further than Clarins’ Instant Gel. By combining DHA and erythrulose (a 100% naturally-sourced plant sugar), this gel not only delivers an instant glow, but a long-lasting one as well. And, thanks to its quick-drying formula, you can get dressed immediately after you apply.

Where S e l f Ca r e Meets

Beauty 6116 Shallowford Rd Suite 117, Chattanooga, TN 37421 (423) 206-9500 @flawlesschattanooga flawlesschattanooga.com

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The Dos & Don’ts of Healthy Feet You know it’s important to take proper care of your heart, your hair, your teeth … but how much thought do you give to caring for your feet? Considering the average person walks a distance of about 110,000 miles in their lifetime, this is one body part you don’t want to take for granted! Keep reading for some dos and don’ts that will keep your feet feeling their best.

By Mary Beth Wallace

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Do ...

Don’t ...

... practice proper foot care. The foundation of healthy feet is good hygiene. This includes washing your feet when you bathe, as well as drying your feet – especially the skin between your toes – thoroughly afterward. If you wear nail polish on your toes, keep them healthy by giving your toenails a few days to “breathe” between applications. Always wear clean, dry socks, and try to air out your shoes between uses to prevent fungus infections.

... wear tight-fitting shoes. Ill-fitting shoes can do significant damage to your feet, which is why it’s important that any shoes you wear fit properly.

When trying on a pair of shoes, they should fit right away – if they’re rubbing or causing discomfort, no amount of “breaking them in” is going to fix that.

Ideally, there should be about a half inch between your longest toe and the front of your shoe, and the ball of your foot should comfortably fit in the widest part of the shoe.

... moisturize daily. As you age, the skin of your feet gets drier and thinner, making them more susceptible to cracks that could cause bleeding or pain.

Rubbing a thick moisturizing lotion on your feet every night can help keep the skin soft and nourished. Just be sure not to apply the lotion in between your toes – too much moisture in this area can lead to infections. ... choose the right shoe for the job. Your choice of footwear matters; not only should your shoes be comfortable, but they should also be activity-appropriate. Athletic shoes are going to be the best choice for highimpact activities such as running or aerobics, while sturdy sandals will give your feet proper support on vacation. Although high heels are notorious for causing foot problems, they won’t do any lasting damage when worn sparingly – for example, a date night on the town. ... apply sunscreen when wearing open-toe shoes. The tops of our feet face the sun directly when we’re barefoot or wearing a skin-baring shoe outdoors, so why is this spot so often overlooked when we’re applying sunscreen? You can do your part to reduce your risk of skin cancer by lathering up and reapplying every two hours you’re outdoors.

... ignore foot pain. If you’re plagued with foot pain, you’ll want to get things evaluated before it gets worse. Common causes of foot pain include bunions, corns, plantar fasciitis, ingrown toenails, fallen arches, and arthritis. Seek immediate medical attention if you are experiencing severe pain or swelling, unable to walk or put pressure on your foot, or developing signs of an infection, such as warmth, redness, or tenderness in the affected area. ... cut corners. When it comes time for a nail trim, experts suggest cutting your toenails straight across the top with a nail clipper. You can then use a nail file or emery board to smooth out the corners of the nail. Cut your nails regularly, but not too short, or you may experience an ingrown toenail. ... forget to rest! Just as you want to make sure your feet are getting enough exercise, you also want to make sure your feet are getting plenty of R&R. Spend a few minutes every day lying back with your feet elevated. You might use this opportunity to do a few foot stretches, or you can give each foot a soothing massage, which will help boost your circulation and reduce muscle soreness.

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Mastering At-Home Exfoliation Top Tips to Achieve Smoother, More Radiant Skin BY MARY BETH WALLACE

Exfoliation is kind of like flossing when it comes to your skincare routine – you either skip out on it completely, or you just don’t do it as often as you should. Yet expert exfoliators will tell you that this step is crucial to improving the appearance of your skin. Not only does it remove dead cells from your skin’s outer layer, exfoliation also stimulates blood flow, increases cell turnover, minimizes breakouts, and helps your skincare products penetrate deeper, allowing nourishing ingredients from your moisturizers and serums to work more effectively.

There are two approaches to exfoliation at home: mechanical and chemical. Mechanical exfoliation incorporates a scrub or scrubbing tool, such as a sponge or brush, to slough away dead skin cells, while chemical exfoliation uses alpha or beta hydroxy acids to dissolve dead skin cells. No matter which route you choose, you’ll want to use the following tips to maximize the benefits of exfoliation.

1. Consider your skin type. Those who have dry or sensitive skin will do better with a mild form of exfoliation – think mild chemical exfoliators and a washcloth – while oily, thicker skin types can typically tolerate a physical exfoliator or stronger chemical exfoliators.

