Healthy in Newton Summer 2015

SUMMER 2015

Summer Grilling‌ IS IT SAFE?

Vitamin D May Decrease Autism Risk Living Life TOO LOUD!

Our Emergency Department is an accredited Chest Pain Center.

At Rockdale Medical Center our highly skilled emergency physicians, cardiologists and nursing teams are providing a higher level of expertise for treating heart attack symptoms.

At Rockdale Medical Center, our purpose in life is to Save Yours.

1412 Milstead Avenue Conyers, GA 30012 1-800-424-DOCS(3627) www.rockdalemedicalcenter.com 2 HEALTHY IN NEWTON | SUMMER 2015

The magazine that reflects the healthy lifestyles of the residents of the Newton County area and beyond.

VOLUME 2, NO. 6, SUMMER 2015

Publisher: T. Pat Cavanaugh Editor: Michelle Kim Comptroller: Debbie Thompson Sales Director: Annette Godwin Graphics/Layout Design: Carol Massey Contributing Writers: Lee Udell; Cathy T. Larrimore, MD; Donna McGough, F-AAA

SUBMISSIONS Unsolicited queries and submissions of art and writing not accompained by a self-addressed stamped envelope will not be returned. Response time varies and Healthy in Newton cannot assume responsibility for unsolicited materials. To contact the editor by email, address correspondence to mkim@rockdalenews.com

ADVERTISING Information regarding advertising and rates are available by contacting Annette Godwin by phone 770.883.6698 or email agodwin@rockdalenews.com.

HEALTHY IN NEWTON c/o The Covington News 1166 Usher Street, Covington, Georgia 30014 Phone 770-787-6397 / Fax 770-787-6451 www.covnews.com

SUMMER 2015 | HEALTHY IN NEWTON

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e H E A LT H Y I N N E W T O N • S U M M E R 2 0 1 5 • VO LU M E 2 , N O. 6 f

CONTENTS

6

Features 8

VITAMIN D AND PREGNANCY

12

WHAT IS MRKH?

4 HEALTHY IN NEWTON | SUMMER 2015

14

MONASTERY OF THE HOLY SPIRIT

20

SPORTS MEDICINE

SUMMER 2015

Summer Grilling‌ IS IT SAFE?

Vitamin D May Decrease Autism Risk Living Life TOO LOUD!

ABOUT THE COVER SUMMER GRILLING: Grilling can be a healthy way to eat during the summer. But keep it safe and avoid food-borne illness and cancer-causing carcinogens with these tips.

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18

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WOUND CARE CENTER

30

REDUCE YOUR RISK OF SUNBURN

SUMMER 2015 | HEALTHY IN NEWTON

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k SUMMER FEATURE

Summertime Grilling…

Keeping it Safe Lee Udell

N

othing goes with warm weather and lazy days like summertime grilling. You name it, and, odds are, you can throw it on the grill!

It seems everything we grill turns out tastier — and lower in fat — than the same foods cooked in the kitchen. But, before you dust off the grill and grab the charcoal, remember that grilling isn’t without concerns about health and safety.

For example, a couple of potentially cancer-causing compounds [polycyclic aromatic hydrocarbons (PAHs) and heterocyclic amines (HCAs)] can result from cooking foods on the grill. PAHs form when fat from the meat drips onto the hot coals or grill element. They’re then deposited on the food courtesy of flame-ups and rising smoke. Unfortunately, that yummy charring that forms on meat can contain PAHs, as well. Meanwhile, HCAs are produced when red meat, poultry and fish meet high-heat cooking, like grilling.

So what can you do to keep your barbeque season healthy — and safe — for family and friends?

disease, stroke, obesity and cancer. But here’s the best part: PAHs and HCAs don’t form on grilled fruits and vegetables.

• Reduce bacteria: Always cook meat and poultry based on temperature, not appearance. Use a food thermometer to ensure meats have reached a safe minimum internal temperature. Then, keep cooked meats hot until serving by setting them to the side of the grill rack or placing in a 200° oven or warming tray.

• Don’t take shortcuts: To prevent food borne illness, don’t use the same platter and utensils for raw and cooked meats or poultry. These grilling shortcuts may save time, but harmful bacteria from the raw meats or juices can contaminate your safely cooked foods. Wash cutting boards and utensils in hot, soapy water between uses, or use color-coded sets to keep raw meats, seafood and poultry and ready-to-eat foods separate. And always, always wash your hands!

• Clean your grill: Scrubbing with a brush and dish detergent both before and after grilling food keeps the buildup of carcinogens on your grill grates to a minimum and makes your food taste so much better.

• Flip it: Flipping food frequently may help prevent the formation of HCAs, according to recent research using hamburger patties. To turn meat without piercing it (which releases juices that drip onto the coals), use tongs or spatulas instead of a fork.

• Marinate your meat: Marinating meat helps to reduce carcinogens. In fact, studies by Kansas State University researchers showed that steaks marinated in three different mixtures of oil, vinegar, and herbs and spices all had as much as 88% fewer carcinogens after grilling.

Plus, marinating lets you add bold flavors without adding too many calories or fat grams.

• Avoid the burn: A little bit of charred taste is unavoidable — and we all know it tastes good! But burned meat contains more cancer-causing compounds.

So, don’t overheat coals before placing meat on the grill, which can cause burning on the outside of your meat.

And remove any charred portions of your food before serving.

• Prevent flare-ups: Choose lean meats, poultry, and fish. Less fatty meats are obviously healthier, but they also mean less smoke from the grill, which means less of the bad stuff. Also, include grilled vegetables and fruits with your cookout. Eating fruits and vegetables benefits your body in so many ways, like lower risk of coronary

Of course, every form of food preparation has risks, but knowing what those risks are and how to avoid them is the secret to success. So, whether you’re a weekend-only griller or an every-day grill gourmet, follow these simple tips to help keep you, your family and your friends safe and healthy this grilling season.

6 HEALTHY IN NEWTON | SUMMER 2015

Just to get your mouth watering here’s a recipe for a perfect beef marinade: 125 ml (1/2 cup) red wine 3 ml (1/2 tsp) salt 5 ml (1 tsp) sugar 30 ml (2 tbsp) oil 30 ml (2 tbsp) chili sauce 5 ml (1 tsp) Worcestershire sauce Garlic, Provencal herbs and pepper, to taste Mix all the ingredients together. Add the beef and marinate in the refrigerator for 24 hours.

SUMMER 2015 | HEALTHY IN NEWTON

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Vitamin D May Decrease Autism Risk and Prevent Other Problems in Pregnancy Cathy T. Larrimore, MD

A

utism is a complex developmental disorder that is characterized by communication difficulties, social impairments, and repetitive behaviors.

Some children are severely affected while others have very few symptoms. Experts estimate that 1 out of every 68 children will have autism (Centers for Disease Control and Prevention, February 24, 2015).

The cause of autism is not well understood. Most scientists think autism is caused by genetic predisposition coupled with environmental factors or toxins which injure the baby either during pregnancy or sometime after birth.

Prevention, therefore, begins before conception.

Strengthening the mother’s health before and during pregnancy may be helpful preventing autism.

