HealthScope Magazine Summer 2020 by CityScope & HealthScope Magazines

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CONCUSSIONS

EAT YOUR EGGPLANT

MYTHS VS. REALITIES

RECIPES THAT HIGHLIGHT THIS

HER STORY

VERSATILE VEGGIE

MOTIVATING STORIES FROM LOCAL WOMEN

MAKING THE MOVE

MEET OUR DOCTORS

TRANSITIONING A LOVED ONE TO

LOVE, CARE, &

ASSISTED LIVING

HEALING OTHERS

WORKOUT WITH A LOCAL LEXI WHITE’S

New Sections!

FULL-BODY BURN

INSPIRED

SANDAL SEASON

WOMEN CELEBRATING

FOOT-FRIENDLY STYLES

WOMEN

FROM LOCAL RETAILERS

YOU LOOK MARVELOUS!

ANNUAL

LOCAL COSMETIC

ORAL H E A LT H

ENHANCEMENTS

ON THE COVER:

Jill Brown & Gwen Guthrie speak on friendship, family, and the bonds of sisterhood. F A M I L Y

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F I T N E S S

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R E L A T I O N S H I P S

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Publisher’s Letter

“Don’t go through life, grow through life.” - ERIC BUTTERWORTH

If there is one thing that is for certain, it’s that change is part of life. And as difficult as it may feel, most often change helps us to grow personally or professionally, or just as human beings. Embracing change is a common theme in this summer issue of HealthScope® magazine, starting with our features. In “Hormones from Head to Toe,” we learn the signs of hormonal imbalances and what you can do, whether through lifestyle changes or medications, to balance your levels. Our feature “Concussions: Myths vs. Realities” encourages you to forget what you’ve heard and learn the facts about these traumatic brain injuries. And in “Making the Move,” we give tips on transitioning your loved one to an assisted living facility. Other sections showcase local ladies who have successfully navigated major changes. “Her Story” offers firsthand accounts of women who have experienced a life-changing event and come out stronger because of it. In our brandnew section, “Inspired,” we celebrate women who are making the world a better place through their words and actions. As always, our annual Oral Health section shines light on specialized dental procedures and

the new technologies that make them possible. Not to be missed is Meet Our Doctors, which features health care professionals who are serving our community. Also highlighting what our commuGeorge Mullinix nity has to offer is PUBLISHER the new section You Look Marvelous!, where you’ll learn about the exceptional skin, body, and facial cosmetic enhancements available in our region. There are many more articles inside for you to discover, including advice for healthy skin, an athome workout with Lexi White, and eggplant recipes from locals. Last but definitely not least, check out our interview with cover models (and twins!) Jill Brown and Gwen Guthrie. Their approach to sisterhood and healthy living is sure to inspire you. We hope that you find this summer issue of HealthScope® magazine to be informative and uplifting, and that it will encourage you to grow through your season of life. Blessings always,

Celebrating 31 Years! HealthScopeMag.com Follow HealthScope® and CityScope® magazines and The Chattanooga Resource & Relocation Guide® on Facebook and Instagram!

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11-70-404002-468-5/20/hc ad â&#x20AC;˘ Chattanooga State does not discriminate on the basis of race, color, national origin, sex, or disability. See our full policy at:Â chattanoogastate.edu.

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Contents Be Well 26 Hormones from Head to Toe Major Hormones in the Brain, Thyroid, & Ovaries

32 Concussions Myths vs. Realities 38

The Scary Statistics on Adolescent Suicide What You Should Know & How You Can Help

Making the Move Tips for Transitioning a Loved One to Assisted Living

Stay Well 51

ANNUAL ORAL HEALTH SECTION

52 Veneers 54 Root Canals 56 Dental Implants 58 Dental Anxiety 60 Wisdom Teeth 62 Gum Disease

Meet Our Doctors

65 LOVE, CARE, & HEALING OTHERS 66 68

Dr. William B. Harris Restoring Hope & Health

76 Dr. Greg Phelps Being Called to Care

Dr. Elizabeth Hartmann Using Her Skills in the Operating Room

78 Dr. Wesley Davis Getting to the Heart of the Matter

Dr. Garrick W. Cason Specializing in Spinal Care

80 Dr. Michael G. Davis Healing with a Holistic Approach

Dr. Scott Steinmann Improving Mobility

74 Dr. Syeda Hamadani Bringing Relief to Patients

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Dr. Joseph H. Miller Alleviating Pain in Patients

84 Dr. Wendy Halsey-Richardson Treating Hearing Loss

At Comprehensive Spine Institute, you get more than expert spinal care. YOU GET THE ONLY EXPERTS IN THE CHATTANOOGA AREA UNIQUELY TRAINED AT ACGME ACCREDITED SPINE FELLOWSHIPS

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Contents

Look Well 87 Meet Our Models

Jill Brown & Gwen Guthrie

Say Hello to Sandal Season Shop Smart for Your Next Summer Shoe

90 Set It & Forget It

Setting Spray Fan Favorites

92 Five Secrets to Healthy Skin

Maintaining a Youthful, Radiant Complexion Year-Round

You Look Marvelous! 95

EXCEPTIONAL SKIN, BODY, & FACIAL COSMETIC ENHANCEMENTS

BOTOXÂ® Cosmetic

98 Lip Injections 100 Dermal Fillers

110

102 Varicose Vein Treatment

Her Story MOTIVATING STORIES FROM LOCAL WOMEN 104 Ashley Onusic 106 Jessica Cliche 107 Jennifer Nicely 108 Lauren Higgins

Inspired WOMEN CELEBRATING WOMEN 110 Stephanie Sinkfield & Beverly Muse 111 Heather Sveadas & Cory Phillips

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112 Lynda Minks Hood & Linda Moss Mines 113 Jenifer Amato & Jennifer Shaughnessy

Vascular Institute

OF CHATTANOOGA, CLEVELAND & NORTH GEORGIA Victory Over Vascular Disease

WELCOMING OUR HOMETOWN HEROES

After finishing their service in the United States Air Force - Drs. William Harris and Elizabeth Hartmann are joining the VIC Vascular Team - Ready to treat patients in this region with passion, dedication and commitment to care. NEW LOCATION! BRADLEY HERITAGE BUILDING

Our new 7700 sq.ft. office allows us to serve patients with regular appointments, diagnostic ultrasound and outpatient procedures.

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Contents HealthScopeMag.com Summer 2020 • Vol. 31 Issue 5

119

Feel Well

Departments

114 Reconnecting with Friends The Value of Reigniting Relationships

Live Well 116 Lexi White’s Full-Body Burn A Guided, At-Home Workout 119 Eat Your Eggplant Eggplant Recipes from Locals 122 Top 5: Ways to Work Out Tips from Local Mom Comelia Franceschi

Health in a Minute 14

For Him

For Her

For Moms

20 For the Whole Family 22

For New Moms

23 Staff Spotlight 24 Ask the Doctor 48 Silver Side

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ABOUT THE COVER CONCUSSIONS

EAT YOUR EGGPLANT

MYTHS VS. REALITIES

RECIPES THAT HIGHLIGHT THIS

HER STORY

VERSATILE VEGGIE

MOTIVATING STORIES FROM LOCAL WOMEN

MAKING THE MOVE

MEET OUR DOCTORS

TRANSITIONING A LOVED ONE TO

LOVE, CARE, &

ASSISTED LIVING

HEALING OTHERS

WORKOUT WITH A LOCAL LEXI WHITE’S

New Sections!

FULL-BODY BURN

INSPIRED

SANDAL SEASON

WOMEN CELEBRATING

FOOT-FRIENDLY STYLES

WOMEN

FROM LOCAL RETAILERS

YOU LOOK MARVELOUS!

ANNUAL

LOCAL COSMETIC

ORAL H E A LT H

ENHANCEMENTS

ON THE COVER:

Jill Brown & Gwen Guthrie speak on friendship, family, and the bonds of sisterhood. F A M I L Y

•

N U T R I T I O N

SECTION

•

F I T N E S S

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R E L A T I O N S H I P S

HealthScopeMag.com

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B E A U T Y

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R E C I P E S

Twins Jill Brown and Gwen Guthrie share our summer cover. Full of unconditional love for each other, these two are a walking testament to the power of sisterhood. Photo by Lanewood Studio

Publisher

George Mullinix

Sales & New Business Development

Cailey Mullinix Easterly

Sales & Business Development

Katie Faulkner

Art, Creative, & Design

Emily DelMarie Long

Design

Lauren Robinson

Editors

Christina Cannon Lucy Morris Mary Beth Wallace

Photographers Rich Smith

Lanewood Studio

Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Subscribe.” A one year subscription for CityScope® or HealthScope® magazine costs $18. To receive advertising information, change your mailing address, or share your views on editorial: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Contact.” CityScope® and HealthScope® magazines and the Chattanooga Resource & Relocation Guide® (the magazines) are published by CMC Publications, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement. CityScope® magazine Copyright, CMC Publications, LLC, 1993 CityScope® magazine is a trademark owned by CMC Publications, LLC HealthScope® magazine Copyright, CMC Publications, LLC, 1989 HealthScope® magazine is a trademark owned by CMC Publications, LLC Chattanooga Resource & Relocation Guide® Copyright, CMC Publications, LLC, 2011 Chattanooga Resource & Relocation Guide® is a trademark owned by CMC Publications, LLC

SUMMER

IS IN THE AIR.

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

Sweating Bullets Could You Have Hyperhidrosis? Everybody sweats – it’s an essential bodily function. But if you find that you are sweating excessively, despite the surrounding temperature or your activity or stress level, you may have hyperhidrosis. Hyperhidrosis comes in two forms and can affect your entire body or a more localized area. Primary hyperhidrosis is when you experience heavy sweating that is not related to another medical condition. This occurs when the nerves responsible for triggering your sweat glands become overactive and call for more perspiration, even when it's not needed. Experts believe that primary hyperhidrosis may be hereditary. Secondary hyperhidrosis is often attributed to an underlying medical cause and can manifest in individuals who have an overactive thyroid, anxiety disorder, HIV or AIDS, or a handful of other conditions. When it comes to excessive sweating, there is generally no cause for concern. Both overthe-counter and prescription antiperspirants can provide some relief. Some individuals with

hyperhidrosis have also found success in anticholinergic prescriptions (which stop activation of sweat glands), Botox injections (which block the nerve signals responsible for sweating), and iontophoresis procedures (which deliver electrical currents to block sweat glands temporarily). While aggravating, sweating more than usual is not harmful. However, you should visit your doctor if an increase in sweating happens suddenly or if it begins disrupting your daily routine.

What Is Spirulina? Sometimes touted as the best superfood on the market, spirulina is an organism found in both fresh and salt water. This blue-green algae is available in powder and tablet form and boasts a high protein and vitamin profile. One tablespoon of spirulina contains only 20 calories, 1.7 grams of carbohydrates, and 4 grams of protein, along with a slew of other vitamins. Some experts even believe that gram for gram, spirulina is the single most nutritious food on the planet. In addition to its wealth of protein and vitamins, spirulina has antioxidant and inflammation-fighting properties. This has led the supplement to be used for everything from reducing allergy symptoms and the risk of heart disease to boosting metabolism and lowering blood pressure. While research on spirulina’s effectiveness on various medical conditions is still in its infancy, that doesn’t take away from its impressive nutritional content. For those looking to introduce spirulina into their diet, a standard daily dose is 1-3 grams. Try adding the powder to smoothies and juices or sprinkle it over salads or soups.

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

Save Your Sight with the Right Pair of Shades Sunglasses are more than just a cute accessory. They can also provide muchneeded protection for your eyes, but in order to maximize the benefits, there are a few things to keep in mind the next time you go shopping for shades. LOOK FOR LABELS. Perhaps the most important factor when buying sunglasses is whether it offers 100% UV protection, which will often be denoted with a tag or sticker. BIGGER IS BETTER. Those oversized fashionista shades are trendy and functional. Larger glasses mean more coverage and less light seeping in from around the rims. COLOR DOESN’T MATTER. If you prefer to don rose-colored glasses, that doesn’t mean you aren’t being protected. Similarly, just because a pair of sunglasses has dark lenses doesn’t guarantee that they are providing superior protection. PICK POLARIZED. While polarized glasses don’t offer more protection from the sun, they do reduce glares that can come from surfaces such as pavement or water – making everyday activities, from driving to water sports, more safe. CUT COSTS. You don’t have to spend an exorbitant amount of money to get quality shades. As long as your sunglasses have 100% UV protection, they are just as effective as pricier options.

GO W ITH TH E FLOW: FINDI NG YOUR FAVORI TE YOGA S T Y L E If you have ever been searching for a yoga class and were met with an array of unfamiliar terms, you’re not alone. With a variety of styles, it can seem daunting to pick out the perfect class – but fear not! Following is a guide on what to expect from some of yoga’s most popular practices. VINYASA YOGA aims to link breath to movement. These classes are generally fluid and movement-intensive, and with no set list of postures, every class is likely to be a little different. ASHTANGA YOGA is similar to Vinyasa yoga in that breath and movement are intertwined. What sets this practice apart is that it always performs the same poses in the same order.

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BIKRAM YOGA follows a set sequence of moves like Ashtanga yoga but is performed in a room heated to 105°. With humidity typically around 40%, this style is intended to replicate the climate of India. HATHA YOGA is a generic term that refers to any yoga using physical postures. A Hatha yoga class is likely to incorporate a gentle sequence of some of the most popular poses. KUNDALINI YOGA brings in an added spiritual element. These classes will still incorporate movement and breathing techniques but also focus on meditation and the use of mantras.

VASCULAR SURGERY

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

Soothing Stings As warmer weather ushers in backyard barbecues and picnics in the park, your children are at a greater risk of being stung by insects. If your child gets stung by a bee or wasp and experiences an allergic reaction, seek medical attention immediately. For everyone else, these first aid steps should be all you need to bring your little one some relief. • Remove any stingers you can, but don’t try to extract a stinger from below the skin’s surface. Bees will often leave stingers behind, while wasps do not. • Wash the area that has been stung with soap and water. • Apply a cold compress to the site for 20 minutes every hour as needed, and don’t forget to wrap ice packs with a cloth to keep from freezing the skin. • Antihistamines such as Benadryl and Claritin can help with itching and swelling. • An acetaminophen such as Tylenol or ibuprofen such as Motrin can deliver some pain relief. • Placing hydrocortisone cream on the stung area can also relieve redness, itching, and swelling.

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How to Help Your Child Stop Sucking Their Thumb — Considered normal during the early stages of life, thumb sucking is a habit that becomes worrisome to many parents the longer it persists. Children suck their thumbs for a variety of reasons, and knowing exactly why your child is doing it may help you kick the habit to the curb. Pay attention to when your child puts their fingers in their mouth. If the trigger seems to be stress-related, try providing comfort in other ways. Give your child a hug or let them hold a blanket or stuffed animal. There’s a chance your child might not even realize they are sucking their thumb. If this is the case, try to gently identify the behavior and remind them to stop. Positive reinforcement can also work wonders. Praise your child or provide rewards to change the behavior, and consider setting attainable goals that your child can follow such as not sucking their thumb for an hour before bed. Thumb sucking is generally harmless, and most children grow out of the habit on their own. However, as permanent teeth start to come in, thumb sucking can play a role in the development of your child’s teeth and palate. At this stage, it may be helpful to have your child’s dentist talk with them about the importance of not sucking their thumb.

SILVERDALE B A P T I S T

A C A D E M Y

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

STAY I N G

SA F E I N

THE SUN Decoding Sunscreen Labels

Improve Your ZZZs with These Snacks Having a hard time falling asleep? A few simple tweaks to your diet may help you get some quality shut-eye. Start by trading refined and processed foods for their whole-grain counterparts. Foods such as popcorn, oatmeal, or whole-wheat crackers make for a great bedtime snack. Nuts, specifically almonds and walnuts, contain melatonin, which helps you sleep. Foods that are high in lean protein, like cottage cheese, boast the amino acid tryptophan, which can boost serotonin levels and promote good sleep. For those looking for more of a sweet treat, there are several fruits that also contain melatonin. These include tart cherries, bananas, pineapple, oranges, and kiwis. In addition, fruits such as berries, prunes, raisins, and plums are rich in antioxidants and may help counteract the oxidative stress (imbalance between free radicals and antioxidants in your body) caused by some sleep disorders. If you are not looking for a snack, a relaxing cup of caffeine-free tea may be just what you need; chamomile, ginger, and peppermint are soothing options. Just like hot tea, a warm glass of milk can help to relax your body before bed, and it may contain enough tryptophan and melatonin for improved sleep.

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Summer brings with it plenty of opportunities for fun in the sun. You may be wondering how to best protect yourself and your family, and the obvious answer is to wear sunscreen. But when it comes time to buy a new bottle, what labels do you need to be on the lookout for? BROAD- SPECTRUM Perhaps the most important label to look for is broad-spectrum. These sunscreens protect against both UVA rays (the ones that cause wrinkles and signs of aging) and UVB rays (the ones responsible for sunburns). SUN PROTECTION FACTOR (SPF) SPF is a measure of how long a person can stay in the sun before UVB rays start to burn the skin. An SPF 30 will theoretically allow you to stay in the sun 30 times longer without getting burned. Since these numbers are determined in a lab, however, experts suggest reapplying every two hours regardless of SPF. WATER-RESISTANT These sunscreens stay effective on wet skin for at least 40 minutes. It is important to note that entirely waterproof or sweatproof sunscreens donâ&#x20AC;&#x2122;t exist, and the FDA prohibits those terms.

