HealthScope Magazine Late Summer 2022 by CityScope & HealthScope Magazines

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Meet Our Caregivers Love, Care, & Serving Others EYE HEALTH HOW SUN DAMAGE AFFECTS YOUR SIGHT

EATING ON THE RUN HEALTHY TIPS FOR BUSY PEOPLE

MINDFUL LIVING DEALING WITH PASSIVEAGGRESSIVE BEHAVIOR

GOING GRAY HOW TO EMBRACE GRAYS GRACEFULLY

WORDS OF WISDOM LOCALS SHARE CAREER ADVICE See page 74 for more on Cover Models Priyanka Patel, Vandana Patel, and Payal Patel!

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Publisher’s Letter

“Wellness is a connection of paths: knowledge and action.” – JOSHUA HOLTZ

Most of us know what we should be doing: eating well, exercising often, and prioritizing sleep, among other healthy habits. However, this knowledge alone isn’t enough – it takes action, often in the form of small changes, to achieve the level of wellness you desire. In this late summer issue of HealthScope® magazine, we provide expert-reviewed information that can act as a springboard for lasting, healthy change. Starting with our features, “Understanding Arthritis” gives an in-depth look into the different types of inflammation in the body. In “Eye Health: The Effects of Sun Damage,” we share why it’s important to keep your eyes safe from the sun’s UV rays. “Nutrition as We Age” covers common agerelated nutrition issues and solutions to ensure that your loved one is getting what they need. This issue also features the section “Meet Our Caregivers,” which shines a spotlight on the exceptional caregivers in our region who are using their talents to diligently serve their patients. Additionally, take time to read through our annual “Advancements in Medicine” section where we feature game-changing technologies and medical procedures that are providing improved outcomes.

There are many more topics inside for you to discover, including seasonal totes from local boutiques, healthy green bean recipes, and an at-home muscular endurance workout with Maegan George Mullinix Million. Our secPUBLISHER tions “Her Story,” “Inspired,” and “Balanced” continue to highlight women in our community who are making a difference – both with their words and their actions. Last but definitely not least, check out our interview with cover models Priyanka Patel, Payal Patel, and Vandana Patel. These three ladies may be sisters-in-law, but they’ve also become genuine friends. On page 74, they discuss their unwavering support system and the importance of family. We hope that you find this issue of HealthScope® magazine to be informative and uplifting and that it will inspire you and your family on your journey to greater health and wellness. Blessings always,

Celebrating 33 Years! HealthScopeMag.com Follow HealthScope® and CityScope® magazines and Choose Chattanooga® Chattanooga Resource & Relocation Guide® on Facebook and Instagram!

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Contents

Meet Our Caregivers

Love, Care, & Serving Others 22

Christine Dial

Ramona Davis

Macy Fleenor

Raymond C. Howard

Michelle Sutter

Lance Royal

Robbie Miles

Be Well 38

Understanding Arthritis What You Need to Know

Eye Health The Effects of Sun Damage

Nutrition as We Age Common Age-Related Nutrition Issues & Solutions

Stay Well Annual Advancements in Medicine Section

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Limb Amputation Prevention

Dental Impressions

Dental Crowns

Knee Replacement Surgery

Stroke Care

Hearing Aid Technology

Outpatient Care

Wisdom Teeth Removal

Contents

Look Well

Meet Our Models Priyanka Patel, Payal Patel, & Vandana Patel

Trendy Totes Seasonal Finds From Local Boutiques

Going Gray How to Embrace Your Gray Hair Gracefully

Don’t Sweat It Natural Deodorants You’ll Love

Her Story Motivating Stories From Local Women 80

Amy Boulware

Michalle Morris

Jess Haynes

Brittany Faith

Feel Well 85 Learning the Ropes Locals Offer Words of Wisdom 86 Dealing With PassiveAggressive Behavior How to Handle Conflict More Constructively

Inspired Women Celebrating Women 89

Alishea Hixson & Andrea Perry Lyons

Ashley Baldwin & Maria Matthews

Emilie Cole & Jill Allen

Balanced Local Women Share Restorative Practices

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Cassandra Tucker

Elizabeth Napolitano

Rhonda Black Smith

Contents HealthScopeMag.com Late Summer 2022 • Vol. 33 Issue 6

Publisher

George Mullinix

Sales & New Business Development

Cailey Mullinix Easterly

Sales & Business Development

Amanda Worley

Creative & Art Director

Emily Pérez Long

Sr. Graphic Design Multimedia

Lauren Robinson

Managing Editor

Christina Davenport

Editors

Rachel Coats Chelsea Risley Catherine Smith Mary Beth Wallace

Director of Digital Marketing

Ruth Kaiser

Marketing Assistant

Laci Lanier

Digital Marketing Assistant Madi Taylor

Live Well 98

Departments Health in a Minute

Meant to Bean Savory Green Bean

For the Whole Family

Recipes From Locals

For Her

Health & Wellness

102 Healthy Eating Tips for Busy People Eight Things You Can Do

Calendar

104 Maegan Million’s At-Home Muscular Endurance Workout A Guided Workout

Ask the Doctor

Staff Spotlight

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Meet Our Caregivers Love, Care, & Serving Others

ABOUT THE COVER

EATING ON THE RUN HEALTHY TIPS FOR BUSY PEOPLE

EYE HEALTH HOW SUN DAMAGE AFFECTS YOUR SIGHT

MINDFUL LIVING DEALING WITH PASSIVEAGGRESSIVE BEHAVIOR

GOING GRAY HOW TO EMBRACE GRAYS GRACEFULLY

WORDS OF WISDOM LOCALS SHARE CAREER ADVICE See page 74 for more on Cover Models Priyanka Patel, Vandana Patel, and Payal Patel!

ANNUAL

ADVANCEMENTS IN MEDICINE

Sisters-in-law Priyanka Patel, Vandana Patel, and Payal Patel grace our late summer cover. Their honesty, positivity, and unwavering support of one another is sure to inspire you!

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PHOTO BY RICH SMITH

Photographers Ryan Long Jimie Luangrath / Creative Revolver Emily Pérez Long Rich Smith Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Subscribe.” A one-year subscription for CityScope® or HealthScope® magazine costs $18. To receive advertising information, change your mailing address, or share your views on editorial: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Contact.” CityScope® and HealthScope® magazines and Choose Chattanooga ® – Chattanooga Resource & Relocation Guide ® (the magazines) are published by CMC Publications, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement. CityScope® magazine Copyright, CMC Publications, LLC, 1993 CityScope® magazine is a registered trademark owned by CMC Publications, LLC HealthScope® magazine Copyright, CMC Publications, LLC, 1989 HealthScope® magazine is a registered trademark owned by CMC Publications, LLC Choose Chattanooga® – Chattanooga Resource & Relocation Guide® Copyright, CMC Publications, LLC, 2011 Choose Chattanooga® and Chattanooga Resource & Relocation Guide® are registered trademarks owned by CMC Publications, LLC CityScope® magazine Southern Gentleman® is a registered trademark owned by CMC Publications, LLC.

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

Have You Heard? You may have been told that listening to audiobooks is somehow cheating when it comes to reading, or that physical books are better for your brain. However, science tells us that the same cognitive and emotional parts of your brain are stimulated whether you use your ears or your eyes. If that’s not enough to sell you on audiobooks, there are plenty of other benefits. Audiobooks offer a break for your eyes by giving you a chance to look away from screens, and can even help you sleep better by avoiding the negative effects of blue light right before bed. Multitasking by listening to a book while driving or doing other tasks makes you feel

more productive and in control of your life – and may make those dreaded chores more bearable. Listening to audiobooks can also help improve your mood by distracting you from negative thought patterns – sweeping you away to another world or a different experience. While there are many advantages of audiobooks for adults, there are even more benefits for kids and teens. Listening to audiobooks builds vocabulary, pronunciation, reading comprehension, and listening skills, which are crucial to success in school and in life. This is especially helpful for folks with dyslexia and other learning differences who may find reading physical books difficult and anxiety-inducing.

Household Cleanup Spring cleaning your whole house may only happen once a year, but there are plenty of household items you should be replacing more often. BEDROOM • Bed Sheets: Every 2 years • Bed Pillows: Every 2 years, but wash them every 6 months BATHROOM • Toothbrushes: Every 3 months • Bathmats: Every 2 years • Toilet Brushes: Every 6-12 months • Shower Curtain Liners: Every 3 months • Bath Towels: Every 2 years

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KITCHEN • Sponges: Monthly • Olive Oil: Every 2 years • Herbs/Spices: Yearly, or sooner if they’ve lost their aroma or taste • Product/Appliance Manuals: You can toss these immediately – most companies put them online, so no need to clutter your kitchen catch-all drawer • Water Pitcher Filters: Every 2 months or 40 gallons

chattanoogaallergyclinic.com | 423-899-0431

PLAY AT YOUR BEST

KEEP THE GAME GOING ALLERGY • ASTHMA • SINUS

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

Chattanooga • Lee Hwy • Hixson • Cleveland • Ft. Oglethorpe • Dalton • Dayton • Jasper • Ooltewah

Together we can step back and look at how you live. Allow me to use that knowledge to navigate you to the home that fits your lifestyle best. Whether you are looking for new construction, an existing home, downsizing, or listing your home, I’ll be your

REAL ESTATE PARTNER FOR LIFE. Experienced & Successful

A multimillion dollar real estate producer for more than 14 years, Paula has twice received her company’s Downtown Listing Agent of the Year Award and been voted Downtown Partner of the Year.

Real Estate, New Homes & Community Leader

Paula has served multiple terms on the Board of Directors of both the Greater Chattanooga Association of REALTORS® and the Multiple Listing Service. Paula is a multiple term member of the local Home Builders Association and has also been a member of its Executive Committee. She serves too on the Board of Directors of the Kidney Foundation of Greater Chattanooga.

Lifelong Clients & Happy Homeowners

Paula considers her greatest professional reward to be the hundreds of lifelong client relationships she has developed and welcomes the opportunity to become your real estate partner for life.

Call for a Home Valuation

www.PaulaPalmerHomes.com HealthScopeMag.com

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

Anxiety Relief Exercises

Those moments when anxiety and stress become a little too much can happen anywhere, anytime. Here are quick coping strategies that you can do in your car or at your desk whenever you’re feeling overwhelmed. BOX BREATHING

5 4 3 2 1 GROUNDING TECHNIQUE

1. Calm your mind and body in moments of stress by allowing more oxygen into your blood.

Pull yourself out of a spiral of worry and anxiety by focusing on your senses and surroundings. Look around your environment and notice:

2. Begin seated upright with feet flat on the floor. Slowly exhale, emptying your lungs completely. 3. Breathe in slowly through your nose for a count of four.

• 4 things you can feel breeze, seatbelt, desk

4. Hold your breath for a count of four.

• 3 things you can hear coworkers, wristwatch, music

5. Exhale through your mouth for a count of four, emptying your lungs. 6. Hold your breath for a count of four, then repeat the process until you feel calmed.

Community Pool Etiquette Who doesn’t love cooling off in your neighborhood pool? Make sure it’s an enjoyable experience for everyone by following these general etiquette rules. • You’re likely not the only ones at the pool, so be mindful of others to make sure everyone is having fun. Avoid disturbing others with too much splashing, shouting, or disruptive games – no one likes a beach ball to the face. Always clean up after yourself and keep snacks, crumbs, and spills out of the pool. • Not everyone shares your taste in Broadway musicals and disco, so keep the volume low or invest in some waterproof earbuds. • It seems unnecessary to say, but it still happens – so we’ll say it anyway. Make sure your toddlers are equipped for community pools by wearing swim diapers, and everyone should use the available restrooms to avoid health and sanitation issues. • If you or your kids have injuries or rashes, skip the pool! It’s all too easy to spread diseases, catch infections, and lose Band-Aids.

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• 5 things you can see steering wheel, keyboard, birds

• 2 things you can smell grass, soap, perfume • 1 thing you can taste gum, water, coffee

THE EXTRAORDINARY POWER OF TRUST

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

Discover Hixson’s Newest Premier Luxury Independent Living and Retirement Community

Call Frankie Parrott, Community Relations Manager today at (423) 777-8077 to schedule a personalized tour of our community and see what Everlan Excellence is all about. 2760 Northpoint Blvd. • Hixson, TN 37343 • www.everlanliving.com/hixson HealthScopeMag.com

Health & Wellness Calendar kids with pediatric cancer and their families. The Kickin’ It for Kids With Cancer game on August 20 will not only raise funds and awareness for pediatric cancer, but it will also provide families with a special and memorable evening of fun, food, and soccer. hatcherfoundation.org/ kickinit

21 Artful Yoga

All levels of yoga experience are welcome at this art-inspired yoga practice at the Hunter Museum of American Art from 1:30 until 3 p.m. Yoga instructor Kat Smith will lead the class. A $5 donation supports the museum’s educational programs. huntermuseum.org/events

August 13 Bingo for the Grove

This brand-new fundraiser for Chattanooga-based Orange Grove Center will be a fun night of bingo games, a silent auction, dinner, and entertainment by The Atlanta Allstars held at the Hunter Museum of American Art. Orange Grove Center serves over 1,200 adults and children each year with intellectual and developmental disabilities, and funds raised from this event will benefit OGC’s physical education, art, and music programs. bingoforthegrove.org

13 RMHC Run4Kids

In memory of Karen Lawrence, the Ronald McDonald House Charities of Greater Chattanooga will host its annual Run4Kids 5K Run and Walk at Chattanooga State Community College from 9 until 11:30 a.m.

