HealthScope® Magazine Late Summer 2021 by CityScope & HealthScope Magazines

L AT E S U M M E R 2 0 2 1 $ 5 .9 5

CHRONIC KIDNEY DISEASE WHAT YOU CAN DO

GOING OLD-SCHOOL HELPING KIDS REACCLIMATE TO IN-PERSON LEARNING

TO OPTIMIZE YOUR KIDNEY HEALTH

ADHD IN GIRLS 5 COMMON QUESTIONS

LASER HAIR REMOVAL

ABOUT THE CONDITION

WHAT TO KNOW BEFORE YOU GO

STYLE IS IN THE BAG!

OKRA MY GOODNESS! HEALTHY RECIPES FOR FRESH, HOMECOOKED MEALS

VACATION LOOKS FROM LOCAL RETAILERS

MEET OUR CAREGIVERS LOVE, CARE, & SERVING OTHERS

SOOTHE YOUR SUNBURN EXPERT TIPS FOR TREATMENT

NUTRITION MISTAKES 6 COMMON ERRORS YOU MAY BE MAKING

ANNUAL

A DVA N C E M E N T S IN MEDICINE SECTION

See page 74 for Cover Model Jennie Gentry’s story!

IS IT TIME FOR YOUR CHILD’S SPORTS PHYSICAL? If your child needs a sports physical, we can help you ensure they are in good shape and healthy. And just in case planned school activities don’t go as smoothly as expected, our digital x-ray lab and expert staff are ready to help you early or late, seven days a week. No appointment is needed, so just stop in when it is convenient.

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Morning Pointe Alzheimer’s Center Reopens After Tornado

ast Easter, a powerful EF-3 tornado tore through Hamilton and Bradley counties, leaving a trail of destruction and a devastated community in its wake. Morning Pointe of Chattanooga and The Lantern at Morning Pointe Alzheimer’s Center of Excellence – the premier assisted living and memory care campuses, both located on Shallowford Road – were damaged to the point of inhabitability. The storm also hit near the beginning of the COVID-19 pandemic, which presented additional relocation challenges and health concerns for residents. But Morning Pointe persevered thanks to the quick mobilization of its staff and the help of its neighboring community. “Our team was preparing as the tornado was coming over Lookout Mountain,” says Greg Vital, president of Morning Pointe Senior Living. “From the moment it hit, they went into a different mode of operation.” Hard work and strong leadership meant that the Shallowford locations were able to rise from the ashes quickly and efficiently. Last November, five months after the tornado struck, Morning Pointe of Chattanooga reopened after a complete rebuild. The Lantern, a state-of-the-art Alzheimer’s memory care community, was also rebuilt from the ground up and reopened this July.

The 2020 Easter tornado and COVID pandemic displaced many of The Lantern’s former residents, some of whom moved to new facilities, while others stayed with family. But 12 returned to the brand-new campus, which offers two levels of memory care programming: The Lamplight, for those living with early-to-moderate stages of Alzheimer’s disease, and The Lantern, for those in late-to-moderately severe stages. “The Lantern really is Greater Chattanooga’s premier Alzheimer’s center of excellence,” says Vital. “Not only in physical structure, but in the types and levels of care we’re providing. We strive to give our residents at every level of cognitive awareness the most meaningful day possible.” The Lantern at Morning Pointe Alzheimer’s Center of Excellence offers state-of-the-art amenities and security to residents. The one-level living community took 14 months to complete and is comprised of 59 single-room apartments. “Every area has been turned into something purposeful,” says The Lantern at Morning Pointe's executive director Alisha Landes, LPN. In addition to life skills stations, a secure courtyard that contains special musical therapy instruments, and a calming room to soothe residents, the campus also has several personalized touches to make community members feel at home. ADVERTORIAL

PRESIDENT GREG VITAL AND EXECUTIVE DIRECTOR ALISHA LANDES

“This is more than an institutional environment,” says Vital. “It incorporates both programmatic and clinical techniques, along with the latest in calming programs, clinical care, and medication. It’s also aesthetically pleasing for both the resident and family, providing dignity and respect.” Murals and portraits of local locations and citizens line the walls so that residents might reminisce and connect when they lounge and dine. Apartments also come with a memory box feature located in the hallway outside each door. The families create these boxes and can fill them with photos and mementos that help residents find their rooms and recall special moments from their lives. Day-to-day life at The Lantern at Morning Pointe is also structured to maintain comfort for residents. “Structure is very important for someone with Alzheimer’s,” says Landes, who recently completed her extensive Teepa Snow Positive Approach to Care™ dementia training – making her one of the few leaders in the region with this level of training. “They need to know that at a certain time, a certain thing will happen. They thrive in a structured environment.” After a year of so much change and uncertainty, a structured lifestyle is a relief for not only the residents, but their families,

too. They can rest assured that their loved ones are getting the best care at The Lantern at Morning Pointe Alzheimer’s Center of Excellence, where their comfort remains the top priority and where there is always proximity to necessary medical services. “Morning Pointe has been resilient, but so has the community around us,” says Vital. “And this is really a microcosm of the larger community that we live in. Our residents are now in a safe place and surrounded with things that make them feel secure. I think we can all be proud.”

7620 Shallowford Rd, Chattanooga, TN 37421

Call 423-551-4190 today to schedule a tour, or go online at morningpointe.com.

Publisher’s Letter

“Take rest; a field that has rested gives a bountiful crop.” — OVID

It’s that time of year to dust off the backpacks, practice packing lunches, and get back into a routine as the school year draws near. While this season is always exciting, the reintroduction of hectic schedules and competing demands can be draining – even stressful – to parents and kids alike. Over the next few months, remember that you’re never too busy to rest – use downtime to rejuvenate, get good sleep every night, and learn to say no to extra commitments that drain you. Rest is essential to your overall health and well-being, which we emphasize in this late summer issue of HealthScope® magazine. Our feature “Identifying Irritable Bowel Syndrome” shares the signs and symptoms of IBS and what you can do to combat it, from stress reduction to diet modification and exercise. In “Chronic Kidney Disease: From Detection to Treatment,” we learn ways to optimize your kidney health. Unfortunately, our children are not immune to adversity, and in “ADHD in Girls,” we discuss the importance of managing this neurological disorder. This issue also features the section “Meet Our Caregivers,” which showcases the exceptional caregivers in our area who are using their talents to serve and heal their patients. Additionally, don’t miss our annual “Advancements in Medicine” section, in which we detail new technology, processes, and treatments available in our own backyard.

These cutting-edge offerings, ranging from custom hearing aid devices to immediate dental implants, are enhancing patient care. There are many more articles inside for you to discover, including top vacaGeorge Mullinix tion looks from area PUBLISHER boutiques, healthy okra recipes, and tips from local moms on starting the school year stress-free. “Her Story” continues to highlight four ladies who have faced hardship head-on, while “Inspired” celebrates women who are making our community a better place. Last, but certainly not least, check out our interview with cover model Jennie Gentry. Proving age is just a number, Gentry has embraced her 50s by continuing to strengthen her body, her relationships, and her spiritual life – and she shares her hard-earned wisdom with us here. We hope that you find this late summer issue of HealthScope® magazine to be informative and uplifting, and that it will remind you to take a step back from the busyness – for your sake, and your health’s. Blessings always,

Celebrating 32 Years! HealthScopeMag.com Follow HealthScope® and CityScope® magazines and Choose Chattanooga® Chattanooga Resource & Relocation Guide® on Facebook and Instagram!

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I NT RODUC I NG T H E A L L- NEW

2022 MAVERICK AND 2022 LIGHTNING!

Meet the latest and most revolutionary vehicles in the family. The 2022 Maverick is the first standard hybrid pickup truck, and the 2022 Lightning is the first electric pickup truck. Join us in welcoming the future of the pickup truck.

E V R E RES ! Y A D O T S YO U R

Contents Be Well 28

Identifying Irritable Bowel Syndrome

ADHD in Girls 5 Common Questions About the Condition

“Health and

Know What to Look For

wellness mean

40 Chronic Kidney Disease: From Detection to Treatment

more than eating my vegetables and

Optimizing Your Kidney Health

taking the stairs.

44 Hearing Loss as You Age

When to Seek Medical Advice

It’s all about how I treat myself and

Stay Well

others.”

Annual Advancements in Medicine Section 52

Limb Amputation Prevention

Dental Crowns

Knee Replacement Surgery

Periodontal Bone Regeneration

Hearing Aid Technology

Stroke Care for Younger Adults

Anesthesia

Robot-Assisted Bariatric Surgery

Medical Reference Apps

Immediate Dental Implants

Hearing Loss and Its Comorbidities

- JENNIE GENTRY

Look Well

HealthScopeMag.com

Meet Our Model Jennie Gentry

Style Is in the Bag! Vacation Looks for Summer

Best Brushes for Every Budget Top-Performing Hairbrushes

How to Soothe a Sunburn Expert Tips for Treatment

80 Laser Hair Removal

6 Facts to Know Before You Go

We’re Expecting!

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

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

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

Scan here to learn more.

Contents 90 Meet Our Caregivers Love, Care, & Serving Others

84 Jenni Wilson Forming Long-Lasting Relationships

86 Alisha Landes

Leading Through Service

88 Faedra McKitrick Joining Patients on

Their Journey

Her Story Motivating Stories From Local Women

100

Keosha Brewster

Susan Reynolds

Ariel Anthony

Rita Haskew

Feel Well 95

Back to School Tips for a Stress-Free Year from Area Moms

96 Going Old-School

Helping Kids Reacclimate to In-Person Learning

Inspired Women Celebrating Women 101

Lauren Hall & Gena Ellis

102 Jasmine Pulliam & Dr. Shewanee Howard-Baptiste

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103

Sydnee Buchanan & Louise Cha

104

Sabrena Smedley & Brenda D. Turner

SKIP THE MASTER’S BSN to DNP Program Become an advanced practice nurse and earn a doctor of nursing practice at the same time. Our BSN to DNP program mentors bachelor’s degree-level graduates, as they gain the necessary RN experience, through an advanced nursing practice emphasis of their choice. Options include: • DNP/MBA • Lifestyle Medicine • Nurse Educator • Nurse Practitioner (emphases include Acute Care–Adult/Gerontology, Primary Care–Adult/Gerontology, Family, and Psychiatric Mental Health) Call or visit online to find out how to get started.

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Contents

HealthScopeMag.com Late Summer 2021 • Vol. 32 Issue 6

106 Live Well

Departments Health in a Minute

106 Okra My Goodness!

Healthy Okra Recipes From Locals

110 6 Nutrition Mistakes You Might Be Making

How to Fix These Common Diet Blunders

For the Whole Family

For Her

For Him

For Moms

22 Health & Wellness Calendar 24 Ask the Doctor 26 Staff Spotlight 48 Silver Side

112 Matthew Sheets’ Functional Home Workout

A Guided, At-Home Workout

L AT E S U M M E R 2 0 2 1 $ 5 .9 5

ABOUT THE COVER CHRONIC KIDNEY DISEASE WHAT YOU CAN DO

GOING OLD-SCHOOL HELPING KIDS REACCLIMATE TO IN-PERSON LEARNING

TO OPTIMIZE YOUR KIDNEY HEALTH

ADHD IN GIRLS 5 COMMON QUESTIONS

LASER HAIR REMOVAL

ABOUT THE CONDITION

WHAT TO KNOW BEFORE YOU GO

STYLE IS IN THE BAG!

OKRA MY GOODNESS! HEALTHY RECIPES FOR FRESH, HOMECOOKED MEALS

VACATION LOOKS FROM LOCAL RETAILERS

MEET OUR CAREGIVERS LOVE, CARE, & SERVING OTHERS

SOOTHE YOUR SUNBURN EXPERT TIPS FOR TREATMENT

NUTRITION MISTAKES 6 COMMON ERRORS YOU MAY BE MAKING

Cover model Jennie Gentry runs marathons, naps like a champ, and is always up for a challenge. Her 50s are proving to be one of her best decades yet, and she’s sharing her hard-earned wisdom with us on page 74.

Publisher

George Mullinix

Sales & New Business Development

Cailey Mullinix Easterly

Sales & Business Development

Katie Faulkner

Art, Creative, & Design

Emily Pérez Long

Design

Lauren Robinson

Managing Editor

Christina Cannon

Editors

Kathy Bradshaw Anna Hill Lindsey June Mary Beth Wallace

SEO/Digital Marketing

Micah Underwood

Marketing Assistant

Alysse Parris

Photographers Lanewood Studio Rich Smith

Emily Pérez Long Sarah Unger

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

ANNUAL

A DVA N C E M E N T S IN MEDICINE SECTION

See page 74 for Cover Model Jennie Gentry’s story!

Photo by Lanewood Studio

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

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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

Don’t Worry About a Sting HOW TO TREAT JELLYFISH STINGS

All Hail the Kale!

Nothing ruins a fun day at the beach like a jellyfish sting. While the majority of the approximately 2,000 jellyfish species are ocean-dwellers, freshwater jellyfish do exist, and some can be found here in Tennessee. If you’re planning any time in the water this summer, this information on treating jellyfish stings might come in handy. WHAT TO DO IF YOU GET STUNG:

1 2

Get out of the water and treat the sting immediately.

Remove any remnants of tentacles – or the stinging cells within, which are known as nematocysts – using tweezers. These stinging cells remain active while on the skin, so wear gloves. Rinse the skin with vinegar and soak it in hot water for 30 to 40 minutes.

There’s a reason that kale has reached the upper echelons of superfood status. It’s low-calorie, nutrient-rich, high in antioxidants, cancer-fighting, and mineral-packed. In fact, kale just might be one of the healthiest foods on earth. Here are some of kale’s best qualities. > Kale is a leafy green that is a cousin of cabbage. In just one cup, it has nearly seven times the recommended amount of vitamin K and double the amount of vitamin A, along with many other vitamins and minerals. > Kale can reduce cholesterol and help fight heart disease. > It contains compounds that lower the risk of certain cancers. > Kale is also high in beta-carotene, calcium, and potassium and has more vitamin C than an orange. Therefore, kale supports bone health, lowers blood pressure, and fights diabetes. > It’s good for your eyes! > Kale is versatile and fits in many recipes. Try it sautéed, baked into chips, blended in a smoothie, made into a pesto, mixed in a soup, or as a topping on pizza or the base for a salad.

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Often, the pain of the sting will eventually turn to intense itching. Any discomfort can be treated with hydrocortisone cream or an antihistamine. Cold packs and pain relievers such as ibuprofen can also help, as may hot water.

Certain jellyfish are especially dangerous and can even be deadly, and some people are especially sensitive to jellyfish stings or may be allergic. If a sting seems to be causing a more severe reaction, call 911 or head to the ER.

When a loved one’s return to independence depends on you,

DEPEND ON US. Love is a powerful healer. We witness its benefits day after day as we partner with devoted caregivers to help restore independence If you or someone you love has lost independence, depend on us for rehabilitation. We start by providing information you need to feel comfortable with our approach to advanced therapy and care. Then we create custom routines of recovery to address unique needs. Depend on us. Learn more at encompasshealth.com/chattanoogarehab

2412 McCallie Avenue • Chattanooga, TN 37404 423.698.0221 • Fax 423.697.9117

STAY TOGETHER

BEST FRIENDS FOR LIFE

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ALLERGY • ASTHMA • SINUS

TESTING & TREATMENT Marc Cromie, MD; Todd Levin, MD; Lee Perry, MD; Jennifer Patel, MD; Jessica Van Mason, MD; Hyman Kaplan, MD

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

Wide- pen Eyes on the

pen Road

HOW TO AVOID TRAVELING TIRED AND STAY AWAKE WHILE DRIVING

There are many reasons you might find yourself tired behind the wheel, from a long drive to monotonous scenery. Drowsy drivers not only risk falling asleep, but their alertness and reaction times are also affected. The best rule is to never drive tired, but if sleepiness sneaks up on you while you’re on the road, here are some tips to stay safe.

Pull over and take breaks. If parked in a safe area, get out for a short walk. Do some simple exercises to wake yourself up or take a quick nap. Choose healthy and energy-rich snacks. Most roadside gas stations sell fresh fruit and nuts that can give you a boost, while those tempting chips and candy can actually induce fatigue. Caffeine – such as a hot coffee or tea – can also help for short periods. Chewing sugar-free gum is another useful stay-awake option. Don’t drive alone. Driving with someone else means that you can swap out drivers when one of you is tired. It also gives you someone to talk to, which will keep you more alert. If no one else is in the car, call someone (hands-free of course) to chat. Use good judgment. Don’t drive late at night or when you’re already tired. And if you’re just too sleepy to keep going, don’t. Find a hotel and get back on the road once you’re well rested.

