The magazine that reflects the healthy lifestyles of the residents of the Henry County area and beyond.
IN HENRY
Do You Need A TIME-OUT?
Snoring Quiz Healthy Recipe INSIDE Why is Allergy Testing Important?
SUMMER 2016
Experience Compassionate Care for the entire family — we listen to you
Come and meet Dr. Trivedi, Dr. Sharma and our entire practice. We have been caring for patients in the McDonough and Locust Grove area since 2004. We provide complete internal medicine and family care services that include:
Reliance Family Care 345 Huntington Place Ct. McDonough, GA 30253 Tel: (678) 272-7280
Wellness Care and Check ups Specialty Care such as allergy� treatment Preventative Medicine Pediatrics Dermatology Travel Medicine Electrolyte Imbalances Restrictive and Obstructive Lung� Disease Sports Medicine Examinations Smoking Prevention Diabetic Complications Hypercholesterolemia
Locust Grove Family Medicine 3778 Highway 42 Locust Grove, GA 30248 Tel: (678) 610-6649
We speak English, Spanish, Hindi and Gujarati 2 HEALTHY IN HENRY | SUMMER 2016
Summer is in the air
The magazine that reflects the healthy lifestyles of the residents of the Henry County area and beyond.
IN HENRY VOLUME 1, ISSUE 2, SUMMER 2016
Welcome to the 2nd issue of Healthy in Henry! Healthy in Henry is a quarterly magazine that focuses on health and wellness. It is the hope of the local medical community and businesses that support them to provide you with information that will assist you and your family with health decisions. We would like to thank the physicians, hospitals and their staff for their cooperation in producing the magazine. We hope you enjoy each issue and are healthier as a result.
Manager: Annette Godwin Graphics/Layout Design: Carol Massey Contributing Writers: Lee Udell; Nimisha Trivedi, MD; Coy Leverette III, MPT
SUBMISSIONS Unsolicited queries and submissions of art and writing not accompained by a self-addressed stamped envelope will not be returned. Response time varies and Healthy in Newton cannot assume responsibility for unsolicited materials. To contact the manager by email, address correspondence to agodwin@healthyinga.com.
ADVERTISING Information regarding advertising and rates are available by contacting Annette Godwin by phone 770.883.6698 or email agodwin@healthyinga.com.
FEATURES IN FOCUS SUMMER 2016
Do You Need a Time-Out?
PAGE 6
Deviled Baby Potatoes PAGE 9
Snoring Quiz PAGE 14
Allergy Testing and Treatment PAGE 26
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e H E A LT H Y I N H E N RY • S P R I N G 2 0 1 6 • VO LU M E 1 , N O. 2 f
CONTENTS
6
Features 9
PLANT-BASED FOOD PLAN
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UROGYNECOLOGY AND GYNECOLOGY CARE
27
PHYSICAL THERAPY IN MOTION
30
ROLE REVERSAL FOR PARENTS
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SUMMER 2016 | HEALTHY IN HENRY
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k SUMMER FEATURE
Adult 10 Minute
TIMEOUT!! ime-outs are not just for children. Most adults gladly welcome 10 whole minutes out of our days to just breath, think or relax. But few of us take that. Giving yourself an adult time-out has many benefits and can make a positive impact on your ability to cope and function. No wonder we are so stressed. We go from family to work, social and community responsibilities. It is amazing how busy we are. People tend to not take breaks and if they do, it is often because it is forced by illness. We all believe there is no time to take the “10 minute time-out.” We have too much to do. The argument could be made that “time-out” should be a priority, if we want to effectively meet all our responsibilities. When you give the body and brain a chance to take a break, you help lower stress, which can significantly impact how much you can do and how well you can do it. You are also preventing the likelihood of a stress-induced illness. A 10 minute timeout will help you be more productive
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and efficient. Our minds never stop; they are so noisy. The mind’s job is to constantly think and observe. Sometimes this process can get crazy, especially if worry and stress are part of your thought process. During a time-out, let your brain focus on one thing that is important to you. This type of timeout can help you put things into perspective. That 10 minute time-out is for your health and sanity. The adult time-out does not mean you have to put yourself in the corner or the “naughty chair.” Instead it should be a time you can disconnect from life and the world for a set period of time to rejuvenate and refresh yourself. People are surprised that taking more breaks will make them more efficient. So put it to the test. Take 10 minutes for yourself three times per day. Do something that helps you feel relaxed and rejuvenated. After a week or two, re-evaluate how much you have accomplished, the quality of the work you accomplished, and how you feel.
HEALTH ISSUES RELATED TO STRESS 1. Heart Disease 3. Diabetes 5. Depression 7. Accelerated Aging 4. Headaches 6. Anxiety 2. Asthma 8. Premature Deaths
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LIVE LONG. LIVE WELL. LIVE ON.
• Primary Care/Total Care • Cutting Edge Diagnostics • Same Day and No Wait Appointments • Online Access and Scheduling Our country has the finest treatment in the world for illness, but has higher rates of heart disease, stroke and cancer than many other countries. I believe in offering extraordinary patient centered healthcare to help patients live longer and healthier lives... Live long. Live well. Live on. — Dr Ernie Fletcher, CEO and Founder Live On Medical Center 80 Vinings Drive McDonough, GA 30253
Live On Medical Center 6385 McGinnis Ferry Road, Suite 202 Johns Creek, GA 30005
770.302.6780
770.255.4226
Now Open Saturdays 8:00 a.m. - 5:00 p.m. Monday - Friday 9:00 a.m. - 1:00 8 HEALTHY IN HENRY | SUMMER 2016 p.m. Saturday
Now Open Saturdays 8:00 a.m. - 5:00 p.m. Monday - Friday 9:00 a.m. - 1:00 p.m. Saturday
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FEATURE
Deviled Baby Potatoes Makes 6 servings These are excellent cold, as hors d’oeuvres, or hot or cold as the centerpiece of a meal. You’ll be amazed at how much they taste like Deviled Eggs! Steam (or boil) 12 small red potatoes for about 20 minutes or until fork tender, then plunge them into cold (ice) water in a large bowl for a few minutes to cool. Drain potatoes. Can also chill them in the refrigerator if needed. When cool, slice each potato in half. Using the small end of a melon baller or a small spoon, scoop out a hole in the center of each half. Discard. Fill each hole with Humus and Green Onion Sauce (see below). Hummus and Green Onion Sauce 10 T plain hummus (= 1/2 c + 2 T) (best to use no-tahini hummus, but it’s hard to find) ½ c. chopped green onions (white and green parts) 2 bunches 2-3 tsp Dijon mustard (or to taste) 2 tsp yellow mustard (to taste) 2 T sweet pickle relish (to taste) Mix all ingredients until well combined. Gently spoon into each potato half, sprinkle with paprika and top with a small amount of chopped parsley.
