OFF TO CAMP ! A Parent’s Guide to Summer Camp MOISTURIZERS 101 Fan-Favorite Moisturizers on the Market
FIGURING OUT FOOD INTOLERANCES Symptoms & Treatments health & wellness magazine
PLUS Learn More About Cover Model Eden Lusk!
“Wear gratitude like a cloak, and it will feed every corner of your life.”
- Rumi
The holidays are upon us! While merry and bright, it’s also easy for this season to feel stressful and tight. Between party prepping, hosting, gift-giving, and gatherings, it’s easy to get lost in the holiday hustle and bustle. However, when approached with intentionality and a grateful heart, there is a sense of stillness, peace, and gratitude to be found. During a time of year when our focus is so easily and so happily spent on others, it’s important to remember to take care of yourself as well.
Cailey Mullinix Easterly CO-PUBLISHER
Celebrating 35 Years!
HealthScopeMag.com
Follow HealthScope® and CityScope® magazines and Choose Chattanooga®Chattanooga Resource & Relocation Guide® on social media!
In this issue of HealthScope® magazine, we share various topics to keep health a priority this holiday season. Leading off, the feature “Fighting Fungi” delves into various fungal infections, prevention, and treatment options. As you sample new foods this season, be sure to check out “Figuring Out Food Intolerances” for insights on how to diagnose and treat certain food sensitivities. Rounding out our medical lead features, “Bullying: Let’s Talk About It” provides guidance on the signs to look out for as well as how to prevent and address these behaviors.
Health and wellness is impossible without our area’s incredible medical personnel. The special section “Meet Our Caregivers” highlights four healthcare professionals who have dedicated their time and energy towards ensuring their patients receive the utmost care. Also included, local
doctors, practice owners, and more experts share top health tips for aging adults in the “Annual Aging Well Section.” Mental, emotional, and relational health often take the forefront during the holiday season. Timely articles like “Merry & Bright: Holiday Self-Care Tips” await along with others applicable to your overall health. The ever-popular sections “Her Story” and “Inspired” share uplifting stories while beauty and style, diet and exercise, and home interior articles focus on the benefits of feeling good. Plus, check out “Off to Camp!” for tips on preparing your child for summer camp. Not to be missed is our vibrant cover model, Eden Lusk. A personal trainer, Lusk weaves health into her everyday life, from her career to her home life, and shares with us the daily routines and habits she instills to prioritize self-care.
We hope you enjoy this issue of HealthScope® magazine and use it as a friendly reminder to fill your stocking while filling others’.
Happy holidays and happy reading!
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Learn more at UnumGroup.com.
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We’ve assembled a team of well-established and highly experienced financial professionals. It has given us the ability to address every aspect of our clients’ financial needs. And by limiting the number of clients we serve, it allows us to offer an uncommon level of service and maintain our unwavering focus on helping to create quality financial solutions.
This is what we bring to the table – and what will ultimately bring you to us. If you are an individual seeking seasoned financial guidance and the comfort of working with an experienced group of advisors who call Chattanooga home, we welcome the opportunity to sit down together. Main Office: 1200 Premier Drive, Suite 100 •
Photographed at Ruby Falls
Contents
Eden Lusk shares what fuels her love for fitness on page 88.
Publisher George Mullinix
Co-Publisher Cailey Mullinix Easterly
Sales & Business
Development
Amanda Worley
Design Lead, Sr. Graphic Designer Lauren Robinson
Sr. Graphic Designer Tamara Slocum
Managing Editor Rachel Studebaker
Editors Gray Bennett Kristen Dee Tory Irmeger
Editor/Digital Content Specialist Ali Lemmons
Director of
Digital Marketing Ruth Kaiser De Backer
Digital Marketing Assistant Houston McLain
Digital Marketing Specialist Katie Faulkner
Digital Marketing Intern Bryan Hunt
Marketing, Events, & Operations Laci Lanier Jackson
Photographers
David and Drew Photography Kristina Armstrong Hacker Medias Rich Smith
Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or health scopemag. com and click “Subscribe.” A one-year subscription for CityScope® or HealthScope® magazine costs $18.
To receive advertising information, change your mailing address, or share your views on editorial: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Contact.”
CityScope® and HealthScope® magazines and Choose Chattanooga® – Chattanooga Resource & Relocation Guide® (the magazines) are published by CMC Publications, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement.
CityScope® magazine
Copyright, CMC Publications, LLC, 1993
CityScope® magazine is a registered trademark owned by CMC Publications, LLC.
HealthScope® magazine
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HealthScope® magazine is a registered trademark owned by CMC Publications, LLC.
Choose Chattanooga® and Chattanooga Resource & Relocation Guide® are registered trademarks owned by CMC Publications, LLC. Choose Chatt™ and Chatt Choices™ are trademarks claimed by CMC Publications, LLC.
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Photo by Kristina Armstrong
Peeples Cancer Institute
Hamilton Physician Group
Anna Shaw Children’s Institute
Hamilton Medical Center
health in a minute
QMy kids are almost old enough to start learning how to care of their own dental hygiene. Do you have any advice for teaching kids healthy dental habits?
A. Everyone should brush their teeth for two minutes, twice a day. A fun way to get children excited about brushing their teeth could be to play their favorite two-minute song while they brush. Also, it’s important to model proper oral hygiene to kids, so they see how important it is for them to take on that responsibility. Parents: brush and floss your teeth with them. Make it a family affair! The more enjoyable you make the process, the better off they will be. It is so important to create a strong foundation for their oral hygiene because their second set of teeth, their adult set, will be more challenging to keep clean – which is why it’s important to practice proper techniques early. Brittany Patmon, DMD
Q. This holiday season, what can I do to keep stress to a minimum and support my family’s mental health?
A. There are a number of helpful ways to ready yourself and your family for a happy holiday season. First, plan. It is important to decide ahead of time what activities you will and won’t be attending. It is perfectly acceptable to skip events that historically create undue stress. Next, prepare. It may be helpful to have an idea of the location of activities and where you could step out to take a break if the need arises. Lastly, preserve. Have conversations with your family regarding social expectations for participation in holiday events. For example, if someone in your family does not feel comfortable hugging others you can discuss your and their response if the situation arises. Kristin Smith, LPC-MHSP, MHA
Q. I am currently struggling with an eating disorder. Is this something I can overcome with willpower, or what treatment options are available to me?
A. Thank you for being so vulnerable and sharing about your struggle. Unfortunately, recovery from an eating disorder takes more than some willpower. Since eating disorders are a mental health condition, they affect your physical and emotional health and can be life-threatening. Treatment options for eating disorders include nutrition therapy, medical treatment, psychotherapy, and medication management. There are also different levels of care for treatment, and this depends on where you are in your eating disorder recovery journey. Levels of care include outpatient, intensive outpatient, partial hospitalization, residential, and inpatient. The eating disorder recovery process is different for everyone. Once you make the decision to seek help and begin treatment, you will need to look for an eating disorder registered dietitian and therapist to help get you started. Resources are also available through NEDA (The National Eating Disorders Association) and The National Alliance for Eating Disorders. Addie Bramlett, RDN, LDN, CEDS-C
Q. During the colder months, I always struggle with dry, cracking skin on my hands. What can I do to treat and prevent this?
Meet Our Experts
Brittany Patmon, DMD Lead Dentist, Cempa Dental Clinic cempa.org/dental/
Q. What type of exercise will keep me in the best shape for aging?
A. The best type of exercise for aging is to keep moving in general with activities that you personally enjoy doing. However, weight bearing activities such as walking and weightlifting are the absolute best. This keeps your bones and muscles healthy by using key functional movements to keep balance, strength, stability, and flexibility at the forefront for injury prevention. Focusing on weightlifting 2-3 days a week for 30 minutes and walking for the other 2-3 days would be highly beneficial and keep you in the best shape as you age. Callie Lance, DC, MS, CCSP, ART
A. To combat dry, cracked hands during the colder months, consider these tips: To treat your hands, moisturize frequently. Apply a thick, fragrance-free moisturizer multiple times a day, especially after washing your hands. Look for beneficial ingredients like glycerin, ceramides, or hyaluronic acid. Wearing gloves when outdoors will also help by protecting your hands from cold, dry air. Avoid harsh soaps. Instead, opt for gentle, moisturizing cleansers to minimize skin irritation. Hot water can strip away natural oils, so stick to lukewarm temperatures for handwashing and bathing. Additionally, a humidifier can add moisture to the air, which can help soothe dry, itchy skin. By following these steps, you can help keep your hands soft, smooth, and healthy all winter long. If your skin condition worsens or persists, consult a dermatologist for personalized advice. Jonathan Miller, MD, FACMS, FAAD
Kristin Smith, LPC-MHSP, MHA Licensed Counselor & Behavioral Health Representative, Parkridge Health System parkridgehealth.com
Addie Bramlett, RDN, LDN, CEDS-C Director of Eating Disorder Programs, Focus Treatment Centers focustreatmentcenters.com
Callie Lance, DC, MS, CCSP, ART Owner & Chiropractic Physician, Chattanooga Sports Chiropractic Institute, PLLC chattanoogasportschiro.com
staff spotlight
ERLANGER
Yazan Saba, DO
Erlanger Cardiology welcomes Dr. Yazan Saba to its team of cardiologists. Dr. Saba attended University of Pikeville: Kentucky College of Osteopathic Medicine and went on to complete residencies at the University of Tennessee College of Medicine and Erlanger as well as an interventional cardiology fellowship at St. Elizabeth’s Medical Center/Boston University School of Medicine.
CHI
MEMORIAL MEDICAL GROUP
Wesley Durgin, MD
CHI Memorial Medical Group
warmly welcomes Dr. Wesley Durgin to CHI Memorial Chattanooga Internal Medicine Group. He earned his medical degree from Medical College of Georgia at the Augusta University/University of Georgia Medical Partnership in Athens, GA, and is a member of the American College of Physicians.
AUSTIN HATCHER FOUNDATION
Ashley Guthrie, FNP
The Austin Hatcher Foundation for Pediatric Cancer is proud to announce Ashley Guthrie, the foundation’s family nurse practitioner and clinical liaison, has been appointed to the Board of Directors of the Coalition Against Childhood Cancer (CAC2). As a board member, Guthrie will help foster greater collaboration across the childhood cancer community.
SISKIN CHILDREN’S INSTITUTE
Blake Hixson
Siskin Children’s Institute is thrilled to announce the promotion of Blake Hixson to the role of finance director. In his new position, Hixson will oversee the financial strategy and operations of the institute, ensuring resources are managed effectively to support the institute’s growing programs and services.
ERLANGER
Taylor Peak, MD
Erlanger Urology recently welcomed urologic oncologist, Dr. Taylor Peak, to its team of urology subspecialists. He attended Tulane University School of Medicine, completed his urology residency training at Wake Forest Baptist Medical Center in Winston-Salem, NC, and completed a surgical urologic oncology fellowship at Moffitt Cancer Center in Tampa, FL.
CHI MEMORIAL MEDICAL GROUP
Joy
Gray, FNP-C, CCRN
CHI Memorial Medical Group is pleased to announce Joy Gray has joined CHI Memorial Family Practice Associates - North River. Gray has more than 20 years’ experience in hospital, critical care, and clinic settings and is certified by the American Association of Nurse Practitioners (AANP).
AUSTIN HATCHER FOUNDATION
Mara Daffron
The Austin Hatcher Foundation welcomes Mara Daffron as a family services coordinator. In this role, Daffron will manage and execute enrichment events for families, challenge children in educational activities, and supervise volunteers to meet family program needs.
