Healthy in Henry - Spring by The Covington News

SPRING 2017 The magazine that reflects the healthy lifestyles of the residents of the Henry County area and beyond.

IN HENRY

How Screenings CAN BEAT CANCER STAYING WELL: Your Guide to Preventive Health ALLERGEN Immunotherapy

Dr. Olliff Answers Questions About Low Testosterone

Allergies in Full Bloom?

CONTENTS

We take your health to heart.

The magazine that reflects the healthy lifestyles of the residents of the Henry County area and beyond.

4. ThermaVi…Vaginal Rejuvenation Made Easy 6. Resolving to Unplug from Devices

IN HENRY VOLUME 2, ISSUE 5, SPRING 2017

7. ‘Low T’ Is More Common Than You Think 8. Relief from Allergy Symptoms 11. How Screenings Can Beat Cancer

Graphics/Layout Design:

12. Recognize Potentially Dangerous Household Chemicals

Carol Massey

Contributing Writers:

13. Colon Cancer Screening Saves Lives

Lee Udell; Tim Reichert

15. Skin Cancer Detection and Prevention 16. Expert Imaging, Affordable Prices 17. Staying Well 19. Allergen Immunotherapy 21. A New Non-Surgical Procedure…Thermiva 22. How to Improve Indoor Air Quality in Your Home

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 Henry cannot assume responsibility for unsolicited materials. To contact the manager by email, address correspondence to dburgamy@covnews.com.

ADVERTISING

Do you know that the signs and symptoms of a heart attack are different in women than in men? At Piedmont Henry, we are here to make sure you know your risk. Doing so could save your life.

Information regarding advertising and rates are available by contacting Debbie Burgamy at 770-307-6235 or dburgamy@covnews.com.

HEALTHY IN HENRY c/o The Covington News 1166 Usher Street, Covington, Georgia 30014 Phone 770-787-6397 / Fax 770-787-6451 www.covnews.com

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SPRING 2017 | HEALTHY IN HENRY

women’s health FEATURE

ThermiVa…

Vaginal Rejuvenation Made Easy

written by Lee Udell

new feminine rejuvenation system, called ThermiVa, is offering women a bold option for improving their love lives and boosting their self-esteem. This radically simple, non-surgical solution is helping women reclaim the confidence and aesthetics of their youth, in spite of multiple child births, strenuous vaginal childbirth, or the effects of menopause. Vaginal laxity, dryness and genital irritation can range from a slight annoyance for these women to imposing a major barrier to enjoyment of a satisfying quality of life, particularly sexually. ThermiVa uses radio frequency to tighten the external (labia) and internal (vaginal) areas of a woman’s vaginal region. The result is reduced vaginal dryness, decreased urinary leakage, and enhanced sexual responsiveness, for both a woman and her partner. With ThermiVa, women can alleviate: • Vaginal laxity: tightens the vagina at the opening and along the full length of the vagina, noticeably heightening sensation for both the patient and partner. • Vulvar laxity: tightens labial tissues and reduces sag, resulting in softer, smoother skin and greater comfort in tight clothing. • Vaginal dryness: adds softer, thicker skin and more moisture both internally and externally, making daily life, as well as sexual intercourse, more comfortable, without the use of lubricants. • Stress incontinence: reduces accidents and leakage and possibly even reduces urge symptoms, helping women avoid the need for mesh slings in their vagina. • Orgasmic dysfunction: increases sexual sensitivity and produces more coordinated, stronger muscular contractions, enabling women to achieve orgasm in a shorter period of time. What’s more, ThermiVa does all this without surgery or the associated recovery time. For instance, until recently,

the only other option for women – labiaplasty – involved all the risks of surgery, along with other concerns, such as scarring, infection, bleeding and even nerve damage. With ThermiVa, women need worry about none of these. How ThermiVa Works ThermiVa is a painless, noninvasive, in-office treatment which requires no downtime for women. ThermiVa treatments deliver controlled thermal energy to gently heat the labial and vaginal areas. A small, single-use wand directs heat deep into tissues to encourage the natural production of collagen and shrink tissues. Most patients find the heat level quite comfortable – similar to a hot stone massage treatment – and there’s no need for anesthesia, numbing shots or creams. Total treatment time is less than 30 minutes, and women are able to resume all activities – including sexual intercourse – immediately after treatment. A complete course of therapy consists of three treatments, each about a month apart. Some results of treatment are immediate, and they can be expected to continue and improve with each treatment. Most patients and their partners notice the tightened vaginal canal following the first treatment, resulting in a more satisfying sexual experience right away. However, the ultimate outcome typically takes a few months to fully realize. Over time, the treatment will continuously tighten stretched or loose tissue. Once treatments are completed, women can expect to enjoy the benefits of ThermiVa for at least 9 to 12 months before a maintenance session may be required. So, for women who may be experiencing that out-ofcontrol feeling when their bodies change – especially when it affects the most intimate part of their lives – ThermiVa may bring restored self-confidence, renewed well-being, and a revived relationship.

Is ThermiVa right for you? Schedule a consultation with a physician at The Women’s Center today, at either their Stockbridge office – 770-302-0878 or the Conyers office – 678-413-4644. They’ll help you determine your best option for feminine rejuvenation and discuss how this groundbreaking procedure can help you achieve your goals for a happier, more confident life.

4 HEALTHY IN HENRY | SPRING 2017

The Women’s Center, PC Providing Individualized Care for Women

Appointments readily available that will fit into your busy schedule!

UROGYNECOLOGY AND GYNECOLOGICAL SURGERY • Well Women Health Care and Comprehensive Annual Exams • Pap Smears, Breast Exams, and In-Office Ultrasounds • Full Range of Contraception Options • Menopausal Management — Traditional and Alternative • Adolescent and Pediatric Gynecology • Infertility Workups

STEPHANIE GORDON, MD

TRENT RICE, MD

• Hormone Replacement Therapy • Bladder Problems — Unwanted Urine or Bowel Leakage • Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder and Bowel Leakage — Abnormal Bleeding and Ovarian Cysts • Osteoporosis Screening and Treatment • Screening for Sexually Transmitted Diseases

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PROCEDURES WE PROVIDE • DaVinci Robotics Gynecological Surgery • Traditional Abdominal Hysterectomy, Vaginal Hysterectomy, and Laparoscopic Assisted Hysterectomy • Myomectomy for Fibroid Tumors • In-Office ESSURE Tubal Ligation • Laparoscopic Surgery for Ovarian Problems, Endometriosis, Tubal and Adhesive Diseases • Hysteroscopic Surgery • Colposcopies for Abnormal Pap Smears and LEEP Procedures • Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder Leakage • In-Office Endometrial Ablation for Excessive Menstrual Bleeding • Bowel Leakage, Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder/Bowel Leakage.

