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AS FAR AS THE EYE CAN SEE VISION HEALTH IN OLDER ADULTS

CHOLESTEROL THE GOOD, THE BAD, & THE UGLY

INSPIRED WOMEN CELEBRATING WOMEN

WORKOUT WITH A LOCAL KARISA KAYE’S GUIDED GLUTE WORKOUT

HOLD ON TO YOUR HAT THE PERFECT SUMMER ACCESSORY

MEET OUR CAREGIVERS LOVE, CARE, & SERVING OTHERS

ANNUAL

A DVA N C E M E N T S IN MEDICINE

See Page 82 for Jennifer Holder and Shawanda Mason’s Success Story!

SECTION

F A M I L Y

N U T R I T I O N

F I T N E S S

R E L A T I O N S H I P S

B E A U T Y

R E C I P E S


Champions of Care Our associates are committed to quality care, no matter the circumstance. They continue to fight for the health and safety of our residents – and for the comfort and confidence of their loved ones.

Life Care Centers of America 3570 Keith Street, N.W. / PO Box 3480 / Cleveland, Tennessee 37320-3480 / (423) 472-9585

Learn more at LCCA.com.


From screening to survivorship, we have you covered. Learn more about our comprehensive breast health services. Services under our breast health umbrella include a variety of preventative care and treatment options: • A comprehensive team of board-certified medical oncologists, radiation oncologists, radiologists, and general surgeons/breast specialists • State-of-the-art radiation therapies • Customized treatment plans

• Genetic testing and counseling • 3D digital mammography

• Patient navigation and oncology social work services

• Breast surgery and reconstruction • 3D stereotactic breast biopsy • Breast elastography • Breast ultrasound

844-PCI-HOPE

HamiltonHealth.com/breast-health


HOORAY FOR SCHOOL!

IS IT TIME FOR YOUR CHILD’S SPORTS PHYSICAL? If your child needs a sports physical, we can help you ensure they are in good shape and healthy. And just in case planned school activities don’t go as smoothly as expected, our digital x-ray lab and expert staff are ready to help you early or late, seven days a week. No appointment is needed, so just stop in when it is convenient. CLEVELAND: 170 Mouse Creek Road (37312) ph: 423.458.1426 | Open M-F 8-8, S-S 8-5 HIXSON: 5546 Highway 153, Suite 120 (37343) ph: 423.486.1911 | Open M-F 8-8, S-S 8-5 CHATTANOOGA: 1521 Gunbarrel Rd., Suite 103 (37421) ph: 423.531.0911 | Open M-F 8-8, S-S 8-5 CHATTANOOGA: 3520 Cummings Highway (37419) ph: 423.822.5942 | Open M-F 8-8, S-S 8-5 FORT OGLETHORPE, GA: 26 Parkway Drive (30742) ph: 706.956.2846 | Open Every Day 8-6 OOLTEWAH: 9058 Old Lee Highway (37363-5631) ph: 423.531.9110 | Open M-F 8-8, S-S 8-5 ATHENS: 2037 Congress Pkwy. S (37303) ph: 423.381.0152 | Open M-F 8-8, S-S 8-5

NOW OFFERING RAPID COVID-19 TESTING AND ANTIBODY TESTING!

NOAPPOINTMENT NEEDED

AFCURGENTCARETN.COM


Publisher’s Letter

“Ignoring the signs is a good way to end up at the wrong destination.” — UNKNOWN

Did you know that your body is constantly communicating with you? These signals – sometimes obvious, other times subtle – can be strong indicators of your overall well-being, or even reveal the earliest stages of an illness. In short, learning to listen to your body can have a major impact on your future health! In this late summer issue of HealthScope® magazine, we cover just how crucial it is to pay attention to your body and its warning signs. In “Cholesterol: The Good, the Bad, & the Ugly,” we learn about common misconceptions related to cholesterol and what you need to know to catch an issue before it’s too late. Our feature “The Importance of Regular Skin Checks” details the risk factors for skin cancer, as well as the benefits of identifying a melanoma in its earliest stages. In “As Far as the Eye Can See,” we are reminded that the most effective way to prevent vision loss, particularly in older adults, is by scheduling a regular eye exam. This issue also features the section Meet Our Caregivers, which showcases local professionals specializing in a variety of fields. These specialists exemplify the incredible care offered throughout our area. And, as always, don’t miss our annual Advancements in Medicine section, in which we detail new technology, processes, and treatments

available in our own backyard. These cutting-edge offerings, ranging from custom hearing aid devices to same-day dental crowns, are enhancing patient care. There are many more articles inside for you to discover, George Mullinix including the PUBLISHER season’s best sun hats, healthy peach recipes, and an at-home glute workout from local trainer Karisa Kaye. “Her Story” continues to share the stories of local women who have faced adversity head-on, while in our new section “Inspired,” we celebrate women who are making the world a better place through their words and actions. Last but certainly not least, check out our interview with cover models Jennifer Holder and Shawanda Mason. These successful ladies have proven that best friends can also make the best business partners; their insights and practical advice for future women entrepreneurs are sure to inspire you. We hope that you find this late summer issue of HealthScope® magazine to be informative and uplifting, and that it will encourage you and your family to stay vigilant about your health. Blessings always,

Celebrating 31 Years! HealthScopeMag.com Follow HealthScope® and CityScope® magazines and The Chattanooga Resource & Relocation Guide® on Facebook and Instagram!

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HealthScopeMag.com


Educating Chattanooga’s Next Front Line

With more than 25 degree or certificate programs in Nursing and Allied Health, our graduates are ready to join the front lines in 2 years or less.

Learn more about Chattanooga State’s Fall 2020 plans, including instructional delivery, at chattanoogastate.edu.

START HERE GO ANYWHERE VIRT UAL

O N LINE

H YBR I D

chattanoogastate.edu

11-68-404002-17-7/20/jp - AD - Chattanooga State does not discriminate on the basis of race, color, religion, creed, ethnicity or national origin, sex, disability, age, status as a protected veteran, or any other protected class. See our full EEO statement at chattanoogastate.edu/eeo-statement.


Contents Be Well 28

The Good, the Bad, & the Ugly

34

7 Factors That Affect Your Weight (Besides Diet & Exercise)

82

Cholesterol

What’s Influencing the

Way You Look & Feel

40 The Importance of Regular Skin Checks

The Ins & Outs of Catching

Skin Cancer

46 As Far as the Eye Can See

The Importance of Vision Health for Older Adults

Meet Our Caregivers LOVE, CARE, & SERVING OTHERS 54 Frankie Parrott

Serving the Senior Population

56

Charlie Lee

Putting His Patients First

58

Caleb Heath

Supporting Patients on the Road to Recovery

60 Courtney Phifer

Healing Clients’ Relationship with Food

46

Stay Well 63 ANNUAL ADVANCEMENTS IN MEDICINE SECTION 64 Peripheral Artery Disease Treatment 66 CAD/CAM Dental Crowns 68 Robot-Assisted Spine Surgery

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70

Custom Hearing Aid Technology

72

Dental Anesthesia

74

High-Intensity Gait Training Physical Therapy

76

Robot-Assisted Hernia Repair

78 Dental Implant Restorations 80 Mental Health Therapy


This is our

STRONG SUIT Tonya Susskind, RN MICU Parkridge Health System

Our world is very different today.

#ParkridgeStrongSuit

While some are uncertain about the future, we prepare. We show up when others are asked to stay home. We sacrifice time with family and friends in order to help our communities recover. We give selflessly, care and comfort those in their time of need. Clinical protocols are stronger and our new uniform consists of layers of protective equipment, but that doesn’t keep us from touching lives every day. While this protective gear isn’t comfortable, this suit gives us the strength to battle and fulfill our purpose of a healthier tomorrow.


Contents

Look Well

95

82

Meet Our Models

Jennifer Holder & Shawanda Mason

84 Hold on to Your Hat The Perfect Summer Accessory

86

88

Refine Your Routine

How to Care for Every Hair Type Botox 101

All You Need to Know About This Procedure

90 Smooth Operator

Shaving Fan Favorites

Her Story MOTIVATING STORIES FROM LOCAL WOMEN 93

Anna Cate

94

LaTrice Currie

95

Elizabeth Baker

96

Kirsten Hyde

Inspired

86

WOMEN CELEBRATING WOMEN 99

Kat Wright & Rebecca Styles

100 Mikaya Reynolds & Cindi Reynolds 101 Shaina Ramsey & Briana Garza-Wilson

Feel Well 102 Teenage Rebellion or Establishing Independence? Navigating the Teen Years

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104 Balancing Marriage & Family Time Relationship Tips from Local Ladies


Contents HealthScopeMag.com Late Summer 2020 • Vol. 31 Issue 6

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Publisher

George Mullinix

Sales & New Business Development

Cailey Mullinix Easterly

Sales & Business Development

Katie Faulkner

Art, Creative, & Design

Emily Pérez Long

Design

Lauren Robinson

Editors

Christina Cannon Lucy Morris Mary Beth Wallace

SEO/Digital Marketing

Micah Underwood

Contributing Writers Julie Baumgardner Photographers Rich Smith Emily Pérez Long

Live Well

Departments Health in a Minute

106 Karisa Kaye’s Guided Glute Workout An At-Home Workout 110 Peachy Keen Peach Recipes from Locals 114

16 For Him 18 For Her 20 For Moms 22 For the Whole Family

24 Health & Wellness Calendar

Top 5: Places to Run in the Scenic City Tips from Local Runner Carrie Bocanegra

25 Staff Spotlight 26 Ask the Doctor 50 Silver Side

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ABOUT THE COVER Jennifer Holder and Shawanda Mason, co-founders of The Chattery, share our late summer cover. These business partners (and best friends) bring out the best in each other – their story is sure to inspire you!

AS FAR AS THE EYE CAN SEE VISION HEALTH IN OLDER ADULTS

CHOLESTEROL THE GOOD, THE BAD, & THE UGLY

INSPIRED WOMEN CELEBRATING WOMEN

WORKOUT WITH A LOCAL KARISA KAYE’S GUIDED GLUTE WORKOUT

HOLD ON TO YOUR HAT THE PERFECT SUMMER ACCESSORY

MEET OUR CAREGIVERS LOVE, CARE, & SERVING OTHERS

ANNUAL

See Page XX for Jennifer Holder and Shawanda Mason-Moore’s Success Story!

A DVA N C E M E N T S IN MEDICINE SECTION

F A M I L Y

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N U T R I T I O N

F I T N E S S

R E L A T I O N S H I P S

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B E A U T Y

R E C I P E S

Photo by Lanewood Studio

Lanewood Studio

Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Subscribe.” A one year subscription for CityScope® or HealthScope® magazine costs $18. To receive advertising information, change your mailing address, or share your views on editorial: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Contact.” CityScope® and HealthScope® magazines and the Choose ChattanoogaTM – Chattanooga Resource & Relocation Guide ® (the magazines) are published by CMC Publications, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement. CityScope® magazine Copyright, CMC Publications, LLC, 1993 CityScope® magazine is a trademark owned by CMC Publications, LLC HealthScope® magazine Copyright, CMC Publications, LLC, 1989 HealthScope® magazine is a trademark owned by CMC Publications, LLC Choose ChattanoogaTM – Chattanooga Resource & Relocation Guide® Copyright, CMC Publications, LLC, 2011 Chattanooga Resource & Relocation Guide® is a trademark owned by CMC Publications, LLC


SKIP THE MASTER’S BS to DNP Program Become an advanced practice nurse and earn a doctor of nursing practice at the same time. Our new BS to DNP program mentors bachelor’s degree-level graduates, as they gain the necessary RN experience, through an advanced nursing practice emphasis of their choice. No previous clinical experience required. Options include: • DNP/MBA • Lifestyle Medicine • Nurse Educator • Nurse Practitioner (emphases include Acute Care–Adult/Gerontology, Primary Care–Adult/Gerontology, Family, and Psychiatric Mental Health) Call or visit online to find out how to get started.

1.800.SOUTHERN • southern.edu/graduatestudies


THANK YOU

#CempaChampions Caregivers from Cempa Community Care’s Team have made a remarkable difference impacting the lives of our clients and community in 2020.

Thank you for your continued dedication to being the Champions of a Healthier Community.

IMPROVING HEALTH. INSPIRING CHANGE. Our mission is to champion healthy communities by providing affordable, compassionate, and high-quality care through advancing comprehensive support services and person-centered best practices.

LEARN MORE | cempa.org


H E A LT H I N A M I N U T E FOR HIM

LAYER ON THE LOVE There are a lot of factors that go into living a happy life, and one of the most important is having meaningful and healthy relationships. Read on for some small ways to show those you love that you care. 1. Compliment them. Whether it’s about their looks, their brains, or something else entirely, never underestimate the ability a compliment has to brighten someone’s day. 2. Disconnect. Put down your phone during meals, while you’re in the car, and especially during date night. This signals to the other person that they are important. 3. Give hugs. Stay connected with a regular embrace. Hugging releases oxytocin in the brain and will help you feel more attached. 4. Make their favorite meal. Who doesn’t love to be surprised with a home-cooked meal? While it may not be your favorite cuisine, your significant other will appreciate the effort. 5. Say thank you. Expressing gratitude, even for small tasks such as taking out the trash, helps others feel noticed and appreciated. 6. Write notes. Especially for couples with busy schedules, handwritten notes can work wonders. Write down a joke or a compliment, and leave it somewhere where they will see it.

• Wipe down equipment after using it. • Don’t stare at people. • Avoid excessive grunting. • Put weights back in their place. • Don’t hog your favorite machine. • Play your music at a reasonable volume. • Don’t laugh at or make fun of others.

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Gym Etiquette 101

• Don’t take phone calls.

You’ve got your headphones in, and you’re crushing a workout at your local gym. But when you’re in the zone, it can be easy to forget that you are part of a larger community. Abide by these unspoken rules to make sure you are being respectful of your fellow gym-goers.

• Show up in clean workout clothes.

HealthScopeMag.com

• Clean up after yourself in the locker room. • Be mindful of how loud you’re talking when exercising with a friend. • Take pictures with discretion.


H E A LT H I N A M I N U T E FOR HER

EMBRACING EYELASH EXTENSIONS From mascara to serums, there are countless ways to get longer and fuller lashes. While you might not think twice about getting hair extensions, eyelash extensions can seem more daunting. Here’s what you need to know. • Lash extensions are semi-permanent and are handglued on top of your natural lashes by a technician. A full set will include roughly 80 individual lashes.

• Don’t be afraid to ask your salon what ingredients are in the adhesive they use. Avoid places that use formaldehyde, which can cause irritation and redness.

• Lashes come in a few materials (most notably mink or synthetic silk) and a variety of lengths and curls.

• Make sure your technician uses sanitary equipment, washes their hands prior to your treatment, and sterilizes their tweezers.

• The majority of lash extensions will last six to eight weeks, but you can get fill-ins as needed. • Work with your technician to decide on the right lashes for you. How long and thick your extensions are will depend on the health of your natural lashes.

• For the best results, don’t get your lashes wet for the first 24 hours after your treatment, and avoid products that contain oils as they can break down the adhesive.

Say Goodbye to Grogginess Do you ever feel exhausted when you wake up in the morning, no matter how much sleep you have had? Some research shows that it may be caused by always pressing the snooze button when your alarm goes off. This behavior of dipping in and out of sleep in the morning is actually called drockling, which is when you start a new sleep cycle that you never finish. If you are among those who press the snooze button nearly every morning, try kicking the habit with these helpful tips. • Place your alarm in a hard-to-reach place or across the room so that you have to get out of bed. • Give yourself something to look forward to in the morning, and only allow yourself to do that activity if you wake up on time. • Get a dose of adrenaline by busting out some jumping jacks or dancing to your favorite song. • Change up your alarm sound often so that you don’t become immune to the noise. • Follow a sleep schedule, and go to bed earlier if needed. • Download a sleep tracking app that can wake you while you are in your lightest stage of sleep. • Only use your bedroom for sleep, which will train your mind to use it as a place of rest. • Create a bedtime routine that allows you to relax and fall asleep more easily.

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Non-invasive and surgical treatments available for the reduction of unsightly varicose and spider veins on the legs, face, hands, and more.

The Vein Institute, located at Southern Surgical Arts, is a dedicated practice with one goal: the comprehensive treatment of all vein disorders. Vein disease is very common, with more than 80 million Americans suffering from some form of venous disorder. These disorders tend to grow more pronounced over time, becoming increasingly prominent in appearance and more uncomfortable. Advanced treatments and new technology mean that you no longer have to live in embarrassment or discomfort. Dr. Vincent Gardner is a board-certified surgeon with over 14 years

of experience performing endovenous thermal ablation and laser treatments to benefit his patients. He routinely treats visible, unsightly, and often painful veins with innovative, specialized treatments to restore a more attractive appearance with long-lasting results. If vein issues are a concern for you, call 423-551-8346 today to schedule your free consultation. The Vein Institute is located on the top floor of the Southern Surgical Arts building in downtown Chattanooga.

