Healthy In Rockdale Spring 2014 by Solutions Group

How to Encourage Kids to be More Physically Active Strawberries are a S.M.A.R.T. way to Improve Brain Health! MAY is Better Hearing Month

Understanding a Stroke

SPRING 2014

HIR SPRING 2014.indd 1

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Taking great care of our patients is our pride & our joy. EASTSIDE INTERNAL MEDICINE, LLC Board Certified, American Board of Internal Medicine 2080 Eastside Drive • Conyers, Georgia • 678-625-7800 • Hypertension/Diabetes/High Cholesterol • Women’s Wellness

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FEATURES IN FOCUS SPRING 2014

Spring Is among us How to Encourage Kids to be More Physically Active

PAGE 6

Strawberries are a S.M.A.R.T. way to Improve Brain Health!

PAGE 33

MAY is Better Hearing Month PAGE 48

ISSUE GUIDE SPRING 2014 T. PAT CAVANAUGH Publisher MICHELLE KIM Editor DEBBIE THOMPSON Controller ANNETTE GODWIN Sales Director CARIN DEBOER Graphics Manager/Layout Design

WOMENâ&#x20AC;&#x2122;S HEALTH 15 What causes irregular menstrual cycles?

18 Spring into summer at Panacea

Plastic Surgery

41 Contraceptive implant 44 Hormone replacement therapy 45 Family planning & contraception

HIR SPRING 2014.indd 4-5

AMANDA ELLINGTON Circulation Supervisor

GENERAL HEALTH 8 Why wait until Monday? 11 Understanding a stroke 12 Bladder training techniques 14 IBS: Signs & symptoms, causes and what to expect 17 What is Blood Pressure? 20 When minutes matter, seconds count 23 Protecting yourself from skin cancer 24 How to eat healthy while on vacation 29 Importance of Colorectal Cancer Screening 30 The Wound Center 34 How to cut sugar from your diet without going insane 37 Understanding varicose veins 38 A guide to understanding blood test results 42 Osteoporosis 46 What is a sports physical? 49 5 little known benefits of drinking water 50 Fungal infections

Healthy in Rockdale Magazine is published by The News of Rockdale. No portion of this issue including publisher designed advertisements may

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the NEWS Serving Rockdale County and Conyers

4/17/2014 2:56:24 PM

ISSUE GUIDE SPRING 2014 T. PAT CAVANAUGH Publisher MICHELLE KIM Editor DEBBIE THOMPSON Controller ANNETTE GODWIN Sales Director CARIN DEBOER Graphics Manager/Layout Design

WOMENâ&#x20AC;&#x2122;S HEALTH 15 What causes irregular menstrual cycles?

18 Spring into summer at Panacea

Plastic Surgery

41 Contraceptive implant 44 Hormone replacement therapy 45 Family planning & contraception

HIR SPRING 2014.indd 4-5

AMANDA ELLINGTON Circulation Supervisor

Healthy in Rockdale Magazine is published by The News of Rockdale. No portion of this issue including publisher designed advertisements may

copied,

scanned

reproduced in any manner without prior

written

consent

from

the

publisher. Healthy in Rockdale accepts no responsibility

for

unsolicited

the NEWS Serving Rockdale County and Conyers

4/17/2014 2:56:24 PM

•fitness FEATURE

HOW TO

ENCOURAGE KIDS to be more

PHYSICALLY ACTIVE Article provided by Staff Reports 

hen today's parents reflect on their childhood, many likely recall seemingly endless days spent playing outdoors.

But when today's kids become tomorrow's parents, chances are

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Set a positive example. Kids, especially younger children, look up to their parents and often try to emulate what Mom and Dad are doing. Parents can make the most of that adoration by setting a positive example and being physically active themselves. Go for a nightly bike ride or a walk around the neighborhood with your youngsters in tow. Or put that elliptical machine in the basement to good use. Whatever physical activity you choose, you can bet your children will express an interest in it as well, and that's a great way to make them more enthusiastic about having a healthy and active lifestyle.

offers basketball courts in a gym and two outdoor basketball courts. The South Rockdale Park, at 3909 East Fairview Road in Stockbridge, includes a playground, covered pavilions, picnic tables and at least three Adirondack shelters and camping fire rings. For the full list of county parks, go to www. rockdalecounty.org and go to the “Recreation and Maintenance” and “Parks and Recreation” section. For water-activities such as swimming, go to www.rockdaleswimleague.com to connect with local swim teams. For boating or fishing, Rockdale’s Black Shoals Park and the 650-acre Randy Poynter

Reservoir offers anglers prime opportunities; 3001 Black Shoals Road in Conyers, 770-761-1611 or 770-278-7529 or www.rockdalecounty.org For walking and biking together as a family, Rockdale has more than 20 miles of paved walking/running/bike riding trails that run next to landmarks such as the library, monastery, parks and more. These are a great way to get some fresh air and explore Rockdale. Trail heads can be found at the Monastery of the Holy Spirit on Ga. 212, South Rockdale Park at 3909 East Fairview Road, at Johnson Park at 2781 Ebenezer Road SW, along Parker Road over the Parker Road Bridge into Olde

}

Town, and ending at the Nancy Guinn Library at 864 Green Street SW. The Arabia Mountain/South River Trail, a paved PATH trail, also runs past the Panola Mountain State Park and Mall at Stonecrest, covering 20 miles; for a map of a self-guided bike tour, go to http://arabiaalliance.org/uncategorized/self-guided-bike-tour/ Whatever physical activity you choose to do together, you can bet your children will express an interest in it as well, and that's a great way to make them more enthusiastic about having a healthy and active lifestyle. 

their recollections won't recall nearly as much time spent idling the days away under the sun. According to the Centers for Disease Control and Prevention, roughly 17 percent of American children and adolescents between the ages of 2 to 19 are obese. The rise in overweight or obese children is likely a byproduct of several factors, not the least of which is that many of today's kids prefer to play a video game on the couch instead of going outdoors and being physically active. The potential ramifications of youngsters choosing a more sedentary lifestyle are dangerous, as it increases their risk for high blood pressure, high cholesterol, type 2 diabetes, respiratory ailments and joint problems, among other things. What's more, numerous studies have found that obese or overweight children are more likely to become obese or overweight adults, which highlights the importance of embracing a physically active lifestyle as a youngster. Parents know it's not always easy to get kids to be more physically active. But the following are a few tips parents might find useful when encouraging their kids to embrace a more active lifestyle.

