Healthy in Newton - Winter

WINTER 2016

10 Ways to DE-STRESS What Exactly Is a COLONOSCOPY? Reduce the Risk of SEVERE HEARING LOSS

Dr. Olliff Answers Questions About Low Testosterone

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FEATURE

Your Primary Care Provider, Your Surgeon and You written by Lee Udell

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our primary care physician has said you may be a candidate for surgery, and you’ve been guided to the right type of surgeon. You may be talking with an orthopedist about joint replacement or a general surgeon about removing your gall bladder. Your surgery could involve foot or ankle repair or gynecological issues, such as treatment for incontinence. The types of surgery available today are vast, but one thing remains constant: the need for you and your surgeon to work closely with your primary care physician (PCP) both before and after your surgery.

While your surgeon is specifically trained to be an expert in surgical treatment for your necessary care, your PCP is the one who ensures your continuity of care – an established relationship that you and your health care provider have, which has grown over the years. Your PCP has taken the time to get to know you and your health goals, helping manage your progress and ensuring your overall good health.

With this continuity of care, you can feel more confident that you’re getting the most appropriate treatment and that you’ll be able to make the best possible recovery following your surgery. Over the long haul, a provider who knows your health history, your habits and your personality can more easily oversee your care from pre-surgery to post-surgery.

What’s more, you can trust your PCP to refer you to a specialist or surgeon whom they know will provide you a high level of care.

In doing so, you can be sure your PCP also has a collaborative relationship with your specialist and will be able to keep an eye on the “big picture” when it comes to your surgical experience.

“This concept is sometimes referred to as the ‘medical home,’” says Richard Madden, M.D., a family physician who serves on the board of directors of the American Academy of Family Physicians. “Your primary care physician has a working

relationship with their referrals and keeps track of your care with them.”

Together, your PCP and your surgeon will work as a team to decide if you need special preparation for surgery and whether you need to see additional specialists during this period. Before surgery, it’s important to schedule an appointment with your PCP as you’re planning your surgery, so he or she may alert your surgeon to any special needs that you may have.

If you haven’t recently had a complete physical exam, your PCP may suggest you do so to ensure that you don’t have new medical considerations that haven’t been previously identified. This can reduce or eliminate some of the risks associated with your operation. At your presurgical appointment, your PCP can also help you prepare for your pre-surgical appointment with your surgeon, guiding you in asking questions of your surgeon and learning what you can expect from your surgical experience.

Following surgery, you may be asked to follow up with both your PCP and your surgeon to be sure that you receive the best care for your overall medical condition, in addition to appropriate post-surgical care. Studies have shown that follow-up with a PCP after high-risk surgery, especially among patients with complications, is associated with a lower risk of hospital readmission.

If you and your PCP are considering surgical options for your treatment, the next step is scheduling an appointment with a surgeon and discussing your care. The physicians at Rockdale Surgical Associates in Conyers have served the Rockdale and Newton communities for more than 25 years. Doctors Harper and Logan are both known for their caring and thoughtful approach to delivery of patient care. To schedule an appointment, call 770-922-4024 today. n

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FEATURE

‘Low T’ Is More Common Than You Think written by Dr. Olliff

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ou can hardly turn on the radio or television these days without hearing a commercial for “low T.” But what exactly is low T and what causes it? Stacy Olliff, M.D., a physician at Eagles Landing Family Practice, says he’s seeing more and more cases of low testosterone in both older and younger men. Dr. Olliff says low T is a common problem in men, and seeking help is important to their overall health.

Question: What is testosterone and what role does it play in the body?

Dr. Olliff: Testosterone is the primary sex hormone in men. It is mainly produced in the testicles, but a smaller amount is also produced in the brain (adrenal glands). It is the main driver of puberty in boys and once grown, men need proper levels of testosterone for muscle mass, strong bones and prevention of osteoporosis, as well as a healthy sex drive.

Question: What causes low testosterone or “low T?” Dr. Olliff: There are different forms of low T. Knowing which type is important in discovering the cause and proper treatment. The most common reason for low testosterone is that the testicles are no longer producing the same amount of hormone they used to. This is the vast majority of what we see. Decreased testosterone production in the testicles is largely due to age, but we’re also seeing it in more and more younger men. Low T can also stem from the brain not producing signals for the testicles to produce testosterone. Other causes of low T can include cancer, infections, radiation exposure, genetic disorders, autoimmune diseases, etc.

Question: What happens when there’s too little testosterone produced?

Dr. Olliff: When men aren’t producing enough testosterone, there are adverse effects on bones and muscles. Low levels can even lead to injuries, fatigue, problems with concentration, moodiness and depression. In younger patients, low T impacts male fertility. And of course it has an impact on a man’s sex drive and his ability to maintain an erection.

Question: How is low T diagnosed?

Dr. Olliff: Because low testosterone tends to mirror other medical problems, I make screening for low T routine. When a patient presents with certain symptoms, we administer a blood test to gauge the total testosterone level as well as the “free T” level. Many physicians are just looking at that total testosterone level, which is what insurance companies seem to focus on as well. But looking at the free T level is important because your total testosterone may be within what’s considered normal levels, but the free T – the testosterone that’s active in the body – may be low.

Question: If my levels come back low, what happens next?

Dr. Olliff: If the patient’s testosterone level is low, we bring them back

in and recheck it. Insurance companies tend to want two tests that show levels below a certain threshold before they’ll cover any type of treatment.

I check several other important labs to determine the cause, including PSA level since testosterone can increase the size of the prostate and worsen prostate cancer.

Question: How do you treat low T? Dr. Olliff: There are several ways to replace testosterone. When it comes to symptom improvement and increasing testosterone levels, I have seen the best results with testosterone pellets (Testopel). Many primary care providers don’t do this procedure in the office like we do at ELFP. It is relatively quick and involves the doctor inserting testosterone pellets just beneath the skin of the lower back/upper glute. The capsules gradually release testosterone over a three-to-six-month period. The drawback is that the treatment is expensive, and it can be tricky to get insurance to cover it.

