10 Benefits OF HONEY
Why Checkups ARE VITAL HONEY RECIPES Inside IS SURGERY In Your Future?
FALL 2016
Don’t miss this.
Get your Mammogram today. Schedule your Mammogram at The Women’s Center at Rockdale Medical Center The American Cancer Society recommends women age 40 and over get a mammogram every year. The simple screening test lets physicians find cancerous lumps at their earliest, most curable stage. Rockdale Medical Center offers advanced breast imaging services, including digital mammography, breast ultrasounds, and stereotactic breast biopsies, in the fight against breast cancer.
Convenient Hours Monday thru Saturday. Call 770-918-3707 to schedule an appointment.
www.rockdalemedicalcenter.org 2 HEALTHY IN NEWTON | FALL 2016
CONTENTS 4. 10 Benefits of Honey 6. Why Checkups Are Vital
The magazine that reflects the healthy lifestyles of the residents of the Newton County area and beyond.
8. Is It Time for Hospice? 11. Benefits of Treating Hearing Loss 13. Screening for Colorectal Cancer 14. Diamond Certified CoolSculpting
VOLUME 3, NO. 11, FALL 2016
18. What Can High Cholesterol Do? 21. Should You Be Worried About Frequent Heartburn? 22. 10 Steps to Get More Steps Each Day
Manager: Annette Godwin
23. What Does Board Certification Really Mean?
Graphics/Layout Design: Carol Massey
25. Effective Treatments for a Variety of Skin Conditions 28. Is Surgery in Your Future? How to Prepare
Contributing Writers:
Lee Udell; Dr. G. Wayne Newman, Jr., D.P.M.; Dr. Adam Cooper, Psy.D., Ma. P.C.; Dr. Michael Pulliam, M.D.
30. Coping with Grief
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.
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c/o The Covington News 1166 Usher Street, Covington, Georgia 30014 Phone 770-787-6397 / Fax 770-787-6451 www.covnews.com
FALL 2016 | HEALTHY IN NEWTON
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10 Health Benefits of Honey D written by Lee Udell
iscover the health benefits of one of the oldest sweeteners on earth, plus some interesting trivia, some great recipes and a few cautions. Bees swallow, digest and regurgitate nectar to make honey; this nectar contains almost 600 compounds. We need our bees, so let’s do everything we can to save them and keep them here on this earth. Honey is so good we have included it in our list of powerfoods that should be in your kitchen right now.
Health Benefits: 1. Prevent cancer and heart disease: Honey contains flavonoids, antioxidants which help reduce the risk of some cancers and heart disease. 2. Reduce ulcers and other gastrointestinal disorders: Recent research shows that honey treatment may help disorders such as ulcers and bacterial gastroenteritis. This may be related to the 3rd benefit… 3. Anti-bacterial, anti-fungal: “All honey is antibacterial, because the bees add an enzyme that makes hydrogen peroxide,” said Peter Molan, director of the Honey Research Unit at the University of Waikato in New Zealand. 4. Increase athletic performance: Ancient Olympic athletes would eat honey and dried figs to enhance their performance. This has now been verified with modern studies, showing that it is superior in maintaining glycogen levels and improving recovery time over other sweeteners. 5. Reduce cough and throat irritation: Honey helps with coughs, particularly buckwheat honey. In a study of 110 children, a single dose of buckwheat honey was just as effective as a single dose of dextromethorphan in relieving nocturnal cough and allowing proper sleep. 6. Balance the 5 elements: Honey has been used in Ayurveda medicine in India for at least
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4000 years and is considered to affect all three of the body’s primitive material imbalances positively. It is also said to be useful in improving eyesight, weight loss, curing impotence and premature ejaculation, urinary tract disorders, bronchial asthma, diarrhea, and nausea. Honey is referred as “Yogavahi” since it has a quality of penetrating the deepest tissues of the body. When honey is used with other herbal preparations, it enhances the medicinal qualities of those preparations and also helps them to reach the deeper tissues. 7. Blood sugar regulation: Even though honey contains simple sugars, it is NOT the same as white sugar or artificial sweeteners. Its exact combination of fructose and glucose actually helps the body regulate blood sugar levels. Some honeys have a low hypoglycemic index, so they don’t jolt your blood sugar. 8. Heal wounds and burns: External application of honey has been shown to be as effective as conventional treatment with silver sulfadiazine. It is speculated that the drying effect of the simple sugars and honey’s antibacterial nature combine to create this effect. 9. Probiotic: Some varieties of honey possess large amounts of friendly bacteria. This includes up to 6 species of lactobacilli and 4 species of Bifidobacterium. This may explain many of the “mysterious therapeutic properties of honey.” 10. Beautiful skin: Its anti-bacterial qualities are particularly useful for the skin, and, when used with the other ingredients, can also be moisturizing and nourishing! For a powerful home beauty treatment for which you probably have all the ingredients in your kitchen already, read Carrot Face Mask. Different honeys have different flavonoid profiles, depending on the floral source of the nectar.
Types of Honey (most popular) • Alfalfa • Manuka • Blueberry • Orange Blossom • Buckwheat • Wildflower • Clover There are at least 40 types – each one has a distinctive taste and unique properties. Darker honey tends to have higher antioxidant levels. Monofloral honey (honey from a single plant species) usually has the lowest glycemic index (GI). For example, locust honey from the Black Locust tree has a GI of 32. Clover honey, which is used commercially, has the highest glycemic index at 69. Honey Suggestions: If you want to get the goodness from your honey, make sure it is pure and raw. Raw honey contains vitamins, minerals and enzymes not present in refined honey. Honey Cautions: • Best not to feed to infants. Spores of Clostridium botulinum have been found in a small percentage of honey in North America. This is
not dangerous to adults and older children, but infants can have a serious reaction or illness in the first year. Do not add honey to baby food or use as a soother to quiet a fussy or colicky baby. Most Canadian honey is not contaminated with the bacteria causing infant botulism, but it’s still best not to take the chance. • Honey is a sugar, so do not eat jars full of it if you value your good health and want to maintain a healthy weight. It has a high caloric value and will put you on a sugar high and low.
