HealthScope® Magazine Fall 2021 by CityScope & HealthScope Magazines

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Women’s Health

THE 411 ON SODIUM LEARN MORE ABOUT THIS MISUNDERSTOOD MINERAL

SECTION STRONGER WITHOUT STRESS WHAT WOMEN NEED TO KNOW ABOUT STRESS

INSPIRED & HER STORY LOCAL WOMEN SHARE STORIES OF HOPE & INSPIRATION

DEPRESSION IN WOMEN DIFFERENCES IN BIOLOGY, SYMPTOMS, & RISK FACTORS

MASK UP SOOTHING SHEET MASKS YOU’LL LOVE

RESPIRATORY HEALTH IN OLDER ADULTS CARING FOR YOUR LUNGS AS YOU AGE

MEET OUR DOCTORS LOVE, CARE, & HEALING OTHERS

BEAUTIFULLY YOU!

See page 90 for Cover Model Lisa McBryde’s story!

COSMETIC PROFESSIONALS DELIVERING EXCEPTIONAL SERVICES

Photographed at The Edwin Hotel

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Publisher’s Letter

“Taking care of yourself doesn’t mean me first, it means me too.” – L.R. KNOST

Mother, sister, wife, student, grandmother, caregiver, business owner … women wear a lot of hats, and every day, they’re getting pulled in multiple directions. When life feels like a juggling act, taking care of yourself might not be a priority – but it’s so important to not only your own health, but to the health and happiness of those you love most. In this issue of HealthScope® magazine, our annual Women’s Health issue, we highlight several topics that speak directly to women. In the feature “Depression in Women,” we learn about the causes and symptoms of depression that uniquely affect women. Our feature “Birth Control” encourages women to know their options when it comes to birth control methods, from oral contraceptives to IUDs. In “Infant Illnesses,” we share what parents should know about caring for their newborn at the first sign of illness. This issue also features the section “Meet Our Doctors,” which showcases local healthcare providers who specialize in a variety of fields. Their knowledge and care are blessings to our community. Also highlighting what our community has to offer is the section “Beautifully You!,” where you’ll learn about the accomplished cosmetic professionals who have dedicated much of their lives to serving their clients. As always, don’t miss our annual “Women’s Health” section, where we explore a collection of topics that affect women of all ages – everything from endometriosis to peripheral artery disease. When it comes to mental and physical health,

seeking treatment can make all the difference in your quality of life. There are many more topics inside for you to discover, including hydrating sheet masks, stylish fall flats from area boutiques, sweet George Mullinix potato recipes PUBLISHER from locals, and an at-home workout with Eden Lusk. In “Her Story,” we hear from four women who have faced adversity head-on, while “Inspired” celebrates women who are making the world a better place. Last, but certainly not least, check out our interview with Lisa McBryde, who continues our fantastic 2021 lineup of cover models from all walks of life. Now in her 60s, Lisa has embraced her latest chapter, filling it with family and friends, self-care, movement, and plenty of time outdoors. Her desire to thrive and be fully present in the moment is sure to inspire you. We hope that you find this fall issue of HealthScope® magazine to be informative and uplifting and that it will remind you to make that doctor’s appointment, plan a self-care day, or do whatever it is you need to do to take care of yourself – the people you love are counting on you! Blessings always,

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

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LOVE IN VERONA COLLECTION

Contents Meet Our Doctors Love, Care, & Healing Others

“I am trying to

Dr. Kathleen Locker

Dr. Alexandria Cooke

focus on being

Dr. Lorena Ferreira

truly happy and

Dr. Megan Coylewright

Dr. Bill Childress

Dr. Sandeep Rajan

Dr. Andrew Kreek

Dr. Katie Fullen

Dr. Heather Urrego

healthy and spending as much time as possible with my family and friends.”

Be Well

- LISA MCBRYDE

50 Depression in Women

Differences in Biology, Symptoms, & Risk Factors Birth Control

Knowing Your Options Infant Illnesses

What Parents Should Know

68 Respiratory Health in Older Adults

Caring for Your Lungs as You Age

Stay Well Annual Women’s Health Section

68 8

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Understanding Peripheral Artery Disease in Women

Periodontal Health Through the Years

Understanding Endometriosis

Effective Ways To Communicate With Someone With Hearing Loss

Dental Implants for Women

Personalizing Bioidentical Hormones

Understanding Allergic Rhinitis

We’re Expecting!

You can expect the same compassionate, quality care in our newly renovated facility.

Renovation highlights include: • $10 million Investment • 4,300+ sq. ft. Addition • 5 New Postpartum Beds

• Additional Labor & Delivery Space • Beautiful mother & baby courtyard featuring custom mural by artist Kelsey Montague

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Contents Her Story Motivating Stories From Local Women 123 Oréan Collier 124 Erica Honeycutt 126 Jocelyn Loza 127 Cindy Rix

Inspired Women Celebrating Women

129 Dr. Marsha Jackson Drake & Dr. Nakia Towns 130 Veatrice Conley & Ramona McCoy 131 Niki Keck & Babs Gresko 132 Florence Bromfield & Cassie Nice

Look Well

Beautifully You!

Lisa McBryde

Local Cosmetic Professionals Serving Their Clients

Fall Flats

100

Dr. Chad Deal

In-Vogue Options From Local Boutiques

102

Ashley Hunter

Leather Care Basics

104

Dr. Nico Domingo

The Ultimate Guide To Helping Your Leather Last a Lifetime

106

Kristi Bussey

108

Lindsay Bright

110

Dr. Vincent W. Gardner

A Hairy Situation

112

Cami Killom

How To Tackle Ingrown Hairs

114

Dr. Michael S. Kluska

116

Dr. Deanna G. Brown

118

Caitlyn Tarver

120

Traci Lyons

Meet Our Model

Mask Up

Soothing Sheet Masks You’ll Love

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123

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Contents

HealthScopeMag.com Fall 2021 • Vol. 33 Issue 1

138

Feel Well

Departments Health in a Minute

133 A Meaningful Marriage

Tips From Local Ladies Who Have Celebrated Over 25 Years of Unity

134 Stronger Without Stress

What Women Need To Know About Stress & How To Overcome It

Live Well Sweet Potato Recipes From Locals

142 The 411 on Sodium

Learn More About This Misunderstood Mineral

144 Eden Lusk’s At-Home Core Blast

For the Home

For Her

For Him

For Parents

For the Whole Family

24 Health & Wellness Calendar

138 Super Spud

A Guided Workout

26 Ask the Doctor 48 Staff Spotlight 72 Silver Side

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ABOUT THE COVER ANNUAL

Women’s Health

THE 411 ON SODIUM LEARN MORE ABOUT THIS MISUNDERSTOOD MINERAL

SECTION STRONGER WITHOUT STRESS WHAT WOMEN NEED TO KNOW ABOUT STRESS

INSPIRED & HER STORY LOCAL WOMEN SHARE STORIES OF HOPE & INSPIRATION

DEPRESSION IN WOMEN DIFFERENCES IN BIOLOGY, SYMPTOMS, & RISK FACTORS

MASK UP SOOTHING SHEET MASKS YOU’LL LOVE

For cover model Lisa McBryde, her 60s have been all about being present and making the most of life. She shares what she’s learned – and what she hopes for the future – with us on page 90.

RESPIRATORY HEALTH IN OLDER ADULTS CARING FOR YOUR LUNGS AS YOU AGE

MEET OUR DOCTORS

Publisher

George Mullinix

Sales & New Business Development

Cailey Mullinix Easterly

Sales & Business Development

Katie Faulkner

Art, Creative, & Design

Emily Pérez Long

Design

Lauren Robinson

Managing Editor

Christina Cannon

Editors

Olivia Halverson Anna Hill Lindsey June Mary Beth Wallace

SEO/Digital Marketing

Micah Underwood

Digital Marketing Business Development

Ryan McCulloch

Marketing Assistant

Alysse Parris

Photographers Lanewood Studio Rich Smith

Emily Pérez Long

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

LOVE, CARE, & HEALING OTHERS

BEAUTIFULLY YOU!

See page 90 for Cover Model Lisa McBryde’s story!

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COSMETIC PROFESSIONALS DELIVERING EXCEPTIONAL SERVICES

Photo by Lanewood Studio

Choose Chattanooga® – Chattanooga Resource & Relocation Guide® Copyright, CMC Publications, LLC, 2011 Choose Chattanooga® and Chattanooga Resource & Relocation Guide® are trademarks owned by CMC Publications, LLC

Chattanooga’s #1 Choice FOR VASCULAR CARE

Michael S. Greer, MD

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For 45 years, the local community has turned to the experienced surgeons at University Surgical

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When you need vascular care... INSIST on USA.

Associates for comprehensive vascular care. Our skilled, compassionate surgeons are experts in the prevention and treatment of a wide range of vascular issues. Along with exceptional patient care, we are committed to the training of surgeons and medical students through one of the region’s top surgical residency programs. And most importantly, everything we do is designed around you. When you choose a USA vascular surgeon, you can receive care at the hospital that is best suited for you.

Chattanooga’s Top Surgeons Since 1976

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UniversitySurgical.com

H E A LT H I N A M I N U T E FOR THE HOME

Winter Is Coming for Your Grass Prepare Your Lawn Now and Frost Won’t Stand a Chance As cooler temperatures settle in, you may relish the break from constantly having to mow your grass – but you’re never completely off the hook when it comes to yard maintenance. Before the first frost of the season, take a few extra steps to help your grass weather the winter. Start with a thorough yard cleanup. Remove any debris that could yield dead spots in your grass, and routinely clear away fallen leaves. Test your soil. You should test your soil’s nutrient density every three to five years. This assessment will help you select a fertilizer that is best suited to your yard’s specific needs. Fertilize. Last but not least, fertilize. Fall presents the perfect time to fertilize cool-season grass varieties, such as Kentucky bluegrass and perennial ryegrass.

SMELL GOOD, FEEL GREAT Common Household Scents That Inspire Good Feelings If you’re trying to figure out how to create a calming presence in your home, the answer could be right under your nose. Scents have the power to evoke nostalgia and stir emotional responses. The smell of a certain ingredient can transport you miles and years away to your grandmother’s kitchen, or, for better or worse, to your elementary school cafeteria. So, it makes “scents” that you may be selective about which aromas you want floating up and down the halls. Here are some common household fragrances that are known for rousing good feelings. Pine and lavender reduce stress. Citrus, rosemary, and peppermint energize the body and stimulate the mind. Fresh-cut grass, florals, and baby powder evoke happiness. Vanilla and sandalwood set the mood for romance.

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At Wamack Homes, we have deep experience pairing people with the houses 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.

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

Get Your Glow On

hile the rest of the world seems to be all pumpkin spice and everything nice, your epidermis begs to differ. The chill of autumn is in the air, and it’s drying out your skin. Stave off flakey cheeks and stinging knuckles this season by arming yourself with hydrating skincare habits.

Always moisturize after washing.

Avoid harsh exfoliators. When your skin is

Avoid using hot water while cleansing, and use a moisturizer that includes hyaluronic acid.

dry, it may be tempting to buff the flakes away – don’t. Exfoliators are likely to irritate your alreadysensitive skin.

Apply sunscreen. UV radiation never takes a day off, and neither should you. It’s vital to protect your skin’s moisture barrier with a daily dose of hydrating sun protection.

No humidity? Make your own. Turn on the humidifier, and let your skin absorb the hydrating goodness while you catch some z’s.

Treat yourself to a hydrating mask. For

Drink plenty of water. Dehydration can

the ultimate soothing sensation, pop your sheet mask into the refrigerator for a few minutes before using.

leave skin looking dull. Maintain your healthy glow from the inside by taking in a lot of fluids.

BEAT THE BLUES Ward off Seasonal Depression With Mood-Boosting Activities The days are getting shorter, the nights are getting longer, and many are suffering from some degree of seasonal depression. Before the blues get the best of you, try incorporating a few moodboosting activities into your day. You may find that going for a walk around the neighborhood or calling an old friend can atone for what you lack in vitamin D. Perhaps this is the time to try that yoga class you’ve been considering. Express yourself through art. Serve your community. Pet a dog. Whip up a delicious snack full of protein and healthy fats – for example, a batch of nutty granola – to munch on throughout the week, and make extra to share with a friend. These activities are sure to get the dopamine flowing for many, but it’s important not to oversimplify the reality of living with seasonal depression. If feelings of unhappiness persist, talk to your doctor about other treatment methods.

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

CH EW ON TH I S Biting Your Nails Could Be Making You Sick

Let’s say that you just finished scratching your dog’s belly. Hopefully you washed your hands after, because now you’re handling raw chicken meat as you prepare tonight’s dinner. You washed your hands again, but did you remember to clean underneath your nails? Actually, have you ever cleaned under your nails? Don’t panic – especially if stress makes you bite your nails. Apart from being a painful disruption to general nail aesthetics, nibbling on the ends of your fingers can be dangerous to your health. Thousands of germs hide underneath your nails, some of which can make you extremely sick like Salmonella and E. coli. Fortunately, there are a few things you can do. PRACTICE GOOD NAIL HYGIENE. Trim your nails short. Whenever you wash your hands, scrub the underside of your nails with soap or a nail brush. Sterilize your nail grooming tools before using them. KICK YOUR NAIL BITING HABIT TO THE CURB. Coat your nails with a substance that tastes or smells bad. It will queue your senses and help you remember not to bite them. Recognize your triggers, and find other ways to cope.

All Lift, All the Time If Gaining Muscle Is the Goal, Is Cardio Out?

Many fear that cardio will hinder muscle growth. Technically, it can – but only if you’re performing cardiovascular exercises so frequently and intensely that your calorie depletion is exceeding your nutrient intake. So, if you’re consuming the necessary nutrients your body requires for building muscle, a little cardio can’t hurt. In fact, you’ll want to change up your workout routine every once in a while – go for a run, swim laps in a pool, or spend an afternoon rock climbing. When you focus in too closely on a specific muscle group or movement, you become more prone to injury through overuse. Periodically changing up your regimen will help to condition the entire body, thus improving your overall health and well-being. When it comes to building muscle and mass, strength training and eating a protein-rich diet should certainly be the priority. But leaving cardio out altogether can do your body more harm than good. It’s important to find the right balance for your lifestyle and personal health needs.

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

e to y b d oo

G Say

A.M

EM H Y A

tine Simplify Your Morning Rou ks Tric and s with These Tip

NIGHT BEFORE TO - DO’S: Night-before prepping can be a chore – we get it. But the burden of planning ahead is always lighter to bear than the burden of a rushed, chaotic morning. If you’re looking to simplify your A.M. routine and get your family out the door without the headache, we’ve got some tips for you.

• Pack school bags, and set them by the door or in the car. • Lay out clothes. Be sure to check the weather forecast and prepare accordingly. • Pack lunches.

MORNING TO - DO’S: • Don’t hit snooze. Get out of bed at the chime of your first alarm. • Distribute school lunches and convenient breakfasts to be eaten while getting ready or on the go. • Set a timer to go off 5-10 minutes before you need to leave. Let this serve as an alert for everyone to start making their way toward the door. • Anticipate potential traffic delays and give yourself a few extra minutes to reach your destination.

• Program the coffee maker to brew right before your morning alarm goes off. • Prep breakfast. Overnight oats make for a healthy, convenient breakfast that can be customized with fruits, nuts, and other tasty toppings.

What to Do When Your Child Is the Bully? Signs To Look For and How To Put a Stop to It When you get the call that your child is being a bully, don’t take that news lightly. Too often, parents dismiss their children’s aggressive behavior as a phase. Unfortunately, without intervention and guidance, child bullies can grow up to be adult bullies. Unsure about your child’s inschool conduct? Ask yourself: • Does your child take a positive view toward violence? • Are they often aggressive to others? • Do they need to control situations or win at all costs? • Do they lack sympathy for others’ pain and hardship?

If you said “yes” to any of these questions, it may be time to have a conversation with your child about bullying. Explain the harmful consequences of their actions. Ask them how they think they can improve. It’s also very important to get to the root of the behavior. Often, children will act out aggressively in response to feelings of loneliness, grief, or insecurity. Consider if they could be learning aggressive behaviors from someone at home. Above all, keep the lines of communication open with your child. With proper counsel, you can make great strides toward raising a kinder, more empathetic child.

HealthScopeMag.com

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

Take a Deep Dive Into Genealogy Understand the Past to Build a Better Future Knowing where you come from can add years to your life. Imagine tracing your family history and learning that you’re genetically predisposed to a disease. While such news can be painful to learn, you can now take steps to prevent illness and prolong the lives of yourself and your family members. Knowledge of your family history can also reinforce your sense of identity and nurture qualities you didn’t know you had. Imagine the strength one may find in learning that the blood of a brilliant inventor or an acclaimed artist runs through their veins. All of that to say, it’s important to understand your genealogy. The best part? Tracking family history can be a fun activity for the whole family. • Trace your family tree using information from elderly relatives and online databases. • Keep the legacy alive by celebrating cultural holidays and preparing traditional recipes. • Seek out a group in your community that may share in your family’s cultural heritage. • If feasible, go visit the place where your ancestors are from.

HealthScopeMag.com

Fluoride: Not Today, Tooth Decay You’ve seen it on labels for a variety of dental hygiene products, but do you really understand what fluoride is and what it does?

What is fluoride? Fluoride is a naturally occurring mineral that prevents tooth decay in children and adults by keeping tooth enamel strong. What are common sources of fluoride? Drinking water (in fluoridated communities), food and beverages processed with fluoridated water, and many dental hygiene products. How often should I be using fluoridated products? All fluoridated dental products are regulated by the FDA and will be clearly labeled. Use those products as directed for safe and effective dental care. Is fluoride safe for kids? The CDC recommends that children should start using fluoridated toothpaste at the age of 2. Children under the age of 6 should not use fluoride mouth rinse unless directed to do so by a medical professional.

KNOWLEDGE IS POWER, and Women’s Diagnostic Center Strives to Keep Patients Aware of the Facts: • For women in the U.S. breast cancer death rates are higher than those of any other cancer, besides lung cancer.

Skillet Ham Hash SERVES 4 This easy-to-make hash is the perfect solution to any meal of the day – breakfast, lunch, or dinner! Using leftover ham for protein, this recipe comes together in no time. Ingredients

2 tsp. olive oil 1 large green bell pepper, diced 1 large red bell pepper, diced 1 medium onion, diced 1/2 cup lower-sodium diced ham, all visible fat discarded 3 cups frozen, fat-free Southernstyle diced hash brown potatoes, thawed 1/2 tsp. salt-free Cajun or Creole seasoning blend

• About 1 in 8 U.S. women (about 13%) will develop invasive breast cancer over the course of her lifetime. • About 80% of breast cancers occur in women who have no family history of breast cancer. • In women under 45, breast cancer is more common in black women than white women. (Breastcancer.org) Celebrate Breast Cancer Awareness Month by calling today and scheduling your appointment.

2 Tbsp. fresh parsley, chopped 1/4 tsp. salt 1/4 tsp. pepper Directions

1. In a large nonstick skillet, heat the oil over medium heat, swirling to coat the bottom. Cook the bell peppers and onion for 4 to 5 minutes, or until the onion is soft and the bell pepper is tender, stirring occasionally. Stir in the ham. Cook for 1 to 2 minutes, or until heated through, stirring occasionally.