In my experience the next best option would be testosterone injections, but patients don’t tend to like those as much because, for one, they involve needles. Plus, some find it inconvenient to come in regularly, which is what the injections require. Other options are testosterone gels and creams, but they are also insurance dependent and come with risks of transfer to a spouse or children who might contact the same area. testosterone tablets are available but I do not prescribe them because of the potential for liver toxicity. Other oral options are fertility drugs such as Clomid and hCG. These kick start the brain to send the signal to the testicles to produce testosterone. (In women, these drugs help produce estrogen.)

Question: Why do you think more younger men have low T? Dr. Olliff: Doctors have theories, such as the foods we’re consuming, but we just don’t know for certain. One link we can make is between steroid use and low T. We know that teens and young men who have done anabolic steroids can see problems with testosterone that can follow them for the rest of their lives. I recommend avoiding all the over-the-counter testosterone supplements because they can potentially cause the body to stop producing testosterone naturally.

Question: What about the increase in marketing surrounding low T? Good or bad?

Dr. Olliff: I believe the commercials have been a good thing. More men are aware of it now, and I feel like it’s removed some of the stigma surrounding what is actually a common men’s health issue. I would encourage men who see those ads and think they could have low T to contact their physicians. It’s important to know what’s causing the low T to treat it appropriately and safely, plus there could always be another medical issue that’s causing the symptoms. Additionally, you’re going to need a prescription for testosterone replacement therapy if you hope to have insurance cover the costs.

If you suspect you have low T, schedule an appointment with your family doctor. Dr. Olliff at Eagles Landing Family Practice in Conyers regularly screens and treats patients with low testosterone. Learn more about Dr. Olliff at elfp.com, or call his office today at (770) 284-1842 to schedule an appointment.

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CONTENTS 3. Your Primary Care Provider, Your Surgeon and You 4. ‘Low T’ Is More Common Than You Think

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

7. Irritable Bowel Syndrome…a Common Disorder 8. De-stress and Refresh for the Holidays 10. Managing Rosacea Symptoms VOLUME 3, NO. 12, WINTER 2016

13. Staying Well 14. Healthy Ideas for Your Mind, Body and Spirit 15. Pain-free Treatment Available for Hemorrhoids 19. Reduce Your Risk of Severe Hearing Loss

Graphics/Layout Design: Carol Massey

20. Foot Infections: The Main Culprits

Contributing Writers:

Lee Udell; Dr. Michael Pulliam, M.D.; Dr. Olliff

22. Monastery of the Holy Spirit 23. Finding Help to Cope With a Loved One’s Needs 26. Walk of Heroes 27. Fulfilling Our Responsibility to Our Patients

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30. The Journey of Grief Through the Holidays

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29. What Exactly Is a Colonoscopy?

SUBMISSIONS

WINTER 2016 | HEALTHY IN NEWTON

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THINGS THAT ARE SCARY Colon Cancer doesn’t have to be scary. Timely screening for colon cancer means a

90% Prevention Rate.

EVERYONE 50+ NEEDS SCREENING

African Americans and those with family histories of colon cancer should be screened earlier (at 40-45 yrs).

Preventative screenings are largely covered by health insurance and Medicare. So,

DON’T WAIT UNTIL YOU HAVE SYMPTOMS,

because diagnostic colonoscopy (due to symptoms) carries higher costs!

Don’t put it off any longer.

GET BEHIND SCREENING. BOARD CERTIFIED PHYSICIANS

FRED A. LEVIN MD, FACP, FACG

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A. STEVEN MCINTOSH MD, FACG

1269 Wellbrook Circle, Conyers, GA 1075 South Main Street, Suite 200, Madison, GA 7229 Wheat Street, Covington, GA 1000 Cowles Clinic Way, Cypress Building, Suite C-300, Greensboro, GA

770-922-0505 EastAtlantaGastro.Com 6 HEALTHY IN NEWTON | WINTER 2016

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IRRITABLE BOWEL SYNDROME... a Common Disorder written by Lee Udell Do you know the difference between occasional stomach upset and irritable bowel syndrome? Irritable bowel syndrome (IBS) is a common disorder that affects your large intestine, or colon. Symptoms can include diarrhea, constipation, abdominal cramps, gas and bloating, so the disorder is often mistaken for an ordinary upset stomach. However, IBS is chronic, so symptoms may come and go – sometimes the signs and symptoms will be worse, and other times, they’ll improve or even disappear completely. Typical flare-ups last anywhere from two to four days, but symptoms can vary widely from patient to patient, so no two experiences are identical.

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he disorder affects as many as 1 in 5 American adults, but fewer than 1 in 5 of these will seek medical help. Yet, for anyone with these symptoms, getting medical care is crucial.

IBS is not life-threatening, but some people become incapacitated by it. It may affect work, travel, and can cause patients to withdraw completely from friends and social situations. Some fall into a deep depression that intensifies their symptoms. What’s more, many people with IBS are too embarrassed to talk openly about it, or think that, because it’s invisible or not life-threatening, somehow their symptoms are insignificant.

It’s not known exactly what causes IBS, but a variety of factors can play a role: • Foods – The role of food allergies or intolerance isn’t clear, but certain foods can trigger symptoms for some people. More common culprits include: chocolate, spices, fats, fruits, beans, cabbage, cauliflower, broccoli, milk, carbonated beverages and alcohol.

• Stress – Many of those with IBS find that their symptoms are worse when they’re stressed.

• Hormones – Women are twice as likely as men to have IBS, suggesting that hormonal changes may play a role. For many women, signs and symptoms worsen during or around their menstrual periods.

• Other illnesses – Sometimes another illness, such as bacterial overgrowth (too many bacteria in the intestine) or acute gastroenteritis (infectious diarrhea) can trigger IBS. Risk factors for IBS include: • Being young. IBS occurs more often in people younger than 45.

• Being female. About twice as many women as men have the condition.

• Having a family history of IBS. • Having a mental health problem. Anxiety, depression, a personality disorder or a history of childhood

sexual abuse or domestic abuse may increase your risk.