“Our goal is to improve the health, comfort, and appearance of every patient.” –DR. GARDNER

“I noticed bulging veins on my legs early on in life and thought, “How can this be?” They made my legs feel tired, and I felt like I needed to shift while standing. Internal thoughts like, “It’s due to my weight,” and, “They won’t go away now,” were very discouraging. Finally, as a 25-yearold, I spoke with my doctor, and he recommended I see Dr. Gardner. I am so happy I did – I no longer have the ugly bulges on my legs! Dr. Gardner’s staff is super friendly and easy to talk to. The follow-up texts after the procedures were unexpected and encouraging.” -EP


H E A LT H I N A M I N U T E FOR MOMS

TESTING THE WATERS

F

or most babies, bath time is a haven for creativity and imagination. As they grow older, it may be time to consider switching over to showers, but how do you make this transition a smooth one your child will enjoy? Start by making showers fun. Even though your child may be taking a shower, that doesn’t mean you have to leave the toys behind. You can also purchase fun shower gels and tear-free products to make showering a more pleasurable experience. Treat showers as a special time instead of a quick wash down to help your child look forward to the process. While you are still in the supervision stage with your child’s showers, this is a great time to teach them how to properly wash their body, including any private parts, and shampoo their hair as to not get soap in their eyes. Teach your child where to set the temperature dial, and let them know they should have a bath mat laid out before ever getting into the shower. Placing laminated cards with step-by-step instructions in the bathroom can be a helpful way to remind your little one of their routine.

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HealthScopeMag.com


Our physicians are dedicated to

mind. body. spirit.

Potty Training 101 No two children are alike, so when it comes to potty training your child, it may be hard to know what will work. Below are several tips and tricks that parents have found some success in. Mix and match methods until you find the best approach for your toddler. • Make sure your child is ready and capable of achieving success. • Let your child help pick out their potty. • Motivate and reward successes with fun big kid underwear. • Make sure the potty is easily accessible and in a convenient spot. • Get on a schedule, and visit the potty before and after bed. • Use a sticker chart so your little one can see their progress. • Praise your child when they have success in being accident-free. • Read your baby a book or sing a song while they are trying to use the bathroom to help them relax. • Train by example, and let your child go to the bathroom with same-sex members of the family. • Use your child’s favorite toys to act out a ‘going to the bathroom’ scene. • Don’t expect miracles or punish mistakes.

JOHN S ADAMS, MD-OBGYN 929 Spring Creek Rd Suite 104, East Ridge, TN 37412 (423) 510-0250 ASSOCIATES IN WOMEN’S HEALTH (OOLTEWAH) 6845 Mountain View Rd, Ooltewah, TN 37363 (423) 910-0896

ASSOCIATES IN WOMEN’S HEALTH (RINGGOLD) 4700 Battlefield Pkwy Suite 220, Ringgold, GA 30736 (706) 861-4508

whschattanooga.com HealthScopeMag.com

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H E A LT H I N A M I N U T E F O R T H E W H O L E FA M I LY

What Is Tick Paralysis?

W

hile participating in summer outdoor activities, there are a variety of creepy crawlies you need to be on the lookout for. Among them are ticks, which can cause a number of issues including tick paralysis – a disease that, while not common, can be fatal if left untreated. When a tick bites you and hangs on for an extended period of time, it begins to release a neurotoxin through its saliva that can affect your nervous system. A common sign of tick paralysis is numbness or tingling in the legs, and some people also experience muscle pain and fatigue along with being irritable. As the disease progresses, numbness begins to travel up the body and is followed by paralysis. The real danger with tick paralysis is if it spreads to the lungs and makes it harder to breathe. The only way to avoid tick paralysis is to make sure you are tick-free after every outdoor adventure. Conduct a thorough full-body check after being in wooded or grassy areas. If you do find a tick, remove it immediately, making sure to get the head and body off your skin. Any tick paralysis symptoms will subside after the tick is removed.

The Scoop on Sugar: Is One Kind Better for You?

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HealthScopeMag.com

When it comes to consuming sugar, we all know that less is better. But when we do elect to add a touch of sweetness to our favorite foods, are some choices better than others? Research on the subject says not really. Both natural and added sugars metabolize in the same way. The main difference is that natural sugars, like those found in fruit, also come with fiber, which helps you feel full – thus you consume less. Added sugars, whether in honey or high fructose corn syrup, are made mostly from glucose and fructose, just in varying ratios. The varying levels of glucose versus fructose alone have little impact on health, with one exception being people with diabetes, who need to control their blood glucose level. In this case, sugars with higher fructose and lower glucose ratios may be preferred. Regardless of what type of sugar you choose, the World Health Organization recommends that added sugar comprise no more that 5% of your daily calorie intake, which amounts to about six teaspoons of sugar per day for most adults – that’s less than a can of soda!


When a loved one’s return to independence depends on you,

DEPEND ON US.

Love is a powerful healer. We witness its benefits day after day as we partner with devoted caregivers to help restore independence to overcome the effects of a stroke or life-changing illness or injury. If you or someone you love has lost independence, depend on us for rehabilitation. We start by providing information you need to feel comfortable with our approach to advanced therapy and care. Then we create custom routines of recovery to address unique needs. Depend on us. Learn more at ehc.rehab/hmc20

2412 McCallie Avenue • Chattanooga, TN 37404 423.698.0221 • Fax 423.697.9117

The Joint Commission DiseaseSpecific Care Certification in Amputee Rehabilitation, Hip Fracture Rehabilitation and Stroke Rehabilitation

©2020:Encompass Health Corporation:1665948

STOP SNEEZING

START LIVING

Marc Cromie, MD • Todd Levin, MD • Lee Perry, MD • Hyman Kaplan, MD • Jennifer Patel, MD • Jessica Van Mason, MD chattanoogaallergyclinic.com • 423-899-0431 HealthScopeMag.com

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HEALTH & WELLNESS CALENDAR 10 Celebration of Life and Hope

Join the 13th annual Celebration of Life and Hope from the comfort of your home! Registration includes access to the livestream and auctions, a $25 donation to the Austin Hatcher Foundation, a discount code to the Lodge Cast Iron website, and a chance to win a Lodge Cast Iron basket valued at $500. The livestream begins at 8 p.m. Mike and Traci Otterman serve as this year’s co-chairs. CELEBRATIONLH.COM

17 Chattanooga Walk to End Alzheimer’s

September 12 No Show Ball Chattanooga

On the day of the No Show Ball, the event comes to you in the form of dinner dropped at your front door! Your cooler will include local dishes from Southern Star, Maple Street Biscuit, Main Street Meats, and more, as well as wine from Imbibe Chattanooga. The cost of a cooler is a $100 donation, which goes directly toward the Forrest Spence Fund helping critically or chronically ill children and their families. FORRESTSPENCEFUND.ORG/EVENTS/ NSBCHATT

12 Scenic City Mud Run

Registration is open for the Scenic City Mud Run at The Cowboy Church Farm in Rock Spring, GA. Daring participants must overcome constructed and natural obstacles – including hay bales, cargo nets, barbed wire, and lots of mud – to reach the finish line. The Mud Run is one of three events making up The OCR Triad taking place throughout the weekend. SCENICCITYMUDRUN.COM

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HealthScopeMag.com

26 StarNight 2020

Siskin Children’s Institute’s 58th annual StarNight goes live at 7 p.m. with inspiring stories, amazing families, strong kids, and a one-time-only performance by American singer-songwriter Kodi Lee, winner of America’s Got Talent Season 14. Participants will also enjoy a special gift package featuring gourmet treats, gift cards, complimentary keepsakes, and more. All proceeds benefit children and families served by the Institute. SISKIN. ORG/STARNIGHTKIDS

October 3 Dare to Dance

Save the date for Dare to Dance 2020. This dazzling event, to be held at the Chattanooga Convention Center, is based on popular television show Dancing with the Stars. Couples will be showing off their dance moves in hopes of raising money for kidney patients in Chattanooga! The event is hosted by the Kidney Foundation of the Greater Chattanooga Area. KIDNEYFOUNDATION.COM

The Chattanooga Walk to End Alzheimer’s might look a little different this year, but you can still do your part to rid the world of Alzheimer’s and all other dementia. Participants are asked to walk in small teams of family and friends, while others in the community do the same. To join in, register online and start fundraising – then, on October 17, get out and complete your walk on any sidewalk, track, or trail. ACT.ALZ.ORG/CHATTANOOGA

18 7 Bridges Marathon

With a live DJ, event shirts, medals, food, and so much more in store, Chattanooga’s oldest marathon is returning Sunday, October 18. This year’s participants can choose from five different races: the marathon, half-marathon, 5K, relay race, and family fun run. For the first time, the marathon will be held at Cohutta Springs Resort and Conference Center in Crandall, GA, in consideration of COVID-19. Race promoters hope to bring the event back to downtown Chattanooga in 2021. SEVENBRIDGESMARATHON.COM

24 Susan G. Komen® More Than Pink Walk

The More Than Pink Walk is going virtual! The Susan G. Komen® organization invites participants to #WalkWhereYouAre to support their mission to end breast cancer forever. With registration now free, there is no excuse – start a team today! And, be sure to connect with the Komen Community online on the day of the event. KOMENCENTRALTENNESSEE.ORG


STAFF SPOTLIGHT

SISKIN HOSPITAL FOR PHYSICAL REHABILITATION

SISKIN HOSPITAL FOR PHYSICAL REHABILITATION

Christopher Merchant, DPT, OCS, Cert. DN

Douglas Daniel, DPT, OCS, Cert. DN

Dr. Christopher Merchant, a physical therapist at Siskin’s East Brainerd Outpatient Therapy clinic, has satisfied the requirements for the Orthopedic Clinical Specialist (OCS) certification. The credential is awarded by the American Board of Physical Therapy Specialties.

Dr. Douglas Daniel has satisfied the requirements for the Orthopedic Clinical Specialist (OCS) certification. Dr. Daniel has nearly 10 years of experience in therapy and is also certified in dry needling. He works at Siskin Hospital’s downtown Outpatient Therapy Clinic.

THE CHATTANOOGA HEART INSTITUTE AT CHI MEMORIAL

THE CHATTANOOGA HEART INSTITUTE AT CHI MEMORIAL

Mark Fugate, MD, FACS

Sachin Phade, MD, FACS, RPVI

Dr. Mark Fugate has joined The Chattanooga Heart Institute at CHI Memorial. Dr. Fugate is board-certified in general and vascular surgery by the American Board of Surgery, and he has been practicing as a vascular surgeon since 2009.

Dr. Sachin Phade has joined The Chattanooga Heart Institute. A practicing vascular surgeon since 2011, Dr. Phade is also a registered physician in vascular interpretation. He completed a fellowship in vascular and endovascular surgery at Northwestern University in Chicago.

THE CHATTANOOGA HEART INSTITUTE AT CHI MEMORIAL

AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER

Richard Sprouse, MD

Chastity Chartier, PhD

Vascular surgeon Dr. Richard Sprouse has joined The Chattanooga Heart Institute. Dr. Sprouse received his medical degree from the University of Tennessee in Memphis and completed a fellowship in vascular surgery at Eastern Virginia Medical School in Norfolk.

The Austin Hatcher Foundation has added Dr. Chastity Chartier as its licensed clinical psychologist. Dr. Chartier has practiced psychology for over 10 years, and in this new role, she will work closely with families to provide therapy services and treatments as needed.

PARKRIDGE HEALTH SYSTEM

PARKRIDGE HEALTH SYSTEM

Chaney Sullivan, DPT

Courtney Painter, MS, SLP-CCC

Dr. Chaney Sullivan recently completed training with the National Association of Neonatal Therapists. Dr. Sullivan provides physical therapy to neonates in the level III Neonatal Intensive Care Unit at Parkridge East Hospital. She is a graduate of the University of Tennessee at Chattanooga.

Courtney Painter recently completed training with the National Association of Neonatal Therapists. Painter helps to address newborn feeding issues in her role in the level III Neonatal Intensive Care Unit at Parkridge East Hospital.

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ASK THE DOCTOR

Q. I’ve been dealing with a lot of pain in my jaw and recently heard Botox can help with that. How does it work?

Q. I jammed my finger, and now I can’t extend the last joint all the way. What should I do? A. This type of injury is called a mallet finger. With a simple mallet finger injury, the tendon responsible for extending the last bone of the finger ruptures (tears off the bone), which prevents you from being able to extend it. With a bony mallet finger, a small piece of bone breaks off when the tendon tears. In most cases, mallet finger injuries respond well to splinting. With splinting, cells have the ability to grow and reconnect the tendon to the bone. For best results, splinting should be done within one or two weeks of the injury, and your finger should remain splinted and completely immobilized for eight to 12 weeks. In rarer cases, surgery may be recommended. If a mallet finger is not fixed, some people may develop a secondary deformity called a swan neck deformity, where the middle joint on the finger hyperextends, so it’s best to get it checked out with a doctor early. Robert Mastey, MD Upper Extremity Specialist Center for Sports Medicine & Orthopaedics sportmed.com

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A. Botox has been shown to help with certain TMJ symptoms like muscle soreness and tension headaches. When used in certain facial muscles, Botox can help to reduce the force caused by these muscles, which helps to ease pressure and pain in the area and cause less damage to the teeth. Although the facial muscles are weaker from the Botox, they are still able to function for everyday chewing, etc. One side benefit we have found with our patients is a slimmer jawline over time due to the lack of heavy clenching pressure from the jaw muscles. It can take up to four weeks to notice muscle soreness relief from the injections, and the results typically last up to six months. Our patients have had great results with Botox. If you are experiencing TMJ discomfort, I recommend talking with your dentist to see if Botox is right for you. Mandy Shearer, DDS Dentist Soddy Daisy Smiles soddydaisysmiles.com


Q. I think I may have a hernia, but it’s not really causing any pain. Will it go away on its own? A. A hernia is a tear in your muscle or tissue that allows

internal organs to bulge through and can cause pain or discomfort. If severe, hernias can cause internal organs or tissues to become blocked or infected, so it is important to get them checked by a doctor. Some hernias don’t need to be treated immediately, especially if they aren’t causing pain. In these cases, doctors may recommend watching and waiting. For others, there’s a possibility that the hernia could lead to bowel obstruction. Because surgery is the only way to correct a hernia, several options – including open, minimally invasive, and robotic hernia repair – may be considered. Most hernias can be treated through minimally invasive procedures that are performed through small incisions in the abdomen, meaning faster recovery and return to normal, daily activities. Craig A. Murray, MD, FACS General & Hernia Surgeon University Surgical Associates universitysurgical.com

Q. What are the testing options for COVID-19, and how long will it take to get results?

Q. I think I’m allergic to pet dander, but my kids are begging us for a puppy, and I want one too. What is the best way to reduce possible reactions? A. If you have symptoms that suggest allergy to pets, seeing an allergist can help. Thankfully, there are different ways to address this issue that don’t always mean giving up on a furry friend. Pet dander is a known allergen, but our pets can also cause symptoms related to other allergens in the environment that they carry in their fur, like pollens and dust. Getting allergy tested to identify your specific triggers is a good place to start. Then we can determine what the best approach will be. Minimizing exposure to your allergens (e.g. keeping pets out of the bedroom), different medications, and allergy shots are all things that could help with allergy symptoms. Jessica Van Mason, MD Allergist/Immunologist Chattanooga Allergy Clinic chattanoogaallergyclinic.com

A. Testing options for COVID-19 come in two types, diagnostic and antibody. Diagnostic tests can be further broken down into molecular- or antigen-based, with molecular being the most accurate. Both forms of diagnostic testing require a nasal or throat swab. Nasal swabs are the most commonly available. Most molecular test results have a turnaround time of 24+ hours. Unfortunately, due to the significant increase in demand nationwide, the turnaround time is currently unpredictable. Result time can range from three days to three weeks (the average is five to seven days). Rapid molecular tests are available and can give results within 15 minutes to three hours but are rare and only available to those with active symptoms and/or need for hospitalization. Antibody COVID-19 tests require a blood draw or finger stick and can give results in minutes or within 48 hours depending on the test. This test shows possible past infection with COVID-19. The FDA does not currently recommend antibody tests to diagnose active infection. Natasha Ballard, MD Assistant Medical Director AFC Urgent Care afcurgentcaretn.com

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Cholesterol: The Good, the Bad, & the Ugly

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BY LUCY MORRIS

W

e’ve all heard of cholesterol. In fact, most of us probably know it’s related to heart health. But when it comes down to it, you might be surprised to learn how much you don’t know about what it does, how it works, and when you should get your levels checked. Here, we’ve compiled some of the most common misconceptions, along with their factual counterparts, to lift the veil on this important measurement and keep you feeling your best.

MISCONCEPTION: All cholesterol is bad cholesterol. Reality: While there are various types of lipid particles, there are two main cholesterol measures that people should know about: HDL and LDL. “HDL stands for high-density lipoproteins. We commonly call HDL your ‘healthy cholesterol,’” explains Dr. Chelsea Ryan, a family medicine physician with CHI Memorial Integrative Medicine Associates – Signal Mountain. “HDL helps to remove other forms of cholesterol from your blood and takes it back to the liver where it is ultimately broken down and removed from your body. Having high levels of HDL helps lower your risk of heart attack and other health problems.” LDL, on the other hand, which stands for lowdensity lipoproteins, is the bad stuff. “High levels of LDL can increase your risk of heart disease and stroke,” adds Dr. Ryan. HDL and LDL work in tandem with triglycerides, a fat-like substance in your blood that gives your body energy, to create your overall cholesterol score. In a perfect world, you want high levels of HDL and low levels of LDL and triglycerides. MISCONCEPTION: If I had high cholesterol, I’d know. Reality: Unfortunately, high cholesterol doesn’t tend to show symptoms, so the first sign that there’s a problem could be a heart attack, stroke, or peripheral artery disease. Since this is the case, it’s important to check your levels regularly, change your diet and lifestyle where necessary, and control your cholesterol with help from your doctor to avoid serious repercussions. High cholesterol is one of the most significant controllable risk factors for coronary heart disease. Just because you’re not seeing signs doesn’t mean you’re in the clear. MISCONCEPTION: Only men need to worry about high cholesterol. Reality: Though high cholesterol is sometimes more commonly associated with men, men and women actually have similar cholesterol levels. While there can be subtle variations, they tend to be related to age and hormone levels. Sarah Gregory, a nurse practitioner with Hamilton Physician Group – Cardiology, explains, “Early in life women tend to have more ideal lipid profiles than men. This is because estrogen tends to increase HDL, which helps to suppress LDL. After menopause, estrogen drops, which causes a reduction in HDL and consequently, LDL increases.” Because of this fluctuation, it’s not uncommon for women to develop high cholesterol after menopause even if they haven’t made any other significant lifestyle changes.