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• Give toys that encourage physical activity. Kids love toys, and their toys will often dictate how they spend their days. Instead of buying the latest video game console, give kids toys that encourage them to be active. This can include balls, bicycles, jump ropes, or even a backyard swingset. Kids who embrace these activities at a young age are more likely to continue doing so into adolescence and adulthood. • Reduce time spent in front of the television. Parents who can effectively minimize the amount of time their child spends in front of the television, whether reducing their time spent watching television or playing video games, will likely be more successful at instilling a love of physical activity as well. The American Academy of Pediatrics recommends parents limit their child's time in front of the television to one to two hours per day, and that includes the time children spend playing video games. To further reduce kids' time watching TV, don't allow televisions in their bedrooms, as that will only make it harder to monitor just how much time kids are spending in front of their TVs.

• Remember that physical activity should be fun. Not all kids are athletic, and some will likely bemoan participating in recreational sports leagues. But that doesn't mean parents should give up on encouraging physical activity. Instead, find a physical activity that your child finds fun and encourage his or her participation. This might be nontraditional kids' sports like cycling or jogging or activities like dancing, hiking or even bird watching. Panola Mountain State Park has a calendar full of events such as guided hikes, moonlight hikes, bird watching, archery, and more. To see the schedule, go to http://gastateparks.org/PanolaMountain. In Rockdale County, Johnson Park, 2781 Ebenezer Road SW in Conyers, offers a covered pool, softball fields, tennis courts, and basketball gymnasium in addition to a trail. Earl O’Neal Sports Complex on Old Covington Road in the east side of Rockdale County, has a softball complex, football complex and soccer practice fields. The JP Carr Gym, at 1080 Hardin Street in Conyers,

Kids who embrace physical activity from a young age are less likely to be overweight or obese as adults. SPRING 2014 | HEALTHY IN ROCKDALE

4/17/2014 2:56:39 PM

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Kids who embrace physical activity from a young age are less likely to be overweight or obese as adults. SPRING 2014 | HEALTHY IN ROCKDALE

•general health FEATURE

We Have Your Family Covered!

Why Wait Until Monday? M

illions of Americans are a few pounds overweight, and many are obese. If you are one of those overweight or obese, weight has probably been a struggle for you for most of your life. You start diets, only to get discouraged because you are not losing weight as quickly as you would like, so you go off the diets, binge, and gain even more weight. Dieting and losing weight is a vicious circle that just keeps going around and around. Why is this? Because millions of us do not diet the right way, and we never actually learn what it takes to be healthy and fit. It really doesn't take that much to get into great shape. And if you put your mind to it, you can do it. So, you're probably thinking, "Okay, I'll start my diet on Monday." Getting in shape is not just about dieting, and if you are really serious about becoming healthier, why would you want to wait until Monday? Why not start right now? It's not as difficult as you might think to lose weight and get in shape. It really just involves a few simple lifestyle and dietary changes, and if you really want to get in shape, you won't mind making these changes. It does take a little bit of willpower and dedication at first, but in no time at all, you will be so used to the changes that they will just be a part of your normal life, and you will notice that you are losing weight and feeling and looking much better.

What's the First Step?

The first change that needs to be made is to your diet. Sometimes, dietary changes are actually quite insignificant, unless of course you have a

HEALTHY IN ROCKDALE | SPRING 2014

really terrible diet. It's time to start cutting out the greasy foods and tasty snacks. Don't worry, if you begin following a healthy, well-balanced diet, it will be no problem for you to enjoy your favorite treats once in a while. You may be wondering what a healthy diet is. There are so many different diet plans out there. It can become really confusing to figure out which diet is the right one for you. There is a diet that is right for everyone. It is called eating healthy, and really, this is nothing but plain old common sense. You don't need to go out and buy special diet foods, or foods that are labeled "diet" or "low calorie." Instead, start buying fresh foods that are good for you. Fruits and vegetables are very important for a healthy diet, as well as lean red meats, fish, poultry, dairy products (low-fat, of course), and eggs. These are not the only foods you can incorporate into your healthy diet. There are all kinds of delicious foods that you can eat that will help promote weight loss and still give you the nutrients you need. If you have a sweet tooth, you can enjoy raisins, dried cranberries, and dark chocolate chips in small amounts. The fruits are loaded with vitamins and the dark chocolate is full of anti-oxidants. If crunchy treats are your vice, unsalted nut mixtures with seeds and dried fruits are always a healthy option, and because they are loaded with protein, they will provide you with energy for working out, which is also important when it comes to getting in shape.

You Need to Exercise and drink plen-

ty of water, too We all need to get a certain amount of exercise every day, and for those of us who want to lose weight and get in shape, a bit more exercise may be required. Exercise keeps our muscles strong and healthy, and without the right amount of exercise, we can actually lose the use of our muscles, and our joints don't work as well as they once did, causing aches and pains that many of us try to pass off as aging. If you are extremely overweight and have not done much exercise in some time, you will have to start out slowly. If you have chosen walking as your form of exercise, start off by only taking five to ten minute walks at a slow pace. As your body gets used to the exercise, you can increase the length of your walks, as well as the intensity. Remember, no matter what kind of shape you are in, before doing any type of exercise, it is important to do stretches and other warm-up exercises, which will help to keep you from getting any muscle injuries. If you really want the water you drink to help you lose weight, you should follow the “8x8” rule recommended by most nutritionists: Drink eight 8-ounce glasses of water per day for weight loss and to maintain an ideal weight. You might need to drink more water if you exercise a lot or sweat heavily, or less water if you drink other beverages like herbal tea (make sure they are decaffeinated). 