Regardless of what triggers IBS, the result is abnormal colon motility—the contraction of muscles in the intestines and the way food moves through them. The colon is extra sensitive and tends to spasm when stimulated by things like food or stress. These spasms can cause food to move too quickly through the digestive tract (diarrhea) or get stuck (constipation).

People with IBS can also be extra-sensitive to the goingson in their gut, and feel pain from small pockets of gas, for instance, when others would feel nothing.

Diagnosing IBS largely depends on a process of elimination, since there are no specific imaging or laboratory tests for the condition. Your doctor will likely recommend a blood test and attempt to rule out other possible conditions, including lactose intolerance, bacterial overgrowth or celiac disease, a disorder that results from an immune reaction to gluten found in certain grains.

Treatment is aimed at relieving symptoms and improving quality of life with diet and lifestyle changes, as well as learning to manage stress. Through trial and error, patients can determine which, if any, changes in eating habits can help control symptoms. Some medications, such as antispasmodics, can help reduce cramping, and laxatives or antimotility medications can help with constipation or diarrhea, as needed.

If you’ve been experiencing symptoms of IBS, schedule an appointment with your gastroenterologist right away. The physicians at East Atlanta Gastroenterology have more than 70 combined years of experience in treating digestive diseases, including IBS. With full-service locations in Conyers and Covington, East Atlanta Gastroenterology can consult with you and provide appropriate diagnostic and therapeutic solutions for each individual patient. Schedule an appointment today by calling 770-922-0505. n WINTER 2016 | HEALTHY IN NEWTON

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De-stress and Refresh for the Holidays

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very year, do you find yourself in full panic attack mode, starting before Thanksgiving Day and going all the way through to the New Year? With Christmas displays appearing in stores by the end of September, do you find yourself bracing for the massive blitzkrieg of full-scale holiday marketing – and all the stress that can go with it?

A Consumer Reports survey recently found that 90% of Americans find at least one thing stressful about the holiday season. Throughout the holidays, you’re faced with shopping and crowds. Back-to-back diet-busting parties. Interminable chats with distant family and in-laws. And the list goes on and on.

It’s easy to set unrealistically high expectations for everything to be perfect during the holidays. Then, when you take on too much, anxiety and stress surely follow, since our reality seldom measures up to the flawless fantasy in our heads.

So, why should you allow a season that’s supposed to be about joy and hope to become something quite the opposite?

This year, resolve to unwrap more happiness throughout the holidays and dodge holiday stress, while relaxing and actually enjoying your holidays.

One of the most effective ways to fight stress and find serenity is by practicing yoga. This mind-body practice combines physical poses, controlled breathing, and meditation or relaxation to reduce stress, lower blood pressure, and lower your heart rate. And almost anyone can do it. In fact, introducing your kids to yoga at an early age can help them learn healthy lifestyle habits and set the foundation for a fit future.

While yoga has many styles, forms and intensities, hatha yoga is a good choice for stress management, and beginners like its slower pace and easier movements. Many of the movements and poses are kid-friendly, so your whole family can enjoy the stress-reducing benefits of yoga. The core components of hatha yoga are: • Poses. This series of movements increases strength and flexibility, and can range from lying relaxed on the floor to difficult postures that may have you stretching your physical limits.

• Breathing. Yoga teaches you to control your breathing, to help control your body and quiet your mind.

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• Meditation or relaxation. Most yoga sessions incorporate these to help you learn to be more mindful and aware of the present moment, while allowing your head to clear out some of the clutter of daily living – and holiday madness.

Studies have shown that one of the biggest health benefits of yoga is stress reduction. In fact, the sense of calm and well-being that flows from yoga have been shown to reduce risk factors for chronic diseases, such as heart disease and high blood pressure. Experts also believe yoga helps alleviate chronic conditions, like depression, anxiety, pain and insomnia. And particularly around the holidays, we could all use these kinds of health benefits.

Other ways to de-stress during the holidays include: • Take care of your body. Get regular exercise – including yoga; go easy on the caffeine, sugar and alcohol; get enough rest; and eat healthy.

• Take a “time out” when you’re feeling crazed. Whether you have 15 minutes or 5, step away from all the activity and madness. Take a short walk, snuggle with your favorite toddler, play with the dog, call a good friend, or listen to some music.

• Find humor wherever you can. Look for the ludicrous, paradoxical and nonsensical in daily life. And laugh out loud. A good belly laugh changes your biochemistry and clears out emotional baggage like nothing else.

• Be realistic and know your limits. Don’t let unrealistic expectations push you into attempting more than you can reasonably manage. Learn to say no graciously. Then enjoy the satisfaction of working mindfully and getting essential things done.

• Throw something out every day. Clutter is a proven, low-level, subliminal stress inducer. So, commit to getting rid of one or two extraneous items daily, and toss out some of your stress along with them.

• Don’t be too proud to ask for help. When things start piling up, don’t get grumpy – get help. Reach out to family and friends and look for ways you can cooperatively work together to achieve common goals – while helping each other out.

• Take time to enjoy the moment. Be mindful of what you’re doing at various moments throughout the day, and use even mundane tasks as a chance to meditate and gain peace and balance. Notice beauty, kindness, and love around you, and take time to breathe it in – and even return it to those around you.

This year, resolve to get more enjoyment from the holidays and celebrate the season for what it should be. Take positive actions now to plan the upcoming season to reduce the pressure and stress – and immerse yourself fully in this lovely time of year.

