HealthScope Magazine Late Summer 2024 by CityScope & HealthScope Magazines

Every Second Counts...

Peripheral Arterial Disease (PAD) is a silent but dangerous condition that demands immediate attention. The longer patients wait to be seen, evaluated, and treated, the higher their risk of severe complications, including gangrene and limb loss. No one should suffer from leg pain—this isn't normal and often indicates a serious underlying issue. Early detection and intervention can significantly improve outcomes, preventing disease progression and preserving quality of life.

Why Choose Us?

• Self-referrals are welcomed

• Timely appointments

• Dedicated experienced team

• State-of-the-art technology

• Comprehensive care

Choosing VIC means trusting a team dedicated to early intervention and treatment.

Fun in the Sun a Ford

“There shall be an eternal summer in a grateful heart.”

- Celia Thaxter

Often, late summer can be a season of big transitions: starting new schools, new routines, new fiscal years, and more. With big changes come feelings of uncertainty and uneasiness as we prepare for the unknown. Although sometimes uncomfortable, these seasons allow us to grow as we tackle unforeseen obstacles and learn from fresh experiences.

In this Late Summer issue of HealthScope® magazine you will find numerous articles to inspire as you tackle this season of change. Starting with our lead health features, local medical professionals provide insights on everything from childhood development milestones and PCOS to respiratory health. Not to be missed is the “Annual Advancements in Medicine Section,” featuring advancements in everything from technology to techniques that allow local practices to provide the highest level of care.

While these articles encourage you to take control of your and your loved ones’ physical well-being, the special section “Meet Our Caregivers” features professionals dedicated to supporting others’ health and wellness. These six local caregivers are dedicated to using their compassion and expertise to provide the utmost care for others.

Many other inspiring stories await like mainstay sections “Her Story” and

Cailey Mullinix Easterly

“Inspired,” featuring local women who, despite obstacles and adversity, continue to persevere and inspire others along the way. There is much more to discover like helping your kids tackle major school transitions and tips for boosting work productivity in a home workspace. The articles “A Spa-Worthy Shower Routine” and “Creating a Clutter-Free Closet” emphasize the importance of self-care, while delicious watermelon recipes and Jenna Wright’s Yoga Flow workout promote nourishing your body and mind.

Lastly, don’t miss our interview with cover model Neha Shah and how she prioritizes her overall well-being.

We hope you enjoy this Late Summer issue of HealthScope® magazine and that it inspires you as you take on the season ahead.

Happy reading,

One team. One heartbeat. For one you.

At Hamilton Health Care System, our team of experts works with one heart to serve you.

We’ve built an integrated care team that collaborates every step of the way and always puts you first. Not only does Hamilton Health Care System have leading-edge imaging and surgical technology to help diagnose and treat patients fast - like our EBCT scanner that can capture an accurate image of your heart in one heartbeat - but we’ve also added 12 fellowship-trained cardiovascular specialists in just 12 months.

Full-scale cardiovascular care includes:

Open Heart and Reconstructive Surgery

Electrophysiology

Cardiac Rehab

Non-invasive Care

Today, in your community, the region’s best cardiovascular care is just one heartbeat away, at Hamilton Health.

DAVID POTTS HAMILTON HEALTH CARDIOLOGY PATIENT

Neha Shah shares how she intentionally sets aside time for family, fitness, and self-care on page 80.

Photo by Kristina Armstrong

Publisher George Mullinix

Co-Publisher Cailey Mullinix Easterly

Sales & Business

Development Amanda Worley

Design Lead,

Sr. Graphic Designer Lauren Robinson

Sr. Graphic Designer Tamara Slocum

Graphic Design Intern Marietta Song

Managing Editor Rachel Studebaker

Editors Gray Bennett Kristen Dee Tory Irmeger

Editor/Digital

Content Specialist Ali Lemmons

Director of

Digital Marketing Ruth Kaiser De Backer

Digital Marketing Assistant Houston McLain

Marketing,

Events, & Operations Laci Lanier

Photographers

David and Drew Photography Hacker Medias Kristina Armstrong Rich Smith

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health in a minute

QI recently had my teeth whitened for the first time. I love my results, but I also love having a cup of coffee as a part of my morning routine. How can I maintain my smile without giving up my daily caffeine fix?

A. Teeth whitening is a great way to help brighten your smile by removing the stains from everyday things such as food, drinks, and tobacco. To help improve and maintain the whitening results, it’s best to limit the habits that cause the staining. Coffee is a very complex beverage and has many different ingredients that affect the teeth. It can cause increased sensitivity, dryer mouth, and undesirable stains. It is best to avoid coffee and other dark liquids for 24-48 hours after a treatment, but we absolutely understand the need for a caffeine fix. Ways to help include limiting consumption, drinking through a straw to minimize the amount of time the liquid touches your teeth, and swishing with water after drinking coffee to help neutralize acids and reduce staining. Brushing immediately after drinking coffee, or after 30 minutes, will also help to remove harmful sugars and cavity-causing bacteria. Mandy Shearer, DDS

Q. My mother is an avid gardener and recently had hip replacement surgery. What can I do to support her recovery, so she can get back to enjoying her beloved hobby?

A. Managing hip pain and stiffness after surgery involves a combination of medication, physical therapy, lifestyle modifications, and regular follow-up care. Pain management is a key factor that can be achieved with prescribed pain medications. Common options include acetaminophen, NSAIDs (like ibuprofen), muscle relaxers, topical medications, or stronger pain relievers if necessary. Ice packs can reduce swelling and numb the pain,

while heat therapy can help relax muscles and improve blood flow. For a gardener like your mother, it’s important to increase activity levels as tolerated, avoiding high-impact activities that strain the hip. Remind her to follow the recommended physical therapy exercises to improve mobility and strength. These exercises are crucial to prevent stiffness and build muscle around the hip.

M. Amjad Munir, MD, FAAPMR

Q. My husband is coming home from the hospital in a few days after recovering from a stroke. I want to make sure I support him mentally and physically as he continues to recover at home. What are some things I can do to help him?