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MISCONCEPTION: Cholesterol doesn’t need to be checked until you are middle-aged.

MISCONCEPTION: Diet and physical activity alone dictate cholesterol levels.

MISCONCEPTION: Thin people don’t have to worry about high cholesterol.

Reality: Though many people don’t think about getting their cholesterol checked until they’re older, it’s actually recommended to start early and retest regularly. Dr. Ryan explains, “The Centers for Disease Control and Prevention recommends checking cholesterol once between ages 9 and 11, once between ages 12 and 21, and every four to six years in adulthood.” Depending on your family history and your personal medical history, your physician may even recommend more frequent testing. “It is important to check cholesterol to help reduce the risk of developing coronary heart disease, stroke, peripheral artery disease, Type 2 diabetes, and hypertension.”

Reality: In addition to diet and exercise, genetics can play a role in your cholesterol levels. “There are a number of gene variants that change the way our bodies process LDL. For this reason, people with a family history of extremely high cholesterol should start lipid screenings at a younger age than the general population and often need medication in addition to lifestyle modifications to control their cholesterol,” explains Gregory. “However, sometimes people have a tendency to dismiss high cholesterol as a genetic curse, but it’s important to remember that we inherit more than genes from our parents. Learned behaviors such as a sedentary lifestyle and diet high in red meat and fried foods will also induce high cholesterol.”

Reality: While overweight or obese individuals are more likely to have high cholesterol, body type alone cannot indicate cholesterol levels. Gregory explains, “Weight gain occurs from consuming more calories than we expend, no matter what the sources of those calories are, even if they are otherwise healthy, cholesterol-free foods eaten in large portion sizes. Therefore, it’s entirely possible to both be overweight with normal cholesterol and to be a healthy weight with high cholesterol.” For this reason, it’s important to get your cholesterol checked regularly, regardless of your weight, level of physical activity, and diet.

“People have a tendency to dismiss high cholesterol as a genetic curse, but it’s important to remember that we inherit more than genes from our parents. Learned behaviors such as a sedentary lifestyle and diet high in red meat and fried foods will also induce high cholesterol.” -Sarah Gregory, Nurse Practitioner, Hamilton Physician Group – Cardiology

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MISCONCEPTION: With medication, no lifestyle modifications are necessary to correct high cholesterol.

DR. CHELSEA RYAN FAMILY MEDICINE PHYSICIAN, CHI MEMORIAL INTEGRATIVE MEDICINE

Reality: Cholesterol-lowering medication and lifestyle changes always go handin-hand. Dr. Maurice Alston, an interventional cardiologist with Parkridge Medical Group, explains, “Any time a doctor advises a patient to start treatment for cardiovascular risk factors – for example: hypertension, obesity, high cholesterol, diabetes – it should be with insistence on lifestyle changes. It has been shown that healthy eating along with increased exercise (150-180 minutes of moderate intensity exercise per week) can improve patient health and can improve short-term cardiovascular risk. Also, medication effects can be overshadowed by tobacco abuse, sedentary lifestyles, and poor eating habits. Lifestyle changes are the basis for good health outcomes.”

ASSOCIATES – SIGNAL MOUNTAIN

SARAH GREGORY NURSE PRACTITIONER, HAMILTON PHYSICIAN GROUP – CARDIOLOGY

DR. MAURICE ALSTON INTERVENTIONAL CARDIOLOGIST, PARKRIDGE MEDICAL GROUP

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MISCONCEPTION: Statins are dangerous. Reality: Statins are prescription medications that can lower cholesterol and reduce the risk of cardiovascular disease, which is the leading cause of death in the United States. Unfortunately, they’ve gotten a bad rap over the years, but they are proven to have a long-term effectiveness in preventing cardiovascular events. “If you’re having trouble reducing and maintaining your LDL levels, then medication, specifically a statin drug, is recommended,” explains Dr. Alston. “Various statin medications have been studied with a 20-30% or more relative risk reduction in cardiovascular mortality. Over the years most non-statin medications have been studied with no mortality benefit, so statins should always be first line along with lifestyle modifications.” MISCONCEPTION: If the nutrition label shows low or no cholesterol, the food is “heart-healthy.” Reality: Nutrition labels are meant to be viewed cohesively, so just because one row’s numbers look good, doesn’t mean the food is good for you overall. In fact, many foods marketed as “low-cholesterol” have high levels of trans or saturated fats, which can raise cholesterol levels. It’s important to read the whole label, and when possible, eat fresh, whole foods. Dr. Alston explains, “We should try to reduce or eliminate unhealthy food with saturated and trans fats while also limiting foods with unsaturated fats. To note, some fish cooked properly maintain high concentrations of omega-3 fatty acids, which can be healthy for you and even lower your bad cholesterol. The American Heart Association website www.heart.org is a great source for healthy living recommendations.”

Ultimately, you are your best advocate, and your health should always be paramount. Don’t wait until something feels “off” to get checked out. Establishing baseline readings – and retesting them regularly – will help you catch issues before it’s too late. Let 2020 be the year you start putting your health and wellness first! HS


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7 Factors That Affect Your Weight (Besides Diet & Exercise) It’s time to get to the bottom of what’s influencing the way you look and feel. BY LUCY MORRIS

Diet and exercise (and by diet we mean eating healthy, well-balanced meals, not trying dangerous trends to lose weight) are obviously the most important factors in maintaining a healthy weight. But there are several other factors that can impact your weight more than you might realize. Here, our experts weigh in on what these factors are and why they can affect that number on the scale. 34

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1 Age With age, it’s pretty common to see that number on the scale creep up, even if your eating habits haven’t changed since you were younger. In fact, studies suggest we tend to gain about one to two pounds per year. But why? Dr. Jonathan H. Schafer, a primary care physician with Erlanger Primary Care - North, explains a combination of factors is at play here. “Weight gain with aging is typically attributed to two factors, a gradual slowing of metabolism and decreased physical activity.” Sometimes it may appear age-related weight gain happens more with women than men, but that’s not actually the case. Rather, a change in the ratio of certain hormones like estrogen and testosterone can cause the redistribution of weight to be different for men and women. “Weight gain associated with aging is not more common in women, but the redistribution of fat, particularly in the abdomen, is more gradual with men, making it appear that weight gain in women is greater,” says Dr. Schafer.


3 Sleep

2

Sleep and weight are extremely interconnected. Think about it, if you aren’t getting enough sleep and you’re constantly tired, you may be more likely to grab extra food to keep you fueled throughout the day. And let’s be honest, sometimes those food choices aren’t exactly healthy. In addition to making poor dining choices, a lack of sleep affects your hormones, which can also promote weight gain. Dr. Schafer explains, “A change in the levels of your leptin and ghrelin (the hormones that tell you when you’re hungry and when you’re full) is one of the explanations for weight gain that stems from a lack of sleep. Your circadian adrenal hormones can also be affected. Too little sleep can also lead to decreased activity levels due to fatigue, the craving of processed carbohydrates, and changes in neurotransmitter availability affecting behavior, all of which can promote weight gain.” Getting adequate sleep (7-8 hours a night!) can help keep your cravings at bay and your hormones functioning properly. If you need to, try heading to bed a bit earlier tonight or shutting off those electronics an hour before it’s time to catch those ZZZs.

Hydration DR. JAIME PONCE

You’ve heard it a million times – “Drink at least eight cups of water a day!” While it can seem like a chore to down that much water each and every day, our bodies can’t function properly without it. Beyond that, dehydration can lead to overconsumption of foods. Dr. Patricia McLelland, an OB-GYN with Galen Obstetrics & Gynecology, explains, “In general, most people should drink between 60-100 ounces of water daily. Many people don’t drink enough water, and they either perceive thirst as hunger or those feelings trigger food cravings.” Water consumption and metabolism also go hand-in-hand. Studies have shown that drinking two cups of water before a meal can increase your metabolic rate by as much as 30%, so get to sipping!

BARIATRIC SURGEON, CHI MEMORIAL METABOLIC AND BARIATRIC CARE

DR. PATRICIA MCLELLAND OB-GYN, GALEN OBSTETRICS & GYNECOLOGY

DR. JONATHAN H. SCHAFER PRIMARY CARE PHYSICIAN, ERLANGER PRIMARY CARE - NORTH

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5 4 Genetics

Genetics play a huge role in the characteristics we develop and the people we become. They can also give us insights into our weight, with reports suggesting anywhere from 30-70% of the contribution to being overweight or obese comes from genetics. Everything from food cravings to appetite, body-fat distribution, stress eating, and more can be tied to genetics. Dr. McLelland explains, “It’s unclear how genetics contribute to weight gain, but there is good evidence that people can be predisposed. There are many studies showing that gaining too much weight in pregnancy or being overweight or obese before pregnancy sets up children to be overweight. This paired with the standard American diet that is high in simple carbohydrates and processed foods increases obesity, especially childhood obesity.”

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Stress

For many of us, stress equals stress eating. But did you know that it’s not all in our heads? Stress can play a role in weight gain (or weight loss) because of its impact on cortisol (stress hormone) levels. “Most of us become overeaters when feeling a lot of stress. One explanation for this is that once our bodies reach a certain stress level, they go into ‘survival mode.’ Our body thinks we’ve used calories to deal with our stress, even though we haven’t. As a result, it thinks we need to replenish those calories, even though we don’t,” says Dr. Jaime Ponce, a bariatric surgeon with CHI Memorial Metabolic and Bariatric Care. “At physiologic levels, cortisol rises during times of stress. This can turn your overeating into a habit. And because increased levels of cortisol can lead to higher insulin levels, your blood sugar drops and you crave sugary, fatty foods, or what you might call ‘comfort foods.’” Reducing stress levels is important in maintaining your weight, not to mention a whole host of other important functions. Dr. Ponce recommends looking to exercise, family and friends, meditation, reading, and more to ease stress.


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7 Medical Conditions

6 Medications When it comes to medications, it’s important to always be aware of the side effects. Some, for instance, are known to cause weight gain. Dr. Ponce explains, “Some steroids and antidepressants can stimulate your appetite, so you eat more. Some diabetes medications make the body hold on to more salt, which in turn leads to water retention and weight gain. Other medications increase weight by affecting how much fat you can store. For example, insulin stimulates the body to create tissues, including fat cells. Some other drugs (like beta-blockers for high blood pressure) can cause the body’s metabolism to slow down, which means that calories are not burned as quickly.” On the other hand, some medications can make you lose weight unintentionally. Dr. Ponce explains, “There is a long list of medications that can cause decreased appetite including some anti-infective drugs (antibiotics, antifungals, antivirals, etc.), antineoplastics (for cancer treatment), bronchodilators (used for asthma or bronchitis), cardiovascular drugs, stimulants (like phentermine), and other medicines like anti-epilepsy drugs.” If you notice a significant change in either direction, it’s important to talk to your doctor to ensure your body is handling the medication properly.

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Just like with medications, some medical conditions can impact your weight. Dr. Ponce explains, “Cushing’s syndrome (when the adrenal glands produce too much cortisol, which leads to a buildup of fat in the face, upper back, and abdomen); hypothyroidism (when the thyroid is underactive, resulting in a slower metabolism); polycystic ovarian syndrome (hormonal imbalance in women with irregular menstrual bleeding, acne, excessive facial hair, thinning hair, and difficulty getting pregnant); metabolic syndrome (with associated insulin resistance and weight gain); and depression can all lead to weight gain.” Other conditions may cause you to lose weight unexpectedly. Listen to your body and get regular checkups so that you can identify problems early.

If you are eating right and exercising regularly – it’s recommended to perform moderate exercise 150-180 minutes per week – but struggling with weight gain or weight loss, talk to your doctor. He or she will be able to provide insight and offer individual solutions to address your concerns. HS Editor’s Note: After the writing of this article, Dr. Schafer passed away unexpectedly. All of us at HealthScope® magazine offer our sincerest condolences to his family, friends, and professional colleagues.


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The Importance of Regular Skin Checks 1 IN 5 AM ERICA N S WIL L DE V E LO P S KIN CA N CER BY AG E 7 0 – A R E YO U B EI N G VI G I L A N T ?

BY LUCY MORRIS Did you know that catching a melanoma in its earliest stage coincides with a 98% five-year survival rate? By stage III-IV, that drops to 65% or less. Catching skin cancer early is key to ensuring quick and effective treatment. And it’s easy! By performing skin checks at home and visiting your dermatologist regularly for routine skin exams, you can investigate and care for any suspicious lesions as they arise. Considering 20% of Americans will have a bout with skin cancer by the time they’re 70, we think it’s worth knowing the ins and outs of this common yet scary diagnosis. So, we asked area experts to share the details on why skin checks are important, how often you should visit your dermatologist, and what you can expect. THE 411 ON SKIN CANCER Skin cancer affects all skin types and all ages – in fact, nonmelanoma skin cancer rates are on the rise in teenagers. If you spend any amount of time in the sun (or UV tanning beds!), you’re putting yourself at risk. Dr. Deanna Brown, a dermatologist with Susong Dermatology, explains the three types of skin cancer: “Basal cell carcinoma (BCC) is the most common type of skin cancer. It can look like a pearly pimple that won’t go away or a sore spot that won’t heal. BCC is usually slow-growing and rarely spreads to other areas of the body, but it can be very destructive (growing into muscle and other deep tissue) if untreated.

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Squamous cell carcinoma (SCC) is the second most common type of skin cancer and has a slightly higher risk of spreading than BCC. SCC can look like a red scaly patch or a tender, crusty, volcano-like nodule that grows quickly. Melanoma is the third most common type of skin cancer, and it is much more dangerous than BCC and SCC. Melanomas usually are black, dark brown, or multicolored and can appear on their own or evolve from a pre-existing mole. Melanomas can quickly spread to lymph nodes and other organs in the body and can even come back years after they are excised.” Unfortunately, skin cancer tends to grow silently and without symptoms in its early stages, so knowing if you’re at an increased risk is important.


DR. JOHN CHUNG DERMATOLOGIST, SKIN CANCER & COSMETIC DERMATOLOGY CENTER

DR. DEANNA BROWN DERMATOLOGIST, SUSONG DERMATOLOGY

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RISK FACTORS & PREVENTION METHODS While skin cancer can affect anyone, certain factors place you at higher risk. Dr. John Chung, a dermatologist with Skin Cancer & Cosmetic Dermatology Center, explains, “A history of tanning, history of sunburns, blonde or red hair, light eye color, skin that freckles or sunburns easily, family history of melanoma, irregular moles, and having more than 50 moles all place a person at higher risk for skin

cancer.” Those with suppressed immune systems, whether from medications or medical conditions, are also at an increased risk. The good news is that most skin cancers are preventable. To protect yourself, especially if that list of risk factors looks all too familiar, you should always make sure to wear sunscreen (even in the colder months and on cloudy days!), wear protective clothing like wide-brimmed hats and sunglasses, pay attention to any medications that might cause your skin to be more sensitive to the sun, avoid the sun during the middle of the day when possible, and check your skin regularly at home. AT- HOME SKIN CHECKS Checking your skin at home regularly is important because you know your skin best and can recognize changes. You should look for lesions that bleed, itch, hurt, or scab, while also making note of any new or unusual spots. Dermatologists also recommend looking for the ABCDEs of melanoma:

A B C

symmetry: If you draw a line through this mole, the two halves will not match. order: The borders of the mole are irregular, scalloped, or poorly defined.

olor: Colors throughout the mole vary and can include different shades of tan, brown, or black, or there may be areas of red, white, or blue.

D

iameter: Melanomas are usually larger in diameter than the size of a pencil eraser, though they may sometimes be smaller when first detected.

E

volving: Any change – in size, shape, color, elevation, or another trait, or any new symptom such as bleeding, itching, or crusting – points to danger. If you notice any of the above symptoms – or if something just causes you to feel uneasy – you should visit your dermatologist for further evaluation. You should also be visiting your dermatologist at least once a year – or more if you’re at higher risk – for professional skin exams. “If you have risk factors that make you more susceptible to skin cancer, you should start getting yearly skin exams by your early 20s,” says Dr. Brown. “If you do not have risk factors, I suggest a baseline skin exam by age 30, then continued follow up as directed by your dermatologist.”

