HealthScope Magazine Fall 2022 Issue

I am experiencing leg pain and weakness, and have difficulty walking Where do I go?

Visit the Vascular Institute, the regional leaders in Peripheral Artery Disease diagnosis & treatment

PAD

W H Y C H O O S E U S ?

My legs are swollen and painful, who should I see?

We have the largest vascular team at Vascular Institute, the area's ONLY comprehensive vein & vascular center.

VENOUS & VARICOSE VEINS

What are the treatment options for Dialysis patients...any new technologies?

The Vascular Institute is leading the way in dialysis access with the new WavelinQ Endo AVFistula.

DIALYSIS

Publisher’s Letter

When flying on an airplane, you may notice that the flight attendant instructs all passengers to put on their oxygen masks first before assisting oth ers. The rationale is simple enough: If you do not have oxygen, how are you supposed to help those around you?

This analogy is easily applicable to women’s health. For many women, the temptation is to give, give, and give some more – to their children, their aging parents, their communities. Yet failing to put on your own oxygen mask can lead to a host of problems, both physical and mental. Putting your health first is never selfish – it’s a necessity.

In this fall issue of HealthScope® magazine, our annual Women’s Health issue, we prioritize top ics that could directly affect women at different stages in life. Our feature “Pregnancy Complica tions: Fact or Fiction?” addresses the truth behind five widely held beliefs surrounding pregnancy. In the feature “Balancing Act: Exploring Hormonal Imbalances,” we learn more about the body’s most common hormonal imbalances, such as hyper thyroidism and polycystic ovary syndrome. Our third feature, “Understanding Fibromyalgia,” sheds light on a chronic disorder that disproportionately affects the female population.

Also not to be missed is our annual “Women’s Health” section, which continues to explore issues faced by women and those they love most –everything from adenomyosis and pelvic congestion syndrome to navigating your child’s food allergy.

This issue always contains the section “Meet Our Doctors,” which highlights our area’s healthcare providers from a variety of specialties. Their knowl edge and care are blessings to our community.

Yet another section that spotlights local professionals is “Beautifully You!”

Here, you’ll learn more about the highly skilled cos metic specialists who are dedi cated to serving their clients.

There are many more topics inside for you to discover, including wedding guest outfits curated by local boutiques, delicious pumpkin recipes from locals, and an at-home workout for cyclists with Michael Hornig. Much-loved sections “Her Story,” “Inspired,” and “Balanced” feature Chattanooga women who are making a difference – both with their words and their actions.

George Mullinix PUBLISHER

Last, but certainly not least, check out our interview with cover models Pam Prichard, Esther Helton-Haynes, and Cleo Gravitt. What began as friendship has grown into a sisterhood for these ladies, who never fail to encourage and challenge one another when they need it most. On page 94, they reveal what makes their bond so special.

We hope that you find this fall issue of Health Scope® magazine to be informative and uplifting, and that it inspires you to put on your own oxygen mask first – both for your own health and the health of your loved ones.

Blessings always,

“A woman’s health is her capital.”

— HARRIET BEECHER STOWE

PHOTO BY RICH SMITH

Cailey Mullinix Easterly Amanda Worley

Creative & Art Director Emily Pérez Long

Sr. Graphic DesignMultimedia 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

Photographers

Ryan Long Photography Rich Smith

Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or health scopemag.com and click “Subscribe.” A one-year subscrip tion 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 health scopemag.com and click “Contact.”

CityScope ® and HealthScope ® magazines and Choose Chattanooga ® – Chatt anooga Resource & Relocation Guide ® (the magazines) are published by CMC Pub lications, LLC, a Chattanooga, Tennessee company. Repro duction 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, edi tors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotion al sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material con tained 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.

Dr. Kyle Staton Charles Joels Michael Greer

Dr. Neelima Katragunta

Dr. Ehsan Benrashid Michael Barfield

Light + Breezy

If you’re looking for a quick, easy morning makeup routine, look no further than tinted moisturizer! Perfect for busy mornings and sporty days, it provides light coverage with just a hint of color to give you an effort less, natural, dewy look. Not only is it a great way to keep your skin hydrated, many products also have SPF, and there’s no overstating how important sunscreen is. If you have dry skin, you can use a lightweight moisturizer underneath for extra hydration, and look for a tinted moisturizer with hyaluronic acid to lock in

moisture. If your skin is oily or acne-prone, try an oilfree version.

To find the perfect shade, test for a match at your jawline and the center of your clavicle. You don’t need any brushes, primers, or extra steps – simply apply after your regular cleansing routine. Tinted moistur izer can be applied with your fingertips and should be blended up and out on the forehead and outward on the cheeks. If you want to use concealer for additional coverage, apply it on top of the tinted moisturizer.

Scents of the Season

Whether you’re more of a pumpkin spice or a cinnamon and citrus kind of person, there are simple, natural ways to bring autumn fragranc es into your home – without all the chemicals in store-bought products. Try this quick home made reed diffuser project, but don’t forget that some oils can be harmful to animals, so double-check before you DIY!

Fall Essential Oils:

DIY Reed Diffuser

1. In a glass vase with a narrow top, pour a measure of liquid carrier oil (almond, coconut, or baby oil) until it reaches your desired height. Add your favor ite seasonal essential oils with a ratio of about 30% essential oil to about 70% base oil.

2. Place a few reeds or bamboo skewers (snip the pointy ends off before use) in the vase and let saturate for about an hour, then place the opposite ends in the mixture. Rotate which ends are in the oil once a week to disperse the fragrance.

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. 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.

Kidson th e GuestList

For parents of young children, navigating events like weddings, family reunions, or even a simple day out of the house can be nerve-wracking. Here are some tips to help you and your young one enjoy autumn outings.

1. TALK ABOUT IT. New experiences can be overwhelming for young kids, but talking about the event and describing what they are going to expe rience beforehand can help them be more comfortable.

2. KNOW WHERE TO GO WHEN THEY HAVE TO GO. Make note of bath rooms and exits, especially if your child is in the midst of potty training. For seated events, seats toward the back and close to the aisle make for a quicker exit.

3. MAKE TIME FOR NAP TIME. Plan a safe place for a nap ahead of time whether it’s in the car, in a portable crib, or back at the hotel.

4. GO EASY ON YOURSELF! Remember that people wanted both you and your child at the event. Try to relax, have fun, and make good memories.

Today, teenagers can connect with peers all over the world through online games or chatting about shared interests on social media. Many parents worry about their teenagers spending too much time on line, but research shows that these interactions are more comparable to in-person socialization than you might think. Here are some things to consider.

Some teens, particularly those with devel opmental or behavioral disorders, find faceto-face interaction difficult and can struggle to make friends. Online interactions offer decreased social pressure, allowing teens to bond over shared interests and experi ences with less fear of rejection. Friendships these days might look different than they did before social media, but they are still just as important.

According to research, most teens use online platforms to stay connected to people they consider friends offline, not strangers on the internet. However, it is important to make sure your teen understands how to stay safe. You can encourage your child to come to you about any negative experiences by listen ing to them talk about online friends without judgment. Online Friends “Real” Friends?

Edamame Salad with OrangeBalsamic Dressing

SERVES 4

This vegan salad packs a protein punch with the addition of edamame and navy beans, while a homemade orangebalsamic dressing adds just a touch of sweetness.

Ingredients:

• 1 ½ cups shelled edamame

• ¼ cup fresh orange juice

2 Tbsp. Dijon mustard

• 3 Tbsp. balsamic vinegar, divided

• 1 tsp. extra-virgin olive oil

• ¼ tsp. pepper

• 15.5 oz. canned navy beans, rinsed and drained

• ¼ tsp. salt

• 2 oz. mixed salad greens (about 2 cups)

• ¼ medium cucumber, sliced crosswise

• 1 medium Italian plum tomato, diced

• ¼ cup carrot, shredded

• ¼ cup radishes, sliced

Directions:

1. Prepare the edamame using the package directions, omit ting the salt. Meanwhile, in a small bowl, whisk together the orange juice, mustard, 2 Tbsp. of vinegar, olive oil, and pep per. Set aside.

2. In a medium bowl, stir together the edamame, navy beans, salt, and remaining 1 Tbsp. of vinegar. Let stand for 10 minutes at room temperature or cover and refrigerate until needed, up to five days.

3. At serving time, put the salad greens on plates. Top, in order, with the cucumber, tomato, carrot, radishes, and bean mix ture. Pour the dressing over all.

Nutritional Information Calories 234 | Total Fat 5.5g | So dium 329mg | Total Carbohydrate 31g | Dietary Fiber 10g | Sugars 10g | Protein 15g

Source: American Heart Association

Talk to Me

BETTER LUNCHES WITH BENTO BOXES

Bento boxes began as a traditional Japanese lunch in a wooden box with a balanced meal of rice, meat, and pickled vegetables. Today, they’re a smart, easy way to pack a nutritious lunch for everyone from picky kids to health-conscious grown ups. There are lots of reasons to give bento boxes a try:

Bento boxes reduce your plastic footprint by avoiding plastic bags and takeout containers. They’re also easy to clean –many are dishwasher safe.

• Separate compartments keep picky eat ers happy since no food has to touch!

• It’s easy to make lunch look fun with brightly colored fruits and vegetables, and it empowers kids with choices about what they eat and when.

• Compartments also help control portion size, help cut down on processed snacks, and make meal prep easy.

Fall can be an exhausting season as you establish new school and work routines, but it’s important to connect with your family – whether it’s over dinner, during the ride home from school, or on a walk around the neighborhood. Here are some fun questions to help get your family talking.

• If we all lived in a zoo, which animals would we be and why? Where would you go if you could fly for a day?

• If you had to eat just one food every day for a month, what would it be?

• What is your favorite scent?

What is your earliest memory?

• Would you rather have four arms or four legs?

• Would you rather have wings for arms or wheels for feet?

• Would you rather be 10 feet tall or 10 inches tall?

• Would you rather be in a zombie or a robot apocalypse?

• Would you rather have an extra eye or an extra nose?

You can fill your box with whole meals, like pasta, salads, or sandwiches, or you can go for snacks like fruit, nuts, gra nola, tortilla rollups, and hardboiled eggs. You could also include nut butter, yogurt, or hummus for healthy dips.

At Wamack Homes, we strive to provide a remarkable experience pairing people with homes that will come to life for them. Whether you’re listing your property or looking for your dream home, you’ve come to the right place.

Choosing Conditioner for Your Hair Type

While you do need both shampoo and conditioner to have healthy hair, they do different jobs, so leave those 2-in-1 shampoo and conditioners be hind. You should choose your shampoo based on your scalp condition (dry vs. oily). Your conditioner restores the moisture that shampoo strips from your hair, so you should choose your prod ucts based on the condition of your hair.

GREASY HAIR: Aim for a daily condi tioner that reduces oil. Avoid hydrating and moisturizing products. Instead, look for clarifying conditioners, products that use words like “light” or “strength ening.”

DRY OR DAMAGED HAIR: Look for moisturizing or hydrating daily condi tioners. You can also try leave-in condi tioners for even more hydration, or use deep conditioners a couple of times a month to help prevent future damage.

FRIZZY HAIR: Look for smooth ing daily conditioners to help seal the cuticles and lessen humidity’s effects on your hair.

CURLY HAIR: Use products specifi cally formulated for curls to help mini mize frizz and keep your extra-dry curls hydrated and easier to manage.

THIN OR FINE HAIR: Look for a volu mizing or thickening daily conditioner to help give your hair a little more body.

Fall Yardwork Safety 101

In the South, summer temps can linger well into October. If you’re spending time in the yard this fall, stay safe with these tips!

• Drink plenty of water and take frequent breaks. Work in the morning or evening to avoid the hottest part of the day.

• No matter how hot it is, wear closed-toe shoes and long pants to avoid injuries from string trimmers or debris while mowing.

Wear bug spray and sunscreen to protect your skin.

Stretch to warm up your muscles and pre vent injury, and use a knee pad to protect your knees when weeding and gardening.

Take antihistamines and wear a mask to prevent allergy symptoms. Keep windows and doors closed for a few hours after mowing to help minimize allergies.

• Keep a first aid kit to treat common lawn care-related injuries like small cuts, burns, blisters, insect bites and stings, and al lergic reactions to pollen and poison ivy, oak, and sumac. Stock your kit with ban dages, gauze, antiseptic wipes, antibiotic oint ment, antihistamines, cortisone cream, calamine lotion, moleskin pads, masks, and aloe vera lotion.

Health & Wellness Calendar

October 3 Erlanger Children’s Golf Classic

The Erlanger Health Foundation’s annual golf invitational, presented by Miller Industries, is taking place at the Chattanooga Golf and Country Club. The proceeds from this year’s tournament will support the Children’s Critical Care Transport Program. erlanger.org/golf

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

Mark your calendar for Chattanooga’s oldest marathon featuring a live DJ, medals, event shirts, and more. The 7 Bridges Marathon starts at Coolidge Park at 7 a.m. Races including a 4 Bridges Half Marathon, 4 Bridges 10K, 2 Bridges 5K, and a family Kiddie K are also on the schedule. This year’s event is happening in conjunction with the Chattanooga VegFest – a plantbased food festival – and the AVA’s Between the Bridges Art Festival. sevenbridgesmarathon.com

22 Celebration of Life and Hope

The Austin Hatcher Foundation is gearing up to celebrate the 15th annual Celebration of Life and Hope at its Education Advancement Center. The gala-style event will include family testimonies as well as live and silent auctions, live music from the Emerald Empire Band, photo booth fun, an open bar, and more. Doors will open for VIP hour at 6:30 p.m., and general admission will begin at 7 p.m. celebrationlh.com

22

Dare to Dance

Based on popular television show Dancing With the Stars, the Chattanooga Kidney Foundation’s Dare to Dance asks local celebrities to put on their dancing shoes for a good cause – to support those affected by kidney disease. The event, held at the Chattanooga Convention Center, will feature the unforgettable dance-off as well as dinner, drinks, and souvenirs. kidneyfoundation.com/dare-todance

22 Fall Family Fun Fest 2022

In celebration of the 25th anniversary of First Things First, this free event at Miller Park offers live music, pumpkin painting, food trucks, a fall photo booth, family games and challenges, an inflatable soccer stadium, and more from 11 a.m. to 4 p.m. The first 300 people to RSVP (text FESTIVAL to 833.269.9827) will receive a free fall family festival t-shirt at the event. firstthings.org

24 RMHC Golf Classic

Join the Ronald McDonald House Charities of Greater Chattanooga at Black Creek for its annual Golf Classic. There will be a morning and afternoon shotgun start, as well as contests held throughout the tournament. Golfers may register as a team or join a team as an individual, and the best team of the day will be awarded the RMHC Kaylor Cup. A rain date has been set for November 7. rmhchattanooga.com/events/ rmhc-golf-classic

2

Gowns for Good

Say yes to donating the dress in support of Gowns for Good, a luncheon, fashion show, and charity auction all in one. This event by Volunteers in Medicine helps our uninsured neighbors in need receive access to a primary care medical home. The main event takes place November 2 at Gilman Event Hall. vim-chatt.org/124/gowns-for-good

3-4

Faces of PAD Conference

Registration is open for the 5th annual FACES of PAD Conference at Chattanooga’s Embassy Suites hotel. The two-day event is for all medical specialties and focuses on the treatment of patients experiencing chronic disease. Attendees can receive up to 16 CME credits with no fee attached. facesofpad.com

5 Hope for the Holidays

The Westin Chattanooga will host the American Cancer Society’s Hope for the Holidays, a black-tie event that celebrates hope in the fight for a cure for cancer. Cocktails, a three-course dinner, a live auction, music, dancing, and a survivor tribute are just a few of the activities in store. All proceeds will support education and resources needed to treat and cure cancer. galaofhopechatt.org

5 Fall Ball: GLOW Redux

Physicians, community leaders, and friends will come together for the Chattanooga-Hamilton County Medical Society and Foundation’s annual Fall Ball: GLOW Redux. To

be held at Stratton Hall, the premier event will feature great food, seasonal cocktails, a live DJ, a karaoke lounge, and a silent auction, among other activities. Funds raised will support a wide range of community health initiatives, including Project Access and the LifeBridge Physician Wellbeing Initiative. chattmd.org

20 DINK for a Cure! Round Robin vs. Tournament

DINK for a Cure! is about recognizing the need for research, resources, screening, advocacy, and support for all types of cancer in our community. This first-ever pickle ball tournament, to be played at the McCallie indoor courts, will raise funds for the local chapter of the American Cancer

Society. Tickets and sponsorship opportunities are available; contact cynthia.rix@cancer.org for updates. dinkforthecure.givesmart.com

24 Sportsbarn Turkey Trot

Before sitting down to Thanksgiving dinner, grab your family and head to the Sportsbarn on Lee Highway for this annual holiday road race hosted by the Kidney Foundation and the Chattanooga Track Club. Dogs are welcome, too! Proceeds benefit families and patients aided by the Kidney Foundation. kidneyfoundation. com/turkey-trot

Q. My adult daughter is very anxious about visiting the dentist. She hasn’t had a checkup in several years, and I’m worried about her oral health. Do you have any tips for making a trip to the dentist less scary, even for adults?

