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• ThermiVa: ThermiVa: Reclaim. Restore. Revive. Reclaim. Restore. Revive. • You You need help...how do you find it? need help...how do you find it? disease in women • Heart Heart disease in women

• Mohs surgery for skin cancer treatment Mohs surgery for skin cancer treatment • Various things contribute to psoriasis flare-ups Various things contribute to psoriasis flare-ups Say goodbye to fat all around with CoolSculpting • Say goodbye to fat all around with CoolSculpting

“I deliver babies, enjoy evaluating patients in the office, and pelvic surgeon. I have the best job on the planet!”

Dr. Sherley S Chealon D. Miller, MD

Sports Medicine And Joint Replacement

Sherley Samuels

High Risk Obstetrics

Mitchel Thacker, DC

Frederick Eric Flynt, MD, FACP



“I thrive on the opportunity to form relationships with patients and be integral part of their family planning and beyond…” Dr. Jessie Bender

Stephanie Gordon, MD

Gynecology-Robotic SurgeryUrogynecology

Women Caring for Women

Covington Women’s Health Speci

Dione Marcus Super, MD


Jane Tan, MD

Samira Brown, MD



Obstetrics and Gynecology 770-385-8954

4181 Hospital Drive NE, Suite 104 and 101, Covington, GA 30014

5154 Cook Street NE, Covi

“I promote health and diagnose diseases early so moms, si daughters can be with their families for many years.” David Rabin, MD


Brett Rosenberg, MD

Orthopedic Surgery

John E. Moore, MD, FACS


Meridith Johnson Farrow, MD, FACOG


Dr. Meridith

“Variety is the spice of life! Building long term relationships with my patients during all the stages of their lives energizes me!” Dr. Michelle White Rachel Prosper, MD


Trent Rice, MD


Michelle L. Juneau, MD


G. Wayne Newman, Jr, DPM

Foot & Ankle Surgery

INDEX ASSISTED LIVING Oaks at Ashton Hills 10050 Eagles Drive Covington, GA 30014 770-886-4600 CARDIOLOGY Atlanta Cardiac & Thoracic Surgical Associates Shady M. Eldaif, MD John E. Moore, MD, FACS 1366 Wellbrook Circle NE Suite B Conyers, GA 30012 404-252-9063 CHIROPRACTIC Thacker Chiropractic Mitchel Thacker, DC Steven Thacker, DC Alexis Smith, DC 1927 Hwy. 138, Suite 500 Conyers, GA 30013 770-860-8333 DERMATOLOGY Dermatology Consultants PC Michelle Juneau, MD Elise Barnett, MD Emily de Golian, MD Kate Kaufman, PA-C Rob Whiddon, PA-C 4151 Hospital Drive Covington, GA 30014 770-784-0343 Georgia Dermatology of Conyers John Fountain, MD Allen Filstein, MD Darryl Hodson, MD Jason Arnold, MD Katharine Simmon, PA-C 1349 Milstead Rd Conyers, GA 30012 770-785-7546 Super Dermatology Dione Marcus Super, MD 1364 Wellbrook Circle NE Conyers, GA 30012 770-285-3533

HELPING YOU MAKE THE BEST CHOICE IN HEALTH CARE FAMILY PRACTICE Eagles Landing Family Practice 1101 Nor Tec Dr. SE Conyers, GA 678-374-7514 50 Kelly Rd. Ste 200 McDonough, GA 770-957-1887 65 Old Jackson Rd. McDonough, GA 678-490-0080 2200 Hwy 155 N Ste 100 McDonough, GA 678-490-0341 1240 Eagles Landing Pkwy Ste 110 Stockbridge, GA 770-389-3855 211 Fairview Road Ellenwood, GA 30294 678-289-6747 1058 Bear Creek Blvd. Hampton, GA 30228 770-707-0808 3758 Hwy. 42 South Locust Grove, GA 30248 678-561-9430 Image Center 1100 Hospital Drive Stockbridge, GA 30281 678-432-6161 Sleep Center 2200 Hwy. 155 North Suite 110 McDonough, GA 30252 770-898-3003 GASTROENTEROLOGY Atlanta Gastroenterology Paresh P. Kamat, MD Barry Levitt, MD Mahmoud B. Barrie, MD David Rabin, MD Nader Dbouk, MD 1501 Milstead Road Suite 120 Conyers, GA 30012 678-745-3033

HEMATOLOGY/ONCOLOGY University Cancer & Blood Center Frederick Eric Flynt, MD, FACP 10155 Eagle Drive Covington, GA 30014 706-353-2990 2151-B West Spring St. Suite 200 Monroe, GA 30655 770-267-0724 HOSPICE Abbey Hospice 215 Azalea Court Social Circle, GA 30025 770-464-5858 OR Toll free 1-866-252-2239 OBSTETRICS/GYNECOLOGY/ UROGYNECOLOGY Covington Women's Health Specialists Cathy T. Larrimore, MD Sherley Samuels, MD Jessie Bender, MD Michelle White, MD Meridith Johnson Farrow, MD Rhonda Cook, APRN MSN 4181 Hospital Dr. NE Suite 101 & 104 Covington, GA 30014 5154 Cook Street Covington, GA 30014 770-385-8954 New Beginnings Comprehensive Women's Health Care Veronica Garrett, MD FACOG Naomi Harris, MD FACOG Kathrine Young, MD, Shannon Mayfield, CNM Kristina Carmain, CNM, WHNP Rachel Prosper, MD 1415 Milstead Rd. NE Suite A Conyers, GA 30012 678-413-0858

ORTHOPEDIC/SPORTS MEDICINE/REHABILITATION Athens Orthopedic Clinic Mason Florence, MD Brett Rosenberg, MD Juri Van Der Heijden, MMSC-RA 5303 Adams St. NE Covington, GA 770-554-5009 Resurgens Orthopedic Roderica E. Cottrell, MD Robert T. Greenfield, III, MD Chealon D. Miller, MD Jane S. Tan, MD Stephenson Ikpe, Jr., MD 3211 Iris Drive Covington, GA 30016 770-787-4042 PEDIATRICS Piedmont Physician's Pediatrics of Covington Samira L. Brown, MD 7143 Turner Lake Rd. NW Covington, GA 30014 770-784-3980 PHARMACY Ingles Pharmacy 2455 Salem Rd. SE Conyers, GA 30013 770-922-3507 PODIATRY Associated Foot & Ankle Specialists G. Wayne Newman, Jr., DPM Zachary G. Farley, DPM, AACFAS 1567 Milstead Road, Suite A Conyers, GA 30012 770-483-2291

The Women’s Center, PC Stephanie Gordon, MD Trent Rice, MD 2750 Owens Drive Conyers, GA 30012 678-413-4644 140 Eagles Spring Court Stockbridge, GA 30281 770-302-0878


According to Matthew

In order to obtain that comprehensive

medicine physician with

check your vitals, such as your weight, your blood

Piedmont Physicians at

pressure, your pulse and listen to your lungs and

FEBRUARY | WINTER EDITIONMote, D.O., a familyROCKDALE/NEWTON CITIZEN PHYSICIANS understanding of your health, your physician will GUIDE


Newton Drive, having an

heart. Your doctor will order lab work to get your

annual physical may be

cholesterol and triglyceride levels, as well as your

one of the most important

sodium levels, and your complete blood count.

Piedmont Healthcare Offers Online Scheduling for Patients’ Ease things you will ever do for

your health.

