Our customers know we’re committed to being there when they need us most. That commitment also extends to our local community. It could be through our corporate-level community partnerships, or individual employees empowered to volunteer and give something back. Together, we’re helping to build a better place for us all to live and work.
Learn more at UnumGroup.com.
Unum Group is comprised of the following brands:
We’ve assembled a team of well-established and highly experienced financial professionals. It has given us the ability to address every aspect of our clients’ financial needs. And by limiting the number of clients we serve, it allows us to offer an uncommon level of service and maintain our unwavering focus on helping to create quality financial solutions.
This is what we bring to the table – and what will ultimately bring you to us. If you are an individual seeking seasoned financial guidance and the comfort of working with an experienced group of advisors who call Chattanooga home, we welcome the opportunity to sit down together. Main Office: 1200 Premier Drive, Suite 100 •
Photographed at Ruby Falls
“Self-care is not a waste of time. Self-care makes your use of time more sustainable.”
- Jackie - Viramontez
As a general rule, we as women tend to put our own health and well-being on the backburner in favor of caring for those around us. We might prioritize pediatrician appointments over our own, or forget to schedule a dental cleaning but remember to schedule our spouse’s. It’s easy to let the hustle and bustle of our everyday take the forefront. As enticing and inevitable as this cycle can feel, as the saying goes, “you can’t pour from an empty cup.” That’s why we dedicate this Annual Fall Issue to women’s health. We hope through these insightful topics and helpful tips, you take time to prioritize your health.
Cailey Mullinix Easterly
CO-PUBLISHER
mental health and more! Health is holistic, and because of that we include topics that relate to emotional, relational, and mental wellbeing as well.
“Her Story” and “Inspired” share uplifting stories, while our beauty, style, and home interiors articles focus more on the benefits of feeling good. Healthy recipes and a local guided workout round out the issue.
Celebrating 36 Years! HealthScopeMag.com
Follow HealthScope® and CityScope® magazines and Choose Chattanooga®Chattanooga Resource & Relocation Guide® on social media!
Starting with our lead features, “Pelvic Floor Health” delves into this important muscle group, common issues that can arise, as well as treatment options. “Breathe Easy” provides tips ranging from habits to diets to help keep you and your loved ones healthy this winter season. Lastly, “Personality Disorders in Relationships” walks through the signs to look out for and the impact it can have on loved ones.
Even more women’s health topics can be found in the “Annual Women’s Health Section,” which includes articles ranging from physical, hormonal, and dental health to
Last, but certainly not least, is our interview with vibrant cover model Sierra Waggoner. A community favorite TV personality, Waggoner shares her positive spirit and go-getter attitude with us as she discusses her health journey.
We hope you’ll join us in remembering to fill your cup up, however that looks for you, before pouring into others.
Happy reading!
Since 1930. Trusted for Generations.
Lisa Duhaime, MD Board-Certified Medical Oncologist
Arif Ali, MD Board-Certified Radiation Oncologist
Lee Ann Brown, DNP, APRN Advanced Nurse Practitioner
Nick Galanopoulus, MD Board-Certified Radiation Oncologist
Peeples Cancer Institute at Hamilton Medical Center is transforming cancer care in our region with the latest cancer-fighting technology and compassionate ca ncer care - all under ONE roof.
• Board-certified medical oncologists, radiation oncologists, a radiologist, and surgeons
• State-of-the-art radiation therapies
• Customized treatment plans
• Genetic testing and counseling
• 3D mammography and ultrasound imaging
• Patient navigation and oncology social work services
Learn more at VitruvianHealth.com/cancer or
Sierra Waggoner discusses the healthy habits that keep her energized on page 90.
Photo by Kristina Armstrong
Shot on location at Common House Chattanooga
Publisher George Mullinix
Co-Publisher Cailey Mullinix Easterly
Sales & Business
Development Amanda Worley
Design Lead,
Sr. Graphic Designer Lauren Robinson
Sr. Graphic Designer Tamara Slocum
Managing Editor Rachel Studebaker
Editors Gray Bennett
Kristen Dee Tory Irmeger
Editor/Digital Content Specialist Ali Lemmons
Director of
Digital Marketing Ruth Kaiser De Backer
Digital Marketing Assistant Houston McLain
Digital Marketing Specialist Katie Faulkner
Digital Marketing Intern Bryan Hunt
Marketing,
Events, & Operations Laci Lanier Jackson
Freelance Graphic Design Delve Studio
Photographers
David and Drew Photography Kristina Armstrong
Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or health scopemag. 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.
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First row, left to right: James Phillips, CFP®, Kellye Phillips, CFP®, Betsy Gibson, CFP®, Scott Chadwell, Greg Costello (Complex Manager), Debbie Brown, Mike Brown, Mary Loggins, CFP®
Second row, left to right: Emerson Brown, CFP®, Greg Reabold, Joe Johnson, Tyson Asay, CFP®, Chuck Corey, Robin Moldenhauer, Steve Carlson (Branch Operations Manager), Jennifer McIntyre
Third row, left to right: Tena Kellis, Barton Close, CFP®, John Grzesiak, CFP®, Darin Hurley, CFP®, Kyle Cooper, Michael Cooper, Brad Perkins, Bob Klose, CFP®
Not pictured: Doyle Attaway, Walter Stamper
health in a minute
I suspect my severe PMS symptoms may actually be premenstrual dysphoric disorder (PMDD). Are there any diet adjustments or vitamin supplements that could minimize my symptoms?
A. The cause of PMS/PMDD is not clear, so symptom relief is the main goal of treatment. Counseling and SSRIs (selective serotonin reuptake inhibitors) are considered first-line treatment for PMS/PMDD. Counseling can include cognitive behavioral therapy (CBT), self-help support groups, and stress/anger management. Fluoxetine and sertraline are SSRIs approved by the U.S. Food and Drug Administration (FDA) for treatment of PMDD. However, many women prefer a more holistic approach to treatment, which can include lifestyle changes like getting regular exercise, stopping smoking, abstaining from alcohol, having a regular sleep schedule, and limiting
salt, refined sugars, and caffeine. Several nutritional supplements have also been shown to reduce symptoms, although they have not been approved by the FDA for use in PMDD. Some supplements that may improve PMS/PMDD are vitamin B6 (100 mg/day), vitamin E (600 IU/day), calcium carbonate (1200-1600 mg/day), magnesium (500 mg/day), and tryptophan (6 grams/day). Finally, evening primrose oil (500-3000 mg/ day) and chaste tree berry (30-40 mg/day) are two herbal therapies for PMDD that may help breast tenderness but have not been approved by the FDA. Please talk to your primary care provider (PCP) before starting a new exercise program or medication. Kimberly Pickett, MD
Q. My mother is at risk for renal artery stenosis. How can I help her adopt a heart-healthy lifestyle as an older adult?
A. Renal artery stenosis is one of the treatable causes of unexplained hypertension, a leading cause of heart disease in the U.S. Supporting your mother in adopting a heart-healthy lifestyle can significantly reduce her risk of developing renal artery stenosis. In the first place, start by encouraging a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while limiting sodium to help manage blood pressure. Promote regular physical activity like walking or swimming, which is both heart-friendly and low-impact. Monitor her blood pressure regularly and ensure she follows her doctor’s advice regarding medications. Stress management is crucial; introduce her to relaxation techniques like deep breathing or meditation. If she smokes, offer support to help her quit, as smoking is a major risk factor. Lastly, consider joining her in these activities to make the lifestyle changes more enjoyable and sustainable. Your support and encouragement can make a significant difference in your mother’s heart health. Chris LeSar, MD, FACS, RVT
Q. My daughter is worried about going to the clinic for an allergen skin test. What can I do to support her and help her stay calm during the procedure?
A. To support your daughter during her allergen skin test, start by explaining the procedure in simple terms, letting her know that it’s quick and only causes mild discomfort. Stay calm and reassuring, as your demeanor will help her feel more at ease. Skin testing should always start with a scratch test, which is not painful, and only itches if positive. In older children (usually 6 or older), we may consider performing intradermal skin tests which do require small needles— this is only done if the scratch tests are inconclusive. Bring a favorite toy or book to the clinic for comfort, and engage her in a distracting activity like a game or conversation during the test. Teach her some deep breathing exercises to help manage anxiety. Additionally, promising a small reward afterward, like a treat or a fun activity, can give her something positive to focus on. Most importantly, be there with her, offering encouragement and comfort throughout the process. Lee Perry, MD
Q. I have a couple of moles I’m concerned about, but I’ve never been to a dermatologist before. What can I expect during my first appointment?
A. During your first visit to the dermatologist, you will typically undergo a full body skin check to make sure your skin lesions look normal. Patients change into a gown, and then their skin is examined from the scalp to the toes. Any concerning skin lesions are inspected more closely with a handheld tool called a dermatoscope. It uses a specialized filter and magnification to help determine if the skin lesion looks suspicious for skin cancer. If there is a suspicious lesion, a skin biopsy is performed, and precancerous lesions are treated the same day. Many patients are nervous for this type of exam but find the experience to be pretty easy with the help of our kind and reassuring team! Laura Cleary, MD, FAAD
Q. I’m concerned about my 4-year-old son’s extremely picky eating. Do you have any advice on introducing new foods to an anxious child?
A. The most important thing to remember is that you want to minimize pressure. Pressuring your child to eat a new food before they are intrinsically ready creates more stress. Help them build a relationship with food through play and exploration! Play with the food: Get messy! Exploring food through sensory play will lead to higher motivation to eat it. Use a carrot to draw ranch dressing pictures! Talk about the food: Instead of using pressure-based phrases like “Just take a bite,” describe what it looks like, feels like, sounds like, smells like, etc. Model: Show them ways to interact with the food outside of eating it. Involve the child in preparing and serving the food. Family meals are key! Research shows that repeated exposure is one of the most reliable ways to increase food acceptance. Offer new foods in small amounts, and don’t give up! Meghan Robinson, OTD, OTR/L
Meet Our Experts
Kimberly Pickett, MD Family Medicine Specialist, CHI Memorial Family Practice Associates chimemorialmedicalgroup.org
Chris LeSar, MD, FACS, RVT Vascular/Endovascular Surgeon, Vascular Institute of Chattanooga vascularinstituteofchattanooga.com
Lee Perry, MD Board Certified Allergist, Chattanooga Allergy Clinic chattanoogaallergyclinic.com
Laura Cleary, MD, FAAD Board Certified Dermatologist, Four Bridges Dermatology 4bridgesderm.com
Meghan Robinson, OTD, OTR/L Therapy Team Lead, Siskin Children’s Institute siskin.org
staff spotlight
PARKRIDGE HEALTH SYSTEM
Michele Miller
Parkridge Health System is pleased to announce Michele Miller as assistant chief nursing officer. With 24 years of nursing experience and 19 years of nursing leadership experience, Miller will help lead nursing operations for the health system and support quality initiatives and patient care experiences in this role.
ERLANGER
Angela Yates, MD, FACOG
Erlanger welcomes Dr. Angela Yates to the team at Erlanger Women’s Health as a board-certified OB/ GYN. She earned her Doctor of Medicine degree from ETSU Quillen College of Medicine in Johnson City, Tennessee, and completed her OB/GYN residency at The University of Tennessee Health Science Center College of Medicine in Knoxville, Tennessee.
AUSTIN HATCHER FOUNDATION
Noelle Bost, MS, MFT-I
Noelle Bost has joined the Austin Hatcher Foundation as a marriage and family therapist intern. Bost holds a bachelor’s degree in psychology and a master’s in marriage and family therapy from Lee University and holds certifications in Trauma-Focused Cognitive Behavioral Therapy and TrustBased Relational Intervention.
CHI MEMORIAL MEDICAL GROUP
Sheila Hutchens, FNP-C
CHI Memorial and CHI Memorial Medical Group are pleased to welcome Sheila Hutchens to CHI Memorial Neuroscience Institute
Neurosurgery and Spine Center. Hutchens holds a master’s degree in nursing from Southern Adventist University in Collegedale and brings 27 years of experience as a registered nurse to the role.
PARKRIDGE HEALTH SYSTEM
William Pitt
Parkridge Health System welcomes William Pitt as director of physician and provider relations for emergency medical services (EMS) and outreach. Bringing over 20 years of experience to this role, he will serve as a liaison between EMS providers and Parkridge Health System’s emergency medical services and regional physicians.
ERLANGER
Frederick Bossert, MD
Dr. Frederick Bossert has joined the team at Erlanger Women’s Health as a board-certified OB/GYN. His Doctor of Medicine degree was obtained from ETSU Quillen College of Medicine, and from there, he completed his OB/GYN residency through the University of Tennessee Health Science Center College of Medicine in Chattanooga, Tennessee.
AUSTIN HATCHER FOUNDATION
Matt Hastings
The Austin Hatcher Foundation welcomes Matt Hastings as program + academic coordinator. With a bachelor’s in health and physical education from the University of Georgia and 17 years of experience in teaching PE and health and wellness, Hastings brings a wealth of knowledge to the position.
THE CHATTANOOGA HEART INSTITUTE
Tyler Emerson, MD
The Chattanooga Heart Institute at CHI Memorial is pleased to welcome Dr. Tyler Emerson. Dr. Emerson earned his medical degree from the University of Tennessee College of Medicine in Memphis, and he completed his residency in internal medicine and a general cardiovascular medicine fellowship at Vanderbilt University Medical Center in Nashville.
health & wellness calendar
October
19 Denim and Diamonds
The Medical Society & Foundation’s largest annual fundraising event, Denim & Diamonds, is back and ready to wow you with a great evening for an incredible purpose. From 6 to 9 p.m., this fun community event will feature dinner, entertainment, and dancing to directly support life-saving programs like Project Access and LifeBridge. chattmd.org/event/denimdiamonds-2024/
20 7 Bridges Marathon
Chattanooga’s oldest marathon is actually five races in one: the 7 Bridges Marathon, 4 Bridges Half Marathon, 4 Bridges 10K, 2 Bridges 5K, and a family fun run. The marathon starts at Coolidge Park at 7 a.m. and will feature finishing medals, event
shirts, a DJ, post-race food, and more. Register now and find more information online. sevenbridgesmarathon.com
25
Gala of Hope
The American Cancer Society’s annual event, Gala of Hope, is mixing things up this year. Guests will shed their formal attire for ‘70s/‘80s Yacht Rock cocktail style attire while rocking the night away with The Yacht Rock Revue live at the Hunter Museum of American Art (Rooftop Terrace). Guests will enjoy a live and silent auction, cocktails, light bites, and more, all in support of the American Cancer Society’s mission to celebrate and save the lives of people impacted by cancer. chattanooga.acsgala.org
26 Chattanooga Walk to End Alzheimer’s
The annual Chattanooga Walk to End Alzheimer’s
raises critical funds to help find a cure for Alzheimer’s disease. This year’s walk will take place at Coolidge Park; registration begins at 8 a.m., with the ceremony and walk to follow at 9 a.m. Each registered participant will receive a Promise Garden Flower to honor someone with Alzheimer’s or dementia or to support the cause. act.alz.org/chattanooga
28
RMHC Golf Classic
Join the Ronald McDonald House Charities of Greater Chattanooga at Black Creek for its annual Golf Classic. Contests will be held throughout the tournament for registered teams and individuals, and the best team of the day will be awarded the RMHC Kaylor Cup. A rain date has been set for November 4. rmhchattanooga.com/rmhcgolf-classic
November
2
Dare to Dance
Based on the popular television show “Dancing With the Stars,” this dazzling event pairs local celebrities with professional dancers for an unforgettable dance-off at the Chattanooga Convention Center. Guests will enjoy dinner, drinks, and souvenirs. Dare to Dance is the largest annual fundraising event for the Chattanooga Kidney Foundation. daretodancechatt.com
2-3
Head of the Hooch Head out to Ross’s Landing for the Head of the Hooch Regatta, the world’s second-largest rowing event. With over 2,000 boats set to
race and 88 race events, this weekend is sure to be a thrill for participants and spectators alike! The first boats start at 8:50 a.m. on Saturday, and spectators are encouraged to view the races from the Walnut Street Bridge, Coolidge Park, or Chattanooga Riverwalk. headofthehooch.org
14-15 Faces of PAD Conference
The 7th annual Faces of PAD conference will include insightful discussions, engaging workshops, the first onstage holographic speaker, LIVE Cases, hands-on demonstrations, and networking opportunities focused on ultrasound and vascular. Learn from leading experts in the
field and connect with others who are passionate about improving PAD awareness, management, treatment, and evaluation of today’s vascular patients. facesofpad.com
30 Chattanooga Hungry Turkey
This post-Thanksgiving race event offers fun for the whole family! Participants can choose between a 5K, 10K, or Half Marathon with highlights including long-sleeve technical shirts for all registrants, aid stations and bathrooms approximately every 1.5 miles, tasty donuts waiting at the finish line, and medals for every finisher. Find more registration information online. chattanoogahungryturkey.com
Scary Good Nutrients
A pumpkin’s bright orange color comes from high levels of beta-carotene, which converts to vitamin A in the body. In fact, one cup of pumpkin provides 245% of your daily recommended intake of vitamin A . This vitamin helps preserve vision, fight off infections, and regulate cell growth.
