HealthScope Magazine Winter 2023 by CityScope & HealthScope Magazines

W IN T E R 20 23 • $5 . 95

health & wellness magazine

New Look,

even more of the content you love!

ANNUAL AGING WELL SECTION MEET OUR CAREGIVERS

Love, Care, & Serving Others DISCUSSING DIABETES

Distinguishing the Types LUXURIOUS LASHES

Top-Notch Lash Serums

PLUS Learn More About Cover Model Latasha Garrett!

PUBLI SH E R’S LE TTER

“That’s what winter is: an exercise in remembering how to still yourself then how to come pliantly back to life again.” – Ali Smith

Celebrating 35 Years! HealthScopeMag.com Follow HealthScope® and CityScope® magazines and Choose Chattanooga® Chattanooga Resource & Relocation Guide® on social media!

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The holiday season is upon us. But in between the party prepping, gift gathering, and dazzling décor, we hope that you may find peace and stillness, often gained through gratitude and living intentionally – both in your daily activities and relationships. In this winter issue of HealthScope® magazine, we’ve included topics that take a deep dive into several different health topics. For example, in our feature “Discussing Diabetes,” we outline the differences between type 1, type 2, and gestational diabetes and also provide tips from area professionals about how to manage the condition. Next, “Understanding Preterm Birth” highlights the risk factors associated with having a baby early, how you can reduce them, and signs you might be entering into preterm labor. Finally, in “Living With Lupus,” we provide a high level view of what lupus is, how it’s treated, and lifestyle changes that can add relief from this autoimmune disease. Also included in this issue is the section “Meet Our Caregivers,” which highlights some of the amazing caregivers in our area who approach healing with empathy and grace. You also won’t want to miss our annual “Aging Well” section where we cover conditions and treatments such as comprehensive hand care, cataracts, and hormone replacement therapy.

The offerings don’t stop there, however. We have plenty more timely topics for you to enjoy such as how to care for your outGeorge Mullinix erwear items, PUBLISHER winterizing tips for your home, and even a few grounding techniques to combat the most hectic of holiday gatherings. You’ll also find decadent squash recipes and a full body circuit workout from Tobe Taylor, as well as the year’s top lash serums. Our special seasonal section “Off to Camp” shines a light on area summer camps and provides tips for preparing children for this exciting rite of passage. Finally, check out our interview with cover model Latasha Garrett where she opens up about her favorite ways to practice self-care and how she has been successfully navigating life as a recently married business owner. We hope that you will find this issue of HealthScope® to be uplifting and informational and that it enables you to slow down and enjoy all that the holiday season has to offer. Blessings always,

DUCHESSA

Contents

VO LU ME 3 5, I S S U E 2 • WIN TE R 2023

Meet Our Caregivers Love, Care, & Serving Others 22

McKenzie Smartt

Leigha King

Amanda Works

Meredith Hamilton

Medical Insights 32 Discussing Diabetes Distinguishing the Types

38 Understanding Preterm Birth Outlining the Risks

44 Living With Lupus The 411 on This Autoimmune Disease

Project Access Paving the Road to Recovery

Annual Aging Well Section 64

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Vascular Health in Aging Adults

High-Intensity Focused Ultrasound

Hormone Replacement Therapy

Photoaging

Comprehensive Hand Care

Cataracts

Contents Personal Growth 72 Her Story Kelly Wehman

78 Getting Down to Business 5 Common Managerial Styles

80 Mental Health in the Moment Go-To Grounding Techniques

82 Meet Our Model Latasha Garrett

Beauty & Style 86 Caring for Your Outerwear Items Winter Fashion Tips

88 Luxurious Lashes

Top-Notch Lash Serums

90 Conquering the Cold How to Winterize Your Home

Relationships Inspired Women Celebrating Women 96

Takesha Pratt & Lisa Caldwell

Rose Kehinde & Angie Wynn

Meg Shuptrine & Melissa Kubic

Addie Bramlett & Leah Crum

100 Promoting Independent Thinking in Children How to Cultivate Autonomy

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103

Photographed at Ruby Falls

A convergence of financial knowledge and capabilities. Right here in Chattanooga. 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.

www.RoundTableAdvisors.com • 877-770-0009 • 423-510-8889 • 1200 Premier Drive, Suite 100 • Chattanooga, TN 37421

Back row from left to right: Evan Russell, Financial Advisor // Austin Cone, CFP® // Andy Burnett, CFA Dennis Wolfe, CPA, CFP® // Tony D’Andrea, CPA, CFP® // Front row from left to right: Briana Phillips, Client Svc. Assoc. Wendy Railey, Client Svc. Assoc. // Julie Elsea, Financial Advisor // Amy Bee, Client Svc. Mgr. // Lisa Listecki, Ops. Mgr.

Securities offered through Raymond James Financial Services, Inc. member FINRA/SIPC. Investment advisory services are offered through Raymond James Financial Services Advisors, Inc. Round Table Advisors is not a registered broker/ dealer and is independent of Raymond James Financial Services.

health & wellness magazine HealthScopeMag.com Winter 2023 • Vol. 35 Issue 2

Contents Off to Camp!

George Mullinix

Sales & New Business Development

Cailey Mullinix Easterly

Sales & Business Development

Amanda Worley

Sr. Graphic Design Multimedia

103 A Parent’s Guide to Helping Kids Make the Most of Their Summer Camp Experience

Food & Fitness

Lauren Robinson Leah Sullivan

Graphic Design Intern

Marietta Song

Managing Editor

Christina Davenport

Editors

Gray Bennett Tory Irmeger Catherine Smith Rachel Studebaker

116 Sensational Squash Making the Most of Seasonal Produce

Director of Digital Marketing

Ruth Kaiser De Backer

120

Marketing & Events Operations

Laci Lanier

Sr. Photographer/ Videographer

Trevor Long

Photographer

Hacker Medias

Tobe Taylor’s Full-Body Circuit A Guided Workout

Departments 12 14 16

Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or healthscopemag. com and click “Subscribe.” A one-year subscription for CityScope® or HealthScope® magazine costs $18.

Health in a Minute Staff Spotlight

Health & Wellness Calendar

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.”

Numbers to Know

About the Cover

W I N T ER 2 0 2 3 • $5 . 9 5

health & wellness magazine

New Look,

even more of the content you love!

ANNUAL AGING WELL SECTION MEET OUR CAREGIVERS

Love, Care, & Serving Others DISCUSSING DIABETES

Distinguishing the Types LUXURIOUS LASHES

Top-Notch Lash Serums

PLUS Learn More About Cover Model Latasha Garrett!

Publisher

healthscopemag.com

Winter cover model Latasha Garrett opens up about balancing life’s demands and staying present. Read more on page 82. Photo by Trevor Long

CityScope® and HealthScope® magazines and Choose Chattanooga ® – Chattanooga Resource & Relocation Guide ® (the magazines) are published by CMC Publications, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement. CityScope® magazine Copyright, CMC Publications, LLC, 1993 CityScope® magazine is a registered trademark owned by CMC Publications, LLC HealthScope® magazine Copyright, CMC Publications, LLC, 1989 HealthScope® magazine is a registered trademark owned by CMC Publications, LLC Choose Chattanooga® – Chattanooga Resource & Relocation Guide® Copyright, CMC Publications, LLC, 2011 Choose Chattanooga® and Chattanooga Resource & Relocation Guide® are registered trademarks owned by CMC Publications, LLC CityScope® magazine Southern Gentleman® is a registered trademark owned by CMC Publications, LLC.

n o s a e S e h T s i T ' For s g n i v a S g i B At Marshal Mize Ford!

health in a minute

I’m in my 50s, and I’ve recently started noticing a fluttering feeling in my chest. Is this something I should be worried about, and is there anything I can do? A . Fluttering in the chest, or palpitations, is a commonly encountered problem and usually signifies “extra” beats from the top or bottom chambers of the heart. In general, this should be evaluated by a clinician and is a great time for a cardiovascular checkup to make sure your blood pressure, blood glucose, and cholesterol levels are optimal. An EKG is usually performed as well as a physical exam. At that point, a care plan will be determined to see if you need imaging of your heart or a heart monitor. Lifestyle changes like limiting caffeine, getting adequate sleep, and minimizing your stress response can help limit recurrences. Alison L. Bailey, MD

Q. My husband recently quit drinking. He wants to be involved in all the upcoming holiday parties, but I’m worried that there may be alcohol at many of them. Do you have any advice for how I can support him in his sobriety? A. Holidays are a time of celebration and joy for most of us,

but they can also bring stress. For those recovering from addiction, maintaining sobriety can be challenging when attending holiday events. These tips may help those you care about to enjoy the holidays and maintain sobriety. First, plan and prepare. Before an event, find out as much as you can about the environment, the activities planned, and the availability of alcohol. This will reduce your anxiety and you will be able to plan how to participate in the event. Next, lean on your support system. Ask for assistance in developing strategies to cope with any concerns that come up at the event. Most importantly, relax and focus on the joy of the holidays. Develop a mantra that you can repeat to yourself to help focus on the happiness of the event. ‘I am enjoying the season in new ways this year’ is a good example. Melissa Wilson, M.Ed., NCC, LPC/MHSP

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Q. Every time my family goes on vacation, my son ends up dealing with pretty bad constipation. Is there anything I can do for him? A. Constipation while traveling is a common condition that can occur for many reasons including high stress levels, dehydration, decreased mobility, change in schedule, different eating habits, and more. Thankfully there are several steps that you can take to prevent constipation while traveling. First, make sure to drink plenty of water and eat foods that are rich in fiber. Try to include at least one to two servings of fruits, vegetables, and/or whole grains at every meal. Second, stay active. Movement can stimulate the muscles of the intestines, while sitting for long periods of time can slow down digestion. Third, allow plenty of breaks to give your son the opportunity to use the bathroom. Finally, if this is a recurring issue, talk to your son’s healthcare provider about a short course of a gentle laxative or stool softener to prevent constipation. Stephen Soufleris, MD

Q. My family and I will be moving later this year, and I am worried about how this transition will affect my 5-yearold who has autism. Is there anything I can do to make it easier for him? A . Change is so hard for autistic children.

Because they live in a world that doesn’t always make sense to their autistic brain, it is logical that they will want to have a sense of control over things like routines and changes to their environment. It is important to normalize that transitioning will be difficult and to start preparing them for those challenges. Start talking about the move now. Create visual schedules to help them understand the upcoming order of events. If it’s possible to visit the new location in advance, that could give them the ability to develop a mental picture. If not, show them pictures online of what their new house and new school will look like. Help them feel as in control as possible and know that while it may be challenging, they are capable of adapting at their own pace. Jaime Butler, MS, M.Ed

Meet Our Experts

Alison L. Bailey, MD Chief of Cardiology, Centennial Heart at Parkridge parkridgehealth.com

Melissa Wilson, M.Ed., NCC, LPC/MHSP Clinical Therapist, Cherokee Health Systems Chattanooga cherokeehealth.com

Q. I have hyperthyroidism and am currently pregnant with my first baby. Are there any extra steps I should be taking to make sure my baby is healthy? A. Proper management of hyperthyroid-

ism during pregnancy, ideally under an endocrinologist’s supervision, is crucial. Uncontrolled hyperthyroidism during pregnancy may lead to low birth weight, maternal hypertension, premature labor, and even fetal loss. Regular monitoring of thyroid levels is essential, with interpretation using pregnancy-adjusted normal ranges, and safe medications prescribed when levels are too high. For women who have ever had Graves’ disease, measurement of the thyrotropin receptor antibody is necessary around week 18-22 and, if elevated, again at week 28-32. A significantly positive result requires additional monitoring of the baby before and after birth, as the antibody can cross the placenta. Importantly, pregnant women should avoid radioactive iodine and uptake scans; a thyroid ultrasound is the appropriate imaging if needed during pregnancy. Kathryn Dinh, MD

Stephen Soufleris, MD Gastroenterologist, Galen Digestive Health galenmedical.com

Jaime Butler, MS, M.Ed Mental Health Counselor, Chattanooga Autism Center chattanoogaautismcenter.org

Kathryn Dinh, MD Endocrinologist, River City Endocrine rivercityendocrine.com

staff spotlight

ALCHEMY MEDSPA & WELLNESS CENTER

CHI MEMORIAL MEDICAL GROUP

Terry Rogers, MSN, FNP-C, RN

Stephanie Hinds, MD

Maegen Frizzell, PA-C

Alchemy MedSpa & Wellness Center is pleased to welcome Terry Rogers to their team. With both a bachelor’s and a master’s in nursing from the University of Tennessee at Chattanooga, Rogers brings over 25 years of experience to the practice.

CHI Memorial Primary Care Associates is pleased to announce that Dr. Stephanie Hinds has joined the group. Dr. Hinds earned her medical degree from Saint Louis University School of Medicine, where she also completed her internal medicine residency.

Maegen Frizzell recently joined CHI Memorial Neuroscience Institute’s Neurosurgery and Spine Center as a physician assistant. Frizzell received her bachelor’s in biomedical science from the University of South Florida and a master’s in medical science, physician assistant studies, from Lincoln Memorial University.

HAMILTON PHYSICIAN GROUP

PARKRIDGE MEDICAL CENTER

CEMPA COMMUNITY CARE

John Beckner, MD

Walter C. Kerschl, MD

Shannon Burger

Hamilton Physician Group – Behavioral Health is pleased to announce the addition of Dr. John Beckner to their practice. Dr. Beckner is a board-certified psychiatrist who attended medical school at Northeast Ohio Medical University and completed his residency in psychiatry at Cleveland Clinic Akron General.

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Dr. Walter C. Kerschl has been named the chief medical officer of Parkridge Medical Center. Dr. Kerschl attended medical school at Dartmouth College’s Geisel School of Medicine and completed his residency at the University of Virginia.

Cempa Community Care celebrates CEO Shannon Burger, who was recognized by the Tennessee Primary Care Association with the 2023 Kathy WoodDobbins Executive Leadership Award at the organization’s annual conference in Nashville.

ERLANGER

Charles Gomez, MD Children’s Hospital at Erlanger welcomes Dr. Charles Gomez, a pediatric orthopedic surgeon, to their team. Dr. Gomez earned his medical degree from the University of Tennessee Health Science Center and completed a residency in orthopedic surgery at Loma Linda University School of Medicine.

ERLANGER

Lisa Carroll, PA Erlanger Dermatology welcomes physician assistant Lisa Carroll to their team. Carroll received her undergraduate degree in biology from the University of North Carolina at Pembroke and her physician assistant degree from the University of Utah Physician Assistant Program.

health & wellness calendar

wheelchairs included) to participate in this annual race. Start time is 10 a.m. at the Tennessee Riverpark at 4301 Amnicola Highway. Presented by Community Options, all proceeds from the event will support housing and employment for people with disabilities. comop.org/cupidschase

Bubbles of Fun Run, 5K + 10K Benefiting the Austin Hatcher Foundation, the fourth annual Bubbles of Fun Run is a celebration of joy and hope as runners raise funds to provide a brighter future for families faced with pediatric cancer. Participants can choose from a one-mile fun run, 5K, or 10K, with bubbles to be blown at the start and finish line. hatcherfoundation.org/run

January

Tennessee Running Tour – Trail of Tears In its 45th year, this race is part of the longest state park running series in the United States. The Trail of Tears race starts at 11 a.m. at the lodge of the Red Clay State Historic Area. An interesting course including one major hill and lots of frogs and cows along the way, this nearly seven-mile course takes runners across the Georgia state line and back. tennesseerunningtour.com

Pink! Gala In its 19th year, the Pink! Gala is the CHI Memorial Foundation’s signature black-tie event. Tyler and Brittany Carman, and Beaumont and Jabo Cover will co-chair the 2024 event at the Chattanooga Convention Center with the theme “Under the Tuscan Sun.” All proceeds from Pink! stay within

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the community to support the mission of the MaryEllen Locher Breast Center at CHI Memorial. supportmemorialfoundation. org/pink-gala-2024

February

National Wear Red Day® Celebrate National Wear Red Day® on the first Friday in February in support of American Heart Month. Join the American Heart Association in wearing red to raise awareness about cardiovascular disease and help save lives. This event is also a great reminder to know your numbers and make positive changes toward a healthier heart! goredforwomen.org

Cupid’s Chase 5K The Cupid’s Chase 5K invites runners, walkers, and rollers (baby strollers and

Chattanooga Heart Ball The Heart Ball raises critical funds for the American Heart Association while celebrating the work of this life-saving organization. This event will begin at 6:30 p.m. at The Chattanoogan Hotel. Attendees can look forward to a social reception, silent and live auction, dinner and engaging program, and live entertainment and dancing. new.event.gives/948484

March

Dinner of Distinction The Erlanger Health System Foundation’s 20th annual Dinner of Distinction will recognize distinguished physicians and community leaders at The Westin Ballroom beginning at 5:30 p.m. Honorees being recognized this year include Dr. Jeffrey Gefter, Dr. Jay Sizemore, Dr. Laura Witherspoon, and Vicky Gregg. erlangerfoundation.org/ distinction

1-3

Erlanger Chattanooga Marathon Weekend Mark your calendars for the Erlanger Chattanooga Marathon Weekend! Participants can choose between five events: the marathon, half marathon, team relay, Chattanooga 5K, and kids’ fun run, each event highlighting the natural beauty of the Scenic City. An expo at the First Horizon Pavilion and other fun activities are also in store. chattanoogamarathon.com

For the Good Volunteers in Medicine Chattanooga’s For the Good benefit aims to uplift those in need with generosity. Hosted at the Chattanooga Marriott, the luncheon will begin at 11:30 a.m. with a silent auction. Auction items will include bundled offerings from local boutiques, attractions, restaurants, and more, and proceeds will support VIM’s mission to provide primary care to the uninsured. vim-chatt.org/for-the-good

Rump Run Benefiting the Greater Chattanooga Colon Cancer Foundation, the 12th annual Rump Run is a great local opportunity to help beat colon cancer. The closed course for this timed 5K and one-mile fun walk is located at Enterprise South Nature Park. The 5K begins at 9 a.m., with an awards ceremony to follow at 10 a.m. A Kids’ Zone will offer fun activities beginning at 8 a.m. All race finishers who sign up before March 5 receive a medal and T-shirt. rumprun.com

Strides of March Save the date for the 29th annual Strides of March, presented by Cempa Community Care. Strides of March serves as an opportunity for the community to come together to honor lives lost to HIV while celebrating the progress made in defeating this virus. cempa.org/strides-of-march

Mark Your Calendar!