When you don’t feel well, you want to do everything you can to start feeling better as soon as possible. Scheduling an appointment with a doctor used to require reaching someone in the office by phone during office hours, making the appointment in-person or walking into the office and hoping for the best. Now, Piedmont Healthcare patients can book an appointment with their doctor or at Piedmont Urgent Care by WellStreet as easily as they can book a restaurant reservation or hotel room. Patients are now able to schedule appointments with all of Piedmont’s employed physicians in Newton and Rockdale Counties, at the Piedmont Urgent Care by WellStreet in Covington, and Piedmont QuickCare locations throughout metro Atlanta. In a survey of more than 1,000 participants conducted by the Piedmont

Matthew Mote, D.O.

In addition to the physical tests, your physician

will also ask you questions about your health. “Having your annual physical is similar to having your car tuned up every 30,000 miles,” says Dr. Mote. “We have a ‘checklist’ of items that we are testing such as cholesterol, blood pressure,

were in the “somewhat satisfied” or “extremely satisfied” categories with whether you drink or smoke. They will also the process. He or she will ask about your eating habits and

ask questions to determine your fall risk, and

questions to assess your risk for depression.

Piedmont Healthcare became the first to scheduling in sooner 2014, and makgetting a full picture of your health.” areoffer able toonline detect irregularities much even reverse some for health issues,” says Mote. care. ing it easier patients to Dr. receive Consistently having your annual physical allows Since expanding the program in 2018, your doctor to become familiar with you and Annual physicals are covered by insurance patients have scheduled nearly 13,000 companies at little to no cost to the patient. helps him or her to develop a baseline for your appointments per month, one of the health. largest totals for any healthcare sysScheduling an annual physical with a Piedmont tem in the United States. By using the physician is now easier than ever. To schedule “Many people in their twenties and thirties don’t MyChart patient portal, the Piedmont an annual physical with Dr. Mote or any of the think about starting to get annual physicals. They Healthcare website (piedmont.org) or physicians in our Newton Drive office, please visit are young and, usually, healthy,” says Dr. Mote. the Piedmont Now app on their mobile piedmont.org to book your appointment online. “Actually, this is a great time for them to start devices, patients can book appointseeing a doctor for an annual physical because itof Advisors Group nearly one-third ments with Piedmont’s physicians and allows the physician to develop a reference point respondents said they had scheduled all Piedmont Urgent Care and Piedmont for their overall health.” an appointment with a Piedmont proQuickCare at Walgreens locations. vider online. Among those who had used online scheduling, more than 90 percent of respondents said that it was easy to schedule their appointment online and 83 percent said they ©2018 Piedmont Healthcare 07933-1018 diabetes, as well as examining your lungs, eyes,

ears and your heart. We want to make sure we are

major healthcare system in Georgia “When you are proactive about your health, you


Care is just a click away.


Go online and book with ease. piedmont.org/booktoday

You can also schedule your next appointment via MyChart or the Piedmont Now app





ermiVa Reclaim. Restore. Revive. Worldwide, women want to reclaim their younger “pre-baby” bodies, restore their satisfaction, and revive their relationships.


new feminine rejuvenation system, called ThermiVa, is • Stress incontinence: reduces accidents and leakage and possibly even reduces urge symptoms, helping women avoid offering women a bold option for improving their lives and the need for mesh slings in their vagina. boosting their self-esteem. This radically simple, nonsurgical solution is helping women reclaim the confidence • Orgasmic dysfunction: increases sexual sensitivity and and aesthetics of their youth, in spite of multiple child births, produces more coordinated, stronger muscular contractions, strenuous vaginal childbirth, or the effects of menopause. enabling women to achieve orgasm in a shorter period of time. Vaginal laxity, dryness and genital irritation can range from a slight annoyance for these women to imposing a major barrier What's more, ThermiVa does all this without surgery or the to enjoyment of a satisfying quality of life, particularly sexually. associated recovery time. How ThermiVa Works

With ThermiVa, women can alleviate:

• Vaginal laxity: tightens the vagina at the opening and along ThermiVa is a painless, noninvasive, in-office treatment which the full length of the vagina, noticeably heightening sensation requires no downtime for women. ThermiVa treatments deliver controlled thermal energy to gently heat the labial and vaginal for both the patient and partner. areas. A small, single-use wand directs heat deep into tissues • Vulvar laxity: tightens labial tissues and reduces sag, resulting to encourage the natural production of collagen and shrink in softer, smoother skin and greater comfort in tight clothing. tissues. Most patients find the heat level quite comfortable similar to a hot stone massage treatment - and there's no need • Vaginal dryness: adds softer, thicker skin and more moisture for anesthesia, numbing shots or creams. Total treatment time both internally and externally, making daily life, as well as is less than 30 minutes, and women are able to resume all sexual intercourse, more comfortable, without the use of activities—including sexual intercourse—immediately after lubricants. treatment.

ThermiVa treatments use radiofrequency energy to gently heat tissue, WITHOUT discomfort or downtime.

Is ermiVa right for you? Schedule a consultation with a physician at e Women’s Center today, at either the Stockbridge office 770-302-0878 or the Conyers office 678-413-4644. ey’ll help you determine your best option for feminine rejuvenation and discuss how this groundbreaking procedure can help you achieve your goals for a happier more confident life.







Urogynecology and Gynecological Services

Dr. Stephanie Gordon

Dr. Trent Rice

• Well Women Health Care and Comprehensive Annual Exams • Pap Smears, Breast Exams, and In-office Ultrasounds • Full range of Contraception Options • Menopausal Management – Traditional and Alternative • Adolescent and Pediatric Gynecology • Infertility Workups • Hormone Replacement Therapy including pellets ($175) and compounded medicines • Bladder Problems — Unwanted Urine or Bowel Leakage • Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder and Bowel Leakage — Abnormal Bleeding and Ovarian Cysts • Osteoporosis Screening and Treatment • Screening for Sexually Transmitted Diseases For all of the information you need about our office visit us online at


Kimberly Mathis, NP

Maria Epling, NP

Katisha Patterson, NP

STOCKBRIDGE 770-302-0878

CONYERS 678-413-4644

Providing individualized care for women at every stage in life. MOST MAJOR MEDICAL INSURANCE ACCEPTED





Various things contribute to psoriasis flare-ups


soriasis is a chronic skin condition blamed on an improperly functioning immune system. The body may detect a perceived anomaly and attack itself. When a person is suffering from psoriasis, his or her skin cells are produced at an accelerated rate, resulting in red, raised and scaly patches on the skin known as plaques. Plaques are well-defined and typically appear on the scalp, lower back, face, palms, and soles of feet. About one-third of people with psoriasis have a family member with the disease. Studies show the emotional and social effects of psoriasis are more significant for women than men, but both can be affected negatively by symptoms. There is no cure for psoriasis, and some people are affected more severely than others. In addition, certain factors can aggravate psoriasis and lead to flareups. Understanding these triggers may help those affected by the disease better manage their symptoms. Although some of these triggers are not backed up by firm scientific evidence, many people with psoriasis attest to their accuracy.

• Overexposure to sunlight:

Exposure to sunlight and other forms of ultraviolet rays can be beneficial in reducing symptoms of psoriasis, and some dermatologists may even prescribe UV treatment. However, overexposure to the sun can worsen symptoms, particularly if men and women get a sunburn.

