The magazine that reflects the healthy lifestyles of the residents of the Rockdale County area and beyond.
Better Communication EQUALS LESS STRESS
8 Tips For Better HEART HEALTH
10 Warning Signs of ALZHEIMER’S DISEASE
CHEESECAKE RECIPE
to Help Diabetics Enjoy the Holidays! FALL 2015
Serving Rockdale & Newton Area Over 17 Years!
EASTSIDE INTERNAL MEDICINE, LLC
Board Certified, American Board of Internal Medicine • Hypertension/Diabetes/High Cholesterol • Women’s Wellness • Pap Smear • Drug Screens • Physicals & Sports Physicals • Worker’s Comp. Injuries • Asthma/Emphysema • Thyroid • Depression • Men’s Health • Erectile Dysfunction • STD Treatment • Minor Surgery • Heart Failure
SYED WASIM MD, MPH
FARHANA QUASEM MD
Walk-Ins Welcome! On-Site Lab & X-Ray! Doctor on Call 24/7!
MASOOD SIDDIQUEE MD, MRCP (U.K.)
2080 Eastside Drive, Conyers, Georgia • 678-625-7800 Hours: Monday-Friday 8:00 am - 5:00 pm • Saturday 8:00 am - 12:00 noon 2 HEALTHY IN ROCKDALE | FALL 2015
MOST INSURANCE ACCEPTED
FEATURES IN FOCUS FALL 2015
Fall is in the air Better Communication Equals Less Stress
PAGE 6
Rockdale Medical Center Heart and Vascular Center PAGE 11
Hearing Evaluation PAGE 13
Redefining Hysterectomy PAGE 17
FALL 2015 | HEALTHY IN ROCKDALE
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ISSUE GUIDE
CONTENTS 6. Better Communication 9. Happy & Healthy Holiday Season 10. All About Spider Veins 11. When Seconds Count! 13. Hearing Evaluation 14. Emergency Room or Urgent Care? 15. Stomach Pain? 17. Redefining Hysterectomy 18. What is Concierge Medicine? 22. Choosing an OB/GYN SERVING SIZE 23. SottoPelle for Women
Nutriti
All the nutrition information Testing?on a on24. a What labelis Stress is based precise quantity of food called 25. Reading Nutrition Facts the serving size. The serving size beBetter described in 26.might 8 Tips for Heart Health grams, ounces, cups, or pieces. 27. What Color Consumers mustis Your be Food? careful Amount when comparing the nutritional 29. Bladder Training value of food products that are31. not calculated using the CoolSculpting/The Fat Freezer same type of measurement or quantity of food. 32. Creamy Cheesecake with Fresh Fruit/Diabetic Friendly
Per 1 slice (4
Calories 12 Fat 3.5 g
33. 10 Warning Signs of Alzheimer’s Disease 35. Reduce Your Risk for Breast Cancer
CHOLESTEROL
32
36. Flu Vaccine Cholesterol in food is a type of fat that comes from 37. ER Skills without ER Bills animal sources. Too the much of it can cause heart disease and 38. Coronary Artery Disease other health problems. Highcholesterol foods include beef, egg yolks, cheese, poultry, as well as certain junk foods and pastries. Look for food that has the lowest possible amount of cholesterol.
SODIUM 4 HEALTHY IN ROCKDALE | FALL 2015
While your body actually needs some sodium to function properly (1500 mg
Saturated
Trans 0.
Cholesterol
Sodium 22
Carbohydra
Fibre 1 g
Sugars 2
Protein 2 g
The magazine that reflects the healthy lifestyles of the residents of the Rockdale County area and beyond.
VOLUME 4, ISSUE 4, FALL 2015
ANNETTE GODWIN Manager CAROL MASSEY Graphics/Layout Design MICHELLE KIM Editor AMANDA ELLINGTON Circulation Supervisor
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DEBBIE THOMPSON Comptroller LEE UDELL; MUTHU KUTTAPPAN, MD; DON COTTON, LPC, CHT, CNLP; KATHLEEN LAMBERT, MD; MARTIN RAND AND SARAH TEACH Writers No portion of this issue including publisher designed advertisements may be copied, scanned or reproduced in any manner without prior written consent from the publisher. Healthy in Rockdale accepts no responsibility for unsolicited manuscripts, artwork or pho足tographs.
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To advertise in Healthy in Rock足dale, please call 770-728-1436 or email Annette Godwin at agodwin@healthyinga.com.
9 FALL 2015 | HEALTHY IN ROCKDALE
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k FALL FEATURE
We Need to Talk Better Communication Equals Lower Stress and Better Health By Don Cotton, LPC, CHT, CNLP
V
ery few words produce more emotion than Good communication with our loved ones, friends “We need to talk.” The question conjures and associates is essential to reducing stress and almost every possible scenario. anxiety, which in turn has a positive impact on many Your first thought may be “What have I done”? health outcomes. Or it could be, “Finally. Let’s get this settled.” The Comfort and Communication: Give yourself this fact is, your reaction to the statement can be totally test. Who do you most like being with, and who do different, depending upon your gender, your age or you least like being with? Odds are your answers your relationship with the one who wants to “talk.” are based greatly on the history and comfort of your Males may automatically assume the conversation communication. Imagine this: your boss or significant won’t be very pleasant. After all, it may involve other says you need to talk. Depending upon the health something emotional, a basic fear in the male of that relationship, a number of thoughts information gender. Females, on the other hand, may become may emerge. If you like your boss, positive talk e ective inquisitive or even excited. Why? Because the company is doing well, and positive discu ion positive most females actually enjoy talking about your performance has been hear talk hear their emotions. good, you can assume it’s The geriatric set is quite simply a work-related talk listen diverse in their reaction. matter. On the other hear They could be happy just hand, if you feel like your talk hear to have someone to talk boss doesn’t like you listen hear discu ion positive barrier to, or they could be much, the company hear understand indifferent, at a stage is struggling, talk hear e ective positive in life where they discu ion or you’ve a ention just don’t care. already had talk a ention barrier communication information information listen Children might a reprimand, feel the need to you’ll probably run or go into a s s u m e barrier understand communication e ective that blank stare t h e worst. a ention understand listen understand a ention negative mode. Teenagers, Likewise, if your positive talk positive negative well, who knows? relationship with
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your significant other has been good and there have been few disagreements, you may not be rattled. But, if the relationship has been less than satisfactory, your mind may fill with negative possibilities. More Than Words: It’s important to understand that communication is more than just words. Imagine this: you’re talking to someone, who turns his head and rolls his eyes. How do you interpret that? Most people would believe it means the other person has little or no respect for what’s being said. The eye-rolling will, in turn, provoke a reaction from you, and chances are this conversation will be less than productive. Experts speculate communication is somewhere between 60-90% non-verbal. It involves facial expressions, tone of voice, level of voice, and body language. Think about that. You’re probably saying more than you realize. Humans are born with the ability and necessity to read others and respond in a survival manner. Think of someone you feel very uneasy with, but just can’t explain why. That’s the survival skill you were born with. We’ve been reading people longer than we’ve been talking. Young children are heavily influenced by facial
expressions, tone and level of voice, and body language. A loud, angry-sounding voice may cause a child to shut down and actually not hear what’s being said. Infants have no word skills, but can still communicate. If you make a happy face, chances are they will, too. They cry if they are uncomfortable, hungry or sleepy. And they have a really cool way of letting you know it’s diaper time. It Takes Two to Tango: Dialogue is still possibly the highest and most beneficial form of communication. Dialogue can involve two or more people agreeing to work together in a respectful manner to resolve an issue. Dialogue allows for differences of opinion without attacking the other person for the difference. Dialogue can foster an exchange of ideas put forth in a rational manner, without allowing negative emotions to create an argument. It can create a safe environment for each one involved to fully express themselves without feeling the need to win. It’s not about winning, but about peaceful resolution. We have the ability to produce a happy, healthy environment or one that is full of chaos and anxiety. Our manner of communication can make all the difference.
Don Cotton is a Licensed Processional Counselor. He can be reached at 770-842-8353. His office is located at 1397 Manchester Drive NE, Suite B, Conyers.
FALL 2015 | HEALTHY IN ROCKDALE
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Open seven days a week with extended hours until 7 p.m.
Providing care at your convenience
Same-day appointments and walk-ins accepted.
Eagles Landing Family Practice provides care at your convenience with our seven locations throughout Henry, Butts and Rockdale counties including a location near you: CONYERS OFFICE
1101 Nor Tec Dr | Conyers, GA 30013 678-374-7514 HOURS
Monday - Thursday, 8 a.m. – 7 p.m. Friday, 8 a.m. – 5 p.m. Saturday, 10 a.m. – 2 p.m. Sunday, 12 p.m. – 4 p.m.
Honey Creek Rd SE
Honey Creek Rd SE
20
Conyers Nor Tech Dr McDonough Hw
At Eagles Landing Family Practice we know life can get hectic, especially around the holidays, which is why we offer extended hours and same-day appointments that fit your busy schedule.