Please visit our website at womenscenterga.com for all the information you need about our office! MOST MAJOR MEDICAL INSURANCE ACCEPTED

STOCKBRIDGE • 140 Eagles Spring Court • 770-302-0878 CONYERS • 2750 Owens Drive • 678-413-4644

SPRING 2017 | HEALTHY IN HENRY

general health

FEATURE

general health

FEATURE

‘Low T’ Is More Common Than You Think

Resolving to Unplug from Devices

any people now spend ample time each day texting, posting to social media and watching videos on their smartphones. Devices such as phones and tablets might play big roles in many peoples’ lives, and few may realize just how much time they’re spending on their devices. According to Nielsen’s Total Audience Report, Americans aged 18 and older now spend more than 11 hours a day watching television, listening to the radio or using phones and other electronic devices. Common Sense Media, a nonprofit focused on assisting people in navigating the world of media and technology, notes that American teens and tweens spend about nine hours using media for enjoyment. Research conducted by Silentnight, a United Kingdom-based bed and mattress company, found that mobile phone usage, at eight hours and 41 minutes per day, in the UK has now exceeded the amount of time people spend sleeping. Sleep experts warn that constant exposure to electronic devices is contributing to poor sleep and can have other negative effects on a person’s health. Cutting back on electronic device usage can prove challenging. However, with some patience and practice, it is possible to wean off devices without digital withdrawal symptoms. · Keep tech devices out of the bedroom. Make bedrooms device-free zones so they don’t disturb

sleep. Various studies have found the blue light emitted from phones and other electronics can wreak havoc with the body’s natural circadian rhythms, reducing melatonin production and causing the body to think it’s daylight. Turn off devices at least 60 to 90 minutes before bed to give the mind time to wind down. · Reach for a book. When a diversion is needed, grab a book or another reading material. Keep magazines, traditional books instead of e-books and newspapers at the ready. · Turn off notifications. Eliminate pop-ups and audible sounds. Check posts and emails on your own schedule. · Delay turn-on times. Push back the time that you first turn on a phone or another electronic device by a couple of minutes per day. · Leave phones home when running quick errands. Leave phones at home when stepping out of the house to run quick errands. Follow suit when shopping for groceries or heading to the gym for a workout. · Set limits. Establish a schedule when devices can and cannot be used in the house, enforcing this schedule strictly. When not on devices, get outdoors or engage in physical activity. A popular new resolution is to cut back on the amount of time spent using electronic devices. This can reduce dependence on technology and help improve overall health as well.

written by Tim Reichert Eagles Landing Family Practice

ou can hardly turn on the radio or television these days without hearing a commercial for “low T.” But what exactly is low T and what causes it? Stacy Olliff, M.D., a physician at Eagles Landing Family Practice, says he’s seeing more and more cases of low testosterone in both older and younger men. Dr. Olliff says low T is a common problem in men, and seeking help is important to their overall health. Question: What is testosterone and what role does it play in the body? Dr. Olliff: Testosterone is the primary sex hormone in men. It is mainly produced in the testicles, but a smaller amount is also produced in the brain (adrenal glands). It is the main driver of puberty in boys and once grown, men need proper levels of testosterone for muscle mass, strong bones and prevention of osteoporosis, as well as a healthy sex drive. Question: What causes low testosterone or “low T?” Dr. Olliff: There are different forms of low T. Knowing which type is important in discovering the cause and proper treatment. The most common reason for low testosterone is that the testicles are no longer producing the same amount of hormone they used to. This is the vast majority of what we see. Decreased testosterone production in the testicles is largely due to age, but we’re also seeing it in more and more younger men. Low T can also stem from the brain not producing signals for the testicles to produce testosterone. Other causes of low T can include cancer, infections, radiation exposure, genetic disorders, autoimmune diseases, etc. Question: What happens when there’s too little testosterone produced? Dr. Olliff: When men aren’t producing enough testosterone, there are adverse effects on bones and muscles. Low levels can even lead to injuries, fatigue, problems with concentration, moodiness and depression. In younger patients, low T impacts male fertility. And of course it has an impact on a man’s sex drive and his ability to maintain an erection. Question: How is low T diagnosed? Dr. Olliff: Because low testosterone tends to mirror other medical problems, I make screening for low T routine. When a patient presents with certain symptoms, we administer a blood test to gauge the total testosterone level as well as the “free T” level. Many physicians are just looking at that total testosterone level, which is what insurance companies seem to focus on as well. But looking at the free T level is important because your total testosterone may be within what’s considered normal levels, but the free T – the testosterone that’s active in the body – may be low. Question: If my levels come back low, what happens next? Dr. Olliff: If the patient’s testosterone level is low, we bring them back

