FA L L 2 0 2 0 $ 5.9 5
YOGA FLOW
ANXIETY DISORDERS HOW MUCH WORRY
A GUIDED,
IS TOO MUCH?
AT-HOME WORKOUT
WHAT YOU NEED TO KNOW ABOUT HPV
INSPIRED WOMEN CELEBRATING WOMEN
GET THE
MEET OUR DOCTORS
411 ON THESE
LOVE, CARE,
FAQS
AND HEALING OTHERS
CARING FOR CLOTHES
AVOCADO ADVANTAGE
GET THE MOST OUT OF YOUR GARMENTS
HEALTHY AND
SWEATER WEATHER
DELICIOUS RECIPES
COZY KNITS TO KEEP YOU WARM THIS FALL
YOU LOOK MARVELOUS! LOCAL COSMETIC ENHANCEMENTS
ANNUAL
WOM E N ’ S H E A LT H
See page 74 for our story on three generations of women!
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F I T N E S S
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R E C I P E S
RISE CHAMPIONS Our deep commitment to quality care has brought us through the darkest days. Now, we are rising up stronger and more determined to fight for the health and well-being of our residents and their families.
L I F E
C A R E
C E N T E R S
O F
Learn more at LCCA.com.
A M E R I C A
A convergence of financial knowledge and capabilities. Right here in Chattanooga. We’ve assembled a team of well-established and highly experienced financial professionals. It has given us the ability to address every aspect of our clients’ financial needs. And by limiting the number of clients we serve, it allows us to offer an uncommon level of service and maintain our unwavering focus on helping to create quality financial solutions. RoundTableAdvisors.com
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This is what we bring to the table – and what will ultimately bring you to us. If you are an individual seeking seasoned financial guidance and the comfort of working with an experienced group of advisors who call Chattanooga home, we welcome the opportunity to sit down together.
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Chattanooga, TN 37421
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1200 Premier Drive, Suite 100
Back: Tony D’Andrea, CFP® // Andy Burnett, CFA® // Terry Lamb // Julie Davis // Dennis Wolfe, CFP® // Austin Cone, CFP® Front: Fran Robertson // Cyndi Scheid // Seated: Amy Bee // Sharon Sidorow
©2013 Raymond James & Associates, Inc., member New York Stock Exchange/SIPC 13-BR38U-0017 EG 1/13
ONE NATION.
FREE FRO M GET YOUR
FLU.
FLU SHOT TODAY.
Together, we can stop the spread of the flu virus. The flu has already started to spread in our area. This virus takes a toll on your body, and for some, it can be life threatening. Anyone can become infected with the flu virus and then infect others who may be more vulnerable to serious complications. So whether you are feeling flu-like symptoms or just feeling under the weather, come see us. Our experienced staff is waiting to care for you seven days a week without an appointment. At American Family Care, our goal is to protect your family’s and our nation’s health.
CLEVELAND: 170 Mouse Creek Road (37312) ph: 423.458.1426 | Open M-F 8-8, S-S 8-5 OOLTEWAH: 9058 Old Lee Highway (37363) ph: 423.531.9110 | Open M-F 8-8, S-S 8-5 HIXSON: 5546 Highway 153, Suite 120 (37343) ph: 423.486.1911 | Open M-F 8-8, S-S 8-5 CHATTANOOGA: 1521 Gunbarrel Rd., Suite 103 (37421) ph: 423.531.0911 | Open M-F 8-8, S-S 8-5 CHATTANOOGA: 3520 Cummings Highway (37419) ph: 423.822.5942 | Open M-F 8-8, S-S 8-5 FORT OGLETHORPE, GA: 26 Parkway Drive (30742) ph: 706.956.2846 | Open Every Day 8-6 ATHENS: 2037 Congress Pkwy. S (37303) ph: 423.381.0152 | Open M-F 8-8, S-S 8-5
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Personalized TOTAL KNEE REPLACEMENT
YOU ARE UNIQUE. YOUR KNEE REPLACEMENT SURGERY SHOULD BE TOO. Unlike traditional total knee replacement surgery, the board-certified surgeons at Hamilton Medical Center use a Mako robot and a virtual 3D model to personalize your knee replacement. Patients who received Mako assisted total knee replacement surgery feel the results. In fact, they reported lower pain scores than those who received a conventional knee replacement.1 Journal of Knee Surgery 2017 Nov;30(9):849-853
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Hamilton Medical Center is a Top 100 Hospital in the U.S. for Patient Safety in Orthopedic Care and certified by the Joint Commission in knee, hip & shoulder replacement surgery.
706.272.6000 HamiltonHealth.com/ortho
Publisher’s Letter
“When women take care of their health, they become their own best friend.” — MAYA ANGELOU
Women’s health should be a top priority. Yet for so many women, annual exams and routine checkups – not to mention appointments for more pressing concerns – are bypassed as careers are juggled, loved ones cared for, and an endless list of tasks tackled. In this issue of HealthScope® magazine, our annual Women’s Health issue, we highlight the importance of women putting personal wellness at the top of their to-do list. In the feature “6 Fast Facts About BRCA1 & BRCA2,” we are reminded that breast cancer can be very treatable when detected early, and genetic testing may be one way to assess your risk. Our feature “Is It an Anxiety Disorder?” delves into common anxiety disorders and ways to get help. In “What You Need to Know About HPV,” we learn the ins and outs of this sexually transmitted infection – and what you can do to protect yourself. This issue also features the section Meet Our Doctors, which showcases local health care providers who specialize in a variety of fields. Their knowledge and care serve as blessings to our community. Also highlighting what our community has to offer is the section You Look Marvelous!, where you’ll learn about the exceptional skin, body, and facial cosmetic enhancements available in our region. As always, don’t miss our annual Women’s Health section, where we explore a collection of
topics that affect women of all ages – everything from periodontal health to the prevalence of hearing loss. And, be sure to check out “Her Story,” where local women share how they have George Mullinix overcome adverPUBLISHER sity in their lives, as well as “Inspired,” which features women celebrating women. There are many more topics inside for you to discover, including travel-friendly beauty products, cozy sweaters from area boutiques, avocado recipes from locals, and a yoga flow with Lisa McBryde. Also of note is our article “Overcoming Loneliness,” which details strategies for connecting with others during the age of COVID-19. Last, but certainly not least, check out the three generations of women on our cover: Brenda Morris, Leah Golden, and Leah’s 12-year-old daughter, Hadley. These active ladies are sure to inspire you with their inner strength, pursuit of wellness, and love for each other. We hope that you find this fall issue of HealthScope® magazine to be informative and uplifting and that it will encourage you and the women in your life to take care of your health. Blessings always,
Celebrating 32 Years! HealthScopeMag.com Follow HealthScope® and CityScope® magazines and Choose ChattanoogaTM Chattanooga Resource & Relocation Guide® on Facebook and Instagram!
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Preparing the Next Generation of Health Care Providers 2020 graduates from Chattanooga State’s Dental Hygiene, Physical Therapist Assistant, and Advanced-Level Pharmacy Technology programs achieved a 100% pass rate on their national exams.
START HERE GO ANYWHERE VI RTUAL
O N LINE
HYBR I D
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11-68-404002-54-9/20/jp - AD - Chattanooga State does not discriminate on the basis of race, color, religion, creed, ethnicity or national origin, sex, disability, age, status as a protected veteran, or any other protected class. See our full EEO statement at chattanoogastate.edu/eeo-statement.
Contents
HealthScope® magazine - Helping Women Care for Themselves, Their Loved Ones, and More!
Be Well 28
6 Fast Facts About BRCA1 & BRCA2 What You Should Know
34
Is It an Anxiety Disorder? How Much Worry Is Too Much?
40 What You Need to Know About HPV
Get the 411 on These FAQs
46 Don’t Fall for It!
Fall Prevention for Older Adults
53
Meet Our Doctors
Love, Care, & Healing Others 54
Dr. Brandon C. Stanley
56
Dr. Melissa L. Gonzalez
58
Shaping Superior Smiles
Supporting Children with Special Needs
Dr. Robert J. Jean Tending to the Community’s Surgical Needs
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61 62
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HealthScopeMag.com
Stay Well Annual Women’s Health Section May-Thurner Syndrome
68 Hearing Loss & Loneliness
64 Periodontal Health Through the Years
70
Learning More About Dental Implants
66 Oral Allergy Syndrome
72
Understanding PCOS
CHATTANOOGA’S
CARDIAC LEADERS are now at
PARKRIDGE HEALTH,
part of the region’s largest cardiac network
CHRISTIAN ALLAN, MD
MAURICE ALSTON, DO
ALISON BAILEY, MD
MICHAEL MIKOLAJ, MD
JENNIFER MIRZA, DO
MARK BONNELL, MD
STEPHEN MARTIN, MD
Bringing together the best in heart care The Parkridge team of cardiologists and cardiovascular surgeons are now part of Centennial Heart – a network of over 100 cardiac experts located in Middle Tennessee. As part of this large group, our patients benefit from the innovation, knowledge and collaboration across all of our areas of expertise. Our partnership is focused on providing quality, compassionate and personalized heart care to the greater Chattanooga community.
Learn more at CentennialHeart.com/Parkridge
Contents
Look Well 74
Meet Our Models
Brenda, Leah, & Hadley
76
Sweater Weather
Cozy Knits to Keep
You Warm This Fall
78
Ready, Set, Go
Top Travel Must-Haves
80 Leveraging Lasers
What You Need to Know About
the Different Treatment Types
82
Caring for Clothes
Get the Most Out
of Your Garments
83
You Look Marvelous!
Exceptional Skin, Body, &
98
Facial Cosmetic Enhancements
84 Botox 86
Laser Facial Therapy
88
Breast Augmentation
90
Dermal Fillers
92 Facelifts
78
Her Story Motivating Stories from Local Women
94
Sandra Brewer
96
Bea Lyons
97
Donna Elle Harrison
98
Elizabeth Williams
Inspired Women Celebrating Women
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101 Cari Brown & Catharine Coll 102 Jamie Rehm & Jamie Brock 103 Jennifer Summerlin &
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HealthScopeMag.com
Tahnika Rodriguez
Non-invasive and surgical treatments available for the reduction of unsightly varicose and spider veins on the legs, face, hands, and more.
Dr. Vincent Gardner is a board-certified surgeon with over 14 years of experience performing endovenous thermal ablation and laser treatments to benefit his patients. He routinely treats visible, unsightly, and often painful veins with innovative, specialized treatments to restore a more attractive appearance with long-lasting results. If vein issues are a concern for you, call 423-551-8346 today to schedule your free consultation. The Vein Institute is located on the top floor of the Southern Surgical Arts building in downtown Chattanooga.