A. It is quite typical for people to avoid dental visits for fear of pain – usually until pain presents itself via cavities and other issues. Not waiting until this happens is, of course, ideal. In a case like this where it has been several years since the last checkup, then it is advised to seek an exam by a dentist who may offer methods to quell anxiety, such as sedation. But it takes bravery to step in that door for the first time in a while, so I always recommend finding an office that listens to your needs and welcomes you to meet the dentist and staff without being overwhelmed. Bring a family member to accompany you. If treat ment in necessary, then don’t expect that to happen the same day and plan for a day when you can be put at ease. Moving forward, maintain regular appoint ments even when healthy!

My mom has been living alone since my dad passed, and I’m worried that she doesn’t get out of the house much. I want to suggest moving into a retirement home, but she is in good physical health and doesn’t need daily supervision. Would a retirement home be beneficial in other ways?

DAMIEN ARMSTRONG, DMD Dentist, Mint Dental themintdental.com

A. Moving into a retirement com munity is not simply for those who have poor physical health or need daily supervision. This is a common misconcep tion about retirement living. Independent living is a type of senior housing designed specifically for those who can live on their own but want the amenities and socializa tion that comes with living in a community. Socialization is such an important part of maintaining a healthy routine. Independent living is perfect for seniors looking for an active, social lifestyle without the hassle of maintaining a home. These types of communities offer seniors a chance to live

in a supportive environment with likeminded individuals keeping them engaged and active. Independent living promotes socialization and provides opportunities for residents to engage with others through ac tivities, clubs, and outings. Seniors deserve the best in their retirement years. Indepen dent communities allow them to live life to its fullest.

BETH BAXTER Campus Director, Everlan of Hixson everlanliving.com

Lately I’ve noticed that my hairline has been getting thinner, and I’m only in my 30s. Is this normal for some women, and is there something I can do about it?

A. A receding hairline, as well as hair thinning, is common as we age in both men and women. The most common cause of hair loss in females is called female pattern hair loss (FPHL), and it affects mil lions of women. But there are other causes of hair loss as well, so it is important to have it evaluated. Dermatologists are the experts in diagnosing and treating hair loss, and most treatments work better if started early. Some treatment options include the following: topi cal and sometimes oral minoxidil, oral medi

cations such as spironolactone or finasteride, and oral supplements such as Nutrafol. Platelet-rich plasma (PRP) treatment is also a therapy that uses your own blood to help stimulate hair growth. After a blood draw, the blood is placed into a machine to separate out the PRP, which are injected back into your scalp to stimulate growth. Hair grows slowly, so it takes time to see results with all treat ments. In summary, it is important to get your cause of hair loss evaluated early, but the good news is there are treatments that work!

Q.

I am a woman in my 40s, and I recently found a lump under my right armpit. It feels like it could be a fat deposit, and I don’t want to worry about nothing, but could it be something more serious?

A. Breast tissue is often ‘comma’ shaped and extends into the axilla (armpit) in many women. This breast tissue can undergo changes related to hormone fluctuations, just as your other breast tissue does. Similarly, breast cancers can also grow in this tissue. Abnormal lymph nodes can also be located in this region. While the most commonly seen culprit with this complaint is simply normal breast tissue, any change in examination or new area of palpable concern should be evaluated with diagnos tic mammogram and ultrasound.

Q. My adult daughter recently found out that she is a match for someone who needs a kidney transplant. I’m proud of her for wanting to help, but I’m also worried. How would donating a kidney affect her health long-term?

A. Donors can rest assured that transplantation is a very safe and effective process, and donor complication rates are extremely low. In fact, the likelihood of complication is less than 1% – and there’s actually no difference in how the donor’s kidney will function throughout their lifetime when compared to someone with two kidneys.

To determine whether someone is able to donate a kidney, all potential donors go through a standard evaluation process. This typically involves a transplant surgeon like myself along with a nephrologist (doctor who specializes in kid neys), and includes blood tests and imaging to ensure the individual can donate and have a remnant kidney that will take care of them throughout their lifetime.

If considered a match, the transplant can be performed using minimally invasive techniques. We can remove the donor’s kidneys with three tiny incisions that can be covered by Band-Aids for less pain and quicker re covery, and patients typically go home the next day.

CARA HENNINGS, MD Board-Certified Dermatologist, Four Bridges Dermatology 4bridgesderm.com

ALAN KOFFRON, MD Transplant & HPB Surgeon, University Surgical Associates universitysurgical.com

ADRIAN MILLER, MD Board-Certified Radiologist, Hamilton Health Care System hamiltonhealth.com

Meet Our Doctors

LOVE, CARE, & HEALING OTHERS

Compassionate and experienced, these doctors have studied, trained, and specialized in providing the highest-quality healthcare. What follows are local men and women who are leading with the utmost in quality care.

CREATING A CONNECTION

DR. CHRISTOPHER GREENE

Hospice of Chattanooga, Ringgold

1 What sets your practice apart?

You could say that Dr. Christo pher Greene wears many hats –and that’s exactly how he prefers it. In addition to his work as a family medi cine doctor with CHI Memorial Fam ily Medicine, Dr. Greene delivers com prehensive hospice and palliative care at Hospice of Chattanooga’s Ringgold location. “In my different roles, I man age a wide range of conditions, which is fun,” he shares. “My patient family has become dear to me – I love my pa tients with the love of Jesus. My faith is important to me and to many of my patients.” When he’s serving the older population, Dr. Greene has found that a smile and laughter go a long way in connecting with his patients. He adds, “Taking the time to listen and address their concerns makes all the difference in connecting with and comforting the patient.”

I am a family medicine doctor with over 25 years of experience in a group of wonderfully supportive colleagues and staff members.

2 What is your best advice for patients?

Make sure you have a good relationship with your medical provider and good communication and rapport with both the provider and staff. Make sure you have communicated your issues clearly to your provider.

3

Why did you choose to become a doctor?

Family tradition would be the earliest reason I can recall. We go back to the 19th century; my great-grandfather, William Jackson Greene, graduated from a medical school in Chattanooga and started practicing in the late 1800s.

4 What accolades mean the most to you?

I am proud to be a medical doctor, but being a father and husband are the most important accolades to me.

5

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

Human touch connects us on many levels. Physical touch and contact, like a hand on the shoulder, creates a strong connection. In a primary care family medicine setting, always remind your patient that they are going to improve – reassure them and provide hope. In a hospice setting, provide a ministry of love and care for those patients.

Any time I can minister to someone, or see someone healed, is a happy moment.”

NAVIGATING CANCER CARE

DR. TODD BOREN

Erlanger Women’s Oncology

Dr. Todd Boren shares that his grandmother inspired his deci sion to pursue gynecologic oncology. He explains, “In college, I witnessed my grandmother’s courageous battle with ovarian cancer. That was my first exposure to cancer and instilled in me a desire to ‘make cancer patients better.’” Dr. Boren later shadowed a gynecolog ic oncologist in medical school, which further drew him to the specialty. After 10 years spent in his own practice, Dr. Boren believes that patience and em pathy are some of the most important qualities an oncologist can possess. “If I ever have an oncologist, I want to feel that my oncologist has time for me to express my concerns, cares about me, and understands what I’m going through,” he says. “I want my patients to feel that way about me.”

1 What sets your practice apart?

I am so impressed at how quickly our office staff is able to get patients scheduled once they are diagnosed with cancer. We can typically see them the same day or the next day once they are referred to us. Our staff and providers understand and appreciate the gravity of a cancer diagnosis and work hard to be as accommodating as possible.

2

What is one of your happiest professional moments?

It’s not really one particular moment, but I would say every time a patient comes out on the other side of cancer treatment and they can look forward to their future again is the happiest moment I can have professionally.

3

What is your best advice for patients?

Get your mammograms, pap smears, and colonoscopies! Screening saves lives.

4

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

We see people at their most vulnerable times in life, so I think a warm smile and a handshake when walking into a room go a long way toward putting a patient at ease.

5

What accolades mean the most to you?

When a patient or colleague asks me to care for one of their own family members, that is the greatest accolade I can get. Doctors

I love helping patients navigate some of the most difficult times in their lives.”

BUILDING BRIDGES

1

B orn out of a desire to give back and help better people’s lives, Dr. Jen esis Yanez enrolled in medical school – but it’s in her specialty that she’s truly found her calling. “DevelopmentalBehavioral Pediatrics is a special field,” Dr. Yanez shares. “Child development is the foundation of our children’s lives. This is a specialty where you can work closely with families and really help maximize their child’s quality of life.”

Part of what makes Dr. Yanez’s profes sion so rewarding are the small wins she gets to celebrate with her patients day in and day out at Siskin Children’s Institute. She explains, “Communica tion is so important for us all. To see a child who is unable to express them selves grow in their communication skills and make great progress over time – that is unforgettable for me.”

DR. JENESIS M. YANEZ

Siskin Children’s Institute

What do you love most about your profession?

I love the honesty and willingness that our patient families bring forth. With that commitment and motivation, we can work together to champion anything.

2

What is your best advice for patients?

Love your children and be patient with them and yourself. Children are sponges and mirrors of their surroundings. Love and patience are foundational and help us build bridges.

3

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

Our profession is expanding in response to the growing demand we continue to see for children with different needs. We are working with each other and with providers of different medical backgrounds. Together we are creating effective and versatile teams.

4 What accolades mean the most to you?

I am proud and blessed to have completed my fellowship in Developmental-Behavioral Pediatrics this past June 2022. I am now doing what I love and serving my state the best way I can.

5

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

We need to take the time to get to know and understand our patients. We need to listen to their story. Doctors

It is so powerful to see our patients’ lives touched and changed.”

BREAKING TABOOS

DR. CARSON T. KAESER

Erlanger Women’s Health

A ccording to Dr. Carson Kaeser, many of the issues he addresses in his practice – such as incontinence, vaginal prolapse, and others – are un fortunately thought of as “taboo.” He adds, “These same conditions are also thought to be part of the normal aging process, which isn’t the case. These is sues should be brought up with your doctor if they are bothering you. You should not suffer in silence.” Dr. Kaes

er wants his patients to know that they have options, and that for most pa tients, their issues can be significantly improved with the proper care. “Uro gynecology is a great field of medicine because I address quality of life issues of my patients that are usually inter fering with their daily life,” he shares. “Many times the treatments I can offer, whether medical or surgical, can make a big difference in a woman’s life.”

1 What sets your practice apart?

My practice is focused only on women’s health as it pertains to urinary incontinence, pelvic organ prolapse, pelvic pain, vaginal atrophy, urinary tract infections, fistulas, and a host of other symptoms.

2 Why did you choose to become a doctor?

I was in construction for years prior to going into medicine. I was at work one day and something told me that I needed to do something that could make a huge difference in people’s lives. It occurred to me that I needed to go into medicine.

3

What would you consider to be your main strengths?

I think that one of my main strengths is listening. I want to treat every patient the way I would want my wife or mother to be treated.

4 What accolades mean the most to you?

Providing compassionate care to my patients is my number one goal, but I also take great pride in teaching my OBGYN residents. As an assistant professor at the University of Tennessee College of Medicine, Chattanooga, winning the National Faculty Award for Excellence in Resident Education from the American College of Obstetrics and Gynecology was very important to me.

5

Taking the time to listen to patients, asking important questions, doing a thorough physical exam, and making sure the patient’s goals are met and that they are satisfied with the compassionate care that they receive. Doctors

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

I want my patients to feel like they are being heard.”

MY CREDENTIALS

Medical Degree: Ross University School of Medicine –Portsmouth, Dominica

Certifications: Board-Certified in Obstetrics and Gynecology

Recognitions:

ACOG National Faculty Award for Excellence in Resident Education (2021)

AAGL Excellence in Minimally Invasive Gynecology Award (2016)

W. Powell Hutcherson Gynecologic Oncology Award (2016)

Golden Speculum Award (2016)

Baroness Award for Teaching Excellence as a Resident (2013) THE

RESTORING CONFIDENCE & SMILES

1

Dr. Bill Childress’ daily routine be gins with a workout and a Chris tian devotional. “Then once I get to work, I review the day’s surgeries and meet with the team to go over each case,” he shares. Consultations and surgeries take up the remainder of his day. No matter the size or scope of the surgery he’s performing, Dr. Childress tries to see things from his patient’s perspective. “I do surgery all day long, and it’s easy to take the small proce dures for granted,” he explains. “But for each patient, that surgery is a big surgery – and that’s exactly how I treat it.” Putting patients at ease is impor tant to Dr. Childress, starting with the initial consultation. He says, “I always look my patients in the eye, introduce myself, and ask how I can help. And then I listen.”

DR. BILL CHILDRESS

IMPLANTS & ORAL SURGERY OF CHATTANOOGA [FORMERLY EAST BRAINERD ORAL SURGERY]

What do you love most about your profession?

I get to relieve pain and suffering – and see immediate results most of the time. By collaborating with general dentists, I’m able to help restore a patient’s confidence and smile.

2

What is one of your happiest professional moments?

Retiring from the U.S. Air Force after 21 years, as well as starting a private practice in 2010 that is still going strong after 12 years and a tornado.

3

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

Digital X-rays and scanners replacing film and impression materials. Rather than having a big gloopy tray of play-doh in a patient’s mouth, we can now scan with a handheld device and produce a model for restoring teeth.

4

What would you consider to be your main strengths?

I’m grateful to God for my talents and gifts, and I offer prayer with each of my patients. I sincerely think prayer before surgery helps with a positive outcome and recovery.

5 Why did you choose to become an oral surgeon?

I spent a lot of time with two of my uncles growing up, both of whom practiced dentistry into their 80s. While I always admired their work ethic, I’ll probably retire before that! Doctors

It means a lot when a patient says that they were really dreading a procedure, but we made it pleasant.”

MY CREDENTIALS THE

FINDING ANSWERS

Dr. Jeffrey Lee, Children’s Hospital at Erlanger newest pediatric gas troenterologist, keeps a daily routine that usually starts the night before. “I like to preview and read up on the pa tients I will be seeing the next day so I have an idea of why they are seeing me,” he explains. This kind of inten tionality can be seen in many other areas of Dr. Lee’s work, including his philosophy regarding his patients. He shares, “I try to think about what I would want for my own children. This, combined with the standard of care we are trained to provide, allows me to make the best possible choice for my patients and helps parents understand and feel comfortable with their child’s plan of care.” Dr. Lee looks forward to continuing his work at Erlanger and continuing to find answers for his young patients.

DR. JEFFREY LEE

Children’s Hospital at Erlanger Children’s Gastroenterology

1 What do you love most about your profession?

I love how my field can encompass so many aspects of one’s health. From intestinal disease to liver dysfunction to nutrition and growth, there’s quite a variety that keeps me on my toes and drives me to continue to learn.

2 What is your best advice for patients?

I want my patients to know that there are so many factors that play into gastrointestinal health. From our microbiome to our diet, lifestyle, and even our mental health, there is so much that plays into having a healthy gut.

3

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

We have many new tools and tests at our disposal to help diagnose and treat our patients. Much of the technology is focused toward non-invasive means, which reduces risks and complications we couldn’t otherwise avoid before.

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

Having a kind and welcoming attitude. Being understanding and empathetic toward families and patients. Having those traits help patients feel they can trust me as their provider.

5

What would you consider to be your main strengths?

While seeing patients, I really attempt to educate them so they can better understand my thought process. Doctor in Latin means teacher, and that is our job: to educate others and help them understand. By doing this, I find that patients feel comfortable with their management plan. Doctors

I have always been interested in helping others in a hands-on fashion.”

MY CREDENTIALS

Medical Degree: Morehouse School of Medicine – Atlanta, GA

Fellowship: Medical University of South Carolina

Certifications: Board-Certified Pediatrician Board-Eligible for Pediatric Gastroenterology

Recognitions: Member, American Academy of Pediatrics Member, North American Society for Pediatric Gastroenterology, Hepatology and Nutrition

MY SPECIALTIES Pediatric Gastroenterology CONNECT 423.778.6011

Children’s Hospital at Erlanger Children’s Gastroenterology 910 Blackford Street Chattanooga, TN 37403 childrensaterlanger.org THE DOC

DELIVERING CUTTING-EDGE CARE

1

Dr. Garth McPherson decided to become a doctor when he was just 5 years old. “My parents were doc tors, and I loved hearing stories about their patients,” he explains. “I’ve been practicing for 31 years now and still love what I do.” As a radiologist, Dr. McPherson spends a lot of time read ing CT scans, mammograms, ultra sounds, PET scans, MRIs, and X-rays, but it’s the interactions he has with his patients that motivate him to keep go ing. He shares, “The nice notes and thankful patients make my day. Chat tanooga has a great community – the people and the medical community. My wife and I have raised our nine children here, and I’m glad to be part of the team of medical professionals who serve our area.”