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2.Be gentle. Your first priority when exfoliating is being kind to your skin. For scrubs or chemical exfoliators, apply the product to your skin using small, circular motions for approximately 30 seconds, then follow with a rinse with lukewarm – never hot – water. If you’re exfoliating with a sponge or brush, short, light strokes work best. Note that you should take a rain check on exfoliation if you’re dealing with a sunburn, wound, or open cut on your skin.

3. Moisturize afterward. Exfoliation can dry out your skin, but applying your favorite moisturizer immediately after a treatment can keep your skin feeling healthy and hydrated.

4. Find your exfoliation sweet spot. Depending on how you choose to exfoliate, be aware that a little goes a long way. In fact, over-exfoliation could irritate your skin and cause redness. For most skin types, one to two times a week is ideal, though those with oily skin can handle exfoliation more often – even daily. It’s always worth consulting with your dermatologist to get a recommendation specific to your skin type!

Coming June 2022 423.266.3440 | INFO@SCENICCITYMAGS.COM Reserve Your Space Today!

Her Story Every woman has a story to tell, and no two stories are alike. Meet the women who have persevered through challenges and tribulations and come out the other side stronger than ever. These unique individuals have seen their fair share of adversity but continue to inspire those around them with the lessons they have learned and their love of life. Read on for four truly motivating stories by the women who experienced them firsthand.

Photography by Rich Smith / Photos taken on location at Wildflower Tea Shop & Apothecary

Marie Mott CHATTANOOGA

Fathers are essential to the foundation of a family and are the fabric of a community. In the first years of my life, my biological father left my mother, my older brother, and me and never returned. He would later pass away. My mother would later remarry the wonderful man who raised my siblings and me and move forward with her life.

At around age 12, my mother and father sat us down and told us that even though this remarkable man had raised us nearly all of our lives, we weren’t his children. I remember feeling anger and pain and having so many questions I thought I could never ask. I kept everything inside

and mushed forward in my life, often feeling internally like an incomplete person. Where was my family?

Where were my other siblings?

Where was my father buried? Why didn’t he love us?

It wasn’t until I went to a Christian women’s support group hosted by E’bay Seay that I would speak about my father for the first time. As fate would have it, my mother was also in attendance. Mrs. Seay gave us a sheet of paper with questions about bitterness and asked if anyone felt encouraged to share. I spoke, and with tears rolling down my face, I finally admitted my feelings about being abandoned. A small circle of

women invited me to forgive him.

The following Sunday, I found his grave at the National Cemetery, forgave him, and posted it on Facebook.

My baby brother’s mother saw the post and connected us, and I would later be connected with my eldest brother, aunts, uncles, cousins, and grandparents. If someone has harmed you, forgive them. Forgiveness is not for the other person; it’s for you. We can accept people for who they are and not let what they’ve done define our lives. It’s a process, so have grace with yourself as your feelings and memories surface. We do not have to let any level of trauma define our lives. Be encouraged.

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HER STORY

Cara Woolsey CHATTANOOGA It was September 19, 2021. I was pale, dizzy, and weak. My vision was blurry and speech was slurred. I could barely move, and I lost consciousness on a couple of occasions. I remember asking myself, “What is wrong with me?” I was a healthy 31-year-old who was recently married and lived a normal life. Just the week prior, my husband and I had vacationed in Florida.

Flashback to 2016. I was at my first doctor’s appointment at Tennessee Oncology after finding that my blood platelet count was abnormally high. For perspective, the normal blood platelet count range is 100,000 to 400,000, but mine was over 1 million!

After a series of tests, I learned that I have a very rare chronic blood disorder and mutation that is present in my bone marrow. My diagnosis was Essential Thrombocythemia with Jak2+ Mutation. I remember crying after hearing the news and wondering two questions: Will I be able to live a normal life, and will I ever be able to have kids?

As time passed, I began to feel a sense of normalcy.

I was an accountant at a construction company where I would meet my future husband, and my life finally felt normal again. Flash forward to 2021, when I was rushed to the hospital. Looking back now, it was by the grace of God that I survived. I had lost a majority of blood through internal bleeding and received five blood transfusions and an iron transfusion. I was later informed that I had a blood clot in the vein between the spleen and liver.

I never thought those next five days in the hospital would give me an entirely new perspective on life, but they did. I remember holding my husband’s hand and crying while asking him if he thought I was going to survive. Following hospitalization, I had several outpatient procedures done in an attempt to eradicate the varices. We found ourselves rushing back to the hospital two weeks later after I felt severe pain and swelling in my neck. This time, we learned I had two blood clots in my neck and multiple blood clots in my lungs. As a result, I am now on a blood thinner and multiple medications.

It is now spring of 2022, and my journey is far from over, but God is still good through it all. Don’t take life for granted, and most importantly, no matter what comes your way – fight until the end. You are worth it, you are loved, and you have a story to tell. So, why am I fighting so hard? Why am I telling my story? My “why” is that I want there to be a cure for this rare chronic blood disorder.

