Healthy in Rockdale Winter 2015

Fitness for Gastroesophageal Reflux Disease

2015

GERD

High Blood Pressure & Exercising

Germ Patrol: Protect Your Child This Winter

WINTER 2015

HIR WINTER 2015.indd 1

12/24/2014 8:29:35 AM

Serving rockdale & newton area over 16 Years!

Eastside Internal Medicine, LLC Board Certified, ameriCan Board of internal mediCine

2080 Eastside Drive • Conyers, Georgia • 678-625-7800 • Hypertension/Diabetes/High Cholesterol • Women’s Wellness

most insurance accepted!

Walk-ins Welcome!

• Pap Smear • Drug Screens • Physicals & Sports Physicals • Worker’s Comp Injuries • Asthma/Emphysema • Thyroid • Depression • Men’s Health • Erectile Dysfunction • STD Treatment • Minor Surgery • Heart Failure

Features in Focus

on-Site lab & X-ray! doctor on Call 24/7!

WINTER 2015

Winter Is among us Fitness for 2015

Syed Wasim MD, MPH

Farhana Quasem MD

Masood Siddiquee MD, MRCP (U.K.)

Hours: Monday-Friday 8:00am - 5:00pm • Saturday 8:00am - 12:00 noon MOST INSURANCE ACCEPTED

HIR WINTER 2015.indd 2-3

Page 6

Mohs Surgery for the Treatment of Skin Cancer

Page 18

Nutrition and Aging Go Hand-In-Hand

Page 29

12/24/2014 8:30:00 AM

Serving rockdale & newton area over 16 Years!

Eastside Internal Medicine, LLC Board Certified, ameriCan Board of internal mediCine

2080 Eastside Drive • Conyers, Georgia • 678-625-7800 • Hypertension/Diabetes/High Cholesterol • Women’s Wellness

most insurance accepted!

Walk-ins Welcome!

• Pap Smear • Drug Screens • Physicals & Sports Physicals • Worker’s Comp Injuries • Asthma/Emphysema • Thyroid • Depression • Men’s Health • Erectile Dysfunction • STD Treatment • Minor Surgery • Heart Failure

Features in Focus

on-Site lab & X-ray! doctor on Call 24/7!

WINTER 2015

Winter Is among us Fitness for 2015

Syed Wasim MD, MPH

Farhana Quasem MD

Masood Siddiquee MD, MRCP (U.K.)

Hours: Monday-Friday 8:00am - 5:00pm • Saturday 8:00am - 12:00 noon MOST INSURANCE ACCEPTED

HIR WINTER 2015.indd 2-3

Page 6

Mohs Surgery for the Treatment of Skin Cancer

Page 18

Nutrition and Aging Go Hand-In-Hand

Page 29

12/24/2014 8:30:00 AM

ISSUE GUIDE

WINTER 2015 T. Pat Cavanaugh Publisher Annette Godwin Sales Director Debbie Thompson Comptroller Michelle Kim Editor carin Deboer

General Health

Women's Health 9

Urogynecologic Surgery

6

Fitness for 2015

Graphics Manager/Layout Design Amanda Ellington Circulation Supervisor

14 New Year's Resolutions

10 Coolsculpting

LEE UDELL; Richard P. James, Jr.;

16 Bio Identical Hormone Replacement

13 Hearing Aids

Writers

17 Diet & Pregnancy

15 Gastroesophageal Reflux Disease – GERD 18 Mohs Surgery for the Treatment of Skin Cancer

Jane S. Tan; Kathleen Lambert

HUNTER AMES Photographer

23 High Blood Pressure & Exercising 24 Foods with Healthy Reputations 25 Germ Patrol: Protect Your Child This Winter 29 Nutrition and Aging Go Hand-In-Hand 31 Osteoporosis 32 Not "Just" A Jammed Finger 34 Easy Ways to Enjoy a Flu-Free Winter 35 Colon Cancer Screening Saves Lives 36 What is Sleep Apnea

Healthy in Rockdale Magazine is published by The News of Rockdale. No portion of this issue including publisher designed advertisements may be copied, scanned or reproduced in any manner without prior written consent from the publisher.

Healthy in Rockdale accepts no responsibility for unsolicited manuscripts, artwork or photographs.

These will not be returned unless accompanied by a self-addressed stamped envelope.

Healthy in Rockdale Magazine is available free to subscribers of The News. To subscribe to The News or The Covington News, please call 770-787-6397.

To advertise in Healthy in Rockdale, please call 770728-1436.

the News Serving Rockdale County and Conyers

37 Exercising & Aging 38 Protecting Yourself from Skin Cancer

HIR WINTER 2015.indd 4-5

12/24/2014 8:44:52 AM

ISSUE GUIDE

WINTER 2015 T. Pat Cavanaugh Publisher Annette Godwin Sales Director Debbie Thompson Comptroller Michelle Kim Editor carin Deboer

General Health

Women's Health 9

Urogynecologic Surgery

6

Fitness for 2015

Graphics Manager/Layout Design Amanda Ellington Circulation Supervisor

14 New Year's Resolutions

10 Coolsculpting

LEE UDELL; Richard P. James, Jr.;

16 Bio Identical Hormone Replacement

13 Hearing Aids

Writers

17 Diet & Pregnancy

15 Gastroesophageal Reflux Disease – GERD 18 Mohs Surgery for the Treatment of Skin Cancer

Jane S. Tan; Kathleen Lambert

HUNTER AMES Photographer

23 High Blood Pressure & Exercising 24 Foods with Healthy Reputations 25 Germ Patrol: Protect Your Child This Winter 29 Nutrition and Aging Go Hand-In-Hand 31 Osteoporosis 32 Not "Just" A Jammed Finger 34 Easy Ways to Enjoy a Flu-Free Winter 35 Colon Cancer Screening Saves Lives 36 What is Sleep Apnea

Healthy in Rockdale Magazine is published by The News of Rockdale. No portion of this issue including publisher designed advertisements may be copied, scanned or reproduced in any manner without prior written consent from the publisher.

Healthy in Rockdale accepts no responsibility for unsolicited manuscripts, artwork or photographs.

These will not be returned unless accompanied by a self-addressed stamped envelope.

Healthy in Rockdale Magazine is available free to subscribers of The News. To subscribe to The News or The Covington News, please call 770-787-6397.

To advertise in Healthy in Rockdale, please call 770728-1436.

the News Serving Rockdale County and Conyers

37 Exercising & Aging 38 Protecting Yourself from Skin Cancer

HIR WINTER 2015.indd 4-5

12/24/2014 8:44:52 AM

women's health FEATURE•

•general health FEATURE

Fitness for

2015 written by Michelle Kim photography by Hunter Ames

{

T

Modify Susan Simons never set out to lose 90 pounds over the last two years. Or to become the unofficial den mother at the Crossfit Ransom gym. Her main goal, when she started working out in January 2012, was simply to survive.

Simons, who has served as the unflappable secretary to Rockdale Superior Court Judge David Irwin’s office for 16 years, had not worked out for at least two decades. Her knees hurt when she did try. And she had gone on and off diets over the years, but nothing stuck. Like most people, she had the basic knowledge of what she needed to do to improve her fitness, but simply didn’t do it.

“Oh heck, I knew it. I was just bad,” she said. “I don’t know what switch turned.”

She described herself as a “healthy fat person” without drastic health issues to scare her into fitness. But she was keeping track of what she ate on My Fitness Pal. And then a friend invited her to a bootcamp workout run by Covington residents Morgan and Ryan Pye at her church, Conyers First United Methodist.

6

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 6-7

}

hink lifting weights and building endurance is just for body builders? Think again. Anyone can benefit from strengthening and working out, and anyone can do the exercise and make the food choices needed for better fitness. It’s all about getting started and sticking to it.

“I started going one night a week, thought I would die, but I didn’t,” said Simon. “Then two nights a week. Then three nights a week.” She did her workouts “under the radar, in case I failed.”

But fail she did not.

When the Pyes opened the Crossfit Ransom gym in 2014, Simon stayed with them, although it took a little convincing for her to realize she had already been doing Crossfit-type exercises all along.

Now, Simons – who used to pooh-pooh exercise – hits the gym twice a day.

She attends the 7 a.m. workout, where she’s usually the only one, and then the evening workouts to socialize. And for the past three years Simons has been on the winning team of the county government’s annual weight loss challenge for employees.

The key is finding a way that works for her. “’Modification’ is the best word ever,” she said. “I may modify it, but I can do it.”

And not going to the extremes. “I knew for me, it had to be slow and steady. I had to make realistic choices that I could keep up

with.”

Food is a big part of fitness. “For me (it was) eating regular food but making better food choices, adding in more vegetables, adding in more raw foods. Cutting out prepared foods, and limiting sugar.”

Her advice to anyone wanting to get healthier but leery of exercise? “Just do it. Just start. Don’t be afraid.”

“I remind them, if I can do it, anybody can do it. Everything can be modified.”

Stronger Together For newlyweds Grace and Donovan Carter, working out did not come easily, but now they can’t imagine their daily lives without it.

The Covington natives got married August 2012 and hit the “Newlywed 15.”

Donovan, a 23-year-old Information Technology professional, said “I’d started to pudge out a little bit. (Grace) expressed she wanted to get in better shape. So I said OK, you should go to bootcamp.”

Grace did go but struggled with motivation and asked Donovan to come with her. They found working out together motivated each other to keep going.

“It makes everything easier when you have a similar routine together,” said Grace, a 24-year-old hair dresser and nanny. “We can do dinner together so we can get out at the same time. Days when I don’t want to go, he wants to go. When he doesn’t want to go, I want to go. It really does work out.”

Neither saw themselves as Crossfit-types before they began the bootcamps and the Crossfit Ransom gym. Grace was in dance and Donovan played sports growing up. But they credit the Pyes’ supportive coaching style and the community at the gym.

“We’re five to six months in. I haven’t hit my goals completely, but I’ve done a lot of things, I’ve achieved a lot,” said Grace. She’s lost inches and gained muscle. And she’s discovered she’s stronger than she thought – she now deadlifts 255 pounds.

Ryan now deadlifts 355 pounds and squats 315 pounds. When he started, he was at 135 pounds and 150 pounds respectively. But both emphasize it’s about competing against yourself, not against other members, who are all in different stages with different strengths and weaknesses.

“This is the first year I started in January and I’m still (working out as) January is coming again,” said Grace. “I’ve never done this in my entire life. That’s a big deal. That’s a goal that I hit.”

For the young couple, working out also gives them peace of mind. For Donovan it relieves stress after work and commute. For Grace, “The biggest thing, for me as a woman, emotionally, it makes me feel 10 times better when I work out. I feel really depressed if I don’t. Not because I’m obsessed with working out or anything. It just makes me feel really good mentally.

“There’s something about the physical, it really does relieve the emotional side. It is all connected.” 

WINTER 2015 | HEALTHY IN ROCKDALE

7

12/24/2014 8:45:25 AM

women's health FEATURE•

•general health FEATURE

Fitness for

2015 written by Michelle Kim photography by Hunter Ames

{

T

Modify Susan Simons never set out to lose 90 pounds over the last two years. Or to become the unofficial den mother at the Crossfit Ransom gym. Her main goal, when she started working out in January 2012, was simply to survive.

Simons, who has served as the unflappable secretary to Rockdale Superior Court Judge David Irwin’s office for 16 years, had not worked out for at least two decades. Her knees hurt when she did try. And she had gone on and off diets over the years, but nothing stuck. Like most people, she had the basic knowledge of what she needed to do to improve her fitness, but simply didn’t do it.

“Oh heck, I knew it. I was just bad,” she said. “I don’t know what switch turned.”

She described herself as a “healthy fat person” without drastic health issues to scare her into fitness. But she was keeping track of what she ate on My Fitness Pal. And then a friend invited her to a bootcamp workout run by Covington residents Morgan and Ryan Pye at her church, Conyers First United Methodist.

6

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 6-7

}

hink lifting weights and building endurance is just for body builders? Think again. Anyone can benefit from strengthening and working out, and anyone can do the exercise and make the food choices needed for better fitness. It’s all about getting started and sticking to it.

“I started going one night a week, thought I would die, but I didn’t,” said Simon. “Then two nights a week. Then three nights a week.” She did her workouts “under the radar, in case I failed.”

But fail she did not.

When the Pyes opened the Crossfit Ransom gym in 2014, Simon stayed with them, although it took a little convincing for her to realize she had already been doing Crossfit-type exercises all along.

Now, Simons – who used to pooh-pooh exercise – hits the gym twice a day.

She attends the 7 a.m. workout, where she’s usually the only one, and then the evening workouts to socialize. And for the past three years Simons has been on the winning team of the county government’s annual weight loss challenge for employees.

The key is finding a way that works for her. “’Modification’ is the best word ever,” she said. “I may modify it, but I can do it.”

And not going to the extremes. “I knew for me, it had to be slow and steady. I had to make realistic choices that I could keep up

with.”

Food is a big part of fitness. “For me (it was) eating regular food but making better food choices, adding in more vegetables, adding in more raw foods. Cutting out prepared foods, and limiting sugar.”

Her advice to anyone wanting to get healthier but leery of exercise? “Just do it. Just start. Don’t be afraid.”

“I remind them, if I can do it, anybody can do it. Everything can be modified.”

Stronger Together For newlyweds Grace and Donovan Carter, working out did not come easily, but now they can’t imagine their daily lives without it.

The Covington natives got married August 2012 and hit the “Newlywed 15.”

Donovan, a 23-year-old Information Technology professional, said “I’d started to pudge out a little bit. (Grace) expressed she wanted to get in better shape. So I said OK, you should go to bootcamp.”

Grace did go but struggled with motivation and asked Donovan to come with her. They found working out together motivated each other to keep going.

“It makes everything easier when you have a similar routine together,” said Grace, a 24-year-old hair dresser and nanny. “We can do dinner together so we can get out at the same time. Days when I don’t want to go, he wants to go. When he doesn’t want to go, I want to go. It really does work out.”

Neither saw themselves as Crossfit-types before they began the bootcamps and the Crossfit Ransom gym. Grace was in dance and Donovan played sports growing up. But they credit the Pyes’ supportive coaching style and the community at the gym.

“We’re five to six months in. I haven’t hit my goals completely, but I’ve done a lot of things, I’ve achieved a lot,” said Grace. She’s lost inches and gained muscle. And she’s discovered she’s stronger than she thought – she now deadlifts 255 pounds.

Ryan now deadlifts 355 pounds and squats 315 pounds. When he started, he was at 135 pounds and 150 pounds respectively. But both emphasize it’s about competing against yourself, not against other members, who are all in different stages with different strengths and weaknesses.

“This is the first year I started in January and I’m still (working out as) January is coming again,” said Grace. “I’ve never done this in my entire life. That’s a big deal. That’s a goal that I hit.”

For the young couple, working out also gives them peace of mind. For Donovan it relieves stress after work and commute. For Grace, “The biggest thing, for me as a woman, emotionally, it makes me feel 10 times better when I work out. I feel really depressed if I don’t. Not because I’m obsessed with working out or anything. It just makes me feel really good mentally.

“There’s something about the physical, it really does relieve the emotional side. It is all connected.” 

WINTER 2015 | HEALTHY IN ROCKDALE

7

12/24/2014 8:45:25 AM

women's health FEATURE•

A BETTER HEALTH CARE EXPERIENCE

for women

Urogynecologic SURGERY

Specializing in Gynecology, Minimally Invasive Surgery & Urogynecology Surgery

Appointments readily available that will fit into your busy schedule.

- Well Women Health Care and Comprehensive Annual Exams - Pap Smears, Breast Exams, and In-Office Ultrasounds - Full range of Contraception Options - Menopausal Management - Traditional and Alternative - Adolescent and Pediatric Gynecology - Infertility Workups - Hormone Replacement Therapy - Bladder Problems and Incontinence - Osteoporosis Screening and Treatment - Screening for Sexually Transmitted Diseases - Treatment for Fibroids, Endometriosis, Abnormal Bleeding, and Ovarian Cysts

Procedures We Provide DaVinci Robotics Gynecological Surgery Traditional Abdominal Hysterectomy, Vaginal, Hysterectomy, and Laparoscopic Assisted Hysterectomy Myomectomy for Fibroid Tumors In-Office ESSURE Tubal Ligation Laparoscopic Surgery for Ovarian Problems, Endometriosis, Tubal and Adhesive Diseases Hysteroscopic Surgery Colposcopies for Abnormal Pap Smears and LEEP Procedures Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder Leakage In-Office Endometrial Ablation for Excessive Menstrual Bleeding

Lanie Vu, NP

Maria Epling, CNP

Dr. Stephanie Gordon

CONYERS

2750 Owens Drive Suite A 678-413-4644

STOCKBRIDGE

140 Eagles Spring Court Suite B 770-302-0878

Marcia Harmon, CNM

visit us online @ womenscenterga.com

HIR WINTER 2015.indd 8-9

Dr. Trent Rice

E

very day, millions of women silently wrestle with issues that cause untold embarrassment, inconvenience and discomfort. While many people think that urinary and fecal incontinence and pelvic organ prolapse are uncommon issues, affecting only a small number of elderly or disabled women, the truth is that these issues are remarkably common.

In fact, data from Yale University shows that about 35% of women who visit their gynecologist’s office for routine care have urinary incontinence (UI), while 40% experience moderate to severe pelvic organ prolapse. Prolapse and incontinence frequently occur together. And, indeed, pelvic floor conditions are more common than hypertension, depression, or diabetes in women.

Yet, if you’re like many women, seeking help for these conditions can be a source of embarrassment or fear – or even hopelessness. The stigma of UI and other pelvic floor conditions is enough to keep many women from admitting their concerns, even to their own physicians. And living with these conditions can be devastating psychologically, as well as socially, emotionally and physically.

The good news is that, while problems like these are common, they aren’t considered normal or inevitable, regardless of age or health, and many effective forms of treatment are available.

The field of urogynecology is a specialized area of both urology and gynecology that focuses on treating women who are faced with these sensitive issues. Urogynecologists receive extensive training in the treatment of conditions that affect the female pelvic organs, as well as the muscles and connective tissue that support these organs.