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PROFESSIONAL SKIN EXAMS Professional skin exams are quick, easy, and painless. If you haven’t had one before, Dr. Chung explains what you can expect. “You’ll be asked to remove your clothes and put on a medical gown. Your provider will check you thoroughly from head to toe, paying close attention to hard-to-see spots like your scalp, back, ears, and even between your toes.” To prep, it’s recommended you wear easy-to-remove clothing and footwear and that you remove any makeup and nail polish prior to the appointment. You should also wear your hair loose, so checking the scalp is easy. “Your dermatologist will also ask you about your personal and family history of skin cancer and may suggest a biopsy (skin sampling) or cryotherapy (freezing with liquid nitrogen) of suspicious lesions at the end of the visit,” says Dr. Brown. TREATING SKIN CANCER If it turns out you have a cancerous lesion, all hope is not lost! There are numerous methods of treatment that can help. Dr. Chung explains, “Mohs surgery is the ‘gold standard’ and most effective technique for treating many BCCs, SCCs, and melanomas. It has the highest cure rate while sparing healthy tissue and leaving the smallest possible scar. Plus, it is done in a single visit using local anesthesia. In some cases, other treatments may be considered, such as excision, electrodessication and curettage (which is a scraping or burning off of skin growths), or superficial radiation therapy. Sometimes, special creams or oral medications may be used to treat skin cancers.” Hearing you have skin cancer can be scary, but it is treatable, especially when caught early. Noticeable changes to your skin are not to be ignored, nor are professional skin exams. Your dermatologist is a wealth of knowledge and happy to answer any questions you might have. HS

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As Far as the Eye Can See BY LUCY MORRIS

THE IMPORTANCE OF VISION HEALTH FOR OLDER ADULTS

T

here are more than 40 million people aged 65 or older living in the United States, and that number is expected to climb to more than 88 million by 2050. Considering our eyes, like the rest of our bodies, experience natural changes associated with aging, it’s time we get serious about our vision health. Age-related eye diseases are expected to double in the next 30 years, and the number of people living with low vision will likely triple. It’s not hard to imagine how much a loss of vision can impact your quality of life. Fortunately, though, if caught early, many eye-related problems can be treated safely and efficiently. Let’s take a look at common vision problems, ways to prevent vision loss, and why it’s important to schedule that regular eye exam.

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VISION AND AGING Our vision changes as we get older – it’s just part of the aging process. Over time you may start to notice you’re having trouble seeing objects as clearly as you once could, or you may have a bit of trouble distinguishing similar colors. These are common issues that occur naturally with the aging of the eye. Dr. Charles Kirby, an ophthalmologist with the Chattanooga Eye Institute, explains, “As you get older, the natural lens of your eye changes shape and becomes less flexible. That’s why you often see people purchasing reading glasses around their mid- to late-40s.” But there is a difference between normal vision changes and higher risk diseases and conditions that require treatment, which can include: CATARACT – Cataract is clouding of the lens that can cause vision loss. “With cataracts, you tend to have trouble distinguishing colors, difficulty reading, difficulty driving – everything becomes distorted,” says Dr. Kirby. “These can range in severity, but in a vast majority of cases, surgery can restore a patient’s vision if there’s not another underlying problem.” AGE-RELATED MACULAR DEGENERATION (AMD) – For adults 50 and older, AMD is the leading cause of vision loss and blindness. “Your macula is the portion of your retina where your central vision is located,” says

Dr. Kirby. “With AMD, your retina is damaged – whether from thinning or abnormal blood vessel growth that causes scarring – and it results in a dead spot in the middle of your vision.” Depending on the particular case, numerous treatment options are available to reduce the risk of vision loss for patients with AMD. GLAUCOMA – Glaucoma is a group of diseases that cause fluid pressure to build up inside the eye. “When the pressure gets too high, it damages the optic nerve, which leads to a loss of vision,” explains Dr. Kirby. “Glaucoma is basically the opposite of AMD, because with glaucoma, you retain your central vision but lose your peripheral vision.” With glaucoma, treatment is focused on lowering the pressure in the eye through prescription eye drops, oral medications, laser treatment, surgery, or a combination of methods. DIABETIC RETINOPATHY – As the name suggests, diabetic retinopathy involves damage to the retina caused by diabetes. Dr. Kirby explains, “With diabetic retinopathy, the blood vessels in the retina can swell, leak, or become occluded (blocked), which can cause bleeding and scarring because the retina is not getting enough oxygen.” Mild cases can be treated with diabetes management, while more severe cases may require laser treatment or surgery.

A regular eye exam is the most effective way to prevent vision loss, and it’s easy!

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Locations in Athens, Calhoun, Chattanooga, Collegedale, East Hamilton and Hixson

• The Region’s Choice for Senior Living • morningpointe.com •

DR. CHARLES KIRBY OPHTHALMOLOGIST, CHATTANOOGA EYE INSTITUTE

If left untreated, these common age-related eye issues can result in low vision, which can be debilitating. “Low vision is a loss of vision that cannot be corrected by medical or surgical treatments, or through conventional glasses,” says Dr. Kirby. “If you can’t see as well as you want to, it will affect your life, whether through employment, daily tasks, or the enjoyment of hobbies. It can lead to a loss of independence and can just be a major adjustment.”

PREVENTING VISION LOSS Unfortunately, many of these common conditions and diseases don’t show warning signs until they are more advanced. But there is an upside. “While these issues may not produce early symptoms, they can be detected in their early stages through an eye exam,” says Dr. Kirby. A regular eye exam is the most effective way to prevent vision loss, and it’s easy! During the exam, your doctor

will dilate your pupils using eye drops and then examine your optic nerve and retina for signs of disease. “A pediatrician should always complete a vision screening for a newborn, and all children should receive an eye exam before they start school, but for adults with normal eyes and no risk factors, we recommend a screening at age 40,” says Dr. Kirby. “When you become a senior, around age 60 to 65, you need to have an eye exam yearly because you’re more likely to have a problem, and catching it early can help tremendously.” In addition to regular eye exams, there are a few other factors that can help lower your risk for vision issues. Eating a balanced diet that includes dark, leafy greens and foods high in omega-3 fatty acids is first. Maintaining a healthy body weight is also paramount. If you smoke, you should quit. It’s important to wear protective eyewear and sunglasses as well. Wearing brimmed hats while in the sun can also reduce damage. Lastly, know your family’s eye health history and discuss it with your doctor.

W

hile our vision may change a bit as we age, we can prevent major issues by getting our eyes checked regularly and practicing healthy habits. So, give it a shot – after all, seeing is believing! HS HealthScopeMag.com

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SILVER SIDE

. Interesting By Amberhope Velbis and Marlene Geren Bwell4ever, LLC

Lately, staying healthy has been more important than ever before. We are all aware now that your ability to combat illness is greatly impacted by your lifestyle. However, like many people, you may be navigating the new and additional pressures of working from home, unemployment, social isolation, homeschooling, or dealing with the sickness or loss of loved ones, all of which seem to battle your efforts to stay well. Amongst an overwhelming number of stressors and health information, here are some simple, immune-bolstering tips that have exponential effects on your health. Feed Your Bugs Did you know your body is only 1-10% human? The other 90-99% of your body is bacteria! Our bodies are home to trillions of essential bacteria. Up to 90% of our bacteria and 70% of our immune system is located in the gut, where they synergize to keep us healthy. This emphasizes the connection between diet and health. To help gut bugs do their job, feed them their favorite food: fiber! Fiber is a carbohydrate found in all plant foods. When gut bacteria digests fiber, they release compounds that increase immune cells, improve immune function and lower inflammation. The more fiber you consume, the healthier your bacteria will be, and the greater your ability to fight disease! Aim to eat at least 30-40g of fiber daily from fruits, vegetables, grains, beans, legumes, nuts and seeds. The disinfecting products we use for hygiene

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can kill both bad and good bacteria that we need. Ask a medical professional about a probiotic supplement to ensure your body has adequate bacteria. Sour and fermented foods like garlic, ginger, onions and sauerkraut also promote healthy bacteria. So, feed your bugs, and they will fuel your health!

Sip, Sweat and Shiver The Spanish Flu of 1918 was the deadliest pandemic in history, with a shocking 13-40% global mortality rate. Since the 1800s, a religious group called Seventh-day Adventists have been known for their successful implementation of natural health care. In 1918, Adventist sanitariums received an influx of Spanish Flu patients. Compared to the high global mortality rate, the Adventist sanitarium mortality rate was only 1-4%! With no medications to treat this new illness, what was their remedy? Water. Besides ample water intake, they used a treatment called hydrotherapy, in which patients were cycled through hot and cold water. Heat dilates blood vessels, collects impurities and oxygenates the blood. Cold then constricts muscles and blood vessels, which accelerates the blood through the circulatory system for detoxification of the impurities. This also stimulates the production of disease-fighting white blood cells and directs them into the tissues. Hydrotherapy is still successfully used and can be done at home. An effective method is called a contrast shower. Stand under the hottest water for three to five minutes, then switch to the coldest water for 30 to 60 seconds. Repeat

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this for up to 20 minutes, keeping your head dry. Immediately after, drink at least 20 ounces of roomtemperature water and rest if possible. Your immune system will continue working for hours after your therapy.

Stay In, but Get Out Did you know some doctors prescribe their patients time outdoors? Research shows the human body intricately harmonizes with nature to thrive. The indoor air can be up to five times more polluted than outdoor air, and it lacks the natural elements that contribute to a robust immune system. Fortunately, merely stepping into the security of your own backyard can supply many benefits. The sun is the No. 1 source of Vitamin D, a cornerstone of the immune system. Vitamin D is created in the skin when contacted with ultraviolet-B rays from the sun. Every immune system cell has Vitamin D receptors, including those in the lungs, where it helps to create peptides that kill respiratory bacteria and viruses. Natural sunlight also works with cells behind the eyes to regulate the cycle and quality of sleep, which directly impacts immune function. Additionally, outdoor air is a natural disinfectant. Breathing in phytoncides, airborne chemicals produced by plants, increases production of white blood cells and natural killer cells. Interestingly, the sensory inputs of nature illuminate the brain segments associated with calmness and well-being. This reduces stress hormones and the inflammation they cause, allowing a stronger

and more effective immune function. History proves the power of nature. During the 1918 Spanish Flu, patients who were nursed outside recovered far better than those indoors. Want to retreat further into the great outdoors? Research the healing technique of a Japanese forest therapy called shinrin-yoku to discover the many healing benefits of nature.

Don’t Worry, Be Happy A global health crisis undoubtedly brings towering hurdles of stress and uncertainty. Stress alone can cause a minimum 15% drop in your immune function. Although you can’t control all of your circumstances, you can control how you react to them. Science shows positive activities that bring feelings of happiness, peace and love may also positively affect your immune function. Activities like music, laughter, art, pets, nature and closeness with loved ones have proven to increase immunity. So, among the stress and uncertainty, find your happy place and go there every chance you get. Most of all, remember you are not alone. We will all get through this together!

Life Care Centers of America

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Motivate Your Morning with James and Kim


Meet Our Caregivers

Love, Care, & Serving Others Loving and caring, there is a lot to know about the medical therapists, technicians, nurses, and other professional caregivers who have dedicated much of their lives to serving others recovering from injuries or illness.

What follows are local professionals who are leading the upmost in quality care.

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Meet Our Caregivers

S E RV I NG T H E SENIOR POP U L ATION

F

rankie Parrott has always had a passion for people, but when she began her career in senior living 11 years ago, she knew she had found her calling. “I just fell in love with the senior population,” Parrott explains. “They’ve lived such amazing lives and have so many fascinating stories to share. I encourage everyone to go out and spend some time with someone older than you.” At Morning Pointe of Hixson, Parrott serves as the community relations director – a role that involves meeting with potential residents as well as speaking to senior groups and community organizations about senior living. “My goal is to educate the community on the role assisted living plays in the aging process, as well as encourage others to be proactive when it comes to making senior living decisions,” Parrott says.

FR ANKIE PARROTT AT MOR NIN G P OIN TE SENIOR LI V IN G

1

What do you love most about your profession?

2

What does your day-to-day look like?

3

What is your best advice for patients?

4

What’s the key to making a great first impression?

5

What is your philosophy when it comes to the care for your patients?

I love serving our seniors and getting to know families and their parent(s). Building a relationship with families that can grow into a trusted partnership is so important, and together we can give back to our community in so many ways.

A typical day would include multiple visits to physicians’ offices, rehabilitation centers, hospitals, and churches, in addition to meeting with families. I build partnerships with local organizations and people to give clarity about the value of assisted living and help them better understand the process of admissions.

Be proactive about the care for your senior family members. I always encourage people to go see what’s out there. Assisted living is more like a resort for seniors – you will be pleasantly surprised if you visit with an open mind!

Listening is key; don’t try to do all the talking. Be engaged in the conversation. Really focus on the needs of the senior or their family. People remember someone that was genuinely interested in what they have to say.

It is my pleasure to sit down with potential residents and their families to answer questions, ease concerns, and provide peace of mind.” 54

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Having care and compassion for each one of our residents. I treat them as you would treat your mom or dad. Your family is my family!

SPECIAL PROMOTIONAL SECTION


ABOUT FR ANKIE

MY CREDENTIALS Certifications: ALF Administrator License Recognitions: Hixson Council Board President, Chattanooga Chamber of Commerce North River Civic Center Board of Directors

M Y S P E C I A LT I E S Informative Speaking Events

CONNECT 423.847.1370 Morning Pointe of Hixson 5501 Old Hixson Pike Hixson, TN 37343 morningpointe.com

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Meet Our Caregivers

PU T T ING HI S PATI ENTS F I RST

A

fter serving as an ER nurse for nearly five years, Charlie Lee made the transition to his current role as an RN case manager at Hospice of Chattanooga. “I have my own caseload of patients whom I see daily – I check vitals, assess symptoms, and take the time to listen to my patients to address any issues that may need to be fixed,” Lee shares. “I’m working to make sure my patients are comfortable and that they’re living the best quality of life they possibly can.” In his time with hospice, Lee has learned that going above and beyond for his patients – whether gifting crossword puzzles, making home-cooked meals, or keeping them company while family is away – can make all the difference. “Just seeing a smile on my patients’ faces is absolutely priceless to me,” he says.

I am here to support, listen to, and help meet my patients’ care goals.”

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CHARLIE LEE,

BSN, RN, ASAHS, AAB

AT HO SPIC E OF C HAT TA NO O G A ,

A L L E O H E A LT H SYST E M

1

What do you love most about your profession?

2

What is one of your happiest professional moments?

3

What influenced you to pursue your career?

4

What’s the key to making a great first impression?

5

What is your philosophy when it comes to the care for your patients?

I love the amount of time I can spend with my patients. I feel honored that I can walk with the patient and their family during their last days, hours, and minutes. To me, there is no greater honor than to hold the hand of a patient who is passing and let them know that it’s okay to let go.

As a single father, I didn’t start school until my mid-30s, so obtaining my BSN, RN, and fulfilling that dream was one of my happiest professional moments.

I’ve always felt a strong desire to help others and to be that advocate for those who have no one to advocate for them.

Get to know your patient on a personal level, and really listen to your patient – what are their needs and wishes? My ultimate goal is respecting my patients’ wishes and keeping them comfortable and keeping them out of pain if at all possible, regardless of their diagnosis.

I’m not here to judge any of my patients’ beliefs or to put my own beliefs before those of my patients – in the end, it’s all about the patient and not me.

SPECIAL PROMOTIONAL SECTION


ABOUT CHARLIE

MY CREDENTIALS BSN Degree: South College – Knoxville, TN Certifications: Basic Life Support (BLS) Advanced Cardiovascular Life Support (ACLS) Pediatric Advanced Life Support (PALS) Trauma Nursing Core Course (TNCC) Emergency Nursing Pediatric Course (ENPC)

M Y S P E C I A LT I E S ER/Trauma Hospice RN Hospice RN Case Manager

CONNECT 423.892.1533 Hospice of Chattanooga, Alleo Health System 4411 Oakwood Drive Chattanooga, TN 37416 alleohealth.org

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Meet Our Caregivers

SU PPORTING

CALEB HEATH, NP-C

PATI ENTS ON THE

AT E R L A NG E R N E U ROLO G Y,

S OU T H E AST R E G IONA L ST ROK E C E N T E R

ROAD TO RECOVERY

A

s a nurse practitioner in the outpatient neurology department at Erlanger, Caleb Heath cares for people with a variety of neurologic conditions, including stroke, TIA, migraine, and seizures. “Every day I see patients who, upon their arrival to the emergency department, were unable to speak and paralyzed on one side of their body,” Heath explains. “Seeing these people truly get a second chance after successful stroke treatment never gets old.” In his 10th year at Erlanger, Heath has helped hundreds of patients on their road to recovery, and he looks forward to continuing that care in the future. “I have been incredibly fortunate to work with an outstanding group of physicians and nurse practitioners at Erlanger Neurology,” Heath says. “I am proud to be part of such an amazing team and proud of the care we provide.”

1

What do you love most about your profession? I enjoy building relationships with my patients and their families

and being able to celebrate with them as they hit milestones during stroke recovery. Sometimes that requires creativity and adaptation.

2

What is your best advice for patients? There are no substitutes and no shortcuts for the basics – good

sleep, a healthy diet, and regular exercise. These things are nonnegotiable for good health.

3

What influenced you to pursue your career? My brother had a stroke at age 23 and was actually treated here

at Erlanger. He received outstanding care and recovered extremely well. Seeing that life-changing work from that perspective really sparked my interest in neurology.

4

What would you consider to be your main strengths? I am an encourager. The reality of my job is that many of my

patients are experiencing the most difficult season of their life, and the weight of that can hit at different times for patients and caregivers. I strive to provide them with as much hope as possible.

5 It is critical to be able to tune out the distractions and focus on the person in front of you.”

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What is your philosophy when it comes to the care for your patients? LISTEN! You can’t take good care of someone unless you actually

listen to what they are telling you. When diagnosing neurological problems, taking a thorough and detailed history is by far the most important part.