Children with autism have significantly lower vitamin D levels at birth compared to their siblings who develop normally. The mother is the only source of vitamin D for the developing baby. Vitamin D supplementation before and during pregnancy may reduce any problems that a child may experience due to having low vitamin D; many studies are underway to evaluate the role of Vitamin D in preventing autism and other pregnancy related problems.

Vitamin D is known to most for its role in bone development and health, but recent work demonstrates that vitamin D acts in the body as a hormone. Vitamin D supports the immune system, the cardiovascular system and heart, and the nervous system and brain as well. So,

the recently discovered impact of vitamin D on pregnancy is not surprising.

Low maternal vitamin D concentration is also associated with a higher risk of preterm birth, gestational diabetes, pre-eclampsia, and small-for-gestational-age babies. In addition, pregnant women with severe vitamin D deficiency may develop bone weakening themselves.

More research is needed to fully understand the role of vitamin D in pregnancy and to determine the amount of vitamin D that pregnant women should take. Since very few foods contain vitamin D in large amounts, many women are deficient in this important vitamin.

The few foods that do contain a substantial amount of vitamin D such as herring, salmon and cod liver oil, are not eaten regularly or at all.

Even fortified foods such as milk lack a substantial amount of vitamin D. When exposed to direct sunlight, the skin makes vitamin D. But many women avoid direct sunlight due to skin cancer risks. The American Academy of Dermatology does not recommend getting vitamin D from unprotected exposure to sunlight.

The American Congress of Obstetricians and Gynecologists has concluded that there is insufficient evidence to support a recommendation for screening all pregnant women for vitamin D deficiency. Prenatal vitamins do contain vitamin D. Women who are pregnant or who desire to be pregnant, should discuss their nutrition and vitamin intake with their physicians.

Dr. Cathy Larrimore of Covington Women’s Health Specialists, a board certified Obstetrician Gynecologist, screens and treats women of all ages for vitamin D deficiency as well as providing full service obstetrics and gynecology. For an appointment, call 770-385-8954.

8 HEALTHY IN NEWTON | SUMMER 2015

The Midwives of Covington Women’s Health Specialists

Denise Cochran, CNM, MSN

Brenda Barlowe, CNM, MSN

Barb Susin, CNM, MSN, MPH

The Names you Know, the Care you Trust

Covington Women’s Health Specialist, LLC. 4181 Hospital Drive, Suite 100 and 104, Covington, GA 30014 770-385-8954 or visit our website at www.cwhs-larrimore.com SUMMER 2015 | HEALTHY IN NEWTON

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HYPERTENSION ERT ERTE RRTE RT TEN TE S

ome 70 million adults in the United States are affected by hypertension. The condition also affects about two million teens and children. According to a report issued by the Centers for Disease Control and Prevention (CDC) in September 2012, over half of all Americans with hypertension do not have their high blood pressure under control.

Your risk for high blood pressure can be affected by many factors. Your age, race and genes are all things you can’t control. But you can control high blood pressure. Start by being informed about your risk factors.

High blood pressure often shows no signs or symptoms.

That’s why it’s important to know what your risks are and to learn which factors you can and can’t control.

Some risk factors — like age, gender, race or ethnicity — may cause you to be more at risk for the disease than others.

Remember, having risk factors does not mean you are destined to have the disease. Some are in your control — like being active, eating healthy, not smoking, managing stress and other factors.

RISK FACTORS YOU CAN’T CONTROL • Age: The older you get, the greater your risk for high blood pressure.

• Gender: Until age 45, more men than women get high blood pressure. After age 65, more women than men have high blood pressure.

• Race and ethnicity: Certain races and ethnicities, African-Americans and Puerto Rican-Americans, have higher rates of high blood pressure.

RISK FACTORS YOU CAN CONTROL • Overweight and obese • Salt and sodium in your diet • Lack of potassium in your diet • Physical inactivity • Tobacco use • Alcohol • Stress • Certain chronic conditions

PREMIER INTERNAL MEDICINE Most major insurance plans accepted including Medicare.

Sports Physicals $20 • Women’s Wellness • Acute Illness • Chronic Disease • Hypertension • Diabetes • Cholesterol • Thyroid • Physicals

Covington Office: 5294 Adams Street Covington, GA 30014 770-787-5600 Monday, Tuesday, Friday: 8:00 AM – 5:00 PM; M; Thursday: Noon – 7:00 PM

Please call today to schedule your appointment

770-787-5600

10 HEALTHY IN NEWTON | SUMMER 2015

Affiliate of Rockdale Medical Center

Anne Grant, MD Internal Medicine

F

You’ re Not Alone

ull-time care-giving is a tough job. You enjoy the emotional rewards of being able to provide care for your loved one. But the work is exhausting!

That’s why you need to remember that, in order to provide good care for someone else, you need to also take good care of yourself. So, give yourself permission to consider your needs, as well as the needs of your loved one.

That’s where a hospice team can come in. Talk with your hospice provider about what services they may be able to offer, to make life easier for you. For example, they may be able to arrange for volunteers to come to your home to sit with the patient — or possibly even to help you with chores.

Respite care may also be available, for times when you’re simply too physically or emotionally exhausted to go on. Respite care can give you a break from daily caregiving, while also ensuring that your loved one continues to get quality care.

Many caregivers don’t know that Medicare will pay for up to five days of care in a semi-private room at a Medicare-approved facility, such as a free-standing hospice center, hospital or other long-term care facility.

So, if you’re caring for your loved one at home, this means

you can schedule a five-day “vacation,” allowing you to give yourself — and your loved one — the gift of a refreshed you! And that means you’ll return relaxed and ready to make the most of your remaining time together.

Handling the Grief After your loved one’s death, most hospice providers are still there, providing comfort and support for you and other survivors. Bereavement services may be available to you for up to a year, and they can take a variety of forms, from phone calls to visits to written materials about grief and support groups. Your hospice provider can even help you locate sources for individual counseling or provide you with information about community resources that can help you during this trying and emotional time.

Longleaf Hospice serves the Rockdale area, offering end-of-life care through pain and symptom management and palliative care. With a provider like Longleaf, your loved one can remain at home and enjoy normal activities as long as possible, while still receiving comprehensive care. To learn more about how Longleaf can help you and your loved one, call 770-939-9179.

The Hospice You Choose Really Can Make A Difference.

Our hospice experts have the character, skill and ability to deliver quality care to all our patients. We promise to help you live all of your days with dignity.

Committed to our local communities and now open in Covington Our mission is to surround patients and their families with

compassionate care

that enables them to embrace the end of life with

dignity, courage and peace.

2712 Lawrenceville Highway | Suite 200 Decatur, Georgia 30033 1132 Floyd Street | Covington, Georgia 30014 Phone: 770-939-9179 | Fax: 770-621-3083 www.LongleafHospice.com © Longleaf Hospice. 2014

SUMMER 2015 | HEALTHY IN NEWTON

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What is MRKH (Mayer-Rokitansky-Küster-Hauser) Syndrome?

Lee Udell

U

p to half a million women in the U.S. are born with anomalies of the urinary and reproductive system. In females, thousands of these mullerian anomalies, including the absence of a vagina, may not be discovered until the girl reaches puberty.