in and recheck it. Insurance companies tend to want two tests that show levels below a certain threshold before they’ll cover any type of treatment. I check several other important labs to determine the cause, including PSA level since testosterone can increase the size of the prostate and worsen prostate cancer. Question: How do you treat low T? Dr. Olliff: There are several ways to replace testosterone. When it comes to symptom improvement and increasing testosterone levels, I have seen the best results with testosterone pellets (Testopel). Many primary care providers don’t do this procedure in the office like we do at ELFP. It is relatively quick and involves the doctor inserting testosterone pellets just beneath the skin of the lower back/upper glute. The capsules gradually release testosterone over a three-to-six-month period. The drawback is that the treatment is expensive, and it can be tricky to get insurance to cover it. In my experience the next best option would be testosterone injections, but patients don’t tend to like those as much because, for one, they involve needles. Plus, some find it inconvenient to come in regularly, which is what the injections require. Other options are testosterone gels and creams, but they are also insurance dependent and come with risks of transfer to a spouse or children who might contact the same area. testosterone tablets are available but I do not prescribe them because of the potential for liver toxicity. Other oral options are fertility drugs such as Clomid and hCG. These kick start the brain to send the signal to the testicles to produce testosterone. (In women, these drugs help produce estrogen.) Question: Why do you think more younger men have low T? Dr. Olliff: Doctors have theories, such as the foods we’re consuming, but we just don’t know for certain. One link we can make is between steroid use and low T. We know that teens and young men who have done anabolic steroids can see problems with testosterone that can follow them for the rest of their lives. I recommend avoiding all the over-the-counter testosterone supplements because they can potentially cause the body to stop producing testosterone naturally. Question: What about the increase in marketing surrounding low T? Good or bad? Dr. Olliff: I believe the commercials have been a good thing. More men are aware of it now, and I feel like it’s removed some of the stigma surrounding what is actually a common men’s health issue. I would encourage men who see those ads and think they could have low T to contact their physicians. It’s important to know what’s causing the low T to treat it appropriately and safely, plus there could always be another medical issue that’s causing the symptoms. Additionally, you’re going to need a prescription for testosterone replacement therapy if you hope to have insurance cover the costs.

If you suspect you have low T, schedule an appointment with your family doctor. Dr. Olliff at Eagles Landing Family Practice in Conyers regularly screens and treats patients with low testosterone. Learn more about Dr. Olliff at elfp.com, or call his office today at (770) 284-1842 to schedule an appointment. 6 HEALTHY IN HENRY | SPRING 2017

SPRING 2017 | HEALTHY IN HENRY

k SPRING FEATURE

Relief from Allergy Symptoms

written by Lee Udell

efore the flowers even start blooming, you can tell that springtime is just around the corner. Swollen, itchy, watery eyes, a runny nose, sneezing, sniffling, and a general state of misery are the only harbingers you need to tell you spring is on the way – and pollen counts are on their way up. Alas, like millions of other allergy sufferers, you have a love/ hate relationship with springtime. Warmer temperatures bring a welcome change from being cooped up on cold winter days, but with the balmy breezes come airborne pollens and mold spores that send yo u r b o d y ’s immune system into overdrive. “On high pollen days, I can only stay outside for short periods of time,” says Nan Watkins, whose two teens play on springtime sports teams at their local high school. “It’s upsetting for me and for my kids, because I want

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nothing more than to be there for them, cheering them on. But some days, it’s all I can do to sit through an entire tennis match.” If you’re like Nan, the recent mild winter will likely add to your allergy suffering this year, thanks to earlier, more rapid plant growth. And the wetter weather will almost surely lead to an increase in mold, causing symptoms that can start in the spring and last well into the fall. Climate factors can play a major role each year in how severe your symptoms might be: • Tree, grass and ragweed pollens thrive on periods of cool nights and warm days, such as those we experienced this winter. • Molds grow quickly in heat and humidity, both common players in our springtime scenario. • Rain washes pollen away, but pollen counts can also skyrocket after rainfall. • On warm, windy days, common in

this area in springtime, pollen counts can soar. The usual culprits for springtime hay fever are oak, sycamore, maple, elm and birch, with hickory, poplar and walnut rounding out the list of common triggers. The small pollen cells these trees produce are light and dry, so they can be carried far and wide by spring breezes. Thus, you don’t even need to live in a heavily wooded area to feel the effects of spring pollen. While you might be tempted to move to another climate to avoid the misery of spring allergies, experts warn that approach usually isn’t successful – allergens are virtually everywhere. But there are steps you can take to get some relief from your symptoms. • Limit time outdoors: With the help of your doctor, learn which pollens you’re sensitive to, and then monitor pollen counts. In spring and summer, pollen levels are typically highest in the evening, so try to exercise or garden early in the day. If you must head outdoors, arm yourself with glasses or sunglasses to keep pollen out of your eyes and a filter mask for gardening or cutting grass. • Take allergy medication: Oral antihistamines, available over the counter, block your body’s response to allergens. Some may provide relief

in as little as an hour, but others could require a few days to build up in your system. Nasal sprays can also provide relief, but, again, it may be several days before you notice improvement. If you have a history of seasonal allergies, start medications about two weeks before you expect pollen counts to explode. If you experience more severe allergies which don’t respond to these medicines, allergy shots could be the answer. These contain a tiny amount of the pollen, to expose you over time to gradual increments of your allergen, so your body learns to tolerate it. • Turn your home into a castle: Keep windows and doors closed, and use an air conditioner equipped with allergy filters to cool your home, instead of a fan, which pulls air into your home from outdoors. Clean floors with a vacuum cleaner that has a HEPA (high-efficiency particulate air) filter. Leave your shoes at the door, and ask guests to do the same. Take a shower, wash your hair, and change your clothes if you’ve been working or playing outdoors. Don’t wait for spring allergies to wreak havoc with your head this year. The more you know about protecting yourself – and the sooner you start taking steps to curtail your misery – the better you can stop your suffering at the source.

SPRING 2017 | HEALTHY IN HENRY

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Dr. Gurinderjit Sidhu

Dr. Lijo Simpson

Dr. Gerald Goldklang

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general health

FEATURE

Northside Hospital Cancer Institute A Healthier You… How Screenings Can Beat Cancer

