Healthy In Rockdale
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Determining Hearing Loss Why Blood Pressure Matters Exercising During Pregnancy Fall 2013 HIR Fall 2013.indd 1 10/14/2013 4:05:06 PM The Birth Place At Rockdale Medical Center: An exceptional place to have your baby! Other Special Amenities Include: • Dedicated physicians, nurses and staff • Individualized special care plan Located in our beautiful East Tower, The Birth Place features 17 remodeled private labor and delivery rooms, an advanced Level III Neonatal Intensive Care Unit (NICU) and welcomes close to 2,000 babies a year. • 17 private labor and delivery rooms, 28 private mother-baby rooms • Specialized mother-baby nursing care • 20 new Level III NICU rooms and private family waiting areas • Unique, soothing environment with sunny atriums, lush gardens and comforts of home. Rockdale Medical Center is the first healthcare facility in the metro Atlanta area to acquire and implement AirStrip ONE™ OB, an innovative patient monitoring solution that allows obstetricians to keep a closer eye on their labor and delivery patients, reflecting our priority of using state-of-the-art technology to ensure moms and their babies are as safe • Childbirth, Infant Care and Sibling education and secure as possible 1-800-424-DOCS(3627). • Board-certified lactation consultants To learn more about The Birth Place, our services and classes, please visit: www.rockdalemedicalcenter.org or call 1412 Milstead Avenue | Conyers, Georgia 30012 800-424-DOCS (3627) | www.rockdalemedicalcenter.org HIR Fall 2013.indd 48 10/14/2013 4:05:22 PM edures •general health FEATURE Foot Surgery Procedures O ur feet help us to stay active all through the day. The entire weight of our body is carried on them. So, Do your feet hurt? we can help! There’s No Substitute for Experience. Serving Rockdale & Newton Since 1982 even if there is a mild swelling or tenderness in the feet, our lifestyle gets badly affected by it. Foot surgery is needed when there is a major problem in them. It can arise due to several reasons. A con- genital defect, severe injury or diseases like arthritis. Besides, a poorly fitted footwear can cause extensive damage in the feet. Surgeries are carried out by podiatric surgeons. They have special training in the surgical procedures concerned with the feet. They opt for surgical methods of treatment only when the feet problem gives a lot of pain and discomfort and badly disrupts normal life activities of the patient. Arthritis it is removed by a surgery called arthrodesis. When the Hammertoes The toes and the ankle joints are under maximum toe bone is enlarged, the bump formed at the joint is Hammertoe is a type of deformity where the toe looks pressure owing to our body weight. For this reason, these eliminated by a surgery called exostectomy. However, it is like a hammer or claw, due to abnormal bending. It de- joints are prone to arthritis. It leads to pain, swelling and not a very effective surgical method to rectify bunion. velops after wearing of ill-fitting footwear like shoes with stiffening up of the joints and sometimes, deformity. high heels or shoes smaller than the actual length of the There are mainly two different procedures for arthritis. Ankle Sprains feet. This condition leads to unbearable pain in the toes, One is arthroplasty, in which a damaged portion of the Ankle sprains occur as tears develop in the ligament. which can be relieved by the means of surgery. It involves affected joint is removed. It could be one of the two The function of the ligament is to join two adjacent making a narrow incision in the toe area and removing a bones that forms the joint or a part of the cartilage. In bones of the ankle joint. Thus, the ligament prevents the section of the bone in order to straighten the toe joint. If certain cases, where the damaged joint has turned stiff bones from moving in wrong directions. A severe injury required, the length of the tendon at the joint is increased and painful, an artificial joint or a joint spacer is inserted. or strain in the ligaments make them loose, which causes during the procedure. As a result, the patient gets relief from the pain and at the repeated sprains. As a result, the alignment of the bones same time, mobility of the foot also improves. The second get affected. Surgery is required to straighten the bones Ingrown Toenail procedure is known as fusion. It is performed where due and stabilize the ankle. There are different procedures When the toenail grows into the flesh of the toe, it is to degeneration of the cartilage, two bones of the joint which are used to correct this problem and are collectively known as ingrown toenail. As a result, the toe swells up are constantly pressing against each other, making the known as lateral ankle stabilization. For adding stability to and becomes extremely painful. It could be hereditary or joint movement painful. As it is not possible to create the ankle, a piece of tendon is taken from anywhere near due to some deformities in toe. It can also be acquired new cartilage, the bones are fused together after the the ankle area and is used to create an extended ankle because of wearing of poor fitting shoes. The surgical removal of worn out cartilage. ligament. In case, there is some bone deformity, which is procedure for removal of ingrown nail is known as partial responsible for frequent ankle sprains, surgical removal nail avulsion with matrixectomy. Here, the ingrown part Bunion of the wedge of the heel bone is needed. In this way, the of the toenail is removed after splitting the affected nail Bunion is a kind of deformity where a bump is formed foot gets straightened. vertically. In order to stop the regrowth of the corner on the connecting bone between the big toe and the Flatfeet hydroxide is applied. This will make the nail matrix dead. of soft tissues and bones. It occurs mainly because of Flatfoot is a deformity in which the arch of the foot is It is carried out under local anesthesia and patients can wearing of ill-fitting shoes. Other causes are diseases like closed and the entire sole of the foot touches the ground. resume work immediately. There could be some occasion- polio or arthritis and sometimes, it’s hereditary. Due to This results in pain, unstable joints and it makes walking al drainage after the surgery which can be managed by the abnormal turn of the toe, the ligament and tendon difficult. Doctors first try to rectify it with the help of mus- putting a band-aid on the affected area. in the region become tight on one side and loose on the cle training and exercises. If these measures fail to show other. If the bunion is not painful, then some nonsurgical any results, then only the option of surgery is availed. It The recovery time depends on the seriousness of the measures can take care of it. Or else, it is rectified with is usually done in the adolescent age. The procedure in- underlying problem. In some cases, patients are given the help of various surgical procedures. One method of volves creation of an arch in the foot. A successful surgery surgical footwear which they have to wear to ensure surgery is osteotomy where ligaments of the toe joint provides permanent solution to the problem. Doctors proper recuperation. Post-operative complications may are realigned by surgically cutting the tissues. As a result, avoid this invasive procedure because its recovery time is arise when it is done on elderly patients or diabetic pa- the loose ligaments become tight and the tight ones quite long and is highly expensive. tients. Hence, it is important that the surgery is performed are loosened up. If the toe joint is badly damaged, then 46 HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 46-47 HEALTHY IN ROCKDALE 5 of the operated nail, a chemical substance like sodium first bone of the foot (or metatarsal). The bump consists by experienced podiatrist surgeons only. Dr. James E. Williams, Jr. • Diplomate: American Board of Podiatric Surgery • Board Certified In Ankle & Foot Surgery • Fellow: American College of Foot & Ankle Surgeons ...providing quality care with a gentle touch Same or Next Day Appointment Most insurance filed • Participate With Most PPO’s, HMO’s, Medicare and Workers’ Comp. • Heel/Ankle Pain • Infected/Ingrown Nails • Planter Warts • Bunions & Hammertoes • Corns & Callouses • Flat Feet • Diabetic Feet • Nerve Pain/Neuromas • Sprains & Injuries • Tumors • Joint Replacement • Arthritis • Fractures 1025 east freeway Drive conyers, Ga. 770-929-3338 www.anklefootspecialists.com 10/14/2013 4:04:36 PM R •general health FEATURE Doctor's Visits: emember that old sa ying about an ounce of preventio n being worth a pound of cure? It more than applies to the regula r doctor's visit. Family Practice of Conyers Why Checkups are Vital W hen you were little, your parents probably made sure you had an annual checkup with your doctor. But as you've grown older, you may have gotten out of this habit. Health professionals stress that these regular exams are important to help identify risk factors and problems before they become serious. If diseases are caught early, treatments are usually much more effective. Ultimately, having a regular doctor's visit will help you live a long and healthy life. Doctor’s Visit: The Prevention Checkup Depending on your age, sex, and family medical history, a checkup with your doctor may include: • Blood, urine, vision, and hearing tests to evaluate your overall health • Assessments of your blood pressure, cholesterol level, and weight • A discussion about your diet and exercise habits and any tobacco, drug, and alcohol use • Immunizations and booster shots • Screenings to assess your risk of developing certain diseases, including diabetes (if you already have high blood pressure or high cholesterol) and cancer • Depending on your age and sexual lifestyle, testing for STDs and possibly HIV • Starting at age 50, or younger if you have a family history, a screening test for colorectal cancer • A discussion about depression and stress to evaluate your mental health Doctor’s Visit: Concerns for Men For men, in addition to checking weight, high blood pressure, and other basics, your doctor's visit may specifically include: • Starting at age 50, or younger if you have a family history, a rectal exam to check for abnormal bumps in the prostate and a prostate specific antigen (PSA) blood test to screen for prostate cancer • Between the ages of 65 and 75 if you have ever smoked cigarettes, an abdominal exam to check for an enlargement in your aorta; an abdominal aortic aneurysm, a weakness in the lining of the aorta (a large blood vessel in your chest and abdomen), can develop with age and become a life-threatening problem. Doctor’s Visit: Concerns for Women For women, in addition to checking weight, high blood pressure, and other basics, your doctor's visit may specifically include: • A test for cervical cancer, called a Pap smear, every one to three years • A clinical breast exam to check for any unusual lumps or bumps in your breasts • Starting at age 40 (or younger if you have a strong family history for breast cancer), a breast cancer 44 HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 44-45 screening with a mammogram every one to two years • Starting at age 65, a referral for a bone density test to screen for osteoporosis, the disease that causes brittle, fragile bones and typically affects older women; women with more than one risk factor for osteoporosis may start earlier Doctor’s Visit: Preparation It's important for you to play an active role to get the most out of your doctor's visit. Before your exam, review and update your family health history, be prepared to ask if you're due for any general screenings or vaccinations, and come up with a list of questions if you have particular health concerns. During your actual doctor's visit, don't be shy about getting your questions answered. Also, if your doctor gives you advice about specific health issues, don't hesitate to take notes. Time is often limited during these exams, but by coming prepared you’re sure to get the most out of your checkup. Article provided by everydayhealth.com Dr. Alvin V. Griffin Dr. Griffin has been practicing in the area for the past 15 years. He functions primarily as a family practitioner. Prior to opening his practice, Dr. Griffin acquired extensive