Winter 2015
The magazine that reflects the healthy lifestyles of the residents of the Newton County area and beyond.
IN NEWTON
Fitness for
2015
Colon Cancer Screening…Saves Lives! Getting kids outside this winter. Are you in pain?
HIN December 2014 layout.indd 1
12/19/2014 10:14:51 AM
If only the warning signs of a stroke were this obvious.
The magazine that reflects the healthy lifestyles of the residents of the Newton County area and beyond.
IN NEWTON VOLUME 2, NO. 1, WINTER 2015
You’re having a Stroke! Call 9-1-1 Now!�
Providing the next generation of stroke care. The Right Care. Right Here.
X Publisher: T. Pat Cavanaugh Editor: Michelle Kim
Comptroller: Debbie Thompson Sales Director: Annette Godwin
FACE
Ask the person to smile. Does one side of the face droop?
Graphics Manager/Layout Design: Carin DeBoer Photography: Hunter Ames Contributing Writers: Lee Udell; Jane S. Tan, M.D.; Michelle Kim; Jessie L. Bender, DO; staff reports
Arms
Speech
Time
Ask the person to raise both arms. Does one arm drift downward?
Ask the person to repeat a simple sentence. Are the words slurred? Can he/ she repeat the sentence correctly? If the person shows any of these symptoms time is important. Call 911 or get to the hospital fast. Brain cells are dying.
X 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 editor by email, address correspondence to mkim@rockdalenews.com
X ADVERTISING
Information regarding advertising and rates are available by contacting Annette Godwin by phone 770.883.6698 or email agodwin@rockdalenews.com.
X
Healthy in Newton c/o The Covington News 1166 Usher Street, Covington, Georgia 30014 Phone 770-787-6397 / Fax 770-787-6451 www.covnews.com
1412 Milstead Avenue, Conyers, GA 30012
www.RockdaleMedicalCenter.org HIN December 2014 layout.indd 2-3
the News Serving Rockdale County and Conyers
12/19/2014 10:17:44 AM
If only the warning signs of a stroke were this obvious.
The magazine that reflects the healthy lifestyles of the residents of the Newton County area and beyond.
IN NEWTON VOLUME 2, NO. 1, WINTER 2015
You’re having a Stroke! Call 9-1-1 Now!�
Providing the next generation of stroke care. The Right Care. Right Here.
X Publisher: T. Pat Cavanaugh Editor: Michelle Kim
Comptroller: Debbie Thompson Sales Director: Annette Godwin
FACE
Ask the person to smile. Does one side of the face droop?
Graphics Manager/Layout Design: Carin DeBoer Photography: Hunter Ames Contributing Writers: Lee Udell; Jane S. Tan, M.D.; Michelle Kim; Jessie L. Bender, DO; staff reports
Arms
Speech
Time
Ask the person to raise both arms. Does one arm drift downward?
Ask the person to repeat a simple sentence. Are the words slurred? Can he/ she repeat the sentence correctly? If the person shows any of these symptoms time is important. Call 911 or get to the hospital fast. Brain cells are dying.
X 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 editor by email, address correspondence to mkim@rockdalenews.com
X ADVERTISING
Information regarding advertising and rates are available by contacting Annette Godwin by phone 770.883.6698 or email agodwin@rockdalenews.com.
X
Healthy in Newton c/o The Covington News 1166 Usher Street, Covington, Georgia 30014 Phone 770-787-6397 / Fax 770-787-6451 www.covnews.com
1412 Milstead Avenue, Conyers, GA 30012
www.RockdaleMedicalCenter.org HIN December 2014 layout.indd 2-3
the News Serving Rockdale County and Conyers
12/19/2014 10:17:44 AM
Winter 2015
The magazine that reflects the healthy lifestyles of the residents of the Newton County area and beyond.
HEALTHY IN NEW TON • WINTER 2015 • VOLUME 2, NO. 1
CONTENTS
IN NEWTON
Fitness for
2015
Colon Cancer Screening…Saves Lives! Getting kids outside this winter. Are you in pain?
14
ABOUT THE COVER Anyone can benefit from strengthening and working out, and anyone can do the exercise and make the food choices needed for better fitness. See story on page 6.
6
Features 8
back pain in pregnancy
12
coolsculpting
15
are you in pain?
20
not "Just" a jammed finger
25
High blood sugar…what it is and what to do
27
26
colon cancer screening… saves lives!
30
HIN December 2014 layout.indd 4-5
12/19/2014 10:18:54 AM
Winter 2015
The magazine that reflects the healthy lifestyles of the residents of the Newton County area and beyond.
HEALTHY IN NEW TON • WINTER 2015 • VOLUME 2, NO. 1
CONTENTS
IN NEWTON
Fitness for
2015
Colon Cancer Screening…Saves Lives! Getting kids outside this winter. Are you in pain?
14
ABOUT THE COVER Anyone can benefit from strengthening and working out, and anyone can do the exercise and make the food choices needed for better fitness. See story on page 6.
6
Features 8
back pain in pregnancy
12
coolsculpting
15
are you in pain?
20
not "Just" a jammed finger
25
High blood sugar…what it is and what to do
27
26
colon cancer screening… saves lives!
30
HIN December 2014 layout.indd 4-5
12/19/2014 10:18:54 AM
Fitness for
2015 written by Michelle Kim photography by Hunter Ames
{
T
}
hink lifting weights and building endurance is just for body builders? Think again. Anyone can benefit from strengthening and working out, and anyone can do the exercise and make the food choices needed for better fitness. It’s all about getting started and sticking to it.
Modify Susan Simons never set out to lose 90 pounds over the last two years. Or to become the unofficial den mother at the Crossfit Ransom gym. Her main goal, when she started working out in January 2012, was simply to survive. Simons, who has served as the unflappable secretary to Rockdale Superior Court Judge David Irwin’s office for 16 years, had not worked out for at least two decades. Her knees hurt when she did try. And she had gone on and off diets over the years, but nothing stuck. Like most people, she had the basic knowledge of what she needed to do to improve her fitness, but simply didn’t do it. “Oh heck, I knew it. I was just bad,” she said. “I don’t know what switch turned.” She described herself as a “healthy fat person” without drastic health issues to scare her into fitness. But she was keeping track of what she ate on My Fitness Pal. And then a friend invited her to a bootcamp workout run by Covington residents Morgan and Ryan Pye at her church, Conyers First United Methodist.
“I started going one night a week, thought I would die, but I didn’t,” said Simon. “Then two nights a week. Then three nights a week.” She did her workouts “under the radar, in case I failed.” But fail she did not. When the Pyes opened the Crossfit Ransom gym in 2014, Simon stayed with them, although it took a little convincing for her to realize she had already been doing Crossfit-type exercises all along. Now, Simons – who used to pooh-pooh exercise – hits the gym twice a day. She attends the 7 a.m. workout, where she’s usually the only one, and then the evening workouts to socialize. And for the past three years Simons has been on the winning team of the county government’s annual weight loss challenge for employees. The key is finding a way that works for her. “’Modification’ is the best word ever,” she said. “I may modify it, but I can do it.” And not going to the extremes. “I knew for me, it had to be slow and steady. I had to make realistic choices that I could keep up
with.” Food is a big part of fitness. “For me (it was) eating regular food but making better food choices, adding in more vegetables, adding in more raw foods. Cutting out prepared foods, and limiting sugar.” Her advice to anyone wanting to get healthier but leery of exercise? “Just do it. Just start. Don’t be afraid.” “I remind them, if I can do it, anybody can do it. Everything can be modified.” Stronger Together For newlyweds Grace and Donovan Carter, working out did not come easily, but now they can’t imagine their daily lives without it. The Covington natives got married August 2012 and hit the “Newlywed 15.” Donovan, a 23-year-old Information Technology professional, said “I’d started to pudge out a little bit. (Grace) expressed she wanted to get in better shape. So I said OK, you should go to bootcamp.” Grace did go but struggled with motivation and asked Donovan to come with her. They found working out together motivated each other to keep going. “It makes everything easier when you have a similar routine together,” said Grace, a 24-year-old hair dresser and nanny. “We can do dinner together so we can get out at the same time. Days when I don’t want to go, he wants to go. When he doesn’t want to go, I want to go. It really does work out.” Neither saw themselves as Crossfit-types before they began the bootcamps and the Crossfit Ransom gym. Grace was in dance and Donovan played sports growing up. But they credit the Pyes’ supportive coaching style and the community at the gym. “We’re five to six months in. I haven’t hit my goals completely, but I’ve done a lot of things, I’ve achieved a lot,” said Grace. She’s lost inches and gained muscle. And she’s discovered she’s stronger than she thought – she now deadlifts 255 pounds. Ryan now deadlifts 355 pounds and squats 315 pounds. When he started, he was at 135 pounds and 150 pounds respectively. But both emphasize it’s about competing against yourself, not against other members, who are all in different stages with different strengths and weaknesses. “This is the first year I started in January and I’m still (working out as) January is coming again,” said Grace. “I’ve never done this in my entire life. That’s a big deal. That’s a goal that I hit.” For the young couple, working out also gives them peace of mind. For Donovan it relieves stress after work and commute. For Grace, “The biggest thing, for me as a woman, emotionally, it makes me feel 10 times better when I work out. I feel really depressed if I don’t. Not because I’m obsessed with working out or anything. It just makes me feel really good mentally. “There’s something about the physical, it really does relieve the emotional side. It is all connected.”
6 HEALTHY IN NEWTON
HIN December 2014 layout.indd 6-7
12/19/2014 10:21:03 AM
Fitness for
2015 written by Michelle Kim photography by Hunter Ames
{
T
}
hink lifting weights and building endurance is just for body builders? Think again. Anyone can benefit from strengthening and working out, and anyone can do the exercise and make the food choices needed for better fitness. It’s all about getting started and sticking to it.
Modify Susan Simons never set out to lose 90 pounds over the last two years. Or to become the unofficial den mother at the Crossfit Ransom gym. Her main goal, when she started working out in January 2012, was simply to survive. Simons, who has served as the unflappable secretary to Rockdale Superior Court Judge David Irwin’s office for 16 years, had not worked out for at least two decades. Her knees hurt when she did try. And she had gone on and off diets over the years, but nothing stuck. Like most people, she had the basic knowledge of what she needed to do to improve her fitness, but simply didn’t do it. “Oh heck, I knew it. I was just bad,” she said. “I don’t know what switch turned.” She described herself as a “healthy fat person” without drastic health issues to scare her into fitness. But she was keeping track of what she ate on My Fitness Pal. And then a friend invited her to a bootcamp workout run by Covington residents Morgan and Ryan Pye at her church, Conyers First United Methodist.
“I started going one night a week, thought I would die, but I didn’t,” said Simon. “Then two nights a week. Then three nights a week.” She did her workouts “under the radar, in case I failed.” But fail she did not. When the Pyes opened the Crossfit Ransom gym in 2014, Simon stayed with them, although it took a little convincing for her to realize she had already been doing Crossfit-type exercises all along. Now, Simons – who used to pooh-pooh exercise – hits the gym twice a day. She attends the 7 a.m. workout, where she’s usually the only one, and then the evening workouts to socialize. And for the past three years Simons has been on the winning team of the county government’s annual weight loss challenge for employees. The key is finding a way that works for her. “’Modification’ is the best word ever,” she said. “I may modify it, but I can do it.” And not going to the extremes. “I knew for me, it had to be slow and steady. I had to make realistic choices that I could keep up
with.” Food is a big part of fitness. “For me (it was) eating regular food but making better food choices, adding in more vegetables, adding in more raw foods. Cutting out prepared foods, and limiting sugar.” Her advice to anyone wanting to get healthier but leery of exercise? “Just do it. Just start. Don’t be afraid.” “I remind them, if I can do it, anybody can do it. Everything can be modified.” Stronger Together For newlyweds Grace and Donovan Carter, working out did not come easily, but now they can’t imagine their daily lives without it. The Covington natives got married August 2012 and hit the “Newlywed 15.” Donovan, a 23-year-old Information Technology professional, said “I’d started to pudge out a little bit. (Grace) expressed she wanted to get in better shape. So I said OK, you should go to bootcamp.” Grace did go but struggled with motivation and asked Donovan to come with her. They found working out together motivated each other to keep going. “It makes everything easier when you have a similar routine together,” said Grace, a 24-year-old hair dresser and nanny. “We can do dinner together so we can get out at the same time. Days when I don’t want to go, he wants to go. When he doesn’t want to go, I want to go. It really does work out.” Neither saw themselves as Crossfit-types before they began the bootcamps and the Crossfit Ransom gym. Grace was in dance and Donovan played sports growing up. But they credit the Pyes’ supportive coaching style and the community at the gym. “We’re five to six months in. I haven’t hit my goals completely, but I’ve done a lot of things, I’ve achieved a lot,” said Grace. She’s lost inches and gained muscle. And she’s discovered she’s stronger than she thought – she now deadlifts 255 pounds. Ryan now deadlifts 355 pounds and squats 315 pounds. When he started, he was at 135 pounds and 150 pounds respectively. But both emphasize it’s about competing against yourself, not against other members, who are all in different stages with different strengths and weaknesses. “This is the first year I started in January and I’m still (working out as) January is coming again,” said Grace. “I’ve never done this in my entire life. That’s a big deal. That’s a goal that I hit.” For the young couple, working out also gives them peace of mind. For Donovan it relieves stress after work and commute. For Grace, “The biggest thing, for me as a woman, emotionally, it makes me feel 10 times better when I work out. I feel really depressed if I don’t. Not because I’m obsessed with working out or anything. It just makes me feel really good mentally. “There’s something about the physical, it really does relieve the emotional side. It is all connected.”
6 HEALTHY IN NEWTON
HIN December 2014 layout.indd 6-7
12/19/2014 10:21:03 AM
Covington Women’s Health Specialists, LLC Cathy T. Larrimore, MD
OFFICE PROCEDURES • Hysteroscopy • Colposcopy • LEEP
Back Pain in
Pregnancy written by Jessie L. Bender, DO Covington Women's Health Specialist, LLC
B
ack pain — especially lower back pain — is very common in pregnancy. There are several causes for this increased pain. First, the uterus become larger and heavier the closer the woman is to her due date. To help balance these posture changes the lower back muscles must work hard and this can lead to pain, stiffness and soreness. Also, several hormones, such as progesterone, are increased during pregnancy and can relax the ligaments to allow loosening to prepare for birth. But, if the ligaments become too loose the joints can become too flexible leading to increased back pain from too much mobility. There are several things a pregnant woman can do to prevent back pain. The key is to be aware of how she sits, stands and moves. One key movement is to squat and bend her knees to pick things up rather than bending from the waist. Also, it is important to sit in chairs with good back support, or use a small pillow behind the low part of the back to decrease added strain. While sleeping, it's best to lies on the side with one to two pillows between the legs and under the abdomen for support. This also helps to relieve pressure on the joints. Finally, wearing shoes with good arch support are highly recommended. Flat shoes often provide little support, while high heels can further shift the women'a balance making her more likely to fall. A shoe with a good support is one of the best investments a pregnant patient can make. If back pain still develops, despite adequate prevention techniques, there are
seveal ways to ease the back pain. Regular exercise and staying active during pregnancy has been shown to reduce back pain. Back strengthening exercises help to decrease the laxity and provide better support. Water aerobics has also been proven to ease the pain. Another way to decrease inflammation is to take a hot bath or shower or apply a warm compress. Cold compresses are also recommended, but for no longer than several minutes as this may cause the muscle to reset and worsen the pain. If the back pain persists despite exercise and heat, the consultation of a health care provider may be warranted. This is especially important if the pain is severe or persists for greater than two weeks. Other warning signs include fever, burning during urination or bleeding with concominent back pain. Your health care provider can order a maternity girdle or brace to support the weight of the abdomen, and growing fetus, to ease the tension on the back. Some physicians can perform special manipulation of the body to decrease the pain, these physicians are known as doctors of osteopathic medicine (DO). Medical doctors (MD) and DO physicians both utilize evidence-based methods of diagnosis and treatments, including prescribing medication and performing surgery. Both types of physicians have the same educational requirements and are examined by the same state licensing boards. One key difference in training is that osteopathic medical schools require up to 200 hours of manipulation training, placing emphasis on the musculoskeletal system. This training adds an additional tool to the traditioanl forms of diagnosis and treatment to provide care for patients. Although low back pain is something that is often feared by pregnant woman, the right education, prevention and treatment can turn an uncomfortable pregnancy into an enjoyable experience.