A. Caring for someone after a stroke can be a difficult experience both physically and emotionally. Please ask as many questions as you need to educate yourself and prepare to leave the hospital. There are no bad questions! Be helpful but encourage his independence with participation in his daily routine and problem-solving tasks. Break up tasks into steps, and walk him through the process with patience … brain recovery takes time. Set realistic goals that can help build confidence and hope. Accepting help from others is essential to preventing caregiver fatigue but also provides crucial social interaction. It is important to be honest and aware of changes in your husband’s mood as depression and anxiety are common after stroke and can significantly affect recovery. Discuss progress and challenges with your healthcare provider regularly, and finally, remember to stay realistic but maintain optimism and hope! Jason Kilmer, DO

Meet Our Experts

Q. I’ve dealt with stubborn acne and acne scarring my whole life, and I’m ready to see real change in my skin texture. I have sensitive skin, so I’m concerned that some treatments might irritate my skin even more. What treatment options should I look into?

A. When dealing with active acne and acne scarring, there are innumerable options for treatment. The first step to seeing a change in your skin is to get to the root cause of the acne, which could be dietary, environmental, or simply genetics. A customized skincare regimen and treatment plan is the next step. For instance, when I am treating teens and adults for active acne, I start with a series of chemical peels or enzymes combined with skincare specifically formulated to fight the formation of new acne. Once I get my patient clear of acne, we start focusing on scarring. Laser resurfacing and microneedling are popular treatments for acne scarring. Both are fantastic options for sensitive skin, deep scarring, pigmentation, textural issues, and more!

Cora LeSar,

Q. I’m having trouble communicating with my teenage son. Whenever I try to ask him about his interests or social life, he shuts down, and I’m concerned there might be something wrong. What should I do?

A. Communicating with teenagers can feel challenging. Though you can’t force him to open up, these things might help: Give advance notice. Let your son know you want to connect because you care about him. Get his input on a time and place to have a conversation. Do something active while talking. Try taking a walk or playing catch. This allows both of you to release energy and helps your son feel less on the spot. Stay curious. Don’t be accusatory. Allow him to decide what he shares and validate his experience. Give advice only if he asks for it. He’ll be more willing to share if you don’t go into fix-it mode or expect him to do things your way. Remember, communication is an ongoing process, so it will take time and patience. You might offer to help him find someone else to talk to if he needs that. Amy Achata, LPCMHSP, NCC

Mandy Shearer, DDS Dentist, Soddy Daisy Smiles

Jason Kilmer, DO Medical Director, Kindred Hospital Chattanooga

M. Amjad Munir, MD, FAAPMR Medical Director, Encompass Health Rehabilitation Hospital of Chattanooga

Amy Achata, LPC-MHSP, NCC National Certified Counselor, SCOUT Counseling, LLC

Cora LeSar, LE Licensed Esthetician, Certified Acne Specialist, Alchemy MedSpa & Wellness Center

numbers to know

Stay Hydrated

Looking for easy ways to increase your water intake? While they don’t replace drinking water, these three foods have high water contents that will help you stay hydrated all day long:

Improve Focus in Kids with ADHD

Studies have shown that a brief, 20-minute aerobic workout can have improvements on the performance of children with ADHD. Specifically, exercise can give them better focus in reading, math, and impulse control.

According to the National Heart, Lung, and Blood Institute, high cholesterol is most often diagnosed in adults between the ages of 40 – 59. Adults of this age are recommended to get a cholesterol test every 1 – 2 years to check for unhealthy levels.

Working on screens all day?

Experts recommend adopting the 20-20-20 rule to prevent eye strain. Every 20 minutes, look at an object 20 feet away for at least 20 seconds. While you’re taking a break, don’t forget to grab a sip of water or stand for a moment, too.

CHI MEMORIAL

James Williams, COO

CHI Memorial is pleased to announce the appointment of James P. Williams as chief operating officer. Williams holds a Master of Health Service Administration degree and has over 20 years of experience in healthcare leadership. In this role, he will oversee daily service operations of the health system.

ERLANGER

Ryan Shibata, MD

Erlanger Family Medicine is pleased to welcome Dr. Ryan Shibata. Dr. Shibata completed his undergraduate degree at California State University and has a medical degree from Ross University School of Medicine. He also completed a residency at Erlanger, affiliated with the UT Health Science Center.

ERLANGER

Catherine Martinez, MD

Erlanger Pulmonology and Critical Care welcomes Dr. Catherine Martinez to the team at the Erlanger East Hospital location. Dr. Martinez earned her medical degree from the University of Florida College of Medicine and brings over 20 years of experience to the role.

PARKRIDGE HEALTH SYSTEM

Caroline Burris, MBA, ACHE

Parkridge Health System is proud to announce Caroline F. Burris as the new chief executive officer for Parkridge East Hospital. Burris holds a Master of Business Administration degree and brings over 15 years of experience with HCA Healthcare to the role.

CHI MEMORIAL MEDICAL GROUP

Elise Marshall, DO

CHI Memorial welcomes Dr. Elise Marshall to CHI Memorial Chattanooga Internal Medicine Group. Dr. Marshall has a Doctorate of Osteopathic Medicine and nine years of experience as a hospitalist, bringing a wealth of knowledge and experience to the role.

ALCHEMY MEDSPA & WELLNESS CENTER

Mackenzie Thompson, PA

Mackenzie Thompson has joined Alchemy MedSpa & Wellness Center as an aesthetic injector and women’s wellness coach. Thompson completed her undergraduate degree at the University of Tennessee at Knoxville and is a graduate of the Lincoln Memorial University Physician Assistant program.

AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER

Sarah Taylor

The Austin Hatcher Foundation is pleased to welcome Sarah Taylor as family service coordinator. Taylor received her undergraduate degree from Lee University and will support the family services team in this role.