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H E A LT H I N A M I N U T E FOR NEW MOMS

Stroller Shopping Made Simple When it comes to purchasing your first stroller, the options can be overwhelming. From all-purpose, lightweight, and jogging strollers to full-on travel systems, there is a product for every lifestyle. Even after you find a stroller that fits your needs, there’s an array of features and accessories that can make or break a day out with your child. From sun canopies to stroller baskets, ask yourself these questions the next time you’re in the market for a stroller in order to find the perfect fit. • Who will be using the stroller? • Where will you be using the stroller most? • What kind of weather will you be using it in? • What kind of storage space do you have for a stroller (in the house and car)? • How much weight can you handle? • Do you want one that you can fold up with one hand?

Could Your Baby Be Lactose Intolerant? If you are one of the 30 to 50 million American adults who live with lactose intolerance, you know firsthand how uncomfortable it can be. While not nearly as common, babies can also become lactose intolerant. What they can’t do is tell you what is bothering them. Symptoms of lactose intolerance in infants include diarrhea, stomach cramping, bloating, and gas, and since they are not able to express their discomfort, it can be hard to tell when your baby is having stomach issues. Signs of pain might include clenching their fists, arching their back, kicking or lifting their legs, or crying while passing gas. In addition, your baby’s stomach may look slightly larger than normal and feel hard to the touch. If you suspect lactose intolerance in your child, consult with

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your pediatrician. Some babies have congenital lactase deficiency, meaning they were born without any lactase enzymes to begin with. This is a lifelong condition that will require a modified diet. Developmental lactase deficiency, on the other hand, often happens in premature babies and is a temporary intolerance. Babies can also become temporarily lactose intolerant after a viral illness such as gastroenteritis. How you proceed with breastfeeding and formula feeding will depend on the type of lactose intolerance your little one has.

STAFF SPOTLIGHT

CHI MEMORIAL MEDICAL GROUP Brenda Borkgren, FNP-BC

Brenda Borkgren has joined the staff at CHI Memorial Family Practice Associates – Northgate. Borkgren has experience in both hospital and primary care settings. She received her bachelor’s and master’s degrees from the University of Illinois in Chicago.

HAMILTON MEDICAL CENTER

CHI MEMORIAL MEDICAL GROUP Chelsea Ryan, DO

CHI Memorial Medical Group welcomes Dr. Chelsea Ryan to the medical staff at CHI Memorial Integrative Medicine Associates – Signal Mountain. Dr. Ryan, who is board-certified in family medicine, received her medical degree from Philadelphia College of Osteopathic Medicine.

HAMILTON MEDICAL CENTER

Qin Zhang, MD

Eric Turner, MD

Dr. Qin Zhang, a medical oncologist, has joined Hamilton Medical Center’s Peeples Cancer Institute in Dalton, Georgia. Before joining Hamilton, Dr. Zhang practiced medical oncology for several years and served in a leadership role as medical director in Northwest Georgia.

Dr. Eric Turner, a medical oncologist and medical director, has joined Hamilton Medical Center’s Peeples Cancer Institute in Dalton, Georgia. Dr. Turner is board-certified in medical oncology and specializes in adult cancer and hematology disorders.

AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER Nick Trujillo

Nick Trujillo has been named the new communications coordinator at the Austin Hatcher Foundation. Trujillo is a 2016 graduate of UT-Chattanooga and will work closely with the foundation’s development manager to support all communication, marketing, and graphic design efforts.

PARKRIDGE MEDICAL CENTER Lisa Caldwell, MHA, RRT

Parkridge Medical Center has named Lisa Caldwell as director of cardiopulmonary services, where she will oversee respiratory care, EKG, EEG, and the Sleep Center. Prior to joining the Parkridge family, she served in similar capacities at Erlanger Health System.

AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER Haleigh Darnell

Haleigh Darnell has joined the Austin Hatcher Foundation as assistant to the president. Darnell is a 2018 graduate of UT-Chattanooga with a degree in child and family studies. She will work closely with the president to manage scheduling and support partnership efforts.

SISKIN HOSPITAL FOR PHYSICAL REHABILITATION Vicky Sutton, RN

Siskin Hospital’s Vicky Sutton has recently achieved Certified Rehabilitation Registered Nurse (CRRN) status, which is awarded by the Association of Rehabilitation Nurses. The designation demonstrates Sutton’s expertise in the care of patients with physical disabilities.

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ASK THE DOCTOR

Q. I’ve been hearing the term “fillers” a lot lately. What exactly are they, and what do they do? A. Fillers are a diverse group of compounds designed to be injected into or beneath the skin to restore or augment soft tissue volume. With a few exceptions, most fillers used in the United States are a derivative of hyaluronic acid, a natural biological molecule found in humans, animals, and even some bacteria. When used correctly, injectable fillers can be a safe and very effective way to create a more youthful appearance with minimal recovery time. Fillers are not “one-size-fitsall” and are available in a wide variety of densities and formulations, each designed with specific applications in mind. Those interested in fillers should seek out an experienced expert to ensure a beautiful, natural-looking, and safe result. Stewart C. Little, MD Facial Plastic and Reconstructive Surgeon Skin Cancer & Cosmetic Dermatology Center thedermcenters.com

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Q I have been really focused on eating “clean” and getting healthier, but at what point can that cross over into dangerous territory?

A. I think when most people think “clean eating,” they tend to describe food as clean, pure, or healthy. This is, I believe, where the term “clean” can cause some confusion. It assumes that food that isn’t pure (meaning it’s not processed and is rich in naturally occurring nutrients) isn’t healthy, and therein lies the predicament. Of course, you can’t live on Cheetos for every meal, but at the same time, you can’t live on farm fresh organic carrots either – our bodies are amazing at extracting the nutrients from either form of the small pinky finger-size orange nourishment. When “clean eating”

becomes a problem, it is usually because an obsession has formed. Although there isn’t an official diagnosis, we do refer to the unhealthy obsession with eating clean food as orthorexia. Warning signs appear when someone experiences nutritional deficiencies, drastic weight loss, and mental health symptoms including anxiety, obsessiveness, and fear around food, with all symptoms leading to a diminished quality of life. Chris Harris PhD, LPC, MHSP Clinical Director Focus Treatment Centers focustreatmentcenters.com

Q. I’ve recently started taking care of my mother, who is struggling with dementia. Are there any resources you can recommend that might be helpful?

Q. I’ve heard it’s possible for dogs to have pollen allergies. What are the signs? Can they be treated?

A. Just like their human

family members, dogs can have a whole range of allergies that affect them. Some patients exhibit clinical signs such as runny eyes or sneezing. However, most dogs present with allergic dermatitis. This severely itchy skin condition can lead to infection and hair loss, commonly called a “hot spot.” Ear infections are also a common secondary problem associated with allergies. Short-term treatment with oral, injectable, and topical medications addresses the itching, as well as any concurrent infections. Longterm management is

A. Being a caregiver

is a rewarding yet serious commitment that can be overwhelming at times. One of the first things I suggest to people when their family member has dementia or Alzheimer’s is to pick up a copy of a book called The 36-Hour Day. It talks about the progression of dementia and teaches ways to help your loved one cope. It even provides resources such as numbers for support groups and information on how to help your loved one make important financial and legal decisions before their disease progresses. Andrea Bowers, MD On-site Physician Siskin Hospital for Physical Rehabilitation Life Care Center of Cleveland lcca.com

Q. My mom has been experiencing bouts of vertigo lately. Is it really related to hearing loss? A. Vertigo is a common

occurrence that can happen when the fluid found in the inner

ear experiences a disturbance. This disturbance can cause an imbalance that results in dizziness, tinnitus (ringing in the ear), or hearing loss. There are many different reasons why one experiences vertigo: bacterial or viral infections of the inner ear, allergies, medication side effects, and/or circulatory issues. An individual who experiences unexplained vertigo should first be evaluated by their primary care physician

focused on controlling the periodic flare-up of itching that occurs with exposure to allergens. Serum allergy injections, just like humans get, can be beneficial in reducing the frequency and severity of these flare-ups. Unfortunately, pollen is just one of the many potential allergens, and there are virtually endless possibilities that cause allergic dermatitis. Don’t hesitate to call your vet if you think your dog may be itchier than usual!

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or an otolaryngologist to rule out any underlying medical issues. After medical evaluation, if hearing loss and/or tinnitus is present, then seek the advice of a hearing professional. Cheryl Ward, BC-HIS Hearing Instrument Specialist Audiology Services of Chattanooga hearchattanooga.com

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Hormones FROM HEAD TO TOE BY LUCY MORRIS

Are you feeling irritable or sluggish? Have you noticed unexpected weight changes or decreased libido? While these signs can result from stress and other lifestylerelated choices, they may also point to a hormonal imbalance. Fortunately, hormonal imbalances can be managed with the appropriate care. Read on to see what some of your most important hormones are responsible for, what you may experience when they’re out of balance, and what you can do to reach stability.

CONNIE FESMIRE-HOUSE REGISTERED NURSE AND BIOIDENTICAL HORMONE EDUCATOR, CHI MEMORIAL INTEGRATIVE MEDICINE ASSOCIATES

DR. SAMUEL ABBAS PRIMARY CARE PHYSICIAN, PARKRIDGE MEDICAL GROUP – EAST RIDGE

DR. ASMA KHAN ENDOCRINOLOGIST, THE CENTER FOR DIABETES & ENDOCRINOLOGY AT GALEN

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Brain Cortisol HOW IT WORKS Cortisol is responsible for aiding in various body functions like managing inflammation, regulating blood pressure and energy, and controlling your sleep and wake cycle. Also known as the “stress hormone,” cortisol fuels your body’s fight-or-flight reactions. Think of it as a built-in alarm system. When your hypothalamus and pituitary glands, both located in the brain, sense fear or stress, they release cortisol into your bloodstream, which speeds up your heart rate, increases oxygen flow into the brain, and releases energy from your fat stores. Once the real or

perceived danger has passed, your cortisol levels return to normal.

WHEN IT’S OUT OF WHACK Chronic or unrelenting stress can result in consistently elevated cortisol levels. This can impact everything from your immune system to your reproductive and digestive systems and leave you feeling constantly drained. “If your cortisol levels are off, you may experience a range of health issues like weight changes, abnormal sugar levels, blood pressure variation, and overall changes in energy level,” says Dr. Samuel Abbas, a primary care physician with Parkridge Medi-

cal Group – East Ridge. In some cases, you may even experience anxiety and depression, headaches, memory and concentration problems, digestion issues, and trouble sleeping.

WHAT YOU CAN DO “The best way to balance your cortisol levels naturally is by getting your body in a healthy routine,” explains Dr. Abbas. “Getting a good night’s sleep, eating balanced and appropriately timed meals, and exercising regularly allow your adrenal glands to get in rhythm with producing the right amount of cortisol at the right time of the day (or night).”

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Melatonin HOW IT WORKS Melatonin is known as the “sleep hormone.” It’s produced in response to darkness, and it spikes at night so you can relax and fall asleep. It also helps regulate body temperature and blood pressure, and it works in tandem with your body’s circadian rhythm. By binding to receptors in the brain, melatonin helps reduce nerve activity.

WHEN IT’S OUT OF WHACK Low levels of melatonin have been linked to obesity, diabetes, and cancer. Fortunately, it’s pretty easy to tell when your levels are off – just look to your sleep cycle. If you have trouble falling asleep or staying asleep, that suggests your melatonin production is low.

WHAT YOU CAN DO “The best way to balance your melatonin levels is to establish a consistent sleep schedule,” says Dr. Abbas. “Going to bed and waking up at the same time each day will allow your melatonin levels to be consistent and prepare you each night to get good sleep. Also, just like cortisol, healthy diet choices and exercise during the day can help.” You may also be a candidate for a melatonin sleep supplement.

Thyroid

Triiodothyronine (T3) and Thyroxine (T4)

HOW THEY WORK Your thyroid, which is the butterfly-shaped gland in the front of your neck, makes thyroxine, or T4, and the body converts it to triiodothyronine, or T3. More generally, we refer to the duo as simply “thyroid hormone.” Dr. Asma Khan, an endocrinologist with The Center for Diabetes & Endocrinology at Galen, shares, “Thyroid hormone affects everything in the body. It regulates temperature, energy levels, and cellular metabolism.”

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WHEN THEY’RE OUT OF WHACK One in 10 women doesn’t produce enough thyroid hormone, but it’s also possible to produce too much. “When your body produces too little thyroid hormone, it’s known as hypothyroidism, and it can lead to cold intolerance, depression, constipation, and constant fatigue,” says Dr. Khan. “When your body produces too much thyroid hormone, it’s called hyperthyroidism, and it can cause heat intolerance, diarrhea, anxiety, and a rapid or irregular heartbeat.”

WHAT YOU CAN DO If you experience the symptoms of either hypothyroidism or hyperthyroidism, it’s time to visit your doctor. “The best way to check for both hyper and hypothyroidism is by doing blood work,” says Dr. Khan. “If your level is too low, you will need to take thyroid hormone replacement medication. If it’s too high, there are a few different treatment options ranging from medication to surgery.” Although both conditions require treatment, most patients are able to restore hormone levels to their appropriate threshold fairly easily.

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Ovaries Estrogen and Progesterone

HOW THEY WORK Estrogen and progesterone are like the yin and yang of the female reproductive system. They balance each other and work together to prepare the uterus for pregnancy. Each month a pregnancy does not occur, they initiate a menstrual cycle. But these two hormones don’t just affect reproduction. Connie Fesmire-House, a registered nurse and bioidentical hormone educator with CHI Memorial Integrative Medicine Associates, explains, “Estrogen also affects the urinary system, heart

and blood vessels, bones, breasts, skin, hair, vaginal tissue, and brain. Progesterone helps prevent uterine cancer, helps the body maintain HDL, or the ‘good’ cholesterol, and reduces mood swings.”

WHEN THEY’RE OUT OF WHACK When estrogen and progesterone are out of balance, they can lead to weight gain, chronic stress, irritability, low libido, depression, migraines, and more. It’s common during menopause for these hormones to fall out of balance. (You’ve heard of hot flashes – you can thank the drop in estrogen for those.)

WHAT YOU CAN DO “There are some helpful, natural ways to balance estrogen and progesterone,” says Fesmire-House. “Consuming an adequate diet of protein, healthy fats, high fiber, fatty fish, whole grains, beans, and cruciferous vegetables can reduce some symptoms of an imbalance in hormones. Engaging in physical activity and managing stress, getting adequate sleep (7-8 hours), and maintaining ideal body weight can also be valuable in relieving symptoms of an imbalance.” In some cases, hormone therapy may provide symptom relief.

Testosterone HOW IT WORKS While it’s predominately associated with men, women have testosterone too – just less of it (only about 10% the amount men produce!). “Testosterone is a hormone that is produced in the ovaries and adrenal glands and is responsible for building muscle, bone density, and brain function,” says Fesmire-House. “It enhances our libido, stamina, restful sleep, and overall feeling of well-being. It also helps with mental clarity, reduces body fat, may help with vaginal atrophy, and may support cardiovascular health.” Testosterone production increases during puberty and tends to decrease around age 30.

WHEN IT’S OUT OF WHACK If your ovaries aren’t producing enough testosterone, you may feel tired, sluggish, and even depressed. You’re also likely to experience a drop in libido. On the other hand, too much testosterone, which can be a result of a condition known as polycystic ovary syndrome (PCOS), can result in irregular periods, excess body hair, balding, and a deepening voice.

WHAT YOU CAN DO If you think your testosterone levels may be off, a visit to your OB-GYN can help. He or she can recommend different options, whether birth control pills, supplements, or another treatment method, to help with regulation.

Hormone imbalances might be the reason why you’re feeling ‘off.’ If you’re sleeping and eating well and exercising regularly but still not feeling like yourself, it’s time to visit your doctor. He or she can check your levels through blood testing to identify what, if any, imbalances need correcting. HS

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Concussions Myths vs. Realities

BY LUCY MORRIS

ach year in the United States, high school and college athletes sustain an estimated 62,000 concussions. In children ages 8-13, the number of emergency room visits due to concussions has more than doubled in the last decade. Concussions among individuals ages 14-19 have increased 200%. Sports like girls’ soccer, boys’ hockey, and boys’ and girls’ lacrosse have seen the biggest jumps as their popularity has risen, though football reigns supreme as the concussion king. Considered a form of traumatic brain injury, or TBI, concussions are a serious condition that require evaluation, rest, and most of all – time. While an initial hit can be problematic and result in physical symptoms and mood problems as well as sleep, cognition, and memory issues, a second or third concussion, especially if sustained before a previous one has completely healed, can result in permanent long-term brain damage. Concussions don’t necessarily follow the same pattern for everyone, so it’s important to know what to look for and how to handle a situation in which a concussion could have been sustained. Read on to learn how to differentiate between the common myths we hear and the realities we should all know.

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MYTH:

A concussion is always caused by a direct blow to the head.

Concussion symptoms always appear immediately.