High Blood Pressure • Diabetes Sore Throats • Asthma Bronchitis • Ear Aches

Sheryl Canady, MD Board Certified

1775 Parker Road, Suite C-240 Conyers, Georgia • 678-609-6282

Where courtesy, respect and your well being is our goal. An Affiliate of Rockdale Medical Center.

HIR SPRING 2014.indd 8-9

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•general health FEATURE

We Have Your Family Covered!

Why Wait Until Monday? M

What's the First Step?

The first change that needs to be made is to your diet. Sometimes, dietary changes are actually quite insignificant, unless of course you have a

HEALTHY IN ROCKDALE | SPRING 2014

You Need to Exercise and drink plen-

High Blood Pressure • Diabetes Sore Throats • Asthma Bronchitis • Ear Aches

Sheryl Canady, MD Board Certified

1775 Parker Road, Suite C-240 Conyers, Georgia • 678-609-6282

Where courtesy, respect and your well being is our goal. An Affiliate of Rockdale Medical Center.

HIR SPRING 2014.indd 8-9

4/17/2014 2:56:58 PM

general health FEATURE•

IS IT A IS IT A IS IT A STROKE?

STROKE? STROKE? TIME TIME LOST LOST With a Stroke, With a Stroke, is With a Stroke, is

BRAIN TIME LOST. LOST BRAIN LOST. is BRAIN LOST. So it’s a good thing that Rockdale So it’s a goodCenter’s thing that Medical ERRockdale is now a Medical Center’s ER isCenter now a SoCertified it’s a good thing Stroke that Rockdale Primary Certified Stroke MedicalPrimary Center’s ER isCenter now a Certified Primary Stroke Center

BRYAN RIGGEAL, MD BRYANDirector, RIGGEAL, MD Medical Center Medical Rockdale Stroke Program Medical Director, Rockdale Medical Center Rockdale Neurology Associates Stroke BRYANProgram RIGGEAL, MD Rockdale Neurology Associates Medical Director, Rockdale Medical Center Stroke Program Rockdale Neurology Associates

Do you suffer from Seizures or Do you suffer from or been diagnosed withSeizures Epilepsy? been diagnosed withSeizures Epilepsy? Do suffer or Dr. Candice Please call our officeyou to schedule your from new patient appointment with Please call our office to schedule your new patient appointment with Dr. Candice Riggeal. Dr. Riggeal diagnosed is fellowship trainedwith in Epilepsy from Emory University. been Epilepsy?

Riggeal. Dr. Riggeal is fellowship trained in Epilepsy from Emory University. Dr. Bryan Riggeal is fellowship trained in Neuro-Opthalmology from Emory University Please call our office to schedule your new patient appointment with Dr. Candice Dr. Bryan Riggeal is fellowship trained inofNeuro-Opthalmology from Emory University Department Opthalmology. Riggeal. Dr. Riggeal is fellowship trained in Epilepsy from Emory University. Department of Opthalmology. Dr.Both Bryan Riggeal is fellowship trained in Neuro-Opthalmology from Emory University Doctors Bryan and Both Doctors and Department of Opthalmology. Candice RiggealBryan are board Candice Riggeal are board certified in Neurology. Both Doctors Bryan and certified in Neurology.

CANDICE RIGGEAL, DO CANDICE RIGGEAL, Neurology, Epilepsy DO Neurology, Epilepsy

CANDICE RIGGEAL, DO Neurology, Epilepsy

Candice Riggeal are board certified in Neurology.

1255-B Commercial Drive, Conyers, Georgia 30094 1255-B Commercial Drive, Conyers, Georgia 30094 770.278.0154 • rockdaleneurology.com

770.278.0154 • rockdaleneurology.com

1255-B Commercial Drive, Conyers, Georgia 30094

An Affiliate of Rockdale Medical Center. 770.278.0154 • rockdaleneurology.com An Affiliate of Rockdale Medical Center.

Understanding

a Stroke

ach year, 795,000 Americans have a stroke. It's the fourth-leading cause of death in the United States, and one American dies of a stroke every four minutes. Stroke causes more serious long-term disabilities than any other disease. A stroke occurs when oxygen-rich blood cannot reach brain cells. Without oxygen, brain cells start to die. One reason oxygen-rich blood cannot reach brain cells is that the arteries to the cells are blocked. Blood clots are the most frequent cause of blocked arteries. In some instances, blood clots form in another part of the body and travel to the brain. Another type of clot is caused by cholesterol deposits that build up in the arteries blocking blood flow. Approximately 85 percent of strokes are caused by blocked arteries. A second type of stroke is caused when bleeding occurs in the brain or on the surface of the brain. Bleeding occurs when an artery bursts due to high blood pressure. In other instances, a weakened artery wall eventually bursts. This type of stroke is sometimes called a brain bleed. The pressure from the leaked blood damages surrounding brain cells. Bleeding also reduces the amount of blood that reaches brain cells. Sometimes, an individual may experience stroke symptoms that last for only a short period of time. This is called a ministroke. Ministrokes leave no permanent damage but increase the risk for more serious strokes. Symptoms of Stroke A stroke is a medical emergency requiring immediate treatment. Call 911 immediately if you or someone you know has the following symptoms: • Sudden numbness or weakness in the face, arm or leg, especially on one side of the body. • Sudden confusion or trouble speaking or understanding. • Sudden problem seeing in one or both eyes. • Sudden dizziness, loss of balance or coordination, or trouble walking. • Sudden severe headache with no known cause. It's critical that people receive treatment within three to four hours after symptoms appear. Delayed treatment results in greater disability. Why are some people more prone to having a stroke? People with heart disease, high blood pressure, diabetes and high cholesterol are at increased risk for having a stroke. Other risk factors include a family history of stroke, alcohol or drug abuse, stress and depression and certain medical conditions. Race and age are also risk factors. African-Americans have the highest risk for stroke. Nearly 75 percent of all strokes occur in people older than 65 years. How is stroke treated? Both types of stroke are treated with a combination of surgery, medication and rehabilitation. Treatment also consists of lifestyle changes, including smoking cessation, exercise, a healthy diet and weight reduction. Strokes caused by blocked arteries: • Medications called clot busters are administered