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Our more than 40 board certified providers treat multiple medical problems from sore throat to heart disease including, but not limited to: Wellness exams (including Medicare annual wellness visits, routine physicals and sports physicals) | Gynecological services Cardiac care | Skin care | Vision care | Nerve conduction studies
Cowan Rd SE
And imaging, diagnostic and lab/blood work services including:
elfp.com 8 HEALTHY IN ROCKDALE | FALL 2015
CT scans | Echocardiogram (EKG) | 3D Mammography Ultrasound | Digital x-ray | Full body bone scan
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general health FEATURE
Have a Happy
& Healthy Holiday Season
T
he holiday season is here, and with all of the food, fun, and family festivities, there’s simply no time for flu or illness to put a pause on your celebration. Eagles Landing Family Practice recognizes that this is a busy time of year for you and your family. During all of the holiday hustle and bustle, we encourage you to make time to take care of yourself and stay happy and healthy during this season of joy. Here are a few tips for staying well during the holidays: 1. Wash your hands – Often times, illness and disease are most easily spread by touching surfaces covered in germs and then placing our hands in or near our noses or mouths. Washing your hands with soap and clean running water for at least 20 seconds makes a big impact when it comes to decreasing germs on the skin’s surface. Be sure to wash your hands throughout the day. If soap and water are not easily available, use a hand sanitizer or alcohol based product. 2. Get plenty of sleep – Holiday celebrations can be draining – physically, mentally and emotionally. The best way to prepare for the stress of the busy days ahead is by getting plenty of rest each night. We recommend about eight hours for a good night’s sleep. 3. Eat well – It’s common to pack on a few extra pounds during the holiday season, but there are ways to eat healthy and well without sacrificing the tasty food you only cook around this time of year. Eat smaller meals instead of saving all of your cravings for one indulgent buffet. Don’t deprive yourself of treats, but indulge only in moderation. When eating at home, opt for healthier options like fruit, fish, veggies and nuts. Know which foods are higher in caloric content and low in nutrition and avoid eating large quantities of those foods or beverages – including alcohol. And of course, boost your immune system by consuming foods rich in vitamin C. 4. Make time to exercise – As the weather gets colder, it
sometimes depletes our motivation to get up and exercise. However, exercise is important year round. Even with a hectic holiday schedule, it is important to exercise three times a week at least. This type of exercise can be as simple as taking breaks during the work day to take a 10-15 minute brisk walk, or it can be a holiday themed form of exercise like going ice skating or sledding with friends. 5. Stay hydrated – We tend to get dehydrated during the winter months, making our bodies more susceptible to illness and infection. That is why it is especially important to drink plenty of water – around eight 8 oz. glasses a day. We suggest keeping a reusable water bottle easily accessible throughout your day and avoiding drinking caffeinated drinks in the afternoons and evenings. 6. Help others – Even amid the holiday cheer, depression is common during the winter season. Often times helping others boosts moods and helps combat feelings of sadness or grief. Try visiting the local senior center, donating gifts to a local shelter or inviting friends over to spread the holiday cheer and time of togetherness. 7. Get your flu shot – It is recommended that everyone age six months and older get the flu vaccination each fall/winter. This is the time of year that the flu is most prevalent. Call Eagles Landing Family Practice to schedule a flu shot today to prevent your risk of falling ill during this holiday season. 8. Manage chronic conditions – The holidays are a time full of distractions, events and obligations, but it is important to closely monitor any chronic diseases such as diabetes, depression, arthritis, high blood pressure and heart conditions. Unfortunately these diseases do not take a break for the holiday and neither should you. Make sure you pay attention to your body and plan ahead to manage your medications and health just as you would any other time of the year.
n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n FALL 2015 | HEALTHY IN ROCKDALE
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FEATURE
written by Lee Udell
All About Spider-Varicose Veins
A
s many as 60% of adults have them. Those ugly – and often uncomfortable – spider or varicose veins. Mostly women are affected, but as many as 30% of those with varicose or spider veins are men. So, how did you get those annoying things – and how can you get rid of them? Risk factors for spider or varicose veins include: • Heredity: you can get the tendency from one or both sides of your family • Prolonged standing: nurses, hair stylists, factory workers and teachers are more prone to vein problems • Obesity and lack of exercise • Use of birth control pills or postmenopausal hormone replacement
• Pregnancies: increased pressure from the fetus and extra hormone production deliver a double whammy Exercise, avoid smoking, and lose excess weight to forestall vein issues. But if you do end up with varicose or spider veins, take heart – treatments today are better than ever. • Schlerotherapy: a proven, inexpensive, outpatient solution that results in gradual improvement over several weeks • Endovenous laser: a small laser fiber inserted in the vein delivers pulses of light, causing the vein to collapse • Radiofrequency occlusion: a small catheter inserted in the vein delivers radiofrequency energy to the vein wall, causing it to heat, collapse and seal shut • Surgery: options include ligation (tying off a vein) and stripping (removal of a long segment of vein). Another procedure, ambulatory phlebectomy, allows removal of large surface veins through very small incisions that don’t need stitches.
If you have spider or varicose veins, and your legs feel tired, achy or heavy, visit a doctor who specializes in vascular disease. Dr. Davies, with Rockdale Vascular Associates in Conyers, treats spider and varicose veins, as well as other problems with the body’s network of blood vessels. Call his office today at (678) 609-4927 to schedule an appointment.
ROCKDALE VASCULAR ASSOCIATES The Vein Center 1301 Sigman Road, Suite 130 Conyers, GA 30012
678-609-4927 OUR SPECIALTIES: • Peripheral Artery Disease • Abdominal Aortic Aneurysm Repair • Peripheral (Legs) Arterial Angioplasty/Stenting • Varicose and Spider Vein Treatment • Carotid Artery Repair • Pacemaker Placement • Dialysis Access • DVT Treatment
ROBERT DAVIES, MD ROCKDALE PHYSICIAN PRACTICES Remarkable People. Remarkable Medicine.
10 HEALTHY IN ROCKDALE | FALL 2015
Affiliate of Rockdale Medical Center
ERIKKA MANN, PA
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FEATURE
When Seconds Count!
I
by Martin Rand and Sarah Teach
n August, Rockdale Medical Center in partnership with Piedmont Heart Institute unveiled a second cardiac catheterization lab and launched a Percutaneous Coronary Intervention (PCI) program. PCI, formerly called a cardiac angioplasty, which will allow doctors at the medical facility to treat people suffering with a heart attack by opening blocked arties to get blood flowing to the heart muscle. According to Becky Upchurch, director of cardiovascular services for Rockdale Medical Center (RMC), this type of procedure is a welcome addition to the hospital because patients will no longer have to go to hospitals in downtown Atlanta to receive treatment. “In addition to allowing more Rockdale County citizens the be able to receive treatment in their hometown, the new lab will also save citizens in surrounding areas, like Walton, Jasper, and Newton Counties, a long trip to Atlanta, which is crucial when it comes to treating heart disease”, Upchurch said. “With a heart attack, the longer you take to get the heart open, the more damage your heart has, so the goal in life is 120 minutes from the time the ambulance picks you up until we get the artery open,” she said. The new multi-million dollar lab features state-ofthe-art equipment and will not only be a diagnostic center, but it will also be able to treat the blocked arteries with angioplasty, atherectomy and stenting. Implantation of permanent pacemakers and automatic implantable cardioverter defibrillators (AICD) could also be performed. This PCI program has been on the hospital’s wish list for the last five years, ever since the state legislature passed a bill that allows hospitals to request permission to begin PCI without surgical backup programs. Last year, RMC CEO Deborah Armstrong and other executives at the hospital decided it was time to really pursue the PCI because they have gone through a number of changes that put them in a better position to maintain the program. Piedmont Healthcare partnered with RMC to make
the PCI program at the hospital a reality. Matt Robinson, manager of Piedmont Heart Regional Network, says that choosing to partner with RMC on this project made great business because “a great deal of patients,” who were being transferred to Piedmont Healthcare, were “coming from this area.” “It’s not just the patient but the family. The impact of the families,” Robinson said. “There’s’ a really big social factor to this as well. We saw this as an opportunity for us not to just help build this program with Rockdale but to support the patients that we’re already caring for in this market.” Since the program began accepting patients, Interventional Cardiologists at RMC have performed 26 of the life-saving PCI procedures. This includes 20 emergency cases and seven cases that transferred into the facility to have the procedure performed by Piedmont Cardiologists. In addition to PCI, RMC offers a wide range of diagnostic services including cardiac catheterization, c a rd i a c re h a b , cardiac stress testing, ECGs, endovascular diagnostic and interventional procedures, pacemaker placement, stress echocardiography, vascular surgery, and venous, carotid and lower arterial studies. “With cardiac events, time is critical and every second counts,” said Becky Upchurch, RN, Director of Cardiovascular Services at Rockdale Medical Center. “By offering services close to home, we can ensure faster completion of tests and delivery of treatments and significantly increase the likelihood of positive patient outcomes. It is not only time-saving, but potentially life-saving.”
FALL 2015 | HEALTHY IN ROCKDALE
11
11370 Wellbrook Circle Conyers, Georgia
770-922-5458 12 HEALTHY IN ROCKDALE | FALL 2015
4181 Hospital Drive, NE, Suite 102 Covington, Georgia
770-385-0321
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FEATURE
Hearing Evaluation When should I have a hearing test?