Reality: While a concussion can absolutely occur from a direct blow to the head – in fact, this is how most people think of them – they can also occur from any impact to the body that causes the brain to shift in the head. Dr. Juan Gonzalez, a neurologist with Hamilton Physician Group – Neurology, explains, “The most common source for a concussion is a direct blow to the head, but anything that causes abrupt deceleration to the head and torso can be concussive. The brain is a soft tissue floating in spinal fluid and encased in the skull. If the head abruptly decelerates, for instance in a roller coaster ride, car whiplash, or a football tackle to the chest, the brain continues to move until it crashes against the skull.” This movement is what causes a concussion, which means you need to be especially cognizant of any bodily impact you suffer and seek evaluation at the first sign of any symptoms.

DR. JUAN GONZALEZ NEUROLOGIST,

Reality: When an individual suffers a concussion, they may experience a number of symptoms ranging from clumsiness to nausea and vomiting, personality changes, sensitivity to light, or even memory trouble. These symptoms may last anywhere from a couple of days to weeks or even months and may take hours, days, or weeks to develop. Dr. Bradford Mitchell, a non-operative sports medicine specialist with Center for Sports Medicine & Orthopaedics, explains, “Oftentimes, you do see symptoms right away, but not always, and they can get worse the more you exert yourself both physically and cognitively.” This means it’s important to get evaluated before returning to play, even if you aren’t seeing immediate symptoms.

DR. BRADFORD MITCHELL NON-OPERATIVE SPORTS MEDICINE SPECIALIST, CENTER FOR SPORTS MEDICINE & ORTHOPAEDICS

MYTH: Multiple concussions are not a big deal as long as you take time to heal from them fully before returning to your sport or activity.

Reality: Over the last several years, more research has been done on the dangers of multiple concussions. While waiting until you are completely healed before returning to your activity is a must, it’s important to realize that numerous injuries to your brain can cause lasting effects. Dr. Charles Han, owner and neurologist at Chattanooga Neurology & Headache Center, explains, “Repeated mild TBI may put the patient at risk for chronic traumatic encephalopathy (CTE), which is more common in football players, boxers, and veterans. Symptoms develop later in life and can manifest as dementia, personality change with depression, anxiety, and behavioral disorders.”

HAMILTON PHYSICIAN GROUP – NEUROLOGY

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MYTH:

Concussions can be detected on brain scans.

It’s okay to return to play 24 hours after a concussion.

Reality: CT scans and MRIs are designed to pick up structural damage to the brain, while concussions affect brain function. This means brain scans are not typically helpful in identifying if a patient has suffered a concussion. Dr. Gonzalez explains, “The majority of concussions do not show in brain scans because the damage is microscopic at the cellular level.” What these scans are able to show is whether or not the patient has other more serious injuries that cause bleeding and/or tissue damage (contusion). “About 20% of concussions are severe enough to involve blood vessels or a large area of cells, and this will show up on a scan,” says Dr. Gonzalez. “Brain bleeds and contusions are associated with permanent brain damage.”

DR. CHARLES HAN OWNER AND NEUROLOGIST, CHATTANOOGA NEUROLOGY & HEADACHE CENTER

Reality: Before returning to any activity after suffering a concussion, a patient should be completely healed, which means all symptoms are gone, and the brain has returned to baseline conditions. Depending on severity of the concussion, this can take anywhere from a couple of days to months. Returning to play too soon can result in a serious condition known as second impact syndrome, or SIS, so you should always get the “OK” from a doctor first. “Second impact syndrome happens when two or even more concussive events happen within a short period of time – between 24 hours and 10 days after the first concussion – causing cumulative brain damage before the brain has healed even from the first concussion,” explains Dr. Han. “The brain loses its ability to self-regulate, causing rapid and massive whole brain swelling, which can lead to serious consequences.”

MYTH: Males tend to suffer from concussions more than females.

Reality: While we may hear about concussions more often with men, they actually affect males and females pretty equally. That being said, the symptoms can differ between the sexes. Dr. Gonzalez explains, “Concussion symptoms in males tend to be more physical in nature, such as ringing in the ears and poor balance. Concussion symptoms in females tend to be more psychological, such as poor concentration and mood changes.” There are theories out there as to why, but it’s not fully understood yet.

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MYTH: Helmets prevent concussions.

Reality: Helmets are certainly a necessary safety tool, but they are primarily designed to prevent skull fractures, not concussions. “Helmets can lower the risk of trauma to the head, but they don’t necessarily prevent concussions,” explains Dr. Mitchell. “The reality is that we were wearing helmets before we ever really understood what a concussion was. So, while we can adjust and engineer helmets to reduce the risk as much as possible now, they are not a foolproof method for preventing concussions and therefore shouldn’t be treated as such.”

MYTH: It’s not safe to sleep if you are concussed.

Reality: Many people have heard that it’s dangerous to sleep if you are concussed, since it could cause you to lose consciousness or even slip into a coma. In reality, if the person who was injured is awake and able to hold a conversation, and they’re not experiencing other symptoms like dilated pupils or difficulty walking, it’s okay to let them sleep. “For simple and uncomplicated concussions, good rest, including sleep, can help the brain rest and recover better and faster,” explains Dr. Han. “In more complicated cases, a patient needs to be watched carefully for the first 72 hours. Any signs of worsening headaches, headache with nausea, vomiting, confusion, or altered mental status should raise alarm and send the patient to the ER for evaluation.”

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When it comes to concussions, it’s better to be safe than sorry. Dr. Mitchell explains, “It’s never a bad idea to get evaluated. While not all concussions require emergent treatment, anyone with any signs or symptoms should see a specialist before returning to any impact or contact sport.” Fortunately, most concussions can be treated at home with rest, and, in many situations, you should be able to return to your favorite activities once fully healed. HS

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The Scary Statistics on Adolescent Suicide Four out of five teens who attempt suicide give warning signs. Here’s what you should know and how you can help. BY LUCY MORRIS

“I just want to disappear.” “You’d all be better off if I weren’t around.” “I wish I were dead.” Let’s face it: Growing up is hard. Adolescents encounter everything from peer pressure to trouble with friends, issues at home, and more, all before their brains have fully developed. These experiences mold them into who they are, but they can wreak havoc on their mental health during the process. At times, circumstances can feel so overwhelming that they become all-encompassing. Suddenly, there seems to be no way out. Second only to traffic accidents, suicide is a leading cause of death among youth ages 10-24. In fact, research suggests that suicide rates are currently the highest they have been since World War II. So how can you tell if your child is at risk?

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Is there a stigma associated with asking for help? Rachel Gearinger, the Southeast regional director for the Tennessee Suicide Prevention Network, explains that the stigma that comes with talking about suicide and mental health makes it harder for people to ask for help. “In order for people to ask for help, they first need to recognize there is something wrong and feel like the help available is something they can realistically access. Unfortunately, stigma in our larger society can put a barrier in people’s heads to keep them from moving through this process. The more we normalize seeking help to support our mental health, the closer we get to breaking this stigma.”

Risk Factors

While researchers are hesitant to identify specific causes of suicide, certain factors may contribute to suicidality. In addition to previous suicide attempts or a family history of suicide, an increase in drug use and alcohol abuse among adolescents has been linked to suicide, as have other high-risk behaviors. A recent or serious loss, whether it be a family member, friend, or even pet, can increase the risk for suicidal behavior. Other losses, like the separation or divorce of parents, losing the family home, or a breakup with a significant other, can also leave an adolescent feeling hopeless. Those struggling with sexual orientation in an unaccepting environment are at an increased risk, as a lack of support can have serious repercussions on an individual’s mental health. According to a recent study performed by the Centers for Disease Control and Prevention (CDC), gay, lesbian, and bisexual youth in grades 7-12 were more than twice as likely to have attempted suicide as their heterosexual peers. 40

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Bullying, which we see both in person and online, is another trigger. It can include everything from physical violence to spreading rumors, and it tends to be repeated. No matter the form of bullying, it can have lasting effects on mental health and overall well-being for both the bullied and the bully. In fact, youth who report both frequently bullying others and being bullied themselves are at the highest risk for bullying-related suicidal behavior. Social media has made online bullying even easier over the years, as children and adults alike can hide behind their keyboards. “Bullying and shaming are even easier to experience virtually, especially since there is no face-to-face contact, so you don’t see the expression of the other person,” says Blake Feagans, a counselor with Roots Counseling Center. “Unfortunately, there appears to be a direct correlation between increased social media use and increased anxiety and depression and decreased self-worth.”

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The Warning Signs

In many situations, an adolescent at risk of engaging in suicidal behavior in the near future will display any number of warning signs. Dr. John Heise, an adolescent medicine specialist with Children’s Hospital at Erlanger, explains, “Warning signs may be obvious, for instance talking about death or suicide or making statements like, ‘What would it be like if I weren’t around anymore?’ More often though, the signs are more subtle, but show a change in behavior.” A child may express hopelessness about the future or display overwhelming emotional distress. They may begin to withdraw from friends or social situations and may be more irritable or easily agitated. Sleep patterns may become inconsistent – whether that means sleeping more or less than is typical. You may notice your child has become apathetic – those once beloved activities are thrown by the wayside – or they start acting recklessly and making poor judgments. Other red flag behaviors include giving away important or sentimental belongings and wearing only long-sleeved shirts and pants, which can hide potential self-harm. Considering how much adolescents grow and change over the years, it can be easy to overlook some of the warning signs,

or to write them off as typical moody teenager behavior. But even if you can’t imagine your child ever engaging in dangerous behavior, you need to pay attention and take signs seriously. “Adults often do not realize how the world is as their children see it,” says Dr. Heise. “Things that may seem insignificant to an adult are often huge in the adolescent life and psyche.”

Protecting Your Loved Ones

There’s an unfortunate stigma associated with asking for help, which can prevent struggling adolescents from receiving the care they need. That’s why it’s important to be proactive with your loved ones. If you notice any warning signs, Feagans recommends acknowledging the behavior in a non-judgmental way. “Many teenagers do not know how to share those scary thoughts and feelings, and the last thing we want to do is shame them for what they are experiencing. Shaming them proves you are not safe.” From there, it’s all about talking and listening. “In the same way it’s uncomfortable to talk to your kid about sex, it’s uncomfortable to talk to them about suicide; however, it’s a necessary conversation to have,” says Feagans. “Do not wait for them to come to you.” HealthScopeMag.com

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While initiating the conversation may feel daunting, you can always start out easy. “Something as simple as asking, ‘Are you okay?’ can get the ball rolling,” says Dr. Heise. “If your child can’t or won’t open up to you, then encourage them to talk to an adult they trust such as a favorite teacher, coach, relative, or church leader. If this is not helpful or possible, seek professional help through a mental health provider or medical personnel.” Ultimately, protecting your loved ones is all about finding help at the first sign of a problem. Gearinger explains, “Research shows us the earlier we can intervene, the better the outcome. If we are going to reduce the number of adolescent suicides, we need to start the conversation about mental health and suicide earlier. Whether you see something or just have a gut feeling, there is no harm in asking how someone is doing and giving them a space to express what is on their mind. A huge myth is that by asking someone about suicide, you can plant the idea in their head. This is not true. If they say they are thinking about suicide, it is because they truly have been thinking about it. So, reach out. Connecting like this can actually protect against suicide.” HS

For anyone struggling right now, resources are available. The National Suicide Prevention Lifeline (1-800-273-8255) provides free and confidential support 24/7, or you can text TN to the Crisis Text Line (741741).

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BLAKE FEAGANS COUNSELOR, ROOTS COUNSELING CENTER

DR. JOHN HEISE ADOLESCENT MEDICINE SPECIALIST, CHILDREN’S HOSPITAL AT ERLANGER

RACHEL GEARINGER REGIONAL DIRECTOR, TENNESSEE SUICIDE PREVENTION NETWORK

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Making the Move TIPS FOR TRANSITIONING A LOVED ONE TO ASSISTED LIVING BY LU CY MO RRI S

When picturing your golden years, it’s likely you see yourself spending them in your own home, where you feel most comfortable. It’s what you know, and you have an idea of what to expect in your daily pursuits. But for many older adults, a more responsible strategy involves moving to an assisted living or memory care facility, where needs can be met more effectively. The process may not be comfortable at first, but learning to manage expectations and prepare for this new chapter can help make the move easier on everyone involved. Here, Alisha Landes, executive director at The Lantern at Morning Pointe, shares tips for making the transition as smooth as possible.

ALISHA LANDES EXECUTIVE DIRECTOR, THE LANTERN AT MORNING POINTE

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Knowing When It’s Time When it comes to transitioning a loved one to an assisted living facility, starting the planning process early is key. Just like preparing for college, moving to assisted living is a significant life transition that should be considered ahead of time. Landes explains, “In my experience, the planning should start sooner than later. The worst situation to be in is something happening, like an injury or incident, and not being prepared to handle it.” While it can be a tricky subject to broach with your loved one, it’s helpful to include them in the process early and ease any discomfort. “Let them know you will be right alongside them during this journey and that you have their best interests in mind,” says Landes. “Honesty is most often the best policy – our loved ones can see through us better than we think.”

Once you’ve included them in the conversation and softened their fears, you can begin researching places online, followed by visiting the locations that appear to be a good fit. “Virtual tours are available, but when possible, I encourage folks to walk through communities to get a feel for it,” says Landes. “Every community has a different atmosphere. By visiting them, you can visualize your loved one there, and they can see what to expect themselves.” Once you’ve researched, visited, and identified the best course of action, timing is the next hurdle. At what point does it make sense to make the move? As Landes explains, the decision isn’t easy, and many families often wonder if they’re making the right decision. “At the end of the day, the decision comes down to what is the best thing for your loved one. Where are they safest? Where are they going to be actively participating in programming? Where will they get more socialization? When you choose to look at this decision strictly as what’s best for them, it makes it easier to move forward.”

Easing the Transition Once the decision has been made, and everyone is (more or less) on board, the real work begins! To ease the transition to assisted living, there are numerous steps you can take. You should: SHOW EMPATHY. First and foremost, it’s important to remember what a big change this will be for your loved one. They’ve been living independently and taking care of others their whole adult lives, so the transition can feel like a loss of independence. Reassure them that things will remain the same, and that they are still an integral part of the family.

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HELP SORT AND ORGANIZE. When moving to an assisted living facility, it’s likely your loved one will be downsizing, and sometimes quite a bit. Help them prepare by organizing their belongings. Some items will move with them, while others might be donated or thrown away. Keep a collection of sentimental keepsakes and pay respect to the process, as many items will also hold memories. ENLIST FAMILY MEMBERS. The actual process of moving can be quite difficult both physically and emotionally. Getting help from members of the family can help ease the labor while providing a supportive and encouraging environment. KEEP IN TOUCH. Stay in touch with your loved one and the staff at the assisted living facility. It’s important to know if they are socializing and getting involved in the community. When visits are possible, you can attend

events with them or simply spend some time with them alone in their room.

Ultimately, while

GIVE THEM SPACE.

one to an assisted

While visiting and staying in touch to make sure the transition is going smoothly are important, it’s equally important that you avoid hovering. Visiting too often can inhibit your loved one’s independence and hinder their ability to meet new people and get enmeshed in their community. Give them space to adjust to their new normal on their own. BRING PERSONAL ITEMS. Items that have personal or sentimental value can help make your loved one’s residence feel like home. Landes recommends bringing a lot of things to the new room that your loved one will recognize. “Pictures of family, their favorite chair, a familiar quilt – these are all things that your loved one will see, and even if they can’t fully process what’s happening, they will trust their surroundings a little more.”

transitioning your loved living facility is difficult, preparation, understanding, and a whole lot of love can help. “I see families struggle with guilt, grief, and many other emotions during this process,” says Landes. “Remember, all of these emotions are normal and part of the process, and every decision you’re making is to provide a safe, stable environment for years to come.” HS HealthScopeMag.com

SILVER SIDE

TACKLING STRESS EATING AT HOME By Piper Kyle

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With the temporary norm in our society, home has become our office, school and personal restaurant with 24/7 access. Even though this is for safety precautions, you can still harm yourself with stress eating. There is a significant amount of science linking stress and obesity. According to the Global Emotions Report from Gallop, stress levels are expressively higher for Americans compared to the global average, and obesity rates are higher too, being more than 40% of the U.S. population. What is stress eating? Stress/emotional eating is the act of eating food in response to feelings or anxiety, rather than from hunger. When you feel tense or anxious, stress eating seems to be triggered like an automatic response, especially if your body reacts powerfully to stressreleased hormones. In 2010, a study from the University of Michigan showed that when levels of the stress hormone cortisol were boosted in healthy, non-stressed adults, they ate more snack/junk foods. When you eat more sugary and fatty foods, you are likely to decrease your appetite for regular size meals and vegetables because the sugar takes the place of the satisfaction of a full meal, and this causes weight gain.

What are some of the causes of stress eating? o Boredom: With being home more during the pandemic or just being trapped at home during a rainy day, we sometimes have nothing to do to occupy our time. This can leave us finding something to pass the time, and we can be enticed to snack, even though we may not be hungry, just bored. o Influences: Food is an easy way to tempt others or be tempted by them. Maybe your co-workers order fast food for the office or someone brings donuts every morning for breakfast. The temptation is real and sometimes hard to steer away from, especially when it’s quick and easy to eat.

o Social interactions: Too much or little social interaction can influence our cravings. After a fight with your spouse or roommate, you may feel the need to eat copious amounts of sugar. Or the feeling of being lonely sets in, and that big chocolate chip cookie feels like a big hug after a long, stressful day at work.