VENOUS LAKE LIP TREATMENT WITH THE DORNIER VASCULAR LASER This patient was seeking treatment for a venous lake on his lip. He was concerned that the lesion looked similar to melanoma, and it was causing the patient to feel selfconscious. Dr. Gardner evaluated the patient and determined that a simple treatment with the Dornier Vascular Laser would be most effective to remove the unsightly lesion. The energy from the laser ablated the surface vein, eliminating blood flow through that vein. The successful removal process can be seen in these before and after photos.
Contents
HealthScopeMag.com Fall 2020 • Vol. 32 Issue 1
110 Feel Well
Departments
104 Overcoming Loneliness
Feel Less Alone
Health in a Minute 16 For Him
with These Strategies
18 For Her
Live Well
20 For the Whole Family 22 For Moms
106 Lisa McBryde’s Yoga Flow
A Guided, At-Home Workout
110 The Avocado Advantage
Avocado Recipes from Locals
114 Top 5: Workout Snacks
Tips from Local Nutrition Coach Alex Wright
24 Health & Wellness Calendar 25 Staff Spotlight 26 Ask the Doctor 50 Silver Side
FA L L 2 0 2 0 $ 5.9 5
ABOUT THE COVER YOGA FLOW
ANXIETY DISORDERS HOW MUCH WORRY
A GUIDED,
IS TOO MUCH?
AT-HOME WORKOUT
WHAT YOU NEED TO KNOW ABOUT HPV
INSPIRED WOMEN CELEBRATING WOMEN
GET THE
MEET OUR DOCTORS
411 ON THESE
LOVE, CARE,
FAQS
AND HEALING OTHERS
CARING FOR CLOTHES
AVOCADO ADVANTAGE
GET THE MOST OUT OF YOUR GARMENTS
HEALTHY AND
SWEATER WEATHER
DELICIOUS RECIPES
COZY KNITS TO KEEP YOU WARM THIS FALL
YOU LOOK MARVELOUS! LOCAL COSMETIC ENHANCEMENTS
ANNUAL
WOM E N ’ S H E A LT H
See page 74 for our story on three generations of women!
SECTION
F A M I L Y
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N U T R I T I O N
Three generations of women – Brenda Morris, Leah Golden, and Leah’s 12-year-old daughter, Hadley – share our fall cover. Full of love and support for each other, these ladies inspire with their enthusiasm, drive, and strong family values.
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F I T N E S S
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R E L A T I O N S H I P S
HealthScopeMag.com
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B E A U T Y
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R E C I P E S
Photo by Lanewood Studio
Publisher
George Mullinix
Sales & New Business Development
Cailey Mullinix Easterly
Sales & Business Development
Katie Faulkner
Art, Creative, & Design
Emily Pérez Long
Design
Lauren Robinson
Editors
Christina Cannon Anna Hill Mary Beth Wallace
SEO/Digital Marketing
Micah Underwood
Contributing Writers Lucy Morris Photographers Emily Pérez Long Lanewood Studio
Rich Smith Sarah Unger
Subscribe to CityScope® or HealthScope® magazines: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Subscribe.” A one year subscription for CityScope® or HealthScope® magazine costs $18. To receive advertising information, change your mailing address, or share your views on editorial: Call 423.266.3440 or visit cityscopemag.com or healthscopemag.com and click “Contact.” CityScope® and HealthScope® magazines and the Choose ChattanoogaTM – Chattanooga Resource & Relocation Guide ® (the magazines) are published by CMC Publications, LLC, a Chattanooga, Tennessee company. Reproduction in whole or in part without written permission is strictly prohibited. Views expressed herein are those of the authors or those interviewed and not necessarily those of the publisher, editors, or advertisers. The publisher, editors, and advertisers disclaim any responsibility or liability for such material. All content associated with and included in advertisements (ads, advertorial, and special promotional sections) placed in the magazines are the responsibility of the respective advertiser. CMC Publications, LLC, cannot and does not assume responsibility for any material contained within or associated with any advertisement. CityScope® magazine Copyright, CMC Publications, LLC, 1993 CityScope® magazine is a trademark owned by CMC Publications, LLC HealthScope® magazine Copyright, CMC Publications, LLC, 1989 HealthScope® magazine is a trademark owned by CMC Publications, LLC Choose ChattanoogaTM – Chattanooga Resource & Relocation Guide® Copyright, CMC Publications, LLC, 2011 Chattanooga Resource & Relocation Guide® is a trademark owned by CMC Publications, LLC
The area’s leading provider of ongoing treatment throughout a life-limiting illness
What is Palliative Care?
Palliative Care Services is specialized medical care for people with life-limiting illnesses. It provides an extra layer of support for patients and their families by focusing on the three Cs: COMFORT Palliative care enables medical professionals to assist in the treatment of symptoms such as pain, nausea, constipation, shortness of breath, and much more. With palliative care, trained professionals can provide the peace of mind that patients are being cared for as best as possible. COMMUNICATION For the Palltiative Care Services team, communication is an open discussion about the diagnosis, prognosis, treatment options, and informed decision-making that goes along with the patient’s specific case. COORDINATION Coordination ensures that the patient, family, caregivers, and professionals understand the patient's goals and objectives. Based on these objectives, care is provided to achieve their goals, allowing patients and their families to focus on what truly matters to them.
Who is a Good Candidate?
Patients struggling with advanced illness or complex medical conditions who wish to increase their quality of life by managing the pain and symptoms associated with their illness are good candidates for palliative care. Some of the more frequent diseases seen in patients choosing this type of care are those with cancer, COPD, and Alzheimer’s, as well as those with congestive heart failure and kidney failure.
What are the Services Offered?
In addition to the care provided to assist patients in managing the symptoms and stresses of their disease, patients are provided additional resources to better manage their illness. More information regarding each patient’s illness is provided along with social workers to help patients better navigate through community resources and to serve as an emotional support system for both patients and their caregivers.
Where are the Services Offered?
Palliative Care Services clinicians come to you. Consults are provided in hospitals, skilled nursing facilities, the clinic, or in the patient’s home. Telehealth services are also offered.
Specialty Programs
HEART TOUCH JOURNEY & CLEAR JOURNEY These specialty programs allow those suffering from cardiac disease and/or COPD to stay in their home setting to receive care. Support and education are provided to each patient and caregiver regarding the disease, medications, when to use them, and when it is appropriate to call a physician for assistance. These programs also include custom-scheduled check-in calls from a member of the Palliative Care Services team as well as access to a 24/7 on-call registered nurse.
If you or someone you love is a candidate for Palliative Care Services, call us today. Tennessee: 423-553-1823 | Georgia: 770-738-7046 | PalliativeCareServices.Org
H E A LT H I N A M I N U T E FOR HIM
The Smart Way to Feel More Full Sometimes losing weight is more about mind over matter than how many hours you spend in the gym. Learn to beat your brain by trying just a few of these psychological tips and tricks for eating less and feeling full. • Snack on foods that require more effort to eat such as shelled nuts, fruits with a peel, or edamame. • Avoid cooking shows, and unfollow foodies on social media who might inspire you to chow down (even if you aren’t hungry). • Make your kitchen and dining room a stress-free location. • Count your bites to stay mindful of how much you’re consuming.
• Wear a belt or form-fitting clothes to the dinner table. • Eat foods that are rich in water such as cucumbers, lettuce, and peppers. • Hide less healthy snacks and foods out of sight, and put them on the top shelf where they are harder to reach.
• Eat off of smaller plates or plates with a thicker border.
• Leave food in the kitchen rather than bringing serving dishes to the table.
• Chew gum after you finish a meal to keep snack cravings at bay.
• Make your meals visually appealing.
IT’S NO JOKE Can Laughter Really Be Good for Your Health?
W
e’ve all heard the saying laughter is the best medicine, and while the research on the health benefits of laughter is still young, professionals agree that it certainly doesn’t hurt to laugh. When someone laughs, their body goes through a physiological change. Muscles stretch, pulse and blood pressure go up, and breathing rate increases, which sends more oxygen to the body’s tissues. While it’s not a substitution for a walk in the park, laughter does have a lot in common with exercise, and 10-15 minutes of laughing can burn about 50 calories. Some researchers also believe that, due to its stress-relieving effects, laugher can boost our immune response and help us sleep better. Other studies have shown blood sugar levels and blood flow to respond favorably to laughter. Even though there is plenty of room for the health benefits of laughter to stem from correlation and not necessarily causation, it is thought to improve one’s quality of life. So, what are you waiting for? Get to giggling!
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• Keep your candy or snack wrappers front and center instead of throwing them away immediately.
HealthScopeMag.com
H E A LT H I N A M I N U T E FOR HER
Cryolipolysis 101
W
DIET DON’TS FOR MIGRAINE SUFFERERS Do you ever find yourself hungry for headaches to be over? When it comes to the relationship between migraines and the food you consume, it can be difficult to discern what to eat and what to avoid. In general, the best foods for migraines coincide with the best foods for overall health, but still, no two people are exactly alike. If you find yourself constantly combating headaches, try keeping a food journal to identify any possible triggers as it relates to diet. In the meantime, try to steer clear of these foods the next time you’re making a meal or searching for snacks. • Sausage, bacon, and other processed meats that contain nitrites • Large amounts of caffeine • Red wine or aged cheeses, which contain tyramine • Foods with monosodium glutamate, better known as MSG • Artificial sweeteners with aspartame or sucralose • Beta-phenylethylamine-loaded chocolate • Bottled salad dressings and dips that contain preservatives • Fruits such as bananas, oranges, grapefruits, and plums that cause a histamine release
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ith innovation and technology leading the health and beauty industry, most of us have heard of CoolSculpting or some other fat-freezing procedure by now. But how much do you really know about the process? The method of getting rid of fat by essentially inducing frostbite is called cryolipolysis and was approved by the Food and Drug Administration in 2010. Since fat freezes at a higher temperature than skin, scientists have discovered that it’s possible to destroy fat while leaving skin unharmed. During a cryolipolysis procedure, your doctor will use paddles to cool your skin, and they generally stay in place anywhere from half an hour to roughly 75 minutes. During that time, around 25% of the area’s fat cells will be destroyed, and results can be seen within a few weeks up to a few months. During the process, you may feel a pulling or tugging sensation along with intense cold. Afterward, some patients experience soreness and slight swelling, but there is virtually no recovery time. With no cuts, medications, or anesthesia, cryolipolysis is a safer alternative to other more invasive fat-ridding procedures, but you should always consult a doctor before undergoing any cosmetic procedure.