Penny for Your Thoughts
In the United States, the average age for a woman to begin menopause is 51. However, it can happen anywhere in your 40s or 50s. Menopause is considered premature if it occurs before age 40, according to the Cleveland Clinic.
When looking to save money, some experts recommend the 50/30/20 budget. With each paycheck, put 50% of your money towards your needs, 30% towards your wants, and 20% towards your savings. Needs can include mortgage payments, groceries, and health care. Savings should be set aside for the future to contribute to retirement or handle emergency medical issues.
According to the U.S. Department of Agriculture’s MyPlate, women from the ages of 31 to 60 and on are recommended to have the following food groups daily:
1½ to 2 cups of fruit
2 to 3 cups of vegetables
5 to 7 ounce-equivalents of grains
5 to 6 ounce-equivalents of protein
3 cups of dairy
DID YOU KNOW?
The Inflation Reduction Act of 2022 will have big impacts on your Medicare coverage for 2025. Are you prepared? Medicare Annual Enrollment is coming; work with MedicareMisty to understand these changes and make sure you and your future are taken care of!
The Inflation Reduction Act of 2022 is one of the biggest pieces of legislation to impact Medicare benefits. Going into 2025, this legislation will remove the “donut hole,” or the coverage gap, which relates to the limit your drug plan will cover for
prescription medications. This will not only impact your out-of-pocket costs for medications, but it will also impact the cost of your coverage. Prices could double!
Feeling overwhelmed? We get it. For the everyday person, Medicare is confusing, and these new changes only add to that. Working with an expert like MedicareMisty ensures you have someone in your corner helping you navigate these uncharted waters. Don’t wait! Contact us today to get started reviewing your coverage for 2025.
LOVE,CARE, & H EALINGOTHERS
Meet Our Doctors
Compassionate and experienced, these doctors have studied, trained, and specialized in providing the highest-quality healthcare.
What follows are local men and women who are leading with the utmost in quality care.
WORLD-CLASS TREATMENT
Agraduate of East Tennessee State University’s Quillen College of Medicine, Dr. Frederick Bossert now practices at Erlanger Women’s Health, where he’s passionate about making a difference in women’s lives and teaching the next generation of medical professionals.
“Our world-class surgeons are also professors with the University of Tennessee Health Science Center,” shares Dr. Bossert, “so we offer the patient cutting edge treatment options while providing unparalleled medical education. We truly practice what we teach.”
I will never forget how powerful and how much impact we can have in people’s lives by just listening to them.”
1
FREDERICK BOSSERT, MD
ERLANGER
WOMEN’S HEALTH
What sets your practice apart?
We offer comprehensive women’s health from adolescence through menopause featuring the most up-to-date medical knowledge and surgical procedures.
2
What do you love most about your profession?
I love that I have the opportunity to talk to patients and give them information that lets them make the best decision about their health. It truly is a joy to interact with patients on a human level every day.
3
What is one of your happiest professional moments?
I can vividly remember the first time I made a difficult diagnosis on a patient who had seen several physicians prior to no avail. When I told her that she had interstitial cystitis, and that we had a cause for the pain she was experiencing, she burst into tears and was so thankful.
4
What accolades mean the most to you?
My teaching awards mean the most to me because that is what I’m most passionate about. Being able to give people the information and knowledge they need in medicine or with their own medical decision-making is very gratifying.
5
What is your philosophy when it comes to the care of your patients?
When interacting with patients, my philosophy is to listen to what they have to say. After listening, it is my duty to provide the patient with as much information as possible so that we can come up with the best plan and course of action for them.
RESTORING QUALITY OF LIFE
Dr. Jonathan Shaw credits his desire to become a doctor to “a combination of a great biology teacher and the intricacies of creation.” Now, with eight years of experience under his belt, Dr. Shaw works at Erlanger Women’s Health, where he treats clients with consideration, respect, and understanding. “If it’s a clinic day, I have the privilege of meeting a great mix of new and follow-up patients,” says Dr. Shaw. “On a surgery day, I turn on the background music and devote my attention to the reconstructive work.”
1
JONATHAN SHAW, MD
ERLANGER WOMEN’S HEALTH
Why have you chosen this field of specialty?
My mother was a British midwife, and her stories sparked an interest in OB/GYN. As a resident doctor, I was more drawn to the calm and collected environment of the OR than the sometimes-chaotic labor floor. I found my niche in the creative surgical nature of urogynecology and the improvement in quality of life that women experience.
2
What is one of your happiest professional moments?
I remember a lovely patient who, as a nun, had struggled in secret with urinary incontinence for years. When she finally presented and received the much-needed treatment, she returned with a generous gift – it’s the only time I have ever received a box of chocolate-covered strawberries!
3
We work as a well-oiled team from the front desk secretary greeting to the follow-up nursing phone calls. I think a big part of patient satisfaction is being known and cared for by our dedicated staff.”
4
What do you love most about your profession?
Seeing post-operative patients heal well and get back to doing what they want to do.
What is your best advice for patients?
If pelvic floor disorders are still impacting your life despite conservative management, you don’t need to “just live with it,” since there are good, minimally-invasive surgical options.
5
What is your philosophy when it comes to the care of your patients?
Understand how the condition is impacting her life and coming to a shared decision with the patient on the best way forward for her.
Medical Degree:
Queens University, Belfast, Northern Ireland
Certifications:
General Obstetrics and Gynecology, ABOG
Urogynecology and Reconstructive Pelvic Surgery (URPS), ABOG
Recognitions:
2020 National Faculty Award for Excellence in Resident Education, CREOG
2022-2023 Excellence in Medical Student Teaching Award, APGO
Specialties:
Urogynecology and Reconstructive Pelvic Surgery
Urinary and Bowel Incontinence
Pelvic Organ Prolapse
Minimally-Invasive Hysterectomy and Pelvic Floor Repair
RESTORING CONFIDENCE & SMILES
Dr. 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.”
1
BILL CHILDRESS, DDS, MD
IMPLANTS & ORAL SURGERY OF CHATTANOOGA [FORMERLY EAST BRAINERD ORAL SURGERY]
What do you love most about your profession?
I get to relieve pain and suffering – and see immediate results most of the time. By collaborating with general dentists, I’m able to help restore a patient’s confidence and smile.
2
What is one of your happiest professional moments?
Retiring from the U.S. Air Force after 21 years, as well as starting a private practice in 2010 that is still going strong after 14 years and a tornado.
3
What do you see as the most exciting new development for your profession?
Digital X-rays and scanners replacing film and impression materials. Rather than having a big gloopy tray of play-doh in a patient’s mouth, we can now scan with a handheld device and produce a model for restoring teeth.
4
What would you consider to be your main strengths?
I’m grateful to God for my talents and gifts, and I offer prayer with each of my patients. I sincerely think prayer before surgery helps with a positive outcome and recovery.
5
It means a lot when a patient says that they were really dreading a procedure, but we made it pleasant.”
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!
SERVING THE COMMUNITY
RACHEL MURRAY, DO, FAAD
ERLANGER DERMATOLOGY
Dr. Rachel Murray always knew she wanted to work with people; however, it was her mom who finally inspired her to apply to medical school. “Ever since I was little, I watched how she loved and cared for her patients,” shares Dr. Murray. “I knew her work brought her so much joy, and this inspired me to do something similar with my life.” Dr. Murray has been practicing medicine for the past four years, and she now treats patients at Erlanger Dermatology, her first opportunity to practice as an independent physician.
I believe I am a good listener. This is great for dermatology since I work mostly with my hands and eyes; my ears are always open.”
1
2
What do you love most about your profession?
I love that I can treat anyone regardless of their age, size, and skin tone. Everybody who has skin has a need to be seen.
What is one of your happiest professional moments?
My happiest professional moment was the day I moved back to Chattanooga. I’m originally from the area, and I’ve always known that I wanted to make this place my home. It’s been a long road getting to this point, but I’m happy to be home and finally serve my community.
3
4
What’s the key to making a great first impression?
A great first impression requires a combination of positive energy, good eye contact, and a genuine smile.
What is your best advice for patients?
Wear your sunscreen! No, but really. Protecting yourself now from UV radiation emitted by the sun will decrease how often you see doctors like me in the future. I recommend broadspectrum sunscreen with SPF 30 or higher every day. Make it a morning routine, apply your favorite moisturizing sunscreen right after you brush your teeth, and head out for the day.
5
What is your philosophy when it comes to the care of your patients?
My philosophy is simple: think like Planet Fitness; this is a “judgment-free zone.” I want patients to feel comfortable confiding in me and knowing that I will do my best to ensure their care is top-quality.
ENCOURAGING WELLNESS
For 22 years, Dr. James Newby has been practicing family medicine, motivated by his interest in overall wellness and preventative medicine. “I like to think of my practice as part of a community,” says Dr. Newby, “and in this community, I am doing my part to provide care and encourage wellness and good health.” Because there are so many ways to approach different health issues, Dr. Newby utilizes a patient-focused approach. “I try to help each patient find a plan that is right for them to treat their condition and/or reach their health goals,” shares Dr. Newby.
In an ideal world, I’d like to help people be healthy enough that they don’t need to see me.”
1
JAMES NEWBY, DO
ERLANGER PRIMARY CARE - OOLTEWAH
What do you love most about your profession?
I love helping people, and I love science, so I love practicing medicine. Also, the field of medicine is constantly growing and changing, presenting the opportunity for a lifetime of learning.
2
What’s the key to making a great first impression?
I think the three things that make a great impression are being fully present, being genuine, and making the other person feel heard.
3
What do you see as the most exciting new development for your profession?
Though I think a lot of people are a little leery of artificial intelligence, I think technology, including AI, is going to help us to spend more time actually caring for our patients and less time documenting. I think this is going to improve doctor-patient relationships.
4
What is your best advice for patients?
Often people come to me wanting a quick solution to their health problems, whether that’s controlling their blood sugar or losing substantial weight. Often, I tell them, the answer is not some giant change that’s not sustainable. I say, “I don’t need you to try to run an amazing 40-yard dash, it’s more of a marathon, but it’s at your own pace.” Sometimes more drastic changes are required, but much of the time, what we need is to make positive changes that we can keep up over time.
5
What is your philosophy when it comes to the care of your patients?
Often there are several different ways to approach any given health issue. I try to help each patient find a plan that is right for them to treat their condition and/or reach their health goals.
EMPOWERING PATIENTS
At Erlanger Urology, Dr. Taylor Peak offers minimally-invasive treatments for bladder, kidney, testicular, and penile cancers, but what he truly loves about his profession is empowering patients to decide their own care. “I love talking with my patients to better understand their individual goals as it relates to the treatment of their cancer and the preservation of their quality of life,” Dr. Peak shares. “I can then provide all available treatment options and the risks and benefits of each, so that the patient can make their own informed decision.”
I want to provide all the information available in a comprehensive and accessible manner so that my patients can make decisions for themselves.”
1
TAYLOR PEAK, MD
ERLANGER UROLOGY
What is one of your happiest professional moments?
Completing my urology residency training, surrounded by people who were not only co-residents but some of my closest friends.
2
What do you see as the most exciting new development for your profession?
The development of immunotherapies and other targeted therapies in the form of antibody-drug conjugates is transforming the lives of patients with advanced urologic malignancies. We will see the development of a more personalized approach to the delivery of these therapies in the coming years.
3
How does your staff enhance your practice?
In the operating room, it really takes a team effort to carry out the complex procedures that we perform on a daily basis. My staff works incredibly hard to understand not only the steps of the operation, but the necessary tools required to complete each step. In the clinic, I have excellent nurses that keep the work-flow streamlined so that we can be efficient and deliver care to as many patients as possible.
4
Why did you choose to become a doctor?
I enjoy the fact that medicine is an ever-changing field that provides new challenges on a daily basis. There is always an opportunity to get better. Furthermore, it is a very social field, with constant interactions between you, your staff, and patients.
5
What would you consider to be your main strengths?
I am an authentic, hard-working person who values being a part of a team.
University School of Medicine, New Orleans, LA
PROMOTING PATIENT AUTONOMY
Over the past six and a half years, Dr. Callie Lance has created an inviting space to welcome her patients, motivated by her own dislike of going to the doctor while growing up. “It was never somewhere I felt empowered to better myself,” shares Dr. Lance. “I wanted to provide an office in which people are given the tools and confidence to achieve their health goals.” Now, Dr. Lance puts her listening and empathy skills to good use, all while helping patients create a treatment plan that fits their specific needs.
I have the opportunity and honor to establish a permanent relationship that allows for an empowering health journey through body and mind, not just treating symptoms.”
1
CALLIE LANCE, DC, MS, CCSP
CHATTANOOGA SPORTS CHIROPRACTIC INSTITUTE
What do you love most about your profession?
What I love most about the chiropractic profession is the vulnerability and trust it requires to give quality care. To really sit down and take the time to listen to my patient’s stories, not just the complaint.
2
What’s the key to making a great first impression?
The key to making a great first impression is how you make the other person feel. Being kind, inviting, and confident are some of the key factors in my eyes.
3
How does your staff enhance your practice?