post-graduate training by completing two fellowships: faculty development and geriatrics. He has a great working partnership with Rockdale Medical Center. This partnership will allow the practice to provide expanded services for its patients. • Disease Prevention • Pediatrics • Geriatrics • Obstetrics-GYN • Sports Medicine • Diabetes • High Blood Pressure • Allergies 1039 E. Freeway Drive, Conyers, GA 770-922-0076 10/15/2013 9:37:47 AM Conyers Medical Clinic general health FEATURE• Winter Allergic Dealing with Seasonal Asthma Challenges Allergic Asthma Y ou may not think of winter as being a season for allergic asthma, but it all depends on what your particular allergy and asthma triggers are. There are definitely certain allergens, as well as irritants, that are more likely to present problems during the winter months, when colder weather forces you to be cooped up indoors for more hours each day. And, before you know it, you're dealing with sneezing, wheezing and coughing once again. Common winter allergy and asthma symptoms can include: • Sneezing • Nasal stuffiness • Runny nose • Itchy, watery, burning eyes • Itchy mouth or throat • Wheezing • Coughing • Difficulty breathing • Tight feeling in the chest Kids with allergic asthma may also have what is known as the allergic salute, where they rub their noses upward because of itching and have allergic shiners, which are dark circles under the eyes caused by nasal congestion. These are all just the typical symptoms of winter allergy and asthma sufferers. • Diabetes • Bronchitis • Hypertension • Fever • Flu • Asthma • Earache Common Winter Allergens and Irritants Allergic asthma symptoms can come and go at any time of the year. Winter presents some unique challenges, in that both indoor and outdoor triggers can set off symptoms. Being indoors so much exposes you to substances that you may not notice so much when you're splitting your time between the indoors and outdoors during the other seasons. Plus, turning on the furnace can stir up dust, pollen and other allergens from filters, vents and carpets. Some common indoor allergens that are especially active in the winter are: • Dust mites • Animal dander • Indoor molds • Insect and mouse allergens In addition, there may be some triggers that are known as irritants that are more likely to be encountered in the winter. Irritants don't produce the allergic reaction that allergens do, Ages 2 and up Ganesh Kini, MD HIR Fall 2013.indd 42-43 Influencing Factors Most indoor triggers are affected more by the cleanliness of the indoor environment than anything else. It's almost impossible to ever get rid of indoor allergens entirely but keeping a clean home does help. Winter weather will vary greatly from region to region, but if you live in a place where winters are cold, then cold, windy air can be a frequent irritant whenever you leave the home. Cold weather may also mean more wood fires and smoke to irritate your airways. In certain areas too, such as the mountain west in the United States, temperature inversions can cause smoke and pollution to lie like a blanket over the lower atmosphere for days at a time. In more temperate climates, winter may bring lots of rainy damp weather, which can mean higher levels of mold spores. How Winter Allergies and Asthma Are Diagnosed If you notice that your allergic asthma symptoms crop up — or worsen — during the winter months, there's a good chance that you have winter allergies. To find out for sure, make an appointment to see your doctor. Your doctor may decide to refer you to an allergist, who can do formal allergy testing to find out exactly what triggers you may be reacting to. The good news is, there is no reason why you just have to "grin and bear it" during the winter with allergies and asthma symptoms. There are easy steps you can take to keep symptoms from interfering with your life, work and school. A combination of preventive actions and medication are usually all it will take. Preventive Actions You Can Take Here are some of the best preventive actions you should work on: • Pay attention to weather forecasts for your area. When the weather is especially dry and cold or wet and rainy, it may make sense to stay indoors as much as you can. If you must go outdoors in cold weather, wear a neck scarf or gaiter that you can pull up over your mouth to warm the air you breathe in. • Maintain a clean environment. Vacuum and dust the house at least weekly to keep dust mites and other allergens from settling. • Avoid having wood fires in the home if you are sensitive to smoke. If you don't want to stop using your fireplace or woodstove, then at least make sure it's well-maintained and vented. We Cover All Your Family’s Needs 2601 Salem Rd. SE, Conyers, GA • 770-922-1880 but they do further irritate already inflamed airways in people with allergic asthma. The most common irritants during the winter months would be: • Cold outdoor air • Smoke from wood fires in fireplaces and stoves • Secondhand smoke from tobacco smoking It's also important to note that if you live in an area that never really gets that cold, such as Florida or other southern United States, outdoor allergens, such as pollen and molds, may never really go away completely, triggering symptoms year-round. Article provided by Kathleen MacNaughton, R.N. You'll find a number of other strategies for avoiding mold here and for avoiding dust mites. There are a few more tips on avoiding pet dander and secondhand smoke here. Medications You Can Take There are a number of medications that can be used to treat winter allergies and asthma. For asthma, you should be taking your inhaled steroid every day as prescribed to prevent symptoms, and using your rescue inhaler if symptoms do arise. (If you need to use it twice a week or more, though, it's time to call the doctor for a more effective preventive medicine.) Medications used to treat winter allergy symptoms can include: • Oral Antihistamines. Antihistamines are the most tried and true medications for treating most allergy symptoms. They work directly on the underlying allergic response. They can include first-generation medicines, such as Benadryl (diphenhydramine) and Chlortrimeton (chlorpheniramine). These are cheap and available over the counter and generally effective but can make you feel drowsy. The newer antihistamines, such as Claritin, Zyrtec and Allegra are effective and nonsedating but may be more expensive. Claritin and Zyrtec are both available over the counter, but Allegra is not. Some antihistamines are also combined with a decongestant to combat nasal congestion. • Nasal decongestant sprays. These can work well for relieving nasal symptoms on a short-term basis, but they cannot be safely used throughout the fall allergy season. If they are used too much, they can actually make nasal symptoms worse. • Nasal steroid sprays or nasal chromolyn sodium. These prescription nasal sprays, such as Flonase, are some of the most effective medicines, and because they act only where needed, they are also some of the safest. • Eye drops. There is a wide variety of eye drops that can be used for eye allergies. Use caution in using drops, such as Visine Allergy, though, as they can make symptoms worse if overused. Natural tears type eye drops are the gentlest and may work for mild symptoms. More severe symptoms may respond well to an antihistamine eye drop, such as Alaway or Zaditor, both of which are available over the counter. There are also prescription eye drops available that may be helpful. For those who want a more "natural" approach, a saline nasal rinse/irrigation is both gentle and effective. The idea is to wash out molds, other allergens and mucus from the nasal passages by flushing them with salt water (saline). These preparations are available over the counter in most drug stores. In Summary If your allergies and asthma get worse in the winter months, don't feel as though you just have to suffer. Take action! You can feel better and continue to live a full and active life, even in the face of winter allergies. Talk to your doctor to develop an allergy and asthma management plan that makes sense for you. If you take an oral antihistamine, it can take up to 2 weeks for it to reach full effectiveness, so be sure to take it regularly if you expect winter allergies to be an issue for you. When you have allergies, it's important to stay on top of the symptoms, so that you can nip them in the bud quickly. When nasal allergies spiral out of control, asthma often follows, even if it has been stable before. Asthma.about.com FALL 2013 | HEALTHY IN ROCKDALE 43 10/14/2013 4:03:58 PM •fitness FEATURE What Are ? s p m a r c e l musc When was the last time you were able to enjoy a walk with your family free from pain? Give us a call and we can help you get back to enjoying life to it’s fullest. mes a muscle that co or tightening of n io ct ra nt co l fu in occurs in the p is a strong, pa inutes. It often m l ra A muscle cram ve se to s w second d lasts from a fe on suddenly an e. d a charley hors the amp is also calle g, of muscles in legs. A muscle cr ms, or tightenin as sp en dd su lly ua ot. They often cramps are us e thigh or the fo th Nighttime leg in en pp ha etimes cramps can som calf. The muscle aking up. lling asleep or w fa e ar u yo as st occur ju Article provided by WebMD Medical Reference from Healthwise What causes muscle cramps? Muscle cramps may be brought on by many conditions or activities, such as: • Exercising, injury, or overuse of muscles. • Pregnancy. Cramps may occur because of decreased amounts of minerals, such as calcium and magnesium, especially in the later months of pregnancy. • Exposure to cold temperatures, especially to cold water. • Other medical conditions, such as blood flow problems (peripheral arterial disease), kidney disease, thyroid disease, and multiple sclerosis. • Standing on a hard surface for a long time, sitting for a long time, or putting your legs in awkward positions while you sleep. • Not having enough potassium, calcium, and other minerals in your blood. • Being dehydrated, which means that your body has lost too much fluid. • Taking certain medicines, such as antipsychotics, birth control pills, diuretics, statins, and steroids. How can you stop a muscle cramp when it happens? You may need to try several different ways to stop a muscle cramp before you find what works best for you. Here are some things you can try: • Stretch and massage the muscle. • Take a warm shower or bath to relax 40 HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 40-41 the muscle. A heating pad placed on the muscle can also help. • Try using an ice or cold pack. Always keep a cloth between your skin and the ice pack. • Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). • If your doctor prescribes medicines for muscle cramps, take them exactly as prescribed. • Drink plenty of fluids. Sports drinks, such as Gatorade, will often help leg cramps. Here are some things you can try for a leg cramp: • Walk around, or jiggle your leg. • Stretch your calf muscles. You can do this stretch while you sit or stand: • While sitting, straighten your leg and flex your foot up toward your knee. It may help to place a rolled towel under the ball of your foot and, while holding the towel at both ends, gently pull the towel toward you while keeping your knee straight. • While standing about 2 ft (0.6 m) from a wall, lean forward against the wall. Keep the knee of the affected leg straight and the heel on the ground. Do this while you bend the knee of the other leg. How can you prevent muscle cramps? These tips may help prevent muscle cramps: • Drink plenty of water and other fluids, enough so that your urine is light yellow or clear like water. • Limit or avoid drinks with alcohol or caffeine. These can make you dehydrated, which means your body has lost too much fluid. • Make sure you are eating healthy foods (especially if you are pregnant) that are rich in calcium, potassium, and magnesium. • Ride a bike or stationary bike to condition and stretch your muscles. • Stretch your muscles every day, especially before and after exercise and at bedtime. • Don't suddenly increase the amount of exercise you get. Increase your exercise a little each week. • Take a daily multivitamin supplement. What if muscle cramps keep coming back? Talk with your doctor if you have muscle cramps that keep