METRO ATLANTA’S TOP DOCS
A Publication of
SUMMER 2011 | FREE
Your Guide TO
Physicians & SPECIALISTS Taking Temperatures: An update for parents Healthy recipes that are easy to make
Skilled hands in Grady’s ER to the rescue TOP DOCS On Common Ground presents Metro Atlanta’s
INSIDE: PROFILES ON SOME OF METRO ATLANTA’S physicians
2 | Top DOCS
A Publication of
Erich Graham Randolph, MD Tonya Echols Cole, MD
W
ith the experience and compassion of board certified radiation oncologists, Dr. Erich Randolph and Dr. Tonya Echols Cole, state-of-the-art equipment in a state-of-the art facility, and a compassionate staff, Atlanta Oncology Associates at Dekalb Hillandale works together to provide a cancer treatment and/or management strategy customized according to each patient’s needs and concerns.
Our patients often receive other treatments such as chemotherapy, hormone therapy or surgery, as well as radiation therapy. To ensure the best possible outcome, this multidisciplinary approach requires collaboration and coordination among the specialists on a patient’s treatment team. The major goal of radiation therapy is to maximize curing cancer while maintaining optimal organ function and quality of life. Because each patient’s case presents unique challenges and requires individualized attention, we urge you to consult your radiation oncologist about which treatment plan is best for you. It is extremely important to seek out an expert team of physicians who specialize in your type of cancer to insure optimal outcome. Dr. Tonya echols Cole treats all solid tumors including, breast cancer, lung cancer, central nervous system malignancies, gynecologic malignancies, rectal cancers, skin cancers, prostate and lymphoma. She also treats benign diseases such as keloids. Dr. Cole has practiced radiation oncology in the Atlanta area since 1998. Her special interests include the treatment of breast and gynecologic malignancies.
Dr. erich randolph special interests in radiation oncology are prostate, breast, and colorectal cancers. After graduating from Yale University, Dr. Randolph received his medical degree at Mount Sinai School of Medicine and completed his internship and residency in internal medicine at Emory University Affiliated Hospitals. Following this, Dr. Randolph completed a fellowship in radiotherapy at M.D. Anderson Hospital. Dr. Randolph was a member of the American Cancer Society and served on the advisory Board at the Atlanta City Unit. He is also a member and past President of the Atlanta Medical Association, past Chairman of the Board of the Atlanta Medical Association, member of the Medical Association of Atlanta and the National Medical Association, The Gilbert H. Fletcher Society, and The American Society of Therapeutic Radiology and Oncology. He served as Vice- Chair of the Grady Hospital- Fulton Dekalb Hospital Authority. Dr. Randolph is the winner of a 2008 Atlanta Business Chronicle Health Care Heroes Award in the Physician category. Dr. Randolph was just named to Atlanta Magazine’s Top Doctors. Physician selection to this honor is based on peer review.
Dr. Cole received her B.A. from The Johns Hopkins University. Then she received her medical degree from University of Cincinnati College of Medicine and completed her residency in internal medicine at University of Cincinnati Hospital and her residency in radiation oncology at University of Cincinnati Barrett Cancer Center where was as Chief Resident. Dr. Cole is a member of the American Society for Therapeutic Radiology and Oncology and The Atlanta Regional Clinical Oncology Program. She is active in the community and has served on numerous boards including the American Red Cross Minority Recruitment Board, and Youth Vibe, Inc. She currently serves as an advisor to the Sisters by Choice breast cancer support group.
TOP DOCS On Common Ground presents Metro Atlanta’s
Atlanta oncology Associates @ Dekalb Hillandale 2745 DeKalb Medical Parkway, Suite 100 I Lithonia, Georgia 30058 770-255-7470 [phone] I 770-255-7471 [fax]
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Summer 2011 • Top DOCS | 3
Top Docs Cover Spotlights
Dr. Suzette Clements, D.P.M. Flat Shoals Foot & Ankle, P. 5
Dr. Sonya Windham, DDS Children’s Dentistry at Stonecrest, PC, P. 7
Dr. Gideon Mincey, O.D Mincey Eyecare Center of Atlanta, P. 11
Contents
Dr. Leslie Ray Matthews, M.D. Trauma Surgeon, Morehouse School of Medicine, Grady Hospital, Page 12
Managing Healthcare
6 things young adults should know, P 6
Goodbye Food Pyramid
USDA has new icon for healthy eating, P. 9
Miracle Worker
Grady surgeon rescues victims from the brink of death, P. 12
Managing Weight Smart ways to stay fit, P. 14
Healthy summer eating Easy dishes you make in a flash, P. 16
Better Daycares
First Lady campaigns for better nutrition for youngsters, P. 18
Be Savvy
Know your vitamins, P. 22
Temperatures Rising
What parents should know about taking temperatures, P. 23 Top Docs is a special publication of On Common Ground News, which circulates in DeKalb, Gwinnett, Rockdale, Henry and Fulton counties. Please visit us at www.ocgnews. com and “like” us on Facebook. For more information about On Common Ground News or our other special publications, call 678-526-1910 or e-mail editor@ocgnews.com.
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A Publication of
Dr. Suzette A. Clements,
Podiatrist
Dynamic personality, she listens, she shows that she cares, these are just a few of the descriptive reports that patients use in referring to Dr. Suzette A. Clements. Dr. Clements has been serving her patients for over nine years as a surgically-trained podiatrist. She enjoys her work most when she is treating everyday patients who are focused on achieving a lifelong goal such as running a marathon or simply looking to create and maintain a healthy lifestyle. Dr. Clements philosophy on podiatric medicine is to work with the patient so he or she may achieve his or her goals and continue to enjoy the activities that bring him or her joy. Dr. Clements has been practicing in the South DeKalb area for nine years; her passion and focus is wellness and to help make a significant difference in the lives of her patients, the community and the world. A believer in mentoring and being willing to share her knowledge, she is a frequent lecturer and key-note speaker at events presented by schools, churches and diverse organizations within the community and internationally. In January, she launched the successful “International Wellness Boot Camp”. As a college student, Dr. Clements served as a missionary and now in her professional career, she has actively participated in medical missions to Jamaica and was among the early medical responders after the devastating 2010 earthquake in Haiti. Dr. Clements earned her BSN in Nursing from Oral Roberts University and after working as a nurse, she returned to school for training to become a podiatrist. She attended New York College of Podiatric Medicine and was the first black person to earn a prestigious surgical residency at New York Methodist Hospital. This was accomplished while being a wife and mother of two small children. Dr. Clements’ office, Flat Shoals Foot & Ankle Center, offers cutting- edge treatments. Services include x-rays, non-invasive vascular studies, nerve conduction studies, and the phenomenally effective laser treatment for fungal toenails. Along with her belief in treating the total person, Dr. Clements also looks at the spiritual aspect of things, thus she finds time to pray with her patients as well upon request. Dr. Clements states that “God has opened doors for me to change people’s lives and I will use the skills He has given me and proudly give Him thanks in the process.” The Practice has recently added spa services to better enhance what the clients receive in treatment. Brochures are available with the menu of services to complement any podiatric treatment. Flat Shoals Foot & Ankle Center has thrived under the care and hard work of Dr. Clements and her niece Dr. Daalia M. Jones. The office has grown to three full- time podiatrists. Dr. Jones joined the practice in 2010 and Dr. Sherunda S. Josey joined the practice this year. Both doctors are Dr. Clements nieces and have escalated the practice to an exceptional group practice. A very knowledgeable and friendly staff waits to welcome you, whether on your first or 10th visit.