F
or most, hearing loss develops so gradually that it often goes unrecognized by the person involved. Recognizing and accepting hearing loss in yourself or someone you know is critical. Please take a moment to answer the following questions. Your responses will help determine the need for further hearing assistance. 1. Do you have trouble understanding conversation in noisy environments or in group settings? 2. Do you notice that you can “hear” but cannot always “understand” what others are saying? 3. Do your friends or family members complain that you turn the television volume up too loud? 4. Do you often have to ask others to repeat themselves? 5. Do you avoid social settings because you can’t hear well and fear that you’ll respond improperly? 6. Do you feel that you would hear better if others would just stop mumbling? 7. Do you notice more difficulty understanding women and children’s voices? 8. Do you have a problem hearing on the telephone? 9. Do you have trouble understanding church services? 10. Does your family express frustration about your hearing problem and ask you to seek help?
o Yes
o No
o Yes
o No
o Yes
o No
o Yes
o No
o Yes
o No
o Yes
o No
o Yes
o No
o Yes o Yes
o No o No
o Yes
o No
If you answered “YES” to any of the above questions, we recommend you contact one of our audiologists for a complete hearing evaluation.
@^ FALL 2015 | HEALTHY IN ROCKDALE
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Emergency Room OR Urgent Care? written by Lee Udell
I
t’s Saturday morning, and you’re enjoying watching your daughter play soccer. Then it happens – she goes for the goal, takes a fall the wrong way, and snap! Suddenly, a visit to the emergency room seems certain, because that’s the only place you can get x-rays and treatment for a broken bone on the weekend. Right? For a non-life threatening injury, there’s no need to spend hours out of your weekend waiting in the ER, when you can typically wait 30 minutes or less to be seen at an urgent care center. Urgent care physicians have the breadth of knowledge to quickly evaluate your injury and deliver care, just as an ER physician would do. And with the aid of on-site x-rays, they can provide immediate assessment of your broken bone, then determine the best course of
treatment to help you get through the weekend, until you can visit an orthopedist for whatever further treatment you may need. At Georgia Primary and Urgent Care on Sigman Road in Conyers, you can receive immediate treatment for nonlife-threatening emergencies, without an appointment, six days a week. With on-site x-ray capability, Georgia Primary and Urgent Care can obtain diagnostic images of a potential broken bone, assess the injury, and then offer you options for immediate treatment. You can get the attention you need for your acute injury and ER-level care, without sitting in the ER in pain and waiting anxiously for treatment. Georgia Primary and Urgent Care is also available to provide treatment for a wide range of other health issues or problems, from sore throats to sprains to lacerations. The physician’s treat patients over the age of two and provide additional services such as sports physicals and wellness exams.
Georgia Primary and Urgent Care has two convenient locations. Visit them today at 1301 Sigman Road, Conyers (678-609-4912) and 7138 Highway 212, Suite A, today at (678-625-4441).
OPEN 6 DAYS A WEEK
No Appointment Necessary
WE TREAT THESE CONDITIONS AND MORE:
Benjamin Fernando, MD • Harmon A. Smith, MD, Randy Riner, PA • Ashley McGuire, PA-C
NEW HOURS Mon-Fri: 8:00 am - 8:00 pm Sat: 8:00 am - 4:00 pm Most Insurance Accepted
SPORTS LS PHYSICA $ 20.00
678-609-4912
1301 Sigman Road NE • Suite 230 Conyers, Georgia 30012
14 HEALTHY IN ROCKDALE | FALL 2015
Minor injuries and burns Urinary tract infections Minor lacerations Sore throats, ear aches Skin rashes, infections Diabetes Women’s Health Asthma
Sick children Bronchitis Sprains Vomiting, diarrhea Sutures/Suture removal Animal and insect bites High blood pressure Allergies
WALK-INS WELCOME! LAB AND X-RAY ON SITE! ROCKDALE PHYSICIAN PRACTICES Remarkable People. Remarkable Medicine.
Affiliate of Rockdale Medical Center
Stomach Pain? Digestive Problems? k
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general health
FEATURE
written by Lee Udell
f you’re having stomach pain or digestive problems, your first step may have been a colonoscopy or upper endoscopy, or perhaps something less invasive, like a CAT scan. Now your doctor has recommended something called endoscopic ultrasound (EUS). But what is EUS, and what happens during the procedure? EUS combines endoscopy and ultrasound to provide images and information about your digestive tract and the surrounding tissues and organs – even the lungs. A small ultrasound transducer is placed on the tip of an endoscope, a small, lighted, flexible tube with a camera attached. Images are more accurate and detailed than those obtained through colonoscopy or other imaging, because the ultrasound transducer is able to get a closer image than one obtained from the outside of the body with a traditional ultrasound. You’ll be sedated prior to the procedure, which can take anywhere from 30 to 90 minutes, and you’ll go home the same day, after you’re awake. Your doctor will get detailed information about the layers of your intestinal wall, as well as adjacent areas of the GI tract, such as lymph nodes and blood vessels. Usually, your doctor can share this information with you the same day and let you know if tissue samples were sent out for evaluation.
If you’d like to learn more about EUS, contact the board-certified physicians at East Atlanta Gastroenterology Associates. You can schedule an appointment at their Conyers or Covington location today by calling 770-922-0505.
FRED A. LEVIN MD, FACP, FACG
KAREN L. WEISS-SCHORR MD
A. STEVEN MCINTOSH DAVID N. SOCOLOFF MD, FACG
RAZVI M. RAZACK
MD FALL 2015 | HEALTHY IN ROCKDALE DO
15
1380 Milstead Avenue NE, Suite E, Conyers, GA 30012
678-609-4913
DR. THOMAS L. LYONS PIONEER IN GYNECOLOGIC SURGERY
Providing care for problems including: • Endometriosis • MRKH (Mayer-Rokitansky-Kuster-Hauser) Syndrome • Ovarian cysts or masses • Urinary stress incontinence or loss of bladder control, in addition to other pelvic relaxation problems • Pelvic Inflammatory diseases (P.I.D.) • Uterine fibroids or benign fibroid tumors • Ovarian or uterine cancer • Infertility or reproductive disorders • Adhesive Diseases • Developed Laparoscopic Supracervical Hysterectomy
Globally renowned gynecologic surgeon, Thomas L. Lyons, MD, now with Advanced Gynecology Associates.
You may email Dr. Lyons directly at cwcrs@mindspring.com For Further information on Dr. Lyons, please visit his web-site, www.thomasllyons.com
ADVANCED GYNECOLOGY ASSOCIATES Erin Mayfield, DO Gynecology
5154 Cook Street Northeast, Covington
770-788-1778
16 HEALTHY IN ROCKDALE | FALL 2015
We seek to provide the highest level of patient care through our state-of-the-art technologies. www.advgynassoc.com
Affiliate of Rockdale Medical Center
k
women’s health FEATURE
Redefining
Hysterectomy F
written by Lee Udell
or several years, despite debilitating pain and heavy bleeding each month during her period, Cheryl Flieger* postponed a hysterectomy to treat her fibroids and endometriosis. “I envisioned being unable to carry on, with no one to help me, because my kids are grown and out of the house,” Cheryl said.“I dealt with the pain using occasional medication, heating pads and hot baths, because I just couldn’t bring myself to schedule this devastating operation.” Then, Dr. Thomas Lyons offered Cheryl an alternative: laparoscopic supracervical hysterectomy. Just one week after surgery, Cheryl walked a mile. She was back at work two weeks to the day after the surgery was performed, and back at the athletic club doing Nautilus, Stairmaster and playing tennis within a month. “Less is more, when it comes to surgery,” said Dr. Lyons.“LSH leaves the cervix intact and is minimally invasive, and women experience significantly less discomfort and a quicker recover. Women can resume normal activity within two days and sexual intercourse within two weeks, compared to a six- to eight-week resumption with traditional abdominal hysterectomy.” Hysterectomy, surgical removal of the uterus, is one of the most common surgical procedures in the U.S. — some say too common. Each year, some 650,000 women nationwide undergo hysterectomy for abnormal uterine bleeding, fibroids (benign uterine tumors), chronic pelvic
inflammatory disease, endometriosis, and uterine or ovarian cancer. Abdominal hysterectomy typically requires four to six days in the hospital and four to six weeks recuperating at home. By contrast, LSH is performed as outpatient surgery, and most patients go home the same day. A trocar (narrow, tube-like instrument) is inserted in the patient’s navel, providing access to the abdomen. A laparoscope (tiny telescope) is connected to a camera and inserted through the trocar. A magnified image of the patient’s internal organs appears on a video monitor, allowing the surgeon to perform the hysterectomy, as well as to diagnose and treat related conditions.Two or three additional trocars are inserted to accommodate special instruments, including lasers used to detach the uterus. The laser cauterizes during the surgery, so blood loss is minimal, and the detached uterus is removed through the navel. “Laparoscopic supracervical hysterectomy requires more skill than abdominal hysterectomy because you’re operating through a camera,” said Dr. Lyons. “You should choose a surgeon experienced in working with lasers and laparoscopy. Also, before you consider any surgery, your doctor should make you aware of all available medical options for relief of pain and bleeding, including non-surgical alternatives. Surgery should be performed only when absolutely necessary.” *name changed to protect privacy
If you’ve been postponing treatment for a painful gynecologic problem, schedule an appointment today with Dr. Lyons and find out if you’re a candidate for LSH. Call Advanced Gynecology Associates in Conyers at 678-609-4913.