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Run4Kids is a celebration of the many RMHC families that have stayed close to their sick children in the hospital, and the funds raised through this event help make that possible. rmhchattanooga.com/ events/rmhc-run4kids

20 StarNight

The 59th annual StarNight, Siskin Children Institute’s largest fundraising event, will be held at the Chattanooga Convention Center. This premier gala includes a cocktail reception, elegant dinner, concert performance from Grammynominated artist Jimmie Allen, and an afterparty with live band and dancing. All proceeds benefit the children and families served by the institute. siskin.org/starnight

20 Kickin’ It for Kids With Cancer

The Chattanooga Red Wolves are once again partnering with the Austin Hatcher Foundation to benefit

27 Big Hair Affair

Join the Chattanooga Kidney Foundation at The Walden Club to celebrate the organization’s founding and the first kidney transplant at Erlanger in 1989. Attendees are encouraged to dress in their favorite throwback outfit from the ‘80s or ‘90s; a totally rad night of dancing, food and drink, auctions, and trivia is in store beginning at 7:30 p.m. kidneyfoundation.com/big-hair-affair

September 17 No Show Ball Chattanooga

The No Show Ball is continuing its tradition as an event that comes to you! On September 17, a cooler bag filled with dinner for four will be dropped off at the front doors of participants across the city. Coolers can be purchased for yourself, for someone else as a gift, or for a

family in the hospital. All funds go directly toward the Forrest Spence Fund helping critically or chronically ill children and their families in the greater Chattanooga community. forrestspencefund.org/events

25 Little Debbie IRONMAN Chattanooga

McKee – A Family Bakery presents IRONMAN Chattanooga, which brings triathletes from all over the country to the Scenic City. Participants must tackle a 2.4-mile swim in the Tennessee River, 116 miles of biking into North Georgia, and a two-loop run through downtown Chattanooga, finishing at Ross’s Landing. Spectators are welcome and encouraged to cheer on the athletes on race day! ironman.com

30 Havana Nights – All in vs. Cancer

For the second year, this premier event for Real Men Wear Pink benefits the American Cancer Society. The Chattanoogan hotel is being transformed into a Havana casino and nightclub, complete with a poker tournament, live DJ and dancing, delicious hors d’oeuvres, craft cocktails, a live auction, and more, all taking place from 6 until 11 p.m. Tickets are on sale now and limited to 300 people. havananightschattanooga.com

October 1 2022 Chattanooga MORE THAN PINK Walk

The Susan G. Komen MORE THAN PINK Walk is happening in-person at

Hamilton Place on October 1. On-site registration opens at 7 a.m. the day of the walk, with opening ceremonies at 9 a.m. and the walk at 9:30 a.m. This powerful event not only raises funds to save lives, it also celebrates breast cancer survivors as well as honors those living with the disease and loved ones lost. komen.org/ chattanoogawalk

6 Friends of Special Children ABC Event

Friends of Special Children is again hosting its 17th annual event in support of the children at Signal Centers. Themed “Sprinkle the Children with Love,” the 2022 ABC Event will raise funds to install an automatic fire sprinkler throughout the main building of Signal Centers. Attendees can look forward to a delicious dinner by Choo Choo BBQ, craft beer by Five Wits Brewing Co., and a live and silent auction. Sue and Lee Culpepper are this year’s cochairs. Tickets and sponsorships are available. friendsofspecialchildren.org

8 Chattanooga Walk to End Alzheimer’s

Each year, the Chattanooga Walk to End Alzheimer’s raises critical funds to help find a cure for Alzheimer’s disease. This year’s walk will take place at AT&T Field; registration begins at 9 a.m., with the ceremony and walk to follow at 10 a.m. Each registered participant will receive a Promise Garden Flower to honor someone with Alzheimer’s or dementia, or to support the cause itself. act.alz.org/chattanooga

16 7 Bridges Marathon

Chattanooga’s oldest marathon is actually five races in one: the

7 Bridges Marathon, 4 Bridges Half Marathon, 4 Bridges 10K, 2 Bridges 5K, and a family Kiddie K. The marathon starts at Coolidge Park at 7 a.m. and will feature a live DJ, medals, event shirts, and more. This year’s event is happening in conjunction with the Chattanooga Veg Fest – a plantbased food festival – and the AVA’s Between the Bridges Art Festival. sevenbridgesmarathon.com

22 Celebration of Life and Hope This year will be the Austin Hatcher Foundation’s 15th annual Celebration of Life and Hope. The gala-style event is marked as a night full of family testimonies and is celebrated with live and silent auctions, live music from the Emerald Empire Band, photobooth fun, an open bar, and more to support families who have been impacted by pediatric cancer. Doors will open for VIP hour at 6:30 p.m., and general admission entry will begin at 7 p.m. at the foundation’s Education Advancement Center on Holtzclaw Avenue. hatcherfoundation.org/celebrate

22 Dare to Dance Save the date for Dare to Dance 2022! Based on popular television show Dancing With the Stars, this dazzling event pairs local celebrities with professional dancers for an unforgettable dance-off at the Chattanooga Convention Center. Tickets to the event also include dinner, drinks, and souvenirs. Dare to Dance is the largest annual fundraising event for the Chattanooga Kidney Foundation. kidneyfoundation.com/ dare-to-dance

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ASK THE DOCTOR

I’m dealing with acne scarring and unevenness in my skin tone. Are there any treatments that can help? I’d love to be able to go without makeup without feeling self-conscious.

The scarring and unevenness in skin tone resulting from acne can be just as frustrating and debilitating as acne itself. As a former acne sufferer and now as an acne specialist, I create a customized treatment plan with my patients to help them achieve their skin goals. Often, my patients come to me with complaints of scarring and unevenness in skin tone. There are many things I can do to combat this, but the most effective treatment for these issues is Opus Fractionated Plasma. Opus uses electrical plasma technology to create tiny channels in the skin that induce collagen and elastin production and stimulate the regeneration of underlying tissues. Opus is not only the ultimate anti-aging treatment, it also has high efficacy in resurfacing to help your skin look younger, smoother, and healthier. It is also ideal for tackling trickier issues like cystic acne, surgical scars, stretch marks, and loose skin on any area of the body, all with minimal downtime.

CORA LESAR

Licensed Aesthetician, Certified Dermatology Technician, & Certified Acne Specialist, Alchemy Medspa & Wellness Center alchemychattanooga.com

I’ve been considering veneers as a way to address some chipped teeth, but I’m worried they might look unnatural. Can they be customized to look like my natural smile?

Veneers are a great option for worn, chipped, discolored, or misaligned teeth. Each person has their KRISTEN CONNER, DDS

Dentist, Northpoint Dental Co. northpointdentalco.com

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own idea of what a beautiful smile is to them. The goal of cosmetic dentistry is to create a subtle smile enhancement that makes others think, ‘Wow! Something is different about you, but I’m not sure what.’ The initial consultation is extremely important to discuss concerns, questions, and goals. As dentists,

we will make recommendations on how to enhance your smile, but you, the patient, are the ultimate decision maker. The most important thing to remember is nothing permanent will be placed in anyone’s mouth without their glowing approval! Never let fear or hesitation be a barrier for achieving the smile you deserve.

My elderly father recently had a leg amputated below

the knee. Given his age, his doctors are unsure if he will be able to adjust to walking with a prosthetic, but my

AMJAD M. MUNIR, MD

Medical Director, Encompass Health Rehabilitation Hospital of Chattanooga encompasshealth.com

dad feels determined to regain as much mobility as he can. Are there any advanced treatments that can help him?

Once the surgery is completed, an inpatient rehabilitation hospital with an amputee program certified by The Joint Commission could help your father reach his goal of regaining as much mobility as he can. In this setting, we would address his overall strength and conditioning, continue managing the healing of the incision site, teach him techniques for safety with transfers and self-care, and

work on getting him standing on the intact limb – all in preparation for success with a prosthetic. He would also be provided with learning materials such as limb wrapping, positioning, fall prevention, and medical management to prevent further amputations, as well as a home exercise program. We would begin working with a prosthetist to determine the best prosthesis and start the process of fitting. Once he is healed and fitted, he could return to the hospital to learn how to function with the prosthesis to further increase his safety and independence in his daily life.

My teenage son dislocated his shoulder a few months ago, and he isn’t keeping up with the physical therapy exercises his doctor asked him to do. He doesn’t think this injury will affect him in the future, but I’m worried about him. How can I support him and make sure he continues to make progress?

Shoulder dislocation is a relatively common injury with contact athletes that can potentially lead to recurrent instability. It’s especially common in those under age 20 – with 90% of teens experiencing a recurrent dislocation, particularly if they return to contact sports. Physical therapy is a reasonable first line of treatment that can often provide relief with less traumatic dislocations, depending on the extent of initial damage. If an individual experiences ongoing symptoms or recurrent episodes of instability, it would be wise to consider obtaining an MRI scan to determine whether an arthroscopic stabilization might be needed. Neglecting an unstable shoulder can lead to worsening symptoms and bigger issues down the road that are simply harder to treat. I recommend anyone with a shoulder injury be seen by an orthopedic specialist for a physical exam and appropriate imaging to develop a comprehensive treatment plan that ensures proper and complete healing.

CHAD SMALLEY, MD

Arthroscopic Shoulder & Sports Medicine Specialist, Center for Sports Medicine & Orthopaedics sportmed.com

My allergies seem to be worse this season, and my normal medication isn’t helping like it used to. I’ve only tried over-the-counter treatments so far, but is there anything else I can do to relieve my symptoms?

With our recent high pollen and mold counts, it is no wonder that your allergy symptoms have been worse! Over-the-counter medication choices, such as antihistamines and nasal steroids, are effective, but may not be enough for allergy sufferers. In my office, we start with allergy skin testing to diagnose which specific allergens cause problems for the patient. This allows us to develop a personalized, threepronged approach to treatment: First, we optimize the medication regimen to include both prescription and over-the-counter medications that will work best for each individual patient. Next, we advise patients to implement avoidance measures to decrease allergen exposure; pollen, molds, pets, and dust mites are common targets for avoidance. Lastly, we initiate customized immunotherapy, commonly referred to as allergy shots. This allows patients to receive an all-natural treatment to harness the power of their own immune system to potentially cure their allergies.

TODD LEVIN, MD

Pediatric & Adult Allergy & Asthma Specialist, Chattanooga Allergy Clinic chattanoogaallergyclinic.com

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on your Gracie Award Win!

The Gracie Awards recognize exemplary programming created by women, for women and about women in all facets of media and entertainment. They also acknowledge the individuals who have made inspirational contributions to the industry. Named after the late Gracie Allen, the Gracie Awards acknowledge outstanding team leadership and individual achievement. The Gracies focus on women who are making positive change and who further the discussion of what a fulfilling career in media looks like.

Some other Gracie winners that you might know... Melissa McCarthy, Taylor Swift, Selena Gomez, Mindy Kaling, Amy Poehler, Martha Stewart, Wanda Sykes, Barbara Walters and Betty White.

Meet Our Caregivers

Love, Care, & Serving Others There is a lot to know about the loving and caring medical therapists, technicians, nurses, and other professional caregivers who have dedicated much of their lives to serving others recovering from injuries or illness. What follows are local professionals who are providing the utmost in quality care.

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Meet Our Caregivers

F I NDI NG ANS WERS

hristine Dial considers herself to be a natural helper, which influenced her career working in magnetic resonance imaging (MRI). “Anytime I lend a hand, my soul warms up,” she explains. However, her affinity for helping people isn’t the only thing that drew her to the profession – she also appreciates spending all day in an air-conditioned room. “I have to work in the cold! They never let the AC go off around a magnet, so it’s a win-win for me,” laughs Dial. She has held her current role for seven years now, and in that time, Dial has learned a thing or two about connecting with her patients. “For starters, a smile goes a long way,” she says. “And I’ve found that it helps to listen to each patient as an individual, not a number or a group.”

CHRISTINE DIAL ER L A N GER E A ST IM A GIN G

I spend my day encouraging patients to finish their MRIs so that they may find the answers they need from their doctors. I usually drum up small talk while I am starting IVs and getting people comfortable for their exams to help keep the day interesting.

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What do you love most about your profession?

The variety! I have variety in the exam types, the kinds of patients, and their stories … The combination of it all makes it where, even if I’ve scanned a million brains, I’m still using my brain to make it all work.

What is your best advice for patients?

When you have to have an MRI done, just remember it doesn’t last all day, and it will be worth it in the end.

4 5

I hope that my work helps my patients’ lives be a little smoother and less painful.”

What does your day-to-day look like?

What would you consider to be your main strengths? Compassion, kindness, and positivity.

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

Patients are people … and these people are a part of my area and my community. I do my best to balance the fact that I have to be efficient for the business to work, but the person also needs someone to take care of them.

SPECIAL PROMOTIONAL SECTION

ABOUT CHRISTINE

MY CREDENTIALS Associate Degree: Chattanooga State Community College – Chattanooga, TN Certifications: MRI Certificate CT Certificate

M Y S P E C I A LT I E S MRI

CONNECT 423.680.8970 Erlanger East Imaging 1751 Gunbarrel Road, Suite G100 Chattanooga, TN 37421 erlanger.org

Meet Our Caregivers

AT T E NDI NG TO NEEDS B IG & S MAL L

registered nurse for 32 years, Ramona Davis joined Hospice of Chattanooga as a hospice case manager four years ago. “As a hospice case manager, I went home to home showing families how to care for their loved ones, teaching them what to expect as their illness progressed, and taking care of needs great and small,” Davis shares. “I spent a lot of time laughing and holding hands, and I spent some time weeping and hugging, too.” In 2021, Davis transitioned to a new role as a clinical manager, where she gets to share her expertise with the newest nurses on staff. “My goal every day is to help my staff do their jobs to the best of their ability,” she says. “I aim to be a mentor, a teacher, and a support. And we STILL laugh a lot and cry some!”

R AMONA DAVIS HOSPICE OF CH AT TA N O O G A

What do you love most about your profession?

What is one of your happiest professional moments?

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

What would you consider to be your main strengths?

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

I love to help another person feel confident in their role, whether it be a son or daughter caring for a dying parent or a new nurse just learning the ropes.

I cared for a very intelligent, very successful gentleman for about two years – he just also happened to be as mean as a snake. I loved him so much. As he neared the end of his life, he said to me one day, “I’m glad you are here. I feel safe when you are here.” That affirmed to me that I am in the right place doing the right job.

Smile. Make eye contact. Find out a person’s name. Make him or her feel like the most important person in the room.

I am very determined and practical. I am a problem solver. And I have a really tacky sense of humor!

Being a nurse has been a perfect fit for me and an excellent career.”

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To help a person finish their race with comfort and dignity is a role that I passionately embrace.

SPECIAL PROMOTIONAL SECTION

ABOUT R AMONA

MY CREDENTIALS BSN Degree: Georgia Baptist College of Nursing – Atlanta, GA

M Y S P E C I A LT I E S Med-Surg Home Care Geriatrics

CONNECT 423.892.1533 Hospice of Chattanooga 2030 Hamilton Place Boulevard, Suite 220 Chattanooga, TN 37421 hospiceof chattanooga.org

Meet Our Caregivers

EA RNI NG HE R PATI ENTS ’ T RU ST

acy Fleenor always knew she wanted to be in the medical field, but when her mother was diagnosed with early-stage breast cancer several years ago, that’s when she became passionate about breast health. “I had already graduated, and I was working as a diagnostic medical sonographer at the time,” Fleenor explains. “When the position opened to move to the breast center full-time, I jumped at the opportunity, and it’s one of the best decisions I have ever made.” Fleenor has been with Erlanger for almost four years now, and she recently accepted the role of Breast Center Team Leader in June of 2022. “It is a privilege to serve our community,” she says. “I look forward to many more years of providing excellent breast imaging to our patients.”

MACY FLEENOR,

RT(R)(M)(ARRT), ARDMS ER L A N GER CEN TER FOR BR E A ST HE A LTH

What do you love most about your profession?

What is one of your happiest professional moments?

What is your best advice for patients?

What would you consider to be your main strengths?

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

I love the human aspect of the work – being a part of each patient’s journey, whether that consists of delivering good news or challenging news, negative or positive results. It’s an honor to walk alongside each patient and earn their trust.

Any time I can give a patient good news is a happy moment for both myself and the patient. It brings me so much joy to be able to give our patients peace of mind and relieve their anxiety.

Without a doubt, my best advice is to have your screening mammogram, typically beginning at age 40, every single year. Having a mammogram every year allows our radiologists to detect subtle changes, which can aid in early detection.

Problem solving. This profession is constantly changing, and with change comes new problems. It’s important to address these problems head on to continue to provide the best care possible.

My days, while busy, are exceedingly rewarding. I work alongside an amazing team that strives to provide the best care possible.”

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I look at each patient as if they were my mother, my sister, my cousin, or even myself. I always ask how I would want my family or myself to be treated. It is my number one priority that each patient leaves our facility feeling confident in the care they received.