SUITE DEVOTED TO MIDWIFERY CARE NORMAL AND HIGH RISK PREGNANCY • Family Centered Maternity Care • 3D/4D Ultrasound • Trial of Labor after Cesarean COMPREHENSIVE WOMEN’S HEALTH CARE • Annual Exams • Infertility • Osteoporosis • Fibroids • HPV Testing and Vaccination • Abnormal Pap Smears • Endometriosis • Contraception Options • Menopause-HRT • Bio-identical Hormones • Osteopathic Manipulation SURGICAL GYNECOLOGY • Hysterectomy • Laparoscopic Hysterectomy • Laparoscopy • HTA – Novasure • Minimally Invasive Surgical Services
Dr. Jessie Bender completed her studies at The Lake Erie College of Osteopathic Medicine and her residency in Obstetrics and Gynecology at the Reading Hospital and Medical Center in Reading, Pennsylvania. If you are interested in osteopathic maniuplation, please contact our office at Covington Women's Health Specialists, LLC in Covington, Georgia.
Kerry G. Dewberry, WHNP
Jessie L. Bender, DO
Amy Denise Cochran, CNM, MSN
Barbara L. Susin, CNM, MPH, MSN
NOW ACCEPTING NEW PATIENTS
Delivering our Future, Building our Families and Commitment to Our Community!
Physician’s Pavilion at Newton Medical Center 4181 Hospital Drive, Suite 104 & 100, Covington
214196-1
188296-1
770.385.8954 www.cwhs-larrimore.com VISIT OUR WEBSITE & LIKE OUR FACEBOOK PAGE!
8 HEALTHY IN NEWTON
HIN December 2014 layout.indd 8-9
12/19/2014 10:21:26 AM
Covington Women’s Health Specialists, LLC Cathy T. Larrimore, MD
OFFICE PROCEDURES • Hysteroscopy • Colposcopy • LEEP
Back Pain in
Pregnancy written by Jessie L. Bender, DO Covington Women's Health Specialist, LLC
B
ack pain — especially lower back pain — is very common in pregnancy. There are several causes for this increased pain. First, the uterus become larger and heavier the closer the woman is to her due date. To help balance these posture changes the lower back muscles must work hard and this can lead to pain, stiffness and soreness. Also, several hormones, such as progesterone, are increased during pregnancy and can relax the ligaments to allow loosening to prepare for birth. But, if the ligaments become too loose the joints can become too flexible leading to increased back pain from too much mobility. There are several things a pregnant woman can do to prevent back pain. The key is to be aware of how she sits, stands and moves. One key movement is to squat and bend her knees to pick things up rather than bending from the waist. Also, it is important to sit in chairs with good back support, or use a small pillow behind the low part of the back to decrease added strain. While sleeping, it's best to lies on the side with one to two pillows between the legs and under the abdomen for support. This also helps to relieve pressure on the joints. Finally, wearing shoes with good arch support are highly recommended. Flat shoes often provide little support, while high heels can further shift the women'a balance making her more likely to fall. A shoe with a good support is one of the best investments a pregnant patient can make. If back pain still develops, despite adequate prevention techniques, there are
seveal ways to ease the back pain. Regular exercise and staying active during pregnancy has been shown to reduce back pain. Back strengthening exercises help to decrease the laxity and provide better support. Water aerobics has also been proven to ease the pain. Another way to decrease inflammation is to take a hot bath or shower or apply a warm compress. Cold compresses are also recommended, but for no longer than several minutes as this may cause the muscle to reset and worsen the pain. If the back pain persists despite exercise and heat, the consultation of a health care provider may be warranted. This is especially important if the pain is severe or persists for greater than two weeks. Other warning signs include fever, burning during urination or bleeding with concominent back pain. Your health care provider can order a maternity girdle or brace to support the weight of the abdomen, and growing fetus, to ease the tension on the back. Some physicians can perform special manipulation of the body to decrease the pain, these physicians are known as doctors of osteopathic medicine (DO). Medical doctors (MD) and DO physicians both utilize evidence-based methods of diagnosis and treatments, including prescribing medication and performing surgery. Both types of physicians have the same educational requirements and are examined by the same state licensing boards. One key difference in training is that osteopathic medical schools require up to 200 hours of manipulation training, placing emphasis on the musculoskeletal system. This training adds an additional tool to the traditioanl forms of diagnosis and treatment to provide care for patients. Although low back pain is something that is often feared by pregnant woman, the right education, prevention and treatment can turn an uncomfortable pregnancy into an enjoyable experience.
SUITE DEVOTED TO MIDWIFERY CARE NORMAL AND HIGH RISK PREGNANCY • Family Centered Maternity Care • 3D/4D Ultrasound • Trial of Labor after Cesarean COMPREHENSIVE WOMEN’S HEALTH CARE • Annual Exams • Infertility • Osteoporosis • Fibroids • HPV Testing and Vaccination • Abnormal Pap Smears • Endometriosis • Contraception Options • Menopause-HRT • Bio-identical Hormones • Osteopathic Manipulation SURGICAL GYNECOLOGY • Hysterectomy • Laparoscopic Hysterectomy • Laparoscopy • HTA – Novasure • Minimally Invasive Surgical Services
Dr. Jessie Bender completed her studies at The Lake Erie College of Osteopathic Medicine and her residency in Obstetrics and Gynecology at the Reading Hospital and Medical Center in Reading, Pennsylvania. If you are interested in osteopathic maniuplation, please contact our office at Covington Women's Health Specialists, LLC in Covington, Georgia.
Kerry G. Dewberry, WHNP
Jessie L. Bender, DO
Amy Denise Cochran, CNM, MSN
Barbara L. Susin, CNM, MPH, MSN
NOW ACCEPTING NEW PATIENTS
Delivering our Future, Building our Families and Commitment to Our Community!
Physician’s Pavilion at Newton Medical Center 4181 Hospital Drive, Suite 104 & 100, Covington
214196-1
188296-1
770.385.8954 www.cwhs-larrimore.com VISIT OUR WEBSITE & LIKE OUR FACEBOOK PAGE!
8 HEALTHY IN NEWTON
HIN December 2014 layout.indd 8-9
12/19/2014 10:21:26 AM
Gastroesophageal Reflux Disease
GERD
What is
sleep apnea?
M
ost people get heartburn once in a while, but if you have heartburn two or more times per week, you may have gastroesophageal reflux disease (GERD), a term used to describe chronic heartburn. Heartburn is caused by stomach acid that backs up into the esophagus (the narrow tube that connects the throat and the stomach). This so-called acid reflux occurs when the valve separating the esophagus and the stomach opens at an inappropriate time. This valve malfunction can be caused by certain foods (such as onions and peppermint), overeating, smoking, and alcohol, among other triggers. A burning sensation in the chest and a sour taste in the mouth are the primary symptoms of acid reflux. While heartburn is the main symptom of GERD, some people may have GERD without heartburn. In those cases, symptoms such as chest pain, a chronic cough, hoarseness, and a feeling like something is stuck in throat can be signs of GERD. Depending on the severity of the symptoms, GERD is treated with diet and lifestyle changes, over-the-counter remedies, prescription medications, and/or surgery. It is important to treat
GERD, because the disease can damage the esophagus over time. Here are a few daily habits that can halt heartburn:
rather than the standard breakfast, lunch, and dinner. (Don’t make that last meal too late, though: Eating close to bedtime can trigger GERD symptoms as well.)
The list includes spicy foods, fatty red meat, Meals are often a trigger for GERD symptoms. French fries (and other fried foods), citrus fruit,
In fact, all-you-can-eat buffets are almost always a recipe for heartburn.
A very full stomach can cause the valve between your stomach and esophagus (known as the lower esophageal sphincter, or LES) to relax, pushing stomach acids back up into the esophagus.
raw onion, tomatoes, butter, oil, peppermint, chocolate and caffeine. If these lifestyle changes do not cure your heartburn contact the specialist at East Atlanta Gastroenterologists for an appointment at 770-922-0505 today.
Eat several small meals throughout the day
S
leep apnea is a disorder characterized by a reduction or pause of breathing (airflow) during sleep. It is common among adults but rare among children. Although a diagnosis of sleep apnea often will be suspected on the basis of a person's medical history, there are several tests that can be used to confirm the diagnosis. The treatment of sleep apnea can be either surgical or nonsurgical. An apnea is a period of time during which breathing stops or is markedly reduced. In simplified terms, an apnea occurs when a person stops breathing for 10 seconds or more. If a person stops breathing completely or take less than 25% of a normal breath for a period that lasts 10 seconds or more, this is an apnea. This definition includes complete stoppage of airflow. Other definitions of
apnea that may be used include at least a 4% drop in oxygen in the blood, a direct result of the reduction in the transfer of oxygen into the blood when breathing stops. Apneas usually occur during sleep. When an apnea occurs, sleep usually is disrupted due to inadequate breathing and poor oxygen levels in the blood. Sometimes this means the person wakes up completely, but sometimes this can mean the person comes out of a deep level of sleep and into a more shallow level of sleep. Apneas are usually measured during sleep (preferably in all stages of sleep) over a 2-hour period. An estimate of the severity of apnea is calculated by dividing the number of apneas by the number of hours of sleep, giving an apnea index (AI in apneas per hour); the
greater the AI, the more severe the apnea. Sleep apnea is formally defined as 15 episodes/ hour in a patient if he or she does not have medical problems that are believed to be caused by the sleep apnea. This is the equivalent of approximately one episode of apnea every four minutes. If you’re ready for a good night’s sleep it’s time to call Walton Pulmonary and set up an appointment at their new office in Conyers. Dr. Michel Jeannot is known for his dedication to patients and his passion for medicine. He will make you feel comfortable from your first visit, so call his office today to schedule your appointment at 866-562-1866 or 678-928-9700.
NEW TO CONYERS BOARD CERTIFIED PHYSICIANS Sleep Medicine and Pulmonary Disease.
1269 Wellbrook Circle Conyers, GA
1000 Cowles Clinic Way Cypress Building, Suite C-300 Greensboro, GA
Fred A. Levin
7229 Wheat Street Covington, GA
MD, FACP, FACG
Karen L. Weiss-Schorr MD
SPECIALIZING IN DIGESTIVE DISEASES & NUTRITION
HIN December 2014 layout.indd 10-11
A. Steven McIntosh MD, FACG
David N. Socoloff Doctor
Razvi Razack Doctor
770-922-0505 EASTATLANTAGASTRO.COM
+ Pulmonary (Lung) Consultation + Sleep Disorder Evaluation with Sleep Center + Pulmonary Rehabilitation Program + Allergy Test (Skin Test) + Sleep Apnea Maintenance (CPAP set-up) + Oral Appliance for Sleep Apnea + Trilogy Ventilation We provide everything you need for all your respiratory concerns
Please visit us on the web at www.waltonpulmonary.com
217500-1
• Colorectal Cancer Screening and Prevention • Gastro Esophageal Reflux Disease (GERD) • Esophageal and Swallowing Disorders • Non-Invasive Hemorrhoid Therapy • Pancreatic and Billiary Disorders • Inflammatory Bowel Disease • Irritable Bowel Syndrome • Video Capsule Endoscopy • IV Infusion Therapy • Chronic Constipation • Liver Disease
Services :
Open Monday-Friday 9:00am-5:00pm
678-928-9700 or 866-562-1866
Call Us to Set Up an Appointment • www.waltonpulmonary.com
12/19/2014 10:21:58 AM
Gastroesophageal Reflux Disease
GERD
What is
sleep apnea?
M
ost people get heartburn once in a while, but if you have heartburn two or more times per week, you may have gastroesophageal reflux disease (GERD), a term used to describe chronic heartburn. Heartburn is caused by stomach acid that backs up into the esophagus (the narrow tube that connects the throat and the stomach). This so-called acid reflux occurs when the valve separating the esophagus and the stomach opens at an inappropriate time. This valve malfunction can be caused by certain foods (such as onions and peppermint), overeating, smoking, and alcohol, among other triggers. A burning sensation in the chest and a sour taste in the mouth are the primary symptoms of acid reflux. While heartburn is the main symptom of GERD, some people may have GERD without heartburn. In those cases, symptoms such as chest pain, a chronic cough, hoarseness, and a feeling like something is stuck in throat can be signs of GERD. Depending on the severity of the symptoms, GERD is treated with diet and lifestyle changes, over-the-counter remedies, prescription medications, and/or surgery. It is important to treat
GERD, because the disease can damage the esophagus over time. Here are a few daily habits that can halt heartburn:
rather than the standard breakfast, lunch, and dinner. (Don’t make that last meal too late, though: Eating close to bedtime can trigger GERD symptoms as well.)
The list includes spicy foods, fatty red meat, Meals are often a trigger for GERD symptoms. French fries (and other fried foods), citrus fruit,
In fact, all-you-can-eat buffets are almost always a recipe for heartburn.
A very full stomach can cause the valve between your stomach and esophagus (known as the lower esophageal sphincter, or LES) to relax, pushing stomach acids back up into the esophagus.
raw onion, tomatoes, butter, oil, peppermint, chocolate and caffeine. If these lifestyle changes do not cure your heartburn contact the specialist at East Atlanta Gastroenterologists for an appointment at 770-922-0505 today.
Eat several small meals throughout the day
S
leep apnea is a disorder characterized by a reduction or pause of breathing (airflow) during sleep. It is common among adults but rare among children. Although a diagnosis of sleep apnea often will be suspected on the basis of a person's medical history, there are several tests that can be used to confirm the diagnosis. The treatment of sleep apnea can be either surgical or nonsurgical. An apnea is a period of time during which breathing stops or is markedly reduced. In simplified terms, an apnea occurs when a person stops breathing for 10 seconds or more. If a person stops breathing completely or take less than 25% of a normal breath for a period that lasts 10 seconds or more, this is an apnea. This definition includes complete stoppage of airflow. Other definitions of
apnea that may be used include at least a 4% drop in oxygen in the blood, a direct result of the reduction in the transfer of oxygen into the blood when breathing stops. Apneas usually occur during sleep. When an apnea occurs, sleep usually is disrupted due to inadequate breathing and poor oxygen levels in the blood. Sometimes this means the person wakes up completely, but sometimes this can mean the person comes out of a deep level of sleep and into a more shallow level of sleep. Apneas are usually measured during sleep (preferably in all stages of sleep) over a 2-hour period. An estimate of the severity of apnea is calculated by dividing the number of apneas by the number of hours of sleep, giving an apnea index (AI in apneas per hour); the
greater the AI, the more severe the apnea. Sleep apnea is formally defined as 15 episodes/ hour in a patient if he or she does not have medical problems that are believed to be caused by the sleep apnea. This is the equivalent of approximately one episode of apnea every four minutes. If you’re ready for a good night’s sleep it’s time to call Walton Pulmonary and set up an appointment at their new office in Conyers. Dr. Michel Jeannot is known for his dedication to patients and his passion for medicine. He will make you feel comfortable from your first visit, so call his office today to schedule your appointment at 866-562-1866 or 678-928-9700.
NEW TO CONYERS BOARD CERTIFIED PHYSICIANS Sleep Medicine and Pulmonary Disease.