Feature Recipe for Honey Ingredients • 3/4 cup dried cranberries • 3/4 cup chopped walnuts • 1/3 cup sugar • Zest of 1 orange • 2 refrigerated pie crusts • 2-1/2 tablespoons butter, melted • 1 whole egg • 2 tablespoons water • Honey as desired Instructions 1. Preheat oven to 350. 2. Use parchment paper to line cookie sheet, set aside. 3. C ombine thoroughly: cranberries, walnuts, sugar, and zest in a mixing bowl. 4. Cut pie crust into circles on a lightly floured surface. A lid
for a jar works great. Fold up the edges a little to hold filling. 5. Generously brush the pie crusts with the melted butter. 6. Spread the cranberry/walnut filling on top of the pie crusts circles. 7. Combine the egg and water in a small bowl and beat until well blended. 8. Brush the edges of the circles. 9. Place the circles on the prepared baking sheet, 1 inch apart. 10. Bake for 10 to 15 minutes, or until golden brown. 11. Place on a cooling rack. 12. Spread a teaspoon, or more, of the honey on each pinwheel. 13. Let cool before serving. FALL 2016 | HEALTHY IN NEWTON
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emember that old sa ying about an ounce of prevention being worth a pound of cure? It more than applies to the regula r doctor's visit.
Doctor’s Visits: Why Checkups are Vital W
hen you were little, your parents probably made sure you had an annual checkup with your doctor. But as you’ve grown older, you may have gotten out of this habit Health professionals stress that these regular exams are important to help identify risk factors and problems before they become serious. If diseases are caught early, treatments are usually much more effective. Ultimately, having a regular doctor’s visit will help you live a long and healthy life. Doctor’s Visit: The Prevention Checkup Depending on your age, sex, and family medical history, a checkup with your doctor may include: • Blood, urine, vision, and hearing tests to evaluate your overall health • Assessments of your blood pressure, cholesterol level, and weight • A discussion about your diet and exercise habits and any tobacco, drug, and alcohol use • Immunizations and booster shots • Screenings to assess your risk of developing certain diseases, including diabetes (if you already have high blood pressure or high cholesterol) and cancer • Depending on your age and sexual lifestyle, testing for STDs and possibly HIV • Starting at age 50, or younger if you have a family history, a screening test for colorectal cancer • A discussion about depression and stress to evaluate your mental health Doctor’s Visit: Concerns for Men For men, in addition to checking weight, blood pressure, and other basics, your doctor’s visit may specifically include: • Starting at age 50, or younger if you have a family history, a rectal exam to check for abnormal bumps in the prostate and a prostate specific antigen (PSA) blood test to screen for prostate cancer • Between the ages of 65 and 75 if you have ever smoked cigarettes, an abdominal exam to check for an enlargement in your aorta; an abdominal aortic aneurysm, a weakness in the lining of the aorta (a large blood vessel in your chest and abdomen), can develop with age and become a life-threatening problem. Doctor’s Visit: Concerns for Women For women, in addition to checking weight, blood pressure, and other basics, your doctor’s visit may specifically include: • A test for cervical cancer, called a Pap smear, every one to three years • A clinical breast exam to check for any unusual lumps or bumps in your breasts • Starting at age 40 (or younger if you have a strong family history for breast cancer), a breast cancer
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screening with a mammogram every one to two years • Starting at age 65, a referral for a bone density test to screen for osteoporosis, the disease that causes brittle, fragile bones and typically affects older women; women with more than one risk factor for osteoporosis may start earlier Doctor’s Visit: Preparation It’s important for you to play an active role to get the most out of your doctor’s visit. Before your exam,
review and update your family health history, be prepared to ask if you’re due for any general screenings or vaccinations, and come up with a list of questions if you have particular health concerns. During your actual doctor’s visit, don’t be shy about getting your questions answered. Also, if your doctor gives you advice about specific health issues, don’t hesitate to take notes. Time is often limited during these exams, but by coming prepared you’re sure to get the most out of your checkup. n
Dr. Grant has over 18 years of experience in the medical field. She is a graduate of the International University of Health Science and completed her residency at Memorial Health Systems in Savannah, GA. She joined Premier Internal Medicine in September of 2013.
Premier Internal Medicine Most major insurance plans accepted including Medicare & Medicaid. Monday - Thursday: 8AM - 5PM Friday: 8AM - Noon • Women’s Wellness • Acute Illness • Chronic Disease • Hypertension
• Diabetes • Cholesterol • Thyroid • Physicals
Next day appointments available.
Anne Grant, MD Internal Medicine
5294 Adams Street, Covington, GA 30014
To schedule an appointment, call
770-787-5600.
Rockdale Physicians Practices RockdaleMedicalCenter.org FALL 2016 | HEALTHY IN NEWTON
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Is It Time for Hospice? written by Lee Udell
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common question from someone considering hospice care for a loved one is: “How will I know it’s time to call hospice?” Many people assume their doctor will tell you when your loved one needs hospice, but that’s not always the case. “I had asked my mother’s doctor about hospice months beforehand, but I was ‘poo-pooed’ away,” says the daughter of a Parkinson’s and Alzheimer’s patient. “Mother had a great way of rallying herself together for doctor visits, but I lived with her and cared for her 24/7, and I could see a shift. I knew that she had given up the will to live.” Given all the advantages hospice has to offer the patient, as well as the caregiver, most agree that hospice should be considered as early as possible. The special needs of those in even the earliest stages of a terminal illness can often best be met by those who are specifically trained to help, and hospice professionals are specialists in end-of-life care. A person of any age is eligible for hospice after being
certified by a physician as having a life expectancy that may be six months or less. Some of the signs that may indicate your loved one is ready for hospice include: • The disease has progressed to the point that there’s no cure, and you and your loved one have decided to manage the pain and be comfortable, without actively seeking to treat the disease. • You and your loved one have chosen to forego any further testing or hospitalizations, allowing the dying process to happen naturally. • You are ready to begin to let go, say good-bye and follow the oath of hospice, which is to “neither hinder, nor hasten death.” No matter what disease your loved one is facing, it’s hard to let go, even when you know they’re suffering and you want them at peace. But, now may be the best time to learn more about hospice care, even though it might be difficult to discuss.