HAMILTON CARDIOVASCULAR INSTITUTE

Vineet Dua, MD, FACC

Hamilton Cardiovascular Institute welcomes Dr. Vineet Dua, as a board-certified, noninvasive cardiologist. Dr. Dua earned his medical degree from St. George’s University School of Medicine and completed a fellowship at Strong Memorial Hospital and a residency at Albany Medical Center.

health & wellness calendar

August

10 Bingo for the Grove

Join the Orange Grove Center for a lively evening of cocktails, dinner, and dancing at this year’s Bingo for the Grove. Held at the Hunter Museum of American Art, this year’s programming will feature live music, a seated dinner, an engaging program, silent auction, and of course, bingo! All proceeds benefit the Orange Grove Center. Cocktail hour begins at 6:30 p.m., and bingo and the seated dinner begin at 7 p.m. bingoforthegrove.org

17 Big Hair Affair

Join The Chattanooga Kidney Foundation for a totally rad night out celebrating the organization’s founding and the first kidney transplant at Erlanger in 1989! Attendees can expect food, drinks, dancing, a silent auction, trivia, and more at The Walden Club. Come dressed in your favorite throwback outfit from the

’80s or ’90s and dance the night away! kidneyfoundation.com/ big-hair-affair

24 StarNight

The 61st annual StarNight, Siskin Children Institute’s largest fundraising event, will be held at the Chattanooga Convention Center. This premier gala includes a cocktail reception, elegant dinner, silent and live auctions, plus a concert performance from American singer-songwriter Gavin DeGraw. All proceeds benefit the children and families served by the institute. siskin.org/starnight

September

8 Nooga Hunger WalkRun 2024

Get ready to race for a good cause! The first annual Nooga Hunger WalkRun is happening this year on September 8. The race starts at noon and includes a 5k walk and run. By joining the

race, you can support the Chattanooga Area Food Bank’s vision to provide equitable access to food and resources to end hunger today and build pathways for a healthy, hunger-free future. Find more information and register online. chattfoodbank.org/ page/nooga-hunger-run

9 CHI Memorial Golf Invitational

The CHI Memorial Foundation Golf Invitational is the premier golf event in Chattanooga. Join them on Monday, September 9, 2024 for the 33rd annual tournament. With funds raised through the Golf Invitational, CHI Memorial remains at the forefront of caring for the community. These funds specifically impact cardiac and cardiovascular care, ensuring the latest in technological advances are available right here at home and provided with the high level of quality and compassionate care expected at CHI Memorial. supportmemorialfoundation.org/chi-memorialfoundation-golf-invitational

11

Men Wear Pink Kick Off Party

Head out to the Walden Club on September 11 to support the American Cancer Society. The 2024 Men Wear Pink ambassadors will be announced, and the event will also recognize and celebrate past ambassadors. In addition to raising money for the fight against breast cancer, attendees can also look forward to programming, light appetizers, and a signature drink. bit.ly/menwearpinkparty

13 Farm to Table(aux)

The Farm to Table(aux), Pop! Goes the Warhol event is a celebration of community, creativity, and compassion, all in support of Erlanger Trauma Services. From 6 p.m. to 10 p.m. at Common House, the festivities will include a soirée featuring a variety of food and drink tasting stations, an art auction, a silent auction, and “tableaux vivants” (living pictures) inspired by the creativity of Andy Warhol. A seated dinner and live auction will follow with a silent disco after-party to round out the night in true Studio 54 style. erlangerfoundation.org/ftt

21 Celebration of Life & Hope

This year will be the Austin Hatcher Foundation’s 17th annual Celebration of Life and Hope. The gala-style event is marked as a night full of family testimonies and is celebrated with live and silent auctions, live music, photobooth fun, an open bar, food, and more to support families who have been impacted by pediatric cancer. This year’s event is co-chaired by Kiran and John Patterson. celebrationlh.com

October

4 Kickin’ It for Kids With Cancer

The Lee University women’s soccer team is once again partnering with the Austin Hatcher Foundation to benefit kids with pediatric cancer and their families. Starting at 6 p.m. on October 4, the Kickin’ It for Kids With Cancer game will not only raise funds and awareness for pediatric cancer, but will also provide families with a special and memorable evening of fun, food, and soccer. hatcherfoundation.org/events/playing-for-purpose

12 RMHC Run4Kids

In memory of Karen Lawrence, the Ronald McDonald House Charities of Greater Chattanooga will host its annual Run4Kids 5K Run and Walk at Chattanooga State Community College at 9 a.m. on October 12. Run4Kids is a celebration of the many RMHC families that have stayed close to their sick children in the hospital, and the funds raised through this event help make that possible. rmhchattanooga.com/events

PRESENTING SPONSORS BENEFITING

LOVE,CARE, & S ERVINGOTHERS

Meet Our Caregivers

There is a lot to know about the loving and caring medical therapists, technicians, nurses, and other professional caregivers who have dedicated much of their lives to serving others.

What follows are local professionals who are providing the utmost in quality care.

GIVING HOPE AND RELIEF

As someone who had personally suffered with migraines her whole life, Ruth Kennedy is passionate about educating her patients and giving them hope for a migraine-free life. “Migraines are frustrating because they’re invisible and have been stigmatized/ignored for so long,” Kennedy says. “But we’re finally getting more research, new drugs, and better visibility in medicine.” Kennedy’s philosophy is to be a knowledgeable and empathetic caregiver, with one of her biggest strengths being her ability to connect with patients as well as personally understand the pain and stigma of migraines. “I think being an open and good listener goes a long way to figure out where people are at. You never know what’s going on with someone.”

Never assume anything. Always listen, investigate, and ask all of the questions. This not only helps you understand the patient better, but it helps to ensure you don’t miss important details.”

RUTH KENNEDY, FNP

ERLANGER NEUROLOGY

How long have you been in your current role?

I’ve been treating headaches and migraines for the past five and a half years, but I am new to Erlanger and new to the Chattanooga area. I started here in January of 2024.

Can you tell me a little bit about your profession? What does your day-to-day look like?

I work in the neurology department treating patients with headaches and migraines. Migraines are the most common neurological disorder, affecting 1 in 5 women. So even though this is a very focused specialty, I stay very busy.

What is one of your happiest professional moments?

When I have patients who haven’t had a headache-free day in years – sometimes 10 or 20 years – finally get relief, I just want to scream it from the rooftops.

Do you believe in miracles? Why or why not?

Absolutely – I see the everyday miracles of science and medicine. Our great-grandparents would never believe what we can do now! And I’ve seen the truly unexplainable. Healthcare is full of mysteries, surprises, and infinite possibility.

What do you love most about your profession?

