HENRY HERALD • CLAYTON NEWS • JACKSON PROGRESS-ARGUS JUNE 2019 SUMMER EDITION
GUIDE
HENRY - CLAYTON - JACKSON'S PREMIER HEALTHCARE MAGAZINE
INSIDE
• Back pain — is it a lumbar disk herniation? • Protect your joints and prevent pain • Your spine and pain experts
• Silent no more—gynecology and urogynecology care • Pain-free treatment for hemorrhoids • Making the move: senior living
Coy Leverette III, MPT Physical Therapy
Karleena Tuggle, MD Bariatric Surgery
Stephanie Gordon, MD Gynecology-Robotic SurgeryUrogynecology
Abdul Doughan, MD Cardiology
J. Bernard Bush, MD Sports Medicine
Meryl Braunstein, MD Cardiology
Jason Arnold, MD Dermatology
Trent Rice, MD Gynecology & Urogynecology
Jarrod Day, MD Vascular Surgeon
Allen Filstein, MD Dermatology
Scott Cahoon, MD Sports Medicine, Orthopaedics, and Joint Replacement
Gregory Petro, MD Cardiology
Christopher J. Walsh, MD Joint Replacement
Katharine Simmon, PA-C Dermatology
Raj Reddy, MD Cardiology
Peter S Harvey, MD Spine Specialist
INDEX
HELPING YOU MAKE THE BEST CHOICE IN HEALTH CARE
ASSISTED LIVING
FAMILY PRACTICE
Dream Catcher Senior Care Communities 286 4-Points Rd. Jackson, GA 30233 770-775-2794
Eagles Landing Family Practice 50 Kelly Rd. Ste 200 McDonough, GA 770-957-1887
CARDIOLOGY
65 Old Jackson Rd. McDonough, GA 678-490-0080
Atlanta Heart Associates, PC 350 Country Club Drive, Ste. A Stockbridge, Ga. 30281 770-692-4000
2200 Hwy 155 N Ste 100 McDonough, GA 678-490-03411240 Eagles Landing Pkwy
1292 Wellbrook Circle, Ste A Conyers, Ga. 30012 770-785-6317
Ste 110 Stockbridge, GA 770-389-3855
1502 West 3rd St, Ste. D Jackson, Ga 30233 770-504-1313 747 South 8th STREET GRIFFIN, GA. 30224 770-233-3309 3758 Highway 42, Ste. 301 Locust Grove, Ga. 30248 678-432-3903 DERMATOLOGY Georgia Dermatology C. Russell Harris, MD John Fountain, MD Allen Filstein, MD Darryl Hodson, MD Jason Arnold, MD Katharine Simmon, PA-C Deb Moore, PA-C 1349 Milstead Rd. Conyers, GA 30012 770-785-7546 101 MLK Jr. Drive Forsyth, GA 31029 478-994-5281
211 Fairview Road Ellenwood, GA 30294 678-289-6747 1058 Bear Creek Blvd. Hampton, GA 30228 770-707-0808 3758 Hwy. 42 South Locust Grove, GA 30248 678-561-9430 Image Center 1100 Hospital Drive Stockbridge, GA 30281 678-432-6161 Sleep Center 2200 Hwy. 155 North Suite 110 McDonough, GA 30252 770-898-3003
HOSPITALS Southern Regional Medical Center Karleena Tuggle, MD 11 Upper Riverdale Rd. Riverdale, GA 30274 770-991-8000 OBSTETRICS/GYNECOLOGY/ UROGYNECOLOGY The Women's Center, PC Stephanie Gordon, MD Trent Rice, MD 2750 Owens Drive Conyers, GA 30012 678-413-4644 140 Eagles Spring Court Stockbridge, GA 770-302-0878 ORTHOPAEDIC/SPORTS MEDICINE Resurgens Orthopaedic Uzondu Agochukwu, MD Mark Albritton, MD John Andrachuk, MD Bernard Bush, MD Scott Cahoon, MD Maurice L. Goins, MD David A. Goodman, MD Peter S. Harvey, MD Scott A. Kelly, MD Gary W. Stewart, MD Christopher J. Walsh, MD 105 Regency Park Drive McDonough, GA 30253 770-305-7555 6635 Lake Drive Morrow, GA 30260 770-968-1323 PHYSICAL THERAPY Physical Therapy in Motion Coy Leverette, III, MPT 106 Vinings Drive McDonough, GA 30253 770-288-2441
LOOK FOR OUR FALL EDITION OF THE PHYSICIANS GUIDE PUBLISHING SEPTEMBER 2019
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DERMATOLOGY
Treat skin with care
A
ccording to the American Cancer Society, skin cancer accounts for the largest number of cancer diagnoses in the United States. Each year, nearly five million Americans are treated for skin cancer, with most cases being nonmelanoma skin cancer, typically diagnosed as basal cell carcinoma or squamous cell carcinoma. But skin cancer is not the only condition that can affect the skin. From rosacea to eczema to acne to psoriasis, the skin can be affected by numerous conditions, many of which can be both uncomfortable and embarrassing. Keeping skin healthy requires effort, and there are many things men and women can do to protect their skin and reduce their risk for various conditions. • Schedule routine visits to a dermatologist. Dermatologists can treat and help prevent disorders of the skin, and men and women should make annual visits to their dermatologist to ensure their skin is healthy. Dermatologists can diagnose if a mark or a blemish is something benign or serious and provide information on various courses of treatment.
