Health & Wellness – May 2021

May Special Section

2 | May 2021 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

Take action against strokes: steps to lower your risk Brought to you by - Wellstar A stroke can happen to anyone, anywhere and at any time. In fact, every four minutes someone in the United States experiences a stroke, according to the Centers for Disease Control and Prevention (CDC).

During Stroke Awareness Month this May, Wellstar health experts are spreading the word about how Georgians can stay ahead of these life-threatening medical events.

With the largest Joint Commission stroke-certified network in Georgia, Wellstar is dedicated to treating strokes faster and more effectively. That includes offering the most advanced stroke care at Wellstar North Fulton Hospital and Wellstar Kennestone Hospital.

“When a patient is having a stroke, time is brainpower, and the more treatment is delayed, the more damage that occurs,” said Wellstar Neurosurgeon Dr. Arthur Grigorian. “Having care close to home saves those minutes that could be all the difference in recovery.”

Wellstar keeps life-saving stroke care accessible and convenient, so patients can get treated quickly.

“In Atlanta where it takes so very long to drive between facilities because traffic is so bad, having a top-of-the-line place in your own backyard makes all the difference,” said Wellstar Neurosurgeon Dr. Benjamin Zussman.

But while we’re always ready to jump into action with life-saving treatments, stopping a stroke starts with you.

Do your part to lower the risk of a stroke and learn the warning signs that may help save a life.

Know the risk factors for stroke Strokes occur when a blood vessel in the brain

becomes blocked or bursts, which can lead to lasting damage or even death. Many common risk factors that increase your chance of a stroke – such as age, gender, race and family medical history – can’t be changed.

However, there are several key risk factors that are within your control, including: Treating high blood pressure. Hypertension is the number one controllable risk factor for strokes, according to the American Stroke Association.

Managing diabetes. Whether you have Type 1 or 2 diabetes, it’s important to treat your condition and keep your blood sugar under control to help minimize your risk of a stroke.

Prioritizing physical activity. Moving more and sitting less can help lower your risk of a stroke and keep you feeling your best.

Quitting smoking. Firsthand and secondhand exposure can not only wreak havoc on your cardiovascular system, but also increase your chance of a stroke.

Maintaining a healthy weight. Being overweight or obese can increase your likelihood of a stroke or developing chronic conditions, such as high blood pressure or diabetes.

Living a healthy lifestyle is one of the major ways you can lower your risk of stroke. Even small changes in your daily routine can add up and keep you as healthy as possible.

Early action saves lives Knowing the warning signs of a stroke may help you save a life. Remember to BE FAST and get help immediately if you notice the symptoms below.

Balance – Look for sudden loss of balance or coor-

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dination. Symptoms can also include a sudden, severe headache or dizziness.

Eyes – Ask if the person is having trouble seeing out of one or both eyes. This can also consist of blurred vision, double vision or loss of vision.

Face – See if one side of the face is drooping or feeling numb. Check if the person’s smile appears uneven or lopsided.

Arms – Watch for sudden arm weakness or numbness. See if the person can raise both arms without one drifting downward.

Speech – Listen for slurred speech or difficulty speaking. You can have the person repeat a simple sentence to check their speech abilities.

Time – Time is brain. Waiting to get care leads to lasting, irreversible brain damage. If you notice any of these symptoms, don’t delay – call 911 right away.

For more information, visit wellstar.org/neurocare or call (770) 956-STAR (7827).

HEALTH & WELLNESS • Sponsored Section

NorthFulton.com | May 2021 | 3

Health Insurance – What are my options, and what is right for me?

Brought to you by Josh Dougherty, Xperience Benefits After our 2nd year of being in business, it did not take long to figure out that people absolutely love talking about health insurance!

DOUGHERTY Kidding of course. However, for as much as people do not WANT to talk about it, the truth is that you MUST talk about it. Why? For business owners that sponsor benefits, typically benefits are their 2nd highest cost behind payroll itself! For individuals, it has the potential to be a family’s largest bill besides their mortgage!

So, what do we do? Given that we live in the 21st century, we take up arms (our keyboard) and Google “health insurance”. Doing so will give you a litany of large companies that pay to have their websites at the top of your page and most force you to input information so that some telemarketer will call you selling whatever policy their company pushes. Ok, that may be a bit extreme, but you get the point. So, what are my options and

what is right for me?

