Spring 2022
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ON THE COVER: GoToHearing: Helping the Community with Hearing Loss How to corral spring allergies Mental health needs are increasing. This is what local providers are doing about it Tips to Boost Mental Wellness Strategies to lose weight safely First group of NGHS internal medicine residents to graduate in June The Importance of Brushing and Flossing
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SPONSORED CONTENT
GoToHearing
Christopher and Danielle Campellone, owners of GoToHearing, have successfully helped treat hearing loss and tinnitus by fitting more than 700 new patients during the past year. Christopher Campellone and his wife, Danielle, opened the Gainesville-based practice in April 2021 with a goal in mind: meeting each patient’s individual needs no matter the cost. Christopher is a multi-state hearing care provider with more than 15 years of experience treating hearing loss with life-changing hearing care experiences. He specializes in healthcare through individualized care; telehealth communications; and has a deep passion for helping people hear better. Christopher and Danielle aim to educate people on the long-term effects of hearing loss and keep consumers away from predatory companies by advising patients to research the company and provider. Christopher recommends that patients undergo a complete hearing evaluation, including video otoscopy, to rule out wax and foreign bodies in the ear. Patients should also have a tympanogram to rule out issues with the middle ear, which could immediately become a medical referral to an ENT, for emergencies such as sudden hearing loss. Each GoToHearing patient undergoes a battery of tests using state-of-the-art equipment in a sound booth. The practice uses fiber optic otoscopy by Med-RX and the most advanced Tympanometry, InterAcoustics Titan, which offers 3D technology. “How a patient performs in a ‘complex [versus] a non-complex’ environment is huge,” Christopher says. “But understanding where the patient is cognitively is the most important factor [that is] most
Danielle Campellone 4 | SPRING 2022
overlooked. This only hurts the patient and sets up an unrealistic expectation, especially for a long-term user.” Christopher tries to help patients avoid pitfalls such as: being treated too early, underfitting, professionals under testing, and unlicensed entities or providers. “I am a firm believer that our positions are critical to the success of the hard of hearing. We just can’t let up and most importantly, not become the pitfall,” he says. His concerns are focused on patients who are real people with real needs. Hearing loss significantly impacts those who experience it and how those patients process these feelings of loss. According to Christopher, hearing loss is frustrating for those who have it and their loved ones. Recent research from Johns Hopkins shows that hearing loss is linked with walking problems, falls, and dementia. “Brain scans show us that hearing loss may contribute to a faster rate of atrophy in the brain,” Christopher says. “Hearing loss also contributes to social isolation. You may not want to be with people as much, and when you are you may not engage in conversation as much. These factors may contribute to dementia.” GoToHearing patients encounter small and large obstacles throughout life. Christopher's responsibility is to make sure he helps those in need, no matter the cost, and brings patients joy and happiness. Christopher and Danielle would like to recognize three patients, or hearing heroes, that have inspired them. “These are people that inspire me every day to want to do a better job for the hard of hearing,” says Christopher.
Christopher Campellone
SPONSORED CONTENT CAROLYN SMITH Carolyn Smith, a resident of Hall County, suffered from chronic ear infections as a child. Coupled with typical age-related hearing loss, Smith was having extreme difficulty participating in and maintaining conversations with the people around her. She had met Christopher and Danielle Campellone, founders of GoToHearing in Gainesville. When the Campellones opened their private practice located off McEver Road, Smith went to them for her hearing needs. According to Smith, Christopher and Danielle are dedicated to solving her problems and achieving the best possible result through a tailored wellness plan. “Due to their personalized care …I am now able to clearly hear [the] TV,” says Smith. "[I] can adjust surrounding noise by the app on my phone and with the hearing aids connected to my cell phone, I enjoy clear telephone conversations." For Smith, remaining active and participating in groups is important to her and the hearing device gave her that ability. “Never feel your problem is too severe for help,” she says. “They [Christopher and Danielle] are trained and skilled in achieving each person’s best outcome. The personal care you receive at GoToHearing makes [the] experience so much easier.” LINDA FOWLER Linda Fowler, Hall County resident and Carolyn Smith’s sister, saw the positive impact that Christopher and Danielle had on Smith’s hearing and quality of life. In August 2021, Fowler reached out to Danielle at GoToHearing for newer, better hearing aids. “[I] can finally hear well,” Fowler says. “[It] makes life so much easier with great hearing aids.” GoToHearing won Gainesville’s “Best of 2022 – Hearing Care Provider” for providing hearing aids and audiology services. “[Call] GoToHearing and enjoy life fully,” says Fowler.