As with any specialist, dermatologists may be well versed on new and innovative care. If anything on your skin seems suspect, visit a dermatologist right away. • Protect yourself from the sun. The single best thing you can do for your skin is to protect it from the sun. Not only can a lifetime of sun exposure cause wrinkles and age spots, it can lead to cancer. Use a broad-spectrum sunscreen with an SPF of at least 15. • Be gentle to the skin. Use mild cleansers and limit showers and baths to warm water. Moisturize dry skin if it is problematic. Pat skin dry after washing and do not tug or rub skin excessively. • Inspect skin regularly. Routinely check your skin for any changes and share any concerns with your doctor. Schedule annual skin checks as part of yearly physical examinations. Taking these steps can help you maintain healthy skin and prevent ailments in the years to come. Please visit us at GaDerm.com or call us in Conyers at (770) 785-SKIN (7546) or in Forsyth at (478) 994-5281 to learn more about our practice. We look forward to providing first class dermatology care for you and your family.
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Health Screenings Every Woman Should Get R
outine wellness exams are essential for women who want to maintain and/or improve their health. Women may not be familiar with all of the screening options that can keep them on the right track.
health. However, a complete cholesterol test can determine a person’s risk for heart disease. If levels are consistently normal, this test may only need to be performed every five years, advises the National Institutes of Health. Mammogram
Preventative health screenings can shed light on risks for certain diseases and provide insight into patient behaviors that may be harmful. Screenings also may help save a life. Healthy diets and daily exercise are hallmarks of healthy people, but routine wellness exams are just as important. THE FOLLOWING ARE SOME SCREENINGS WOMEN SHOULD INCLUDE IN THEIR HEALTH AND WELLNESS ROUTINES: Blood pressure Doctors will typically test blood pressure at every visit. Women whose blood pressure is below 120/80 mmHg can go every two years between blood pressure readings up until age 20, advises The American Heart Association. Adults 40 or older, or those with conditions that put them at risk for hypertension, should go annually or as advised by a doctor. Cervical cytology The American College of Obstetricians and Gynecologists recommends routine pelvic examinations with cervical testing that includes Pap testing and HPV testing. Consult with an OB-GYN for testing frequency, which depends on age. Cholesterol Cholesterol levels alone are not indicative of one’s overall
Mammograms screen for breast cancer. Given the risk of false positives, debate continues as to how frequently women need these screenings. The most recent guidelines from the U.S. Preventive Services Task Force says mammograms are recommended starting at age 50, and should occur every two years. The American Cancer Society advises starting at age 45 and having a mammogram annually through age 55. Blood-glucose test The National Institute of Diabetes and Digestive Kidney Diseases says women should be screened regularly for prediabetes or diabetes beginning around age 45. Women can speak with their physicians to determine how often they should receive these screenings. Osteoporosis screenings Bone density can be measured starting at age 65 or earlier if a woman has a high fracture risk, states Regis College. Skin examination The American Academy of Dermatology suggests speaking with a dermatologist about skin exams. Self-examinations should be routine, but dermatologists may recommend more formal tests to women who meet certain criteria. Women should speak to their doctors about personalized screenings based on family history and other risk factors.
