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“Self-care is not a waste of time. Self-care makes your use of time more sustainable.”
- Jackie Viramontez
For me, life feels busier now than it ever has. I often attribute it to my phase of life and think, “It will pass; things will slow down.” But it’s not just me. When I ask others how they’re doing – regardless of their phase of life – it’s answered with, “We’re good, just busy,” often accompanied by a deep breath and a smile.
In my life, when this happens, my health and well-being can feel like the easiest things to push to the back burner. However, I find myself needing the gentle reminder that you can’t pour into others if you’re pouring from an empty cup.
If you, like me, find yourself needing a little encouragement to prioritize yourself, this issue is the one for you! In our Annual Women’s Health Issue, we cover everything from must-know health topics to feel your best to advice for your mental and social well-being.
Leading off, our features delve into everything from advances in breast cancer prevention and treatment to cataracts and a fun spotlight on local mobile healthcare businesses.
Also included is our annual “Women’s Health” special section, in which you’ll find nine quick reads surrounding improvements in women’s healthcare and the local practitioners providing these innovative services.
Cailey Mullinix
Not to be missed, the special section “Meet Our Doctors” profiles local physicians who have dedicated their lives to caring for and serving others, while “Beautifully You!” highlights five local cosmetic professionals who use their unique skillset to provide the best experience for their clients.
Last but not least, don’t miss the interview with our cover model DeJuan S. Jordan as she shares how she pours so much of herself into others without losing sight of her own well-being.
We hope this issue serves as a gentle reminder that prioritizing yourself is not selfish, but rather crucial. You can’t put oxygen masks on those around you if you yourself are running out of air. So, schedule the massage, make the appointments, and while you’re in the waiting room, pick up and enjoy a copy of HealthScope® magazine’s Annual Women’s Health Issue.
Happy reading,
We’ve assembled a team of well-established and highly experienced financial professionals. It has given us the ability to address every aspect of our clients’ financial needs. And by limiting the number of clients we serve, it allows us to offer an uncommon level of service and maintain our unwavering focus on helping to create quality financial solutions.
This is what we bring to the table – and what will ultimately bring you to us. If you are an individual seeking seasoned financial guidance and the comfort of working with an experienced group of advisors who call Chattanooga home, we welcome the opportunity to sit down together. Main Office: 1200 Premier Drive, Suite 100 • Chattanooga, TN 37421 Downtown Office, by appointment only: Warehouse Row • 1110 Market Street, Suite 210 • Chattanooga, TN 37402 www.RoundTableAdvisors.com • 877-770-0009 • 423-510-8889
Photographed at Ruby Falls
Recognized Among Top 10% of Health Centers Nationwide for Quality, Access, and Innovation
A recognition of our steadfast mission to deliver high-quality care to all. This honor reflects our commitment to accessible, compassionate care, innovation in treatment, and ensuring that every patient receives nothing less than excellence. Thank you for trusting us as we continue to raise the bar for community health
Publisher George Mullinix
Co-Publisher Cailey Mullinix Easterly
Sales & Business
Development Amanda Worley
Sales & New Business
Development Meredith McNeeley
Design Lead,
Sr. Graphic Designer Lauren Robinson
Sr. Graphic Designer Tamara Slocum
Managing Editor Rachel Studebaker
Editor Kristen Dee
Editors/Digital
Content Specialists Abby Callahan Lindsey Clute Ali Lemmons
Digital Marketing Manager Houston McLain
Graphic Design Intern Priya Patel
Marketing,
Events, & Operations Laci Lanier Jackson
Photographers
Hacker Medias
Rich Smith
Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or health scopemag.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.”
DeJuan S. Jordan shares how she prioritizes presence and practice in her health and wellness journey on page 84.
Photo by Hacker Medias
CityScope® and HealthScope® magazines and Choose Chattanooga® – Chattanooga Resource & Relocation Guide® (the magazines) are published by CMC Media & Marketing Group, 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 Media & Marketing Group, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement.
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Raymond James has been ranked the #1 WEALTH MANAGEMENT FIRM for Advised Investor Satisfaction and Most Trusted in the J.D. Power 2025 U.S. Investor Satisfaction Study.
Raymond James has been ranked the #1 WEALTH MANAGEMENT FIRM for Advised Investor Satisfaction and Most Trusted in the J.D. Power 2025 U.S. Investor Satisfaction Study.
Raymond James has been ranked the #1 WEALTH MANAGEMENT FIRM for Advised Investor Satisfaction and Most Trusted in the J.D. Power 2025 U.S. Investor Satisfaction Study.
Raymond James has been ranked the #1 WEALTH MANAGEMENT FIRM for Advised Investor Satisfaction and Most Trusted in the J.D. Power 2025 U.S. Investor Satisfaction Study.
Our experienced advisors provide specialized guidance and sophisticated strategies on:
Our experienced advisors provide specialized guidance and sophisticated strategies on:
Our experienced advisors provide specialized guidance and sophisticated strategies on:
Our experienced advisors provide specialized guidance and sophisticated strategies on:
Putting clients first has been the firm’s central value from the beginning, so it’s a particular honor to have been recognized by our clients. Here in Chattanooga, we’re especially proud of this recognition and are excited to continue partnering with you. We look forward to championing the unique challenges and opportunities in this community as we serve the people who make it special.
Putting clients first has been the firm’s central value from the beginning, so it’s a particular honor to have been recognized by our clients. Here in Chattanooga, we’re especially proud of this recognition and are excited to continue partnering with you. We look forward to championing the unique challenges and opportunities in this community as we serve the people who make it special.
Putting clients first has been the firm’s central value from the beginning, so it’s a
with you. We look forward to championing the unique challenges and
Putting clients first has been the firm’s central value from the beginning, so it’s a particular honor to have been recognized by our clients. Here in Chattanooga, we’re especially proud of this recognition and are excited to continue partnering with you. We look forward to championing the unique challenges and opportunities in this community as we serve the people who make it special.
Putting clients first has been the firm’s central value from the beginning, so it’s a particular honor to have been recognized by our clients. Here in Chattanooga, we’re especially proud of this recognition and are excited to continue partnering with you. We look forward to championing the unique challenges and opportunities in this community as we serve the people who make it special.
I enjoy going on regular runs, but my husband is worried that I don’t warm up beforehand. Is it really important to warm up before a run, and what types of stretches or dynamic movements are most effective to prepare my body and help prevent injury?
A. Yes, you still need to warm up. The goal of a warm-up is to gradually prepare your muscles, joints, heart, and lungs for more intense activity. Even if your body already feels loose, your muscles still need that gradual buildup of blood flow and movement to reduce your risk of strains, sprains, or worse. A good warm-up also gives you a moment to check in with your body and stay alert to signs of dehydration or heat exhaustion. Start with a few minutes of light movement like walking, arm circles, or bodyweight squats. You can also incorporate dynamic stretching, and if comfortable, static stretching to your routine. Choose shaded areas when you can, and ease into higher intensity slowly. And don’t forget: a warm-up is also a good time to make sure you’re hydrated and not pushing through any dizziness or nausea – those are warning signs, not something to power through.
L. Shay Richardson, MD
Q. I’ve been under a large amount of stress lately and noticed rashes appearing on various areas of my skin. What can I do to manage stress hives?
A. Stress can play a significant role in triggering or worsening hives. When your body is under stress, it can release chemicals like histamine that lead to itchy rashes. While stress management is important, treatment usually focuses on keeping symptoms under control so hives don’t disrupt your daily life. Daily, non-sedating antihistamines are often very effective, and doses can be adjusted under an allergist’s guidance. Healthy habits such as regular exercise, good sleep, relaxation techniques, and counseling may also help reduce flare-ups. If hives persist or worsen, an allergist can evaluate you to rule out other causes and design a personalized treatment plan. For those who don’t respond to antihistamines, Xolair (omalizumab) may be recommended. This injectable treatment calms the immune response and many patients see major improvement within weeks. Marc Cromie, MD
Q. I’ve been told that staying friends after a breakup is a bad idea, and I don’t want to cause further emotional damage to myself or my ex. From a professional standpoint, is being friends with an ex unhealthy?
A. Therapists are famous for the following response when clients ask us how to proceed with a situation: “It depends.”
Consider these questions: 1) What are the circumstances around the breakup? If there was infidelity or any type of abuse, then it is probably unhealthy to continue the friendship. However, if the reason that you broke up was that you saw your lives going in two different directions, then it wouldn’t be unhealthy to stay friends. 2) What do you have in common other than physical attraction? If the answer is, “not much,” then continuing in a friend relationship may not be possible, much less healthy. 3) Did the relationship have some green flags? If not, then from what can you build a friendship? If there are several, then proceed cautiously. Brittney Lord, LPC-MHSP
Q. My younger sister has never had a mammogram. What should I tell her to expect during the exam to help ease her nerves?
A. Preparing for a mammogram is quick and simple. Arrive without deodorant (aluminum in the deodorant shows on the mammogram and can make it more difficult to interpret). You will undress from the waist up and wear a gown that opens to the front, and a mammography tech will ask you several questions before taking you into the exam room. While many dread the process, a mammogram usually causes only slight discomfort. It is important to allow the mammography tech to apply enough compression for a great diagnostic image, but the images don’t take long to acquire at all! Once you are done, you are free to go. It is a really simple screening process that saves lives!
Adrian M. Miller, MD, DABR
Q. My son has an infection on his leg that is swollen and red, and it appears to be a mild form of cellulitis. Can this go away on its own, or does cellulitis always require treatment? How do I know when he needs antibiotics?
A. Mild cellulitis usually requires treatment with antibiotics and generally does not go away on its own. While your immune system may be able to fight off a very mild case, cellulitis is a bacterial skin infection that can spread quickly if untreated – so even mild symptoms should be taken seriously. Common symptoms include redness, swelling, and warmth in a localized area of skin; tenderness or pain; and possibly some mild fever or fatigue (though not always). You should seek medical attention if you have increasing redness, swelling, or warmth; pain that’s getting worse; fever or chills; no improvement after 24-48 hours; red streaks near the affected area (a sign the infection may be spreading through lymphatic vessels); or an underlying condition that weakens your immune system (like diabetes). Don’t wait too long – cellulitis can worsen fast. Even if it looks mild, you should have it evaluated by a healthcare provider, especially if symptoms aren’t improving within 24-48 hours.
Todd Rudolph, MD,
CMO
Meet Our Experts
L. Shay Richardson, MD Sports Medicine Physician, Center for Sports Medicine & Orthopaedics sportmed.com
Marc Cromie, MD Double Board-Certified Allergist, Chattanooga Allergy Clinic chattanoogaallergyclinic.com
Brittney Lord, LPC-MHSP Counselor and Outreach Coordinator, Roots Counseling Center rootscounselingcenter.com
Adrian M. Miller, MD, DABR Board-Certified Radiologist, Hamilton Medical Center vitruvianhealth.com
Todd Rudolph, MD, CMO Chief Medical Officer and Medical Director, AFC Urgent Care of East Tennessee and Dalton, GA afcurgentcaretn.com
staff spotlight
CENTER FOR SPORTS MEDICINE & ORTHOPAEDICS
Kate Smith, MSN, FNP-C
Kate Smith has joined Center for Sports Medicine & Orthopaedics as a nurse practitioner. Smith earned a Bachelor of Science in Nursing from the University of South Alabama and a Master of Science in Nursing, Family Nurse Practitioner, from the University of Alabama at Birmingham. She is an Advanced Practice Registered Nurse certified by the American Association of Nurse Practitioners.
SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Tracy
Reed, DNP, MBA, RN
Dr. Tracy Reed has been named chief operating officer of Siskin Hospital for Physical Rehabilitation. She holds a doctorate in nursing practice from American Sentinel University, an MBA from Kennesaw State University, and a BSN from the University of Tennessee at Knoxville. Additionally, Dr. Reed is a Certified Rehabilitation Registered Nurse and Lean Six Sigma Black Belt.
VITRUVIAN HEALTH
David Fishman, MD
Dr. David Fishman has joined Vitruvian Health’s Heart & Vascular program. A graduate of Sackler School of Medicine at Tel Aviv University in Israel, Dr. Fishman served as chief resident and completed a residency in internal medicine at Beth Israel Medical Center in New York City. He also completed fellowships in cardiovascular disease and interventional cardiology at Northwell Health - North Shore University Hospital and Northwell Health - LIJ Medical Center in New York.
CHI MEMORIAL
Lauren Sloan
CHI Memorial is pleased to announce the appointment of Lauren Sloan as vice president of strategy. In this role, Sloan will be responsible for leading the development and implementation of strategic initiatives that advance CHI Memorial’s mission of providing exceptional healthcare services to the Chattanooga region.
CHI MEMORIAL
Charity Clayton, FNP-C
Charity Clayton has joined CHI Memorial Family Practice Associates - Harrison. Clayton earned bachelor’s and master’s degrees in nursing from Middle Tennessee State University in Murfreesboro and is certified by the American Nurses Credentialing Center. Clayton has 14 years of experience, including 10 years as a medical-surgical nurse at CHI Memorial Hospital Chattanooga and more than three years caring for patients as a nurse practitioner in clinic settings.
HAMILTON MEDICAL CENTER
Jose Brillo, RN, BSN
Jose Brillo, a nurse in Hamilton Medical Center’s (HMC) Cardiac Telemetry unit, recently received the DAISY Award for Extraordinary Nurses. The DAISY Award recognizes exemplary nursing excellence and is the highest honor a nurse can receive at HMC. Brillo was nominated for the award based on his team player attitude, responsiveness, commitment, selflessness, compassion, and exceptional care.
CEMPA COMMUNITY CARE
Shauna Wooten
Shauna Wooten, director of patient access & revenue cycle at Cempa Community Care, has completed the UCLA/Johnson & Johnson Health Care Executive Program, hosted by the UCLA Anderson School of Management. The highly selective, two-month program is designed to strengthen leadership and management skills for healthcare professionals working in dynamic, community-based settings.