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Managing Rosacea Symptoms

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osacea is a reddening of may come in pill form as well. the skin that primarily · Acne medications: The affects people with fair Mayo Clinic says some doctors complexions. will prescribe isotretinoin, a A chronic skin condition, powerful acne medication, rosacea affects millions of if antibiotics do not work. people each year and often This may be used on acnebegins with a tendency to like lesions that accompany blush or turn flushed more rosacea. easily than other people. · Lasers and light However, rosacea can become treatments: Doctors may more pronounced on the use lasers and other light face, producing swelling treatments to reduce redness and bumpy or thickening and inflammation and to Rosacea is a reddening of the skin that primarily skin. Rosacea can spread to remove thickening skin. affects people with fair complexions. other areas of the body as · E l e c t r o s u r g e r y well. Because rosacea is often (electrocautery): This noticeable, many people with the condition are interested procedure sends electric currents into the skin to help treat in learning how to reduce their symptoms. it by reducing the appearance of blood vessels or removing The first step when considering skincare treatment is to tissue buildup that typically forms around the nose. visit a doctor to determine if the symptoms you are exhibiting · Avoiding triggers: Some people have found that are indicative of rosacea. If a general practitioner is unsure, eating spicy food; excessive drinking; stress; or extreme he or she may refer you to a dermatologist. Dermatologists temperatures can cause rosacea to flare up. Learning about specialize in skin conditions and usually can identify rosacea your triggers and avoiding these things can make rosacea with just a visual inspection. Ignoring symptoms of rosacea less troublesome, possibly extending the time between could put you at risk of exacerbating the redness even further. flare-ups.

The exact cause of rosacea is unknown, but some believe · Exploring home remedies: Foods and beverages it is linked to the swelling of blood vessels beneath the skin. known to reduce inflammation can help reduce the redness The Mayo Clinic says rosacea symptoms may flare up for associated with rosacea. These include but are not limited to weeks at a time before diminishing. chamomile, green tea and oatmeal. Lavender oil and honey Many people who develop rosacea fall into these also have antimicrobial and antiseptic properties that may categories: make them good for treating rosacea. A study presented to · between 30 and 50 years old the American Academy of Dermatology found that licorice · fair skin with light hair and blue eyes also helps reduce redness and can help promote healthy · Celtic or Scandinavian ancestry, and skin cells. Consult with a dermatologist before trying natural · most likely have someone in their family with severe remedies to ensure they do not compete with or interact acne or rosacea. with any medications.

Although there’s no definitive cure for rosacea, treatments People with rosacea should use gentle skincare products can help control redness and reduce other signs of the and avoid scrubbing or touching their faces too much. Avoid condition. A combination of medication, avoidance of products that contain alcohol, which can cause further triggers and some natural remedies may be able to help. irritation. Everyone should also wear a broad-spectrum · Antibiotic treatments: Antibiotics used to treat rosacea sunscreen daily to protect their skin from damaging UV rays. have anti-inflammatory properties. They can be effective in Rosacea is a common condition, but it is one that can be the short term and are usually applied as creams, but they managed through a comprehensive approach.

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Put your skin in good hands PROVIDING DERMATOLOGICAL CARE FOR THE ENTIRE FAMILY

Michelle Juneau, MD

Dione Marcus, MD

Fiona Zwald, MD

Kate Kaufman, PA-C

Dermatological Services Available Full Body Skin Exam Dermatological procedures & services Aesthetic services dermatologyconsultants.org

770-784-0343

WINTER 2016 | HEALTHY IN NEWTON

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Urgent Care Access, Primary Care Cost Open seven days a week with extended hours until 7 p.m.

Same-day appointments and walk-ins accepted.

Eagles Landing Family Practice provides care at your convenience with our nine locations throughout Henry, Butts, DeKalb and Rockdale counties, including a location near you: CONYERS OFFICE

1101 Nor Tec Dr | Conyers, GA 30013 (770) 284-8583

FIND US ON FACEBOOK

HOURS

Monday - Thursday, 8 a.m. – 7 p.m.

Friday, 8 a.m. – 5 p.m.

Saturday, 10 a.m. – 2 p.m.

Sunday, 12 p.m. – 4 p.m.

Honey Creek Rd SE

Honey Creek Rd SE

20

Conyers

Same access. Lower cost.

Extended hours | Open seven days a week Same-day appointments and walk-ins accepted

We understand that you don’t have the luxury to schedule when you get sick.

That’s why Eagles Landing Family Practice is open seven days a week and offers extended hours to provide the care you need at the time you need it.

Whether you schedule an appointment or walk in, our medical care is always billed as a primary care visit, without the additional facility fees associated with urgent care centers or emergency rooms, making us a lower-cost choice for quality care in our community.

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Eagles Landing Family Practice offers many services and exams including, but not limited to:

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Cowan Rd SE

elfp.com 12 HEALTHY IN NEWTON | WINTER 2016

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• • • •

Sick visits • Wellness exams • Immunizations Gynecological services • On-site laboratory • On-site x-ray Skin care • Mammograms • EKG Echocardiograms • Low dose CT scans

For more information visit elfp.com/walk-in.

View our state-of-the-art patient imaging center at elfp.com/imagin g

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Staying well

Your guide to preventive health

By Tim Reichert Eagles Landing Family Practice

SCREENING RECOMMENDATIONS ANNUAL WELL WOMAN EXAM

“An ounce of prevention is worth a pound of cure.”

“Early detection is the best protection.”

“Prevention is better than cure.”

It’s safe to say that most of us have heard a variation of one of these common preventive health maxims, if not all of them. But they are more than clichés and sayings – there is undeniable truth in the message.

“If you can prevent disease, that can save you a lifetime of ill health,” says Heidi H. Chun, M.D., a physician at Eagles Landing Family Practice.

“What you do today, you’re going to pay for one way or another,” Chun says. “I look at it like a bank account. Whatever good choices you make, you’re putting a deposit in, and whenever you make a bad one, you’re taking it out.”

With enough bad choices, you’re looking at bankruptcy, Chun advised.

“Preventive health is very important because you can make choices, have vaccinations and do screenings that could prevent you from being diagnosed with a disease at a later stage, or have even gone through it at all.”

To help you stay on the road to good health, we’ve put together a guide to common wellness screenings along with their recommended timelines. It is by no means a comprehensive a list of available screenings and exams, so be sure to talk with your physician about which screenings are best for you. Your provider can determine and recommend which tests and scans are appropriate.

Many regular preventive screenings are covered by insurance, with no deductibles or co-insurance, so check with your provider for specific benefits.