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ORTHOPAEDIC
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GYNECOLOGY
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Strategies To Get Kids To Exercise
E
xercise is an important component of a healthy lifestyle. That’s not just true for adults, but for children and teenagers as well.
Parents concerned about their kids living sedentary lives may have more to worry about than they know. According to a 2017 study published in the journal Preventive Medicine that analyzed data from the National Health and Nutrition Examination survey from 2003-2004 and 2005-2006, 19-yearolds spent as much time being inactive and sedentary as 60-year-olds. Getting kids to be more active may be especially difficult for today’s parents, who must contend with the internet, social media, tablets, smartphones, and other distractions as they try to encourage their kids to unplug and spend more time being physically active. But parents can try various strategies to get kids off the couch and exercising.
Set a positive example Kids, especially young children, often try to
emulate their parents. Parents can capitalize on kids’ desire to be like mom and dad by exercising in front of their children. Young children may not be ready to lift weights or run on the treadmill, but parents can embrace kidfriendly exercises, such as walking and cycling. Invite kids along for daily bike rides or go for family walks around the neighborhood after dinner.
Park the car Kids don’t need to know they’re exercising in order to be more physically active. In lieu of driving to the bank or pharmacy, parents can leave the car at home and ride their bikes alongside their children when running errands. If possible, parents can walk youngsters to and from school rather than driving them.
Choose friend-friendly activities Adults employ the buddy system as a means to
motivate themselves to keep exercising, and that same principle can apply to children, who might be more excited about physical activity if their friends are joining them. Team sports provide chances to exercise with friends, as do organizations like the Boy Scouts of America and the Girl Scouts of America. But even inviting a child’s friend along on a family hike or bike ride may make such activities more fun for kids. Give gifts that encourage physical activity. Kids might want the latest device or video game for their birthdays, but parents also can give gifts that encourage youngsters to be physically active. Bicycles, rollerblades, ice skates, and sports equipment are just a handful of potential gifts that may compel kids to exercise more. Childhood obesity is a significant problem, with the 2015-2016 NHANES reporting that 20.6 percent of youths between the ages of 12 and 19 were obese. Getting kids off the couch and exercising more often can help reduce those figures and ensure healthier futures for kids of all ages.