One such abnormality, MRKH (Mayer-RokitanskyKüster-Hauser) syndrome — characterized by absence of the vagina, cervix and uterus — affects as many as one in every 5,000 women. Adolescent girls with MRKH syndrome may complain that they haven’t begun menstruation, labeled primary amenorrhea. In some cases, female patients have discovered their anomaly after inability to have intercourse because of an absent vagina.

For many, multiple painful attempts of intercourse have led to distortion of existing external genital structures and scarring of the area, as well as chronic pelvic pain.

Dr. Thomas L. Lyons, of Advanced Gynecology Associates, is a world-renowned surgical pioneer and one of the very few physicians to successfully treat MRKH. “We’ve treated about 25 patients over the last several years,” says Dr. Lyons, “and they’ve all done marvelously.”

Techniques for correction of MRKH have traditionally involved use of segments of the rectum, sigmoid colon or small intestine, as well as skin grafts, to create a vaginal structure for patients. However, these techniques are often painful — and less than successful.

“I remember waking up in the recovery room screaming in pain,” said one patient of her sixhour surgery, followed by a month’s recuperation.

“Eventually, when all of my possibilities had run out, I found Dr. Lyons online. My surgery with Dr. Lyons went great — little scars and very little pain.”

At her first post-operative check-up, she says, “I was never so happy!”

Dr. Lyons uses a laparoscopic procedure to create a neovagina from the pelvic peritoneum, a minimally invasive technique which requires only tiny incisions and is performed in less than an hour.

The procedure allows achievement of adequate functional vaginal length and elasticity, and the peritoneal epithelium (cellular layer that lines the walls of the abdominal cavity) converts into normal vaginal epithelium within three months after surgery.

“Post-surgical biopsy comes back as vaginal tissue,” says Dr. Lyons, “so we see that the peritoneum has actually morphed into vagina tissue.”

More than 1,000 of these laparoscopic procedures have been performed worldwide, proving their efficacy. This minimally invasive technique is far easier on the patient than the widely used and significantly invasive MacIndoe split thickness skin graft procedure, which can be horribly painful and involve a lengthy recovery of several months.

“Surgery with Dr. Lyons went smoothly, and I now have some normalcy in my life,” says a patient of Dr. Lyons’. “He helped restore me physically, as well as emotionally. Dr. Lyons will always hold a special place in my heart, because he did what no one else could.”

One patient in her mid-thirties underwent the procedure in February 2008 and married the following April. Viewing her normal ovaries via her new vagina on ultrasound, Dr. Lyons believes she’ll be able to have her own eggs harvested for use in a surrogate pregnancy, and ultimately she’ll experience the birth of her own genetic children.

“It’s a really joyous moment to see the happy looks on my patients’ faces when we discover how well these possibilities are coming together,” says Dr. Lyons.

Dr. Lyons has recently joined the other physicians at Advanced Gynecology Associates to offer a full range of gynecology, surgical and preventative health services for all women, from initial exam through menopause and beyond. For more information, or to schedule an appointment, call 678-609-4913.

12 HEALTHY IN NEWTON | SUMMER 2015

1380 Milstead Avenue NE, Suite E, Conyers, GA 30012

678-609-4913

DR. THOMAS L. LYONS PIONEER IN GYNECOLOGIC SURGERY

Providing care for problems including: • Endometriosis • MRKH (Mayer-Rokitansky-Kuster-Hauser) Syndrome • Ovarian cysts or masses • Urinary stress incontinence or loss of bladder control, in addition to other pelvic relaxation problems • Pelvic Inflammatory diseases (P.I.D.) • Uterine fibroids or benign fibroid tumors • Ovarian or uterine cancer • Infertility or reproductive disorders • Adhesive Diseases • Developed Laparoscopic Supracervical Hysterectomy

Globally renowned gynecologic surgeon, Thomas L. Lyons, MD, now with Advanced Gynecology Associates.

You may email Dr. Lyons directly at cwcrs@mindspring.com For Further information on Dr. Lyons, please visit his web-site, www.thomasllyons.com

ADVANCED GYNECOLOGY ASSOCIATES Holly Imlach, MD Gynecology & Gynecologic Surgery

1380 Milstead Avenue NE, Suite E, Conyers, GA 30012

678-609-4913

We seek to provide the highest level of patient care through our state-of-the-art technologies. www.advgynassoc.com

Erin Mayfield, DO Gynecology

5154 Cook Street Northeast, Covington

770-788-1778

Affiliate of Rockdale Medical Center SUMMER 2015 | HEALTHY IN NEWTON

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FAMILY OUTING

and Staycation!

Self-Guided Tour Activities There is so much to do and see at the Monastery, some of the many activities their guests enjoy on their visits include:

snack at the Cafe and review one of our many books about faith and Christianity • Take a walk and explore some of the many unique features of the Monastery which include:

• A self-guided tour of the Monastic Museum at the Visitor Center and watch the video about the life of the monks at the Monastery

o The Prayer Walk where you can learn about Cistercian Saints

• Visit the Abbey Church and join the monks for mass, mid-day prayer or vespers

o Feed the ducks at the Monastery Lakes

• Learn about the art of Bonsai and shop for unique garden gifts at The Monastery Garden Center • Visit the Abbey Store, enjoy a cup of coffee or a

o Magnolia Lane • Make the Stations of the Cross at the Monastery Stations along the lake • Plan a bike ride or walk along the Rockdale River trail through the Monastery property.

Bring your family and your pets and spend a day at the Monastery of the Holy Spirit!

Visit the website for details www.trappist.net

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Constipation About Constipation Constipation is a condition characterized by infrequent or hard bowel movements, or difficulty in having bowel movements.

Also known as irregularity, constipation can include pain when having a bowel movement, an inability to “go” after trying for more than ten minutes or having no bowel movement after more than three days.

Everyone’s habits and patterns are different, so what is considered “normal” varies from person to person. Some healthy people may not have a bowel movement every day; others might have particularly soft or hard stools but have no problems passing them.

Frequently Asked Questions about Constipation Q. What causes constipation?

A. Constipation is usually caused by not eating enough fiber or drinking enough water, lack of physical activity, or delaying going to the bathroom when you feel the urge. Stress, travel or other changes in your routine can also interfere with normal bowel function. Bowel diseases, like irritable bowel syndrome, pelvic floor dysfunction, certain medications, pregnancy, neurological diseases, mental health problems or conditions such as an underactive thyroid or cystic fibrosis, can also be contributing factors.

Q. What can I do to prevent constipation?

A. Drink plenty of fluids, eat a high-fiber diet, get regular exercise

and don’t wait when you feel the urge to have a bowel movement. If you are in wheelchair, unable to get out of bed or can’t exercise for other reasons, change your position often and do abdominal exercises and leg raises, if possible.

Q. What can I do if I have constipation?

A. There are a number of different remedies you can try: stool softeners with docusate sodium, bulk laxatives, like psyllium, or suppositories or gentle laxatives, like mineral oil or milk of magnesia. Be careful if you choose laxatives, since over long periods of time you can become dependent on them.

Q. What about enemas?

A. Enemas should only be used in severe cases.

Q. Are there any situations when I shouldn’t treat constipation myself?

A. Sudden constipation with abdominal cramps and an inability to pass gas or stool can indicate an intestinal blockage, which is very serious. In this situation, do not take any laxatives and call your doctor right away.