From the inside out – trust your care to Eagles Landing Family Practice’s team of more than 40 board-certified providers. See our adjacent ad for more information about ELFP and our services and extended hours.

Women age 65 and younger

AAA (ABDOMINAL AORTIC ANEURYSM)

Men age 65-75 who have ever smoked

BONE DENSITY

Women age 65 and older; younger women at high risk

BREAST CANCER (MAMMOGRAPHY)

Women age 50 and older*

CERVICAL CANCER

Women age 21-65**

COLORECTAL CANCER FALL PREVENTION

Adults age 50-75 Adults age 65 and older

LUNG CANCER

Adults age 55-80 who have smoked heavily

PHYSICAL EXAM

Varies based on age, risk factors

SKIN CANCER

Inconclusive; report any suspicious moles or spots

Above screening recommendations are from the U.S. Preventive Services Task Force for otherwise healthy adults. *The USPSTF recommends annual mammograms every other year beginning at age 50. The American Cancer Society says all women should begin annual exams by age 45, and can change to having mammograms every other year beginning at age 55; the ACS states women should have the choice to start yearly mammograms at age 40 if they want to **The USPSTF recommends a Pap test every three years; age 30 or older every 5 years if Pap test is accompanied by an HPV test

elfp.com

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Healthy ideas for your mind, body and spirit.

MIND

TRY A NEW HOBBY. Ideas: knitting, camping, gardening, writing, woodworking or running.

GO ON AN ADVENTURE. Book a trip to somewhere new or explore your own city.

SIGN UP FOR A CLASS. Cooking, calligraphy, computers… whatever sparks your interest!

BECOME A BOOKWORM. Hit the library and check out books from a variety of genres.

BODY

COMMIT TO HIT THE HAY. You deserve at least 7 to 9 hours of sleep a night.

KICK THE BUTTS. Nix your smoking habit and your body will see instant positive changes.

GET ACTIVE. Your body was made to move. Yard work, walking, dance parties and window shopping count!

SCHEDULE AN ANNUAL PHYSICAL. It only takes a few minutes to schedule and a check-up may save your life.

SPIRIT

BECOME ONE WITH NATURE. Get outdoors and go for a walk when you're feeling blue.

GET THE GIGGLES. Rent a comedy, learn a few new jokes or hang out with funny friends.

DISCONNECT TO RECONNECT. Turn off the TV or tablet and call someone you love.

BE STILL. Meditate for five minutes a few days a week.

PRACTICE GRATITUDE. Write down five things you're thankful for each night.

Get healthy-living inspiration every day at piedmont.org/livingbetter

#livingbetter 14 HEALTHY IN NEWTON | WINTER 2016

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Pain-free Treatment Available for Hemorrhoids

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hanks to a non-surgical procedure called the CRH-O’Regan Disposable Hemorrhoid Banding System, patients do not need to suffer in silence from hemorrhoids. This safe and effective technique enables patients to be treated quickly, return to work the same day and resume normal activity with very little discomfort.

Hemorrhoids are very common in both men and women – especially pregnant women – and about half the population will get them by age 50. Hemorrhoids are actually swollen veins in the lower rectum and anus and can be extremely uncomfortable. For most women, hemorrhoids caused by pregnancy are a temporary problem resulting from the pressure of the fetus on the abdomen, hormonal changes and pressure on the blood vessels during childbirth. For both men and women, they can be caused by constipation, diarrhea, obesity, heavy lifting, or long periods of sitting.

Most patients only decide to see a

gastroenterologist when the bleeding, pain, burning or itching becomes unbearable. When symptoms do become a problem, the physicians at Atlanta Gastroenterology Associates (AGA) have been trained and certified in the CRHO’Regan Disposable Hemorrhoid Banding System to offer patients relief. In the past, surgery was frequently recommended to treat internal hemorrhoids. But this method uses a small rubber band to strangulate the base of the swollen vein and cut off the blood supply to the hemorrhoid. Some patients may need more than one treatment, but they can be spread out a couple of weeks apart.

The procedure itself is minimally invasive and is over 90% effective. Plus, it does not require anesthesia, lasts less than five minutes and is typically performed in the office. Many patients go back to work after their appointment and resume normal activity. With this procedure, patients can finally end their discomfort for good.

Advantages of the O’Regan Banding Technique • Highly effective treatment for hemorrhoids • Minimal pain or discomfort • Patients can quickly resume normal activity and return to work • No anesthesia needed • Very quick procedure lasting about 5 minutes • Performed in office or endoscopy suite

The physicians at Atlanta Gastroenterology Associates see patients at multiple locations across metro Atlanta. To make an appointment in Conyers, call 678.745.3033 or visit www.atlantagastro.com.

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CARE R S O F PATIENT

Proudly Serving Our Community 1501 Milstead Road | Suite 120 Conyers, Georgia 30012

678.745.3033

www.atlantagastro.com

AGA, LLC and its affiliates are participating providers for Medicare, Medicaid and most healthcare plans offered in Georgia. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

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Eat healthy.

For tips on eating and living healthy every day, visit piedmont.org/livingbetter

#livingbetter

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Chews wisely.

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If you experience difficulty hearing, now is the time to schedule your appointment with one of our highly qualifed, certified Audiologists.

How’s Your Hearing?

Have you noticed more difficulty understanding family and friends?

Does everyone just seem to be mumbling? Are you asking people to repeat themselves often? Are you having to turn the TV volume up?

If you answered “yes” to any of these questions, you may need to check your hearing…

Did You Know?

www.entspecialists.net Donald Cote, MD • Adam French, MD Arthur Torsiglieri, MD FACS • Donna McGough, F-AAA Kristyn Meade, F-AAA • Susann Shriver, CCC-A

• Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and marital problems leads to a better quality of life, according to a 1999 study by the National Council on Aging.

• At least 29 million Americans have a hearing impairment; 20% in adults ages 48-59; over 50% in adults over 75.

• Patients with diabetes are more than twice as likely to have hearing loss.

• Exposure to noise is the leading cause of tinnitus, and almost always accompanies hearing loss.

