Summer 2014

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

IN NEWTON

HIN JUNE 2014.indd 1 6/12/2014 1:48:26 PM

rockdalemedicalcenter.org

“Award-winninghospital…

right here at home.”

AWARDED ADVANCEDCERTIFICATION

for Primary Stroke Center byThe Joint Commission

AWARDED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY in Mammography, MRI, Stereotactic BreastBiopsy, CT and Ultrasound.

ECHOCARDIOGRAPHY ACCREDITATIONfor second time.

NATIONALLY RECOGNIZED as one of only 3 hospitals in the Greater Atlanta area by The Joint Commission as a Top Performer in Quality Measures for Heart Attack, Heart Failure, Pneumonia and Surgical Care.

NAMED TOGEORGIA HOSPITALASSOCIATION CORE MEASURE HONOR ROLL: Trustee Category

RENOVATED AND EXPANDED to a 20-Bed Level III Neonatal Intensive Care Unit (NICU).

NATIONAL RECOGNITION BY CONSUMER REPORTSfor Outstanding Surgical Safety Outcomes.

the NEWSServing Rockdale County and Conyers

VOLUME 1, NO. 1, SUMMER 2014

XPublisher: T. Pat Cavanaugh

Editor: Michelle Kim

Comptroller: Debbie Thompson

Sales Director: Annette Godwin

Graphics Manager/Layout Design: Carin DeBoer

Photography: Darrell Everidge

Contributing Writers: Richard P. James, Jr., MD;Cathy T. Larrimore, MD; staff reports

XSUBMISSIONS

Unsolicited queries and submissions of art and writingnot accompained by a self-addressed stamped envelope

will not be returned. Response time varies and Healthy in Newton cannot assume responsibility for unsolicited

materials. To contact the editor by email, addresscorrespondence to mkim@rockdalenews.com

XADVERTISING

Information regarding advertising and rates areavailable by contacting Annette Godwin by phone

770.883.6698 or email agodwin@rockdalenews.com.

XHEALTHY IN NEWTON

c/o The Covington News1166 Usher Street, Covington, Georgia 30014

Phone 770-787-6397 / Fax 770-787-6451www.covnews.com

IN NEWTON

from the PUBLISHER

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

To a Healthy CommunityYou are about to open a magazine on health that has been produced as a labor of

love by the staff at The Covington News and the medical practices in our area. It is the intention of the local medical community and the businesses that support them to provide you with information that will assist you and your family with health decisions. We would like to thank the physicians, hospitals and their staff for their cooperation in producing the magazine. We plan to produce this magazine quarterly in Newton County focusing on health and wellness. We hope you enjoy each issue and are healthier as a result of reading it.

T. Pat Cavanaugh, Publisher

HIN JUNE 2014.indd 2-3 6/11/2014 8:32:50 AM

rockdalemedicalcenter.org

“Award-winninghospital…

right here at home.”

AWARDED ADVANCEDCERTIFICATION

for Primary Stroke Center byThe Joint Commission

AWARDED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY in Mammography, MRI, Stereotactic BreastBiopsy, CT and Ultrasound.

ECHOCARDIOGRAPHY ACCREDITATIONfor second time.

NATIONALLY RECOGNIZED as one of only 3 hospitals in the Greater Atlanta area by The Joint Commission as a Top Performer in Quality Measures for Heart Attack, Heart Failure, Pneumonia and Surgical Care.

NAMED TOGEORGIA HOSPITALASSOCIATION CORE MEASURE HONOR ROLL: Trustee Category

RENOVATED AND EXPANDED to a 20-Bed Level III Neonatal Intensive Care Unit (NICU).

NATIONAL RECOGNITION BY CONSUMER REPORTSfor Outstanding Surgical Safety Outcomes.

the NEWSServing Rockdale County and Conyers

VOLUME 1, NO. 1, SUMMER 2014

XPublisher: T. Pat Cavanaugh

Editor: Michelle Kim

Comptroller: Debbie Thompson

Sales Director: Annette Godwin

Graphics Manager/Layout Design: Carin DeBoer

Photography: Darrell Everidge

Contributing Writers: Richard P. James, Jr., MD;Cathy T. Larrimore, MD; staff reports

XSUBMISSIONS

Unsolicited queries and submissions of art and writingnot accompained by a self-addressed stamped envelope

will not be returned. Response time varies and Healthy in Newton cannot assume responsibility for unsolicited

materials. To contact the editor by email, addresscorrespondence to mkim@rockdalenews.com

XADVERTISING

Information regarding advertising and rates areavailable by contacting Annette Godwin by phone

770.883.6698 or email agodwin@rockdalenews.com.

XHEALTHY IN NEWTON

c/o The Covington News1166 Usher Street, Covington, Georgia 30014

Phone 770-787-6397 / Fax 770-787-6451www.covnews.com

IN NEWTON

from the PUBLISHER

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

To a Healthy CommunityYou are about to open a magazine on health that has been produced as a labor of

love by the staff at The Covington News and the medical practices in our area. It is the intention of the local medical community and the businesses that support them to provide you with information that will assist you and your family with health decisions. We would like to thank the physicians, hospitals and their staff for their cooperation in producing the magazine. We plan to produce this magazine quarterly in Newton County focusing on health and wellness. We hope you enjoy each issue and are healthier as a result of reading it.

T. Pat Cavanaugh, Publisher

HIN JUNE 2014.indd 2-3 6/11/2014 8:32:50 AM

H E A L T H Y I N N E W T O N • S U M M E R 2 0 1 4 • V O L U M E 1 , N O . 1

CONTENTS

Features8SETTING SLEEP RULES FORTEENAGERS

12HOW TO ENCOURAGE KIDS TO BEMORE PHYSICALLY ACTIVE

16HOW TO TAKE CARE OF YOURCHILD'S SKIN THIS SUMMER

6

27

14

38

ABOUT THE COVER

Wyatt Hatcher's mother Jessica, sees her dream for screening all babies for

dangerous heart defects become a reality. See story on page 18.

PHOTOGRAPH BY DARRELL EVERIDGE

Summer 2014

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

IN NEWTON

25WHEN MINUTES COUNTRockdale Medical earns stroke treatmentcenter certification

28MELLOW ON THE YELLOWSummer Paddle Series

6

HIN JUNE 2014.indd 4-5 6/12/2014 1:48:06 PM

H E A L T H Y I N N E W T O N • S U M M E R 2 0 1 4 • V O L U M E 1 , N O . 1

CONTENTS

Features8SETTING SLEEP RULES FORTEENAGERS

12HOW TO ENCOURAGE KIDS TO BEMORE PHYSICALLY ACTIVE

16HOW TO TAKE CARE OF YOURCHILD'S SKIN THIS SUMMER

6

27

14

38

ABOUT THE COVER

Wyatt Hatcher's mother Jessica, sees her dream for screening all babies for

dangerous heart defects become a reality. See story on page 18.

PHOTOGRAPH BY DARRELL EVERIDGE

Summer 2014

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

IN NEWTON

25WHEN MINUTES COUNTRockdale Medical earns stroke treatmentcenter certification

28MELLOW ON THE YELLOWSummer Paddle Series

6

HIN JUNE 2014.indd 4-5 6/12/2014 1:48:06 PM

6 HEALTHY IN NEWTON

S ummer is a season best spent outdoors, and many people anxiously await their opportunity to soak up some sun in the warm, summer air. But the summer heat can be relentless, posing a potentially significant threat to those who aren't careful when the dog days of summer arrive.

Heat exhaustion and heat stroke are two of the biggest concerns for those spending time under the summer sun. Differentiating between the two and understanding the causes and symptoms of each can help revelers survive the summer heat.

What is heat exhaustion? Those who work or exercise in humid or hot conditions might have experienced some level of heat exhaustion. When a person is suffering from heat exhaustion, their body is losing its fluids through sweat, and that loss causes dehydration. The body will also overheat, with its temperature rising as high 104 F.

What is heat stroke? Heat stroke can be life threatening. When a person is experiencing heat stroke, his or her body's cooling system stops working, and the body's temperature can rise to 105 degrees or higher. The cooling system is controlled by the brain, so heat stroke can even damage the brain and/or additional internal organs.

What causes heat exhaustion? Many people who suffer from heat exhaustion are not used to exercising or working in hot or humid environments, an unfa-miliarity that makes them susceptible to heat exhaustion. Gardeners, for example, might be able to work in the garden in late spring and feel no ill effects. However, once summer arrives with its humidity and higher temperatures, those same gardeners are not accustomed to such conditions and might develop heat exhaustion as a result. Especially humid days make it difficult for the body to properly evaporate sweat, and the body will lose fluids and electrolytes. As this is happening, people who do not adequately replace those lost fluids are more likely to suffer from heat exhaustion.

What causes heat stroke? Unlike heat exhaustion, which is largely caused by external conditions, heat stroke can result from an existing medical condition or medications. People with certain conditions or people on medications that hinder the body's ability to sweat may be predisposed to heat stroke because their cooling mechanisms are already impaired or compromised. But heat stroke can also be caused by anyone exerting themselves in a hot environment, even if those people do not have a pre-existing medical condition.

What are the symptoms of heat exhaustion? Heat exhaustion symptoms vary but can include: sweating profusely, feelings of dizziness, muscle cramps or pains, fainting, dark-colored urine (dehydration), nausea, pale skin, rapid heartbeat and headache.

What are the symptoms of heat stroke? A body temperature of 105 degrees or above is a telltale indicator of heat stroke, but additional symptoms may include: throb-bing headache, flushed, hot and dry skin, slightly elevated blood pressure, dizziness and light-headedness, nausea and vomiting, rapid and shallow breathing, lack of sweating despite the heat, rapid heartbeat that is strong or weak and unconsciousness.

Make sure to drink plenty of water in the summer months.

Heat exhaustion and heat stroke pose

significant threatWhat do I do if I suspect I am suffering from heat exhaustion? If heat exhaustion is suspected, get out of the heat immediately, ideally into an air-conditioned room but under a tree in the shade if that's the only option. Call a doctor if you cannot keep fluids down or if you seem incoherent. Those who can keep fluids down should drink plenty of noncaffeinated and nonalcoholic beverages, and remove any tight or unnecessary clothing. In addition, take a cool shower or bath, but ideally only do so if someone is around to monitor you.

What should I do if I suspect I am suffering from heat stroke? Heat stroke is potentially life-threatening, so immediately dial 911 if you feel you have heat stroke. If you suspect someone else has heat stroke, administer some first aid while waiting for an ambulance to arrive. Move the person to an air-conditioned room, and try to get his or her body temperature down to a more manageable 101 degree or 102 degree. Wet the person's skin and apply ice packs to the armpits, groin, neck, and back, as these areas have an abundance of blood vessels close to the skin, and cooling them can help lower body temperature.

HIN JUNE 2014.indd 6-7 6/11/2014 8:33:50 AM

6 HEALTHY IN NEWTON

S ummer is a season best spent outdoors, and many people anxiously await their opportunity to soak up some sun in the warm, summer air. But the summer heat can be relentless, posing a potentially significant threat to those who aren't careful when the dog days of summer arrive.

Heat exhaustion and heat stroke are two of the biggest concerns for those spending time under the summer sun. Differentiating between the two and understanding the causes and symptoms of each can help revelers survive the summer heat.

What is heat exhaustion? Those who work or exercise in humid or hot conditions might have experienced some level of heat exhaustion. When a person is suffering from heat exhaustion, their body is losing its fluids through sweat, and that loss causes dehydration. The body will also overheat, with its temperature rising as high 104 F.

What is heat stroke? Heat stroke can be life threatening. When a person is experiencing heat stroke, his or her body's cooling system stops working, and the body's temperature can rise to 105 degrees or higher. The cooling system is controlled by the brain, so heat stroke can even damage the brain and/or additional internal organs.

What causes heat exhaustion? Many people who suffer from heat exhaustion are not used to exercising or working in hot or humid environments, an unfa-miliarity that makes them susceptible to heat exhaustion. Gardeners, for example, might be able to work in the garden in late spring and feel no ill effects. However, once summer arrives with its humidity and higher temperatures, those same gardeners are not accustomed to such conditions and might develop heat exhaustion as a result. Especially humid days make it difficult for the body to properly evaporate sweat, and the body will lose fluids and electrolytes. As this is happening, people who do not adequately replace those lost fluids are more likely to suffer from heat exhaustion.

What causes heat stroke? Unlike heat exhaustion, which is largely caused by external conditions, heat stroke can result from an existing medical condition or medications. People with certain conditions or people on medications that hinder the body's ability to sweat may be predisposed to heat stroke because their cooling mechanisms are already impaired or compromised. But heat stroke can also be caused by anyone exerting themselves in a hot environment, even if those people do not have a pre-existing medical condition.

What are the symptoms of heat exhaustion? Heat exhaustion symptoms vary but can include: sweating profusely, feelings of dizziness, muscle cramps or pains, fainting, dark-colored urine (dehydration), nausea, pale skin, rapid heartbeat and headache.

What are the symptoms of heat stroke? A body temperature of 105 degrees or above is a telltale indicator of heat stroke, but additional symptoms may include: throb-bing headache, flushed, hot and dry skin, slightly elevated blood pressure, dizziness and light-headedness, nausea and vomiting, rapid and shallow breathing, lack of sweating despite the heat, rapid heartbeat that is strong or weak and unconsciousness.

Make sure to drink plenty of water in the summer months.

Heat exhaustion and heat stroke pose

significant threatWhat do I do if I suspect I am suffering from heat exhaustion? If heat exhaustion is suspected, get out of the heat immediately, ideally into an air-conditioned room but under a tree in the shade if that's the only option. Call a doctor if you cannot keep fluids down or if you seem incoherent. Those who can keep fluids down should drink plenty of noncaffeinated and nonalcoholic beverages, and remove any tight or unnecessary clothing. In addition, take a cool shower or bath, but ideally only do so if someone is around to monitor you.

What should I do if I suspect I am suffering from heat stroke? Heat stroke is potentially life-threatening, so immediately dial 911 if you feel you have heat stroke. If you suspect someone else has heat stroke, administer some first aid while waiting for an ambulance to arrive. Move the person to an air-conditioned room, and try to get his or her body temperature down to a more manageable 101 degree or 102 degree. Wet the person's skin and apply ice packs to the armpits, groin, neck, and back, as these areas have an abundance of blood vessels close to the skin, and cooling them can help lower body temperature.

HIN JUNE 2014.indd 6-7 6/11/2014 8:33:50 AM

8 HEALTHY IN NEWTON

A 15-year-old fumbling through a "To Kill a Mockingbird" essay until 11 p.m.? There's a scene that's been happening for decades. A teen finishing the essay and staying up hours later to text friends, play video

games and scroll through Facebook? That's a relatively new picture, and one that challenges the quantity and quality of sleep for kids today. The National Sleep Foundation's annual "Sleep in America" poll, released today, shows that many kids aren't getting enough sleep, and that late-night access to all these electronic devices sure isn't helping. The foundation recom-mends 11 hours of sleep for kids ages 6 through 10 and 8.5 to 9.5 hours for kids ages 11 through 17, but the parents surveyed in the 2014 poll say their kids typically get less than those recommendations. Some of the sleep challenges are old school: 34 percent of parents cite evening activities, and 28 percent report homework. But some are new: 72 percent of parents say their kids have at least one electronic device in their bedroom while sleeping, and it turns out that those kids typically get a half hour to an hour less sleep per night than their peers. Nine out of 10 parents surveyed believe their kids' sleep is extremely or very important, and it is. Insufficient, poor quality sleep can impact [kids'] health, performance in school and their behavior. So how can parents help their kids get more sleep? What can combat challenges as archaic as homework and as modern as Candy Crush? Go back to the basics: rules and role model-ing. Knutson explains: Set rules, and stick to them. Assign bed times, yes, but also regulate how late kids can use their cellphones, watch TV, play video games and consume caffeine. In the NSF survey, kids whose parents continually enforce rules about phone use and caffeine consumption average almost an hour more sleep than their peers each night. These rules may help temper the typical sleep challenges kids face, such

as a full schedule of homework and evening activities that may bleed into the night. While (to your child's disappointment) you can't tell him or her to skip the homework, these rules will stifle the variables working against them, such as late-night screen time and caffeine intake. Sure, there will be nights when your teenager must work on an algebra assignment until 10 or 11 p.m. But they shouldn't jump on Facebook or PlayStation afterward. So don't expect an 8 p.m. bedtime to work, but set rules to prevent teenagers from staying up until 2 a.m. An hour or two earlier would be very beneficial. Explain why you're setting rules. You know what might help these rules stick? Context. Sit down with your child – especially teenagers – and talk with them about why you want to enforce these rules, how important sleep is and that you're not just being mean. Instead of simply forbidding smartphone use after 9 p.m., for example, explain to older kids how the light from these devices can disturb their sleep. Stress the consequences of poor sleep versus quality sleep and how it will affect their schoolwork. It's even worth having the sleep talk with a 6-year-old. Just explain that sleep is really important for you to do better, feel better and have more fun during the day. Be a role model. Chances are, if you're setting sleep rules, kids will take note if you follow them or not. According to the survey, 65 percent of kids whose parents have one or more interactive electronics (such as tablets or smart-phones, laptops or desktop computers or video games) in their bedrooms have at least one of these devices in their bedrooms, too. Parents set examples for children in all our habits, whether it's diet or exercise or whatever it is, and sleep is another important aspect of a healthy lifestyle. If you do not have a pediatrician and need assistant with your child’s sleep habit or any other problem contact Dr Manning at Manning Pediatrics today for an appointment.