2. Stir in the hash browns and seasoning blend. Cook without stirring for 4 minutes, or until the bottom is golden brown. Stir (the golden-brown pieces will be redistributed). Cook without stirring for 4 minutes, or until the bottom is golden brown and the mixture is heated through. 3. Stir in the parsley, salt, and pepper. Serve warm. Nutritional Information

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HEALTH & WELLNESS CALENDAR

October 4 Erlanger Children’s Golf Classic

Presented by Miller Industries, the 6th annual Erlanger Children’s Golf Classic benefits the greatest needs at Children’s Hospital at Erlanger. The charity tournament begins at the Chattanooga Golf and Country Club with registration at 9 a.m. Participants can look forward to fueling their game with gourmet food on the golf course. ERLANGER.ORG/GOLF

9 Chattanooga Walk to End Alzheimer’s

Chattanooga’s Walk to End Alzheimer’s, starting from AT&T Field, will raise funds

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to further the care, support, and research efforts of the Alzheimer’s Association. Registration is at 8 a.m., with the twomile walk to follow at 9:30 a.m. Each registered participant will receive a Promise Garden Flower to honor someone with Alzheimer’s or dementia, or support the cause itself. ACT.ALTZ.ORG/CHATTANOOGA

10 Food Truck and Fun Fest

Family Promise of Greater Chattanooga presents this fun afternoon event that will commemorate World Homeless Day, which draws attention to the needs of those who experience homelessness. From 1 until 4 p.m., come enjoy four gourmet food trucks, live entertainment by Kerry Mills, prizes, and more at Family Promise (1184 Baldwin Street). Tickets are $35, and proceeds will go toward ending homelessness one family at a time. FAMILYPROMISECHATTANOOGA.COM

16 Celebration of Life and Hope

Austin Hatcher Foundation for Pediatric Cancer’s largest fundraiser is celebrating its 14th year. With delicious food, live entertainment, and thrilling auctions in store, you won’t want to miss this event – to be held at the foundation’s newly opened Education Advancement Center. Eric and Jennifer Fuller serve as co-chairs, while leukemia survivor Tyler Xavier and family are the honorees. CELEBRATIONLH.COM

16 Glow Fall Ball 2021

Get ready to glow at this luminescent, black-tie-optional event set for October 16. An action-packed evening of dinner, auctions, live entertainment, and dancing will benefit the Medical Society and Foundation’s life-saving

programs, including Project Access and LifeBridge. The Fall Ball kicks off at 6 p.m. at Stratton Hall. CHATTMD.ORG/ EVENTS

17 7 Bridges Marathon

The city’s oldest marathon is returning to Coolidge Park! Participants can expect a live DJ, event shirts, medals, food, and much more, and they’ll have five races to choose from: the marathon (which crosses four bridges downtown, as well as “upgraded” bridges on the North Chick Greenway), half-marathon, relay race, 5K, and family fun run. SEVENBRIDGESMARATHON.COM

18 RMHC Golf Classic

Black Creek Club will host the annual RMHC Golf Classic, where all proceeds benefit Ronald McDonald House Charities of Greater Chattanooga. There will be a 9 a.m. and 2 p.m. shotgun start. Golfers can 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. RMHCHATTANOOGA.COM/EVENTS/ RMHC-GOLF-CLASSIC

23 Dare to Dance

Based on popular television show Dancing with the Stars, the Chattanooga Kidney Foundation’s Dare to Dance is a favorite fall event in the community. Professional dancers have been paired with local celebrities to compete in a dazzling dance-off for the coveted mirror ball trophy. Virtual viewing tickets will be available. KIDNEYFOUNDATION.COM/DARETO-DANCE

29 Hand Crafted Wishes

Tickets to the 6th annual Hand Crafted Wishes will get you unlimited samples of craft beer, cider, wine, spirits, and food from local restaurants, with the beautiful Hunter Museum of American Art serving as the backdrop for the evening. A costume contest and live

music from Rubiks Groove on the rooftop stage add to the fun. Proceeds from this event will be donated to Chattanooga Room in the Inn. EVENTBRITE.COM

30 2021 Komen Chattanooga MORE THAN PINK Walk Join the Susan G. Komen organization and walk to end breast cancer. Participants are encouraged to register online and “walk where they are” the day of the event. Also on event day, participants can go online to hear stories from survivors and learn more about the impact of Komen’s research and advocacy. KOMENCENTRALTENNESSEE.ORG

25 Annual Grateful Gobbler 5K Walk/Run

Before indulging in your Thanksgiving dinner, bundle up and head to Coolidge Park for this annual walk/run. On-site festivities will take place before the 8 a.m. start time. All proceeds from the Grateful Gobbler benefit the Maclellan Shelter for Families, an emergency homeless shelter that provides a stable environment for families in need. Registration is available online. GRATEFULGOBBLERWALK.ORG

November 5 FACES of PAD Conference

The 4th annual FACES of PAD Conference is coming to Chattanooga’s Embassy Suites Hotel. This all-day event is for all medical specialties and focuses on the treatment of patients with PAD and other vascular issues. Attendees can claim up to 7.75 CME credits. Free registration to attend inperson or virtually is available on the website. FACESOFPAD.COM

19 Hope for the Holidays

This festive holiday event by the American Cancer Society, to be held at the Chattanooga Westin, promises to be an evening of inspiration and hope. Cocktails and hors d’oeuvres, auctions, and inspirational stories are all on the schedule, with the event to close out with dancing to music provided by DJ Green. A separate VIP Party on the Lawn will be available for VIP ticket holders. GALAOFHOPECHATT.ORG

MARK YOUR CALENDAR! The Moth Ball® by CityScope®, benefitting the Austin Hatcher Foundation for Pediatric Cancer, will be back and better than ever in 2022. Dust off your old wedding dress, prom dress, or any dress that’s been taking up residence in your closet, and join us for the ultimate girls’ night out full of dancing, drinks, hors d’oeuvres, and plenty of surprises! This event is for women, about women, and makes a positive impact on the lives of local women. THEMOTHBALL.ORG

HealthScopeMag.com

ASK THE DOCTOR

Q. Hernias are in my family history. Is there anything I can do to reduce my risk? A. Like most other medical problems, genetics likely plays a part in the

structure of your abdominal wall fascia. Pronounced “fah-sha,” this is the connective tissue casing around our muscles that gives our abdominal wall strength. While you can’t change genetic factors, there are steps you can take to decrease your risks of hernia formation. Weight control, diabetes management, and avoidance of nicotine-containing products can all help. Chronic constipation and coughs also stress your abdomen and should be managed. To further reduce your risk, think of your abdominal wall like you do one of your joints or your back. Like our joints, the abdominal wall absorbs the stress of the active things we do. Decreasing the stress on your abdominal wall by avoiding improper lifting, exercise, or sport can help. Darren J. Hunt, MD, FACS Trauma & Acute Care Surgeon University Surgical Associates Hernia Center usaherniacenter.com

Q. I’m interested in doing something to improve the appearance of my sundamaged skin. What are my options? A. Living as we do here in the Sun Belt, dealing with sun-

damaged skin is a very common issue. Preventing damage with sun avoidance, quality sunscreen (with frequent reapplication!), topical vitamin C, and use of UPF clothing is a must. What about turning back the clock on accumulated UV damage? Fortunately, there are many treatment options for those of us who wish to revitalize and repair sundamaged skin. For pigment correction and fine lines, I like chemical peels such as the new PRX-T33 series (safe on

HealthScopeMag.com

virtually all skin types) and the VI peel. For texture and elasticity, collagen induction using serial microneedling with platelet-rich plasma (PRP) is a very safe and effective treatment. For more severe sun damage and wrinkling, we use a fractional ablative CO2 laser and a new plasmabased energy device to tighten skin and erase wrinkles without the need for surgery. With so many treatment options available, it is imperative to seek out a specialist to educate and guide you on the best rejuvenation options for your particular skin issues. Stewart C. Little, MD Facial Plastic and Reconstructive Surgeon Skin Cancer and Cosmetic Dermatology Center thedermcenters.com

I used to think that liver disease only occurred due to alcohol abuse, but surely that’s not the only cause. What are some other things that can lead to liver disease that I should watch out for? A. While most people believe that the main cause of liver disease is due to alcoholism, the leading cause of liver disease is actually diabetes. Over 50% of patients with type 2 diabetes have a fatty liver and some form of liver damage. The second leading cause is obesity. Alcoholism is the third leading cause, followed by hepatitis C. Those with type 2 diabetes or a BMI over 30 have a higher risk of developing a fatty liver, and approximately a third of these patients

Q. My father is going in for some gum grafting to prepare him for a dental implant. What is the procedure and recovery like? A. There are several different types of gum grafting for

dental implants. In general, preparation should involve having a healthy immune system and a clean mouth. After the procedure, there is a variety of responses depending on the type of gum grafting utilized. Some of the newer materials involve much less post-operative pain than the traditional gum grafting approaches. Sutures are generally needed, and most patients will need just a day or two off from work. Recent advances not only in surgical techniques, but also in growth factors and tissue engineering have allowed for improved surgical outcomes, with less post-operative pain and discomfort. We are now able to completely regenerate lost bone and gum tissue in many cases. This makes the entire experience more predictable and longer-lasting, with an easier post-surgical recovery.

Jason Strever, DMD Periodontist North River Periodontics & Implants northriverperio.com

have some form of liver damage. There are two non-invasive methods to check your liver health: a blood test and a fibro-scan. If you have a family history of liver disease or are concerned about your liver health, please talk to your primary care provider. Chirag Patel, MD Hepatologist Galen Medical Group galenmedical.com

Q. I’m tired of being self-conscious about the spider veins on my legs. What kind of treatments are available? A. More than half of all women and

men will develop spider veins, some as young as their teens. They are considered to be a cosmetic issue as they generally do not produce symptoms like varicose veins do. However, sometimes venous ultrasound is recommended to ensure there aren’t further issues within your veins before treatment. If you have spider veins that you would like to have eliminated, we generally recommend sclerotherapy or laser treatment. Sclerotherapy involves a liquid or foam that is injected into the problem veins to cause them to close and collapse, eventually disappearing. Laser technology enables the effective treatment of unsightly veins by causing the vessels to collapse through coagulation with very minimal damage to adjacent structures. Often, we find the best treatment strategy is a combination of these two treatments.

Vincent Gardner, MD Vascular and Cosmetic Surgeon The Vein Institute yourveininstitute.com HealthScopeMag.com

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Spreading Happiness

Spreading Happiness to Brighten Your Day to Brighten Your Day IT’S TIME TO RELAX AND ENJOY YOUR DAY!

IT’S TIME TO RELAX AND ENJOY YOUR DAY!

More online! CITYSCOPEMAG.COM

Inspiring Healthy,

Sharing the Enchantment Sharing the Enchantment of Our Wonderful City!

Inspiring Healthy, Happy Lives Happy Lives

of Our Wonderful City!

EVENTS, DINING, OUTDOORS, FAMILY FUN, REAL ESTATE, EVENTS,AND DINING, HEALTHCARE, MUCHOUTDOORS, MORE!

WE WANT YOU TO BE WELL, LIVE WELL, AND FEEL WELL

FAMILY FUN, REAL ESTATE, HEALTHCARE, AND MUCH MORE!

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More online! CHOOSECHATT.COM

More online! HEALTHSCOPEMAG.COM

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Giving Back to Our Community: Events for Women to Benefit Women

TO DATE OVER $365,000 HAS BEEN DONATED TO LOCAL NON-PROFITS BENEFITTING WOMEN IN NEED.

Giving Back to Our Community: Events for Women to Benefit Women TO DATE OVER $365,000 HAS BEEN DONATED TO LOCAL NON-PROFITS BENEFITTING WOMEN IN NEED.

WEAR YOUR WEDDING DRESS, PROM DRESS, OR ANY OLD DRESS

THE ULTIMATE GIRLS’ NIGHT OUT

Meet Our Doctors

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

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

HealthScopeMag.com

Meet Our Doctors

C ONNECTI NG WI T H PATI ENTS AS PEOPL E

t Hospice of Chattanooga, Dr. Kathleen Locker helps her patients – many of whom are facing terminal illnesses – understand their medical scenario and make informed decisions about their treatment options. She views her profession like this: “Each patient is a book, and I have been invited into the story in the late chapters – the preceding chapters are often amazing and should not be neglected. I am often allowed to see how the book ends; this is an honor, and I try to earn it.” Working in such an emotional environment, Dr. Locker feels fortunate to have a close-knit team by her side. “My colleagues and staff are so supportive, and we function so well as a team,” she shares. “I always have someone who will listen and who really understands the stress that often comes with this profession – but this is truly where I belong.”

The kind words from my patients and their families mean the most to me.”

HealthScopeMag.com

DR . KATHLEEN LOCKER HOSPICE OF CH AT TA N O O G A / PA LLI ATI V E C A R E SERV ICE S

What sets your practice apart?

What is your best advice for patients?

Why have you chosen this field of specialty?

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

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

I work in the unique environment of caring for people facing serious, chronic illness and often terminal illness. Being part of the medical team tasked with helping people accept mortality and determine their wishes in that setting is what sets my practice apart.

Your body is yours. Your medical team, physician and all, are there to advise you based upon your medical conditions and your priorities. You are also part of the team – work with them to set reachable goals.

It feels most comfortable, most genuine, and most natural to me to be with those who are facing serious illness and/or death.

Look the person in the eye, listen to what they say, and ask questions. This lets them know that you are interested and focused on them, not on your own agenda.

There seems to be a cultural shift which makes it acceptable for people to talk about death and dying. It has been a taboo subject for years, yet it is part of every living thing’s destiny. We are now beginning to address it more openly in medical settings, as well as socially.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: University of South Alabama – Mobile, AL Certifications: Board-Certified in Family Medicine, Hospice and Palliative Medicine, Hospice Medical Director

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

CONNECT 423.553.1823 Hospice of Chattanooga / Palliative Care Services 4411 Oakwood Drive Chattanooga, TN 37416 palliativecare services.org

Meet Our Doctors

IMPROV ING

DR. ALEXANDRIA COOKE

ACCES S TO

U T FA M I LY PR AC T IC E

QUALITY C A RE

eeing a need in access to quality medical care, Dr. Alexandria Cooke was determined to be a part of the solution when choosing her field of specialty. “Family medicine physicians play a key role in this, given our unique training,” she explains. “The training I’ve received allows me to provide quality care for everyone regardless of their age, gender, or background.” Now in her first year of independent practice, Dr. Cooke is able to see a large variety of patients. When she’s with her patients, she makes it a point to be present and show genuine interest in their lives, in addition to providing the highest quality of care possible. “There is no higher achievement than having a patient tell you what a difference your care made in their life,” she says.

I enjoy working to meet the needs of all my patients – young, old, healthy, and sick.”

HealthScopeMag.com

What sets your practice apart?

The ability to care for multiple generations of a family is unique.

What is one of your happiest professional moments?

Taking care of a young woman during her first pregnancy, helping her deliver her baby, and then having the opportunity to take care of her son as he grows. Knowing that the mother chooses to return and have me continue to care for both her and her son is the highest honor and a great privilege.

What is your best advice for patients?

If you don’t take care of yourself, who will? Remember that it’s your body and your health – it is okay to put yourself first sometimes.

What would you consider to be your main strengths?

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

I try to ensure that patients feel they are in command of their health and medical care. As their physician, I am part of their team and provide them with recommendations and good counsel, but ultimately they have to make decisions for their health and well-being.

I try to give each patient I see my personal best and provide excellent care; the time we share with patients is limited but leaves lasting impressions on their lives.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Meharry Medical College – Nashville, TN Certifications: Board-Certified in Family Medicine, American Board of Family Medicine Fellowship in Family Medicine Surgical Obstetrics

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

CONNECT 423.778.8837 UT Family Practice 1100 East 3rd Street Chattanooga, TN 37403 erlanger.org/utfp

Meet Our Doctors

H ELPING C H IL DRE N

DR. LORENA FERREIRA

REACH TH E IR

SI SK I N C H I L DR E N’ S I N ST I T U T E

FU LL POTE N TIA L

lay is at the forefront of Dr. Lorena Ferreira’s workday as a developmental pediatrician. She explains, “I spend a lot of hours playing with patients – this is how I get to know them and see how they are developing. So you could say that about half the time I am in the clinic, I am playing with toys and having fun with children. Who wouldn’t love that?” But playtime isn’t the only motivating force behind Dr. Ferreira’s passion for her profession. It is her hope to improve families’ access to care, which is the largest obstacle they face when looking for developmental evaluations. “At Siskin, we take a family-centered and interdisciplinary approach that can help with the evaluation process, providing families with a range of coordinated recommendations that best meet their needs,” she shares.

What is one of your happiest professional moments? Seeing the families grow together with their child, learning

from their children, and being happy with their child’s growth and development.

What is your best advice for patients? Take it one day at a time. Children with disabilities may take

longer to reach certain milestones, so we need to be patient.

Why have you chosen this field of specialty? Because I realized there is a great need in developmental

and behavioral pediatrics. All over the country, children are waiting several months – sometimes over a year – to be seen by a developmental pediatrician. This wait delays diagnostic evaluations that could be important for early intervention strategies.

What accolades mean the most to you? A family’s gratitude. The most rewarding experience is when

a patient’s family expresses how grateful they are for our work here at Siskin.

I am passionate about helping children reach their full developmental potential and helping families live their best lives.”

HealthScopeMag.com

What is your philosophy when it comes to the care of your patients? My philosophy is being compassionate and empathetic with

the families I serve. I always treat my patients the way I would like a pediatrician to treat my own child – with kindness and care.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Universidad Peruana Cayetano Heredia – Lima, Peru Certifications: General Pediatrics and DevelopmentalBehavioral Pediatrics, American Board of Pediatrics

M Y S P E C I A LT I E S Developmental and Behavioral Pediatrics

CONNECT 423.490.7710 Siskin Children’s Institute 1101 Carter Street Chattanooga, TN 37402 siskin.org

Meet Our Doctors

EDUCAT ING & EMPOWERING HER PATIENTS

s a structural interventional cardiologist, Dr. Megan Coylewright is very familiar with being under pressure. Fortunately, staying calm under pressure – whether she’s performing a minimally invasive valve repair or replacement – is one of her strengths. “I’ve also been told that I’m very motivated and have strong attention to detail,” Dr. Coylewright shares. While these traits are important in the medical field, it’s Dr. Coylewright’s care for her patients that truly stands out. “I try to empower my patients to be well-informed of their choices and encourage them to make the best choice for them,” she explains. “I always welcome my patients’ input and believe in a true partnership with them. Seeing them feel better and achieve their goals is incredibly rewarding.”

DR. MEGAN COYLEWRIGHT E R L A NG E R C A R DIOLO G Y

What sets your practice apart?

At Erlanger, we have a strong focus on patientcentered care. Our practice is also unique in that we offer state-of-the-art structural procedures, as well as new clinical trials – this provides access to therapies not otherwise available in the region.

How does your staff enhance your practice?

There are a lot of people behind the scenes helping make a positive patient experience. My team is very friendly, knowledgeable, and loves to take the extra time to talk to patients.

What is your best advice for patients?

Take your health seriously. Advocate for yourself by being well-informed and asking questions until you feel comfortable with your treatment plan.

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

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

I think a good introduction goes a long way. When our team meets our patients, we are confident yet friendly and kind, working hard to meet patients where they are in their journey.

I am passionate about working with my team to hold patients in care through uncertain or challenging times.”

HealthScopeMag.com

My philosophy is to bring the most innovative practices and procedures to all patient populations, including those with diverse cultural, economic, and educational backgrounds.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Johns Hopkins University – Baltimore, MD Certifications: Interventional Cardiology and Structural Cardiology Fellowship – Mayo Clinic Fellow, American College of Cardiology Fellow, Society for Cardiovascular Angiography and Interventions Recognitions: Editor, Cardiosmart – American College of Cardiology Patient Engagement Program Lead, Structural Heart Program at SCAI 2022 Scientific Sessions

M Y S P E C I A LT I E S Structural Cardiology

CONNECT 423.778.5661 Erlanger Cardiology 979 East 3rd Street, C-725 Chattanooga, TN 37403 erlanger.org/ heart

Meet Our Doctors

RE S TORI NG C ONF I DENCE & SM I L ES

r. Bill Childress’ daily routine begins with a workout and a Christian 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 procedures 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 important 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 I M PL A N T S & OR A L SU RG E RY OF C HAT TA NO O G A [ F OR M E R LY E AST B R A I N E R D OR A L SU RG E RY]

What do you love most about your profession?