FALL 2015 | HEALTHY IN ROCKDALE
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FEATURE
What is... Concierge Medicine?
M
DVIP (Value In Prevention) is considered “Concierge Medicine,” a term that seems to convey a highly expensive service, reserved for the elite and certainly cost-prohibitive to the average person. In actuality, the MDVIP program allows physicians to spend time getting to know their patients and treating them individually. Prevention is key, and preventive medicine can be looked at in a dual manner: keeping you healthy or managing a chronic ailment. Through the MDVIP program, keeping you on a healthy path is primary. Wellness evaluations, strategizing your unique health goals, and consultations help accomplish this goal. Screenings, specialized tests and the ability to use the latest technology help identify patients at risk for specific diseases. With MDVIP, the individual will be able to map out a strategic plan to continue to enjoy good health. Managing chronic ailments is another specialized area for the MDVIP physician. Chronic obstructive
18 HEALTHY IN ROCKDALE | FALL 2015
pulmonary disease, or COPD, a serious lung disease, is an example of a chronic ailment. The ability to see a physician when problems first flare up might prevent a patient from ending up in the hospital. Diabetes is another example of the Value In Prevention with MDVIP. Mounting evidence shows that early, aggressive management of blood sugar, along with control of blood lipids (good and bad cholesterol) and blood pressure can make controlling type 2 diabetes easier down the road. The same is true for patients managing many other serious diseases. The sooner they can be treated by the doctor, the better the outcome. The literal definition of “concierge” is personal assistant, and that describes how Dr. Michael Manning operates, personally “assisting” you in maintaining your good health. Dr. Manning has an open invitation, free of charge, to anyone interested in learning about the MDVIP program. Please contact him directly at 678413-7979 to make an appointment. (NOTE: Most insurance accepted, including Medicare.)
Personalized health care to fit your needs!
Prevention Program Includes: • • • • •
Home Visits Extensive Physical Exams Specific Screenings and Tests Pre-health Risk Assessment Yearly Physicals
Most ted, p e c c a s e c n a Insur e edicar
including M
Call Today For An Appointment
678-413-7979
2215 Exchange Place SE Conyers, GA 30013
Dr. Michael Manning
Affiliate of Rockdale Medical Center
FALL 2015 | HEALTHY IN ROCKDALE
19
Meet the Newest Rockdale Medical C
Alice Azzalin MD Endocrinology 1380 Milstead Avenue, Suite H Conyers, GA 30012 Phone: 770.388.0118 www.diabetesendo.com
Camile Nelson MD Cardiology Atlanta Heart Associates 1292 Wellbrook Circle, Suite A Conyers, GA 30012 Phone: 770.785.6317 Atlantaheartassociates.com
Gregory P. Petro MD Cardiology Atlanta Heart Associates 1292 Wellbrook Circle, Suite A Conyers, GA 30012 Phone: 770.785.6317 Atlantaheartassociates.com
Megan J. McKee MD Hemotology / Oncology Atlanta Cancer Care 1498 Klondike Drive, Suite 106 Conyers, GA 30012 Phone: 770.761.7260 Atlantacancercare.com
20 HEALTHY IN ROCKDALE | FALL 2015
www.rockdalem
Megan S. Craig MD OB/GYN Greystone OB/GYN 3240 Avalon Boulevard Conyers, GA 30013 Phone: 770.860.1133 greystoneobgyn.com
Members of Our Center Community
medicalcenter.org
Rajasekhar Reddy MD Cardiology Atlanta Heart Associates 1292 Wellbrook Circle, Suite A Conyers, GA 30012 Phone: 770.785.6317 Atlantaheartassociates.com
Pritam R. Polkampally MD Cardiology Atlanta Heart Associates 1292 Wellbrook Circle, Suite A Conyers, GA 30012 Phone: 770.785.6317 Atlantaheartassociates.com
Katherine G. Young MD OB/GYN New Beginnings Comprehensive Women’s Healthcare 1415 Milstead Road NE, Suite A Conyers, GA 30012 Phone: 678.413.0858 www.nbcwh.org
Sumana Reddy DO Endocrinology Rockdale Endocrinology Associates 1567 Milstead Road, Suite B Conyers, GA 30012 Phone: 770.679.1280
Rajiv Desai MD General Surgery Rockdale Surgical Associates 1301 Sigman Road, Suite 225 Conyers, GA 30012 Phone: 770.922.4024 FALL 2015 | HEALTHY IN ROCKDALE
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k
women’s health FEATURE A gynecologist is a doctor who specializes in women’s reproductive health. An obstetrician cares for women during pregnancy and just after the baby is born. They also deliver babies. An ob-gyn is trained to do all of these things. Your ob-gyn will deal with some of the most important health issues in your life, including birth control, childbirth, and menopause. An ob-gyn can also screen for cancer, treat infections, and perform surgery for pelvic organ or urinary tract problems.
Choosing an OB/GYN written by Lee Udell
O
b-gyns deal with personal and sensitive health issues, so the idea of seeing one – especially for the first time – may seem daunting. The thought of a doctor seeing the most private parts of your body may make you nervous or embarrassed. So, take the dread out of your annual appointments by choosing an ob-gyn who’s right for you. Do your homework. Don’t just randomly pull a doctor’s name off your health insurance list. Good old word-of-mouth is still the best way to find a doctor you trust. Get a referral from a friend, family member, or your primary care provider. And follow up by doing some online research at websites like Vitals or Healthgrades. Make sure you’re on the same page. Before you commit, schedule an appointment to see if your prospective ob-gyn thinks the same way you do on issues like contraception or childbirth options. Ask the hard questions. Find out if the doctor accepts your health insurance, what hospital they admit patients to, what office hours are, and who covers for them when they’re not available. Man or Woman? Consider whether you’d prefer a male or female ob-gyn. Some women are more comfortable undressing for a female doctor and asking – and answering – intimate questions. The doctors at New Beginnings Comprehensive Women’s Healthcare are committed to providing you complete health services in a supportive, welcoming and nurturing environment. Schedule an appointment today with Dr. Veronica Garrett, Dr. Naomi Harris, or Dr. Katherine Young to find your partner in reproductive health. Call their Conyers office at 678-413-0858.
New VisioNs...New HorizoNs...
• Adult & Adolescent Gynecology • Normal & High Risk Obsterical Care • Contraceptive Management
New Beginnings For all your women’s healthcare needs!
• Management of Fibroids • Robotic Laparoscopic Surgery • Gynecological Surgery • Disorders of the Cervix • Family Planning • Ultrasound • In-Office Essure Tubal Ligation and Endometrial Ablation • Infertility • Menopause Management • Hysterosonogram
day Call Us To le To Schedu ! Your V isit
Veronica Garrett M.D., F.A.C.O.G.
1415 Milstead Road, Suite A • Conyers, GA 30012
678-413-0858 ~ Se habla espanol
naomi Harris M.D., F.A.C.O.G.
sHannon mayfield
Comprehensive Women’s Healthcare at It’s Best!
we accept most major health plans ~ call today for an appointment! 22 HEALTHY IN ROCKDALE | FALL 2015
C.N.M.
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SottoPelle For Women
M
written by Lee Udell
enopause is a biological process that all women will experience in their lifetimes. The term menopause encompasses a gamut of changes that generally occur in a woman’s fifties or sixties, but the symptoms of change often become noticeable in her forties. During this time, the ovaries stop producing eggs, menstrual cycles become less frequent and eventually stop, and estrogen and progesterone decline. The hormonal decline that occurs with menopause causes uncomfortable symptoms, such as hot flashes, sleep problems, mood changes, fatigue and decreased sex drive. But bioidentical hormone replacement (BHRT) has proven to be a safe and effective means for women to find relief. What’s more, hormone replacement therapy has also been proven to decrease risk of heart disease and decrease bone loss, resulting in fewer bone fractures. SottoPelle® is a unique BHRT that can help women age gracefully in wellness, by restoring the beneficial hormonal balance of earlier years. The unique pellet implant system corrects hormone deficiency in 3 ways: • Replenishes your body 24/7 with hormones identical to those it once produced • Uses the precise physiological dosage your body is accustomed to • Delivers hormones in a manner that your body recognizes and flourishes with
Precision pellet insertion, accurate pellet dosing, and meticulous hormone compounding ensure reliable, consistent and safe dosage of hormones. Low-dose pellet implants, about the size of a Tic Tac®, are placed under the skin in the hip area. Blood flow over the pellets begins to release just the right amount of hormones into the blood stream. This allows the pellets to easily maintain consistent blood levels, which is why SottoPelle works so well for so many women. Other advantages of SottoPelle Therapy include: 1) Appropriate testing and proper analysis 2) The use of high-quality bio-identical pellets 3) Employing a web-based application for consistently accurate dosing 4) Following a specialized pellet insertion procedure If you’re struggling with menopausal symptoms, SottoPelle BHRT may be right for you. Dr. Veronica Garrett in Conyers is specially trained to administer SottePelle Therapy and can work closely with you to help you regain control of your life. To schedule an appointment, call (678) 413-0858 today.