Setting Sleep Rules for Teenagers

Cheryl A. Manning M.D. FAAPBOARD CERTIFIED

THE AMERICAN BOARD OF PEDIATRICS

Now accepting new patients!• Free expectant parent consults

• Same day appointments• Friendly, courteous staff

• All major insurance accepted• Doctor on call 24 hours

Office Hours:Monday, Tuesday, Thursday 8:30-4:30

Wednesday, Friday 8:30-2:30

4139 Hopsital Drive, Covington, GA 30014OFFICE: (770) 786-0012

FAX: (770) 786-9988

Mission Statement“To deliver excellent medical care to the children of Newton County and surrounding areas.

To treat these children and their families with the compassion and understandingwe would expect to be given to our family and friends.”

Manning Pediatrics

HIN JUNE 2014.indd 8-9 6/11/2014 8:34:01 AM

8 HEALTHY IN NEWTON

A 15-year-old fumbling through a "To Kill a Mockingbird" essay until 11 p.m.? There's a scene that's been happening for decades. A teen finishing the essay and staying up hours later to text friends, play video

games and scroll through Facebook? That's a relatively new picture, and one that challenges the quantity and quality of sleep for kids today. The National Sleep Foundation's annual "Sleep in America" poll, released today, shows that many kids aren't getting enough sleep, and that late-night access to all these electronic devices sure isn't helping. The foundation recom-mends 11 hours of sleep for kids ages 6 through 10 and 8.5 to 9.5 hours for kids ages 11 through 17, but the parents surveyed in the 2014 poll say their kids typically get less than those recommendations. Some of the sleep challenges are old school: 34 percent of parents cite evening activities, and 28 percent report homework. But some are new: 72 percent of parents say their kids have at least one electronic device in their bedroom while sleeping, and it turns out that those kids typically get a half hour to an hour less sleep per night than their peers. Nine out of 10 parents surveyed believe their kids' sleep is extremely or very important, and it is. Insufficient, poor quality sleep can impact [kids'] health, performance in school and their behavior. So how can parents help their kids get more sleep? What can combat challenges as archaic as homework and as modern as Candy Crush? Go back to the basics: rules and role model-ing. Knutson explains: Set rules, and stick to them. Assign bed times, yes, but also regulate how late kids can use their cellphones, watch TV, play video games and consume caffeine. In the NSF survey, kids whose parents continually enforce rules about phone use and caffeine consumption average almost an hour more sleep than their peers each night. These rules may help temper the typical sleep challenges kids face, such

as a full schedule of homework and evening activities that may bleed into the night. While (to your child's disappointment) you can't tell him or her to skip the homework, these rules will stifle the variables working against them, such as late-night screen time and caffeine intake. Sure, there will be nights when your teenager must work on an algebra assignment until 10 or 11 p.m. But they shouldn't jump on Facebook or PlayStation afterward. So don't expect an 8 p.m. bedtime to work, but set rules to prevent teenagers from staying up until 2 a.m. An hour or two earlier would be very beneficial. Explain why you're setting rules. You know what might help these rules stick? Context. Sit down with your child – especially teenagers – and talk with them about why you want to enforce these rules, how important sleep is and that you're not just being mean. Instead of simply forbidding smartphone use after 9 p.m., for example, explain to older kids how the light from these devices can disturb their sleep. Stress the consequences of poor sleep versus quality sleep and how it will affect their schoolwork. It's even worth having the sleep talk with a 6-year-old. Just explain that sleep is really important for you to do better, feel better and have more fun during the day. Be a role model. Chances are, if you're setting sleep rules, kids will take note if you follow them or not. According to the survey, 65 percent of kids whose parents have one or more interactive electronics (such as tablets or smart-phones, laptops or desktop computers or video games) in their bedrooms have at least one of these devices in their bedrooms, too. Parents set examples for children in all our habits, whether it's diet or exercise or whatever it is, and sleep is another important aspect of a healthy lifestyle. If you do not have a pediatrician and need assistant with your child’s sleep habit or any other problem contact Dr Manning at Manning Pediatrics today for an appointment.

Setting Sleep Rules for Teenagers

Cheryl A. Manning M.D. FAAPBOARD CERTIFIED

THE AMERICAN BOARD OF PEDIATRICS

Now accepting new patients!• Free expectant parent consults

• Same day appointments• Friendly, courteous staff

• All major insurance accepted• Doctor on call 24 hours

Office Hours:Monday, Tuesday, Thursday 8:30-4:30

Wednesday, Friday 8:30-2:30

4139 Hopsital Drive, Covington, GA 30014OFFICE: (770) 786-0012

FAX: (770) 786-9988

Mission Statement“To deliver excellent medical care to the children of Newton County and surrounding areas.

To treat these children and their families with the compassion and understandingwe would expect to be given to our family and friends.”

Manning Pediatrics

HIN JUNE 2014.indd 8-9 6/11/2014 8:34:01 AM

1349 Milstead Road - Conyers, Georgia770-785-7546GaDerm.com

Make your appointment today!

MOHS SK IN CANCER SURGERY - MOLE REMOVAL - ROUT INE SK IN EXAMS

ACNE - WARTS - PSOR IAS IS - EXCEMA - & OTHER SK IN COND IT IONS

John A. Fountain, MD Allen B. Filstein, MD Darryl S. Hodson, MD

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

The most common skin cancers are basal cell carcinoma, squamous cell carcinoma and malignant melanoma. With early detection and treat-

ment, skin cancer is highly curable. Skin cancer is easily diagnosed with a skin biopsy. There are different treatment options for skin cancer includ-ing 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 Surgeryfor the

Treatment ofSkin Cancer

10 HEALTHY IN NEWTON

Mohs surgery, developed in 1938 by Dr. Frederic E. Mohs, is microscop-ically controlled surgery that involves the complete evaluation of the surgical margins for skin cancer removal. Mohs surgery is typically an office-based pro-cedure performed safely under local anesthesia, which reduces recovery time and has fewer side effects than general anesthesia. During Mohs surgery, the skin cancer is removed layer by layer and the tissue is processed at an on-site laboratory. The tissue slides are examined by the Mohs surgeon who performs the pathology services, all while the patient remains in the office. If more cancer remains, the Mohs surgeon removes more tissue precisely from only the area with remaining cancer and this additional layer of tissue is processed and microscopically examined. This process continues until all of the cancerous tissue is removed. Mohs surgery allows for the complete removal of the skin cancer, yet minimizes the removal of healthy tissue leaving the smallest pos-sibly surgical wound. After Mohs surgery confirms that all of the skin cancer has been removed, the surgical defect is immediately ready for repair. There are several options for repaid that include allowing the wound to heal on its own or surgically 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 spe-cialist. Mohs surgery is appropriate and often the best treatment option for basal cell 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 genitals. Additionally, Mohs surgery is appropriate for large,

recurrent, aggressive, rapidly growing and ill-defined skin cancers. However, Mohs surgery is not warranted for all skin cancers, particularly small or super-ficial skin cancers located on the trunk, arms, and legs. Determining the best treatment option for skin cancer involves careful consideration by the patients and the dermatologist or other skin care provider. The diagnosis of skin cancer can cause significant concern and fear for patients. Many times, the involvement of the cancer beneath the skin may be much more than meets the naked eye. If left untreated or if incompletely removed, the skin cancer can continue to progress and be disfiguring or even potentially life threatening. Of the many treatment options for skin cancer, Mohs surgery is considered the “Gold Standard” because it offers the highest potential cure rate (99 percent for basal cell carcinoma and squamous cell carcinoma) and it offers superior cosmetic results by leaving healthy tissue intact. Mohs surgery is a highly effective advanced technique for the treatment of skin cancer that provides the patients with quick resolution, rapid recovery and peace of mind. Dr. John 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.

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

HIN JUNE 2014.indd 10-11 6/11/2014 8:34:18 AM

1349 Milstead Road - Conyers, Georgia770-785-7546GaDerm.com

Make your appointment today!

M O H S S K I N C A N C E R S U R G E RY - MOLE REMOVAL - ROUT INE SK IN EXAMS

A C N E - WA RT S - P S O R I A S IS - EXCEMA - & OTHER SK IN COND IT IONS

John A. Fountain, MD Allen B. Filstein, MD Darryl S. Hodson, MD

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

The most common skin cancers are basal cell carcinoma, squamous cell carcinoma and malignant melanoma. With early detection and treat-

ment, skin cancer is highly curable. Skin cancer is easily diagnosed with a skin biopsy. There are different treatment options for skin cancer includ-ing 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 Surgeryfor the

Treatment ofSkin Cancer

10 HEALTHY IN NEWTON

Mohs surgery, developed in 1938 by Dr. Frederic E. Mohs, is microscop-ically controlled surgery that involves the complete evaluation of the surgical margins for skin cancer removal. Mohs surgery is typically an office-based pro-cedure performed safely under local anesthesia, which reduces recovery time and has fewer side effects than general anesthesia. During Mohs surgery, the skin cancer is removed layer by layer and the tissue is processed at an on-site laboratory. The tissue slides are examined by the Mohs surgeon who performs the pathology services, all while the patient remains in the office. If more cancer remains, the Mohs surgeon removes more tissue precisely from only the area with remaining cancer and this additional layer of tissue is processed and microscopically examined. This process continues until all of the cancerous tissue is removed. Mohs surgery allows for the complete removal of the skin cancer, yet minimizes the removal of healthy tissue leaving the smallest pos-sibly surgical wound. After Mohs surgery confirms that all of the skin cancer has been removed, the surgical defect is immediately ready for repair. There are several options for repaid that include allowing the wound to heal on its own or surgically 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 spe-cialist. Mohs surgery is appropriate and often the best treatment option for basal cell 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 genitals. Additionally, Mohs surgery is appropriate for large,

recurrent, aggressive, rapidly growing and ill-defined skin cancers. However, Mohs surgery is not warranted for all skin cancers, particularly small or super-ficial skin cancers located on the trunk, arms, and legs. Determining the best treatment option for skin cancer involves careful consideration by the patients and the dermatologist or other skin care provider. The diagnosis of skin cancer can cause significant concern and fear for patients. Many times, the involvement of the cancer beneath the skin may be much more than meets the naked eye. If left untreated or if incompletely removed, the skin cancer can continue to progress and be disfiguring or even potentially life threatening. Of the many treatment options for skin cancer, Mohs surgery is considered the “Gold Standard” because it offers the highest potential cure rate (99 percent for basal cell carcinoma and squamous cell carcinoma) and it offers superior cosmetic results by leaving healthy tissue intact. Mohs surgery is a highly effective advanced technique for the treatment of skin cancer that provides the patients with quick resolution, rapid recovery and peace of mind. Dr. John 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.

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

HIN JUNE 2014.indd 10-11 6/11/2014 8:34:18 AM

When today's parents reflect on their childhood, many likely recall seemingly endless days spent playing outdoors. But when today's

kids become tomorrow's parents, chances are their recollections won't recall nearly as much time spent idling the days away under the sun.

12 HEALTHY IN NEWTON

HOW TOENCOURAGE KIDS

to be morePHYSICALLY ACTIVE

Staff Reports

According to the Centers for Disease Control and Prevention, roughly 17 percent of American children and adolescents between the ages of 2 to 19 are obese. The rise in overweight or obese children is likely a byproduct of several factors, not the least of which is that many of today's kids prefer to play a video game on the couch instead of going outdoors and being physically active. The potential ramifications of youngsters choosing a more sedentary lifestyle are dangerous, as it increases their risk for high blood pressure, high cholesterol, type 2 diabetes, respiratory ailments and joint problems, among other things. What's more, numerous studies have found that obese or overweight children are more likely to become obese or overweight adults, which highlights the importance of embracing a physically active lifestyle as a youngster. Parents know it's not always easy to get kids to be more physically active. But the following are a few tips parents might find useful when encouraging their kids to embrace a more active lifestyle. * Give toys that encourage physical activity. Kids love toys, and their toys will often dictate how they spend their days. Instead of buying the latest video game console, give kids toys that encourage them to be active. This can include balls, bicycles, jump ropes or even a backyard swingset. Kids who embrace these activities at a young age are more likely to continue doing so into adolescence and adulthood. * Reduce time spent in front of the television. Par-ents who can effectively minimize the amount of time their child spends in front of the television, whether reducing their time spent watching television or playing video games, will likely be more successful at

instilling a love of physical activity as well. The Ameri-can Academy of Pediatrics recommends parents limit their child's time in front of the television to one to two hours per day, and that includes the time children spend playing video games. To further reduce kids' time watching TV, don't allow televisions in their bedrooms, as that will only make it harder to monitor just how much time kids are spending in front of their TVs. * Remember that physical activity should be fun. Not all kids are athletic, and some will likely bemoan participating in recreational sports leagues. But that doesn't mean parents should give up on encouraging physical activity. Instead, find a physical activity that your child finds fun and encourage his or her partic-ipation. This might be nontraditional kids' sports like cycling or jogging or activities like dancing, hiking or even bird watching. For an interactive map to see what outdoor oppor-tunities are near you such as hiking, fishing, boating, hunting, camping or disc golf, go to www.georgiaout-doormap.com (provided by the Georgia Department of Natural Resources). The Charlie Elliott Wildlife Center, in eastern Newton County at 543 Elliott Trail in Mansfield, Georgia, has a full schedule of activities and classes such as canoeing, fishing, archery, hunting classes, astronomy, and “frogging.” On June 13, kids can go “Froggin’ by Ear” for free with a DNR herpetologist. Kid's fishing days are offered at the Marben PFA at Charlie Elliott Wildlife Center on June 7, July 12, Aug. 9, and Sept. 27. These are just some of the many activities scheduled. Call 770-784-3059 or go to www.georgiawildlife.com/CharlieElliott for more informa-

tion. Newton County’s parks offer lots of spaces to play ball, have picnics or simply walk around outside. The Turner Lake Complex, located off Turner Lake Road near Ga. Hwy 278, offers three miles of walking trails near a lake and a softball complex in addition to a gymnasium. The City Pond Complex, located off Interstate 20 on Old City Pond Road, has a two-mile walking trail and a

state-of-the art baseball complex that’s home to the Dixie Boys World Series. Hard Labor State Creek State Park in Rutledge,

Ga. has many family-friendly events, such as an introductory Archery class and a “Twilight Paddle” on June 7, or a Father’s Day Paddle on June 15. For

more call 706-557-3001. For both beginning cyclists and those for whom cycling is a way of life, the Covington Century

Ride is coming up Aug. 2, with routes of 17, 32, 67 or 100 miles on a picturesque loop through Newton County. For more information, go to www.covingtoncentury.com Whatever physical activity you choose to do together, you can bet your children will express an interest in it as well, and that's a great way to make them more enthusiastic about having a healthy and active lifestyle.

HIN JUNE 2014.indd 12-13 6/11/2014 8:52:10 AM

When today's parents reflect on their childhood, many likely recall seemingly endless days spent playing outdoors. But when today's

kids become tomorrow's parents, chances are their recollections won't recall nearly as much time spent idling the days away under the sun.

12 HEALTHY IN NEWTON

HOW TOENCOURAGE KIDS

to be morePHYSICALLY ACTIVE

Staff Reports

According to the Centers for Disease Control and Prevention, roughly 17 percent of American children and adolescents between the ages of 2 to 19 are obese. The rise in overweight or obese children is likely a byproduct of several factors, not the least of which is that many of today's kids prefer to play a video game on the couch instead of going outdoors and being physically active. The potential ramifications of youngsters choosing a more sedentary lifestyle are dangerous, as it increases their risk for high blood pressure, high cholesterol, type 2 diabetes, respiratory ailments and joint problems, among other things. What's more, numerous studies have found that obese or overweight children are more likely to become obese or overweight adults, which highlights the importance of embracing a physically active lifestyle as a youngster. Parents know it's not always easy to get kids to be more physically active. But the following are a few tips parents might find useful when encouraging their kids to embrace a more active lifestyle. * Give toys that encourage physical activity. Kids love toys, and their toys will often dictate how they spend their days. Instead of buying the latest video game console, give kids toys that encourage them to be active. This can include balls, bicycles, jump ropes or even a backyard swingset. Kids who embrace these activities at a young age are more likely to continue doing so into adolescence and adulthood. * Reduce time spent in front of the television. Par-ents who can effectively minimize the amount of time their child spends in front of the television, whether reducing their time spent watching television or playing video games, will likely be more successful at

instilling a love of physical activity as well. The Ameri-can Academy of Pediatrics recommends parents limit their child's time in front of the television to one to two hours per day, and that includes the time children spend playing video games. To further reduce kids' time watching TV, don't allow televisions in their bedrooms, as that will only make it harder to monitor just how much time kids are spending in front of their TVs. * Remember that physical activity should be fun. Not all kids are athletic, and some will likely bemoan participating in recreational sports leagues. But that doesn't mean parents should give up on encouraging physical activity. Instead, find a physical activity that your child finds fun and encourage his or her partic-ipation. This might be nontraditional kids' sports like cycling or jogging or activities like dancing, hiking or even bird watching. For an interactive map to see what outdoor oppor-tunities are near you such as hiking, fishing, boating, hunting, camping or disc golf, go to www.georgiaout-doormap.com (provided by the Georgia Department of Natural Resources). The Charlie Elliott Wildlife Center, in eastern Newton County at 543 Elliott Trail in Mansfield, Georgia, has a full schedule of activities and classes such as canoeing, fishing, archery, hunting classes, astronomy, and “frogging.” On June 13, kids can go “Froggin’ by Ear” for free with a DNR herpetologist. Kid's fishing days are offered at the Marben PFA at Charlie Elliott Wildlife Center on June 7, July 12, Aug. 9, and Sept. 27. These are just some of the many activities scheduled. Call 770-784-3059 or go to www.georgiawildlife.com/CharlieElliott for more informa-

tion. Newton County’s parks offer lots of spaces to play ball, have picnics or simply walk around outside. The Turner Lake Complex, located off Turner Lake Road near Ga. Hwy 278, offers three miles of walking trails near a lake and a softball complex in addition to a gymnasium. The City Pond Complex, located off Interstate 20 on Old City Pond Road, has a two-mile walking trail and a

state-of-the art baseball complex that’s home to the Dixie Boys World Series. Hard Labor State Creek State Park in Rutledge,

Ga. has many family-friendly events, such as an introductory Archery class and a “Twilight Paddle” on June 7, or a Father’s Day Paddle on June 15. For

more call 706-557-3001. For both beginning cyclists and those for whom cycling is a way of life, the Covington Century

Ride is coming up Aug. 2, with routes of 17, 32, 67 or 100 miles on a picturesque loop through Newton County. For more information, go to www.covingtoncentury.com Whatever physical activity you choose to do together, you can bet your children will express an interest in it as well, and that's a great way to make them more enthusiastic about having a healthy and active lifestyle.