Although not as severe as a blockage, you should contact your doctor as soon as possible if you have severe abdominal pain and bloating, blood in your stool, constipation alternating with diarrhea, thin pencil-like stools, rectal pain, unexplained weight loss or have been using laxatives or other home treatments for several weeks and getting no results.

Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer

Almost every adult will suffer from digestive issues during their lifetime. Whether it's a touch of indigestion or abdominal pain that won’t subside, you deserve the best possible care. The specialists at Atlanta Gastroenterology Associates are experts in colon cancer screenings and evaluating and treating every type of digestive disorder, including: • Crohn’s Disease | UC • Irritable Bowel Syndrome • Acid Reflux | Ulcers

• Liver Disease • Hiatal Hernias • Diarrhea

• Hepatitis • Intestinal Polyps • Constipation

• Barrett’s Esophagus • Heartburn • Hemorrhoids

With our convenient location in Conyers, getting the care you need has never been easier.

1501 Milstead Road Suite 120 Conyers, Georgia 30012

New Suite

Appointments Available Monday - Friday

678.745.3033

www.atlantagastro.com 1.866.GO.TO.AGA [468.6242] Barry Levitt, M.D.

Mahmoud B. Barrie, M.D.

David Rabin, M.D. AGA is a participating provider for Medicare, Medicaid and most healthcare plans offered in Georgia.

SUMMER 2015 | HEALTHY IN NEWTON

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Certified Quality Breast Center at

Newton Medical Center

Meet th

N

ewton Medical Center’s Women’s Diagnostic Center has recently been recognized as a Certified Quality Breast Center in the National Quality Measures for Breast Centers Program™. This distinguished honor represents a commitment by this breast center to provide the highest level of quality breast health care to patients in the community.

At the Women’s Diagnostic Center, women are able to obtain the advanced diagnostic testing and health education they need in one private and beautiful outpatient setting made especially for women. The center offers screening and diagnostic digital mammography, breast ultrasound, stereotactic breast biopsy, bone densitometry and breast MRI. The center continues to stay up to date with the most modern equipment. In 2014, the GE Logiq E9 Ultrasound equipment was added to the suite and has transformed the way that sonographers are able to perform procedures and provides Newton Medical Center with advanced image quality.

The National Consortium of Breast Centers is proud to recognize Newton Medical Center’s Women’s Diagnostic Center as a Certified Quality Breast Center. The Women’s Diagnostic Center will continue in its commitment to provide the highest quality care to its patients.

The Women’s Diagnostic Center is located in the Physicians’ Pavilion at 4181 Hospital Drive, Suite 301 in Covington, Georgia. For more information or to schedule your annual mammogram, please call the Women’s Diagnostic Center at 770-385-7800.

Nurse Navigation Program Newton Medical Center is one of the first in the area to offer a nurse navigation program where a specially trained nurse navigator guides patients through the cancer care system by working through the many barriers and fears one may face during cancer care. In 2014, Wendy Hankins, RN, CN-BN joined the team to serve in the new role. Wendy works with patients every step of the way to help obtain followup care, timely diagnosis and timely treatment such as breast surgery, reconstruction, in-office chemotherapy and radiation when necessary. She schedules appointments and is available to attend appointments with the patient. Wendy assists patients with insurance paperwork as well as obtaining information from the insurance companies regarding what care is covered under the patient’s particular plan. Wendy also helps patients identify local resources and support such as the cancer support group, cancer class and the Hope Boutique. Located within the Women’s Diagnostic Center, the Hope Boutique provides resources such as wigs, prostheses or turbans for those starting their breast cancer journey.

Are You a Survivor?

The Women’s Diagnostic Center is looking for survivors of breast cancer to participate in the following breast cancer awareness activities: Portraits of Hope This fall, portraits and stories of breast cancer survivors will be displayed in merchant windows around the square in beautiful historic Covington. If you are a survivor of breast cancer, please share your story and schedule a time to take your portrait.

Kimberly Chance Atkins Foundation Wall of Hope Nomination forms are now available for the 2015 Wall of Hope. Located in the lobby of Newton Medical Center’s Women’s Diagnostic Center, the wall features portraits of 12 women who have all faced breast cancer and survived. Nominate yourself or a loved one today.

For more information on how to participate in these breast cancer awareness activities, callINWendy Hankins at 770-385-7826.

16please HEALTHY NEWTON | SUMMER 2015

Steven Whitworth, MD • General Surgery • Fellow Board Certified by the American Board of Surgery

Gayla Dillard, MD • General Surgery • Fellow of the Board Certified by the American Board of Surgery

April Speed, MD • Breast Surgery • Board Certified Fellowship trained in Breast Surgical Oncology at M sponsored fellowship

John Gargus, MD • Radiation Oncology • Board Ce

Wendy Hankins, RN, CN-BN • Nurse Navigation Certified by the National Consortium of Breast Cent

Amanda Bauer, MD • Radiology • Board Certified b Fellowship trained in Breast Imaging at Mallinckrod

Aileen O’Neill, MD • Pathology • Board Certified by Fellowship trained in Surgical Pathology at Emory U

The Women’s Diagnostic Center has this team in p breast health. Comprised of physicians with exce work hand in hand with the nurse navigator and comprehensive care that qualifies the Women’s Dia A treatment plan is formulated for patients by review surgeries. Every aspect of care is reviewed and discu patients through every step of the treatment plan.

Protect Your Life…

he Team!

w of the American College of Surgeons

e American College of Surgeons

by the American Board of Surgery MD Anderson Cancer Center, a Susan G. Komen

ertified by the American Board of Radiology

ters as a Certified Navigator-Breast Nurse

by the American Board of Radiology dt Institute at Washington University

y the American Board of Pathology University School of Medicine

place ready to support and assist patients with their ellent training and many years of experience who d staff, this team approach provides the model of agnostic Center as a Certified Quality Breast Center. wing cases and pathology reports from biopsies and ussed in detail as a group. The nurse navigator guides

…Get a Mammogram

When do you need a

MAMMOGRAM?

If you are 40 or older: 1. Have a yearly mammogram and continue to do so for as long as you are in good health.

2. Have a breast exam as part of a periodic health exam, preferably at least every year.

3. Report any breast change to your doctor right away. Breast self-exam is an option for finding changes.

If you are 20-39 years old: 1. Have a breast exam as part of your periodic health exam, preferably at least every three years.

2. Report any breast change to your doctor right away. Breast self-exam is an option for finding changes.

Some women – because of their family history, a genetic tendency or certain other factors – may need to have a screening MRI in addition to the mammograms. The number of women who fall into this category is small – less than two percent of all the women in the United States. Talk with your doctor about your history and whether you should have additional tests at an earlier age. You may also contact the American Cancer Society for information on breast cancer screening.

Source: The American Cancer Society ABCs of Breast Cancer Early Detection brochure Screening Mammogram If you have no signs or symptoms of breast cancer, you can schedule a screening mammogram without a physician order or referral. Medicaid, with a small co-pay, Medicare and most insurances allow a screening mammogram without any cost applied to your deductible. Our insurance specialists are available to determine your coverage and out of pocket costs. Regularly $365, the coupon below allows women without insurance to receive a mammogram at the reduced cost of $125. Take care of yourself; schedule your screening mammogram by calling 770-385-7800 today.