A LAUGHING MATTER Laugh Your Way to Good Health Things that are funny tend to make us feel good – but laughter is good for us in ways that go beyond just the enjoyment provided by a great joke or amusing Facebook meme. Here are a few benefits of laughing that ought to put a smile on your face. If you’ve ever laughed until your stomach hurts, you might not believe it – but laughter can help your body naturally relieve pain. Did you know that laughing intensely for an hour can burn as many calories as lifting weights for 30 minutes?

Laughing provides health benefits for your heart, lungs, and muscles. Laughter helps you feel less stressed and more relaxed. Laughter can help you ward off illness by improving your immune system. Laughter increases endorphins and can improve your mood. It even fights depression and anxiety and encourages happiness. Laughing can bring you closer to other people, make you feel good about yourself, and help you better cope with circumstances. She who laughs last, lives longest? Some studies suggest that a good sense of humor can help increase your lifespan!

HealthScopeMag.com

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

Tips for the Long Run: Training for a Marathon

DO OR DIET

Is running a marathon on your bucket list? Whether you’re a seasoned runner who just hasn’t gone the full distance yet or a newbie only starting to get moving, you’ll need to prepare before completing your first 26.2. Here are some training tips that will have you up and running in no time.

Diets Offering More Than Just Weight Loss

• A good marathon training program takes at least four months. Count on running three to five times per week, gradually increasing your distance over time, and including one longer run weekly. Use your non-running days for other forms of exercise and to allow your body to rest. Consider a trial run (literally) with some shorter races, such as an organized 5K or 10K event, to practice for the big one.

For some, diets are a way to lose weight or build muscle, but they can also simply be about life choices and healthy eating. Here is a list of several popular diets that go beyond just slimming down or calorie-counting.

• Depending on your fitness level and goals, decide if you’re going for a particular time or just aiming to cross the finish line, no matter how long it takes. Keep your goals realistic and attainable. • Good shoes are crucial! Make sure you have the right ones. • Leading up to race day, eat healthy high-carb meals, hydrate, and taper your training runs. • There are plenty of apps out there that can guide you through daily run distances, necessary nutrition, reasonable running times, and more.

KETO DIET. Originally created for children suffering from epilepsy, the keto diet requires eating low-carb, high-fat foods, such as meat, eggs, cheese, and avocados. By reducing their carbohydrate intake, keto dieters believe that the reduced glucose (sugar) levels in the blood will cause the body to burn fat instead. Keto may also help fight heart disease, cancer, Parkinson’s, and Alzheimer’s.

MEDITERRANEAN DIET. Based on what people traditionally eat along the Mediterranean coast, the diet by the same name is heavy on plant-based foods, including fresh fruit, vegetables, grains, and seeds, along with fish and a limited amount of dairy. It is known for improving overall health and fighting disease.

RAW FOOD DIET. This diet is all about natural foods – specifically, plant-based, preferably organic, non-processed foods, often uncooked. Raw fooders believe that the diet helps them feel better, both mentally and physically, and keeps them healthy.

PALEO DIET. With the paleo diet, people eat like the cavemen ate, consuming “hunter gatherer” foods such as lean meats, fish, fruits, vegetables, nuts, and seeds. The motivation behind this diet is a return to eating simple, whole foods. Paleo may also help control blood pressure and appetite and lower triglycerides.

HealthScopeMag.com

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

SNACKS IN A SNAP Fast and Delicious Munchies for Kids

From after-school snacks to refreshment duty for your kid’s soccer team, there are many times when you’ll need to prepare some small bites for the children in your life. If you need a little munchie motivation, here are a few quick, easy, and tasty goodies that you can whip up in no time. Carrots and Hummus

This snack is no-effort and sure to please. Just pick up a container of hummus (or make your own) and a bag of baby carrots, and you’re good to go. Frozen Blueberry Yogurt Bites

Cover individual blueberries in yogurt and freeze. Done!

Selecting a Sitter Making Sure Your Choice of Babysitter Sits Well With You

When you’re walking the fine line between the desire to get out of the house and do something kid-free and the hesitation of leaving your little ones in someone else’s care, the best solution is to find an awesome babysitter. But how do you do this? Here are some ways to screen potential sitters and what to do once they’re left alone with your children. Network and ask around. The best babysitters are ones who come recommended. Investigate, inquire, and don’t be afraid to check references. This goes without saying, but carefully look at your sitter’s past experience and qualifications – such things as previous babysitting jobs, maturity level and personality, and any relevant training.

Pizza Toast

Put bread slices on a cookie sheet and top with pizza sauce, mozzarella, and additional toppings (such as mini pepperonis) as desired. Bake until the cheese melts. Peanut Butter Apple Sammiches

Cut an apple into round slices, and then remove the core from the center of each slice to form an apple ring (for added pizazz, use a cookie cutter to get a fun-shaped cutout in the middle). Spread peanut butter on an apple slice, add raisins, and top with another slice to form a sandwich.

Let the babysitter meet your kids and see how they interact. Go over details with your new sitter, from what your children are allowed to do (think TV time or having friends over) to specific preferences (no crusts on their PB&J?) to bedtime hours. Also, make sure to leave emergency numbers and a number where you can be reached. Get a review from your children after the fact. They have seen the babysitter in action firsthand, and it also helps if they like the sitter. So, their opinion really counts.

HealthScopeMag.com

Turkey and Veggie Pinwheels

Spread vegetable cream cheese on flour tortillas. Top each one with sliced turkey and fresh spinach. Roll up and slice into 1-inch pieces.

HEALTH & WELLNESS CALENDAR

August

September

7 Crush Autism Disc Golf Tournament

11 VICtory Run

Sponsored by Prodigy Disc, the Crush Autism Disc Golf Tournament is scheduled for August 7 at the Westside Park Disc Golf Course in Rocky Face, Georgia. All skill levels – from novice to pro – are encouraged to participate! Event organizer Leslie Marshall hopes to raise $5,000, with proceeds benefiting Siskin Children’s Institute. To register and learn more about the tournament, visit the website and search “Crush Autism.” DISCGOLFSCENE.COM

7 Believe Bash

Plans are underway for Erlanger Foundation’s 5th annual Believe Bash gala. With a theme of “Under the Big Top,” the 2021 gala will include red carpet festivities, cocktail and dinner hours, a live auction, and live entertainment. Proceeds from the event will support the new Pediatric Outpatient MRI and Procedure Center at Children’s Hospital at Erlanger’s Kennedy Outpatient Center. ERLANGER.ORG/BASH

28 Big Hair Affair

The second annual Big Hair Affair is set to celebrate the Chattanooga Kidney Foundation’s 1989 founding. Grab your friends and your favorite throwback attire from the ‘80s or ‘90s and join the foundation at The Walden Club for this totally rad evening full of dancing, food and drinks, trivia, a silent auction, and more. KIDNEYFOUNDATION.COM/ BIG-HAIR-AFFAIR

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Held at Camp Jordan in East Ridge, the VICtory Run aims to help prevent unnecessary amputations by bringing awareness to our regional amputation problem. The event begins at 8 a.m., and participants can choose between a 10K, 5K, and mile-long fun run. All proceeds benefit the Access for Care fund, which is managed by the Medical Foundation of Chattanooga. VICTORY10K5K. ITSYOURRACE.COM

17 & 25 Kickin’ It for Kids With Cancer

For nearly the last decade, the Austin Hatcher Foundation for Pediatric Cancer has partnered with the women’s soccer team at Lee University for this incredible fundraiser that provides a memorable night out for the families the foundation serves. This fall, there are two opportunities to get in on the action: Cheer on the Lee University Lady Flames on September 17, or join the Chattanooga Red Wolves for an evening of soccer, food, and fun on September 25. HATCHERFOUNDATION.ORG/KICKINIT

18 No Show Ball Chattanooga

Save the date for the No Show Ball, where the event comes to you! On September 18, a cooler bag with dinner for four inside will be delivered straight to your doorstep. Your cooler will include dishes and wine from local restaurants. All funds go directly toward the Forrest Spence Fund helping critically or chronically ill children and their families. FORRESTSPENCEFUND.ORG/EVENTS/ NO-SHOW-BALL-CHATTANOOGA

25 StarNight 2021

Featuring an elegant dinner and cocktail party at the beautiful Westin Hotel, StarNight is back in 2021 with an inperson event to remember. The evening begins at 6:30 p.m., and on the schedule is an exciting live performance by Bizz & Everyday People with Wendell “Bizz” Bigsby-Church and Katrice Donaldson. All proceeds from StarNight – which celebrates its 60th year in 2021 – benefit the Siskin Children’s Institute. SISKIN. ORG/STARNIGHT

26 Little Debbie IRONMAN Chattanooga

McKee – A Family Bakery presents IRONMAN Chattanooga, which brings in triathletes from all over the country. Participants must tackle a 2.4-mile swim in the Tennessee River, 116 miles of biking into North Georgia, and a twoloop marathon run through downtown Chattanooga, finishing at Ross’s Landing. Registration is sold out, but spectators are welcome and encouraged to cheer on the athletes on race day. IRONMAN.COM

30 Friends of Special Children ABC Event

From 5:30 to 7:30 p.m., the 16th annual Friends of Special Children ABC Event Red Rover, Red Rover, Let’s Do the Friends Playground Over! will take place under the big tent at 109 N. Germantown Road. Co-chairs Mike and Judy St. Charles will lead the effort to raise $175,000 for improvements to SIGNAL CENTERS’ fully inclusive therapeutic playground. Attendees will enjoy dinner by Choo Choo BBQ, craft beer from Naked River Brewing, select wines from Chattanooga Wine & Spirits, and a live and online silent auction. FRIENDSOFSPECIALCHILDREN.ORG

October 9 Chattanooga Walk to End Alzheimer’s

Each year, the Chattanooga Walk to End Alzheimer’s raises critical funds to help find a cure for Alzheimer’s disease. Head downtown to AT&T Field to join this walk – registration begins at 8 a.m., with the two-mile walk to follow at 9:30 a.m. Each registered participant will receive a Promise Garden Flower to honor someone with Alzheimer’s or dementia, or to support the cause itself. ACT.ALZ.ORG/CHATTANOOGA

16 Celebration of Life and Hope

Make plans to attend the 14th annual Celebration of Life and Hope, the largest fundraising event for the Austin Hatcher Foundation for Pediatric Cancer. This event, to be held at the foundation’s newly

opened Education Advancement Center, will see more than 450 guests enjoying signature drinks, fabulous food, live entertainment, and live and silent auctions. Eric and Jennifer Fuller serve as co-chairs, while leukemia survivor Tyler Xavier and his family are this year’s honorees. HATCHERFOUNDATION.ORG/ CELEBRATE

17 7 Bridges Marathon

Complete with a live DJ, medals, food, and much more, Chattanooga’s largest marathon is returning Sunday, October 17. The 7 Bridges Marathon begins at Coolidge Park at 7 a.m. and crosses four bridges downtown, as well as two “upgraded” bridges on the North Chick Greenway. Other dayof races include a half-marathon, relay race, 5K, and family fun run. SEVENBRIDGESMARATHON.COM

23 Dare to Dance

Based on popular television show Dancing With the Stars, the

Chattanooga Kidney Foundation’s Dare to Dance event is always a crowdpleaser. Local celebrities are paired with professional dancers to compete in a dance-off at the Chattanooga Convention Center, with the winners to bring home the coveted mirror ball trophy. Attendees of the exciting evening will enjoy dinner, drinks, and souvenirs in addition to the show. KIDNEYFOUNDATION.COM/DARETO-DANCE

30 2021 Komen Chattanooga MORE THAN PINK Walk For the second year, the Susan G. Komen MORE THAN PINK Walk will be a virtual event – participants are encouraged to “walk where they are” and log 6,000 steps for their commitment to end breast cancer. Also on event day, participants can join the Komen organization online to hear stories from survivors and learn about the impact of Komen’s research and advocacy. Download the app to get the full MORE THAN PINK experience! KOMENCENTRALTENNESSEE.ORG

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ASK THE DOCTOR

A. You definitely have reason to be

curious about the changes you have seen in your daughter. The global pandemic and the changes that have come with it have led to an increase in eating disorders in adolescents. What you are seeing could be early signs that she is developing an unhealthy relationship with food. It is worth sitting down with her and letting her know what you have observed and asking if she is okay. More teens are trying to control things such as food and their bodies when other parts of life are difficult to deal with. This can be a way of distracting from unpleasant emotions. Unfortunately, this can lead to disordered eating behaviors, such as restricting or dieting, emotional eating, binge eating, over-exercising, and more. If you find that she is struggling, help is available, and early intervention is key to recovery.

My teen daughter no longer wants to go with me on grocery store trips and keeps looking for excuses not to go out to dinner with the family.

Could this be due to a negative relationship with food, or am I just overthinking things?

Courtney Phifer, MS, RD, LDN, CEDRD Certified Eating Disorders Registered Dietitian & Director of Eating Disorder Outpatient Services Focus Treatment Centers focustreatmentcenters.com

Q. My surgeon has discussed endovascular surgery to repair an aneurysm. How is this different from traditional vascular surgery, and what are the benefits? A. Traditionally, abdominal aortic and thoracic aneurysms were repaired through a large incision either in the abdomen or the chest to replace the diseased portion of the aorta with a synthetic conduit. This required a prolonged hospital stay, often in the ICU, and a potentially long recovery with significant risk to the patient. While this is still necessary in some patients, very often, aneurysms of the aorta can be repaired in an endovascular fashion with modern stent grafts. These are implanted through smaller incisions made in the groin, and in some cases, can be done with minimal amounts of anesthesia. Recovery from these procedures is much faster than open aneurysm repair, with the majority of patients going home the next day. Mortality and morbidity rates are lower with the endovascular approach than with the open approach, and it has been shown to be a durable, excellent repair for aneurysmal disease. William Harris, DO Vascular & Endovascular Surgeon Vascular Institute of Chattanooga vascularinstituteofchattanooga.com

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Q. I’ve been told the risk for hip fracture increases dramatically after age 50. Are there things my husband and I can do to prevent it? A. The incidence of hip fractures increases with age, doubling for each decade after age 50.

Most hip fractures happen to people older than age 60. Caucasians and Asians are more likely to be affected than others, and women are more prone to them than men. This is because more women than men suffer from osteoporosis (bone loss). To prevent hip fractures, individuals should ensure they are taking enough calcium every day and engaging in regular weight-bearing exercise, such as walking, jogging, or hiking. Exercise programs like Tai Chi help promote strength and balance. Other preventive measures may include eating a calcium-rich diet, stopping smoking, avoiding excessive alcohol use, keeping objects off the stairs and floors to prevent falls, using slip-resistant rugs, installing grab bars in the tub, installing nightlights from the bedroom to the bathroom, and avoiding standing on unsteady furniture or ladders. Amjad Munir, MD Medical Director Encompass Health Rehabilitation Hospital of Chattanooga encompasshealth.com/chattanoogarehab

Q. My son recently sprained his ankle while playing soccer. Although it is now healed, is there a higher risk of it being re-sprained? If so, what can we do to prevent another injury?

A. An ankle sprain is when one or more ligaments of the ankle are injured due to being stretched beyond their normal capacity. There are several grades of ankle sprains, ranging from being overstretched to being torn or ruptured. Generally speaking, the worse the swelling, the more severe the injury; however, your foot and ankle specialist would be able to determine the severity of the injury. Ankle sprains are one of the most common injuries in athletes. This is in part because an athlete who sustains an initial ankle sprain is at an increased risk of another. Because an estimated 20% of recurrent ankle sprains can result in persistent pain and instability, prevention is of utmost importance. In your son’s case, it sounds as if he is out of the initial healing stage, but he is still at risk for a recurrent sprain within the next year. Certain modalities can contribute to decreasing the incidence of recurring ankle sprains, such as ankle bracing or taping, peroneal tendon strengthening, and joint position exercises. Jason Wamack, DPM Foot & Ankle Specialist Center for Sports Medicine & Orthopaedics sportmed.com

Q. I don’t smoke and have healthy levels of cholesterol, but I have a family history of heart attacks. Is this really a major risk factor, and how proactive should I be about my heart health? A. You are doing many correct things from a lifestyle standpoint, so congratulations! Unfortunately, family history of heart disease is a nonmodifiable risk factor for you. When we say family history, we specifically mean heart disease in a man before 55 years of age or in a woman before 65 years. This alerts us that your genes may place you at higher risk for the early onset of disease. Regardless, optimizing all of your risk factors can lower your risk substantially – family history or not! Not smoking and having optimal cholesterol levels are important, but you should also focus on the other five components of the American Heart Association’s Life’s Simple 7 – which include diet, exercise, weight, glucose, and blood pressure – to be the healthiest you that you can be! Alison Bailey, MD, FAACVPR, FACC Chief of Cardiology Parkridge Health System parkridgehealth.com

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STAFF SPOTLIGHT

CHI MEMORIAL MEDICAL GROUP Ashley Platzer, PA-C

Anthony Whitney, MD

Ashley Platzer has joined CHI Memorial Family Practice Associates – Soddy-Daisy. Platzer earned a master’s degree in physician assistant studies and a bachelor’s degree in dietetics. She is also a certified Department of Transportation medical examiner.