Exclusively being provided by Veronica Garrett M.D. 1415 Milstead Road N.E., Suite B Conyers, GA 30012 Call Today (770) 918-1619 FALL 2015 | HEALTHY IN ROCKDALE
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WHAT IS
Stress Testing? S
• Abnormal changes in your heart’s rhythm or electrical activity During a stress test, if you can’t exercise for as long as what is considered normal for someone your age, it may be a sign that not enough blood is flowing to your heart. However, other factors besides CHD can prevent you from exercising long enough (for example, lung disease, anemia, or poor general fitness).
written by Muthu Kuttappan, MD
tress testing provides information about how your heart works during physical stress. Some heart problems are easier to diagnose when your heart is working hard and beating fast. During stress testing, you exercise (walk or run on a treadmill) to make your heart work hard and beat fast. Tests are done on your heart while you exercise. You may not have any signs or symptoms of Coronary Heart Disease (CHD) when your heart is at rest. But when your heart has to work harder during exercise, it needs more blood and oxygen. Narrow arteries can’t supply enough blood for your heart to work well. As a result, signs and symptoms of CHD may occur only during exercise. A stress test can detect the following problems, which may suggest that your heart isn’t getting enough blood during exercise: • Abnormal changes in your heart rate or blood pressure • Symptoms such as shortness of breath or chest pain, especially if they occur at low levels of exercise
Contact Dr Kuttappan’s office (770-788-7777) on Brown Bridge Road to set up an appointment for your stress test today.
Serving Rockdale & Newton for 20 years! • Geriatric Care • Diabetes • Asthma • Emphysema • Thyroid • Hypertension
• High Cholesterol • Physicals • Cardiac Stress-Test System • X-Ray on Site
Kuttappan Muthu MD 14779 Brown Bridge Road Covington, Ga 30016
770-788-7777
liate of Rockdale Medical Center
24 HEALTHY IN ROCKDALE | FALL 2015
THE PERCENTAGE DAILY VALUE (% DV)
SERVING SIZE
All the nutrition information on a label is based on a precise quantity of food called the serving size. The serving size might be described in grams, ounces, cups, or pieces. Consumers must be careful when comparing the nutritional value of food products that are not calculated using the same type of measurement or quantity of food.
CHOLESTEROL
Cholesterol in food is a type of fat that comes from animal sources. Too much of it can cause heart disease and other health problems. Highcholesterol foods include beef, egg yolks, cheese, poultry, as well as certain junk foods and pastries. Look for food that has the lowest possible amount of cholesterol.
SODIUM
While your body actually needs some sodium to function properly (1500 mg per day for an adult), a diet too high in sodium can lead to health problems. For your sake, limit your daily intake.
PROTEIN
PHOTO: BANANASTOCK / COMSTOCK IMAGES / THINKSTOCK
Protein contains four calories per gram, just as carbohydrates do. Protein plays a big role in muscle, cell, organ, and gland functions, which makes it an important nutrient to look for on a food label. Don’t be afraid of high numbers here!
Producers and manufacturers also calculate the nutritional value of their packaged food as a percentage of average daily requirements. These percentages are based on a 2,000-calorie a day adult diet. As a rule of thumb for all nutrients, remember that 5 percent and less is a little, and 15 percent and more is a lot.
Nutrition Facts Per 1 slice (44 g) Amount
% Daily Value
Calories 120 Fat 3.5 g Saturated 3.0 g
5% 2%
CALORIES
The number listed here indicates the total calories found per serving. Calories in food come from carbohydrates, protein, and fat. If you eat two servings, remember that you then need to multiply the number of calories listed by two. People sometimes overlook this and think that the entire package contains the number of calories shown.
Trans 0.5 g Cholesterol 20 mg
FAT
Sodium 220 mg
9%
Carbohydrate 20 g
7%
Fibre 1 g
4%
Sugars 2 g
The first number beside this heading indicates the total amount of fat in one serving. Listed below that amount are the descriptions and quantities of the specific types of fats contained within. Saturated fat and trans fats are unhealthy for your heart and should be limited. Polyunsaturated fats and monounsaturated fats are the ones you want to see on your food labels. They are the “good guys” that can actually prevent health problems.
Protein 2 g Vitamin A
0%
Vitamin C
0%
Calcium
0%
Iron
2%
CARBOHYDRATES
Carbohydrates are the body’s primary source of energy. This number tells you how many grams of carbohydrates are in one serving of food. The total is then broken down into grams of sugar and grams of dietary fibre. The best foods for health contain low sugar and high fibre. High carbohydrate values are found in foods composed of starches (pasta, rice, bread), sugars (honey, high-fructose corn syrup, candies), and fibre (vegetables and fruits).
How to decode nutrition information As you head to the grocery store to stock up on fresh and prepared foods, you may be thinking that you want to eat well but you don’t know what all that stuff means on the food labels. Pre-packaged foods are required to show information about what they contain so that consumers can make informed choices about what they eat. This mandatory food labelling must show a list of the product’s ingredients and a nutrition facts table. NUTRITION FACTS TABLE This tool has recently been added to packaging to inform consumers about the quantities of the basic nutrients present in the food as well as the amount of calories. Generally speaking, most people want to increase their intake of nutrients such as calcium, iron, fibre, vitamin A, and vitamin C, and reduce their intake of saturated and trans-fats as well as sodium. LIST OF INGREDIENTS This is a list of all the ingredients contained in a food product. The ingredients must be listed in order of weight, from most to least. That means that the food contains more of the ingredients at the beginning of the list and fewer of the ingredients at the end of the list. FALL 2015 | HEALTHY IN ROCKDALE
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8 Tips for Better Heart Health
HOW TO STRENGTHEN AND PROTECT YOUR HEART RIGHT NOW 1. Know your heart health numbers. Get your numbers at your yearly physical. Establish a baseline to help plan every preventive step for the rest of the year. Know your HDL or “good” cholesterol, LDL or “bad” cholesterol, total cholesterol, triglycerides, blood pressure, weight, and body mass index (BMI) numbers. If your numbers are on the high side make an appointment now to see if your new healthy habits are making the grade. 2. Go for nuts and plant sterols. Your heart will love you if you eat six walnuts before lunch and dinner. Why? Because walnuts are rich in omega-3 fatty acids, which help to decrease inflammation in the arteries surrounding your heart, so they keep your heart functioning longer and better. 3. De-stress your heart. Unplug yourself from the news cycle and your email. It’s good for you and your ticker. And that begins with your favorite device. Start turning it off for 15 minutes at a time and work up to an hour a day to reduce stress. Stress raises blood pressure, heart rate, and levels of the stress hormone cortisol. These days, people are less and less capable of leaving stress at the office because everyone is connected 24/7. 4. Get heart healthy social support. You know exercise improves heart health by keeping weight down and raising levels of HDL cholesterol, but doing it
with a friend adds benefits. Finding an exercise buddy is really important because social support lowers your risk of heart disease and helps you stay motivated. 5. Take a heart-felt approach to quitting smoking. Smoking is a major risk factor for heart disease, but kicking this nasty habit can be much easier said than done. Need an added incentive? Take this advice to heart: You start to improve your heart health within minutes of quitting. And the heart health dividends keep growing. After one year, your heart disease risk is cut in half -- and after 10 years of not smoking, your heart disease risk is the same as for someone who has never smoked. 6. Measure your waist size to gauge your heart health. Take a tape measure and measure your middle if your waist size is more than 35 inches in women or more than 40 inches in men, this tells you that you are at increased risk for heart disease and type 2 diabetes. 7. Reduce your blood pressure by reducing your salt. High blood pressure is a major risk factor for heart disease, and reducing salt intake can help lower blood pressure. 8. Sleep to your heart’s content. People who sleep fewer than seven hours a night have higher blood pressure and higher levels of the stress hormone cortisol, making the arteries more vulnerable to plaque buildup.
EXPERT HEART CARE. SAME DAY APPOINTMENTS. At Piedmont Heart of Rockdale we’re pleased to offer same day appointments. You can see a Piedmont Heart physician when it fits your schedule. It’s the expert cardiac care and answers you need – so you can get on the road to feeling better.
To schedule an appointment, call 770.483.9330
Piedmont Heart at Rockdale 1301 Sigman Road, NE • Suite 200 Conyers, Georgia 30012
Syed Shirazi, M.D. Cardiology
26 HEALTHY IN ROCKDALE | FALL 2015
Atul Trivedi, M.D. Interventional Cardiology
piedmontheart.org ©2015 Piedmont Healthcare 04279-0915
WHAT COLOR is Your Food?