Carolyn & Linda
BOBBYLEA PENNINGTON BobbyLea Pennington started going to GoToHearing in June 2021 after her previous audiologist retired. Pennington’s husband had to repeat himself frequently because of her hearing loss. She had seen ads for Christopher and Danielle’s private practice and had driven by the building on McEver Road. She knew she needed new hearing aids and another hearing test, so she called them. Christopher listened to all of her concerns and how her hearing loss was affecting her everyday life. He created a long-term plan to address all of her needs and helped her select hearing aids that would support her. “When you lose hearing, you never get back what you had when you were younger,” says Pennington. Today, Pennington’s husband doesn’t have to repeat himself as often, and hearing soft noises is a marvel. She can adjust her hearing aids, like Smith, through an app on her iPhone. Pennington has had such a positive experience working with Christopher and Danielle to improve her hearing. She says the process was easy and she’s glad she went to GoToHearing for her initial appointment. Pennington stresses how important it is to monitor age-related hearing loss. If something doesn’t feel right, call GoToHearing for a thorough exam. “Do not delay getting a hearing test done,” Pennington says. “If you are young, protect that hearing. Once you have lost your hearing, you can never get it back.”
As a Georgia Corporation, Christopher and Danielle Campellone are active members of the Chamber of Commerce, AAA BBB, State Licensed Specialists, Member of the International Hearing Society, the ACA, Hearing Loss Association of America, and The American Tinnitus Association. ♦
Bobbylea
SPRING 2022 | 5
ALLERGY CORNER
HOW TO CORRAL SPRING ALLERGIES Spring is synonymous with rebirth. Each spring, flowers begin to bloom again, grass starts to grow and people from all walks of life rekindle their love affair with the great outdoors. Spring also marks the return of a familiar foe: allergies. Seasonal allergies can put a damper on even the most welcoming spring day. After all, a day soaking up the sun isn’t so relaxing when it’s also spent sneezing and confronting allergy symptoms like congestion, runny nose and watery eyes. Thankfully, it’s possible for seasonal allergy sufferers to have their spring and enjoy it, too. PAY ATTENTION TO SEASONAL ALLERGY TRACKERS. Seasonal allergies are now easier to track than ever. For example, Pollen.com is an easily accessible and free site that allows visitors to type in their ZIP codes and access daily allergy reports for their towns and cities. Visitors also can see fiveday forecasts that can help them plan trips and other outdoor excursions. Weather.com also offers free allergy reports and forecasts. Individuals with seasonal allergies can make use of these sites and plan their activities based on the information they provide. STAY INDOORS WHEN ALLERGEN LEVELS ARE ESPECIALLY HIGH. The Mayo Clinic notes that there are several things individuals can do to reduce their exposure to seasonal allergy triggers. That includes staying indoors on dry, windy days. This doesn’t mean individuals need to lock themselves indoors 6 | SPRING 2022
all spring. But it’s important that seasonal allergy sufferers recognize that some days might be too much to handle. Rain helps clear pollen from the air, so individuals who are avoiding the outdoors on days when pollen counts are high should be able to get outside after a good rain without triggering an attack. MAINTAIN CLEAN AIR INDOORS. The great outdoors is not the only place where allergens percolate. The Asthma and Allergy Foundation of America notes that improving air quality in a home can reduce allergy triggers. Air conditioners can prevent outdoor allergens from entering a home, so utilize units on warm spring days when you might otherwise open the windows. Open windows and screen doors provide easy entry points for allergens like pollen, so turning on the AC when outdoor allergen counts are high can make seasonal allergies more manageable. CONSIDER TREATMENTS. Over-the-counter treatments like antihistamines, nasal sprays and decongestants provide most individuals with sufficient relief from their seasonal allergies. If OTC remedies are ineffective, treatments such as allergen immunotherapy and a consultation with an allergen may be necessary. Seasonal allergies can spoil an otherwise welcoming spring day. But there are many ways for individuals to corral their seasonal allergies and still enjoy spring sun. ♦
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SPRING 2022 | 7
MENTAL HEALTH
MENTAL HEALTH NEEDS ARE INCREASING. By Nick Watson Everything is going digital, from the morning all-hands business meeting to the way we talk with our doctors. Just ask Northeast Georgia Physicians Group and its psychiatry practice, which has seen the number of outpatient and telemedicine visits triple between 2019 and 2021. Adam Raulerson, business development manager for Laurelwood Behavioral Health, said Northeast Georgia Health System saw an upward trend for mental health services amid the COVID-19
TOP: A dining area inside the new Avita behavioral health crisis center Friday, Feb. 25, 2022. The center includes a 24-hour walk-in crisis center, a 23-hour temporary observation unit with 15 beds and a crisis stabilization unit with 30 beds. BOTTOM: A room for a patient inside the new Avita behavioral health crisis center Friday, Feb. 25, 2022, at the center on Old Cornelia Highway. - photos by Scott Rogers
