Empty Nest, August 2015

Appen Media Group

Empty Nest August Special Section

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August 2015

Leading the way in exceptional senior care The Oaks at Post Road is a family operated Community with a mission to provide a home that our residents would be proud to call their own. Further, The Oaks have achieved this mission by creating an environment that promotes physical, social, and spiritual well-being in a Christian setting. It’s our goal to provide a lifestyle that not only provides peace of mind to residents, but also to their family members. Each apartment is carefully designed to encourage independent living, while providing round the clock access to staff and assistance with activities of daily living. We are proud to be licensed as an Assisted Living Community which allows us to deliver expanded care and services to residents.

As a result, residents are often able to stay in their new home without ever having to move. The Oaks at Post Road is conveniently located on Post Road in Forsyth County and is close to shopping, entertainment, outdoor activities and restaurants. We hope you are able to come by for a tour at your earliest convenience.

For more information, please contact Claudia Butler at 770-886-2630 or visit us online at www.oaksseniorliving.com.

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Hypothyroidism: What are some of the causes?

Brought to you by Dr. Sean Savedoff An underactive thyroid gland has many signs and symptoms. If you believe that you may have hypothyroidism, it is essential that you see a physician to ensure you are assessed, and a diagnosis is made as soon as possible. You may want to find a doctor that practices functional medicine. A functional medical doctor can assist you with natural ways of treating the root cause of illness, rather than just treating the symptoms with medication.

4 specific reasons for an underactive thyroid are listed below: 1. Chronic Inflammation: One of the biggest if not the major culprit, which affects thyroid function, is chronic inflammation. Gluten is the biggest source of this inflammation, a protein found in wheat, barely, rye, spelt, and oats. Gluten is a very common allergen that affects a large percent of the population. Because of our damaged guts, poor diet, and stress, we see this reaction a lot. Franken-foods, like genetically modified grains (GMO’s), have very strange proteins that can lead to this type of inflammation which then interferes with thyroid function.

2. Heavy Metal Poisoning: Heavy metals such as mercury and lead can also affect thyroid function. These metals interfere with normal thyroid function by displacing iodine and other key nutrients.

3. Environmental Toxins: Environ-

mental toxins such as pesticides can act as a hormone disruptor and interfere with thyroid function.

4. Nutritional Deficiencies: Nutritional deficiencies play a huge role in thyroid malfunction. Deficiensavedoff cies of iodine, vitamin D, omega-3 fats, selenium, zinc, vitamin A, and the B vitamins are the major ones to look for.

What are some other causes of hypothyroidism?

Side effects from certain medications: Lithium is one medication that is used in mental illnesses such as bipolar disorder. This medication is very important for allowing people suffering with mental illness to live full lives, but it also increases the risk of hypothyroidism. Somehow, lithium inhibits the release of the thyroid hormones. That is why people on these kinds of medications need to have their thyroid function monitored.

Thyroxin (T4) that is not converted into the active T3 hormone in your body: This is a controversial topic for many physicians, as many in the endocrinology community still believe that this conversion problem does not exist in patients. In any case, it is mentioned, as there are physicians who do support this position, and it good to know about it if you are experiencing the symptoms of hypothyroidism.

In summary, I hope this article answers some of your questions regarding some of the causes of hypothyroidism.

There are some natural ways to support your thyroid, and ensure it functions optimally. By gaining an understanding of these different treatments, I believe the majority of people with a thyroid disorder will be able to see significant improvements in their symptoms. That being said, there are those who will need additional tweaks, deeper testing, and personalized changes to

their diet, supplements, and lifestyle plan before they see the improvements they’re looking for. So you may want to find a doctor that practices functional medicine. A functional medical doctor can assist you with natural ways of treating the root cause of illness, rather than just treating the symptoms with medication.

If you or someone you know may have a thyroid condition, call 770-7319410 and schedule an appointment with Dr. Sean Savedoff.

Restore your Thyroid and increase your energy naturally.

Call today to schedule your FREE Personal Consultation.

Do you experience any of these symptoms?

• Life-altering low energy • Abdominal Pain • Memory Loss • Weight loss resistance • Hot flashes • Hair loss • Trouble Sleeping • Depression or Anxiety

At this event YOU will find real answers to:

• Why your blood work looks normal, but you do not feel well • Why 80% of thyroid symptoms are auto-immune related and why most doctors do not test for them • How you may have a condition “reverse T-3 dominance” that can be revealed by a simple test

As well as discuss:

• Food Intolerance, Autoimmune Hypothyroid and Hashimoto’s • Proper ways to detox and how your liver is involved • Why simply taking thyroid medication may not impact symptoms

www.DrSavedoff.com

770-731-9410

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August 2015

Quality Service, From the Moment You Walk In Dr. Veena Bhat and the North Fulton Smiles Team want you and your family to have the healthy, beautiful smiles you deserve!

