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Empty Nest – August 2019

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August Special Section


2 | August 2019 | NorthFulton.com | ForsythHerald.com

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Let’s talk aging and bladder control While it is normal to feel uncomfortable or embarrassed discussing bladder issues such as incontinence, it is important to understand just how common these problems are for aging women. The involuntary loss or leaking of urine is a common syndrome that affects at least 1 in 3 older women, according to the Journal of the American Medical Association (JAMA). Symptoms may range from minor issues such as slight bladder leaks to the need for the protection of an adult diaper to prevent the complete and sudden loss of bladder control. Chief of Surgery for Emory University Hospital and Division Director for Female Pelvic Medicine and Reconstructive Surgery, Gina Northington, MD, PhD informs her patients that while common, “Bladder leakage is NOT normal aging. There are often functional problems of the nerves and muscles within the pelvic floor that can be treated to improve bladder control.” Sana Ansari, MD who treats patients at both Emory Johns Creek Hospital and Emory Saint Joseph’s Hospital agrees, “No matter the severity of the urinary

incontinence, if the incontinence is affecting your life and relationships in any way, then it’s time to take control and do something more about it.” Knowing the various types of urinary incontinence can help you have a discussion with your doctor and ultimately identify the appropriate treatment plan for you: • Stress incontinence: leaking of urine when laughing, coughing, or lifting, which is usually caused by weakened pelvic muscles. • Urgency incontinence: the sudden need to urinate that results in large amounts of urine leaking out before getting to the bathroom. • Overflow incontinence: when urine leaks because the bladder has become overly full or doesn't empty all the way. • Functional incontinence: the natural urge to urinate, but taking too long to get to the bathroom - this can be especially common for those living with arthritis or another type of physical disability. • Mixed incontinence: having a combination of any of the above types of urinary incontinence – this is very common in aging and older women.

Are you looking for a Female Pelvic Medicine and Reconstructive Surgery center near you? As part of Emory Healthcare, the largest and most comprehensive hospital system in Atlanta, Emory Women's Center offers our patients diagnostic and therapeutic options tailored to their specific pelvic floor needs. 61% of women over 65 years old suffer from urinary or bowel incontinence. Women with incontinence, overactive bladder, and sexual dysfunction can meet with our team of experts at Emory Women’s Center and feel comforted in knowing that we take your issues seriously. We offer coordinated interdisciplinary care that includes primary care physicians, gynecologists, urologists, gastroenterologists, and colorectal surgeons. Make an appointment today to discuss your treatment options.

For Patient Appointments: 404-778-3401 Emory Johns Creek Hospital 6335 Hospital Pkwy, Physicians Building, 2nd Floor, Suite 210, Johns Creek, GA 30097

The Female Pelvic Medicine and Reconstructive Surgery experts at Emory Women's Center at Findley provide advanced diagnostic and therapeutic options for women with urinary incontinence and overactive bladder. Because we offer our patients coordinated interdisciplinary care that includes primary care physicians, gynecologists, urologists, gastroenterologists, and colorectal surgeons we can help our patients or their caregivers have the confidence to address any bladder issues they may be

confronting. When planning your appointment with our urogynecologists here are some tips to help you make the most of your appointment: • Be prepared by having a list of the prescription drugs, over-the-counter medicines, vitamins you take, and a list of your past and current illnesses or injuries. • Bring a caregiver, friend, or relative to go with you to the doctor. They can help bring up topics or questions you may forget to ask. These support persons can also remind you of things the health care provider said after you leave your appointment. • Be candid. Your provider wants to know everything you're experiencing. Feel free to discuss your symptoms and how they are impacting your daily life. Please make an appointment with one of our Female Pelvic Medicine and Reconstructive Surgery providers to discuss your bladder treatment options today. Emory Women's Center has four convenient locations to serve you: Emory University Hospital/The Emory Clinic on Clifton Road, Emory University Hospital Midtown, Emory Saint Joseph's, and Emory Johns Creek Hospital. Learn More: To find out more about the Emory Women's Center Female Pelvic Medicine and Reconstructive Surgery services call 404-778-3401.