coming back or are severe. These may be symptoms of another problem, such as restless legs syndrome. If cramps keep coming back, bother you a lot, or interfere with your sleep, your doctor may prescribe medicine that relaxes your muscles. Robert C. Davies, MD FACS, FAPW-CA Erikaa Mann, PA-C 1301 Sigman Road NE, Suite 130 • Conyers 678-609-4927 • www.rockdalevascular.com 10/14/2013 4:03:44 PM •family health FEATURE AirStrip ONE technology has arrived at Rockdale Medical Center. R ockdale Medical Center recently launched a cutting edge mobile of mobile devices, are cleared by the Both programs work with a variety Cardiology have seen reduced door-toballoon times and shorter patient stays patient monitoring program U.S. Food and Drug Administration and in the ICU. Cardiologists and the entire that allows doctors to keep a closer eye support compliance with federal patient care team can see an ECG in a matter of on labor and delivery patients and gives privacy regulations. To date, AirStrip moments. That helps physicians assess cardiologists immediate access to elec- ONE OB has supported physicians with the patient's condition right away and trocardiograph data, improving patient more than 1.8 million deliveries across make the best care decision possible safety and treatment. the U.S., averaging some 514,000 births when time is of the essence. covered annually. RMC is the first healthcare facility in the metro Atlanta area to acquire the AirStrip ONE technology to help obstetri- offers a crucial layer of protection and and in cardiac care, every minute counts. cians and cardiologists. helps look after the comfort, safety The sooner a physician can assess what's and security of patients, said a hospital wrong, the sooner treatment can begin For obstetricians, the AirStrip ONE The AirStrip ONE OB program The ECG is one of the most common tools used to assess cardiac patients - spokesperson Sarah Teach. "No matter and help prevent as much heart damage OB program delivers live vital patient the demands of the day or a physician's as possible. data - including fetal heart rate, ma- location, they can closely watch their ternal contraction patterns, along with patients in labor and be in a position to vital signs and nursing notes from the react immediately to a change in situ- bed acute care hospital fully accred- hospital labor and delivery unit - to a ation. That will contribute to improved ited by the Joint Commission, which physician's smartphone or tablet. patient care." evaluates hospital patient care for Rockdale Medical Center is a 138- quality, safety and value. RMC is owned OB./GYN physicians, Dr. Meredith Delk and Dr. Benetta Duhart examine the new Airstrip data from a patient in labor. 38 Cardiologists at Rockdale are now At the same time, the cardiac care using AirStrip ONE Cardiology, which team at Rockdale is now able to access can enable faster communication with ECGs via AirStrip ONE Cardiology on emergency medical technicians conduct- their mobile devices. Using the program ing ECG in the field, where time is of the supports faster, expert confirmation, essence, and shorter average times for correction, and influence on the diagno- heart attack patients to get proper care sis and treatment plan for heart attack upon arriving at the hospital. patients. Hospitals using AirStrip ONE by LIfePoint Hospitals, which owns 55 community hospitals nation-wide. Article provided by Rockdale Medical Center HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 38-39 10/15/2013 8:34:05 AM general health FEATURE• •fitness FEATURE It's possible to exercise safely during pregnancy Patients have a new choice in healthcare in the Rockdale-Newton area! P P regnant women have mixed views on staying in shape. Some mothers-to-be view pregnancy as a chance to cast aside concerns about body image and enjoy the freedom to eat a little more and revel in the changes their body undergoes during pregnancy. Other women want to remain physically fit and return to their pre-baby weight as soon as possible. Regardless of the camp you fall into, it's important to know that exercising during pregnancy is a safe option for many women, provided it is endorsed by a doctor. As long as women keep the health of their babies in mind and consult their physicians, staying fit throughout a pregnancy is a very real possibility. According to the BabyCenter Medical Advisory Board and the Institute of Medicine, depending on starting weight, women can expect an average weight gain of 15 to 40 pounds during pregnancy. Women who will be having multiples will likely gain more weight than those who are not. Exercise and healthy eating can keep both mom and baby healthy. The Mayo Clinic advises that pregnancy can be a great time to get active. Although it can be tempting to sit back and relax for nine months, it actually may be better for all involved to remain physically active rather than sedentary. Exercise can ease back pain and other aches, and it can prevent excess weight gain that may contribute to an overly large baby, which can make labor and delivery more difficult. Exercise during pregnancy can reduce the risk of gestational diabetes, pregnancy-related high blood pressure, and even postpartum depression. Additionally, physical activity during pregnancy can help with stamina and muscle strength, which will be essential during the delivery process. Article provided by Metro Creative Services atients have a new choice in healthcare in the Rockdale-Newton area! Beginning September 24, 2013, Dr. Michael Manning opens a practice designed for “better health outcomes, created by proven innovative doctor/ patient partnerships”, affiliating with the leader in personalized preventive healthcare - MDVIP. MDVIP is a new approach to primary care that helps you stay healthy versus only treating you when you become sick. It allows for the development of a unique relationship between you and Dr. Manning - one that ensures your overall well-being – partnering you with one of the finest doctors in your area for close and highly personalized care. Membership in MDVIP includes a thorough and extensive wellness visit and exam. It includes evaluations not currently covered by traditional health plans. These evaluations include labs that are cutting edge and allow your doctor to uncover risks not found by using the standard lab panels. Your results are reported to you by Dr. Manning during your wellness visit and presented in your personal healthcare record on a secure website. The website is very interactive and has unique benefits for each member of the practice, including personalized wellness tips, the ability to download healthy recipes and meal plans and take advantage of a personal exercise routine prescribed just for you. Patients who are part of an MDVIP affiliated practice discover that their physicians help with more than curing a sore throat or reporting a lab result. They work with each patient on making healthy lifestyle choices, expanding care into multi-disciplinary approaches for individualized care that truly works. While the cornerstone of the program is prevention, patients with chronic diseases also have benefits. Appointments for chronic care follow up, like that for diabetes and heart disease, last longer and include patient education and patient engagement to foster better outcomes. Urgent appointments are made the same day and last longer than the usual 15 minute appointments. Because the doctor sees fewer patients, wait time is reduced to almost nothing. No more waiting for 30 minutes in the waiting room! Doctors also have time to coordinate care with specialists, so members can feel secure knowing their health is in good hands. MDVIP members have reduction in hospitalizations, saving time, money and stress. They have faster and more direct communications with their physician. MDVIP does not replace insurance, but works alongside with it, being the consistency needed in today’s healthcare environment. As many can attest, Dr. Manning has always striven to be the kind of doctor his patients need. Now he can provide the care they deserve! You can learn more about MDVIP and Dr. Manning on his website: www.mdvip.com/MichaelManningMD. There’s a new kind of practice in town! Dr. Michael Manning of Bridgewater Family Practice has affiliated with MDVIP, the leader in highly personalized healthcare. 1403 Manchester Drive NE Conyers, GA 30012 Visit www.mdvip.com/MichaelManningMD for more information. HIR Fall 2013.indd 36-37 10/14/2013 4:03:09 PM food FEATUREâ€˘ TIPS FOR quick weeknight meals Article provided by Metro Creative Services ď‚Ą E njoying a meal together on a weeknight is a goal for many families. But adults often find themselves pressed for time on weeknights, and that time crunch can make it difficult to enjoy a homecooked meal. But time is not the only thing getting in the way of family meals. Be it after school activities, long commutes or late hours at the office, many things can make it difficult for a family to sit down and enjoy a meal together. The National Center on Addiction and Substance Abuse notes that family dinners are one of the most effective ways for parents to engage in the lives of their children. Studies have also shown that families who eat together tend to eat healthier, as parents can more effectively monitor their kids' diets, including whether or not their youngsters are getting enough fruits and vegetables, when they are dining together. While it may not be feasible for parents and kids to scale back their busy schedules, there are steps parents can take to make weeknight meal preparation quicker. By shortening the time it takes to make meals on weeknights, families might be able to sit down to dinner together more often. Plan ahead. The most effective way to make more time for family meals is to plan ahead. Planning meals on the fly encourages everyone to fend for themselves, making it difficult for families to enjoy nutritious meals they can eat together. Plan for the coming week's meals on the weekend, when you can survey your pantry and make a trip to the grocery store if need be. Planning ahead also allows you to prepare certain parts of a meal in advance, which will save you time on busy weeknights. without much time on their hands on a weeknight can turn breakfast into dinner. Eggs are both quick and easy to prepare, and they can be served alongside toast and grapefruit. When making omelets for dinner, add some spinach or another vegetable to make the meal more nutritious. Lean on seafood more often. Seafood can be healthy and delicious, but that's not the only reason it's an ally to time-strapped families. Seafood should not take much time to cook, as even those dishes that take more time than simpler dishes like sauteed shrimp will still take less than 30 minutes to complete. That's significantly less time than meals in which beef, pork or poultry is the main entree. Leftovers aren't just for lunch. Leftovers are often relegated to lunch, but extras from a meal cooked over the weekend can be used as a quick go-to meal on a hectic weeknight. If the family enjoyed the meal the first time around, there's no reason they won't enjoy it again. When eating leftovers for dinner, make sure the leftovers are fresh, but try to avoid serving leftovers the night after they were initially cooked. Enjoy meals as a family is a great way for families to eat healthy and stay engaged in one another's lives. And even families with hectic schedules can employ a few tricks to make dining together more convenient. ď‚Ą Make cold meals. Dinner does not have be served hot, and cold meals often take less time to prepare. Consider serving salad or sandwiches on those nights when you are especially pressed for time. When serving sandwiches, serve them on whole grain bread to add some nutritional value to the meal. Cold dinners, including salads, are an option for timestrapped families who still want to enjoy meals together on weeknights. Turn breakfast into dinner. There are no laws regarding what qualifies as dinner and what does not, so families FALL 2013 | HEALTHY IN ROCKDALE HIR Fall 2013.indd 34-35 35 10/14/2013 4:02:56 PM Internal Medicine Associates of Rockdale would like to welcome Dr. Trinidad Osselyn to our practice. I nternal Medicine Associates of Rockdale, P.C. is a medical Key Facts practice for the care of general medical needs of adults. Our