The “Circle of Care” teams at Longleaf Hospice in Covington are made up of specialized professionals who can help you learn more about what hospice care really means and how it can help you and your loved one. Call today at 770-939-9179 or visit their website at www.longleafhospice.com.
The Hospice You Choose Really Can Make A Difference. Our hospice experts have the character, skill and ability to deliver quality care to all our patients. We promise to help you live all of your days with dignity.
Committed to our local communities and now open in Covington Our mission is to surround patients and their families with
compassionate care
that enables them to embrace the end of life with
dignity, courage and peace.
8 HEALTHY IN NEWTON | FALL 2016
2712 Lawrenceville Highway | Suite 200 Decatur, Georgia 30033 1132 Floyd Street | Covington, Georgia 30014 Phone: 770-939-9179 | Fax: 770-621-3083 www.LongleafHospice.com © Longleaf Hospice. 2014
FALL 2016 | HEALTHY IN NEWTON
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If you experience difficulty hearing, now is the time to schedule your appointment with one of our highly qualifed, certified Audiologists. How’s Your Hearing? Have you noticed more difficulty understanding family and friends? Does everyone just seem to be mumbling? Are you asking people to repeat themselves often? Are you having to turn the TV volume up? If you answered “yes” to any of these questions, you may need to check your hearing…
Did You Know?
www.entspecialists.net Donald Cote, MD • Adam French, MD Arthur Torsiglieri, MD FACS • Donna McGough, F-AAA Kristyn Meade, F-AAA • Susann Shriver, CCC-A
• Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and marital problems leads to a better quality of life, according to a 1999 study by the National Council on Aging. • At least 29 million Americans have a hearing impairment; 20% in adults ages 48-59; over 50% in adults over 75. • Patients with diabetes are more than twice as likely to have hearing loss. • Exposure to noise is the leading cause of tinnitus, and almost always accompanies hearing loss.
1370 Wellbrook Circle, Conyers, Georgia / 770-922-5458 4181 Hospital Drive, NE, Suite 102, Covington, Georgia / 770-385-0321 1110 Commerce Drive, Suite 108, Greensboro, GA / 770-922-5458 Call today for an appointment! 10 HEALTHY IN NEWTON | FALL 2016
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BENEFITS OF TREATING Hearing Loss written by Lee Udell
People affected by hearing loss often give a range of reasons for not seeking help. Maybe they know someone who bought a hearing device, but didn’t care for it. Maybe they think a hearing device will cost too much. Or maybe they simply think they can live with their hearing loss, because it really isn’t “that bad.”
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verall, it’s estimated that 29 million Americans – 17% of our adult population – are affected by hearing loss. Unfortunately, only about 20% of those who might benefit from treatment actually seek help. Approximately 1/3 of American between the ages of 65 and 74 – and nearly half of those over 75 – have hearing loss. In the elderly, hearing loss is the most common sensory deficit, and it can significantly impact everyday life. Yet, the elderly are often slow to acknowledge their hearing loss, considering it a normal part of the aging process. Studies link untreated hearing loss to: • Irritability, frustration, negativism and anger • Fatigue, tension, stress and depression • Avoidance or withdrawal from social situations • Social rejection and loneliness • Embarrassment and worry • Reduced alertness and increased risk to personal safety • Impaired memory and ability to learn new tasks • Reduced job performance and earning power • Diminished psychological and overall health A survey by the National Council on Aging in 1999 documented the impact of untreated hearing loss. Nationwide, this survey of nearly 4,000 adults with hearing loss and their significant others showed significantly higher rates of depression, anxiety and other psychosocial disorders in individuals who were not wearing hearing aids. On the flip side, the survey showed that hearing aid use positively affected quality of life for both the hearing aid wearer and his or her significant other. Treating hearing loss can help keep cognitive decline at bay and ensure better mental, emotional and psychological health. Studies that showed even mild hearing loss is associated with an increased risk of Alzheimer’s also showed that people with hearing loss who use hearing
aids are no more likely to get Alzheimer’s than people without hearing loss. Seeking treatment earlier, rather than later, has the potential to literally transform lives. Consider these ways in which hearing loss treatment has been shown to improve quality of life: • Earning power • Communicating within relationships • Intimacy and warmth in family relationships • Easier communication • Increased emotional stability • Feeling greater control over your life • Improved mental functioning • Better physical health • More participation in social and group settings What’s more, hearing loss treatment was shown to reduce: • Discrimination toward the person with the hearing loss • Behaviors meant to compensate for hearing loss, such as pretending that you hear what someone is saying • Anger and frustration in relationships • Depression • Feelings of paranoia • Anxiety • Social fears and concerns • Self-criticism In fact, overall, people who use hearing aids report being happier and more content with their lives than those who choose not to treat their hearing loss. So, if you’re suffering with untreated hearing loss, and you’ve been hesitant to take that first step to a better life, consider the benefits of hearing aids.
FALL 2016 | HEALTHY IN NEWTON
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THINGS THAT ARE SCARY Colon Cancer doesn’t have to be scary. Timely screening for colon cancer means a
90% Prevention Rate.
EVERYONE 50+ NEEDS SCREENING
African Americans and those with family histories of colon cancer should be screened earlier (at 40-45 yrs).
Preventative screenings are largely covered by health insurance and Medicare. So,
DON’T WAIT UNTIL YOU HAVE SYMPTOMS,
because diagnostic colonoscopy (due to symptoms) carries higher costs! Don’t put it off any longer.