SPECIAL PROMOTIONAL SECTION

ABOUT MACY

MY CREDENTIALS Associate Degrees: Jackson State Community College – Jackson, TN West Kentucky Community and Technical College – Paducah, KY Certifications: Mammography, ARRT

M Y S P E C I A LT I E S Breast Ultrasound Diagnostic Breast Imaging

CONNECT 423.778.7465 Erlanger Center for Breast Health Erlanger East Hospital, Building C 1635 Gunbarrel Road, Suite 200 Chattanooga, TN 37421 erlanger.org

Meet Our Caregivers

S HOWI NG G E NUI NE C ONCERN

ddressing some of the most sensitive urological and sexual health issues, from testicular pain and erectile dysfunction to enlarged prostate and urinary issues, Raymond Howard always strives to provide the highest level of care to his patients. “Each patient is unique and requires an individualized approach to their care,” Howard shares. “It is my responsibility to know and understand my patient in order to provide the high-quality care they deserve. A positive partnership between the provider and patient leads to improved healthcare outcomes.” His desire to care for other people is part of what influenced Howard to pursue a career as a nurse practitioner. “I wanted to be in a position where I could help and care for people while empowering them to care for themselves. As a provider, you are in a unique position to do just that,” he says.

R AYMOND C. HOWARD, MSN, APRN, NP-C

ER L A N GER UR OLO G Y

I have been a family nurse practitioner for 19 years in the areas of family practice, urgent care, and urology. I have specialized in urology for the last three years.

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What do you love most about your profession?

My practice focuses on urologic and sexual health issues specific to the male patient. These sensitive issues are often difficult to discuss and can have a profound effect on a patient’s quality of life. I am pleased to help men openly talk about these issues, and I pride myself on providing the highest level of care to address these concerns.

What is your best advice for patients?

Be open and honest with your healthcare provider. Don’t be apprehensive to discuss any concerns or issues you are having.

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

Always conveying to your patients that you are listening to them and having genuine concern for their health and well-being.

5 Knowing I make a positive difference in a patient’s life with each patient encounter is very rewarding.”

How long have you been in your current role?

What would you consider to be your main strengths?

I always listen to my patients, so I understand what has brought them to the point they are seeing me for care. I am able to empathize with the patient by always reflecting on what I would be feeling if I were in their shoes. This allows me to understand my patient and build a trusting professional relationship with them.

SPECIAL PROMOTIONAL SECTION

ABOUT R AYMOND MY CREDENTIALS Master’s Degree: University of Tennessee at Chattanooga – Chattanooga, TN Certifications: Certified Family Nurse Practitioner, American Association of Nurse Practitioners Recognitions: Member, American Association of Nurses Practitioners Member, American Urological Association Member, Sexual Medicine Society of North America Member, American Nurses Association Member, Tennessee Nurses Association Member, Chattanooga Area Nurses in Advanced Practice

M Y S P E C I A LT I E S Urology – Men’s Urologic & Sexual Health

CONNECT 423.778.5910 Erlanger Urology 979 East 3rd Street, Suite C-925 Chattanooga, TN 37403 1755 Gunbarrel Road, Suite 209 Chattanooga, TN 37421 erlanger.org/urology

Meet Our Caregivers

MICHELLE SUTTER

F I NDI NG HER CA L L ING

ichelle Sutter has always had a passion for service, although her professional career hasn’t consistently reflected that. Sutter’s work history includes over a decade in a corporate environment as a coach, recruiter, and human resources officer, and she has also founded and operated several small businesses. Sutter found her way to the healthcare sector three years ago, and just this year, she was named executive director of The Lantern at Morning Pointe Alzheimer’s Center of Excellence, Chattanooga. “Although I found my calling at The Lantern late in life, I feel like all my experiences have prepared me for my current role, which is the most fulfilling and demanding role I have held in my career,” she shares. “I could not imagine a better way to serve, and my heart is full every day when I make time to spend with each resident that calls our community home.”

THE L A N TER N AT MOR NIN G P OIN TE CH AT TA N O O G A

What do you love most about your profession? Spending time with the residents. When you are

with someone who has Alzheimer’s or dementia, it forces you to meet them where they are. I feel like God uses these experiences to teach and stretch me, and I am humbled daily when I am with them.

What is your best advice for family members? Be gracious with yourself. Although there is a ton

of material out there on how to care for a loved one with this disease, each person is affected differently, and it is impossible to “know” how to navigate moment to moment.

What’s the key to making a great first impression? Be honest. Be kind. And be You.

What would you consider to be your main strengths? Patience. And I am a great listener. Which is a must

when dealing with this disease, as many times what they don’t “say” is everything.

It’s the people I care for, the families that become my own, and the passion to find a cure that drives my pursuit and defines my purpose.” 30

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What is your philosophy when it comes to the care for your patients? Above all, ensure that each resident feels safe and

cared for. SPECIAL PROMOTIONAL SECTION

ABOUT MICHELLE

MY CREDENTIALS Associate Degree: Middle Tennessee State University – Murfreesboro, TN Certifications: Pharmacy Technician Medical Technician CORE Certified, The Florida Agency For Health Care Administration Assisted Living Administrator, State of Tennessee and State of Florida

M Y S P E C I A LT I E S Assisted Living Administration

CONNECT 423.551.4190 The Lantern at Morning Pointe Chattanooga 7620 Shallowford Road Chattanooga, TN 37421 morningpointe.com

Meet Our Caregivers

MA K ING A PO SI TI VE I M PACT

typical workday for Lance Royal, an interventional radiologic technologist, starts with reviewing and assessing the day’s “worklist” of all ordered and scheduled procedures. “After answering emails and checking in with each rad tech on shift, I then look for ways to help the department function more efficiently,” he shares. Royal’s team routinely competes 15 to 20 procedures daily. He adds, “With our high patient volume, there are always many different ways that I can make a difference – whether that looks like taking phone calls and completing paperwork or preparing images for review. I try to do everything I can to ensure the day keeps moving and our patients are cared for safely and in a timely manner.”

LANCE ROYAL, RT(R) ER L A N GER B A R ONE S S HOSPITA L

What do you love most about your profession?

I enjoy being directly involved in procedural care, the variety of exams performed, and seeing patients improve clinically as a result of an interventional radiology procedure.

What is one of your happiest professional moments?

Coming in on call in the middle of the night for a stroke intervention of a 29-year-old female who had recently given birth. Upon arrival to the IR suite, she was unable to speak or move the right side of her body. We retrieved the clot that was causing her stroke in under 10 minutes, and the patient made a full recovery.

What is your best advice for patients?

To be aware that we are doing everything that we can to safely care for you in the most timely manner possible.

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

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

I make sure I listen to the other person, not talk over them. I try to come across as genuine and relatable and make the other person feel comfortable and heard.

I have witnessed countless patients leave our department with positive improvements despite grim prognoses they faced before arriving.”

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I believe that all patients deserve my attention and respect. I try to treat all my patients as if they are a family member. I try to keep in mind how I would expect other healthcare professionals to treat one of my loved ones.

SPECIAL PROMOTIONAL SECTION

ABOUT LANCE

MY CREDENTIALS Associate Degree: Dalton State College – Dalton, GA Certifications: American Registry of Radiologic Technologists (ARRT)

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

CONNECT 423.778.7000 Erlanger Baroness Hospital 975 East 3rd Street Chattanooga, TN 37403 erlanger.org

Meet Our Caregivers

BU I L DI NG RE L ATIONS H I PS & ST R ENG TH

s a physical therapist, Robbie Miles interacts with his patients on a daily basis. “I see patients with various injuries and ailments,” he explains. “Some patients are post-surgical such as ACL repairs, rotator cuffs, and back surgeries. Others have been injured or have pain that is making it difficult for them to perform what they need or want to do effectively. I take the information that the medical professional gives me, the information the patient gives me, and then I use my training and experience to help the patient improve.” Miles believes his profession gives him a platform to be able to help people through the relationships he makes with them. “I have seen lots of things change over the past 24 years, but the one staple that holds true is the ability to care and serve,” he says. “It isn’t always easy, but it is always worth it.”

I love giving my patients hope that their life is going to improve.”

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ROBBIE MILES, PT, ATC ER L A N GER O U TPATIEN T PH Y SIC A L THER A P Y

How long have you been in your current role?

I have been a physical therapist for 24 years and an athletic trainer for 19 years. I have been in my current role at Erlanger for a little over a year.

What do you love most about your profession?

I love interacting with patients and not only helping them feel better physically, but mentally as well. I get to joke with them and learn about their kids, their hobbies, and their interests while they also learn about me. It is an awesome privilege to be able to show someone that you care and want to help while also becoming part of each other’s lives.

What is your best advice for patients?

It sounds cliché, but just don’t give up. Keep moving. Keep trying. Keep striving for a goal.

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

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

A smile, a kind word, making someone laugh, and showing them that you care and want to listen to them. At that point, let your knowledge and skill set take over.

I educate the patient on what they need to address and how they can achieve success – that way, they will invest in their care. If the patient and the therapist are both invested, then great outcomes are possible.

SPECIAL PROMOTIONAL SECTION

ABOUT ROBBIE

MY CREDENTIALS Bachelor of Science Degree: The University of Tennessee Health Science Center – Memphis, TN Certifications: Athletic Trainer Certification Sports Clinical Specialist (retired) Kinesio Tape Certification Dry Needling Certified

M Y S P E C I A LT I E S Orthopedics Sports Medicine

CONNECT Erlanger Sports and Health Institute 1100 East 3rd Street, Suite G-103 Chattanooga, TN 37403 423.778.2930 Erlanger Orthopaedics 1809 Gunbarrel Road Chattanooga, TN 37421 423.648.0698 Additional Locations: erlanger.org/pt

STAFF SPOTLIGHT

CHI MEMORIAL MEDICAL GROUP

CEMPA COMMUNITY CARE

Julie Horton, NP-C

Mary Still, PA-C

Nurse practitioner Julie Horton has joined CHI Memorial Family Practice Associates – Northgate. Horton earned her bachelor of science in nursing from East Tennessee State University and her master of science in nursing from Samford University in Birmingham.

SISKIN HOSPITAL

SISKIN HOSPITAL Jody Nix

Aaron Spinks

Jody Nix has been named the vice president of human resources and the chief administrative officer for Siskin Hospital. Nix has spent the last two years as administrative director and chief human resources officer at Siskin.

Aaron Spinks has been named the chief operating officer of Siskin Hospital. Spinks has been with Siskin since March of 2021; he also has experience serving in the United States Army and as an executive director with Life Care Centers.

ERLANGER HEALTH SYSTEM Katie Duffy, PharmD, MBA

Katie Duffy has been promoted to vice president of operations for Erlanger Health System. Duffy, who has been part of the Erlanger team for over 15 years, previously served as system senior director of pharmacy.

PARKRIDGE HEALTH SYSTEM Amy Whipple, MSN, RN, PMH-BC, NE-BC, CNO

Amy Whipple was recently named interim COO of Parkridge Valley behavioral health facilities. Whipple has over 25 years of clinical and managerial experience in behavioral health services, and since joining Parkridge Valley, she has led numerous initiatives.

Mary Still has joined the team at Cempa Community Care as a physician assistant. A native of Cleveland, Still earned her undergraduate degree in dietetics, and she has also undergone specialty training related to dermatology.

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ERLANGER HEALTH SYSTEM Tyler Winks, MBA, R.T. (R)(CT)(MR)(ARRT)

Tyler Winks has been promoted to chief executive officer of Erlanger East and North Hospitals. Winks has over 11 years of clinical and hospital operations leadership experience. He joined Erlanger in July 2021 as vice president of operations.

AUSTIN HATCHER FOUNDATION Anna Fung

Anna Fung is the Austin Hatcher Foundation’s newest occupational therapist. Fung has spent the past five years practicing occupational therapy in a school-based setting. She will help her new patients with adaptations, muscle strengthening, and sensory and compensatory strategies intervention.

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

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s iti

e d

i ng A d n a t rt rs

BY CHELSEA RISLEY & CATHERINE SMITH

rthritis is very common in the United States, with 1 in 4 adults diagnosed with arthritis and 1 in 10 adults limiting their activities because of it. Though it is incredibly common, the symptoms of arthritis vary significantly from case to case, and this condition is surprisingly misunderstood. Here, we spoke with experts Dr. Elizabeth Simpson, Dr. Natalie Braggs, and Dr. Kyle Binkley to learn more about the different types of arthritis, how they are diagnosed, and what treatments are available to help.

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What Is Arthritis? Arthritis is characterized by inflammation of the joints, but there are over 100 different types of arthritis that can affect the joints and surrounding tissues. Arthritis falls into two main categories: degenerative, which includes osteoarthritis, and inflammatory, which includes rheumatoid arthritis and gout. Treatments for these different types can be similar, but they all affect the joints in different ways. NON-INFLAMMATORY ARTHRITIS Non-inflammatory, or degenerative arthritis, also known as osteoarthritis (OA), is the most common type of arthritis. “Osteoarthritis tends to affect people as they age,” says Dr. Braggs, a physician with CHI Memorial Rheumatology and Arthritis Associates. “There are multiple risk factors, with lifestyle being the biggest one. Genetics also plays a part, and repetitive work may also predispose someone to development of arthritis.” Over the years, the cartilage that lines the ends of bones and cushions the joints wears down, creating increased friction and grinding in the joints. This wear and tear can also deteriorate the tissue that attaches muscle to bone and holds the joint together. Osteoarthritis can affect any joint, but most commonly affects the hands, knees, hips, and spine. Most kinds of arthritis are characterized by pain, stiffness, swelling, and loss of flexibility, but OA can also lead to bone spurs that develop around the joint. INFLAMMATORY ARTHRITIS The most common type of inflammatory arthritis, rheumatoid arthritis (RA), is an autoimmune disease, meaning that the body’s immune system attacks the lining of the joint and creates inflammation, which can eventually destroy the cartilage and bone. RA typically affects the smaller joints first – fingers and toes – then spreads to larger joints, and it is often experienced in flares and periods of remission. This inflammation can affect more than just joints, however. “Inflammatory arthritis types, such as rheumatoid arthritis, are associated with elevated risk of heart disease and even certain malignancies,” Dr. Braggs explains. Around 40% of people with RA also experience symptoms in other parts of the body, such as the heart, skin, eyes, and lungs. Beyond the painful swelling, people with RA may experience general fatigue, fever, and loss of appetite.

NATALIE BRAGGS, MD Physician, CHI Memorial Rheumatology and Arthritis Associates

ELIZABETH SIMPSON, DO Physician, Arthritis Associates

KYLE BINKLEY, PT, DPT Physical Therapist, Siskin Hospital for Physical Rehabilitation

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Diagnosis and Treatment There are over 100 different types of arthritis that present a wide array of symptoms, many of which fly under the radar as patients write them off as normal aches and pains of aging. This can make diagnosis a bit tricky. According to Dr. Simpson, a physician with Arthritis Asociates, the first step is to determine if a patient is suffering from inflammatory or non-inflammatory arthritis. “We make that determination partly based on the patient’s history. Something that is more sudden onset – ‘I was fine yesterday and now I’m not’ – is more likely to be inflammatory,” she explains. “Inflammatory arthritis tends to cause the joints to swell, and that swelling will typically occur alongside other constitutional symptoms such as fever, fatigue, and weight loss in a case of inflammatory arthritis. From there, autoimmune testing can help determine if we are dealing with something that is systemic in nature or something that is primarily affecting the joint itself.” Treatment for non-inflammatory arthritis is typically centered on maintaining mobility and reducing pain, and includes nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids to reduce inflammation and pain. In severe cases, surgery for joint repair, replacement, or fusion may be required. According to Dr. Braggs, there is currently no medication that can reverse the effects of osteoarthritis or stop the condition from worsening, so it is important to focus on prevention. “There are multiple risk factors for developing arthritis, with lifestyle being the biggest one,” she says. “Controlling weight and aiming to keep your BMI under 25, following a healthy, antiinflammatory diet, and regular movement can help.” For inflammatory arthritis, additional treatments address the underlying,

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systemic medical issues that cause joints to be inflamed. There are disease-modifying antirheumatic drugs (DMARDs) that slow the progression of RA, but it is not reversible. According to Dr. Simpson, “Treatment depends on severity of the disease and how many systems are involved in addition to the joints. We also consider other medical problems they may have, which may require us to be more cautious with certain types of medications or using medications to lower the immune system.” Patients with inflammatory arthritis should be in routine contact with their physicians to monitor bloodwork and keep tabs on any new or worsening symptoms that may evolve.

