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Empty Nest - December 2025

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Appen Media Group

December Special Section

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2 | December 2025 | AppenMedia.com

EMPTY NEST• Sponsored Section

Your Local Broker for Medicare Insurance Needs

Specializing in Medicare Advantage & Medicare Supplement Plans Serving North Atlanta Seniors for More Than 15 Years Representing Most Medicare Insurance Companies

Jay Looft Owner/Agent

• Experienced Medicare Insurance Broker • Provides Personalized Plan Analysis • Annual Plan Updates, Including Upcoming Trends • No Cost to Use Our Services • Individual Health Coverage for those under 65

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770.913.6464

www.SeniorSourceMedicare.com “We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.”

Why did they go with Medicare Advantage for 2026? Brought to you by – Senior Source Medicare Solutions First off, I want to wish all the readers a Merry Christmas & Happy Holidays. I hope you are able to spend time with family and friends this season. As we gather the data from the Medicare Annual Enrollment Period (which ended on December 7th) we are seeing some stand-out plan features that meant the most to clients. The Max-Out-Of-Pocket was probably the biggest reason for change of plans (MOOP for short). The highest in-network MOOP allowed in 2026 is $9,250, yet several plans have a MOOP almost half that amount. Many Medicare Advantage Consumers don’t pay attention to this dollar amount, but it is important! The MOOP signals the most one would pay in collective medical cost for the calendar year. If you did reach the Medical Max Out of Pocket, then you would no longer be required to pay any medical cost for the remainder of the calendar year. The Medicare Advantage MOOP is your “worst case scenario” in medical spending for the calendar year. The lower this number is, the better! The next big reason why more than half of Medicare Beneficiaries in America are turning to Medicare Advantage is Doctor Acceptance. Most doctors are now taking Medicare Advantage. No longer are

you having to choose between your insurance company and your doctor. It has taken time to get to this point. I’ve seen this change in just the past 10 years, really. This brings a level of comfort to Medicare Advantage clients to know their doctors are already a contracted provider with the insurance they choose. As medical cost and Medicare Supplement Premiums go up, the $0 Monthly Premium on most Medicare Advantage plans gains a lot of attention. This becomes a big reason clients go with a Medicare Advantage plan, rather than Original Medicare and a Medicare Supplement plan. I believe the future is bright for Medicare Advantage plans and the consumers that choose to take “advantage” of it. Insurance companies are getting more competitive with their benefits, including extra dental and vision benefits, preventive health rewards programs, and providing better tips and encouragement on how to have a healthier quality of life. Whether you are turning age 65, retiring and leaving group insurance, or just looking for a change in 2026, give us a call to see how we can help guide you into a better Medicare Insurance option for the New Year! Call us at (770) 913-6464 or contact us through our website at SeniorSourceMedicare.com/ contact-seniorsource. Happy New Year, 2026, Everyone!!!


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AppenMedia.com | December 2025 | 3

Skin Cancer & Mohs Surgery • Medical Dermatology Vein Care • Cosmetic Services

Honored to be Voted: Best Dermatologist and Best Vein Specialist

A pilot dies of Alpha Gal syndrome Brought to you by – Premier Dermatology Alpha gal syndrome, also known as “red meat allergy,” is a disease on the rise. Sadly, a November 2025 publication describes the first well-documented death resulting from alpha gal syndrome. In the summer of 2024, a New Jerseybased airline pilot went camping with his family and suffered multiple bites believed to be either lone star tick larvae or nymphs which the family identified as “chiggers.” He and his family typically ate chicken. However, two weeks after camping, he ate a steak. Four hours later, he developed diarrhea, vomiting and such severe abdominal pain that he told his family “I thought I was going to die.” Symptoms lasted two hours, but the next day he felt so good that he saw no reason to seek medical attention. Two weeks later, he had an additional exposure to red meat. At a barbecue, he ate a hamburger. Four hours later, he became ill again. Within minutes, he was dead. Post-mortem blood testing revealed extremely high tryptase levels – consistent with an anaphylactic reaction, a severe type of allergic reaction in which difficulty breathing or a sudden drop in blood pressure can result in death. Alpha gal syndrome was first discovered around 2007 when a physician in Virginia identified that lone star tick bites could cause red meat allergy. A sugar called galactose-alpha 1,3-galactose (aka “alpha-gal”) is found in many types of mammal meat and dairy but not in humans, so humans can become allergic to this sugar if they are exposed in the right circumstance. A tick bite is just such a circumstance. Lone star ticks are on the rise. Expanding deer populations and tick populations are likely resulting in an increase in tick bites and disease in humans. Increased testing certainly plays a factor, but between