TOP DOCS On Common Ground presents Metro Atlanta’s
Flat Shoals Foot & Ankle Center is located at 2855 Candler Road, Suite 6, next to the Gallery at South DeKalb Mall and across from the Bank of America. Hours are Monday through Friday, 8 a.m. to 5 p.m. Please call 404-241-7400 for an appointment today, or visit the website at www.drfoot.biz.
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Summer 2011 • Top DOCS | 5
• Establish a relationship with a family physician who will know you and your health history. Family physicians provide comprehensive care to people of all ages - ranging from preventive services to the diagnosis and treatment of acute illness and chronic conditions. They also treat depression and other mental health conditions. Most importantly, family physicians make it convenient for patients to get the care they need. Seventy-three percent offer same-day appointments, nearly half offer early morning and evening appointments, and 27 percent communicate with patients via email.
things SIX young adults
should know about managing their
HEALTH CARE
(ARA) - Despite perceptions that young adults consider themselves young and invincible, the majority of Americans aged 18 to 26 are taking an active role in maintaining their health. Two out of three young adults have a usual source of health care, and most are seeing a physician at least once a year for wellness exams and other preventive services, according to a nationwide poll conducted by Harris Interactive on behalf of the American Academy of Family Physicians (AAFP). “Young adults seem to understand the correlation between having an ongoing relationship with a primary care physician and creating a healthy future,” says Dr. Roland Goertz, president of the AAFP. “But unfortunately, when it comes to managing their health, they, like many others, often lack the experience or desire to navigate the complex health care system.”
The health care reform law now enables young adults, up to age 26, to be covered under their parent or guardian’s insurance plan. “As more provisions of health care reform become effective, such as when restrictions related to pre-existing conditions are lifted, even more young adults will have access to health care,” Goertz says. “Family physicians stand ready to provide the care they need, when and where they need it.” As more young people take advantage of this benefit, the AAFP offers the following tips to help them make the most of their health care interactions. 6 | Top DOCS
These services are all parts of the patient-centered medical home model of care. Under this model, family physicians coordinate care across all settings, including doctors’ offices, hospitals and many other services that make up our complex and confusing health care system. Key medical home technologies, such as electronic health records, enable health care professionals to communicate with one another and stay updated on mutual patients’ medical conditions and courses of treatment. This eliminates duplication, lowers costs and improves quality and patient satisfaction. • Be open and honest with your doctor. Taking an active role in your health care can help you get the best care possible. Be sure to disclose any current and past health care issues or concerns. It’s important to share any information you have, even if you’re embarrassed. • Ask questions. Don’t be afraid to speak up if you have questions or concerns. It’s important to let your doctor know if you don’t understand something. If you have questions before your appointment, write them down and ask them during the exam. Be sure to write down the most important questions first to make sure they get answered, and tell your doctor when you need more time to talk. • Play an active role in your medical decision making. Research shows that patients who are more involved with their care tend to get better results. You have a say in your medical treatment. If you aren’t comfortable with a prescribed course of treatment - like taking medicine, scheduling a test or scheduling an appointment with a specialist - let your doctor know. Patients and doctors who share decision making are more likely to identify treatment plans they can both agree on. • Make sure your personal doctor is in charge of your care. This is especially important if you have many health problems or are in a hospital. Make sure that all members of your health care team know about all prescriptions and over-the-counter medicines you are taking, including dietary supplements such as vitamins and herbs. Also, make sure your doctor knows about any allergies and adverse reactions you’ve had. Understand your medical bills and keep medical paperwork organized. Learn to read and understand medical bills and explanations of benefits to know what’s covered, what not covered, and why. Consolidate your medical care, health history and medical records, and organize your medical paperwork so you can review it easily if questions arise. Keep your medical receipts if you have a health savings account; you may be need to show them for tax purposes. For more information about family physicians and tips for managing your health care, visit www.familydoctor.org/ smartpatientguide.
A Publication of
Dr. Sonya Windham , Dentist
A
native of Bennettsville, South Carolina, Dr. Sonya Windham graduated from North Carolina State University with a Bachelor of Arts degree in Chemistry. She obtained her Doctor of Dental Medicine degree from the Medical University of South Carolina in Charleston, South Carolina in 1996. Upon completion of a oneyear general practice residency in Columbia, South Carolina, Dr. Windham worked as a general dentist in Florence, South Carolina. With her undying love for children, she moved to Washington, D.C. and received advanced training in a twoyear pediatric dentistry residency in 2001 from Howard University. After completing residency, she moved to the metro Atlanta area. Dr. Windham is involved in various organizations, including the
American Academy of Pediatric Dentistry, Georgia Academy of Pediatric Dentistry, American Dental Association, National Dental Association, Georgia Dental Society, North Georgia Dental Society, and charter member of Upsilon Sigma Omega chapter of Alpha Kappa Alpha Sorority, Inc. She enjoys liturgical dancing, reading, traveling and spending quality time with family and close friends. Dr. Windham enjoys working with children. She treats each patient as if they were her own. She and her staff are proud to serve the Lithonia and surrounding communities. Children’s Dentistry at Stonecrest, PC offers dental services for children ages one to eighteen. The practice accepts most insurance plans including Peachcare for Kids. New clients are always welcome.
Children’s Dentistry At Stonecrest, PC “Creating Smiles with Caring Hands” Located conveniently near The Mall at Stonecrest, the contemporary facility features low-radiation digital x-rays and the latest in dental technological advancements. The friendly staff members along with Dr. Windham, are well-trained and share in the dedication of improving the overall oral health of our community by participating in various health fairs and continuing education courses. Each dental chair has its own TV for your child to relax and enjoy during their dental visit. We offer a calm, caring environment for both, the parent and their child. Dr. Windham and her staff look forward to serving your child’s dental needs. They are committed to providing quality dental care for infants, children, adolescents and persons with special needs in a fun and caring environment.