SPECIAL PROMOTIONAL SECTION


ABOUT CALEB

MY CREDENTIALS Master’s Degree: University of Tennessee at Chattanooga – Chattanooga, TN Certifications: American Academy of Nurse Practitioners

M Y S P E C I A LT I E S Neurology

CONNECT 423.778.9001 Erlanger Neurology, Southeastern Regional Stroke Center 979 East 3rd Street, Suite C-830 Chattanooga, TN 37403 erlanger.org

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Meet Our Caregivers

HEALING CLIENTS’ REL ATIONSHIP WITH FOOD

C

ourtney Phifer, a registered dietitian, loves food – and she wants others to experience that love as well. She explains, “I pursued a career in dietetics because I am a helper by nature. I wanted to help people learn about the value of nutrition and the amazing things that the body does with nutrients. I love seeing my clients start to trust their bodies and adopt a nondiet approach to food and weight.” At Focus Treatment Centers, you’ll find Phifer leading group therapy sessions and providing one-on-one nutrition counseling to clients who struggle with eating disorder behaviors, body image issues, yo-yo dieting, and a preoccupation with weight or food. She urges, “If you or someone you know struggles with an eating disorder, you are not alone. But it’s absolutely critical to get help. The sooner, the better chance of a full recovery.”

My nutrition philosophy is one of balance and variety, where all foods fit and can be enjoyed.” 60

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COURTNEY PHIFER, MS, RD, LDN AT F O C U S T R E ATM E N T C E N T E R S

1

What do you love most about your profession?

2

What is one of your happiest professional moments?

3

What is your best advice for patients?

4

What would you consider to be your main strengths?

5

What is your philosophy when it comes to the care for your patients?

I love helping clients “ditch the diet” and start to heal their relationship with food and body.

A former client who struggled with infertility due to disordered eating and undernutrition sent me a letter a few months after being in recovery saying she was finally pregnant. I think I cried.

To get off the diet cycle and practice balance and moderation. Diets don’t work for long-term health, and they end up confusing our bodies and slowing our metabolism. Earn body trust by feeding/fueling your body and metabolism with a balance of food groups throughout the day.

I’ve been told I have a calm, soothing demeanor, which is a strength when counseling. I also have healthy boundaries, am authentic, honest, dedicated, and put client care first.

I use evidence-based practices to provide the best care and recommendations. I believe in continuing education and being open to learn and grow. I use a small-step, goal-oriented, client-driven approach that incorporates body positive and mindful eating practices.

SPECIAL PROMOTIONAL SECTION


ABOUT COURTNEY

MY CREDENTIALS Master’s Degree: University of Tennessee – Knoxville, TN Certifications: Licensed & Registered Dietitian Recognitions: 2019 Emerging Dietetic Leader Award, Chattanooga Academy of Nutrition and Dietetics

M Y S P E C I A LT I E S Eating Disorders Disordered Eating

CONNECT 423.933.1950 Focus Treatment Centers 7429 Shallowford Road Chattanooga, TN 37421 focustreatment centers.com

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STAY WELL

Annual Advancements in Medicine Section BY LUCY MORRIS

Whether it’s a smaller incision, an expedited process, or a technology-driven treatment approach, new research in the field of medicine continues to bring us advancements that enhance patient experience. In Chattanooga, we’re fortunate to have talented physicians dedicated to delivering revolutionary treatments. Here, we share some of their newest offerings.

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STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Peripheral Artery Disease Treatment It’s now possible to treat arterial blockages through a small incision in the ankle.

An Expert Weighs In “With tibial access, we can bandage the ankle following the procedure and have the patient walking in half an hour. Patients can undergo a complete revascularization of an occluded (blocked) femoral artery and be in and out of the outpatient center in around two to twoand-a-half hours. Compare this to the days requiring a bypass of the femoral artery in which the patients spent three to five DAYS in the hospital for treatment of the same disease and had multiple large incisions on their legs … the wonders of modern technology!” Dr. William Harris Vascular & Endovascular Surgeon Vascular Institute of Chattanooga

Understanding Peripheral Artery Disease

If you’ve experienced pain, loss of sensation, weakness, or cramping in your lower extremities after an activity, you may have peripheral artery disease (PAD), which affects an estimated 20 million Americans. Caused by atherosclerosis, or fatty buildup (plaque), in the blood vessels and arteries that affect the arms, legs, and other parts of the body, PAD can lead to dangerous consequences like non-healing sores on the legs or feet. When plaques form, they narrow the artery walls, making it difficult for the legs or other extremities to get adequate blood flow. If not properly treated, advanced PAD can require limb amputation.

New Treatment Options

Thanks to advancements in endovascular therapy (minimally invasive procedures used to treat problems affecting the blood vessels), treating PAD is easier now than ever. Using a long, thin tube known as a catheter, endovascular surgeons can diagnose and treat blockages in the tibial arteries (below the knee) by entering through the ankle. This process is known as a “tibial-pedal-first” approach. Previously, catheterization to treat PAD was initiated through the femoral artery, or groin. From there, the physician would guide the catheter to the diseased artery for treatment using a variety of methods. Treatment through the femoral artery requires more recovery time, has a more serious bleeding risk, and is not appropriate for every patient, particularly those who are morbidly obese or who are unable to lie flat.

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What to Expect from the “Tibial-Pedal-First” Procedure

During the approximately hour-long outpatient procedure, your physician will insert a catheter through a small incision in your foot. Using ultrasound guidance, he or she will thread the catheter through your tibial artery until the blockage is reached. Then, depending on the case, your physician will use balloon angioplasty, atherectomy, or stenting to repair the damaged vessel. Recovery is quick, and patients can return to activities the same day, often walking home.

Benefits to Patients

Not only is recovery from the new procedure much faster than with femoral catheterization, but it has expanded treatment options for those suffering from PAD. Treating blockages by threading a catheter through the ankle allows for more direct access to blockages, is far less invasive, and can significantly improve blood flow and save limbs that were once considered at risk for leg amputation. HS


Navigating

your course for vascular care

Vascular Institute of Chattanooga is dedicated to the delivery of comprehensive vascular care for the patients in the Tennessee Valley. Our offices are located in Chattanooga, Cleveland and North Georgia. VIC is easily accessible for you!

The VIC approach focuses on streamlining all aspects of your vascular care from the initial consultation, ultrasound testing, extremity wound care, dialysis access, smoking cessation, and inpatient and outpatient surgical procedures. We are the area's leading Peripheral Artery Disease (PAD) specialists. Our individualized approach helps to educate patients, while partnering with their medical providers to deliver the right care for you - the patient. The focus of the VIC Vascular Team is reducing the devastating amputation rates affecting our region, restoring patients' hope and renewing their lives.

VASCULAR INSTITUTE

Chattanooga | Cleveland | North Georgia

We are VICtory Over Vascular Disease. Our Mission is VICtory Over Amputation!

Dr. Chris LeSar | Dr. Dan Krcelic Dr. William Harris | Dr. Elizabeth Hartmann

www.vascularinstituteofchattanooga.com | 423.602.2750


STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Dental Crowns So long temporaries! Dental crowns can now be designed and fitted in a single visit.

An Expert Weighs In “CEREC crowns have allowed dentists to take more direct control over all aspects of the crown-making process. Instead of having to send out the crown to a third-party lab and rely on their design, we can handle all aspects in house under our direct supervision. It also allows us to closely monitor every aspect of quality control. Plus, the fact that this quality dentistry fits into our patients’ busy schedules with just one visit is truly a game changer.” Dr. Mandy Shearer Dentist Soddy Daisy Smiles

Understanding Dental Crowns

Dental crowns are synthetic caps that are placed over damaged teeth to restore their shape and function. They can protect weak teeth from breaking, restore teeth that are already broken, or hold dental bridges in place. A crown can also be used to support a tooth that has had a root canal or to cover a dental implant. Without crowns, teeth that are chipped, decayed, or fractured might result in toothache, tooth sensitivity, or pain while biting or chewing.

New Solutions

Advancements in dental technology have transformed the dental crown process. Previous methods required two visits – a first visit to create impressions and a second visit to place the new crown. Today, your dentist can place a crown in just one visit. Using computer-aided design and computer-aided manufacturing (CAD/CAM) technology, your dentist can scan your teeth electronically and create a custom crown on-site. Studies have shown that CAD/CAM tooth restorations are just as successful as those made using traditional techniques. In fact, the technology can assist your dentist in preserving more of your existing tooth. 66

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How It Works

The CAD/CAM same-day crown process involves five steps: PREPARATION Before your new crown can be attached, your dentist will prep your tooth for the prosthesis by removing decay or affected tissue. SCAN Next, your dentist will scan your teeth to create a complete, three-dimensional model of your mouth. (Uncomfortable molding paste impressions are a thing of the past!) DESIGN Using computer software to review the 3-D model, your dentist will identify the proper design and fit for your prosthesis. PRODUCTION Once designed, the software will connect with an on-site milling machine to create a precise ceramic prosthesis that matches your natural teeth color. APPLICATION Your new crown will be ready for application immediately. Your dentist will bond it to your tooth, polish it, and remove excess cement or debris.

Benefits to Patients

Same-day crowns add an ease to dental work that patients can appreciate. The need for multiple appointments is eliminated, thus time away from home or the office is reduced. Temporary crowns also become unnecessary. Perhaps most importantly, the design phase of the procedure is done chairside, so patients can see what their crown will look like, as well as how it will fit. HS


Creating Brighter

Smiles for Your Family

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with any new patient exam, cleaning, and a full set of digital x-rays at regular fees. Not valid with any other offer. With coupon only. Some conditions may apply.

A smile can brighten anyone’s day, but what if you’re afraid to flash those pearly….not-so-whites? Drs. Mandy and Robert Shearer have what you need to get your grin gleaming! Before you make a trip to your local drugstore for over-the-counter whiteners, consider making an appointment at Soddy Daisy Smiles. Using Opalescence, a professional teeth whitener that offers breathtaking results, they’ll monitor your progress and have you smiling confidently with the pearly whites you’ve been dreaming of!

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STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Spine Surgery Precision is at the forefront of this robot-assisted surgical technique.

An Expert Weighs In “This robotic surgical technology is another tool in our arsenal in terms of providing good spine care for our patients. While it’s not right for everyone, it can be really helpful and is worth asking about when you go see your doctor. In general, the more tools your surgeon has, the better and more personalized your treatment strategy can be. Over the course of the next 10 years, this technology will continue to progress, and we will see a big shift in the paradigm of spine surgery.” Benjamin J. Geddes, MD Spine Surgeon Center for Sports Medicine & Orthopaedics

Understanding Spine Pain

The spine is made up of 24 movable vertebrae that run from your neck all the way down your lower back. These are divided into three main regions: the cervical spine, which is the first seven vertebrae; the thoracic spine, which is the following 12 vertebrae; and the lumbar spine, which is the last five vertebrae. If your spine is healthy, you should be able to stand upright, bend, twist, and more without any problems. Unfortunately, a large portion of Americans suffer from neck and back issues related to the spine or its surrounding tissues. While trauma or tumors can cause spine pain, the two most common issues affecting the spine are degenerative disease and scoliosis. Degeneration of the joints and/or discs of the spine is caused by repeated wear and tear over the years. Scoliosis is a deformity of the spine that results in a curvature that can worsen over time.

New Solutions

In the early days, traditional surgery to relieve pressure and pain and stabilize the spine was performed freehand. This meant that your surgeon used their knowledge of human anatomy to guide the placement of the screws in the spine. Later, X-rays were added, which added time but made the process a bit more precise.

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The addition of intra-operative navigation has further increased the accuracy in which screws can be placed and is rapidly becoming the gold standard in spine surgery. With the relatively new addition of robot-assisted technology, the boundaries will continue to be pushed.

What to Expect from the Procedure To begin, the surgeon will drive a metal pin or wire (about 1/3 the diameter of a pencil eraser) in the back of the pelvic bone, which connects the arm of the robot to the patient. This keep things from shifting during the surgery. Then, a preoperative CT scan is loaded into the cutting-edge anatomy recognition software to help the surgeon identify strategic screw placement. In conjunction with real-time computer-assisted navigation, the surgeon will guide the robotic tools through the system’s console and insert the screws into the spine with precision.

Benefits to Patients Advancements in the field of spine surgery have been revolutionary, resulting in improved outcomes for patients. Robot-assisted spine surgery means less blood loss, a shorter hospital stay, less post-operative pain, a quicker return to an active lifestyle, and more precise screw placement. HS


STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Hearing Aid Technology Thanks to advancements in technology, you can amplify sounds and improve health through a world of connectivity.

Understanding Hearing Loss

When was the last time you truly took stock of your hearing? If it’s been a while, there’s a good chance that your hearing has worsened over time, and you just didn’t notice. The National Institute on Deafness and Other Communication Disorders (NIDCD) estimates that 1 in 4 Americans between the ages of 65 and 74, and one-half of those 75 and older, have disabling hearing loss. Behind high blood pressure and arthritis, it’s the third most common chronic condition affecting older adults. Unfortunately, the effects of hearing loss can be devastating to both your mental and physical health.

New Solutions

Thanks to continual advancements, hearing aid technology remains on the cutting edge. Today, custom hearing aid devices can connect directly to your phone to help you enjoy the highest quality of life possible. There are personalized apps that allow you to adjust settings easily or set in-ear and on-screen reminders, while other apps can share information about hearing aid usage, social engagement, physical activity levels, and falls with your loved ones. These revolutionary devices can also connect straight to your television to allow wireless listening. With just one tap, the artificial intelligence scans your environment and makes automatic adjustments for easier listening. But the user-friendly features don’t end there. With folks on the go more than ever, rechargeable technology has become a must. With just one three-hour charge, your custom device can provide 24+ hours of power.

Benefits to Patients

The interconnectedness of custom hearing aid devices can keep you living your fullest life, and they’re designed for easy use. By connecting straight to your smartphone or TV, you won’t miss a beat, and your loved ones will stay in the loop as well. Plus, with rechargeable options, there’s no need to replace the batteries every three to 10 days, which can prove challenging for anyone with limited dexterity or vision impairments. With technology improving all other facets in life, it’s only fair that your hearing device does the same! HS

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An Expert Weighs In “New, custom rechargeable hearing aids have been a great addition to the technology of hearing devices. This latest development is a much-needed relief for those who struggle to change tiny batteries due to dexterity issues or vision limitations. Also, direct connectivity of these custom devices to mobile phones and televisions allows patients a greater degree of clarity while on the phone or enjoying the television. I have received many favorable outcomes with patients who have transitioned from outdated battery-powered hearing devices to their new devices that have the new technology.” Cheryl Ward, BC-HIS Hearing Instrument Specialist Audiology Services of Chattanooga


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Take the first step toward better hearing today.

Ken Parker, Au.D. Doctor of Audiology

(423) 894-1133 • hearchattanooga.com 6151 Shallowford Rd., Ste. 104 • Chattanooga, TN 1807 Taft Highway, Ste. 6 • Signal Mountain, TN

Cheryl Ward, BC-HIS Hearing Instrument Specialist

Hearing Loss and Hearing Aids

Recreational Audiology and Hearing Loss Prevention

• Hearing Testing • Hearing Aid Fitting • Tinnitus Evaluation and Management • Cerumen (Ear Wax) Management

• Customized headphones for music lovers • Custom fit hearing amplification and protection for outdoor enthusiasts: instant fit, custom fit, and behind-the-ear.


STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Anesthesia Thanks to advancements in medicine, a variety of sedation options are available to make dental procedures simple, straightforward, and pain-free.

An Expert Weighs In “Used in the right and safe environment with proper training and provider experience, sedation dentistry is a wonderful way to provide dental services and procedures to patients who are otherwise nervous about even the most routine dental treatment.” Bill Childress, DDS, MD Oral Surgeon East Brainerd Oral Surgery

Understanding Anesthesia

Derived from Greek and translating to “without sensation,” anesthesia is a medicine that prevents patients from feeling pain during surgeries or other medical procedures. It is frequently used in the world of dentistry and oral surgery and can both limit pain and alleviate feelings of anxiety or fear. Depending on your procedure or your level of comfort, there are numerous anesthetic options that put you in varied states of relaxation. These range from light sedation, where you will remain awake and alert, to moderate sedation, where you will be conscious but won’t remember the appointment once it’s over, to deep sedation, where you are completely unconscious until the drug wears off or is reversed.

Types of Anesthesia

In the field of dentistry and oral surgery, the anesthetic options available to you include: LOCAL ANESTHESIA A local anesthetic is the fastest-acting but mildest sedative option. With it, medication is injected into the problem area to prevent nerves from transmitting pain signals to the brain. With local anesthesia, you are fully aware of what is happening but won’t feel pain at the site. NITROUS OXIDE Also known as “laughing gas,” nitrous oxide is a sedative gas that is taken before a procedure. Nitrous oxide instantly relaxes you and puts your mind at ease, often even making you feel happy. The gas dulls pain sensations almost entirely, and its effects wear off almost immediately after usage stops. ORAL CONSCIOUS SEDATION Oral conscious sedation is a form of moderate sedation in which patients take a pill to enter a state of near sleep. During an ap-

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pointment, you will be able to respond to questions and commands from the dentist but will feel very relaxed. After the drug wears off, you will have little to no memory of the experience. IV SEDATION IV sedation is similar to oral conscious sedation, but it’s delivered through an IV rather than in pill form. This form of sedation is primarily used for patients who have dental fear or phobia. GENERAL ANESTHESIA This is what you tend to think of when you think of traditional surgical procedures. With general anesthesia, you are fully “knocked out” and will sleep through your surgery completely and have no memory of the procedure.