How can we stop stress eating? A major strategy in saying, “I’m done with stress eating,” is slowing down and analyzing where the craving is being triggered from. Then you can make steady changes. Move your comfort foods to the back of the pantry where they aren’t the first thing you see when grabbing a snack. Put the healthier options in the front where they catch your eye. In the end, this may result in keeping junk food out of the house the more you push it away. Stay on target with three square meals daily, to eliminate overeating at other times in the day. When it comes to any habit, it’s hard to quit cold turkey. Sometimes when we quit something, another habit takes its place. Here are ways to find something else that is more productive and keeps the bad food out. i Going for a walk i Reading a book i Drinking a warm cup of tea i Journaling i Brushing your teeth i Playing with your pets i Drawing or painting i Following a good sleep schedule i Drinking water i Practicing relaxing techniques such as stretching, yoga or taking a bath In the end, food is food; it’s not your best friend or your worst enemy. Food is not going to solve all your problems, and eventually, you realize that it won’t. Maintaining healthy food habits will help you be more productive and genuinely feel better physically. Listen to your body and honor what it needs and when it needs it. You only get one body, so be in control of it by cutting out stress eating. Life Care Centers of America

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STAY WELL

Annual Oral Health Section BY LUCY MORRIS

— Your smile is one of the first things people notice about you – so it’s important to keep it healthy! Read on to learn about some of the area’s specialized dental procedures and the new technologies that make them possible.

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Veneers An Expert Weighs In â&#x20AC;&#x153;Veneers are a quick way to a beautiful smile, and this treatment is perfect for people with teeth that are stained, chipped, or have gaps. During a consultation, your dentist can discuss available options with you to determine whether veneers or other alternatives can better address your needs. For teeth with extensive damage, crowns may be a more effective option. Sometimes less invasive treatments like dental bonding, whitening, and orthodontics can achieve the natural smile you are looking for.â&#x20AC;? Dr. Mandy Shearer Dentist Soddy Daisy Smiles

What Are Veneers? Made of porcelain or ceramic, dental veneers are thin shells that fit over teeth to create a natural-looking smile. They are more durable than other restorative options like composite resin (a layered filling technique), and they mimic the original tooth enamel in appearance. Veneers are permanent and are bonded directly to teeth with a strong adhesive.

Good Candidates for Veneers For anyone with chipped, fractured, misshapen, or severely discolored teeth, veneers may be the answer. Whether you need one or many, veneers can be custom-made to match the shape and color of your teeth, and they can hide gaps or correct minor misalignments. Plus, the entire veneer process can be completed in just two weeks, making it a viable option for individuals looking for quick treatment.

What to Expect from the Procedure Placing veneers typically requires two visits to your dentist. On your first visit, your teeth will be prepped to accommodate the veneers. This involves light buffing and surface

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shaping to allow for the thickness of the veneers. Next, a dental impression will be taken using an intraoral scanner and sent to a lab where your permanent veneers will be made according to specifications. After the dental impression is taken, your dentist will apply temporary veneers and schedule a second appointment. At your second appointment, typically about two weeks later, your dentist will remove the temporary veneers and clean your teeth. The permanent veneers are then etched, applied to your teeth with a bonding agent, and cured under a light for 60 seconds to complete the bond. Following cleanup and polishing, you will be on your way!

Caring for Veneers

After the procedure, you must care for your new veneers like you would your natural teeth â&#x20AC;&#x201C; this includes brushing twice a day and flossing to keep them in good condition. Dentists also recommend avoiding habits like chewing ice and biting your nails to eliminate potential issues. While the treatment is irreversible because your natural teeth are permanently altered, your veneers will require replacement eventually. However, proper oral hygiene will ensure they last as long as possible. HS

Creating Brighter

Smiles for Your Family

NEW PATIENT SPECIALS

NO DENTAL INSURANCE?

FREE WHITENING FOR LIFE

OUR HEALTHY SMILES PLAN is a yearly membership plan that offers affordable in-house dental coverage for those who don’t have dental insurance. No yearly maximum, no deductibles, no pre-existing condition limitations, and no waiting periods means most patients find the plan pays for itself during the first visit. Call today for more information!

with any new patient exam, cleaning, and a full set of digital x-rays at regular fees. Not valid with any other offer. With coupon only. Some conditions may apply.

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

423.332.5275

9 7 5 9 DAY TO N P I K E

SODDYDAISYSMILES.COM

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Root Canals Your Tooth’s Makeup

Your teeth are made up of four different dental tissues. Three of these tissues – enamel, dentin, and cementum – are hard tissues. The fourth is called the pulp, and it’s a soft tissue located in the center of the tooth, also known as the pulp chamber. The pulp consists of blood vessels, nerves, and connective tissue. If bacteria enter the pulp chamber, they can begin an inflammatory process that leads to infection, decay, bone damage, abscesses, and pulp cell death. Common causes of bacteria exposure include repeated dental procedures on the tooth, a faulty crown, or a crack in the tooth.

What Is a Root Canal?

A root canal is a procedure that removes the dead, infected, or injured pulp from your tooth. Removing the affected pulp relieves pain while also protecting your gums, jaw, and other teeth from further infection and nerve decay. In the past, extractions (tooth removal) were the primary treatment for unhealthy tooth pulp. Now, almost every endodontist or dentist will tell you that if a root canal is feasible, it is typically the better option. While the initial investment may be more, it will be less than the cost of replacing an extracted tooth later and will allow you to maintain your natural smile and avoid ongoing dental work.

Signs You May Need a Root Canal

• Your tooth is extra sensitive to heat and cold. • Your tooth is dark or discolored. • Your tooth or filling is cracked or broken. • You have severe pain with pressure or eating. • You have a large, visible cavity. • You have an abscess on the gum line. • You have pus draining into your mouth. • You have a foul taste or odor emanating from the tooth.

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An Expert Weighs In “When looking for root canal care, patients should consider seeing an endodontist. An endodontist is a dental specialist trained in treating tooth pain and performing complex root canals. Certain teeth, especially multirooted teeth like molars and premolars, may be difficult to treat with standard root canal therapy. Fortunately, endodontists have experience in treating complex root canal systems. When it comes to dental discomfort, an endodontist can typically relieve your pain and get you back to work the same day.” Chattanooga Area Endodontists

What Happens During the Procedure?

A root canal involves three basic steps. First, the top of your tooth is opened, exposing the damaged interior. Second, the tooth interior is cleaned out and replaced with a rubber-like filling material. Finally, the tooth is sealed, and a crown may be placed to prevent bone loss and the spread of infection.

Is It Painful?

The procedure itself is painless, because your dentist or endodontist will first numb your tooth with a local anesthetic. A patient may experience mild to moderate pain following the procedure, but it can be managed with good aftercare, including: • Taking over-the-counter pain medications • Avoiding sticky and hard foods • Avoiding chewing with the treated area • Brushing and flossing as normal • Completing an antibiotic regimen as prescribed HS

Your Chattanooga Area Endodontists Root Canal Specialists We support the Greater Chattanooga area General Dentists and we are proud to partner with them to make every effort to help patients maintain their natural teeth and keep healthy, beautiful smiles.

ENDODONTIC GROUP PC

EAST TENNESSEE ENDODONTICS

SOUTHEASTERN ENDODONTICS

Kevin P. Bryant, DMD 1001 Carter St., Suite H Chattanooga, TN 37402 (423) 267-1853

Joseph B. Milholm, DMD Erik E. Jansen, DMD Jason D. Latham, DMD, MSD Chattanooga: 1720 Gunbarrel Rd., Suite 308 Cleveland: 2222 Chambliss Ave. N.W. Ooltewah: 5572 Little Debbie Pkwy., Suite 120 (423) 892-3131

Matthew Brock, DDS, MSD Yvette Burns, DDS, MS 2030 Hamilton Place Blvd., Suite 380 Chattanooga, TN 37421 (423) 892-4727

Specialist Members of the American Association of Endodontists www.aae.org

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Dental Implants Why You Might Need a Dental Implant

The failure of a tooth, whether from trauma, decay, or gum disease, can be a tough diagnosis to receive. The loss of a tooth can result in problems such as shifting of teeth, increased risk of wear and breakdown of remaining teeth from unequal loading, functional limitations in eating, and issues with the muscles and joints involved in chewing. Tooth loss can also affect a person’s facial appearance and smile, which can have significant consequences on selfesteem and has been linked to depression.

How Dental Implants Work

The goal of a dental implant is to restore both function and esthetics. They look, feel, and work like natural teeth, and they will not interfere with everyday actions like eating, speaking, and smiling. Dental implants are screw-like titanium anchors that are shaped like the root of a tooth. They are inserted into the jawbone under the gum and are designed to replace the root form of a missing tooth. Once implanted, crowns can be placed on top with a connector. The success of implants depends on a solid foundation of both bone and healthy soft tissue that may need to be augmented during your treatment.

Advancements in Dental Implants

Thanks to advancements in surgical techniques and materials, in many cases your surgeon can remove the diseased tooth and place the new implant at the same time. Oftentimes, it is also possible to place a temporary tooth on the implant while you await your permanent crown. Depending on your case, your surgeon may recommend a bone graft to replace any missing bone before placement of the implant.

What to Expect from the Procedure

The procedure for removal of a failing tooth and either placement of an immediate implant or a bone preserving graft can be done with either local numbing medication, like with a filling, or under sedation for your comfort. Typically, the procedure can be done on the same day as the evaluation, and the first follow-up, to ensure the implant is bonding to the jawbone, is two weeks later. The next phase, when the post is attached to the implant, is performed a few months later. Once the bone has healed around your implant, you will return to your restorative dentist (family dentist) for the final phase and placement of the permanent crown. HS

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An Expert Weighs In “Nothing you wear is more important than your smile.”- Connie Stevens “Fortunately, advances in dental medicine offer options to solve the problems of losing a tooth. While there are many options for replacement, dental implants are the solution that most naturally replaces the missing tooth and restores your smile. Replacing a failing tooth with a dental implant is easier than you think, and it can usually be completed at the same time as removing the diseased tooth.”

Dr. Brandon C. Stanley Board-Certified Oral and Maxillofacial Surgeon and Implant Specialist East Brainerd Implants and Oral Surgery

Over 60 Years of Service in the U.S. Air Force, Now Serving Chattanooga

BILL CHILDRESS, D.D.S., M.D. RICKY JOHNSON, D.D.S., M.D. BRANDON STANLEY, DMD Dental Implants • Wisdom Tooth Removal Dental Surgery & Extractions • General Anesthesia Treatment of Dental & Facial Injuries

1350 MACKEY BRANCH DRIVE, STE 110 CHATTANOOGA, TN 37421 • 423.296.8210

EASTBRAINERDOMS.COM

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Dental Anxiety An Expert Weighs In “Dental anxiety is real! I have patients that require sedation simply to get their teeth cleaned. All of our senses are on red alert in the dental chair. The whirring of the bur, the scraping, the smell, the needles – it’s all fearinducing. We offer oral conscious sedation and IV sedation in our office because I want my patients to have the most comfortable experience possible. That way I know they will leave healthier and with less fear than when they braved the first visit to our office.” Dr. Damien Armstrong Dentist River City Dentistry

If just thinking about your biannual dentist appointment makes you nervous, you’re not alone. Dental anxiety is extremely common, affecting between 30 and 50 million people. There are varying degrees of dental anxiety, ranging from minor stress to severe phobia, and common causes include a fear of pain, feelings of helplessness, embarrassment, or negative past experiences.

What Can It Lead To?

If dental anxiety is extreme enough that it’s causing you to avoid dental appointments, your oral health will suffer. Skipping regular checkups can put you at a higher risk of developing dental issues that lead to dental pain. This habit of delay leads to more emergent visits and therefore an increase of stress and fear.

How to Combat It

If you have dental anxiety, taking these steps can help you manage it: • DISCOVER. Research sedation dentistry. This is the use of medication to help patients relax during dental procedures, and it requires specialty training and licensure to

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administer. There are differing levels of sedation ranging from minimal, where you are awake but relaxed, to general anesthesia, where you are completely unconscious. If you are a candidate for sedation dentistry, medicine can be administered to ensure a comfortable procedure. • CONSULT. Ask your dentist about the sedation options available to you. Many offices just offer nitrous oxide (“laughing gas”). Although still commonly used, the efficacy of this gas is often not enough for a patient to dissociate from an anxious experience. Medicine that puts one into a twilight mode, on the other hand, called conscious sedation, will often relieve most, if not all, anxiousness. Conscious sedation is typically administered through a pill or an IV. Following a dental procedure, most patients have little to no memory of the experience. • BE BRAVE. Make the appointment and discuss your concerns with your sedation dentist. Determine if you are a candidate for either oral or IV sedation and take the steps necessary to maintain your oral health. You will slowly but surely find yourself going to the dentist without associating these visits with fear. HS

Dr. Damien Armstrong

Your new dental home. River City Dentistry is a state-of-the-art practice with compassionate and friendly dentists, hygienists, and assistants. We offer cosmetic, restorative, general, emergency, and oral & IV sedation dentistry for you and your entire family. Call 423.486.9650 to schedule your appointment today or visit

FAMILY, COSMETIC, & SEDATION DENTISTRY

MyRiverCityDentist.com for more information.

DOWNTOWN CHATTANOOGA OFFICE

EAST BRAINERD OFFICE

1405 Cowart Street, Suite 101 Chattanooga, TN 37408

3328 Jenkins Road, Suite 100 Chattanooga, TN 37421

OFFICE HOURS:

Monday – Friday: 9am–6pm Saturday by appointment only

Monday – Friday: 10am–7pm Saturday by appointment only

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Wisdom Teeth An Expert Weighs In “People always wonder when the best time is to get their wisdom teeth removed, and we recommend between the ages of 15 and 21. You have little risk of complication during this period because the tooth roots have not fully developed yet, and the bone is more flexible. This means both removal and recovery will be easier. The procedure itself is pain-free and takes about 3045 minutes. While you may have some soreness after the surgery, following the pain management plan can minimize discomfort.” Dr. Hal Jones Oral and Maxillofacial Surgeon Center for Oral Facial & Implant Surgery

Where Do Wisdom Teeth Fit In? The average adult has 32 teeth, each with a unique shape and function. Teeth toward the front of the mouth (incisors, canines, and bicuspids) grasp food. In the back, you have two sets of molars, which grind food into manageable sizes for swallowing. Wisdom teeth, also called third molars, are the final four permanent teeth to erupt through the gumline behind the existing molars. Although most permanent teeth arrive between the ages of 6 and 12, wisdom teeth often come in between ages 17 to 25. Because they are the last set of teeth to grow in, they are often impacted, meaning there isn’t enough space in the mouth for them to fit properly.

Why Should You Get Your Wisdom Teeth Removed? In addition to the painful gums associated with impaction, bacteria can grow around wisdom teeth and cause an infection called pericoronitis, which is an inflammation around the soft tissue. Incoming wisdom teeth can also put pressure on surrounding teeth, leading to misalignment. In rare cases, cysts or tumors can grow around impacted wisdom teeth and cause deterioration in the jaw.

Signs It’s Time for Extraction There are several symptoms associated with impacted wisdom teeth that may suggest it’s time to visit your oral and maxillofacial surgeon. If you are experiencing any of the following symptoms, don’t wait to schedule your appointment.

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• Swelling of the gums in the back of the mouth or side of the jaw • Bad breath • Pain when biting or chewing • Pain or irritation when opening your mouth • Unpleasant taste in your mouth • Headache or jaw ache • Swollen lymph nodes in your neck

What Is the Procedure Like?

When it’s time to get your wisdom teeth extracted, you and your oral and maxillofacial surgeon will discuss whether general anesthesia (“going to sleep”) or local anesthesia (numbing around the site) is appropriate for your case. Your specialist will review your X-rays to evaluate the best plan for removal and then complete the surgery in the office. Following the extraction, you will be given instructions for care and, if necessary, be scheduled for a follow-up appointment to ensure your mouth is properly healing. HS

ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, P.C.

Hal Jones, D.D.S. | Ivo Aaron Miller, D.D.S. | Steven P. Tipps, D.D.S. Brandon K. Cannon, D.D.S. | John A. Spann, D.D.S. | Wayne E. Tipps, D.D.S.

Board Certified Surgeons with Over 100 Years of Combined Experience The Regionâ&#x20AC;&#x2122;s Only State Licensed and AAAHC Accredited Oral Surgery Center*

SERVING YOU AT THREE CONVENIENT LOCATIONS CHATTANOOGA* 6015 Shallowford Rd. 423.893.3333

CLEVELAND 2565 Business Park Dr. 423.458.6242

chattanoogaoms.com

FT. OGLETHORPE 78 Alamar St. 706.858.7054

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Gum Disease The Dangers of Gum Disease

Also known as periodontal disease, gum disease affects nearly 65 million Americans aged 30 or older, according to the American Academy of Periodontology. But while its prevalence is high, many who have it aren’t even aware, since symptoms don’t typically arise until the disease worsens. Unfortunately, untreated gum disease can lead to a whole host of oral health issues including swollen, red, tender, or bleeding gums; bad breath; gum recession; and in advanced cases, tooth loss.