DR. GARTH MCPHERSON

PrimeImaging

What do you love most about your profession?

Helping people. With radiology, we can see what is actually happening inside the body. Many patients come to us, convinced of the worst, and I often get to allay their fears.

2 What is your best advice for patients?

Though it’s fine to research your symptoms with Google, don’t trust it over your doctor.

3

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

All the tailored therapies for cancer are much less toxic and much more effective. We are seeing outstanding cure rates, and I get to follow up with these patients over the years.

4

How does your staff enhance your practice?

Our staff members are the eyes and ears of our practice. Their warm smiles, encouraging words, and gentle interactions with patients make the difference. I am honored to work with a talented team.

5

Why have you chosen this field of specialty?

When I came through medical school, technology in radiology was accelerating with the advent of CT scans. I wanted to be part of this new technology. During my residency, MRI came out, and computers were becoming more powerful. When PET scans became possible, our group was the first to bring a PET scanner to Chattanooga. I have lived through a revolution in radiology technology. Doctors

I care for my patients like my own family.”

IMPROVING TREATMENT OUTCOMES

DR. HENRY OKAFOR

A Chattanooga resident for the last five years, Dr. Henry Okafor is part of the urology team at Erlanger. “I chose this specialty ini tially because the treatment of pelvic floor disorders and incontinence in women is often overlooked in the field of urology,” explains Dr. Oka for. “I’ve always had an interest in science, and I like helping people as well.” He has also come to appreci ate the variety his role provides –every day is unique. “I typically see patients in the clinic three days a week and operate two days a week,” he shares. When meeting with new patients, Dr. Okafor makes a point to treat them like he would his own family. “I strive to be approachable and welcoming, as does my staff –a positive and friendly attitude will always enhance the patient’s experi ence in the doctor’s office,” he says.

1 What sets your practice apart?

We offer comprehensive urologic care to both men and women in the Chattanooga area. We employ the use of the latest technologies and treatment options to improve treatment outcomes.

2 What is one of your happiest professional moments?

I have several memorable moments, but the best one I can recall is from a patient who had two or three failed surgeries to correct a complication she had after a hysterectomy. It took some convincing to get her to go for one more using an advanced surgical robot to correct the problem. The surgery was successful this time, and she was so happy that she had her life back.

3

What is your best advice for patients?

Be honest and open with your physician. We are better able to address your problems when we get all the information required.

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

There are so many new developments in urology. In my particular field of urology, it would have to be the development of a vaccine against urinary tract infections for women who are prone to getting them.

5

What would you consider to be your main strengths?

The ability to relate to people from all walks of life, and I take responsibility for everyone under my care.  Doctors

I’m grateful for the ability to make a patient’s life better.”

Erlanger Urology

CHANGING LIVES

1

Dr. Andrew Megison performs oral and maxillofacial surgery at the Center for Oral, Facial, and Implant Surgery. One of the major parts of outpatient surgery is anesthe sia, something Dr. Megison realizes can be anxiety-inducing for patients.

“We strive to provide the safest forms of IV sedation and general anesthe sia to both children and adults by involving teams of assistants, regis tered nurses, and a full-time CRNA in our treatment rooms, fully accred ited outpatient operating room, and post-anesthesia care unit,” he shares.

“From beginning to end of treatment, the patient’s safety comes first.” The center also offers elective procedures such as corrective jaw surgery that are life-changing to the patient. Dr. Megi son adds, “It’s very rewarding to me as a doctor to see patients’ lives changed through the work we do.”

DR. ANDREW MEGISON

Center for Oral, Facial, and Implant Surgery

What sets your practice apart?

Our facilities. With our staff of assistants, registered nurses, and CRNAs, we are able to provide hospital-level care on an outpatient basis.

2

What do you love most about your profession?

I enjoy the diverse range of not only procedures offered, but also the age and health of the patients. In one day, we are able to treat a 1-year-old and a 99-year-old.

3

What is your best advice for patients?

I would advise patients to ask many questions and get involved in their treatment plan. Some of the most satisfying and successful consults and surgeries take place when it starts with an open-ended conversation.

4

What would you consider to be your main strengths?

My main strength is definitely my training. I was fortunate to train at one of the best residency programs in the country, where autonomy was stressed in order to ensure that all procedures and complications can be completed from start to finish.

5

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

My daily goal is to treat patients how I would have my own family members treated. When the patient is put first, everything works out for the better.

I enjoy connecting with patients on a personal level.”

MY CREDENTIALS Degree: Louisiana State University School of Dentistry – New Orleans, LA Louisiana State University School of Medicine – New Orleans, THE

ESTABLISHING TRUST

1

Growing up, Dr. Cleopatra Thur man saw a disparity in health care that she was eager to improve. “I became a doctor because I wanted to fill that gap and use my talents to serve others,” she shares. “One of the hap piest moments of my life was when I was accepted into medical school.” As one of Erlanger’s newest vascular neu rologists, Dr. Thurman sees patients at Erlanger Southeast Regional Stroke Center with a wide range of neurolog ic conditions, as well as patients who have suffered from stroke. Whether in the clinic or on her rounds, she strives to put the patient first. “My compas sion for the patient, combined with a passion for what I do, is one of my greatest strengths,” explains Dr. Thur man. “It’s important to me to listen to my patients and establish a relation ship of trust from our very first en counter.”

DR. CLEOPATRA THURMAN

Erlanger Neurology

What sets your practice apart?

My dedication to my patients. I work at ensuring that the care I provide is centered around their goals.

2

What do you love most about your profession?

That’s simple: the privilege to serve others.

3

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

The landscape of stroke care is changing. With new tools and research, we will be able to expand the patient population eligible for acute therapy and hopefully continue to decrease poststroke disability and enhance quality of life.

4

Why have you chosen this field of specialty?

From an academic standpoint, I wanted to do something that not only challenged me but also would inspire me to be a constant learner. In addition, I had personal life experiences sparking my curiosity and ambition to understand and learn how to care for patients with neurologic diseases.

5

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

To care for and with the patient. To focus on the goals and needs of the patient and align my treatment plan with what is important to them.

I take pride in educating my patients so that together we can meet their goals.”

STRIVING FOR BETTER HEARING

1

A recent graduate of the Univer sity of Tennessee Health Science Center, Dr. Kelsey Brittingham has been working with hearing impaired patients of all ages since 2017. “I chose to become a doctor because it gave me the best opportunity to educate patients about their hearing health,” she explains. In her role at Clevelandbased Ahlberg Audiology, Dr. Brit tingham works to create long-term relationships with her patients, pro viding her the ability to cater to her pa tients’ ever-changing hearing. “A treat ment plan should be tailored to each individual,” shares Dr. Brittingham. “People tend to think that hearing aids are like glasses – you put them on, and you automatically have normal hear ing perception. However, there are many different individualized treat ment plans for hearing aid users to get the most optimal hearing out of their amplification devices.”

DR. KELSEY BRITTINGHAM

Ahlberg Audiology

What do you love most about your profession?

I love giving someone back the ability to hear and to communicate with their family and friends. This not only allows me to reconnect them with sound, but more importantly, relationships.

2

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

Listening and creating a safe space for patients is essential. Building trust in that initial appointment will help form and maintain a good relationship over the course of an individualized treatment plan.

3

What accolades mean the most to you?

The rewarding moment when a patient realizes what they have been missing out on because of their hearing loss. I’ve even had a patient say that he didn’t realize our shoes made sound when we walked!

4

What would you consider to be your main strengths?

I specialize in diagnostic hearing and tinnitus evaluations. This is the foundation of audiology, and this testing is essential for patients to understand their hearing health.

5 Why have you chosen this field of specialty?

I have had a hearing loss since l was a child, but no one ever suggested hearing aids to me. I went into audiology in order to educate people about all of their treatment options and make sure they are making an informative decision for their personal lives. Doctors

I strive to use best practices with every patient who comes through our office.”

S. Clark Kennedy, MD Dr. Clark Kennedy has joined CHI Memo rial Surgical Associates. A graduate of the University of Tennessee College of Medicine, Dr. Kennedy is certified by the American Board of Surgery and is a member of the American College of Surgeons.

Angela D. Stevens, DNP

Dr. Angela Stevens has been named the director of nursing at Siskin West. Dr. Stevens has more than 15 years of nursing experience, and in 2017, she completed her Doctor of Nursing Prac tice from the University of Tennessee at Chattanooga.

Cleopatra Thurman, DO

Dr. Cleopatra Thurman, a board-certified and fellowship-trained vascular neu rologist, has joined Erlanger Neurology. She received her medical training from Michigan State University before com pleting a neurology residency at Sparrow Hospital in East Lansing.

Chris Bell, MD

Dr. Chris Bell has joined University Surgi cal Associates. He specializes in trauma and acute care surgery. A Chattanooga native, Dr. Bell previously served as a trauma surgeon and the Trauma Medi cal Director at William Beaumont Army Medical Center in El Paso, Texas.

Mesia Stone, MSN, APRN, FNP-BC Mesia Stone has joined the Vascular Institute of Chattanooga’s Chattanooga office. Stone is a nurse practitioner who has more than 15 years of nursing expe rience and is affiliated with the American Nurses Association and the Tennessee Nurses Association.

Ashley Tibbetts, MSN, AANP, FNP-C Ashley Tibbetts has joined the team at Alchemy MedSpa & Wellness Center. Tibbetts is a graduate of the University of Tennessee at Chattanooga, where she received the magna cum laude distinc tion, and she has over nine years of nursing experience.

Michael E. Barfield, MD

Dr. Michael Barfield, vascular and endo vascular surgeon, has joined University Surgical Associates. A Georgia native, Dr. Barfield previously served as assistant professor of surgery at NYU Langone Medical Center and as Chief of Vascular Surgery at NY Harbor Health System.

Jenesis Yanez, MD

Siskin Children’s Institute would like to welcome Dr. Jenesis Yanez to its Chatta nooga-based medical clinic. Dr. Yanez is board-certified in general pediatrics and specializes in developmental-behavioral pediatrics as well as autism, ADHD, and child development evaluations.

CHI MEMORIAL MEDICAL GROUP

SISKIN HOSPITAL

ERLANGER HEALTH SYSTEM

UNIVERSITY SURGICAL ASSOCIATES

VASCULAR INSTITUTE OF CHATTANOOGA

ALCHEMY MEDSPA & WELLNESS CENTER

UNIVERSITY SURGICAL ASSOCIATES

SISKIN CHILDREN’S INSTITUTE

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.

Pregnancy Complications Fact or Fiction?

SHEVONDA SHERROW, MD

Obstetrics & Gynecology Specialist, Innovative Women’s Health Specialists

JOSEPH KIPIKASA, MD

Maternal Fetal Medicine Specialist, Erlanger Health System

Pregnancy can be nerve-wracking, especially for first-time parents. With the wealth of advice available online, not to mention advice from loved ones and strangers alike, it’s easy to become overwhelmed by information –whether it’s true or not. Here, Dr. Shevonda Sherrow with Innovative Women’s Health Specialists and Dr. Joseph Kipikasa with Erlanger Health System help us separate fact from fiction when it comes to pregnancy and potential complications.

BY CATHERINE SMITH

Some mental health medications are safe to continue during pregnancy.

This may be surprising, but some medications used to treat disorders like major depression and anxiety can, and should, be continued during pregnancy. “Many believe that all anxiety and depression medications are unsafe in pregnancy. This is not true,” says Dr. Sherrow. “Several medications for these problems are safe and recommended to continue in pregnancy.”

Often, the risks associated with untreated mental illness during and directly after pregnancy are greater than the potential risks of taking these medications. For example, a woman with untreated depression is less likely to get adequate prenatal care and more likely to engage in dangerous behaviors like smoking or drinking. Untreated depression is linked to premature birth and low birth weight, and the babies are exposed to higher levels of cortisol in the womb, which can increase their risk of developing psychiatric disorders later in life.

While some medications are considered to be safe for use during pregnancy, others are absolutely not. For this reason, Dr. Sherrow advises consulting your doctor about any prescription medications if you are pregnant or may become pregnant. “The bottom line is if you are taking any medications, you should speak with your OB-GYN prior to pregnancy or prior to discontinuing the medication on your own during pregnancy,” she says.

FICTION

Pregnancy cravings are based on what your baby wants or needs.

While there is nothing wrong with indulging pregnancy cravings in moderation, the belief that the baby wants or needs a specific type of snack can lead to unhealthy eating habits that can actually be detrimental. Scientists largely believe that hormonal changes, changes to taste and smell perception, and food aversions are the more likely culprits for cravings. The best way to ensure that the baby is get ting everything they need is to keep up with your prenatal

Particularly odd cravings can be a sign of nutrient defi ciency, but this is also true in people who are not pregnant. “If you crave ice, or even non-food items like starch, we would look into iron deficiency anemia. Anemia can be exacerbated by pregnancy because the baby is essentially an iron sink,” Dr. Kipikasa says. “The baby is trying to get what it needs and Mom is the source, so it’s not uncommon for women to be iron deficient during pregnancy. If a woman is starting out with a deficiency, it’s likely to worsen with pregnancy.”

FICTION

Because the umbilical cord is attached to the placenta, arm movements will not impact it in any way. However, it is important to note that expecting mothers should not participate in pro longed heavy lifting. Additionally, lifting objects overhead or reaching for objects can increase the risk of falls, as changes in body size and weight during pregnancy can impact balance.

An umbilical cord that is wrapped around the baby’s neck, known as a nuchal cord, is a surprisingly common occurrence that is gener ally harmless. The most common cause of nuchal cords are fetal movements, and there is no way to prevent or correct this while a baby is still in the womb. Because this is a common occurrence, your doctor will likely check the baby’s neck once the head is delivered to avoid potential issues. In most cases, the cord will be loose enough to slip off and the birth will proceed without incident.

FICTION

Women should avoid exercise during pregnancy.

Exercise is an important part of maintaining your health, and this is just as true during pregnancy. Even if you didn’t have an exercise program before pregnancy, you can benefit from activities like walking at a moderate pace, using an ellip tical machine, and participating in Pilates or yoga. However, a pregnant woman should take care not to get overheated or dehydrated, as this can be very dangerous.

Generally, it is safe to continue your existing workout routine as long as the pregnancy is uncomplicated. “If you did it prior to pregnancy, you can continue as long as it is not an activity that could cause you to hurt your abdomen,” Dr. Sher row says. “If you can do the activity and have a normal con versation while doing it – i.e. do not sound as if you are having a hard time breathing – it is generally okay to continue.”

Pregnancy is uncomfortable, and that is normal.

According to Dr. Kipikasa, “Pregnancy is a major change in the body. You accumulate extra weight and extra fluid, and as a result, there are mechanical changes that occur in the body that can cause discomfort, sometimes even signifi cant discomfort.” Discomfort is to be expected, but pain is not. Dr. Sherrow explains, “Pain is the universal sign that something is wrong. Soreness is different from pain, and if a pregnant woman is experiencing pain, she should contact her obstetrician’s office right away.”

If you are experiencing symptoms like ab dominal pain that doesn’t ease up on its own or severe headaches that don’t improve with Tylenol, it is best to consult with your doctor. It is also best to err on the side of caution if you’re unable to differentiate between discomfort and pain, according to Dr. Kipikasa. “I always tell people to ask if they are unsure. The worst we’re going to tell you is that it’s normal and nothing to be worried about, but sometimes there might be something going on that we should address or look into,” he says.

If you have any questions about your pregnancy, it is always best to speak with your doctor. While there is a wealth of information available online, it is not necessarily accurate, and even taking advice from other mothers can be tricky as each preg nancy is different – what is normal for one mom may not be normal for you.

“Your doctor should always be your first line, and it is important to form a positive relationship between doctor and patient,” Dr. Kipikasa says. “That’s the person who is going to be deliver ing your baby. They have your patient history and can be very helpful in figuring these things out.” There’s no such thing as a ‘silly question,’ and you should always feel comfortable bring ing up any concerns to your doctor.

Raising your arms over your head can cause the umbilical cord to wrap around your baby’s neck.

Balancing Act Exploring Hormonal Imbalances

BY CATHERINE SMITH

Todate, scientists have identified over 50 hormones in the human body. These naturally occurring chemicals control a number of essential bodily functions, from metabolism and energy level to growth and development, but there is a delicate balance. Hormonal imbalances occur when there is too much or too little of a hormone in the body, which can cause both temporary conditions and chronic disorders. Here, we spoke with local experts to learn more about some of the most common hormonal imbalances and their effects on the body.