PHOTO BY RYAN LONG PHOTOGRAPHY

@ THE HAMILTON COUNTY BUSINESS DEVELOPMENT CENTER

HER STORY

Tara Konrad RINGGOLD As we all know, life can be a challenge and forever changing. Three years ago, I found myself in a place I never thought I would be. I was becoming a single mom with two children and starting my life over at 47. I had never in my life been afraid or felt insecure, but suddenly I was in very unfamiliar territory and didn’t know what to do. I was working full-time, rebuilding a life for me and two very impressionable young adults, dealing with the effects of divorce, and learning how to manage everything alone after 24 years of marriage.

It took a couple of years, but I realized I wasn’t managing anything well. It felt like my life was completely out of balance, and all I had been doing was surviving. I was given some great advice from a dear friend and quickly learned that I had to create balance in my life. In the process of creating that balance, I adopted intentionality in my life and began to move forward with a completely different mindset.

I began looking deep into myself and working on my spiritual life, which quickly gave me perspective on what was important to me. Spending time studying the Bible and growing in my faith now sets the tone for my day and how I handle daily stressors.

I also incorporated a more conscious effort with my nutrition and exercise routine, and I began operating from my calendar to control what has my attention. I’ve learned to be very focused and intentional about what I allow to have my attention in all areas of life. This has taught me to delete the things from my schedule that distract me from my goals. I plan my workweek before it starts and put the most important items on my calendar as appointments, and I also add exercise and devotion to my calendar to keep those priorities in my day.

When we are willing to be alone and really learn who we are and what makes us react the way we do, we can find some of the greatest peace in daily life. If we learn to be okay with who we are and be open to the many possibilities this life has to offer, we will find that balance we are all looking for. It just takes willingness to go find it.

Tori Lozano HIGHLAND PARK

My parents remember me telling them at a young age, “I want to move away with my husband one day.” That seems like a silly dream for a child, but I guess even then part of me loved the idea of exploring the world with my best friend.

Fast forward to 2015 and Adam, my boyfriend and brave soldier, became my husband, and off we went to be stationed in Texas.

My wish became a reality, and my world was immediately a thousand times bigger. We were excited for the adventure, the challenges, and the togetherness that we were about to encounter.

Early on, I made a sign that read “We’re Better Together,” and that we were! We made new friends, found our favorite brunch spots, learned the roads, pushed through a nine-month warzone deployment, brought home our first baby who was born with a clubbed foot, and called El Paso, Texas, home for four years. We were challenged in ways we expected, but God also carried us through some heart-aching moments we could never have imagined. Navigating wartime Army life, becoming new parents, and overseeing countless pediatric surgeries bonded us even more. It forced our friends to become family and helped us rely on God that much more.

Leaving Texas was bittersweet but was coupled with excitement. Making Chattanooga our home again has been incredibly sweet. We’ve found a church family, reconnected with old friends, and made new ones. To top it all off, both of our families are here. We’ve added another baby boy to our team, moved three times in 22 months, joined sports teams, and enjoyed rediscovering our city. We’re still defining life as we continue to juggle Army obligations, two babies, therapy for our now 4-year-old, and growing careers.

My paraphrase of Philippians 4:13 has been a steady and consistent balm for my soul, a reminder of God’s constant nearness: “I can do anything with you! There’s nothing I can’t do, as long as I have you!”

As full as life is, as hard as it can be, I’m incredibly grateful Adam and I get to do it all together, with God, and with our people. “We’re Better Together” still hangs in our home.

PHOTO BY KRIS HACKER/HACKER MEDIAS

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A Meaningful Marriage For most couples, a long and happy marriage is no walk in the park. Both parties have to exemplify love, support, and gratitude to create – and maintain – a strong and healthy relationship. Here, several local ladies share just a few of the ways true appreciation can be shown and the importance of letting your partner know you care.

“I’ve learned that the little things add up to be more meaningful and special than the big things. Words of affirmation and touch are where my husband thrives. For me, that means I make an effort to be the one to reach for his hand when we are in the car or slip a note in his lunch box before he heads off to work.

Something I have been working on improving is verbalizing my gratefulness for him on a daily basis. He takes out the trash for us and, though it is one of his ‘roles’ in the house, I thank him for it so he knows I see him and appreciate him. If I think to myself, ‘Man, he is such a good dad; our son is so blessed!’ I need to say it! By focusing on those little moments more often, the bigger moments mean so much more.”

