ROCKDALE CITIZEN • NEWTON CITIZEN JUNE 2015
SUMMER EDITION
G U ID E
VOTED #1
SPECIAL SECTION GEORGIA PRESS ASSOCIATION OUTSTANDING PHYSICIANS GUIDE 2014
ROCKDALE/NEWTON'S PREMIER HEALTH CARE MAGAZINE
INSIDE
Laser Therapy for foot & ankle pain management • Drug-free learning disorder treatment Golfer’s elbow and Tennis elbow • The importance of early childhood dental visits Skin cancer awareness tips • Dental implants: Surgery, risks, and insurance • Stroke prevention
Adam French, MD Ear, Nose and Throat
Jamie Adams, DC Chiropractor
G. Wayne Newman,Jr., DPM Podiatrist
Amanda Bauer, MD Radiologist
Steven P. King, DDS Oral & Maxillofacial Surgeon
Heath Hampton, MD Internal Medicine
Thomas L. Lyons, MD Gynecologic Surgeon
Farhana Quasem, MD Internal Medicine
Masood Siddiquee, MD MRCP (U.K.),Internal Medicine
Aileen O’Neill, MD Pathologist
Fiona O. Zwald, MD Dermatologist
Steven Thacker, DC Chiropractor
Michael J. Manning, MD MDVIP, Family Practice
Syed Wasim, MD, MPH Internal Medicine
Stephanie Gordon, MD Gynecologic Surgeon
Allen Filstein, MD Dermatologist
INDEX ASSISTED LIVING Remington House 1504 Renaissance Drive Conyers, GA 30012 • 770-761-4888 Yellow Brick House 6903 Main St., Lithonia, GA 30058 • 770-482-4044 BANKING Newton Federal 3175 Hwy. 278 NE, Covington, GA 30014 8258 Hwy. 278 NE, Covington, GA 30014 By Pass Rd. & Hwy. 36, Covington, GA 30014 770-786-7088 CHIROPRACTIC Thacker Chiropractic Mitchel Thacker, DC Steven Thacker, DC 1927 Hwy. 138, Suite 500 Conyers, GA 30013 • 770-860-8333 Covington Family Chiropractic Jamie Adams, DC 2125 Pace St. Suite B, Morgan Plaza Covington, GA 30014 • 770-689-6987 DERMATOLOGY Dermatology Consultants PC Michelle Juneau, MD Fiona O. Zwald, MD Benjamin Kelly, MD Charlé Cameron, PA-C Dione Marcus, MD 4151 Hospital Drive Covington, GA 30014 • 770-784-0343 Georgia Dermatology of Conyers John Fountain, MD Allen Filstein, MD Darryl Hodson, MD Caroline Wells, PA-C 1349 Milstead Rd. • Conyers, GA 30012 • 770-785-7546 DIAGNOSTICS Women’s Diagnostic Center Newton Medical Center 5126 Hospital Drive NE Covington, GA 770-786-7053 EAR, NOSE AND THROAT Ear, Nose and Throat Specialists Arthur Torsiglieri, MD, FACS Donald Cote, MD Adam French, MD 1370 Wellbrook Circle, Conyers, GA 30012 770-922-5458 4181 Hospital Drive, NE, Suite 102, Covington, GA. 30014 • 770-385-0321 1110 Commerce Drive, Suite 108 Greensboro, GA 30642 • 770-922-5458 FAMILY DENTISTRY Covington Family Dentistry John Hendricks, DDS Melvin O. Baker, DMD 4168 Baker St. • Covington, GA 30014 • 770-787-2230 Hedrick & Dodson Fred Hedrick, Jr. Jeff Dodson Aubrey Hedrick III 1807 Overlake Dr. Suite A Conyers, GA 30013 • 770-922-3131 Oral Surgery & Assoc. & Dental Implant Centers CONYERS Gordon L. Brady D.M.D. Richard S. Singer, D.D.S. Robert E. Going Jr. D.D.S. Brett C. Gray, D.M.D., M.D. 1463 Klondike Rd., Suite C Conyers, GA 30094 • 770-483-9692 COVINGTON Steven P. King, D.D.S. Fulton D. Lewis III, D.M.D. Steven D. Pollack, D.D.S. 7135 Floyd Street Covington, GA 30014 • 770-787-2444
HELPING YOU MAKE THE BEST CHOICE IN HEALTH CARE FAMILY MEDICINE Newton Medical Family Practice Donna Groover, MD Kimberly Chitwood, FNP 7143 Turner Lake Road Covington, GA 30014 • 770-788.-9970 Essential Family Care Sheryl Canady, MD 1775 Parker Rd., Suite C-240 Conyers, GA • 678-609-6282 Bridgewater Family Practice Michael J. Manning, MD, MDVIP 2215 Exchange Place, SE Conyers, GA 30013 • 678-413-7979 Premier Internal Medicine Anne Grant, MD 5294 Adams St. NE Covington, GA 30014 • 770-787-5600 200 Brookstone Place, Suite B Social Circle, GA 30025 • 770-464-2540 Conyers Medical Clinic Ganesh Kini, MD 2601 Salem Rd. Conyers, GA 30013 • 770-922-1880 Muthu Kuttappan, MD 14779 Brown Bridge Rd. Covington, GA 30016 • 770-788-7777 Internal Medicine Associates of Rockdale, P.C. Trinidad Osselyn, MD Sabrina Wyllie-Adams, MD 1301 Wellbrook Circle Conyers, GA 30012 • 770-922-3023 Eastside Internal Medicine, LLC Syed Wasim, MD, MPH Farhana Quasem, MD Masood Siddiquee, MD, MRCP (U.K) 2080 Eastside Drive Conyers, GA • 678-625-7800 Emory Newton Medical Associates G. Timothy (Tim) Park, MD Henry M. Patton, MD, FACP W. Norris Little, Jr. MD Kwon S. Choe, MD Kevin D. Lanclos, MD 6175 Newton Drive Covington, GA 30014 • 770-787-6900 Primary Care Physicians Heath W. Hampton, MD 5278 Adams St. Covington, GA 30014 • 770-786-2201 GASTROENTEROLOGY Atlanta Gastroenterology Barry Levitt,MD Mahmoud B. Barrie, MD David Rabin, MD 1501 Milstead Road, Suite 120 Conyers, GA 30012 • 678-745-3033 East Atlanta Gastroenterology Associates, PC Fred A. Levin, MD,FACP, FACG Steven McIntosh, MD, FACG Karen L. Weiss-Schorr, MD David N. Socoloff, DO Razvi M. Razack, MD 1269 Wellbrook Circle, NE Conyers, GA 30012 • 770-922-0505 GENERAL SURGERY Pavilion Surgical Associates B. Carter Rogers, MD, FACS Steven R. Whitworth, MD, FACS 4181 Hospital Drive NE, Suite 303, Covington, GA 30014 • 770-787-6957 Rockdale Surgical Associates Andrew S. Harper, MD Conyers Medical Park 1301 Sigman Rd. NE Suite 225 Conyers, GA 30012 • 770-922-4024 HEMATOLOGY/ONCOLOGY East Atlanta Hematology & Oncology Victoria Afshani, MD 10157 Eagle Drive Covington, GA 30014 • 770.786.0655
Georgia Cancer Specialists Kathleen Lambert, MD Sherine Thomas, MD 1501 Milstead Rd., Suite 110 Conyers, GA 30012 • 770-760-9949 HOME HEALTH CARE Suncrest Home Health 5101 Hwy. 278 NE Suite C Covington, GA 30014 • 678-625-7105 HOSPICE Abbey Hospice 215 Azalea Court Social Circle, GA 30025 770-464-5858 OR Toll free 1-866-252-2239 HOSPITAL Rockdale Medical Center 1412 Milstead Avenue, Conyers, GA 30012 800-424-DOCS (3627) Newton Medical Center 5126 Hospital Drive., NE Covington, GA 30014 • 770-786-7053 INFECTIOUS DISEASES Suji Mathew, MD 7143 Turner Lake Road Covington, GA 30014 • 770-787-4504 INSURANCE Sheridan & Associates, Inc. Rhonda Sheridan, RN, BSN, CSA, CLTC 983 O’Kelly Street Conyers, GA 30012 • 770-760-9474 The Financial Track Jiles Parham, CLU 3470 Monice Lane SW Conyers, GA 30094 678-374-2821 NEUROLOGY/NEURO-OPHTHALMOLOGY Rockdale Neurology Associates Bryan Riggeal, MD Candice Riggeal, DO 1255 Commercial Drive, Suite B Conyers, GA 30094 • 770-278-0154 Southeastern Neurology Sonal Hazariwala, MD Jennifer McDonald, ARNP 5211 Highway 278 NE Covington, GA 30014 770-787-8200 OBSTETRICS/GYNECOLOGY/UROGYNECOLOGY Advanced Gynecology Associates Holly Imlach, MD Thomas L. Lyons, MD 1380 Milstead Ave. NE Suite E Conyers, GA 30012 • 678-609-4913 Erin Mayfield, DO 5154 Cook St. NE Covington, GA 30014 770-788-1778 New Beginnings Comprehensive Women’s Health Care Veronica Garrett, MD, FACOG N. Ruth Harris, MD, FACOG Shannon Mayfield, C.N.M. 1415 Milstead Rd. NE Suite A Conyers, GA 30012 678-413-0858 The Women’s Center, PC Stephanie Gordon, MD Trent Rice, MD 2750 Owens Drive, Suite A Conyers, GA 30012 678-413-4644 140 Eagles Spring Court Stockbridge, GA 30281 770-302-0878 OPHTHAMOLOGY Georgia Opthalmologists, LLC Jose Bigles, MD Jack Manns,MD 4159 Mill St. NE Covington, GA 30014 • 770-786-1234
ORTHOPEDIC/SPORTS MEDICINE/ REHABILITATION Georgia Orthopedics & Sports Medicine Renee S. Riley, MD FAAOS Ryan J. Tomlins, MD, CAQ Erica Vrvilo, PA-C 4181 Hospital Drive, Suite 204 Covington, GA 30014 • 770-788-6534 PAIN MANAGEMENT Interventional Pain Management Center Dalton Hanowell, MD Knox Surgical Center (Inside Newton Medical Center) 5126 Hospital Drive Covington, GA 30014 • 770-385-4337 PATHOLOGY Aileen O'Neill, MD Newton Medical Center 5126 Hospital Dr., NE Covington, GA 30014 • 770-786-7053 PHYSICAL THERAPY Drayer Physical Therapy Institute 3122 Hwy. 278 NW Covington, GA 30014 • 470-444-1609 PODIATRY Associated Foot & Ankle Specialists G. Wayne Newman, Jr., DPM 1567 Milstead Road, Suite A Conyers, GA 30012 • 770-483-2291 PULMONARY Walton Pulmonary & Sleep Medic Michel Jeannot, MD, FCCP,ABSM Leonard Lim, MD 101 Tara Commons Dr. Loganville, GA 30052 • 678-928-9700 2390 Wall St. SE Conyers, GA 30013 • 678-928-9700 1800 Tree Lane Rd. Ste. 33 Snellville, GA 30078 • 678-928-9700 RADIOLOGY Department of Radiology Amanda Bauer, MD Newton Medical Center 5126 Hospital Dr., NE Covington, GA 30014 • 770-385-4436 TECHNICAL COLLEGE Georgia Piedmont Technical College 16200 Alcovy Rd. Covington, GA 30014 404-297-9522 8100 Bob Williams Pkwy Covington, GA 30014 • 404-297-9522 URGENT CARE Georgia Primary & Urgent Care Harmon Andrew Smith, MD Benjamin Fernando, MD Randy Riner, PA Conyers Medical Park 1301 Sigman Rd. NE, Suite 230 Conyers, GA 30012 • 678-609-4912 Brown Bridge Medical Park 7138 Hwy. 212 Suite A Covington, GA 30016 • 678-625-4441 Wendell Smith, MD 5294 Adams Street Covington, GA 30014 • 770-787-5600 VASCULAR & THORACIC Rockdale Vascular Associates Robert C. Davies, MO,FACS,,FAPW-CA Erikaa Mann, PA-C 1301 Sigman Rd. NE, Suite 130 Conyers, GA 30012 • 678-609-4927 WOUND CARE & HYPERBARIC MEDICINE Hyperbaric & Wound Healing Center Rockdale Medical Center Brian D. Allen, MD 1412 Milstead Ave. • Conyers, GA 30012 678-413-7738
LOOK FOR OUR FALL EDITION OF THE PHYSICIANS GUIDE PUBLISHING OCTOBER 2015
THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 3
JUNE 2015
SUMMER EDITION
ROCKDALE/NEWTON CITIZEN PHYSICIANS GUIDE
WOMEN'S HEALTH CARE
Certified Quality Breast Center at Newton Medical Center RN, CBPN-IC joined the team to serve in the new role. Wendy works with patients every step of the way to help obtain followup care, timely diagnosis and timely treatment such as breast surgery, reconstruction, in-office chemotherapy and radiation when necessary.
Steven Whitworth, MD; Gayla Dillard, MD; April Speed, MD; John Gargus, MD; Wendy Hankins, RN, CBPN-IC; Amanda Bauer, MD; Aileen O’Neill, MD
Newton Medical Center’s Women’s Diagnostic Center has recently been recognized as a Certified Quality Breast Center in the National Quality Measures for Breast Centers Program™. This distinguished honor represents a commitment by this breast center to provide the highest level of quality breast health care to patients in the community. At the Women’s Diagnostic Center, women are able to obtain the advanced diagnostic testing and health education they need in one private and beautiful outpatient setting made especially for women. The WDC offers screening and diagnostic digital mammography, breast
ultrasound, stereotactic breast biopsy, bone densitometry and breast MRI. The center continues to stay up to date with the most modern equipment. In 2014, the GE Logiq E9 Ultrasound equipment was added to the suite and has transformed the way that sonographers are able to perform procedures and provides Newton Medical Center with advanced image quality. Newton Medical Center is one of the first in the area to offer a nurse navigation program where a specially trained nurse navigator guides patients through the cancer care system by working through the many barriers and fears one may face. In 2014, Wendy Hankins,
Do you know that you can schedule a screening mammogram without a physician order? For more information or to schedule your annual mammogram call 770-385-7800 today.
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She schedules appointments and is available to attend appointments with the patient. Wendy assists patients with insurance paperwork as well as obtaining information from the insurance companies regarding what care is covered under the patient’s particular plan. Wendy also helps patients identify local resources and support such as the cancer support group, cancer class and the Hope Boutique. Located within the WDC, the Hope Boutique provides resources such as wigs, prostheses or turbans for those starting their breast cancer journey. The National Consortium of Breast Centers is proud to recognize Newton Medical Center’s Women’s Diagnostic Center as a Certified Quality Breast Center. The WDC will continue in its commitment to provide the highest quality care to its patients. The Women’s Diagnostic Center is located in the Physicians’ Pavilion at 4181 Hospital Drive, Suite 301 in Covington, Georgia.