practice has been part of the Rockdale County medical community since 1981. All of our physicians are board certified and our professional staff represents over 200 years of medical practice experience. Dr. Sabrina Wyllie-Adams and Dr Trinidad Osselyn are now accepting new patients! Call today for your appointment. general health FEATURE• 1301 Wellbrook Circle ~ Conyers 2800 Hwy. 138 SW, Suite A ~ Conyers 770-922-3023 imardoctors.com About Seasonal Flu Vaccine T he cold weather brings with it a season of smiles, festivals and unfortunately, cold and flu outbreaks. Millions across North America succumb to the cold virus every year. Considering there is no cure for cold and flu viruses, prevention remains a person's best option at fending off cold and flu. Besides common sense precautions such as washing your hands and covering your mouth with your elbow or a tissue when you sneeze or cough, vaccines are one of the best ways to protect yourself from getting sick or at least help reduce the frequency and severity with which cold and flu strikes. Why should people get vaccinated against the flu? Influenza is a serious disease that can lead to hospitalization and sometimes even death. Every flu season is different, and influenza infection can affect people differently. Even healthy people can get very sick from the flu and spread it to others. Over a period of 31 seasons between 1976 and 2007, estimates of flu-associated deaths in the United States range from a low of about 3,000 to a high of about 49,000 people. During a regular flu season, about 90 percent of deaths occur in people 65 years and older. The “seasonal flu season” in the United States can begin as early as October and last as late as May. During this time, flu viruses are circulating in the population. An annual seasonal flu vaccine (either the flu shot or the nasal-spray flu vaccine) is the best way to reduce the chances that you will get seasonal flu and spread it to others. When more people get vaccinated against the flu, less flu can spread through that community. How do flu vaccines work? Flu vaccines cause antibodies to develop in the body about two weeks after vaccination. These antibodies provide protection against infection with the viruses that are in the vaccine. The seasonal flu vaccine protects against the influenza viruses that research indicates will be most common during the upcoming season. Traditional flu vaccines (called trivalent vaccines) are made to protect against three flu viruses; an influenza A (H1N1) virus, an influenza A (H3N2) virus, and an influenza B virus. In addition, this season, there are flu vaccines made to protect against four flu viruses (called “quadrivalent” vaccines). These vaccines protect against the same viruses as the trivalent vaccine as well as an additional B virus. Seated : Dr. David Almand, Dr. James deGive, Dr. John Hyland, Dr. John Entrekin Standing: Jason Anderson, PA, Dr. Mary H. Stephens, Dr. Elizabeth deGive, Dr. Trinidad Osselyn, Dr. Grace Loy, Dr. Virginia Hyland, Dr. Debora Goodrich, Dr. Sabrina Wyllie-Adams HIR Fall 2013.indd 32-33 Article provided by Centers for Disease Control Who should get vaccinated this season? Everyone who is at least 6 months of age should get a flu vaccine this season. This recommendation has been in place since February 24, 2010 when CDC’s Advisory Committee on Immunization Practices (ACIP) voted for “universal” flu vaccination in the United States to expand protection against the flu to more people. While everyone should get a flu vaccine this season, it’s especially important for some people to get vaccinated. Those people include the following: • People who are at high risk of developing serious complications (like pneumonia) if they get sick with the flu. • People who have certain medical conditions including asthma, diabetes, and chronic lung disease. • Pregnant women. • People younger than 5 years (and especially those younger than 2), and people 65 years and older. • A complete list is available at People Who Are at High Risk of Developing Flu-Related Complications. • People who live with or care for others who are at high risk of developing serious complications (see list above). • Household contacts and caregivers of people with certain medical conditions including asthma, diabetes, and chronic lung disease. • Household contacts and caregivers of infants less than 6 months old. • Health care personnel. More information is available at www.cdc.gov FALL 2013 | HEALTHY IN ROCKDALE 33 10/14/2013 4:02:41 PM R •general health FEATURE Doctor's Visits: emember that old sa ying about an ounce of preventio n being worth a pound of cure? It more than applies to the regula r doctor's visit. Family Practice of Conyers Why Checkups are Vital W hen you were little, your parents probably made sure you had an annual checkup with your doctor. But as you've grown older, you may have gotten out of this habit. Health professionals stress that these regular exams are important to help identify risk factors and problems before they become serious. If diseases are caught early, treatments are usually much more effective. Ultimately, having a regular doctor's visit will help you live a long and healthy life. Doctor’s Visit: The Prevention Checkup Depending on your age, sex, and family medical history, a checkup with your doctor may include: • Blood, urine, vision, and hearing tests to evaluate your overall health • Assessments of your blood pressure, cholesterol level, and weight • A discussion about your diet and exercise habits and any tobacco, drug, and alcohol use • Immunizations and booster shots • Screenings to assess your risk of developing certain diseases, including diabetes (if you already have high blood pressure or high cholesterol) and cancer • Depending on your age and sexual lifestyle, testing for STDs and possibly HIV • Starting at age 50, or younger if you have a family history, a screening test for colorectal cancer • A discussion about depression and stress to evaluate your mental health Doctor’s Visit: Concerns for Men For men, in addition to checking weight, high blood pressure, and other basics, your doctor's visit may specifically include: • Starting at age 50, or younger if you have a family history, a rectal exam to check for abnormal bumps in the prostate and a prostate specific antigen (PSA) blood test to screen for prostate cancer • Between the ages of 65 and 75 if you have ever smoked cigarettes, an abdominal exam to check for an enlargement in your aorta; an abdominal aortic aneurysm, a weakness in the lining of the aorta (a large blood vessel in your chest and abdomen), can develop with age and become a life-threatening problem. Doctor’s Visit: Concerns for Women For women, in addition to checking weight, high blood pressure, and other basics, your doctor's visit may specifically include: • A test for cervical cancer, called a Pap smear, every one to three years • A clinical breast exam to check for any unusual lumps or bumps in your breasts • Starting at age 40 (or younger if you have a strong family history for breast cancer), a breast cancer 44 HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 44-45 screening with a mammogram every one to two years • Starting at age 65, a referral for a bone density test to screen for osteoporosis, the disease that causes brittle, fragile bones and typically affects older women; women with more than one risk factor for osteoporosis may start earlier Doctor’s Visit: Preparation It's important for you to play an active role to get the most out of your doctor's visit. Before your exam, review and update your family health history, be prepared to ask if you're due for any general screenings or vaccinations, and come up with a list of questions if you have particular health concerns. During your actual doctor's visit, don't be shy about getting your questions answered. Also, if your doctor gives you advice about specific health issues, don't hesitate to take notes. Time is often limited during these exams, but by coming prepared you’re sure to get the most out of your checkup. Article provided by everydayhealth.com Dr. Alvin V. Griffin Dr. Griffin has been practicing in the area for the past 15 years. He functions primarily as a family practitioner. Prior to opening his practice, Dr. Griffin acquired extensive post-graduate training by completing two fellowships: faculty development and geriatrics. He has a great working partnership with Rockdale Medical Center. This partnership will allow the practice to provide expanded services for its patients. • Disease Prevention • Pediatrics • Geriatrics • Obstetrics-GYN • Sports Medicine • Diabetes • High Blood Pressure • Allergies 1039 E. Freeway Drive, Conyers, GA 770-922-0076 10/15/2013 9:38:06 AM general health FEATURE• Simple Precautions Can Keep You on the Trails This Fall E ven the most avid outdoorsmen don’t realize just how much stress and strain they put on their feet and ankles during autumn hikes. Those long, vigorous walks on uneven terrain may be fun, but without proper care, they could lead to damage to their feet and ankles. Poor choice in footwear and lack of conditioning can lead to foot and ankle injuries that will keep you from participating in the sports you love. Follow these precautions and you can enjoy all the season has to offer. • Pediatric Foot Conditions • Pulse Dye Laser Surgery • Nerve Pain (Neuromas) • Fractures & Injuries • Diabetic Foot Care • Joint Replacement • Infected Toenails • Hammertoes • Arthroscopy • Endoscopy • Ankle Pain Wear the Right Shoes and Socks You don’t wear hiking boots to play basketball, so practice the same common sense in return. Hikers should wear top-quality, well insulated, moisture-proof hiking boots with steel or graphite shanks. These boots offer ankle support and reduce muscle and tendon fatigue and injury risk. Proper socks can also mean the difference between comfortable walks and those resulting in blisters, fungal infections and even frostbite. To prevent these problems, always wear two layers of socks: • Layer 1 – Synthetic socks to keep your feet dry and reduce blister-causing friction. • Layer 2 – Wool socks to add warmth, absorb moisture away from your skin and make the hiking boot more comfortable. Start Slow “No pain, no gain” does not apply to your feet and ankles, so play it smart and ease into your outdoor adventures. Start with less difficult terrain or shorter walks. Poor physical conditioning is the leading cause of injuries, so stretching exercises and building up of foot and ankle muscles can prevent these problems. • Heel Pain • Arthritis • Bunions • Warts • MLS Laser Therapy Don’t do more than your body can take—an injury on your first time out could mean your last time out for the season! Associated Foot & Ankle Specialist, P.C. 1567 Milstead Rd., Suite A, Conyers 770-483-2291 Listen to Your Body Pain is the body’s way of telling you there is something wrong. If your feet or ankles start to hurt, take a break. Pushing yourself to “hike on” through even minor pain can lead to more serious injuries. If you injure your feet or ankles when out on a hike, contact a foot and ankle surgeon right away. Early treatment can get you back on the trails in no time. www.associatedfootandankle.com Most Insurance Accepted Same Day or Next Day Appointments HIR Fall 2013.indd 28-29 Article provided by foothealthfacts.org FALL 2013 | HEALTHY IN ROCKDALE 29 10/15/2013 8:33:26 AM •kidneys FEATURE •general health FEATURE OPTIONS for ACID REFLUX A cid reflux is the backflow of stomach acid into your esophagus -- the tube that carries food from your mouth to your stomach. Symptoms include heartburn, throat pain, a sour taste in the back of your mouth and cough. Options for treating acid reflux include lifestyle changes, medications and surgery. Lifestyle Changes Changing your habits may decrease the frequency and severity of your symptoms if you suffer from acid reflux. Eat small meals and limit your intake of acidic foods, such as citrus fruits and tomatoes. Avoid caffeine, alcohol, chocolate, peppermint and onions. Dietary fat slows stomach emptying and aggravates reflux, so try decreasing the amount of fat in your diet. Avoid eating for 3 or 4 hours before going to bed. If you smoke, quit. Obesity contributes to acid reflux, so your health care provider may advise you to lose weight. Lifestyle changes are part of any treatment