Treatment for incontinence and prolapse – protrusion of the bladder or vagina from your body – can be either non-surgical or surgical. The first step in getting help is to see a physician who has experience treating these types of conditions and learn about what may be causing your problem. Your doctor will ask questions about your symptoms and medical history, conduct a physical exam, and discuss with you which tests are appropriate.

Your physical examine may reveal signs of medical conditions that can cause incontinence, like treatable blockages from bowel or pelvic growths. Tests may include an ultrasound, cystoscopy (using a tiny camera to see inside your urethra and bladder), a urinalysis, and urodynamics to measure pressure in the bladder and the flow of urine.

Depending upon your diagnosis, the severity of your symptoms and your overall health, your physician may recommend conservative, non-surgical therapies as the first approach to treat your pelvic floor disorder. These include medications, pelvic muscle exercise, lifestyle and dietary modifications, use of a vaginal support device called a pessary, and biofeedback.

If your condition doesn’t improve, your doctor may suggest surgery. Many of the available surgical procedures for incontinence and prolapse are minimally invasive, including some robotic-assisted surgeries that may offer a more effective treatment option. Using tiny, 1-2 cm incisions, your surgeon can operate with greater precision and control, so your recovery is faster and less painful, with a better clinical outcome.

Some common urogynecologic surgeries and procedures include: • Suburethral slings – small mesh slings placed under the urethra to help prevent urinary leaks • Sacrocolpopexy – a robotic-assisted procedure to surgically correct vaginal vault prolapse where mesh holds the vagina in the correct anatomical position • Periurethral and transurethral bulking – injections for treatment of stress urinary incontinence • Interstim neuromodulation – a technique that electrically stimulates the nerves that influence the bladder, used to treat urge incontinence and bladder frequency and urgency • Vaginal reconstruction for prolapse, with or without mesh implantation • Botox therapy – injections to help block the unwanted contractions of an overactive bladder, while leaving surrounding muscles able to function properly These are just some of the procedures your doctor may consider to treat your incontinence or prolapse. Of course, your physician’s recommendations will depend on your diagnosis.  So, rest assured, if you’re one of the millions of women faced with the embarrassment and discomfort of incontinence or prolapse, there are solutions. Schedule an appointment to see your gynecologist today to discuss your situation and your options. If you don’t have a gynecologist, get to know Dr. Stephanie Gordon of The Women’s Center in Conyers. At the Women’s Center, Dr. Gordon and her all-female staff are uniquely trained to help you. They understand the sensitive and difficult nature of the many different problems that a woman can face during her life. Whatever problem you are experiencing, Dr. Gordon and her staff will listen compassionately and work together to create a solution that’s perfect for you.

WINTER 2015 | HEALTHY IN ROCKDALE

9

12/24/2014 8:45:36 AM

women's health FEATURE•

A BETTER HEALTH CARE EXPERIENCE

for women

Urogynecologic SURGERY

Specializing in Gynecology, Minimally Invasive Surgery & Urogynecology Surgery

Appointments readily available that will fit into your busy schedule.

- Well Women Health Care and Comprehensive Annual Exams - Pap Smears, Breast Exams, and In-Office Ultrasounds - Full range of Contraception Options - Menopausal Management - Traditional and Alternative - Adolescent and Pediatric Gynecology - Infertility Workups - Hormone Replacement Therapy - Bladder Problems and Incontinence - Osteoporosis Screening and Treatment - Screening for Sexually Transmitted Diseases - Treatment for Fibroids, Endometriosis, Abnormal Bleeding, and Ovarian Cysts

Procedures We Provide DaVinci Robotics Gynecological Surgery Traditional Abdominal Hysterectomy, Vaginal, Hysterectomy, and Laparoscopic Assisted Hysterectomy Myomectomy for Fibroid Tumors In-Office ESSURE Tubal Ligation Laparoscopic Surgery for Ovarian Problems, Endometriosis, Tubal and Adhesive Diseases Hysteroscopic Surgery Colposcopies for Abnormal Pap Smears and LEEP Procedures Repair of Pelvic Prolapse, Relaxation and Surgery for Bladder Leakage In-Office Endometrial Ablation for Excessive Menstrual Bleeding

Lanie Vu, NP

Maria Epling, CNP

Dr. Stephanie Gordon

CONYERS

2750 Owens Drive Suite A 678-413-4644

STOCKBRIDGE

140 Eagles Spring Court Suite B 770-302-0878

Marcia Harmon, CNM

visit us online @ womenscenterga.com

HIR WINTER 2015.indd 8-9

Dr. Trent Rice

E

very day, millions of women silently wrestle with issues that cause untold embarrassment, inconvenience and discomfort. While many people think that urinary and fecal incontinence and pelvic organ prolapse are uncommon issues, affecting only a small number of elderly or disabled women, the truth is that these issues are remarkably common.

In fact, data from Yale University shows that about 35% of women who visit their gynecologist’s office for routine care have urinary incontinence (UI), while 40% experience moderate to severe pelvic organ prolapse. Prolapse and incontinence frequently occur together. And, indeed, pelvic floor conditions are more common than hypertension, depression, or diabetes in women.

Yet, if you’re like many women, seeking help for these conditions can be a source of embarrassment or fear – or even hopelessness. The stigma of UI and other pelvic floor conditions is enough to keep many women from admitting their concerns, even to their own physicians. And living with these conditions can be devastating psychologically, as well as socially, emotionally and physically.

The good news is that, while problems like these are common, they aren’t considered normal or inevitable, regardless of age or health, and many effective forms of treatment are available.

The field of urogynecology is a specialized area of both urology and gynecology that focuses on treating women who are faced with these sensitive issues. Urogynecologists receive extensive training in the treatment of conditions that affect the female pelvic organs, as well as the muscles and connective tissue that support these organs.

Treatment for incontinence and prolapse – protrusion of the bladder or vagina from your body – can be either non-surgical or surgical. The first step in getting help is to see a physician who has experience treating these types of conditions and learn about what may be causing your problem. Your doctor will ask questions about your symptoms and medical history, conduct a physical exam, and discuss with you which tests are appropriate.

Your physical examine may reveal signs of medical conditions that can cause incontinence, like treatable blockages from bowel or pelvic growths. Tests may include an ultrasound, cystoscopy (using a tiny camera to see inside your urethra and bladder), a urinalysis, and urodynamics to measure pressure in the bladder and the flow of urine.

Depending upon your diagnosis, the severity of your symptoms and your overall health, your physician may recommend conservative, non-surgical therapies as the first approach to treat your pelvic floor disorder. These include medications, pelvic muscle exercise, lifestyle and dietary modifications, use of a vaginal support device called a pessary, and biofeedback.

If your condition doesn’t improve, your doctor may suggest surgery. Many of the available surgical procedures for incontinence and prolapse are minimally invasive, including some robotic-assisted surgeries that may offer a more effective treatment option. Using tiny, 1-2 cm incisions, your surgeon can operate with greater precision and control, so your recovery is faster and less painful, with a better clinical outcome.

Some common urogynecologic surgeries and procedures include: • Suburethral slings – small mesh slings placed under the urethra to help prevent urinary leaks • Sacrocolpopexy – a robotic-assisted procedure to surgically correct vaginal vault prolapse where mesh holds the vagina in the correct anatomical position • Periurethral and transurethral bulking – injections for treatment of stress urinary incontinence • Interstim neuromodulation – a technique that electrically stimulates the nerves that influence the bladder, used to treat urge incontinence and bladder frequency and urgency • Vaginal reconstruction for prolapse, with or without mesh implantation • Botox therapy – injections to help block the unwanted contractions of an overactive bladder, while leaving surrounding muscles able to function properly These are just some of the procedures your doctor may consider to treat your incontinence or prolapse. Of course, your physician’s recommendations will depend on your diagnosis.  So, rest assured, if you’re one of the millions of women faced with the embarrassment and discomfort of incontinence or prolapse, there are solutions. Schedule an appointment to see your gynecologist today to discuss your situation and your options. If you don’t have a gynecologist, get to know Dr. Stephanie Gordon of The Women’s Center in Conyers. At the Women’s Center, Dr. Gordon and her all-female staff are uniquely trained to help you. They understand the sensitive and difficult nature of the many different problems that a woman can face during her life. Whatever problem you are experiencing, Dr. Gordon and her staff will listen compassionately and work together to create a solution that’s perfect for you.

WINTER 2015 | HEALTHY IN ROCKDALE

9

12/24/2014 8:45:36 AM

•general health FEATURE

NEW

YEAR

by Lee Udell

O

h, the optimism of a new year. A clean slate. A chance to follow through on becoming the “you” you’ve always wanted to be!

Well, no matter if you’ve made resolutions before and didn’t follow through. Because now there’s one resolution that’s easier than ever to realize: saying goodbye to your love handles, your saddle bags or your muffin tops – the easy way!

Say hello to CoolSculpting®. This innovative, non-invasive process can help you lose those annoying bumps and bulges of stubborn fat safely, in the comfort of your doctor’s office. Requiring less time and money than traditional invasive treatments, CoolSculpting is FDA approved and clinically proven to reshape your body, often in only a single treatment.

And it’s equally effective for both men and women.

“Dermatology Consultants has performed over 2,400 treatments in three years,” said Kim Bogash, CoolSculpting Team Leader for Dermatology Consultants. “We’re a Certified CoolSculpting Practice with highly trained and knowledgeable staff in our Covington and Buckhead locations.

“In fact, Dermatology Consultants is among the few centers in Georgia offering DualSculpting™ in our Buckhead location,” Bogash said. “We can treat two areas at the same time, reducing overall treatment times.”

CoolSculpting's unique technology uses precisely controlled cooling to freeze and eliminate unwanted fat cells without surgery, downtime or damage to neighboring tissue. The results are lasting and undeniable.

The process was developed by scientists at the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, a teaching affiliate of Harvard Medical School. An applicator is applied, using a vacuum, and when the applicator is securely attached, the cooling begins. The treated fat cells are crystallized (frozen), then break down and die. After the procedure, your own body begins the process of naturally eliminating the dead cells. "Once they're gone, they're gone," Bogash said.

One session lasts about an hour, and Bogash says most patients experience only minor discomfort. "After the first 15 minutes, you really feel nothing," Bogash explains. "You can read, you can watch a movie, you can listen to music."

The CoolSculpting fat freezing procedure is completely non-surgical, so you can typically return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often times, patients return to work after their CoolSculpting session is over.

Over the next two to four months the crystallized fat cells break down and are naturally flushed from your body through your lymphatic system. The areas treated will naturally flatten out during this time. Each treatment should yield about 20-25% in fat reduction. Typically, when both love handles and full abdomen are treated, you’ll see a one- to twoinch decrease in the waistline. After the initial treatment cycle is complete, you can attain further reductions with additional procedures. Many find one treatment fully addresses their goals. 

NEW

YOU

Providing Dermatological Care For The Entire Family

Dione Marcus, MD - Board Certified Dermatologist Michelle Juneau, MD - Board Certified Dermatologist Benjamin Kelly, MD - Board Certified Dermatologist - Mohs Surgeon

Gift Cards Available

10% OFF ANY SERVICE PROVIDED BY OUR AESTHETICIAN Valid thru January 2015

Services: General ~ Surgical ~ Cosmetic Dermatology Aesthetic & Laser Treatments Botox® & Fillers Featuring CoolSculpting® to Reduce Fat

To learn more about CoolSculpting, call Dermatology Consultants at 770-784-0343 or visit their website at www. http://dermatologyconsultants.org/. The skilled and helpful staff at Dermatology Consultants will be glad to discuss and design a plan that suits you best.

10

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 10-11

12/24/2014 8:46:14 AM

•general health FEATURE

NEW

YEAR

by Lee Udell

O

h, the optimism of a new year. A clean slate. A chance to follow through on becoming the “you” you’ve always wanted to be!

Well, no matter if you’ve made resolutions before and didn’t follow through. Because now there’s one resolution that’s easier than ever to realize: saying goodbye to your love handles, your saddle bags or your muffin tops – the easy way!

Say hello to CoolSculpting®. This innovative, non-invasive process can help you lose those annoying bumps and bulges of stubborn fat safely, in the comfort of your doctor’s office. Requiring less time and money than traditional invasive treatments, CoolSculpting is FDA approved and clinically proven to reshape your body, often in only a single treatment.

And it’s equally effective for both men and women.

“Dermatology Consultants has performed over 2,400 treatments in three years,” said Kim Bogash, CoolSculpting Team Leader for Dermatology Consultants. “We’re a Certified CoolSculpting Practice with highly trained and knowledgeable staff in our Covington and Buckhead locations.

“In fact, Dermatology Consultants is among the few centers in Georgia offering DualSculpting™ in our Buckhead location,” Bogash said. “We can treat two areas at the same time, reducing overall treatment times.”

CoolSculpting's unique technology uses precisely controlled cooling to freeze and eliminate unwanted fat cells without surgery, downtime or damage to neighboring tissue. The results are lasting and undeniable.

The process was developed by scientists at the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, a teaching affiliate of Harvard Medical School. An applicator is applied, using a vacuum, and when the applicator is securely attached, the cooling begins. The treated fat cells are crystallized (frozen), then break down and die. After the procedure, your own body begins the process of naturally eliminating the dead cells. "Once they're gone, they're gone," Bogash said.

One session lasts about an hour, and Bogash says most patients experience only minor discomfort. "After the first 15 minutes, you really feel nothing," Bogash explains. "You can read, you can watch a movie, you can listen to music."

The CoolSculpting fat freezing procedure is completely non-surgical, so you can typically return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often times, patients return to work after their CoolSculpting session is over.

Over the next two to four months the crystallized fat cells break down and are naturally flushed from your body through your lymphatic system. The areas treated will naturally flatten out during this time. Each treatment should yield about 20-25% in fat reduction. Typically, when both love handles and full abdomen are treated, you’ll see a one- to twoinch decrease in the waistline. After the initial treatment cycle is complete, you can attain further reductions with additional procedures. Many find one treatment fully addresses their goals. 

NEW

YOU

Providing Dermatological Care For The Entire Family

Dione Marcus, MD - Board Certified Dermatologist Michelle Juneau, MD - Board Certified Dermatologist Benjamin Kelly, MD - Board Certified Dermatologist - Mohs Surgeon

Gift Cards Available

10% OFF ANY SERVICE PROVIDED BY OUR AESTHETICIAN Valid thru January 2015

Services: General ~ Surgical ~ Cosmetic Dermatology Aesthetic & Laser Treatments Botox® & Fillers Featuring CoolSculpting® to Reduce Fat

To learn more about CoolSculpting, call Dermatology Consultants at 770-784-0343 or visit their website at www. http://dermatologyconsultants.org/. The skilled and helpful staff at Dermatology Consultants will be glad to discuss and design a plan that suits you best.

10

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 10-11

12/24/2014 8:46:14 AM

general health FEATURE•

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

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

Did You Know?

FOR PEOPLE WITH HEARING LOSS

Hearing Aids

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?

 Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and marital problems.  Amplification 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.

Dr. Donald Cote • Dr. Arthur Torsiglieri Dr. Adam French

{what you might not know}

I

f you take your ears for granted, listen to this: hearing loss is the third most common health problem in the United States today. And it's on the rise, with nearly 36 million Americans reporting lost hearing. When hearing goes, it may affect quality of life and relationships.

Heredity, age and illness can contribute to hearing loss. Over recent generations, modern life has also added more ear-damaging elements to the equation, including some medications and plenty of sources of loud, continuous noise. Other factors, like excessive earwax, can temporarily prevent your ears from conducting sounds as well as they should.

The good news is that, while you can’t reverse hearing loss, you don’t have to live in a world where mumbling and muted sounds are the norm.

How’s Your Hearing?

In a few cases hearing loss is sudden, occurring over several hours or days, and usually affecting only one ear, not both. In most cases, though, hearing fades so slowly, it can go unnoticed. Maybe everybody seems to be mumbling. Maybe your spouse needs to speak up. Maybe your phone or TV isn’t working as well as it used to. Whatever the case, you cope because sound is still coming in, so you assume your hearing is fine.

But don’t wait for hearing loss to become extreme before you see your doctor. An ear, nose and throat specialist (ENT) can best help you evaluate your situation and arrange for a certified audiologist to assist in

the diagnosis.

First, your doctor will do a physical exam, looking in your ear for any possible causes of hearing loss, such as wax build-up, inflammation from an infection, or some structural issue. He may ask you to cover one ear at a time and respond to words or other sounds at various volumes. A tuning fork may be used to determine if hearing loss is due to damage to the vibrating parts of your middle ear (including your eardrum) or to the sensors or nerves of the inner ear.

Next, you might see an audiologist, who can conduct audiometer tests, designed to thoroughly evaluate your hearing. During these tests, you’ll wear earphones to hear sounds, directed to one ear at a time. The sounds will be played in a variety of tones, at various levels, to get an accurate assessment of exactly how your hearing is affected. This can help your physician in diagnosing the source of your hearing loss and how it can be treated.

Not Your Grandma’s Hearing Aids Maybe your Grandma refused to get a hearing aid, worried that the huge thing behind her ear would scream to everyone that she was hard of hearing.

But the times have changed, and hearing aids – as well as other hearing loss treatments – offer discreet solutions to your hearing loss.

"I like to say that the hearing loss is more visible to others than the hearing aid," says Pam Mason, director of audiology professional practices at the American Speech-Language-Hearing Association (ASHA). "Hearing aids today are behind the ear, very small, with a tiny wire that goes down into your ear canal. They truly are invisible."

What’s more, many of the medical conditions that can contribute to severe hearing loss, from infections to tumors, are treatable. Sometimes, it may even be as

simple as removing excess earwax.

Common treatments for permanent hearing loss include: • Medical or surgical treatment: antibiotics can treat ear infections, and surgery can correct anatomical problems with the eardrums or bones of the middle ear. Often in children, drainage tubes, inserted surgically, can improve hearing loss caused by frequent ear infections.

• Hearing aids: These tiny instruments fit inside or behind your ear, making sounds stronger and easier to hear. Most people with permanent hearing loss can benefit from using a hearing aid -- yet only one in five affected people use them.