The Women’s Diagnostic Center is looking for survivors of breast cancer to participate in the following breast cancer awareness activities: Portraits of Hope/Read Pink This fall, portraits and stories of breast cancer survivors will be displayed in merchant windows around the square in beautiful historic Covington and will be featured in the Newton Citizen’s Read Pink edition of the paper. If you are a survivor of breast cancer, we would love to include your portrait and story. Kimberly Chance Atkins Foundation Wall of Hope Nomination forms are now available for the 2015 Wall of Hope. Located at the entrance of the Women’s Diagnostic Center at Newton Medical Center, the wall features portraits of 12 women who have all faced breast cancer and survived. Nominate yourself or a loved one today. For more information on how to participate in our breast cancer awareness activities, please call Wendy Hankins at 770-385-7826.
JUNE 2015
SUMMER EDITION
ROCKDALE/NEWTON CITIZEN PHYSICIANS GUIDE
HEMATOLOGY/ONCOLOGY
Ready to make a cancer fighting grocery list? 8 delicious ways to boost cancer protection By Kathleen Lambert, M.D.
There’s no magic food that prevents cancer outright, but there are certain foods known to inhibit our risk and help our bodies fight this horrible disease. Do you want to amp up cancer protection in your diet? Here are eight specific foods to get you in the right direction: Broccoli. Packed with antioxidants and phytochemicals, including sulforophane. “Sulforophane is proposed to stimulate enzymes that help detoxify potential carcinogens,” says Colleen Doyle, MS, RD, of the American Cancer Society. Other cruciferous vegetables like cauliflower and kale are also rich in sulforophane. Salmon. Coldwater fish such as salmon have high levels of omega-3 fatty acids. The highest levels of omega-3 fatty acids are found in freerange wild game and the colder
the temperature where they are found, the higher the omega-3 levels will be. Other cold water fish include char, sardines, tuna, herring, anchovies, bluefish and halibut. Carrots. High in beta carotene, which helps plants absorb light. Beta carotene accumulates in the fat under the skin and seems to absorb some of the radiation energy from sunlight, possibly reducing the risk of skin cancer. Squash, pumpkin and green, leafy vegetables are other sources of beta carotene. Walnuts. High in omega-3 fatty
acids walnuts have 2.5 grams of omega-3 fat per ounce, while most other nuts have around 0.5 grams per ounce. Aim for 5 ounces of walnuts a week. Flax. Rich in fiber and omega-3 fats. Flax contains compounds called lignans, which help inhibit estrogen production and may reduce the risk of breast cancer and other female cancers. Grind a tablespoon or two of flaxseeds in a coffee grinder and mix it into cereal or a smoothie, or include it when baking bread or cookies. Tomatoes. High in antioxidants and the phytochemical lycopene. Lycopene can prevent cellular damage and abnormal cell replication and growth. Lycopene is best absorbed in cooked tomato products. In a Harvard study, men who ate two or more servings a week of tomato sauce or other cooked tomato products had a 20 percent less chance of developing prostate cancer. Lycopene may also reduce breast
cancer risk and is found in red grapefruit and watermelon as well as tomatoes. Onions. Along with garlic, onions contain the phytochemical allicin. Allicin acts as an antiviral, antifungal and antibacterial agent and may zap toxins related to cancer development. Blueberries. High in ellagic acid, a phenolic compound. Phenolics are a category of phytochemicals that protect cells from free radical damage, Doyle says. Other sources are red grapes, raspberries, strawberries and blackberries. Berries are also a powerful antioxidant. Dr. Kathleen Lambert is a board-certified hematologist and oncologist with Georgia Cancer Specialists, affiliated with Northside Hospital Cancer Institute, in Conyers and Decatur. For more information, visit gacancer.com or northside.com.
THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 5
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HOSPICE CARE
“I think it’s time for hospice…”
Those words spoken by your healthcare provider may instill fear in some people, but, just because they recommend hospice doesn’t mean it’s an immediate death sentence. Many people do not understand what hospice is or what services it provides. The following are some questions I have heard many times regarding hospice. Why hospice & how do I sign myself or my loved one on hospice? Hospice is generally discussed when there are no more curative treatment options and the life expectancy is six (6) months or less. However, healthcare providers do not have a crystal ball and patients may exceed the six months’ time frame. An important reason to consider hospice is the staff (MD, RNs, LPNs, social workers, CNAs, chaplains & volunteers) are specifically trained in end of life issues including pain management. You can ask your physician to give the hospice of your choice an order or you can call the hospice directly and ask them to contact the doctor. Once the hospice has the order a representative will call you to set up a time to meet and discuss in detail the
services available. How is hospice paid for and what does it provide? Hospice is paid by several different sources: Medicare, Medicaid, Private insurance and self pay. However, Abbey Hospice will never turn a patient away due to inability to pay. The hospice team including the physician will oversee and coordinate the care provided by the hospice team. The hospice benefit provides any medically necessary medical equipment and medications needed to control the symptoms related to the hospice diagnosis. Who can come on hospice? Hospice isn’t just for patients with cancer. Patients with many different diseases such as end-stage lung disease, heart disease, liver disease, Alzheimer’s, dementia, & ALS (Lou Gehrig’s disease) may qualify for hospice services. Again, feel free to contact Abbey Hospice and a representative will be able to discuss the criteria needed to enroll in a hospice program. Why does hospice use Morphine? Contrary to popular myth, hospice does not use morphine to hasten death. The hospice
By Ronda L. Knapp, RN, Patient Care Coordinator, Abbey Hospice
philosophy promotes allowing the illness to follow its normal progression while providing management of all symptoms. Morphine is recommended in hospice to promote comfort when a patient is experiencing pain and/or shortness of breath. It is usually started in very small doses by mouth or by IV. There are several different pain medications available and each individual must be evaluated to determine the most appropriate medication for the pain they are experiencing. Why shouldn’t we call 911? The Hospice philosophy promotes a comfortable, peaceful and dignified end of life experience. This is most often accomplished by letting the patient remain in their home setting. However, if a situation arises that you feel requires calling 911 please contact your Hospice first so all options available may be offered. Hospice will provide guidance and education and recommend options that are appropriate for you and your loved one. I hope the above has cleared up some misconceptions about hospice. Please feel free to contact the staff at Abbey Hospice for any further information.
bbey Hospice Care of a loved one in their final days is hard enough.
No one should have to do it alone. GA License # 107-151-H
Abbey Hospice and its 13-bed inpatient unit located in the heart of Walton County, provides home hospice services to the surrounding 17 counties including Newton, Rockdale, Morgan, and Jasper. 6 • SUNDAY, JUNE 7, 2015 • PHYSICIANS GUIDE • THE CITIZEN
Medicare Provider # 111530
770-464-5858 www.abbeyhospice.com
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PODIATRY
MLS Laser Therapy - The Wave of the Future in Foot and Ankle Pain Management Laser therapy has been used effectively for many years, but advances in technology have produced the next generation of laser therapy with the new MLS Therapy Laser, which uses specific wavelengths of light to treat painful and debilitating conditions such as tendon, ligament and soft tissue injuries, heel pain, Achilles tendonitis, neurological pain and arthritis to name just a few. Laser therapy is painless with treatments usually lasting 15-20 minutes. Most patients see positive results in just 1-3 treatments. When a physical condition or injury affects mobility or quality of life, there is one goal: a rapid return to every-day activities. Associated
Foot & Ankle Specialists now have the most advanced equipment on the market to deliver these results; results that include a very rapid disappearance of pain, strong anti-inflammatory effect, and immediate improvement of local blood circulation. More and more, patients are looking for effective treatment options that are less invasive, require fewer medications, have no side effects, provide rapid results and speed the healing process. Laser therapy provides us with an opportunity to meet the needs of our patients and offer the highest level of care possible. MLS Laser Therapy has been cleared by the FDA. Low Level
Laser Therapy has been proven successful as evidenced by extensive and credible studies conducted by our country’s finest institutions including Harvard University. Associated Foot & Ankle Specialists, P.C., is proud to be on the medical technological forefront by offering the MLS Laser Therapy to our patients. We have invested in the very best technology as a key component of our continuing quest to offer our patients the finest in health care.
WALK AWAY FROM FOOT & ANKLE PAIN! • Dr. G. Wayne Newman, Jr. D.P.M.
• Board Certified, American Board of Podiatric Surgery • Fellow, American College of Foot & Ankle Surgeons In your lifetime, you’ll walk a distance averaging three trips around the earth. Some of the shoes we wear while doing this walking often submit our feet to nothing short of anguish. With demands like these put on our feet day after day, it’s only natural that we occasionally experience some sort of foot or ankle problem. In each of these cases, ignoring the problem could be an invitation to greater pain or additional complications. Call today to schedule an appointment and discuss treatment options.
Same and next day appointments avaliable!
L to R Back: Cassie, Dr. Newman, Deborah, L to R Front: Kasey, Nikki, Cindy
www.associatedfootandankle.com THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 7
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FAMILY HEALTH CARE
Emory Healthcare Network Begins Transformation to Patient Centered Medical Homes In an ambitious step toward the health care system of the future, Emory Healthcare Network (EHN) has enlisted its primary care practices to transform the way they deliver health care. The Patient Centered Medical Home (PCMH) is an innovative care model that actively empowers patients to achieve better health outcomes. The Patient Centered Medical Home model of care has been shown to improve the patient’s experience and increase the quality of care. The core of the PCMH is whole person care with enhanced access, a personal physician, with care that is coordinated across the health care system. Above all, the medical home is not a final destination, instead it is a model for achieving primary care excellence so that care is received in the right place, at the right time, and in the manner that best suits the patient’s needs. Features of the Medical Home The Patient Centered Primary Care Collaborative (PCPCC) describes the medical home as an approach to the delivery of primary care that is: • Patient-centered: A partnership among practitioners, patients, and their families ensures that decisions respect patients’ wants, needs,
and preferences, and that patients have the education and support they need to make decisions and participate in their own care. • Comprehensive: A team of care providers is wholly accountable for a patient’s physical and mental health care needs, including prevention and wellness, acute care, and chronic care. • Coordinated: Care is organized across all elements of the broader health care system, including specialty care, hospitals, home health care, community services and supports. • Accessible: Patients are able to access services with shorter waiting times, “after hours” care, 24/7 electronic or telephone access and strong communication through health IT innovations. • Committed to quality and safety: Clinicians and staff enhance quality improvement to ensure that patients and families make informed decisions about their health. http://www.pcpcc.org/about/ medical-home Emory Newton Medical Associates and Emory Internal Medicine of Newton are among the first ten practices that began the 14-month process
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of transforming to a PCMH in February 2015. To validate their accomplishments, the practices will seek PCMH Recognition from the National Committee for Quality Assurance (NCQA), which has recognized over 8,800 practices with over 50,000 physicians nationally and over 300 practices in Georgia with over 1,100 physicians. http://recognition.ncqa.org/
PATIENT CARE TEAMS
NEW PATIENT REQUEST LINE – 678-625-9306 DR. LANCLOS Elizziebeth Smith, FNP Kristy Trice, Patient Services Ext 113 or 678-625-9711 Meredith Lajaunie, RMA Tina Thomas, LPN
DR. CHOE Wendy Fuller, FNP Mandy Behringer, Patient Services Ext 101 or 678-625-9718 Raul Perez, LPN
DR. PARK Christlaen E Cady, FNP Tiffany Balkcom-Howard, RMA Mandy Behringer, Patient Services Ext 101 or 678-625-9718 Jesseca Ricks, MA Tina Thomas, LPN
DR. LITTLE Wendy Fuller, FNP Kristy Trice, Patient Services Ext 113 or 678-625-9711 Meriah Yarbrough, CCMA Raul Perez, LPN
DR. PATTON Jamie Burke, PA-C Kathy Kite, Patient Services Ext 100 or 678-625-9700 Tina Melville, RMA Tiffany Balkcom-Howard, RMA Maria Krasevec, LPN
DR. HAMPTON Carol Walker, FNP Tracy Hunter, Patient Services 770-786-2201 ext: 102 Tracy Knight, Patient Services 770-786-2201 ext: 100 Patricia Teal, RMA Candace Walls, LPN
THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 9
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CHIROPRACTIC/PHYSICAL THERAPY
Learning Disorders Drug Free Treatment
Commitment to patient care key to physical therapy
Learning disorders in children have gone from almost unheard of to epidemic proportions in just one generation. In the US an estimated 5% of children are considered to have ADHD. So, what causes neurological disorders? Some experts claim that vaccinations are a leading cause1. In addition to vaccinations, other stressors linked to this epidemic can be head trauma, birth trauma, burns, accidents, and falls. Chemical drugs are sometimes used to treat these disorders. However, these drugs can cause serious side effects, such as behavioral disorders, psychosis, permanent neurological tics, and drug abuse. Lots of parents are concerned with treating these disorders with medication. They want to know if there is a drug free treatment. Yes, there is. Chiropractic treatments can be beneficial. For years parents and experts have reported positive results from chiropractic care in children who have certain disorders. Chiropractors have been helping children reach their full potential for well over 100 years. Chiropractic treatment can release stress on the spinal cord, brain, and related nerves and structures. This can be a benefit to all children and even adults, especially those suffering from neurological disorders. Even children without certain disorders can benefit from chiropractic care. School aged children are more able to reach their full potential. All children should pay a visit to a chiropractor. Every child deserves a stressfree and balanced nervous system.
Drayer Physical Therapy Institute (DPTI) is headquartered in Hummelstown, Pennsylvania and specializes in outpatient, orthopedic physical therapy. Our eighth center in Georgia has just recently opened in Covington. Located at 3122 Highway 278 NW, the center is open from 7 a.m. to 7 p.m. weekdays and from 7 a.m. to noon Saturday and can be reached at 470-444-1609. The center specializes in in orthopedics, pre- and post-operative rehabilitation, and sports medicine. Physical therapist John Gerega is the center manager and serves as Drayer’s area manager for Georgia. The center staff also includes Covington resident Lauren Norman, a physical therapist who previously worked at Drayer’s Monroe, Ga., center. At DPTI we feel that culture is paramount to our overall success. We understand the inherent value of the choices that we make. We do the small things, the extra things that are indicative of our absolute commitment to patient care. To give our patients the best care and service, we offer access to care within 24 hours of a referral, esxtended hours including evening and holiday hours and will work with all insurance companies.