HEALTH BENEFITS to a Whole Plant Diet:
Helps maintain healthy weight Prevents heart disease, it’s that simple Reduces and stabilizes blood pressure Reduces and almost eliminates your risk of colon cancer Prevents and reverses Type 2 diabetes and helps control Type 1 diabetes Reverses most erectile dysfunction problems And MUCH more!
LIVE LONG. LIVE WELL. LIVE ON.
SUMMER 2016 | HEALTHY IN HENRY
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FEATURE
WHAT COLOR is Your Food?
Purple and blue options are loaded with antioxidants and can improve memory, mineral absorption and urinary tract health, and may reduce cancer risks in the digestive tract. • Fruits: blackberries, blueberries, plums and raisins • Vegetables: eggplant, purple cabbage and purpleou can keep your family healthy by adding color and fleshed potato taste to every meal. Sometimes we tend to eat the same or similar things over and over again and slip into so- Red indicates produce that may help maintain a healthy called “food ruts.” One way to switch things up and encourage heart by lowering blood pressure and reducing LDL healthier food choices is by simply incorporating a variety of cholesterol levels, as well as improve vision and immunity. • Fruits: cherries, cranberries, pomegranate, red/pink colors into your family’s meals. grape fruit, red grapes, strawberries and watermelon Different colored fruits and vegetables provide distinct – and equally important – vitamins and minerals that kids need • Vegetables: beets, red onions, red peppers, red potatoes, rhubarb and tomatoes to grow and stay strong. The foods listed below are nutrition powerhouses that your family will love. White, tan and brown foods sometimes contain nutrients Green produce indicates antioxidant potential and may help that may promote heart health, reduce cancer risks, and promote healthy vision, lower blood pressure, regulate the stimulate a healthy GI tract. • Fruits: banana, brown pear, dates and white peaches digestive tract, and boost immune system activity. • Vegetables: cauliflower, mushrooms, onions, parsnips, • Fruits: avocado, apples, grapes, pears, honeydew, kiwi and turnips, white-fleshed potato and white corn lime • Probiotic: cultured buttermilk, kefir and yogurt • Vegetables: artichoke, asparagus, broccoli, green beans, green peppers and leafy greens such as spinach The physicians at Atlanta Gastroenterology Associates Orange and deep yellow fruits and vegetables contain see patients at more than 35 locations across metro nutrients that promote healthy vision and immunity, promote Atlanta, including offices in Conyers and Lithonia and collagen formation and healthy joints, work with calcium to an accredited endoscopy center in Lithonia. With three pediatric offices to serve infants, children, and teens build healthy bones, and reduce the risk of some cancers. – Alpharetta, Duluth, and Sandy Springs – getting the • Fruits: apricot, cantaloupe, grapefruit, mango, papaya, right kind of care for the whole family is easy. To make an peach, oranges and pineapple appointment, call 1.866.GO.TO.AGA [468.6242], or visit • Vegetables: carrots, yellow pepper, yellow corn and sweet www.atlantagastro.com. potatoes
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You call a plumber for clogged pipes. Who do you call for your digestive pipes? Protect your internal plumbing. Call the experts.
Fayetteville
Locust Grove
Stockbridge
1260 Highway 54 W | Suite 103 770.486.7000
3758 Highway 42 | Suite 301 678.432.8246
7402 Davidson Parkway 770.507.0909
www.atlantagastro.com AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.
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FEATURE
Are You at Risk for Kidney Disease?
“N
ineteen years ago, my daughter was born with a very rare kidney condition,” says Leah Thomas*. “I remember the neonatologist telling me what was wrong, and I thought ‘Well, it’s only her kidneys, so it’s not that big a deal.’ But little did I know, it was a matter of life and death for my baby.” Your kidneys are two bean-shaped organs, each about the size of your fist, located near the middle of your back, just below the rib cage. Every day, these sophisticated “trash collectors” process about 200 quarts of blood, sifting out about 2 quarts of waste products and extra water. The waste and extra water become urine, which flows through tubes called ureters to the bladder, where it’s stored until you go to the bathroom. “In my daughter’s case,” says Thomas, “her kidneys weren’t only flushing out waste, and they were also spilling out proteins. She had very low levels of albumin, a major protein in the human body, and her body chemistry was completely out of balance. The doctors gave her very low odds of surviving.” When your kidneys are functioning properly, they’re a powerhouse of efficiency, regulating levels of chemicals like sodium and potassium. They release important hormones that stimulate red blood cell production, regulate blood pressure, and maintain calcium for your bones. The right balance of all these is necessary for life. However, because of all the vital functions they perform and the toxins they encounter, the kidneys are susceptible to a wide range of problems. Some of these may be temporary, while others can lead to kidney failure and the need for dialysis or a kidney transplant. While effective treatments are available for many kidney diseases, people are sometimes unaware that kidney disease can often be prevented. Chronic kidney disease (CKD) may be caused by acquired disease or it may be inherited. In some cases, like that of Thomas’ daughter, the disease may be congenital, meaning the individual was born with an abnormality. The most common causes of kidney problems in the U.S. are: • Diabetes: the leading cause of kidney disease. Careful control of blood sugar can prevent kidney complications. • High blood pressure: healthy lifestyle changes, such as losing weight and exercising, can help control high blood pressure, along with medications when necessary. • Glomerulonephritis: this disease damages the
kidneys’ filtering units, called glomeruli. In many cases, the cause of the disease is unknown, but some cases are inherited or possibly triggered by an infection. • Polycystic kidney disease: clusters of cysts develop within the kidneys in this inherited disorder. The cysts can slowly replace the kidneys, reducing kidney function and leading to kidney failure. • Other possible causes of kidney failure include: blood-clotting disorders, low blood pressure, autoimmune kidney disorders, dehydration, and complications from pregnancy. Symptoms of kidney disease may be hard to detect, because they often don’t appear until a decrease in kidney function has been lost. However, there are six warning signs of kidney disease everyone should be aware of: • High blood pressure • Blood and/or protein in the urine • A creatinine or blood urea nitrogen (BUN) blood test outside the normal range • A glomerular filtration rate (GFR) less than 60 • More frequent urination, particularly at night; difficult or painful urination • Puffiness around eyes, or swelling of hands or feet Early detection and treatment are the keys to keeping kidney disease from progressing to kidney failure. Simple blood tests can detect early kidney disease, and your family physician will mostly likely include those tests in your annual physical. If you have a family history of kidney disease, have diabetes or high blood pressure or are older, you may be at increased risk and should ask your doctor about being tested. Many kidney diseases can be treated successfully. In the case of Leah Thomas’ daughter, she beat the odds for her disease and received a life-saving transplant from her father when she was only two. Today, she’s a college student who lives a full and busy life. If you believe you’re at risk for kidney disease, the team of physicians and support staff at Southern Crescent Nephrology in Stockbridge strive to deliver exceptional and comprehensive patient care as well as educational and preventive services. Call them today at 678-2890508 to schedule an appointment, or visit their website at scnkidney.com. v * Names and identifying details have been changed to protect the privacy of individuals.