SISKIN CHILDREN’S INSTITUTE
Lisa Spurlock
Siskin Children’s Institute is pleased to share the promotion of Lisa Spurlock to family support services manager. In this leadership role, Spurlock will continue to enhance access and care to families served by the institute as she oversees patient support, intake processes, Family Voices programs, and leads the Family Advisory Council.
health & wellness calendar
January
2 5 Pink! Gala
Celebrating its 20th year, the Pink! Gala is the CHI Memorial Foundation’s signature black-tie event. Alex and Lacy Burd, son and daughterin-law of MaryEllen Locher, will co-chair the 2025 event at the Chattanooga Convention Center with the theme “20 Years of Impact: MaryEllen Locher’s Legacy.” All proceeds from Pink! stay within the community to support the mission of the MaryEllen Locher Breast Center at CHI Memorial. supportmemorialfoundation. org/news#upcoming-events
February
8 Cupid’s Chase 5K
The Cupid’s Chase 5K invites runners, walkers, and rollers (baby strollers and 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. runsignup.com/cupids chase5kchattanooga
22 Bubbles of Fun Run, 5K+10K+1-Mile Fun Run
Benefiting the Austin Hatcher Foundation, the fifth 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 certified, chip-timed 5K/10K race, or a 1-mile fun run for this familyfriendly community event. hatcherfoundation.org/run
22 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 5 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. heart.org/chattheartball
March
1-2 Erlanger Chattanooga Marathon Weekend
Join in for the 2025 Erlanger Chattanooga Marathon Weekend! Celebrating its 10th anniversary, this year’s event features an all-new 10K race alongside the full marathon, half marathon, 5K, and kids’ fun run. Runners of all levels will enjoy courses winding through Chattanooga’s riverfront, historic neighborhoods, and rolling hills. With energetic spectators, live music along the route, and an exciting finish at the First Horizon Pavilion, this event will be an unforgettable experience of fun, fitness, and community. chattanoogamarathon.com
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Dinner of Distinction Erlanger’s 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. Michael Carr, Dr. James Haynes, Dr. Alvaro Valle, and Dr. Kelly Arnold.
22 Rump Run
Benefiting the Greater Chattanooga Colon Cancer Foundation, the 13th annual Rump Run is a great local opportunity to help support the fight against colon cancer. The closed course for this timed 5K and 1-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
April
23 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 Downtown, the luncheon and FUNdraising festivities will begin at 11:30 a.m. All proceeds will support VIM’s mission to provide primary medical care to the uninsured, at no cost ever to the patient. vim-chatt.org/for-the-good
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 24! 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® by CityScope® benefit women in need in Hamilton County, and the 2025 beneficiary is Welcome Home of Chattanooga. themothball.org
numbers to know
According to Food Allergy Research & Education, 33 million Americans have food allergies, with 1 in 13 children being affected. The most common food allergies in children are peanut, milk, shellfish, and tree nut allergies. Make sure to watch your children for symptoms of food allergies, including hives, swelling, and stomach pain.
Tummy Time Tips
Starting just one or two days after birth, babies can benefit from daily tummy time, with the National Institute of Child Health and Human Development recommending two or three 3- to 5-minute sessions each day Tummy time helps strengthen neck, shoulder, and arm muscles, improves a baby’s motor skills, and prevents flat spots from forming on a baby’s head.
Looking to stay healthy this cold and flu season?
Don’t forget to wash your hands! According to the Centers for Disease Control, handwashing can prevent approximately 20% of respiratory infections, like colds. The CDC recommends lathering and scrubbing your hands to remove dirt, grease, and microbes and washing for at least
15 to 30 .seconds.
Brush Your Teeth
Twice Daily for Two Minutes
For best oral hygiene practices, the American Dental Association recommends brushing your teeth twice daily, with fluoride toothpaste, for at least two minutes. It’s also important to floss daily and limit sugary beverages and snacks for the overall health of your teeth.
Purchase your copy of Navigating the Medicare Maze today! Available
LOVE,CARE, & S ERVINGOTHERS
Meet Our Caregivers
There is a lot to know about the loving and caring medical therapists, technicians, nurses, and other professional caregivers who have dedicated much of their lives to serving others.
What follows are local professionals who are providing the utmost in quality care.
PROVIDING SPIRITUAL CARE
As the first-ever full-time chaplain at Erlanger Palliative Care, Reverend Bobby Fleck provides spiritual and emotional support for those who need it most. “I am open to being with people in whatever expression they find themselves, from laughing to crying and from singing to silence,” shares Reverend Fleck. After feeling God calling him to spiritual care in August of 2021, Reverend Fleck never looked back. “I knew when I started as an intern that being a hospital chaplain was exactly what God wanted me to do,” says Reverend Fleck.
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BOBBY FLECK, MDIV ERLANGER PALLIATIVE CARE
If you can find the intersection between what you are good at doing, what wakes you up in the morning, what the world needs most, and what you are called to do, you will never work a day in your life.”
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Can you tell me a little bit about your profession?
What does your day-to-day look like?
As a chaplain for Palliative Care, I offer spiritual and emotional support for patients (and their families) who are diagnosed with a serious illness. As I provide care, my hope is to understand and meet the emotional and spiritual needs of others, which means I may listen, talk, pray, sing, read, hold a hand, sit quietly, or hold space for someone privately.
What would you consider to be your main strengths?
As an extrovert, probably my greatest strength is my initiative to make a connection with others in a way that establishes trust and mutuality.
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What is your best advice for patients?
The best advice I can offer for patients is to be present and experience the feelings of the moment. Be curious about your feelings and feel your feelings. Ask yourself: What am I feeling? What are my feelings telling me?
What’s the key to making a great first impression?
Smile with your whole face and make eye contact with kind eyes.
5 Do you believe in miracles? Why or why not?
I have seen miracles and received miracles, so I can testify to the reality of miracles; it is more than just belief for me. I have triplets, 12-year-old girls, who daily remind me of the existence of miracles. I know miraculous things can and do happen every day, and I often get to share in those miracles with others.
Master’s of Divinity: Emory University –Atlanta, GA
Certifications:
Clinical Pastoral Education Residency Graduate, Association of Clinical Pastoral Education, Inc.
Ordained Minister, International Ministerial Fellowship
Integrated Behavioral Health, Kennesaw State University
Trust-Based Relational Intervention Practitioner, Texas Christian University
Recognitions:
First-Ever Full-Time Chaplain, Erlanger Palliative Care
Board Chair, Catoosa County Division of Family and Children Services
Specialties: Chaplaincy
Spiritual Care and Counseling
Bereavement and Grief Counseling
Crisis Debriefing
erlanger.org/ palliative
DEDICATED TO SERVING
CLAUDIA ZENDEJAS, CNA, CDP
MORNING POINTE OF EAST HAMILTON
Though Claudia Zendejas has been serving in her current role as Lantern Program Director in the Lantern at Morning Pointe of East Hamilton for two years, her desire to help others began at a young age as she cared for her grandparents. “I love seeing how I can bring joy and happiness to others,” shares Zendejas. “I knew that my life had a bigger purpose, and it was to serve others.” Now, Zendejas helps lead programming for residents with Alzheimer’s and dementia utilizing the facility’s purposeful spaces, stageappropriate environments, approaches, and programs. She works each day to help residents live independent and safe lives, advocate for their needs, and encourage them to “take a deep breath, look around, and live in the moment.”
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Can you tell me a little bit about your profession? What does your day-to-day look like?
My day starts with making sure my residents live as independently and safely as possible through programs like Best Friends™ Approach, Teepa Snow’s Positive Approach™ to Care, our Meaningful Day™ purposeful programming, music, art, and cuddle therapy. I also meet their spiritual, physical, and intellectual needs in daily life.
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What is one of your happiest professional moments?
When I walk in the building and the resident is having a hard time, but I am able to fix their concern or redirect them to be in a calm state. They see me and know I’m their person.
What’s the key to making a great first impression?
A great first impression is a combination of a positive approach with active listening, a genuine interest in the other person, and of course, a smile.
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It’s a blessing to serve the ones that feel lost and know that, when you are with them, they find their safe place.”
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What would you consider to be your main strengths?
My main strengths are connecting with my residents and advocating for them. I’m also their biggest cheerleader.
What do you love most about your profession?
I love being able to teach others about caregiving. Learning new things every day.
OFFERING SAME-DAY CARE
From diagnosing illnesses to promoting preventative care, John Lytle’s days as a nurse practitioner are filled with a variety of healthcare services. “Empowering individuals to take charge of their health and witnessing their progress is incredibly rewarding,” says Lytle. Working in a same-day care clinic allows Lytle to treat a variety of new patients rather than a regular patient panel, and Lytle offers attentive listening and genuine compassion to each of them. “My goal is to ensure that every patient feels heard, valued, and supported on their journey to better health,” says Lytle.
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JOHN LYTLE, MSN, FNP-C, RN
ERLANGER PRIMARY CARE – VOLKSWAGEN
DRIVE | SAME-DAY CARE CLINIC
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What is one of your happiest professional moments?
One of my happiest moments was helping a patient recover from a challenging health condition after months of treatment and seeing their gratitude and improved quality of life. Moments like those reaffirm why I chose this path.
What is your philosophy when it comes to the care for your patients?
I believe in treating the whole person, not just the symptoms. My approach emphasizes compassion, collaboration, and education to empower patients to lead healthier lives.
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Be proactive about your health and don’t hesitate to ask questions. Open communication with your healthcare provider is key to understanding and managing your well-being effectively.”
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What influenced you to pursue your career?
My passion for helping others and a desire to combine science with compassionate care led me to pursue nursing. Seeing the impact that skilled, empathetic providers have on patients’ lives inspired me to take this path.
What’s the key to making a great first impression?
Listening attentively and showing genuine compassion go a long way. Patients feel more comfortable and respected when they know you truly care about their concerns.
Do you believe in miracles? Why or why not?
Yes, I do believe in miracles, though they often come in the form of science, determination, and teamwork. I’ve seen patients recover against all odds, which reminds me of the resilience of the human spirit.
MAKING A DIFFERENCE
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From a young age, Sharon Rawiszer knew that she was destined to work in healthcare. “I have it in my heart to care for others and coming to work and making a small difference in anyone’s life makes a huge difference in mine,” she shares. Now, Rawizser puts her nursing and listening skills to use at Erlanger Neurology, where she gets to care for the elderly population, one of her favorite parts of the job. “Many older adults just want to be heard, and I want them to leave my clinic feeling heard and appreciated,” says Rawiszer.
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SHARON RAWISZER, MSN, FNP-C ERLANGER NEUROLOGY
What’s the key to making a great first impression?
A warm smile can make a lasting impression. No one knows what obstacles it took for a patient to get to your office, so a smile can always help with a stressful or bad day, or it can just say welcome and how can I help you today.
What is your best advice for patients?
Be completely honest at each visit. As providers we are not here to judge, we are here to provide a safe space. In saying this, as a provider we need the whole picture to properly treat you and give you the best possible outcome.
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The role that I am in feels like such a blessing. I love providing care for others and making a difference any chance that I get.”
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What is one of your happiest professional moments?
Our memory disorder team was able to provide one of our most precious patients with the newly FDA-approved Alzheimer’s medications. This brought so much joy knowing how this drug can hopefully slow this debilitating disease and give the patient and their family more quality time together.
What is your philosophy when it comes to the care for your patients?
Treat each patient as if they were your own family. I treat each patient with the same caring heart that I would my mother or spouse. Some patients that come through my office may not have any family and I need them to feel welcomed and safe under my care.
Do you believe in miracles? Why or why not?
You can’t be in healthcare and not believe in miracles. I have seen patients survive things that I would never have thought were recoverable. As a provider, I never want to take away anyone’s hope. Science and medicine can only go so far, the power of prayer and love can make miracles happen.
COMING SOON !
Recognizing The Greater Chattanooga Area’s Top Doctors Across 50+ Specialties
WHAT YOU NEED TO KNOW
• Doctors are nominated solely by their peers.
• Peer nominations are completely confidential.
• Nominations are conducted and reviewed by Castle Connolly – a national physician-led team of researchers.
• Nominated doctors will be reviewed by a local advisory board.
• Results will be published in HealthScope® Magazine Top Doctors publishing July 2025.
• Top Doctors will be shown on HealthScope® magazine’s website as well as on Castle Connolly’s nationally recognized website.
Emblems will be provided to Top Doctors for use in their marketing materials.
/ BULLYING: LET’S TALK ABOUT IT / PROJECT ACCESS
Fighting Fungi
PROTECTING YOURSELF AGAINST COMMON FUNGAL INFECTIONS
By Tory Irmeger
The fungi kingdom is vast and diverse, and knowledge about how these organisms interact with humans is continually expanding. Fungi are essential to world: they assist in breaking down organic matter in the environment, are used in processes like bread- and beer-making, and are consumed as delicious and nutritious foods, including mushrooms, morels, and truffles. Certain species of fungi have also revolutionized medicine and science, such as penicillium, which is the source of the antibiotic penicillin. Scientists estimate that of the millions of existing fungal species, only a few hundred of them can cause diseases. A healthy immune system is proficient in protecting us from many threatening fungi, so those with a compromised immune system can be at higher risk for developing infections. However, anyone can potentially develop a fungal infection, especially on places in the body that trap moisture or have lots of friction. Due to the nature of these infections, it’s important to seek treatment to resolve the infection and prevent spreading it to others.