• Cochlear implants: Used mainly with young children, these are becoming more popular among older adults with severe hearing loss. Unlike a hearing aid that amplifies sound and directs it into your ear canal, a cochlear implant compensates for damaged or nonworking parts of your inner ear.

First Step: See Your Doctor Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and even marital problems. So, if you suspect your hearing isn’t what it used to be, don’t delay – see your doctor ASAP. Prompt medical care, especially for sudden hearing loss, can increase your chances of a successful recovery or treatment.  Schedule an appointment with an ENT who has audiologists on staff, for a faster, simpler diagnosis. Ear, Nose and Throat Specialists, with offices in Conyers and Covington, offers the expertise of board-certified physicians, as well as a staff of certified audiologists. For an appointment, call 770-922-5458 (Conyers) or 770-385-0321 (Covington).

Donna McGough, F-AAA Kristyn Meade, F-AAA Susann Shriver, CCC-A

www.entspecialists.net

Offices in Conyers & Covington.

Call now for an appointment!

770-922-5458 WINTER 2015 | HEALTHY IN ROCKDALE

HIR WINTER 2015.indd 12-13

13

12/24/2014 8:46:34 AM

general health FEATURE•

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

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

Did You Know?

FOR PEOPLE WITH HEARING LOSS

Hearing Aids

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?

 Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and marital problems.  Amplification 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.

Dr. Donald Cote • Dr. Arthur Torsiglieri Dr. Adam French

{what you might not know}

I

f you take your ears for granted, listen to this: hearing loss is the third most common health problem in the United States today. And it's on the rise, with nearly 36 million Americans reporting lost hearing. When hearing goes, it may affect quality of life and relationships.

Heredity, age and illness can contribute to hearing loss. Over recent generations, modern life has also added more ear-damaging elements to the equation, including some medications and plenty of sources of loud, continuous noise. Other factors, like excessive earwax, can temporarily prevent your ears from conducting sounds as well as they should.

The good news is that, while you can’t reverse hearing loss, you don’t have to live in a world where mumbling and muted sounds are the norm.

How’s Your Hearing?

In a few cases hearing loss is sudden, occurring over several hours or days, and usually affecting only one ear, not both. In most cases, though, hearing fades so slowly, it can go unnoticed. Maybe everybody seems to be mumbling. Maybe your spouse needs to speak up. Maybe your phone or TV isn’t working as well as it used to. Whatever the case, you cope because sound is still coming in, so you assume your hearing is fine.

But don’t wait for hearing loss to become extreme before you see your doctor. An ear, nose and throat specialist (ENT) can best help you evaluate your situation and arrange for a certified audiologist to assist in

the diagnosis.

First, your doctor will do a physical exam, looking in your ear for any possible causes of hearing loss, such as wax build-up, inflammation from an infection, or some structural issue. He may ask you to cover one ear at a time and respond to words or other sounds at various volumes. A tuning fork may be used to determine if hearing loss is due to damage to the vibrating parts of your middle ear (including your eardrum) or to the sensors or nerves of the inner ear.

Next, you might see an audiologist, who can conduct audiometer tests, designed to thoroughly evaluate your hearing. During these tests, you’ll wear earphones to hear sounds, directed to one ear at a time. The sounds will be played in a variety of tones, at various levels, to get an accurate assessment of exactly how your hearing is affected. This can help your physician in diagnosing the source of your hearing loss and how it can be treated.

Not Your Grandma’s Hearing Aids Maybe your Grandma refused to get a hearing aid, worried that the huge thing behind her ear would scream to everyone that she was hard of hearing.

But the times have changed, and hearing aids – as well as other hearing loss treatments – offer discreet solutions to your hearing loss.

"I like to say that the hearing loss is more visible to others than the hearing aid," says Pam Mason, director of audiology professional practices at the American Speech-Language-Hearing Association (ASHA). "Hearing aids today are behind the ear, very small, with a tiny wire that goes down into your ear canal. They truly are invisible."

What’s more, many of the medical conditions that can contribute to severe hearing loss, from infections to tumors, are treatable. Sometimes, it may even be as

simple as removing excess earwax.

Common treatments for permanent hearing loss include: • Medical or surgical treatment: antibiotics can treat ear infections, and surgery can correct anatomical problems with the eardrums or bones of the middle ear. Often in children, drainage tubes, inserted surgically, can improve hearing loss caused by frequent ear infections.

• Hearing aids: These tiny instruments fit inside or behind your ear, making sounds stronger and easier to hear. Most people with permanent hearing loss can benefit from using a hearing aid -- yet only one in five affected people use them.

• Cochlear implants: Used mainly with young children, these are becoming more popular among older adults with severe hearing loss. Unlike a hearing aid that amplifies sound and directs it into your ear canal, a cochlear implant compensates for damaged or nonworking parts of your inner ear.

First Step: See Your Doctor Untreated hearing loss is associated with isolation, depression, memory problems, loss of income and even marital problems. So, if you suspect your hearing isn’t what it used to be, don’t delay – see your doctor ASAP. Prompt medical care, especially for sudden hearing loss, can increase your chances of a successful recovery or treatment.  Schedule an appointment with an ENT who has audiologists on staff, for a faster, simpler diagnosis. Ear, Nose and Throat Specialists, with offices in Conyers and Covington, offers the expertise of board-certified physicians, as well as a staff of certified audiologists. For an appointment, call 770-922-5458 (Conyers) or 770-385-0321 (Covington).

Donna McGough, F-AAA Kristyn Meade, F-AAA Susann Shriver, CCC-A

www.entspecialists.net

Offices in Conyers & Covington.

Call now for an appointment!

770-922-5458 WINTER 2015 | HEALTHY IN ROCKDALE

HIR WINTER 2015.indd 12-13

13

12/24/2014 8:46:34 AM

•general health FEATURE

general health FEATURE•

If you are the type of person who makes but never keeps New Year's resolutions, these suggestions can help you make healthy – ­ and attainable – goals this year.  Don't abandon the idea of setting resolutions because you have

Instead tell yourself, "I resolve to have updated my résumé and sent it out to X companies by summer." That way, the success of your resolution is entirely within your control.

Do be realistic. A resolution to run a marathon by year's end is

Do set resolutions based upon your own wishes, desires, goals, and dreams and not those of society or those persons close to you. While this seems obvious, many people waste time trying to meet society's, or another person's, expectations. A resolution is bound to fail if it isn't from your heart.

broken them in the past. You may need to simply readjust the type and number of goals you're setting for yourself. likely unrealistic for an inexperienced exerciser. Likewise, resolving to stop all your unhealthy habits at once is likely to fail. Pick a safe, attainable goal with a realistic time frame. For example, if your resolution is to eat healthier, begin by eliminating one unhealthy food from your diet at a time, not all unhealthy foods.



Don't make too many resolutions. There's no rule that you have to cover all areas you'd like to change in your resolutions. Pick one or twothemes -- such as anger management, stress control, healthy eating,smoking cessation, fitness improvement, career advancement -- that are most important to you, and set reachable goals within these areas.



Don't set resolutions whose success is based upon factors beyond your control. Saying "I resolve to have a new job by summer" depends not only upon your own initiative but also upon external factors (the economy, the job market in your field) over which you have no control.





Do plan intermediate goals if it helps you maintain control. Decide where you'd like to be in three or six months, and check yourself then.

Achieving these smaller goals also gives you a sense of accomplishment and motivation for the bigger projects.



Gastroesophageal Reflux Disease

GERD

M

ost people get heartburn once in a while, but if you have heartburn two or more times per week, you may have gastroesophageal reflux disease (GERD), a term used to describe chronic heartburn. Heartburn is caused by stomach acid that backs up into the esophagus (the narrow tube that connects the throat and the stomach). This so-called acid reflux occurs when the valve separating the esophagus and the stomach opens at an inappropriate time.

This valve malfunction can be caused by certain foods (such as onions and peppermint), overeating, smoking, and alcohol, among other triggers. A burning sensation in the chest and a sour taste in the mouth are the primary symptoms of acid reflux. While heartburn is the main symptom of GERD, some people may have GERD without heartburn. In those cases, symptoms such as chest pain, a chronic cough, hoarseness, and a feeling like something is stuck in throat can be signs of GERD. Depending on the severity of the symptoms, GERD is treated with diet and lifestyle changes, over-the-counter remedies, prescription medications, and/or surgery. It is important to treat GERD, because the disease can damage the esophagus over time.

Here are a few daily habits that can halt heartburn:



Meals are often a trigger for GERD symptoms. In fact, all-you-can-eat buffets are almost always a recipe for heartburn.



The list includes spicy foods, fatty red meat, French fries (and other fried foods), citrus fruit, raw onion, tomatoes, butter, oil, peppermint, chocolate and caffeine. 



A very full stomach can cause the valve between your stomach and esophagus (known as the lower esophageal sphincter, or LES) to relax, pushing stomach acids back up into the esophagus.

If these lifestyle changes do not cure your heartburn contact the specialist at East Atlanta Gastroenterologists for an appointment at 770-922-0505 today.



Eat several small meals throughout the day rather than the standard breakfast, lunch, and dinner. (Don’t make that last meal too late, though: Eating close to bedtime can trigger GERD symptoms as well.)

Do use the buddy system. Rely on your friends to support you in your resolutions, and do the same for your friends. Social support can be a great strengthener of motivation.



BOARD CERTIFIED PHYSICIANS

Do plan a reward for yourself when the resolutions, or intermediate goals, are met. 

1269 Wellbrook Circle Conyers, GA

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

Fred A. Levin

7229 Wheat Street Covington, GA

MD, FACP, FACG

Karen L. Weiss-Schorr MD

SPECIALIZING IN DIGESTIVE DISEASES & NUTRITION

14

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 14-15

• 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

A. Steven McIntosh MD, FACG

David N. Socoloff Doctor

Razvi Razack Doctor

770-922-0505 EASTATLANTAGASTRO.COM

12/24/2014 8:47:02 AM

•general health FEATURE

general health FEATURE•

If you are the type of person who makes but never keeps New Year's resolutions, these suggestions can help you make healthy – ­ and attainable – goals this year.  Don't abandon the idea of setting resolutions because you have

Instead tell yourself, "I resolve to have updated my résumé and sent it out to X companies by summer." That way, the success of your resolution is entirely within your control.

Do be realistic. A resolution to run a marathon by year's end is

Do set resolutions based upon your own wishes, desires, goals, and dreams and not those of society or those persons close to you. While this seems obvious, many people waste time trying to meet society's, or another person's, expectations. A resolution is bound to fail if it isn't from your heart.

broken them in the past. You may need to simply readjust the type and number of goals you're setting for yourself. likely unrealistic for an inexperienced exerciser. Likewise, resolving to stop all your unhealthy habits at once is likely to fail. Pick a safe, attainable goal with a realistic time frame. For example, if your resolution is to eat healthier, begin by eliminating one unhealthy food from your diet at a time, not all unhealthy foods.



Don't make too many resolutions. There's no rule that you have to cover all areas you'd like to change in your resolutions. Pick one or twothemes -- such as anger management, stress control, healthy eating,smoking cessation, fitness improvement, career advancement -- that are most important to you, and set reachable goals within these areas.



Don't set resolutions whose success is based upon factors beyond your control. Saying "I resolve to have a new job by summer" depends not only upon your own initiative but also upon external factors (the economy, the job market in your field) over which you have no control.





Do plan intermediate goals if it helps you maintain control. Decide where you'd like to be in three or six months, and check yourself then.

Achieving these smaller goals also gives you a sense of accomplishment and motivation for the bigger projects.



Gastroesophageal Reflux Disease

GERD

M

ost people get heartburn once in a while, but if you have heartburn two or more times per week, you may have gastroesophageal reflux disease (GERD), a term used to describe chronic heartburn. Heartburn is caused by stomach acid that backs up into the esophagus (the narrow tube that connects the throat and the stomach). This so-called acid reflux occurs when the valve separating the esophagus and the stomach opens at an inappropriate time.

This valve malfunction can be caused by certain foods (such as onions and peppermint), overeating, smoking, and alcohol, among other triggers. A burning sensation in the chest and a sour taste in the mouth are the primary symptoms of acid reflux. While heartburn is the main symptom of GERD, some people may have GERD without heartburn. In those cases, symptoms such as chest pain, a chronic cough, hoarseness, and a feeling like something is stuck in throat can be signs of GERD. Depending on the severity of the symptoms, GERD is treated with diet and lifestyle changes, over-the-counter remedies, prescription medications, and/or surgery. It is important to treat GERD, because the disease can damage the esophagus over time.

Here are a few daily habits that can halt heartburn:



Meals are often a trigger for GERD symptoms. In fact, all-you-can-eat buffets are almost always a recipe for heartburn.



The list includes spicy foods, fatty red meat, French fries (and other fried foods), citrus fruit, raw onion, tomatoes, butter, oil, peppermint, chocolate and caffeine. 



A very full stomach can cause the valve between your stomach and esophagus (known as the lower esophageal sphincter, or LES) to relax, pushing stomach acids back up into the esophagus.

If these lifestyle changes do not cure your heartburn contact the specialist at East Atlanta Gastroenterologists for an appointment at 770-922-0505 today.



Eat several small meals throughout the day rather than the standard breakfast, lunch, and dinner. (Don’t make that last meal too late, though: Eating close to bedtime can trigger GERD symptoms as well.)

Do use the buddy system. Rely on your friends to support you in your resolutions, and do the same for your friends. Social support can be a great strengthener of motivation.



BOARD CERTIFIED PHYSICIANS

Do plan a reward for yourself when the resolutions, or intermediate goals, are met. 

1269 Wellbrook Circle Conyers, GA

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

Fred A. Levin

7229 Wheat Street Covington, GA

MD, FACP, FACG

Karen L. Weiss-Schorr MD

SPECIALIZING IN DIGESTIVE DISEASES & NUTRITION

14

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 14-15

• 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

A. Steven McIntosh MD, FACG

David N. Socoloff Doctor

Razvi Razack Doctor

770-922-0505 EASTATLANTAGASTRO.COM

12/24/2014 8:47:02 AM

•women's health FEATURE

women's health FEATURE•

Bio Identical Hormone Replacement T

he case for bio identical hormone replacement

reduced risks for bone loss, heart disease, breast

side effects of menopause or andropause (male

for women is a strong one. This treatment has

cancer and Alzheimer’s disease.

equivalent of menopause).

been used in the United States and studied since

SottoPelle understands the complexities of

When the body is in need of estrogen or

the early 1940s. Research shows that replacing

restoring healthy hormone levels. To randomly take

testosterone, these tiny implants placed under the

a woman’s missing hormones effectively reduces

any hormone or substance in any amount and

skin consistently release small physiologic doses of

symptoms like:

expect to achieve hormonal balance isn’t realistic.

hormones providing optimal therapy. For decades,

• hot flashes

In order to regain natural balance, the method

these positive research studies have been reported

• night sweats

used must be precise, available 24/7 and based

in respected medical journals around the world. 

• vaginal dryness

on replacing the essential missing hormones with

• sleep problems

those that are biologically identical.

• mood swings

Bio-identical hormone replacement therapy in

• and foggy thinking

pellet form has been positively researched and

In fact, scientific evidence shows that women

accepted as the most effective delivery system

may also see many health benefits such as

available for men and women suffering from the

SottoPelle® is paving the way for bio-identical hormone replacement therapy worldwide.

Call Dr. Garrett today for your consultation at 770-918-1619

Diet & Pregnancy Y

ou’re expecting, and you have a million questions. Many of them center around what you should – and shouldn’t – be eating.

How many meals should I eat? What’s the healthiest way to put on weight? Which foods should I steer clear of? Can I still have occasional treats? And the list goes on and on.

Well, now that you're a mum-to-be, it's more important than ever to eat well. This will ensure you get all the nutrients you and your developing baby need to thrive.

Here are some simple tips to help you eat well during your pregnancy: • Fine tune your diet: Pregnant women need more protein, more of certain vitamins and minerals such as folic acid and iron, and more calories (for energy). If you start off at a healthy weight, you need no extra calories during the first trimester, about 300 extra calories a day in the second trimester, and about 450 extra calories a day in the third trimester.

• Skip sushi, alcohol and soft cheeses: all are possible sources of bacteria that can harm your unborn

child. Also consider cutting back or eliminating caffeine.

• Take a prenatal supplement: Morning sickness and food aversions can make it harder to get the vitamins and minerals you need.

• Gain weight gradually: Gain the least weight during the first trimester (1 to 5 pounds) and then gain roughly a pound a week in the second and third trimesters.

• Consider frequent, smaller meals: If nausea, heartburn or food aversions make full-size meals difficult, try eating 5 or 6 mini-meals throughout the day.

• Treat yourself on occasion: Processed foods, packaged snacks and sugar-loaded desserts shouldn’t be a major part of your diet, but an occasional cookie or doughnut won’t hurt you or the baby. Try treats like smoothies or fruit sorbets, too.  Your obstetrician can help guide you and answer all your questions to put your mind at ease during this exciting time in your life. The doctors at New Beginnings Comprehensive Women’s Healthcare in Conyers want to be there with you and your baby every step of the way. Call today to schedule an appointment at 678-413-0858.

New VisioNs...New HorizoNs...

• Adult & Adolescent Gynecology • Normal & High Risk Obsterical Care • Contraceptive Management

New Beginnings For all your women’s healthcare needs!

• Management of Fibroids • Robotic Laparoscopic Surgery • Gynecological Surgery • Disorders of the Cervix • Family Planning • Ultrasound • In-Office Essure Tubal Ligation and Endometrial Ablation • Infertility • Menopause Management • Hysterosonogram

day Call Us To le To Schedu !

Your V isit Exclusively being provided by Veronica Garrett M.D. 1415 Milstead Road N.E., Suite B Conyers, GA 30012 Call Today (770) 918-1619

HIR WINTER 2015.indd 16-17

Veronica Garrett M.D., F.A.C.O.G.

1415 Milstead Road, Suite A • Conyers, GA 30012

678-413-0858 ~ Se habla espanol

naomi Harris M.D., F.A.C.O.G.

sHannon mayfield C.N.M.