What is one of your happiest professional moments?

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

What would you consider to be your main strengths?

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.

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 11 years and a tornado.

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.

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.

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

HealthScopeMag.com

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!

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Dental Degree: The University of Tennessee Health Science Center – Memphis, TN Medical Degree: University of Texas Health Science Center – San Antonio, TX Certifications: Board-Certified, American Board of Oral & Maxillofacial Surgery

M Y S P E C I A LT I E S Oral & Maxillofacial Surgery

CONNECT 423.296.8210 Implants & Oral Surgery of Chattanooga 7320 Shallowford Road Chattanooga, TN 37421 5022 Old Godsey Lane, Unit 10 Hixson, TN 37343 ioschattanooga.com

Meet Our Doctors

BREAK ING D OWN

DR. SANDEEP RAJAN

COMM U NIC ATION

E R L A NG E R ONC OLO G Y A N D H E M ATOLO G Y

BARRI E RS

r. Sandeep Rajan was named medical director of Erlanger Oncology and Hematology in July of 2021, and over the last few months, he has jumped in head first to serve his patients, staff, and students. Bringing with him 29 years of experience as a practicing physician, Dr. Rajan is accustomed to the demanding schedule his profession often requires. “My daily routine includes making rounds, attending tumor boards, seeing patients, planning research studies, and teaching doctors and other medical professionals in the evenings and on weekends,” he shares. According to Dr. Rajan, while the research being conducted in his field fascinates him, it’s improving his patients’ quality of life that keeps him going. “I feel fortunate to have the ability to help patients and become a part of their life for the betterment of their health,” he says.

My patients’ interests come first. I spend time listening to them and helping them understand their disease and treatment plan.”

HealthScopeMag.com

What sets your practice apart?

We provide patient empowerment by providing information and education about disease so that patients feel comfortable understanding and coming to terms with their diagnosis. We work closely with our subspecialty colleagues to offer comprehensive care to patients.

What accolades mean the most to you?

My patients living a long and comfortable life and reaching the milestones they wish to achieve.

What is your best advice for patients?

Have an open conversation with your treatment team. Do not feel intimidated, as every question is a good question.

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

What would you consider to be your main strengths?

Personalized medicine, with genetic and molecular information to fine-tune each patient’s treatment rather than a one-shoe-fits-all strategy.

Cancer care can sometimes be depressing, but my spiritual faith and family help me to be cheerful when facing tough situations with my patients. I like to support and inject that same cheer into my patients.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: University of Delhi – New Delhi, India Certifications: Internal Medicine, Medical Oncology, and Hematology, American Board of Internal Medicine Recognitions: America’s Top Physician, Castle Connolly

M Y S P E C I A LT I E S Women’s Hematology Benign and Malignant Hematology Coagulation and Thrombosis Solid Tumors

CONNECT 423.778.9250 Erlanger Oncology and Hematology 979 East 3rd Street, Suite A540/A550 Chattanooga, TN 37403 erlanger.org/ cancer

Meet Our Doctors

PROVI DI NG A PATH FORWARD

euroradiology specialist Dr. Andrew Kreek has been a part of the PrimeImaging team for more than a decade. “Most people don’t realize that when you come to us as a patient, your test is read or your procedure is performed by one of our radiologists who is highly specialized in the area of concern,” says Dr. Kreek. “This allows for a unique approach into a higher standard of care.” Delivering excellent radiological outcomes is a practice that Dr. Kreek prides himself in for patients who depend on his expertise to receive the care they need. “Relieving the anxiety for the patient is critical,” he says.

DR. ANDREW KREEK PR I M E I M AG I NG

What sets your practice apart?

What do you love most about your profession?

What is your best advice for patients?

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

Why have you chosen this field of specialty?

As a boutique radiology practice, we are composed of highly trained and specialized physicians. We are focused on our ability to offer exceptional outpatient imaging services in the Chattanooga and North Georgia area with four locations.

The ability to collaborate with referring physicians on a patient’s results and treatment planning. It’s exceptional care for the patient when we come together doctor-to-doctor.

Being an informed consumer of your healthcare is vitally important.

From a radiology standpoint, advancements in medical technology are always key to what we do. The ability to diagnose and uncover medical issues sooner for patients is critical.

When it comes to navigating a diagnosis, I strive to make the process clearer for my patients, with results to further their care.”

HealthScopeMag.com

My journey into the medical field was somewhat unorthodox. After spending some time in the private business sector, I considered some tough decisions. That meant a change in career path, where I found an opening to work in a local hospital. After being engrained within the healthcare setting and interacting with physicians, I determined my new direction into neuroradiology.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Temple University School of Medicine – Philadelphia, PA Certifications: American Board of Radiology, Diagnostic Radiology Certificate of Additional Qualifications (CAQ): Neuroradiology

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

CONNECT 423.893.7226 PrimeImaging 5441 Highway 153 Hixson, TN 37343 primeimaging.com

Meet Our Doctors

PROMOTI NG PO SI TI VE EX PE RI ENCES

ediatrics was a natural fit for Dr. Katie Fullen, who has spent most of her life working with children – from after-school programs and summer camps to the Special Olympics. But it’s her twin sister, who has cerebral palsy, who served as her first inspiration for her future profession. “Growing up, my sister had quite a few doctors’ appointments, and I always tagged along,” Dr. Fullen explains. “I witnessed first-hand how they helped her and knew I wanted to be able to have the tools to help others in my profession.” After graduating from pediatric dental reseidency in 2021, Dr. Fullen moved to Chattanooga to join the team at PDOC. “Being at PDOC and in Chattanooga is a dream come true,” she shares. “I am so excited to be able to help welcome patients into our PDOC family and make sure they feel right at home.”

DR . KATIE FULLEN PEDI ATR IC DEN TISTR Y & ORTHOD ON TIC S OF CH AT TA N O O G A

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

I strive to treat every patient as if they were a member of my own family! There is a lot to consider when trying to decide what is best for the kids. I work with both them and their parents to provide the treatment that best meets their specific needs!

What is one of your happiest professional moments?

My happiest professional moments truly come in the form of promoting positive experiences, earning a patient’s trust, and helping to alleviate their pain and meet their needs.

What is your best advice for patients?

We would love to see your children as soon as they get their first tooth or before the age of one. It is important not only so that we can monitor their oral health and development, but also to start to build a positive rapport with them.

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

At PDOC, I feel grateful to be able to offer a lot of options to keep our kids comfortable through in-office IV and moderate sedations. We are also able to treat tongue and lip ties with a minimally invasive CO2 laser.

The fact that our patients are so cute makes my job easy to love!”

HealthScopeMag.com

How does your staff enhance your practice?

Our staff is invaluable! They are so friendly, knowledgeable, skilled, and just do a great job of making kids feel understood and at ease.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Dental Degree: West Virginia University School of Dentistry – Morgantown, WV Certifications: Certificate in Pediatric Dentistry, The University of Tennessee Health Science Center Recognitions: American Academy of Pediatric Dentistry American Dental Association Chattanooga Area Dental Society Tennessee Dental Association

M Y S P E C I A LT I E S Pediatric Dentistry

CONNECT 423.541.5500 Pediatric Dentistry & Orthodontics of Chattanooga 150 Stuart Crossing NW Cleveland, TN 37312 5572 Little Debbie Parkway, Suite 110 Ooltewah, TN 37363 pdoc.com

Meet Our Doctors

ADVOCATING

DR. HEATHER URREGO

FOR AL L WOME N

E R L A NG E R WOM E N’ S H E A LT H

y the time Dr. Heather Urrego was 6 years old, she knew that medicine was her calling. “My mom has been a nurse my entire life, and my dad was on the ‘founding’ crew of Life Force at Erlanger as a flight paramedic,” she explains. “I have always been around medicine – it’s just in my blood.” With special interests in sexual health and caring for the LGBTQIA+ community, Dr. Urrego has been practicing obstetrics and gynecology for the last 10 years, and she enjoys the varied nature of her job. “I’m in the operating room about one day a week, I’m working with residents other days, and I have one day a week for travel – you can find me in South Pittsburg, Signal Mountain, or Erlanger East,” she says. “I’m a local girl from Ooltewah, and I am so glad that I was able to move home and be a part of the team at Erlanger.”

What do you love most about your profession?

What is one of your happiest professional moments?

What would you consider to be your main strengths?

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

I love my job – I love chatting with women and getting to know them. I love helping people grow in a healthy and happy way.

Watching residents grow and mature. They start so timid and unsure, and after a couple of years, it’s a completely different person standing beside you in the OR. It has been my life’s joy to help these young professionals become the best physicians they can be so that they can help women in whatever community they go to.

My upbeat personality. I can find the good in just about any situation.

I feel the move from open procedures to laparoscopic has been an exciting development. People can have a major surgery, and in most cases, go home the same day.

I love being there for women in their happiest moments, as well as their saddest moments.”

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Why have you chosen this field of specialty?

OB/GYN has the whole trifecta: clinical practice, operating room, and delivering babies. Is there a better profession? I think not!

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Nova Southeastern University College of Osteopathic Medicine – Davie, FL Certifications: Fellow, American Board of Obstetrics and Gynecology Recognitions: Assistant Professor of Obstetrics and Gynecology, Tulane School of Medicine Clinical Assistant Professor, The University of Tennessee Health Science Center

M Y S P E C I A LT I E S Obstetrics Gynecology

CONNECT 423.778.2580 Erlanger Women’s Health 979 East 3rd Street, Suite C-725 Chattanooga, TN 37403 erlanger.org/ womenshealth

STAFF SPOTLIGHT

CHI MEMORIAL MEDICAL GROUP James Carsten, Jr., MD

Rhonda Adams Scott, RN, PhD

Dr. James Carsten, Jr. has joined CHI Memorial Family Practice Associates – Soddy-Daisy. A family medicine physician, Dr. Carsten earned his medical degree from the University of Illinois College of Medicine, and he completed his internship and residency in nearby Hinsdale, Illinois.

Dr. Rhonda Adams Scott has been named market chief operating officer and president of CHI Memorial Hospital Chattanooga. She has over 22 years of administrative leadership experience, most recently serving as COO and executive vice president of Atlanta’s Grady Health Systems.

AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER

VASCULAR INSTITUTE OF CHATTANOOGA

Michaela Gaither

Chris Warren, FNP-C

The Austin Hatcher Foundation welcomes Michaela Gaither to its growing staff. Gaither will serve as the new Child and Family Service Coordinator, a role that involves planning enrichment events for families and coordinating care for new and existing families.

The Vascular Institute welcomes Chris Warren as its newest nurse practitioner. A graduate of UT Chattanooga, Warren brings over 10 years of nursing experience to the team. She will be caring for patients in VIC’s Chattanooga and Cleveland offices.

PARKRIDGE HEALTH SYSTEM

ERLANGER HEALTH SYSTEM

Becky Carroll, MSHA

Doug Brewer, MD

Becky Carroll has been promoted to vice president of strategy and assistant administrator of Parkridge Health System. With a master’s degree in healthcare administration from the University of Alabama at Birmingham, Carroll is a healthcare administration veteran of 22-plus years.

Dr. Doug Brewer has been named the new chief medical officer for the Erlanger Medical Group. In this role, Dr. Brewer will be advancing the interests of Erlanger’s employed physicians, advance practice providers, service lines, and outpatient clinics.

SISKIN HOSPITAL

CHI MEMORIAL

SISKIN HOSPITAL Meredith Russell, DPT

Jorden Watson, DPT

Siskin Hospital is proud to announce that Dr. Meredith Russell is now a boardcertified Neurological Clinical Specialist. Dr. Russell specializes in neurological conditions and is a Certified Stroke Rehabilitation Specialist and a Certified Brain Injury Specialist.

Dr. Jorden Watson, who mentors physical therapy residents in Siskin Hospital’s Neurologic Residency Program, has recently become a board-certified Neurological Clinical Specialist. Dr. Watson specializes in neurological conditions, and she is an APTA Certified Clinical Instructor.

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be well Today’s most important health topics that women of all ages want and need to know for the health and wellness of their family, parents, and themselves.

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Depression in Women Differences in Biology, Symptoms, and Risk Factors BY ANNA H I L L

epression comes in many forms. Approximately 1 in 6 people will experience depression at some point in their lives – but something that people often don’t know is that women are more likely to experience depression than men. In fact, roughly one-third of women will experience a major depressive episode in their lifetime. Here, we explore the causes and symptoms of depression that disproportionately or uniquely affect women.

Risk Factors

While there are a great number of risk factors that can predispose any person to depression, such as genetics, environmental factors, biochemistry, a lack of social support, and personality traits (such as low self-esteem), there are some predisposing factors that are unique to women. For example, according to Kristin Smith, the director of physician and provider relations at Parkridge Valley Hospital, “Women are at a higher risk of depression due to hormonal causes, as hormones can fluctuate surrounding pregnancy, fertility issues, and menopause. Hormones alone do not cause depression, but they can certainly exacerbate its risk factors.” Unfortunately, biological factors aren’t the only ones that increase a woman’s predisposition to depression. A woman’s environment can contribute to her likelihood of depression, and some sociocultural stressors often affect women disproportionately. These might include: • SOCIOECONOMIC INEQUITY. Women are statistically more likely than men to live in poverty. This can lead to a decline in access to community or healthcare resources, which in turn can increase feelings of stress, negativity, isolation, and low self-esteem. • HAVING TOO MUCH ON HER PLATE. Many women work outside the home while also being the primary caregiver at home. Women are more likely to be single parents than men, and the stress of being the sole breadwinner as well as the only caregiver can be challenging and often overwhelming. • ABUSE. Women who were or are sexually or physically abused as children or adults have an increased likelihood of developing depression at some point in their lives, and women are more likely to be sexually abused than men.

Symptoms & Signs

Everyone experiences depression differently, and symptoms of it can vary widely from person to person. Some common symptoms of depression that can occur in anyone include: • Persistent sad, anxious, or “numb” mood • Feelings of hopelessness, irritability, or worthlessness • Decreased energy and changes in sleep patterns • Loss of interest in hobbies or activities • Restlessness and decreased ability to concentrate

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DR. HEATHER URREGO OB/GYN, ERLANGER WOMEN’S HEALTH

KRISTIN SMITH LICENSED PROFESSIONAL COUNSELOR & DIRECTOR OF PHYSICIAN AND PROVIDER RELATIONS, PARKRIDGE VALLEY HOSPITAL

However, some symptoms might occur more commonly in women in particular. “Women may be more susceptible than men to physical symptoms of depression, such as seemingly unexplained pains, headaches, or digestive problems,” explains Smith. Furthermore, some women might experience symptoms that they don’t even realize are signs of depression thanks to their environment or medical history, such as appetite changes, fatigue, and body aches.

Hormones

As mentioned briefly above, hormonal changes and fluctuations can have a significant effect on a woman’s mental health. While it’s important to recognize that hormones alone aren’t the cause of depression, they can play a role in it developing – primarily during a woman’s reproductive years. For example, when a girl goes through puberty, her body and life goes through a period of significant changes. Grappling with emerging sexuality and identity, pressure to perform well in middle school and high school academics and athlet-

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ics, and more difficult parent-child relationships can all contribute to depression. Hormones also fluctuate around menstruation, and while changes in mood are not uncommon for women at this time, for some women it can turn into premenstrual dysmorphic disorder (PMDD). More severe than premenstrual syndrome (PMS), PMDD elevates common symptoms of PMS such as mood changes, pain, bloating, and appetite changes to a debilitating point – sometimes even causing suicidal thoughts. Thankfully, there are methods of treatment for PMDD, including both lifestyle changes and medication. At the end of a woman’s reproductive years, she transitions into menopause. While there are typical symptoms of this – such as abnormal periods, changes in sleep patterns, mood swings, and hot flashes – persistent feelings of sadness, anxiety, or hopelessness are not typical. If a woman going through menopause is experiencing these feelings, she may be going through perimenopausal depression and should consult with a healthcare provider.

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Perinatal Depression

Perhaps one of the most well-known forms of depression that is specific to women is perinatal depression, which many know as postpartum depression. “Perinatal depression can be difficult to distinguish from ‘regular’ depression, but the hallmark is that it occurs during pregnancy or within 12 months postpartum,” explains Dr. Heather Urrego, an OB/GYN with Erlanger Women’s Health. This type of depression is actually quite common – it occurs in approximately 1 in 7 women and can be mild or major depression. The trouble with diagnosing perinatal depression is that sometimes it can be difficult to distinguish between routine changes in your life shortly after giving birth – such as changes in sleep, appetite, and libido – and symptoms of depression. Because of this, OB/GYNs will often screen for perinatal depression at the patient’s postpartum visit. “If necessary, an obstetrician can start medications to treat perinatal depression in the patient unless they believe that there could be risk of the patient hurting herself or others,” says Dr. Urrego. “The other major concern would be something other than depression, such as mania or bipolar disorder. In these cases, it is often prudent to consult with a psychiatrist.”

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Women are around twice as likely to be diagnosed with depression as men. While this may seem like a shocking statistic, the good news is that, as depression is one of the most common mental health disorders, much research has been done in regard to treating it, and there are options available. If you’ve been experiencing any symptoms discussed here for over two weeks, reach out to a healthcare professional to talk about it. HS

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Birth Control Knowing Your Options

Birth control can be incredibly important for women’s health for many reasons – from balancing hormones and regulating cycles to family planning. In this day and age, options abound, but all of those options can make it difficult to determine what might be best for you individually. Read on for a run-down of birth control methods and their various benefits, as well as informative input from local women’s health experts on how to choose what’s right for you. BY ANNA HILL

HANNAH WHITE NURSE PRACTITIONER, ASSOCIATES IN WOMEN’S HEALTH

When it comes to forms of birth control, everyone’s needs are different. Perhaps you’re currently using the pill method, but your friend swears by her intrauterine device (IUD), and you keep seeing online ads for an arm implant. This variety can sometimes feel overwhelming, but it’s important to remember that each method comes with its own benefits and drawbacks, and that your doctor can help you decide what might be the best fit. In the meantime, we’ve broken down the options to help you get a lay of the land.

Oral Contraceptives

Oral contraceptives, commonly referred to as birth control pills or “the pill,” are one of the most common methods of birth control thanks to their accessibility and ease of use. Birth control pills are typically taken once a day at the same time every day and come in one of two forms. “There are combined oral contraceptives with estrogen and progestin in them, and progestin-only oral contraceptives,” explains Hannah White, a nurse practitioner with Associates in Women’s Health. “Progestinonly contraceptives are great to use during the postpartum period while breastfeeding because they don’t dry out the mother’s milk production as compared with the estrogen-containing birth control, which will.” On the other hand, the estrogen in combined oral contraceptives can often aid in regulating menstrual cycles, controlling acne, and shortening and lightening periods. A less common version of the oral contraceptive pill is the emergency contraceptive pill, which can be up to 90% effective when taken within 72 hours of unprotected intercourse. “However, no pills will work if you have already ovulated,” emphasizes Dr. Shevonda Sherrow, an OB/GYN at Innovative Women’s Health Specialists. “This is why it’s important to take it as soon as possible after intercourse. It’s also important to know that Ella, a prescribed emergency contraceptive, is two times more effective than the over-the-counter pills.”