Ashley Stafford

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“My husband is on a comedy tour, and trying to organize travel can be pretty hectic. Unbeknownst to him, I received his tour dates and immediately booked all of his flights for the entire tour. I wanted him to know that I acknowledge, appreciate, and respect his hard work. This may not be a big deal to others, but I love seeing how the smallest things make him happy. We are in this together, so I don’t mind doing whatever I have to do to keep him motivated and bring out the best in him. I want him to always know I will have his back, and he has my unconditional love and support.”

Talia Williams

“My husband, Ray, and I have been married for 50 years, and I have learned several things that have made all the difference in a happy marriage. 1) We all have struggles, and we will occasionally remind each other of the hard times, which can be a great opportunity to laugh or cry together. 2) Appreciate each other’s differences. 3) Even if it’s painful or you think it serves no purpose, be willing to talk about things. You may be surprised at what comes to the surface. 4) Be supportive. Sometimes it can be hard to understand or agree on certain issues, but support is vital. 5) For us, it has been important to grow together spiritually and be on the same page when it comes to our walk with Christ. 6) Having shared interests is really fun and gives you and your partner a way to grow together, but at the same time, having a partner is no substitute for having your own friends and interests. 7) Surprises are the spice of life!”

Linda Pritchard

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Impostor Syndrome U ND E R S TA ND ING A ND OV E R C O M ING FA L S E F E E L ING S O F INA D E Q UACY

By Olivia Halverson

A

nyone who’s ever experienced a high-pressure situation is likely to be familiar with the guttwisting feeling of self-doubt. In those moments, when success is more or less demanded, people who lack a strong internal sense of value may conjure up intrusive thoughts like, “Am I qualified?” or “Do I deserve to be here?” Without pausing to investigate the source or validity of such thoughts, a self-doubt sufferer can be plunged into a more consuming fear of being exposed as a fraud, a phenomenon better known as Impostor Syndrome. While it is not formally recognized as a psychiatric disorder, Impostor Syndrome is an important and widely studied condition proven to co-exist alongside anxiety, depression, and low self-esteem. To get some insight on where impostor feelings originate from and learn how to support those who experience impostor feelings, we spoke with Anna Downer Youngs, a licensed professional counselor and mental health service provider at The Transformation Center in Chattanooga.

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ANNA DOWNER YOUNGS, LPC-MHSP

The Transformation Center

Where does Impostor Syndrome come from?

According to Youngs, environmental factors can give rise to impostor feelings. “If you grew up in a home or environment where you were heavily criticized or controlled and didn’t feel like you could do anything right, you could struggle with Impostor Syndrome,” says Youngs. “Additionally, if you grew up in an environment where no one openly acknowledged struggles or negative feelings, you may have felt like you had to hide those parts of yourself.

Hiding parts of ourselves can lead to feelings of isolation and a sense that we aren’t understood by others, which is highly correlated with feeling like an impostor,” she says.

Is it Impostor Syndrome, or something else?

It’s important to distinguish between Impostor Syndrome and recognizing that you have legitimate areas in which you could grow and learn. Youngs experienced this herself early on in her career as a mental health professional. “I was struggling with whether I knew enough to be helping my clients. Someone suggested that perhaps I had Impostor Syndrome. Impostor Syndrome says, ‘You’re a fraud!’ The reality was, I had done everything required of me up to that point in my career.

I wasn’t a fraud; I just had a lot left to learn,” she shares.

“Allowing myself to sit with my feelings of discomfort and deficiency motivated me to seek out more trainings and information. Looking back, I realized there was a gap in my knowledge and skillset, so it made sense that I was feeling the way that I was!”

How can you overcome your own impostor feelings?

Sharing your feelings with a trusted friend or professional is often the first step in coping with feelings of low self-worth. “We don’t need to wait until we are severely struggling to seek help,” says Youngs. She also suggests writing down what you feel insecure about.

“Getting it on paper can help calm down the overwhelming swirl of thoughts in our heads,” she shares. “You could also benefit from finding someone newer in your field to encourage or teach,” suggests Youngs.

“Sometimes we don’t realize how much we have learned until we begin teaching someone else.” Lastly, she adds, “Acknowledge when you don’t know something. This is an important part of protecting ourselves from impostor feelings and creating a culture of honesty.”

What is a healthy measure of self-worth?

According to Youngs, the healthiest way of measuring your self-worth is through the practice of dual awareness – a discipline through which one can acknowledge the things they do well while also acknowledging the ways in which they struggle. Through this mindful and intimate practice, you’ll get to know yourself on a profound level and experience an enduring sense of self-assuredness that impostor feelings cannot penetrate.

How can you support a loved one who struggles with impostor feelings?

When a loved one expresses feelings of inadequacy about themselves, you may be tempted to contradict them or even scold them. While that response is often meant to be reassuring, it can actually lead to loved ones feeling misunderstood. Youngs suggests using a more validating and encouraging approach. “Remember, we don’t have to agree with their statements about themselves to offer comfort or validation for how upsetting it must be to feel the way that they do,” says Youngs.