Comprehensive Women’s Healthcare at It’s Best!

we accept most major health plans ~ call today for an appointment!

12/24/2014 8:47:28 AM

•women's health FEATURE

women's health FEATURE•

Bio Identical Hormone Replacement T

he case for bio identical hormone replacement

reduced risks for bone loss, heart disease, breast

side effects of menopause or andropause (male

for women is a strong one. This treatment has

cancer and Alzheimer’s disease.

equivalent of menopause).

been used in the United States and studied since

SottoPelle understands the complexities of

When the body is in need of estrogen or

the early 1940s. Research shows that replacing

restoring healthy hormone levels. To randomly take

testosterone, these tiny implants placed under the

a woman’s missing hormones effectively reduces

any hormone or substance in any amount and

skin consistently release small physiologic doses of

symptoms like:

expect to achieve hormonal balance isn’t realistic.

hormones providing optimal therapy. For decades,

• hot flashes

In order to regain natural balance, the method

these positive research studies have been reported

• night sweats

used must be precise, available 24/7 and based

in respected medical journals around the world. 

• vaginal dryness

on replacing the essential missing hormones with

• sleep problems

those that are biologically identical.

• mood swings

Bio-identical hormone replacement therapy in

• and foggy thinking

pellet form has been positively researched and

In fact, scientific evidence shows that women

accepted as the most effective delivery system

may also see many health benefits such as

available for men and women suffering from the

SottoPelle® is paving the way for bio-identical hormone replacement therapy worldwide.

Call Dr. Garrett today for your consultation at 770-918-1619

Diet & Pregnancy Y

ou’re expecting, and you have a million questions. Many of them center around what you should – and shouldn’t – be eating.

How many meals should I eat? What’s the healthiest way to put on weight? Which foods should I steer clear of? Can I still have occasional treats? And the list goes on and on.

Well, now that you're a mum-to-be, it's more important than ever to eat well. This will ensure you get all the nutrients you and your developing baby need to thrive.

Here are some simple tips to help you eat well during your pregnancy: • Fine tune your diet: Pregnant women need more protein, more of certain vitamins and minerals such as folic acid and iron, and more calories (for energy). If you start off at a healthy weight, you need no extra calories during the first trimester, about 300 extra calories a day in the second trimester, and about 450 extra calories a day in the third trimester.

• Skip sushi, alcohol and soft cheeses: all are possible sources of bacteria that can harm your unborn

child. Also consider cutting back or eliminating caffeine.

• Take a prenatal supplement: Morning sickness and food aversions can make it harder to get the vitamins and minerals you need.

• Gain weight gradually: Gain the least weight during the first trimester (1 to 5 pounds) and then gain roughly a pound a week in the second and third trimesters.

• Consider frequent, smaller meals: If nausea, heartburn or food aversions make full-size meals difficult, try eating 5 or 6 mini-meals throughout the day.

• Treat yourself on occasion: Processed foods, packaged snacks and sugar-loaded desserts shouldn’t be a major part of your diet, but an occasional cookie or doughnut won’t hurt you or the baby. Try treats like smoothies or fruit sorbets, too.  Your obstetrician can help guide you and answer all your questions to put your mind at ease during this exciting time in your life. The doctors at New Beginnings Comprehensive Women’s Healthcare in Conyers want to be there with you and your baby every step of the way. Call today to schedule an appointment at 678-413-0858.

New VisioNs...New HorizoNs...

• Adult & Adolescent Gynecology • Normal & High Risk Obsterical Care • Contraceptive Management

New Beginnings For all your women’s healthcare needs!

• Management of Fibroids • Robotic Laparoscopic Surgery • Gynecological Surgery • Disorders of the Cervix • Family Planning • Ultrasound • In-Office Essure Tubal Ligation and Endometrial Ablation • Infertility • Menopause Management • Hysterosonogram

day Call Us To le To Schedu !

Your V isit Exclusively being provided by Veronica Garrett M.D. 1415 Milstead Road N.E., Suite B Conyers, GA 30012 Call Today (770) 918-1619

HIR WINTER 2015.indd 16-17

Veronica Garrett M.D., F.A.C.O.G.

1415 Milstead Road, Suite A • Conyers, GA 30012

678-413-0858 ~ Se habla espanol

naomi Harris M.D., F.A.C.O.G.

sHannon mayfield C.N.M.

Comprehensive Women’s Healthcare at It’s Best!

we accept most major health plans ~ call today for an appointment!

12/24/2014 8:47:28 AM

By Lee Udell Writer

•general health FEATURE

Mohs Surgery for the

Treatment of Skin Cancer

by Richard P. James, Jr., M.D., FAAD, FACMS

An estimated two million new cases of skin cancer in the U.S. are projected each year.

T

he most common skin cancers are basal cell carcinoma, squamous cell carcinoma and malignant melanoma. With early detection and treatment, skin cancer is highly curable. Skin cancer is easily diagnosed with a skin biopsy. There are different treatment options for skin cancer including excisional surgery, cryosurgery (freezing), electro surgery (burning), radiation, prescription medications and the specialized surgical technique of Mohs Micrographic Surgery. The Mohs surgery procedure has proven to be up to 99 percent effective for basal cell carcinoma and squamous cell carcinoma, the most common types of skin cancer.

Mohs surgery, developed in 1938 by Dr. Frederic E. Mohs, is microscopically con-

genitals. Additionally, Mohs surgery is appropriate for large, recurrent, aggressive,

trolled surgery that involves the complete evaluation of the surgical margins for skin

rapidly growing and ill-defined skin cancers. However, Mohs surgery is not warranted

cancer removal. Mohs surgery is typically an office-based procedure performed safely

for all skin cancers, particularly small or superficial skin cancers located on the trunk,

under local anesthesia, which reduces recovery time and has fewer side effects than

arms, and legs. Determining the best treatment option for skin cancer involves care-

general anesthesia. During Mohs surgery, the skin cancer is removed layer by layer

ful consideration by the patients and the dermatologist or other skin care provider.

and the tissue is processed at an on-site laboratory. The tissue slides are examined

The diagnosis of skin cancer can cause significant concern and fear for patients.

by the Mohs surgeon who performs the pathology services, all while the patient

Many times, the involvement of the cancer beneath the skin may be much more than

remains in the office. If more cancer remains, the Mohs surgeon removes more

meets the naked eye. If left untreated or if incompletely removed, the skin cancer

tissue precisely from only the area with remaining cancer and this additional layer

can continue to progress and be disfiguring or even potentially life threatening. Of

of tissue is processed and microscopically examined. This process continues until all

the many treatment options for skin cancer, Mohs surgery is considered the “Gold

of the cancerous tissue is removed. Mohs surgery allows for the complete removal

Standard” because it offers the highest potential cure rate (99 percent for basal cell

of the skin cancer, yet minimizes the removal of healthy tissue leaving the smallest

carcinoma and squamous cell carcinoma) and it offers superior cosmetic results by

possibly surgical wound. After Mohs surgery confirms that all of the skin cancer has

leaving healthy tissue intact. Mohs surgery is a highly effective advanced technique

been removed, the surgical defect is immediately ready for repair. There are several

for the treatment of skin cancer that provides the patients with quick resolution,

options for repaid that include allowing the wound to heal on its own or surgically

rapid recovery and peace of mind. 

repairing the defect. Frequently, the Mohs surgeon also performs the reconstructive surgery with a sutured linear repair, skin graft or skin flap. In some cases, the repair of the wound is performed by another surgical specialist.

Mohs surgery is appropriate and often the best treatment option for basal cell

Dr. John A. Fountain, Dr. Darryl S. Hodson and Dr. Allen B. Filstein at Georgia Dermatology offer general and surgical dermatology needs to you and your family.

Call the office today at 770-785-SKIN (7546) to schedule an appointment or visit the website at GaDerm.com for more information.

and squamous cell skin cancers that are located in cosmetically sensitive or functionally critical areas such as around the eyes, nose, lips, ears, face, scalp, hands, feet or

MOHS SKIN CANCER SURGERY MOLE REMOVAL ROUTINE SKIN EXAMS ACNE, WARTS, PSORIASIS, ECZEMA and OTHER SKIN CONDITIONS

Skin Care Concerns?

Ask an expert.

John A. Fountain, MD Allen B. Filstein, MD Darryl S. Hodson, MD Caroline Wells, PA-C

We’ve been providing trusted dermatological advice and care for over 80+ years.

1349 Milstead Road, Conyers, Georgia

770-785-7546 GaDerm.com 18

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 18-19

12/24/2014 8:48:18 AM

By Lee Udell Writer

•general health FEATURE

Mohs Surgery for the

Treatment of Skin Cancer

by Richard P. James, Jr., M.D., FAAD, FACMS

An estimated two million new cases of skin cancer in the U.S. are projected each year.

T

he most common skin cancers are basal cell carcinoma, squamous cell carcinoma and malignant melanoma. With early detection and treatment, skin cancer is highly curable. Skin cancer is easily diagnosed with a skin biopsy. There are different treatment options for skin cancer including excisional surgery, cryosurgery (freezing), electro surgery (burning), radiation, prescription medications and the specialized surgical technique of Mohs Micrographic Surgery. The Mohs surgery procedure has proven to be up to 99 percent effective for basal cell carcinoma and squamous cell carcinoma, the most common types of skin cancer.

Mohs surgery, developed in 1938 by Dr. Frederic E. Mohs, is microscopically con-

genitals. Additionally, Mohs surgery is appropriate for large, recurrent, aggressive,

trolled surgery that involves the complete evaluation of the surgical margins for skin

rapidly growing and ill-defined skin cancers. However, Mohs surgery is not warranted

cancer removal. Mohs surgery is typically an office-based procedure performed safely

for all skin cancers, particularly small or superficial skin cancers located on the trunk,

under local anesthesia, which reduces recovery time and has fewer side effects than

arms, and legs. Determining the best treatment option for skin cancer involves care-

general anesthesia. During Mohs surgery, the skin cancer is removed layer by layer

ful consideration by the patients and the dermatologist or other skin care provider.

and the tissue is processed at an on-site laboratory. The tissue slides are examined

The diagnosis of skin cancer can cause significant concern and fear for patients.

by the Mohs surgeon who performs the pathology services, all while the patient

Many times, the involvement of the cancer beneath the skin may be much more than

remains in the office. If more cancer remains, the Mohs surgeon removes more

meets the naked eye. If left untreated or if incompletely removed, the skin cancer

tissue precisely from only the area with remaining cancer and this additional layer

can continue to progress and be disfiguring or even potentially life threatening. Of

of tissue is processed and microscopically examined. This process continues until all

the many treatment options for skin cancer, Mohs surgery is considered the “Gold

of the cancerous tissue is removed. Mohs surgery allows for the complete removal

Standard” because it offers the highest potential cure rate (99 percent for basal cell

of the skin cancer, yet minimizes the removal of healthy tissue leaving the smallest

carcinoma and squamous cell carcinoma) and it offers superior cosmetic results by

possibly surgical wound. After Mohs surgery confirms that all of the skin cancer has

leaving healthy tissue intact. Mohs surgery is a highly effective advanced technique

been removed, the surgical defect is immediately ready for repair. There are several

for the treatment of skin cancer that provides the patients with quick resolution,

options for repaid that include allowing the wound to heal on its own or surgically

rapid recovery and peace of mind. 

repairing the defect. Frequently, the Mohs surgeon also performs the reconstructive surgery with a sutured linear repair, skin graft or skin flap. In some cases, the repair of the wound is performed by another surgical specialist.

Mohs surgery is appropriate and often the best treatment option for basal cell

Dr. John A. Fountain, Dr. Darryl S. Hodson and Dr. Allen B. Filstein at Georgia Dermatology offer general and surgical dermatology needs to you and your family.

Call the office today at 770-785-SKIN (7546) to schedule an appointment or visit the website at GaDerm.com for more information.

and squamous cell skin cancers that are located in cosmetically sensitive or functionally critical areas such as around the eyes, nose, lips, ears, face, scalp, hands, feet or

MOHS SKIN CANCER SURGERY MOLE REMOVAL ROUTINE SKIN EXAMS ACNE, WARTS, PSORIASIS, ECZEMA and OTHER SKIN CONDITIONS

Skin Care Concerns?

Ask an expert.

John A. Fountain, MD Allen B. Filstein, MD Darryl S. Hodson, MD Caroline Wells, PA-C

We’ve been providing trusted dermatological advice and care for over 80+ years.

1349 Milstead Road, Conyers, Georgia

770-785-7546 GaDerm.com 18

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 18-19

12/24/2014 8:48:18 AM

"We treat every patient like a member of our family."

Rockdale Medical Center is a vital part of our community, caring for families from birth through every stage of life. Our physicians, nurses and staff members strive to provide quality patient care in all they do.

Because you and your family deserve the very best.

Rockdale Medical Center offers an extensive range of services supported by board-certified physicians, highly specialized healthcare professionals and leading-edge technology: • Cardiovascular Services & Cardiac Rehabilitation • Diabetes Education • Diagnostic Imaging • Emergency Department • Hyperbaric & Wound Healing Center • Minimally Invasive da Vinci Robotic Surgery • Neurology • Orthopedics • Outpatient Imaging (East Tower): 64-slice CT Scanner with Cardiac Calcium Scoring capabilities • MRI – with wider opening and dedicated table to detect breast cancer • Digital mammography • Latest technology for stereotactic-guided breast biopsies • Outpatient Laboratory • Rehabilitation Services: Physical therapy • Occupational therapy • Speech therapy • Massage therapy • Sleep Diagnostic Center • Surgical Services • Women’s Health: The Birth Place & NICU • Women’s Diagnostics • OB/GYN

1412 Milstead Avenue | Conyers, Georgia 30012 800-424-DOCS (3627) | www.rockdalemedicalcenter.org

HIR WINTER 2015.indd 20-21

12/24/2014 8:48:43 AM

"We treat every patient like a member of our family."

Rockdale Medical Center is a vital part of our community, caring for families from birth through every stage of life. Our physicians, nurses and staff members strive to provide quality patient care in all they do.

Because you and your family deserve the very best.

Rockdale Medical Center offers an extensive range of services supported by board-certified physicians, highly specialized healthcare professionals and leading-edge technology: • Cardiovascular Services & Cardiac Rehabilitation • Diabetes Education • Diagnostic Imaging • Emergency Department • Hyperbaric & Wound Healing Center • Minimally Invasive da Vinci Robotic Surgery • Neurology • Orthopedics • Outpatient Imaging (East Tower): 64-slice CT Scanner with Cardiac Calcium Scoring capabilities • MRI – with wider opening and dedicated table to detect breast cancer • Digital mammography • Latest technology for stereotactic-guided breast biopsies • Outpatient Laboratory • Rehabilitation Services: Physical therapy • Occupational therapy • Speech therapy • Massage therapy • Sleep Diagnostic Center • Surgical Services • Women’s Health: The Birth Place & NICU • Women’s Diagnostics • OB/GYN

1412 Milstead Avenue | Conyers, Georgia 30012 800-424-DOCS (3627) | www.rockdalemedicalcenter.org

HIR WINTER 2015.indd 20-21

12/24/2014 8:48:43 AM

general health FEATURE•

HIGH Blood Pressure

& Exercising

by Lee Udell

I

f you’ve been diagnosed with high blood pressure, you might assume that medication is your only option for treatment. But one of the most successful solutions for high blood pressure is also one of the simplest and most readily available: exercise.

Having high blood pressure and not getting enough exercise are closely related, but even small changes in your daily routine can make a difference.

“Your blood pressure and heart rate are similarly changed by exercise and beta blockers (a medication commonly prescribed for high blood pressure),” said Gerald Fletcher, M.D., a cardiology professor at the Mayo Clinic in Florida. “When you become exercise-trained your heart slows and your blood pressure lowers.”

Don’t worry – you don’t have to run a marathon or even join a gym to add exercise to your routine and lower your blood pressure. You can begin by doing simple things, like parking farther out at the mall or taking the stairs instead of the elevator at your office. Then, you can work your way up from there, adding a little more exercise in gradually, as you feel comfortable.

Should You Talk with Your Doctor First?

Whatever you decide to do, it may be best to talk with your doctor first, before you begin your new exercise program, especially if: • You’re a man over age 40 or a woman older than 50 • You smoke • You’re overweight or obese • You have a chronic health condition, such as high cholesterol • You’ve had a heart attack • You have a family history of heart-related problems • You feel pain in your chest or become dizzy with exertion

Also, if you take any medication regularly, ask your doctor if exercising will make it work differently or change its side effects — or if your medication will affect the way your body reacts to exercise.

How Does Exercise Lower Your Blood Pressure?

Regular exercise makes your heart stronger, and that means your heart pumps blood with less effort. In turn, the force on your arteries decreases, and that lowers your blood pressure.

With exercise, you can decrease your systolic blood pressure – the top number – by an average of 4 – 9 millimeters of mercury (mmHg). That’s equivalent to what you can expect with some blood pressure medications, so, for some people, simply getting regular exercise is enough to reduce or even eliminate the need for blood pressure medication.

Even if your blood pressure is at a desirable level now – less than 120/80 mm Hg – regular exercise can help keep it from rising as you age. Exercise also helps you maintain a healthy weight, another way you can help control your blood pressure.

But to keep your blood pressure low, you need to keep exercising. It takes about one to three months for regular exercise to have an impact on your blood pressure. And the benefits only last as long as you continue to exercise.

raking leaves or scrubbing the floor • Climbing stairs • Walking • Bicycling • Swimming • Group classes like Zumba, water aerobics or spin classes – even ballroom dancing!

Aim for at least 30 minutes of aerobic activity most days. If your schedule makes it hard to do that all at once, shorter bursts of activity will work, too. For example, you can break up your workout into three 10-minute sessions of aerobic exercise and still get the same benefit as one 30-minute session.

Get Started Today!

Regular exercise offers so many health benefits, so see your doctor today – and get started!  If you don’t have a regular physician, the staff at Eagles Landing Family Practice can help you assess your blood pressure and determine whether an exercise program is right for you. Schedule your appointment at the Conyers office, 1101 Nor Tec Drive, by calling 678-374-7514. Saturday, Sunday and late-day appointments are available to accommodate even the busiest schedule.