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‘Just rub some black salve on it and call me in the morning’ (And other phrases you won’t hear your dermatologist tell you) By Dr. Brent Taylor Premier Dermatology and Mohs Surgery of Atlanta Frequently, I field questions from patients about alternative therapies for treating the skin and specifically skin cancer. One of the most Dr. Taylor interesting treatments available is called “Black Salve” – interesting because it is not merely a placebo, but rather does have real effects. Black salve is also interesting because its history has intersected with that of allopathic medicine in ways that are important to medicine’s most advanced skin cancer treatments. Black salve has been used for decades as a way to treat growths including warts, moles and even skin cancer (but dermatologists do not recommend using it for this purpose). Black salve is a mixture of zinc chloride and Sanguinaria canadensis (aka Bloodroot), and sometimes Larrea tridentata (aka creosote bush or chaparral). But what are these three ingredients? Zinc chloride is an escharotic and tissue fixative. An eschar is a piece of dead tissue that will eventually turn black and slough off the skin. When applied to the skin, zinc chloride causes cell death and chemically fixes tissue into a relatively hard dead mass or plaque -- an “eschar.” If applied to a skin cancer, zinc chloride may kill the cancer, but the zinc chloride may also damage surrounding tissue. Zinc chloride is non-specific, damaging both unhealthy and healthy tissue that it contacts. Numerous case reports exist in the medical literature of people applying zinc chloride paste only to have a cancer come back worse or metastasize. Application of this paste has also been reported as causing severe scarring and deformity. Bloodroot is a flowering plant indigenous to eastern North America. Bloodroot gets its name from a red sap that can be harvested from the roots to dye baskets or cloth. Bloodroot also produces an ammonium-based chemical that kills animal cells and that is an escharotic, similar to zinc chloride. Creosote or chaparral is a desert plant whose extracts include certain compounds touted as having antioxidant properties. Chaparral is listed in the FDA’s poisonous plant database where its entry states that it has caused liver injury and even fulminant hepatic failure requiring a liver transplant. An interesting intersection of black salve with allopathic medicine is that Dr. Frederick Mohs used a compound combining zinc chloride, antimony trisulfide

and bloodroot as a “chemopaste” that was instrumental in helping him to develop “Mohs surgery” – the skin cancer treatment that bears his name and is now the most effective, precise and advanced method for treating skin cancer. Developed in the 1930s, Mohs’ chemopaste allowed him to harden and fix a skin cancer and a small area of surrounding skin. He then would remove that area, slice it thinly and examine it under the microscope to make sure that the margins were clear of tumor. When cancer was still present at an edge, he would remove more skin from the patient and again examine it under the microscope until all the cancer had been removed. The chemopaste was often applied the night before surgery, was very painful and caused substantial damage to surrounding tissue. Mohs’ method of using chemopaste and examining tissue under the microscope was imperfect, but it was certainly better than alternative methods of skin cancer removal available at the time. By the late 1970s, machines that could freeze tissue and allow it to be cut with precision and without the use of this chemopaste became available, making the chemopaste obsolete. Modern Mohs surgery involves numbing a skin cancer and the surrounding skin with lidocaine, removing the visible tumor and a small margin, checking the edges for tumor and repeating this process until all microscopically visible cancer has been removed. Modern Mohs surgery results in a 99% cure rate for most skin cancers, and suturing and repair techniques are so refined that deformity is extremely rare and in most cases minimal scarring occurs. Black salve’s cousin “Mohs’ chemopaste” played an important role in the development of Mohs surgery. Patients inclined toward naturopathic remedies should not feel that choosing Mohs surgery over black salve is a rejection of their holistic worldview. Rather, modern medicine and evidence-guided physicians honor the natural world when we acknowledge the astounding number of modern treatments derived from nature and guide our patients toward therapies that offer the greatest chance to heal. Black salve should not be viewed as an alternative to Mohs surgery but rather as an important historical stepping stone to this incredibly effective surgical technique. If you or a loved one has skin cancer, consider Premier Dermatology and Mohs Surgery of Atlanta. Dr. Brent Taylor is a board certified dermatologist, vein specialist, and fellowship-trained Mohs surgeon. He and his outstanding team take pride in providing personalized, caring and state-of-the-art treatment.

NorthFulton.com | ForsythHerald.com | August 2019 | 3


4 | August 2019 | NorthFulton.com | ForsythHerald.com

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Longleaf Communities Brought to you by Kathy Rice Atlanta Fine Homes Sotheby’s International Realty Longleaf Communities is the premier luxury homebuilder for active 55+ adults in metro Atlanta. Their spectacular, English Cottage style homes and communities are designed to meet the lifestyle needs Rice and wishes of active seniors while providing low maintenance living. With three convenient locations, Longleaf Communities provides things other Active Adult communities provide: proximity to area attractions and life necessities, low maintenance and ease of living, a lock and go lifestyle and neighborhood amenities. With a Longleaf home, you can have all that plus, the distinguished architecture, attention to detail and superb craftsmanship you’re accustomed to.