SUMMER 2016 | HEALTHY IN HENRY
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women’s health FEATURE
Urogynecology and Gynecology Care
E
written by Lee Udell
very day, millions of women silently wrestle with issues that cause untold embarrassment, inconvenience and discomfort. While many people think that urinary and fecal incontinence and pelvic organ prolapse are uncommon issues, affecting only a small number of elderly or disabled women, the truth is that these issues are remarkably common. In fact, data from Yale University shows that about 35% of women who visit their gynecologist’s office for routine care have urinary incontinence (UI), while 40% experience moderate to severe pelvic organ prolapse. Prolapse and incontinence frequently occur together. And, indeed, pelvic floor conditions are more common than hypertension, depression, or diabetes in women. Yet, if you’re like many women, seeking help for these conditions can be a source of embarrassment or fear - or even hopelessness. The stigma of Ul and other pelvic floor conditions is enough to keep many women from admitting their concerns, even to their own physicians. And living with these conditions can be devastating psychologically, as well as socially, emotionally and physically. The good news is that, while problems like these are common, they aren’t considered normal or inevitable, regardless of age or health, and many effective forms of treatment are available. The field of urogynecology is a specialized area of both urology and gynecology that focuses on treating women who are faced with these sensitive issues. Urogynecologists receive extensive training in the treatment of conditions that affect the female pelvic organs, as well as the muscles and connective tissue that support these organs. Treatment for incontinence and prolapse protrusion of the bladder or vagina from your body - can be either non-surgical or surgical. The first step in getting help is to see a physician who has experience treating these types of conditions and learn about what may be causing your problem. Your doctor will ask questions about your symptoms and medical history, conduct a physical exam, and discuss with you which tests are appropriate.
12 HEALTHY IN HENRY | SUMMER 2016
Your physical exam may reveal signs of medical conditions that can cause incontinence, like treatable blockages from bowel or pelvic growths. Tests may include an ultrasound, cystoscopy (using a tiny camera to see inside your urethra and bladder), a urinalysis, and urodynamics to measure pressure in the bladder and the flow of urine. Depending upon your diagnosis, the severity of your symptoms and your overall health, your physician may recommend conservative, non-surgical therapies as the first approach to treat your pelvic floor disorder. These include medications, pelvic muscle exercise, lifestyle and dietary modifications, use of a vaginal support device called a pessary, and biofeedback. If your condition doesn’t improve, your doctor may suggest surgery. Many of the available surgical procedures for incontinence and prolapse are minimally invasive, including some roboticassisted surgeries that may offer a more effective treatment option. Using tiny, 1-2 cm incisions, your surgeon can operate with greater precision and control, so your recovery is faster and less painful, with a better clinical outcome. These are just some of the procedures your doctor may consider to treat your incontinence or prolapse. Of course, your physician’s recommendations will depend on your diagnosis.
Providing Individualized Ca
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PROCEDURES WE PROVIDE
STEPHANIE GORDON, MD
TRENT RICE, MD
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MARIA EPLING, NP
• DaVinci Robotics Gynecological Surgery • Traditional Abdominal Hysterectomy, Vaginal Hysterectomy, and Laparoscopic Assisted Hysterectomy • Myomectomy for Fibroid Tumors • In-of 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 Prolapse, Relaxation and Surgery for Bladder Leakage Endometrial Ablation for • In-of Excessive Menstrual Bleeding
Please visit our website at womenscenterga.com for all the information you need about our off ce!
CONYERS • 2750 Owens Drive • 678-413-4644 STOCKBRIDGE• Newly Expanded Of • 140 Eagles Spring Court • 770-302-0878
MOST MAJOR MEDICAL INSURANCE ACCEPTED SUMMER 2016 | HEALTHY IN HENRY 13
Simple Tips for Selecting a
Snoring Doctor
If you snore and are looking for the best doctor to treat your problem and its underlying causes, you might be confused about the type of physician you need. Five tips to consider when selecting a snoring doctor: 1. W ho to see for snoring issues? If you are looking for a snoring doctor, look for a physician who is double board-certified in both Otolaryngology- Head and Neck Surgery and in Sleep Medicine. This means that the doctor has advanced education and training to both medically and surgically manage the causes of snoring and sleep apnea. That way, you will be fully evaluated and presented with all potentially effective options. 2. C hoose a doctor who emphasizes individualized treatment Snoring isn’t caused by just one thing; each patient is different. Snoring may be caused by one or more of the following factors: • A tongue which falls back and blocks the airway at night • Allergies or sinus infections • A deviated septum • Enlarged turbinates • Nasal polyps
• A long or collapsing soft palate or uvula • Being overweight 3. Choose a doctor who can diagnose and treat both snoring and obstructive sleep apnea A snoring doctor who also treats obstructive sleep apnea will be able to determine if you have this condition and, if necessary, can treat your obstructive sleep apnea as well as your snoring. 4. Make sure the snoring doctor offers a wide variety of treatment options Ent of Georgia South specializes in providing both CPAP and alternatives to CPAP because some patients find it difficult to use the machine. 5. C hoose a doctor who has experience with performing the latest minimally invasive snoring procedures Some procedures can be completed in just 15 minutes. They typically cause minimal discomfort and can be very effective in treating several types of issues that could cause snoring. Some examples of minimally invasive snoring procedures offered include: • Pillar Procedure • Turbinate reduction • Base of tongue reduction • Oral appliances
Choosing a doctor is ultimately the patient’s decision, but we’re pleased to provide a customized, patient-centric approach to snoring and sleep apnea here at ENT of Georgia South.