HIN JUNE 2014.indd 12-13 6/11/2014 8:52:10 AM

Our Incredible Staff

Physician’s Pavilion at Newton Medical Center

4181 Hospital Drive, Suite 104 & 100, Covington

770.385.8954www.cwhs-larrimore.com

Lynn M. Stock, CNM, Janice D. Joiner, CNM,

Kerry G. Dewberry, WHNP

Dr. Cathy T. Larrimore, MD

SURGICAL GYNECOLOGY Hysterectomy • Laparoscopic Hysterectomy

Laparoscopy • HTA – NovasureMinimally Invasive Surgical Services

Member of American Institute of Minimally

Invasive Surgery

188296-1

Covington Women’s Health Specialists, LLC

NOW ACCEPTING

NEW PATIENTS

OFFICE PROCEDURES• Hysteroscopy • Colposcopy• LEEP

SUITE DEVOTED TO MIDWIFERY CARE NORMAL AND HIGH RISK PREGNANCY• Family Centered Maternity Care • 3D/4D Ultrasound • Trial of Labor after Cesarean

COMPREHENSIVE WOMEN’S HEALTH CARE• Annual Exams • Infertility • Osteoporosis • Fibroids• HPV Testing and Vaccination• Abnormal Pap Smears • Endometriosis • Contraception Options • Menopause-HRT • Bio-identical Hormones

Covington Women’s Health Specialists, LLCCathy T. Larrimore, MD

Anticipating the birth of their twins many weeks earlier than her due date, Stephanie Sorrows and her partner, PJ Stinchcomb, were

apprehensive. “My son was normal size, but my daughter was much smaller because she was not

g r o w - ing. I thought my babies would be rushed to the nursery after they were born.” Stephanie had her Cesarean section at Newton Medical Center where Dr. Cathy Larrimore of Covington Women’s Health Specialists and Clinical Nurse Manager Susann Whittle, RN are initiating Family-Centered Cesarean Births. “I cried when the nurses put my daughter and then my son on my chest! I was very happy. PJ helped me hold the babies who were both crying and healthy.” Dr. John Warner, Chief of Anesthesia at Newton Medical Center, provided the anesthesia as well as the photography. “Dr. Warner made me feel like an important part of the birth. He made the experience memorable for me,” PJ recalled. Traditional Cesarean delivery often isolates the mother from her partner and from the newborn. This can prevent important early emotional and physical bonding between the mother, the baby and the father. Recent studies show the importance of skin to skin contact of the baby and the parents immediately after delivery. Preventing early maternal-infant bonding can slow the initiation of breastfeeding and impact maternal behavior later as the baby grows.

Family-Centered

Cesarean Birth written by Cathy T. Larrimore, MD

The Family-Centered approach to Cesarean delivery encourages early interaction of the mother and father with their baby. The birth care team celebrates the momentous birth experience and encourages early mother–infant –father bonding. Josh Hughes and his wife Holly had a wonderful experience when their son, Blake, was born by Cesarean in 2010, but Josh noticed differences between his son’s birth and the family-centered approach under-taken when his daughter Madison was born. Josh said, “From start to finish, the experience was more supportive.” While they were only able to spend a short amount of time with Blake after his birth before he was taken to the nursery, they were able to hold Madison and bond with her for an extended length of time before both mother and baby were taken to the recovery room. Experience the joys of natural birth even if Cesarean delivery is needed. Family-Centered Cesarean, with its focus on early bond-ing and skin-to-skin contact and breastfeeding, is not routinely used with preterm births, deliveries which are emergencies or in cases where the baby is a high risk or is not breathing normally after delivery.

14 HEALTHY IN NEWTON

Stephanie Sorrows with her twin babies.

Holly Hughes, with her husband Josh and their 2 children.

;A

HIN JUNE 2014.indd 14-15 6/11/2014 8:35:02 AM

Our Incredible Staff

Physician’s Pavilion at Newton Medical Center

4181 Hospital Drive, Suite 104 & 100, Covington

770.385.8954www.cwhs-larrimore.com

Lynn M. Stock, CNM, Janice D. Joiner, CNM,

Kerry G. Dewberry, WHNP

Dr. Cathy T. Larrimore, MD

SURGICAL GYNECOLOGY Hysterectomy • Laparoscopic Hysterectomy

Laparoscopy • HTA – NovasureMinimally Invasive Surgical Services

Member of American Institute of Minimally

Invasive Surgery

188296-1

Covington Women’s Health Specialists, LLC

NOW ACCEPTING

NEW PATIENTS

OFFICE PROCEDURES• Hysteroscopy • Colposcopy• LEEP

SUITE DEVOTED TO MIDWIFERY CARE NORMAL AND HIGH RISK PREGNANCY• Family Centered Maternity Care • 3D/4D Ultrasound • Trial of Labor after Cesarean

COMPREHENSIVE WOMEN’S HEALTH CARE• Annual Exams • Infertility • Osteoporosis • Fibroids• HPV Testing and Vaccination• Abnormal Pap Smears • Endometriosis • Contraception Options • Menopause-HRT • Bio-identical Hormones

Covington Women’s Health Specialists, LLCCathy T. Larrimore, MD

Anticipating the birth of their twins many weeks earlier than her due date, Stephanie Sorrows and her partner, PJ Stinchcomb, were

apprehensive. “My son was normal size, but my daughter was much smaller because she was not

g r o w - ing. I thought my babies would be rushed to the nursery after they were born.” Stephanie had her Cesarean section at Newton Medical Center where Dr. Cathy Larrimore of Covington Women’s Health Specialists and Clinical Nurse Manager Susann Whittle, RN are initiating Family-Centered Cesarean Births. “I cried when the nurses put my daughter and then my son on my chest! I was very happy. PJ helped me hold the babies who were both crying and healthy.” Dr. John Warner, Chief of Anesthesia at Newton Medical Center, provided the anesthesia as well as the photography. “Dr. Warner made me feel like an important part of the birth. He made the experience memorable for me,” PJ recalled. Traditional Cesarean delivery often isolates the mother from her partner and from the newborn. This can prevent important early emotional and physical bonding between the mother, the baby and the father. Recent studies show the importance of skin to skin contact of the baby and the parents immediately after delivery. Preventing early maternal-infant bonding can slow the initiation of breastfeeding and impact maternal behavior later as the baby grows.

Family-Centered

Cesarean Birth written by Cathy T. Larrimore, MD

The Family-Centered approach to Cesarean delivery encourages early interaction of the mother and father with their baby. The birth care team celebrates the momentous birth experience and encourages early mother–infant –father bonding. Josh Hughes and his wife Holly had a wonderful experience when their son, Blake, was born by Cesarean in 2010, but Josh noticed differences between his son’s birth and the family-centered approach under-taken when his daughter Madison was born. Josh said, “From start to finish, the experience was more supportive.” While they were only able to spend a short amount of time with Blake after his birth before he was taken to the nursery, they were able to hold Madison and bond with her for an extended length of time before both mother and baby were taken to the recovery room. Experience the joys of natural birth even if Cesarean delivery is needed. Family-Centered Cesarean, with its focus on early bond-ing and skin-to-skin contact and breastfeeding, is not routinely used with preterm births, deliveries which are emergencies or in cases where the baby is a high risk or is not breathing normally after delivery.

14 HEALTHY IN NEWTON

Stephanie Sorrows with her twin babies.

Holly Hughes, with her husband Josh and their 2 children.

;A

HIN JUNE 2014.indd 14-15 6/11/2014 8:35:02 AM

Pleasant Peds Care of Conyers1415 Milstead Road, Suite C ~ Conyers, GA 30012

770-648-6620 ~ www.pleasantpedscare.com

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

When you walk across the threshold of Pleasant Peds Care of Conyers, you will immediately know

that you have found a knowledgeable, caringmedical professional who listens and treats

the whole child with a gentle touch.

“ “

Dr. Shyronda Pleasant, MD

Its summer and a walk down to the local store makes you feel like a burnt

chicken on two legs. You have rivulets of sweat running down your body robbing it of precious moisture, and while you are searching for water to drink, you can not only feel but also watch helplessly as your skin begins to gravitate towards darker shades of brown and black. And this is just a warm welcome to the beginning of a hot and sunny Indian summer!

Just imagine, if the unrelenting summer sun can cause so many problems to your skin, what havoc it would wreak on your child’s skin. Children have a very delicate skin as compared to us adults and are

more vulnerable to the harsh atmosphere presented by summers. A normal healthy skin of an adult has a pH of 5.5, while newborn babies have a pH of 7; teenagers who undergo hormonal changes also experience fluctuations in their skin's pH!

How do I protect my child’s skin this summer? Children have a soft and supple skin as com-pared to adults. The harsh rays of the sun and the hot weather outside can cause severe harm to their skin in the long run as well as the short run as exposure to the sun for a prolonged period since a young age is known to lead to skin cancer in children. Following are a few simple tips which will help you protect your little one’s skin this summer: It's common knowledge that the summer season brings forth an unforgiving sun with hot tempera-tures and dangerous UV rays. The hot tempera-

tures which lurk outdoors during late mornings and early afternoons in the summer season rob your child’s skin of its precious moisture, making it appear dry and parched. Plus playing outdoors during the daytime in summer results in excessive sweating, dehydration, sun burns, sunstroke and fatigue. Excessive sweating can even lead to sweat being trapped between the clothes and the skin, leading to a prickly heat rash on your child’s skin. To avoid all of this, adhere to the 10-4 rule, wherein your kids are not allowed outdoors from 10 a.m. to 4 p.m. during the summer season. Play time can be scheduled from 5 p.m. onwards, when the temperature lets up a little bit and the sun has also started setting. This simple rule plays a major part when it comes to protecting your child’s skin this summer.

16 HEALTHY IN NEWTON

HEALTHY IN NEWTON 17

Don’t forget that sunscreen Sunscreen has long been the open secret to pro-tecting skin in summers. Be it adults or children, sunscreen is the magic word when it comes to summer. Since children’s skin composition is dif-ferent and more delicate than us, it would be more advisable if you did a patch test with the sunscreen on a small part of your child’s skin to check for any allergic reactions. For children under 6 years of age, zinc oxide sunscreens are approved by FDA. Take care to see that the sunscreen you choose for your children comes with a high SPF value and that it guarantees protection against UVA and UVB rays, if possible. Also, if your children are going to spend a majority of their day outdoors, remember to keep re-applying the sunscreen every 2-3 hours and every 30-45 minutes for infants. The best bet would be to use milder soap made from natural ingredients and containing oils of olive, coconut and palm. Remember to avoid using antibacterial soap on your children’s skin, instead you could neem leaves to their bathing water, neem is an excellent natural bacteria killer and won’t affect your child’s skins Ph.

Clothing We come to the most potent method of protect-ing your child’s skin this summer. The best way to protect your little one’s skin is to ensure that it remains well covered from the sun. Choose cotton garments for your children when they have to be outdoors for a long period of time in summers, also remember to choose dark hues of red, blue and green as these colors do not absorb sunlight as much as white or black color. While at the topic of

clothing, also ensure that your child wears broad- brimmed hats to protect their face, lips, ears and neck from the harsh sun. Now that you know of the simple ways and means of protecting your child’s skin this summer, we are sure that your child is going to have a won-derful summer with sunny memories.

How totake careof yourchild’s skinthis summer!

HIN JUNE 2014.indd 16-17 6/11/2014 8:35:21 AM

Pleasant Peds Care of Conyers1415 Milstead Road, Suite C ~ Conyers, GA 30012

770-648-6620 ~ www.pleasantpedscare.com

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

When you walk across the threshold of Pleasant Peds Care of Conyers, you will immediately know

that you have found a knowledgeable, caringmedical professional who listens and treats

the whole child with a gentle touch.

“ “

Dr. Shyronda Pleasant, MD

Its summer and a walk down to the local store makes you feel like a burnt

chicken on two legs. You have rivulets of sweat running down your body robbing it of precious moisture, and while you are searching for water to drink, you can not only feel but also watch helplessly as your skin begins to gravitate towards darker shades of brown and black. And this is just a warm welcome to the beginning of a hot and sunny Indian summer!

Just imagine, if the unrelenting summer sun can cause so many problems to your skin, what havoc it would wreak on your child’s skin. Children have a very delicate skin as compared to us adults and are

more vulnerable to the harsh atmosphere presented by summers. A normal healthy skin of an adult has a pH of 5.5, while newborn babies have a pH of 7; teenagers who undergo hormonal changes also experience fluctuations in their skin's pH!

How do I protect my child’s skin this summer? Children have a soft and supple skin as com-pared to adults. The harsh rays of the sun and the hot weather outside can cause severe harm to their skin in the long run as well as the short run as exposure to the sun for a prolonged period since a young age is known to lead to skin cancer in children. Following are a few simple tips which will help you protect your little one’s skin this summer: It's common knowledge that the summer season brings forth an unforgiving sun with hot tempera-tures and dangerous UV rays. The hot tempera-

tures which lurk outdoors during late mornings and early afternoons in the summer season rob your child’s skin of its precious moisture, making it appear dry and parched. Plus playing outdoors during the daytime in summer results in excessive sweating, dehydration, sun burns, sunstroke and fatigue. Excessive sweating can even lead to sweat being trapped between the clothes and the skin, leading to a prickly heat rash on your child’s skin. To avoid all of this, adhere to the 10-4 rule, wherein your kids are not allowed outdoors from 10 a.m. to 4 p.m. during the summer season. Play time can be scheduled from 5 p.m. onwards, when the temperature lets up a little bit and the sun has also started setting. This simple rule plays a major part when it comes to protecting your child’s skin this summer.

16 HEALTHY IN NEWTON

HEALTHY IN NEWTON 17

Don’t forget that sunscreen Sunscreen has long been the open secret to pro-tecting skin in summers. Be it adults or children, sunscreen is the magic word when it comes to summer. Since children’s skin composition is dif-ferent and more delicate than us, it would be more advisable if you did a patch test with the sunscreen on a small part of your child’s skin to check for any allergic reactions. For children under 6 years of age, zinc oxide sunscreens are approved by FDA. Take care to see that the sunscreen you choose for your children comes with a high SPF value and that it guarantees protection against UVA and UVB rays, if possible. Also, if your children are going to spend a majority of their day outdoors, remember to keep re-applying the sunscreen every 2-3 hours and every 30-45 minutes for infants. The best bet would be to use milder soap made from natural ingredients and containing oils of olive, coconut and palm. Remember to avoid using antibacterial soap on your children’s skin, instead you could neem leaves to their bathing water, neem is an excellent natural bacteria killer and won’t affect your child’s skins Ph.

Clothing We come to the most potent method of protect-ing your child’s skin this summer. The best way to protect your little one’s skin is to ensure that it remains well covered from the sun. Choose cotton garments for your children when they have to be outdoors for a long period of time in summers, also remember to choose dark hues of red, blue and green as these colors do not absorb sunlight as much as white or black color. While at the topic of

clothing, also ensure that your child wears broad- brimmed hats to protect their face, lips, ears and neck from the harsh sun. Now that you know of the simple ways and means of protecting your child’s skin this summer, we are sure that your child is going to have a won-derful summer with sunny memories.

How totake careof yourchild’s skinthis summer!

HIN JUNE 2014.indd 16-17 6/11/2014 8:35:21 AM

Congenital heart defects are among the most common developmental problems and affect approximately 1 in 100 babies. Prenatal ultrasounds can sometimes help detect heart defects, but not all heart defects are detected in this way. Hatcher was fortunate that while Wyatt was still in the womb, his heart condition was detected by ultrasound. She and her husband Kevin were able to learn of the severity of the problem and prepare prior to his birth. The Hatchers saw their son through years of intensive medical care in-cluding a heart transplant in 2010, and with the support of his family and excellent medical care, he is doing very well today. Hatcher has made it her mission to ensure that a screen-ing test is available to all newborn babies in Georgia. “I would like to prevent other parents from experiencing the unnecessary death of their babies,” she says. Hatcher learned that a simple test called pulse oxime-try can determine which babies may have CCHD before they develop life threatening symptoms. The device is fast, does not hurt and measures the amount of oxygen in the babies’ blood. The babies with a low oxygen level likely have CCHD and can receive immediate evaluation by a

cardiologist. Early treatment of critical heart disease may lead to longer, healthier lives for these children and prevent disability and death. In 2011, Hatcher enlisted the help of Rep. Andy Welch, R-McDonough to get a bill passed that would mandate this screening test. The bill passed both the House and Senate this year, but has not yet become legislation. Recognizing the importance of this life-saving law, the Georgia De-partment of Public Health has agreed to require the pulse oximetry test for all newborns without the legislation. Newton Medical Center in Covington has joined several hospitals in Georgia in enacting the pulse oximetry test for all newborns well in advance of the mandated implemen-tation date of July 1, 2015. Darlene Ransom, RN, Director of Maternal and Infant Care at Newton Medical Center’s Birth Care Center says, “We are excited to offer this vital screening to our patients.” Dr. Cathy Larrimore and the staff of Covington Women’s Health Specialists applaud Jessica Hatcher, her supportive family and other advocates like her for supporting this important initiative concerning the health of newborns.