TOP DOCS On Common Ground presents Metro Atlanta’s
Children’s Dentistry at Stonecrest, PC 8052 Mall Parkway Ste #102 Lithonia, GA 30038 770-484-4994 www.ChildrensDentistryAtStonecrest.com Visit us: www.ocgnews.com Find us on:
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Summer 2011 • Top DOCS | 7
Dr. Kirby Clements, Sr. DECATUR— Dr. Kirby Clements, Sr. has devoted a lifetime to giving people beautiful smiles. A dentist for 37 years, his practice, Kirby Clements, DDS focuses on crowns, bridges, partial dentures, complete dentures, bonding and other restorative procedures. His practice has served 70 thousands patients over the years. Dr. Clements received his training at Howard University School of Dentistry (DDS) and Boston University School of Graduate Dentistry (M.Sc.D.). After earning his degrees, he practiced in the Washington, D.C. area and served as professor of dentistry at Howard University School of Dentistry. Dr. Clements is diverse in his local, national and international involvements. As a church bishop, he oversees hundreds of churches throughout Africa, Asia, Europe, South America, North America and the Caribbean islands. He and his wife, Sandra, were two of the first African Americans to minister in an interracial
conference in South Africa during the apartheid regime. As the CEO of the International Connection of Ministries, the Clements are well known for their numerous books and teachings to ministry leaders. In addition to serving as an integral part of the global networks of ministries, Dr. Clements is a member of Omicron Kappa Upsilon honorary dental society, Who’s Who in America, the Southeastern Academy of Prosthodontics and Hinman Dental Society. Dr. Clements earned distinction as the first African American to receive a post doctorate degree in Prosthetic Dentistry from Boston University. Family is most important with Dr. Clements. His wife serves as office manager, while his sister, Melody
Clements, serves as a hygienist. His daughter-in-law, Dr. Suzette Clements is a podiatrist. Tessa Lewis assists in the daily management of the office. Dr. Kirby Clements contributes to the legal profession through his two children, Kirby Clements, Jr. and Gina Clements Boyd, both attorneys and founders of the Clements Law Group in Decatur, GA. TOP DOCS On Common Ground presents Metro Atlanta’s
Kirby Clements DDS, PC is located at 4555 Flat Shoals Parkway, Suite 102, Decatur. Administrated office hrs. are 9 a.m. to 5 p.m., Monday through Friday, and Dr. hrs. are Tuesday 3:30p.m. to 7p.m. and Thursdays 7:30a.m. to 5p.m. and on Saturday 7a.m. to noon. All major credit cards and insurances that are accepted include: PPO provider for Aetna, MetLife, Delta Dental, GEHA Connection Dental, Dente Max and Avesis. For an appointment, call 404-241-7710.
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A Publication of
Dr. Dharmeshkumar Patel:
Family doctor, family man
By Joshua Smith Dr. Dharmeshkumar Patel grew up in India as the middle child in his family, watching out and sometimes taking care of his brother and sister. It was that passion he developed at a young age to help others that drove him to come to America to provide medical care to families. “I always wanted to do something in medicine. I love my job because you get to meet so many people across the board and help them live better, healthier lives,” said Dr. Patel, who moved to his current Lithonia facility, Georgia Family Care, LLC in January. Dr. Patel began his journey from India to Lithonia, Georgia with premedical studies in Surat, India. He made his first trip to America in 1991 to attend medical school at Spartan Health Sciences University in Saint Lucia. After that, he came to Atlanta where he worked as a clinical assistant at Piedmont Hospital. He then completed
TOP DOCS On Common Ground presents Metro Atlanta’s
his residency in family medicine at the University of Alabama at Birmingham. Dr. Patel went on to practice in Alabama before returning to Georgia in 2005 to work at DeKalb MedicalHillandale’s Minor Emergency Room. Soon after, he started his private practice in Lithonia. Dr. Patel was promoted to Department Chief of Family Medicine in 2010. “This practice isn’t just about giving people prescriptions. My staff and I care about our patients and want to see them live well,” said Dr. Patel. Dr. Patel applies those beliefs at home, encouraging his two sons, Dev, 8, and Jai, 5, to eat right, exercise and live a healthy lifestyle. “My sons are very important to me. Sometimes, it can get difficult to show them why they have to cutback on the sodas and junk food,” Dr. Patel said. Now serving newborns to senior citizens in two facilities, one in Lithonia and another office in Lawrenceville, Dr. Patel says it’s his mission to live up to
his practice’s slogan, “Where Patients Come First.” “We give our patients the latest information. We offer workshops, classes and other activities about once a month,” Dr. Patel said. “It’s all about prevention. Prevention is the key. We give patients stress tests and educate them on several issues such as weight loss and obesity because we know it is critical to prevent and catch conditions early.” Dr. Patel, M.D., F.A.A.F.P. is board certified in family practice. Dr. Patel is joined by Jenny Than, PA-C and Dr. Andrea Andrews, M.D. to offer several medical services including Physicals for males and Well women exams and chronic disease prevention and treatment for conditions such as diabetes, hypertension, asthma, high Cholesterol, along with immunizations for children and gynecological services. Dr. Patel is fluent in English, Spanish, Gujarati, Hindi and Punjabi.
Georgia Family Care has two facilities: 2491 Panola Road, Lithonia, GA 30058 678-205-4999
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1430 Five Forks Trickum Road, Suite 220, Lawrenceville, GA 30044 678-578-4983
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Summer 2011 • Top DOCS | 9
Dr. Windell D. Boutté
Dr. Windell D. Boutté is the founder of Premiere Aesthetic Center, the home of Premiere Dermatology and Surgery, Aesthetic and Laser Boutique, and Premiere Essence MedSpa, which began serving the Atlanta community at large in 2007. Premiere Aesthetic Center is the first multi-treatment skin and healthcare center in one grand, all-inclusive location in our Atlanta community. Dr. Boutté has been a practicing, board-certified dermatologist since 1997, and she oversees all facets of the Center’s operations. Dr. Boutté began private practice in June 1997, and opened her first solo practice, Dekalb Dermatology and Surgery in April 2000. She has dedicated herself to becoming not only a specialist of medical skin care, but an expert in innovative skin rejuvenation for all skin complexions. Due to her profound fascination with laser technology, she was the first dermatologist in the Atlanta community to introduce certain aesthetic laser procedures approved for skin of color. She
has always made it her priority to research and implement state-ofthe-art, non-invasive procedures that are safe, practical and effective. She always strives to achieve longstanding skin rejuvenating results of which patients can be proud. Premiere Aesthetic Center is comprised of three innovative and unique operations. Premiere Dermatology and Surgery provides general medical and surgical dermatology care. Aesthetic & Laser Boutique offers multiple noninvasive laser surgery options, as well as various aesthetic treatments for ageless, youthful rejuvenation. Premiére Essence MedSpa offers a pampering, elegant environment promoting inner harmony and total wellness.
Premier Dermatology and Surgery is a full service medical,
surgical and cosmetic dermatology practice devoted to providing the most premier quality. Services range from Smart Lipo, anti-aging treatments, Acne, Skin Care, Skin
Cancers, Pigmentation, Eczema and Dry skin disorders to Hair Loss and Restoration treatments.
