HealthScope Magazine Summer 2023

Opportunities to boost our health abound in the summertime. From breathing in fresh air on a hike with friends to soaking up the sun on a family vacation, the summer season invites us to break away from the hustle and bustle of our normal routines to focus on our mental and physical well-being.

In this summer issue of HealthScope® magazine, we share ways to further improve our physical and mental wellness. Starting with our features, “The Truth About Thyroid Disease” debunks 10 common myths about the effects of thyroid dysfunction. Then in “Adjusting to Aphasia,” we share information about a surprisingly common effect of strokes. Lastly, “The Particulars of Pancreatitis” shares important information about a disorder that has become more common in recent years.

Much-loved mainstay sections such as “Her Story” and “Inspired” showcase local women who continue to persevere and offer encouragement to others. Not to be missed, our “Annual Oral Health” section highlights the latest dental procedures and advancements in technology, and in “Meet Our Doctors” we profile healthcare professionals serving our community.

George Mullinix PUBLISHER

There is much more inside for you to discover, including advice for creating a budget, hair styling tips for every hair type, and the health benefits of fermented foods.

Lastly, be sure to check out our interview with cover model Stacy Johnson. As the executive director at La Paz Chattanooga and a member of an active family, Johnson shares insights about balancing work, family, and overall well-being.

We hope you find this summer issue of HealthScope® magazine to be informative and uplifting, and that it will encourage you to embrace this new season with your health in mind.

Blessings always,

“When the sun is shining I can do anything; no mountain is too high, no trouble too difficult to overcome.”

- Wilma Rudolph

health & wellness magazine

HealthScopeMag.com

Summer 2023 • Vol. 34 Issue 5

Publisher George Mullinix

Sales & New Business

Development Cailey Mullinix Easterly

Sales & Business

Development Amanda Worley

Sr. Graphic DesignMultimedia Lauren Robinson Leah Sullivan

Graphic Design Intern Marietta Song

Managing Editor Christina Davenport

Editors Chelsea Risley Catherine Smith

Rachel Studebaker Mary Beth Wallace

Director of Digital Marketing Ruth Kaiser De Backer

Marketing & Events Operations Laci Lanier

Digital Marketing Associate Allyson Oakley-Dobbins

Photographers

Emily Pérez Long Hacker Medias

Rich Smith

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

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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

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Stacy Johnson opens up about her health and wellness journey. Read more on page 76.

Photo by Kris Hacker/ Hacker Medias

Is there anything I can do?

A. While antihistamines are effective in relieving allergy symptoms, they can also cause drowsiness and fatigue. To minimize the impact of drowsiness, one option is to adjust the time of day you take the medication. For example, taking antihistamines at night may reduce daytime drowsiness. It's also important to take the recommended dosage to avoid exacerbating side effects. If you're still experiencing drowsiness, speak with your allergist to determine the best treatment regimen for your symptoms and allergies. Allergy skin testing can help with allergen avoidance strategies to reduce medication use. Allergy immunotherapy gradually exposes the body to small amounts of the allergen over time to build up a tolerance without requiring medications. Nasal sprays, such as corticosteroids and antihistamines, are also effective in reducing inflammation and swelling in the nasal passages. Don't let drowsiness keep you from managing your allergies. With the right strategies and treatments, you can find relief without sacrificing your energy and productivity.

Todd Levin, MD

Q. My teeth have weakened enamel in several places, and it is beginning to cause some discoloration and sensitivity. Is there anything I can do to rescue my smile?

A. Once tooth enamel is damaged, it cannot be brought back. However, weakened enamel can be restored to some degree by improving its mineral content. Although toothpaste and mouthwash can never “rebuild” teeth, they can contribute to this remineralization process. Over-the-counter products can help, but there are more specialized in-office treatments like Curodont and Icon. Both treatments are designed to strengthen weak areas and do not require drilling into a tooth, like a filling. Curodont is for noncavitated caries lesions like white spot lesions. The 5-minute procedure is simple and can help strengthen weak areas, hopefully preventing the growth of a cavity. Icon resin infiltration is a minimally invasive cosmetic treatment for white and brown spots on enamel caused by genetics or braces. It helps to even out the look of spotted teeth, giving a more desirable appearance. Ask your dentist if these options are for your smile.

Mandy Shearer, DDS

I recently switched to a different type of OTC allergy medication. It works better for my symptoms, but I’m not loving the drowsiness that it’s causing.

Q. I’ve recently decided to get hearing aids, but I’m a bit overwhelmed by all the options and I don’t know how to decide which ones would be best for me. Any advice?

A. There are many hearing aid options available today. There are custom hearing aids or behind-the-ear models, both of which may include Bluetooth capabilities. These devices can pair with accessories such as TV streamers, remote mics, and table microphones to enhance listening in a group setting. When one consults a

Meet Our Experts

hearing professional, a complete hearing evaluation is performed. In the event a need for a hearing device is discovered, the professional will guide a patient to the best technology and type of device that will be most beneficial for that individual’s loss of hearing and lifestyle.

Cheryl Ward, BC-HIS

Q. I am a diabetic in my late 60s, and I’m afraid that I may be at risk of losing my foot. Is there anything I can do to avoid amputation?

A. The best way to avoid losing a leg from amputation is to engage in your medical care. This means being responsible for understanding your diabetes and controlling your blood sugars with physician support. This is critical for overall limb health, vascular health, and survival. When there are complications from diabetes, such as leg pain, weakness with walking, sores that don’t heal, or even gangrene of the toes, this must be addressed immediately. Most likely, these symptoms are related to reduced blood flow to the lower extremity caused by peripheral artery disease (PAD). The most severe form of PAD is Critical Limb Ischemia (CLI), which can lead to early amputation if left untreated. Fortunately, vascular surgeons can correct many of the blockages with minimally invasive techniques that can save the leg. Don’t delay in the diagnosis, visit your primary care or podiatric specialist immediately. Chris LeSar, MD, FACS, RVT

Q: I am concerned that I may have been exposed to HEP C recently. I haven’t developed any symptoms, but is there anything I can do in the meantime?

A: It’s important to know that getting tested is the only way to know for sure. Hepatitis C symptoms, if any, may include yellow skin or eyes, stomach pain, fever, dark urine, light-colored stool, joint pain, and feeling tired. But some people have no symptoms at all. With the increase in Hepatitis C cases across the United States, the U.S. Preventive Services Task Force now recommends HEP C screening for all adults ages 19 through 79. If you are concerned that you may have been exposed to HEP C, contact your primary care provider and get tested. Some providers, like Cempa Community Care, offer free and confidential testing with results in just 20 minutes. If your results come back positive, providers will work with you to develop a treatment plan as soon as possible. Hepatitis C is curable, and when medication is appropriately taken and you adhere to your provider’s recommended treatment plan, the virus can be eliminated! Zach

Campbell, AGNP

Todd Levin, MD Board Certified Allergist, Chattanooga Allergy Clinic chattanoogaallergyclinic.com

Mandy Shearer, DDS Dentist, Soddy Daisy Smiles soddydaisysmiles.com

Cheryl Ward, BC-HIS Hearing Instrument Specialist, Audiology Services of Chattanooga hearchattanooga.com

Zach Campbell, AGNP Nurse Practitioner, Cempa Community Care cempa.org

Chris LeSar, MD, FACS, RVT Vascular/Endovascular Surgeon, Vascular Institute of Chattanooga vascularinstituteofchattanooga.com

CHI MEMORIAL MEDICAL GROUP

Aletta Vandergriff, FNP

CHI Memorial Medical Group is pleased to announce Aletta Vandergriff has joined CHI Memorial Convenient Care – Cleveland. Vandergriff earned her bachelor’s in nursing and master’s in nursing, family nurse practitioner from Southern Adventist University in Collegedale.

PARKRIDGE HEALTH SYSTEM

Chris Cosby, MBA, MHA

Chris Cosby has been named chief executive officer of Parkridge Health System. Cosby brings 18 years of healthcare leadership to the role. He has a Master of Business Administration and Master of Health Administration from the University of Alabama at Birmingham.

ERLANGER HEALTH SYSTEM

Aduke Simpson, MD

Dr. Aduke Simpson, a board-certified OB-GYN, joins Erlanger Community Health Center. She attended medical school at Southern Illinois University of Medicine in Springfield, Illinois, and completed her residency in obstetrics and gynecology at the University of Tennessee College of Medicine in Chattanooga.

Timothy Ashburn, MD, FCCP

Dr. Timothy Ashburn, a double board-certified pulmonologist, has joined Hamilton Physician Group – Specialty Care. Dr. Ashburn graduated from the University of Tennessee College of Medicine in Memphis and completed an internship and residency at the UT College of Medicine in Chattanooga.

Jessica Banks, NP

CHI Memorial Medical Group is pleased to welcome Jessica Banks to CHI Memorial Family Practice Associates –LaFayette. She earned a bachelor’s degree in nursing from Dalton State College and a master’s degree in nursing, family nurse practitioner, from the University of Tennessee at Chattanooga.

PARKRIDGE HEALTH SYSTEM

Lori Feltner, MSN, MHA, RN, CMSRN

Lori Feltner has been named chief nursing officer of Parkridge East Hospital, bringing 20 years of healthcare and 14 years of nursing leadership experience to the position. Feltner will be responsible for leading nursing strategy for the 128-bed hospital.

Jim Fox

Jim Fox, flight paramedic, has received a Lifetime Achievement Award from The Tennessee Ambulance Service Association for his 41 years of service. A 34-year LIFE FORCE veteran, Fox continues to have a major impact on patient care as the business development director for LIFE FORCE.

UNIVERSITY SURGICAL ASSOCIATES

Katie Duffy, PharmD, MBA

Dr. Katie Duffy has been named chief executive officer of University Surgical Associates (USA). Having previously served as chief operating officer of USA, Dr. Duffy brings over 15 years of clinical experience and over 10 years of operational leadership experience to the role.