The favorite staff member of the practice is the Director of Greetings (D.O.G.) and Rehab Assistant, Daisy. She’s a 6-year-old Golden Husky mix. My dream was to always have a dog that would be able to be at the office and she was made for the role.
4
What is your best advice for patients?
Remember you only get one body to live in, please nurture it. Slow down, be present (especially with loved ones), and most importantly, work on yourself. Health isn’t a privilege, it’s a priority. Put the technology down and sit in the sun, cleanse the mind, drink more electrolytes, and breathe.
5
What accolades mean the most to you?
The accolade that means the most to me is when a previous or current patient refers a friend or family member to my practice. It is such an honor to be trusted to provide the best health care I can for them.
Doctorate of Chiropractic: Logan University, Chesterfield, MO
Chiropractor of the Year, Tennessee Chiropractic Association
Tennessee State Delegate, American Chiropractic Association
Chiropractor, Chattanooga Lookouts
Pelvic Floor Health
Many of us will go through our daily activities with little thought about the muscular systems supporting our movements – until something goes wrong. The pelvic floor is one such area of the body that often goes unnoticed despite playing a crucial role in our health and well-being. In a sense, the pelvic “floor” gives the rest of the body a strong foundation, and without this strong foundation, issues can arise that impede daily functioning. Here, pelvic floor specialists Meagan Moyers and Dr. Erin Westner demystify pelvic floor health and the treatment options available to all.
The pelvic floor consists of the connective tissue and muscles that support the many pelvic organs sitting below the abdominal cavity. This group of muscles stretches from the pubic bone to the tailbone, and like any other muscle in the body, pelvic muscles can become strong, weak, or tense. Healthy pelvic floor functioning means an individual can voluntarily contract and relax these muscles for daily functioning. Individuals experiencing pelvic-related issues may be directed to pelvic floor physical therapy for treatment, or occasionally surgery.
“The biggest misconception is that pelvic floor therapy is only for those who are pregnant and have babies,” shares Dr. Erin Westner, physical therapist and owner of The Pelvic Method. “We see all walks of life as pelvic floor specialists: men, women, adolescents, and pediatrics. If you have a pelvis, you may need pelvic health education at some point in your life.”
Common Pelvic Floor Disorders
Pelvic floor dysfunction occurs when these muscles are strained, weakened, or too tight and are unable to effectively support the bladder, vagina, uterus, prostate, or rectum. Although commonly discussed in women’s healthcare, pelvic floor disorders (PFDs) can also affect men. UCLA Health estimates that 1 in 3 women will experience a PFD in her lifetime, and a study cited by Mayo Clinic Health System reports 16% of men have been identified with PFDs. Regardless of gender, age, or individual circumstance, understanding the complexities of PFDs and treatment options can be an essential step in regaining full functioning and daily comfort.
Meagan Moyers, PT, DPT Center for Sports Medicine and Orthopaedics Owner, Resilience Physical Therapy
Incontinence. Pelvic floor weakness or injury can lead to bladder and bowel control issues, including leakage, constipation, and the need to frequently go to the bathroom.
Pelvic Organ Prolapse. Prolapse occurs when an organ in the pelvis, such as the bladder, uterus, or rectum, drops from its normal position. Women experiencing prolapse may feel bulging tissue or pressure on the vaginal walls.
Pelvic Pain. Pelvic pain describes pain felt in the region below the belly button, and can be triggered by a variety of activities, such as lifting heavy objects, using the restroom, having sex, menstruating, and exercising.
Meagan Moyers, physical therapist and owner of Resilience Physical Therapy, shares, “Common risk factors for PFDs include history of low back pain and hip pain, pregnancy (either vaginal or cesarean delivery), menopause and post-menopause, bowel dysfunction such as constipation or IBS, hysterectomy, participation in highimpact sports such as running or gymnastics, or sports requiring heavy lifting such as cross-fit. For men specifically, history of prostate cancer or prostatectomy are common conditions that pelvic floor physical therapy addresses.”
Pelvic Floor Physical Therapy
Pelvic floor therapy is a specialized sector of physical therapy designed to treat PFDs in individuals of any age. Those receiving pelvic floor therapy can expect to discuss a history of health, individual goals, and learn about the pelvic region and its relation to the rest of the body. Pelvic floor therapists are trained in assessing the muscles, nerves, and tissue in and around the pelvic region. “We are treating the pelvic floor as part of the whole person and how the whole body functions together,” says Moyers. Kegels, or Kegel exercises, are what might come to mind for many when thinking about pelvic health. These are popular exercises that aim to strengthen pelvic floor muscles to recover from PFDs, prepare for childbirth, or to improve sexual health. Moyers notes that Kegels are only one option in a diverse array of treatment options for pelvic health. “Kegels may be right for some people in an individualized approach, but oftentimes the pelvic floor is already holding too much tension, and we need to train the muscles how to relax,” she explains. Working with a pelvic floor specialist ensures that you can develop a treatment plan tailored to your unique needs.
Pelvic Floor Health and Aging
Physical needs evolve throughout an individual’s life, and pelvic-related needs are no exception. As we age, pelvic floor muscles – like other muscles in the body – become less plump, mobile, and may potentially decrease in strength, due in part to hormonal influences. Living with discomfort from PFDs, however, is not something every individual must face.
Dr. Westner says, “Most feel that leakage is a normal part of aging, but that is simply not a true statement. Constipation and pain with sexual activities are other areas that patients tend to accept as being a normal part of aging. These are all areas in which we, as pelvic floor therapists, can step in and make a huge impact.”
Maternal Pelvic Floor Trauma
This trauma relates to any pelvic floor problems that can be attributed to pregnancy or childbirth. Expectant mothers can seek pelvic floor therapy to prepare for the most supported labor possible. “The biggest advice I can give is to prepare and set the intention for your birth,” says Dr. Westner. “It’s never guaranteed that your preparation can prevent issues, but it can empower you to make more informed decisions as the time comes.”
In pelvic floor therapy, expectant mothers can practice breathing techniques, labor positions, muscle relaxing, and perineal stretching. Pelvic care
continues in the post-partum period to support recovery from labor and prevent issues down the line. “It’s important that new moms take adequate time to heal and recover,” Moyers adds, “but starting physical therapy within the first six weeks after birth can assist in healing. Each mom’s recovery is individual. We can address any scar tissue as it heals – either from cesarean incision or perineal tearing – through breath work, pelvic floor strengthening, as well as functional strengthening, to help the mother return to activities that are meaningful to her.”
Seeking Support
While seeking help, these providers encourage patients to advocate for their needs. “I always like to point out that the patient has full control over every session, and therefore if an internal exam is not warranted or wanted, they are encouraged to let the therapist know they will not be participating in this aspect of the treatment,” says Dr. Westner. “If you do not feel comfortable with the provider you’re with, asking for another provider that makes you feel more comfortable is perfectly fine.”
“Unfortunately, there is a lot of shame wrapped into these types of issues,” Dr. Westner adds. “We often encourage patients to work through some of that with reputable mental health professionals in our community alongside working with a pelvic therapist.” Since the pelvic floor relates to the func tioning of the whole body, so too can treatment options encompass other physical, mental, and emo tional aspects of well-being.
Moyers concludes, “Pelvic floor issues can be significantly limiting to quality of life, and the more that people start talking about it, the more normalized these is sues will become. Pelvic floor health has long been overlooked and undertreated, and we’re starting to see it become more integrated into the care of men and women of all ages.”
Photo taken by Casey Yoshida for The Scout Guide
Breathe Easy
HOW TO STAY HEALTHY DURING COLD AND FLU SEASON
By Ali Lemmons
With the start of the fall season comes great weather, fun holidays, and good eats. However, sicknesses, like the common cold and the flu, can also come with it. If you’re looking to keep yourself and your loved ones happy and healthy during the cold and flu season, read on to see what local experts have to say on the subject.
Are my symptoms a cold or the flu?
The Common Cold vs Influenza (Flu)
Sneezing
Runny or stuffy nose
Cough
Head & body aches
Sore throat
When is Cold and Flu Season?
The influenza (flu) virus can be found all year long in the United States; however, there is often an uptick in diagnoses during the fall and winter. Usually, an increase in flu activity will begin in October, peak between December and February, and decrease throughout the spring.
The common cold, on the other hand, has an increase in cases in late August and early September, and it usually fades out by March or April.
Fever
Cough
Sore throat
Fatigue
Head & body aches
The Common Cold (Rhinovirus)
Simply put, the common cold is a contagious respiratory infection that can affect your throat, sinuses, and trachea. Over 200 different types of viruses can cause the common cold, though the most common is the rhinovirus. Colds are extremely contagious, and most adults tend to catch two or three colds per year, while children can have four or more.
Influenza (Flu)
The flu is also a contagious respiratory illness, caused by influenza viruses. It can be a mild to severe illness and affect the nose, throat, and lungs. While there are many different kinds of flu viruses, the most common are types A and B.
Protecting Against Colds and the Flu
To increase your chances of dodging the cold or the flu this fall and winter season, it’s necessary to take some precautions:
1. Avoid Close Contact
The easiest way to protect yourself and your family from seasonal illness is to avoid close contact with individuals who are sick. You should also avoid eating or drinking after others when cold and flu cases are on the rise. If you or a family member are sick, keep your distance from others to avoid spreading the virus further.
2. Wash Your Hands
Personal cleanliness will go a long way in your fight to avoid illness. Remember to wash your hands often using soap and water. Specifically, make sure to wash your hands before eating or touching your face to prevent the spread of germs. If soap and water aren’t available, use an alcohol-based hand sanitizer.
3. Keep Clean
Keeping your home clean can be an effective prevention tactic for avoiding illness. Try to clean frequently-touched surfaces like doorknobs, countertops, and handrails. Cleaners like bleach, Lysol Disinfecting Spray, and any cleaners labeled “disinfectant” will help kill cold and flu viruses. If you’re looking to opt for natural cleaners, you can use cleaning agents such as vinegar and hydrogen peroxide.
4.
Get a Flu Shot
While there’s no vaccine for the common cold just yet, flu shots are effective and easy to find. According to the Center for Disease Control, everyone over 6 months of age should get a flu shot every season, with rare exceptions. If you’re interested in the flu vaccine, consult your primary care doctor or stop by a local pharmacy.
Home Remedies for Seasonal Illness
While over-the-counter (OTC) medications (such as pain relievers, nasal decongestants, and cough suppressants) can help manage cold and flu symptoms, there are also different home remedies that can ease discomfort and facilitate a faster recovery:
Drink fluids. Water, clear broths, warms teas, and other fluids can help ease congestion and keep your body hydrated while battling an illness. Avoid alcohol and coffee which can make dehydration worse.
Rest often. The easiest way to help your body recover is by taking it easy. Conserving your energy allows your body to put more effort into healing.
Q. Are there any foods or nutritional habits that can help prevent seasonal sickness or encourage recovery?
A. Incorporating nutrient-rich foods and focusing on healthy habits can support the immune system and help prevent seasonal sickness. Foods rich in vitamin C, like red bell peppers, spinach, and citrus fruitsoranges, lemons, limes, and grapefruit - can help fight infection(s) and support immune function. Lentils and oats are sources of zinc, which is a mineral that aids in the production of infection fighting white blood cells. Including foods with live and active cultures that act as probiotics, like yogurt and kefir, can support the immune system by promoting a healthy digestive tract. During recovery, prioritizing protein-rich foods can support tissue repair and healing. Staying hydrated, getting adequate sleep, and participating in regular physical activity can also support staying well during the cold and flu season.
Renee Lopez, RDN, LDN Scenic City Dietetics
Eat honey. Honey can help suppress coughing in adults and children over 1 year of age. You can add honey to hot teas and water to ease discomfort.
Gargle with salt water. Gargling with salt water can relieve a sore throat for short periods of time. Add anywhere from ¼ to ½ teaspoon of salt to 8 ounces of warm water.
While colds and the flu usually heal over time, in some instances it may be necessary to see a doctor. If you have difficulty breathing, chest pain, or have worsening symptoms for more than 10 days, make an appointment with your primary care provider or head to a walk-in clinic.
Q. How do colds and the flu affect children differently than adults? Are there specific ways to keep children healthy during cold and flu season?
A. Viral illnesses can be very bothersome for both children and adults, though there are some differences between the two. Nasal congestion can be a real problem for infants, causing difficulty breathing while feeding. Humidifier use, nasal saline, and suctioning can be very helpful to relieve congestion. Children commonly run higher fevers with colds/flu, which is a healthy response in otherwise healthy children 3 months and older.
Adults may take decongestants, cough suppressants, or expectorants during illness, but these medications are not recommended for children under 6 years of age. Honey is a great option for treating cough/sore throat in children over 1 year of age.
As always, frequent handwashing, a healthy diet with plenty of vitamin C, and adequate rest are great ways to stay healthy during cold and flu season.
Crissy Collins, FNP NiteOwl Pediatrics
Q. With such similar symptoms, how can one tell the difference between a cold and the flu?
A. The common cold and the flu may present with similar symptoms. Though symptoms caused by influenza may sometimes vary depending on the strain and other factors, usually the symptoms caused by influenza are more severe. The key difference between the two is that the symptoms caused by influenza usually come on much more abruptly. The common cold often starts with something like a runny nose and/or a slight sore throat and may gradually progress over a few days. With influenza, the classic or typical presentation is that a person feels fine one minute, and within a few hours they have significant fever, body aches, and a headache that can be quite severe at times.
James Newby, DO Erlanger Primary Care
Navigating Personality Disorders in Relationships
Apersonality disorder is a mental health condition in which people have a lifelong pattern of seeing themselves and reacting to others in ways that cause problems. Individuals with personality disorders often have a hard time understanding emotions, dealing with stress, and may have unusual beliefs and behaviors. They also may seem inconsistent, confusing, and frustrating to the people around them.
By Kristen Dee
Personality disorder classifications have evolved and continue to as more research is done to understand them. Currently, there are 10 types of personality disorders recognized in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revised (or DSM-5-TR). These are categorized into clusters: Cluster A (“odd-eccentric”) includes paranoid, schizoid, and schizotypal personality disorders; Cluster B (“dramatic-emotional-erratic”) includes antisocial, borderline, histrionic, and narcissistic personality disorders; and Cluster C (“anxious-fearful”) includes avoidant, dependent, and obsessive-compulsive personality disorders. Roughly 9% of adults in the U.S. have a personality disorder of some kind, and personality disorders are considered underdiagnosed as they often present as depression or anxiety rather than a personality disorder. Signs and symptoms usually start to appear during late adolescence or early adulthood, but sometimes appear sooner.
A personality disorder diagnosis requires a persistent pattern of two or more of the following traits:
• Cognition (ways of perceiving and interpreting self, others, and events)
• Affectivity (range, intensity, lability, and appropriateness of emotional response)
• Interpersonal functioning
• Impulse control issues
• A persistent pattern of maladaptive traits that causes significant distress or impaired functioning in social, occupational, and other important areas
• The pattern is stable and has an early onset (traced back to at least adolescence or early adulthood)
Research suggests that personality disorders are usually caused by a combination of genetics, environment, and life experiences. Signs and symptoms of personality disorders can vary, both from person to person and disorder to disorder. For example, someone with narcissistic personality disorder may require constant attention and admiration, be highly critical of others, and withdraw from situations in which they may fail. Someone with borderline personality disorder may act impulsively, have intense feelings in relationships, and experience difficulty controlling their emotions. While symptoms vary, many individuals with a personality disorder will also deal with depression, anxiety, and substance abuse.