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DR. SHEVONDA SHERROW OB/GYN, INNOVATIVE WOMEN’S HEALTH SPECIALISTS

DR. ANGELA MCDOWELL OB/GYN, HAMILTON MEDICAL CENTER MEDICAL STAFF

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IUDs & Implants

IUDs and arm implants such as Nexplanon are increasing in popularity due to their effectiveness and significantly lower maintenance compared to some other methods. IUDs are available in copper form (Paragard) as well as several varieties of hormonal IUD, and once in place can prevent pregnancy 99% effectively anywhere from three years to a decade, depending on the type. Nexplanon, the implant, is typically placed in the upper arm just beneath the skin and releases progestin to prevent pregnancy. Also 99% effective, the arm implant can last for up to five years. IUDs are a great option for a number of reasons, primarily due to their high effectiveness and low maintenance; in fact, they’re often utilized in underserved communities because of this. However, there are some important things to know before making it your contraceptive of choice: There might be some irregular bleeding and spotting within the first few months, and insertion might cause discomfort for some women. “There is some pain with insertion, and I usually tell patients to take an ibuprofen while in the waiting area so that it is on board before the procedure,” says Dr. Angela McDowell, an OB/GYN on the medical staff at Hamilton Medical Center. “I tell patients who have had a child that it feels like a contraction when it is inserted, but insertion is less than 30 seconds, and the pain usually doesn’t last much beyond two minutes after the insertion.”

Shots, Patches, & Vaginal Rings While shots, rings, and patches might be less common forms of birth control, they’re all still over 90% effective when deployed correctly. Depo-Provera, usually known as the depo shot, is an injection containing progestin that’s administered every three months; however, it must be administered on time and on schedule for it to be most effective. Birth control patches, such as the Xulane or the Twirla patch, release estrogen and progestin through the skin and are typically worn on the stomach, back, buttocks, or upper arm. Patches must be changed once a week to remain effective. A vaginal birth control ring, not to be confused with an IUD, is a small, flexible, hormonal ring that you insert on your own and change or replace regularly. The NuvaRing is inserted and then replaced every five weeks, whereas the Annovera ring is good for one year and is inserted for three weeks, removed and stored for seven days, then inserted again for three weeks, and so on. For those looking for something more convenient than oral contraceptives but less long-term than an IUD, rings can be a great option. “The NuvaRing is 91% effective, and Annovera is 97% effective,” says White.

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Sterilization

Once a woman has determined that she is finished with childbearing, permanent sterilization is an option to consider. “Known as a tubal ligation, the fallopian tubes are either clipped or a portion of the tube is removed so that there is no way for the sperm and the egg to meet,” says Dr. McDowell. “This is 99% effective at preventing pregnancy.” However, patients are usually encouraged to consider that the procedure is truly a permanent one and not meant to be reversed. This form of sterilization might also be used if a woman has a condition that poses a serious danger to her health. It’s also important for couples to consider that male vasectomy is the safest, most inexpensive, and effective form of sterilization.

How To Know What’s Best for You

Though the above methods of birth control are among the most popular, there are even more that aren’t covered here, such as female condoms, birth control sponges, spermicide gels, and fertility awareness methods. To decide which option is best for you, Dr. Sherrow points to the FEES acronym: FUTURE PLANS: When would you like to start a family? If you’re

unsure for now, methods that can be easily discontinued, such as birth control pills, rings, shots, or patches, might be best for you. If you have no plans to start a family anytime soon, something more long-term like an IUD might be best. EFFECTIVENESS : It’s important to seek out methods that are highly effective when used correctly in order to maintain your peace of mind. IUDs and the arm implant are both almost completely effective. EASE: How reliable are you when it comes to your daily routines? If taking medication at the exact same time every day doesn’t fit easily into your schedule, you may want to consider bypassing pills and going for a more “set it and forget it” option such as an IUD, implant, or ring. STATUS: What is your current health status? Do you need combined contraceptive pills to help control something else, like painful period cramps or acne? Or are you at an elevated risk for blood clots, which can also affect which method is safest for you?

It’s important to have a conversation with your doctor about your individual needs, preferences, and medical history before deciding on your method of birth control. An appointment with your primary care provider or OB/GYN will allow them to prescribe you an option that’s best for you. HS

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Infant Illnesses

W H AT PARE N T S S H O U L D KN OW BY ANNA HILL

ringing a child into the world can be one of life’s greatest joys, but with it can also come worries about how to best care for a baby – especially for first-time parents. Though most common conditions and ailments in infants aren’t serious, some will require a doctor’s visit. By familiarizing yourself with the following health issues, you’ll know what to watch for when your infant shows signs of illness, and how to get them the help they need.

Jaundice

Jaundice, which is a yellow appearance of the skin, is not uncommon in newborns. The condition is caused by a buildup of bilirubin – a yellow pigment – in the blood. Bilirubin is made naturally during the breakdown of red blood cells and passes through the liver to then be excreted from the body. “Prior to birth, the mother’s liver does this for baby,” explains Dr. Heather Gilliam, a newborn hospitalist at the Children’s Hospital at Erlanger. “Jaundice often develops within the first few days of life

and peaks in days three to five as the baby’s liver gets better at removing the bilirubin.” Jaundice in most babies is mild and harmless; however, in rare, extreme situations, excessive levels of bilirubin can lead to brain damage. Because of this, newborns have their bilirubin levels monitored so that jaundice can be treated long before those levels are reached. Typical treatment of jaundice includes phototherapy (blue light therapy), formula supplementation, and in severe cases, blood transfusions.

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Colic

If your baby is displaying a pattern of crying and fussiness at certain times each day, there’s a good chance that your baby has colic. “Colic is defined as excessive crying with no known cause for more than three hours per day, for more than three weeks, starting after three weeks old,” explains Dr. Matthew Campbell, a pediatrician with CHI Memorial Pediatric Diagnostic Associates. Unfortunately, there is no definitive cause of colic, which means there is no definitive treatment or solution. Colic often resolves by the time babies reach three or four months of age, but it can last until they are six months old. When it comes to treating colic, pediatricians will first determine if there is a medical reason for it, such as formula intolerance or gastroesophageal reflux. Otherwise, common treatments include swaddling, rocking, soothing sounds and music, swinging or walking, and a warm towel placed on the baby’s belly.

Respiratory Viruses

As infants have immune systems that are less developed than those of older children, they are particularly susceptible to viral respiratory infections. Just as colds can be common for toddlers and grade-school children, it’s not unusual for a baby to have several respiratory infections within their first year of life. “The common cold (rhinovirus), adenovirus, respiratory syncytial virus (RSV), and flu are some of the most frequent we see,” says Dr. Campbell.

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If your baby is showing signs of cold or flu, such as persisting sneezing, coughing, or a runny nose, it’s important to consult with your pediatrician on how to move forward. Treatment is important, as respiratory infections can progress into pneumonia in infants. Your doctor will advise you on what cold medicines you should administer, as not all over-the-counter cold medications are suitable for infants.

DR. HEATHER GILLIAM NEWBORN HOSPITALIST, CHILDREN’S HOSPITAL AT

SIDS

Sudden Infant Death Syndrome, commonly referred to as SIDS, is every new parent’s nightmare, and the title alone is reason enough to understand why. Also known as “crib death,” SIDS is when an infant younger than a year old dies suddenly and unexpectedly. The lack of answers surrounding this syndrome can make it terrifying, but fortunately, there are ways of greatly reducing your baby’s risk. While some risk factors are uncontrollable, such as a family history of SIDS or premature birth, good prenatal care can lower the risk, as well as good sleep practices.

ERLANGER

DR. MATTHEW CAMPBELL PEDIATRICIAN, CHI MEMORIAL PEDIATRIC DIAGNOSTIC ASSOCIATES

Motivate Your Morning with James and Kim

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“Safe sleep practices are important and can greatly reduce the risk of SIDS,” explains Dr. Campbell. When putting your baby to bed, always have the baby sleep on their back, and have them sleep in a crib or bassinet; refrain from “co-sleeping,” or having them in the bed with you. “Be sure to also use a tight-fitting crib sheet, and don't have extra blankets or stuffed animals in the crib or bassinet,” adds Dr. Campbell.

Complications From Prematurity

When babies are born prematurely, they have somewhat different needs than those of full-term newborns. By definition, preterm infants are born prior to the completion of 37 weeks of pregnancy, and the earlier a baby arrives, the more potential there is for some complications to arise. For example, according to Dr. Gilliam, “Preterm infants are typically smaller and have less body fat. Due to this lack of fat, premature babies have a more difficult time regulating or maintaining their own body temperature and may require assistance in an incubator.” Furthermore, depending on just how early a baby is born, their development regarding feeding and motor skills might need to be supervised. “Many premature babies will be monitored in a NICU follow-up clinic where they are seen by various therapists for speech, occupational, and physical therapies, as well as by a pediatrician,” says Dr. Gilliam.

Monitoring Your Baby’s Health

It can be easy to worry about any health problems your baby might be having, as they can’t communicate in the same ways that older children and adults can. So, what’s important to look out for if you’re concerned about your infant? According to Dr. Gilliam, “Fever is always an important sign. Temperatures of 100.4 F or higher are defined as fevers – if a baby is less than two months old, a fever needs to be evaluated by a physician immediately.” Other signs to watch for include increased irritability, lethargy or decreased activity, poor appetite, and a decrease in wet diapers. If you notice any of these symptoms in your baby, it’s important to call your child’s pediatrician for an evaluation. Remember to reach out to your pediatrician with any questions regarding your child’s health. “Another good resource for information is the American Academy of Pediatrics parenting website: healthychildren.org,” advises Dr. Gilliam. HS

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Respiratory Health in Older Adults Caring for Your Lungs as You Age

s adults age, a healthy respiratory system becomes increasingly important to their overall well-being. People of all ages are susceptible to respiratory

problems, but for older adults, they can pose an elevated risk as their bodies change with age. Here, we discuss some of the most common respiratory disorders in older adults as well as how to prioritize caring for your lungs as you age.

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BY ANNA HILL

Asthma

For many, when the word “asthma” is mentioned, it likely evokes the image of a child or teen with an inhaler. However, while asthma does occur in over 6 million children in the U.S., it occurs in over 20 million adults, many of whom continue to experience symptoms into their senior years. A chronic lung disease that inhibits air flow in and out of the lungs, asthma is usually triggered by exercise, respiratory infections, or external stimuli, such as allergens, pollutants, smoke, or exposure to sharp temperature changes. “Asthma in the elderly is complicated by the fact that they have an aging immune system's response to inflammation, which is a hallmark of asthma,” explains Dr. Jonathan Lenzen, a pulmonologist with Pulmonary & Critical Care Consultants of Chattanooga. “Also, in the elderly, their respiratory muscles and chest wall have less elastic recoil and increased weakness associated with aging, which can make asthma flare-ups more severe.” With asthma, it’s important to take preventive measures by avoiding any known triggers as well as staying up to date on flu vaccinations. Flare-ups are typically treated similarly to those in younger adults – with inhalers or a round of oral corticosteroids if needed.

GREG JOYNER NURSE PRACTITIONER, MORNING POINTE SENIOR LIVING

DR. JONATHAN LENZEN PULMONOLOGIST, PULMONARY & CRITICAL CARE CONSULTANTS OF CHATTANOOGA – JASPER LUNG CENTER

“Asthma in the elderly is complicated by the fact that they have an aging immune system's response to inflammation, which is a hallmark of asthma.” –Dr. Jonathan Lenzen

Cold & Flu

People of all ages need to watch out for colds and flu viruses, but it’s especially important for older adults to monitor their condition if they happen to come down with one. “The older adult has a greater risk with influenza due to a higher potential to develop pneumonia and/or become hospitalized. This risk becomes greater due to a general decline in our immune capabilities as we age,” says Greg Joyner, a nurse practitioner with Morning Pointe Senior Living. “In those 65 and older, during the first few weeks of infection, flu also increases the risk of stroke and heart attack by three to five times,” adds Dr. Lenzen. Because of this, it’s often better for an older adult who suspects they have flu symptoms to consult with a healthcare provider sooner rather than later – waiting for it to clear up on its own can lead to a far more severe case of illness.

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COPD

Chronic obstructive pulmonary disease, commonly referred to as COPD, is an umbrella term for long-term lung disease, which includes chronic bronchitis and emphysema. COPD is the third leading cause of disease-related death in the U.S. It enflames and thickens the airways, which prevents the body from getting as much oxygen as it needs, and is most often caused by a history of smoking. Those in the 65 or older age group experience the highest rates of COPD. The good news is there are a lot of treatment options. For typical cases, routine treatments include inhaled bronchodilators and inhaled corticosteroids, as well as antibiotic treatment for any suspected bacterial infections. For more severe cases, oxygen therapy as well as pulmonary rehabilitation might be prescribed, and for the most severe cases, there are some surgical treatment options. It’s also important to know that if you’re an older adult who still smokes, it’s never too late to stop.

Challenges in Treatment

While the above conditions can affect people in any age group, treating them in older adults can present a unique set of challenges. “Accurate and early diagnosis in the elderly is important, but it can be challenging due to already-existing medical conditions which could mimic an underlying primary pulmonary disorder,” says Dr. Lenzen. Furthermore, as previously mentioned, common viruses such as cold and flu more easily turn into pneumonia and can require hospitalization more frequently in the elderly. These conditions

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open them up to potential for complications, such as acute hypoxemia (low blood oxygen), which can lead to further trouble breathing, restlessness, confusion, and heart failure.

Preventive Care

Active participation in monitoring your health and preventive care are some of the best ways to reduce your risk of severe respiratory conditions. For example, as a younger adult, you might not consider pneumonia to be a particularly dangerous threat, but as you age, it can become much more serious. “Pneumonia vaccinations can help reduce specific types of bacteria-related pneumonia,” advises Joyner. “In addition, maintaining a healthy immune system with a good diet, exercise, and supplements can facilitate a good immune response, should an older adult develop pneumonia.” It’s also incredibly important to stop smoking as well as avoid secondhand smoke or other pollutants wherever possible.

Focusing on the lungs specifically, Dr. Lenzen recommends getting into a good breathing exercise routine. “Do deep-breathing exercises for two to five minutes several times per day. While counting, slowly breathe in through your nose alone. Then, breathe out through your mouth alone at least twice as long. This also relaxes you and makes you feel less stressed,” he adds. It’s also important to practice simple good hygiene – clean hands can go a long way in preventing the spread of illness.

hile there is no way to avoid a decline in your immune system as you age, there are many things you can do to keep your-

self healthy. As an older adult, it’s always important to keep up to date with vaccinations, avoid lung irritants, and seek professional care sooner rather than later if you’re experiencing any symptoms typical of respiratory issues. HS

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SILVER SIDE

Enjoying Autumn Activities During COVID-19 By Piper Kyle

Autumn is just around the corner! The leaves will soon be turning. The smells of apple cider, pumpkin spice and vanilla musk fragrances will be roaming, along with a chilly breeze, making it sweater weather. Temperature changes bring the threat of sickness, but it doesn’t mean we have to opt out of all of our favorite fall activities. With a little organization, vigilance and caution, you can still enjoy your favorite autumn events and stay healthy. “Coronavirus doesn’t have to take the fun out of everything,” says Dr. Neha Vyas, family medicine specialist in Mayfield Heights, Ohio. “If we practice

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and respect safety guidelines, we can slow the spread of the virus and still experience things that bring us joy.” The most important trick (to this treat) is to keep yourself as safe as possible. Practice the golden rules of infection control by wearing a face mask, social distancing, not touching your face, practicing proper hand hygiene and staying home when you don’t feel well.

Here are several more tips to remember as you prepare for fall festivities: Apple picking and pumpkin patches. Apple orchards and pumpkin farms are popular attractions during the autumn season. Due to COVID-19, many establishments may require reservations to visit. Controlling crowds gives them

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more opportunities to sanitize and ensure their attractions are safe for visitors. If you’re planning a visit, call ahead of time and ask about schedules, guidelines and precautions. Haunted houses, hayrides and corn mazes. These outings usually tend to be group-oriented, which doesn’t combine well with COVID-19 precautions. Many locations are offering drive-thru haunted houses this year, to limit exposure to large crowds. Before participating in a drive-thru or inperson event, find out what safety precautions are being taken and don’t be afraid to ask questions about sanitation and infection control. Fall sporting events. If guidelines are correctly followed, it is possible to safely attend these events. Many school districts and

universities are limiting in-person attendance to allow for social distancing. Check online and see if you can order tickets ahead of time to reserve your spot. Educate yourself about the event’s guidelines before you go, to ensure you know the expectations and to help keep yourself and others safe and healthy. If you are not comfortable with going to inperson events, there are still plenty of activities you can enjoy this fall season. Take a family drive for a change of scenery and to see the colorful leaves. Hold a tailgate party in your driveway or bake fall goodies and let the delicious aroma fill your house. Things may look a little different this year, but as we continue to learn about infection control and practice safe guidelines, we can still enjoy all that autumn has to offer. And don’t worry: Pumpkin spice lattes are fall 2021 approved! Life Care Centers of America

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Stop the Silent Killer.

Uncontrolled high blood pressure robs us of precious time with our loved ones. It is a silent killer that causes unnecessary and inequitable disease and death. Nearly half of U.S. adults have high blood pressure and many don’t even know they have it, and Black Americans have among the highest blood pressure rates in the world. As a leading risk factor for cardiovascular disease, if we don’t help more adults control their blood pressure, we risk continual reversal of progress made fighting heart disease and stroke.

Learn more about our local work: Heart.org/Chattanooga @AHATennessee

STAY WELL

Annual Women’s Health Section BY LINDSEY JUNE

It’s easy to let health fall by the wayside, especially when life gets busy. But it’s always important to listen to the little voice in your head that suspects something isn’t right. Here, we highlight common health concerns for women, what to look out for, and when to see your doctor. Don’t let your busy schedule stand in the way of getting the help you need!

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Understanding Peripheral Artery Disease in Women Peripheral artery disease is a vascular condition that can have serious complications for women.

An Expert Weighs In “We have a serious problem here in the South where people experience heart attacks, strokes, and limb amputations at a higher rate than anywhere else in the country. Primary care doctors want to address the risk factors that cause PAD, but many patients come to me with untreated risk factors for years and present with advanced disease. If you or a loved one has leg FLOW problems - feelings of pain, loss of sensation, open sores that won’t heal, or weakness when walking - see your doctor. Early detection of PAD can save your leg!” Chris LeSar, MD Vascular Surgeon/CLI Specialist/Medical Director Vascular Institute of Chattanooga

Understanding Peripheral Artery Disease

Peripheral artery disease (PAD) is a circulatory disorder where narrowed arteries reduce blood flow to the limbs. When the arms and legs don’t receive enough blood, they may not function properly. PAD is a serious condition that often goes undiagnosed until symptoms present themselves. It is particularly important for women to stay on top of their vascular health, as reproductive factors make them susceptible to conditions like PAD. Studies show that women are also hit harder – and sooner – than men with the condition.

Causes and Symptoms

Peripheral artery disease is caused by fatty deposits that build up on artery walls, reducing blood flow. When this process – known as atherosclerosis – occurs in the arteries that supply blood to the limbs, it causes PAD. Risk factors for atherosclerosis include smoking, diabetes, obesity, high blood pressure, and a family history of heart disease. Those with PAD may develop symptoms such as numbness or weakness in the limbs; painful cramping in the hips, thighs, or calves; coldness in the legs and feet; sores on the feet that won’t heal; shiny skin on the legs; a change in color of the legs; and pain and cramping when using your arms. 76

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Conditions Associated With PAD

If left untreated, peripheral artery disease can cause serious health problems such as heart attacks, strokes, transient ischemic attacks (TIA), and renal artery disease. Amputation may be necessary to prevent further complications. Women who experience strokes face worse outcomes than men, and symptoms often present themselves later.