The Moth Ball® by CityScope® Ready for the ultimate girls’ night out? The Moth Ball® by CityScope® is set to return on April 25! This event encourages women to pull out their prom, bridesmaid, or any old dress taking up residence in their closet for an evening of food, fun, and fashions from the past. Proceeds from The Moth Ball® benefit women in need in Hamilton County, and the 2024 beneficiary is Love’s Arm. themothball.org

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numbers to know

Considering Permanent Contraception? VASECTOMIES ARE OVER

99.99%

EFFECTIVE IN PREVENTING PREGNANCY.

It’s estimated that 50 million men have undergone a vasectomy – approximately 5% of all married men of reproductive age. When compared to tubal ligation, which also provides permanent contraception, vasectomies are simpler, safer, more effective, and less expensive.

According to the Anxiety & Depression Association of America, women are almost twice as likely as men to develop an anxiety disorder in their lifetime. Here are a few long-term strategies for coping with anxiety: 1. Learn to identify your triggers. 2. Participate in routine meditation. 3. Spend time with family and friends. 4. Keep your body healthy through exercising, eating well, and prioritizing sleep. 5. Seek help from a therapist. 6. Ask your mental health practitioner if medication might be right for you.

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1 in 133 Americans, or nearly 1% of the U.S. population, reportedly has celiac disease. Those with celiac disease should avoid wheat, barley, and rye. Foods to watch out for include: • Beer

• Noodles

• Bread and pastries

• Salad dressings

• Cereal and granola

• Sauces and gravies

• Crackers

• Soups

150 minutes

THE AMOUNT OF MODERATE-INTENSITY PHYSICAL ACTIVITY ADULTS NEED EACH WEEK

Every little bit counts! Moderate-intensity physical activity can look like brisk walking, water aerobics, riding a bike, playing doubles tennis, or pushing a lawn mower.

& S E RV I N G

H S

RE,

A ,C

Meet Our Caregivers

There is a lot to know about the loving and caring medical therapists, technicians, nurses, and other professional caregivers who have dedicated much of their lives to serving others. What follows are local professionals who are providing the utmost in quality care.

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Meet Our Caregivers

MCKENZIE SMARTT, NP-C, CGR A

E M POWERI NG PAT I ENTS

or McKenzie Smartt, a fulfilling career has never been centered around a specific specialty. “I’ve worked in several specialties now, but it has never mattered which one I’m in,” she says. “Across the board, making someone feel important, seen, heard, and well taken care of is so rewarding.” Now in her second year as the nurse practitioner for Erlanger High Risk & Cancer Genetics Program, Smartt spends her time seeing patients who have a strong family or personal history of cancer. She aids in performing genetic testing, completing follow-ups, and ordering tests and referrals for patients, all the while bringing them comfort by arming them with knowledge surrounding their diagnosis.

ER L A N GER HIGH R ISK & C A N CER GENETIC S PR O GR A M

What is your best advice for patients?

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

What influenced you to pursue your career?

What would you consider to be your main strengths?

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

Be proactive with your health, and advocate for yourself.

Making eye contact and smiling. How you recognize and greet a patient matters.

The world of genetics sort of found me. I didn’t know much about it before, but it’s so interesting and I really enjoy it!

In my current role, my “type A” personality comes in handy. There are a lot of boxes that need to be checked when managing a hereditary genetic mutation, and it helps me to make sure it all gets done.

My patients should always leave their appointments with me better than when they came in. That may mean they are more educated, more empowered, or sometimes even more relieved. I want it to always be a positive experience.

Every day when we can provide the best care for patients is the best day.”

healthscopemag.com

SPECIAL PROMOTIONAL SECTION

ABOUT ME

MY CREDENTIALS Nursing Degree: Southern Adventist University – Collegedale, TN Certifications: Family Nurse Practitioner, American Academy of Nurse Practitioners Cancer Genetics Risk Assessment, National Consortium of Breast Centers Specialties: Cancer Genetics High Risk Follow-Up

CONNECT 423.778.8864 1635 Gunbarrel Rd., Ste. 300 Chattanooga, TN 37421 erlanger.org/ cancer-genetics

Meet Our Caregivers

HAV I NG F UN T H ROUG H MOV EMENT

or Leigha King, having fun is just part of the job. As the life enrich ment director for Morning Pointe of East Hamilton, King is tasked with creating and implementing daily and weekly activities for residents which range from exercise classes and bingo to concerts, crafts, and field trips. The Morning Pointe In Motion life enrich ment program is designed to invite residents to tour virtual locations all over the world without ever having to board a plane! Each month, King and team create an onsite immersive experience of a different region that introduces residents to new foods, his tory, and celebrations. “I tell my resi dents that ‘If you rest, you rust,’” says King. “We don’t want anyone rusting around here, so our activities are de signed to keep our bodies moving.” King has been in her current role with Morning Pointe for over four years and loves getting to form meaningful relationships with what she notes is “the greatest generation.”

LEIGHA KING MOR NIN G P OIN TE OF E A ST H A MILTON

What is one of your happiest professional moments?

Pushing through the complications of Covid and then the subsequent tornado destruction that affected our sister communities. Overcoming those tragedies really made me realize how capable we are to persevere, and that makes me happy.

2 3 4 5

What’s the key to making a great first impression? A smile along with compassion and understanding.

What influenced you to pursue your career? The Lord gave me this opportunity, and I am exactly where I’m supposed to be in this season of life.

What would you consider to be your main strengths? I’m a relational person. I genuinely love people and enjoy having fun.

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

Treat others how you want to be treated. Be respectful, dignified, and make sure to not take yourself too seriously.

I believe that life itself is miraculous. Living to be over 100 is a whole other kind of miracle.” 24

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SPECIAL PROMOTIONAL SECTION

ABOUT

CONNECT 423.212.1208 1776 Generations Way Ooltewah, TN 37363 morningpointe.com

Meet Our Caregivers

L E NDI NG A L I S T ENI NG EAR

lthough Amanda Works has worked in orthopaedics for nearly a decade, she’s only been in her current role as a nurse practitioner for Erlanger Orthopaedics for roughly six months. Specializing in spine care, Works enjoys her job because she is able to help improve the daily quality of life for her patients. When it comes to her strengths, Works finds success in really listening to her patients. “I think sometimes patients can be frustrated with all the questions we ask as providers,” says Works. “It’s not that we aren’t listening; we like to ask questions in a different way to narrow in on the problems and solutions. Sometimes one problem can have three or more solutions, and we’re just trying to find what’s best for the patient.”

AMANDA WORKS, MSN, AGACNP ER L A N GER ORTHOPA EDIC S

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

What do you love most about your profession?

What is one of your happiest professional moments?

What is your best advice for patients?

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

I am an acute care nurse practitioner, and I specialize in orthopaedic spine care in a clinical outpatient setting.

I cherish the responses of the patients who I have been blessed to help. I love hearing how, for the first time in a while, they were able to go on vacation and walk around without thinking of their back because they feel better.

Every day I get one very special moment with a patient who is sharing with me a story of happiness or success. Those stories are what give me those happy professional moments.

Although medicine has advanced by leaps and bounds, we may not be able to take all the pain away. We will work diligently to give you as much of your life back as possible.

Listening, showing respect, and having empathy are important to building a relationship with patients.

Everyone has a story and wants to be heard.”

healthscopemag.com

SPECIAL PROMOTIONAL SECTION

ABOUT ME

MY CREDENTIALS Health Administration Degree: Cumberland University – Lebanon, TN Nursing Degree: University of Tennessee at Chattanooga – Chattanooga, TN Certifications: Adult-Gerontology Acute Care Nurse Practitioner, American Nurses Association Health IT, The Office of the National Coordinator Specialties: Orthopaedic Spine Care

CONNECT 423.893.9020 1809 Gunbarrel Rd. Chattanooga, TN 37421 erlanger.org/ortho

Meet Our Caregivers

CONNECTI NG W I T H THE COM M U NI TY

eredith Hamilton has wanted to be a nurse practitioner for as long as she can remember, and that dream has finally become a reality. “My passion is patient care,” says Hamilton, who recently joined Erlanger Primary Care. Up until then, Hamilton had worked for 27 years as a registered nurse including a few years spent serving others in the emergency room – something she notes has given her invaluable experience. Today, Hamilton sees patients at two locations on Signal Mountain and spends most of her time consulting with patients and their families about their health goals.

MEREDITH HAMILTON, FNP-C ER L A N GER PR IM A R Y C A R E

What is one of your happiest professional moments?

What is your best advice for patients?

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

What would you consider to be your main strengths?

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

When I successfully navigated graduate school, working full time, raising two teenagers, and finally became a boardcertified advanced practice registered nurse.

Create one or two key habits that will have a cascade effect on your life such as exercising. This one habit alone improves your mood, sleep, energy, and stress level. Chances are you will eat healthier too.

Having my thoughts together, being a credible source of good information, and listening to my patients so they will feel comfortable bringing their concerns to me.

The ability to be empathic. I strive to understand the patient’s condition from their perspective.

I want to use my skills as a communicator, as well as a nurse, to help people and put them at ease.”

healthscopemag.com

The connection matters! Patients don’t care what you know until they know you care.

SPECIAL PROMOTIONAL SECTION

ABOUT ME

MY CREDENTIALS Nursing Degree: Tennessee Tech University – Cookeville, TN Certifications: Nurse Practitioner, American Association of Nurse Practitioners Specialties: Primary Care

CONNECT 423.778.5769 579 Alexian Way, Ste. 402 Signal Mountain, TN 37377 2600 Taft Hwy., Ste. 100 Signal Mountain, TN 37377 erlanger.org/ primarycare

U N D E R S TA N D I N G P R E T E R M B I RT H

LIVING WITH LUPUS

medical insights DISCUSSING DIABETES

healthscopemag.com

C S I

ING DIAB S S U E

By Catherine Smith

ver 37 million adults in the United States have diabetes, but the CDC reports that 1 in 5 are not aware of it. Unfortunately, diabetes can cause significant health complications when left untreated – it is the No. 1 cause of kidney failure, lower-limb amputations, and blindness in the United States, as well as the eighth leading cause of death. In order to better protect yourself and your loved ones, it is important to understand the symptoms, treatments, and preventative or proactive measures associated with different types of diabetes. Read on to learn more from local healthcare professionals.

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What is Diabetes? Diabetes is a chronic condition that inhibits the body’s ability to either produce or properly use insulin, the hormone responsible for regulating blood sugar levels and converting sugars from our food into energy. As a result, elevated blood sugar, or hyperglycemia, is a hallmark of diabetes. Our blood sugar fluctuates naturally throughout the day as we eat and are active, but prolonged or highly elevated hyperglycemia is a cause for concern. “All types of diabetes lead to impaired glucose movement into muscle cells, which creates a ‘starvation’ environment despite the ample amounts of glucose around. This makes glucose levels increase even when a diabetic hasn’t eaten that much,” explains Dr. Stephanie Hinds of CHI Memorial Primary Care Associates. “This happens because the liver is stimulated to make more glucose, so fat and protein are broken down.”

Asma Khan, MD Endocrinologist, Galen Center for Diabetes and Endocrinology

Type 1 Diabetes Roughly 5-10% of diabetes cases are type 1. Type 1, also known as juvenile diabetes, is believed to be an autoimmune condition in which the body attacks its own pancreas and damages the cells needed to create insulin. “Type 1 diabetes is a result of pancreatic beta cell failure. Hence, the pancreas does not make sufficient insulin anymore,” explains Tiffany Potter, a nurse practitioner with CHI Memorial Endocrinology Associates. As a result, type 1 diabetics must closely monitor their blood sugar throughout the day. When blood sugar is elevated, the proper amount of insulin must be administered via injection or an insulin pump. Type 1 diabetes can develop at any age. Risk factors for type 1 include having a first degree relative with the condition or having another autoimmune disorder. There is currently no way to prevent the onset of type 1 diabetes, and it is very dangerous if left untreated. Therefore, it is critical that people with a family history of the condition inform their medical providers and follow screening guidelines.

Type 2 Diabetes Type 2 diabetes is far more common than type 1, accounting for 90-95% of cases. With type 2, the pancreas is still capable of producing insulin, but the body has developed insulin resistance which makes it harder for the hormone to properly regulate blood sugar. As a result, blood sugar becomes elevated and can do significant damage over time.

Tiffany Potter, MSN, APRN-BC, FNP-C Nurse Practitioner, CHI Memorial Endocrinology Associates

Stephanie Hinds, MD Internal Medicine Specialist, CHI Memorial Primary Care Associates – Atrium

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Unlike type 1, type 2 diabetes can be prevented – typically by making lifestyle changes. “For type 2 diabetes, family history may not be that significant. Diet, exercise, and lifestyle habits are the most important,” explains Dr. Asma Khan of Galen Center for Diabetes and Endocrinology. “Type 2 may not cause any symptoms, so any person who is overweight should be tested.”

Gestational Diabetes Gestational diabetes occurs when hormone changes and weight gain during pregnancy lead to insulin resistance. This usually does not cause noticeable symptoms for the mother, but it can lead to high blood pressure, increased birth weight, and premature birth. Though gestational diabetes resolves after giving birth, it increases the risk of both mother and baby developing type 2 diabetes later on. “Diabetes causes high blood sugars which can damage the blood vessels to many organs of the body,” says Potter. “Good glucose control greatly reduces the risk of long-term complications, which include heart disease, heart attacks, strokes, peripheral artery disease that can lead to poor wound healing and loss of limbs, eye disease that can lead to blindness, kidney disease, and peripheral neuropathic pain.” For this reason, keeping blood sugar within the normal range is the most important factor in treating diabetes. “It might be hard to imagine how glucose or blood sugar can create so much damage in the body,” Dr. Hinds shares. “Glucose itself is not dangerous; it is a vital nutrient for every cell in our body. As with anything in life, the ‘dose makes the poison,’ and glucose in excess can wreak havoc if left unchecked.” 34

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Standard Adult Blood Sugar Levels

(mg/dl)

Fasting

Just After Eating

3 Hours After Eating

Normal

80-100

170-200

120-140

Prediabetic

101-125

190-230

140-160

Diabetic

126+

220-300

200+

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When blood sugar is higher than average but not yet at diabetic levels, this is known as prediabetes. This indicates a strong risk of developing type 2 diabetes. The good news is that prediabetes can be reversed with lifestyle changes and guidance from your physician.

Diabetes Symptoms • Increased urination, especially at night • Increased appetite • Increased thirst • Unexplained weight loss • Blurry vision • Numbness or tingling in hands or feet

• Fatigue • Dry skin • Slow-healing wounds • More infections than normal • Nausea, vomiting, or stomach pain (for type 1)

Both type 1 and type 2 diabetes can develop at any age, and some people may have no noticeable symptoms. If you or a family member are experiencing any of these symptoms, it is important to get tested – particularly for those who are at increased risk of diabetes. If you are pregnant, your doctor should test for gestational diabetes between 24 and 28 weeks.

Managing Diabetes – Tips From Professionals For parents of kids with type 1, Dr. Khan says, “Have a good relationship with the school nurse. Give them detailed information about your child and explore new technologies.” New developments like round-the-clock glucose monitors have helped put parents’ minds at ease. In addition to medications and insulin injections, lifestyle changes can make it easier to control blood sugar levels. “Many other factors, aside from foods, can affect glucose levels in either type 1 or type 2 diabetic patients including pain, stress, sleep habits, smoking, alcohol, acute illness, and medications such as steroids and some vitamins,” Potter shares. When it comes to preventing type 2 diabetes, Dr. Hinds has some advice. “For those with a family history of type 2 diabetes, a weekly exercise program is vital. Exercise has been shown to improve what is called insulin sensitivity and glucose uptake into muscle cells. Even those who cannot do traditional exercise can be taught certain techniques to increase their muscle strength and muscle mass,” she says.

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Understanding Preterm Birth An average pregnancy lasts around 40 weeks, and babies born sooner than this have an increased chance of complications. While there are numerous challenges that can arise from preterm birth, advancements in medicine and general understanding have led to better outcomes in recent years. Read on for insight from neonatologist Dr. Nicholas Sherrow of Regional Neonatal Specialists at Hamilton Medical Center. By Catherine Smith

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What is Preterm Birth? When a baby is born before 37 weeks of pregnancy, this is known as a preterm birth. The reason that preterm birth can be so dangerous is that those last few weeks are an important time for the development of critical organs including the brain, the lungs, and the liver. For this reason, babies born too early – particularly before 32 weeks – have a higher mortality rate and an increased chance of disability, including breathing problems, feeding difficulties, cerebral palsy, developmental delays, impaired vision, and impaired hearing.

Risk Factors for Preterm Birth There are many causes of preterm birth. According to Dr. Sherrow, “Unfortunately, the most common and frustrating reason is from an unknown cause. Other known reasons include your age, carrying multiple babies, your ethnic background, history of prior preterm birth, and your overall health status. Acute problems, such as bleeding, infection, high blood pressure, and placental issues, can occur at any point during pregnancy and can lead to a preterm birth.” Currently, about 1 in 10 babies are born prematurely in the United States. In 2022, 10.4% of all live births were premature, but there are racial and ethnic disparities within that overall percentage. That same year, the preterm birth rate was 14.6% among Black women – roughly 50% higher than it was for Hispanic women (10.1%) and white women (9.4%). While researchers have not yet pinned down a definitive reason for this difference, recent studies suggest that socioeconomic challenges – such as access to healthcare, environmental exposures, and whether or not a woman has the ability to properly rest and minimize stress during pregnancy – play a key role.

Nicholas Sherrow, MD Neonatologist, Hamilton Medical Center

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How Can You Reduce the Risk of Preterm Birth? According to Dr. Sherrow, a very important factor in the risk of premature birth is the mother’s pre-pregnancy health. “Having medical conditions that are not well controlled can increase the risk of a preterm birth. You would also want to stop habits that could lead to early delivery like tobacco and recreational drug use, including marijuana and delta 8,” he shares. “First, follow the advice of your OB. OBs are trained professionals who provide medical guidance to help decrease your chance of a preterm birth. Second, take care of yourself. Being pregnant is a strenuous process. Take time for yourself and get plenty of mental and physical rest.” The causes of preterm birth can be complex and are not always easy to understand, but there are some general guidelines that can help improve your chances of having a healthy pregnancy.