Snoring Quiz Snoring affects my relationships with my partner. q 0-Never q 1-Infrequently (1 night a week) q 2-Frequently (2-3 nights a week) q 3-Most of the time (4 or more nights a week)
My snoring is loud. q 0-Never q 1-Infrequently (1 night a week) q 2-Frequently (2-3 nights a week) q 3-Most of the time (4 or more nights a week)
Snoring causes my partner to be irritable or tired. q 0-Never q 1-Infrequently (1 night a week) q 2-Frequently (2-3 nights a week) q 3-Most of the time (4 or more nights a week)
Snoring affects other people when I am sleeping away from home (hotel, camping, etc) q 0-Never q 1-Infrequently (1 night a week) q 2-Frequently (2-3 nights a week) q 3-Most of the time (4 or more nights a week)
Snoring requires us to sleep in separate rooms. q 0-Never q 1-Infrequently (1 night a week) q 2-Frequently (2-3 nights a week) q 3-Most of the time 2016 (4 or more nights a week) 14 HEALTHY IN HENRY | SUMMER
Total: ____ ** Score higher than a 4 it is recommended that you schedule an evaluation for your snoring with ENT of Georgia South
ENT of Georgia South is comprised of five double board certified ear, nose, and throat (ENT) physicians, four doctorate level audiologists, and 1 physician assistant serving four office locations. Our established group of Otolaryngologists have been serving the metro Atlanta area for over the past twenty years. Practice Services: Pediatric through geriatric care Diagnosing and managing hearing and balance disorders Nose, allergy, and sinus concerns Neck and throat issues Voice and swallowing concerns Management of snoring and sleep apnea Cosmetic plastic surgery Hearing aid evaluation and fittings
770-991-2800 | www.entgasouth.com | www.atlantasnoring.com 830 Eagles Landing Pkwy Suite 102 Stockbridge, GA 30281
1240 Hwy 54W Building 700 Suite 710 Fayetteville, Ga 30214
1218 W. Paces Ferry Rd NW #208 Atlanta, GA 30327
SUMMER 2016 | HEALTHY IN HENRY
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Saturday mammog Now available.
Between juggling a busy schedule, family, home and work, it can be hard to find time for you. Our appointments are designed to provide an easy way for today’s busy woman to get a screening mammogram. More appointments, more days of the week with more comfort provided by a caring and experienced staff. Call 678.604.1055 to schedule your appointment.
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Piedmont Henry Breast Health Center Henry Physician Center 1240 Eagle’s Landing Parkway Suite 200 Stockbridge, Georgia 30281 678.604.1058 Hours of operation: 8 a.m. to 5 p.m., Monday through Friday 8 a.m. to 1:30 pm., Saturday
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FEATURE
Plan Ahead for
PEACE OF MIND written by Lee Udell
W
hen your loved one dies – particularly when the death is unexpected – your grief can seem overwhelming. You go through the motions, planning a funeral, making arrangements and making choices which any other time would be considered major decisions, especially since these decisions typically come with a financial commitment. So, imagine the relief of learning that your loved one has already planned – and even paid for – the funeral. However, that’s what many people are doing these days. In fact, it’s possibly one of the greatest gifts you can leave your family, as they wrestle with grief and the reality of your loss. At such an emotional time, your family has the relief of knowing that funeral plans are taken care of, without having to make a single heart-wrenching decision. While a conversation about preplanning your funeral might be an uneasy discussion to have with your loved ones, it can indeed be one that will save them much heartache in the end. The added stress and emotions of planning a loved one’s funeral make it far more difficult to make rational decisions. So, pre-planning a funeral can reduce much of this stress and anxiety. Preplanning is one of the most caring things you can do for your loved ones. It provides them with a clearer picture of your final wishes and offers them reassurance about how you would really prefer to be remembered. These plans may be as simple or as elaborate as you choose. The preplanning process allows you to plan at your own pace, equipped with facts and ample information, so that
you feel comfortable about the choices you make. You can comfortably prefund your arrangements, to avoid placing future financial burdens on your family. Making arrangements in advance also allows you to prefund at today’s prices. When you plan ahead for one of life’s most significant events, you can: • Ease your family’s emotional burden. Eliminate some of the stress and emotional upheaval of this traumatic time, when decision making can seem so overwhelming. What’s more, your family will know that you’ve taken the time to plan calmly and with ample information in hand, helping to alleviate emotional overspending. • Make informed decisions. Many cemeteries and crematories can provide you and your family with the knowledge and resources you need to make informed endof-life decisions. During preplanning, staff members can review your options and help you clarify your priorities and wishes. Often, you can choose to meet with a representative in the comfort of your own home. • Ensure your wishes are carried out. Preplanning gives you the opportunity to ensure that all necessary documentation and information are stored in a single location, often securely placed with the provider of your end-of-life arrangements. Your family has access to all the items they need, to be sure your final wishes are fulfilled. Taking a few moments now to prepare for the future and identifying what steps you need to take can ensure your peace of mind today – and greater peace of mind for your loved ones in the future, as they celebrate and honor your memory.
At Eastlawn Memorial Park, the dedicated staff is always available to assist you. Their preplanning counselors can meet with you at their McDonough location or come to your home. With their help, you can decide how you want to be remembered and allow your loved ones to focus on memories of your life. Visit them at 640 McGarity Road, or call 770-957-8330.