1269 Wellbrook Circle Conyers, GA
1000 Cowles Clinic Way Cypress Building, Suite C-300 Greensboro, GA
Fred A. Levin
7229 Wheat Street Covington, GA
MD, FACP, FACG
Karen L. Weiss-Schorr MD
SPECIALIZING IN DIGESTIVE DISEASES & NUTRITION
HIN December 2014 layout.indd 10-11
A. Steven McIntosh MD, FACG
David N. Socoloff Doctor
Razvi Razack Doctor
770-922-0505 EASTATLANTAGASTRO.COM
+ Pulmonary (Lung) Consultation + Sleep Disorder Evaluation with Sleep Center + Pulmonary Rehabilitation Program + Allergy Test (Skin Test) + Sleep Apnea Maintenance (CPAP set-up) + Oral Appliance for Sleep Apnea + Trilogy Ventilation We provide everything you need for all your respiratory concerns
Please visit us on the web at www.waltonpulmonary.com
217500-1
• Colorectal Cancer Screening and Prevention • Gastro Esophageal Reflux Disease (GERD) • Esophageal and Swallowing Disorders • Non-Invasive Hemorrhoid Therapy • Pancreatic and Billiary Disorders • Inflammatory Bowel Disease • Irritable Bowel Syndrome • Video Capsule Endoscopy • IV Infusion Therapy • Chronic Constipation • Liver Disease
Services :
Open Monday-Friday 9:00am-5:00pm
678-928-9700 or 866-562-1866
Call Us to Set Up an Appointment • www.waltonpulmonary.com
12/19/2014 10:21:58 AM
NEW
YEAR
written by Lee Udell
O
h, the optimism of a new year. A clean slate. A chance to follow through on becoming the “you” you’ve always wanted to be! Well, no matter if you’ve made resolutions before and didn’t follow through. Because now there’s one resolution that’s easier than ever to realize: saying goodbye to your love handles, your saddle bags or your muffin tops – the easy way! Say hello to CoolSculpting®. This innovative, non-invasive process can help you lose those annoying bumps and bulges of stubborn fat safely, in the comfort of your doctor’s office. Requiring less time and money than traditional invasive treatments, CoolSculpting is FDA approved and clinically proven to reshape your body, often in only a single treatment. And it’s equally effective for both men and women. “Dermatology Consultants has performed over 2,400 treatments in three years,” said Kim Bogash, CoolSculpting Team Leader for Dermatology Consultants. “We’re a Certified CoolSculpting Practice with highly trained and knowledgeable staff in our Covington and Buckhead locations. “In fact, Dermatology Consultants is among the few centers in Georgia offering DualSculpting™ in our Buckhead location,” Bogash said. “We can treat two areas at the same time, reducing overall treatment times.” CoolSculpting's unique technology uses precisely controlled cooling to freeze and eliminate unwanted fat cells without surgery,
downtime or damage to neighboring tissue. The results are lasting and undeniable. The process was developed by scientists at the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, a teaching affiliate of Harvard Medical School. An applicator is applied, using a vacuum, and when the applicator is securely attached, the cooling begins. The treated fat cells are crystallized (frozen), then break down and die. After the procedure, your own body begins the process of naturally eliminating the dead cells. "Once they're gone, they're gone," Bogash said. One session lasts about an hour, and Bogash says most patients experience only minor discomfort. "After the first 15 minutes, you really feel nothing," Bogash explains. "You can read, you can watch a movie, you can listen to music." The CoolSculpting fat freezing procedure is completely non-surgical, so you can typically return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often times, patients return to work after their CoolSculpting session is over. Over the next two to four months the crystallized fat cells break down and are naturally flushed from your body through your lymphatic system. The areas treated will naturally flatten out during this time. Each treatment should yield about 20-25% in fat reduction. Typically, when both love handles and full abdomen are treated, you’ll see a one- to two-inch decrease in the waistline. After the initial treatment cycle is complete, you can attain further reductions with additional procedures. Many find one treatment fully addresses their goals.
NEW
YOU
Providing Dermatological Care For The Entire Family
Dione Marcus, MD - Board Certified Dermatologist Michelle Juneau, MD - Board Certified Dermatologist Benjamin Kelly, MD - Board Certified Dermatologist - Mohs Surgeon
Gift Cards Available
10% OFF ANY SERVICE PROVIDED BY OUR AESTHETICIAN Valid thru January 2015
Services: General ~ Surgical ~ Cosmetic Dermatology Aesthetic & Laser Treatments Botox® & Fillers Featuring CoolSculpting® to Reduce Fat
To learn more about CoolSculpting, call Dermatology Consultants at 770-784-0343 or visit their website at www. http://dermatologyconsultants.org/. The skilled and helpful staff at Dermatology Consultants will be glad to discuss and design a plan that suits you best.
12 HEALTHY IN NEWTON
HIN December 2014 layout.indd 12-13
12/19/2014 10:45:04 AM
NEW
YEAR
written by Lee Udell
O
h, the optimism of a new year. A clean slate. A chance to follow through on becoming the “you” you’ve always wanted to be! Well, no matter if you’ve made resolutions before and didn’t follow through. Because now there’s one resolution that’s easier than ever to realize: saying goodbye to your love handles, your saddle bags or your muffin tops – the easy way! Say hello to CoolSculpting®. This innovative, non-invasive process can help you lose those annoying bumps and bulges of stubborn fat safely, in the comfort of your doctor’s office. Requiring less time and money than traditional invasive treatments, CoolSculpting is FDA approved and clinically proven to reshape your body, often in only a single treatment. And it’s equally effective for both men and women. “Dermatology Consultants has performed over 2,400 treatments in three years,” said Kim Bogash, CoolSculpting Team Leader for Dermatology Consultants. “We’re a Certified CoolSculpting Practice with highly trained and knowledgeable staff in our Covington and Buckhead locations. “In fact, Dermatology Consultants is among the few centers in Georgia offering DualSculpting™ in our Buckhead location,” Bogash said. “We can treat two areas at the same time, reducing overall treatment times.” CoolSculpting's unique technology uses precisely controlled cooling to freeze and eliminate unwanted fat cells without surgery,
downtime or damage to neighboring tissue. The results are lasting and undeniable. The process was developed by scientists at the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, a teaching affiliate of Harvard Medical School. An applicator is applied, using a vacuum, and when the applicator is securely attached, the cooling begins. The treated fat cells are crystallized (frozen), then break down and die. After the procedure, your own body begins the process of naturally eliminating the dead cells. "Once they're gone, they're gone," Bogash said. One session lasts about an hour, and Bogash says most patients experience only minor discomfort. "After the first 15 minutes, you really feel nothing," Bogash explains. "You can read, you can watch a movie, you can listen to music." The CoolSculpting fat freezing procedure is completely non-surgical, so you can typically return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often times, patients return to work after their CoolSculpting session is over. Over the next two to four months the crystallized fat cells break down and are naturally flushed from your body through your lymphatic system. The areas treated will naturally flatten out during this time. Each treatment should yield about 20-25% in fat reduction. Typically, when both love handles and full abdomen are treated, you’ll see a one- to two-inch decrease in the waistline. After the initial treatment cycle is complete, you can attain further reductions with additional procedures. Many find one treatment fully addresses their goals.
NEW
YOU
Providing Dermatological Care For The Entire Family
Dione Marcus, MD - Board Certified Dermatologist Michelle Juneau, MD - Board Certified Dermatologist Benjamin Kelly, MD - Board Certified Dermatologist - Mohs Surgeon
Gift Cards Available
10% OFF ANY SERVICE PROVIDED BY OUR AESTHETICIAN Valid thru January 2015
Services: General ~ Surgical ~ Cosmetic Dermatology Aesthetic & Laser Treatments Botox® & Fillers Featuring CoolSculpting® to Reduce Fat
To learn more about CoolSculpting, call Dermatology Consultants at 770-784-0343 or visit their website at www. http://dermatologyconsultants.org/. The skilled and helpful staff at Dermatology Consultants will be glad to discuss and design a plan that suits you best.
12 HEALTHY IN NEWTON
HIN December 2014 layout.indd 12-13
12/19/2014 10:45:04 AM
Hospice Care H
ospice care focuses on making people comfortable rather than curing their disease. Usually, care is provided in the person's home, although a person also can receive care in hospice centers, nursing homes and, increasingly, hospitals, according to the hospice organization. Hospice care is covered under Medicare, Medicaid and most health insurance plans. A person's hospice team develops a care plan that helps control pain and symptoms. The team also will: • Help the patient and family members deal with the emotional and spiritual aspects. • Equip the patient's home with needed medical supplies and equipment.
• Coach family members on caring for the person. • Provide quick-response care on an around the-clock basis when pain or symptoms flare up. • Make bereavement care available to the patient's surviving family and friends. Hospice has had to overcome many myths and ill-conceived notions on its way to gaining wider acceptance from the public. But one notion that patients and their families still struggle with is the idea that choosing hospice means the person is "giving up." People who go into hospice are free to leave at any time, if their symptoms improve. It's not about giving up. It's about regaining control of your life at this time when chaos is reigning. In fact, people who agree to hospice care often end up with extended life spans. One recent study cited by the National Hospice and Palliative Care Organization found that people who chose hospice care lived an average of one month longer than similar
people who did not opt for hospice. Another myth is that hospice care hastens death through the use of medications. "That is far from the truth as it can possibly be. The focus really is on using knowledge of painkillers and symptom treatments to create a better quality of life for terminally ill people. For more information on Hospice care, visit www.longleafhospice.com. You will find answers to frequently ask questions, web links, and resources for your family.
{
ARE YOU in pain?
T
he Interventional Pain Center at Newton Medical Center specializes in the management of pain through a variety of procedures and treatments that are specific to the patient’s needs. Many common pains such as arthritis, pinched nerves, or pain in the neck, back or buttock can be treated at the Interventional Pain Center without the need for major surgery.
Are you suffering from these common pain conditions? Arthritis: Symptoms may include aching or a stabbing pain in the lower back to hip. Pinched Nerve: May cause a toothache type pain and is often described as an electric bolt going from the neck to the arm or the low back to the leg. Broken Bone in the Back: Identified through severe pain that is localized in the back. Just lightly tapping the target area results in unbearable pain. Fractures in the spine are caused from a fall or picking up a heavy object. Spinal Stenosis: Described as aching, tired legs and cramping. The condition can also result in numbness, pain, muscle weakness or problems with bowel or bladder function. Spinal Stenosis is caused from the narrowing of the open spaces within your spine, which can put pressure on your spinal cord and the nerves that travel through the spine.
HIN December 2014 layout.indd 14-15
}
Interventional Pain Center at Newton Medical Center
Schedule an Appointment Today! Call 770-385-4337 and schedule an appointment. Most insurance companies do not require a referral. You can ask your doctor for a referral, but feel free to call directly. Meet Dr. Hanowell As a fifth generation physician, who met his wife at medical school just like his parents, one could say that Dalton Hanowell, MD is doctor through and through. Dr. Hanowell is fellowship trained in pain management at Emory University School of Medicine in addition to his Anesthesiology Residency at Emory. As the Medical Director of Pain Management at Newton Medical Center, he works alongside his wife, Dr. Alison Hanowell. Together, the Hanowells spend their days helping people feel relief from pain and when away from work, their hobby is family. Just recently, the Hanowells welcomed a new baby boy, Brooks, into their family who joins Sophie, their five-year old, and Dalton and Tori, their three-year old twins. Receive a Correct Diagnosis from the Start
At your first consultation, Dr. Hanowell’s goal is finding the source of the problem and getting the correct diagnosis from the beginning. Dr. Hanowell will conduct a thorough physical examination and order imaging tests such as x-rays or a MRI. Even if patients have already had imaging done before, he will review the images himself to identify the problem areas that may be the source of the pain.
Start a Patient Tailored Treatment Plan Since every person’s pain is unique, a treatment plan will be tailored to the patient. The plan may include physical therapy and medications to help symptoms with a focus
on non-addictive medicine. Interventional treatments and minimally invasive procedures will be considered prior to pursuing major surgery that may include: • Epidural steroid injections for low back pain • Radiofrequency ablation for arthritis pain in the back or neck • MILD procedure for lumbar spinal stenosis • Spinal cord stimulation for chronic low back pain • Kyphoplasty or sacroplasty procedure for fractures in the spine • Interlaminar Clamps for early spondylolisthesis also known as slipped vertebrae
Get Control Over Your Pain Many people come into the Pain Center with miserable pain. For problems such as a broken bone in the back, the patient can feel relief from pain within 20 minutes of the procedure. Other treatments of course take longer for patients to respond, but the end goal is to be pain free or at least to have manageable pain so that patients can return to the life they love, whether it be running, gardening or playing with your children or grandchildren. “I take pride in making people feel better. So many of our patients come to us not knowing why they are in pain or after they were misdiagnosed. It’s very gratifying to see someone feel relief from his or her pain,” says Dr. Hanowell. The Interventional Pain Center at Newton Medical Center is located inside the Knox Surgical Center at 5126 Hospital Drive in Covington. Call: 770-385-4337. HEALTHY IN NEWTON 15
12/19/2014 10:45:37 AM
Hospice Care H
ospice care focuses on making people comfortable rather than curing their disease. Usually, care is provided in the person's home, although a person also can receive care in hospice centers, nursing homes and, increasingly, hospitals, according to the hospice organization. Hospice care is covered under Medicare, Medicaid and most health insurance plans. A person's hospice team develops a care plan that helps control pain and symptoms. The team also will: • Help the patient and family members deal with the emotional and spiritual aspects. • Equip the patient's home with needed medical supplies and equipment.
• Coach family members on caring for the person. • Provide quick-response care on an around the-clock basis when pain or symptoms flare up. • Make bereavement care available to the patient's surviving family and friends. Hospice has had to overcome many myths and ill-conceived notions on its way to gaining wider acceptance from the public. But one notion that patients and their families still struggle with is the idea that choosing hospice means the person is "giving up." People who go into hospice are free to leave at any time, if their symptoms improve. It's not about giving up. It's about regaining control of your life at this time when chaos is reigning. In fact, people who agree to hospice care often end up with extended life spans. One recent study cited by the National Hospice and Palliative Care Organization found that people who chose hospice care lived an average of one month longer than similar
people who did not opt for hospice. Another myth is that hospice care hastens death through the use of medications. "That is far from the truth as it can possibly be. The focus really is on using knowledge of painkillers and symptom treatments to create a better quality of life for terminally ill people. For more information on Hospice care, visit www.longleafhospice.com. You will find answers to frequently ask questions, web links, and resources for your family.
{
ARE YOU in pain?
T
he Interventional Pain Center at Newton Medical Center specializes in the management of pain through a variety of procedures and treatments that are specific to the patient’s needs. Many common pains such as arthritis, pinched nerves, or pain in the neck, back or buttock can be treated at the Interventional Pain Center without the need for major surgery.
Are you suffering from these common pain conditions? Arthritis: Symptoms may include aching or a stabbing pain in the lower back to hip. Pinched Nerve: May cause a toothache type pain and is often described as an electric bolt going from the neck to the arm or the low back to the leg. Broken Bone in the Back: Identified through severe pain that is localized in the back. Just lightly tapping the target area results in unbearable pain. Fractures in the spine are caused from a fall or picking up a heavy object. Spinal Stenosis: Described as aching, tired legs and cramping. The condition can also result in numbness, pain, muscle weakness or problems with bowel or bladder function. Spinal Stenosis is caused from the narrowing of the open spaces within your spine, which can put pressure on your spinal cord and the nerves that travel through the spine.
