Local Deputy Drops 120 lbs. How Peripheral Neuropathy Causes Numbness Colorectal Cancer Understanding Your Risk and How to Prevent It
WINTER 2014
Quality Care
FEATURES IN FOCUS
Board Certified, American Board of Internal Medicine
WINTER 2014
Friendly Faces
Taking great care of our patients is our pride & our joy.
On-Site Lab & X-Ray! Doctor on Call 24/7!
• Hypertension/Diabetes/High Cholesterol • Women’s Wellness
Most Insurance Accepted! Walk-Ins Welcome!
• Pap Smear • Drug Screens • Physicals, Sports & DOT Physicals • Worker’s Comp Injuries • Asthma/Emphysema • Thyroid
Winter Is among us
• Depression • Men’s Health • Erectile Dysfunction • STD Treatment • Minor Surgery • Heart Failure
EASTSIDE INTERNAL MEDICINE, LLC 2080 Eastside Drive • Conyers, Georgia • 678-625-7800
Hours: Monday-Friday 8:00am - 5:00pm • Saturday 8:00am - 12:00 noon
Local Deputy Drops 120 lbs.
PAGE 6
How Peripheral Neuropathy Causes Numbness PAGE 21
Colorectal Cancer Understanding Your Risk and How to Prevent It
PAGE 28
Quality Care
FEATURES IN FOCUS
Board Certified, American Board of Internal Medicine
WINTER 2014
Friendly Faces
Taking great care of our patients is our pride & our joy.
On-Site Lab & X-Ray! Doctor on Call 24/7!
• Hypertension/Diabetes/High Cholesterol • Women’s Wellness
Most Insurance Accepted! Walk-Ins Welcome!
• Pap Smear • Drug Screens • Physicals, Sports & DOT Physicals • Worker’s Comp Injuries • Asthma/Emphysema • Thyroid
Winter Is among us
• Depression • Men’s Health • Erectile Dysfunction • STD Treatment • Minor Surgery • Heart Failure
EASTSIDE INTERNAL MEDICINE, LLC 2080 Eastside Drive • Conyers, Georgia • 678-625-7800
Hours: Monday-Friday 8:00am - 5:00pm • Saturday 8:00am - 12:00 noon
Local Deputy Drops 120 lbs.
PAGE 6
How Peripheral Neuropathy Causes Numbness
PAGE 21
Colorectal Cancer Understanding Your Risk and How to Prevent It
PAGE 28
ISSUE GUIDE
{
}
LETTER FROM THE PUBLISHER
WINTER 2014
New year, new body
he lthy IN ROCKDALE
T. PAT CAVANAUGH Publisher MICHELLE KIM Editor
W
16 Bio identical hormone replacement
6
17 High risk pregnancy
18 Excuses 36 Beginning a fitness
35 The da Vinci
GENERAL HEALTH
FITNESS
WOMEN’S HEALTH
How a sheriff's deputy dropped 120 lbs.
walking program
45 Definition of: Urogynecologist
8
Choosing a primary care provider
11
Hospital ranks high on surgical safety
12 What is an audiologist 15 Discover the new you at
Panacea Plastic Surgery
21 How peripheral neuropathy
38
Stress & Infertility
causes numbness
23 Hypertension 26 Key facts about
seasonal flu vaccine
28 Colorectal cancer:
Understanding your risk and how to prevent it
31 What can high
cholesterol do
elcome to the winter edition of Healthy in Rockdale. Again we want to thank our partners at the Rockdale Medical Center and the dedicated doctors who work with the hospital to best serve their patients. Something that I have found out the hard way as I’ve grown older is that it becomes increasingly harder to lose or even maintain weight as the years go by. T. PAT CAVANAUGH In spite of all my best-laid plans to eat healthy over the holidays, starting Thanksgiving Day, those promises were PUBLISHER just that - empty promises. Before Thanksgiving I tried a simple diet that stayed away from sugars and heavy carbs and included a three-day-a-week visit to the gym for a 45 minute workout. I also made myself drink up to eight glasses of water a day. This turned out to be easier to do than I thought, I bought a package of Dart (formerly Solo) cups, which by the way are made right here in Rockdale County, and kept them at work just for this purpose. In two months following this simple regimen I lost 25 pounds. You two might try something similar; it wasn’t hard. I was always full and occasionally on a Saturday or Sunday I indulged in all my favorites. But the secret was that I got right back on track again the next day. One Rockdale deputy lost more than 100 pounds with a little help from the county’s in-house fitness competition and old fashioned sweat and mindfulness. With exercise (sometimes up to three times a day) and watching his diet, he’s transformed himself into a new man. If you want to, you can become healthy for 2014. You just have to show a little will power and realize it’s worth it. Chronic diseases – such as high blood pressure, diabetes, heart failure and COPD – are no laughing matter. If you can’t bring yourself to do this on your own ask one of the doctors featured in this magazine for some advice. Have a healthy winter.
What’s your tips for keeping the pounds off? Tell us at news@rockdalenews.com.
DEBBIE THOMPSON Controller ANNETTE GODWIN Sales Director CARIN DEBOER Graphics Manager/Layout Design 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
be
copied,
scanned
or
reproduced in any manner without prior
written
consent
from
the
publisher. Healthy in Rockdale accepts no responsibility
for
unsolicited
manuscripts, artwork or photographs. These will not be returned unless accompanied by a self-addressed stamped envelope. Healthy in Rockdale Magazine is available free to subscribers of The
38 VNUS Closure: Benefits
News. To subscribe to The News or
40 Hyperbaric & wound healing 43 High blood sugar: What is it
787-6397.
& what to expect
and what to do
46 Remedies to help aching,
tired feet
The Covington News, please call 770-
the NEWS Serving Rockdale County and Conyers
ISSUE GUIDE
{
}
LETTER FROM THE PUBLISHER
WINTER 2014
New year, new body
he lthy IN ROCKDALE
T. PAT CAVANAUGH Publisher MICHELLE KIM Editor
W
16 Bio identical hormone replacement
6
17 High risk pregnancy
18 Excuses 36 Beginning a fitness
35 The da Vinci
GENERAL HEALTH
FITNESS
WOMEN’S HEALTH
How a sheriff's deputy dropped 120 lbs.
walking program
45 Definition of: Urogynecologist
8
Choosing a primary care provider
11
Hospital ranks high on surgical safety
12 What is an audiologist 15 Discover the new you at
Panacea Plastic Surgery
21 How peripheral neuropathy
38
Stress & Infertility
causes numbness
23 Hypertension 26 Key facts about
seasonal flu vaccine
28 Colorectal cancer:
Understanding your risk and how to prevent it
31 What can high
cholesterol do
elcome to the winter edition of Healthy in Rockdale. Again we want to thank our partners at the Rockdale Medical Center and the dedicated doctors who work with the hospital to best serve their patients. Something that I have found out the hard way as I’ve grown older is that it becomes increasingly harder to lose or even maintain weight as the years go by. T. PAT CAVANAUGH In spite of all my best-laid plans to eat healthy over the holidays, starting Thanksgiving Day, those promises were PUBLISHER just that - empty promises. Before Thanksgiving I tried a simple diet that stayed away from sugars and heavy carbs and included a three-day-a-week visit to the gym for a 45 minute workout. I also made myself drink up to eight glasses of water a day. This turned out to be easier to do than I thought, I bought a package of Dart (formerly Solo) cups, which by the way are made right here in Rockdale County, and kept them at work just for this purpose. In two months following this simple regimen I lost 25 pounds. You two might try something similar; it wasn’t hard. I was always full and occasionally on a Saturday or Sunday I indulged in all my favorites. But the secret was that I got right back on track again the next day. One Rockdale deputy lost more than 100 pounds with a little help from the county’s in-house fitness competition and old fashioned sweat and mindfulness. With exercise (sometimes up to three times a day) and watching his diet, he’s transformed himself into a new man. If you want to, you can become healthy for 2014. You just have to show a little will power and realize it’s worth it. Chronic diseases – such as high blood pressure, diabetes, heart failure and COPD – are no laughing matter. If you can’t bring yourself to do this on your own ask one of the doctors featured in this magazine for some advice. Have a healthy winter.
What’s your tips for keeping the pounds off? Tell us at news@rockdalenews.com.
DEBBIE THOMPSON Controller ANNETTE GODWIN Sales Director CARIN DEBOER Graphics Manager/Layout Design 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
be
copied,
scanned
or
reproduced in any manner without prior
written
consent
from
the
publisher. Healthy in Rockdale accepts no responsibility
for
unsolicited
manuscripts, artwork or photographs. These will not be returned unless accompanied by a self-addressed stamped envelope. Healthy in Rockdale Magazine is available free to subscribers of The
38 VNUS Closure: Benefits
News. To subscribe to The News or
40 Hyperbaric & wound healing 43 High blood sugar: What is it
787-6397.
& what to expect
and what to do
46 Remedies to help aching,
tired feet
The Covington News, please call 770-
the NEWS Serving Rockdale County and Conyers
•fitness FEATURE
How a sheriff’s deputy dropped
120 lbs.
By John Ruch
Features Reporter
W
hen Deputy Scott Stewart joined the Rockdale County Sheriff’s Office 15 years ago at age 19, he weighed a lean 180 pounds. But after years of grabbing fast-food meals and sitting for hours in patrol cars, he was nearly 340 pounds and plagued by serious health problems. “I had to make a lifestyle change,” said Stewart, who shed 120 pounds and counting in the past 18 months. His impressive weight-loss achievement is the product of a simple formula: healthy eating and regular exercise. The trick is staying disciplined, he said. Having a workout partner for his twice-a-day gym visits helps keep him on track. Weight was not an issue for Stewart until he joined law enforcement, he said. “It was just being lazy, riding around in a car,” he said. Five years ago, at age 28, Stewart needed back surgery for a herniated disc he attributes partly to being overweight. “I even put on more weight after that. I was pushing 340 pounds,” he recalled. Health problems piled on, from high blood pressure to sleep apnea-related snoring that regularly woke up his wife Sabrina. Major motivation came in May 2012, when the county staged a weight-loss challenge program, offering the winning team of employees an iPad tablet computer. While Stewart’s overall team didn’t win, “I lost the most weight of everybody”—63 pounds. The motivation turned into momentum. “I decided to just continue my lifestyle changes,” he said. Healthy eating is a big part of the lifestyle. Stewart drinks at least a gallon of water a day, and only water: “No soda, no sweet tea.” He avoids overeating and sticks to healthy choices. Lunch might be a protein shake, some fruit or a lean meat. A Subway restaurant sandwich can be OK. “You just can’t put all the bad stuff on it,” Stewart said. But eating sensibly is only half of the strategy, he said. “You do have to do some physical fitness, at least an hour a day, five days a week,” he said.
6
HEALTHY IN ROCKDALE | WINTER 2014
Stewart is a regular at Body Tech Fitness Center in Conyers. He hits the gym twice every weekday: once in the morning before work, and again during the lunch hour. His workout is a combination of cardio and muscle-building. He takes advantage of classes offered by the fitness center, such as kickboxing. If working out twice a day sounds tough, that’s because it is. Stewart wakes up at 5 a.m. to squeeze in his morning exercise time. His secret weapon in the fight for motivation is a workout partner. Allen Wright, an investigator assistant at the Sheriff’s Department, joins Stewart at the gym. Wright is having great weight-loss success of his own, dropping 95 pounds. “It’s a good symbiotic relationship,” said Wright. He explained that when one of them doesn’t want to hit the gym, the other one is there to push,“and you just do it.” “It just makes things easier when you have a buddy system,” said Stewart. Determination is important for long-term weight loss. Stewart noted that at first, people will lose weight quickly, but then the body reaches a point where it takes much longer to work off the pounds. After dropping 5 pounds a week early in his effort, Stewart is now at that point himself. “I’m still struggling with it because it doesn’t happen as fast,” he said. But Stewart is already seeing great benefits from weight loss so dramatic that people who hadn’t seen him since last year don’t recognize him. His health issues have lessened or disappeared. His wife “likes that I’m in better shape.” He finished third in a field of over 2,000 in this year’s “Fuzz Run” 5K race in Covington. The slimmer, trimmer Stewart is also much better at another kind of footrace—pursuing suspects on the job. “I’ve chased numerous people and caught them,” he said.
“You do have to do some physical fitness, at least an hour a day, five days a week.”
– Scott Stewart FALL 2013 | HEALTHY IN ROCKDALE
7
•fitness FEATURE
How a sheriff’s deputy dropped
120 lbs.
By John Ruch
Features Reporter
W
hen Deputy Scott Stewart joined the Rockdale County Sheriff’s Office 15 years ago at age 19, he weighed a lean 180 pounds. But after years of grabbing fast-food meals and sitting for hours in patrol cars, he was nearly 340 pounds and plagued by serious health problems. “I had to make a lifestyle change,” said Stewart, who shed 120 pounds and counting in the past 18 months. His impressive weight-loss achievement is the product of a simple formula: healthy eating and regular exercise. The trick is staying disciplined, he said. Having a workout partner for his twice-a-day gym visits helps keep him on track. Weight was not an issue for Stewart until he joined law enforcement, he said. “It was just being lazy, riding around in a car,” he said. Five years ago, at age 28, Stewart needed back surgery for a herniated disc he attributes partly to being overweight. “I even put on more weight after that. I was pushing 340 pounds,” he recalled. Health problems piled on, from high blood pressure to sleep apnea-related snoring that regularly woke up his wife Sabrina. Major motivation came in May 2012, when the county staged a weight-loss challenge program, offering the winning team of employees an iPad tablet computer. While Stewart’s overall team didn’t win, “I lost the most weight of everybody”—63 pounds. The motivation turned into momentum. “I decided to just continue my lifestyle changes,” he said. Healthy eating is a big part of the lifestyle. Stewart drinks at least a gallon of water a day, and only water: “No soda, no sweet tea.” He avoids overeating and sticks to healthy choices. Lunch might be a protein shake, some fruit or a lean meat. A Subway restaurant sandwich can be OK. “You just can’t put all the bad stuff on it,” Stewart said. But eating sensibly is only half of the strategy, he said. “You do have to do some physical fitness, at least an hour a day, five days a week,” he said.
6
HEALTHY IN ROCKDALE | WINTER 2014
Stewart is a regular at Body Tech Fitness Center in Conyers. He hits the gym twice every weekday: once in the morning before work, and again during the lunch hour. His workout is a combination of cardio and muscle-building. He takes advantage of classes offered by the fitness center, such as kickboxing. If working out twice a day sounds tough, that’s because it is. Stewart wakes up at 5 a.m. to squeeze in his morning exercise time. His secret weapon in the fight for motivation is a workout partner. Allen Wright, an investigator assistant at the Sheriff’s Department, joins Stewart at the gym. Wright is having great weight-loss success of his own, dropping 95 pounds. “It’s a good symbiotic relationship,” said Wright. He explained that when one of them doesn’t want to hit the gym, the other one is there to push,“and you just do it.” “It just makes things easier when you have a buddy system,” said Stewart. Determination is important for long-term weight loss. Stewart noted that at first, people will lose weight quickly, but then the body reaches a point where it takes much longer to work off the pounds. After dropping 5 pounds a week early in his effort, Stewart is now at that point himself. “I’m still struggling with it because it doesn’t happen as fast,” he said. But Stewart is already seeing great benefits from weight loss so dramatic that people who hadn’t seen him since last year don’t recognize him. His health issues have lessened or disappeared. His wife “likes that I’m in better shape.” He finished third in a field of over 2,000 in this year’s “Fuzz Run” 5K race in Covington. The slimmer, trimmer Stewart is also much better at another kind of footrace—pursuing suspects on the job. “I’ve chased numerous people and caught them,” he said.
“You do have to do some physical fitness, at least an hour a day, five days a week.”
– Scott Stewart FALL 2013 | HEALTHY IN ROCKDALE
7
Allergies to Ankle Sprains
•general health FEATURE
A
primary care provider (PCP) is a health care practitioner who sees people that have common medical problems. This person is usually a doctor, but may be a physician assistant or a nurse practitioner. Your PCP is often involved in your care for a long time, so it is important to select someone with whom you will work well. A PCP is your main health care provider in non-emergency situations. Your PCP's role is to: • Provide preventive care and teach healthy lifestyle choices • Identify and treat common medical conditions • Assess the urgency of your medical problems and direct you to the best place for that care • Make referrals to medical specialists when necessary Primary care is usually provided in an outpatient setting. However, if you are admitted to the hospital, your PCP may assist in or direct your care, depending on the circumstances. Having a primary care provider can give you a trusting, ongoing relationship with one medical professional over time. You can choose from several different types of PCPs: • Family practitioners -- doctors who have completed a family practice residency and are board certified, or board eligible, for this specialty. The scope of their practice includes children and adults of all ages and may include obstetrics and minor surgery. • Pediatricians -- doctors who have completed a pediatric residency and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of newborns, infants, children, ` and adolescents. • Internists -- doctors who have completed a residency in internal medicine and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of adults of all ages for many different medical problems. • Obstetricians/gynecologists -- doctors who have completed a residency and are board certified, or board eligible, in this specialty. They often serve as a PCP for women, particularly those of childbearing age. • Nurse practitioners (NP) and physician assistants (PA) -- practitioners who go through a different training and certification process than doctors. They may be your key contact in some practices. Many insurance plans limit the providers you can choose from, or provide financial incentives for you to select from a specific list of providers. Make sure you know what your insurance covers before starting to narrow down your options.
8
HEALTHY IN ROCKDALE | WINTER 2014
Choosing a Primary Care Provider
When choosing a PCP, also consider the following: • Is the office staff friendly and helpful? Is the office good about returning calls? • Are the office hours convenient to your schedule? • How easy is it to reach the provider? • Do you prefer a provider whose communication style is friendly and warm, or more formal? • Do you prefer a provider focused on disease treatment, or wellness and prevention? • Does the provider have a conservative or aggressive approach to treatment? • What do colleagues and patients say about the provider? • Does the provider invite you to be involved in your care? You can request an appointment to "interview" a potential provider. There may be no cost to do this, or you may be charged a co-payment or other small fee. Some practices, particularly pediatric practice groups, may have an open house where you have an opportunity to meet several of the providers in that particular group. If you do not currently have a primary health care provider, and a health care problem arises, you can seek non-emergency care from Georgia Primary and Urgent Care rather than a hospital emergency room. This will often save you time and money.
Walk-Ins & Appointments Welcome!
When the unexpected happens, we’re here with quality medical care. • Animal & Insect Bites •Allergic Reactions • Skin Rashes & Infections • Bronchitis • Asthma •Vomiting & Diarrhea • Women’s Health •Diabetes •Urinary Tract Infections • DOT & Drug Screens • X-Rays On-Site • Caring for Pediatric Patients 2 Years & Older
Dr Benjamin Fernando , Andrew Smith, MD and R. Riner, PA
conyersurgentcare.com
678-609-4912
Open 6 Days a Week Monday-Friday 8am-7pm Saturday 8am-12Noon Conyers Medical Park 1301 Sigman Road, NE Suite 230 ~ Conyers, GA 30012
We offer on-site lab and x-ray services for your convenience!