THYROID HORMONE

Metabolism is the bodily process of breaking down food into energy, which is largely regulated by the thyroid gland and thyroid hormone. “The thyroid turns iodine from the foods you eat into two types of thyroid hormone,” says Dr. Abhinaya Jawahar, an endocri nologist with Erlanger Endocrinology. “When you have just the right amount of those hormones, your body efficiently uses the energy from foods. But when you have either too little or too much, prob lems result.” Thyroid hormone plays a key role in regulating energy levels, body weight, and even how adipose tissue, or fat, is stored in the body. “Most people never think about their thyroid. But when it goes haywire, it can affect nearly every part of your body,” says Dr. Jawahar. About 20 million Americans have thyroid disorders, but women are roughly five times more likely to deal with these hormonal imbalances.

Hyperthyroidism: When the body produces too much thyroid hormone, it can result in an increased metabolism characterized by increased energy expenditure. According to Dr. Jawahar, hyperthy roidism can cause difficulty sleeping, extreme hunger, increased sweating, irregular periods, muscle weakness, rapid or irregular heartbeat, and unexplainable weight loss.

Hypothyroidism: When the body does not produce enough thy roid hormone, it can result in a slowed metabolism characterized by reduced resting energy expenditure, weight gain, increased choles terol levels, and reduced fat burning. Symptoms of hypothyroidism include constipation, fatigue, weight gain, dry skin, forgetfulness, and sensitivities to temperature.

REPRODUCTIVE HORMONES

Reproductive hormones include es trogen, testosterone, and progesterone, which play important roles in develop ment, sexual activity, and reproduction. Though all of these hormones are natu rally present in both male and female bodies, there are a number of condi tions that can occur when they become out of balance.

Polycystic Ovary Syndrome (PCOS): This is a condition in which the ovaries produce abnormal levels of male sex hormones. “Symptoms of polycystic ovary syndrome are lack of menses or sporadic menses every three or four months, excessive body weight, excessive facial hair, and acne,” says Dr. Ana Cornea, an endocrinologist with Parkridge Medical Group. “If left untreated, polycystic ovary syndrome is associated with infertility, risk for diabetes, and increased risk of uterine cancer.” According to Dr. Cornea, PCOS can be hereditary, so it is best to keep an eye out for these symptoms if you have a family history of the disorder. “Treatment

for polycystic ovary syndrome includes birth control pills, metformin if there are glucose abnormalities, and spironolac tone if patients have problems with facial acne or excessive facial hair,” she says.

Male Hypogonadism (Low Testosterone): The male body naturally pro duces less testosterone with increased age, but other factors like stress, acute and chronic conditions, and excessive body weight can also affect testoster one levels. “Symptoms of low testos terone level in a male patient typically involve low energy level, decreased libido and sexual activity, depression, and weight gain,” says Dr. Cornea. Low testosterone can be treated with tes tosterone replacement therapy, but Dr. Cornea warns that it is important to do adequate testing to be sure this is nec essary, and it is very dangerous to use testosterone for things like bodybuild ing. “Taking external testosterone will actually suppress their production of testosterone, and they will have to take testosterone for the rest of their life.”

ABHINAYA JAWAHAR, MD Endocrinologist, Erlanger Endocrinology

ANA CORNEA, MD Endocrinologist, Parkridge Medical Group – Specialty

At Senior Life Planner©, we will walk you through the steps necessary to identify the questions you should be asking so that you can plan with confidence.

Whether you are trying to decide what to do after a health scare, or simply want the peace of mind that proactive planning gives you, we can help. their future?

Health Decisions – Housing Choices – Legal Planning

At Senior Life Planner© we have the knowledge, experience, and expertise to help you create a comprehensive plan that addresses the needs of the whole family. Contact us today for a free 20-minute confidential consultation.

DIABETES

Diabetes is a condition that develops when the pancreas is not able to produce an adequate amount of a hormone called insulin. Without enough insulin, our bodies cannot properly utilize the glucose in our bloodstream, which leads to high blood sugar levels that can be very damaging to the body. According to the CDC, over 11% of Americans have diabetes, making it the most common disorder caused by hormonal imbalance.

When the body does not have enough insulin, hy perglycemia, or high blood sugar, can cause a host of problems. If hyperglycemia is not addressed, it can lead to severe complications including damage to the eyes, kidneys, nerves, and heart. Early warn ing signs to watch out for include frequent urina tion, increased thirst, blurred vision, and fatigue.

Type 1 Diabetes: Type 1, also called juvenile diabetes or insulin-dependent diabetes, occurs when the body’s immune system at tacks the pancreas, rendering it incapable of producing adequate insulin. As the disease progresses, more and more damage will be done to the pancreas until it produces little to no insulin. The cause of type 1 diabetes is unknown, but people who have another autoimmune disease are at a greater risk of developing it. Type 1 diabetes can happen at any age, but it is most often diagnosed in chil dren and adolescents. There is currently no cure for type 1 diabetes, and though there are experimental drugs to slow its progression, there is no way to prevent it, either.

Type 2 Diabetes: The more common form of diabetes is type 2, which occurs when the body cannot properly use the insulin pro duced by the pancreas. While the pancreas can still produce some insulin, it is not enough to counteract the body’s resistance to the hormone. The greatest risk factors for devel oping type 2 diabetes are being over the age of 45 and overweight, but having a family his tory of the condition also increases your risk.

Whilethere is no one-size-fits-all list of symptoms when it comes to hormonal disorders, there are several warning signs that can alert you that something may be wrong.

You should contact your medical provider if you experience the urge to urinate frequently, extreme thirst, persistent nausea or abdominal pain, sudden unexplained changes in weight, persistent exhaustion, abnormal sweating, episodes of rapid heart rate or blood pressure, or developmental delays. It is important to keep up with routine testing, particularly if you have a family history of hormone-related disorders.

MEDICAL OFFICE SPACE FO R LEASE OR BUILD TO S UI T the power of state-of-the-art medical space. ample parking and easy access to I-75, 153, the Gunbarrel Pointe Centre an ideal location for team is always on location and one call away, allowing you to focus on what matters most – your patients.

Understanding Fibromyalgia

Most people have heard of fibromyalgia and understand that it is associated with chronic pain, but there is a surprising amount of mystery surrounding the disorder. Here, we spoke with Dr. Matt McClanahan of the Center for Insight Medicine and Katie Sohler of BenchMark Physical Therapy to learn more about fibromyalgia – from getting a diagnosis to living with the condition.

BY CATHERINE SMITH

What Is Fibromyalgia?

Fibromyalgia is a chronic condition that affects roughly 4 mil lion adults in the United States each year, according to the CDC. The condition is best known for causing pain throughout the body, but people with fibromyalgia also experience increased sensitivity to pain, or a lower pain tolerance, along with trouble sleeping, muscle stiffness, and mental fog that can create diffi culty with memory and concentration. Accord ing to Sohler, these symptoms can significantly impact a patient’s daily life. She says, “Some one with fibromyalgia may have increased exhaustion as the day goes on, affecting their ability to do their job, go to their kid’s sporting event, cook dinner, or do activities around the home or in their community.”

The symptoms of fibromyalgia are all very real, but the mystery of this condition lies in the question of what is causing them, accord ing to Dr. McClanahan. “In fibromyalgia there is no damage occurring in the body. You’re expe riencing pain – which is the brain’s signal that the body is in danger and action is required – but there is no tissue pathology,” he says. In order to make sense of this, it is important to understand the role that pain plays in the central nervous system. “The first thing I do is assess for tissue injury and ongoing damage. But when I am confident this has been ruled out, I begin a process of ruling in fibromyalgia, looking for inconsistencies in the structural assumption. I then help patients understand how ALL pain is an output of the brain and

MATT MCCLANAHAN, DO Osteopathic Physician, Center for Insight Medicine KATIE SOHLER, PT, OCS, CIMT Physical Therapist, BenchMark Physical Therapy

contextualize how the sources of threat and stress in their life are sensitizing their brain,” Dr. McClanahan explains. Pain is a natural response from the brain that signals some sort of threat to the body –though that doesn’t mean it’s all in your head. Typically, we feel pain when we have an injury, but Dr. McClanahan says, “With fibromyalgia, the brain has inaccurately concluded that the body is in danger all the time. Factors like past and present stress amplify this danger alarm, so it acti vates pain in many different areas.”

Risk Factors

Currently, medical experts don’t know for certain what causes fibromyalgia, and this makes it a bit more difficult to pinpoint who is at increased risk of devel oping the disorder. Though middle-aged women account for over 75% of patients diagnosed with fibromyalgia, this disorder can happen to anyone at any time. How ever, there are certain risk factors that increase a person’s likelihood of devel oping the disorder which include mood disorders like anxiety and depression, poor sleep, lack of exercise, and stressors like traumatic life events. Furthermore, roughly 20% of patients who have chronic disorders like rheumatoid arthritis or lu pus are also diagnosed with fibromyalgia. Medical professionals largely believe that stress is big component of developing fibromyalgia.

Diagnosis

Because fibromyalgia does not cause physical damage to the body, it can be particularly difficult to diagnose. “Fibro myalgia is what’s called a ‘diagnosis of exclusion,’ which means other conditions have been excluded prior to its diagnosis,” Dr. McClanahan explains. “The first time

a patient complains of widespread pain in the absence of an obvious injury, as a professional, things like cancer, autoim munity, and/or infection must be ruled out before even considering fibromyalgia.” To do this, doctors typically do a full evalu ation, including a history and physical exam, bloodwork, and possibly imaging studies to rule out these pathological con ditions. When the evidence does not point to a pathological condition and the rest of the symptoms fit, fibromyalgia must be considered.

Patients with fibromyalgia often have to deal with the stress of waiting to find out what is wrong on top of the stress from being in chronic pain. “I’ll get patients that have been to Vanderbilt or even the Mayo Clinic and nobody has been able to figure out what’s wrong with them. Many of them seek treatment from a rheumatologist, but the medications aren’t helping or the pain is getting worse despite treatment,” says Dr. McClanahan. Unfortunately, this stress can actually cause fibromyalgia to worsen in the meantime, as stress increases the danger alarm in the brain. “If deep down a patient is worried that they have an undiagnosed cancer or that they might be the one in 10 million people who have some incredibly rare disorder, that worry perpetuates the threat response from the brain and can lead to more pain.”

Though it can be a long and stressful process, getting a fibromyalgia diagnosis offers light at the end of the tunnel for many patients. According to Dr. McCla nahan, “At times, when a patient is finally diagnosed with fibromyalgia, they report some symptom improvement because there is relief and validation in finally hav ing an answer, and even a hope for treat ment. This actually makes the brain feel safer, decreasing its pain output.”

At Chattanooga Massage Institute, we strive to provide a nurturing learning environment where our students can receive the hands-on clinical training and classroom instruction that prepares them for a successful career in massage therapy. CMI offers a proven curriculum developed over the past 20 years that has consistently prepared our students to take the MBLEx and become Licensed Massage Therapists (LMTs). Additionally, we offer a home for LMTs to provide their services of massage and bodywork. Appointments are available Monday-Saturday from 9am-6pm.

Treatment

Though chronic pain is the hallmark of fibro myalgia, it cannot be treated with typical pain medications. According to Dr. McClanahan, anti-inflammatory medications don’t work, and opiates are a particularly dangerous choice. “Opi ates are a reasonable choice for acute pain that is related to tissue damage, like after a surgery or a severe injury. However, when pain from acute structural damage is mistaken for and treated like the chronic pain of fibromyalgia, a process of brain sensitization and an overactive threat response due to past and present trauma and stress, this can result in opiate tolerance, depen dence, and even addiction.” he says. Rather than traditional pain relievers, effective medications for fibromyalgia include anti-anxiety medica tions, antidepressants, and even medications that treat seizure disorders. “The only medica tions that are effective for fibromyalgia all target the nervous system,” Dr. McClanahan explains. “However, rather than medications alone, comprehensive treatment involves educating the patient, recognizing the sources of their stress, managing that stress through healthy lifestyle changes, and increas ing emotional awareness to decrease the brain’s danger alarm. This ap proach has been shown to reduce the threat load

on the nervous system, at times leading to full remission.”

Additionally, patients with fibromyalgia often benefit from staying active, as a sedentary life style can exacerbate the pain of this condition. Chronic pain can make it difficult to get adequate exercise, but there are ways to make exercise more manageable. “My advice is to learn to pace yourself,” says Sohler. “Treat your energy like gas in your tank – don’t use it all up at one time. Learn to leave some gas in the tank so you still have energy to use by the end of the day. Over time, with exercise, you will be able to increase the size of your gas tank.” Physical therapy can be a great place to start as a patient works toward increas ing their strength and mobility, and treatments can be customized to meet the patient’s indi vidual needs.

Sohler recommends activities like aerobics, strength training, stretching, and exercises designed to help with mobility. “Aerobic activi ties can include a fast walk around the block, and aquatic exercise is also helpful as it takes gravity out of the equation and movement is easier in the pool,” she says. “Relaxation training is also a good way to manage pain. Some good examples include tai chi and yoga, as they both include breath work to increase relaxation.”

Fibromyalgia can cause a significant dis ruption in your daily life, and though getting this diagnosis can be a long and scary process, there are treatments available that can help. If you suspect that you or a loved one may be dealing with fibromyalgia, it is important to speak with your doctors.

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.

GRIE VING

LATER IN LIFE

How Elderly People Experience Loss Differently

It is an unfortunate fact that the longer a person lives, the more loss they will experience, but grieving the loss of a loved one never gets any easier. In fact, research shows that it can be significantly more difficult for the elderly. Here, we explore the many ways that grief looks different in advanced age and how loved ones can offer support.

By Catherine Smith

Older Adults Are More Likely to Experience Complicated Grief

Grief is a completely normal response to the loss of a loved one, but when the symptoms of grief do not sub side, a person may be experiencing ‘complicated grief,’ or prolonged grief disorder. Rather than fading with time, complicated grief worsens to the point that it interferes with a per son’s ability to heal and get back to their life. “Grief is no respecter of persons; it affects each and every person uniquely,” says Kevin Becker, a chaplain with Hearth Hospice and Morning Pointe Senior Living. “As a general rule, the longer a person has loved the deceased, the greater the impact is felt.”

Risk factors for complicated grief include losing a child, dealing with multiple losses, having a close or dependent rela tionship with the deceased, social isolation, decreased access to support systems, and a past history of depres sion or anxiety – all of which become more likely with increased age.

The Physical Effects of Grief Can Be More Severe for Older Adults

Grief is a major source of stress, which can have a significant impact on our physical health. For example, cortisol – the stress hormone – is known to impair the body’s immune system, increasing the risk of infec tion and decreasing the body’s ability to heal. A young, healthy person’s immune system can adapt to fluctua tions like this, but as our immune systems grow weaker and less resilient with age, older adults are increasingly vulnerable to serious infections or the inability to over come an infection.

KEVIN BECKER Chaplain, Hearth Hospice and Morning Pointe Senior Living

Symptoms of Prolonged Grief Disorder: Intense sorrow and hyperfixation on the deceased

Persistent longing for the deceased

Inability to move on with life

Avoiding reminders of the loss Apathy or a sense of meaninglessness

Intense loneliness

Struggles with identity after the loss

Stress cardiomyopathy, commonly known as broken heart syndrome, is another physical symptom brought on by intense grief that is more prevalent in adults over 50. Broken heart syndrome is thought to occur when an influx of stress hormones damages the heart, and may result in a cardiac event similar to a heart attack. The effects of such an event become increasingly risky with age.

How to Help

While it’s important to be aware of the risk factors commonly associ ated with complicated grief, there is no way to know for sure how a loss will affect someone. Luckily, there are several things caretakers and loved ones can do to help an elderly person through their grief.

Grief Counseling Grief counselors can provide coping strategies and may be better equipped to identify signs of complicated grief. Since many older adults do not live independently, it can be hard for them to access support groups and other counseling services on their own, but early intervention – soon after a loss – can help mitigate the effects of compli cated grief.

Talking Openly About the Loss Offering a place for people to express their grief is one of the best ways to help, according to Becker. “I have found that creating environments of authentic, open communication where a grieving person is free to share their true feelings is extremely

helpful. In a culture that is familiar with ‘I’m fine,’ a pause, a look in the eye, and a ‘you can trust me with your heart’ is extremely beneficial,” he says.

Challenge Negative Thoughts Surrounding the Loss Guilt is a common facet of grief for many adults. According to Becker, it helps to challenge these feelings of guilt by giving the bereaved some grace. “Unconditional love, forgiving oneself, and accepting that humans can’t fix everything will ease the self-torment that can accompany grief,” he says. “Though challenging, replacing guilt with grace has brought a huge sense of relief to many I walked the grief journey with.”

Youthfulness can soften a lot of life’s heavy blows, and going through a hard time in your 20s is much different than going through a hard time in your 80s. If you or a loved one are struggling with immense grief, consider speaking with a counselor or your doctor about the different therapies that are available to help.