GET BEHIND SCREENING. BOARD CERTIFIED PHYSICIANS
FRED A. LEVIN MD, FACP, FACG
DAVID N. SOCOLOFF DO
RAZVI M. RAZACK MD
KAREN L. WEISS-SCHORR MD
A. STEVEN MCINTOSH MD, FACG
1269 Wellbrook Circle, Conyers, GA 1075 South Main Street, Suite 200, Madison, GA 7229 Wheat Street, Covington, GA 1000 Cowles Clinic Way, Cypress Building, Suite C-300, Greensboro, GA
770-922-0505 EastAtlantaGastro.Com 12 HEALTHY IN NEWTON | FALL 2016
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Screening For COLORECTAL CANCER Regular colorectal screening is one of the most powerful weapons against colorectal cancer. Excluding skin cancers, colorectal cancer – cancer which begins in the colon or rectum – is the third most common cancer diagnosed in both men and women. Yet, thanks to an increase in those undergoing screening, the death rate of colorectal cancer has been dropping for several decades.
T
written by Lee Udell
oday, precancerous colorectal polyps – abnormal growths in the colon or rectum – are more often found by screening and removed before they can develop into cancers. It can take as many as 10 to 15 years for a polyp to develop into colorectal cancer. But, with regular screening, many cases of cancer can be prevented altogether, by finding and removing these polyps. What’s more, screening can help find colorectal cancer early, when it’s small and hasn’t spread. In the early stages, colorectal cancer is easier to treat, with a five-year survival rate of about 90%. Unfortunately, only about 4 out of 10 colorectal cancers are found at this early stage. And when cancer has already spread outside the colon or rectum, survival rates are markedly lower. Only a little more than half of those who should be tested for colorectal cancer actually get screened. Perhaps it’s because there’s a lack of public awareness of colorectal cancer, or maybe it’s because of concerns about cost and insurance coverage. (By the way, most insurers cover the cost of a colonoscopy under preventive care, and since you’ve probably already met your deductible this year, why not schedule your colonoscopy before the end of the year?) However, more than likely, it’s because colonoscopies have gotten a bad rap: after all, aren’t they uncomfortable, invasive, embarrassing and timeconsuming? Well, colonoscopies have come a long way, with preparation the day before not nearly as unpleasant as it once was, and the procedure itself performed under a light sedation, so you never feel a thing. So, if you’re turning 50 this year, you should be prepared to give yourself a special birthday present – a colonoscopy. While it may not be the way you expected to celebrate this milestone, consider the 50,000 reasons why you should – that’s the number of people who die each year from colorectal cancer. While newer screening tests are coming into use,
such as fecal occult blood tests or DNA stool tests, a colonoscopy still remains the gold standard. It is unquestionably the best screening tool available, and it’s the only one that also prevents potential cancers by allowing removal of polyps. Before you have your colonoscopy, here are a few things you should know: • Your doctor will instruct you on what to eat and how to empty your bowel prior to the colonoscopy. • During a colonoscopy, your doctor examines the lining of your entire colon to check for polyps or tumors. If polyps are found, they can be removed immediately and biopsied. A pathologist will provide a report to your doctor within a few days. • On the day of the colonoscopy, you will get medication to help you relax. Most people fall asleep and remember little, if anything, about the test when they wake up. • A long, thin, flexible tube, called a colonoscope, is inserted into your colon through the rectum. A tiny video and camera with a light on the end sends images to a video monitor. • Both men and women should have regular colonoscopies beginning at age 50, or sooner if there are additional risk factors, such as family history, lifestyle, or inflammatory bowel disease. • If you are experiencing bleeding, a change in frequency and characteristics of bowel movements, abdominal pain or unexplained fatigue, cramping or weight loss, see your gastroenterologist as soon as possible and discuss scheduling a colonoscopy. • Continue getting a colonoscopy every 10 years, or possibly more often, if you’ve had a polyp removed. The board-certified physicians at East Atlanta Gastroenterology in Conyers and Covington have over 70 years of combined experience in gastroenterology and digestive diseases. Call today to schedule an appointment and discuss a screening colonoscopy – 770-922-0505. n FALL 2016 | HEALTHY IN NEWTON
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DIAMOND CERTIFIED
CoolScupting Provided by Dermatology Consultants
D
ermatology Consultants, the premiere medical, surgical and cosmetic dermatology practice, serving Atlanta, Marietta and Covington, Georgia, has upheld the honor of being the state’s first and only Diamond Certified CoolSculpting practice. Diamond Crystal status is a distinction awarded to the most elite CoolSculpting providers throughout the world. With over 5,500 treatments to date, Dermatology Consultants, led by nine board certified dermatologists and seven certified physician assistants, has recently celebrated over 80 years in the Atlanta community and provides the highest levels of service to each patient who enters the practice.
Throughout the Atlanta metro area, Dermatology Consultants offers a complimentary body contouring analysis to every patient as well as DualSculpting in each of its three locations. Each treatment plan is customized by a physician or licensed aesthetician to cater to the patient’s specific needs ensuring that all of their goals and concerns are addressed. Additionally, the licensed technicians at Dermatology Consultants are CoolSculpting University graduates in both the California and Virginia headquarters. They provide patients with the latest technologies in non-invasive body contouring, and the practice was the first to house the new CoolMini applicator in Atlanta. Michelle Juneau, MD, says, “We are honored to be named the first Diamond Crystal practice in Georgia with more treatments performed than any other office to date. We are thrilled to be the first office in the metro Atlanta area to offer a long-lasting solution for fat under the chin as well as fat accumulation on the inner knee and the thigh, just above the knee.” To schedule your complimentary CoolSculpting assessment with the experts at Dermatology Consultants, please call 678-637-4240 or visit www.dermatologyconsultants.org 14 HEALTHY IN NEWTON | FALL 2016
Put your skin in good hands PROVIDING DERMATOLOGICAL CARE FOR THE ENTIRE FAMILY
Michelle Juneau, MD
Dione Marcus, MD
Fiona Zwald, MD
Kate Kaufman, PA-C
Dermatological Services Available Full Body Skin Exam Dermatological procedures & services Aesthetic services dermatologyconsultants.org
770-784-0343
FALL 2016 | HEALTHY IN NEWTON
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Be your bosom’s buddy. 1 in 5 women in Georgia will get breast cancer. The key to survival is early detection through regularly scheduled mammograms. Schedule your appointment today. 678.582.8617 piedmont.org/MammoNewton
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3 Steps to Early Breast Cancer Detection Women can proactively prevent breast cancer and increase their chances of survival by following three simple steps. This three-pronged approach is believed to be more effective than any one exam or test alone. “Being proactive with your health by communicating with your physician and getting regular screening exams is key to early detection. And early detection has proven to save lives,” says Shona Fincher, RT, RM, ARRT, supervisor of the Women’s Diagnostic Center at Piedmont Newton Hospital.