Purple and blue options are loaded with antioxidants and can improve memory, mineral absorption and urinary tract health, and may reduce cancer risks in the digestive tract. • Fruits: blackberries, blueberries, plums and raisins • Vegetables: eggplant, purple cabbage and purpleou can keep your family healthy by adding color and fleshed potato taste to every meal. Sometimes we tend to eat the same or similar things over and over again and slip into so- Red indicates produce that may help maintain a healthy called “food ruts.” One way to switch things up and encourage heart by lowering blood pressure and reducing LDL healthier food choices is by simply incorporating a variety of cholesterol levels, as well as improve vision and immunity. colors into your family’s meals. • Fruits: cherries, cranberries, pomegranate, red/pink Different colored fruits and vegetables provide distinct – grape fruit, red grapes, strawberries and watermelon and equally important – vitamins and minerals that kids need • Vegetables: beets, red onions, red peppers, red to grow and stay strong. The foods listed below are nutrition potatoes, rhubarb and tomatoes powerhouses that your family will love. White, tan and brown foods sometimes contain nutrients Green produce indicates antioxidant potential and may help that may promote heart health, reduce cancer risks, and promote healthy vision, lower blood pressure, regulate the stimulate a healthy GI tract. digestive tract, and boost immune system activity. • Fruits: banana, brown pear, dates and white peaches • Fruits: avocado, apples, grapes, pears, honeydew, kiwi and • Vegetables: cauliflower, mushrooms, onions, parsnips, lime turnips, white-fleshed potato and white corn • Vegetables: artichoke, asparagus, broccoli, green beans, • Probiotic: cultured buttermilk, kefir and yogurt green peppers and leafy greens such as spinach The physicians at Atlanta Gastroenterology Associates Orange and deep yellow fruits and vegetables contain see patients at more than 35 locations across metro nutrients that promote healthy vision and immunity, promote Atlanta, including an office in Conyers and Lithonia and collagen formation and healthy joints, work with calcium to an accredited endoscopy center in Lithonia. With three build healthy bones, and reduce the risk of some cancers. pediatric offices to serve infants, children, and teens – • Fruits: apricot, cantaloupe, grapefruit, mango, papaya, Alpharetta, Sandy Springs and a new location opening in peach, oranges and pineapple Duluth – getting the right kind of care for the whole family • Vegetables: carrots, yellow pepper, yellow corn and sweet is easy. To make an appointment, call 1.866.GO.TO.AGA potatoes [468.6242], or visit www.atlantagastro.com.
Y
Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer
Almost every adult will suffer from digestive issues during their lifetime. Whether it's a touch of indigestion or abdominal pain that won’t subside, you deserve the best possible care. The 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 our convenient location in Conyers, getting the care you need has never been easier. 1501 Milstead Road Suite 120 Conyers, Georgia 30012 Appointments Available Monday - Friday
678.745.3033 www.atlantagastro.com 1.866.GO.TO.AGA [468.6242] Barry Levitt, M.D.
Mahmoud B. Barrie, M.D.
David Rabin, M.D. AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.
Paresh P. Kamat, M.D.
FALL 2015 | HEALTHY IN ROCKDALE
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Dr. Stephanie Gordon
Dr. Trent Rice
Marcia Harmon, CNM
Maria Epling, CNP
Lanie Vu, NP
Specializing in
Gynecology & Urogynecology Surgery Board Certified in UrogynecologyFemale Pelvic Medicine and Reconstructive Surgery Care We Provide:
• Well Women Health Care and Comprehensive Annual Exams • Pap Smears, Breast Exams, and In-Office Ultrasounds
Procedures We Provide: • Davinci Robotics Gynecological Surgery
• Full range of Contraception Options
• Traditional Abdominal Hysterectomy, Vaginal Hysterectomy, and Laparoscopic Assisted Hysterectomy
• Menopausal Management - Traditional and Alternative
• Myomectomy for Fibroid Tumors
• Adolescent and Pediatric Gynecology
• In-office ESSURE Tubal Ligation
• Infertility Workups
• Laparoscopic Surgery for Ovarian Problems, Endometriosis, Tubal and Adhesive Diseases
• Hormone Replacement Therapy (including pellets, injections and compounding cream) • Bladder Problems and Incontinence • Accidental Bowel Leakage or Chronic Constipation Management • Pelvic Relaxation or Prolapse Management • Treatment for Fibroids, Endometriosis, Abnormal Bleeding, and Ovarian Cyst • Osteoporosis Screening and Treatment • Screening for Sexually Transmitted Diseases
• Hysteroscopic Surgery • Colposcopies for Abnormal Pap Smears and LEEP Procedures • Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder Leakage • In-Office Endometrial Ablation for Excessive Menstrual Bleeding • Procedures for Accidental Bowel Leakage including Interstim and Solesta Injections • In office Anesthesia provided by Board Certified Anesthesiologist
Most Major Medical Insurance and Medicare Accepted 2750 Owens Drive • Conyers, GA 30094 • 678.413.4644 140 Eagles Spring Court • Stockbridge, GA 30281 • 770.302.0878
28 HEALTHY IN ROCKDALE | FALL 2015
www.womenscenterga.com Privileges At Rockdale & Piedmont Henry Hospitals
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women’s health FEATURE
written by Lee Udell
Bladder
Training
I
t’s important to go the bathroom when you need to. “Holding it” can actually stretch your bladder, making it difficult to empty it completely. But there’s such a thing as going too often. (The norm is around seven bathroom trips daily.) An overactive bladder contracts abnormally, triggering the urge to urinate too often, even when your bladder isn’t full. This can lead to urge incontinence, which occurs when you suddenly feel a strong urge to urinate but may not make it to the bathroom in time. For some people – both women and men – the condition is simply a nuisance. But for others, there’s a severe negative impact on quality of life. The good news is that bladder training can help. By learning to urinate on a schedule (timed voiding), you can get your life back and take control of your schedule. “Bladder training can go a long way toward helping tame urinary incontinence without surgery,” says Dr. Stephanie Gordon of The Women’s Center in Conyers and Stockbridge. She recommends this proven step-by-step guide to bladder training. 1. Keep track: For a day or two, keep track of how many times you urinate or leak urine during the day. 2. Calculate: On average, how many hours do you wait between visits to the bathroom during the day? 3. Choose an interval: Based on your typical interval between needing to urinate, set a starting interval for training that is 15 minutes longer. In other words, if you usually make it for one hour before you
need to use the bathroom, start training with an interval of one hour and 15 minutes. 4. Hold back: On the day you start your training, empty your bladder first thing in the morning, and don’t go again until you reach your target time interval. If the time arrives before you feel the urge, go anyway. If the urge hits first, remind yourself that your bladder isn’t really full – and use whatever techniques you can to delay going. Try the pelvic floor exercise (also called Kegels), or simply try to wait another five minutes before walking slowly to the bathroom. If you believe you suffer from urge incontinence, or any type of incontinence, don’t go it alone. Talk with your physician. Once you broach the subject, your doctor will ask questions to help determine what type of incontinence you may have. Tests may also be needed to rule out potential issues contributing to incontinence, such as infections, diabetes, or other medical causes.
If you’d like to talk with Dr. Gordon about incontinence or about any other women’s medical issues, call The Women’s Center at 678-413-4644 today for an appointment.
FALL 2015 | HEALTHY IN ROCKDALE
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TREAT TO TRANSFORMATION WITH COOLSCULPTING Clothes Fit Better, Feel Better, Look Better
Before
16 Weeks After Session
Before
16 Weeks After Session
Procedure by John B. Fasano, MD | (No Weight Change)
FDA-cleared, Safe and Effective
DERMATOLOGICAL CARE FOR THE
ENTIRE FAMILY SERVICES:
General • Surgical • Cosmetic Dermatology Aesthetic & Laser Treatments • Botox® & Fillers Featuring CoolSculpting® to Reduce Fat
Fiona O. Zwald MD
Dione V. Marcus Michelle L. Juneau Charle’ L. Cameron MD
MD
PA-C
GIFT CARDS AVAILABLE Convenient Hours: 7:00am - 4:30pm • Monday - Friday Call us today to schedule your consultation
4151 Hospital Drive • Covington, GA 30014
770-784-0343
dermatologyconsultants.org 30 HEALTHY IN ROCKDALE | FALL 2015
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CoolSculpting…
I
THE FAT FREEZER written by Lee Udell
f you’re ready to say goodbye to muffin tops, love handles and saddlebags on the thighs, then 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. The idea that cold can selectively affect fat led to the innovative cooling process developed by scientists at the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, a teaching affiliate of Harvard Medical School. The CoolSculpting procedure uses a precisely controlled cooling method to gently and effectively target the fat cells underneath the skin, without damage to neighboring tissue. 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,” says Kim Bogash, CoolSculpting Team Leader for Dermatology Consultants. One session lasts about an hour, and Ms. Bogash says most patients experience only minor discomfort. “After the first 15 minutes, you really feel nothing,” she 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 2025% 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. “Dermatology Consultants has performed over 3,700 treatments in five years,” Ms. Bogash says. “We’re a Certified CoolSculpting Practice with highly trained and knowledgeable staff in our Covington, Buckhead, and Marietta locations. Our technicians have attained advanced training from Cool University. “In fact, Dermatology Consultants is among the few centers in Georgia offering DualSculpting™ in our Buckhead, Marietta and Covington locations,” Ms. Bogash continues. “We can treat two areas at the same time, reducing overall treatment times.”
To learn more about CoolSculpting, call Dermatology Consultants at 770-784-0343 or visit their website at www.dermatologyconsultants.org. The skilled and helpful staff at Dermatology Consultants will be glad to discuss and design a plan that suits you best.