ERLANGER
Nivin C.S. Todd, MD, FACOG
Erlanger Women’s Health welcomes Dr. Nivin C.S. Todd to its team of providers. Dr. Todd holds degrees in psychology, biology, and public health. She earned her medical degree from Mercer University School of Medicine and completed her obstetrics and gynecology residency at the University of Tennessee College of Medicine at Erlanger.
Full-Service Marketing You Can Trust.
Supported by extensive research, every project is backed by a comprehensive marketing strategy and communication plan. With a proven approach, our clients’ sales conversions have exceeded the industry average by more than 400%. Sales conversions relative to ad spending have exceeded 250x.
health & wellness calendar
October
19 7 Bridges Marathon
Get ready, get set to register for Chattanooga’s oldest marathon. Racers can participate in one of five events: the 7 Bridges Marathon, 4 Bridges Half Marathon, 4 Bridges 10K, 2 Bridges 5k, and a family fun run. The marathon starts at Coolidge Park at 7 a.m. and will feature finishing medals, event shirts, a DJ, post-race food, and more. Register and find more information online. sevenbridgesmarathon.com
20 RMHC Golf Classic
Since 1999, the RMHC Golf Classic has supported families with sick children by keeping them close to care. Held at Black Creek, the event features contests, prizes, and awards, including the RMHC Kaylor Cup. Four-player teams ($3,500 per team) can enjoy upscale meals, gifts, and media recognition, and each player receives Pro V1 balls, a mulligan,
and a $150 Black Creek Pro Shop gift card – supporting RMHC Chattanooga’s mission to provide patients a home away from home. rmhchattanooga.com/ rmhc-golf-classic
24 Casino Royale: Jaw Bones & Saw Bones Chattanooga-Hamilton County Medical Society and the Chattanooga Bar Association are excited to partner together for a premier evening of philanthropy and fun at Casino Royale: Jaw Bones & Saw Bones. This year’s event will be held on Friday, October 24 from 7 to 9:30 p.m. at The Walden Club. Set against the elegant backdrop of downtown Chattanooga, this black-tie-optional evening will feature lively casino games, cocktails, and a gathering of some of the region’s most dedicated medical and legal professionals. chattmd.org/ event/casino-night
25 Chattanooga Walk to End Alzheimer’s Turn those daily steps into
critical funds that help find a cure for Alzheimer’s disease.
This year’s annual Chattanooga Walk to End Alzheimer’s takes place at Heritage Park. Registration begins at 8 a.m., with the ceremony at 9 a.m. and walk to follow at 9:30 a.m.
Registered participants will receive a flower for the Promise Garden Ceremony and can honor a loved one with Alzheimer’s or dementia or simply support the cause. alz.org/chattanoogawalk
25
Dare to Dance
The Chattanooga Kidney Foundation’s largest annual fundraising event, Dare to Dance, is based on the popular television show, “Dancing With the Stars.” Local celebrities and professional dancers team up for an epic dance-off at the Chattanooga Convention Center. Guests will enjoy dinner, drinks, and souvenirs as they prepare to be dazzled by local talent and friendly competition for a good cause. daretodancechatt.com
November
1-2
Head of the Hooch
More than 2,200 boats will set out at Ross’s Landing to race in the world’s second-largest rowing event, the Head of the Hooch. The Regatta includes more than 90 events – hosting more than 6,000 athletes and drawing an estimated 20,000 spectators. Racing starts at 8:50 a.m. on Saturday, and spectators are encouraged to take in the thrilling views along the scenic Chattanooga Riverwalk or from the Walnut Street Bridge. headofthehooch.org
6-7 Faces of PAD Conference
The 8th annual Faces of PAD Conference invites registered
guests to learn from leading experts in ultrasound and vascular specialties to help improve PAD awareness, management, treatment, and evaluation of today’s vascular patients. Enjoy key speakers from various clinical disciplines, including vascular surgery, interventional cardiology, podiatry, primary care, ultrasound, and more as they lead hands-on demonstrations and engaging workshops at the Downtown Marriot. facesofpad.com.
15 Gala of Hope
Presented by CHI Memorial, The American Cancer Society’s annual Gala of Hope features “A Night on the Red Carpet.” Guests can leave a trail of stardust on the crimson runway during a night of style, celebration, and impact.
Walk through the Garden of Hope – a luminary tribute that honors loved ones impacted by cancer. Proceeds will help to celebrate and save lives through crucial cancer research. Purchase tables online. chatthopegala.givesmart.com
29 Chattanooga Hungry Turkey
Don’t get caught by the turkey! Participants can choose between a 5K, 10K, or half marathon for this post-Thanksgiving race. Located at Hubert Fry Center Riverpark this year, aid stations and bathrooms are available along the route at every mile. Registered racers will receive a long-sleeve technical shirt and medal and can enjoy tasty donuts at the finish line. Registration information and packet pick up is online. chattanoogahungryturkey.com
numbers to know
Seeing Eye to Eye
According to recommendations made by the American Academy of Ophthalmology, children should undergo vision screenings at these stages to protect their vision as they grow:
• Newborn: Basic eye health check at birth
• 6 to 12 months: Alignment and response screening at a well-child visit
• 12 to 36 months: Photoscreening to detect issues like lazy eye
• 3 to 5 years: Visual acuity tested with an eye chart
• 5 years and older: Annual screenings to monitor vision and alignment
An Apple a Day
According to the Cleveland Clinic, apples pack a host of health benefits, as they’re rich in antioxidants, fiber, and water. Multiple studies have shown that eating a few apples per day may reduce your total cholesterol levels by 5 to 8%.
Don’t Sugarcoat It
In a health-promoting diet, added sugar should be limited to less than 10% of calories per day for those ages 2 and older, according to the Dietary Guidelines for Americans. For infants and toddlers, added sugar should be avoided.
I’m All Ears
Sounds at or below 70 dBA are considered safe and unlikely to cause hearing loss after prolonged exposure, according to the National Institute on Deafness and Other Communication Disorders. Sounds at or above 85 dBA, like music through headphones at maximum volume, sirens, and fireworks shows should be avoided or reduced with earplugs when possible.
LOVE,CARE, & H EALINGOTHERS
Meet Our Doctors
Compassionate and experienced, these doctors have studied, trained, and specialized in providing the highest-quality healthcare.
What follows are local men and women who are leading with the utmost in quality care.
EVIDENCE-BASED CARE
1
I
nspired by a childhood passion for science and a drive to make a difference, Dr. Alexandria Cooke felt called to pursue a career in medicine, beginning her practice in 2019. “More importantly, I choose to stay in medicine because the community needs evidence-based, quality healthcare that is delivered compassionately,” adds Dr. Cooke. With a unique approach to patient care, Dr. Cooke acts as a coach for each patient. “I present all the options, risks, and benefits of the patient’s actions or inactions, and then we come up with a game plan together,” finishes Dr. Cooke. “Results are usually better when they feel like a part of the plan.”
2
ALEXANDRIA COOKE, MD
ERLANGER FAMILY MEDICINE
3
What do you love most about your profession?
Although I care about all my patients equally, I do enjoy my pregnant patients a bit more! Having an expectant mother allow me to journey with her through pregnancy, and the privilege of bringing her new child safely into this world is one of the highest honors as a physician.
What accolades mean the most to you?
The best accolades come from my patients. When a patient shares how my care has impacted and improved their life, or if they recommend that their family and friends see me … that’s the highest form of praise.
Why have you chosen this field of specialty?
As a medical student, I enjoyed most of my rotations and found it hard to choose just one type of patient, until my family medicine rotation when I learned I didn’t have to choose. Family medicine gives me the opportunity to develop long-term relationships with my patients and see them at all stages of their life.
4
5
Taking care of your health should be your priority. If you don’t take care of yourself, who will?”
What would you consider to be your main strengths?
I don’t give up.
What sets your practice apart?
We have the privilege and opportunity to care for entire families, sometimes even multiple generations. We take care of newborns, adults, pregnant individuals, and some of the most senior members of the community. Most families like having the option to have their entire family cared for under one roof and the advantage of a care team that knows the family history.
PATIENTCENTERED CANCER CARE
Dr. Daniel Nelson understands that a new cancer diagnosis can be a vulnerable time for patients. “I value a multidisciplinary, teambased approach to cancer care and believe that patients experience hope when they know that a team of specialists that understands their goals is behind them,” he says. In his practice, Dr. Nelson uses new treatments and innovative technology, but his most important role is educating his patients. “It is such a privilege to be trusted by a patient to provide their care,” he finishes. “Nothing means more to me than to know that I’ve had a positive impact on a patient during their cancer journey.”
DANIEL NELSON, DO
UNIVERSITY SURGICAL ASSOCIATES (USA)
1
2
Why did you choose to become a doctor?
As a college student, I knew that a career in medicine would be extraordinarily rewarding and tap into my unique strengths, allowing me the opportunity to have a positive influence on the lives of as many people as possible during my lifetime.
What is your best advice for patients?
Ask questions. I believe open and thorough communication is critical to helping patients understand their condition and treatment options.
3
What do you see as the most exciting new development for your profession?
Oncology is a fascinating and ever-evolving field. New therapies are constantly being developed, and we are continually learning how to optimally sequence therapies to achieve the best outcomes. Minimally invasive robotic surgery is also increasingly being utilized and can be associated with expedited recovery from surgery, which means getting patients back on their feet faster.
4
The best part of being a surgeon is the relationships that develop with my patients as we work together to identify personalized goals and regain optimal health.”
5
How does your staff enhance your practice?
Our staff, which includes nurses, advanced practice providers, and resident trainees, are all a part of the patient’s team, participating in their care to ensure their needs are met throughout their experience.
What does your daily routine look like?
I wake up early, hydrate, stretch, and spend some time in quiet reflection. Then, in the words of Coach Jim Harbaugh, I “attack each day with an enthusiasm unknown to mankind.”
Medical Degree:
Des Moines University –Des Moines, IA
Certifications:
Complex General Surgical Oncology, American Board of Surgery
General Surgery, American Board of Surgery
Recognitions:
Faculty Researcher of the Year, William Beaumont Army Medical Center, 2022
Harold McAlister Charitable Foundation Fellow Award, John Wayne Cancer Institute, 2017
Major General Floyd L. Wergeland Award, Madigan Army Medical Center, 2015
Major General Byron L. Steger Research Award, Madigan Army Medical Center, 2013
Sigma Sigma Phi National Osteopathic Honors Society, 2006
Specialties:
Complex General Surgical Oncology
Hepatopancreatobiliary Surgery
Surgical Specialties
2108 E. 3rd St. Chattanooga, TN 37404
COMPASSIONATE CARE
After completing a five-year orthopaedic surgery residency and a year of specialized training in musculoskeletal oncology, Dr. Reese Courington now cares for patients at Erlanger Orthopaedics. In his first year of practice, Dr. Courington is dedicated to guiding patients through some of the most challenging moments of their lives. “The impact that can be made on a patient’s life by cutting out their cancer provides me with a sense of purpose,” he says. “I also value the strong relationships that this specialty allows me to build with patients.”
1
REESE COURINGTON, MD
ERLANGER ORTHOPAEDICS
Why did you choose to become a doctor?
It’s a field that allows me to work with my hands and cutting-edge technology, as well as with teams of highly motivated people, all with a common goal of improving the lives of others.
2
3
What is your best advice for patients?
Take a deep breath and know that you’re not alone. Millions of people are diagnosed with cancer each year, and it is the job of my colleagues and me to provide you with the best possible care and to guide you through every step of the way.
What’s the key to making a great first impression?
I think a smile and empathy go a long way. I also like to shake hands! Physical contact is a great way to establish rapport.
4
I always make an effort to put myself in my patients’ shoes.”
5
How does your staff enhance your practice?
Comprehensive cancer care has a lot of moving parts for the patients with regards to appointments, surgeries, lab work, etc. Having an organized staff to serve as a “lighthouse” for these patients and to assist with the moving parts is invaluable
What would you consider to be your main strengths?
I’d like to think that I’m fairly level-headed, which can be important in an often-stressful field. I’m also driven to provide the best care that I possibly can, which means I’m always striving to continue to grow.
RESTORING CONFIDENCE & SMILES
Dr. Bill Childress’ daily routine begins with a workout and a Christian devotional. “Then once I get to work, I review the day’s surgeries and meet with the team to go over each case,” he shares. Consultations and surgeries take up the remainder of his day. No matter the size or scope of the surgery he’s performing, Dr. Childress tries to see things from his patient’s perspective. “I do surgery all day long, and it’s easy to take the small procedures for granted,” he explains. “But for each patient, that surgery is a big surgery – and that’s exactly how I treat it.” Putting patients at ease is important to Dr. Childress, starting with the initial consultation. He says, “I always look my patients in the eye, introduce myself, and ask how I can help. And then I listen.”
1
BILL CHILDRESS, DDS, MD
IMPLANTS & ORAL SURGERY OF CHATTANOOGA [FORMERLY EAST BRAINERD ORAL SURGERY]
It means a lot when a patient says that they were really dreading a procedure, but we made it pleasant.”
2
What do you love most about your profession?
I get to relieve pain and suffering – and see immediate results most of the time. By collaborating with general dentists, I’m able to help restore a patient’s confidence and smile.
What is one of your happiest professional moments?
Retiring from the U.S. Air Force after 21 years, as well as starting a private practice in 2010 that is still going strong after 15 years and a tornado.
3
What do you see as the most exciting new development for your profession?
Digital X-rays and scanners replacing film and impression materials. Rather than having a big gloopy tray of play-doh in a patient’s mouth, we can now scan with a handheld device and produce a model for restoring teeth.
4
5
What would you consider to be your main strengths?
I’m grateful to God for my talents and gifts, and I offer prayer with each of my patients. I sincerely think prayer before surgery helps with a positive outcome and recovery.
Why did you choose to become an oral surgeon?
I spent a lot of time with two of my uncles growing up, both of whom practiced dentistry into their 80s. While I always admired their work ethic, I’ll probably retire before that!