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The Benefits of Physical Therapy for Arthritis According to Dr. Binkley, a physical therapist with Siskin Hospital for Physical Rehabilitation, physical and occupational therapy can also help alleviate the symptoms of arthritis and make it easier for patients to be more active. “Arthritis can be a normal part of our aging process, but if we do not continue to be active, it can get more and more painful. As we are less active, our joints can stiffen up, which can lead to more pain, which in turn can lead to more inactivity; it can be a vicious cycle,” he explains. Staying active with low-impact activities such as walking, biking, aerobics, or weight training is a good way to prevent symptoms from worsening. Dr. Binkley suggests pool-based therapy as well. “Aquatic therapy is a great alternative for those who are dealing with difficulties exercising or walking on land, as it allows them to be in an unweighted environment while still getting the benefit of exercise,” he explains. Physical therapy can help patients with arthritis regain mobility so they can get back to enjoying daily activities with less pain and more freedom. “We discuss the goals that our patients would like to accomplish, whether they want to play on the ground with grandchildren, climb the stairs without pain, or get back to a fitness program they enjoyed in the past,” Dr. Binkley says. “We also look at activity modifications that will allow our patients to be functional at home, like using a stool to sit on versus kneeling on their knees to work in their garden, or adapting a fitness program to fit their pain level.” As with many conditions, the sooner you seek treatment for arthritis, the better. It is always a good idea to contact your doctor any time new symptoms show up rather than waiting until they become unbearable. “The earlier we can start physical therapy, the better the outcome. Unfortunately, we typically don’t see patients until they are struggling due to severe amounts of pain,” Dr. Binkley says. “I would encourage patients to reach out to a primary care provider, family doctor, or orthopedic doctor and ask for a referral to physical therapy when they start to feel stiffness, aching, and pains that appear to be limiting mobility and decreasing their ability to participate in activities that they enjoy.”

ith any kind of arthritis, it’s crucial to educate yourself on the ins and outs of your disease and your own body so you can be in-tune enough to recognize your symptoms and triggers. Another key to living with arthritis is taking care of your emotional health, not just your physical health. Depression is common in people with arthritis, and studies have shown that treating it with antidepressants can also help reduce arthritis pain, in addition to making life easier in a multitude of other ways.

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Eye Health

The Effects of Sun Damage

BY CH Y ELSEA RISLE

unscreen isn’t the only tool you need to protect against the sun – sunglasses are the key to preventing damage to your eyes. If you’re often outdoors and enjoy hiking, swimming, or skiing, or if you use a tanning bed, you’re exposed to ultraviolet (UV) rays. Here, we’ve consulted with ophthalmologists to find out more about how UV rays affect the eyes and how to mitigate damage and keep the eyes healthy.

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Looking directly at the sun during an eclipse isn’t the only way you can injure your eyes, though doing so can cause permanent vision loss. UV rays also reflect off of water or snow, sand, or cement – even if it’s an overcast day. “UV light is damaging to almost all structures of the eye including the eyelids, cornea, lens, and retina,” says Dr. Elizabeth Mabry, an ophthalmologist at Mabry Eye Center. The damage can range from temporary discomfort to permanent injury. According to Dr. Paula Nicola, an ophthalmologist with Eye Care Chattanooga, “Chronic, long-term exposure increases your risk of developing cataracts as well as eye cancers. These risks increase with age, as a lifetime of exposure has a cumulative effect.”

Photokeratitis

Photokeratitis is the most common form of damage due to UV exposure – a temporary condition similar to a sunburn for the cornea (the clear part of the eye in front of the pupil) and conjunctiva (tissue covering the whites of the eye and the inside of the eyelid). Symptoms typically last beELIZABETH MABRY, MD tween six and 24 hours and usually disappear after 48 hours. The longer the eyes were exposed to UV rays, the Ophthalmologist, Mabry Eye Center more severe the symptoms may be. Photokeratitis can cause pain, redness, or a gritty sensation in the eyes. Other symptoms include teary eyes, twitching eyelids, blurry vision, swelling, light sensitivity, and headaches. Act immediately if you experience any symptoms PAULA NICOLA, MD Ophthalmologist, – head indoors and darken the room, remove contact Eye Care lenses, and don’t rub or touch your eyes. Place a cold Chattanooga washcloth over closed eyes or use eye drops to relieve discomfort. You can also take a nonsteroidal antiinflammatory like ibuprofen. If symptoms last longer than a couple of days, visit your ophthalmologist to determine whether there’s more severe damage.

Macular Degeneration

Chronic exposure to UV light ages the structures of the eyes and “may accelerate cataract formation in the lens of the eye,” explains Dr. Mabry. “It’s one of many factors that increase the risk of vision loss from age-related macular degeneration.” Macular degeneration happens when there are changes to the macula, a part of the retina on the inside back layer of the eye, which causes a gradual loss of central vision. That can occur in a dry (atrophic) or wet (exudative) form, though the dry form is more common. The symptoms of macular degeneration are subtle and can be difficult to detect, but they include blurry vision, straight lines appearing wavy, shapes appearing distorted, and a dark or empty area in the center of your vision. There are several risk factors, including age, heredity, smoking, and UV light exposure. Unfortunately, there’s no treatment for dry macular degeneration, and though central vision loss can be severe, peripheral vision is typically unaffected. This means that it may be difficult to read or drive, but it’s still possible to move around easily and develop new ways of accomplishing daily activities.

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Skin Cancer & Ocular Melanoma It’s easy to forget the skin around the eye when talking about sun damage. Dr. Mabry explains, “The eyelid skin is the thinnest skin of the body. Exposure to UV light leads to wrinkles, sagging, and increased pigmentation.” UV light is also associated with some skin cancers including basal cell carcinomas, cutaneous melanoma, and squamous cell carcinomas, which can occur on the cornea and inside of the eye – not just the skin. Ocular melanoma is a rare eye cancer diagnosed in about 2,500 people in the United States each year. Though it’s not clear why ocular melanoma develops, it can be caused, in part, by UV exposure. Ocular melanoma develops in the cells that produce pigment when they mutate, multiply, and collect in or on the eye. Eyes have three layers, and ocular melanoma most commonly occurs in the uvea (the middle layer). Depending on the

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size and location of the melanoma, chemotherapy eye drops, radiation therapy, or surgery may be the next steps. Risk factors for ocular melanoma include “light-colored eyes, fair skin, and an inability to tan or skin that sunburns easily,” says Dr. Mabry. It can be difficult to detect because it is not visible in the mirror and doesn’t cause early symptoms, which is why it’s so important to have regular appointments with your eye doctor. “The majority of the time, ocular melanoma occurs sporadically,” says Dr. Nicola. “If you have been diagnosed with a freckle (known as a choroidal nevus) in the retina, you have an increased chance of developing ocular melanoma and need to be checked periodically – just as you would for unusual freckles on your skin.” Additionally, as with most cancers, the risk of ocular melanoma increases with age.

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Prevention The good news is that prevention of these issues is relatively easy – protect your eyes with sunglasses! Look for sunglasses or snow goggles that block up to 99% of UV rays, and consider wrap-around glasses with side panels and a wide-brimmed hat or visor to block as much UV light as possible. Don’t forget sunglasses for the kids; their eyes are especially sensitive. Because exposure accumulates over time to increase risk, Dr. Nicola recommends getting in the habit of protecting your eyes early. She advises, “Wear eye protection in the form of UV-blocking sunglasses. It is most important to start wearing the appropriate sunglasses in childhood and continue throughout your lifetime.” Blue, green, and hazel eyes are more susceptible to damage, and UV exposure to light irises may increase the risk of rare eye cancers. There are also some medications that can increase sunlight sensitivity, including some antibiotics, certain birth control, and estrogen pills. Tanning beds can produce UV levels nearly 100 times as much as you would normally get from the sun, so consider limiting your time tanning. According to Dr. Mabry, you should also “limit outdoor activities between 10 a.m. and 4 p.m. when sunlight is most intense.” Dr. Mabry shares, “While some eye disease can be detected by the patient, some diseases, especially in their early stages, can only be detected with an eye examination.” There are no specific tests for UV-related eye damage, but a comprehensive eye exam will expose most eye disease. “People often confuse the part of the eye examination to determine a glass prescription as the ‘eye’ exam,” Dr. Mabry reveals. “However, the glass prescription would not uncover any eye disease. An eye exam normally includes recording the visual acuity in each eye as well as the intraocular pressure. The slit lamp, which magnifies images, is used to examine the structures of the eye in great detail. When the pupil is dilated, a special lens is used to examine the retina.”

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njoy the sunshine, but don’t forget your sunglasses – or regular visits to an eye care specialist to keep up with your eye health and catch any issues quickly.

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Nutrition as We Age BY CHELSEA RISLEY

A healthy diet is always important, whether you’re three, 43, or 73, but especially as you age and your body’s needs change. Good nutrition can help prevent certain diseases – many of which older adults are at a greater risk of developing. Studies have also shown that a

PATRICK WORTMAN

healthy diet can extend one’s lifespan by several

Registered Dietitian & Personal Trainer, CHI Memorial Integrative Medicine Associates

years. However, aging makes it increasingly challenging to consume and absorb the nutrients your body needs. Here, we consulted with dietitians to learn more about common

MELANIE MOYERS, MS, RDN, LDN Registered DietitianNutritionist, Morning Pointe Senior Living

age-related nutrition issues and solutions.

Older adults may need fewer calories than a younger adult because of differences in activity, metabolism, and other physical changes of age, but they still need similar nutrients to maintain a healthy body. Good nutrition can also help prevent chronic diseases like heart and kidney disease, high blood pressure, diabetes, high cholesterol, and other illnesses resulting from the physical effects of age, like osteoporosis. According to Melanie Moyers, a consultant dietitian for Morning Pointe Senior Living, diet can even decrease a person’s risk of Alzheimer’s. “We’ve always heard a healthy diet is important to prevent chronic disease, with phrases like ‘an apple a day will keep the doctor away,’ and research findings have emerged to back it up. If you want to try to prevent Alzheimer’s disease, or other chronic diseases, reviewing and making changes to your diet is an important first step,” she says. Some of the most common problems older adults face include muscle mass loss, hydration and appetite issues, and medication interactions that affect the body’s ability to absorb nutrients.

Muscle Mass

“Digestion generally becomes less efficient as we age, which impacts digestion and absorption of protein, vitamin B12, calcium, and iron. Protein is of particular concern because aging also contributes to a loss of muscle mass ranging from 10-30% per decade, and adequate protein intake is crucial to help maintain muscle mass,” says Patrick Wortman, a registered dietitian and personal trainer with CHI Memo-

rial Integrative Medicine Associates. There are many high-protein foods beyond meat and poultry, such as eggs, beans, lentils, and soy alternatives, to consider for a varied diet that helps maintain muscle mass. “Protein powder or ready-to-drink liquid supplements can be very helpful to boost calories and protein as well,” adds Wortman.

Hydration

Water is essential for almost every function of the body, from keeping joints moving to pumping blood through your body. Unfortunately, with age comes a loss of the sensation of thirst, so it can be difficult to stay hydrated, especially when combined with weakened bladder muscles that raise the risk of incontinence and more frequent bathroom visits. Wortman explains, “The kidneys also work less effectively as we get older. These two issues combined often increase the risk of dehydration, which can be worsened by medications for blood pressure or other conditions.” Dehydration leads to urinary tract infections, heat stroke, and heart and kidney problems, and it inhibits your body’s ability to fight infections. It also causes fatigue, weakness, and dizziness, which increases the risk of falls and injuries. The obvious solution to this problem is to drink water – even when you don’t notice you’re thirsty – but you can also choose foods with higher water contents like cucumbers, watermelon, celery, lettuce, and soups and broths. It may be helpful to build water breaks into your schedule so you don’t forget to drink throughout the day.

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Appetite “It is normal for our appetite to decrease as we age, with physiological changes to the digestive system and a decreased need for energy.” MELANIE MOYERS

Appetite often decreases as you get older, so it can be difficult to make sure you’re getting enough nutrients if you don’t feel like eating. Other contributing factors include medications that decrease appetite and smoking, which can affect your sense of taste and smell. If you smoke, consider cutting back or quitting altogether. To make eating more enjoyable, use fresh herbs and citrus juices to make flavors more vibrant, and eat with friends and family to add a fun social aspect to meals if they’ve become more of a chore. Practical concerns such as having mobility issues or physical difficulty cooking are also a factor, so you can look for simple meals that require less labor to make. “It is normal for our appetite to decrease as we age, with physiological changes to the digestive system and a decreased need for energy. The time to be concerned is if it decreases to a degree that negatively affects our nutritional status, resulting in malnutrition,” Moyers explains. For older adults struggling to get enough nutrients, Wortman recommends different things, depending on the cause: “If teeth or dentures are an issue, getting them fixed can be very helpful. Availability of food can often be another issue. Having meals pre-cooked that can be heated up, or dividing meals into smaller portions that can be easier to manage may help. Keeping healthy snacks close at hand can also help.” When it comes to specific vitamin deficiencies, Moyers has some additional advice. “Typically, I would recommend fortifying a favorite food or beverage to add protein, calories, and nutrients. Smoothies packed with additional nutrients are also helpful. I would also recommend a multivitamin-mineral supplement to try to make up for some of the nutrients they may be lacking from a decline in appetite,” she says. “Further investigation related to the root cause of decline in appetite and lab tests, such as vitamin B12 level, would be warranted to help identify other possible nutrient deficiencies and individualized interventions.” Keep in mind that while changes in appetite are normal, they should be gradual. When should you be concerned? Wortman explains, “A more rapid or significant drop might indicate a more serious problem. Obvious signs of wasting or rapid muscle loss would also indicate the decrease in appetite is not normal aging.”

Malnutrition

A more severe condition, malnutrition could be marked by a sudden decrease in appetite. According to Moyers, signs of malnutrition include, “weight loss, decline in appetite, fatigue resulting in inability to finish a meal, dental problems or difficulty chewing food, and reduction in hand grip strength. Watch out for changes to condition of hair and nails – thinner hair and pale nails may indicate iron-deficiency anemia.” Caretakers and loved ones should keep an eye out for these warning signs. Wortman advises keeping up with routine bloodwork to monitor certain vitamin levels. “Vitamin D and B12 can be checked with simple blood tests. Signs of extreme B12 deficiency can be numbness or tingling in fingers and toes, difficulty walking, mood changes, and memory loss,” he shares. Other indicators of severe muscle mass loss due to malnutrition are “excessively saggy skin or inability to accomplish even simple tasks due to lack of strength,” Wortman

explains. “Walking speed is another indicator of muscle/balance status. Taking longer than five seconds to walk 13 feet is an indicator of potential issues.” A malnourished body is much less able to fight off significant health problems, delaying healing processes and increasing the length of hospital stays, so it’s important to avoid this vulnerability.