Benefits for Patients Anesthetic options allow patients to receive necessary treatment without pain or fear. Your dentist or oral surgeon will recommend an option that is best suited for your case. HS


Over 60 Years of Service in the U.S. Air Force, Now Serving Chattanooga

BILL CHILDRESS, D.D.S., M.D. RICKY JOHNSON, D.D.S., M.D. BRANDON STANLEY, DMD Dental Implants • Wisdom Tooth Removal Dental Surgery & Extractions • General Anesthesia Treatment of Dental & Facial Injuries

1350 MACKEY BRANCH DRIVE, STE 110 CHATTANOOGA, TN 37421 • 423.296.8210

EASTBRAINERDOMS.COM


STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Rehabilitation Through high-intensity gait training, physical therapists can maximize patient care and outcomes.

Understanding Neuroplasticity

For patients who suffered a brain or spinal cord injury, or for those who experienced a stroke, it’s likely their neural pathways were affected. Years ago, it was thought that once these pathways were damaged, function was permanently lost. Today, we know that is not true. Think of the neural pathways in your brain as a road map: Every time you think, feel, or act, a particular road is traveled. Each time you repeat a thought or task, your brain becomes familiar with that route, making it easier to travel. An injury that affects your pathways damages those familiar routes, which can hinder a number of important, everyday functions, like your ability to walk. Fortunately, the brain has an amazing capacity to heal and increase motor and cognitive abilities again after injury. This is known as neuroplasticity, or the brain’s ability to change and form new neural connections throughout a person’s lifetime. Research has shown that rehabilitation that focuses on functional tasks such as walking encourages the use of the affected extremity, which takes advantage of neuroplasticity and promotes recovery.

New Solutions

With traditional physical therapy designed to help stroke or spinal cord injury sufferers regain their ability to walk, only about 34% of actual therapy time is dedicated to repetitive motion. This equates to approximately 1,000 steps in a given session. While this is helpful, new research suggests that patients might not be challenged enough in these scenarios to recover as well and as quickly as possible. With high-intensity gait training, physical therapists look to maximize patient care and outcomes by focusing on faster paces and higher intensity to get patients working to 60-80% of their maximum heart rate.

How It Works

Through speed-dependent walking, and with the ability to add weights and inclines, remove assistance devices, and incorporate obstacles, patients can reach their heart rate ranges quickly and efficiently. In one session, a patient can expect to take anywhere from 2,000 to 6,000 steps. Using standardized measurements, clinicians will educate the patient on how they tested and improved over the course of treatment.

Benefits to Patients

Compared to traditional physical therapy, patients who participate in high-intensity gait training in an in-patient setting are experiencing improved functionality more quickly, which means a quicker return to home and to the things they love. HS

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An Expert Weighs In “With high-intensity gait training, we’re focused on two of the 10 principles of neuroplasticity: repetition and specificity. By encouraging patients to really push themselves in a safe environment, we can help them recover more quickly. Even when patients experience errors, it improves motor function. The outcomes we’ve seen so far have been amazing, and it’s rewarding to see patients work hard to regain their independence.” Amanda Aussems Physical Therapist Siskin Hospital for Physical Rehabilitation


Siskin Hospital

for Physical Rehabilitation Inpatient & Outpatient Services

We’re on top of our game! We know the BEST players are always growing, improving and giving it 110%, and that is how we approach every day at work. Our expertly-trained physical therapists provide treatments based on the most current and high level evidence interventions such as high-intensity gait training - to help our patients achieve significantly greater outcomes. When you’re helping someone regain their life, there’s no time for resting on the sidelines. So, we consistently strive to lead the way in our field by offering the most up to date treatment options and advanced technologies, often before anyone else in the area is doing so. It’s what helps our patients progress more rapidly and what sets us apart from the competition.

We help patients cross goal lines every day!

423.634.1200

www.SiskinRehab.org


STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Hernia Repair Enjoy quicker recovery and fewer complication risks with robot-assisted surgery.

Understanding Hernias

A hernia is an unusual bulge that protrudes through an opening in the muscle tissue that is supposed to keep it in place. Most hernias appear in your abdomen, though you can also see them in the upper thigh and groin areas. While hernias aren’t immediately life-threatening, they don’t go away on their own. In some cases, if the hernia isn’t presenting symptoms, your doctor might recommend a watch-and-wait approach. If symptoms are present and causing issues, surgery may be required to prevent dangerous complications.

New Solutions

Traditionally, hernia repair was done through what’s known as an “open” surgery, in which your doctor would use handheld tools to repair the damage through an incision that ran the length of the hernia. While this is still the tried and true method for many surgeons, it requires a larger incision, which can lead to greater patient pain, potential wound-healing complications, and a lengthier stay in the hospital. Today, robot-assisted surgery is an option for hernia repair. This is a minimally invasive, laparoscopic approach that is completed through a few small incisions using a robotic technology system known as the da Vinci.

What to Expect from the Process

To complete a robot-assisted hernia repair surgery using the da Vinci system, your surgeon will sit at a console next to you and operate through various small incisions with long-handed tools. A camera gives the surgeon a high-definition, three-dimensional, magnified view of your body on a video screen, and every movement the surgeon makes through the console is translated in real time through the instruments. Depending on the size of the hernia, robot-assisted hernia repair can typically be completed in about one to three hours.

Benefits to Patients

Robot-assisted hernia repair can take what would traditionally require a massive incision and several-day stay in the hospital and turn it into an outpatient or overnight procedure. This means patients can get back to life faster and easier. It also limits incision-site pain and reduces the chance of wound-healing complications. HS

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An Expert Weighs In “A hernia is not going to fix itself, so it’s important to have a conversation with your doctor about the risk and benefits of surgical repair. If you are a good candidate, the biggest difference between an open hernia repair and a robot-assisted hernia repair is that without the larger incision, patients experience less pain and are able to get back to normal life more quickly. They are getting the same repair, just with smaller incisions. Anything that can minimize pain or complications is advantageous to the patient.” Robert J. Jean, MD, FACS Surgeon University Surgical Associates


STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Dental Implant Restorations For patients with all or a majority of teeth missing, “hybrid dentures” with at least four implants can restore an entire jaw.

New Solutions for Tooth Loss

Tooth loss is more common than you might expect. In fact, more than 35 million Americans are missing all of their upper and/or lower teeth. Unfortunately, substantial tooth loss, which causes shrinkage of the jawbone and surrounding tissue, can hinder your ability to eat, drink, and even talk. In the past, the only option for patients who were missing all of their teeth was a removable denture. With no supports or anchors, these dentures were loose and uncomfortable, and they came with a whole host of issues. Today, advancements in dentistry have made removable dentures the least desirable option. With the same-day hybrid procedure, your dental surgeon can affix an entire upper or lower denture using just four dental implants.

How It Works

A smile restoration using at least four dental implants requires proper planning and the most advanced dental technologies available. These include 3-D cone-beam CT scan and 3-D scanning of the jaw to identify the best placement for your implants, 3-D printing of a dental model to determine appropriate shape and size for the prosthesis, and on-site milling of the actual prosthesis for same-day placement. Following the planning stage, your dentist will remove necessary teeth from the jaw, surgically insert at least four implants, and secure the prosthesis for healing.

What to Expect from the Process

It is important to determine proper candidacy for this procedure and not rush the process. This procedure is best treated under IV sedation. The patient will present for surgery and leave with a new set of preliminary teeth that are only removed by the surgeon. Healing is predicable and with only mild discomfort.

Benefits to Patients

This “hybrid denture” technique is a game changer. Confidence, the ability to functionally chew, and overall health are restored. With a conventional denture, a person can only chew with one-fifth the force of the jaw. This procedure can restore function almost entirely, with the hybrid denture operating just like a healthy set of natural teeth. Nutrition is improved and therefore quality of life. HS

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An Expert Weighs In “If a patient is a candidate for this sort of treatment, we have witnessed life-changing results for them. So much goes into the pre-planning of this particular procedure, but it has been so worthwhile for our patients. The core of nutrition and medicine is what we eat. And if we cannot chew good, fibrous foods, our health will suffer. To be able to chew salad and steak again puts a smile on their face and mine!” Damien Armstrong, DMD Dentist River City Dentistry


Dr. Damien Armstrong

Your new dental home. River City Dentistry is a state-of-the-art practice with compassionate and friendly dentists, hygienists, and assistants. We offer cosmetic, restorative, general, emergency, and oral & IV sedation dentistry for you and your entire family. Call 423.486.9650 to schedule your appointment today or visit

FAMILY, COSMETIC, & SEDATION DENTISTRY

MyRiverCityDentist.com for more information.

DOWNTOWN CHATTANOOGA OFFICE

EAST BRAINERD OFFICE

1405 Cowart Street, Suite 101 Chattanooga, TN 37408

3328 Jenkins Road, Suite 100 Chattanooga, TN 37421

OFFICE HOURS:

OFFICE HOURS:

Monday – Friday: 8am–5pm Saturday by appointment only

Monday – Friday: 8am–5pm Saturday by appointment only


STAY WELL ADVANCEMENTS IN MEDICINE SECTION

Advancements in Mental Health Therapy Today it’s possible to treat mood disorders with ketamine infusion therapy.

Understanding Ketamine Infusion Therapy

Ketamine infusion is an intravenous therapy for those suffering from mental health disorders or neuropathic pain who are considered treatment resistant. While ketamine has been used in emergency rooms and hospitals as a pain-blocking anesthetic for decades, its ability to reverse depressive symptoms has been a more recent discovery. It’s able to cause a dissociation between the thalamus and the limbic system, which can be thought of as a dissociation between the mind and body.

Good Candidates

Ketamine infusion therapy is an option for individuals suffering from the following mental health conditions who have not had successful responses to other treatment methods: • Major Depressive Disorder • Obsessive-Compulsive Disorder • Post-Traumatic Stress Disorder • Bipolar Disorder • Postpartum Depression • Social Anxiety Disorder Your provider will complete a full medical history to understand your symptoms, treatment history, and other conditions that may influence the effectiveness of therapy.

How It Works

Ketamine changes the way brain cells communicate with each other. It blocks a specific type of brain receptor known as NMDA (N-methylD-aspartate), which can overstimulate brain cells and lead to depressive side effects, while also promoting the production and release of a protein called BDNF (brain-derived neurotrophic factor), which creates healthy neuronal connections. With ketamine infusion therapy, a patient will receive a subanesthetic dose through an IV. These infusions, which take 40 minutes to fully disperse, should be administered over approximately two weeks for stabilization. The number of treatments may vary from patient to patient and will be determined by the attending provider. Many patients will require booster treatments over time to reinforce the ketamine’s effectiveness.

Benefits for Patients

While antidepressants can take weeks or longer to become effective and dosages can be hard to determine, ketamine infusion therapy is designed to work within a few hours. For those struggling with debilitating depression or anxiety, a quick IV can be lifesaving. And for those who are treatment resistant, it can make an enormous difference in quality of life. HS

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An Expert Weighs In “Ketamine Infusion Therapy is the first step in a new concept of mental health treatment. Its neuro-regenerative effects cannot be overstated. The treatment enhances communication between different areas of the brain by optimizing neuronal transmission and helping restore neuroplasticity. Our patients work with our counselors and mental health providers to enhance outcomes, address feelings, and create a path back to self-managed mental health. According to the director of the National Institute of Mental Health, Thomas Insel, ‘Ketamine, given intravenously, might be the most important breakthrough in antidepressant treatment in decades.’” Charles Miller, CRNA Ketamine Infusion Expert Scenic City Neurotherapy & Ketamine Center


New Innovative Treatments Offering

HOPE & RELIEF The Most Successful Treatments Available for MOOD DISORDERS

CHRONIC PAIN

OCD

Neuropathy

Bipolar 1 & 2

Migraines

PTSD

Back Pain

Depression

Fibromyalgia

Anxiety

CRPS

Suicidal Ideation

And More

At Scenic City Neurotherapy and Ketamine Center, we work closely with our patients and other healthcare providers to offer the most comprehensive, patient-driven care possible. Our goal is always to achieve an optimum level of health, to get patients to their best quality of life possible. We offer Non-Narcotic, Non-Opioid treatment options including Ketamine Infusion Therapy and Transcranial Magnetic Stimulation (TMS),

which have proven to be the most successful treatments available and offer relief from mood disorders, chronic pain, and other ailments. At each appointment you will meet with your provider to discuss your progress and how you are responding to treatment. Every treatment is tailored to what works best for each individual patient. We continue to support patients after treatment with referrals and a specialized app that helps patients stay on their path to better health.

Visit Us Online to Learn More sceniccityneurotherapy.com

@ketamineChattanooga • 423.228.0579


M E E T O U R M O D E LS

Photo by Lanewood Studio

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Jennifer Holder & Shawanda Mason

B

oth new to town in 2012, Jennifer Holder and Shawanda Mason were seeking connection and friendship. Fortunately, they met while Shawanda was out apartmenthunting, and the two became fast friends. Eight years later, Jennifer and Shawanda are proving that best friends can also make the best business partners. Their nonprofit, The Chattery, has been a source of affordable and accessible learning experiences for the Chattanooga community – the organization has held more than 800 classes and events since its founding in 2014. Here, Jennifer and Shawanda give insight into their business partnership and provide advice for future women entrepreneurs.

HS What gave you the idea to start The Chattery? SM We both began taking entrepreneurship classes separately – mine at CO.LAB, and Jennifer with Launch. We were wanting to meet new people, to get a feel for the Chattanooga area. Then Jennifer presented me with an idea to start an organization similar to something she had seen done in New York. JH The whole idea was to enhance the Chattanooga community through learning. We wanted to break down the barriers of forming friendships by bringing people together to learn something new. It took us nearly two years to really fine-tune a plan and get The Chattery up and running. HS How has your friendship played a role in your business? SM We have a lot of meetings, and one thing we’ve been intentional about is setting aside 10-15 minutes of “friend time” at the beginning of each meeting before we jump into budgets and scheduling and things. Our friendship is the relationship we most want to protect – it sets the stage for everything else – so making time for that is a priority. JH I would also say that our friendship has spilled over into our other relationships, like our marriages. Shawanda and I will bring our husbands along when we attend conferences around the Southeast, and they’ll gallivant around Miami or Birmingham or wherever. It’s been a lot of fun! HS What is the most important thing you’ve taught each other in the past six years of working together? JH Shawanda has taught me to say what I mean and mean what I say. Speak up when you need to speak up, and always go with your gut. SM Jennifer has taught me to ask all the questions. Our business thrives on collaboration, so it’s so important to ask questions, even the tough questions, no matter what. HS What piece of advice would you give to women interested in founding their own business? JH You’re going to have people in your life who tell you that you can’t do this. Figure out who’s supporting you, who’s giving you practical advice, and hold those people close. SM Overnight success doesn’t happen. Our “overnight success” took five years, and even still, we’re constantly telling people our story. Be patient, and surround yourself with a strong community of women who will help you along the way. HS

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LOOK WELL

Hold on to Your Hat The Perfect Summer Accessory for Sunny Days Ahead Prepping for a day in the sun? You know to pack SPF 30+ sunscreen, and you have your cute coverup ready to go. All that’s missing is a stylish summer hat! Sun hats add an extra barrier between you and harsh UV rays; wearing a hat when outdoors makes sure your scalp, ears, and nose are protected, which keeps your skin looking younger in the long-term. Of course, this functional covering is also the chic fashion accessory you’ll want to tote around all summer long. Here, local boutiques share their favorite sun hats of the season.

“Hats are a great way to protect your skin from the summer sun. This floppy raffia hat by tyler böe is fantastic because it can be worn with or without the ribbon to match your outfit for the day. And, as a bonus, this hat comes with both coral and navy ribbons!” Ani Yacoubian, Yacoubian Tailors

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“With its large brim, this 100% straw hat from Raffaello Bettini provides plenty of sun protection. I love the feminine floral pattern that covers the hat, giving it a pop of color and flair. Pair this hat with a bathing suit, sundress, your favorite romper – the options are endless!” Katherine Roberts Burger, K :: A Boutique by Katherine Roberts

“This Panama hat is the ultimate summer accessory, perfect for casual outings as well as parties, weddings, and other special events. A patterned kilim band adorns the hat with just the right amount of structure and statement, and no two hats are exactly alike!” HS Silvina PeraltaRamos, Antibes

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REFINE YOUR ROUTINE:

How to Care for Every Hair Type From wavy to straight, flat to frizzy, and curly to coiled, no two people’s hair is exactly alike – so why use a cookie-cutter hair care routine? Whether you are looking to tame frizz, create volume, liven shine, or minimize oil, how you wash, dry, and style your hair matters. Regardless of what kind of hair you have, here are some general tips for how to sport your most luxurious locks.

BY CHRISTINA CANNON

STRAIGHT TO WAVY HAIR Washing: In order to not dry out your scalp, washing your hair once or twice a week is best. For those with oily hair or active lifestyles, washing more often is fine, but aim to use a sulfate-free shampoo. Touch up in between washes with your favorite dry shampoo, but be careful not to overdo it. Drying and styling: For this hair type, gentle towel-drying is best. To style, apply light products such as mousses and gels that won’t weigh your hair down.