Todd Rudolph, MD Medical Director, AFC Urgent Care
Aidree Cook, PA-C Erlanger Express Care
Michael Chung, MD Skin Cancer & Cosmetic Dermatology Center
Common Fungal Infections
Common fungal infections affect the surface of our skin, nails, and mucous membranes. These are typically not severe, although they can cause itchy discomfort and can be recurring. Ringworm is among the most common of these infections, which is caused by a fungus (not a worm) and named for its red, often ring-shaped appearance. Ringworm may be called something different depending on the area of the body it infects, including the feet (athlete’s foot) or groin and upper thigh area (jock itch). Ringworm also commonly appears on the scalp, hands, or nails. This type of infection is contagious and can be spread through skin-to-skin contact or shared spaces, like locker rooms or gyms.
It might be difficult to determine whether a rash is ringworm or another skin condition, like eczema or psoriasis. “Location is key,” shares Dr. Michael Chung, a board-certified dermatologist with Skin Cancer & Cosmetic Dermatology Center. “Look for an itchy, pink, flaking, or scaly rash in susceptible areas that are warm and moist, such as the feet, groin, upper thighs, armpits, and abdomen.”
Another common superficial fungal infection is candidiasis, a yeast infection that can affect the skin, genitals, mouth, and throat. Yeast (candida), a type of fungus, naturally occurs on the body. Heathy bacteria help keep yeast production in balance, but if this balance is disrupted, an overgrowth of yeast can cause an infection. Certain triggers that might disrupt the natural
balance include hormonal changes from pregnancy or taking antibiotics, steroids, or oral contraceptives.
If you aren’t sure whether an irritation is caused by a fungal infection or something else, visit your healthcare provider to diagnose and develop the best treatment plan.
Treatment Options
Thankfully, superficial fungal infections can be treated. Topical antifungal medications are available over-the-counter, and oral medications may be used to treat infections that are severe, extensive, or resistant to topical treatments. When dealing with a confirmed fungal infection, physicians recommend avoiding anti-itch creams. “Avoid use of topical steroids as these may only temporarily mask the rash severity before it rebounds and becomes worse than before,” Dr. Chung says. “If over-the-counter antifungal creams are not working or the rash involves an extensive area, contact your nearest provider for further assessment and treatment.”
For best results, it’s important to stay on top of treatments for an active infection – usually two or more weeks of daily topical application or an oral pill. “Fungal infections often require several weeks work of treatment for complete resolution of symptoms,” shares Aidree Cook, a physician’s assistant with Erlanger Express Care. “Patients receiving topical or oral therapy should be sure they are taking the medication as directed by their healthcare provider.” Even if you see results a few days after applying medication, be sure to follow the recommended treatment plan to the end.
Photo taken by Casey Yoshida for The Scout Guide
“It is important to teach your children proper hygiene methods in order to keep them safe from fungal infections. One of the most effective ways to prevent fungal infections is to wash your hands with warm water and soap. Another important and easy way to help your child stay safe from fungal infections is to be sure they are wearing shoes in shared spaces such as gyms, locker rooms, and public restrooms.”
– Aidree Cook, PA-C, Erlanger Express Care
Stopping the Spread
Sometimes, even the most common fungal infections can be difficult to beat and may recur over time. Dr. Todd Rudolph, medical director of AFC Urgent Care, explains, “Some infections may recur due to incomplete treatment. Some recur because they are difficult to eradicate. Others recur because you may be exposing yourself again to the fungal source.” Because of this, prevention and effective treatment are essential in stopping the spread of fungal infections. For starters, practicing good hygiene can help prevent outbreaks of ringworm and other fungal infections.
• Keep your skin clean and dry, especially between the toes
• Promptly shower and change into clean, dry clothes after sweating, exercising, or participating in contact sports
• Wear shower shoes in public showers, locker rooms, or pool areas
• Change socks and underwear daily, or as soon as they become damp
IN PUBLIC SPACES
Fungi thrive in damp and warm areas, making public areas like gyms, swimming pools, and showers common places to be exposed to infection. Athletes should be sure to wipe down all equipment before and after use. To prevent spreading an active infection, Dr. Rudolph says, “Firstly, treat the infection when needed and then cover the infection if you will be in close contact with others.”
Covering the skin and mouth is a good practice for lifestyles of all types, especially those who regularly work outdoors, like gardeners or construction workers. “We know that many fungi thrive in soil,” Cook says. “These fungi can cause a wide range of symptoms but predominately affect the respiratory tract in humans.” Wearing protective equipment like masks, gloves, long pants and sleeves, and close-toed shoes are easy steps to take when preventing against fungi and other potential irritants outdoors.
IN THE HOME
If someone in your home has an active fungal infection, avoid sharing towels, sheets, clothes, or combs with that person until the infection has passed. It’s also possible for pets to be a source of exposure for fungal infections like ringworm. Dr. Rudolph says, “Outdoor exposure to fungi in the ground that get on your pets can lead to crossinfection for the owner and recurrence. Treating the pets and avoiding exposure can help.” To prevent spreading the infection from one pet to another or to humans in the house, keep the pet with the infection isolated until the treatment is complete. Be sure to vacuum, sweep, disinfect shared spaces, and wash any pet towels and bedding in hot water with detergent. Unfortunately, common fungal infections aren’t completely avoidable, but with some healthy habits and effective treatment, they can be resolved.
c e m p a . o r g
Figuring out Food Intolerances
With cases of food intolerance being so common in the U.S., it’s important to know what food intolerances are, how they are diagnosed, and how they can be treated. According to a study published by the National Library of Medicine, an online survey showed that 24.8% of U.S. adults suffer from a food intolerance, with lactose intolerance being the most common.
By Ali Lemmons
A food intolerance, also called a food sensitivity, occurs when your digestive system has trouble breaking down certain foods. According to the Cleveland Clinic, “Food intolerance means your gut is sensitive to certain foods and can’t tolerate them. When you eat these foods, you may experience uncomfortable symptoms like gas, diarrhea, and abdominal pain.”
Food Intolerances Versus Food Allergies
Food intolerances can often be confused with food allergies, as they may present some of the same symptoms; however, it’s important to know the difference between these two conditions.
Food Intolerances: An intolerance affects your digestive system. When you eat certain foods, your body can’t properly digest them, which can cause non-life-threatening symptoms. Symptoms will occur as the food makes its way through the digestive tract, and in some cases, symptoms may not occur if only a small amount of the food is consumed.
Food Allergies: A food allergy, on the other hand, affects the body’s immune system. This occurs when your body mistakes an ingredient in the food as a threat and releases antibodies to fight it. This causes symptoms that occur within minutes of consuming the food. An allergy can also be life-threatening if it sends the individual into anaphylactic shock.
While symptoms of food allergies and intolerances can overlap, an evaluation by an allergist or immunologist can help a patient determine which they are experiencing.
Common Food Intolerances
While there are many different kinds of food intolerances, some are more common than others. Three of the most common food intolerances found throughout the U.S. are gluten, lactose, and salicylate sensitivities.
Gluten Intolerance: Around 6% of the U.S. population suffers from gluten intolerance. Gluten is a protein found in wheat and other grains and is in many common foods, like pasta, bread, and cereal. A gluten intolerance may make an individual feel tired, bloated, or nauseous. While they may have common symptoms, a gluten intolerance is not the same as celiac disease, which is an autoimmune response to gluten.
Lactose Intolerance: With lactose intolerance, the body’s digestive system reacts to lactose, the sugar found in milk. Symptoms may include nausea and bloating, intestinal gas, and diarrhea. Around 65% of adults across the world are unable to absorb lactose; however, an individual is only considered to have lactose intolerance if they experience noticeable symptoms.
Salicylate Sensitivity: While not as common as gluten or lactose intolerance, some individuals may be intolerant to salicylates, a group of chemicals derived from salicylic acid. Salicylates are found naturally in fruits, especially dried fruits, vegetables, and spices. If eaten, symptoms can include respiratory tract issues, like a stuffy nose or asthma, or intestinal tract issues, like diarrhea, gas, and gut inflammation.
“Food intolerance is a term for symptoms due to the ingestion of food but not from an immune system reaction. Intolerances tend to be more subtle and delayed in their symptoms. These symptoms can be highly variable and include digestive issues, fatigue, brain fog, and headaches. They can occur hours to days after the ingestion of the triggering food. Lactose intolerance is an example of a type of food intolerance that causes digestive issues when ingesting dairy products. This isn’t due to an immune-system reaction to dairy, but rather the lack of an enzyme needed to digest lactose (a sugar found in dairy products).”
Dr. Taylor Atchley Allergist/Immunologist
The Allergy and Asthma Group of Galen
The Diagnostic Process
To detect lactose intolerance, a hydrogen breath test may be used. During testing, an individual will consume a drink containing lactose. Then, the individual breathes into a balloon-like device every 30 minutes over the course of a few hours. “If you’re lactose intolerant, the undigested lactose will cause high levels of hydrogen in your breath. You may also develop symptoms from drinking the lactose solution,” according to the Cleveland Clinic.
Unfortunately, there are currently no laboratory tests available to diagnose gluten and other food sensitivities. While athome food sensitivity tests may seem like a good option, most healthcare professionals do not recommend them. If you think you may have a food intolerance, consult your primary care provider for a more accurate diagnostic process. One method a doctor may suggest is to keep a food diary to track meals eaten and any symptoms that arise.
“The diary should include the symptoms, timing of the symptoms, medications/ supplements taken, amount of food eaten, and activities and exercise,” says Dr. Susan Raschal, board-certified allergist at Family Allergy and Asthma. “Compare ingredients and identify patterns in the diaries to assist in identifying the ingredient that has triggered symptoms.”
Doctors may also recommend trying an elimination diet. This technique encourages individuals who are experiencing symptoms of food intolerance to remove foods from their daily diet for four to six weeks at a time. This allows the individual to see if the symptoms of food intolerance disappear.
“Which food you choose to eliminate first depends on which foods you suspect are causing your symptoms. However, only eliminate one major food group at a time,” says Dr. Taylor Atchley, allergist/immunologist at The Allergy and Asthma Group of Galen. “After 4-6 weeks, intentionally add that food back into your diet! If symptoms improved without the food, and then worsened with the food reintroduced into the diet, you have effectively identified a food intolerance.”
Symptoms of a Food Intolerance
Stomach Pain
Nausea
Headache
How to Treat Food Intolerances
Unfortunately, there is no cure for food intolerances; however, the symptoms can be managed in two main ways. One method is to limit, or completely remove, any problem-causing foods from your diet. Checking food labels and sharing information about your intolerance while at restaurants or friends’ houses can help you avoid consuming ingredients that you are intolerant to.
If problem-causing foods are eaten and symptoms occur, supplements and other strategies can help.
“Medical studies have shown probiotics (living organisms in your intestine) can break down lactose into simple sugars the body can absorb and subsequently lessen the symptoms associated with lactose intolerance. Treatments for gluten intolerance may include ingestion of digestive enzymes to break down nutrients, herbal teas to reduce nausea, adequate hydration, and probiotics.”
Dr. Susan Raschal
Board-Certified Allergist
Family Allergy and Asthma
Bullying
LET’S TALK ABOUT IT
Experiencing bullying can have a lasting impact on children. Here, we provide an overview of bullying and cyberbullying and speak to two local mental health experts about how parents can address and prevent bullying.
By Kristen Dee
Bullying Overview
Bullying behaviors are aggressive, include an imbalance of power, and are repeated or have the potential to continue happening. There are many different types of bullying, including verbal, social, physical, and cyberbullying. The 2022 School Crime Supplement to the National Crime Victimization Survey, conducted by the National Center for Educations Statistics and Bureau of Justice, found
that 19.2% of students in sixth through 12th grade reported being bullied during school, and 21.6% reported being bullied online or by text. The 2023 Youth Risk Behavior Surveillance Survey found that 19% of students in ninth through 12th grade report being bullied on school property in the 12 months preceding the survey. Additionally, the nonprofit STOMP Out Bullying reports that one in five students admits to being a bully.