Prevention and Treatment

It is highly important for women to know the risk factors associated with peripheral artery disease. Preventative measures include regular exercise, eating foods low in saturated fat, maintaining a healthy weight, quitting smoking, and keeping blood sugar under control if you have diabetes. These lifestyle changes can also help treat PAD once it has already developed. Additionally, procedures like angioplasty, stent placements, and atherectomies can help with prognosis. If you’re a woman at risk for peripheral artery disease, it is important to reach out to your doctor to make sure you get a diagnosis and proper treatment before more serious complications arise. HS

Women are wives, moms, and so much more.

They care for everyone around them, while in the process, many times forgetting to listen to their own bodies and care for themselves. Peripheral Arterial Disease (PAD) occurs when plaque builds up on the inside walls of the arteries that carry blood from the heart to the legs and feet. The arteries harden and narrow - a process called atherosclerosis. PAD may also involve the formation of plaques in the heart and brain, causing an increased risk of heart attack or stroke. When symptoms arise, women typically ignore them, put off getting checked, and clear the way for a more severe disease stage of Peripheral Arterial Disease (PAD) to occur.

3X MORE 11.4 million women in the United States have Peripheral Arterial Disease (PAD).

PAD affects 3x more women than breast cancer.

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The annual economic burden of PAD in women in the United States is $147 - $277 billion.

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Periodontal Health Through the Years Women of all ages are susceptible to gum disease due to fluctuating hormones and issues caused by inflammation.

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

Pregnancy

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 also increase blood flow to the gums, making them tender and delicate. As gums become more sensitive, bacteria is more likely to grow beneath the gums and around the teeth.

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. Additionally, oral infections can pose a health risk for the baby. It’s important for pregnant women to have regular periodontal evaluations.

Puberty During puberty, girls experience an increased level of progesterone and estrogen, which can increase gum sensitivity leading to tenderness. Orthodontic treatments 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 has started. Symptoms include bright red and swollen gums and sores in the cheek. 78

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Menopause and Post-Menopause Women who are menopausal or post-menopausal are susceptible to periodontitis, likely 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 may recommend additional tips. HS

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A smile can brighten anyone’s day, but what if you’re afraid to flash those pearly….not-so-whites? Drs. Mandy and Robert Shearer have what you need to get your grin gleaming! Before you make a trip to your local drugstore for over-the-counter whiteners, consider making an appointment at Soddy Daisy Smiles. Using Opalescence, a professional teeth whitener that offers breathtaking results, they’ll monitor your progress and have you smiling confidently with the pearly whites you’ve been dreaming of!

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Understanding Endometriosis Endometriosis is a serious health condition and one of the leading causes of infertility in women.

Understanding Endometriosis

Endometriosis is a disorder in which tissue that is similar to the tissue that typically lines the inside of the uterus grows outside of it instead. The painful condition often affects the ovaries, fallopian tubes, and the tissue lining the pelvis. Endometriosis is a serious health issue that can lead to infertility or difficulty getting pregnant. According to Johns Hopkins, an estimated 2 to 10% of women between the ages of 25 and 40 have the disorder.

Risk Factors and Symptoms

The exact cause of endometriosis is not known, but doctors have determined certain risk factors, which include starting your period at an early age, short menstrual cycles, never giving birth, low body mass index, a family history of the disorder, and other medical conditions that prevent the passage of blood from the body during menstruation. Women with endometriosis experience painful menstrual cramps, abnormal or heavy periods, infertility, and other gastrointestinal problems.

Effects of Endometriosis

Endometriosis is one of the three major causes of infertility. In fact, research shows that infertility affects 30 to 50% of women with endometriosis. In mild cases, infertility may be temporary, and surgery to remove scar tissue can restore reproductive facilities. However, others may remain infertile. In addition to infertility, other effects of endometriosis include chronic pelvic pain and risk of adolescent chronic pain and depression if left untreated.

Treatment and Outlook

In mild cases, endometriosis only requires pain medication and nothing more. However, in more severe cases, treatment may include hormone therapy and surgical techniques like laparoscopies and laparotomies to remove scar tissue. In extreme cases, a hysterectomy may be necessary for the safety of the patient. Currently, there is no cure for endometriosis, but there are ways to make the pain more manageable. Rest, relaxation, and meditation can help ease the body and mind. Warm baths can put relief on the affected areas. Exercise and overall health management can also help keep more severe symptoms at bay. If you suspect you have endometriosis, it’s important to talk to your doctor to develop a treatment and pain management plan that works best for you. HS

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An Expert Weighs In “Endometriosis is a very insidious disease process, but it can be controlled with early intervention and diligent management. Understanding the disease process is key. It is common to have other female relatives with similar issues. Endometriosis can affect teenagers who may need surgical intervention and hormone therapy. Endometriosis should not be viewed only as a reproductive risk but also a quality of life risk and should be treated as such. The pelvic pain experienced by many women can lead to depression and anxiety. It is imperative that women of all ages be taken seriously when they have very painful periods.” Shevonda Sherrow, MD OB-GYN Innovative Women’s Health Specialists

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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.

An Expert Weighs In “During the last few months of COVID-19, 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

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 condition; 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 has added 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 depression as those without it. Hearing loss can cause women to disengage from social interactions and activities that require communication. The loneliness that comes from isolation can lead to depression.

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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 their name. Speak clearly and distinctly, especially when wearing a mask. 2. Do not talk loudly from another room. Hearing-impaired people will need to see your face to know what is being said. 3. Look at the hearing-impaired 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.

Getting Tested

If you are a woman suffering from hearing loss, a hearing test could help you avoid unnecessary medications and 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. HS

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Dental Implants for Women Dental implants can restore function in the mouth and inspire confidence in women with tooth loss.

An Expert Weighs In “Women and men generally have different dental needs as they age. Women are more prone to osteoporosis, and this needs to be taken into account when diagnosing and treating gum disease, and when considering dental implants. While these procedures are still highly successful, more care may need to be taken for women, especially if they have been treated for osteoporosis or are undergoing hormone replacement therapy.” Jason M. Strever, DMD, MS Periodontics Practitioner North River Periodontics & Implants

Understanding Dental Implants

The Implant Procedure

Tooth loss is more common than you might think. According to the American College of Prosthodontists, an estimated 178 million Americans are missing at least one tooth and about 40 million Americans are missing all of their teeth. Luckily, dental implants are a viable option for tooth replacement. They are synthetic tooth roots that provide a strong foundation for permanent or removable replacement teeth made to match your natural smile. Dental implants can help replace a single tooth, multiple teeth, or a full mouth.

Before the dental implant process begins, patients are placed under local anesthesia or full sedation, depending on preference and comfort level. The surgeon will then extract the natural tooth if it is still present, and the implant is placed in a fresh socket. A healing cap will go over the implant until the site is fully healed, which may take a few months. The bone will grow and fuse to the implant in that time. When everything is healed, your dentist will complete the final phase of the procedure and secure the permanent crown to the implant. Just like that, your smile is restored!

Who Is a Good Candidate?

Benefits

Post-menopausal women with osteoporosis are strong candidates for dental implants. Implants are also a great option for women who have lost function in their teeth due to trauma, decay, or gum disease. Implants can permanently restore function to your teeth, preserving overall oral health and improving confidence for women.

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Dental implants are a great option for tooth replacement. The procedure is smooth and time-saving, and in the end, you’re left with a smile that resembles your natural teeth. Tooth loss can be a scary and intimidating health concern for women, but dental implants are there to help you feel confident and happy for years to come. HS

Ask for the Experts

With decades of experience in dental implants, and a board certification specifically in Dental Implant Surgery, North River Periodontics and Implants can provide the most successful, longest-lasting dental implants for you and your family.

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Personalizing Bioidentical Hormones Bioidentical hormone replacement therapy (BHRT) can help ease symptoms of menopause.

An Expert Weighs In “A woman’s hormones can start declining as early as her late 30s. It’s often a frustrating and confusing time, as misunderstood symptoms arise and most women think they’re too young to be entering perimenopause. This is actually the time to gain an understanding of your body’s hormone rhythms if you haven’t already, and to begin targeted supplementation and replacement to maintain balance. This stage of life can last 10 to 15 years before you enter menopause. We don’t age and then our hormones decline, we age because our hormones decline. BHRT is the ultimate anti-aging therapy. Our clinical pharmacists through our Women’s Wellness Program can work with you and your physician to design a unique therapy just for you.” Tanya Manoni, Pharm. D VP Pharmacy Development Clinical Pharmacist

Understanding Bioidentical Hormones Hormones are biochemicals in the body produced by glands that act as messengers. These chemical messengers communicate to let the rest of the body know how to work. They control most of the functions in the body, including brain function, metabolism, and digestion. When hormones are thrown out of whack, it can have serious repercussions throughout the body. That’s where bioidentical hormones come into play. Bioidentical hormones are identical in structure and function to the hormones produced by your own body and can be used to rebalance hormone levels. In women, they can help ease symptoms of menopause. Pharmacists can custom-make bioidentical hormones based on doctors’ orders through a process called compounding.

Uses of Bioidentical Hormones Bioidentical hormones are frequently used to treat the effects of menopause in women. When hormone levels are low, you might experience hot flashes, night sweats, loss of

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sex drive, painful intercourse, weight gain, mood changes, and problems with sleeping. Bioidentical hormone replacement therapy (BHRT) can help ease these symptoms. It is anti-aging by nature, and has even been shown to reduce wrinkles by promoting collagen and elastin production.

Personalizing Bioidentical Hormones

Compounded bioidentical hormone replacement is made by pharmacists who specialize in compounding. During this process, the medication’s ingredients are customized for the individual patient. BHRT comes in several different forms, including creams, troches, pellets, capsules, and injections. If you’re interested in BHRT to treat symptoms of low hormone levels, speak with your doctor and clinical compounding pharmacist to make sure it’s the right option for you. Once deemed a good candidate, you will likely be monitored during the BHRT treatment to evaluate your body’s response. With help from qualified experts, bioidentical hormones can help get your body back in balance so you can feel ready to tackle whatever comes next – regardless of age. HS

Irritability heightened anxiety weight gain night sweats disruptive sleep painful periods hormone changes irregular cycle tender breasts bloating It’s time to talk to a professional.

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Understanding Allergic Rhinitis Do you suffer from hay fever? An allergist can help with diagnosis and treatment options.

Understanding Allergic Rhinitis An allergen is a substance that causes an allergic reaction. Some substances, like pollen, trigger the release of histamine in the nose and sinuses. This is called allergic rhinitis – or hay fever – and can lead to symptoms like itching, swelling, and fluid buildup in the sinuses. According to the American Academy of Allergy, Asthma & Immunology, nearly 8% of adults in the United States experience allergic rhinitis of some kind. People with asthma are at a higher risk.

Causes and Symptoms The most common causes of allergic rhinitis are pollen, animal dander or saliva, dust mites, mold, and changes in hormones or the environment. Symptoms include sneezing, a stuffy or runny nose, itching, hives, nosebleeds, clear drainage from the nose, ear infections, watery eyes, and excessive fatigue. Pregnancy and cyclic hormonal changes in women can affect the sensitivity of the rhinitis.

Diagnosing Allergic Rhinitis A board-certified allergist can help determine if you have allergic rhinitis. They will perform a physical exam and ask questions about your symptoms. They might also perform a skin prick test to monitor the skin’s reaction to common allergens or a blood test to measure the amount of immunoglobulin E antibodies in your blood.

Treatment There are many ways to treat allergic rhinitis. Your doctor may prescribe you antihistamines, which stop the body from making histamine. Nose sprays, decongestants, asthma medicines, and allergy shots can also help treat rhinitis. If left untreated, allergic rhinitis can affect the overall quality of your life. The condition can cause sleep disturbances, fatigue, irritability, and more serious complications such as chronic nasal inflammation, ear infections, sleep apnea, dental problems, and issues with the upper respiratory tract. As with all health issues, it’s important to see a doctor if you suffer from any of these symptoms. Allergy relief is possible! HS

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An Expert Weighs In “Southerners are particularly susceptible to allergic rhinitis due to longer allergy seasons. Warmer winters mean plants bloom longer, which increases pollen. We also have high humidity in the South compared to other areas of the country, which increases our exposure to dust mites and mold allergies. Increased exposure can cause symptoms starting in toddlers that can develop and worsen as an adult due to continued increased exposure. Luckily, there is a cure for allergies. Medications can help alleviate symptoms, but allergy immunotherapy by a board-certified allergist is a natural cure for environmental allergies. It can provide almost complete relief of symptoms over time. Managing your allergies is an important part of your health and can help you avoid other medical problems.” Jennifer Patel, MD Board-Certified Allergist Chattanooga Allergy Clinic

Marc Cromie, MD • Todd Levin, MD • Lee Perry, MD • Hyman Kaplan, MD • Jennifer Patel, MD • Jessica Van Mason, MD chattanoogaallergyclinic.com • 423-899-0431

MEET OUR MODEL

Lisa McBryde

registered nurse for nearly four decades, Lisa McBryde has spent much of her life focused on the health and wellness of those around her. Now in her 60s, Lisa has found a way to turn that care inward by trying her best to make the most of life. From morning meditations to walks in the woods, Lisa is continually learning how to slow down and be present in the moment, and she wouldn’t have it any other way.

HS What do health and wellness mean to you in this decade of your life? LM Health and wellness now mean finding a way to thrive. It is about figuring out how to keep up and still be able to do the activities I love and eat the food I love. I started working out when my oldest child was 10 weeks old, and it has become a crucial part of my weekly regimen. It helps me maintain my physical and emotional well-being and stay balanced. My workouts now also look a little different and range from doing yardwork and going hiking to participating in a water activity or going fly fishing, and I’ve also been attending a personal training session with my trainer, Cam Russell, every week for the past 15 years.

truly happy and healthy and spending as much time as possible with my family and friends, especially my two sons, Garrett and Lucas, and two grandchildren, Charlotte and Cooper.

HS What are your favorite ways to practice self-care? LM I start each morning by sitting in the stillness of my back porch, reflecting on my day, and listening for knowledge and instruction. I started journaling in 2010 and follow that with my devotional “Streams in the Desert.” My other self-care modalities include yoga, massages, chiropractic care, and acupuncture. I also like to walk my dogs and hike where it is a little more isolated so I can think. It really is like maintenance for my day-to-day life.

HS If you could give one piece of advice to someone about to enter their 60s, what would it be? LM My advice would be to embrace it; don’t run from or try to hide from it. You have so much to offer! Accept the fact that your body changes as hopefully wisdom increases.

HS What have been your goals for this decade, and how have you worked toward them? LM I try to look at my life and the real situation, not the one I hoped it would be. Over the last decade, that has meant letting go of some relationships and feeling that loss. I continue working toward inner peace, contentment, and forgiveness, and I am trying to focus on being

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HS What are your goals for your next decade? LM I want to share my love for the outdoors and desire to communicate with someone who appreciates it. I want, not to multitask, but to be present. I want to be a good listener and speak my truth. My dad passed on his work ethic and that means always being busy, but I feel like I need to slow down and enjoy this season of my life. I want to continue to learn something every day and to share my knowledge where I can.

HS What have you enjoyed most and least about this decade, and what has been the most surprising? LM I’ve enjoyed learning to decline an invitation. I have the ability to boldly say no to things that don’t serve me, but I’ve had to learn that is okay. I have to say that I don’t like being referred to as old, and I have struggled with feeling tired more frequently. I have a great group of friends though, and even though we’re all different ages, we have a great time together. We are in different seasons yet respect exactly who and where we are! HS

Photo by Lanewood Studio

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“Marion Parke is an American podiatric surgeon and luxury footwear designer. They are designed for a woman seeking luxury footwear with wearability. This timeless penny loafer has a modern, elongated, soft square toe and the Marion Parke Triple 1 insole in a beautiful gray suede.” – Ann Trammell, Embellish

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LOOK WELL

The Ultimate Guide To Helping Your Leather Last a Lifetime BY MARY BETH WALLACE

he benefits of quality leather can’t be overstated – it’s durable, environmentally friendly, and stands the test of time in terms of style and lifespan. And while purchasing that gorgeous leather handbag may make a dent in your bank account, this is one investment you can feel good about … if you know how to properly care for it. From purses and wallets to jackets and belts, your leather is in good hands with these no-fuss maintenance tips.

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Cleaning

For leather seeing daily use, do a quick cleaning every evening to get rid of any dirt or debris. Wipe the surface down with a slightly damp cotton cloth and allow the leather to air dry. This simple yet effective routine is one of the best methods for preventing premature wear and tear. A couple of times a year (or more often if you live in a humid climate), it’s a good idea to apply leather conditioner or cream to maintain the quality of your leather product. Conditioner moisturizes the leather, which prevents it from getting too dry and cracking. Before using a new conditioner, you’ll want to test it on a hidden spot ahead of time to see how your leather will react to the treatment; after 24 hours, you can treat the entire product by rubbing the conditioner in a circular motion, then wiping it off with a slightly damp cloth.

A few additional cleaning tips: Do not allow your leather to get wet – water and leather do not mix! Do not put leather products in the washing machine. Do not use bleach or ammonia-based products to clean your leather. For jackets and other clothing items, always read the manufacturer’s label for specific cleaning instructions.

Removing Stains

One thing is for sure – if you notice a stain on your leather, treat it immediately. The treatment will range depending on the stain. For example, ink is best treated with rubbing alcohol and a cotton ball; gently rub the stain in a circular motion until you see the ink begin to disappear, and once the leather has dried, apply a small amount of leather conditioner to the affected area. Oil and grease stains, on the other hand, should be treated with talcum powder or another absorbent powder. Start by removing as much of the oil as possible with a microfiber cloth, then apply the powder, which will soak up the oil overnight. The following morning when you brush off the powder, the stain should be gone.

Storing

When it comes to caring for leather, proper storage is a must to avoid issues like cracking and mildew. Store leather products away from direct sunlight or artificial sources of heat that can cause the material to dry out. Avoid hanging backpacks and purses over a doorknob or hook, as this can distort the leather – instead, place leather bags upright on a shelf. If you’re storing leather goods for the season, skip the plastic bags and place your leather inside a dust bag, natural fabric pillowcase, or other breathable fabric. For handbags or purses, be sure to empty out all of the contents before storing. You’ll also need to stuff the bag to help it maintain its shape, either with bubble wrap or a few rolled-up sweaters. You may want to consider wrapping any hardware, including clasps, buckles, and chains, in tissue paper so that the metal does not press against the leather and leave a mark.

Showing your leather some love on a regular basis can ensure the long life of your favorite products. Happy cleaning! HS

HealthScopeMag.com

LOOK WELL

A Hairy Situation HOW TO TACKLE INGROWN HAIRS BY M ARY B ET H WAL L ACE

Maintaining silky smooth skin is certainly a chore – you have to shave, or wax, or pluck on a consistent basis. Unfortunately, all of that primping can sometimes cause an unsightly (and often uncomfortable) side effect: ingrown hairs. When your hair grows, it typically leaves its follicle. But in the case of an ingrown hair, the hair reenters the follicle and gets trapped under your skin – producing a pesky pimple-like bump that’s red, raised, and irritating. While not a serious condition, you should proceed with caution before treating an ingrown hair at home. Here’s what you need to know.

Getting Rid of Ingrown Hairs

You want to remove your ingrown hair as quickly as possible, but how? While it may be tempting to put your tweezers to work, you really shouldn’t. Dermatologists recommend against tweezing, or popping, an ingrown hair bump because it increases your risk of infection. Instead, apply a warm compress to the irritated area, then exfoliate the skin with a washcloth or soft-bristled toothbrush. This removes any lingering dead skin cells, which will help the ingrown hair emerge more quickly. If the ingrown hair does not respond to at-home treatments and symptoms worsen, contact your primary physician.