1. Coulter H. Vaccinations, Social Violence and Criminality. Berkley, CA: North Atlantic Books. 1990;xiii
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• Pediatrics • Pregnancy • Back Pain • Headaches • Car Accident • Ear Infections
• Allergies • Wellness • Nutrition • Auto Immune • Carpal Tunnel • Performance
www.cfchiropractic.com 10 • SUNDAY, JUNE 7, 2015 • PHYSICIANS GUIDE • THE CITIZEN
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SENIOR LIVING/ALZHEIMER'S
Accepting and Living with Alzheimer’s
By Dawn S. Massey, Administrator Yellow Brick House Senior Living
Alzheimer’s disease is a cruel twist of fate. It robs one of personality, intellect and eventually physical abilities. Everyone intimately involved will experience emotions ranging from frustration, anger, depression and exhaustion to patience, empathy, humor and love. Caring for a person with dementia is very difficult but attitude and willingness to accept the disease process will help you have the most positive experience possible with a very difficult situation. Dementia’s including Alzheimer’s dementia are progressive diseases that destroy memory and other important mental functions. As a progressive disease it always gets worse, not better. Individuals with the disease may have different behaviors and timelines but Alzheimer’s has fairly predict-
able stages that caregivers can learn and prepare for. Educating oneself about the disease is the most important thing a child, spouse or caregiver can do. Many sources of information are available; the book “The Art of Dementia Care” is a personal favorite. The internet is a great resource as well as doctors and other professionals that specialize and work with dementia clients. The Alzheimer’s Association provides information and offers classes and organized support groups. By educating yourself you will learn what to expect and hopefully how to navigate situations as they arise. Ultimately, it is about providing quality of life, quality of care and comfort for the person with the disease. It is important to be realistic about what stage a person is in the disease process. Someone early in the disease may be able to make basic decisions and enjoy outings and or other “normal” routine activities. As the disease progresses it becomes the responsibility of the caregiver to make important decisions and choose outings and settings carefully so as to not put a person in stressful situations they may not be able to navigate. It is sometimes difficult for friends and family to accept or remember
their loved one simply cannot process information like they once could. Family members may at times be embarrassed by behaviors such as a wife or mother who snuggles and talks to a doll or a father who makes inappropriate comments. People with Alzheimer’s disease cannot control their behavior and no amount of reprimanding, arguing or re-orienting will change the situation, it only seems to escalate confusion and negative feelings. With patience and understanding join the person in their reality, do not try to make them join ours. We all desire acceptance and love and if the person with dementia is content and happy we need to be happy too. Each person is different but some with Alzheimer’s may have catastrophic behaviors. As inhibitions are lowered due to the disease, triggers we may not even be aware of can result in anger and perhaps even violence, and medical intervention may be needed. There are several excellent doctors and hospitals in metro Atlanta that specialize in evaluating those with memory loss and managing behaviors. No one would ever want to medicate another person if it was not necessary, but if after a good evaluation a person with dementia
is consistently angry, agitated or violent medications can be useful and help the person have a better quality of life. The time may come when for various reasons family members can no longer care for their loved one at home and moving to a senior care facility is a solution. Alzheimer’s care is not medical care but requires physical maintenance, mental stimulation and spiritual inspiration. Many senior care facilities now specialize in Alzheimer’s and other dementia care and provide well trained caring staff along with needs of daily living. Programs offer structure and activities with many other supports for the client as well as the family. It is always a difficult decision but one that can be rewarding for all. Don’t be too proud or embarrassed to ask for help. If you are caring for a person with Alzheimer’s disease only those that have gone through the experience or are experiencing it now can truly know what you are going through. There are many resources available but you must seek them out. Take care of yourself; the healthier you are mentally and physically the better it is for you and the person you are caring for. There are those of us that understand, care and want to help.
THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 11
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INTERNAL MEDICINE
Live the life you want!
Understanding and fighting diabetes, hypertension go hand in hand
For some people, diabetes is a blessing in disguise -- the perfect motivation to revamp their health habits, get back their energy and rediscover the joy in every day life. A fitter, stronger body. A renewed zest for life. More energy and a clear head. It may be hard to imagine – especially if you’ve recently been diagnosed – but diabetes can be just the motivation you need to achieve the health goals that had previously seemed out of reach. It’s never too late to take charge. Take a closer look at diabetes and how it affects your body. Diabetes is a metabolic disorder. That means the way your body uses digested food for growth and energy is disrupted. Just why that happens depends on several factors, such as glitches in the immune system and genetic defects. The result is that your beta cells backfire. Normally, beta cells, which are found in the pancreas, produce and secrete insulin, the hormone that helps blood sugar enter the body’s cells, where it is used for energy. But when you have type 1 diabetes, beta cells are destroyed by the immune system, so your body doesn’t produce insulin. If you have type 2 diabetes, your beta cells either don’t produce enough insulin or your body’s cells don’t respond to it. When your body either doesn’t make or doesn’t respond to insulin properly,
blood sugar accumulates in your blood stream. And if it’s not controlled, the consequences can be serious: heart and kidney disease, nerve damage and vision loss are just some of the potential complications. Eating carefully and adding activity to your routine are two important ways to gain control of your blood sugar. But sometimes even the strictest diet and exercise plan doesn’t do the trick. Medication can help. People with type 1 diabetes must take insulin. Oral medication is an option for people with type 2. Whether or not you need medication or medication and/or insulin, making smart choices each day – apple vs. apple pie, stairs vs. elevator – can help keep your blood sugar at goal so you can live a fuller, healthier and happier life. High blood pressure is also known as hypertension In the USA approximately 72 million people have hypertension - about 1 in every 3 adults, according to the National Heart Lung and Blood Institute. The National Institutes of Health (NIH) estimates that about two-thirds of people over the age of 65 in the USA have high blood pressure. Blood pressure is the amount of force exerted against the walls of the arteries as blood flows through them - if a person has high blood pressure it means that the walls of the arteries are receiving too
much pressure repeatedly - the pressure needs to be chronically elevated for a diagnosis of hypertension to be confirmed. The heart is a muscle that pumps blood around the body constantly - during every second of our lives. Blood that has low oxygen levels is pumped towards the lungs, where oxygen supplies are replenished. The oxygen rich blood is then pumped by the heart around the body to supply our muscles and cells. The pumping of blood creates pressure - blood pressure. Most people with high blood pressure will not experience any symptoms until levels reach about 180/110 mmHg. When symptoms do appear, they typically include: headache, nausea, vomiting, dizziness, blurred or double vision, nosebleeds, irregular beating of the heart and shortness of breath. People who are diagnosed with high blood pressure should have their blood pressure checked frequently. Even if yours is normal, you should have it checked at least once every five years, and more often if you have any contributory factors. If the hypertension is not treated or controlled the excessive pressure on the artery walls can lead to damage of the blood
ACCORDING TO THE NATIONAL HEART LUNG AND BLOOD INSTITUTE APPROXIMATELY 1 IN EVERY 3 AMERICAN ADULTS HAVE HYPERTENSION
vessels, as well as vital organs. The extent of damage depends on two factors: the severity of the hypertension and how long it goes on or untreated. Some of the possible complications include stroke, heart attack, heart failure, blood clot, aneurysm, and kidney disease.
Eastside Internal Medicine specializes in hypertension and diabetes. Call us today at 678-625-7800 and take control of your life. 254320-1
12 • SUNDAY, JUNE 7, 2015 • PHYSICIANS GUIDE • THE CITIZEN
Serving rockdale & newton area over 16 Years!
Eastside Internal Medicine, LLC Board Certified, ameriCan Board of internal mediCine
Syed Wasim MD, MPH
Most Insurance Acceptedo! st Walk-Ins Welcome! i
Farhana Quasem MD
Masood Siddiquee MD, MRCP (U.K.)
• Hypertension/Diabetes/High Cholesterol • Women’s Wellness • Pap Smear • Drug Screens • Sports Physicals • Worker’s Comp Injuries • Asthma/Emphysema • Thyroid • Depression i •aMen’s Health • Erectile Dysfunction • STD Treatment • Minor Surgery • Heart Failure
On-Site Lab & X-Ray! Doctor on Call 24/7!
Hours: Monday-Friday 8:00am - 5:00pm • Saturday 8:00am - 12:00 noon MOST INSURANCE ACCEPTED
2080 Eastside Drive • Conyers, Georgia • 678-625-7800 THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 13
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PAIN MANAGEMENT
Newton Medical Center specializes in pain management The Interventional Pain Management Center at Newton Medical Center treats pain through a variety of procedures and treatments that are specific to the patient’s needs. Many common pains such as arthritis, pinched nerves, or pain in the neck, back or buttock can be treated at the Interventional Pain Management Center without the need for major surgery.
ARE YOU SUFFERING FROM THESE COMMON PAIN CONDITIONS? Arthritis: Symptoms may include aching or a stabbing pain in the lower back to hip. Pinched Nerve: May cause a toothache type pain and is often described as an electric bolt going from the neck to the arm or the low back to the leg. Broken Bone in the Back: Identified through severe pain that is localized in the back. Just lightly tapping the target area results in unbearable pain. Fractures in the spine are caused from a fall or picking up a heavy object. Spinal Stenosis: Described as aching, tired legs and cramping. The condition can
also result in numbness, pain, muscle weakness or problems with bowel or bladder function. Spinal Stenosis is caused from the narrowing of the open spaces within your spine, which can put pressure on your spinal cord and the nerves that travel through the spine.
RECEIVE A CORRECT DIAGNOSIS FROM THE START At your first consultation, Dr. Hanowell’s goal is finding the source of the problem and getting the correct diagnosis from the beginning. Dr. Hanowell will conduct a thorough physical examination and order imaging tests such as x-rays or an MRI. Even if patients have already had imaging done before, he will review the images himself to identify the problem areas that may be the source of the pain. START A PATIENT TAILORED TREATMENT PLAN Since every person’s pain is unique, a treatment plan will be tailored to the patient. The plan may include physical therapy and medications to help symptoms with a focus
on non-addictive medicine. Interventional treatments and minimally invasive procedures will be considered prior to pursuing major surgery that may include: • Epidural steroid injections for low back pain • Radiofrequency ablation for arthritis pain in the back or neck • MILD procedure for lumbar spinal stenosis • Spinal cord stimulation for chronic low back pain • Kyphoplasty or sacroplasty procedure for fractures in the spine • Interlaminar clamps for early spondylolisthesis also known as slipped vertebrae
GET CONTROL OVER YOUR PAIN Many people come into the Pain Center with miserable pain. For problems such as a broken bone in the back, the patient can feel relief from pain within 20 minutes of the procedure. Other treatments of course take longer for patients to respond, but the end goal is to be pain free or at least to have manageable pain so that patients can return to the life
they love, whether it be running, gardening or playing with your children or grandchildren. “I take pride in making people feel better. So many of our patients come to us not knowing why they are in pain or after they were misdiagnosed. It’s very gratifying to see someone feel relief from pain,” says Dr. Hanowell.
SCHEDULE AN APPOINTMENT TODAY! The Interventional Pain Management Center at Newton Medical Center is located inside the Knox Surgical Center at 5126 Hospital Drive in Covington. Most insurance companies do not require a referral. You can ask your doctor for a referral, but feel free to call directly. TO SCHEDULE AN APPOINTMENT CALL 770-385-4337.
MEET DR. HANOWELL As a fifth generation physician, who met his wife at medical school just like his parents, one could say that Dalton Hanowell, MD is doctor through and through. Dr. Hanowell is fellowship trained in pain management at Emory University School of Medicine in addition to his Anesthesiology Residency at Emory. As the Medical Director of Pain Management at Newton Medical Center, he works alongside his wife, Dr. Alison Hanowell. Together, the Hanowells spend their days helping people feel relief from pain and when away from work, their hobby is family. Just recently, the Hanowells welcomed a new baby boy, Brooks, into their family who joins Sophie, their five-year old, and Dalton and Tori, their three-year old twins.
14 • SUNDAY, JUNE 7, 2015 • PHYSICIANS GUIDE • THE CITIZEN
Dalton Hanowell, MD Medical Director Interventional Pain Management Center Newton Medical Center
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HEALTH INSURANCE
Long term care dilemma For the most part, prudent individuals insure things or situations that could leave them liable for large sums of money. Typically, one would not think of leaving their home, if it were uninsured; or drive their car without auto coverage; but so many people don’t protect against the more likely occurrence of needing long-term care. The odds of needing long term care in one’s lifetime are fifty percent. It is also surprising to note that that roughly half of all long term care happens to individuals under the age of sixty five. Individuals often think that their “major medical “ coverage will cover long term care; however it will only cover skilled care. When one
of unprotected long term care needs can be devastating on the entire family financially, emotionally and physically. Having a long term care policy in place is one of the most beautiful ways of extending your love and thoughtfulness to your children and grandchildren. Call today to find out how affordable this coverage really is for you and your loved ones.
needs custodial or unskilled care, only long term care policies will cover that. At costs of $25,000per year and up for assisted livings facilities
and $40,000 per year and up for skilled nursing homes it is easy to see how one’s nest egg could dwindle very rapidly. The consequences
Sheridan & Associates Rhonda Sheridan RN, BSN, CSA, CLTC Independent Broker Agent Phone: 770.760.9474
WE’RE HERE TO HELP
Health Insurance Needs?
We’re here to help.
Call us to find out what health coverage plans are still available in ‘off season” to protect you and your family. Afraid you will have large out of pocket expenses before you reach your deductible? We can help. Also We have “Gap” plans available to help out on health expenses incurred before you reach your deductible.
Rhonda Sheridan
RN, BSN, CSA, CLTC Independent Broker Agent
Group and Individual Medicare Plans & Part D Life & Long Term Care Coverage Call for a free review & consultation. House Calls and Evening and Saturday appointments available.
770-760-9474 983 O’Kelly St. Conyers, GA 30012
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CHIROPRACTIC
Golfer’s Elbow and Tennis Elbow Summer is upon us, so competitive athletes and weekend warriors alike are dusting off their clubs and racquets to resume their sport. Unfortunately the season can be cut short when pain at the elbow occurs. The level of pain can range from annoying to debilitating.Let’s take a brief look at golfer’s and tennis elbow. Golfer’s Elbow (Medial Epicondylitis) refers to the pain which occurs at the inside point of the elbow (medial epicondyle). This point is an attachment point for several muscles leading from your elbow to your hand involved with gripping and swinging a golf club. Golfer’s Elbow can be caused by any activity (not just golf) that requires forceful and or repeated bending of the wrist and fingers. For example: when the golfer swings his club, these flexor muscles and tendons of the arm tighten just before the club makes contact with the ball. Over time, this repeated action stresses the muscles, causing micro-tearing of the flexor tendons, and inflammation of the soft-tissues, most prominently at the insertion point at the inside of the elbow. Repeated over time, these muscles and tendons continue to be re-injured while previous small tears are still in the process of healing. These new injuries cause the body to lay down scar tissue between the muscle layers in an attempt to stabilize the injured soft-tissues, acting like a metabolic super-glue. This adhesive scar tissue forms attachments to adjacent layers of tissue and structures, and inhibits the normal movement or slide, essential to the normal function of these soft-tissue structures. This lack of smooth movement causes friction and generates an ongoing cycle of inflammation and scar tissue formation. Elbow injuries can also suggest a larger mechanical problem at work. Often athletes present for pain in one area that is actually injured due to compensation for poor mechanics elsewhere in the body. What is often the “source” of the pain (elbow), is not the total “cause” of the pain, which may be balance, core strength or mechanical faults which set the stage for bad elbow mechanics leading to pain at the medial elbow. Many patients who come to our clinic suffering from Golfer’s Elbow, also show these other common problems: • Rounded shoulders (anterior posture), and poor flexibility of the thoracic (mid back) spine and shoulders. • Restriction in the neck and low back limiting fluid golf swing mechanics. • Tight restricted hips which are causing abnormal motion patterns. • Poor balance.