How Is Gum Disease Treated?

There are two types of gum disease. Gingivitis is a reversible inflammation in the gums, and periodontitis is the loss of bone structure and gum tissue around the teeth. Depending on the severity of the case, there are different treatment options. For less severe gum disease, a non-surgical option called scaling and root planing may do the trick. With this procedure, your periodontist removes plaque and tartar above and below the gum line and smooths the teeth to help gums reattach. In the past, patients with moderate to severe gum disease tended to need additional treatment of periodontal surgery. Today, however, a treatment option known as laser-assisted surgery is a successful and less invasive alternative.

What Is LANAP?

LANAP, or Laser-Assisted New Attachment Procedure, is a minimally invasive laser treatment designed to promote gum regeneration, new bone growth, and gum reattachment. Performed in your periodontist’s office under IV sedation, a tiny laser fiber (about the thickness of three human hairs) is inserted between the tooth and gum to clear away infection and disease without cutting the gums. From there, the tooth roots can be thoroughly cleaned. After cleaning, the laser is used again, this time on a different setting, to create a blood clot to reseal the gums to the teeth.

Benefits of LANAP

For patients with more advanced gum disease, the LANAP protocol offers several benefits over traditional periodontal surgery. First, unlike periodontal surgery, LANAP doesn’t require any cutting or stitching of the gums, which means less post-operative pain and discomfort. It also means minimal gum recession. When the gums are cut during traditional surgery, the tissue shrinks, which exposes more of the tooth root. Beyond that, LANAP also requires less than 24 hours of recovery time and stimulates your body’s own healing response. HS

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An Expert Weighs In “Gum disease affects the majority of Americans, but most people do not have any symptoms until their disease is severe. Routine visits with your general dentist can help catch gum disease in its early stages. Scaling and root planing and laserassisted surgery are much less invasive, often painless procedures that can be performed in the early stages of disease in order to help you keep your teeth for your lifetime.” Dr. Elizabeth Randall Periodontist Chattanooga Periodontics & Dental Implants

www.ChattanoogaPerio.com 951 Riverfront Parkway, Suite 102 Chattanooga, TN 37402 | 423.756.2450

Our goal is to provide quality oral health and improved esthetics & function in a relaxed, convenient atmosphere.

BEFORE

“I always noticed looking at pictures of myself that my smile just wasn’t what I wanted it to be. I didn’t really know what kind of options there were, but once I did some research and decided I wanted to do a little something, I realized it could help make me more confident with my smile, feel more ready to go out, meet new people, and just be a lot more outgoing. The day I came in I was nervous because I was going under anesthesia, and while that part doesn’t really bother me, I didn’t know if the procedure was going to hurt. Once I sat down, I knew I didn’t have to worry about anything while I was here. The staff was super gracious about everything and made me feel so comfortable during the entire process. After the procedure, I didn’t have any issues! I feel so much more confident – they really helped me reach that goal and get the smile that I wanted and knew was there all along.” - ERIN

Charles B. Felts III D.D.S., M.S.D. Diplomate of American Board of Periodontology Elizabeth Felts Randall D.M.D., M.S. Diplomate of American Board of Periodontology

Meet Our Doctors

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

â&#x20AC;&#x201D; Compassionate and experienced, there is a lot to know about the doctors who have studied, trained, and specialized in providing the highest quality health care. What follows are local men and women who are leading the upmost in quality care.

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Meet Our Doctors

RE STORI NG HOPE & HEALTH

ach day brings a different challenge for Dr. William Harris, but that’s part of the reason why he loves his work at Vascular Institute of Chattanooga so much. He explains, “Vascular surgery is special. We get to take care of all different parts of the body, from the carotid arteries to veins in the chest, abdomen, arms, and legs, in people of all ages. One day I might perform an operation using wires and stents, while other surgeries necessitate scalpels and suture – there’s always something new to encounter.” At VIC, one of the only centers in the Southeast dedicated to limb salvage, Dr. Harris can use his extensive medical training to help patients regain normalcy and a renewed sense of purpose. “Seeing a patient who had no hope, and being able to give them back that hope … that’s why I do what I do every day,” he shares.

I want my patients to be treated as I would want my family members to be treated. I think that’s very important.” 66

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DR. WILLIAM B. HARRIS VAS C U L A R I N ST I T U T E OF C HAT TA NO O G A

Why have you chosen this field of specialty?

What is one of your happiest professional moments?

What is your best advice for patients?

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

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

Vascular surgeons are unique in the subspecialty environment in that they get to follow their patients usually for the rest of their lives. That’s pretty special, being able to develop such a long-term relationship with your patients.

I love seeing a patient, who was potentially facing amputation or a life-threatening issue, walk into our office on two legs for followup after surgery.

Stop smoking! I am also a big advocate for exercise. Just getting outside for a 10-minute walk is beneficial and can add years to your life.

Vascular surgery is amazing, as it is at the forefront of innovation. For instance, the treatment of an aortic aneurysm 20 years ago would require a massive open operation and weeks in the hospital. Today, it can usually be treated through incisions a centimeter long and requires only a night in the hospital.

I am a firm believer in looking a patient in the eye and speaking to them not as a statistic, but as a person. When I interact with patients, I think about how I would feel if I were in their shoes and how I would hope to interact with my provider.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Midwestern University â&#x20AC;&#x201C; Downers Grove, IL Certifications: General Surgery and Vascular Surgery, American Board of Surgery

M Y S P E C I A LT I E S Vascular Surgery Endovascular Surgery

CONNECT 423.602.2750 Vascular Institute of Chattanooga 2358 Lifestyle Way, Suite 100 Chattanooga, TN 37421 4312 Holiday Inn Express Way, Suite 105, Cleveland, TN 37312 101 Crye Leike Drive Fort Oglethorpe, GA 30742 vascularinstituteof chattanooga.com

Meet Our Doctors

USING HER

DR . ELIZABETH HARTMANN

SKILLS IN THE

VA SCUL A R INSTIT U TE OF CH AT TA N O O G A

OPERATING ROOM

t the Vascular Institute of Chattanooga, Dr. Elizabeth Hartmann is able to use her skills where they’re needed most – in the operating room. “My daily routine involves both hospital and office-based surgeries,” Dr. Hartmann shares. “I love the process and approach to treating each vascular patient. Two patients are never alike, and sometimes you have to use many different surgical skills and modalities to have the best outcome.” Having practiced vascular surgery for four years in the United States Air Force, Dr. Hartmann understands the importance of treating patients in an expeditious, compassionate, and thorough manner, and she finds it gratifying to help patients through a difficult time in their lives. “It’s the simple thank yous, smiles, and hugs from patients and their families that mean the most,” she says.

What do you love most about your profession?

What is your best advice for patients?

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

What would you consider to be your main strengths?

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

Not only do I enjoy taking care of complex patients with vascular disease, but the variety of interventions I can perform as a vascular surgeon is also exciting. Not every patient is alike, and figuring out how to best approach my patients’ problems is a welcome challenge.

Listen to your body and take care of it. As a physician, I can help you with surgery, but risk factor modification is also a very important component of vascular disease outcomes.

Vascular surgery is constantly evolving to include more minimally invasive technologies for peripheral vascular disease. The advancement of many endovascular procedures and devices has led to better outcomes and less morbidity in the recent years.

I strive to be compassionate, approachable, and have a great attention to detail.

Every time I see a satisfied patient walk back into my office after a major surgery, it invigorates me to continue treating patients to the best of my ability.” 68

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I believe it is important to educate my patients on understanding their disease process, expectations, and potential outcomes. Discussing with them on a level they can understand, like they were my family members, helps in the healing process.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: The University of Tennessee Health Science Center â&#x20AC;&#x201C; Memphis, TN Certifications: General Surgery and Vascular Surgery, American Board of Surgery Registered Physician, Vascular Interpretation Recognitions: Fellow of the American College of Surgeons

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

Meet Our Doctors

S PE C IAL I ZI NG I N SPI NAL CARE

r. Garrick Cason began practicing orthopedic surgery in 2004, and after five years in the field, he chose to narrow his focus to spine surgery. “My very first experience in evaluating and managing a spine patient just ‘clicked’ with me,” Dr. Cason says. “The anatomy and clinical correlation paired really well.” Just last year, Dr. Cason, along with Dr. James Osborn, established Comprehensive Spine Institute in Chattanooga. Their concierge-style practice aims to provide one-on-one care to patients in need. Dr. Cason adds, “My philosophy is patient-centered, evidencebased care. I demonstrate the imaging to my patients and describe their diagnosis and how it correlates with their symptoms and physical exam findings. My goal is to inform them, while also setting them at ease, as we go through this process together.”

DR. GARRICK W. CASON C OM PR E H E N SI V E SPI N E I N ST I T U T E

In our practice, the surgeon directly participates throughout the evaluation and management of patients, from their initial visit and diagnosis all the way through their operative treatment.

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What is your best advice for patients?

Choose your surgeon wisely – based on training and experience – and follow their instructions.

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

Biologics are advancing at a rapid pace to accelerate and improve the healing process in a variety of pathways, and materials technology continues to move forward with concepts such as 3D-printed devices.

How does your staff enhance your practice?

Our well-trained staff understands the nature of our practice and how certain subtle patient cues may indicate the need for more acute evaluation and direct care more efficiently.

5 It’s fulfilling to lead our surgical team as we work to improve a patient’s quality of life.”

What sets your practice apart?

What would you consider to be your main strengths?

My passion for the practice of spine surgery is undeniable to anyone around me. This drives my pursuit of excellence and to execute the best evidence-based treatments for patients with spinal disorders.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: University of Mississippi Medical School â&#x20AC;&#x201C; Jackson, MS Certifications: Diplomate, American Board of Orthopedic Surgery Recognitions: Rice-Holland Memorial Award (Pharmacology), University of Mississippi Medical School Alpha Omega Alpha Honor Society, University of Mississippi Medical School

M Y S P E C I A LT I E S Adult and Pediatric Spine Surgery

CONNECT 423.541.5990 Comprehensive Spine Institute 1206 Pointe Centre Drive, Suite 110 Chattanooga, TN 37421 csi.live

Meet Our Doctors

IMPROVING

DR. SCOTT STEINMANN

MOBILITY

ER L A N GER ORTHOPA EDIC INSTIT U TE

ne of the defining moments in Dr. Scott Steinmann’s career was being recruited to chair the Department of Orthopedic Surgery at the University of Tennessee Health Science Center in Chattanooga, a move that also led to his medical practice at Erlanger Orthopaedic Institute. He brought with him over two decades of experience in the orthopedic department of the Mayo Clinic. “My practice at the Mayo Clinic introduced me to many complex shoulder and elbow problems early in my career, and I was able to gain experience that would have been hard to gain elsewhere,” he describes. Dr. Steinmann has performed several thousand shoulder replacements and rotator cuff repairs over the course of his career, and he’s thankful to be working alongside other experts at the Institute. “All of our surgeons subspecialize and provide great care for our patients,” he says.

What do you love most about your profession? The ability to see and help patients of all ages,

and to allow them to regain the function of their elbow and shoulder again.

What is your best advice for patients? Most aches and pains do not need surgery. In

fact, I treat many more patients without surgery to solve their problem.

What do you see as the most exciting new development for your profession? Many of the surgical procedures that I do are

moving to an outpatient experience – I’m even doing shoulder replacements as outpatient in appropriate patients.

What accolades mean the most to you? A happy patient. Although I have published

many research articles on my patient outcomes at the Mayo Clinic and been invited as a guest professor internationally to other universities, nothing compares to a patient with a great outcome.

A happy patient means more to me than anything else. Nothing compares to a patient with a great outcome.”

HealthScopeMag.com

What is your philosophy when it comes to the care of your patients? Listen. Patients should not be rushed or

interrupted. Careful listening can also lead you to the diagnosis.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Cornell University â&#x20AC;&#x201C; New York, NY Certifications: American Board of Orthopaedic Surgery Recognitions: Emeritus Professor or Orthopedic Surgery, Mayo Clinic

M Y S P E C I A LT I E S Shoulder and Elbow Surgery

CONNECT 423.778.6784 Erlanger Orthopaedic Institute 979 East 3rd Street, Suite C-430 Chattanooga, TN 37403 erlanger.org/ orthopaedic-institute

Meet Our Doctors

BRINGING RELIEF

DR . SYEDA HAMADANI

TO PATIENTS

THE A LLER G Y A STHM A GR O UP OF G A LEN

he decision to become a doctor came easy to Dr. Syeda Hamadani, who grew up in Nashville listening to country music and yearning to travel. “Some of the most caring and generous people were the doctors in my community,” she says. “In college, I interned with local physicians, and I saw firsthand the positive impact that they made on their patients.” A dream opportunity presented itself when Dr. Hamadani received a grant to travel abroad for a year as a Thomas J. Watson fellow; during this time, she was able to learn about an international approach to medicine and further hone her interest in allergy and immunology. “I’ve been practicing for nearly three years now, and I love when I am able to bring much-needed allergy and asthma relief to my patients,” Dr. Hamadani shares.

Seeing my patients’ quality of life improve gives me the most satisfaction from my work.” 74

HealthScopeMag.com

What sets your practice apart?

What is one of your happiest professional moments?

What is your best advice for patients?

How does your staff enhance your practice?

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

I am trained to treat patients of all ages, which allows me to provide great allergy and asthma care for the whole family. I am also multilingual, so I am able to cater to a diverse patient population.

Seeing my mom’s joyful, teary eyes when I wore my white coat for the very first time is especially memorable for me.

Allergies can be scary, but they do not have to be. We now have great treatment options for many allergic disorders. And there are so many new and exciting studies related to food allergies!

My staff is essential in providing the best care for our patients. They have the experience and temperament to deliver excellent care. I am immensely grateful for their hard work and dedication to our patients.

I believe in actively listening to my patients. I aim to work with them to come up with a plan that best fits their needs and the needs of their family.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: The University of Tennessee Health Science Center â&#x20AC;&#x201C; Memphis, TN Certifications: American Board of Allergy and Immunology American Board of Internal Medicine

M Y S P E C I A LT I E S Allergy Immunology

CONNECT 423.499.4100 The Allergy Asthma Group of Galen Chattanooga, Downtown Chattanooga, Hixson, Cleveland, South Pittsburg, Dalton, Ringgold getreliefhere.com

Meet Our Doctors

DR . GREG PHELPS

BEING CALLED

A LLEO HE A LTH S Y STE M, HOSPICE OF

TO CARE

r. Greg Phelps has been a physician for over 40 years, but he didn’t begin practicing hospice and palliative medicine until 2010. “When my mother died in hospice, I went back to school to learn that,” he shares. “I came to hospice seeing it as a ministry, as what I was called to do.” As medical director for the Alleo Health System, Dr. Phelps runs a multidisciplinary team of physicians, nurses, social workers, and chaplains who provide both hospice and palliative care services to hospitals. “My team is invited in when patients are often at the worst point with a serious, perhaps lifeending illness – their lives have been thrown upside down. We can step in and help bring some order, understanding, and comfort through the end of life journey.”

Of all the things I’ve done, I find the most reward in this care.”

HealthScopeMag.com

CH AT TA N O O G A , & PA LLI ATI V E C A R E SER V ICE S

What sets your practice apart?

Why have you chosen this field of specialty?

What would you consider to be your main strengths?

What accolades mean the most to you?

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

We do not focus on just the illness or the patient, but the suffering of both patient and family and communicating regarding their illness. We say Palliative Care Services is about three C’s – Comfort, Communication, and Coordination.

I think people in my field of ‘end of life’ care are called, not employed. Almost all of us have a story about seeing real compassion manifested in care delivered in hospice that brought each of us to this discipline.

A good sense of humor, extroverted personality, compassion, a humbleness to admit when I’m wrong, and a passionate desire to keep learning and growing.

When I can get a suffering patient comfortable and smiling, their pain relieved, and for them to be able to do the existential work of looking back and celebrating their life with their family.

Treat others as you would want to be treated. Be kind. Listen. It is not about what I want, it is about helping the patient determine what matters most to them, particularly if time is short.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: The Medical University of South Carolina â&#x20AC;&#x201C; Charleston, SC Certifications: Family Medicine and Hospice and Palliative Medicine, American Board of Family Medicine Occupational Medicine, American Board of Preventative Medicine Recognitions: Fellow of the American Academy of Family Medicine Fellow of the American College of Preventative Medicine

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

CONNECT 423.892.4289 Alleo Health 4411 Oakwood Drive Chattanooga, TN 37416 alleohealth.org

Meet Our Doctors

GETTING TO

DR. WESLEY DAVIS

THE HEART OF

CHILDR EN ’S HOSPITA L AT ER L A N GER

THE MATTER

or Dr. Wesley Davis, no two days are alike. As a pediatric cardiologist, he juggles inpatient and hospital duties with seeing patients in the clinic – and it’s his patients that make his job so special. “Getting to work with children is fun because they are resilient when they’re sick and make me laugh when they’re well,” Dr. Davis says. “And then the anatomy and physiology of congenital heart disease is challenging and interesting; there is always something different to figure out.” Dr. Davis has been practicing pediatric cardiology since 2011, and over the years, he’s learned that while awards are appreciated, he prefers a different kind of reward at the end of the day. “If a child and their family feel like they get good care when they come to our clinic, and they leave with all their questions answered, I am happy,” he says.