Preventing Ingrown Hairs

Although the best way to prevent ingrown hairs is to stop shaving, waxing, or plucking, that isn’t always an option. If you do shave, use a fresh, sharp single-blade razor (dull blades increase your chances of ingrowns) and shave in the direction the hair is growing. You’ll also want to avoid shaving too closely to the skin. Hair removal options beyond shaving and waxing, such as laser hair removal and electrolysis, provide a more long-lasting solution to hair removal and can even treat active ingrown hairs. These methods require a series of treatments over a few weeks or months. Whatever hair removal method you choose, make sure you’re exfoliating regularly. This will help prevent dead skin cells from building up and blocking your hair follicles. HS

HealthScopeMag.com

LOOK WELL

Mask Up SOOTHING SHEET MASKS YOU’LL LOVE We all know that cleansers, moisturizers, and sunscreen are essential parts of a healthy skincare routine, but sheet masks are quickly becoming a beauty staple. Could your face use a hydration boost? Grab a mask. Does your complexion seem dull? There’s a mask for that, too. Whether you’re looking for a quick pick-me-up or a more indulgent treatment, these single-use sheet masks have you covered.

Neutrogena Hydro Boost Loops Clean Slate Mask

Hydrating 100% Hydrogel Mask

One of five face mask variants from buzzworthy brand Loops, the Clean Slate mask is like a reset button for your complexion. Featuring four active ingredients – volcanic ash, shea seedcake extract, bambusa water, and aloe vera – this no-slip product detoxifies, deep cleans, soothes, and hydrates the skin, and it’s even compostable. It’s perfect for a post-workout treat or some TLC at the end of a long day.

Say goodbye to dry skin with Neutrogena’s 100% hydrogel sheet masks. Formulated with hyaluronic acid, this moisturizing mask contours to your face, instantly sealing in the hydrating formula for optimal absorption. It’s gentle on dry skin and non-comedogenic, so you can feel good about using this product again and again. And with a price tag of just under four dollars, you can afford to.

TATCHA Luminous Dewy Skin Mask Dewy, glowing skin is just a mask away thanks to this ultra-hydrating offering from TATCHA. Crafted with a high concentration of botanical oils and extracts, the silky soft sheet mask truly nourishes your skin – leaving it feeling fresh and smooth. In fact, TATCHA insists that this mask can boost the moisture content of your skin up to 200% in just 15 minutes – a claim we’re happy to put to the test.

SK-II Pitera Facial Treatment Mask If you have a special event on the calendar, or you simply want to pamper yourself mid-week, this luxurious product is for you. As the gold standard of sheet masks, SK-II boasts a signature serum – Pitera – that’s loaded with vitamins, amino acids, minerals, and organic acids, which work together to condition the skin’s natural functions. The result? A visibly radiant complexion in a single application. HS

HealthScopeMag.com

CHATTANOOGA’S #1 FOR COUNTRY

KEN & DANIEL

MO & STYCKMAN

100.7 FM US101COUNTRY.COM

TELL YOUR SMART SPEAKER TO “PLAY US101”

Beautifu lly You! 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.

HealthScopeMag.com

Beautifu lly You!

Providing Passion-Fueled Results

s a child, Dr. Chad Deal watched as his mom put in the hard work and effort to obtain her degree in nursing. Inspired by her perseverance, Dr. Deal set his sights on helping others, just as she had, and pursued a degree in the medical field. In his current role as a cosmetic surgeon, Dr. Deal strives to inspire others and wants his clients to feel comfortable asking for what they want. “I want my clients to have the courage to be honest and open about their desires and fears,” he says. “Talking openly about these things will make sure we are approaching the procedure in the most logical and safe way.”

Dr. Chad Deal SO U THER N SUR GIC A L A RT S

What influenced you to pursue your career? My family grew up in poverty and was raised by a single mom. My

mom was a great mentor, and she climbed the ladder in her career over time, ultimately achieving a PhD in nursing and a master’s in business. This left me with a desire to be very successful, and I’ve always had a passion for surgery and the arts.

What’s the key to making a great first impression? Getting to know your client and who they are. Before you think

like a doctor, think like a friend.

How do you develop a plan for each client? I listen to the client’s wants and desires and determine the

most logical and safe way to make it happen for them. Sometimes adjustments need to be made or the procedure needs to be done in stages.

What is your philosophy when it comes to the care of your clients? It is to get real-world results consistently. Never look at the client

as a procedure, and always pay attention to what they really want and their life goals. It’s not about performing a procedure; it’s about providing a result.

Dr. Deal was nothing short of extraordinary. From his facility and staff to my seamless recovery process, everything was perfect.” - HANNAH W.

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What’s the most rewarding part of your profession? We really are changing lives and giving our clients a different

outlook on not only the world but themselves, which is 10 times more important.

SPECIAL PROMOTIONAL SECTION

ABOUT DR . DEAL

MY CREDENTIALS Medical Degree: University of Alabama at Birmingham – Birmingham, AL Certifications: Triple Board-Certified in General Surgery, Cosmetic Surgery, and Facial Cosmetic Surgery Recognitions: Best Cosmetic Surgeon in Chattanooga, 2016 & 2017

M Y S P E C I A LT I E S Cosmetic Surgery

CONNECT 423.266.3331 Southern Surgical Arts 1405 Cowart Street, Suite 201 Chattanooga, TN 37408 For a full list of services offered: southern surgicalarts.com @southernsurgicalarts @drhidef.ssa

Beautifu lly You!

Putting Her Clients at Ease

hen a client first sits down with nurse practitioner Ashley Hunter, she makes it her mission to put them at ease. “I want my clients to 100% be themselves – this is a safe space,” Hunter shares. “When I am with my clients, makeup is removed and often insecurities are revealed. Knowing how my client feels about themselves helps me curate a menu of services to address their goals and skin woes.” From smoothing to plumping and lifting, Hunter’s tailored services are designed to rejuvenate skin and help clients feel their best. “I want my clients to leave feeling even more confident than when they walked in,” she says. “I love partnering with my clients for the life of their skin.”

Ashley Hunter,

FN P-C, MSN

C Ú R AT E M E D A E S T H E T I C S

What influenced you to pursue your career?

What is the most rewarding part of your profession?

I have always had a natural longing to care for others from a young age. By the time I was in high school, I knew what I wanted to be when I “grew up” and which colleges would help me get there. I never felt like I chose my profession. My profession chose me.

That moment. The moment when you hand the client the mirror after their treatment. I hold my breath waiting to see their reaction – whether it’s smiles or happy tears, it’s always magical.

What would you consider to be your main strengths?

I am very motivated and intentional with my life. I want to learn and grow and be my absolute best at anything I do so that I can help others do the same.

How do you develop a plan for each client?

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

I spend a lot of time getting to know my clients. I actively listen to their concerns and then use my expertise and skills to provide natural, beautiful, and amazing results.

I just had my first experience at Cúrate, and it was fabulous. Ashley was wonderful at helping me feel relaxed, and she was extremely professional as we established my care plan.” - D. RAYBOURNE

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At Cúrate, we put a lot of thought into first impressions – the smell as you enter the building, the aesthetic appeal of the lobby. It allows for the perfect environment for me to build relationships with my clients.

SPECIAL PROMOTIONAL SECTION

ABOUT ASHLEY

MY CREDENTIALS Master’s Degree: Samford University – Birmingham, AL Certifications: Facial and Expression Anatomy Neurotoxins Dermal Fillers Pharmaceutical-Grade Skincare Recognitions: Summa Cum Laude, Samford University

M Y S P E C I A LT I E S Women’s Health Primary Care Regenerative Medicine

CONNECT 423.661.3244 Cúrate MedAesthetics Cambridge Square 9447 Bradmore Lane, Suite 201 Ooltewah, TN 37363 For a full list of services offered: curatethelife.com @curatemedaesthetics @curatemedaesthetics

Beautifu lly You!

Instilling Confidence With Compassion

or Dr. Nico Domingo, RefinedLooks’ newest plastic surgeon, honesty really is the best policy. He explains, “It is not uncommon for clients to come into the office with fantastical desires and expectations. You’ve got to get in your clients’ shoes to really discover what they want to achieve, then decide together how to get there as safely and effectively as possible.” Finding realistic, sustainable pathways to help his clients achieve their goals – whether that’s through a surgical procedure, Botox, or another aesthetic treatment – is all in a day’s work for Dr. Domingo. He’s thankful to have found a home in Chattanooga, and he’s looking forward to “forming long-lasting relationships with my clients and people in this community.”

Dr. Nico Domingo R E F I N E D L O O K S P L A S T I C S U R G E R Y A N D S PA

What influenced you to pursue your career? I come from a family of physicians, so from very early on

I knew I wanted to follow in their footsteps. Of the physicians in my family, my Lolo (grandfather) and my mom are my greatest influences. Their hard work, dedication, and interminable need to care for patients are what motivates me to do the same every day.

What would you consider to be your main strengths? I’m deeply interested in innovation, design, and construction,

and I consider myself imaginative with a meticulous attention to detail. This is evident in my work and everyday life.

How do you develop a plan for each client? I think it is extremely important to listen to your clients and

delve deep into what it is they truly desire. Once that has been established, the plan is formulated together to ensure we have discussed all options to determine what can and can’t be done. This allows all concerns to be addressed and guarantees that we both get the results we are looking for.

Dr. Domingo truly appreciates you not only as a client but also as a person. He makes you instantly feel comfortable with his smile, and he really listens to what you have to say and works with you to make sure you come out feeling and looking your best.” - C. POWELL

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What’s the most rewarding part of your profession? It’s seeing my clients out in the community, or on social

media, looking and feeling their finest and exuding self-confidence.

What is your best advice for clients? Know you are beautiful. You don’t need a plastic surgeon to

tell you that; we are just here to help you believe it.

SPECIAL PROMOTIONAL SECTION

ABOUT DR . DOMINGO

MY CREDENTIALS Medical Degree: University of Louisville School of Medicine – Louisville, KY Certifications: Board Eligible, American Board of Plastic Surgery Recognitions: Harold Alper Humanitarian Award 2021 Recipient

M Y S P E C I A LT I E S Cosmetic Plastic Surgery

CONNECT 423.756.7134 RefinedLooks Plastic Surgery and Spa 901 Riverfront Parkway, Suite 100 Chattanooga, TN 37402 For a full list of services offered: refinedlooks.com @refinedlooks plasticsurgery @refinedlooks plasticsurgery

Beautifu lly You!

Encouraging Client Collaboration

lifelong love of learning drives Kristi Bussey to continually study new aesthetic techniques. “I’m always looking at the latest research and new products,” says Bussey. “I hope to continue to add services for a more comprehensive approach to caring for my clients’ skin.” Having transitioned into an injector role at Southern Surgical Arts this past summer, Bussey is enjoying her new position more and more every day. “The most rewarding part of being an aesthetic nurse practitioner is helping clients see their beauty and become more confident in their appearance,” she shares. “I feel lucky to have a job that allows me to help people look and feel their very best!”

Kristi Bussey,

FN P-C, MSN

SO U THER N SUR GIC A L A RT S BE AU T Y B A R

What influenced you to pursue your career? I have always been passionate about the arts; as an injector, I am

able to optimize my passion by helping clients look their best, which I believe has a direct impact on overall health and wellness.

What is one of your happiest professional moments? I can’t single out just one happy moment, but my happiest

moments are when my clients message me with videos or just stating how amazing they feel. Those moments are what it is all about.

What is your best advice for clients? Start a conversation with your friends about injectables. Good

results are usually undetectable to a stranger, and you’d be surprised by the procedures your friends have had. Ask them what they recommend, who they recommend, and then do your own research.

How do you develop a plan for each client? I start every appointment with the question, “What can I do for

you today?” I think this allows the client to voice their concerns and control the narrative. I then like to ask my client if they mind if I share my opinion, and I always start with something positive. This open dialogue allows provider-client collaboration so that optimal results are achieved.

Kristi is very knowledgeable about facial anatomy, and she’s very attentive to her clients and how their body reacts to the treatment – making her one of the best injectors I’ve ever been to.” - M. SHUPTRINE

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What is your philosophy when it comes to the care of your clients? I want my clients to feel comfortable, relaxed, beautiful, and

heard. Therefore, I treat every client like they are my mother, sister, or best friend.

SPECIAL PROMOTIONAL SECTION

ABOUT KRISTI

MY CREDENTIALS Master’s Degree: Southern Adventist University – Collegedale, TN Certifications: Certified Aesthetic Injector Advanced Cardiovascular Life Support Recognitions: Academic Achievement Award + Graduate Research Award, Southern Adventist University

M Y S P E C I A LT I E S Cosmetic Injections Body Contouring Perioperative Nursing

CONNECT 423.266.3331 Southern Surgical Arts Beauty Bar 1405 Cowart Street, Suite 301 Chattanooga, TN 37408 For a full list of services offered: southernsurgical arts.com/beauty-bar @southernsurgicalarts @kristibussey.np.ssa

Beautifu lly You!

Championing Confidence

ith 11 years in the aesthet ics industry under her belt, Lindsay Bright opened her own practice utilizing her knowledge of what it takes to achieve the best re sults for her clients. “My ability to connect with my clients is one of my greatest strengths,” she explains. “That, coupled with my willing ness to constantly adapt to an ever changing industry, has made me successful.” Bright strives to give her clients a natural look and help them decide on what is best for them. “I love being able to help women, at any age, feel and look their best,” she says. “When a client is in my chair, it is all about them and their needs.”

Lindsay Bright,

FL AW LE SS A E STHETIC S

What does your day-to-day look like?

What is the most rewarding part of your profession?

I specialize in dermatology and aesthetics, mainly injectables. My day-to-day consists of providing clients with a variety of services – everything from skincare consults to injectables and more!

Being able to help my clients reach their highest level of confidence, whether it be through injectables or providing treatment with skin screenings. I also love getting to know my clients on a personal level and being able to understand them and where they are at this moment in their life.

What is your best advice for clients?

What influenced you to pursue your career?

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

You are never too old or too young to feel good about yourself. I will meet you wherever you are in life and help you achieve the confidence you want.

My husband. I always knew I wanted to further my career, but my husband really encouraged me and supported me to pursue my dreams. He actually signed me up for school, and I wouldn’t be here without him.

Lindsay is indescribably phenomenal at what she does! Her reputation precedes her for her skill and talent as a nurse practitioner and master injector. She not only transformed my face, but my life by giving me my confidence back.”

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- B. WEEKS

My primary goal is to help my clients look and feel their best at any age or stage in life. I do whatever it takes to make sure my patients are satisfied.

SPECIAL PROMOTIONAL SECTION

ABOUT LINDSAY

MY CREDENTIALS Master’s Degree: Southern Adventist University – Collegedale, TN Certifications: American Academy of Facial Aesthetics, Injectable Training Recognitions: Master Injector

M Y S P E C I A LT I E S Medical Aesthetics Dermatology

CONNECT 423.310.3862 Flawless Aesthetics 6116 Shallowford Road, Suite 117 Chattanooga, TN 37421 For a full list of services offered: flawlessof chattanooga.com @flawlesschattanooga @flawlesschattanooga

Beautifu lly You!

Focusing on Compassionate Care

ver since moving his practice from Birmingham, Alabama, to Chattanooga, Dr. Vincent Gardner has focused his skillset on cosmetic surgery and advancing the modern treatment of venous disease. With active listening along with genuine caring and compassion, Dr. Gardner is able to achieve the results his clients desire – and that starts with selecting the right procedure. “I always have my clients’ interests in mind,” he shares. “I’m here to make them happy. After hearing their desires, I also consider other factors such as their BMI, how much downtime they have, and realistic expectations before moving forward with a plan for treatment.” Something that helps ground Dr. Gardner is remembering his clients are people first and patients second. “I always enjoy hearing their stories and really connecting with them as people,” he adds.

Dr. Vincent W. Gardner SO U THER N SUR GIC A L A RT S

What influenced you to pursue your career?

I like working with my hands, so surgery was always a great fit.

I was a bariatric surgeon for years prior to cosmetic surgery, so I have a great interest in working with weight loss patients.

What would you consider to be your main strengths? I make a commitment to do whatever I can to get patients

where they want to be. I’m a stickler for details, and I love my job. I’m passionate about what I do.

What is your best advice for clients? Do your research. Find a good fit for you. Everyone is different,

and just because a friend used someone doesn’t mean that physician will be a good fit for you. Go to several consults before you make a decision. It’s a big investment.

What is your philosophy when it comes to the care of your clients? The client comes first – always!

Dr. Gardner exceeded my expectations. He was thorough and meticulous, and he went above and beyond explaining every detail of the procedure and going over possible options.” - D.K.

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What’s the most rewarding part of your profession? The relationship with the client. I like following them through

the process and getting to know them as a result.

SPECIAL PROMOTIONAL SECTION

ABOUT DR . GARDNER

MY CREDENTIALS Medical Degree: University of South Alabama College of Medicine – Mobile, AL Certifications: Fellow, American College of Surgeons American Board of Surgery American Board of Cosmetic Surgery American Board of Venous and Lymphatic Medicine Recognitions: Hugh Linder Award – Outstanding Resident in Surgery

M Y S P E C I A LT I E S Cosmetic Surgery Venous and Lymphatic Medicine

CONNECT 423.266.3331 Southern Surgical Arts 1405 Cowart Street, Suite 201 Chattanooga, TN 37408 For a full list of services offered: southern surgicalarts.com @southernsurgicalarts @drvincentgardner

Beautifu lly You!

Creating NaturalLooking Results

eally getting to know her clients is a top priority for Cami Killom, a nurse practitioner and aesthetic injector with Revive Aesthetics & Lasers. “This is a journey that we take together in trying to achieve wants and desires through anti-aging procedures,” she explains. “I love listening to my clients’ stories and finding out what’s important to them! It’s all about developing a trusting relationship.” A self-proclaimed perfectionist, Killom is always motivated to do her best, but her clients’ reactions to her results are the most gratifying part of the job. She says, “It’s so rewarding to see tears of joy after a service is completed. It means the world to me to be able to give my clients their confidence back.”

Cami Killom,

R E V I V E A E STHETIC S & L A SER S

What influenced you to pursue your career? When I started getting Botox myself at the age of 30, I was in

awe of the confidence it gave me. I’ve always wanted to empower other women, so I pursued a career as an aesthetic injector.

How do you develop a plan for each client? It all begins with the consult. Listening to my clients’ concerns

and what they would like to see improvement in helps guide my treatment plan.

What is one of your happiest professional moments? Treating a client’s lips who had a cleft palate repair as a child.

She was self-conscious of the unevenness of her lips. Seeing how happy she was after the lip filler made me so happy!

What is your best advice for clients? Don’t be intimidated to make an appointment. All concerns are

valid, and we are truly here to help you reach your aesthetic goals.

Cami worked her magic with her expertise and perfectionism. I am still in awe of my results.” - S. WEST

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What is your philosophy when it comes to the care of your clients? Never overdone! I just want them to be the best versions of

themselves. I love enhancing a client’s natural features.

SPECIAL PROMOTIONAL SECTION

ABOUT CAMI MY CREDENTIALS Master’s Degree: Carson-Newman University – Jefferson City, TN Certifications: Family Nurse Practitioner, American Nurses Credentialing Center Advanced Aesthetic Institute Certified: Injectables Galderma and Allergan Certified: Sculptra and Kybella Recognitions: Preferred Provider, Best Aesthetic Injectors in America

M Y S P E C I A LT I E S Injectables Dermal Fillers Neurotoxins Deoxycholic Acid Full-Face Correction

CONNECT 423.994.3194 Revive Aesthetics & Lasers 1605 Gunbarrel Road Chattanooga, TN 37421 For a full list of services offered: wereviveu.com @wereviveu @revive_aesthetics

Beautifu lly You!