8 | SPRING 2022
THIS IS WHAT LOCAL PROVIDERS ARE DOING ABOUT IT
pandemic like other health care facilities across the country. There has been a dramatic increase in depression and hopelessness seen in elderly patients due to the isolation felt during these past two years, Raulerson said. “As that first wave kind of came down, we saw a huge uptick in requests for support and a lot of anxiety, a lot of depression,” Raulerson said. “We had a lot more suicidal ideations that we were seeing, and that’s across the lifespan. It wasn’t just in one population. It was across the board.” In 2019, there were 5,607 outpatient and telemedicine visits to NGPG’s psychiatry practice and 518 similar visits to NGPG’s behavioral health division. In 2021, those numbers skyrocketed to 14,584 visits to NGPG psychiatry and 11,805 visits to NGPG behavioral health. NGPG has worked to keep pace with this climbing number of visits by increasing the number of providers. In 2019, there were four NGPG psychiatry providers and 10 behavioral health specialists. Last year, that leaped to 12 psychiatry providers and 14 behavioral health specialists. “We’ve come a long way over the last probably four or five years as far as the number of providers that we have,” Raulerson said. Raulerson said the health system has a strong collaborative relationship with Avita Community Partners and its behavioral health crisis center that opened in late June on Old Cornelia Highway. The $11.8 million, 28,000-squarefoot center has a 24-hour walk-in center, a 23-hour observation room and a crisis stabilization unit with 30 beds. In less than a year, the behavioral health crisis center has served 579 people. Avita CEO Cindy Levi said 330 people were helped with mental health concerns, with the rest receiving services for substance detox. Of the 579 people helped, 175 of them are Hall County residents, Levi said.
Certified peer specialists, who are people in recovery themselves, go through an 80hour training to mentor individuals or hold group meetings. “We feel as if we are offering a beautiful facility for healing,” Levi said. Levi said the focus of the center is the safety of its staff and its guests. Many of the rooms require a key card, while mirrors are placed strategically to eliminate blind spots. Everything in the building is considered “anti-ligature,” meaning reducing the risk of someone wrapping an item around their neck and hurting themselves. The chairs are heavy but slide with relative ease. If a person tries to put up a barricade on a door, a simple button push makes the door swing outward instead of inward. Avita’s main clientele are people who are uninsured, people who don’t have the means to pay and Medicaid recipients. The crisis center takes donations for clothing, sorting them in a side room by size and type. “Some individuals that come in don’t have anything,” Levi said. “Some of them come from the hospital in a patient gown (and) nothing else.” Levi said they still have about 50 staff vacancies. Roughly half of those positions are in the 23-hour observation area, which Levi hopes to have running by the end of March. They are fully staffed for the 30-bed crisis stabilization unit. More beds locally will mean better outcomes for people needing help, Raulerson said. “The greatest benefit is they’re not required to travel to the other side of the state for admission to a facility,” he said. “Obviously, if we can treat them close to home, there’s a better chance for their family or their support system to be involved in that care. We can keep them connected to their resources they’ve already developed. … Ideally, you treat people in their community and close to home.” ♦
MENTAL HEALTH
TIPS TO BOOST MENTAL WELLNESS
The most successful health care regimens incorporate a number of variables to help individuals achieve optimal health. Physical health garners considerable attention when developing a health care regimen, but it’s equally important that individuals prioritize mental health as well. Mental health has garnered considerable attention in recent years, and that’s not solely a byproduct of the pandemic. Prior to the onset of the pandemic, in 2019 the World Health Organization launched the WHO Special Initiative for Mental Health (2019-2023). That’s an effort to ensure access to quality and affordable care for mental health conditions in 12 priority countries. The WHO initiative reflects the growing recognition of the importance of mental wellness and its role in overall health. Protecting mental health and boosting mental wellness can have a profound impact on individuals who are struggling with stress, anxiety and depression. The National Council for Mental Well-Being recommends these strategies to boost mental wellness and protect mental health. EXPRESS YOUR FEELINGS. Individuals should not feel the need to keep their problems to themselves. Speak with someone you trust about your feelings and share details of any problems you may be having. Keeping feelings bottled up inside can compound issues that are already adversely affecting your mental health. ESTABLISH BOUNDARIES. Individuals should not feel compelled to engage in activities they don’t enjoy or no longer want to do. It’s everyone’s right to say no and exercising that right can improve mental health for individuals who routinely find themselves saying yes to activities they no longer enjoy.