18 HEALTHY IN NEWTON

New Heart Defect Screening for Georgia Newborns

Newton County Mother Sees HerDream for Screening All Babies For Dangerous Heart DefectsBecome a Reality

Jessica Hatcher smiles as she watches over her four beautiful

children who range in age from one to 12 years. Her five-year old son,

Wyatt is a playful, active child; onlookers would have no idea that

he was born with a serious and life-threatening heart defect. Critical

congenital heart disease (CCHD) is the name given to the most severe

heart defects which may be discovered at birth. Heart defects cause

the heart to be unable to pump oxygenated blood around the body. A

defect may affect the shape of a baby’s heart, the way the heart pumps,

or sometimes both. Babies with CCHD may sometimes appear very

healthy after birth, but there is a limited amount of time for the

problem to be recognized or the heart defect may become deadly.

X

Xwritten by Cathy T. Larrimore, MD

HIN JUNE 2014.indd 18-19 6/11/2014 8:35:36 AM

Congenital heart defects are among the most common developmental problems and affect approximately 1 in 100 babies. Prenatal ultrasounds can sometimes help detect heart defects, but not all heart defects are detected in this way. Hatcher was fortunate that while Wyatt was still in the womb, his heart condition was detected by ultrasound. She and her husband Kevin were able to learn of the severity of the problem and prepare prior to his birth. The Hatchers saw their son through years of intensive medical care in-cluding a heart transplant in 2010, and with the support of his family and excellent medical care, he is doing very well today. Hatcher has made it her mission to ensure that a screen-ing test is available to all newborn babies in Georgia. “I would like to prevent other parents from experiencing the unnecessary death of their babies,” she says. Hatcher learned that a simple test called pulse oxime-try can determine which babies may have CCHD before they develop life threatening symptoms. The device is fast, does not hurt and measures the amount of oxygen in the babies’ blood. The babies with a low oxygen level likely have CCHD and can receive immediate evaluation by a

cardiologist. Early treatment of critical heart disease may lead to longer, healthier lives for these children and prevent disability and death. In 2011, Hatcher enlisted the help of Rep. Andy Welch, R-McDonough to get a bill passed that would mandate this screening test. The bill passed both the House and Senate this year, but has not yet become legislation. Recognizing the importance of this life-saving law, the Georgia De-partment of Public Health has agreed to require the pulse oximetry test for all newborns without the legislation. Newton Medical Center in Covington has joined several hospitals in Georgia in enacting the pulse oximetry test for all newborns well in advance of the mandated implemen-tation date of July 1, 2015. Darlene Ransom, RN, Director of Maternal and Infant Care at Newton Medical Center’s Birth Care Center says, “We are excited to offer this vital screening to our patients.” Dr. Cathy Larrimore and the staff of Covington Women’s Health Specialists applaud Jessica Hatcher, her supportive family and other advocates like her for supporting this important initiative concerning the health of newborns.

18 HEALTHY IN NEWTON

New Heart Defect Screening for Georgia Newborns

Newton County Mother Sees HerDream for Screening All Babies For Dangerous Heart DefectsBecome a Reality

Jessica Hatcher smiles as she watches over her four beautiful

children who range in age from one to 12 years. Her five-year old son,

Wyatt is a playful, active child; onlookers would have no idea that

he was born with a serious and life-threatening heart defect. Critical

congenital heart disease (CCHD) is the name given to the most severe

heart defects which may be discovered at birth. Heart defects cause

the heart to be unable to pump oxygenated blood around the body. A

defect may affect the shape of a baby’s heart, the way the heart pumps,

or sometimes both. Babies with CCHD may sometimes appear very

healthy after birth, but there is a limited amount of time for the

problem to be recognized or the heart defect may become deadly.

X

Xwritten by Cathy T. Larrimore, MD

HIN JUNE 2014.indd 18-19 6/11/2014 8:35:36 AM

Be Healthy… Get the Facts!

There are many myths about diabetes that make it difficult for

people to believe some of the hard facts – such as diabetes is a serious and potentially deadly disease. These myths can create a picture of diabetes that is not accurate and full of stereo-types and stigma. Get the facts about diabetes and learn how you can stop diabetes myths and misconceptions.

Myth: Diabetes is not that serious of a disease.Fact: If you manage your diabetes properly, you can prevent or delay diabetes complications. However, dia-betes causes more deaths a year than breast cancer and AIDS combined. Two out of three people with diabetes die from heart disease or stroke.

Myth: If you are overweight or obese, you will eventually develop type 2 diabetes.Fact: Being overweight is a risk factor for developing this disease, but other risk factors such as family history, ethnicity and age also play a role. Un-fortunately, too many people disregard the other risk factors for diabetes and think that weight is the only risk factor for type 2 diabetes. Most overweight people never develop type 2 diabetes,

and many people with type 2 diabetes are at a normal weight or only moder-ately overweight.

Myth: Eating too much sugarcauses diabetes.Fact: The answer is not so simple. Type 1 diabetes is caused by genetics and unknown factors that trigger the onset of the disease; Type 2 diabetes is caused by genetics and lifestyle factors. Being overweight does increase your risk for developing type 2 diabe-tes, and a diet high in calories from any source contributes to weight gain. Re-search has shown that drinking sugary drinks is linked to type 2 diabetes. The American Diabetes Associa-tion recommends that people should limit their intake of sugar-sweetened beverages to help prevent diabetes. Sugar-sweetened beverages include beverages like:• regularsoda• fruitpunch• fruitdrinks• energydrinks• sportsdrinks• sweettea• othersugarydrinks. These will raise blood glucose and can provide several hundred calories in just one serving!

See for yourself:• Justone12-ouncecanofregularsodahasabout150caloriesand40gramsofcarbohydrates.Thisisthesameamountofcarbohydratesin10teaspoonsofsugar!• Onecupoffruitpunchandothersugaryfruitdrinkshaveabout100calories(ormore)and30gramsofcarbohydrates.

Newton Medical Center Diabetes Self-Management Education Classes Are Expanding! We are excited to announce that the Diabetes Self- Management Education program is expanding our class options to better serve you. Our American Diabetes Association approved program will be adding a night version of our successful day class. We have maintained a 100% patient satisfaction rating since our program began. Participation requires a physician-signed referral and will include an individual assessment prior to class.

We can help! Below are the currently available education options:

DR. JOHN ANDERSON:Internal Medicine, Diabetes Expert,

Beans Whether you prefer kidney, pinto, navy, or black beans, you can’t find better nutrition than that provided by beans. They are very high in fiber, the part of food that is hard to digest, giving you about 1/3 of your daily requirement in just a ½ cup, and are also good sources of magne-sium and potassium. They are considered starchy vegetables, but ½ cup provides as much protein as an ounce of meat without the saturat-ed fat. To save time you can use canned beans, but be sure to drain and rinse them to get rid of as much sodium as possible.

Days: A one day class, offered on the 2nd and 4th Monday every month from 8:30 am to 3 pm.

Evenings: A two night class, offered the 2ndTuesday and Thursday every other month from6 pm to 9 pm.

For more information call:Kenna Glick, RD, LD, Program CoordinatorDiabetes Self- Management Education Outpatient ProgramPhone: 770-385-4185Fax: 1-855-734-7350Email: kglick@newtonmedical.com

“ Support is one of the most important parts of diabetes management. Take all the tips, tools, and

advice you can. You’re not in this alone. Those who depend on you are rooting for you.

Tell your physician you want to go to Newton Medical Center!

The health information contained herein is provided for

general educational purposes only. Your healthcare profes-

sional is the single best source of information regarding your

health. Please consult your healthcare professional if you

have any questions about your health or treatment. Infor-

mation obtained from American Diabetes Association and

Physicians Committee for Responsible Medicine.

“

HIN JUNE 2014.indd 20-21 6/11/2014 8:35:52 AM

Be Healthy… Get the Facts!

There are many myths about diabetes that make it difficult for

people to believe some of the hard facts – such as diabetes is a serious and potentially deadly disease. These myths can create a picture of diabetes that is not accurate and full of stereo-types and stigma. Get the facts about diabetes and learn how you can stop diabetes myths and misconceptions.

Myth: Diabetes is not that serious of a disease.Fact: If you manage your diabetes properly, you can prevent or delay diabetes complications. However, dia-betes causes more deaths a year than breast cancer and AIDS combined. Two out of three people with diabetes die from heart disease or stroke.

Myth: If you are overweight or obese, you will eventually develop type 2 diabetes.Fact: Being overweight is a risk factor for developing this disease, but other risk factors such as family history, ethnicity and age also play a role. Un-fortunately, too many people disregard the other risk factors for diabetes and think that weight is the only risk factor for type 2 diabetes. Most overweight people never develop type 2 diabetes,

and many people with type 2 diabetes are at a normal weight or only moder-ately overweight.

Myth: Eating too much sugarcauses diabetes.Fact: The answer is not so simple. Type 1 diabetes is caused by genetics and unknown factors that trigger the onset of the disease; Type 2 diabetes is caused by genetics and lifestyle factors. Being overweight does increase your risk for developing type 2 diabe-tes, and a diet high in calories from any source contributes to weight gain. Re-search has shown that drinking sugary drinks is linked to type 2 diabetes. The American Diabetes Associa-tion recommends that people should limit their intake of sugar-sweetened beverages to help prevent diabetes. Sugar-sweetened beverages include beverages like:• regularsoda• fruitpunch• fruitdrinks• energydrinks• sportsdrinks• sweettea• othersugarydrinks. These will raise blood glucose and can provide several hundred calories in just one serving!

See for yourself:• Justone12-ouncecanofregularsodahasabout150caloriesand40gramsofcarbohydrates.Thisisthesameamountofcarbohydratesin10teaspoonsofsugar!• Onecupoffruitpunchandothersugaryfruitdrinkshaveabout100calories(ormore)and30gramsofcarbohydrates.

Newton Medical Center Diabetes Self-Management Education Classes Are Expanding! We are excited to announce that the Diabetes Self- Management Education program is expanding our class options to better serve you. Our American Diabetes Association approved program will be adding a night version of our successful day class. We have maintained a 100% patient satisfaction rating since our program began. Participation requires a physician-signed referral and will include an individual assessment prior to class.

We can help! Below are the currently available education options:

DR. JOHN ANDERSON:Internal Medicine, Diabetes Expert,

Beans Whether you prefer kidney, pinto, navy, or black beans, you can’t find better nutrition than that provided by beans. They are very high in fiber, the part of food that is hard to digest, giving you about 1/3 of your daily requirement in just a ½ cup, and are also good sources of magne-sium and potassium. They are considered starchy vegetables, but ½ cup provides as much protein as an ounce of meat without the saturat-ed fat. To save time you can use canned beans, but be sure to drain and rinse them to get rid of as much sodium as possible.

Days: A one day class, offered on the 2nd and 4th Monday every month from 8:30 am to 3 pm.

Evenings: A two night class, offered the 2ndTuesday and Thursday every other month from6 pm to 9 pm.

For more information call:Kenna Glick, RD, LD, Program CoordinatorDiabetes Self- Management Education Outpatient ProgramPhone: 770-385-4185Fax: 1-855-734-7350Email: kglick@newtonmedical.com

“ Support is one of the most important parts of diabetes management. Take all the tips, tools, and

advice you can. You’re not in this alone. Those who depend on you are rooting for you.

Tell your physician you want to go to Newton Medical Center!

The health information contained herein is provided for

general educational purposes only. Your healthcare profes-

sional is the single best source of information regarding your

health. Please consult your healthcare professional if you

have any questions about your health or treatment. Infor-

mation obtained from American Diabetes Association and

Physicians Committee for Responsible Medicine.

“

HIN JUNE 2014.indd 20-21 6/11/2014 8:35:52 AM

For many seriously ill patients, hospice and palliative care offers a more dignified and comfortable

alternative to spending your final months in the impersonal environment of a hospital. Palliative medicine

helps patients manage pain while hospice provides special care to improve quality of life for both the patient

and their family. Seeking hospice and palliative care isn’t about giving up hope or hastening death,

but rather a way to get the most appropriate care in the last phase of life.

Dr. Andrew Harper,General Surgeon & his staff

Hernia Repair • Gallbladder • Appendix • Breast Biopsy

Breast Cancer • Thyroid • Colon • Lipoma(s) •Sebaceous Cysts

Hiradenitis • Hiatal Hernia •Hemorrhoids • Malignant Melanoma

Pancreatic Disease • Speciality Services: Advanced Laparoscopic

Procedures

Dr. Andrew Harper, MD1301 Sigman Road NE, Suite 225

Conyers, GA 30012770-922-4024

GENERALSURGERYYou Can Trust!

For your convenience, Dr. Harper sees patients on Thursday afternoons from 2-5pm in Covington at5154 Cook Street NE, Covington.

Call today for the nextavailable appointment!

Our mission is to surround patients and their families with

compassionate care that enables them to embrace

the end of life with dignity, courage and peace.

2712 Lawrenceville Highway | Suite 200 Decatur, Georgia 30033

1132 Floyd Street | Covington, Georgia 30014

Phone: 770-939-9179 | Fax: 770-621-3083

www.LongleafHospice.com

The Hospice You Choose Really Can Make A Difference.

Our hospice experts have the character, skill and ability to deliver quality care to all

our patients. We promise to help you live all of your days with dignity.

Committed to our local communities

and now open in Covington

© Longleaf Hospice. 2014

Choosing general surgeons or other specialty physicians is a privilege many patients didn't

have until recently. If a surgery was approved by insurance, the choice of the doctor was usually out of the hands of the patient. Today, more and more insurance plans allow patients to deal directly with specialty physicians without first going through a primary care physician, and that includes choosing a general surgeon.

Get Names of General Surgeons The process of finding qualified general surgeons is different from the selection of a primary care physician because the relationship is different. However, it is still important to come up with potential general surgeons, check their credentials and then talk to them before making a final choice. There are several potential sources: • Familyphysician.Oneofthedutiesofaprimary care physician is getting the patient to a specialist when the illness or injury is significant. However, in most medical plans, patients can look for their own general surgeons as well.

• Consultfamilyandfriends.Ifyouknowsomeone who has had the same surgery, it's a great idea to ask about their surgeon and their results and expectations. • Talktophysicaltherapists.Medicalexpertssay that physical therapists, who routinely work with patients following surgery, are excellent re-sources for recommendations for general surgeons. A home health nurse is a good resource for the same reason.

Interviewing General Surgeons While you may not have a long-lasting relation-ship over a period of months and years with a gen-eral surgeon, it is nevertheless a good idea to talk to several candidates to ask about their experience. • Ifyouaretohavegallbladdersurgery,forexample, it only makes sense to ask the surgeon how many procedures he or she has conducted. The more the better. • Askaboutboardcertificationoranyfellow-ships. That generally indicates a higher degree of specialization and practice involving procedures

commonly performed by general surgeons. • Askaboutthesurgeon'spost-operativecareand what you should expect following surgery.

Choose a General Surgeon Makingthechoicefromyourgeneralsurgeoncandidates should be a decision that's blended be-tween the factual information about your surgeon's certification and experience and the feedback you received during the interview with the surgeon. As a graduate of Emory University, Dr. Andrew Harper is board certified by the American Board of Surgery and has been serving the Cov-ington & Conyers communities since 1990. Please give his office a call to see if he would be a good fit for you at 770.922.4024.

What is Hospice and Palliative Care? Although death is a natural part of life, the thought of dying understandably still frightens many people. You may imagine pain and loneliness, spending your final days in the cold, sterile envi-ronment of a hospital far from family, friends and all that you know and love. However, hospice care represents a compassionate approach to end-of-life care, enhancing the quality of remaining life and enabling you to live as fully and as comfortable, as possible. Hospice is traditionally an option for people whose life expectancy is six months or less, and involves palliative care (pain and symptom relief) rather than ongoing curative measures, enabling you to live your last days to the fullest, with purpose, dignity, grace and support. While some hospitals, nursing homes and other health care facilities provide hospice care onsite, in most cases hospice is provided in the patient’s own home. This

enables you to spend your final days in a familiar, comfortable environment, surrounded by your loved ones who can focus more fully on you with the support of hospice staff.

How Hospice and Palliative Care Works Hospice care focuses on all aspects of a patient’s life and well being: physical, social, emotional and spiritual. There is no age restriction; anyone in the late stages of life is eligible for hospice services. While specific hospice services around the world differ in the amenities they provide, most include a hospice interdisciplinary team, or IDT, that includes the patient’s physician, a hospice doctor, a case manager, registered nurses and licensed practical nurses, a counselor, a dietician, therapist, pharmacologist, social workers, a minister and various trained volunteers. The hospice team develops a care plan tailored to a patient's individual need for pain management

and symptom relief and provides all the necessary palliative drugs and therapies, medical supplies and equipment. Typically, hospice care is provided at home and a family member acts as the prima-ry caregiver, supervised by professional medical staff. Hospice IDT members make regular visits to assess the patient and provide additional care and services, such as speech and physical therapy, therapeutic massage or dietary assistance. Certified home health aids may also be deployed for help with bathing and other personal care services. Hospice staff remains on-call 24 hours a day, seven days a week. A hospice IDT also provides emotional and spiritual support according to the needs, wishes and beliefs of the patient. Emotional and spiritual support is also provided to the person's loved ones as well, including grief counseling.

Tips for Choosing a

General SurgeonHospice and Palliative Care

HIN JUNE 2014.indd 22-23 6/11/2014 8:36:07 AM

For many seriously ill patients, hospice and palliative care offers a more dignified and comfortable

alternative to spending your final months in the impersonal environment of a hospital. Palliative medicine

helps patients manage pain while hospice provides special care to improve quality of life for both the patient

and their family. Seeking hospice and palliative care isn’t about giving up hope or hastening death,

but rather a way to get the most appropriate care in the last phase of life.