plan, even if you need medications or surgery to control your acid reflux. Medications Antacids, histamine blockers and proton pump inhibitors are the most commonly used medications for treating acid reflux. All of these are available over the counter. Cimetidine (Tagamet) and ranitidine (Zantac) are examples of histamine blockers. Omeprazole (Prilosec) and lansoprazole (Prevacid) are proton pump inhibitors. If your reflux symptoms persist or recur despite using over-the-counter medicines, seek medical attention. Your doctor may continue medical therapy -- possibly with stronger medications or a combination of medicines -- or you may be referred to a specialist. Surgery Acid reflux that damages the esophagus or causes persistent troublesome symptoms is known as gastroesophageal reflux disease, or GERD. In cases of chronic GERD that does not improve with medical therapy, surgery may be recommended. Laparoscopic fundoplication is the most frequently used surgery for treating GERD. This procedure involves tightening and strengthening the junction between your esophagus and stomach. Your health care provider can help you decide if antireflux surgery is a good option for you. Article provided by livestrong.com 5 Grocery Items that Could Be Wrecking Your Kidneys The salt shaker. Believe it or not, Americans today consume 50% more than the recommended daily quantity of sodium. Diets high in sodium increase blood pressure levels and high blood pressure damages the kidneys over time. It's 2,300 mg of sodium that amounts to about one teaspoon of salt per day that should be the limit. The red meat. High protein diets, especially those containing large quantities of animal protein, may harm the kidneys. Red meat is also high in saturated fat—another no-no. The soda. Sugar-sweetened beverages, such as sodas are high calorie and contain no nutritious value. Consumption of these beverages has recently been linked to the presence of protein in the urine, one of the earliest signs of kidney disease. Colas also have phosphorus additives which can harm the kidneys. The processed food. Crackers, potato chips, deli meats, cheese spreads, instant potato mix are all examples of processed foods that are high in sodium and phosphorus additives – both which can have negative effects on the kidneys. Sugar. An overdose of sugar can lead to health problems such as diabetes and obesity. These are risk factors for kidney disease so eliminating or reducing sugar intake can reduce your risk as well. For more information on kidneys and kidney disease risk factors, visit kidney.org. Eastside Premier Nephrology & Hypertension, PC Welcomes Dr. Yilikal Kassa to Our Growing Practice Specializing in Digestive Diseases and Nutrition: ✥ Colorectal Cancer Screening and Prevention ✥ Liver Disease ✥ Esophageal and Swallowing Disorders ✥ Chronic Constipation ✥ Gastro-Esophageal Reflux Disease (GERD) ✥ IV Infusion Therapy ✥ Pancreatic and Biliary Disorders ✥ Inflammatory Bowel Disease ✥ Irritable Bowel Syndrome Board Certified Physicians Fred A. Levin, MD, FACP, FACG ✥ A. Steven McIntosh, MD, FACG David N. Socoloff, DO ✥ Karen L. Weiss-Schorr, MD 1269 Wellbrook Circle Conyers, GA 30012 1000 Cowles Clinic Way Cypress Bldg. Suite C-300 Greensboro, GA 30642 7229 Wheat Street Covington, GA 30014 770-922-0505 - EastatlantaGastro.com HIR Fall 2013.indd 26-27 We specialize in the diagnosis and treatment of high blood pressure, kidney disease, hemodialysis and peritoneal dialysis, as well as the preparation for and treatment of patients with kidney transplants. We believe in using a team approach involving the patient and the patient’s primary care physician to develop an effective treatment plan that fits each patient’s individual diagnosis and lifestyle. With a special emphasis on preventive medicine, we’re helping many people prevent or delay kidney failure and live healthier, more satisfying lives. We treat disease caused by diabetes, hypertension and other medical conditions. Eastside Premier Nephrology & Hypertension, PC 1612 Milstead Road, Suite A, Conyers, GA 30012 4179 Baker Street, Covington, GA 30014 2701 Evans Mills Road, Lithonia, GA 30058 678-413-3261 Visit our website for more information on our doctors, services, insurance providers & directions. www.kidneyﬁrst.com Dr. Yilikal Kassa Dr. Ekundayo Falase Dr. Sitharam Nandigam 10/14/2013 4:02:02 PM "We treat every patient like a member of our family." Rockdale Medical Center offers an extensive range of services supported by board-certified physicians, highly specialized healthcare professionals and leading-edge technology: • Cardiovascular Services & Cardiac Rehabilitation • Diabetes Education • Diagnostic Imaging • Emergency Department • Home Health • Hyperbaric & Wound Healing Center • Minimally Invasive da Vinci Robotic Surgery • Neurology • Orthopedics • Outpatient Imaging (East Tower): 64-slice CT Scanner with Cardiac Calcium Scoring capabilities • MRI – with wider opening and dedicated table to detect breast cancer • Digital mammography • Latest technology for stereotactic-guided breast biopsies • Outpatient Laboratory • Rehabilitation Services: Physical therapy • Occupational therapy • Speech therapy • Massage therapy • Sleep Diagnostic Center • Surgical Services • Women’s Health: The Birth Place & NICU • Women’s Diagnostics • OB/GYN Rockdale Medical Center is a vital part of our community, caring for families from birth through every stage of life. Our physicians, nurses and staff members strive to provide quality patient care in all they do. Because you and your family deserve the very best. 1412 Milstead Avenue | Conyers, Georgia 30012 800-424-DOCS (3627) | www.rockdalemedicalcenter.org HIR Fall 2013.indd 24-25 10/14/2013 4:01:43 PM •general health FEATURE F ew experiences match the drama of a convulsive seizure. A person having a severe seizure may cry out, fall to the floor unconscious, twitch or move uncontrollably, drool, or even lose bladder control. Within minutes, the attack is over, and the person regains consciousness but is exhausted and dazed. This is the image most people have when they hear the word epilepsy. However, this type of seizure -- a generalized tonic-clonic seizure -- is only one kind of epilepsy. There are many other kinds, each with a different set of symptoms. Epilepsy was one of the first brain disorders to be described. It was mentioned in ancient Babylon more than 3,000 years ago. The strange behavior caused by some seizures has contributed through the ages to many superstitions and prejudices. The word epilepsy is derived from the Greek word for "attack." People once thought that those with epilepsy were being visited by demons or gods. However, in 400 B.C., the early physician Hippocrates suggested that epilepsy was a disorder of the brain -- and we now know that he was right. 22 HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 22-23 WHAT IS Epilepsy? E pilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally. Neurons normally generate electrochemical impulses that act on other neurons, glands, and muscles to produce human thoughts, feelings, and actions. In epilepsy, the normal pattern of neuronal activity becomes disturbed, causing strange sensations, emotions, and behavior, or sometimes convulsions, muscle spasms, and loss of consciousness. During a seizure, neurons may fire as many as 500 times a second, much faster than normal. In some people, this happens only occasionally; for others, it may happen up to hundreds of times a day. More than 2 million people in the United States -- about 1 in 100 -- have experienced an unprovoked seizure or been diagnosed with epilepsy. For about 80 percent of those diagnosed with epilepsy, seizures can be controlled with modern medicines and surgical techniques. However, about 25 to 30 percent of people with epilepsy will continue to experience seizures even with the best available treatment. Doctors call this situation intractable epilepsy. Having a seizure does not necessarily mean that a person has epilepsy. Only when a person has had two or more seizures is he or she considered to have epilepsy. Epilepsy is not contagious and is not caused by mental illness or mental retardation. Some people with mental retardation may experience seizures, but seizures do not necessarily mean the person has or will develop mental impairment. Many people with epilepsy have normal or above-average intelligence. Famous people who are known or rumored to have had epilepsy include the Russian writer Dostoyevsky, the philosopher Socrates, the military general Napoleon, and the inventor of dynamite, Alfred Nobel, who established the Nobel Prize. Several Olympic medalists and other athletes also have had epilepsy. Seizures sometimes do cause brain damage, particularly if they are severe. However, most seizures do not seem to have a detrimental effect on the brain. Any changes that do occur are usually subtle, and it is often unclear whether these changes are caused by the seizures themselves or by the underlying problem that caused the seizures. While epilepsy cannot currently be cured, for some people it does eventually go away. One study found that children with idiopathic epilepsy, or epilepsy with an unknown cause, had a 68 to 92 percent chance of becoming seizure-free by 20 years after their diagnosis. The odds of becoming seizure-free are not as good for adults or for children with severe epilepsy syndromes, but it is nonetheless possible that seizures may decrease or even stop over time. This is more likely if the epilepsy has been well-controlled by medication or if the person has had epilepsy surgery. Bryan Riggeal, MD Board Certified Fellowship Trained in Neuro-Ophthalmology Candice Riggeal, DO Board Certified Fellowship Trained in Epilepsy Do you suffer from Seizures, been diagnosed with Epilepsy? Please call our office to schedule your new patient appointment with Dr. Candice Riggeal. Dr. Riggeal is fellowship trained in Epilepsy from Emory University. In addition to their sub-specialties Drs. Bryan and Candice Riggeal practice General Neurology If you suffer from the following: Migraines/Headaches ~ Memory Loss/Dementia Numbness, Weakness, or Neuropathy, ~ Balance and Gait Disorders ~ Multiple Sclerosis ~ Parkinson’s Disease ~ Epilepsy/Seizures Spasticity from Stroke ~ Hemifacial Spasm ~ Blepharospasm ~ Double Vision Botox injections, EMG’s and NCS done in office. Call 770.278.0154 to schedule an appointment Conveniently located in the Conyers Medical Park 1301 Sigman Rd. NE Suite 225 • Conyers, Georgia 30012 www.rockdaleneurology.com Article provided by medicinenet.com Hours: Monday - Friday 8am-5pm • All major insurance accepted. 