HAMILTON HEALTH CARE SYSTEM

CHI MEMORIAL MEDICAL GROUP

ERLANGER HEALTH SYSTEM

May 19 Chattanooga Go Red for Women

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

chattanoogagored.heart.org

21

IRONMAN 70.3

The 2023 IRONMAN 70.3 Chattanooga is the perfect opportunity to train for the September IRONMAN and compete at one of the sport’s most welcoming race sites. It begins with a point-to-point swim (which received the Athlete Choice Awards for World’s Best Swim in 2022), transitions into a bike course, and then ends with a two-loop run. The race offers qualifying slots for the 2023 VinFast IRONMAN

70.3 World Championship in Lahti, Finland. ironman.com

27 Little Owl Fairy House Festival

The Little Owl Fairy House Festival, hosted by Audubon Acres, is fun for the whole family. The event will feature the Little Owl 5K, vendors, and live music. The community is also invited to create fairy house structures to place along the trail, and attendees can vote for their favorites on the day of the event. Costumes are encouraged, and proceeds from the race benefit Wild Trails and Audubon Acres.

chattanoogaaudubon.org

2 9 Chattanooga Chase

Our area’s oldest active competitive road race, the Chattanooga Chase is a Memorial Day tradition for many. Join the 56th running of the Chattanooga Chase for the 8K race and Extra Mile for Siskin one-mile race through the scenic Riverview neighbor-

hood. The top 25 male and female finishers will earn a special edition Chattanooga Chase t-shirt. chattanoogachase.org

2 9 High Point Downtown’s Summer Rock Camp

Your child can reach new heights this summer at High Point’s Summer Rock Camp. From May 29 through August 4, 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. Full-day camps will also be offered from July 10 through August 4 and will include light snacks and off-site activities such as trips to the aquarium and zoo. highpointclimbing.com

June

3 Chattanooga Fitness Expo

A production of Whitfield Media Group and presented by Vascular Institute, the Chattanooga Fitness Expo is one of the area’s most renowned bodybuilding and fitness competitions. The event will not only offer multiple competition classes, but it will also present awards for Mr. and Ms. Chattanooga. Prejudging begins Saturday morning, with the main event taking place at 6:30 p.m. at the Embassy Suites on Lifestyle Way. chattanoogafitnessexpo.com

24 100 Dinner

Crabtree Farms is hosting its annual 100 Dinner on June 24 from 6 to 9 p.m. 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

25 Chattanooga Waterfront Triathlon

The spectator-friendly Chattanooga Waterfront Triathlon is returning to the heart of downtown on June 25. Presented by Team Magic and the Chattanooga Track Club, the competition includes a down-river swim, two-loop bike course, and scenic run along the Tennessee Riverwalk. The Sprint Start begins at 6:45 a.m., and the Olympic Start begins at 7:30 a.m. team-magic.com

July

2 Red, White & Blueberries

Celebrate the Fourth of July a little early at the Chattanooga Market with a firecracker fruit – blueberries! The First Horizon Pavilion will host vendors with a variety of blueberry-themed items from 11 a.m. to 4 p.m. The fan-favorite blueberry pie-eating contest is also back for another year. As always, the market will have fresh produce, cheeses, meats, homemade baked goods, artisan finds, food trucks, and more. chattanoogamarket.com

It’s a New Day at USA.

Dr. Katie Duffy takes the reigns of the Chattanooga region’s largest surgical practice.

Since we were founded in 1976, University Surgical Associates has grown to become the Chattanooga region’s largest surgical practice - and the area’s only surgical group affiliated with the UT College of Medicine.

Our founding mission is service to the community, and USA recently appointed Dr. Duffy as Chief Executive Officer to continue building on our nearly 50-year tradition. She will also serve on the faculty of the UT College of Medicine, Chattanooga - Department of Surgery.

Dr. Duffy joined USA as Chief Operating Officer in December 2022, having previously served as Vice President of Operations for Erlanger Health System. She brings over 15 years of clinical experience and over 10 years of operational leadership experience to her role at USA.

A native of LaFayette, GA who currently lives in Ringgold, Dr. Duffy earned a bachelor’s degree in English from Mercer University, a doctorate in pharmacy from Mercer’s College of Pharmacy and an MBA from Mercer’s StetsonHatcher School of Business.

Share a little bit of your background.

I started in healthcare at age 18 working as a pharmacy tech at Moore & King, which led to pharmacy school and my career at Erlanger. I worked as a Clinical Pharmacist for almost 7 years, then as the Clinical Director for 6.5 years, the Sr. Director of Pharmacy for 2 years and the VP of Operations overseeing Pharmacy, Respiratory Therapy, Rehab Services & EVS/Dietary/Transport for just under a year prior to transitioning to USA as the COO.

Why did you decide to join USA?

I worked with USA surgeons throughout my career at Erlanger and always had tremendous respect for the group. I always look for challenges and new opportunities to learn, and physician practice leadership was a wonderful opportunity for this.

Would you like to join Dr. Duffy in serving patients at one of the largest and most trusted surgical groups in Chattanooga? Visit UniversitySurgical.com to view clinical and non-clinical positions.

to know

10-15 minutes

The amount of time you should spend in the sun daily to receive its health benefits, including a boosted mood and increased vitamin D production.

Early detection saves lives.

1 in 8 women in the United States will develop breast cancer in her lifetime. The American Cancer Society recommends:

• Women with an average risk of breast cancer begin screening with a mammogram at age 40.

• Women between the ages of 45 and 54 get mammograms annually.

• Women 55 and older continue yearly mammograms or switch to every other year.

onaverage,children ages8-18spend ...

7.5

hours/day in front of a screen

4.5

hours/day in front of a television

Want to cut back on your child’s screen time?

• Incorporate tech-free time in your family’s schedule.

• Be consistent about screen time limits.

• Brainstorm other ways to have fun with your kids.

• Keep electronics like computers and TVs in the main living areas of your home.

• Cut back on your own screen use.

LOVE,CARE, & H EALINGOTHERS Meet Our Doctors

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.

ENHANCING THE TEAM

When Dr. Joseph Oros graduated from his fellowship in the summer of 2022, he set out to find an employer that would provide him access to a variety of patients and pathologies, all the while being a part of a top-notch team. A pediatric radiologist, Dr. Oros has found his way to Children’s Hospital at Erlanger where he is just one of several radiologists who are able to offer comprehensive care and assist in diagnosing disorders. “We’re able to help patients ranging from the smallest premature infants to young adults with pediatric diseases while delivering the lowest radiation dose achievable in the region,” he explains. “This is important because sensitivity to radiation is highest earlier in life.” While Dr. Oros loves getting to connect with and help patients and families on a daily basis, he’s equally excited to be part of a leading-edge team.

2

DR. JOSEPH OROS

Children’s Hospital at Erlanger

3

1What do you love most about your profession?

I love the wide variety of patients and pathologies that I am able to see on a daily basis.

What is your best advice for patients?

I would suggest that patients and families find a provider and team they trust and never stop asking questions.

Why have you chosen this field of specialty?

I’ve always wanted to work in a pediatric subspecialty. Pediatric radiology allowed me to have an extremely diverse knowledge base while still directly interacting with patients and families.

4

How does your staff enhance your practice?

I don’t think I’d have much of a practice without the radiology techs. They keep the entire operation running and do an excellent job every day.

5

What would you consider to be your main strengths?

Empathy and determination.

It’s important to be kind and put yourself in your patients’ shoes. Trying to imagine how they might feel in these stressful situations lets us provide the best care.”

ABOUT ME

MY CREDENTIALS

Medical Degree: University of Tennessee Health Science Center –Memphis, TN

Residency: Baylor University Medical Center –Dallas, TX

Fellowship: Vanderbilt University Medical Center –Nashville, TN

MY SPECIALTIES

Pediatric Radiology

CONNECT

423.778.7234

Children’s Hospital at Erlanger 975 East 3rd Street Chattanooga, TN 37403

childrensat erlanger.org

EMPOWERING PATIENTS

Practicing medicine for six years, Dr. Syed Ahsan Rizvi loves pediatric gastroenterology because he is able to help those who cannot advocate for themselves. “I love pediatrics because it is truly an honor and a privilege to work with children and their families,” he says. “It’s heartwarming to play a part in a child’s life that can help them thrive, grow, and develop appropriately while still having fun!” In addition to giving his young patients a voice, Dr. Rizvi also enjoys the variety that the discipline provides. From procededures and long-term development to acute care and hospital-based medicine, no two days are exactly the same. “As a pediatric gastroenterologist, I’m not limited to only the alimentary tract but also liver, pancreas, and nutrition,” says Dr. Rizvi. Regardless of the type of care he is providing, Dr. Rizvi’s ultimate mission is to show his patients he cares and empower them to advocate for their own health.

DR. SYED AHSAN RIZVI

Children’s Hospital at Erlanger

1What is one of your happiest professional moments?

Since I am a pediatrician at heart, one of my happiest professional moments was when I connected with a patient and they offered me a toy as a gift.

2What do you see as the most exciting new development for your profession?

Medicine is becoming tailored and more individual-based rather than a “trial and error” method.

3

What does your daily routine look like?

Every day is different. This is why I like gastroenterology, because we have so much variability in our care.

4

Why did you choose to become a doctor?

I wanted to help others by solving complex medical problems and advocating for patients. I want to empower and educate my patients so they can take care of themselves and be self-advocates.

5

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

Recently, a published study said that doctors listen to their patients for an average of just 11 seconds before interrupting them. I am a huge believer that listening and caring for our patients is just as important as prescribing medications.

While I listen to my patients and families, I also try to educate them and help them understand how to manage their diagnosis.”

ABOUT ME

MY CREDENTIALS

Medical Degree: Morehouse School of Medicine - Atlanta, GA

Certifications: Board-Certified Pediatrician

Board-Eligible Pediatric Gastroenterologist

Recognitions:

Gold Humanism Honor Society Inductee Outstanding Research Award in Pediatric Gastroenterology, NASPGHAN

McNair Scholar

MY SPECIALTIES

Pediatric Gastroenterology

CONNECT

423.778.KIDS (5437)

Children’s Hospital at Erlanger Kennedy Outpatient Center

900 E 3rd Street Chattanooga, TN 37403

childrensat erlanger.org

FOSTERING HOLISTIC HEALTH

1

F or Dr. Julia Groce, achieving optimal health is all about making small changes that can lead to big outcomes. “I love meeting new people, learning about their lives, and helping them improve or maintain their health so that they can keep doing what they love,” Groce says. Inspired by the impact her father, who was a specialist, was able to make on his patients, Groce is making her own impact by encouraging her patients to pick a small goal and use that achievement as momentum to reach larger health milestones. In addition to creating a roadmap to a healthier life, Dr. Groce also likes the variety her job provides, both in regard to the patients she treats and the scope that family medicine encompasses.

DR. JULIA GROCE

Erlanger Primary Care

What is one of your happiest professional moments?

I love getting the chance to treat multiple members of the same family, sometimes even three generations simultaneously.

2

How does your staff enhance your practice?

I am one of the newer hires in our office, but much of the office staff has a unique record of longevity, which is almost unheard of (some having been here 18+ years). I feel incredibly lucky to work with people with such experience, and they are an asset to our patient population too.

3

What accolades mean the most to you?

I feel the most honored when patients recommend their family or friends come to see me.

4

Why did you choose to become a doctor?

It started with watching the impact my dad had on people as a specialist. I wanted to emulate that but felt like I could never choose just one thing. I had early exposure to primary care, and when I saw the diversity in the discipline, it seemed like the perfect way to help people and stay up to date in a variety of things.

5

What would you consider to be your main strengths?

I’m a good listener and thorough. I know my limits and am always willing to dig for answers and ask for help when needed.

Family medicine allows for a unique and diverse scope of practice. I love having the experience to treat anyone regardless of age, gender, or resources.”