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Where Will Your Family Celebrate Your Life? At Eastlawn Memorial Park we have several options. Our compassionate preplanning counselors are ready to speak with you and your family about your final resting place.
F Traditional ground burial with flat and upright memorials F Cascading Waters Cremation Garden with many personalized options F Mausoleum with above ground entombment and cremation niches F Veteran’s Garden for veterans and their families
Eastlawn Memorial Park 640 McGarity Road McDonough, GA 30252
770-957-8330
EastlawnMemorialPark.com
Call Today for a FREE Planning Guide SUMMER 2016 | HEALTHY IN HENRY
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Same day sick appointments. For real. Call 404.800.9859 for a same-day appointment with one of Piedmont’s primary care providers.
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Summer Planning
FEATURE
written by Lee Udell
art of you loves having extra time with your kids in the summer. Family vacations. Spending time by the pool. Cookouts. Day trips to the zoo, the museum or the park. But there’s the other part of you that can feel the tension setting in. Long, lazy summer days quickly turn into hours of boredom, stretching out, waiting to be filled, before the whining and sibling bickering and extra laundry start to take their toll. As your blood pressure rises to an all-time high, take heart: there are ways to deal with summertime stress – and maybe even to enjoy a nap in the hammock! School’s out for summer! During the summer, you and your kids get a much-needed break from homework, projects, fundraisers and tests. But with the kids at home full-time, everyone soon finds themselves battling boredom, siblings do battle, the house becomes a wreck, and the meals never end. So, create some guidelines early that let kids know what’s expected and that leave some breathing room for parents. • Create a list of daily chores that kids must complete to earn privileges. Include things like cleaning their rooms, making their beds, helping with laundry and putting away dishes. Make sure they understand that play time with friends or a trip to the zoo is hanging in the balance. Then, their chore time can give you time for your chores – or time to take a break and relax with an extra cup of coffee before your day gets rolling. • Keep your kids busy. Summer camps or other kids programs can give them a change of scenery, while you get a break from parenting for a few hours. If budgetary or other limitations don’t allow these kind of diversions, develop projects of your own that will keep the kids busy for hours. Have them create a scrapbook of something in which they’re interested, such as their favorite movie or book character, their favorite athletic team, or a sport they like to play. If they’re artistic, encourage them to go outdoors and create a sketchbook of the plants, animals, insects, trees and other natural resources they see. The less artistic among them can collect flowers or leaves and create a book with mounted or pressed specimens.
Projects like these will not only keep kids busy, they’ll also provide a sense of accomplishment. • Avoid electronics as much as possible. While it might be easy to let your kids play Xbox or surf on the iPad, try to come up with other screen-free activities. Try arts and crafts such as finger painting or painting with sponges. Strip old tables or chairs and repaint or decorate them for their bedrooms. Discover simple meal recipes you and your kids can try together. Troll your attic or basement for old devices or appliances that your kids can dismantle so they can explore the insides of these machines, and maybe even let them create their own inventions or crafts using the assorted parts. • Plan a “stay-cation.” A mini-vacation that takes place right from home can reduce the financial burden of traveling, hotels, expensive entertainment (such as theme parks) and lots of meals out. Just think of the things you like to do as a family and dream up relaxing activities that don’t cost a bundle. Plan enjoyable meals – maybe cooking out or creating meals where the kids can help prepare the dishes – and leave work at the office for a few days. For example, if you enjoy camping, pitch a tent in the back yard and fix s’mores over a campfire. Whatever you do, remember that the goal is interrupting the hectic daily routine and learning how to get more enjoyment out of your own home. • Plan family outings or events, but don’t over-commit. Social events, such as family reunions and graduation parties, can be a lot of fun during the summer, when people have more freedom to travel. However, if you commit to accepting too much responsibility for these events, your stress level is sure to rise. So if you’re planning the family reunion, delegate, delegate, delegate – solicit the help of others and don’t try to do it all yourself. Then you and your family can enjoy these activities along with everyone else there. With just a little planning, you can stave off the stress surrounding your kids’ vacation time. That way, you and your kids can enjoy those fabulous summer days and make memories you’ll all cherish in years to come. SUMMER 2016 | HEALTHY IN HENRY
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NEW PATIENTS & MOST INSURANCE PLANS ACCEPTED!
Katharine Simmon, PA-C
John Fountain, MD
Darryl Hodson, MD
Allen Filstein, MD
Katharine Simmon Has Joined Our Team!
770-785-SKIN (7546) 1349 Milstead Road • CONYERS Skin Cancer Removal • Mohs Surgery Routine Skin Exams • Mole Removal General & Surgical Dermatology 22 HEALTHY IN HENRY | SUMMER 2016
GaDerm.com
Everyday Steps TO SUN SAFETY
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written by Lee Udell
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ith summer time quickly approaching, most people like to be outdoors. The benefits come with a dangerous tradeoff. Each year more than 3.5 million cases of skin cancer are diagnosed in the US. Whenever you’re outdoors, be smart about it. EVERYDAY STEPS TO SUN SAFETY: Seek the shade, especially between 10am and 4pm, when the sun’s rays are usually strongest. Do not burn. It only takes one sunburn to increase your risk of developing melanoma, the deadliest form of skin cancer; suffering five or more sunburns doubles your lifetime risk. Avoid tanning and UV tanning booths. A tan is never safe, whether you acquire it on the beach or in a salon. New sunlamps used in tanning salons emit UVR doses as much as 12 times that of the sun. Occasional indoor tanning bed use almost triples your chances of developing melanoma. In general, it is far safer to obtain vitamin D through D-rich foods and/or dietary supplements. Cover up with clothing, broad-brimmed hat & UV blocking sunglasses. Clothing can be your most effective form of sun protection, particularly bright or dark colored fabrics. Hats with a brim of 3” or greater offer significant protection from the sun for the face. Sunglasses block 99100% of the sun’s UV rays, shielding your eyes and the surrounding skin from skin cancer. Use a sunscreen with an SPF of 15 or higher, daily. If used correctly, SPF 15 sunscreen would prevent sunburn 15 times longer than if the product weren’t used. However, a high SPF alone is not enough. SPF measures protection against UVB, but not against the sun’s deeply penetrating UVA rays, which cause as much or even more damage. Always use SPF products with “broad spectrum” protection. Use sunscreen every day, year-round, in every kind of weather. • Sunlight reflects off snow, ice, sand and water, intensifying UVR effects by up to 80%. • Overcast days: 70-80% of UVR travel through clouds. • At high altitudes (mountains), the thinner atmosphere filters out less UVR.