Dr. Andrew Harper,General Surgeon & his staff

Hernia Repair • Gallbladder • Appendix • Breast Biopsy

Breast Cancer • Thyroid • Colon • Lipoma(s) •Sebaceous Cysts

Hiradenitis • Hiatal Hernia •Hemorrhoids • Malignant Melanoma

Pancreatic Disease • Speciality Services: Advanced Laparoscopic

Procedures

Dr. Andrew Harper, MD1301 Sigman Road NE, Suite 225

Conyers, GA 30012770-922-4024

GENERALSURGERYYou Can Trust!

For your convenience, Dr. Harper sees patients on Thursday afternoons from 2-5pm in Covington at5154 Cook Street NE, Covington.

Call today for the nextavailable appointment!

Our mission is to surround patients and their families with

compassionate care that enables them to embrace

the end of life with dignity, courage and peace.

2712 Lawrenceville Highway | Suite 200 Decatur, Georgia 30033

1132 Floyd Street | Covington, Georgia 30014

Phone: 770-939-9179 | Fax: 770-621-3083

www.LongleafHospice.com

The Hospice You Choose Really Can Make A Difference.

Our hospice experts have the character, skill and ability to deliver quality care to all

our patients. We promise to help you live all of your days with dignity.

Committed to our local communities

and now open in Covington

© Longleaf Hospice. 2014

Choosing general surgeons or other specialty physicians is a privilege many patients didn't

have until recently. If a surgery was approved by insurance, the choice of the doctor was usually out of the hands of the patient. Today, more and more insurance plans allow patients to deal directly with specialty physicians without first going through a primary care physician, and that includes choosing a general surgeon.

Get Names of General Surgeons The process of finding qualified general surgeons is different from the selection of a primary care physician because the relationship is different. However, it is still important to come up with potential general surgeons, check their credentials and then talk to them before making a final choice. There are several potential sources: • Familyphysician.Oneofthedutiesofaprimary care physician is getting the patient to a specialist when the illness or injury is significant. However, in most medical plans, patients can look for their own general surgeons as well.

• Consultfamilyandfriends.Ifyouknowsomeone who has had the same surgery, it's a great idea to ask about their surgeon and their results and expectations. • Talktophysicaltherapists.Medicalexpertssay that physical therapists, who routinely work with patients following surgery, are excellent re-sources for recommendations for general surgeons. A home health nurse is a good resource for the same reason.

Interviewing General Surgeons While you may not have a long-lasting relation-ship over a period of months and years with a gen-eral surgeon, it is nevertheless a good idea to talk to several candidates to ask about their experience. • Ifyouaretohavegallbladdersurgery,forexample, it only makes sense to ask the surgeon how many procedures he or she has conducted. The more the better. • Askaboutboardcertificationoranyfellow-ships. That generally indicates a higher degree of specialization and practice involving procedures

commonly performed by general surgeons. • Askaboutthesurgeon'spost-operativecareand what you should expect following surgery.

Choose a General Surgeon Makingthechoicefromyourgeneralsurgeoncandidates should be a decision that's blended be-tween the factual information about your surgeon's certification and experience and the feedback you received during the interview with the surgeon. As a graduate of Emory University, Dr. Andrew Harper is board certified by the American Board of Surgery and has been serving the Cov-ington & Conyers communities since 1990. Please give his office a call to see if he would be a good fit for you at 770.922.4024.

What is Hospice and Palliative Care? Although death is a natural part of life, the thought of dying understandably still frightens many people. You may imagine pain and loneliness, spending your final days in the cold, sterile envi-ronment of a hospital far from family, friends and all that you know and love. However, hospice care represents a compassionate approach to end-of-life care, enhancing the quality of remaining life and enabling you to live as fully and as comfortable, as possible. Hospice is traditionally an option for people whose life expectancy is six months or less, and involves palliative care (pain and symptom relief) rather than ongoing curative measures, enabling you to live your last days to the fullest, with purpose, dignity, grace and support. While some hospitals, nursing homes and other health care facilities provide hospice care onsite, in most cases hospice is provided in the patient’s own home. This

enables you to spend your final days in a familiar, comfortable environment, surrounded by your loved ones who can focus more fully on you with the support of hospice staff.

How Hospice and Palliative Care Works Hospice care focuses on all aspects of a patient’s life and well being: physical, social, emotional and spiritual. There is no age restriction; anyone in the late stages of life is eligible for hospice services. While specific hospice services around the world differ in the amenities they provide, most include a hospice interdisciplinary team, or IDT, that includes the patient’s physician, a hospice doctor, a case manager, registered nurses and licensed practical nurses, a counselor, a dietician, therapist, pharmacologist, social workers, a minister and various trained volunteers. The hospice team develops a care plan tailored to a patient's individual need for pain management

and symptom relief and provides all the necessary palliative drugs and therapies, medical supplies and equipment. Typically, hospice care is provided at home and a family member acts as the prima-ry caregiver, supervised by professional medical staff. Hospice IDT members make regular visits to assess the patient and provide additional care and services, such as speech and physical therapy, therapeutic massage or dietary assistance. Certified home health aids may also be deployed for help with bathing and other personal care services. Hospice staff remains on-call 24 hours a day, seven days a week. A hospice IDT also provides emotional and spiritual support according to the needs, wishes and beliefs of the patient. Emotional and spiritual support is also provided to the person's loved ones as well, including grief counseling.

Tips for Choosing a

General SurgeonHospice and Palliative Care

HIN JUNE 2014.indd 22-23 6/11/2014 8:36:07 AM

CANDICE RIGGEAL, DONeurology, Epilepsy

Do you suffer from Seizures orbeen diagnosed with Epilepsy?

Please call our office to schedule your new patient appointment with Dr. Candice

Riggeal. Dr. Riggeal is fellowship trained in Epilepsy from Emory University.

Dr. Bryan Riggeal is fellowship trained in Neuro-Opthalmology from Emory University

Department of Opthalmology.

BRYAN RIGGEAL, MDMedical Director, Rockdale Medical CenterStroke ProgramRockdale Neurology Associates

IS IT ASTROKE?

With a Stroke, TIME LOSTis BRAIN LOST.

So it’s a good thing that Rockdale Medical Center’s ER is now a

Certified Primary Stroke Center

Both Doctors Bryan and

Candice Riggeal are board

certified in Neurology.

1255-B Commercial Drive, Conyers, Georgia 30094770.278.0154 • rockdaleneurology.com

An Affiliate of Rockdale Medical Center.

Rockdale Medical Center recently earned a high certification as a

stroke treatment center from The Joint Commission, meaning local stroke patients have a higher chance of getting treatment within the critical “golden hour.”

Previously, stroke patients being transported by ambulance would have to be taken all the way to downtown Atlanta to the closest stroke treatment center, as required by law – a trip that could take 30 minutes or more.

Each minute without treatment during a stroke means more brain matter dies. Being able to bring patients to RMC “means we’re saving more brain and preventing disability,” said Dr. Bryan Riggeal, neurologist and director of the Stroke Program at RMC, which started in December 2012. “You can come to your local community hospital for stroke treatment and care without having to drive out of town,” said Karen Young, R.N. and director of RMC’s Emergency Room, who has had family members impacted by strokes. “The medi-cation you can receive for certain types of strokes, you can now receive faster… It’s important for the public to know they can come straight here.” Having certification also means a team of doctors, specialized nurses, therapists, dieticians, pharmacists and more is mobilized when a stroke patient is admitted to the stroke ward. About a third of stroke survivors experience another stroke, but wrap-around services like these often result in more effective lifestyle changes in the patient and fewer additional strokes, said Riggeal. “The ability to provide excellent care is a result of

outstanding teamwork,” said RMC CEO Deborah Armstrong. “Under the direction of Dr. Brian Riggeal, neurologist/Stroke Program Director, and Emergency Department Director/Stroke Coor-dinator Karen Young, R.N., an in-house stroke team, made up of physicians, nurses, pharmacists, rehabilitation therapists and case managers, col-laborates on patient care throughout the treatment process.” “I also want to acknowledge the commitment of our partner, National EMS, for their role in helping Rockdale Medical Center to achieve Primary Stroke Certification,” Armstrong said. “Many times they are the first line of patient care and are able to identify a stroke, or stroke symptoms, while in the field. Having this information before the patient arrives at the hospital mean our Emergency Department personnel save valuable minutes in treatment time.” RMC will be able to display The Joint Commis-sion’s Gold Seal of Approval, their Advanced Cer-tification for Primary Stroke Centers. Displaying the seal signifies that RMC is providing the “next generation of stroke care,” and will help patients easily identify this facility as one of quality that has surpassed numerous goals in the treatment of stroke. “In achieving Joint Commission advanced certification, Rockdale Medical Center has demon-strated its commitment to the highest level of care for its stroke patients,” said Jean Range, executive director of The Joint Commission’s Disease-Specific Care Certification, in a press release. “Certification is a voluntary process and The Joint Commission commends Rockdale Medical Center for suc-cessfully undertaking this challenge to elevate its standard of care and instill confidence in the community it serves.” The Joint Commission, the organization that ac-credits hospitals, recognized RMC with Advanced Certification for Primary Stroke Centers. That

means RMC has demonstrated that its program meets critical elements of performance to achieve long-term success in improving outcomes for stroke patients. The Joint Commission made sure that RMC stroke patients are offered treatments that match a medical industry standard program. But it also made sure RMC tailors the treatments to each patient’s particular situation and needs. The certifi-cation also checked that stroke patients are offered ways to self-manage their disease. The Joint Commission also checked various behind-the-scenes programs, such as ensuring that medical records transfer properly when a patient sees different doctors or therapists. RMC underwent a rigorous on-site review last month and is required to update the Joint Commis-sion on its practices. A Joint Commission expert reviewed RMC’s compliance with the requirements for The Joint Commission’s Disease-Specific Care Certification program as well as primary stroke center requirements, such as collecting Joint Commission core measure data and using it for performance improvement activities. Developed in collaboration with the American Stroke Association and launched in 2003, The Joint Commission's Primary Stroke Center Certification program is based on the Brain Attack Coalition’s “Recommendations for the Establishment of Pri-mary Stroke Centers.” Certification is available only to stroke programs in Joint Commission-accredited acute care hospitals such as RMC.

HEALTHY IN NEWTON 25

When minutes count:Rockdale Medical earns stroketreatment center certificationcompiled from Staff Reports

HIN JUNE 2014.indd 24-25 6/11/2014 8:36:22 AM

CANDICE RIGGEAL, DONeurology, Epilepsy

Do you suffer from Seizures orbeen diagnosed with Epilepsy?

Please call our office to schedule your new patient appointment with Dr. Candice

Riggeal. Dr. Riggeal is fellowship trained in Epilepsy from Emory University.

Dr. Bryan Riggeal is fellowship trained in Neuro-Opthalmology from Emory University

Department of Opthalmology.

BRYAN RIGGEAL, MDMedical Director, Rockdale Medical CenterStroke ProgramRockdale Neurology Associates

IS IT ASTROKE?

With a Stroke, TIME LOSTis BRAIN LOST.

So it’s a good thing that Rockdale Medical Center’s ER is now a

Certified Primary Stroke Center

Both Doctors Bryan and

Candice Riggeal are board

certified in Neurology.

1255-B Commercial Drive, Conyers, Georgia 30094770.278.0154 • rockdaleneurology.com

An Affiliate of Rockdale Medical Center.

Rockdale Medical Center recently earned a high certification as a

stroke treatment center from The Joint Commission, meaning local stroke patients have a higher chance of getting treatment within the critical “golden hour.”

Previously, stroke patients being transported by ambulance would have to be taken all the way to downtown Atlanta to the closest stroke treatment center, as required by law – a trip that could take 30 minutes or more.

Each minute without treatment during a stroke means more brain matter dies. Being able to bring patients to RMC “means we’re saving more brain and preventing disability,” said Dr. Bryan Riggeal, neurologist and director of the Stroke Program at RMC, which started in December 2012. “You can come to your local community hospital for stroke treatment and care without having to drive out of town,” said Karen Young, R.N. and director of RMC’s Emergency Room, who has had family members impacted by strokes. “The medi-cation you can receive for certain types of strokes, you can now receive faster… It’s important for the public to know they can come straight here.” Having certification also means a team of doctors, specialized nurses, therapists, dieticians, pharmacists and more is mobilized when a stroke patient is admitted to the stroke ward. About a third of stroke survivors experience another stroke, but wrap-around services like these often result in more effective lifestyle changes in the patient and fewer additional strokes, said Riggeal. “The ability to provide excellent care is a result of

outstanding teamwork,” said RMC CEO Deborah Armstrong. “Under the direction of Dr. Brian Riggeal, neurologist/Stroke Program Director, and Emergency Department Director/Stroke Coor-dinator Karen Young, R.N., an in-house stroke team, made up of physicians, nurses, pharmacists, rehabilitation therapists and case managers, col-laborates on patient care throughout the treatment process.” “I also want to acknowledge the commitment of our partner, National EMS, for their role in helping Rockdale Medical Center to achieve Primary Stroke Certification,” Armstrong said. “Many times they are the first line of patient care and are able to identify a stroke, or stroke symptoms, while in the field. Having this information before the patient arrives at the hospital mean our Emergency Department personnel save valuable minutes in treatment time.” RMC will be able to display The Joint Commis-sion’s Gold Seal of Approval, their Advanced Cer-tification for Primary Stroke Centers. Displaying the seal signifies that RMC is providing the “next generation of stroke care,” and will help patients easily identify this facility as one of quality that has surpassed numerous goals in the treatment of stroke. “In achieving Joint Commission advanced certification, Rockdale Medical Center has demon-strated its commitment to the highest level of care for its stroke patients,” said Jean Range, executive director of The Joint Commission’s Disease-Specific Care Certification, in a press release. “Certification is a voluntary process and The Joint Commission commends Rockdale Medical Center for suc-cessfully undertaking this challenge to elevate its standard of care and instill confidence in the community it serves.” The Joint Commission, the organization that ac-credits hospitals, recognized RMC with Advanced Certification for Primary Stroke Centers. That

means RMC has demonstrated that its program meets critical elements of performance to achieve long-term success in improving outcomes for stroke patients. The Joint Commission made sure that RMC stroke patients are offered treatments that match a medical industry standard program. But it also made sure RMC tailors the treatments to each patient’s particular situation and needs. The certifi-cation also checked that stroke patients are offered ways to self-manage their disease. The Joint Commission also checked various behind-the-scenes programs, such as ensuring that medical records transfer properly when a patient sees different doctors or therapists. RMC underwent a rigorous on-site review last month and is required to update the Joint Commis-sion on its practices. A Joint Commission expert reviewed RMC’s compliance with the requirements for The Joint Commission’s Disease-Specific Care Certification program as well as primary stroke center requirements, such as collecting Joint Commission core measure data and using it for performance improvement activities. Developed in collaboration with the American Stroke Association and launched in 2003, The Joint Commission's Primary Stroke Center Certification program is based on the Brain Attack Coalition’s “Recommendations for the Establishment of Pri-mary Stroke Centers.” Certification is available only to stroke programs in Joint Commission-accredited acute care hospitals such as RMC.

HEALTHY IN NEWTON 25

When minutes count:Rockdale Medical earns stroketreatment center certificationcompiled from Staff Reports

HIN JUNE 2014.indd 24-25 6/11/2014 8:36:22 AM

Breast Patient Navigation is a patient support service in which a specially trained nurse

navigator guides patients through the cancer care system. The nurse navigator assists patients in working through the many barriers and fears they may face during cancer care. Often, patients face gaps in service and fragmented care. The navigator works to get rid of those barriers. The Navigation program makes sure that all patients with suspicious findings receive all the information and assistance they need to help them obtain: • Follow–upcare • Timelydiagnosis • Timelytreatmentwhennecessary This will make for better outcomes along with greater patient satisfaction. The navigation program is on the cutting edge of healthcare initiatives. Many of the larger hospitals in Metro Atlanta have developed these programs. Newton Medical Center is proud to be the first in our area to do so. Navigators assist patients by offering a broad array of services, including: • HelpingscheduleandkeepmedicalappointmentsbothwithintheWomen’sDiagnosticCenterandoutsidethefacility • Arrangefollowupcare • Coordinatingandstreamlininginsur-ancepaperworkortoobtaininformationfromtheinsurancecompaniesregardingwhatcareiscoveredunderthepatientsparticularplan

• Identifyinglocalresourcesandappropri-atesupport,suchas,theHopeBoutiqueandBreastCancerSupportGroup. • Helpingtoidentifyandobtainelderorchildcareortransportation Our goal for this program includes meeting with patients at the time they are notified of the biopsy recommendation, being present for the biopsy, and following that patient through the end of her needed care. We plan to do this for 100 % of the women who come into and trust our facility. Results from navigation programs from around the nation have shown that navigated patients: • Weremorelikelytoobtainrecommend-edbreastbiopsies(85.7%ofnavigatedpatientscomparedto56.6%ofnonnavigatedpatients) • Hadtheirbiopsiescompletedinamore

timelymanner-71.4%ofbiopsiesbeingcomplet-edbefore4weekscomparedwith38.5%ofnonnavigatedpatients • Showedimprovementsinthestageofbreastcanceratdiagnosisand5-yearsurvivalrates,afterimprovedaccesstocancerscreeningsandinitiationofapatientnavigationprogram. Newton Medical Center is proud to intro-duce our patient navigator, Wendy Hankins, RN, CBPN-IC, to our health care community. To find out more about the Breast Cancer Pa-tient Navigation Program at Newton Medical Center and to find out how you can become involved, contact Wendy Hankins at 770-385-7826. Let Wendy and our well trained and qual-ified team return you to health after a breast cancer diagnosis.

www.advgynassoc.com

At Advanced Gynecology Associates we seek to provide the highest level of patient care throughour highly skilled health care professionals using state of the art technologies. We are devoted to

addressing the individual needs and demands of patients in a warm and caring environment.