STEP 1: Breast self-exam (BSE)
A BSE is something every woman should do once a month at home. Breast self-exams help you become familiar with how your breasts look and feel so you can alert your doctor if there are any changes.
STEP 2: Clinical breast exam (CBE)
The CBE is performed by a healthcare professional who is trained to recognize many different types of abnormalities and warning signs. This in-office exam is typically completed by your family physician or gynecologist at your annual exam.
STEP 3: Mammogram
A mammogram is an X-ray that allows a specialist to examine the breast tissue for any suspicious areas. Mammograms can often show a breast lump before it can be felt. Most women (85 percent) who develop breast cancer do not have a family history of this disease. However, having a first-degree relative (mother, sister or daughter) with breast cancer almost doubles a woman’s risk. Having two first-degree relatives increases risk about three-fold. As with any condition, it is important to know your family health history. Women with a family history of breast cancer or a genetic predisposition for the disease should be screened with a MRI in addition to routine mammograms. For more information, go to piedmont.org/breasthealth.
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WHAT CAN
HIGH Cholesterol
H
DO
igh cholesterol is one of the major controllable risk factors for coronary heart disease, heart attack and stroke. As your blood cholesterol rises, so does your risk
of coronary heart disease. If you have other risk factors (such as high blood pressure
?
or diabetes) as well as high cholesterol, this risk increases even more. The more risk factors you have, the greater your chance of developing coronary heart disease. Also, the greater the level of each risk factor, the more that factor affects your overall risk.
When too much LDL (bad) cholesterol circulates in the blood, it can slowly build up in the inner walls of the arteries that feed the heart and brain. Together with other substances, it can form plaque, a thick, hard deposit that can narrow the arteries and make them less flexible. This condition is known as atherosclerosis. If a clot forms and blocks a narrowed artery, a heart attack or stroke can result. High blood cholesterol: As blood cholesterol rises, so does risk of coronary heart disease. When other risk factors (such as high blood pressure and tobacco smoke) are present, this risk increases even more. Your cholesterol level can be affected by your age, gender, family health history and diet. The good news is, you can lower your cholesterol and reduce your risk of heart disease and stroke. Take responsibility for managing your cholesterol levels. Whether you've been prescribed medication or advised to make diet and lifestyle changes to help manage your cholesterol, carefully follow your doctor's recommendations. Lifestyle Changes Your diet, weight, physical activity and exposure to tobacco smoke all affect your cholesterol level — and these factors may be controlled by: • eating a heart-healthy diet, • enjoying at least 150 minutes a week of moderArticle provided by www.heart.org
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ate-intensity aerobic physical activity, and more than two days a week muscle strengthening activities, and • avoiding tobacco smoke. Know Your Fats Knowing which fats raise LDL cholesterol and which ones don't is the first step in lowering your risk of heart disease. Cooking for Lower Cholesterol It's not hard to whip up recipes that fit with the low-saturated-fat, low-cholesterol eating plan recommended by scientists to help you manage your blood cholesterol level and reduce your risk of heart disease and stroke. Understand Drug Therapy Options For some people, lifestyle changes alone aren't enough to reach healthy cholesterol levels. Your doctor may prescribe medication. Learn about: • types of cholesterol-lowering drugs • tips for taking medications Work with Your Doctor It takes a team to develop and maintain a successful health program. You and your healthcare professionals each play an important role in maintaining and improving your heart health. If you do
not have a primary health care provider, contact Internal Medicines Associates of Rockdale for an appointment. Know how to talk with them about your cholesterol levels and be sure you understand all instructions. Follow your plan carefully and learn how to make diet and lifestyle changes easy and lasting.
Keep this in mind! Lifestyle changes can help reduce cholesterol, keep you off cholesterol- lowering medications or enhance the effect of your medications.
Here are three lifestyle changes to get you started.
1. Lose weight 2. Eat heart-healthy foods 3. Exercise on most days of the week
Dr. Kuttappan is in internal medicine and has over 20 years of experience practicing medicine. He works in Covington, GA, and specializes in internal medicine.
Serving Rockdale and Newton for 20 Years. Dr. Muthu Kuttappan brings his experience to issues specific to Senior health. Dr. Kuttappan Practice Highlights: • Geriatric Care • Asthma • Thyroid • High Cholesterol
• Diabetes • Emphysema • Hypertension • Physicals
Next day appointments available.
Dr. MUTHU KUTTAPPAN, MD
14779 Brown Bridge Road Covington, GA 30016
To schedule an appointment, call
770-788-7777. Rockdale Physicians Practices RockdaleMedicalCenter.org FALL 2016 | HEALTHY IN NEWTON
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Explore beauty and simplicity at the Monastery of the Holy Spirit. Honoring a centuries-old tradition of hospitality, Georgia’s Trappist monks welcome you. Nestled on more than 2,300 acres, the Monastery offers a serene setting for exploration, contemplation and recreation. ■ See the Gothic-style Abbey Church ■ Experience a day in the life of a monk and learn about monastic tradition at the Historic Museum ■ Browse through the Bonsai Garden and Nursery ■ Shop at the Abbey Garden Center and Abbey Store for locally-made crafts, outdoor décor or Christian books and monk-made fruitcake, fudge and biscotti ■ Stroll the scenic grounds or exercise on the PATH trail ■ Stay for the day or experience an overnight retreat Open year-round and free to the public. For more information on tourism in Conyers-Rockdale call 1-800/CONYERS or visitconyersga.com.