Allergies to Ankle Sprains
•general health FEATURE
A
primary care provider (PCP) is a health care practitioner who sees people that have common medical problems. This person is usually a doctor, but may be a physician assistant or a nurse practitioner. Your PCP is often involved in your care for a long time, so it is important to select someone with whom you will work well. A PCP is your main health care provider in non-emergency situations. Your PCP's role is to: • Provide preventive care and teach healthy lifestyle choices • Identify and treat common medical conditions • Assess the urgency of your medical problems and direct you to the best place for that care • Make referrals to medical specialists when necessary Primary care is usually provided in an outpatient setting. However, if you are admitted to the hospital, your PCP may assist in or direct your care, depending on the circumstances. Having a primary care provider can give you a trusting, ongoing relationship with one medical professional over time. You can choose from several different types of PCPs: • Family practitioners -- doctors who have completed a family practice residency and are board certified, or board eligible, for this specialty. The scope of their practice includes children and adults of all ages and may include obstetrics and minor surgery. • Pediatricians -- doctors who have completed a pediatric residency and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of newborns, infants, children, ` and adolescents. • Internists -- doctors who have completed a residency in internal medicine and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of adults of all ages for many different medical problems. • Obstetricians/gynecologists -- doctors who have completed a residency and are board certified, or board eligible, in this specialty. They often serve as a PCP for women, particularly those of childbearing age. • Nurse practitioners (NP) and physician assistants (PA) -- practitioners who go through a different training and certification process than doctors. They may be your key contact in some practices. Many insurance plans limit the providers you can choose from, or provide financial incentives for you to select from a specific list of providers. Make sure you know what your insurance covers before starting to narrow down your options.
8
HEALTHY IN ROCKDALE | WINTER 2014
Choosing a Primary Care Provider
When choosing a PCP, also consider the following: • Is the office staff friendly and helpful? Is the office good about returning calls? • Are the office hours convenient to your schedule? • How easy is it to reach the provider? • Do you prefer a provider whose communication style is friendly and warm, or more formal? • Do you prefer a provider focused on disease treatment, or wellness and prevention? • Does the provider have a conservative or aggressive approach to treatment? • What do colleagues and patients say about the provider? • Does the provider invite you to be involved in your care? You can request an appointment to "interview" a potential provider. There may be no cost to do this, or you may be charged a co-payment or other small fee. Some practices, particularly pediatric practice groups, may have an open house where you have an opportunity to meet several of the providers in that particular group. If you do not currently have a primary health care provider, and a health care problem arises, you can seek non-emergency care from Georgia Primary and Urgent Care rather than a hospital emergency room. This will often save you time and money.
Walk-Ins & Appointments Welcome!
When the unexpected happens, we’re here with quality medical care. • Animal & Insect Bites •Allergic Reactions • Skin Rashes & Infections • Bronchitis • Asthma •Vomiting & Diarrhea • Women’s Health •Diabetes •Urinary Tract Infections • DOT & Drug Screens • X-Rays On-Site • Caring for Pediatric Patients 2 Years & Older
Dr Benjamin Fernando , Andrew Smith, MD and R. Riner, PA
conyersurgentcare.com
678-609-4912
Open 6 Days a Week Monday-Friday 8am-7pm Saturday 8am-12Noon Conyers Medical Park 1301 Sigman Road, NE Suite 230 ~ Conyers, GA 30012
We offer on-site lab and x-ray services for your convenience!
•general health FEATURE
hospital ranks
Dysphagia
SYMPTOMS & DIAGNOSIS
What are the symptoms? Dysphagia (trouble swallowing) can come and go, be mild or severe, or get worse over time. If you have dysphagia, you may: • Have problems getting food or liquids to go down on the first try. • Gag, choke, or cough when you swallow. • Have food or liquids come back up through your throat, mouth, or nose after you swallow. • Feel like foods or liquids are stuck in some part of your throat or chest. • Have pain when you swallow. • Have pain or pressure in your chest or have heartburn. • Lose weight because you are not getting enough food or liquid.
where you think foods or liquids are getting stuck, whether and for how long you have had heartburn, and how long you have had difficulty swallowing. He or she may also check your reflexes, muscle strength, and speech. Your doctor may then refer you to one of the following specialists at East Atlanta Gastroenterology Associates.
How is dysphagia diagnosed? If you are having difficulty swallowing, your doctor will ask questions about your symptoms and examine you. He or she will want to know if you have trouble swallowing solids, liquids, or both. He or she will also want to know
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
general health FEATURE•
7229 Wheat Street Covington, GA 30014
770-922-0505 - EastatlantaGastro.com
HIGH on
Surgical Safety
Rockdale Medical Center ranks as one of the state’s seven safest hospitals for surgery, above Atlanta’s big hospitals, in a new rating by the prestigious magazine Consumer Reports.
By John Ruch Features Reporter
R
MC fares well in Consumer Reports’ overall hospital safety rankings as well, with a rating around the state average. That’s similar to Atlanta Medical Center and some famous hospitals around the country. “I’m happy about the rating, because it shows the perception that patients have to go into [Atlanta] or go elsewhere [for quality care] is not true,” said Dr. Robert Greenfield of Resurgens Orthopaedics, who has performed surgeries at RMC for 20 years, about the surgical safety rating. “It’s really a feather in the cap of Rockdale County.” Measuring surgical safety is complicated, and the Consumer Reports rating comes with many qualifications. But it is consistent with other rankings by such organizations as The Joint Commission, the nonprofit organization that accredits hospitals nationwide. RMC rates as the same or better than other medical facilities around the country on key quality and safety measures in The Joint Commission’s online ratings. In October, The Joint Commission named RMC as one of the nation’s “Top Performers on Key Quality Measures.” That means near-perfect use of proven best practices in many sorts of treatment, including surgery. Deb Moore, RMC’s director of surgical services, oversees the nonstop process of monitoring and improving safety. “It’s an ongoing thing, something you can’t let slip,” she said. “Every day, every minute, it’s a thing you have to keep aware of.” RMC’s various quality and safety programs range from high-tech to common-sense. LifePoint Hospitals, the company that owns RMC, provides regular training on new methods and standards. But some of the basics are always the same, such as making sure all employees frequently wash their hands to prevent infections. Moore said RMC uses “secret shoppers” to covertly monitor the hand-washing to make sure no one skips it. Safety may be the reason for some things patients find annoying. When nurses ask the same question over and over, it often is to avoid making any mistake. “If you come in for a right knee scope [surgery], you’re going to be asked 12 times, ‘Is it that knee?’” said Moore. That greatly reduces the chance of a surgeon accidentally operating on the wrong place, she said. There are rules, checklists and precautions for surgeons, too. “The big thing is called the ‘time out,’” Moore said. It’s a moment that the doctors and nurses pause to review everything they’re doing and make sure they’re not forgetting anything. There are actually three time outs, before and after surgery. Nurses also contact all patients after surgery to make sure they’re doing well and answer any questions. The Consumer Reports surgical ranking, published in its September issue
this summer, puts RMC in the top seven of 43 Georgia hospitals surveyed. The rankings do not give the hospitals a particular numerical rating. Instead, it rates them as better or worse than the overall state average. RMC rates better than Atlanta’s Emory University and Piedmont hospitals, among others. The rating is based on the percentage of Medicare surgical patients who died in the hospital or were hospitalized longer than expected in 2009-2011. It is based on billing records, not medical records, so it is a limited way to look at patient safety. The new surgical rating is just one part of Consumer Reports’ overall hospital safety ratings, which compare all hospitals nationwide. On that system, RMC’s safety rating is 43 out of 100. That is better than it looks because no hospital in the country rates higher than 74. Georgia’s highest-rated hospital is 71 and the lowest is 21, so RMC is right around the average. Brigham and Women’s Hospital in Boston, a Harvard Medical School affiliate and home to President Obama’s new nominee for surgeon general, rates a 46. On some of Consumer Reports’ other safety measures, RMC rates very highly on doctor-patient and nurse-patient communication. It is rated below-average on drug information explained to patients and on readmission rates of patients with heart attacks, heart failure or pneumonia. RMC, located at 1412 Milstead Ave., is a 138-bed, acute care hospital founded in 1954.
WINTER 2014 | HEALTHY IN ROCKDALE
11
•general health FEATURE
hospital ranks
Dysphagia
SYMPTOMS & DIAGNOSIS
What are the symptoms? Dysphagia (trouble swallowing) can come and go, be mild or severe, or get worse over time. If you have dysphagia, you may: • Have problems getting food or liquids to go down on the first try. • Gag, choke, or cough when you swallow. • Have food or liquids come back up through your throat, mouth, or nose after you swallow. • Feel like foods or liquids are stuck in some part of your throat or chest. • Have pain when you swallow. • Have pain or pressure in your chest or have heartburn. • Lose weight because you are not getting enough food or liquid.
where you think foods or liquids are getting stuck, whether and for how long you have had heartburn, and how long you have had difficulty swallowing. He or she may also check your reflexes, muscle strength, and speech. Your doctor may then refer you to one of the following specialists at East Atlanta Gastroenterology Associates.
How is dysphagia diagnosed? If you are having difficulty swallowing, your doctor will ask questions about your symptoms and examine you. He or she will want to know if you have trouble swallowing solids, liquids, or both. He or she will also want to know
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
general health FEATURE•
7229 Wheat Street Covington, GA 30014
770-922-0505 - EastatlantaGastro.com
HIGH on
Surgical Safety
Rockdale Medical Center ranks as one of the state’s seven safest hospitals for surgery, above Atlanta’s big hospitals, in a new rating by the prestigious magazine Consumer Reports.
By John Ruch Features Reporter
R
MC fares well in Consumer Reports’ overall hospital safety rankings as well, with a rating around the state average. That’s similar to Atlanta Medical Center and some famous hospitals around the country. “I’m happy about the rating, because it shows the perception that patients have to go into [Atlanta] or go elsewhere [for quality care] is not true,” said Dr. Robert Greenfield of Resurgens Orthopaedics, who has performed surgeries at RMC for 20 years, about the surgical safety rating. “It’s really a feather in the cap of Rockdale County.” Measuring surgical safety is complicated, and the Consumer Reports rating comes with many qualifications. But it is consistent with other rankings by such organizations as The Joint Commission, the nonprofit organization that accredits hospitals nationwide. RMC rates as the same or better than other medical facilities around the country on key quality and safety measures in The Joint Commission’s online ratings. In October, The Joint Commission named RMC as one of the nation’s “Top Performers on Key Quality Measures.” That means near-perfect use of proven best practices in many sorts of treatment, including surgery. Deb Moore, RMC’s director of surgical services, oversees the nonstop process of monitoring and improving safety. “It’s an ongoing thing, something you can’t let slip,” she said. “Every day, every minute, it’s a thing you have to keep aware of.” RMC’s various quality and safety programs range from high-tech to common-sense. LifePoint Hospitals, the company that owns RMC, provides regular training on new methods and standards. But some of the basics are always the same, such as making sure all employees frequently wash their hands to prevent infections. Moore said RMC uses “secret shoppers” to covertly monitor the hand-washing to make sure no one skips it. Safety may be the reason for some things patients find annoying. When nurses ask the same question over and over, it often is to avoid making any mistake. “If you come in for a right knee scope [surgery], you’re going to be asked 12 times, ‘Is it that knee?’” said Moore. That greatly reduces the chance of a surgeon accidentally operating on the wrong place, she said. There are rules, checklists and precautions for surgeons, too. “The big thing is called the ‘time out,’” Moore said. It’s a moment that the doctors and nurses pause to review everything they’re doing and make sure they’re not forgetting anything. There are actually three time outs, before and after surgery. Nurses also contact all patients after surgery to make sure they’re doing well and answer any questions. The Consumer Reports surgical ranking, published in its September issue
this summer, puts RMC in the top seven of 43 Georgia hospitals surveyed. The rankings do not give the hospitals a particular numerical rating. Instead, it rates them as better or worse than the overall state average. RMC rates better than Atlanta’s Emory University and Piedmont hospitals, among others. The rating is based on the percentage of Medicare surgical patients who died in the hospital or were hospitalized longer than expected in 2009-2011. It is based on billing records, not medical records, so it is a limited way to look at patient safety. The new surgical rating is just one part of Consumer Reports’ overall hospital safety ratings, which compare all hospitals nationwide. On that system, RMC’s safety rating is 43 out of 100. That is better than it looks because no hospital in the country rates higher than 74. Georgia’s highest-rated hospital is 71 and the lowest is 21, so RMC is right around the average. Brigham and Women’s Hospital in Boston, a Harvard Medical School affiliate and home to President Obama’s new nominee for surgeon general, rates a 46. On some of Consumer Reports’ other safety measures, RMC rates very highly on doctor-patient and nurse-patient communication. It is rated below-average on drug information explained to patients and on readmission rates of patients with heart attacks, heart failure or pneumonia. RMC, located at 1412 Milstead Ave., is a 138-bed, acute care hospital founded in 1954.
WINTER 2014 | HEALTHY IN ROCKDALE
11
•general health FEATURE
A
If you experience difficulty hearing, now is the time to schedule your appointment with one of our high qualified, certified Audiologists.
What is an AUDIOLOGIST?
udiologists are health care professionals who are trained in the diagnosis, treatment and management of hearing loss, balance disorders and other associated conditions. Audiologists are trained to carry out detailed assessments by performing a number of specialized auditory (hearing) and vestibular (balance tests). They are trained to make recommendations for medical treatment when needed. Audiologists are trained to fit hearing aids and adjust to the hearing aid gradually with appropriate communication strategies. An audiologist can work in a variety of settings, and is trained to work with all ages, from babies to elderly patients. Some audiologists work with schools and provide diagnostics and auditory training support to hearing impaired students. Other audiologists may work in private practice, ENT offices, or hospitals, assessing hearing and balance disorders. Audiologists must also monitor the newborn infant screenings now required at hospitals. They may also work in areas of research or industrial businesses, managing noise exposure levels and monitoring the employees' hearing and providing instruction and education of ear G IN R protection. A E H OUT FUN FACTS AB e Audiologists are not medical doctors, but a masters or doctorate degree in Auth as n ow s (otherwise kn e cus and stape th in in diology is required for licensure. Since 28 million Americans suffer from some form s, s eu ne all bo m t es • The ear's are the small vil and stirrup) together on a of hearing impairment, the work an audiologist does is essential in our society fit d ul co er hammer, an th . All three toge today. human body ep penny. The causes of hearing loss in our society vary. Hearing loss can be a result of en while you sle ev , ds un so ar inues to he 770 or , nd co • The ear cont noise exposure, trauma, hereditary factors, or the natural aging process. Other se r pe of 1,130 feet ls at the speed ve tra d causes of hearing loss include ototoxic (toxic to the ear/hearing) medications, un So • ur. . ce head injuries, tumors, ear disease, certain medications, and illnesses such as diabe miles per ho lan ba in ar, but also aid ly help you he se po tes. Contact Ear, Nose and Throat Specialists of Conyers for your ex n ca • Ears not on nert rs at a rock co aring in of the speake he e nt local audiologist if you have concerns about your hearing, or if ag fro m in da g to tin • Sit will begin decibels, which you have related symptoms such as tinnitus or dizziness. you to 120
FOR PEOPLE WITH HEARING LOSS
www.entspecialists.net Donna McGough, F-AAA Kristyn Meade, F-AAA Susann Shriver, CCC-A HEALTHY IN ROCKDALE | WINTER 2014
Have you noticed more difficulty understanding family and friends? Does everyone just seem to be mumbling? Are you asking people to repeat themselves often? Are you having to turn the TV volume up? If you answered “yes” to any of these questions, you may need to check your hearing…
Did You Know?
minutes. al hearing only 7 1/2 ith only minim t of children w en rc pe n ve se • Thirtyst one grade. loss fail at lea
12
How’s Your Hearing?
• Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and marital problems • Amplification leads to a better quality of life, according to a 1999 study by the National Council on Aging. • At least 29 million Americans have a hearing impairment; 20% in adults ages 48-59; over 50% in adults over 75. • Patients with diabetes are more than twice as likely to have hearing loss. • Exposure to noise is the leading cause of tinnitus, and almost always accompanies hearing loss.
Offices in Conyers & Covington. Call now for an appointment! 770-922-5458
•general health FEATURE
A
If you experience difficulty hearing, now is the time to schedule your appointment with one of our high qualified, certified Audiologists.
What is an AUDIOLOGIST?
udiologists are health care professionals who are trained in the diagnosis, treatment and management of hearing loss, balance disorders and other associated conditions. Audiologists are trained to carry out detailed assessments by performing a number of specialized auditory (hearing) and vestibular (balance tests). They are trained to make recommendations for medical treatment when needed. Audiologists are trained to fit hearing aids and adjust to the hearing aid gradually with appropriate communication strategies. An audiologist can work in a variety of settings, and is trained to work with all ages, from babies to elderly patients. Some audiologists work with schools and provide diagnostics and auditory training support to hearing impaired students. Other audiologists may work in private practice, ENT offices, or hospitals, assessing hearing and balance disorders. Audiologists must also monitor the newborn infant screenings now required at hospitals. They may also work in areas of research or industrial businesses, managing noise exposure levels and monitoring the employees' hearing and providing instruction and education of ear G IN R protection. A E H OUT FUN FACTS AB e Audiologists are not medical doctors, but a masters or doctorate degree in Auth as n ow s (otherwise kn e cus and stape th in in diology is required for licensure. Since 28 million Americans suffer from some form s, s eu ne all bo m t es • The ear's are the small vil and stirrup) together on a of hearing impairment, the work an audiologist does is essential in our society fit d ul co er hammer, an th . All three toge today. human body ep penny. The causes of hearing loss in our society vary. Hearing loss can be a result of en while you sle ev , ds un so ar inues to he 770 or , nd co • The ear cont noise exposure, trauma, hereditary factors, or the natural aging process. Other se r pe of 1,130 feet ls at the speed ve tra d causes of hearing loss include ototoxic (toxic to the ear/hearing) medications, un So • ur. . ce head injuries, tumors, ear disease, certain medications, and illnesses such as diabe miles per ho lan ba in ar, but also aid ly help you he se po tes. Contact Ear, Nose and Throat Specialists of Conyers for your ex n ca • Ears not on nert rs at a rock co aring in of the speake he e nt local audiologist if you have concerns about your hearing, or if ag fro m in da g to tin • Sit will begin decibels, which you have related symptoms such as tinnitus or dizziness. you to 120
FOR PEOPLE WITH HEARING LOSS
www.entspecialists.net Donna McGough, F-AAA Kristyn Meade, F-AAA Susann Shriver, CCC-A HEALTHY IN ROCKDALE | WINTER 2014
Have you noticed more difficulty understanding family and friends? Does everyone just seem to be mumbling? Are you asking people to repeat themselves often? Are you having to turn the TV volume up? If you answered “yes” to any of these questions, you may need to check your hearing…
Did You Know?
minutes. al hearing only 7 1/2 ith only minim t of children w en rc pe n ve se • Thirtyst one grade. loss fail at lea
12
How’s Your Hearing?
• Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and marital problems • Amplification leads to a better quality of life, according to a 1999 study by the National Council on Aging. • At least 29 million Americans have a hearing impairment; 20% in adults ages 48-59; over 50% in adults over 75. • Patients with diabetes are more than twice as likely to have hearing loss. • Exposure to noise is the leading cause of tinnitus, and almost always accompanies hearing loss.