1370 Wellbrook Circle, Conyers, Georgia / 770-922-5458 4181 Hospital Drive, NE, Suite 102, Covington, Georgia / 770-385-0321 1110 Commerce Drive, Suite 108, Greensboro, GA / 770-922-5458 Call today for an appointment!

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FEATURE

REDUCE YOUR RISK OF Severe Hearing Loss

hough it’s difficult for many people to imagine living in a world in which their hearing has been compromised, hearing loss is a significant medical issue that affects millions of people across the globe. According to the National Institute on Deafness and Other Communication Disorders, among adults ages 65 and older in the United States, 12.3 percent of men and nearly 14 percent of women are affected by tinnitus, a ringing or buzzing in the ears that can be intermittent or continuous and can vary in loudness. Some are quick to assume hearing loss is a natural side effect of aging, and while the relationship between age and hearing loss is strong, that does not mean men and women cannot take steps to protect their hearing and maintain it well into their golden ears.

a person stops taking the medication that is contributing to those side effects, but that’s not always the case, so it’s best to discuss any potential side effects of medications with your physician before taking anything.

• Be especially careful when enjoying recreational activities that put hearing in harm’s way. Some celebratory activities are augmented by fireworks, and while fireworks may provide some stunning visual appeal to celebrations, that appeal could be coming at the expense of your hearing. Hearing loss is sometimes caused by exposure to loud and sudden noises, such as those made by fireworks. When attending celebrations that include fireworks, stay as far away from the fireworks as possible and wear earplugs if necessary.

Shooting enthusiasts may also be • Limit workplace exposure to putting themselves in harm’s way. noise. Overexposure to noise while on the job is a leading cause of Overuse of earbuds could be putting When visiting a shooting range or going on a hunting trip, protect your severe hearing loss, yet millions of you at greater risk of hearing loss. ears with headphones or ear plugs. people encounter hazardous levels The sudden pop of a gun or rifle can cause irreparable of noise during a typical workday. For example, mechanics are routinely exposed to loud noise that stems from power ear damage if you haven’t already taken steps to protect tools or motor vehicle engines. This does not mean mechanics your ears. should take up a new trade, but they should approach the • Limit use of personal music players. Though it’s hard workday with a goal of protecting their hearing. Mechanics to predict how many of today’s young people will suffer and other professionals who are routinely exposed to hearing loss down the road, it’s fair to assume hearing loss workplace noise can wear protectors that cover their ears figures will be on the rise. That’s thanks in large part to or earplugs that reduce the impact of noise on their ears. increased usage of personal music players and smartphones • Discuss side effects of medications with your doctor before taking them. Many people may be surprised to learn that certain medications can cause hearing loss. Some cancer drugs and certain antibiotics can cause hearing loss, including loss that may be permanent. In addition, when used regularly, nonsteroidal anti-inflammatory drugs, aspirin and acetaminophen can increase a person’s risk of hearing loss.

Some side effects related to hearing loss may disappear when

and their accompanying earbuds and headphones that allow music fans to crank up their favorite tunes at all hours of the day regardless of location. The louder and longer a person listens to music through headphones or earbuds, the greater that person’s risk of hearing loss may be. Those who want to protect their hearing for the long haul should limit their use of headphones and earbuds, and be sure to keep the volume down when they are using such devices.

For a thorough hearing evaluation, please contact ENT-Ear, Nose and Throat Specialists at 770-922-5458 or 770-385-0321 or visit www.entspecialists.net.

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FEATURE

Foot Infections: The Main Culprits Skin rashes and painful toenails are two of the many signs that your feet might be sick. What illnesses can affect feet?

Read up on the most common foot infections to find out.

PLANTAR WARTS Plantar warts are growths (usually painless, unless they occur on pressure points) on the skin that can spread to and from other parts of the body. They are caused by the human papillomavirus (HPV), and can appear several months after exposure to the virus. Although they might disappear without treatment, professional help is usually required to get rid of plantar warts for good.

ATHLETE’S FOOT Athlete’s foot is a fungal infection that causes the skin on feet to become reddish, cracked and itchy. This particular fungus thrives on feet because it needs humidity, heat and darkness to develop; that’s also why it’s most often found between the toes or on the soles. If you think you have athlete’s foot, quickly seek treatment to avoid it spreading to your toenails.

TOENAIL FUNGUS Toenail fungus (onychomycosis) is usually caused by untreated athlete’s foot that has spread to the nail. At first, the infection just makes the feet unsightly, but it can cause discomfort and pain as it progresses.

These three conditions are contagious. If you think you may be infected, avoid walking barefoot in public places like gyms, pools and showers. Consult your doctor or a podiatrist as soon as possible to prevent complications, especially if you have diabetes.

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If you have plantar warts, athlete’s foot or toenail fungus, please keep your feet covered in public areas!

Associated Foot & Ankle Specialists

Put Your Feet in Good Hands

WE TREAT: • Ankle Pain • Arthritis • Bunions • Diabetic Foot Care • Fractures & Injuries • Hammertoes • Heel Pain • Infected Toenails • Joint Replacement • Nerve Pain (Neuromas) • Pediatric Foot Conditions • Warts WE UTILIZE: • Arthroscopy • Digital X-Rays • Endoscopy • MLS Laser Therapy • Pulse Dye Laser Surgery

Dr. G. Wayne Newman, Jr.

Board Certified Podiatric Physician & Surgeon Fellow, American College of Foot & Ankle Surgeons Diplomate, American Board of Foot & Ankle Surgery Member, American Podiatric Medical Association Member, Georgia Podiatric Medical Association

SAME DAY OR NEXT DAY APPOINTMENTS

Associated Foot & Ankle Specialists, P.C. 1567 Milstead Rd., Suite A, Conyers

770-483-2291 Most Insurance Accepted

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Explore beauty and simplicity at the Monastery of the Holy Spirit.

Honoring a centuries-old tradition of hospitality, Georgia’s Trappist monks welcome you. Nestled on more than 2,300 acres, the Monastery offers a serene setting for exploration, contemplation and recreation.