For example, many working professionals may feel compelled to respond to work emails long after quitting time. That can have an adverse effect on mental health by making individuals feel as though they’re constantly working. Answering emails only during working hours can provide the mental break individuals need to unwind and relax. RECOGNIZE THE ROLE THAT PHYSICAL HEALTH CAN PLAY IN PROTECTING MENTAL HEALTH. The National Council for Mental Well-Being notes that physical self-care helps individuals manage symptoms associated with mental health challenges. Eating right, exercising regularly and getting enough sleep can help individuals overcome mental health challenges and reduce risk for conditions such as anxiety and depression. FIND A HEALTHY HOBBY. A healthy hobby can quell boredom and serve as a coping mechanism when issues like stress and anxiety begin to feel a little overwhelming. A healthy hobby can serve as a distraction and provide a getaway when individuals feel as though their mental health is suffering. DON’T HESITATE TO SEEK HELP. Individuals have no issue visiting their physicians when they experience physical symptoms of illness or injury. That same lack of hesitation should be present when mental health issues arise. Mental health professionals can provide the same valuable services for mental health that physicians do for physical health. Strategies to protect mental health is are important components of health care regimens. Individuals can learn more at mentalhealthfirstaid.org. ♦ SPRING 2022 | 9
HEALTHY WEIGHT
STRATEGIES TO
LOSE WEIGHT SAFELY
The struggle millions of individuals experience in regard to maintaining a healthy weight has led public health agencies to characterize overweight and obesity as a major public health crisis. According to the National Institute of Diabetes and Digestive and Kidney Diseases, nearly one in three adults in the United States are overweight, while more than 40 percent are considered obese. Data from Statistics Canada indicates individuals also are struggling with their weight in Canada, where nearly 27 percent of adults can be classified as obese, and more than 36 percent are classified as overweight. With so many adults in North America classified as overweight or obese, it’s no wonder that fad diets and additional programs to lose weight are so easy to find. Individuals who are overweight or obese should aspire to lose weight, as doing so can lower their risk for various conditions, including some which can be deadly, such as cardiovascular disease and diabetes. But it’s vital that individuals lose weight in a safe way that gives them the best chance to keep weight off. In recognition of that, the U.S. Department of Agriculture offers these tips to lose weight safely. RECOGNIZE WHAT MAKES UP A HEALTHY WEIGHT LOSS PROGRAM. Individuals have all sorts of options that promise to help them lose weight, but that doesn’t mean each of those options is safe and/or effective. For example, the American Academy of Family Physicians notes that the typical fad diet is unhealthy and does not result in sustainable weight loss. Some such diets can even be dangerous to your overall health. The USDA describes healthy weight loss programs as those that consist of reasonable and realistic weight loss goals. A reduced-calorie, nutritionallybalanced eating plan is another feature of a healthy weight loss program. Such programs also should encourage routine physical activity and a plan to help people change their behaviors so they can stay on track and meet their goals. KNOW WHAT TO EXPECT OUT OF A HEALTHY MEAL. The USDA notes that calories, portion sizes and nutrition all combine to make a healthy meal. Avoid high-calorie meals by limiting portion sizes. The online health resource Verywell Fit offers a useful breakdown that can help people determine healthy portion sizes: 1 palm: a serving of protein 1 fist: a serving of vegetables 1 thumb: a serving of fats 1 cupped hand: a serving of carbs This breakdown can act as a guideline for individuals, who also can discuss appropriate portion sizes with their physicians or a licensed dietician. CHANGE YOUR LIFESTYLE, NOT JUST YOUR DIET. A successful weight loss strategy will help individuals develop lifestyle habits that help them maintain healthy weights. Fad diets and other quick fixes only provide short-term weight loss, and the USDA urges individuals to avoid programs that they go on and go off at predetermined intervals. Long-term, healthy weight loss is achieved by changing one’s lifestyle, which requires a permanent commitment to physical activity and healthy eating. A significant percentage of adults in both the United States and Canada is considered overweight or obese. When attempting to lose weight, those individuals can look to a comprehensive approach rooted in healthy eating and routine exercise that can help them shed pounds and keep those pounds off for good. ♦ 10 | SPRING 2022