Examine your skin head-to-toe once every month: • Start with your head and face. • Check hands (including nails), elbows, arms, underarms, torso and trunk. • Use a hand mirror and a full-sized mirror to check your back, the back of your neck, and other hard-to-see places. • Check legs and feet, including soles, heels, toes, and nails. Look for skin changes of any kind. A spot or sore that continues to itch, hurt, crust, scab, erode or bleed or a sore that does not heal within two weeks could be signs of melanoma. How to check: o Asymmetry o Border is irregular o Color changes or appears pearly, translucent, tan, brown, black or multicolored o Diameter is bigger than 6mm (size of a pencil eraser) o Evolves or changes in any way (change in texture, size, or thickness; appears after age 21) See your dermatologist once a year for a professional skin exam. Regular total-body checkups are the best way to make sure your skin is healthy and stays that way. Georgia Dermatology & Skin Cancer Center specializes in the diagnosis and treatment of all types of skin disorders including: skin cancer diagnosis, skin cancer removal, Mohs skin cancer surgery, skin exams, mole removal and treatment of psoriasis, eczema, acne, rashes, warts and other skin irritations.
Georgia Dermatology’s providers and staff are very experienced and handle each patient’s condition with skill and professionalism. Call us today at (770) 785-SKIN (7546) or visit us online at GaDerm.com to schedule your annual skin exam. SUMMER 2016 | HEALTHY IN HENRY
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Find Restoration and Peace written by Lee Udell
There’s a place nearby where you can push out the busy distractions and pressures of the world and find restoration and peace: the Monastery of the Holy Spirit in Conyers. Visit the grounds and explore, and learn more about the beauty and simplicity of the monastic lifestyle.
information, or to register online, visit the monastery’s website at www.trappist.net.
This year, through November 20, the Jubilee of Mercy, declared by Pope Francis, has created seven designated Holy Doors at churches in the Archdiocese of Atlanta, and the Monastery is one of those. When you visit the Monastery, you can learn more about this Holy Year and how you can participate.
• Visit the Abbey Church, and join the monks for mass, mid-day prayer or vespers.
Other activities and events for the family include: • Monastery History and Architectural Tour on May 21 and June 18 from 1:30 to 4:00 p.m. Learn about the beauty and history of the monastery, built by the monks. Led by a docent and a Trappist monk, up to 40 participants will explore the historic Abbey Church, Visitor Center, Bonsai Garden, historic barn and poignant spaces rarely seen by the public. Cost is $10 for participants ages 13 and over. Register online at: http://themonasterytours.brownpapertickets.com. • Monastery 5K Fun Run/Walk on June 11 at 8:30 a.m. This 7th annual event takes runners and walkers through the monastery woodlands along serene and peaceful trails that weave among the monastery’s scenic woodlands and lakesides. Participants may join the monks for Morning Prayer and Mass before the race at 7:00 a.m. For more
• Take a self-guided tour of the Monastic Museum at the Visitor Center; watch the video about the life of the monks at the monastery.
• Learn about the art of bonsai, and shop for unique garden gifts at The Monastery Garden Center. • Visit the Abbey Store, enjoy a cup of coffee or a snack at the Café, and review one of the many books about faith and Christianity. • Take a walk and explore some of the many unique features of the monastery: o the Prayer Walk where you can learn about Cistercian Saints o Magnolia Lane o Feed the ducks at the Monastery Lakes • Make the Stations of the Cross at the Monastery Stations along the lake. • Plan a bike ride or walk along the Rockdale River trail through the Monastery property. The Visitor Center is open Monday – Saturday, 10 a.m. to 5 p.m., and the grounds are open to the public every day.
To learn more about the Monastery of the Holy Spirit, call 770-483-8705 or visit www.trappist.net. The monastery is located at 2625 Highway 212 SW in Conyers.
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Taking the Confusion Out of ALLERGY TESTING AND TREATMENT by Nimisha Trivedi, MD, Board Certified in Internal Medicine
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any patients ask about allergy testing and the options for treatment for them and their family members. A consideration is insurance coverage, and of the two types of tests – skin and blood – the skin test is covered by almost all payers. The standard skin test called Immunoglobin E (IgE) introduces a small amount of the airborne or food allergen into the skin by either a minor pin prick or stiff brush, and the doctor notes the response. IgE works by finding hypersensitivity reactions that release histamine and other agents upon exposure to the allergen. This is what causes allergic reactions in people, the most common being sinusitis (runny nose and sneezing), asthma, dermatitis (skin and itching), hives and, in rare cases, anaphylactic shock. Assessing the level of reaction to the test in conjunction with a clinical evaluation based on patient history and other testing can help a physician confirm a diagnosis of atopic allergy and assist in the plan of treatment. The other type of test is Immunoglobin G (IgG) and uses blood via a small vial or pin prick to the finger. This is often used for food intolerance which affects about 30% of Americans, according to the CDC. This is different from a true food allergy, which affects only 1 in 100 adults, but does affect about 1 in 13 children, and includes peanuts, shellfish, certain dairy products and other common foods as examples. While an IgE skin test normally tests for the 8 most common food allergies, the IgG tests 150 to 250 food intolerances. Blood testing for airborne allergies including grasses, trees, mold, dust mites, insects, animals (typically dander from cats or dogs) and many more.
Food sensitivity is an adverse reaction to a food with no antigen-antibody response. The reaction is more subtle, and many people live with the sensitivity for years. Symptoms range from headache and nausea to seizure and hyperactivity, or simply just fatigue, bloating, mood changes or dark circles under the eyes. The degree and severity of symptoms vary greatly because of the genetic makeup of the individual. The complete elimination of IgG positive foods may bring about important improvements in symptoms of irritable bowel syndrome, autism, AD(H)D, cystic fibrosis, rheumatoid arthritis, and epilepsy as demonstrated in numerous clinical studies. Your physician can work with you to diagnose these issues and help find relief for you. There are two main treatments for allergies other than removing the allergen (such as food) completely. One is shots in a physician’s office (typically weekly) known as sub-cutaneous immunotherapy or SCIT. The other, newer form is a daily oral treatment known as sub-lingual immunotherapy or SLIT. SCIT is almost always covered by insurance companies, and while SLIT is not, the actual net cost to the patient is about the same when including the co-pay for each shot and the time and inconvenience of going to the office for the shot. While treatment over a four-year period is desired for best results, most patients participate in only a oneyear program. Interestingly, the effectiveness rates of the two delivery methods are virtually the same, but the compliance rate is significantly higher for the SLIT program since many patients just can’t find the time to go themselves or take their children each week for injections at an office.