Dr. Anthony Whitney, a family medicine physician, is now seeing patients at CHI Memorial Primary Care Associates – Cleveland. Dr. Whitney is a member of the American Academy of Family Physicians and is certified by the American Board of Family Medicine.

SISKIN HOSPITAL

SISKIN HOSPITAL Aaron Spinks

Kyle Binkley, DPT

Aaron Spinks has been named the administrator of Siskin Hospital’s SubAcute Program. Spinks brings more than 12 years of leadership experience in the skilled nursing and long-term care industry, and he is a licensed nursing home administrator and licensed preceptor.

Dr. Kyle Binkley, director of Siskin Hospital’s Outpatient Therapy Services, has passed the Geriatric Certified Specialist exam. This certification is awarded by the American Physical Therapy Association. Dr. Binkley is also certified in Mechanical Diagnosis and Therapy.

ERLANGER HEALTH SYSTEM

Matthew Oliver, MD

Laura Thomas, DO

Dr. Matthew Oliver has joined Erlanger Women’s Oncology. This board-certified, fellowship-trained gynecologic oncologist attended medical school at East Tennessee State University and completed a residency at Memorial University Medical Center in Savannah, Georgia.

Children’s Hospital at Erlanger welcomes Dr. Laura Thomas, a pediatric neurologist, to its medical team. Dr. Thomas worked as a high school science teacher before attending the Edward Via College of Osteopathic Medicine in Spartanburg, South Carolina.

PARKRIDGE HEALTH SYSTEM

CHI MEMORIAL MEDICAL GROUP

LIFE CARE CENTER OF HIXSON

Paul Fridenstine

Brian Horvath

Paul Fridenstine has been appointed chief financial officer of Parkridge West Hospital and the Parkridge Valley behavioral health system. Fridenstine has over 25 years of accounting experience, 13 of which have been spent in the healthcare industry.

Brian Horvath has been named executive director of Life Care Center of Hixson. Horvath has a bachelor’s degree in longterm care administration from Southern Adventist University. He most recently served as executive director at Life Care Center of Morristown, Tennessee.

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

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ADHD 5 Common Questions

ttention Deficit Hyperactive Disorder, often referred to as ADHD, is one of the most common neurodevelopmental conditions found in children. The first thing that many people think of when they hear the term is a hyper child who has trouble focusing on the tasks in front of them; however, symptoms are more varied and complex than that – and are often misdiagnosed in female children. We’re here to discuss how ADHD presents differently in girls than in boys and how that might impact their daily lives.

BY ANNA HILL

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How does ADHD present differently in girls compared to boys? A common misconception about ADHD is that there is only one type. However, there are actually three:

INATTENTIVE. This subtype presents most commonly through

symptoms such as frequent distraction, poor concentration, and trouble with organizational skills. HYPERACTIVE - IMPULSIVE. The hyperactive aspect of this subtype often displays itself through constant fidgeting, excessive talkativeness, and difficulties with slowing down or staying on task. The impulsive element of this subtype presents through symptoms such as constantly interrupting others or taking unnecessary risks. COMBINED. This subtype is fairly self-explanatory. Those

experiencing combination ADHD exhibit symptoms from both inattentive and hyperactive-impulsive subtypes. A child’s diagnosis regarding subtype depends on which symptoms they exhibit most prominently. “Of the three different subtypes of ADHD, girls will more often have the inattentive subtype,” says Dr. John Heise, who specializes in adolescent medicine at the Children’s Hospital at Erlanger. Girls are more likely to exhibit less disruptive symptoms of ADHD, and therefore aren’t always initially identified as someone who might have the disorder. “A girl may be chattier in the classroom but struggle to stay focused on tasks, whereas a boy may be out of his seat and disrupting the teacher during a lesson,” explains Megan McCullah Burrows, a physician assistant at Siskin Children’s Institute.

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

MEGAN MCCULLAH BURROWS PHYSICIAN

What challenges do these differences present?

Because girls are less likely to exhibit the more disruptive and externalized symptoms than boys with ADHD, adults around them might be much slower to realize that there’s a problem. “Younger boys are more likely to be brought in for assessment due to hyperactivity or behavioral concerns, while girls are more likely to be missed at a younger age because, though they might not be paying attention, they likely aren’t getting in trouble in class as much,” says Dr. Heise. Unfortunately, these differences can result in a delay in diagnosis and treatment for girls with ADHD. Boys are currently diagnosed with ADHD at twice the rate that girls are, and undiagnosed ADHD can present many difficulties for girls. “In addition to a delay in diagnosis and treatment, social development and relationships may be affected as well,” Dr. Cindy Chestaro, a developmental pediatrician with Siskin Children’s Institute, explains. “Self-esteem in girls can be more affected than in boys, which may result in higher instances of anxiety and depression in adolescent years.” The challenges that ADHD can create for girls when it comes to concentration and organization can also negatively impact their grades in school, especially in older grades where the material can become very complex.

ASSISTANT, SISKIN CHILDREN’S INSTITUTE

DR. CINDY CHESTARO DEVELOPMENTAL PEDIATRICIAN, SISKIN CHILDREN’S INSTITUTE

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3 Is ADHD treated the same way for girls as it is for boys? Though ADHD frequently presents differently in girls than it does in boys, ADHD is first and foremost a neurodevelopmental disorder, and every subtype of it traces back to the same root issue – a neurochemical imbalance in the brain. Therefore, treatment is far more dependent upon the needs of the patient as an individual instead of their gender. “The American Academy of Pediatrics recommends a combination of medication and behavioral therapy for patients ages six and older,” says Burrows. “This medication may include a stimulant or non-stimulant prescription, or both.” It’s also important for healthcare providers to work with children to ensure that they find the right balance of medication, therapy, and their benefits vs. side effects to find an optimal treatment plan.

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What happens if ADHD is left untreated in girls? As girls with undiagnosed ADHD get older, the growing awareness that they have to work much harder than their peers in school who don’t have ADHD can do significant damage to their self-esteem. “Furthermore, if girls with ADHD display hyperactive-impulsive symptoms, they are more likely to be seen as too talkative, forceful, or emotional,” shares Dr. Chestaro. Internalization of this can impact them negatively to the point of also developing mood disorders. “Girls with ADHD are 2.5 times more likely to develop depression or anxiety compared to girls who don’t have ADHD,” Dr. Heise explains.

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What steps should a parent take if they think their daughter might have ADHD? If you notice that your daughter is struggling with any of these symptoms, don’t panic – there are many ways that you can help her. “First and foremost, celebrate your child’s unique traits and identify their strengths while supporting the differences and challenges that may come with an ADHD diagnosis,” says Dr. Chestaro. Try to learn as much as you can about the condition – that way, you’ll be able to better understand and support your child. “We would encourage parents of girls with ADHD to watch for symptoms of other coexisting conditions such as anxiety, depression, substance use, or eating disorders,” adds Burrows. “Girls are more likely to have these comorbidities than boys in their teen and adolescent years.” It’s also important to emphasize to your daughter that she should take an active part in her treatment. Encourage her to speak to her healthcare providers about her thoughts and feelings, as well as about what’s working for her and what’s not. This can help her feel more active in her treatment plan, which can lead to her taking a greater investment in it. “ADHD is a common disorder and is often easy to treat,” reassures Dr. Heise. If you think your daughter might be struggling with a type of ADHD, talk to her about it. HS

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Guiding You to Financial Independence

We’ve got one goal in mind: Yours. Designing and implementing a personalized financial plan simplifies your life and gives you peace of mind about being prepared for the future. 633 Chestnut Street, Ste 1100 | Chattanooga, TN 37450 | 423-385-1411 | SternerFinancialGroup.com John Sterner uses The Sterner Financial Group as a marketing name for doing business as representatives of Northwestern Mutual. The Sterner Financial Group is not a registered investment adviser, broker-dealer, insurance agency or federal savings bank. Northwestern Mutual is the marketing name for The Northwestern Mutual Life Insurance Company, Milwaukee, WI (NM)(life and disability insurance, annuities, and life insurance with long-term care benefits) and its subsidiaries. John Sterner, is an Insurance Agent of NM. Investment advisory services provided as an Advisor of Northwestern Mutual Wealth Management Company®, Milwaukee, WI, a subsidiary of NM and a federal savings bank.

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Identifying Irritable Bowel Syndrome BY A N N A H I L L

ecurring digestive issues such as irritable bowel syndrome (IBS) can be an incredibly disruptive and sometimes even debilitating problem in your daily life. However, those suffering can sometimes be hesitant to talk about it or reach out to a healthcare professional simply because it can be an uncomfortable and embarrassing topic. Fortunately, there are a lot of different treatment options, and there are medical professionals who understand your struggles and are here to help.

Irritable bowel syndrome (IBS) is a digestive disorder that affects your large intestine. While many people diagnosed with IBS don’t frequently experience severe symptoms, it is unfortunately a chronic condition and will need to be managed in a long-term fashion.

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Signs & Symptoms The symptoms of irritable bowel syndrome are very common digestive symptoms – the key indicator of the condition is that you’ve been suffering from them for a prolonged amount of time. The most recognizable symptoms of IBS include:

• Abdominal pain, cramping, or bloating, particularly in relation to passing a bowel movement • Gas • Diarrhea, constipation, or both • Changes in the appearance and frequency of bowel movements

DR. ANTHONY WHITNEY FAMILY PRACTICE PHYSICIAN, CHI MEMORIAL PRIMARY CARE ASSOCIATES – CLEVELAND

DR. CAMILLE SOMMER

DR. BRANDEE ALBERT

GASTROENTEROLOGIST,

GALEN DIGESTIVE HEALTH

HAMILTON PHYSICIAN GROUP

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“As this is a chronic condition, these symptoms can wax and wane over many years,” says Dr. Anthony Whitney, a family practice physician with CHI Memorial Primary Care Associates in Cleveland. IBS can also be triggered by sensitivities to certain foods, such as citrus, wheat, dairy products, beans, or carbonated drinks. Another major trigger for IBS is stress. Many people experience more frequent or more severe symptoms if the stress levels in their life have increased.

Causes Though IBS is a fairly common condition, the exact cause of it isn’t fully known. However, there are several factors that medical professionals believe can play a role. Infections. In some cases, IBS may develop in someone after they’ve experienced a severe case of diarrhea that’s been caused by a virus or bacteria. The condition might also be associated with an excess of bacteria in the intestines.

Childhood stress. Children frequently exposed to highstress situations or events in early life might be at higher risk for IBS. Intestinal muscle contractions. The muscles that line your intestinal walls are what moves your food through your digestive tract. If the muscles contract too strongly or for too long, it can lead to gas and bloating, while weak muscle contractions can lead to constipation. Nervous system abnormalities. If the nerves in your digestive system aren’t functioning as they should, there might be a disconnect in the coordination between your brain signals and what should be happening in your digestive tract, which can lead to discomfort or difficulty with bowel movements. There are also factors that make you more likely to experience IBS, such as being female, being under the age of 50, having a history of mental health issues, or having a family history of the condition.

Diagnosis IBS can sometimes be difficult to diagnose, as there are many other conditions that mimic it. These conditions include celiac disease, lactose intolerance, inflammatory bowel disease, dyspepsia, and acid reflux. “Other underlying non-GI disorders such as thyroid disease or connective tissue disease can also present with gastrointestinal symptoms that mimic those of IBS,” explains Dr. Camille Sommer, a gastroenterologist with Galen Digestive Health. Rarely, more serious conditions such as colon cancer might be mistaken for IBS. “In order to keep these more serious conditions ruled out, it is important that all patients over 45 undergo a colonoscopy or another form of colon cancer screening,” says Dr. Brandee Albert, a gastroenterologist with Hamilton Physician Group. When it comes to diagnosing IBS, there aren’t any definitive tests for it – it has to be diagnosed via ruling out other possible conditions. “After such conditions have been ruled out, to be diagnosed with IBS one should fit the Rome IV criteria: symptoms of abdominal pain on average at least once weekly associated with a change in stool frequency, a change in stool form, and/or relief or worsening of abdominal pain related to bowel movements,” says Dr. Sommer.

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Treatment Once a healthcare provider diagnoses you with IBS, you’ll find that there are several different approaches to treating it, which are often prescribed in combination with each other. “IBS is treated with diet modification, stress reduction, increased exercise, and occasionally with medication,” Dr. Whitney explains. “Symptoms are often worse when people are undergoing periods of significant stress in their lives, so stress reduction is an important treatment for IBS.” Dietary changes are often key to managing your condition. “IBS is primarily managed with the low FODMAP diet, which is a diet low in fermentable carbohydrates,” explains Dr. Albert. Many medical professionals, including Dr. Sommer, advise you to begin by keeping a food diary of what you eat so that

you can track which foods and drinks seem to worsen your symptoms and adjust your diet accordingly. It often helps for those with IBS to limit intake of gasproducing foods and increase water intake. If further treatment is needed to manage symptoms, your provider will likely recommend certain medications to you depending on which symptom is the most pervasive.

Prevention While there are several treatment options for IBS, there is unfortunately no guaranteed way of preventing it from developing. “There are no definitive methods of preventing IBS, but healthy lifestyle pursuits – including healthy diet, regular exercise, and stress reduction – can decrease the symptoms associated with this condition,” says Dr. Whitney. Furthermore, new research on the condition is being conducted all the time.

If you’re experiencing frequent digestive distress, reach out to a local healthcare provider. IBS is a common condition, and your doctor can help you find a path toward managing it that’s right for you. HS

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CHRONIC KIDNEY DISEASE:

FROM DETECTION

TO TREATMENT

he kidneys are two fist-sized organs near the back of the body, just under the ribcage. Their function is vital – kidneys are what filter your blood to keep it healthy, and they produce hormones that your bones need to stay strong. Unfortunately, when they stop functioning properly, it can be difficult to detect at first. Here’s what you should know about chronic kidney disease and what you can do to optimize your own kidney health. By Anna Hill

With many of our body’s vital organs, you can easily tell when something’s not right. For example, if you have a stomach virus, your digestive tract will very quickly make you aware of that fact. If you’ve got pneumonia, your lungs won’t be able to keep you breathing with as much ease as you’re used to. However, when it comes to your kidneys, things work a bit differently. If they’re no longer functioning correctly, you likely won’t notice any symptoms until the condition is advanced. Chronic kidney disease, also known as CKD or chronic renal disease, is a stealthy, quiet disease and can often be difficult to detect in its early stages. Chronic kidney disease is primarily characterized by a gradual loss of function in the kidneys. According to Dr. Leslie Spry, a nephrologist and member of the Public Policy Committee at the National Kidney Foundation, around 37 million Americans (1 in 7 adults) will experience CKD – a figure that is expected to rise alongside rising rates of obesity. WHAT ARE THE SYMPTOMS OF CKD?

According to the National Kidney Foundation, though symptoms often don’t present in the early stages of CKD, once they do begin to present, they can include the following: • Fatigue • Difficulty concentrating • Poor appetite • Difficulty sleeping • Muscle cramping • Swollen feet or ankles • Puffy eyes, especially in the morning • Dry, itchy skin • Increased frequency of urination Your risk for kidney disease might be increased if you have a family history of kidney failure, a history of smoking, have diabetes or high blood pressure, are an older adult, or if you belong to a population group that experiences a higher rate of diabetes or blood pressure, such as African Americans, Asian Americans, or indigenous groups.

What Role Do Kidneys Play in the Body? One of the kidneys’ major roles in the body is to remove excess fluids and waste from the body via urination. Without this function, the body wouldn’t be able to maintain a stable balance of fluids and chemicals. The kidneys also produce an active form of vitamin D that promotes bone health, in addition to producing hormones that stimulate red blood cell production, regulate blood pressure, and control calcium metabolism.

DR. ALAN KOFFRON DIRECTOR OF TRANSPLANT & HEPATOBILIARY SURGERY, ERLANGER HEALTH SYSTEM/ TRANSPLANT & HEPATOBILIARY SURGEON, UNIVERSITY SURGICAL ASSOCIATES

DR. LESLIE SPRY NEPHROLOGIST, NATIONAL KIDNEY FOUNDATION

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The complications that can result from CKD have the potential to affect nearly every part of the body. Some of the potential complications that you might experience include cardiovascular disease, anemia, weakened bones, damage to your nervous and immune systems, fluid in the lungs, complications with pregnancy, and increased levels of potassium.

and energy drinks, high-protein diets and supplements to build muscle mass, and overuse of anti-inflammatory medications such as ibuprofen,” adds Dr. Alan Koffron, the director of transplant and hepatobiliary surgery for Erlanger Health System.