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• Stop smoking: smoking leads to preterm birth and low birth weight – two of the greatest risk factors for otherwise healthy babies. • Avoid alcohol: alcohol consumption in the second and third trimesters has been associated with increased risk of preterm birth, with heavy drinking (an average of three or more drinks per day) increasing this risk by four times. • Plan pregnancies: babies conceived within 18 months of the last pregnancy are at higher risk of preterm birth and low birth weight – it is important to give your body enough time to heal after a pregnancy to avoid these risks. • Manage maternal health: Eat well, try to reduce stress, seek prenatal care as soon as possible, and closely follow your physician’s instructions – routine appointments throughout pregnancy can help identify potential abnormalities and address them sooner. • Don’t delay: seek medical attention as soon as possible if you experience warning signs of preterm labor.

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N O RT H W E S T E R N M U T UA L P R I VAT E C L I E N T G R O U P Northwestern Mutual is the marketing name for The Northwestern Mutual Life Insurance Company (NM) and its subsidiaries in Milwaukee, WI. Sterner Financial is a marketing name for doing business as representatives of Northwestern Mutual. Northwestern Mutual Private Client Group is a select group of NM advisors and representatives. Sterner Financial and Northwestern Mutual Private Client Group are not a registered investment adviser, broker-dealer, insurance agency, federal savings bank or other legal entity. Ranking Published 7/26/23. Data as of 12/31/22. No compensation provided for ranking. Licensing fees apply to use Forbes logo. Research and ranking provided by SHOOK Research, LLC. Rankings and recognitions are no guarantee of future investment success.

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Signs of Preterm Labor The body changes during pregnancy, and this can be particularly worrisome for first-time mothers or mothers who have previously experienced a preterm birth. It can be difficult to differentiate normal changes from the signs of preterm labor, but if you experience any of the following symptoms it is important to seek medical attention immediately: • Contractions that occur every 10 minutes or more frequently • Changes in vaginal discharge such as increased discharge, leaking fluid, or bleeding • Increased pelvic pressure or the feeling that the baby is pushing down • Symptoms similar to those of a menstrual period such as low, dull backache or cramps • Abdominal cramping with or without diarrhea

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Improving Outcomes for Premature Babies Once a baby has been born prematurely, there are a number of variables at play to determine how they have been impacted and what can be done to help. “In general, the earlier a baby is born, the risk of long-term complications is increased. The severity and complexity of possible complications are also increased as earlier gestational age and birth weight decreases. Having genetic abnormalities or other physical malformations such as heart defects can also lead to prolonged medical concerns throughout life,” says Dr. Sherrow. Luckily, medicine is continuing to evolve to address these complications. Dr. Sherrow explains, “Advances in incubators, breathing machines, antibiotic use, the benefits of breast milk, and neonatal physical therapy are just a few of these improvements. All of these modalities have helped save babies while improving their quality of life.”

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Lupus causes a wide range of symptoms and can affect every part of the body, which can have a massive impact on a person’s quality of life. While there is currently no way to prevent the onset of lupus, treatments have evolved to better manage symptoms, reduce flare-ups, and let people get back to living their lives. Read on to learn more about this disease and for some tips to help you or your loved one manage symptoms.

Amy K. Jones, PT, GCS Physical Therapist, Encompass Health Rehabilitation Hospital of Chattanooga

By Catherine Smith

What is Lupus? Lupus is an autoimmune disease that causes the body’s immune system to attack its own tissues and organs. Because lupus is often a systemic disease, damage to tissues can occur throughout the body and lead to inflammation affecting the skin, joints, blood, and organs like the kidneys, heart, and lungs. The three types of lupus are: • Systemic lupus erythematosus: the most common type of lupus characterized by symptoms throughout the body. • Cutaneous lupus erythematous: lupus that only affects the skin. • Neonatal lupus: lupus that affects babies from birth. Babies born to biological parents with lupus are more likely to have the condition, but it is not guaranteed.

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Unfortunately, the exact cause of lupus is not yet clear, but researchers have linked genetic factors, hormones (particularly estrogen), environmental factors like sun exposure and pollution, and personal health history including smoking, stress level, and other autoimmune conditions as potential triggers for lupus.

Symptoms of Lupus Lupus causes different symptoms depending on what part of the body is affected, so everyone’s experience with lupus can be a bit different. The severity of lupus depends on how many systems are affected and how often a person experiences flare-ups. For most people, symptoms will come and go in waves – a person can experience periods of remission with little to no symptoms or flares that can be severe enough to interrupt their daily life.

Common symptoms include:

• Joint and muscle pain • Chest pain especially when taking a deep breath • Headaches • Rashes, particularly a “butterfly rash” across the face • Fever • Hair loss • Mouth sores • Fatigue • Shortness of breath • Swollen glands • Swelling in the arms, legs, or face • Confusion • Dry eye • Increased sensitivity to sunlight

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Treating Lupus There is currently no cure for lupus, so the goal of treatment is to minimize tissue and organ damage, manage symptoms, and prevent flare-ups. Because lupus is a complex disease, most people need a combination of treatments, including medications and lifestyle changes, to manage it. Medications include: • Hydroxychloroquine: a prescription antiviral medication which can lessen symptoms and slow their progression. • NSAIDs: OTC medications which relieve pain and reduce inflammation. • Corticosteroids: prescription medications to reduce inflammation. • Immunosuppressants: medications which reduce the immune system’s activity to prevent further tissue damage.

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• Medications to address secondary issues that can be caused by lupus such as anemia, hypertension, and osteoporosis.

Lifestyle Changes Certain adjustments to lifestyle can help prevent flare-ups, and it is important to avoid activity that is known to trigger your lupus. If sun exposure is a trigger for you, limit time spent in the sun and try to avoid going out when the sun is at its brightest. Wearing long sleeves, hats, and UV-protective clothing can help, and suncreens should be at least SPF 50. It is also important to manage stress levels by getting enough sleep and working with a mental health professional to find healthy coping mechanisms if needed. In addition, work to maintain your health as much as possible by eating a healthy diet, staying hydrated, and keeping active.

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Q&A With a Physical Therapist For some, physical therapy can be a helpful tool to overcome the challenges of lupus and get back to living life to the fullest. A physical therapist can help patients find ways to stay active and make things easier in their daily lives. In order to learn more about how physical therapy can help, we spoke with physical therapist Amy K. Jones of Encompass Health Rehabilitation Hospital. Q: Are there any physical therapy exercises that can help patients with lupus manage chronic pain? A: Exercise is an important part of managing lupus symptoms. People with lupus often have painful, swollen joints as well as tight, stiff muscles. Low-impact exercises such as walking, biking, swimming, yoga, and Tai Chi are helpful in managing these issues. Chest pain can also be problematic, so breathing exercises can be effective. Endorphins released by exercise can also be helpful with depression. Q: Are there any assistive devices that can make daily life easier for patients with lupus? A: Since patients with lupus often struggle with fatigue, assistive devices designed to compensate for fatigue during daily activities are important to consider. For example, shower chairs allow patients to sit during bathing to conserve energy. Also, rolling walkers allow patients to have a place to sit when fatigued, as well as a way to carry items like laundry from room to room with lower energy requirements. If fatigue is severe, power wheelchairs can be useful to reserve energy for necessary activities instead of using energy to move about.

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Q: Do you have any advice for patients who may have trouble sticking to a regular exercise routine due to fatigue? A: A recent research study found that 30 minutes of intense treadmill walking three times a week for 12 weeks led to increased activity tolerance by delaying the switch from aerobic to anaerobic energy consumption. Don’t give up if you miss a planned workout, just try to get back into the routine as soon as you can. Plan for exercise by reserving energy for the activity – don't plan other energyintensive activities close to the same time frame. Q: Do you have any additional advice for patients with lupus? A: Having a comfortable work environment can help manage stress. Remember that people with lupus are protected under the Americans with Disabilities Act, and you can have reasonable accommodations. Educate family and friends about lupus, and discuss strategies for support as needed. Keep a medical journal to track symptoms, what works for you, and what triggers flare-ups. Find a support group; lupus.org/resources/find-support-near-you is an excellent resource.

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Paving the Road to Recovery

Stanley Webb had a proverbial flat tire. In recent years, the salesman at a small Athens, Tennessee car lot had experienced a major heart attack, crippling brain disease, and massive loss of eyesight. Without health insurance, Webb had nowhere to turn for treatment … until he found Southeast Tennessee Project Access. “I had an appointment with the Meigs County Health Department, and they found my miracle,” Webb said. “Project Access brings doctors together who care and work to keep me alive. The gift they give me is powerful.” For people in Southeast Tennessee who fall ill, have no access to health insurance, and no place to turn for treatment, Project Access can provide a second chance at life.

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Project Access is a nonprofit coordinated-care network of doctors, hospitals, healthcare providers, and community clinics that provides donated healthcare for residents in low-income jobs with no access to health insurance. The program also provides care to people who don’t qualify for federal or state programs such as TennCare and Medicaid but cannot obtain insurance. “The greatest resource in any community is the people,” said Dr. James Haynes, president of the Medical Foundation of Chattanooga. “Being able to provide care to those who need it is really important. That is where Project Access comes in.” Since its inception in 2004, Project Access has made healthcare available to more than 25,000 lowincome, uninsured residents of Hamilton County.

Stanley Webb

Dr. Steven Thomas

More than $224.7 million in free healthcare has been donated by more than 1,160 volunteer physicians and providers through the program. The program is coordinated through the Medical Foundation of Chattanooga in partnership with the ChattanoogaHamilton County Medical Society. For Webb, Project Access paired his healthcare needs with specialists in cardiology, nephrology, and ophthalmology. Webb credits specialists, like ophthalmologist Dr. Steven Thomas, for treating his healthcare needs not only directly but together with other doctors. “My doctors work really well together to keep me going,” Webb said. “They check me out, do blood work, and compare notes to make sure everything is good. It is really amazing to experience.”

If procedures or other services are needed, Project Access coordinates with hospitals or other service providers so the patient’s health can be restored. “Doctors and hospitals have always provided charity care, but it was done in a sometimes informal manner,” said Rae Bond, CEO of the Medical Foundation and Society. “Project Access makes it easy for hospitals and physicians to participate while easing the navigation of a sometimes complicated healthcare system.” To be eligible for Project Access, patients must have a current medical condition, be uninsured, be ineligible for health insurance and have an income 150% below the poverty level.

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Before the program started, patients would often have to visit their primary clinic until the condition was bad enough that they would have to access specialty care through a visit to the emergency room. Through a coordinated effort with other charity partners, patients are referred to Project Access before those dire cases are too serious to treat. In 2022, Project Access collaborated with the Bradley County Medical Society to expand beyond Hamilton County and treat patients from surrounding counties. “You can go 50 miles in any direction outside of Chattanooga, and you’re in very rural areas without healthcare resources,” Dr. Haynes said. “Some of the poorest counties in Tennessee are near Chattanooga, so extending that care is very important.” For Webb, the results have been life changing. Prior to Project Access, his vision was 20/400, classified as severe vision loss. Working on the car lot, Webb had to rely on his other senses to recognize which vehicle he was selling based on the sound of the engine. After treatment, his vision was restored to 20/30. “This program speaks to the heart of compassion that you see daily in the medical community,” Bond said. “We are able to provide more time for a husband to have with a wife, more time for a family, more time to have meaningful experiences.” Through Project Access, the healthcare community comes together to give the invaluable gift of a second chance for those most in need.

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Improving Community Health in Southeast Tennessee The Medical Society was founded in 1883 to promote sound medical practice and improve community health. The Medical Foundation was created in 1986 to expand that mission and provide a platform for physicians' charitable endeavors. Today, these organizations work on a variety of fronts to improve public health. They help lead community collaboration, provide access to care through Project Access, encourage students to consider healthcare careers, and support physicians experiencing stress and burnout. SOUTHEAST TENNESSEE PROJECT ACCESS • Coordinated more than $224.7 million of donated healthcare services since 2004 • Care provided by more than 1,160 physicians annually with area hospitals and health centers • Hospital partnerships with CHI Memorial, Erlanger, Parkridge, and Tennova Cleveland • Coordinates specialty care service for 25 community health centers • More than 25,000 patients from 32 counties have received care or have been directed to services YOUTH LEADERSHIP & EDUCATIONAL PROGRAMS • The Future Docs Youth Leadership Forum on Medicine was established in 2006 to encourage promising high school students to consider careers in medicine. • The Future Docs Medical Explorations program is an immersion experience for college students considering medical careers. • More than 550 students have participated in these programs since 2006. • Leadership graduates are now practicing medicine or in medical schools and residencies around the country. LIFEBRIDGE PHYSICIAN WELLNESS PROGRAM • Established in 2018, LifeBridge is designed to help address physician burnout. • Increases physician resilience through evidence-based programming and education • Provides easy, confidential counseling resources for physicians at risk for burnout and workplace stress • Offers access to the Physician Well-Being Index tool which allows physicians to self-assess their status and access resources

Project Access - Sharing the Gift of Healing in 2023 Since 2004, physicians, hospitals, health centers, and other partners have donated care and services to more than 25,000 of our uninsured neighbors. Lives have been saved, health has been restored, and many people have been able to continue working and supporting their families because their health crisis was averted. These wonderful partners have donated more than $224.7 million of healthcare services through Project Access. We give thanks to these wonderful individuals and organizations who provide direct care to our patients, and to the generous individuals and companies who have supported Project Access program operations. SPONSORING ORGANIZATION Chattanooga-Hamilton County Medical Society and Medical Foundation of Chattanooga 1917 E. Third St Chattanooga, TN 37404 423-826-0269 (Project Access) 423-622-2872 (Medical Society and Foundation) PARTICIPATING HOSPITALS CHI Memorial Health Care System Children’s Hospital at Erlanger Erlanger Health System Kindred Hospital Parkridge Medical Centers Siskin Hospital for Physical Rehabilitation Tennova Healthcare - Cleveland PARTICIPATING HEALTH CENTERS Bradley County Health Department Cempa Community Care Chattanooga Cancer Support Services Cherokee Health Systems CHI Memorial Community Health Clinica Medicos Erlanger Community Health Centers (Dodson Ave. & Southside) Erlanger Premier Health Grundy County Health Department Hamilton County Health Department Centers Homeless Health Care Center Karis Community Health LifeSpring Community Health Meigs County Health Department Ocoee Regional Health Centers Purpose Point Community Health Sequatchie County Health Department University Medical Associates UT Family Practice Volunteers in Medicine OTHER PARTNERS Alliance Physical Therapy Bradley County Medical Society Center for Sports Medicine & Orthopaedics Chattanooga Endoscopy Center Chattanooga Regional Homeless Coalition CRNA Associates Epilepsy Foundation of Southeast Tennessee Eye Surgery Center of Chattanooga Fyzical Therapy and Balance Center Greater Chattanooga Colon Cancer Foundation LabCorp La Paz Chattanooga Mental Health Cooperative Miller Eye Center PathGroup Labs Regional Health Council Southeastern Orthotics and Prosthetics UT College of Medicine Chattanooga Urban League of Greater Chattanooga Vision Laboratories Vista Radiology Volunteer Behavorial Health Welcome Home of Chattanooga PARTICIPATING PHYSICIANS – 2023 ALLERGY & IMMUNOLOGY D. Curt Chaffin, MD Marc Cromie, MD

Brittany Hamby, NP Keisha Holcomb, NP Michael Hollie, MD Hyman Kaplan, MD Linda Kim, MD Todd Levin, MD Jennifer Patel, MD Lee Perry, MD Amber Provenzano, NP Susan Raschal, DO Jessica Van Mason, MD Robert Younger, MD ANESTHESIOLOGY Edwin Abraham, MD J. Frank Adkins, MD Jeffrey Balser, MD Mark Banks, MD Venkata Bareddy, MD Stephen Barnes, MD David Bartlett, MD Brandy Baucom, CRNA Burton Beakley, MD Marilyn Bean, MD Justin Blinn, MD Gerald Brocker, MD James Brown, MD Ladd Campbell, MD Cory Carpenter, MD Nancy Casaday, NP Jennifer Castro, CRNA Louis Chemin, MD Colin Clanton, MD Laura Cowart, CRNA Nicholas Cutchens, MD Christopher Davis, MD J. Phillip Davis, MD Derek Duran, CRNA J. Miller Epps, MD Ashley Ermenc, MD Jason Fortuna, CRNA Jonathan Geach, MD Zachary Greene, MD Jameson Greiner, CRNA Mark Gruwell, MD David Hall, MD John Hamilton, DO John Hill, MD Russell Hill, MD Ethan Hix, CRNA Daniel Iorio, CRNA Brian Johnson, MD Susan Johnson, CRNA Monica Jones, MD Wendy Kaiser, MD Michael Kaminsky, MD Jason Kennedy, MD Britton Knowles, MD Elizabeth Kouvarakis, MD Sarma Kunda, MD Michael Lam, MD Tiffany Lance, MD Serena Lau, MD Johnathan Maudlin, MD Katherine McCahill, CRNA S. Jack McClarty, MD Sally McKellar, MD Robert Mingus, MD Donald Moore, MD Jennifer Moser, CRNA Suzanne Murphy, MD