Erin Mayfield, DOGynecology

5154 Cook Street NECovington, GA 30014

678.609.4913

➢ General gynecologic care (Includes pelvic ultrasound in office) ➢ Urogynecology (Urodynamics in office, Urinary and fecal incontinence evaluation and treatment ➢ Pelvic Reconstructive Surgery for Pelvic Organ Prolapse (da Vinci® Sacrocolpopexy) ➢ Infertility evaluation, testing and treatment ➢ GYN surgery of all types

➢ Minimally invasive surgery (Advanced laparoscopic & hysteroscopic surgery, da Vinci® Hysterectomy, da Vinci® Myomectomy, Single Incision Surgery➢ Contraception counseling and procedures (Essure - in office tubal ligation, Implanon - progesterone implant, Mirena IUD

➢ Treatment for Abnormal Uterine Bleeding (Uterine endometrial ablation - in office or outpatient surgery

Our services include:

Holly Imlach, MDGynecology & Gynecologic Surgery

1380 Milstead Ave. NE, Suite EConyers, GA 30012

678.609.4913

Newton Medical Center is pleased to announce an exciting, new program in breast cancer care, through the Women’s Diagnostic Center.

Protect Your Life…Get a Mammogram.Because early detection is the key to surviving breast cancer. The Women's Diagnostic Center is pleased to offer you this special discount for a screening digital mammogram.

Only $125 (Regularly $365) • Call for an appointment: 770-385-7800

• Bring this coupon with you - $125 must be paid in full.

• The radiologist's fee is included.

The Women's Diagnostic Center ~ 4181 Hospital Drive, Suite 301 ~ Covington, GA 30014

Open Surgery With open surgery, a large incision is made in your abdomen - large enough for your surgeon to fit his/her hands and instruments inside your body. For generations, open surgery has been the standard approach to many gynecologic procedures and is still used today. However, with open surgery there are certain drawbacks and trauma to the body due to the large incision.

There are less invasive surgical options for many women facing gynecologic surgery.

Minimally Invasive Surgery The most common minimally invasive surgery is laparoscopy. Instead of a large open incision, surgery is done through a few small incisions using a tiny camera and long, thin surgical instru-ments. The camera takes images inside your body and those images are sent to a video monitor in the operating room which guides surgeons as they operate.

da Vinci® Surgery da Vinci Surgery is another minimally invasive option for women facing gynecologic surgery.

HEALTHY IN NEWTON 27

When medicine,lifestyle changes and other

non-invasive treatments cannot ease your symptoms, your doctor may recommend gynecologic surgery. Women

facing gynecologic conditions such as fibroid tumors,endometriosis, heavy

menstrual bleeding, cancer and pelvic prolapsed

often undergo surgery.

With da Vinci, surgeons make just a few small incisions - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision sys-tem and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control. State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. In addition to using the da Vinci surgical system for your gynecologic surgery needs, Advanced Gynecology Associates assists patients with all of their general gynecologic needs. Please call our office to see how we can better assist you at 678.609.4913.

Gynecologic Surgery

HIN JUNE 2014.indd 26-27 6/11/2014 8:36:36 AM

Breast Patient Navigation is a patient support service in which a specially trained nurse

navigator guides patients through the cancer care system. The nurse navigator assists patients in working through the many barriers and fears they may face during cancer care. Often, patients face gaps in service and fragmented care. The navigator works to get rid of those barriers. The Navigation program makes sure that all patients with suspicious findings receive all the information and assistance they need to help them obtain: • Follow–upcare • Timelydiagnosis • Timelytreatmentwhennecessary This will make for better outcomes along with greater patient satisfaction. The navigation program is on the cutting edge of healthcare initiatives. Many of the larger hospitals in Metro Atlanta have developed these programs. Newton Medical Center is proud to be the first in our area to do so. Navigators assist patients by offering a broad array of services, including: • HelpingscheduleandkeepmedicalappointmentsbothwithintheWomen’sDiagnosticCenterandoutsidethefacility • Arrangefollowupcare • Coordinatingandstreamlininginsur-ancepaperworkortoobtaininformationfromtheinsurancecompaniesregardingwhatcareiscoveredunderthepatientsparticularplan

• Identifyinglocalresourcesandappropri-atesupport,suchas,theHopeBoutiqueandBreastCancerSupportGroup. • Helpingtoidentifyandobtainelderorchildcareortransportation Our goal for this program includes meeting with patients at the time they are notified of the biopsy recommendation, being present for the biopsy, and following that patient through the end of her needed care. We plan to do this for 100 % of the women who come into and trust our facility. Results from navigation programs from around the nation have shown that navigated patients: • Weremorelikelytoobtainrecommend-edbreastbiopsies(85.7%ofnavigatedpatientscomparedto56.6%ofnonnavigatedpatients) • Hadtheirbiopsiescompletedinamore

timelymanner-71.4%ofbiopsiesbeingcomplet-edbefore4weekscomparedwith38.5%ofnonnavigatedpatients • Showedimprovementsinthestageofbreastcanceratdiagnosisand5-yearsurvivalrates,afterimprovedaccesstocancerscreeningsandinitiationofapatientnavigationprogram. Newton Medical Center is proud to intro-duce our patient navigator, Wendy Hankins, RN, CBPN-IC, to our health care community. To find out more about the Breast Cancer Pa-tient Navigation Program at Newton Medical Center and to find out how you can become involved, contact Wendy Hankins at 770-385-7826. Let Wendy and our well trained and qual-ified team return you to health after a breast cancer diagnosis.

www.advgynassoc.com

At Advanced Gynecology Associates we seek to provide the highest level of patient care throughour highly skilled health care professionals using state of the art technologies. We are devoted to

addressing the individual needs and demands of patients in a warm and caring environment.

Erin Mayfield, DOGynecology

5154 Cook Street NECovington, GA 30014

678.609.4913

➢ General gynecologic care (Includes pelvic ultrasound in office) ➢ Urogynecology (Urodynamics in office, Urinary and fecal incontinence evaluation and treatment ➢ Pelvic Reconstructive Surgery for Pelvic Organ Prolapse (da Vinci® Sacrocolpopexy) ➢ Infertility evaluation, testing and treatment ➢ GYN surgery of all types

➢ Minimally invasive surgery (Advanced laparoscopic & hysteroscopic surgery, da Vinci® Hysterectomy, da Vinci® Myomectomy, Single Incision Surgery➢ Contraception counseling and procedures (Essure - in office tubal ligation, Implanon - progesterone implant, Mirena IUD

➢ Treatment for Abnormal Uterine Bleeding (Uterine endometrial ablation - in office or outpatient surgery

Our services include:

Holly Imlach, MDGynecology & Gynecologic Surgery

1380 Milstead Ave. NE, Suite EConyers, GA 30012

678.609.4913

Newton Medical Center is pleased to announce an exciting, new program in breast cancer care, through the Women’s Diagnostic Center.

Protect Your Life…Get a Mammogram.Because early detection is the key to surviving breast cancer. The Women's Diagnostic Center is pleased to offer you this special discount for a screening digital mammogram.

Only $125 (Regularly $365) • Call for an appointment: 770-385-7800

• Bring this coupon with you - $125 must be paid in full.

• The radiologist's fee is included.

The Women's Diagnostic Center ~ 4181 Hospital Drive, Suite 301 ~ Covington, GA 30014

Open Surgery With open surgery, a large incision is made in your abdomen - large enough for your surgeon to fit his/her hands and instruments inside your body. For generations, open surgery has been the standard approach to many gynecologic procedures and is still used today. However, with open surgery there are certain drawbacks and trauma to the body due to the large incision.

There are less invasive surgical options for many women facing gynecologic surgery.

Minimally Invasive Surgery The most common minimally invasive surgery is laparoscopy. Instead of a large open incision, surgery is done through a few small incisions using a tiny camera and long, thin surgical instru-ments. The camera takes images inside your body and those images are sent to a video monitor in the operating room which guides surgeons as they operate.

da Vinci® Surgery da Vinci Surgery is another minimally invasive option for women facing gynecologic surgery.

HEALTHY IN NEWTON 27

When medicine,lifestyle changes and other

non-invasive treatments cannot ease your symptoms, your doctor may recommend gynecologic surgery. Women

facing gynecologic conditions such as fibroid tumors,endometriosis, heavy

menstrual bleeding, cancer and pelvic prolapsed

often undergo surgery.

With da Vinci, surgeons make just a few small incisions - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision sys-tem and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control. State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. In addition to using the da Vinci surgical system for your gynecologic surgery needs, Advanced Gynecology Associates assists patients with all of their general gynecologic needs. Please call our office to see how we can better assist you at 678.609.4913.

Gynecologic Surgery

HIN JUNE 2014.indd 26-27 6/11/2014 8:36:36 AM

We accept all major insurance plans! New Medicare Patients Welcome!

Premier Internal MedicineWalk-ins Welcome

No Appointment Necessary

Call the office today to schedule yournew patient appointment - 770-787-5600.

Office Hours: Monday, Tuesday & Friday 8am to 5pm • Wednesday & Thursday 12pm to 7pmAlso open the first Saturday of each month from 9am-2pm.

*An affiliate of Rockdale Medical Center*

Hwy 278

Newton Drive

Adam

s Stre

et

Gord

y Stre

et

Cook

Stre

et

✪

Visit us at our newCovington Location!

5294 Adams Street, Covington

Dr. Grant, Board Certified in Internal Medicine, sees patients ages 15 and over.

When choosing a doctor, there's a lot to think about: Experience, specialty, online access, professional interests, health plans and more. So we've put

together a list of questions to ask yourself when choosing a doctor.

Selecting the Doctor Who is Right For You!

Are you choosing a Primary Care Physician? One of the best ways to make sure you’re getting excellent health care is to have a primary care physician (PCP) with whom you can build a long-term re-lationship — someone who knows your medical background and understands what’s important to you. Traditionally PCPs fall into three specialties – Fam-ily Medicine (treating patients of all ages), Internal Medicine (treating adult patients) or Pediatrics (treating children from birth through adolescence). Women will often choose a Gynecologist or Obstetrician for their primary care needs. When you have a physician you know and trust, you feel comfortable talking about anything. And, all your basic care — including routine exams, preventive care and treatment for illnesses or injuries — goes more smoothly and easily. Your PCP also knows when it’s best to refer you to a specialist.

Do you want to be able to access your doctor’s office online? Many doctors now offer convenient online services, so patients canuse the web to view test results, renew prescriptions, request appointments

and email their doctors.

Are you more comfortable with a male or a female doctor? Discussing health issues and treatments can be a very personal experience. It’s important that you are comfortable talking to your doctor about any medi-cal situation that may come up. Deciding whether you prefer a male or female doctor can ensure that you are as comfortable as possible.

Does the doctor accept your health insurance? To avoid unnecessary out-of-pocket health care expenses, you will want to find a doctor who accepts your health insurance. While most of the doctors affiliated with Rockdale Medical Center accept most major health plans, you will want to check to make certain that yours is on the list. If you are looking with a Primary Care Physician, please feel free to come in and meet Dr. Anne Grant in Covington, Georgia to see if she could be a good match for you.

28 HEALTHY IN NEWTON

Come out and enjoy a Saturday this summer on the beautifulYellow River Water Trail. Our Summer Series for 2014 will focus solely on the Newton County

portion of the trail (Mt. Tabor Bridge access to Porterdale Mill Village access). On each paddle we will

have volunteers from our local community providing Adopt A Stream info, water quality, river history,

water trail development, etc and paddling with you. A great day to enjoy the river, learn more about the

habitat and fall in love with a beautiful paddle destination. Come on out and get mellow on the Yellow.

Time: 10:00am - 2:00pm ~ Length: approx 7 miles ~ Meet: Porterdale Yak Club 10:00amOption 1: Boat rental with shuttle service to put-in, sack lunch from Plain Nuts, Insurance ~ $40.00

Option 2: ( Bring your own boat.) Shuttle service to put-in, sack lunch, Insurance ~ $20.00

As this function begins and ends in the beautiful Mill Village of Porterdale, please feel free tocome early for coffee at Argyle's Coffee House, stay for dinner and live music at Jimbo's Bar & Grill

or just explore on foot. All within walking distance to the Yellow River.

Let's make Summer 2014 - the best it can be on the Yellow River and Porterdale.

Spread the news of the beauty of our river far and wide…

See you on the river soon!Check us out on…

Updated Daily!

Tonya Bechtler, Chairman & Public Outreach Yellow River Water Trail

www.yellowriverwatertrail.org ~ info@yellowriverwatertrail.orgtonyabechtler@gmail.com ~ cell (770) 364-0911

{ }

mellow on the yellow SUMMER PADDLE SERIES

saturdays5/176/147/128/16Yellow River Water Trail

HIN JUNE 2014.indd 28-29 6/11/2014 8:36:59 AM

We accept all major insurance plans! New Medicare Patients Welcome!

Premier Internal MedicineWalk-ins Welcome

No Appointment Necessary

Call the office today to schedule yournew patient appointment - 770-787-5600.

Office Hours: Monday, Tuesday & Friday 8am to 5pm • Wednesday & Thursday 12pm to 7pmAlso open the first Saturday of each month from 9am-2pm.

*An affiliate of Rockdale Medical Center*

Hwy 278

Newton Drive

Adam

s Stre

et

Gord

y Stre

et

Cook

Stre

et

✪

Visit us at our newCovington Location!

5294 Adams Street, Covington

Dr. Grant, Board Certified in Internal Medicine, sees patients ages 15 and over.

When choosing a doctor, there's a lot to think about: Experience, specialty, online access, professional interests, health plans and more. So we've put

together a list of questions to ask yourself when choosing a doctor.

Selecting the Doctor Who is Right For You!

Are you choosing a Primary Care Physician? One of the best ways to make sure you’re getting excellent health care is to have a primary care physician (PCP) with whom you can build a long-term re-lationship — someone who knows your medical background and understands what’s important to you. Traditionally PCPs fall into three specialties – Fam-ily Medicine (treating patients of all ages), Internal Medicine (treating adult patients) or Pediatrics (treating children from birth through adolescence). Women will often choose a Gynecologist or Obstetrician for their primary care needs. When you have a physician you know and trust, you feel comfortable talking about anything. And, all your basic care — including routine exams, preventive care and treatment for illnesses or injuries — goes more smoothly and easily. Your PCP also knows when it’s best to refer you to a specialist.

Do you want to be able to access your doctor’s office online? Many doctors now offer convenient online services, so patients canuse the web to view test results, renew prescriptions, request appointments

and email their doctors.

Are you more comfortable with a male or a female doctor? Discussing health issues and treatments can be a very personal experience. It’s important that you are comfortable talking to your doctor about any medi-cal situation that may come up. Deciding whether you prefer a male or female doctor can ensure that you are as comfortable as possible.

Does the doctor accept your health insurance? To avoid unnecessary out-of-pocket health care expenses, you will want to find a doctor who accepts your health insurance. While most of the doctors affiliated with Rockdale Medical Center accept most major health plans, you will want to check to make certain that yours is on the list. If you are looking with a Primary Care Physician, please feel free to come in and meet Dr. Anne Grant in Covington, Georgia to see if she could be a good match for you.

28 HEALTHY IN NEWTON

Come out and enjoy a Saturday this summer on the beautifulYellow River Water Trail. Our Summer Series for 2014 will focus solely on the Newton County

portion of the trail (Mt. Tabor Bridge access to Porterdale Mill Village access). On each paddle we will

have volunteers from our local community providing Adopt A Stream info, water quality, river history,

water trail development, etc and paddling with you. A great day to enjoy the river, learn more about the

habitat and fall in love with a beautiful paddle destination. Come on out and get mellow on the Yellow.

Time: 10:00am - 2:00pm ~ Length: approx 7 miles ~ Meet: Porterdale Yak Club 10:00amOption 1: Boat rental with shuttle service to put-in, sack lunch from Plain Nuts, Insurance ~ $40.00

Option 2: ( Bring your own boat.) Shuttle service to put-in, sack lunch, Insurance ~ $20.00

As this function begins and ends in the beautiful Mill Village of Porterdale, please feel free tocome early for coffee at Argyle's Coffee House, stay for dinner and live music at Jimbo's Bar & Grill

or just explore on foot. All within walking distance to the Yellow River.

Let's make Summer 2014 - the best it can be on the Yellow River and Porterdale.

Spread the news of the beauty of our river far and wide…

See you on the river soon!Check us out on…

Updated Daily!

Tonya Bechtler, Chairman & Public Outreach Yellow River Water Trail

www.yellowriverwatertrail.org ~ info@yellowriverwatertrail.orgtonyabechtler@gmail.com ~ cell (770) 364-0911

{ }

mellow on the yellow SUMMER PADDLE SERIES

saturdays5/176/147/128/16Yellow River Water Trail

HIN JUNE 2014.indd 28-29 6/11/2014 8:36:59 AM

I

5294 Adams Street, NE, Covington

770-787-5600Open Monday-Friday8am-5pm

Most Insurance Plans Welcome • Walk-Ins Accepted

IN CASE OF A LIFE-THREATENING EMERGENCY DIAL 911. ALWAYS CALL 911DIALDIAL 911

Dr. Wendell Smith

trustedCARE

We treat a wide range of conditions including:

Flu, Fever, Cough & Cold, Rashes & Allergic

Reactions, Animal & Insect Bites, Skins Rashes &

Infections, Women’s Health, Diabetes,

Hypertension & more

An Affiliate of Rockdale Medical Center.

If you have hypertension, you'll need to take action to protect your health and reduce your

chances of developing serious, even fatal, health issues. And while medication can bring high blood pressure down, there's more that you can do to improve your condition, like sticking to a diet that is known to help control hypertension.