Medication Wortman also advises elderly folks to be aware of the way their medications interact and work together, as they may cause changes in the body’s ability to absorb or use nutrients. He says, “Acid blocking medications for reflux can decrease B12, iron, calcium, and magnesium absorption. Antidepressants can use up or deplete riboflavin and folate in the body, and some diuretics can cause excess excretion of potassium.” Moyers adds, “Be aware that medication side effects can cause decreased appetite and nutrient deficiencies – Metformin, for example, may cause a vitamin B12 deficiency. It is important to review possible side effects of all medications.” Don’t be afraid to ask your doctor or pharmacist any questions you have about side effects of medication and other health concerns.

It’s never too late to make improvements to your diet. If you’re not sure where to start, speak with your primary doctor about consulting with a registered dietitian who can help you form healthier habits regarding your nutrition.

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Annual Advancements in Medicine Section By Rachel Coats

From digital impression technology in dentistry, to innovative approaches in outpatient therapy, to robotic arm assistance in orthopedic surgeries and beyond, new research in the medical field makes procedures easier for patients and doctors alike. These Chattanooga-based medical professionals share the latest in revolutionary treatment options.

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Advancements in Limb Amputation Prevention Critical limb centers can prevent the need for amputation in patients with peripheral artery disease.

An Expert Weighs In “The Southeast has the highest amputation rates in the country. The Vascular Institute of Chattanooga was designed seven years ago as a regional critical limb center, having a team-based approach to preventing unnecessary amputations in our community. Our overall six-month limb salvage rate is 97.4% with a 93% limb preservation rate at five years. This is only possible with comprehensive support from primary care, podiatric surgery, and area wound centers. The ‘simple’ solution for CLI - major amputation of the leg - can have severe consequences: decreased mobility, additional surgeries, psychological stress, depression, and reduced longevity. Always ask for a second opinion for yourself or your family members. Amputation should be the last resort when all else fails. The VIC team is dedicated to eliminating unnecessary amputations in our region.” Chris LeSar, MD Vascular Surgeon/CLI Specialist/Medical Director Vascular Institute of Chattanooga

Understanding Critical Limb Ischemia Critical limb ischemia (CLI) is caused by a major blockage in the arteries that reduces blood to the lower legs. It’s a very serious form of peripheral artery disease (PAD) – a hardening and narrowing of the arteries – that can lead to severe pain in the feet or toes, tissue damage, and skin ulcers. If left untreated, amputation of the affected limb may become necessary. It is a chronic issue that will not resolve on its own. Risk factors for CLI include age (men over 60 and women after menopause), diabetes, obesity, smoking, high cholesterol or blood pressure, and a family history of vascular disease. Unfortunately, CLI is often undiagnosed until it’s too late, making amputation necessary.

New Solutions Luckily, there are advancing methods in place to minimize the occurrence of CLI-related 56

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limb amputations. Patient-centered interventional suites (or critical limb centers) are one option for ongoing vascular care. These suites allow physicians to perform peripheral vascular interventions in an outpatient facility and provide ongoing education, awareness, and care to patients and providers.

What to Expect

Critical limb centers use an accelerated triage-to-therapy approach, during which patients and their families work with highly trained vascular nurse practitioners to maximize overall care. These specialists will collect your health history, address risk factors, and perform diagnostic tests. Advanced endovascular techniques and surgical therapy for limb preservation can help patients with advanced stages of CLI reduce the need for amputation.

Benefits to Patients

The patient-focused approach to vascular care provided by critical limb centers is highly beneficial. Not only does it promote awareness and education for an underdiagnosed condition, but it also makes the experience highly personal. Working with specialists dedicated to vascular care means that the issue is addressed at a micro level, resulting in less amputations and a focus on prolonged amputation-free living.

21.3

Million Americans suffer with PAD

If you have PAD, YOUR risk for heart attack, stroke and limb loss increase.

it's all about the FLOW PERIPHERAL ARTERY DISEASE (PAD)

plaque builds up on the inside of the artery walls making it difficult for the blood to flow to the legs and feet.

RISK FACTORS

• Smoking • Diabetes • Kidney Disease • High Blood Pressure • High Cholesterol • Age/Family History

40%

of those diagnosed with PAD, DON'T have leg pain.

LIFESTYLE MODIFICATIONS: • Quit Smoking • Manage Diabetes • Eat Healthy • Exercise Regularly • Establish Primary Care

97.4%

VIC-60 Day Limb Salvage Rate

CRITICAL LIMB ISCHEMIA (CLI)

the advanced form of PAD puts patients at greater risk for amputation. CLI threatens approximately 2 million Americans and is commonly seen in patients with Diabetes, Chronic Kidney Disease, Hypertension, or High Blood Pressure.

SYMPTOMS OF F.L.O.W • Feeling of Pain in the leg • Loss of Sensation in the legs • Open Sores that won't heal • Weakness with walking

An early diagnosis and an active treatment plan can achieve a successful outcome. VICtory Over Amputation!

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423.602.2750

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Advancements in Dental Crowns Thanks to new scanning technology, dental crowns can be designed and fitted in a same-day procedure.

Understanding Dental Crowns

Dental crowns are synthetic caps that provide shape and function for restoration. These protective coverings can prevent tooth breakage, restore teeth that are already broken, and hold dental bridges in place. Crowns can also support a tooth that’s had a root canal and can cover a dental implant. Without crowns, damaged teeth are more prone to toothaches, sensitivity, and pain when biting or chewing.

New Solutions

Installing a dental crown used to require two visits – the first to create an impression of the filed tooth and the second to cement the crown. But now, same-day procedures are possible. Using computer-aided design and manufacturing (CAD/CAM) technology, dentists can take digital photos of the mouth and create a custom crown during one visit. The entire process takes about two to four hours.

How It Works

The CAD/CAM same-day crown process involves five steps:

TOOTH PREPARATION Before attaching the new crown, your

dentist will prepare the site for restoration by removing decay. INTRAORAL SCANNING Next, an optical scanner is used to create a 3D custom image of your mouth. RESTORATION DESIGN Once the image is obtained, your dentist

will use the CAD software to identify the proper design for your prosthesis. PRODUCTION The software will then connect with an on-site

milling machine that shapes the crown from a block of ceramic. It is then stained or glazed to match your natural tooth color. CEMENTATION Your new crown will be ready for application immediately. Your dentist will cement it to the tooth, polish it, and remove any excess debris.

Benefits to Patients

Studies show that this procedure is just as successful as traditional techniques and can even assist in preserving more of the existing tooth. CAD/CAM crown installation is quick and efficient, eliminating the temporary crown and second visit required by past methods. Because the process is completed same-day and chairside, the patient can see what their new crown will look like and how it will fit, leaving them confident and comfortable with their restoration.

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An Expert Weighs In “With the use of CAD/CAM in dentistry, crowns can be made on the same day. This eliminates the need to wait for crown fabrication for two to three weeks while a temporary crown is worn. Although the cost of a lab-fabricated vs. same-day crown is about the same, patients save money by cutting out the extra visit, meaning less time off work and less travel time to the office. One question we are often asked is about the strength. Recent studies have shown that CAD/CAM tooth restorations are just as successful as crowns made with traditional materials and techniques.” Mandy Shearer, DDS Dentist Soddy Daisy Smiles

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Advancements in Stroke Care Certified stroke centers offer swift and specialized treatment to achieve improved outcomes.

Understanding Stroke Stroke is a sudden blockage of blood supply to the brain, caused by either a clot (ischemic stroke) or rupture of the artery (hemorrhagic stroke). This disruption of vital oxygen kills brain cells – because dead brain cells can’t be replaced, stroke can cause irreversible damage and is the leading cause of serious, longterm disability in America. Depending on the area of the brain affected, stroke can cause problems with walking, speaking, seeing, or feeling. Symptoms of stroke include sudden loss of balance, numb or weak limbs, trouble speaking, and uneven facial features.

New Solutions Time is crucial when identifying and treating stroke. Certified stroke treatment centers provide time-sensitive care as specialists identify the type of stroke, locate where it occurred, and decide on the best course of action. Stroke centers offer state-of-the-art treatment options for ischemic and hemorrhagic strokes, such as surgical interventions. After the stroke has passed and the patient is medically stable, the stroke center will then assist the patient and their family in choosing an appropriate rehabilitation program based on the therapy recommendation.

Benefits to Patients At certified stroke centers, quick response times can prevent further damage from occurring, and quality, specialized care can lead to shorter recovery times and fewer returns to the hospital. Rehabilitation options recommended by the center can help a stroke survivor increase their independence, improve physical function, prevent another stroke, and experience a satisfying quality of life. Receiving stroke care at a facility created to provide it can offer patients and their families comfort as they know exams and treatment methods are performed by experts in the field.

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An Expert Weighs In “Our stroke team cares deeply about our patients’ outcomes and quality of life after stroke. We feel that it is imperative the community understands the importance of coming to a comprehensive stroke center that has a proven, nationally recognized, and quality track record of being among the very top in the nation and that can care for any type of stroke by a specialized physician any time of the day, any day of the year. When time is of the essence, it’s crucial to choose the right center to get the right care at the right time. Understanding time saves the brain, and we have worked tirelessly to ensure we are among the few in the U.S., and the only regional stroke center with the fastest average wait times for door-to-intervention that has been nationally recognized for six years in a row.” Mounzer Yassin-Kassab, MD, MA Director of Erlanger Neurology Erlanger Health System

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.

Learn more at Erlanger.org/stroke.

Neuroscience Institute

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Advancements in Outpatient Care Outpatient-accessible fitness centers encourage exercise within a community of support.

Understanding Outpatient Care Outpatients are patients who require regular care that doesn’t necessitate an overnight hospital stay. Following an injury, surgery, or illness, you may receive outpatient therapy to support your recovery process. This therapy can include physical exercise under the guidance of a professional to strengthen your body, regain normal abilities, and aid a healthy lifestyle.

New Solutions While some medical facilities offer fitness centers exclusively for outpatient therapy, an innovative approach to outpatient care involves opening these doors to allow individuals, outpatient or not, to invest in their health alongside each other. These centers are accessible and comfortable for patients as they undergo therapy. Members of all abilities can exercise in a space that fosters social support and encourages investment in health goals.

What to Expect These centers offer spaces for both outpatient therapy and regular fitness use and create exercise opportunities that may not exist in other facilities. The equipment accommodates a diverse range of physical ability and needs, and trained staff are available to assist with both general fitness goals and individualized care.

Benefits to Patients Outpatient-accessible fitness centers empower patients to embrace a healthy lifestyle and function independently in a facility with their needs in mind. As patients receive therapy, they become more comfortable in the environment and are more likely to join the fitness center to maintain the gains they have made. Following discharge, they can easily transition to group fitness courses and independent exercise routines and enjoy the familiarity of the facility and its equipment. In addition, fitness center members, whether they were previously outpatients or not, have access to therapy should they need it again.

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An Expert Weighs In “Using a combined fitness center and outpatient space allows our therapy staff to utilize the equipment and space that our fitness center members have access to. This allows an ease of transition for our patients on their track of healing and getting back to healthy living. Allowing the therapy patients to easily transition to fitness center members is our goal. The fitness center/outpatient therapy space has a feeling of activity and recovery that our staff and, most importantly, our patients find to be beneficial to accomplishing their goals.” Kyle Binkley, PT, DPT Outpatient Therapy Director Siskin Hospital

Siskin Outpatient Therapy To serve you BETTER... our downtown Chattanooga outpatient location has expanded into the adjacent Siskin Health & Fitness Center! Come have therapy in this open, uplifting space or utilize our Fitness Center Services. We have state-of-the-art, adaptable equipment, ample parking & more!

Now part of

423.634.1720 www.SiskinRehab.org

Outpatient sites also in Cleveland, East Brainerd & Hixson

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Advancements in Dental Impressions 3D intraoral scanning technology can quickly and accurately create a digital model of the mouth.

An Expert Weighs In “I remember as a little girl how nervous I would get over having impressions taken at the dentist or orthodontist. I’d worry, ‘What if I gag? What if it goes down my throat? What if it’s all over my face when I leave?’ It’s very vivid in my memory. I frequently get the question, ‘Do I have to get impressions?’ Fortunately, I can now say with a smile, ‘Absolutely not!’ The look of relief on the person’s face is priceless. So many aspects of dentistry have evolved over the years, and one of the most routine things we do now is take a digital impression or scan of the dentition. This provides a wealth of information for us as practitioners, but also the patient as we can, in real time, show them what each of their teeth looks like. This is a great learning tool as they can see on a screen right in front of them the state of their oral condition and have a clear understanding of their treatment needs. No more gooey impressions – let’s celebrate!” Kristen Conner, DDS Dentist Northpoint Dental Co.

Understanding Dental Impressions Dental impressions are a replica of the patient’s mouth, which is used to examine its status and create custom restoration pieces, such as dentures, crowns, bridges, and retainers. Traditionally, dental impressions are obtained by creating a physical mold of the patient’s teeth using a putty-like material.

New Solutions

Advancing technology has introduced digital methods of capturing dental impressions, which deliver results with speed and accuracy. Digital impressions require less materials and steps than molds – this increases efficiency and reduces the possibility of error.

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What to Expect

When capturing a digital impression, the dentist will move a wand-like tool connected to a computer over the surface of the teeth to create a virtual model of the hard and soft tissues in the mouth. This quick and painless process is completed in only three to five minutes.

Benefits to Patients

Digital impressions offer a more pleasant experience than using a mold, as the putty can cause discomfort to patients with severe gag reflexes or tooth sensitivity. The 3D intraoral scanning technology creates a more detailed and accurate image of the mouth and therefore better-fitting dental restorations. Because digital impressions are sent to the laboratory electronically, these restorations can even be completed the same day as the impression, eliminating the need for a return visit to the office.

CHANGE YOUR SMILE,

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Advancements in Knee Replacement Surgery Robot-assisted technology has made knee replacement surgery more efficient than ever.

An Expert Weighs In “Robotic knee surgery is the latest innovation in total knee replacement, which helps surgeons perform the procedure with the use of data that’s tailored to each patient’s anatomy. It’s designed to help ensure predictable results to improve outcomes, increase mobility, provide better range of motion, and prevent the unstable feeling some patients experience during daily activities like bending and walking up and down stairs. Center for Sports Medicine & Orthopaedics is proud to be the first in the region to bring this state-of-the-art technology to our outpatient surgery center, which offers substantial cost savings compared to the same procedure in a hospital. Compared to traditional knee replacement procedures, robotic-assisted technologies may also help patients experience less pain, may lead to a faster recovery, and most importantly, help get people back to their everyday lives.” John Nash, MD Hip and Knee Reconstruction / General Orthopaedics Center for Sports Medicine & Orthopaedics

Understanding Osteoarthritis Osteoarthritis (OA) is the most common form of arthritis in the knee, affecting approximately 30 million Americans every year. This condition produces chronic knee pain caused by the wear and tear of the joints. When left untreated, OA can lead to increased pain, decreased range of motion, swelling and inflammation, and joint instability. Lifestyle changes such as weight loss, strength training, and improved flexibility can benefit overall joint health. However, in severe cases of OA, the joint damage may be irreversible, and knee replacement surgery will be necessary.