Tennis Elbow is a painful condition at the outside point of the elbow that typically involves inflammation and irritation of the extensor muscles where they attaches at the lateral epicondyle. Pain occurs when gripping and swinging the racquet, or just shaking hands. The injury process for Tennis Elbow (lateral epicondylitis) is identical to Golfer’s Elbow (medial epicondylitis), however, for Tennis Elbow, the pain manifests on the outside point of the elbow. As with Golfer’s Elbow, Tennis Elbow can be caused by a variety of activities including any activity that involves repetitive gripping and supination and pronation (as when using a screw driver). Again, the overall body mechanics involved in the development of this condition should be evaluated. Treatment: In most cases, both Golfer’s Elbow and Tennis Elbow can be easily treated with Active Release Techniques, utilized at our office. This is especially true if the practitioner applies a whole body mechanical perspective to locate and treat any structures that are part of the larger whole. We utilize SFMA (Selective Functional Movement Analysis) to locate these areas, which we have discussed in previous articles. Equally important for full recovery, is an individually designed exercise and stretching routine that focuses upon all those factors limiting your performance. Both tennis and golfer’s elbow are common in the industrial manufacturing setting where repetitive reaching and gripping is required. Active Release is used in these settings as a part of a preventative treatment program for employees called Corporate Solutions. Please see our website at thackerchiropractic.com for more information. Also feel free to investigate activerelease.com, and functionalmovement.com. While on activerelease.com look for Dr.’s Mitch and Steve Thacker under the instructors tab. Of course, feel free to contact our office with any questions at 770-860-8333.
Thacker Chiropractic Clinic
THACKER CHIROPRACTIC E F F E C T I V E T R E AT M E N T F O R : Neck Pain Back Pain Sciatica Headaches
Tennis Elbow Golfers Elbow IT Band Syndrome Plantar Fasciitis
Rotator Cuff Syndrome Carpal Tunnel Syndrome Knee Pain Sports Injuries
We utilize all standard chiropractic methods, plus the most advanced soft tissue treatments including, Active Release Technique (ART), and Graston Technique. Now Accepting Auto Accident Patients
Most Insurance Plans Accepted
• Personalized Exercise & Rehabilitation Program • Industry Injury Prevention Programs 1927 Hwy. 138 • Suite 500 • Conyers 30013
770-860-8333
Call today for a free consultation to see if we can help! Dr. Steven Thacker
Dr. Mitchel Thacker
Board Certified Chiropractic Board Certified Sports Physician Chiropractic Orthopedist
THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 17
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GASTROENTEROLOGY
Reduce your risk for colorectal cancer
Colorectcal cancer is the third most commonly diagnosed cancer in both the United States and Canada. So say the American Cancer Society and the Canadian Cancer Society, who project nearly 60,000 Americans and Canadians will lose their lives to colorectal cancer in 2015 alone. Though many risk factors for colorectal cancer, including age, heredity and racial and ethnic background, are beyond an individual’s control, that does not mean people are helpless to reduce their risk for this potentially deadly disease. Maintaining or adopting a healthy lifestyle can reduce a person’s risk of developing various cancers, and colorectal cancer is no exception. The following are a few ways adults can reduce their chance of developing colorectal cancer. • Get screened. As is the case with many cancer treatments, colorectal cancer treatments are much more effective when cancer is detected and treated early. Colorectal cancer screenings help find polyps before they become
cancerous. In addition, people may not immediately associate symptoms of colorectal cancer with the disease, instead thinking such symptoms are indicative of a less serious illness or condition. Screenings can not only determine if those symptoms are a result of colorectal cancer but also find colorectal cancer before such symptoms even develop. • Reconsider your diet. Adopting a healthier diet is another way many men and women can reduce their risk for colorectal cancer. Red meat is a great source of many nutrients, including protein, iron and zinc. But studies have shown that a diet high in red meat increases a person’s risk for colorectal cancer, which may be due to chemicals known as nitrites forming when meat is digested or processed. • Cut back on alcohol consumption. The International Agency on Cancer Research notes that there is sufficient evidence linking alcohol consumption to colorectal cancer. Men and women who excessively consume
alcohol may be at greater risk of colorectal cancer because such consumers tend to have low levels of folic acid in the body. Many risk factors for colorectal cancer are beyond an individual’s control, but men and women still can take steps to significantly reduce their risk of developing this deadly disease. Our physicians at East Atlanta Gastroenterology are experts in performing diagnostic and
7229 Wheat Street Covington, GA 30014
therapeutic endoscopies. An endoscopy is a non-invasive exam of the digestive tract using a small fiberoptic camera or “endoscope.” Endoscopies are typically performed under IV sedation in an outpatient setting, and last no more than 30 minutes. Call us today at 770-922-0505 to schedule your colorectal cancer screening – it could save your life.
1269 Wellbrook Circle Conyers, GA 30012
1000 Cowles Clinic Way | Cypress Bldg., Suite C-300 | Greensboro, GA 30642
770-922-0505
WWW.EASTATLANTAGASTRO.COM
Monitored Anesthesia Care for Your Endoscopy Specializing in Digestive Diseases and Nutrition: n Colorectal Cancer Screening and Prevention n Esophageal and Swallowing Disorders n Gastro Esophageal Reflux Disease (GERD) n Inflammatory Bowel Disease n Pancreatic and Biliary Disorders n Non-Invasive Hemorrhoid Therapy
Fred A. Levin, MD FACP, FACG
A. Steven McIntosh, Karen L. Weiss-Schorr, MD, FACG MD
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David N. Socoloff, DO
Razvi M. Razack, MD
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FAMILY DENTISTRY
Why early childhood dental visits are important The sooner children begin getting regular dental checkups, the healthier their mouths will stay throughout their lives. Early checkups help prevent cavities and tooth decay, which can lead to pain, trouble concentrating and other medical issues. Youngsters with healthy teeth chew food easily, learn to speak clearly and smile with confidence. The American Dental Association and the American Academy of Pediatrics say that every child should visit a dentist by age 1 – or as soon as the first tooth appears. This “well baby visit” teaches parents and caregivers how to care for their
children’s teeth and help them remain cavity-free. For example, pediatric dentists see many young patients with cavities that came from falling asleep with a bottle of milk or juice. The dentist can tell the parent or caregiver: • Why this causes decay • The importance of encouraging children to drink milk, water and juice from a cup as they approach their first birthday • How to brush young teeth. Dentists also encourage mothers to stop on-demand nighttime breastfeeding, after the child’s first teeth come through. Tooth decay is the most
common chronic disease among children in the United States. The Centers for Disease Control and Prevention (CDC) reports that more than 40 percent of children have decay by the time they
reach kindergarten. Nearly 60 percent of elementary school-age children suffer from preventable dental decay. More than one in five have cavities in at least seven teeth.
The dental office of John Hendricks DDS and Melvin O. Baker DMD Our office focuses on preventive, restorative, and cosmetic dentistry for the entire family. Emergencies are welcomed. We accept most dental plans including Peach State and Medicaid.
Serving Covington and the surrounding areas for over 35 years 4168 Baker St. Covington, Ga. 30014 across from McDonalds on Hwy 278.
www.cfdga.com
770-787-2230 151695-1
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DERMATOLOGY
Tips for daily sun protection and skin cancer awareness
By Fiona Zwald MD, MRCPI Board Certified Dermatologist Fellowship Trained Mohs surgeon
Despite numerous volunteer campaigns and initiatives for increasing public awareness on sun protection and skin cancer screening, the incidence of skin cancer continues to rise. Skin cancer includes basal cell carcinoma (most common), squamous cell carcinoma and melanoma. 1. What are the types of skin cancer? Basal cell carcinoma is the most common type of skin cancer appears on sun exposed skin usually as a small red bump or patch and rarely metastasizes. Squamous cell carcinoma is the second most common skin cancer in the general population, but is the most common in organ transplant recipients. It appears on sun exposed skin as a red, scaly patch and may metastasize. Melanoma is the skin cancer with the worst prognosis and
can appear on sun exposed and non sun exposed skin. The first indicator of a concern for melanoma, is a mole that has changed color and has increased in size with an irregular border. The rate of metastasis of melanoma depends on the depth of the lesion, so making the diagnosis early in the growth of the melanoma is important. Sun protection and skin cancer screening examinations are a MUST! 2. Who is at risk for skin cancer? People who have fair or easily burned skin, blue or green eyes, red or naturally blond hair, extensive freckling and a history of extensive outdoor sun exposure through work or recreation are at risk for developing skin cancer. A prior history or family history of skin cancer is also a risk factor. Certain patients who are immunosuppressed from an organ transplant or lifelong immunosuppression
20 • SUNDAY, JUNE 7, 2015 • PHYSICIANS GUIDE • THE CITIZEN
for a medical condition are at also high risk for developing skin cancer. 3. What can one do to prevent skin cancer? Sun protection with application of sunscreens and sun avoidance is important to prevent the development of skin cancer. Once a month skin self examination looking for any lesions that are new, changed in size or color or lesions that have turned red or bled and not gone away, is also helpful. Enlist the help of a family member when you examine your skin. Everyone should have a yearly skin examination for skin cancer screening by their dermatologist, to help determine who is at risk for skin cancer. The dermatologist can also inform you what to look out for when you examine your skin for suspicious lesions or moles. If you suspect you may have a skin cancer make an appointment with your board certified dermatologist as soon as possible. Early treatment of skin cancer and pre skin cancer is key. 4. What sunscreen do I use and how/when do I apply it? Everyone should apply a broad spectrum sunscreen, SPF >45, preferably one that contains a physical sunscreen, e.g zinc or titanium dioxide, as they are less irritating to those with sensitive skin. Chemical sunscreens offer excellent protection but may cause redness and irritation in those with sensitive skin types. Fragrance should be avoided as this
may aggravate an existing allergy or irritation. Most broad spectrum sunscreens (protect from UVA and UVB rays) are light in formulation and easy to apply. Sprays are now available for ease of application, especially for children. Sun screen should be applied liberally on all sun exposed sites at least 20 minutes before going out into the sun. Reapply every two hours. 5. What are other ways I can protect myself from the sun? As well as applying sunscreen, limit out-door activities between 10am and 4pm. Many companies provide sun protective clothing for those at high risk for skin cancer; however, wearing a long sleeved shirt, long pants or broad brimmed hat also protects against sun burn and sun damage. Clothes with tightly woven fabric protect against the sun. Special clothes with SPF are also available. Artificial tanning salons should be avoided! Contrary to popular opinion, UV light in tanning salons is not regulated and light skin patients will easily burn. Finally, it is important to get outside and enjoy the summer - just protect yourself! A sun tan does not protect you against skin cancer. Do not forget to wear sun protective clothing and re-apply your sunscreen. And if you are concerned about a changing mole or red spot that does not go away, make an appointment today with your board certified dermatologist for a skin check.
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HEALTH INSURANCE
Disability strikes without warning
By Beth Slaughter Sexton Staff Correspondent Jiles Parham has an evangelist’s zeal when it comes to warning people about planning for life’s unexpected and unforeseen events. “Life doesn’t stop at disability,” Parham said. “How would you cover your bills? When you plan ahead, you can protect your income. Most of us would not dream of not insuring our house and yet, most of us never have a house fire. Of course, by law we’ve got to insure our cars. But we don’t insure our most valuable asset-the ability to earn a living. That’s what disability income does.” Founder of The Financial Track,
Parham has helped clients for more than three decades plan and prepare for a range of financial needs, including life’s unexpected twists and turns, such as suffering a disability. “Disability doesn’t announce itself ahead of time,” Parham said. “It strikes out of nowhere and can be financially and emotionally devastating. It does not discriminate. It can strike regardless of age, occupation or income level.” Parham says many people simply think it won’t happen to them while others associate disability with accidents. “Ninety percent (of disabilities) are caused by illnesses rather than accidents,” Parham said. “A recent industry survey found that fewer than 10 percent of long-time disabilities resulted from an accident. The biggest cause of disability is muscular skeletal problems, such as chronic back trouble.” Parham said many people often take their future income for granted. “What do you do when your income stops?” he asks. “Life is good. You’re fortunate to have good health, a good income and a comfortable lifestyle. But the question is what if all of these
were taken away from you with a disabling sickness or injury? It happens every day. No one expects it and unfortunately many have not planned for it.” Parham helps clients by preparing customized disability insurance plans that can replace a portion of their income and maintain their lifestyle in the event of a disability. “How long could you live with no income-weeks, months, years?” he asks. “Life doesn’t stop at disability. The basic needs continue-food, clothing, shelter-even after our ability to provide has been cut off. Long-term disability can be financially devastating when no money is coming in.” He said no one can predict whether disability will strike them, but they can take steps to prepare for such a devastating time. He said the time to prepare is now because once a person is disabled, few options are available for long-term help. “Statistically, if you are a 40-year-old making $4,000, a month, if you did not become disabled, you could earn more than $1.4 million by the age of 70,” Parham said. “With disability insurance, we can replace 60 percent
of that.” In addition to muscular skeletal problems, such as back pain, neck pain, arthritis and osteoporosis, other top disabilities include multiple sclerosis, epilepsy, Alzheimer’s and other nervous system disorders. High blood pressure, strokes, heart disease, cancer, mental disorders and dozens of other illnesses and conditions also make the list of common disabilities. Parham shares the results of an industry survey showing that 65 percent of American workers would not be able to cover their normal living expenses for a year if they were unable to work following a disability. The study also shows that one in five workers would be disabled for five years or more. In addition, he said studies show every 90 seconds, someone files for bankruptcy in the wake of serious injury. “You can’t predict if disability will strike you or not, but you can prepare with a customized insurance plan,” Parham said. For more information, call Parham at The Financial Track at 678-374-2821 or 229-395-6243 or email him at jilesmag@gmail.com.
REMEMBER, IT IS YOUR MONEY...
THE FINANCIAL TRACK I WORK FOR YOU!
Group Health and Employee Benefits Specialist Individual Life, Health, Dental, and Disability CALL ME TODAY!