Well, we begin each conversation asking where you are. If you are a business owner and you are looking to offer benefits to your employees, there are HMO, PPO, EPO & POS plans available. There are pros and cons to each one of these plans. Also, if you and your employees are willing to undergo simple underwriting, there are self-funded or level-funded plans that (if you qualify) allow you to garner quality PPO plans, at heavily reduced rates.

If you are an individual/family seeking a plan, we would ask about 2 items: 1) you and your family’s overall health and 2) your household income.

Why? There are plans on the individual market that, like above, if you can pass underwriting, you may be eligible for quality plans at a discounted rate.

Regarding household income, the passing of the new CARES Act has expanded what is considered the Federal Poverty Level and has increased the amounts of subsidy dollars for folks that qualify for a Marketplace (aka Obamacare) plan. If this is not a route you have looked into recently, we encourage you to do so.

Obviously, we would love to chat

with you about your insurance needs, but at the end of the day, we just want people to be educated on their options. If you have a quality agent, reach out to them and go through your options. Spend some time with them to really understand items such as the difference between a deductible and max out-of-pocket, or what

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Whether you’re a business owner wearing multiple hats, or an HR Director trying to control costs and productivity, turn it over to your new employee benefits department.

Lean on our full team, full time and get back to your business.

Call us today!

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in the world coinsurance is and how it affects me.

Xperience Benefits is an independent brokerage and does not represent one specific carrier of insurance products. We believe in building a quality business with authentic lasting relationships. josh.dougherty@ xperiencebenefits.com

4 | May 2021 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

Self-Advocacy and second opinions Brought to you by: Dr. Brent Taylor, Premier Dermatology and Mohs Surgery of Atlanta Second opinions can be invaluable. A study by the Mayo Clinic found that a diagnosis was changed or discovered in 21% of patients seeking a second opinion, and nearly 66% of all patients seeking a second opinion had their diagnosis refined.

Receiving care for the wrong diagnosis or, more often, not receiving care for an undiagnosed issue can be life altering or sometimes even prove deadly.

Recently, a surprising number of patients have told me about experiences when their own initiative or a second opinion proved to be lifesaving. One patient was told that an incidental finding of low platelets (thrombocytopenia) was dismissed by his first physician as likely of little consequence. This patient sought a second opinion, and a bone marrow biopsy identified leukemia and led to treatment. Another patient’s doctor told her that a mass could be watched and that since imaging was not necessary, it would not be covered by insurance. She paid out of her own pocket for a CT scan that identified the cancer that she suspected she had. Multiple other patients shared similar stories. And whereas this may come as a shock to some, it is, sadly, not surprising to me. Physicians are not infallible.

I genuinely believe that patients should be their own advocate. Good physicians support their patients seeking additional professional opinions. In fact, my patients and I share similar stories because a second (fifth actually) opinion saved the life – or more accurately the quality and course of life – of my son: I count my blessings that my wife holds to her convictions and advocates for our family. Multiple “second” opinions at her insistence saved my oldest child from a lifetime of developmental struggles and unnecessary deafness. Our oldest effectively stopped talking at about 14 months old. He never had a diagnosed or suspected ear infection. And although he would eventually turn towards us when we called his name, my wife was convinced that he could not hear. She took him to multiple pediatricians and was repeatedly dismissed with the counsel that “boys will be boys” and “not everyone is a talker.”

These were board-certified, well-trained physicians. Over the course of a year, his speech deteriorated from a dozen words at 14 months to only 2 words at 2 years old. A pediatric ENT, an audiologist and another pediatrician examined him and suggested autism, but when asked, they could not support their conclusions convincingly. The diagnosis just didn’t fit, as there were no other symptoms of autism.

Finally, at our second pediatric ENT and audiology appointment, the audiologist determined that the way sound waves bounced back from his ear drums was

not consistent with open, air-filled middle ears. Dr. Matthew Whitley (Pediatric Ear Nose and Throat of Atlanta) scheduled an appointment to place tubes in his ear drums and explore further. Shortly into the surgery, Dr. Whitley discovered that my son had “glue ear,” which is when a glue-like semisolid forms behind the ear drum. Our son could hear sounds, which explains how he passed his first hearing test at one year old, but sounds were heard as if underwater, and he could not differentiate between many sounds which made speech unintelligible. Dr. Whitley inserted tubes, removed the glue-like material from our son’s middle ear and restored his hearing. Within one week our son went from speaking two words to twenty words. We were informed that in a case such as our son’s, it would likely have taken years for the glue ear to resolve on its own. Had we stuck with our first, second, third, or fourth opinion, our son would have been severely affected by deafness (and thus speech) during critical developmental years.