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After earning her medical degree from Ross University School of Medicine, Dr. Kimberly Felts cares for all types of cardiac patients at Erlanger Cardiology. Whether for primary or secondary prevention, Dr. Felts likes to heavily incorporate preventive care into her treatment plans. “I also have a particular interest in women’s cardiology,” she adds. “Cardiovascular disease tends to present differently in women, so it’s important to provide that specialized expertise in diagnosis and treatment.” As Dr. Felts continues to practice, she seeks to build a cardio-obstetrics program to care for pregnancy-related cardiac complications.
I love that cardiology is a challenging and an everevolving field.”
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KIMBERLY FELTS, MD, MS
ERLANGER CARDIOLOGY
What does your daily routine look like?
My routine varies a bit. I spend most of my time seeing patients in clinic at the Gunbarrel office. After clinic, I read a few stress tests and echocardiograms. I work downtown at the Erlanger Baroness Hospital one day per week doing procedures and reading echoes. Occasionally, I’ll work as a consultant cardiologist at Erlanger East Hospital. I also spend some time providing in-patient care at Erlanger Baroness Hospital in the cardiac intensive care unit.
What do you love most about your profession?
The most rewarding part of being a cardiologist is being able to have impactful interactions with patients and their families.
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What is one of your happiest professional moments?
One of my favorite things is when patients refer their family members to me or when family members ask if I’m ok if I start seeing them, too. I have some patients now that I’ve treated three generations within the same family! It’s rewarding to know that they trust me to care for not only themselves but also their loved ones.
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What’s the key to making a great first impression?
Listening. People want to be heard and feel like their concerns are being addressed. I take the time to listen to my patients.
What is your best advice for patients?
Play an active role in your healthcare. Do as much as you can to be physically active, eat a healthy diet, educate yourself, ask questions, and be your own advocate.
LASTING RELATIONSHIPS
JACK ROWLAND, MD
DIANA HEALTH
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With almost 30 years of experience – 20 of which have been right here in Chattanooga – Dr. Jack Rowland seeks to forge lasting relationships with his patients. “Guiding women through significant life stages such as family planning, pregnancy, and childbirth, as well as menopause, creates a profound connection rarely found in other fields,” he says. At Diana Health, Dr. Rowland and his team prioritize creating a safe, respectful, and supportive environment. “Our practice goes beyond standard obstetrics and gynecology by integrating comprehensive care that focuses on one’s entire well-being,” finishes Dr. Rowland.
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What does your daily routine look like?
My days are often a whirlwind of activity, starting early with phone calls and emails. A significant part of my routine involves coordinating patient care between the office and the hospital. While each day presents its unique challenges and successes, I always hope to positively impact at least one person’s day.
How does your staff enhance your practice?
The staff members are the heart of my practice, and I consider them true partners in patient care. We are a close-knit group, much like a family, and every role is equally vital.
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What is your best advice for patients?
When women come to see a women’s health provider, they can feel very vulnerable. It is important to find a provider that you can trust as a partner in health. Someone that puts you at ease.
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I treat everyone with the same respect and kindness I would want to receive from others. I treat patients like I would want someone to treat my own family.”
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What would you consider to be your main strengths?
Most might say my ability to provide snacks and treats just when people need them most is a strength. On a more serious note, I feel it’s important for people to feel heard, appreciated, and cared for in a genuine way.
Why did you choose to become a doctor?
Throughout my life, I’ve been driven by a desire to serve. The simple act of putting others first and making a positive difference, however small, has always brought me immense happiness. This happiness stems from having meaningful relationships with others, whether they be patients, my office staff, or hospital personnel.
Certifications:
Recognitions:
CLEAR COMMUNICATION
LAUREL KELLEY, MD CHILDREN’S HOSPITAL AT ERLANGERNEUROLOGY
From the young age of five, Laurel Kelley dreamed of becoming a doctor – a decision that was only solidified when she received excellent care from a physician during her teenage years. “Later in college, I got to participate in research at Erlanger and was introduced to adult neurology patients,” adds Dr. Kelley, “and then I knew where my future was headed.” Now six years into her practice, Dr. Kelley treats every patient with compassion, respect, and dignity. “I strive for active and clear communication and forthright honesty between myself, the patient, and their family,” Dr. Kelley finishes.
This specialty combines every subject I most enjoyed in medical school and continue to find interesting: pediatrics, neurology, genetics, and radiology.”
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What do you love most about your profession?
Getting to teach, talk, and discuss with patients and families is fun and rewarding for me. I enjoy the genetics, radiology, and different neurologic diagnoses that pediatric neurology and neuroimmunology provide.
What accolades mean the most to you?
Being told “thank you” for the care provided and that the patient has a good understanding of their neurologic process.
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How does your staff enhance your practice?
Our clinical staff enhances our medical practice by helping with administrative support, components of ongoing patient care, and team collaboration.
What do you see as the most exciting new development for your profession?
As both a neurologist and neuroimmunologist, I am excited by the potential for future diagnostic capabilities (be it genetic, imaging, or laboratory), as well as multiple potential treatments currently in the pipeline for approval. I look forward to seeing where neurology, pediatric neurology, and the world of neuroimmunology go over the next 30 to 40 years of my career in medicine.
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What’s the key to making a great first impression?
A welcoming smile and a hearty handshake!
WHOLE-PERSON CARE
BRITTANYA LIMONE, MD, MA, FAAD
UDERM | DERMATOLOGY & MOHS SURGERY
Dr. Brittanya Limone pursued her medical degree because she realized health played a pivotal role in overall happiness. “When we are healthy, we feel better, we act better, and we think better,” she shares. “I wanted to help others maximize their health so that they could be the best overall human beings they could be.” In her practice, Dr. Limone focuses not only on direct care of the skin, but also taking care of the body as a whole. “Nothing can beat the results of a skincare routine complemented by sufficient sleep, regular exercise, adequate hydration, a well-balanced diet, a conscience at peace, and trust in a higher power,” she finishes.
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What is one of your happiest professional moments?
I met a patient, wearing a wig, who had lost nearly all of her hair to an autoimmune illness. Over several months, we completely restored her back to a full head of hair using a variety of treatments. Walking into the patient’s room and seeing her smiling ear-to-ear without her wig and a full head of her own hair was absolutely priceless!
What sets your practice apart?
Uderm is a dermatology practice that puts patients first. It is filled with whole-hearted physicians and staff that view the patient as a whole person. I strive to ensure all of my patients needs are met and take into account the different facets that may be influencing their condition.
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What is your philosophy when it comes to the care of your patients?
My philosophy is that the patient comes first. I want to build a relationship with my patients. I desire to take time listening and do not wish anyone to feel rushed. I do my best to address their concerns and ensure that all their needs have been met.
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I love my patients. I love that I get to come alongside them, visualize their needs, and build long-term relationships.”
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What’s the key to making a great first impression?
The key to making a great first impression is a genuine smile, firm handshake, and great eye contact. Especially in our current digital age, I believe nothing will ever replace taking a moment to make that connection with another person face-to-face.
What accolades mean the most to you?
The best accolades to me are the smiles from patients returning with skin conditions resolved, skin cancers treated, and wrinkles thwarted from filler and botulinum toxin.
Loma Linda University School of Medicine –Loma Linda, CA
Certifications: Fellow, American Academy of Dermatology
Dermatology Residency, Loma Linda University Health Recognitions:
FOCUSING ON WELL-BEING
CHRIS SANBORN, MD ERLANGER METABOLIC CENTER
Specializing in bariatric surgery and obesity medicine, Dr. Chris Sanborn has been practicing for almost three decades. “Becoming a doctor gave me a way to use my interest in science to help my community in the best way I could,” he says. “It’s where I thought I could have the most impact.” Using his technical skills and aptitude for complex medical decision making, Dr. Sanborn is dedicated to helping those affected by obesity. “I think my main strength is my commitment to our patients,” he finishes. I want them to have the best care in every phase of their treatment.”
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What is your best advice for patients?
Be an active participant in your care. Especially in bariatric surgery and obesity medicine, success depends on a significant effort on the part of the patient in addition to what is provided by the medical team.
How does your staff enhance your practice?
I ask each of our team members to be experts in their field. Everyone brings their expertise and diverse experience to the table to collaborate to provide the best care possible for our patients. This is true throughout the hospital, operating room, and clinic.
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What is your philosophy when it comes to the care of your patients?
If you keep the patient’s well-being in center focus, you own the high ground.
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I love leading a team that provides medical and surgical care to help patients achieve a higher quality of life.”
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What is one of your happiest professional moments?
I remember an event we held in which we celebrated milestones of our patients as well as the program. We had a patient who had undergone surgery and had lost enough weight that she didn’t need her walker anymore. She walked out on the stage with the walker and ditched it right there in front of everyone. The crowd went wild. We were extremely happy for her.
What do you see as the most exciting new development for your profession?
Seeing the integration of medical and surgical care for obesity. The rise of the new weight loss medications that are much more effective than the medications that were previously available has made the medical treatment of obesity more effective. Using these medications in combination with surgery has improved outcomes as well.
BREAST CANCER / WELLNESS ON WHEELS / HOPE IN SIGHT
medical insights
Breast Cancer: Advances in Prevention & Treatment
Breast cancer, which is a growth of malignant cells in breast tissue, is the second most common cancer diagnosed in women in the U.S. However, survival rates are improving and treatments continue to advance, thanks to awareness efforts and funding for research. Read on to learn about breast cancer screenings, symptoms of breast cancer, how to perform a breast self-exam, and advancements in treatment options.
By Kristen Dee
Prevention is Key
When it comes to disease, prevention is key. While genetics play a factor in the potential development of breast cancer, a healthy lifestyle aids in prevention. “Effective strategies include exercising regularly and maintaining a healthy weight and lifestyle,” says Dr. Betsy Washburn, a board-certified breast surgeon at CHI Memorial Hospital. “This involves maintaining a healthy BMI, engaging in regular exercise, refraining from tobacco use, and limiting alcohol consumption. It is also important to be aware of your family history of breast cancer. For those that have a significant family history, being part of a high-risk breast cancer clinic can identify your risk of breast cancer through genetic testing and increased screening.”
Delmon Ashcraft Jr., MD, FACOG
Galen OB/GYN Ridgeside
Patrick Williams, MD Erlanger, Tennessee Oncology
Eric Manahan, MD, MBA, FACS
Peeples Cancer Institute, Hamilton Medical Center
Betsy Washburn, MD
CHI Memorial Breast Care Associates
How to Perform A Breast Self-Exam
Looking in a mirror, stand with your arms by your sides then raise them overhead.
Look at your breasts and nipples for any visible changes in size, shape, or skin texture – like dimpling, puckering, or redness. Check for changes in your nipples, such as turning inward.
With the pads of your fingers, use small circular motions to check your entire breast and armpit area with light, medium, and firm pressure.
Lie on your back with one arm behind your head. With your opposite hand, repeat the circular motions.
Breast Cancer Screenings & Self-Exams
Breast cancer screenings are a common way to check for breast cancer. A mammogram is a low-dose X-ray of the breasts, which can identify changes in breast tissue before physical symptoms develop. Several specialty societies such as The American College of Radiology, The American Society of Breast Surgeons, and The Society of Breast Imaging recommend women with average risk of breast cancer begin screenings at age 40, and at earlier ages for women with higher risk. “Initiating screening mammography at age 40 provides the most effective strategy for early detection and mortality reduction,” shares Dr. Eric Manahan, a general surgeon, co-director of the Breast Program at Peeples Cancer Institute at Hamilton Medical Center, and president-elect of the American Society of Breast Surgeons.
In 1995, researchers at Massachusetts General Hospital began researching a new screening technology that would eventually gain FDA approval in 2011. Now called a 3D mammogram, this technology has increased breast cancer detection rates. Dr. Washburn shares, “The development of 3D mammography has proven to have a positive impact for patients, especially those with dense breast tissue. 3D imaging allows the radiologist to view the images in a three-dimensional view, which results in enhanced cancer detection by allowing the radiologist to view the tissue in slices, uncovering overlapping breast tissue.”
Currently, many researchers are looking to artificial intelligence (AI) to power future screening tools. AI has the potential to detect very subtle signs of early cancer not detectable by the human eye. It could also reduce the likeliness of false positive results, and could produce a more accurate cancer risk score for patients.
For women ages 40 and younger, a monthly breast self-exam can help identify changes in the breasts. Dr. Delmon Ashcraft Jr., an OB/GYN specialist at Galen Ridgeside, says, “The goal of a breast self-exam isn’t to become an expert at detecting problems, it’s about becoming familiar with what’s normal for you. That way if something changes, you’re more likely to notice. Keep an eye out for a new lump or thickening, nipple discharge, changes in shape, size, or texture, or a nipple that starts to turn inward or looks different than usual.”
Symptoms of Breast Cancer & Early Detection
When symptoms of breast cancer appear, says Dr. Ashcraft, it is typically a lump. “Other subtle changes can also be early signs,” he explains, “such as a change in how your breast looks or feels, unusual nipple discharge, skin dimpling or redness, and persistent breast pain in one spot.” These symptoms can also be signs of benign conditions, so addressing any concerns with your primary care provider can help diagnose any issues.
Ultimately, early detection is critical to improving patient outcomes and survival rates. Dr. Patrick Williams, an oncologist at Erlanger’s department of radiation oncology, says that timing can drastically improve results. “The smaller a cancer is when it’s detected, the more likely a cure is possible,” he shares. “Cure rates now approach 98-100%, even for the most aggressive subtypes, if they are found early.” According to the American Cancer Society, localized breast cancer, when detected early, has a 5-year relative survival rate of 99%.
Advancements in Breast Cancer Treatment & Improved Patient Outcomes
Depending on the stage of breast cancer the patient has, treatments can vary from radiation and chemotherapy to surgery. Fortunately, patient experiences and outcomes have significantly improved in the past few decades and continue to improve, thanks to clinical trials and additional research.
Breast cancer treatment often begins with surgery to remove the cancer. Typically, patients will undergo either a lumpectomy, which removes the breast cancer tissue and
some healthy tissue around it, or a mastectomy, which involves removing all of the breast tissue. “Surgery often offers the best chance for a cure when the disease is found early,” shares Dr. Manahan. “Modern techniques are designed with comfort and confidence in mind, supporting both healing and quality of life. Women now benefit from less invasive procedures that treat the cancer while preserving the natural shape of the breast. Oncoplastic surgery blends cancer removal with plastic surgery techniques, while nipplesparing mastectomy offers both safety and confidence.”