HIN December 2014 layout.indd 14-15
}
Interventional Pain Center at Newton Medical Center
Schedule an Appointment Today! Call 770-385-4337 and schedule an appointment. Most insurance companies do not require a referral. You can ask your doctor for a referral, but feel free to call directly. Meet Dr. Hanowell As a fifth generation physician, who met his wife at medical school just like his parents, one could say that Dalton Hanowell, MD is doctor through and through. Dr. Hanowell is fellowship trained in pain management at Emory University School of Medicine in addition to his Anesthesiology Residency at Emory. As the Medical Director of Pain Management at Newton Medical Center, he works alongside his wife, Dr. Alison Hanowell. Together, the Hanowells spend their days helping people feel relief from pain and when away from work, their hobby is family. Just recently, the Hanowells welcomed a new baby boy, Brooks, into their family who joins Sophie, their five-year old, and Dalton and Tori, their three-year old twins. Receive a Correct Diagnosis from the Start
At your first consultation, Dr. Hanowell’s goal is finding the source of the problem and getting the correct diagnosis from the beginning. Dr. Hanowell will conduct a thorough physical examination and order imaging tests such as x-rays or a MRI. Even if patients have already had imaging done before, he will review the images himself to identify the problem areas that may be the source of the pain.
Start a Patient Tailored Treatment Plan Since every person’s pain is unique, a treatment plan will be tailored to the patient. The plan may include physical therapy and medications to help symptoms with a focus
on non-addictive medicine. Interventional treatments and minimally invasive procedures will be considered prior to pursuing major surgery that may include: • Epidural steroid injections for low back pain • Radiofrequency ablation for arthritis pain in the back or neck • MILD procedure for lumbar spinal stenosis • Spinal cord stimulation for chronic low back pain • Kyphoplasty or sacroplasty procedure for fractures in the spine • Interlaminar Clamps for early spondylolisthesis also known as slipped vertebrae
Get Control Over Your Pain Many people come into the Pain Center with miserable pain. For problems such as a broken bone in the back, the patient can feel relief from pain within 20 minutes of the procedure. Other treatments of course take longer for patients to respond, but the end goal is to be pain free or at least to have manageable pain so that patients can return to the life they love, whether it be running, gardening or playing with your children or grandchildren. “I take pride in making people feel better. So many of our patients come to us not knowing why they are in pain or after they were misdiagnosed. It’s very gratifying to see someone feel relief from his or her pain,” says Dr. Hanowell. The Interventional Pain Center at Newton Medical Center is located inside the Knox Surgical Center at 5126 Hospital Drive in Covington. Call: 770-385-4337. HEALTHY IN NEWTON 15
12/19/2014 10:45:37 AM
at the Intersection of Compassion and Technology
When you need Medical Care,
we can help.
7143 Turner Lake Road, Covington, GA 30014 770.788.9970 | www.NewtonFamilyPractice.com
With over 300 credentialed physicians and allied health professionals, Newton Medical Center is here for you to offer a wide variety of care and services conveniently located in the heart of Newton County. 4181 Hospital Drive NE, Suite 204, Covington, GA 30014 770.788.6534 | www.Georgia-Ortho.com Reneé S. Riley, MD, FAAOS With extensive training in athletic and sports-related injuries in adults and children at the highly acclaimed American Sports Medicine Institute founded by Dr. James R. Andrews, Dr. Reneé Riley is a great asset to Newton County and its surrounding areas. As a Board Certified Orthopedic Surgeon, she has a particular expertise and interest in shoulder, knee and elbow surgeries. Dr. Riley is experienced in arthroscopic procedures, total joint replacements, and surgical and non-surgical procedures for broken bones. Ryan J. Tomlins, MD, CAQ With certification in the minimally invasive Tenex Health TX™ therapy, which treats diseased soft tissue and rapidly restores musculoskeletal function, Dr. Ryan Tomlins brings new expertise to Newton County. He is the director of the Concussion Program for the Newton County School System and specializes in non-surgical treatment of athletic and sports-related injuries. Dr. Tomlins trained at the prestigious American Sports Medicine Institute founded by Dr. James R. Andrews. He is also certified to treat golf injuries by the Titleist Performance Institute. 4181 Hospital Drive NE, Suite 303, Covington, GA 30014 770.787.6957 | www.Pavilion-Surgical.com Steven R. Whitworth, MD, FACS With over 30 years of experience practicing general surgery, Dr. Steven Whitworth is an excellent choice for your care. He has been a member of the medical staff at Newton Medical Center since 1985. He is certified by the American Board of Surgery and a member of the Society of Laparoendoscopic Surgeons. Dr. Whitworth is highly skilled in diagnosing and treating breast cancer with stereotactic breast biopsy, sentinel node biopsy, lumpectomy and mastectomy. Other specialty areas include the stomach, colon, gallbladder, appendix, thyroid and hernias. B. Carter Rogers, MD, FACS During his 22 years in the US Army Reserves, Lt. Col. Rogers (Ret.) served three tours of active duty. He is certified by the American Board of Surgery and a Fellow of the American College of Surgeons. Dr. Rogers is well versed in general surgery and laparoscopic procedures of the stomach, gallbladder, appendix, colon, thyroid and hernias as well as carotid artery surgery, vascular access and thoracic surgery. He is the director of the Wound Care & Hyperbaric Center at Newton Medical Center.
Donna Groover, MD Dr. Donna Groover is certified by the American Family Board of Medicine. Newton Medical Family Practice accepts Medicare patients, offers annual and sports physicals and treats all acute and chronic medical conditions such as diabetes, high blood pressure, and heart and lung complaints. The practice offers services for patients ages two and up. Dr. Groover also provides treatment for minor sports injuries, as well as cold, flu and fever. Together, Dr. Groover and her Nurse Practitioner Kimberly Chitwood are happy to serve as your primary care provider. 10157 Eagle Drive, Covington, GA 30014 770.786.0655 | www.EastAtlantaOncology.com Victoria Afshani, MD Dr. Victoria Afshani is certified by the American Board of Internal Medicine in Oncololy and Hematology. Dr. Afshani attended medical school at the University of Pennsylvania. She then completed a residency in internal medicine and a fellowship in Hematology and Oncology at Mount Sinai Medical Center in New York City. Dr. Afshani is well versed in the diagnosis and treatment of cancer and blood disorders. She also offers in-office chemotherapy administration. 5211 Highway 278 NE, Covington, GA 30014 770.787.8200 | www.Southeastern-Neurology.com Sonal Hazariwala, MD As a graduate of the Medical College of Georgia, Dr. Hazariwala is trained in nueromuscular medicine and epilepsy. She performs electromyography (EMG) and nerve conduction studies (NCS). In addition to general neurology, Dr. Hazariwala also performs botulinum toxin injections for migraine, blepharopasm and dystonia. She is board certified in neurology, clinical neurophysiology and certified by the American Board of Electromyography. 7143 Turner Lake Road, Covington, GA 30014 770.787.4504 Suji Mathew, MD Dr. Suji Mathew is board certified in infectious diseases, internal medicine and hyperbaric medicine. Dr. Mathew treats all infections, including HIV and Hepatitis as well as those caused by multi-drug resistant pathogens. She is the infection control chair and champion of the Antibiotic Stewardship Program, which is aimed at preventing unnecessary use of antibiotics at Newton Medical Center.
OUR SERVICES:
770.786.7053
www.newtonmedical.com
HIN December 2014 layout.indd 16-17
BirthCare Center | Cardiac Rehabilitation | Cardiopulmonary | Critical Care Unit | Diabetes Education | Emergency Department Fitness Forum | Home Health | Imaging Center | Interventional Pain Management | Interventional Radiology Knox Surgical Center | Lactation Center | Neonatal Intensive Care Unit | Outpatient Center | Physical Therapy Sleep Disorder Center | Speech Services | Women’s Diagnostic Center | Wound Care & Hyperbaric Center
To schedule an appointment, call 770.385.4436
We’re proud to welcome our new emergency physician group to Newton Medical Center. As board certified physicians specially trained in emergency medicine, the group is dedicated to providing quality emergency care to our community. Dr. Tameka Walker-Blake serves as the medical director for the new group.
New Minor Care hours are 9 a.m. to 1 a.m.
12/19/2014 10:46:15 AM
at the Intersection of Compassion and Technology
When you need Medical Care,
we can help.
7143 Turner Lake Road, Covington, GA 30014 770.788.9970 | www.NewtonFamilyPractice.com
With over 300 credentialed physicians and allied health professionals, Newton Medical Center is here for you to offer a wide variety of care and services conveniently located in the heart of Newton County. 4181 Hospital Drive NE, Suite 204, Covington, GA 30014 770.788.6534 | www.Georgia-Ortho.com Reneé S. Riley, MD, FAAOS With extensive training in athletic and sports-related injuries in adults and children at the highly acclaimed American Sports Medicine Institute founded by Dr. James R. Andrews, Dr. Reneé Riley is a great asset to Newton County and its surrounding areas. As a Board Certified Orthopedic Surgeon, she has a particular expertise and interest in shoulder, knee and elbow surgeries. Dr. Riley is experienced in arthroscopic procedures, total joint replacements, and surgical and non-surgical procedures for broken bones. Ryan J. Tomlins, MD, CAQ With certification in the minimally invasive Tenex Health TX™ therapy, which treats diseased soft tissue and rapidly restores musculoskeletal function, Dr. Ryan Tomlins brings new expertise to Newton County. He is the director of the Concussion Program for the Newton County School System and specializes in non-surgical treatment of athletic and sports-related injuries. Dr. Tomlins trained at the prestigious American Sports Medicine Institute founded by Dr. James R. Andrews. He is also certified to treat golf injuries by the Titleist Performance Institute. 4181 Hospital Drive NE, Suite 303, Covington, GA 30014 770.787.6957 | www.Pavilion-Surgical.com Steven R. Whitworth, MD, FACS With over 30 years of experience practicing general surgery, Dr. Steven Whitworth is an excellent choice for your care. He has been a member of the medical staff at Newton Medical Center since 1985. He is certified by the American Board of Surgery and a member of the Society of Laparoendoscopic Surgeons. Dr. Whitworth is highly skilled in diagnosing and treating breast cancer with stereotactic breast biopsy, sentinel node biopsy, lumpectomy and mastectomy. Other specialty areas include the stomach, colon, gallbladder, appendix, thyroid and hernias. B. Carter Rogers, MD, FACS During his 22 years in the US Army Reserves, Lt. Col. Rogers (Ret.) served three tours of active duty. He is certified by the American Board of Surgery and a Fellow of the American College of Surgeons. Dr. Rogers is well versed in general surgery and laparoscopic procedures of the stomach, gallbladder, appendix, colon, thyroid and hernias as well as carotid artery surgery, vascular access and thoracic surgery. He is the director of the Wound Care & Hyperbaric Center at Newton Medical Center.
Donna Groover, MD Dr. Donna Groover is certified by the American Family Board of Medicine. Newton Medical Family Practice accepts Medicare patients, offers annual and sports physicals and treats all acute and chronic medical conditions such as diabetes, high blood pressure, and heart and lung complaints. The practice offers services for patients ages two and up. Dr. Groover also provides treatment for minor sports injuries, as well as cold, flu and fever. Together, Dr. Groover and her Nurse Practitioner Kimberly Chitwood are happy to serve as your primary care provider. 10157 Eagle Drive, Covington, GA 30014 770.786.0655 | www.EastAtlantaOncology.com Victoria Afshani, MD Dr. Victoria Afshani is certified by the American Board of Internal Medicine in Oncololy and Hematology. Dr. Afshani attended medical school at the University of Pennsylvania. She then completed a residency in internal medicine and a fellowship in Hematology and Oncology at Mount Sinai Medical Center in New York City. Dr. Afshani is well versed in the diagnosis and treatment of cancer and blood disorders. She also offers in-office chemotherapy administration. 5211 Highway 278 NE, Covington, GA 30014 770.787.8200 | www.Southeastern-Neurology.com Sonal Hazariwala, MD As a graduate of the Medical College of Georgia, Dr. Hazariwala is trained in nueromuscular medicine and epilepsy. She performs electromyography (EMG) and nerve conduction studies (NCS). In addition to general neurology, Dr. Hazariwala also performs botulinum toxin injections for migraine, blepharopasm and dystonia. She is board certified in neurology, clinical neurophysiology and certified by the American Board of Electromyography. 7143 Turner Lake Road, Covington, GA 30014 770.787.4504 Suji Mathew, MD Dr. Suji Mathew is board certified in infectious diseases, internal medicine and hyperbaric medicine. Dr. Mathew treats all infections, including HIV and Hepatitis as well as those caused by multi-drug resistant pathogens. She is the infection control chair and champion of the Antibiotic Stewardship Program, which is aimed at preventing unnecessary use of antibiotics at Newton Medical Center.
OUR SERVICES:
770.786.7053
www.newtonmedical.com
HIN December 2014 layout.indd 16-17
BirthCare Center | Cardiac Rehabilitation | Cardiopulmonary | Critical Care Unit | Diabetes Education | Emergency Department Fitness Forum | Home Health | Imaging Center | Interventional Pain Management | Interventional Radiology Knox Surgical Center | Lactation Center | Neonatal Intensive Care Unit | Outpatient Center | Physical Therapy Sleep Disorder Center | Speech Services | Women’s Diagnostic Center | Wound Care & Hyperbaric Center
To schedule an appointment, call 770.385.4436
We’re proud to welcome our new emergency physician group to Newton Medical Center. As board certified physicians specially trained in emergency medicine, the group is dedicated to providing quality emergency care to our community. Dr. Tameka Walker-Blake serves as the medical director for the new group.
New Minor Care hours are 9 a.m. to 1 a.m.
12/19/2014 10:46:15 AM
beginning a
FITNESS Walking Program Y ou know you want to begin a fitness program, but don't know where to start. It's easy! Walking is one of the easiest and most profitable forms of exercise. All you need is a good pair of shoes, comfortable clothing, and desire. How to start: First of all, start out slow and easy. Just walk out the door. For most people this means head out the door, walk for 10 minutes, and walk back. That's it? Yes, that's it. Do this every day for a week. If this was easy for you, add five minutes to your walks next week (total walking time 25 minutes). Keep adding five minutes until you are walking as long as desired. WATCH your posture. Walk tall. Think of elongating your body. Hold your head up and eyes forward. Your shoulders should be down, back and relaxed. Tighten your abdominal muscles and buttocks and fall into a natural stride. Be sure to drink plenty of water before, during, and after walking. Incorporate a warm up, cool
down and stretches into your routine. Start your walk at a slow warm up pace, stop and do a few warm up / flexibilty drills. Then walk for the desired length of time. End your walk with the slower cool down pace and stretch well after your walk. Stretching will make you feel great and assist in injury prevention. The toughest thing about starting a fitness program is developing a habit. Walking daily will help (a minimum of five days a week is a good goal). You should walk fast enough to reach your target heart rate, but you should not be gasping for air. After you have formed the habit you will want to evaluate your program and your goals. Here are some general guidelines: If you are walking for the general health benefits try to walk 30 minutes a day, most days of the week, at a "talking" pace. (Talking pace means you have elevated breathing, but you can still carry a conversation.)
If you are the type of person who makes but never keeps New Year's resolutions, these suggestions can help you make healthy – and attainable – goals this year.
Article provided by www.thewalkingsite.com
To improve cardiovascular fitness you should walk 3 - 4 days a week, 20 - 30 minutes at a very fast pace. At this pace you are breathing hard but not gasping for air. If you are walking for weight loss you should walk a minimum of five days a week, 45 - 60 minutes at a brisk pace. Once you can comfortably walk for 30 - 60 minutes 5 - 6 days a week you may want to put more "umpf " or speed into your routine. Follow these easy tips for walking faster (or for some real speed learn to racewalk). Zero to Sixty in Twelve Weeks - An easy to follow schedule to get you walking 60 minutes in 12 weeks. Notice: If you're new to walking, start off with slow, short sessions and build your way up gradually. If you have any health concerns or medical conditions, be sure to check with your doctor for advice before you begin a routine.
BE INSPIRED... at the Monastery of the Holy Spirit.
Don't abandon the idea of setting resolutions because you have
Instead tell yourself, "I resolve to have updated my résumé and sent it out to X companies by summer." That way, the success of your resolution is entirely within your control.