MY CREDENTIALS

Medical Degree: Meharry Medical College – Nashville, TN

Certifications: American Board of Family Medicine Board Certified MY SPECIALTIES Family Medicine CONNECT 423.778.3329

Erlanger Primary Care 632 Morrison Springs Rd., Suite 202 Chattanooga, TN 37415

erlanger.org/ primarycare

CHAMPIONING POSITIVITY

Dr. Jeremiah Arnold has always been fascinated by the human body and how it works, so it’s no surprise that he eventually found his way to serve pediatric patients at Erlanger Community Health Center. After 11 years of schooling and preparation, Dr. Arnold has been practicing for a year and prides himself on being fun, optimistic, and relatable. “One thing that separates me and my practice from others is that I always try to be very down-to-earth,” explains Dr. Arnold. “I’m a doctor, but I’m also a human just like my patients. I think it is important to remind patients of that.” In addition to putting patients at ease, Dr. Arnold also aims to make a warm and welcoming first impression, and he notes the entire staff serves as a beacon of positivity.

DR. JEREMIAH ARNOLD

Erlanger Community Health Center

1What is one of your happiest professional moments?

I love being able to help someone access necessary prescriptions, specialty services, and other medical needs in today’s confusing world of healthcare.

2

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

Earlier recognition and detection of developmental and behavioral issues that allow children to be plugged into resources sooner.

3

What accolades mean the most to you?

It’s great when I get a genuine smile from a patient when they realize I have actually been listening to them.

4

Why have you chosen this field of specialty?

After rotating in a pediatric clinic as a medical student, I was hooked. I like how pediatric patients aren’t afraid to ask questions and say what’s on their minds.

5

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

I treat my patient as though no one else is looking out for them because sometimes that’s the case. Always go above and beyond because you never know what’s happening in someone’s home life.

I love being able to act like a kid every day. Our office is full of bubbly energy which enhances our patient experience.”

ABOUT

Medical Degree: Philadelphia College of Osteopathic Medicine Georgia –Suwanee, GA

MY SPECIALTIES

General Pediatrics

CONNECT

423.778.2800

423.778.2700

Erlanger Community Health CenterDodson Avenue

1200 Dodson Ave. Chattanooga, TN 37406

Erlanger Community Health CenterSouthside

3800 Tennessee Ave. Ste. 124 Chattanooga, TN 37409

erlanger.org/ communityhealth

PARTNERING WITH PATIENTS

Although new to the Erlanger Health System family, Dr. Aduke Simpson has been practicing obstetrics and gynecology since 2012. “I chose this specialty because of the variety,” says Dr. Simpson. Not only does she get to care for patients who are in various life stages, but she also sees variety in her daily tasks which can range from routine procedures and surgeries to delivering babies. Through it all, Dr. Simpson’s number one priority is to guide patients and work alongside them as a part of their healthcare team. By serving as a partner to those she cares for, Dr. Simpson is able to help women take ownership and control of their health.

DR. ADUKE SIMPSON

Erlanger Community Health Center

What sets your practice apart?

1It’s important to understand what barriers patients may have to optimizing their healthcare, which can be anything from limited access to resources to understanding what their exact diagnosis means. I try to educate my patients so that they understand what is going on with their bodies.

2

How does your staff enhance your practice?

No man is an island. We are all an important part of the healthcare team. My staff is my support system, and I’m nothing without them.

3

What accolades mean the most to you?

Just before I made the move to Chattanooga, I had a few patients cry when they learned I would be leaving Indiana, and I had a few that told me that they would even drive to Tennessee to keep seeing me as a doctor. It meant a lot that my patients were that appreciative of me and were sad to see me go. I’ve also had many patients over the years that have told me that they never had a doctor take the time to explain things to them so that they understand.

4

Why did you choose to become a doctor?

I chose this specialty because of the variety. It gives me the opportunity to provide care to women throughout the various spectrums of their life while also being able to perform procedures and surgeries and deliver babies. No two days are ever the same.

5

What would you consider to be your main strengths?

I try to put patients at ease and relate to them on a personal level. Medicine is not only about knowledge. It’s also about being compassionate and caring and advocating for patients.

Being able to partner with patients is really important to me, and shared decisionmaking makes a huge difference in overall health.”

The Truth About Thyroid Disease

ADDRESSING 10 COMMON MYTHS

Researchers estimate that roughly 20 million Americans are living with thyroid disease, but roughly 60% are unaware of their condition. This could be due to a general lack of awareness, but there is also a wealth of conflicting information available online – often from questionable sources. Here, we separate fact from fiction and share helpful information from Dr. Prashanth Sekhar, an endocrinologist with CHI Memorial Endocrinology Associates.

By Catherine Smith

What is Thyroid Disease?

The thyroid is a gland that produces thyroid hormone, which is responsible for regulating the body’s metabolism. Thyroid disease is an umbrella term for hormone imbalances that occur when the thyroid is not functioning properly, causing either hyperthyroidism or hypothyroidism.

Hyperthyroidism

Hyperthyroidism occurs when the thyroid creates too much thyroid hormone, causing the body to burn through energy too quickly. The most common cause of hyperthyroidism is Gravesʼ disease, an autoimmune disorder that attacks the thyroid. It can also be caused by overactive thyroid nodules, thyroiditis, taking too much thyroid hormone, or excessive amounts of iodine in the body in rare cases.

Symptoms include:

• Fatigue

• Sensitivity to heat

• Weight loss

• Tremors

• Anxiety

• Difficulty concentrating

• Frequent bowel movements

• Increased appetite

• Changes to nails, hair, or skin

• Pounding or racing heartbeat

Myth: You shouldn’t eat cruciferous vegetables if you have hypothyroidism.

Hypothyroidism

With hypothyroidism, the thyroid is unable to produce enough thyroid hormone, which limits the body’s ability to convert food into energy. The most common cause of hypothyroidism is Hashimoto’s disease, an autoimmune disorder that attacks the thyroid. Sometimes, in cases of severe hyperthyroidism or thyroid cancer, surgery to remove all of part of the thyroid can also leave people with hypothyroidism. Additional causes include thyroiditis, certain medications, and iodine deficiency, though this is very rare in the United States thanks to iodine additives in things like table salt.

Symptoms include:

• Fatigue

• Sensitivity to cold

• Mild weight gain

• Depression

• Dry skin

• Muscle aches or weakness

• Constipation

• Thinning or coarse hair

• Slowed heart rate

• Difficulty with memory

Truth: Cruciferous vegetables, like broccoli, cauliflower, Brussels sprouts, and kale, were once thought to impede the thyroid’s ability to utilize iodine, which is necessary for thyroid hormone production. However, a person would have to eat an unrealistic portion of these vegetables every day for this to be true, and they are recommended as part of a balanced diet.

Prashanth Sekhar, MD Endocrinologist, CHI Memorial Endocrinology Associates

Myth: Hypothyroidism causes significant weight gain and makes losing weight very difficult.

Truth: Depending on the severity, hypothyroidism may result in a mild increase of five to ten pounds, but the thyroid is very rarely responsible for more significant gains. Furthermore, proper treatment should eliminate any troubles. “As long as their levels are in the normal range, it should not be affecting any issues with weight,” says Dr. Sekhar. “When a patient has difficulty with weight, the two biggest factors tend to be diet and exercise.”

Myth: Nodules, or lumps, on the thyroid are a clear sign of thyroid cancer.

Truth: Nodules are typically benign, with only a small percentage being cancerous. However, Dr. Sekhar recommends, “If you have risk factors for thyroid cancer, for example, a first-degree relative with thyroid cancer, then it's important to also be evaluated by a primary care physician.”

Myth: Having a fast metabolism just means you get to eat more food.

Truth: Hyperthyroidism can lead to a variety of health complications and should not be taken lightly. “If we let even a mildly overactive thyroid go untreated, depending on the patient’s age, it can increase the risk for cardiovascular disease,” Dr. Sekhar shares. “Hyperthyroidism can increase their cholesterol and cause heart dysfunction. It can also increase their risk of fatty liver disease, atrial fibrillation, and stroke, or decrease bone mineralization and lead to osteopenia or osteoporosis.”

Myth: Only women who are middleaged or older develop thyroid disease.

Truth: Women are at significantly higher risk of thyroid disease than men and the risk does increase with age, but thyroid disease can affect anyone – especially people who have another autoimmune disorder such as type 1 diabetes, lupus, or celiac disease. Anyone taking medications with a high iodine content should also be aware that this increases their risk of thyroid dysfunction.

Myth: Vague or mild symptoms of thyroid disease are nothing to worry about.

Truth: Untreated thyroid disease can cause severe complications, so it is best not to ignore potential warning signs. “The symptoms can be very nonspecific because there are a lot of conditions that can mimic symptoms of either an overactive or underactive thyroid. We usually rely on blood tests or lab work to evaluate for these disorders, so the first thing I would recommend is seeing your primary care doctor for lab work if you have any symptoms related to thyroid disease,” says Dr. Sekhar.

Myth: Everyone with hypothyroidism should be on a gluten-free diet.

Truth: There is no conclusive evidence that gluten has any impact on thyroid disorders alone. However, if a person also has celiac disease, ingesting gluten could damage the small intestine and interrupt the absorption of replacement thyroid hormones. Having celiac disease increases the risk of developing autoimmune thyroiditis and vice versa, so it is best to be evaluated if you have one or the other.

Myth: Thyroid support supplements are an effective way to prevent or treat thyroid disease.

Truth: Though many “thyroid support” supplements claim to aid in weight loss and improve energy levels, they are not regulated by the FDA and may do more harm than good, according to Dr. Sekhar. “I typically don't recommend taking any of these supplements. Some of them contain a lot of iodine or desiccated animal thyroid, which can make things worse,” he explains. “If you have some mild, intrinsic thyroid dysfunction to begin with, these supplements may trigger an overactive thyroid or even an underactive thyroid.”

Myth: Eating a balanced diet will prevent thyroid disease.

Truth: A balanced diet will include the nutrients necessary for proper thyroid function, but that alone is not enough to restore healthy thyroid function for a person who has hypothyroidism or hyperthyroidism. Furthermore, Dr. Sekhar says, “If you have certain risk factors for thyroid disease, such as autoimmune diseases like Hashimoto’s or Gravesʼ disease, there's nothing you can really do or take to prevent the onset of these conditions.”

Myth: Taking extra thyroid hormones can help you lose weight and feel energized.

Truth: Taking too much thyroid hormone replacement can cause hyperthyroidism, which has its own serious complications. Any changes to how you take these medications should be monitored closely by your doctor. “To determine the right dosage, we don’t just rely on symptoms because these symptoms can be very non-specific,”

Dr. Sekhar explains. “I specifically rely on lab work when starting a patient on medication for the thyroid, and I generally repeat their lab work six to eight weeks later to make adjustments if necessary.”