David Musgrave, MD Jenni Neighbors, MD G. Robin Oscar, MD Haresh Patel, MD Vinit Patil, MD Steven Petarra, MD Thomas Peterson, MD Charles Poole, MD Jason Pooler, MD Prabhu Potluri, MD Bobby Ray, MD James Richardson, MD Staci Ridner, MD Joseph Rivers, MD Kyle Roach, MD Oscar Salazar, MD David San Miguel, MD Nathan Schatzman, MD Brian Shepherd, MD S. Morgan Smith, MD Ezekiel Tarrant, MD Steven Truelove, MD Brian Turner, CRNA Lisa Vanderwall, CRNA Matthew Wright, MD Christopher Yetter, MD Christopher Young, MD Lawrence Young, MD Sloan Youngblood, MD BARIATRIC SURGERY Jaime Ponce, MD BEHAVIORAL/ DEVELOPMENT Holli Richey, LCSW Charles Schmittdeil, PHD BREAST SURGERY Jessica Brown, NP Alvaro Valle, MD CARDIOVASCULAR DISEASE Selwin Abraham, MD M. Christian Allan, MD Diana Alvarez, MD Trevor Alverson, MD W. Chad Armstrong, MD Allen Atchley, Jr., MD Steven Austin, MD Alison Bailey, MD Gemma Barnett, NP Autumn Bartenfield, NP Heather Beakley, NP Joyce Beardsley, NP Joshua Black, NP William Blalock, MD Alexander Bowen, NP Yuri Boyechko, MD Ernest Brandt, NP G. Keith Bruce, MD Charles Campbell, MD Lisa Carkner, MD Henry Cheng, MD Megan Coylewright, MD Laura Crowley, NP Walter Few, MD Andrew Fowler, MD Michael Geer, MD John Golding, III, MD Junhong Gui, MD Lora Hailey, MD John Hemphill, MD

Dannis Hood, MD Robert Huang, MD Xiang Huang, MD Salik Jahania, MD Samuel Jones, IV, MD Rehan Kahloon, MD Lowell Ketron, MD C. Sam Ledford, MD E. Philip Lehman, IV, MD Amy Lindquist, PA Ondrej Lisy, MD Georges Lolay, MD Vinay Madan, MD Aditya Mandawat, MD Harish Manyam, MD James Marcum, MD Augustus Mealor, MD Michael Mikolaj, MD L. Kendrick Mills, MD Jennifer Mirza, DO Brian Mitchell, MD Stephen Monroe, MD Mitchell Mutter, MD Brian Negus, MD William Oellerich, MD Dharmendrakumar Patel, MD Joseph Pendley, MD Jonathan Powell, MD Joseph Powers, MD Walter Puckett, MD Poonam Puri, MD Vimal Ramjee, MD Kelly Richardson, MD Holly Rogers, NP Srikanth Seethala, MD Gregg Shander, MD Aaron Soufer, MD Patrick Stevens, MD Mark Thel, MD Roger Thompson, DO Selcuk Tombul, DO William Warren, MD David Wendt, MD Newton Wiggins, MD Matthew Wiisanen, MD Kinsman Wright, MD Michael Zema, MD COLON & RECTAL SURGERY Alan Hyde, MD Shauna Lorenzo-Rivero, MD William Lyman, MD Richard Moore, MD Eric Nelson, MD J. Daniel Stanley, MD COSMETIC SURGERY R. Chad Deal, MD Carey Nease, MD DENTISTRY John Berg, DDS Belen Geach, DDS Michael Johnson, DDS James McPherson, DDS John Stanbery, DDS DERMATOLOGY Phil Andrews, PA Rachel Asquith, NP Samuel Banks, MD Emily Brewer, NP

Brandon Brown, MD Deanna Brown, MD Lisa Carroll, PA Laura Cleary, MD Karen Covi, MD John Dowlen, NP Amberly Ellis, PA Allison Goddard, MD Lana Goodman, NP Brandie Hamlen, NP Cara Hennings, MD Autumn Newman, NP Katherine Nunes, PA Jay Passmore, NP F. Hall Reynolds, MD Kate Shuster, MD Jamie Slagle, NP Lynda Smith, NP Jason Susong, MD Rodney Susong, MD Ashley Thurman, NP Mark Tusa, MD EMERGENCY MEDICINE Noah Abbas, MD Vlatka Agnetta, MD Jeffrey Atherton, MD Benjamin Baker, MD James Bardoner, MD Harvey Bowden, MD Joseph Bowers, MD Karen Bowers, MD Tamara Bowers, DO Zachary Brady, MD Lester Brodie, MD Ron Buchheit, MD Brandon Busuito, MD James Capes, MD Marlene Catanese, MD DeAnn Champion, MD Clint Christensen, MD Jeffrey Clinkscales, MD Sara Connaughton, MD Mark Copeland, MD Ben Cottrell, MD Allan Dale, MD Whitman Dowlen, MD Warren English, MD Christopher Etchells, MD Jackie Fane, MD Gaston Foderingham, MD Lyndsay Frankenberg, DO Darria Gillespie, MD Benjamin Graboyes, MD William Gregorie, MD Jocelyn Guzman, MD Robert Hamilton, MD Kenneth Hayman, Jr., MD Bernadette Helton, MD Paul Hendricks, MD Jacob Hennings, MD Kevin Henry, MD Amy Hess, MD Robert Hill, MD Todd Hold, MD Brian Ingalls, MD Teresa Jackson, MD Rory Justo, MD Jared Kaminsky, MD Bradley Keel, MD Joseph Kidd, DO

Jason Kile, NP Connor Kimbrell, MD Lonnie King, MD William Korn, MD Kenneth Maniscalco, MD Rebecca Martin, MD John Ryan McAnnally, MD Christopher Mcardle, DO Robert McVie, NP Walter Meier, MD Naveed Memon, MD Sudave Mendiratta, MD Charles Meyer, MD Joseph Minton, MD Paul Miranda, MD Michele Olsen, NP Hal Parker, MD Steven Peterson, MD Patrick Popieluszko, MD Angela Ray, MD Jonathan Reinschmidt, MD Brian Reuland, MD Candie Richardson, MD Karen Rogers, MD Marilyn Rogers, MD Shoshana Rosenthal, MD Jamie Scott, MD Bianca Shubert, MD Benjamin Smith, MD Daniel Spollen, MD Larry Stone, MD Paul Stout, MD Gwynn Swallows, PA Tyler Tantisook, MD Bruce Thompson, MD Frank Tift, MD Ronald Tompkins, MD Bryan Vance, MD Suzy Vergot, DO Jeffery Visser, MD Christopher Wagg, MD James Wagner, MD Brittany Walsh, MD John Watson, MD Heather Whaley, MD David Wharton, MD Jessica Whittle, MD Samuel Wilson, MD ENDOCRINOLOGY Tamara Bennett, NP Misty Gilliland, NP David Huffman, MD Abhinaya Jawahar, MD Asma Khan, MD Prashanth Sekhar, MD FAMILY MEDICINE Stephen Adams, MD Emily Ager, MD David Ambrosetti, DO Oana Andreescu, MD Kelly Arnold, MD Anthony Avitabile, DO Byung Ban, DO Julie Bilbrey, MD Maureen Brock, NP Judy Buhrman, NP Georgina Bustamante, MD Sathish Chandra, MD Christopher Choe, MD Ellen Cleland, MD

PROJECT ACCESS - SHARING THE GIFT OF HEALING IN 2023 David Close, MD Elizabeth Close, MD Jeffrey Colburn, MD Steven Colby, DO Mark Crago, MD Stephen Cromer, DO Derek Crouthers, MD Paul Dassow, MD Steven Fox, MD Catherine Ginn, NP Monique Golding, MD Leslie Griffin, MD John Harris, MD Lisa Hart-Patton, MD James Haynes, MD Laura Hill, MD Deondra Holston, NP Christopher Horton, MD Mindi Hudson, NP Sandra Huggins, MD Bridget Hurt-Hall, NP Ronald Jarl, MD Natalie Johnson, DO Jeffrey Jump, MD Jeff Kemp, MD Wade Lenz, MD Ashley Masterson, DO Tiffany Meador, MD Angela Mejias, NP Richard Moody, MD Leslie Moro, NP Scotty Newcomer, DO William Oelsner, MD C. Michael Orquia, MD Justin Ossman, DO Lincoln Peixoto, MD Bruce Pendley, MD Pablo Perez, MD Richard Pigg, MD Christopher Reynolds, MD Neal Robinson, MD Nicholas Salt, MD Naina Sharma, MD Michael Shepherd, MD Lydia Speer, DO Owen Speer, DO Sue Strother, NP Philip Sutherland, MD Farhan Syed, MD Malissa Talbert, MD Case Tedder, MD Hannah Thomas, NP Shayla Toombs-Withers, DO Amy Turnure, NP Megan vonWerssowetz, NP Anthony Whitney, MD Mack Worthington, MD GASTROENTEROLOGY Jasna Beard-Ikanovic, MD Sumeet Bhushan, MD Charles Bosshardt, MD Paul Brundage, DO William Buchner, MD Chad Charapata, MD William Cooney, MD Peter Deleeuw, DO Shannon Faires, NP Kimberly Garland, NP Destin Griffin-Trussell, NP Brian Harkner, MD Doloris Hawk, NP Donald Hetzel, MD Marshall Horton, III, MD Arslan Kahloon, MD Steve Kessler, DO Louis Lambiase, MD Sharlotte Manley, NP J. Scott Manton, MD Sharif Murphy, MD Nick Nakdimen, NP Gregory Olds, MD Laxmi Parsa, MD Suril Patel, MD Vijay Patel, MD

Jay Philippose, MD George Phillips, MD Hemchand Rambaran, MD Sean Rice, MD George Samuel, MD Colleen Schmitt, MD Alan Shikoh, MD Aparna Shreenath, MD Tiffany Sliger, NP Camille Sommer, MD Laurie-Anne Swaby, MD Gena Thompson, NP Sheila Trew, NP Priya Vijayvargiya, MD Munford Yates, MD GENERAL SURGERY Teena Brewer, NP Charles Brice, MD R. Phillip Burns, MD William Cockerham, MD Joseph Cofer, MD Benjamin Dart, MD W. Heath Giles, MD Stephen Greer, MD Daniel Heithold, MD John Huggins, MD Darren Hunt, MD Robert Jean, MD William Johnson, MD Benjamin Kellog, MD S. Clark Kennedy, MD Alan Koffron, MD Julie Koffron, MD James Lovette, MD Robert A Maxwell, MD Craig Murray, MD Christina Parkhurst, MD Walter Rose, MD Rishabh Shah, MD Philip Smith, MD Craig Swafford, MD Justin Wilkes, MD Joshua Worthington, MD GENERAL SURGERY/ CRITICAL CARE Vicente Meija, MD GENETICS Lea Parsley, MD GYNECOLOGY John Adams, MD Olukayode Akinlaja, MD Delmon Ashcraft, MD Blakele Bakker, MD Ashton Ballinger, MD David Barker, MD Desi Batson, MD Salah Beck, DO Joseph Bird, Jr, MD Frederick Bossert, MD Sarah Boyd, MD Meg Brasel, CNM Elisabeth Brenner, MD Gary Brunvoll, DO Cheryl Buchwalter, MD Natalie Bukner, MD Alex Ciabattone, NP Allison Cook, MD Casey Cooper, DO Jeanie Dassow, MD A. Mitch Dizon, MD Emily Evitt, MD Claire Fish, DO Robert Furr, MD Bobby Garcia, MD Katie Garrett, CNM Shelly Gibbs, MD William Gist, MD Chanda Hall, MD Daniel Harnsberger, MD Cynthia Harris, MD Angela Hollis, MD Robert Hutchinson, MD Chelsea Johnson, MD Kreg Jonson, MD

Carson Kaeser, MD Garrett Lam, MD Bradley Leath, MD Erica Lynch, MD Zineb Mashak, MD C. Ann Mashchak, MD Phyllis Miller, MD Amy Miller-Anderson, CNM Shanti Mohling, MD William Moss, MD Christopher Mullin, MD Elyssa Nagy, DO James Nunally, MD Enrique Ordonez, MD Jessica Putnam, MD Stephen Radtke, MD Emily Reeves-Douglas, MD Jack Rowland, MD Margaret Sanbourin, DO Mary Sanders, DO Elizabeth Scarbrough, DO Destiny Smith, NP Sarah Smith, CNM Meshell Stokes, MD Carol Taylor, PA Lauren Thompson, MD Heather Urrego, DO Natalie Vukmer, DO Jay White, MD Lacey Windham, MD Steven Wolf, DO Linda Yu, DO GYNECOLOGY/OBSTETRICS Mark Branch, DO GYNECOLOGY/ONCOLOGY Todd Boren, MD Victoria Brumlow, MD Randi Conner, MD Stephen DePasquale, MD Marie Hamilton, NP Natasha Mines, NP Matthew Oliver, MD HEMATOLOGY ONCOLOGY Ryan Cleary, MD Marie Hamilton, NP Sumana Nagireddy, MD Harsha Vardhana, MD HOSPITALIST Roza Adamczyk, MD Anthony Aird, MD Ozioma Akaranta, MD Rohini Alay, MD David Alvarez, MD Sachin Amin, MD Dorin Andreescu, MD Jaime Bailey, MD James Balvich, MD Ryan Barnes, MD Tamara Bennett, PA Anteneh Birru, MD Whitney Black, MD Aaron Blakeney, MD Vani Bollineni, MD Amanda Boone, MD David Bosshardt, MD Joshua Carpenter, DO Young Chang, MD Ami Chattin, MD Jason Cox, MD David Dodson, MD Jennifer Dooley, MD Deborah Duffield, MD James Durham, MD Kristine Dyer, NP John Ekong, MD Amber Evans, NP Joseph Evans, MD Travis Flock, MD Cristina Florea, MD Radian Florea, MD William Fritsch, MD Joe Furr, MD James Gilbert, II, DO Justin Gorsline, NP

Marina Grigorian, MD Ravi Gurusamy, MD Richard Gusso, MD Jody Haddock, MD Stephanie Hamel, NP F. Lee Hamilton, MD Adrienne Harrington, MD Benjamin Harrington, DO Naushaba Hasan-Rizvi, MD Biram Hicks, MD Jason Horinouchi, MD Chun Huang, MD Jonathan Humberd, DO Jensen Hyde, MD Rolla Jibrin, NP Kristen Joels, MD Mark Jones, MD Avni Kapadia, MD Bradley Large, MD Eun Lee, MD Jason Lee, MD Christopher Lewis, MD Kevin Luce, MD Robert Magill, MD Nabil Malek, DO Valerie Manley, NP Elise Marshall, DO Eric McCartt, MD Patrick McGinty, MD Ryan McNamara, MD K. Brent Meadows, MD Neil Melnick, MD Nancy Michaelis, MD Robert Mitchell, MD Andrea Morgan-Bedasse, MD J. Scott Muller, MD Hany Naggar, MD Darshan Naik, MD Samuel Nelson, DO Kelly Newfeld, MD Carroll Odem, MD Iwayemi Olayeye, MD Mehul Patel, MD Vekananda Pattabiraman, MD Anja Patton-Evans, MD Richard Pesce, MD Theresa Pollard, MD Philip Rayers, MD Sara-Page Red, NP Hibitha Revana, MD David A. Rice, MD Naushaba Rizvi, MD Syed Rizvi, MD Matthew Roberts, MD Amanda Robinson, DO Nickie Rosario, NP Howiada Salim, MD Chetan Shah, MD Rebekah Sherlin-Chaplin, MD Ashley Smith, MD Marshall Spears, MD Tye Springer, NP James Stanfield, MD Ann Steciw, MD Gregory Steinke, MD Ronald Streko, MD Adrien Strickland, MD Teabra Swafford, MD Wesley Thompson, MD Maria Tudor, MD Jessica Tyler, MD Emily Upchurch, DO Ramses Vega-Casasnovas, MD Raul Vila, MD Subhash Virani, MD Amy Walthour, MD Laura Wendt, NP Richard Yap, MD Laura Youngblood, MD INFECTIOUS DISEASES Mark Anderson, MD Paul Cornea, MD Michael Davis, MD Hal Hill, MD

Cameron Golightly, DO James Sizemore, MD Mandeep Grewal, MD Adam Soufleris, MD Taylore Grimm, PA INTERNAL MEDICINE Rohit Gupta, MD John Aaron, MD Brant Holt, MD Hadgu Akberet, MD Aamir Iqbal, MD James Alberta, MD Kenneth Kokko, MD Sarah Baker, MD John McCarley, MD Usman Barula, MD J. Aislinn McMahan, NP Melanie Blake, MD Shannon McShan, NP Cynthia Boss, NP Chris Meshberger, MD Robert Bowers, MD Elaine Ogden, NP Jacob Cantrell, MD Nilesh Patel, MD Larry Cary, MD Christopher Poole, MD David Castrilli, MD Adam Price, MD Collin Cherry, MD Adel Shenouda, MD Alycia Cleinman, MD Rhonda Simmons, NP Charles Crump, MD Ralph Stafford, MD Peter Deversa, MD Courtney Wampler, NP Arlene Donowitz, MD Joseph Watlington, MD Steven Dowlen, MD Hans Yehnert, MD Tracy Dozier, MD AnneSofie Dubeck-Brooks, MD Jackson Yium, MD NEUROLOGICAL SURGERY Johannes Duplooy, MD Ranjith Babu, MD David Elias, MD Peter Boehm, Jr., MD Russell Fung, MD Peter Boehm, Sr., MD Helen Furr, MD Jennifer Coker, MD Monica Gefter, MD Megan Frizzell, NP Marijka Grey, MD Michael Gallagher, MD Akberet Hadgu, MD Taylore Grimm, PA Terriest Haire, NP Donald Hakes, PA Mary Hammock, MD Paul Hoffmann, MD Mark Heinsohn, MD Anita Jones, PA Ronda Huisman, NP Daniel Kueter, MD Mohamed Hussein, MD Michael Liedke, NP Bessie Ingram-Nunally, MD Joseph Miller, MD Dabney James, MD Joel Morrison, PA Sonya Johnson, MD Erin Neely, PA Kellie Jolley, MD Prayash Patel, MD Liezelle Jurgens, MD Katie Sims, PA Unnati Kiran, MD Charles Sternbergh, MD Gary Malakoff, MD David Wallace, MD Mario Mariani, MD David Wiles, MD Jack McCallie, MD NEUROLOGY Preston McDonald, MD Joshua Alpers, MD Glenn Newman, MD Paul Bates, PA G. Michael Ozborn, MD Ravi Chander, MD Mukta Panda, MD Juan Cuebas, MD Walter Parkhurst, MD Emily DeCroos, MD Mittal Patel, MD Thomas Devlin, MD Michael Prostko, MD Sharon Farber, MD Teresa Regan, MD Elizabeth Ferluga, MD Patrick Rhyne, MD James Fleming, MD Lonard Rigsby, III, MD Caleb Heath, NP Eugene Ryan, MD Sally Horne, MD Yazan Saba, DO Tareck Kadrie, MD Michael Salama, MD Bruce Kaplan, MD Sarita Sapkota, MD Matthew Kodsi, MD Ted Scoggins, MD Howard Kraft, MD Wayne Scott, MD Jussie Lima, MD Jerrold Selzer, MD Jake McKay, MD Sohi Shahnaz, MD Jennifer Nichols, NP R. Vincent Smith, MD Nataria Pitiyanuvath, MD Richard Sowell, MD Lisa Staton, MD Amy Raines, NP Amanda Tedstrom, MD Ruchir Shah, MD Shavonda Thomas, MD Zade Shaw, MD James Torrence, MD Abdelazim Sirelkhatim, MD R. Henry Williams, MD Kim Smith, MD Michael Wood, MD Megan Stevens, MD Taylor Wooten, MD Phillip Tallent, MD Sarah Worley, MD Ellen Valadez, MD Tye Young, MD Nathan Wyatt, MD INTERNAL MEDICINE/ NEURORADIOLOGY GERIATRICS Avinash Sud, MD Terry Melvin, MD NUTRITION MATERNAL/FETAL MEDICINE Elizabeth Snyder, RDS Stephen Gonzales, DO OCCUPATIONAL THERAPY NEPHROLOGY Jennifer Ehlers, OT P. Michael Aryeetey, MD Chris Massey, OT Warren Burke, NP Patricia Phillips, OT Nathan Chamberlain, MD Laura Ray, OT Lindsay Crawford, MD ONCOLOGY, MEDICAL Claude Galphin, MD Farouq Akbar, MD Stuart Ginther, MD Betrand Anz, III, MD