hen caught early, cancer is often easier to treat. That’s why cancer screenings are so pivotal to the early detection and treatment of this deadly disease. However, new clinical studies can lead to new screening recommendations for (and increased confusion about) screenings and healthy living. Who do you listen to? The most important thing you can do is to know your body, recognize changes and report them to you doctor when they occur. Keep a detailed personal and family health history. Then, talk with your doctor about what screenings and lifestyle changes are right for you. When do I need to be screened? Regardless of your age, have annual check-ups with your doctor. Be proactive about your health and do your own research. Learn about your cancer risks and what screenings are recommended for your age and gender. Take any concerns you have to your doctor. Skin Cancer / Melanoma Regardless of your age, have yearly body checks by a dermatologist and perform self-checks once a month. Individuals with reduced immunity or who have had skin cancer before, and those with a strong family history of skin cancer are at higher risk for developing skin cancer. Call your doctor if you notice anything unusual. Prostate Cancer Beginning at age 55, men at average risk for developing prostate cancer should begin to discuss screening with their doctor. Men at high risk for developing prostate cancer, including those who are African-American or have a family history of the disease, should begin discussing screening even sooner, at around 40. Lung Cancer Screening is recommended for high-risk individuals who are 5077 and smoke, and who have one or more additional risk factors. Colorectal Cancer Beginning at age 50, both men and women at average risk for developing colorectal cancer should have a colonoscopy every 10 years. If you are at an increased risk of developing colorectal cancer, discuss earlier screenings with your doctor. Breast Cancer Women should begin annual mammograms beginning at age 40 and continue for as long as they are in good health. Some women because of their family history, genetic tendency, or certain other

factors should be screened with MRI in addition to mammography. Your doctor can tell you whether you should have additional tests or should start screening at an earlier age. Cervical Cancer Routine Pap tests are crucial for the early detection and treatment of cervical cancer. Women 21 to 65 years should have a routine Pap test at least once every three years. HPV vaccines help protect against most but not all cases of HPV cervical infections. More cases of cancer are diagnosed and treated at the Northside Hospital Cancer Institute than at any other hospital in Georgia. At Northside Hospital-Atlanta and outpatient facilities nearby in Stockbridge and Jonesboro, patients have access to a full continuum of cancer care – from prevention and diagnosis to treatment, rehabilitation, and support. For more information, visit www.northside.com/cancerinstitute.

CANCER SCREENINGS AT NORTHSIDE HOSPITAL-ATLANTA Northside offers a variety of cancer screenings and programs throughout the year. Call the number listed for registration and eligibility requirements. Appointments are required. Skin Cancer Screenings 404-531-4444 Next screening: Thursday, May 18, 6-8 p.m. Registration opens April 3. Prostate Cancer Screenings 404-531-4444 Next screening: Thursday, September 14, 5:30-8 p.m. Registration opens July 31. Smoking Cessation Program 404-780-7653 Classes begin March 7, May 2, June 27, August 29 and October 24. Lung Cancer Screenings 404-531-4444 Breast Cancer Screenings 770-667-4400

Dr. Jorge Spinolo

10 HEALTHY IN HENRY | SPRING 2017

SPRING 2017 | HEALTHY IN HENRY

general health

FEATURE

Recognize Potentially Dangerous Household Chemicals

omes are safe havens that people retreat to in an effort to relax and unwind. However, homes may be harboring some hazards that put their inhabitants at risk. Cleaning products and chemicals can be found in every home, but some may be putting people in jeopardy. Even seemingly safe items can prove dangerous when they are used and/or stored incorrectly. Individuals who make a concerted effort to educate themselves about common household chemicals can reduce the likelihood that such cleaners will hurt them in the long run. The following are some commonly used products that may prove dangerous or irritating with prolonged use. Air Fresheners These seemingly innocuous products may be doing more harm than good. Information published in a 2015 issue of The Journal of Toxicological Sciences linked air fresheners to volatile organic compounds, or VOCs. They also may contain ultra-fine particles of formaldehyde and phenol. In addition, National Geographic’s The Green Guide states that many air fresheners contain nerve-deadening chemicals that coat nasal passages and temporarily block one’s sense of smell. Many widely available air fresheners use phthalates, which are linked to hormonal and reproductive issues, birth defects and developmental disorders. In lieu of chemical air fresheners, spray diluted essential oils around the house. All-purpose Cleaners Many cleaners list bleach and ammonia among their ingredients. Bleach may be listed as sodium hypochlorite. When used as directed in a well-ventilated space, bleach and ammonia can be relatively safe. However, fumes from bleach or ammonia can cause rashes and skin irritation and irritate the eyes and

general health

respiratory tract. Bleach and ammonia should never be mixed because mixing the two can produce a deadly chloramine gas. Vinegar and baking soda can be used as a replacement for many household cleaning products, and these alternatives have virtually no dangerous side effects. Drain and Oven Cleaners Many drain and oven cleaners contain lye (sodium hydroxide or potassium hydroxide), a chemical derived from salt or wood ash that is used to break down other substances, particularly those that are sticky. Lye is quite caustic in high amounts and extremely alkaline, which can cause burns and skin irritation. Lye is also found in soaps and detergents. When handled correctly in safe amounts, lye can be used safely. However, it can be dangerous if it gets into the hands of children or is touched by pets. Antibacterial Products Antibacterial soaps, lotions and wipes may contain triclosan, triclocarban and at least 17 additional ingredients that are linked to various negative health effects. In September 2016, the U.S. Food and Drug Administration banned the use of these antibacterial agents. These chemicals can disrupt hormone cycles and cause muscle weakness. “There’s no data demonstrating that over-thecounter antibacterial soaps are better at preventing illness than washing with plain soap and water,” the FDA said in a press release issued shortly after the rule was announced. In addition to the aforementioned products, some carpet cleaners, toilet cleaners and other detergents may prove harmful. Always read ingredient lists, use products in the proper fashion and keep any and all chemicals away from children and pets.

FEATURE

Colon Cancer Screening Saves Lives

aving a colonoscopy isn’t something people get excited about, but preventing colon cancer before it starts should be. Ranked as the second leading cause of cancer death in the U.S., colon cancer is one of the most highly treatable and preventable cancers when detected in its early stages with a colonoscopy. Atlanta Gastroenterology Associates (AGA) physicians perform this procedure regularly at AGA-affiliated outpatient endoscopy centers and area hospitals. Because early detection and removal of polyps during a colonoscopy can actually prevent the disease, screening colonoscopies are recommended for everyone beginning at age 50 and younger for those with a family history or other risk factors. While there is evidence that more people are getting screened than in previous years, one in three adults ages 50 or older are not getting this lifesaving test. If it’s time for your screening colonoscopy and you’re in good health, you may be able to schedule your procedure directly – without a pre-procedure visit. When you make your appointment, ask about our Direct Access Program. The physicians at AGA see patients at more than 40 locations across metro Atlanta. To make an appointment, call 1.866.GO.TO.AGA [468.6242] or visit www.atlantagastro.com.