WHAT CAUSES CKD?

Polycystic kidney disease is a genetic disease that causes cysts to grow on the kidneys, which damage the organ’s tissue and makes the kidneys grow larger over time. PKD can be a major cause of CKD, and, according to the medical advisory committee for the American Kidney Fund, PKD is the cause of 2% of kidney failure cases in the United States each year.

CKD occurs whenever a disease or condition hinders or impairs kidney function for an extended period of time – it might be over a span of months or over a stretch of years. Some of the more common conditions that can lead to CKD include both type 1 and type 2 diabetes, as well as high blood pressure. CKD can also be caused by recurring kidney infections, inflammation of the kidney’s tubules or filtering units, prolonged obstruction of the urinary tract, lupus, or polycystic kidney disease. “Other causes of kidney damage on the rise in the younger population especially are extreme consumption of sodas

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WHAT’S THE DIFFERENCE BETWEEN POLYCYSTIC KIDNEY DISEASE ( PKD ) AND CKD?

HOW IS CKD DIAGNOSED? HOW IS IT TREATED?

As previously mentioned, CKD can be difficult to detect early on, so if you’re experiencing any of the symptoms we’ve described or have any of the risk factors noted, it’s

“Taking care of overall health helps protect kidney health. Wise practices include exercising regularly; maintaining a low-salt diet; controlling weight; monitoring blood pressure, cholesterol, and glucose levels; not smoking; drinking moderately; avoiding non-steroidal anti-inflammatory drugs (NSAIDs); and getting an annual physical.” - Dr. Leslie Spry

important to talk to your doctor about it. If your doctor suspects you might be experiencing trouble with your kidney function, they’ll perform a physical exam and, frequently, a neurological exam as well. “Once a primary doctor determines this is an ongoing issue, the patient should be referred to a nephrologist who solely focuses on the kidney and its protection,” advises Dr. Koffron. A glomerular filtration rate (GFR) test is one of the most reliable tests for measuring kidney function and will aid your doctor in determining the stage of kidney disease you’re exhibiting if you do end up being diagnosed. Other methods of verifying a diagnosis of CKD can include blood and urine tests, imaging such as ultrasound to assess your kidney structure, and a biopsy, in which a sample of kidney tissue is removed for examination. Depending on the severity of the kidney disease as well as the cause, many cases can be treated. For example, if your CKD is a result of high blood pressure or cholesterol, your doctor can place you on blood pressure medication, such as ACE inhibitors, or cholesterol medication, such as statins, to control these problems. There are many treatments to alleviate symptoms of complications from CKD. If you’re suffering from swelling, you might be prescribed diuretics to aid in maintaining a better balance of fluids in your body. Your doctor might also prescribe calcium or vitamin D supplements to protect your bones. Often, a low-protein diet might be recommended in order to lower the amount of waste products in the blood. For those who are experiencing end-stage CKD and are nearing kidney failure, the solutions are usually either dialysis, an artificial process that replaces your kidney function and filters waste products and excess fluid for you, or a kidney transplant, in which your failing kidney is surgically replaced with a healthy one from a living or deceased donor. Those who receive kidney transplants will need to stay on medication for the rest of their lives in order to ensure that the body doesn’t reject the new organ. CAN CKD BE PREVENTED?

“Taking care of overall health helps protect kidney health,” says Dr. Spry. “Wise practices include exercising regularly; maintaining a low-salt diet; controlling weight; monitoring blood pressure, cholesterol, and glucose levels; not smoking; drinking moderately; avoiding non-steroidal anti-inflammatory drugs (NSAIDs); and getting an annual physical.” Be mindful of your family history, and work with your healthcare providers to monitor your health or manage any conditions you have that might increase your risk of kidney disease. “The most common story in a transplant clinic is, ‘I didn’t see my doctor often, had high blood pressure but felt okay for years until I got progressively sicker, so I went to the hospital and was told I was in renal failure,’” says Dr. Koffron. “The most influential method of prevention is annual physicals, which routinely check overall health.” To lower risk of CKD, do your best to take good care of your body. If you’re concerned about your renal health or know you’re at elevated risk, have a conversation with your primary care provider about it. HS

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Hearing Loss as You Age BY ANNA HILL

HealthScopeMag.com

Hearing loss can occur for many reasons, and aging certainly isn’t the only one of them. However, hearing loss is most common in adults over the age of 60 and can greatly impact someone’s quality of life. Read on to learn more about hearing loss in older adults, what to do if you’re experiencing it, and how you can be mindful around those who struggle with it.

Causes of Hearing Loss Like many other aspects of your health, hearing is often something that’s incredibly easy to take for granted until you no longer have it. Everyone knows the struggle of muffled sound thanks to a clogged ear – so imagine that frustration, but it’s permanent. Luckily, there are more resources than ever for those with hearing loss, including older adults. To fully understand hearing loss, it’s important to understand the major causes of it. Generally, hearing loss is caused by one or more of the following reasons: 1. Strong noises. Many loud noises can damage your hearing, including work-related sounds that might accompany construction sites, recreation noises such as attending loud concerts, or sounds that might come from being in the military, such as repeated exposure to artillery fire. 2. Ear infections. Unfortunately, some people are predisposed to middle or outer ear infections, both of which can result in temporary or permanent hearing loss. 3. Inner ear problems. Trouble with inner ear conditions such as severe dizziness or vertigo can also lead to hearing loss. 4. Genetics. For some, problems with hearing loss is something that runs in the family.

CODY HARVEY

CHERYL WARD

EXECUTIVE DIRECTOR,

BOARD-CERTIFIED HEARING

MORNING POINTE

INSTRUMENT SPECIALIST,

OF CHATTANOOGA

AUDIOLOGY SERVICES OF CHATTANOOGA

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“Note that ‘old age’ is not mentioned here specifically,” says Cheryl Ward, a hearing instrument specialist with Audiology Services of Chattanooga. “However, as we age, our ears do begin to weaken. In our sixth decade and after, we are much more likely to experience weakness in the higher frequencies, which reduces the clearness of flowing speech.” Anyone who’s experienced any of the four causes listed previously increases their risk of hearing loss both immediately and further down the road. “Furthermore, conditions such as diabetes and high blood pressure can also contribute to age-related hearing loss,” adds Cody Harvey, the executive director of Morning Pointe of Chattanooga.

When It’s Time to Seek Medical Advice Several clues can indicate that it’s time to go in for a hearing exam and review your options with a professional. If you find yourself frequently asking for people to repeat what they’ve just said or if you struggle to fully understand verbal communication in somewhat noisy situations such as in the car or a busy restaurant, there’s a chance you’re experiencing some level of hearing loss. Other signs might include frequently being told by others that your television’s volume is turned up too high, or if there are small sounds that others notice that you regularly do not, such as cell phone alerts, microwaves beeping, or squeaky floors or door hinges. “If you notice yourself experiencing any, some, or all of these signs, it’s important to have an exam done by a hearing professional or an ENT physician,” says Ward. “From there, you’ll be able to discuss your options.”

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Reviewing Your Options If hearing loss consistently impacts your daily life, hearing aids will likely be your best treatment option. Luckily, like most technology, hearing aids have come a long way over the years, and you can customize your selection based on your individual needs and preferences. If a discreet appearance is a priority, there are great options for you, and if compatibility with your electronic devices is at the top of your wish list, you’ll have plenty of options as well. “There are ways to accommodate the need to listen to particular things privately, such as phone calls, television by wireless earphones, and wireless phones for music videos,” explains Ward. Depending on the severity of your hearing loss, you might have other options – particularly if it progresses to severe hearing loss. “Cochlear im-

plants are a surgically inserted device that assists in increasing the sense of sound in the inner ear,” Harvey says. However, this option is typically reserved for those who have a significant percentage of hearing loss or are approaching deafness. “Choosing what option is best for you is decided after seeking advice from your healthcare provider,” Harvey adds.

How to Support Older Adults With Hearing Loss If an older family member or another adult you know is having difficulty with their hearing, there are many ways for you to support them. For example, if an important discussion is taking place, be sure to minimize distractions such as the TV and speak clearly with them face-to-face. “Avoid trying to talk to

them from a distance, and try to make an effort to get their attention before you begin speaking,” adds Ward. Many people with hearing loss rely on lipreading and facial expressions to aid in their understanding, so be sure to face them while speaking and try not to cover your mouth or face as you talk.

Though it can be easy to forget, it’s important to protect your hearing. “Prevention is key when it comes to avoiding hearing loss,” emphasizes Harvey. If you’re going to mow the lawn, fire a weapon, or go to a race or concert, always bring your earplugs. HS HealthScopeMag.com

SILVER SIDE

BEAT THE SUMMER HEAT By Piper Kyle, Life Care Public Relations

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drinking alcoholic beverages and drinks with a lot of

is the season of outdoor activities, barbecues, and sunshine, it can also be the season of heat disorders and staying cool with helpful tips from

heating disorders. It is important to think of your health and others by maintaining good summer safety techniques.

• Avoid the heat.

You can escape the heat by spending time indoors and allotting time to stay cool. Staying two hours in the air-conditioning a day can reduce your hazard of heat-related sicknesses. If air-conditioning is not available, stay in areas in your home that are out of the sunlight.

• Dress to relieve heat stress.

When deciding your wardrobe for summer outings, keep in mind your health and skin, wearing sunburn. A sunburn slows the skin’s ability to cool itself and using sunscreen with a high SPF will protect you from it. If you wear lightweight, light-colored regulate a normal body temperature.

• Drink and eat FOR the heat. yourself before going out in the summer heat. Avoid

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blood vessels near the skin, and this will reduce the further dehydration. For hydration, drink plenty of water and natural juices. Always consult a doctor on As for eating, it is recommended to eat smaller meals before going outside. Foods that are high in protein increase metabolic heat and should be avoided.

• Protect children from the heat.

Children have sensitive skin and need sunscreen to protect them from UV rays. Remember to always avoid leaving children in a closed vehicle. Temperatures can rise to over 140 degrees in just 30 minutes on a summer day. Even though this is a common rule, deaths from overheating have occurred almost every summer when a person leaves a child in a closed vehicle.

• Help your pets remain cool.

Like humans, your pets can feel just as hot as you do when the summer heat wave hits. Just like with children, do not leave your pets in a closed vehicle. Make sure your animals have a shady area outside with a full, cold, and clean bowl of water. Dogs and cats cannot tolerate the heat very well because they cannot sweat, and their bodies get hot and stay hot. Avoid walking them on hot pavement because they can get blisters on their paws. It is always wise to consult your primary care physician and to learn more about heating disorders and how to avoid them. Following these steps will help you stay cool in the extreme heat. Life Care Centers of America

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Annual Advancements in Medicine Section BY LINDSEY JUNE

From 3D-printing technology in dentistry, to robotic arm assistance in orthopedic surgeries, to anesthetic advances and beyond, new research in the medical field makes for easier procedures for patients and doctors alike. These Chattanooga-based medical professionals share the latest in revolutionary treatment options.

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Advancements in Limb Amputation Prevention Critical limb centers can prevent the need for amputation in patients with peripheral artery disease.

Understanding Critical Limb Ischemia

Critical limb ischemia (CLI) is a major blockage in the arteries of the lower extremities that reduces blood flow. It’s a very serious form of peripheral artery disease (PAD) – a hardening and narrowing of the arteries – that can lead to severe pain in the feet or toes, tissue damage, and skin ulcers. If left untreated, amputation of the affected limb may be required. It is a chronic issue that will not resolve on its own. Risk factors for CLI include age (men over 60 and women after menopause), diabetes, obesity, smoking, high cholesterol or blood pressure, and a family history of vascular disease. Unfortunately, CLI and PAD are often unrecognized and undiagnosed until it’s too late, and amputation is necessary.

New Solutions

Luckily, there are new preventative methods in place to avoid the need for limb amputation. Patient-centered interventional suites (or critical limb centers) are one option for ongoing vascular care. These suites allow physicians to perform peripheral vascular interventions in an outpatient facility and provide ongoing education, awareness, and care to patients and providers.

What to Expect

Critical limb centers use the triage-to-therapy approach. This means that patients and their families work with highly trained vascular nurse practitioners to maximize overall care. These specialists will collect your health history, address risk factors, and perform diagnostic tests. Advanced endovascular techniques and surgical therapy for limb preservation can help patients with advanced stages of PAD/CLI and reduce the overall need for amputation.

Benefits to Patients

The patient- and family-focused approach to vascular care provided by critical limb centers is highly beneficial for several reasons. Not only does it promote awareness and education for an under-diagnosed condition, but it also makes the experience highly personal. Working with specialists dedicated to vascular care means that the issue is addressed at a micro level, resulting in less amputations and a focus on prolonged amputation-free survival. HS

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An Expert Weighs In “The Southeast has the highest amputation rates in the country. The Vascular Institute of Chattanooga was designed five years ago as a critical limb center, having a team-based approach to prevent unnecessary amputations in our community. Our overall five-year limb salvage rate is 93%, only possible with comprehensive support from primary care, podiatric surgery, and area wound centers. The ‘simple’ solution for CLI – major amputation of the leg – can have severe consequences: decreased mobility, additional surgeries, psychological stress, depression, and reduced longevity. Always ask for a second opinion for yourself or your family members. Amputation should be the last resort when all else fails. The VIC team is dedicated to eliminating unnecessary amputations in our region.” Chris LeSar, MD Vascular Surgeon/CLI Specialist/Medical Director Vascular Institute of Chattanooga

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Advancements in Dental Crowns Thanks to new scanning technology, dental crowns can be designed and fitted in a same-day procedure.

An Expert Weighs In “With the use of CAD/CAM in dentistry, crowns can be made on the same day. This eliminates the need to wait for crown fabrication for two to three weeks while a temporary crown is worn. Although the cost of a lab-fabricated vs. same-day crown is about the same, patients save money by cutting out the extra visit, meaning less time off work and less travel time to the office. One question we are often asked is about the strength. Recent studies have shown that CAD/CAM tooth restorations are just as successful as crowns made with traditional materials and techniques.” Mandy Shearer, DDS Dentist Soddy Daisy Smiles

Understanding Dental Crowns Dental crowns are synthetic caps that provide shape and function for restoration. They are placed over damaged teeth and serve a number of purposes: They can prevent tooth breakage, restore teeth that are already broken, and hold dental bridges in place. Crowns can also support a tooth that’s had a root canal and can cover a dental implant. Without crowns, damaged teeth are more prone to toothaches, sensitivity, and pain when biting or chewing.

New Solutions Advancements in dental technology have transformed the dental crown process. Before, two visits were required – the first to create an impression of the trimmed and filed tooth, the second to cement the crown. But now, same-day procedures are possible. Thanks to computer-aided design and computer-aided manufacturing (CAD/CAM) technology, dentists can take digital photos of the mouth and create a custom crown on the same day. The entire process takes about two to four hours. CAD/CAM tooth restorations have a number of benefits. Studies show that the procedure is just as successful as traditional techniques. It can even assist in preserving more of the existing tooth. CAD/CAM technology also eliminates several outsourcing costs for the dentist, which can be passed onto the patient. 54

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How It Works

The CAD/CAM same-day crown process involves five steps:

TOOTH PREPARATION Before attaching the new crown, your dentist will prepare the site for restoration by removing decay or affected tissue. INTRAORAL SCANNING Next, an optical scanner is used to create a 3D custom image of your mouth. RESTORATION DESIGN Once the 3D images are obtained, your dentist will use the CAD software to identify the proper design for your prosthesis. PRODUCTION Once designed, the software will connect with an on-site milling machine that shapes the crown from a block of ceramic. It is then stained or glazed to match your natural tooth color. CEMENTATION Your new crown will be ready for application immediately. Your dentist then cements it to the tooth, polishes it, and removes any excess debris.

Benefits to Patients

CAD/CAM technology is not only quick and efficient, but it also eliminates the need for temporary crowns. Because the process is done same-day and chairside, the patient can see what their new crown will look like and how it will fit. HS

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

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Advancements in Knee Replacement Surgery Thanks to robot-assisted technology, knee replacement surgery is more efficient than ever.

Understanding Osteoarthritis If you deal with chronic knee pain, you’re not alone. There’s a good chance you’re dealing with osteoarthritis (OA), the most common form of arthritis in the knee, which affects approximately 30 million Americans every year. By 2030, almost 70 million Americans are projected to be at increased risk for OA. When left untreated, OA can lead to increased pain, decreased range of motion, swelling and inflammation, and joint instability. Lifestyle changes such as weight loss, strength training, and improved flexibility can have beneficial effects on overall joint health. However, in severe cases of OA in the knee, the joint damage may be irreversible and knee replacement surgery will be necessary.