Aesthetic & Laser Boutique
embodies a state-of-the-art, modern, and contemporary environment that offers the best in aesthetic skin care treatments. From lasers such as Fraxel® and devices such as Thermage®, to BOTOX® Cosmetic and fillers such as Restylane®, Aesthetic & Laser Boutique has something to offer anyone seeking the ultimate improvement in their cosmetic appearance. This center boasts natural stones, marbles and fixtures that embody elegance and excellence.
Premiére Essence MedSpa
invites you to come and indulge in the warmth of French provincial elegance and Southern hospitality. The Center boasts “THE ESSENCE OF PUTTING YOU FIRST” through the various services offered. Services range from Skin Care, Hair Removal, Cosmetic Services to Body Treatments, Facial Enhancements and many more.
Premiere Aesthetic Center
4650 Stone Mountain Highway Lilburn, Georgia 30047 678-344-2450
Premiere Dermatology and Surgery
4150 Snapfinger Woods Drive Suite 205 Decatur, Georgia 30035 TOP DOCS 404-286-3178 On Common Ground presents Metro Atlanta’s
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10 | Top DOCS
A Publication of
Dr. Gideon K. Mincey ,
Optometrist
The Gatekeeper of Ocular Health Dr. Gideon K. Mincey, optometrist, is the owner of Mincey Eye Care Center of Atlanta. His office has serviced the Atlanta area for over 20 years. Dr. Mincey has maintained a loyal and growing clientele of patients through the years because of his commitment to follow patients throughout treatments and his passion for maximizing optimal eye healthcare for each patient. Dr. Mincey’s interest in the treatment of the eye organ developed when he was in the third grade and he began wearing glasses. During this period, he expressed his interest in becoming an optometrist. Years later, Dr. C. Clayton Powell, the first black optometrist in the state of Georgia, became a mentor to Dr. Mincey. Dr. Mincey has through his career numerous success stories, including saving one patients’ life who was diagnosed with a brain tumor after going to Dr. Mincey for an eye exam. Dr, Mincey referred the 54-year-old patient to a neurologist after the patient complained of chronic headaches and double vision. Dr. Mincey saw that the patient also had a decrease in his visual field, (meaning half of vision). The neurologist conducted a CAT scan that later showed a brain tumor that was operable, resulting in the patient’s vision returning to normal. Dr. Mincey considers himself a “gatekeeper” for his patients, maintaining communication with ophthalmologists for eye-related surgeries and disease care, internists and family practitioners for overall optimal health. Dr, Mincey says he focuses on preventive vision care because he is committed to reducing three main plagues that disproportionately affect African-Americans: glaucoma, diabetic retinopathy, and hypertensive retinopathy. Dr. Mincey is very concerned with the present economical conditions, because he feels the increased cost of health care technology, consumer decrease in health insurance coverage, contributes to a drop in basic eye exams. He has seen a decrease of approximately 20-30% in private pay and insured consumers. This is a real concern for Dr. Mincey and has caused him to sound the alarm for the importance of routine eye exams. Dr. Mincey is especially concerned that children receive routine eye exams. He says there is a strong correlation between learning and undetected eye problems in children.
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TOP DOCS On Common Ground presents Metro Atlanta’s
Dr. Mincey’s practice includes 21-point comprehensive eye examinations, specialty contact lens fitting, diagnosis and treatment of superficial injuries, just to name a few. In August, Dr. Mincey will participate with other physicians with the Mobile Vision Unit, designed to help promote visual eye care by providing free eye exams to diabetics and geriatric consumers. This is just one of numerous community events that has become a part of his medical outreach to the community. Dr. Gideon K. Mincey received his undergraduate degree from Clark College, Atlanta. He received his Doctor of Optometry at Pennsylvania College of Optometry in Philadelphia, PA. Dr. Mincey serves on the Board of Georgia Prevent Blindness and is a member of Atlanta Montego Bay Sisters Health Mission. He is a member of Omega Psi Phi fraternity and other professional and civic organizations. Mincey Eye Care Center Of Atlanta 2434 Gresham Rd., Suite C Atlanta, GA 30316 404-241-6500.
Summer 2011 • Top DOCS | 11
From the brink of
death
Grady trauma surgeon stands on the frontline in rescuing those with life-threatening medical emergencies
D
By Valerie J. Morgan
r. Leslie Ray Matthews, M.D. is a lifesaver. Just ask skydiver Mark Mettler, who fell 500 feet at 70 miles per hour when his parachute failed. Mettler had a 300 percent chance of dying from 18 injuries he sustained. Or ask Keith Weston, who was stabbed in the heart while trying to do a good deed. Or Cherie Mitchell, who was trapped for seven hours before anyone found her after her truck veered off the road and plunged 40 feet down an embankment. All are former patients of Dr. Matthews— people who were near the brink of death. Surgical emergencies are his specialty. Dr. Matthews is one of about a dozen trauma surgeons from
12 | Top DOCS
Morehouse and Emory University Schools of Medicine who staff Grady Hospital’s trauma center in Atlanta. With one in four trauma patients in Georgia transported to Grady, the hospital is one of the busiest trauma centers in the country. Dr. Matthews takes the demanding work in stride, often putting in 80 hours per week. “The most rewarding part of my job is seeing people who weren’t expected to survive walk out of the hospital and return to their normal lives,” said Dr. Matthews. “People come in as patients in the emergency room and it looks like there’s no way they’re going to make it, but I must have the mindset that they can. Failure is not an option.” Dr. Matthews, 48, knows about miracles firsthand. He need only look at his own family for inspiration. Two of his older sisters were Siamese twins who were surgically separated in the 1950s when they were 6 weeks old. The sisters, who still live in Mississippi where Matthews’ family is from, today are married with grandchildren. They are 56 years old. “My sisters shared a liver. It was a remarkable surgery for that time period,” said Dr. Matthews, who has 10 siblings and is the youngest in the family. Matthews, who lives in Atlanta, grew up in Indianola, Mississippi: Population 10,000, hometown of Tampa Bay Buccaneers wide receiver Michael Spurlock and legendary blues singer B.B. King, who used to sing with a group called The St. John Gospel A Publication of