Edward Arrowsmith, MD Brooke Daniel, MD Davey Daniel, MD William Donnellan, MD Jessica Fosbinder, NP Jonathan Freese, NP Robert Graham, MD Derek Holland, MD Clint Kingsley, MD Choon-Kee Lee, MD Imtiaz Malik, MD Catherine Marcum, NP John McCravey, MD Emily McDuffee, DO Benjamin Nadeau, MD Sandeep Rajan, MD Amy Riemer, MD B.W. Ruffner, MD Larry Schlabach, MD Michael Stipanov, MD Gregory Sutton, MD Jill Tichy, MD An Tran, MD Hannah Tunks, PA Mark Womack, MD ONCOLOGY, ORTHOPEDICS Ryan Voskuil, MD ONCOLOGY, SURGICAL John Gwin, MD ONCOLOGY, SURGICALBREAST Nichole Walker, MD Betsy Washburn, MD OPHTHALMOLOGY John Bierly, MD John Bonner, MD Patrick Bowers, MD David Friedrich, MD John Hildebrand, MD John Kim, MD Robert Levy, MD Peter Lindquist, MD Elizabeth Mabry, MD Paula Nicola, MD Edward Peterson, MD Molly Seal, MD Steven Thomas, MD William Whitmire, MD Rachel Brown, OD Rachel Lusk, OD Daryl Mann, OD Zachary McCarty, OD Leslie Phillips, OD Luckson Previl, OD Paige Thompson, OD OPHTHALMOLOGY, RETINA Richard Breazeale, MD Francis DeCroos, MD Brett Gerwin, MD Devon Ghodarsa, MD Asghar Haider, MD Rohan Shah, MD John Stone, MD OPTOMETRY Mark Kapperman, OD Michelle Haranin, OD Robert McGarvey, OD Troy White, OD ORTHOPEDICS Julie Adams, MD Richard Alvarez, MD Justin Arnold, MD W. Timothy Ballard, MD Todd Bell, MD Matt Bernard, MD Lacie Black, NP Elizabeth Bradford, NP Jeremy Bruce, MD Channappa Chandra, MD Richard Chapman, PA John Chrostowski, MD Brandon Cincere, MD Colton Cooper, PA Bryce Cunningham, MD

Thomas Currey, MD John Dorizas, MD Daniel Doty, MD Jesse Doty, MD Miriam Edwards, PA Jason Fogleman, MD Caroline Freeman, PA Mark Freeman, MD Venkat Ganapathy, MD Warren Gardner, II, MD William Garrett, MD Benjamin Geddes, MD Ryan Gilliand, PA Todd Grebner, DO Megan Henry, PA Barry Heywood, MD Matthew Higgins, MD Brilee Johnson, PA Dirk Kiner, MD Alexander Lemons, MD Christopher Lotufo, DPM Peter Lund, MD Robert Mastey, MD Benjamin Miller, MD Bradford Mitchell, MD John Nash, MD Peter Nowotarski, MD Christopher Pankiw, MD Donna Pearson, PA Josh Porter, PA Kurt Pulver, PA L. Shay Richardson, MD Jason Robertson, MD Andrew Roden, PA Jason Rogers, MD Pace Rothery, PA Brett Sanders, MD Kristopher Sanders, MD Thomas Seales, MD Melissa Shuleva, PA Chad Smalley, MD Brian Smith, MD Jason Spangler, DO Katie Steen, PA Scott Steinmann, MD Megan Stitcher, NP Pat Stone, MD W. Michael Tew, MD Michael Veal, MD Ryan Voskuil, MD C. Jason Wamack, DPM Billy Worley, MD ORTHOPEDICS, SPINE Venkat Ganapathy, MD Benjamin Geddes, MD Scott Hodges, DO James Jolley, MD Rebecca Payne, PA Jessica Scott, PA Nathan Woody, PA PAIN MANAGEMENT Gregory Ball, MD John Blake, III, MD Leslie Bray, NP Gary Cundiff, MD Stephan Eselgroth, MD Jonathan Geach, MD Taylore Grimm, PA Michael Hermann, MD Thomas Holcomb, NP Tina Johnson, NP Sandra Kaplan, MD Lindsey King, NP Tiffany LeCom, NP Alicia Lippard, NP Candace McKee, MD Thomas Miller, MD Imari Montanez, NP Michael Najjar, MD Erin Neely, PA Theresa Popas, NP Dana Simpson, NP Arion Smalley, MD Todd Stanford, PA

Erin Stockwell, NP Connie Terrell, NP Todd Ussery, MD Rachel Webb, NP Deb Wells, NP PALLIATIVE MEDICINE Maribeth Bosshardt, MD Christina Byerley, NP Christine Dominguez, NP Robert Goldmann, MD David Johnson, MD Kathleen Locker, MD Gregory Phelps, MD Jacqui Schollenberger, MD Marissa Warden, NP PATHOLOGY John Bickel, MD Christina Birsan, MD Keith Bohman, MD Summer Bohman, MD Thomas Brien, MD Imelda Bulatao, MD Terence Casey, MD Pranil Chandra, DO Stephanie David, MD Mario Diolombi, MD Lori Emerson, MD Charles Evans, MD Theodore Feintuch, MD Eugene Fong, MD Nichon Grupka, MD Richard Hessler, MD Moon Hong, MD Paul Kaplan, MD Kathryn Knight, MD Vladimir Kravtsov, MD Gary Lanham, MD Andrew Laramore, MD Wayne Lennington, MD Parisa Mansoori, MD Thomas Mezzeti, Jr., MD Joyce Mills, MD Ronald Oxenhandler, MD Irina Perjar, MD Philip Pollock, MD Lori Proctor, MD Kaori Saito, MD Sanford Sharp, MD David Spence, MD Lynn Swearingern, MD Erin Thibault, MD Neal Wearner, MD Derek Welch, MD PEDIATRICS Jon Boroughs, MD Carolyn Brannon, MD Max Bryant, MD Anna Rose Carlson, MD Jane Catterton, MD Tonia Cox, MD Timothy Davis, MD Jennifer Hartline, NP Anna Jones, NP Sadie Mcelrath, APN Gary Meredith, MD Heather Naggar, MD Michele Pickett, MD Peter Rawlings, MD Virginia Rodgers, MD Arif Shafi, MD James Scott Sherrer, NP Nita Shumaker, MD Josh Smith, MD Catherine Wilson, MD PEDIATRICS, CARDIOLOGY Wesley Davis, MD Mark Hays, MD Gerald Johnson, MD Nisha Surenderaneath, MD PEDIATRICS, ENDOCRINOLOGY Marielisa Rincon, MD PEDIATRICS, INTERNAL MEDICINE

D. Keith Helton, MD PEDIATRICS, NEUROLOGY Sharlisa Hutson, MD Thomas Ireland, MD Lewis Miller, III, MD PEDIATRICS, SURGERY Michael Carr, MD Pete Kelley, MD Wendell Moses, MD Lisa Smith, MD PEDIATRICS, UROLOGY Paul Zmaj, MD PHYSICAL MEDICINE & REHABILITATION David Lowry, MD Matthew Rider, MD PHYSICAL THERAPY Randy Walker, PhD, RPT Charles Jones, PT PLASTICS Christopher Chase, MD Mark Leech, MD Todd Thurston, MD Jimmy Waldrop, MD Rex Yannis, MD PLASTICS, HAND Mark Brzezienski, MD D. Marshall Jemison, MD Jason Rehm, MD PSYCHIATRY Jon Cohen, MD PUBLIC HEALTH Valerie Boaz, MD Andrew Combs, MD Karen Moyer, MD Yogini Patel, MD Deborah Poteet-Johnson, MD PULMONARY DISEASE Krish Bhadra, MD John Boldt, MD Upasana Chakraborty, MD Bethany Condra, NP Minerva Covarrubias, MD Sarah Harris, MD Benjamin Harnsberger, MD Audrey Haywood, DO Geraldo Holguin, MD Samuel Jacobson, MD Asad Javed, MD Yune-Gil Jeong, MD Carole Johnson, NP Patrick Koo, MD Richard Loynd, MD Anne Mainardi, MD Catherine Martinez, MD Josue Mendoza, NP Kristen Miranda, NP Nathan Mull, IV, MD Sumit Patel, MD Chad Paxson, DO Hisham Qutob, MD Edwin Rao, MD Jigme Sethi, MD Radhika Shah, MD Harsha Shantha, MD Sibaji Shome, MD Pamela Sud, MD Jesse Tucker, MD Dominic Tutera, MD Prabhu Vijayvargiya, MD Vincent Viscomi, MD RADIATION ONCOLOGY Maikel Botros, MD Brittany Cannon, PA Tru-Khang Dinh, MD Eric Ellis, MD John Fortney, MD Norleena Gullett, MD Frank Kimsey, MD Waleed Mourad, MD Nitesh Rana, MD Tiffany Richardson, PA Marcus Wagner, MD Jonathan Whaley, MD

Patrick Williams, MD RADIOLOGY John Allred, III, MD Jeff Alvis, MD Gordon Archibald, MD Agboola Awomolo, MD Brent Baldwin, MD Guy Barat, MD Chad Barker, MD Jose Barriocanal, MD Stephen Bresson, MD Scott Briggs, MD Kenneth Brinn, MD Justin Buchanan, MD Ryan Buckner, MD Kelsey Budd, MD Jared Burlison, MD Lynn Carlson, MD Thomas Carr, MD Harigovinda Challa, MD Jay Coleman, MD Kevin Cormier, MD Kevin Crawford, MD Marina Doliner, MD Sanjam Dhillon, MD Gwendolyn Durgin, MD Lance Faler, MD Martin Finnegan, MD Peter Furicchia, MD Ernie Gray, MD Tae Han, MD Harris Hawk, MD Patrick Henderson, MD Daniel Hendry, MD Andrew Hill, IV, MD Jacqueline Howard, PA John Johnston, MD Collier King, DO Kilton Kingsman, MD Chip Kyle, MD Michael Lacombe, MD Lee Lefler, MD James Loyd, MD Richard Lynn, MD James Martin, MD Garth McPherson, MD Tona Munday, MD Saima Muzahir, MD Timothy Neher, MD Rachel Nelson, MD Michael Nichols, MD John Nunes, MD Anil Patel, MD Larry Paul, MD Shailendri Philip, MD Samuel Porter, MD Steven Quarfordt, MD David Rex, MD Thomas Rimer, MD Roxsanne Roberts, MD William Rowlett, MD Jospeh Rozell, MD Stephen Sabourin, MD Greg Schaublin, MD Philip Shailendri, MD Martin Simms, MD Jason Smith, MD Michael Steiner, MD Mark Talley, MD Jeffrey Tipps, MD Jessie Varnell, MD Greg Verville, MD Jeffrey Wensel, MD Michael Weston, MD Robert Whittaker, MD Eric Zimmerman, MD RADIOLOGY/ INTERVENTIONAL Brent Barrow, MD Donovan Yamada, MD RHEUMATOLOGY Natalie Braggs, MD Michael Brit, MD William David Craig, DO

Jayne Crowe, MD Alan Elliott, MD Melinda Garcia-Rosell, MD Laura Godwin, NP Suzan House, MD Jessica Huffstutter, MD Joseph Huffstutter, MD Jonathan Mills, MD Lizeth Romero, MD Elizabeth Simpson, DO Elizabeth Turner, MD THORACIC SURGERY James Headrick, MD Stephen Martin, MD Richard Morrison, MD Jeffrey Poynter, MD Clifton Reade, MD Larry Shears, II, MD James Zellner, MD THYROID & ADRENAL SURGERY S. Michael Roe, MD UROLOGY Daniel Box, MD Dana Butler, NP Amanda Carter, MD Mark Currin, MD Colin Goudelocke, MD Kymber Habenicht, MD P. Edward Henson, III, MD John House, MD Raymond Howard, NP Alexander Ivey, MD Hayden Jahn, MD Nathan Jung, MD Jessica Lange, MD Amanda Linden, NP Amy Long, NP Edward McIntire, MD Jeffrey Mullins, MD Henry Okafor, MD David Sahaj, MD Marty Scheinberg, MD Anand Shridharani, MD Amar Singh, MD Christopher Thacker, MD Amanda Threlkeld, MD Michael Tonzi, MD Benjamin Waldorf, MD Matthew Watson, DO Argil Wheelock, MD William Young, MD Paul Zmaj, MD VASCULAR SURGERY Michael Barfield, MD Ehsan Benrashid, MD Ashleigh Cates, NP Monica Chamberlain, NP Erica Clark, DO Ashley Elledge, NP Dan Fisher, Jr., MD Michael Greer, MD William Harris, DO Cori Hinson, NP Charles Joels, MD Neelima Katragunta, MD Laura Kim, NP Laura Kirk, NP Christopher LeSar, MD Veronica O’Steen, NP Karen Rudolph, MD Stephanie Sheridan, NP Glen Schwartzberg, MD Misha Stone, NP Marysol Thomas, NP Christine Warren, NP Jennie Wilson, NP Laura Young, NP WOUND CARE Christine Jeong, MD Harry Severance, MD

S P EC I A L S EC

Aging Well

As you grow into your golden years, it’s important to stay on top of your health. Being informed and paying attention to your wellbeing can ease the aging process and prevent unnecessary worry. Here, we highlight common health concerns for aging adults and hear from experts about preventative measures and treatment options that will help you enjoy this season of life to the fullest. By Rachel Studebaker

healthscopemag.com

AN N UAL AG I N G W ELL SECT I O N

Vascular Health in Aging Adults Healthy veins and arteries are an important aspect of maintaining good health in old age.

Common Vascular Conditions Old age is a risk factor for vascular issues, making it important to understand the most common conditions. Atherosclerosis involves the gradual buildup of plaque in the arteries, which can restrict blood flow. When narrowed arteries affect blood flow to the limbs, it causes peripheral artery disease (PAD). Hypertension, or high blood pressure, refers to a blood pressure reading of 130/80 mm Hg or higher. Approximately 70% of adults 65 years and older have high blood pressure. Varicose veins are twisted, enlarged veins that are visible through the skin. These are a common cosmetic concern and can in some cases cause pain and require medical attention. Symptoms

An Expert Weighs In “As a vascular surgeon, I want to emphasize the importance of taking proactive measures to prevent vascular issues associated with aging. It is crucial to recognize symptoms such as shortness of breath, chest pain, and leg discomfort to prevent catastrophic events like heart attacks, strokes, or blood clots. Moreover, large varicose veins, leg swelling, and cramping are often signs of more extensive venous disease and warrant investigation to prevent complications. Aging adults can empower themselves by adopting hearthealthy lifestyles to include regular exercise, strict blood pressure and diabetes management, and smoking cessation. Routine checkups and screenings are essential for early detection and effective prevention.” William B. Harris, DO, FACS, RPVI Vascular Surgeon, Vascular Institute of Chattanooga

Vascular conditions can cause shortness of breath with light activity, cognitive changes, and persistent leg discomfort, including pain, cramping, or swelling. Recognizing these warning signs early on can prevent serious side effects such as heart attack and stroke. If you are experiencing any of these symptoms, consult with a healthcare provider. A thorough evaluation can determine the underlying cause. Prevention and Outlook Certain lifestyle changes can promote cardiovascular health and reduce the risk of vascular issues: • Adopt a heart-healthy diet rich in fruits, vegetables, lean proteins, and whole grains. • Exercise regularly. Physical activities such as walking, swimming, or gentle yoga are great options for older adults. • Manage blood pressure. Regular blood pressure checks, reduced salt intake, and medication as prescribed can all help maintain a healthy blood pressure. • Stop smoking. Smoking is detrimental to the vascular system and can exacerbate PAD. • Schedule routine medical checkups, including vascular screenings. Early detection is crucial to preventing complications. By understanding common vascular conditions and symptoms and implementing these proactive prevention strategies, aging adults can take charge of their vascular health.

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Prevention Strategies Adopting a Heart-Healthy Diet

Maintaining a healthy weight to help reduce the risk of cardiovascular issues, and adopting a diet rich in fruits, lean proteins and whole grains.

Regular Exercise Routine

2-3 times a week adopt exercises such as walking, swimming or yoga.

Blood Pressure Management

Work to reduce stress levels; monitor your blood pressure; adherence to prescribed medication and reducing salt intake.

Smoking Cessation Just Quit!

Regular Health Check-Ups

Encourage routine medical checks and vascular screenings for early detection. By understanding common vascular issues associated with aging and implementing proactive prevention strategies, individuals can take charge of their vascular health.

Choose the trusted leaders in vascular care. Our practice is the only one that accepts selfreferrals, making it easier for you to get the help you need. We offer timely appointments to address your symptoms, and our highly experienced team of specialists will provide personalized care using the latest technology for accurate and precise treatment. Our goal is to deliver comprehensive care with the highest quality outpatient treatments. Trust us for all your vascular needs.