New Solutions Thanks to advancements in medical technology, there are new options for knee replacement surgery. Technology like the VELYS Robotic-Assisted Solution is easily integrated into operating rooms and can adapt to a surgeon’s workflow. This

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guiding robotic arm acts with precision to remove bone and cartilage in preparation for the knee implant.

What to Expect

Your orthopedic surgeon will first use the robot-assisted technology to create a 3D model of your knee. During the procedure, the robotic arm and the surgeon will both be in control of the surgical instruments the entire time. Once the bone is prepared, the implant will be placed and the joint properly balanced, the final step in securing your new knee.

Benefits to Patients

Robot-assisted knee replacement technology is a great tool for both the surgeon and the patient. It allows for a more efficient surgery and minimizes pain and blood loss. Shorter recovery times mean that you’ll be back on your feet in no time – many patients are walking within a few hours of surgery, and some are even approved to go home the same day.

VELYS™ Robotics

Designed for digital precision in knee replacement The VELYS™ Robotic-Assisted Solution for your total knee replacement surgery. The knee featured is a visual representation of the ATTUNE® Knee System implant position. Please refer to the instructions for use for a complete list of indications, contraindications, warnings, and precautions. Every patient is diferent, and individual results vary. Not all patients are candidates for joint replacement. All surgeries carry risks.

VELYS™ Robotics

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Advancements in Hearing Aid Technology Bluetooth technology is helping individuals experiencing hearing loss stay connected.

An Expert Weighs In “According to studies conducted by the National Institute on Aging, approximately one in three people between the ages of 65 and 74 suffer from hearing loss. Individuals with hearing loss find it difficult to stay connected to family and friends due to inability to be a part of conversations. They no longer enjoy a simple television program because they cannot understand the actor’s speech. As there is a tendency for adults with hearing loss to wait 5-7 years to seek treatment, it is imperative we as hearing professionals get the word out about the latest advances in hearing aid technology.” Cheryl Ward, BC-HIS Hearing Instrument Specialist Audiology Services of Chattanooga

Understanding Hearing Loss Approximately 48 million Americans have some form of hearing loss. Though it’s one of the most prevalent health conditions in older adults, hearing loss can often go unnoticed for quite a while – it takes the average person seven years from the time they suspect they have hearing loss until the time they seek treatment. Unfortunately, the effects of hearing loss can be devastating to both mental and physical health. Thankfully, hearing aid devices allow individuals experiencing hearing loss to reclaim their sense of sound.

New Solutions Custom hearing aid devices convey clear, natural sound that you can adjust to your preferences. Through Bluetooth technology, these devices can now connect directly to your

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mobile phone. Personalized apps allow you to adjust settings easily and customize in-ear and on-screen reminders. Other apps can record information about hearing aid usage, social engagement, and physical activity levels. Modern hearing aid devices can also sync to your television (via a streaming device) to allow wireless listening. No headphones necessary!

Benefits to Patients

These Bluetooth-connected hearing aids can improve the quality of life for anyone with hearing loss who requires such a device. Accessible and customizable device settings give users control and create a comfortable listening experience. Thanks to these advancements, hearing loss doesn’t have to mean giving up your favorite forms of entertainment. By connecting straight to your mobile phone or television, you won’t miss a beat.

Don’t Let Hearing Loss Slow You Down

Rely On Chattanooga’s Leading Hearing Experts Personalized Prescriptive Hearing Aid Fittings & Programming | State-of-the-Art Technology for Optimal Hearing Exceptional Follow-Up Care | One-Stop Shop for All Hearing Healthcare Needs | 2 Convenient Locations

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Cheryl Ward, BC-HIS Hearing Instrument Specialist

6151 Shallowford Rd., Suite 104

1215 Taft Highway

Chattanooga, TN 37421

Signal Mountain, TN 37377

Call or text: 423-822-2359

Call or text: 423-822-2361

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Advancements in Wisdom Teeth Removal Improved imaging and increased pain management options make wisdom teeth removal a safer and more comfortable experience.

An Expert Weighs In “The prospect of surgery is often intimidating. Fortunately, advancements in the field of oral and maxillofacial surgery have enabled the process to become much easier, predictable, and safer, allowing for a faster recovery.” Brandon C. Stanley, DMD, FACS Oral & Maxillofacial Surgeon Implants & Oral Surgery of Chattanooga

Understanding Wisdom Teeth

Third molars, also known as wisdom teeth, are known to cause a plethora of issues including pain, cavities, bone loss, cysts, tumors, and infections. The risks of wisdom teeth removal increase after the age of 35, so removal at a young age (15-25 yrs.) vastly reduces the risks of complications.

New Solutions

Advancements in technology, medications, and techniques have improved the experience of wisdom teeth removal. Imaging technology allows for better planning of the removal procedure with Cone Beam CTs that provide increased accuracy when locating nerves, vessels, and critical anatomic areas to aid in protecting the patient and preventing complications. Anesthesia can ease patient anxieties and reduce or prevent pain during surgery. Options include local anesthesia (removes all sensation of sharp pain), nitrous oxide (alters the perception of pain), conscious/moderate oral or IV sedation (alters awareness and recall of the procedure) and deep sedation/general anesthesia (removes all potential awareness of the procedure). New advancements in monitoring, rescue equipment, assistant training, and medications have aided in improving safety and predictability of these procedures.

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Pain reduction solutions assist the healing process. An innovative use of platelets has been introduced to aid in faster healing. This second-generation platelet concentration can be done right in the surgery office. Your blood will be drawn and placed into a centrifuge to concentrate the platelets into a fibrin matrix, allowing for a slow release of important factors that augment healing. Placing these platelet concentrates into the surgical sites can significantly reduce postoperative pain, swelling, and incidence of dry socket. While narcotics can be useful for acute episodes of severe pain, new options are available to reduce their potential necessity. One example is the long-acting nonopioid pain reliever, Exparel, which can eliminate any sharp pain from the surgical site for up to 72 hours. Its mechanism is similar to injections used for any dental procedure; however, the slow, moderated release increases its longevity and eliminates postoperative pain in most patients.

Benefits to Patients For some people, wisdom teeth removal is an intimidating process and may cause anxiety in the days leading up to it. Knowing that medical advancements in imaging, anesthesia, and pain reduction options are available to prevent complications and ease discomfort can be a great relief to these fears.

Over 60 Years of Service in the U.S. Air Force, Now Serving Chattanooga RICKY JOHNSON, D.D.S., M.D. | BILL CHILDRESS, D.D.S., M.D. | BRANDON STANLEY, D.M.D., F.A.C.S.

Dental Implants • Wisdom Tooth Removal • Dental Surgery & Extractions Treatment of Dental & Facial Injuries • General Anesthesia

1350 MACKEY BRANCH DRIVE, STE 110 CHATTANOOGA, TN 37421

IOSCHATTANOOGA.COM

5022 OLD GODSEY ROAD, STE 10 HIXSON, TN 37343

423.296.8210

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

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MEET OUR MODELS

Priyanka Patel, Payal Patel, and Vandana Patel

ome say that there’s no bond thicker than blood, but for Payal, Priyanka, and Vandana Patel that isn’t necessarily the case. Married to a trio of brothers, these ladies have proven that family isn’t always awarded at birth, but can be found. For them, it’s not genes, but quality conversation and an unwavering support system that makes a family.

PHOTO BY RICH SMITH

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

Payal: They are understanding. They always offer a listening ear if I want to talk, and consistently provide me with solid advice. Priyanka: My sisters-in-law are so helpful. Anytime I need assistance, they are always willing to lend a helping hand. Vandana: Having these two women in my corner when I need emotional support has been great. And on top of that, I’m just happier when I’m around them!

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PAYAL VANDANA

PRIYANKA

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

Payal: Especially when marrying into a new family that is so close-knit and moving into a new city, it is important to have women you can trust to help you navigate all the big changes. My sisters-in-law have guided me as a new member of this family, helping me adjust to all the new people and ways of living. It’s also so important to have a support system in an unfamiliar city to help make a new place feel like home. Priyanka: It is hard to go through life without having people who understand you. They make life easier to handle and deal with. What’s the most important thing you’ve taught each other since meeting?

Payal: I think the most important thing we have taught each other is just to be more open-minded to everyone’s way of doing things. You never know when you may learn something new like a new way to make a recipe or experience something you typically wouldn’t have. Priyanka: We have taught each other patience and the true meaning of family. When you’re sick, when you’re celebrating something, when you just need someone to listen, through it all, fate brought us together, and we have become a true family despite our different upbringings and backgrounds. Vandana: We all have different educational experiences so we inherently learn a lot from each other in that sense, but in general, when you have family members with different backgrounds, there’s a lot of information sharing that can take place. How has your relationship changed through the years? What does it look like now vs. when you first met?

Payal: When we all first met, it was during my engagement, and we had a nice polite relationship. We were all still trying to get to know each other, and new relationships are always a bit intimidating. We have all gotten

so close over the last two years, and it really does feel like we are all sisters. Priyanka: Since we are all married to brothers, our first relationship was as sistersin-law. We were family by marriage but friends and confidantes by choice. We have only gotten closer as time has gone by. Vandana: The more time has passed the more trust we have in each other. Our relationship has grown like many relationships do in that we have much more depth and knowledge about each other now. How do you approach wellness, both separately and as a group?

Payal: For me, wellness includes not only physical wellness but mental as well. I enjoy taking time for myself to mentally decompress. We are a large family, so it’s important to make sure that I make time to just be alone. As a group, we definitely have an emphasis on physical wellness. We always go for walks together or play badminton multiple times throughout the week. Priyanka: Individually I practice wellness through yoga. I also really enjoy walking. Sometimes that is a solo endeavor but sometimes we also walk as a group, not just for our physical health but our mental health as well. What are your favorite ways to bond and lift each other up?

Payal: Our favorite way to lift each other up is by just listening and acknowledging how each other is feeling. We are supportive of each other’s goals and strive to help each other reach them. We are always all helping out with the kids and our in-laws and picking up where the other leaves off to make sure each of us gets a break. Priyanka: Our favorite ways to bond are just talking and laughing even if it’s while working in the kitchen. We are also there for each other when each other needs it. Vandana: I really enjoy our conversation. Having an open line of communication, whether it’s light and fun topics or something a little heavier, brings us together as a family.

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LOOK WELL

Trendy Totes

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From sunglasses to sunscreen, all of the items that accompany a day of fun in the sun need a place to go, and tote bags are up to the task. Conveniently portable and effortlessly stylish, totes are the perfect summer accessory to add a pop of color or texture to your ensemble. If you’re looking for a catch-all bag to bring along on your summer adventures, look no further than these trendy options from local boutiques. Functional and fashionable, these tote bags are tote-ally worth it!

PAROS BAG IN BLACK “A tote with a twist, featuring open cutout detailing. This bag is handcrafted in Ecuador with 100% natural toquilla straw.”

SILVINA PERALTA-RAMOS, Antibes

ASTER HOBO TOTE BAG IN GREEN “Add a fun pop of color to any outfit with the Aster Hobo! Its lightweight construction, single shoulder strap, and zip closure make it perfect for the girl on the go!” JANET MILLER, Irma Marie

MIA WOVEN AND LEATHER TOTE “A leather and rattan cane tote in a slightly structured silhouette. With an interior zipped pocket, this roomy tote is ideal for everyday use, travel, and trips.” LISA FRITSCHEN, Hemline

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LOOK WELL

Going Gray

How to Embrace Your Gray Hair Gracefully

hether your first gray hair sighting happens in your teen years or your late 30s, you’re bound to experience it eventually. Both genetics and environmental factors will determine when and how quickly you go gray, but only you get to decide how you go gray – and you have options! Make the transition to gray gracefully with one of these four methods. BY MARY BETH WALLACE

Option #1: Dyeing Your Hair

For those ready to make the leap, dyeing your hair to match your roots will instantly transform your mane to a glamorous gray. You can use an at-home box dye or see a professional colorist, but either way, be sure to choose a color that most closely matches your natural gray hair. And, keep in mind that this method will involve some maintenance – until your hair goes fully gray, you’ll need to dye your strands semi-regularly.

Option #2: Getting Highlights or Lowlights

A similar but not-so-committed option to the previous method is adding in highlights or lowlights, which create a more subtle contrast between your gray hair and your pigmented hair. Going this route allows you to keep your pregray color for just a little while longer, although it will require a few trips to the salon for touch-ups. For those with fully gray roots, you may consider asking your colorist for an ombré effect – a look that is fresh, modern, and flattering on anyone.

Option #3: Cutting Your Hair

There’s no better way to celebrate your new hue than with a chic haircut! For those wanting to go permanently gray in one fell swoop, simply chop off all of the hair below your demarcation line (where the color stops and the gray begins). Your hairdresser can guide you in choosing the best short hairstyle – whether a classic pixie, an A-line bob, or something in between – for you based on your face shape and hair type.

Option #4: Letting Your Gray Grow Out

Of course, the easiest method for going gray is to do nothing at all. If you’re not ready for a big chop, simply allow your new natural color to come in at its own pace – just be prepared to be patient, because this process can take years. For those with a particularly pronounced line of demarcation, you can try playing around with different hairstyles that help disguise it.

Going gray is a process, both physically and emotionally, and like most things in life, there isn’t a one-size-fits-all approach. Do your research, and at the end of the day, do what will make you happiest!

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LOOK WELL

Don’t Sweat It Natural Deodorants You’ll Love

Thanks in part to the clean beauty revolution, natural deodorant is having a moment. Instead of preventing your body from sweating like traditional deodorant, natural deodorant works by neutralizing odor-forming bacteria – allowing your underarms to breathe naturally. Finding the product that works best for you may take time and patience, but could be worth it if you stick it out! Here are a few of our favorites to try if you’re new to natural deodorants.

Kopari Aluminum-Free Deodorant

All products at Kopari Beauty start with 100% organic coconut, including its cult-favorite deodorant. Ingredients like coconut oil, coconut water, and sage oil work with your body’s natural functions to provide odor protection and condition underarms. Available in multiple scents, this deodorant glides on easily without leaving behind residue – and it will stay fresh all day long.

Dove 0% Aluminum Deodorant

Dove is no stranger to deodorant, and its expansion into natural deodorant has proven that the company is on top of its game. Dove’s aluminum-free deodorant is moisturizing, reliable, and friendly to your wallet to boot. The gentle formula has been designed to protect underarms from odor for up to 48 hours with just one application.

Ursa Major Hoppin’ Fresh Deodorant

Delivering all-day protection, this deodorant from Ursa Major has you covered on the hottest of days and during the sweatiest of workouts. Formulated with naturally derived ingredients like aloe vera, kaolin clay, and eucalyptus, the product eliminates underarm odor while absorbing moisture and soothing skin. And, with no added fragrances, it’s a great choice for those with more sensitive skin.

Native Deodorant

With scents like lavender & rose and cucumber & mint, Native’s stick deodorant smells as refreshing as it feels. At the same time, it provides effective protection against odor for up to 24 hours. Baking soda and tapioca starch help underarms stay dry; you’ll also find stellar ingredients like shea butter, coconut oil, and probiotics on the list.