Singers, which included Matthews’ dad, the late Rev. John Matthews, who was the lead singer. Matthews’ dad was a minister and elementary school principal who died of a heart attack at age 58. Matthews’ mom, Missouri Matthews, was a homemaker who grew vegetables for the family to eat fresh every day. Today, at 86, she’s still going strong, says Matthews. “My mom doesn’t have any problems telling me to take the garbage out when I go home to visit,” Matthews says with a chuckle while taking a break one Saturday morning during his shift at Grady. “And she’s always asking me when am I going to get married and have her some grandkids. I tell her, ‘You already have over 40 grandkids.’ And she tells me, ‘Yeah, but none of them are your children. ‘” Matthews speaks candidly about how he had to work hard to put himself through college after his dad died. As his earnings increased, he helped nieces through nursing school and other relatives to seek higher education, too. At the same, he pressed on to further his own education and learning experiences, ever striving to be the best. Matthews graduated cum laude from the University of Mississippi in Oxford, Mississippi with a B.A. in Chemistry. He received his medical degree from the University of Mississippi Medical Center in Jackson, Mississippi. He did his internship at District of Columbia General Hospital in Washington, D.C. He spent four years completing his surgical residency training at Morehouse School of Medicine, where he now teaches other residents, as well as medical students in addition to his work at Grady Hospital. Matthews is also involved in ground-breaking research which he hopes will be published soon. He said he believes this new research will improve the quality of life for most Americans. Matthews said he is proud of the training and experiences he received from the prestigious Mayo Clinic in Rochester, Minnesota, where he completed a 2-year fellowship from 2002 to 2004. From 2004 to 2006, he was a senior associate consultant in the Division of Trauma/ Surgical Critical Care and General Surgery at Mayo Clinic in Rochester, Minnesota. Before his surgical critical care fellowship at the Mayo Clinic, Matthews worked in Mississippi for five years. He remains licensed to practice in both, Georgia and Mississippi. When asked what is his greatest accomplishment in his career, Matthews replies: “I haven’t done it yet. I don’t rest on past accomplishments. Remember, I still take out the garbage,” Matthews said. Some of the highlights of Matthews’ work as a doctor: In 1996, while working in the emergency room in Grenada, Mississippi, he saved the life of then Mississippi Gov. Kirk Fordice, who was involved in an fiery, single-car wreck. Fordice suffered numerous internal injuries including broken ribs, collapsed lung, cardiac and pulmonary contusions. Matthews was home for bereavement for a family funeral when the accident happened. In 2001, Matthews assisted with emergency rescue operations during the 911 terrorists attacks. Matthews was attending a medical conference in New Jersey when the World Trade Center in New York was struck on Sept. 11. Matthews and about 200 other doctors were transported across the New York harbor to set up an emergency triage to attend to the injured victims. “You can never let your guard down. I’m always ready,” Matthews said. “But you can never overestimate yourself. I consider what I do a gift from God.”
TOP DOCS On Common Ground presents Metro Atlanta’s
Dr. Leslie Ray Matthews, M.D. Director of Surgical Intensive Care Unit for Morehouse School of Medicine Grady Hospital.
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Summer 2011 • Top DOCS | 13
Photo courtesy of Getty Images
FAMILY FEATURES
I
f you’ve ever struggled with trying to figure out what you need to do to take to maintain a healthier lifestyle, you’re not alone. The 2011 Food and Health Survey, commissioned by the International Food Information Council Foundation (IFICF), found that among the 69 percent of Americans currently trying to lose or maintain their weight: 70 percent believe that both physical activity and monitoring food and beverage consumption are equally important in weight management. However, only 54 percent report actually implementing both strategies in an effort to manage their weight. While the survey showed that approximately half of Americans perceive their overall diet as at least “somewhat healthful,” the World Health Organization ranks the United States as 18th (out of 153 countries) in the world for obesity and 28th in the world for cases of diabetes.
Smart Ways to Eat Out If you go out to restaurants at all, you know that most menus don’t have a long list of healthy foods. In the book,“Restaurant Calorie Counter For Dummies, 2nd Edition” (Wiley, May 2011), you can find helpful information for making smart choices. Here are a few tips from the book: Drink your whole glass of water (or more), but limit other beverages to just one glass. Physically split a meal in half when it arrives at your table and ask for the to go box right away. Choose fresh toppings, such as onion, tomato and lettuce, rather than pickled items such
as jarred pepper strips or pickles.
Aim to get some lean protein with your meal. At salad bars, choose beans or cottage
cheese. For the entrée, choose grilled chicken or fish.
The guide also provides calorie counts for menu items at 150 popular restaurants.
There’s a lot of information available about nutrition and fitness, and it can be tricky to sort through it all and put it into practice. Confusion over nutrition, conflicting reports over what’s healthy and what’s not, busy lifestyles that leave no time for exercise — all of these can be roadblocks to better health.
Hunger vs. Appetite. Rinzler says that hunger and appetite are two very different things: Hunger is the need for food. It’s a physical reaction that includes chemical changes in your body. It’s an instinctive, protective mechanism to make sure your body gets what it needs to function. Appetite is the desire for food. It’s a sensory or psychological reaction (This looks good! That smells good!) which creates an involuntary response like salivation or stomach contractions. It’s also a conditioned response to food — think Pavlov’s dogs. Understanding the difference is the first step toward more healthful eating. Making Wise Food Choices. In her book, Rinzler walks readers through things like the facts on fat and cholesterol, carbohydrates and proteins, building a healthful diet, food labeling, and what happens when food is cooked at home or processed in a plant — all to help make sense of nutrition so that making good choices that please your palate as well as your body, is easy.
Nutrition Made Easier
The Facts on Fitness
Why Is It So Hard?
You are what you eat. And how you eat. And when you eat. In the latest edition of her book, “Nutrition For Dummies,” (Wiley, May 2011), Carol Ann Rinzler says that nutrition is simply the science of how the body uses food — and in order to take care of yourself, you need to know a little bit about how that science works. “Nutrition is about why you eat what you eat and how the food you get affects your body and health,” she said.
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Fitness can actually mean a number of things. You can be fit to run 5 miles or do yoga. You can look fit — that is, lean — and not have much stamina, strength, flexibility or balance. Suzanne Schlosberg and Liz Neporent, authors of “Fitness For Dummies, 4th Edition” (Wiley, December 2010), want to help people understand what’s involved in becoming fit, how to get started and how to stay motivated. “We want to help make fitness a permanent and enjoyable part of your lifestyle.” The 5 Key Areas. Schlosberg and Neporent say that it doesn’t take much effort to get a basic level of physical fitness in the five key areas: cardio, strength, flexibility, balance and nutrition. Why are these so important? Cardio fitness. Workouts that get your heart pumping and continuously work a lot of large muscles improve your heart, lungs, blood vessels and
stamina. They also burn a lot of calories, helping you lose weight. Think walking, cycling and using an elliptical machine.