New Solutions Thanks to advancements in medical technology, there are new options for knee replacement surgery. Technology like the VELYS Robotic-Assisted Solution, for instance, is easily integrated into operating rooms and can adapt to a surgeon’s workflow. Your surgeon will use this tech to pre-plan the surgery and then perform it with a guiding robotic arm. The arm helps precisely remove bone and cartilage to prepare for the knee implant.

What to Expect Your orthopedic surgeon will use the robot-assisted technology to create a 3D model of your knee. The guiding robotic arm and the surgeon will both be in control of the surgical instruments the entire time. Once the bone is prepared, the implant will be placed and the joint properly balanced. Recovery time is usually quicker than it is with traditional knee replacement methods.

Benefits to Patients Robot-assisted knee replacement technology is a great tool for both the orthopedic surgeon and the patient. It allows for a more efficient and time-saving surgery, and also minimizes pain and blood loss. Shorter recovery times mean that you’ll be back on your feet in no time – most patients are walking within a few hours of surgery and appropriately selected patients even go home the same day. HS

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An Expert Weighs In “Robotic knee surgery is the latest innovation in total knee replacement, offering yet another tool for accuracy and reproducibility. We are excited to bring the latest in robotic technology to the region, and to be the only institution to provide this option in our own outpatient surgery center as part of our exclusive comprehensive musculoskeletal practice. The Center for Sports Medicine & Orthopaedics is proud to provide this and other orthopedic services in an outpatient surgery center that offers substantial cost savings to patients compared to the same procedure in a hospital. While no substitute for the surgeon’s skill and experience, this newest technology is an exciting milestone in the evolution of orthopedic technology.” W. Timothy Ballard, MD Joint Replacement/Arthroscopy Center for Sports Medicine & Orthopaedics

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Advancements in Periodontal Bone Regeneration Titanium mesh can help with bone regeneration in patients with periodontal disease.

Understanding Periodontal Bone Loss If you’re concerned about your gum health, don’t delay an appointment with your dentist. Periodontal disease – which affects the gums and bone – is far more common than you might think and, if left untreated, can develop into serious health issues. According to the CDC, 47% of Americans aged 30 or older have some form of periodontal disease, with 70% of adults 65 and older affected. If the disease progresses, it can affect the tissues that support the teeth, causing tooth loss. When teeth are missing, the jawbone deteriorates due to the lack of stimulation normally provided by chewing and biting. While bone loss is a major concern for those suffering from periodontal disease, there are new and improved solutions for bone loss prevention and bone regeneration.

New Solutions Thanks to advances in periodontal bone regeneration, it’s now possible to reconstruct portions of the bone with titanium mesh using ReOss® Technology. Computer-aided design and manufacturing (CAD/CAM) software helps dental professionals create custom-molded, protective 3D-printed meshes for undisturbed bone healing. This augmented bone creates durable support when implants are needed. It also comes in handy for other dental procedures. The plasticity of the titanium means that it can adapt to various bone defects, and the porosity of the mesh helps with distributing blood supply. Titanium mesh is highly compatible with tissues in the mouth, making it a safe and desirable option.

Benefits to Patients When 3D-printed titanium mesh is used for bone regeneration in cases of periodontal disease, it offers enormous benefits to patients. Not only does it create a perfect anatomical fit, but it makes the regeneration of bone possible. The mesh created by ReOss® Technology is easy to fixate and remove, leads to high implant survival rates compared to implants placed in intact bone, and has earned the trust of many dental professionals. It’s still important to take care of your gums so that bone loss won’t occur, but thanks to this impressive CAD/ CAM technology, easy healing and regrowth are finally possible. HS

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An Expert Weighs In “The field of bone regeneration has changed over the last few decades. We have gone from removing compromised teeth to being able to regenerate real living bone. In the past, people were confined to dentures. Now, we have options to regrow bone that was lost many years ago, and in most cases, we can regenerate enough bone for dental implants.” Jason M. Strever, DMD, MS Periodontics Practitioner North River Periodontics & Implants

Printed to Perfection

Advancements in computer-assisted design and manufacture, including 3-D printing, are revolutionizing the way we help patients deal with gum disease, tooth replacement, bone loss, and more! Not only does this technology save you time and offer better recovery and treatment options, but every tooth and situation can be evaluated more closely and planned specific to you.

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Advancements in Hearing Aid Technology New technology helps amplify sound and improve day-to-day life for those with hearing loss.

Understanding Hearing Loss

Hearing loss is one of the most prevalent health conditions in older adults, though it can often go unnoticed for quite a while. In fact, statistics show that it takes the average person seven years from the time they suspect they have hearing loss until the time they seek treatment. According to the National Institute on Deafness and Other Communication Disorders (NIDCD), approximately 48 million Americans have some form of hearing loss. That’s 20% of the population. It’s also the third most common chronic condition affecting older adults, behind high blood pressure and arthritis. Unfortunately, the effects of hearing loss can be devastating to both mental and physical health.

New Solutions

Thankfully, advancements in hearing aid technology mean that it’s easier than ever to take control of your hearing loss. That’s good news, considering that the NIDCD estimates that about 28.8 million U.S. adults could benefit from hearing aids. Today, custom hearing aid devices can connect directly to your mobile phone. Personalized apps allow you to adjust settings easily and customize in-ear and on-screen reminders. Other apps share information about hearing aid usage, social engagement, and physical activity levels with your loved ones. Modern hearing aid devices can also connect directly to your television to allow wireless listening. This Bluetooth technology will help you hear clearer, more natural sound that you can adjust to your preferences. No headphones necessary! Thanks to rechargeable technology, the battery life on hearing aids is longer than ever. With just one three-hour charge, your device can provide 24+ hours of power. Charge overnight for a full day of uninterrupted, clearer listening.

Benefits to Patients

Custom hearing aids can improve the quality of life for anyone with hearing loss who requires such a device. The interconnectedness and easy use of the technology makes for a more enjoyable overall experience. By connecting straight to your mobile phone or television, you won’t miss a beat. Rechargeable options also eliminate the need for batteries, which makes things easier for anyone with limited dexterity or vision impairments. Thanks to ongoing technological advances, hearing loss doesn’t have to mean giving up your favorite forms of entertainment. HS

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An Expert Weighs In “New, custom rechargeable hearing aids have been a great addition to the technology of hearing devices. This latest development is a much-needed relief for those who struggle to change tiny batteries due to dexterity issues or vision limitations. Also, direct connectivity of these custom devices to mobile phones and televisions allows patients a greater degree of clarity while on the phone or enjoying the television. I have received many favorable outcomes with patients who have transitioned from outdated battery-powered hearing devices to devices that have this new technology.” Cheryl Ward, BC-HIS Hearing Instrument Specialist Audiology Services of Chattanooga

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Advancements in Stroke Care for Younger Adults Treatment options are now available that better reflect the unique recovery needs of younger stroke patients.

Understanding Stroke in Younger Adults

When someone mentions a stroke, it’s easy to picture it occurring in an older adult due to age being a well-known risk factor. This isn’t too far off the mark, as each decade after 55 increases your risk of stroke – a risk factor that isn’t modifiable. However, strokes can and do occur in younger adults; in fact, while the rate of stroke overall is decreasing, it’s actually on the rise in young and middle-aged adults. While some causes of stroke in these age groups are out of a person’s control, such as cardiovascular birth defects and clotting disorders, other risk factors, such as hypertension, diabetes, smoking, and obesity, can be addressed and mitigated with the help of healthcare providers and a good support system.

New Solutions

One of the greatest differences between stroke in younger adults versus stroke in older adults is the focus of rehabilitation and recovery. Though the road to recovery can be long and challenging for anyone who experiences a stroke – a research study published in 2019 estimated that over 40% of stroke victims under age 65 will not be able to return to work – the good news is that younger age can increase your rate of recovery, as younger brains retain greater ability to adjust and learn new skills. As the rate of stroke in younger populations is on the rise, many rehabilitation centers have crafted recovery programs to accommodate their needs. For example, the path for recovery for a younger adult who has suffered a stroke may begin with inpatient rehabilitation, which might include respiratory, physical, occupational, and speech therapies, as well as the services of rehabilitation physicians, psychologists, and registered dietitians. Following this, a young stroke patient can progress to outpatient rehabilitation services, which allow them to return home while maintaining a recovery regime that still includes the therapies mentioned above. For continuing recovery, many rehabilitation centers have wellness programs available that focus not only on recovery, but also on stroke prevention.

Benefits to Patients

Stroke recovery programs designed specifically for younger patients are important when it comes to optimizing care and rehabilitation that meet their unique needs. Not only do these age group-specific programs prioritize both the physical and mental health of the patient, but they also offer guidance and assistance to combat their modifiable risk factors, thus working toward the prevention of multiple strokes. HS

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An Expert Weighs In “At Siskin Hospital, we saw the need to develop the Young Stroke Program for a younger patient population whose goals might include returning to work, school, or parenting. Addressing these goals with highly-specialized treatment teams helps families and communities avoid a lifelong disability that could have serious long-term economic and quality-of-life repercussions. Our objective is to help our patients achieve the greatest degree of recovery possible from stroke, the most common cause of disability in the world.” Matthew Rider, MD Admitting Physician Medical Director of the Stroke Rehabilitation Program Siskin Hospital for Physical Rehabilitation

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Advancements in Anesthesia A variety of sedation options are available to simplify dental procedures and reduce pain.

An Expert Weighs In “When anesthesia is used correctly and in a safe environment with proper training and necessary experience, sedation dentistry is a wonderful way to provide dental services and procedures to patients who may be nervous about even the most routine dental treatment.” Bill Childress, DDS, MD Oral Surgeon Implants & Oral Surgery of Chattanooga

Understanding Anesthesia Anesthesia is a medical treatment that prevents patients from feeling pain during surgeries and other advanced medical procedures. Dentists and oral surgeons frequently use anesthetics to not only help with that pain, but also to alleviate feelings of anxiety and fear in nervous patients. There are many different anesthetic options to choose from, depending on the procedure and your personal level of comfort. With light sedation, you remain awake and alert. Moderate sedation means you remain conscious but might not be able to speak or remember the appointment once the procedure is over. If deep sedation is used, you are completely unconscious until the drug wears off or is reversed.

Types of Anesthesia In the field of dentistry and oral surgery, the anesthetic options available to you include: LOCAL ANESTHESIA Local anesthetics are fast-acting but mild sedatives. They are used to block pain in a specific and small part of the body. Medication is injected into the affected area and prevents nerves from transmitting pain signals to the brain. You remain fully conscious for this procedure.

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NITROUS OXIDE If you’ve ever had a dental procedure that makes you giggly, chances are you were given nitrous oxide, also known as “laughing gas.” This is typically administered before a procedure. It dulls painful sensations, and the effects wear off almost immediately after usage stops. ORAL CONSCIOUS SEDATION This is a moderate form of sedation in which patients take a pill that puts them into a calm state that approaches sleep. Under oral conscious sedation, patients can respond to sedation but will feel very relaxed. You might have very little memory of the appointment when the drug wears off. IV SEDATION Similar to oral conscious sedation, this type of moderate sedation is delivered through an IV. It is primarily used for patients who have a fear or phobia of dentistry. GENERAL ANESTHESIA General anesthesia puts you to full sleep for the duration of the procedure or surgery. You will have no memory of the event once it’s complete.

Benefits to Patients

If you worry about dental procedures, try to remember that anesthesia is available to ease pain and reduce anxiety. Your dentist or oral surgeon will walk you through the best option for your case, and you can expect a more relaxing and pain-free experience. HS

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Advancements in RobotAssisted Bariatric Surgery Weight-loss surgery is less invasive and more precise thanks to robot-assisted technology.

Understanding Obesity Obesity is a major health problem, affecting roughly 39% of the global population over the age of 18. It’s one of the more preventable conditions, but also one of the most complicated, as a number of socioeconomic factors play into its prevalence. Still, it’s important to stay on top of, since obesity increases your chances of developing other serious health issues, like heart disease, stroke, type 2 diabetes, and certain types of cancer. It can also affect your psychological health. For some, bariatric – or weight-loss – surgery is the right answer. Bariatric surgeries such as gastric bypass or a sleeve gastrectomy change your eating habits and can decrease your risk of developing serious related conditions.

New Solutions Thanks to advancements in robotics, bariatric surgeries are less invasive and more precise. Robot assistance tools let surgeons perform the surgeries using a computer-guided, 3D visualization. This increased visualization and depth perception give your doctor more control, making the procedure safer and less painful. The robot platform’s “arm” also provides a broader range of motion than typical laparoscopic instruments and can access parts of the body that can be difficult to reach.

Benefits to Patients Robot-assisted bariatric surgery is a great option for surgeons and patients alike. The increased precision provided by the robot platform means reduced pain, less blood loss, smaller incisions, and quicker recovery. The procedure also allows for a safer operation so patients are less likely to develop serious complications or infections. Because it’s a lifestyle surgery, you’ll need to commit yourself to healthy changes post-op – such as balanced eating and regular exercise – but bariatric surgery is a great option to begin your journey to a healthier life. HS

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An Expert Weighs In “The robotic surgical platform is revolutionizing the field of metabolic and bariatric surgery for many of our patients who are affected by obesity. While minimally invasive laparoscopy has provided a great alternative to traditional, ‘open’ surgery, the addition of robotics to the laparoscopic platform allows us to do more complex minimally invasive surgeries with greater precision and safety. In fact, we have performed many surgeries that were previously thought to have been difficult or nearly impossible to accomplish through a minimally invasive approach.” Christopher Sanborn, MD, FACS, FASMBS Bariatric Surgery Specialist Erlanger Health System

MASTERS OF THE FINE ART OF ROBOTIC SURGERY. With smaller incisions and greater precision, robotic surgery is one of medicine’s greatest breakthroughs. But mastering this science is an art—one that Erlanger is advancing, every day. From minimally invasive cardiac bypass to kidney-saving cancer surgery, Erlanger’s elite team does more with robotics than anyone else in the area. The result? Faster recovery times and better outcomes for more patients.

Pictured from left to right: Dr. Matthew Higgins, Orthopaedics • Dr. Stephen DePasquale, Gyn Oncology • Dr. Christopher Sanborn, Bariatric Surgery • Dr. Ben Dart, General Surgery • Dr. Amar Singh, Urology Surgery • Dr. Heath Giles, General Surgery • Dr. Larry Shears, Cardiothoracic Surgery

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Advancements in Medical Disease Apps A medical reference app gives healthcare providers easy access to helpful information when it comes to managing patients with coexisting diseases.

An Expert Weighs In “Healthcare professionals often find themselves in the clinical practice setting, which is at a distance from their reference books and desktop computers. They need quick access to information necessary to provide care. That’s where we come in. We distill those volumes of information into a quickly accessible format. The information is conveniently indexed so that looking up both common and uncommon diseases – along with surgical and anesthetic implications unique to each condition – is fast and userfriendly.” Matt Vargo, CRNA Vargo Anesthesia

Understanding Coexisting Diseases

Many people suffer from more than one chronic illness at a time. Sometimes an acute condition is superimposed on chronic conditions. During treatment and recovery, these are known as coexisting diseases. These can complicate diagnosis and might affect treatment options, presenting major challenges for both patients and doctors – especially when it’s time for surgery.

in a surgical setting. It allows healthcare providers to keep volumes of information in their pockets for quick access. Not all coexisting diseases are immediately known or present. In fact, sometimes the stress of illness, anesthesia, and surgery can unmask a coexisting disease that was previously undiagnosed. Apps like this describe important symptoms and concerns that are unique to the patient and the present situation.

New Solutions

Benefits to Patients

Luckily, with the advancement of mobile app technology, medical professionals now have a new resource to help them understand coexisting diseases that might not be diagnosed. The Coexisting Diseases & Surgery app is comprehensive and easy to navigate for healthcare professionals. It not only lists the disease, but also gives a full description, causes, onset, diagnosis, treatment plans, anesthesia considerations, and more. This app also provides information about potential coexisting diseases and their risk factors, which is helpful 68

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Medical apps don’t just help healthcare providers, but patients as well. When your provider understands coexisting conditions, they can treat you with care and alert you to any developing conditions. This will help you manage your chronic condition when you talk to your healthcare team about coexisting disease. Apps aren’t just good for playing games and staying connected to friends – they also provide potentially life-saving services. HS

Vargo Anesthesia

Coexisting Diseases & Surgery Mobile Application A comprehensive medical disease app for health care providers that contains over 4,000 pages of information on diseases and how they are managed perioperatively with related concerns. One-time purchase with free updates for life!