When you call to schedule your appointment, you will need to provide the name of your primary care physician or gynecologist. Your physician will receive a report with the results from your mammogram. Please keep in mind; most physicians require a patient visit within the past year. For those without a physician, Dr. Steven Whitworth, the medical director for the Women’s Diagnostic Center, will serve as the patient’s physician. If there is a call back for further work-up, then the patient would be scheduled to meet with Dr. Whitworth.

Diagnostic Mammogram If you have found a lump or a change in your breasts, schedule an appointment with your primary care physician or gynecologist today. If concerned, your doctor will order a diagnostic mammogram for you. Discuss with your doctor that you would like to go to the Women’s Diagnostic Center for your breast health care.

On the day of your appointment, the breast radiologist is on site to read the images from the mammogram. Sometimes, after the mammogram, additional imaging is needed such as a breast ultrasound. If the imaging does not reveal any concerns, then one of the technicians in the Women’s Diagnostic Center will go over the findings with you and ask you to return in one year for a mammogram. When imaging shows suspicious findings, the patient will meet with the radiologist and the nurse navigator, Wendy Hankins, RN, CN-BN. The radiologist will discuss the images with the patient and show why there is a need for a biopsy. From that day on, Wendy is available to answer questions as well as attend and coordinate appointments with the patient.

Remember, early detection is the key to surviving breast cancer. If you have questions or are ready to schedule your screening mammogram, call 770-385-7800.

SUMMER 2015 | HEALTHY IN NEWTON

17

YOUNGER,

YOUNGER,

YOUNGER...

LOUDER,

LOUDER,

LOUDER...

WHAT IS IT

DOING TO OUR

HEARING?

DR. DONALD COTE DR. ARTHUR TORSIGLIERI DR. ADAM FRENCH DONNA McGOUGH, F-AAA KRISTYN MEADE, F-AAA SUSANN SHRIVER, CCC-A

11370 Wellbrook Circle Conyers, Georgia

770-922-5458 18 HEALTHY IN NEWTON | SUMMER 2015

4181 Hospital Drive, NE, Suite 102 Covington, Georgia

770-385-0321

HEAR THIS!

Are You Living Life Too Loud?

Donna McGough, F-AAA

W

e hear it every day… Pump up the volume!

Turn it up! Live life loud! But are we living life too loud? How loud was that leaf blower you used yesterday? How about the hair dryer, motorcycle, or MP3 player? We are surrounded by loud sounds every day that have the potential to create hearing loss.

Hearing loss caused by loud sound or prolonged exposure to noise is called noise-induced hearing loss. This doesn’t just occur from power tools or rock concerts. Every day, we’re bombarded with loud sounds: appliances, power tools, or loud music.

Fun family experiences such as car races, concerts, or riding motor bikes can contribute to a slow deterioration of your hearing. This type of hearing loss is usually permanent and is also quite susceptible to further damage. Even children are at risk! Recent studies suggest up to 12% of all children ages 6-19 have the beginnings of noise-related hearing loss.

Young children and teens are constantly bombarded with noise on a daily basis. It’s not just the iPods and video games, either. How about that playoff game you took your kids to? Sporting events have been known to reach noise levels of over 140 decibels! What about that Monster truck event, the hunting trip, or the ride on the ATV? Although these events may be fun, they’re also exposing kids to damaging levels of noise. Kids and teens are also exposed to loud noise in places you might normally think are safe, like at school. Think of how loud a band class is, or even a shop class. A simple solution: wear ear protection!

Experts agree that listening to music at high volumes using earbuds or headphones over an hour a day could put you at risk for noise-related hearing

loss. As a general guide, if you can’t hear another person speaking over the music or noise, then it’s loud enough to damage your hearing. If the noise is painful, or making your ears ring, it’s too loud!

Previous studies estimate that people use personal audio devices at an average of 94 dB. Experts agree that sounds over 85 decibels can permanently damage your hearing over a period of time. 85 dB is roughly equivalent to the sound of a microwave beep.

At levels measuring 95 dB, it only takes 45 minutes to exceed the acceptable “dose” of noise.

Noise-induced hearing loss is usually preventable.

So, what can we do?

Here are some tips to minimize your risk for noiseinduced hearing loss: • At concerts or festivals, stand away from loud speakers, and take regular breaks in a quieter area to give your ears a rest from loud music.

• Keep the volume control on your listening device turned only to the halfway mark.

• Wear reusable, filtered earplugs that reduce the volume, not the quality of the sound.

• Look for fun headphones and custom-made earplugs available for children.

• As adults, be a good example to kids, by wearing ear protection while target shooting, working with power tools, or any other noisy hobbies or chores.

Warning signs of noise-induced hearing loss include ringing in the ears, fullness feeling in the ears, or difficulty understanding conversations, especially in crowded areas. Occasionally a noise-related hearing loss can be temporary. Contact your local Audiologist or Ear, Nose and Throat Specialist to help you determine the cause of any hearing problem.

“Good hearing is extremely important. I just think people should be very conscious and protective of their hearing.”

— Harry Belafonte, Singer & Actor SUMMER 2015 | HEALTHY IN NEWTON

19

When Summer Fun Results in an Injury

Seek Evaluation with an Orthopedic Doctor

S

ummer is in full swing with kids and adults spending a lot more time outdoors engaged in sports and physical activities such as playing, jumping, swimming, climbing, running and more! Likewise, athletic programs are busy practicing in preparation for the fall season. When activities are hindered with an injury or a pain, Dr. Reneé Riley and Dr. Ryan Tomlins, both orthopedic physicians, are here to help. These world class physicians are fellowship trained at the highly acclaimed American Sports Medicine Institute founded

by Dr. James R. Andrews.

Now Offering Extended Office Hours Every Tuesday Evening In order to accommodate patients unable to schedule appointments during the day due to work or school, Dr. Riley and Dr. Tomlins offer extended office hours every Tuesday. Appointments will be available until 7:30 pm.

Normal office hours are from 8 am to 5 pm, Monday through Friday.

MEET THE DOCTORS! Reneé S. Riley, MD, FAAOS Dr. Reneé Riley has extensive training in athletic and sports-related injuries in adults and children.

As a Board Certified Orthopedic Surgeon, she has a particular expertise and interest in knee, shoulder and elbow injuries. Dr. Riley is experienced in arthroscopic procedures, total joint replacements, and surgical and non-surgical procedures for broken bones.

Ryan J. Tomlins, MD, CAQ Dr. Ryan Tomlins specializes in the non-surgical treatment of athletic and sports-related injuries. Dr. Tomlins is certified in Tenex Health TX™ therapy, which treats diseased soft tissue and rapidly restores musculoskeletal function. He is the director of the Concussion Program for Newton County School System and certified to treat golf injuries by the Titleist Performance Institute.

Orthopedic doctors treat a variety of problems using diagnostic tests to help identify the specific nature of a musculoskeletal injury or condition. Using the results of these tests in conjunction with a physical examination, orthopedists plan an appropriate course of treatment. If you have any signs or symptoms of an orthopedic disorder or injury, schedule an appointment for an evaluation. Early diagnosis and treatment can prevent further injury and complications.