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

Amy Boulware EAST BRAINERD I was a list maker, rule follower, and planner. I was one of those people who had a vision for how my life would go. This philosophy worked well for me for the first 25 years of my life. I had married my high school sweetheart, excelled at violin, had friends, graduated with honors from college and graduate school, and landed a great first job. What was next on the list? Of course, starting a family! My husband, Gene, and I were thrilled when we found out we were pregnant with our first child. As was part of my routine, I started making my lists, planning, and assuming everything was well. After all, I was vigilant about my prenatal care, planned the nursery, and made a list of pediatricians to interview, but all of the planning in the world could not have prepared me for what hap-

pened on December 8, 1991. I had seen the doctor the week before, and he was concerned about my kidney function and weight gain. Within 24 hours of getting tests back, the doctor called to say I needed to go immediately to the hospital. My blood pressure was dangerously high, while at the same time, the baby’s heart rate was dropping low. I was dying, and so was our baby. The doctor told my husband he might have to choose between saving our baby and saving me. We loved this baby from the minute she was conceived, but in that terrifying moment, my husband told the doctor to do everything he could to save both of us, but to save me. The pregnancy was killing us. The decision was personal. It makes me sad to think that if faced with that decision today, we might not have a

safe choice. With the skill of a team of doctors and nurses, our baby was born at 2 pounds, and once I was not pregnant, my condition improved. Our baby was critically ill, and we did not know if she would live or die. We learned at any moment you may be faced with a choice you do not want to make, but having the right to make those choices is a blessing. Our story could have been so different. The baby and I could have died, and our family would have been left mourning. Our story is not unique. Families face this sort of thing daily. We need to treat them with kindness and compassion. Nobody knows what someone else is going through in those moments.

— PHOTO BY JIMIE LUANGRATH / CREATIVE REVOLVER

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HER STORY

Michalle Morris, BSN, MSN, ANP-C EAST BRAINERD

I knew my life would be centered around helping and serving others from a very young age. Growing up as a young African American female, I heard stories about distrust in healthcare from family members. In school, I learned about the Tuskegee Study which, in part, validated their skepticism. And as I grew into my teenage years, my medical provider did not look or sound like me. It was difficult to explain my plight because of stigmas and cultural disconnects. The seed was then planted within me that I could make a difference. Through my own research, I found that a lack of diversity, coupled with systemic and both unconscious and conscious biases, as well as a lack of mentors in my community had a profound effect on what I observed. Despite the disadvantage, it only reaffirmed my desire to become a healthcare provider. I knew that with compassion, empathy, and equity, I would become a change agent in the healthcare industry. Then began my personal growth and metamorphosis. Today, only 6.5% of nurse practitioners are African American. One of my greatest challenges was being an African American primary care advanced practice nurse in a predominantly male caucasian field. It was often lonely and isolating. After the death of my mother in August 2020 and several other family members and friends later in 2021 from COVID-19, I saw first-hand the lasting devastation of the pandemic on African Americans, both the effects of stress and the impact on mental health. Challenging and often overwhelming, I conquered ignorance with education, fear with discipline, and doubt with determination. I surrounded myself with people who encouraged, prayed for, and mentored me through the process of becoming who I am today. Now owner and nurse practitioner of my own healthcare facility, I am leaning in and have a seat at the table. I speak up and advocate for my patients’ care, and I’m calling for a change in the culture. I am a proud servant who believes that a diverse nurse practitioner workforce is the most equitable way to fulfill the gaps in healthcare. “She is clothed in strength and dignity, and she laughs without fear of the future.” Proverbs 31:25

— PHOTO BY RICH SMITH

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HER STORY

Jess Haynes EAST BRAINERD

I grew up the youngest of three daughters, and by the age of 12, I found myself as an only child in a new town. My first-born sister was married, my second sister had started college, and I was feeling completely untethered. Perhaps that is why, at the age of 13, I believed ‘him.’ He was 16, had a car, and told me I was special. The ‘love bombing’ felt so amazing. Fastforward nine years and a few dozen bruises, and it was no longer love he was bombing me with. The kisses had turned to slaps, the kind words into insults. He had me convinced that I was worthless and could do nothing without him. If it wasn’t for the intervention of a good friend, I don’t believe I would have survived. Her consistency in reminding me of who I was eventually allowed me to seek help. Once I decided to pursue music, I realized I had an opportunity to be that consistent reminder to others: that they deserve better and could have better. The songs that I write tend to be about persevering, being powerful, or holding tight to faith – or, sometimes, all three. I met another overcomer who taught me that I had a story that went beyond just not giving in to an abuser, and that I could help anyone looking for more out of life (and themselves), and I became a life coach. Take me for example. I was told I was ugly, and now I model. I was told I could not sing, and now I have several singles out. I was told I was stupid, but now I have my own hat line. I don’t mention these things to brag, but to tell people I know what I’m talking about is true; you can accomplish anything regardless of how dark it may seem right now. My hope for anyone in a position of being bullied, battered, or broken is that they realize there is hope. They don’t have to believe their abuser. They are more than conquerors. Please reach out to someone you can trust and start breaking those chains.

— PHOTO BY JIMIE LUANGRATH / CREATIVE REVOLVER

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HER STORY

Brittany Faith SIGNAL MOUNTAIN The picture you see here is something I dreamed of for years. In 2018, my husband and I had a healthy, bouncing baby boy. We were both only children. I particularly was a very lonely only child, so we wanted a second child to make our family complete. We started trying after our son turned 1 year old. Month after month went by and nothing. After a year of trying, we got the referral to go to a fertility specialist, but shortly after found out that we were pregnant. It was the miracle we had been waiting for. I was able to tell my beloved grandmother, who at the time was dying of pancreatic cancer, which meant the world to me. However, eight days after she passed, I began losing the baby. About a month later, we found out from our fertility doctor that I have what is called diminished ovarian reserve, which means that even though I was only 32, I had the egg quantity of a 42-year-old. While in Hollywood, they make it seem easy, low egg quantity is something you can’t reverse. I plunged myself into the infertility world. I changed my diet, our cleaning products, and what we had in our house. We tried cycle after cycle. Then one night after over two years of trying, I felt funny and decided to take a test. It was positive – the first positive I had seen since our loss. I went to my husband shaking and told him in disbelief that I thought I was actually pregnant. I cried then, and I cried like that a few weeks ago when I held that beautiful baby girl who looks just like her great-grandmother and realized our dreams had really come true. Baby girl Faith was born just two days after this picture. While not every infertility story has a happy ending, I know now that every woman going through it is a warrior, and I hope she finds the love and support that I did in my journey.

— PHOTO BY RICH SMITH

HealthScopeMag.com

FEEL WELL

Learning the Ropes With every step you take in life, there’s no shortage of advice coming your way. Friends, family, colleagues, and mentors are generally quick to offer up words of wisdom, but how do you separate the useful tips from the ones that don’t serve you? Here, three local ladies have weeded through words and offered up the tips that have made the most difference when it comes to their careers.

“Some of the best career advice I’ve received has been from my parents. Since I can remember, my father has always encouraged me to ‘treat people right’ and ‘whatever I do, give it 100%.’ I’ve taken this life advice and applied it directly to my manufacturing career over the past 15 years and my life now as a new business owner. My mother’s advice has always been to never be afraid to ask for help! When I opened my bridal studio in 2021, I received so much support from mentors and other local business professionals in the industry. I was overwhelmed by the amount of people that jumped to assist me after I swallowed my pride and asked for help! I have also received so much retail business advice and positive feedback from other women-owned boutique owners on social media, and for that, I’m so very grateful!”

“Over the years, I’ve received enough career advice to fill chapters in a book. When taking advice, I’m open-minded and appreciative; however, I always consider the source. Observation is another avenue where I’ve gained wisdom. Surround yourself with only positive, ethical, and successful people who inspire you and lift you higher. Folks compliment my tribe of ladies who inspire, challenge, support, and uplift one another. Our motto is, ’We rise by lifting others.’ Positivity begets positivity, negativity begets negativity. Just being around successful, positive people helps you feel the same emotion. Always remember that who you spend the most time with is who you eventually become. No job is worth your mental health. Pursue a career that brings meaning and fulfillment to your life. If in a toxic environment, look for another opportunity. Make proper use of one’s time by always learning and growing.” - Linda Shriver-Buckner

- Veatrice Conley

“Some of the best career advice I have received is to make your dream job, rather than wait to find it. Be open to new challenges and experiences, and as you learn more about your talents, interests, and self through these opportunities, you’ll be able to define a role that really suits your skills and will help you build the life you want. Of course, a downside to this path is that you will be taking on work that you may not especially enjoy in the moment, but that in and of itself is a learning opportunity. That experience will build your resume and set up a really strong foundation for you to excel in future specialized or leadership positions. Lean on your network, ask for new opportunities, absorb as much as you possibly can from your colleagues and peers, and never give up!” - Jennifer McMinn

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FEEL WELL

Dealing With PassiveAggressive Behavior HOW TO HANDLE CONFLICT MORE CONSTRUCTIVELY By Catherine Smith

Conflict is a normal part of any relationship. Whenever two people are close to one another, there will eventually be some friction. This is an inescapable part of the human experience, but direct confrontation can be difficult, and some people prefer to avoid it. To learn more about the causes of passive-aggressive behavior and how to overcome it in relationships, we spoke with Chris Ownby, research strategist for First Things First.

WHAT IS PASSIVEAGGRESSIVE BEHAVIOR? Passive-aggression looks different from person to person, but it boils down to expressing negative feelings without saying what is wrong. According to Ownby, there are some telltale signs to look out for. “Giving someone the silent treatment or making pacifying comments like ‘I’m fine’ or ‘it’s okay’ – when it’s clearly not fine or okay – are common signs of passive-aggression,” he explains. “Backhanded comments or compliments and sarcasm can also be a sign. For example, saying something like ‘I guess I’ll do the dishes tonight’ can sometimes be a subconscious way to avoid a real conversation while consciously still giving a little jab.” Passive-aggressive behaviors can also show up in nonverbal communication. For example, a person might say everything is okay, but let out a dejected sigh, slump forward, or make a negative facial expression. According to Ownby, another nonverbal show of passive-aggression involves under-functioning, or leaving tasks unfinished. “Intentionally doing something poorly or leaving a task incomplete can be a subtle sign that the individual didn’t want to do it in the first place – even though they smiled and said, ‘Sure!’ when asked,” he says.

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HOW DOES PASSIVEAGGRESSION IMPACT A RELATIONSHIP? Passive-aggression is essentially a breakdown in healthy communication. Instead of bringing up a problem, the passive-aggressive party will secretly stew in feelings of resentment or anger. Those negative feelings often come out only after the person reaches a breaking point. “Poor communication both causes conflict and makes conflict more difficult to resolve,” Ownby shares. “Passive-aggression is about avoiding conflict, so any potential conflict resolution is also unintentionally avoided.” Passive-aggression leaves negative or hurt feelings to fester, often creating more friction than the initial conflict. “Relationship conflicts that go unaddressed have a way of escalating, mutating, and infecting other parts of a relationship,” Ownby explains. “What began as a workable problem in an otherwise healthy relationship is now a potential relationship deal-breaker. Passive-aggression often creates a dangerous enabled-enabler dynamic. If unchecked, this dynamic will stunt any relationship growth.”

HOW CAN I ADDRESS PASSIVE-AGGRESSIVE BEHAVIORS? We’ve all experienced passive-aggressive behavior, and it often stems from outside stressors that have nothing to do with the relationship. “I think it’s important to remember that passiveaggression happens in both small and big ways – sometimes it’s unintentional, and people just have the occasional passive-aggressive

CHRIS OWNBY, CFLE Research Strategist, First Things First

response,” Ownby says. “It’s still important to address the behavior when you observe it, because passiveaggression can snowball over time.” Regardless of the nature of a relationship – friends, family, parent and child, or peer to peer – there are ways to help when you notice passive-aggressive behaviors. According to Ownby, the best thing you can do is kindly, but directly, acknowledge the passive-aggression. “Emphasize that you’d like to work together to find a solution if there is an issue. You can’t make someone open up to you, but you can communicate that you’re willing and available,” he advises. “Be aware of your body language and tone of voice – you aren’t making an accusation, you’re extending an invitation.”

HOW CAN I OVERCOME PASSIVEAGGRESSION IN MY RELATIONSHIP? The goal is healthy communication, so patience with the other party is key, and an empathetic approach is often best. “These behaviors often stem from underlying anger, sadness, or insecurity, and the person may not be aware that this is at work. As frustrating as the behavior is, you want to create a place of trust for the other person to open up and talk directly about what’s bothering them,” Ownby explains. While this empathy is important, it is also important to protect your own feelings if the other person does not want to open up about the problem despite your efforts. “In that case, it might be best to let them know that when you observe their passive-aggression, you will acknowledge it and offer an opportunity for dialogue. Otherwise, you will exercise boundaries to protect yourself emotionally,” Ownby shares. Over time, if passive-aggression develops into an ingrained personality trait, it may be best to seek professional help.

HealthScopeMag.com

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

HealthScopeMag.com

Alishea Hixson, Inspired by Andrea Perry Lyons

ALISHEA

ANDREA

It is a wonderful thing when a coworker becomes a friend and mentor, and I am grateful to have experienced this. Thirteen years ago, Andrea and I began working together. We shared laughter, stories, and difficult moments. Since we met, she has encouraged and challenged me to achieve my full potential. She embodies the saying, “empowered women empower women.” After tackling a major work project together, we named ourselves the “A-Team.” Over the years, the A-Team has journeyed through life together. We have celebrated, we have grieved, and we have succeeded. Through it all, Andrea encourages me to be my best self. Andrea inspires me by her willingness to take risks and continually learn, grow, and reach new heights. She approaches new opportunities with zeal and perseveres when things get difficult. Her ability to lead and always get the best out of her team is a quality that I strive to imitate. I am grateful for our friendship and the ability to journey through life alongside her. It is always a good time when the A-Team is together.

Andrea inspires me by her willingness to take risks and continually learn, grow, and reach new heights.

PHOTO BY RICH SMITH

HealthScopeMag.com

INSPIRED

Ashley Baldwin, Inspired by Maria Matthews

Maria and I first got connected because of a shared passion for generosity and city renewal. Through our collaborative work, I have come to know Maria not just professionally but also personally. What I didn’t know in the beginning is that she would become a friend, mentor, and significant support in my life. It has meant so much to engage with someone who I would like to emulate. Maria is an inspiration to me because she effortlessly embodies an abundance mindset. She is an encourager at every turn and always sees the possibilities as she turns challenges into opportunities. She is a natural bridge builder, choosing to see the best in people and bring them together. She is a safe person who invites vulnerability, seeing first a person, not a profession. She is a driven, strategic thinker but leads at an appropriate pace. I, and so many others, am a beneficiary of these qualities. Maria is someone who listens to my heart as I share challenges and joys. She never fails to encourage me, provide helpful advice, and celebrate progress. As a young, working mom, I can quickly fall into a scarcity mindset. Maria is a reminder of what could be as she shares an abundance mindset with those she encounters. It is a gift to have such a wise friend on this journey.

Maria is someone who listens to my heart as I share challenges and joys.