As a Mohs surgeon, I have had many of my greatest successes in the field of skin cancer, oftentimes in the context of my serving as a second opinion. One patient was told by his previous Mohs surgeon that further surgery was not possible on his scalp, which was riddled with painful cancers. However, my patient and I selectively employed photodynamic therapy, 5-fluorouracil cream and Mohs surgery with skin grafts. His scalp is now healed and pain and cancer-free. Other patients have come to me with skin cancers dismissed by their previous dermatologists who assured them that a biopsy was not necessary. The most common scenario has been that of growths that the patients were reassured were cysts but that ultimately proved to be squamous cell carcinomas. Biopsies have often identified the presence of skin cancers that, if left untreated, could metastasize to other organ systems.

Perhaps most frustrating to my patients, innumerable individuals have come to me upset that at their previous practice they were never told that Mohs surgery is an option. Frequently, patients first see me when cancers treated elsewhere begin to regrow. Usually, these cancers were treated by a scrape and burn (ED&C), standard excision or freezing by another doctor. Each of these methods is appropriate in certain circumstances, but what frustrated these patients is that they were not offered the choice of Mohs surgery.

Mohs surgery is a method of curing skin cancer by removing small pieces of tissue and checking the edges under the microscope until clear, cancer-free margins are obtained. Mohs surgery has the highest cure rate (usually 99%) of any procedure for the most common skin can-

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HEALTH & WELLNESS • Sponsored Section

The questions of care Brought to you by – Home Helpers

Over the years, we all face health challenges. For our older loved ones, there are a myriad of questions to answer when creating a plan for a safe homecoming from the hospital, surgery, rehabilitation or a nursing facility stay.

Today we’d like to review the most common questions we receive at Home Helpers of North Atlanta and highlight how we can work to complement your senior health coverage to provide a wholistic approach tailored to your needs in the comfort of home.

-What’s the difference between Home Health and Home Care?

Providing you qualify under Medicare or Medicaid guidelines, Home Health provides professional, clinical medical assistance. A skilled nurse can come on an intermittent, part time basis to assist with things like injections, major wound care, pain management medications and ongoing medical tests. Licensed physical or occupational therapist visits may also be prescribed to help improve or maintain your condition. Typically, the plan involves a therapist coming out two or three times a week, with the responsibility for daily therapy homework to be performed by you when the therapist isn’t there. In either case, extended or 24 hour care is not covered. Services are not intended to last forever, but to reach a goal, and you are responsible for any copays. Your care plan will be reviewed and audited at certain points.

Home Care services are typically not covered by health insurance but may be covered if you have a long term care policy or are a veteran. A trained inhome care aide helps with your activities of daily living - from bathing, dressing, incontinence care and grooming for a full range of personal care. Chosen for

Premier: Continued from Page 4 cers and is considered the gold standard treatment for skin cancer on the head and neck.

Physicians have an obligation to present patients with the most reasonable treatment options, even when that treatment option is not available in their own practice. I sleep well at night knowing that I genuinely give my patients treatment that I would not necessarily pick for myself. My job is to present facts and to be a guide but not to choose for my patients. Just today, I saw a patient who was referred to me for Mohs surgery of a basal cell carcinoma on the lower edge of the nose. We reviewed his treatment options together. He had never consid-

their compassion and extensive skills training, a heart centered Home Helpers caregiver can also cover things like meal preparation, light housekeeping, assistance keeping medical appointments and following therapy homework for a faster and more successful recovery. The companionship and dedicated care provided can be critically important, especially upon homecoming. From several days a week to 24/7 coverage, and your inhome care can be adjusted as the road to recovery progresses.

There are some Medicare Part C programs, also known as Medicare Advantage, that have also recently started to offer some coverage for in-home care.

Requirements vary by the company you purchased coverage from. The Veteran’s Aid and Attendance Benefit Program can also help pay for these services.

-Do you do PT or OT? How do they differ?