as soon as possible. To be effective, these med cines must be administered within three hours after symptoms appear. • Doctors may remove the clot by inserting a tiny device that physically grabs and removes the clot. • A flexible catheter is inserted into the groin and threaded to the tiny arteries of the brain. Your doctor can deliver medicine through this catheter to break up a blood clot. • A blood thinner may be prescribed. This may include aspirin or prescription medications. Medication to reduce cholesterol levels may also be prescribed. • Rehabilitation is provided. Strokes caused by bleeding: • Surgery may be required to repair weakened arteries. • If the bleeding causes pressure around the brain, a small opening is made into the skull to relieve pressure. • Medications are given to lower high blood pressure. • Rehabilitation is provided. Stroke results in various disabilities. Recovery may take weeks, months or even years. Often, stroke affects language, speech and memory. Muscle and nerve problems, along with bladder and bowel problems, are common effects of stroke. Stroke victims may have problems walking and a loss of balance and coordination. A serious stroke may result in partial paralysis. Additionally, some stroke victims have problems swallowing and eating. Stroke victims may also have difficulty controlling their emotions. Occupational therapists work with patients to help restore some of these lost functions. Many stroke

victims have some type of long-term disability. The disability depends on the brain tissue that is damaged. The good news is that more than 50 percent of people who have a stroke are able to function and live independently. The others require caregiver assistance. Is there anything I can do to prevent or minimize the risk for having a stroke? Stroke prevention focuses on decreasing known risk factors: • Control your blood pressure. High blood pressure is the No. 1 risk factor for having a stroke. • Stop smoking and limit alcohol intake. Smoking and heavy drinking increase the risk for stroke. • Control your cholesterol. Have your cholesterol levels tested on a regular basis. • Control your diabetes. Untreated diabetes can damage blood vessels. Eat a healthy diet that is low in sodium, cholesterol and saturated fat. Eliminate high-sugar drinks. • Exercise regularly. Make physical activity a routine part of your everyday life. • Discuss birth control with your physician. Birth control pills increase the chance of having blood clots, especially for women who are older than 35 years. • Do not sit for long periods of time. This may cause blood clots to develop in a leg, and they may travel to the brain. • For brain bleeding, treating hypertension is the most effective intervention. Increased physical activity decreases the risk of stroke by 25 to 30 percent. SPRING 2014 | HEALTHY IN ROCKDALE

An Affiliate of Rockdale Medical Center.

HIR SPRING 2014.indd 10-11

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general health FEATURE•

IS IT A IS IT A IS IT A STROKE?

STROKE? STROKE? TIME TIME LOST LOST With a Stroke, With a Stroke, is With a Stroke, is

CANDICE RIGGEAL, DO CANDICE RIGGEAL, Neurology, Epilepsy DO Neurology, Epilepsy

CANDICE RIGGEAL, DO Neurology, Epilepsy

Candice Riggeal are board certified in Neurology.

1255-B Commercial Drive, Conyers, Georgia 30094 1255-B Commercial Drive, Conyers, Georgia 30094 770.278.0154 • rockdaleneurology.com

770.278.0154 • rockdaleneurology.com

1255-B Commercial Drive, Conyers, Georgia 30094

An Affiliate of Rockdale Medical Center. 770.278.0154 • rockdaleneurology.com An Affiliate of Rockdale Medical Center.

Understanding

a Stroke

An Affiliate of Rockdale Medical Center.

HIR SPRING 2014.indd 10-11

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•general health FEATURE

Bladder

Specializing in Gynecology & Urogynecology Surgery

training techniques

Well Women Health Care and Comprehensive Annual Exams Pap Smears, Breast Exams, and In-Office Ultrasounds | Full Range of Contraception Options Menopausal Management - Traditional and Alternative | Adolescent and Pediatric Gynecology

Tame Incontinence Without Surgery

n overactive bladder, also known as urge incontinence, causes a sudden urge to urinate even when your bladder isn't full. For some people, the condition is simply a nuisance. For others, the urge can't be controlled, which leads not only to

incontinence but also a potentially severe negative impact on quality of life. Bladder training can go a long way toward helping with urinary incontinence. Bladder control training entails learning to urinate on a schedule

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(timed voiding) and doing pelvic muscle exercises. Here is a step-by-step guide to bladder-training from Dr. Gordon at The Women’s Center.

Keep track: For a day or two, keep track of the times you urinate or leak urine during the day. Calculate: On average, how many hours do you wait between visits to the bathroom during the day? Choose an interval: Based on your typical interval between needing to urinate, set a starting interval for training that is 15 minutes longer. In other words, if you usually make it for one hour before you need to use the bathroom, your starting interval should be one hour and 15 minutes.

Hold back: On the day you start your training, empty your bladder first thing in the morning and don't go again

until you reach your target time interval. If the time arrives before you feel the urge, go anyway. If the urge hits first, remind yourself that your bladder isn't really full, and use whatever techniques you can to delay going. Try the pelvic floor exercises (also called Kegels), or simply try to wait another five minutes before walking slowly to the bathroom.