253946-1
678-374-2821 or cell 229-395-6243 Jiles Parham, CLU • jilesmag@gmail.com • thefinancialtrack.com
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HOME HEALTH
Case Management is Key to Avoiding Readmissions
By Beth Slaughter Sexton Staff Correspondent Whether a patient understands his or her program of treatment when they leave the hospital often determines if and when they might return. Rockdale Medical Center (RMC) case managers work with each patient as they prepare their discharge plans with the goal of helping them avoid readmission. Case managers assist with a range of needs from organizing dialysis treatments, to arranging for home health care, helping a patient get medical equipment, as well as making sure they understand their medications. Case managers also help patients who are in need of skilled rehabilitation services
and even hospice care. “When a patient needs additional support when they leave the hospital, the services our case managers offer can help them avoid a readmission,” says Jacquelyn Paynter, director of case management for RMC. “We do find that getting their treatment therapy after they leave the hospital and having a skilled home health care provider see them helps to avoid a readmission.” Paynter said it is important for patients to understand their medications, in addition to how to avoid a relapse for chronic lung disease, chronic heart disease, diabetes and other such conditions. “Continuing to help the patient and teach the patient how to take care of themselves requires additional care
beyond the hospital stay,” Paynter added. While helping patients understand their medications, Paynter said it is also important for the case manager to connect the patient to their primary care physician. “That’s the second key thing,” Paynter said. “We make sure they have an appointment with that physician soon after they leave the hospital. We communicate with the physician about the patient’s discharge and what happened during their hospital stay. If a patient doesn’t have a physician, we help them identify a physician to see. We help them with appointments.” Paynter said case managers work with the patient to promote an understanding of what to do once the patient gets home. With this individual attention, she said it helps many patients avoid readmission to the hospital. They are able to handle their treatment plan at home and if they need help, RMC case managers are there to assist them find what they need. As in all other aspects of RMC’s relationship with the patients it serves, the attitude of the staff and the mission statement published by the hospital is to treat each patient as if he or she were a member of the family.
Paynter said the case managers get to know their patients and work to serve the needs they might have following their discharge from the hospital. In a related area, RMC also sponsors a Healthy At Home program in which paramedics assist patients at risk for readmission to the hospital. Patients who go to the emergency room because they don’t have a primary doctor, or if the ER is where they go for health care as well as emergency needs, are identified to take part in the Healthy At Home program. These are patients who get home and are in need of help in managing their own care. A special grant provides funds for a number of patients to receive home visits from National EMS paramedics. The hospital case manager identifies certain of these patients at risk for readmission when they are in the hospital and they are referred to the National EMS paramedics, who arrange a home visit with the patients. The goal is to help these patients manage a chronic condition rather than come in and out of the emergency room, Paynter said. Paramedics might help patients at home with breathing treatments, blood work, perform EKGs or contact the patient’s physician to discuss medication dosages or adjustments to treatments.
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ROCKDALE/NEWTON CITIZEN PHYSICIANS GUIDE
NURSING
Rockdale Medical Center nurses treat patients like family By Beth Slaughter Sexton, Staff Correspondent
“We like to treat our patients like family. The compassion and caring of nurses at Rockdale is at a very high level...These nurses mostly live in this community, so they know a lot of the patients.” – Susan Rieger Kill, Director of In-Patient Services for RMC Kill, director of in-patient services for RMC said many of the hospital’s nurses are Rockdale Medical Center Nurses working toward becoming certified in specialty areas. While much has changed through the “It’s an intensive course of study ages regarding medical technology and with a big exam,” she added. treatment, certain truths have held fast. Two RMC nurses were recognized this spring In her “Notes on Nursing,” the founder of during the statewide Celebrate Nurses event the modern nursing profession, Florence held at the Galleria in Cobb County. The judges Nightingale had this to say in the 1800s about considered nominations from patients and medicine and the nurses at its forefront: peers as they presented Nursing Excellence So it is with medicine; the function of an organ Awards to RMC nurses Kathryn Mattson, becomes obstructed; medicine so far as we RN, BSN and Michelle Cumberbatch, RN. know, assists nature to remove the obstruction, “We are honored that two of our nurses were but does nothing more. And what nursing has recognized during this program,” Kill said. to do in either case, is to put the patient in the As does most medical centers, RMC best condition for nature to act upon him.” has nurses who are trained for specific Nurses at Rockdale Medical Center (RMC) are needs. Surgical floor nurses work in a experts in knowing how to “put the patient in fast-paced environment, Kill said. the best condition” for recovery and healing. “The surgical floor nurse is keenly involved in “I think what is most prevalent at Rockdale is we post-op recovery,” she added. “They will receive do live our mission,” Susan Rieger Kill, RN said. the patient from the PACU (post-anesthesia When they choose their profession, nurses know care unit). What they do is monitor the patient to expect a great deal of studying, test taking and for any delayed responses from anesthesia working hard to maintain certifications throughout and monitor the patient’s surgical wound.” their career. While education and certifications Kill said the nurses watch for any complications are vital, perhaps it is the relationship the that might arise, as well as helping the patients nurse has with the patient and his or her manage post-surgical pain. While a patient family that make a difficult job worthwhile. might have come in for a knee replacement or mastectomy, the surgical floor nurses have to be knowledgeable about those surgeries in addition to any diseases or conditions the patient had before surgery, such as renal disease or other problems and monitor those conditions, as well. “Depending on the type of surgery, they try to get the patients up and out of bed as soon as possible and help them begin breathing exercises to expand their lungs,” Kill said. “They have to be the patient’s coach.” Surgical floor nurses also monitor the patient’s nutrition and make sure they stay hydrated. “They educate, teach, monitor, medicate
and explain things to the family because the patient is often drowsy,” Kill said. “...This nurse has to tie all the pieces together.” On medical floor units, Kill said the nurses are often certified in a particular specialty, such as renal care or respiratory care. “These nurses typically tend to focus on certain systems of the body and have a strong understanding of the patient, including those having pre-existing cardiac disease or mental health diseases, such as Alzheimer’s or Parkinson’s,” Kill said. “Patients come in with pre-existing states and we have to take care of the symptoms and the problems they’ve come in for, as well as any pre-existing conditions.” Kill said the focus of the medical floor nurse is to return the patient to optimum health and avoid having any problems associated with their pre-existing health concerns. “The focus is on the patient and families and setting goals that help patients move toward discharge,” Kill said. She also talked about another medical unit-the cancer care unit. “We usually see patients while they’re under going therapy and radiation,” Kill said. “That’s a special population we care for here. Typically in the medical oncology unit, the patients struggle with nausea and have a suppressed immune system, so they’re very special patients.” As director of in-patient services, Kill is responsible for the intensive care units, the medical telemetry unit, medical oncology and surgical east units. In addition, RMC has nurses who staff all the other departments throughout the center, including the birth center, operating room and emergency room, to name a few. A nurse for 35 years, Kill grew up in a medical family. Her father was a pediatrician and her mother was an emergency room nurse. She grew up going on rounds with her father, but says it was not until she went to the hospital with him one day that she knew what she wanted to be when she grew up. “I stayed in the lobby and watched everything going on around me and it was then I decided I wanted to be a nurse,” she said. Kill and the other nurses at RMC embrace the mission statement of the hospital, which is to treat everyone in the facility as if they were family members. The nursing division also strives to achieve its stated personal mission which is “to promote, restore, and maintain the health of all the patients we serve.”
Rockdale Medical Center 1412 Milstead Avenue Conyers, GA 30012 • 770-918-3000 26 • SUNDAY, JUNE 7, 2015 • PHYSICIANS GUIDE • THE CITIZEN
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ROCKDALE/NEWTON CITIZEN PHYSICIANS GUIDE
SENIOR LIVING/OPHTHALMOLOGY
Make yourself at home at Remington House Remington House combines the conveniences of home with the luxuries of resort-style community living. It’s the little things that matter in life. Living life independently at a Senior Lifestyle community gives you the opportunity to enjoy the freedom to do the things you want to do, when you want to do them. The choices are yours everyday. The staff provides a hospitalitystyled atmosphere for their residents while providing around-theclock care. Our residents can stop by the billiards room for a game of pool, choose a book from our library or join a game of bridge in our card room. For more physical activity, they can visit our state-of-the art exercise center or participate in a daily exercise class, led by our Activities Coordinator who was an entertainer in the army. Our community has a chapel, craft room, beauty/barber shop and mov-
ie theatre. There is a skilled nursing facility next door and lots of wonderful activities and events. Our residents have three separate dining rooms to choose from, where they enjoy fresh, locally sourced meals with friends and family. Our menu reflects our Southern Heritage artfully prepared by our experienced chefs, special orders included! At Remington House dining is an integral part of the resident experience and we do everything to ensure you are delighted with your choices. After dinner our residents can take a stroll along the walking paths in our beautifully landscaped courtyard. If our residents ever want or need to venture out of our community, our transportation service can take them to church, the mall, the movies, museums, restaurants and the area’s best hospitals. Our van has a lift to make the trip easier. Call Remington House today at 888-421-3688 to schedule a tour.
Difference between an Ophthalmologist, Optometrist and Optician OPTHAMOLGIST - An ophthalmologist — Eye M.D. — is a medical or osteopathic doctor who specializes in eye and vision care. Ophthalmologists differ from optometrists and opticians in their levels of training and in what they can diagnose and treat. As a medical doctor who has completed college and at least eight years of additional medical training, an ophthalmologist is licensed to practice medicine and surgery. An ophthalmologist diagnoses and treats all eye diseases, performs eye surgery and prescribes and fits eyeglasses and contact lenses to correct vision problems. Many ophthalmologists are also involved in scientific research on the causes and cures for eye diseases and vision disorders. OPTOMETRIST - Optometrists are healthcare professionals who provide primary vision care ranging from sight testing and correction to the diagnosis, treatment, and manage-
Jose Bigles, MD Cataract & Refractive Surgery
ment of vision changes. An optometrist is not a medical doctor. An optometrist receives a doctor of optometry (OD) degree after completing four years of optometry school, preceded by three years or more years of college. They are licensed to practice optometry, which primarily involves performing eye exams and vision tests, prescribing and dispensing corrective lenses, detecting certain eye abnormalities, and prescribing medications for certain eye diseases. OPTICIAN - Opticians are technicians trained to design, verify and fit eyeglass lenses and frames, contact lenses, and other devices to correct eyesight. They use prescriptions supplied by ophthalmologists, who are medical doctors and surgeons or optometrists, but do not test vision or write prescriptions for visual correction. Opticians are not permitted to diagnose or treat eye diseases.
Jack Manns, MD Glaucoma & Comprehensive Ophthalmology
Jaymini Nayee, OD Optometry & Contact Lens Care
Georgia Ophthalmologists, LLC 4159 Mill St NE Covington GA 30014 770-786-1234
georgiavisioncare.com THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 27
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WOMEN'S HEALTH
Urogynecology and Gynecology Care Every day, millions of women silently wrestle with issues that cause untold embarrassment, inconvenience and discomfort. While many people think that urinary and fecal incontinence and pelvic organ prolapse are uncommon issues, affecting only a small number of elderly or disabled women, the truth is that these issues are remarkably common. In fact, data from Yale University shows that about 35% of women who visit their gynecologist’s office for routine care have urinary incontinence (UI), while 40% experience moderate to severe pelvic organ prolapse. Prolapse and incontinence frequently occur together. And, indeed, pelvic floor conditions are more common than hypertension, depression, or diabetes in women. Yet, if you’re like many women, seeking help for these conditions can be a source of embarrassment or fear - or even hopelessness. The stigma of Ul and other pelvic floor conditions is enough to keep many women from admitting their concerns, even to their own physicians. And living with these conditions can be devastating psychologically,
as well as socially, emotionally and physically. The good news is that, while problems like these are common, they aren’t considered normal or inevitable, regardless of age or health , and many effective forms of treatment are available. The field of urogynecology is a specialized area of both urology and gynecology that focuses on treating women who are faced with these sensitive issues. Urogynecologists receive extensive training in the treatment of conditions that affect the female pelvic organs, as well as the muscles and connective tissue that support these organs. Treatment for incontinence and prolapse - protrusion of the bladder or vagina from your body - can be either non-surgical or surgical. The first step in getting help is to see a physician who has experience treating these types of conditions and learn about what may be causing your problem. Your doctor will ask questions about your symptoms and medical history, conduct a physical exam, and discuss with you which tests are appropriate. Your physical examine may reveal signs of medical
conditions that can cause incontinence, like treatable blockages from bowel or pelvic growths. Tests may include an ultrasound, cystoscopy (using a tiny camera to see inside your urethra and bladder), a urinalysis, and urodynamics to measure pressure in the bladder and the flow of urine. Depending upon your diagnosis, the severity of your symptoms and your overall health , your physician may recommend conservative, non-surgical therapies as the first approach to treat your pelvic floor disorder. These include medications, pelvic muscle exercise, lifestyle and dietary modifications, use of a vaginal support device called a pessary, and biofeedback. If your condition doesn’t improve, your doctor may suggest surgery. Many of the available surgical procedures for incontinence and prolapse are minimally invasive, including some robotic-assisted surgeries that may offer a more effective treatment opt ion. Using tiny, 1-2 cm incisions, your surgeon can operate with greater precision and control, so your recovery is faster and less painful, with a better clinical outcome.
These are just some of the procedures your doctor may consider to treat your incontinence or prolapse. Of course, your physician’s recommendations will depend on your diagnosis.
If you’re one of the millions of women faced with the embarrassment and discomfort of !incontinence or prolapse, rest assured there are solutions. Schedule an appointment to see your gynecologist today to discuss your situation and your options.
SOME COMMON UROGYNECOLOGIC SURGERIES AND PROCEDURES INCLUDE:
2750 Owens Drive Suite A • Conyers, GA
Providing Individualized Care for Women
If you don’t have a gynecologist, get to know Dr. Stephanie Gordon of The Women’s Center in Conyers. At the Women’s Center, Dr. Gordon and her staff are uniquely trained to help you. They understand the sensitive and difficult nature of the many different problems that a woman can face during her life. Whatever problem you are experiencing, Dr. Gordon and her staff will listen compassionately and work together to create a solution that’s perfect for you.
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• Suburethral slings - small mesh slings placed under the urethra to help prevent urinary leaks. • Sacrocolpopexy - a robotic-assisted procedure to surgically correct vaginal vault prolapse where mesh holds the vagina in the correct anatomical position. • Periurethral and transurethral bulking - injections for treatment of stress urinary incontinence. • Interstim neuromodulation - a technique that electrically stimulates the nerves that influence the bladder, used to treat urge incontinence and bladder frequency and urgency. • Vaginal reconstruction for prolapse, with or without mesh implantation. • Botox therapy - injections to help block the unwanted contractions of an overactive bladder, while leaving surrounding muscles able to function properly.