Visit us at VargoAnesthesia.com Try our Apps Free for 28 Days: Email or contact us through social media to obtain a promo code! vanesthesia5@gmail.com

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STAY WELL ANNUAL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Immediate Dental Implants Immediate dental implants are a time-saving, effective solution to partial or total tooth loss.

An Expert Weighs In “Immediate dental implants are a great option for patients with teeth that are not possible to restore. The implant is placed the same day a tooth is taken out, and a temporary crown is put in its place. This means that the patient will never go without a tooth. This also helps sculpt the gum tissue during the healing process for an optimal final aesthetic result.” Elizabeth Felts Randall, DMD, MS Periodontist Chattanooga Periodontics & Dental Implants

Understanding Dental Implants

Tooth loss is more common than you might imagine. Dental decay, cavities, and gum and bone disease or trauma can lead to a partial or total loss of teeth. According to the American College of Prosthodontists, 30% of adults ages 65 to 74 have no natural teeth. Because of this, teeth replacement options are very sought after. In the past, the only viable solution for patients missing all of their teeth was removable dentures – a less than ideal situation, as dentures tend to lack support and can be very uncomfortable, among other issues.

New Solutions

Thanks to advancements in dentistry, removable dentures are no longer necessary. Same-day immediate dental implants are another, more desirable option for those with partial or total tooth loss. These implants reduce the number of visits needed and shorten the length of placement time. With this procedure, your dental surgeon can affix individual teeth or entire upper or lower dentures using as little as four dental implants. 70

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What to Expect

Before going ahead with the immediate implant procedure, your dental surgeon will 3D scan your mouth to make sure you’re a good candidate. You will then discuss how many are needed and what type of restoration options are available. On the day of your procedure, your surgeon will extract the natural tooth if it is still present. The immediate implant will then be placed at the same time as the extraction in a fresh socket using the newest implant technology for extreme precision. A healing cap, or temporary crown, is then placed over the implant until everything is fully healed. The process is typically treated under IV sedation. In the weeks following the procedure, your bone will begin to grow and fuse directly to the implant. The final step is a little different, depending on if you receive partial or full implants, but both involve extensions known as abutments that keep the implants fully secure.

Benefits to Patients

Immediate dental implants are an excellent option for tooth replacement. They reduce the time needed for treatment, reduce the risk of further surgical intervention, simplify workflow, and, best of all, they resemble natural teeth and are highly aesthetically pleasing. HS

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. “My dentist told me I needed to see a periodontist because I had crowns that were loosening. I did a lot of research and concluded Dr. Felts was the best in town. Dr. Felts and his staff were very friendly and welcoming. Not only were they informative during each appointment, but they also worked very closely with my general dentist to ensure each step of the process went smoothly. I thought my crowns looked good before, but now, the implant is so natural looking that the only people who know they aren’t real are those who know I had work done. Everything was definitely worth it!” - ROBYN

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

STAY WELL ANNUAL ADVANCEMENTS IN MEDICINE SECTION

Advancements for Hearing Loss and Its Comorbidities Preventative measures and risk assessment can help you stay on top of diseases linked to hearing loss.

An Expert Weighs In “Everything from genetics, noise, head injury, infections, medications, and aging can play a role in hearing loss. What we see in our office is that patients who receive early detection and treatment for hearing loss experience happier and healthier relationships. Research shows that folks with strong relationships have improved life expectancy and quality of life. Don’t put off something as simple as a hearing test. The results are worth it!” Wendy Halsey-Richardson, Au.D Audiologist Chattanooga’s Healthy Hearing

Understanding Comorbidities and Hearing Loss Hearing loss is a serious condition in its own right, but studies show that it’s also linked to several other disabling conditions. These linkages are known as comorbidities, which can be defined as the presence of two or more diseases or medical conditions in the same patient. There are seven major comorbidities linked to hearing loss. These include loneliness, depression, balance issues, cardiovascular disease, diabetes, dementia, and mortality. Hearing loss is linked to each of these conditions in a variety of ways, both emotionally and physically. For example, loneliness can result from the isolation of impaired social interactions and even contribute to depression. Physical changes from diabetes can damage parts of your ear, and inner ear issues can cause problems with balance resulting in falls. The connection between these conditions and hearing loss varies, but can have a major impact on quality of life.

New Solutions Thankfully, there are numerous options for prevention, early detection, and even treatment of hearing loss, which in turn lower these risks.

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PREVENTION Simple actions, like limiting your exposure to loud noises or wearing ear plugs when you are around them, can help prevent hearing loss. EARLY DETECTION If you’re at risk or suspect you might have hearing loss, you should call your audiologist for a baseline test or talk to your primary care physician.

Benefits to Patients If hearing loss has progressed, technology like the Signia Pure Charge&Go AX hearing aids helps separate speech from background noise so that you can focus on what you need to hear and cut out the rest. With the ability to more easily decipher between sound types, social interactions become easier, decreasing your risk of isolation, loneliness, and depression. By preventing, detecting, and treating hearing loss, you stand a greater chance of improving your overall health and preventing complications from its comorbidities. HS

Hearing technology clearly separate from the rest. New Pure Charge&Go AX hearing aids are the world’s first to offer Augmented Focus™ technology to deliver outstanding speech clarity without compromising comfort and awareness.

environmental sounds, making it difficult to focus on what you want to hear. New Pure Charge&Go AX with Augmented Focus™ can separate speech from noise to help you better understand speech in quiet, mild and loud environments, from a bustling family gathering to a mellow cafe. Now you can stay engaged in conversation and aware of the sounds around you. Call now to experience it today.

Improved Speech in Noise*

Slimmer Design

Android & iPhone Connectivity

Recharge on-the-go

Better Than Normal Hearing*

Budget Friendly Options

100% of participants in a recent study reported excellent speech understanding in their home environment* *Data on file.

Call or Visit Us Today to Learn More! 423.648.4232 | chattanoogashealthyhearing.com 9298 Apison Pike Ooltewah, TN 37363

Rechargeable solution with portable charger

MEET OUR MODEL

Jennie Gentry

hile some people may not be looking

forward to their 50s, Jennie Gentry has entered that decade with open arms. Surrounded by the love and support of her family and friends, Gentry is using this time in her life to focus on and strengthen her relationships and celebrate all of the amazing feats her body is still able to achieve. She’s also practicing staying true to herself and embracing a more spiritual journey, all of which have resulted in an increasingly vibrant life.

Photo by Lanewood Studio

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HS What do health and wellness mean to you in this decade of your life? JG It means that I am meeting my body where it is. I can still improve in physical fitness if I am willing to show up and do the work. But health and wellness mean more than eating my vegetables and taking the stairs. It’s all about how I treat myself and others. In this season of my life, health and wellness have become more spiritual for sure.

If you could give one piece of advice to someone about to enter their 50s, what would it be? Share your talents, mentor with your experience, and freely volunteer your time. Hands are out all around us – we just have to reach out and grab them. There is no better way to stop feeling sorry for yourself.

HS What is your favorite way to practice self-care? JG I can nap like a champ, and I try to take one every weekend. I’ve always been able to nap, and I just adore it – it’s something I learned from my dad. I also find a lot of joy in the “nappuccino,” which is a small coffee immediately followed by a 20-minute power nap. By the time I wake up, the caffeine has kicked in, and I feel energized and ready to take on the rest of my day. HS What have been your goals for this decade, and how have you worked toward them? JG I am running the Chicago Marathon later this year with a dear friend who has been a constant source of encouragement. She inspires me to show up and be the best runner I can be with every workout. Pushing myself means that my body is always changing and evolving, and every race, every mile, and every year has something new in store. HS What are your goals for your next decade? JG To keep moving forward and spend more time with family. There is no louder laughter than when the Wallace sisters are together.

HS What have you enjoyed most about this decade, and what has surprised you the most? JG I’ve enjoyed the ability to keep trying new things, and I’m surprised by how willing I am to be true to myself. It hasn’t always been that way. HS

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LOOK WELL

“This dress is so easy for summer! You can wear it to the beach or the pool as a cover-up, or you can wear it around town for a relaxed lunch or dinner.” – Ani Yacoubian Riggs MODEL: MARY ANN DAVIDSON, SODDY- DAISY Photo by Rich Smith

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Style Is in the Bag! Vacation Looks for Summer Whether you’re heading on a full-blown vacation or just a weekend getaway to the beach, you want outfits that will let you dress the part. From flowy dresses to comfortable yet stylish shorts, colorful florals to classic whites, vacation looks are as varied as they are versatile. They should also be effortless, packable, weather-specific, and, of course, attractive. So, pull out your suitcase or beach bag and pack a few outfits that will pack a punch. Here are some suggested looks, recommended by local boutiques – and just in time for your next trip.

Anita Headrick, Alice Blue

Silvina Ani Yacoubian Riggs, Peralta-Ramos, Yacoubian Antibes Tailors

“With summer style that sizzles into fall, this cutoff paired with a flirty floral top and a boot is a classic look that never goes out of style. This outfit works from the concert to the club and then to a tailgate party.” – Anita Headrick

“This organic linen pattern provides the perfect vacation feel. It can be dressed up with solids for a refined feel or paired with a printed tee for a playful approach, making the print both functional and fun.” – Silvina Peralta-Ramos

MODEL: LIBBY MAY, MISSIONARY RIDGE

MODELS: KRISTEN MALIN AND KELLIE BLEDSOE MALIN, CHATTANOOGA

Photo by Sarah Unger

Photo Courtesy of Antibes

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LOOK WELL

Best Brushes for Every Budget These Top-Performing Hairbrushes Get the Job Done When was the last time you replaced your hairbrush? If it’s been a year (or five), then you might want to consider biting the bullet and purchasing a new one. In fact, some experts suggest changing your hairbrush every six months – especially if you notice a cracked bed or broken or bent bristles. With so many options on the market, choosing a new hairbrush can seem overwhelming at first. Here, we’ve narrowed down our top picks to help you achieve your hair goals.

BEST FOR LONG HAIR Mason Pearson Hair Brush Don’t let the high price tag put you off of this cult favorite. The secret to this brush’s success is its tiny boar bristles, which, when combined with nylon tufts, beautifully detangle and style long hair. The brush also distributes your hair’s natural oils from the root to its ends, resulting in a shiny, luxurious mane. A British brush company, Mason Pearson has been around for 130 years, and its hand-assembled products are an investment worth making.

BEST FOR DETANGLING Wet Brush This is the brush to reach for as soon as you step out of the shower. Its soft bristles – each outfitted with a smooth plastic tip – were designed to run through damp hair, minimizing breakage and unknotting strands with little force. What’s more, the Wet Brush works for all hair types: straight, thick, curly, and everything in between. With this brush, you’ll be taming your toughest tangles in no time.

BEST FOR FRAGILE HAIR Tangle Teezer Another option that comes in handy post-shower, the Tangle Teezer is a perfect match for those with fine, fragile, or bleached strands. You’ll avoid unnecessary breakage thanks to the brush’s small and flexible teeth, which, in addition to being gentle on knots, also work to smooth your hair cuticles. This brush is great for on-the-go, as its smaller size (and absent handle) can fit easily inside your purse.

BEST FOR BLOWOUTS Drybar Round Brush Looking to add some volume to your locks? For a salon-worthy style at home, try this offering straight from blowout destination Drybar. With its round shape and vented ceramic barrel, the brush creates body, reduces frizz, and adds shine, while its lightweight, ergonomic handle makes it easy to maneuver while drying your hair. This brush is available in Half Pint and Full Pint options based on hair length. HS

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LOOK WELL

How to Soothe a Sunburn EXPERT TIPS FOR TREATMENT BY MARY BE TH WALLACE

Whether you stayed a little too long beside the pool or forgot to apply sunscreen to your feet at the beach, you’ve likely experienced a sunburn at some point in your life. Unsightly and uncomfortable, sunburns cause more damage than you might think – not only do they accelerate skin aging, but they’re also a leading cause of skin cancer. The good news? Sunburns are totally preventable by taking the proper precautions, including wearing broadspectrum sunscreen and covering up when exposed to the sun’s ultraviolet rays. If, however, you or your loved one gets a sunburn this summer, begin treatment immediately with these tips from the American Academy of Dermatology:

Hop in the shower. Taking a cool shower (or bath) can help relieve pain. When you’re done, gently pat your skin dry, but leave a small amount of water on the skin before applying moisturizer – this will help ease any dryness.

Look for a moisturizer with aloe vera or soy. Apply liberally to soothe sunburned skin. Areas that are especially uncomfortable can be treated with over-the-counter hydrocortisone cream.

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Take medication if needed. Aspirin and ibuprofen are both recommended for helping to reduce redness, swelling, and discomfort. Hydrate. Sunburns draw fluids to your skin’s surface and away from the rest of your body. Drinking extra water while your skin heals will help prevent dehydration.

Allow any blisters to heal on their own. You may be tempted to pop your blisters, but resist the urge. Those blisters are helping you heal while also fending off infection. Seek medical attention if you experience fever or chills, dizziness, or severe blistering from your sunburn.

Protect sunburned skin from additional exposure. Clothing acts as your first line of protection when outdoors – choose tightly woven fabrics for the best results.

Take this opportunity to “learn from the burn.” While the sunburn itself is temporary, skin damage occurs at your very first burn, with each repeated burn increasing your risk of skin cancer. When it comes to sunburns, prevention really is the best defense. HS

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LOOK WELL

Laser Hair Removal 6 Facts to Know Before You Go BY MARY BETH WALLAC E

having, tweezing, threading, waxing … if you want to get rid of unwanted hair, you have options! An increasingly popular – and more permanent – treatment, called laser hair removal, can help give you the look you desire (at a price). Here are six things you should know about this cosmetic procedure.

You’ll need to do a little prep work.

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Of course, you’ll want to book an initial consultation to ensure that laser hair removal is the right treatment for you; at this appointment, you and your provider will likely discuss your medical history, your expectations going into the treatment, and cost (typically an out-ofpocket expense). To prepare for an upcoming procedure, your provider will advise you to avoid sun exposure and other hair-removal methods, including plucking, waxing, and electrolysis. You may also be asked to shave the area being treated 24 hours prior to the procedure.

You should plan on getting multiple treatments.

You might experience mild discomfort during the procedure.

Don’t expect to see immediate results the next day. Laser hair removal is most effective with two to six treatments, and it might take several sessions before you see the results you want. Patience really is key – you’ll have to wait several weeks between treatments, from four to eight weeks for areas where hair grows quickly (like your upper lip) and 12 to 16 weeks for areas with slower hair growth (like your back).

During the procedure, your provider will use a handheld laser instrument to send light, which converts to heat, through your skin to the hair follicles. While this may sound painful, most people describe the sensation they feel as tiny pinches or a warm pinprick. The extent of the discomfort will vary depending on the area being treated – areas such as your upper lip and armpits are the most sensitive to hair removal. But don’t fret! Many lasers have a cooling mechanism located on the tip to help minimize discomfort throughout the procedure.

You can treat unwanted hair just about anywhere.

Armpits, chin, upper lip, legs, and the bikini line are some of the most common treatment locations, although the sky’s the limit with this procedure. You should, however, avoid the area immediately surrounding the eyelid, and if you have tattoos, then those areas are also off-limits.

5 You’ll benefit from more than just hair removal. While you may be looking forward to clearer, smoother skin, you can also reap one additional benefit of laser hair removal: treating your ingrown hairs. To get to the root of the problem (literally), the laser used during treatment damages your hair follicle and its ability to produce more hair. So, you’re not only getting rid of ingrown hairs, but also preventing them in the future.

6 You might have hair that grows back. Unfortunately, laser hair removal does not promise permanent hair removal. Results vary from person to person and can be impossible to predict at initial treatment. However, the majority of people do remain hairless in treated areas for several months, if not years. And, when hair grows back, it usually shows up finer and less coarse, as well as lighter in color. Your provider might recommend getting touch-up treatments quarterly or even annually to stay on top of future hair growth.

Fuzz-free skin doesn’t have to be a pipe dream! Laser hair removal is safe, effective, and fast (a full-face appointment might only take 20 minutes). A quick chat with your provider can let you know if laser hair removal is the right treatment for you. HS

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Motivate Your Morning with James and Kim

Meet Our Caregivers

Love, Care, & Serving Others There is a lot to know about the loving and caring medical therapists, technicians, nurses, and other professional caregivers who have dedicated much of their lives to serving others recovering from injuries or illness. What follows are local professionals who are providing the utmost in quality care.