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Adjusting to Aphasia

Every 40 seconds, someone in the United States experiences a stroke. Roughly a third of these strokes will result in aphasia, or an impaired ability to express or comprehend language, and strokes remain the leading cause of the condition. Here, speech-language pathologists from Siskin Hospital for Physical Rehabilitation, Encompass Health Rehabilitation Hospital, and The Weston Therapy Group share more information about this surprisingly common condition.

By Catherine Smith

What is Aphasia?

Aphasia is an impaired ability to communicate, typically resulting from damage to the parts of the brain that are responsible for language. “Language includes comprehension (understanding what is being said to you) and expression (verbalizing your words, sentences, and thoughts), as well as reading and writing. Aphasia can differ in severity and the specific types of language deficits it causes,” says Daye Click, a speechlanguage pathologist (SLP) with Encompass Health Rehabilitation Hospital. Aphasia often occurs suddenly after a stroke or traumatic brain injury, but can develop gradually in cases of brain tumors or progressive neurological diseases.

“Aphasia alone does not affect a person’s cognition or intellect. A person with aphasia knows what they want to say, they just cannot get it out,” says Sara Tinter, an SLP and brain injury specialist with Siskin Hospital for Physical Rehabilitation. “A few of my patients with aphasia have described it this way: ‘Mind is there, just can’t speak.’ It is a very isolating disorder.”

Daye Click, M.S. CCC-SLP Speech-Language Pathologist and Speech Therapy Team Leader, Encompass Health Rehabilitation Hospital of Chattanooga

Julie Ana Boozer, M.S. CCC-SLP Speech-Language Pathologist, The Weston Therapy Group, a Morning Pointe Medical Partner

Sara Tinter, M.S. CCC-SLP CBIS Speech-Language Pathologist and Certified Brain Injury Specialist, Siskin Hospital for Physical Rehabilitation

To further explain this disorienting experience, Click says, “If someone says ‘what do you want to eat?’ in German and you speak English, it will be difficult to figure out what they are asking, much less how to answer the question. Sometimes, people with aphasia are not aware there is anything wrong with how they are processing language, or that they are having difficulty speaking as they normally would.”

Diagnosis

Aphasia is typically diagnosed by the physician treating a patient’s brain injury. Generally, patients will undergo an MRI or CT scan to confirm the presence of a brain injury and locate which area of the brain is affected. According to Tinter, “The location and size of the lesion impacts the severity of aphasia and in turn, the prognosis. A larger lesion in the language dominant center of the brain can result in more severe aphasia and a more difficult recovery.”

Additionally, the diagnosing physician will evaluate a patient’s ability to answer questions, hold conversations, and follow commands. Patients are then referred to an SLP who will determine what aspects of communication are affected, to what degree they are impaired, and what treatment should follow.

Treatment

Some patients will see dramatic improvements in their aphasia as the injury in their brain heals. However, when symptoms remain after this recovery period, speechlanguage therapy may be necessary. Aphasia therapy focuses on improving a person's ability to communicate, and the goals vary depending on the severity of the condition and a patient’s individual goals.

SLPs also offer communication aids, like compensatory strategies and assistive technology. “Assistive devices can be as simple as a piece of paper with two to four pictures on it, which allow the person to point to ‘bathroom’ or ‘drink.’ This could also be a dry erase board or a piece of paper with letters and numbers on it,” Click explains. “Higher level assistive technologies are also available as apps on your phone or tablet. Many of these apps are sophisticated, with various levels of vocabulary and syntax to help people effectively communicate with friends and family.”

Family support is another important factor in aphasia therapy. “Depending on the severity of aphasia, it may be difficult for a person to express their goals, wants and needs, or medical history. This can cause frustration, feelings of discouragement, and a lack of motivation,” Tinter says. “I often ask family members to compile patient information such as family members’ names, the personʼs hobbies, relationships, responsibilities, likes, and dislikes. This helps them to feel understood and motivated, and it also helps me create an individualized therapy plan to address their personal goals.”

HELPING MORE STROKE PATIENTS FIND THE BEST PATH TO RECOVERY.

Treating a stroke requires the expertise to navigate complicated diagnostic challenges, at a time when every second counts. Fortunately, the region’s only comprehensive stroke center leads the way with advanced techniques that can stop and even reverse a stroke’s devastating effects. If you suspect someone is having a stroke, don’t wait. Call 911 and insist on Erlanger.

Motivation can make all the difference, according to Click. “The more a patient is motivated to work in speech therapy sessions, the more they complete their homework, and the more they practice and talk with their family, the easier it becomes for them to communicate,” she says.

Advice For Loved Ones and Caregivers

If your loved one is experiencing aphasia, you probably have a lot of questions. Luckily, we have some answers.

How can I make sure my loved one’s needs are being met? Working directly with the SLP who is treating your loved one is a great place to start. Julie Ana Boozer, an SLP with The Weston Therapy Group at Morning Pointe Senior Living, explains “There are many communication strategies and techniques that may be appropriate to use while caring for your loved one with aphasia. Communication strategies and technique are patient-specific, so speak to the SLP treating your loved one in order to determine most beneficial strategies.”

Can I assist in my loved one’s recovery from aphasia at home? Overall, you can encourage them to stay motivated by including your loved one in conversations and gatherings, as well as celebrating their wins – big or small. Incorporating therapy practices into a patient’s home life can also be very beneficial. “Research shows that supplementing in-person therapy with athome therapy can help facilitate recovery. Talk to the SLP treating your loved one about activities you can do at home. There are also a variety of tablet applications that may benefit your loved ones outside of therapy sessions,” Boozer advises.

If my loved one lives in an assisted living facility, will this impact their recovery? “Assisted living facilities (ALFs) provide a setting that promotes socialization as well as builds trusting relationships with others, which is important for treatment and recovery. ALF caregivers can help navigate the challenges a resident with aphasia may face. Engagement with others is important, and ALFs offer many opportunities for group activities in addition to shared meals,” Boozer says. “Another benefit to residents is access to on-site resources, such as therapy teams with SLPs, which make it easier to take advantage of services that may not be as accessible for individuals living independently.”

Here are 10 tips for communicating with a person experiencing aphasia:

1. Minimize background noise and get their attention before speaking

2. Speak to them like an adult, but slow down and use simplified sentences

3. Do not speak in an elevated tone unless requested

4. Give them time to respond and avoid interrupting

5. Supplement words with nonverbal communication, gestures, and writing

6. Use “yes or no” questions to confirm that information is being understood

7. Be encouraging, and don’t insist on perfect pronunciation

8. Include them in family conversations and activities

9. Avoid overloading them with irrelevant information

10. Encourage independence and avoid being overprotective

At Encompass Health, the first thing we build for our patients going through rehabilitation after an illness or injury…is trust. Here we offer advanced technologies and treatments, but what makes our programs even more powerful are the nurses and therapists who are passionate about helping patients get back to what matters most. It’s why we’re the trusted choice in rehabilitation services

encompasshealth.com/chattanoogarehab

©2022:Encompass Health Corporation:Magic

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The Particulars of Pancreatitis

What You Need to Know

Instances of acute and chronic pancreatitis have increased steadily in recent decades. In the United States, acute pancreatitis accounts for roughly 275,000 hospitalizations a year, and chronic pancreatitis contributes another 86,000. Pancreatitis can lead to severe complications if untreated, so it is important to understand the causes and be aware of the symptoms. Here, we spoke with gastroenterology specialists to learn more.

By Catherine Smith

What is Pancreatitis?

The pancreas is a gland that creates digestive enzymes as well as hormones, like insulin, which regulate blood sugar. Pancreatitis is a medical condition that occurs when digestive enzymes cause the pancreas and surrounding tissues to become damaged and inflamed. Pancreatitis can be acute, meaning symptom onset is sudden, or chronic, meaning that the condition causes long-term impacts.

Gregory Olds, MD Gastroenterologist, Galen Digestive Health

Larry Shuster, MD Gastroenterologist, Hamilton Physician Group – Gastroenterology

Acute Pancreatitis

Acute Pancreatitis develops suddenly, and mild cases can usually be resolved after a few days with proper treatment. In more severe cases, acute pancreatitis can require hospitalization and the pancreas can sustain serious damage. In either case, it is important to seek treatment as soon as you notice the symptoms.

With many conditions, mild symptoms develop over time and warn that a medical event is coming, but that is not the case with acute pancreatitis. According to Dr. Gregory Olds, a gastroenterologist with Galen Digestive Health, “In most cases, there are no warning signs. Pancreatitis usually starts very suddenly.” The first symptom many people experience is sudden abdominal pain. “With pancreatitis, severe and sudden abdominal pain is usually in the upper part of the abdomen, but may radiate to the back,” explains Dr. Larry Shuster, a gastroenterologist with Hamilton Physician Group.

Chronic Pancreatitis

Chronic pancreatitis occurs when the pancreas becomes inflamed and damaged over a long period of time. Repeated instances of acute pancreatitis and other factors that cause injury to the pancreas can lead to complications, such as scarring, that can permanently affect pancreas function. “This can cause chronic abdominal pain, diabetes, or inability to digest and absorb food. Patients with chronic pancreatitis also have an increased risk of pancreatic cancer,” says Dr. Shuster.

Symptoms

The symptoms of pancreatitis vary a bit based on which type you have. For acute pancreatitis, symptoms include upper abdominal pain that may radiate to the back, tenderness in the abdomen, and nausea or vomiting. In chronic cases, a person may experience abdominal pain that feels worse after eating, unexplained weight loss, and oily, foul-smelling stools. Abdominal pain may come and go or remain constant, but it can also subside as chronic pancreatitis worsens.

Signs of severe pancreatitis include:

• Severe or worsening pain or tenderness in the abdomen

• Nausea and vomiting

• Fever or chills

• Rapid heartbeat

• Shortness of breath

• Jaundice (yellowing of the skin or whites of the eyes)

If any of the above symptoms are present, you should immediately seek medical treatment. These severe symptoms could be a sign of serious infection or a blockage that is affecting the pancreas, both of which can be fatal if left untreated.

Causes

The causes of pancreatitis can vary, but they all inflict damage on the pancreas in some way. “The most common cause of acute pancreatitis worldwide is gallstones,” according to Dr. Olds. Gallstones can block the pancreatic duct, which typically carries digestive enzymes from the pancreas to the small intestine. When this happens, the enzymes become trapped and begin to break down the pancreas itself, leading to inflammation and damage.

Alcohol has a toxic effect on the pancreas and is the second leading cause of acute pancreatitis. Excessive alcohol consumption is the most common cause of chronic pancreatitis because repeated inflammation from alcohol can do lasting damage to the pancreas. “However, not everyone with chronic pancreatitis has a history of alcohol usage. There are known genetic factors that can increase the risk of chronic pancreatitis in the absence of alcohol usage.” Dr. Olds notes. “In fact, many patients with acute and chronic pancreatitis have never consumed any alcohol.”