How Much Exercise Do You Need?

When it comes to controlling high blood pressure, not all exercise is created equal. Aerobic exercise – not strengthening or flexibility exercise – is the way to achieve the desired effect. Low-impact aerobic exercise – not to be confused with easy or ineffective – is a great option for raising your heart rate, without causing stress and pain in your joints.

Simply adding moderate, low-impact physical activities to your daily routine will help. Any physical activity that increases your heart and breathing rates is considered aerobic exercise, including: • Household chores, such as mowing the lawn,

WINTER 2015 | HEALTHY IN ROCKDALE

HIR WINTER 2015.indd 22-23

23

12/24/2014 8:49:20 AM

general health FEATURE•

HIGH Blood Pressure

& Exercising

by Lee Udell

I

f you’ve been diagnosed with high blood pressure, you might assume that medication is your only option for treatment. But one of the most successful solutions for high blood pressure is also one of the simplest and most readily available: exercise.

Having high blood pressure and not getting enough exercise are closely related, but even small changes in your daily routine can make a difference.

“Your blood pressure and heart rate are similarly changed by exercise and beta blockers (a medication commonly prescribed for high blood pressure),” said Gerald Fletcher, M.D., a cardiology professor at the Mayo Clinic in Florida. “When you become exercise-trained your heart slows and your blood pressure lowers.”

Don’t worry – you don’t have to run a marathon or even join a gym to add exercise to your routine and lower your blood pressure. You can begin by doing simple things, like parking farther out at the mall or taking the stairs instead of the elevator at your office. Then, you can work your way up from there, adding a little more exercise in gradually, as you feel comfortable.

Should You Talk with Your Doctor First?

Whatever you decide to do, it may be best to talk with your doctor first, before you begin your new exercise program, especially if: • You’re a man over age 40 or a woman older than 50 • You smoke • You’re overweight or obese • You have a chronic health condition, such as high cholesterol • You’ve had a heart attack • You have a family history of heart-related problems • You feel pain in your chest or become dizzy with exertion

Also, if you take any medication regularly, ask your doctor if exercising will make it work differently or change its side effects — or if your medication will affect the way your body reacts to exercise.

How Does Exercise Lower Your Blood Pressure?

Regular exercise makes your heart stronger, and that means your heart pumps blood with less effort. In turn, the force on your arteries decreases, and that lowers your blood pressure.

With exercise, you can decrease your systolic blood pressure – the top number – by an average of 4 – 9 millimeters of mercury (mmHg). That’s equivalent to what you can expect with some blood pressure medications, so, for some people, simply getting regular exercise is enough to reduce or even eliminate the need for blood pressure medication.

Even if your blood pressure is at a desirable level now – less than 120/80 mm Hg – regular exercise can help keep it from rising as you age. Exercise also helps you maintain a healthy weight, another way you can help control your blood pressure.

But to keep your blood pressure low, you need to keep exercising. It takes about one to three months for regular exercise to have an impact on your blood pressure. And the benefits only last as long as you continue to exercise.

raking leaves or scrubbing the floor • Climbing stairs • Walking • Bicycling • Swimming • Group classes like Zumba, water aerobics or spin classes – even ballroom dancing!

Aim for at least 30 minutes of aerobic activity most days. If your schedule makes it hard to do that all at once, shorter bursts of activity will work, too. For example, you can break up your workout into three 10-minute sessions of aerobic exercise and still get the same benefit as one 30-minute session.

Get Started Today!

Regular exercise offers so many health benefits, so see your doctor today – and get started!  If you don’t have a regular physician, the staff at Eagles Landing Family Practice can help you assess your blood pressure and determine whether an exercise program is right for you. Schedule your appointment at the Conyers office, 1101 Nor Tec Drive, by calling 678-374-7514. Saturday, Sunday and late-day appointments are available to accommodate even the busiest schedule.

How Much Exercise Do You Need?

When it comes to controlling high blood pressure, not all exercise is created equal. Aerobic exercise – not strengthening or flexibility exercise – is the way to achieve the desired effect. Low-impact aerobic exercise – not to be confused with easy or ineffective – is a great option for raising your heart rate, without causing stress and pain in your joints.

Simply adding moderate, low-impact physical activities to your daily routine will help. Any physical activity that increases your heart and breathing rates is considered aerobic exercise, including: • Household chores, such as mowing the lawn,

WINTER 2015 | HEALTHY IN ROCKDALE

HIR WINTER 2015.indd 22-23

23

12/24/2014 8:49:20 AM

•general health FEATURE

general health FEATURE•

Healthy

W

ithout a degree in biology or nutrition, it can be difficult to determine just which foods are healthy and which are better left at the grocery store. The list of foods you should and should not eat seems forever subject to new research that tends to debunk once conventional wisdom regarding diet and nutrition. Eggs go from unhealthy to healthy, while the reputation of caffeine seemingly changes with the daily winds.

Making sense of old and new data is seldom easy, leaving many people in the dark about which foods are truly healthy.

But eating healthy does not have to be a big mystery.

The following widely available foods have long been considered healthy, and that reputation is not likely to change anytime soon. * Red tomatoes: If you aren't adding tomatoes to everything you eat, perhaps you should. Estimates suggest the average person eats around 80 pounds of tomatoes per year. Tomatoes are more than just a garnish for salads or sandwiches. In fact, red tomatoes are a healthy fuel for the body that earn their superfood status thanks in large part to lycopene. Lycopene is a powerful antioxidant with cancer-fighting properties.

Like other antioxidants, lycopene destroys free radicals in the body that may otherwise damage cells. One eight-ounce serving of red, ripe and raw tomatoes is a good source of vitamins A, C and K and a great source of folate and potassium, which can boost the immune system and other functions of the body. Tomatoes also

24

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 24-25

Protect Your Child This Winter

Reputations

are naturally low in sodium, saturated fat, cholesterol, and calories. Due to their high water content, tomatoes can fill you up, making it less likely that you will overeat. * Yogurt: Yogurt is arguably at the peak of its popularity, with dozens of varieties, from creamy creations to low-fat alternatives to thick and rich Greek yogurts, available at many grocery stores. Yogurt is a great source of protein, calcium and key vitamins that support strong bones and a healthy metabolism. Yogurt also boosts the immune system by providing tons of beneficial bacteria that swarm in the digestive tract and aid with digestion by using nutrients more efficiently. Furthermore, these bacteria have the potential to lower cholesterol. Studies to test the efficacy of these bacteria with regard to fighting certain types of gastrointestinal illness, certain infections and even cancer are ongoing. * Dark, leafy greens: Spinach, kale and chard contain iron and carotenoids, an antioxidant that protects cells against damaging free radicals. In addition to fiber, which helps you feel full and cleans cholesterol from the blood, leafy greens also contain abundant amounts of calcium. Calcium is integral in building and maintaining healthy bones and teeth, and reducing the risk of osteoporosis. It also is key in regulating the heart's rhythm, the transmission of nerve impulses and the blood clotting functions in the body. Raw, leafy greens offer more of a nutritive punch than cooked veggies, but both are good to include in a diet. * Salmon: Fish is often naturally low in fat and cholesterol, making it a smart choice for those watching their waistlines. But the benefits do not end there. Oily fish like salmon is particularly nutritious because it is packed with omega-3 fatty acids, a group of essential polyunsaturated fats. These fats are considered essential because the body cannot create them, meaning they can only be obtained through food. Scores of benefits

are attributed to essential fatty acids, which are believed to improve cognitive abilities, reduce risk of depression, protect against cardiovascular disease and reduce bodily inflammation. * Carrots: The carotenoids found in carrots are fat-soluble compounds that reduce the risk for a wide range of cancers and help ease inflammatory diseases, such as asthma and rheumatoid arthritis. Four ounces of carrots per day makes a low-calorie snack, and this includes all the carotenoids you need. Beta-carotene, also found in sweet potatoes and tomatoes, helps protect skin against sun damage. It may make the skin less sensitive to UV light, helping to protect against premature wrinkling.

Carrots also are high in vitamin A, which is essential for good eyesight and may help reduce your risk of cataracts and macular degeneration. * Berries: Blueberries, raspberries and blackberries are among the most nutritionally dense foods you can eat. Each berry contains a substantial amount of antioxidants, fiber, vitamins, and minerals that improve the body's antioxidant capability and contribute to brain health. Blueberries, in particular, pack more antioxidants than any other North American fruit. Strive to eat one cup of fresh berries per day. 

“Mommy, I don’t feel good.”

It seems we hear those dreaded words every winter.

You don’t have to sit idly by while your kids pick up the latest bug going through school. Take steps to help your child avoid many of the cold and flu germs that make the rounds.

There’s little you can do about airborne winter viruses. Moreover most people stricken by winter bugs are contagious before they show symptoms. So pulling your child away from a sneezing pal won't necessarily protect her. Neither will bundling her up: studies have shown that exposure to cold or damp weather doesn't increase a child's likelihood of catching a cold.

Don’t give up without a fight.

Even though there’s no way to guarantee your child doesn’t get sick, there are some simple ways to help fend off germs and keep your child healthier this winter.

• Teach good hand washing – It’s the simplest, most effective way to thwart germs. Wash as soon as your child comes home from school, the playground or a

“

friend’s house, or right after using the toilet or before meals and snacks. And make sure your child does this at school, too.

• Teach your child not to touch his eyes or nose – An unwashed hand is covered with thousands of germs, and your child can be funneling those germs right into the bloodstream, every time he touches the mucous membranes of the eyes and nose. So, teach him to use a tissue — or at least a clean sleeve — to dab at teary eyes or an itchy nose.

• Know the “sick-kid” policy at school or daycare – Be sure you follow the policy, and watch to be sure other parents do the same. Chat with the teacher or administrator, if you notice the policy being violated.

• Keep vaccines up to date – And be sure your child gets the flu shot each year.

• Boost your child’s immunity – Offer your child healthy foods, and be sure she gets lots of regular physical activity, as well as plenty of sleep at night. 

When you walk across the threshold of Pleasant Peds Care of Conyers, you will immediately know that you have found a knowledgeable, caring medical professional who listens and treats the whole child with a gentle touch.

“

Foods With

Germ Patrol:

Pleasant Peds Care of Conyers 1415 Milstead Road, Suite C ~ Conyers, GA 30012 770-648-6620 ~ www.pleasantpedscare.com

Dr. Shyronda Pleasant, FAAP

“We listen and treat the whole child with knowledge and a gentle touch.”

12/24/2014 8:49:40 AM

•general health FEATURE

general health FEATURE•

Healthy

W

ithout a degree in biology or nutrition, it can be difficult to determine just which foods are healthy and which are better left at the grocery store. The list of foods you should and should not eat seems forever subject to new research that tends to debunk once conventional wisdom regarding diet and nutrition. Eggs go from unhealthy to healthy, while the reputation of caffeine seemingly changes with the daily winds.

Making sense of old and new data is seldom easy, leaving many people in the dark about which foods are truly healthy.

But eating healthy does not have to be a big mystery.

The following widely available foods have long been considered healthy, and that reputation is not likely to change anytime soon. * Red tomatoes: If you aren't adding tomatoes to everything you eat, perhaps you should. Estimates suggest the average person eats around 80 pounds of tomatoes per year. Tomatoes are more than just a garnish for salads or sandwiches. In fact, red tomatoes are a healthy fuel for the body that earn their superfood status thanks in large part to lycopene. Lycopene is a powerful antioxidant with cancer-fighting properties.

Like other antioxidants, lycopene destroys free radicals in the body that may otherwise damage cells. One eight-ounce serving of red, ripe and raw tomatoes is a good source of vitamins A, C and K and a great source of folate and potassium, which can boost the immune system and other functions of the body. Tomatoes also

24

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 24-25

Protect Your Child This Winter

Reputations

are naturally low in sodium, saturated fat, cholesterol, and calories. Due to their high water content, tomatoes can fill you up, making it less likely that you will overeat. * Yogurt: Yogurt is arguably at the peak of its popularity, with dozens of varieties, from creamy creations to low-fat alternatives to thick and rich Greek yogurts, available at many grocery stores. Yogurt is a great source of protein, calcium and key vitamins that support strong bones and a healthy metabolism. Yogurt also boosts the immune system by providing tons of beneficial bacteria that swarm in the digestive tract and aid with digestion by using nutrients more efficiently. Furthermore, these bacteria have the potential to lower cholesterol. Studies to test the efficacy of these bacteria with regard to fighting certain types of gastrointestinal illness, certain infections and even cancer are ongoing. * Dark, leafy greens: Spinach, kale and chard contain iron and carotenoids, an antioxidant that protects cells against damaging free radicals. In addition to fiber, which helps you feel full and cleans cholesterol from the blood, leafy greens also contain abundant amounts of calcium. Calcium is integral in building and maintaining healthy bones and teeth, and reducing the risk of osteoporosis. It also is key in regulating the heart's rhythm, the transmission of nerve impulses and the blood clotting functions in the body. Raw, leafy greens offer more of a nutritive punch than cooked veggies, but both are good to include in a diet. * Salmon: Fish is often naturally low in fat and cholesterol, making it a smart choice for those watching their waistlines. But the benefits do not end there. Oily fish like salmon is particularly nutritious because it is packed with omega-3 fatty acids, a group of essential polyunsaturated fats. These fats are considered essential because the body cannot create them, meaning they can only be obtained through food. Scores of benefits

are attributed to essential fatty acids, which are believed to improve cognitive abilities, reduce risk of depression, protect against cardiovascular disease and reduce bodily inflammation. * Carrots: The carotenoids found in carrots are fat-soluble compounds that reduce the risk for a wide range of cancers and help ease inflammatory diseases, such as asthma and rheumatoid arthritis. Four ounces of carrots per day makes a low-calorie snack, and this includes all the carotenoids you need. Beta-carotene, also found in sweet potatoes and tomatoes, helps protect skin against sun damage. It may make the skin less sensitive to UV light, helping to protect against premature wrinkling.

Carrots also are high in vitamin A, which is essential for good eyesight and may help reduce your risk of cataracts and macular degeneration. * Berries: Blueberries, raspberries and blackberries are among the most nutritionally dense foods you can eat. Each berry contains a substantial amount of antioxidants, fiber, vitamins, and minerals that improve the body's antioxidant capability and contribute to brain health. Blueberries, in particular, pack more antioxidants than any other North American fruit. Strive to eat one cup of fresh berries per day. 

“Mommy, I don’t feel good.”

It seems we hear those dreaded words every winter.

You don’t have to sit idly by while your kids pick up the latest bug going through school. Take steps to help your child avoid many of the cold and flu germs that make the rounds.

There’s little you can do about airborne winter viruses. Moreover most people stricken by winter bugs are contagious before they show symptoms. So pulling your child away from a sneezing pal won't necessarily protect her. Neither will bundling her up: studies have shown that exposure to cold or damp weather doesn't increase a child's likelihood of catching a cold.

Don’t give up without a fight.

Even though there’s no way to guarantee your child doesn’t get sick, there are some simple ways to help fend off germs and keep your child healthier this winter.

• Teach good hand washing – It’s the simplest, most effective way to thwart germs. Wash as soon as your child comes home from school, the playground or a

“

friend’s house, or right after using the toilet or before meals and snacks. And make sure your child does this at school, too.

• Teach your child not to touch his eyes or nose – An unwashed hand is covered with thousands of germs, and your child can be funneling those germs right into the bloodstream, every time he touches the mucous membranes of the eyes and nose. So, teach him to use a tissue — or at least a clean sleeve — to dab at teary eyes or an itchy nose.

• Know the “sick-kid” policy at school or daycare – Be sure you follow the policy, and watch to be sure other parents do the same. Chat with the teacher or administrator, if you notice the policy being violated.

• Keep vaccines up to date – And be sure your child gets the flu shot each year.

• Boost your child’s immunity – Offer your child healthy foods, and be sure she gets lots of regular physical activity, as well as plenty of sleep at night. 

When you walk across the threshold of Pleasant Peds Care of Conyers, you will immediately know that you have found a knowledgeable, caring medical professional who listens and treats the whole child with a gentle touch.

“

Foods With

Germ Patrol:

Pleasant Peds Care of Conyers 1415 Milstead Road, Suite C ~ Conyers, GA 30012 770-648-6620 ~ www.pleasantpedscare.com

Dr. Shyronda Pleasant, FAAP

“We listen and treat the whole child with knowledge and a gentle touch.”

12/24/2014 8:49:40 AM

Bridgewater Family Practice • 770.922.3522 2215 Exchange Place SE, Conyers www.mybfp.com Dr. Johnathan Henderson • Dr. Donny Delp

The following Physicians are accepting new patients.

Affiliates of Rockdale Medical Center.

Internal Medicine Associates of Rockdale • 770.922.3023 1380 Wellbrook Circle, Conyers www.imardoctors.com Dr. Trinidad Osselyn • Dr. Sabrina Wyllie-Adams

Georgia Primary & Urgent Care 678-609-4912 1301 Sigman Road, Suite 225, Conyers www.conyersurgentcare.com Dr. Benjamin Fernando • Dr. H. Andrew Smith Randy Riner, PA

Conyers Medical Clinic 770.922.1880

Conyers Medical Clinic 770.788.7777

2601 Salem Road, Conyers Dr. Ganesh Kini

14779 Brown Bridge Road, Covington Dr. Muthu Kuttappan

HIR WINTER 2015.indd 26-27

Advanced Gynecology Associates 678.609.4913

Andrew Harper, MD 770.922.4024

www.advgynassoc.com 1380 Milstead Avenue NE, Conyers Dr. Holly Imlach

1364 Wellbrook Circle NE, Conyers Dr. Andrew Harper

Rockdale Neurology • 770.278.0154

Rockdale Wound Care and Hyperbaric • 770.918.3000

www.rockdaleneurology.com 1255 B Commercial Drive, Conyers Dr. Bryan Riggeal • Dr. Candice Riggeal

www.rockdaleneurology.com 1412 Milstead Avenue NE, Conyers Dr. Brian Allen

12/24/2014 8:50:02 AM

Bridgewater Family Practice • 770.922.3522 2215 Exchange Place SE, Conyers www.mybfp.com Dr. Johnathan Henderson • Dr. Donny Delp

The following Physicians are accepting new patients.