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Meet Our Caregivers

FORMING

JENNI WILSON,

MSN, APRN, FNP-C, CWS

LONG-L ASTING

VAS C U L A R I N ST I T U T E OF C HAT TA NO O G A

REL ATION SH IP S

or Jenni Wilson, building relationships is not only key to her success as a nurse practitioner, it’s also part of what makes her so passionate about nursing. “I actually started my nursing career in a hospital and enjoyed getting to know patients, but once they left the hospital, I didn’t get to see them anymore,” she shares. “I went back to school so that I could have a career that allowed me to build more long-term relationships with my patients.” In 2016, Wilson joined the Vascular Institute of Chattanooga’s North Georgia office, where she has the opportunity to treat both vascular and wound patients – and develop long-lasting relationships with them. “I love working at VIC,” she says. “I’m fortunate to get to meet new people and help patients to live their best lives.”

What is one of your happiest professional moments?

What is your best advice for patients?

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

What would you consider to be your main strengths?

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

Often, patients are sent to our office as a last resort after having been told that they need an amputation. I have worked with patients who have undergone limb salvage procedures by our surgeons and then have been sent to me to help with wound care. My happiest moments are when I get to see patients walk out of our office with their wounds resolved and without an amputation.

Be proactive and take responsibility for your health. If you have been diagnosed with high blood pressure, high cholesterol, or diabetes, it is important to get those problems under control, even if you feel fine, before you begin to experience complications.

When meeting new people, I try to be courteous and respectful of their time. My patients have made time in their schedules to come and see me, so I work to be prompt and to give them my full attention when they are in the office.

I am organized and detail-oriented. I think that those qualities help me to provide efficient and thorough care.

I love helping patients and making a difference in their day-to-day lives.”

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I treat my patients the way that I would want my family members to be treated. I work hard to provide the same level of care that I would want my family to receive.

SPECIAL PROMOTIONAL SECTION

ABOUT JENNI

MY CREDENTIALS Master’s Degree: University of Tennessee at Chattanooga – Chattanooga, TN Certifications: Certified Family Nurse Practitioner, American Academy of Nurse Practitioners Certified Wound Specialist, American Board of Wound Management

M Y S P E C I A LT I E S Vascular surgery Wound care

CONNECT 423.602.2750 Vascular Institute of Chattanooga 4622 Battlefield Parkway Ringgold, GA 30736 vascularinstitute ofchattanooga.com

Meet Our Caregivers

L E A DI NG T H ROUG H S E RV ICE

s the executive director of a 59bed memory care community, Alisha Landes wears many hats. In addition to handling The Lantern’s dayto-day operations, she is training staff and meeting with families who are looking to find that perfect fit for their loved ones. However, it’s the time spent with residents that Landes cherishes most. “I try to spend time interacting with my residents each day,” she says. “It is never as much time as I would like, but I treasure each moment with them.” Landes joined the team at Morning Pointe Senior Living in 2014, and she considers the role she’s in to be her calling. “I love this profession,” she shares. “I am passionate about learning more and continually getting better at taking care of our loved ones.”

ALISHA LANDES T H E L A N T E R N AT MOR N I NG P OI N T E A L Z H E I M E R’ S C E N T E R OF E XC E L L E NC E

What influenced you to pursue your career?

After spending more than 10 years as a licensed cosmetologist, I felt like I needed more. The healthcare field had always intrigued me, so I went to nursing school and started out working for senior living companies. I knew that this was the career for me.

What is one of your happiest professional moments?

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

What would you consider to be your main strengths?

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

One of my top moments was when I could welcome residents back to The Lantern exactly 450 days after last year’s Easter tornado. To be able to overcome that adversity was empowering to me, and to be able to see residents walk back in the door that was previously destroyed made me so proud and humbled.

Making a first impression cannot be redone. When people meet me, I want them to see someone who is genuine, looks them in the eye, and offers a smile.

I consider myself to be a servant leader. Compassion and empathy are some of my strengths.

I love what I do. Serving others through my role gives me purpose and satisfaction.”

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Always do what is right for the residents, and the bottom line will take care of itself.

SPECIAL PROMOTIONAL SECTION

ABOUT ALISHA

MY CREDENTIALS Nursing Degree: Ivy Tech State College – Muncie, IN Certifications: Tennessee Assisted Living Administrator

CONNECT 423.551.4190 The Lantern at Morning Pointe Alzheimer’s Center of Excellence 7620 Shallowford Road Chattanooga, TN 37421 morningpointe.com

Meet Our Caregivers

JOINING PATIENTS ON THEIR JOURNEY

or the past 12 years, Faedra McKitrick has been providing end-oflife care at Hospice of Chattanooga. It’s a role that, while demanding at times, she finds truly rewarding. “As a social worker, my job is to advocate for the patient and family,” she explains. “This includes working through financial, legal, and emotional issues that arise at the end of life, as well as supporting families through possibly the hardest thing they have ever had to do: saying goodbye to a loved one.” A straightforward and patient-focused approach helps McKitrick connect with those around her. “I try to meet my patients and families where they’re at, because they’re not always ready to talk about their feelings and concerns,” she says. “I love seeing someone who thought they would break under the pressure come out of it stronger than they expected.”

FAEDRA MCKITRICK HO SPIC E OF C HAT TA NO O G A , A L L E O H E A LT H SYST E M

What do you love most about your profession?

What influenced you to pursue your career?

What is your best advice for patients?

What would you consider to be your main strengths?

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

I love the surprise of never knowing what I will be doing or who I will be meeting on any given day. I also love that I have the autonomy to recognize the person with the highest need and assist them on their journey.

I was a Peace Corps volunteer in Guatemala for two years and worked with people in severe poverty. After helping affect change in people and seeing lives improve because of my interventions, there is no way any other type of work could compete.

Never take a day for granted, enjoy every moment you have, and do not wait for retirement to travel.

My candor. It’s a blessing and a curse, but you always know where I stand!

It’s a joy to help those in the greatest need connect to resources and support.”

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Looks can be deceiving. You never know anyone’s story – take the time to hear it, and you will be rewarded.

SPECIAL PROMOTIONAL SECTION

ABOUT FAEDRA

MY CREDENTIALS Master’s Degree: University of Tennessee – Knoxville, TN Certifications: Licensed Master Social Worker (LMSW) Advanced Certified Hospice and Palliative Social Worker (ACHP-SW) Recognitions: Social Worker of the Year 2019

M Y S P E C I A LT I E S End-of-life care

CONNECT 423.892.1533 Hospice of Chattanooga, Alleo Health System 4411 Oakwood Drive Chattanooga, TN 37416 hospiceof chattanooga.org

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

My life started like most little girls’. I was happy, smart, social, and optimistic. I was raised by my grandmother in the projects, and every day was fun. I had a lot of friends, and, at the time, singing was my whole life. I had sung at several local talent shows and even gotten the attention of a local studio that wanted me to sing on their other artists’ records. I dreamed that I would be a household name, traveling the country for concerts and giving out my autograph. That dream came to an end when I was 14 years old, and the man whom my family and I had trusted to help me with my music career allowed me to be raped by his adult roommate. Not only did this physically harm me, but the mental and emotional trauma would plague me for years. I was in and out of physically and emotionally abusive relationships with men who would call me fat, dumb, and

Photo by Rich Smith

ugly. They told me I would be nothing without a man, and I believed that lie for many years. One day after a dramatic breakup, I decided to go back to school and become a cosmetologist. While I was in school, I learned that my exboyfriend’s violent tendencies had escalated, and his next relationship had ended in a fatality. That shook me to my core. I knew I could never date another abusive man. I freed my mind and body from abusive relationships through writing, focusing on school, and surrounding myself with a lot of positive people. As the years went by, women would come sit in my chair and talk about similar situations to the one that I had experienced. They felt ashamed and like no one cared, and I knew I had to use my voice to remind survivors that they, too, deserve to be heard. I started a nonprofit called

The Heard to empower and advocate for those affected by sexual assault. I realized that I was saved in order to help set free thousands of women who have been silenced. I want to encourage girls to grow stronger in their minds, bodies, and spirits, and I believe that if they find out who they are early on, when they start to date later, they will make sound and wellinformed choices. What I survived was supposed to keep me bound and broken, but I used it as fuel to lift other women up. I learned that adversity does not have to change me negatively, but that I can find purpose in the wickedness I experience. By surviving and taking back my voice, I have been able to see other women mended and thriving after abuse.

Keosha Brewster EAST BRAINERD

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HER STORY

About a year after I married my college sweetheart Jim, we found out we were going to have twins. Although the idea of two infants was a bit frightening, we embraced the blessing and knew that we could do this together. I was young, healthy, and looking forward to the rest of my pregnancy. Our doctor talked to us about the increased risk of carrying twins, but I was being monitored closely and felt like things were going fine – until suddenly, they weren’t. I went into premature labor at 27 weeks and delivered two precious little boys about three months early. They each weighed 1.5 pounds, and there was littleto-no medical precedent to give us hope that they would survive. For the next four months, Jay and Alex lived in a hospital, clinging tenaciously to life, while my days were spent in a stressful, postpartum haze. We had no idea from one day to the next whether the boys would survive. After what seemed like forever, I finally got to hold, feed, and be with my two little fighters. Not unexpectedly, they both suffered complications from their premature birth – Alex had brain damage, which resulted in severe cerebral palsy, and Jay had severe hearing loss. At 24 years old, there was nothing quite like the experience of watching my boys battle such adversity. Jim and I realized early on that our highest calling was to give our precious children great love. Having Jay and Alex at home was fun, scary, and exhausting. The ensuing years were spent navigating the challenges of raising special-needs children. As we adapted to our new reality, we found love and support in terrific doctors, therapists, family, and friends. Jim and I learned sign language. We ordered Alex’s first wheelchair. We took one day at a time, and we always remained thankful that the twins had survived. We embraced and learned to love our routine. It brought us closer to God, and after praying for more children, nine years later, our son Jack was born, and 12 months after that, we were blessed with another healthy boy, Sammy. We have never taken for granted the fact that Jack and Sam can hear, walk, and talk, and we remain acutely aware that these abilities are gifts from God. Each of our four boys brought to my life a different set of challenges and a unique kind of joy.

Susan Reynolds NORTH CHATTANOOGA

Statistics. We use them to determine how likely it is that we can do something. These numbers have followed me my entire life. I became a teen mom in high school, and the first statistic was that only 40% of teen moms finish high school. Those numbers sounded plausible to me, and I finished high school on time with my daughter by my side. The next statistic was harder to swallow. Less than 2% of teen moms finish college by the time they are 30. This is when I decided that I was going to start beating statistics. I knew that there were exceptions in every statistical analysis, so that became my goal. I went straight to college and even studied abroad at Oxford University. I gladly danced into the less-than-2% and finished in four years. With the Lord’s grace and help from family and friends, I worked two jobs, majored in economics and business, and raised my daughter. But I wasn’t done; I always wanted to be an attorney. I enrolled in law school. I remember thinking, I don’t know how many teen moms graduate law school by the age of 25, but I bet we are all outliers. Beating statistics to become a lawyer was just the beginning. Black associates and partners made up 5% and 2% respectively of all lawyers at law firms in 2020. These numbers have been the most daunting to me. I was the first and only black attorney in my office. I’ve met other black attorneys in town who have been working for years to change Chattanooga’s numbers. So, of course, I set my eyes on another statistic to beat, and I worked with a group of attorneys, law firms, and businesses to increase the number of minority attorneys in Chattanooga. The pipeline has created nearly 10 associate positions for minority attorneys locally, with more to follow every year. I have endured a lot through this journey. My favorite quote has always been, “The world will tell you who you are, until you tell the world.” So, listen closely, world! My name is Ariel Anthony. I am a mother, successful lawyer, and path creator for anyone who feels like there is no way.

Ariel Anthony CHATTANOOGA

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HER STORY

Life before 2016 was much different than it is today. My husband Gary Haskew and I were very active and involved in the community. We were very much in love and did everything together. Known around town as Dr. B., Gary was adored by everyone, and he always encouraged others. One day, Gary unexpectedly passed away, and my world was turned upside down in an instant. It was like a bomb had exploded. It didn’t take long for me to realize that there’s no time limit on grief. Everyone is different. Their love, situation, relationship – it’s all different, and the process and time it takes to heal are different, too. After my husband passed away, Dr. Rob Headrick, a thoracic surgeon who had previously operated on Gary, reached out to me and asked me to join his team. At the time, I

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was a retired office manager who had no experience in the medical industry. Dr. Headrick explained to me that my role was to love his patients. I needed to spend time with them one-on-one and do anything in my power to make their journey just a little bit easier. Sometimes, I would help them with their medications or paperwork or make them dinner, and sometimes, all I really needed to do was listen. I got a puppy, whom I named Lady Ransom, and I trained her to be a therapy dog. I would take her around to lung cancer patients, and it was amazing to see families begin to open up. It was through this process that I realized that families struggling with a lung cancer diagnosis had nowhere to turn in our community, so I created a private support group called the Second Wind Society.

People going through difficult times need encouragement, above all else. It’s something that you can’t provide through an email or a text message. They need to be able to see someone who loves them and can assure them that they have what it takes to make it through. They need support and hope. Losing Gary has brought me an indescribable pain, but I understand now that this was all part of God’s plan. Now, I’m able to work with others to deal with emotions that I understand and to help bring them comfort and peace. To be able to make a difference in someone else’s life has been a blessing that has helped to heal me. Love is truly a medicine that can’t be prescribed.

Rita Haskew LOOKOUT VALLEY

FEEL WELL

Back to School Area Moms Share Their Secrets for a Smooth Transition Into the School Year After months of summer sunshine and the fresh routine that comes with it, many area children are gearing up to go back to school. But transitioning from camp back to the classroom can be easier said than done. Between getting supplies and packing lunches to carpooling and participating in extracurriculars, it can often feel like you’re burning the candle at both ends. Here, we talk with four local moms about how they stifle the stress once school is back in session. SHELBY WAMP

“Meals are the first thing that comes to my mind when I think about the crazy schedule that heading back into school brings. I have really begun to rely on meal planning and intentional grocery shopping – not the kind that involves taking kids with me to the store. I also make sure to have a list, and I rarely forget things if I bring one. There are so many apps available that allow grocery lists to be made online with pick-up or delivery involved. This has been my lifesaver. Also, if you are a mom of multiples like me, Costco trips may be a big help. The bulk snacks, breakfast bars, and juice boxes are perfect for quickly packing lunches, and it definitely saves money in the long run. Staying on top of meal planning really brings a lot of calm to our hectic weeks!”

MELANIE SETTLES “Having three children in three different schools this upcoming school year, I need work-life balance more than ever. I am used to waking up early every day to get in an hour’s worth of physical activity, which is still important to me and something I will continue to prioritize. As a family, we will come up with a plan, assign tasks, and delegate so that we are all able to start the day following a routine to make life easier for all of us. My priorities will be setting goals, delegating tasks, and sticking to the plan.”

DANIELLE FARMER “In early summer, I map out the entire school year on a paper calendar. Personally, I think this is the easiest way to do ‘big-picture’ planning, even though we live off our digital calendars day to day. I put in holidays, school closings, vacations, and any family events we already know of. This calendar stays on the fridge for quick reference, and then I add those events to our work calendars and share it with our family members. The month leading into the school year, I also do a drawer and cabinet clean-out. My daughter Madison loves to help me organize! This helps us know what we have and what we need to purchase and helps me feel more organized in general. Knocking school supply shopping out before our July vacation checks that box.”

SHADRINA BOOKER “As a mother of an almost-7-year-old, I have finally begun to take heed of my previous mom fails as we prep for another school year. This year, I made my life so much easier by shopping for school supplies and uniforms weeks before school is set to start, well before the crowds are unbearable and shelves are nearly empty. For summer weeks that weren’t filled with camps, we woke up early and went for a run. This guarantees some exerted energy to jumpstart the day and prepare for early-morning alarms. Because our son is driven by routines, keeping morning wake-up times and bedtimes similar to his school year schedule is key to an easier life for us all. Beyond these few things, I have stocked up on coffee and begun to mentally prepare to deal with all of the unknowns the academic year will present.”

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FEEL WELL

Going Old-School HELPING KIDS REACCLIMATE TO IN - PERSON LEARNING

BY K AT HY BR ADSHAW

In pre-pandemic days, “Back to School” was a fairly momentous occasion. It meant new outfits, new pens and notebooks, and a new routine. For parents and students alike, it was bittersweet – children were sad to see the carefree days of summer vacation end, while parents might regretfully anticipate a reduction in parent-child bonding time. But it also meant reconnecting with friends at school and, for parents, having a little more time to themselves. Ever since COVID-19, however, things have drastically changed. Remote learning became prevalent, kids have become accustomed to seeing their parents more often than their peers, and safety concerns prevail. But now, as students of all ages gear up to return to full-time in-person schooling, what does this mean for children and teens, as well as for the adults who worry about them? “Returning to school has always been the goal during this pandemic, but we needed to make sure it could be done safely,” says Dr. David Sheron, a medical resident in general pediatrics at Children’s Hospital at Erlanger. “Schools provide a host of benefits to children and adolescents, such as social/emotional well-being, opportunities for physical activity, and visual and tactile learning.” However, the list of benefits of in-person learning is countered by an equally long list of anxieties among some children and parents. “The response to going back to school has varied, depending on the age of the child,” explains Dr. Sheron. “Our younger children have little concerns and are excited to go back to school, see their friends, and so on. Our adolescent population has more concerns returning to school, but these are unrelated to the pandemic. Going back to large group classes and the reintroduction to negative social situations such as bullying, tobacco, alcohol, and drugs are the forerunning sources of apprehension among this age group.”