The Riggs & Associates Team Just Got Better.

Luane Culpepper CFP®, CKA®, Financial Advisor with Davis Financial Advisors, is merging her practice with Riggs & Associates, a private wealth advisory practice of Ameriprise Financial Services, LLC.

Combining these practices creates a dynamic force for people who value financial planning and advice anchored in a solid understanding of their needs and expectations. Please join us in welcoming Luane.

Riggs & Associates Ameriprise Financial Services, LLC. 1206 Pointe Centre Dr., Ste 140 Chattanooga, TN 37421

Contact: Damon Riggs Riggs & Associates, Ameriprise Financial 423.648.0782

Not certification The Compass a trademark of Ameriprise Financial Inc. Financial Services, FINRA and SIPC. © 2022 Ameriprise Financial, Inc. All rights reserved

LUANE CULPEPPER, CFP®, CKA®, Financial Advisor

Annual Women’s Health

BY RACHEL COATS

When life gets busy, it can be easy to let health fall low on your list of priorities. But paying attention to how you feel and making time for annual checkups and screenings can help you stay informed about your health. In this section, we highlight common health concerns for women, what to look out for, and when to see your doctor. Make sure there’s room in your schedule to take care of yourself!

Understanding Pelvic Congestion Syndrome

This vascular condition is a cause of chronic pelvic pain for women.

Pelvic Congestion Syndrome

Pelvic congestion syndrome (PCS) is a condition that affects women and occurs from dysfunctional veins in the pelvic region, which causes blood to pool within the pelvis. Because the blood is unable to drain properly, it creates pressure, resulting in chronic pelvic pain. PCS affects approximately 15% of women in the United States.

Risk Factors and Symptoms

PCS tends to affect women aged 20-45 and has several risk factors, including multiple pregnancies, a family history of PCS, or obesity. Polycystic ovary syndrome and frequent hormone fluctuation may also increase the risk of PCS. Symptoms include pel vic pain and pressure that persists for more than six months, feelings of heaviness in the pelvis, atypical discomfort during your menstrual cycle, and the pres ence of varicose veins in the lower abdominal areas and thighs. Pain may worsen when sitting or standing and is relieved when lying down.

Treatment and Outlook

Chronic pelvic pain can be a physical and mental stressor for women, but specialists can help treat and prevent symptoms. If you suspect you may have PCS, visit your doctor to rule out conditions that cause similar symptoms. An ultrasound scan can assess and check the blood flow in the vessels to aid in diagnosis. Compression hose or shorts can be worn to help alle viate pain and pressure, and if symptoms persist, your doctor may recommend an endovascular procedure.

Ovarian Vein Embolization

A common endovascular procedure to treat PCS is ovarian vein embolization. This procedure specifically addresses PCS symptoms caused by an abnormal ovarian vein that is producing a backward flow of blood, known as reflux. Ovarian vein embolization involves placing a coil to block the vein and minimize pressure and pain. This procedure is minimally inva sive and can be performed on an outpatient basis, meaning you can resume normal activities in only a few days.

An Expert Weighs In

“As a vascular doctor treating patients in this region for over 20 years, some of the most gratifying procedures for patients is successfully treating conditions that create chronic pain symptoms. PCS is a condition found in women, rarely causing serious problems, but often causing significant symptoms of pain, pressure, and heaviness within the pelvis. This can be diagnosed with a transabdominal ultrasound and treated in an outpatient setting with a simple procedure. It is not normal to have unexplained pelvic pain; if you suffer from these problems discuss your situation with your primary care or gynecology providers.”

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

PAD affects 3X more Women than Breast Cancer.

11.4 MILLION women in the United States have Peripheral Artery Disease (PAD) 54% Women vs. 46% Men. Women are more likely to experience Intermittent Claudication, where blockages in the limbs cause pain during activity but cease when activity is stopped.

20-30% of Women over the age of 70 are affected by PAD. Many are underdiagnosed and untreated.

Non Hispanic & African American women over the age of 70 are at the highest risk for PAD.

Periodontal Health Through the Years

An Expert Weighs In

“Female hormonal fluctuations – particularly estrogen and progesterone – can lead to issues with your overall gum health. An overabundance of hormones, as with puberty or pregnancy, can increase redness and bleeding in gums and lead to gingivitis. When hormone levels drop, like with menopause, you may notice a drier mouth. Menopause also has a tendency to cause osteoporosis, which can affect the density levels of the jawbone. With this, periodontal disease is more prevalent. Gums may start to recede, among other symptoms. Next time you see your dentist, be sure to tell them about any changes you have noticed.”

Mandy Shearer, DDS Dentist

Soddy Daisy Smiles

Understanding Periodontal Health

Periodontal diseases are the result of inflammation and infections of the gum and bone that support the teeth. When the gums first turn swollen and red, it’s called gingivitis. If left untreated, this can evolve into periodontitis, a more serious gum infection that damages soft tissue and dental bone. Women are especially prone to gum disease due to changes in hormones like progesterone and estrogen, which regulate the menstrual cycle. These hormones increase blood flow to the gums, making them tender and delicate. As gums become more sensitive, bacteria are more likely to grow beneath the gums and around the teeth.

PUBERTY. During puberty, girls experience an increased level of progesterone and estrogen, which can increase gum sensitivity. Orthodontic treatments, such as braces, can make the condition even more difficult to manage.

MENSTRUATION. Many women experience menstruation gingivitis during their monthly cycle. This usually occurs a day or two before the start of your period and clears up once the period begins. Symptoms include bright red and swollen gums and sores in the cheek.

PREGNANCY. Pregnant women have a higher risk of gum disease due to rising hormone levels. Gingivitis is common from the second to eighth month of pregnancy. Because oral infections can pose a health risk for the baby, it’s important for pregnant women to have regular periodontal evaluations.

MENOPAUSE AND POST MENOPAUSE. Women who are menopausal or post-menopausal are susceptible to periodontitis, due to age-related changes in the mouth, hormone fluctuation, and medications taken to combat certain diseases. You may experience discomfort in the mouth, burning sensations, and altered taste. Menopausal gingivostomatitis – where gums look dry and shiny, and are abnormally pale – is also common.

Prevention

The best way to prevent gum disease is to practice healthy periodontal habits. Brushing twice a day with a toothpaste containing fluoride, flossing every day, and visiting the dentist twice a year can help you stay on top of potential gum issues. Your dentist can address any specific concerns and provide further advice.

Fluctuating hormones in women of all ages can impact gum health.

•

•

•

Robert and Mandy Shearer, D.D.S. FOR LIFE a full set of x-rays at any other With coupon only. Some conditions may apply.

Creating Brighter Smiles for PROBLEM!

At Soddy Daisy Smiles, we know it’s important to stay current with your dental needs. For patients who may not have dental insurance, or have lost theirs, we can help! We offer affordable in-house dental coverage plans. Our annual plans can provide single and family options at tremendous savings by making our high quality dental services available for a percentage off our regular fees.

Understanding Adenomyosis

Adenomyosis

Adenomyosis occurs when the inner lining of the uterus grows into the muscular wall. This dis placed tissue can impact symptoms experienced during the menstrual cycle.

Adenomyosis is a common condition, affecting up to 65% of American women. While its symp toms vary, the frequent pain and heavy periods often associated with adenomyosis can have a negative impact on a woman’s quality of life.

Risk Factors and Symptoms

Though adenomyosis can affect menstruating women of all ages, it most often occurs in women who have been pregnant or have endometriosis, a serious condition that causes abnormal growth of endometrial tissue.

Some women with adenomyosis may exhibit no signs. Others may experience symptoms, which can include heavy or prolonged menstrual bleeding, severe cramping during menstruation, bloating, and chronic pelvic pain and pressure. Adenomyosis may cause the uterus to become enlarged, resulting in tenderness or pressure in the lower abdomen.

Treatment and Outlook

Adenomyosis may resolve after menopause, but there are options for women seeking more immediate relief from symptoms. Mild discomfort can be treated with over-the-counter pain medi cation and the use of a heating pad. Your doctor may prescribe medication to regulate estrogen levels – which are associated with menstrual bleeding and cramping – and ease symptoms ex perienced during the menstrual cycle. For women experiencing severe symptoms that interfere with everyday well-being, a hysterectomy, or removal of the uterus, will cure adenomyosis.

If you are experiencing heavy and painful peri ods and abdominal discomfort, your gynecologist can determine whether adenomyosis is the cause and advise the best treatment to provide relief.

An Expert Weighs In

“Adenomyosis is a chronic and debilitating disease process that substantially decreases a woman’s quality of life. Adenomyosis affects 1 in 5 women and is most common in women in their late 30s to 50s but can also be found in younger women. Fatigue, heavy bleeding, and pain with intercourse cause problems both personally and in the workplace. There are few medical modalities available. Early diagnosis with clinical history and imaging such as ultrasound along with lifestyle modifications are key. However, surgical interventions such as hysteroscopy with progesterone intrauterine device placement or a partial hysterectomy can ameliorate or eliminate these symptoms.”

Shevonda Sherrow, MD OB-GYN Innovative Women’s Health Specialists

Adenomyosis is a condition that can cause painful, heavy periods.

Effective Ways to Communicate With Someone With Hearing Loss

Hearing loss is a common health condition for women that is linked to loneliness and depression.

Hearing Loss in Women

Hearing loss doesn’t just affect your ears. Research shows a correlation between hearing loss, overall quality of life, and several chronic health conditions. It’s also a common condi tion; according to the Hearing Health Foundation, as many as one-third of women in their 50s in the United States have some degree of hearing loss.

The COVID-19 pandemic created an additional stressor for women with hearing loss. Masks and social distancing make communication more difficult, and loneliness from long bouts at home can have an impact on overall well-being.

Side Effects of Hearing Loss

A study performed by the National Institute on Deafness and Other Communication Disorders (NIDCD) found that women with hearing loss are twice as likely to develop de pression as those without it. Hearing loss can cause women to disengage from social interactions and activities that require communication. The loneliness that results from this isolation can lead to depression.

Effective Ways to Communicate

If you know a woman who is hearing impaired, there are ways you can make communication with her more effective.

1. Get the person’s attention by saying her name. Project your voice and speak clearly.

2. Do not talk loudly from another room. Hearing-impaired people may need to see your face to know what is being said.

3. Look at the person in good light and on the same level.

4. Keep your hands away from your face and avoid eating or chewing while talking.

5. Have conversations in less noisy environments.

Hearing Loss Solutions

If you are a woman experiencing hearing loss, a hearing test could help give you tools to re-engage in life. Hearing aids can provide relief and make you feel more confident when socially engaging. Your hearing professional can help determine what type of hearing loss you have and how to improve your quality of life with specialized treatment.

An Expert Weighs In

“During the COVID-19 pandemic, many who suffer from hearing loss have been at a disadvantage due to wearing a mask. The level of frustration when communicating with others has increased. Individuals will tend to avoid social outings and family gatherings due to the difficulty of communicating. This avoidance to gather with friends and family only makes the situation worse. The individual who is hearing impaired may become isolated and lonely, and this could lead to depression. Family and friends can help those who suffer from hearing loss by speaking clearly and enunciating words while communicating.”

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

Navigating Your Child’s Food Allergy

An Expert Weighs In

“The clearest way to think of a true food allergy is to think that every time this food is eaten it causes a life-threatening reaction. Many foods can cause many symptoms but not all are caused by the allergy cell. If the allergy cell is involved, you get a very specific, potentially life-threatening reaction. It is important to understand the difference between intolerance or sensitivity versus true allergy. If it is a true allergy, you must avoid the food and carry two epinephrine pens at all times. A board-certified allergist can help you determine if you have a true food allergy.”

Understanding Food Allergies

A food allergy occurs when the immune system reacts to a certain food or ingredient as if it were harmful. Approximately 90% of all food allergies are caused by milk, eggs, wheat, soy, tree nuts, peanuts, fish, or shellfish. One in every 13 children has a food allergy, and nearly 5% of children are diagnosed with one under the age of five. Certain allergies may be outgrown, while others are permanent.

Symptoms

Allergic reactions usually develop within a few minutes to an hour after eating the food. Symptoms include an itchy nose, sneezing, watery eyes, swelling of the throat, lips, or tongue, rashes, stomach cramps, and shortness of breath. In some cases, a food allergy can cause severe symptoms that require immediate medical attention.

Allergen Avoidance

Preventing contact with the allergen is the best way to help your child avoid an allergic reaction. Here are some tips to minimize risk:

• Remove the allergen from the home. Even small amounts of the food can trigger a reaction.

• When eating at a restaurant, never assume that you know the ingredients in a dish. Review the menu or ask your waiter to confirm the allergen isn’t an ingredient.

• Avoid buffet-style dining. Cross-contamination of foods from using the same serving utensils between dishes may occur.

• Inform your child’s school about the food allergy so their teacher can be sensitive to food shared in the classroom.

Treatment and Outlook

An allergy specialist can determine whether your child has any food allergies. While avoiding the allergen is the best way to avoid allergy triggers, medications can also be prescribed to reduce the immune system’s reaction and ease symptoms. You may need to carry emergency epinephrine shots to use in case your child has a severe allergic reaction.

Jennifer Patel, MD Board-Certified Allergist Chattanooga Allergy Clinic

Food allergies are a common medical condition often detected during childhood.

Sedation Dentistry

Understanding Dental Anxiety

It’s common to associate a visit to the dentist with anxious feelings. For some, these nerves arise before a procedure, while others experience more severe dental anxiety that occurs even during routine checkups. If you get anxious just thinking about going to the dentist’s office, you’re not alone – it’s estimated that over 8 million women in America suffer from dental anxiety.

Sedation Options

Thankfully, sedation options exist to help ease anxieties and create a more comfortable visit.

Nitrous oxide, also known as laughing gas, is a harmless gas inhaled through a mask. You will remain fully awake, but in a more relaxed state that diminishes pain and gag reflexes. Its effects wear off after only five minutes, allowing you to safely drive yourself home.

Oral sedation comes in the form of a prescribed sedative pill you’ll take at home before arriving for treatment. This will put you in a state of near sleep and effectively allow you to dissociate from the stressful experi ence yet remain conscious enough to respond to the dentist’s com mands. You will have little to no memories of your experience.

An Expert Weighs In

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

IV sedation is a fast-acting sedative admin istered through a vein in your arm. You will not be aware of what happens in the dental chair and will have no memories of the experience. Because oral and IV sedation can take several hours to wear off, plan for a trusted companion to accompany you to and from the dentist’s office and provide transportation home.

A local anesthetic is often paired with these sedation options to numb the treatment area and ensure a painless experience.

Outlook

A positive dental experience with sedation can help you restructure your relationship with the dentist and combat dental anxiety. Your dentist can determine if you are a candidate for either oral or IV sedation and help you take the steps necessary to maintain your oral health.

Damien Armstrong, DMD Dentist Mint Dental

Sedation can be a helpful option for women experiencing dental anxiety.

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.

Pam Prichard, Esther Helton-Haynes, & Cleo Gravitt

If you were to ask Pam Prichard, Esther Helton-Haynes, and Cleo Gravitt what makes their friendship so special, they’ll likely tell you that it’s the fact that they offer each other a safe space to celebrate life’s triumphs and contemplate life’s challenges. Each commending one another for being a good listener, these three ladies were brought together through a combination of mutual friends and family members. What was once a casual friendship has now been cultivated into a sisterhood where laughter flows freely and bonds are cherished.

Photo by Rich Smith

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

EH I can trust them. They are non-judgmental and good listeners. They have empathy for others, and spending time with them makes me feel good!

CG Our support system leans heavily on knowing we are only a phone call or text away. There is always laughter when we are together, and when there is sadness, it’s shared equally because when one hurts, we all hurt.

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

EH It gives me a higher level of well-being. It helps with my coping skills and helps me in living a healthier life because I have friends to share things with when I need support.

PP Having support makes a person feel as if they belong to something. It’s a healthy part of life.

CG It’s important because a friend can offer support through encouragement and challenge you to be better. Having a support system with someone in neutral territory also helps you to see things from a different perspective.

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

EH That friendship is a special gift. That no matter where you are in life, true friendship endures.

CG Friendship is a valuable tool that is needed at all hours of the day and night! Knowing there are people who will support you and be there for you is the ultimate friendship.

HS How has your relationship changed through the years? What does it look like now versus when you first met?

EH Years ago my relationship with Pam revolved around our boys. Now our friendship is girlfriend centric, and we just have a whole lot of fun when we are together. My friendship with Cleo started out as a couple’s friendship but has grown into a sisterhood.

PP We have gone for years at a time not seeing each other. Our lives went different ways, but once we were together again the years never went away. We picked up right where we started. Our friendship is strong, and we have all grown from when we first met.

HS How do you approach wellness, both separately and as a group?

EH Wellness starts from a common sense approach for me – everything in moderation regarding what I eat and drink. I try to go to bed at the same time every night and get at least seven hours of sleep, and I try to walk at least four miles every day.