Together we can step back and look at how you live. Allow me to use that knowledge to navigate you to the home that fits your lifestyle best. Whether you are looking for new construction, an existing home, downsizing, or listing your home, I’ll be your
REAL ESTATE PARTNER FOR LIFE. Experienced & Successful
A multimillion dollar real estate producer for more than 14 years, Paula has twice received her company’s Downtown Listing Agent of the Year Award and been voted Downtown Partner of the Year.
Real Estate, New Homes & Community Leader
Paula has served multiple terms on the Board of Directors of both the Greater Chattanooga Association of REALTORS® and the Multiple Listing Service. Paula is a multiple term member of the local Home Builders Association and has also been a member of its Executive Committee. She serves too on the Board of Directors of the Kidney Foundation of Greater Chattanooga.
Lifelong Clients & Happy Homeowners
Paula considers her greatest professional reward to be the hundreds of lifelong client relationships she has developed and welcomes the opportunity to become your real estate partner for life.
Call for a Home Valuation
(c) 423.595.5741 (o) 423.265.0088 Buying | Selling New Construction | Land
PaulaPalmerHomes.com
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H E A LT H I N A M I N U T E F O R T H E W H O L E FA M I LY
THE IMPORTANCE OF FAMILY TRADITIONS
N
ow more than ever, people are focusing on their families and looking for ways to stay connected. A great way to keep your family feeling the love is to maintain rituals and traditions. Whether it’s an item passed down at weddings or a game played at a holiday gathering every year, these repeated behaviors are usually symbolic and meaningful. But that’s not all! They work wonders in making sure your family members have a sense of belonging and identity. They can also give families something to look forward to, and since they typically span several generations, they can be a great way to pass down family culture, values, or history. When creating new traditions to strengthen your family’s bond, consider a few things such as what certain events, activities, or items mean to you. Center traditions around activities that your family enjoys, and record traditions by taking pictures, keeping a journal, or compiling recordings. And remember, it’s never too late to start making new memories!
Made with whole grains: Grains have three parts (bran, endosperm, and germ). When something is made with whole grains, the manufacturer keeps all parts intact. That’s not to say that there are only whole grains in the product, however. All-natural: This designation is reserved for foods that don’t have any artificial ingredients. This doesn’t mean the food is healthy or organic. Made with real fruit/fruit juice: Products with this label are only required to contain a small amount of actual fruit or fruit juice concentrate, and the actual fruit or fruit juice used isn’t necessarily the same as the marketed flavor.
Learn Your Labels If you’ve ever spent time trying to decode the labels on your favorite items from the grocery store, you know just how confusing it can be. Well, we’re here to help. Read on for some common food label phrases and what they really mean.
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HealthScopeMag.com
No added sugar: These foods are devoid of any sugars or sweeteners such as corn syrup, honey, cane sugar, or glucose. They can, however, still include sugar alcohols such as sorbitol and xylitol. Fat-free: This designation means the product has less than 0.5 grams of fat per serving. Organic: Food labeled as organic is free of artificial preservatives, colors, and flavors, and its ingredients can’t have any artificial elements either.
Kick Your Allergies Away Get relief from your allergies and asthma!
GetReliefHere.com 423.499.4100
7 Locations to Better Serve You
D O W N T O W N C H AT TA N O O G A CLEVELAND
GUNBARREL
SOUTH PITTSBURG
RINGGOLD
HIXSON D A LT O N
HealthScopeMag.com
21
H E A LT H I N A M I N U T E FOR MOMS
With Halloween just around the corner, it’s no surprise that pumpkin carving is a top item on many people’s fall festivities to-do list. But when it comes to doing this activity with children, how do you make sure there are no mishaps that distract from the fun? According to Consumer Reports, children under the age of 14 should not do any actual pumpkin carving. Instead, let them draw or paint their pumpkin or help clean out the seeds and pulp. For those old enough to create a masterpiece, follow these tips and tricks.
• Work slowly and steadily, and never rush the project. • Cut away from your body. • Use small, controlled motions. • Make sure your workspace is stable, dry, and well lit. • Use specialty tools that get the job done without being too sharp. • Keep the top on your pumpkin so you aren’t tempted to place your hand inside. • Hold the stem to help stabilize your pumpkin. • Keep your hands clean and dry to avoid slipping.
Pain-Free Pumpkin Carving
Tackling Teeth Brushing in Younger Kids
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HealthScopeMag.com
As an adult, it’s easy to know how to care for your teeth. Brushing twice daily and flossing regularly, along with scheduled checkups, are enough for most adults to keep a good bill of health when it comes to their dental hygiene. For kids, however, things can be a little less clear. Even before your little one gets their first set of choppers, regularly run a clean, damp washcloth over your baby’s gums to clear the area of harmful bacteria. When teeth do finally emerge, brush them using an infant toothbrush and a tiny bit of fluoride – about the size of a grain of rice. As soon as your baby has two teeth that are touching, it’s fine to proceed with flossing. Your child should first see a dentist around age 1, and by age 2, they should learn to spit while brushing their own teeth. Avoid giving them water to rinse with, as it can make swallowing toothpaste more likely. Continue to supervise teeth brushing until around age 8.
Our physicians are dedicated to
mind. body. spirit.
Olive Oil Mashed Potatoes SERVES 8 A fresh take on the quintessential American side dish, this recipe for mashed potatoes swaps butter for heart-healthy olive oil. Serve alongside your favorite lean protein and green veggie for a complete meal! Ingredients
1 1/2 Ibs. small Yukon Gold potatoes, halved or cut into 2-inch pieces 6 medium garlic cloves 1/4 tsp. salt 1 cup green onions, chopped 1/4 cup olive oil (extra virgin preferred) 1/2 tsp. black pepper, freshly ground Directions
1. Put the potatoes, garlic, and salt in a large saucepan. Pour in enough water to cover the potatoes. Bring to a boil over high heat. Boil for 1520 minutes, or until the potatoes are soft. Transfer the potatoes and garlic to a colander. Drain well. Return them to the pan. 2. Using the tines of a fork, mash the potatoes and garlic, being sure to crush each piece of potato and each garlic clove. 3. Add the green onions, oil, and pepper, stirring until well combined. Nutritional Information
Calories 134 | Total Fat 7.0g | Sodium 83mg | Total Carbohydrate 17g Dietary Fiber 3g | Sugars 1g | Protein 2g Source: American Heart Association
JOHN S ADAMS, MD-OBGYN 929 Spring Creek Rd Suite 104, East Ridge, TN 37412 (423) 510-0250 ASSOCIATES IN WOMEN’S HEALTH (OOLTEWAH) 6845 Mountain View Rd, Ooltewah, TN 37363 (423) 910-0896
ASSOCIATES IN WOMEN’S HEALTH (RINGGOLD) 4700 Battlefield Pkwy Suite 220, Ringgold, GA 30736 (706) 861-4508
whschattanooga.com HealthScopeMag.com
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HEALTH & WELLNESS CALENDAR October
24 Susan G. Komen® More Than Pink Walk
10 Celebration of Life and Hope
The Susan G. Komen® organization invites you to #WalkWhereYouAre to support their mission to end breast cancer forever. Your participation helps fund breast cancer research, education, screening, treatments, and much more. With registration now free, there is no excuse – start a team today! And, be sure to connect with the Komen Community online on the day of the event. KOMENCENTRALTENNESSEE.ORG
Join the 13th annual Celebration of Life and Hope from the comfort of your home! Registration includes access to the livestream and auctions, a $25 donation to the Austin Hatcher Foundation, a discount code to the Lodge Cast Iron website, and a chance to win a Lodge Cast Iron basket valued at $500. Mike and Traci Otterman will serve as cochairs, and their daughter Simone, is this year’s honoree. CELEBRATIONLH.COM
November
10 2020 Tennessee Valley Heart Walk Digital Experience
19 Medical Society 2020 Virtual Fall Ball
The Medical Society & Foundation is set to present The Masked Physician: Virtual Fall Ball. This free event, which takes place from 7 to 8 p.m., includes a silent auction and benefits Project Access, LifeBridge, and The Youth Leadership Forum. Please RSVP to attend. CHATTMD.ORG
While the Tennessee Valley Heart Walk won’t be held in person this year, it could be the biggest Heart Walk yet. Support this great cause – and continue the fight against heart disease and stroke – by registering for the event online. Then, on October 10, lace up and walk where you are beginning at 8 a.m. Use the hashtag #TNValleyHeartWalk to share selfies and stay connected on the day of the walk. CHATTANOOGAHEARTWALK.ORG
17 Chattanooga’s Walk to End Alzheimer’s
The Chattanooga Walk to End Alzheimer’s might look a little different this year, but you can still do your part to rid the world of Alzheimer’s and all other dementia. Participants are asked to walk in small teams of family and friends on any sidewalk, track, or trail, while others in the community do the same. To join in, register online and start fundraising! ACT.ALZ.ORG/CHATTANOOGA
18 7 Bridges Marathon
With a live DJ, event shirts, medals, pre-race pasta dinner, and more in store, the 10th annual 7 Bridges Marathon is returning Sunday, October 18, at Cohutta Springs Resort in Crandall, GA.
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26 Chattanooga Hungry Turkey Run
This year’s participants can choose from the marathon, half-marathon, 5K, relay race, and family fun run. Marathon distance will be certified as BQ. Visit the website for more information. SEVENBRIDGESMARATHON.COM
19 RMHC Golf Classic
The Chattanooga RMHC Golf Classic is set for October 19 (rain date October 26) at Black Creek Club. This tournament is celebrating its 21st year of helping the Chattanooga Ronald McDonald House keep families close to their sick children. Staggered tee times start at 8:30 a.m. Contact Tiffany Commons at tiffany.commons@rmhchattanooga. com to reserve a tee time for your team. RMHCHATTANOOGA.COM
Before indulging in your Thanksgiving dinner, take part in this Chattanooga tradition – virtually as the Thankful Turkey! Participants can fly solo, or with their family flock, on the course of their choice any time between Thanksgiving Day and November 29. Just be sure to register online to choose your distance (5K, 10K, or half marathon) and secure your spot. TENNESSEERUNS.COM/ CHATTANOOGAHUNGRYTURKEYRUN
26 Grateful Gobbler Walk
Registration is now open for the 21st annual Grateful Gobbler 5K. This event is going virtual in 2020, with the walk to begin at 8 a.m. on Thanksgiving morning at participants’ course of choice. There are several options available for packet pickup, with more information on the event’s website. All proceeds benefit the Maclellan Shelter for Families and homeless services. GRATEFULGOBBLERWALK.ORG
STAFF SPOTLIGHT
CENTER FOR SPORTS MEDICINE & ORTHOPAEDICS
CHI MEMORIAL MEDICAL GROUP
Benjamin Geddes, MD
Rishabh Shah, MD
Center for Sports Medicine & Orthopaedics has announced the addition of Dr. Benjamin Geddes, an adult and pediatric spine surgeon, to its staff. Dr. Geddes is highly trained and skilled in a diverse set of minimally invasive procedures and surgical techniques.