FALL 2015 | HEALTHY IN ROCKDALE
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Creamy Cheesecake with Fresh Fruit Servings: 12 Prep time: 20 minutes Cook time: 45 minutes Total: 1 hour 5 minutes Ingredients • 1 cup graham cracker crumbs • 2 tablespoons margarine, melted • 3 large eggs, separated • 1 large egg white • ¼ teaspoon cream of tartar • ¾ cup 2 tablespoons spoon-for-spoon sugar substitute (such as Splenda) • 2 tablespoons cornstarch • 4 cups low-fat cream cheese • 1 ½ teaspoons grated lemon zest • 2 teaspoons pure vanilla extract • 2 tablespoons sugar-free fruit preserves • 1 cup fresh fruit, washed and drained dry Directions 1. Preheat oven to 325°F. 2. Combine the graham cracker crumbs and margarine. Pat evenly over the bottom and about 1/2 inch up the sides of a 9 1/2-inch pie pan. Bake in oven for 6 minutes. When it is cooled add a thin layer of sugar-free preserves to the crust. 3. While it bakes, using a mixer on high speed, beat the 4 egg whites and cream of tartar in a large bowl until foamy. Gradually add 6 tablespoons of the sugar substitute, 1 tablespoon at a time, beating until egg whites form stiff peaks. 4. In another large bowl, stir the remaining sugar substitute with the cornstarch, then add the egg yolks, cream cheese, lemon zest, and vanilla. Beat until well blended. 5. Fold beaten egg whites into cheese mixture. Spoon the mixture into the partially-baked crust. 6. Bake in the oven until center barely jiggles when cheesecake is gently shaken, 40 to 55 minutes. 7. Remove from oven and cool completely. 8. While the cheesecake is cooking, melt the preserves in a small pan over medium heat, stirring often. 9. Cool, stirring occasionally, until the preserves form a thick syrup (about 4 minutes). 10. Mound fresh fruit on the cheesecake and drizzle with preserve syrup. Chill and serve Nutrition Information: PER SERVING: 172 calories (18% calories from fat), 8 g protein, 4 g total fat (0.9 g saturated fat), 29 g carbohydrates, f1 g dietary fiber, 56 mg cholesterol, 254 mg potassium, 161 mg sodium Diabetic Exchanges: 2 carbohydrate (1 bread/starch, 1 skim milk)
32 HEALTHY IN ROCKDALE | FALL 2015
I
t seems that Alzheimer’s Disease is constantly in the news – and on the minds of an aging population. Alzheimer’s, the most common form of dementia, causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. According to the Alzheimer’s Association, there are 10 warning signs and symptoms. Being familiar with these signs gives you or your loved one the chance for an early diagnosis, so you can seek treatment and plan for the future.
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Warning Signs
ALZHEIMER’S DISEASE
g Memory loss that disrupts daily life: While it’s normal as you age to sometimes forget names or appointments, those with Alzheimer’s may forget the same information over and over again or forget recently learned information. g Challenges in planning or solving problems: Occasional errors are perfectly normal, but difficulty developing and following a plan or working with numbers may signal something more. g Difficulty with familiar tasks: Daily tasks at home, work or leisure may become hard to complete. For example, rules to a familiar game or directions to a familiar location may be forgotten. g Confusion of time or place: People with Alzheimer’s can lose track of dates, seasons and the passage of time. Sometimes they may forget where they are or how they got there. g Trouble processing visual images or spatial relationships: Vision changes are normal as you age, but difficulty judging distance and determining color or contrast could be a warning sign, g New problems with words: People with Alzheimer’s may have trouble following or joining a conversation, and they may struggle with vocabulary – more than just having trouble finding the occasional “right” word. g Misplacing things: Someone may put things in unusual places and then have trouble retracing their steps to find them. g Decreased or poor judgment: They may make poor choices, like giving money to scammers. And they may pay less attention to grooming and cleanliness. g Withdrawal: A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. g Changes in mood or personality: They can become confused, suspicious, depressed, fearful or anxious and be easily upset. written by Lee Udell Every individual may experience one or more of these signs in different degrees. If you notice any of them, please see a doctor. Dr. Bryan Riggeal and Dr. Candice Riggeal, of Rockdale Neurology Associates, understand memory loss, dementia and Alzheimer’s Disease. To schedule an appointment for yourself or a loved one, call their Conyers office at 770-278-0154.
Brain Injuries/Concussions Neuropathies/Numbness Strokes Peripheral Nerve Injuries Seizures Memory Loss/Dementia Epilepsy Multiple Sclerosis Neurologic Pain/Headaches
BRYAN RIGGEAL, MD Neurology & Neuro-Ophthalmology
CANDICE RIGGEAL, DO
Optic Neuritis
Neurology & Epilepsy
1255 Commercial Drive, Suite B, Conyers, GA 30094
770-278-0154
Affiliate of Rockdale Medical Center
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THE CANCER ANSWER
TM
IN YOUR HOMETOWN
Georgia Cancer Specialists is a national leader in advanced cancer treatment and research. The Cancer Answer® is patient-focused care anchored by prevention, early detection, advanced treatment, clinical research and compassionate caregivers.
Kathleen Lambert, MD
•
Sherine Thomas, MD
1501 Milstead Road, Suite 110 Conyers, GA 30012 (770) 760-9949
gacancer.com
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Reduce Your Risk for Breast Cancer By Kathleen Lambert, MD, Georgia Cancer Specialists
B
reast cancer is the most common non-skin cancer in females in the United States and the second most common cause of cancer death in women. One in eight women will develop the disease at some point in her lifetime. Although there are several risk factors you can’t control such as age, family history and race, there are many steps you can take to reduce your risk. Maintain a Healthy Weight. Being overweight or obese, especially after menopause, has been linked to an increased risk of breast cancer. Exercising is one way that can help you maintain a healthy weight, and growing evidence suggests that regular physical activity may keep cancer at bay. For most healthy adults, the Department of Health and Human Services recommends at least 150 minutes a week of moderate aerobic activity or 75 minutes of vigorous aerobic activity weekly, plus strength training at least twice a week. Limit alcohol. Habitual alcohol consumption has long been linked to a greater risk of developing breast cancer, particularly for younger women who have yet to have their first child. New research from the Harvard Medical School shows that the more alcohol a female drinks between her first menstrual cycle and her first full-term pregnancy, the higher her risk of developing the disease. If you choose to drink alcohol, limit yourself to no more than one drink a day. Don’t smoke. Developing breast cancer is just one of the many negative health effects of smoking. Accumulating evidence suggests that there is an even higher risk for premenopausal women. If you don’t smoke, don’t start. If you do smoke, use every resource you can find to help you quit. Secondhand smoke also may pose a threat to nonsmokers. Reduce your exposure as much as possible;
choose smoke-free restaurants and avoid indoor public places that allow smoking. If you work in a smokefilled work environment, ask your employer permission to increase ventilation where smoking takes place by opening windows or using exhaust fans. Limit the use of hormone therapy. Taking combination hormone therapy for more than three years may increase your risk of developing breast cancer. Women taking hormone therapy for menopausal symptoms should ask their doctor if it’s possible to manage symptoms without the use of hormones. If hormone therapy is necessary, patients should use the lowest dose possible. Breastfeed. Among the many benefits that breastfeeding pose for you and your baby, studies that show breastfeeding may reduce your chances of getting breast cancer. The longer you breastfeed, the greater the protective benefits have been shown. Get Screened. Lastly, perhaps the greatest preventative measure you can take against breast cancer is committing yourself to regular mammograms and screenings. If you don’t already, perform monthly breast self-exams. Although they should not replace screening mammograms, breast self-exams allow you to become familiar with the normal feel and appearance of your breasts so that you are able to notice changes easier. Beginning at age 40, schedule annual mammograms. It is important, however, to discuss your individual risk factors with your doctor, including any family history of breast cancer, as this may influence the exact timing and type of breast cancer screening that you may need. Breast cancer is often found on a mammogram years before a lump is felt. Early detection is key in successful survival outcomes. When caught in its earliest stages, breast cancer has a 98 percent likelihood of being cured.
Dr. Kathleen Lambert is a board-certified hematologist and oncologist with Georgia Cancer Specialists, affiliated with Northside Hospital Cancer Institute, in Conyers and Decatur. For more information, visit gacancer.com or northside.com.
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Flu VACCINE written by Lee Udell
C
hances are, you’ve already seen pharmacies and some health providers advertising influenza vaccines. And you’re probably thinking it’s much too early to be getting this year’s flu vaccine. After all, the days are still warm, and cold weather – and the flu – seem far in the future. But the time to get yourself vaccinated against this season’s flu strains is actually just around the corner. In fact, experts suggest that timing your flu shot for the opportune window can ensure you get protection early enough and continue to have protection throughout the entire flu season. The Centers for Disease Control and Prevention recommends that you get the seasonal flu vaccine as soon as possible. “Everyone should get the flu vaccine as soon as it becomes available in their community,” CDC spokesman Tom Skinner says. “In the United States, the vaccine starts to become available in August and September.” However, some doctors believe it’s best
to wait until October or even November. “When adults get the vaccine in September, the peak effect wears off by late December. But flu season peaks in January and February,” warns Laura Haynes, an immunologist and gerontologist at UConn Health. “October or November is a much better time to get the vaccine. That way, you’re still protected when virus season is at its worst.” Since it takes about two weeks after vaccination for antibodies to develop in your body to protect against infection, experts all agree that it’s best to get vaccinated so you’re protected before influenza begins spreading in your community. After all, the flu vaccine is still the best way to avoid the influenza virus, and unless you have a medical reason not to, you should get one every year. So, with vaccine supplies already on hand at many clinics and stores, the time may be now, while it’s on your mind. The unpredictable flu season can start as early as October, and even if you get vaccinated now, you can expect six to eight months of protection. So, you can feel comfortable that your body will be fighting off the flu well into next spring.