It is important to speak with your physician about your incontinence. Once you broach the subject, your physician will ask questions to help determine what kind of incontinence you may have. Tests may also be needed to rule out potential causes contributing to incontinence such as infections, diabetes, or other medical issues. If you do not have a physician, call The Women’s Center today for an appointment with Dr. Gordon. 

Dr. Stephanie Gordon r Most majo l a medic e and insuranc medicare accepted!

Lanie Vu, NP

Marcia Harmon, CNM

Maria Epling, CNP

Visit us online @ www.womenscenterga.com 2750 Owens Drive, Suite A, Conyers, GA 30094, 678.413.4644 140 Eagles Spring Court, Suite B, Stockbridge, GA 30281, 770.302.0878

Procedures we provide: • Da Vinci Robotics Gynecological Surgery • Traditional Abdominal Hysterectomy, Vaginal Hysterectomy, and Laparoscopic Assisted Hysterectomy • Myomectomy for Fibroid Tumors • In-office ESSURE Tubal Ligation • Laparoscopic Surgery for Ovarian Problems, Endometriosis, Tubal and Adhesive Diseases • Hysteroscopic Surgery • Colposcopies for Abnormal Pap Smears and LEEP Procedures • Repair of Pelvic Prolaspe, Relaxation and Surgery for Bladder Leakage • In-Office Endometrial Ablation for Excessive Menstrual

HEALTHY IN ROCKDALE | SPRING 2014

HIR SPRING 2014.indd 12-13

Bleeding

Medical Privileges at Rockdale Medical Center & Piedmont Henry

4/17/2014 2:57:30 PM

•general health FEATURE

Bladder

Specializing in Gynecology & Urogynecology Surgery

training techniques

Tame Incontinence Without Surgery

(timed voiding) and doing pelvic muscle exercises. Here is a step-by-step guide to bladder-training from Dr. Gordon at The Women’s Center.

Hold back: On the day you start your training, empty your bladder first thing in the morning and don't go again

Dr. Stephanie Gordon r Most majo l a medic e and insuranc medicare accepted!

Lanie Vu, NP

Marcia Harmon, CNM

Maria Epling, CNP

Visit us online @ www.womenscenterga.com 2750 Owens Drive, Suite A, Conyers, GA 30094, 678.413.4644 140 Eagles Spring Court, Suite B, Stockbridge, GA 30281, 770.302.0878

HEALTHY IN ROCKDALE | SPRING 2014

HIR SPRING 2014.indd 12-13

Bleeding

Medical Privileges at Rockdale Medical Center & Piedmont Henry

4/17/2014 2:57:30 PM

•general health FEATURE

women's health FEATURE•

IBS: Signs & Symptoms, Causes and What to Expect I

rritable bowel syndrome (IBS) occurs when muscles in your large intestine contract faster or slower than normal. This causes pain, cramping, gassiness, sudden bouts of diarrhea, and constipation. People may have alternating bouts of constipation and diarrhea, or diarrhea-predominant IBS or constipation-predominant IBS. Although the symptoms can be hard to live with, IBS doesn’t cause permanent damage to your intestine. Between 10 - 20% of the population has IBS at some time. IBS also makes up 20 - 50% of visits to gastroenterologists, or doctors dealing with digestive system problems. IBS often starts in teens or young adults, but it can occur at any age and is often associated with stress. It affects almost twice as many women as men. More than 80% of IBS patients in the United States are women, according to the American College of Gastroenterology. Signs and Symptoms Symptoms of IBS may include: • Cramping pain in your lower abdomen

• Bloating and gas • Diarrhea or constipation, or bouts of both • Immediate need to move your bowels when you wake up or during or after meals • Relief of pain after bowel movements • Feeling of incomplete emptying after bowel movements • Mucus in your stool Up to 60% of people with IBS have psychological symptoms, such as anxiety and depression. Some people with IBS have low levels of the brain chemical serotonin. IBS may affect how the body is able to absorb nutrients, so that some people may not be getting all of the nutrients they need. What Causes It? Researchers don’t know what causes IBS, and the intestines of people with IBS appear normal when examined. It may be caused by a disturbance in the muscle movement of the intestine or a lower tolerance for stretching and movement of the intestine.

Risk factors may include a low-fiber diet, emotional stress, use of laxatives, a bout of infectious diarrhea, or other temporary bowel inflammation. Diet is also plays a major role in IBS. Some doctors believe that food allergies cause some cases of IBS, although studies have been mixed. Fatty foods, artificial sweeteners (sucralose or Splenda and saccharine or Sweet'N Low), chemical additives (dyes and preservatives), red meat, dairy products (such as milk, cheese, and sour cream), chocolate, alcohol, and carbonated beverages (sodas) may trigger or aggravate episodes in some people. Gluten contained in wheat and barley can also be a problem for some people with IBS. What to Expect at Your Provider's Office During your appointment at East Atlanta Gastroenterology the physician will feel your abdomen to check for signs of pain. Other tests may include a rectal exam, pelvic exam (for women), sigmoidoscopy, stool sample testing, blood and urine tests, ultrasound, and x-rays to rule out other conditions. 