CHI Memorial Surgical Associates has welcomed Dr. Rishabh Shah, a graduate of the University of South Carolina School of Medicine, as a general surgeon. He will also offer weight loss surgery to patients through CHI Memorial Metabolic and Bariatric Care.
THE CHATTANOOGA HEART INSTITUTE
THE CHATTANOOGA HEART INSTITUTE
Chad Armstrong, MD
Aaron Soufer, MD
Dr. Chad Armstrong has joined The Chattanooga Heart Institute at CHI Memorial. Dr. Armstrong received his medical degree from the University of Mississippi Medical Center in Jackson. He is board-certified by the American Board of Internal Medicine.
Dr. Aaron Soufer has joined The Chattanooga Heart Institute at CHI Memorial. After receiving his medical degree from the University of Connecticut School of Medicine in Farmington, he completed a residency in internal medicine at Yale New Haven Hospital.
HAMILTON HEALTH CARE SYSTEM
HAMILTON HEALTH CARE SYSTEM
C. Brian Delashmitt, DO, MBA, FACP
Vikas Jain, MD
Dr. C. Brian Delashmitt has been named vice president and chief medical officer (CMO) for Hamilton Health Care System. Dr. Delashmitt is responsible for clinical quality and performance improvement, medical staff services, accreditation, hospitalists, and intensivists.
Dr. Vikas Jain recently joined Hamilton Physician Group – Specialty Care in Dalton, GA. He is a board-certified pulmonologist and provides treatment for respiratory diseases, including asthma, bronchitis, COPD, occupational lung diseases, and lung cancer.
ERLANGER MEDICAL GROUP
ERLANGER MEDICAL GROUP
Mark Jones, MD
Ryan Voskuil, MD
Dr. Mark Jones has joined Erlanger Medical Group’s internal medicine practice. A board-certified physician, Dr. Jones is a member of the American Medical Association. He attended the University of Tennessee Health Science Center College of Medicine in Memphis.
Dr. Ryan Voskuil has joined Erlanger Orthopaedic Institute. Dr. Voskuil is the region’s only adult and pediatric fellowship-trained orthopaedic oncologist, and in his new role, he will create the region’s first dedicated sarcoma team.
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ASK THE DOCTOR
Q. My mother’s health is declining, and her doctor has encouraged us to look into hospice care. What can we expect? A. You can expect hospice care to provide support to the patient and family. The hospice team will provide emotional and spiritual support to the patient and family, as well as physical and medical support to the patient. The hospice team includes nurses, hospice aides, social workers, chaplains, bereavement counselors, and physicians. The hospice team will help prepare you for the next stages of your loved one’s disease by providing education about the process as well as how to assist in providing the care your loved one needs. We often hear families tell us they wish they had called sooner because they feel such relief with the support provided. I would encourage you to have a hospice representative come out and discuss the services with you. Marissa Warden, NP Nurse Practitioner Hospice of Chattanooga, Alleo Health System hospiceofchattanooga.org
Q. Our 5-year-old son was diagnosed with an autism spectrum disorder, and we’ve been told Applied Behavior Analysis is a great tool. What can we expect from therapy? A. Intensive Applied
Behavior Analysis (ABA) therapy is recognized as an effective treatment for autism by the American Academy of Pediatrics and National Institute of Mental Health. The goal of ABA is to help children learn skills they need to be successful across home, school, and community settings. Intensive ABA therapy is often
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carried out by a behavior technician who is supervised by a Board-Certified Behavior Analyst (BCBA). The hours programmed per week or dosage of therapy is determined following an individualized assessment. Treatment goals are individualized to the needs/priorities of a particular child and his or her family. Common
goals include promoting behaviors that align with personal safety, self-care skills, personal hygiene, tolerating transitions, social interactions with peers, and communication. An important and necessary part of ABA is collaboration and coaching of caregivers so that those closest to the child are learning ways to best support him or her throughout the
day. Treatment often lasts for a minimum of six months with overall duration based on the child’s needs and rate of progress toward goals. Melissa Gonzalez, PhD, BCBA-D Clinical Psychologist & Clinical Therapy Director Siskin Children’s Institute siskin.org
Q. I fear my daughter might be struggling with the beginning stages of an eating disorder, but I’m not sure. Do you have any advice?
A. First of all, trust your instincts. You know your daughter better than anyone. Pay attention to possible indicators of eating issues such as a drop in weight (where is she on the growth charts?), exclusion of food groups, and negative talk about her body. Other concerns include changes in her personality. Have you noticed her unique qualities diminished? The earlier you get support the better. Contact her pediatrician and find a good therapist and registered dietitian who specializes in eating disorders. Make sure she knows she has not done anything wrong but emphasize the importance of support and encouragement for her or anyone who struggles with food, eating, and body image issues. Pamela Kelle, RDN, CEDRD Nutrition Therapist/ Registered Dietitian yourownfoodcoach.com
Q. I’m so tired of my varicose veins! How can I get rid of them? A.
Varicose veins are a sign of venous insufficiency in your legs. There are both superficial and deep veins in your legs, and treatment varies depending on what veins are affected. Patients can either
Q. My fiancé doesn’t want to do premarital counseling, but I’ve always heard it’s a good idea. How can I encourage him to give it a try?
be symptomatic or asymptomatic from this. Symptoms include swollen, painful, and heavy legs, or visible veins. The first step is to be evaluated by a vascular specialist. They will examine your legs and obtain
A. “Can you imagine
how different our marriage would’ve been if we had learned these things in the beginning?!” “I wish we would’ve known this stuff when we first got married!” This is the feedback I get from couples that have been married for 20-30+ years. If I could convince every couple getting married to do premarital counseling, I would! Premarital counseling sets couples up for success by equipping them with the tools they need to be able to address difficult topics they’ll face as a team. As a marriage therapist, I have found that premarital counseling can make all the difference for a couple. Each of us brings our own individual story and issues into the relationship.
an ultrasound to determine the best method of treatment. Treatment may include compression therapy, vein ablation, phlebectomy, sclerotherapy, or venogram. Elizabeth Hartmann, MD Vascular/ Endovascular Surgeon Vascular Institute of Chattanooga vascularinstituteofchattanooga. com
A competent premarital therapist will be able to help you identify those – and hopefully work through those – before you say, “I do.” With the divorce rate as high as it is, I think the more proactive a couple can be in setting themselves up for success in the beginning, the better off they will be long-term. Be picky about your premarital counselor. Over 70% of therapists will claim to do couples work, but only about 11% have actual training in working with couples. Karisa Kaye, MAMFT Marriage & Family Therapist/Sex Therapist I Love Us Relationship & Intimacy Counseling iloveusintimacy.com
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6 Fast Facts About BRCA1 & BRCA2 MUTATIONS OF THESE GENES CAN LEAD TO BREAST AND OVARIAN CANCERS. HERE’S WHAT YOU SHOULD KNOW. BY LUCY MO RRI S
Back in 2013, the BRCA1 and BRCA2 genetic mutations gained notoriety when actress Angelina Jolie revealed she had undergone a double mastectomy. Jolie elected to remove both breasts, a preventative measure, because genetic testing had revealed she had the BRCA1 genetic mutation, which put her at an 87% lifetime risk of developing breast cancer. While genetic testing for breast cancer had been around for years already, such a prolific case shed new light on the option. According to a study published in the American Journal of Preventative Medicine, only 24% of folks opted for genetic testing in 2004, but by 2014, more than 60% sought it out. With October long serving as Breast Cancer Awareness Month, we’re here to fill you in on the facts about BRCA1, BRCA2, and genetic testing.
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DR. ERIC MANAHAN SURGEON, HAMILTON PHYSICIAN GROUP GENERAL SURGERY
KATIE VIOLA GENETICS NURSE NAVIGATOR, ERLANGER HEALTH SYSTEM
CASEY WADDLE FAMILY NURSE PRACTITIONER, CHI MEMORIAL BREAST CARE ASSOCIATES
1. A BRCA gene mutation increases your risk of breast and ovarian cancer. You may wonder how our genes impact cancer in the first place. Well, our genetic code contains about 20,000 genes, all of which work together to tell our cells what to do. Everyone’s genetic code varies, and some of us experience mutations. Certain mutations can be caused by environmental factors, like air pollution, or simply occur spontaneously. Others are inherited from our parents. “BRCA1 and BRCA2 are inherited gene mutations that place a person at a higher risk for breast and ovarian cancer,” explains Dr. Eric Manahan, a surgeon with Hamilton Physician Group – General Surgery and member of the board of directors for the American Society of Breast Surgeons. Casey Waddle, a family nurse practitioner with CHI Memorial Breast Care Associates, explains the risk breakdown. “If someone tests positive for the BRCA1 gene, then her risk for developing breast cancer in her lifetime is as high as 87%, and the risk of developing ovarian cancer is as high as 54%. Similarly, if someone tests positive for the BRCA2 gene, then her risk for developing breast cancer in her lifetime is as high as 84% and ovarian cancer is as high as 27%.”
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3. Your risk for a BRCA mutation may be higher (or lower) than you think.
2. Mastectomy isn’t your only option. If you test positive for a BRCA mutation, it doesn’t mean you’ll have to undergo a double mastectomy. While a preventative double mastectomy has been shown to reduce the risk of developing breast cancer by 95% in those who have either mutation, not everyone wants such an aggressive approach. Waddle explains, “There are a wide variety of options for people who test positive for the BRCA1 and BRCA2 genes. The NCCN (National Comprehensive Cancer Network) recommends a bilateral prophylactic mastectomy and a bilateral salpingo-oophorectomy (removal of both breasts and removal of both ovaries) as surgical options; however, some women wish to be followed in a more conservative manner. Conservative follow-up should include: clinical breast exams every six months beginning at 25 years old, an annual MRI beginning at 25, annual mammogram at age 30, transvaginal ultrasounds, and a CA-125 blood test starting at age 30.” Chemoprevention, or taking medications to reduce the risk of developing cancer, is another option.