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To help them readjust to in-person learning, Dr. Sheron suggests easing children back into a more school-like mind frame and routine, even before classes start again. He recommends modifying their schedule to coincide with regular school hours – usually, 7 a.m. to 3 p.m. – while gradually adding in more customary school-based pursuits. “This routine should include educational activity, physical activity, extracurricular activities, and homework,” he says. “With some exceptions, most students will transition seamlessly.” As for getting kids used to group socialization again, Dr. Sheron advocates reintroducing more play dates and meet-ups with friends, especially in outdoor locations such as backyards or parks. If safety is the main concern, he encourages abiding by not only local ordinances and regulations regarding social distancing and masking, but also your own comfort level. “Parents, children, and adolescents will likely have other options if they do not feel safe, or if their specific situation is not conducive to returning to in-person learning,” he says. But to help put parents’ minds at ease, he reminds them that the CDC and local health departments are working every day to make sure that a return to on-site schooling is fully safe, especially as vaccinations continue. For children who are still hesitant, Dr. Sheron says that parents should remind them of how important

school is, make sure they are getting enough sleep and staying healthy, and remain attuned to their behavior and emotions as they get used to being back in school, checking in with them regularly to see how they are adapting. And for the parents who remain reluctant to see their kids return to the classroom? “It is important for parents to understand that sending their child or adolescent to school provides learning opportunities that cannot be replicated at home,” Dr. Sheron says. “Keeping this in mind will help parents cope and understand that they are doing what is best for their child.” Another option is homeschooling. However, Dr. Sheron insists that when teaching kids at home, it’s important to also incorporate homeschool group activities that allow for social and emotional interactions. “The development of these learning and life skills is just as important as reading, writing, and arithmetic,” he says. HS DR. DAVID SHERON GENERAL PEDIATRIC RESIDENT, CHILDREN’S HOSPITAL AT ERLANGER

Written with overview by Dr. Karla Garcia, Children’s Hospital at Erlanger Pediatrician, Outpatient Clinic Director

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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 HOTOGRAPH Y BY EMI LY PÉREZ LO NG

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inspired: Lauren Hall inspiration: Gena Ellis

“The world is a better place because of Mrs. Gena Ellis, and I’m thankful to call her a friend.”

I heard Gena’s laugh from across the office before we formally met. I remember asking one of my co-workers, “Who belongs to that laugh?” They responded with, “Oh, that’s Gena Ellis. She’s the life of this party.” And man, were they right! Gena’s bright smile and warm spirit can outshine the darkest days, and her zest for helping others is contagious. She is currently a healthy relationships facilitator for First Things First, Inc., where she shares her parenting and marriage wisdom with the Chattanooga area and beyond. She also serves on the Diversity Task Force for Big Brothers Big Sisters, is a recent graduate of Leadership Chattanooga,

and is a huge advocate for helping parents develop healthy relationships with their children from the start. Most importantly, Gena is herself. And she inspires everyone she meets to not only be true to who they are, but also to be the best version of themselves. In fact, whenever I have a down day or begin to feel a little sorry for myself, I hear Gena firmly (but sweetly) say, “Lauren, that’s a you problem.” It’s a great reminder for me to take hold of my emotions, look for the good in the day or the situation, and move forward with a different perspective. The world is a better place because of Mrs. Gena Ellis, and I’m thankful to call her a friend.

GENA

LAUREN

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inspired: Jasmine Pulliam inspiration: Dr. Shewanee Howard-Baptiste

“Shewanee naturally encourages other women to value themselves, reach their full potential, and remain humble while doing so.”

Since August of 2019, I have had the honor of learning and growing from the guidance and support of Dr. Shewanee Howard-Baptiste. When I first met Dr. Shewanee as one of my professors during orientation at the University of Tennessee at Chattanooga, we quickly discovered our shared passion for helping others and dedication to personal integrity. In the two years I have known Shewanee, she has accomplished so much – both inside and outside of the classroom – and positively impacted many lives in the Chattanooga community. Through her selfless actions and the wise words that she speaks, Shewanee naturally encourages other women to value themselves, reach their full potential, and remain humble while doing so. She is an excellent role model. Whether it’s sharing new opportunities, providing feedback, helping with an event, or being that person to sit down and talk with about life, Shewanee is always there. From the moment I shared with her that I wanted to be a doctor, she has never forgotten and empowers me to never let up on that goal. Shewanee inspires me to keep striving for more on my journey to becoming a doctor, to keep helping others, and to keep celebrating the small victories along the way.

SHEWANEE

JASMINE

INSPIRED

inspired: Sydnee Buchanan inspiration: Louise Cha

LOUISE

“I want to love like she does, be as free as she is, cook like she does (everyone wants to), and live my life as welcoming as she does.”

A few words are simply not enough to show how much this woman has meant to me. If you know Louise Cha, you love her. She is the most welcoming soul, has the kindest heart, and inspires me every day to just be me. Besides Louise, I have never met or been around someone who truly loves everyone just as they are. She embodies what a loyal friend is and is there whenever you need her, even when you don’t think that you do. Her kitchen is always full of fresh cookies, homemade margaritas, and hungry friends gathered around the island. Our friends have seen her backyard as a safe haven during the craziness that this past year has brought to each of us, in all of our life stages. Despite her own life challenges, she has gracefully been there through it all. Sitting in the stands at my lacrosse game as I passionately coached a game that she knew little about, turning on trashy TV after a hard day at work, handpicking flowers that are perfect for all, planning celebrations to make everyone feel like the most special one in the room, and loving her people and husband so well are all parts of what makes up Lou, who is truly an inspiration. I want to love like she does, be as free as she is, cook like she does (everyone wants to), and live my life as welcoming as she does. I am inspired by living life next to Louise Cha.

SYDNEE

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inspired: Sabrena Smedley inspiration: Brenda D. Turner SABRENA BRENDA

As a business owner and county commissioner, I get the opportunity to meet talented and amazing women across our community every day. But when I think about the woman who inspires me the most, the answer is clear. It’s my mom, Brenda D. Turner. My mother is the most caring and selfless person I know. Her smile and laughter are infectious. She loves to have fun and strives to make everyone around her happy. Her random and selfless acts of kindness brighten the day of anyone she encounters. She is a giver whose passion is working in her spectacular flower garden. When family or friends visit Mom, they always leave with a bouquet of flowers from her garden or with some other gift. As a child, I was raised by a woman of conviction and integrity – a woman who always put her children’s needs above her own. Now that I’m an adult, my mom has become my best friend. She is someone I can trust and turn to for sound advice and wisdom. My mom is the virtuous woman described in Proverbs 31 in the Bible. Like the Proverbs 31 woman, she inspires me to work hard, play hard, and love hard. She has taught me that inner beauty is more important than outward beauty. My mom is a true inspiration and one of a kind.

“My mom inspires me to work hard, play hard, and love hard.”

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LISTEN

WHILE Y O U

WORK

NO MATTER WHERE YOU ARE

EAT WELL

Okra My Goodness! I

f you’re from the South, you may have grown up eating okra – fried, in a gumbo, stewed with tomatoes. The okra plant thrives in warmer climates – in fact, it is among the crops most resistant to heat and drought on the planet! Okra, which is actually a fruit, is low in fat and high in vitamin C and antioxidants. It offers a slew of health benefits, including reducing stress and fatigue and helping fight diseases such as diabetes. So, don’t dismiss okra just because of its characteristic sliminess. The glutinous substance, known as mucilage, that is produced when okra seed pods are cooked is a good source of fiber and can be used to purify water! But if you still don’t like that viscous quality, cooking okra with an acidic food, such as tomatoes, can help make it less slimy. The following healthy okra recipes – submitted by Chattanooga locals – are sure to make you smile this summer. Photos by Rich Smith

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Did you know? Okra seeds can be roasted and ground to be used as a caffeine-free replacement for coffee.

1885 Grill’s Blistered Okra and Tomato Reduction With Basmati Rice and Skin-On Scottish Salmon BY MIGUEL MORALES, OWNER | SERVES 2 Ingredients

Directions

For the blistered okra and tomato reduction: • 1 Tbsp. olive oil • 15 pieces fresh okra, cut lengthwise and blanched • 1/4 of 1 medium onion, julienned • 1 medium bulb fresh garlic, chopped • 3 Roma tomatoes, deseeded and julienned • 1 red bell pepper, deseeded and julienned • 2 small orange habanero peppers, deseeded and julienned finely • Salt and pepper, to taste • 2 Tbsp. white wine

To create reduction: 1. Put a sauté pan on medium heat. Add 1 Tbsp. olive oil. 2. Once heated, add okra and cook until blistered with a bit of char. 3. Add onion and garlic; caramelize them. Add tomato, red pepper, and habanero. Cook until all vegetables soften. 4. Season with salt and pepper to taste. 5. Deglaze with 2 Tbsp. white wine.

For serving: • Basmati rice, steamed and seasoned with a pinch of salt • Scottish salmon, brushed with extra-virgin olive oil and seasoned with salt and pepper, grilled until skin is crisp • Zest of 1/4 lemon • Cilantro, roughly chopped

To plate: 1. Place a single serving of basmati rice in the center of the plate. Top with a large portion of blistered okra and tomato reduction and serve with skin-on Scottish salmon. Dress with lemon zest and cilantro.

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LIVE WELL

Dr. Alison Bailey’s Smoky Garlic Roasted Okra

SERVES 3-4 Ingredients

• • • • • •

1 lb. okra 1 tsp. smoked paprika 1 Tbsp. garlic powder 1/2 tsp. salt 1/2 tsp. cayenne pepper 1 Tbsp. melted plant-based butter (I use Earth Balance Original or Country Crock Plant Butter.)

Directions

1. Preheat oven to 450° and line a baking sheet with parchment paper. 2. Wash the okra and pat dry. Slice tops off and cut into 1/2-inch to 1-inch pieces. 3. Combine the spices together in a small dish and sprinkle over the sliced okra. Mix well. 4. Drizzle the melted plant-based butter over the okra and stir well. 5. Spread out okra evenly on the baking sheet and bake for 15 minutes.

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As a Southern girl herself, Dr. Alison Bailey of Chattanooga says that okra reminds her of summer. “I grew up eating the traditional fried okra that we are famous for here in the South, but I really wanted to find a healthier option for preparation,” she says. “This recipe is a quick way to enjoy all of the health benefits of okra in an easy, tasty side dish. It’s perfect for summer and can be spiced up with additional cayenne pepper if you like heat.”

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

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

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LIVE WELL

Nutrition Mistakes You Might Be Making H OW TO FI X T H ES E C O M MO N D I ET B LU N D E RS

BY MARY BETH WALLACE

We’ve all made decisions about the food we eat in the name of better health – and that’s great! The importance of a balanced, nutritious diet cannot be overstated. However, with all the information floating around on the internet regarding nutrition, it’s possible that you may have picked up a couple of not-so-great practices over the years. Here, we’re highlighting six common nutrition mistakes you might be making and what you can do instead to get back on track.

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Focusing on calories over quality. Yes, the amount of food you eat in a day matters. But hyper-focusing on calories distracts you from what you should be focusing on – food quality. Loading up your plate with a balance of fiber, protein, and fat and prioritizing whole grains, vegetables, fruits, and lean meats are much better uses of your time than counting every calorie. If you’re filling up on the right nutrientdense foods (and watching your portion sizes), then you should be consuming the right number of calories for you, naturally.

Not eating enough fat. If you’ve been stocking up on low-fat products for decades, or if you refuse to keep peanut butter in the house, then this is one mistake you need to fix – stat. Healthy fats, including monounsaturated and polyunsaturated fats, are an important part of a healthy diet; they provide your body with energy and help you stay fuller, longer. They also lower your risk of heart disease and stroke. So, go ahead: Add that avocado to your salad, toss some chia seeds in your oatmeal, and dip that spoon straight into the peanut butter jar. Waiting until you’re starving to eat. No one likes to reach “hangry” status, a byproduct of ignoring those early hunger cues. Not only are you more likely to eat everything in sight when you finally break for a meal, but you’re also less likely to choose the most nutritious options. Of course, one way to make sure you’re getting enough fuel is to not skip meals. In fact, it’s been said that eating five or six small meals throughout the day is one of the best ways to control hunger and keep you satiated – and operating at your fullest potential.

Eliminating entire food groups. When dieting or attempting to drop pounds, a popular method to try is cutting back on certain foods, even entire food groups. Dairy is perhaps the most common food group for dieters to ditch, but many grains – even the whole-grain variety – are also often avoided in order to “cut back on carbs.” Unless you have a food allergy, there really isn’t a need to nix any food group. In the case of dairy, you’ll be depriving yourself of important nutrients, including calcium, magnesium, and protein; similarly, carbohydrates such as whole-wheat bread and other whole grains can help you meet your nutrition goals.

Not drinking enough water. This one is a little more obvious. You know you should be drinking more water, but it’s easier said than done. Neglecting your water intake can lead to dehydration and cause your metabolism to drag. You also might mistake thirst for hunger, meaning that you can end up consuming more food than you actually need. Plus, drinking more water will replace other drinks (think soda and juice) that could be adding extra sugar to your diet. A good rule of thumb is aiming to have a glass of water with every meal and snack throughout the day.

Avoiding canned and frozen foods. We get it – fresh food just tastes better sometimes. It’s hard to beat a juicy, ripe tomato in the middle of summer or a crisp apple come autumn. But limiting yourself to only fresh, in-season produce will have you missing out on some important nutrients. Don’t overlook the convenience of canned and frozen foods. Canned beans and tomatoes, as well as frozen berries, veggies, and wild-caught fish, are all excellent sources of the vitamins and minerals your body needs to function at its best. HS

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Matthew Sheets’ Functional Home Workout P H OTO GRA P H Y BY EM I LY P ÉR EZ LO NG

Matthew Sheets, Be Strong Health & Fitness

“I like this workout because it targets the core and hips, which are parts of the body where many people can benefit from gaining strength and balance. These exercises can be done from the comfort and convenience of your own home and with no equipment!”

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Bulgarian Split Squat Elevate one foot behind your body on a platform such as a bench, chair, or couch. Find your balance and then squat down until the thigh of your front leg is parallel with the floor. You should feel a deep stretch and contraction in your quadriceps and gluteus muscles as they work together to raise your body back to the starting position. Repeat 8-10 times and then switch sides.

Walkout With Optional Push-Up Start this exercise in a standing position. Hinge at the waist, bringing both hands to the floor. Begin to walk your hands out until you are in a plank position and your body is parallel to the ground. From here, you can add in a push-up or walk your hands back toward your feet, keeping a tight core, and return to standing. Keep your legs as straight as possible for an added hamstring and calf muscle stretch. Repeat 8-10 times.

Single-Leg Hip Thrust For this exercise, start by lying flat on your back with the soles of your feet on the floor. Extend one leg straight out in front of you, letting it hover several inches off the floor. Contract your gluteus muscles and raise your hips, coming into a bridge pose. Lower back down to the starting point with your back resting on the ground, and repeat 12-15 times before switching sides.

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Jackknife Lie flat on your back, extending both arms over your head. Bring your knees to where they are pointing toward the ceiling and your heels are hovering a few inches off the ground. Contract your abdominal muscles and simultaneously tuck your knees into your chest while also crunching up to bring your shoulders off the ground. Return to the starting position, and repeat until you can’t do any more repetitions.

Side Plank With Leg Raise A mega core strengthener, this exercise begins in a side plank position. Come onto one forearm to support your body weight and straighten your legs out, stacking one on top of the other. Lift your hips off the ground, and elevate your top leg roughly two feet. Lower your top leg back down to meet your bottom leg. Repeat 12-15 times before switching sides. HS

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“ There’s really no reason to go anywhere else for vascular care. ” Announcing the new Vascular Center at The Chattanooga Heart Institute. We are the only medical group in the region to treat both cardiac and vascular disease in one location. Which means now, you can get comprehensive, coordinated care all under one roof. We offer state-of-the-art technologies and treatments. And we will develop a plan that meets your individual needs. For comprehensive heart and vascular care close to home, there’s only one choice. Visit chattanoogaheart.com/VascularCenter or call 423-697-3700.