“A simple statement like, ‘Wow, that must feel so scary.

Thanks for sharing that with me. I’m here to listen,’ can be so comforting.”

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Women Celebrating Women The word inspire is defined as the act of filling someone with the urge or ability to do something, and here in Chattanooga, we have no shortage of incredible women who motivate those around them day in and day out. Whether they intentionally set out to be a role model or random acts of kindness are simply in their DNA, these women are making the world a better place. Read on to learn more about the individuals who encourage others to be the best version of themselves, told by those they inspired most.

Photography by Rich Smith

Annie Hagaman, Inspired by Liz Raulston

LIZ

ANNIE

“If everyone had a Liz in their lives, the world would be a much brighter place.”

Liz and I had known each other casually for years, but it wasn’t until a mutual friend suggested I reach out to her for some part-time help with my jewelry business that we truly connected. That was one of the best phone calls I could have made. Liz has been an enormous factor in growing the business, but even more importantly, she has become one of my closest friends.

If you are lucky enough to know Liz personally, you know firsthand what an amazing light she sheds on any and every situation. As a single mom, Liz has a lot on her plate, but she always shows up with a smile on her face and loving light in her eyes.

She is a true inspiration to me, and a shining example of one of the biggest life lessons I try to reiterate to my 6-year-old son (and myself): “attitude is everything.”

One day out of the blue, I swung around in my office chair, looked at Liz and burst into tears. I told her that it was important that she know just how much I admire her! I’m inspired by the way she approaches life with such grace and perseverance. She is a wonderful (and FUN!) mom, a hard worker, a true friend, and one of my biggest cheerleaders. If everyone had a Liz in their lives, the world would be a much brighter place.

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INSPIRED

Karitsa Mosley Jones, Inspired by Rebecca Suttles

“It’s because of her example that I live an unapologetic life of servitude to my community.”

The year was 1998. I was a 17-year-old senior in high school with one goal in my mind: becoming a college graduate. In seeking numerous opportunities to do so, I was told to go speak with an intelligent, caring, and charismatic young lady who helped students obtain financial assistance to attend college. We met and the rest is, well… OURstory!

This young lady is Rebecca Suttles, affectionately known as “Mrs. Rebecca” by the many students she has helped become post-secondary education graduates – including myself.

From the moment I met Rebecca, her willingness to help others, passion for student success, heart for community, and sacrificial spirit were contagious. She embodied these qualities and so many others that were a living example of what I wanted to exude in my own life. Rebecca was #GOALS! In our initial conversation, she looked me in the eye and said, “I believe in you, and as long as you do your part, I will always be here to support you.”

She has kept her word. It’s because of her example that I live an unapologetic life of servitude to my community and the children whom I advocate for. I pour my heart and soul into helping others because of what I saw Rebecca do for me and countless others. I am beyond grateful for her inspiration in my life.

KARITSA

REBECCA

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US101 PRESENTS

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FEATURING SPECIAL GUEST

SCAN TO LEARN MORE ABOUT THE HONEYBEE MUSIC FESTIVAL

INSPIRED

Mary LeDoux, Inspired by Maria DiCarlo

I first met Maria in elementary school, and I have been in awe of her ever since. She is unapologetically herself. She is strong, brave, and unafraid to speak her truth. Growing up together, Maria always pushed me and all of our friends to be our best selves, and she continues to do so over 20 years later.

Anyone can see that Maria gives 110% of herself to everything she does. From working as a pharmacist, to teaching exercise classes, to being a fabulous mother to her two kids, she is always going above and beyond. She is always on the go, but she makes it all look effortless.

One would think that all of these commitments would affect her social life, but she is consistently offering to babysit or making meals for friends who have just had a baby. She loves her people so well. She is a constant source of wisdom and stability to so many, and I am so inspired by her unflappable nature. Everyone deserves a friend like Maria.

“[Maria] is always going above and beyond ... but she makes it all look effortless.”

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MARY

MARIA

INSPIRED

Mallory Huffstetler, Inspired by Laura Ter Beek

LAURA

MALLORY

“I’ve learned how to give myself the care my mind and body so desperately needed after neglecting myself for so long.”

Laura and I first connected through Instagram because we both work in the beauty industry, and I had just moved to Chattanooga. At that point, I knew very few people in the city, but one day Laura reached out and asked me to get coffee. I was so excited to have my first friend and connection in the city. After coffee with Laura, I felt so impressed, motivated, and inspired!

She genuinely wants to see change in our industry and has a plan of action to make those positive changes.

We often talk about how working in the beauty industry is very taxing on our bodies. We’d both grown up and began our careers in a “hustle culture” mindset; it’s been very easy to slip into an unhealthy lifestyle of taking care of everyone but ourselves. Just by being a friend of Laura’s and following her guidance, I’ve learned how to give myself the care my mind and body so desperately needed after neglecting myself for so long.