4 2 3 . 6 0 2 . 2 7 5 0

AN N UAL AG I N G W ELL SECT I O N

High-Intensity Focused Ultrasound This advanced ultrasound technology is making strides in cancer treatment.

What is HIFU? High-intensity focused ultrasound (HIFU) is a minimally invasive medical procedure that uses ultrasound waves. These highintensity, highly focused sound waves can target and destroy diseased tissue while leaving healthy tissue unharmed. HIFU has a wide range of applications and is becoming an increasingly popular option for cancer treatment. HIFU in Cancer Treatment HIFU is most often used to treat tumors – in many cases, cancerous ones. Most notably, HIFU is being used in the treatment of prostate cancer – a condition that predominantly affects aging men 50 and older. Focal HIFU technology in particular has been groundbreaking in prostate cancer treatment by increasing precision and reducing side effects. 60

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What to Expect Prior to HIFU, you may undergo an imaging test to locate the exact position of the cancerous tissue. MRI imaging is often used in combination with HIFU to guide the waves and boost accuracy. During the procedure, a machine will deliver bursts of ultrasonic waves that safely pass through healthy tissue. This energy will heat up the target tissue and destroy it. Afterward, another imaging test will confirm whether the tissue was destroyed. HIFU is typically performed in an outpatient setting and is complete after a single session.

An Expert Weighs In “We are proud to be the first in Tennessee, leading the technological advancement through the use of Focal One. This technology uses robotic and artificial intelligence (AI) to provide the precise treatment for early detected prostate cancer. As a focused approach, we can maximize the cancer treatment while avoiding typical sexual and urinary side effects impacting the quality of life.”

Benefits Patients wishing to avoid radical cancer treatment may be candidates for HIFU. Compared to treatments such as chemotherapy, radiation, and open surgery, HIFU offers fewer side effects and is considered a safer option. It also has a shorter recovery time than more invasive procedures, allowing patients to return to their daily activities in only a few days.

Amar Singh, MD Urologic Oncology, Robotic & Minimally Invasive Surgery Specialist, Erlanger

GIVE more CHEERS in CHATTANOOGA.

Give the gift of health right here at home. When you give to Erlanger and Children’s Hospital at Erlanger, every dollar stays here in our region. So you’re actually giving healthier tomorrows to your friends and neighbors right here at home—and no gift is greater than that. To make a tax-deductible contribution, scan the QR code, call 423-778-6600, or visit GiveErlangerFoundation.org.

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AN N UAL AG I N G W ELL SECT I O N

Hormone Replacement Therapy Women dealing with menopausal symptoms may be candidates for hormone replacement therapy.

Understanding Menopause

Benefits and Risks

Menopause marks the end of a woman’s menstrual cycle. Symptoms such as irregular periods and night sweats can begin in the years leading up to menopause during a time called perimenopause. The average age of menopause in the United States is 51, with symptoms typically lasting for seven to nine years, although the duration is longer for some women. For some, these symptoms are mild, but for others, they can significantly impact quality of life. When symptoms do not improve with lifestyle changes, prescription therapies can offer relief.

Successful treatment using HRT can resolve vasomotor symptoms, improve sleep quality, sexual relations, and overall quality of life. It also offers additional benefits, such as preserving bone density. Like with all treatments, HRT poses potential risks. Medical organizations agree that these therapies have an important role in managing symptoms for healthy women who have recently transitioned into menopause. Treatment plans are structured to mitigate risk and research shows that adverse side effects are uncommon. According to the North American Menopause Society, HRT “is associated with fewer than two harmful events per 1,000 women per year,” which translates to less than 0.2%.

Hormone Replacement Therapy During menopause, the absence of estrogen, progesterone, and testosterone commonly cause hot flashes, night sweats, mood swings, brain fog, and sexual dysfunction. Prescribed doses of these hormones, known as hormone replacement therapy (HRT), are the most effective treatment for these symptoms. There are a variety of ways to absorb these medications depending on the needs of the patient and the severity of symptoms. Hormone replacement can be delivered through a daily pill, topical patch, gel, cream, spray, or vaginal ring. It takes eight to 12 weeks to take full effect, and treatment duration is determined by the duration of a woman’s symptoms. 62

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An Expert Weighs In “Menopausal women deserve to be heard and their symptoms to be taken seriously. This season of life often gets overlooked by the medical community. A woman lives on average one-third of her life in menopause and the effects on her quality of life can be profound. Fortunately, there are many treatment options available depending on the needs and goals of the patient to restore her quality of life.”

Outlook If you are struggling with these symptoms and need help managing them, meet with your healthcare provider to discuss whether HRT or non-hormonal treatment is the best option for you. Every woman is different, so HRT will involve an individualized treatment plan with a dosage, duration, and form of treatment agreed upon by you and your provider.

Lauren Barlew, WHNP-BC Owner, Lotus Center for Women

NAMS Certified Menopause Practitioner (NCMP) Hormonal and non-hormonal treatment options for peri/menopause Specialized treatment for sexual dysfunction Vaginal dryness and pain with intimacy Weight management

Where the future feels good. 320 North Holtzclaw Ave, Suite 104, Chattanooga, TN 37404 | 423-654-8900 |

@lotuscenterforwomen |

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Lotus Center for Women

AN N UAL AG I N G W ELL SECT I O N

Photoaging Pigmentation caused by sun exposure is a common cosmetic concern for aging adults.

What is Photoaging? Photoaging, or sun damage, occurs as the skin is exposed to UV rays over time. Sun exposure is responsible for 90% of visible changes to the skin, which include pigmentation changes as the skin tries to protect itself by producing extra melanin. This can cause the appearance of dark age spots – also known as liver spots and sunspots. These small, flat areas of increased pigmentation typically appear on areas exposed to the sun such as the face, hands, shoulders, and arms. Like the name suggests, age spots become more prevalent with age and are very common in adults over 50. While these types of spots don’t need medical attention, they can become a cosmetic concern. Treatment Options

An Expert Weighs In “There’s so much you can do with great skincare to combat photoaging. As a cosmetic chemist and pharmacist, I recommend preventing and treating photoaging with a daily serum containing Vitamin C, Vitamin E, and ferulic acid (try Designer+Cosmeceuticals Prevent+ Serum). When formulating our line, I rely on synergy to create high potency lightening and brightening treatments. When you block melanin production and increase cell turnover, the combined effect is outstanding (try Correct+Brighten containing arbutin, kojic acid, and vitamin C).”

Tanya Manoni, PharmD, FAAMM candidate VP Pharmacy Development, Designer Drugs

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Thankfully, many treatment options are available to combat pigmentation caused by photoaging. • Skincare products with ingredients such as kojic acid, arbutin, and hydroquinone can effectively lighten age spots. Vitamin C is an antioxidant that helps brighten age spots and can be administered to the skin via a serum. • Topical medications such as retinol and tretinoin can gradually fade age spots over several months. • Laser therapy destroys the melanin-producing cells without damaging the skin’s surface. • Cryotherapy involves briefly applying liquid nitrogen to the spot to destroy extra pigment. • Microdermabrasion and microneedling prompt skin to regenerate, which lightens age spots. • Chemical peels are a chemical solution applied to the skin to remove its top layers. New, smoother skin will form to take its place. Outlook If you’re looking to address the cosmetic effects of photoaging, consult with your dermatologist to determine which treatment option is best for you. To prevent future sun damage, make sure to wear broadspectrum sunscreen and wear protective clothing such as long sleeves and hats to prevent UV exposure.

AN N UAL AG I N G W ELL SECT I O N

Comprehensive Hand Care State-of-the-art orthopedic care can help ease pain and improve hand function for aging adults.

Understanding Hand Health We use our hands and fingers every day for countless activities, from writing and picking up items to eating and driving a car. Properly functioning joints and muscles are key to performing these tasks; however, injuries and age-related conditions can affect hand function. When lack of movement, pain, or weakness in the hands occurs, it can make even simple activities difficult or impossible and affect one’s quality of life. Common Conditions Hand concerns are often the result of pinched nerves, strained tendons, or inflammation. Symptoms can be acute or chronic and include: • Joint pain in the hand, wrist, or fingers • Tingling, numbness, weakness, or pain in the hand or thumb • Difficulty holding objects or opening and closing the hand • Increased pain from repetitive motions 66

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Aging hands are especially prone to arthritis. In fact, half of all women and one-quarter of all men will experience osteoarthritis of the hands by the time they are 85. Other common conditions include carpal tunnel, trigger finger, and tendonitis. Treatment and Outlook Orthopedic hand specialists can address these concerns and provide relief with a wide range of treatments. Non-surgical approaches can help restore movement and reduce pain. These include medication, steroid injections, the use of a splint or wrist brace, and physical therapy. If nonsurgical methods prove ineffective, hand surgery may be recommended. When hand pain or weakness begins interfering with your daily activities, it’s time to seek help. A hand specialist can determine its cause and develop a personalized treatment plan to put you back on the path toward normal, pain-free hand function.

An Expert Weighs In “Hand pain can originate from the joints, tendons, ligaments, bones, or nerves, each having potential problems that can cause dysfunction of the hands. We typically recommend conservative measures, then consider surgery. The bottom line is that our hands are one of the most unique and complex structures of the human body that we use to interact with our environment almost every minute of the day. We usually take them for granted until something goes wrong. Seeking care from a hand surgery specialist ensures you have access to the necessary expertise and most effective treatment options that help lessen pain, reduce symptoms, and restore optimal hand function.”

Brian Smith, MD Fellowship-Trained Hand Specialist, Center for Sports Medicine & Orthopaedics

AN N UAL AG I N G W ELL SECT I O N

Cataracts This common eye condition causes gradual vision loss in aging adults.

What are Cataracts? The human eye has a natural lens that helps focus light. A healthy lens is clear, but when the proteins in the lens begin to break down, they can cause blurry and hazy vision. This clouding of the lens is called a cataract. Causes and Symptoms Aging causes most cataracts. At age 40, the proteins in the lens naturally begin to break down and lead to cataracts. Cataracts are a common condition, affecting half of all Americans by age 75. Certain factors can increase the risk of age-related cataracts, such as family history, smoking, diabetes, and previous eye surgeries. Symptoms of cataracts gradually appear and worsen over time. These include blurry vision, seeing double, sensitivity to light, trouble seeing at night, and colors that appear faded. An ophthalmologist can diagnose cataracts, typically with a dilated eye exam.

An Expert Weighs In “At Precision Eye Consultants, we know you have a choice, and we know that the best care comes when patients exercise that choice. We want our patients to know that if they need anything, from a routine eye exam to discussing questions regarding cataracts, dry eye, and glaucoma, to name a few, we work in tandem with others in our community who we believe will continue to put patients first and deliver the best care. We truly believe we are the best because we surround ourselves with only the best!”

Courtney Ridner, MD Opthalmologist, Precision Eye Consultants

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Treatment and Outlook Cataract symptoms can be managed with methods such as brighter lights and a stronger prescription for eyeglasses or contact lenses. However, when vision loss begins to interfere with daily activities such as driving or reading, surgery may be the best option. Surgery is the only way to remove a cataract. During cataract surgery, your eye surgeon will remove the clouded lens and replace it with a clear, artificial lens called an intraocular lens, or IOL. There are multiple types of IOLs with different focus abilities – your ophthalmologist can discuss which option is best for your vision needs. While cataracts are a common part of aging, they don’t have to interfere with daily life. Speak with your ophthalmologist if you are experiencing cataract symptoms to determine the best path forward to clearer vision.

HON E ST Y & I N T E G RI T Y S AM E DOC TOR S A M E Q UALI T Y CAR E DR. COURTNEY RIDNER, MD, MPH

N E W NAM E

DR. BARRETT THOMPSON, MD

1815 Gunbarrel Road Chattanooga, TN 37421

423.803.2020 PrecisionEyeConsultants.com

2415 Chambliss Avenue Cleveland, TN 37311

GETTING DOWN TO BUSINESS

M E N T A L H E A LT H I N T H E M O M E N T

MEET OUR MODEL

personal growth HER STORY

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PHOTO BY TREVOR LONG

Her Story Kelly Wehman Talks Cultivating Community

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At the age of 26, my husband and I were anxiously awaiting the arrival of our first child. On January 13, 2014, I gave birth to a sweet baby boy we immediately named Andrew Stephen, a name we had picked out early in my pregnancy if we had a boy. And that’s where our story takes a quick and dramatic turn.

On that day in a hospital in Fort Wayne, Indiana, I was a new mom to a baby boy diagnosed with Trisomy 21. Down Syndrome. Additionally, Andrew was rushed to the NICU for an upper respiratory infection and diagnosed with a minor heart defect.

Fast forward 18 months, and I was three months pregnant with our second child. Meanwhile, our sweet and seemingly healthy and happy baby boy was then diagnosed with Acute Myeloid Leukemia. Cancer. That scary C-word is any parent’s worst nightmare. The fight was on. #AndrewStrong became our mantra, our purpose. We had a six-month chemotherapy treatment plan to get Andrew cancer free before the arrival of our second child. After logging days and weeks in and out of Riley Children’s Hospital, Andrew was cancer free just three weeks before the arrival of his baby sister, Lydia.

I have learned so much about the value of community in this life with Andrew. Therapists have become like family. Medical professionals have become mentors. Our church family has become our rock during times that rattle our faith. Grandparents, aunts, uncles, and cousins have been our constant support. “Family” now includes everyone from people at my gym to people I have never met on Facebook who have supported us through it all. And this “family” embraces and celebrates every single, sometimes seemingly small, milestone Andrew achieves.

Photography by Trevor Long

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HER STORY

The value of community became even more apparent to me when we relocated to Chattanooga from Indiana in 2017. I moved to a new city as a mother of two little ones and didn’t know anyone. We quickly found an amazing church home, I found my gym family, our kids entered an amazing school district, and we got plugged into a wonderful Down Syndrome support group. Chattanooga is our new home, and we could not be more blessed by this community. Nine years later, this journey with Andrew has changed me into a person I didn’t know I could be. Many people in the community know that I am now an avid runner. It has become a passion, and I am now recognized as an elite runner, competing in elite fields of female athletes. I have even finished as the first place female in several races, including the Disney Princess Half Marathon, and have run the Boston Marathon five years in a row. And I do it all wearing #AndrewStrong. I have run several races for charity, raising money for pediatric cancer research, even as a St. Jude Hero. Andrew is my inspiration, my true hero. This journey has changed our whole family. My now 7-year-old daughter Lydia has grown to be quite the advocate for Andrew. She is his biggest fan, his constant supporter, his spokesperson when he can’t speak for himself, and the “other mother” in his life. We are so proud of the little warrior she has become.

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HER STORY

Professionally, I have embraced a career working as a group fitness instructor and trainer – something I have done since the age of 18. It became especially clear to me that this was a passion of mine when my life changed after having Andrew. Working in the fitness industry and being part of a fitness community has been such a source of encouragement, motivation, and support in my life. Being able to encourage, lead, and motivate others to reach their health and wellness goals brings me joy beyond measure. I truly feel we all need each other! There is so much to say about what I learn every day from Andrew. He loves life, has the best belly laughs, and gives the warmest

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hugs. He has taught me patience, pushed my limits, brought me to tears, brought me to laughter, and brought me to my knees. I have discovered through moments of weakness that you can find the strength you never knew you had … to win a race, both on the roads leading into the Magic Kingdom or Boston and on the rocky roads of life. I love sharing our story to give others hope that no matter what their life journey has in store, they are never alone in their battle. We are all in this race together.

Kelly Wehman Ringgold

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CAR EER & F I N AN C E

Getting Down to Business 5 COMMON MANAGERIAL STYLES By Christina Davenport

ot to be confused with leadership styles, management styles are instrumental when it comes to setting and evaluating priorities, communicating with team members, planning workloads, and handling sensitive information. Everything from one’s own personality to the industry or team dynamics impacts how a manager chooses to lead their team, and while no two people (and thus managers) are exactly alike, there are a handful of prominent managerial styles. Wondering which one you fall under? Read on to find out.

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Visionary Management Visionary managers are less concerned with day-to-day operations and rather excel at inspiring and motivating team members. Getting team members to buy in to a larger vision is sometimes necessary to create change or yield results. While this style works well with many teams and can create out-of-the-box thinking, visionary managers have to make sure they are still providing tangible support to the teams they lead, and their job can become difficult if they themselves do not agree with a certain directive. Autocratic Management In this management style, the power lies with the manager themselves. They are typically responsible for decision making and rarely consult their team. Autocratic managers are master delegators, and this top-down approach means decisions can be made quickly and easily. While it does have its pros, team members under an autocratic leader can easily feel stripped of creativity and micromanaged, leading to low morale and high turnover. Democratic Management Democratic leaders recognize the importance of the roles people play in a business and want team members to feel valued. Decisions in this dynamic are typically made based on a “majority rules” approach, and democratic managers are well versed in providing their team with content. With an emphasis on brainstorming and engagement, the main downside to this style is that resolution typically warrants more time. Transformational Management Rooted in change, transformational managers are constantly setting goals and pushing their teams to achieve them. While this style is nice because it inherently means managers are focused on team members’ professional growth, it can create challenges when teams can’t or aren’t motivated to hit certain metrics. On the other hand, it can give life to more mundane tasks and can be beneficial in industries that are constantly changing. Laissez-Faire Management Laissez-faire translates to “let it go,” and that’s exactly what these managers are best at. This type of leader is very hands-off and generally only consults with team members if something goes awry. This means that those working under a laissez-faire manager have a great deal of autonomy in their work, but less experienced team members can often struggle with creativity or prioritizing tasks.

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M EN TAL HEALT H

Mental Health in the Moment When difficult emotions build up, causing anxious or depressive thoughts, it can be a challenge to stay in the present moment. Grounding is a meditative practice that helps mitigate overwhelming thoughts by helping you tune in to the world around you. Read on for some methods to ground yourself and feel more present through the ups and downs of daily life. By Tory Irmeger

Go Outside

5-4-3-2-1 Method

If negative emotions have you feeling stuck, physical movement can help improve your mood. Stretching, exercising, playing with a pet, gardening, or simply sitting outside can redirect your thoughts from worries. The key here is to move with intention, paying attention to how your body feels and interacts with the world around you. Do you feel the sun or wind on your skin? Are you holding tension in your jaw or shoulders? Are there any changes you can make to feel more comfortable in this setting?