With Home Health, Physical Therapy (PT) and Occupational Therapy (OT) have two different aims. Physical Therapy treats or improves an impairment. Occupational Therapy teaches you how to function with a limitation. So, PT strengthens an injury and OT helps you learn how to use it in everyday life. If approved under Medicare for a medically necessary reason at your home, a licensed therapist will provide therapy sessions. Home Care can help on all the days therapists aren’t there, by helping to take notes about your homework exercises and making sure you complete them. How diligent you are about carrying out your therapy plans determines your success.

We’re here to help, with proactive attention to detail by a team that has compassion, depth and skill. For a free consultation please call Home Helpers of North Atlanta at (678) 430-8511. ered radiation therapy until I presented it as an alternative to Mohs surgery, and ultimately radiation therapy is what he selected. Likewise, I occasionally have patients referred to me for Mohs surgery who select imiquimod cream instead of surgery after I present it as a treatment option for certain types of basal cell carcinoma.

When non-surgical options exist, it is a surgeon’s responsibility to help educate a patient about treatment options worth considering.

The providers at Premier Dermatology believe in second opinions and in patient advocacy. I, along with Kathryn Filipek, PA-C, strive to truly listen to our patients and empower them to seek second opinions and alternative courses of treatment.

At Premier Dermatology and Mohs Surgery of Atlanta, whether we are your first or second (or fifth!) opinion, we make you and your family our priority.

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6 | May 2021 | NorthFulton.com

HEALTH & WELLNESS • Sponsored Section

Thank You for Voting US Best Dentist in North Atlanta for 6 Years!

Dr. David Remaley

Dr. Destinee Hood

WINNER 2015

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Best Of North Atlanta Presented By

Your Smile Makeover and VENEERS

By Dr. David Remaley, Roswell Dental care Veneers are one of the most versatile options to help restore a smile that is suffering from cracked, chipped, crooked, stained, or gapped front teeth. They are as durable as regular teeth and are even resistant to staining that would normally yellow natural tooth enamel.

There are a lot of factors to consider when you are thinking about veneers.

Some people aren’t sure how to maintain them, while others are wondering if they are even strong candidates to have them fitted.

What are veneers?

Veneers are custom-made, thin shields of porcelain or composite resin material that are placed and bonded to the front surface of the teeth. They may be placed on one or more teeth.

Should I get veneers?

If you have a tooth that is damaged, decayed, or dilapidated in any way, you are likely an excellent candidate for veneers. After we review your case, we will decide if you are a good candidate for veneers. If you are, then you will both discuss your aesthetic goals and find a dental plan that works best for you.

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Crowns and Bridges in a few days • Custom Baked Cookies Daily Porcelain Veneers • FREE Nitrous Oxide and Oral Conscious Sedation Tooth Colored Composite Fillings • Facial Aesthetic Enhancements Teeth Whitening- no sensitivity including BOTOX and Dermal Fillers Oral Cancer Screenings on all patients Teeth Cleanings, Digital X-Rays and Comprehensive Oral Exams on all new patients Cosmetic Smile Makeovers and Full Mouth Digital X-Rays Reconstruction (Complimentary Consultation) $100 Value Occlusal Guards and Bite Adjustments New patients only.

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How are veneers attached?

Before the veneers are designed, the front surface of the teeth will need to be reshaped. The amount is minimal and equivalent to the thickness of the veneer.

Next, an impression or a digital scan of the teeth is taken and sent off to the dental laboratory to cast an accurate model of the teeth, which is used to fabricate the veneers. You will be provided with temporary veneers to protect the prepared teeth.

Once the veneers are designed, they will be fitted to the prepared teeth and cemented into place.

How long do veneers last?

Veneers are essentially permanent;

they are designed to last between 10 and 15 years before they are replaced by another set. The secret to veneer longevity is proper maintenance, care, and taking the appropriate precautions.

Avoid hard foods Just like regular teeth, chewing on hard items like pens or using your teeth as tools can potentially damage your veneers. Cracking or chipping them is rare, but it is possible. Habitually chewing in the same spot or using certain teeth to open packages consistently can also wear them out over time.

Maintain healthy dental hygiene Veneers can collect plaque and tartar build-up just like your natural teeth do, which is why it is so important to keep up with your dental hygiene. Brush your teeth twice a day, floss daily, and be sure to keep your biannual dental cleaning appointments. Keeping your regular cleaning appointments will prevent worse problems, such as gingivitis and cavities. With your new veneers, you can enjoy virtually any food.

Dr. Remaley and his associate, Dr. Destinee Hood will give you a complimentary smile consultation and will provide you with an accurate estimate of your new smile makeover.