2013 and 2024, a 100-fold increase in positive test results for alpha-gal occurred, and the CDC estimates as many as half a million people may be affected by this disease. What makes the death of the New Jersey pilot so startling is the nature of the alpha gal allergic reaction. Most of the time, when we think of allergic reactions, we think of hives and rashes. If we think of death, we usually think of reactions such as those to peanuts which often involve difficulty breathing. The symptoms of the pilot would normally make someone worried for food poisoning or a severe stomach bug – not an allergy. But diarrhea, vomiting and abdominal pain can be signs of an allergy. With alpha gal on the rise, severe abdominal pain following red meat or dairy ingestion should raise concern for alpha gal syndrome, which we now know can be fatal. In the right context – a recent hike, camping trip or other potential exposure to ticks, someone with severe abdominal pain, vomiting and diarrhea should consider getting tested for alpha gal before ingesting red meat, dairy or other cross-reacting substances a second time. Reportedly, numerous individuals on Martha’s Vineyard are now unwillingly having to live essentially a vegan lifestyle due to the number of meat and dairy products that they now must avoid. Deer, ticks and alpha gal are on the rise and apparently here to stay. As a Mohs surgeon and dermatologist, I have learned that the beach-goer has more to fear from the Sun in the sky than from a shark in the water. As someone who loves the great outdoors, I would add that I am more afraid of the tick on the leaf than the bear in the woods. If you, like me, have ever been sun-kissed or tick-bitten and are concerned about tick-born illness, Premier Dermatology is here to help.

Insist on the BEST Dr. Brent Taylor is a Board-Certified Dermatologist, a Fellowship-Trained Mohs Surgeon, and is certified by the Board of Venous and Lymphatic Medicine in the field of Vein Care. He is an expert in skin cancer and melanoma treatment, endovenous laser ablation, minimally invasive vein procedures and cosmetics procedures such as Botox and injectables. Kathryn is a certified physician assistant with over 23 years experience as a Dermatology PA and cosmetic dermatology.

Dr. Brent Taylor

Her specialties include general dermatology such as acne, eczema, rashes, hair loss, full body skin exams, abnormal growths etc. Kathryn also specializes in cosmetic dermatology including lasers, injectables, micro-needling, PRP, facial peels, sclerotherapy for spider veins and at home skin care. WINNER

Kathryn Filipek, PA-C

WINNER

WINNER

WINNER

WINNER

2025 WINNER Best Of WINNER Best Of WINNERBest Of WINNERBest Of Of 2021 Best North 2018 North 2020 North 2023 North Atlanta Best Of Atlanta Best OfNorth Best Of Atlanta Best OfAtlanta North North North North Atlanta AtlantaAtlanta Atlanta Atlanta Presented By 2017

2019

2022

2024

Presented By

Presented By

Presented By

Presented By

Presented By

Presented By

Presented By

Presented By

Accepting new patients. We accept Medicare. Schedule your appointment with Premier Dermatology today. 3180 North Point Parkway, Suite 420 • Alpharetta, GA 30005 PremierDermatologyAtlanta.com • 678-345-1899


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4 | December 2025 | AppenMedia.com

Geriatrics in primary care: Meeting the unique health care needs of older adults Brought to you by – Comprehensive Internal Medicine Geriatrics in primary care is the specialized approach used to care for people as they age. Geriatric primary care recognizes that older adults often experience multiple chronic conditions, functional limitations, and changing social circumstances. Through this, there is an emphasis on maintaining health, independence, and quality of life. To achieve best health, the care plan begins with a comprehensive assessment, in which a healthcare provider evaluates medical conditions, medications, cognitive function, emotional well-being, mobility, nutrition, and social support. Another essential component is medication management, since older adults often take several prescriptions and over-the-counter medications, increasing the risk of side effects or interactions. Geriatric care also includes prevention and early detection of common age-related issues such as falls, memory decline, osteoporosis, and sensory impairments. Additionally, providers coordinate care among specialists, caregivers, and community resources, ensuring

that the patient’s needs are addressed in a holistic and organized way. Advanced care planning—discussing preferences regarding future medical treatments—is also a valuable part of geriatric primary care. The benefits of incorporating geriatrics into primary care are significant. First, it leads to better health outcomes, because problems are identified early and managed proactively. Second, geriatric-focused care improves patient safety, particularly by reducing medication-related complications and preventing avoidable hospitalizations. Third, it enhances quality of life by supporting independence, promoting mental and emotional well-being, and helping patients stay active and engaged. For families and caregivers, geriatric primary care offers guidance, reassurance, and support in navigating complex health decisions. Overall, geriatrics in primary care ensures that older adults receive thoughtful, personalized, and coordinated care that promotes healthy aging and preserves dignity throughout life’s later stages. If you have multiple medical issues, a geriatric specialist may be the right choice to achieve your best health.