At Reliance Family Care and Locust Grove Primary Care, we can determine if testing is appropriate, what kind of tests will be the most accurate and the best treatment program for you and your family. We have two offices for your convenience. Our McDonough office is located at 345 Huntington Place Court, 678-272-7280 and our Locust Grove office is located at 3778 Highway 42, 678-610-6649. Contact the office nearest you today for more information.
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Helping Patients Get on the Move! written by Coy Leverette III, MPT
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n injury or illness can impact a person’s mobility and ability to perform everyday activities. While medicine and other treatments can help the situation, physical therapists are often sought to help individuals get back on track. Physical therapists frequently work with patients’ larger medical teams to provide customized care depending on patients’ needs. Physical therapists may begin their treatment plans by gathering patients’ histories and reviewing any tests and imaging the patients may have had. This information, combined with physical examinations and studies of the injuries or illness, will help physical therapists to establish treatment plans for the patients. Men and women who have been told they need physical therapy can heed to the following tips as they look for therapists to work with. • Get a referral from your primary doctor or orthopedist. With some insurance plans, a referral will be needed for treatment. Otherwise, use your insurance plan’s provider directory to find a physical therapist who accepts your insurance.
• Check your insurance benefits to determine how much coverage you have for physical therapy. You may be limited to a certain number of sessions or have no restrictions at all. • Many physical therapists are board certified in one specialty. They have passed tests and have documented hours treating certain conditions. This can be helpful if you require a pediatric specialist or one who has expertise with the back or neck. Any physical therapist or therapist’s assistant should be qualified and licensed. • Ask if you will be the physical therapist’s only patient at an appointment. Some treat one individual at a time while others may see two or three patients at a time. • Find out who will be treating you. You may be assigned the same therapist each time. If you are getting services at a therapy group, you may have a different therapist for each visit. • Always ask questions before and after a treatment so you can continue to work on the healing process on your own and so you know which activities are safe, which should change as your treatment progresses. Physical therapists play an integral role in helping restore patients’ mobility and helping them avoid further injury so that patients can maximize their quality of life. Physical Therapy in Motion Inc. 106 Vinings Drive, McDonough, GA 30253 phone: 770.288.2441 • fax: 770.288.2442 www.ptmotioninc.com
PHYSICAL THERAPY IN MOTION AND AQUATIC THERAPY CENTER SPECIALIZING IN AQUATIC AND LAND THERAPY A Soothing Wave of Therapeutic Intervention!
Aquatic Therapy provides physical rehabilitation in the dynamics of a heated pool.
• Alleviate pain associated with arthritis, injury or generalized muscle soreness
• Decrease stress in joints, vascular swelling and muscle spasms
• Increase circulation, flexibility, strength, sensory awareness, and function
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200146-1 309435-1
Conveniently located on exit 221 (Jonesboro Rd) off I-75 south, 1/2 mile west in Towne Center Park.
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Call Now! (770-288-2441) for a 1-on-1 personalized appointment Physical or Aquatic Therapy
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We accept most commercial Insurances, walk-ins, and referrals from Healthcare Providers.
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Morning and Evening hours available!
Physical Therapy in Motion Inc. continues to help patients get on the move!
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SELECT LOCATIONS OPEN UNTIL 9 P.M.
Find a doctor near you.
Urgent Care Access, Primary Care Cost
Conyers Office 1101 Nor Tec Drive | Conyers, GA 30013 678-374-7514 Ellenwood Office 211 Fairview Road | Ellenwood, GA 30294 678-289-6747 Hampton Office 1058 Bear Creek Blvd | Hampton, GA 30228 770-707-0808 Jackson Office 1502 West 3rd Street | Jackson, GA 30233 678-774-0430 McDonough Hwy 81 Office 65 Old Jackson Road | McDonough, GA 30252 678-490-0080 McDonough Hwy 155 Office 2200 Hwy 155 North | McDonough, GA 30252 678-490-0341 McDonough Kelly Road Office 50 Kelly Road, Suite 200 | McDonough, GA 30253 770-957-1887 Stockbridge Office 1240 Eagles Landing Pkwy., Suite 110 Stockbridge, GA 30281 770-389-3855 Locust Grove-Now Open 3758 Hwy 42 South | Locust Grove, GA 30248 678-561-9430
LOCUST GROVE OFFICE OPENING WINTER 2016!
Same access. Lower cost. We understand that you don’t have the luxury to schedule when you get sick. That’s why Eagles Landing Family Practice is open seven days a week and offers extended hours to provide the care you need at the time you need it. Whether you schedule an appointment or walk in, our medical care is always billed as a primary care visit, without the additional facility fees associated with urgent care centers or emergency rooms, making us a lower-cost choice for quality care in our community. Eagles Landing Family Practice offers many services and exams including, but not limited to: • Sick visits • Gynecological services • Skin care
28 HEALTHY IN HENRY | SUMMER 2016 elfp.com
• Wellness exams • On-site laboratory • Vision care
• Immunizations • On-site x-ray • EKG
For more information visit elfp.com/walk-in.