Foods to Avoid When You Have High Blood Pressure Your doctor probably already told you to lay off fattening hamburgers and salty fries as part of your hypertension diet, but there are foods you may not consider harmful that can wreak havoc on your blood pressure. The main culprit when it comes to skyrocketing blood pressure levels is sodium, found in more foods that you might expect. Steer clear of or limit these high-sodium foods in your hypertension diet: Dried, preserved, or salted meats, like bacon, ham, beef jerky and pep-peroni; Heavily salted snacks, like peanuts, chips, or crackers; Canned foods and meals, including vegetables and soups; Frozen foods and dinners; Sauces, condiments, and marinades; Table salt or salty seasonings.

Foods That Help Manage High Blood Pressure There are plenty of foods that can actually help lower high blood pressure. Studies show that po-tassium is very important in helping to lower high blood pressure and is a key ingredient in a diet that helps reduce hypertension. Choose these high-po-tassium, low-sodium fruits and vegetables: Raisins, prunes and prune juice; Citrus fruits and juices; Honeydew, cantaloupe and watermelons; Avoca-dos; Apples and apple juice; Bananas; Fresh corn; Cooked squash, eggplant, cabbage and cauliflower; Lima beans and peas; Peppers and radishes; Baked or boiled potatoes . A good way to make sure you're getting exactly what you need to normalize your blood pressure is to follow the Dietary Approaches to Stop Hyper-tension diet (DASH). The DASH eating plan was developed to help lower blood pressure and boost heart health, based on research supported by the National Heart, Lung, and Blood Institute. Here are the key parts of the DASH hypertension diet: • Twotothreedailyservingsoflow-fatorfat-free dairy products (serving sizes include 1 cup milk or yogurt)

• Fourtofivedailyservingsoffruitsandvege-tables (serving sizes include 1 cup leafy vegetable, 1 medium-size fruit, one-half cup juice) • Sixtoeightdailyservingsofwholegrains(serving sizes include 1 slice of bread, 1 ounce dry cereal) • Lessthansixdailyservingsofleanprotein(serving sizes include 1 egg, 1 ounce cooked meat orfish) • Twotothreedailyservingsofhealthyfatsand oils (serving sizes include 1 teaspoon vegetable oil or soft margarine, 1 tablespoon mayonnaise) • Fourtofiveweeklyservingsofseeds,nuts,and legumes (serving sizes include 2 tablespoons peanut butter or seeds) • Nomorethanfiveweeklyservingsofdes-serts and sweets (serving sizes include 1 tablespoon sugar or jam) Managing hypertension with diet is all about reading the labels — it helps to know what you're putting into your body, and how food affects blood pressure.

For many of the approximately 6 million spousal caregivers in the United States, the elephant is not just in the room, but overtaking the room. On many days, the elephant of illness, disabil-

ity and aging will not budge for the spouse who steps in as a home caregiver to help maintain the partner’s health. Caregiving for one’s husband or wife is rewarding, yet at times daunting and overwhelming. As care needs increase and the length of illness stretches into months, years or even decades, a caregiver spouse is vulnerable to common stress-related conditions including anxiety, depression, headaches, backaches and sleep deprivation. The unrelenting responsibility fuels fatigue. Resent-ments also can build against other family members who are not as available to help. In a 2010 MetLife “Study of Working Caregivers and Employer Health Care Costs,” 17 percent

About Blood PressureHIGH

Lightening the Load of Spousal Caregiving

of female caregivers age 50 and older reported fair or poor health compared with just 9 percent of non-caregivers. To escape and ease the overload, isolation and even anger that can stem from attending to a spouse’s daily personal care, some marital caregivers turn to the abuse of alcohol and drugs. Eventually, care for an ailing loved one can lead to burnout in which the caregiver is depleted physically, mentally and emotionally. Over time, adult home care can be too much of a burden for a spouse, yet hesitations can arise over enlisting a professional care giving service for help. After managingthecareforsolong,somespousesfinditdifficulttorelinquishtheirhomecaregiverdutiestosomeoneelse.Othersstrugglewithguiltfornolongerbeing able to provide the necessary care. Still others are not convinced anyone else will oversee their spouse’s health as well as they can. Senior care support services can include help with bathing and dressing, grocery shopping, errand running, meal planning and preparation, transportation to appointments, medication monitoring, light housework, and respite relief. From a few hours a day to overnight or round-the-clock care, home care providers offer compassionate expertise and care tailored to the client’s needs. “Home healthcare aides are becoming increasingly vital in our society as more and more seniors choose to age at home,” Mark Ross, Agency Director at Right at Home, added. “Selecting professional home care services does help prevent caregiver burnout and still lets you maintain the control and quality of the care your loved one deserves.”

HIN JUNE 2014.indd 30-31 6/11/2014 8:53:12 AM

I

5294 Adams Street, NE, Covington

770-787-5600Open Monday-Friday8am-5pm

Most Insurance Plans Welcome • Walk-Ins Accepted

IN CASE OF A LIFE-THREATENING EMERGENCY DIAL 911. ALWAYS CALL 911DIALDIAL 911

Dr. Wendell Smith

trustedCARE

We treat a wide range of conditions including:

Flu, Fever, Cough & Cold, Rashes & Allergic

Reactions, Animal & Insect Bites, Skins Rashes &

Infections, Women’s Health, Diabetes,

Hypertension & more

An Affiliate of Rockdale Medical Center.

If you have hypertension, you'll need to take action to protect your health and reduce your

chances of developing serious, even fatal, health issues. And while medication can bring high blood pressure down, there's more that you can do to improve your condition, like sticking to a diet that is known to help control hypertension.

Foods to Avoid When You Have High Blood Pressure Your doctor probably already told you to lay off fattening hamburgers and salty fries as part of your hypertension diet, but there are foods you may not consider harmful that can wreak havoc on your blood pressure. The main culprit when it comes to skyrocketing blood pressure levels is sodium, found in more foods that you might expect. Steer clear of or limit these high-sodium foods in your hypertension diet: Dried, preserved, or salted meats, like bacon, ham, beef jerky and pep-peroni; Heavily salted snacks, like peanuts, chips, or crackers; Canned foods and meals, including vegetables and soups; Frozen foods and dinners; Sauces, condiments, and marinades; Table salt or salty seasonings.

Foods That Help Manage High Blood Pressure There are plenty of foods that can actually help lower high blood pressure. Studies show that po-tassium is very important in helping to lower high blood pressure and is a key ingredient in a diet that helps reduce hypertension. Choose these high-po-tassium, low-sodium fruits and vegetables: Raisins, prunes and prune juice; Citrus fruits and juices; Honeydew, cantaloupe and watermelons; Avoca-dos; Apples and apple juice; Bananas; Fresh corn; Cooked squash, eggplant, cabbage and cauliflower; Lima beans and peas; Peppers and radishes; Baked or boiled potatoes . A good way to make sure you're getting exactly what you need to normalize your blood pressure is to follow the Dietary Approaches to Stop Hyper-tension diet (DASH). The DASH eating plan was developed to help lower blood pressure and boost heart health, based on research supported by the National Heart, Lung, and Blood Institute. Here are the key parts of the DASH hypertension diet: • Twotothreedailyservingsoflow-fatorfat-free dairy products (serving sizes include 1 cup milk or yogurt)

• Fourtofivedailyservingsoffruitsandvege-tables (serving sizes include 1 cup leafy vegetable, 1 medium-size fruit, one-half cup juice) • Sixtoeightdailyservingsofwholegrains(serving sizes include 1 slice of bread, 1 ounce dry cereal) • Lessthansixdailyservingsofleanprotein(serving sizes include 1 egg, 1 ounce cooked meat orfish) • Twotothreedailyservingsofhealthyfatsand oils (serving sizes include 1 teaspoon vegetable oil or soft margarine, 1 tablespoon mayonnaise) • Fourtofiveweeklyservingsofseeds,nuts,and legumes (serving sizes include 2 tablespoons peanut butter or seeds) • Nomorethanfiveweeklyservingsofdes-serts and sweets (serving sizes include 1 tablespoon sugar or jam) Managing hypertension with diet is all about reading the labels — it helps to know what you're putting into your body, and how food affects blood pressure.

For many of the approximately 6 million spousal caregivers in the United States, the elephant is not just in the room, but overtaking the room. On many days, the elephant of illness, disabil-

ity and aging will not budge for the spouse who steps in as a home caregiver to help maintain the partner’s health. Caregiving for one’s husband or wife is rewarding, yet at times daunting and overwhelming. As care needs increase and the length of illness stretches into months, years or even decades, a caregiver spouse is vulnerable to common stress-related conditions including anxiety, depression, headaches, backaches and sleep deprivation. The unrelenting responsibility fuels fatigue. Resent-ments also can build against other family members who are not as available to help. In a 2010 MetLife “Study of Working Caregivers and Employer Health Care Costs,” 17 percent

About Blood PressureHIGH

Lightening the Load of Spousal Caregiving

of female caregivers age 50 and older reported fair or poor health compared with just 9 percent of non-caregivers. To escape and ease the overload, isolation and even anger that can stem from attending to a spouse’s daily personal care, some marital caregivers turn to the abuse of alcohol and drugs. Eventually, care for an ailing loved one can lead to burnout in which the caregiver is depleted physically, mentally and emotionally. Over time, adult home care can be too much of a burden for a spouse, yet hesitations can arise over enlisting a professional care giving service for help. After managingthecareforsolong,somespousesfinditdifficulttorelinquishtheirhomecaregiverdutiestosomeoneelse.Othersstrugglewithguiltfornolongerbeing able to provide the necessary care. Still others are not convinced anyone else will oversee their spouse’s health as well as they can. Senior care support services can include help with bathing and dressing, grocery shopping, errand running, meal planning and preparation, transportation to appointments, medication monitoring, light housework, and respite relief. From a few hours a day to overnight or round-the-clock care, home care providers offer compassionate expertise and care tailored to the client’s needs. “Home healthcare aides are becoming increasingly vital in our society as more and more seniors choose to age at home,” Mark Ross, Agency Director at Right at Home, added. “Selecting professional home care services does help prevent caregiver burnout and still lets you maintain the control and quality of the care your loved one deserves.”

HIN JUNE 2014.indd 30-31 6/11/2014 8:53:12 AM

Healthy, fit development begins at birth and greatly affects children’s ability to learn. When kids are on track physically, socially and emotionally, they are

more successful learners, strong readers and eventually more gainfully em-ployed, passing on healthy fit lifestyle choices to their own families.

YOU CAN be part of theBe Healthy Newton cycle!

• Youcanbepartoftheconversation.FindNewtonPartnership:AGeorgiaFami-lyConnectionCollaborativeonFacebook.• YoucanbepartoftheactionwithHandsOnNewton.Findvolunteeropportu-nitiesatwww.volunteermatch.org,searchHandsOnNewton.• Youcanbepartofthesolution.Eatmorefruitsandvegetables,andfindfitnessopportunitiesthatsuityou!

Newton Partnership is a Georgia Family Connection Collaborative building strong families, supporting effective education and establishing nurturingcommunities. Call 770-786-0807 for more information.

Your Local Georgia Family Connection Collaborative Organization

NEWTON COUNTYCOMMUNITYPARTNERSHIP

Our Family Connection collaborative serves as the local

decision-making body, bringing community partners together

to develop, implement, and evaluate plans that address the

serious challenges facing Georgia’s children and families.

P.O. Box 445 • Covington, GA 30015-0445

Phone: 770-786-0807

www.newton-gafcp.org

We want our kids to be healthy, ready to

start school and do well when they get

there. We want our families to be stable

and self-sufficient, and we want them

to live in strong communities.

We’ve been making that happen

for more than 20 years.

You Can be Healthy: Students at MansfieldElementary School raced to eat healthy in the School

Nutrition Program’s Fruit & Vegetable Challengeas part of a Ga. Family Connection Grant.

Volunteers work in The Garden of Hope, acommunity garden operated by Hands OnNewton, to grow vegetables for donationto local food pantries

NCCP networks with many local resources and celebrates all that Newton has to offer for children and families. Trails are gaining a great deal of support as passive recreation for all ages in Newton County. NewtonTrails & Yellow River Water Trail are the groups spearheading these effortson land and water.

at the Monastery of the Holy Spirit.

isitors are welcome year-round at the Monastery of the Holy Spirit, the inspirational home of Georgia’s Trappist Monks. Nestled on 2,300 acres in Conyers, the Monastery

offers a scenic and peaceful environment to explore.

Experience a day in the life of a monk, or learn about the Trappists in Georgia at the Historic Museum. See the beautiful Abbey Church. Browse through the Bonsai Garden, Bonsai Nursery and gift shop. Visit the Abbey Store for monk-made biscotti, fruitcake, fudge, free trade items and the largest selection of Christian books in the state.

Stay for the day – or experience our overnight retreats.

www.trappist.net

BE INSPIRED...

For more Conyers information call 1.800.CONYERS

BENEWTON

HIN JUNE 2014.indd 32-33 6/11/2014 8:37:43 AM

Healthy, fit development begins at birth and greatly affects children’s ability to learn. When kids are on track physically, socially and emotionally, they are

more successful learners, strong readers and eventually more gainfully em-ployed, passing on healthy fit lifestyle choices to their own families.

YOU CAN be part of theBe Healthy Newton cycle!

• Youcanbepartoftheconversation.FindNewtonPartnership:AGeorgiaFami-lyConnectionCollaborativeonFacebook.• YoucanbepartoftheactionwithHandsOnNewton.Findvolunteeropportu-nitiesatwww.volunteermatch.org,searchHandsOnNewton.• Youcanbepartofthesolution.Eatmorefruitsandvegetables,andfindfitnessopportunitiesthatsuityou!

Newton Partnership is a Georgia Family Connection Collaborative building strong families, supporting effective education and establishing nurturingcommunities. Call 770-786-0807 for more information.

Your Local Georgia Family Connection Collaborative Organization

NEWTON COUNTYCOMMUNITYPARTNERSHIP

Our Family Connection collaborative serves as the local

decision-making body, bringing community partners together

to develop, implement, and evaluate plans that address the

serious challenges facing Georgia’s children and families.

P.O. Box 445 • Covington, GA 30015-0445

Phone: 770-786-0807

www.newton-gafcp.org

We want our kids to be healthy, ready to

start school and do well when they get

there. We want our families to be stable

and self-sufficient, and we want them

to live in strong communities.

We’ve been making that happen

for more than 20 years.

You Can be Healthy: Students at MansfieldElementary School raced to eat healthy in the School

Nutrition Program’s Fruit & Vegetable Challengeas part of a Ga. Family Connection Grant.

Volunteers work in The Garden of Hope, acommunity garden operated by Hands OnNewton, to grow vegetables for donationto local food pantries

NCCP networks with many local resources and celebrates all that Newton has to offer for children and families. Trails are gaining a great deal of support as passive recreation for all ages in Newton County. NewtonTrails & Yellow River Water Trail are the groups spearheading these effortson land and water.

at the Monastery of the Holy Spirit.

isitors are welcome year-round at the Monastery of the Holy Spirit, the inspirational home of Georgia’s Trappist Monks. Nestled on 2,300 acres in Conyers, the Monastery

offers a scenic and peaceful environment to explore.

Experience a day in the life of a monk, or learn about the Trappists in Georgia at the Historic Museum. See the beautiful Abbey Church. Browse through the Bonsai Garden, Bonsai Nursery and gift shop. Visit the Abbey Store for monk-made biscotti, fruitcake, fudge, free trade items and the largest selection of Christian books in the state.

Stay for the day – or experience our overnight retreats.

www.trappist.net

BE INSPIRED...

For more Conyers information call 1.800.CONYERS

BENEWTON

HIN JUNE 2014.indd 32-33 6/11/2014 8:37:43 AM

FOR PEOPLE WITHHEARING LOSS

1370 Wellbrook Circle, Conyers, Georgia / 770-922-54584181 Hospital Drive, NE, Suite 102, Covington, Georgia / 770-385-0321

Call today for an appointment!

If you experience difficulty hearing, now is the time to schedule your appointmentwith one of our highlyqualified, certified audiologists.

How’s Your Hearing?Have you noticed more difficultyunderstanding family and friends? Does everyone just seem to be mumbling? Are you asking people to repeat themselves often? Are you having to turn the TV volume up?If you answered “yes” to any of these questions, you may need to check your hearing…

Did You Know?• Untreatedhearinglossis associated with isolation, depression, memory problems, loss of income and marital problems

• Amplificationleadstoabetter quality of life, according to a 1999 study by the National Council on Aging.

• Atleast29millionAmericanshave ahearingimpairment;20% inadultsages48-59;over50%in adults over 75.

• Patientswithdiabetesaremore than twice as likely to have hearing loss.

• Exposuretonoiseistheleading cause of tinnitus, and almost always accompanies hearing loss.

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

Donna McGough, F-AAA • Kristyn Meade, F-AAASusann Shriver, CCC-A

www.entspecialists.net

Audiologists are health care professionals who are trained in the diagnosis, treatment and management of hearing loss, balance disorders and other

associated conditions. Audiologists are trained to carry out detailed assess-ments by performing a number of specialized auditory (hearing) and vestibular (balance tests). They are trained to make recommendations for medical treat-ment when needed. Audiologists are trained to fit hearing aids and adjust the hearing aid gradually with appropriate communication strategies. An audiologist can work in a variety of settings and is trained to work with all ages, from babies to elderly patients. Some audiologists work with schools and provide diagnostics and auditory training support to hearing-impaired students. Other audiologists may work in private practice, ENT offices or hos-pitals, assessing hearing and balance disorders. Audiologists must also monitor the newborn infant screenings now required at hospitals. They may also work in areas of research or industrial businesses, managing noise exposure levels and monitoring the employees' hearing and providing instruction and educa-tion of ear protection.