Do be realistic. A resolution to run a marathon by year's end is
Do set resolutions based upon your own wishes, desires, goals, and dreams and not those of society or those persons close to you. While this seems obvious, many people waste time trying to meet society's, or another person's, expectations. A resolution is bound to fail if it isn't from your heart.
broken them in the past. You may need to simply readjust the type and number of goals you're setting for yourself. likely unrealistic for an inexperienced exerciser. Likewise, resolving to stop all your unhealthy habits at once is likely to fail. Pick a safe, attainable goal with a realistic time frame. For example, if your resolution is to eat healthier, begin by eliminating one unhealthy food from your diet at a time, not all unhealthy foods.
Don't make too many resolutions. There's no rule that you have to cover all areas you'd like to change in your resolutions. Pick one or twothemes -- such as anger management, stress control, healthy eating,smoking cessation, fitness improvement, career advancement -- that are most important to you, and set reachable goals within these areas.
Don't set resolutions whose success is based upon factors beyond your control. Saying "I resolve to have a new job by summer" depends not only upon your own initiative but also upon external factors (the economy, the job market in your field) over which you have no control.
Do plan intermediate goals if it helps you maintain control. Decide where you'd like to be in three or six months, and check yourself then. Achieving these smaller goals also gives you a sense of accomplishment and motivation for the bigger projects.
Do use the buddy system. Rely on your friends to support you in your resolutions, and do the same for your friends. Social support can be a great strengthener of motivation.
Do plan a reward for yourself when the resolutions, or intermediate goals, are met.
isitors are welcome year-round at the Monastery of the Holy Spirit, the inspirational home of Georgia’s Trappist Monks. Nestled on 2,300 acres in Conyers, the Monastery offers a scenic and peaceful environment to explore. Experience a day in the life of a monk, or learn about the Trappists in Georgia at the Historic Museum. See the beautiful Abbey Church. Browse through the Bonsai Garden, Bonsai Nursery and gift shop. Visit the Abbey Store for monk-made biscotti, fruitcake, fudge, free trade items and the largest selection of Christian books in the state. Stay for the day – or experience our overnight retreats.
www.trappist.net For more Conyers information call 1.800.CONYERS
HIN December 2014 layout.indd 18-19
12/19/2014 10:46:39 AM
beginning a
FITNESS Walking Program Y ou know you want to begin a fitness program, but don't know where to start. It's easy! Walking is one of the easiest and most profitable forms of exercise. All you need is a good pair of shoes, comfortable clothing, and desire. How to start: First of all, start out slow and easy. Just walk out the door. For most people this means head out the door, walk for 10 minutes, and walk back. That's it? Yes, that's it. Do this every day for a week. If this was easy for you, add five minutes to your walks next week (total walking time 25 minutes). Keep adding five minutes until you are walking as long as desired. WATCH your posture. Walk tall. Think of elongating your body. Hold your head up and eyes forward. Your shoulders should be down, back and relaxed. Tighten your abdominal muscles and buttocks and fall into a natural stride. Be sure to drink plenty of water before, during, and after walking. Incorporate a warm up, cool
down and stretches into your routine. Start your walk at a slow warm up pace, stop and do a few warm up / flexibilty drills. Then walk for the desired length of time. End your walk with the slower cool down pace and stretch well after your walk. Stretching will make you feel great and assist in injury prevention. The toughest thing about starting a fitness program is developing a habit. Walking daily will help (a minimum of five days a week is a good goal). You should walk fast enough to reach your target heart rate, but you should not be gasping for air. After you have formed the habit you will want to evaluate your program and your goals. Here are some general guidelines: If you are walking for the general health benefits try to walk 30 minutes a day, most days of the week, at a "talking" pace. (Talking pace means you have elevated breathing, but you can still carry a conversation.)
If you are the type of person who makes but never keeps New Year's resolutions, these suggestions can help you make healthy – and attainable – goals this year.
Article provided by www.thewalkingsite.com
To improve cardiovascular fitness you should walk 3 - 4 days a week, 20 - 30 minutes at a very fast pace. At this pace you are breathing hard but not gasping for air. If you are walking for weight loss you should walk a minimum of five days a week, 45 - 60 minutes at a brisk pace. Once you can comfortably walk for 30 - 60 minutes 5 - 6 days a week you may want to put more "umpf " or speed into your routine. Follow these easy tips for walking faster (or for some real speed learn to racewalk). Zero to Sixty in Twelve Weeks - An easy to follow schedule to get you walking 60 minutes in 12 weeks. Notice: If you're new to walking, start off with slow, short sessions and build your way up gradually. If you have any health concerns or medical conditions, be sure to check with your doctor for advice before you begin a routine.
BE INSPIRED... at the Monastery of the Holy Spirit.
Don't abandon the idea of setting resolutions because you have
Instead tell yourself, "I resolve to have updated my résumé and sent it out to X companies by summer." That way, the success of your resolution is entirely within your control.
Do be realistic. A resolution to run a marathon by year's end is
Do set resolutions based upon your own wishes, desires, goals, and dreams and not those of society or those persons close to you. While this seems obvious, many people waste time trying to meet society's, or another person's, expectations. A resolution is bound to fail if it isn't from your heart.
broken them in the past. You may need to simply readjust the type and number of goals you're setting for yourself. likely unrealistic for an inexperienced exerciser. Likewise, resolving to stop all your unhealthy habits at once is likely to fail. Pick a safe, attainable goal with a realistic time frame. For example, if your resolution is to eat healthier, begin by eliminating one unhealthy food from your diet at a time, not all unhealthy foods.
Don't make too many resolutions. There's no rule that you have to cover all areas you'd like to change in your resolutions. Pick one or twothemes -- such as anger management, stress control, healthy eating,smoking cessation, fitness improvement, career advancement -- that are most important to you, and set reachable goals within these areas.
Don't set resolutions whose success is based upon factors beyond your control. Saying "I resolve to have a new job by summer" depends not only upon your own initiative but also upon external factors (the economy, the job market in your field) over which you have no control.
Do plan intermediate goals if it helps you maintain control. Decide where you'd like to be in three or six months, and check yourself then. Achieving these smaller goals also gives you a sense of accomplishment and motivation for the bigger projects.
Do use the buddy system. Rely on your friends to support you in your resolutions, and do the same for your friends. Social support can be a great strengthener of motivation.
Do plan a reward for yourself when the resolutions, or intermediate goals, are met.
isitors are welcome year-round at the Monastery of the Holy Spirit, the inspirational home of Georgia’s Trappist Monks. Nestled on 2,300 acres in Conyers, the Monastery offers a scenic and peaceful environment to explore. Experience a day in the life of a monk, or learn about the Trappists in Georgia at the Historic Museum. See the beautiful Abbey Church. Browse through the Bonsai Garden, Bonsai Nursery and gift shop. Visit the Abbey Store for monk-made biscotti, fruitcake, fudge, free trade items and the largest selection of Christian books in the state. Stay for the day – or experience our overnight retreats.
www.trappist.net For more Conyers information call 1.800.CONYERS
HIN December 2014 layout.indd 18-19
12/19/2014 10:46:39 AM
a jammed finger
W
hen it comes to fingers, jamming injuries are very common, and run the gamut from mild sprains to fracture-dislocations or even arterial stretch injuries. These injuries are commonly seen in sports, but can happen at work and during everyday activities as well. If you injure your finger, the first thing to do is inspect the finger. Concerning features include:
{
{
Not "just"
• Bruising • Deformity • A “popping” sound during injury • Severe pain or swelling • Difficulty moving the finger • Open wounds with exposed underlying structures • White or blue or deep purple color If your injury has any of the above concerning features, you should seek treatment from a health professional immediately. Significant deformity should be corrected only by a health professional, as some dislocations can be made worse by pulling on them. Splinting the finger, either
written by Jane S. Tan, MD
with an aluminum splint or even buddy-taping to the adjacent finger for milder injuries, can be a reasonable initial treatment; but, beware – prolonged, indiscriminate splinting can create its own problems of excessive stiffness, which can take weeks to months to correct. Injuries can be as mild as a simple sprain, which is a tear or a stretch of the restraining ligaments, which provide stability to a joint. Mild sprains may resolve within days. More severe sprains can sometimes take weeks to months, as well as the use of specialized splinting, to resolve. Sometimes, the ligament pulls off with a small piece of bone (called an avulsion fracture), which
may or may not require surgery to heal. Most sprains will heal on their own, but some complete tears, especially in the thumb, may require surgery to prevent permanent instability. A very severe type of sprain is a dislocation, in which stability is completely lost, and the finger sits out of joint. These injuries should be corrected by a health professional, as incorrect technique in correcting the dislocation can actually worsen the situation. Some of these injuries require surgery to correct. If the finger is sitting very far out of alignment, the dislocation can actually stretch arteries and cut off circulation. If this is the case, then the deformity should be emergently corrected to avoid lasting damage to the finger. Similarly, jamming injuries can cause the tendons to pull off the finger, with or without a piece of bone. Most often, this produces an immediate droop to the fingertip (mallet finger), which can be corrected with appropriate splinting, if begun early enough. A significant delay in treatment can result in a permanent droop. If tendon injury occurs more towards the middle of the finger
rather than the tip (central slip injury), the droop may or may not occur immediately. Once again, timely treatment of this injury is required to prevent long term issues such as contractures requiring surgery. Surprisingly to some people, a jamming injury can actually break the bones in your finger (fracture). Some of these fractures just require some splinting or casting; others may require surgery, usually involving pins or plates and/or screws. Fractures in the finger heal fairly rapidly – often within 3-4 weeks – which means that if the bone has shifted out of alignment, it can quickly heal in the malaligned position. Ideally, surgery to correct the deformity should be performed within the first week or so, in order to avoid having to re-break the bone in order to re-set it. Open wounds with exposed bone (open fractures) are serious injuries which should be treated immediately to avoid infections. Combinations of the above injuries (fracture-dislocations, open dislocation, open fractures with tendon injuries) can be devastating injuries that require surgery and aggressive therapy, and may take many months to heal.
Sometimes, reconstructive surgery is required. Particularly complex injuries or neglected injuries sometimes can only be treated with fusions. If you suspect you may have sustained a significant injury to your finger, seek medical attention immediately. Timing is of the essence for getting you back to functional use of your hand. It’s always easier to make an appointment and then cancel it later if you don’t need it, rather than wait it out and later discover that you waited too long. With appropriate, timely management, the majority of finger jamming injuries can be successfully treated with full return to normal activities. Dr. Tan is a board-certified Orthopaedic Surgeon specializing in the diagnosis and treatment of hand and upper extremity injuries at Resurgens Orthopaedics in Covington, GA.
20 HEALTHY IN NEWTON
HIN December 2014 layout.indd 20-21
12/19/2014 10:48:50 AM
a jammed finger
W
hen it comes to fingers, jamming injuries are very common, and run the gamut from mild sprains to fracture-dislocations or even arterial stretch injuries. These injuries are commonly seen in sports, but can happen at work and during everyday activities as well. If you injure your finger, the first thing to do is inspect the finger. Concerning features include:
{
{
Not "just"
• Bruising • Deformity • A “popping” sound during injury • Severe pain or swelling • Difficulty moving the finger • Open wounds with exposed underlying structures • White or blue or deep purple color If your injury has any of the above concerning features, you should seek treatment from a health professional immediately. Significant deformity should be corrected only by a health professional, as some dislocations can be made worse by pulling on them. Splinting the finger, either
written by Jane S. Tan, MD
with an aluminum splint or even buddy-taping to the adjacent finger for milder injuries, can be a reasonable initial treatment; but, beware – prolonged, indiscriminate splinting can create its own problems of excessive stiffness, which can take weeks to months to correct. Injuries can be as mild as a simple sprain, which is a tear or a stretch of the restraining ligaments, which provide stability to a joint. Mild sprains may resolve within days. More severe sprains can sometimes take weeks to months, as well as the use of specialized splinting, to resolve. Sometimes, the ligament pulls off with a small piece of bone (called an avulsion fracture), which
may or may not require surgery to heal. Most sprains will heal on their own, but some complete tears, especially in the thumb, may require surgery to prevent permanent instability. A very severe type of sprain is a dislocation, in which stability is completely lost, and the finger sits out of joint. These injuries should be corrected by a health professional, as incorrect technique in correcting the dislocation can actually worsen the situation. Some of these injuries require surgery to correct. If the finger is sitting very far out of alignment, the dislocation can actually stretch arteries and cut off circulation. If this is the case, then the deformity should be emergently corrected to avoid lasting damage to the finger. Similarly, jamming injuries can cause the tendons to pull off the finger, with or without a piece of bone. Most often, this produces an immediate droop to the fingertip (mallet finger), which can be corrected with appropriate splinting, if begun early enough. A significant delay in treatment can result in a permanent droop. If tendon injury occurs more towards the middle of the finger
rather than the tip (central slip injury), the droop may or may not occur immediately. Once again, timely treatment of this injury is required to prevent long term issues such as contractures requiring surgery. Surprisingly to some people, a jamming injury can actually break the bones in your finger (fracture). Some of these fractures just require some splinting or casting; others may require surgery, usually involving pins or plates and/or screws. Fractures in the finger heal fairly rapidly – often within 3-4 weeks – which means that if the bone has shifted out of alignment, it can quickly heal in the malaligned position. Ideally, surgery to correct the deformity should be performed within the first week or so, in order to avoid having to re-break the bone in order to re-set it. Open wounds with exposed bone (open fractures) are serious injuries which should be treated immediately to avoid infections. Combinations of the above injuries (fracture-dislocations, open dislocation, open fractures with tendon injuries) can be devastating injuries that require surgery and aggressive therapy, and may take many months to heal.
Sometimes, reconstructive surgery is required. Particularly complex injuries or neglected injuries sometimes can only be treated with fusions. If you suspect you may have sustained a significant injury to your finger, seek medical attention immediately. Timing is of the essence for getting you back to functional use of your hand. It’s always easier to make an appointment and then cancel it later if you don’t need it, rather than wait it out and later discover that you waited too long. With appropriate, timely management, the majority of finger jamming injuries can be successfully treated with full return to normal activities. Dr. Tan is a board-certified Orthopaedic Surgeon specializing in the diagnosis and treatment of hand and upper extremity injuries at Resurgens Orthopaedics in Covington, GA.
20 HEALTHY IN NEWTON
HIN December 2014 layout.indd 20-21
12/19/2014 10:48:50 AM
Georgia Ophthalmologist is excited to announce a new home for our Covington office. Our new space will allow our expanding practice to continually provide the highest level of ophthalmic care for you and your family. We look forward to your visit to our new home at 4159 Mill Street, Covington.
uries orts, nd as
Glaucoma
return
c nd y injuries n, GA.
G
laucoma is a complicated disease in which damage to the optic nerve results in vision loss.There are several forms of glaucoma; the two most common forms are primary open-angle glaucoma (POAG) and angle-closure glaucoma (ACG). Open-angle glaucoma is often called "the sneak thief of sight" because it has no symptoms until significant vision loss has occurred.
Symptoms of Open-Angle Glaucoma There are typically no early warning signs or symptoms of open-angle glaucoma. It develops slowly and sometimes without noticeable sight loss for many years. Most people who have open-angle glaucoma feel fine and do not notice a change in their vision at first because the initial loss of vision is of side or peripheral vision, and the visual acuity or sharpness of vision is maintained until late in the disease. By the time a patient is aware of vision loss, the disease is usually quite advanced. Vision loss from glaucoma is not reversible with treatment, even with surgery. Because open-angle glaucoma has few warning signs or symptoms before damage has occurred, it is important to see a doctor for regular eye examinations. If glaucoma is detected during an eye exam, your eye doctor can prescribe a preventative treatment to help protect your vision. In open-angle glaucoma, the angle in your eye where the iris meets the cornea is as wide and
open as it should be, but the eye’s drainage canals become clogged over time, causing an increase in internal eye pressure and subsequent damage to the optic nerve. It is the most common type of glaucoma, affecting about four million Americans, many of whom do not know they have the disease. You are at increased risk of glaucoma if your parents or siblings have the disease, if you are African-American or Latino, and possibly if you are diabetic or have cardiovascular disease. The risk of glaucoma also increases with age. Symptoms of Angle-Closure Glaucoma • Hazy or blurred vision • The appearance of rainbow-colored circles around bright lights • Severe eye and head pain • Nausea or vomiting (accompanying severe eye pain) • Sudden sight loss Angle-closure glaucoma is caused by blocked drainage canals in the eye, resulting in a sudden rise in intraocular pressure. This is a much more
rare form of glaucoma, which develops very quickly and demands immediate medical attention. In contrast with open-angle glaucoma, symptoms of acute angle-closure glaucoma are very noticeable and damage occurs quickly. If you experience any of these symptoms, seek immediate care from ophthalmologist Dr. Manns at Georgia Ophthalmology.