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Should You Be Worried About
Frequent Heartburn? provided by Atlanta Gastroenterology
I
t is common to experience a little heartburn after eating spicy foods or drinking alcohol, like chest pain or burning after eating, a sour taste in the back of the throat or hoarseness. But suffering daily, long-lasting or frequent heartburn symptoms should not be ignored and may indicate a more serious condition. Up to 1 in 5 Americans, or 63 million people, suffer from gastroesophageal reflux disease (GERD). This chronic but treatable condition refers to irritation and damage of the lining of the esophagus from prolonged exposure to stomach acid. This damage occurs because of a weakening of the valve that separates the esophagus from the stomach which allows acid to leak up into the esophagus. Typical treatments may include medication to reduce the acid and lifestyle changes to help reduce the reflux symptoms such as not eating before bedtime. For certain patients who have had chronic acid reflux, an upper endoscopy may be recommended to assess severity and to uncover any pre-cancerous changes. If GERD is left untreated or unmonitored for a long period of time, it can result in a condition called Barrett’s esophagus which
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can progress to cancer. Barrett’s esophagus is a disorder in which the inflamed, acid-damaged cells in the lining of the lower esophagus change to resemble those found in the stomach. As a result of this transformation, Barrett’s patients have an increased risk for esophageal cancer. According to the American College of Gastroenterology, Barrett’s esophagus affects up to 5 million adults in the United States. At Atlanta Gastroenterology Associates, many of our physicians are specially trained in the treatment of GERD and Barrett’s esophagus. If you’ve noticed that your heartburn symptoms are frequent, severe, longstanding, or getting worse, schedule an appointment with us today.
The physicians at Atlanta Gastroenterology Associates see patients at more than 50 locations, including offices in Conyers and Lithonia and an accredited endoscopy center in Lithonia. To make an appointment, call 1.866.GO.TO.AGA [468.6242], or visit www.atlantagastro.com.
Proudly Serving Our Community 1501 Milstead Road | Suite 120 Conyers, Georgia 30012
678.745.3033
www.atlantagastro.com AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.
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10 Easy Ways to Get More Steps Each Day If you have a pedometer or fitness tracker, you probably know that experts recommend walking up to 10,000 steps a day. If that number seems overwhelming at first, never fear! You can slowly work your way up to 10,000 steps over a few weeks or months, depending on your current fitness level. Simply aim to walk more steps than you walked yesterday or last week. “All of us could benefit from a few extra steps in our day, “ says Haley Flynn, lead exercise physiologist at the Piedmont Newton Fitness Forum.” Most people think they have to exercise for an extended period of time in order to obtain their 10,000 steps. Instead, making small changes in one’s routine can get the extra activity needed. Staying active throughout the day can improve arthritis, body aches and pains, and help prevent memory loss.”
Try these tips to fit more steps into your day. 1. Go for a walk while waiting to pick your child up from school, soccer practice, piano lessons, etc. 2. Stay hydrated. Keep a small reusable water bottle at your desk and get up to refill it often throughout the day. 3. Hide your phone and remote control so you have to get up each time you want to change the channel or send a text. 4. Do your workout first thing in the morning so you don't skip it later in the day when your willpower is weaker. Plus, seeing those initial steps early in the morning will motivate you the rest of the day. 5. March in place or pace around during a conference call or while chatting with a friend on the phone (hit the mute button first if it's a work call). 6. Go for a walk on your lunch break with a coworker and after dinner each night with your family or a neighbor. 7. Walk to another restroom in your office building instead of using the one that is closest to you. 8. Set a reminder on your computer and walk a few flights of stairs in your building or home each hour. 9. March in place while waiting for your food to cook, brushing your teeth or watching TV. 10. Park farther away than you usually do at the mall or grocery store.
For more tips go to piedmont.org/livingbetter
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FEATURE
What Does Board Certification
Really Mean?
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written by Dr. Michael Pulliam, M.D.
e frequently hear the terms “licensed”, “Board Certified”, “Board Eligible”. What does these terms mean? They can be confusing to those not in the medical profession. I will explain the difference. First of all, any graduate of an accredited medical school is a physician. After at least one year of formal post-medical school training, a physician can obtain a license to practice medicine. After successful completion of an approved residency in a given specialty, a physician becomes board eligible. A board eligible physician has either not taken the board exam or he has taken the test and failed. The American Board of Medical Specialties, the organization that oversees this process, has recently placed limits on how long a doctor can claim Board Eligibility. If the test is not passed
within a limited time, the privilege of claiming to be Board Eligible expires. After a period of clinical practice, a doctor can apply to take a certifying exam, which id passed, he or she becomes board certified. If a doctor completes a legitimate residency and is unable to pass the board certifying exam there may be a serious problem. All first rate hospitals now recognize this and will withdraw hospital privileges if a physician fails to pass the certifying exam within a specified period of time. Many insurance providers are now, rightly so, beginning to place emphasis on whether the doctor is Board Certified. In the case of Ophthalmology, my specialty, board certified physician have signed a pledge indicating their intent to practice with compassion, integrity, and respect for human dignity.
• Macular Degeneration • Floaters • Cornea • Glaucoma • Dry Eye • Cataracts
Dr. Pulliam is a Board Certified Ophthalmologist and specializes in adult Ophthalmology including cataract consultation and second opinions.