PP I hate to say I don’t get much time to walk or exercise with Esther as I would like, but personally, I see a personal trainer twice a week, do pilates at the YMCA, and do water aerobics once a week during the winter. My husband and I also try to get in a dance lesson once a week.

CG Wellness for me consists of walking and watching what I eat. Esther and I like to walk at Camp Jordan or Eastgate when we can, but wellness consists of so much more than just exercise and physical activity. I truly believe in taking time to recharge mentally as well.

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

EH Always trying to be there for one another and to be a good listener and only offer advice when asked. We also love unconditionally, and some of our best times have been spent sharing a great meal and great conversation.

PP I like having lunches and talking with my friends. Laughing when feeling down is something I really enjoy and know makes me feel better. Sometimes saying positive things to one another or just being a shoulder for each other is all we need.

CG Constant encouragement, such as sending a text with a positive thought or a phone call just to say hi! Girls’ nights are always fun, and the laughter is a welcomed feeling.

HS Is there anything you’d like to add?

PP I would like to share one thing Esther said to me 17 years ago when I was diagnosed with breast cancer. She had found out through a mutual friend, and at the time, Esther and I had not seen each other in several years. She calls me and sincerely tells me what a beautiful and strong person I am inside and out. It was so kind and made me cry. It still makes me cry to this day. Her words meant the world to me then, and they still do.

Best Dressed Guest

The cool weather and stunning backdrop of the fall season create the perfect atmosphere for an outdoor wedding. Check out these wedding guest outfits, curated by local boutiques, that will keep you comfortable in the autumn breeze without sacrificing the style the occasion calls for. We’re falling for these looks!

Shoshanna Asteri Dress in Blush Gold

“Be the belle of the ball in this Shoshanna elegant, ruffled dress. This statement piece is a vibrant floral print with metallic threading. The Garland one-of-a-kind clutch and the Mignonne Gavigan pearl earrings complete this look for any wedding.”

Anita Headrick, Alice Blue Boutique

PHOTOGRAPHY BY RICH SMITH

Anita Headrick Ani Yacoubian Riggs

Amy Stewart

MODEL: SYDNEY SHIELDS

Tart Valencia Jumper

Bruno Menegatti Prudie Heel

“We love a good jumpsuit, and this one is no exception! It is relaxed and effortless, so you can be yourself and have a great time.”

Ani Yacoubian Riggs, Yacoubian Tailors

“Slip into style with the Prudie heel. This color adds a perfect pop to any outfit.” Amy Stewart, Chattanooga Shoe Company

MODEL: KRYSTYE DALTON

MODEL: LESLIE MORALES

5 Habits to Avoid for Healthy Skin

Your skin is your largest organ, and it can also be the most complicated to care for. Yet there could be parts of your daily routine that are harming your skin, however unintentionally. If you’ve developed any of the following habits, keep reading to learn how to make a change and maintain a healthy, glowing complexion!

BY MARY BETH WALLACE

Smoking

Let’s get the obvious out of the way: Smoking is one of the most harmful things you can do to your skin. Not only do cigarettes reduce blood flow to your skin, resulting in premature wrinkles, the toxins also inhibit collagen and elas tin production, which causes skin to sag. Smokers also commonly experience a complexion that is dull and discolored.

But there’s good news! Quitting smoking has an almost immediate ef fect on your skin. As blood flow increas es, your skin will receive the oxygen and nutrients it needs to develop a healthier appearance. If you’re having trouble quitting smoking on your own, talk with your doctor and make a plan that will help you establish better habits.

Skimping On Sunscreen

Sunshine may be good for the soul, but it’s not so good for your skin. Even on the cloudiest of days, your skin is susceptible to the sun’s damaging UV rays – and over time, this harmful radia tion can cause discoloration, wrinkles, and even skin cancer.

Protecting your skin with sunscreen, however, will help prevent signs of aging and sunburn, as well as reduce your risk of developing cancer. Experts suggest making sunscreen a part of your daily skincare routine, and reapplying every two hours if you’re going to be spending time outdoors. Look for a broad-spec trum sunscreen with a minimum of SPF 30, and if you have sensitive skin, opt for a mineral formula.

Piling On The Sugar

A squeeze of honey here, a dollop of whipped cream there … Sugar is delicious, but it’s also very easy to exceed the recommended daily intake (6 teaspoons for women, 9 teaspoons for men). And while honey and maple syrup are obvious sources of added sugar, sugar is also lurking in everything from your breakfast cereal to your condiments. Unfor tunately, consuming excessive amounts of added

sugar has been linked to acne, premature wrinkles, and other skin woes.

A skin-friendly diet is one filled with fresh fruits, vegetables, whole grains, and fatty fish. If your sweet tooth is acting up, try biting into a square of dark chocolate – the antioxidants will do wonders for your skin! Just make sure to select a variety with at least 70% cocoa for the most benefits.

Sleeping In Makeup

The temptation to fall into bed after a long day – or simply fall asleep on the couch – without washing your face first is strong. But skipping the sink at night can be a real detriment to your complexion. That’s because washing your face not only removes your makeup and other debris, but it also helps unclog your pores. Picking up this bad habit can ultimately lead to dryness, breakouts, and premature aging.

Ideally, you should be washing your face every night before you go to bed with warm water and a gentle cleanser. Aim for about 20 or 30 seconds of washing before rinsing, and pay special attention to your T-zone and U-zone (around the jawline), which can be the easiest to miss. In a pinch, you can use a facial wipe, but try to make washing at the sink a priority.

Skipping Sleep

Yes, beauty sleep is a real thing. Research sug gests that poor sleep negatively impacts your skin’s appearance, causing dark circles, puffiness, acne, and a sallow complexion. Over time, sleep depriva tion can rapidly deplete your skin’s elasticity and plumpness – negating the many anti-aging benefits of getting enough sleep.

Most adults need between seven and nine hours

of sleep every night to function at their best, so set yourself an alarm each night that will nudge you in the direction of your bed. Staying up late every now and then won’t age you overnight, but if you know you’re going to be out late, be kind to your skin by drinking lots of water, avoiding high-sodium foods, limiting alcohol consumption, and, of course, wash ing your face before you finally hit the sack.

Tough as Nails

Nail Polish Removers That Get the Job Done

Who doesn’t love to shop for a brand-new bottle of nail polish … remover? Despite what you may think, there are tons of options when it comes to nail polish remover, from acetone and non-acetone-based formulas to creams, wipes, and pens. Here, we’ve compiled a few of our favorites that will have you prepped and ready for your next manicure.

Most Versatile: Zoya Remove+ Nail Polish Remover

Zoya’s Remove+ is the gift that keeps on giving. Its three-in-one formula removes polish, cleans your nails, and preps them for their next coat. It miracu lously obliterates sparkly and dark shades without a streak in sight, all while moisturizing and fortifying the nail plate.

Most Budget-Friendly: Cutex Ultra-Powerful Nail Polish Remover

This remover from Cutex may be 98% acetone, but you’d never know it thanks to its pleasant cucumber fragrance. What you’re getting is a potent formula that can quickly and efficiently wipe your nails clean of the most stubborn glitters and gels. As an added bonus, it retails at under $5 a pop.

Most Gentle: ella + mila Soy Nail Polish Remover

For those who struggle with brittle nails, this soybased, acetone-free remover from ella + mila is a godsend. Not only is it extra gentle on nails, but the formula is also infused with lavender essential oil and vitamins A, C, and E to promote nourished, healthy nails.

Most Hydrating: deborah lippmann the Stripper Nail Polish Remover

A product of celebrity and fashion manicurist Debo rah Lippmann, the Stripper may work lightening fast, but it won’t strip your nails dry. A combination of aloe vera and glycerin gives nails a hydration boost, combatting the acetone’s drying effects.

Top Safety Tips You Need to Know

Maybe your daughter just asked to get her ears pierced, or maybe you are considering getting a second set. Whether for your own safety or a loved one’s, there are a number of things to know before committing to a body piercing. Read up on some important safety tips below!

1. Go to a trained professional.

Instead of attempting an at-home piercing, find a reputable piercing studio and have a trained employee perform the piercing. Some doctor’s offices will even perform basic ear piercings! The piercer should always wash his or her hands and wear a clean set of disposable gloves for every piercing.

2. Use sterilized equipment.

Infections are already a common risk associated with piercings, and one of the best ways to decrease your risk is using sterilized tools. Any nondisposable equipment should be treated with a heat-sterilization machine (autoclave) in between piercings. A fresh, sterile, disposable needle is the preferred method for most standard piercings.

3. Say “no” to nickel.

Nickel jewelry is notorious for causing allergic reactions. When getting a new piercing, choose hypoallergenic jew elry. Surgical stainless steel, niobium, titanium, platinum, and 14- or 18-karat gold are all great options.

4. Take proper care of your piercing. Always wash your hands thoroughly before caring for your piercing. For skin piercings, clean the piercing site twice a day using antibacterial soap and water or saline wound wash. Oral piercings may be cleaned with antiseptic mouthwash after meals and before bed.

5. Avoid irritating your new piercing. Tight clothing can irritate your piercing and delay healing, as can excessively touching or twisting the jewelry at the piercing site. While your piercing is heal ing, you should also avoid public pools, hot tubs, lakes, rivers, and any other bodies of water that could be harboring bacteria.

6. Know when to contact your doctor. Swelling, redness, tenderness, and even a little bleeding is normal in the first few days following a piercing. However, symp toms such as unusual pain, prolonged bleeding, excessive redness, and yellow, bad-smelling discharge warrants a visit to your primary care provider.

Female breast cancer has now surpassed lung cancer as the most commonly diagnosed cancer worldwide. An estimated 290,560 people will be diagnosed with breast cancer in 2022: 287,850 women and 2,710 men.

Led by the American Cancer Society and others, substantial progress has been made against breast cancer in recent decades. The death rate from breast cancer has dropped by more than 42% since 1989 as a result of early detection through increased awareness and mammography screening, as well as advances in treatments. There are now more than 3.8 million breast cancer survivors in the United States, including those who completed treatment and those still undergoing treatment.

The American Cancer Society continues to lead the fight against breast cancer in the 21st century, and its commitment to creating a future free from breast cancer runs deep. That’s why it engages campaign ambassadors across the nation to step up and use the power of wearing pink to raise funds and draw attention to the breast cancer fight.

Every dollar raised helps the American Cancer Society save more lives and over the years, more than $500,000 has been raised locally through the Real Men Wear Pink fundraising event.

What follows are this year’s Real Men Wear Pink ambassadors and their personal stories, which have led them to give their time and talent to raise much-needed funds to aid in the fight against breast cancer.

To help raise money to treat those afflicted by this awful disease and ultimately find the cure for breast cancer, donate to Real Men Wear Pink of Chattanooga.

In 2022, there will be an estimated 1.9 million new cancer cases diagnosed and 609,360 cancer deaths in the United States.

Kurt J. Faires MBA, J.D. Corporate Attorney at Chambliss Law

Some longtime friends remember that 20 years ago this year I was diagnosed with stage IV melanoma. There were three surgeries in 18 months. At one point, a nurse slipped and said, “We thought you were a goner.” I was given 4-10 months to live, but with two young sons, my time had not yet come. We continue to be thankful for great doctors Rodney Susong, Charles Portera, and Rob Headrick. A little-known nugget I usually only share with fellow cancer patients is that, to this day, prayer is still the only thing we can figure out that made the differ ence. The Sunday school class at First Centenary was great. It went on and on, including cards from complete strangers. I typically prefer to raise funds quietly behind the scenes, but Real Men Wear Pink is a proven winner. We have many close friends who have battled breast cancer, so I was happy to go the public route for such an important cause.

Emerson Russell

Owner of ERMC and RBRO Construction

My journey through life has been filled with many hurdles, but none greater than the loss of my mother, Sarah Katherine Russell, at the young age of 56. She was diagnosed with a brain tumor after passing out while playing the piano at church. After undergoing brain surgery, it was clear that there was no treatment that could save her life. Tragically, she passed away within a year after the surgery that left her with no quality of life. My mother was the cornerstone of our family, and the strength that it took to overcome the devastation that I felt is difficult to adequately describe. As with most tragedies, it requires an undefined amount of time to process and ultimately bring healing to my family’s life. Many years later, I expe rienced my own battle with cancer and was able to draw strength from the loss of my mother and my love for my family. The American Cancer Society is personal to me and so many others, and I could not be more proud to represent this great cause. My sincere hope is that my story will bring awareness and support to our community to work together in defeating cancer.

Jay Raynor

General Manager at Chattanooga Marriott Downtown

Both my father and grandfather passed away from variations of cancer, and my wife has lost two family members of her own directly from breast cancer. I’m now the father of two young girls, both blessings that put this life and what the future holds into perspective. The goal of my campaign is to bring awareness to this terrible disease in hopes that it will someday prevent my daughters and their generation from experienc ing the same loss that my generation has.

Michael Johnson

Project Manager at P&C Construction

Cancer used to be a stranger. Now, the word cancer is commonly and personally used in our home, work, social events, and life in general. I am a cancer survivor. My son is battling cancer. Our best friends are constantly entering the unstable waters and fighting for their lives. Many win the war, but far too many run out of time. My family of four has now been affected twice. This fight can take the breath out of you and bring you to your knees. My wife and I have been able to seek help, advice, stability, and encourage ment through cancer foundations. I could not be more proud to support the cause through Real Men Wear Pink.

Carl Henderson

Partner at Henderson, Hutcherson & McCullough PLLC

My first experience with someone I was close to dying of cancer was in my early 30s when a close friend, Terry Simpson, passed. Then in my mid-40s, I lost my beloved mother-in-law, Juanita, and my father to this disease. Much has been accomplished over the four decades since Terry’s death, but much is still to be accom plished. I feel privileged to be able to play some small role in the pursuit of those future accomplishments for others.

Will Clegg

Partner at Henderson, Hutcherson & McCullough PLLC

I have had several family members pass away from cancer and have watched helplessly as a close work colleague has battled and defeated this awful disease. However, as fate would have it, I was noti fied about 30 days ago that a close family friend is now fighting for her life with cancer. It has been the greatest blessing to now have two children of my own under the age of 4. My goal is to bring awareness to this dreaded disease, and I hope the work we do helps lead to a cure whereby future generations no longer have to deal with cancer.

CPA

Scott Hibberts General Manager at Regan Outdoor Advertising

In 2020, COVID had many people confined to their homes for most of the year, especially those over the age of 70. It was in the spring of 2020 that my fiancé’s mom was diagnosed with stage IV metastatic breast cancer. Being the strong-willed, independent woman she was, she never wanted anyone to worry so she chose to face that journey on her own, making the decision to receive little to no treatment. With our inability to see her for quite some time, she was successful in keeping her diagnosis and its severity a secret until it was too late for anything to be done to help her. On Sep

Ranjith Babu

Neurosurgeon at CHI Memorial Stroke and Neuroscience Center

I am often reminded of the terrible toll breast cancer has on patients and their families, both physically and mentally. It is especially heart breaking to see these patients struggling with an end-stage disease that frequently involves the brain. I am honored to be a part of Real Men Wear Pink to help raise awareness, support, and funds for this cause in hopes of improving the lives of patients afflicted with this disease.

MD

Brad Shumpert J.D. Executive Vice President at Urban Story Ventures

Being a part of Real Men Wear Pink means a lot to me. My mom battled breast cancer, I have two daughters, and my better half leads the Chat tanooga Women’s Leadership Institute. Supporting women and ensuring they have access to the resources they need is essential, and I’m honored to do my part through impactful campaigns like this one with the American Cancer Society.

Aaron Thompson Vice President, Maintenance at Transport Enterprise Leasing, LLC

I come from a very close-knit family, many of which live within a 50mile radius of St. Charles, Missouri. I have three cousins that lost their mother at a very early age to breast cancer … she was in her 30s. Not long after, they lost their father to cancer as well. I watched in the years that followed how a disease wreaked hav oc on that family. About 10 years ago, it hit even closer to home when my mother was diagnosed with breast cancer. Due to the education and proper screening, hers was detected in the early stages and was removed. A double mastectomy proved to be the best treatment for her. Today, she remains cancer free and keeps up with her follow-up treatments. I’m excited for this campaign because there is no better time than now to do good and take action. I know when the time does come that another loved one gets the news, that I am doing what I can to raise awareness and support for an organization that so many turn to in their very darkest days.

Justin Smith

Client Advisor at Patton Albertson & Miller

Breast cancer affects everyonein my family, it took the life of my grandmother Florence Adkins in 1987. My great aunt Margie Franco is a breast cancer survivor, and our dear friend Angie Supan is also a survivor. I feel it is important for me to continue the fight to honor my family and to help find a cure for this terrible disease.

Since I am in a fortunate position to make a difference within Chattanooga, I believe I have an obligation to do so. By raising money and awareness through Real Men Wear Pink, I’m helping to save more lives from breast cancer.