Strength training. People who don’t exercise lose 30 to 40 percent of their
strength by age 65, say the authors. By age 74, more than one quarter of men and two-thirds of women can’t lift an object heavier than 10 pounds. Lifting weights means strengthening your muscles for the long term. It also means strengthening your bones and speeding up metabolism. Flexibility. Maintaining flexibility helps keep your joints mobile, minimizing risk of injury and allowing you to move with agility and good posture even as you age. Balance. Balance is important when you’re young, and essential when you’re not. A good sense of balance helps you move more fluidly and prevents unnecessary falls. Nutrition. When you make wise food choices, you have more energy to exercise and you recover more quickly from your workouts. The “Fitness” authors say it’s important to keep things interesting. Boredom can be the enemy of any workout. Listen to music, mix up your workouts — running on Monday, yoga on Tuesday, hiking on Wednesday, etc. Vary your pace or terrain, or try different exercise equipment. And remember to stay realistic. “Trying to do too much or setting expectations too high can lead to frustration. Pace yourself and cut yourself some slack. Everyone improves at a different pace. Fitness is something personal and unique to you.” For more about these books, visit www.dummies.com. To celebrate its 20th anniversary, For Dummies is hosting special book promotions, sweepstakes, exclusive giveaways on their Facebook and Twitter pages, as well as other special events. To find out more and to download a free minibook, visit www.dummies.com.
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Summer 2011 • Top DOCS | 15
Don’t take a vacation from eating right
FAMILY FEATURES
W
arm weather is synonymous with trips to the beach, baseball games and summer vacations. While enjoying these outings, you may find yourself tempted by hot dogs, ice cream and other summer indulgences. A busy schedule, combined with tempting summer treats, could throw off your healthy eating routine. Registered Dietitian Robin Kline, MS, RD, CCP, offers three simple tips for how to stay healthy throughout the season. “Planning ahead is your best strategy to stay on track for great summertime eating,” said Kline. “Whether it’s visiting the farmers market for fresh, seasonal produce or packing healthy snacks for on-the-go, being prepared results in smart eating.” Think Simple. No one wants to spend time in a hot kitchen preparing meals on a nice summer day. Finding quick, healthy meal options that can be prepared in 20 minutes or less will provide you with more time to spend outdoors enjoying the warm weather. A healthy salad that contains a rainbow of nutrients is easy to prepare and helps you avoid turning on the oven. Think Fresh. Many delicious fruits are in season during the summer, including peaches, berries and melons. Fresh fruits are naturally sweet, a good source of vitamins and are easy for on-the-go eating. Eat them alone as a snack, blend into a smoothie or create a breakfast parfait with berries, granola and cottage cheese. Think Healthy. The United States Department of Agriculture (USDA) states that the amount of protein needed in the average American diet depends on gender, age and level of physical activity, but recommends selecting a variety of lean sources of protein. Fish high in omega-3 fatty acids are a good lean protein source, while cottage cheese and legumes are great options for adding variety. Cottage cheese is a versatile option that can be incorporated into a number of different recipes. Daisy Brand Low Fat Cottage Cheese is 100 percent natural with only four ingredients, a good source of calcium, lower in sodium than many other brands and an excellent source of protein with 14 grams per half-cup serving. By following these few easy tips, you can enjoy summer with the peace of mind that you are maintaining a healthy lifestyle. The following recipes are great starters for summertime foods. Visit www.DaisyBrand.com/CottageCheese for more information and recipe ideas.
Strawberry Banana Parfait
Prep Time: 5 minutes Total Time: 5 minutes Serves: 4 1 banana, cut in chunks 1 tablespoon lime juice 1 cup strawberries, quartered 1/4 cup honey 1/4 cup toasted walnuts, chopped 2 cups Daisy Brand Cottage Cheese Toss banana with lime juice in a small bowl. Mix bananas with strawberries, honey and walnuts. Spoon mixture into parfait glasses. Top each glass with 1/2 cup of cottage cheese.
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Strawberry, Spinach and Cottage Cheese Salad
Prep Time: 15 minutes Total Time: 15 minutes Serves: 4 6 ounces baby spinach 1/4 cup green onions, sliced 1/2 cup light raspberry vinaigrette 1 cup fresh strawberries, sliced 1/4 cup walnuts, chopped 2 cups Daisy Brand Cottage Cheese Toss spinach and green onions with vinaigrette; divide evenly onto 4 salad plates. Top each salad with strawberries and walnuts. Spoon cottage cheese over spinach mixture and serve.
Black Bean Nachos
Prep Time: 10 minutes Total Time: 15 minutes Serves: 8 1 cup Daisy Brand Cottage Cheese 1/4 cup Daisy Brand Sour Cream 3 dashes hot sauce to taste 1/2 teaspoon cumin 4 cups pita chips 1 15.5-ounce can black beans, rinsed and drained 1 cup reduced fat Mexican cheese blend, shredded 1/2 cup green onions, chopped 1 medium tomato, chopped Mix cottage cheese, sour cream, hot sauce and cumin in small bowl; set aside. Layer pita chips evenly on 2 large microwave-safe plates. Top each plate with half of the beans and shredded cheese. Microwave 1 plate on high for 1 minute or until cheese is melted. Drop half of cottage cheese mixture by spoonfuls over melted cheese on nachos. Top with half of chopped green onions and tomato. Repeat with second plate.