4159 Mill Street, Covington GA 30014 • 770-786-1234
www.georgiavisioncare.com Jose Bigles-Geigel, M.D.
Jaymini Nayee, O.D.
Schedule your appointment today!
If you are diagnosed with glaucoma, it is important to set a regular schedule of examinations with your eye doctor to monitor your condition and make sure that your prescribed treatment is effectively maintaining a safe eye pressure. If you do not have an eye doctor contact Georgia Ophthalmology at 770-186-1234.
Jack Manns, MD Glaucoma & Comprehensive Ophthalmology
We are proud to welcome Dr.Jack Manns to the Georgia Ophthalmologists’ family. Dr.Manns specializes in Glaucoma and Comprehensive eye care. He completed his medical and ophthalmology training at there renowned Albert Einstein College of Medicine. He then sub-specialized in Glaucoma at the University of Virginia. We are excited to announce that he will be the only glaucoma specialist serving our community.
22 HEALTHY IN NEWTON
HIN December 2014 layout.indd 22-23
12/19/2014 10:49:26 AM
Georgia Ophthalmologist is excited to announce a new home for our Covington office. Our new space will allow our expanding practice to continually provide the highest level of ophthalmic care for you and your family. We look forward to your visit to our new home at 4159 Mill Street, Covington.
uries orts, nd as
Glaucoma
return
c nd y injuries n, GA.
G
laucoma is a complicated disease in which damage to the optic nerve results in vision loss.There are several forms of glaucoma; the two most common forms are primary open-angle glaucoma (POAG) and angle-closure glaucoma (ACG). Open-angle glaucoma is often called "the sneak thief of sight" because it has no symptoms until significant vision loss has occurred.
Symptoms of Open-Angle Glaucoma There are typically no early warning signs or symptoms of open-angle glaucoma. It develops slowly and sometimes without noticeable sight loss for many years. Most people who have open-angle glaucoma feel fine and do not notice a change in their vision at first because the initial loss of vision is of side or peripheral vision, and the visual acuity or sharpness of vision is maintained until late in the disease. By the time a patient is aware of vision loss, the disease is usually quite advanced. Vision loss from glaucoma is not reversible with treatment, even with surgery. Because open-angle glaucoma has few warning signs or symptoms before damage has occurred, it is important to see a doctor for regular eye examinations. If glaucoma is detected during an eye exam, your eye doctor can prescribe a preventative treatment to help protect your vision. In open-angle glaucoma, the angle in your eye where the iris meets the cornea is as wide and
open as it should be, but the eye’s drainage canals become clogged over time, causing an increase in internal eye pressure and subsequent damage to the optic nerve. It is the most common type of glaucoma, affecting about four million Americans, many of whom do not know they have the disease. You are at increased risk of glaucoma if your parents or siblings have the disease, if you are African-American or Latino, and possibly if you are diabetic or have cardiovascular disease. The risk of glaucoma also increases with age. Symptoms of Angle-Closure Glaucoma • Hazy or blurred vision • The appearance of rainbow-colored circles around bright lights • Severe eye and head pain • Nausea or vomiting (accompanying severe eye pain) • Sudden sight loss Angle-closure glaucoma is caused by blocked drainage canals in the eye, resulting in a sudden rise in intraocular pressure. This is a much more
rare form of glaucoma, which develops very quickly and demands immediate medical attention. In contrast with open-angle glaucoma, symptoms of acute angle-closure glaucoma are very noticeable and damage occurs quickly. If you experience any of these symptoms, seek immediate care from ophthalmologist Dr. Manns at Georgia Ophthalmology.
4159 Mill Street, Covington GA 30014 • 770-786-1234
www.georgiavisioncare.com Jose Bigles-Geigel, M.D.
Jaymini Nayee, O.D.
Schedule your appointment today!
If you are diagnosed with glaucoma, it is important to set a regular schedule of examinations with your eye doctor to monitor your condition and make sure that your prescribed treatment is effectively maintaining a safe eye pressure. If you do not have an eye doctor contact Georgia Ophthalmology at 770-186-1234.
Jack Manns, MD Glaucoma & Comprehensive Ophthalmology
We are proud to welcome Dr.Jack Manns to the Georgia Ophthalmologists’ family. Dr.Manns specializes in Glaucoma and Comprehensive eye care. He completed his medical and ophthalmology training at there renowned Albert Einstein College of Medicine. He then sub-specialized in Glaucoma at the University of Virginia. We are excited to announce that he will be the only glaucoma specialist serving our community.
22 HEALTHY IN NEWTON
HIN December 2014 layout.indd 22-23
12/19/2014 10:49:26 AM
Premier internal medicine Welcomes New Patients in Our Social Circle office
• • •
Physicals Hypertension Diabetes
• • •
Blood Sugar
B
lood sugar is a tricky little beast. Yes, you can get a high reading if you throw caution to the wind and eat several slices of cake at a wedding. The problem is that you can also have a high blood sugar reading if you follow every rule in the type 2 diabetes handbook. That's because it's not just food that affects blood sugar. You could have a cold coming on, or stress may have temporarily boosted your blood sugar. The reading could be wrong, and you need to repeat it. Or it could mean that your medicine is no longer working, and it's time to try a new one. The point is, it's the pattern that
Cholesterol Thyroid Women’s Wellness
Seeing Patients 15 and older.
All major insurance plans accepted including Medicare.
Walk Ins Welcome
Dr. Grant also sees patients in our Covington office
Anne Grant, MD Internal Medicine
Please call today to schedule your appointment
770-464-2540
HIN December 2014 layout.indd 24-25
What is it & what to do
matters, not a single reading. Whatever you do, don't feel bad or guilty if you have a high blood sugar reading.
A 2004 study found that blood sugar monitoring often amplifies feelings of being a "success" or "failure" at diabetes, and when readings are consistently high, it can trigger feelings of anxiety or self-blame.
This can cause some people to give up on testing completely. Try not to think of blood sugar monitoring as a "test" administered by a sour-faced teacher lurking in your distant past. Blood sugar monitoring is simply a tool that you can use to fight the disease. Article provided by www.health.com
Here are a few things to do if your blood sugar is high.
200 Brookstone Place, Suite B Social Circle, GA 30025 770-464-2540 Tuesdays & Wednesdays: 8:30AM-5:00PM Covington Office: 5294 Adams Street Covington, GA 30014 770-787-5600
HIGH
• Test before you eat and two hours after. This will tell you how well your medication is controlling your blood sugar. It will also shed light on what food is boosting your sugar too high—and thus should be avoided. "You should consult your health-care provider to develop a plan that works for you," says Donna Rice, immediate past president of the American Association of Diabetes Educators, who notes that the frequency and time of day you test will depend on how controlled your blood glucose is. • Look for patterns. If your blood sugar is high in the morning on one day, no big deal. If it keeps happening, though, it's more meaningful. "An isolated high and low you can brush off. Anyone can have a high or low, your body might have been compensating," says Rice. "If they're high every morning, that's important because it means that your liver is producing too much sugar during the night—that might require new or an additional medicine." • Make some small changes. You might try to get more exercise, or limit carbs at your next meal. "One blood sugar that's high doesn't indicate a need for major changes—that should only be done on a pattern," says Rice. If a pattern continues for two to three days or more, then you might want to let your health-care provider know. • Think about what's going on. Irene Dunbar, 73, of Durham, N.C., woke up one morning recently to discover her blood sugar was at 119, which is high for her. "I had a cold and had had orange juice yesterday and I normally do not drink orange juice and I thought, 'I better not do that,' " she said. When she gets a high blood sugar reading, she tries to remember if she had anything recently that she knows are triggers, and avoids them next time. • Relax. It's not just food that can turn your blood sugar into a roller coaster. "My blood sugar will get really wacky if I have a lot of stress," said Carol Mullen, 62, of Sandia Park, N.M. "I try to avoid situations that are stressful." We all know stress is bad—now you have a concrete number that's telling you it's time to relax. • Consider talking to your doctor. If you think you've been doing all you can to keep blood sugar in control, but still have high blood sugar readings, it might be time to switch medication. Diabetes is a progressive disease, and over time, the beta cells in the pancreas that produce insulin can stop making the hormone. "So, even if your numbers have held steady for years, that could change if the beta cells change, which is usually a gradual change but can be sudden," says Rice. "That change doesn't mean you've done anything wrong, it's just the nature of the disease. The beta cells can only put out so much insulin, and over time they start to put out less." If you do not have a health care provider, contact Dr. Anne Grant at Premier Internal Medicine to look at the big picture and do additional testing to find out if there is a bigger problem.
HEALTHY IN NEWTON 25
12/19/2014 10:49:54 AM
Premier internal medicine Welcomes New Patients in Our Social Circle office
• • •
Physicals Hypertension Diabetes
• • •
Blood Sugar
B
lood sugar is a tricky little beast. Yes, you can get a high reading if you throw caution to the wind and eat several slices of cake at a wedding. The problem is that you can also have a high blood sugar reading if you follow every rule in the type 2 diabetes handbook. That's because it's not just food that affects blood sugar. You could have a cold coming on, or stress may have temporarily boosted your blood sugar. The reading could be wrong, and you need to repeat it. Or it could mean that your medicine is no longer working, and it's time to try a new one. The point is, it's the pattern that
Cholesterol Thyroid Women’s Wellness
Seeing Patients 15 and older.
All major insurance plans accepted including Medicare.
Walk Ins Welcome
Dr. Grant also sees patients in our Covington office
Anne Grant, MD Internal Medicine
Please call today to schedule your appointment
770-464-2540
HIN December 2014 layout.indd 24-25
What is it & what to do
matters, not a single reading. Whatever you do, don't feel bad or guilty if you have a high blood sugar reading.
A 2004 study found that blood sugar monitoring often amplifies feelings of being a "success" or "failure" at diabetes, and when readings are consistently high, it can trigger feelings of anxiety or self-blame.
This can cause some people to give up on testing completely. Try not to think of blood sugar monitoring as a "test" administered by a sour-faced teacher lurking in your distant past. Blood sugar monitoring is simply a tool that you can use to fight the disease. Article provided by www.health.com
Here are a few things to do if your blood sugar is high.
200 Brookstone Place, Suite B Social Circle, GA 30025 770-464-2540 Tuesdays & Wednesdays: 8:30AM-5:00PM Covington Office: 5294 Adams Street Covington, GA 30014 770-787-5600
HIGH
• Test before you eat and two hours after. This will tell you how well your medication is controlling your blood sugar. It will also shed light on what food is boosting your sugar too high—and thus should be avoided. "You should consult your health-care provider to develop a plan that works for you," says Donna Rice, immediate past president of the American Association of Diabetes Educators, who notes that the frequency and time of day you test will depend on how controlled your blood glucose is. • Look for patterns. If your blood sugar is high in the morning on one day, no big deal. If it keeps happening, though, it's more meaningful. "An isolated high and low you can brush off. Anyone can have a high or low, your body might have been compensating," says Rice. "If they're high every morning, that's important because it means that your liver is producing too much sugar during the night—that might require new or an additional medicine." • Make some small changes. You might try to get more exercise, or limit carbs at your next meal. "One blood sugar that's high doesn't indicate a need for major changes—that should only be done on a pattern," says Rice. If a pattern continues for two to three days or more, then you might want to let your health-care provider know. • Think about what's going on. Irene Dunbar, 73, of Durham, N.C., woke up one morning recently to discover her blood sugar was at 119, which is high for her. "I had a cold and had had orange juice yesterday and I normally do not drink orange juice and I thought, 'I better not do that,' " she said. When she gets a high blood sugar reading, she tries to remember if she had anything recently that she knows are triggers, and avoids them next time. • Relax. It's not just food that can turn your blood sugar into a roller coaster. "My blood sugar will get really wacky if I have a lot of stress," said Carol Mullen, 62, of Sandia Park, N.M. "I try to avoid situations that are stressful." We all know stress is bad—now you have a concrete number that's telling you it's time to relax. • Consider talking to your doctor. If you think you've been doing all you can to keep blood sugar in control, but still have high blood sugar readings, it might be time to switch medication. Diabetes is a progressive disease, and over time, the beta cells in the pancreas that produce insulin can stop making the hormone. "So, even if your numbers have held steady for years, that could change if the beta cells change, which is usually a gradual change but can be sudden," says Rice. "That change doesn't mean you've done anything wrong, it's just the nature of the disease. The beta cells can only put out so much insulin, and over time they start to put out less." If you do not have a health care provider, contact Dr. Anne Grant at Premier Internal Medicine to look at the big picture and do additional testing to find out if there is a bigger problem.
HEALTHY IN NEWTON 25
12/19/2014 10:49:54 AM
Colon C Cancer Screening
SAVES LIVES!
olon cancer is the second leading cause of cancer-related deaths in the United States. In fact, one in 20 people in the United States will be diagnosed with colorectal cancer in their lifetime. But it is also one of the few cancers that, when detected in its early stages, is highly preventable.
“Screening for colon cancer is one of the most important things I do as a gastroenterologist,” says Atlanta Gastroenterology Associates (AGA) physician, Dr. Barry Levitt., “There are a few options available for screening, but the industry gold standard is a colonoscopy.” Colonoscopies allow a physician to visualize the entire large bowel or colon while a patient is sedated in order to diagnose and treat many digestive diseases. Studies suggest that a screening colonoscopy is considered the single best method for detecting and removing pre-cancerous polyps. “Colon polyps are small growths that occur in the lining of the large intestine over time,” explains Dr. David Rabin, gastroenterologist at AGA. “And during a colonoscopy, we have the capability to remove those polyps before they can develop into
cancers.” Most colon polyps and early cancers don’t produce any symptoms, so it’s vital to notify your doctor if you notice symptoms such as blood in your stool or a change in bowel habits. Other colon cancer symptoms include persistent abdominal discomfort, chronic fatigue, and unexplained weight loss. According to the American Cancer Society, colon cancer screenings are recommended for every adult beginning at age 50. If there is a family history of colon cancer, or other risk factors, some people may need to be screened at a younger age. “It’s important to ask your doctor when screening is right for you,” adds Dr. Rabin. “A colonoscopy is a safe, relatively simple, and highly effective way to diagnose and treat colon cancer,” says AGA gastroenterologist Dr. Mahmoud Barrie. “It’s important that people take advantage of colon cancer screenings and the opportunity to prevent the disease. It can save a life.” Dr. Barrie, Dr. Levitt, and Dr. Rabin see patients at Atlanta Gastroenterology Associates’ offices in Conyers, Atlanta, Decatur, and Lithonia. To make an appointment, call 1.866.GO.TO.AGA [468.6242], or visit www. atlantagastro.com.
Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer
ta Gastroppointment
Almost every adult will suffer from digestive issues during their lifetime. Whether it's a touch of indigestion or abdominal pain that won’t subside, you deserve the best possible care. The specialists at Atlanta Gastroenterology Associates are experts in colon cancer screenings and evaluating and treating every type of digestive disorder, including: • Crohn’s Disease | UC • Irritable Bowel Syndrome • Acid Reflux | Ulcers
• Liver Disease • Hiatal Hernias • Diarrhea
• Hepatitis • Intestinal Polyps • Constipation
• Barrett’s Esophagus • Heartburn • Hemorrhoids
With a convenient location in Conyers, getting the care you need has never been easier.