Seek evaluation from an orthopedic doctor for: Signs and symptoms of orthopedic disorders: • Muscle pain • Bone pain • Limited movement • Pain on movement • Joint pain • Joint swelling • Joint inflammation • Poor mobility • Joint deformity • Joint dysfunction All sports related injuries including: • Sports concussions and return to play protocol • Sprains, strains and other soft tissue injuries • Fractures and dislocations

Parts of the body: • Shoulder & Elbow • Hand & Wrist • Hip & Thigh • Knee & Lower Leg • Foot & Ankle • Neck & Back Common diagnoses: • Arthritis • Carpal tunnel syndrome • Nerve compression syndromes • Tendinitis • Tennis elbow also called lateral epicondylitis • Cysts • ACL or meniscus tear • Shoulder impingement / rotator cuff tear

• Bursitis • Frozen shoulder • Impingement syndrome • Stress fracture Treatments: • Arthroscopic surgery: a form of minimally invasive surgery in which a fiberoptic camera, the arthroscope, is introduced into an area of the body through a small incision • Casts and splints • Rotator cuff and shoulder repair • Ligament (ACL) and knee repair • Total joint replacement • Rehabilitation • Tenex Health TX™

Call 770-788-6534 to schedule an appointment with Dr. Riley or Dr. Tomlins

20 HEALTHY IN NEWTON | SUMMER 2015

Fractures (Broken Bones): A fracture is a broken bone. A bone may be completely fractured or partially fractured in any number of ways such as crosswise, lengthwise or in multiple pieces.

• Do not move a person whose injury involves the neck or back, unless he or she is in imminent danger. Movement can cause serious nerve damage.

Phone 911 immediately.

• If a person has an open break (bone protrudes through the skin) call 911 immediately.

• Place cold packs or a bag of ice wrapped in cloth on the injured area.

Many fractures are very painful and may prevent you from moving the injured area. Other common symptoms include: • Swelling and tenderness around the injury • Bruising • Deformity — a limb may look “out of place” or a part of the bone may puncture through the skin It may be difficult to tell the difference between a sprain and a break. If there is any doubt whatsoever, phone your doctor, your child’s pediatrician or proceed to the nearest hospital emergency department. An x-ray will determine whether a bone is broken. If the instructions from your physician or the emergency care provider include a followup with an orthopedic specialist, remember to ask for the x-ray to take to your followup appointment. Dr. Riley and Dr. Tomlins can provide followup care and their office is equipped with fully up to date digital x-ray and ultrasound equipment. Casts and splints can be applied and changed right in the office as well. If other diagnostic imaging is required, the Diagnostic Imaging Department at Newton Medical Center offers a full range of imaging right next door.

First-aid for sprains and strains includes rest, ice, compression and elevation.

This first-aid treatment plan can easily be remembered using the acronym RICE. Seek a medical evaluation if the discomfort persists.

• Rest: for at least 24 hours, rest the injured part of the body • Ice packs (or cold compresses): apply for up to 10-15 minutes at a time every few hours for the first two days to prevent swelling

• Compression: wear an elastic bandage (such as an ACE bandage) for at least two days to reduce swelling • Elevation: keep the injured part above heart level as much as possible to ease swelling Sports Concussions: According to the U.S. Centers for Disease Control and Prevention, about 200,000 people in the United States suffer concussions while playing sports every year. Concussions occur in a wide range of sports and affect all athletes, from professional players to little leaguers.

Concussions are mild traumatic brain injuries. Sports concussions have become a significant problem and have recently made headlines with reports about the consequences of returning to play too soon, as well as research findings into the long-term effects of the injury.

Recognizing concussion and providing proper treatment is especially important for younger athletes because it typically takes them longer than adults to fully recover. As the director of the Concussion Program at Newton County School System, Dr. Tomlins is very experienced in managing the care and return to play protocol of an athlete who has suffered from a concussion.

Shoulder Injuries: Shoulder injuries are frequently caused by athletic activities that involve excessive, repetitive, overhead motion, such as swimming, tennis, pitching and weightlifting. Injuries can also occur during everyday activities such washing walls, hanging curtains and gardening.

If you are experiencing pain in your shoulder, ask yourself these questions: • Is your shoulder stiff? Can you rotate your arm in all the normal positions?

• Does it feel like your shoulder could pop out or slide out of the socket?

• Do you lack the strength in your shoulder to carry out your daily activities?

If you answered “yes” to any one of these questions, you should consult with an orthopedic surgeon such as Dr. Riley for help in determining the severity of the problem. Early detection and treatment is the key to preventing serious shoulder injuries.

SportS Medicine Reneé S. Riley MD, FAAOS Ryan J. Tomlins MD, CAQ

Physicians’ Pavilion 4181 Hospital Drive, Suite 204 in Covington, Georgia

SUMMER 2015 | HEALTHY IN NEWTON

21

Harold D. Jackson

Thomas P. DeMarini

MD, FCCP

MD, FCCP, MBA, CPE

David C. Snyder

Terri L. TenHoor

MD, FCCP

MD, FCCP

David A. Miller

Jose F. Aristizabal

MD, FCCP

MD, FCCP

Kenneth Melby

Rana Rab Hasan

MD, FACP, FCCP

MD, FCCP, D, ABSM

C. Jonathan Wu MD, FCCP, D, ABIM, Sleep Medicine 1490 Milstead Road, Suite A, Conyers, Georgia 2665 N. Decatur Road, Suite 430, Decatur, Georgia

770-922-2217 • 404-294-4018

www.southeasternlungcare.com 22 HEALTHY IN NEWTON | SUMMER 2015

Southeastern Lung Care The Sleep Disorders Center

Welcomes

Kenneth Melby, MD

D

r. Melby received his bachelor’s degree in Biology from St. Olaf College in Northfield, Minnesota. He received his medical degree from the University of

Minnesota Medical School, where he was elected to the AOA Honor Society. He obtained his pulmonary and critical care medicine training at Parkland Memorial Hospital.

Dr. Melby is board certified in Internal Medicine, Pulmonary Disease and Critical Care Medicine. He is a member of Society of Critical Care Medicine, a Fellow of American College of Physicians and a fellow of the American College of Chest Physicians.

Dr. Melby’s past experience includes inpatient and outpatient Pulmonary and Critical Care in Atlanta. He is now focused on outpatient Pulmonary disease. Dr. Melby has published pulmonary articles in many medical journals and continues his interests in all aspects of pulmonary disease.

He provides patient services in our Conyers and Decatur location.

SUMMER 2015 | HEALTHY IN NEWTON

23

Do you have a

NON-HEALING WOUND?

If you have a non-healing wound, then hyperbaric oxygen therapy may be right for you. The Wound and Hyperbaric Center at Newton Medical Center offers hyperbaric oxygen therapy five days a week.

What is Hyperbaric Oxygen Therapy?

Hyperbaric oxygen therapy is a painless medical treatment that delivers 100 percent oxygen to damaged tissues and organs with the goal of enhancing the body’s natural healing process. Patients are placed in a pressurized cabin where they breathe pure oxygen that is usually 2.5 times the normal atmospheric pressure. During each two hour session, patients are able to relax and watch television, listen to music or nap.

While in the hyperbaric chamber, increased oxygen is delivered to body tissues by the blood. Increased oxygen in the body is important because oxygen helps recreate small blood vessels often destroyed by disease or surgery. Once small blood vessels are recreated, oxygen can be carried to the areas of damage.