Combining Art & Science

ccording to Dr. Michael Kluska, cosmetic surgery is both an art and a science – requiring more than just medical skill. “I find it truly inspiring,” he says. “While in surgery, I’m visualizing, molding, and creating – all things that intrigue me as both a surgeon and an artist.” With over 20 years of experience and training, Dr. Kluska is able to pull from a wide array of procedures in order to provide his clients with the very best options, and he strives to leave his clients happier than they ever expected. “I love seeing the newfound confidence and motivation for a healthy lifestyle in my clients following a procedure,” he adds. “Feeling better about yourself on the outside translates into feeling better about yourself on the inside, and I see this time and time again with my clients.”

Dr. Michael S. Kluska SO U THER N SUR GIC A L A RT S

I have always admired the beauty of the human body, as well as had a passion for medicine and helping others. Along with my undergraduate training in the sciences, I also pursued a degree in art. This combination allowed the specialty of cosmetic surgery to evolve naturally for me.

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What is one of your happiest professional moments?

As a plastic and reconstructive surgeon as well as a cosmetic surgeon, I have helped many clients through tough surgical procedures that have ultimately resulted in the client regaining form and function from a traumatic injury or cancer surgery. Being able to assist someone in getting their life back has been some of my happiest moments.

What is your best advice for clients?

When having cosmetic surgery, it is of utmost importance to research your chosen physician. Talk to other clients, interview multiple physicians, and ask to see before and after photos before making the decision to have cosmetic surgery.

4 Dr. Kluska has an eye for his craft that is truly one-of-a-kind. I was uncertain of what exactly I wanted/ needed at the initial consult, but his caring manner, confidence, and knowledge put my mind at ease. My results are phenomenal!” - ANNE

What influenced you to pursue your career?

How do you develop a plan for each client?

I view every client as a unique work of art; that said, I really listen to each individual’s desires and customize a plan that suits their specific needs.

What’s the most rewarding part of your profession?

Seeing my clients transform not physically through their procedures, but mentally and emotionally is the most rewarding part of my profession.

SPECIAL PROMOTIONAL SECTION

ABOUT DR . KLUSKA

MY CREDENTIALS Medical Degree: Des Moines University – Des Moines, IA Certifications: Triple Board-Certified in General Surgery, Plastic/Reconstructive Surgery, and Cosmetic Surgery Recognitions: Fellow, Board of Trustees, and Past President, American Academy of Cosmetic Surgery Fellow, American College of Osteopathic Surgeons

M Y S P E C I A LT I E S Full-Body Cosmetic Surgery (Including Face and Neck)

CONNECT 423.266.3331 Southern Surgical Arts 1405 Cowart Street, Suite 201 Chattanooga, TN 37408 For a full list of services offered: southern surgicalarts.com @southernsurgicalarts @drdaddyk

Beautifu lly You!

Honing in on Healthier Skin

r. Deanna Brown has wanted to be a doctor for as long as she can remember. “The combination of science, compassion, and critical thinking fascinates me,” she shares. “During my third year of medical school, I cared for several patients with complex dermatologic conditions, and I knew I’d found my niche. I love that I can care for a child’s eczema, a teenager’s acne, a young mom’s wrinkles, and a grandfather’s skin cancer all in the same day.” While the variety that comes with the field of dermatology keeps Dr. Brown excited about going to work every day, it’s her patients who drive her to be a better doctor. “Patients who come back to say that the treatment I gave them has changed their lives is the greatest reward,” she says.

Dr. Deanna G. Brown S U S O N G D E R M AT O L O G Y

What does your day-to-day look like?

What is your best advice for patients?

How do you choose the right procedure for your patients?

Depending on the day, I see a mix of medical dermatology and cosmetic consults and procedures, including lasers, surgeries, and injectables. I have a great team who helps me provide excellent care for all of our patients! After the work day ends, I spend time with my family and read up on the latest dermatology research.

Wear sunscreen daily! No matter your age or skin tone, sunscreen is the most important step to having beautiful, agedefying skin.

Safety is my top priority, so I will always review their medical history to identify any risk factors for cosmetic procedures. Then, the decision to perform a procedure (or plan ahead for a series) is based on a combination of patient priorities, expectations, and budget.

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

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

Be an active listener. Make eye contact, ask thoughtful questions, and find a personal connection.

I am not only thrilled with my results but impressed with Dr. Brown’s honesty, knowledge, and work ethic. She took time to listen to my concerns, explain the process of my procedure, and made sure I was satisfied with her services.” - G. BRYAN

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My goal is to help patients increase their self-confidence and inspire them to reach their full potential. I strive for natural results that enhance the patient’s own beauty, avoiding the “overdone” look.

SPECIAL PROMOTIONAL SECTION

ABOUT DR . BROWN

MY CREDENTIALS Medical Degree: The University of Tennessee Health Science Center – Memphis, TN Certifications: Diplomate, American Board of Dermatology Fellow, American Academy of Dermatology Recognitions: Member, American Society for Dermatologic Surgery

Chatter Magazine “20 Under 40” in 2021

M Y S P E C I A LT I E S General Dermatology Cosmetic and Aesthetic Dermatology

CONNECT 423.870.3376 Susong Dermatology 2051 Hamill Road, Suite 210 Hixson, TN 37343 For a full list of services offered: susongderm.com @susongdermatology @susongderm

Beautifu lly You!

Advocating for Self-Care

lthough Caitlyn Tarver has been a nurse for five years, when she found her way to the aesthetic nursing field earlier this year, she knew she had found her calling.With a passion for beauty and a desire to help others, Tarver’s philosophy is centered on practicing self-care and bolstering confidence. “Self-care is an important aspect when it comes to a person’s overall mental and physical health and well-being,” she explains. “Utilizing my knowledge and skills to boost my clients’ confidence and improve their self-image is what it’s all about.” Tarver, who is also a mother of two, draws on her role as a mom to make sure her clients feel loved and completely at ease. “Loving on people is just in my nature, and I want my clients to know that I truly care about them and their wants and needs,” she says.

Caitlyn Tarver,

SO U THER N SUR GIC A L A RT S BE AU T Y B A R

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What influenced you to pursue your career?

Aesthetic nursing has been where I’ve wanted to be since I first became a nurse. I have had a passion for all things beauty since I was a little girl, and I have wanted to be a nurse for as long as I can remember. This is the field where I can combine my dream job with my passion for beauty.

What would you consider to be your main strengths?

My biggest strength is definitely attention to detail. I incorporate my eye for detail with my artistic and creative side to provide my clients with their desired results.

How do you develop a plan for each client?

First, I sit down with each client and talk to them about their goals. I ask what bothers them and what changes they would like to see with treatment. I assess their medical history, age, anatomy, and body features to offer my professional opinion on how to treat them correctly while also giving realistic expectations.

4 I can’t brag enough on how amazing Caitlyn was. She was very professional, confident, and knowledgeable. Her work was quick, painless, and done beautifully. I would highly recommend her. She did a phenomenal job.” - WHITNEY M.

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

I want all my clients to know that they are beautiful to begin with. My goal is to radiate kindness, positivity, but also empathy when it comes to an individual’s insecurities about themselves.

What is your best advice for clients?

Self-care is so important. If something is bothering you and making you feel less confident in yourself, it can directly affect your daily life so significantly. Never be embarrassed to seek change.

SPECIAL PROMOTIONAL SECTION

ABOUT CAITLYN

MY CREDENTIALS Associate Degree: Chattanooga State Community College – Chattanooga, TN Certifications: Certified Aesthetic Injector Advanced Cardiovascular Life Support

M Y S P E C I A LT I E S Cosmetic Injections Body Contouring

CONNECT 423.490.7546 Southern Surgical Arts Beauty Bar, Ooltewah Office 6053 Artesian Circle Ooltewah, TN 37363 For a full list of services offered: southernsurgical arts.com/beauty-bar @southernsurgicalarts @caitlynrn_ssa

Beautifu lly You!

Offering Tailored Services & Techniques

registered nurse, Traci Lyons has been in the medical field for more than 19 years. While she has experience working in cardiology, women’s health, and public health, she’s found aesthetics to be her true passion. “I love challenging my brain intellectually as a nurse, but I also need a creative outlet,” she shares. “This career allows me to do both!” At Revive Aesthetics & Lasers, Lyons sees a full schedule of clients starting at 9 a.m. every day. “I love educating my clients and helping them develop long-term plans for their skin and the overall aging process,” she says. “My advanced aesthetic training and artistic eye allow me to assess each client and create an approach that is uniquely tailored to maximize their individual beauty.”

Traci Lyons, R N R E V I V E A E STHETIC S & L A SER S

What is one of your happiest professional moments?

When I finished a client’s long session of full-face fillers and

handed her the mirror, she cried and kept hugging me. She explained how she now felt good about herself and could start being in pictures with her family again.

What’s the key to making a great first impression? Being friendly and honest with your client but most of all

developing trust. When clients feel that you are passionate, confident, and knowledgeable about your profession, they develop trust in you, and that’s very important to me.

How do you choose the right procedure for your clients?

I look at multiple factors such as the client’s concerns and

expectations, facial feature ratios, skin texture and laxity, and volume loss.

What is your best advice for clients?

Don’t feel like you need to know what type of procedure you

need. You can just sit in my chair and tell me your concerns, and we can develop the best plan for you!

Traci has a gift with how she perceives facial structure; she can achieve incredibly natural results and is one of the best injectors in the country. I feel so lucky to have found her.” - ASHLEY M.

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

The nurse’s oath – do no harm. I always put the safety of my

clients first, even if that means I have to turn them away for a service because they may not be a candidate, medically.

SPECIAL PROMOTIONAL SECTION

ABOUT TR ACI

MY CREDENTIALS Associate Degree: Cleveland State Community College – Cleveland, TN Certifications: Registered Nurse Galderma and Allergan Certified: Dysport, Botox, and Dermal Fillers Allergan Certified: Kybella Recognitions: 3-Time Best of the Best, Chattanooga Times Free Press Preferred Provider, Best Aesthetic Injectors in America

M Y S P E C I A LT I E S Facial Dermal Fillers Neurotoxins Deoxycholic Acid Medical-Grade Skincare Regimens

CONNECT 423.994.3194 Revive Aesthetics & Lasers 1605 Gunbarrel Road Chattanooga, TN 37421 For a full list of services offered: wereviveu.com @wereviveu @revive_aesthetics

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

As early as I can remember, I have always been a creative person. I loved painting, and I was married with one child. When my marriage didn’t work, I became a single mother to my beautiful daughter London. It was the two of us through it all – the good times and the bad. I was always trying to make her things, whether it was clothes or a fabric handbag. London was constantly amazed that I could create beautiful things from seemingly nothing. Fast forward over a decade and my daughter was now an adult, so I began following my dream of being a designer and painter. She was a mother of two who was going to school and working, and she brought a lot of joy to everyone around her. But in

2019, I got a call at work that changed everything – my daughter was no longer with us. I vividly remember just screaming as people came to check on me. I lost my only child, and everything around me was a fog. I started going to therapy to cope with the loss. I was angry, sad, hurt, and confused. One minute I seemed to be getting a grip just to find myself at an all-time low the next. I was hurting, but I knew my daughter was with the Father in Heaven, who was taking care of her now. I had to come to terms with the fact that she is at peace. It was way too easy to fall into depressive habits, but I had to keep going, to keep moving forward. I had to take care of myself and be strong

for her girls. Not only did I need to support my grandchildren, I wanted to be a good role model for them. I worked toward my goals and dreams, finding a way to honor London in the process. Earlier this year, my children’s book Lasko the Artist was published. I wanted to show her daughters that you should never give up, and no matter what happens, you have to keep progressing. I know that my daughter is smiling and is proud of me for picking myself up. If I chose to stay down, I would not be honoring her. I know I will see her again one day, and I let that bring purpose and encouragement to my life.

Oréan Collier BRAINERD

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HER STORY

What is wrong with me? Why do I have to keep catching my breath with every step? Why can’t I breathe? Why do I feel like I am suffocating from within? How did I go from being a perfectly healthy 26 year old with zero health problems to being oxygen-dependent with scarred lungs? I never had any previous health problems and was an active and thriving adult until I came down with an interstitial lung disease known as Non Specific Interstitial Pneumonia (NSIP). NSIP is a very rare lung disease and is thought to be autoimmune-related. Basically, my immune system is overactive, and it attacked my lungs. My lungs were steadily declining when I was first diagnosed. As you can imagine, this monster of a disease changed my life drastically. I have had to make many hard decisions and face many challenges regarding this disease. However, I have the satisfaction of saying that I have overcome a lot of obstacles because I refuse to give up.

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After mentally processing my diagnosis, I felt like I had two choices. I could either sit around feeling sorry for myself and wondering why this happened to me, or find it within myself to be strong and accept this disease and learn to regain my happiness and fight for my life. Now, I am 33 years old and happy to say after finally finding the right regimen that works, my lung function is stable for the most part. I still do have flare-ups that keep me in a constant battle with this disease, but one thing I will continue to do is stay focused on moving forward and living life to the fullest. With my book Breathless: My NSIP Story, I hope to bring awareness to NSIP. I hope that people out there battling this disease can find comfort and encouragement and keep pushing forward with life. Giving up wasn’t an option for me, and I want to show others that they don’t have to either.

Erica Honeycutt CHATTANOOGA

@ THE HAMILTON COUNTY BUSINESS DEVELOPMENT CENTER

HER STORY

Many people may think that divorce is a negative and unfortunate outcome for a family. For me, it helped me to recognize that I am a resilient person. When I was 6 years old, my parents divorced, and my dad was left to raise three girls. At that time in the ‘90s, it wasn’t “normal” for a single dad to raise girls unless you were Danny Tanner from Full House … but my dad, unlike Danny Tanner, didn’t have help from Uncle Joey or Uncle Jesse. It was just him. After he passed away in 2009 – a month before my wedding – it devastated me. My dad was my everything. He taught me how to embrace opportunities, treat others with respect, lead with integrity, ask questions, learn from others, love honestly, and that the word “can’t’’ is never an option. I remember my dad going out of his way to make sure that my sisters and I were happy. He truly spoiled me, and no other man would replace him or measure up to him. He never looked for praise and always worked hard. He would wake up at 4 a.m. every day and always make a point to be at my school field trips, teacher-parent meetings, and school sporting events. Now as a parent myself, I see so much more clearly the hard work, dedication, commitment, and self-sacrifices he made for me and my sisters. Being a parent makes me appreciate my dad even more. My dad’s gregarious and determined character influenced me, which helped me when relocating to Chattanooga from Chicago with my family; it helped me obtain my master’s degree while working full-time and giving birth to my youngest daughter; it helped me build my marketing agency, and it helped me create the first professional development group for Latina professionals in the Southeast. Because “can’t” was never a part of my vocabulary, it taught me to focus on my goals and not the obstacles. I hope that I can inspire my daughters and the people I meet just like my dad inspired me.

Jocelyn Loza APISON

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HER STORY

I have always been one to take life head-on, never questioning the why or how, because God prepares us for what he has in store for us. When I am asked to give a quick bio of myself, I have to think: so what do they really want to hear, the easy story or the real story? Do they want to know I have been married for 39 years to the same man (Scott)? That I have four adult kids (in their 30s)? That three of them are triplets born 14 weeks early, all weighing under two pounds? That our hospital bills were in the millions? That the last triplet did not come home until he was 11 months old, and our daughter has had nine brain surgeries? That our son has cerebral palsy? That my husband had a stroke at 52 or that five years ago I was diagnosed with multiple myeloma? When asked how I handle it, my answer is prayer and a lot of faith. God never disappoints, and he provides such blessings. I learned early in life to look at the good not the bad, to move forward not back. I joke about all that has happened because we all have a choice – to laugh about it and move forward, or cry and give up. It has been so overwhelming, but I always told my kids when they were overwhelmed to remember that every day is a new day – a chance to start over and learn from the past! Regardless of the loneliness, challenges, heartache, and uncertainty, I am a far better person for it. I have had to look at life as an opportunity despite the challenges it continues to throw my way. In his book The Present, Spencer Johnson says to learn from the past, be in the present, and plan for the future. I’ve made a small tweak but continue to live my life by learning from the past, being present in all that I do, and looking to the future with optimism and hope.

Cindy Rix RIVERVIEW

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

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inspired: Dr. Marsha Jackson Drake inspiration: Dr. Nakia Towns Several women have inspired me throughout my life. But in the last four years, I have had the privilege of meeting a woman who exemplifies servant leadership in my professional life: Dr. Nakia Towns. Dr. Towns stepped up to serve as interim superintendent of Hamilton County Schools and continues to put the needs of Hamilton County students before her own. She is currently navigating our school district through the pandemic with fearless leadership, clear lines of communication, inclusivity, and a listening ear to the voices of stakeholders, all while allowing her caring spirit to shine through in every decision that she makes. She is a powerful leader in our school district and isn’t apprehensive about getting into the arena, rolling up her sleeves, burning the midnight oil, and solving difficult tasks that benefit the students. She knows the importance of seeing each child as an individual and providing them with the tools that they need to experience success in school and beyond. Dr. Towns inspires me to give more than I thought I could give, never accept “no,” and open doors of opportunity so that all students of Hamilton County Schools thrive.

MARSHA

“She is a powerful leader in our school district and isn’t apprehensive about ... rolling up her sleeves ... and solving difficult tasks.”

NAKIA

INSPIRED

inspired: Veatrice Conley

“[Ramona] has been supportive, understanding, and ... provided me with a wealth of fashion industry and small business knowledge.”

inspiration: Ramona McCoy I have always known I wanted to have my own boutique. From a very early age, fashion has been a big part of my spirit. Back in 2012, I stepped out on faith and created my own clothing line, which debuted at Chattanooga Fashion Week. When it came time to pursue my dreams professionally, the first person I decided to call was Ramona McCoy. Since meeting her nine years ago, Ramona has been nothing but the best mentor a fashionista could ever ask for! As a business owner for over 30 years, she has been

supportive, understanding, and most importantly provided me with a wealth of fashion industry and small business knowledge. From day one, she has encouraged me to continue pursuing my dream of opening my own boutique. Today I own a bridal studio that I absolutely adore, and I never would have made it this far without “Queen Ramona.” When I call, she is always right there with a big smile and ready to uplift me in any way! I am so very thankful for our relationship and excited for her continued mentorship for years to come.

RAMONA VEATRICE

INSPIRED

inspired: Niki Keck inspiration: Babs Gresko “I would not be where I am today if it wasn’t for the love, support, and inspiration that my mom has given me.”

NIKI

BABS My mom, Babs Gresko, has always been an inspiration to me and my biggest cheerleader. It is overwhelming to think of everything she has inspired me to do as a result of watching her in action. One of my biggest takeaways from her teachings is to fight for the underdog. Whether providing a safe home for a child, comfort to someone who has lost a loved one, or assistance to the unhoused population, she has always made sure to go the extra mile while fighting for and supporting those who feel they didn’t have a voice. Her expertise and selfless and loving heart make her an incredible mentor and inspiration to all who know her. Her influence is a huge part of why I have been involved with helping the unhoused population wherever I have lived and why I co-founded a homeless outreach nonprofit in Chattanooga called Help Right Here. My mother has not only supported me in my endeavors, but she has also helped make them possible. She is known in the community for going out of her way to help her clients and let them know that they matter and have a voice. I would not be where I am today if it wasn’t for the love, support, and inspiration that my mom has given me.