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Summer 2011 • Top DOCS | 17
Our
First Lady Washington – First Lady Michelle Obama has unveiled Let’s Move! Child Care, a new effort to work with childcare providers to help our youngest children get off to a healthy start. The First Lady released a checklist that providers and parents can use as a tool to encourage healthy eating and physical activity and limit screen time for young children. In addition, the First Lady announced that the Department of Defense, the General Services Administration and Bright Horizons have committed to these practices – a step that will positively impact approximately 280,000 children in 1,600 child care centers nationwide. “Everyone is going to see that these small changes can make a big difference. If our kids get into the habit of getting up and playing, if their palates warm up to veggies at an early age, and if they’re not glued to a TV screen all day, they’re on their way to healthy habits for life,” Mrs. Obama said. “That’s why I’m so excited about Let’s Move! Child Care – because I know that childcare facilities and homebased providers can be a real building block for an entire generation of healthy kids.” Obesity rates among preschoolers ages 2 to 5 have doubled in the past four decades, and one in five children are overweight or obese by the time they reach their 6th birthday. This health crisis begins at an early age: over half of obese children first become overweight at or before age 2. As the Childhood Obesity Task Force noted, child care centers and informal care represent a tremendous opportunity to prevent obesity, because 60 percent of children under 5 are in some form child care, spending an average of 29 hours per week in that care. Furthermore, parents and communities are looking for improvements in child care standards. A 2008 survey by NACCRRA reported that 93 percent of parents thought existing health and safety standards for child care should be improved. And last week, the Partnership for a Healthier America announced commitments from mayors around the country to work with their local childcare providers and after-school programs to improve standards for nutrition and physical activity and to limit screen time within child care settings. The First Lady encouraged day care facilities and home-based providers to commit to the Let’s Move! Child Care
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unveils nutrition campaign for daycare centers
“Everyone is going to see that these small changes can make a big difference....They’re on their way to healthy habits for life.” Check List to encourage healthy eating and physical activity and limit screen time for our youngest children. The check list includes: P hysical Activity: Provide 1-2 hours of physical activity throughout the day, including outside play when possible. S creen Time: No screen time for children under 2 years. For children age 2 and older, strive to limit screen time to no more than 30 minutes per week during child care, and work with parents and caregivers to ensure children have no more than 1-2 hours of quality screen time per day, the amount recommended by the American Academy of Pediatrics. F ood: Serve fruits or vegetables at
every meal, eat meals family-style when possible, and no fried foods. B everages: Provide access to water during meals and throughout the day, and do not serve sugary drinks. For children age two and older, serve low-fat (1%) or non-fat milk, and no more than one 4-6 ounce serving of 100% juice per day. I nfant feeding: For mothers who want to continue breastfeeding, provide their milk to their infants and welcome them to breastfeed during the child care day; and support all new parents in their decisions about infant feeding. Providers and parents can go to HealthyKidsHealthyFuture.org for these free tools and resources and to share success stories. A Publication of
Making Beautiful Smiles in an Upscale Environment
B
Dr. Amber Jenkins Dabney TOP DOCS On Common Ground presents Metro Atlanta’s
orn and raised in Atlanta, Dr. Amber Jenkins Dabney has had life-long aspirations to work in the dental field. She began volunteering in dental offices in high school while expanding her horizons through participation in a magnet program for International Studies. She graduated from high school with an International Baccalaureate Diploma majoring in Latin American Studies and minoring in Physics. Dr. Dabney completed her program of undergraduate Pre-Dental Studies at the University of Georgia in Athens, earning a Bachelor of Sciences degree in Biology. Before entering dental school, Dr. Dabney gained three years of proficiency in the field working as a dental assistant in downtown Atlanta. She graduated from the University of North Carolina at Chapel Hill School of Dentistry in 2001 and has been working in the metro Atlanta area since then. To enhance her ability to deliver high-quality dental care, Dr. Dabney opened her own office, Beautiful Smiles Family Dentistry, in Lithonia in 2005. Her treatment philosophy
emphasizes helping patients achieve their dental health and cosmetic goals healthfully and comfortably. Located conveniently near Stonecrest Mall, the contemporary 2400 square foot facility features low-radiation digital x-rays and the latest in dental technological advancements. The friendly staff members and other dental professionals at Beautiful Smiles are well-trained and share Dr. Dabney’s dedication to improving the overall oral health of our community by participating in local health fairs and school functions. The most recent addition to services available at Beautiful Smiles is the surgical placement of dental implants, and Dr. Dabney actively seeks to include new technology whenever it is available. When not treating patients, Dr. Dabney enjoys spending time with her husband and children. 8200 Mall Pkwy Suite #155 Lithonia, GA 30038 (Across from Stonecrest Mall in Panera Bread Company Shopping Plaza)
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Summer 2011 • Top DOCS | 19
Full Body Rejuvenation DeKalb County has found a pillar for promoting full body wellness and putting the care back in healthcare with Full Body Rejuvenation Center. “The doctor of the future will give no medicine, but will interest his or her patients in the care of the human frame, in a proper diet, and in the cause and prevention of disease.” TOP DOCS On Common Ground presents Metro Atlanta’s
–Thomas Edison Dr. Nailah Smith is one such doctor who follows the premise of Thomas Edison’s quote by the way she manages her practice. Dr. Smith, founder of Full Body Rejuvenation Center, is a highly educated business leader in the medical community, who holds a Bachelor’s degree in Biology from the University of the Virgin Islands and a Doctorate of Chiropractic degree from Life University in Marietta, Georgia. Her full body approach encompasses all the aspects of Edison’s quote by using her skills and expertise to not only educate patients, but the community as well, about the benefits
of having a proper diet along with a well maintained body. Dr. Smith’s Full Body Rejuvenation Center specializes in chiropractic care, weight management programs, nutritional cleansing, massage therapy, and physical therapy. Chiropractic care and massage therapy both deal with the maintenance and improvement of the human frame, while nutritional supplementation and cleansing help aid the body’s digestive and immune system. A goal of Full Body Rejuvenation Center is to bring upscale, spa-like amenities to DeKalb County without the downtown traffic. Dr. Smith can also be found supporting the community through volunteer efforts at several Georgia universities and medical facilities such as the South DeKalb Center for Healthy Living. Dr. Smith is a member of the American Chiropractic Association, Alpha Kappa Alpha Sorority, Better Business Bureau, and a board member of the Lithonia Chamber of Commerce. Full Body Rejuvenation Center is located at 3636 Panola Road, Suite B, Lithonia, GA 30038. For your appointment, please call 770-733-1381. Insurance Accepted: HMO/PPO Provider for BCBS – UHC – Cigna – Aetna - Medicare
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A Publication of
Dunson Dental Design
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The Right Choice for Dental Implants and all of your General Dentistry needs.
f you are missing one or more of your natural teeth, dental implants are an ideal way to regain your smile with natural looking teeth. Unlike partials and dentures, dental implants are fixed solidly and permanently into your jaw. They do not lot become loose or ill-fitting over time. At Dunson Dental Design, Dr. Bernee Dunson takes time and great care to design the perfect smile for you.
Benefits of Dental Implants If you currently suffer from having missing teeth you will benefit by having Dental Implants. With Dental Implants you will be able to smile with confidence again. They will improve your overall appearance and create better comfort. In addition, they will improve your speech and allow you to enjoy more foods for better nutrition. Overall, Dental Implants will improve your smile and your self esteem.
Choosing the right Dental Office – CBCT Technology Dunson Dental Design is located in Midtown in a state-of-the –art facility. The office has the
latest and greatest CBCT 3-D imaging system. CBCT is the newest and best technology advancement in dentistry in the past 50 years. The CBCT imaging has transformed how dental decisions are made. At Dunson Dental Design it is the standard for achieving accurate diagnosis, treatment planning and delivering optimal care to our patients. The CBCT 3-D imaging scan captures a volume of information by creating hundreds of images in all 3-dimensions. The main advantage of the CBCT 3-D imaging is the quality of information that is attainable. CBCT imaging creates a wealth of information that is then used by Dr. Dunson to design a beautiful smile that functions well and lasts a long time.
Dr. Bernee Dunson Dr. Bernee has extensive training and experience in performing every stage of your dental implant procedure. Dr. Dunson has both a Doctorate in Dental Surgery from the University of Southern California and a graduate certificate in oral implantology from Loma Linda University. In additition, he has been conducting successful dental implant surgery for over 18 years and makes a point of handling all aspects of the
implant dentistry process himself. Dr. Dunson is a Credentialed ”Honored” Fellow in the American Academy of Implant Dentistry and a Diplomate in the American Board of Oral/ Implant Dentistry. He is currently the Director of the Atlanta Academy of Reconstructive Dentistry, wherehe teaches other dentists the art and science of implant dentistry. Dr. Dunson, is also an International lecturer, he has lectured as far as the Middle East on implant dentistry. If you would like to have a custom smile designed just for you call Dunson Dental Design to schedule a dental implant consultation. Patients from throughout the Southeast Region and beyond rely on the skill and expertise of Dr. Bernee Dunson for their dental health needs.