Offices in Conyers & Covington. Call now for an appointment! 770-922-5458
A New Dynamic in Plastic & Reconstructive Surgery! Breast Surgery: Breast Augmentation, Breast Lift, Breast Reconstruction & Breast Reduction.
Facial Rejuvination: Eyelift, Necklift,
Discover the New You at Panacea Plastic Surgery... W hether you have been thinking of some major or minor self im-
provements, there are many ways to achieve your aesthetic goals.
These refinements could include an update to your skin care products,
Facelift & Chemical Peel.
non-surgical facial rejuvination with Botox or Juvaderm, getting rid of un-
Body Contouring: Thigh Lift, Vaginal
wanted hair, or surgical procedures to address your needs.
Rejuvenation, Tummy Tuck, Liposuction & Fat Transfer.
Non-Invasive Therapies: Laser Hair Removal, Scar/Vien Treatment, Laser Skin Tightening, BOTOX & Juvaderm (Fillers). Emory Trained • Board Certified by the American Board of Plastic Surgery
Certification matters! Drs. Abboushi and Singh
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.
general health FEATURE•
1368 Wellbrook Circle • Conyers, Georgia
770-929-0634 www.panaceaplasticsurgery.com
Call today to schedule your complimentary consultation.
Facial Rejuvination without Surgery Facial rejuvination does not have to be synonomous with a facelift. There are numerous non-surgical options to improve the quality, texture, and radiance of your face and neck while also diminishing fine lines and wrinkles. Botox is an excellent and easy way to erase fine lines and wrinkles from your face. The results can be very dramatic with no downtime. Similarly, facial fillers, such as Juvaderm or even your own fat, can be used to fill in areas that have been depleted of volume such as under the eyelids and around the mouth, especially the lines that run from the edge of your nose to your lips. Fillers are also done in a matter of minutes and you can enjoy the results immediately. Skin resurfacing is a minimally invasive but powerful tool that can reinvigorate your skin. Chemical peels as well as laser resurfacing of the skin can take off years of sun damage and reverse the aging process. These procedures are done in the office with minimal downtime. The best time of the year to do them is in the winter months when sun exposure is at a minimum. Regardless of what you may decide to pursue, a solid skin care foundation is paramount to success. Let your plastic surgeon help you design a skin care regimen that fits your specific skin care needs.
Laser Hair Removal How wonderful would it be to just wake up, shower, and go off to your day without having to think about shaving unwanted hair! Laser hair removal is an easy and quick way to permanently remove hair from areas like your underarms, bikini, legs, and arms. Most patients require just six to eight 10-15 minutes sessions to say goodbye to ingrown hairs, unslightly hair, and razer burn forever. Breast Enhancement Improved breast aesthetics can come in many forms. Breast augmentation is performed with implants to increase the size of your breasts. A breast lift, however, may be done to restore your breasts to a more youthful appearance. Often times, an augmentation combined with a lift is necessary to restore both volume and shape to your breasts. Breast Reduction On the other hand, many women have large breasts that are painful and cause significant backaches, headaches, and make it hard to exercise. These women benefit greatly from a breast reduction. Most patients who desire a breast reduction can have the procedure covered by insurance.
Body Contouring Liposuction can be a powerful tool to get rid of unwanted fat from head to toe resulting in a smoother, more contoured appearance. A tummy tuck, or abdominoplasty, removes excess skin from the lower abdomen and tightens the tissue on top of the muscle that is often overstretched with weight gain, weight loss, and pregnancy. The results can be dramatic. Excess skin can also be removed from the arms (armlift) and thighs (thigh lift) to make these areas tighter and more defined. A brachioplasty (armlift) or thigh lift can also be combined with liposuction to achieve optimal results. Buttock augmentation and sculpting can be performed by removing fat from an unwanted area and placing it in your buttock region to achieve a lifted and full gluteal region. Is Your Plastic Surgeon Board Certified? Before you embark on any aesthetic procedure, whether surgical or non-surgical, it is important to ask whether your doctor is board certified by the American Board of Plastic Surgery. Your safety is very important and ensuring that you are being treated by a board certified plastic surgeon guarantees that he or she has completed and successfully mastered all the procedures described above.
WINTER 2014 | HEALTHY IN ROCKDALE
15
A New Dynamic in Plastic & Reconstructive Surgery! Breast Surgery: Breast Augmentation, Breast Lift, Breast Reconstruction & Breast Reduction.
Facial Rejuvination: Eyelift, Necklift,
Discover the New You at Panacea Plastic Surgery... W hether you have been thinking of some major or minor self im-
provements, there are many ways to achieve your aesthetic goals.
These refinements could include an update to your skin care products,
Facelift & Chemical Peel.
non-surgical facial rejuvination with Botox or Juvaderm, getting rid of un-
Body Contouring: Thigh Lift, Vaginal
wanted hair, or surgical procedures to address your needs.
Rejuvenation, Tummy Tuck, Liposuction & Fat Transfer.
Non-Invasive Therapies: Laser Hair Removal, Scar/Vien Treatment, Laser Skin Tightening, BOTOX & Juvaderm (Fillers). Emory Trained • Board Certified by the American Board of Plastic Surgery
Certification matters! Drs. Abboushi and Singh
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.
general health FEATURE•
1368 Wellbrook Circle • Conyers, Georgia
770-929-0634 www.panaceaplasticsurgery.com
Call today to schedule your complimentary consultation.
Facial Rejuvination without Surgery Facial rejuvination does not have to be synonomous with a facelift. There are numerous non-surgical options to improve the quality, texture, and radiance of your face and neck while also diminishing fine lines and wrinkles. Botox is an excellent and easy way to erase fine lines and wrinkles from your face. The results can be very dramatic with no downtime. Similarly, facial fillers, such as Juvaderm or even your own fat, can be used to fill in areas that have been depleted of volume such as under the eyelids and around the mouth, especially the lines that run from the edge of your nose to your lips. Fillers are also done in a matter of minutes and you can enjoy the results immediately. Skin resurfacing is a minimally invasive but powerful tool that can reinvigorate your skin. Chemical peels as well as laser resurfacing of the skin can take off years of sun damage and reverse the aging process. These procedures are done in the office with minimal downtime. The best time of the year to do them is in the winter months when sun exposure is at a minimum. Regardless of what you may decide to pursue, a solid skin care foundation is paramount to success. Let your plastic surgeon help you design a skin care regimen that fits your specific skin care needs.
Laser Hair Removal How wonderful would it be to just wake up, shower, and go off to your day without having to think about shaving unwanted hair! Laser hair removal is an easy and quick way to permanently remove hair from areas like your underarms, bikini, legs, and arms. Most patients require just six to eight 10-15 minutes sessions to say goodbye to ingrown hairs, unslightly hair, and razer burn forever. Breast Enhancement Improved breast aesthetics can come in many forms. Breast augmentation is performed with implants to increase the size of your breasts. A breast lift, however, may be done to restore your breasts to a more youthful appearance. Often times, an augmentation combined with a lift is necessary to restore both volume and shape to your breasts. Breast Reduction On the other hand, many women have large breasts that are painful and cause significant backaches, headaches, and make it hard to exercise. These women benefit greatly from a breast reduction. Most patients who desire a breast reduction can have the procedure covered by insurance.
Body Contouring Liposuction can be a powerful tool to get rid of unwanted fat from head to toe resulting in a smoother, more contoured appearance. A tummy tuck, or abdominoplasty, removes excess skin from the lower abdomen and tightens the tissue on top of the muscle that is often overstretched with weight gain, weight loss, and pregnancy. The results can be dramatic. Excess skin can also be removed from the arms (armlift) and thighs (thigh lift) to make these areas tighter and more defined. A brachioplasty (armlift) or thigh lift can also be combined with liposuction to achieve optimal results. Buttock augmentation and sculpting can be performed by removing fat from an unwanted area and placing it in your buttock region to achieve a lifted and full gluteal region. Is Your Plastic Surgeon Board Certified? Before you embark on any aesthetic procedure, whether surgical or non-surgical, it is important to ask whether your doctor is board certified by the American Board of Plastic Surgery. Your safety is very important and ensuring that you are being treated by a board certified plastic surgeon guarantees that he or she has completed and successfully mastered all the procedures described above.
WINTER 2014 | HEALTHY IN ROCKDALE
15
•women's health FEATURE
HIGH RISK
Bio Identical Hormone Replacement T
he case for bio identical hormone replacement for women is a strong one. This treatment has been used in the United States and studied since the early 1940s. Research shows that replacing a woman’s missing hormones effectively reduces symptoms like: • hot flashes • night sweats • vaginal dryness • sleep problems • mood swings • and foggy thinking In fact, scientific evidence shows that women
may also see many health benefits such as reduced risks for bone loss, heart disease, breast cancer and Alzheimer’s disease. SottoPelle understands the complexities of restoring healthy hormone levels. To randomly take any hormone or substance in any amount and expect to achieve hormonal balance isn’t realistic. In order to regain natural balance, the method used must be precise, available 24/7 and based on replacing the essential missing hormones with those that are biologically identical. Bio-identical hormone replacement therapy in pellet form has been positively researched and
accepted as the most effective delivery system available for men and women suffering from the side effects of menopause or andropause (male equivalent of menopause). When the body is in need of estrogen or testosterone, these tiny implants placed under the skin consistently release small physiologic doses of hormones providing optimal therapy. For decades, these positive research studies have been reported in respected medical journals around the world. SottoPelle® is paving the way for bio-identical hormone replacement therapy worldwide.
PREGNANCY E
very pregnancy has some risk of problems. The causes can be conditions you already have or conditions you develop. They also include being pregnant with more than one baby, previous problem pregnancies, or being over age 35. They can affect your health and the health of your baby. If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Examples of common conditions that can complicate a pregnancy include: Heart disease, high blood pressure, kidney problems, autoimmune disorders, sexually transmitted diseases, diabetes, cancer and infections. Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them. Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your doctor or midwife if something is bothering or worrying What else do I need to know about high-risk pregnancy? Consult your health care provider about how to manage any medical conditions you might have during your pregnancy and how your health might affect labor and delivery. Ask them to discuss specific signs or symptoms to look out for, such as: Vaginal bleeding, persistent headaches, pain or cramping in the lower abdomen, watery vaginal discharge — in a gush or a trickle, regular or frequent contractions — a tightening sensation in the abdomen, decreased fetal activity, pain or burning with urination, or changes in vision, including blurred vision. Also, find out which signs or symptoms should prompt you to contact your health care provider and when to seek emergency care. A high-risk pregnancy might have ups and downs. Do your best to stay positive as you take steps to promote a healthy pregnancy. Contact New Beginnings Comprehensive Women’s Healthcare with any answer questions.
New VisioNs...New HorizoNs...
• Adult & Adolescent Gynecology • Normal & High Risk Obsterical Care • Contraceptive Management
New Beginnings For all your women’s healthcare needs!
• Management of Fibroids • Robotic Laparoscopic Surgery • Gynecological Surgery • Disorders of the Cervix • Family Planning • Ultrasound • In-Office Essure Tubal Ligation and Endometrial Ablation • Infertility • Menopause Management • Hysterosonogram
day Call Us To le To Schedu ! Your V isit 1415 Milstead Road, Suite A • Conyers, GA 30012 Exclusively being provided by Veronica Garrett M.D. 1415 Milstead Road N.E., Suite B Conyers, GA 30012 Call Today (770) 918-1619
678-413-0858 ~ Se habla espanol
Comprehensive Women’s Healthcare at It’s Best!
WE ACCEPT MOST MAJOR HEALTH PLANS ~ CALL TODAY FOR AN APPOINTMENT!
•women's health FEATURE
HIGH RISK
Bio Identical Hormone Replacement T
he case for bio identical hormone replacement for women is a strong one. This treatment has been used in the United States and studied since the early 1940s. Research shows that replacing a woman’s missing hormones effectively reduces symptoms like: • hot flashes • night sweats • vaginal dryness • sleep problems • mood swings • and foggy thinking In fact, scientific evidence shows that women
may also see many health benefits such as reduced risks for bone loss, heart disease, breast cancer and Alzheimer’s disease. SottoPelle understands the complexities of restoring healthy hormone levels. To randomly take any hormone or substance in any amount and expect to achieve hormonal balance isn’t realistic. In order to regain natural balance, the method used must be precise, available 24/7 and based on replacing the essential missing hormones with those that are biologically identical. Bio-identical hormone replacement therapy in pellet form has been positively researched and
accepted as the most effective delivery system available for men and women suffering from the side effects of menopause or andropause (male equivalent of menopause). When the body is in need of estrogen or testosterone, these tiny implants placed under the skin consistently release small physiologic doses of hormones providing optimal therapy. For decades, these positive research studies have been reported in respected medical journals around the world. SottoPelle® is paving the way for bio-identical hormone replacement therapy worldwide.
PREGNANCY E
very pregnancy has some risk of problems. The causes can be conditions you already have or conditions you develop. They also include being pregnant with more than one baby, previous problem pregnancies, or being over age 35. They can affect your health and the health of your baby. If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Examples of common conditions that can complicate a pregnancy include: Heart disease, high blood pressure, kidney problems, autoimmune disorders, sexually transmitted diseases, diabetes, cancer and infections. Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them. Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your doctor or midwife if something is bothering or worrying What else do I need to know about high-risk pregnancy? Consult your health care provider about how to manage any medical conditions you might have during your pregnancy and how your health might affect labor and delivery. Ask them to discuss specific signs or symptoms to look out for, such as: Vaginal bleeding, persistent headaches, pain or cramping in the lower abdomen, watery vaginal discharge — in a gush or a trickle, regular or frequent contractions — a tightening sensation in the abdomen, decreased fetal activity, pain or burning with urination, or changes in vision, including blurred vision. Also, find out which signs or symptoms should prompt you to contact your health care provider and when to seek emergency care. A high-risk pregnancy might have ups and downs. Do your best to stay positive as you take steps to promote a healthy pregnancy. Contact New Beginnings Comprehensive Women’s Healthcare with any answer questions.
New VisioNs...New HorizoNs...
• Adult & Adolescent Gynecology • Normal & High Risk Obsterical Care • Contraceptive Management
New Beginnings For all your women’s healthcare needs!
• Management of Fibroids • Robotic Laparoscopic Surgery • Gynecological Surgery • Disorders of the Cervix • Family Planning • Ultrasound • In-Office Essure Tubal Ligation and Endometrial Ablation • Infertility • Menopause Management • Hysterosonogram
day Call Us To le To Schedu ! Your V isit 1415 Milstead Road, Suite A • Conyers, GA 30012 Exclusively being provided by Veronica Garrett M.D. 1415 Milstead Road N.E., Suite B Conyers, GA 30012 Call Today (770) 918-1619
678-413-0858 ~ Se habla espanol
Comprehensive Women’s Healthcare at It’s Best!
WE ACCEPT MOST MAJOR HEALTH PLANS ~ CALL TODAY FOR AN APPOINTMENT!
•fitness FEATURE
EXCUSES... W
hen it comes to getting healthy and fit, we’ll come up with as many excuses as our creativity will allow. We’re like a third grader at 7 a.m., tirelessly scrambling for a new sick excuse to tell mom why we need to stay home from school. But we’re adults, and it’s time we faced the reality that many of us are overweight and out of shape. The Center for Disease Control says that 34% of Americans age 20 and over are obese. That means one in every three of us has serious health issues. Outside of that 34%, many more of us haven’t jogged or lifted a weight since the Reagan Administration. Somewhere near the top of our excuse list is money—or the lack of it. Gym memberships are so expensive. Cooking healthy food costs so much money. We tell ourselves that we can’t get in shape because it will mess up our budget! Really? That’s not really true. If money is tight but you still want to lose weight this year, here are a few pointers to help get you started: Cut the expensive gym membership. You don’t need a hefty bill to a fitness club to get in shape. If you are one of the die-hards who regularly use the gym and get your money’s worth, then go for it. But some of us pay a crazy amount of money each month to run on a treadmill twice a week. You could save serious cash by simply running on a track at the local park or on the sidewalks and streets in your neighborhood. Besides, breathing a little fresh air in the great outdoors is good for you. Skip the fad diets. There’s always some wacky fitness guru out there who promises to sell the next “magic pill.” Don’t buy it. Those are just like get-rich-quick schemes; they don’t work. Buy your own diet food—it’s called fruits, vegetables, and lean proteins—and you’ll save money. Plan ahead. When it comes to buying healthy food, map out your menu before the week starts. Then, visit the grocery store and only buy the items you need. If you wait until 6:00 p.m. on Tuesday to try and figure out what’s for dinner, then you’re much more likely to make the quick and easy choice—something like McDonald’s instead of grilled chicken and green beans. Dave recommends eMealz, a simple online solution that plans your meals, helps you stick to your grocery budget and simplifies your life. Don’t make things complicated. If you can put one foot in front of the other, you can get in shape. Running is one of the cheapest activities you can participate in. All you need is a pair of tennis shoes. You don’t need the latest and greatest equipment. Some of
O ur doctors have over 25 years combined experience. As a team, we will provide for the healthcare needs of our patients by utilizing up-to-date medical standards and integrated technology to the best of our abilities. We realize that our talents and abilities are gifts from God and must be used wisely. We will respect and honor every individual as a child of God. that might help if you get more serious about running. But if you just want to lose a few pounds, there’s nothing wrong with a cotton shirt and a pair of gym shorts. And that goes for most activities that will help you get fit—just get out and get started. Remember, baby steps. If you’re getting in shape or getting out of debt, don’t bite off more than you can chew. Set reasonable, realistic goals. Unless you’ve been selected to be on The Biggest Loser or can afford a personal trainer and eight hours of exercise a day, you aren’t going to lose 100 pounds in three months. But you will make progress with a plan that works with your daily schedule. Find time for short workouts. Take a walk during lunch or your break. Take the stairs instead of the elevator. Park at the far end of the parking lot. Just look for opportunities to get some short exercise throughout the day. These brief bursts of activity will burn a few extra calories and cost you absolutely nothing! Tell someone. You don’t have to broadcast your goal to the world, but let a few people know about your desire to get in shape or lose weight. That added accountability will help fuel you when doubt creeps in and you want to give up. The physicians at Bridgewater Family Practice can help you reach your goal too.