I love treating migraines so much because it can make such a huge difference in somebody’s life. A small piece of what I do is helping patients understand what is happening in their brain when they get a migraine. It sounds basic (it is), but it is so helpful to know that this otherwise invisible disease is REAL. And obviously treating the migraines and helping patients get control of their attacks is so rewarding.

TAKING TIME TO CARE

LORI PIERCE, CNA

THE LANTERN AT MORNING POINTE

ALZHEIMER’S CENTER OF EXCELLENCE, COLLEGEDALE

Lori Pierce has always been driven by her passion for caring for other people. Even in high school, Pierce knew that she wanted to be a caregiver. “I love that I get to help people and that I continue to learn about my career every day,” Pierce says. As a certified nursing assistant at Morning Pointe, Pierce has a variety of responsibilities including serving meals, taking care of residents’ hygienic needs, and guiding them through activities. Pierce adds, “But most importantly, I take the time to know my residents and what keeps them happy and comfortable.” Having recently passed Morning Pointe’s new medication aide training program, Lori will soon take the state exam to become a Certified Medication Aide (CMA) by the Tennessee Board of Nursing.

What I love most about working in memory care facilities is preserving the humanity and storied lives that my residents have lived. I love being there for them and seeing them happy.”

What is one of your happiest professional moments?

My happiest professional moment happens when the family of a resident tells me I’m crucial to their resident’s care. When a family member tells me that their mom or dad is looking clean and happy, I know I had a part to play in that.

What influenced you to pursue your career?

I have always loved helping and caring for other people, and the CNA program in my hometown drew me in even when I was in high school. When I graduated, I went right into the CNA program at my town’s nursing home.

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

I believe all residents should be treated with kindness, respect, and patience. When you work in memory care, your residents don’t always know what they’re doing, so you need to be collected and calm when caring for them, but at the same time you need to speak to them as an adult and not in a gentle, unassuming voice, out of respect for them.

What is your best advice for residents?

I would advise residents and their families to research their conditions and any potential facility that could be good for them going forward. I believe having a more in-depth understanding of your condition can be vital to getting great care.

What would you consider to be your main strengths?

I would consider my strengths to be honesty, loyalty, willpower, and respect of all people. I believe everyone deserves respect.

FORGING A CONNECTION

JOSH OOTEN, DPT

ERLANGER PHYSICAL THERAPY

The unique nature of physical therapy allows health professionals to spend plenty of dedicated time with their patients. “I get to connect with people, learn their story, figure out what motivates them, and help them form a plan to get back to sports or other daily activities,” says Josh Ooten. Ooten has been a physical therapist since 2015, and he has spent the last six months practicing at Erlanger Physical Therapy. In his work, Ooten prioritizes cultivating strong relationships with his patients. He shares, “The rehab process can be tough at times, but having a solid relationship between the therapist and patient allows for excellent communication to ensure we stay on track and are working toward achieving everyone’s goals.”

I

am a firm believer in maximizing patients’ health literacy. If people understand the nature and cause of their injuries, they are far more likely to invest the time in therapy and at home to work toward the solution.”

What do you love most about your profession?

Every person is different. Every knee, shoulder, or ankle is different. I love that my profession challenges me to think critically about each case and allows creativity in solving the puzzle of helping folks get back to normal function.

What is your best advice for patients?

My best advice for patients is to KEEP MOVING. Many, if not most, of the issues we see are the result of consistently sedentary lifestyles. Even low-level, daily exercise can help prevent many of the musculoskeletal issues that are commonly seen by physical therapists.

What influenced you to pursue your career?

I always wanted to work in healthcare. My mom is a nurse, and I was constantly involved in sports as a child. Physical therapy felt like a great avenue to work in healthcare while also staying connected to athletes.

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

I feel a great first impression comes down to being a good listener. When I meet a new patient, I want to hear about their family, their life, and all the things they like to do. I want to get a feel for their background and personal beliefs, as this plays a large role in the dynamics of their care.

Do you believe in miracles? Why or why not?

I do believe in miracles. I see them all the time in my profession. Seeing people stand, walk, run, and return to sports when they were told they’d never do those things is extremely rewarding, and it proves that we simply don’t always know what a little hard work and determination can produce in the long-term.

PROVIDING QUALITY CARE

MELISSA RIEF

ASCENSION LIVING

ALEXIAN VILLAGE TENNESSEE

LIVE AT HOME

For 16 years, Melissa Rief has been providing personalized care to the residents at Ascension Living. Now, for the past seven months, she has expanded her duties as the regional executive director. “Each day brings new opportunities, rewards, and challenges,” shares Rief. “These challenges can range from ensuring regulatory compliance to managing associate training and professional development.” Rief was inspired to enter the healthcare industry by her mother’s dedicated work as a registered nurse, and her career was later nurtured by those around her. “My colleague, Vicki, played a crucial role in my career by mentoring me and advocating for me to be given an opportunity in a management role,” says Rief.

My main strength is my ability to relate to all individuals with a variety of different perspectives, beliefs, and backgrounds.”

What do you love most about your profession?

The opportunity to make a profound difference in the lives of others. Through my actions and words, I strive to embody and share God’s love, bringing comfort and healing to those in need.

What is one of your happiest professional moments?

The happiest moments are when I get to witness residents after a few months of living in the independent living retirement community. I can often see a weight lifted off of them since they have made the decision to move into Ascension Living Alexian Village. I typically hear words like “I should have made this decision many years ago.” It means so much to me because I get to see how happy living here makes them.

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

The key to making a lasting first impression is to be authentic and to give the other person your full and undivided attention. This shows respect and appreciation for the individual you are meeting.

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

My philosophy is to treat the individuals we care for as if they were family, extend kindness, and to listen to, understand, and serve together.

What is your best advice for patients?

Always seek and maintain a sense of purpose in life, regardless of your circumstances. Even in the face of health challenges, there are countless ways to contribute and connect. For instance, if mobility issues limit physical activity, consider reaching out to someone with a thoughtful gesture like a ‘thinking of you’ card.