4165 Hospital Drive • 770-786-9312 (Across from Piedmont Newton ER) Covington, GA 30014
michaelpulliammd.com
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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 24 HEALTHY IN NEWTON | FALL 2016
GaDerm.com
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FEATURE
Effective Treatments for a Variety of
Skin Conditions
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written by Lee Udell
re you dealing with skin problems – maybe acne, psoriasis, rosacea or suspicious moles? Do you have itchy, scaly skin or warts? Well, thanks to modern medicine, today there are effective treatments for a variety of skin conditions, from skin fungus or infection to eczema or hair loss. Dermatologists are doctors who specialize in skin care. They diagnose and treat more than 3,000 different diseases of the skin, hair, nails and mucous membranes (the lining inside the mouth, nose and eyelids). In addition, dermatologists can also help improve the appearance of your skin, hair and nails. For example, a dermatologist can help patients: ➧ Diminish wrinkles, age spots and other signs of aging, ➧ Have less noticeable acne scars, and ➧ Look more like themselves after surgery to remove skin cancer. Taking care of your skin can be challenging – after all, it’s the largest organ of your body. While many skin problems can be solved by over-the-counter products – think moisturizers for dry skin, hydrocortisone for mild rashes, or special shampoos for dandruff – many skin difficulties require the help of a dermatologist. Most chronic skin conditions, such as eczema, acne or psoriasis, may not be curable, but your dermatologist can help you manage them with drugs and by paying close attention to your lifestyle. For example, psoriasis, a common skin disorder which usually appears in early adulthood, can be treated with measures ranging from steroid or retinoid creams to light therapy or drugs which suppress the immune system, depending on the severity of the rash and the areas of the body affected. Many other types of skin problems are only temporary and can be treated with medications or simply with time. Examples of these include cold sores, plantar and palmer warts, and skin tags. For example, plantar warts – which appear on the bottom of the foot – can now be treated by injecting Candida yeast directly into the wart. The body’s immune system gets the signal that there’s abnormal tissue in the wart, starting an immune response that breaks down the wart
virus. And unlike other treatments for plantar warts, the warts rarely return after treatment. Some skin conditions, such as skin cancers, can not only be unsightly, they can also be life-threatening. As a general rule, you should see a dermatologist for the following: ➧ Cystic or stubborn acne that doesn’t respond to over-the-counter products: If 2-3 months of using products containing benzoyl peroxide and salicylic acid doesn’t clear up your acne, you probably need prescription medications to tackle the problem. ➧ Dark discolorations or moles on your skin that are changing, won’t heal or bleed: These may be skin cancer, so see a dermatologist as soon as possible. Even if you don’t see any of these warning signs, you should be examined regularly for signs of skin cancer, particularly if you are fair skinned or have a history of tanning or burning. ➧ Itching or rashes that won’t go away: This could be eczema or some other type of dermatitis. You could also be having an allergic reaction. A dermatologist can prescribe medications to take care of these bothersome skin conditions. ➧ Skin disorders or skin that won’t heal: Psoriasis, chronic seborrhea or dandruff, rosacea, diabetesrelated calluses, or wounds that don’t heal may require prescription oral or topical drugs. ➧ Scars, skin discolorations, stretch marks, or other cosmetic concerns: Dermatologists have access to prescription options, laser treatments, and other cosmetic procedures that can address these concerns. Regardless of whether you have any of these conditions, an annual appointment with your dermatologist can help you stay healthy and free of not only cosmetic issues, but also more serious conditions like skin cancer. If you’re looking for a dermatologist, contact Georgia Dermatology & Skin Cancer Center in Conyers at 770-785-7546. Their full staff of physicians offer a wide range of medical and cosmetic services. To learn more, visit GaDerm.com today.
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Our Purpose in
R Ph
Making Communities H 26 HEALTHY IN NEWTON | FALL 2016
is to Save Yours
Rockdale hysicians Practices
Healthier.
Rockdale Medical Center & Rockdale Physician Practices. 800-424-DOCS (3627) 1412 Milstead Avenue Conyers, GA 30012 RockdaleMedicalCenter.org
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FEATURE
Is Surgery in Your Future? HOW TO PREPARE
I
written by Dr. G. Wayne Newman, Jr., D.P.M.
f you are facing the possibility of foot or ankle surgery Bandages, splints, surgical shoes, casts, crutches, or canes anytime soon, or even if you are considering a procedure may be necessary to ensure a safe recovery after foot or in your podiatrist’s office, here are some helpful tips that ankle surgery. A satisfactory recovery must include carefully you should know before and after the procedure. following your post-operative instructions. When you are considering any surgical procedure, Surgery of the rearfoot and/or ankle requires especially including foot and ankle surgery, you will need specific close care following surgery. To assure a rapid and easy tests or examinations recovery, it is important before surgery to to follow your podiatric ANKLE PAIN encourage a successful surgeon’s advice and Persistent pain from ankle surgical outcome. Prior post-operative instructions sprain or old fracture. to surgery, the podiatric carefully. All of the same surgeon will review post-operative instructions your medical history apply for rearfoot surgery, MORTON’S NEUROMA Nerve inflammation in ball and medical conditions. but you may have issues of foot. Pain may extend Specific diseases, that are more complicated. from tip of toe to leg. illnesses, allergies, past For example, your podiatric surgeries, and current surgeon will determine if medications need to be and when you can bear evaluated. Other tests INFECTED weight on the foot and that help evaluate your TOENAIL ankle that had the surgery. Painful nail border health status may be with recurring By following the ordered including blood symptoms. advise of your podiatric studies, urinalysis, EKG, surgeon, you can ensure HEEL SPUR that your recovery after X-rays, MRI’s, CT scans, Inflammation of fibrous tissue foot or ankle surgery, a blood flow study (to directly under or in front of better evaluate the the heel bone causing pain. regardless of the type, circulatory status of will be uneventful. Take the lower extremity), the time you’ve been given BUNIONS and a biomechanical to recover appropriately Enlargement of bones at base of big toe. Often causes pain when tight shoes are worn examination. and remember that a good and results in bone pointing outward. A consultation with book can help you through another medical specialist your recovery. Planning may be advised or requested by your surgeon to optimize your recovery, which may include physical therapy, is of your pre-operative status. utmost importance. The recovery process is paramount The type of foot or ankle surgery performed will determine in the overall results you gain from surgery. Remember, the length and kind of aftercare required to assure that communicating your goals with your surgeon is advised your recovery from surgery is rapid and uneventful. The prior to undergoing any surgical procedure. basics of all post-operative care involve to some degree Dr. G. Wayne Newman, Jr., D.P.M., is located at 1567 each of the following: rest, ice, compression, and elevation. Milstead Road, Suite A, Conyers, GA. 770-483-2291. n
28 HEALTHY IN NEWTON | FALL 2016
Associated Foot & Ankle Specialists
Put Your Feet in Good Hands
WE TREAT: • Ankle Pain • Arthritis • Bunions • Diabetic Foot Care • Fractures & Injuries • Hammertoes • Heel Pain • Infected Toenails • Joint Replacement • Nerve Pain (Neuromas) • Pediatric Foot Conditions • Warts WE UTILIZE: • Arthroscopy • Digital X-Rays • Endoscopy • MLS Laser Therapy • Pulse Dye Laser Surgery
Dr. G. Wayne Newman, Jr.