Affiliates of Rockdale Medical Center.

Internal Medicine Associates of Rockdale • 770.922.3023 1380 Wellbrook Circle, Conyers www.imardoctors.com Dr. Trinidad Osselyn • Dr. Sabrina Wyllie-Adams

Georgia Primary & Urgent Care 678-609-4912 1301 Sigman Road, Suite 225, Conyers www.conyersurgentcare.com Dr. Benjamin Fernando • Dr. H. Andrew Smith Randy Riner, PA

Conyers Medical Clinic 770.922.1880

Conyers Medical Clinic 770.788.7777

2601 Salem Road, Conyers Dr. Ganesh Kini

14779 Brown Bridge Road, Covington Dr. Muthu Kuttappan

HIR WINTER 2015.indd 26-27

Advanced Gynecology Associates 678.609.4913

Andrew Harper, MD 770.922.4024

www.advgynassoc.com 1380 Milstead Avenue NE, Conyers Dr. Holly Imlach

1364 Wellbrook Circle NE, Conyers Dr. Andrew Harper

Rockdale Neurology • 770.278.0154

Rockdale Wound Care and Hyperbaric • 770.918.3000

www.rockdaleneurology.com 1255 B Commercial Drive, Conyers Dr. Bryan Riggeal • Dr. Candice Riggeal

www.rockdaleneurology.com 1412 Milstead Avenue NE, Conyers Dr. Brian Allen

12/24/2014 8:50:02 AM

•general health FEATURE

general health FEATURE•

Nutrition and aging go hand-in-hand

N

utrition is important for people of all ages, but it's especially important for men and women over the age of 50, who can dramatically improve their quality of life by eating a well-balanced diet filled with vitamins and nutrients.

Though that may seem like common sense, research has shown that men and women in this age group, who are often referred to as "Baby Boomers," are not necessarily as healthy as they may seem.

• Balance your diet. Kids hear of the benefits of a

Other healthy sources of vitamin D include salmon, light

balanced diet seemingly from the moment they enter a

tuna packed in oil, sardines, and sun-grown mushrooms.

classroom for the first time, but many adults fail to heed that basic advice as they get further and further away

• Cut back on sodium intake. Cutting back on

from kindergarten. When changing your diet, be sure

sodium intake can be very beneficial, especially for men

to include plenty of protein and carbohydrates. Protein

and women over the age of 50, who are at greater risk

maintains and rebuilds muscles, which is especially

of diabetes, hypertension and chronic kidney disease.

important for aging men and women who might find

But cutting back on sodium intake takes more than just

themselves unable to keep up with the physical de-

throwing the salt shaker away. Processed foods, soups,

mands of everyday life as well as they used to. Including

canned goods, salad dressings, condiments such as

ample low-fat protein, which can be found in fish, eggs

mustard and ketchup, and breakfast cereals are just a

and low-fat dairy among other foods, will aid in muscle

few of the many products that may contain alarming

recovery, benefitting aging athletes as well as those men

amounts of sodium. That's important to note, as excess

and women over 50 who recently started exercising as a

sodium increases blood pressure by holding excess fluid

While the baby boomer generation, which is generally

means to regaining their physical fitness. A diet lacking

in the body. That excess fluid puts an added burden on

regarded as those people born between 1946 and 1964,

in sufficient protein can contribute to muscle deteriora-

the heart, potentially increasing a person's risk of stroke,

boasts longer life expectancies than any generation that

tion, arthritis and even organ failure, so it's important

heart failure, osteoporosis, cancer, and kidney disease.

came before them, some of that can likely be chalked up

for men and women to prioritize including protein in

The problem with cutting back on sodium is that salt is

to advancements in medical care, including a booming

their diets.

so often relied on to make foods taste better, and many

pharmaceutical industry that seemingly has an antidote

Carbohydrates are also an important part of a bal-

people find salt-free foods bland. But the rewards of

to every ailment. But a 2013 study from researchers at

anced diet, as they are a great source of energy that can

reducing sodium intake are so significant that it's worth

the West Virginia University School of Medicine found

help men and women stay active well past the age of

making the adjustment, especially for men and women

that baby boomers are less healthy than the generation

50. Carbohydrates found in fruits, grains and vegeta-

over the age of 50.

that immediately preceded them, tending to be more

bles are the most beneficial, as these contain valuable

No one is too old or too young to embrace a nutri-

likely to have higher levels of hypertension, diabetes and

vitamins, minerals and nutrients.

tious diet. But men and women over the age of 50 are

high cholesterol. While that news might be sobering,

28

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 28-29

in a unique position to vastly improve their quality of life

it's never too late for men and women over 50 to start

• Don't denounce dairy. Dairy is a great source

by adopting a low-sodium diet that is rich in vitamins

eating healthier diets, which can reduce their risk of a

of calcium, which promotes strong bones and teeth.

and minerals. 

wide range of ailments, including heart disease, stroke

Men and women over the age of 50 want their bones

and osteoporosis.

to be as strong as possible because aging is one of the

The following are a few ways men and women over

strongest risk factors for osteoporosis, a potentially

50 can alter their diets so their bodies are getting what

debilitating medical condition in which loss of tissue

they need to live long and healthy lives well into their

causes bones to become brittle and fragile. Vitamin D

golden years. As is always the case, men and women

is necessary to effectively absorb calcium, and vitamin

should discuss any potential changes to their diets with

D can be found in certain dairy products, including pas-

their physicians to ensure the changes will be both

ture-raised eggs and grass-fed cow's milk, and can be

effective and healthy.

generated when men and women get enough sunlight.

WINTER 2015 | HEALTHY IN ROCKDALE

29

12/24/2014 8:50:14 AM

•general health FEATURE

general health FEATURE•

Nutrition and aging go hand-in-hand

N

utrition is important for people of all ages, but it's especially important for men and women over the age of 50, who can dramatically improve their quality of life by eating a well-balanced diet filled with vitamins and nutrients.

Though that may seem like common sense, research has shown that men and women in this age group, who are often referred to as "Baby Boomers," are not necessarily as healthy as they may seem.

• Balance your diet. Kids hear of the benefits of a

Other healthy sources of vitamin D include salmon, light

balanced diet seemingly from the moment they enter a

tuna packed in oil, sardines, and sun-grown mushrooms.

classroom for the first time, but many adults fail to heed that basic advice as they get further and further away

• Cut back on sodium intake. Cutting back on

from kindergarten. When changing your diet, be sure

sodium intake can be very beneficial, especially for men

to include plenty of protein and carbohydrates. Protein

and women over the age of 50, who are at greater risk

maintains and rebuilds muscles, which is especially

of diabetes, hypertension and chronic kidney disease.

important for aging men and women who might find

But cutting back on sodium intake takes more than just

themselves unable to keep up with the physical de-

throwing the salt shaker away. Processed foods, soups,

mands of everyday life as well as they used to. Including

canned goods, salad dressings, condiments such as

ample low-fat protein, which can be found in fish, eggs

mustard and ketchup, and breakfast cereals are just a

and low-fat dairy among other foods, will aid in muscle

few of the many products that may contain alarming

recovery, benefitting aging athletes as well as those men

amounts of sodium. That's important to note, as excess

and women over 50 who recently started exercising as a

sodium increases blood pressure by holding excess fluid

While the baby boomer generation, which is generally

means to regaining their physical fitness. A diet lacking

in the body. That excess fluid puts an added burden on

regarded as those people born between 1946 and 1964,

in sufficient protein can contribute to muscle deteriora-

the heart, potentially increasing a person's risk of stroke,

boasts longer life expectancies than any generation that

tion, arthritis and even organ failure, so it's important

heart failure, osteoporosis, cancer, and kidney disease.

came before them, some of that can likely be chalked up

for men and women to prioritize including protein in

The problem with cutting back on sodium is that salt is

to advancements in medical care, including a booming

their diets.

so often relied on to make foods taste better, and many

pharmaceutical industry that seemingly has an antidote

Carbohydrates are also an important part of a bal-

people find salt-free foods bland. But the rewards of

to every ailment. But a 2013 study from researchers at

anced diet, as they are a great source of energy that can

reducing sodium intake are so significant that it's worth

the West Virginia University School of Medicine found

help men and women stay active well past the age of

making the adjustment, especially for men and women

that baby boomers are less healthy than the generation

50. Carbohydrates found in fruits, grains and vegeta-

over the age of 50.

that immediately preceded them, tending to be more

bles are the most beneficial, as these contain valuable

No one is too old or too young to embrace a nutri-

likely to have higher levels of hypertension, diabetes and

vitamins, minerals and nutrients.

tious diet. But men and women over the age of 50 are

high cholesterol. While that news might be sobering,

28

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 28-29

in a unique position to vastly improve their quality of life

it's never too late for men and women over 50 to start

• Don't denounce dairy. Dairy is a great source

by adopting a low-sodium diet that is rich in vitamins

eating healthier diets, which can reduce their risk of a

of calcium, which promotes strong bones and teeth.

and minerals. 

wide range of ailments, including heart disease, stroke

Men and women over the age of 50 want their bones

and osteoporosis.

to be as strong as possible because aging is one of the

The following are a few ways men and women over

strongest risk factors for osteoporosis, a potentially

50 can alter their diets so their bodies are getting what

debilitating medical condition in which loss of tissue

they need to live long and healthy lives well into their

causes bones to become brittle and fragile. Vitamin D

golden years. As is always the case, men and women

is necessary to effectively absorb calcium, and vitamin

should discuss any potential changes to their diets with

D can be found in certain dairy products, including pas-

their physicians to ensure the changes will be both

ture-raised eggs and grass-fed cow's milk, and can be

effective and healthy.

generated when men and women get enough sunlight.

WINTER 2015 | HEALTHY IN ROCKDALE

29

12/24/2014 8:50:14 AM

•general health FEATURE

Osteoporosis

O

steoporosis is a disease of the bones, especially in elderly adults. As we age, our bone metabolism may get out of balance. We may lose too much bone structure

or not make enough new bone to maintain a healthy skeleton, leading to osteoporosis.

Women are at greater risk for osteoporosis than men because of the relationships between estrogen and bone health.

I

t is generally believed that most of us will reach our highest bone mineral density

DIAGNOSIS: Osteoporosis is a silent disease. It does not cause any problems or

(also called “bone mass”) around age 35 years (actual age when this occurs is

symptoms unless an osteoporosis related fracture occurs. You cannot tell whether you

highly variable). Most all of us will then have a slow decline in bone mass as we get

are osteoporotic or not without bone density testing.

older.

A bone density test is the best way to determine if you have low bone density or

Osteoporosis causes us to be at a higher risk for fractures, especially fractures of

osteoporosis. The bone density test can predict your risk of developing osteoporosis in

the hip, spine and wrist. When we are osteoporotic, those fractures can occur with

the future. This test is commonly known as a DEXA scan. That stands for Dual Energy

minimal injury, sometimes just from walking or sneezing. These fractures are painful

X-ray Absorptiometry. This test uses a small amount of x-rays to measure your bone

and can cause significant disability. When these fractures occur in the elderly, studies

density or bone mass. For most women, a DEXA scan should be done near age 50

have shown an increased risk of multiple related health problems including inability to

years and every few years after that. Your doctor can help you determine when and

carry out normal activities of daily living, loss of ability to live independently at home

how often to have the test.

and even an increased risk of death after the fracture.

See Breast Cancer Six Years Before You Can Feel It The Women’s Center at Rockdale Medical Center and the Radiologists of Diagnostic Imaging Specialists, PA are committed to finding and treating breast cancer at any stage.

Call 770-918-3707 to schedule your mammogram appointment.

We now have Saturday appointments from 8am-12pm.

In addition we offer: • Walk-in screening appointments • Convenient appointment times throughout the day • Diagnostic Mammograms • Diagnostic Breast Ultrasound • Stereotactic Breast Ultrasound Biopsies • Bone Density Scans

According to the National Osteoporosis Foundation, about 52 million Americans

CONCLUSIONS: As we age, we are at risk for developing osteoporosis. The pres-

have osteoporosis. Every year, 2 million fractures osteoporosis related fractures occur.

ence of osteoporosis increases our risk of spine, hip and wrist fractures. These injuries

Many of the people who suffer from osteoporosis related fractures are elderly. Health

can significantly impact our health and quality of life. Proper diet and exercise help

care costs for treatment and management of osteoporotic fractures and related health

prevent osteoporosis. Bone density testing can determine whether we have osteopo-

problems are estimated to be $19 billion per year.

rosis or are at risk for developing it. 

There are two approaches to fighting this disease and avoiding osteoporosis related fractures: 1) Prevention of osteoporosis and related fractures; and 2) Early Detection to facilitate treatment if needed.

PREVENTION: The two most important things we can do to support our bone

RESOURCES: Bone Density Testing is offered at Rockdale Medical Center Outpatient Imaging and can be scheduled by calling 770-9183730. More information can be found on the National Osteoporosis Foundation Web site at www.nof.org.

health and prevent osteoporosis are to have adequate Vitamin D and Calcium in our diet, and to get adequate exercise.

Interestingly, a significant risk factor for osteoporosis is low body weight or being very slim or thin. When it comes to bone health, normal or above normal body weight is better than being too thin.

Prevention of falls in the elderly can decrease the risk of suffering an osteoporosis related fracture. As we age, multiple factors develop that may increase our risk of falling. Add to that risk the increased likelihood of low bone density results in significant risk of hip, spine or wrist fractures related to a minor fall. As we age, we should be mindful of adapting our surroundings and modifying our behavior to decrease risk of falls.

WINTER 2015 | HEALTHY IN ROCKDALE

HIR WINTER 2015.indd 30-31

31

12/24/2014 8:50:31 AM

•general health FEATURE

Osteoporosis

O

steoporosis is a disease of the bones, especially in elderly adults. As we age, our bone metabolism may get out of balance. We may lose too much bone structure

or not make enough new bone to maintain a healthy skeleton, leading to osteoporosis.

Women are at greater risk for osteoporosis than men because of the relationships between estrogen and bone health.

I

t is generally believed that most of us will reach our highest bone mineral density

DIAGNOSIS: Osteoporosis is a silent disease. It does not cause any problems or

(also called “bone mass”) around age 35 years (actual age when this occurs is

symptoms unless an osteoporosis related fracture occurs. You cannot tell whether you

highly variable). Most all of us will then have a slow decline in bone mass as we get

are osteoporotic or not without bone density testing.

older.

A bone density test is the best way to determine if you have low bone density or

Osteoporosis causes us to be at a higher risk for fractures, especially fractures of

osteoporosis. The bone density test can predict your risk of developing osteoporosis in

the hip, spine and wrist. When we are osteoporotic, those fractures can occur with

the future. This test is commonly known as a DEXA scan. That stands for Dual Energy

minimal injury, sometimes just from walking or sneezing. These fractures are painful

X-ray Absorptiometry. This test uses a small amount of x-rays to measure your bone

and can cause significant disability. When these fractures occur in the elderly, studies

density or bone mass. For most women, a DEXA scan should be done near age 50

have shown an increased risk of multiple related health problems including inability to

years and every few years after that. Your doctor can help you determine when and

carry out normal activities of daily living, loss of ability to live independently at home

how often to have the test.

and even an increased risk of death after the fracture.

See Breast Cancer Six Years Before You Can Feel It The Women’s Center at Rockdale Medical Center and the Radiologists of Diagnostic Imaging Specialists, PA are committed to finding and treating breast cancer at any stage.

Call 770-918-3707 to schedule your mammogram appointment.

We now have Saturday appointments from 8am-12pm.

In addition we offer: • Walk-in screening appointments • Convenient appointment times throughout the day • Diagnostic Mammograms • Diagnostic Breast Ultrasound • Stereotactic Breast Ultrasound Biopsies • Bone Density Scans

According to the National Osteoporosis Foundation, about 52 million Americans

CONCLUSIONS: As we age, we are at risk for developing osteoporosis. The pres-

have osteoporosis. Every year, 2 million fractures osteoporosis related fractures occur.

ence of osteoporosis increases our risk of spine, hip and wrist fractures. These injuries

Many of the people who suffer from osteoporosis related fractures are elderly. Health

can significantly impact our health and quality of life. Proper diet and exercise help

care costs for treatment and management of osteoporotic fractures and related health

prevent osteoporosis. Bone density testing can determine whether we have osteopo-

problems are estimated to be $19 billion per year.

rosis or are at risk for developing it. 

There are two approaches to fighting this disease and avoiding osteoporosis related fractures: 1) Prevention of osteoporosis and related fractures; and 2) Early Detection to facilitate treatment if needed.

PREVENTION: The two most important things we can do to support our bone

RESOURCES: Bone Density Testing is offered at Rockdale Medical Center Outpatient Imaging and can be scheduled by calling 770-9183730. More information can be found on the National Osteoporosis Foundation Web site at www.nof.org.

health and prevent osteoporosis are to have adequate Vitamin D and Calcium in our diet, and to get adequate exercise.

Interestingly, a significant risk factor for osteoporosis is low body weight or being very slim or thin. When it comes to bone health, normal or above normal body weight is better than being too thin.

Prevention of falls in the elderly can decrease the risk of suffering an osteoporosis related fracture. As we age, multiple factors develop that may increase our risk of falling. Add to that risk the increased likelihood of low bone density results in significant risk of hip, spine or wrist fractures related to a minor fall. As we age, we should be mindful of adapting our surroundings and modifying our behavior to decrease risk of falls.

WINTER 2015 | HEALTHY IN ROCKDALE

HIR WINTER 2015.indd 30-31

31

12/24/2014 8:50:31 AM

•general health FEATURE

a jammed finger

{

{

Not "just"

by Jane S. Tan, MD

W

hen it comes to fingers, jamming injuries are very common, and run the gamut from mild sprains to fracture-dislocations or even arterial stretch

injuries. These injuries are commonly seen in sports, but can happen at work and during everyday activities as well.