Personality disorders are often difficult to treat. However, as science has come to better understand personality disorders, new treatments and therapies are being utilized with success. Psychotherapy is considered the best approach to treatment, with the goals of understanding the interpersonal problems, reducing distress, decreasing maladaptive and undesirable behaviors, and modifying problematic personality traits. Various therapies can be used to treat personality disorders, including:
In addition to these forms of therapy, art therapy and equine therapy have also been shown to have a positive impact. Along with individual therapy, self-help groups and family therapy can also be quite impactful, as family members and friends can act in ways that either reinforce or diminish the patient’s maladaptive behaviors or thoughts, and they can be allies in treatment. While there are no medications specifically used to treat personality disorders, some antidepressant and antianxiety medications or mood stabilizers can assist in treating symptoms. In addition to therapies and medications, selfcare and coping strategies can be
helpful. This includes being active, avoiding harmful substances, joining a support group, and engaging in stress-management strategies. A research study published in 2023 asked participants with diagnosed personality disorders to share their life stories before and after undergoing therapeutic treatment at a psychotherapeutic treatment center. While experiences varied, prior to treatment participants most commonly wrote about difficulty communicating and relating to others, a lack of quality in relationships, feelings of isolation, and poor coping mechanisms amongst other challenges. Post-treatment, these experiences were reframed in the life stories and patients were able to report a higher sense of control in their own lives.
As a result of these common challenges with self-identity and interpersonal functioning, personality disorders can affect an individual’s close relationships in a variety of ways. Professional help and a support system help individuals with personality disorders manage their symptoms and address the issues that they may be facing. Here, we speak to local mental health professionals about how personality disorders may affect relationships and ways to navigate these challenges.
How can personality disorders affect relationships? Personality disorders can deeply impact relationships by causing difficulties in communication, trust, and emotional connection. Individuals with these disorders might struggle with managing emotions, handling conflicts, or maintaining stable behaviors, which can lead to misunderstandings, frequent arguments, and emotional strain. The unpredictability and intensity of symptoms can create an environment of instability, making it challenging for both partners to feel secure and supported. However, with understanding, proper boundaries, and professional support, it’s possible to build healthier, more resilient relationships. –Lauren Hall
While personality disorders can vary greatly, what are some general tips in navigating a relationship with a loved one who has a personality disorder? Navigating a relationship with someone who has a personality disorder requires patience, empathy, and clear communication. Educate yourself about the disorder to better understand their perspective. Establish healthy boundaries to protect your own well-being while also being supportive. Encourage your loved one to seek professional help and consider therapy for both of you to learn coping strategies. Practice self-care and remember that it’s okay to seek support for yourself. Open, nonjudgmental communication is key to managing challenges and maintaining a strong relationship. –Lauren Hall
If I have been diagnosed with a personality disorder, what are some ways to care for myself? A diagnosis is important to understand. It’s not an identity but a label for a set of symptoms. Keeping this in mind will help with taking care of yourself. Try to have as much self-compassion as possible and curiosity about your symptoms; learn how you respond to perceived abandonment and rejection. Most importantly, take great care in building a support system, which should include a deeply compassionate therapist, surrounding yourselves with loved ones who accept you for who you are, consulting a psychiatrist to help manage symptoms, and developing hobbies and routines to foster a healthy self-esteem and identity. –Erin Rayburn
How can I support a loved one with a personality disorder?
Living with a loved one with a personality disorder can be difficult, but you have to really understand your own boundaries so you can maintain a compassionate perspective. If you start losing compassion, that’s a good sign to check in on where your boundaries are. Overall, be careful to not judge a person because of a set of symptoms. Remember, this is their journey in life, and it’s not your job to fix them. Consider seeking your own support through therapy in order to understand how to manage the dynamics and respond to your loved one when life gets difficult. –Erin Rayburn
How can various therapies help individuals treat and manage personality disorders? Dialectal Behavioral Therapy (DBT) is most often indicated for disorders that fit in the borderline personality category, as well as medication depending on the recommendation of the treating clinician. Other personality disorders can be treated with various forms of psychotherapy, including cognitive behavior therapy or group therapy, as well as various medications depending on the specific diagnosis. The important thing to remember is that while we can be hurt by someone who has a personality disorder, only the treating clinician of that person and that person can determine the appropriate diagnosis and treatment plan. –Dr. Tyler Rogers
How can personality disorders affect close relationships? There are several different personality disorders, and the way in which they affect relationships can vary depending upon the disorder. The “Cluster B” type (borderline, narcissistic, antisocial, histrionic) of personality disorders can make relationships challenging in a few ways and are probably most often discussed regarding relationships. Whether someone has a few traits or characteristics of these disorders or the full disorder, each can make relationships feel controlling, chaotic, and even intoxicating at times. It is not unusual to feel drawn to some of the aspects of these disorders, such as being idealized by the person, only to later feel the pain of begin devalued or hurt without remorse. –Dr. Tyler Rogers
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ANNUAL SPE C IAL SECTION
Women’s Health
When life gets busy, it can be easy to let health fall low on your list of priorities. But paying attention to how you feel and making time for annual checkups and screenings can help you stay informed about your health. In this section, we highlight common health concerns for women and the cutting-edge treatments available to help. Make sure there’s room in your schedule to take care of yourself!
By Rachel Studebaker
An Expert Weighs In
“Unexplained pain, pressure, and swelling in the upper and lower extremities is not normal and can be related to a problem with the circulation system. The venous side of the circulation brings blood back to the heart from the extremities. A blockage narrowing or constriction of the venous system reduces blood flow in the extremity and can cause severe symptoms. Vascular surgeons are the specialty that are trained to diagnose and treat arterial and venous conditions.”
Chris LeSar, MD, FACS, RVT Vascular/Endovascular Surgeon, Vascular Institute of Chattanooga
Venous Compression Syndromes
Innovations in imaging and treatment techniques are improving outlooks for individuals with venous compression syndromes.
Understanding Venous Compression Syndromes
Venous compression syndromes occur when veins are compressed by surrounding structures, leading to impaired blood flow. Common types include May-Thurner Syndrome (iliac vein compression), Nutcracker Syndrome (renal vein compression), and Thoracic Outlet Syndrome (subclavian vein compression).
Causes and Symptoms
These conditions can be caused by anatomical variations or abnormalities or external factors like tumors, cysts, or scarring. Women are up to five times more likely to develop May-Thurner Syndrome, and genetic predisposition and family history also play a role in determining risk.
Symptoms include swelling, pain, or heaviness in the affected limb; varicose veins or venous ulcers; and blood clots, deep vein thrombosis (DVT), or chronic venous insufficiency (CVI).
Treatment Options
A clinical evaluation can assess and diagnose venous compression syndromes using innovative imaging techniques. These include:
• Duplex ultrasound, a non-invasive option that assesses blood flow and vein anatomy
• CT or MR venography, advanced imaging systems for detailed visualization of venous structures
• Intravascular ultrasound (IVUS), an invasive technique that provides real-time imaging inside the veins
Once diagnosed, there are many options available to treat these conditions. Conservation management can involve lifestyle modifications, compression stockings, and anticoagulation therapy. Endovascular treatments include angioplasty and stenting – minimally invasive procedures to open the compressed veins – and thrombolysis – medication to dissolve blood clots in cases of thrombosis. For some patients, surgical intervention may be recommended. Decompression surgery can remove the compressing structures and in severe cases, bypass surgery can create new pathways for blood flow.
Outlook
Long-term care includes monitoring with follow-up imaging and ongoing management of underlying conditions to prevent recurrence. Early diagnosis and intervention can prevent complications like CVI, recurrent DVTs, or pulmonary embolism and improve the quality of life with timely and appropriate treatment.
At the Vascular Institute of Chattanooga (VIC), we offer state of the art diagnostic tools, including ultrasound and advanced imaging techniques, to accurately identify venous compression syndromes.
Expertise & Choose Expertise & Compassionate Care Compassionate Care Our team of vascular specialists is highly experienced in diagnosing and treating venous compression syndromes. With our patient-centered approach, we focus on providing long-term relief and improved quality of life.
An Expert Weighs In
“Our comprehensive, dedicated team provides care for the whole patient, from state-of-the-art imaging to complex surgery to needed support services. A patient with breast cancer who is under the care of a well-coordinated team receives prompt care, is more likely to complete therapy, and is generally more satisfied with care. Receiving reaccreditation from NAPBC and being the only accredited program in the area highlights Erlanger’s dedication to improving care for women in our community.”
Beth Snell, MD
Medical Director, Erlanger Center for Breast Health
Fellowship-Trained Breast Surgeon
Accredited Breast Centers
These medical centers have been evaluated to ensure the best in breast care.
Understanding Breast Cancer
According to the American Cancer Society, breast cancer is the most common cancer in women in the United States, accounting for 1 in 3 new cases of female cancer each year. Though common, breast cancer is highly treatable when caught early, and innovations in breast cancer screening and treatment are improving outcomes. Medical centers that specialize in breast health, or breast centers, can provide screening and diagnostic services such as mammograms and biopsies, as well as treatment for patients with breast cancer.
Accreditation
The National Accreditation Program for Breast Centers (NAPBC) is a program administered by the American College of Surgeons and provides accreditation to qualified breast centers in the United States. According to the NAPBC, accreditation is “granted only to those centers that are voluntarily committed to providing the best possible care to patients with diseases of the breast.” To ensure these standards are met, breast centers are evaluated and reviewed by the NAPBC prior to accreditation and undergo an on-site review every three years to be reaccredited. These breast centers have access to information about ongoing trials and new treatment options, and together with the NAPBC, work to promote cancer prevention and education and deliver comprehensive, quality care.
Benefits to Patients
The NAPBC’s high standards for accreditation ensure that patients of accredited breast centers are receiving the best in breast care. Patients can benefit from the convenience of access to a full range of state-of-the-art services at one location, as well as a multidisciplinary approach to coordinating the best treatment options.
An Expert Weighs In
“Peptides play a pivotal role in functional medicine and have revolutionized the landscape. Inherent to peptides is the ability to mimic natural biological processes, making them invaluable for treating a range of conditions, from hormone imbalances to reduced skin elasticity. At Designer Drugs pharmacy, we offer several compounded peptide therapies available by prescription, as well as several skin-enhancing peptides available for purchase without a prescription. Customizable and precise, compounded peptides provide patients and providers with tailored treatments designed for the individual patient.”
Tanya Manoni, BSChem, PharmD, FAAMM
VP Pharmacy, Designer Drugs
Peptides
Products containing peptides boast a wide range of health benefits.
Understanding Peptides
Peptides are made up of amino acids, the same molecules that form proteins. However, unlike proteins, peptides consist of short chains of less than 100 amino acids. The body produces thousands of different peptides to support important functions, ranging from hormone regulation and immune response to skin and cardiovascular health.
Benefits
Because of these many functions, peptides have been incorporated into prescription medicines, oral supplements, and products to boost skin, hair, bone, and muscle health and treat certain conditions. In fact, there are currently more than 100 FDA-approved peptide drugs in use in the United States. Common peptides found in medications include oxytocin to treat depression; sermorelin to enhance growth hormone levels; bremelanotide to treat hypoactive sex drive; and semaglutide and tirzepatide, which comprise leading weight loss drugs.
Peptides in Skincare
Peptides are the building blocks for proteins important to skin health, including collagen and elastin. Skincare products containing peptides can promote the production of these proteins, and most often come in the form of serums and creams. These products can strengthen the skin barrier, reduce fine lines and wrinkles, ease inflammation, and create firmer, younger-looking skin.
Two common peptides found in skincare are copper peptide, which is a carrier peptide and has anti-oxidant properties, and acetyl-hexapeptide-8, a neurotransmitter inhibiting peptide, boasting “Botox-like” effects. There are also peptides that signal the production of collagen, and peptides that inhibit the breakdown of collagen. In addition to enhancing skincare, some peptides can even promote hair growth when used as a scalp serum, leading to thicker and healthier hair.
Genitourinary Syndrome of Menopause
This condition affects the majority of postmenopausal women, but treatment options can offer relief.
Understanding Genitourinary Syndrome of Menopause
In the years leading up to menopause, known as perimenopause, estrogen levels begin to decrease and continue this decline into postmenopausal years. This drop in estrogen can cause the lining of the vagina to become thin, dry, and prone to irritation, a condition known as Genitourinary Syndrome of Menopause (GSM).
The first and most common sign of GSM is vaginal dryness, which can be accompanied by burning, itching, and pain during sex. Urinary tract symptoms may also occur, which include frequent urination, urgency, incontinence, and recurring urinary tract infections (UTIs).
While GSM can affect women of any age with low estrogen levels, it most commonly affects postmenopausal women. Approximately 65% of women experience symptoms of GSM one year after menopause, a percentage that increases to 84% after six years. GSM is a progressive condition, meaning symptoms will worsen with time if left untreated.
Treatment Options
Thankfully, treatment options can provide relief. Low-dose vaginal estrogen therapy is considered the most effective treatment option available, as it can restore the thickness and elasticity of vaginal tissue, increase natural lubrication, and prevent UTIs. Vaginal estrogen is available as a cream, tablet, ring, or vaginal insert, and has been proven to be a safe method with minimal to no impact on the rest of the body.
Nonhormonal options are also available. Lubricants are a short-term solution for dryness while moisturizers can be regularly applied for longer lasting relief.
Outlook
With an appropriate treatment plan, women suffering from symptoms of GSM can find relief. If you are noticing signs of GSM, consult with your medical provider to discuss your symptoms and determine which treatment option is right for you.
An Expert Weighs In
“Women often feel embarrassed to bring up GSM symptoms to their provider. Women over 45 should be asked about these symptoms at every visit. By doing this, we normalize the symptoms and are able to educate them on what they can anticipate through their menopause transition. I find that women are often surprised to learn that GSM is a problem even outside of sexual activity – so it is critical to also screen patients who are not sexually active.”
Lauren Barlew, WHNP-BC, NCMP Owner, Lotus Center for Women
An Expert Weighs In
“Endometriosis is an insidious disease that can start with severe pain as early as 1-2 years after a young lady starts her menstrual cycle. We are talking about 16 years old. The problem is that society has normalized this monthly pain and brushes it off as immaturity or just an over-the-top female, and goes with the ‘suck it up buttercup’ attitude! These ideas are not medically true, and no one needs to be ignored when pain is disrupting your life at any age.”
Shevonda Sherrow, MD OB-GYN, Innovative Women’s Health Specialists
Endometriosis
This condition can cause chronic pain and 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. This 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 Yale Medicine, endometriosis affects up to 10% of women of reproductive age and is behind at least 50% of pelvic pain cases in women.
Risk Factors
While the exact cause of endometriosis is unknown, 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.