Alpharetta: (678) 205-9004 | 3180 North Point Pkwy | Suite 303 | Alpharetta, GA - 30005 Johns Creek: (770) 622-9002 | 3890 Johns Creek Pkwy | Suite 120 | Suwanee, GA - 30024

Trusted Geriatric Experts • High Blood Pressure • Diabetes • Women’s Health

• Thyroid Disease • Obesity/Weight Loss • Arthritis

Dr. Nandi has practiced medicine in north Atlanta for over a decade and brings expertise to her patient base in the areas of elder care, heart disease, high blood pressure and diabetes. Her approach is rooted in connection—using her clinical expertise to create trust, foster meaningful relationships, and elevate the patient’s experience. she blends exceptional clinical expertise with a deep understanding of the aging journey. She builds long term relationships with her patients and coordinates care with consulting physicians. She is fluent in Hindi and Bengali.

Sudeshna Nandi M.D.

• High Cholesterol • Seasonal Allergies • Asthma

• Heart Disease • Acute Illnesses such as: sore throat, flu, cough, common cold, etc.

Dr. Patel is a diplomate of the American Board of Internal Medicine. She has a special interest in geriatric care, hypertension, and diabetes management. She is passionate about providing comprehensive, patient-centered care with a focus on chronic disease management and preventive health. With over a decade of experience, Dr. Patel is eager to help patients achieve healthier and more fulfilling lives through evidence-based practices and compassionate guidance.

Shruti Patel, M.D.

Kellie Kozma - is a board-certified Nurse Practitioner in family medicine with a post-master’s in geriatric medicine and more than 20 years of clinical experience. She offers a level of clinical insight that brings clarity, confidence, and comfort to her patients. Her care philosophy blends expertise with genuine human connection, creating relationships that feel both supportive and truly transformative. She specializes in both acute and chronic disease management, using an evidence-based approach that emphasizes individualized patient needs.

Kellie Lozma, APRN, MSN, NP-C


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AppenMedia.com | December 2025 | 5

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Mobility Plus Alpharetta celebrates a 3rd year in the Winner’s Circle! Brought to you by – Mobility Plus Alpharetta Mobility Plus Alpharetta is humbled by earning a top spot in the Best of North Atlanta rankings during its’ third year in operation! This family-owned small business, owned by Scott and Mary Block of Alpharetta offers a customer-focused experience for those needing powered or manual wheelchairs, mobility scooters, stairlifts, lift recliners, walkers, portable and modular ramp systems or home health items. Mary, a former Fulton County teacher, was led to working with seniors after caring for her father. She quickly realized how difficult it was to find informational resources, products and support services. When seeking a professional change, she wanted to address some of the deficits that she had previously encountered by offering as many products as possible under one roof, and by serving as a community educational resource.

The Blocks partner with local experts like move managers, senior living placement specialists, and occupational therapists to be as informed as possible about the variety of needs that their customers have. They host lunch and learns in their 3500 sq. ft. Space on a variety of topics once a quarter. “No one that comes in for a wheelchair, stairlift, or ramp, needs just that one item. Our customers are seniors, children supporting aging parents, or those living with chronic degenerative diseases. There are always other needs besides a product purchase” says Mary. They look forward to serving the North Atlanta community for many years to come and are so grateful for your votes, and support! Mobility Plus Alpharetta 4020 Nine McFarland Drive Alpharetta, GA 30004 470-545-1827 Mon-Fri. 10:00am-5:00pm Sat. 9:001:00pm www.mobilityplus.com/alpharettaGA

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6 | December 2025 | AppenMedia.com