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On average, a woman’s risk of having a BRCA1 or BRCA2 mutation is about 1 in 400, according to a study published in the New England Journal of Medicine. But that doesn’t mean every woman’s risk is the same. Certain factors can increase your odds. For example, women of Ashkenazi Jewish decent have closer to a 1 in 50 chance of harboring one of the mutations. Other risk factors that increase your risk of a BRCA mutation include a history of breast cancer before age 50, triple negative breast cancer before age 60, bilateral breast cancer at any age, or ovarian cancer at any age; having both breast and ovarian cancer at any age; having a relative who had breast cancer diagnosed before age 50; having a male relative with breast cancer; having a relative already known to have a BRCA1 or BRCA2 mutation; and having two or more close relatives that had breast cancer at a young age. While these factors don’t guarantee you will have a BRCA mutation, it’s worth speaking to your doctor to determine if genetic testing is a good idea for you. “The American Society of Breast Cancer Surgeons recommends all women diagnosed with breast cancer strongly consider genetic testing,” says Dr. Manahan.
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4. You can inherit a BRCA mutation from your dad’s side of the family. You often hear you should consider genetic testing if your mom had breast or ovarian cancer, but you can just as easily receive the mutation from your dad’s DNA. Fifty percent of your genes come from him, after all! “A common misconception about breast cancer is that it only comes from your maternal family. Since we get half of our DNA from our mother and half from our father, you can actually inherit a mutated gene from either of your parents,” says Katie Viola, a genetics nurse navigator with Erlanger Health System. “If you have a family history of breast or ovarian cancer on either side of your family, you may qualify for BRCA testing.”
5. There are other genetic tests out there. A typical BRCA test includes meeting with a genetic counselor and undergoing a quick sampling. Waddle explains, “Either a blood or saliva sample is obtained and sent to the lab for processing and interpretation. Typically, results are returned in 7-14 days.” In recent years, though, researchers have identified additional inherited gene mutations that increase the risk of breast cancer. Dr. Manahan explains, “There are now multiple genes other than BRCA1/2 which place women at higher risks for developing breast cancer including PALB2, TP53, PTEN and BRIP1.” If a BRCA test came back negative in the past, you may consider exploring these newer tests, which are usually offered as part of an extended gene panel.
6. Early detection is key. When it comes to treating any form of cancer, early detection is vital. When cancers are in their earliest stages, they are localized, which means they haven’t spread. Regional cancers have spread to nearby structures or lymph nodes, while distant cancers spread throughout the body and affect other major organs. “Breast cancer is very treatable if found quickly,” says Viola. “Early stage breast cancer has a cure rate of 98.9%.” Similarly, ovarian cancer has a five-year survival rate of 92%. “The goal of high-risk screening and genetic testing is to identify those at an increased risk and prevent or find cancers while they are controlled,” Viola explains. The decision to undergo genetic testing for breast or ovarian cancer can be an emotional experience and, at times, overwhelming. Your doctor can speak to you about options and help you understand the best path for you. In the end, an informed decision is the best decision. HS
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Erlanger’s elite robotics team includes Drs. Kristopher “Case” Sanders and Matthew Higgins (pictured), along with Drs. Mark G. Freeman and Chad Smith.
IN SKILLED HANDS, THIS ROBOT IS A TIME MACHINE. Turn back the clock to when your joints felt new. Armed with the latest robotic technologies, Erlanger orthopaedic surgeons can operate on joints and cut only what’s necessary, while protecting healthy bone and soft tissues. Only Erlanger’s team has expertise with multiple robotic systems. This provides surgeons and their patients with more choices for better quality care, and a return to a pain-free, active life. Learn more at Erlanger.org/ortho.
We all stress about things, but your level of worry could be indicative of something more serious. BY LUCY MORRIS
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Whether it’s a big project due date at work or a twinge in your throat you fear might be the beginning signs of the flu, anxious thoughts are pretty run-of-the-mill. The issue lies in how much these concerns plague your everyday thoughts and experiences. Feeling anxious from time to time is very different from an anxiety disorder. The most common mental illness in the United States, anxiety affects more than 40 million adults, and considering the unfamiliarity of the world we’re living in today, it’s no surprise the numbers are on the rise. If you worry that your worrying might be a sign of an anxiety disorder, you’re not alone. Read on to learn how to differentiate between the two and what to do if it turns out you are struggling with a disorder.
Anxious Thoughts or Anxiety Disorder? Having anxious thoughts from time to time is normal, and contrary to popular belief, it’s not always a bad thing. Natalie Battles, a therapist with Roots Counseling Center, explains, “Anxiety is not necessarily harmful. It comes from fear, and fear comes from our bodies and minds telling us something is not safe. Anxious thoughts keep us alert and help us do things well.” Battles calls this ‘healthy anxiety,’ which she says can look like short periods of feeling anxious, feeling anxious in stressful situations, and worrying about situations or events that could cause problems, among other things. Basically, it’s feeling anxious occasionally but not enough to where it affects daily life. Battles continues, “An anxiety disorder, or ‘unhealthy anxiety,’ on the other hand, can look like months or years of feeling anxious, anxious feelings that aren’t always linked to stressful situations, and worrying about situations or events that aren’t likely to cause problems.” Essentially, it’s a level of anxiety that’s impacting the way you live day to day. Anxiety disorders can cause mental symptoms like trouble concentrating or thinking of things other than the present worry. Sleep issues are also common. It can also cause physical symptoms like gastrointestinal problems, weight gain, high blood pressure, heart disease, a weakened immune system, headaches, and more. “In the short term, anxiety increases your breathing and heart rate to direct blood flow where it’s needed in order to respond to the stressor,” Battles explains. “However, long-term anxiety can cause your brain to release stress hormones on a regular basis. Your body then begins to believe it is always in danger (ready to fight or flight) and floods with adrenaline and cortisol. When this happens, physical symptoms can appear that are a result of our anxiety.”
NATALIE BATTLES
KRISTIN SMITH
LICENSED CLINICAL SOCIAL WORKER,
LICENSED PROFESSIONAL COUNSELOR,
ROOTS COUNSELING CENTER
PARKRIDGE VALLEY HOSPITAL
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Common Anxiety Disorders If your anxiety is impacting your ability to live your life, it’s likely you have an anxiety disorder. There are numerous types of anxiety disorders that range from separation anxiety to specific phobias, but the most common are generalized anxiety disorder, social anxiety disorder, and panic disorder. Kristin Smith, licensed professional counselor with Parkridge Valley Hospital, explains the specifics: GENERALIZED ANXIETY DISORDER (GAD) – “GAD is characterized by excessive worry and uncontrollable apprehension that occurs more days than not about numerous events and activities,” says Smith. “The anxiety is out of proportion to the actual impact of the event.” SOCIAL ANXIETY DISORDER – According to Smith, “Social anxiety disorder is a specific fear or anxiety about social situations, and it’s persistent. It causes significant impairment in functioning, and sufferers tend to believe the situations will involve negative scrutiny or embarrassment.” PANIC DISORDER – “Panic disorder is associated with recurrent unexpected surges of intense fear or discomfort in which some of the following can occur: increased heart rate, sweating, shaking, chest pain, nausea, dizziness, feelings of choking, or fear of dying that creates a persistent worry about additional attacks,” says Smith. “It can lead to a significant change in behavior in order to avoid the attacks.”
Getting Diagnosed A psychiatrist, psychologist, licensed mental health provider, or medical doctor can diagnose an individual with an anxiety disorder based on a few criteria. Smith explains, “To be diagnosed with an anxiety disorder, the feelings of anxiety must be present on more days than not for six months; at least three other symptoms must be present; there must be impairment in social, occupational, or other areas of functioning; and it must not be attributable to substance use
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or otherwise better explained by another mental health disorder.” Unfortunately, getting help means admitting you need help, and there is a stigma associated with asking, especially as it relates to mental health. “We do not want to be perceived as weak or unable to solve our own problems,” says Smith. “We may also be concerned that our personal and professional lives will be disrupted if we ask for help.” To break this stigma, mental health professionals recommend increasing conversations about our struggles.
This can help validate our own feelings, along with the feelings of others. “During this time of COVID-19, I have noticed more people starting to talk about their struggles,” says Battles. “It’s as if this ‘quarantined’ and ‘socially distant’ time has given us permission to admit that life is hard even though we may look like we have it all together. I am encouraged by these hard discussions with friends, family members, and clients, and I am reminded that the only way we get over something is to go through it.”
OPENING EARLY OCTOBER 2020
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Located off I-75 at 7402 Lee Highway
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What You Can Do If You’re Struggling Beyond talking with trusted confidants, there are other steps you can take to overcome or address your anxiety if you’re suffering. SELF-TREATMENT – First and foremost, it’s important to take the best care of yourself possible. This includes eating a healthy diet, exercising and remaining physically active, getting good sleep, and practicing relaxation techniques and meditation methods. PROFESSIONAL THERAPY – Completed with the help of a mental health provider, various therapy techniques can provide relief. Battles explains the options. “Cognitive Behavioral Therapy (CBT) works on identifying, understanding, and changing thinking patterns and behaviors related to anxiety. Dialectical Behavioral Therapy (DBT) examines multiple and sometimes contradictory ideas, combining self-acceptance with positive change simultaneously. Exposure Therapy gradually exposes an individual to a feared situation in a safe and controlled environment.” MEDICATION – In some instances, medication may be recommended in conjunction with the other methods. Your doctor can explain which one is best for you and your particular situation. If you struggle with anxiety, don’t let it dampen your spirits! You are not alone, and there is help out there for you. Don’t let cost, fear, or the stigma associated with asking for help hold you back. Remember that it’s okay to not be okay. HS
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What You Need to Know About
Get the 411 on these FAQs BY LUCY MORRIS You may have heard of HPV, but did you know that it’s a sexually transmitted infection and that it’s incredibly common? Did you know you may not even know you have it? HPV is a very real concern for anyone who is sexually active, so we asked local providers Dr. Shevonda Sherrow, owner and OB-GYN at Innovative Women’s Health Specialists, and Chelsea Gondek, nurse practitioner with Parkridge Medical Group – East Ridge, to fill us in on the specifics.
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Q. What exactly is HPV? A. “Human papillomavirus, or HPV, is the most common sexually transmitted infection,” Dr. Sherrow explains. In fact, it’s so common that 80% of people get exposed during their lifetime, and 79 million Americans are currently living with the infection. There are around 200 strains of the virus, some of which are lower risk (called ‘non-oncogenic’) and nothing to be overly concerned about, while other high-risk (‘oncogenic’) strains can lead to the progression of cervical and other cancers. To understand the concept of the various strains, Dr. Sherrow says to think of it like a family surname. “The Smiths are all related, but Joe and Jill Smith are very different.”