Effects of Endometriosis
Women with endometriosis may experience painful menstrual cramps, abnormal or heavy periods, infertility, and other gastrointestinal problems. Endometriosis is also a major cause of infertility, which affects 30 to 50% of women with endometriosis. In some cases, infertility may be temporary, and surgery to remove scar tissue can restore reproductive facilities.
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. 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.
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
Periodontal Health Through the Years
Fluctuating hormones in women of all ages can impact gum health.
Understanding Periodontal Health
Periodontal diseases are the result of inflammation and infections of the gum and bone that support the teeth. When the gums first turn swollen and red, it’s called gingivitis. If left untreated, this can evolve into periodontitis, a more serious gum infection that damages soft tissue and dental bone.
Women are especially prone to gum disease due to changes in hormones like progesterone and estrogen, which regulate the menstrual cycle. These hormones increase blood flow to the gums, making them tender and delicate. As gums become more sensitive, bacteria are more likely to grow beneath the gums and around the teeth.
Puberty. During puberty, girls experience an increased level of progesterone and estrogen, which can increase gum sensitivity. Orthodontic treatments, such as braces, can make the condition even more difficult to manage.
Menstruation. Many women experience menstruation gingivitis during their monthly cycle. This usually occurs a day or two before the start of your period and clears up once the period begins. Symptoms include bright red and swollen gums and sores in the cheek.
Pregnancy. Pregnant women have a higher risk of gum disease due to rising hormone levels. Gingivitis is common from the second to eighth month of pregnancy. Because oral infections can pose a health risk for the baby, it’s important for pregnant women to have regular periodontal evaluations.
Menopause and Post-Menopause. Women who are menopausal or post-menopausal are susceptible to periodontitis, due to age-related changes in the mouth, hormone fluctuation, and medications taken to combat certain diseases. You may experience discomfort in the mouth, burning sensations, and altered taste. Menopausal gingivostomatitis – where gums look dry and shiny, and are abnormally pale – is also common.
Prevention
The best way to prevent gum disease is to practice healthy periodontal habits. Brushing twice a day with a toothpaste containing fluoride, flossing every day, and visiting the dentist twice a year can help you stay on top of potential gum issues. Your dentist can address any specific concerns and provide further advice.
•
• NO
• NO pre-existing conditions or
• NO waiting periods
Robert and Mandy Shearer, D.D.S.
Dynamic Neuromuscular Stabilization
This rehabilitative technique can benefit women suffering from lower back pain and pelvic floor dysfunction.
Understanding Dynamic Neuromuscular Stabilization
Dynamic Neuromuscular Stabilization (DNS) is a rehabilitative technique designed to restore and optimize locomotor function. This concept was created by the Prague School of Rehabilitation and centers on developmental kinesiology, which refers to the motor control that is developed in the first years of life, and the role it plays in establishing and restoring proper movement patterns. DNS can address musculoskeletal conditions and improve movement quality through exercises that focus on stabilization and coordination between muscle groups.
What to Expect
Early movements are a foundational part of these rehabilitative exercises. During therapy, patients may mimic developmental positions that occur in the first year of life, such as crawl-
ing, squatting, and various other stabilizing positions performed while sitting or lying down. Therapists may also incorporate breathing exercises to engage targeted muscles. DNS exercises emphasize the activation of core muscles, such as the diaphragm and pelvic floor, to help reprogram the body to optimize movement.
Benefits to Patients
Among other uses, DNS can be integrated into rehabilitative treatment plans to benefit individuals experiencing lower back pain or pelvic floor dysfunction – both common conditions that affect women more prevalently, with 1 in 3 women experiencing pelvic floor dysfunction at some point in their lifetime. DNS exercises and breathing techniques can help stabilize weak lower back and pelvic floor muscles, leading to relief from pain and symptoms of dysfunction and improved overall movement.
An Expert Weighs In “Change your life by focusing on proper breathing technique. Breathing through your nose into your belly rather than your chest can help release a lot of tension throughout your body.”
Callie Lance, DC, MS, CCSP, ART Owner/Chiropractic Physician, Chattanooga Sports Chiropractic Institute, PLLC
Chiropractic Manipulations
Cupping Therapy
Dry Needling Therapy
Rehabilitation Exercises
Extremity Manipulations
Soft Tissue Therapy
Strength Programming
Individualized and One-on-One Treatment
An Expert Weighs In
“Neurofeedback is a powerful tool for reducing anxiety by retraining the nervous system to achieve and maintain a state of calm. At TN Neurofeedback, we offer highly personalized brain mapping and neurofeedback, allowing our clients to experience lasting relief as their brains learn to stay regulated. Our clinic is dedicated to providing best-in-class care, helping adults and children find balance and peace in their daily lives.”
Kelsi Ray, BCN, MMFT, QEEG-T General Manager, TN Neurofeedback
Neurofeedback
This innovative treatment option can help relieve symptoms of anxiety.
Understanding Neurofeedback
Neurofeedback is a form of therapy that regulates brainwave patterns by reinforcing healthy brain function. This noninvasive process is safe for all ages and trains the brain to self-regulate by rewarding optimal activity and gradually eliminating dysregulation. By teaching the brain to regulate its stress response, neurofeedback can help reduce feelings of anxiety and promote a sense of calm and relaxation. Neurofeedback can also treat depression, PTSD, insomnia, chronic stress, ADHD, and more.
What to Expect
First, qEEG brain mapping will be used to identify dysregulated brain areas. During this assessment, a cap with sensors will be placed on your head to record brainwave activity. This data is then used to develop a personalized treatment plan.
Each neurofeedback treatment session typically lasts 30 minutes, during which you will be connected to sensors that monitor your brainwave activity as you either listen to calming music with your eyes closed or watch a TV show. These sensors pick up on patterns and changes in your brainwaves, which are then translated into positive reinforcement for your brain in real time. When your brain activity reaches the desired range, you are rewarded with pleasant tones or screen fading to encourage your brain to continue producing healthy, regulated waves.
Many patients report feeling calmer and more in control of their mood within several sessions, results that increase as the brain rewires itself to naturally function at an optimal level. 40-60 sessions are generally recommended in order for the brain to hold lasting change.
Benefits to Patients
In addition to relieved anxiety, benefits include improved focus and concentration, better sleep, enhanced mood, and increased cognitive function. These effects are long lasting and often permanent, even after treatment ends.
When life gets stressful, our brains adapt to help us survive difficult times. As a result, we often get stuck in long term patterns like anxiety, depression, or hypervigi lance that are no longer serving us well.
Neurofeedback heals the mind by training the brain. While you relax, your brain learns to maintain a healthy, calm baseline.
Our Process
1. Brain Mapping. Identify dysregulation in your brain and learn how that causes the symptoms you face.
2. Neurofeedback Sessions. Noninvasive brain training rewires your brain to function in a healthier way.
3. Follow up. Re-map your brain and review objective data about how your brain has healed itself.
TN Neurofeedback is a team of board-certified neurotherapists who have specialized in treating trauma, ADHD, anxiety, and sleep issues for 8 years in Nashville. At the start of 2024, TN Neurofeedback opened in Chattanooga, expanding access to expert, convenient neurofeedback.
Call us at 615.290.8798 or visit tnnfb.com to schedule a free consultation!
E 4th
Suite 200 | info@tnnfb.com
In Vitro Fertilization
This fertility treatment can help women conceive.
Understanding In Vitro Fertilization
In vitro fertilization, most commonly known as IVF, refers to a series of procedures designed to assist couples and women experiencing infertility. Fertility problems affect 9% of men and 11% of women of reproductive age in the United States and can be caused by conditions such as low sperm count, polycystic ovary syndrome (PCOS), and endometriosis. By removing and fertilizing eggs in a laboratory setting, IVF increases the chance of pregnancy.
What to Expect
Ovulation induction. First, you will take fertility medication for around two weeks, which will help the ovaries produce multiple mature eggs that are ready for fertilization.
Egg retrieval. These eggs are then removed from the ovaries during a minor surgical procedure.
Insemination. In a lab, these eggs are mixed with sperm cells from a partner or donor. Fertilized eggs, or embryos, are then evaluated to determine which are most likely to result in
pregnancy. These embryos are then frozen, or in some cases, prepared for transfer three to five days after retrieval. Embryo transfer. When the patient is ready for embryo transfer, the embryos will be thawed, if frozen, and then one or more will be placed in the uterus to develop. When an embryo implants into the lining of the uterus, pregnancy has successfully been achieved.
From initial consultation to embryo transfer, a typical IVF process can be completed within three months. If IVF is not successful on the first try, additional rounds can be completed.
Outlook
Thanks to IVF, over 10 million babies have been born around the world. This option offers one of the highest success rates of fertility treatments in the shortest period of time, and current research aims to further improve these numbers. Because every body is different and IVF success rates differ based on factors such as age and cause of infertility, consult with your doctor to determine whether IVF is right for you.
An
Expert
Weighs
In “IVF is the most powerful fertility treatment we have, it gives the best chance to overcome even the most severe causes of infertility. It allows us to help prevent passing on genetic conditions that can cause suffering and shortened lifespan to a child, or miscarriage for the mother. IVF also helps women who need to delay childbearing for health or personal reasons to freeze their eggs and have children at a later time.”
Jessica Scotchie, MD Co-Founder & Practice Director, Tennessee Reproductive Medicine
An Expert Weighs In
“A pelvic floor therapist should provide you with a comprehensive plan to address bladder, bowel, sexual, and tissue health to ensure your symptoms resolve quickly. This allows coordination of your pelvic floor to go smoothly and work efficiently with the rest of your body as you move and continue to do the things you love most.”
Erin Westner, PT, PRPC Owner, The Pelvic Method PLLC
ANNUAL WOMEN’S HEALTH SECTION
Pelvic Floor Health During Perimenopause
Pelvic floor therapy can help treat common symptoms that occur during perimenopause.
Understanding Perimenopause
Perimenopause refers to the time leading up to menopause, typically beginning in a woman’s 40s. During this time, estrogen levels begin to decline and can contribute to changes in the body, including the pelvic floor – the muscles that control bladder and bowel function. Pelvic floor dysfunction occurs when these muscles weaken and no longer function normally, and it is a common symptom of perimenopause. Complaints related to pelvic floor dysfunction include bladder and bowel issues including urgency, frequency, leakage, incontinence, and constipation, as well as pelvic pain and pain during sex. These symptoms can become disruptive to daily routines and negatively affect a woman’s quality of life.
Pelvic Floor Therapy
Thankfully, options such as pelvic floor therapy can help treat these issues. This specialized kind of physical therapy focuses on relieving symptoms of pelvic floor dysfunction through a comprehensive approach. Prior to treatment, your therapist will discuss your symptoms, assess the current condition of your pelvic floor, and develop a personalized treatment plan to meet your goals. Therapy sessions will include pelvic floor strengthening exercises, as well as education on vulvar health and keeping tissues healthy.
Outlook
Adhering to a pelvic floor therapy plan can relieve pain, restore bladder control, and end disruptions to daily life as each session gradually strengthens the pelvic floor. Through consistent physical therapy, perimenopausal women can find relief from pelvic floor dysfunction and enjoy a better quality of life.
At The Pelvic Method, we specialize in Pelvic Health Physiotherapy to address your unique needs. Our experienced team, led by owner, Dr. Erin Westner with over 13 years in the field, offers personalized care to guide you toward lasting solutions.
You Can Expect
Personalized Care
You will receive a full 60-minute evaluation and 60-minute follow-up sessions, ensuring each treatment plan is tailored specifically to your needs.
One-on-One Sessions
We provide one-on-one sessions to guarantee quality care and help you meet your personal health goals.
Holistic Approach
Our stress-free environment and comprehensive treatment plans address the whole body, ensuring lasting results and a positive experience.
personal growth
PHOTO BY DAVID AND DREW PHOTOGRAPHY
Her Story
Missy Elliott on the Power of a Moment
“Life is what happens to us when we are busy making other plans.” This quote, made famous by John Lennon, sums up my last two years. Just when you think your life is going one way, the universe throws you a fast curveball that completely changes your life’s trajectory and steers you in another direction.
Spoiler alert, it’s good.
In October of 2022, life was good at the Elliott house. Our oldest son J.Y. was well into his semester at the University of the South studying abroad in Spain, and our youngest son Boon was enjoying his first semester at The University of Georgia. My husband Jay and I were making lists of things we planned to do as new empty nesters. Enter life.
On October 14, Jay suffered a sudden cardiac death while standing by his desk at Kenco Logistics. His heart went into ventricular fibrillation (VF), and he collapsed. His coworker, Jennifer Banker, heard him fall and immediately called for help. Another coworker, Natalie Baker, called 911, and the operator began talking her through CPR. Within
minutes, another coworker, DJ Lane, took over CPR and, for the next 13 minutes, kept Jay alive until Chattanooga Fire (including the Quint 10 truck and Lieutenant Tiffany Bird) and EMS arrived. An AED was used, and Jay was transported to the Erlanger ER. He was sedated, put on a ventilator for the next 24 hours, spent two days in the cardiac ICU, and then spent five days in the cardiac step-down unit. He came home with a pacemaker/defibrillator that will be his life preserver in case this ever happens again. The survival rate of VF is extremely low – it’s a miracle Jay is alive. Cardiologist Dr. Harish Manyam determined Jay’s issue was electrical, and he’s been with us every step of the last two years.
Photography by David and Drew Photography
There were so many miracles that happened on October 14, but I want to highlight one – U.S. Military Veteran DJ Lane. When the call went out for help, DJ acted quickly and decisively, putting all his military training to work. He’s the angel that saved Jay’s life. Firefighters told me that it is because of DJ that Jay is alive.
Fast forward. In February of 2023, Boon started an organization called Life Preserver. Its mission is to raise money for the purchase and installation
of AEDs in Greek houses, as well as to provide basic CPR training. To date, Life Preserver has installed approximately 25 AEDs and coordinated numerous CPR trainings. Their grandfather, a retired surgeon, Dr. William F. Johnson has gotten in on the project too, by teaching numerous community CPR/AED classes. Our lives forever changed on October 14. Jay now has two birthdays, and I am quicker to say “I love you.” I don’t mind slowing down to be with loved ones, and I
recognize that life is not in my control – and that’s okay! There is a freedom in knowing that when the curveball comes, I can move and pivot in another direction.
But … there is a twist to my story. On Monday, February 26, 2024, myself and fellow rowing coach Kace Allen were on a run along the Tennessee Riverwalk with the Chattanooga Junior Rowing team when we saw a woman collapse. Kace (also a Chattanooga Firefighter) and I quickly called 911, and he began CPR
until the Fire Department and Hamilton County EMS arrived. Within minutes, the AED was used, and the woman was transported to the hospital. It was hard for me to watch without thinking of Jay. Fast response and quality CPR, along with an AED, saved her life.
While events were happening, I looked at the number of the fire truck – 10 – and asked the lieutenant her name – Tiffany Bird. Life came full circle: this was the crew that saved Jay’s life. I introduced myself, and she immediately remembered the call. We hugged, and I cried! I had always hoped to meet this crew, so it was really special.
And the woman that collapsed? Her name is Amy Young, and she’s doing great! Social media connected us, and she has been able to meet and hug her angels.