What Causes

IRREGULAR Menstrual Cycles? T

here are multiple reasons why your cycle may be irregular, but the most common cause is the ovaries’ failure to release an egg every month. However, changes in diet, weight, exercise, stress, travel, and work (like going from a day shift to a night shift) can also mess with your cycle. In some cases, irregular periods may be a symptom of a bigger health issue, including: • Thyroid or bleeding problems • Uterine fibroids • Ovarian cysts or polycystic ovarian syndrome Other health problems that may trigger changes in your menstrual cycle include diabetes, cancer, drug and alcohol abuse, and HIV infection. Irregular Cycles: When to Call the Doctor Watch out for cycles that have been fairly predictable and then become unpredictable. Having excessive bleeding, bleeding in between cycles or

any other abnormality of the cycle that was not present before could be the beginning of a problem. You should call your doctor if: • You bleed for more than seven days in two consecutive months • The bleeding is heavy enough to make you feel weak or have a rapid heartbeat • The bleeding is so heavy that you soak through a pad every hour • You bleed heavily between your normal cycles • You have excessive pain or cramps while you are bleeding • You think you may be pregnant and bleeding How Are Irregular Cycles Treated? Hormonal contraception is the first-line treatment for irregular bleeding. Options for treatment include pills, vaginal rings, patches, devices that are implanted under the skin, and IUDs (intrauterine devices)

containing hormones. If medication does not work, a procedure called endometrial ablation can be performed in women who no longer want to become pregnant. The operation removes a thin layer of the lining of the uterus and can stop menstruation completely or reduce blood flow significantly. As a last resort, hysterectomy may be necessary to solve the problem. It is very important to discuss your concerns with you physician. If you do not have a physician call, Radiant Women’s Health today to schedule an appointment to talk over your concerns with Dr. Birt. Do not be afraid to share your concerns, I guarantee she has heard it all before — no need to be embarrassed. 

Specializing in Digestive Diseases and Nutrition: ✥ Colorectal Cancer Screening and Prevention

✥ Liver Disease

✥ Esophageal and Swallowing Disorders

✥ Chronic Constipation

✥ Gastro-Esophageal Reflux Disease (GERD)

✥ IV Infusion Therapy

✥ Pancreatic and Biliary Disorders

✥ Inflammatory Bowel Disease

✥ Irritable Bowel Syndrome

Board Certified Physicians Fred A. Levin, MD, FACP, FACG ✥ A. Steven McIntosh, MD, FACG David N. Socoloff, DO ✥ Karen L. Weiss-Schorr, MD 1269 Wellbrook Circle Conyers, GA 30012

1000 Cowles Clinic Way Cypress Bldg. Suite C-300 Greensboro, GA 30642

7229 Wheat Street Covington, GA 30014

1403 Manchester Drive NE Conyers, GA 30012 phone: 770-860-0123 email: info@radiantwomenshealth.com www.radiantwomenshealth.com facebook.com/radiantwomenshealth

770-922-0505 - EastatlantaGastro.com

HIR SPRING 2014.indd 14-15

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•general health FEATURE

women's health FEATURE•

IBS: Signs & Symptoms, Causes and What to Expect I

What Causes

IRREGULAR Menstrual Cycles? T

Specializing in Digestive Diseases and Nutrition: ✥ Colorectal Cancer Screening and Prevention

✥ Liver Disease

✥ Esophageal and Swallowing Disorders

✥ Chronic Constipation

✥ Gastro-Esophageal Reflux Disease (GERD)

✥ IV Infusion Therapy

✥ Pancreatic and Biliary Disorders

✥ Inflammatory Bowel Disease

✥ Irritable Bowel Syndrome

Board Certified Physicians Fred A. Levin, MD, FACP, FACG ✥ A. Steven McIntosh, MD, FACG David N. Socoloff, DO ✥ Karen L. Weiss-Schorr, MD 1269 Wellbrook Circle Conyers, GA 30012

1000 Cowles Clinic Way Cypress Bldg. Suite C-300 Greensboro, GA 30642

7229 Wheat Street Covington, GA 30014

1403 Manchester Drive NE Conyers, GA 30012 phone: 770-860-0123 email: info@radiantwomenshealth.com www.radiantwomenshealth.com facebook.com/radiantwomenshealth

770-922-0505 - EastatlantaGastro.com

HIR SPRING 2014.indd 14-15

4/17/2014 2:57:46 PM

We Listen. We Care. We Help!

We’ve been serving the

healthcare needs of area

residents for over 15 years,

so you can rest assured you’re

getting the specialized

attention you need and deserve!

Family Practice of Conyers

• Disease Prevention • Pediatrics • Geriatrics • Obstetrics-GYN • Sports Medicine • Diabetes • High Blood Pressure • Allergies

general health FEATURE•

Dr. Alvin V. Griffin

1039 E. Freeway Drive • Conyers, GA • 770-922-0076

What is

BloodPressure

hen the heart beats, it creates pressure that pushes blood through a network of blood vessels and capillaries throughout the body. Blood pressure is the pressure that the blood applies to the inner walls of the blood vessels as it circulates. Blood pressure is reported as systolic pressure over diastolic pressure (e.g., 120/80 mmHg; "mmHg" stands for "millimeters of mercury," the units used to measure blood pressure). Systolic pressure is the pressure in the arteries when the heart beats and fills them with blood. Diastolic pressure is the pressure in the arteries when the heart is at rest between beats. According to the AHA, blood pressure measurements are divided into the following categories: • Normal: Systolic pressure is less than 120 AND diastolic pressure is less than 80 • Pre–hypertension: Systolic pressure is between 120 and 139 OR diastolic pressure is between 80 and 89 • High blood pressure (Stage 1): Systolic pressure is between 140 and 159 OR diastolic pressure is between 90 and 99 • High blood pressure (Stage 2): Systolic pressure is 160 or higher OR diastolic pressure is 100 or higher • Hypertensive crisis (emergency care needed): Systolic pressure is higher than 180 OR diastolic pressure is higher than 110 Since blood pressure changes from minute to minute and is affected by activity and rest, body temperature, diet, emotional state, posture, and medications, a single reading indicating HBP does not mean that an individual has HBP. A physician checking for HBP will normally take several readings over a period of time, and if systolic pressure stays at 140 or above OR diastolic pressure stays at 90 or above during that time period, a diagnosis of HBP will likely be made. High blood pressure rarely has symptoms, so it is important for individuals to know their own blood pressure. Beginning at age 18, men and women should have their blood pressure checked at least every 2 years. Screening may be recom-

mended more frequently or begin at a younger age if risk factors are present. Risk Factors There are several factors that can increase an individual’s risk of developing HBP. These risk factors include: • Age • Race or ethnicity • Family history • Gender • Certain chronic conditions • Consuming too much sodium (salt) • Drinking too much alcohol: Not enough potassium in diet • Being overweight or obese • Physical inactivity • Smoking