■ See the Gothic-style Abbey Church ■ Experience a day in the life of a monk and learn about monastic tradition at the Historic Museum ■ Browse through the Bonsai Garden and Nursery ■ Shop at the Abbey Garden Center and Abbey Store for locally-made crafts, outdoor décor or Christian books and monk-made fruitcake, fudge and biscotti ■ Stroll the scenic grounds or exercise on the PATH trail ■ Stay for the day or experience an overnight retreat Open year-round and free to the public.

For more information on tourism in Conyers-Rockdale call 1-800/CONYERS or visitconyersga.com.

Like us on Facebook

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FEATURE

Finding Help to Cope With a Loved One’s Needs

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Submitted by Longleaf Hospice

atching a loved one suffer and being there to offer support at life’s end is not a simple thing. In spite of all our love and our will, sometimes we are simply not up to the task by ourselves. It is essential that you have a strong support network. Oftentimes a hospitalization will present a turning point in care needs with the realization that the patient will not be able to return to independent living or even the assisted living situation that they were in. Families may be advised by a hospital social worker that they should investigate hospice care.

Longleaf Hospice serves an expanding area which now includes 18 counties. There is a location in Atlanta, and also one right here in Covington at 1132 Floyd Street. At Longleaf

Hospice, services are tailored to meet your individual needs and customized to provide the care that you and your family requests. The Longleaf Hospice Care Team includes a Medical Director, Registered Nurse Case Managers/Licensed Practical Nurses, Hospice Aides, a Medical Social Worker, Chaplains and Volunteers.

When faced with a life-limiting illness, you can depend on the Longleaf Hospice Team to provide physical, spiritual and emotional support for you and your entire family. Backed by decades of medical experience and healthcare management, our team is dedicated to providing comprehensive care that allows you or your family member to remain at home and enjoy normal activities as long as possible.

You can contact Longleaf Hospice to learn more about what hospice care really means and how we might be able to help you or a loved one at 770-939-9179 or visit www.longleafhospice.com.

Specializing in More Good Days 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.

The Hospice You Choose Really Can Make a Difference.

Longleaf Hospice Guiding Principles · Our word is our bond · Everyone will be treated with respect · We will be open, honest and constant in all communications · We will go the extra mile for every customer experience to be positive

1132 Floyd Street Covington, Georgia 30014 2310 Parklake Drive | Suite 325 Atlanta, GA 30345 Phone: 770-939-9179 | Fax: 770-621-3083 www.LongleafHospice.com © Longleaf Hospice. 2016

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Our Purpose in

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Making Communities H 24 HEALTHY IN NEWTON | WINTER 2016

is to Save Yours

Rockdale hysicians Practices

Healthier.

Rockdale Medical Center & Rockdale Physician Practices.

800-424-DOCS (3627) 1412 Milstead Avenue Conyers, GA 30012 RockdaleMedicalCenter.org

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FEATURE

Fulfilling Our Responsibility

to Our Patients

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written by Dr. Michael Pulliam, M.D.

ver 50 years ago I started to work at the hospital that is now known as Piedmont-Newton and in the community as a physician. I believe it is safe to say that physicians of that era felt that their paramount responsibility was not to themselves but to the patient. Now, it seems that many physicians look at patients as consumers. As a result the physician/patient relationship is turning into an ordinary arm’s length business transaction. When this occurs it is difficult, if not impossible, for patients to trust their doctors to act primarily in their interest.

Daily, many physicians violate their professional duty of loyalty to patients by acting in their own self-interest, often at

patient expense. There are many examples: Unnecessary cataract surgery, performing C-sections over natural delivery to suit their own schedules, substituting a diagnosis of T.I.A. when actual stroke occurs because H.C.F.A. might sanction the hospital or doctor for a major complication of a medication error or post-op care, etc.

There is no greater calling than fulfilling our responsibility to our patients. To fail impacts everyone involved - the patient, the doctor, and society in general. While many state sponsored regulations such as mandated electronic medical records, and Obamacare many have contributed to this, it may be too late to save the profession of medicine even with their repeal.

• Macular Degeneration • Floaters • Cornea • Glaucoma • Dry Eye • Cataracts

Dr. Pulliam is a Board Certified Ophthalmologist and specializes in adult Ophthalmology including cataract consultation and second opinions.

4165 Hospital Drive • 770-786-9312 (Across from Piedmont Newton ER) Covington, GA 30014

michaelpulliammd.com

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Dr. Aburime is a Board Certified Gastroenterologist with subspecialty training in minimally invasive advanced diagnostic, therapeutic and interventional endoscopic techniques, and uses these techniques to provide quality patientcentered care.

Need a Gastroenterologist?

Meet Ekinadese Aburime, M.D., MPH In addition to performing screening colonoscopies, we treat: • Esophagus, stomach, intestinal, liver, colon and rectal gastroenterology disorders • Advanced gastroenterology disorders • Biliary and gallbladder disease • Pancreas disease • Digestive and metabolic disorders

rockdalegastro.com 28 HEALTHY IN NEWTON | WINTER 2016

Dr. Ekinadese Aburime Gastroenterology

Rockdale Gastroenterology Associates 1301 Sigman Rd., NE, Suite 190 Conyers, GA 30012 To schedule an appointment, call

770-922-4024

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FEATURE

What Exactly Is a COLONOSCOPY? written by Lee Udell

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ou’re over the age of 50, and your doctor has advised you to get a colonoscopy. So, what exactly is a colonoscopy, why do you need one, and what can you expect from the procedure?

Regular colorectal screening is one of the most powerful weapons against colorectal cancer. Excluding skin cancers, colorectal cancer – cancer which begins in the colon or rectum – is the third most common cancer diagnosed in both men and women. Yet, thanks to an increase in those undergoing screening, the death rate of colorectal cancer has been dropping for several decades.

A colonoscopy is commonly considered the gold standard procedure for early detection and removal of polyps, growths that can potentially turn into deadly colorectal cancer (CRC). In recent studies of individuals who had colonoscopies, precancerous growths were found in 25% of men and 15% of women.