Additional factors that increase the risk of acute or chronic pancreatitis include high triglyceride levels, certain medications, infections, abdominal trauma, smoking cigarettes, diabetes, and having a family history of pancreatitis.

Treatment

In mild cases of acute pancreatitis, treatment tends to be fairly straightforward. “Typically, pancreatitis is diagnosed by evaluating symptoms, blood work (amylase and lipase), and CT scans,” says Dr. Shuster. “Each patient with acute pancreatitis is different, but treatment starts with fluid resuscitation and pain control while monitoring for organ failure and infection.” Luckily, most people will improve without further intervention, but Dr. Shuster says, “Surgery to remove the gallbladder or endoscopy to remove gallstones in the bile duct may be needed.” In cases of chronic pancreatitis, Dr. Olds explains, “Chronic pancreatitis is generally treated with pancreatic enzyme replacement and pain control. Surgical and endoscopic treatments are available for severe cases.”

Tips for Managing Pancreatitis

There are many factors that contribute to the risk of pancreatitis, and some, like genetics, are unavoidable. However, you can reduce your risk of developing acute pancreatitis or limit the damage done by chronic pancreatitis with these tips:

Avoid alcohol: Anyone who is at high risk of pancreatitis should consider limiting or avoiding alcohol to reduce their risk. People with chronic pancreatitis or a personal history of acute pancreatitis should quit drinking in order to avoid further damage to the pancreas.

Stop smoking: Research shows that smoking cigarettes can lead to acute pancreatitis and should certainly be avoided by people in high-risk groups. Smoking is a known risk factor for developing chronic pancreatitis, but it can also lead to more severe symptoms.

Surgery to remove the gallbladder: In cases where pancreatitis has been caused by gallstones, removing the gallbladder is an effective way to reduce the risk of recurrence, according to Dr. Olds.

Manage triglyceride levels: Medications can be used to decrease triglyceride levels in the blood, thereby limiting the risk of developing blockages that can lead to pancreatitis. Dr. Shuster recommends eating a low-fat diet and drinking plenty of water.

Routine checkups: People with chronic pancreatitis should see their physician regularly for bloodwork and symptom monitoring. Taking a proactive approach and adjusting treatments sooner rather than later can help lower the risk of severe complications.

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

Oral Health

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.

By Rachel Studebaker

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.”

Mandy Shearer, DDS Dentist, Soddy Daisy Smiles

Veneers

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

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. 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. This procedure uses resin to remedy milder superficial flaws such as tooth gaps or chipped teeth.

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

An Expert Weighs In

"One of the top questions I ask when removing third molars (wisdom teeth) is, 'How old is the patient?' Generally, we like to remove wisdom teeth between the ages 15 and 26. The bone at that age is more flexible and allows the tooth to be more easily removed with less pressure and force. As a general rule, the easier it is to perform the third molar surgery, the fewer problems and less pain the patient has postoperatively."

Brandon C. Stanley, DMD, FACS

Oral & Maxillofacial Surgeon and Implant Specialist, Implants and Oral Surgery of Chattanooga

Wisdom Teeth Removal

This common surgery can prevent dental problems before they start.

What Are Wisdom Teeth?

An average set of adult teeth is comprised of 32 teeth. Wisdom teeth, also known as the third molars, are located at the very back of the mouth and are the last teeth to emerge. Wisdom teeth come in between the ages of 17 and 25 and because they are the last to emerge, wisdom teeth can become impacted, meaning there isn’t enough room for them to fit in the mouth. Even if wisdom teeth are able to erupt, they are rarely functional and because of their position in the back of the mouth, they are more difficult to clean and often more prone to cavities.

Why Should You Get Your Wisdom Teeth Removed?

While wisdom teeth are often assessed and removed before problems arise, they can cause issues when left unmonitored. Impacted wisdom teeth can be painful and lead to the growth of bacteria, causing severe, sometimes life-threatening infections. As the teeth begin to emerge, they can put pressure on the neighboring molars and cause misalignment. They are also a common source of cysts as well as pathologic lesions. Other symptoms of impacted wisdom teeth include swollen gums, jaw ache, and pain when biting, chewing, and opening your mouth. Your dentist or oral surgeon can evaluate the position of your wisdom teeth and determine whether removal is advised.

The risks of developing problems with wisdom teeth increase with age, as do the risks of surgery. Removal of wisdom teeth during adolescence is a safe and predictable surgery with low risks of complications. Risks of permanent nerve injury, jaw infection, fracture, and delayed healing with removal of wisdom teeth in older patients are significantly increased.

What to Expect From the Procedure

Wisdom teeth removal surgery is a very common procedure –nearly 85 percent of Americans have or will have their wisdom teeth removed. This well-established and common procedure typically takes less than an hour. Advances in anesthesia medications and techniques, in addition to surgical techniques, have increased the safety and can result in a faster recovery. Recent adjuncts such as the use of platelet rich fibrin made from your own blood has been shown to greatly reduce the incidence of the dreaded “dry socket” in addition to speeding up the healing. Long-lasting local anesthetics such as Exparel can also reduce postoperative pain and the need for narcotics during the healing period. It is important to talk to your dentist regarding your wisdom teeth and determine the safest and most convenient time to have them removed, before they cause any big issues.

Custom Braces

3D scanning technology has optimized treatment with custom braces and Invisalign by achieving alignment up to twice as fast.

What Are Custom Braces?

Braces are a common orthodontic treatment that straightens teeth to improve their appearance and function. Traditional braces are installed with a one-size-fits-all approach, using standardized parts and placement. The introduction of innovative digital technology to this process has allowed orthodontists to customize braces to each patient’s unique dental anatomy.

How It Works

3D scanning technology provides a clear picture of the mouth and bite by producing an accurate digital map of the full set of teeth. This information helps orthodontists select the best placement of braces for each patient. Custom braces reduces the number of adjustments and office visits. By optimizing treatment from the start, custom braces speed up the process by up to 50%.

Custom Braces Placement

Your orthodontist will take a 3D scan of your mouth, which replaces the traditional, and often uncomfortable, method of dental impressions. Then, your digitally planned and fully customized braces will be installed using a 3D-printed tray. Before you know it, your braces will be ready for removal and you’ll be enjoying your new smile!

An Expert Weighs In

“I feel so fortunate to get the opportunity to help people achieve their best smiles and lifelong confidence. After receiving orthodontic care at a young age, it changed my life, and it’s a blessing to get to do the same for our patients in an environment of compassion, fun, and excellence!”

Cheryl W. Aldridge, DMD, MS Orthodontist, Greater Chattanooga Orthodontics

“Our experience was wonderful. A1 customer service, they were very engaging with their new patient and the parent (me), they took their time and were gentle, they were also very informative and touched bases on everything needed to know. I now see why people from other cities and states recommend this facility.”

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.

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.

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.

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

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.

An Expert Weighs In

“I love the way today’s technologies are improving our tried-and-true brackets and wires treatments. With 3D scanning and digital treatment planning, we can individualize each patient’s brackets such that their teeth move straight to their final position with straight, unbent archwires. This reduces the number of visits, the amount of time needed for each visit, and, ultimately, the risks associated with braces treatments. I’m excited to bring this new technology to my patients!”

Marie B. Farrar, DDS, MS Orthodontist, Smile Studio

LightForce

This innovative system utilizes 3D printing technology to create custom brackets.

Why Are Custom Brackets Important?

Brackets are the component of braces that adhere to the tooth’s surface and connect each tooth to the archwire. The three-dimensional configurations of bracket bases and their slots allow the wires to guide the teeth to their desired positions. Mass-produced brackets are designed for average tooth sizes and shapes. Since they do not account for each patient’s unique tooth morphology, the brackets may have to be repositioned or the archwires custom bent to guide the teeth to their ideal final positions.

How LightForce Works

LightForce provides orthodontists with a fully digital and customizable bracket creation system. This process begins with a scan of the patient’s mouth, which digitally renders the surfaces of the teeth. The teeth and dental arches are then reconfigured in a digital treatment planning platform. After the orthodontist adjusts the digital setup as needed, customized brackets and slots are designed and printed from sturdy yet esthetic ceramanic polycrystalline alumina. These one-of-a-kind brackets accommodate the diversity of tooth anatomy, and additional customizations, such as hooks and slot size, benefit specific treatment needs. LightForce also creates 3D printed trays to aid the bonding process.

What Are the Benefits?

Thanks to LightForce, brackets are more precise than ever. The custom fit speeds up the alignment process and yields optimal results. By conforming to your teeth, LightForce brackets improve straightening accuracy and may also reduce discomfort. Advanced 3D printing technology produces consistent quality among printed items, and ultimately allows for efficient and effective treatment.

A healthy smile with less hassle.

As a mom and a professional, Dr. Marie Farrar understands how busy life can get. She brings a woman’s eye and a mother’s touch to minimize the costs of orthodontic treatment in terms of time, money, discomfort, and general hassle while maximizing the results in terms of esthetics, function, and stability.

• Ultra Low Dose CBCT for more information with less radiation

• Intraoral scanner and digitally produced appliances to eliminate impressions, bands and separators

• LightForce fully customized brackets for more efficient tooth movement and fewer appointments

• SureSmile aligners and tooth-colored brackets for the most esthetic treatment

• Dental Monitoring for reducing appointments and catching problems before they can set treatment back

• V-Pro for shorter treatment times and less discomfort

• Myofunctional therapy for better outcomes and greater stability

• Buteyko breathing re-education to establish nasalbreathing and improve facial growth

• Judicious early treatments for fewer extractions and less time in braces

• Rewards Hub and WOW (Waiting on Wires) to encourage compliance

• Non-compliance techniques such as Forsus springs, molar distalizers, and bonded retainers for more consistent outcomes

B Farrar, DDS, MS

American Board of Orthodontics

PHOTO BY RICH SMITH

Her Story

Monica Bishop Talks Overcoming Pain & Choosing Happiness

The 8-out-of-10 shoulder pain came out of nowhere. I hadn’t hurt myself; my shoulder just started hurting. A lot. But my doctors couldn’t figure it out. There was so much testing, poking, prodding, trying this and that, but the pain continued and threatened to derail both my career and personal life. I had so many questions but no answers. Would I bike again? Could I continue my marketing business? Could I take care of my family? Would I be able to finish my yoga teacher training?

I’ve never been one to sit still or let outside forces dictate my path. I’m a fast-moving, outdoors-loving Southern gal. Yoga, bikes, paddleboards, two acres of land, and a flock of chickens — I got stuff to do!

I started my first business in 2015, and in 2019, went all in with my marketing and coaching business. I even helped start the Velo Vixens, a women’s cycling club. I’d built a life centered around helping others … but now it was time to finally help myself.