Hyperbaric oxygen therapy can provide one or more of the following effects: • Increased oxygen delivery to the wound • Advanced wound healing • Improved infection control • Greater blood vessel formation Call 770-385-4325 for a consultation with one of our physicians!

Who can benefit from Hyperbaric Oxygen Therapy?

Sometimes, a wound will not heal for various reasons and hyperbaric oxygen therapy can help. Approximately 40 percent of wound care patients are diabetic and using hyperbaric oxygen therapy is a method of care to help salvage their limbs and to treat diabetic ulcers or other complications associated with the disease. Tissues and organs can also be compromised due to stroke, gangrene, a sports injury or effects of radiation. Hyperbaric oxygen therapy is used to enhance the healing of chronic wounds, gas gangrene, failed skin grafts and osteomyelitis, an infection of the bone. Patients that have elective cosmetic surgeries, such as facial reconstructions or breast augmentations, can use hyperbaric oxygen therapy to help heal faster.

What other therapies are provided by the Wound and Hyperbaric Center?

The Wound and Hyperbaric Center treats wounds using various methods of healing. In addition to hyperbaric oxygen therapy, the center offers the following therapies: • Bio-engineered skin grafting • Compression therapy • Medications • Negative pressure wound therapy • Patient and family education • Special needs including various off-loading devices and footwear • Specialty wound dressings • Surgical debridement • Total contact casting • Treatment of wound, skin and bone infections including antibiotic therapy and management • Wound cultures and biopsies

24 HEALTHY IN NEWTON | SUMMER 2015

Schedule an appointment:

The Wound and Hyperbaric Center is open Monday through Friday from 8:00 am to 4:30 pm by appointment only. A physician referral is not necessary for an appointment but feel free to ask your doctor if hyperbaric oxygen therapy is right for you. For more information or to schedule an appointment, call 770-385-4325 today and start healing.

Sports Physicals Playing sports helps keep you fit, you already know that, but did you also know that you must have a sports physical prior to participating in your sport of choice? The exam helps determine whether it’s safe for you to participate in a particular sport.

The State of Georgia requires that children and teens have a sports physical before they can start a new sport or begin a new competitive season. You may get the forms off of the Georgia High School Association web-site (www.ghsa.net), or from your child’s school Athletic Director.

There are two main parts to a Sports Physical: MEDICAL HISTORY • serious illnesses among other family members • illnesses that you had when you were younger or may have now, such as asthma, diabetes, or epilepsy previous hospitalizations or surgeries allergies (to insect bites, for example) • past injuries (including concussions, sprains, or bone fractures) • whether you’ve ever passed out, felt dizzy, had chest pain, or had trouble breathing during exercise

• any medications that you are on (including over-thecounter medications, herbal supplements, and prescription medications) PHYSICAL EXAM • record your height and weight • take a blood pressure and pulse (heart rate and rhythm) reading • test your vision • check your heart, lungs, abdomen, ears, nose, and throat • evaluate your posture, joints, strength, and flexibility

Premier Internal Medicine

Sports Physicals, $20.00 (ages 10 and up) • Walk-Ins Welcome

PREMIER INTERNAL MEDICINE Welcomes New Patients in Our Social Circle office

Women’s Wellness • Acute Illness • Chronic Disease • Hypertension • Diabetes • Cholesterol • Thyroid • Physicals

Walk Ins Welcome Sports Physicals $20 (ages 10 and older)

Bernadette Alexis-Destin, FNP-BC

200 Brookstone Place, Suite B, Social Circle, GA 30025 • 770-464-2540 Hours Monday – Thursday: 8:00 AM – 5:00 PM; Friday: 8:00 AM – Noon

Anne A nnee G Grant, rant, M MD D Internal Medicine

Please call today to schedule your appointment

770-464-2540

Most major insurance plans accepted including Medicare and Medicaid.

Affiliate of Rockdale Medical Center

SUMMER 2015 | HEALTHY IN NEWTON

25

Urgent Care Co No Appointment Necessary

Rockdale

GEORGIA PR

WE TREA CONDITIONS ✓ Minor injuries and burns ✓ Urinary tract infections ✓ Minor lacerations ✓ Sore throats, ear aches ✓ Skin rashes, infections ✓ Diabetes ✓ Women’s Health ✓ Asthma Benjamin Fernando, MD, Harmon A. Smith, MD, Randy Riner, PA, Ashley McGuire, PA

SPORTS PHYS

OPEN 6 DAYS A WEEK

Walk-ins W Lab and X-R

NEW HOURS

Mon-Fri: 8:00 am - 8:00 pm Sat: 8:00 am - 4:00 pm

678-609-4912

1301 Sigman Road NE • Suite 230 Conyers, Georgia 30012

Affiliate of Rockd

Most Insuran 26 HEALTHY IN NEWTON | SUMMER 2015

overing

e, Newton, Henry

G P

U C RIMARY & URGENT CARE

AT THESE S AND MORE: ✓ Sick children ✓ Bronchitis ✓ Sprains ✓ Vomiting, diarrhea ✓ Sutures/Suture removal ✓ Animal and insect bites ✓ High blood pressure ✓ Allergies

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ROCKDALE PHYSICIAN PRACTICES

Remarkable People, Remarkable Medicine.

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Mon-Fri: Noon - 8:00 p.m.

Sat: 8:00 am - 5:00 pm; Sun: 11:00 am - 4:00 pm

678-625-4441

7138 Highway 212 • Suite A Covington, GA 30016

nce Accepted SUMMER 2015 | HEALTHY IN NEWTON

27

Swallowing Disorders Lee Udell

T

he act of swallowing may seem simple and automatic, but doctors have learned that, for hundreds of thousands of people, it can cause anything from froggy throats to choking deaths. In fact, every year, as many as 10,000 people choke to death in the United States.

For a lot of these victims, it’s not a sudden, accidental occurrence, but rather the result of subtle but progressive nerve and muscle problems that attack the swallowing mechanism over time. These types of swallowing disorders may evolve so gradually that they go unnoticed or are misdiagnosed. ‘’Swallowing is a well-orchestrated, complex mechanism involving muscles, nerves and cartilages, and there are many opportunities for things to go wrong,’’ says Dr. Fred Levin, of East Atlanta Gastroenterology Associates. “The field has been neglected, because the problems can be hard to detect and frequently fall between the cracks of traditional specialties.”

However, today, doctors can more easily diagnose dysphagia (or difficulty swallowing), thanks to advanced diagnostic techniques, such as radiographic motion pictures of the actual swallowing process.

Difficulty swallowing is usually a sign of a problem with your throat or esophagus, the muscular tube that moves food and liquids from the back of your mouth to your stomach.

Although dysphagia can happen to anyone, it’s most common in older adults, babies, and people who have problems of the brain or nervous system.

28 HEALTHY IN NEWTON | SUMMER 2015

There are many different issues that can prevent the throat or esophagus from working properly. Some of these are minor, and others are more serious. If you have a hard time swallowing once or twice, you probably don’t have a medical problem. But if you have trouble swallowing on a regular basis, you may have a more serious problem that needs treatment.

Two types of problems can make it hard for

food and liquids to travel down your esophagus: • The muscles and nerves that help move food through the throat and esophagus are not working right. Examples of this include: stroke, multiple sclerosis, Parkinson’s disease, dermatomyositis, esophageal spasm, or scleroderma.