Therapeutics, including radiation, chemotherapy, immunotherapy, and hormone therapy, are often used to treat breast cancer before or after surgery. These therapeutic techniques continue to advance, allowing for more personalization to the unique cancer type of each patient, and new therapies are being tested to better treat breast cancer and prevent recurrence. “Multiple treatment options are tailored to the patient’s unique cancer type,” Dr. Williams says. “Surgeries have become more precise. Radiation treatments have become shorter and with less side effects. Chemotherapy will now often cause a cancer to completely vanish before surgery. Thanks to advancements in immunotherapy, targeted therapy, and ablative radiotherapy, even those with cancer that has spread to the brain can now lead full lives. Women are now living many years longer after their diagnosis and treatment.”
As advancements in the treatment of breast cancer help save the lives of breast cancer patients, it is important to continue making lifestyle choices that support cancer prevention, and share any changes, signs, and symptoms with your doctor.
ADVANCED BREAST DIAGNOSTICS AND TREATMENT
SPECIALIZED 3D MAMMOGRAPHY
Peeples Cancer Institute uses Senographe Pristina™ 3D mammography for superior diagnostic accuracy. This advanced imaging captures breast tissue in thin layers, allowing radiologists to detect invasive cancers earlier, reduce unnecessary follow-up testing, and provide clearer results for women with dense breast tissue.
COMPREHENSIVE BREAST CANCER CARE
Precision Medicine & Theranostics: Surgery, radiation, chemotherapy, immunotherapy, and advanced therapeutic approaches powered by precision medicine allow us to customize each treatment based on the unique biological profile of the cancer cells.
Advanced Radiation Therapy: The only ACR-Accredited Radiation Oncology Facility within 50 miles of Chattanooga. We deliver precise, targeted treatment.
Robust Supportive Care: Nurse and financial navigators, social workers, cosmetic support services, and survivorship programs guide patients and families every step of the way.
Adrian M. Miller, MD, DABR Board-Certified Radiologist, Breast Imaging Specialist
Eric R. Manahan, MD, MBA, FACS Board-Certified General Surgeon President Elect, American Society of Breast Surgeons
Lisa A. Duhaime, MD Board-Certified Medical Oncologist
Nicholas S. Galanopoulos, MD Board-Certified Radiation Oncologist
Arif N. Ali, MD Board-Certified Radiation Oncologist
Jorge Oliver, MD Board-Certified Pathologist
Wellness on Wheels
From city streets to rural communities, mobile healthcare units are breaking down barriers to deliver life-changing services straight to the people who need them most. Whether offering preventative screenings, therapies, or other social services, these innovative programs are meeting patients where they live, work, and play. Here, we highlight three mobile units in the area that are transforming the way communities are served.
By Ali Lemmons
Hamilton County Health & Social Services
With a desire to meet residents where they are, and a mission to assure a healthy community, the Health & Social Services Division launched their mobile health unit in October of 2024.
“The mobile unit is all about convenience for the community,” says Kim Hodge, mobile unit manager. “We work diligently to strategically park the unit in high-traffic areas, making it not only easy to access our services but also convenient for you and your family.”
Serving the entirety of Hamilton County, including those with an inability to pay, the mobile unit offers a variety of services, including health screenings, immunizations, STI testing and treatment, family planning services, and much more.
The unit currently operates five days a week at various locations throughout the area, with a full list of locations on the events calendar on the department’s website. To schedule an appointment, patients can call 423-209-5525.
“All appointments in the mobile unit are confidential, and the unit is equipped with a fully functioning exam room to ensure that patients’ needs are met,” adds Hodge. “During the appointment, our dedicated staff will diligently attend to the patient’s needs and thoroughly respond to any inquiries or required referrals.”
In addition to strategically placing the units in rural areas of the county, the mobile unit’s healthcare providers take time to sit down with patients to better understand the full scope of their issues – including
specific needs, unique challenges, and any questions the patient may have.
“This ensures that we are not just checking off boxes but also addressing their broader needs and referring them to affordable, equitable providers within the community,” explains Hodge.
Looking ahead, Hodge notes that the future of the mobile unit looks bright, with patients offering overwhelmingly positive feedback about the care they’ve received.
“This is an exciting time in healthcare, and we are eager to expand the mobile unit to new locations and establish new partnerships,” finishes Hodge. “The health and well-being of our community drives the operation of this mobile unit, and we are committed to doing everything we can to ensure that our community remains safe and healthy.”
CHI Memorial
For more than 20 years, CHI Memorial’s mobile mammography coaches have been hitting the road to offer screening mammograms to women ages 35 and older.
“Local and hospital leaders identified barriers that were preventing women in Chattanooga and the surrounding areas from getting their mammograms,” says Brittany Hennessee, market director of breast services.
“One of the major barriers was access, so we decided to take the screening mammogram to them.”
With a mission to break down the barriers that keep patients from taking care of their health, CHI Memorial prioritizes being present and accessible at convenient locations across the region.
“Working women can take off for their spouse’s or children's health appointments but often neglect their own appointments to accommodate this,” adds Hennessee. “That's why we believe eliminating the barrier of access by providing screening mammography at some of the largest employers in the area is so important. Women simply come out to the coach on their break without having to take time off work.”
There are two main ways patients can access these mobile services, according to Hennessee. An employer or a community organization – such as a church or health department – can schedule the mobile mammography coach to come to their facility, or patients can call the breast center at 423-495-4040 and ask when the mammography coach will be in their area.
“If mobile units such as ours didn't exist, there is a very high probability that women would either skip multiple years or not get screened at all,” says Hennessee. “This equates to a later-stage diagnosis and, oftentimes, decreased options for treatment.”
Today, these 40-foot mobile coaches serve patients in 28 counties across Tennessee, Georgia, and Alabama. On the road four to six days a week, with one to two stops daily, each coach is equipped with the same advanced digital technology as the MaryEllen Locher Breast Center locations.
“My prayer is that we continue to expand our services to underserved areas so that everyone in Chattanooga and the surrounding areas has access to adequate healthcare, regardless of their location or ability to pay,” finishes Hennessee.
For those recovering from a stroke, injury or illness, regaining your best quality of life begins with your ability to choose. Choose Encompass Health for exceptional results.
encompasshealth.com/chattanoogarehab
Dr. Barry is the newest physician at Scenic City OBGYN. He is a native of the Chattanooga area and is eager to help patients in and around his hometown. Dr. Barry received his medical degree from Lincoln Memorial DeBusk College of Osteopathic Medicine and went on to complete his OBGYN residency program at the University of South Alabama in Mobile, Alabama. Here he was able to work with a variety of different patient populations in the women’s health realm and is prepared to provide the best quality of care to women seeking OBGYN services.
The University of Tennessee at Chattanooga
While aging well can be difficult for all individuals, older adults living in rural areas are uniquely challenged due to a lack of access to healthcare and other social services, says Kristina C. Wick, DNP, FNP-BC, GS-C, who serves as Vicky B. Gregg chair of gerontology and UC Foundation associate professor at the University of Tennessee at Chattanooga.
“UTC’s School of Nursing has long prioritized advancing the care of older adults and caregivers, along with recognizing the need for building an infrastructure for ageand dementia-friendly communities,” continues Wick.
In 2023, the school was able to put their vision to life when they received a $2.6 million grant to create an innovative model of care for members of this population living in rural Southeast Tennessee. Thus, the interprofessional Mobile Medical Outreach Clinic – or MobileMOC – was born.
“MobileMOC offers an array of services ranging from primary care to social support,” shares Wick. “Our interprofessional team uses the 4Ms approach for AgeFriendly Health Care to determine ‘What Matters Most’ to each client along with evaluating medications, mobility, and memory.”
With a wide array of professionals on board, the MobileMOC team offers services regarding nutrition, public health, social work, occupational therapy, music therapy, and nursing.
“This approach allows for a person-centered plan of care to maximize function, quality of life, and promote aging in place,” adds Wick. “The MobileMOC team primarily serves older adults (ages 62 and up) and caregivers; however, adults ages 18 and older can be seen as the schedule allows.”
Patients without appointments can be seen on a first-come, first-serve basis, but appointments are preferred and can be scheduled by calling 423-425-1675 or in person at community events. MobileMOC visits a different location each day, serving a roughly 60-mile radius.
With a mission to bring healthcare directly to where patients live, work, and play, the MobileMOC team strives to create a foundation for healthier, stronger communities.
“By building relationships and trust, we can serve entire communities who do not have access to basic services due to their geography and zip code,” finishes Wick. “The ultimate reward for our team is seeing our clients move past their health challenges, allowing them to thrive and age in place. Healthier individuals build healthy communities and ultimately, a healthier Tennessee.”
Hope in Sight
Cataract Symptoms and Surgery
By Abby Callahan
Trying to see through a foggy window or windshield can be frustrating –preventing interaction with the world around us. Clear vision is crucial for performing many everyday tasks, such as work, reading, and enjoying hobbies, and it can impact an individual’s social interactions and emotional and physical well-being. Here, three board-certified ophthalmologists in Chattanooga shed light on cataracts – a common condition that causes clouded vision – and discuss early detection and treatment options.
Elizabeth Mabry, MD
Board-Certified
Ophthalmologist, Mabry Eye Center
John Prenshaw, MD
Board-Certified
Ophthalmologist, Woolfson Eye Institute
Cale Hildebrand, MD
Board-Certified Ophthalmologist, Chattanooga Vision Center
What are Cataracts?
A cataract is a cloudy eye lens that occurs due to aging or certain medical conditions. Over time, the lenses of an individual’s eyes thicken and become cloudy; or the proteins in the lenses break down and clump together. In both instances, a cataract forms, creating a cloudy spot that – if not treated – will grow and prevent light from passing through the eye. This ultimately results in vision loss and can even cause blindness.
Individuals aged 60 and above represent the majority of cases with cataracts. According to Dr. Elizabeth Mabry with Mabry Eye Center, age is not the only thing that encourages cataract development.
“Cataracts are one of the most common eye conditions, affecting millions of people worldwide,” Dr. Mabry says. “While aging is the most common and natural cause, certain groups are at higher risk. Diabetes, smoking, long-term steroid use, and previous eye injury can all increase the likelihood of developing cataracts.”
Menopause and Cataracts
Though cataracts impact both men and women, eye health issues have been proven to impact women more due to menopause – including cataracts as well as dry eye and glaucoma.
“Research suggests that women have a higher risk of cataracts, especially after menopause,” says Dr. John Prenshaw with Woolfson Eye Institute. “Likely reasons include hormonal changes, especially the decrease in estrogen, which normally helps protect lens proteins. Women also have longer life expectancy compared to men. Since cataracts are most common in people over the age of 60, this increases a woman’s years at risk.”
Because of hormones’ impact on the body and eye health, experts recommend women prioritize regular, comprehensive eye exams both during and after menopause to help catch vision changes early on and prevent long-term issues.
Prevention and Early Detection
Though preventative measures cannot always stop the development of cataracts, they can help to slow the progression of them. To proactively protect your vision and overall eye health, experts suggest:
• Avoiding overexposure to UV rays. Ultraviolet light from the sun can cause cataracts. Wearing a brimmed hat or ultraviolet B sunglasses while outdoors protects your eyes from overexposure.
• Incorporating fruits, leafy greens, and vegetables into your diet. These are rich in antioxidants, vitamins, and minerals that support overall eye health.
• Consider quitting smoking. Smoking has been proven to negatively impact eye health and encourage the formation of cataracts.
• Reducing your alcohol intake. The overuse of alcohol can increase the risk of cataracts.
• Managing your health. Diabetes and obesity are connected to the formation of cataracts. Staying on track with your treatment plans and regularly exercising will reduce the risk of cataracts.
• Seeing your eye care provider regularly. Preventative health and early detection are key for reducing vision loss. Ask your eye care provider how often you should have your eyes checked.
By self-monitoring and noticing symptoms, individuals can often detect the early stages of cataract formation and prevent further vision loss. Signs of cataracts can include:
• Clouded, blurry, or dim vision
• Sensitivity to light or glare
• Seeing halos around lights
• Difficulty seeing at night
• Yellowing or fading of colors
• Double vision in one eye
• Frequent prescription changes for glasses
Cataract Surgery
As one of the most frequently performed and successful surgical procedures worldwide, cataract surgery improves vision for 97% of patients. Every year, millions of Americans undergo the surgery with extremely high success rates, minimal complications, and significant improvements in their quality of life.
“Cataracts in their early stages can be monitored with routine exams, but surgery is the only way to get rid of a cataract,” says Dr. Cale Hildebrand with Chattanooga Vision Center. “Many patients can achieve 20/20 vision after cataract surgery, but the primary goal for most patients is to improve image quality, brightness, and potentially reduce spectacle lens wear.”
During the operation, the cloudy lens is removed and replaced with an artificial lens called an intraocular lens (IOL). Hildebrand notes that IOLs can have different strengths to accommodate different patients’ needs.
I am honored to ser ve both Chattanooga and our Greater Georgia communities From the steps of our Heart House to the streets where we walk together each fall , I’ve seen firsthand the passion that fuels our mission.
If you feel inspired to join us, we welcome you. Together, we are a relentless force for a world of longer, healthier lives.
Executive Director American Heart Association Chattanooga
“Talent wins games, but teamwork and intelligence wins championships.”
-Michael Jordan
“Single-focus lenses are covered by insurance and improve vision after cataract removal, but patients will likely still need bifocals. Astigmatismcorrecting lenses, which are not covered by insurance, counteract uneven eye curvature and usually allow good distance vision with only the need for reading glasses. Premium lenses help patients become more glasses-independent by enabling vision at multiple distances, though they’re not covered by insurance and may not suit everyone,” he explains.
In addition to the different types of IOLs available, the two common types of cataract surgery are:
• Phacoemulsification – Surgeons make a tiny incision in the cornea, the clear, dome shape covering the front of the eye. Using a high-frequency ultrasound to combine the proteins of the blurry lens, they are able to remove it through the incision.