Cyberbullying, or online harassment, is the use of technology to harass, threaten, embarrass, or target another person. Cyberbullying has the potential to be more harmful than in-person bullying as it can happen anywhere and at any time and with greater anonymity. A 2022 PEW Research study defined cyberbullying using six behaviors: Offensive name calling, spreading false rumors, receiving unsolicited explicit images, physical threats, constantly being asked where they are, what they are doing, or who they are with by someone who is not a parent, and having explicit images of them shared without consent. The study found that out of 1,316 U.S. teens, 46% reported experiencing at least one of the six cyberbullying behaviors, and 28% of teens have experienced multiple types. Teens and tweens are particularly vulnerable to this kind of bullying, as they typically have more of an online presence than younger children.
The Impact of Bullying
Bullying has negative impacts on both those who are bullied and the bullies. Being the victim of bullying affects a child’s confidence and ability to learn, as well as causing other significant mental and emotional distress. Research presents strong evidence that exposure to bullying in early childhood increases the risk for depressive disorder later in life. Unsurprisingly, the research also found that children who were both bullies and victims of bullying had the most significant mental health concerns, with the highest rates of depression, anxiety, schizophrenia, and substance abuse compared to peers. Bullying’s effects are made worse when children feel too scared or embarrassed to talk about what is happening, which is why proper prevention and response can make a difference.
MyChelle Pinkerton, LMFT
Director, The Haven Counseling Services at Silverdale Baptist Academy
Hannah Holtcamp, LPC
Child Therapist, Journey Mental Health
Bullying Prevention and Response
An adult’s quick and consistent response to stop bullying can prevent further behaviors over time. Bystanders are a critical part of bullying intervention and prevention, with many studies finding success in early intervention. It is important to talk about bullying early and often with children so they feel comfortable talking about it rather than embarrassed, worried, or anxious. Creating an understanding of what bullying looks like is also helpful, as it enables them to identify if it’s happening to themselves or others.
StopBullying.gov provides a variety of resources for bullying prevention for parents
and educators, such as discussion prompts and presentations and activities to teach about bullying. If you think your child is being bullied, be sure to talk to them about it and contact their school or teacher. Make sure they know it’s not their fault, you believe them, and you will do what you can to help. Encourage them to walk away from their bully rather than retaliate, and use the buddy system so that they are not alone if confronted by a bully. Finally, encourage activities that will build their confidence and selfesteem. If your child is bullying others, it’s important to get to the root of the reasons for their behavior and help them understand healthier ways to express feelings and handle difficult situations.
It is important to talk about bullying early and often with children so they feel comfortable talking about it rather than embarrassed, worried, or anxious.
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While being a victim of bullying and being a bully can both be harmful to mental health, intervention and open discussion can help prevent bullying and build resilience. Here, we spoke with area mental health experts about how to tackle this tricky topic.
I’m worried my child is being cyberbullied. What can I do? Cyberbullying occurs when someone uses digital technologies to harass, threaten, or embarrass another. The targeted person may feel there is no means of escape as cyberbullying can occur on social media platforms, gaming platforms, and messaging platforms. If you suspect your child is being cyberbullied, talk with them about it. Be open, validate their feelings, and ask questions to better understand their experience. Offer to connect them with a counselor so they can process the wide range of emotions they may be experiencing and learn healthy coping strategies. Show them how to block the cyberbully on as many platforms as possible. Help them see the importance of engaging with supportive friends, both online and in-person, and encourage them to spend time with that supportive network. Assure them they can always come to you for support. MyChelle Pinkerton
My child’s school is concerned my son is bullying his classmates. How do I handle this?
It can be unnerving to learn your child may be the source of emotional pain for others. Take care of yourself emotionally and mentally first so you can focus on helping your child. Have a calm conversation with your son and ask open-ended questions so you can learn more about what motivated his behaviors. If your son’s actions were motivated by his own emotional pain, connect him with a counselor so he can process that pain and learn healthier coping strategies. Teach him about empathy and how our actions can affect others. Contact your son’s teacher and the school counselor as they may have additional ideas on how to create a supportive environment for your child. Regularly check in with them, and affirm your son with unconditional love and support on this journey of personal development. MyChelle Pinkerton
What are ways to prevent my child from becoming a bully?
When it comes to bullying, whether it is in person or online, the best method for prevention is curiosity. Be open and curious about what your children are interested in. Do your own research into the subject as well as attempt to engage with/alongside them when they are playing. If they are engaged in open-world video games, learn the lingo for that game. Many games ban inappropriate language, so some players create work-arounds to convey negative content. An example would be the use of the phrase “gg,” which typically means good game but can also be used to single out the weakest player on the team. Hannah Holtcamp
What are signs my child is being bullied?
Signs a child is being bullied include increased sadness, becoming increasingly withdrawn, sudden changes that seem out of character for the child, or an increase in angry outbursts. An example would be in the episode of Bluey called “Butterflies.” Bingo is being excluded from play, and we see her withdrawing into herself in a way that is not typical for her. She is able to remain true to her character but becomes appropriately sad. Some children respond to attempts to fit in and will take on attitudes or behaviors of the individual doing the bullying. Hannah Holtcamp
NATIONAL WEAR RED DAY
® Friday, February 7, 2025
This February, let’s Go Red for each other.
Cardiovascular disease (CVD) is the No. 1 killer of women. Nearly 45% of women over age 20 are living with some form of cardiovascular disease. On National Wear Red Day, February 7, the American Heart Association’s signature women’s initiative, Go Red for Women®, urges everyone in Chattanooga to join us in advocating for better health and well-being for all women. On Friday, February 7, share your heart and WEAR RED. Those wearing red are invited to tag #GoRedChatt and @ahatennessee
An uninsured patient having emergency surgery that ended in a stay in intensive care led surgeon Dr. Joseph Cofer to ask the question: “Can’t we find a better way to care for our uninsured neighbors before they are in crisis?” The year was 2002, and Dr. Cofer used his role as president of the Chattanooga-Hamilton County Medical Society to lead a search to coordinate donated compassionate care for uninsured patients. This search found the Project Access program in Buncombe County, North Carolina. 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.
Over the next year, Dr. Cofer and Medical Foundation of Chattanooga president, Dr. Robert Bowers, convened physician champions, hospital executives, and community leaders to bring the Project Access model to Hamilton County. In April 2004, the new program enrolled its first patient.
For 20 years, Project Access has refined and sustained a coordinated care network for donated healthcare services that includes physicians, health centers, laboratories, hospitals, and other partners. The program is coordinated by the Medical Foundation of Chattanooga, with support from community donors and the Tennessee Department of Health. Due to the program’s sustained success, the Medical Foundation partnered with regional health organizations and physicians to expand the program
to all counties surrounding Hamilton in 2022.
Since its inception, Project Access has made healthcare available to more than 26,000 individuals. More than $235 million in free healthcare has been donated by more than 1,200 physicians and providers through the program.
“Doctors and hospitals have always provided charity care, but it was done in a sometimes informal manner,” says 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.”
Project Access provides healthcare for residents in lowincome 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.
Project Access is open to uninsured Tennesseans with a current medical need who have a household income 150% below the poverty level and are ineligible for health insurance.
Before the program started, uninsured 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.
Project Access coordinates specialty care services for patients referred to the program by local primary care physicians and health centers. The entire time, Project Access patients never have to worry about the ability to pay for the services provided.
Project Access has made an impact in many lives, including Elizabeth, a Cleveland resident. Elizabeth had never asked for assistance before, but life had hit her hard. Her mother, father, and brother had tragically passed away in a six-month span, and she found herself uninsured and in need of medical care. "I had nothing and nobody," she recalls.
However, Elizabeth was a fighter. A single parent and breast cancer survivor who put herself through school, her strength never wavered despite these overwhelming challenges. Initially, she sought help at the Bradley County Health Department, who referred her to Southeast Tennessee Project Access when lung cancer was discovered. Through Project Access, she was introduced to physicians who provided her with consultation and radiation treatments, ultimately leading to her being cancer-free. All services were provided at no cost to Elizabeth. She now faces one thyroid issue to take care of, but she isn’t worried.
"Once I beat this thyroid thing, I will be able to beat everything,” she says. “I was worried, but without health insurance, what do you do? The Project Access staff is professional, courteous, and goes above and beyond. They are compassionate."
Elizabeth’s story is one of many that shows the vital role that Project Access plays in helping individuals rebuild their lives amidst adversity.
“This program speaks to the heart of compassion that you see daily in the medical community,” says Bond. “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 in those last days and months and years of their lives.”
Through Project Access, the healthcare community comes together to give the invaluable gift of a second chance for those most in need.
Rae Bond CEO of the Chattanooga-Hamilton County Medical Society and Foundation
Southeast Tennessee Project Access 20 Years of Compassionate Care
• Coordinated $235.5 million in donated healthcare services since 2004
• Care provided by 1,200 volunteer physicians with area hospitals and health centers
• Hospital partnerships with CHI Memorial, Erlanger, Parkridge, and Bradley Medical Center
• Coordinates specialty care service for 30 community health centers
• More than 26,000 individuals in Southeast Tennessee have received care or have been directed to services
Youth Leadership and 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
Community Recognition of Project Access
• 2016 Champions of Health Care Community Outreach Award
• 2012 Tennessee Medical Association Community Service Award
• 2012 WTCI Be More Educational Award
• 2012 WTCI Be More Engaging (People’s Choice) Award
• 2011 WTCI Be More Collaborative Award
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ANNUAL SPE C IAL SECTION
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
An Expert Weighs In
“Advancing age is one of the major causes of peripheral artery disease (PAD) in addition to the history of smoking or uncontrolled blood sugar, blood pressure, and cholesterol. In the elderly, balance issues and weakness when walking can lead to falls, and we tend to break bones and not bounce back anymore. Talk to your primary care provider to understand the cause of these issues. Also, to improve access to care, VIC has five locations and accepts ‘self-referrals.’ Please call our office to ask questions or schedule an appointment with our vascular team. Be proactive, be evaluated, and don’t be a statistic.”
Chris LeSar, MD, FACS, RVT Vascular/Endovascular Surgeon, Vascular Institute of Chattanooga
Weakness With Walking
Vascular health plays an important role in mobility for aging adults.
Mobility Issues and Aging
Weakness with walking is often considered a natural sign of aging, but in some cases, it can indicate underlying health issues. While musculoskeletal conditions like arthritis and nerve problems are commonly associated with age-related mobility issues, vascular conditions are also a prevalent cause.
Understanding Arterial Disease
When blood flow is compromised, it can cause the muscles to feel weak, especially during activity. Peripheral artery disease (PAD) occurs when narrowed arteries restrict blood flow to the legs and is a leading cause of vascularrelated walking difficulties.
The acronym F.L.O.W. can help identify the signs of arterial disease:
• Feeling of Pain. Pain in the calves, thighs, or buttocks which eases with rest
• Loss of Sensation. Numbness, tingling, or “pins and needles” sensations
• Open Sores. Chronic, non-healing wounds, particularly on the feet or lower legs
• Weakness with Walking. Weakness or fatigue in the legs that limits mobility
Diagnosis and Treatment
Because arterial disease is often mistaken for other conditions, it is important to receive a vascular assessment to ensure an accurate diagnosis and help prevent severe outcomes like tissue damage or amputation. Diagnostic tools such as the ankle-brachial index (ABI) and advanced imaging techniques can assess blood flow.
Arterial disease can be treated with lifestyle adjustments such as walking programs, smoking cessation, and dietary changes to improve circulation; medical intervention including angioplasty, stenting, or bypass surgery, to restore blood flow; and physical therapy to improve mobility.
Outlook
By receiving regular vascular screenings and knowing the symptoms of F.L.O.W., aging adults can take proactive steps to manage arterial disease and maintain mobility. If you are experiencing weakness with walking, consult with your healthcare provider to receive an accurate diagnosis and appropriate treatment plan.
Expert Vascular Care for Aging with Confidence
Venous Disorders
Stroke Prevention Your easy buttons for care.
Aneurysm Repair
Dialysis Access Amputation Prevention
No one should suffer from leg pain—this isn't normal and often indicates a serious underlying issue. Early detection and intervention can significantly improve outcomes, preventing disease progression and preserving quality of life. Choosing VIC means trusting a team dedicated to early intervention and treatment.
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An Expert Weighs In
“Showing gratitude can be an easy and fulfilling way for patients to contribute to their own well-being. Whether you show gratitude through donations, volunteering, or just saying a simple ‘thank you,’ you might notice some unexpected health benefits.”
James Newby, DO Family Medicine Physician, Erlanger
The Health Benefits of Gratitude
Regularly practicing gratitude can yield a number of health benefits.
Understanding Gratitude
Gratitude is the state of being thankful for the good in one’s life and can be a powerful practice for health and wellness. Research shows that expressing gratitude releases dopamine and serotonin in the brain, chemicals that contribute to feelings of happiness, and is associated with positive effects in both mental and physical health.