A better healthcare experience for women
TODAY
STEPHANIE GORDON, MD
TRENT RICE, MD
MARCIA HARMON, CNM
Urogynecology and Gynecological Surgery - Bladder Problems and Incontinence - Well Women Health Care and Comprehensive Annual Exams - Pap Smears, Breast Exams, and InOffice Ultrasounds - Full range of Contraception Options - Menopausal Management –Traditional and Alternative - Adolescent and Pediatric Gynecology - Infertility Workups
- Hormone Replacement Therapy - Treatment for Fibroids, Endometriosis, - Abnormal Bleeding, and Ovarian Cysts - Osteoporosis Screening and Treatment - Screening for Sexually Transmitted Diseases. - Fecal Incontinence Evaluation and Treatment
Procedures We Provide • DaVinci Robotics Gynecological Surgery • Traditional Abdominal Hysterectomy, Vaginal Hysterectomy, and Laparoscopic Assisted Hysterectomy • Myomectomy for Fibroid Tumors
• In-office ESSURE Tubal Ligation • Laparoscopic Surgery for Ovarian Problems, Endometriosis, Tubal and Adhesive Diseases • Hysteroscopic Surgery • Colposcopies for Abnormal Pap Smears and LEEP Procedures
LAN VU, NP
CONYERS 2750 Owens Drive Suite A 678-413-4644
Providing Individualized Care for Women MARIA EPLING, NP
• Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder and Bowel Leakage • In-office Endometrial Ablation for Excessive Menstrual Bleeding • Laser Surgery
STOCKBRIDGE Newly Expanded Office 140 Eagles Spring Court 770-302-0878 Appointments readily available that will fit into your busy schedule. Most major medical insurance accepted
Please visit our website at womenscenterga.com for all the information you need about our office! THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 29
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ROCKDALE/NEWTON CITIZEN PHYSICIANS GUIDE
PERSONALIZED HEALTH CARE
MDVIP’s Dr. Manning makes health care personal By Beth Slaughter Sexton Staff Correspondent Having a doctor’s personal cell phone number in case a patient needs to reach him after hours or on weekends is almost unheard of in today’s health care climate. And yet, having that kind of access is just one of the many benefits patients are discovering as they opt for the MDVIP (Medical Doctor Value In Prevention) style of medical care introduced more than a year ago in this area by Dr. Michael Manning. Patients of all incomes and backgrounds have discovered this advancement in personal health care now offered in Rockdale, Newton and their surrounding counties. The MDVIP style of individual medical attention has grown significantly since Manning introduced the program to this region a year and a half ago. “It’s a great way to practice medicine-not only for myself,
but most importantly, for the patients,” Manning said. Manning, a board certified family physician at Bridgewater Family Practice in Conyers, is part of the MDVIP system of health care founded more than a decade ago in the U.S. which offers individualized service. It is a type of concierge medicine focusing on the prevention of diseases and conditions, as well as treating patients who have a range of health needs. While some might equate concierge medicine with something only rich people can afford, Manning has patients who span all socioeconomic levels. With a fee around $130 a month, an MDVIP patient pays about the same for such specialized medical attention as they might pay for cable or satellite TV or a cell phone bill each month. Although MDVIP fees are not covered under most insurance plans, patients who have a health savings account (HSA) can usually get their monthly fees reimbursed, the doctor said. The fee includes a thorough examination that involves standard and specialized medical tests and screenings given to the patient over a two-week period. This requires two visits with the doctor during a span two weeks with each visit taking about one and one-half hours each. Manning, who has been in practice in Conyers for many years said offering the MDVIP service allows him to spend much more time with his patients than ever before.
“We try to do preventative medicine,” the doctor said, adding that in addition to getting such conditions as diabetes under control, he seeks to go a step prior to that to help patients prevent such diseases from ever taking hold. Screenings, specialized tests and the ability to use the latest technology help Manning identify patients at risk for specific diseases and take steps to keep those patients healthy. One such specialized procedure provides a marker for inflammation in the arteries, which was developed at the renown Cleveland Heart Clinic, the doctor said. “By doing that along with other markers and screenings, family history, social behaviors such as lifestyle and other factors-doing those kinds of screenings and assessing a patient’s risk makes a difference,” Manning said. He cited a study of 200,000 MDVIP patients compared to a non-MDVIP controlled population group which shows doctors have been able to reduce heart disease by 11 percent in the MDVIP group. “There’s some good evidence that what we’re doing is saving lives,” Manning said. “It obviously saves a fair amount of money too when you look at the cost to the family. To prevent the first heart attack is much better than treating it after the fact.” The MDVIP program has grown significantly in patients and doctors since it began more than 14 years ago. Manning said when he joined MDVIP there were 500 doctors and today that number has grown to more than 800. In addition to such personal and specialized health care, Manning said his patients can call him at any time.
“I take my own calls, basically, which means my patients have my cell phone after hours,” the doctor said. “They call me directly. They don’t call an answering service. Patients know they can get in touch with me right away and there’s a great advantage to that. Even if they are traveling, they can call my cell phone and if it’s something I can’t handle over the phone, I call the nearest MDVIP to them and they get them right in. There is a travel benefit with the MDVIP network across the country.”
The ability for a patient to see Manning right away is crucial, he said, particularly for those who have such conditions as chronic obstructive pulmonary disease, or COPD, a serious lung disease. He said seeing and treating a COPD patient when problems first flare up might prevent that patient from ending up in the hospital. The same is true for patients managing many other serious diseases. The sooner they can be treated by the doctor, the better the outcome. Manning invites anyone who is interested in learning more about the MDVIP service to contact him and set up a time to meet with him. This is what Manning calls a “meet and greet” and he emphasizes there is no charge for this visit. “We can sit down and talk and review their health,” he said. “I’ll tell them what the program is all about and they can have a face-to-face meeting with me and decide if this is what they want to do.” For more information please call 678-413-7979.
Board certified in Family Practice, Dr. Manning has practiced in the Rockdale/ Newton area for over 20 years. He attended Emory University and completed his Family Practice residency training at the University of Kansas Medical Center in Kansas City, Kansas. He sees persons of all ages and particularly enjoys practicing preventative medicine with his patients. Dr. Manning has been leading our staff in Quality Improvements and the path to a Patient Centered Medical Home.
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Welcome to Personalized Health Care Tailored to Meet Your Needs! Get a whole new lease on life and enjoy active carefree healthy living! Prevention Program Includes: • Pre health risk assessment • Extensive Physical Exams
• Specific Screenings & Tests • Yearly Physicals • Home Visits
“Focus is on Preventative Medicine and preventing heart attacks and cancer.” Call today for more information on this prevention program.
2215 Exchange Place, SE Conyers, Ga. 30013
678-413-7979
253632-1
THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 31
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GYNECOLOGY
Dr. Lyons an expert in the diagnosis and treatment of endometriosis joins Advanced Gynecology Associates By Beth Slaughter Sexton Staff Correspondent Professional football’s loss is medicine’s gain. Former Denver Broncos lineman Dr. Tom Lyons has joined the practice of Advanced Gynecology Associates in Conyers. In the decades after making a name for himself in professional sports, the doctor has become even more renown in the field of medicine. A National Football Hall of Fame scholar athlete in 1971, Lyons played six seasons for the Denver Broncos while simultaneously attending the University of Colorado’s medical school. Since 1980, Lyons has received numerous awards for his breakthroughs in gynecologic surgery and is considered a surgical pioneer so much so that an Internet search reveals pages of professional accomplishments and accolades about the doctor from dozens of websites, including a lengthy description in the on-line encyclopedia Wikipedia. This spring, Lyons joined the practice of Advanced Gynecology where he works alongside Dr. Holly Imlach and others in caring for the needs of women throughout Rockdale, Newton and surrounding counties. His pioneering specialty is minimally invasive surgery in which women can have a hysterectomy or other procedure through a small incision with the use of special medical equipment, such as the da Vinci robotic surgical system offered at Advanced Gynecology. A native of Atlanta, Lyons grew up attending Georgia Military Academy, which was then called Woodward Academy. After high school graduation, he headed to Athens for his undergraduate and graduate degrees in clinical
bio-psychology while continuing his meteoric rise as a football star at the University of Georgia. The doctor was one of only 18 recipients selected for the first class of honorees receiving the UGA Graduate School Alumni of Distinction Award in 2013. A football standout even as a high school player at Woodward, Lyons said he never planned to play professionally. “It was a big part of my life for a long time,” he said. “It paid my way through college and medical school.” Lyons was inducted into the Georgia Sports Hall of Fame in 1986, and ten years later won the NCAA Silver Anniversary Award given to people who have developed significantly in their field of endeavor after a top performance as an NCAA athlete. Nominated by UGA, Lyons is only the second UGA graduate to receive this award. In 1999, the UGA Athletic Association inducted Lyons into the Circle of Honor, the highest tribute paid to former Bulldog athletes. He also received the Bill Hartman Award in 2001, which recognizes former UGA student athletes who have demonstrated excellence in their profession by 20 or more years of superior performance after graduation. A member of UGA’s wrestling squad, Lyons was an offensive lineman when he played for the
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Bulldog football team. He was selected to play for the Denver Broncos in the 1971 NFL draft and played six seasons with the team. When a new coach was hired, he called in Lyons to ask if he planned to continue to play. By this time Lyons had decided he wanted to become a doctor. When the coach asked if he would stay with the team if he could also attend medical school, Lyons agreed. The NFL offensive lineman went to medical school full time at the University of Colorado. As a side note, an avid pianist, Lyons once served as guest conductor of the Denver Symphony Orchestra while living in Colorado. While his career as a professional football player is certainly notable, Lyons’ work in the field of medicine is nothing short of stellar. He received his medical degree in 1977, and came back to Atlanta to work for several years before moving to Athens and practicing obstetrics and gynecology from 1981-1993. During that time he was the team physician for the Lady Dogs’ athletic teams and in 1991, Lyons received the Gladys Gunnells Award for service. He moved back to Atlanta and for many years worked as a gynecologist and delivered babies while focusing on his specialty of minimally invasive surgery. When he began plans to move out of Atlanta, friends who live in this area encouraged him to move here. Lyons and his wife Cheryl, a school teacher bought a home in Oxford. They are the parents of three sons, one of whom died last year from colon cancer. Another son works in video production in Los Angeles, Calif. and their third son is an ensign in the U.S. Navy in Bethesda,
Md., and about to follow in his father’s footsteps and graduate from medical school. Lyons is a surgical pioneer who has received numerous awards in the medical field. He authored the Laparoscopic Supracervical Hysterectomy, or the LSH procedure as it is commonly called. He developed the Laparoscopic Burch procedure for stress urinary incontinence. His area of research involves surgical devices and procedures, multiple activities in the area of adhesion prevention, endometriosis, tissue removal, vascular occlusion, dysfunctional uterine bleeding, managing menopausal symptomology and female surgical sterilization. For more than three decades, Lyons has been considered an expert in the diagnosis and treatment of endometriosis. He dedicated his career not only to women’s healthcare, but to the education and training of gynecologists, especially in the area of minimally invasive surgery. Lyons has been a participant in many academic and clinical studies and authored more than 150 scholarly publications, including “What to Do When the Doctor Says It’s Endometriosis” and “Everything You Need to Know to Stop the Pain and Heal Your Fertility.” Lyons is director of the Southeastern Institute for Endoscopic Laser Surgery in Atlanta; a clinical associate professor at Emory University Medical School; an adjunct assistant professor at UGA’s School of Veterinary Medicine; honorary professor of Kulakov Institute for Perinatology and Gynecology in Moscow, Russia and director from 1997 to the present of the AAGL/SRS Fellowship in Endoscopic Pelvic and Reconstructive Surgery.
Welcome! Dr. Thomas L. Lyons – Pioneer in Gynecologic Surgery
An Affiliate of Rockdale Medical Center
At ADVANCED GYNECOLOGY ASSOCIATES we seek to provide the highest level of patient care through our state-of-the-art technologies
Globally renowned gynecologic surgeon, Thomas L. Lyons, MD Now with Advanced Gynecology Associates.
Providing care for problems including: • Endometriosis • Ovarian cysts or masses • Urinary stress incontinence or loss of bladder control, in addition to other pelvic relaxation problems • Pelvic inflammatory diseases (P.I.D) • Uterine fibroids or benign fibroid tumors • Ovarian or uterine cancer • Infertility or reproductive disorders • Adhesive Diseases • Developed Laparoscopic Supercervical Hysterectomy You may email Dr. Lyons directly at cwcrs@mindspring.com. For further information on Dr. Lyons, please visit his website, www.thomasllyons.com.
1380 Milstead Avenue NE, Suite E, Conyers, GA 30012
678-609-4913
www.advgynassoc.com
Holly Imlach, MD
Erin Mayfield, DO
Gynecology & Gynecologic Surgery
Gynecology
1380 Milstead Avenue NE, Suite E, Conyers, GA 30012
5154 Cook Street Northeast, Covington
678-609-4913 770-788-1778 THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 33
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DENTAL SURGERY
Dental implants: surgery, risks, and insurance What Are Dental Implants? Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth. What Are the Advantages of Dental Implants? There are many advantages to dental implants, including: • Improved appearance. Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent. • Improved speech. With poorfitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip. • Improved comfort. Implants eliminate the discomfort of removable dentures. • Easier eating. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain. • Improved self-esteem. Dental implants can give you back your smile and help you feel better about yourself. • Improved oral health. Dental implants don’t require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene. • Durability. Implants are very durable and will last many years. With good care, many
implants last a lifetime. • Convenience. Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place. How Successful Are Dental Implants? Success rates of dental implants vary, depending on where in the jaw the implants are placed but, in general, dental implants have a success rate of up to 98%. With proper care (see below), implants can last a lifetime. Can Anyone Get Dental Implants? In most cases, anyone healthy enough to undergo a routine dental extraction or oral surgery can be considered for a dental implant. Patients should have healthy gums and enough bone to hold the implant. They also must be committed to good oral hygiene and regular dental visits. Heavy smokers, people suffering from uncontrolled chronic disorders -- such as diabetes or heart disease -- or patients who have had radiation therapy to the head/neck area need to be evaluated on an individual basis. If you are considering implants, talk to your dentist to see if they are right for you. Does Insurance Cover the Cost of Dental Implants? In general, dental implants are not covered by dental insurance at this time. Coverage under your medical plan may be possible, depending on the insurance plan and/or cause of tooth loss. Detailed questions about your individual needs and
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how they relate to insurance should be discussed with your dentist and insurance provider. What Is Involved in Getting a Dental Implant? The first step is the development of an individualized treatment plan. The plan addresses your specific needs and is prepared by a team of professionals who are specially trained and experienced in oral surgery and restorative dentistry. This team approach provides coordinated care based on the implant option that is best for you. Next, the tooth root implant, which is a small post made of titanium, is placed into the bone socket of the missing tooth. As the jawbone heals, it grows around the implanted metal post, anchoring it securely in the jaw. The healing process can take 6 to 12 weeks. Once the implant has bonded to the jawbone, a small connector post -- called an abutment -- is attached to the post to securely hold the new tooth. To make the new tooth or teeth, your dentist makes impressions of your teeth, and creates a model of your bite (which captures all of your teeth, their type, and
arrangement). The new tooth or teeth is based on this model. A replacement tooth, called a crown, is then attached to the abutment. Instead of one or more individual crowns, some patients may have attachments placed on the implant that retain and support a removable denture. Your dentist also will match the color of the new teeth to your natural teeth. How Painful Are Dental Implants? Most people who have received dental implants say that there is very little discomfort involved in the procedure. Local anesthesia can be used during the procedure. Most patients report that implants involve less pain than a tooth extraction. After the implant, mild soreness can be treated with over-thecounter pain medications. How Do I Care for Dental Implants? Dental implants require the same care as real teeth, including brushing, flossing, and regular dental check-ups.