I am so thankful for Laura and the connection we have created. I’m so inspired by her positive outlook and the changes she’s making not only in our community via education and wellness retreats, but also by the knowledge she shares on Instagram with people all around the country. I feel lucky to know her!

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EAT WELL

Berry Bliss A Healthy Take on Summertime Treats Strawberries are the answer to all of your summertime sweet tooth cravings. The naturally candy-like fruit is packed with vitamins, fiber, and antioxidants. While these berries make for an indulgent treat on their own, they can be incorporated into a variety of desserts that – when enjoyed in small portions – can be part of a healthy, balanced diet. Here, we’re featuring two summertime strawberry desserts from the kitchens of Chattanooga locals.

These recipes were developed with subtle modifications to make them healthier than their more traditional ice cream and cheesecake counterparts without sacrificing on indulgence.

Photography by Rich Smith

Did you know?

One serving of strawberries provides more vitamin C than an orange.

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“Strawberry season is a short but sweet season! Using this fruit at its peak will result in the most flavorful sorbet.

The addition of hibiscus is a beautiful enhancement not only in flavor but also color.”

- Ashley Bottoms, Senior Manager and Chef

Clumpies Ice Cream Co.’s Strawberry Hibiscus Sorbet

BY SENIOR MANAGER AND CHEF ASHLEY BOTTOMS | MAKES 1 QUART Ingredients

• • • • • • •

1 ½ cups water 3 Tbsp. dried hibiscus flowers 1 ½ cups sugar 1 lemon, zested and juiced 1 lb. strawberries, hulls removed Pinch of salt 1 Tbsp. vodka (optional) Directions

Bring water to a boil in a small sauce pot.

Once boiling, add hibiscus flowers, remove from heat, and let steep for 10 minutes. In the meantime, pour sugar into a small bowl.

Zest lemon and rub into sugar to release the oils. Prep strawberries, toss them in the sugar, and add a pinch of salt. Juice lemon and pour over sugar-coated strawberries. Strain hibiscus tea over strawberry mixture, stirring to dissolve sugar. Stir in vodka to lower freezing point.

Let chill in refrigerator for 2-3 hours or until mixture reaches 40° Fahrenheit.

Once cool, purée until smooth using a blender or immersion blender. If you want a seedless sorbet, strain mixture through a fine mesh sieve. Pour the mixture into the canister of an ice cream maker, and churn according to the manufacturer’s instructions. The sorbet will be soft, so make sure to let it firm up in the freezer for a few hours before scooping. Enjoy! *This recipe is a great starting point. Feel free to add fresh herbs or substitute bitters or a complementary liqueur in place of vodka.

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LIVE WELL

LaCrecia Suttles’ No-Bake Strawberry Cheesecake Cups SERVES 8 | PREP TIME: 30 MINUTES

Ingredients

Strawberry Filling: • 2 cups strawberries, chopped • 1 Tbsp. Swerve confectioners sweetener • ½ lemon, juiced Cheesecake Filling: • 8 oz. cream cheese, softened • ½ cup Swerve confectioners sweetener • ½ lemon, juiced • 2 cups heavy cream, room temperature Directions

For the strawberry filling: In a bowl, add strawberries, sweetener, and lemon juice. Using a fork or a potato masher, mash the strawberries. The consistency should be a bit chunky.

Adjust sweetness to your liking.

For the cheesecake filling: In a bowl, combine cream cheese, sweetener, and lemon juice.

Add heavy cream and mix until stiff peaks.

Use clear glass or plastic cups for presentation. Layer strawberry filling on the bottom, followed by a layer of cheesecake filling. Continue to alternate layers as desired. Garnish with lemon zest and mint (optional).

Refrigerate until time to serve.

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“Strawberry season is one of my favorite times of the year. Some of my fondest summertime memories involve eating freshly picked strawberries with my neighborhood friends. I love this summery recipe because it’s light, it requires no baking, and it satisfies my sweet tooth in a way that fits my healthy lifestyle.”

–LaCrecia Suttles

LIVE WELL

An Introduction to Iron What You Need to Know

U

nless you’re living on ice cream and salad dressing, there’s a good chance you’re consuming iron – an essential nutrient – in your daily diet. Most of us know we need it, but what exactly does iron do, and how can you make sure you’re getting enough? Here, we’re addressing the most pressing questions related to this hot health topic.

By Mary Beth Wallace

Why is iron so important?

Iron is necessary for hemoglobin, a protein that carries oxygen from your lungs to the rest of your body, to function properly. In other words, without iron, you won’t make enough red blood cells and your tissues won’t receive the oxygen they need – affecting everything from neurological function to your immune system.