Dr. Michael J. Manning
Dr. Jonathan E. Henderson
HEALTHY IN ROCKDALE | WINTER 2014
Article provided by www.daveramsey.com
Dr. William Delp
Diabetes • High Blood Pressure Sports Medicine • Allergies • Pediatrics
Same Day Appointments Available! Se habla espanole
18
Dr. Onika Popo-James
2215 Exchange Place SE • Conyers, GA 30013
770-922-3522 • www.mybfp.com
•fitness FEATURE
EXCUSES... W
hen it comes to getting healthy and fit, we’ll come up with as many excuses as our creativity will allow. We’re like a third grader at 7 a.m., tirelessly scrambling for a new sick excuse to tell mom why we need to stay home from school. But we’re adults, and it’s time we faced the reality that many of us are overweight and out of shape. The Center for Disease Control says that 34% of Americans age 20 and over are obese. That means one in every three of us has serious health issues. Outside of that 34%, many more of us haven’t jogged or lifted a weight since the Reagan Administration. Somewhere near the top of our excuse list is money—or the lack of it. Gym memberships are so expensive. Cooking healthy food costs so much money. We tell ourselves that we can’t get in shape because it will mess up our budget! Really? That’s not really true. If money is tight but you still want to lose weight this year, here are a few pointers to help get you started: Cut the expensive gym membership. You don’t need a hefty bill to a fitness club to get in shape. If you are one of the die-hards who regularly use the gym and get your money’s worth, then go for it. But some of us pay a crazy amount of money each month to run on a treadmill twice a week. You could save serious cash by simply running on a track at the local park or on the sidewalks and streets in your neighborhood. Besides, breathing a little fresh air in the great outdoors is good for you. Skip the fad diets. There’s always some wacky fitness guru out there who promises to sell the next “magic pill.” Don’t buy it. Those are just like get-rich-quick schemes; they don’t work. Buy your own diet food—it’s called fruits, vegetables, and lean proteins—and you’ll save money. Plan ahead. When it comes to buying healthy food, map out your menu before the week starts. Then, visit the grocery store and only buy the items you need. If you wait until 6:00 p.m. on Tuesday to try and figure out what’s for dinner, then you’re much more likely to make the quick and easy choice—something like McDonald’s instead of grilled chicken and green beans. Dave recommends eMealz, a simple online solution that plans your meals, helps you stick to your grocery budget and simplifies your life. Don’t make things complicated. If you can put one foot in front of the other, you can get in shape. Running is one of the cheapest activities you can participate in. All you need is a pair of tennis shoes. You don’t need the latest and greatest equipment. Some of
O ur doctors have over 25 years combined experience. As a team, we will provide for the healthcare needs of our patients by utilizing up-to-date medical standards and integrated technology to the best of our abilities. We realize that our talents and abilities are gifts from God and must be used wisely. We will respect and honor every individual as a child of God. that might help if you get more serious about running. But if you just want to lose a few pounds, there’s nothing wrong with a cotton shirt and a pair of gym shorts. And that goes for most activities that will help you get fit—just get out and get started. Remember, baby steps. If you’re getting in shape or getting out of debt, don’t bite off more than you can chew. Set reasonable, realistic goals. Unless you’ve been selected to be on The Biggest Loser or can afford a personal trainer and eight hours of exercise a day, you aren’t going to lose 100 pounds in three months. But you will make progress with a plan that works with your daily schedule. Find time for short workouts. Take a walk during lunch or your break. Take the stairs instead of the elevator. Park at the far end of the parking lot. Just look for opportunities to get some short exercise throughout the day. These brief bursts of activity will burn a few extra calories and cost you absolutely nothing! Tell someone. You don’t have to broadcast your goal to the world, but let a few people know about your desire to get in shape or lose weight. That added accountability will help fuel you when doubt creeps in and you want to give up. The physicians at Bridgewater Family Practice can help you reach your goal too.
Dr. Michael J. Manning
Dr. Jonathan E. Henderson
HEALTHY IN ROCKDALE | WINTER 2014
Article provided by www.daveramsey.com
Dr. William Delp
Diabetes • High Blood Pressure Sports Medicine • Allergies • Pediatrics
Same Day Appointments Available! Se habla espanole
18
Dr. Onika Popo-James
2215 Exchange Place SE • Conyers, GA 30013
770-922-3522 • www.mybfp.com
Committed to You!
general health FEATURE•
How Peripheral Neuropathy Causes Numbness
At Rockdale Neurology
Associates we are committed to providing accurate
assessments and effective treatment for even the most
• Migraines/Headaches • Memory Loss/Dementia • Balance & Gait Disorders
• Numbness, Weakness or Neuropathy • Multiple Sclerosis
• Parkinson’s Disease • Seizures • Spasticity from Stroke
Call to schedule your appointment, today! The Rockdale and Conyers communities now have their own Neurology team that has advanced fellowship training in Neuro-Ophthalmology and Epilepsy.
BRYAN RIGGEAL, MD Neurology, Neuro-Ophthalmology
Rockdale Neurology Associates is proud to have Dr. Bryan Riggeal and Dr. Candice CANDICE RIGGEAL, DO Riggeal as part of their team. Neurology, Epilepsy
1255-B Commercial Drive • Conyers, GA 30094
770-278-0154 rockdaleneurology.com
}
Peripheral neuropathy is a condition caused by damage to the nerves that connect the brain and spinal cord to the rest of the body. These nerves, which make up the peripheral nervous system, allow the brain to send signals to the body and the body to send signals to the brain.
challenging neurologic and neuro-ophthalmic conditions.
IF YOU SUFFER FROM THE FOLLOWING:
{
By Matthew Busse, Features Reporter
T
here are many causes of peripheral neuropathy, including alcoholism, injury, diabetes and some chemotherapy medications. Several different symptoms may result from the nerve damage caused by peripheral neuropathy, including numbness. The reason numbness is a frequent symptom of peripheral neuropathy relates to the specific role played by peripheral neurons in sensation. Damage to Sensory Nerves The peripheral nervous system can be divided into three types of neurons, sensory neurons that perceive feelings like touch, temperature and pain; motor neurons that tell muscles when and how to move; and autonomic neurons that regulate processes subconsciously, including bladder function, digestion, blood pressure and heart rate. The longest nerves in the body are the sensory those that connect the spinal cord to the toes and fingers. These very long sensory nerves are usually the first ones to be damaged during peripheral neuropathy. Because these nerves transmit sensation from the fingers and toes to the brain, when they are damaged, those sensations can no longer be sent, causing numbness. Damage to the Myelin Sheath The damage that occurs to sensory nerves during peripheral neuropathy often begins with the outer covering of neurons, which is called the myelin sheath. The myelin wrapped around nerves is similar to the insulation wrapped around electrical wires; they keep the electrical signal within the wire and allow it to transmit down the length of the wire. If the myelin sheath of a sensory neuron starts to degrade, the neuron starts to "short circuit", similar to a wire with damaged insulation. If a large amount of the myelin is damaged, the nerve is unable to transmit sensations, leading to numbness, or loss of sensation, in the affected area.
your Schedule ent appointm ur of o with one s physician today!
Timeline of Numbness Numbness often begins in the toes or fingers, because these are connected to the brain by the longest neurons. As the damage from peripheral neuropathy grows, the numbness may spread up the arms and legs. Patients suffering from peripheral neuropathy often say it feels as if they are wearing heavy gloves or socks when they are not. People with severe numbness may not notice if their hands or feet are cut or burned, and untreated injuries like this may eventually result in amputation of limbs.
Can peripheral neuropathy be prevented? Everyone can reduce their risk of peripheral neuropathy by having a sensible alcohol intake within medical guidelines. A healthy balanced diet is also important to prevent dietary deficiencies. Type 2 diabetes is the most common cause of chronic peripheral neuropathy. Diabetes is more common in people who are overweight or obese. Therefore weight control may help to reduce your risk of developing diabetes. If you do develop diabetes or another medical problem that can cause peripheral neuropathy, good control of the condition may help to prevent neuropathy from developing. Seek medical care right away if you notice any unusual tingling, weakness or pain in your hands or feet. Rockdale Neurology Associates will help with an early diagnosis and treatment that offers the best chance for controlling your symptoms and preventing further damage to your peripheral nerves. WINTER 2014 | HEALTHY IN ROCKDALE
21
Committed to You!
general health FEATURE•
How Peripheral Neuropathy Causes Numbness
At Rockdale Neurology
Associates we are committed to providing accurate
assessments and effective treatment for even the most
• Migraines/Headaches • Memory Loss/Dementia • Balance & Gait Disorders
• Numbness, Weakness or Neuropathy • Multiple Sclerosis
• Parkinson’s Disease • Seizures • Spasticity from Stroke
Call to schedule your appointment, today! The Rockdale and Conyers communities now have their own Neurology team that has advanced fellowship training in Neuro-Ophthalmology and Epilepsy.
BRYAN RIGGEAL, MD Neurology, Neuro-Ophthalmology
Rockdale Neurology Associates is proud to have Dr. Bryan Riggeal and Dr. Candice CANDICE RIGGEAL, DO Riggeal as part of their team. Neurology, Epilepsy
1255-B Commercial Drive • Conyers, GA 30094
770-278-0154 rockdaleneurology.com
}
Peripheral neuropathy is a condition caused by damage to the nerves that connect the brain and spinal cord to the rest of the body. These nerves, which make up the peripheral nervous system, allow the brain to send signals to the body and the body to send signals to the brain.
challenging neurologic and neuro-ophthalmic conditions.
IF YOU SUFFER FROM THE FOLLOWING:
{
By Matthew Busse, Features Reporter
T
here are many causes of peripheral neuropathy, including alcoholism, injury, diabetes and some chemotherapy medications. Several different symptoms may result from the nerve damage caused by peripheral neuropathy, including numbness. The reason numbness is a frequent symptom of peripheral neuropathy relates to the specific role played by peripheral neurons in sensation. Damage to Sensory Nerves The peripheral nervous system can be divided into three types of neurons, sensory neurons that perceive feelings like touch, temperature and pain; motor neurons that tell muscles when and how to move; and autonomic neurons that regulate processes subconsciously, including bladder function, digestion, blood pressure and heart rate. The longest nerves in the body are the sensory those that connect the spinal cord to the toes and fingers. These very long sensory nerves are usually the first ones to be damaged during peripheral neuropathy. Because these nerves transmit sensation from the fingers and toes to the brain, when they are damaged, those sensations can no longer be sent, causing numbness. Damage to the Myelin Sheath The damage that occurs to sensory nerves during peripheral neuropathy often begins with the outer covering of neurons, which is called the myelin sheath. The myelin wrapped around nerves is similar to the insulation wrapped around electrical wires; they keep the electrical signal within the wire and allow it to transmit down the length of the wire. If the myelin sheath of a sensory neuron starts to degrade, the neuron starts to "short circuit", similar to a wire with damaged insulation. If a large amount of the myelin is damaged, the nerve is unable to transmit sensations, leading to numbness, or loss of sensation, in the affected area.
your Schedule ent appointm ur of o with one s physician today!
Timeline of Numbness Numbness often begins in the toes or fingers, because these are connected to the brain by the longest neurons. As the damage from peripheral neuropathy grows, the numbness may spread up the arms and legs. Patients suffering from peripheral neuropathy often say it feels as if they are wearing heavy gloves or socks when they are not. People with severe numbness may not notice if their hands or feet are cut or burned, and untreated injuries like this may eventually result in amputation of limbs.
Can peripheral neuropathy be prevented? Everyone can reduce their risk of peripheral neuropathy by having a sensible alcohol intake within medical guidelines. A healthy balanced diet is also important to prevent dietary deficiencies. Type 2 diabetes is the most common cause of chronic peripheral neuropathy. Diabetes is more common in people who are overweight or obese. Therefore weight control may help to reduce your risk of developing diabetes. If you do develop diabetes or another medical problem that can cause peripheral neuropathy, good control of the condition may help to prevent neuropathy from developing. Seek medical care right away if you notice any unusual tingling, weakness or pain in your hands or feet. Rockdale Neurology Associates will help with an early diagnosis and treatment that offers the best chance for controlling your symptoms and preventing further damage to your peripheral nerves. WINTER 2014 | HEALTHY IN ROCKDALE
21
general health FEATURE•
Hypertension, or high
blood pressure, is a serious condition that affects about one in three American adults, and two-thirds of people over age 65.
B
They’re counting on you
Healthy.
to stay
From annual exams and screening tests to treatment of illness or injury, count on us for a full range of health services to fit your needs and your busy schedule.
• Diabetes • Bronchitis • Hypertension • Fever • Flu • Asthma • Earache
Conyers Medical Clinic 2601 Salem Road, Conyers, GA • 770-922-1880
Ganesh N. Kini M.D.
lood pressure is the force of blood as it pumps through your arteries. The more blood your heart pumps and the narrower your arteries are, the higher the blood pressure. Normal blood pressure is an average systolic blood pressure of 120 mm Hg and an average diastolic pressure of 80 mm Hg -- often said as “120 over 80.” The top number measures the pressure in arteries when your heart beats. The bottom number measures the pressure between beats. Someone has high blood pressure when the average top number is above 140 mm Hg, the bottom number is above 90 mm Hg, or both. High blood pressure raises the risk of heart disease and stroke, the leading causes of death among Americans. It is called the "silent killer" because you usually don't have any symptoms when your blood pressure is too high. Hypertension, high cholesterol, and obesity are the biggest reasons people get atherosclerosis, or hardening of the arteries. Signs and Symptoms Most people don't know they have high blood pressure because they have no symptoms. Rarely, some people may have a mild headache when their blood pressure is high. Advanced cases of hypertension may cause these symptoms: • Severe headache • Confusion • Nausea • Visual disturbances • Seizure
Article provided by
University of Maryland Medical Center
Causes • Genes for high blood pressure • Low levels of nitric oxide, a substance in your body that makes blood vessels open • Insulin resistance • Being overweight or obese Risk Factors The following factors increase your risk for high blood pressure: • Being overweight • Not getting enough exercise • Having a family history of hypertension • Being African-American • Being older • Drinking too much alcohol or smoking • Eating a lot of salt (sodium) • Stress • Having long-lasting conditions such as diabetes, kidney disease, or high cholesterol. Diagnosis Each time your heart beats, or contracts, it pumps blood into your arteries. The pressure of the blood against the artery walls is called systolic blood pressure, when blood pressure is at its maximum. When your heart is at rest, between beats, the blood pressure falls, which is known as the diastolic pressure. A person with high blood pressure has an average systolic blood pressure above 140 mm Hg and/or a diastolic blood pressure above 90 mm Hg -- usually written as 140/90. To diagnose hypertension, your doctor will check your blood pressure using an inflatable cuff and a
stethoscope. If it's high, your doctor will check your pulse rate, examine your neck for swollen veins or an enlarged thyroid gland, listen to your heart for murmurs, and look at your eyes for damaged blood vessels in the retina. If your doctor thinks you have high blood pressure, you may be asked to measure your blood pressure at home or to come back for another appointment. Additional laboratory and blood tests can find out if it is secondary or primary hypertension. Preventive Care There are several ways you can prevent high blood pressure. • Stay at a proper weight • Cut back on salt • Get more exercise • Limit alcohol • Eat a diet rich in fruits and vegetables Treatment If you have high blood pressure, you and your doctor will work to reduce the risk of serious complications, including heart disease and stroke, by getting it under control. Ideally, you want your blood pressure to be 120/80 mm Hg. But even lowering it some can help. In the early stages of hypertension when blood pressure isn't very high, your doctor may tell you to make lifestyle changes for 6 - 12 months. After this time, if blood pressure is still high, you will probably need medication. You'll still need to make changes to your diet and exercise habits, even if your doctor prescribes medication.
WINTER 2014 | HEALTHY IN ROCKDALE
23
general health FEATURE•
Hypertension, or high
blood pressure, is a serious condition that affects about one in three American adults, and two-thirds of people over age 65.
B
They’re counting on you
Healthy.
to stay
From annual exams and screening tests to treatment of illness or injury, count on us for a full range of health services to fit your needs and your busy schedule.
• Diabetes • Bronchitis • Hypertension • Fever • Flu • Asthma • Earache
Conyers Medical Clinic 2601 Salem Road, Conyers, GA • 770-922-1880
Ganesh N. Kini M.D.
lood pressure is the force of blood as it pumps through your arteries. The more blood your heart pumps and the narrower your arteries are, the higher the blood pressure. Normal blood pressure is an average systolic blood pressure of 120 mm Hg and an average diastolic pressure of 80 mm Hg -- often said as “120 over 80.” The top number measures the pressure in arteries when your heart beats. The bottom number measures the pressure between beats. Someone has high blood pressure when the average top number is above 140 mm Hg, the bottom number is above 90 mm Hg, or both. High blood pressure raises the risk of heart disease and stroke, the leading causes of death among Americans. It is called the "silent killer" because you usually don't have any symptoms when your blood pressure is too high. Hypertension, high cholesterol, and obesity are the biggest reasons people get atherosclerosis, or hardening of the arteries. Signs and Symptoms Most people don't know they have high blood pressure because they have no symptoms. Rarely, some people may have a mild headache when their blood pressure is high. Advanced cases of hypertension may cause these symptoms: • Severe headache • Confusion • Nausea • Visual disturbances • Seizure
Article provided by
University of Maryland Medical Center
Causes • Genes for high blood pressure • Low levels of nitric oxide, a substance in your body that makes blood vessels open • Insulin resistance • Being overweight or obese Risk Factors The following factors increase your risk for high blood pressure: • Being overweight • Not getting enough exercise • Having a family history of hypertension • Being African-American • Being older • Drinking too much alcohol or smoking • Eating a lot of salt (sodium) • Stress • Having long-lasting conditions such as diabetes, kidney disease, or high cholesterol. Diagnosis Each time your heart beats, or contracts, it pumps blood into your arteries. The pressure of the blood against the artery walls is called systolic blood pressure, when blood pressure is at its maximum. When your heart is at rest, between beats, the blood pressure falls, which is known as the diastolic pressure. A person with high blood pressure has an average systolic blood pressure above 140 mm Hg and/or a diastolic blood pressure above 90 mm Hg -- usually written as 140/90. To diagnose hypertension, your doctor will check your blood pressure using an inflatable cuff and a
stethoscope. If it's high, your doctor will check your pulse rate, examine your neck for swollen veins or an enlarged thyroid gland, listen to your heart for murmurs, and look at your eyes for damaged blood vessels in the retina. If your doctor thinks you have high blood pressure, you may be asked to measure your blood pressure at home or to come back for another appointment. Additional laboratory and blood tests can find out if it is secondary or primary hypertension. Preventive Care There are several ways you can prevent high blood pressure. • Stay at a proper weight • Cut back on salt • Get more exercise • Limit alcohol • Eat a diet rich in fruits and vegetables Treatment If you have high blood pressure, you and your doctor will work to reduce the risk of serious complications, including heart disease and stroke, by getting it under control. Ideally, you want your blood pressure to be 120/80 mm Hg. But even lowering it some can help. In the early stages of hypertension when blood pressure isn't very high, your doctor may tell you to make lifestyle changes for 6 - 12 months. After this time, if blood pressure is still high, you will probably need medication. You'll still need to make changes to your diet and exercise habits, even if your doctor prescribes medication.
WINTER 2014 | HEALTHY IN ROCKDALE
23
A Nationally Recognized
Hospital…
Quality matters, especially in health care. At Rockdale Medical Center you can be assured that you are receiving high quality care. Named as a Top Performer on Key Quality Measures® in Heart Attack, Heart Failure, Pneumonia and Surgical Care by The Joint Commission, Rockdale Medical Center is proud to share this national recognition with our community.
1412 Milstead Avenue | Conyers, Georgia 30012 800-424-DOCS (3627) | www.rockdalemedicalcenter.org
The Joint Commission Top Performer on Key Quality Measures® 2012
• Heart Attack • Heart Failure • Pneumonia • Surgical Care
…Right Here at Home!
A Nationally Recognized
Hospital…
Quality matters, especially in health care. At Rockdale Medical Center you can be assured that you are receiving high quality care. Named as a Top Performer on Key Quality Measures® in Heart Attack, Heart Failure, Pneumonia and Surgical Care by The Joint Commission, Rockdale Medical Center is proud to share this national recognition with our community.