• Stress:

Doctors don’t know exactly why, but psoriasis and stress seem to be linked. As stress escalates, flare-ups of psoriasis may become more common. In turn, flare-ups can lead to additional stress. Finding ways to reduce stress may result in clearer skin. Deep breathing, yoga and meditation may help alleviate stress.

• Hot water:

Bathing or washing in very hot water can worsen symptoms of psoriasis. Use lukewarm water and a moisturizing soap. Some dermatologists recommend colloidal oatmeal or Epsom salts in a bath to soften skin, relieve itching and help slough off scaly patches. Additionally, avoid situations that will lead to dry skin, such as exposure to hot or cold weather. Use moisturizer and reapply as needed.

• Infections:

After a bout of strep throat or an ear infection, people with psoriasis may find their condition takes a turn for the worse. Thought doctors don’t quite understand why, certain infections and medications to treat those conditions can cause psoriasis to act up. Discuss your psoriasis with your physician before taking any medication.

• Hormones:

Women may find that hormonal changes trigger their psoriasis. Research isn’t clear as the connection between psoriasis and hormones, but doctors do know that pregnancy and menopause

can cause psoriasis to worsen or even appear for the first time. Others find that an increase or decrease in estrogen levels improves their psoriasis symptoms. But symptoms are unique, and psoriasis outbreaks need to be evaluated on a personto-person basis. Psoriasis is the most prevalent autoimmune condition in the United States, affecting as many as 7.5 million Americans according to recent studies. Certain behaviors, foods and skin care treatments can affect the severity and frequency of psoriasis flare-ups.

New Practice... Same Superior Skin Care Dione Marcus Super, M.D. Board Certified Dermatologist

Serving Rockdale/Newton and surrounding areas for over 10 years

PROVIDING SUPER SKIN CARE FOR ALL AGES • Skin Cancer Detection and Treatment • Evaluation and Treatment of Skin Disorders • Surgical and Cosmetic Procedures


Accepting New Patients! Call today to schedule your appointment 770-285-3533

Now Open!

1364 Wellbrook Circle NE Conyers, GA 30012 www.superdermatology.com





Stepping out against heel pain If you suffer foot or heel pain, you may have plantar fasciitis, a condition that affects more than 40 million people every year.

to the ball of the foot. The ligament is essential to foot movement and creates tension to maintain the arch of the foot.

It’s the result of the tearing or inflammation of the plantar fascia, a ligament that runs from the heel

CAUSES AND SYMPTOMS “Plantar fasciitis is caused by a degenerative tear of the fascia, which

is a tough ligament-like tissue on the sole of the foot. It is more likely to occur in women and in overweight people. Overuse, such as repetitive exercise can cause symptoms. People with poor flexibility in the calf and hamstrings are predisposed to the problem,” said Dr. Ralph Buschbacher.

Symptoms include a burning, stabbing or aching pain in the heel. Patients often feel intense heel pain when getting out of bed and with the first steps in the morning. TREATMENT Patients with plantar fasciitis are often asked to wear orthotics to maintain the foot in a therapeutic position and help prevent injury. Prior to surgery other treatment options include physical therapy, injections, laser therapy and cast immobilization. Ninety-five percent of the time conservative care renders patient pain free. If you suffer from heel pain give us a call.

Neuroma’s are normally between the 3rd & 4th toes.

Same or next day appointments available


WALK AWAY FROM FOOT & ANKLE PAIN! Dr. G. G. Wayne Wayne Newman, Newman, Jr.* Dr. Jr.* •• Dr. Dr. Zachary Zachary G. G. Farley Farley Board Certified, Certified, American American Board ** Board Board of of Foot Foot & & Ankle Ankle Surgery Surgery * Fellow, American College of Foot & Ankle Surgeons * Fellow, American College of Foot & Ankle Surgeons

In your your lifetime, lifetime, you’ll you’ll walk walk aa distance distance averaging In averaging three three trips around the earth. Some of the shoes trips around the earth. Some of the shoes we we wear wear while while doing this this walking walking often often submit submit our our feet feet to to nothing doing nothing short short of anguish. With demands like these put on of anguish. With demands like these put on our our feet feet day day after day, it’s only natural that we occasionally experience after day, it’s only natural that we occasionally experience some sort sort of of foot foot or or ankle ankle problem. problem. In In each each of some of these these cases, cases, ignoring the problem could be an invitation to greater ignoring the problem could be an invitation to greater pain pain or additional additional complications. complications. Call Call today today to or to schedule schedule an an appointment and discuss treatment options. appointment and discuss treatment options.

582534-1 XNSP6229

1567 Milstead Milstead Road, Road, 1567 Suite A, Conyers, GA Suite A, Conyers, GA Same or next day Same or next day appointments available appointments available

770-483-2291 770-483-2291

www.associatedfootandankle.com www.associatedfootandankle.com THE 21,3,2018 • 13 THE CITIZEN CITIZEN •• PHYSICIANS PHYSICIANS GUIDE GUIDE••SUNDAY, SUNDAY,OCTOBER FEBRUARY 2019 •7




Georgia family opens newest senior living community in Covington



elson Salabarria Sr. once found himself in the same spot many baby boomers find themselves today.

He was faced with the difficult decision on how to care for his frail and aging mother who had developed Alzheimer’s disease. While living in Florida at the time, where there has long been a large elderly population, Salabarria said his options were few. He could either place her in a nursing home or a small personal care home with limited security for patients who wander. The dilemma inspired Salabarria to dream about building a community where, as he put it, “seniors could live with dignity and respect.” A real estate developer, Salabarria moved to Georgia and following his retirement, he was ready to make his dream a reality. He asked his son Alex to leave Florida and move to Atlanta where Alex’s brothers and sisters lived and where the family would begin to change the landscape of senior living. When the Oaks at Ashton Hills opened in Covington last Fall it was the latest senior living property the Salabarria family has opened in Georgia.

Located adjacent to Ashton Hills Golf Club and near Piedmont Newton Hospital, Oaks at Ashton Hills is a senior assisted living and memory care community. In the past two decades, the family has opened Oaks communities in Woodstock, Canton, Cumming, Pooler, Hoschton, Leesburg, Brunswick, Dublin and Columbus. The Covington property features the latest state-of-the art amenities and services to help seniors maintain their independent lifestyle. With oneand two-bedroom apartments there are also studio apartments and Horizon apartments that offer a different design for the one-bedroom layout. Nelson’s son Alex is now chief executive officer of the company, which opened its first senior living community in 1998 in Woodstock. Alex’s step-daughter, Therese Boutwell is community relations director for the company and said the Salabarrias’ senior living communities are noted for their commitment to focusing on a person-centered lifestyle. Such a concept moves away from an overly structured approach to allow a lifestyle that encourages independence and personal choice for the unique needs and desires of each resident. “We strive to get to know them


to the point that when they wake up in the morning, we know what they like for breakfast and we know what time they wake up,” Boutwell said of the residents. “We have anytime dining. For residents who wake up at 10 a.m., we make sure they have breakfast provided for them fresh. Our activities programming is huge.” Oaks at Ashton Hills has space for 86 residents. It offers such amenities as 24-hour access to staff with stateof-the-art emergency call and smoke and fire systems; assistance with activities of daily living, including bathing, grooming, dressing and eating; three nutritious meals and two snacks daily; housekeeping and laundry services; dental and podiatrist services; private studio apartments with all utilities (excluding phone and cable); free Wi-Fi; scheduled transportation to shopping and banking; social, educational, spiritual and recreational programs; medication supervision and reminders and regular monitoring for general health and well-being, including blood pressure, weight and nutritional status checks with quarterly reports to family. Through its partnership with Genesis Rehabilitation, residents are able to get on-site physical, occupational and speech therapy services. Amedisys

Home Health Care offers members of the community its full range of services. Oaks communities provide memory care programs as well as respite care, which is temporary care available when family caregivers need short-term breaks. Family is important to the Salabarrias—their own and the many families they serve in their senior assisted living communities. Alex’s brother Nelson Salabarria and brother-in-law Doug Shook joined him in the family business a number of years ago. Nelson is chief financial officer and Shook is president of acquisitions, construction and development. “I learned many years ago that the key to success is to surround yourself with great people and to create a culture of family, love and compassion,” Alex Salabarria said. “One of the largest blessings we have is the people in our organization. Our Lord has blessed my family with the opportunity to care for seniors and we do not take it lightly. It is not just a job, business or career. It has become a moral passion and a way to give back by helping His children here on Earth.” For more information on the Oaks at Ashton Hills, visit www.oaksseniorliving.com.