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Alpha Family Medicine Are you having a hard time finding a primary care doctor? According to a recent report by the Georgia Board for Physician Workforce, the state ranked 39th in the ratio of doctors per 100,000 population. The doctor shortage continues to limit patients’ access to care and is most critical in primary care. Some doctors have stopped taking new patients altogether. If you do find a doctor that will accept you as a new patient, you may still have to wait if you want to schedule a routine visit. If you are on Medicare or Medicaid you might not be able to find a doctor and may have to visit the emergency room. In which case, you will have to wait and may not see the same doctor again.

There is a solution – the best time to find a new primary care doctor is when a new practice opens. You need to sign up early on, even if it’s for a routine physical. Most insurances pay for a physical once a year without requiring any co-pay. If you sign up early on, the doctor will be familiar with your medical history and it will be easier to get an appointment later on when you have a medical condition. You need to sign up before the doctor stops accepting new patients!

Fortunately, for residents of North Atlanta, signing up with an experienced primary care doctor just got easier with the opening of a new clinic in Alpharetta. Alpha Family Medicine is a primary care clinic that specializes in Family and Geriatric Medicine for all ages – children, adults and elders.

The clinic is centrally located on North Main Street (Highway 9), close to City Hall. Currently, the clinic is accepting new patients. You can walk-in or schedule a same day appointment with the Doctor. Or if you cannot make it during office hours, you can schedule an appointment for early mornings late evenings, or weekends.

The clinic is operated by Shyla Reddy, MD and her medical staff. Dr. Reddy has more than 15 years of primary care experience in Family & Geriatric Medicine. She is board certified in Family and Geriatric Medicine. She taught/supervised medical students and resident doctors in an university setting. She also obtained a fellowship in Geriatric Medicine and Gerontology from Emory University. To sign up as a new patient or to schedule an appointment, contact 678-619-1974 or visit www.alphafammed.com

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Ask Pam, your local expert in senior home care since 2006 Summer is coming to an end and school has started back. Life is about to get busier, so now is the time to get the extra care that you or your loved needs.

I know that certain seasons of life are busier, more difficult and just plain stressful. We all go through these patches when life isn't going how we planned, but please know that you don't have to suffer alone. The heart behind and reason that I started Senior Helpers was to be an advocate, a resource, a friend, to give back to others in really difficult times. This is what compels me to keep going and to stay strong. Rest assured that Senior Helpers is on your team and we are here to help however possible!

Q: I've heard that my husband can receive some benefits because he is a World War II Veteran, is this true?

-Cindy, Johns Creek Pam: Yes mam! We actually have a wonderful in house veterans spe-

cialist who would love to walk through the Veterans Aid & Attendance Benefit with you to see if your husband qualifies!

At Senior Helpers we understand the desire to live independently and safely hodgson in one's own home.

Taking care of you and your family is our passion and we deliver compassionate care specifically tailored to you or your loved ones needs. Our caregivers are able to come and help from as little as a few hours a week to 24/7 care. We are fully licensed and insured in the State of Georgia and can help with Alzheimer's & Parkinson's Care, Fall Risk & Transferring, Hospital to Home Transitions, Bathing, Dressing and so much more. Call our office to set-up your FREE in-home assessment 770-442-2154.

• Alzheimer and Dementia Care • Transportation and Errands • Bathing, Dressing and Light Housekeeping • Fall Risk Care

• Caregivers Available from 1 hr./day to 24/7 and Live-in • Assisted Living Placement Assistance • Custom and Flexible Schedules

Senior Helpers: Matt Fredenberg, Elizabeth Jackson, Pam Hodgson, Hutch Hodgson

770.442.2154 Your Local Senior Care Expert.

Arbor Terrace of Johns Creek is the new signature in assisted living Retirement living should be exceptional living. Situated in one of the most desirable spots in Johns Creek, this new 100 apartment community is within close proximity to world-class healthcare facilities, cultural venues, fine shopping and dining. Arbor Terrace of Johns Creek is a one-of-akind community offering a luxurious lifestyle with concierge services, chefprepared meals, housekeeping and more, without a large investment or long-term commitment.

“We are changing the way people live,” says Beth Richardson, Executive Director at Arbor Terrace. “Working with strong on-site partners in healthcare, including 24 hour nursing staff and on site therapy, we can provide as much or as little care as our residents

need.”

Arbor Terrace’s goal is to provide the residents with comfort, security and peace of mind. This beautiful community will have all the amenities you would expect including a fitness center with a variety of exercise and educational offerings as well as a vibrant social calendar.

As Judd Harper, President of the Arbor Company points out, “We consider it our priority to help you stay fit and healthy. Our dedicated staff is committed to facilitating our residents’ physical, intellectual and cultural wellbeing.”