CURLY HAIR Washing: Just like with straight hair, the fewer washes the better. Plan on washing your hair only a couple of times a week, and use a rich conditioner that isn’t too heavy to retain moisture. If you find that your curls tend to get weighed down, skip the roots and focus on the length and ends when conditioning. Drying and styling: With curly hair, try applying mousse or a light curl cream while your hair is still wet to lock in moisture. To dry, use a diffuser or opt to air dry. Between washes, spritz your hair with water as needed to refresh curls.

COILED HAIR Washing: Locking in moisture is the name of the game with coiled hair. Once a week, moisturize with coconut oil or a hair mask before washing, and use a gentle shampoo designed for natural coils. Follow up with a deep conditioner to round out this part of your routine. Drying and styling: For optimum definition, apply curl cream in the shower while your hair is still dripping wet. Like with curly hair, use a diffuser or air dry. HS

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The Austin Hatcher Foundation for Pediatric Cancer offers free

OCCUPATIONAL THERAPY to families affected by childhood cancer

Occupational Therapy (OT) treatment focuses on helping children with a physical, sensory, or cognitive disability be as independent as possible in all areas of their lives.

Occupational Therapy Helps Improve: • Physical Fitness and Endurance • Fine Motor Skills • Creative Problem Solving • Sensory, Behavioral, and Attention Deficits • And much more! Thank you to our print media sponsor

hatcherfoundation.org

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LOOK WELL

Botox

I0I U

sed for a variety of cosmetic and medical purposes, Botox is an anti-aging powerhouse that can do everything from erase fine lines and wrinkles to reduce migraines and muscle spasms. Botox remains the king of non-surgical cosmetic treatments, and more than 7 million procedures are administered each year. Think this treatment might be right for you? Read on to learn more before consulting your doctor.

BY CHRISTINA CANNON

How It Works

Botox, also known by other brand names such as Dysport and Xeomin, is a neurotoxin derived from the bacterium Clostridium botulinum. While this neurotoxin can be harmful, in small doses it works to block certain chemical signals from the nerves that cause muscles to contract. As a result, the muscles are paralyzed and can’t contract, thus staying relaxed.

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Before Your Treatment

Before seeking a Botox treatment, many professionals suggest avoiding alcohol for a least one week, and pregnant or breastfeeding women should consider avoiding the procedure altogether. In addition, anti-inflammatory or bloodthinning medications can increase bruising and should be avoided for two weeks before treatment, as well as immediately following treatment.

What to Expect from a Procedure In addition to treating over 20 medical conditions, Botox is widely used to reduce wrinkles and fine lines. During a routine cosmetic procedure, the botulinum toxin will be diluted with saline and injected directly into neuromuscular tissue. Botox doesn’t require anesthesia, and the procedure typically only takes a few minutes. The full effect of a Botox injection may take anywhere from several days to two weeks to be seen.

How Long It Lasts

Botox results last anywhere from three to six months. As muscle action begins to return, lines and wrinkles reappear. Some individuals choose to continue getting follow-up treatments, and over time, lines and wrinkles often become less severe due to muscle shrinkage.

Common Side Effects

Botox is a minimally invasive procedure, and the most common side effect is temporary bruising. In rare cases, headaches can occur, but they typically last no longer than two days. An even smaller percentage of Botox recipients will experience eyelid drooping. This side effect typically subsides within several weeks and is usually due to the Botox moving around after being injected. For this reason, experts suggest not rubbing or massaging the treated area for roughly 12 hours and to not lie down for several hours after a procedure.

In addition to cosmetic changes, Botox can also be used to treat the following medical conditions: Cervical dystonia. With this painful condition, your neck muscles contract involuntarily, causing your head to twist or turn into an uncomfortable position. Lazy eye. The most common cause of lazy eye is an imbalance in the muscles responsible for positioning the eye. Muscle contractures. Some neurological conditions, such as cerebral palsy, can cause your limbs to pull in toward your center. In some cases, these contracted muscles can be relaxed with Botox injections. Hyperhidrosis. With this condition, you may experience excessive sweating even when the temperature isn't hot and you're not exerting yourself. Chronic migraine. If you experience migraines more than 15 days a month, Botox injections may help reduce headache frequency. Bladder dysfunction. Botox injections can also help reduce urinary incontinence caused by an overactive bladder. Eye twitching. Botox injections may help relieve contracture or twitching of muscles around the eye. HS

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Smooth Operator With summer still in full force, shaving is vying for a spot in most women’s beauty care routine. When it comes to selecting a product, everyone wants a razor that cuts everything it should (and nothing it shouldn’t). Read on for some shaving fan favorites that are sure to leave your skin feeling silky smooth.

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Great for: Hard-to-Reach Areas

Great for: Unparalleled Precision

Great for: Women with Busy Lifestyles

As stylish as it is practical, Flamingo raises the bar with its revolutionary razor. With handles in a plethora of fun colors, each one of these razors has five Swedish steel blades. These blades are affixed atop a flexible hinge that provides near 90-degree range of motion and makes contouring to curves a piece of cake. In addition to its flexibility, the weighted handle is outfitted with a ridged, non-slip finish that offers premium control. Even better, Flamingo donates 1% of its revenue to nonprofit organizations, making this a purchase you can feel good about.

Although this razor may come with a premium price tag, Oui the People’s product offers precision that is secondto-none. Don’t let the captivating rose gold finish fool you; this razor can do some serious work. With only one stainless-steel blade, this safety razor requires a different approach than most on the market. Here, short strokes over small areas will yield the best results, and with its weighted handle, next to no pressure is needed to get a quality shave. Blades only need to be changed every five to seven shaves, and the textured metal handle ensures that users are able to get silky smooth skin with no slipups.

Have you ever gone to shave and noticed it was time for a new blade, only to realize you were all out of replacement cartridges? Enter Billie – a razor company that mails replacement blades based on usage. Subscribers can get replacement blades shipped to their front door anywhere from every month to every three months. Cognizant of both form and function, each Billie razor features five nickel-free, rust-free blades with a comfortable ergonomic rubber-backed handle. Charcoal shave soap surrounds the blades and provides a perfect glide while simultaneously cleansing skin. HS

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HER STORY Every woman has a story to tell, and no two stories are alike. Meet the women who have persevered through challenges and tribulations and come out the other side stronger than ever. These unique individuals have seen their fair share of adversity but continue to inspire those around them with the lessons they have learned and their love of life. Read on for four truly motivating stories by the women who experienced them firsthand. Photography by Emily Long / Photos taken on location at Waterhouse Pavilion

Growing up, life was easy. I had two parents who loved me and who loved each other deeply – a rarity in our world today. I was a cheerleader and had a great group of friends and a life that was going rather swimmingly … until the day Mom told me that she was diagnosed with breast cancer. My sweet Momma battled breast cancer from January 2015 until it metathesized to her liver in 2016 and ultimately took her from me, my brothers, and my dad in January 2019, only four short months before I walked across a stage to graduate college. The next several months were quite a transition. I moved back to a house that felt a little less like a home, started a job, and attempted to find some sort of new normal.

For a while I felt lifeless, just going through the motions, making sure everyone around me was okay. The reality? I was broken. It wasn’t until I truly sought out something bigger than myself that I felt whole again. Through prayer and community, I was able to realize something huge: You don’t choose to grieve. It just happens. It happens at the nail salon when I see a mom and her daughter spending time together, when I’m in the middle of a decision and just need the opinion of the one person who knew me better than anyone. It happens in the car when I hear her favorite song, when I envision my wedding day, and when I dream of having my own children. It happens when I least expect it, in the little moments. But even though I don’t

get to choose when I grieve, I do get to choose to be joyous. And guess what? I choose joy. I choose joy of the blessing of having a mother who loved me unconditionally, who showed me a perfect picture of humility, grace, and strength, and who showed me what dependence on Jesus looked like. Shortly after, I started blogging and found a space that I felt allowed me to channel what I was learning in my heart to those around me. Through this, I discovered strength within myself that I never knew existed, finally gave myself grace for the moments of imperfection, grief, and tears, and found so much pride in the story that was written for me.

Anna Cate SIGNAL MOUNTAIN

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HER STORY

I have always felt it is important to stay healthy. That means watching what I eat, drinking a lot of water, and exercising. Spiritual and mental health are important as well. I would later learn just how crucial all of this really was, and boy, was it important! Life for me, like so many other working moms, was always full speed ahead. There was always something to do. My time was divided between work, involvement in civic and social organizations, serving on boards, and volunteering, along with my church and, most importantly and rewarding of all, being a mom. I loved traveling with my family and friends, even if it was sometimes for a conference. On August 25, 2019, just a week after dropping my son off for college, I was getting ready for church, and the next thing I knew I was on the kitchen floor. The ceiling was spinning, and while confused, I managed to call one of my best friends. She kept me on the phone and called 911, and thank God she did. She, her family, and emergency responders quickly arrived at my house. The last thing I remember is being in the ambulance and experiencing the most excruciating pain I had ever felt. I don’t remember much else until about three weeks later. Despite having no risk factors, I had suffered a pulmonary embolism. I spent the next six weeks in the ICU before going to rehab, which was followed by four months of recovery. Of course, it wasn’t easy. I leaned on my faith and tried to smile and stay positive. My family and friends were by my side every step of the way. My doctors said being healthy helped save my life. Let’s just say that, plus a miracle. Today, I am back at work, staying active, and trying to eat healthy. My journey is one that has strengthened my faith and made me even more thankful for my family, close friends, and this wonderful community. It has also given me a renewed focus on my purpose in life.

LaTrice Currie EAST BRAINERD

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In elementary school, I never passed vision screenings. Doctors labeled me a behavioral problem and said I was not cooperating with the tests. I participated in eye therapy, which proved exhausting and left me grumpy and with headaches. Finally, when I was 15, a doctor found a small spot on my retina. I was referred to a specialist and diagnosed with Stargardt disease – a disease that causes scarring on the retina and progressive loss of central vision. At the age of 15, the news probably affected my parents more than it did me. I had to make some adjustments, but I had a typical life. I got my driver’s license, played sports, went to school, and hung out with friends. During my freshman year at college, my vision quickly declined. I had to make a very conscious choice: Do I sink or swim? I chose to swim. If this was my challenge in life, bring it on! Since I couldn’t change my vision, I decided to take control of how I reacted to and handled the challenges and changes that came with this rapid vision loss. Was it easy? No. I had lots of bad eye days. I made a pact with myself to only allow 30 minutes of self-pity, anger, or tears before moving forward and letting go of the negative thoughts. I spent endless hours in college figuring out how to work around my vision loss. It took a lot of hard work, but I learned to rely more on my hearing, and I graduated from the honors program at the University of Georgia with a biology degree and went on to get a master’s degree in physical therapy. As an adult, I’ve had to continually make adjustments as my life changes. I struggle with things most people take for granted: finding the shampoo versus the conditioner in the shower, what buttons to push on appliances, reading to my kids, or grocery shopping. But the biggest impact is not recognizing people. I can’t clearly see my children’s faces or pick them out on the soccer field. I would love to acknowledge friends who are steps away before they call my name to alert me of their presence. New challenges constantly arise, but I’ve met them head on. I finished the 2014 Chattanooga Ironman at age 40. As a member of Team USA, I’ve competed in paratriathlon races around the world and represented the United States in the 2016 Paralympic Games in Rio de Janeiro, where I finished fourth. I’ve never let my disability stand in the way of accomplishing a goal or serving as a positive role model for others who suffer from visual impairments. Not only has this disease made me into the person that I am today, but it is also amazing to observe how it continues to shape the empathy and perseverance I observe in my children.

Elizabeth Baker SIGNAL MOUNTAIN

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HER STORY

In almost every area of my life, I accommodate other people. But when it comes to ballet, I’ve always pushed back – pushed back against voices that told me I couldn’t do it. At a young age, I knew I wanted to dance professionally, but major injuries, an eating disorder, and unsupportive voices were all things telling me that wouldn’t happen. I pushed back, and I started a ballet company at the University of Washington. When I moved to Chattanooga, I was told that it would be impossible to be part of a ballet company. I was told there were no positions for me. So, I pushed back. I showed up to class every day, and I eventually became a member of Chattanooga Ballet. I’ve been dancing with the professional company for 14 years now. I was told my body was too athletic for ballet. I pushed back. I worked hard to celebrate being strong over being skinny. I discovered yoga and weight training and became proud of the body I had. I was told that 30 was too old for a dancer. I pushed back, and I worked even harder. I earned the principal role in The Nutcracker at 34. When I got pregnant with both my children, I was told my dance career should be done. I pushed back. I danced, pointe shoes and all, until the week my kids arrived. After my first child was born, my position was filled, but I pushed back. I continued to practice and rehearse, even if it meant stepping aside to feed my baby or change a diaper. My 1-year-old son watched me as the Sugar Plum Fairy that year. Even now, voices still show up. I don’t know what is next, and it can be hard to think about giving up something that is such a part of who I am. Regardless of what comes next, I will take what I have learned from ballet and continue to push back when voices tell me I can’t. I am going to make sure my kids learn from example that they can prevail. So, I’m going to continue to push back because that is what this journey has taught me. To push back against the voices that say you can’t, even if it’s your own. Whatever voices are telling you ‘you can’t,’ push them away ... and take that bow. HS

Kirsten Hyde SIGNAL MOUNTAIN

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Women Celebrating Women The word inspire is defined as the act of filling someone with the urge or ability to do something, and here in Chattanooga, we have no shortage of incredible women who motivate those around them day in and day out. Whether they intentionally set out to be a role model or random acts of kindness are simply in their DNA, these women are making the world a better place. Read on to learn more about the individuals who encourage others to be the best version of themselves told by those they inspired most.

P H OTOGRAPHY BY E MILY LONG

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inspired: Kat Wright inspiration: Rebecca Styles When I moved to Chattanooga 15 years ago, I quickly realized this was a mid-sized city with a small-town feel, but a huge heart for its community. There are few people who embody a servant’s heart more than Rebecca Cruz Styles. She began broadcasting on-air in 2002, with a love for music that prompted the region’s first wave of entertainment reporting. She was the only person I saw on-air who looked like me, pioneering bilingual newscasts to reach the Latinx community. She has advocated for the vulnerable by working with organizations fighting domestic abuse and volunteering for the Homeless Coalition. I am also the beneficiary of her compassion. Nearly a decade ago, I had a very serious car wreck that required inpatient rehabilitation out of state. In my absence, Rebecca championed the “Kitty Kat Ball,” a fundraiser featuring music and a silent auction. When I looked to return to full-time employment, she hired me when others thought I would be a liability. Her professional life continues to exemplify the same spirit, as she now works for the Erlanger Hospital Foundation. She inspires me by challenging others, but never demeaning them, and employing generosity while still being accountable.

“She inspires me by challenging others, but never demeaning them, and employing generosity while still being accountable.”

REBECCA KAT Photo by Rich Smith

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inspired: Mikaya Reynolds inspiration: Cindi Reynolds To know Cindi is to adore her. People often say I take after my mom, which happens to be the best compliment anyone could give me. Imagine being compared to a selfless, loving, constant person. She is one who stands at the foot of Goliath and says, “Bring it on.” Lovingly devoted to her community, faith, and friendships, she always puts others before herself. From working closely with heart disease survivors to chairing the entire Go Red for Women Luncheon, she shines and gets her job done. She also devotes time to the Good News Club at Hixson Elementary School, which sheds light on positivity to young children. Growing up, she was the master of swim moms and teen girl sleepovers. Now, we’re just as comfortable with Saturday wine nights and early morning yoga sessions. She’s my favorite partner for walks through Greenway Farms and duets to “Jessie’s Girl” – a built-in best friend. Imagine being compared to that ... I’m the lucky one.

“She is one who stands at the foot of Goliath and says, ‘Bring it on.’”

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inspired: Shaina Ramsey inspiration: Briana Garza-Wilson

I met Briana at an event for The House of Balance by Alexis White. It was a room full of women supporting women, and we just so happened to set up our yoga mats next to each other. We were able to chat throughout the event and found out we were both entrepreneurs and moms (aka mompreneurs). We immediately hit it off, and I knew I would leave with a new friend. Fast forward a little over a year, and I consider Briana one of my closest friends.  Briana is the co-founder of Chatt Taste and also serves on the board of my nonprofit, Cuts for Change. I am in constant awe of how she balances her successful business, serving the community, and being an amazing mom. It is so challenging to balance everything on your plate and do it well. She has taught me that it can be done, to never give up on my dreams, and to realize the importance of self-care so that I can always put my best foot forward.  It is so refreshing having a friend that understands the unique combination of running your own business, being a mom, and navigating the world as a woman of color. Briana inspires me with her work ethic, dedication to help others, and creativity. HS

“I am in constant awe of how she balances her successful business, serving the community, and being an amazing mom.”

SHAINA BRIANA

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Teenage Rebellion or Establishing Independence?

BY JULIE BAUMGARDNER

A

dolescence often seems to take on a life of its own while parents are left wondering what alien has taken over their child’s mind and body. One minute they are reasonable and then you would think they have lost their mind … and you believe you might lose yours. It’s easy for parents of teens to confuse what is developmentally right on time with rebellion. Adolescence is typically fraught with emotion and difficult moments for teens and parents.