Now Open

Come by for a Tour


Heart disease is the leading cause of death for women in our country. All women—including African Americans, Hispanics, and whites—are at risk. And most of these deaths are preventable!

Excessive alcohol use can increase your heart disease risk in several ways. Alcohol can cause an increase in your blood pressure and contribute to obesity. While some studies have shown that alcohol consumption in moderation may have some benefit to heart health, studies to confirm this are ongoing.

Our heart and blood vessels make up our cardiovascular system. More than one in three American women are living with some form of heart or cardiovascular disease. This includes many different problems such as heart attacks, strokes, and heart failure.

Prevention is the Key: Take steps to lower your heart disease risk by changing the behavior you can control! -Exercise regularly- 150 minutes of moderate to vigorous exercise weekly is recommended. - If you smoke, stop smoking! - Maintain a healthy body weight-if you are overweight, lose the excess weight.

Am I at Risk? Your age, lifestyle, health conditions and your family history contribute to your risk for cardiovascular disease.

Warning Signs Almost two-thirds (64%) of women who die suddenly of heart or blood vessel disease have no warning symptoms. Even if you feel well, you may still be at risk!

Your lifestyle includes whether you exercise or sit often, whether you drink alcohol or not, and whether or not you smoke. The choices you make will have a large impact on your health. Risk Factors for Heart Disease -Lack of exercise -Smoking -Being overweight -Poor diet -High blood pressure -Elevated LDL (bad cholesterol) -Family history of heart disease -Excessive alcohol intake -Diabetes mellitus

Women typically experience different symptoms when having a heart attack than men do. As already mentioned, some women have no symptoms, other women may experience sharp or burning chest pain, frequently while also having pain in the neck, jaw, throat, abdomen or back. Chest pain should never be ignored! Call 911 if you suspect you are having heart symptoms.

4181 Hospital Drive NE, Suite 101 &104, Covington, GA 30014 5154 Cook Street, Covington, GA 30014



-Eat a healthy diet- Fresh/frozen fruits and vegetables, poultry, legumes, nuts, low-fat dairy products whole grains, and adequate amount of water intake. If you choose to eat meat look for the leanest cut meats possible. -Eat less sugar, saturated fats, hydrogenated oils, sodium, and processed foods. - Know your blood pressure; check it routinely at home. See you doctor regularly for BP checks, Cholesterol checks, diabetes evaluation, eye exams. - Take your medications as directed. - Consume alcohol in moderation; this means a one drink/day limit for women. - Control your stresspractice stress relieving techniques.

Written by: Rhonda Cook, APRN, MSN

Covington Women’s Health Specialists



Covington Women’s Health Specialists Rhonda Cook, APRN, MSN

Covington Women’s Health Specialists is dedicated to the future of women’s healthcare. One critical step is teaching students. Rhonda was our student! We recognized her unique talents, and she joined our practice in 2018 after she completed her degree. She is a strong advocate for her patients and their care. Rhonda is truly passionate about making a difference in the lives of her patients with every encounter. The women at Covington Women’s Health Specialists work collaboratively as a team. We share the same interests and passion; We empower women to protect and improve their own health.

Women Caring For Women www.cwhs-larrimore.com 4181 Hospital Drive NE, Suite 101 & 104, Covington, GA 30014 5154 Cook Street, Covington, GA 30014

Sherley C. Samuels, MD, FACOG


Graduate School: Temple University School of Medicine, Philadelphia, PA Residency: Rutgers University, New Jersey Medical School, Newark, NJ Undergraduate: St Francis College, Brooklyn, NY (cum laude)


Family Centered Maternity Care – Normal & High Risk 3D / 4D Ultrasounds Pediatric to Geriatric Gynecological Care Minimally Invasive GYN Surgery Office Hysteroscopy, Colposcopy, LEEP

Dr. Sherley Samuels has a special interest in High Risk Obstetrics; she completed her training at Rutgers University, one of our country’s most rigorous programs. In 2015 her family moved to the area and joined our team at Covington Women’s Health Specialists.




Women Caring for Women


www.cwhs-larrimore.com 4181 Hospital Drive NE, Suite 101 & 104, Covington, GA 30014 5154 Cook Street, Covington, GA 30014

Guess What Day It Is.

Every Wednesday in February 2019 through the end of June 2019 there will be a discount on our 3D ultrasound packages! **call our office for package details**

*Gender ID (15 weeks) $65.00 *Watch Me Grow (28-32 weeks) $130.00





Dr. Steven Thacker and Dr. Mitchel Thacker have been servicing Conyers and the surrounding area for 20+ years. Along with Dr. Alexis Smith, and the rest of our team at Thacker Chiropractic, we are committed to providing the best therapeutic solutions to

address your unique needs, whether you are experiencing back pain, neck pain, headaches, or just muscular tightness and tension. You may be searching for pain relief after an auto accident, experiencing the effects of a sports related injury, or even if you suffer from often difficult to treat conditions like plantar fasciitis, tennis or golfers elbow, rotator cuff (shoulder) pain, or IT band syndrome, we have the latest conservative chiropractic and sports therapeutic options available to develop an effective treatment plan for your specific needs. We may use a variety of approaches including the most effective forms of chiropractic adjustments, therapy modalities such as interferential electrical stimulation, ultrasound, and a variety of advanced soft tissue therapies including:

Active Release Technique is a state of the art soft tissue treatment utilizing light pressure with tension and guided motion to treat restricted areas of movement within muscles, tendons, ligaments, fascia, and release nerve entrapment.


Graston Technique is another soft tissue therapy that incorporates a patented form of instrumentassisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that affect normal function.

The game of golf has reached a point where its participants understand that better fitness, biomechanics and health will improve their chances of playing their best. Interfacing movement analysis, fitness and golf instruction is at the heart of this program to maximize your game. TPI (Titleist Performance Institute) certification ensures today’s golfers that their instructors, fitness and medical professionals are up to date with the latest information on the sport. Pain is often the fire that brings patients into the office for evaluation and treatment, but the location of pain is often not the cause of the problem, just like a fire obvious on the roof, may have started in the basement. Movement deficiencies in one area can lead to overworking or abnormal movement in other areas, leading to chronic recurring pain that seems resistant to treatment. That pain in the shoulder can certainly be an inflamed rotator cuff tendon, but the question should be “what caused that problem to occur in the first place”. The answer is often in an area where normal movement is required for the shoulder to move properly, like the thoracic spine. SFMA allows us to not just treat the area of pain but evaluate for the cause of the pain. Active Release Technique, Graston Technique and Selective Functional Movement Analysis are natural matches in the sports rehabilitation world. In fact, every Titleist sponsored golfer has access to SFMA and ART through the Titleist Performance Institute, and virtually all professional and Olympic teams have the same treatment access. Thacker Chiropractic Clinic is your local portal to the same chiropractic and rehabilitation care that elite athletes benefit from. Call 770-860-8333 or log onto thackerchiropractic.com today and set up your examination to see if we can help you achieve your goals.