What sets your practice apart?

What do you love most about your profession?

What is your best advice for patients?

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

We see a wide age range of patients with heart disease, from prior to their birth all the way into adulthood. We also have several in-office tests, such as EKG and echocardiograms, that help us take care of these children.

I’ve always enjoyed the detective work of getting to diagnose congenital heart disease, helping to plan what needs to be done – whether it’s medications or interventions – and then getting to see the child grow up healthy afterward.

Nobody knows your child better than you do. If you think there is something going on, get it checked out.

Over the last 5-10 years, there have been a lot of great technological advances with echocardiography. We are now able to see amazing detail of small hearts and some 3D capabilities. In addition, there are many interventional procedures that can now be done in the catheterization lab instead of open-heart surgery.

5 I try to do for my patients what I would want somebody to do for my own kids.”

HealthScopeMag.com

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

I think it’s important to show the patient and their family that you are willing to listen to their concerns and validate why they are in your office to see you. Even if it is nothing major, worrying that your child could have a heart problem can be a scary thing.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: Medical College of Georgia â&#x20AC;&#x201C; Augusta, GA Certifications: General Pediatrics and Pediatric Cardiology, American Board of Pediatrics Recognitions: Baroness Award for Teaching Excellence, 2018 Top 5 Pediatrics Faculty Teaching Award, 201819

M Y S P E C I A LT I E S General Non-invasive Pediatric Cardiology

CONNECT 423.778.5437 Pediatric Cardiology, Childrenâ&#x20AC;&#x2122;s Hospital at Erlanger 900 East 3rd Street Chattanooga, TN 37403 childrensaterlanger.org

Meet Our Doctors

HEALING

DR. MICHAEL G. DAVIS

WITH A HOLISTIC

CE MPA COMMUNIT Y C A R E

APPROACH

r. Michael Davis has treated infectious diseases regionally and around the globe – including a two-year stint as a teaching physician in Bomet, Kenya – but he’s proud to now call Chattanooga home. A health care provider at Cempa Community Care, Dr. Davis finds that the Cempa’s holistic and passionate approach to community health sets it apart. “Promoting health in our communities is so much more than knowing what medicine to prescribe, and Cempa has a unique ability to engage in community needs from the most fundamental, like food and shelter, to the most nuanced, like mental health,” he explains. His personal philosophy when it comes to patient care is built on the belief that all people are created in the image of God. “I’ve been called to heal, and to treat people as I would want to be treated.”

Much of what makes a person’s life meaningful is beyond biochemistry, and serving people with this in mind is crucial to my practice of medicine.”

HealthScopeMag.com

Why have you chosen this field of specialty?

How does your staff enhance your practice?

What is your best advice for patients?

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

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

I chose the field of infectious disease after visiting my girlfriend (now my wife) in Kenya in 2003. This was the peak of the mortality rate for HIV in that part of Sub-Saharan Africa. This was the area where I wanted to serve and how I felt my work could have the most impact.

To promote health through comprehensive support services and patient-centered care means that only 10-20% of the care for a person is done by a physician. Our success at Cempa is built on the passion and commitment of the staff.

Take ownership of your health – eat a balanced diet, get moderate physical exercise, and invest in meaningful relationships.

Our profession is changing and developing at a rapid pace, especially in light of the COVID-19 pandemic. A community approach to health is on everyone’s mind, perhaps for the first time, as we make decisions about how best to protect ourselves, loved ones, and vulnerable populations.

First, focus your mind on the person in front of you. Then smile and communicate that you care, and that you want to know what the person in front of you wants from life, and develop a collaborative approach to get there.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: East Tennessee State University â&#x20AC;&#x201C; Johnson City, TN Certifications: Internal Medicine and Infectious Disease, American Board of Internal Medicine Recognitions: Outstanding Teaching Faculty Award, University of Tennessee College of Medicine at Chattanooga

M Y S P E C I A LT I E S Internal Medicine Infectious Disease Tropical Medicine

CONNECT 423.265.2273 Cempa Community Care 1000 East 3rd Street, Suite 300 Chattanooga, TN 37403 cempa.org

Meet Our Doctors

ALLEVIATING

DR. JOSEPH H. MILLER

PAIN IN PATIENTS

ER L A N GER NEUR OSUR GER Y & SPINE

r. Joseph Miller starts most mornings with an educational podcast and a kale, spinach, and fruit smoothie. From there, it’s a full day’s work with his team at Erlanger. “I use state-of-the-art technology to perform brain and spine surgery,” he explains. “I spend most of my day under the microscope meticulously working around the blood vessels of the brain and delicate spinal nerve roots.” Although spine surgery is one of his specialties, Dr. Miller works with patients to identify the least invasive treatment option for their condition – and oftentimes, surgery isn’t required. Dr. Miller says, “I have the same minimally invasive mindset when caring for my patients with brain tumors, aneurysms, brain injuries … Every patient is unique, and I draw on my experience as a fellowship-trained surgeon to perform the least invasive operation to help alleviate my patients’ pain.”

I find joy in my patients’ victories every day. There is nothing better than doing a brain surgery and giving someone their life back.”

HealthScopeMag.com

Why have you chosen this field of specialty?

What do you love most about your profession?

Neurosurgery is the perfect combination of taking care of people, working with my hands, and using fascinating technology to perform incredibly complex tasks.

My patients! I often meet people on the hardest day of their life when they suffer from a ruptured brain aneurysm or spine fracture in a car accident. It is such an honor to help these amazing people recover from illness and injuries that would have been universally fatal 100 years ago.

What is your best advice for patients?

What accolades mean the most to you?

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

These three things are true for all of us, and even more important if you have back pain: Get regular exercise. Good nutrition (focusing on a whole-food, plant-based way of eating) is important. Strive to achieve your ideal body weight.

Being a neurosurgeon is a privilege that I take very seriously. I won every award in my training program, but my patients allowing me to be their doctor means more than any award.

Tumor genetics. The progress being made in the treatment of malignant brain tumors is remarkable. I am hopeful that in the course of my career, we will have an effective treatment option for glioblastomas.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Medical Degree: University of Alabama School of Medicine â&#x20AC;&#x201C; Birmingham, AL

M Y S P E C I A LT I E S Neurosurgery Spine Surgery

CONNECT 423.265.2233 Erlanger Neurosurgery & Spine 1010 East 3rd Street, Suite 202 Chattanooga, TN 37403 erlanger.org/spine

Meet Our Doctors

TREATING

DR. WENDY HALSEY-RICHARDSON

HEARING LOSS

CH AT TA N O O G A’S HE A LTH Y HE A R IN G

family member inspired Dr. Wendy Halsey-Richardson to become an audiologist at a young age. “My grandfather wore hearing aids after being exposed to explosions while working in the mines,” she explains. “His hearing loss was severe, and I saw how disconnected he was socially because of it. I was determined to help people, like my grandfather, by restoring their confidence and independence.” Dr. HalseyRichardson has spent 25 years in the field of audiology, and at her local practice, she sees a diverse group of patients ranging from newborns to centenarians. She says, “I love hearing that our patients are happy with their experience and our staff. We are proud to be a local business and be a part of this community.”

What sets your practice apart?

What do you love most about your profession?

What is your best advice for patients?

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

What would you consider to be your main strengths?

Our staff. Patients constantly compliment us on the care they receive here, and most of our patients are life-long. That speaks volumes.

I’ve always known that my gift is helping and interacting with those in need, and in this profession, I’m able to give back the gift of communication. Being able to hear and understand those around you is so important for independence, peace of mind, and social interaction.

We like to encourage everyone to consider a baseline audiogram (hearing test) if they notice difficulty hearing in certain situations. Hearing loss can lead to decreased social interaction and depression, and your quality of life can suffer.

Wireless technology (Bluetooth) hearing aids are smaller than ever. Bluetooth allows you to connect directly to TV, smart phones, and even allows for connection to group meetings.

My philosophy is simple: I listen so that my patients can hear.”

HealthScopeMag.com

I think making folks feel at ease at the appointment and taking the stress out of the unknown. I am very proactive with trying new technology so that my patients get the highest quality instruments.

SPECIAL PROMOTIONAL SECTION

ABOUT THE DOC

MY CREDENTIALS Doctor of Audiology Degree: Salus University – Elkins Park, PA Certifications: Certificate of Clinical Competence, American Speech and Hearing Association Recognitions: Private Practice Representative, Tennessee Association of Audiology Board Seal of Satisfaction, Services Select

M Y S P E C I A LT I E S Pediatrics Adult Hearing Aids

CONNECT 423.702.4060 Chattanooga’s Healthy Hearing 9298 Apison Pike, Suite 110 Ooltewah, TN 37363 chattanoogas healthyhearing.com

Amy Walters with Charles Nance Britney Godsey with Ryan Roberts Brittany Shaw with Dean Botting Chuy Esquivel with Ally Ramos Curtis Fairbanks with Stacey Perkinson Dr. Ed Henson with Shannon Herrmann

Dr. Justin Yoshida with Emilie Cole Lauren Baird with Antonio McMath Marci Waldorf with Denny Lennon Matt Brock with Amanda Plecas

Misty Branam with Casey Haywood

Nicole Griffin with Nelson Rodriguez Rachel Mucciolo with Kyle Barels

FOR MORE INFO:

KidneyFoundation.com

423.265.4397

OCTOBER 3, 2020

MEET OUR MODELS

Jill Brown & Gwen Guthrie

orn Jill and Gwen Lippse, these twin sisters were built-in best friends from the start. Growing up, the two shared everything – clothes, bedrooms, their first car – and they attended the same schools, eventually graduating with degrees from the University of Tennessee at Chattanooga. Although marriage, and later a big move, separated Jill and Gwen, the sisters’ bond has never wavered. These days, they live three miles apart and make time for daily chats, weekend dinners, and walks with their dogs. Here, the twins tell all on their unique connection and unconditional love for each other.

HS How has your relationship changed through the years? JB We, along with our younger sister, Hilda, were inseparable as children. We even had our own secret language! Then Gwen got married at 23, and I remember coming home from the wedding and feeling like my right arm had been cut off. A little later, she moved away with her family for 25 years. GG While I was away, we talked all the time; our husbands would hide the phones from us [laughs]. Since I’ve moved back, our relationship has come full circle. We really needed each other in our 50s – there’s been a lot of hardship, including losing both our parents – so it’s been great to have someone to lean on. I still call Jill every day, and I’ll go see her at work.

GWEN

JILL

Photo by Lanewood Studio

HS Do you have a favorite twin story? GG Well, there was the time we sent our grandmother the same Hallmark birthday card in the mail. At that point, we lived in different states and shopped at different stores, but we both picked out the same card! JB I remember back in high school, I had the biggest crush on a guy who had a locker next to Gwen’s. He thought her name was Jill, so one day he calls our house and asks for Jill, wanting to take her to the school dance. I was so excited and of course went with him. Two years later, he tells me he thought he was asking Gwen out [laughs]. HS What is something you’ve learned from each other? GG Jill taught me how to make proper sweet tea and cornbread. I didn’t do a lot of cooking in early adulthood, so when I moved back to Chattanooga, I needed to learn the ins and out of Southern cooking. Jill puts a lot of thought into everything she does, which I really admire. JB Gwen is always encouraging me to speak my mind. My personality tends to be more reserved, but Gwen reminds me to speak up for myself and not worry what other people might think. HS How would you describe your approach to wellness? JB We’re both really big on fitness, which we got from our dad. We each have workout equipment at home and try to do a mix of cardio and light weights five times a week. And this past year, I’ve started doing meditation, which I find relieves a lot of my anxiety – it’s been a very good thing. GG Our dogs are also very active, and they get several walks a day. They’re spoiled! HS

HealthScopeMag.com

LOOK WELL

Say Hello to SANDAL SEASON Shop Smart for Your Next Summer Shoe

andals may be the unofficial footwear of summer, but let’s face it – some pairs aren’t doing your feet any favors. Flat, ill-fitting sandals can actually cause a host of issues, including corns, calluses, and foot pain. That’s why finding a supportive pair is key to maintaining healthy feet all season long. Here, we’ve rounded up the best foot-friendly (and stylish!) sandals from local retailers.

ALMA BY CORDANI “The Alma by Cordani is made on a super lightweight layered platform with just the right amount of flexibility. The ultraplush insole padding gives you all-day comfort, while the adjustable ankle strap keeps you secure while walking. The neutral soft gold color makes this sandal very versatile, and it would pair with shorts, slacks, dresses, and skirts equally well.”

Terri Holley Embellish

HealthScopeMag.com

NOVA IN COPPER BY OTBT “This platform sandal by OTBT is perfect for work and a walk around town. The memory foam footbed, along with its lightweight construction, will have you wanting to put it on every day. With eye-catching copper straps and a slightly distressed look, this shoe will become your next summer staple.”

Amy Ingle Chattanooga Shoe Co.

JOANIE™ II ANKLE LACE SANDAL BY SOREL “I’m loving this wedge by SOREL for its style and functionality. Thanks to perfect-fit laces and an EVA footbed for added comfort, the sandal can take you from a morning meeting to evening date night. And the metallic suede detailing takes your warm-weather wardrobe to the next level!” HS

Janet Miller Irma Marie

HealthScopeMag.com

LOOK WELL

Set It & Forget It If you are tired of touchups and looking for longlasting wear from your makeup, a setting spray may be the perfect solution. These products, which are sprayed or misted over your makeup after application, are designed to help your beauty products stay in place. Worry less about meltdowns, and get back to enjoying life with these fan favorites.

Urban Decay All Nighter Setting Spray

Tatcha Luminous Dewy Skin Mist

CoverFX High Performance Setting Spray

Great for a variety of skin types, Urban Decay’s All Nighter Setting Spray is popular for a reason. This weightless mist helps keep skin from becoming greasy, and its patented Temperature Control Technology lowers the temperature of makeup to keep it from melting in hot or humid conditions. The oil-free, paraben-free formula is vegan and doesn’t set into fine lines, allowing for flawless looking foundation all day – or night – long.

For those looking to add a little moisture to their daily skin care routine, Tatcha’s Luminous Dewy Skin Mist has you covered. Packed with over 20 botanical oils, this product provides a dewy look but doesn’t leave you too shimmery or glittery. Okinawa red algae and hyaluronic acid deliver a dose of moisture, and an anti-aging complex helps keep skin looking radiant. This product is cruelty-, paraben-, and phthalate-free and is also dermatologist-tested.

If your skin is prone to irritation and breakouts, it doesn’t mean you have to sacrifice your setting spray. CoverFX’s High Performance Setting Spray is an alcohol-free, quick-drying formula that contains algae extract to help protect your complexion from environmental agents. Both vegan and cruelty-free, this product prevents makeup from fading, settling, cracking, or melting, all while providing a matte finish. With no parabens, sulfates, or phthalates, it’s a safe choice for sensitive skin. HS

HealthScopeMag.com

Celebrating 83 Years of Selling the Finest Designer Jewelry 213 Chickamauga Avenue Rossville, Georgia 706.866.3033

B rody J ewelers

Call or Text 423-518-0049 to Schedule your FREE Virtual Consultation Today!

Cheryl W. Aldridge, DMD, MS

1829 GUNBARREL RD.

GreaterChattanooGaorthodontiCs.Com

HealthScopeMag.com

L LO OO OK K WWE EL L L

5 Secrets

TO HEALTHY SKIN

espite what trending beauty blogs will tell you, taking care of your skin is really quite simple. By embracing a healthy lifestyle and creating a consistent skin care routine, you can maintain a youthful, radiant complexion year-round. Keep reading for five secrets to healthy skin! BY AMY CLARKE

HealthScopeMag.com

Secret #1: Look at Your Lifestyle Skin is the body’s largest organ, so it makes sense that how you treat your body has a major impact on skin health. Following some basic guidelines, like not smoking, getting plenty of sleep every night, and exercising regularly, will help you feel and look your best. Stress has a negative effect on skin – often leading to acne breakouts and other skin problems – so taking steps to manage it will do wonders for your complexion. And of course, what you put on your plate is just as important as what you put on your skin. Eat a diet high in fiber, healthy fats, and antioxidant-rich foods to nourish your skin from the inside out.

Secret #2: Don’t Skimp on Sunscreen Sunscreen is a must for healthy, younger-looking skin. Not only can sun exposure cause age spots, wrinkles, and other skin conditions, it can also increase your risk of developing skin cancer. Most dermatologists recommend using broad-spectrum, SPF 30+ protection every single day – no exceptions! If you’re spending time outdoors, make sure to reapply every couple of hours and seek shade whenever possible.

Secret #3: Find the Right Facial Cleanser Washing your face is the foundation of any good skin care routine; among other things, it will help you avoid acne, dullness, and clogged pores. In the mornings, you should be cleansing your face to remove the oil and dust that build up while you sleep, and in the evenings, you need to wash off any dirt, pollen, sunscreen, and makeup. Experts suggest choosing a gentle cleanser that matches your skin type – foaming liquids work well on oily or acne-prone skin, and creams and lotions are often recommended for dry or eczemaprone skin. Micellar water, popular in French routines, is soap-free and suitable for almost any skin type.