Importance of skin checks for mature skin Brought to you by – Dr. Kehinde Olumesi of Epiphany Dermatology - Brookhaven As skin matures, it undergoes various changes that necessitate regular skin checks to ensure overall skin health. Differentiating between age spots, healthy moles and potential skin cancers is crucial. Age spots, often appearing as flat, brown, or black spots on sun-exposed areas, are generally harmless but can be mistaken for more serious conditions. Early detection of skin cancer, including melanoma, basal cell carcinoma and squamous cell carcinoma, significantly increases the chances of successful treatment. Therefore, routine skin examinations are essential for mature skin to maintain health and catch any issues early. Addressing skin conditions and rejuvenation procedures Dermatologists can assist with a variety of skin conditions and rejuvenation procedures for mature skin. Common issues such as dryness, age-related pigmentation and conditions like rosacea, psoriasis and eczema, which can persist or develop with age, are also addressed with specialized care plans. In addition to treating conditions, dermatologists offer rejuvenating procedures to enhance the appearance and health of mature skin. Treatments such as chemical peels, laser rejuvenation and injectable treatments like BOTOX® Cosmetic and dermal fillers can reduce the appearance of wrinkles, improve skin texture and promote collagen production. These procedures not only rejuvenate the skin but also boost confidence and overall well-being. Establishing a relationship with a dermatologist ensures that your skin receives comprehensive care tailored to its evolving needs, promoting long-term skin health and vitality.

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EMPTY NEST • Sponsored Section

AppenMedia.com | December 2025 | 7

Why did they go with Medicare Advantage for 2026? Brought to you by – Senior Source Medicare Solutions First off, I want to wish all the readers a Merry Christmas & Happy Holidays. I hope you are able to spend time with family and friends this season. As we gather the data from the Medicare Annual Enrollment Period (which ended on December 7th) we are seeing some stand-out plan features that meant the most to clients. The Max-Out-Of-Pocket was probably the biggest reason for change of plans (MOOP for short). The highest in-network MOOP allowed in 2026 is $9,250, yet several plans have a MOOP almost half that amount. Many Medicare Advantage Consumers don’t pay attention to this dollar amount, but it is important! The MOOP signals the most one would pay in collective medical cost for the calendar year. If you did reach the Medical Max Out of Pocket, then you would no longer be required to pay any medical cost for the remainder of the calendar year. The Medicare Advantage MOOP is your “worst case scenario” in medical spending for the calendar year. The lower this number is, the better! The next big reason why more than half of Medicare Beneficiaries in America are turning to Medicare Advantage is Doctor Acceptance.

Most doctors are now taking Medicare Advantage. No longer are you having to choose between your insurance company and your doctor. It has taken time to get to this point. I’ve seen this change in just the past 10 years, really. This brings a level of comfort to Medicare Advantage clients to know their doctors are already a contracted provider with the insurance they choose. As medical cost and Medicare Supplement Premiums go up, the $0 Monthly Premium on most Medicare Advantage plans gains a lot of attention. This becomes a big reason clients go with a Medicare Advantage plan, rather than Original Medicare and a Medicare Supplement plan. I believe the future is bright for Medicare Advantage plans and the consumers that choose to take “advantage” of it. Insurance companies are getting more competitive with their benefits, including extra dental and vision benefits, preventive health rewards programs, and providing better tips and encouragement on how to have a healthier quality of life. Whether you are turning age 65, retiring and leaving group insurance, or just looking for a change in 2026, give us a call to see how we can help guide you into a better Medicare Insurance option for the New Year! Call us at (770) 315-8145 or contact us through our website at SeniorSourceMedicare.com/contact-seniorsource. Happy New Year, 2026, Everyone!!!

Your Local Broker for Medicare Insurance Needs

Specializing in Medicare Advantage & Medicare Supplement Plans Serving North Atlanta Seniors for More Than 15 Years Representing Most Medicare Insurance Companies

Paige Gorman Agent

• Experienced Medicare Insurance Broker • Provides Personalized Plan Analysis • Annual Plan Updates, Including Upcoming Trends • No Cost to Use Our Services • Individual Health Coverage for those under 65

Our Higher Standards

LIFT YOUR SPIRITS At Alto Johns Creek, living beautifully lies in the details. We provide curated experiences, which lead to moments that enrich your life. From tailored wellness to gourmet dining, we design a lifestyle as unique as you are.

It’s elevated living, inspired by you.

Call 706.252.3848 to request information or schedule your visit.

770.315.8145

www.SeniorSourceMedicare.com We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

10595 Medlock Bridge Rd., Johns Creek, GA 30097 AltoJohnsCreek.com | ALF #ALC000709


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