I was in so much pain. It took months and months to figure out that

I needed shoulder surgery. Even so, the pain continued — this time in my neck. The frustration of anticipating a solution only to still be so limited was challenging. I kept asking questions and kept seeing other doctors. I finally discovered and found relief by getting a nerve-zapping procedure (Radio Frequency Ablation or RFA for short). So far this has been a miracle and has allowed me to restart my life and tend to my businesses again. Even though I have to repeat the process every year or so, it still allows me to live an active lifestyle.

Photography by Rich Smith

I wanted to feel solid and secure again. Limitless. I felt anything but.

Throughout this ordeal, I realized that pain is just another sensation. Our mind chooses what to do with this information. Often, we create a story around pain - that it’s bad, it’s never going to end, or a whole host of other disparaging, lackluster movie plots. I discovered a meditation and mindset practice that taught me, as the CEO of my own life, I get to choose how to deal with my chronic pain. That where the mind goes, the body follows. Realizing I actually had a choice in how to feel, act, and live with my new reality completely changed my trajectory. Giving myself permission to choose my path, thoughts, and emotions through this lens of “it’s easier than you think” has been transformative, to say the least.

I finally finished my yoga teacher training and now get to share my practice with others. My digital marketing and coaching business is booming. And, I’m back on the bike around six hours a week. I`m so happy to be able to get that adrenaline rush, reconnect with my cycling friends, enjoy the outdoors, and just be fully present. I can take the odd life or bike crash boom (what my eight-year-old stepdaughter calls a bike wreck) in stride because that’s how it goes, right? If you aren’t crashing, you aren’t improving. It’s just as true for business as for biking. You gotta push the outer limits, challenge conventional wisdom, and ask yourself ‘How can I …?’ More often than not, if you practice working with your mind instead of believing it rules your day, you’ll find that it’s way easier than you think!

Do I still have pain? Yes. But it’s down to a manageable two or three rather than the previous, excruciating eight. Where there was sadness, there is now solidity. When you fully embrace that you have the choice to change your life, to notice each and every moment, to infuse every action with compassion and kindness for yourself and others, that’s when you find your power.

Monica Bishop Hixson

Banning the Budgeting Blues

By Chelsea Risley

Budgeting can sometimes feel like a massive chore, but it’s an important tool to help you plan for the future and feel more in control of your life. We asked three local financial experts to offer their best budgeting tips to inspire you to ban the blues and stay on top of your finances.

Build Security

Budgets are crucial to prepare for emergencies, but they also help ensure you have money for big purchases as well as fun and everyday spending. Frenise Mann, financial advisor at Mann Financial Consulting, describes keeping track of your money as building a “Sound Financial House,” saying it “starts with a sure foundation, which encompasses utilizing a spending plan, keeping an up-to-date cash flow analysis, debt management, and asset/ income protection.”

Reframing the task may make it easier to tackle. Mann explains, “Most people get stressed out about the very word ‘budget.’ I like to make it fun by changing the name to something they are trying to achieve with their financial goals or blueprint. For example, change ‘Budget’ to ‘Spending Plan’ or ‘Home Purchase Planning.’”

Make a Plan

Once you’ve settled on a name that doesn’t inspire dread, it’s time to choose a method. “There is no wrong way to budget,” Sarah Edgar, manager of the University of Tennessee at Chattanooga’s Financial Wellness & Outreach program says, “and don’t be afraid to change your budgeting style – if Excel is not working, try a mobile app or

write your spending down on a calendar!” Having a workable cash flow plan is what matters, and “done is better than perfect,” Carrie Turcotte, financial planner at NorthShore Financial Strategies, reminds new budgeters.

A good place to start is by saving all of your receipts for a month so you can see exactly how much money you’re spending and where. Then separate your required spending – rent, utilities, and groceries – from your optional spending – entertainment, subscriptions, etc. You definitely want to build room in the budget for discretionary spending on fun things, Turcotte says, and explains that separating these two categories is important so that “if cash is low, you know what expenses you can eliminate.”

Set Goals and Check-ins

After you’ve examined what’s going on in the day-to-day, start thinking about the future. Set both long- and short-term goals, like a big vacation versus a small weekend trip, to help you stay focused and excited about saving, Turcotte advises. “If you’re not great at saving money,” Edgar adds, “try a fun savings challenge or set realistic goals like reducing your monthly discretionary spending.”

Schedule frequent check-ins to make sure your spending is in line with your goals. “Make budgeting convenient for your time – it does not have to take hours. I personally budget once a week for 10-15 minutes,” Edgar shares. Every so often, evaluate whether your habits still make sense, such as paying for subscription services you no longer use. Implementing regular mini budgeting sessions can eliminate the dread of budgeting and subsequent procrastination, ultimately giving you more control over your finances.

Frenise Mann, MBA, MSF, BFA Financial Advisor, Mann Financial Consulting

Sarah Edgar, CFEI Financial Wellness & Outreach Program Manager, University of Tennessee at Chattanooga

Carrie Turcotte, CFP, RICP Financial Planner and Investment Strategist, NorthShore Financial Strategies

SCAN HERE

T O L E A R N M O R E

Designed With Happiness in Mind

How Home Interiors Can Boost Mental Health

There is a strong correlation between home interiors and mental health. Clutter is known to increase stress, and a lack of décor can be depressing; but open, brightly lit spaces can feel like a breath of fresh air and inspire good feelings . Because many of us spend a lot of time indoors, it is important to take note of how our environments affect us. Small design choices can create a big boost of positivity in our daily lives. Here, we spoke with Kaysie Strickland, the founder and executive director of Homes & Havens, a nonprofit offering mindful interior design services for recovering individuals in need of healing spaces. As a trauma-informed designer, Strickland shares insights and offers tips for creating an uplifting space.

HS: What impact do home interiors have on our mental health?

KS: Our homes hold our stories, and yet most of the people I've worked with haven't really named that story or they need help naming it. People typically design a space around what they see others doing on social media or TV, instead of approaching their home as a vessel of healing to their own story. Much like our bodies, our homes tell a story about our struggles but also our hope – I love helping people create spaces around an anthem that will sustain their journey into a brighter future.

HS: What are the first things a person should consider when designing a space to boost their mental health?

KS: Eliminating things like clutter, items you are holding onto out of obligation, and reminders of painful seasons can be helpful. Natural light, soothing colors, and meaningful artwork can really make a difference in making a space feel hopeful.

HS: What is one thing that people tend to overlook in their home interiors?

KS: When I work with clients, their story and mission for their home are my primary focus. I feel like it impacts everything. Staying sensitive to their story helps me create options that feel meaningful and adaptable to their life as it changes.

HS: Can the layout of a room make a difference? Any tips for arranging furniture?

KS: This is a fun science! Each space is different, but I typically recommend creating clear pathways for walking and using furniture and rugs to help create zones for different purposes.

HS: What do you typically take into consideration when choosing the right furniture for a space?

KS: I look for durable, fun, and comfortable pieces that fit the budget and the season of life.

HS: Do you have any tips for people who may struggle to keep their space clean and organized?

KS: Our stories have a huge impact on how we create, organize, and maintain our spaces. I would ask gentle questions about their history with cleanliness and organization, but also what season of life they find themselves in. Parents with little kids or pets may need permission to relax about the disorder or to choose what zones of the house matter most to them. People struggling with depression, burnout, or anxiety may find it impossible to keep up and might need extra support with cleaning or organizing things.

HS: What are some small changes a person can make to have an immediate impact on their space?

KS: Let the light in and buy a plant! Turn off the overhead lights and add as many lamps as possible!

Kaysie Strickland Founder and Executive Director, Homes & Havens homesandhavens.org

Stacy Johnson

Photography by Kris Hacker / Hacker Medias

For Stacy Johnson, executive director at La Paz Chattanooga, health and wellness have been an evolution. A member of an active family, Johnson is using this new season of life to build on her physical fitness regimen and focus more on her emotional and mental health. Whether it’s cultivating a support network, delegating tasks at work, opening up to her running group, or simply utilizing all of her vacation days, Johnson is constantly looking for ways she can show up as a better wife, mother, friend, coworker, and member of the community. By knowing her limits and honoring them – with both herself and others –Johnson is learning what it’s like to live a truly authentic life.

What is your approach to wellness? How has that changed over time?

Like with most things I do, I learn as I go. It has taken me some time to put all the pieces together and learn that it all matters – physical, mental, and emotional well-being.

What are your favorite ways to practice self-care?

Many years ago I joined a group of girls to run. We named ourselves “RunNChatt.” We have continued to run (and chat a lot!), and we also support each other in all things! I try to practice intentional gratitude and spend time outside. I move my body. I read and learn. Meditation is amazing and super helpful. I’m currently not there, but I know it’s a great way to take care of myself.

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

I’ve set a personal goal to spend more quality time with my family and friends and truly capture the joy that comes with being a wife, mom, friend, and family member.

When it comes to health and wellness, is there anyone you admire or look up to? Why?

I would have to say my sisters-inlaw have and continue to inspire me. They’ve always made their health and wellness a priority. I think the biggest thing they’ve shown me is consistency. Putting in the work, a little at a time over time always works! Also, several of my coworkers have modeled and pushed me to create boundaries and take time for myself.

How do you approach emotional well-being?

After a rough couple of years, I learned to find (and seek out) my support crew, which has been not only my friends and family but also colleagues and coaches. I am part of a small group of fundraisers. We meet consistently to learn new methods and strategies and also to check in with (and pray for) each other. I’m also honored to join four nonprofit executive directors each month to talk through our challenges and celebrate our wins. This work can be hard and lonely. It has been such a gift to have a group to share all the good, the bad, and the ugly with. And, last but definitely not least, the Johnson4. I lean on my little family of four for hugs, friendly competition, car stories, and laughing fits. They are my everything and a reason to be my very best (and healthiest) self!

What do you find the most rewarding?

It’s so much fun to watch my kids play and compete. I enjoy seeing them do what they love, be part of a team, and interact with friends. My favorite part of being a mom is seeing my boys be each other’s biggest cheerleader. It’s also really rewarding to witness my team at work grow – not in numbers but in character. It’s great seeing someone grow into their true and authentic self, recognize their gifts, and lean into them.

How do you encourage health and wellness within your family?

We’ve always been an active family. My kids have grown up cheering on their dad in the Ironman, going on hikes and bike rides, and participating in sports. We are also conscious of our food choices and do our best to eat well. I would say, just like me, my family’s health and wellness is a work in progress. We try to encourage our kids to speak up when things are too much. Kids are under so much pressure these days, and we want ours to know they have a voice – especially when it comes to their own health and wellness. They know best, and we, as parents, just need to make sure we are listening.

Best Foot Forward

Here’s How Often You Should Be Replacing Your Shoes

By Mary Beth Wallace

When you find that perfect pair of shoes that fits just right, it can be really hard to let it go. But the reality is, all shoes have an expiration date – it’s a matter of knowing when exactly that expiration date is. (Hint: It’s not when your sole begins to peel off your shoe.)