It can take as many as 10 to 15 years for a polyp to develop into colorectal cancer. But, with regular screening, many cases of cancer can be prevented altogether, by finding and removing these polyps. What’s more, screening can help find CRC early, when it’s small and hasn’t spread. In the early stages, colorectal cancer is easier to treat, with a five-year survival rate of about 90%.

Unfortunately, only about 4 out of 10 colorectal cancers are found at this early stage, mainly because only about half those who should be tested for CRC actually get screened. Despite its proven effectiveness, the idea of getting a colonoscopy invokes dread and apprehension in many people.

Over the years, colonoscopies have gotten a bad rap: after all, aren’t they uncomfortable, invasive, embarrassing and time-consuming? Well, colonoscopies have come a long way, with preparation the day before not nearly as unpleasant as it once was, and the procedure itself performed under a light

sedation, so you never feel a thing.

So, if you’re over 50, celebrate reaching the half-century mark by taking one of the first steps to ensuring you’ll have many more healthy years ahead: schedule a colonoscopy. Here are a few things you should know before your procedure: • Your doctor will instruct you on what to eat and how to empty your bowel prior to the colonoscopy.

• During a colonoscopy, your doctor examines the lining of your entire colon to check for polyps or tumors. If polyps are found, they can be removed immediately and biopsied. A pathologist will provide a report to your doctor within a few days.

• On the day of the colonoscopy, you will get medication to help you relax. Most people fall asleep and remember little, if anything, about the test when they wake up.

• A long, thin, flexible tube, called a colonoscope, is inserted into your colon through the rectum. A tiny video and camera with a light on the end sends images to a video monitor.

• Both men and women should have regular colonoscopies beginning at age 50, or sooner if there are additional risk factors, such as family history, lifestyle, or inflammatory bowel disease.

• If you are experiencing bleeding, a change in frequency and characteristics of bowel movements, abdominal pain or unexplained fatigue, cramping or weight loss, see your gastroenterologist as soon as possible and discuss scheduling a colonoscopy.

• Continue getting a colonoscopy every 10 years, or possibly more often, if you’ve had a polyp removed.

Dr. Ekinadese Aburime at Rockdale Gastroenterology Associates is board certified, with subspecialty training in minimally invasive advanced diagnostic, therapeutic and interventional endoscopic techniques. Call 770-922-4024 today to schedule an appointment at his office on Sigman Road in Conyers, and discuss your screening colonoscopy. n

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FEATURE

The Journey of Grief Through the Holidays (Reprinted from Caldwell & Cowan Funeral Home Grief Management Newsletter Fall/Holiday Edition, 2012.)

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ow long will this last? This is one of the most often asked questions by people who are dealing with grief. People have been programmed to see grief over the death of a loved one as temporary and something which is easily overcome.

One of the most difficult times of year for grief sufferers is the Holiday Season. As the holidays quickly approach, it is important to realize that this is a difficult time of the year for those who have lost loved ones. For some, this may be the first Thanksgiving or Christmas since their loved one died. As the holidays approach, here are some suggestions on getting through the Holiday Season.

F Don’t look at the holidays with dread. In many cases the anticipation of these days is worse than the actual day itself.

F Remember your loved ones as you continue your normal holiday routine. Keep them a part of your celebrations, tell stories about past holidays where your loved one was present. Wrap a present for your loved one and give it to someone who is in need, or means something to you.

F Don’t dodge the topic of your loved one not being there. In order to deal with your feelings you need to be open and honest with everyone present. You may find out that once the conversation is started, others may be comforted by the talk, as well as yourself.

• Most important of all is to allow yourself to experience the emotions that these days will bring.

Feeling good about yourself is mostly a do-it-yourself job. However, when you find yourself emotionally “stuck”

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you may find that talking with someone who can relate to your struggles is helpful. Good counseling can benefit anyone, but you may have trouble deciding if you need, or even want it. If you decide that counseling would be beneficial to help you through the Holiday Season, here are some points to consider.

F Know what to expect from counseling. You have a right to expect honesty, confidentiality, and emotional support from the counselor you select.

F Find the right counselor for you. Choose a counselor best suited to your particular needs. A counselor who has previous experience in helping grievers would be a good choice.

F Determine whether you want group or individual counseling. Group counseling can be a good way to discover that you are not alone in your suffering. The sense of support and family developed in health group counseling is important to the healing process. On the other hand, if you have reservations about talking in front of others, then individual counseling may be for you.

We were given the gift of our loved one for days, weeks, months, or years, and it is irrational to think that kind of love can be simply overcome in a matter of days.

Experts have even stated that common grief, without any intervention or assistance, can last upwards of five years.

The painful memory of the death of a loved one will always be with you. As you go through your journey of grief, don’t ignore your emotions or brush them aside. As you experience the anger, sadness, guilt and bargaining you’re facing, remember that you will eventually come to acceptance.

Caldwell & Cowan Funeral Home Dogwood Hill Crematory

We Have Many Options Available to Help You and Your Family Celebrate Your Life: ❖ ❖ ❖ ❖ ❖ ❖ ❖

Pre-Planning and At-Need Arrangements Tailored to Honor One’s Life Wide Range of Traditional and Cremation Service Packages Inviting, Spacious Facilities to Accommodate All Sizes of Crowds Private, On-Site Crematory Knowledgeable, Professional and Courteous Staff Grief Support Groups And Many More…

Call Today for More Information 1215 Access Road- Covington, GA • www.caldwellandcowan.com • (770)786-7062 ❖ ❖ ❖ ❖ ❖ ❖ ❖ ❖ ❖

Perpetual Care Ground Burials Mausoleum Entombments Veterans Memorial Section Columbarium Niches Urnarium Niches Cremation Garden Flower Plans Marker Sales

1111 Access Road- Covington, GA

•

(770)787-8314

www.lawnwoodmemorialpark.com

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“Postal Customer”

Getting sick is easy.

Getting care is, too.

Get care on your time, in good time.

piedmont.org/now

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