Most Insurance Plans Accepted

• Personalized Exercise & Rehabilitation Program • Industry Injury Prevention Programs


Dr. Mitchel Thacker

Board Certified Chiropractic Board Certified Sports Physician Chiropractic Orthopedist

Dr.Alexis Smith Active Release Full Body Certified

1927 Hwy. 138 NE, Suite 500, Conyers, GA


thackerchiropractic.com • facebook.com/ThackerChiro




ORTHOPAEDICS Injuries of the Clavicle and AC joint

strengthening at 6 weeks with a physical therapist.

By Brett Rosenberg, MD Athens Orthopedic Clinic General Orthopedic Surgeon Covington, GA

The clavicle is also known as the collar bone. It attaches to the chest at the sternum and attaches to the rest of the shoulder at the Acromioclavicular Joint (AC joint). These two areas of the shoulder are some of the most common injuries to young active adults, especially manual laborers and athletes. Depending on the mechanism of injury, one will usually suffer a clavicle fracture or an AC sprain (which is sometimes called a shoulder separation). Clavicle fractures are one of, if not the most, common fractures in people. 75-80% will occur in the middle 1/3 of the bone. Both injuries occur with fall onto the shoulder but clavicle fractures can occur with a fall onto outstretched hand How are they diagnosed? Both clavicle fractures and AC sprains can be diagnosed by Xray and






exam. Both can cause an abnormal prominence at the site of injury. The stability of the AC joint is due to ligaments at, and adjacent to the joint, and a fall causes disruption of those ligaments. Muscle pull on the bone causes the deformity. AC separations are differentiated into Grades I-VI with I-III being by far the most common. Grade I is non-displaced and grade III is 100% displaced. Clavicle fractures are usually differentiated into displaced or non-displaced and how much displacement determines treatment. How are they treated? Type I and II and most type III AC sprains are treated non-operatively with good results. We recommend a brief period of sling immobilization, rest, ice and physical therapy to prevent stiffness and accelerate recovery. Although we sometimes






If treated operatively, we need to reconstruct the ligaments after reducing the clavicle to its original location. New techniques allow for this to be done for the most part arthroscopically. With regards to clavicle fractures, if a fracture is non-displaced or is shortened less than 2 cm, we recommend non-operative treatment. We recommend a sling for 2 weeks and then start gentle ROM. Assuming good healing on follow up xray, the patient will start






Recovery after surgery It is similar for both. Patient will wear a sling for 7 – 10 days and start strengthening at 6 weeks. The patient is usually recovered and returned to work by 3 months but I would not recommend contact sports for at least 6 months. Up to 30% will have the plate removed if it irritates them but it is not recommended for at least 6 months.








Mason Florence, MD 582957-1


operate on Type III sprains on some elite athletes or occasionally high demand laborers, most studies indicate there is no guarantee of a better outcome except perhaps improvement cosmetically. I recommend that the patient consider waiting 6 weeks on Type IIIs before they decide they are unhappy and want to proceed with surgery.

Although we rarely operated on clavicle fractures in the past, over the last 10 years multiple studies indicate that if there is greater than 2 cm of displacement or overlap of the bone ends, especially with comminution (multiple fragments), surgery is recommended. This is due to the risk of non-union (not healing). Even if it does heal in poor position, it may lead to decreased shoulder strength and endurance. Open reduction and internal fixation with a titanium plate and screws is the gold standard for repair. A recent article showed that operative fixation is also more cost effective than non-operative treatment.

Brett Rosenberg, MD

Juri Van Der Heijden, MMSc-PA

AthensOrthopedicClinic.com | 5303 Adams St. NE, Covington GA | 770-554-5009





Clinical trials are an essential part of UCBC


our years ago, a group of patients at University Cancer & Blood Center began participating in a clinical trial for an aggressive form of lung cancer that had limited treatment options.The Drug being tested was a new class called immunotherapy, with minimum side effects, administered through IV. But it wasn’t widely available, and a clinical trial was the only way to receive the new treatment.

that same treatment and doing well.

… (and) may go on to become the standard treatment.”

UCBC’s team believes that the more patients know UCBC has been participating in clinical trials for about 20 years. For its about trials, the more they will want to participate. That efforts, UCBC has received the ASCO includes the exceptionally high level of patient monitorClinical Trial Participation Award which ing by UCBC’s doctors and nurses. recognizes quality clinical trial proUCBC is proud to participate in clinical trials. grams across the nation. “They’re the gold standard in treatment options, esUCBC delivers quality care in pa- pecially in oncology,” Hodgson says. “Patients receive tients’ hometown with satellite offices something above and beyond the standard of care.” located throughout northeast Georgia. And, when FDA approval can take a decade or By Dr. Frederick “Eric” Flynt UCBC provides a more personal, nurturMedical Oncologist, University ing environment for patients and family more, it’s paramount that patients can gain access to Cancer & Blood Center than is often found at large academic these cutting-edge therapies earlier by participating in The drug has since then been apa clinical trial. proved by the FDA as it was shown to significantly institutions. This allows patients to receive superior UCBC emphasizes quality of care, with the conveprolong survival in lung cancer and patients at UCBC care without leaving home. nience of location and excellence of research accomgained access to this drug years before it was apWHAT ARE CLINICAL TRIALS? panying a personal approach. proved. “It’s great that we’re able to offer clinical trials like this and provide our patients with the latest and best treatments available,” said Jamie Hodgson, UCBC’s Clinical Research Manager. “It brings access to treatment options they wouldn’t have had otherwise.” And, in this instance, it saves lives. Now, four years after the study began, patients who were once told they had six months or less to live are still receiving

Clinical trials help determine how well a new treatment works and if it’s safe for particular uses such as treating different tumor types, for instance.

“We’re always looking for the new, best thing coming through the system,” Hodgson said. “Here, you’re not just a number. It’s like being cared for by family or a friend.”

The American Cancer Society describes it like this: “A clinical trial is only done when there’s good reason Dr. Flynt serves patients at UCBC’s Covington to believe that the treatment or test being studied may location. He is board certified in Internal Medicine, be better than the one being used now (the standard Hematology and Medical Oncology. Learn more about treatment). Treatments … are often found to be helpful Dr. Flynt at www.UniversityCancer.com.

To heal is to make whole ... and healing is what we do best.

10155 Eagle Drive Covington, Georgia 30014

Frederick Flynt, MD

Phone: (706) 353-2990 or Toll Free 800-892-2806 Office Hours: Wednesday, 8 a.m. - 4 p.m.