• Laser-Assisted Cataract Surgery – This is the most advanced technique and involves using a femtosecond laser for precise incisions and softens the blurry lens before removal.
Depending on the type of procedure that is performed, recovery time can range from several days to weeks after the surgery.
An Optimistic Outlook
All three ophthalmologists emphasize that cataracts aren't necessarily a permanent condition, and that for many, clearer vision is just around the corner:
“The presence of a cataract does not damage vision permanently. It may be a natural part of aging, but cataracts don’t have to stand in the way of living life to the fullest. With today’s advances in surgery, the vast majority of cataract procedures are uncomplicated. Most patients are thrilled with the outcome, enjoying brighter, clearer vision – often better than they’ve experienced in years.”
“Having a cataract is a treatable condition. For most patients, a cataract is treated with a short procedure, including a quick recovery time and minimal restrictions in the postoperative period. With today’s technology, there are multiple options to tailor your vision to your lifestyle after cataract surgery.”
“Cataracts are one of the most common and treatable causes of vision loss worldwide. Modern cataract surgery is safe, quick, and highly successful – with millions of people regaining clear, sharp vision every year. If you or a loved one are living with cataracts, know that help is available, and in most cases, eyesight and quality of life can be greatly restored.”
– Dr. Elizabeth Mabry
– Dr. Cale Hildebrand
– Dr. John Prenshaw
Community
ANNUAL SPE C IAL SECTION
Women’s Health
When life gets busy, it can be easy to let health fall low on your list of priorities. But paying attention to how you feel and making time for annual checkups and screenings can help you stay informed about your health. In this section, we highlight common health concerns for women, what to look out for, and when to see your doctor. Make sure there’s room in your schedule to take care of yourself!
By Rachel Studebaker
An Expert Weighs In
“Pelvic congestion syndrome (PCS) is a chronic condition seen frequently in women of childbearing age. It is characterized by dull, aching pelvic pain that worsens after standing, during menstruation, or after sexual activity, as well as bloating and varicose veins in the buttocks or thighs. Malfunctioning veins in the pelvic region cause impaired blood flow resulting in pain. Diagnosis is commonly made with noninvasive abdominal ultrasound, while most treatment options include minimally invasive outpatient procedures that provide lasting and effective symptom relief. Unexplained pelvic pain is not normal. If you have these symptoms, talk to your primary physician or gynecologist or see a vascular provider for evaluation.”
William B. Harris, DO, FACS, RPVI Vascular Surgeon, Vascular Institute of Chattanooga
Pelvic Congestion Syndrome
This vascular condition can cause chronic pelvic pain in women.
Understanding Pelvic Congestion Syndrome
Pelvic congestion syndrome (PCS) is a condition that affects women and occurs when dysfunctional veins cause blood to pool within the pelvis, creating pressure and causing pelvic pain. Studies estimate that PCS accounts for up to 30% of visits for chronic pelvic pain.
Risk Factors and Symptoms
PCS most often affects premenopausal women and has several risk factors, including multiple pregnancies, polycystic ovary syndrome, and a family history of PCS. Symptoms include pelvic pain and pressure that persists for more than six months, feelings of heaviness in the pelvis, and atypical discomfort during menstrual cycles. Pain may worsen when sitting or standing and is relieved when lying down.
Treatment and Outlook
If you suspect you may have PCS, visit your doctor to rule out conditions that cause similar symptoms. An ultrasound scan can assess and check the blood flow in the vessels to aid in diagnosis. Compression hose or shorts can be worn to help alleviate pain and pressure, and if symptoms persist, your doctor may recommend an endovascular procedure.
Ovarian vein embolization is a common endovascular procedure that addresses PCS symptoms caused by an abnormal ovarian vein producing a backward flow of blood, known as reflux. It involves placing a coil to block the vein and prevent pressure and pain. This procedure is minimally invasive and can be performed on an outpatient basis, allowing patients to resume normal activities in only a few days.
ANNUAL WOMEN’S HEALTH SECTION
UNEXPLAINED PELVIC PAIN?
It Might Be Vascular.
At the Vascular Institute of Chattanooga, we help women find answers—and relief. Pelvic Congestion Syndrome (PCS) is an underdiagnosed condition that affects many women, often causing chronic pain, heaviness, and pressure in the pelvis. If you’ve been living with unexplained pelvic discomfort, it may not be “just part of being a woman.”
At VIC, our vascular specialists are experts in diagnosing and treating PCS and other vascular conditions that impact women. Using minimally invasive, outpatient procedures, we restore blood flow, reduce pain, and help women regain control of their lives
You Deserve Answers. You Deserve Relief. Trust the Regional Leaders in Vascular Care!
“Our Cancer Genetics and High Risk Clinic is the only program of our kind in Chattanooga. This gives us the rare opportunity to help our patients be proactive in their healthcare. Knowledge is power, and early detection is key and truly can be lifesaving!”
McKenzie Smartt, MSN, FNP-C, CGRA
Erlanger High Risk and Cancer Genetics
Program
Genetics and Cancer
Consultation with a genetics provider can help patients understand their cancer risk.
Understanding Genetics and Cancer
Cancer is a common disease with complex causes that, in some cases, can be linked to genetics. Research in cancer genetics has led to the identification of genes that, when altered, cause a significantly increased risk for certain cancers. These gene mutations have been linked to cancers such as breast, ovarian, colorectal, prostate, and pancreatic.
Approximately 5-10% of cancers are hereditary. You may be at a higher risk if you have a personal history of cancer, a strong family history of a certain kind of cancer, or have family members that have been diagnosed with cancer at a young age; had more than one kind of cancer; had an uncommon form of cancer; or have been found to have a cancer gene mutation.
Genetic Consultation and Testing
Consultations are available to help patients understand their risk. During your appointment, a genetics provider will gather information about your personal and family medical history to assess your cancer risk and determine whether genetic testing is recommended. These tests can identify the presence of inherited gene mutations that might put you at a higher risk of certain cancers.
Outlook
If you receive a positive result of a gene mutation, your provider can discuss preventative options moving forward. These may include lifestyle changes to reduce risk; preventative surgery; screening tests to look for cancer early; and longterm follow up. If you are concerned about a pattern of cancer in your family or other risk factors, speak with your doctor about whether consultation and testing might be a good option for you.
Hormone Replacement Therapy
This treatment option can relieve symptoms of menopause.
Understanding Hormone Replacement Therapy
During menopause, a woman’s body stops producing the hormone estrogen. This drop in estrogen levels can lead to common symptoms associated with menopause, including hot flashes, night sweats, vaginal dryness, irritability, fatigue, and brain fog.
These symptoms can be uncomfortable and disrupt daily life, but thankfully, treatment is available. Hormone replacement therapy (HRT) is an effective option for treating symptoms of menopause. It involves prescribed doses of estrogen, and often progesterone, to return hormone levels back to normal and relieve symptoms.
How It Works
There are two types of hormone replacement therapy: Systemic hormone therapy is absorbed by the entire body. This type
can be delivered with a pill, patch, ring, gel, cream, or spray and is recommended for treating hot flashes, night sweats, and other common symptoms of menopause.
Local hormone therapy involves a lower dose applied to a specific area via a cream, ring, or tablet, and is used primarily to treat vaginal dryness.
Outlook
With HRT, women can experience symptom relief and benefit from improved sleep, mood, sexual function, and overall quality of life. HRT can also prevent bone loss – a common condition during menopause. The duration of treatment is tailored to each individual, though most women take HRT for five years or less, depending on the severity of symptoms. If you are experiencing symptoms of menopause, speak with your doctor to determine whether HRT is right for you.
An Expert Weighs In
“Hormone shifts and physical changes surrounding menopause can feel like a roller coaster during a woman’s prime years – but that doesn’t have to be where the conversation stops! With personalized hormone replacement therapy and specially selected supplements, we help women reclaim restful sleep, emotional stability, and a sense of normalcy. As a clinical pharmacist helping to shape these protocols, it’s incredibly fulfilling to hear from women who finally feel like themselves again after HRT. There’s no reason to suffer in silence – and hot flashes – any longer.”
For decades, we’ve used our HRT expertise to help women in and approaching menopause by relieving symptoms, supporting bone health, and boosting quality of life.
Let’s explore how hormone replacement therapy can help you. Scan
An Expert Weighs In
“Urinary incontinence and sexual dysfunction in women aren’t dirty little secrets, so why aren’t we talking about them? Let’s break societal stigmas leading women to depend on adult undergarments and empower women to seek real solutions. Pelvic floor disorders associated with childbirth, perimenopause, and menopause to name a few, disrupt daily life and can lower confidence. EmpowerRF addresses the symptoms by treating the dysfunction. So, let’s live out loud, ditch the diapers, and reclaim our bodies!”
Vivian G. Parham, AGPCNP-BC Founder, Grace Dermatology & Aesthetics
EmpowerRF
This advanced platform can treat urinary incontinence, improve sexual wellness, and address other common concerns in women.
Understanding Urinary Incontinence
Urinary incontinence refers to the loss of bladder control and unintentional leakage of urine. There are three common types of incontinence:
1. Stress – leakage caused by sneezing, coughing, laughing, or physical activity
2. Urge – a sudden, intense need to urinate that can lead to leakage
3. Mixed – a combination of both stress and urge incontinence
Urinary incontinence is very common, affecting approximately 62% of women age 20 and older. Weak pelvic floor muscles caused by pregnancy and hormonal changes during menopause are common causes of incontinence in women.
Treatment
The EmpowerRF by InMode is an FDA-approved, multifunctional platform that delivers women’s wellness therapies. This comprehensive, in-office system uses advanced radiofrequency technology to safely and effectively address common concerns such as urinary incontinence, aging tissue, sexual dysfunction, weak muscles, and more.
How It Works
The EmpowerRF VTone intravaginal treatment utilizes electrical muscle stimulation (EMS) to gently stimulate and strengthen the pelvic floor muscles, treating all three types of urinary incontinence.
Additional EmpowerRF therapies include:
• FormaV treats sexual dysfunction often associated with menopause, including pain with sex and vaginal dryness
• Morpheus8 promotes collagen production, helping to reduce the appearance of wrinkles and scars and restore firm skin
• Morpheus8 Body targets fat, tightens skin, and addresses stretch marks and cellulite by stimulating and remodeling collagen
• Tone uses EMS to target, strengthen, and sculpt specific muscle groups
With EmpowerRF, women can receive treatment with little to no discomfort and downtime. Multiple sessions are often recommended, and many patients start to notice a difference after just one treatment.
An Expert Weighs In
“Hormones play a key role in women’s oral health, affecting everything from gum sensitivity in puberty to dry mouth and bone loss after menopause. Recognizing these changes helps women take proactive steps in prevention and care. Strong daily habits and regular dental visits ensure a healthier smile through every stage of life.”
Mandy Shearer, DDS Dentist, Soddy Daisy Smiles
Hormones and Dental Health
Fluctuating hormones in women of all ages can impact dental health.
Understanding Hormones and Dental Health
Hormonal fluctuations throughout a woman’s lifetime can affect many aspects of her health, including dental health. Changes in the estrogen and progesterone hormones particularly can increase susceptibility to gum disease and other conditions.
Puberty. The surge of hormones that takes place during puberty can cause increased blood flow to the gums, making them more sensitive to plaque buildup. Symptoms include gums that are red, swollen, and prone to bleeding.
Menstruation. Progesterone is at its highest in the days leading up to a woman’s period and can temporarily cause irritated gums, swollen salivary glands, and canker sores. Oral contraceptives that contain progesterone may also affect the gums, though newer medication options containing lower levels have reduced this risk.
Pregnancy. Rising hormone levels can put pregnant women at risk of gingivitis, a mild form of gum disease that causes red and sore gums. Known as “pregnancy gingivitis,” this condition is most common between the second and eighth month of pregnancy.
Menopause and Post-Menopause. Women who are menopausal or post-menopausal are susceptible to certain dental conditions due to decreased levels of estrogen. These include tooth sensitivity, dry mouth due to decreased saliva flow, and burning mouth syndrome. This drop in estrogen can also cause osteoporosis, affecting bone density in the jaw that can cause receding gums and tooth decay.
Prevention and Outlook
No matter what stage of life you’re in, it is important to build oral hygiene habits, including brushing your teeth twice a day, flossing every day, and visiting the dentist twice a year. If you are experiencing any concerns, consult your dentist for further advice.
•
• NO
• NO pre-existing conditions or limitations
• NO waiting periods
Robert and Mandy Shearer, D.D.S.
Chronic Pelvic Pain
Pelvic floor therapy can help treat this common concern.
Understanding Chronic Pelvic Pain
When pain in the pelvic area persists for six months or longer, it becomes known as chronic pelvic pain. This condition is a common concern for women, affecting up to 20% of women of reproductive age. Chronic pelvic pain can involve dull aching; sharp pain or cramping; and pressure within the pelvis that can remain steady or come and go.
Causes
Chronic pelvic pain can have many different causes and may be a symptom of certain conditions related to the digestive, musculoskeletal, and reproductive systems, among others. One common cause of chronic pelvic pain in women is endometriosis, which affects approximately 1 in 10 women of reproductive age globally. This condition occurs when the
tissue meant to line the uterus grows outside it, causing inflammation and pelvic pain.
Treatment
While dealing with consistent pelvic pain can disrupt daily life for many women, treatment can help provide relief. Pelvic floor therapy can treat chronic pelvic pain for a wide range of causes and can help address underlying issues related to endometriosis. This specialized kind of physical therapy focuses on alleviating symptoms of pelvic pain through a comprehensive approach. Prior to treatment, your therapist will discuss your symptoms and develop a personalized treatment plan that will involve sessions to gradually improve pelvic floor strength and coordination. Through consistent physical therapy, women can manage or even eliminate chronic pelvic pain and enjoy a better quality of life.