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PULMONARY/SLEEP DISORDERS
Understanding your risk for sleep apnea Sleep apnea is a debilitating and life-shortening ailment that affects millions of people across the globe, many of whom do not know they have this potentially dangerous condition. Understanding sleep apnea and its symptoms and risk factors is imperative for men and women who feel they have or may someday have sleep apnea. What is sleep apnea? The word “apnea” is Greek and means “without breath.” Sleep apnea occurs involuntarily and unexpectedly while a person is asleep. It causes a person to stop breathing repeatedly while sleeping -- sometimes hundreds of times a night -- estimates the American Sleep Apnea Association. These moments of breathlessness can last a minute or longer and may not trigger a full awakening in a person. There are different types of sleep apnea. The main types are obstructive sleep apnea and central sleep apnea. Obstructive apnea is more common and occurs when the muscles in the back of the throat relax during sleep and inhibit air flow. With central sleep
apnea, a person’s brain doesn’t send proper signals to the muscles that control breathing. Mixed sleep apnea is a combination of both. During an episode of sleep apnea, the body may rouse itself partially to resume breathing but not enough to fully awaken the person. As a result, sleep may be very fragmented and sufferers could feel extremely tired during the day and not understand why. Symptoms of Sleep Apnea Individuals who may be experiencing sleep apnea may have the following symptoms, according to The Mayo Clinic: • Excessive daytime sleepiness • Loud snoring • Awakening with a dry mouth or sore throat • Headaches in the morning • Problems paying attention • Difficulty staying asleep Others may notice a spouse or family member has sleep apnea by recognizing abrupt awakenings from shortness of breath or intermittent pauses in his or her breathing during sleep. While snoring may not be a
sign of sleep apnea, but very often loud snoring punctuated by periods of silence is an indicator of apnea. Risk Factors Many people experience sleep apnea, though it may be more pronounced in certain groups of people. Those who are overweight may have obstructions to breathing. People with a thick neck also may have a narrower airway. Genetics also may play a role in a narrow airway in the throat or enlarged adenoids or tonsils that contribute to airway obstruction.
Men are twice as likely to have sleep apnea as women, and men who are older than age 60 have an increased risk over younger men. Smokers are three times more likely to have obstructive sleep apnea over people who have never smoked. That’s because, according to the Mayo Clinic, inflammation and mucus retention may occur in the upper airway. If you have problems sleeping call Walton Pulmonary & Sleep Medicine today at 678-928-9700 to schedule an appointment.
Dr. Michel Jeannot and Dr. Leonard Lim along with their staff Helping the East Metro Area to Sleep and Breathe Easier.
SERVICES • • • • • •
Sleep Center Pulmonary Rehabilitation Pulmonary Function Testing Cardiopulmonology Exercise Testing Sleep Apnea Treatment (CPAP Set-Up) Allergy Therapy & Testing
678-928-9700 Hours: 9:00 am to 5:00 pm Monday - Friday 3 LOCATIONS TO SERVE YOU 2390 WALL STREET, STE 100 CONYERS, GA 30013 254611-1
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ACCEPTING NEW PATIENTS
101 TARA COMMONS DRIVE LOGANVILLE, GA 30052
1800 TREE LANE ROAD, STE 330 SNELLVILLE, GA 30078
With over 36 years of banking experience, Reed is very knowledgeable in the area of physician lending. Whether you’re in Newton or Rockdale he’s ready to help you. Give him a call and let him put his expertise to work for you.
REED BEARD
Vice President Commercial Lender
With local decision making, you could say we put together loan packages for physicians with surgical precision at the speed of outpatient care. • Lending decisions as quick as 48 hours. • Construction and Permanent financing of office building. • Remodeling of existing office building. • Lines of credit secured by accounts receivable and equipment. • Specialized Equipment purchase. • 100% financing available. Why lease when you can buy?
3175 Hwy 278, Covington 770-786-7088
www.newtonfederal.com THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 37
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URGENT CARE
Georgia Primary and Urgent Care welcomes patients at Brown Bridge location
COVINGTON LOCATION
By Beth Slaughter Sexton Staff Correspondent
Taking care of patients is what Melissa Fagan loves to do as she goes about her duties as a family nurse practitioner at Georgia Primary and Urgent Care on Brown Bridge Road in Covington. The office on Brown Bridge Road is the latest GPUC facility to serve Newton, Rockdale and Henry counties. Affiliated with Rockdale Medical Center, GPUC Brown Bridge welcomed its first patients in February and already the community is discovering the expert care provided by its medical staff. “It makes us feel good that people think we provide good care and they tell their family members, friends and fellow church members to come and see us,” Fagan said. Fagan, who grew up in a family of nurses, including her mother, said she knew early on that she wanted to make a difference in the lives of others. “Seeing the difference my mom and the others made had a huge impact on me,” she said. “Also, I remember when I used to go to Georgia State University, there was a billboard I saw that asked the question ‘What will you be remembered for?’ That made a big impact on me too. I want to give back to my community in a way that I feel is my God-given talent.” Fagan, a registered nurse with both a bachelor’s and master’s degree in nursing, worked as an emergency room nurse for three years at Rockdale Medical Center (RMC) before going to 253635-1
the hospital’s medical oncology unit. She went back to school to obtain her master’s degree as a family nurse practitioner at Georgia Baptist College of Nursing at Mercer University. Fagan returned to the ER before she was recommended to become part of the medical staff that would open GPUC Brown Bridge earlier this year. “It’s kind of like going back home because I used to work in ER and now I’m back in urgent care...”Fagan said. Like Fagan, Veronica D’Antignac is a family nurse practitioner who helped open GPUC Brown Bridge in February. A nurse for several decades, D’Antignac worked as a staff nurse at Emory University Hospital as well as a nurse in its rehabilitation unit. She joined the staff at Grady Memorial Hospital and worked for 21 years as a specialist in asthma and allergy care. As a family nurse practitioner, D’Antignac enjoys caring for patients and even when she was promoted to a management position, she regularly worked as a nurse in the clinic at Grady. “I was a nurse practitioner and went into management, but kept up my skills by working in the clinic each week,” she said. Originally from Augusta, D’Antignac got her bachelor’s degree in nursing at Albany State. While she was busy working as a full-time nurse in Atlanta, D’Antignac drove to classes in Gainesville each week to get her master’s
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degree from Brenau University. While at Grady, D’Antignac was one of three people who opened the urgent walk-in care center at the Atlanta hospital. She worked as a nurse practitioner there and hired medical personnel to staff the new urgent center. D’Antignac said she was excited to come to Covington and be part of opening the GPUC at Brown Bridge. “I truly enjoy this job,” she said. “...I enjoy the people I work with. It’s a peaceful atmosphere. The patients have been very complimentary toward us as we try to get them in and out as soon as we can (for medical attention). We have a great rapport with our patients.” “They tell us they are so glad we are here,” D’Antignac added. “They can come here after work or if the doctor’s office can’t see them.” Physician’s assistant Elizabeth McElmurry from Emory University Hospital is also on the staff at GPUC Brown Bridge. Open seven days a week, GPUC Brown
Bridge sees patients Monday through Friday from noon to 8 p.m.; Saturdays from 8 a.m. to 5 p.m. and on Sundays, from 11 a.m. to 4 p.m. “We want this facility to not only be the extension of physician practices in Rockdale, Newton and surrounding counties, but also for people who live in this area who need quick access for an emergent situation or have access to providers with whom they can feel confident in establishing care,” says Terry Potts, practice administrator for GPUC Brown Bridge. GPUC Brown Bridge treats patients for a range of conditions, injuries, illnesses and medical needs. Potts said self-paying patients can come in for an office visit starting at $50. Sports physicals are $20, she added. Walk-ins are welcomed and appointments are not necessary. For more information, call 678-625-4441.
GEORGIA PRIMARY AND URGENT CARE AFFILIATE OF ROCKDALE MEDICAL CENTER
KEEPING THE KIDS OF ROCKDALE/NEWTON/HENRY IN THE GAME!
GEORGIA PRIMARY AND URGENT CARE AFFILIATE OF ROCKDALE MEDICAL CENTER
WE COVER
ROCKDALE, NEWTON AND HENRY COUNTY!
NEW COVINGTON LOCATION! BROWN BRIDGE MEDICAL PLAZA 7138 HIGHWAY 212, SUITE A COVINGTON, GA 30016 678-625-4441 CARING FOR PATIENTS 1 YEAR AND OLDER No Appointment Necessary
MON-FRI NOON-8PM • SAT 8AM-5PM • SUN 11AM-4PM
CONYERS MEDICAL PARK 1301 SIGMAN RD NE SUITE 230 CONYERS, GA 30012 • 678-609-4912 M-F 8AM-7PM • SAT 8AM-NOON SEEING PATIENTS INFANTS & UP
We’re here with state-of-the-art technology and medical expertise to treat all types of sports injuries Our practitioners can diagnose, treat, and prescribe medication for the following healthcare problems and much more: Colds • Diabetes • Ear Infections • Hypertension Sinus Congestion • Skin Rashes/Infections Animal & insect bites • Allergic reactions Bronchitis • Asthma • Vomiting & Diarrhea Sore Throats • Sprains • Women’s Health Strep Throat • Sutures & Suture Removal Urinary Tract Infections • Yeast Infections $20 Sports Physicals • X-Rays on Site Most Insurance Accepted
5294 ADAMS STREET NE COVINGTON, GA 30014 • 770-787-5600 M,T,W 8AM-5PM • THU, F 8AM-12;30PM SEEING PATIENTS 15 YEARS & OLDER 253634-1
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FAMILY DENTISTRY
Sedation Dentistry Authored By: Allison DiMatteo Reviewed By: Michael Silverman, DMD
Sedation dentistry is used to provide a relaxing and anxietyfree experience for certain people receiving dental treatment. It enables individuals too afraid to go to the dentist to receive the dental care they need while avoiding the common apprehension known as dental phobia. According to to the Dental Organization for Conscious Sedation (DOCS Education), a professional dental organization dedicated to ensuring that patients receive safe, comfortable and anxiety-free dental care, 30 percent of the population avoids the dentist due to fear. This all-too-common “dental phobia” prevents people from receiving necessary routine dental care, potentially compromising the health and
functionality of their mouth and smile. Benefits of Sedation Dentistry One of the major benefits of sedation dentistry is that people often feel like their dental procedure lasts only a few minutes, when in fact it might have taken hours to perform. Therefore, complex dental procedures such as smile makeovers or extensive rebuilding procedures that normally require multiple visits can often be performed in fewer appointments. If you are reluctant to change the appearance of your smile because you are afraid or anxious about undergoing long or complicated dental procedures, sedation dentistry can make you feel comfortable during the treatment process and help you achieve a smile you can be
proud of. Also, because sedation dentistry addresses some of the fears that keep people from going to the dentist on a regular basis, sedation dentistry patients are more likely to receive
recommended routine care. As a result, they are less likely to neglect their oral health or allow oral health problems to build to the point when drastic dental treatments become necessary.
A caring, friendly atmosphere with Over 30 Years of Professional Dedication to each patient and our community. Dr. Fred Hedrick Jr.
Dr. Jeff Dodson
New Patients Welcome
770.922.3131 email: h_ddent@bellsouth.net www.hedrickanddodson.com
Dr. Aubrey Hedrick III
Office Hours: Monday - Thursday: 7:30am - 5:30pm Friday: 7:30am - 1:30pm 1807 Overlake Drive, Suite A Conyers, GA 30013
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• Sedation Dentistry • Cosmetic Dentistry • Porcelain Veneers • Periodontics • Endodontics • Implants • Bridges • Crowns
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HOME SERVICES / OPTICIANRY
Preventing a Stroke
type of stroke, called hemorrhagic stroke. Two key steps you can take will lower your risk of death or disability from stroke: know stroke’s warning signs and control stroke’s risk factors. Scientific research conducted by the NINDS has identified Sexton warning signs and t a large number of A stroke, or “brain about 80 percent risk factors. What attack,” occurs when of strokes. These blood circulation to blockages stem from are Warning Signs the brain fails. Brain three conditions: the of a Stroke? Warning signs are cells can die from formation of a clot decreased blood flow within a blood vessel clues your body sends that your and the resulting of the brain or neck, brain is not receiving lack of oxygen. called thrombosis; enough oxygen. If There are two broad the movement of a you observe one categories of stroke: clot from another or more of these those caused by a part of the body signs of a stroke or blockage of blood such as the heart flow and those to the neck or brain, “brain attack,” don’t wait, call a doctor caused by bleeding. called embolism; or or 911 right away! While not usually a severe narrowing • Sudden numbness fatal, a blockage of of an artery in or a blood vessel in the leading to the brain, or weakness of face, arm or leg, brain or neck, called called stenosis. especially on one an ischemic stroke, Bleeding into the side of the body is the most frequent brain or the spaces cause of stroke and surrounding the brain • Sudden confusion, trouble speaking is responsible for causes the second
or understanding • Sudden trouble seeing in one or both eyes • Sudden trouble walking, dizziness, loss of balance or coordination • Sudden severe headache with no known cause Other danger signs that may occur include double vision, drowsiness, and nausea or vomiting. Sometimes the warning signs may last only a few moments and then disappear. These brief episodes, known as transient ischemic attacks or TIAs, are sometimes called “mini-strokes.” Although brief, they identify an underlying serious condition that isn’t going away without medical help. Unfortunately, since they clear up, many people ignore them. Don’t. Heeding them can save your life.
www.gptc.edu 404-297-9522
High Demand Healthcare Career: OPTICIANRY Opticianry and Optical Management are rapidly growing fields. According to the U.S. Bureau of Labor Statistics, the demand for opticians will increase by 23 percent between 2012 and 2022. Opticianry programs prepare students to interpret lens prescriptions, make and cut lenses and adjust finished glasses to meet customer specifications. Graduates acquire competencies in all phases of opticianry, including:
• SURFACING, which consists of blocking, polishing, and inspecting both plastic and glass single-vision/multifocal lenses • BENCHWORK, which includes edging, hand beveling, safety beveling, heat treating, chemical tempering, tinting and mounting of lenses; and • DISPENSING, which includes measuring and fitting eyeglasses
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Students also will learn contact lens fitting and receive clinical experience through exercises taught in oncampus dispensaries. Coursework in Opticianry covers basic ocular science, including optics and anatomy. For individuals who are interested in the business side of eye care, merchandising and marketing classes will prepare students for supervisory or ophthalmic management careers. Graduates traditionally obtain employment at ophthalmologist offices, retail optical shops or senior citizen community centers. However, graduates are now entering non-traditional sectors such as film, television and music video fields. Choosing a two-year institution for post-secondary studies offers students a big bang for their buck! Institutions of higher learning such as Georgia Piedmont Technical College provide affordable programs of study that lead to certificates, diplomas and degrees.