University Cancer & Blood Center is one of the leading cancer centers in the Southeast. With cutting-edge cancer treatments, compassionate care and the most promising clinical trials for Covington and the surrounding area. Learn more at www.universitycancer.com or call 800-892-2806 582465-1

Join us on Facebook at www.facebook.com/UniversityCancer

Athens | Covington | Eatonton | Lavonia | Monroe | Toccoa | Winder THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, FEBRUARY 3, 2019 • 15




Say good-bye

to double chins, muffin tops and stubborn fat

with CoolSculpting By Beth Slaughter Sexton Staff Correspondent


he testimonials are impressive. Patients call the doctors at Dermatology Consultants “wonderful,” “knowledgeable,” “professional,” “competent” and even “friends.” Others talk about their 30 and 40 years as patients and how much they trust the doctors whether they are in need of medical attention or aesthetic treatments. For the past 75 years, the boardcertified dermatologists at Dermatology Consultants have been recognized as leaders in research studies, teaching at medical schools, serving on faculty boards, training other dermatologists in medical and cosmetic procedures and authoring articles for medical journals in the field of dermatology. With three locations in the metro Atlanta area, Dermatology Consultants offers a comprehensive approach to a family’s health and aesthetic needs. Doctors provide complete dermatological care of skin, hair and nails, as well as treatments of skin conditions, such as skin cancer, acne, warts, rashes, psoriasis, rosacea, eczema, shingles, spider veins and other skin disorders. In its Buckhead, Marietta and Covington offices, the staff of Dermatology Consultants also provides the most advanced cosmetic procedures, including CoolSculpting, Halo and Kybella. Michelle Juneau, M.D., is one of the doctors based in the Covington office serving the patients at Dermatology Consultants by using the very latest available technology and techniques, such as CoolSculpting, a non-invasive fat reduction treatment. “It is incredibly safe with minimal discomfort,” Dr. Juneau said. “Freezing of the fat causes apoptosis, or cell death of the fat cells. Our patients have had amazing results. We are proud to be Georgia’s most experienced CoolSculpting provider with over 8,500 treatments since the treatment became FDA approved in 2010.”

Dr. Juneau works with patients to evaluate, diagnose and treat skin conditions. She has a range of experience in the field of dermatology and knows what kind of difference treatments such as CoolSculpting can make in the life of a patient. “CoolSculpting can be used to treat problem areas, including the neck, abdomen, arms, thighs, back, buttocks and flank,” Dr. Juneau said. “CoolSculpting is a treatment that has no downtime and patients can resume regular activity immediately post treatment. “...We offer DualSculpting to decrease treatment time and all of our patients are treated with Zwave immediately post treatment to optimize results.” This is one of the few centers in Georgia that offers DualSculpting where two areas can be treated at the same time, thereby reducing overall treatment times. The doctors at Dermatology Consultants utilize BEST, its new center for Body Enhancing Solutions and Technologies to provide an array of treatment options. BEST offers CoolSculpting by Allergan, parent company of Botox, procedure to freeze fat, requiring less time and money than traditional invasive treatment. The CoolSculpting fat-freezing procedure is the only FDA-cleared, non-surgical fat-reduction treatment that uses controlled cooling to reduce stubborn fat that resists all efforts through diet and exercise for those tough-to-tackle


love handles, muffin tops and other unwanted bulges. CoolSculpting is a procedure that uses a precisely controlled cooling method to target, cool and reduce fat cells without damage to neighboring tissue. Among the FDA CoolSculpting procedures available at Dermatology Consultants are the Cool Mini, which treats double chins and the fat above the knees; Cool Curve Plus treats love handles, back fat and banana roll; the Cool Smooth Pro, which treats the outer thighs; Cool Core and Cool Max which treat the abdomen, love handles and back fat and the Cool Fit, which treats the abdomen and inner thighs. The Zwave is an acoustic wave therapy that utilizes pressure waves to increase circulation, collagen production and tissue elasticity. Improves the appearance of skin and decreases appearance of cellulite. Used immediately following CoolSculpting to enhance results. A fully-accredited FDA-approved practice, Dermatology Consultants has been recognized and honored by several accrediting boards, organizations and publications, including being named the “Number 1 CoolSculpting Practice in Atlanta.” Dermatology Consultants has also been nationally recognized as expert injectors. Find out more about Dermatology Consultants, which is located at 4151 Hospital Drive in Covington by calling 770-784-0343.

Where Health Meets Beauty

Rob Whiddon PA-C | Emily de Golian, M.D. | Michelle Juneau, M.D. | Elise Barnett, M.D. | Kate Kaufman, PA-C

Dermatology Consultants delivers excellent dermatological care for the entire family. We utilize our state-of-the-art facility and cutting-edge technology to provide services for our patients in our Covington location. We provide the BEST in medical, surgical & cosmetic dermatology. Our team is led by board-certified dermatologists, fellowship-trained Mohs micrographic and reconstructive surgeons, certified physicians assistants, and laser licensed aestheticians. •Skin cancer screening, treatment and maintenance •Diagnosis and treatment of skin diseases •MOHS Micrographic surgery for skin cancer Injectables & Fillers: Botox Cosmetic, Voluma, Juvéderm XC, Radiesse, Restylane Silk & Lyft,Refyne, Defyne, Vollure, Volbella, Kybella, Dysport, Sculptra Aesthetic, Belotro, Versa, Aqua Gold

Aesthetic Procedures & Services: Chemical Peels, Microdermabrasion, Fractional 1440/1540, IPL Photorejuvenation, P.R.P. for Hair Restoration, Laser Hair Removal, XTRAC® Psoriasis Laser, Isolaz Acne Therapy, Microcurrent, Infini, Vivace, Micro-needling, and a variety of skin care products!

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Lung cancer remains the biggest killer By Dr. John E. Moore Today, lung cancer is the leading cancer killer in both men and women in the United States. In fact, lung cancer kills more people than prostate, colon and pancreatic cancers combined. More women die of lung cancer than die of breast, ovarian, cervical and uterine cancer together. There was an estimated 154,050 Americans expected to die from lung cancer in 2018, which accounts for approximately 25 percent of all cancer deaths. In addition, about 234,030 new cases will be diagnosed, according to the American Cancer Society. The high death rate from cancer is mainly because people are diagnosed in a late stage of the disease, which has often spread to other organs. Lung cancer is hard to detect and does not cause symptoms in its earliest stages. About 85 percent of patients diagnosed with lung cancer will see their doctor with either stage three or stage four of the disease. If you’re experiencing chest pain, unexplained weight loss and new onset of wheezing or coughing up blood, report these to a doctor right away. These problems can often be caused by something other than cancer. But if lung cancer is found early, getting treatment right away may mean a better survival outcome. Discuss any symptoms or health changes with your doctor and follow up on your doctor’s

recommendations for screening, treatment and smoking cessation to ensure you stay cancer free. Recent studies have shown that lung cancer is curable and the survival rate is greater than 90 percent when it is found at one centimeter or less in size and promptly removed. Screening in high risk individuals with low dose radiation CT scans can often be a lifesaving procedure. Medicare and some insurance companies will pay for the low dose radiation CT scans as a screening maneuver. Northside Hospital Cancer Institute offers screening at most of its imaging centers. For more information, call 404-531-4444. There are many factors that can contribute to lung cancer, including exposure to radon gas, secondhand smoke or air pollution, and gene mutations. Although lung cancer can occur in people who have never smoked tobacco, about 80 percent of people diagnosed with lung cancer are former or current smokers. So if you’re a smoker or former smoker, you’re generally at highest risk for developing lung cancer. The average age of someone diagnosed with lung cancer is 70, so it is important to never smoke or, if you are a current smoker, stop smoking to reduce your risk of a lung cancer prognosis. Even if you have been smoking for many years stopping smoking will improve your overall health. Studies have shown that participating in a group smoking cessation program improves your

chances of quitting and remaining a non-smoker. To learn more about Northside’s smoking cessation program, call 404-780-7653. Some evidence suggests that a diet high in fruits and vegetables may help protect against lung cancer in both smokers and non-smokers. But remember, any positive effect of fruits and vegetables on lung cancer risk would be much less than the increased risk from smoking. Remember, lung cancer can be a curable disease. Dr. John E. Moore is a board certified thoracic surgeon with Atlanta Cardiac and Thoracic Surgical Associates and chief of thoracic surgery for Northside Hospital. He is also medical director of the Northside Hospital Cancer Institute Lung Cancer Program. For more information, visit northside.com/lungcancer. 582539-1