Jon Chadwick

My wife, Aimee, was diagnosed with HER2+, triple-positive breast cancer in October 2020. She went through COVID, cancer, chemo, targeted im munotherapy, and a double mastec tomy, all within seven months. She is a warrior. I stand in awe of her… in support of her … in honor of her and all of the individuals like her. The American Cancer Society is, at least in large part, instrumental in my wife defeating cancer, via the devel opment of Herceptin, which armed Tennessee Oncology with the tools needed to conquer HER2+ cancer.

Alvaro Valle MD, FACS

University Surgical Associates

Breast cancer affects everyone - it doesn’t matter if you’re a man or a woman. That’s why I’m stepping up to fight breast cancer with all I have. By raising money and awareness through Real Men Wear Pink, I’m helping save more lives from breast cancer - and I need your help.

2022 Real Men Wear Pink Chair Realtor and Managing Partner at REthink Real Estate – Keller Williams Realty

Highly skilled and compassionate, there is a lot to know about the surgeons, nurse practitioners, nurse injectors, licensed aestheticians, and other professionals who have dedicated much of their lives to serving their clients.

What follows are several of our area’s most accomplished cosmetic professionals who are serving their clients with exceptional quality services.

Beautifully You!

Customizing Skincare

After spending three years in the medical aesthetics industry, Cora LeSar decided it was time to branch out and open her own medical spa in the summer of 2022. “Taking the leap to open Alchemy was one of my most humbling and exciting opportunities,” LeSar shares. “I love being able to offer Chattanooga something different in terms of medical aesthetics and well ness services.” At Alchemy, LeSar of fers everything from Hydrafacials and permanent makeup to skin tightening and laser treatments; whether she’s creating a beautiful set of permanent eyebrows or helping an acne client get clear, nothing is more rewarding to her than helping her clients feel like their best selves. “I feel truly honored to be able to do what I do,” says LeSar.

Cora LeSar

ALCHEMY MEDSPA + WELLNESS CENTER

1 What influenced you to pursue your career?

I had a very personal struggle with acne and can remember how uncomfortable I felt in my skin for many years. I have an immense desire to care for people and a love for skincare. Aesthetics was a natural career move where I could pursue both passions!

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

I always try to be myself and be very honest with my clients. I think it’s so important to build that relationship. If you trust me to take care of you, that is something I don’t take lightly!

3

From the minute she greeted me, Cora’s care for the health of my skin was clear. Skincare is her passion! The Hydrafacial I received from Cora made my skin feel ultra-clean and hydrated.” K. BURGER

4

What is your best advice for clients?

Wear your SPF! If you do anything for your skin, do that.

How do you develop a plan for each client?

Listening to their desires and learning more about their lifestyle is critical. Every client is different; customizing the plan to the client is essential!

5

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

Take care of others the way you would want someone to take care of you. Many of the services I offer are elective, not a necessity. Clients always have a choice in who cares for them, and I am honored when it’s me.

Beautifully You!

Enhancing Beauty

According to Dr. Laura Cleary, no two workdays are the same at Four Bridges Dermatology & Cos metics. “My day is a mix of caring for medical dermatology patients as well as performing skin surgeries and cosmetic procedures,” she says. “Our dermatology clinic cares for patients of all ages and diverse backgrounds, which makes each day different and enjoyable.” Due to the nature of her work, it’s difficult for Dr. Cleary to pinpoint just one of her happiest pro fessional moments. “We have amaz ing medications in dermatology that truly transform lives for patients with severe chronic skin conditions,” she explains. “Nothing beats the happy tears and hugs from my patients when they tell me that they are able to resume living a normal life since coming under my care.”

Laura Cleary, MD, FAAD FOUR BRIDGES DERMATOLOGY & COSMETICS

I have been a patient of Dr. Cleary for several years and have been impressed with her knowledge base and professional bedside manner. After suffering for years with terrible acne scars on both cheeks, Dr. Cleary smoothed my skin. She literally changed my life!” M. JONES

1 What influenced you to pursue your career?

My passion for science and desire for a meaningful career helping others led me into medicine. In medical school, I had a hard time deciding between internal medicine and surgery because I loved both. Dermatology was the perfect combination of these two specialties.

2 What would you consider to be your main strengths?

My training as a board-certified dermatologist provides expertise when it comes to your skin, hair, and nails. Instead of simply lasering your brown spots, I can assess whether you have an underlying medical disorder, prescribe therapy if appropriate, then recommend a complementary cosmetic treatment.

3

What’s the most rewarding part of your profession?

Having patients tell me that their lives have been transformed under my care is the greatest reward.

4 How do you develop a plan for each client?

With every patient, we formulate a treatment plan based on their budget and goals for treatment, then execute it over the next few months. At Four Bridges Dermatology & Cosmetics, we offer a wide range of cosmetic devices and services that can address every aspect of the aging face.

5

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

My goal is to help each patient become a better, more selfconfident version of themselves by enhancing their innate beauty.

Beautifully You!

Transforming Lives

Helping people feel genuinely positive about themselves brings Brittni Krumrie a lot of joy. “Whether it’s to correct an issue from an illness, such as cancer, or simply to help a per son who is cosmetically unhappy with an aspect I can help change for them, it’s so rewarding to change people’s lives in the most positive of ways,” she explains. “I’ve lost track of how many times clients have cried tears of joy af ter seeing their new look.” Owner of Highbrow for the past six years, Kr umrie recently opened her second lo cation in downtown Cleveland, where she and her eight highly skilled artists will continue to serve their loyal client base – and shed more “happy tears.”

“At the end of the day, making the cli ent feel comfortable and confident is of the utmost importance,” she adds.

Brittni Krumrie HIGHBROW CHATTANOOGA & CLEVELAND

1 What does your day-to-day look like?

Working in detail with clients one-on-one to create aesthetically pleasing cosmetic transformations.

2

I had my eyebrows done by Brittni, and all of my expectations were exceeded. She has so much experience and is knowledgeable about every aspect of the process. I can honestly say that she can be trusted to do her very best, and the outcome will be amazing.” T. JACKSON

What is one of your happiest professional moments?

Being able to give a little bit of normalcy to a beautiful client going through stage IV breast cancer. We became close during her last few months, and knowing the joy and ease her new eyebrows brought her during that scary process meant so much to me.

3

What is your best advice for clients?

Trust the process – and your artist! If you trust the process, it will make it so much easier to enjoy the final product.

4

How do you develop a plan for each client?

At Highbrow, we offer a complimentary consultation where a client can sit down face-to-face with one of our artists to discuss their goals. We meticulously map out the area and discuss shape and color details as it pertains to them individually. Every procedure is customtailored for each client.

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

Communication and knowledge. I like to educate my clients so that they understand each detail of the process. These procedures can be big decisions, and making sure the client is educated on every step of the process and feels comfortable moving forward is a necessity.

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.

LOOKOUT MOUNTAIN

To say my childhood was uncon ventional would be an understate ment. I was born the fourth child to a family of five children. When I was born, my oldest sister was 19, my only brother was 17, and my closest sister was 3. The day after my first birthday my baby sister was born.

Throughout most of my child hood, my mother was ill. Initially, the doctors diagnosed her with gall stones, but eventually the diagnosis changed to pancreatic cancer. I was six when my mother died.

Before her death, she realized that my father could not raise three little girls under the age of 10. It was decided that we would go live with my 26-year-old sister and her family. I missed my mother tremen dously, but I had all my sisters with me and we leaned on each other a lot. I’ll never forget the day when my sister got the notice in the mail that my dad wanted custody of us. He

won and we were sent to live with him in Alabama, but he had his own business and worked long hours, so he was rarely around. We were once again left motherless. My sisters and I spent a lot of time with our aunt and grandmothers, but no one could take the place of our mother.

This is the time I began to paint. My mother had painted for years, and I can remember as a child just staring at her paintings and look ing at the strokes that were made by her hand – a hand that I would never see again, but the paintings I would have forever. Those paintings have been with me and my siblings our whole lives. They bring us so much joy.

Art has been my way of coping with the pain of losing my mother. Someone once said, “Being an artist means forever healing your own wounds and at the same time endlessly exposing them,” and I find

this to be very true. When I painted back in those days, it was a form of healing and offered an avenue to express the pain and instabil ity I had gone through growing up. Through art and therapy, I was able to accept all the things that had happened and use them to create something beautiful. Today I still paint, and I primarily focus on beautiful, happy things like flowers and butterflies.

I have children of my own now, and I try to be all the things for them that I didn’t have as a child. I find so much joy in being a homemaker and creating a home that is cozy and safe for them. I relish taking them to school, watching them play soccer, helping with homework, and all the other things that moms do.

As Janene Wolsey Baadsgaard once said, “In the end, I’m the only one who can give my children a happy mother who loves life.”

Photography by Rich Smith / Photos taken at The Edwin Hotel

Vikki Bible

All my life, I have wanted to be a wife and have children. After four months of marriage, to my surprise, we found out we were expecting twin boys.

My pregnancy was not easy; it included many doctor visits and two trips to Ohio. I had every emotion you can imagine, but I was never alone. God helped me through this journey along with my husband. We were blessed with two baby boys, but after delivery one of them was rushed to the NICU and our other son lived for only a short time.

What I thought was a hard pregnancy was just a minor scratch until I came home to an empty nursery. I cried as my hus band held me, telling me that we had done all we could do. The pain in my heart was overwhelming, but I was also encouraged by the outreach of my church, friends, and family.

As I grieved for my baby boy who died, I prayed for my son in the NICU – that I would get to see him grow up. I stayed by his bedside as much as possible, and I wondered if he missed the presence of his brother. The first months were filled with ups and downs as his lungs grew stronger. I read to him, sang to him, but most often, I whispered his name to God.

After six months of driving back and forth to the hospital, we brought our son home! The joy in our hearts was over whelming. Now, I am the mother of four beautiful children – our son and three girls!

I am blessed to be a stay-at-home mom, and I am home-schooling my son, who is now in kindergarten. During the challenges of being a new mom and think ing of those difficult times, my God was always with me and my family. I know it can be hard to admit we need help or encouragement, but sometimes we need to know that others care.

PHOTO BY RYAN LONG PHOTOGRAPHY

ROSSVILLE

Rain, Rain, Go Away

Grandparents have a special role in their grandchildren’s lives where they get to create traditions and make memories without a lot of the difficult parenting responsibilities. Many families have all kinds of fun, out-of-the-ordinary things kids get to do at grandma’s house, but sometimes bad weather can throw a wrench in things. These local grandmothers share their solutions for chasing away their grandkids’ rainy day blues.

“I was often told that when those grandbabies come, you will experience a different type of love. I must admit that is a true statement. My granddaughter, Nola, has brought so much joy to my heart. At the tender age of two, she already loves reading and being adventurous outdoors. On rainy days, she selects her favorite books and hands them to me one by one to read out loud with her. Her other favorite rainy day activity is sampling new food ideas for my business. Nola has some aller gies that require me to be creative in crafting New Orleans cuisine but without food allergens. Cooking with Mimi will be the next rainy day activity when she becomes age appropriate. My plan is to teach her my recipes and allow her to take the family business to higher heights!”

“I am an educator, so I do my best to encourage my grandchildren to read or do artwork when we are restricted to inside activities. However, staying at home is not always acceptable to them. In that case, we have to be a little more creative, and thankfully, there are some great indoor options in Chattanooga that are both fun and educational. The Tennessee Aquarium, Children’s Discovery Museum, and High Point Climbing and Fitness are always good options. Of course, since I’m the grandmother, sometimes I just let them play in the rain if it’s safe. Playing in puddles can be so much fun, and it’s hard to say ‘no’ to those grandchildren!”

Tacia Taylor Debra Lusk Joanne Beckman

“For an outing on a rainy day, my grandson really enjoys the Tennessee Aquarium. The otters are very entertaining –they make him laugh out loud with their antics! He gets right next to the large tanks and looks at the fish swimming. He loves to spot turtles and alligators in the swamp area. Other favorites are the but terfly garden, the Stingray Bay tank where he can touch the stingrays, and the Un dersea Cavern where he can walk under the tank and look up at the fish. Of course, rainy days are great days to stay in and read books. If it’s not storming or raining too hard, he loves to put on his rain jacket and boots and play in the puddles!”

In Mint Condition

Understanding income disparity in relationships and how to deal with it.

Compatibility is an important part of any relationship. We’re drawn to people that we can relate to in some way, and we form connections based on shared experi ences, common interests, similar goals, and other common ground. However, there is another facet of relationships that can be easy to overlook: financial compatibility.

To learn more about navigating financial differences in relationships, we spoke with Nona Kelly, a licensed counselor who has over 20 years of experience working with individuals, couples, and families.

BY CATHERINE SMITH

Why does money matter in relationships?

Money isn’t everything, but it does affect many aspects of our lives. “Because we live in a rather ma terialistic culture, many of us tend to define ourselves based on what we own or how large our bank account is relative to those in our social networks. It can feel like a disease of comparison,” says Kelly. Financial stress can have a significant impact on a person’s selfesteem, and this can lead them to project personal negative feelings onto others. “The less we have in relation to our family and friends, the worse we feel about ourselves and the more we believe self-state ments about never being good enough,” Kelly explains.

When you believe something negative about yourself, it is easy to incorrectly assume that others feel the same way about you. This can lead to misinterpreting words or actions negatively, even if they were well-meaning. For example, a friend offering to pay for an expensive ticket might make someone feel burdensome or insulted, even if it came from a genuine desire to share a fun experience.

When does it become an issue?

We like our friends for who they are, not what they have, but financial differences can eventually cause friction in any relationship. “It probably isn’t as important in the early stages of the friendship as it may become later on, when you start spending significant amounts of time together,” Kelly says. “Prevalent issues related to socioeconomic disparity include jealousy, being forced to make difficult financial choices, not having one’s financial boundar ies respected, and treating each other differently due to stereotypes and misconceptions.”

Income disparity plays out similarly in romantic rela tionships, but there are additional levels to consider, particularly when it comes to family dynam ics. “People don’t commit to an individual, but rather to a family. One’s partner will inevitably hold a version of their family’s

values and beliefs, including monetary identity. Thus, the opinions of possible future in-laws could have a significant impact on the couple and their relationship.”

Can you get past it?

In any relationship, communication is the key to getting past differences. “Income disparity is like any other dif ference between two people. Rather than downplaying or ignoring differences, we can openly communicate about them and have an honest talk about what they mean to each person,” Kelly says. Though money can be a sensitive topic, it is best to have these discussions sooner rather than later. “If any differences, financial or otherwise, truly fall into the category of ‘non-negotiables’ then it’s best to get it out into the open before significant attachments are formed,” she says. “Tough conversations are best had with as little emotional attachment as possible.”

Tips for Talking it Out

When it comes to these tough conversations, Kelly has some additional advice. “One topic I often discuss in premarital counseling is how the couple defines words like ‘budget’ or how their family of origin related to money. A good way to start this conversation is to talk about each person’s vacations as a child or how their parents talked with them about being responsible with money.”

According to Kelly, it is best to have a series of brief conversations, as drawn-out discussions are not always conducive to healthy communication. “I suggest that as couples have these conversations they keep a list of topics they want to return to later on,” she advises. The topics need to be as specific as possible and the con versations limited to approximately 20 minutes so they do not feel overwhelming. Keep tabs on how both you and your partner are feeling throughout these conver sations, as it is best to table them if emotions start running high. “Remember, words can be added much more easily than they can be taken back,” Kelly warns.

NONA KELLY, LMFT

Thriveworks Counseling

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.

Charlye White, by Synamon Townsend

As a young woman aspiring to influence many women, I have been granted the opportunity to write about a woman who inspires me daily. The power she wields cannot be adequately expressed in only 200 words, but here is a brief introduction.

The moment I met Synamon, I knew that I could benefit from her advice and mentorship in developing into the woman I aspire to be. She effortlessly brings together a community of people while encouraging people to look beyond their wildest aspirations regardless of who they are or what their background is.

Synamon has a heart of gold and a mind that is rich in wisdom. A woman who can motivate and unite people in various cities is a woman with a force to be reckoned with. The thing that intrigues me the most is how she challenges me to step into my power daily. She presents me with mindblowing activities and challenges that at first seem insurmountable but are ultimately rewarding. When life throws me demands, she encourages me to supply a chain of no limitations. I am grateful for her mentorship, guidance, and inspiration. There is no one more deserving of recognition than Synamon Townsend.

CHARLYE SYNAMON

“The moment I met Synamon, I knew that I could benefit from her advice and mentorship.”

DOMINIQUE

Sarah Jackson, Inspired by Dominique Harris

Outside of being an entrepreneur, committed partner, and homeschool mom of four kiddos, Dominique is a generous, curious member of the Chattanooga community. She frequently educates around issues of race and racism, relationship dynamics, and homeschool curriculum.