Dangers of HBP Untreated HBP is dangerous because it forces the heart to work harder to move blood through the body, which places stress on – and leads to deterioration of - the heart, kidneys, and eyes. This deterioration can lead to strokes, heart attacks, kidney disorders, eye disorders, heart failure, peripheral vascular disease, and other health conditions. Possible health consequences of HBP include damage to the heart and coronary arteries, stroke, kidney damage, vision loss, vascular dementia, pulmonary edema, and erectile dysfunction. Prevention and Treatment Adopting healthy lifestyle habits is critical to both preventing and treating HBP. Healthy lifestyle modifications include consuming a healthy diet, being physically active, avoiding tobacco, limiting alcohol consumption, and managing stress. 

An Affiliate of Rockdale Medical Center.

HIR SPRING 2014.indd 16-17

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We Listen. We Care. We Help!

We’ve been serving the

healthcare needs of area

residents for over 15 years,

so you can rest assured you’re

getting the specialized

attention you need and deserve!

Family Practice of Conyers

• Disease Prevention • Pediatrics • Geriatrics • Obstetrics-GYN • Sports Medicine • Diabetes • High Blood Pressure • Allergies

general health FEATURE•

Dr. Alvin V. Griffin

1039 E. Freeway Drive • Conyers, GA • 770-922-0076

What is

BloodPressure

An Affiliate of Rockdale Medical Center.

HIR SPRING 2014.indd 16-17

4/17/2014 2:57:58 PM

•women's health FEATURE

Spring into Summer at PANACEA PLASTIC SURGERY

Summer is just around the corner! Let the experts at Panacea Plastic Surgery help make this your best summer yet. Whether you desire laser hair removal, freezing away fat for good, getting rid of unwanted spider veins, or breast augmentation, there’s something for everyone this summer at Panacea Plastic Surgery. Come in today for your complimentary consultation with our board certified plastic surgeons, Drs. Abboushi and Singh.

Laser Hair Removal Get swimsuit ready with laser hair removal. The last thing you want to worry about on your way to the beach is shaving and dealing with unsightly razor burn. In as little as 6-8 sessions, you can be hair free for good. Panacea Plastic Surgery is offering special summer discounts for laser hair removal. Call and schedule your appointment today! CoolSculpting Want to get rid of those love handles in time for swimsuit season without the downtime of surgery? Come in today for a consultation to see if Coolscultping is right for you. In as little as two sessions, we can cool away your fat from unwanted areas in no time. You can see amazing results in your arms, abdomen, back, and thighs! Spider Vein therapy Nothing is worse than trying on that perfect new pair of shorts or sundress only to notice unsightly spider veins. In just a couple sessions, you can be free of spider veins and ready to show off your beautiful legs to the world. Using laser therapy, we are able to specifically target those unwanted areas in just a short visit with us. Breast Augmentation Swimsuit season is just around the corner. Let the Doctors at Panacea Plastic Surgery help you achieve your best contour ever. Come in today for a complimentary consultation to discuss breast enhancement with implants. A short procedure with minimal downtime and amazing results can get you in the swimsuit of your dreams. Skin Care Be sure to protect your skin as the temperature rises. Come in today and try a sample of our Revision moisturizer. It’s packed with all the sunscreen you need and tinted to provide a little coverage too! And don’t forget about erasing those fine lines and wrinkles with in office Botox and Juvederm. For more information on our special promotions and to learn more about our practice, please visit panaceaplasticsurgery.com or call us at 770-929-0634. 

HEALTHY IN ROCKDALE | SPRING 2014

•women's health FEATURE

Spring into Summer at PANACEA PLASTIC SURGERY

A New Dynamic in Plastic & Reconstructive Surgery!

Summer is just around the corner! Let the experts Breast Surgery: Breast Augmentation, Breast

at Panacea Plastic Surgery help make this your best summer yet.

Lift, Breast Reconstruction & Breast Reduction.

Whether you desire laser hair removal, freezing away fat for good,

Facial Rejuvination: Eyelift, Necklift,

getting rid of unwanted spider veins, or breast augmentation,

Facelift & Chemical Peel.

there’s something for everyone this summer at Panacea Plastic

Body Contouring: Thigh Lift, Vaginal

Surgery. Come in today for your complimentary consultation with

Rejuvenation, Tummy Tuck, Liposuction &

our board certified plastic surgeons, Drs. Abboushi and Singh.

Fat Transfer.

Non-Invasive Therapies: Laser Hair Laser Hair Removal Get swimsuit ready with laser hair removal. The last thing you want to worry about on your way to the beach is shaving and dealing with unsightly razor burn. In as little as 6-8 sessions, you can be hair free for good. Panacea Plastic Surgery is offering special summer discounts for laser hair removal. Call and schedule your appointment today!