AtlantaThoracicSurgery.com 404-252-9063

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3 fun ways families can get fit together


he buddy system is widely used to help men and women get in shape. Friends can encourage their workout partners to get off the couch on days when their motivation might be waning, and partners can return that favor when the roles are reversed. And the benefits of the buddy system are not exclusive to adults, as families can rely on it to make sure moms, dads and kids each get the exercise they need. According to the Centers for Disease Control and Prevention, ongoing exercise can help people of all ages control their weight, improve their mental health and mood and reduce their risk for various diseases, including heart disease and type 2 diabetes. And the benefits may go beyond those normally associated with exercise, particularly for young people. A 2009 analysis of the fitness records of 1.2 million Swedish men born between 1950 and 1976 found that the more exercise they had during adolescence, the more likely they were to be professionally successful as adults.

Getting fit as a family can be easy. The following are just a few ways parents and their children can get in shape together.

1. Start dancing. Dancing isn’t just a fun activity, it’s also a very healthy one. While dancing might often be categorized as a recreational activity, such a categorization overlooks the many health benefits of cutting a rug. Dancing is a great cardiovascular exercise that works multiple parts of the body. Routine cardiovascular exercise has been linked to reduced risk for heart disease and other ailments. In addition, a 2009 study from researchers in South Korea found that hip hop dancing can boost mood and lower stress.

2. Schedule daily exercise time. Parents and their children are as busy as ever, so it makes sense to schedule family exercise time just like you schedule family meals or outings to the museum. Kids

who compete in sports may already get enough physical activity each day. The CDC recommends children participate in at least 60 minutes of physical activity each day, so kids who aren’t playing sports can spend an hour each day sweating alongside mom and dad.

3. Walk after dinner. Families who routinely dine together can delay doing the dishes to walk off their meals. A walk around the neighborhood after dinner provides solid family

time, but it’s also a great way to stay healthy. A 2017 study from researchers at the University of Warwick that was published in the International Journal of Obesity found that people who took 15,000 or more steps each day tended to have healthy body mass indexes, or BMIs. That’s an important benefit, as an unhealthy BMI is often a characteristic of obesity. Getting fit as a family can be fun and pay long-term dividends for parents and children alike.

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Don’t miss a beat regarding women’s heart health


eart disease might be seen as something that predominantly affects men, but women are not immune to this potentially deadly condition. In fact, doctors and healthcare professionals advise women to take serious heed of heart disease, which claims more female lives than breast cancer, other cancers, respiratory disease, and Alzheimer’s disease combined. The American Heart Association indicates that more women are now aware that heart disease is the leading cause of death among females than they were 20 years ago. While just 30 percent of women recognized that in 1997, that figure had risen to 56 percent by 2012. However, the AHA reports that only 42 percent of women aged 35 and older are concerned about heart disease. Initiatives like Go Red for Women in February help shed light on the threat posed by heart disease.

are not like the stereotypical clutching of the chest that men experience. Heart disease symptoms in women can include upper back pain, chest discomfort, heartburn, extreme fatigue, nausea, and shortness of breath. • Even fit women can be affected by heart disease. Inherent risk factors, such as high cholesterol, can counteract healthy habits.

Women are urged to take various steps to reduce their risk of heart disease: • Lose weight • Engage in regular physical activity

Here are some facts to consider.

• Quit smoking

• Roughly one female death per minute is attributed to heart disease.

• Keep alcohol consumption to a minimum

• Heart disease affects women of all ages. In fact, the AHA says that the combination of smoking and birth control pills can increase heart disease risk in younger women by 20 percent.

• Get cholesterol and blood pressure checked regularly

• Mercy Health System says about 5.8 percent of all white women, 7.6 percent of black women, and 5.6 percent of Mexican American women have coronary heart disease.

• Control diabetes

• According to the Centers for Disease Control and Prevention, almost two-thirds of women who die suddenly of coronary heart disease have no previous symptoms. • When symptoms are present in women, they

• Make healthy food choices • Lower stress levels

Taking charge of factors they can control can help women improve their overall health and lower their risk for heart disease. Women also should speak with their doctors about heart disease. Learn more at www.goredforwomen.org.




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Hand numbness — is it carpal tunnel syndrome? E

veryone has had occasions when their hands have “fallen asleep” –it usually happens if someone has been laying on it wrong or something got wrapped around it too tight. However, prolonged or recurrent numbness is not normal. There are many things that can cause persistent numbness in the hands: a pinched nerve in the neck; neuropathy related to diabetes, vitamin deficiency, or certain drugs; stroke; neurologic diseases; heart attack (particularly in women and diabetic patients); nerve injury; excessive swelling; or carpal or cubital tunnel syndrome. Carpal tunnel syndrome is one of the most common causes of numbness in the hand. It can affect both men and women, especially as people get older, but tends to be more common in women. Despite popular perception, there has been no evidence that carpal tunnel syndrome is caused by repetitive motion at work, although, once one develops carpal tunnel syndrome, prolonged positioning of the wrist in a bent position can exacerbate the symptoms. In fact, the standard carpal tunnel patient is a middle aged housewife. It is caused by pressure on a nerve that runs

through a tunnel in the wrist to reach the hand. Carpal tunnel syndrome can be commonly seen in pregnancy, due to fluid retention causing swelling around the nerve. Symptoms often include numbness in the hand, often with an accompanying ache. The numbness may range from just abnormal sensation at the fingers, to pins and needles, to dense numbness with inability to feel objects. It can be intermittent or constant, but is usually worse at night. Frequent complaints include nighttime awakenings or waking in the morning with the hands numb. It can be worsened with daily activities which require holding the hand in certain positions for prolonged periods of time, including driving, talking on a phone, doing one’s hair. More severe symptoms include constant numbness, clumsiness, weakness, or even visible muscle loss. These are more concerning signs, and should prompt one to seek medical attention. Simple treatments for milder cases involve obtaining a wrist brace that keeps the wrist from bending. This should be worn at night, although it can be worn during the day as well.


If this fails to relieve symptoms after several weeks, or if you have any of the concerning symptoms noted above, seek medical attention. Your physician may perform a clinical exam or run some tests to help determine if this is indeed a carpal tunnel syndrome. Most carpal tunnel syndromes are reversible; however, waiting until the condition is severe may result in permanent, irreversible nerve damage. The surgical treatment for carpal tunnel syndrome is a small, quick procedure, which can be easily performed at an outpatient surgical center. It has a high success rate and high patient satisfaction. Dr. Jane Tan is a Board Certified orthopaedic surgeon with subspecialization in hand surgery. She performs multiple carpal tunnel release and other hand surgery procedures every week at the Resurgens East Ambulatory Surgery Center, conveniently located between Covington and Conyers. Call Resurgens Orthopaedics at 770-787-4042 to schedule an appointment today.