FAQ: Common Questions About Colonoscopy Screenings

What is a colonoscopy?

A colonoscopy is considered the single best method for detecting colon cancer in its early stages. A colonoscopy is a procedure performed under light sedation that allows a trained gastroenterologist to look at the inner lining of your large intestine – or colon. The physician uses a thin, flexible, lighted instrument called a colonoscope to visually inspect your colon.

How long does the procedure take?

The entire process – from check-in to check-out – typically takes about two hours. A colonoscopy itself usually takes about 25 to 30 minutes. You should plan to rest for several hours after the procedure.

When should you get screened?

Screening colonoscopies are recommended for every adult beginning at age 50 and at age 45 if you are African-American.* For those with a family history of the disease, or other risk factors, screening could start even earlier. *American Cancer Society

A simple thing can save a life.

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www.atlantagastro.com 12 HEALTHY IN HENRY | SPRING 2017

AGA, LLC and its affiliates are participating providers for Medicare, Medicaid, and most healthcare plans offered in Georgia. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

SPRING 2017 | HEALTHY IN HENRY

NEW PATIENTS & MOST INSURANCE PLANS ACCEPTED!

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770-785-SKIN (7546) 1349 Milstead Road • CONYERS Skin Cancer Removal • Mohs Surgery Routine Skin Exams • Mole Removal General & Surgical Dermatology 14 HEALTHY IN HENRY | SPRING 2017

GaDerm.com

kin cancer is by far the most common type of cancer. Each year in the U.S., over 5.4 million cases of non-melanoma skin cancer are treated in more than 3.3 million people. And during the course of a lifetime, one in five Americans will develop some form of skin cancer. Skin cancer is caused by the uncontrolled growth of abnormal skin cells. Unrepaired DNA damage to skin cells (most often caused by ultraviolet radiation from sunshine or tanning beds) triggers mutations, or genetic defects, that lead the skin cells to multiply rapidly and form malignant tumors. Early detection is key in catching skin cancer before it can become life threatening, especially with malignant melanoma, the most dangerous and aggressive form of skin cancer. While melanoma isn’t the most common of skin cancers, it causes the most deaths. It’s estimated that melanoma kills more than 10,000 people annually in the U.S., and experts predict that more than 76,000 people will be diagnosed with invasive melanomas this year alone. Melanoma frequently develops in a mole or can suddenly appear as a new dark spot on the skin. The telltale ABCDEs of melanoma are: a) asymmetry, b) border (irregular or poorly defined), c) color (varied with shades of tan, brown or black), d) diameter (typically larger than the size of a pencil eraser), and e) evolving (changing in size, color or shape). The most common type of skin cancer is basal cell carcinoma (BCC). These flesh-colored, pearl-like bumps or pinkish patches of skin are common on the head, neck and arms, but they can pop up anywhere, including the chest, abdomen or legs. BCC almost never spreads (metastasizes) beyond the original tumor site, but it still shouldn’t be taken lightly. If not treated promptly, BCC can cause damage and disfiguration. Squamous cell carcinoma (SCC) is the second most common form of skin cancer. It may look like a firm,

general health

FEATURE

red bump, a scaly patch, or a sore that heals and then re-opens. SCC tends to form on skin that gets frequent sun exposure, such as the rim of the ear, face, neck, arms, chest and back. With early detection, SCC can be readily treated, but if allowed to grow larger, a SCC can grow deep in the skin and cause tissue damage and disfigurement. It’s never too late to begin protecting yourself from skin cancer. Clothing is your first line of defense against the sun’s harmful ultraviolet (UV) rays, which cause most skin cancers. The more skin you cover, the better. Long sleeves, long pants, a broad-brimmed hat, and UV-blocking sunglasses protect you most effectively. Other parts of a complete sun protection regimen should include: ➧ Seeking the shade – especially between 10 a.m. and 4 p.m. ➧ Do not burn. Use a broad-spectrum (UVA/UVB) sunscreen with a minimum of SPF 15 every day. For extended outdoor activities, use a water-resistant, broad-spectrum sunscreen with an SPF of 30 or higher. Apply sunscreen 30 minutes before going outside, and reapply every two hours or immediately after swimming or excessive sweating. ➧ Avoid tanning and UV tanning beds. ➧ Keep newborns out of the sun. Sunscreen should be used on babies over the age of six months. ➧ Examine your skin head-to-toe every month. Be sure to check your skin thoroughly, even the places that never see the sun. Check your scalp, your nails, and the bottoms of your feet, where it might be easy to overlook moles. Get to know your skin, and know what’s normal for you – and what’s different. ➧ See your physician every year for a professional skin exam. However, if you notice a spot or mole that’s different from others, or that changes, itches or bleeds, make an appointment to see a dermatologist right away. The dermatologists at Georgia Dermatology and Skin Cancer Center in Conyers specialize in treating all types of skin disorders, including skin cancers. Call 770-785-SKIN (7546) today for an appointment, and protect your skin for life.

SPRING 2017 | HEALTHY IN HENRY

Staying well

Your guide to preventive health

IMAGING CENTER

By Tim Reichert Eagles Landing Family Practice

Expert imaging, affordable prices

Why pay more when you have a choice to receive expert imaging procedures at a fraction of the cost?