Healthcare
Provides a variety of at home services including: • Skilled Nursing • Therapy Services, including Physical Therapy, Occupational Therapy and Speech Language Pathology • Social Services • Rehab Services • Personal Care • Specialized Care Programs 5101 Hwy 278 NE, Suite C, Covington Ga, 30014
678-625-7105
www.suncresthealth.com THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, JUNE 7, 2015 • 41
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WOMEN'S HEALTH
New Beginnings is now offering 3 new rejuvenation services Sotto Pelle • Restored or increased sexual desire • Consistency in moods • Relief from anxiety and depression • Increased mental clarity, focus, memory • Greater capacity for getting the body in shape • Improved energy, exercise tolerance, muscle mass
Botox • Look as young as you feel • Takes care of moderate to severe frown lines between the brows • Treat crow’s feet at the outside corners of the eyes • Long lasting results • No surgery, No Recovery
Juvederm • Smoothes out those parentheses lines along the sides of your nose sand mouth • Soft, Smooth, natural look • Long lasting results you can see instantly
Call Ginger – 678-413-0858
Special Pricing until the end of the year! FREE CONSULTS! 1415 Milstead Road Suit B Conyers, GA 30012 254669-1
Veronica Garrett M.D., F.A.C.O.G.
naomi Harris M.D., F.A.C.O.G.
sHannon mayfield C.N.M.
254668-1
Come see us atLOOK Our NewFOR Location WE’RE MOVING, OUR NEW LOCATION DECEMBER 2012! Large, Modern, Brand-New Space with Lots of Parking!
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GASTROENTEROLOGY
Colonoscopy: A life-saving cancer screening According to the American Cancer Society, colon cancer is the second leading cause of cancer-related deaths in the United States. The good news is that it’s also the most preventable through regular colonoscopy screening. While there is evidence that more people are getting screened than in previous years, only about half of those ages 50 or older are getting this life-saving test. A colonoscopy is considered the single best method for detecting colon cancer in its early stages. Screening colonoscopies are recommended for every adult beginning at age 50, and for African Americans, at age 45. For those with a family history of colon cancer, or other risk factors, screening could start at a younger age. For example, if one of your
parents was diagnosed with the disease at 55, then you should get screened at 45 – 10 years before the age of their diagnosis. During the procedure, a trained gastroenterologist will check for any signs of cancer and remove existing polyps that may turn into cancer over time. Since a colonoscopy is performed under light sedation, most patients have little if any discomfort, and the procedure itself usually takes less than 30 minutes. Anyone can be diagnosed with colon cancer – men and women, any ethnicity – and the risk of getting the disease increases with age. So talk to your primary care physician or call the AGA office in Conyers at 678.745.3033 and make an appointment with one of our Board Certified gastroenterologists. It could
save your life. Since its formation nearly 40 years ago, AGA has been committed to providing patients with quality and cost-effective healthcare. Our physicians see patients in more than 35 locations and nine endoscopy centers throughout metro Atlanta and North Georgia. For more information about Atlanta Gastroenterology Associates or to schedule an appointment online, visit www.atlantagastro. com. Or find us on Facebook: http://www.facebook.com/ atlantagastro. Since many health insurance plans require a referral from a primary care physician, please check with your individual carrier before scheduling an appointment. AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in the state of Georgia.
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The case for early detection Leading breast cancer research organization and screening advocate Susan G. Komen says 1.7 million new cases of breast cancer were diagnosed across the globe in 2012. While breast cancer still affects millions of women (and a smaller number of men), greater knowledge of the disease and earlier detection has helped to increase the chances of survival for so many people. Having an early detection plan enables a person to be proactive about their health, says The National Breast Cancer Foundation. The National Cancer Institute found that when breast cancer is detected in the localized stage, the five-year survival rate is 98 percent.
·
Get a grasp of your normal. Inspect your body frequently to get an idea of what constitutes “normal” for you. This way should something seem amiss, you can visit your doctor to have it checked out. No one knows your body better than you, and you can be your best health advocate.
·
Understand signs and symptoms of breast cancer.
The most common symptom of breast cancer is a new lump or mass. Painless, hard and irregularly shaped masses are more likely to be cancerous than others, but any mass detected should be checked by a healthcare professional. Other possible signs of breast cancer include breast swelling, skin dimpling, nipple pain, discharge other than breast milk, thickening or redness of the breast skin or nipple retraction. Sometimes swelling in the lymph nodes under the arm can be felt before a lump in the breast is present.
·
Establish a self-exam schedule. Women should perform a self-examination of their breasts at least once a month. According to John Hopkins Medical Center, 40 percent of diagnosed breast cancers are detected by women who feel a lump.
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Book an appointment for a clinical exam. Speak with your family practitioner or gynecologist about the best schedule for clinical breast exams based on your age and risk factors. During clinical exams your physician will check the texture of the breast
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tissue for any abnormalities and lumps. Doctors also can assess any suspicious areas, taking note of any abnormalities, including lumps.
·
Determine a mammogram schedule. Women can work together with a healthcare provider to develop a mammogram schedule that takes their age and medical history into consideration. The American Cancer Society says MRI scans and other breast imaging procedures may be necessary for women with dense breasts or those at a high risk for breast cancer because of strong family history or gene mutations. Many experts recommend an annual mammogram starting at age 40.
·
Determine if genetic testing is right for you. Susan G. Komen says some inherited gene mutations increase breast cancer risk. BRCA1 and BRCA2 are the best-known genes linked to breast cancer. Women who have a BRCA1 or BRCA2 mutation are at a greater risk of breast cancer and ovarian cancer than those who do not have such mutations. Testing may be recommended for people at very high risk.
Mammograms are just one component of an overall early detection plan for breast cancer.
LOOK FOR Stories and pictures of Breast Cancer Survivors in our Read Pink October 2015 issue of the Rockdale/Newton Citizen
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ROCKDALE/NEWTON CITIZEN PHYSICIANS GUIDE
DERMATOLOGY
Mohs Surgery for the Treatment of Skin Cancer An estimated two million new cases of skin cancer in the U.S. are projected each year. The most common skin cancers are basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. With early detection and treatment, skin cancer is highly curable. Skin cancer is easily diagnosed with a skin biopsy. There are different treatment options for skin cancer including excisional surgery, cryosurgery (freezing), electro surgery (burning), radiation, prescription medications, and the specialized surgical technique of Mohs Micrographic Surgery. The Mohs surgery procedure has proven to be up to 99 percent effective for basal cell carcinoma and Squamous cell carcinoma, the most common types of skin cancer. Mohs surgery, developed in 1938 by Dr. Frederic E. Mohs, is microscopically controlled surgery that involves the complete evaluation of the surgical margins for skin
cancer removal. Mohs surgery is typically an office based procedure performed safely under local anesthesia. During Mohs surgery, the skin cancer is removed layer by layer and the tissue is processed at an on-site laboratory. The tissue slides are examined by the Mohs surgeon who performs the pathology services, all while the patient remains in the office. If more cancer remains, the Mohs surgeon removes more tissue precisely from only the area with remaining cancer and this additional layer of tissue is processed and microscopically examined. This process continues until all of the cancerous tissue is removed. After Mohs surgery confirms that all of the skin cancer has been removed, the surgical defect is immediately ready for repair. There are several options for repair that include allowing the wound to heal on its own or surgically repairing the defect. Of the many treatment options
for skin cancer, Mohs surgery is considered the “Gold Standard” because it offers the highest potential cure rate (99 percent for basal cell carcinoma and squamous cell carcinoma) and it offers superior cosmetic results by leaving healthy tissue intact. Mohs surgery is a highly effective advanced technique for the treatment of skin cancer that provides the patients with quick resolution, rapid recovery, and peace of mind.
Dr. John Fountain, Dr. Darryl Hodson, Dr. Allen Filstein, and Caroline Wells, PA-C at Georgia Dermatology offer general and surgical dermatology needs to you and your family. Call the office today at 770-785-SKIN (7546) to schedule an appointment or visit the website at GaDerm.com for more information.
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EAR, NOSE & THROAT
Balloon Sinuplasty Provides Relief From Chronic Sinusitis For Many Patients Ear, Nose and Throat Specialists are now offering a minimally invasive procedure called balloon sinuplasty. Patients who are suffering from chronic or recurrent sinusitis can find instant relief from their symptoms through balloon sinuplasty. Sinusitis refers to inflammation or swelling of the tissue lining the sinuses. This can result in a runny nose, cough, sleep disturbance, chronic fatigue, nasal and head congestion, ear fullness, dizziness, and post nasal drip; all of which significantly diminishes the sufferer’s quality of life. Balloon sinuplasty is done in four steps: First, the sinus guide catheter is introduced into the nasal cavity. Second, a flexible, lighted guidewire is
placed into the sinus for access confirmation. Third, the balloon is advanced over the wire and inflated gently to widen the sinus opening. Finally, the sinus is irrigated and the devices are removed, leaving the sinus cleared of mucus with a larger sinus opening and allowing the return of normal sinus drainage. Unlike traditional sinus surgery, balloon sinuplasty requires no cutting or removal of bone and tissue. The procedure is FDA approved and provides an alternative to traditional sinus surgery instrumentation. The use of sinus balloon catheters to open sinuses has proven to be safe, effective, and less invasive for the patient, allowing patients to recover quicker and return to work sooner. The procedure can be done as outpatient or as an in-
office procedure. The in-office procedure has less effects of general anesthesia and gives the patient a quicker return to normal activities.
If you suffer from chronic sinusitis call ENT Specialists today at 770-922-5458 to schedule an appointment with one of our board certified doctors.
Dedicated to the HIGHEST STANDARD of care for your Ear, Nose and Throat needs. OUR SERVICES INCLUDE:
• Adult - Pediatrics • Sinus & Nasal Surgery • Snoring, Sleep Apnea NOW OFFERING
• Complete Hearing Aids & Evaluation • Allergy Testing • CT In Office
Balloon Sinuplasty
A Treatment for Chronic Sinusitis • Donald Cote, MD • Adam French, MD • Arthur Torsiglieri, MD, FACS • Donna McGough, F-AAA • Kristyn Meade, F-AAA • Susann Shriver, CCC-A
What Are You Waiting For? There’s never been a better time to start hearing what you’ve been missing!
Call today. Hear today.
1370 Wellbrook Circle, Conyers, Georgia / 770-922-5458 4181 Hospital Drive, NE, Suite 102, Covington, Georgia / 770-385-0321 1110 Commerce Drive, Greensboro, Georgia / 770-922-5458 46 • SUNDAY, JUNE 7, 2015 • PHYSICIANS GUIDE • THE CITIZEN
www.entspecialists.net
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CARDIOLOGY
RMC’s new PCI Program debuts this summer By Beth Slaughter Sexton Staff Correspondent
In a matter of weeks, a new program will open at Rockdale Medical Center that could mean the difference between life and death. A new $2.56 million catheterization lab is expected to be up and running with its own facilities and staff and at the heart of it all-the patient, says Becky Upchurch, RMC’s Director of Cardiovascular Services. “This is really big for the hospital and the county,” Upchurch said. “...It means that people suffering from heart diseases will no longer need to travel to Atlanta, Augusta or Athens for treatment. RMC will be able to not only diagnose but treat the blocked coronary arteries with angioplasty, atherectomy and stenting. We will also be able to perform pacemaker and AICD (automatic implantable cardioverter defibrillators) implantation.” This will be a big change at RMC. It is called the PCI Program and those three
small letters stand for Percutaneous Coronary Intervention, a non-surgical procedure that uses a catheter to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by plaque build up, which is a condition known as atherosclerosis. There are two ways to treat blocked arteries of the heart: Open, where an incision is made and the patient is opened to view the organ or problem and PCI, in which a catheter or device is used to look inside and treat the problem. “Today, a patient experiencing a heart attack arrives at our emergency department (ED),” Upchurch said. “Rapid testing is performed and the ED physician sees the patient. A heart attack in progress is diagnosed. We call our tertiary heart center and call for transportambulance or helicopter-and the patient is sent to the Piedmont Heart Institute lab for treatment.” The introduction of the new PCI Program will offer a whole new way of treating patients. “(When the new program opens) a patient experiencing a heart attack arrives in our ED, rapid testing is performed and the ED physician sees the patient,” Upchurch said. “A heart attack in progress is diagnosed. We call our own Cardiac Lab Team and within 30 minutes, the patient is in our new cath lab being treated.” Upchurch offers background information explaining how this all came about and what it means for patients in Rockdale, Newton, Henry and other surrounding counties. In 2005, the state of Georgia launched a study that investigated the use of PCI at facilities that do not have an open heart surgery program. The five-year study had such a high success rate that it ended early and data was presented to the state, Upchurch said. In 2009, a bill was approved that allowed hospitals to request permission to begin PCI without surgical back up programs. Upchurch says PCI was “on the radar” at RMC as early as 2010. “Deborah Armstrong had just taken over as RMC’s CEO and she worked with LifePoint to strengthen our hospital’s infrastructure, to upgrade and replace old equipment with state-ofthe-art, to renovate patient areas and to be able to
offer competitive salaries so that the hospital could hire skilled and experienced staff,” Upchurch said. In 2014, RMC moved forward with the PCI Program. LifePoint agreed to fund a second $2.56 million catherterization lab and the Letter of Determination was submitted to the state of Georgia and approved. The hospital started the specialized staff training, achieved Chest Pain Center Accreditation and a formal affiliation was formed with Piedmont Heart Institute (PHI). This past February, construction began on the new cath lab and specific training began in March with PHI. Upchurch said the construction and training are scheduled to be completed and the new PCI Program is expected to open in July. “In 2014, RMC transferred 60 AMI (acute myocardial infarction/heart attack) patients, 185 PCI patients and our EMS took another 250-plus residents to the downtown Atlanta hospitals for cardiac care,” Upchurch said. “The majority of these will soon be able to receive the same excellent care close to their homes.” Such changes should help many patients, as well as their families who also end up having to drive in traffic as they make their way to the downtown Atlanta hospitals, Upchurch added. Upchurch is in charge of the cath lab, cardiac rehab, cardiology and recovery unit for the cath lab at RMC. She was recruited to RMC in 2006 with a plan toward working on the PCI program. A registered nurse with both bachelor’s and master’s degrees, Upchurch is a Tucker native who came back to Georgia after being away for 20 years during which time she opened similar programs in Texas and Kentucky. This is the seventh such program she has opened for hospitals. With the addition of the new PCI Program, Upchurch said RMC is also hiring additional staff for its cath lab, intensive care and other units as well as the emergency department. “From the moment I came here, this community has asked for comprehensive heart care here and to not have to go into Atlanta,” Upchurch said. “Now that we have everything settled and have the quality of care we want here, (we’re) ready to put it in place.” She says when a patient comes in with a heart attack, rather than “ship them downtown to save their heart, now they ship across the hall.” “We save the transport time downtown,” she said. “With a heart attack, the longer you wait, the greater the chance is the heart will stop.”
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Our Emergency Department is an accredited Chest Pain Center. At Rockdale Medical Center our highly skilled emergency physician’s, cardiologists and nursing teams are providing a higher level of expertise for treating heart attack symptoms. At Rockdale Medical Center, our purpose in life is to Save Yours. 1412 Milstead Avenue Conyers, Ga. 30012 1-800-424-DOCS (3627) www.rockdalemedicalcenter.com
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