• Something is blocking your throat or esophagus. This may happen if you have: gastroesophageal reflux disease (GERD), esophagitis, diverticula, esophageal tumors, or masses outside the esophagus, such as lymph nodes or thyroid.

If you’re having difficulty swallowing or feel like foods are stuck in your throat, your physician may order tests such as x-rays, a barium swallow (an x-ray where you swallow a special liquid beforehand), or a type of scope, such as endoscopy, where a thin, flexible tube looks at your throat and esophagus.

Treatment will depend on the cause of your problems, and can range from exercises

or changing the types of foods you eat, to medications or surgery. Endoscopy or surgery may be required to remove something blocking your esophagus. However, if your problem is related to GERD, heartburn, or esophagitis, prescription medicines can help prevent stomach acid from entering your esophagus.

Infections of the esophagus can be treated with prescription antibiotics.

If you’re experiencing swallowing difficulties, it’s important to seek treatment as soon as possible. The doctors at East Atlanta Gastroenterology Associates have treated hundreds of patients with swallowing disorders.

Call 770-922-0505 for an appointment today, and visit one of their convenient locations in Covington, Conyers and Greensboro.

BOARD CERTIFIED PHYSICIANS

SPECIALIZING IN DIGESTIVE DISEASES & NUTRITION

NOW OFFERING Monitored Anesthesia Care for Your Endoscopy

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Colorectal Cancer Screening and Prevention Gastro Esophageal Reflux Disease (GERD) Esophageal and Swallowing Disorders Non-Invasive Hemorrhoid Therapy Pancreatic and Billiary Disorders Inflammatory Bowel Disease Irritable Bowel Syndrome Video Capsule Endoscopy IV Infusion Therapy Chronic Constipation Liver Disease

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EASTATLANTAGASTRO.COM

Fred A. Levin

MD, FACP, FACG

Karen L. Weiss-Schorr MD

A. Steven McIntosh David N. Socoloff MD, FACG

DO

1269 Wellbrook Circle Conyers, GA

Razvi M. Razack MD

7229 Wheat Street Covington, GA

1000 Cowles Clinic Way Cypress Building, Suite C-300 Greensboro, GA

SUMMER 2015 | HEALTHY IN NEWTON

29

REDUCE YOUR

I

Risk of Sunburn

t seems like every spring the news media start reporting about fears surrounding ingredients in sunscreens.

Whether there’s evidence to support the claims is dubious, at best. In fact, a comprehensive review of all studies from 1966 to 2003 found no evidence that sunscreen increases risk of melanoma, the deadliest form of skin cancer.

What we do know — and what’s been clearly proven over and over by research — is that about 90% of all skin cancers are associated with exposure to the sun’s ultraviolet radiation.

UV-B rays penetrate only the epidermis (the outer most layer of the skin) and increase your risk of cancer by direct photochemical damage to your DNA, resulting in mutations in your genes. These mutations contribute to wrinkling and aging of the skin by degrading elastin and collagen.

UV-A rays penetrate deeper into the dermis (the second major layer of the skin) and can contribute to the development of cancer by increasing reactive oxygen species, which can, in turn, damage your DNA. With more than 2 million Americans developing skin cancer each year — and the rate of melanoma steadily on the rise — it’s even more critical to be sure you understand how to protect yourself and your family against harmful UV rays.

A groundbreaking study of 1,621 Australians published in 2013 found that sun-savvy Aussies reduced their risk of melanoma by 50-73%, simply through daily, year-round use of a SPF 15 sunscreen, wearing hats and avoiding the sun in other ways.

So what can you do to reduce your risk of sunburn — and your risk of skin cancer that can follow from overexposure?

• Apply one ounce of sunscreen (minimum of 25 SPF) to the entire body 30 minutes prior to going outside, and reapply every two hours outdoors or immediately after swimming or sweating heavily.

• Opt for a sunscreen that blocks both UV-A and UV-B rays.

• Don’t use sunscreen as a tool to prolong your time in the sun.

• Cover up! Hats, shirts and sunglasses are the best protection.

30 HEALTHY IN NEWTON | SUMMER 2015

Lee Udell

• Don’t use a tanning bed or sunbathe.

• Protect kids! Early life sunburns are worse, so keep little ones out of the hot sun.

• Get vitamin D. There’s speculation but not proof that adequate levels of vitamin D can reduce the risk of melanoma. But we know that vitamin D is good for combating other types of cancer.

• Examine your skin. Check your skin regularly for new moles that are tender or growing. See a dermatologist regularly or if you detect unusual moles.

The physicians at Dermatology Consultants in Covington can provide dermatologic care for your entire family, including skin cancer prevention and education.

Call 770-784-0343 today for an appointment.

Fact or Fiction?

• Does a form of vitamin A in sunscreen cause cancer?

Retinyl pamitate, a natural form of vitamin A stored in your skin and approved globally for use in sunscreens, provides multiple benefits, from neutralizing free radicals to reducing the risk of sunburn. One single, non-peerreviewed study claimed it increases skin cancer risk, but the Skin Cancer Foundation and Memorial SloanKettering Cancer Center have both spoken out to state that this study failed to demonstrate any convincing evidence that retinyl palmitate imparts any increased risk of skin cancer.

• Is oxybenzone in sunscreen absorbed, and does it affect hormone levels? This ingredient, present in sunscreens since the early 1980s, has been shown to absorb into skin. However, a 2004 study showed no significant hormone disruption as a result, because it is excreted and doesn’t accumulate in the body. The 2001 study that raised alarm was based on feeding the ingredient to rats at astronomically high doses.

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dermatologyconsultants.org SUMMER 2015 | HEALTHY IN NEWTON

31

“Postal Customer”

Caring, Committing & Collaborating

Friendly Faces of the

Certified Quality Breast Center at Newton Medical Center

PRSRT STD US POSTAGE PAID PERMIT NO 15 Monroe, GA ECRWSS

Newton Medical Center has been named a Certified Quality Breast Center. The National Consortium of Breast Centers™ uses 36 National Quality Indicators ™ to evaluate breast programs in the areas of imaging, surgery, cancer registry, pathology, radiation and patient satisfaction. The centers chosen for this designation have met the highest quality standards in breast cancer care. Pursuing this designation indicates Newton Medical Center’s dedication to providing quality care for all our patients. Newton Medical Center is guided by the value of caring, committing, collaborating and continuous improvement. Our exceptional physicians and staff along with our dedicated volunteers earned this recognition through their hard work and the delivery of excellent care right here in our community.

5126 Hospital Drive NE | Covington, GA 30014 | 770.786.7053 | www.newtonmedical.com

Tell your physician you want your breast health care at the Certified Quality Breast Center at Newton Medical Center!

To schedule your screening mammogram, call 770.385.7800 today 32 HEALTHY IN NEWTON | SUMMER 2015

Our Services: Screening & Diagnostic Digital Mammography | Breast Ultrasound Stereotactic Breast Biopsy | Bone Densitometry | Breast MRI | Nurse Navigation Program Breast Cancer Support Group | Breast Cancer Class | Hope Boutique | Breast Surgery & Reconstruction | In-office Chemotherapy