Health Benefits of Gratitude
There are many health benefits of gratitude, which include:
Relieved stress and anxiety. Gratitude can help lower your heart rate and regulate breathing, which calms the nervous system during times of stress. It also combats anxiety by keeping thoughts focused on the present and its positive aspects.
Reduced symptoms of depression. A grateful mindset is linked to higher satisfaction with life and promotes optimistic thinking about one’s future, which may reduce symptoms of depression.
Better sleep. Lower levels of stress and anxiety can make it easier to fall asleep and stay asleep at night. Focusing on grateful thoughts at bedtime can help relax the mind and promote better sleep.
Improved heart health. According to the American Heart Association, daily practice of gratitude can lower blood pressure and reduce the risk of heart disease.
How to Practice Gratitude
To reap the benefits of gratitude, it’s important to make it a regular practice that will in time, become habit. Here are some ways to incorporate gratitude into your daily routine:
• Set aside time to write down what you are thankful for in a gratitude journal.
• Redirect negative thoughts by identifying a positive aspect of your situation that you are grateful for.
• When you find yourself feeling grateful for a person in your life, send them a text or write a thank-you note.
Orthopedic Urgent Care
These specialized urgent care centers are a convenient option for treatment of orthopedic injuries.
Orthopedic Injuries in Aging Adults
According to the National Institute of Aging, more than 1 in 4 adults age 65 or older fall each year. These accidental slips and falls are the most common cause of orthopedic injuries in this age group, leading to sprains, fractures, or dislocations that often require immediate attention to avoid further damage and prevent complications.
Orthopedic Urgent Care
Orthopedic urgent care centers offer specialized care for nonlife-threatening bone, muscle, and joint injuries, and have the tools to diagnose and treat these conditions right away. Common injuries treated at orthopedic urgent care centers include sprains and strains, broken bones and fractures, dislocations, and torn ligaments or tendons.
Benefits to Patients
Specialized. Orthopedic urgent care clinics provide patients expert
evaluation and treatment from the start instead of a referral to an orthopedic specialist later in the treatment process.
Timely. By providing urgent care services specifically for orthopedic needs, urgent care centers can help patients avoid long waits at emergency rooms, getting the specialized care they need faster.
Cost-Effective. Urgent care clinics are typically less expensive than emergency rooms, providing patients with a lower-cost option. Convenient. Orthopedic urgent care clinics often offer extended hours, including evenings and weekends, making it easier for patients to receive care when it is most convenient for their schedule, including outside of traditional office hours.
Streamlined. If further intervention like surgery or physical therapy is required, the same orthopedic group can handle treatment from start to finish, resulting in fewer referrals, quicker recovery times, and a better overall patient experience.
An Expert Weighs In
“Our goal is to make high-quality orthopedic care more accessible in our community, whenever people need it most. By offering Saturday hours at our Urgent+Ortho walk-in clinic, we’re giving patients with urgent orthopedic needs the chance to receive expert care without waiting until Monday. This service is especially valuable for active individuals, athletes, and families who can’t always make it to us during regular weekday hours or don’t want to go to the ER. We’re here to help them get back on their feet, painfree, as quickly as possible.”
Jason Robertson, MD Non-Operative Specialist and Urgent+Ortho Medical Director, Center for Sports Medicine & Orthopaedics
An Expert Weighs In
“Do you want to look like a movie star? Think ‘AMC’ Theatres. It doesn’t require endless products and complex routines; it comes down to three essentials - the AMCs of anti-aging - A for Retin-A, M for mineral-based SPF, and C for vitamin C serum. Clear Beauty, the medical spa at Clear Derm, offers medical-grade products and treatments that can elevate your anti-aging routine to the next level. Visit Clear Derm and Clear Beauty to start your journey to radiant, youthful skin today.”
Eli Kim, MD Physician,
Clear Derm
Anti-Aging Skincare
Adding these three treatments to a skincare regimen can provide anti-aging results.
Understanding Aging Skin
Aging skin is very common, and it can cause visible signs such as wrinkles, sagging skin, and age spots. Sun exposure is the primary cause: UVA rays age the skin, breaking down collagen and causing wrinkles and sagging, while UVB rays damage the skin’s outer layers and contribute to skin cancer risk. Thankfully, skincare treatments are available to help. By following a simple skincare routine utilizing these treatments, aging skin can be protected and rejuvenated.
Medical-Grade Treatments
Medical-grade skincare is formulated with higher concentrations of active ingredients and undergoes rigorous clinical testing. The following three treatments are common staples in an anti-aging regimen: Retin-A, or tretinoin, is widely considered the gold standard of anti-aging. This powerful retinoid promotes cellular turnover, stimulates collagen production, and helps fade fine lines, wrinkles, and hyperpigmentation. It can also smooth skin texture, tighten pores, and fight acne. When using Retin-A, start with a small amount and apply 2-3 times per week to allow your skin to adjust, and pair it with SPF to protect against sun sensitivity.
Mineral-based SPF, or sunscreen, is combined with zinc oxide and/or titanium dioxide and protects the skin from harmful UV rays from the sun. Mineralbased SPF is gentle on sensitive skin, prevents hyperpigmentation, and protects against free radical damage by environmental factors. It should be applied every morning, regardless of weather, and reapplied by noon during summer months for maximum protection.
Vitamin C serum is an antioxidant powerhouse that fights inflammation, neutralizes free radicals, and boosts collagen production. It can help repair damage from sun exposure and pollution; brighten skin tone; and enhance the effectiveness of sunscreen. Vitamin C serum should be applied in the morning, before SPF.
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OOLTEWAH
Madison Butler, NP Melody Richt
An Expert Weighs In
“It is wonderful to see so much education circulating around women’s health today. A recent study showed that 84% of women 50 and older don’t know how menopause affects their oral health. Perimenopause can begin as early as the mid to late 30s. That leaves a major population of women who may experience oral health conditions related to a decline in estrogen. This can include dry mouth, receding gums, tooth sensitivity, reduced saliva, bleeding gums, and the most mysterious of all, burning tongue. The great news is: it’s not in your head, you’re not alone, and your dentist and/or hygienist may be able to help. I would encourage every woman to track your symptoms and discuss them with your oral health care provider next time you see them.”
Kristen Conner, DMD Dentist, Northpoint Dental Co.
Dental Health During Menopause
Hormonal changes during menopause can put women at a higher risk of developing certain dental conditions.
Menopause and Dental Health
In the time leading up to menopause, a woman’s body experiences a drop in certain hormone levels. These changes, particularly lower levels of estrogen, can decrease bone density and saliva production and impact dental health. Because of this, women are at a higher risk of developing dental conditions that affect the gums and teeth, and it can impact their quality of life.
Common Conditions
One of the most common dental complications associated with menopause is burning mouth syndrome (BMS). This chronic condition involves a burning sensation that can affect the tongue, palate, and lips.
In addition to BMS, decreased saliva production can lead to dry mouth, a condition known as xerostomia that occurs when there isn’t enough saliva to keep the mouth wet. Dry mouth can be painful, and it increases the risk of infection, cavities, and tooth decay.
During menopause, women are also more susceptible to periodontal, or gum, disease, which occurs when plaque and bacteria build up on the teeth and under the gums, causing infection. The first stage of periodontal disease is gingivitis, which is characterized by red, irritated, and swollen gums.
Treatment and Outlook
Treatment options can provide relief and prevent periodontal disease from progressing. Sprays, lozenges, and rinses can help treat symptoms of BMS and dry mouth, while dental care and prescription medicine may be recommended to reverse gingivitis. To help prevent these conditions, it is important to practice good oral hygiene including brushing your teeth at least twice a day and flossing. Other preventative measures include staying hydrated, eating a balanced diet, and regularly consulting with your dentist about how to best maintain your dental health during menopause.
Menopause
The menopausal transition is a normal part of aging for women.
Understanding Menopause
Menopause occurs when a woman’s menstrual periods come to a permanent end and she can no longer get pregnant. While the average age of menopause in the United States is 52, the transition begins years earlier in a process known as perimenopause. Most women enter perimenopause in their mid-40s and remain in this stage for two to eight years. During this time, the ovaries gradually produce lower levels of the hormones estrogen, progesterone, and testosterone, which can be accompanied by irregular periods and a wide range of physical and emotional symptoms.
Symptoms
While menopause affects each woman differently, symptoms may include:
Hot flashes and night sweats. Known as vasomotor symptoms, these affect 80% of women at some point during their transition.
Urinary problems. These include urgency, frequency, incontinence, and an increased risk of urinary tract infections.
Painful sex. Vaginal changes such as dryness and irritation can lead to painful or uncomfortable sex.
Mood swings. Menopausal women may experience irritability, and they are at a higher risk of depression and anxiety. Difficulty sleeping. It is common for women during menopause to struggle with falling and staying asleep. This often leads to exhaustion.
Body changes. Some women may experience weight gain. Other changes include dry skin and joint and muscle pain. Cognitive effects. These include forgetfulness, trouble concentrating, and brain fog.
Treatment and Outlook
Though some symptoms such as hot flashes and night sweats will likely improve over time, many of the other symptoms often persist. Some women may choose to seek treatment when symptoms become severe or disrupt daily life. Nonprescription remedies and lifestyle changes can help manage symptoms, and prescription medications or hormone therapy may be recommended. In all cases, it is important for women to consult with their healthcare provider, who can help them navigate this transition and its symptoms.
An Expert Weighs In “Midlife women do not get the medical attention that they deserve. Some women have mild symptoms, but for the ones who are impacted more severely, these symptoms can have devastating effects to their physical and mental health. These women are trying to manage these symptoms while also balancing their careers, marriages, children, and aging parents. It is time that we take midlife women’s symptoms seriously and not dismiss them as being ‘a normal part of aging.’ We need to recognize that women’s health expands beyond childbearing years and that their care during midlife should be prioritized the same as their younger counterparts.”
Lauren Barlew, WHNP-BC, MSCP Owner, Lotus Center for Women
Jessie Smith, WHNP-BC
Dermatoporosis
This chronic skin condition affects aging adults.
Understanding Dermatoporosis
Dermatoporosis is a chronic skin condition that primarily affects aging adults and is characterized by excessively thin and fragile skin. The most common form of dermatoporosis is caused by a combination of aging and extensive exposure to UV radiation from sunlight. In some cases, it can be induced by certain medications, most notably the long-term use of corticosteroids.
Symptoms
Symptoms of dermatoporosis typically appear on the back of the hands and forearms and include:
• Skin atrophy. This refers to the thinning of the skin, which is a common part of aging and can be exacerbated by sun exposure and certain medications. Thin skin can appear translucent, wrinkled, or crepey.
• Frequent skin tears. The breakdown of the skin’s structure and protective mechanisms makes it more susceptible to tears and
injuries, which may also be accompanied by delayed healing.
• Solar purpura. Caused by sun damage, purpura refers to purple, red, or brown spots or patches caused by small blood vessels leaking blood under the skin.
• Stellate pseudoscars. These white, irregular or star-shaped scars are a common symptom.
Prevention and Outlook
Because dermatoporosis increases in severity over time, preventative measures – such as limiting sun exposure, wearing adequate sun protection, and smoking cessation –and early detection are important. If you notice signs of dermatoporosis, consult with your physician to determine an appropriate treatment plan. The best treatment results can be achieved in its earliest stages through topical and systemic therapies such as retinoids, moisturizers, and chemical peels to reduce signs of aging and sun damage and strengthen the skin’s barrier.
An Expert Weighs In “Changes such as thinning of the skin, easy bruising, skin tears, and scarring are the culmination of sun exposure over a lifetime. Blood thinners or anti-inflammatory medications can worsen the condition, but simple topical medications and over-the-counter lotions can be helpful. Chemical peels, microneedling, and some supplements can be beneficial as well, depending on the patient and individual needs. While we can’t go back in time, we can take steps together to make your skin as healthy and vibrant as possible now.”
“Bioidentical Hormone Replacement Therapy (BHRT) is a safe, effective approach to managing hormonal imbalances. Using hormones identical to those naturally produced, BHRT minimizes side effects often seen with synthetic options. Under professional guidance, it is customized to each person’s needs, providing relief from symptoms like fatigue and mood swings while supporting bone and cardiovascular health.”
Sharlotte Manley, FNP-C Founder, Lavender Medi Spa
Bioidentical Hormones
These hormones can help relieve symptoms in women transitioning to menopause.