CARING FOR THE WHOLE

AMANDA JOLIET, MSN, FNP-C

ERLANGER PRIMARY CARE – CLEVELAND

After working for seven years as a registered nurse in an emergency room, Amanda Joliet realized that she was being drawn to primary care medicine. “I became interested in the puzzling diagnoses my patients would have as a registered nurse,” Joliet says. “I wanted to know the pathophysiology behind the diagnosis. I wanted to treat it.” Now, as of April 2024, Joliet gets to do just that as a nurse practitioner for Erlanger Primary Care in Cleveland. “The moments that bring me joy are when I can offer a patient a single solution that solves more than one problem,” shares Joliet.

I love primary care because it focuses on a holistically healthy you. It is an opportunity to listen to patients and their concerns and guide them in the direction they need to get healthy.”

Can you tell me a little bit about your profession? What does your day-to-day look like?

I diagnose and manage chronic health conditions and acute conditions. When a health-related issue arises, it is my job to assess and treat it. It is my goal to recognize potential health issues early through proper screenings and check-ups.

What is your best advice for patients?

Trust your gut! We are our biggest advocates when it comes to recognizing when something is not right. It is important to mention all the details surrounding your concerns because you may be painting a picture for the provider so they can properly assess and treat what is going on.

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

The key is a smile and a kind tone. It is important to remain engaged in the conversation and for the patient to recognize that their provider is acknowledging their concerns and demonstrating being a confident advocate.

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

I treat each patient as if they were my own family. They deserve someone providing thorough and evidence-based care. If an acute problem arises, I work with the patient and their schedule to find the proper time to address the problem.

What is one of your happiest professional moments?

I performed some extra testing on a patient who was having a basic chest pain complaint. I diagnosed heart failure in someone nearly asymptomatic and began treatment before reaching a diagnosis that presents many challenges when exacerbated. It was rewarding to know someone was possibly avoiding a hospital visit in the future and on the way to a healthier lifestyle.

IMPROVING PATIENTS’ LIVES

ATTICUS LUM, PA-C

ERLANGER UROLOGY

Atticus Lum was drawn to the medical field by his desire to help others. Now, Lum gets to improve patients’ lives as a physician associate in the underserved area of men’s health. “Many of our patients have either seen multiple providers who have not been able to address their problems, or they have been referred to us,” says Lum. “To build trust and rapport, patients need to be heard, and that starts as soon as the exam door opens.” Since November of 2023, Lum has worked at Erlanger Urology and is passionate about treating patients with the utmost level of care. Lum shares, “I try to remember that the more I can educate patients the more empowered they will feel to improve their health.”

I would tell any man who is suffering from sexual dysfunction, urinary issues, or any other type of malerelated diagnosis that they do not have to suffer in silence. There are providers in the medical community that can address these problems and improve quality of life.”

Can you tell me a little bit about your profession? What does your day-to-day look like?

As a physician associate (PA), I am a licensed clinician who practices medicine that is patient centered and team based. My focus is on men’s health, and I work alongside Dr. Anand Shridharani at Erlanger Urology. Every day, I help men whose lives have been affected by erectile dysfunction, benign prostatic hyperplasia, hypogonadism, testicular pain, and many other diagnoses.

What influenced you to pursue your career?

From a young age, I was always excited to go to the doctor’s office. As I grew older, the idea of being in the medical field and helping people only grew as I was able to shadow practitioners.

What do you love most about your profession?

What I love about being a PA is the ability to treat patients at the top of my scope of practice. This means being able to perform procedures and address problems that can immediately provide patients with quality-of-life improvements.

What would you consider to be your main strengths?

I would consider my main strength to be the ability to build rapport with patients as well as assuring them we will work together to address their problems.

What is one of your happiest professional moments?

It would be difficult to pin down any one moment. Any time I can help a patient improve their quality of life is a reminder of why I became a PA.

RESPIRATORY HEALTH / LIVING WITH PCOS / BABY STEPS

medical insights

Respiratory Health

CARING FOR YOUR LUNGS

By Kristen Dee

As our oxygen processing system, lungs and the overall respiratory system are critical to health and wellness. The respiratory system’s role is to move fresh air into our body while also removing waste gases. In addition, it regulates the air’s temperature and moisture levels, protects our body from harmful substances, and supports our sense of smell. Read on to learn more about how the respiratory system works, common illnesses, and how to keep your respiratory system healthy as you age, with guidance from local experts.

How the Respiratory System Works

The lungs are the most critical part of the respiratory system as the main organs. The respiratory system is also made up of airways including the mouth, nose, larynx, trachea, diaphragm, and bronchial tubes. The nose and mouth moisten and warm the air we inhale, and the air then fills the lungs’ air sacs, the alveoli, which are made up of tiny blood vessels called capillaries. These capillaries are connected to arteries and parts of the circulatory system that move blood around the body. As oxygen enters, carbon dioxide is exhaled in a process called gas exchange. If you’ve ever noticed that you don’t have to think about breathing, you have your autonomic nervous system to thank. The autonomic nervous system monitors your body’s oxygen needs and listens for signals from your airways, joints, muscles, and the brain. Sensors in the airways detect irritants to your lungs (this causes coughing and sneezing), sensors in the brain detect carbon dioxide and oxygen levels, and sensors in your joints and muscles detect your movement, which may play a role in an increased breathing rate during physical activity. These systems all work together to ensure you are breathing at the proper rate and have enough oxygen to survive.

Common Respiratory Illnesses

Despite trying to keep our respiratory systems healthy, conditions such as asthma and chronic obstructive pulmonary disease (COPD), as well as lung cancer, can impact respiratory health.

Asthma is inflammation and muscle tightening around the airways, which makes it harder to breathe. Symptoms can vary in severity from person to person. Common symptoms include a persistent cough that may worsen at night, wheezing, shortness of breath or difficulty breathing, and chest tightness. These symptoms may get worse at night, during sickness, when the weather changes, or if you come into contact with a trigger such as dust, fumes, pollen, or strong scents. Symptoms are often treated with an inhaler, which delivers medication directly to the lungs.

COPD, sometimes called emphysema or chronic bronchitis, is a lung disease that causes restricted airflow and breathing issues. Symptoms include a chronic cough, difficulty breathing, wheezing, and tiredness. These symptoms typically develop mid-life or later. Similar to asthma, COPD is often treated with an inhaler to prevent or reduce symptoms. If a respiratory infection develops, it will be treated with antibiotics or steroids.