With each step you take in your shoes, you are slowly breaking down much-needed cushioning and support. That means if you hold on to a pair of shoes for too long, it can cause some serious problems, from leg and foot pain to plantar fasciitis. Here, we’re sharing some insight into how often your shoes should be replaced.

The 500-Mile Limit

As a rule of thumb, most everyday shoes – including athletic shoes – have about a 500mile limit, max. If you walk for an average of three to four hours a week (about 30 minutes a day), then your shoes should be replaced every six months. If you’re a runner, on the heavier side, or regularly walk more than four hours a week, plan to replace your shoes every three months or so.

Signs Your Shoes Should Be Replaced

Beyond the 500-mile rule, there are several red flags that indicate a pair of shoes is past its prime. These include:

• Heel breakdown / Feeling a little uneven? When your shoe’s heel starts to break down, one will typically outpace the other. This causes the shoe to lean more on one side than the other –a pretty good indication that the shoes are toast.

• Worn down sole tread pattern / Turn your shoes upside down and examine the outsole. Excessive wear, such as the tread wearing down or even disappearing in parts, is a sign that it’s time to retire the shoes.

• Loss of comfort / This one may seem obvious, but if your shoes are starting to feel uncomfortable, you should probably replace them. Any discomfort likely means that the midsole, which offers your feet cushion, is wearing down and not providing the same support as before.

• Pain in your feet, arches, or heels / Foot pain is always a major red flag and should never be ignored. Experiencing foot pain, especially during a workout, could indicate that your shoes no longer deliver adequate support. When in doubt, replace!

Styling Must-Haves For Every Mane

By Catherine Smith

Having the right products in your arsenal can make all the difference when it comes to styling your hair. Whether your strands are sleek and straight, captivatingly curly, or somewhere in between, check out these tips for how to show your locks some love.

Type 1: Straight Hair

Dry Shampoo:

Washing your hair too often can actually increase oil production from the scalp, so dry shampoo is a great option. A good dry shampoo will give your locks a lift between washes, adding volume and reducing oils. If you have a sensitive scalp, opt for products made with ingredients like rice powder and natural clays, which are gentle and effective.

Texturizing Spray:

If you’re in the mood to break out your curling iron, adding a texturizing spray to the mix can help get the job done. These sprays add volume and grip to the hair to aid in styling, but they also help your style last longer with a more lived-in hold than traditional hairspray. You can also use these sprays on damp hair and give it a scrunch to create soft, beachy waves without any heat.

Type 2: Wavy Hair

Air-Drying Products:

If you want to beat the heat damage from styling tools, adding a lightweight cream, mousse, or gel air-drying product to your routine is a great way to help your natural waves look their best. These products add shine and fight frizz, with a gentle hold that adds definition to your natural wave pattern. For finer hair, you’ll want to avoid products with a lot of oils and opt for something with a little less hold.

Wave Sprays:

Though beachy waves may be your goal, sprays containing sea salt may not be the best option for your hair. Salt can actually damage hair by drawing out its natural moisture, leading to more frizz and brittle strands over time. Instead, opt for wave texture sprays without sulfates, salts, or alcohol to create soft, tousled waves.

Type 3: Curly Hair

Leave-In Conditioner:

Curls need plenty of moisture, and a good leave-in conditioner can go a long way toward maintaining those ringlets. Apply your leave-in conditioner to damp hair and work it through each strand with your fingers, as brushing can lead to breakage and disrupt the curl pattern. For long-term hair health, it’s best to avoid products with silicon, which causes buildup that can actually block your hair from absorbing moisture.

Gel:

A good gel helps your curls set in their natural pattern, and there are plenty of options to suit your individual hair needs. If loose, hydrated curls without the crunch are your preference, a cream-gel hybrid product is a great choice. Gels with a stronger hold are great for defining tighter curls. Look for ingredients like aloe, castor oil, and flax seed for added shine and hydration.

Type 4: Coily Hair

Hair Masks:

If your curls need a boost, deep conditioning masks can bring them back to life by addressing your hair’s individual needs. For processed or highly porous hair, masks that contain proteins can strengthen your strands and restore elasticity. If your hair is feeling a bit stiff, opt instead for a conditioning mask full of natural oils and humectants like honey and shea butter. Other ingredients like rosemary, mint, and biotin are great for the scalp.

Hair Oils:

Using the right oils in your haircare routine can give your curls an extra boost of hydration or help seal in the moisture. Oils like coconut, avocado, olive, and argan oil can penetrate the hair shaft to provide lasting moisture. On the other hand, oils like jojoba, grapeseed, and Jamaican black castor oil create a protective coating around each strand to lock in moisture.

Gadgets for the Gardening Lover

If you’re looking to level up your health and wellness, why not give gardening a try?

Gardening is not only physically beneficial with all of its planting, digging, and lifting, it has a whole host of mental benefits as well. Studies have shown that gardening can aid in anxiety and stress reduction, memory retention, and enhanced self-esteem, among other things. Here, we’ve outlined a few gardening gadgets that will make you, or the gardening lover in your life, even more eager to get outside and soak up everything this activity has to offer.

The Amaranth Vase

For those who love freshly cut bouquets of flowers, the Amaranth vase is a must. The vase is made of two parts, and with just a twist, you can drain old water. Twisting a little further allows you to remove the top portion of the vase with the bouquet for easy stem trimming. Did we mention it’s also impact-resistant?

The Roo Gardening Apron

This canvas cotton apron is perfect for harvesting fruits and veggies. Simply secure the apron around your waist, and place produce in the pouch as you harvest it. When it’s time to release, unclip the ropes and let your bounty effortlessly fall out the bottom. This product also comes with three additional pockets and is water-resistant, machine washable, and offered in an array of colors.

The Famoy Glove Claws

Who doesn’t love a good 2-in-1 tool?

Famoy’s gardening glove claws offer just that. The pull-on, puncture-resistant gloves protect your hands, while the plastic angular tips mean you can leave your trowel behind. Perfect for digging up weeds, this product can also be used to rake leaves or dig holes for planting.

PHOTO BY RICH SMITH

inspired by MADYSON SMITH KIM SHUMPERT

Kim,

Meeting someone that offers honesty, shows loyalty and genuineness, and provides laughter along the way is a hard find. You entered my life during a moment of healing and reflection. Not only were you a reliable mentor but became an instant heart-to-heart connection. Both being outsiders, and you being a woman that encouraged other women, I knew that you were the type of spirit I wanted to surround myself with. We talk about our frustrations in life and work, and you never judge when I’m dramatic about certain things. You always seem to know when I’m at my worst, but instead of turning away, you embrace the ugly and continue to show me what true mentorship and friendship is. Being able to relax and show your true self with others is hard to do in a world full of pretenders. You are inspirational every day, and I am proud to call you a friend. I am thankful for our growth as people and as friends.

“Lots of people want to ride with you in the limo – what you want is someone who will take the bus with you when the limo breaks down.”

- Oprah Winfrey

- Madyson

“You are inspirational every day, and I am proud to call you a friend.”

Madyson (Left) and Kim (Right)

PHOTO BY RICH SMITH

inspired by MARCHERIE JAMENE SAVAGE KILZMA BROWN

Pastor K,

I remember attending a youth bible study session where you asked us all, “Do you know your purpose?” The room was pretty quiet, so you followed with “Here are some indicators that can help point you in the right direction. What do you enjoy so much that you would do for free? What do other people naturally compliment you on?” and you went on to ask other questions that I decided to jot down to think about later at home. Although I didn’t have the answers right then, your questions helped prepare me later in life to make a sound career decision.

Much of the wisdom you and your family have shared is what makes me who I am today. In addition to your wisdom, your ability to be transparent is what I connected to most. I think it’s hard to look up to, communicate with, or to even be vulnerable with people that insinuate they’re flawless. So, your transparency facilitates the fact that there's hope for a better tomorrow. As I faced losing my mom suddenly, you were one of the key people who helped me overcome in more ways than one. I’m forever thankful to have you and your family in my life as a north star.

- Marcherie

“Your transparency facilitates the fact that there’s hope for a better tomorrow.”

Marcherie (Left) and Kilzma (Right)

PHOTO BY EMILY PÉREZ LONG

inspired

Dear Mom,

When I was asked to write a letter to another woman that inspires me, I knew that I wanted to express my gratitude to you! We are fortunate to have such a close relationship, and you are also the most supportive grandmother too. You are a trailblazer professionally and personally. I watched you gain your master’s degree in special education, demonstrating the importance of higher learning.

I was proud when you created a career as a behavior interventionist in the school system championing children and colleagues alike. You have courageously raised and shown horses, run marathons, obtained senior Olympic medals, and ridden your bicycle through more countries than I can recollect. Growing up, I did not understand why you toted me around to your exercise classes and activities. Now, I understand how important physical health is for your mental and emotional well-being. Thank you for teaching me that it is not selfish to take care of yourself first so that you can be your best for others. Lastly, you have exhibited unconditional love. Thank you for being such an outstanding mentor, teacher, friend, coach, and adventurer. I aspire to do the same! I love you, Mom.

- Jessica

“Thank you for being such an outstanding mentor, teacher, friend, coach, and adventurer.”

by JESSICA JOLLIE MARYLOU MILLER

MaryLou (Left) and Jessica (Right)

PHOTO BY RICH SMITH

inspired by MELISSA SHERFEY-NEWTON RANDA ITEIM

Randa,

Inspiration can present itself in many forms, but you simply are the definition of “inspiration.” I am honored to call you a dear friend and thankful to have shared life with you these past few years. I want to share a glimpse into your incredible life with others – your motivation and strength, what propels you forward, and what drives you toward tomorrow.

I remember reading one of your assignments during your first semester in college. You took the class to improve your writing so you could inspire women from your home country. You desired to motivate others to follow their dreams and convey through writing that it was possible. Through your stories about life in Sudan, teaching about your culture, pursuing your GED in America, and studying to become a United States citizen, I have learned about perseverance and determination regardless of life’s circumstances. You have pursued these things while working, being a wife and mother to four kids, and adapting to a new culture as a refugee. It’s an understatement to say I am inspired. I am inspired by your desire to be a voice for others in your country, advocate for women to dream and achieve their goals, and most of all, teach your own children that they can achieve anything they set out to do. You are a leader who is respected in your community and the community at large. You have built trust as a leader where trust is hard to find. You have a gift for engaging people with your infectious personality, your generosity, and a smile that warms up the soul. You have a strength that motivates people to action.

Thank you for being that inspiration and voice that reminds me to keep advocating for others, but even more, thank you for your friendship.

- Melissa

“You have a gift for engaging people with your infectious personality, your generosity, and a smile that warms up the soul.”

Melissa (Left) and Randa (Right)

PHOTO BY RICH SMITH

Embracing the Summer Season

Structure and routine is very important for most kids – and parents – to flourish and succeed. Schedules are easier to maintain during the school year, but the seemingly endless summer days with fewer obligations can throw off a family’s equilibrium, as can a big transition like starting school again in the fall. Though summer is often a more relaxed and restful time, making sure kids are still learning and keeping their brains engaged is key for ensuring they’re ready to meet new goals once school starts again. Here, we asked three Chattanooga moms how they help ease the transition back to school and make sure their child is on track while still preserving the wonder of summer.