Removal, Scar/Vein Treatment, Laser Skin Tightening, BOTOX & Juvaderm (Fillers). Emory Trained • Board Certified by

CoolSculpting Want to get rid of those love handles in time for swimsuit season without the downtime of surgery? Come in today for a consultation to see if Coolscultping is right for you. In as little as two sessions, we can cool away your fat from unwanted areas in no time. You can see amazing results in your arms, abdomen, back, and thighs! Spider Vein therapy Nothing is worse than trying on that perfect new pair of shorts or sundress only to notice unsightly spider veins. In just a couple sessions, you can be free of spider veins and ready to show off your beautiful legs to the world. Using laser therapy, we are able to specifically target those unwanted areas in just a short visit with us. Breast Augmentation Swimsuit season is just around the corner. Let the Doctors at Panacea Plastic Surgery help you achieve your best contour ever. Come in today for a complimentary consultation to discuss breast enhancement with implants. A short procedure with minimal downtime and amazing results can get you in the swimsuit of your dreams. Skin Care Be sure to protect your skin as the temperature rises. Come in today and try a sample of our Revision moisturizer. It’s packed with all the sunscreen you need and tinted to provide a little coverage too! And don’t forget about erasing those fine lines and wrinkles with in office Botox and Juvederm. For more information on our special promotions and to learn more about our practice, please visit panaceaplasticsurgery.com or call us at 770-929-0634. 

the American Board of Plastic Surgery

Dr. Kimberly Singh & Dr. Nour Abboushi

Drs. Abboushi and Singh offer the highest level of quality results with experience and safety. The very second you walk through our door, you will experience something unique and personal.

Certification matters!

1368 Wellbrook Circle • Conyers, Georgia

770-929-0634 www.panaceaplasticsurgery.com

Call today to schedule your complimentary consultation.

HEALTHY IN ROCKDALE | SPRING 2014

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•general health FEATURE

WHEN MINUTES MATTER,

SECONDS COUNT Rockdale Medical earns stroke treatment center certification

sure RMC tailors the treatments to each patient’s particular situation and

requirements, such as collecting Joint Commission core measure data and

needs. The certification also checked that stroke patients are offered ways to

using it for performance improvement activities.

self-manage their disease.

Developed in collaboration with the American Stroke Association and

The Joint Commission also checked various behind-the-scenes programs,

launched in 2003, The Joint Commission's Primary Stroke Center Certification

such as ensuring that medical records transfer properly when a patient sees

program is based on the Brain Attack Coalition’s “Recommendations for the

different doctors or therapists.

Establishment of Primary Stroke Centers.” Certification is available only to

RMC underwent a rigorous on-site reviewin December, and is required

stroke programs in Joint Commission-accredited acute care hospitals such as

to update the Joint Commission on its practices. A Joint Commission expert

RMC.

reviewed RMC’s compliance with the requirements for The Joint Commission’s

RMC is a 138-bed acute-care hospital at 1412 Milstead Ave. in Conyers. 

Disease-Specific Care Certification program as well as primary stroke center

By Staff Reports

ockdale Medical Center recently earned a high certification as a stroke

physicians, nurses, pharmacists, rehabilitation therapists and case managers,

treatment center from The Joint Commission, meaning local stroke

collaborates on patient care throughout the treatment process.”

patients have a higher chance of getting treatment within the critical “golden

“I also want to acknowledge the commitment of our partner, National

hour.”

EMS, for their role in helping Rockdale Medical Center to achieve Primary

Previously, stroke patients being transported by ambulance would have

Stroke Certification,” Armstrong said. “Many times they are the first line of

to be taken all the way to downtown Atlanta to the closest stroke treatment

patient care and are able to identify a stroke, or stroke symptoms, while in the

center, as required by law – a trip that could take 30 minutes or more.

field. Having this information before the patient arrives at the hospital mean

Each minute without treatment during a stroke means more brain matter

our Emergency Department personnel save valuable minutes in treatment

dies.

time.”

Being able to bring patients to RMC “means we’re saving more brain and

RMC will be able to display The Joint Commission’s Gold Seal of Approval,

preventing disability,” said Dr. Bryan Riggeal, neurologist and director of the

their Advanced Certification for Primary Stroke Centers. Displaying the seal

Stroke Program at RMC, which started in December 2012.

signifies that RMC is providing the “next generation of stroke care,” and will

“You can come to your local community hospital for stroke treatment

help patients easily identify this facility as one of quality that has surpassed

and care without having to drive out of town,” said Karen Young, R.N. and

numerous goals in the treatment of stroke.

director of RMC’s Emergency Room, who has had family members impacted

“In achieving Joint Commission advanced certification, Rockdale Medical

by strokes. “The medication you can receive for certain types of strokes, you

Center has demonstrated its commitment to the highest level of care for its

can now receive faster… It’s important for the public to know they can come

stroke patients,” said Jean Range, executive director of The Joint Commission’s

straight here.”

Disease-Specific Care Certification, in a press release. “Certification is a volun-

Having certification also means a team of doctors, specialized nurses, ther-

tary process and The Joint Commission commends Rockdale Medical Center

apists, dieticians, pharmacists and more is mobilized when a stroke patient

for successfully undertaking this challenge to elevate its standard of care and

is admitted to the stroke ward. About third of stroke survivors experience an-

instill confidence in the community it serves.”

other stroke, but wrap-around services like these often result in more effective

The Joint Commission, the organization that accredits hospitals, recognized

lifestyle changes in the patient and fewer additional strokes said Riggeal.

RMC with Advanced Certification for Primary Stroke Centers. That means RMC

“The ability to provide excellent care is a result of outstanding teamwork,”

has demonstrated that its program meets critical elements of performance to

said RMC CEO Deborah Armstrong. “Under the direction of Dr. Brian Riggeal,

achieve long-term success in improving outcomes for stroke patients.

neurologist/Stroke Program Director, and Emergency Department Director/

The Joint Commission made sure that RMC stroke patients are offered

Stroke Coordinator Karen Young, R.N., an in-house stroke team, made up of

treatments that match a medical industry standard program. But it also made

HEALTHY IN ROCKDALE | SPRING 2014

HIR SPRING 2014.indd 20-21

“The stroke certification team from Rockdale Medical Center and National EMS worked for more than a year to earn accreditation as a stroke center from The Joint Commission.”

SPRING 2014 | HEALTHY IN ROCKDALE

4/17/2014 2:58:19 PM