Q. What do the symptoms look like? A. Typically, you don’t experience any symptoms with an HPV infection, so you can have it for a long time without knowing. Some strains, however, do cause symptoms. “Symptoms vary based on the subtype you are infected with and also your own immune system health,” explains Dr. Sherrow. Low-risk strains can cause genital warts, which look like small, fleshy bumps. While a nuisance, the strains that cause genital warts do not lead to cervical cancer. Rather, cervical cancer is caused by high-risk strains and doesn’t tend to show up for years or even decades after someone is infected with HPV. It’s important to note that just because you don’t have symptoms, doesn’t mean you’re not infected. “A major misconception about HPV is that many people believe the absence of symptoms means they’re not infected,” says Gondek. “Because HPV can present asymptomatically, it is critically important to have annual appointments with a physician.”
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Q. How does HPV spread? A. The most concerning strains of HPV are spread through skin-to-skin contact during sexual activity. Gondek explains, “Individuals can acquire HPV if their mouth or genitals touch the genitals of someone else who is infected. This can happen through all forms of sexual activity including oral, anal, and vaginal sex. HPV can also be spread through close genital-to-genital contact even if the individual does not have sex.” It's also important to note that HPV can be passed to you even if your partner isn’t experiencing symptoms, which can make it hard to determine when you contracted the infection. While other strains can be passed through non-sexual activity – for instance, some can be picked up while walking barefoot in a public shower – these strains cannot lead to serious complications like cervical cancer, and are therefore not anything to be particularly concerned about.
Q. Who’s most at risk? DR. SHEVONDA SHERROW OB-GYN, INNOVATIVE WOMEN’S HEALTH SPECIALISTS
CHELSEA GONDEK NURSE PRACTITIONER, PARKRIDGE MEDICAL GROUP – EAST RIDGE
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A. Anyone who is sexually active is at risk, but more unprotected partners equates to a higher risk. Dr. Sherrow explains, “Data shows that 75-80% of sexually active Americans are infected with HPV. The more partners you have and are sexually active with without protection, the more likely one or many of those partners are infected with HPV.” (Remember: “sexually active” doesn’t just mean full-on intercourse!) Women with chronic yeast infections are also at an increased risk, and presently, women in their teens and early 20s in the United States make up the highest percentage of those infected. (That being said, there are currently no FDA-approved detection tests for men.)
Q. How do I know if I have it? A. Since it’s often asymptomatic, an irregular Pap test may be the first sign that you have or had an HPV infection. So, don’t skip your regular checkups! Gondek shares, “According to American College of Obstetricians and Gynecologists (ACOG) recommendations, patients should start getting regular Pap testing at 21-29 years old and repeat every three years. Women aged 30-65 years should have a Pap test and HPV test completed every five years.”
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Q. How is it treated? A. There is currently no cure for HPV; however, most HPV infections clear up on their own within about two years. “Most people will clear the virus from their immune system and produce antibodies against the infection within a few years of acquiring it,” says Gondek. That being said, the health of your immune system plays a role. Folks with conditions like diabetes, lupus, and HIV, to name a few, may not ever clear the virus, and smokers have a decreased likelihood of clearing the virus on their own as well. The persistent infections, or the ones that don’t clear up on their own, are the ones that can lead to cancer-causing cell abnormalities down the road.
Q. How can I protect myself? A. There are a couple of methods to lower your risk of developing the infection. The first is to remain abstinent until marriage and to ensure your partner does the same. If that’s not possible, using a condom with each sexual encounter and limiting the number of lifetime partners you have can reduce your risk. But the most effective method for preventing HPV is vaccination. According to Dr. Sherrow, there are three vaccines approved for use against HPV. “These vaccines vary on the subtypes targeted. Subtypes 6 and 11 are associated with genital warts, while subtypes 16 and 18 are associated with 70% of cervical cancers in the U.S. and 30-40% of penile cancers.”
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The Advisory Committee on Immunization Practices (ACIP) recommends routine vaccination against HPV at age 11 or 12, though the vaccination is approved for females up to age 26, and males up to age 21. Girls and boys who begin the series between the ages of 9 and 14 receive a two-dose schedule, and those who begin the series between the ages of 15 and 26 – and those who are immunocompromised – receive a three-dose schedule.
Q. I thought only girls needed to get the vaccine? A. Back in 2006, the original HPV vaccine was only approved for girls. This was because cervical cancer is a prominent female cancer, which made the vaccine easy to study. Just three years later, the vaccine was approved for boys too, and more recent studies suggest that the vaccine shows a similar effectiveness in males. Considering that there are an estimated 14 million new genital HPV infections each year in the U.S. and half are in 15- to 24-year-olds, early vaccination for both girls and boys is immensely important. “Vaccination only works before a person gets infected with the virus, which is why health care providers recommend it at a young age,” explains Gondek. The immune system of a child also responds better to the vaccine than that of an older teen or young adult.
HPV is incredibly common (hello, 80% of us will be infected at some point!), so there is no reason to feel stigmatized about it. Consider vaccination for your children and be proactive about your own health by practicing safe sex and getting regular checkups with your OB-GYN. With these methods, you can reduce the likelihood of infection and subsequent complications. HS
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During an economic crisis, sometimes your old playbook doesn’t have the solution you’re looking for. At HHM, we’re shining a light on important issues like expense control and vendor negotiation. We’re illuminating new profit opportunities and showing you actionable ways to reach your goals. Unprecedented times require unrivaled values and unwavering commitment. Call 423-756-7771 to get guidance from one of our trusted business advisors. Together, we’ll find a way through this.
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Don’t Fall for It! Fall Prevention for Older Adults BY LU CY MOR R IS
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fall at any age can be scary, but for folks 65 and older, a loss of footing can be especially dangerous. In fact, falls are the leading cause of fatal and nonfatal injuries among older adults. Research suggests that each year, 1 in 4 older Americans fall, and a quick slip can lead to lasting damage like broken bones, hip fractures, head injuries, and more. What was once an active lifestyle can be stifled in a matter of seconds. Fortunately, most falls can be prevented by taking the proper precautions. If you are getting older or have an aging loved one, take heed of the following facts and steps to remain as healthy and independent as possible.
THE FACTS ON FALLS
Unfortunately, falls are all too common in the aging population. According to the Centers for Disease Control and Prevention, 3 million older adults are treated in the emergency department for fall injuries yearly. Alycia Cleinman, a geriatrician with CHI Memorial Center for Healthy Aging, explains the breakdown. “Fall rates in older adults vary based on their setting. For communityDR. ALYCIA CLEINMAN GERIATRICIAN, CHI MEMORIAL CENTER FOR HEALTHY AGING
dwelling older adults, the serious fall rate is 10%, while that rate doubles to 20% for nursing home residents.” But it’s not the fall itself that is the major concern. A fall can sideline an older adult from the activities that bring them joy and impact their independence. Dr. Cleinman explains, “Falls are dangerous in this population because they can lead to serious consequences like functional decline, fracture, head trauma, and an increased risk of medical services and nursing home placement.”
FALL FACTORS
Numerous factors contribute to the increased likelihood of falls, and they can range from easily adjustable to more complex. These include: CLOTHING AND SHOES From head to toe, your attire could be setting you up for a serious fall without your knowledge. Tight clothes, for instance, can restrict blood flow, which affects muscles and movement. Excessively loose clothing, on the other hand, can get caught on doors, furniture, and more, which can lead to a fall. Shoes provide their own issues. They may be too loose, which makes it hard to walk, or a worn-out, slippery sole could lead to slippage. And any shoes that don’t address specific podiatric concerns like fallen arches just won’t cut it.
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BE WELL
ENVIRONMENTAL FACTORS From poor lighting to a cluttered home, environmental factors can be easy to overlook. Throw rugs, cords, and misplaced items are major tripping hazards. Uneven stairs or flooring are also dangerous. Leaks, worn-out flooring or banisters, and more can all wreak havoc. MEDICAL CONDITIONS Certain chronic medical conditions, like cognitive impairment or walking issues, are huge contributing factors for falls, even if they’re being managed properly. Medications should also put you on alert. A new prescription or over-the-counter medication can cause drowsiness or dizziness. Vision problems can make it much harder to see everything in your path, resulting in a misstep. “Most falls in older adults are multifactorial, meaning there are environmental contributors as well as an individual’s impaired stability at play,” says Dr. Cleinman. That’s why it’s important to address any contributing factors to set your loved one up for success.
PREVENTING FALLS
While falls can lead to serious consequences, the good news is that most can be prevented. Consider taking the following steps to protect yourself: HAVE YOUR EYES CHECKED. As you get older, the natural lens of your eye changes shape, which can lead to vision issues.
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That’s why eye doctors recommend yearly eye exams once you reach age 60. A new prescription can make a huge difference in your depth perception, which will set you on the right path. MAKE YOUR HOME SAFER. First, you should get rid of anything you might trip over, like cords or clutter. Secure rugs to the floor using double-sided tape or slip-resistant backing. Then, consider installing grab bars by your toilet and in your shower. Railings should also be installed on both sides of the stairs in your home, and any dim lighting should be replaced with brighter bulbs. PRACTICE STRENGTH AND BALANCE EXERCISES. Muscle mass and balance decrease as you age, so it’s important to incorporate specific exercises into your routine to maintain and build upon both to avoid falls. Wall or chair push-ups, doing several sets of 10 with a rest in between, is a great place to start for strength training. For balance, practice standing on one foot while keeping your back straight and holding the other foot one inch off the ground for 10-15 seconds. TALK TO YOUR DOCTOR. Doctors are valuable resources – use them! They can help assess and evaluate your risk for falling in addition to reviewing any medications you’re taking that might make you sleepy, dizzy, or otherwise throw off your balance. Make sure you let them know about prescription and over-the-counter meds that you’re taking.
Keeping Mom
Safe &
Close To You How Can We Help? Following all CDC, state and local safety protocols for COVID-19 prevention
Locations in Athens, Calhoun, Chattanooga, Collegedale, East Hamilton, and Hixson (877) 776-4683 morningpointe.com
Schedule a Tour! • morningpointe.com
“Most older adults think everyone falls, and there is nothing that can be done about it,” says Dr. Cleinman. “In reality, the Prevention of Falls in the Elderly Trial (PROFET) showed that patients who underwent a detailed medical assessment following a fall and were referred to appropriate resources if necessary were at a reduced fall risk and hospital admission the following year.”