Dunson Dental Design 1100 Peachtree, NE Suite 680 Atlanta, GA 30309 404-897-1699 www.dunsondental.com
TOP DOCS On Common Ground presents Metro Atlanta’s
Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer Almost every adult will suffer from digestive issues during their lifetime. Whether it's a touch of indigestion or abdominal pain that won't subside, you deserve the best possible care. The Board Certified specialists at Atlanta Gastroenterology Associates are experts in evaluating and treating every type of digestive disorder, including: • Colon Cancer • Liver Disease • Ulcers • Hepatitis • Acid Reflux
• Diarrhea | Constipation • Intestinal Polyps • Barrett’s Esophagus • Crohn's Disease | UC • Irritable Bowel Syndrome
Highly specialized care is provided through several divisions of Atlanta Gastroenterology Associates, including: • Infusion Services • The Center for GI Imaging • UC | Crohn’s Treatment Center • The Hemorrhoid Clinic
• The Liver Center • The Center for GI Health • Center for Clinical Research • Center for Functional GI & Motility Disorders
With convenient locations throughout Atlanta and North Georgia, including eight state-of-the-art endoscopy centers, getting the care you need has never been easier.
Providing nutrition counseling and safe, painless hemorrhoid banding For more information, visit our web site www.atlantagastro.com or call 1-866-GO-TO-AGA [468-6242]. Atlanta Gastroenterology Associates is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.
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Summer 2011 • Top DOCS | 21
Be supplement
savvy in the vitamin aisle
(Family Features) A walk down the vitamin aisle at your local pharmacy or grocery store can be confusing. How can you determine which vitamins are right for your individual needs? It’s essential to consult with your medical professional before taking new vitamins. Talk about your goals, your lifestyle, current prescriptions and dietary supplements. He or she can recommend what you need, and in what dosages. Seek brands that participate in third-party verification programs with such organizations as United States Pharmacopeia (USP), which has established federally recognized standards for dietary supplement quality, purity and potency. Do your research. There are a number of helpful resources available: • Visit the American Academy of Family Physicians’ website, FamilyDoctor. org, for credible, physician-reviewed information on health and wellness topics, including the role vitamins and supplements can play in a healthy, active and balanced lifestyle. • United States Pharmacopeia’s “Choosing a Dietary Supplement” Interactive Educational Tool, www.usp.org/USPVerified. • Nature Made, www.naturemade.com, has helpful information, including a new Vitamin Assessment tool to help provide customized vitamin recommendations. Just as with prescriptions, follow the dosage instruction on the label. Look for any warning statements such as combining certain supplements with prescriptions or over-the-counter medicines. Be wary of claims that seem too good to be true.
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22 | Top DOCS
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TAKING TEMPERATURES: What parents should know about fevers
(ARA) - What parent hasn’t had the experience of trying to comfort a feverish child crying in the night? After feeling a warm forehead, taking the child’s temperature is the first logical step. Many parents have questions about how to appropriately and effectively treat a feverish child, according to a clinical report issued by the American Academy of Pediatrics (AAP). Start by staying calm and developing a healthy respect for fever, says Dr. Laura Jana, a pediatrician and award-winning co-author of “Heading Home with Your Newborn.” “While any fever in the newborn period needs to be taken seriously and discussed with a health professional, elevated temperatures in older children need not automatically send parents into emergency mode,” says Jana.
Overcoming the fever fear factor
In healthy kids, fevers don’t always indicate something serious. And not all fevers need to be treated with fever-reducing medication. High fevers, however, can make a child uncomfortable and worsen problems such as dehydration. It’s therefore important for parents to know how to accurately assess the situation when fever sets in - which includes knowing how to take an accurate temperature and whether or not anything needs to be done about it. • Normal body temperature is about 98.6 F or 37 C. • A temperature of 100.4 F, 38 C or higher is typically defined as a fever. • For newborns with fevers, parents need to seek immediate medical advice or attention from health care professionals. A rectal thermometer is the standard for use with newborns. Other types of thermometers, including temporal artery thermometers, are also accurate and readily available for taking the temperature of older infants and children. It’s important to know that body temperature readings can vary depending on where the temperature is taken. Fever’s definition can vary slightly depending upon where the reading is taken. Let your doctor know the location where you took the temperature. “Keep in mind a fever is often the body’s way of showing it is fighting infection, so parents should check children for other symptoms of illness in addition to monitoring their temperature,” Jana says.
What causes fevers?
A part of the brain called the hypothalamus is responsible for regulating body temperature - similar to the way a thermostat controls
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the temperature in a building. Body temperatures rise when viruses, bacteria or other fever-causing agents trigger the hypothalamus to raise the body’s set point. Most people’s temperatures change slightly during the course of a day. Temperatures are usually a little lower in the morning and a little higher in the evening and can fluctuate as kids run around and play. In general, infants and young children have much more sensitive “thermostats” than adults.
Fever in newborns
A newborn with a fever requires special precautions. While most fevers during the first few months of an infant’s life are likely to be caused by common cold viruses, infants’ immature immune systems put them at greater risk of having a more serious underlying infection. The AAP recommends use of a rectal thermometer for newborns because the resulting readings are considered the most accurate measurement of a newborn’s core body temperature.
Treating fevers
Parents and pediatricians alike all-too-often treat fever based on the numbers, rather than assessing a child’s overall comfort level, reports the AAP. Fever is a symptom, not an illness of its own. It can actually serve a useful purpose in helping the body fight infection, so it doesn’t always need to be treated, unless it is affecting a child’s health or comfort. Almost all fever-reducing medications recommended for infants and children contain either acetaminophen or ibuprofen. It’s best to take the advice of physicians on which to use and under what circumstances. Medications meant for infants come in liquid form or as rectal suppositories and the dosage is based on the baby’s weight. Parents should always check the dosing instructions from the manufacturer and gain confirmation from physicians if any confusion arises. Aspirin should never be given to newborns, infants or children except in rare and specific cases as determined by physicians. Aspirin has the potential to cause Reye syndrome, a serious illness that can result in brain and liver damage.
A note on thermometers
Several thermometer options provide fast and accurate temperature readings. One of the newest types is the temporal artery scanner, such as Exergen’s TemporalScanner, that uses infrared technology. “Studies have proven this instrument provides readings as accurate as more invasive thermometers,” says Exergen president Dr. Francesco Pompei, who developed and patented the technology. “The forehead scanner has an advantage in being a gentle, non-invasive way to get a temperature reading without disturbing a sleeping or uncomfortable child.”
Summer 2011 • Top DOCS | 23
Celebrating 16 Years in the Community
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