For more information on Arbor Terrace of Johns Creek, please call (770)-999-9577 and visit our website at www.at-johnscreek.com.

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Ashwood Meadows is now open Johns Creek’s newest independent retirement community, Ashwood Meadows is now open and filling fast!

With a total of 126 units, which include studio, one and two bedroom suites and 38 floor plan varieties, there is an option for everyone. Ashwood Meadows also features almost 40,000 square feet of common area. Within that space will be a beauty/barber shop, library, fitness center, activity room, billiards and game room, movie theater, chapel and a business center.

We know that the time saved by not having to cook, clean and do yard work is now time well spent on family, friends and hobbies. Our residents will benefit from 3 chef-prepared meals, live in managers 24/7, scheduled transportation, weekly housekeeping, emergency pull cords in each suite and a variety of health and wellness classes. We offer a variety of activities from exercise classes to crafts, in-house movies, planned social events, live entertainment and group outings. Our caring staff is always open to suggestions and feedback for new activities, outings and even meal options.

Family and friends are always welcome at Ashwood Meadows. We also have a private dining room available to entertain, host parties, receptions, birthdays or holidays. We want the seniors who call Ashwood Meadows home to enjoy every square inch of it!

Our studio, one and two bedroom suites ensure you will have no buy-in

fees or hidden costs. All utilities except telephone are included in the monthly rent. Our residents breathe easy knowing their budget will be balanced and

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Stop ‘guessing’ at what others are saying This is what just a few Ambit 3D Hearing Aid Center customers have to say after experiencing our centers: “I’m mad at myself for waiting so long and I should know better. I’m a doctor! They made it so easy and saved me thousands of dollars from the first place I went.”

-Dr. William Bennett, Cumming, GA “Most of my friends have hearing aids, but most had bad things to say about their hearing aids, which delayed me even more getting help. Went into Ambit, within an hour I was hearing great. Told all my friends hearing aids work, they just went to the wrong place.

And the best part is I paid thousands less than what my friends paid.”

-Margarette Wiley, R.N. Cumming, GA “I was attracted to Ambit by the price, but when I found out they were a direct manufacturer who made the top digital hearing aids with full services center, I couldn’t believe it. I’ve never heard so well. Thanks for saving me thousands of dollars.”

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-H. Ashbury, Jefferson, GA “Being a consultant I actually went to many different places and tried many different hearing aids and hands down Ambit was the best. It didn’t bother me that I saved thousands of dollars either.”

-J. Sasso, Cumming, GA “I am a minister and my hearing loss was really creating a problem, especially after service when everyone congregated outside the church talking all at once. I couldn’t hear a one of them. I went to Ambit

thinking no one could help my problem. I couldn’t believe it, I started hearing better immediately and the following Sun-

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Helping older adults prevent and manage delirium (NAPSI)—Feeling disoriented can be an upsetting experience for anyone, but for older adults coping with a medical condition called “delirium,” it can be particularly disturbing.

Delirium is a sudden change in mental function that can cause an older person to behave differently than he or she normally would. Some people become aggressive and agitated when they have delirium, others become sleepy and inactive, and others can experience some combination of the two. They may also appear confused about where they are or the time of day, or they may say things that do not make sense.

Delirium Triggers While researchers have yet to pinpoint the exact causes of delirium, certain risk factors are well established. For example, older people who undergo surgery are particularly susceptible to a form of delirium known as “postoperative delirium.” Other common triggers include: • Changes in medications, such as starting a new medication or increasing the dose of an older one; • Dehydration; • Common lung or urinary tract infections; • Vision or hearing problems; • Conditions affecting the brain, such as infection, internal bleeding, or stroke; • Urinary or intestinal problems, such as constipation or the inability to urinate; and • Problems with the heart or lungs, including heart attacks or lung disease.

“Delirium in any form is serious, and postoperative delirium is the most common complication in older adults who have had surgery,” said Sharon K. Inouye, M.D., M.P.H., Professor of Medicine at Harvard Medical School and Director, Aging Brain Center, Institute for Aging Research, Hebrew Senior Life. “Thankfully, studies have shown that delirium is preventable in up to 40 percent of cases involving older adults in the hospital.”

New Guidelines The American Geriatrics Society recently released guidelines to help health care professionals prevent and manage postoperative delirium in older people who are preparing to have surgery or who are in the hospital following surgery.

These guidelines recommend screening older adults before surgery for factors that can contribute to delirium, such as being older than age 64 or having poor vision or hearing, a severe illness, an infection, or a memory problem such as dementia.

Delirium After Surgery “Some causes of delirium, like postoperative delirium, can be managed or prevented,” said Thomas Robinson, M.D., Professor of Surgery, University of Colorado School of Medicine. “Health care professionals should consider working with a coordinated team of specialists who can use multiple approaches for treating the condition. These can include improving the patient’s sleep or encouraging him or her to engage in therapeutic activities, such as games, conversation, or physical activity,” he added.