1412 Milstead Avenue | Conyers, Georgia 30012 800-424-DOCS (3627) | www.rockdalemedicalcenter.org
The Joint Commission Top Performer on Key Quality Measures® 2012
• Heart Attack • Heart Failure • Pneumonia • Surgical Care
…Right Here at Home!
We Listen. We Care. We Help!
•general health FEATURE
Key Facts About Seasonal Flu Vaccine
T
he cold weather brings with it a season of smiles, festivals and unfortunately, cold and flu outbreaks. Millions across North America succumb to the cold virus every year. Considering there is no cure for cold and flu viruses, prevention remains a person's best option at fending off cold and flu. Besides common sense precautions such as washing your hands and covering your mouth with your elbow or a tissue when you sneeze or cough, vaccines are one of the best ways to protect yourself from getting sick or at least help reduce the frequency and severity with which cold and flu strikes. Why should people get vaccinated against the flu? Influenza is a serious disease that can lead to hospitalization and sometimes even death. Every flu season is different, and influenza infection can affect people differently. Even healthy people can get very sick from the flu and spread it to others. Over a period of 31 seasons between 1976 and 2007, estimates of flu-associated deaths in the United States range from a low of about 3,000 to a high of about 49,000 people. During a regular flu season, about 90 percent of deaths occur in people 65 years and older. The “seasonal flu season” in the United States can begin as early as October and last as late as May. During this time, flu viruses are circulating in the population. An annual seasonal flu vaccine (either the flu shot or the nasal-spray flu vaccine) is the best way to reduce the chances that you will get seasonal flu and spread it to others. When more people get vaccinated against the flu, less flu can spread through that community. How do flu vaccines work? Flu vaccines cause antibodies to develop in the body about two weeks after vaccination. These antibodies provide protection against infection with the viruses that are in the vaccine. The seasonal flu vaccine protects against the influenza viruses that research indicates will be most common during the upcoming season. Traditional flu vaccines (called trivalent vaccines) are made to protect against three flu viruses; an influenza A (H1N1) virus, an influenza A (H3N2) virus, and an influenza B virus. In addition, this season, there are flu vaccines made to protect against four flu viruses (called “quadrivalent” vaccines). These vaccines protect against the same viruses as the trivalent vaccine as well as an additional B virus. Who should get vaccinated this season? Everyone who is at least 6 months of age should get a flu vaccine this season. This recommendation has been in place since February 24, 2010 when CDC’s Advisory Committee on Immunization Practices
26
HEALTHY IN ROCKDALE | WINTER 2014
Article provided by Centers for Disease Control
(ACIP) voted for “universal” flu vaccination in the United States to expand protection against the flu to more people. While everyone should get a flu vaccine this season, it’s especially important for some people to get vaccinated. Those people include the following: • People who are at high risk of developing serious complications (like pneumonia) if they get sick with the flu. • People who have certain medical conditions including asthma, diabetes, and chronic lung disease. • Pregnant women. • People younger than 5 years (and especially those younger than 2), and people 65 years and older. • A complete list is available at People Who Are at High Risk of Developing Flu-Related Complications. • People who live with or care for others who are at high risk of developing serious complications (see list above). • Household contacts and caregivers of people with certain medical conditions including asthma, diabetes, and chronic lung disease. • Household contacts and caregivers of infants less than 6 months old. • Health care personnel.
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 derserve!
Family Practice of Conyers
• Disease Prevention • Pediatrics • Geriatrics • Obstetrics-GYN • Sports Medicine • Diabetes • High Blood Pressure • Allergies
Dr. Alvin V. Griffin
Where can I get a flu vaccine? You can get the flu shot at Family Practice of Conyers, health departments, pharmacies and college health centers, as well as by many employers, your physician and even in some schools. A flu vaccine is needed every year because flu viruses are constantly changing. It’s not unusual for new flu viruses to appear each year. The flu vaccine is updated annually to keep up with the flu viruses as they change. More information is available at www.cdc.gov
Family Practice of Conyers
1039 E. Freeway Drive • Conyers, GA • 770-922-0076
We Listen. We Care. We Help!
•general health FEATURE
Key Facts About Seasonal Flu Vaccine
T
he cold weather brings with it a season of smiles, festivals and unfortunately, cold and flu outbreaks. Millions across North America succumb to the cold virus every year. Considering there is no cure for cold and flu viruses, prevention remains a person's best option at fending off cold and flu. Besides common sense precautions such as washing your hands and covering your mouth with your elbow or a tissue when you sneeze or cough, vaccines are one of the best ways to protect yourself from getting sick or at least help reduce the frequency and severity with which cold and flu strikes. Why should people get vaccinated against the flu? Influenza is a serious disease that can lead to hospitalization and sometimes even death. Every flu season is different, and influenza infection can affect people differently. Even healthy people can get very sick from the flu and spread it to others. Over a period of 31 seasons between 1976 and 2007, estimates of flu-associated deaths in the United States range from a low of about 3,000 to a high of about 49,000 people. During a regular flu season, about 90 percent of deaths occur in people 65 years and older. The “seasonal flu season” in the United States can begin as early as October and last as late as May. During this time, flu viruses are circulating in the population. An annual seasonal flu vaccine (either the flu shot or the nasal-spray flu vaccine) is the best way to reduce the chances that you will get seasonal flu and spread it to others. When more people get vaccinated against the flu, less flu can spread through that community. How do flu vaccines work? Flu vaccines cause antibodies to develop in the body about two weeks after vaccination. These antibodies provide protection against infection with the viruses that are in the vaccine. The seasonal flu vaccine protects against the influenza viruses that research indicates will be most common during the upcoming season. Traditional flu vaccines (called trivalent vaccines) are made to protect against three flu viruses; an influenza A (H1N1) virus, an influenza A (H3N2) virus, and an influenza B virus. In addition, this season, there are flu vaccines made to protect against four flu viruses (called “quadrivalent” vaccines). These vaccines protect against the same viruses as the trivalent vaccine as well as an additional B virus. Who should get vaccinated this season? Everyone who is at least 6 months of age should get a flu vaccine this season. This recommendation has been in place since February 24, 2010 when CDC’s Advisory Committee on Immunization Practices
26
HEALTHY IN ROCKDALE | WINTER 2014
Article provided by Centers for Disease Control
(ACIP) voted for “universal” flu vaccination in the United States to expand protection against the flu to more people. While everyone should get a flu vaccine this season, it’s especially important for some people to get vaccinated. Those people include the following: • People who are at high risk of developing serious complications (like pneumonia) if they get sick with the flu. • People who have certain medical conditions including asthma, diabetes, and chronic lung disease. • Pregnant women. • People younger than 5 years (and especially those younger than 2), and people 65 years and older. • A complete list is available at People Who Are at High Risk of Developing Flu-Related Complications. • People who live with or care for others who are at high risk of developing serious complications (see list above). • Household contacts and caregivers of people with certain medical conditions including asthma, diabetes, and chronic lung disease. • Household contacts and caregivers of infants less than 6 months old. • Health care personnel.
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 derserve!
Family Practice of Conyers
• Disease Prevention • Pediatrics • Geriatrics • Obstetrics-GYN • Sports Medicine • Diabetes • High Blood Pressure • Allergies
Dr. Alvin V. Griffin
Where can I get a flu vaccine? You can get the flu shot at Family Practice of Conyers, health departments, pharmacies and college health centers, as well as by many employers, your physician and even in some schools. A flu vaccine is needed every year because flu viruses are constantly changing. It’s not unusual for new flu viruses to appear each year. The flu vaccine is updated annually to keep up with the flu viruses as they change. More information is available at www.cdc.gov
Family Practice of Conyers
1039 E. Freeway Drive • Conyers, GA • 770-922-0076
ANSWERS
•general health FEATURE
Cancer olorectal
C
change life-limiting to life-affirming. Understanding Your Risk and How to Prevent It
- Colorectal Cancer is the second leading cause of death in the United States.
olorectal cancer, or cancer of the large intestine, is the second highest cause of cancer-related deaths and the third most diagnosed cancer among men and women. Luckily, modern technology makes screening for colorectal cancer much easier and, when detected early, it is a very treatable disease.
Risk Factors of Colorectal Cancer Your risk of developing colorectal cancer is a combination of controllable and uncontrollable factors. People older than 50 as well as those who have a family history of colorectal, uterine, or breast cancer have a higher risk of developing colorectal cancer than others. Luckily, there are many things you can do to reduce your risk of developing this disease, even if some of the risk factors you have are unmanageable. In fact, researchers believe that eating a nutritious diet, exercising, and controlling body fat could prevent nearly 45% of colorectal cancers. Dramatically reduce your risk of getting colorectal cancer by following these five simple rules. 1. Exercise. In a recent study, exercise was linked to a 24 percent decreased risk of developing colorectal cancer. Aim for at least 30 minutes of exercise, five days a week. 2. Eat nutritious foods. Mounting evidence shows that a diet high in red and processed meats can increase your colorectal cancer risk. A largely plant-based diet rich in fiber, fruits, veggies and whole grains, on the other hand, has been linked with decreased risk. Eat five or more servings of fruits and vegetables daily, limit consumption of red and processed meats and choose whole grains whenever possible. 3. Get Screened. There are often no obvious early warning signs or visible symptoms for colorectal cancer. Subtle symptoms such as pain in the lower abdomen, rectal bleeding, unexplained weight loss, constipation and fatigue may only appear when the disease is in an advanced stage, which is why it is so important to have regular screenings. Beginning at age 50, schedule routine colonoscopies at least every 10 years. 4. Manage Vices. People who consume more than seven alcoholic beverages a week have a 72 percent increased risk, whereas long-term smokers have up to a 164 percent increased risk of developing colorectal cancer. Kick the smoking habit and limit alcohol to no more than two drinks a day for men and one drink a day for women. 5. Keep Your Weight in Check. Obese people (those with a BMI over 29) have a 20 percent increased risk of developing colorectal cancer, compared to those of normal weight.
{ 28
Georgia Cancer Specialists is a national leader in advanced cancer treatment and research. GCS’s 46 physicians provide care in 27 Northside Hospital Cancer Institute locations across Metro Atlanta, North and Central Georgia. GCS is The Cancer Answer®. For more information, please go to gacancer.com.
HEALTHY IN ROCKDALE | WINTER 2014
Key Facts about Colorectal Cancer
}
- Early detection is key; when caught in the beginning stages, colorectal cancer is highly treatable. - Beginning at age 50, colorectal cancer screening is recommended. - People with a family history should begin screening even earlier, as recommended by their doctor. - A diet rich in vegetables, legumes and whole grains and limited in processed and red meat has been correlated with a lower risk of colorectal cancer.
DIRECT ACCESS TO SPECIALISTS
ADVANCED RESEARCH
THE LATEST TREATMENTS
Be Proactive GCS is The Cancer Answer® and provides patient-focused care anchored by prevention, early detection, advanced treatment, clinical research and compassionate caregivers.
ROCKDALE OFFICE 1501 Milstead Road, Suite 110, Conyers, GA 30012 (770) 760-9949
GACancer.com Article provided by Georgia Cancer Specialists
46 PHYSICIANS | 500 SUPPORT STAFF | 27 OFFICES STRONG
KATHLEEN LAMBERT, MD
SHERINE THOMAS, MD
ANSWERS
•general health FEATURE
Cancer olorectal
C
change life-limiting to life-affirming. Understanding Your Risk and How to Prevent It
- Colorectal Cancer is the second leading cause of death in the United States.
olorectal cancer, or cancer of the large intestine, is the second highest cause of cancer-related deaths and the third most diagnosed cancer among men and women. Luckily, modern technology makes screening for colorectal cancer much easier and, when detected early, it is a very treatable disease.
Risk Factors of Colorectal Cancer Your risk of developing colorectal cancer is a combination of controllable and uncontrollable factors. People older than 50 as well as those who have a family history of colorectal, uterine, or breast cancer have a higher risk of developing colorectal cancer than others. Luckily, there are many things you can do to reduce your risk of developing this disease, even if some of the risk factors you have are unmanageable. In fact, researchers believe that eating a nutritious diet, exercising, and controlling body fat could prevent nearly 45% of colorectal cancers. Dramatically reduce your risk of getting colorectal cancer by following these five simple rules. 1. Exercise. In a recent study, exercise was linked to a 24 percent decreased risk of developing colorectal cancer. Aim for at least 30 minutes of exercise, five days a week. 2. Eat nutritious foods. Mounting evidence shows that a diet high in red and processed meats can increase your colorectal cancer risk. A largely plant-based diet rich in fiber, fruits, veggies and whole grains, on the other hand, has been linked with decreased risk. Eat five or more servings of fruits and vegetables daily, limit consumption of red and processed meats and choose whole grains whenever possible. 3. Get Screened. There are often no obvious early warning signs or visible symptoms for colorectal cancer. Subtle symptoms such as pain in the lower abdomen, rectal bleeding, unexplained weight loss, constipation and fatigue may only appear when the disease is in an advanced stage, which is why it is so important to have regular screenings. Beginning at age 50, schedule routine colonoscopies at least every 10 years. 4. Manage Vices. People who consume more than seven alcoholic beverages a week have a 72 percent increased risk, whereas long-term smokers have up to a 164 percent increased risk of developing colorectal cancer. Kick the smoking habit and limit alcohol to no more than two drinks a day for men and one drink a day for women. 5. Keep Your Weight in Check. Obese people (those with a BMI over 29) have a 20 percent increased risk of developing colorectal cancer, compared to those of normal weight.
{ 28
Georgia Cancer Specialists is a national leader in advanced cancer treatment and research. GCS’s 46 physicians provide care in 27 Northside Hospital Cancer Institute locations across Metro Atlanta, North and Central Georgia. GCS is The Cancer Answer®. For more information, please go to gacancer.com.
HEALTHY IN ROCKDALE | WINTER 2014
Key Facts about Colorectal Cancer
}
- Early detection is key; when caught in the beginning stages, colorectal cancer is highly treatable. - Beginning at age 50, colorectal cancer screening is recommended. - People with a family history should begin screening even earlier, as recommended by their doctor. - A diet rich in vegetables, legumes and whole grains and limited in processed and red meat has been correlated with a lower risk of colorectal cancer.
DIRECT ACCESS TO SPECIALISTS
ADVANCED RESEARCH
THE LATEST TREATMENTS
Be Proactive GCS is The Cancer Answer® and provides patient-focused care anchored by prevention, early detection, advanced treatment, clinical research and compassionate caregivers.
ROCKDALE OFFICE 1501 Milstead Road, Suite 110, Conyers, GA 30012 (770) 760-9949
GACancer.com Article provided by Georgia Cancer Specialists
46 PHYSICIANS | 500 SUPPORT STAFF | 27 OFFICES STRONG
KATHLEEN LAMBERT, MD
SHERINE THOMAS, MD
What Can Cholesterol Do?
Internal Medicine Associates of Rockdale would like to welcome Dr. Trinidad Osselyn to our practice.
I
nternal Medicine Associates
of Rockdale, P.C. is a medical practice for the care of general
WHAT CAN
medical needs of adults. Our
HIGH Cholesterol
practice has been part of the Rockdale County medical community since 1981. All of our
DO
physicians are board certified and our professional staff represents over 200 years of medical practice experience.
Dr. Sabrina Wyllie-Adams and Dr. Trinidad Osselyn are now accepting new patients! Call today for your appointment.
1301 Wellbrook Circle ~ Conyers 2800 Hwy. 138 SW, Suite A ~ Conyers
770-922-3023
imardoctors.com
H
igh cholesterol is one of the major controllable risk factors for coronary heart disease, heart attack and stroke. As your blood cholesterol rises, so does your risk
of coronary heart disease. If you have other risk factors (such as high blood pressure or diabetes) as well as high cholesterol, this risk increases even more. The more risk factors you have, the greater your chance of developing coronary heart disease. Also, the greater the level of each risk factor, the more that factor affects your overall risk.
When too much LDL (bad) cholesterol circulates in the blood, it can slowly build up in the inner walls of the arteries that feed the heart and brain. Together with other substances, it can form plaque, a thick, hard deposit that can narrow the arteries and make them less flexible. This condition is known as atherosclerosis. If a clot forms and blocks a narrowed artery, a heart attack or stroke can result. High blood cholesterol: As blood cholesterol rises, so does risk of coronary heart disease. When other risk factors (such as high blood pressure and tobacco smoke) are present, this risk increases even more. Your cholesterol level can be affected by your age, gender, family health history and diet. The good news is, you can lower your cholesterol and reduce your risk of heart disease and stroke. Take responsibility for managing your cholesterol levels. Whether you've been prescribed medication or advised to make diet and lifestyle changes to help manage your cholesterol, carefully follow your doctor's recommendations. Lifestyle Changes Your diet, weight, physical activity and exposure to tobacco smoke all affect your cholesterol level — and these factors may be controlled by: • eating a heart-healthy diet, • enjoying at least 150 minutes a week moder-
Seated: Dr. David Almand, Dr. James deGive, Dr. John Hyland, Dr. John Entrekin Standing: Jason Anderson, PA, Dr. Mary H. Stephens, Dr. Elizabeth deGive, Dr. Trinidad Osselyn, Dr. Grace Loy, Dr. Virginia Hyland, Dr. Debora Goodrich, Dr. Sabrina Wyllie-Adams
?
general health FEATURE•
Article provided by www.heart.org
ate-intensity aerobic physical activity, and more than two days a week muscle strengthening activities, and • avoiding tobacco smoke. Know Your Fats Knowing which fats raise LDL cholesterol and which ones don't is the first step in lowering your risk of heart disease. Cooking for Lower Cholesterol It's not hard to whip up recipes that fit with the low-saturated-fat, low-cholesterol eating plan recommended by scientists to help you manage your blood cholesterol level and reduce your risk of heart disease and stroke. Understand Drug Therapy Options For some people, lifestyle changes alone aren't enough to reach healthy cholesterol levels. Your doctor may prescribe medication. Learn about: • types of cholesterol-lowering drugs • tips for taking medications Work with Your Doctor It takes a team to develop and maintain a successful health program. You and your healthcare professionals each play an important role in maintaining and improving your heart health. If you do
not have a primary health care provider contact Internal Medicines Associates of Rockdale for an appointment. Know how to talk with them about your cholesterol levels and be sure you understand all instructions. Follow your plan carefully and learn how to make diet and lifestyle changes easy and lasting.
Keep this in mind! Lifestyle changes can help reduce cholesterol, keep you off cholesterol- lowering medications or enhance the effect of your medications.
Here are three lifestyle changes to get you started.
1. Lose Weight 2. Eat heart-healthy foods 3. Exercise on most days of the week
WINTER 2014 | HEALTHY IN ROCKDALE
31
What Can Cholesterol Do?
Internal Medicine Associates of Rockdale would like to welcome Dr. Trinidad Osselyn to our practice.
I
nternal Medicine Associates
of Rockdale, P.C. is a medical practice for the care of general
WHAT CAN
medical needs of adults. Our
HIGH Cholesterol
practice has been part of the Rockdale County medical community since 1981. All of our
DO
physicians are board certified and our professional staff represents over 200 years of medical practice experience.