At Eagles Landing Family Practice (ELFP), we believe in bringing together talented physicians, innovative facilities and advanced procedures to give our patients access to the convenient, quality care they deserve in a cost-effective setting. This not only applies to our nine primary care locations across Henry, Rockdale and Butts counties, but also to our state-of-the-art imaging center. The Eagles Landing Family Practice Imaging Center provides diverse imaging options that assist with diagnosing bone, cardiac, nerve, organ, tissue and vision conditions. All imaging reports are read by board-certified radiologists. By not charging inflated fees associated with other imaging centers, ELFP Imaging Center can offer a greater value at significantly lower prices for our patients without sacrificing quality. Based on our research, we believe our patients have significantly lower costs at ELFP than at other imaging facilities in the area. ELFP patients could save approximately on common imaging procedures.*

Conveniently located in McDonough, we are pleased to provide: • 2D/3D Screening Mammography, including Diagnostic Mammography • CT Scans, including Low Dose Lung Cancer Screening CT Scans • Body Composition or Body Fat Percentage Testing • DEXA Bone Density Test • Ultrasound • Echocardiography (Echo) • Nerve conduction studies • Digital Retinal Screening • Glaucoma Screeing • Extended hours and open on Saturdays

ELFP

Competitor A

Competitor B

CT Abdomen/Pelvis:

$470

$1,454.70

$1,180.00

Ultrasound RUQ: (Limited abdominal)

$194

$299.70

$224.25

Ultrasound Pelvic:

$184

$313.50

$224.25

*Savings reflect up-front self-pay pricing on three common diagnostic procedures as of January 5, 2017. Please note: individual results may vary due to insurance and the specific imaging tests performed.

Visit elfp.com/save to tour our center. Or call 770-268-4412 for more information about our services and prices. 16 HEALTHY IN HENRY | SPRING 2017

SCREENING RECOMMENDATIONS ANNUAL WELL WOMAN EXAM “An ounce of prevention is worth a pound of cure.” “Early detection is the best protection.” “Prevention is better than cure.” It’s safe to say that most of us have heard a variation of one of these common preventive health maxims, if not all of them. But they are more than clichés and sayings – there is undeniable truth in the message. “If you can prevent disease, that can save you a lifetime of ill health,” says Heidi H. Chun, M.D., a physician at Eagles Landing Family Practice. “What you do today, you’re going to pay for one way or another,” Chun says. “I look at it like a bank account. Whatever good choices you make, you’re putting a deposit in, and whenever you make a bad one, you’re taking it out.”

AAA (ABDOMINAL AORTIC ANEURYSM)

Men age 65-75 who have ever smoked

BONE DENSITY

Women age 65 and older; younger women at high risk

BREAST CANCER (MAMMOGRAPHY)

Women age 50 and older*

CERVICAL CANCER

Women age 21-65**

With enough bad choices, you’re looking at bankruptcy, Chun advised.

COLORECTAL CANCER

“Preventive health is very important because you can make choices, have vaccinations and do screenings that could prevent you from being diagnosed with a disease at a later stage, or have even gone through it at all.”

FALL PREVENTION

To help you stay on the road to good health, we’ve put together a guide to common wellness screenings along with their recommended timelines. It is by no means a comprehensive a list of available screenings and exams, so be sure to talk with your physician about which screenings are best for you. Your provider can determine and recommend which tests and scans are appropriate. Many regular preventive screenings are covered by insurance, with no deductibles or co-insurance, so check with your provider for specific benefits. From the inside out – trust your care to Eagles Landing Family Practice’s team of more than 40 board-certified providers. See our adjacent ad for more information about ELFP and our services and extended hours.

elfp.com

Women age 65 and younger

Adults age 50-75 Adults age 65 and older

LUNG CANCER

Adults age 55-80 who have smoked heavily

PHYSICAL EXAM

Varies based on age, risk factors

SKIN CANCER

Inconclusive; report any suspicious moles or spots

Above screening recommendations are from the U.S. Preventive Services Task Force for otherwise healthy adults. *The USPSTF recommends annual mammograms every other year beginning at age 50. The American Cancer Society says all women should begin annual exams by age 45, and can change to having mammograms every other year beginning at age 55; the ACS states women should have the choice to start yearly mammograms at age 40 if they want to. **The USPSTF recommends a Pap test every three years; age 30 or older every 5 years if Pap test is accompanied by an HPV test.

SPRING 2017 | HEALTHY IN HENRY

LIVE LONG. LIVE WELL. LIVE ON.

general health

FEATURE

Allergy Immunotherapy

F • Primary Care/Total Care • Cutting Edge Diagnostics • Same Day Appointments • Online Access and Scheduling At LiveOn Medical Center – we care about your health! A provider who handles your everyday needs, but takes the time to help you live long and live well is rare. Our Nurse Practitioners, Erica Payne and Merrilea Reeves are committed to providing compassionate, competent care from a holistic approach with a focus on Primary Care, Hormone Replacement Therapy and Anti-aging and allergy immunotherapy. Dr. George Capo is certified by the American Board of Family Practice. He is also board certified in Bariatrics and Anti-aging medicine. Patients see Dr. Capo for a variety of reasons, including general consultations, diabetes, allergy immunotherapy, sleep problems, arthritis and heart disease. Make your appointment today to Live long, Live well, Live on!

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

or many, springtime is a season of pleasant temperatures, chirping birds and the beauty of blooming flowers. But for others, springtime is the beginning of allergy season, a time of sneezing, sniffling misery. While over-the-counter medicines can bring relief to some, many people continue to suffer in spite of these. But there is hope for even the most chronic allergy sufferers: immunotherapy. Allergy immunotherapy, commonly called allergy shots, helps your body get used to allergens, the triggers that cause an allergic reaction in your body. With long-term treatment, many people have decreased symptoms, even after treatment is stopped. If you’ve been suffering from allergy symptoms for more than three months out of the year and over-the-counter medicines haven’t helped, you may want to discuss allergy shots with your doctor. Your LiveOn physician can help you decide if immunotherapy is the right choice for you. At your doctor visit, you’ll discuss: • The severity of your symptoms and how long they typically last; • How well you’ve responded to medications and other measures you’ve taken to avoid pollens and control your allergy symptoms; • Whether you’re able to commit to the timeconsuming nature of pursuing immunotherapy; and • The cost of immunotherapy, which can vary considerably based on your insurance coverage. Once you decide to begin immunotherapy, you’ll most likely visit your doctor once or twice a week for several months and receive a shot in your upper arm. You can expect to stay at the doctor’s office for about 30 minutes after the shot, to be sure you don’t have any side effects. Each shot contains a tiny amount of whatever