1501 Milstead Road Suite 160 Conyers, Georgia 30012 For Appointments:
678.745.3033
Barry Levitt, M.D.
Mahmoud B. Barrie, M.D.
www.atlantagastro.com 1.866.GO.TO.AGA [468.6242] AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.
HIN December 2014 layout.indd 26-27
David Rabin, M.D.
Foods With
Healthy Reputations W
ithout a degree in biology or nutrition, it can be difficult to determine just which foods are healthy and which are better left at the grocery store. The list of foods you should and should not eat seems forever subject to new research that tends to debunk once conventional wisdom regarding diet and nutrition. Eggs go from unhealthy to healthy, while the reputation of caffeine seemingly changes with the daily winds. Making sense of old and new data is seldom easy, leaving many people in the dark about which foods are truly healthy. But eating healthy does not have to be a big mystery. The following widely available foods have long been considered healthy, and that reputation does not figure to change anytime soon. • Red tomatoes. If you aren't adding tomatoes to everything you eat, perhaps you should. Estimates suggest the average person eats around 80 pounds of tomatoes per year. Tomatoes are more than just a garnish for salads or sandwiches. In fact, red tomatoes are a healthy fuel for the body that earn their superfood status thanks in large part to lycopene. Lycopene is a powerful antioxidant with cancer-fighting properties. Like other antioxidants, lycopene destroys free radicals in the body that may otherwise damage cells. One eight-ounce serving of red, ripe and raw tomatoes is a good source of vitamins A, C and K and a great source of folate and potassium, which can boost the immune system and other functions of the body. Tomatoes also are naturally low in sodium, saturated fat, cholesterol, and calories. Due to their high water
content, tomatoes can fill you up, making it less likely that you will overeat. • Yogurt. Yogurt is arguably at the peak of its popularity, with dozens of varieties, from creamy creations to low-fat alternatives to thick and rich Greek yogurts, available at many grocery stores. Yogurt is a great source of protein, calcium and key vitamins that support strong bones and a healthy metabolism. Yogurt also boosts the immune system by providing tons of beneficial bacteria that swarm in the digestive tract and aid with digestion by using nutrients more efficiently. Furthermore, these bacteria have the potential to lower cholesterol. Studies to test the efficacy of these bacteria with regard to fighting certain types of gastrointestinal illness, certain infections and even cancer are ongoing. • Dark, leafy greens. Spinach, kale and chard contain iron and carotenoids, an antioxidant that protects cells against damaging free radicals. In addition to fiber, which helps you feel full and cleans cholesterol from the blood, leafy greens also contain abundant amounts of calcium. Calcium is integral in building and maintaining healthy bones and teeth and reducing the risk of osteoporosis. It also is key in regulating the heart's rhythm, the transmission of nerve impulses and the blood clotting functions in the body. Raw, leafy greens offer more of a nutritive punch than cooked veggies, but both are good to include in a diet.
be obtained through food. Scores of benefits are attributed to essential fatty acids, which are believed to improve cognitive abilities, reduce risk of depression, protect against cardiovascular disease and reduce bodily inflammation. • Carrots. The carotenoids found in carrots are fat-soluble compounds that reduce the risk for a wide range of cancers and help ease inflammatory diseases, such as asthma and rheumatoid arthritis. Four ounces of carrots per day makes a low-calorie snack, and this includes all the carotenoids you need. Beta-carotene, also found in sweet potatoes and tomatoes, helps protect skin against sun damage. It may make the skin less sensitive to UV light, helping to protect against premature wrinkling. Carrots also are high in vitamin A, which is essential for good eyesight and may help reduce your risk of cataracts and macular degeneration. • Berries. Blueberries, raspberries and blackberries are among the most nutritionally dense foods you can eat. Each berry contains a substantial amount of antioxidants, fiber, vitamins, and minerals that improve the body's antioxidant capability and contribute to brain health. Blueberries, in particular, pack more antioxidants than any other North American fruit. Strive to eat one cup of fresh berries per day.
• Salmon. Fish is often naturally low in fat and cholesterol, making it a smart choice for those watching their waistlines. But the benefits do not end there. Oily fish like salmon is particularly nutritious because it is packed with omega-3 fatty acids, a group of essential polyunsaturated fats. These fats are considered essential because the body cannot create them, meaning they can only HEALTHY IN NEWTON 27
12/19/2014 10:52:28 AM
Colon C Cancer Screening
SAVES LIVES!
olon cancer is the second leading cause of cancer-related deaths in the United States. In fact, one in 20 people in the United States will be diagnosed with colorectal cancer in their lifetime. But it is also one of the few cancers that, when detected in its early stages, is highly preventable.
“Screening for colon cancer is one of the most important things I do as a gastroenterologist,” says Atlanta Gastroenterology Associates (AGA) physician, Dr. Barry Levitt., “There are a few options available for screening, but the industry gold standard is a colonoscopy.” Colonoscopies allow a physician to visualize the entire large bowel or colon while a patient is sedated in order to diagnose and treat many digestive diseases. Studies suggest that a screening colonoscopy is considered the single best method for detecting and removing pre-cancerous polyps. “Colon polyps are small growths that occur in the lining of the large intestine over time,” explains Dr. David Rabin, gastroenterologist at AGA. “And during a colonoscopy, we have the capability to remove those polyps before they can develop into
cancers.” Most colon polyps and early cancers don’t produce any symptoms, so it’s vital to notify your doctor if you notice symptoms such as blood in your stool or a change in bowel habits. Other colon cancer symptoms include persistent abdominal discomfort, chronic fatigue, and unexplained weight loss. According to the American Cancer Society, colon cancer screenings are recommended for every adult beginning at age 50. If there is a family history of colon cancer, or other risk factors, some people may need to be screened at a younger age. “It’s important to ask your doctor when screening is right for you,” adds Dr. Rabin. “A colonoscopy is a safe, relatively simple, and highly effective way to diagnose and treat colon cancer,” says AGA gastroenterologist Dr. Mahmoud Barrie. “It’s important that people take advantage of colon cancer screenings and the opportunity to prevent the disease. It can save a life.” Dr. Barrie, Dr. Levitt, and Dr. Rabin see patients at Atlanta Gastroenterology Associates’ offices in Conyers, Atlanta, Decatur, and Lithonia. To make an appointment, call 1.866.GO.TO.AGA [468.6242], or visit www. atlantagastro.com.
Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer
ta Gastroppointment
Almost every adult will suffer from digestive issues during their lifetime. Whether it's a touch of indigestion or abdominal pain that won’t subside, you deserve the best possible care. The specialists at Atlanta Gastroenterology Associates are experts in colon cancer screenings and evaluating and treating every type of digestive disorder, including: • Crohn’s Disease | UC • Irritable Bowel Syndrome • Acid Reflux | Ulcers
• Liver Disease • Hiatal Hernias • Diarrhea
• Hepatitis • Intestinal Polyps • Constipation
• Barrett’s Esophagus • Heartburn • Hemorrhoids
With a convenient location in Conyers, getting the care you need has never been easier.
1501 Milstead Road Suite 160 Conyers, Georgia 30012 For Appointments:
678.745.3033
Barry Levitt, M.D.
Mahmoud B. Barrie, M.D.
www.atlantagastro.com 1.866.GO.TO.AGA [468.6242] AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.
HIN December 2014 layout.indd 26-27
David Rabin, M.D.
Foods With
Healthy Reputations W
ithout a degree in biology or nutrition, it can be difficult to determine just which foods are healthy and which are better left at the grocery store. The list of foods you should and should not eat seems forever subject to new research that tends to debunk once conventional wisdom regarding diet and nutrition. Eggs go from unhealthy to healthy, while the reputation of caffeine seemingly changes with the daily winds. Making sense of old and new data is seldom easy, leaving many people in the dark about which foods are truly healthy. But eating healthy does not have to be a big mystery. The following widely available foods have long been considered healthy, and that reputation does not figure to change anytime soon. • Red tomatoes. If you aren't adding tomatoes to everything you eat, perhaps you should. Estimates suggest the average person eats around 80 pounds of tomatoes per year. Tomatoes are more than just a garnish for salads or sandwiches. In fact, red tomatoes are a healthy fuel for the body that earn their superfood status thanks in large part to lycopene. Lycopene is a powerful antioxidant with cancer-fighting properties. Like other antioxidants, lycopene destroys free radicals in the body that may otherwise damage cells. One eight-ounce serving of red, ripe and raw tomatoes is a good source of vitamins A, C and K and a great source of folate and potassium, which can boost the immune system and other functions of the body. Tomatoes also are naturally low in sodium, saturated fat, cholesterol, and calories. Due to their high water
content, tomatoes can fill you up, making it less likely that you will overeat. • Yogurt. Yogurt is arguably at the peak of its popularity, with dozens of varieties, from creamy creations to low-fat alternatives to thick and rich Greek yogurts, available at many grocery stores. Yogurt is a great source of protein, calcium and key vitamins that support strong bones and a healthy metabolism. Yogurt also boosts the immune system by providing tons of beneficial bacteria that swarm in the digestive tract and aid with digestion by using nutrients more efficiently. Furthermore, these bacteria have the potential to lower cholesterol. Studies to test the efficacy of these bacteria with regard to fighting certain types of gastrointestinal illness, certain infections and even cancer are ongoing. • Dark, leafy greens. Spinach, kale and chard contain iron and carotenoids, an antioxidant that protects cells against damaging free radicals. In addition to fiber, which helps you feel full and cleans cholesterol from the blood, leafy greens also contain abundant amounts of calcium. Calcium is integral in building and maintaining healthy bones and teeth and reducing the risk of osteoporosis. It also is key in regulating the heart's rhythm, the transmission of nerve impulses and the blood clotting functions in the body. Raw, leafy greens offer more of a nutritive punch than cooked veggies, but both are good to include in a diet.
be obtained through food. Scores of benefits are attributed to essential fatty acids, which are believed to improve cognitive abilities, reduce risk of depression, protect against cardiovascular disease and reduce bodily inflammation. • Carrots. The carotenoids found in carrots are fat-soluble compounds that reduce the risk for a wide range of cancers and help ease inflammatory diseases, such as asthma and rheumatoid arthritis. Four ounces of carrots per day makes a low-calorie snack, and this includes all the carotenoids you need. Beta-carotene, also found in sweet potatoes and tomatoes, helps protect skin against sun damage. It may make the skin less sensitive to UV light, helping to protect against premature wrinkling. Carrots also are high in vitamin A, which is essential for good eyesight and may help reduce your risk of cataracts and macular degeneration. • Berries. Blueberries, raspberries and blackberries are among the most nutritionally dense foods you can eat. Each berry contains a substantial amount of antioxidants, fiber, vitamins, and minerals that improve the body's antioxidant capability and contribute to brain health. Blueberries, in particular, pack more antioxidants than any other North American fruit. Strive to eat one cup of fresh berries per day.
• Salmon. Fish is often naturally low in fat and cholesterol, making it a smart choice for those watching their waistlines. But the benefits do not end there. Oily fish like salmon is particularly nutritious because it is packed with omega-3 fatty acids, a group of essential polyunsaturated fats. These fats are considered essential because the body cannot create them, meaning they can only HEALTHY IN NEWTON 27
12/19/2014 10:52:28 AM
www.entspecialists.net
Hearing Aids
{what you might not know}
I
f you take your ears for granted, listen to this: hearing loss is the third most common health problem in the United States today. And it's on the rise, with nearly 36 million Americans reporting lost hearing. When hearing goes, it may affect quality of life and relationships. Heredity, age and illness can contribute to hearing loss. Over recent generations, modern life has also added more ear-damaging elements to the equation, including some medications and plenty of sources of loud, continuous noise. Other factors, like excessive earwax, can temporarily prevent your ears from conducting sounds as well as they should. The good news is that, while you can’t reverse hearing loss, you don’t have to live in a world where mumbling and muted sounds are the norm. How’s Your Hearing? In a few cases hearing loss is sudden, occurring over several hours or days, and usually affecting only one ear, not both. In most cases, though, hearing fades so slowly, it can go unnoticed. Maybe everybody seems to be mumbling. Maybe your spouse needs to speak up. Maybe your phone or TV isn’t working as well as it used to. Whatever the case, you cope because sound is still coming in, so you assume your hearing is fine. But don’t wait for hearing loss to become extreme before you see your doctor. An ear, nose and throat specialist (ENT) can best help you evaluate your situation and arrange for a certified audiologist to assist in the diagnosis.
First, your doctor will do a physical exam, looking in your ear for any possible causes of hearing loss, such as wax build-up, inflammation from an infection, or some structural issue. He may ask you to cover one ear at a time and respond to words or other sounds at various volumes. A tuning fork may be used to determine if hearing loss is due to damage to the vibrating parts of your middle ear (including your eardrum) or to the sensors or nerves of the inner ear. Next, you might see an audiologist, who can conduct audiometer tests, designed to thoroughly evaluate your hearing. During these tests, you’ll wear earphones to hear sounds, directed to one ear at a time. The sounds will be played in a variety of tones, at various levels, to get an accurate assessment of exactly how your hearing is affected. This can help your physician in diagnosing the source of your hearing loss and how it can be treated. Not Your Grandma’s Hearing Aids Maybe your Grandma refused to get a hearing aid, worried that the huge thing behind her ear would scream to everyone that she was hard of hearing. But the times have changed, and hearing aids – as well as other hearing loss treatments – offer discreet solutions to your hearing loss. "I like to say that the hearing loss is more visible to others than the hearing aid," says Pam Mason, director of audiology professional practices at the American Speech-Language-Hearing Association (ASHA). "Hearing aids today are behind the ear, very small, with a tiny wire that goes down into your ear canal. They truly are invisible." What’s more, many of the medical conditions that can contribute to severe hearing loss, from infections to tumors, are treatable. Sometimes, it
may even be as simple as removing excess earwax. Common treatments for permanent hearing loss include: • Medical or surgical treatment: antibiotics can treat ear infections, and surgery can correct anatomical problems with the eardrums or bones of the middle ear. Often in children, drainage tubes, inserted surgically, can improve hearing loss caused by frequent ear infections. • Hearing aids: These tiny instruments fit inside or behind your ear, making sounds stronger and easier to hear. Most people with permanent hearing loss can benefit from using a hearing aid -- yet only one in five affected people use them. • Cochlear implants: Used mainly with young children, these are becoming more popular among older adults with severe hearing loss. Unlike a hearing aid that amplifies sound and directs it into your ear canal, a cochlear implant compensates for damaged or nonworking parts of your inner ear. First Step: See Your Doctor Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and even marital problems. So, if you suspect your hearing isn’t what it used to be, don’t delay – see your doctor ASAP. Prompt medical care, especially for sudden hearing loss, can increase your chances of a successful recovery or treatment.
If you experience difficulty hearing, now is the time to If you experience difficulty schedule your appointment hearing, thequalified, time to with one ofnow our is high schedule your appointment certified Audiologists. with one of our high qualified, certified Audiologists.
FOR PEOPLE WITH HEARING LOSS FOR PEOPLE WITH HEARING LOSS
Schedule an appointment with an ENT who has audiologists on staff, for a faster, simpler diagnosis. Ear, Nose and Throat Specialists, with offices in Conyers and Covington, offers the expertise of board-certified physicians, as well as a staff of certified audiologists. For an appointment, call 770-922-5458 (Conyers) or 770-385-0321 (Covington).