Jessica Van Mason, MD Board Certified Allergist, Chattanooga Allergy Clinic

Sumit Patel, MD Pulmonologist, CHI Memorial Lung Care Associates at Buz Standefer Lung Center

Ethan Rutledge, DO Pulmonologist, Blue Ridge Pulmonology

“Asthma and COPD treatments aim to control symptoms and improve quality of life,” says Dr. Jessica Van Mason of Chattanooga Allergy Clinic. “For asthma, inhaled corticosteroids are important because they reduce airway inflammation. Quick-relief inhalers, like albuterol, provide fast symptom relief. For long-term control, long-acting bronchodilators, or medicines that help open the airways, are often used in combination with corticosteroids. Other treatments include leukotriene modifiers and, for severe cases, biologics or injections that target the immune system. COPD treatment mainly uses long-acting bronchodilators. Inhaled corticosteroids are added for those with frequent exacerbations, an allergic phenotype, or asthma overlap. COPD care also includes pulmonary rehabilitation to strengthen breathing muscles, oxygen therapy for advanced stages, and quitting smoking to slow disease progression.”

Dr. Van Mason also notes that prevention is important. “Avoiding triggers and getting vaccines to prevent respiratory infections are important for both conditions. Personalized treatment plans and regular monitoring with your doctor can help ensure the best management,” she says.

In addition to asthma and COPD, lung cancer affects respiratory health and is currently the leading cause of cancer deaths worldwide. Smoking is the highest risk factor for developing lung cancer, followed by exposure to radon gas. Exposure to secondhand smoke, asbestos, radiation, and other factors also increase risk, along with genetics. When looking for symptoms of lung cancer, remember the acronym B.R.E.A.T.H.E.

According to Dr. Ethan Rutledge at Blue Ridge Pulmonology, patients should have a conversation with their doctor to see if a lung cancer screening is the right option for them. “Until 2011, there was not good data to support lung cancer screenings. However, since the National Lung Screening Trial demonstrated 20% mortality reduction with annual LDCT chest compared to chest X-rays, low dose CT chest for high risk patients is now recommended,” he says. “Currently, the recommendation is to screen those between ages of 50-80 who either currently smoke or have quit within the last 15 years and have smoked the equivalent of 20 pack-years (1 pack/day for 20 years or more) with an annual low-dose CT chest.”

Blood when you cough or spit

Recurring respiratory infections

Enduring cough that is new or different

Ache or pain in shoulder, back, or chest

Trouble breathing

Hoarseness or wheezing

Exhaustion, weakness, or loss of appetite

Photo taken by Casey Yoshida for The Scout Guide Chattanooga

Dr. Rutledge adds, “Patients should discuss the risks, including possible false positives which may require invasive procedures or biopsies, along with benefits of screening with their doctor prior to screening. Lung cancers caught at an earlier stage are more treatable and have better survival rates.”

Keeping Your Respiratory System Healthy

There are ways to keep the respiratory system healthy as you age, as well as signs that indicate something may be wrong. You likely have healthy lungs if your

breathing is natural and not forced or labored and you do not notice your own breathing. If you experience shortness of breath, persistent cough, chest pain, or any of the symptoms associated with B.R.E.A.T.H.E., these may be warning signs that something is wrong and you should visit the doctor.

“To maintain healthy respiratory systems as we age, we need to keep our lungs in top shape,” says Dr. Sumit Patel, a pulmonologist at CHI Memorial Lung Care Associates. “This would include physical activity such as regular aerobic exercise, like walking, jogging, or swimming. This improves lung capacity and function. Additionally,

we should try our best to avoid, or at least minimize, exposure to smoking, vaping, and pollutants and allergens. A diet high in antioxidants can fight inflammation and oxidative stress in the lungs. Stay up to date with vaccinations and practice good hygiene. Regular checkups with your primary care doctor are essential to catch early signs of respiratory issues and ensure timely management. For those with a history of smoking (active or past), it is important to ask your primary care doctor about annual lung cancer screenings to ensure adequate screening and early detections of potentially problematic lung lesions.”

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Living with PCOS

By Tory Irmeger

Polycystic ovary syndrome (PCOS) is a common endocrine disorder, affecting up to 15% of women. Those with PCOS often experience irregular menstrual cycles, excess hair growth, and unpredictable ovulation that causes infertility. Although PCOS can be present from the onset of puberty, many individuals don’t receive a diagnosis until attempting to get pregnant. It’s important to recognize the symptoms of this syndrome so that individuals living with PCOS can take steps to mitigate negative symptoms and improve overall quality of life.

What causes PCOS?

While the exact cause of PCOS is unknown, many of its symptoms are caused by unusually high levels of hormones in the body called androgens. While androgens are present in both men and women, an excess of these hormones in women can result in unpredictable ovulation, excess hair growth, and other symptoms. Lack of ovulation causes small follicle cysts to develop on the ovaries, although not all ovarian cysts are associated with PCOS. There is evidence that genetics play a role, as those with a mother or sibling with PCOS have an increased likelihood of developing the condition as well.

“Research on PCOS is ongoing, but the outlook appears promising. There is a focus to improve diagnostic methods, better understand the underlying causes, develop more effective treatments, and enhance the overall quality of life for individuals affected by this condition,” says Dr. Lauren Thomas, a specialist at Galen Obstetrics and Gynecology.

Symptoms

While it’s possible to have PCOS and not experience symptoms, there are often signifiers that may vary from person to person. Common signs include:

• Irregular periods. Individuals with PCOS commonly experience irregular menstrual cycles, skipped periods, spotting, or heavy bleeding during periods.

• Abnormal hair growth and acne. Due to higher levels of androgens in the body, those with PCOS may grow excess hair on the face, arms, chest, or abdomen. Alternatively, PCOS can also cause alopecia, as well as acne or patches of dark skin.

• Infertility. PCOS causes irregular ovulation, which often makes it difficult for individuals to become pregnant. This condition can increase risks involved with pregnancy, although many individuals with PCOS are able to successfully carry a pregnancy.

• Overweight or obesity. As an endocrine disorder, PCOS is correlated with insulin resistance, and it’s estimated that between 40-80% of individuals with PCOS also have obesity and may struggle to maintain a healthful weight. An increase in insulin levels causes the ovaries to produce and release androgens, which, in excess, exacerbates PCOS symptoms.