10/14/2013 4:01:32 PM Sophisticated and innovative healthcare for women women's health FEATURE• Routine Checkup Schedule for Women Women are advised to get routine examinations, including pap tests and mammograms. www.advgynassoc.com Erin Mayfield, DO Holly Imlach, MD Gynecology & Gynecologic Surgery Gynecology 5154 Cook St. NE Covington, GA 30014 Phone: 770.788.1778 1380 Milstead Ave. NE Suite E Conyers, GA 30012 Phone: 678.609.4913 At Advanced Gynecology Associates we seek to provide the highest level of patient care through our highly skilled health care professionals using state of the art technologies. We are devoted to addressing the individual needs and demands of patients in a warm and caring environment. Our Services Include: ➢ General gynecologic care Includes pelvic ultrasound in office ➢ Urogynecology Urodynamics in office Urinary and fecal incontinence evaluation and treatment ➢ Pelvic Reconstructive Surgery for Pelvic Organ Prolapse da Vinci® Sacrocolpopexy ➢ Infertility evaluation, testing and treatment ➢ GYN surgery of all types ➢ Minimally invasive surgery Advanced laparoscopic & hysteroscopic surgery da Vinci® Hysterectomy da Vinci® Myomectomy Single Incision Surgery ➢ Contraception counseling and procedures Essure (in office tubal ligation) Implanon (progesterone implant) Mirena IUD ➢ Treatment for Abnormal Uterine Bleeding Uterine endometrial ablation (in office or outpatient surgery) See our website for detailed information about the above services: www.advgynassoc.com HIR Fall 2013.indd 20-21 W hile there are many health screenings relevant to both men and women, there are also tests specific to each gender. Two of the more important routine screenings women should be aware of are regular mammograms and pap tests, which can both diagnose risk factors for certain types of cancer. Mammogram A mammogram consists of X-ray pictures of the breasts and is used to detect irregularities in breast tissue that may reveal the presence of cancerous tumors. Screenings also might detect microcalcifications that can sometimes indicate breast cancer as well. The Centers for Disease Control and Prevention says that 40,678 breast cancer deaths occurred in 2009 and that 26 out of every 100,000 females will die from breast cancer. Most organizations, including the National Cancer Institute, recommend that women age 40 and over have a mammogram done every one to two years to help catch cancer early, which improves a woman's chance of survival. However, not every woman is routinely getting screened. In the United States, roughly 68 percent of women have gotten mammograms within the last two years, according to the CDC. Although mammograms require small doses of radiation, which can cause cancer, to take the images, the benefits nearly always outweigh the risks. It is recommended that women age 35 to 39 get a baseline mammogram so they have an image of the healthy breast to which future mammograms can be compared. Pap Tests A pap test, also known as a pap smear, is a diagnostic tool that checks for cellular changes in the cervix. The cervix serves as a barrier point between the vagina and the uterus. The pap test is usually done in a gynecologist's office, although family practitioners also may administer it in their own Schedule you appointm r ent with you r physician today! offices. The doctor will insert a speculum into the vagina to widen the passageway so he or she can see the cervix. He or she then will take a sample of cells from inside and outside the cervix and send them to a laboratory for testing. It is recommended that a woman refrain from sexual activity prior to her pap test. It's also best if a woman does not use any lubricants, cleansers or medications that are used intravaginally before the test. Also, she should not use tampons. In fact, those who have their menstrual period will want to reschedule the pap because it can be difficult for a doctor to get a good collection of cells for testing. The frequency of pap tests will be determined by the woman's age, results of prior pap tests, medical history, and history of the human papilloma virus, or HPV. Many women get annual pap tests starting at age 21 or when they first become sexually active. Those who have had normal results for at least three years in a row may opt to get tested every two or three years. Women who are age 65 or older may be able to cease pap tests, but annual pelvic exams are still advised. For those who have had a hysterectomym which involves the removal of the uterus, pap tests are still necessary. However, after a total hysterectomy (removal of the uterus and cervix), pap tests may stop. Pap tests are not always 100 percent accurate, however. False positive and false negative results can happen. The doctor may require a different type of test if a pap test comes back with a positive result. To remain healthy, women are advised to keep up with routine physicals and tests that can help diagnose cervical and breast cancer in their early stages. If lack of medical insurance is preventing a woman from being tested, she can contact the National Breast and Cervical Cancer Early Detection Program to find programs that offer free or low-cost pap tests to women in need. Offering a full range of gynecology, surgical and preventative health care services for women of all ages. Article provided by Metro Creative Services FALL 2013 | HEALTHY IN ROCKDALE 21 10/14/2013 4:01:15 PM •general health FEATURE Y Why Blood Pressure MATTERS es, uncontrolled high blood pressure can injure or kill you. It's sometimes called "the silent killer" because HBP has no symptoms, so you may not be aware that it's damaging your arteries, heart and other organs. Possible health consequences that can happen over time when high blood pressure is left untreated include: • Damage to the heart and coronary arteries, including heart attack, heart disease, congestive heart failure, aortic dissection and atherosclerosis (fatty buildups in the arteries that cause them to harden) • Stroke • Kidney damage • Vision loss • Erectile dysfunction • Memory loss • Fluid in the lungs • Angina • Peripheral artery disease But remember, these are not symptoms of HBP. High blood pressure is a symptomless disease except in its most extreme cases known as hypertensive crisis. When BP readings rise to 180 or above for the systolic — top — number OR 110 or above for the diastolic — bottom — number, call for emergency medical treatment immediately. Individuals whose blood pressure is higher than 140/90 mm Hg (140 systolic or above OR 90 diastolic or above) often become patients treated for serious cardiovascular problems. Where courtesy, respect and your well being is our goal. Corner Market 1775 Parker Road, Suite C240 Conyers, GA 30094 77% 69% 74% 18 678-609-6282 of Americans treated for a first stroke have blood pressure over 140/90. Sheryl L. Canady, Board Certified Sheryl Canady, MD Did you know? Sports Physicals.Wellness Exams. Same Day Appointments Welcome. Board Certiﬁed of Americans who have a first heart attack have blood pressure over 140/90. of Americans with congestive heart failure have blood pressure over 140/90. HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 18-19 High Blood Pressure • Diabetes • Sore Throats MD • Asthma • Bronchitis • Ear Aches Your risk increases even more if you have high blood pressure along with other risk factors: Age Heredity (including race) Gender (male) Overweight or obesity Smoking High cholesterol Diabetes Physical inactivity Article provided by American Heart Association 1775 Parker Road, Suite C-240 Conyers, GA ~ 678-609-6282 www.essential-family-care.com 10/14/2013 4:00:45 PM 1412 Milstead Avenue | Conyers, Georgia 30012 We are pleased to welcome Dr. Benjamin Fernando to the Rockdale Medical Center family. Dr. Fernando joined Georgia Primary and Urgent Care in August. He is a 2008 graduate of St. George’s University School of Medicine and completed his residency at the University of Mississippi Medical Center in Jackson, MS. Residency and Training Family Medicine Residency Program University of Mississippi Medical Center Jackson, Mississippi We are pleased to welcome Dr. Anne Grant to the Rockdale Medical Center family. Dr. Grant joined Premier Internal Medicine in September. Dr. Grant has over 18 years of experience in the medical field. She first obtained her nursing degree in 1993. She then attended the Medical College of Georgia and received her Physician Assistant Bachelor of Science degree. She is a 2010 graduate of the International University of Health Science and completed her residency at Memorial Health Systems in Savannah, GA. Residency and Training Internal Medicine residency at Memorial Health Systems in Savannah, GA Medical Degree St. George’s University School of Medicine Grenada, West Indies Practice Information Premier Internal Medicine 5154 Cook Street, NE Covington, GA 30014 Phone: 770-788-1778 Dr. Anne Grant Dr. Benjamin Fernando We are pleased to welcome Dr. Trinidad Osselyn to the Rockdale Medical Center family. Dr. Osselyn joined Internal Medicine Associates of Rockdale, P.C. in August. She is a 2010 graduate of University of North Carolina-Chapel Hill School of Medicine and completed her residency at Palmetto Health Family Medicine Residency in Columbia, South Carolina. Residency and Training Internal Medicine Residency at Kingsbrook Jewish Medical Center, New York; Nephrology Fellowship at Newark Beth Israel Medical Center, New Jersey Residency and Training Palmetto Health Family Medicine Residency University of South Carolina Department of Family and Preventative Medicine Columbia, South Carolina Medical Degree University of North Carolina Chapel Hill School of Medicine Professional Memberships American Board of Internal Medicine Professional Memberships American College of Physicians Practice Information Georgia Primary and Urgent Care 1301 Sigman Road, NE #230 Conyers, GA 30012 Phone: 678-609-4912 www.conyersurgentcare.com We are pleased to welcome Dr. Yilikal Kassa to the Rockdale Medical Center family. Dr. Kassa joined Eastside Premier Nephrology and Hypertension in September. Dr. Kassa is a graduate of Gondar College of Medical Science and completed his residency at Kingsbrook Jewish Medical Center in New York and his fellowship at Newark Beth Israel Medical Center in New Jersey. Medical Degree Gondar College of Medical Science Medical Degree International University of Health Science Medical College of Georgia Professional Memberships American Medical Association American Academy of Family Physicians 800-424-DOCS (3627) | www.rockdalemedicalcenter.org Practice Information Eastside Premier Nephrology and Hypertension 1612 Milstead Road, Suite A Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 www.kidneyfirst.com Office Hours: M-F 8-5 Dr. Kassa also speaks Spanish, Telugu and Amharic Chapel Hill, North Carolina Professional Memberships American Academy of Family Physician South Carolina Medical Association Practice Information Dr. Yilikal Kass Internal Medicine Associates of Rockdale, PC 1301 Wellbrook Circle, NE Conyers, GA 30012 Phone: 770-922-3023 www.imardoctors.com Dr. Trinidad Osselyn We are pleased to welcome Dr. Donny Delp to the Rockdale Medical Center family. Dr. Delp joined Bridgewater Family Practice in August. He is a 2009 graduate of Nova Southeastern University of Osteopathic Medicine and completed his residency at the University of South Alabama Medical Center in Mobile, Alabama. We are pleased to welcome Dr. Meredith Delp to the Rockdale Medical Center family. Dr. Delp joined Greystone OB/GYN in August. She is a 2009 graduate of Nova Southeastern University of Osteopathic Medicine and completed her residency at Children’s and Women’s Hospital in Mobile, Alabama. We are pleased to welcome Dr. Kathleen Lambert to the Rockdale Medical Center family. Dr. Lambert joined Georgia Cancer Specialist in July. She is a graduate of the Medical College of Virginia and completed her residency and fellowship at Duke University Medical Center in Durham, North Carolina We are pleased to welcome Dr. Candice Riggeal to the Rockdale Medical Center family. Dr. Riggeal joined Rockdale Neurology Associates in August. She is a 2008 graduate of Lake Erie College of Osteopathic Medicine and completed her residency and fellowship at Emory University in Atlanta, Georgia Residency and Training Family Medicine Residency Program University of South Alabama Medical Center University of South Alabama Mobile, Alabama Residency and Training Children’s and Women’s Hospital University of South Alabama Mobile, Alabama Residency and Training Residency and Fellowship Duke University Medical Center Durham, North Carolina Residency and Training Residency and Fellowship Emory University, Department of Neurology Atlanta, Georgia Medical Degree Nova Southeastern University College of Osteopathic Medicine Davie, Florida Medical Degree Nova Southeastern University College of Osteopathic Medicine Davie, Florida Medical Degree Medical College of Virginia Richmond, Virginia Medical Degree Lake Erie College of Osteopathic Medicine Bradenton, Florida Professional Memberships American Academy of Family Physicians American Medical Society for Sports Medicine Nation Lipid Association Professional Memberships American Congress of Obstetricians and Gynecologists Kappa Delta Sorority Alumni Membership Practice Information Bridgewater Family Practice 2215 Exchange Place, SE Conyers, GA 30013 Phone: 770-922-3522 www.mybfp.com Practice Information Greystone OB/GYN 3240 Avalon Boulevard Conyers, GA 30013 Phone: 770-860-1133 www.greystoneobgyn.com HIR Fall 2013.indd 16-17 Dr. Donny Delp Professional Memberships American Society of Hematology American Society of Clinical Oncology Professional Memberships American Academy of Neurology Practice Information Rockdale Neurology Associates 1301 Sigman Road, NE #225 Conyers, GA 30012 Phone: 770-278-0154 www.rockdaleneurology.com Practice Information Georgia Cancer Specialists 1501 Milstead Road, NE #110 Conyers, GA 30012 Phone: 770-760-9949 www.gacancer.com Dr. Meredith Delp Dr. Kathleen Lambert Dr. Candice Riggeal 10/14/2013 3:47:48 PM •women's health FEATURE Reduce Your Risk By Kathleen Lambert, MD Georgia Cancer Specialists for Breast Cancer 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. 