Our elegant homes feature airy floor plans with lofty 10-foot ceilings and solid 8-foot doors outfitted with generous millwork throughout. Choose from a variety of custom cabinetry for your designer kitchen and select your preferred finishes for your designer bath. All of our homes feature two main floor bedrooms, each with a full bath and laundry on the

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NorthFulton.com | ForsythHerald.com | August 2019 | 5

Village Park Milton There’s a trend that is sweeping the nation affecting everything from what products you find at your local grocery store to how you spend your free-time: wellness. Today, Americans are increasingly choosing a wellnessoriented lifestyle and the products they buy, places they spend time, and lives they lead are a reflection of this. Grocery stores are expanding organic food aisles, communities are reinvesting in parks and walking trails, and pet stores are switching to selling “clean” pet food, but what is senior living doing to embrace health and wellness? Village Park Senior Living has developed a multifaceted approach to healthy aging through acknowledging the dynamic nature of wellness. Through a culmination of intelligently designed architecture, proactive care, and fostering a wellness-driven culture, Village Park communities are a catalyst for balanced physical, mental, and social well-being. Its newest location, Village Park Milton, was intentionally placed across from Wills Park to further encourage an active and healthy lifestyle. Not only can residents and their families enjoy walking trails, riding bikes, and taking their dogs to the dog park but stay engaged with the local community. Home to the City of Alpharetta’s Fourth of July fireworks show, a vibrant community garden, and other community events such as the Old Soldiers Day Parade, Wills Park is the heart of active living for the local community. In addition to its convenient location across from Wills Park, Village Park Milton is within 15 minutes of downtown Roswell and 10 minutes of Milton City Hall in Crabapple keeping residents connected with their longtime social organizations, places of worship, country

clubs, and more. Understanding that connectivity to one’s community is essential to social well-being, Village Park Milton is designed to keep residents engaged with established friendships in addition to making new ones. Through hosting social events co-planned with residents and offering top-line amenities such as a heated saltwater pool, full-service restaurants, and spa, Village Park Milton is built to be a community where residents are proud to host old friends and encouraged to make new ones. Recognizing that staying active and engaged is fueled by balanced nutrition and quality care, Village Park Milton’s dining options offer healthy, chef-inspired dishes

while its well-equipped care staff provides 24/7 support. Types of foods residents can expect include anti-oxidant rich berries and omega-3 rich fish along with other foods found to maintain brain health and sharpen memory. Healthy eating paired with on-site nurses and physical therapy, flexible care plans, and an on-site fitness center, pool, and wellness spa make healthy aging simple. Stop by Village Park Milton’s Leasing Center at 555 Wills Road, Alpharetta, GA 30009 or Village Park Alpharetta at 12300 Morris Road, Alpharetta, GA 30005 to learn how Village Park can help you reach your wellness goals. You can also learn more at villageparkseniorliving.com or by calling (470) 509-4557 today.

Reimagine what’s next. Bungalows Cottages Independent Assisted Memory Care Village Park Milton 555 Wills Road Alpharetta, GA 30009 470.509.4557

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6 | August 2019 | NorthFulton.com | ForsythHerald.com

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Soleil Laurel Canyon named Best 50 Master-Planned Communities Tucked away in the North Georgia foothills of Canton and just a short drive from exciting Atlanta, Soleil Laurel Canyon is more than a beautiful community of maintenance-free, ranch-style homes and breathtaking views. It’s the lifestyle you’ve worked your whole life to enjoy. If you are 55+, we invite you to come experience Soleil’s incomparable array of recreation, culture, and entertainment for yourself. You’ll have no doubt why it was named among the Best 50 Master-Planned Communities in the U.S. by Where to Retire Magazine in 2015. “Clubhouses, fitness centers, social clubs and education classes mean residents get much more than a house at a planned community,” said Karen Northridge, publisher of “Where to Retire.” One of the great pleasures of living at Soleil is that a low-maintenance home gives you the free time to take advantage of all that the community offers or take a trip without concern. The landscaped grounds of Soleil Laurel Canyon are always impeccably maintained, while your HOA dues cover complete lawn maintenance and an irrigation system, in-home security monitoring and maintenance, and even Comcast cable TV. Soleil Laurel Canyon offers a selection of Cottage, Traditional and Craftsman-style single-family homes from the mid $200,000s to $400,000s for adults 55+. Residents live independently in homes that range from 1,500 square feet to almost 3,000 square feet. All of Soleil’s new floor plans include elegant details and are designed for aging-in-place with stepless-entry access and wide doorways. These homes are energy efficient with HERS ratings above standard.