If you are an older adult facing surgery, be sure to discuss the possibility of developing delirium with your family or friends, as well as your health care team. Recommendations for preventing delirium often include drinking plenty of fluids to stay hydrated and ensuring adequate nighttime sleep by wearing earplugs and eye masks at night and minimizing daytime napping.

If you are concerned that a family member, friend or someone you know may be experiencing a delirious episode, alert a health care professional as soon as possible, and try to help orient older adults by reminding them where they are, what time of day it is, and by showing them familiar items such as family photos. Additionally, if you are taking care of a hospitalized older adult: • Alert hospital or other health care staff right

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away if you notice sudden confusion or abrupt changes in behavior. You are likely to know the older person in your care best and are tuned in to even small changes in his or her behavior.

• Make sure to bring the older adult’s glasses/ hearing aids to the hospital. This can protect against disorientation due to vision and hearing problems.

• After cleared by the health care team, help the older adult walk several times a day. This is key to recovering from surgery and helps protect against delirium.

• Talk to health care professionals about minimizing the use of sleeping medications, restraints or bladder catheters, which can contribute to delirium.

• Stay with the older person after he or she is released. Having someone familiar around can help address feeling strange or confused when making the transition to being back home.

For more information about helping older adults cope with delirium and its effects, visit www.HealthinAging.org

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Restore your vision – Refresh your appearance Our eyelids play a vital role in the normal function of our eyes and maintenance of clear vision. First, the eyelids are a physical barrier that shields the ocular surface from the damaging environment. Second, the motion of the eyelids allow for the even spread of our tears over the surface of our eyes necessary for optimal visual clarity. And finally, the eyelids define the overall aesthetic of the face and convey our emotion and mood.

Eyelid dermatochalasis or “eyelid bagginess” is related to stretching and thinning of the eyelid skin. This often affects both the upper and lower eyelids giving a puffy or wrinkled appearance. At times, the excess skin can rest on or over your eyelashes interfering with your vision. Other common complaints include eyelid redness or itchiness, tearing, or headache. Women often note difficulty applying and maintaining eye make-up, such as mascara, eyeliner or eye shadow. This condition can be significantly improved with an easy outpatient surgical procedure. Your evaluation with Dr. Sajja would determine

if the procedure is covered by your medical insurance.

In addition, Dr. Sajja has considerable experience in cosmetic concerns of the eyelids and face employing advanced surgical techniques and facial injectables, such as Botox®, Dysport®, Xeomin®, Juvederm® XC, Radiesse®, Belotero®, and Restylane®. Dr. Sajja will perform a detailed evaluation and provide recommendations to allow you to achieve a balanced, youthful and energetic result. Patients often elect to combine functional eyelid correction with cosmetic procedures to help turn back the clock and restore a more healthy and vibrant appearance.

Dr. Sajja has a unique blend of experience, compassion and artistry that he shares with each and every patient. With the addition of Dr. Sajja, Milan Eye Center will expand the unsurpassed level of care and services provided to the North Atlanta community.

Milan Eye Center has four convenient locations around North Atlanta: Johns Creek, Cumming, Canton, and Buford. Milan Eye Center is a

premier ophthalmology practice and is affiliated with Atlanta's finest hospitals including Northside Forsyth, Northside Cherokee, and Emory Johns Creek Hospital.

Dr. Sajja is accepting new patients at all Milan Eye Center locations. Please call 678381-2020 or visit our website at milaneyecenter.com for more information on Dr. Sajja and to schedule your consultation today.

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Protect your retirement (NAPSI)—A new rule out of Washington could well make retirement saving even harder, particularly for the middle class—but there is something you can do about it.

The Problem The Department of Labor has proposed a retirement regulation that will limit access to financial advice, limit choices and ultimately raise the cost of saving with additional fees and higher costs.

Savers in brokerage accounts will no longer be able to receive the same level of advice from their financial adviser without paying more, often for services they do not want or need. Without this advice, savers will have to go it alone

or perhaps turn to the Internet for guidance.

While the regulation is likely well intended, its unintended consequences will harm the savers most in need of guidance. In fact, 98 percent of IRA investors with less than $25,000 are in a brokerage account.

What’s Being Done Many people are asking their legislators where they stand on this situation. Anyone can write to www.house.gov and www.senate.gov about this or any issue.

Learn More For further facts about how the rule can impact your retirement savings, visit www. keepretirementopen.com.

2013 and 2014

Kiran Sajja, M.D.

Oculoplastic Surgeon

MILAN EYE CENTER Johns Creek | Cumming | Canton | Buford | Marietta / East Cobb (now open) Learn more: milaneyecenter.com | Call for a consultation: 470-326-0330

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