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While your child’s body and brain has been growinteresting outfit, or perhaps they announce they are ing and learning since birth, some pretty incredible going to get their nose pierced. Is that rebellion, or is amounts of change start happening during puberty. your teen seeking to assert their independence? Having already reached 90% of its full size by age 6, Psychologist Bruce Narramore describes what is the brain doesn’t grow much during this time, but a normal and what is inappropriate when it comes to study by the National Institutes of Health showed that your child’s sense of negativity during their teenage our brains undergo a massive reorganization process years. Normal examples include increased assertivebetween ages 12 and 25. ness, direct expression of opinions and ideas, Simultaneously, teens are in the throes of complaining about chores, making decisions establishing their independence. They’re learnparents disagree with, keeping secrets from ing to do things on their own, becoming more parents, and occasional stubbornness. self-aware, and figuring out how to deal with Inappropriate negative behaviors include people aside from their family. chronic irritability, chronic negativism, defiRebellion is defined as the action or process ance, isolation, depression, raging outbursts, JULIE of resisting authority, control, or convention. and prolonged, angry withdrawal. BAUMGARDNER Your sweet, caring, fairly compliant child sudBefore your family encounters the teen PRESIDENT denly begins to resist authority, takes risks, is years, it will be helpful to anticipate how you AND CEO, FIRST more independent with a mind of their own, and will navigate these years and make the most of THINGS FIRST has beliefs that are opposed to yours. This can this developmental growth period. look like rebellion, and the tricky thing is, it may For starters, don’t imagine that this precious, be. But, it is also possible they are doing exactly what happy-go-lucky, respectful, compliant child won’t they need to be doing developmentally, and believe it cause you any angst down the road. or not, they are as uncomfortable as you are. Also, recognize that the teen years can often feel Perhaps one of the most important questions a frightening, out of control, and intimidating. There is a lot parent can ask is this: How do you define rebellion? expected of your child and a lot at stake in their eyes. The One morning your teen walks into the kitchen with pressure is on, and they tend to feel it magnified times 10 green hair, an exceptionally creative mohawk, an even though they may not act like it (or maybe they do).

Give your teen freedom, but hold them accountable. Expect your teen to treat you with respect. You should also be respectful to your teen. This is vital for future success. Help them understand that everybody’s thoughts and feelings have value, even if you completely disagree with them. Use non-threatening communication, and listen well. Words, tone of voice, and body language all matter. A sense of humor helps! Laugh and find ways to have fun with your teen. Be consistent. Your teen is paying attention to every move you make and the words you say. You are a rudder to them as they navigate uncertain waters, and inconsistency is scary. They are counting on you to be the parent even when they push back. Ask for help! Sometimes an objective third party can make all the difference. HS

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Balancing Marriage and Family Time Adulting is hard! It leaves us constantly juggling our priorities in order to establish some semblance of a sustainable routine. If you choose to get married and start a family, the balancing act becomes even more delicate. Suddenly, not only are you managing your own time, you also have other schedules to take into consideration. Your life becomes consumed – in a good way – with caring for your children and providing an environment for them to grow and flourish in. But your relationship with your spouse also requires nurturing. Here, these three local ladies fill us in on how they try to balance marriage and family time with their own busy schedules.

PARUL PATEL NorthShore

“My husband and I have a newfound appreciation for exercising with our children and teaching them the importance of staying active. This daily exercise routine allows us all to stay connected in the morning, clear our minds, and communicate with each other – it is amazing what a 4-year-old has insights on! Furthermore, we are in the process of opening a daycare/preschool in downtown Chattanooga. The project of building and opening a state-of-the-art school with my husband has been a fulfilling endeavor that’s brought us closer together. We have found a new normal that incorporates a way to continue things we love doing with our children, while also finding time for each other.”

MELISSA POWELL North Chattanooga

“My husband and I embrace that in this stage of our life, with a 3and 10-year-old and two full-time jobs, time with each other is most often also time with our children. We have a lot of thriving younger and older couples in our church who are tangible reminders of more adventurous years we had before children, as well as wonderful years we can hope to have together after our children are grown. In the meantime, enjoying coffee together in the mornings and evenings together on our screened-in porch, with a mix of intentional conversation and wasted time together, are peaceful bookends to our busy days.”

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KARITSA MOSLEY JONES Lake Hills

“My key to balancing couple and family time is simple ... a lot of prayer, endurance, and time management. I simply make time for the ones I love amongst my professional and political obligations. It’s a lot! Most days, I don’t know if I am coming or going. However, one thing is for sure: I make time to be present for those who are most important to me, and that is my husband and family. I plan everything else around them. My secret weapons are my Google calendar and my planner; they provide guidance for my daily schedule. As for couple time, we make it a point to keep our weekly date night, and we have our evening couple check-ins with one another. Being in tune as a couple is important to us.” HS


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Karisa Kaye’s Guided Glute Workout An At-Home Workout P H OTOGRAPHY BY E MILY LONG

“Why are glute exercises so important? We spend a lot of time sitting during the day! This constant disuse and pressure can create atrophy in the gluteal region. Strengthening your glute muscles can not only enhance your athletic performance, it can also serve as injury prevention – especially as it relates to lower back pain. Here are five exercises you can start implementing in your daily routine, either at home or at the gym!” – Karisa Kaye, CrossFit Level 2 Trainer; Head Trainer at The Hangar

Hip Thrusts Find a bench or an elevated surface (couch, sturdy chair) to back up to. Place both feet flat on the ground, hip to shoulder distance apart. Shoulders should be resting comfortably on the elevated surface behind you, with your tailbone backed in close to the fixture as well. Bring your heels in toward your buttocks; you’ll want to push through your heels and avoid rising up onto your toes. Tuck your chin into your chest and look forward. Press your hips and pelvis up to the ceiling, squeezing your glutes and your hamstrings on the way up. Try to reach full hip extension at the top. Find a smooth tempo to move your hips up and down as you complete 15 to 20 reps for a total of three sets. Hold the last rep of each set, for three to 10 seconds, at the top of full hip extension – this will give you a chance to check in with your body position and correct your form if needed.

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Bulgarian Split Squats Using the same elevated surface, place one foot behind you and one foot forward. The foot forward should be flat on the ground. The foot behind you should have your toes pressed into the surface. The distance you step out away from the elevated surface will depend on the length of your legs. It’s okay for your knees to go over your toes in this movement. Start standing upright, and gently place your back leg/knee to the ground, squeezing your glutes on the way down and squeezing your belly in to keep your core engaged. As you stand back up, squeeze both sets of glutes as well, and keep your core tight. This should feel like a scissor movement. Complete three sets of 10 to 15 reps per leg. *If you want to intensify this movement, you can hold a dumbbell or kettle bell in one or both hands for added resistance.

Sumo Deadlifts For a starting position, feet should be wider than shoulder-width apart. Think of standing like a sumo wrestler. Both feet are flat on the ground with your weight distributed into your heels. Place a kettle bell or a dumbbell, or any heavy household item you can grip, between your feet. Sink down into a wide squatting position, with your head and chest up, shoulders pulled back, and hips down. Grab a hold of your weight of choice with both hands; keep your shoulders pulled back and your belly button pulled into your spine. Stand straight up, squeezing your glutes and your legs. Then allow the weight to sink back down to the ground to the starting position. Depending on the weight, you will want to complete 15 to 20 reps of this movement, three times.

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LIVE WELL

High Step into Diagonal Reverse Lunge Return to your elevated surface of choice. You may need a wall or a partner’s hand to hold onto for balance with this movement. Choose one leg to step onto the surface with, and the other leg you’re going to step up high with. Try and bring your knee up to your belly button or chest. As you return the high-reaching leg to the ground, you’ll step backwards at a diagonal into a reverse lunge. This will take a lot of focus and balance. Try to complete eight to 10 reps per leg. After lunging diagonally behind you, step back up into the high position and continue for eight to 10 reps.

Hip Abduction Walks Place a resistance band just above your knees, which should be slightly bent. Step to the side, one step at a time, keeping the movements controlled and stable. (I prefer 10 reps in one direction and then switch to the other direction.) You should feel tension in your hips and the outside of your leg. Be careful not to lock your knees at any point; keep your abdominal muscles tight as well. *Another option: You can walk forward or backwards with the band. Walk at an angle, keeping resistance around your legs and hips. Do as many repetitions as possible until you’re fatigued or your form begins to fail. HS

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EAT WELL

Peachy Keen If you ask us, peach season is way too short. This summer stone fruit adds the perfect amount of sweetness to any dish, from crisp salads and juicy salsas to your grandma’s famous peach cobbler. While the peach is praised for its decadent flavor, it’s often overlooked as a nutritional powerhouse. The wide-ranging health benefits, including better digestion, improved heart health, and smoother skin, may surprise you!

Take advantage of peach season while you still can with these tasty recipes from Chattanooga locals. Photography by Emily Long

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Did you know? All peaches fall into one of two categories: clingstone or freestone. A clingstone peach has a pit that is attached to the flesh, while a freestone peach’s pit can be easily removed.

Dish T’Pass’s Chopped BBQ Chicken Salad with Fresh Peaches BY AMANDA NELSON VARNELL, FAMILY DINNER TABLE SPECIALIST/COOKING INSTRUCTOR | SERVES 4 Ingredients

Directions

5 Tbsp. olive oil, divided 2 Tbsp. seasoned rice wine vinegar Kosher salt Ground black pepper 2-3 medium fresh peaches, sliced (approx. 2 cups) 1 (12 oz.) pkg. broccoli slaw 1 Ib. skinless, boneless chicken breast, cubed 1/4 cup barbecue sauce 1 Tbsp. green onions, sliced 1/4 cup feta cheese, crumbled 4 slices center-cut bacon, cooked and crumbled

1. In a large bowl, whisk together 4 Tbsp. of olive oil, rice vinegar, 1/4 tsp. of salt, and 1/4 tsp. of pepper. Add sliced peaches and slaw mix, tossing gently to coat. Set aside. 2. Cut chicken into 1-inch pieces and sprinkle evenly with 1/8 tsp. of salt and 1/4 tsp. of pepper. Heat the remaining Tbsp. of olive oil in a large nonstick skillet over mediumhigh heat. Add chicken to pan; cook 6 minutes or until done. Remove from heat. Toss with barbecue sauce. 3. Add chicken to slaw mix and toss gently. Divide salad mixture evenly among 4 plates. Sprinkle with green onions, feta, and bacon before serving.

Dish T’Pass is now an online cooking school! Details can be found at dishtpass.com.

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LIVE WELL

Danielle Pelton’s Blackened Fish Tacos with Peach Salsa SERVES 4 Ingredients

For the peach salsa: 1 1/2 lbs. peaches, diced with the peel on 1 lb. tomatoes, diced 1 bell pepper, seeded and finely diced 1 medium onion, finely diced 1-2 jalapeños, seeded and finely diced 1/4 cup packed cilantro, chopped 1 lime, juiced A pinch of salt and pepper For the blackened fish: 1 1/2 tsp. smoked paprika 1 tsp. garlic powder 1 tsp. dried oregano 1 tsp. onion powder 1/2 tsp. cumin 1/2 tsp. brown sugar 1/4 tsp. cayenne pepper 1/2 tsp. salt 1 1/2 Ibs. halibut fish fillets 2 Tbsp. butter (or olive oil) For the tacos: 12 flour or corn tortillas

Directions

1. For the peach salsa: Rinse, dry off, and dice all the fruits and vegetables. (I dice the peaches larger to help draw the attention to them.) Add diced peaches, tomatoes, bell pepper, onion, and jalapeños to a large bowl. Do not forget to remove the seeds from the jalapeño unless you love the heat! Next, add chopped cilantro, juice from 1 lime, and a pinch of salt and pepper. Mix together. 2. For the blackened fish: Mix the spices together in a bowl. Add fish to the bowl to season and use your fingers to completely coat each side of the fish. Next, heat a large nonstick pan to medium heat. Once heated, coat the pan with 2 Tbsp. of butter or olive oil. Next, add the fish fillets. Cook for 4 minutes on each side. The halibut will turn from a translucent into opaque and white when done. 3. Heat up some tortillas. Add the cooked fish and then top with peach salsa. Enjoy!

As a physician assistant, East Brainerd’s Danielle Pelton is always finding ways to incorporate healthy habits into her lifestyle. “My latest goal is trying to buy and eat more locally,” Danielle says. “This recipe was created during peach season from all the delicious Georgia peaches.”

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Food & Drink A Taste of Chattanooga’s Food, Drinks, and Southern Hospitality

C O M I N G T H I S O C TO B E R delicious local recipes :: gourmet kitchens :: cooking tips :: and more!

CITYSCOPEFOODANDDRINK.COM


LIVE WELL

T H E F I T N E S S 5 : Carrie Bocanegra, OOLTEWAH, TN

TOP 5 PLACES TO RUN IN THE SCENIC CITY It’s no secret that Chattanooga is a popular running destination. Whether you prefer hilly terrain or straight pathways, gorgeous river views or mountain scenery, there’s a trail for you. Here, avid runner Carrie Bocanegra shares her favorite spots to log some miles around Chattanooga.

1 2 3 4 5

Wolftever Creek Greenway “This is such an uplifting location, and it’s dog-friendly! Beginning at Collegedale’s Imagination Station, you’ll find a mostly flat, well-maintained concrete pathway that travels along Wolftever Creek, past Veterans Memorial Park, around the duck pond, under the railroad trestle, past the soccer field, down to the dog park, and around the amphitheater.”

Raccoon Mountain “Parking at the Raccoon Mountain Overlook and getting right onto the South Rim Trail, you can follow the winding path that leads to the Electric Avenue Trail. Along the way, stop for a photo op of the magnificent River Gorge meandering below. Continue on until you reach half your desired distance, then return the way you came while soaking in the natural beauty.”

Tennessee Riverwalk “The Riverwalk’s wide concrete path has a wonderful mix of people out fishing, bicycling, strolling, and enjoying the scenery. To get an untechnical half marathon in with an out-and-back, start at the Chickamauga Dam. You can take this path all the way out to Manker Patten Tennis Club, then turn back to the dam and complete your run.”

Downtown Chattanooga “Rembrandt’s is a quaint coffee shop nestled in the Bluff View Art District, which makes for an ideal spot to start a run and an even better place to finish. From this location, you can head across the Walnut Street Bridge and down to Coolidge Park. Downtown has so many great routes to take that you could change up your scene with every run and never be disappointed.”

Enterprise South Nature Park “What once was an ammunition plant that stored explosives is now a runner’s delight! At this nature preserve, you can see protected endangered plants and admire grazing deer or turkey. Hop over to the paved trails or run through the dense woods – either choice will be a superb one.” HS

“Because my day is spent sitting at a desk, I relish my running time outside where I can engage all my senses,” Carrie says. “I love planning destination races with my growing group of girlfriends to a different city every year, and I hope to expand to different countries in the future!” 114

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Because of

...

enjoy

I can the outdoors.

They say a dog is man’s best friend. For Wayne Hackney, his three Dachshunds likely saved his life. He was home battling the flu with his three faithful companions when they became particularly pesky, uncharacteristically jumping up and repeatedly getting in his face. Wayne would push them away, but they would come right back. Taking their persistence as a sign he should seek help, he drove himself to the ER, barely making it to the door before collapsing inside. Wayne spent the next eight days in ICU in a medically-induced coma. During that time, he also suffered a stroke and kidney and lung failure. When he awoke, he was bewildered to find out he had narrowly escaped death and would need rehabilitation to be able to walk or take care of himself again. Having heard the amazing “I Can” stories of previous patients, he immediately chose Siskin Hospital. He arrived feeling helpless - numb, unable to move, suffering from extreme dizziness, and barely able to talk. But the very next day his therapists had him out of bed and sitting in a chair. Their expert care along with the devotion of his nurses and physicians quickly alleviated all his fears and intimidations. His entire rehab team was by his side every day, cheering him on, and never letting him give up. Over the next four weeks, Wayne’s stamina and confidence grew with every progress. He’d always felt that nothing worthwhile is easy, and with determination pressed forward to accomplish the tasks his therapists gave him. Soon they noticed that during conversations about their pets, Wayne always did twice as much in therapy. This camaraderie and encouragement kept him focused and moving forward. The day came when his therapist brought a walker for his therapy session, and Wayne told her he wanted to walk by himself. To the amazement of both, he did just that, holding her hand and taking one step after another. He knew for Physical then it wouldn’t be long until he could return home to his three beloved dogs, Rehabilitation his best friends… and life savers. He credits them with saving his life For more information, but Siskin Hospital with helping him feel alive again.

Siskin Hospital

Because of Siskin Hospital, I CAN!

visit www.SiskinRehab.org or call 423.634.1200.


we’re here for CHI Memorial Medical Group physicians and advanced practice clinicians are focused on your specific health care and needs in the months and years to come.

Visit CHIMemorialMedicalGroup.org and search physician practices in your area. With convenient locations throughout Southeast Tennessee and North Georgia, our network of dedicated physicians and advanced practice clinicians provide quality health care for the entire family. Specialties include family and internal medicine, pediatrics, bariatrics, breast care, geriatrics,gynecology, infectious disease, rheumatology, urology, pulmonology, thoracic surgery, and general surgery.

Search our online physician directory at CHIMemorialMedicalGroup.org to find a physician near you. Follow us on twitter @chi_memorial Watch us on youtube /MemorialChattanooga Follow us on facebook @CHIMemorial

Profile for CityScope & HealthScope Magazines

HealthScope® Magazine Late Summer 2020  

Vision health for older adults, the real deal on cholesterol, factors that affect your weight, and more!

HealthScope® Magazine Late Summer 2020  

Vision health for older adults, the real deal on cholesterol, factors that affect your weight, and more!

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