1. 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. 2. 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 fullterm 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. 3. Don't smoke. Developing breast cancer is just one of the many negative health effects of smoking. 14 HEALTHY IN ROCKDALE | FALL 2013 HIR Fall 2013.indd 14-15 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 may also pose a threat to non-smokers. Reduce your exposure as much as possible; choose smoke-free restaurants and avoid indoor public places that allow smoking. If you work in a smoke-filled work environment, ask your employer permission to increase ventilation where smoking takes place by opening windows or using exhaust fans. 4. 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. Answers change life-limiting to life-affirming. Key Facts about Breast Cancer • 1 in 8 women will develop breast cancer in their lifetime • When caught early, breast cancer has a 98% likelihood of being cured • Beginning at age 40, women should receive annual mammograms DIRECT ACCESS TO SPECIALISTS ADVANCED RESEARCH THE LATEST TREATMENTS Be Proactive 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. 5. Breast-feed. 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. 6. 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. ROCKDALE OFFICE 1501 Milstead Road, Suite 110, Conyers, GA 30012 (770) 760-9949 GACancer.com 47 PHYSICIANS | 500 SUPPORT STAFF | 27 OFFICES STRONG Kathleen Lambert, MD Sherine Thomas, MD 10/14/2013 3:47:28 PM If you experience difficulty hearing, now is the time to schedule your appointment with one of our high qualified, certified Audiologists. How’s Your Hearing? Have you noticed more difficulty understanding family and friends? Does everyone just seem to be mumbling? Are you asking people to repeat themselves often? Are you having to turn the TV volume up? If you answered “yes” to any of these questions, you may need to check your hearing… Did You Know? www.entspecialists.net Donna McGough, F-AAA Kristyn Meade, F-AAA Susann Shriver, CCC-A • Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and marital problems • Amplification leads to a better quality of life, according to a 1999 study by the National Council on Aging. • At least 29 million Americans have a hearing impairment; 20% in adults ages 48-59; over 50% in adults over 75. • Patients with diabetes are more than twice as likely to have hearing loss. • Exposure to noise is the leading cause of tinnitus, and almost always accompanies hearing loss. Offices in Conyers & Covington. Call now for an appointment! 770-922-5458 HIR Fall 2013.indd 12-13 U O Y O D HOW g Loss n i r a e H e n i m r e t e D sues? is n o ti a ic n u m m o c with in individuals Article provided by healthyhearing.com F or those who experience hearing loss, it can be a struggle to communicate with others in general. While hearing loss in one ear affects roughly 48 million people, according to the Better Hearing Institute, many put the problem on a back burner for a number of reasons. In fact, the lack of ability to communicate properly with others is often a concern for people with hearing loss and their families. Individuals who are close to the the person who is coping with hearing loss can do a number of things to make sure they are treating and accommodating the issue. While there may not be a stigma around wearing glasses or contacts, hearing aids are a different story. Many people think that hearing aids are bulky, noticeable and uncomfortable, but technology has come a long way and hearing aids can be virtually invisible. Unfortunately, because of this, some people may shy away from letting others know if they have a hard time hearing things. Family members and friends can try to pick up on subtle cues so they can help them treat their hearing loss. general health FEATURE• DO THEY… • • • • • Constantly turn up the volume on the radio or television? Complain about ringing or buzzing in their ears? Always comment about not being able to hear in loud settings like a restaurant? Have trouble hearing when they can't take note of nonverbal cues, hand gestures or lip reading? Ask you to repeat yourself often? All of these questions may help you to determine whether or not your family member or loved one has hearing loss. If they cannot, or choose not to, communicate with you about the problem, you can take it upon yourself to find treatment. Untreated hearing loss can put a huge strain on daily life, and it can lead to other conditions such as Alzheimer's and dementia. Additionally, it can put your family members in an unsafe position in the case of an emergency. People with dementia, ALS or other illnesses that have an effect on the brain may have trouble communicating that they have hearing loss as well. Visiting an audiologist is the best way to determine whether or not you or a loved one has hearing loss. A hearing health specialist can test for the severity of hearing loss and the next steps to take. FALL 2013 | HEALTHY IN ROCKDALE 13 10/14/2013 3:45:40 PM •general health FEATURE Fostering Healthy Eating Habits I in Children f kids had their way, pizza, chicken fingers and french fries would make up a significant portion of their diets. But parents know they must make kids' culinary choices for them so youngsters get all of the vitamins and nutrients they need to grow up strong and healthy. Parents also tend to know how difficult it can be to convince kids to embrace healthy eating. Healthy eating habits can help kids live healthier lives and perform better in the classroom while setting them up for a lifetime of making the right choices at mealtime. Though encouraging kids to eat healthy may not always be easy, the following are a few tips for parents hoping to foster healthy eating habits in their children. • Stick to a schedule. Parents should establish a regular eating schedule, for both meals and snacks, so kids learn the importance of not skipping meals. Kids who learn to eat at regular intervals are more likely to continue doing so as they grow older. When kids stick to a meal schedule, they are less likely to overeat and they're likely to have more energy throughout the Swapping traditional and often less healthy snacks and desserts for fresh fruits is one way to foster healthy eating habits in children. day, which should help them stay attentive at school and be or unhealthy. When doling out portions for the family, cre- more engaged in their extracurricular activities. ate healthy portions so kids are not encouraged to overeat. • Involve kids when choosing the menu. Kids might be Kids who grow up eating healthy portions are more likely to more excited about eating healthy when you involve them in continue doing so into adulthood. Overeating is one of the choosing the menu. Invite them along on trips to the grocery culprits behind being overweight and obese, so kids who learn store and allow them to choose one of their favorite foods for to control their portions are much less likely to overeat and gain the meal in exchange for eating the healthy fare you have cho- excess weight. sen. Parents may end up eating a lot of side dishes of macaroni and cheese, but their youngsters will also end up eating their youngsters with food, allowing kids to indulge in unhealthy fare vegetables. in acknowledgement of a good report card or something else • Don't reward kids with food. Some parents try to reward • Plan healthy desserts. Dessert is often considered an kids should be proud of. But using food as a reward is an un- unhealthy indulgence, but there's plenty of nutritious desserts healthy eating habit that can lead to problems down the road that are so delicious kids likely will not realize they're eating as kids become adults responsible for their own eating habits. healthy. A dessert of fresh fruit and a small serving of yogurt can provide the same post-meal refreshment as ice cream or healthy when mom and dad are healthy eaters. If your first cake, but it does so with much fewer calories and a lot more choice at snack time is to reach for a bag of potato chips, then nutrients and vitamins. What's more, kids will come to look at don't be surprised when your kids opt for chips over healthier dessert as a chance to eat fresh fruits instead of an opportunity fare like a piece of fruit. "Do as I say, not as I do" is a tough sell to load up on ice cream or other, less healthy alternatives. to youngsters when it comes to their eating habits, so parents should set a positive example for their kids by ensuring their • Serve healthy portions. Sometimes it's not just what is on the plate but how much is on the plate that can be healthy 10 • Set a positive example. Kids are more likely to eat own diets are healthy. Article provided by Metro Creative Graphics HEALTHY IN ROCKDALE | FALL 2013 women's health FEATURE• definition of PREMENOPAUSAL P remenopausal means "around menopause" and refers to the time period during which a woman's body makes its natural transition toward permanent infertility (menopause). Premenopausal is also called the menopausal transition. Women start premenopausal at different ages. You may notice signs of progression toward menopause, such as menstrual irregularity, sometime in your 40s. But some women notice changes as early as their mid-30s. The level of your estrogen — the main female hormone — rises and falls unevenly during perimenopause. Your menstrual cycles may lengthen or shorten, and you may begin having menstrual cycles in which your ovaries don't release an egg (ovulate). You may also experience menopause-like symptoms, When to see a doctor Some women seek medical attention for their premenop ausal symptoms. But others either to lerate the changes or simply don't expe rience symptoms severe enough to ne ed attention. Because subtle sym ptoms may come on gradually, you m ay not realize at first that they're all connected to the same thing — rising and falling levels of estrogen and prog esterone, another key female hormon e. If you do experie nce symptoms that interfere with your life or well-being, such as hot flashes, mood swings or changes in sexual fu nction that concern you, see your gy necologist. . such as hot flashes, sleep problems and vaginal dryness. Treatments are available to help ease these symptoms. Once you've gone through 12 consecutive months without a menstrual period, you've officially reached menopause, and the premenopausal period is over. During the premenopausal period some subtle — and some not-so-subtle — changes in your body may occur. Some things you might experience include: • Menstrual irregularity. • Hot flashes and sleep problems. • Mood changes. • Vaginal and bladder problems. • Decreasing fertility. • Changes in sexual function. • Loss of bone. Changing cholesterol levels. Article provided by Metro Creative Graphics Shiraz Kassam, M.D. FRCSC, FACOG Serving Rockdale and Newton Counties For 28 years in the practice of obstetrics & gynecology 1380 Milstead road suite b conyers, ga 30012 We welcome our old patients and accept new patients We accept all insurance plans as well as Medicaid and Medicare We provide total obstetrical and gynecological care. (si habla español bien benido) 770-922-2424 • www.drshkassam.com HIR Fall 2013.indd 10-11 FALL 2013 | HEALTHY IN ROCKDALE 5 Story provided by Metro Creative Graphics hearing loss FEATURE• FALL 2013 | HEALTHY IN ROCKDALE 12 5 HEALTHY IN ROCKDALE | FALL 2013 10/14/2013 3:45:02 PM •general health FEATURE KEEP YOUR FAMILY HEALTHY through the holidays T he holiday season is upon us once again, and with it Washer Plus has an upward stream, leftward stream and right- comes the season's notoriously hectic pace. With crowd- ward stream to evenly circulate air throughout the room. • Get outdoors. Even if the weather outside is frightful, ed social calendars and the stress of holiday shopping, it's easy to feel overwhelmed once the season hits full swing. Unfor- it can be beneficial to spend some time outdoors during the tunately, many people have trouble staying healthy through winter months. While it's best to obey the local weather the hectic holiday season. With so much to do, it's easy to put authority and advisories, if there's no