These two stories intersect in a series of coincidences, but they have the same powerful message. Take the time to learn quality CPR and to use an AED, be quick with “I love you,” and embrace life when it comes.
Missy Elliott
Chattanooga
Budgeting for the Holidays
By Tory Irmeger
If you’re struggling to stick to a financial plan when the holiday season rolls around, you’re not alone. One 2023 study by LendingTree estimates that over 30% of Americans go into debt during the holidays. As your list of loved ones grows, so too can the stress of deciding how much money to set aside for gifts. Here, we overview how to make the most of the giving season without breaking the bank.
Set a Limit
When creating a budget for holidays and special occasions, it’s the intention that counts. Experts suggest setting aside 1-2% of your annual income for gifts. For example, with an annual income of $35,000, one might reserve around $500 to purchase gifts throughout the year. As you make adjustments to this guideline, consider the number of people you would like to buy gifts for and how much you’re comfortable spending per person.
Make a List, Check it Twice
Even after creating a budget, it’s easy to lose track of spending in the hustle and bustle of holiday season. Document your expenditures as you shop, whether you use a budgeting app, a spreadsheet, or pen and paper. Planning gifts ahead of time can also alleviate last-minute stress and allow time to hunt for the best deals. By setting a financial limit and sticking to it, you make a promise to yourself and your loved ones not to overreach during this season and instead allow more time to enjoy the holidays stress-free.
Gift Tiers
Whether searching for affordable presents or saving up for something special, here is a range of gift ideas to help you plan for this holiday season:
BUDGET-FRIENDLY
Eat: Homemade baked goods or drink mixes
Experience: Secondhand books, movies, music, puzzles, or games
Entertain: DIY personalized ornaments, photo album, or décor
SMALL SPLURGE
Eat: Basket of assorted consumables (cheeses and jams, sauces, oils, spice mixes, hot cocoa, coffee, and tea)
Experience: Plan a picnic, dinner date, or class to take with your loved one
Entertain: Decorative or seasonal serveware, wine/cocktail glass sets, personalized linens and towels
ALL-OUT
Eat: Yearly subscription for a favorite food
Experience: Save for an extended getaway or concert
Entertain: A custom piece by a local artisan or craftsperson
Time Management Tips
Whether you’re in school, have a full-time job, or just need to get stuff done, proper time management is key to professional success and personal achievement. Unfortunately, due to distractions, feelings of burnout, and overwhelming tasks, it can be hard to manage your time well. Here, we discuss three different time management strategies to encourage a more productive and stress-free life.
By Ali Lemmons
Task Batching
Task batching is a popular time management strategy. Batching involves grouping similar tasks so that you can work on them at the same time. First, you should list out everything on your to-do list. This can be by the day or by the week, depending on your preferences. Then, separate your tasks into large projects and smaller items. From there, categorize your tasks into different groups, like communication, research, editing, and more. Finally, you can begin to organize your schedule by groups of batched tasks.
Time Blocking
Time blocking is another time management strategy where you schedule every single part of your day. By dividing your day into specific time blocks that are designated to particular tasks, you can increase focus and prevent unnecessary distractions. This can be on a physical or digital planner, as long as it’s something you can visually understand.
For example, your Monday morning may look like this:
Breakfast: 8:30 – 9 a.m.
Emails: 9 – 9:30 a.m.
Client calls: 9:30 – 10:30 a.m.
Meeting with boss: 10:30 a.m. – 12 p.m.
Lunch: 12 – 1 p.m.
Time blocking allows you to focus on specific tasks at specific times. This can limit distractions and prevent you from context switching, which can make you lose focus and lead to feelings of burnout.
Eat the Frog
This productivity method is based off a popular quote, commonly attributed to Mark Twain, “If you have to eat a live frog, do it first thing in the morning and nothing worse will happen to you for the rest of the day.” In the case of time management, the “frog” is the most difficult or the least appealing item on your to-do list. Completing this task first gets rid of any dread or procrastination that you may feel throughout the day, and it gives you motivation to address your smaller tasks afterward.
For example, if you’re a stayat-home mom, your least favorite part of the day may be cleaning up your toddler’s bedroom. By tackling this project first thing in the morning, you’ll feel mentally lighter the rest of the day, and cooking lunch and going to the store won’t seem as taxing.
Growing Your Business
Your Return on Investment
Sierra Waggoner
Photo by Kristina Armstrong / Shot on Location at Common House Chattanooga
From her time as a college athlete to her current role as the host of NewsChannel 9’s “The Daily Refresh,” Sierra Waggoner brings an enthusiasm for life to every role. When it comes to health and wellness, Waggoner relies on whole foods and well-planned fitness to fuel her days. Read on to learn more about the habits that set Waggoner up for success as she talks meal prep, movement, role models, and more.
What is your approach to wellness? How has that changed over time?
I played sports my entire life –basketball was my main sport, but then I met soccer and fell in love! I went to college on a soccer scholarship, so wellness wasn’t really a choice. After I hung up the jersey, I realized not running 7 miles a day will catch up with you. I quickly learned to eat whole foods, and I implement that daily. I feel so much better when I am eating well and drinking lots of water. I enjoy group fitness classes, running, and pickleball, of course!
What are your favorite ways to practice self-care?
The best way I know how to practice my truest form of selfcare is reading my Bible. When I start my day off that way – the rest of the day trickles into place. I do my skincare, drink three Stanley cup’s worth of water a day, spend time with my niece and nephews, and try to get out in the sunshine as much as humanly possible!
What are the traits you most value in yourself?
The trait I value most about myself is my genuine love for life. God gave me this adrenaline for
simply living. I know not everyone feels that way when they go into their day, so I really don’t want to take that for granted.
What are some of your current goals and what are you doing to work toward them?
My current goal is getting a workout in before I get to work. In the TV world, I could get off work at 5 or 8 p.m., depending on how much needs to be done. So, I am working towards starting my days with a workout, instead of trying to cram it into an afternoon!
When it comes to health and wellness, is there anyone you admire or look up to? Why?
My health and wellness role model is my mom, Shannon Waggoner. She studies everything she puts in her body with a holistic approach. She has taught me SO much about food. Healthy fats, complex carbs, and protein – when to eat them and paired with what. She grows so much of the food in her gorgeous garden and because of her, I grew up loving all the foods my picky friends hated, which in the long run has made eating well easy because I truly enjoy all the
healthy foods. At 66 years old, she is the most beautiful woman I’ve ever seen and doesn’t wear makeup. She is goals!
What do you find the most rewarding?
Working really hard on something and watching it be successful. The current most rewarding thing in my life is building “The Daily Refresh” from tape on the ground to the best-rated show in our time frame. Our bosses have poured into us – and the fact all the hard work is beside my best friend Josh makes every single day (even the tough ones) incredible.
What have been some of your recent challenges? Have you found any solutions? If so, what are they?
My most recent challenge was about two years ago – I was only working and forgot to keep myself accountable. Meal prepping changed by life! My biggest piece of advice is to find foods you enjoy – get creative and eat whole foods. Cook it all on Sunday night, and you are set for the week. If you bring your own food to work, you won’t eat all the other things or be caught having to grab something quick. Also, drink water and move your body!
The ‘Why’ Behind It
According to the American Cancer Society, approximately 1 in 8 women will be diagnosed with breast cancer in her lifetime. It is the most common cancer diagnosed among women in the United States. In the U.S. in 2024, there will be an estimated 310,720 new breast cancer cases among women. On average, a woman is diagnosed with breast cancer every two minutes.
However, due to the work of the American Cancer Society and others, substantial progress is being made. With continued education, early detection, and advances in treatments, survival rates continue to increase. Since 1989, the mortality rate has dropped a staggering 43% through 2020. In the United States, there are over 4 million breast cancer survivors.
The American Cancer Society continues to lead the fight against cancer in the 21st century, and its commitment to creating a future free from cancer runs deep. That’s why it engages campaign ambassadors across the nation to step up and use the power of wearing pink to raise funds and draw attention to the breast cancer fight.
Since 2015, more than $890,000 has been raised locally through the Men Wear Pink fundraising event, and every dollar has helped save more lives. What follows are this year’s Men Wear Pink ambassadors and their personal stories, which have led them to give their time and talent to raise much-needed funds for the fight against cancer.
To help raise money to treat those afflicted by this awful disease and ultimately find the cure for breast cancer, donate to Men Wear Pink of Chattanooga at bit.ly/RMWPChatt.
Lynda Minks Hood 2024 CHAIR
“I am here today, upholding the commitment of the American Cancer Society and giving hope to all current and the future generations. It takes all of us committed to this fight against cancer to succeed.
As a 27-year survivor of stage 4 breast cancer, it is my responsibility and my commitment to my friends who lost the battle, and those who are fighting, to help find a cure. I want to be able to tell
my children and grandchildren that – YES – I made a difference in someone’s life, and I was a part of the generation that found a CURE for cancer. I want them to be able to ask, ‘What was cancer?’
We all have adversities in our lifetime, but the outcome of those adversities will depend greatly on our attitude and how we deal with the situations. No matter what challenges we have in our life, if we keep a positive attitude grounded in our personal faith, we can get through anything.
I was told by my oncologist that the major success of survival, apart from prayer and the treatments, is attitude! Through my bout with cancer, I stayed focused on my faith and the unconditional support of my loving husband, daughter, family, church, and friends. I learned firsthand the power of prayer, the power of faith, and the promise of hope. Optimism allows us to live in a stressful, negative world without being overcome by adversities or losing hope.
Even though October is Breast Cancer Awareness Month, every month is cancer awareness month for me. My life motto is: ‘Every day, I have been given a precious gift of life from God. I untie the bow with enthusiasm and thankfulness!’
Will you join me in supporting this cause, spread the word, and do your part to help find a cure for this horrible disease?”
Christopher Cone
OWNER, THE PRINTING PIRATE
“Two years ago, my wife was suddenly diagnosed with stage 4 breast cancer. With the help of our amazing oncology team and many years of research, they were able to provide treatment that swiftly kicked her cancer to the curb, which is why she is still here today. Her fight is not over and the research she needs to survive is ‘why’ this is so important to me!”
Chief Brian Gilbert FIRE CHIEF, MCLEMORE RESORT
“Each year firefighters from across the country rally together to help support breast cancer research, but I am doing this in honor of two aunts that have battled this disease. After losing one of the aunts and watching a coworker who is in her fight with breast cancer, supporting cancer research is a little more personal to me; no one should ever lose a loved one to cancer.”
Ben Cairns
VP OF MEMBER AND INVESTOR SERVICES, CHATTANOOGA CHAMBER OF COMMERCE
“Cancer robs us, our loved ones, and our colleagues. It hurts our families and community. My mother and father had cancer. This year I lost two important people in my life, a dear neighbor and a coworker, Sybil Topel. Cancer sucks, which is ‘why’ I am participating, so I can do my part by raising money towards research to contribute to a cure so others won’t suffer as our families have.”
CHRISTOPHER CONE, CHIEF BRIAN GILBERT, AND BEN CAIRNS
Cory Gearrin DEPUTY MAYOR, HAMILTON COUNTY
“I spent over a decade playing major league baseball, where I experienced the profound impact that advocacy and cancer research can have in the lives of individuals and families fighting cancer. I witnessed firsthand through campaigns like American Cancer Research how the collective efforts of people just like you and I can drive meaningful change in countless homes and communities across America.”
Vince Butler
PRESIDENT, BUTLER CONSULTING AND FOUNDING PARTNER, 5 STRONG
“I am doing this in honor of our MWP Chair Lynda Hood, a breast cancer survivor and friend.”
Lee Helton
HAMILTON COUNTY COMMISSIONER
“I’m participating in Men Wear Pink for my two teenage daughters; to finally defeat breast cancer, so girls like my daughters won’t know the fear of this affliction.”
“I am doing this in honor of my mother who was diagnosed with cancer a few years ago. When I was asked to be a part of this fundraising campaign, I did not hesitate in saying ‘yes.’ My mother is alive today because of the research and the treatment being done. I want to do my part in providing the research for a future free from cancer, especially for my daughter, so she does not have to live in fear of this horrible disease.”
Kyle Bianco
COMMUNITY VOLUNTEER AND BREAST CANCER ADVOCATE
“Breast cancer affects everyone, whether you are a survivor, fighting yourself, or walking alongside someone during their battle. I love the way Chattanoogans rally around a cause and support our neighbors in their time of need. We can have an impact locally, nationally, and globally through this campaign. Please join me in this fight, and through our combined generosity, we can advance treatment options for future generations.”
Larvizo Wright CHIEF OF STAFF TO THE CEO, UNUM
“Cancer is something that directly or indirectly affects all of us. Raising awareness and funds to advance this noble cause is my way of serving those with cancer.”
TANNER MOORE, KYLE BIANCO, AND LARVIZO WRIGHT
Michael Turner
OWNER, HUCK AND PECK
“This fundraiser is deeply personal. I’ve lost cherished friends and family members to cancer. Just this July, our beloved Uncle Charles Edward ‘Ed’ Broyles passed away after a courageous seven-month battle. I remember Erin May, who faced cancer with incredible bravery, and Mark Blowers, whose strength and continued spirit to fight leave me in awe and inspired. Their battles remind us of the urgent need for more research, better treatments, and support for those affected by this disease.”
Dr. Walter Kerschl
MARKET CHIEF MEDICAL OFFICER, PARKRIDGE HOSPITAL
“My 88-year-old mom was cured of breast cancer due to early detection and treatment! And now in 2024, I have a dear colleague battling stage 4 breast cancer. She brings such joy to those around her (in our hospital) even though she is going through rough treatment. I will honor her with my efforts to raise a min. of $5,000 over the next two months.”
Charles Fant
FOOTBALL COACH, BOYD-BUCHANAN SCHOOL
“I am doing this in honor of all those in their fight, for a cure for cancer, and for a future free from cancer.”
MICHAEL TURNER, DR. WALTER KERSCHL, AND CHARLES FANT
Dr. Stephen Greer
BREAST SURGEON, UNIVERSITY
SURGICAL ASSOCIATES
“I work with patients undergoing breast cancer every day. In treating these patients, I am able to see their amazing strength, each in their own way. I have also been able to see the incredible advancement in the way that we treat these cancers from a surgical standpoint as well as so many others. None of this is possible without the substantial research and resources required to advance this field and provide the best treatment we can offer, and organizations like the American Cancer Society and their Men Wear Pink campaign help provide that future for patients right here in my hometown of Chattanooga, and that is why I am proud to be involved.”
Zack England, ESQ
OWNER, ENGLAND INJURY LAW
“I accepted the challenge for Men Wear Pink specifically in support of my aunt, Lisa Reed, who was diagnosed with breast cancer two years ago and continues to fight. When my aunt called to tell me the news, I told her I couldn’t think of a more resilient person to overcome the diagnosis than her. I’m hopeful my team’s effort and drive can resemble my Aunt Lisa’s fight.”
Joe Marler
DIRECTOR OF PRODUCTION, LEGACY BOX
“My incredible mother recently passed away after a brave battle with cancer. I’ve decided to join the American Cancer Society and their #menwearpink campaign this year. So, let’s make this campaign as vibrant and impactful as possible. Donate, share, and maybe even join me in wearing a splash of pink. Let’s show the world that real men (and women) wear pink with pride and purpose.”