If going outside isn’t an option, or if movement isn’t preferable for your body, the 5-4-3-2-1 method is a great practice to feel present. From wherever you are, list:

Visualize Another method that you can practice anywhere at any time is to visualize something that brings you comfort. Perhaps it’s a familiar park, a restaurant with fond memories, or a city you once traveled to. Picture the place as if you were there, imagining the noises and feelings you would be experiencing. Or try imagining a loved one, recalling their features and the sound of their voice. Consider what they might say to encourage you through this moment. Take some time to determine which grounding method works best for you, and if the negative feelings persist, don’t give up. Studies have found that consistent meditative practices may help reduce stress, improve sleep, lower blood pressure, fight addictive behaviors, and control pain. As always, reach out to your support systems and healthcare providers to help you navigate difficult seasons in life.

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5 things you can hear 4 things you can see 3 things you can touch 2 things you can smell 1 thing you can taste

Notice things that usually fade to the background, and simply list the items for what they are, rather than how they make you feel.

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ME E T OUR MODEL

Latasha Garrett Photo by Trevor Long

Latasha Garrett’s life looks a lot different now than it did several years ago, and she wouldn’t have it any other way. Not only did Garrett open her own pediatric dentistry practice, but she’s also recently married with a stepdaughter at home and hopes to add children of her own to the family dynamic. All of this change has meant that Garrett has had to become adept at managing life’s many demands. While she’ll be the first to admit she’s still learning how to juggle all of her responsibilities, she’s finding success in the here and now by staying committed to healthy eating, family time, regular exercise, and plenty of rest and relaxation.

What is your approach to wellness? Wellness encompasses various aspects of physical, mental, and emotional health. My approach to wellness consists of eating a healthy diet, drinking plenty of water, working out at the gym two to three times a week, riding my bicycle on the weekends, and getting at least seven hours of sleep to allow my body to rest and rejuvenate. I prioritize self-care and engage in activities that bring me joy and relaxation.

What are your favorite ways to practice self-care? Pampering myself with a facial and massage for a spa day is my favorite way to practice self-care.

What are the traits you most value in yourself? Resilience - despite the many challenges life has brought my way, I have continued to move forward and adapt to change. And optimism - having a positive outlook has helped me to overcome my challenges while improving my mental and emotional well-being.

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What are some of your current goals and what are you doing to work toward them? Growing my business is my current goal, and I am in the process of expanding the practice so we can see more patients.

How do you approach emotional well-being? I am always trying to improve my emotional state. Being a business owner can be stressful at times, but it is important to stay calm and in control. At times, I have to manage my emotions by taking deep breaths, exercising, and using relaxation techniques. I also have positive relationships with friends and family. Being able to share my feelings with people I trust helps provide emotional support.

What does your daily routine look like? I wake up and have breakfast at home before heading to work. I start work at 8 a.m. and head home around 5 p.m. to have dinner with my family. We go for a walk in the neighborhood, and if time permits, we play a game of Uno or Ticket to Ride before heading to bed to get a good night’s rest.

What’s the best advice you’ve ever received? Choose a job you love and you will never work a day in your life.

What do you find the most rewarding? Making a difference in someone’s life and seeing them smile or laugh.

How do you encourage health and wellness within your family? We eat healthy meals together by cooking and making it a family activity, and we walk around the neighborhood before preparing for bed.

What have been some of your recent challenges? Have you found any solutions? If so, what are they? I have been married for less than a year so maintaining a work-life balance has been a challenge because I only had to worry about myself for so many years. My husband is very patient with me, and we continue to grow and work together as a team.

When it comes to health and wellness, is there anyone you admire or look up to? Why? I admire my grandfather who is 99 years old and continues to get around and take care of himself. He worked until he was 95 years old and was very upset that he had to retire. I love his work ethic and believe that purpose has contributed to his good health.

LUXURIOUS LASHES

CONQUERING THE COLD

beauty & style CARING FOR OUTERWEAR ITEMS

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FASHION

Caring for Your Outerwear Items By Tory Irmeger

Whether digging a well-loved coat out of the closet or thrifting a stylish new find, winter outerwear is a crucial part of any wardrobe. Rewearing these garments season after season is a great way to save money and be mindful of consumption habits, but caring for winterwear can be intimidating. Here, we’ll look at some tips and tricks for keeping your coats and sweaters fresh for years to come.

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Plan Ahead As tempting as it is to cast aside all coats on the first warm day of spring, make sure to launder these garments before storing them away in the summer months. Stains, sweat marks, and lingering odors are more likely to settle into the garment if left untreated. Well-stored, clean clothes are also less likely to draw infestations from moths and other critters. To prevent stretching and wrinkles, hang bulky coats and neatly fold sweaters before storing them in a closet or wardrobe. Use garment bags, vacuum-seal bags, or tissue paper for an added layer of protection.

Know Your Coat After cleaning and properly storing your winterwear, your garments will be ready to go when it’s time for caroling or hitting the ice rink. Thankfully, most winter coats don’t require weekly laundering. Depending on use, heavier coats can be washed once or twice a season, while lighter jackets and sweaters might need to be cleaned every few wears.

Tools of the Trade Clothing Brushes Make your leather jackets and suede shoes look new again by using clothing brushes to remove lint, hair, and debris from fabric.

Wool Dryer Balls Throw these in the dryer with your puffer jacket on low heat, and the balls will help break up clumps of down feathers in the lining.

When ready to launder a garment, start by referring to the care label, often on the tag or side seam. While modern laundry machines are certainly convenient, the water cycles and intense dryer heat can be permanently damaging to certain fibers. Some natural materials, like leather, suede, wool, and fur, are recommended to dry-clean and best left to the experts. Other outerwear, like fleece and down coats, can be laundered from home without too much hassle.

Handwashing Handwashing might be a drag, but in the long term, this can be much kinder to your fabrics than throwing them in the washer. Knits, like beanies, sweaters, and scarves, are prone to shrink, stretch, and pill without proper care. Pretreat any stains on the fabric before washing with water and mild detergent according to care instructions on the label. An easy trick to drying out the sopping garments is to lay the fabric on a dry towel and roll up the towel, pressing out excess moisture as you go. Lay your knits on a flat surface to air dry.

Sewing Kit Even for those jackets that have seen better days, lost buttons, rips, and worn-out elbows don’t have to be a death sentence. Some simple mending can breathe new life into any garment.

Dry Cleaning Kit For those pesky dry-clean-only garments, at-home kits are available to treat small spots and blemishes.

Down Wash Detergent Over time, strong detergents can break down clothing fibers, while specially formulated soaps for down or knits will be much gentler on your sweaters and puffer jackets.

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BEAUTY

Luxurious Lashes Show Your Lashes Some Love With These Eyelash Growth Serums

First came mascara, then came eyelash extensions … then came the advent of eyelash growth serums! A game-changer in the beauty world, these serums can transform your lashes from drab to fab in just a matter of weeks. We’re talking boosted length, enhanced volume, and increased shine, all with minimal effort. Here, you’ll find a few of our favorite eyelash growth serums currently on the market.

RevitaLash Cosmetics Advanced Eyelash Conditioner

GrandeLASH - MD

Lash Enhancing Serum

Healthier-looking, more luxurious lashes are just a swipe away thanks to this physiciandeveloped lash conditioning serum from RevitaLash. Not only does the hypoallergenic formula strengthen and soften lashes, but it also gives lashes a natural curl with its proprietary BioPeptin Complex® – a breakthrough blend of vitamins and nutrients.

GrandeLASH’s cult-favorite lash enhancing serum promises longer, thickerlooking lashes in just four to six weeks. The cruelty-free formula is packed with goodfor-you antioxidants, vitamins, and amino acids, along with hyaluronic acid that hydrates. Other pros include a small brush that’s easy to use and effective in evenly distributing the serum.

LASHFOOD Eyelash Enhancer

VEGAMOUR GRO Lash Serum

Certified natural and organic, this option from LASHFOOD is beloved by clean beauty enthusiasts everywhere. Touting recognizable ingredients like herbal extracts, lavender water, and soy protein, the formula works to nourish lashes – making them thicker and longer over time. Plus, LASHFOOD packaging is made with sustainable materials, so you can feel good about reaching for this product again and again.

With visible results in as soon as 30 days, VEGAMOUR’s best-selling serum is formulated with plant-derived nutrients that deliver thicker and fuller eyelashes. Among the 100% vegan, ophthalmologistapproved ingredients are peptides and mung bean extract, which contains selenium – a key mineral when it comes to hair growth. A twice-daily application is recommended in the first two months of using this product.

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H OME & INTERIORS

Conquering the Cold 15 Ways to Make Sure Your Home is Ready for the Winter Season By Christina Davenport

With seemingly shorter days and a growing list of social obligations, winter can feel pretty busy. The last thing you want to think about is a long list of home maintenance tasks. But carving out some time early in the season to prepare your home for the months ahead can save you not just time and money, but a big headache if things go awry. Not to mention, preparing your home for the winter ensures a safer environment for both you and your family!

In order to make sure you’re not letting out precious – and expensive – heat during the winter months, make sure there is no unintentional airflow. Add weather stripping around doors and windows, and check your attic insulation to make sure there are no holes. Service your HVAC unit as well to make sure your heat will be working at the first sign of cold weather. More house fires occur during the winter than any other season. Test your smoke detectors so they are in working order, and also have any furnaces, boilers, or chimneys serviced before the first use of the season. Add foam insulation to interior pipes, especially those along exterior walls, to keep busted pipes at bay, and make sure you know where your main water shutoff is located. Confirm that any exterior water sources are shut off and drained. Store your hoses and cover outdoor faucets and vents.

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It’s also a good idea to clean your gutters after the last of the leaves have fallen to give runoff from melting ice and snow a clear path. Speaking of snow, try to trim or remove any dead branches or trees that could fall under the weight of winter precipitation. Make the swap to energy efficient or smart windows and thermostats if possible, and set your heat to where it kicks on well above freezing temps. At a minimum, your home should begin heating before it drops to 50 degrees inside. Lastly, make sure you have all the tools you need to combat the winter weather. Purchase snow shovels, de-icing salt, heaters, and fuel early in the season so that you aren’t met with long lines and empty shelves during an emergency, and keep those items easily accessible throughout the winter.

THE ULTIMATE GIRL S ’ NIGHT OU T

SAVE THE DATE! APRIL 25, 2024 | 7-9 P.M.

AN E VENT FOR WOMEN, AB OU T WOMEN, TO BENEFIT WOMEN Dust off that old wedding dress, prom dress, bridesmaid dress, or any dress that’s been taking up residence in your closet and join us in making a positive impact on the lives of women in our community.

THEMOTHBALL .ORG

T H E M O T H B A L L C H AT T

PINNACLE FINANCIAL PARTNERS VENYA PORTRAIT • BRODY JEWELERS

BENEFIC

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THE

OFFICIAL WINE SPONSOR: ATHENS DISTRIBUTING

PROMOTING INDEPENDENT THINKING IN CHILDREN

relationships INSPIRED

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PHOTO BY TREVOR LONG

TAK ES H A P R AT T

inspired by

L I SA CA L DWE L L

“I have had the privilege of witnessing your exceptional skills and compassion firsthand.” Lisa (Left) and Takesha (Right)

Lisa, I want to take this time and express that you are an extraordinary individual whose dedication and determination to create and implement new opportunities for respiratory therapists (RT) has changed the view of how they can be utilized throughout the medical field. You had a vision to open more doors to allow RTs to hold positions outside of bedside care; this changed the lives of many RTs such as myself, and I will forever be grateful for your commitment to your employees. I have had the privilege of witnessing your exceptional skills and compassion firsthand. Lisa, your ability to break through barriers to implement new programs and create new opportunities and positions for your employees is truly awe-inspiring. In conclusion, Lisa, your dedication, empathy, and commitment to improving healthcare have left an indelible mark on my life and have ignited a passion within me to excel and continue educating and serving those in the communities with respiratory diseases.

- Takesha

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PHOTO BY TREVOR LONG

ROS E K EH I NDE

inspired by

A N G I E WYN N

“Your words are filled with grace and kindness, and every hug and smile from you fills my heart with encouragement and blessings.” Angie (Left) and Rose (Right)

Momma Angie, I am so grateful for the impact your friendship, mentorship, support, encouragement, and love have had on my life. Your presence in my life is a true blessing, and I cannot thank you enough. You are a true angel on Earth, embodying the values and teachings that you share with others, a rare find these days. I am fortunate to have you in my life as my spiritual mother and co-laborer in ministry. Your consistent support and belief in me continue to be a source of inspiration. Your encouragement in every endeavor I pursue means the world to me. I feel incredibly blessed to have you by my side. Every time I reflect on the day we met, gratitude fills my heart. You are a true Titus 2 woman. Your words are filled with grace and kindness, and every hug and smile from you fills my heart with encouragement and blessings. I pray that God’s blessings continue to shower upon you and that He keeps you safe and protected, always. Thank you for always being there for me, for being a constant and real reminder of how much God truly loves and cares for me. With love,

- Rosie

PHOTO BY TREVOR LONG

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M EG S H UP T R I N E

inspired by

ME L I S SA K U BI C

“You are an inspiration in how well you care and advocate for others around you.”

Melissa (Left) and Meg (Right)

Melissa, Without a shadow of a doubt, the Lord directed my every step leading me your way after constant hopelessness and disappointment, battling severe and chronic pelvic floor pain. Little did I know, you would become not just a life changing health provider and advocate but a genuine and most caring friend. Pelvic floor health for most is an intimidating and a “hush hush” topic. The emotional and physical loss of hope instantly disappeared when I walked into your office the first time we met. Your spirit of calmness and your caring heart gave me hope for the first time with what I was going through. Nearly three years later still being treated by you, I know, no matter what I am going through, you will always be a source of encouragement, hope, and light in my life. Having a healthcare provider turned into a true and unwavering friend like you is perhaps the biggest blessing throughout this bump in the road. Your character and approach to helping patients is pure and at the end of the day, uplifting. You are an inspiration in how well you care and advocate for others around you. I can never thank you enough for what you mean to me, as well as the wisdom, hope, and peace you have bestowed upon me in a time I needed it most and continue to need. Thank you for being a genuine friend, advocate, and mentor to me. You are a Godsend for not only myself, but so many others.

- Meg

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PHOTO BY TREVOR LONG

ADDI E B R AM LET T,

inspired by

L E A H C RU M

“You taught me how important it is to be independent while at the same time asking for help when necessary.”

Addie (Left) and Leah (Right)

Mama, When I was asked to choose a woman who has inspired me to be who I am today, you were the clear choice. You have been here for me during my best, worst, and most unpredictable times. This is not only a letter of inspiration, but also one of gratitude. Thank you for the amazing things you have done for our family and continue to do for mine. Without you, I would not have grown into the person I am today. I have come so far personally and professionally. None of this would have been possible without you (and dad) being my biggest fans. You have instilled in me the importance of trying to trust God even when I doubt. Since I was a child, you stressed the importance of standing up for what is right and being kind while I do it. You taught me how important it is to be independent while at the same time asking for help when necessary. (I am definitely still working on that last part.) Thank you for instilling so many qualities in me, and now in my girls. I had an amazing childhood, all thanks to you and dad. Thank you for loving me unconditionally. You are a good mom.

- Addie

PHOTO BY TREVOR LONG

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PA R E N T I N G & R ELATIONSHIPS

Promoting Independent Thinking in Children By Tory Irmeger

From choosing an ice cream flavor to choosing a career path, our lives are colored by our ability to make decisions and think for ourselves. Autonomy is a marker of adulthood, and it’s a skill that parents can begin cultivating in their children from the start. To get more insight into this process, we spoke with Hillary Mossburg, a licensed professional counselor and mental health service provider at Henegar Counseling Center.

Start Early Children begin developing a strong sense of self early on, as anyone who has lived through the “terrible twos” stage of parenthood knows full well. In order to make more complex decisions later in life, young kids need to be involved in decision-making processes to develop their confidence, empathy, and curiosity over time. For little ones, start small by offering two options, such as which snack to eat or which shirt to wear. As they grow older, kids can be “helpers” for age-appropriate tasks, like putting away toys or setting the table for dinner. While putting away groceries seems like a chore to adults, similar tasks encourage children to take pride in their work and feel valued for their contributions. Overcontrolling a child’s behavior, on the other hand, limits a child’s opportunity to explore and may make it more difficult for them to navigate obstacles later on.

Start the Conversation Inevitably some decisions are best left to trustworthy guardians, but don’t shy away from conversations with your kiddo about why you make the choices you make. Children can still learn how to make thoughtful choices when they see that behavior modeled in adults. Talking through problemsolving provides a framework for children to learn critical-thinking skills. Even playtime, movie nights, and reading together can provide opportunities to intro-

duce your children to different viewpoints. Whether through novels or playing make-believe, encouraging your child to consume stories with diverse perspectives helps them develop empathy and become more considerate thinkers.

Step Back Once you’ve laid the foundation for your child to feel confident in facing the world, the next step is also the hardest: step back. While it’s natural to want to shield your child from discomfort, setting your children up for long-term success means navigating obstacles in a way that empowers your child to persevere through difficulty. Failure is one of life’s most powerful teachers, and providing a safe space for your child to make mistakes is a way to communicate that you believe in them and are committed to supporting them. When facing an issue, consider asking your child if they want counsel on a situation or just a listening ear and encouragement. At the end of the day, be patient with yourself and your child as you navigate the road to independence. Prioritize connection over perfection – after all, it’s only spilled milk.

Hillary Mossburg LPC-MHSP, Henegar Counseling Center

Q. What language helps build confidence in kids? A. Recognize efforts more than outcome. If your child is struggling, address the concerning behavior while acknowledging the good behavior, even if it’s small. Be mindful of how you talk about others who are different than you or who you disagree with. Speak of others with dignity, separating the person from their action or belief. This will help your child develop empathy for others while forming a belief that you can be different than someone but still worthy and respected.

Q. What challenges might parents face in this process? A. Parents can encourage independent thinking by asking their children questions about their thoughts, perspectives, and hopes, but this may lead to hearing an idea that you, as the parent, don’t agree with. Perhaps their perspective stirs up feelings of anger, fear, or sadness. Reacting out of these emotions can easily shut down the conversation. However, if you can stay in the conversation with a posture of curiosity and openness, you’ll have the opportunity to understand what matters to your child and learn about who they are growing up to be.