By keeping your iron levels in check, you’ll reap some pretty major benefits, such as: • More energy – Iron can help eliminate fatigue and boost your energy levels. It’s also been proven to reduce irritability.

• Increased cognitive function – Research suggests that iron keeps you sharp – mentally, that is. Iron not only supports a healthy nervous system, but it also helps you concentrate.

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• Enhanced athletic performance – Your muscles need oxygen to function at their best, which is why it’s so crucial to meet your iron needs.

• Stronger immune system – Low levels of iron in the blood can diminish your body’s immune response, whereas adequate iron stores will help the body fight off infection more efficiently.

Getting enough iron is especially important for women who are pregnant. This is because red blood cell production and overall blood volume greatly increase during pregnancy to support the growing fetus. As such, pregnant women should be consuming 27 milligrams of iron daily (only 18 milligrams a day is needed for women outside of pregnancy). Iron supplementation may be needed to ensure both mom and baby are healthy.

What happens when you have low iron?

Approximately 10 million people in the United States alone experience low iron levels, and about half of this number has been diagnosed with iron-deficiency anemia. Those most at risk for an iron deficiency include children, pregnant women or women who are menstruating, and anyone not getting enough iron in their diet (most often occurring among the elderly and vegetarians/vegans). While symptoms may appear mild at first – if at all – once the condition worsens, a person might experience: • Fatigue or weakness • Dizziness • Shortness of breath • Heart palpitations • Sensitivity to cold • Difficulty concentrating • Headaches • Changes in appearance: pale skin, hair loss, brittle nails A simple blood test can determine if your iron levels are within the normal range. Iron deficiencies can typically be treated with iron supplementation as prescribed by your primary physician.

What foods are high in iron?

thankfully, pairing non-heme iron with vitamin C – found in many plants like broccoli, citrus, bell peppers, and leafy greens – will help boost iron absorption.

With that in mind, some of the best sources of iron include: • Clams, oysters, and mussels • Beef • Poultry • Fish such as tuna and sardines • Beans and lentils • Spinach • Nuts • Fortified cereals • Tofu • Dark chocolate Additionally, studies have shown that cooking with cast-iron pots and pans increases the iron content of many foods, specifically acidic foods including tomato-based dishes, applesauce, and eggs.

As you can see, iron is a nutrient that shouldn’t be overlooked. To keep your body functioning at its best, make sure that you’re eating plenty of iron-rich foods, and if you’re concerned about your levels, get them checked out sooner rather than later!

First, you should understand that iron comes in two types in your diet: heme iron and non-heme iron. Heme iron is only found in animal-derived foods, such as beef and certain seafood, while nonheme iron is in plants and foods that have been fortified with iron. Because the body naturally absorbs heme iron better than non-heme iron, those who follow a plantbased diet should be intentional about including high-iron foods at every meal;

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Balanced Counter the Impact of Life’s Many Demands With Intentional, Restorative Practices A life of balance looks different for everyone. For some, completing a hard workout and eating a nourishing meal may be soothing and restorative. For others, updating a personal budget and meeting up with friends for a night of enriching conversation might be just what the doctor ordered. In this section, we celebrate the many ways through which we can come to centeredness by spotlighting local women who are intentional about cultivating joy and balance through their own unique practices.

Photography by Rich Smith

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Chyela Rowe

Play

Struggles in life can be frustrating and stressful when we think of them as being barriers to joy and peace. When struggles bring me down, I like to make a practice of being curious, as if they were puzzles to solve. When fear creeps in, I ask it a playful question like, “Who invited you?” That internal role-play helps me find the courage to keep trying new perspectives.

Live in Both the Shadows and the Highlights

Art gives us moving examples of what is experienced on an emotional level. For example, light and shadow, as metaphors for joy and pain, can draw my thoughts into understanding life that rests in both dark and light spaces. Instead of rejecting the darkness, I look closer – like the insects hiding in the shadow of a leaf in a Rachel Ruysch painting or the gestures in “Hands”

by Glenn Ligon. I often delight in what is not in the spotlight.

Be a Maker of Things The act of making something exercises a capacity for change.

Change can sometimes be stressful, leaving people feeling stuck, waiting anxiously for what might come next. But when I make things, like a new recipe, a mosaic, or choreography to a favorite song, it exercises the resilient parts of my brain. I notice the small steps that lead to the final product. It helps me to respect the process.

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BALANCED

Demetrus Coonrod

Make the Most of Mornings I start my morning with quiet meditation, and then I go to the gym. Getting in a good run helps to give an added spark to my morning and sets the tone for my day. I always have more energy and focus on the days that I work out. My body can definitely feel it on the days that I don’t. While it can be hard to get out of bed a little earlier for exercise, it’s worth it to set aside this time for my overall health and well-being.

Say No Sometimes the pursuit of a happy and balanced life means being a little ruthless.