Audiologists are not medical doctors, but a master's or doctorate degree in Audiology is required for licensure. Since 28 million Americans suffer from some form of hearing impairment, the work an audiologist does is essential in our society today. The causes of hearing loss in our society vary. Hearing loss can be a result of noise exposure, trauma, hereditary factors or the natural aging process. Other causes of hearing loss include ototoxic (toxic to the ear/hearing) medications, head injuries, tumors, ear disease, certain medications and illnesses such as diabetes.Contact Ear, Nose and Throat Specialists of Conyers for your local audiolo-gist if you have concerns about your hearing, or if you have related symptoms such as tinnitus or dizziness.

34 HEALTHY IN NEWTON

What is an

Audiologist?

HIN JUNE 2014.indd 34-35 6/11/2014 8:38:00 AM

FOR PEOPLE WITHHEARING LOSS

1370 Wellbrook Circle, Conyers, Georgia / 770-922-54584181 Hospital Drive, NE, Suite 102, Covington, Georgia / 770-385-0321

Call today for an appointment!

If you experience difficulty hearing, now is the time to schedule your appointmentwith one of our highlyqualified, certified audiologists.

How’s Your Hearing?Have you noticed more difficultyunderstanding family and friends? Does everyone just seem to be mumbling? Are you asking people to repeat themselves often? Are you having to turn the TV volume up?If you answered “yes” to any of these questions, you may need to check your hearing…

Did You Know?• Untreatedhearinglossis associated with isolation, depression, memory problems, loss of income and marital problems

• Amplificationleadstoabetter quality of life, according to a 1999 study by the National Council on Aging.

• Atleast29millionAmericanshave ahearingimpairment;20% inadultsages48-59;over50%in adults over 75.

• Patientswithdiabetesaremore than twice as likely to have hearing loss.

• Exposuretonoiseistheleading cause of tinnitus, and almost always accompanies hearing loss.

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

Donna McGough, F-AAA • Kristyn Meade, F-AAASusann Shriver, CCC-A

www.entspecialists.net

Audiologists are health care professionals who are trained in the diagnosis, treatment and management of hearing loss, balance disorders and other

associated conditions. Audiologists are trained to carry out detailed assess-ments by performing a number of specialized auditory (hearing) and vestibular (balance tests). They are trained to make recommendations for medical treat-ment when needed. Audiologists are trained to fit hearing aids and adjust the hearing aid gradually with appropriate communication strategies. An audiologist can work in a variety of settings and is trained to work with all ages, from babies to elderly patients. Some audiologists work with schools and provide diagnostics and auditory training support to hearing-impaired students. Other audiologists may work in private practice, ENT offices or hos-pitals, assessing hearing and balance disorders. Audiologists must also monitor the newborn infant screenings now required at hospitals. They may also work in areas of research or industrial businesses, managing noise exposure levels and monitoring the employees' hearing and providing instruction and educa-tion of ear protection.

Audiologists are not medical doctors, but a master's or doctorate degree in Audiology is required for licensure. Since 28 million Americans suffer from some form of hearing impairment, the work an audiologist does is essential in our society today. The causes of hearing loss in our society vary. Hearing loss can be a result of noise exposure, trauma, hereditary factors or the natural aging process. Other causes of hearing loss include ototoxic (toxic to the ear/hearing) medications, head injuries, tumors, ear disease, certain medications and illnesses such as diabetes.Contact Ear, Nose and Throat Specialists of Conyers for your local audiolo-gist if you have concerns about your hearing, or if you have related symptoms such as tinnitus or dizziness.

34 HEALTHY IN NEWTON

What is an

Audiologist?

HIN JUNE 2014.indd 34-35 6/11/2014 8:38:00 AM

Summer is upon us and temperatures are finally soaring as the hot sun and blue sky light our

lives up. The bright blue sky is spread out like a cheerful canopy above us. We need some of the natural blue light it bestows upon us since it serves as a biological reminder to our bodies that it is daytime. It also makes us feel alert, happy, ener-gized and awake and adds to our color perception. However, exposure to artificial blue light at the wrong time of day can negatively impact our sleep cycle and recent studies have shown that a particu-lar type of blue light found in natural and artificial light known as High Energy Visible (HEV) or blue-violet light can wreak havoc on our eyes and health. Sources of HEV light range from natural sunlight outside to incandescent (think Thomas Edison) and luminescent (think LEDs-light emit-ting diodes) light sources indoors. Ultraviolet (UV) light provided by sunlight is invisible to the human eye, and although it plays a beneficial role in vitamin D formation, overexpo-sure to UV light can also have harmful effects on our eye health. Most people understand that direct UV radia-tion is dangerous, but are not aware that indirect or reflected UV radiation can also be hazardous. When it comes to the amount of UV light that is reflected off of an object, the surface of the object matters. Some surfaces are more reflective than others. A surface painted bright white, for example, reflects about 22 percent of the sun’s UV radiation. Even surfaces that don’t seem to be inherently reflective can be a source of indirect UV radiation. For example, dry grass in winter bounces about 3 percent to 5 percent of the sun’s radiation back up toward our eyes. Sunglasses are essential for partly

cloudy days. The worst exposure conditions can be with a high sun and light overcast because the white clouds further scatter the UV radiation. Sun-glasses will also provide protection to the delicate skin found around the eyelids, which are common areas for cancerous growths. Visible light waves from the sun travel in all directions and when they reflect off a horizontal surface, like a road, water or the hood of a car, it will reflect in a direction parallel to its surface; this is interpreted as “glare” by the human eye. Polarized sunglass lenses consist of filters oriented in a vertical direction which effectively block these reflected light rays allowing for clearer and more comfortable vision. These types of sunglasses are particularly beneficial for truck drivers and/or fishermen as they greatly improve visibility. With regards to HEV light, it is important to acknowledge that incandescent light sources are quickly becoming replaced by luminescent light sources because LEDs have a longer lifetime, lower energy consumption and less negative environmen-tal impact. We can see this all around us as lumi-nescent light sources progressively conquer office environments, TV screens, computer monitors, smartphones, tablets, etc…Recent research has shown that large exposure to blue-violet light from these sources can cause damage to the light-sensi-tive layers at the back of the eye and contribute to cataract formation as well as accelerating damage in those who have macular degeneration. Luckily the optical industry has evolved its line of protection for all eyes. Innovative new treatment and lenses have been invented to shield eyes from the flood of blue-violent light which we now en-dure every day. These products selectively filter out

blue-violet light and thereby protect the eyes from cataract progression and potential retinal damage while still allowing some blue light to pass so that we may receive its positive benefits like proper color perception and wakefulness. New anti-reflec-tive treatments now incorporate protection for blue light and UV while specific lens materials tuned for 100 percent UV absorption are used. Come visit our optical shop to learn more about these prod-ucts and have a look at our vast array of polarized sunglass eyewear before you head out for that road trip to the beach or that fishing trip at the lake! We need to remember that the very elements that provide us with warmth and light can also have long-term harmful effects on our eye health.

Love your eyes;we’ll make surethey’re healthy!

4167 Hospital Drive • Covington, GA 30014 • 770-786-1234www.georgiavisioncare.com

Georgia Ophthalmologists offers a comprehensive list of visual health

services including routine eye exams for all ages, diabetic exams and testing, diagnosis and treatment of retinal disorders, glauco-ma diagnosis and care, glasses and contact lens prescriptions, and treatment of ocular emergencies. Our surgical services include cataract removal, YAG laser procedures, surgical correction of common eyelid disorders such as ptosis and ectroption, and pterygium removal.

Schedule yourappointment today!

Jose Bigles-Geigel, M.D. Jaymini Nayee, O.D.

The Doctors and Staff at GeorgiaOphthalmologists are committed to

providing the highest level ofophthalmic care for you and your

family. Our physicians take the time to listen to your needs and strive to achieve a collaborative approach to

your treatment and care. Our doctors and medical staff actively participate in

continuing education to ensure thatwe keep abreast of the mostcurrent treatment options andmedications available today.

36 HEALTHY IN NEWTON

Blue Light and Your Vision

Sun is Fun... right?

HIN JUNE 2014.indd 36-37 6/11/2014 8:38:14 AM

Summer is upon us and temperatures are finally soaring as the hot sun and blue sky light our

lives up. The bright blue sky is spread out like a cheerful canopy above us. We need some of the natural blue light it bestows upon us since it serves as a biological reminder to our bodies that it is daytime. It also makes us feel alert, happy, ener-gized and awake and adds to our color perception. However, exposure to artificial blue light at the wrong time of day can negatively impact our sleep cycle and recent studies have shown that a particu-lar type of blue light found in natural and artificial light known as High Energy Visible (HEV) or blue-violet light can wreak havoc on our eyes and health. Sources of HEV light range from natural sunlight outside to incandescent (think Thomas Edison) and luminescent (think LEDs-light emit-ting diodes) light sources indoors. Ultraviolet (UV) light provided by sunlight is invisible to the human eye, and although it plays a beneficial role in vitamin D formation, overexpo-sure to UV light can also have harmful effects on our eye health. Most people understand that direct UV radia-tion is dangerous, but are not aware that indirect or reflected UV radiation can also be hazardous. When it comes to the amount of UV light that is reflected off of an object, the surface of the object matters. Some surfaces are more reflective than others. A surface painted bright white, for example, reflects about 22 percent of the sun’s UV radiation. Even surfaces that don’t seem to be inherently reflective can be a source of indirect UV radiation. For example, dry grass in winter bounces about 3 percent to 5 percent of the sun’s radiation back up toward our eyes. Sunglasses are essential for partly

cloudy days. The worst exposure conditions can be with a high sun and light overcast because the white clouds further scatter the UV radiation. Sun-glasses will also provide protection to the delicate skin found around the eyelids, which are common areas for cancerous growths. Visible light waves from the sun travel in all directions and when they reflect off a horizontal surface, like a road, water or the hood of a car, it will reflect in a direction parallel to its surface; this is interpreted as “glare” by the human eye. Polarized sunglass lenses consist of filters oriented in a vertical direction which effectively block these reflected light rays allowing for clearer and more comfortable vision. These types of sunglasses are particularly beneficial for truck drivers and/or fishermen as they greatly improve visibility. With regards to HEV light, it is important to acknowledge that incandescent light sources are quickly becoming replaced by luminescent light sources because LEDs have a longer lifetime, lower energy consumption and less negative environmen-tal impact. We can see this all around us as lumi-nescent light sources progressively conquer office environments, TV screens, computer monitors, smartphones, tablets, etc…Recent research has shown that large exposure to blue-violet light from these sources can cause damage to the light-sensi-tive layers at the back of the eye and contribute to cataract formation as well as accelerating damage in those who have macular degeneration. Luckily the optical industry has evolved its line of protection for all eyes. Innovative new treatment and lenses have been invented to shield eyes from the flood of blue-violent light which we now en-dure every day. These products selectively filter out

blue-violet light and thereby protect the eyes from cataract progression and potential retinal damage while still allowing some blue light to pass so that we may receive its positive benefits like proper color perception and wakefulness. New anti-reflec-tive treatments now incorporate protection for blue light and UV while specific lens materials tuned for 100 percent UV absorption are used. Come visit our optical shop to learn more about these prod-ucts and have a look at our vast array of polarized sunglass eyewear before you head out for that road trip to the beach or that fishing trip at the lake! We need to remember that the very elements that provide us with warmth and light can also have long-term harmful effects on our eye health.

Love your eyes;we’ll make surethey’re healthy!

4167 Hospital Drive • Covington, GA 30014 • 770-786-1234www.georgiavisioncare.com

Georgia Ophthalmologists offers a comprehensive list of visual health

services including routine eye exams for all ages, diabetic exams and testing, diagnosis and treatment of retinal disorders, glauco-ma diagnosis and care, glasses and contact lens prescriptions, and treatment of ocular emergencies. Our surgical services include cataract removal, YAG laser procedures, surgical correction of common eyelid disorders such as ptosis and ectroption, and pterygium removal.

Schedule yourappointment today!

Jose Bigles-Geigel, M.D. Jaymini Nayee, O.D.

The Doctors and Staff at GeorgiaOphthalmologists are committed to

providing the highest level ofophthalmic care for you and your

family. Our physicians take the time to listen to your needs and strive to achieve a collaborative approach to

your treatment and care. Our doctors and medical staff actively participate in

continuing education to ensure thatwe keep abreast of the mostcurrent treatment options andmedications available today.

36 HEALTHY IN NEWTON

Blue Light and Your Vision

Sun is Fun... right?

HIN JUNE 2014.indd 36-37 6/11/2014 8:38:14 AM

No matter what grade your child is about to en-ter, there’s the yearly back-to-school checklist

of to-dos: shopping for school supplies, filling out permission forms and the pediatric checkup. While it may not seem as urgent, a yearly physical exam by your family’s pediatrician is an important part of your child’s health care. The back-to-school season is a convenient time for putting the exam on your family’s schedule.

Beyond the Athlete’s Physical “Back-to-school checkups are often the only visit most kids and teenagers have with their doctor every year. The annual physical gives the pediatri-cian a chance to give the child a thorough physical exam. It’s also a good chance to address important questions, especially with teenagers, including ad-olescent issues of drinking, smoking, drugs, sexual activity and depression.” Children involved in school athletic programs often receive a sports-specific exam through the school. These exams are good at screening for

potential athletic health problems. However, most school sports physicals do not address the child’s overall health; therefore the most comprehensive examination should be at the pediatrician’s office.

Building a Medical History The continuity of regular physical exams is invaluable because the pediatrician often has a long-term history with the child or adolescent. This helps the doctor detect emerging problems, as well as being informed by the detail of the patient’s his-tory, such as important past illnesses or injuries the child may forget to mention on the sports physical questionnaire.” That detail includes immunization records. “A school exam will generally include a check box asking whether all vaccinations are up-to-date, requiring the parents to remember whether or not they are. The family pediatrician will have accurate records.”

Total Teen Health Adolescence is a time when vital changes are taking place. It’s important to have your child see

the pediatrician during the transition years from later childhood to puberty. It is a critical time for the pediatrician to get a sense of your child’s level of self-esteem and emotional balance. The annual pediatric exam also offers the doctor time to provide wellness guidance and advice.

Examining the Young Athlete A sports physical is more involved than a regular physical. Children and teens play a lot of sports and overuse and overtraining injuries are big problems.The doctor’s annual exam of a young athlete should be similar to one for any other child, but most pediatricians will address some sports-specific issues, including injuries, nutrition, training and exercise programs, and even attitudes in the course of the exam. If you do not have a pediatrician, contact Decatur Pediatrics Group at our new Covington location for an appointment today, 404-296-7133.

Back to the Doctor

38 HEALTHY IN NEWTON

HIN JUNE 2014.indd 38-39 6/11/2014 8:38:40 AM

No matter what grade your child is about to en-ter, there’s the yearly back-to-school checklist

of to-dos: shopping for school supplies, filling out permission forms and the pediatric checkup. While it may not seem as urgent, a yearly physical exam by your family’s pediatrician is an important part of your child’s health care. The back-to-school season is a convenient time for putting the exam on your family’s schedule.

Beyond the Athlete’s Physical “Back-to-school checkups are often the only visit most kids and teenagers have with their doctor every year. The annual physical gives the pediatri-cian a chance to give the child a thorough physical exam. It’s also a good chance to address important questions, especially with teenagers, including ad-olescent issues of drinking, smoking, drugs, sexual activity and depression.” Children involved in school athletic programs often receive a sports-specific exam through the school. These exams are good at screening for

potential athletic health problems. However, most school sports physicals do not address the child’s overall health; therefore the most comprehensive examination should be at the pediatrician’s office.

Building a Medical History The continuity of regular physical exams is invaluable because the pediatrician often has a long-term history with the child or adolescent. This helps the doctor detect emerging problems, as well as being informed by the detail of the patient’s his-tory, such as important past illnesses or injuries the child may forget to mention on the sports physical questionnaire.” That detail includes immunization records. “A school exam will generally include a check box asking whether all vaccinations are up-to-date, requiring the parents to remember whether or not they are. The family pediatrician will have accurate records.”

Total Teen Health Adolescence is a time when vital changes are taking place. It’s important to have your child see

the pediatrician during the transition years from later childhood to puberty. It is a critical time for the pediatrician to get a sense of your child’s level of self-esteem and emotional balance. The annual pediatric exam also offers the doctor time to provide wellness guidance and advice.

Examining the Young Athlete A sports physical is more involved than a regular physical. Children and teens play a lot of sports and overuse and overtraining injuries are big problems.The doctor’s annual exam of a young athlete should be similar to one for any other child, but most pediatricians will address some sports-specific issues, including injuries, nutrition, training and exercise programs, and even attitudes in the course of the exam. If you do not have a pediatrician, contact Decatur Pediatrics Group at our new Covington location for an appointment today, 404-296-7133.

Back to the Doctor

38 HEALTHY IN NEWTON

HIN JUNE 2014.indd 38-39 6/11/2014 8:38:40 AM

at the Intersection of Compassion and Technology

5 1 2 6 H o s p i t a l D r i v e N E | C o v i n g t o n , G A 3 0 0 1 4 | 7 7 0 . 7 8 6 . 7 0 5 3

NewtoN medical ceNter

Do You Know?

For babies who begin their journey in life by arriving early and unexpectedly, Newton medical center is equipped with a level ii Neonatal intensive care Unit. on average 10% of all newborns need extra support. our experienced and compassionate medical team of specially trained physicians, registered nurses and respiratory therapists provide the highest level of care to babies born early or with a critical health condition by means of:

• Mechanical Ventilation• Oxygen Therapy, (CPAP, SiPap, Cannula) • Phototherapy• Nutritional Therapy• Kangaroo Care• Breast Feeding Support• Continuous Monitoring• Cardiology and Vision Specialist

www.newtonmedical.com

Tell your physician you want to have your babyat Newton Medical Center!For general information about our BirthCare and our NICU please call 770-385-4355. For more information about our tours and classes, please call 770-385-4182.

at the Intersection ofCompassion and Technology

HIN JUNE 2014.indd 40 6/11/2014 8:38:56 AM