The physicians at Internal Medicine Associates of Rockdale are vaccinating now against influenza. Contact them for more information or to schedule your appointment at 770-602-2970.
ACCEPTING NEW PATIENTS
Dr. Trinidad Osselyn
Dr. Wyllie-Adams
• • • • •
Hypertension • Diabetes High Cholesterol Physicals • Asthma Emphysema • Thyroid Women’s Health and more
INTERNAL MEDICINE ASSOCIATES OF ROCKDALE Marshall Almand, MD, Elizabeth de Give, MD, James de Give, MD, John Entrekin, MD Debora Goodrich, DO, Trinidad Osselyn, MD, Jack Sorg, MD, Mary Stephens, MD, Sabrina Wyllie-Adams, MD, and Jason Anderson, PA
1301 Wellbrook Circle, Conyers, GA 30012 770-922-3023
IMAR
Internal Medicine Associates Of Rockdale, P.C.
36 HEALTHY IN ROCKDALE | FALL 2015
John Hyland, MD, Virginia Hyland, MD, Grace Loy, MD
2800 Highway 138 SW Conyers, Georgia 30094 770-602-2970 ROCKDALE PHYSICIAN PRACTICES Remarkable People. Remarkable Medicine.
Affiliate of Rockdale Medical Center
ER SKILLS WITHOUT
The ER Bills written by Lee Udell
I
t’s Friday evening, and your child has a sore throat and fever. You’re thinking strep throat, because another child at school has it. After all, strep throat is highly contagious among kids, because streptococcal bacteria spread through airborne droplets, as well as through shared food or drinks. Children can also pick up the bacteria from a doorknob, toy or other surface and transfer them to their nose, mouth or eyes. So, what now? Do you tough it out until the pediatrician’s office opens Monday morning? Or do you shell out big bucks for an ER co-pay and wait for hours, along with every other sick, contagious person in town?
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Potential complications, like scarlet fever or even rheumatic fever, make it unwise to delay getting treatment for your child. And, at the very least, beginning treatment sooner, rather than later, will get your child feeling better and ready to head back to school by Monday. Thankfully, there’s an alternative to costly, stressful ER visits. Urgent Care facilities, which offer weekend and evening hours, provide quick access to care for urgent medical issues which aren’t life threatening, such as sore throats, earaches, acute illness, sprains, minor cuts, and more. Urgent Care facilities aren’t meant to replace your physician, but they can provide care when your doctor’s office is closed or you can’t get an appointment as soon as you’d like. If you or your child needs urgent care, help is as close as Georgia Primary and Urgent Care, Brown Bridge Road at Highway 212 in Covington. Call 678-625-4411 to learn more.
GEORGIA PRIMARY & URGENT CARE WE TREAT THESE CONDITIONS AND MORE:
• Minor injuries and burns • Urinary tract infections • Minor lacerations • Sore throats, ear aches • Skin rashes, infections • Diabetes • Women’s Health • Asthma • Sick children • Bronchitis • Sprains • Vomiting, diarrhea • Sutures/Suture removal • Animal and insect bites • High blood pressure • Allergies
SPORTS PHYSICALS $20.00
OPEN 7 DAYS A WEEK K NEW HOURS
Mon-Fri: Noon - 8:00 p.m. m. Sat: 8:00 a.m. - 5:00 p.m.; Sun: 11:00 a.m. - 4:00 p.m.
NO APPOINTMENT NECESSARY Most Insurance Accepted
Walk-ins Welcome! Lab and X-Ray On Site!
678-625-4441
7138 Highway 212 • Suite A, Covington, GA 30016
Veronica D’antignac, NP-C, Elizabeth McElmurry, PA, Melissa Fagan, NP-C
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Coronary Artery Disease (CAD)
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oronary artery disease is caused by plaque buildup in the wall of the arteries that supply blood to the heart (called coronary arteries). Plaque is made up of cholesterol deposits. Plaque buildup causes the inside of the arteries to narrow over time. This process is called atherosclerosis. Coronary artery disease (CAD) is the most common type of heart disease in the United States. For some people, the first sign of CAD is a heart attack. You and your health care team may be able to help you reduce your risk for CAD. Causes of CAD CAD is caused by plaque buildup Blausen.com staff in the walls of the arteries that supply blood to the heart (called coronary arteries) and other parts of the body. Plaque is made up of deposits of cholesterol and other substances in the artery. Plaque buildup causes the inside of the arteries to narrow over time, which could partially or totally block the blood flow. This process is called atherosclerosis.
Too much plaque buildup and narrowed artery walls can make it harder for blood to flow through your body. When your heart muscle doesn’t get enough blood, you may have chest pain or discomfort, called angina. Angina is the most common symptom of CAD. Over time, CAD can weaken the heart muscle. This may lead to heart failure, a serious condition where the heart can’t pump blood the way that it should. An irregular heartbeat, or arrhythmia, also can develop. Diagnosing CAD To find out your risk for CAD, your health care team may measure your blood pressure, cholesterol, and sugar levels. Being overweight, physical inactivity, unhealthy eating, and smoking tobacco are risk factors for CAD. A family history of heart disease also increases your risk for CAD. If you’re at high risk for heart disease or already have symptoms, your doctor can use several tests to diagnose CAD.
Test
What it Does
ECD or EKG (electrocardiogram)
Measures the electrical activity, rate, and regularity of your heartbeat.
Echocardiogram
Uses ultrasound (special sound wave) to create a picture of the heart.
Exercise stress test Measures your heart rate while you walk on a treadmill. This helps to determine how well your heart is working when it has to pump more blood. Chest X-ray Uses x-rays to create a picture of the heart, lungs, and other organs in the chest. Cardiac catheterization Checks the inside of your arteries for blockage by inserting a thin, flexible tube through an artery in the groin, arm, or neck to reach the heart. Health care professionals can measure blood pressure within the heart and the strength of blood flow through the heart’s chambers as well as collect blood samples from the heart or inject dye into the arteries of the heart (coronary arteries). Coronary angiogram Monitors blockage and flow of blood through the coronary arteries. Uses X-rays to detect dye injected via cardiac catheterization.
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1292 1 12 292 W Wellbrook ellbrook Circle, Circle ircle, Suite Suite te A A,, C Conyers, onyers, G GA A3 30012 0012 12
DIAGNOSTIC DIAG GNOST IC C CARDIOLOGY A R D I O LO G Y • • • •
Homayoun S. Amin, Am MD, FACC
Rajasekhar Raja Ra jase sekh khar Red Reddy, eddy ed dy, dy MD, FACC
Gregoryy Pe Petr Petro, ro, MD, FACC C MD,
C Consultative oonnsu sultltltat ativ ti e Card Cardiology diooloogy g Echoccar ardi diiogrraphhy diog Echocardiography Nuclear Cardiology gy Cardiac Catheterization C a di ar d ac C atheterizaatition on aand ndd Angi An giog gi ogra r phy Angiography lecttrophhys y io iolo logy gy SStudies tuddi dies • EElectrophysiology • EKG & Stress Stres esss Testing Tesstinng Te • Vascular Vasscu c lar Ultra asound Tes as estitinng ng Ultrasound Testing
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VASCULAR V A S C U LA R S SERVICES ERV VICES
Camille N Nelson, elson, FACC MD, FA ACC
Pritam Pr rit itam am R R.. Po Polk Polkampally, lkam lk mpa palllly, FSCAI MD, FACC, FS SCAI AI
Conyers Location: Loocation:
Stockbridge Stockbbridgge Location: Locatiion:
7770-785-6317 7 0-77 8 5 -6317
7770-692-4000 70-692-4000
11292 12 92 Wellbrook CCircle, iricle, Suite A Conyers, GGAA 30012 Co
350 Co Country ountryy Club Club Dri Drive, riive, Suite A Stockbridge, Stockb St kbbridg dge, e GAA 30281 30028 2 1
• • • • • • • • •
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VVisit isit Ourr W Website ebsite For Thee LLocation ocationn N Nearest earest Yo You ou Jackson
Locust Locu ustt G Grove rove
Griffi G riffin
Riverd Riverdale dale
East E ast Point
www.atlantaheartassociates.com w ww.a atlantaheartassociates.ccom
Camp C Creek reekk
Fayetteville F ayeettev ville
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“Postal Customer”
PRSRT STD US POSTAGE PAID PERMIT NO 15 Monroe, GA ECRWSS
“Take me to Atlanta”
R oc k d a le
Lifesaving Cardiac Care Now Available.
When someone has heart attack symptoms, you know that every minute matters. A shorter drive for treatment can translate into better outcomes for the patient. (percutaneous coronary intervention) procedures for patients with heart attack symptoms. • Angioplasty & Stenting Procedures • Interventional Cardiologists from Piedmont Heart Institute • Accredited Chest Pain Center
If you are experiencing chest pain or heart attack symptoms, call 9-1-1 and tell EMS to “Take me to Rockdale.” To find a physician in your area, call 800-424-3627 (DOCS).
40 HEALTHY IN ROCKDALE | FALL 2015
RockdaleMedicalCenter.org