• Depression, anxiety, or other mental health disorders. Studies have shown an increased prevalence of depression and anxiety in individuals with PCOS. Lack of treatment and body image issues may contribute to these conditions.

Jeanie Dassow, MD OB/GYN, Erlanger Women’s Health

Lauren Thomas, MD

OB/GYN, Galen Obstetrics & Gynecology, Ridgeside

Diagnosis

Diagnosing PCOS involves ruling out any other possible health problems by reviewing your symptoms, medical history, and family history with a healthcare provider. Providers typically look for at least two of three symptoms for a diagnosis: irregular or missed periods, signs of excess androgens, and/or evidence of ovarian cysts. Note, it’s possible to develop and be diagnosed with PCOS without the evidence of cysts. Aspects of physical examinations might include a pelvic exam, so your provider can check for growths or masses on the reproductive organs, blood tests to measure hormone levels, and/or a pelvic ultrasound to examine the ovaries and uterine lining.

“For those affected by PCOS, symptoms such as excess fatigue, skipping cycles, weight gain, sleep problems, or headaches often first appear

around puberty. Because many of these symptoms are signs of other diseases, it can be hard to diagnose PCOS. Once other conditions are ruled out, ask your doctor about a PCOS diagnosis if you’re experiencing irregular periods, unwanted hair growth, acne, and hair loss on scalp, or small cysts on the ovaries,” says Dr. Jeanie Dassow of Erlanger Women’s Health.

Because the symptoms of PCOS overlap with other gynecological conditions, it may be difficult to determine what is normal and what isn’t for your body. Tracking your periods, weight fluctuations, acne flare-ups, and differences in hair growth can help you and your physician determine the cause of reproductive health-related issues. No matter how mild or severe your symptoms, early diagnosis and intervention is a crucial step in improving overall well-being and preventing additional health risks.

Treatment

While there is no known cure for PCOS, there are treatment plans available to manage uncomfortable symptoms. “Managing PCOS involves a combination of lifestyle changes, medication, and sometimes surgical interventions,” says Dr. Thomas. “A healthy diet balanced with fruits, vegetables, whole grains, and lean proteins can help manage weight and regulate insulin levels.

Regular exercise, including both aerobic and strength training, improves insulin sensitivity while reducing stress

levels and promoting overall well-being.”

To assist with conception, certain medications may be prescribed to induce ovulation, including clomiphene, letrozole, and gonadotropins. In vitro fertilization (IVF) may also be an avenue to help those with PCOS become pregnant. For individuals not looking to become pregnant, medications like hormonal birth control may be prescribed to regulate the menstrual cycle and manage acne and excess hair growth. If a medication is causing negative side effects

that affect your quality of life, consult with your physician about pursuing an alternative treatment option.

PCOS symptoms can continue after menopause, so it’s important to pursue treatment options even past the reproductive stage of life. Dr. Thomas adds, “It is important for individuals with PCOS to have regular checkups with healthcare providers to monitor their condition. Understanding PCOS symptoms and management options empowers individuals to make informed decisions about their health.”

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Baby Steps

RECOGNIZING CHILDHOOD DEVELOPMENT MILESTONES

By Ali Lemmons

From birth to 5 years of age, there are many milestones that your child will begin to hit socially, linguistically, cognitively, and physically. While not every child matures at the exact same rate, these milestones are a good guideline to determine how and when your child should be progressing. Here, we discuss just a few of the ways your child will begin to develop and share advice from experts on the subject.

What Are the Different Kinds of Child Development?

Social/Emotional

Your baby will learn to recognize you, experience joy and laughter, and interact with those around them.

Language/Communication

Your baby will learn how to make sounds, understand what is spoken to them, and slowly develop their speaking skills.

Cognitive

Your baby will learn new things, follow instructions or commands, and develop problem-solving skills.

Physical

Your baby will grow, get stronger, develop large and fine motor skills, and improve their coordination.

Typical Milestones

2-4 months:

• Smiling – In this age range, your baby will begin to smile, both in response to your smile and to get your attention.

• Cooing noises – Though they aren’t speaking yet, your baby will try to communicate with you by making different noises, such as ‘ooh’ and ‘ahh.’

• Using hands – Your baby will start by opening their hands and move on to holding toys that you place in them.

• Holding head up – During tummy time, your baby will learn to lift their head up and eventually push up onto their forearms.

6 months:

• Laughing – As your baby continues to develop, they’ll soon start laughing along with their smiles.

• Making sounds – In addition to cooing, your baby will take turns making different sounds with you.

• Rolling over – Your baby will learn to roll over from their tummy onto their back.

9 months:

• Sitting without support – Your baby will learn to get into a sitting position by themselves and be able to sit there without any support.

• Reacting to name – When you call your baby’s name, they’ll begin to notice and look towards you.

• Lifting arms – To communicate that they want to be picked up, your baby will begin lifting their arms toward you.

1 year:

• Playing games – At 1 year of age, your baby will take interest in playing games such as pat-a-cake.

• Saying names – Your baby will begin to call you a name, such as ‘mama’ or ‘dada.’

• Pulling up – Your baby will learn to pull themselves up to a standing position and walk while using furniture as a guide.

Typical Milestones

15-18 months:

• Showing affection – Your toddler will begin to hug, kiss, and cuddle with you.

• Trying to speak – While not quite to full words, your toddler will try to say things like ‘ba’ (ball) and ‘da’ (dog).

• Taking steps – Now, your toddler will begin trying to walk without holding onto anything.

• Looking at books – Your toddler will be able to focus on a few pages of a book at a time while reading together.

2 years:

• Developing empathy – Your toddler will begin to notice if someone is upset. They will pause to take it in or be noticeably upset.

• Speaking – Now, your toddler will say words in groups of two. This may sound like ‘more milk.’

• Running – Now more confident, your toddler will move from unsteady steps to running.

3 years:

• Noticing other children – Your child will begin to not only notice other children, but to seek them out to play.

• Asking questions – Your child will enter their question phase and begin to ask who, what, where, and why?

• Using a fork – With developing motor skills, your child will begin to use a fork and other utensils with more ease.