Secret #4: Make Use of Moisturizer Moisturizing is another important part of your skin care routine, as it hydrates and softens the skin. It also plays a key role in maintaining the protective barrier

on the surface of your skin. As soon as you get out of the shower in the morning or wash your face at night, apply a moisturizer to lock in the water on your skin. Picking out the right moisturizer comes down to your skin type: Those with drier skin will benefit from creams and ointments, while those with oily skin can reach for lotions, which have a lighter texture.

Secret #5: Take Advantage of Vitamin A We’ve covered the importance of protecting, cleansing, and moisturizing your skin, but what about products that slow the signs of aging? Retinoids, made from vitamin A, are one of the most used anti-aging compounds, and for good reason. They prompt your skin to make more collagen, which in turn gives it more structure and elasticity. Retinoids come in two forms: retinol, found in over-the-counter skin creams, and prescription retinoids like tretinoin. If introducing retinoids to your regimen, keep in mind that the product can be initially irritating to your skin. Try using a pea-sized amount of product once or twice a week, then work your way up to nightly as tolerated. Having glowing, youthful-looking skin isn’t just a matter of luck, nor does it require investing in the most expensive skin care lines. Your daily habits truly can make all the difference, so put these practices into place to keep your skin at its healthiest! HS

HealthScopeMag.com

WHERE YOU LIVE SHOULD NOT DETERMINE WHETHER YOU LIVE Our community need is now greater than ever in our fight against breast cancer

komencentraltennessee.org

YO U LO O K MA RV E LO U S ! â&#x20AC;&#x201D; Across the Chattanooga region, exceptional skin, body, and facial cosmetic enhancements are offered for both men and women. What follows are several of our areaâ&#x20AC;&#x2122;s most accomplished practices and the exceptional services that they offer.

HealthScopeMag.com

YOU LOOK MARVELOUS!

BOTOX® COSMETIC

For Treating Wrinkles An Interview with:

Cindy Wilson, NP Owner & Founder

HealthScopeMag.com

How do you develop a Botox plan for each client? Our patients’ safety, comfort, and results are our top priority, so we sit down with every client and discuss all of their beauty goals and skin woes. Then, we create a personalized plan based on their time frame and budget.

SPECIAL PROMOTIONAL SECTION

About how long does the appointment take? Botox only takes a few minutes. We want our clients to feel comfortable and relaxed during their time with us. We have a curated selection of refreshments, blankets, iPads, and more to help them feel at ease. If at any point they need anything, they can simply let us know, and we will be happy to provide it for them.

How long does it take to recover from the procedure? There is no pain or down time with Botox Cosmetic. We use an advanced injection technique so that patients can return to their daily routine.

How do you follow up with your patients after a Botox procedure? Are there follow-up visits?

About the Clinic About Us: Cúrate MedAesthetics is a boutique MedSpa offering expert advice, personalized skincare plans, and amazing results. What we offer: We offer a comprehensive menu of medical aesthetic treatments and skincare solutions including Botox, Facial Filler-Contouring, HydraFacial, Laser Resurfacing, and Microneedling. Specialties: We specialize in delivering beautiful, natural results with a focus on comfort, safety, and exceptional outcomes. Certifications: Nurse Practitioner, MSN, Licensed Medical Aesthetician, Certified in VI Peel, Microneedling, Dermaplaning Allergan Medical Institute Faculty and Trainer Cúrate MedAesthetics Cambridge Square 9447 Bradmore Lane, Suite 201 Ooltewah TN, 37363 423.661.3244 curatethelife.com @CurateMedAesthetics @CurateMedAesthetics

We call our clients the next day to make sure they don’t have any questions or concerns. We love to see our patients back in two weeks for their “after” picture reveal. It is exciting to see the transformation and hear all of the compliments they received.

What is your philosophy when it comes to the care for your patients? Natural is beautiful. I use just enough Botox Cosmetic to lift brows, soften lines, and enhance the client’s best features. From pretty little prevention to facial refinement, it’s all about helping clients feel and look their best!

l-r: Paige Gordon, Stacey Blevins, Cindy Wilson, Annemarie Peace, Morgan Wheeler

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L I P A U G M E N TAT I O N

For Naturally Plump Lips An Interview with:

Cami Killom, NP

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How do you develop a lip injection plan for each client? Lip injections are performed by a medical professional using a hyaluronic acid filler. In developing a plan, we assess our clientâ&#x20AC;&#x2122;s baseline anatomy during

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consultations and also his/her outcome wishes. That determines which product we choose.

How long do lip injections last? Lip injections typically last 10-12 months. However, this all depends on the person’s metabolic rate.

How and where is the procedure performed? The procedure is performed in the office by a licensed health care provider using specialized and precise techniques with a needle. Topical numbing cream is applied to ensure the patient’s comfort. After the patient is numbed, we begin the procedure to achieve a perkier pout.

What steps does a patient need to take following the procedure?

About the Clinic About Us: We offer results-driven, non-surgical solutions for facial aging as well as enhancement options. What we offer: Dermal Fillers, Neurotoxins (BOTOX®, Dysport), Laser Rejuvenations/ Skin Tightening, Body Contouring Lasers, Kybella, Facial Contouring Lasers, Hydrafacials, Skincare, and Permanent Makeup Specialties: Dermal Fillers for Full Face Correction, Lip Fillers, and Laser Rejuvenation Certifications: Family Nurse Practitioner, Registered Nurse, Certified in Dermal Fillers, Neurotoxins, Sculptra, Kybella, and Platelet Rich Plasma Procedures through Allergen, Galderma, and MERZ Revive Aesthetics & Wellness 1605 Gunbarrel Road Chattanooga, TN 37421 423.994.3194 wereviveu.com @WeReviveU @revive_aesthetics

Patients should avoid exercise and apply ice to the lips off and on (no longer than 30 minutes at a time) for the first 24 hours. Following the procedure, patients should sleep with a pillow that elevates the head at night.

What is your philosophy when it comes to the care of your patients? We individualize each patient’s plan of care, always avoiding a cookie-cutter approach. Our philosophy is to never change a person’s appearance! We strive to enhance his/her natural attributes through facial rejuvenation services.

l – r: Cami Killom, Traci Lyons

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DERMAL FILLERS

For Anti-Aging Skin Care An Interview with:

Rex A. Yannis, MD Supervising Physician

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What are dermal fillers? Dermal fillers, also called injectable fillers and soft-tissue fillers, are aesthetic products approved by the Food and Drug Administration (FDA) to help add volume and shape a natural, youthful facial appearance. They can add fullness back to age lines, frown lines, crowâ&#x20AC;&#x2122;s feet, marionette lines, and more.

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How do you develop a dermal filler plan for each client? We are intensely focused on being attentive to our clients’ needs and well-being, and when a client visits us, they have our undivided attention. We ask our client if there are particular areas of concern, then assess her/his facial features. Our caring staff discusses treatment options to achieve the results desired.

How do you choose the right filler for your clients? Because genetics, as well as a client’s daily activities, can impact results, we thoroughly screen each client to determine which filler to use. For example, athletic clients tend to metabolize hyaluronic acid fillers at a higher rate than nonathletic clients.

How long does it take to recover from the procedure?

About the Clinic About Us: Center for Facial Rejuvenation is an upscale, modern aesthetics practice rooted in medical professionalism, clinical excellence, and attentive care. What we offer: Non-surgical – RF Microneedling, Laser Hair Removal, Chemical Peels, EPIONCE Skin Care, Jane Iredale Cosmetics, Latisse, BOTOX®, and more Surgical – Blepharoplasty (Eye Lifts), Brow Lifts, and more Specialties: We specialize in blepharoplasty, brow lifts, and other facial cosmetic surgeries as well as non-surgical treatments for the face and neck, injectables, facial and body treatments, and more. Certifications: American Academy of Ophthalmology, American Society of Ophthalmic Plastic and Reconstructive Surgery, American Academy of Cosmetic Surgery, Master Certification specific to injectables from the American Association of Aesthetic Medicine and Surgery, NP, LNP, and Licensed Aestheticians Center for Facial Rejuvenation 7268 Jarnigan Road, Suite 204 Chattanooga, TN 37421 423.648.2035 chattanoogaface.com @CFRChattanooga @cfr_chattanooga

There is little to no down time required for most of our nonsurgical procedures. In the case of fillers, some swelling or bruising may occur, although we offer complimentary treatments to minimize bruising if needed.

How do you follow up with your patients after a dermal filler procedure? Every client is called the day following their injection to check in. Clients are scheduled for a follow-up visit within 10-14 days of the original appointment.

l-r: Trisha Grimes, Rochelle Henson, Amanda Hearn, Lisa Marshall, Kathy York, Rex Yannis, Becky Gerholdt, Lacy Gill, Christie Dean, Meredith Bell, Tammy Dismuke

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VA R I C O S E V E I N S

Love Your Legs Again! An Interview with:

Christopher LeSar, MD

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What causes varicose veins? Varicose veins, or blue bulging veins of the lower extremities, are caused by local or central venous hypertension. Elevated venous pressure will cause a superficial vein to dilate, elongate, and thicken. Patients “feel” venous hypertension differently – it’s often described as pressure, heaviness, or pain.

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What types of treatment are available? If the superficial venous system is the problem causing the varicose veins, an ablation technique can be used to close the source vein, leading to improvement of the symptoms. Laser therapy (EVLT) and medical glue (VenaSeal) are both options. Occasionally phlebectomy is added to remove very large veins through a small incision. Sometimes symptoms originate from the central veins within the abdomen associated with obstruction, which is treated with balloon venoplasty and stent therapy.

Where are these procedures performed? Almost all of the venous procedures today are performed in the office as outpatient. These procedures are minimally invasive and are tolerated well with sedation and local anesthesia.

What is the recovery time?

About the Clinic About Us: The Vascular Institute is a specialized medical-surgical practice dedicated to the care of patients suffering with vascular disease. What we offer: We are experts in the region providing comprehensive medical and surgical PAD treatment, amputation prevention, venous care, and dialysis access. Specialties: Peripheral Artery Disease Specialists, Amputation Prevention, Extremity Wound Care, Varicose Vein Treatments, Venous Disease, Dialysis Access, Diagnostic Ultrasound, Smoking Cessation Programs Certifications: Our ultrasound lab is an accredited lab by the IAC (Intersocietal Accreditation Commission), and all our providers are board-certified by the American College of Surgeons. Vascular Institute of Chattanooga 2358 Lifestyle Way, Suite 100 Chattanooga, TN 37421 4312 Holiday Inn Express Way NW, Suite 105 Cleveland, TN 37312 101 Crye Leike Drive Fort Oglethorpe, GA 30742 423.602.2750 vascularinstituteofchattanooga.com

@vicvascular @VIChattanooga Vascular Institute of Chattanooga

It is important to take a few days off for proper recovery. I tell patients if the procedure is on a Friday, then Monday is fine to return to work.

What types of results should I expect? I would expect that venous symptoms of pressure, heaviness, or pain are significantly reduced after the various procedures. Superficial veins should be flattened or less visible with the ablation techniques or gone if phlebectomy was also completed. Patients often report a significant improvement in quality of life scores.

l â&#x20AC;&#x201C; r: Hailey Scott, Diane Baggett, Will Russell, Sherrie Ferrer, Christy Gregory

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

I thought the peak of my journey to self-love/awareness was in my adolescence. But while I experienced freedom from body shame, I had truly only scratched the surface of understanding my value. In my mid-20s, I was diagnosed with an autoimmune disease. This trial and the journey it was about to take me on would awaken an even deeper seeking of truth and understanding within me. I had no clue what an autoimmune disease was at the time. My life quickly altered, and doctors were prescribing what the rest of my life would look like. Fear of the unknown quickly arose, and not being able to have control welcomed anxiety. All of a sudden, I had to rediscover this new body and how

it was fighting against itself. I felt myself go back to that young girl that felt disconnected with her body. This time, it wasn’t only my external self that felt foreign to me, but it created self-doubt about who I was and what my purpose would be. Am I worthy? Am I gross? Do I have value? I leaned into these questions, and God began showing me it was okay to know and love myself. He was revealing that healing needed to take place deep within so that the internal would reflect positively in the external. I began to understand I had the power to shift my self-talk from negative to life-giving inner dialogue. I was learning that I was incredibly strong, vulnerable, and compassionate – qualities I would have never

allowed myself to own previously. In hindsight, this journey was harvesting a renewal. A Crohn’s disease diagnosis transformed into a new beginning. It taught me the power of compassion, community, curiosity, and leaning into my gifts and imperfections. It transformed the way I speak and care for myself and the value I see in others. It has also sparked an undeniable passion to serve women and help them know their worth. Now I have the honor of walking alongside women who are journeying through autoimmune wellness, self-love, and empowerment as a life coach. I am grateful for my story.

Ashley Onusic NORTH CHATTANOOGA

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I was born in the United States and moved to Guatemala when I was 4 years old. My father is a surgeon, my mother a nurse, and I learned early on the value of helping people. Guatemala is a beautiful country, but many people there are extremely poor. They struggle with access to health care and education, and they deal with social issues and language barriers that I didn’t have to. My father made sure I was aware of the many struggles around me, as well as my privileged life. When I hit my mid-20s, I started to feel restless and unhappy; I needed a change. I was ready to move and experience something new, so I moved back to the United States. I worked in restaurants, schools, did babysitting jobs – anything I could do to make ends meet. For the first time in my life, I experienced the challenge of communicating in English, a language I wasn’t proficient in because the language I used most was Spanish. I was someone nobody knew, starting all over in a society I didn’t understand. One year after moving here, I was diagnosed with systemic lupus, and the prognosis was not good. But I decided to stay here, because I was not going to be controlled by a disease. Lupus will challenge you in many ways, forcing you to navigate the complicated medical system and become your own advocate. Lupus doesn’t define me, but it has enabled me to truly appreciate my health, my body, and my life. I learned to be resilient and recognize better days are ahead. I also understand the value of help and helping others. I now guide and support others with their struggles through a nonprofit community organization. I believe there is a lesson behind the setbacks, and it all depends on the perspective we choose to have and the lessons we want to learn. The person you see struggling today may be you tomorrow. It’s strange; the people who I thought were so different from me were more like me than I could have ever imagined.

Jessica Cliche EAST CHATTANOOGA

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HER STORY

I have spent 20 years of my career raising funds for CHI Memorial. I frequently talk with patients about their experiences and work with physicians regarding funding needs to better care for patients. One of the high points of these years has been the work I’ve been a part of to create the MaryEllen Locher Breast Center. Never could I have imagined that I would be the one to hear: “You have breast cancer.” But I did get that call on February 19, 2019. Our family was immediately thrown into a whirlwind of medical appointments, tests, and a steep learning curve on the world of oncology – and I thought I knew this stuff! Chemotherapy, radiation, and multiple surgeries followed. At the end of January 2020, I was able to stand on the stage at the Pink! Gala and announce I was cancer-free. What a feeling! Through that difficult year, our family was overwhelmed by the love and support we received from friends near and far, including acquaintances and some people we didn’t even know. We had meals delivered, thoughtful gifts, flowers, cards, texts, calls, and lots of prayers. Despite all of the bad that goes along with having cancer, we tried to find the good at every turn and focus on being positive. I now stand on the other side with a completely different appreciation for this community, which gives so generously to make places like the MaryEllen Locher Breast Center possible. I can truly understand what our patients are experiencing – I got to sit side by side in chemo, saw others going through the same thing in the lobby for radiation every day, and make new friends as we talked about handling side effects and tips for how to tie your head scarf. I hope I am now a more compassionate person and able to much more quickly and comfortably reach out when I hear of a friend going through a health crisis. I am thankful for the friend who told me to look for the blessings – they were there all along!

Jennifer Nicely NORTH CHATTANOOGA

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When I was a young adult, a perfect storm hit my predisposed brain, and I developed an eating disorder. I felt out of control in my post-9/11 world, and I sought to control my body in response. I quickly became obsessed with food, weight, and exercise. In trying to gain control of something, I ended up losing control and harming my health, relationships, and life. I wasn’t sure how I would graduate college as I spent all my time in my disordered behaviors. Fortunately, I had great support and wanted help. I started seeing a therapist and a dietitian with eating disorder experience. I also found dance. For a naturally curvy girl, dance never seemed accessible to me, but then I stumbled into a belly dance studio. The movements felt wonderful. I began to see beauty in myself and other natural bodies learning to move. Over time, I became much more interested in my chosen art than the number on the scale. I learned how powerful my body was when I listened to her. I needed food to fuel my body for dance, and I needed rest to restore my brain for college. Love of belly dancing trickled into loving all types of movement and body awareness. I learned to listen to my hunger and fullness cues, and I noticed how my body felt when I needed to set boundaries. Eventually I graduated and obtained a master’s degree in dance/movement therapy, and now I’m able to help adults struggling with eating disorders and substance abuse. I’ve found that in addition to talk therapy, dance/ movement therapy and yoga can be used to connect the mind, body, and spirit in healing. Lessons I learned from this experience were that our bodies are a source of wisdom, life is much richer in recovery, and your worst times can set you on a brand-new path. If you’re struggling, I hope you’ll reach out to someone. Trust that you can someday use your struggle to help someone else. This is a scary time in our world, but our struggles can be our greatest teacher if we support each other. HS

Lauren Higgins, MS, BC-DMT ST. ELMO

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

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inspired: Stephanie Sinkfield inspiration: Beverly Muse My husband, Gerald, came home 16 years ago and told me he had met this wonderful silver fox at church. After meeting her, I realized I had met a dear friend and mentor for life. Beverly Muse is the epitome of a Renaissance woman. She is beautiful, wise, and brilliant; she has a calm demeanor and a magnetic personality. Bev, as we call her, has a vast background that includes working for the Chattanooga Police Department for more than 25 years, a licensed insurance agent for more than 15 years, an

BEV

aquatics aerobics instructor for the City of Chattanooga, an avid cupcake baker, and a fur collector. And, she is the coolest mom of two amazing young men and the Gran Mama of three children. What I love the most about Bev is her zest for life. She embraces each day with an energy that people half her age have. She is a fashionista and wears a signature spiky hairstyle that proceeds her. Bev is my friend, confidant, cheerleader, and mentor. An old African proverb says, “A friend is someone you share the path with.” I am delighted our paths crossed some 16 years ago!