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HEALTH EDUCATION
Residents work with actors posing a patients Wednesday, Feb. 23, 2022, searching for the correct diagnosis at a Critical Care Simulation and Skills Workshop. - photo by Scott Rogers
FIRST GROUP OF NGHS INTERNAL MEDICINE RESIDENTS TO GRADUATE IN JUNE Nick Watson Northeast Georgia Health System’s graduate medical education program for internal medicine will graduate its first group in June. Dr. John Delzell Jr., who leads the graduate medical education program, said there are 20 internal medicine residents per year. Medical residency is post-graduate training for doctors in a specialized field. “They’re going into lots of different interesting things after this,” Delzell said. “Some are going into fellowships and some of them are joining us here in Northeast Georgia with different practices and some of them are going other places to practice.” Internal medicine is one of three active residency programs along with family medicine and general surgery. The family medicine program will have its first graduation in June 2023, while surgery has two more years. Northeast Georgia Medical Center has earned accreditation for two other programs, emergency medicine and psychiatry. In 12 | SPRING 2022
September, the hospital also received its initial accreditation for fellowship programs in cardiovascular disease as well as hospice and palliative care. There are 104 residents across the three active residency programs, but all five specialties could have more than 200 total resident physicians by 2024. “If you’re a patient in the hospital system nowadays, you’re very likely to have a resident that’s part of your care team,” Delzell said. Delzell said he did not know just yet how many of these doctors will stay in Georgia or specifically in the Northeast Georgia area, as not all of the residents have finalized their positions. “Our goal is to have about 50% of the graduates stay in Georgia,” Delzell said. “I think that is reasonably attainable.” As some residents leave, more will continue to start fresh with Northeast Georgia Medical Center. The new psychiatry residents, emergency medicine residents and cardiology fellows will start later this year. ♦
TOP LEFT: Doctors prepare to enter a simulation room Wednesday, Feb. 23, 2022, during a critical care simulation workshop. TOP RIGHT: Dr. james Hogue works with residents Wednesday, Feb. 23, 2022, on pre-operation procedures during a skills workshop during a Critical care Simulation and Skills Workshop. BOTTOM: Dr. James Hogue works with residents Wednesday, Feb. 23, 2022, on pre-operation procedures during a skills workshop during a Critical Care Simulation and Skills Workshop. - photos by Scott Rogers
SPRING 2022 | 13
DENTAL HEALTH
THE IMPORTANCE OF
BRUSHING AND FLOSSING Brushing and flossing ensures the removal of plaque and bacteria, which are culprits in tooth decay and gum disease. Periodontal disease is caused by a buildup of such bacteria and plaque. Brushing removes materials from the surface of the teeth, while floss gets in between teeth where toothbrush bristles cannot reach. The American Dental Association says that a combination of brushing and flossing is the key to good oral health. While both brushing and flossing are necessary, some oral health experts say that, if done correctly, flossing actually may be slightly more important since it gets to hard-to-reach spots where the most destructive microbes live. Oral hygiene does not just keep the mouth clean; it also can prevent serious disease. The Centers for Disease Control and Prevention says extensive research shows that the bacteria that flourish in an 14 | SPRING 2022
unhealthy mouth can harm the rest of the body, potentially contributing to diabetes, respiratory illness and heart disease, which is the leading cause of death in the United States. Brushing and flossing also can make dental cleanings and examinations go smoothly. Plaque is the precursor to tartar and is sticky, but soft and pliable. Tartar forms when plaque has been left undisturbed. Once on teeth, tartar can’t be removed without professional help. By removing plaque before it’s had a chance to harden into tartar, people can reduce time spent in the dentist’s chair. Furthermore, those who clean their teeth and gums regularly will have a lower risk for gingivitis, which is inflammation and bleeding in the gums. Flossing and brushing are important components of oral hygiene and also are vital to overall health. ♦
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Christopher V. Campellone Hearing Care Provider