Understanding Bioidentical Hormones
Hormones are chemicals that control and coordinate a wide range of important functions in the body. When hormone levels drop or become unbalanced, they can disrupt these functions and lead to uncomfortable symptoms. Bioidentical hormones are artificial hormones that are chemically identical to those the body makes and can help individuals dealing with a hormone imbalance by restoring normal levels.
Hormone Replacement Therapy
One of the most common uses of bioidentical hormones is to treat symptoms during perimenopause, the time leading up to menopause. These symptoms, which include hot flashes, mood swings, vaginal dryness, painful sex, and urinary problems, are associated with a significant drop in estrogen and progesterone, hormones produced by the ovaries. Prescribed doses of bioidentical hormones can help replace these lost levels and treat symptoms. Known as hormone replacement therapy (HRT), this treatment is available to women in their 30s and early 40s and is an effective option.
There are two main types of HRT: estrogen therapy and combination therapy, which combines estrogen and progesterone. Testosterone therapy is also available. HRT comes in many forms – including pill, patch, gel, troche, pellet, and vaginal ring or cream – and is applied daily beginning at the lowest effective dose. When undergoing HRT, your hormone levels will be regularly monitored to ensure an appropriate dosage and safe and effective treatment.
Benefits and Outlook
By balancing hormone levels, HRT can effectively relieve symptoms that occur during perimenopause. It can also benefit bone density, helping prevent bone loss and conditions such as osteoporosis. Discuss with your healthcare provider whether HRT or a nonhormonal option is right for you.
APRIL 24, 2025
CHATTANOOGA’S
AN EVENT FOR WOMEN, ABOUT WOMEN, TO BENEFIT WOMEN
Dust off that old wedding dress, prom dress, bridesmaid dress, or any dress that’s been taking up residence in your closet and join us in making a positive impact on the lives of women in our community.
Taking my health back became a priority nine years ago.
After countless failed attempts at weight loss, I decided to have bariatric surgery and have maintained a 180-pound loss. I have overcome obesity, high blood pressure, high cholesterol, and diabetes, allowing me to be medication free. I am here to help those who are obese or thinking about having, or have had, weight loss surgery. I am here to help individuals reach their fitness goals through fitness training and nutrition guidance.
I am frequently asked what motivated me to lose weight. After years of being warned I was prediabetic, I finally developed diabetes. That was my “aha” moment, and I knew I had to do something. I began doing research on bariatric surgery; even though I did not want to have it, I knew I needed intervention because I had failed so many times on my own. I came to the decision to have a vertical sleeve gastrectomy. With this decision, I promised myself to put in the work and stick to the basic rules. I was in it to succeed and get my life back. When I first began the physical part of my journey, I joined my local YMCA and began taking classes. After a few months, I began working at the front desk, which led to me becoming the membership coordinator. A couple of years passed, and I had totally fallen
in love with the fitness aspect of my journey and decided I wanted to help others, so I started the process of becoming a personal trainer. I am still an employee as a personal trainer at the YMCA, but I do most of my work as a personal trainer and fitness instructor at the Brainerd Crossroads (BX).
Putting myself out there and letting others know the lifelong struggle I had and where I started from was important to let those in dire need know that change is possible. I was very private about the bariatric part of my journey for many years because of how judgmental people can be. It is not the “easy way out.” The mental challenge with food and physical activity can be a daily struggle, and there is nothing easy about it. However, don’t be afraid to give yourself the self-love you deserve.
Photography by Hacker Medias
The most common question I get asked is, “How do I start exercising and eating correctly?” Take baby steps. You do not want to eliminate everything all at once and deprive yourself (this is a guaranteed way to set yourself up for failure). Portion control is a must – learn to read nutrition labels and invest in a food scale to accurately get the portion. You will be amazed at what an actual serving is compared to what you think it is.
When you begin moving and becoming more active, start with something as simple as walking to build up your cardio endurance. Resistance training is also just as important to add to your routine. This will give you strength and muscle definition, as well as help you burn more calories throughout the day. Starting with body weight exercises, a band or a light set of dumbbells is all you need. Just like your nutrition, you want to start off with baby steps and gradually add to it – this will help prevent joint and muscle injuries that could occur from starting off too aggressively. If you choose to get a trainer, it is important to find one you connect with. You must be your own advocate and find that person who genuinely cares and wants to see you succeed in your journey.
After helping others change and transform their lives, I knew I could give more. What better way than to give free training and nutritional guidance to those who need it and financially cannot afford it? This is how I began my nonprofit, Chosen By Fitness.
I have been asked how I chose the name Chosen By Fitness. My first year as a trainer and fitness instructor, an incredibly special lady gave me a shirt for Christmas that said “chosen” on it. She told me that God had chosen me to be doing what I am doing, helping them exercise and taking the time to build relationships with them, and to not ever let anyone tell me differently. That moment was forever embedded in my heart, and from that simple gesture I knew “chosen” would forever be part of me.
In addition to free training and nutritional guidance, Chosen By Fitness hosts a free support group available to anyone in the community. This is for anyone struggling with weight, exercise, and/or nutrition. We share what is going on in our personal lives and any obstacles within our journey. This is a group that supports each other, shares ideas, and shares what has worked for us in the past. The therapeutic relief outlet is an important part of our
daily health; whether it is a personal loss, job issue, or relationship issue, this group is here to let you know that it’s okay to feel those things and there are ways to cope with it physically, emotionally, and nutritionally. A great support system is a key component to succeed in your weight loss and fitness journey.
I am here to encourage, listen, and execute a healthier lifestyle through fitness for those who are struggling. Being obese for most of my life, I know the struggles and fears that can come with taking your health back. I know how the body feels, how self-doubting the mind can be, and the support an individual requires to get started to be successful at this new lifestyle.
Watching the transformation someone makes in themselves through diet and exercise is so rewarding. The smiles, the confidence in how they walk and talk, and the physical changes are what make me so blessed to be able to provide this service.
I love seeing happiness, self-confidence, and self-worth emerge from individuals who once worried there was no hope for them.
I am here to promote a safe environment, effective workouts, listen to any concerns one may have along their journey, and provide support. It all starts with you telling yourself, “YOU CAN DO THIS!”
Stacy Lane Chattanooga
CAREER
& FINANCE
Build Your Resume Like a Pro
By Tory Irmeger
In today’s fast-moving world, a job search can be difficult, but building a great resume doesn’t have to be. A resume is your first opportunity to introduce yourself as a strong candidate to potential employers. Along with a cover letter and any other screening questions in the application process, it is a crucial component in increasing your chances of being offered an interview. Here, we break down a few guidelines on building a resume that employers will notice.
What Is a Good Resume?
The best resume is one that is tailored to the specific job you’re applying for. Although it’s more time consuming to edit your resume for each application, it’s a good opportunity to consider the needs, values, and culture of each company you’re applying at. You can ask the questions:
• “What kind of individual is this employer searching for?”
• “What skills and experience can I bring to this role?”
Remember, employers are hoping for a streamlined hiring process just as much as job seekers. Clear communication and transparency are good places to start when forging a relationship with potential employers. If at any point in the hiring process you have concerns or questions, don’t be afraid to ask clarifying questions.
Understanding Applicant Tracking Systems (ATS)
An applicant tracking system is software commonly used by employers to sort through applications, particularly if there is a large pool of applicants. ATS programs scan resumes and cover letters for relevant experience and skills by searching for targeted keywords, such as “Project Manager” or “AutoCAD Certified.” The good news is that these targeted keywords are often found within the job description. By matching language in your resume to the job listing, you ensure that employers and ATS software can easily distinguish you as a qualified candidate.
Formatting Your Resume
Although you may tweak your resume for each application, the template should generally stay the same. Prioritize clarity and readability, avoiding large graphics
or fancy fonts, especially for online applications. If your relevant work involves images, you can include this in a portfolio or personal website to submit alongside the application. Always include correct contact information on your resume and use professional email handles.
Formatting Guidelines:
• 1 page
• Clear contact information
• Easy-to-read fonts
• No images or graphics
• Clear subheadings
• Bullet points when listing work descriptions
Listing Relevant Experience
Now for the main course of your resume –describing your past experience and what you can bring to the role. You’ll want to address your education, professional experience, and any relevant skills. When possible, list measurable achievements in past roles, such as:
• Implemented and operated new POS system, reducing customer wait time by 20%
• Supervised 4 projects per month, fulfilling 95% of client requests ahead of schedule
Achievements can measure workload and productivity, time management, financial earnings or savings, or leadership milestones. Action verbs, like “implemented” or “supervised,” increases the impact of your job tasks, and bullet points make the descriptions more readable. Depending on where you’re at in your career journey, the years of experience included on your resume may vary. Regardless of this, be sure to only include the most relevant information for the job you’re applying for. You can also add certifications, affiliations with professional organizations, or continuing education opportunities to add insight into your professional and personal growth.
MERRY BRIGHT &
Holiday Self-Care Tips
While it may be the most wonderful time of the year, the holiday season can also come with stress, burnout, and other less-than-festive feelings. As you and your loved ones prepare to celebrate the upcoming holidays, try out these holiday wellness tips to lower your stress levels and keep yourself feeling jolly all season long.
By Ali Lemmons
1
Maintain Your Healthy Habits
In this busy season, healthy habits can easily get overlooked, adding to the stress and feelings of unwellness. While it’s normal and healthy to indulge during the holiday season, don’t neglect the activities that keep you feeling physically and mentally well. As you prepare to pamper yourself with sweet treats at holiday meals, consider committing to a more nutritious, well-balanced breakfast. As you spend time around the fireplace chatting with your family, encourage your loved ones to continue the conversation on a short walk around the block.
2
Share the Load
Often, it can be easy to assign all of the holiday-related responsibilities to yourself, which can quickly lead to burnout and resentment. One of the easiest ways to avoid these feelings is by sharing responsibilities with the support group around you. Instead of cooking an entire Christmas meal by yourself, opt for a potluck and ask friends and family to bring their favorite side dish or dessert. Instead of handling the entire gift process, ask your partner to do the wrapping after you finish shopping.
3
Take Time for Yourself
In the hustle and bustle of buying gifts, cooking and baking, and packing your schedule with familial visits, it can be easy to neglect your own well-being. As you enter the holiday season, make sure to carve out time to focus on your mental and physical health. Set the gift list down, unplug your electronics, and prioritize activities that rejuvenate you, whether that’s going for a walk, taking a hot bath, or spending time on your favorite hobby.
4
Choose Gratitude
As you deal with the stress of the season, focus on what truly matters – spending time with your loved ones and being grateful for what you’ve been given. Simple ways to incorporate this into your daily practices include writing someone a thank-you note, keeping a gratitude journal, spending time in prayer, or trying mindfulness meditation.
STATE REPRESENTATIVE
Esther Helton
Eden Lusk
Photo by Kristina Armstrong / Shot on Location at The Dwell Hotel
For Eden Lusk, health and wellness is more than just a personal priority and passion – it’s also her job. Lusk is a full-time fitness instructor as well as a personal trainer, certified health coach, and fitness nutrition specialist. She shares this expertise with clients of her business, Live Well with Eden, and outside of work, stays active alongside her husband, whether it’s daily walks or triathlons. Here, Lusk shares her approach to healthy living and what fuels her love for fitness.
What is your approach to wellness? How has that changed over time?
My approach to wellness lies in sustainability. Throughout the years, I’ve tried different diets and exercise routines, but I now understand the importance of consistency. When I ask myself the question, “Can I do this a year from now?” the answer should be “YES!” Nutritionally, my primary focus is whole foods with an emphasis on protein and vegetables – the more colorful the plate the better. In recent years, I have shifted my focus from triathlons and running multiple races a year to incorporating more strength training, which is vital to protect our muscle mass especially as we age. I firmly believe movement is medicine, so celebrating some form of daily movement is a nonnegotiable. It doesn’t have to be a homerun to count as progress.
What are your favorite ways to practice self-care?
With my busy schedule I keep this very simple by prioritizing sleep as it plays a huge role in how I function. Other areas of self-care are hot yoga one to two times per week, massages, and reading books that further equip my personal and professional growth.
What do you find the most rewarding?
Personally, witnessing my boys grow up to become independent, responsible young men while pursuing their passions. Professionally, I absolutely love being a part of clients’ journeys. It’s an honor to witness mental and physical feelings of accomplishment from lifting heavier weights to a non-scale victory of improved sleep; it’s the ultimate reward and I have the best job!