Photo by Emily Pérez Long

INSPIRED

inspired: Florence Bromfield inspiration: Cassie Nice I’ve always quietly admired Cassie for her strength and smarts since we met as pregnant moms more than five years ago. She has a big heart and is always giving to the community in her own unique way. Cassie and her husband host pizza nights to raise money for local nonprofits they support. They are instilling these values into their kids by volunteering and fundraising for nonprofits they are passionate about. Cassie teaches the Pedaling for Parkinson’s classes at the YMCA and continued to do so during the pandemic to ensure her students were getting what they needed. This hit close to home recently when a family member had their life transformed by her classes! In the last few years, Cassie and her family have been thrown several curveballs, but her inner strength and positive outlook helped them get through the tough times. And if all that wasn’t enough, Cassie recently overcame a negative experience with an unsupportive swim coach and became confident enough to complete her first triathlon. I don’t know how she has time for it all!

“She has a big heart and is always giving to the community in her own unique way.”

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CASSIE

FEEL WELL

A Meaningful Marriage Tips From Local Ladies Who Have Celebrated Over 25 Years of Unity

arriage, just like anything else in life, has its ups

and downs. But when the going gets tough, having a strong foundation with your partner will ensure that you can handle whatever may come your way. Here, three local women who have seen their silver anniversary come and go share their tips to a happy marriage, whether that be by focusing on faith and finances or commitment and communication.

“Some secrets are not meant to be secret, so I will share my tips for a long and healthy marriage. For me and my husband Steve, the most important thing was for us to put God first. After that came our relationship and each other followed by our children and other family members. It’s also extremely important for us to never forget about what it was that made us fall in love in the first place, and the ‘D’ word (divorce) has never been an option. Healthy relationships and healthy people don’t just happen. You have to make an investment, but if you do, it will pay off for a lifetime. You have to believe that your marriage matters and is important. I am honored to be married to my best friend for 42 years. I love our ‘this is us’ life that we have created, and we are better together!”

–Reita Ball

“With over 46 years of marriage, I have learned a thing or two. First and foremost, place God at the center of your marriage. A strong foundation is critical to build upon. You also have to be willing to commit 100% to your marriage, and communication is vital. Being open with finances is important, and trusting one another is key. But trust isn’t enough. You also have to be willing to sacrifice for each other and make sure you are meeting one another’s needs. Whenever you get upset, you should always look for the good in the situation. Ensure that, at all times, your spouse knows that you love them, and be open to being wrong every once in a while. When I think of words that you would find in a strong marriage, the following come to mind: God, Family, Love, Prayer, Peace, Joy, Excitement, Communication, Happiness, Humility, and Support.”

–Gerlene Suber

“What was it that we did early on that stuck, that to this day has allowed us to not just still be married but happily married? In our first year of marriage, we read a book called His Needs, Her Needs that we still joke about to this day. We also took a basic financial class and quickly set a plan in motion to pay off what we owed and save for the future. Once a quarter, we have a nice dinner and stay in a hotel for what we call a ‘family planning retreat.’ We set goals and review topics like kids, school, finances, travel, major purchases, and insurance. Here, we make joint decisions with few distractions. Like in most marriages, the last 29 years have presented many wonderful moments but also times that were hard. We have learned to lean on family, faith, and mentors. It’s been a great almost 30 years with my sweet husband Scott, and I can’t wait for 30 more!”

–Susan Wilson HealthScopeMag.com

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ST RON G E R Without Stress

What Women Need To Know About Stress and How To Overcome It

BY OLIVIA HALVERSON

tress doesn’t require a life-or-death circumstance to emerge. When your finances take a turn for the worse, anxious feelings settle in for the long haul. When you have overcommitted and the obligations start piling up, stress is there to convince you that 24 hours in a day are simply not enough. While stress affects everyone to some degree, women are 11% more likely than men to report physical and emotional symptoms of stress, according to data from the American Psychological Association. Here’s what women need to know about stress and how to live a healthier life without it.

YOU’RE NOT ALONE.

Stress is certainly not unique to women, but there are stresses that are more commonly experienced among women. Dr. Tye Young, an internal medicine physician with RiverRun HEALTH Primary Care, explains that many of his female patients face similar stressors associated with motherhood, making difficult decisions, and the pressure to balance career and caretaking roles.

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TYE YOUNG, DO, FHM INTERNAL MEDICINE PHYSICIAN, RIVERRUN HEALTH PRIMARY CARE

With proper care and self-evaluation, you can leave stress behind and move toward a lifestyle that nurtures your body and your mind.

“The stress from competing demands for their time ultimately translates into anxiety, depression, and maladaptive coping,” says Dr. Young. These conditions leave many women feeling isolated, not measuring up to peers who have assigned different priorities to career and family. In some cases, emotional instability can result. “This can be experienced as unexpected outbursts of anger, crying, road rage, or just wanting to escape through alcohol or isolation,” Dr. Young explains.

STRESS TAKES A PHYSICAL TOLL ON THE BODY.

When the body experiences stress, your nervous system signals your adrenal glands to release hormones called adrenalin and cortisol. Together, these hormones cause increased heart rate, faster respiration, dilation of the blood vessels, and changes in digestion and glucose levels. The body is not meant to sustain days upon days of adrenaline-charged hyperactivity. Over time, chronic stress can cause a variety of health problems such as muscle tension, shortness of breath, and a range of digestive complications. It can also increase your risk for hypertension, heart attack, or stroke. “The physical toll of stress I hear expressed most commonly by my female patients is weight gain,” says Dr. Young. Weight gain can occur as a result of the body withstanding an influx of stress hormones and an overindulgence in food and alcohol. Additionally, those who find themselves overcommitted rarely have time to get the physical activity they need to maintain a healthy weight. “It’s important for stress-sufferers to consider how they can slow down and make better choices,” says Dr. Young. “There are a host of meal planning options to make healthy weeknight meals doable. You might also

consider adding small increments of exercise to your regimen that involve the whole family, like community walks or bike rides.”

IT’S NEVER TOO LATE TO GET AHOLD OF STRESS.

If you feel consumed by stress, Dr. Young has three suggestions for you: Talk to a friend about it, talk to a professional about it, and read a book about it. He adds, “A few suggested reads are Cleaning Up Your Mental Mess and Think & Eat Yourself Smart by Dr. Caroline Leaf and Get Out of Your Head: Stopping the Spiral of Toxic Thoughts by Jennie Allen.” For those who suffer from a high degree of stress, it’s important to communicate those feelings with your doctor. There are many therapeutic and medicinal options available to treat the health problems caused by stress. “I always tell patients that once we have excluded a medical cause for their symptoms, we need to consider all the ways we can help: nutrition, exercise, stress management, counseling, therapy, and lastly, medication,” says Dr. Young.

STRESS CAN BE PREVENTED.

You can’t put more hours in a day, but you can add a little word to your vocabulary that makes a big impact – “no.” Saying “no” can help you avoid overcommitment and free you up to say “yes” to something better, like investing in a healthy relationship or sweating stress away through exercise. Dr. Young also suggests staving off stress with good self-care. Take some downtime to meditate, pray, journal, or read. With proper care and self-evaluation, you can leave stress behind and move toward a lifestyle that nurtures your body and your mind. HS

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IT ’S T I M E F O R A GIR LS ’ N I G H T O U T ! RETURNING MARCH 10, 2022

•

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An Event for Women, About Women, to Benefit Women Dust off that old wedding dress, prom dress, bridesmaid dress, or any dress that’s been taking up residence in your closet and join us in making a positive impact on the lives of women in our community.

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The MothBall CityScope

Brody Jewelers • Lisa’s Gold & Diamonds Official Wine Sponsor: Athens Distributing Official Wine Sponsor: Athens Distributing

THE 2022 BENEFICIARY IS

EAT WELL

Super Spud

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A sweet potato is more than a bright orange vessel for butter and brown sugar. This versatile veggie can be prepared in both sweet and savory dishes. Not to mention – it’s a nutrient powerhouse. Sweet potatoes are an excellent source of fiber, and they are loaded with beta-carotene, which the body converts into vitamin A. Diced, mashed, or baked, this super spud deserves a spot on your plate. Here are some healthy sweet potato recipes from the kitchens of Chattanooga locals.

State of Confusion Stuffed Sweet Potato BY CHEF ALLAN UBAS | SERVES 4

Ingredients

• • • • • • •

4 sweet potatoes, baked Cauliflower taco meat* Confusion potatoes* Avocado sauce* Preferred salsa variety Iceberg lettuce, shredded Pico de gallo, store-bought

*For Cauliflower Taco Meat: • 2 cups cauliflower, chopped • 2 Tbsp. olive oil • 2 tsp. taco seasoning • 2 tsp. Confusion seasoning* 1. Chop cauliflower into 1-inch pieces. 2. Place in food processor, and process until rice-sized pieces. 3. Sauté cauliflower in olive oil with seasonings until wellcoated and slightly browned.

Did you know? One cup of baked sweet potato with skin provides over seven times the amount of beta-carotene that the average adult needs per day.

Photos by Emily Pérez Long

*For Confusion Potatoes: • 1/4 cup sweet potatoes, diced • 1/4 cup yellow potatoes, diced • 1/4 cup Idaho potatoes, diced • 1 Tbsp. olive oil • 1/2 cup green pepper, diced • 1/2 cup yellow onion, diced • 1 qt. canola oil • 1 tsp. Confusion seasoning* 1. Place diced potatoes in boiling water until mostly cooked (approximately 15 minutes). Remove from water and cool on a sheet pan until cold. 2. Prepare a sauté pan with olive oil. Allow peppers and onions to cook until soft, but not burnt.

3. Deep fry potatoes in canola oil at 350° until golden and crispy. 4. Toss fried potatoes with peppers, onions, and seasoning until evenly distributed.

*For Avocado Sauce: • 2 avocados • 1 tsp. Confusion seasoning* • 1 Tbsp. garlic, chopped • 2 1/2 cups water • 2 Tbsp. lime juice 1. Remove avocado pulp from avocados. 2. Place avocado pulp and remaining ingredients in container. Blend until smooth.

*For Confusion Seasoning: • 1/2 cup kosher salt • 1/4 cup black pepper, ground • 2 Tbsp. red pepper flakes • 1 Tbsp. sugar, granulated • 1/2 Tbsp. coriander, ground 1. Combine ingredients and process for 1 minute. To Assemble

1. Place chilled, baked sweet potatoes on grill. Cook on both sides until they reach an internal temperature of 165°. 2. Plate the sweet potatoes, and top each potato with hot cauliflower taco meat, then Confusion potatoes. Drizzle avocado sauce and salsa over potatoes. Top with shredded lettuce and pico de gallo. HealthScopeMag.com

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LIVE WELL

Maggie Tate’s Vegan Taco Lentils With Sweet Potatoes

“We cook vegan these days – my husband had a stent put in in October 2020, and we totally upended our diet. So, I had a crash course in new food! This is one of my favorites.” - Maggie Tate

SERVES 4-6 Ingredients

• • • • • • •

4 sweet potatoes Taco lentils* 2 cups quinoa, cooked Cashew cream sauce* Avocado, sliced Fresh cilantro, chopped Red onion, diced

*For Taco Lentils: • 1 cup lentils (green or brown) • 1 10-oz. can RoTel diced tomatoes • 1 packet taco seasoning • 2 cups vegetable broth 1. Rinse lentils. Add all ingredients to the instant pot and cook on high pressure for 13 minutes. Quick release after 10 minutes. Stir gently.

*For Cashew Cream: • 2 cups cashews (unroasted, unsalted), soaked overnight and drained • Juice of 2 large lemons • 2 garlic cloves • 1/4 cup nutritional yeast • 1 tsp. salt • 1 cup water 1. Add all ingredients to a blender. Blend until smooth and resembles the consistency of sour cream. To Assemble

1. Preheat oven to 400°. Pierce potatoes, and bake on a pan for 1 hour, or until the potatoes are very soft. 2. Slice potatoes in half and remove the flesh to a bowl. Using a fork or rubber spatula, mash the potatoes to desired consistency. 3. To serve, add a scoop of mashed sweet potatoes to a plate. Top the potatoes with taco lentils, quinoa, and a dollop of cashew cream. Garnish with avocado slices, chopped cilantro, and diced red onion.

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Photos by Rich Smith

Food & Drink A Taste of Chattanooga’s Food, Drinks, and Southern Hospitality

C O M I N G T H I S O C TO B E R delicious local recipes :: gourmet kitchens :: cooking tips :: and more!

CITYSCOPEMAG.COM

LIVE WELL

The 411 on Sodium Learn More About This Misunderstood Mineral BY MARY BETH WALLACE Whether subconsciously or not, you’ve probably made a food choice in the past based on sodium content (for example, purchasing low-sodium soy sauce over the regular variety). Health professionals warn about the dangers of sodium, and for good reason – consuming it in excess can raise blood pressure, which may lead to an increased risk of heart attack and stroke. Yet sodium is an essential nutrient that helps control your body’s fluid balance as well as promotes proper muscle contraction and nerve function. Not getting enough sodium, called hyponatremia, is actually a dangerous condition that can cause muscle cramps, nausea, dizziness, and even death. So, does sodium deserve the bad rap? How much sodium do you really need? Here, we’re answering the most pressing questions concerning this misunderstood mineral.

Q: Are sodium and salt the same thing? A: Although many people use the words “sodium” and “salt” interchangeably, they aren’t one and the same. Sodium is a dietary mineral, while the salt found in your salt shaker, also known as sodium chloride, is a chemical compound made of 60% chloride and 40% sodium. One teaspoon of table salt contains 2,300 mg of sodium.

Q: How much sodium should I be getting a day? A: As previously mentioned, the human body does require a small amount of sodium, and since your body can’t produce its own, you have to meet that need with the food you eat. However, it’s all too easy to consume too much sodium – on average, Americans consume around 3,400 mg of sodium per day, even though the recommended amount is 2,300 mg, according to the U.S. Food & Drug Administration. The American Heart Association recommends consuming closer to 1,500 mg of sodium per day, especially for adults with high blood pressure.

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Q: What foods should I avoid if I’m watching my sodium intake? A: Sodium occurs naturally in some foods, although the majority of sodium in the American diet is added during manufacturing. And while French fries and tortilla chips may seem like obvious sources of excess sodium, high-sodium foods do not always taste salty. According to the Centers for Disease Control and Prevention, Americans consume approximately 40% of the sodium in their diets from the following foods: • Breads and rolls

• Burritos and tacos

• Pizza

• Savory snacks (chips, pretzels, etc.)

• Sandwiches

• Chicken

• Cold cuts and cured meats

• Cheese

• Soups

• Eggs and omelets

Just think: A typical lunch of turkey and cheese sandwich with a side of chips could contain over half of your 2,300 mg daily limit – and that’s before you add in breakfast, dinner, and snacks! While the foods on this list certainly shouldn’t be avoided entirely (chicken and eggs are excellent sources of protein, after all), to keep sodium in check, you may want to watch your portion sizes and incorporate plenty of lower-sodium foods, such as fruits and vegetables, into the mix.

Q: How else can I reduce my sodium consumption? A: If you’re concerned about your sodium intake, making a few small changes can go a long way in helping you cut back. First and foremost, read the nutrition labels on products when shopping at the grocery store. Sodium content is listed on every label, as is the % Daily Value (DV). As a general rule, 5% DV (or less) of sodium is considered low, and more than 20% DV per serving is on the higher end of the spectrum. Remember that for sodium, 100% DV equates to 2,300 mg a day. Additionally, restaurant meals and packaged foods are often loaded with sodium, so the more meals you can prepare from scratch at home, the better. Try experimenting with different seasonings and herbs to add flavor to your food instead of relying solely on your salt shaker. Condiments, including ketchup and bottled salad dressing, are also sneaky sources of sodium, so use them sparingly. Finally, when selecting snacks, opt for low-sodium or no-salt-added products when possible. For most of us, there’s no need to sweat a little salt. However, it’s always a good idea to be aware of how much sodium you’re consuming – just take a look at those labels! HS

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Eden Lusk’s At-Home Core Blast P H OTO G RAPHY BY EMILY PÉ REZ LONG

“If you are looking to improve your spine stability, balance, or posture, these exercises are for you. With a mat, a dumbbell, and just a few minutes, this workout is designed to target the main abdominal muscles, both directly and indirectly. I recommend performing this ab circuit 2-4 days a week. Start by doing each exercise for 30 seconds and work your way up to 60 seconds, completing 2-3 sets.” – Eden Lusk, Live Well With Eden

Reverse Crunch Start lying down with your arms by your sides or under your lower back. Raise your legs so your thighs are perpendicular to the floor with a soft bend in your knees. Raise

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your hips off the floor and then slowly lower your hips and legs back to the starting position. Moving slowly with complete control is key.

Russian Twist

Standing Side Bend

Root into your sit bones as you lift your feet from the floor, keeping your knees bent. Elongate and straighten your spine at a 45-degree angle from the floor, creating a V shape with your torso and thighs. Keep your arms at a 90-degree angle and twist, allowing your elbows and spine to follow. Return to the starting position and twist to the other side. For a harder exercise, hold a dumbbell as you twist. For an easier exercise, drop both feet to the floor.

Holding a dumbbell or kettlebell in your hand, plant both feet on the floor, shoulder-width apart. Place your opposite hand behind your head. Contract your obliques and bend, keeping your hips immobile and heels on the floor. Straighten your torso to return to the starting position, and maintain control as you come back to starting position. Repeat on the other side after time is up.

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Standing Overhead Side Bend Holding a dumbbell with both hands, plant both feet on the floor, shoulder-width apart. Straighten your arms overhead. Contract your obliques and bend. Straighten your torso to return to the starting position and alternate sides after time is up.

Leg Drop Torso Twist Lie on your back with your hands behind your head, shoulder blades off the floor, and legs straight up. As you drop one leg, crunch to the other side and then alternate. Keep your lower back on the floor by being mindful to engage your core and keep it tight.

Leg Lift Over Dumbbell Sit down on the floor with your legs straight out in front of you. Keep your feet together, and place your hands down by your sides. Bring both of your legs up toward the sky and over a dumbbell to the opposite side while keeping your legs straight and feet together. The closer you place your hands to your feet, the more difficult the exercise.

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He may never wear the roses at the Kentucky Derby...

but he feels like a winner every time he holds the reins.

Following a near-death experience with COVID-19, former army combat-medic Pierre Swafford was so weak that he could no longer walk or even make a fist. A horse trainer who also runs summer riding camps, Pierre knew that if he couldn’t grip, he would never be able to hold the reins again. Giving up something he loved so much was simply not an option, so his wife insisted on Siskin Hospital... confident that they could get him back in the saddle again. Today, he is thankful for so many things: breath, life, walking and the sheer joy of being able to ride. He may never get the chance to gallop around the track at Churchill Downs, but every time he wraps his fingers around those leather straps, he feels like celebrating.

Because of Siskin Hospital, I CAN be a winner!

www.SiskinRehab.org

If you have been struggling to lose weight on your own,

a weight loss treatment program might be right for you.

Bariatric Surgery is not only the most effective tool to lose weight, it also helps to prevent or improve Type 2 diabetes, sleep apnea, and high blood pressure while improving your quality of life and life span. Jaime Ponce MD, FACS, FASMBS, a physician specializing in bariatric medicine with CHI Memorial Metabolic and Bariatric Care, has been performing bariatric surgery for 22 years and has extensive experience with gastric sleeve, gastric band, gastric bypass and endoscopic procedures. With a dedicated dietitian, licensed clinical social worker, exercise support, nurse practitioners and the addition of Rishabh Shah, MD, a fellowship trained bariatric surgeon, our team delivers the highest quality bariatric care available. We also offer an obesity medicine program for non-surgical weight loss. CHI Memorial Metabolic and Bariatric Care is committed to providing you with the best chance for weight loss success.

Now offering virtual seminars. To register, visit chattanoogabariatrics.com CHI Memorial Metabolic and Bariatric Care 7405 Shallowford Rd., Ste. 160, Chattanooga, TN 37421 For more information, call (423) 899-1000. _