If you injure your finger, the first thing to do is inspect the finger. Concerning

from a health professional immediately. Significant deformity should be corrected

features include:

only by a health professional, as some dislocations can be made worse by pulling on

• Bruising; Deformity; A “popping” sound during injury; Severe pain or swelling;

them. Splinting the finger, either with an aluminum splint or even buddy-taping to the

Difficulty moving the finger; Open wounds with exposed underlying structures; White

adjacent finger for milder injuries, can be a reasonable initial treatment; but, beware –

or blue or deep purple color.

prolonged, indiscriminate splinting can create its own problems of excessive stiffness,

If your injury has any of the above concerning features, you should seek treatment

which can take weeks to months to correct.

32

Injuries can be as mild as a simple sprain, which is a

pull off the finger, with or without a piece of bone.

be treated immediately to avoid infections.

tear or a stretch of the restraining ligaments, which pro-

Most often, this produces an immediate droop to the

Combinations of the above injuries (fracture-dislo-

vide stability to a joint. Mild sprains may resolve within

fingertip (mallet finger), which can be corrected with

cations, open dislocation, open fractures with tendon

days. More severe sprains can sometimes take weeks to

appropriate splinting, if begun early enough. A signifi-

injuries) can be devastating injuries that require surgery

months, as well as the use of specialized splinting, to

cant delay in treatment can result in a permanent droop.

and aggressive therapy, and may take many months

resolve. Sometimes, the ligament pulls off with a small

If tendon injury occurs more towards the middle of the

to heal. Sometimes, reconstructive surgery is required.

piece of bone (called an avulsion fracture), which may

finger rather than the tip (central slip injury), the droop

Particularly complex injuries or neglected injuries some-

or may not require surgery to heal. Most sprains will

may or may not occur immediately. Once again, timely

times can only be treated with fusions.

heal on their own, but some complete tears, especially

treatment of this injury is required to prevent long term

If you suspect you may have sustained a significant

in the thumb, may require surgery to prevent permanent

issues such as contractures requiring surgery.

injury to your finger, seek medical attention immediately.

instability.

Surprisingly to some people, a jamming injury can

Timing is of the essence for getting you back to func-

A very severe type of sprain is a dislocation, in which

actually break the bones in your finger (fracture). Some

tional use of your hand. It’s always easier to make an

stability is completely lost, and the finger sits out of

of these fractures just require some splinting or casting;

appointment and then cancel it later if you don’t need it,

joint. These injuries should be corrected by a health

others may require surgery, usually involving pins or

rather than wait it out and later discover that you waited

professional, as incorrect technique in correcting the

plates and/or screws. Fractures in the finger heal fairly

too long. With appropriate, timely management, the

dislocation can actually worsen the situation. Some of

rapidly – often within 3-4 weeks – which means that

majority of finger jamming injuries can be successfully

these injuries require surgery to correct. If the finger

if the bone has shifted out of alignment, it can quickly

treated with full return to normal activities. 

is sitting very far out of alignment, the dislocation can

heal in the malaligned position. Ideally, surgery to

actually stretch arteries and cut off circulation. If this

correct the deformity should be performed within the

Dr. Tan is a board-certified Orthopaedic Surgeon spe-

is the case, then the deformity should be emergently

first week or so, in order to avoid having to re-break the

cializing in the diagnosis and treatment of hand and

corrected to avoid lasting damage to the finger.

bone in order to re-set it. Open wounds with exposed

Similarly, jamming injuries can cause the tendons to

bone (open fractures) are serious injuries which should

upper extremity injuries at Resurgens Orthopaedics in Covington, GA.

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 32-33

12/24/2014 8:51:14 AM

•general health FEATURE

a jammed finger

{

{

Not "just"

by Jane S. Tan, MD

W

hen it comes to fingers, jamming injuries are very common, and run the gamut from mild sprains to fracture-dislocations or even arterial stretch

injuries. These injuries are commonly seen in sports, but can happen at work and during everyday activities as well.

If you injure your finger, the first thing to do is inspect the finger. Concerning

from a health professional immediately. Significant deformity should be corrected

features include:

only by a health professional, as some dislocations can be made worse by pulling on

• Bruising; Deformity; A “popping” sound during injury; Severe pain or swelling;

them. Splinting the finger, either with an aluminum splint or even buddy-taping to the

Difficulty moving the finger; Open wounds with exposed underlying structures; White

adjacent finger for milder injuries, can be a reasonable initial treatment; but, beware –

or blue or deep purple color.

prolonged, indiscriminate splinting can create its own problems of excessive stiffness,

If your injury has any of the above concerning features, you should seek treatment

which can take weeks to months to correct.

32

Injuries can be as mild as a simple sprain, which is a

pull off the finger, with or without a piece of bone.

be treated immediately to avoid infections.

tear or a stretch of the restraining ligaments, which pro-

Most often, this produces an immediate droop to the

Combinations of the above injuries (fracture-dislo-

vide stability to a joint. Mild sprains may resolve within

fingertip (mallet finger), which can be corrected with

cations, open dislocation, open fractures with tendon

days. More severe sprains can sometimes take weeks to

appropriate splinting, if begun early enough. A signifi-

injuries) can be devastating injuries that require surgery

months, as well as the use of specialized splinting, to

cant delay in treatment can result in a permanent droop.

and aggressive therapy, and may take many months

resolve. Sometimes, the ligament pulls off with a small

If tendon injury occurs more towards the middle of the

to heal. Sometimes, reconstructive surgery is required.

piece of bone (called an avulsion fracture), which may

finger rather than the tip (central slip injury), the droop

Particularly complex injuries or neglected injuries some-

or may not require surgery to heal. Most sprains will

may or may not occur immediately. Once again, timely

times can only be treated with fusions.

heal on their own, but some complete tears, especially

treatment of this injury is required to prevent long term

If you suspect you may have sustained a significant

in the thumb, may require surgery to prevent permanent

issues such as contractures requiring surgery.

injury to your finger, seek medical attention immediately.

instability.

Surprisingly to some people, a jamming injury can

Timing is of the essence for getting you back to func-

A very severe type of sprain is a dislocation, in which

actually break the bones in your finger (fracture). Some

tional use of your hand. It’s always easier to make an

stability is completely lost, and the finger sits out of

of these fractures just require some splinting or casting;

appointment and then cancel it later if you don’t need it,

joint. These injuries should be corrected by a health

others may require surgery, usually involving pins or

rather than wait it out and later discover that you waited

professional, as incorrect technique in correcting the

plates and/or screws. Fractures in the finger heal fairly

too long. With appropriate, timely management, the

dislocation can actually worsen the situation. Some of

rapidly – often within 3-4 weeks – which means that

majority of finger jamming injuries can be successfully

these injuries require surgery to correct. If the finger

if the bone has shifted out of alignment, it can quickly

treated with full return to normal activities. 

is sitting very far out of alignment, the dislocation can

heal in the malaligned position. Ideally, surgery to

actually stretch arteries and cut off circulation. If this

correct the deformity should be performed within the

Dr. Tan is a board-certified Orthopaedic Surgeon spe-

is the case, then the deformity should be emergently

first week or so, in order to avoid having to re-break the

cializing in the diagnosis and treatment of hand and

corrected to avoid lasting damage to the finger.

bone in order to re-set it. Open wounds with exposed

Similarly, jamming injuries can cause the tendons to

bone (open fractures) are serious injuries which should

upper extremity injuries at Resurgens Orthopaedics in Covington, GA.

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 32-33

12/24/2014 8:51:14 AM

•general health FEATURE

•general health FEATURE

Easy ways to enjoy a flu-free winter

S

pending significant time in close proximity to others

shot has been administered. Also, a flu shot does not guarantee recipients won't get

indoors can make people more susceptible to the flu. As

the flu. People can still get the flu after receiving a flu shot, as it may be another strain

a result, winter, when people typically spend more time in-

of the virus. But flu shots are largely effective.

doors than outdoors, is often dominated by the sniffling and

• Quit smoking. Smoking cigarettes and cigars can affect the immune system

sneezing synonymous of the flu. But men and women can

and also compromise the body in a number of different ways. Smoking can disable

take steps to protect themselves from the flu this season.

• Get a flu shot. Some people prefer to avoid getting a flu shot because they want to build up their natural immunities or they believe the shots can make them sick.

But most flu shots contain an inactive virus that will not make you sick, and will only trigger your body's immune system response to a foreign invader. It can take a couple of weeks for full immunity to develop, so it's possible to still get sick even after a flu

mechanisms in your breathing passageways that serve as natural repellants to the flu.

These include the hairs on the lungs that brush away contaminants. Smoking also can create holes in the lining of lower air passages, and such holes can make people more susceptible to illness, including the flu. Smokers who get the flu typically find that the flu further complicates their ability to breathe.

• Avoid sick people. When those around you are sick, it is best to keep your distance, especially when those people have the flu. The Centers for Disease Control and

Colon C Cancer Screening

SAVES LIVES!

Prevention state that people with the flu can spread it to others up to six feet away.

Flu viruses are spread mainly by droplets of bodily fluids expelled during coughing, sneezing and even talking. This is why doctors recommend that anyone who has the flu stay home from work or school until they are fully recovered.

• Be especially cautious when pregnant. According to Dr. Cameron Wolfe,

olon cancer is the second leading cause of cancer-related deaths in the United States. In fact, one in 20 people in the United States will be diagnosed with colorectal cancer in their lifetime.

But it is also one of the few cancers that, when detected in its early stages, is highly preventable.

“Screening for colon cancer is one of the most important things I do as a gastroenterologist,” says Atlanta Gastroenterology Associates (AGA) physician, Dr. Barry Levitt., “There are a few options available for screening, but the industry gold standard is a colonoscopy.”

Colonoscopies allow a physician to visualize the entire large bowel or colon while a patient is sedated in order to diagnose and treat many digestive diseases.

Studies suggest that a screening colonoscopy is considered the single best method for detecting and removing pre-cancerous polyps. “Colon polyps are small growths that occur in the lining of the large intestine over time,” explains Dr. David Rabin, gastroenterologist at AGA. “And during a colonoscopy, we have the capability to remove those polyps before they can develop into cancers.”

Most colon polyps and early cancers don’t produce any symptoms, so it’s vital to notify your doctor if you notice symptoms such as blood in your stool or a change in bowel habits. Other colon cancer symptoms include persistent abdominal discomfort, chronic fatigue, and unexplained weight loss.

According to the American Cancer Society, colon cancer screenings are recommended for every adult beginning at age 50. If there is a family history of colon cancer, or other risk factors, some people may need to be screened at a younger age. “It’s important to ask your doctor when screening is right for you,” adds Dr. Rabin.

“A colonoscopy is a safe, relatively simple, and highly effective way to diagnose and treat colon cancer,” says AGA gastroenterologist Dr. Mahmoud Barrie. “It’s important that people take advantage of colon cancer screenings and the opportunity to prevent the disease. It can save a life.”  Dr. Barrie, Dr. Levitt, and Dr. Rabin see patients at Atlanta Gastroenterology Associates’ offices in Conyers, Atlanta, Decatur, and Lithonia. To make an appointment, call 1.866.GO.TO.AGA [468.6242], or visit www. atlantagastro.com.

an infectious disease specialist at Duke University Medical Center, women who are pregnant are at a higher risk of complications and even death from influenza. Doctors don't fully understand why, but many feel that because the flu can compromise a Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer

woman's ability to breathe well, this makes it difficult for oxygen to be passed on to the fetus. Pregnant women should speak with their obstetricians about the safety of the flu shot.

• Get plenty of rest and good food. Adequate sleep and a healthy diet can bolster your immune system. It's important to stay hydrated, eat fruits and vegetables

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

rich in vitamin C and prioritize getting a good night's sleep each night.

• Beware of homeopathic remedies. Always check with a doctor before add-

• Liver Disease • Hiatal Hernias • Diarrhea

• Hepatitis • Intestinal Polyps • Constipation

• Barrett’s Esophagus • Heartburn • Hemorrhoids

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

ing any natural remedies to your flu-fighting repertoire. While some supplements like elderberry syrup, zinc and oscillococcinum can mitigate symptoms of the flu, there's no solid evidence that these items offer any preventative value. Homeopathic remedies

1501 Milstead Road Suite 160 Conyers, Georgia 30012

also can interfere with medications or may be dangerous to a developing fetus, so do not take these substances without first checking with a doctor. 

For Appointments:

678.745.3033

Barry Levitt, M.D.

34

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 34-35

Mahmoud B. Barrie, M.D.

www.atlantagastro.com 1.866.GO.TO.AGA [468.6242]

David Rabin, M.D.

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

12/24/2014 8:51:45 AM

•general health FEATURE

•general health FEATURE

Easy ways to enjoy a flu-free winter

S

pending significant time in close proximity to others

shot has been administered. Also, a flu shot does not guarantee recipients won't get

indoors can make people more susceptible to the flu. As

the flu. People can still get the flu after receiving a flu shot, as it may be another strain

a result, winter, when people typically spend more time in-

of the virus. But flu shots are largely effective.

doors than outdoors, is often dominated by the sniffling and

• Quit smoking. Smoking cigarettes and cigars can affect the immune system

sneezing synonymous of the flu. But men and women can

and also compromise the body in a number of different ways. Smoking can disable

take steps to protect themselves from the flu this season.

• Get a flu shot. Some people prefer to avoid getting a flu shot because they want to build up their natural immunities or they believe the shots can make them sick.

But most flu shots contain an inactive virus that will not make you sick, and will only trigger your body's immune system response to a foreign invader. It can take a couple of weeks for full immunity to develop, so it's possible to still get sick even after a flu

mechanisms in your breathing passageways that serve as natural repellants to the flu.

These include the hairs on the lungs that brush away contaminants. Smoking also can create holes in the lining of lower air passages, and such holes can make people more susceptible to illness, including the flu. Smokers who get the flu typically find that the flu further complicates their ability to breathe.

• Avoid sick people. When those around you are sick, it is best to keep your distance, especially when those people have the flu. The Centers for Disease Control and

Colon C Cancer Screening

SAVES LIVES!

Prevention state that people with the flu can spread it to others up to six feet away.

Flu viruses are spread mainly by droplets of bodily fluids expelled during coughing, sneezing and even talking. This is why doctors recommend that anyone who has the flu stay home from work or school until they are fully recovered.

• Be especially cautious when pregnant. According to Dr. Cameron Wolfe,

olon cancer is the second leading cause of cancer-related deaths in the United States. In fact, one in 20 people in the United States will be diagnosed with colorectal cancer in their lifetime.

But it is also one of the few cancers that, when detected in its early stages, is highly preventable.

“Screening for colon cancer is one of the most important things I do as a gastroenterologist,” says Atlanta Gastroenterology Associates (AGA) physician, Dr. Barry Levitt., “There are a few options available for screening, but the industry gold standard is a colonoscopy.”

Colonoscopies allow a physician to visualize the entire large bowel or colon while a patient is sedated in order to diagnose and treat many digestive diseases.

Studies suggest that a screening colonoscopy is considered the single best method for detecting and removing pre-cancerous polyps. “Colon polyps are small growths that occur in the lining of the large intestine over time,” explains Dr. David Rabin, gastroenterologist at AGA. “And during a colonoscopy, we have the capability to remove those polyps before they can develop into cancers.”

Most colon polyps and early cancers don’t produce any symptoms, so it’s vital to notify your doctor if you notice symptoms such as blood in your stool or a change in bowel habits. Other colon cancer symptoms include persistent abdominal discomfort, chronic fatigue, and unexplained weight loss.

According to the American Cancer Society, colon cancer screenings are recommended for every adult beginning at age 50. If there is a family history of colon cancer, or other risk factors, some people may need to be screened at a younger age. “It’s important to ask your doctor when screening is right for you,” adds Dr. Rabin.

“A colonoscopy is a safe, relatively simple, and highly effective way to diagnose and treat colon cancer,” says AGA gastroenterologist Dr. Mahmoud Barrie. “It’s important that people take advantage of colon cancer screenings and the opportunity to prevent the disease. It can save a life.”  Dr. Barrie, Dr. Levitt, and Dr. Rabin see patients at Atlanta Gastroenterology Associates’ offices in Conyers, Atlanta, Decatur, and Lithonia. To make an appointment, call 1.866.GO.TO.AGA [468.6242], or visit www. atlantagastro.com.

an infectious disease specialist at Duke University Medical Center, women who are pregnant are at a higher risk of complications and even death from influenza. Doctors don't fully understand why, but many feel that because the flu can compromise a Specialists in the Detection and Treatment of Digestive Diseases, Hepatitis and Colon Cancer

woman's ability to breathe well, this makes it difficult for oxygen to be passed on to the fetus. Pregnant women should speak with their obstetricians about the safety of the flu shot.

• Get plenty of rest and good food. Adequate sleep and a healthy diet can bolster your immune system. It's important to stay hydrated, eat fruits and vegetables

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

rich in vitamin C and prioritize getting a good night's sleep each night.

• Beware of homeopathic remedies. Always check with a doctor before add-

• Liver Disease • Hiatal Hernias • Diarrhea

• Hepatitis • Intestinal Polyps • Constipation

• Barrett’s Esophagus • Heartburn • Hemorrhoids

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

ing any natural remedies to your flu-fighting repertoire. While some supplements like elderberry syrup, zinc and oscillococcinum can mitigate symptoms of the flu, there's no solid evidence that these items offer any preventative value. Homeopathic remedies

1501 Milstead Road Suite 160 Conyers, Georgia 30012

also can interfere with medications or may be dangerous to a developing fetus, so do not take these substances without first checking with a doctor. 

For Appointments:

678.745.3033

Barry Levitt, M.D.

34

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 34-35

Mahmoud B. Barrie, M.D.

www.atlantagastro.com 1.866.GO.TO.AGA [468.6242]

David Rabin, M.D.

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

12/24/2014 8:51:45 AM

•general health FEATURE

Exercising & Aging Addressing Common Concerns About Exercise After 50

What is

sleep apnea?