restrictions on spending health on the back burner during the holidays. But however time outdoors, getting outside can help the body fend off hectic the holiday season can be, there are ways to keep the cold and flu. Because few people spend time outdoors in the family happy and healthy this holiday season. winter, germs can gather inside and circulate among those who spend significant time indoors. As a result, those who • Encourage kids to wash their hands. Germs are often spread most quickly through our hands, which are in constant spend all their time indoors are more vulnerable to cold and contact with hotbeds for germs, including doorknobs. While flu. When possible, bundle up and spend some time outdoors adults might be quick to wash their hands after they sneeze in the fresh air. or cough, kids are often lax in the hand washing department. But washing hands thoroughly is an effective way to ward off season is certainly hectic, adults and kids alike should still find winter germs that attach to hands after we sneeze, cough or time to fit in daily exercise. Kids might get their daily dose in simply touch a doorknob. Encourage kids to be diligent about gym class, but adults need to make time as well. Exercise can washing their hands, not only after they use the restroom but prove a great means to relieving holiday stress, and a body whenever they sneeze, cough or arrive home from school. that's strong and fit will be prove more capable of defending • Keep indoor air crisp and clean. Bringing home • Squeeze in some daily exercise. While the holiday itself against airborne germs and bacteria. airborne germs, such as sickness-causing bacteria and other contaminants, is inevitable during the holiday season. The kids' For more information on the Air Washer Plus, visit www.us.SANYO.com. school is a breeding ground for such germs, as is the nearby shopping mall filled with holiday shoppers. While it might be impossible to avoid bringing home these unwanted holiday Article provided by Metro Creative Graphics guests, it's not impossible to fight them off once they do get home. Employing electrolyzed water technology, the SANYO Air Washer PlusTM suppresses airborne bacteria and germs while eliminating unpleasant odors in the home. What's more, the Air Washer Plus utilizes a HEPA filtration system to remove 99.97 percent of airborne particles and allergens, ensuring that no matter who's coming to visit this holiday season, hosts won't have to worry about the germs that are no doubt coming with them. • Circulate indoor air. Stagnant air indoors can also increase the liklihood of cold and flu. Central heating can dry the body out and lead to dehydration, making it harder for the body to flush out poisons and germs during the winter Other simple tips... 1. Sanitize, Sanitize , Sanitize using hand sanitizers an d sanitizing wipe s. 2. Load up on Vita min C. 3. Get plenty of sle ep 4. Stay away from 5. Bundle up and sickies. stay warm 6. Manage stress. 7. Get your vaccina tions. months. The SANYO Air Washer Plus utilizes a 3-directional air flow system to maximize the flow of air, cleaning all areas of the room while increasing comfort levels. Unlike many air With an indoor air washer like the SANYO Air Washer PlusTM, families can enjoy crisp, clean indoor air throughout the winter months. cleaners and purifiers that have just a single output, the Air FALL 2013 | HEALTHY IN ROCKDALE HIR Fall 2013.indd 8-9 9 10/14/2013 3:44:30 PM FALL 2013 | HEALTHY IN ROCKDALE 5 Georgia Primary & Urgent Care general health FEATURE• Top 3 lifestyle changes Dr Benjamin Fernando is the newest member of our team. This addition is exciting to us, as it allows us to better serve our patients. to reduce cholesterol Dr Benjamin Fernando We treat the following conditions and more! • Minor injuries, burns & lacerations • Urinary tract infections • Sore throats & ear aches • Bronchitis • Skin rashes & infections • Asthma • Vomiting & diarrhea • Sprains • Animal & insect bites • Diabetes • High blood pressure • Women’s health Caring for Pediatric Patients 2 years and older! Andrew Smith, MD Randy Riner, PA Lose weight Carrying some extra pounds — even just a few — contributes to high cholesterol. Losing as little as 5 to 10 percent of your body weight can help significantly reduce cholesterol levels. If you eat when you're bored or frustrated, take a walk instead. If you pick up fast food for lunch every day, pack something healthier from home. If you're sitting in front of the television, try munching on carrot sticks instead of potato chips as you watch. Take time and enjoy rather than "devouring" your food. And look for ways to incorporate more activity into your daily routine, such as using the stairs instead of taking the elevator. 2. Eat heart-healthy foods Open onMonday-Friday Saturdays ~8am-7pm 8am-12 Noon Conyers Medical Park ~ 1301 Sigman Road, NE Suite 230 ~ Conyers, GA 30012 678-609-4912 www.conyersurgentcare.com HIR Fall 2013.indd 6-7 1. Even if you have years of unhealthy eating under your belt, making a few changes in your diet can reduce cholesterol and improve your heart health. • Choose healthier fats. Saturated fats, found in red meat and dairy products, raise your total cholesterol and low-density lipoprotein (LDL) cholesterol, the "bad" cholesterol. As a general rule, you should get less than 7 percent of your daily calories Lifestyle changes can help reduce cholesterol, keep you off cholesterol- lowering medications or enhance the effect of your medications. Here are three lifestyle changes to get you started. from saturated fat. Instead, choose leaner cuts of meat, low-fat dairy and monounsaturated fats — found in olive, peanut and canola oils — for a healthier option. • Eliminate trans fats. Trans fat can be found in fried foods and many commercial baked products. But don't rely on packages that are labeled "trans fat-free." In the United States, if a food contains less than 0.5 grams of trans fat per serving, it can be labeled "trans fat-free." Even though those amounts seem small, they can add up quickly if you eat a lot of foods that have a small amount of trans fat in them. Instead, read the ingredients list. You can tell if a food has trans fat in it if it contains partially hydrogenated oil. • Limit the cholesterol in your food. Aim for no more than 300 milligrams (mg) of cholesterol a day — less than 200 mg if you have heart disease or diabetes. • Select whole grains. Various nutrients found in whole grains promote heart health. Choose whole-grain breads, whole-wheat pasta, whole-wheat flour and brown rice. • Stock up on fruits and vegetables. Fruits and vegetables are rich in dietary fiber, which can help lower cholesterol. Snack on seasonal fruits. If you prefer dried fruit to fresh fruit, limit yourself to no more than a handful (about an ounce or two). Dried fruit tends to have more calories than does fresh fruit. • Eat foods rich in omega-3 fatty acids. Omega-3 fatty acids can help lower your LDL ("bad") cholesterol. 3. Exercise on most days of the week Whether you're overweight or not, exercise can reduce cholesterol. Better yet, moderate physical activity can help raise high-density lipoprotein (HDL) cholesterol, the "good" cholesterol. With your doctor's OK, work up to at least 30 minutes of exercise a day. Remember that adding physical activity, even in 10-minute intervals several times a day, can help you begin to lose weight. Just be sure that you can keep up the changes you decide to make. To stay motivated, find an exercise buddy or join an exercise group. And remember, any activity is helpful. Article provided by Mayo Clinic Staff FALL 2013 | HEALTHY IN ROCKDALE 7 10/14/2013 3:43:57 PM ISSUE GUIDE LETTER FROM THE PUBLISHER FALL 2013 he lthy IN ROCKDALE T. PAT CAVANAUGH Publisher MICHELLE KIM Editor T. PAT CAVANAUGH PUBLISHER GENERAL HEALTH WOMEN’S HEALTH 11 Definition of Premenopausal 7 14 Reduce your risk of 8 breast cancer 21 Routine checkup schedule for women 30 What doctor should I see for incontinence Top 3 lifestyle changes to reduce cholesterol 40 What are muscle cramps Keep your family healthy during the holidays 22 What is epilepsy 26 Options for acid reflux 29 Simple Precautions can keep you on the trails this fall 33 Key facts about seasonal flu vaccine 37 Patients have a new choice in healthcare 38 AirStrip ONE technology has arrived at Rockdale Medical Center 43 Winter allergic asthma challenges 44 Doctor's Visits: Why checkups are vital 46 Foot surgery procedures HIR Fall 2013.indd 4-5 FITNESS FOOD 27 5 Grocery items that could be wrecking your kidneys 34 Tips for quick 10 Fostering healthy eating habits in children weeknight meals I t’s hard to believe that a year has gone by so fast; you are reading the first edition of our second year. I would like to thank our partners Rockdale Medical Center and the good physicians and their staffs of Rockdale County who are associated with our fine hospital facility. Many of you have commented to us that you look forward to the helpful information that is in each edition and that you save the books for continued to read over again from time to time. This edition covers holiday health, many of us enjoy too much the special holiday treats and snuggle up by a fire and forget to do our exercise. DEBBIE THOMPSON Controller When and How to Say No S ometimes it's tough to determine which hol- ANNETTE GODWIN Sales Director CARIN DEBOER Graphics Manager/Layout Design iday activities deserve your time and atten- AMANDA ELLINGTON Circulation Supervisor tion. Use these strategies to evaluate obligations — and opportunities — that come your way. • Focus on what matters most. Examine your obligations and priorities before making any new Healthy in Rockdale Magazine is commitments. Ask yourself if the new commit- published by The News of Rockdale. ment is important to you. If it's something you No portion of this issue including feel strongly about, by all means do it. If not, take a pass. • Weigh the yes-to-stress ratio. Is the new activity you're considering a short- or long-term publisher designed advertisements may be copied, scanned or reproduced in any manner without prior written consent from the publisher. commitment? For example, making a batch of Healthy in Rockdale accepts no cookies for the school bake sale will take far less responsibility time than heading up the school fundraising committee. Don't say yes if it will mean months of added stress. Instead, look for other ways to pitch in. • Take guilt out of the equation. Don't agree for unsolicited manuscripts, artwork or photographs. These will not be returned unless accompanied by a self-addressed stamped envelope. Healthy in Rockdale Magazine is available free to subscribers of The to a request you would rather decline out of News. To subscribe to The News or guilt or obligation. Doing so will likely lead to The Covington News, please call 770- additional stress and resentment. In this edition you will see tips on how to keep yourself healthy during this upcoming holiday season. invitation to volunteer to plan the big Christmas Enjoy. and how it fits in with your current commit- • Sleep on it. Are you tempted by a friend's party or to join a weekly golf league? Before you respond, take a day to think about the request 787-6397. the NEWS Serving Rockdale County and Conyers ments. If you can't sleep on it, at least take the time to think the request through before answering. 10/15/2013 8:31:08 AM EASTSIDE INTERNAL MEDICINE, LLC FEATURES IN FOCUS BOARD CERTIFIED, AMERICAN BOARD OF INTERNAL MEDICINE • Hypertension/Diabetes/High Cholesterol • Women’s Wellness • Pap Smear • Drug Screens • Physicals, Sports & DOT Physicals • Worker’s Comp Injuries • Asthma/Emphysema • Thyroid • Depression • Men’s Health • Erectile Dysfunction • STD Treatment • Minor Surgery • Heart Failure Walk-Ins Welcome • Most Insurance Accepted Doctor on Call 24/7 • On Site Lab & X-Ray Hours: Mon - Fri 8:00 am - 5:00 pm Sat 8:00 - 12:00 noon 678-625-7800 FALL 2013 FALL IS IN THE AIR Determining Hearing Loss How do you determine hearing loss in individuals with communication issues? PAGE 13 Why Blood Pressure Matters Uncontrolled high blood pressure can injure or kill you. Find out how to control it. PAGE 18 Exercising During Pregnancy It's possible to exercise safely during pregnancy. PAGE 36 2080 Eastside Drive ~ Conyers HIR Fall 2013.indd 2-3 10/14/2013 3:42:43 PM