ASHLEY

MARIA 90

HealthScopeMag.com

PHOTO BY RICH SMITH

Now Available in Chattanooga

SURVIVOR FITNESS Personalized Exercise & Nutrition Programs for Cancer Survivors

One-on-one programs designed to meet you where you are: All Ages, All Types, All Fitness Levels

For more information, go to www.survivorfitness.org, or scan the QR code.

"Survivor Fitness has given me a light at the end of a tunnel that was very dark and overwhelming. I feel better physically and mentally, and have the tools I need to keep moving forward." - Survivor Fitness Participant

Special thanks to SportsBarn for making Survivor Fitness's launch in Chattanooga possible!

INSPIRED

Emilie Cole, Inspired by Jill Allen

About five years ago, Jill Allen and I started working in adjacent lines of business. Over time, I saw her instill order amidst chaos and build something from very little, earning my respect. Eventually, I asked if she would mentor me – she did, and eventually mentorship became friendship. As we’ve worked together, she has become a role model for much of the flow between my work and personal life. Her ability to blaze her own trail, think outside the box when necessary, bring order, and somehow find peace amidst life’s storms consistently inspires me. Balance looks different for all of us and is ever changing – one of the major themes through our conversations has been finding the flow between that which we love – family, cooking, dancing, etc. – and maintaining a high-performance level at demanding jobs (which we’ve both chosen for ourselves – and usually also love). Through it all, I see Jill actively creating the life she wants to live and owning her process, even when it’s messy and uncomfortable. Sometimes life gives us sign posts and sometimes it blesses us with guides – Jill has been just that to me personally, and I routinely see her influence providing the same for others.

JILL

EMILIE

Jill has become a role model for much of the flow between my work and personal life.

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PHOTO BY RYAN LONG PHOTOGRAPHY

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

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Cassandra Tucker

Find joy in simplicity. As I’ve gotten older, I’ve realized that less is more. So, I keep it simple. I don’t always have to book the next flight to some exotic place to experience joy. I enjoy the luxuries of the things readily available, such as evening strolls on one of Chattanooga’s beautiful trails, or sometimes I sit on my porch listening to the birds sing and enjoy being present.

Take naps.

Let’s face it – with life’s busyness, most of us don’t get the proper amount of rest. And the perfect cure for this is napping! Anytime I’m feeling overwhelmed, sluggish, or just not myself, I take a nap. I kick the guilt of feeling lazy to the curb and find myself a quiet space to catch a moment of z’s. When I awake, I feel rejuvenated, recharged, and less stressed. Napping does wonders for the mind, body, and soul.

Declutter often.

Clutter often leads to unwanted stress. To combat clutter, about once a week I take time to go through the mail and recycle what’s not needed. I also make it a point to donate things I’m no longer using. I give thanks to those items and allow them to be a blessing to someone else. Getting rid of unwanted items leads to a happier, clutter-free living space. And to add a bit of ambiance to my home, I light a candle or some incense. Oh, what a difference. PHOTO BY RICH SMITH

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BALANCED

Elizabeth Napolitano

Learn to be okay with imperfection. Balance is such a funny word to me because – by definition – it indicates that every thing of importance is given equal measure. I used to struggle with that concept, especially because I am a recovering perfectionist. That’s not to say I’ve shifted away from always doing my best; rather, I’ve redefined what’s truly important to me, allowing me the freedom to be okay with imperfection.

Set simple goals.

Prior to December 2019, I was completely out of balance. I was struggling with my weight, which led to low self-confidence, low energy, and a complete lack of wanting to engage in my community. A health coach helped give me tools to dream again, and I quickly realized that what started out as a few simple scale goals had become so much bigger. Peeling back the layers of my own rediscovery allowed me to find joy again in everything. Because of those simple goals, I now have the privilege of coaching others to aspire to their own best self.

Define your foundation daily.

I start each day by deciding what the “rocks” of my joy are going to be – family time, nutrition, self-care, rediscovery, faith, reflection. Being part of a community filled with people who lift each other up and want to see others succeed is such a gift. I don’t know if I will ever find true balance in the traditional sense, and I’m okay with that. Life is unstructured and chaotic. If I spend too much time trying to overly organize it, I’ll miss out on living it. PHOTO BY EMILY PÉREZ LONG

BALANCED

Rhonda Black Smith

Establish a morning routine. As a mom of seven, I’ve learned the importance of staying balanced. It’s easy to get off track if we’re not intentional. What keeps me grounded is my faith. I start my day with a hot cup of coffee or tea, Bible, journal, pen, and highlighter. I’m not just reading; I’m studying God’s word. Prayer is a powerful tool and is also a vital part of my morning routine.

Locate a space that brings you joy.

I love the outdoors, so having a space that brings me joy is a priority. My back deck is filled with plants, a wind chime, and comfortable seating. Recently, we planted organic lemon seeds, so it’s been fun running out there each morning and seeing their growth. This is my favorite space for reading my Bible or sitting with my husband or one of my children and having a conversation.

Spend time with loved ones.

With a large family, I’m in the kitchen a lot. I love cooking with the kids. I find great joy in preparing a meal and gathering around the table. We have something in our family called high-low. After we finish eating, each person gets to say what was the highest and lowest part of the day. It gives my husband and me a glimpse into each child’s personality and how we can encourage or pray for them. Spending time with people I love is something I deeply treasure and highly recommend. PHOTO BY RYAN LONG PHOTOGRAPHY

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EAT WELL

Meant to Bean Savory Green Bean Recipes Sure to Delight! Looking for a punched up side dish that delivers on flavor while not compromising nutrition? We have the perfect solution! A rich source of protein and fiber, green beans also contain vitamin B, C, and K while simultaneously offering magnesium and iron. Here, two recipes from the heart of local kitchens add some extra pizazz to this beloved Southern side.

Did you know? The green bean originated from Peru, and today there are over 130 known varieties.

FEED Co. Table & Tavern’s Green Bean Salad By Chef Jared Cohen | Serves 4 | Prep Time: 30 minutes Ingredients

Directions

For the Blackberry Lemon Syrup: • 1 Tbsp. cornstarch • 1 Tbsp. lemon juice • 4 cups frozen blackberries • 1 cup granulated sugar • Dash of salt

For the Blackberry Lemon Syrup: Combine cornstarch and lemon juice to create a slurry. Set aside. Add blackberries and sugar to a saucepan on medium-high heat. Stir as the mixture melts, 4-5 minutes. Add lemon mixture. Bring to a boil and remove from heat. Pour through a fine mesh strainer. Allow sauce to cool and salt to taste.

For the Green Beans: • 2 peaches, halved and pitted • 1 oz. vegetable oil • 1 lb. green beans • 2 oz. champagne vinaigrette • Salt to taste • ½ cup sliced almonds, toasted • ¼ cup goat cheese crumbles • 2 Tbsp. blackberry lemon syrup

PHOTOS BY RYAN LONG PHOTOGRAPHY

For the Green Beans: Lightly brush peaches with olive oil and grill for 4-5 minutes on each side. Allow peaches to cool. In a large skillet, add vegetable oil and green beans and cook on medium-high heat. Sauté until lightly charred. Remove green beans from heat and toss in champagne vinaigrette. Refrigerate beans for 10 minutes to cool. Salt lightly to taste. Slice peaches into wedges. Serve topped with peaches, almonds, goat cheese crumbles, and a drizzle of blackberry lemon syrup. “This dish epitomizes summer. Not only is the green bean salad bright, light, and refreshing, it’s an interesting mixture of textures, colors, and flavors combined to make a unique dish perfect for the warmer months.” - Chef Jared Cohen

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LIVE WELL

Rocio Kemp’s Charred Fig Balsamic Vinegar and Lemon Green Beans Serves 6 | Prep Time: 20 Minutes

“Late summer is still hot in Chattanooga, and green beans are at their best! I love to make them with fig balsamic vinegar and lemon zest as a side dish that is healthy, refreshing, and uncomplicated. This dish pairs especially well with grilled chicken or grilled pork tenderloin.” - Rocio Kemp

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Ingredients

• • • • • • •

2 tsp. kosher salt, divided 1½ lbs. green beans, trimmed 1 Tbsp. extra-virgin olive oil 2 Tbsp. fig balsamic vinegar 2 tsp. lemon zest, finely grated 2 Tbsp. toasted pine nuts (optional) Pinch of fresh ground black pepper

Directions

Bring water to a boil in a 4-quart saucepan, and add 1 teaspoon of kosher salt. Add green beans and cook for about 4-5 minutes until tender but still crisp. Pour contents of the pan into a colander and run cold water over the green beans to stop them

from cooking further. Transfer to a towel-lined plate to dry them. Heat a skillet over medium-low heat and add the olive oil. Once heated, add the green beans. Cook for approximately 5 minutes, constantly tossing the green beans so that they blister but do not burn. Add the fig balsamic vinegar to the green beans, and toss them for an additional minute or so until you see all beans begin to caramelize. Add the remaining teaspoon of salt. Move the skillet off the heat, add the lemon zest, and top green beans with the pine nuts. Serve hot or at room temperature, and season with black pepper if you desire.

PHOTOS BY RICH SMITH

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LIVE WELL

By Mary Beth Wallace It’s 8 a.m. You slept through your alarm and are now running out the door to make your morning meeting, grabbing a pre-packaged granola bar as you go. Your morning meetings run long, so you DoorDash a quick lunch (if you remember to eat at all) and scarf it down before your next appointment. A few hours later, your kids are demanding dinner, and you internally debate the merits of frozen pizza versus take-out.

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If this sounds all-too familiar, you’re not alone. Busy seasons come and go, and when you’re in the midst of one, healthy eating often takes a back seat. While there’s nothing wrong with living on frozen pizza for the short-term, it doesn’t have to be that way. Implementing small changes here and there can add up to a big difference in your daily diet. Here, we’re sharing our best tips for eating healthier with a jam-packed schedule.

1. Prep breakfast the night before. If you’re rushing to get out the door every morning, the best gift you can give yourself is a preppedand-ready healthy breakfast. Taking just a few minutes of your evening to put together a morning meal (overnight oats, egg muffins, and breakfast sandwiches are all great options) will ensure you start your day off on the right foot.

2. Fall back on frozen produce. Getting the recommended servings of fruits and vegetables can be a challenge on normal days, let alone hectic days. Don’t make it harder on yourself by only choosing fresh produce, which can take time to wash, prep, and store. Frozen fruits and veggies can be just as much, if not more, nutrient-dense since they are usually picked at peak ripeness. Top your oatmeal with frozen berries, add frozen avocado to your smoothie, and jazz up your stir-fry with frozen veggies.

3. Set yourself up for success with snacks. When that 3 p.m. slump inevitably rolls around, you want to be armed with an arsenal of healthy snacks; otherwise, you can fall prey to the vending machine or a handful of your kids’ favorite sugary cereal. Look for snacks that have some combination of carbs, protein, and healthy fats to help keep you full until dinnertime. Homemade trail mix, hummus and veggies, and string cheese and an apple all do the trick.

4. Order healthier options when eating out. Some busy people tend to rely on restaurants to keep them fed over the course of the week; however, restaurants are notorious for packing sugar, salt, and less-than-healthy oils into the food they serve. When eating out, look at the menu ahead of time and choose items that are raw, grilled, steamed, baked, or broiled. If the portion size is huge, eat half of the meal and save the other half for another day.

5. Try out grocery delivery services. Do you ever feel like you don’t have the time to make a grocery store run? On those crazy weeks when you’re doing your best just to survive, consider looking into grocery delivery or pickup options. It might cost a little extra than your typical grocery bill, but the benefits you’ll reap from a well-stocked refrigerator are worth it.

6. Let your kitchen work for you. Certain tools and appliances in your kitchen are there to make meal prep more streamlined and stressfree, so take advantage of them! A smoothie filled with healthy fruits, veggies, seeds, and yogurt comes together in a flash in your blender, while slow cookers and Instant Pots can help you get a delicious family meal on the table within minutes of walking through the front door.

7. Stay hydrated. When you’re out and about, it can be really easy to forget to drink enough water – yet water is so important, keeping all of the systems in your body functioning properly. Fortunately, water doesn’t take any prep time, so all you need is a reusable water bottle to carry around with you throughout the day.

8. Don’t overcomplicate it. Finally, the best advice we can offer is to keep it simple. It’s a common trap to view “healthy eating” as fancy salads or gourmet meals prepared with obscure ingredients – making it an unobtainable goal for those of us with busy schedules. A peanut butter sandwich on whole-wheat bread paired with yogurt and fruit takes two minutes to throw together while checking all of the boxes for a healthy, filling meal.

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Maegan Million’s At-Home Muscular Endurance Workout Photography by Rich Smith

“This full-body workout is all about building muscular endurance and can be performed virtually anywhere! Removing the added challenge of dumbbells or barbells encourages you to focus on moving optimally through each movement. This ultimately sharpens your form when you load or progress the exercises down the road. Each of these movements can be scaled up or down, depending on your ability level. Perform each move for the recommended number of reps with 30-60 seconds of rest in between for 3-5 rounds.” Maegan Million, Othisi Training

Bench Tricep Dips Sit down on a bench, with your hands next to your thighs. (You can also perform this move off a stair or other elevated surface.) Walk your feet out and extend your legs, lift your bottom off the bench, and hold there with extended arms. Bending at the elbow, lower your body down as far as you can go, or until your arms form a 90-degree angle. Push up through your palms back to start. Focus on keeping your elbows pointing straight behind you and your body as close to the bench as possible as you dip down. Perform 8-10 reps.

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Incline Push-Ups Use an object like a counter, couch, or ottoman to create an incline with your body. Support your body on your toes with legs and arms straight. Lower your chest by bending your elbows. Keep your glutes squeezed and your core braced. Elbows should create a 45-degree angle with the torso. Push back up to straight arms, returning to your starting position. Perform 8-10 reps.

Lateral Lunge Start standing with feet together and hands by your sides. Step one foot out to the side, and slowly descend toward the floor by pushing your hips backward. While keeping your knee aligned with your foot and hip, push yourself back up to a standing position. Perform 10-12 reps on each leg.

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LIVE WELL

Single-Leg Hamstring Curl With Slider Begin lying on your back with your feet on a pair of sliders. (You can also perform this move with disposable plates, frisbees, or furniture sliders.) Your legs should be bent at the knees and feet hip-width apart. Brace your core, and squeeze your backside to lift your hips into a bridge position. Keep your hips up and slowly extend one knee until it is straight, then return to your starting position. Perform 10-12 reps on each leg.

Quadruped Shoulder Taps Start on all fours, hands under your shoulders and knees under your hips, with your core braced. Elevate your knees 1-2 inches above the ground and stabilize yourself, putting equal pressure through both hands and both feet. In a controlled manner, lift your left hand off the floor and tap your right shoulder. Alternate tapping your hand to the opposite shoulder while keeping your hips squared and minimizing any shifting. Perform 12-16 total reps.

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We live in what’s known as the Stroke Belt, which makes us twice as likely to die of a stroke. That’s why innovation can’t wait. The need to know more and do more takes precedence—because lives depend on it.

INTRODUCING the CHI MEMORIAL STROKE and NEUROSCIENCE CENTER Where the very nature of stroke care is changing for our region and the world. Nationally renowned stroke specialists who have dedicated their careers to treating and preventing stroke practice here.

Pioneering technology that improves outcomes and preserves quality of life is available here.

We know stroke like no other. Learn more at Memorial.org/StrokeCare

Research and clinical trials that push the boundaries of our understanding of stroke are being conducted here.