Planning and precaution can make all the difference when it comes to avoiding falls and maintaining independence. While it can seem like an undertaking to make improvements to your home and follow up on yearly medical visits, in the end, the effort will prove effective. HS
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SILVER SIDE
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ADVERTORIAL
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Meet Our Doctors
LOV E , CA R E , & H E A L I N G OT H E RS
— Compassionate and experienced, there is a lot to know about the doctors who have studied, trained, and specialized in providing the highest quality health care. What follows are local men and women who are leading the upmost in quality care.
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Meet Our Doctors
SH A PI NG SU P E RIOR SM I L ES
D
r. Brandon Stanley wants to clear up any confusion regarding his title, oral and maxillofacial surgeon. “It’s hard enough to pronounce,” he says, “but an OMS is the person at the end of the line to fix any dental surgical misadventures a patient may experience. It encompasses everything from extractions and dental implants to reconstructive surgery and bone and soft tissue grafting.” While this sort of dental work is less than pleasant, Dr. Stanley strives to do everything he can to alleviate and comfort his patients. “There is a lot of fear surrounding the health care community in general, and a lot of times people forget to have the empathy to understand that it’s not easy to be in the chair,” he explains. “Putting yourself in that chair allows you to visualize from that vantage point and transform a terrifying experience into one of comfort.”
I love the opportunity of working closely with the best restorative dental professionals in the world, here in Chattanooga.” 54
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DR. BRANDON C. STANLEY AT I M PL A N T S & OR A L SU RG E RY OF C HAT TA NO O G A ( F OR M E R LY E AST BR A I N E R D OR A L SU RG E RY )
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What sets your practice apart?
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What do you love most about your profession?
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What is your best advice for patients?
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What do you see as the most exciting new development for your profession?
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What would you consider to be your main strengths?
Christian values. I’m blessed to be part of a practice led by the ideals and values of our faith. There is a comfort and peace of knowing that the care we provide is led by the best interest of the patient and not by financial goals.
You can ask anyone who works with me, I love what I do! I am so fortunate to have the opportunity to ease suffering and treat conditions of the mouth and maxillofacial regions, all while providing comfort and peace to the most apprehensive.
Preventive care is key. Having the right team in place is crucial for early detection. We work in a collaborative role with your dentist, and if you do not have one, we are happy to refer you to one of the many highly qualified providers in our area.
We have entered an all-new digital age, and the technology just gets better and better. From imaging to integration, it has improved accuracy and outcomes for complex cases where precision positioning matters.
My passion and training, but most of all my amazing supportive wife, Emily, who has always been there and supported me through everything.
SPECIAL PROMOTIONAL SECTION
ABOUT THE DOC
MY CREDENTIALS Doctor of Dental Medicine Degree: University of Alabama at Birmingham School of Dentistry Certifications: American Board of Oral and Maxillofacial Surgery Recognitions: Diplomate American Board of Oral and Maxillofacial Surgery Fellow American Association of Oral and Maxillofacial Surgery Fellow American College of Oral and Maxillofacial
M Y S P E C I A LT I E S Oral & Maxillofacial Surgery
CONNECT 423.296.8210 Implants & Oral Surgery of Chattanooga 1350 Mackey Branch Drive, Suite 110 Chattanooga, TN 37421 7320 Shallowford Road, Suite B Chattanooga, TN 37421 5022 Old Godsey Lane, Suite 10 Hixson, TN 37343 eastbrainerdoms.com
Meet Our Doctors
SUPPORTING CHILDREN WITH SPECIAL NEEDS
I
n September of 2019, Dr. Melissa Gonzalez relocated to Chattanooga from Louisiana to join the team at Siskin Children’s Institute. As the Clinical Therapy Director, Dr. Gonzalez oversees the center-based and in-home outpatient therapy within the Center for Developmental Pediatrics. She is a clinical psychologist with expertise in supporting children with developmental disabilities including autism spectrum disorder and pediatric feeding disorders. Dr. Gonzalez explains, “I believe that collaboration with families, and across providers, is often the key to quality and effective patient care. For children with complex developmental conditions, collaborative and coordinated care is important – this approach eliminates redundancy and conflicting recommendations, which leads to a better outcome for the family.”
DR. MELISSA L. GONZALEZ AT SI SK I N C H I L DR E N’ S I N ST I T U T E
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What sets your practice apart?
Our interdisciplinary and family-centered approach to care sets Siskin Children’s Institute apart. This approach allows us to leverage our varied areas of expertise to provide coordinated recommendations that meet the family’s needs and priorities and provide excellent care.
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What do you love most about your profession?
I love working with children and families. It is very rewarding to identify a child’s strength and work closely with the family to enact a support system that can set the child up for success at home, at school, and in the community.
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What is one of your happiest professional moments?
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What do you see as the most exciting new development for your profession?
I think the happiest professional moments tend to be when a family feels that they are able to support their child without continued therapy.
As a psychologist and behavior analyst, I see that there is an increased emphasis on collaboration across disciplines. This is important in general, but even more so when working with families and children with developmental disabilities.
I enjoy working with my team in developing the necessary skills to provide best-in-class services to our community.” 56
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How does your staff enhance your practice?
Our team members believe in and contribute to the mission of the organization – to improve the quality of life for children with special needs and their families. When a family enters the building, it is important that they feel that this is true with every interaction.
SPECIAL PROMOTIONAL SECTION
ABOUT THE DOC
MY CREDENTIALS Doctoral Degree: Louisiana State University – Baton Rouge, LA Fellowship: Kennedy Krieger Institute and Johns Hopkins School of Medicine Certifications: Board-Certified Behavior Analyst – Doctoral (BCBA-D) Recognitions: Clinical Assistant Professor, College of Medicine, The University of Tennessee Health Science Center
M Y S P E C I A LT I E S Developmental Disabilities Autism Pediatric Feeding Disorders
CONNECT 423.490.7710 Siskin Children’s Institute 1101 Carter Street Chattanooga, TN 37402 siskin.org
Meet Our Doctors
T E NDING TO TH E
DR. ROBERT J. JEAN
C OM MUNI TY ’S
AT U N I V E R SI T Y SU RG IC A L AS S O C IAT E S
S U RG ICAL NEEDS
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r. Robert Jean has been in practice for over five years, and in that time, he’s grown to love the variety and fast-paced nature that comes with being a physician. From his daily 7 a.m. meetings, Dr. Jean jumps into a full schedule of office hours, patient rounds, and surgery – some routine, others more challenging. He explains, “At University Surgical Associates, the variety of what we see and treat is unparalleled. Each day is different and exciting, and it’s extremely rewarding to see these patients and get them back to normal.” In his interactions, Dr. Jean believes it’s important to treat each individual like a person instead of just another patient. “I want my patients to feel comfortable with me and trust me because they are putting their lives in my hands,” Dr. Jean says. “I think that if there isn’t trust between a doctor and patient, that is a recipe for disaster.”
The ability to take care of the sickest of the sick and literally take someone from their death bed to recovery is truly humbling and rewarding.”
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1
What sets your practice apart?
2
What is one of your happiest professional moments?
3
What is your best advice for patients?
4
What do you see as the most exciting new development for your profession?
5
What would you consider to be your main strengths?
The comprehensive nature of my practice and the ability to take care of anything from common general surgery cases to the complex, critically ill, or injured patient.
After doing my residency in Chattanooga, I moved to Memphis for two years before returning to Chattanooga to set up practice. Moving back to Chattanooga has to be my happiest moment because this is where I consider home!
Don’t be afraid to be evaluated and ask questions. Being seen by a surgeon doesn’t commit you to surgery. It’s important to be educated about disease processes and possible options for treatment.
The progression of minimally invasive technology is truly exciting. Getting patients back on their feet quicker is something I strive for every day, and this technology often allows that.
My ability to connect with my patients and being available to tend to any and all needs. Also, in trauma, we have to be able to take care of anything at any time, day or night.
SPECIAL PROMOTIONAL SECTION
ABOUT THE DOC
MY CREDENTIALS Medical Degree: University of South Alabama – Mobile, AL Certifications: General Surgery, American Board of Surgery Surgery Critical Care, American Board of Surgery
M Y S P E C I A LT I E S General Surgery Trauma Surgery Critical Care
CONNECT 423.267.0466 University Surgical Associates 979 E. Third Street, Suite C-320 Chattanooga, TN 37403 universitysurgical.com
Back Left to Right: Dan Krcelic, MD, Elizabeth Hartmann, MD Front Left to Right: Chris Lesar, MD, William Harris, DO
VICtory is Why. We are giving people just like you the ability to live a longer, healthier life. That means more family vacations, more graduations, more laughs, and more sunsets here in Chattanooga. We support the American Heart Association’s efforts to be a relentless force for a world of longer, healthier lives.
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Annual Women’s Health Section BY LUCY MORRIS
You’re busy. We get it! But letting your health take a backseat because you don’t have the time to look after it should never be an option. Annual screenings and checkups are a great place to start, and more advanced care recommendations can follow. Here, we’re discussing some of the health issues women commonly face, as well as ways to better care for your body – remember, you only get one!
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May-Thurner Syndrome This rare but serious syndrome puts women at an increased risk for deep vein thrombosis and other complications.
An Expert Weighs In “May-Thurner syndrome is a rare anatomic process that causes severe left leg swelling and pain. It can cause complications such as DVT and post thrombotic syndrome that are lifestylelimiting to a patient. It is important to be evaluated for this if you have had a left leg DVT in the past or have significant left leg swelling and pain with no other cause. Diagnosing and treatment can be done in an outpatient setting and can improve your quality of your life.” Elizabeth Hartmann, MD Vascular/Endovascular Surgeon, Vascular Institute of Chattanooga
What Is May-Thurner Syndrome? Also known as iliac vein compression syndrome, MayThurner syndrome affects the blood vessels that lead to the legs. Blood vessels, which can be broken down into arteries and veins, distribute blood throughout the body. The arteries carry blood out of the heart, while veins return blood to the heart. There is usually no issue with veins and arteries that overlap, but with May-Thurner syndrome, the right iliac artery, which carries blood to your right leg, squeezes the left iliac vein and prevents efficient blood flow. Think about it like stepping on a hose.
Why May-Thurner Syndrome Is a Concern If you have May-Thurner syndrome, you are at an increased risk of deep vein thrombosis. Deep vein thrombosis (DVT) occurs when a blood clot forms in one of the deep veins in the body. DVT doesn’t always present symptoms, but when it does, they tend to include swelling, pain or tenderness, warmth and redness in and around the affected area, and enlarged surface veins. Although DVT is not life-threatening in and of itself, it does carry potentially serious complications. The most serious complication occurs when a blood clot breaks off and travels through the bloodstream to the lungs. This can 62
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create a blockage that eventually leads to what is known as a pulmonary embolism (PE). A more long-term complication of DVT is post-thrombotic syndrome (PTS). PTS is a consequence of scarring in the vein that formed the clot, and it generally reveals itself two or three years after the initial event. With PTS, you may experience chronic swelling, increased pressure, skin discoloration, and even leg ulcers.