Dominique’s conversations about issues of race and racism are especially masterful as she weaves together historical and personal narratives to inform and educate her audience. What’s more, she invites and sincerely engages with feedback and questions around her presentations. In a time where community is fractured and curiosity is scarce, Dominique encourages both by taking a posture of teacher and nurturer. She never seeks to make the lived experience or history of racism more palatable, but she is willing to sit with anyone who has a mind to understand and a willingness to listen. Mia Littlejohn, a friend of Dominique’s, recently said that “our community does not deserve her, but it sure does need her.” I couldn’t think of a better way to say it. She is deeply inspiring to me, and I am grateful to be in community with her.

PHOTO BY RYAN LONG PHOTOGRAPHY

“In a time where community is fractured and curiosity is scarce, Dominique encourages both.”

SARAH

Nicole Brown, Inspired by Gwen Williams

Gwen is the perfect mentor for me! She is an educator and former Miss Alabama World. We met while working in higher education many years ago. Two years of friendship passed before she realized I was Khole Brown on the radio. We have prayed, celebrated, laughed, cooked, and traveled internationally together. Family and friends have watched us cook with laughs and “curiosity”.

She is the wife of Judge Walter Williams and a loving mother to her daughters and grandson. Gwen is in my organic leadership circle. She advocates for a standard of excellence with the utmost respect and discernment.

We witnessed history when we traveled to President Obama’s inauguration in 2014. This inspired the opportunity for me to support college students at his second inauguration. I was thrilled to see those firsttime voters witness the process of democracy in America.

Gwen’s character surpasses her physical beauty. Her wisdom of equality, education, and love for family inspires me. Both of us are Women of Distinction, and she fills my life with love each day. Gwen’s constant reminder is, “Nicole, you are smart, talented, and worth it.” I hope you see why I trust and celebrate Gwen!

NICOLE GWEN

“She advocates for a standard of excellence with the utmost respect and discernment.”

Jordan Gustus, Inspired by Erica Wright

Watching someone make anything happen makes you truly believe you can do anything!

Growing up, I watched my mom, Erica Wright, run businesses, be a wife, an excellent mother, a mentor, a volunteer, and much more. She did it all with grace! Her tenacity, creativity, and passion were infectious and definitely passed on to me! From an early age, she inspired me to be a leader, to use my voice and talents, and to go after everything I desired with unwavering dedication. Although I knew that everything she did wasn’t as easy as she made it look, I knew it was more than possible for me too.

When I decided to run my own graphic and brand design company, my mom was more than supportive in assuring me that I had it! Even when others encouraged me to get a “real” job with benefits, my mom never lost faith in me. Every step of the way, we have helped and encouraged each other in life and entrepreneurship as I have found my footing! I can’t wait to continue to learn from her and grow with her as we both continue to expand.

JORDAN ERICA

“From an early age, she inspired me to be a leader, to use my voice and talents, and to go after everything I desired.”

COUNTER THE IMPACT OF LIFE’S MANY DEMANDS WITH INTENTIONAL, RESTORATIVE PRACTICES

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

Photography by Rich Smith

Heather DeGaetano

Exercise Daily I exercise every day because it makes everything else in my life less stressful. This means that I sometimes go on a long walk at 9 p.m., or that I work out during lunch, or that I walk on the treadmill while taking calls and listening to Zoom meetings. It also means that I often do a core strength video when I take a quick break rather than doing something more fun, like getting coffee. My goal is to just fit exercise in whenever I can.

Get a Full Night’s Sleep

I’m fairly religious about getting enough sleep, and I’m lucky that I have enough flexibility to make this happen. This isn’t always easy, and I think you have to be intentional about it. This means that I often go to bed before the rest of my family, or I sleep in a little longer than they do. I’m also not afraid to take a 15-minute nap when I’m working from home.

Create a Great Team

Professionally, I try to be sure my team is made up of calm, creative people who stay cool in a crisis.

I’m really lucky that my current team is very much this way. We talk often about how curiosity is the trait we like to hire for most in our team. This means that rather than stress out in times of crisis, we look for the “why” and ask good questions to help understand what happened. Sometimes, we can even laugh about it together! This is just so valuable in the people we work with all day long.

Rosetta Greer

Remember That Life Is a Possibility, Not a Limitation

Whenever I feel my energy shift from joy or peace, I don’t reject it. Instead, I assess these feelings of stress and acknowledge the truth of what I feel. Next, I have an experience of introspection, accountability, and acceptance. Then, I think of solutions to evolve beyond it and honor what was revealed to me. The more I practice honoring my peace and joy, the more I see stress as a possibility to further appreciate the solace I have.

Take on a New Adventure

Sometimes the best response to stress is finding a healthy way to detach from it. I have found that going to new environments in nature frees my mind in ways I can hardly explain. Whether I’m walking a new trail, going to an unfamiliar side of my favorite park, or visiting natural landscapes around the world, nature’s art gallery reminds me to nurture and cultivate what is before me in a manner that is conducive to all that is

Be One With My Spirit

The word spirit is derived from Latin terms spiritus and spiraire, which mean breathe and breath. I’ve found that the more I create a lifestyle that allows me to breathe deeply – experiencing more feelings of authenticity, joy, peace, and love – the easier it becomes to center my essence in the wholeness of that breath. Once I learned that my thoughts, words, and actions influenced how I experienced stress, I made it a top priority to do things that help me continue to have oneness within my breath.

Christy Bonner

Give Grace

Let me share with you two things about me I don’t like to admit: 1. I can be hard on others. 2. I can be extremely tough on myself. The antidote to my propensity to have high expectations for myself and others is grace. Living in grace is the opportunity to offer the same type of unmerited love God gives me to myself and others. When I offer grace, I become a better mom, wife, family member, and friend.

Counter Shame With Vulnerability

I felt shame when my dad struggled with alcoholism; when I didn’t feel as smart as my graduate school peers; as I watched my friends have babies while I struggled for over seven years with infertility; and as a working mom who sometimes questions whether I am enough as a parent. When I’m honest about my own pain, it often gives other people permission to share theirs as well. It’s healing to have safe people with whom you can express your true feelings. Seeing a therapist has been a safe space for me to work on practicing vulnerability.

Practice Embodiment

I would define embodiment as the experience of moving out of the mind and into the body. Yoga is a daily practice for me that invites me to enter the body, so I can calm the running thoughtwaves of my mind. In my work as a licensed marriage and family therapist, I listen and hold many of my clients’ stories and also my own difficult experiences in my body. As I breathe and move in yoga, I enter the present moment and release emotional pain from my body.

Plentiful Pumpkin

Versatile Recipes Perfect for Fall

Did you know?

Photography by Rich Smith

Real Roots Cafe’s Cozy Pumpkin Spice Waffles

“Our family loves waffles, espe cially when we found out that we could make them with simple and whole food ingredients! Not only are they filling and delicious, but we incorporated many healthy ingredients to make sure the nutri tion is on point. Low in saturated fat with a balance of macros, these waffles are sure to make your stomach, body, and mind happy. These waffles are so easy to make that anyone can do it! This is our pumpkin spice version to get you in the cozy fall mood. All you need is a blender and a waffle maker.”

Ingredients

Forthedairy-freebuttermilk:

• 1 cup oat milk

• 1 tsp. apple cider vinegar

For the waffles:

• 1 cup buttermilk

• 2 spotty bananas

• 1 cup pumpkin purée

• 2 cups rolled oats

• 1 tsp. allspice

• 2 tsp. cinnamon 1 tsp. vanilla

⅛ tsp. cardamom

• 1 tsp. nutmeg

• ½ tsp. salt

Forthe icing:

• 1 cup pumpkin purée

• ½ cup cashews

• ½ cup maple syrup

• ½ tsp. vanilla ½ tsp. cinnamon

• 2 Tbsp. almond butter

• ½ cup dates

• ½ cup oat milk

• ¼ tsp. salt

Forgarnish (optional):

• Walnuts, hempseeds, goji berries, cacao nibs, and/or dairy-free coco nut whipped cream

Directions

For the waffles:

1. Before you get started, make your dairy-free buttermilk – mix oat milk and apple cider vinegar, stir well, and let sit for 5-7 minutes.

2. In a blender, add all waffle ingredients and blend until batter is consistent.

3. Pour into waffle iron and cook until it easily comes off the iron, about 5 min utes at around 350°.

Forthe icing:

1. In a blender, add all icing ingredients and blend well until smooth. Spoon over hot waffle.

2. Top waffles with fresh fruit and maple syrup. Garnish with your favorite super foods (ours are cacao nibs, goji berries, and hemp seeds) plus dairy-free coconut whipped cream.

– Matthew & Tiffany Lake, Owners, Real Roots Cafe

Carolyn West’s

Curried Pumpkin Chicken Stew

“One of my favorite family traditions from my husband’s Northeast ern family is their annual Fall Soup Picnic. Not only do we get to hang out outside of the hectic holiday seasons, but it also brings out friendly competitions among us. My curried pumpkin chicken stew is one of the most sought-after hits at the Soup Picnic. The tangy, rich flavor stands out amid the ocean of Northeastern tomato-based stews or clam chowders! Utilizing pumpkin as the main ingredient makes you feel giddy that it’s finally fall, and it’s light and healthy enough for it to be your go-to soup recipe this season!” - Carolyn West

MAKES 6-8

PREP TIME: 15 MINUTES

COOK TIME: 45 MINUTES

Ingredients

• 1 cup white onion, diced

3 stalks (about 2 cups) celery, diced

• 3 cloves (about 1 Tbsp.) garlic, peeled and minced

• 2 cups chicken, shredded ½ Tbsp. curry powder

1 Tbsp. cumin

• 1 (15 oz.) can unsweetened pumpkin purée

• 1 (15 oz.) can white Northern beans, drained and rinsed

• 1 (15 oz.) can full-fat coconut milk

• 1 cup low-sodium chicken broth

3 Tbsp. low-sodium soy sauce

¼ cup apple cider vinegar

• ¼ tsp. salt

• ¼ tsp. pepper

• ¼ cup fresh cilantro, finely minced

• Fresh chopped peanuts, sliced chili peppers, and/or scallions as garnish (optional)

Directions

1. In a large stock pot on medium high, sauté the first six ingre dients with olive oil for about 10 minutes until tender and fragrant.

2. Add shredded chicken, curry power, and cumin (warming up spices before adding liquids helps toast them properly and release fragrance).

3. Stir in pumpkin purée, white Northern beans, coconut milk, and chicken broth. Bring to a boil, then reduce heat to me dium low. Simmer for about 30 minutes. Season with soy sauce, apple cider vinegar, salt, and pepper.

4. Before serving, submerge an immersion blender and give the stew a few quick pulses, leaving some chunky texture. This is a super easy and healthy way to thicken up stews! If you don’t have an immersion blender, ladle 1-2 cups of stew to a regu lar blender, blend until smooth, then stir back into the stew.

• 2 cups carrots, peeled and diced

1 cup green pepper, diced

• 1 Tbsp. fresh ginger, peeled and minced

5. Remove from heat and stir in minced cilantro. Garnish with peanuts, chili pepper, and/or scallions.

Breakfast Breakdown

WHY YOUR MORNING MEAL MATTERS

BY MARY BETH WALLACE

You’ve heard it said all your life: “Breakfast is the most important meal of the day.” But is this adage based on any real science, or is it just something moms say to get their kids to finish their cereal? Considering that nearly one-fourth of Americans skip breakfast consistently, it’s worth exploring what exactly breakfast can do for you and your body. Keep reading for breakfast’s biggest benefits and some healthy meal ideas to jumpstart your day!

THE BENEFITS OF BREAKFAST

Studies have pointed to several ben efits of eating breakfast within one to two hours of waking. These include:

• Providing energy. You wouldn’t ex pect a car to run properly without fuel, and the same can be said for your body. Eating breakfast gives you the energy you need to start your day and perform at your best.

• Helping you focus. Those who eat breakfast are often more alert and focused than those who skip their morning meal. It’s especially impor tant for school-aged children to eat in the morning, as it’s been proven that breakfast leads to better concentra tion and academic performance.

• Reducing your risk of disease. Eating breakfast has been linked to improved heart health and a lower risk of obe sity and type 2 diabetes.

• Getting in your vitamins and miner als. Many breakfast foods are rich in calcium, B vitamins, folate, fiber, and iron. Skipping breakfast means skip ping out on the chance to consume these vitamins, minerals, and nutri ents that are essential for good health.

• Improving your mood. Food impacts your mental health just as it does your physical health! A healthy breakfast has the ability to boost your mood and give you a more positive attitude to start the day.

BUILDING A BETTER BREAKFAST

There are three components to a healthy breakfast: carbohydrates, pro tein, and healthy fats. Including all three will ensure you stay satiated all morn ing long. Ideally, your breakfast will also include a hearty dose of fiber – typically found in produce (think berries, apples, avocado) and whole grains.

Here are just a few suggestions for your morning meal:

• Oatmeal topped with fruit and nuts

Avocado toast topped with a fried egg

• Smoothie filled with fruit, veggies, yogurt, and/or nut butter

• Breakfast tacos filled with scrambled eggs and veggies on corn tortillas

• Greek yogurt parfait with berries and nuts

Breakfast sandwich and a side of roasted potatoes

You can enjoy cereal, too – just look for a box that’s high in fiber and low in sugar, and be sure to pair it with some extra protein. And, if you’re really in a pinch, don’t discount last night’s dinner! While a little untraditional, eating dinner leftovers for breakfast can help you check all of your nutri tion boxes and give you a savory start to your day.

BUT WHAT IF YOU’RE NOT HUNGRY?

Not everyone is hungry right when they wake up, so breakfast just isn’t an appealing option. While it’s always important to listen to your hunger cues, you might investi gate why you aren’t feeling hungry. For example, you might find that you’re eating your last meal of the day really late at night; if that’s the case, experiment with eating a little earlier if possible – at least two hours before bedtime – or even reducing the size of your evening meal. Get seven to nine hours of sleep every night to ensure you’re well-rest ed, and build time into your morning routine so that you have the opportunity to eat and enjoy breakfast.

And don’t forget – breakfast doesn’t have to be a complicated affair! A banana and peanut butter can put some fuel in your tank and help you avoid feeling “hangry” mid-morning.

Michael Hornig’s At-Home Workout for Cyclists

Photography by Rich Smith

Squats

This move is great for creating an all-around stronger base. Start by standing with your feet shoulder-width apart and your feet turned out slightly to open the hip joints. Your hands should start down at your sides. Lower your body until your thighs are parallel to the floor, and raise your arms to be parallel with your shoulders. Pause for a moment before returning to the starting position.

“ROCK YOUR RIDE! The strength of cyclists is strength for all. Regarding cycling, we want to generate as much power as possible by pushing and pulling the pedals while keeping the torso locked in place. These five moves will help strengthen you on and off the bike. For the perfect 20-minute workout, complete four rounds of 45 seconds on and 15 seconds off.”

Michael Hornig, CycleBar

Bodyweight

Good Mornings

This is a great move that translates well to riding out of the saddle. Begin standing with your feet hip-width apart. Place your hands across your chest in a genie position. Pull your abs toward your spine, being mind ful to keep a neutral spine, while you simul taneously press your butt backward. Keep ing a slight bend in the knees, hinge at the hips until your back is almost parallel to the floor.

Maintain a flat back as you return to standing, and squeeze your glutes when you are upright.

Forward Lunges

If you want to create powerful legs, this move is hard to beat. Stand with your feet directly under your hips, and step one foot out in front of you as far as you can. Bend both knees until the one at the back is paral lel to the floor. Make sure that your front knee is directly over your ankle, and if it’s not, ad just accordingly. Press through your front foot to return to standing. Continue for 45 sec onds before switching sides.

Plank

This move is perfect for gaining core strength. Start in a tabletop position with your hips directly over your knees and your wrists directly under your shoulders. Press your fingers and palms firmly into the floor, and

Leg Lifts

Leg lifts are great for strengthening your core,

round the top of your back to create distance between your shoulder blades. Step your feet back until your knees are almost locked. Clench your glutes and lift your belly button as far as you can toward your spine.

INSIST

When Avery Johnson, Vice Mayor of Cleveland, almost died from a swarm of wasp stings, his wife Lelia was overjoyed that he survived. So when the hospital told her he would have to be transferred to a nursing home, she wasn’t ready to give up. She knew she HAD A CHOICE. She called Siskin Hospital, and we worked alongside her to get him admitted. He could not walk and was confused. But just two short weeks later, he was able to leave Siskin Hospital full of hope for his future. And Lelia took her husband home, right where he was supposed to be. CHOICE have a

Award-winning care and humankindness go hand in hand.

We’re honored to be nationally recognized and awarded for doing what we do every single day. Because everything we do at CHI Memorial is for the patients we serve.

Memorial.org

Rated by CMS Star rating