“My summer game plan is to take advantage of the different forms learning can take – yes, I want to keep my soon-to-be kindergartener mentally engaged but also, it’s summer! There are educational opportunities within nearly any activity you squeeze into these sweet summer days, like something as simple as counting the number of people wearing hats at a Lookouts game. Another thing I want to get my son ready for is lunchtime independence. I prep and pack lunches on occasion so he can practice opening juice, fruit snacks, etc. I want to maximize his time to eat, and those little things can make a difference!”

Erika Martin

“As a young mother, I dreamed of laidback summers with no plans, flexible schedules, and fluid mealtimes. However, it turns out that my children thrive on a bit of a schedule. We have compromised and keep regular mealtimes, bedtimes, and some routine throughout the day. We make a list together of the things the kids want to do with their summer – mostly free or low-cost activities. This list helps to make sure that we have plenty of ideas at the ready when discussing what we are going to do each day.”

Maggie Quisenberry

“Families can create routine by establishing a more flexible summer schedule with more time outside, less time on screens, and reading, reading, and reading. Leave the workbooks at school and replace them with learning through experiences. It does not need to break the bank – there are so many great free or low-cost options in our city, like the Chattanooga Public Library or free family days at Hunter Museum of American Art and Creative Discovery Museum. Try to also maintain regular bedtime routines and morning rituals. Embrace summer with a loose structure to maximize the magic of childhood.”

Rebecca Aslinger

FastFacts on FermentedFoods

The Surprising Health Benefits of Fermentation

By Mary Beth Wallace

When you think of superfoods in the health world, pickles and sauerkraut probably aren’t the first things that come to mind. Yet, thanks to numerous studies, we now know that those who regularly include fermented foods in their diet can reap some serious health benefits.

What Are Fermented Foods?

Fermented foods are foods and beverages that have been produced through controlled microbial growth, where some of the food’s components are converted into other compounds. The process of fermentation not only naturally preserves foods, extending their shelf life, but it also gives the food a unique taste and texture. While most foods can be fermented – everything from vegetables and fruits to meat, fish, eggs, and nuts – here are a few of the most common fermented foods and drinks you’ll see at your local grocery store:

• Kefir

• Kimchi

• Kombucha

• Miso

• Natto

• Pickles

• Sauerkraut

• Tempeh

• Yogurt

Many of these foods are considered nutritious in their original forms; however, the process of fermentation offers additional health benefits.

What Are the Health Benefits?

Fermented foods are often – but not always – ripe with probiotics and have been linked to benefits such as better digestion and stronger immunity.

Improves digestive health. Probiotics that are produced during the process of fermentation can help maintain a healthy balance of bacteria in your gut and could alleviate certain digestive problems. For example, research suggests that probiotics may help reduce uncomfortable symptoms related to irritable bowel syndrome (IBS). Other digestive issues such as diarrhea, gas, bloating, and constipation can also be improved with the addition of fermented foods in the diet.

Boosts immunity. The bacteria that call your gut home also affect your immunity. Fermented foods with a high probiotic content can help strengthen your immune system, reducing your risk of infection. If you’re already sick, you might find that symptoms improve more quickly when you consume probiotic-rich foods. Plus, many fermented foods are also high in vitamins and minerals – think vitamin C, zinc, and iron – that are proven to support a healthy immune system.

Makes food more easily digestible. Fermentation naturally helps break down the nutrients found in food, making fermented food easier to digest than unfermented food. One example of this is milk versus fermented dairy. Fermentation breaks down the lactose in milk to simpler sugars (glucose and galactose), which means those who are lactoseintolerant can more easily digest yogurt and kefir.

Increases nutrient absorption. There are some natural compounds in food that can actually interfere with nutrient absorption. Dubbed antinutrients, these include lectins (found in beans, peanuts, and soybeans) and phytic acid (found in whole grains, legumes, seeds, and some nuts). Fermentation breaks down and destroys these compounds, which makes the nutritional content in certain foods more available to you.

May support heart health. Fermented foods have been linked to a lower risk of heart disease. Studies also point to modest reductions in blood pressure and improvements in cholesterol levels.

So, go ahead! Load up that parfait, pack on the pickles, and add tempeh to the menu for your next “Meatless Monday.” You can even experiment with making your own fermented foods at home! Just keep in mind that not all fermented foods are created equal –always check the packaging and look for words like “contains probiotics,” “contains live cultures,” or “naturally fermented” to enjoy the optimal health benefits.

The Perfect Blend

FOR SMOOTH SIPPIN’

Smoothies are an easy solution for adding more protein and fresh (or frozen) fruits and veggies to your diet, plus, they’re an especially great way to cool off in the summer! To make sure your smoothie is as healthy as possible, include a balance of fat, fiber, protein, and greens. You’ll also want to avoid too much added sugar from things like honey or maple syrup, flavored yogurts, fruit juice, and some nondairy milks. Here, two locals offer their takes on this nutritious and delicious treat.

“This is a personal recipe that I put together to help with inflammation, allergies, and to give my body something fresh and filling. Chia seeds are high in fiber and protein. The bee pollen is known to help with seasonal allergies and serves as an antiinflammatory! The fruits were chosen to help with oxidative stress in the body and the pineapple helps increase dopamine levels! Plus they are perfectly paired to make the taste tropical and delicious.”

– Ryley Burd, Chef & Assistant Manager

Photography by Rich Smith

LEFT: RYLEY BURD, CHEF & ASSISTANT MANAGER RIGHT: GISELA BELLINA, CO-OWNER

The Local Juicery + Kitchen’s Sunshine Bowl

YIELDS: 1 SERVING

• 4 oz. almond milk

• 1 tsp. turmeric

• cup banana

• cup mango

• cup pineapple

For the Toppings:

• cup granola

• Fresh strawberries, sliced

• Fresh banana, sliced

• 1 tsp. chia seeds

• 1 tsp. bee pollen

• Honey, to taste

Add ingredients for the base to blender and blend until it reaches your desired thickness.

Pour into bowl.

Add granola and sliced strawberries and bananas to the top, then sprinkle in chia seeds and bee pollen. Add a drizzle of honey and serve.

Vivian’s Favorite Smoothie

YIELDS: ABOUT 20 OZ.

• 4-5 large organic carrots, diced

• 2-3 large organic apples of your choice, diced (we like Gala)

• ½ tsp. ground cinnamon

• ¼ tsp. ground nutmeg

• ¼ tsp. ground cloves

• Splash of apple cider vinegar

Wash and dice organic produce, leaving peels on. Steam produce for approximately 20 minutes or until very tender. Add to blender and blend until you see a whirlpool effect. Add seasonings and blend again. Chill for 30 minutes and then serve.

“This smoothie is a win for lots of reasons – we love that it’s so nutritious and that our daughter always gets excited about it. She can enjoy it without help, and it’s thick enough to not be too messy. Plus the adults in the house love it too! We prep this almost every week! Apple cider vinegar is great for gut health and to help keep freshness.”

– Katie & Vivian Faulkner

Lynda Hood, Chattanooga American Cancer Society board chair, and Linda Moss Mines, American Cancer Society council member, have more in common than just their friendship. Both have been faced with cancer, Lynda as a survivor and Linda as a caretaker. While Lynda’s journey through stage 4 breast cancer over 28 years ago was not easy, Linda lost her husband Tony to cancer just three years ago. Thanks to friends and the support provided through the American Cancer Society, Linda shares that the resources they received extended beyond our own community. “Tony and I had extra ‘friends’ in our corner during his fight against acute myeloid leukemia. Tony’s treatment required us to travel to Nashville. Thanks to the American Cancer Society and the resources they made available to us, the Hope Lodge became our “home away from home.” The staff truly cared for us during our weeks in Nashville – they became our extended family, and they shared our walk, which we will be forever grateful for. I will never forget their love and support – it was a gift that made a difference. Together, we can keep making a difference for families battling for tomorrow!”

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

• 141 one way trips to and from treatment centers

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

• Over 225 days of free lodging for cancer patients

• Support groups and resources for all cancer patients

Lynda Hood

Linda Moss Mines

Brittany Styga’s Core & Restore Workout

“The following core exercises are some of my favorites because they can be done at the end of any workout, anywhere, and with no equipment. These moves focus on core stability and strength, which is important for everyday living, especially for busy mamas. These exercises can be done by anyone at any stage of their fitness journey.”

Brittany Styga, FIT4MOM

Photography by Rich Smith

V Sit-and-Rotate

Sit on the ground with your legs bent, heels touching the ground, and your toes pointed toward the sky. Shift your weight back so that you are balancing on your pubic bone, and roll your shoulders back and down your back. Keeping your gaze and chest lifted, extend one arm out in front of you and place the other on your knee. Rotate your body, moving your outstretched arm behind you, allowing your gaze to follow. For those wanting to focus on shoulder mobility and posture, you can also try raising your arm directly overhead. Repeat on the opposite side, and complete 8-10 reps per side.

Heel Taps

Lay on the ground with your hands under your pelvic bones. Lift both legs and flex your heels so that they are pointing toward the ceiling. Keeping your core and pelvic muscles tight, drop a heel toward the ground. Raise your leg to the starting point, and repeat on the other side. Complete 8-10 reps per leg.

Quadruped Hover

Come down to all fours with your hands beneath your shoulders and your fingers spread wide. Press through the fingertips, and curl your toes. Keeping your core tight, lift your knees off the floor about an inch, and hold for 2-3 seconds before lowering back to the starting position. Your weight should not shift, and you should feel a deep core tightening. Repeat for 8-10 reps.

Cross Body Knee Lift With Elbow Tap

Stand with your feet under your hips and your arms extended straight overhead. Lifting up through the pelvic floor and keeping your core tight, raise your knee and bring the opposite elbow to meet it. Repeat on each side for 8-10 reps.

Plie Squat and Lateral Flexion

From standing, take a large lateral step out so that your feet are wider than your hips. Place your hands behind your head, tighten your core, and drop into a plie squat. Lean to one side, dropping your elbow toward your toes. Squeeze into your heels as you bring yourself back up. Repeat on the opposite side, and complete 8-10 reps per side.

When a sudden stroke threatened to steal Laura Crow’s future with her family & students, she needed more than just the latest technology. Her family knew they had a choice, & Siskin Hospital not only had a state-of-the-art stroke program, but a reputation for compassion & care that equaled their specialized equipment. Laura wasn’t just a number to those who loved her, & she deserved a treatment team with the heart to see beyond her diagnosis to all that she was to so many... so they could get her back to making special memories at home & shaping the minds of tomorrow’s leaders in the classroom.

For your wife, mom (& teacher). Because she matters. You CAN .choose