Q. What advice would you give to a parent who is feeling anxious about watching their child struggle? A. It’s okay to feel sad, disappointed, or frustrated with your child in their struggles. Showing them how to regulate these emotions helps them know they are not alone and demonstrates how to grow through difficulty. Examine your own relationship with failure – is this an area of growth for you as well? Approaching your anxiousness with curiosity helps you step back as a parent and consider what’s best for your child. However, if the anxiety is leading to avoidance, isolation, or placing unnecessary fear onto your child, it would be a good idea to reach out for help, talk with your partner or a trusted friend, or consider therapy.

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Off to Camp!

Summer camp experiences offer children valuable opportunities to learn, play, and explore the world around them. Here, we highlight the benefits of social-emotional learning at camp, helpful advice for packing your child’s camp essentials, strategies for helping homesickness, and tips for choosing the best camp experience for your child. By Gray Bennett

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Social-emotional Learning at Camp School doesn’t teach everything! Free of academic pressure, summer camp experiences create rich opportunities for children to practice essential social-emotional skills. • Surrounded by a new set of peers, children will have regular opportunities to work on practical communication skills and build new friendships. • Decision-making opportunities at camp allow children to practice self-control and responsibility. • Camp games and activities promote teamwork, confidence, and healthy goal-setting behavior. • Limited contact with parents encourages children’s independence and supports the development of healthy emotional regulation skills. • Many camps offer reflection activities for campers to practice self-awareness and mindfulness.

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Local Summer Camp Profile

Baylor Summer Camps

amilies have enjoyed Baylor Summer Camps for decades! Baylor’s 690-acre campus allows for a wide array of activities to match individual skills and interests, and Baylor faculty, coaches, and counselors have expertise in working with children in a safe and nurturing environment. From Baylor’s familyfavorite Raider Days to sports and enrichment camps, boys and girls ages 5-16 are sure to find a program they love while making new friends along the way. Camp Walkabout allows kids ages 8-16 to take advantage of Chattanooga’s outdoor opportunities, including paddle boarding, hiking, rock climbing, and more.

O F F TO CAM P

Knowing How to Pack When it comes to the traditional overnight summer camp, your child may be away from home, but the way you pack their clothing and camp supplies will help them make the most of every day! Read on for helpful advice about the best way to pack your child’s camp essentials.

Here are some camp supplies you won’t want to forget: • Sunscreen • Water bottle • Protective sun gear

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• Raincoat

Most camps provide a detailed packing list for their campers. Make sure to read the packing list ahead of time, paying careful attention to any items listed as essential or prohibited.

• On-the-go hand sanitizer

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• Any necessary medicines

Local Summer Camp Profile

Silverdale Baptist Academy Summer Camps

ilverdale Summer Camps offer children in preschool through 12th grade opportunities for discovery and growth

in a safe, Christ-centered environment. Camp staff is dedicated to engaging campers with fun and exciting programming, all while having an eternal impact on campers’ lives. Choices exist in a wide range of athletic, academic, and specialty camps in which campers can build on existing skills or explore new interests. Children will learn, laugh, and play while creating lifelong memories at Silverdale Summer Camps!

Let the warmth of His Goodness warm your heart this Christmas. Now, more than ever, keep Christ in Christmas and at the center of your child’s education.

2023

silverdaleba.org

O F F TO CAM P

S T O R A G E A N D O R G A N I Z AT I O N

LO O K I N G F O R L U G G A G E

Good organization and storage are essential for any overnight camp. Here are some options to consider:

With all the clothing and supplies your child needs for camp, it’s important to find the best luggage option. For camps of longer durations, a sturdy hard shell suitcase will keep contents safe during transportation, and any dirt or grime on the outside of the case can be easily wiped away. A large, plastic storage bin is another great option for campers who need extra space for camp essentials, while a soft duffel bag or large backpack is ideal for shorter camps.

• Packing Cubes – Not only do packing cubes eliminate clutter, but they also ensure clothing items remain folded and clean inside each cube until ready for use. • Laundry Bags – Dirty clothes have a designated spot when your camper brings along a laundry bag. Opt for a laundry bag with waterproof lining for wet clothes and a mesh bag for dry clothes. • Hanging Storage – Over-the-door shoe racks and hanging closet organizers keep camp supplies tidy and easy to grab on the go. Hanging organizers made of soft materials fold easily, making them a great option for campers who need to save room in their suitcases. • Underbed Storage – Consider underbed storage for campers with limited closet and room space. Plastic tubs with lids are best for storing everything from shoes to electronics chargers and extra snacks. • Shower Caddy – A shower caddy keeps all your camper’s toiletry and shower supplies in one convenient, portable location. • Name Labels – To ensure everything you pack returns home after camp, add name labels to your child’s belongings. Iron-on labels are ideal for soft items like jackets or blankets, while printable or sticker labels are best for items like suitcases, water bottles, and toiletry items.

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Local Summer Camp Profile

Camp Juliette Low

sleepaway camp for girls ages 8-17, Camp Juliette Low (CJL) offers oneweek, two-week, and mini-session options throughout the summer. Founded by Juliette Gordon Low in 1922, the camp has a rich history and a dedicated camper, staff, and alumni network. CJL is focused on teaching campers independence, how to work with others, and a love for the outdoors – helping to create strong women who will contribute to making the world a better place. Traditional camp activities include everything from campfires, singing, and hikes to canoeing, crafts, and rock climbing.

Register now while space is available: cjl.org | info@cjl.org 770.428.1062 (business office) 706.862.2169 (summer office)

OFF TO CA MP

Help for Homesickness Homesickness is a normal experience for children to have when separated from loved ones, but coping strategies and at-home conversations make it nothing to fear. • Encourage independence in your child year-round to prepare your child for a camp environment. • Discuss and act out various camp scenarios with your child. • Arrange for your child to attend camp with a close friend or relative. • Send care packages or letters with encouragement. • Allow your child to pack a comforting personal item, such as a stuffed animal. • Speak with the camp director to assess your child’s adjustment to camp. • If possible, take a tour of the camp with your child before they go. • Reassure your child that feelings of homesickness are normal and will pass.

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Local Summer Camp Profile

Boyd-Buchanan Summer Camps

oyd-Buchanan summer camps provide campers opportunities to explore, experience, and grow as they develop

new interests, improve skills, and foster friendships. With a 65-acre campus and facilities, including a 2-acre lake, a myriad of camp activities are available to campers from PreK through eighth grade. Choose from special interest or athletic camps led by BBS coaches, teachers, and staff, or attend Camp Buccaneer: a day camp packed with games, arts and crafts, swimming, and weekly themed activities.

OFF TO CA MP

Choosing the Right Camp According to the American Camp Association, there are over 16,000 camps across the country, but choosing the perfect fit for your camper doesn’t need to be a hassle. Here are five tips for choosing the best summer camp experience for your child.

month terms. Look for camps that fit best with your summer schedule, and include your kids in this conversation to help decide whether they’re ready for an intensive sleepaway camp opportunity or if it may be best to start with a short-term day camp.

1. Budget – Decide how much you’re able to spend on a camp experience to help narrow down your choices. Most day camps are more cost-effective than overnight camps, though some organizations may offer scholarships or early-registration discounts.

4. Camp Size – Consider the size of enrollment that your child may be most comfortable with, the ratio of campers to counselors, and the size of the camp facilities.

2. Distance – When it comes to transportation to and from camp, it’s important to consider how far you are willing to travel. Decide on a distance from home best for your family, and narrow your search to camps within that radius. 3. Duration – Camps can range in duration – from single-day to week-long, or even several-

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5. Specialties – There are many specialty camps that focus on various interests, so consider your child’s goals and the activities they tend to enjoy. Think about whether they would benefit from a traditional camp or whether they would be interested in a camp that focuses on STEM, art, music, sports, cooking, or even urban exploration. If your child has special needs or dietary restrictions, be sure to investigate how each camp can accommodate these needs.

Local Summer Camp Profile

Wilderwood Summer Camps

ilderwood summer camps encourage kids to embrace adventure by creating friendships, building confidence, and developing creative skills. With 13 weeks of camps to choose from for kids ages 3-5, ages 6-8, ages 9-12, and ages 13-15, Wilderwood is dedicated to giving every child a summer full of fun activities and lasting memories. From the LittleWilder Camps to Quest Camp and The Guild Program, each camp is designed for a unique summer experience full of unforgettable adventure. With hands-on learning and exploring, a 2024 summer camp at Wilderwood is a one-ofa-kind experience you won’t want to miss.

Monday - Friday

May 27 - August 23, 2024

Summer Camp

ADVENTURE•CAMP•FUN•GAMES DAY CAMPS FOR AGES 3-15 DROP-OFF: AS EARLY AS 7:00 AM | PICKUP: AS LATE AS 6:00 PM

WWW.Wilderwood.CAMP

WORKOUT WITH A LOCAL

food & fitness S E N S AT I O N A L S Q UA S H

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PHOTOS BY HACKER MEDIAS

Sensational Squ ash Flavorful Squash Recipes for Winter

quash is a star when it comes to seasonal flavor and essential nutrients. With delicious winter varieties in festive golds and greens, squash is abundant in vitamins A, B-6, and C, as well as potassium, fiber, and hearthealthy omega-3 fatty acids. Read on for scrumptious squash recipes from the kitchens of Chattanooga locals.

“This dish is such a surprise. It attacks with a smoky-sweet flavor that is often identified with barbecue. It’s a thoughtful preparation that even our vegan friends can enjoy.” – Chef Johnathan Ferguson

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PHOTOS BY TREVOR LONG

Little Coyote’s Smoked Honeynut Squash With Caramelized Tomatoes and Pinto Bean Salad YIELDS 4 SERVINGS

• 2 honeynut squash • 2 Tbsp. extra virgin olive oil + extra to coat • 1 Tbsp. salt + extra to taste • Pepper, to taste • ½ cup dry pinto beans • 3 cups water, divided • 2½ cups shallots, thinly sliced and divided • 1 cup garlic, thinly sliced • ½ cup tomato paste • 1 lb. Roma tomatoes, quartered • ¼ cup sherry vinegar • 1 bunch parsley, leaves only

For the squash: Set up a smoker for indirect heat with a goal temperature of 250°. Using a vegetable peeler, remove the skin from the squash, and split it in half lengthwise with a chef’s knife. Using a large spoon, remove the seeds from the squash. Rub olive oil over the squash and season with salt and pepper. Once the smoker is at 250°, put squash in and cook for 1.5 hours until fork tender. For the beans: Soak beans overnight. Strain beans, rinse, and place into a medium sauce pot with 2 cups of water. Cook over medium-low heat until beans are tender for about 1.5 hours. Once the beans are done, add 1 tablespoon of salt, and cool down in the liquid. When the beans are cold, strain, rinse, and set aside.

For the caramelized tomatoes: Heat a large sauté pan on medium-high heat with 2 tablespoons of olive oil. Add 2 cups shallots and cook until they turn golden brown and start to soften, about 7 minutes. Add the garlic and cook for another 7 minutes until garlic and shallots start to caramelize. Add tomato paste and caramelize for 5 minutes, stirring constantly. Reduce heat. Add Roma tomatoes and cook for 10 minutes. Deglaze with sherry vinegar and add remaining 1 cup water. Let simmer for 15 minutes and season with salt and pepper. To assemble: Make the bean salad by tossing beans, parsley leaves, remaining ½ cup of shallots, and olive oil with salt and pepper. Place smoked squash on a plate, ladle on the caramelized tomatoes, and top with bean salad.

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Andrea Rice’s Honey Balsamic Roasted Squash Salad YIELDS 4 SERVINGS

• 8 cups thin-skinned squash, sliced in half moons (Candy Roaster, delicata, or kabocha squash work well) • 2 Tbsp. avocado oil • 2 tsp. ground cumin • 1½ tsp. kosher salt, divided • ½ tsp. cracked black pepper • 2 Tbsp. fermented garlic honey OR 2 Tbsp. regular honey + 2 garlic cloves, sliced • 4 Tbsp. balsamic vinegar, divided • 8 cups lacinato kale, coarsely shredded • 2 Tbsp. olive oil • 1 cup cooked bulgur wheat or other grain (couscous, barley, or wheat berries also work well) • ¼ cup dried bing cherries, unsweetened • ¼ cup roasted pepitas • cup crumbled goat cheese For the squash: Toss the sliced squash with the avocado oil, cumin, 1 tsp. salt, and black pepper until the squash is well coated. Spread the squash evenly over two

baking sheets. Roast at 425° for 20 minutes, rotating the pans halfway through. Combine the garlic honey with 2 tablespoons balsamic vinegar. After 20 minutes, toss the squash with half of the honey-balsamic mixture. Broil squash for 1 minute for extra caramelization. For the salad: In a large bowl, massage the kale, olive oil, ½ tsp. salt, and 2 tablespoons of balsamic vinegar. Add the bulgur wheat, dried cherries, pepitas, and goat cheese to the bowl and toss to combine. Reserve some of the cherries, pepitas, and cheese for garnish. To assemble: Once the squash is done roasting, allow it to cool for 2-3 minutes. Coarsely cube one of the pans of roasted squash and toss with the salad. Spoon the salad over a big serving platter, top with the rest of the roasted squash, and garnish with an extra drizzle of honey and balsamic to taste.

“If you can, I highly recommend seeking out North Georgia Candy Roaster Squash for this recipe! It is a revived heirloom variety that is perfectly sweet and earthy. It serves as a great contrast to the tang from the honey balsamic dressing, dried cherries, and crumbled goat cheese.” – Andrea Rice

Spaghetti-Squash Spaghetti SERVES 4

Spaghetti squash “noodles” tossed in a flavorful tomato sauce make for a fresh spin on a classic Italian favorite. • 3 lbs. spaghetti squash • Nonstick cooking spray • 1 tsp. extra virgin olive oil • 1 clove fresh garlic, minced • ½ small onion, chopped • 1 cup tomatoes, diced, or 8 oz.-can diced tomatoes, no salt added • ¼ tsp. black pepper • ¼ tsp. dried, salt-free herbs, Italian blend • tsp. crushed red pepper flakes • 1 16 oz.-can, tomato sauce, no salt added • ½ cup small fresh mozzarella balls • ¼ cup fresh basil, coarsely chopped 1. Preheat oven to 350°. 2. Cut spaghetti squash in half. On a baking sheet coated with cooking spray, place halves of squash face down and bake for 1 hour or until tender. 3. Heat oil in a medium saucepan over medium heat. Add garlic and onion and cook until soft, about 5-7 minutes. Add diced tomatoes, pepper, herbs, and red pepper flakes. Cook until liquid evaporates, about 2-3 minutes. Add tomato sauce, and reduce heat to medium-low. Simmer for 10 minutes. 4. Let squash sit at room temperature until just cool enough to handle. Take a fork and scrape flesh from outside working in, creating “spaghetti noodles”. 5. Add squash “noodles” to sauce and remove from heat. Toss with mozzarella balls and fresh basil and serve. Nutritional Information Calories 172 | Total Fat 6.5g | Sodium 64mg | Total Carbohydrate 27g | Dietary Fiber 6g | Sugars 13g | Protein 6g Source: American Heart Association

PHOTOS BY HACKER MEDIAS

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WOR KOUT WI T H A LOCAL

Tobe Taylor’s

Full-Body Circuit Workout “Circuit workouts like these allow the body to get the best of both worlds – strength training and cardio. These moves use both the upper and lower body and work several muscle groups simultaneously. Circuit training is great because it can be done in the comfort of your own home with simple movements like these, which can be surprisingly effective and can really tone and sculpt your body. For this circuit, try doing three sets of 1015 reps for each exercise.” Tobe Taylor, Tobe Taylor Fitness

Photography by Trevor Long

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Medicine Ball Slams Stand with your feet shoulder-width apart and a soft bend in the knees as you hold a medicine ball at your torso. Engage your core as you lift the medicine ball directly overhead before slamming the ball down in front of you with as much force as possible. Press your hips back and bend your knees to power the slam. Squat down and pick up the medicine ball before returning to the starting position and beginning the next rep.

Kettlebell Swings Starting with your feet shoulder-width apart, come into a squat, and grab the kettlebell with both hands. Keeping a flat back, drive your hips forward as you swing the weight until your arms are directly out in front of you. When the kettlebell reaches its apex, your body should be vertically stacked with your ankles, knees, hips, and shoulders all in alignment. Allow the kettlebell to fall naturally as you return to a squat position, swinging the kettlebell back between your legs. Keep a tight core for the duration of the exercise. healthscopemag.com

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Bicep Shoulder Press Combo Standing with your feet shoulder-width apart and an underhand grip on the dumbbells, lift the weight hinging at the elbow and come into a bicep curl. At the top of the curl, rotate your wrists so that your palms face outward, and press the dumbbells up and overhead until your arms are fully extended. Reverse the movements to complete one rep.

Bosu Ball Bicycle Crunches Place a bosu ball on the ground, and lie down on your back with your knees bent and your tailbone at the base of the ball. Extend one leg, and place the opposite arm behind your head for support. Keeping a strong core, crunch to bring the knee of your extended leg to meet the opposite elbow, all the while keeping your other foot and hand placed flat on the ground for balance. Return to the extended position and repeat for 10-15 reps before switching sides. 122

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The only thing better than decking the halls is

walking the halls

joy

That moment you go from unable to walk to taking your first step -

It’s not just a season at

Siskin Hospital

Jon Toll, Stroke Because of Siskin Hospital, I CAN

for Physical Rehabilitation

Leaders in Non-Operative Spine Care. At CHI Memorial, we’re focused on providing compassionate and patient-centered spine care. Our state-of-the-art integrated spine center can help you get back to a healthy, pain-free life, with personalized treatment plans for your neck or back pain. To learn more, visit Memorial.org.

Paul Hoffmann, MD, is a physical medicine and rehabilitation physician who provides interventional spine management that focuses on non-operative options before considering surgical intervention.

HealthScope Magazine Winter 2023

Articles inside

Living with Lupus

Understanding Preterm Birth

Discussing Diabetes

Her Story: Kelly Wehman