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PHYSICAL THERAPY
Physical therapy a vital part of treatment and recovery
I
llnesses of the musculoskeletal sys-tem can result in temporary loss of mobility. But physical therapy can help to prevent those temporary problems from becoming permanent. ciation says physical therapists diagnose and treat individuals of all ages who have conditions that limit their abilities to perform functional activities. Limita-tions in mobility may result from injury or illness or be present at birth. Many physi-cal therapists develop a plan to reduce pain and restore function through various treatment techniques with the ultimate goal of restoring a patient’s functional independence.Physical therapists employ various physical modalities to help with certain conditions. For example, a patient may be asked to perform various range-of-motion exercises to restore function to an injured
part of the body. Physical therapists also may use heat, cold and electri-cal impulses to reduce pain and stimu-massage as well. Physical therapy may work in conjunc-tion with other treatments for cardiopul-monary disease. The cardiopulmonary system delivers oxygen to active tissues, which plays an important part in
move-sues may not function as they should, and certain exercises and mobility thera-pies may be needed. Physical therapists also aid in improving physical ailments related to neurological diseases, such as cerebral palsy, multiple sclerosis, spinal may also help treat poor vision, poor bal-ance and paralysis.Very often physical
therapy will be recommended by a general doctor or an orthopedic surgeon as part of recov-ery from a surgery or a condition. The therapist may work in conjunction with another doctor to provide a program that helps foster a faster and safe recovery. Physical therapy tends to begin gradually and resistance is slowly built up as the body strengthens. The length of physical therapy will depend on the condition and the recommendation of the therapist and doctors overseeing the treatments.Children who have learning disabili-ties related to a neurological or physical condition may benefit from certain forms of physical therapy. For example, vision problems can compromise academic performance, so physical therapy that aims to enhance visual tracking
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SENIOR LIVING
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CARDIOLOGY
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Dr. Karleena Tuggle, M.D. Director of Bariatric Surgery at Southern Regional By Beth Slaughter Sexton Staff Correspondent
She often thinks about that patient who came up to her one day “beaming from ear to ear.” Dr. Karleena Tuggle, M.D., had done his bariatric surgery earlier that year and now the man was telling her how after having worked at a company for seven years, that year for the first time ever, he felt confident enough to go to the company Christmas party. “People are on tons of medications and walkers and have aches and pains,” Tuggle said. “If they have the surgery and are compliant, you see the radical 180 change in everything—their attitude, their emotional status, physicality. It’s amazing. It’s amazing to see people do things they were afraid or ashamed to do.” Bariatric surgery is medical weight loss surgery. Tuggle says it is not cosmetic surgery, but rather to help with weight loss to cure or control other issues, such as diabetes, sleep apnea and other conditions. “We only have one life,” she said. “Why not live life to its absolute fullest. Life is so short. Well, what can you do to maximize what you have left?” Tuggle has a personal understanding of just how short life can be. For much of her childhood, her mother was battling breast cancer and when she was just 12, her mother, Marie Tuggle passed away. Perhaps it was a combination of being around hospitals and doctors for so much of her young life and excelling in math and science in school that led Tuggle toward a career in the medical field. Today, she is medical director of bariatric surgery for Southern Regional Medical Center. Tuggle is board-certified by the
American Board of Surgery and in addition to serving as medical director for bariatric surgery, she provides surgical and medical assessment for weight loss treatment in her practice at Southern Regional Physician Management Group in Riverdale. A native of Long Island, N.Y., she graduated high school and enrolled at the University of Maryland for her undergraduate work. Tuggle received her medical degree and completed her general surgery residency and internship at Howard University College of Medicine in Washington, D.C. She completed her fellowship in minimally invasive and bariatric surgery at Morehouse School of Medicine in Atlanta. Tuggle said she had been slowly moving South for years and only planned to stay in Atlanta for a year, but fell in love with the area--and fell in love with Darian McDaniel—and has now been here going on nine years. She and McDaniel just celebrated their first year wedding anniversary. He is in marketing and sales and has his own digital marketing firm. In addition, he is the founder of Problk Health, a company that promotes education on health-related matters in minority and underserved communities. Prior to becoming director of bariatric surgery at Southern Regional, Tuggle had performed surgeries at the hospital with a private practice where she worked for a number of years before resigning to fulfill her military obligation. People are sometimes surprised to learn that Tuggle has shot her share of bazookas and often flown while hanging out of the side of a helicopter. As an active officer in the U.S. Army Reserve, Tuggle is a veteran of military war missions in Afghanistan and Kuwait. She commissioned into the military in 2005, between medical school and her
residency. Tuggle deployed to Afghanistan in 2014 and Kuwait last year and anticipates she will again be deployed next year. “They’re deploying surgeons almost every two years,” she said. “What I learned from being in the military is that freedom isn’t free. I know that’s very cliché, but when I was in Afghanistan...there were units doing convoys and walking and they would step on IEDs (improvised explosive devices). One kid, he couldn’t have been more than 18 or 19, said it was the fourth time his unit had stepped on an IED. It shook me. I don’t know if I would have had the personal courage after the first or second time. To me their personal courage is astounding.” Tuggle also talks about the courage of her father, a now semi-retired pastor who was involved in the civil rights movement. A street in Roosevelt, Long Island is named for the Rev. Dr. Reginald Tuggle, who grew Memorial Presbyterian Church from about two dozen members into a congregation of more than 1,000. Her sister, Regine Moore is a director of marketing for Walmart in Arkansas and step-sister Lauren Jackson works in TV editing in New York. Through her surgery practice and as director of bariatric surgery at Southern Regional, Tuggle helps people change their lives. “For me, personally, it is very gratifying,” she said.