An Expert Weighs In
“Instead of just covering up symptoms, a pelvic specialist can help find and treat the root causes of pain. Gentle exercises, hands-on techniques, and simple lifestyle tools can calm pain, improve movement, and help you feel more in control of your body. Many people find lasting relief and are able to get back to the activities and confidence they’ve been missing. Too often I hear ‘I wish I had come sooner’ or ‘why didn’t they send me here first?’ It’s better to address these underlying conditions that contribute to the pain both before and/or after any procedures to really make the difference.”
Erin Westner, PT, PRPC Owner, The Pelvic Method PLLC
At The Pelvic Method, we specialize in Pelvic Health Physiotherapy to address your unique needs. Our experienced team, led by owner, Dr. Erin Westner with over 13 years in the field, offers personalized care to guide you toward lasting solutions.
“I was referred to Dr. Erin Westner by my doctor, and even after just one visit with Erin, some of my pain issues were entirely resolved. I saw her for several sessions, and the improvement was truly amazing and life-changing for me. Even some back pain that didn't associate with my surgery or endo was fully resolved by my pelvic floor therapy treatment.” –HK
What You Can Expect
Personalized Care
You will receive a full 60-minute evaluation and 60-minute follow-up sessions, ensuring each treatment plan is tailored specifically to your needs.
One-on-One Sessions
We provide one-on-one sessions to guarantee quality care and help you meet your personal health goals.
Holistic Approach
Our stress-free environment and comprehensive treatment plans address the whole body, ensuring lasting results and a positive experience.
An Expert Weighs In
“At Diana Health, we understand that women’s health is deeply personal, and we prioritize creating a safe, respectful, and supportive environment. Our practice goes beyond standard obstetrics and gynecology by integrating comprehensive care that focuses on one’s entire well-being. We are equipped to provide the best evidence-based care with a team of experts from medical and nursing models of care as well as mental health care specialists, dietitians, and wellness coaches. The most rewarding aspect of being an OB/ GYN is the unique privilege of partnering with patients throughout their lives, from adolescence to childbirth and through menopause.”
Jack Rowland, MD
Physician and Medical Director, Diana Health Chattanooga
Comprehensive Women’s Care
This approach is positively impacting the well-being of pregnant women.
Understanding Comprehensive Women’s Care
Over the past decade, an innovative approach to women’s care has emerged and made strides in improving the patient experience. In addition to a full range of OB/GYN services, this care model involves a comprehensive approach that looks at all aspects of well-being, including sleep, stress, diet, and exercise. Offerings can include mental health care, diet and nutrition counseling, health coaching, classes for continued education, and more, with an integrated care team available to support holistic health needs.
In addition to being comprehensive, this care is also individualized to the patient. Supporting this approach, the American College of Obstetricians and Gynecologists recently released a clinical consensus detailing the importance of tailored prenatal care for pregnant women. The recommended offerings include virtual care, shared decision-making, and personalized visits.
Benefits
This comprehensive care model has improved birthing outcomes for women and infants. According to the Mayo Clinic, observed improvements have included:
• Shorter hospital stays for patients
• Lower rates of interventions such as C-sections
• Fewer infants admitted to the NICU
• Reduced pre-term birth likelihood
Outlook
With this individualized, whole-person approach, pregnant women receive a full suite of services that support them before, during, and after birth. Patients are more likely to be satisfied with their care as they benefit from improved outcomes and enjoy peace of mind, knowing they are supported every step of the way.
Imagine Maternity Care Where...
Your concerns are heard Your preferences are respected The whole you is cared for
Understanding Menopause
Menopause refers to the end of a woman’s menstrual cycle and is often accompanied by physical and emotional symptoms. The average age of menopause in the United States is 51, but many women begin experiencing symptoms in the years prior, known as perimenopause. Common, well-known symptoms include hot flashes, night sweats, and mood swings, however many more symptoms can result from menopause, affecting all parts of the body.
Symptoms
Among others, hormonal changes during menopause can affect:
• Sleep. Hot flashes and night sweats can disrupt sleep. Insomnia – difficulty falling and staying asleep – is also common, as is sleep apnea.
• Mood. Menopause can cause irritability and an increased risk of developing anxiety and depression.
• Weight. A woman’s metabolism slows during menopause, which can lead to weight gain.
• Sexual health. Vaginal dryness can cause itching, burning, and painful sex. A lower libido is also common.
• Ears. Hearing difficulties associated with menopause include ringing ears, or tinnitus. Changes in the ear can also affect balance, leading to dizziness and vertigo.
• Joints and muscles. Women may experience stiff, aching joints and muscles.
• Bladder. Menopause can cause urinary urgency, frequency, and incontinence, and an increased risk of urinary tract infections.
• Eyes. Reduced tear production can cause hormonal dry eye.
• Heart. Some women experience heart palpitations or a racing heart.
• Cognition. Menopause can lead to brain fog, memory lapses, and difficulty concentrating.
Menopause Symptoms
Menopause can cause many, lesser known symptoms.
An Expert Weighs In
“Most people understand that menopause is the end of a woman’s menstrual cycle and is associated with hot flashes, however, many women have symptoms during perimenopause that can be much more distressing. If we limit the focus of our care on hot flashes alone, we are not hearing the multitude of other symptoms that women are dealing with, not to mention the more silent effects like decline in cardiovascular and bone health. Discussion about menopause has long been taboo, however, the women who are currently going through ‘the change’ are more willing to talk about it and they expect better care than the generations before them.”
Lauren Barlew, WHNP-BC, MSCP Owner, Lotus Center for Women
Outlook
While many symptoms resolve with time, treatment is available to help manage disruptive symptoms of menopause. This can include hormone therapy, medication, and lifestyle changes. Your doctor can discuss the options available to provide relief.
An Expert Weighs In
“Dealing with hormonal acne can feel overwhelming, but you don’t have to figure it out alone. If you’re not seeing results with at-home treatments, most people benefit from prescription options. Working with a dermatologist helps you create a regimen tailored to your skin’s needs. Finding the right treatment takes consistency and time, but at Galen Dermatology we’re here to guide you to feel confident and happy in your own skin again.”
Kate Shuster, MD, FAAD Dermatologist, Galen Dermatology
Hormonal Acne
Hormonal fluctuations can cause this common skin condition in women.
Understanding Hormonal Acne
According to the American Academy of Dermatology, acne is the most common skin condition in the United States, affecting up to 50 million people each year. While acne is often associated with teenagers, it can also occur in adulthood. Hormonal acne is a type of acne that primarily affects women between the ages of 20 and 50 and can include pimples, blackheads, whiteheads, and cysts that appear on the face, shoulders, chest, and back. Approximately half of women in their 20s and a quarter of women in their 40s will have hormonal acne.
Causes
Women experience hormonal fluctuations during their menstrual cycle, pregnancy, and menopause. These changes in hormone levels can increase the production of sebum – an oily substance produced by skin glands. Excess sebum can clog pores and trap dead skin cells and bacteria inside, causing acne, inflammation, and infection. Stress, lack of sleep, and certain skincare or makeup products can also contribute to or worsen hormonal acne.
Treatment and Outlook
There are many treatment options available to help clear up hormonal acne. These include:
• Over-the-counter products, such as benzoyl peroxide or retinoids, can be used in combination with a gentle cleanser as part of a daily skincare routine.
• Lifestyle changes can promote healthy skin, including eating a balanced diet, regularly exercising, and getting enough sleep.
• Prescription medications can include topical creams and oral antibiotics.
• Hormonal therapies can help regulate hormone levels and decrease oil production. Most treatments typically take a few months to take effect. If you are experiencing hormonal acne, a dermatologist can help develop a personalized treatment plan to restore clear skin.
DeJuan S. Jordan
Photo by Hacker Medias / Shot on Location at The Hotel Chalet
A life and business coach, professional speaker, and co-CEO of local nonprofit, LAUNCH, DeJuan S. Jordan has devoted her career to helping people bring their visions to life. As much as she pours into others, Jordan also recognizes the importance of rest for well-being. Here, she shares how presence and practice have been essential for her health and wellness journey and how small daily decisions so often make all the difference.
What is your approach to wellness? How has that changed over time?
When I was younger, I measured wellness by the number on the scale or how I looked in my clothes. Now, it’s about how I feel and what’s going on within – physically, emotionally, and spiritually – and the small choices I make each day to protect my health. Wellness isn’t a destination; it’s a daily decision. Every meal, every walk, and every choice add up to the life I want to live. Watching loved ones face serious health challenges has been a powerful reminder that while I can’t control everything, I can make choices that reduce my risks. Every day is another opportunity to care for the body, mind, and spirit I’ve been given – because I want to be present, strong, and whole for the life I’m called to live.
What are your favorite ways to practice self-care?
For me, self-care is as much about presence as it is about practice – prayer, time with God, journaling, reading a good book, regular massages, listening to music, boating, or simply being near the water in a quiet “selah” moment. Sometimes it’s traveling to recharge, sitting in silence in my car for hours, resting, or laughing until my stomach
hurts. Laughter is therapy, and I do a lot of it. Over time, I’ve learned that true self-care means listening to what my body, mind, and spirit need in each season – and honoring that without apology.
What are some of your current goals and what are you doing to work toward them?
My heart’s biggest push right now is the release of my first book, Life Doesn’t Have to Hurt: Making Sense of the Past. Making Peace with Its Purpose. After years of holding it close, I’m ready to share this deeply personal journey through pain, purpose, and peace – which includes a chapter on my grandfather’s battle with Alzheimer’s titled, “When Love is Silent.” I believe this book will meet someone right where they are and help them see that both the small moments, the big moments, and the hardest moments can all hold life-changing lessons.
When it comes to health and wellness, is there anyone you admire or look up to? Why?
My Aunt Kim lost more than 70 pounds naturally over 25 years ago and has maintained a healthy weight and lifestyle ever since through her holistic approach to wellness, healthy eating, and 3 a.m. workouts.
Her discipline may not be contagious, but it is undeniably inspirational.
What does your daily routine look like?
Few days in my life look the same, but every day begins and ends with prayer. After my morning prayer, I meet with my team at LAUNCH for a quick daily check-in before diving into the day’s work. Evenings are a mix of events, fundraisers, ministry, community work, creative projects, or simply quality time with friends and family. I’m a night owl at heart, but I’ve learned that rest isn’t a luxury or reward – it’s a requirement.
What have been some of your recent challenges? Have you found any solutions?
In my work, I’m often carrying not just my responsibilities, but also the hopes, struggles, and dreams of the people I serve. It’s a privilege – but it can also be draining if I’m not careful. The solution has been learning that “no” is a complete sentence, that delegation is not weakness, and that rest is productive. I’m getting better at scheduling quiet time and keeping nonnegotiable moments for my own wellness so that I can continue to show up as my best self – both for my community and for me.
What are the traits you most value in yourself?
I value my heart for people. Whether I’m leading, listening, serving, or simply showing up, I strive to be a light in the lives of others. I’m wellknown for saying, “It’s a heart thing!” – because how we see others, how we treat them, how we choose to love, and how we choose to live are all matters of the heart.
Health on the Clock
Staying Healthy at a Desk Job
By Abby Callahan CAREER & FINANCE
Not having enough time left in the day to meet a daily step count can be discouraging, and for many with a desk job, this feeling is far too familiar. In fact, Americans spend approximately 55% of their monitored waking time being sedentary, which translates to 7.7 hours often spent sitting at a desk. These numbers may make it feel impossible to stay active during an office job, but workplace wellness starts with making the most of every opportunity – no matter how small.
Seize the Moment
Studies show that bursts of higher-intensity activity for 10 minutes or less throughout the day boost your mood, impact weight loss, and improve cardiovascular health. Even five free minutes can be the perfect time to incorporate some cardio and strength training into your day. Try exercises such as:
• Marching in place
• Jumping jacks
• Chair leg lifts
• Chair squats
• Oblique twists
• Desk push ups
Stretch It Out
Just like physical activity, proper posture and circulation play a vital role in staying fit at your job. Office stretches can improve both, as well as reduce muscle tension and relieve stress.
There are two main types of stretching: static and dynamic. Static involves stretching a joint as far as it can go, without pain, and holding for 30-90 seconds. Dynamic involves active movements that prepare your muscles for future activity. Examples include:
Static
• Overhead stretch
• Chest stretch
• Hamstring stretch Dynamic
• Squats
• Shoulder rolls
• Torso twist
Remember, if it hurts, stop. Make sure to relax and breathe deeply to avoid injury.
Equipment for Workplace Wellness
Another way to create an active work life is with wellness equipment – like a stand -
ing desk or an underdesk treadmill.
Standing desks encourage more physical activity and shift weight from your lower back to your legs, supporting better posture and spinal alignment. Standing also boosts circulation, reducing blood flow issues from prolonged sitting, and lowers the risk of heart disease and diabetes. Under-desk treadmills allow you to work and exercise at the same time. In no time, 30-45 minutes of cardio add up instead of having been lost to sitting. For added benefits, head outdoors on your lunch break – walking outside burns more calories and supports your immune system.
Blink Into Focus
Sitting in front of a screen for eight hours a day can also impact eye health. While blue light glasses are often touted as a protective measure, research actually shows that blue light from digital devices may not be the cause of most work-related eye issues.
Sensitivity to light, blurry vision, or dry, watery, burning, itchy eyes can be caused by computer vision syndrome (CVS). While not a serious condition, CVS can be uncomfortable, and merely using blue light glasses will not prevent it. Instead, experts recommend:
• Sitting at arm’s length from screens
• Monitoring blinking frequency
• Using artificial tears
• Every 20 minutes, looking at something 20 feet away for 20 seconds (“20-20-20 rule”)
• Taking frequent screen breaks
Picking the Perfect Work Bag
Whether you’re heading across town to a meeting, traveling overnight on a business trip, or settling in at the office, there’s a bag up for the task. Here, we take a look at the top types of work bags for women and what to keep in mind to find the best work bag for you.
By Rachel Studebaker
An Overview of the Options
Tote bags are a popular pick for work, and for good reason. These versatile bags come in a range of sizes and offer an open, roomy interior.
Backpacks aren’t just for school! They’re also an ergonomic option for work, with the bag’s weight distributed across both shoulders.
Convertible bags are able to transition between a tote and a backpack, offering the best of both worlds.