What are some of your current goals and what are you doing to work toward them?
I am currently studying to become a certified menopause coaching specialist. When I became a health coach years ago, I knew this was the missing piece in helping women, including myself. There is an abundant need to guide and support women while understanding this phase in life.
When it comes to health and wellness, is there anyone you admire or look up to? Why?
I have an independent 92-yearold client who is such an inspiration as he continues to make his health a priority. In the year we have worked together he has made strength gains, and he is the epitome of life goals!
What are the traits you most value in yourself?
I am disciplined; I’ve discovered it makes setting and achieving goals more attainable. Despite challenges, I choose not to give up on things that support my goals even if the process may take longer. I am also very authentic and encouraging, as celebrating others comes naturally. Nothing excites me more than to witness others overcoming challenges, stepping outside their comfort zones, and ultimately celebrating what they love in life.
What does your daily routine look like?
Every morning starts with walking the dogs (Weezie and Jerry –a recent foster fail) with my husband. This walk helps build my step base to obtain my daily goal. Before I meet client(s) in person or via Zoom, I have coffee with creatine and breakfast, which is usually egg whites and avocado or peanut butter toast with blueberries. In the late afternoon to evening, I teach indoor cycling, treadmill, row, and/or strength classes at Echelon Fitness, an online digital connected platform. When I get home around 8 p.m., I eat dinner, and fortunately my husband takes good care of me, so I eat as soon as I get home.
Moisturizers 101
By Kristen Dee
Moisturizer is a staple in a good skincare routine. Whether your face, body, or both are needing some extra hydration, there are many great moisturizers on the market for all skin types. Read on to discover four nourishing and budget-friendly fan favorites.
La Roche-Posay Toleriane Double Repair Face Moisturizer
Skincare brands in French pharmacies, such as La Roche-Posay, have gained popularity over the past few years, and for good reason. La Roche-Posay’s products are dermatologist tested, formulated with skin-loving ingredients, and backed by science. Their Toleraine Double Repair Face Moisturizer, which also comes in a version with added SPF, is lightweight, sensitive skin-friendly, and provides up to 48 hours of hydration.
Aquaphor Healing Ointment
During winter months, skin can get dry, cracked, and chapped. Aquaphor’s Healing Ointment helps soothe and protect the skin from the elements, providing relief and hydration to skin and lips. It can also be used on minor scrapes, cuts, and burns, to soothe and protect the skin from further damage. The ointment is offered in a variety of sizes, for convenience at home or on-the-go.
Vanicream Moisturizing Cream
Vanicream makes products with sensitive skin in mind. Free from chemical irritants like dyes, fragrances, parabens, and formaldehyde releasers, many of their products have been awarded the National Eczema Association Seal of Acceptance. Their classic Moisturizing Cream helps restore and maintain skin’s moisture and sooths irritated, chapped, or itchy skin. The non-greasy formula is quickly absorbed and won’t clog your pores.
CeraVe Moisturizing Cream
This affordable and popular moisturizer can be used on the face, body, and hands. The cream is formulated with three essential ceramides, which help protect and restore the skin barrier, locking in hydration for up to 24 hours. Another great option for sensitive skin, the cream contains no fragrance, parabens, or oils, has been allergy tested, and has the National Eczema Association Seal of Acceptance.
Be Our Guest
Five Essentials for a Great Guest Room
By Tory Irmeger
Being a great host starts with creating a homey, welcoming retreat for your guests during their stay. Thankfully, a guest room can be maximized through the smallest details, from ensuring the space is organized to adding a personalized touch. Here are five fundamentals for designing a beautiful and functional guest room in your home.
1. Quality bedding
Nothing says “comfort” like a good night’s sleep. One of the best investments you can make in the guest room is a good quality mattress and set of pillows. In a pinch, a memory foam topper can spruce up an old mattress. Textiles are heavy lifters when it comes to adding coziness to a room, so set out extra blankets and be sure the bedsheets are in top condition.
2. Curated furnishings
When furnishing a guest room, think first of practicality. Extra storage, like a dresser, closet, or luggage rack, will help guests as they settle in and unpack. If room allows, a small desk or vanity is an excellent addition, especially if guests need to do any work from the room. The same goes for a cozy seating vignette, where guests can relax during the day without messing up the bed.
3. Straightforward tech
Be sure to include a clock in the guest room, as well as a lighted alarm clock or radio. Leave written instructions on how to program the alarm, as well as the Wi-Fi password, security instructions, contact numbers, or any other information guests will need to get connected. Guests will also make great use out of a charging station, including adapters for multiples devices.
4. Supplementary lighting
Bedside lamps or wall sconces will help set the mood of the guest room, and these can be elevated with light dimmers. Consider adding a nightlight in the bathroom or hallway to make the unfamiliar walkways more accessible. Don’t forget to complete the room with a set of curtains or drapes, adding both decorative flair and a sense of privacy for your guests.
5. Tasteful décor
Neutral colors and minimal décor will appeal to a broad array of guests, but if your style leans more eclectic, some statement pieces could make for a one-of-a-kind guest experience. Regardless of your décor choices, a few personalized elements like houseplants or local artwork will truly give the room a sense of place. Fragrances can be a nice touch when used lightly, but be conscientious of guests who might have sensitivities.
Hosting Checklist
extra toiletries Fresh bath towels robe + slippers earplugs box fan tissues trash can notebook + pen clothing steamer hair dryer mirror water bottles books + local guides snacks/coffee/tea
PHOTO BY KRISTINA ARMSTRONG
A Closer Look at the Pop Psychology
By Gray Bennett
You’ve heard of the five love languages: acts of service, quality time, receiving gifts, words of affirmation, and physical touch. You may have even taken an online quiz to find out your primary love language. In relationships, it’s essential to know how to express and receive love in meaningful ways, and the five love languages are a great jumping-off point. The concept is simple. People have preferences when it comes to love. Your best friend may feel most loved when they receive small gifts from time to time, while your spouse may feel most loved when you take a few chores off of their to-do list for them. It’s all about showing consideration for each person’s individual needs and desires. The intuitive simplicity has kept love languages on-trend for years, but what does science have to say?
Originally formulated by Baptist minister Gary Chapman in 1992, the pop psychology framework has garnered a mix of curiosity and criticism from experts. Recent studies have explored the concept further, ultimately highlighting its problematic rigidity and lack of scientific foundation. However, the five love languages are far from being a lost cause. Some suggest there may be a more beneficial, holistic way to utilize the framework. According to the research, the key is to see the love languages as a range of essential nutrients. Primary love languages may indicate preference or habit, but the five love languages aren’t meant to stand alone. All expressions of love – including those that extend beyond the five categories – ultimately work together to form healthy, balanced relationships.
Receiving Gifts
Deliver a sweet treat or thoughtful souvenir
Sharing the Love
Help schedule an appointment or plan an activity Acts of Service
Clean up their space and gift fresh flowers
Send a handwritten card with encouraging words
Go phonefree and cook a meal together
Quality Time
Set aside time for a focused, one-on-one conversation
Enjoy a long walk while holding hands
Words of Affirmation
Express your appreciation with genuine, kind words
Dance together while sharing compliments
Physical Touch
Offer a friendly hug or relaxing massage
While we may prefer a particular love language, it’s more important that we express and receive love in a variety of ways. Try combining the love languages for an extra dose of thoughtfulness, or simply share the love by alternating love languages as you go.
inspired
Some of life’s greatest teachers appear in the form of relationships. After all, who would we be if not for the mentors, friends, and family members who continually inspire us to live well and love others? Here, we feature local ladies and the women who encourage them day in and day out to be the best versions of themselves. In these letters, we celebrate it all – major life milestones, mundane acts of kindness, and everything in between. Read on to be inspired.
Photography by Kristina Armstrong
NATALIE MARTIN
Aricia,
Can you believe it’s been 15 years since my just-graduated, 22-year-old self got stuck at a desk right outside your office? I was so intimidated to be in such close proximity to you –my boss’s boss – while I was just trying to figure out how to function in my first “real” job.
Sitting in my little corner of that office, I watched you handle issue after issue as people popped in and out of our suite day after day, week after week. I saw you navigate difficult clients and scheduling complications and budget cuts and the general complexities of people’s lives. It seemed like all you did was solve other people’s problems, and I marveled at your ability to react – to provide direct and often critical feedback – while still caring for and motivating the people around you.
What I learned is that kindness comes in so many forms. And that sometimes, the kindest thing you can do is to be clear with your message and authentic with your delivery.
Thanks for always being authentically you and for helping me continue to grow into an authentic (if perhaps a bit more polished) version of myself.
Xoxo, Natalie
inspired by
“I marveled at your ability to react –to provide direct and often critical feedback – while still caring for and motivating the people around you.”
ARICIA GALLAHER
NATALIE
ARICIA
inspired by CARA WOOLSEY
DORIS ELLIS
“The
virtues you taught me have helped shape me into the best version of myself.”
Mom,
I am overwhelmed by the unconditional love and support you have continuously shown me for the last 35 years. You and Dad instilled in me the love of Christ, and the love a marriage is built upon. I saw your work ethics daily, your love for your family and others, and how much of an impact you made throughout the Chattanooga community. You have inspired me to be the woman that I am today.
You have always been there to encourage me in my losses and celebrate my achievements. After Dad passed, you were there to walk me down the aisle as I began a new chapter in my life. The virtues you taught me have helped shape me into the best version of myself.
You often remind me of the prayers you and Dad prayed for a healthy baby girl during your late-in-life pregnancy with me. It is those prayers that Jonathon and I also pray that we will be able to bring a healthy baby into the world through surrogacy. It is through your wisdom and life experiences that continue to guide me through my own challenges.
To my mom – my best friend, my role model, my inspiration. I hope to be half the person you are when I become a mom.
Love,
Your Daughter
CARA DORIS
CHELSEA O’SHIELDS
inspired by
BEVERLY EDGE
“Your empathy and understanding combined with that wisdom make you a phenomal leader and someone I look up to daily.”
Dear Bev,
I have only known you for five years now, but in that short amount of time you have had a profound impact on my life. On my hardest days, when I feel the weight of the world on my shoulders, I know you are there with the wisdom needed to persevere. Your empathy and understanding combined with that wisdom make you a phenomenal leader and someone I look up to daily. You have faced numerous hardships and have walked through the fire, maintaining the softness that women are expected to carry while also exemplifying strength and leadership that rivals most.
Too often women are pushed into picking their greatness – pick being a great mother, or pick being great at our career; pick gentleness, or pick being a leader; pick empathy or pick accomplishments. As I have entered motherhood and advancement in my own career, you have proven that not picking is also an option – we can do it all. You have inspired me to transition from simply serving people at the table to claiming my seat there.
Thank you for your mentorship and your friendship,
CHELSEA
BEVERLY
ANNUAL SPE C IAL SECTION
Off to Camp!
Camp provides children with the opportunity to have new experiences, get active, make new friends, and learn in a lowpressure environment. Here, we highlight some of the benefits of sending your child to camp, how to fight homesickness and choose the right camp for your camper, plus a few tips for packing.
By Kristen Dee
Summertime Sadness: Combatting Homesickness
For some campers, fun and games are put on pause as they start to experience symptoms of homesickness. This is normal and can be mitigated with a few tips and tricks.
• Keep The Camper Busy. It is hard to think about missing home when you’re flying down a waterslide or making bracelets with new camp friends. Make sure to encourage your camper to take part in all the activities, even if they’re feeling a little off.
• Pack a Familiar Item. Have the camper be involved in packing their bag, and include a sentimental item that they can hold on to or use when homesickness kicks in.
• Practice Makes Perfect. Having kids spend time away from home can help them get used to the feeling. Staying with family and friends overnight can help them develop independence and enjoy camp, even if they’re missing home.
• Encourage Them to Stay. Parents may be tempted to say “you can come home early if you don’t like it,” but this is often more harmful than encouraging, as the camper will often lean into this and not
feel encouraged to stay at camp. Let them know homesickness is normal and they will get through these temporary emotions.
• Promote Making New Connections. Camp friends are a great way to combat homesickness, as they can be both a distraction and a comfort.
• Remain Positive. Remind your camper of the new friends they will make, new skills they will learn, and all the fun they can have along the way.
• Help Preparedness. Nerves often come from facing the unknown or unexpected. If you can find photos or a map of the camp online, or find someone who has been to the camp before who can talk to your child, this may help ease some of the anxiety around going to a new place for the first time.