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What to do after suffering a sunburn S
ummer fun routinely involves days spent soaking up some of the sun’s rays. Relaxing days at the beach, barbecues in the backyard or picnics at the park can make for fun summer activities that create lasting memories. While spending time in the great outdoors is a great way to take advantage of summer weather, it’s important that revelers take steps to prevent sunburn when spending days beneath the hot summer sun.
Make a conscious effort to stay hydrated Sunburns draw fluid to the surface of skin, taking it away from the rest of the body. So it’s important that men and women who have suffered a sunburn make a conscious effort to drink more fluids until their skin heals so they can avoid becoming dehydrated. Report severe sunburns to a physician
Sunburns may seem temporary, but the Skin Cancer Foundation notes that sunburn can cause long-lasting skin damage. In addition, the SCF notes that a person’s risk for melanoma, the most dangerous form of skin cancer, doubles if he or she has had more than five sunburns.
Symptoms of severe sunburn include blistering of the skin, fever, chills, wooziness, and/or feelings of
It can take several hours to notice the full damage of a sunburn, though some people may notice mild symptoms of sunburn more quickly than that. The SCF recommends that people get out of the sun at the first sign of sunburn, and then take the following steps to treat their skin. Cool the skin down quickly People sitting near cool water, whether it’s the ocean or a backyard pool, should take a quick dip to cool their skin. Make this dip quick so your skin is not further exposed to the sun. After taking a dip, cover up your skin and get out of the sun, continuing to cool the skin with a cold compress. Do not apply ice directly to sunburned skin. Some people may want to take a cool shower or bath after suffering a sunburn. While that’s alright, the SCF recommends keeping the bath or shower short, as long baths or showers can dry the skin, and avoiding harsh soap that can be irritating. Moisturize skin while it’s still damp Apply a gentle moisturizing lotion while the skin is still damp, and continue doing so to affected areas for a few days. Avoid petroleum- or oil-based ointments, as they can trap the heat and make burns worse. Decrease inflammation A nonsteroidal anti-inflammatory (NSAID) like aspirin, ibuprofen or naproxen can help sunburned men and women manage the pain and discomfort associated with their sunburns. Symptoms such as redness and swelling may be mitigated with a 1 percent over-the-counter cortisone cream applied as directed for a few days. Wear the right clothing
confusion. Report such symptoms to a physician immediately, and avoid popping blisters, as doing so can lead to infection. Sunburns can always be avoided. Men, women and children planning to spend time in the sun should take every measure to avoid sunburn, which can produce long-lasting damage to the skin.
Tight clothing can rub up against sunburned skin and irritate it even further. Until sunburned skin returns to normal, wear loose, soft and breathable clothing to keep irritation to a minimum. 14 • WEDNESDAY, JUNE 5, 2019 • PHYSICIANS GUIDE • HENRY HERALD • CLAYTON NEWS • JACKSON PROGRESS-ARGUS
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