It’s important to say no to things that are not essential or do not add value to your life.

Saying no from time to time has allowed me to spend more time enjoying the small things in life such as time with my family, reading a great novel, or serving others – activities that are often taken for granted but are crucial for maintaining balance in our lives.

Take Time to Reflect I love to journal. I put my reflective thoughts in a journal throughout my day. Then, when I go to bed, I read over it to see how I can improve my day the next day. The key is to not change everything at once, but to make small adjustments over time to determine what works for you.

Eventually, you will have a new set of positive life habits, and you’ll never look back!

PHOTO BY EMILY PÉREZ LONG

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BALANCED

Yolanda Johnson

Spend Time With Family I’m a huge advocate for family. I enjoy being married to my wonderful husband of 22-and-a-half years and spending time with my children and other family members. When our children were growing up, teaching them about God was important, and having a place to worship was equally important. We made sure that table talks and family dinners were weekly engagements for us. It really helped to set the atmosphere for our household and kept us together as a solid family unit.

Get Your Exercise I enjoy working out. Although the results bring me joy, it can be overwhelming trying to keep up with work, family, and exercise. I try to maintain a consistent regimen in hopes of staying healthy and rejuvenated. Whether it’s through an intense strength and conditioning workout, a long walk, or a short jog, I try to maintain my endurance. Exercise is also a great way to relieve stress.

Advocate for Families My motto is “Family Matters: Restoring Families, Faith, and Freedom.” I enjoy seeing families together thriving as a unit, and acting as an advocate for families brings a warmth to my heart that I find very motivating. My desire to serve families comes from my upbringing and the work I’ve done for the past 17-and-a-half years of my life. I plan to continue advocating for families, faith, and freedom as we continue to face the many struggles threatening the family unit in today’s society.

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Mike Chen’s At-Home Functional Movement Workout Photography by Rich Smith

“Exercise is not one-dimensional and neither are you. Everybody starts at a different point, and it is important for everyone to find their place in fitness. In this full-body workout, we will be utilizing five of my favorite functional movements that can be easily altered to challenge both beginners and experts alike. Complete 2-3 sets, depending on fitness level, for a great full-body workout.”

Mike Chen PERSONAL TRAINER, QUANTUM

Arnold Press Pick out a dumbbell and start by taking a seat. Bring the dumbbells right in front of your face with your palms facing your body. Use your shoulder and tricep muscles to push the weights up until your arms are completely extended. As you push up, twist your wrists and rotate the dumbbells 180 degrees. At the top of the press, your palms should be facing away from your body. Slowly bring the weights back down, twisting your wrists back in as you lower the weight. Return to the starting position and repeat for 8-12 repetitions depending on difficulty.

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Pallof Press Start by setting up your resistance band around chest height. Stand where your band’s anchor point (existing poles or columns in your home work great) is to your right, and place your feet just slightly wider than shoulder-width. Take your band in both hands, interlock your fingers, and bring it out in front of you so you feel tension wanting to pull you back to the anchor point. From here, extend your arms forward and push the band straight out from your chest, then bring your hands back to your body and repeat. Complete 10-12 reps and then switch sides.

Deadbug Begin by lying on your back and tightening your core. Next, lift your arms straight up from your shoulders and your knees straight up from your hips, making sure you continue to keep your core tight.

From this position, take one leg and the opposite arm and move them away from the body, stopping right before you touch the ground. Bring those two limbs back up to the starting position and then move your other arm and leg down just like the first two. Repeat this movement for 8-12 repetitions depending on difficulty.

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LIVE WELL

Band Row Attach your band to an anchor point at about chest height, taking it in one hand. Back away from the anchor point until you begin to feel tension in the band.

Next, stand with your legs roughly shoulder-width apart. Pull the band backward, bending the elbow while keeping your arm close to the side of your body.

Pull until you are unable to go further without rotating your torso, then slowly return to the starting position.

Repeat for 10-12 repetitions, then switch sides.

Split Squat Begin by taking a large step forward as if you were about to perform a lunge. When in this position, the heel of your back foot should be raised. Keeping your torso upright, lower your body slowly until your back knee almost touches the floor, then push yourself back up. Repeat on one leg for 8-12 repetitions and then switch to the other side.

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inSISt on SISkin

where can’t becomes I CAN I’ve always taken my role as “Big SIS ” seriously. So when the effects of Covid-19 left my brother needing the best care available, I insisted on him coming to Siskin Hospital. I knew I had a choice, and their progressive Caring after Covid Program would give him the best chance to get back to living. I was right. When Covid said he couldn’t walk...couldn’t eat...couldn’t breathe... Siskin Hospital showed him he could. - Crystal & her brother Tra

choose.

For your brother. Because he matters.

You CAN

Siskin Hospital

for Physical Rehabilitation

423.634.1200 www.SiskinRehab.org