If you would like to schedule a complimentary consultation or would like more information about veneers, please give our office a call at 470.288.1152.

HEALTH & WELLNESS • Sponsored Section

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HEALTH & WELLNESS • Sponsored Section

Specialist Vitamin D: The Supplement in Integrative You Should Probably Be Taking Oncology Brought to you by – Jonathan Stegall, MD

Cancer Treatments Including: IV Vitamin C Fractionated Chemotherapy Nutrition Supplementation

Jonathan Stegall, MD 2016, 2018, 2019, 2020

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Nutritionist

Oncology

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Suite 560 • Alpharetta, GA 30022 (770) 551-2730 www. drstegall.com

I receive a lot of questions from my patients about nutritional supplements. Part of my job is to prioritize the right supplements for them, while excluding the ones that are not necessary (or might even be harmful). This is especially important when it comes to cancer.

If I had to choose just one supplement to recommend, it would be vitamin D. We know that vitamin D is important for supporting several key aspects of health, including the immune system, the musculoskeletal system, and even the brain and heart.

Although we obtain some vitamin D from the sun, as well as from food, I have found that virtually all patients who are not supplementing with vitamin D have a suboptimal level.

I encourage you to ask your doctor to check your vitamin D 25-OH level the next time you have blood drawn.

A level between 50-80 ng/mL in the blood is considered optimal. For most

people, a daily dose between 5,00010,000 international units of vitamin D3 is required to achieve this optimal level. It is also recommended to have vitamin K2 (often included within the same capsule) to enhance absorption.

As always, please discuss any potential new supplement with your doctor to make sure it is right for you.

CBD and muscle recovery Brought to you by – The Hemp Farm Store Research into exactly how CBD helps with exercise is still growing but there is a plethora of anecdotal evidence and testaments from athletes on how CBD aides in their fitness routine.

Cannabidiol, or CBD, has natural anti-inflammatory properties making it a useful tool for post-workout recovery. During normal strenuous exercise, your muscle fibers tear allowing for muscle growth. These tiny tears signal your bodies natural inflammation process to occur causing that soreness that is all too familiar. CBD works to reduce the inflammation potentially allowing faster recovery times while also promoting improved physical and mental wellness.

Another benefit of CBD usage is the relaxation and sleep properties.

Most of our muscle recovery occurs while we are sleeping, making it critical to get a good night’s rest for optimal performance.

There are several options to incorporate CBD into your fitness routine. Topical creams and salves can be applied to immediately relive sore and achy muscles. CBD bath bombs or salts are great for a post workout soak to relax and reduce soreness.

Tinctures, capsules, and other edibles are great for the all-around wellness, reducing inflammation and assisting with your sleep routine.

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NorthFulton.com | May 2021 | 9

4 Commonly Asked Questions About IV Therapy Brought to you by Hydralive Therapy You may have seen Instagram photos of actors, athletes, or other celebrities receiving IV hydration therapy and wondered if this treatment could benefit you. The answer is likely YES. IV therapy has risen to popularity because it boasts a range of benefits.

With some many options available, we’ve answered commonly asked questions to help you understand its value and versatility.

1. What Is IV Therapy?

IV therapy is the process of administering fluids, vitamins, and minerals directly into your bloodstream.

2. How Often Should You Do IV Therapy?

There are many different IV therapy treatments available and the frequency of treatments can be tailored to meet each person’s needs.

Some people incorporate IV therapy into their routine, particularly if they are using it to aid in muscle recovery, prevent migraines, or enhance cognitive performance. IV therapy can also be used as a single treatment for an acute condition such as a hangover.

3. Can Anyone Receive IV Therapy?

IV therapy is an elective therapy available to most people. It is important you provide our medical staff with your medical history including a list of any allergies before beginning treatment. Our licensed RNs can also provide more specific information regarding which infusions could be right for you.

4. Does IV Therapy Work as a Preventative?

Yes! Many IV infusions can be used as a preventative measure. IV hydration therapy can help you prepare for upcoming events, travel, and seasonal changes by boosting the immune system, alleviating headaches and migraines. supporting healthy breathing when pollen levels are high, supplying muscles with the nutrients necessary to recover quickly after exercise and more.

One of the great things about IV hydration therapy is there are so many different treatments available.

This means treatments can be tailored to your health and wellness goals. For more information on the specific IV therapies, visit hydralivetherapy.com.

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