“An old African proverb says, ‘A friend is someone you share the path with.’ I am delighted our paths crossed some 16 years ago!”

STEPHANIE

INSPIRED

inspired: Heather Sveadas inspiration: Cory Phillips When I met Cory almost 12 years ago, she and I were juggling the demands of multiple young children after moving to a city where we did not have family. As our friendship grew, so did our family sizes, and it was only days after we each gave birth to our last children that Cory asked me the question that changed our friendship forever. “I want to run a half marathon. Do you want to sign up for the race with me?” Cory asked. We were both postpartum, and I thought that was crazy! “Why in the world would you want

“Thank you, Cory, for pushing me to cross my first finish line and for the years of great memories.”

to run 13 miles?” I questioned. “Because I have my health, and I can,” she replied. That was 10 years ago. Cory and I trained together for 13.1 miles that first year because she would not let me quit. Every year since, we return to the same place to run another 13.1 or 26.2 miles, and each year more inspiring women join the “run journey.” Thank you, Cory, for pushing me to cross my first finish line and for the years of great memories. There will be a day when we cannot do this, but today is not that day!

CORY

HEATHER

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inspired: Lynda Minks Hood inspiration: Linda Moss Mines “A strong woman understands that the gifts such as logic, decisiveness, and strength are just as feminine as intuition and emotional connection. She values and uses all of her gifts.” - Nancy Rathburn Anyone who knows Linda Moss Mines knows that she is a genuine, inspiring person. I have witnessed firsthand how she has inspired many students through her years of teaching, her volunteer work as the Hamilton County Historian, leading the Board Authority for Erlanger Health System, establishing the Medal of Honor Heritage Museum, numerous years supporting and now leading the Chief John Ross Chapter of the Daughters of the American

Revolution, plus much more – all while being a caretaker, standing beside her husband during a most difficult time in their lives. For almost a year, she would live in Nashville to be with Tony while he was undergoing treatments for cancer. But she never lost faith, and she inspired everyone around her. Even with the diversion in her immediate path, she visibly demonstrated the faith, love, courage, and grace that accompanied her each day. She remained steadfast and faithful to her family and the work she embraces, all while staying positive. Linda deserves to be recognized, and I am honored to celebrate my friend.

LYNDA LINDA

“She visibly demonstrate(s) the faith, love, courage, and grace that accompanied her each day.”

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inspired: Jenifer Amato inspiration: Jennifer Shaughnessy

From a young age I knew I wanted to start my own business. The only problem was I wasn’t sure what that business was going to be. So, there was a period of about 10 years where I tried out different business ventures only to realize they weren’t the best fit. When most people were shaking their heads at me for attempting yet another business, that wasn’t the case with my friend Jennifer Shaughnessy. Jennifer and I met our freshman year of college, and she’s been a supportive, caring, and inspiring friend ever since. While others were advising me to give up, she was encouraging me to continue pursuing my dream. Today I own a small business that I absolutely love, and I never would have made it this far without Jennifer. She helped me paint the walls and hang shelving and décor; she brought me coffee or lunch on long days; she acted as a sounding board for my ideas. Not only does she take the time to support and be there for others, she also runs her own successful business – her strength and her drive to succeed inspire me daily! I will continue to be thankful for her friendship for years to come. HS

JENNIFER

“She’s been a supportive, caring, and inspiring friend ... While others were advising me to give up, she was encouraging me to continue pursuing my dream.” JENIFER HealthScopeMag.com

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Reconnecting with Friends BY MARY BETH WALLACE

“Make new friends, but keep the old. One is silver, the other gold.” You may or may not be familiar with this song – made popular by the Girl Scouts of America – yet the message rings true. Friendships, both new and old, are essential to our well-being and can help us thrive as individuals. But sometimes, life gets in the way of our oldest relationships: Your high school buddy attends a different college, your best friend moves three states away, or you have a falling out with the person who used to be your closest confidant. Years pass, and you’re left wondering, “Is it worth reconnecting with these old friends? How would I even start?” Dr. Kim Eckert, a clinical psychologist with Roots Counseling Center, spoke with us about the value of old friends and how to begin the process of reigniting those relationships. THE GIFT OF “OLD” FRIENDS There’s something special about old friends. They’ve loved you at your worst, cheered you on

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at your best, and often played a major role in your life. Dr. Eckert explains, “Old friendships remind us of who we are underneath our roles and responsibilities. They can remind us of the qualities or characteristics that have been part of our identity and been sustained over time. There’s also something precious about a friendship that has been maintained over the years, even if life has taken you in different directions.” If you’ve allowed one of your best friendships to wither, it may be time to bring that person back into your life. While not all old friendships are worth pursuing (for a variety of reasons), it can be a rewarding experience to reconnect with someone you love. HOW TO REVIVE AN OLD FRIENDSHIP First, you need to identify the meaningful people in your life whom you miss. Maybe it’s a college roommate, maybe it’s your childhood neighbor, or maybe it’s someone you’ve only lost touch with for a few months. Then, you have to take the leap – and social media is a great place to start. “In the current cultural landscape, social media is a helpful tool for reconnecting with friends in a nonthreatening way,” Dr. Eckert says. “With just a simple friend request or a brief personal message, you can reach out and test the waters to discover

How do you approach a friend whom you’ve hurt in the past? Dr. Eckert advises taking ownership and apologizing for what you did or said (or what you didn’t do or say). She adds, “If you suspect that you may have hurt a friend, but you don’t know what you did, then you might share your desire to make amends. Communicate directly that you care about them and miss them. Tell them you are interested in hearing their story about what happened in your friendship. Let them know that you want to make it right.” If your friend chooses to open up to you, listen and try to understand their perspective in order to move forward.

if an old friend is interested in reconnecting with you. This allows both parties to consider whether they want to reignite a friendship without pressure.” At this step, it’s important to manage expectations of how the friendship will play out. “Remember that any friendship involves two people – with two different sets of expectations and memories of the friendship from the past,” shares Dr. Eckert. “If you are interested in reviving a friendship, all you can do is reach out and communicate that desire to the other person. It’s up to them to decide how to respond.” Once you’ve reached out and your friend has responded positively, you can begin making plans – and actually set a date! A coffee run or Saturday brunch are examples of casual, yet intimate activities that allow you to chat one-onone, fostering essential communication that sets the stage for the next step of your friendship. Embrace that the interaction may be awkward at first; if nothing else, you can swap stories of past memories that will help build the bridge to more current topics. HS

DR. KIM ECKERT CLINICAL PSYCHOLOGIST ROOTS COUNSELING CENTER

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Lexi White’s Full-Body Burn A Guided, At-Home Workout P H OTOGRAPHY BY E MILY LONG

“You are 8 minutes away from feeling stronger and more energized! This House of Balance workout will increase your heart rate, tone your muscles, and boost your confidence.” -Lexi White, Founder and Owner, House of Balance Fitness — Complete each exercise for 45 seconds of work, 15 seconds of rest. Repeat 2-3 times for an extra challenge. For more information and more workouts, visit HouseofBalanceFitness.com

Plank Jacks Start in an extended arm plank position, shoulders over your wrists and your body in a straight line with your feet together. Without moving your upper body, jump both feet out to the side and return them to center at a swift pace, like a jumping jack.

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Curtsy to Lateral Lunge Step your left leg wide to the left into a lateral lunge, bending your left leg. Keep your chest lifted and weight in your left heel. Push off your left foot and cross the left leg behind your right leg into a curtsy, bending both knees. Repeat for 45 seconds and then switch legs.Â

Half Burpees Set up in a high plank position with your hands under your shoulders and feet about shoulder-width apart. Then jump both feet up to the outside of your hands into a squat position. Jump your feet back and repeat.Â

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Standing Side Crunch Stand up straight with your feet hip-width distance apart and your hands behind your head. Shift your weight to the right leg and crunch to the left side, bringing your left knee toward your left elbow. Lower your leg and stand up straight. Repeat HS for 45 seconds and then switch sides. HS

Reverse Lunge to Knee Up Begin with your legs parallel, hip-width distance apart. Take a step back with your left leg, bending both knees at a 90° angle so your back knee hovers the floor. Extend both knees, transferring your weight onto your right foot and at the same time, lift your left leg and bring your knee to your chest. Repeat for 45 seconds and then switch to the opposite leg.

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EAT WELL

Eat Your Eggplant Eggplant Parmesan is a favorite dish for many, but if that’s your only experience with eggplant, you’re missing out! This nightshade veggie, easily recognized by its shape and shiny purple skin, has a rich, hearty texture that makes it a great substitute for meat. Whether roasted, baked, or sautéed, eggplant can be the perfect complement to any number of recipes – from ratatouille to soups, stews, and curries. And with nutrients like potassium, fiber, and vitamins A and C, eggplant supports heart health and can help prevent certain diseases. The following Chattanooga locals have created recipes that highlight this true star of summer. Read on for their easy-to-execute eggplant dishes! Photography by Rich Smith

LIVE WELL

Did you know? While it’s called “eggplant” in the United States and Canada, residents of the United Kingdom refer to eggplant by its French name: aubergine.

Hummingbird Pastaria’s Caponata (Sweet and Sour Eggplant) BY PATRICK HALLORAN, OWNER & EXECUTIVE CHEF | SERVES 4-6 AS AN APPETIZER Ingredients

2 Ibs. eggplant, peeled and diced 3 oz. extra-virgin olive oil 1 small onion, diced 2 oz. kalamata olives, cut in half 2 oz. capers 1 oz. garlic, chopped 1 small fennel bulb, julienned and blanched in salt water 2 ribs celery, chopped and blanched in salt water 2 cups roma tomatoes, peeled and chopped 2 oz. golden raisins, plumped in Marsala wine 3 oz. white wine 3 oz. sherry vinegar 3 oz. honey Salt, to taste

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Directions

1. After peeling and dicing the eggplant, salt the pieces and press in a colander for 1 hour. 2. Heat a sauté pan over medium heat and add oil. Add eggplant and caramelize for 5 minutes. Return the eggplant to the colander and allow to drain. 3. Deglaze the pan using onions, olives, and capers. Cook until onions are soft. 4. Add garlic, fennel, celery, tomatoes, raisins, white wine, and eggplant to the pan. Cook for 10 minutes until sauce begins to thicken. 5. Add vinegar and honey. Reduce heat and simmer for 2-3 minutes. 6. Adjust to taste with more salt, vinegar, or honey. Enjoy hot or cold.

LIVE WELL

Kate Veltkamp’s Grilled Eggplant Rollatini with Lemon Tahini Sauce MAKES APPROXIMATELY 10 Ingredients

For the rollatini: 2 Italian eggplants, sliced lengthwise into strips Olive oil, for grilling 1 1/2 cups vegetable broth 1 cup Israeli couscous 1/2 onion, diced 1 clove garlic, minced 1/2 vine-ripened tomato, diced 1/2 cup vegan feta cheese (optional) Juice of 1 large lemon 1/4 cup kale, finely chopped 1 Tbsp. fresh basil, finely chopped 1 Tbsp. fresh parsley, finely chopped Salt and pepper, to taste For the lemon tahini sauce: 1/4 cup tahini Juice of 1 medium lemon 2 tsp. maple syrup 1/2 tsp. garlic powder Pinch of salt 2 Tbsp. water to thin

Signal Mountain resident Kate Veltkamp is a food blogger and plantbased chef. She teaches cooking classes locally and online and is passionate about making vegan food for her family and community.

Directions

1. To reduce the bitterness of the eggplant, cover slices in salt and place in a colander to drain for 30 minutes. Before grilling, wipe down with a napkin to remove salt and bitter liquid. 2. Brush a small amount of olive oil on each eggplant slice and grill until lightly charred, about 2 minutes each side. Transfer to a plate. 3. Meanwhile, bring vegetable broth to a boil in a medium-sized pot. Reduce to a simmer and add couscous, cooking and occasionally stirring for about 8 more minutes until all liquid is absorbed. Transfer to a bowl. Stir in the remainder of the rollatini ingredients. 4. Lay out an eggplant slice and spoon some couscous onto the end closest to you. Roll the slice away from you and tuck under. Repeat with remaining slices. 5. Whisk together all tahini sauce ingredients and taste to see if it needs any adjustments. Drizzle over the top of the completed rollatini. Garnish with any leftover basil before serving.

Photos Courtesy of Kate Veltkamp

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LIVE WELL

T H E F I T N E S S 5 : Comelia Franceschi, BRAINERD, TN

TOP 5 WAYS TO WORK OUT If your exercise routine could use a little variety, you’ve come to the right place. Here, former fitness instructor Comelia Franceschi shares five different ways she gets a workout in throughout the week. “I’m not married to one type of workout,” Comelia says. “Mixing it up not only prevents boredom, but it helps me to build new muscles and prevent injuries. Plus, it keeps me excited about exercising!”

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Zumba “What better way to work out than when it doesn’t feel like exercise at all? For me, Zumba is more like a fun dance experience with friends. The choreographed moves get your heart rate up and burn tons of calories.”

HIIT “Because of my busy life, time is often an obstacle when it comes to exercising. That’s why HIIT, or high-intensity interval training, is perfect when on the go – 25 minutes, and my workout is done. Best of all, no equipment is needed, so the exercises are easy to do in the comfort of my own home.”

Turbo Kick “This full-body workout has become one of my new favorites! Offered at the local YMCA, Turbo Kick classes are challenging yet approachable at the same time. They’re a great mix of aerobics and martial arts, and they build endurance.”

Outdoor Running “By no means would I consider myself a runner; however, hitting the pavement and trails in some of Chattanooga’s most scenic areas has become a way for me to escape the busyness of life and connect with the beautiful outdoors.”

Pole Fitness “If you want to really spice up your workout routine, look no further than pole fitness. This is a fun cardio workout that improves strength and flexibility while working muscles I didn’t know I had! It targets the entire body and is a great workout that I enjoy with friends.” HS

Comelia is a Kindergarten teacher, wife, and mom to two active boys. With a lifelong passion for fitness, Comelia has experience as a college dancer, fitness competitor, and Zumba instructor. 122

HealthScopeMag.com

Because of

...

protect

I can my community.

Major Tommy Bradford was doing what his 25 years as a Dade County police officer calls for him to do every day … protect his community. Having been notified that a police chase had crossed state lines and was headed for their county at the exact time school was scheduled to let out, Major Bradford was attempting to put out spike strips just as the fleeing truck topped the hill at 90 miles per hour. The truck’s driver lost control and slammed into Major Bradford, leaving him fighting for his life. The impact left Major Bradford with severe injuries to his left leg and major trauma to much of his body. Still conscious but losing a tremendous amount of blood, he army-crawled to the shoulder of the road where a passing motorist and fellow police officer soon found him and used a belt to attempt to slow the bleeding until help arrived. LIFE FORCE airlifted him to Erlanger where his left leg was partially amputated, and he remained in ICU for several days before coming to Siskin Hospital. Upon his arrival at Siskin Hospital, the severity of his injuries had left him unable to walk or perform many of the daily self-care activities he formerly took for granted. However, he was met with a team of caring and dedicated therapists and nurses, determined to help Major Bradford regain the skills he had lost. Their knowledge and expertise were matched by their encouraging words and enthusiastic attitudes, and Major Bradford soon found himself progressing quickly. As he learned how to do simple things again like shower, get out of bed and maneuver in and out of a car, his confidence began to rise. When the day came to return home, Major Bradford felt comfortable and assured that he was ready to step back into his active life once more. Today, Major Bradford is back where he belongs…on the job, proudly serving the citizens of Dade County.

Because of Siskin Hospital, I CAN!

Siskin Hospital is Tennessee’s largest acute rehab hospital. The experienced and dedicated staff at Siskin Hospital will guide patients with innovative and successful rehabilitation programs, services and equipment in the Chattanooga area. Designed to fit individual needs and provide continuity of care, Siskin Hospital’s Inpatient, Outpatient and SubAcute Programs provide seamless care to promote health and independence. Siskin Hospital is the ONLY rehabilitation hospital in the region to be accredited by both CARF and Joint Commission, exemplifying the exceptional rehabilitation given by the caring staff every day. For more information, visit www.SiskinRehab.org or call 423.634.1200.

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for Physical

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