What to Consider When Making Your Choice
SIZE
First, consider what you’ll be using the bag for. Smaller, lightweight bags can hold the bare essentials and be tucked away at work, while larger options are a better fit for travel or packing up items like a lunch box, laptop, sweater, and accessories.
FUNCTIONALITY
Many work bags boast features to boost functionality. These include laptop compartments, water bottle sleeves, key leashes, pockets and removable pouches, and more. Especially in larger bags, these features keep things organized and make small items like keys or lip balm easy to find.
DURABILITY
When picking a work bag, it’s worth investing in high-quality materials that can withstand daily use. This way, you can avoid broken straps and visibly worn exteriors, and enjoy your bag for years to come. Leather, canvas, and nylon are all common and durable options.
COMFORT
Your bag should also be comfortable to carry. Look for supportive shoulder straps that can handle a fully packed bag without digging into your shoulders or causing discomfort.
VERSATILITY
Briefcases are designed to hold paperwork, making them perfect for attending meetings with clients.
Rolling bags are convenient for those whose career keeps them on-the-go. This option allows you to tote essentials on wheels instead of carrying them on your shoulders.
Make the most out of your bag by picking one suited for multiple occasions, whether grabbing dinner out after work or toting items along on a weekend trip.
STYLE
With plenty of options out there, you can pick a work bag that reflects your personal style and complements your work attire while remaining polished and professional. Happy shopping!
Gratitude isn’t just an emotion –it’s a tool for cultivating joy, resilience, and better overall health. In fact, research shows that expressing gratitude can relieve stress and anxiety, reduce symptoms of depression, and improve sleep and heart health. One of the easiest ways to practice expressing your thanks is by writing in a gratitude journal. Here, we’ll explore what a gratitude journal is and how to get started.
What Is a Gratitude Journal?
Whereas a diary focuses on what happened in your day, a gratitude journal is solely dedicated to writing down things that you’re thankful for. These can be big or small – from major life events like finding a new job to simple pleasures like a good meal. The goal is to intentionally focus on the positive aspects of life, which can help shift your mindset and improve your overall mental and physical health.
Gratitude Journaling 101
By Ali Lemmons
Practice Makes Perfect
Just like exercising your body, gratitude is a muscle that is best strengthened when you put in consistent, intentional effort. To make the most of the health benefits of gratitude, it’s important to make gratitude journaling a regular practice. Whether you’ve just started journaling or you’re trying to get out of a rut, try these tips for consistency:
Set a Goal. Start by planning a certain number of items to write about or setting aside a certain amount of time spent journaling. You may choose to start small and increase your goal as you keep practicing.
Keep it Out. Set your journal out –whether on your nightstand, kitchen table, or other visible location as a physical reminder to spend time journaling that day. Stay Simple. Gratitude journaling doesn’t have to be profound. A journal entry can be as simple as jotting down a bulleted list of things that you’re thankful for, from seeing your family to a new book that you enjoyed.
Prompts for Gratitude Journaling
Not sure where to start?
Try these five prompts to get your gratitude flowing.
1. Write about someone in your life that you’re thankful for and why.
2. What are you taking for granted in day-to-day life that you can be thankful for?
3. List five ways you can share your gratitude today.
4. How can you thank someone that has helped you this week?
5. What hobbies would you miss if you were no longer able to do them?
Highly skilled and compassionate, there is a lot to know about the surgeons, nurse practitioners, nurse injectors, licensed aestheticians, and other professionals who have dedicated much of their lives to serving their clients.
What follows are several of our area’s most accomplished cosmetic professionals who are serving their clients with exceptional quality services.
Beautifully You!
Comprehensive Care
Mark Brzezienski, MD, FACS
ERLANGER PLASTIC AND RECONSTRUCTIVE SURGERY
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F or Dr. Mark Brzezienski, a week at work involves both treating patients and training resident physicians.
Dr. Brzezienski is a board-certified plastic surgeon with Erlanger Plastic and Reconstructive Surgery and specializes in a wide range of services, from breast reconstruction to aesthetic procedures and hand surgery. With a career that spans three decades, Dr. Brzezienski has positively impacted the lives of countless people. “I now have the pleasure of hearing from patients and residents who I treated or trained throughout my career,” he shares. “The capacity to memorably impact people’s lives because I chose academic plastic surgery as a career is the great joy of my professional life.”
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What influenced you to pursue your career?
My mentors. Beginning with my father, I have always had great mentors. Throughout my education, I have been fortunate enough to find attentive teachers who were genuinely interested in my future. Each of them helped me identify my strengths and guided me along the career path right to where I am now.
What is your philosophy when it comes to the care of your patients?
Whether the patient seeks my advice for cosmetic or reconstructive surgery, my goal is to be attentive, thorough, and methodical throughout the course of our relationship.
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How do you choose the right procedure for your plastic surgery patients?
Most patients come to my office with an understanding regarding what problem they would like to approach. It is then my task to serve as a guide as we, together, develop a plan of action that is tailored to each patient’s physiology and desires.
Dr. Brzezienski and his team are amazing! I couldn’t be happier with my results.” – Kaylee S.
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What is the key to making a great first impression?
Be in the moment and know your audience.
What is one of your happiest professional moments?
A substantial portion of my practice is dedicated to the reconstruction of breast cancer patients. My happiest moments are now when my breast reconstruction patients reach “graduation day” from my practice … No professional success exceeds the sense that my patient can, at our final visits, begin to close a trying chapter in their lives.
Doctor of Medicine: Jefferson Medical College – Philadelphia, PA
Certifications:
Board Certified, American Board of Plastic Surgery
Board Certified, American Board of Surgery
Recognitions: Distinguished Service Award, Tennessee Medical Association
Specialties: Plastic Surgery Hand Surgery
Beautifully You!
A Passion for People
Kayla Peppers
CENTER MEDSPA
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Kayla Peppers brings both experience and enthusiasm to her role as a nurse injector at Center Medspa. A registered nurse since 2011, Peppers entered the aesthetics field seven years ago in pursuit of her passion for helping people feel better. “It really transitioned from a healthy heart and body to having a healthy relationship of your self-worth,” she explains. “I love helping people do that every day.” Whether meeting with a new or returning client, Peppers strives to show them she cares every step of the way. She finishes, “Every day I’m reminded how blessed I am to love what I do.”
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What does your day-to-day look like?
Every day is a little different, and I love that. I’m often catching up with a long-time patient while pulling up their Botox or meeting a new patient to discuss how I can help them feel a little better about themselves.
What would you consider to be your main strengths?
My kindness and my eagerness for knowledge. I genuinely care about the people in my chair. I continue to chase knowledge because the more I know, the better my patients look.
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KAYLA IS AMAZING! She is truly an expert. She is thoroughly educated and experienced in numerous products and procedures. She can answer all your questions. There are no surprises, and you will LOVE your results.” – Katie W.
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How do you choose the right procedure for your clients?
There are so many options when it comes to aesthetics. It is important to listen to what the patient is saying. What’s their goal? What’s their downtime availability? And what’s their budget? Those are often things that are discussed in a consultation.
What is your philosophy when it comes to the care of your clients?
I’ve said for years: my goal is for us to age gracefully together.
What’s the most rewarding part of your profession?
The smiles when I hand them the mirror.
Bachelor of Science in Nursing:
Tennessee State University – Johnson City, TN Certifications: Facial Fillers & Neurotoxins, Allergan Certified Skin Specialist, skinbetter Advanced Training With Biostimulators, Galderma Aesthetic Laser & Skin Technician, Soma
Beautifully You!
Working With Intention
Daisy Tucker, LA
CENTER MEDSPA
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Daisy Tucker brings 16 years of experience in medical aesthetics to her role as clinical director and lead aesthetician at Center Medspa. Each day, Tucker works diligently to support her team and provide personalized care to clients based on careful consultation. “I’ve done a lot of treatments and assessed a lot of concerns. But I always still strive to see through my client’s eyes so I can choose the best procedure to match their goals,” she shares. For all her clients, Tucker strives to “provide a welcoming and positive experience that is customized to their needs and goals, and most of all, delivers the results they are wanting.”
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What influenced you to pursue your career?
As a young mom, my daughter first influenced me to change careers because I wanted a job that could be flexible and where I could manage my own hours. I’ve also always enjoyed art and find that aesthetics is a creative outlet that has become such a fulfilling career – more than I ever imagined.
How do you develop a plan for each client?
I listen. I always say, “Your concern is my concern.” We start where they are comfortable and always grow from there.
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A visit with Daisy at Center Medspa is an investment in yourself. Her knowledge and skills around the products and procedures offered there allow her to create a customized plan for clients towards putting their best self forward.”
– Kristen B.
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What’s the key to making a great first impression?
Just keeping it real. Being myself and striving to provide a welcoming space that begins with easing nerves and ends with a positive and happy experience.
What’s the most rewarding part of your profession?
Having the trust of my clients. It means everything. It’s an honor that I don’t take for granted.
What is your best advice for clients?
Dismiss the pressure of perfection and embrace and own your beauty. No matter what decade of life we are in, there is beauty and joy to be found in it.
Addressing Concerns With Care
Having recently moved to Chattanooga, Dr. Emily Delaney is excited to join the team at Four Bridges Dermatology & Cosmetics and provide personalized care to her clients.
“I chose dermatology because it brings together many of the areas I loved during medical school – internal medicine, surgery, and pathology,” she shares. “It’s a dynamic, ever-evolving field that keeps me constantly learning. I enjoy developing longlasting relationships with my patients, caring for all age groups, and making visible, meaningful improvements in their health and self-confidence.”
Whether administering neurotoxins or addressing medical concerns, Dr. Delaney says, “No matter what, I focus on education and transparency. I want every patient to feel informed, confident, and comfortable throughout the entire process.”
Dr. Delaney was absolutely lovely! She was thorough, attentive, and friendly. I am confident that she has me on the correct path in my medical care. She is such a positive addition to the Four Bridges Dermatology team!”
- Michaela
Emily Delaney, MD, FAAD
FOUR BRIDGES DERMATOLOGY & COSMETICS
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What would you consider to be your main strengths?
I’d say one of my biggest strengths is connecting with people. I try to take time to listen and explain things clearly so they feel confident in their choices. On the clinical side, I have a strong background in medical, procedural, and pediatric dermatology from my training, which helps me deliver results that are safe, effective, and natural-looking.
What is your philosophy when it comes to the care of your clients?
I believe care should be personal and a team effort. Everyone’s skin and goals are different, so I take the time to understand their needs and concerns. I want my patients to feel comfortable, supported, and confident in their care and to know we’re working together every step of the way.
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What’s the key to making a great first impression?
A warm smile, friendly attitude, and a genuine interest in the patient’s concerns.
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What is one of your happiest professional moments?
When a patient with severe, long-standing psoriasis returned after starting treatment with clear skin for the first time in over 30 years. I loved seeing her joy and renewed confidence.
What is your best advice for clients?
Always wear your sunscreen! It’s the easiest and most important step you can take to protect your skin and keep it healthy and youthful over time.
Doctor of Medicine: West Virginia University School of Medicine –Morgantown, WV Certifications:
Caring for Clients
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Pursuing a passion for the beauty industry, Christie Goforth left her corporate career and began anew as a licensed esthetician. “I never once looked back, and knew if I wanted it, it would happen because I would put in the work needed,” she recalls. Goforth went on to found the Lash Loft & Brow Bar in 2014, followed by Chattanooga Head Spa in 2024. “My vision has always been to create a space where beauty is revealed inside and out, a place where every individual feels truly seen, genuinely heard, and deeply refreshed,” says Goforth, adding, “Everyone who walks in our doors is already beautiful, we just try and help polish off things so they can also see it!”
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Christie Goforth, LE
CHATTANOOGA HEAD SPA AND LASH LOFT & BROW BAR
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What does your day-to-day look like?
On a daily basis I run the spa operations while seeing clients. I love both sides of it – the business part and the people part. Both are very rewarding.
What would you consider to be your main strengths?
I love caring for people and making them feel truly special. That passion extends not only to those I serve, but also to the people I work alongside. For me, it’s about creating an environment where everyone feels listened to, valued, and appreciated, every single day.
What’s the key to making a great first impression?
Eye contact and a warm authentic smile, making sure clients know and feel that they are so very important the minute they walk in.
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Christie has paid attention to every detail – the ambience, aesthetics, and atmosphere are all perfect.”
– Whitney D.
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How do you develop a plan for each client?
Each and every client has different needs, lifestyles, and goals. I decide through conversation with them what will work best for them. We are often changing up things depending on what season of life they are in. It’s definitely a team effort!
What’s the most rewarding part of your profession?
Helping people not only look better, but truly feel better.
Going Green
A Beginner’s Guide to Low-Maintenance, Wellness-Boosting Indoor Plants
By Lindsey Clute HOME & INTERIORS
Houseplants can be a simple yet stylish way to add color, warmth, and personality to your home, and many varieties can even help create a healthier living environment. If you’ve struggled to keep plants alive in the past, don’t be discouraged – success often comes down to choosing the right variety for your lifestyle. The good news? Plenty of beginner-friendly options thrive with minimal effort. Here are a few ways houseplants can improve your health, along with four easy-to-grow varieties to brighten your space, purify your air, and boost your well-being – no green thumb required.
Leaf the Toxins Behind
Before branching out, it may be helpful to understand how indoor plants can enhance your life to determine which best fits your needs. In addition to aesthetic appeal, houseplants have also been proven to have many health and environmental benefits, including:
• Improving air quality – numerous houseplants have the ability to filter out harmful toxins, such as formaldehyde, benzene, xylene, carbon monoxide, and other air pollutants to purify the air and stimulate a healthier indoor environment. They’re also effective at producing oxygen, increasing moisture, and helping regulate humidity levels for easier breathing.
• Aiding in healing and recovery – studies have shown that being surrounded by plants can reduce stress, lower blood pressure, and even speed recovery time after illness or surgery.
• Promoting restful sleep – certain plant varieties release oxygen at night or emit calming scents, helping you relax and drift into deeper sleep.