5 years:

• Singing for you – As their personality develops, your child may begin to sing, dance, and act for you.

• Telling stories – Your child will tell stories that have at least two events in them.

• Writing letters – Your child will be able to write some of the letters in their name.

Developmental Delays

Every child is different, so not every child will reach the same milestones at the exact same time. These milestones are good guidelines to follow to see how your child is developing, but it’s not a strict timetable. However, in some instances, a child could be suffering from a developmental delay. A developmental delay occurs when a child consistently falls behind their peers and doesn’t meet expectations. According to the CDC, around 1 in 6 children have at least one delay in their development. But don’t worry yet. Many developmental delays will be resolved on their own time or can be worked through with extra parental support. If you’re concerned about your child’s development, consult your doctor for advice.

Q. What causes developmental delays in children? Are there ways to avoid them?

A. It astounds me how quickly children grow and develop. Because these changes occur rapidly, it’s important to have regular “well checks” to assure your child is developing appropriately. While some delays are not preventable – like those caused by prematurity or genetic factors – there are some habits that can promote healthy development. Singing, talking, and reading with your child can do wonders for their communication skills. For motor skills, starting daily “tummy time” in the first few weeks of life can help build the muscles your child needs to soon roll, then crawl and walk. Additionally, time spent outside – versus in front of a screen – usually results in great opportunities for imagination, strength building, and even social development if another child is present.

Lindsay Gammenthaler, MD Pediatrician, Spring Creek Pediatrics

Q. When should parents consult their doctor about their child falling behind in these milestones?

Five Tips to Improve Delays

1. Play with your child

2. Read to your child

3. Set screen time limits

4. Create a routine

5. Consult your doctor

A. As a parent, you know your child best. If you ever feel like your child isn’t meeting their developmental milestones or if you notice anything unusual in how they play, learn, speak, or move, don’t hesitate to talk to your child’s doctor. Early intervention is crucial, so if you have any concerns about delays, it’s important to discuss them with your primary care provider (PCP) promptly. Trust your instincts and reach out whenever you feel unsure – it’s never too early to seek help. Keeping track of your child’s milestones can be helpful. You can use resources like the CDC milestones tracker to monitor their development. Regular well-child visits, including developmental surveillance, are also essential. During these visits, your doctor will assess your child’s development and offer support if needed. Well-child visits are an excellent opportunity for your PCP to evaluate your child’s development and provide assistance if necessary.

Lorena Ferreira, MD Developmental Behavioral Pediatrician, Siskin Children’s Institute

Q. How can parents support their children and encourage them to reach these developmental milestones?

A. Simple activities that cross the areas of global development don’t have to be complicated or expensive. A trip to the park with friends can target each developmental domain incidentally: count stairs as you climb to the slide, take turns, bury toys in the sand and dirt, and talk about what’s happening – you just hit it all! Modeling healthy practices is so important for children to then choose them independently, and while it is important to keep our children safe, part of learning is failing. Falling down and learning to get back up is part of gross motor development – and of lifelong learning. If you ever have concerns about your child’s development – and we all do at some point – always talk to your pediatrician.

Shonda Caines

Lower School Head and Director of Exceptional Education Programs, Chattanooga Christian School

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Advancements in Medicine

From minimally invasive surgical technologies to innovative appproaches to rehabiliation and beyond, new research in the medical field is optimizing care for patients and doctors alike. Read on to discover the latest in revolutionary treatment options.

By Rachel Studebaker and Kristen Dee

An Expert Weighs In

“Chronic venous insufficiency (CVI) is easily the most common disorder causing leg pain. It is seen in both adult women and men in all age ranges. While older treatment modalities involved invasive surgical procedures performed in the hospital, patients are now treated with advanced, minimally invasive therapies in an outpatient setting. Most treatments are performed with little to no sedation and take no more than 20 minutes. It is incredibly fulfilling to treat patients with CVI who have been suffering with pain, fatigue, swelling and even ulceration for years, thereby giving them back their legs, and in some cases, their lives.”

William B. Harris, DO, FACS, RPVI Vascular Surgeon, Vascular Institute of Chattanooga

Advancements in Venous Therapies

Innovative options are available to patients dealing with varicose veins and venous insufficiency.

Understanding Venous Insufficiency

Varicose veins are swollen and twisted blood vessels that are visible just under the skin’s surface, typically in the legs and feet. They are very common, affecting 1 in 3 adults. In some cases, adults with varicose veins can develop chronic venous insufficiency (CVI).

CVI is caused by inadequate blood flow in the legs and is the most common cardiovascular disorder, typically affecting adults over the age of 50. It occurs when the valves in the venous system malfunction, causing blood to pool in the lower legs. Symptoms include painful varicose veins, swelling, cramping, heaviness, and skin changes. Swelling and fatigue is often worse at the end of the day and improves with elevation or compression. Left untreated, CVI can lead to serious health conditions including ulceration and limb loss.

New Solutions

Advanced venous therapies can provide relief from these symptoms and treat both varicose veins and CVI. Noninvasive ultrasound is used to diagnose CVI and determine the appropriate course of treatment, with ultrasound devices sometimes placed inside the vein to diagnose more advanced forms of CVI and help to guide therapy.

What to Expect

These minimally invasive therapeutic options include:

Chemical ablation. Boston Scientific’s Varithena uses chemical ablation to treat diseased veins. It involves an injection of a medicated foam to collapse the vein, thereby redirecting blood flow to healthier veins nearby.

Radiofrequency thermal ablation. This procedure is frequently used to treat CVI. It uses a small, flexible catheter to deliver heat to the offending vein, causing it to close. This redirects flow to a lower pressure, higher flow vein, decompressing the system. BD’s Venclose is the most advanced therapeutic radiofrequency solution on the market today.

Stenting. A metal mesh tube, called a stent, is used to open narrowed or blocked veins and improve the return of blood back to the heart by decompressing the system. Leaders in this field include Medtronic’s Abre and BD’s Venovo advanced venous stent systems.

Benefits to Patients

Thanks to these advanced diagnostic and therapeutic technologies, management of CVI can be a relatively easy and efficient process. Patients can find relief from leg pain and fatigue in fast outpatient procedures that involve minimal discomfort.

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