Dr. Sabrina Wyllie-Adams and Dr. Trinidad Osselyn are now accepting new patients! Call today for your appointment.
1301 Wellbrook Circle ~ Conyers 2800 Hwy. 138 SW, Suite A ~ Conyers
770-922-3023
imardoctors.com
H
igh cholesterol is one of the major controllable risk factors for coronary heart disease, heart attack and stroke. As your blood cholesterol rises, so does your risk
of coronary heart disease. If you have other risk factors (such as high blood pressure or diabetes) as well as high cholesterol, this risk increases even more. The more risk factors you have, the greater your chance of developing coronary heart disease. Also, the greater the level of each risk factor, the more that factor affects your overall risk.
When too much LDL (bad) cholesterol circulates in the blood, it can slowly build up in the inner walls of the arteries that feed the heart and brain. Together with other substances, it can form plaque, a thick, hard deposit that can narrow the arteries and make them less flexible. This condition is known as atherosclerosis. If a clot forms and blocks a narrowed artery, a heart attack or stroke can result. High blood cholesterol: As blood cholesterol rises, so does risk of coronary heart disease. When other risk factors (such as high blood pressure and tobacco smoke) are present, this risk increases even more. Your cholesterol level can be affected by your age, gender, family health history and diet. The good news is, you can lower your cholesterol and reduce your risk of heart disease and stroke. Take responsibility for managing your cholesterol levels. Whether you've been prescribed medication or advised to make diet and lifestyle changes to help manage your cholesterol, carefully follow your doctor's recommendations. Lifestyle Changes Your diet, weight, physical activity and exposure to tobacco smoke all affect your cholesterol level — and these factors may be controlled by: • eating a heart-healthy diet, • enjoying at least 150 minutes a week moder-
Seated: Dr. David Almand, Dr. James deGive, Dr. John Hyland, Dr. John Entrekin Standing: Jason Anderson, PA, Dr. Mary H. Stephens, Dr. Elizabeth deGive, Dr. Trinidad Osselyn, Dr. Grace Loy, Dr. Virginia Hyland, Dr. Debora Goodrich, Dr. Sabrina Wyllie-Adams
?
general health FEATURE•
Article provided by www.heart.org
ate-intensity aerobic physical activity, and more than two days a week muscle strengthening activities, and • avoiding tobacco smoke. Know Your Fats Knowing which fats raise LDL cholesterol and which ones don't is the first step in lowering your risk of heart disease. Cooking for Lower Cholesterol It's not hard to whip up recipes that fit with the low-saturated-fat, low-cholesterol eating plan recommended by scientists to help you manage your blood cholesterol level and reduce your risk of heart disease and stroke. Understand Drug Therapy Options For some people, lifestyle changes alone aren't enough to reach healthy cholesterol levels. Your doctor may prescribe medication. Learn about: • types of cholesterol-lowering drugs • tips for taking medications Work with Your Doctor It takes a team to develop and maintain a successful health program. You and your healthcare professionals each play an important role in maintaining and improving your heart health. If you do
not have a primary health care provider contact Internal Medicines Associates of Rockdale for an appointment. Know how to talk with them about your cholesterol levels and be sure you understand all instructions. Follow your plan carefully and learn how to make diet and lifestyle changes easy and lasting.
Keep this in mind! Lifestyle changes can help reduce cholesterol, keep you off cholesterol- lowering medications or enhance the effect of your medications.
Here are three lifestyle changes to get you started.
1. Lose Weight 2. Eat heart-healthy foods 3. Exercise on most days of the week
WINTER 2014 | HEALTHY IN ROCKDALE
31
We are pleased to welcome these physicians to our Rockdale Medical Center family!
Tokunbo Gbaebo M.D. Dr. Gbaebo joined East Atlanta Cardiology in November. He is ABIM certified in Cardiology and Electrophysiology.
Mirza A. Kajani M.D. Dr. Kajani joined Colon & Digestive Health Specialists
Residency and Training Case Western Reserve University Duke University Medical Center Vanderbilt University
Professional Memberships Heart Rhythm Society American College of Cardiology Association of Black Cardiologists
Medical Degree Emory University School of Medicine
Languages English, French, Yoruba
Tokunbo Gbaebo M.D. • East Atlanta Cardiology 1372 Wellbrook Circle, Conyers, GA 30012 • 770-322-8881
in June. Dr. Kajani is the recipient of the 2009 Life Styles award for Best Physician, which was voted on by his peers. He brings 25 years experience in a variety of gastroenterological treatment. Dr. Kajani has extensive experience with end-stage liver disease and has worked closely with Dr. Thomas Starzl’s liver transplant team. Internship and Residency Cook County Hospital Chicago, Illinois Medical Degree Gastroenterology Hepatology University of Pittsburgh Pittsburgh, Pennsylvania
Professional Memberships American Medical Association American College of Gastroenterology Society of Gastrointestinal Endoscope College of Physicians American Gastroenterology Association Medical Association of Georgia Georgia Gastroenterology Society
Mirza Ahmed M.D. Dr. Ahmed joined East Atlanta Cardiology in September. Residency and Training St.Francis Hospital Evanston, Illinois N. Western University Mcgaw Medical Center
Mirza Kajani M.D. • Colon & Digestive Health Specialists 1380 Milstead Avenue, Suite C, Conyers, GA 30012 • 770.922.7000
Professional Memberships American College of Cardiology Society of Cardiac Angiography and Intervention Medical Association of Georgia
Medical Degree Dow Medical College Mirza Ahmed M.D. • East Atlanta Cardiology 1372 Wellbrook Circle, Conyers, GA 30012 • 770-322-8881
Wendell Smith M.D. Dr. Smith joined Georgia Primary and Urgent Care in November 2013 and will practice in the Covington, GA office. Dr. Smith is Board Certified in Family Medicine and has practiced in Covington since 2007. His office will remain at 5294 Adams Street Covington. Residency and Training Medical Degree Internship Meharry Medical College Medical College of Georgia Residency Medical College of Georgia Wendell Smith M.D. • Georgia Primary & Urgent Care 5294 Adams Street, Covington, GA 30014 • 770-787-5600
Brian D. Allen M.D. Dr. Allen is the new Medical Director of the Hyperbaric and Wound Healing Center. Dr. Allen is a graduate of the University of Illinois College of Medicine in Chicago and is certified in Wound Care and Hyperbarics. Dr. Allen’s extensive surgical training has provided the experience to effectively treat and heal chronic non-healing wounds. Residency and Training Rush-Presbyterian-St.Luke’s/ Cook County Hospital Chicago, Illinois (General Surgery) Board Certification Certified in Hyperbaric Medicine, American Board of Wound Healing
Tanya G. Bigby M.D. Dr Bigby earned her M.D. degree from the University of West Indies JA and completed her residency in Long Island College Hospital. She resides in the Conyers area.
Medical Degree University Illinois College of Medicine at Chicago Professional Memberships Surfrider Foundation WFAE (NPR) Listener-supported Public Radio
Brian D. Allen M.D. • Rockdale Medical Center Wound Care 1412 Milstead Avenue, Conyers, GA 30012 • 678-413-7738
Candace J. Johnson M.D. Dr Johnson earned her B.S. from Ohio University and her M.D from Medical College of Ohio and completed her pediatric residency at the Mayo Clinic. She now resides in the Conyers area.
Pediatric Health Center
2213 Exchange Place, Conyers, GA 30013 770.483.4431
1412 Milstead Avenue | Conyers, Georgia 30012 Tanya G. Bigby M.D.
Candace J. Johnson M.D.
800-424-DOCS (3627) | www.rockdalemedicalcenter.org
We are pleased to welcome these physicians to our Rockdale Medical Center family!
Tokunbo Gbaebo M.D. Dr. Gbaebo joined East Atlanta Cardiology in November. He is ABIM certified in Cardiology and Electrophysiology.
Mirza A. Kajani M.D. Dr. Kajani joined Colon & Digestive Health Specialists
Residency and Training Case Western Reserve University Duke University Medical Center Vanderbilt University
Professional Memberships Heart Rhythm Society American College of Cardiology Association of Black Cardiologists
Medical Degree Emory University School of Medicine
Languages English, French, Yoruba
Tokunbo Gbaebo M.D. • East Atlanta Cardiology 1372 Wellbrook Circle, Conyers, GA 30012 • 770-322-8881
in June. Dr. Kajani is the recipient of the 2009 Life Styles award for Best Physician, which was voted on by his peers. He brings 25 years experience in a variety of gastroenterological treatment. Dr. Kajani has extensive experience with end-stage liver disease and has worked closely with Dr. Thomas Starzl’s liver transplant team. Internship and Residency Cook County Hospital Chicago, Illinois Medical Degree Gastroenterology Hepatology University of Pittsburgh Pittsburgh, Pennsylvania
Professional Memberships American Medical Association American College of Gastroenterology Society of Gastrointestinal Endoscope College of Physicians American Gastroenterology Association Medical Association of Georgia Georgia Gastroenterology Society
Mirza Ahmed M.D. Dr. Ahmed joined East Atlanta Cardiology in September. Residency and Training St.Francis Hospital Evanston, Illinois N. Western University Mcgaw Medical Center
Mirza Kajani M.D. • Colon & Digestive Health Specialists 1380 Milstead Avenue, Suite C, Conyers, GA 30012 • 770.922.7000
Professional Memberships American College of Cardiology Society of Cardiac Angiography and Intervention Medical Association of Georgia
Medical Degree Dow Medical College Mirza Ahmed M.D. • East Atlanta Cardiology 1372 Wellbrook Circle, Conyers, GA 30012 • 770-322-8881
Wendell Smith M.D. Dr. Smith joined Georgia Primary and Urgent Care in November 2013 and will practice in the Covington, GA office. Dr. Smith is Board Certified in Family Medicine and has practiced in Covington since 2007. His office will remain at 5294 Adams Street Covington. Residency and Training Medical Degree Internship Meharry Medical College Medical College of Georgia Residency Medical College of Georgia Wendell Smith M.D. • Georgia Primary & Urgent Care 5294 Adams Street, Covington, GA 30014 • 770-787-5600
Brian D. Allen M.D. Dr. Allen is the new Medical Director of the Hyperbaric and Wound Healing Center. Dr. Allen is a graduate of the University of Illinois College of Medicine in Chicago and is certified in Wound Care and Hyperbarics. Dr. Allen’s extensive surgical training has provided the experience to effectively treat and heal chronic non-healing wounds. Residency and Training Rush-Presbyterian-St.Luke’s/ Cook County Hospital Chicago, Illinois (General Surgery) Board Certification Certified in Hyperbaric Medicine, American Board of Wound Healing
Tanya G. Bigby M.D. Dr Bigby earned her M.D. degree from the University of West Indies JA and completed her residency in Long Island College Hospital. She resides in the Conyers area.
Medical Degree University Illinois College of Medicine at Chicago Professional Memberships Surfrider Foundation WFAE (NPR) Listener-supported Public Radio
Brian D. Allen M.D. • Rockdale Medical Center Wound Care 1412 Milstead Avenue, Conyers, GA 30012 • 678-413-7738
Candace J. Johnson M.D. Dr Johnson earned her B.S. from Ohio University and her M.D from Medical College of Ohio and completed her pediatric residency at the Mayo Clinic. She now resides in the Conyers area.
Pediatric Health Center
2213 Exchange Place, Conyers, GA 30013 770.483.4431
1412 Milstead Avenue | Conyers, Georgia 30012 Tanya G. Bigby M.D.
Candace J. Johnson M.D.
800-424-DOCS (3627) | www.rockdalemedicalcenter.org
Sophisticated and innovative healthcare for women
women's health FEATURE•
the daVinci W
www.advgynassoc.com
Erin Mayfield, DO
Holly Imlach, MD Gynecology & Gynecologic Surgery
Gynecology 5154 Cook St. NE Covington, GA 30014 Phone: 770.788.1778
1380 Milstead Ave. NE Suite E Conyers, GA 30012 Phone: 678.609.4913
At Advanced Gynecology Associates we seek to provide the highest level of patient care through our highly skilled health care professionals using state of the art technologies. We are devoted to addressing the individual needs and demands of patients in a warm and caring environment.
Our Services Include: ➢ General gynecologic care Includes pelvic ultrasound in office ➢ Urogynecology Urodynamics in office Urinary and fecal incontinence evaluation and treatment ➢ Pelvic Reconstructive Surgery for Pelvic Organ Prolapse da Vinci® Sacrocolpopexy ➢ Infertility evaluation, testing and treatment ➢ GYN surgery of all types
➢ Minimally invasive surgery Advanced laparoscopic & hysteroscopic surgery da Vinci® Hysterectomy da Vinci® Myomectomy Single Incision Surgery ➢ Contraception counseling and procedures Essure (in office tubal ligation) Implanon (progesterone implant) Mirena IUD ➢ Treatment for Abnormal Uterine Bleeding Uterine endometrial ablation (in office or outpatient surgery)
See our website for detailed information about the above services: www.advgynassoc.com
hen medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding. Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety. Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robotic assisted surgery with the da Vinci® Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci® System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.
Myomectomy With the assistance of the da Vinci® Surgical System "the latest evolution in robotics technology" Dr. Imlach can remove uterine fibroids through small incisions with unmatched precision and control. Among the potential benefits of da Vinci® Myomectomy as compared to traditional open abdominal surgery are: • Opportunity for future pregnancy • Significantly less pain • Less blood loss • Fewer complications • Less scarring • A shorter hospital stay • A faster return to normal daily activities
Hysterectomy If your doctor recommends a hysterectomy to treat your condition, you may be a candidate for daVinci Surgery®. Using state-of-the-art technology, a da Vinci® Hysterectomy requires only a few tiny incisions, so you can get back to your life faster.
Endometriosis Resection The da Vinci® Surgical System allows your surgeon to perform a thorough removal of deeply penetrated or widespread endometrial implants – while preserving your uterus. Unlike conventional open and laparoscopic surgery, da Vinci® Endometriosis Resection offers the added benefit of computer and robotic-assisted technology, with the goal of minimizing the risk of your endometriosis returning. da Vinci® Endometriosis Resection offers women many potential benefits over traditional laparoscopy, including: • Low blood loss • Low conversion rate to open surgery • Low rate of complications • Short hospital stay • Small incisions for minimal scarring
Open Hysterectomy Incision
da Vinci Hysterectomy Incisions
Uterine or Vaginal Vault Prolapse (Sacrocolpopexy) For many women, surgery may be the best treatment option to repair pelvic prolapse, including vaginal vault prolapse. Your doctor will perform a physical exam to determine the best way to completely repair the prolapse. Pelvic prolapse surgery is known as sacrocolpopexy. Surgical mesh is used to hold the affected pelvic organ(s) in the correct anatomical position. This procedure can also be performed after a hysterectomy to treat uterine prolapse. It provides long-term support of the vagina.
If you do not have a gynecologist contact Advanced Gynecology Associates today for an appointment.
WINTER 2014 | HEALTHY IN ROCKDALE
35
Sophisticated and innovative healthcare for women
women's health FEATURE•
the daVinci W
www.advgynassoc.com
Erin Mayfield, DO
Holly Imlach, MD Gynecology & Gynecologic Surgery
Gynecology 5154 Cook St. NE Covington, GA 30014 Phone: 770.788.1778
1380 Milstead Ave. NE Suite E Conyers, GA 30012 Phone: 678.609.4913
At Advanced Gynecology Associates we seek to provide the highest level of patient care through our highly skilled health care professionals using state of the art technologies. We are devoted to addressing the individual needs and demands of patients in a warm and caring environment.
Our Services Include: ➢ General gynecologic care Includes pelvic ultrasound in office ➢ Urogynecology Urodynamics in office Urinary and fecal incontinence evaluation and treatment ➢ Pelvic Reconstructive Surgery for Pelvic Organ Prolapse da Vinci® Sacrocolpopexy ➢ Infertility evaluation, testing and treatment ➢ GYN surgery of all types
➢ Minimally invasive surgery Advanced laparoscopic & hysteroscopic surgery da Vinci® Hysterectomy da Vinci® Myomectomy Single Incision Surgery ➢ Contraception counseling and procedures Essure (in office tubal ligation) Implanon (progesterone implant) Mirena IUD ➢ Treatment for Abnormal Uterine Bleeding Uterine endometrial ablation (in office or outpatient surgery)
See our website for detailed information about the above services: www.advgynassoc.com
hen medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding. Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety. Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robotic assisted surgery with the da Vinci® Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci® System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.
Myomectomy With the assistance of the da Vinci® Surgical System "the latest evolution in robotics technology" Dr. Imlach can remove uterine fibroids through small incisions with unmatched precision and control. Among the potential benefits of da Vinci® Myomectomy as compared to traditional open abdominal surgery are: • Opportunity for future pregnancy • Significantly less pain • Less blood loss • Fewer complications • Less scarring • A shorter hospital stay • A faster return to normal daily activities
Hysterectomy If your doctor recommends a hysterectomy to treat your condition, you may be a candidate for daVinci Surgery®. Using state-of-the-art technology, a da Vinci® Hysterectomy requires only a few tiny incisions, so you can get back to your life faster.
Endometriosis Resection The da Vinci® Surgical System allows your surgeon to perform a thorough removal of deeply penetrated or widespread endometrial implants – while preserving your uterus. Unlike conventional open and laparoscopic surgery, da Vinci® Endometriosis Resection offers the added benefit of computer and robotic-assisted technology, with the goal of minimizing the risk of your endometriosis returning. da Vinci® Endometriosis Resection offers women many potential benefits over traditional laparoscopy, including: • Low blood loss • Low conversion rate to open surgery • Low rate of complications • Short hospital stay • Small incisions for minimal scarring
Open Hysterectomy Incision
da Vinci Hysterectomy Incisions
Uterine or Vaginal Vault Prolapse (Sacrocolpopexy) For many women, surgery may be the best treatment option to repair pelvic prolapse, including vaginal vault prolapse. Your doctor will perform a physical exam to determine the best way to completely repair the prolapse. Pelvic prolapse surgery is known as sacrocolpopexy. Surgical mesh is used to hold the affected pelvic organ(s) in the correct anatomical position. This procedure can also be performed after a hysterectomy to treat uterine prolapse. It provides long-term support of the vagina.
If you do not have a gynecologist contact Advanced Gynecology Associates today for an appointment.