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YOU NEED HELP…..how do you find it? By Helen Graves, RN, MSN Director of Clinical Services Abbey Hospice

away due to inability to pay.

Do you have a loved one that is declining due to an illness(es)? Are they tired of going back and forth to the hospital? Have they been told that there are no more treatment options to cure them? Are they desiring comfort measures and support at home? If the answers to these questions are ”YES”, then hospice care may be the right choice to meet the current needs of all. Medical oversight, including skilled nursing visits, hygiene care, emotional and spiritual support, medications, incontinent supplies, gloves, oxygen, hospital bed are some of the services offered by the hospice benefit. And all of these services are reimbursed 100% by Medicare and Medicaid as well as most private insurance companies. Hospice should never turn a patient

All of this sounds wonderful and appears to meet your needs but how do you tap into the hospice benefit? There are a couple of ways to explore the hospice benefit. One way to pursue hospice services is to directly contact the patient’s physician and discuss the needs of your loved one. A second option is to directly contact a hospice of your choice and inquire about hospice services. A hospice representative can help answer questions and review your needs and how they can be met by the hospice team. They can also offer to contact the physi-


cian to review your case. If the physician deems your loved one to have a life limiting condition of 6 months or less then an order for hospice is

So now you and the physician have determined hospice is the right choice for your loved one. The next step in pursuing hospice services is to speak directly with the hospice of your choice. Either the patient/ family or the physician staff may contact hospice. The hospice admissions team will schedule a time to meet with you in your home to explain the hospice philosophy and services. Once hospice services are

agreed upon the patients’ plan of care will be established and services will begin. Hospice staff will schedule regular visits to promote comfort and support for all. Medications will be monitored and adjusted as necessary for symptom management. Medications will also be delivered to the home. As patient needs change so does the hospice services offered. The hospice journey does not end when your loved one dies. Bereavement services are offered and continue for 13 months. Individual and group support opportunities are offered. If you or a loved one need help, help is just a phone call away. To inquire how hospice can make a difference for you please call Abbey, your community hospice provider, at 770-464-5858 for more information. We cover Walton, Newton, Rockdale and surrounding counties. 582546-1

Abbey Hospice’s 13-bed inpatient unit is located in the heart of Walton County. We provide hospice services to surrounding areas up to a 50-mile radius, including Newton, Rockdale, Morgan, and Jasper counties. GA License#: 107-151-H Medicare Provider#: 11-1530

215 Azalea Court

Social Circle, GA 30025







Mohs Surgery for the Treatment of Skin Cancer An estimated two million new cases of skin cancer in the U.S. are projected each year. The most common skin cancers are basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. With early detection and treatment, skin cancer is highly curable. Skin cancer is easily diagnosed with a skin biopsy. There are different treatment options for skin cancer including excisional surgery, cryosurgery (freezing), electro surgery (burning), radiation, prescription medications, and the specialized surgical technique of Mohs Micrographic Surgery. The Mohs surgery procedure has proven to be up to 99 percent effective for basal cell carcinoma and Squamous cell carcinoma, the most common types of skin cancer. Mohs surgery, developed in

1938 by Dr. Frederic E. Mohs, is microscopically controlled surgery that involves the complete evaluation of the surgical margins for skin cancer removal. Mohs surgery is typically an office based procedure performed safely under local anesthesia. During Mohs surgery, the skin cancer is removed layer by layer and the tissue is processed at an on-site laboratory. The tissue slides are examined by the Mohs surgeon who performs the pathology services, all while the patient remains in the office. If more cancer remains, the Mohs surgeon removes more tissue



precisely from only the area with remaining cancer and this additional layer of tissue is processed and microscopically examined. This process continues until all of the cancerous tissue is removed. After Mohs surgery confirms that all of the skin cancer has been removed, the surgical defect is immediately ready for repair. There are several options for repair that include allowing the wound to heal on its own or surgically repairing the defect. Of the many treatment options for skin cancer, Mohs surgery is considered the “Gold Standard”

because it offers the highest potential cure rate (99 percent for basal cell carcinoma and squamous cell carcinoma) and it offers superior cosmetic results by leaving healthy tissue intact. Mohs surgery is a highly effective advanced technique for the treatment of skin cancer that provides the patients with quick resolution, rapid recovery, and peace of mind. Dr. John Fountain, Dr. Darryl Hodson, Dr. Allen Filstein, Dr. Jason Arnold and Katharine Simmon, PA-C at Georgia Dermatology offer general and surgical dermatology needs to you and your family. Call the office today at 770785-SKIN (7546) to schedule an appointment or visit the website at GaDerm.com for more information.



How to make your favorite foods healthier


fter the whirlwind of the holiday season, the season of resolutions takes over. Many people to resolve to live healthier, and they may not have to give up their favorite foods to do so. Research from the National Institutes of Health suggests American adults between the ages of 18 and 49 gain an average of one to two pounds every year. Grazing and overeating tends to increase when the weather cools down. A 2005 study published in the New England Journal of Medicine found that, in the fall, people tend to consume more calories, total fat and saturated fat. In the spring, people seem to prefer more carbohydrates. In addition, less powerful sunshine in winter coupled with people bundling up translates into less vitamin D being absorbed by the body. Some researchers believe there is a link between vitamin D deficiency and weight gain as well.

• Fry with care. Use healthy oils like olive or coconut sparingly.

To ensure that certain foods do not sabotage healthy eating plans, people can employ some easy modifications and make healthier versions of the foods they like to eat.

• Replace meat with leaner forms of protein. Lean chicken,

• Choose crunchy foods. Those who are prone to snacking can reach for noisy foods. These include crunchy items like apples, carrots and pretzels. Scientists say that when people listen to what they are chewing — called the “crunch effect” — they eat less of that item.

• Tone down the cream. Delicious dishes like fettuccine alfredo typically are made with lots of butter and cream. Replace cream sauces with a healthier base made of low-fat milk thickened with flour. Increase the flavor with favorite spices.

Many foods that are traditionally fried also can be lightly coated with cooking spray and baked for a crunchy texture.

• Choose sodium-free seasonings. The USCA recommends limiting sodium to less than 1 teaspoon of salt per day. Try options like fresh herbs or lemon juice to add some sodium-free flavor.

• Increase fiber content. Fiber helps one feel fuller longer and can also be helpful for digestion and heart health. Choose the “brown” varieties of rice, pasta and breads.

turkey and pork can replace red meats in many recipes. Some traditional meat dishes, such as burgers, also can be modified using vegetables or seafood. Lean meats dry out quickly, so keep foods moist by watching cooking times.

• Stock up on yogurt. Greek and other varieties of yogurt can replace sour cream and mayonnaise in many dishes. Resolving to eat healthier can be easy by making some simple swaps when preparing your favorite foods. THE CITIZEN • PHYSICIANS GUIDE • SUNDAY, FEBRUARY 3, 2019 • 25




Primary care for the whole you. Better care, at your convenience. (770) 268-4825






We’ve got you covered!


On-Site Licensed Pharmacists • Open 7 Days a Week Prescriptions Filled While You Shop • In-Store Vaccinations • On-Line Ordering Use Your Advantage Card at the Ingles Pharmacy Counter to Fuel Points Accepts Most Insurance



Profile for The Citizen Special Section

Spring 2019 Physicians Guide  

Spring 2019 Physicians Guide  


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