S

leep apnea is a disorder characterized by a reduc-

definitions of apnea that may be used include at least

the greater the AI, the more severe the apnea.

tion or pause of breathing (airflow) during sleep.

a 4% drop in oxygen in the blood, a direct result of the

Sleep apnea is formally defined as 15 episodes/hour

It is common among adults but rare among children.

reduction in the transfer of oxygen into the blood when

in a patient if he or she does not have medical problems

Although a diagnosis of sleep apnea often will be

breathing stops.

that are believed to be caused by the sleep apnea. This

suspected on the basis of a person's medical history,

Apneas usually occur during sleep. When an apnea

is the equivalent of approximately one episode of apnea

there are several tests that can be used to confirm the

occurs, sleep usually is disrupted due to inadequate

every four minutes. 

diagnosis. The treatment of sleep apnea can be either

breathing and poor oxygen levels in the blood.

surgical or nonsurgical.

Sometimes this means the person wakes up completely,

An apnea is a period of time during which breathing

but sometimes this can mean the person comes out

stops or is markedly reduced. In simplified terms, an

of a deep level of sleep and into a more shallow level

apnea occurs when a person stops breathing for 10

of sleep. Apneas are usually measured during sleep

seconds or more. If a person stops breathing completely

(preferably in all stages of sleep) over a 2-hour period.

or take less than 25% of a normal breath for a period

An estimate of the severity of apnea is calculated by

that lasts 10 seconds or more, this is an apnea. This

dividing the number of apneas by the number of hours

definition includes complete stoppage of airflow. Other

of sleep, giving an apnea index (AI in apneas per hour);

If you’re ready for a good night’s sleep it’s time to call Walton Pulmonary and set up an appointment at their new office in Conyers. Dr. Michel Jeannot is known for his dedication to patients and his passion for medicine.

He will make you feel comfortable from your first visit, so call his office today to schedule your appointment at 866-562-1866 or 678-928-9700.

NEW TO CONYERS Sleep Medicine and Pulmonary Disease.

E

xercise is an essential element of a healthy lifestyle.

Including exercise in your daily routine can lower your risk for diabetes, heart disease and stroke, and exercise can even sharpen mental acuity, reduce anxiety and improve mood. But as beneficial as exercise can be, many men and women, particularly men and women over the age of 50, who have not laced up their sneakers in years are hesitant to begin an exercise regimen for a variety of reasons, potentially putting their long-term health at risk.

Regardless of a person's age, beginning a new exercise regimen can be intimidat-

Services :

Please visit us on the web at www.waltonpulmonary.com Open Monday-Friday 9:00am-5:00pm

678-928-9700 or 866-562-1866

Call Us to Set Up an Appointment • www.waltonpulmonary.com

ing. But it's especially so for men and women over the age of 50, who might not know where to begin or how to approach adopting a healthier lifestyle. According to the National Institute on Aging, the following are a few points men and women should know as they attempt to improve their physical fitness with a more active lifestyle.

• Exercise is safe even if you have not been physically active in a long time. Many older men and women worry that suddenly embracing physical fitness after years of inactivity may be detrimental to their health. But that's only true if men and women don't exercise caution at the outset of their routines. When beginning the routine, take things very slowly at first, choosing to walk or bike every day rather than hitting the treadmill and adjusting it to maximum resistance. When strength training, start off 217500-1

+ Pulmonary (Lung) Consultation + Sleep Disorder Evaluation with Sleep Center + Pulmonary Rehabilitation Program + Allergy Test (Skin Test) + Sleep Apnea Maintenance (CPAP set-up) + Oral Appliance for Sleep Apnea + Trilogy Ventilation We provide everything you need for all your respiratory concerns

HIR WINTER 2015.indd 36-37

general health FEATURE•

with very little weight so your muscles can grow acclimated to the motions and you can get the exercises down pat. As you grow more comfortable and your body starts to feel more up to the challenges of daily exercise, you can begin to gradually alter your cardiovascular and strength training workouts to make them more challenging.

• Exercise can make existing medical conditions more manageable. Men and women over the age of 50 who have preexisting medical conditions are likely to find

that exercise alleviates rather than exacerbates their physical problems. The NIA notes that studies have shown that regular exercise and physical activity can benefit people with arthritis, high blood pressure and heart disease. But it's still recommended that men and women with preexisting medical conditions consult with their physicians before making any lifestyle changes. Some conditions may affect a person's ability to be active, and it's best to get the go-ahead from a physician before beginning an exercise regimen. Doctors may even suggest certain activities that have been known to alleviate particular conditions.

• Exercise reduces fatigue, so sitting around to preserve strength is not effective.

Exercise improves strength and energy levels, so sitting on the sideline to preserve your strength is counterproductive and could lead to serious medical problems. The "Report on Physical Activity and Health" from the U.S. Surgeon General's office noted that men and women who are inactive are almost twice as likely to develop heart disease as those who are more active. While getting adequate rest and giving your body ample time recover from physical activity is essential, your body won't benefit by avoiding exercise to preserve your strength. However, even moderate physical activity performed on a regular basis can reduce fatigue.

• No one is too old to exercise. It's not uncommon for men and women in their golden years to think they are too old to exercise. Some may feel that their toned down workouts cannot possibly be making much of an impact thanks to the physical limitations old age has put on their bodies, while others may think it's unwise for someone in their 70s or 80s to be physically active. But no one is too old to exercise, as exercise helps the body stay strong and fit even when you can no longer max out on the bench press or squat hundreds of pounds. Scaling back your exercise routine will be necessary as you get older, but that does not mean you cannot still enjoy and benefit from physical activity.

Continuing to exercise as you age is a great way to improve your quality of life and stay as active as possible well into your golden years.  WINTER 2015 | HEALTHY IN ROCKDALE

37

12/24/2014 8:52:05 AM

•general health FEATURE

Exercising & Aging Addressing Common Concerns About Exercise After 50

What is

sleep apnea?

S

leep apnea is a disorder characterized by a reduc-

definitions of apnea that may be used include at least

the greater the AI, the more severe the apnea.

tion or pause of breathing (airflow) during sleep.

a 4% drop in oxygen in the blood, a direct result of the

Sleep apnea is formally defined as 15 episodes/hour

It is common among adults but rare among children.

reduction in the transfer of oxygen into the blood when

in a patient if he or she does not have medical problems

Although a diagnosis of sleep apnea often will be

breathing stops.

that are believed to be caused by the sleep apnea. This

suspected on the basis of a person's medical history,

Apneas usually occur during sleep. When an apnea

is the equivalent of approximately one episode of apnea

there are several tests that can be used to confirm the

occurs, sleep usually is disrupted due to inadequate

every four minutes. 

diagnosis. The treatment of sleep apnea can be either

breathing and poor oxygen levels in the blood.

surgical or nonsurgical.

Sometimes this means the person wakes up completely,

An apnea is a period of time during which breathing

but sometimes this can mean the person comes out

stops or is markedly reduced. In simplified terms, an

of a deep level of sleep and into a more shallow level

apnea occurs when a person stops breathing for 10

of sleep. Apneas are usually measured during sleep

seconds or more. If a person stops breathing completely

(preferably in all stages of sleep) over a 2-hour period.

or take less than 25% of a normal breath for a period

An estimate of the severity of apnea is calculated by

that lasts 10 seconds or more, this is an apnea. This

dividing the number of apneas by the number of hours

definition includes complete stoppage of airflow. Other

of sleep, giving an apnea index (AI in apneas per hour);

If you’re ready for a good night’s sleep it’s time to call Walton Pulmonary and set up an appointment at their new office in Conyers. Dr. Michel Jeannot is known for his dedication to patients and his passion for medicine.

He will make you feel comfortable from your first visit, so call his office today to schedule your appointment at 866-562-1866 or 678-928-9700.

NEW TO CONYERS Sleep Medicine and Pulmonary Disease.

E

xercise is an essential element of a healthy lifestyle.

Including exercise in your daily routine can lower your risk for diabetes, heart disease and stroke, and exercise can even sharpen mental acuity, reduce anxiety and improve mood. But as beneficial as exercise can be, many men and women, particularly men and women over the age of 50, who have not laced up their sneakers in years are hesitant to begin an exercise regimen for a variety of reasons, potentially putting their long-term health at risk.

Regardless of a person's age, beginning a new exercise regimen can be intimidat-

Services :

Please visit us on the web at www.waltonpulmonary.com Open Monday-Friday 9:00am-5:00pm

678-928-9700 or 866-562-1866

Call Us to Set Up an Appointment • www.waltonpulmonary.com

ing. But it's especially so for men and women over the age of 50, who might not know where to begin or how to approach adopting a healthier lifestyle. According to the National Institute on Aging, the following are a few points men and women should know as they attempt to improve their physical fitness with a more active lifestyle.

• Exercise is safe even if you have not been physically active in a long time. Many older men and women worry that suddenly embracing physical fitness after years of inactivity may be detrimental to their health. But that's only true if men and women don't exercise caution at the outset of their routines. When beginning the routine, take things very slowly at first, choosing to walk or bike every day rather than hitting the treadmill and adjusting it to maximum resistance. When strength training, start off 217500-1

+ Pulmonary (Lung) Consultation + Sleep Disorder Evaluation with Sleep Center + Pulmonary Rehabilitation Program + Allergy Test (Skin Test) + Sleep Apnea Maintenance (CPAP set-up) + Oral Appliance for Sleep Apnea + Trilogy Ventilation We provide everything you need for all your respiratory concerns

HIR WINTER 2015.indd 36-37

general health FEATURE•

with very little weight so your muscles can grow acclimated to the motions and you can get the exercises down pat. As you grow more comfortable and your body starts to feel more up to the challenges of daily exercise, you can begin to gradually alter your cardiovascular and strength training workouts to make them more challenging.

• Exercise can make existing medical conditions more manageable. Men and women over the age of 50 who have preexisting medical conditions are likely to find

that exercise alleviates rather than exacerbates their physical problems. The NIA notes that studies have shown that regular exercise and physical activity can benefit people with arthritis, high blood pressure and heart disease. But it's still recommended that men and women with preexisting medical conditions consult with their physicians before making any lifestyle changes. Some conditions may affect a person's ability to be active, and it's best to get the go-ahead from a physician before beginning an exercise regimen. Doctors may even suggest certain activities that have been known to alleviate particular conditions.

• Exercise reduces fatigue, so sitting around to preserve strength is not effective.

Exercise improves strength and energy levels, so sitting on the sideline to preserve your strength is counterproductive and could lead to serious medical problems. The "Report on Physical Activity and Health" from the U.S. Surgeon General's office noted that men and women who are inactive are almost twice as likely to develop heart disease as those who are more active. While getting adequate rest and giving your body ample time recover from physical activity is essential, your body won't benefit by avoiding exercise to preserve your strength. However, even moderate physical activity performed on a regular basis can reduce fatigue.

• No one is too old to exercise. It's not uncommon for men and women in their golden years to think they are too old to exercise. Some may feel that their toned down workouts cannot possibly be making much of an impact thanks to the physical limitations old age has put on their bodies, while others may think it's unwise for someone in their 70s or 80s to be physically active. But no one is too old to exercise, as exercise helps the body stay strong and fit even when you can no longer max out on the bench press or squat hundreds of pounds. Scaling back your exercise routine will be necessary as you get older, but that does not mean you cannot still enjoy and benefit from physical activity.

Continuing to exercise as you age is a great way to improve your quality of life and stay as active as possible well into your golden years.  WINTER 2015 | HEALTHY IN ROCKDALE

37

12/24/2014 8:52:05 AM

by Jane S. Tan, MD

•general health FEATURE

Protecting Yourself from

SKIN CANCER

by Kathleen Lambert, MD Georgia Cancer Specialists

Y

our skin is the largest organ in

do not block UV rays; they filter them—and sometimes

are attributed to indoor tanning each year . In fact, a re-

your body, protecting it from

only slightly.

cent study reveals that the number of skin cancer cases

• Be thorough. Skin cancer can occur in places

due to tanning beds is higher than the number of lung

injury and infection. Shielding your

you don’t expect – the backs of your hands and feet,

cancer cases due to smoking worldwide. What’s more,

skin from sun exposure can reduce

eyelids, ears, in between your toes and your lips. Be

continued exposure also brings wrinkles, brown spots,

your risk of developing skin cancer and

thorough when applying sunscreen and try using a

blotchiness and leathery looking skin--- not exactly the

sunscreen stick for a non-messy, easy-to-carry option.

“look” you’re trying to achieve when fake baking. 

potentially save your life.

• Accessorize. Wear tightly woven, bright-colored clothing that covers most of the body. Wear a wide-

According to the American Cancer Society, skin

brimmed hat and choose wrap-around sunglasses that

cancer is the most common form of cancer for those

absorb 100% of UV rays to help protect your eyes and

living in the United States and more than two million

the surrounding skin.

cases of skin cancer will be newly diagnosed each year.

• Choose wisely. Remember, children can be

And it doesn’t just affect those who like to layout or visit

more sensitive to certain products. When using a new

tanning beds --everyday activities can leave your skin

product for your kids, dab a small amount on their wrist.

exposed to the sun and increase your risk for cancer.

Consider packing their sunscreen choice to school or daycare, too.

Protect yourself this sunny season so you can enjoy

• Check medications. Some medicines, including

being outside – cancer free.

acne treatment and birth control, can make your skin

• Plan ahead. If possible, avoid being outdoors

extra sensitive to sun exposure. Check with your doctor

between 11 a.m. and 3 p.m., when the sun’s rays are

to see if yours may have such an effect.

the most harmful. If you are outside during peak hours,

• Protect yourself indoors. Many adults think

seek shade or covered areas.

that they only need to wear sunscreen if they are going

• Wear and reapply sunscreen. Choose an

to be outside. Wrong. Driving and working in a building

SPF of at least 30 and apply at least 20 minutes before

with many windows also puts your skin at risk for sun

going outside. Reapply every two hours, especially if you

damage. UV rays easily penetrate through glass. Wear

are sweating or swimming because sunscreen particles

sunscreen every day to protect yourself year round.

break apart after exposure to the sun. When you’re

Single-use packs can be easily stored in the glove

having fun outside, it’s easy to forget to reapply, but re-

department of your car or at your desk.

member unprotected skin can be damaged by the sun’s

• Ditch the tanning bed. Tanned skin is dam-

ultraviolet (UV) rays in as little as 15 minutes. And don’t

aged skin, whether that tan comes from the sun or from

forget to apply sunscreen on overcast days too --- clouds

a bed. In the US alone, 419,000 new skin cancer cases

38

"Skin cancer is the most common form of cancer for those living in the United States and more than two million cases of skin cancer will be newly diagnosed each year." ­– American Cancer Society

HEALTHY IN ROCKDALE | WINTER 2015

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12/24/2014 8:52:22 AM

by Jane S. Tan, MD

•general health FEATURE

Protecting Yourself from

SKIN CANCER

by Kathleen Lambert, MD Georgia Cancer Specialists

Y

our skin is the largest organ in

do not block UV rays; they filter them—and sometimes

are attributed to indoor tanning each year . In fact, a re-

your body, protecting it from

only slightly.

cent study reveals that the number of skin cancer cases

• Be thorough. Skin cancer can occur in places

due to tanning beds is higher than the number of lung

injury and infection. Shielding your

you don’t expect – the backs of your hands and feet,

cancer cases due to smoking worldwide. What’s more,

skin from sun exposure can reduce

eyelids, ears, in between your toes and your lips. Be

continued exposure also brings wrinkles, brown spots,

your risk of developing skin cancer and

thorough when applying sunscreen and try using a

blotchiness and leathery looking skin--- not exactly the

sunscreen stick for a non-messy, easy-to-carry option.

“look” you’re trying to achieve when fake baking. 

potentially save your life.

• Accessorize. Wear tightly woven, bright-colored clothing that covers most of the body. Wear a wide-

According to the American Cancer Society, skin

brimmed hat and choose wrap-around sunglasses that

cancer is the most common form of cancer for those

absorb 100% of UV rays to help protect your eyes and

living in the United States and more than two million

the surrounding skin.

cases of skin cancer will be newly diagnosed each year.

• Choose wisely. Remember, children can be

And it doesn’t just affect those who like to layout or visit

more sensitive to certain products. When using a new

tanning beds --everyday activities can leave your skin

product for your kids, dab a small amount on their wrist.

exposed to the sun and increase your risk for cancer.

Consider packing their sunscreen choice to school or daycare, too.

Protect yourself this sunny season so you can enjoy

• Check medications. Some medicines, including

being outside – cancer free.

acne treatment and birth control, can make your skin

• Plan ahead. If possible, avoid being outdoors

extra sensitive to sun exposure. Check with your doctor

between 11 a.m. and 3 p.m., when the sun’s rays are

to see if yours may have such an effect.

the most harmful. If you are outside during peak hours,

• Protect yourself indoors. Many adults think

seek shade or covered areas.

that they only need to wear sunscreen if they are going

• Wear and reapply sunscreen. Choose an

to be outside. Wrong. Driving and working in a building

SPF of at least 30 and apply at least 20 minutes before

with many windows also puts your skin at risk for sun

going outside. Reapply every two hours, especially if you

damage. UV rays easily penetrate through glass. Wear

are sweating or swimming because sunscreen particles

sunscreen every day to protect yourself year round.

break apart after exposure to the sun. When you’re

Single-use packs can be easily stored in the glove

having fun outside, it’s easy to forget to reapply, but re-

department of your car or at your desk.

member unprotected skin can be damaged by the sun’s

• Ditch the tanning bed. Tanned skin is dam-

ultraviolet (UV) rays in as little as 15 minutes. And don’t

aged skin, whether that tan comes from the sun or from

forget to apply sunscreen on overcast days too --- clouds

a bed. In the US alone, 419,000 new skin cancer cases

38

"Skin cancer is the most common form of cancer for those living in the United States and more than two million cases of skin cancer will be newly diagnosed each year." ­– American Cancer Society

HEALTHY IN ROCKDALE | WINTER 2015

HIR WINTER 2015.indd 38-39

12/24/2014 8:52:22 AM

Bringing Downtown to your Hometown rockdalemedicalcenter.org 1-800-424-DOCS HIR WINTER 2015.indd 40

12/24/2014 8:52:39 AM