WINTER 2014 | HEALTHY IN ROCKDALE
35
•general health FEATURE
general health FEATURE•
Beginning a
Stress &
FITNESS Walking Program
Infertility
Article provided by www.thewalkingsite.com
Y
ou know you want to begin a fitness program, but don't know where to start. It's easy! Walking is one of the easiest and most profitable forms of exercise. All you need is a good pair of shoes, comfortable clothing, and desire. How to start: First of all, start out slow and easy. Just walk out the door. For most people this means head out the door, walk for 10 minutes, and walk back. That's it? Yes, that's it. Do this every day for a week. If this was easy for you, add five minutes to your walks next week (total walking time 25 minutes). Keep adding 5 minutes until you are walking as long as desired. WATCH your posture. Walk tall. Think of elongating your body. Hold your head up and eyes forward. Your shoulders should be down, back and relaxed. Tighten your abdominal muscles and buttocks and fall into a natural stride. Be sure to drink plenty of water before, during, and after walking. Incorporate a warm up, cool down and stretches into your routine. Start your walk at a slow warm up pace, stop and do a few warm up / flexibilty drills. Then walk for the desired length of time. End your walk with the slower cool down pace and stretch well after your walk. Stretching will make you feel great and assist in injury prevention. The toughest thing about starting a fitness program is developing a habit. Walking daily will help (a minimum of 5 days a week is a good goal). You should walk fast enough to reach your target heart rate, but you should not be gasping for air. After you have formed the habit you will want to evaluate your program and your goals. Here are some general guidelines: If you are walking for the general health benefits try to walk 30 minutes a day, most days of the week, at a "talking" pace. (Talking pace means you have elevated breathing, but you can still carry
36
HEALTHY IN ROCKDALE | WINTER 2014
a conversation.) To improve cardiovascular fitness you should walk 3 to 4 days a week, 20 to 30 minutes at a very fast pace. At this pace you are breathing hard but not gasping for air. If you are walking for weight loss you should walk a minimum of five days a week, 45 to 60 minutes at a brisk pace. Once you can comfortably walk for 30 to 60 minutes 5 to 6 days a week you may want to put more "umpf" or speed into your routine. Follow
T
here has been much debate about the impact of stress on fertility. Some
these easy tips for walking faster (or for some real speed learn to racewalk). Zero to Sixty in Twelve Weeks - An easy to follow schedule to get you walking 60 minutes in 12 weeks. Notice: If you're new to walking, start off with slow, short sessions and build your way up gradually. If you have any health concerns or medical conditions, be sure to check with your doctor for advice before you begin a routine.
researchers believe that stress impacts fertility but it is not clear whether the
infertility causes the stress or stress causes infertility. There is no question, that fertility issues can put a strain on any relationship. For a couple trying to conceive, the journey often starts out with enthusiasm and optimism. After several cycles of trying, this optimism may soon lead to despair and frustration.
Although stress may have an impact on a couple’s fertility it is more likely that
stress is the result of infertility not the cause. Most couples will conceive within a year of trying. For couples who do not conceive within a year or two of trying there is almost always a physical cause for their infertility. In fact, 90% of all infertility has an identifiable physical cause. Couples will want to be evaluated by a doctor if they have been trying for over a year and have not had success at conceiving. Contact Radiant Women’s Health today for a consultation with Dr. Julianne Adams Birt for fertility treatment options.
1403 Manchester Drive NE Conyers, GA 30012
•general health FEATURE
general health FEATURE•
Beginning a
Stress &
FITNESS Walking Program
Infertility
Article provided by www.thewalkingsite.com
Y
ou know you want to begin a fitness program, but don't know where to start. It's easy! Walking is one of the easiest and most profitable forms of exercise. All you need is a good pair of shoes, comfortable clothing, and desire. How to start: First of all, start out slow and easy. Just walk out the door. For most people this means head out the door, walk for 10 minutes, and walk back. That's it? Yes, that's it. Do this every day for a week. If this was easy for you, add five minutes to your walks next week (total walking time 25 minutes). Keep adding 5 minutes until you are walking as long as desired. WATCH your posture. Walk tall. Think of elongating your body. Hold your head up and eyes forward. Your shoulders should be down, back and relaxed. Tighten your abdominal muscles and buttocks and fall into a natural stride. Be sure to drink plenty of water before, during, and after walking. Incorporate a warm up, cool down and stretches into your routine. Start your walk at a slow warm up pace, stop and do a few warm up / flexibilty drills. Then walk for the desired length of time. End your walk with the slower cool down pace and stretch well after your walk. Stretching will make you feel great and assist in injury prevention. The toughest thing about starting a fitness program is developing a habit. Walking daily will help (a minimum of 5 days a week is a good goal). You should walk fast enough to reach your target heart rate, but you should not be gasping for air. After you have formed the habit you will want to evaluate your program and your goals. Here are some general guidelines: If you are walking for the general health benefits try to walk 30 minutes a day, most days of the week, at a "talking" pace. (Talking pace means you have elevated breathing, but you can still carry
36
HEALTHY IN ROCKDALE | WINTER 2014
a conversation.) To improve cardiovascular fitness you should walk 3 to 4 days a week, 20 to 30 minutes at a very fast pace. At this pace you are breathing hard but not gasping for air. If you are walking for weight loss you should walk a minimum of five days a week, 45 to 60 minutes at a brisk pace. Once you can comfortably walk for 30 to 60 minutes 5 to 6 days a week you may want to put more "umpf" or speed into your routine. Follow
T
here has been much debate about the impact of stress on fertility. Some
these easy tips for walking faster (or for some real speed learn to racewalk). Zero to Sixty in Twelve Weeks - An easy to follow schedule to get you walking 60 minutes in 12 weeks. Notice: If you're new to walking, start off with slow, short sessions and build your way up gradually. If you have any health concerns or medical conditions, be sure to check with your doctor for advice before you begin a routine.
researchers believe that stress impacts fertility but it is not clear whether the
infertility causes the stress or stress causes infertility. There is no question, that fertility issues can put a strain on any relationship. For a couple trying to conceive, the journey often starts out with enthusiasm and optimism. After several cycles of trying, this optimism may soon lead to despair and frustration.
Although stress may have an impact on a couple’s fertility it is more likely that
stress is the result of infertility not the cause. Most couples will conceive within a year of trying. For couples who do not conceive within a year or two of trying there is almost always a physical cause for their infertility. In fact, 90% of all infertility has an identifiable physical cause. Couples will want to be evaluated by a doctor if they have been trying for over a year and have not had success at conceiving. Contact Radiant Women’s Health today for a consultation with Dr. Julianne Adams Birt for fertility treatment options.
1403 Manchester Drive NE Conyers, GA 30012
•general health FEATURE
VNUS Closure Benefits & What to Expect
{
ABOUT VNUS CLOSURE The VNUS Closure procedure seals shut a damaged vein. It is a minimally invasive procedure and is also called "radiofrequency vein ablation." You will first be given local or regional anesthesia. Using ultrasound, the doctor will position the Closure catheter (a thin tube) into the varicose vein through a small opening in the skin.The tiny catheter is powered by radio-frequency energy and it delivers heat to the vein wall. As thermal energy is delivered, the vein wall shrinks and the vein is sealed shut. Once the vein is closed, blood is re-routed to other healthy veins.
VNUS Closure benefits In addition to getting relief from varicose vein symptoms, benefits of the VNUS Closure procedure include: • Short recovery time. Many patients resume normal activities in one or two days • Less post-operative pain, bruising and discomfort than other surgical treatments • Same-day procedure (no hospital stay) • Good cosmetic outcomes with little or no scarring Studies report that over 90% of veins treated with the Closure remain closed, reflux free, after two years.
Preparing for VNUS Closure • Your appointment will last 1 to 2 hours • Take your routine medications as you normally would • It is ok to eat prior to the procedure • Wear comfortable clothing
Compression stocking • Wear your compression stocking for 48 hours after the procedure. You may remove the stocking after 24 hours to shower, but then reapply it. • Wear the stocking for two weeks after the procedure while you are up.
Bring to your procedure: • Pre-procedure medication (Valium) • Thigh-high compression stocking • A change of under clothes, as the ones
38
HEALTHY IN ROCKDALE | WINTER 2014
you are wearing may get stained with betadine • Someone to drive you home
Care at home after VNUS Closure • You may experience a mild amount of bruising and numbness after the VNUS Closure procedure. This will typically fade in a few weeks. • You may feel pain or tenderness in your inner thigh. Mild pain medication such as Tylenol or Ibuprofen may be helpful. • It is normal to have fluid leaking from the injection areas the day of the procedure. Fluid may be blood tinged.
Resuming activity • The day of the procedure - make sure to walk around the house for
When was the last time you were able to enjoy a walk with your family free from pain? Give us a call and we can help you get back to enjoying life to it’s fullest.
}
a few minutes each hour until bedtime. • The day after the procedure - you can increase activity as tolerated, but avoid strenuous activity for 2 weeks. • Avoid standing and sitting for long periods of time. Both of these activities will cause blood to pool in your legs resulting in more swelling and discomfort. • Do not drive or operate heavy machinery for 24 hours after the procedure. • Do not take baths or use hot tubs or swimming pools until your incision site is healed.
Robert C. Davies, MD FACS, FAPW-CA
Erikaa Mann, PA-C
1301 Sigman Road NE, Suite 130 • Conyers
678-609-4927 • www.rockdalevascular.com
•general health FEATURE
VNUS Closure Benefits & What to Expect
{
ABOUT VNUS CLOSURE The VNUS Closure procedure seals shut a damaged vein. It is a minimally invasive procedure and is also called "radiofrequency vein ablation." You will first be given local or regional anesthesia. Using ultrasound, the doctor will position the Closure catheter (a thin tube) into the varicose vein through a small opening in the skin.The tiny catheter is powered by radio-frequency energy and it delivers heat to the vein wall. As thermal energy is delivered, the vein wall shrinks and the vein is sealed shut. Once the vein is closed, blood is re-routed to other healthy veins.
VNUS Closure benefits In addition to getting relief from varicose vein symptoms, benefits of the VNUS Closure procedure include: • Short recovery time. Many patients resume normal activities in one or two days • Less post-operative pain, bruising and discomfort than other surgical treatments • Same-day procedure (no hospital stay) • Good cosmetic outcomes with little or no scarring Studies report that over 90% of veins treated with the Closure remain closed, reflux free, after two years.
Preparing for VNUS Closure • Your appointment will last 1 to 2 hours • Take your routine medications as you normally would • It is ok to eat prior to the procedure • Wear comfortable clothing
Compression stocking • Wear your compression stocking for 48 hours after the procedure. You may remove the stocking after 24 hours to shower, but then reapply it. • Wear the stocking for two weeks after the procedure while you are up.
Bring to your procedure: • Pre-procedure medication (Valium) • Thigh-high compression stocking • A change of under clothes, as the ones
38
HEALTHY IN ROCKDALE | WINTER 2014
you are wearing may get stained with betadine • Someone to drive you home
Care at home after VNUS Closure • You may experience a mild amount of bruising and numbness after the VNUS Closure procedure. This will typically fade in a few weeks. • You may feel pain or tenderness in your inner thigh. Mild pain medication such as Tylenol or Ibuprofen may be helpful. • It is normal to have fluid leaking from the injection areas the day of the procedure. Fluid may be blood tinged.
Resuming activity • The day of the procedure - make sure to walk around the house for
When was the last time you were able to enjoy a walk with your family free from pain? Give us a call and we can help you get back to enjoying life to it’s fullest.
}
a few minutes each hour until bedtime. • The day after the procedure - you can increase activity as tolerated, but avoid strenuous activity for 2 weeks. • Avoid standing and sitting for long periods of time. Both of these activities will cause blood to pool in your legs resulting in more swelling and discomfort. • Do not drive or operate heavy machinery for 24 hours after the procedure. • Do not take baths or use hot tubs or swimming pools until your incision site is healed.
Robert C. Davies, MD FACS, FAPW-CA
Erikaa Mann, PA-C
1301 Sigman Road NE, Suite 130 • Conyers
678-609-4927 • www.rockdalevascular.com
•general health FEATURE ROCKDALE MEDICAL CENTER’S
Hyperbaric & Wound Healing
Hyperbaric
& Wound
R
ockdale Medical Center’s Comprehensive Hyperbaric & Wound Healing Center specializes in the treatment of chronic, non-healing wounds. This
growing problem is spurred by the aging of America and the increase in diabetes. Approximately 18.5 million Americans have diabetes and of that population, about 1.8 million will suffer from a problem wound.
The Hyperbaric & Wound Healing Center is an out-patient, hospital-based program. Each
patient receives a customized comprehensive care plan developed in conjunction with Dr. Brian D. Allen and your primary care physician or specialist.
Brian D. Allen M.D.
R
Healing Center
ockdale Medical Center’s Comprehensive Hyperbaric & Wound Healing Center specializes in the treatment of chronic, non-healing wounds.
The Hyperbaric & Wound Healing Center is an out-patient, hospital-based program. Each patient receives a customized comprehensive care plan developed in conjunction with our physicians and your primary care physician or specialist. Our team includes vascular and plastic surgeons.
Definition Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room. Hyperbaric oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in your blood vessels, and wounds that won't heal as a result of diabetes or radiation injury. In a hyperbaric oxygen therapy room, the air pressure is raised up to three times higher than normal air pressure. Under these conditions, your lungs can gather up to three times more oxygen than would be possible breathing pure oxygen at normal air pressure. Your blood carries this oxygen throughout your body, stimulating the release of substances called growth factors and stem cells, which promote healing. Why it's done Your body's tissues need an adequate supply of oxygen to function. When tissue is injured, it requires even more oxygen to survive. Hyperbaric oxygen therapy increases the amount of oxygen
your blood can carry. An increase in blood oxygen temporarily restores normal levels of blood gases and tissue function to promote healing and fight infection. Hyperbaric oxygen therapy is used to treat a wide assortment of medical conditions, and different medical institutions use this treatment in a variety of ways. Your doctor may suggest hyperbaric oxygen therapy if you have one of the following conditions: • Bubbles of air in your blood vessels (arterial gas embolism) • Decompression sickness • Carbon monoxide poisoning • A wound that won't heal • A crushing injury • Gangrene • Skin or bone infection that causes tissue death • Radiation injuries • Burns • Skin grafts or skin flaps at risk of tissue death • Severe anemia
Although more research regarding hyperbaric oxygen therapy is under way, currently there's insufficient scientific evidence to support claims that hyperbaric oxygen therapy can effectively treat the following conditions: • Allergies • Arthritis • Autism • Cancer • Cerebral palsy • Chronic fatigue syndrome • Cirrhosis • Fibromyalgia • Gastrointestinal ulcers • Stroke
Advanced wound care therapies to speed your recovery may include: Specialty wound ointment and gels ~ Total contact casting ~ Wound vacs Bioengineered Tissue grafts ~ Hyperbaric Oxygen Therapy
Article provided by Mayo Clinic staff
Hyperbaric & Wound Healing Center ~ Rockdale Medical Center 1412 Milstead Avenue ~ Conyers, Georgia 30012 ~ PHONE 678-413-7738 ~ FAX 678-413-7739
40
HEALTHY IN ROCKDALE | WINTER 2014
•general health FEATURE ROCKDALE MEDICAL CENTER’S
Hyperbaric & Wound Healing
Hyperbaric
& Wound
R
ockdale Medical Center’s Comprehensive Hyperbaric & Wound Healing Center specializes in the treatment of chronic, non-healing wounds. This
growing problem is spurred by the aging of America and the increase in diabetes. Approximately 18.5 million Americans have diabetes and of that population, about 1.8 million will suffer from a problem wound.
The Hyperbaric & Wound Healing Center is an out-patient, hospital-based program. Each
patient receives a customized comprehensive care plan developed in conjunction with Dr. Brian D. Allen and your primary care physician or specialist.
Brian D. Allen M.D.
R
Healing Center
ockdale Medical Center’s Comprehensive Hyperbaric & Wound Healing Center specializes in the treatment of chronic, non-healing wounds.
The Hyperbaric & Wound Healing Center is an out-patient, hospital-based program. Each patient receives a customized comprehensive care plan developed in conjunction with our physicians and your primary care physician or specialist. Our team includes vascular and plastic surgeons.
Definition Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room. Hyperbaric oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in your blood vessels, and wounds that won't heal as a result of diabetes or radiation injury. In a hyperbaric oxygen therapy room, the air pressure is raised up to three times higher than normal air pressure. Under these conditions, your lungs can gather up to three times more oxygen than would be possible breathing pure oxygen at normal air pressure. Your blood carries this oxygen throughout your body, stimulating the release of substances called growth factors and stem cells, which promote healing. Why it's done Your body's tissues need an adequate supply of oxygen to function. When tissue is injured, it requires even more oxygen to survive. Hyperbaric oxygen therapy increases the amount of oxygen
your blood can carry. An increase in blood oxygen temporarily restores normal levels of blood gases and tissue function to promote healing and fight infection. Hyperbaric oxygen therapy is used to treat a wide assortment of medical conditions, and different medical institutions use this treatment in a variety of ways. Your doctor may suggest hyperbaric oxygen therapy if you have one of the following conditions: • Bubbles of air in your blood vessels (arterial gas embolism) • Decompression sickness • Carbon monoxide poisoning • A wound that won't heal • A crushing injury • Gangrene • Skin or bone infection that causes tissue death • Radiation injuries • Burns • Skin grafts or skin flaps at risk of tissue death • Severe anemia
Although more research regarding hyperbaric oxygen therapy is under way, currently there's insufficient scientific evidence to support claims that hyperbaric oxygen therapy can effectively treat the following conditions: • Allergies • Arthritis • Autism • Cancer • Cerebral palsy • Chronic fatigue syndrome • Cirrhosis • Fibromyalgia • Gastrointestinal ulcers • Stroke
Advanced wound care therapies to speed your recovery may include: Specialty wound ointment and gels ~ Total contact casting ~ Wound vacs Bioengineered Tissue grafts ~ Hyperbaric Oxygen Therapy
Article provided by Mayo Clinic staff
Hyperbaric & Wound Healing Center ~ Rockdale Medical Center 1412 Milstead Avenue ~ Conyers, Georgia 30012 ~ PHONE 678-413-7738 ~ FAX 678-413-7739
40
HEALTHY IN ROCKDALE | WINTER 2014
Where courtesy, respect and your well being is our goal.
282
HIGH
Blood Sugar
B
lood sugar is a tricky little beast. Yes, you can get a high reading if you throw caution to the wind and eat several slices of cake at a wedding. The problem is that you can also have a high blood sugar reading if you follow every rule in the type 2 diabetes handbook. That's because it's not just food that affects blood sugar. You could have a cold coming on, or stress may have temporarily boosted your blood sugar. The reading could be wrong, and you need to repeat it. Or it could mean that your medicine is no longer working, and it's time to try a new one. The point is, it's the pattern that matters, not a single reading.