Soleil residents have membership in a 28,000-squarefoot clubhouse complete with an arts and crafts room, billiards room, fitness center, gourmet teaching kitchen, indoor heated saline lap pool, and library. Outside the clubhouse, residents have a heated Lagoon-style pool, a community garden and greenhouse, a 3.5-acre fishing lake and the tennis facility with a full-time USPTA-certified teaching professional. The Fairways of Canton golf course is located just

outside Soleil’s gate within Laurel Canyon, and offers challenging golf for a reasonable, daily-fee price. Two Lifestyle Directors maintain a full social calendar of events including wine socials, movie nights, trips to nearby attractions, and Grandkids day. Call Today for Your Personal Tour 678.710.9023 102 High Mountain Trace, Canton, Georgia 30114

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New Homes from the Low $300s Find Your New Home at SoleilLaurelCanyon.com Call Today for Your Personal Tour 678.710.9023 ©2019 Lifestyles at Laurel Canyon, LLC. Special offers, prices, home designs and other information subject to errors, changes, omissions, deletions, availability, prior sale and withdrawal at any time without notice. Not an offering to CT, NJ or NY residents. Void where prohibited.

102 High Mountain Trace Canton, Georgia 30114


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NorthFulton.com | ForsythHerald.com | August 2019 | 7

Show Mom you care: Have a conversation about long term care insurance NAPS — This year, as you look back at the many years your mother cared for you, consider the possibility that she may require care herself someday. Long term care insurance can help ensure that your mother will get the care she needs, should there come a time when she requires help managing some of the activities we associate with independent living. Millions of Americans require long term care during their lifetime,1 which includes assistance with simple tasks like bathing, eating and dressing—trivial things we do every day without a second thought. In reality, the type of care needed to provide assistance with these activities can be expensive and is generally not covered by traditional health plans or Medicare. It’s important to keep in mind that women, in general, live longer than men. This means that women may be more likely to need care at some point in their lives than their male counterparts.2 Should that need arise—whether it’s assistance to perform activities of daily living or supervision due to a severe cognitive impairment—it’s likely to be provided by a family member or friend. Unfortunately, this may not be an ideal option, with many families living far

apart from each other. And, your mother may not be willing to place that burden on you or even a close friend. The good news is, she is eligible to apply for coverage under the Federal Long Term Care Insurance Program (FLTCIP). Encourage your qualified relatives to plan now The best time for your family members to consider long term care insurance is long before they need it. Because the FLTCIP is medically underwritten, it’s important for your qualified relatives to apply when they are in good health

to avoid the risk that a future illness or condition may prevent them from obtaining coverage later. Also, premiums are directly related to age. This means the younger people are when they apply for coverage, the lower their premium. You may wish to consider applying for coverage as well, as a way to help secure your family’s future. With benefits designed specifically for the federal family, the FLTCIP offers a smart way to help protect your savings and assets should you or your loved ones need long term care services someday. Many members of the federal family are eligible to apply for coverage under the FLTCIP, including federal and U.S. Postal Service employees and annuitants, as well as active and retired members of the uniformed services. Certain family members, or qualified relatives, are also eligible. Qualified relatives include your spouse, domestic partner, parents and parents-in-law, and adult children. For a complete list of who is eligible to apply, visit LTCFEDS.com/eligibility. For personalized assistance, call (800) LTC-FEDS ( (800) 582-3337)/TTY (800) 843-3557 to speak with a program consultant. They are available to answer any questions you may have and can

walk you step by step through the plan design and application process. Register for a FLTCIP webinar If you or your qualified relatives would like to learn more about the FLTCIP’s comprehensive benefits and features, register for an upcoming webinar or view the existing library of on-demand topics at LTCFEDS.com/ elearning. More about the FLTCIP Established by an act of Congress in 2000 and overseen by the U.S. Office of Personnel Management, the FLTCIP is designed to meet the specific needs of the federal family. The FLTCIP provides industry-leading benefits and offers flexible options that allow enrollees to tailor coverage to meet their needs. Certain medical conditions, or combinations of conditions, will prevent some people from being approved for coverage. You need to apply to find out if you qualify for coverage under the FLTCIP. The Federal Long Term Care Insurance Program is sponsored by the U.S. Office of Personnel Management, insured by John Hancock Life & Health Insurance Company, and administered by Long Term Care Partners, LLC.