770-922-5458
How’s Your Hearing? Have you noticed more difficulty understanding family and friends? Does everyone just seem to be How’s Your Hearing? mumbling? Have you noticed more difficulty Are you asking people repeat understanding family andtofriends? themselves often?just seem to be Does everyone Are you having to turn the TV mumbling? volume up? Are you asking people to repeat themselves often? “yes” to any of If you answered Are you having to turn theneed TV to these questions, you may volumecheck up? your hearing…
If you answered “yes” to any of these questions, may need to Did Youyou Know? check your hearing… Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and Did You Know? marital problems Untreated hearing loss is associat leads to a better edAmplification with isolation, depression, memquality of life, according to a 1999 ory problems, loss of income and study the National Council on maritalbyproblems Aging. Amplification leads to a better At least 29 million Americans have quality of life, according to a 1999 a hearing impairment; 20% in adults study by the National Council on ages 48-59; over 50% in adults over Aging. 75. At least 29 million Americans have Patientsimpairment; with diabetes areinmore a hearing 20% adults than likely to have hearing ages twice 48-59;asover 50% in adults over loss. 75. Exposure to noise is the leading Patients with diabetes are more cause of tinnitus, and always than twice as likely to almost have hearing accompanies hearing loss. loss. Exposure to noise is the leading cause of tinnitus, and almost always accompanies hearing loss.
Dr. Donald Cote • Dr. Arthur Torsiglieri Dr. Adam French Donna McGough, F-AAA Dr. Donald Cote • Dr. Arthur Torsiglieri Kristyn Meade, F-AAA Dr. Adam French Susann Shriver, CCC-A Donna McGough, F-AAA Kristyn Meade, F-AAA OfficesSusann in Conyers Covington. Shriver, & CCC-A
28 HEALTHY IN NEWTON
www.entspecialists.net www.entspecialists.net
HIN December 2014 layout.indd 28-29
Call now for an appointment! Offices in770-922-5458 Conyers & Covington. Call now for an appointment! 770-922-5458 12/19/2014 11:01:46 AM
www.entspecialists.net
Hearing Aids
{what you might not know}
I
f you take your ears for granted, listen to this: hearing loss is the third most common health problem in the United States today. And it's on the rise, with nearly 36 million Americans reporting lost hearing. When hearing goes, it may affect quality of life and relationships. Heredity, age and illness can contribute to hearing loss. Over recent generations, modern life has also added more ear-damaging elements to the equation, including some medications and plenty of sources of loud, continuous noise. Other factors, like excessive earwax, can temporarily prevent your ears from conducting sounds as well as they should. The good news is that, while you can’t reverse hearing loss, you don’t have to live in a world where mumbling and muted sounds are the norm. How’s Your Hearing? In a few cases hearing loss is sudden, occurring over several hours or days, and usually affecting only one ear, not both. In most cases, though, hearing fades so slowly, it can go unnoticed. Maybe everybody seems to be mumbling. Maybe your spouse needs to speak up. Maybe your phone or TV isn’t working as well as it used to. Whatever the case, you cope because sound is still coming in, so you assume your hearing is fine. But don’t wait for hearing loss to become extreme before you see your doctor. An ear, nose and throat specialist (ENT) can best help you evaluate your situation and arrange for a certified audiologist to assist in the diagnosis.
First, your doctor will do a physical exam, looking in your ear for any possible causes of hearing loss, such as wax build-up, inflammation from an infection, or some structural issue. He may ask you to cover one ear at a time and respond to words or other sounds at various volumes. A tuning fork may be used to determine if hearing loss is due to damage to the vibrating parts of your middle ear (including your eardrum) or to the sensors or nerves of the inner ear. Next, you might see an audiologist, who can conduct audiometer tests, designed to thoroughly evaluate your hearing. During these tests, you’ll wear earphones to hear sounds, directed to one ear at a time. The sounds will be played in a variety of tones, at various levels, to get an accurate assessment of exactly how your hearing is affected. This can help your physician in diagnosing the source of your hearing loss and how it can be treated. Not Your Grandma’s Hearing Aids Maybe your Grandma refused to get a hearing aid, worried that the huge thing behind her ear would scream to everyone that she was hard of hearing. But the times have changed, and hearing aids – as well as other hearing loss treatments – offer discreet solutions to your hearing loss. "I like to say that the hearing loss is more visible to others than the hearing aid," says Pam Mason, director of audiology professional practices at the American Speech-Language-Hearing Association (ASHA). "Hearing aids today are behind the ear, very small, with a tiny wire that goes down into your ear canal. They truly are invisible." What’s more, many of the medical conditions that can contribute to severe hearing loss, from infections to tumors, are treatable. Sometimes, it
may even be as simple as removing excess earwax. Common treatments for permanent hearing loss include: • Medical or surgical treatment: antibiotics can treat ear infections, and surgery can correct anatomical problems with the eardrums or bones of the middle ear. Often in children, drainage tubes, inserted surgically, can improve hearing loss caused by frequent ear infections. • Hearing aids: These tiny instruments fit inside or behind your ear, making sounds stronger and easier to hear. Most people with permanent hearing loss can benefit from using a hearing aid -- yet only one in five affected people use them. • Cochlear implants: Used mainly with young children, these are becoming more popular among older adults with severe hearing loss. Unlike a hearing aid that amplifies sound and directs it into your ear canal, a cochlear implant compensates for damaged or nonworking parts of your inner ear. First Step: See Your Doctor Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and even marital problems. So, if you suspect your hearing isn’t what it used to be, don’t delay – see your doctor ASAP. Prompt medical care, especially for sudden hearing loss, can increase your chances of a successful recovery or treatment.
If you experience difficulty hearing, now is the time to If you experience difficulty schedule your appointment hearing, thequalified, time to with one ofnow our is high schedule your appointment certified Audiologists. with one of our high qualified, certified Audiologists.
FOR PEOPLE WITH HEARING LOSS FOR PEOPLE WITH HEARING LOSS
Schedule an appointment with an ENT who has audiologists on staff, for a faster, simpler diagnosis. Ear, Nose and Throat Specialists, with offices in Conyers and Covington, offers the expertise of board-certified physicians, as well as a staff of certified audiologists. For an appointment, call 770-922-5458 (Conyers) or 770-385-0321 (Covington).
770-922-5458
How’s Your Hearing? Have you noticed more difficulty understanding family and friends? Does everyone just seem to be How’s Your Hearing? mumbling? Have you noticed more difficulty Are you asking people repeat understanding family andtofriends? themselves often?just seem to be Does everyone Are you having to turn the TV mumbling? volume up? Are you asking people to repeat themselves often? “yes” to any of If you answered Are you having to turn theneed TV to these questions, you may volumecheck up? your hearing…
If you answered “yes” to any of these questions, may need to Did Youyou Know? check your hearing… Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and Did You Know? marital problems Untreated hearing loss is associat leads to a better edAmplification with isolation, depression, memquality of life, according to a 1999 ory problems, loss of income and study the National Council on maritalbyproblems Aging. Amplification leads to a better At least 29 million Americans have quality of life, according to a 1999 a hearing impairment; 20% in adults study by the National Council on ages 48-59; over 50% in adults over Aging. 75. At least 29 million Americans have Patientsimpairment; with diabetes areinmore a hearing 20% adults than likely to have hearing ages twice 48-59;asover 50% in adults over loss. 75. Exposure to noise is the leading Patients with diabetes are more cause of tinnitus, and always than twice as likely to almost have hearing accompanies hearing loss. loss. Exposure to noise is the leading cause of tinnitus, and almost always accompanies hearing loss.
Dr. Donald Cote • Dr. Arthur Torsiglieri Dr. Adam French Donna McGough, F-AAA Dr. Donald Cote • Dr. Arthur Torsiglieri Kristyn Meade, F-AAA Dr. Adam French Susann Shriver, CCC-A Donna McGough, F-AAA Kristyn Meade, F-AAA OfficesSusann in Conyers Covington. Shriver, & CCC-A
28 HEALTHY IN NEWTON
www.entspecialists.net www.entspecialists.net
HIN December 2014 layout.indd 28-29
Call now for an appointment! Offices in770-922-5458 Conyers & Covington. Call now for an appointment! 770-922-5458 12/19/2014 11:01:46 AM
Getting kids outside this winter.
written by Lee Udell
T
he winter doldrums are setting in, and your kids are getting restless. But don’t let colder weather keep your children from being active and staying in shape. Indoors or out, making exercise fun can excite children to move around and get them physically vital, stronger and more energetic. It's a great first step on the road to cultivating a lifetime of health and fitness.
Why do kids need exercise? Regular physical activity helps children build healthy bodies and prevent chronic disease. Finding ways to integrate movement and exercise into your kids’ everyday lives helps foster a love of movement when your children are young, setting them up to be stronger, healthier, and disease-free when they're older. Here’s why: • Develops muscle strength – reduces risk of injury and helps children feel better overall. • Improves cardiovascular capacity – prevents high blood pressure and heart disease. • Keeps bones strong – the crucial time to build bones starts before the teen years and lasts until the mid-20s, when bones grow to their maximum thickness. • Decreases body fat – helps control weight and manage body fat distribution. • Maintains a steady, healthy weight – keeps childhood obesity from becoming an adult weight issue, and helps prevent Type 2 diabetes. • Enhances self esteem – boosts psychological well being and instills confidence. • Increases concentration and alertness – releases endorphins, “feel-good” chemicals which improve mental focus and cognitive skills. • Controls mood swings – calms kids and stabilizes mood, making good behavior more likely.
How to get them moving! So, what can you do? How do you stimulate your children to exercise - to move - indoors? With just a little imagination – and without any fancy equipment – you and your children can get up and moving, and have lots of fun in the process! It's important that one of you is getting everyone off the couch and elevating heart rates – while still giggling and having fun, of course. Many of the games you played as a kid can be adapted for fun indoor play. • Tag: This classic kids’ game involves lots of running, and you can up the ante by giving your kids flashlights and turning off the lights! • Red light, green light: Get kids moving and sharpen their listening skills. If they don’t pay attention to what direction you’re calling out (Green light! Yellow light!), they go back to the starting line. • Timed scavenger hunt: Make a list of obscure items for your kids to find around the house, then start a timer and set them loose. The first child to return to you having found all the items on their list wins! • Balloon ball: There are endless ways to play with balloons indoors. Try to keep it off the ground, or just play catch. • Dance party: Throw in their favorite CD, crank up the volume and dance up a storm! Let
your kids make up dances, or try to learn the latest popular moves. Even play a “freeze” game, where kids dance until the music stops, then freeze in their pose until the music starts again. • Traditional games: Ring-Around-theRosie, Duck-Duck-Goose and the Hokey Pokey can all be played indoors if there’s more than one child playing. • Simon Says: Take turns being ”Simon” and giving instructions like “Simon says jump.” • Hopscotch: Use tape to make hopscotch “squares” and a small, soft ball instead of a stone. So, get off the couch now! With so many fun ways to get moving, it’s easy to trick your kids into getting exercise, even when you’re stuck indoors. And because your kids are masters at using their imaginations, you can even let them make up their own games! If you’re looking for more ideas, or have questions about exercise and your child’s health, talk with your child’s pediatrician. The doctors at Decatur Pediatric Group are experts at keeping kids healthy and happy year round, no matter what the weather. Call the Covington office at 404-296-7133 to schedule an appointment today.
30 HEALTHY IN NEWTON
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Getting kids outside this winter.
written by Lee Udell
T
he winter doldrums are setting in, and your kids are getting restless. But don’t let colder weather keep your children from being active and staying in shape. Indoors or out, making exercise fun can excite children to move around and get them physically vital, stronger and more energetic. It's a great first step on the road to cultivating a lifetime of health and fitness.
Why do kids need exercise? Regular physical activity helps children build healthy bodies and prevent chronic disease. Finding ways to integrate movement and exercise into your kids’ everyday lives helps foster a love of movement when your children are young, setting them up to be stronger, healthier, and disease-free when they're older. Here’s why: • Develops muscle strength – reduces risk of injury and helps children feel better overall. • Improves cardiovascular capacity – prevents high blood pressure and heart disease. • Keeps bones strong – the crucial time to build bones starts before the teen years and lasts until the mid-20s, when bones grow to their maximum thickness. • Decreases body fat – helps control weight and manage body fat distribution. • Maintains a steady, healthy weight – keeps childhood obesity from becoming an adult weight issue, and helps prevent Type 2 diabetes. • Enhances self esteem – boosts psychological well being and instills confidence. • Increases concentration and alertness – releases endorphins, “feel-good” chemicals which improve mental focus and cognitive skills. • Controls mood swings – calms kids and stabilizes mood, making good behavior more likely.
How to get them moving! So, what can you do? How do you stimulate your children to exercise - to move - indoors? With just a little imagination – and without any fancy equipment – you and your children can get up and moving, and have lots of fun in the process! It's important that one of you is getting everyone off the couch and elevating heart rates – while still giggling and having fun, of course. Many of the games you played as a kid can be adapted for fun indoor play. • Tag: This classic kids’ game involves lots of running, and you can up the ante by giving your kids flashlights and turning off the lights! • Red light, green light: Get kids moving and sharpen their listening skills. If they don’t pay attention to what direction you’re calling out (Green light! Yellow light!), they go back to the starting line. • Timed scavenger hunt: Make a list of obscure items for your kids to find around the house, then start a timer and set them loose. The first child to return to you having found all the items on their list wins! • Balloon ball: There are endless ways to play with balloons indoors. Try to keep it off the ground, or just play catch. • Dance party: Throw in their favorite CD, crank up the volume and dance up a storm! Let
your kids make up dances, or try to learn the latest popular moves. Even play a “freeze” game, where kids dance until the music stops, then freeze in their pose until the music starts again. • Traditional games: Ring-Around-theRosie, Duck-Duck-Goose and the Hokey Pokey can all be played indoors if there’s more than one child playing. • Simon Says: Take turns being ”Simon” and giving instructions like “Simon says jump.” • Hopscotch: Use tape to make hopscotch “squares” and a small, soft ball instead of a stone. So, get off the couch now! With so many fun ways to get moving, it’s easy to trick your kids into getting exercise, even when you’re stuck indoors. And because your kids are masters at using their imaginations, you can even let them make up their own games! If you’re looking for more ideas, or have questions about exercise and your child’s health, talk with your child’s pediatrician. The doctors at Decatur Pediatric Group are experts at keeping kids healthy and happy year round, no matter what the weather. Call the Covington office at 404-296-7133 to schedule an appointment today.
30 HEALTHY IN NEWTON
HIN December 2014 layout.indd 30-31
12/19/2014 11:04:30 AM
60 Years Strong Do You
Know
?
When it comes to where you go to receive your health care, you do have a choice. If you find that you are in need of care to reach your health goals or to return yourself to health, choose Newton Medical Center. We offer a full line of services, procedures and treatments such as: • Interventional Pain Management- Live the life you love! It’s possible. The experts at our Interventional Pain Center can help you control and even overcome your pain. Don’t wait; schedule an appointment today at 770.385.4337. • MRI- When your doctor wants you to have a MRI, you can choose where you go. The Imaging Center is here to help. With a focus on comfort and producing quality images, our imaging equipment is up to date and close to home. For more information about the Imaging Center or to schedule an appointment, please call 678.342.3051. • Image Guided Medicine - The Diagnostic Imaging Department at Newton Medical Center offers a full range of outpatient interventional radiology procedures. Many common problems, such as fibroid tumors, can be treated with
5126 Hospital Drive NE
|
image guided medicine without the need for major surgery. Let us help you. For more information about interventional radiology, please call 770.385.4329 or to schedule an appointment, call 770.385.4436. • Non-Healing Wounds- The Wound and Hyperbaric Center at Newton Medical Center is a non-emergent wound care clinic dedicated to providing excellent patient and family centered care. If you or a loved one has a non-healing wound, call to schedule an appointment today at 770.385.4325 and start healing. • Mammograms- At the Women’s Diagnostic Center, women are able to obtain the advanced diagnostic testing and health education they need in one private and beautiful outpatient setting made especially for women. Protect your life; schedule an appointment for a mammogram today at 770.385.7800.
Covington, GA 30014
|
770.786.7053
Always, tell your physician you want your care at Newton Medical Center! For more information about our services and procedures, and to schedule an appointment, call:
www.newtonmedical.com
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770.385.4436
12/19/2014 11:05:00 AM