What is it & what to do
Whatever you do, don't feel bad or guilty if you have a high blood sugar reading. A 2004 study found that blood sugar monitoring often amplifies feelings of being a "success" or "failure" at diabetes, and when readings are consistently high, it can trigger feelings of anxiety or self-blame. This can cause some people to give up on testing completely. Try not to think of blood sugar monitoring as a "test" administered by a sour-faced teacher lurking in your distant past. Blood sugar monitoring is simply a tool that you can use to fight the disease. Article provided by www.health.com
Here are a few things to do if your blood sugar is high.
t
e C240 94
general health FEATURE•
Sheryl L. Canady,
High Blood Pressure • Diabetes • Sore Throats MD • Asthma • Bronchitis • Ear Aches Board Certified
Sheryl Canady, MD
ss Exams. Same Day Appointments BoardWelcome. Certified 1775 Parker Road, Suite C-240 Conyers, GA ~ 678-609-6282
www.essential-family-care.com
• Test before you eat and two hours after. This will tell you how well your medication is controlling your blood sugar. It will also shed light on what food is boosting your sugar too high—and thus should be avoided. "You should consult your health-care provider to develop a plan that works for you," says Donna Rice, immediate past president of the American Association of Diabetes Educators, who notes that the frequency and time of day you test will depend on how controlled your blood glucose is. • Look for patterns. If your blood sugar is high in the morning on one day, no big deal. If it keeps happening, though, it's more meaningful. "An isolated high and low you can brush off. Anyone can have a high or low, your body might have been compensating," says Rice. "If they're high every morning, that's important because it means that your liver is producing too much sugar during the night—that might require new or an additional medicine." • Make some small changes. You might try to get more exercise, or limit carbs at your next meal. "One blood sugar that's high doesn't indicate a need for major changes—that should only be done on a pattern," says Rice. If a pattern continues for two to three days or more, then you might want to let your health-care provider know. • Think about what's going on. Irene Dunbar, 73, of Durham, N.C., woke up one morning recently to discover her blood sugar was at 119, which is high for her. "I had a cold and had had orange juice yesterday and I normally do not drink orange juice and I thought, 'I better not do that,' " she said. When she gets a high blood sugar reading, she tries to remember if she had anything recently that she knows are triggers, and avoids them next time. • Relax. It's not just food that can turn your blood sugar into a roller coaster. "My blood sugar will get really wacky if I have a lot of stress," said Carol Mullen, 62, of Sandia Park, N.M. "I try to avoid situations that are stressful." We all know stress is bad—now you have a concrete number that's telling you it's time to relax. • Consider talking to your doctor. If you think you've been doing all you can to keep blood sugar in control, but still have high blood sugar readings, it might be time to switch medication. Diabetes is a progressive disease, and over time, the beta cells in the pancreas that produce insulin can stop making the hormone. "So, even if your numbers have held steady for years, that could change if the beta cells change, which is usually a gradual change but can be sudden," says Rice. "That change doesn't mean you've done anything wrong, it's just the nature of the disease. The beta cells can only put out so much insulin, and over time they start to put out less." If you do not have a health care provider, contact Dr. Canady at Essential Family Care to look at the big picture and do additional testing to find out if there is a bigger problem. WINTER 2014 | HEALTHY IN ROCKDALE
43
Where courtesy, respect and your well being is our goal.
282
HIGH
Blood Sugar
B
lood sugar is a tricky little beast. Yes, you can get a high reading if you throw caution to the wind and eat several slices of cake at a wedding. The problem is that you can also have a high blood sugar reading if you follow every rule in the type 2 diabetes handbook. That's because it's not just food that affects blood sugar. You could have a cold coming on, or stress may have temporarily boosted your blood sugar. The reading could be wrong, and you need to repeat it. Or it could mean that your medicine is no longer working, and it's time to try a new one. The point is, it's the pattern that matters, not a single reading.
What is it & what to do
Whatever you do, don't feel bad or guilty if you have a high blood sugar reading. A 2004 study found that blood sugar monitoring often amplifies feelings of being a "success" or "failure" at diabetes, and when readings are consistently high, it can trigger feelings of anxiety or self-blame. This can cause some people to give up on testing completely. Try not to think of blood sugar monitoring as a "test" administered by a sour-faced teacher lurking in your distant past. Blood sugar monitoring is simply a tool that you can use to fight the disease. Article provided by www.health.com
Here are a few things to do if your blood sugar is high.
t
e C240 94
general health FEATURE•
Sheryl L. Canady,
High Blood Pressure • Diabetes • Sore Throats MD • Asthma • Bronchitis • Ear Aches Board Certified
Sheryl Canady, MD
ss Exams. Same Day Appointments BoardWelcome. Certified 1775 Parker Road, Suite C-240 Conyers, GA ~ 678-609-6282
www.essential-family-care.com
• Test before you eat and two hours after. This will tell you how well your medication is controlling your blood sugar. It will also shed light on what food is boosting your sugar too high—and thus should be avoided. "You should consult your health-care provider to develop a plan that works for you," says Donna Rice, immediate past president of the American Association of Diabetes Educators, who notes that the frequency and time of day you test will depend on how controlled your blood glucose is. • Look for patterns. If your blood sugar is high in the morning on one day, no big deal. If it keeps happening, though, it's more meaningful. "An isolated high and low you can brush off. Anyone can have a high or low, your body might have been compensating," says Rice. "If they're high every morning, that's important because it means that your liver is producing too much sugar during the night—that might require new or an additional medicine." • Make some small changes. You might try to get more exercise, or limit carbs at your next meal. "One blood sugar that's high doesn't indicate a need for major changes—that should only be done on a pattern," says Rice. If a pattern continues for two to three days or more, then you might want to let your health-care provider know. • Think about what's going on. Irene Dunbar, 73, of Durham, N.C., woke up one morning recently to discover her blood sugar was at 119, which is high for her. "I had a cold and had had orange juice yesterday and I normally do not drink orange juice and I thought, 'I better not do that,' " she said. When she gets a high blood sugar reading, she tries to remember if she had anything recently that she knows are triggers, and avoids them next time. • Relax. It's not just food that can turn your blood sugar into a roller coaster. "My blood sugar will get really wacky if I have a lot of stress," said Carol Mullen, 62, of Sandia Park, N.M. "I try to avoid situations that are stressful." We all know stress is bad—now you have a concrete number that's telling you it's time to relax. • Consider talking to your doctor. If you think you've been doing all you can to keep blood sugar in control, but still have high blood sugar readings, it might be time to switch medication. Diabetes is a progressive disease, and over time, the beta cells in the pancreas that produce insulin can stop making the hormone. "So, even if your numbers have held steady for years, that could change if the beta cells change, which is usually a gradual change but can be sudden," says Rice. "That change doesn't mean you've done anything wrong, it's just the nature of the disease. The beta cells can only put out so much insulin, and over time they start to put out less." If you do not have a health care provider, contact Dr. Canady at Essential Family Care to look at the big picture and do additional testing to find out if there is a bigger problem. WINTER 2014 | HEALTHY IN ROCKDALE
43
women's health FEATURE•
Definition of:
Urogynecologist What is a urogynecologist? urogynecologist is a surgeon who has specialized in the care of women with pelvic floor disorders. The pelvic floor is a set of muscles, ligaments, and connective tissues in the lower part of the pelvis that provides support for a woman’s internal organs, including the bowel, bladder, uterus, vagina and rectum. Pelvic floor disorders can occur when women have weakened pelvic muscles or tears in the connective tissue due to excessive strain on the pelvis due to childbirth, repeated strenuous activity, menopause, chronic disease, or pelvic surgery. Other factors that can weaken the pelvic floor include repetitive heavy lifting, tobacco use, and genetics.
A
Specializing in Gynecology & Urogynecology Surgery 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 Infertility Workups | Hormone Replacement Therapy | Bladder Problems and Incontinence Treatment for Fibroids, Endometriosis, Abnormal Bleeding and Ovarian Cyst Osteoporosis Screening and Treatment | Screening for Sexually Transmitted Diseases
Dr. Stephanie Gordon is one of only 10 Board Certified Urogynecologist in the State of Georgia. She is double Board Certified in the subspecialty of Female Pelvic Medicine and Reconstructive Surgery as well as General Gynecology. With this background, she is able to take care of the Well Woman as well as to give cutting edge medicine to the patient with complicated gynecology issues. What type of problems can Dr. Gordon manage and treat? • Incontinence-loss of bladder or bowel control, leaking or urine or feces • Prolapse-descent of the pelvic organs, a bulge and /or pressure; dropped uterus, bladder, vagina or rectum • Pain-discomfort to the lower back, pelvic, bladder, or urethra- including Interstitial Cystitis (IC) or painful bladder syndrome, pain with sex • Overactive Bladder-frequent need to void, bladder pressure, urgency, leaking of urine on the way to the bathroom How can Dr. Gordon treat these problems? With conservative (non-surgical) or surgical therapy depending on your wishes, the severity of your condition, or your general health. Conservative options include medications, pelvic exercises, behavioral and diet modifications, vaginal devices (pessaries), Pelvic Floor Therapy (including InTone), and Biofeedback and Electrical Stimulation. Safe and effective surgical procedures are also utilized to treat incontinence and prolapse.
Dr. Stephanie Gordon r Most majo l a ic d me 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 Bleeding
Medical Privileges at Rockdale Medical Center & Piedmont Henry
44
HEALTHY IN ROCKDALE | WINTER 2014
women's health FEATURE•
Definition of:
Urogynecologist What is a urogynecologist? urogynecologist is a surgeon who has specialized in the care of women with pelvic floor disorders. The pelvic floor is a set of muscles, ligaments, and connective tissues in the lower part of the pelvis that provides support for a woman’s internal organs, including the bowel, bladder, uterus, vagina and rectum. Pelvic floor disorders can occur when women have weakened pelvic muscles or tears in the connective tissue due to excessive strain on the pelvis due to childbirth, repeated strenuous activity, menopause, chronic disease, or pelvic surgery. Other factors that can weaken the pelvic floor include repetitive heavy lifting, tobacco use, and genetics.
A
Specializing in Gynecology & Urogynecology Surgery 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 Infertility Workups | Hormone Replacement Therapy | Bladder Problems and Incontinence Treatment for Fibroids, Endometriosis, Abnormal Bleeding and Ovarian Cyst Osteoporosis Screening and Treatment | Screening for Sexually Transmitted Diseases
Dr. Stephanie Gordon is one of only 10 Board Certified Urogynecologist in the State of Georgia. She is double Board Certified in the subspecialty of Female Pelvic Medicine and Reconstructive Surgery as well as General Gynecology. With this background, she is able to take care of the Well Woman as well as to give cutting edge medicine to the patient with complicated gynecology issues. What type of problems can Dr. Gordon manage and treat? • Incontinence-loss of bladder or bowel control, leaking or urine or feces • Prolapse-descent of the pelvic organs, a bulge and /or pressure; dropped uterus, bladder, vagina or rectum • Pain-discomfort to the lower back, pelvic, bladder, or urethra- including Interstitial Cystitis (IC) or painful bladder syndrome, pain with sex • Overactive Bladder-frequent need to void, bladder pressure, urgency, leaking of urine on the way to the bathroom How can Dr. Gordon treat these problems? With conservative (non-surgical) or surgical therapy depending on your wishes, the severity of your condition, or your general health. Conservative options include medications, pelvic exercises, behavioral and diet modifications, vaginal devices (pessaries), Pelvic Floor Therapy (including InTone), and Biofeedback and Electrical Stimulation. Safe and effective surgical procedures are also utilized to treat incontinence and prolapse.
Dr. Stephanie Gordon r Most majo l a ic d me 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 Bleeding
Medical Privileges at Rockdale Medical Center & Piedmont Henry
44
HEALTHY IN ROCKDALE | WINTER 2014
•general health FEATURE
Remedies to help
aching, tired feet
Besides kicking back and giving your feet a rest, here are some remedies that can help ease the ache and rejuvenate tired feet:
Moist Heat - Sometimes aching feet are simply the result of over-
stressed muscles and connective tissue due to excess activity or weight-bearing. One of the best remedies for relaxing sore muscles is a foot bath. Soak your feet in a basin of warm water or in a store-bought foot spa for 5-10 minutes. Try adding epsom salts to the water for an added soothing effect. Epsom salts are readily available where first aid products are sold. Use approximately 1-2 tablespoons per gallon of warm water. If your feet are swollen, hot, or tired, use cool water instead of warm and elevate your feet for a half hour or more after the soak.
Stretch - Overstressed muscles will tend to contract or spasm. To counteract this tightness, stretch your feet. A good time to stretch is after warm soak, when muscles will be relaxed. Sit in a comfortable position and stretch the ankle and toe joints using your hands or a strap. To also target the calf muscles, try a runner's stretch while leaning against a wall. Hold each motion comfortably for 10-20 seconds for maximal benefit.
{ 46
See Dr. Williams at Foot and Ankle Specialist to evaluate and treat any medical condition that may be contributing to the pain.
HEALTHY IN ROCKDALE | WINTER 2014
}
Step right into our office. We specialize in quality medical and surgical care for all types of foot and ankle problems.
Arch Supports - Try a pair of store bought arch supports for your
shoes. Arch supports will help decrease the shock that your feet experience with every step. The heel and ball of the foot are especially prone to soreness and full-length arch supports will help cushion these areas. Custom-made orthotics offer even more support for the feet and have the added benefit of accommodating specific foot problems.
Check Your Shoes - Identify which shoes may be contributing to the
soreness. Switching to running shoes or shoes with a stiffer sole may help. Even sandals come in styles that cradle the arch and have a slightly thicker sole, which is preferable. Also, if your shoes have excess wear and tear they may be contributing to your sore feet. Worn out soles can change the dynamic of how your feet hit the ground, thus throwing off your biomechanics. Since shoes that are too tight or too loose can lead to soreness and fatigue, have your feet measured the next time you buy shoes. You may be surprised to find out that you were wearing an incorrect shoe size.
Massage - Apply oil or lotion to the soles and massage while applying
gentle thumb pressure to any sore areas of the feet. Focus on the plantar fascia, the prominent cord-like structure that runs the length of the arch, from the ball of the foot to the heel. You can best feel it on the sole of your foot when you flex your toes upward. The plantar fascia is an important anatomical structure because it helps give form and support to the arch, which is necessary for absorbing shock when our feet hit the ground. Tightness of the plantar fascia can often be a root cause of heel soreness. Another easier way to massage the feet is by using wooden foot roller or a foot spa with built-in massage.
Aching Feet?
Remember......Sore feet on occasion is a
relatively common experience among people of all ages. When the soreness increases in frequency or is not alleviated by simple remedies such as the ones listed, see a podiatrist for an evaluation of your feet. In addition, certain medical conditions can cause or contribute to foot pain. Some include: • Diabetes- or any other condition that causes peripheral neuropathy, which is nerve damage to the limbs • Autoimmune diseases- such as rheumatoid arthritis • Any condition that causes lower limb swelling such as cardiovascular disease
Now Accepting Blue Cross/Blue Shield HMO & POS! • Heel/Ankle Pain • Infected/Ingrown Nails • Planter Warts • Bunions & Hammertoes • Corns & Callouses • Flat Feet • Diabetic Feet • Nerve Pain/Neuromas • Sprains & Injuries • Tumors • Joint Replacement • Arthritis • Fractures
Dr. James E. Williams, Jr.
Ankle & Foot Specialists of Rockdale PC 1025 East Freeway Drive • Conyers
770-929-3338 • www.anklefootspecialists.com
•general health FEATURE
Remedies to help
aching, tired feet
Besides kicking back and giving your feet a rest, here are some remedies that can help ease the ache and rejuvenate tired feet:
Moist Heat - Sometimes aching feet are simply the result of over-
stressed muscles and connective tissue due to excess activity or weight-bearing. One of the best remedies for relaxing sore muscles is a foot bath. Soak your feet in a basin of warm water or in a store-bought foot spa for 5-10 minutes. Try adding epsom salts to the water for an added soothing effect. Epsom salts are readily available where first aid products are sold. Use approximately 1-2 tablespoons per gallon of warm water. If your feet are swollen, hot, or tired, use cool water instead of warm and elevate your feet for a half hour or more after the soak.
Stretch - Overstressed muscles will tend to contract or spasm. To counteract this tightness, stretch your feet. A good time to stretch is after warm soak, when muscles will be relaxed. Sit in a comfortable position and stretch the ankle and toe joints using your hands or a strap. To also target the calf muscles, try a runner's stretch while leaning against a wall. Hold each motion comfortably for 10-20 seconds for maximal benefit.
{ 46
See Dr. Williams at Foot and Ankle Specialist to evaluate and treat any medical condition that may be contributing to the pain.
HEALTHY IN ROCKDALE | WINTER 2014
}
Step right into our office. We specialize in quality medical and surgical care for all types of foot and ankle problems.
Arch Supports - Try a pair of store bought arch supports for your
shoes. Arch supports will help decrease the shock that your feet experience with every step. The heel and ball of the foot are especially prone to soreness and full-length arch supports will help cushion these areas. Custom-made orthotics offer even more support for the feet and have the added benefit of accommodating specific foot problems.
Check Your Shoes - Identify which shoes may be contributing to the
soreness. Switching to running shoes or shoes with a stiffer sole may help. Even sandals come in styles that cradle the arch and have a slightly thicker sole, which is preferable. Also, if your shoes have excess wear and tear they may be contributing to your sore feet. Worn out soles can change the dynamic of how your feet hit the ground, thus throwing off your biomechanics. Since shoes that are too tight or too loose can lead to soreness and fatigue, have your feet measured the next time you buy shoes. You may be surprised to find out that you were wearing an incorrect shoe size.
Massage - Apply oil or lotion to the soles and massage while applying
gentle thumb pressure to any sore areas of the feet. Focus on the plantar fascia, the prominent cord-like structure that runs the length of the arch, from the ball of the foot to the heel. You can best feel it on the sole of your foot when you flex your toes upward. The plantar fascia is an important anatomical structure because it helps give form and support to the arch, which is necessary for absorbing shock when our feet hit the ground. Tightness of the plantar fascia can often be a root cause of heel soreness. Another easier way to massage the feet is by using wooden foot roller or a foot spa with built-in massage.
Aching Feet?
Remember......Sore feet on occasion is a
relatively common experience among people of all ages. When the soreness increases in frequency or is not alleviated by simple remedies such as the ones listed, see a podiatrist for an evaluation of your feet. In addition, certain medical conditions can cause or contribute to foot pain. Some include: • Diabetes- or any other condition that causes peripheral neuropathy, which is nerve damage to the limbs • Autoimmune diseases- such as rheumatoid arthritis • Any condition that causes lower limb swelling such as cardiovascular disease
Now Accepting Blue Cross/Blue Shield HMO & POS! • Heel/Ankle Pain • Infected/Ingrown Nails • Planter Warts • Bunions & Hammertoes • Corns & Callouses • Flat Feet • Diabetic Feet • Nerve Pain/Neuromas • Sprains & Injuries • Tumors • Joint Replacement • Arthritis • Fractures
Dr. James E. Williams, Jr.
Ankle & Foot Specialists of Rockdale PC 1025 East Freeway Drive • Conyers
770-929-3338 • www.anklefootspecialists.com
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AirStrip ONE™ CArdiOlOgy
An innovative mobile patient monitoring solution that allows our physicians to keep a closer eye on patients’ labor and delivery, cardiac care, labs, diagnostic and additional treatment decisions at a moments notice. AirStrip ONE Cardiology provides interactive transmission of ECGs and monitor data, along with access to historical patient data, all on a mobile device.
A Synchronized View of the Vital Patient Data Needed to Improve Patient Care
Heart disease is the leading cause of death in the U.S. The associated costs exceed $100 billion annually. At the same time, health systems must maintain efficient cardiology services. Fast-changing reimbursement trends and care models threaten the bottom line. Clinical mobility can help health systems capture more revenue, reduce costs and improve workflows in the high-volume and resource-intensive cardiology service line – in turn driving consistent performance improvement and freeing up dollars for other priorities. Providing a comprehensive solution centered on immediate access to ECGs with historical patient data on mobile devices, AirStrip ONE ™ Cardiology supports coordination throughout the care continuum. Cardiologists, primary care physicians, ED staff, cath lab teams and others can all have a synchronized view of the vital patient data needed to improve patient care, regardless of location or time of day.
The leader in healthcare technology
1412 Milstead Avenue Conyers, Georgia 30012
800-424-DOCS (3627) 1
www.rockdalemedicalcenter.org
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