you’re allergic to, and the dose will gradually go up until you reach your maintenance dose. The length of this phase will depend on how often you receive the shots, but typically ranges anywhere from three to six months. Once your effective dose is reached, your maintenance phase will kick in. Your effective maintenance dose will depend on how sensitive you are to the allergen and how well you’re responding to the build-up phase. In the maintenance phase, which can last anywhere from four to five months, you’ll probably get a shot every two to four weeks. Most likely, you’ll notice a decrease in symptoms during the build-up phase of your treatment. However, it could take up to 12 months on the maintenance dose for you to notice further improvement. If your allergy shots prove successful, your doctor will begin to gradually increase the time between shots until you’re getting them about once a month, probably for about three to five years. During this time frame, your allergy symptoms should continue to improve – and they may even go away completely. Allergy shots are usually quite effective for longtime allergy sufferers, but they may not work for everyone. It can depend on how many things you’re allergic to and how severe your symptoms are, as well as how high allergen levels are in your environment. But given that the process has very low risk and often very high rewards for many patients, it’s certainly an option worth pursuing. The providers at LiveOn Medical Center in McDonough can help you decide if immunotherapy is right for you. At LiveOn Medical Center, our focus is on your wellness, looking at each patient’s total picture to ensure peak health, well-being and vibrancy in life. Call 770-302-6780 today and schedule an appointment during our extended office hours, Monday through Saturday.

770.302.6780 | LiveOnCenter.com 8:00am – 6:00pm Monday – Thursday, 8:00am – 5:00pm Friday and 9:00am to 1:00pm Saturday 18 HEALTHY IN HENRY | SPRING 2017

SPRING 2017 | HEALTHY IN HENRY

Caring for Southern Women’s Healthcare.

general health

FEATURE

A New Non-Surgical Procedure... ThermiVa written by Lee Udell

T Shobha C. Rao,

Jeffery D. Lovinger,

Deborah E. Haynes,

Steven M. Lopatine,

Laxman Ramani,

M.D., FACOG, FPMRS

M.D., FACOG

Amy Rodatus,

Amanda C. Phillips,

Clarisa Haugabrook,

Annie Cruz,

Pam Garrett,

M.D.

M.D., FACOG

M.D.

RN, CNP

Eagles Landing OB/GYN Associates, the premier obstetrical and gynecological medical practice in Stockbridge, GA. We are a group of specialists with specialized nurses, technicians, and support personnel that allow us to manage the total health care of today’s women.

Are you experiencing: vaginal sagging, vaginal dryness, mild bladder incontinence, orgasmic dysfunction? Are you interested in tightening up your inner vagina and/or outer labia? Eagles Landing OBGYN is excited to offer ThermiVa. No Downtime. Non-Surgical. Safe. Effective. Ask if ThermiVa might be right for you!

ADDITIONAL SERVICES 350 Country Club Dr., Suite D Stockbridge

(770) 474-1919

• In-Office Tubal Ligation • Weight Management • Urinary Incontinence Therapy • Prolapse Surgery

• Bone Density • Digital Mammography • Endometrial Ablation • Advanced Laparoscopic Surgery

he natural aging process, genetics and childbirth can all contribute to changes which affect feminine wellness. Multiple births, a particularly strenuous vaginal childbirth, and the effects of menopause can cause physical changes which rob women (and their partners) of their sense of well-being and happiness. Excessive relaxation of the vaginal muscles can lead to daily discomfort, a loss of sexual satisfaction, and even incontinence. Until recently, however, the only solution – labiaplasty – required surgery. Of course, surgery carries risks, such as scarring, infection, bleeding and even nerve damage. But, today, for women interested in feminine rejuvenation, there’s a new non-surgical procedure called ThermiVa.

➤ What are the benefits? During clinical trials, some patients reported that the tightened vaginal tissue resulting from the treatment provided them with improved sensation and increased vaginal moisture during intercourse. Women and their partners noticed the tightened vaginal canal, resulting in a more satisfying sexual experience. A lesser-known benefit of ThermiVa is improvement of incontinence, an issue which affects many women after childbirth or as a result of aging. Patients often report improved muscular coordination around the bladder, reducing urinary leakage accidents with activity and the symptoms of urinary urgency. What’s more, patients often report feeling more comfortable in body-conscious clothing.

➤ What is ThermiVa? ThermiVa is a noninvasive, in-office treatment that is painless, and requires no downtime for women. ThermiVa treatments use radiofrequency energy to gently heat tissue to rejuvenate collagen, without the need for anesthesia, numbing shots or creams. Patients can resume their normal daily activities immediately following treatment.

➤ What can women expect from ThermiVa treatment? The treatment itself creates a warm sensation with no pain either during or after treatment. There is no downtime after the treatment, and women can immediately return to normal activities – including sexual activity – the same day. There is no discharge or odor after treatment. Typically, the ThermiVa treatment protocol calls for a three-treatment series, each about a month apart. However, some patients are satisfied with their results after only one or two treatments. Some results of treatment are immediate, and they can be expected to continue and improve with each treatment.

➤ How does ThermiVa treatment work? Using controlled, therapeutic radiofrequency energy, ThermiVa gently contracts and tightens the external labia and vaginal canal, while stimulating collagen production. Treatment can also help in tissue and nerve healing. An S-shaped hand-held wand with a thermistor – an accurate sensor for measuring temperature – emits radiofrequency waves in a calculated method, allowing the practitioner to control the temperature of the treatment and ensure patient comfort and safety. Over time, the treatment will continuously tighten stretched or loose tissue in these areas. Treatment can address both the labia majora and vaginal areas in about 30 minutes, so busy patients can receive treatment and carry on with their daily lives. Maintenance treatments are recommended once or twice per year, depending on the patient.

➤ Is ThermiVa safe? ThermiVa treatment can safely be performed as soon as six weeks after childbirth and in between pregnancies. It is perfectly safe, with few side effects. No burns, blisters, organ or nerve damage have been reported. And it offers a safe alternative to more invasive surgical procedures. ➤ How can I learn more about ThermiVa? Eagles Landing OBGYN offers ThermiVa in their Stockbridge office. Call 770-474-1919 to schedule an appointment today and talk with a physician at Eagles Landing OBGYN to see if ThermiVa is right for you.