DR. STEPHEN GREER AND ZACK ENGLAND, ESQ
JOE MARLER
Jeff Hollis
The Men of Vision Hospitality
DUAL DIRECTOR OF SALES
“I lost one of my best friends and colleagues to cancer a few years ago at the very young age of 29. His wife had just given birth to a new baby boy. I will never forget his love for others and his family. He inspired me because through his battle with cancer, he continued to work hard with his team, his sense of humor never changed, and he was the best husband and father to his family. I miss him daily and think of him often.”
John Post
AREA DIRECTOR OF SALES
“My reasons are simple: Jennifer, Jillian, and Elizabeth. My wife and daughters. I hope to see my daughters grow up in a world where cancer affects less families. Come fight with me! Let’s work together to end cancer.”
Ori Friedman
FOOD & BEVERAGE MANAGER, EDWIN HOTEL
“BECAUSE WE NEED TO!”
JOHN POST, JEFF HOLLIS, AND ORI FRIEDMAN
Haircuts for Every Face Shape
From wolf cuts to bob cuts to long layers, we’ve broken down the best haircuts to flatter your face shape and highlight your features.
By Kristen Dee
Oval-shaped
Oval-shaped faces are longer than they are wide, with a round jawline and chin. This shape can pull off many hairstyles, especially those with long layers. Think butterfly cuts for movement and volume, long bobs with texture, and anything that will frame the hair upward and out to balance the jawline.
Heart-shaped
Heart-shaped faces have a narrow chin and wide cheekbones. While many face shapes aren’t flattered by a middle part, heartshaped faces benefit from this look. Stylists will often recommend long hair to elongate the face and opt for shag cuts with faceframing layers or bobs that flip outward rather than toward the chin.
Diamond-shaped
A variation of the heartshaped face, diamondshaped faces are characterized by a pointy chin, high cheekbones, and a narrow forehead. Soft layers balance out the width of the cheekbones, especially with length, and a shaggy “lob” (long bob) cut will create a more proportional look.
Round-shaped
Round faces are short with soft features and a wide hairline and cheekbones. For those who prefer shorter hair, a side swept pixie cut flatters this face shape. If you like length, consider a cut with voluminous layers that start around the jawline, and avoid blunt cuts of short layers. Textured shag cuts such as wolf and jellyfish cuts also work well.
Square-shaped
Wide hairlines and strong, angular jawlines are prominent features of a square-shaped face. As these are sharper features, they lend themselves to haircuts that provide balance, such as a diamond cut which is longer in the back and shorter in the front. Shoulder-length hair with layers can soften the shape as well.
MAKING AN IMPACT: Two Decades of Saving and Improving Women’s Lives
Since 2004, the American Heart Association’s signature women’s initiative, Go Red for Women, has addressed the awareness and clinical care gaps of women’s greatest health threat, cardiovascular disease (CVD).
Go Red for Women is dedicated to educating and empowering women to take action to protect themselves from the threat of CVD and helping all women reduce their risk by removing the barriers they face to better health and well-being.
As the American Heart Association enters its next century, we know the future of heart health is in good hands because when women come together with passion and purpose, there is nothing they can’t achieve.
locally sponsored by
Chattanooga Go Red for Women
Friday, May 9, 2025 from 10:30 AM - 1:00 PM
Chattanooga Convention Center 1 Carter St., Chattanooga, TN 37402
heart.org/chattgored
2025
Go Red for Women Chair
Dr. Alison Bailey
Go Red for Women is nationally sponsored by
S ECTION
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.
SPECIAL
Maximizing Results
With nearly seven years of experience in the field of aesthetics, Tara Barton takes her clients’ results to the next level. Her attention to detail and passion for healthy lifestyle choices truly set her work apart. “It is imperative to treat the whole person and not just the skin,” she explains. “Nutrition, exercise, sleep, and stress management are integral to maximizing results.” A combination of personalized treatment plans and holistic care defines Barton’s work. Her philosophy, inspired by her own experience with the transformational power of a healthy lifestyle, ensures that each of her clients “walk in and leave with a smile.”
Tara Barton, PA-C
CENTER MEDSPA
1
What is your philosophy when it comes to the care of your clients?
The best injectables are undetectable. My goal is to help my patients age gracefully and as naturally as possible. Outer beauty cannot shine without inner beauty and vibrant health.
2
What does your day-to-day look like?
As a physician associate in aesthetic medicine, I conduct consultations, develop specialized treatment plans, and perform aesthetic procedures such as neurotoxin, dermal filler, and biostimulator injections. I dedicate time each week for continuing medical education to ensure I am providing the safest treatments with optimal results.
3
4
Tara is a bundle of positivity and professionalism. She really listens to each of her clients to help them achieve their goals. LOVE her!”
-S. Devine
How long have you been in your current position?
I have been in aesthetic medicine for almost seven years and am about to celebrate one year at Center Medspa!
What’s the most rewarding part of your profession?
The patient-provider relationship. I am always happy when my patients love their outcomes.
5
What is your best advice for clients?
Don’t chase trends. Aesthetic medicine is a long game and a lifestyle. Best results are achieved with small changes over time and extend beyond the treatments you receive in office.
Master of Science in Physician Assistant Studies Degree: South UniversitySavannah, GA
Certifications: Physician Assistant, The National Commission on Certification of Physician Assistants (NCCPA) Specialties: Cosmetic Injectables
Dedication to Details
Dr. Jason Rehm cares about the details. From consultations and post-op follow ups to days in the operating room and regular involvement in teaching conferences, attention to detail is his top priority and passion. He believes each patient deserves to be heard and always takes extra care to listen and educate his patients as if they were his own relative. Rehm has been in his current role with Erlanger for 21 years and loves getting to be “part of a team that sometimes delivers life changing care, whether that be an aesthetic improvement, a reconstructive surgery, or the improved pain-free use of the hands.”
Great doctor and staff. He did plastic surgery on me and hand surgery on my mom and dad, and we are all pleased with the results. Highly recommend Dr. Jason Rehm.”
1
Jason Rehm, MD
ERLANGER PLASTIC AND RECONSTRUCTIVE SURGERY
What would you consider to be your main strengths?
Attention to detail and an ability to effectively communicate with patients by both listening and also educating them on their medical issues, whether that be a desire to change an aesthetic appearance or recover from a hand injury.
2
3
What’s the key to making a great first impression?
A receptive and understanding personality.
What is one of your happiest professional moments?
Years ago, I was part of the team that reconstructed a teenager’s arm after a severe trauma. My part consisted of muscle flap transfer, nerve repair, and skin grafting. After many surgeries and a great deal of rehabilitation, that patient is now also a surgeon training in plastic surgery.
4
How do you choose the right procedure for your clients?
You first have to understand the disease or pathology of the situation, and then rely on a strong educational background and depth of experience to formulate a plan, a procedure, and a recovery.
5
What is your best advice for clients?
Do some research. Use a resource like the website of the American Society of Plastic Surgeons (plasticsurgery.org). You can find a board-certified surgeon in your area and learn about procedures and find links to videos and recovery processes.
University of Texas at San Antonio, San Antonio, TX
Certifications:
Board-Certified in Plastic Surgery, American Board of Plastic Surgery Certificate of Added Qualifications in Hand Surgery, American Board of Plastic Surgery
Specialties: Cosmetic Plastic Surgery
Reconstructive Plastic Surgery Hand Surgery
Caring for Clients
Daisy Tucker’s top priority is client care. As the clinical director for Center Medspa, Tucker is tasked with all things aesthetics – from formulating treatment plans and providing aesthetic services to testing new products and devices. Through it all, her goal is “to accompany each client on their skincare journey.” She believes the best results come from collaboration between client and provider, always making sure to listen and guide her clients to make informed decisions. “It’s always a team effort,” she says. “I genuinely care for my clients, and my success is 100% based on their success.”
1
Daisy Tucker CENTER MEDSPA
What’s the key to making a great first impression?
Just keeping it real. I love educating and helping my clients make an informed decision. Obtaining trust with my clients is my goal from the moment we first meet.
2
3
4
What is your best advice for clients?
Wash your face!
What is your philosophy when it comes to the care of your clients?
The golden rule. I provide the service I would expect.
How do you develop a plan for each client?
I listen. I always say, “your concern is my concern.” We start where they are comfortable, and we always grow from there.
I’ve been a loyal client of Daisy for over a decade, and it’s not just because of the fantastic treatments! She always makes me feel comfortable, takes the time to listen, and ensures every visit is tailored to my needs.” – V. Love
5
What is one of your happiest professional moments?
When other professionals recommend their clients to me. That is the ultimate compliment.
Beautifully You!
Providing Personalized Care
Vivian G. Parham, MS, RN, AGPCNP-BC
GRACE DERMATOLOGY & AESTHETICS
As founder of Grace Dermatology and Aesthetics, Vivian G. Parham’s practice was born of her love for empowering clients. “Our approach centers around a commitment to excellence, cultural consciousness, and care that addresses you as a whole,” she shares. “We understand that each patient has individual skin concerns, aesthetic goals, and requires personalized care.” Every step of the way –from comprehensive consultation to treatment – Parham ensures that the client’s goals are her goals. Whether treating a medical or cosmetic concern, she believes it’s all about making “small tweaks to enhance natural beauty and address concerns optimally.”
I had an excellent experience from beginning to end. Vivian was thoughtful and knowledgeable. I received amazing care, and my skin looks better than ever! Would highly recommend.” - S. Chisolm
1
What would you consider to be your main strengths?
Real connections and real talk! I enjoy developing relationships with each person I see by listening, teaching, and treating them like family.
2
How long have you been in your current position? I have been practicing dermatology for nearly five years. After training and working in Manhattan, New York, I decided to return home and open a practice here. Grace Dermatology & Aesthetics has now been open just under a year.
3
What is one of your happiest professional moments?
Recently, a client preparing to graduate college came to me with severe acne, discoloration, and scarring. She had faith in me, worked the plan, and when I attended her graduation a few months later, she was glowing inside and out.
4
What’s the most rewarding part of your profession?
I love that as a black woman I am able to diversify a profession that has continued to lag behind. Furthermore, I am able to provide my knowledge in cosmetic and medical treatments in skin of color to an underserved community in the town I’ve always called home.
5
What’s the key to making a great first impression?
Smile, listen, teach, and be genuine. When you enjoy what you do, are knowledgeable, and truly invested in others, it is palpable.
Beautifully You!
Connecting with Patients
After working in a traditional medical environment for more than 12 rewarding years, Liz Snyder found a passion for serving patients in the aesthetics field. “I highly value my patients’ treatment experiences, as well as their treatment outcomes,” Snyder shares. “I am an avid learner, and I continuously seek educational opportunities that enable me to provide the most up-to-date and evidenced-based practices for my patients and my business. I assign an equally high priority to educating my patients.” Snyder’s work is defined by attention to detail and a dedication to patient education. From consultation and assessment to pre- and post-procedure, her desire is to provide the best results and empower patients to make informed decisions every step of the way.
I am thrilled with the services and experience that I’ve received at SkinMED – I’ll never go elsewhere for my aesthetic needs. Liz is extremely knowledgeable and takes the time to explain different procedures thoroughly. Her office is beautiful and comfortable, and her calm demeanor puts me at ease.”
- C. Stanford.
Liz Snyder, APRN , NP-C
SKINMED AESTHETICS + WELLNESS
1
What is your philosophy when it comes to the care of your clients?
First, care for patients as you would want to be cared for. Second, true beauty – confidence, joy, contentment, and a kind heart – reaches far beyond physical beauty. Third, when it comes to aesthetic treatments, more is not always better.
2
What’s the key to making a great first impression?
Conveying to patients that they are welcome, that I am delighted to care for them, and that I am honored they chose me!
3
4
What’s the most rewarding part of your profession?
Connecting with people – creating a safe space where they feel seen, heard, and cared for.
How do you develop a plan for each client?
I begin by allowing enough time to thoroughly listen to my patient’s desires and concerns. The most important part of the visit is clear and open communication. Understanding what a patient does not want is equally as important as understanding what they do want. Most often, the approach will be a comprehensive, multi-step approach that results in a short-term and long-term treatment plan.
5
What is one of your happiest professional moments?
My happiest moments are always when I exceed my patient’s expectations! Patients come through the door hoping that their expectations will be met. When I exceed their expectations, and they are thrilled with the results, they are happy and so am I!
Master of Science in Nursing Degree: Southern Adventist University, Collegedale, TN
Nurse Practitioner, American Association of Nurse Practitioners
Aesthetics
Injectables Laser and Light Therapies
Beautifully You!
Bringing Goals to Life
Suzanne Igoe
PURE
FACE CARE
Suzanne Igoe, owner of PURE Face Care, notes that the best part of her job is “to see a client’s skin transform and their goals come to life.” Having been in the field of aesthetics for 18 years, her passion is ensuring the highest quality care and results. Her top priority is to work within each client’s comfort zone and to help clients stay true to themselves. “What I cherish about my brand is that we want everyone to feel welcome,” she explains. “Regardless of your age, race, or gender. It is very important to me to run a completely inclusive space.”
Beyond being a delightful human, Suzanne puts so much intentionality, professionalism, and care into the services she provides. Huge fan!”
- N. Martin
1
How do you choose the right procedure for your clients?
The most important part to choosing the right procedure is starting on healthy skin. Beautiful skin is a marathon, not a sprint. We typically start lighter on treatments with clients to see how their skin responds. If everything is going well, we begin to increase in strength.
2
3
What would you consider to be your main strengths?
Patience, kindness, and acceptance.
How do you develop a plan for each client?
This is my favorite part of each visit. I start with asking them about their skin concerns, current regimen, and goals. Then, I physically analyze their skin. After gathering all the information, I look at their lifestyle, budget, and goals, and we create a plan that fits them.
4
What is your philosophy when it comes to the care of your clients?
My superpower is curating relationships and supporting healthy skin.
5
What is one of your happiest professional moments?
There isn’t a single day that I don’t remind myself of how grateful and happy I am. Starting from scratch with not a single client, it’s humbling and rewarding to have a staff of six nine years later. I love seeing my staff succeed and the milestones that they have surpassed.
Esthetician Certification, The Atlanta Institute of Aesthetics
Microneedling Certification, Dr. Lance Setterfield Laser Certification, Lutronic
Specialties: Age Management Pigmentation Reduction
Skin Barrier Repair
Outdoor Entertaining Must-Haves
There is no medicine for the spirit quite like gathering with friends, family, and loved ones to celebrate all that autumn brings. Whether soaking up the last of the summer sun, hosting a gameday cook-off, or judging a pumpkin carving contest with the kiddos, you’ll want to be sure you have everything you need to make your guests feel at home. Here, we’ve outlined a few stylish and practical items for all things al fresco.
Houswise Vesper Tabletop Fire Pit
Safe to use both indoors and outdoors, this fire pit creates cozy comfort and smoke-free flames for roasting s’mores and other treats. With a sleek concrete finish and portable design, this tabletop fireplace is an elegant addition to any evening soirée.