• Stay Connected. A hand-written note, email, or even care package can go a long way in alleviating homesickness.
Baylor Summer Camps
Families have enjoyed Baylor Summer Camps for decades! Baylor’s 690-acre campus and facilities allow 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.
Helping your child pack for overnight camp can feel overwhelming, especially if they are a first-timer. Here are a few tips to tackle the task.
1. Consult the List
Many camps will share a suggested packing list for your camper to help you stay organized. This might include essential items the camper will definitely need (like a swimsuit and toothbrush) and optional items to enhance their experience (such as mosquito netting or their favorite comfort item). If you’re not provided a list, reach out to the camp to get recommendations, or look online for suggestions.
2. Pack Together
Packing with your camper allows them to feel like they also have a say in what goes in their bag, while still allowing you to cross the necessities off your checklist. This also may help them feel more confident going to camp knowing they’ve picked out their own items.
3. Start Early
There’s nothing more stressful than realizing you forgot to grab extra sunscreen at the store on the night before dropping off your camper. Getting a head start gives you extra time to ensure you have all the items needed, and time to order any items you prefer to get online.
4. Talk it Out
Once you start to pack their bag, camp might feel more “real” to your camper, especially if it’s their first time going away. Packing is a great time to discuss any camping nerves and provide encouragement, reminding them of all the fun activities they will do and new friends they will meet.
Bonus Tip: Use a permanent marker to label your camper’s items with their name or initials to help campers and staff find lost goods.
Silverdale Summer Camps
A Place for Discovery, Growth, and Fun!
At Silverdale Summer Camps, we offer children from preschool through 12th grade the opportunity to discover new passions, develop skills, and grow in a safe, Christcentered environment. Our dedicated staff are committed to creating engaging experiences that are not only fun but will foster personal growth, inspire creativity, and have an eternal impact on each camper’s life. With a wide variety of athletic, academic, and specialty camps, there’s something for every child—whether they want to build on existing skills or explore something new! Silverdale Summer Camps is the perfect place for your child to explore, learn, grow, and create memories that will last a lifetime. Come join us and let’s make it the best summer ever! We’ve been voted Best of the Best consecutively since 2022!
Register now while space is available: silverdaleba.org/summercamps summercamps@silverdaleba.org 423.394.3888
Choosing the Right Camp
With a variety of camp options for your child, from overnight camp to sports camps and more, it may feel overwhelming trying to decide the right fit. Here are tips to help you and your camper decide where to go.
• Preference – Your child may show interest in several different types of camp. Involve them in decision making by asking which style of camp they think they would enjoy most or get the most out of.
• Convenience – Overnight camps tend to be further away from home, but involve one pick up and drop off versus more back and forth required for a day camp. However, your child’s school will likely host day camps on campus, which may already be in close proximity to your home. Consider the commute times and distances when deciding between the options.
• Readiness – Your camper may express nerves when considering staying overnight at camp. It’s up to you and your camper to determine their readiness for the kind of camp experience they would like.
• Budget – Making a budget sheet and comparing options can be helpful when considering costs for camp. Some camps may also offer payment plans, allowing you to split the cost rather than paying in full up front.
• Goals – Maybe your child is wanting to try out for the high school soccer team and is hoping to sharpen their skills at a camp this summer. Or they’ve shown an interest in drama and are looking into local theatre camps. Goals and interests are a great starting place when deciding between camps.
Local Summer Camp Profile
Boyd-Buchanan Summer Camps
Boyd-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 pre-K 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.
Register now while space is available: bbschool.org/about/summer summercamp@bbschool.org 423.622.6177
CAMP '25
Boyd-Buchanan Summer Camps offer customized schedule options for kids ages 3 and up! Choose your fun adventure: athletic, academic, STEM, arts & more! Scan here for more info or visit: www.bbschool.org/about/summer. Registrations open Jan 8th!
Benefits by the Numbers
You may know your child enjoys camp and comes home with many stories and newly acquired skills, but have you ever wondered what they may really be getting out of the experience? Researchers at The University of Waterloo observed and recorded more than 1,200 campers to understand how they experience personal development during camp.
The results indicated that that all campers experienced five areas of positive growth:
• Attitudes toward physical activity
• Emotional intelligence
• Social integration and citizenship
• Personal development and self-confidence
• Environmental awareness
The results also revealed that there was a greater positive change in children who stayed at camp for a longer period of time, and that these positive developments continued at home, with parents and guardians observing positive changes in campers after returning home.
As the American Camp Association points out, these skills are associated with well-being and are critical in all stages of life, helping kids navigate school, the workplace, relationships, and even their mental health, in the future. Camps are a great opportunity to learn in a low-pressure environment, build and maintain supportive relationships, and foster social skills like problemsolving, empathy, and resilience.
Local Summer Camp Profile
Camp Juliette Low
Asleepaway camp for girls ages 8-17, Camp Juliette Low (CJL) offers one-week, 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)
WHOLESOME
Hearty Grains
Looking for a delicious way to add an extra dose of health to your holiday cheer? Whole grains have it all. An excellent source of fiber, vitamins, minerals, and other essential nutrients, whole grains may also help lower cholesterol levels, blood pressure, and the risk of various diseases. From brown rice and barley to oatmeal and quinoa, the options are endless for comforting whole grain meals in the colder months. Read on for a few of our favorite recipes to cozy up with this winter!
Photography by Rich Smith
“This is a version of our restaurant’s oatmeal that I cook at home for my children. It’s ultra-deluxe and it’s daddy’s specialty. I love a good hearty bowl of oatmeal with coffee in the morning. The versions vary depending on what’s in the cabinet, but peanut butter often finds its way in.”
– Dustin Coker
Native Kitchen’s Ultra-Deluxe Oatmeal
SERVES 2
• 1 cup water
• ¼ cup raisins
• 2 Tbsp. maple syrup
• ¼ cup quinoa
• 1 tsp. chia seeds
• 1 cup quick-cooking oats
• 1 cup coconut milk
• ½ tsp. cinnamon
• ¼ cup bananas
• Dried coconut flakes, to taste
• Walnuts, to taste
• Pumpkin seeds, to taste
• Almond slivers, to taste
Bring water to a boil, adding raisins, maple syrup, quinoa, and chia seeds and cook for 10 minutes or until quinoa is cooked. Add oats and coconut milk. Turn heat to low or simmer (milk on high heat will boil over!), until oats are cooked. Add other ingredients and toppings as you desire, including more milk, if necessary, and enjoy.
Danny & Marcie Tolliver’s
Healthy & Soulful Meatless Meatloaf
SERVES 4-6
For the meatless meatloaf:
• Olive oil, to coat
• 2 12-oz. packages of Impossible Meat
• 1 Tbsp. garlic powder
• 1 Tbsp. onion powder
• 1 Tbsp. dried oregano
• ½ Tbsp. sea salt
• 1 tsp. black pepper
• 1 tsp. brown sugar
• ½ tsp. chili powder
• ¼ cup onions, chopped
• ¼ cup bell peppers, chopped
• 2 Tbsp. lite soy sauce
• ½ cup whole grain organic oat flour
For the sauce:
• 1 15-oz. can tomato sauce
• 2 Tbsp. brown sugar
• ½ tsp. cilantro
• ¼ tsp. garlic powder
Start by preheating your oven to 350°. Lightly coat a 1.5-quart loaf dish with olive oil and set aside. In a bowl, combine all meatless meatloaf ingredients. Pour mixture into the loaf dish. In a clean bowl, combine all sauce ingredients. Pour half of the sauce over the meatloaf mixture. Place in the oven and bake for 45 minutes. Remove meatloaf and top with remaining sauce. Place back into the oven for 15 minutes, remove, and enjoy.
Old-Fashioned
Vegetable-Barley Soup
SERVES 4
This quick and easy vegetarian soup, packed with vegetables and a whole grain, can be on your table in about 30 minutes on a chilly day.
• Cooking spray
• 1 tsp. olive oil
• ½ medium onion, chopped
• 1 medium rib of celery, chopped
• 1 medium garlic clove, minced
• 1 14.5-oz. can no-salt-added diced tomatoes, undrained
• 1½ cups frozen mixed vegetables
• 1½ cups low-sodium vegetable broth
• 1 cup kale, chopped
• ½ cup water
• ¼ cup quick-cooking barley
• ½ tsp. dried basil, crumbled
• ½ tsp. dried oregano, crumbled
“Our Healthy & Soulful Meatless Meatloaf is healthy and packed with whole some grains. We enjoy it because it’s a dish that warms the heart while fueling the body, making mealtime both satisfying and healthful. We love complimenting this dish with grilled zucchini, squash, and a baked sweet potato.”
– Marcie Tolliver
• tsp. pepper
• 1 Tbsp. + 1 tsp. Parmesan cheese, to garnish
Lightly spray a large Dutch oven with cooking spray. Add the oil, swirling to coat the bottom. Cook the onion and celery over mediumhigh heat until golden, about 3 minutes, stirring occasionally. Add the garlic and cook for 10 seconds. Stir in the remaining ingredients except the Parmesan. Bring to a boil over medium-high heat. Reduce the heat and simmer, covered, for 10 to 12 minutes, or until the barley is cooked. Ladle into soup bowls. Sprinkle with the Parmesan.
Nutritional Information Calories 129 | Total Fat 2g | Sodium 78mg | Total Carbohydrate 24g | Dietary Fiber 5g | Sugars 5g | Protein 6g
Source: American Heart Association
Jill Childs’ Pilates Practice
“I love Joseph Pilates’ approach to well-being. He emphasized the importance of a healthy and flexible spine as a foundation for overall physical fitness. The movements in these exercises collectively aim to improve alignment, enhance your flexibility, and strengthen your core. Remember to maintain a steady and controlled breath. Roll out those mats and have fun!”
Jill Childs, Owner and Comprehensively Certified Instructor, Breathe Pilates [puh-laa-teez]
by David and Drew Photography
Photography
Shoulder Bridge
Lay on your back with knees bent, feet flat on the mat, parallel and hip-width apart. Arms are by your sides, palms down. Inhale and press your arms down into the mat. Exhale as you press your feet into the mat and roll your pelvis up toward the ceiling, bringing your hips up and keeping them level with one another. Hold. Inhale, then exhale as you slowly lower your upper back, middle back, lower back, and hips down to the mat. Repeat again, lifting hips towards the ceiling a little higher and lowering back down. On the third rep, raise into your bridge and hold. Keeping the right foot planted into the mat, extend the left leg to the ceiling with pointed toes. Keeping the leg straightened, lower it to your knee then kick it back up to the ceiling three times. Then bend the knee and plant your foot onto the mat. Repeat with the left leg.
One-Leg Straight Stretch
Lay on your back with arms at your sides, pressing into the mat, legs parallel and together. Bring both legs to the ceiling. Lift your head, neck, and chest off the mat as you bring your hands to the right ankle or thigh, while keeping your gaze at your knee. Hold the right ankle as you lower the left leg away to hover over the mat. Hold, then switch legs, keeping that same lift in your upper body. Repeat six times per leg, breathing with your movements.
Spine Twist
Seated on the mat with legs zipped together, flex your feet and place arms out wide to the sides. Inhale to prepare, exhale as you twist to the left as far as you can. Hold, take an inhale and lengthen the spine. Twist a little more, then a little more. Exhale as you untwist back to center. Repeat on other side, completing three reps each side.
Swimming
Lay on your stomach, forehead on the mat. Reach your arms forward, palms down. Keep the legs long and slightly opened. Simultaneously lift your upper and lower body off the mat. Keep all limbs up. Reach right arm and left leg a little higher. Switch by reaching left arm and right leg a little higher. Swim slowly or quickly. Inhale for five counts, then exhale for five counts for a total of 20 breaths. Lower everything down to the mat.
Side Kick
Lying on the right side of your body in a straight line along the back edge of the mat, place your right hand behind your head, and place your left hand palm down in front of your chest. Bring the legs parallel and together slightly forward to the edge of the mat. The bottom leg’s foot is flexed, keeping the outer edge of the foot pressing into the mat. Raise your top leg to hip height. Pressing the elbow into the mat to find lift in the upper body, flex your foot and inhale as you sweep it forward. Hold, point the toes, exhale as you sweep it back behind you. Repeat five times each side.
The only thing better than decking the halls is
walking the halls
Jon Toll, Brain Aneurysm
Because of Siskin Hospital, I CAN
That moment you go from unable to walk to taking your rst stepIt’s not just a season at