Board Certified Podiatric Physician & Surgeon Fellow, American College of Foot & Ankle Surgeons Diplomate, American Board of Foot & Ankle Surgery Member, American Podiatric Medical Association Member, Georgia Podiatric Medical Association
SAME DAY OR NEXT DAY APPOINTMENTS
Associated Foot & Ankle Specialists, P.C. 1567 Milstead Rd., Suite A, Conyers
770-483-2291 Most Insurance Accepted
www.associatedfootandankle.com FALL 2016 | HEALTHY IN NEWTON 29
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FEATURE
Coping With Grief written by Dr. Adam Cooper, Psy.D., Ma.P.C.
G
rief is something we all face. Death is inevitable, so it is safe to say that at some point in our lives grief over the death of someone close to us, family or friend, will become something very real that we must deal with. However, the real problem is that by the time we experience grief over the death of someone we care about, we have already dealt with many instances of grief in our lives that we didn’t recognize and probably didn’t process healthily. By the time we get to the grief of a lost loved one, we have already established coping methods that may or may not be successful. Grief is caused by any major change in our lives. These changes can come from relationships (such as divorce or breakups), job loss or change, moving (whether by choice or not), diagnosis with chronic illness, and any other occurrence in our lives that is life altering in some way. Grief is a natural reaction to these changes, and how we deal with these changes, and the grief that follows, is important to establishing proper coping methods that will assist us when we experience the death of someone close to us. All of that being said, the grief experienced when a loved one has died is not easy. Even if you have established the best coping skills possible, grief will still be a complicated mess and tangle of emotions that can make even the most put together person feel as if they are losing control of everything. Grief is unique to the person because the relationship each person has with the deceased is unique.
You may have experienced the death of your mother only to find that when your grandmother who raised you dies, you are impacted more heavily. Grief has no fixed pattern or appearance, and there is no one-size-fits-all treatment. In the past, the treatment for grief was to have the griever sever ties with the deceased, blocking them out of your life, and when memories did arise they needed to swiftly and efficiently be pushed to the back and let go. The mantra was “get over it” and the general rule was to move on with your life as quickly as possible. While some things have changed today, there is still this emphasis in our culture to “get over” the death of our loved ones. Our “need it now,” drive-thru culture has imposed limits on our grief. Grief is tolerated, but only for a brief time. Most employees get three days bereavement leave if they are lucky, and when they return to work they must be productive and fully functional. Crying in public or in the work place is only overlooked during a brief span of time, but then “life must go on” for everyone involved. Friends say things like “they are in a better place” or “you need to just move on,” not realizing that they are hurting their friends with what is received as unfeeling and inappropriate comments. Additionally, disenfranchised deaths, those of people who may still be ostracized by society, or those that are self-inflicted, leave real pain and real sorrow behind, but the survivor is left feeling ashamed and unwilling to reach out for help.
At www.caldwellandcowan.com, we have a free informational booklet. Within this short informational booklet, we look at grief in a way that may provide some tools for your grief toolbox. These tools can help you when you are faced with grief of any kind as you move through the remainder of your life.
30 HEALTHY IN NEWTON | FALL 2016
Caldwell & Cowan Funeral Home Dogwood Hill Crematory
We Have Many Options Available to Help You and Your Family Celebrate Your Life: ❖ ❖ ❖ ❖ ❖ ❖ ❖
Pre-Planning and At-Need Arrangements Tailored to Honor One’s Life Wide Range of Traditional and Cremation Service Packages Inviting, Spacious Facilities to Accommodate All Sizes of Crowds Private, On-Site Crematory Knowledgeable, Professional and Courteous Staff Grief Support Groups And Many More…
Call Today for More Information 1215 Access Road- Covington, GA • www.caldwellandcowan.com • (770)786-7062 ❖ ❖ ❖ ❖ ❖ ❖ ❖ ❖ ❖
Perpetual Care Ground Burials Mausoleum Entombments Veterans Memorial Section Columbarium Niches Urnarium Niches Cremation Garden Flower Plans Marker Sales
1111 Access Road- Covington, GA
•
(770)787-8314
www.lawnwoodmemorialpark.com
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“Postal Customer”
PRSRT STD US POSTAGE PAID PERMIT NO 15 Monroe, GA ECRWSS
Better Docs. Better Care. For more than a century, Piedmont physicians have been providing care for Georgia families as part of the Piedmont Healthcare system — a comprehensive network of hospitals, care centers and specialists. So whether you need a routine checkup or critical care, you can rest assured that Piedmont Healthcare has the resources close at hand to get you the care you need. Great doctors, convenient locations – meet your new Piedmont primary care physician, Dr. Chappell-Marshall. Learn more about Dr. Chappell-Marshall by visiting piedmont.org/drchappell-marshall
Monica Chappell-Marshall, M.D. Family Medicine 7143 Turner Lake Road Covington, Georgia 30014 P: 770.788.9970 F: 770.788.9875
05682-0716
32 HEALTHY IN NEWTON | FALL 2016