Pothos Plant
(Epiphremnm aureum)
Also known as Devil’s Ivy, this low-maintenance houseplant produces smooth, heart-shaped green and yellow leaves with textured stems. Known for its rapid growth, climbing habit, and air purification abilities, the pothos plant works to filter toxins, eliminate odors, and release moisture into the air.
Water: Requires occasional watering
Light: Thrives in various lighting conditions; avoid placing in direct sunlight
Pet-friendly: No
ZZ Plant
(Zamioculcas zamiifolia)
Frequently referred to as Zanzibar Gem, this plant is often characterized by its glossy green leaves and ability to tolerate most conditions. Easily cared for and propagated, the ZZ plant purifies the air and is also pest-resistant – a solid option for those wanting something stylish yet laidback.
Water: Tolerant of dry conditions and low humidity; water every 2-3 weeks when soil has completely dried
Light: Thrives in low to bright, indirect light
Pet-friendly: No
Snake Plant
(Dracaena trifasciata)
This popular houseplant requires very little care, making it another ideal option for beginners. Although it can grow in almost any environment, it prefers warm temperatures with below-average humidity and moderate light levels. Snake plants convert indoor air into usable oxygen at night using a process called crassulacean acid metabolism.
Water: Requires infrequent watering; allow soil to dry between watering
Light: Thrives in low to direct light
Pet-friendly: No
Spider Plant
(Chlorophytum comosum)
Adaptable and fast-growing, spider plants produce long, green or variegated leaves with cascading stems, and are often known for producing baby plantlets that can be snipped off and replanted. The spider plant helps improve air quality by filtering toxins and releasing moisture into the air.
Water: Water when the top inch of soil is dry; keep soil slightly moist
Light: Thrives in bright, indirect light
Pet-friendly: Yes
Harvesting Health
The
Impacts of Shared Family Fun
By Abby Callahan
Baking a batch of pumpkin muffins, raking leaves, carving jack-o-lanterns – whether participating in activities with family members or friends who feel like family, many individuals make meaningful memories that they never forget.
Beyond this, bonding with loved ones is crucial for an individual’s overall health and better equips them to navigate life’s everyday challenges –whether at home, in school, or the workplace.
No matter the activity, research shows that spending time with family enhances self-esteem, decreases anxiety, improves academic performance, teaches better conflict resolution, promotes adaptability and resilience, and can even increase an individual’s lifespan.
Experts agree that it’s not the quantity of time, but the quality of the interactions that leads to these benefits. In fact, it’s been shown that overall well-being is often more accurately predicted by the strength of one’s social connections than by health data alone.
The health impacts of shared family fun are truly invaluable for individuals and their loved ones. So, take the time to prioritize those meaningful connections, mark the calendars, and ring in the fall season together.
Need inspiration? Try checking off this fallthemed bucket list with family and friends!
Go for a fall hike
Pick out pumpkins at a patch and carve them
Visit a corn maze
Make a craft using leaves
Try a new fall recipe together
Make s’mores around a campfire
Read a fall-themed book
Jump in a pile of leaves
Decorate for fall
Wear matching family sweaters or socks
Figuring Out Food Safety
Four Rules to Remember
By Rachel Studebaker
When making a meal, it’s crucial to practice safe food handling and storage to prevent food-borne illness. The four basics of food safety are, according to the USDA: clean, separate, cook, and chill. Here, we break down these basics so you can prepare and enjoy food with peace of mind.
When to Wash
First, it’s important to keep things clean. Wash your hands with plain soap and water for at least 20 seconds before and after preparing food.
To prevent the spread of germs, you should also wash your hands after:
• Handling raw meat
• Using your phone
• Petting an animal
• Coughing or sneezing
In addition to your hands, rinse fresh fruits and veggies before use, and clean any surfaces before using them for prep. Serve food on clean plates, using clean utensils and washed hands.
Avoiding CrossContamination
Raw meat can house harmful bacteria that can cause food-borne illness. Cross-contamination occurs when this bacteria is spread to other foods through direct contact with the raw meat or surfaces and utensils used to prepare it. You can avoid cross-contamination by separating raw meat from other foods, and never using the same cutting board, plate, or utensils for another ingredient. Thoroughly clean all surfaces and utensils that have come into contact with raw meat immediately after you’re done using them.
1. CLEAN
2. SEPARATE
Taking Temperature
Properly heating raw meat to a high enough temperature can destroy harmful bacteria and ensure it is safe to eat. Use a food thermometer, inserted into the thickest part of the cooked meat, to make sure it has reached the safe minimum temperature before removing from heat and serving.
Minimum Cooking Temperatures
Safe Storage
Food safety isn’t just for during prep. It should also be practiced when storing perishable foods to avoid the “temperature danger zone” – between 40° and 140° – which refers to the range at which bacteria multiplies the fastest.
Here’s how to practice the fourth basic rule, “chill”:
• Refrigerate perishable foods within two hours of preparation
• Store leftovers in shallow containers or wrapped in airtight packaging
• Eat leftovers within three to four days, or freeze for three to four months
3. COOK
4. CHILL
Protein-Packed
POWER
As fall settles in, we’re dreaming of all the goodies the season has to offer. However tempting it may be to swap a balanced meal for a pumpkin cream cheese muffin, it’s vital to ensure you’re receiving sufficient protein in your diet to support your overall health, from muscle repair to bone strength and beyond. To help you fuel your body, we’ve rounded up some protein-packed recipes that can satisfy your comfort food cravings year-round!
“At Massey’s Kitchen, every dish we serve is made fresh with unique ingredients that bring people together. Our protein-packed Greek Gyro Bowl is a perfect example of how we combine wholesome nourishment with bold Mediterranean flavors.”
To make the couscous, place water, pesto, and salt into a sauce pot and bring to boil. Place couscous and olive oil in shallow metal hotel pan and rub the oil into the couscous. Pour boiling water mixture over couscous and cover immediately with plastic wrap. Let sit until softened, approximately 10 minutes. Fluff with a fork before serving.
To make the gyro meat, mix ground lamb, ground beef, garlic, and remaining spices in mixer with paddle attachment until very well combined. Place
mixture into a baking pan and press flat, making sure no air gaps are in mixture. Cover with foil and bake at 350° until internal temperature reaches 165°. Remove from oven and drain off all fat. Slice into thin strips. Can be baked ahead of time and reheated.
Place lettuce blend, arugula, olive oil, and Grecian dust in stainless steel mixing bowl. Toss until all ingredients are evenly distributed and coated. Place in large bowl in high, tight mound. Place hot gyro meat in a tight pile on the lettuce. Place each of the remaining ingredients in small piles around the meat on the lettuce. Serve immediately.
Shannon Twitchell’s
Harvest Chicken Salad With Maple Dijon Dressing
SERVES 4
For the salad:
• 1 medium sweet potato (~2 cups), peeled and diced into 1-inch pieces
• 1 small red onion, diced
• 1 tsp. avocado oil
• Salt and black pepper, to taste
• 0.5 oz. fresh spinach
• ½ cup dried cranberries
• 1 medium apple, diced
• ½ cup chopped walnuts or pecans, toasted
• 1 lb. grilled chicken breast, cubed
For the dressing:
• ¼ cup mayo
• 3 Tbsp. avocado oil
• 3 Tbsp. pure maple syrup
• 1 Tbsp. Dijon mustard
• 1 tsp. apple cider vinegar
• ¼ tsp. salt
• ¼ tsp. black pepper
Pulled Turkey Tostadas With Cucumber Guacamole
SERVES 6
These tostadas can be made with turkey, chicken, or pork tenderloin for a healthy, protein-packed meal, with crispy tortillas, homemade salsa, and a crunchy guacamole blanket to complete this flavorful feast.
• 6 (6-inch) corn tortillas
• Cooking spray
• 3 cups shredded turkey or chicken breast, cooked without salt, all visible fat discarded
• ¼ cup + 2 Tbsp. fat-free sour cream (optional)
• 1 large lime, cut into 6 wedges (optional)
For the salsa:
• 2 cups tomatoes, chopped
• ½ cup green bell pepper, chopped
Preheat oven to 375°. On a baking sheet, spread out diced sweet potato and red onion. Drizzle with avocado oil, salt, and pepper. Toss to evenly coat and spread out evenly on pan. Bake for 15-18 minutes. In a small bowl whisk all dressing ingredients until well combined. Set aside. In a large mixing bowl, add spinach, cranberries, diced apple, and chopped nuts. Remove the baking sheet from the oven and allow to cool for 5-10 minutes. Add grilled chicken breast, roasted sweet potatoes, and onions to the mixing bowl. Drizzle the dressing over the top and toss gently to evenly coat all ingredients. Serve with a side of sourdough bread. Enjoy!
“I love this proteinpacked recipe for the fall because it really captures the essence of the season. This salad is filled with high quality, nutrient dense ingredients – protein-rich chicken, complex carbohydrates, fiber, heart healthy fats, and sweet and savory flavors. This recipe has it all!”
– Shannon Twitchell
• 1 tsp. serrano pepper, chopped, seeds and ribs discarded
• 1 medium garlic glove, minced
• 1 Tbsp. fresh cilantro, chopped
For the guacamole:
• ½ medium avocado, chopped and mashed
• ⅓ cup peeled cucumber, finely chopped
• 1 Tbsp. onion, chopped
• 1 Tbsp. fresh cilantro, chopped
• ½ Tbsp. serrano pepper, chopped, seeds and ribs discarded
Preheat the oven to 425°. Lightly spray both sides of the tortillas with cooking spray. Arrange the tortillas in a single layer on a baking sheet. Bake the tortillas for 7-10 minutes, or until crisp and lightly browned on the edges. Transfer to a large plate to keep from overcooking. Set aside. Meanwhile, in a small bowl, stir together the salsa ingredients. In a medium bowl, stir together the avocado, cucumber, onion, cilantro, and serrano pepper. Arrange the turkey on the tortillas. Top with the salsa and the guacamole. Spoon a dollop of sour cream on each tostada and serve with the lime wedges.
Nutritional Information
Calories 237 | Total Fat 5.5g | Sodium 176mg | Total Carbohydrate 14g | Dietary Fiber 3g | Sugars 4g | Protein 31g
Source: American Heart Association
Jen Young’s Pelvic Floor Flow
“When most people think about pelvic floor issues, they immediately associate them with postpartum women. But the truth is, women of all ages and life stages (including those who have never had children) can experience pelvic floor dysfunction. The majority of women struggling in this area have an overactive pelvic floor rather than an underactive one, which can cause tension, discomfort, and even pain. The key to restoring balance lies in learning how to down-train the pelvic floor, essentially, teaching it to relax and lengthen. When combined with intentional breathing techniques, this approach can create lasting change. Learning how to connect your breath, core, and pelvic floor isn’t just about improving workouts, it’s about building strength and confidence from the inside out.”
Jen Young, Fitness Coach, MTHR Studio & Southern Soul Yoga & Pilates
@jenyoungwellness
Photography by Rich Smith
Crossbody Deadbug
The crossbody deadbug movement targets the transverse abdominis, a key core muscle that stabilizes the pelvis and supports the pelvic floor. Lie on your back with knees bent to 90 degrees directly over your hips. Place one hand on the opposite knee and press them into each other to create some isometric tension. On the exhale, activate your core, “zipping up” from pelvic floor to ribcage. On the inhale, lengthen opposite arm and leg while holding the strong core activation. Exhale and return to your starting position, while holding your core engagement. This is called an active core breath. Allow yourself to deepen your core activation with each inhale/exhale. Inhale lengthen, exhale activate. Repeat with precision 15-20 times then switch sides.
Bear Plank to Down Dog
The bear plank to down dog is a dynamic full-body exercise that primarily targets the deep core, including the transverse abdominis, obliques, and rectus abdominis. This helps build stability and support the pelvic floor and spine. Begin in a bear plank, shoulders stacked over wrists and hips stacked over knees. Take a diaphragmatic breath in and as you exhale, lift and wrap your abdominals. On the inhale, lift your hips up and back into down dog, and feel your pelvic floor open and lengthen. On the exhale, lift and wrap your core to activate as you return back to bear plank. Inhale lengthen, exhale activate. Repeat 15-20 times.
Spine Balance
This exercise targets the pelvic floor, lower back, and abdominal muscles. Start on your hands and knees in a tabletop position. Take a diaphragmatic breath inhale, and on the exhale, use your core connection breath by zipping up – pelvic floor, low core, mid core, upper core. As you inhale, extend one arm forward and the opposite leg backward, keeping your back flat and core activated. Hold briefly, return to the start, and repeat. Inhale lengthen, exhale activate. Repeat 15-20 slow and controlled reps on each side.
Glute Bridge March
This movement is a dynamic variation of the traditional glute bridge exercise that targets your glutes, hamstrings, deep core, and pelvic floor by combining stability and single-leg movement. To begin, lie on your back with your knees bent and feet flat on the floor, hip-width apart. Arms should be at your sides, palms facing down. Take a diaphragmatic breath in, and on the exhale, activate your core and glutes as you lift your hips off the ground into a glute bridge position. Your body should form a straight line from shoulders to knees. While maintaining the bridge position, lift your right foot off the floor, bringing your right knee toward your chest (like a slow march). Keep the hips level and stable and try not to let one hip drop. Lower your right foot back to the floor with control. Now lift your left knee toward your chest. Continue alternating legs in a controlled, marching motion. Inhale lengthen, exhale activate. Complete 10-15 reps on each side.
Early Detection Saves Lives. Schedule Your Mammogram Today.
A mammogram is more than just a routine check-up; it's a powerful tool in the fight against breast cancer. By detecting abnormalities early, often before they can be felt, mammograms significantly increase the chances of successful treatment and can ultimately save lives. Prioritizing this screening is one of the most vital steps you can take for your long-term health.
Women ages 35-40: Consider a screening mammogram. Women ages 40+: Annual screening mammogram recommended.
CHI Memorial MaryEllen Locher Breast Center brings state-of-the-art 3D mammography directly to women in the community through its mobile health coaches, in addition to offering screenings at four convenient locations: Chattanooga, Hixson, Ooltewah, and Ringgold.
Schedule your appointment easily by calling (423) 495-4040.