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When choosing medical care, know your options By Eagles Landing Family Practice
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n this day and age, there are so many choices about where to seek care. As a culture of instant gratification we expect nothing less when it comes to our health. You want to receive the care you need at the time you need it, but knowing what kind of care is needed and where you should get it is key. Understanding your options will make it easier to make a decision when you are in need of immediate care. URGENT CARE VS. PRIMARY CARE Unless you are experiencing a life-threatening emergency, always start by calling your primary care physician, if you have one. They know your medical history and understand any underlying conditions you may have. Hopefully they have built a trusting relationship with you to help you make informed healthcare decisions about necessary treatments or testing based off of what is best for your particular healthcare situation. The good news is many primary care physicians have recognized the need for after hours care. Providing access just like urgent care centers, many primary care offices now accept walk-in appointments and stay open later and on weekends to provide consistent access and patient centered care. In addition, most have after-hours coverage by phone to help you make the decision about whether you need to seek immediate care or can be seen the next day. Symptoms that might lead you to call for a same-day appointment or to walk into your primary care physician’s office include: • Allergic reactions • Colds and flu • Nausea and fever • Sinus infections
• Simple fractures • Strep throat • Strains and sprains • Minor illnesses and injuries
The good news is, whether you are seen on a walk-in basis
or after hours, primary care is typically the lowest cost care setting because all visits are billed as primary care office visits, without the increased fees commonly associated with urgent care centers or emergency rooms. It is always good practice to be sure to consult your insurance provider so you know what types of charges may be passed along to you. EMERGENCY ROOM Emergency room visits should be reserved for severe and life-threatening conditions. Open 24 hours a day, seven days a week, they have the widest range of services, diagnostic testing and access to specialty physicians. Of course, this access also comes with the highest price and often a longer wait depending on the severity of your condition. Symptoms for which you need to seek care in an emergency room include: • Signs of heart attack including persistent chest pain, especially if it radiates to your arm, jaw or is accompanied by sweating, vomiting or shortness of breath • Signs of stroke including difficulty speaking, slurred speech, headache, weakness on one side of the face, or sudden signs of confusion • Severe shortness of breath • Poisoning • Complicated fractures • Major injury such as head injury or trauma • Coughing up or vomiting blood When in doubt, always seek emergency care by calling 9-1-1 or consult your personal physician. At the end of the day, the most important thing to do is to use your best judgment in deciding where to seek care. Being informed ahead of time can help you make the right decision when you are facing illness or injury.
Eagles Landing Family Practice (ELFP) is open seven days a week and offers extended hours to provide the immediate primary care you need at the time you need it. Even if you are not a current patient, you can schedule a same-day appointment or walk in to any of our nine locations across Henry, Butts, Rockdale and DeKalb counties. See our full page ad for more information about ELFP, our locations, services and extended hours or by visiting elfp.com/walk-in.
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Role Reversal: Caregiving for Aging Parents
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written by Lee Udell
oday, many Americans are faced with the challenges of a changing age structure within their families. Increasingly, as Americans live longer, elderly parents are requiring at least some level of care from their adult children. This role reversal – children taking care of parents – can be fraught with serious issues. The premise is simple: as parent’s age, they often decline in their ability to perform certain activities of daily living – say, cooking or taking a shower. As their adult children, we step in to help them with those functions, or arrange for a caregiver to handle that role. The hard part comes in when we actually have to deal with this possibly inevitable reality. But with the right attitude and an appreciation of the rewards of the situation for all concerned, you’ll feel better able to take on the situation. First, remember that you’re talking about your parents – the people who brought you into this world and who have always loved you and cared for you. So, remember that they have feelings too. This aging process is never easy for anyone, and everybody has to learn to work with whatever the situation may be. One of your parent’s biggest fears may simply be the fear of becoming powerless in their own life. Losing their parental role can be emotionally devastating, and it often affects their self-respect. And for you, the adult child, being suddenly thrust into the role of being responsible for your parents can be not only challenging, but also confusing, as well. Sometimes, the whole picture is tainted by years of miscommunication, unspoken feelings, and issues of control that link your childhood into your adulthood. But you can prevent these issues from spilling over into your “parenting”
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style if you consider taking a different posture when it comes to the typical “role reversal” image most of us have developed. First, our parents will always be our parents, and we will be their child, no matter what their mental or physical state. We might become caregivers to our parents by helping them with eating, showering, or driving to the store, but we will never become a parent to our parents. Unlike a child, who has their whole life ahead of them to learn and grow, our parents have already gone through that stage. Now, our parents, having lived as successful adults for many years, are experiencing both physical and mental losses which we can only imagine. We can’t treat them like children, because they aren’t the same as a child who has yet to experience a full life. Our parents have earned our respect, and they deserve to be treated with the dignity that a full life warrants. Marge and L.W. Williamson owners of Dream Catcher Community in Jackson, recognize the challenges faced by parents and their adult children turned caregivers. Their facility, set on 18 acres in the quiet countryside, offers residents a loving environment that their adult children can feel good about. “Whether your loved one is young or mature, you want to find a place that feels like home, with caregivers who feel like family,” says Marge Williamson. Residents at Dream Catcher Community can enjoy strolling the wooded paths, petting the horses, searching for freshly laid eggs, or checking on the recently planted tomatoes or spring bulbs. To learn more about how you can care for your aging parent, or to tour Dream Catcher Community, call Marge or L.W. today at 770-775-2794.
Making the Move
Dream Catcher Community offers 24 hour high quality service to meet the needs of our residents. Our highly trained support staff work to provide each resident with the individual attention they deserve.
Our Services and Amenities Include: • Trained staff on-site 24 hours a day • Private rooms and companion suites • Three delicious meals & two snacks each day (Our kitchen doesn’t close) • Assistance with personal care needs, such as bathing & grooming • Personal service plan • Medication management • Ongoing monitoring of health needs
• Beauty salon • Emergency response system • Door alarms • Smoke & fire alarm detectors • Fire sprinkler system • Arranged transportation for local shopping, errands, events & outings • Personal housekeeping & laundry services • And much more!
Call us today and make an appointment to discuss your family’s needs. Dream Catcher Assisted Living Communities 286 Four Points Road, Jackson, GA 30233
Phone (770) 775-2794
Fax (770) 775-4767
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“Postal Customer”
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PRSRT STD US POSTAGE PAID PERMIT NO 15 Monroe, GA ECRWSS
Southern Crescent Nephrology Board Cer)fied in Nephrology & Internal Medicine
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Call for an Appointment 678-289-0508 We serve the following communiCes: Stockbridge, Riverdale, FayeKeville, Camp Creek, Locust Grove, Griffin WWW.SCNKIDNEY.COM 32 HEALTHY IN HENRY | SUMMER 2016