New patient forms available online at www.elobgynassoc.com 20 HEALTHY IN HENRY | SPRING 2017

SPRING 2017 | HEALTHY IN HENRY

general health

FEATURE

How to Improve Indoor Air Quality in Your Home R

outinely vacuuming floors can improve indoor air quality in a home by preventing the buildup of dust mites and other harmful allergens. During winter months, homeowners who live in locales with harsh winters should prepare their homes for a season spent largely indoors. Unlike the other seasons of the year, when homeowners can comfortably air out their homes by opening windows, winter offers no such opportunities to let nature improve indoor air quality. Such a reality can make a home uncomfortable as winter drags on. But that discomfort pales in comparison to the health risks presented by poor indoor air quality. Radon, volatile chemicals from fragrances used in conventional cleaners and lead from house dust are just a few of the many sources of indoor air pollution commonly found in homes, and these pollutants can be especially harmful in winter, when many people spend more time indoors thanks to harsh weather. But while you might not be able to change the weather so you can open windows in the wintertime, you can take steps to improve indoor air quality in your home. F Clean the floors regularly. Dirty floors take their toll on a home’s indoor air quality. Dust that’s allowed to settle on floors may contain harmful chemicals and allergens that can lead to respiratory problems and additional uncomfortable health conditions. Clean your floors at least once per week during the winter months, ideally with a vacuum that’s equipped with a HEPA filter. The HEPA filter is important because it can prevent dust and dirt from being blown back out of the vacuum in the exhaust. After you have vacuumed, mop the floors as well, as even the most effective vacuums leave potentially harmful dust particles behind. A once-over with a mop and some hot water can remove any lingering dust left behind by the vacuum. F Place a floor mat near every entrance. Winter is a messy season, and it’s

22 HEALTHY IN HENRY | SPRING 2017

easy to bring in the great outdoors when you enter your home during cold weather seasons. Dirt that sticks to your shoes may contain potentially harmful chemicals, so place a floor mat near any door where people routinely enter your home and politely ask that all who enter wipe off and remove their shoes before moving about the house. F Dehumidify your home. Mold and dust mites thrive on moisture, so homeowners concerned about the moisture in their homes during the winter months can purchase a dehumidifier to control allergens and reduce moisture in the air. In addition to using a dehumidifier, you can control humidity in your home by using an exhaust fan when cooking, addressing leaky plumbing fixtures to prevent mold growth and making sure your clothes dryer is vented to the outside of your home. F Choose naturally scented laundry products. Everyone wants their freshly cleaned clothes to smell good, but the price you pay when using laundry products that employ synthetic fragrances may be far more than you realize. Such synthetic fragrances emit dozens of chemicals into the air, so choose naturally scented detergents, fabric softeners and dryer sheets when possible. F Avoid plug-in air fresheners. Unless otherwise noted on the packaging, plug-in air fresheners likely contain volatile organic compounds, or VOCs, which contain a variety of chemicals that can negatively impact both short- and longterm health. Instead of plugging in an air freshener to improve a home’s interior aroma, slice fresh lemons and leave them out in the kitchen and keep fresh indoor plants in living areas. Studies from NASA have shown that indoor plants naturally purify indoor air by absorbing materials released by synthetic materials. For winter, homeowners can employ several simple strategies to improve indoor air quality in their homes.

According to the U.S. Environmental Protection Agency, inadequate ventilation in a home can increase indoor air pollution levels. Those pollutant levels rise in a poorly ventilated home because not enough outdoor air is making its way into a home to dilute emissions from indoor sources of pollution. In addition, in a poorly ventilated home, indoor air pollutants are not being carried out of the home, leaving the pollutants to linger and potentially putting the health of the home’s residents at risk. Though it might seem counterintuitive to allow outdoor air into a home during winter, when such air tends to be at its coldest, such outdoor air can protect a home’s inhabitants from the immediate effects of indoor air pollution, which include irritation of the eyes, nose and throat, as well as headaches, dizziness and fatigue. Longterm effects of prolonged exposure to indoor air pollution can include respiratory disease, heart disease and cancer. But homeowners who want to increase outdoor air infiltration in their homes do not have to open the windows even when temperatures dip. A simple inspection of mechanical ventilation systems, such as bathroom and kitchen fans and air handling systems that employ fans and ducts to remove indoor air and distribute filtered and conditioned outdoor air throughout a home, may be all that’s necessary to ensure indoor air stays healthy during the winter. If such systems are in need of repair, homeowners should ensure those repairs are made prior to the arrival of winter.

SPRING 2017 | HEALTHY IN HENRY

“Postal Customer”

PRSRT STD US POSTAGE PAID PERMIT NO 15 Monroe, GA ECRWSS

IMAGING CENTER

Mon – Thurs: 8 a.m. – 6 p.m. Friday: 8 a.m. – 5 p.m. Sat: 10 a.m. - 2 p.m.

Our screening & diagnostic imaging services include 2D/3D Screening Mammography, including Diagnostic Mammography

High quality, low cost imaging services.

CT Scans, including Low Dose Lung Cancer Screening CT Body Composition or Body Fat Percentage Testing DEXA Bone Density Test Ultrasound Echocardiography (Echo) Nerve conduction studies Digital Retinal Screening Glaucoma Screening

Visit elfp.com/save to tour our imaging center.

See our article inside on page 16 for more details.*

The Eagles Landing Family Practice Imaging Center offers diverse procedures that assist with diagnosing bone, cardiac, nerve, organ, tissue and vision conditions.

✓Accredited by the American College of Radiology (ACR) ❑ ✓Accredited by the American Institute of Ultrasound in Medicine (AIUM) ❑ ✓Federal Drug Administration (FDA) approved ❑ To learn more or to schedule a procedure, call (770) 268-4412 or visit our website at elfp.com/save. Eagles Landing Family Practice Imaging Center 50 Kelly Road, Suite 100 | McDonough, GA 30253 *Savings reflect up-front self-pay pricing on three common diagnostic procedures as of January 5, 2017. Please note: individual results may vary due to insurance and the specific imaging tests performed.

24 HEALTHY IN HENRY | SPRING 2017