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8 | August 2019 | NorthFulton.com | ForsythHerald.com

Empty Nest• Sponsored Section

East Haven offers choices for 55+ active adult living Choosing a new home, especially when you are near retirement, must include different factors. Your home should make it simple to enjoy your lifestyle and meet new people. It should be convenient to all your favorite areas around town and it should be easy to navigate around your home. East Haven in East Cobb offers great choices for 55+ active adult living. Currently under construction, these luxury townhomes priced from $695,900 are ready to have design choices made. The model home is ready to take homeowners on a tour of what their future home may look like. Other homes are currently under construction featuring three floors and elevator access. Lock & Leave Enjoy the greatest benefits of living in a 55 and better community. The ability to lock up your home and leave for a weekend or a month without worry is one

of the best reasons to buy a home at East Haven. Choose your home from one of the 28 luxury townhomes for those who are 55 and better. While you are at home, enjoy great amenities like a social gathering area, pavilion with pool and built-in grill. Inspired living right where you want it from $695,900 Live Inspired To the ones learning, traveling, teaching, playing and dancing with this adventure called life. Here’s to fresh starts, new everything, and a home that won’t hold you back. This convenient East Cobb location provides easy access to Kennesaw Mountain, the North Georgia Mountains and the best that Atlanta has to offer. Our sales center is located at 4241 Bishop Lake Road, Marietta, GA 30062. You can call our New Home Specialist, Deborah Cook, at 404-238-7990 to set up a private tour of these luxurious townhomes for the 55 and better.

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NorthFulton.com | ForsythHerald.com | August 2019 | 9

The Memory Center Atlanta The Memory Center Atlanta is the most unique and comprehensive community for those living with Alzheimer’s and dementia. Devoted specifically to memory care, our expertly designed program meets the challenging conditions of an aging brain with a caring, interactive community. We understand a diagnosis of dementia doesn’t mean you or your loved one stops living, rather it means finding new ways to live by providing assistance to maintain an active and meaningful lifestyle. Our residents enjoy music, dancing, live entertainment, art, gardening, - even outings, pet therapy and religious services. Enjoy a drink in the Chattahoochee Tavern, grab a movie in the Fox Theater or ice cream at the Bull Dog Café. All residents experience socializa-

tion and activities accessible across all levels of dementia. Even those who need 24/7 care benefit from life at The Memory Center. Overseen by our medical director who specializes in the field of geriatric healthcare, our team of Licensed Practical Nurses and Certified Nursing Assistants provide the best 24/7 care. Don’t let a crisis determine where your loved one receives care. If you are considering memory care, we encourage you to explore options as early as possible. Take the time to ask questions, tour and include your loved one in the decision making process. Transitioning to memory care early ensures the best quality of life with daily socialization and engaging activities designed to meet the needs of you or your loved one.

You’re Invited...

to a seminar on advanced directives, goals of care and navigating end of life wishes.

Get in touch - ask us a question or schedule a tour of The Memory Center Atlanta to learn more about how our team provides a seamless transition for your loved one into their new home. Lo-

cated at 12050 Findley Rd, Johns Creek, GA 30097, less than ½ mile from Medlock Bridge Rd. directly behind Emory Johns Creek Hospital. Call Today, (770) 476-3678.

NORTH ATLANTA’S HOT TOPICS ON PODCAST

September 24th at 6pm

Dr. Amar Mohan

The Memory Center’s Medical Director, Dr. Amar Mohan, will be speaking at The Memory Center. Dr. Mohan founded Transitional Care Physicians of America in order to improve the care for seniors who are often overlooked by our healthcare system. He will discuss advanced directives, goals of care, understanding how to navigate end of life and the wishes of loved ones.

WINNER

Go to NorthFulton.com, click on Podcasts and select Inside The Box

2018

Best Of North Atlanta Presented By

12050 Findley Rd., Johns Creek, GA 30097 (Behind Emory Johns Creek Hospital)


10 | August 2019 | NorthFulton.com | ForsythHerald.com

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