Threshold Decorative Patio Screen
Boasting mesh detailing and a rust-resistant steel frame, this stylish screen offers a chic backdrop for your garden party. The three-paneled screen is foldable and versatile, adding privacy, decorative flair, and gentle shade to any seating vignette.
Table Lantern Speaker
Set the perfect patio ambience with this waterproof, Bluetoothcompatible lantern speaker. Emitting a warm, flame-like glow, this lantern adds stereo sound to your entertainment area for streaming the game, soft background tunes, or backyard movie nights.
Proud Grill
UltraVersatile Grill Basket
Your neighborhood barbecue will be a breeze with this stainless-steel grill basket. Ideal for veggies, fish, and meats, this basket holds smaller items that would otherwise slip through the grates. The basket is customizable with movable dividers, and a detachable handle fits on all four sides of the basket for easy transport.
Safavieh Orland Tea Trolley
This acacia wood trolley cart brings the festivities outside with finesse. Featuring built-in slots for wine bottles and glassware, a removable serving tray, and an additional drawer, this cart can function as a portable bar or chef’s additional meal prep space.
INSPIRED / FALL DATE IDEAS
PHOTO BY DAVID AND DREW PHOTOGRAPHY
inspired
Some of life’s greatest teachers appear in the form of relationships. After all, who would we be if not for the mentors, friends, and family members who continually inspire us to live well and love others? Here, we feature local ladies and the women who encourage them day in and day out to be the best versions of themselves. In these letters, we celebrate it all – major life milestones, mundane acts of kindness, and everything in between. Read on to be inspired.
Photography by David and Drew Photography
RACHEL MCCLELLAN
inspired by
“Through it all, you have held my hand in celebration and my heart in despair.”
ASH ROBINSON
Dear Ash,
Eight years ago, I met you at a coffee shop near Gunbarrel Road. At the time, I did not understand the impact that meet up would have on my life. Looking back, I can wholeheartedly proclaim that it was a pivotal moment for me. Ash, I want to take a moment to thank you for truly being an INSPIRED WOMAN. Over the years you have taught me more than I can put into words. The list includes everything from entrepreneurship to leadership, operations, management, accounting, outreach, brand management, intrinsic value, networking, friendship, and much more. You have imparted wisdom and confidence that became a catalyst for personal and professional growth. The last eight years have included some of the most exciting journeys in my life, as well as some of the most treacherous roads. Through it all, you have held my hand in celebration and my heart in despair. You have taught me about wisdom in womanhood and how to build a community around myself. You have shown me how women can show up for each other in the worst of times as well as the best of times. You have truly embodied the “each one teach one” mantra. But mostly, you have taught me about LOVE. As women, we all need other women around us to love us through it all. I thank you for being that person for me and allowing me to do the same for you. You are truly inspiring, WOMAN!
Love, Rachel
ASH
RACHEL
ASHLEY MCBRYDE
inspired by
Mom,
The unwavering love of a mother is a sacred and powerful force that can weather even the toughest storms of life. It is a love that can inspire greatness and instill confidence in one’s abilities. For me, this love has been my anchor in life - guiding me through the highs and lows with unwavering constancy.
My path strayed from the conventional route numerous times. But through it all, you have been my steadfast ally who has supported me. You created a safe haven where I could celebrate my victories and find comfort in moments of defeat. Your love has been the fuel to my determination, and a radiant light in times of darkness.
Your gift to me is not just a mere sentiment, but an enduring legacy that has instilled in me strength and resilience. Your presence has taught me the power of silence and the beauty that can be found in stillness. Together, these virtues have made me the woman I am today - one that can tackle life’s challenges with grace and dignity.
The most precious gift that you have given me, however, is the ability to pass on these virtues to my own children. As I watch them grow, I humbly recognize the woman who has enabled me to be the best mother I can be. I am forever grateful for your love, your guidance, and your unwavering support.
To my mother - my source of inspiration, my rock, and my forever hero. Thank you!
Forever, Your daughter
“Your love has been the fuel to my determination, and a radiant light in times of darkness.”
CINDY MAKIMAA
CINDY
ASHLEY
WHITNEY SUMMERS
inspired by
“It is truly inspiring to see someone balance so much with such boundless grace and enthusiasm – and in heels with a smile, always.”
SHARON LAW
WHITNEY
Sharon,
Although it’s only been a short five years, I feel like I have known you for a lifetime.
When I made the decision to move my life to Chattanooga, you immediately welcomed me in and helped me feel connected to my new city. I was truly lucky to have you in my corner.
You have a remarkable ability to sustain a highprofile career, a fulfilling family life, and a deep commitment to numerous nonprofits. You are able to guide people without being self-serving and capable of offering meaningful advice without being judgmental. Your confidence, knack for making everyone feel valued, and your dedication to making a difference are all truly galvanizing, and as you start your new business, I will add “fearless” and “risk-taker” to the list of attributes I admire.
It is truly inspiring to see someone balance so much with such boundless grace and enthusiasm – and in heels with a smile, always.
Thank you for your guidance. Thank you for your impact. And, thank you for being an example of how to give back to our city.
- Whitney
SHARON
Fall Date Ideas
Crisp weather and stunning fall colors make the perfect backdrop for an extra dose of romance. From hiking trails and pumpkin patches to bonfires and romantic candlelit dinners, there is no shortage of ways to savor the season with your significant other. Here are some great fall date ideas from Chattanooga locals!
“Our favorite October date night is a Friday drive through the mountains to our favorite winery to enjoy the beautiful fall weather over wine and dinner, surrounded by the beauty and peacefulness of the mountains. Nothing better.”
Cindy Rix
“One of the best dates of my life was an intimate picnic at the Riverpark facing the river. We had jazz playing and food catered. It was so peaceful –talking a little but listening a lot to nature and the music. It is a wonderful date for fall!”
Londie Nichole
“When the fall weather sets in, we love to break out our tandem bike and ride the great trail systems of Chattanooga. We especially love the North Chickamauga Greenway for the leaves and fall vibes.”
BethAnne Lovvorn
Making Sense of Magnesium
Ten Types of Magnesium to Know
By Rachel Studebaker
Magnesium is a mineral and essential nutrient that plays a role in over 300 functions in the body. While magnesium is naturally present in foods such as leafy greens, beans, and seeds, nearly 50% of Americans aren’t meeting their recommended daily intake. Because of this, magnesium is widely available as a dietary supplement to treat deficiency, and it can also boast health benefits from improving sleep and mental health to aiding digestion, lowering blood pressure, relieving pain, and more. However, when it comes to taking a magnesium supplement, it can be difficult to know which type to choose with nearly a dozen options available. Here, we explain the differences as we take a look at 10 types of magnesium and their common uses.
Magnesium glycinate
Combined with the amino acid glycine, magnesium glycinate can treat low magnesium levels. It is commonly used to aid sleep and treat insomnia and is under research for its calming effects and ability to relieve stress and improve symptoms of anxiety and depression.
Magnesium citrate
Magnesium citrate is bound with citric acid, a substance that naturally occurs in citrus fruits, and is one of the most common types of magnesium found in dietary supplement such as multivitamins. It is most often taken to treat low magnesium levels since it is so easily absorbed by the body and may also be helpful for issues such as anxiety, high blood pressure, and elevated blood sugar levels.
Magnesium oxide
Consisting of magnesium and oxygen, this type is most often used to relieve digestive issues such as heartburn, indigestion, and constipation. It may also be used to treat migraines. Because it is poorly absorbed by the digestive tract, magnesium oxide is not used to treat magnesium deficiencies.
Magnesium chloride
Combined with chloride, an essential electrolyte, magnesium chloride can be taken orally or applied topically. It is used to treat low magnesium levels, digestive issues, and may also benefit those with depression. When applied topically as a lotion, oil, or ointment, magnesium chloride won’t boost magnesium levels in the body but can soothe and relax sore muscles and support joint health.
Magnesium malate
Magnesium malate is bound with malic acid, found naturally in certain fruits and veggies, and can treat magnesium deficiency and may help decrease muscle pain. It is also under research as an option to treat symptoms of fibromyalgia and chronic fatigue syndrome.
Magnesium taurate
This type combines magnesium and the amino acid taurine, components that may benefit cardiovascular health. Magnesium taurate is under research for its ability to promote healthy blood sugar and blood pressure levels. It may also offer anti-anxiety benefits.
Magnesium sulfate
Comprised of magnesium, sulfur, and oxygen, magnesium sulfate can treat low magnesium levels and constipation. It is also used to prevent seizures in women with preeclampsia, a condition caused by high blood pressure during pregnancy. Most commonly known as Epsom salt in its powder form, magnesium sulfate can be dissolved in bathwater to relax muscles, relieve pain, and lower stress.
Magnesium L-threonate
This newer option combines magnesium with threonic acid, a substance derived from vitamin C, and is being researched for its painrelieving properties and benefits to brain health. Magnesium L-threonate offers high absorption and retention rates and may help reduce neuroinflammation in addition to treating magnesium deficiency.
Magnesium orotate
Orotic acid is a natural substance used in the body’s construction of genetic material, and combined with magnesium, may promote heart health by lowering blood pressure and preventing and treating cardiac arrhythmias. Popular among athletes, magnesium orotate may improve energy production in heart and blood vessel tissue as well as nervous system function.
Magnesium lactate
Because everyone is different, and some forms of magnesium may cause digestive side effects, consult with your doctor to determine which magnesium supplement and dose is right for you.
This type is combined with lactic acid, produced by muscle and blood cells, and is an option for individuals who don’t tolerate other forms of magnesium but require large doses. Magnesium lactate is available in slow-release tablets and may also help treat stress and anxiety.
Charcuterie Boards
Whether you’re in a pinch on a week night or preparing for a dinner party with friends, charcuterie boards are always a well-balanced “wow!” Load up your board with colorful fruits and veggies, and get creative with unique toppings for any dietary need or preference. Read on for a few of our favorite local recipes.
Photography by Kristina Armstrong
“This seacuterie is not only delicious with various textures and flavors, but a protein-packed meal loaded with essential amino acids, healthy fats, and omegas.”
– Katie McKane
Bleu Fox Cheese Shop’s Seacuterie Board SERVES 2-3
• 1 can Fishwife Sardines with Hot Pepper
• 4-8 oz. roasted garlic hummus
• 1-2 radishes, sliced
• 1 pack Sheridans Irish Multiseed Crackers
• ¼ lb. Parmigiano Reggiano cheese, sliced
• 2 oz. cup lupin beans
• 2 oz. Castelvetrano olives
• 2 oz. tangy cornichons
• ¼ red onion, sliced
• 1 oz. crunchy Spanish cocktail mix with quicos, fava beans, chickpeas, and nuts
• 2 oz. Peruvian sweet drop peppers
• 3-4 sprigs of fresh herbs of choice, to garnish
To a clean serving platter of your choice, add one opened can of Fishwife Sardines with
Hot Pepper. Add roasted garlic hummus to a ramekin and add to the platter. Next, arrange the remaining ingredients on the platter as desired. Remember: There are no hard-and-fast rules. As long as you love what you’re serving, you’re doing it right! Try slicing the radishes in fun shapes for extra visual interest, and top your seacuterie board with fresh herbs of your choice. Enjoy!
Mary Catherine Robbins’
Rotisserie Chicken Charcuterie Board
YIELDS 6 SERVINGS
• 1 artichoke
• 1 bunch of whole kale leaves
• 1 whole rotisserie chicken, carved
• 1 cup whole fresh green beans
• 1 sausage link, sliced
• 1 red pepper, sliced
• 1 carrot, peeled and cut into sticks
• 10-12 strawberries, whole
• ½ cucumber, sliced
• 2-3 hardboiled eggs, sliced into halves
• 6-8 mini corn muffins
• 1 handful seeded multigrain crackers
• 4 oz. Manchego cheese
• 8 oz. goat cheese
• 4 Tbsp. butter
• Herbs of choice, to garnish
Start by steaming the artichoke as desired. Use the kale to create a space in the middle of the platter. Then cut the rotisserie chicken into slices and arrange in center of dish on top of the kale. Next, blanch your green beans, and warm your sausage link slices. Arrange all the ingredients on a clean board as desired. In a separate ramekin, melt the butter and place on the board as dipping sauce for the artichoke. Garnish with herbs of your choice, and enjoy!
“Quick but healthy meals are often a challenge for our busy family. Grabbing a rotisserie chicken and throwing together a charcuterie with some favorite foods and some leftovers has become a regular in our dinner rotation. We love that we can gather casually and enjoy some family time.”
– Mary Catherine Robbins
Caprese Kebabs with Balsamic Drizzle
SERVES 4
Kids can help put this easy appetizer together. Cherry tomatoes, basil, and creamy mozzarella glazed with a balsamic drizzle. Serve chilled as an appetizer or snack.
Cut each string cheese stick into 12 rounds (24 cubes total). Assemble each kebab with 3 tomatoes, 3 mozzarella slices, and 3 basil leaves (tomato, basil, cheese, tomato, basil, cheese, tomato, basil, cheese). Gently fold the basil leaves 2-3 times before skewering – larger leaves may be torn in half. In a small bowl, whisk together balsamic vinegar, olive oil, and no-calorie sweetener. Lightly drizzle over skewers before serving.
Nutritional Information
Source: American Heart Association
Jerik Vester’s Full-Body Workout
“Full-body workouts are a great way to see significant results when you are on a tight schedule. This routine can be done at home or the gym as it only requires dumbbells of your desired weight. I recommend doing each exercise backto-back with a one-minute break between, with the goal of completing three to four rounds.”
Jerik Vester, Fitness Specialist, Siskin Health and Fitness Center
Photography by David and Drew Photography
In and Out Squats
Keeping your back straight and head forward, stand slightly wider than shoulder-width apart and drop into a low squat. Push up with your legs and glutes. From there, step together with your left foot and step out with your right, taking a wide stance, then proceed with a low squat. Repeat this process alternating between stepping left and right for 30 seconds to one minute.
Standing Bicep Curls with Chest Press
Gripping dumbbells with your palms facing the ceiling and arms fully extended at your side, keep your elbows tight to your torso. Curl both arms at once, bringing the dumbbells in front of your chest, remembering to squeeze the bicep through the motion (not pictured). Push your arms out in front of your body, squeezing your chest through the motion. Return arms to being fully extended by your side with palms facing the ceiling. Repeat this circuit for 30 seconds to one minute.
Standing Overhead Press with Tricep Extension
Holding a dumbbell in each hand, stand upright with your feet shoulder-width apart. Raise your arms to around head height at about a 90-degree angle with your palms facing out. Keeping your core engaged, exhale and press the dumbbells up overhead, touching the ends together. Turn your palms to where they face each other and slowly extend the dumbbells behind your head and upper back. Return the dumbbells to over the head with palms facing out and lower your arms back into the 90-degree angle. Repeat these steps for 30 seconds to one minute.
Alternating Pronated Dumbbell Row
Hinging at the waist and keeping your back straight, grip two dumbbells with thumbs facing in towards each other. Pull your elbows back towards your torso, focusing on squeezing the shoulder blades. Lower your arms and switch your grip to where your thumbs are pointed up and away from your body and repeat the previous motion. Alternate hand grips for 30 seconds to one minute.