Who’s at Risk?
You’re more at risk for May-Thurner syndrome if you: • Are female • Have scoliosis • Just had a baby • Have had more than one child • Take oral birth control • Are dehydrated • Have a condition that causes your blood to clot too much
Treating May-Thurner Syndrome
The goal of treatment is to eliminate clots you already have and keep new ones from forming. Your doctor may recommend angioplasty to expand the vein, and stenting, to keep the vein open for blood flow; blood thinners; clot busters; surgery; or other various techniques to reduce your risk of future complications. HS
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Periodontal Health Through the Years Although women tend to take good care of their oral health, their fluctuating hormones make them susceptible to gum disease. Periodontal disease, more commonly known as gum disease, can range from simple inflammation of the gums, called gingivitis, to periodontitis, a serious gum infection that damages soft tissue and dental bone. Women are more susceptible to gum disease than men due to fluctuations in their hormones. The hormones progesterone and estrogen, which regulate the menstrual cycle, can increase blood flow to the gums and can make them more sensitive to irritants like food and plaque. During times of hormonal change – such as during puberty, menstruation, and pregnancy; while on birth control; or after menopause – it becomes easier for bacteria to grow beneath the gums and around the teeth. PUBERTY/TEENAGE YEARS As girls reach puberty, they experience a surge in both estrogen and progesterone, which can increase their risk of gum disease. If they are undergoing orthodontic treatment, the condition can be even more difficult to manage. YOUR PERIOD Many women experience oral changes during their monthly cycle due to the increase in progesterone. Called menstruation gingivitis, it usually occurs a day or two before the start of your period and clears up shortly after your period has started. BIRTH CONTROL Oral contraceptives, or birth control pills, that contain progesterone can cause a woman’s gum tissue to become inflamed, particularly in the first few months after she has started them. The fluctuating hormones cause an exaggerated reaction to the toxins produced by plaque. PREGNANCY Since hormone levels rise considerably during pregnancy, pregnant women have a higher risk of gum disease. Gingivitis is especially common from the second to eighth month of pregnancy, when a woman has increased levels of progesterone in her system. MENOPAUSE Following menopause, women can become more susceptible to periodontitis, the more destructive form of gum disease. This may be due to age-related changes in the mouth, hormonal changes due to menopause, and/or medications taken to combat diseases. The best way to prevent gum disease is by practicing positive periodontal habits. Brush your teeth twice a day with a toothpaste that contains fluoride, floss at least once a day, and visit your dentist twice a year for a professional cleaning and exam. Your dentist can address any specific concerns and may recommend additional tips. HS 64
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An Expert Weighs In “There are five stages in a woman’s life during which changes in hormone levels make her more susceptible to oral health problems: puberty, the monthly menstruation cycle, with oral contraceptive usage, during pregnancy, and at menopause. These oral changes can include swollen, tender, and bleeding gums; altered taste; a burning sensation in the mouth; greater sensitivity to hot and cold foods and beverages; and decreased salivary flow that can result in dry mouth. Let your dentist know if you are experiencing any changes in your oral health.” Mandy Shearer, DDS Dentist, Soddy Daisy Smiles
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A smile can brighten anyone’s day, but what if you’re afraid to flash those pearly….not-so-whites? Drs. Mandy and Robert Shearer have what you need to get your grin gleaming! Before you make a trip to your local drugstore for over-the-counter whiteners, consider making an appointment at Soddy Daisy Smiles. Using Opalescence, a professional teeth whitener that offers breathtaking results, they’ll monitor your progress and have you smiling confidently with the pearly whites you’ve been dreaming of!
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Oral Allergy Syndrome Ever taken a bite of an apple and felt your mouth get itchy? You may have oral allergy syndrome.
Understanding Oral Allergy Syndrome
Also known as pollen food allergy syndrome, oral allergy syndrome is a type of food allergy caused by a cross-reactivity of allergens seen in pollen and raw fruits, vegetables, and some types of tree nuts. Most commonly, oral allergy syndrome occurs in people who have asthma or hay fever caused by tree pollen when they eat raw fruits or vegetables. The most common symptoms of oral allergy syndrome are itching, tingling, and swelling of the mouth, lips, and throat. Other symptoms can include irritation of the gums, eyes, or nose. Symptoms tend to be the worst when pollen levels are high, and they normally appear within minutes of eating the trigger food.
Causes of Oral Allergy Syndrome
Oral allergy syndrome is caused by an issue with the immune system. In short, when a person’s immune system can’t tell the difference between proteins in pollen and proteins in raw fruits and vegetables, it initiates an allergic response. Interestingly enough, most people who have oral allergy syndrome have no issues eating the triggering fruits or vegetables when they are cooked.
Common Trigger Foods
Not everyone with a pollen allergy experiences oral allergy syndrome when eating the following foods, but these are common triggers: • BIRCH POLLEN: apple, almond, carrot, celery, cherry, hazelnut, kiwi, peach, pear, plum • GRASS POLLEN: celery, melons, oranges, peaches, tomato • RAGWEED POLLEN: banana, cucumber, melons, sunflower seeds, zucchini
Diagnosis & Treatment
A person can be diagnosed with oral allergy syndrome based on their clinical history as well as skin testing with an allergist. If it turns out you have oral allergy syndrome, the best management method is to avoid the trigger foods entirely if they cause intolerable symptoms, or to peel and cook them prior to consumption. In rare cases, oral allergy syndrome can cause anaphylaxis, a severe allergic reaction, which can be deadly, so it’s important to speak with your doctor about the intensity and severity of your symptoms. HS
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An Expert Weighs In “Oral allergy syndrome (OAS), or pollen food allergy syndrome, can be uncomfortable for those with pollen allergy. Not only do you have to deal with the stuffy or runny nose, sneezing, and itchy eyes, you might be avoiding some of your favorite fruits or vegetables due to an itchy mouth or throat. Like living with pollen allergies, living with OAS can be challenging, but seeing a qualified allergist/ immunologist, who can perform appropriate allergy testing, can help. Fortunately, if you have pollen allergies, allergy shots might be an option for you. An allergist can help navigate your specific allergy symptoms, ensure an accurate diagnosis, and discuss which treatment options are right for you.” Jessica Van Mason, MD Allergist/Immunologist, Chattanooga Allergy Clinic
Marc Cromie, MD • Todd Levin, MD • Lee Perry, MD • Hyman Kaplan, MD • Jennifer Patel, MD • Jessica Van Mason, MD chattanoogaallergyclinic.com • 423-899-0431
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Hearing Loss and Loneliness Hearing loss affects 1 in 5 people and is strongly linked to loneliness. Don’t be a statistic!
An Expert Weighs In “According to a recent study, one out of three older adults now live alone. Connections with family and friends are crucial for older adults. Untreated hearing loss can make communication with loved ones difficult. In our practice, we see firsthand the relief that is obvious when a patient with a nerve loss of hearing is treated with properly fitted hearing devices. With better hearing, patients have a brighter outlook on life and far less feelings of uselessness and depression. They report a renewed joy in family visits and social gatherings.” Cheryl Ward, BC-HIS Hearing Instrument Specialist, Audiology Services of Chattanooga
The Prevalence of Hearing Loss
As many as one-third of women in their 50s and two-thirds of women in their 60s are facing some degree of hearing loss. Beyond that, the pervasiveness of hearing loss in younger adults, specifically those in their 20s and 30s, is increasing. While women are statistically more likely than men to admit to hearing loss, the number of women seeking treatment is still surprisingly low.
The Side Effects of Hearing Loss
Unfortunately, if left untreated, hearing loss can affect a woman’s quality of life. In fact, a study performed by the National Institute on Deafness and Other Communication Disorders (NIDCD) reported that women with hearing loss are twice as likely to develop depression as those without hearing loss. A loss of hearing can cause women to disengage from social interaction. Activities that require considerable communication with others are not enjoyable anymore – they’re stressful. This isolation can quickly spiral into a depression that’s tough to manage. Given the effects of COVID-19, women with a loss of hearing are experiencing more social isolation and loneliness than ever before. Physical distancing impacts relationships with others, and remote communications and e-conferencing technology make it difficult to put a voice with a face. Beyond that, facial coverings make it impossible to read lips.
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Knowing the Signs Since loneliness and depression are common side effects of hearing loss, it’s important to recognize the signs. The more obvious symptoms include sadness and feelings of hopelessness, but other lesser known symptoms can be equally as devastating. Fatigue, irritability, loss of appetite, difficulty concentrating, and loss of interest in social activities can all interfere with normal functioning. And since women are the social hub of groups and families, their emotional discomfort can have a ripple effect that touches all of their loved ones.
Getting Tested For a woman dealing with loneliness and depression caused by or worsened by an underlying loss of hearing, a hearing test could help her avoid unnecessary medications and re-engage in life. Hearing aids can provide immense relief, and there are numerous types available depending on your preferences. Your hearing professional can determine the type of hearing loss, as well as the degree, and make device recommendations based on your results. HS
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Take the first step toward better hearing today.
Ken Parker, Au.D. Doctor of Audiology
(423) 894-1133 • hearchattanooga.com 6151 Shallowford Rd., Ste. 104 • Chattanooga, TN 1807 Taft Highway, Ste. 6 • Signal Mountain, TN
Cheryl Ward, BC-HIS Hearing Instrument Specialist
Hearing Loss and Hearing Aids
Recreational Audiology and Hearing Loss Prevention
• Hearing Testing • Hearing Aid Fitting • Tinnitus Evaluation and Management • Cerumen (Ear Wax) Management
• Customized headphones for music lovers • Custom fit hearing amplification and protection for outdoor enthusiasts: instant fit, custom fit, and behind-the-ear.
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Learning More About Dental Implants Dental implants have become the new standard in tooth replacement. They can not only restore confidence in your smile, but also prevent bone loss in the jaw.
An Expert Weighs In “Missing teeth impairs one’s ability to chew food and can affect their social confidence, especially in the front of the mouth. Implants are the gold standard to replace teeth. Some of my most satisfied patients are long-time denture wearers. Now they can have implants that feel and look like their natural teeth.” John A. Spann, DDS Board-Certified Oral and Maxillofacial Surgeon, Associates in Oral and Maxillofacial Surgery Center for Oral Facial & Implant Surgery
What Are Dental Implants?
A dental implant is an artificial tooth root that creates a base for a replacement tooth. The implant fixture is usually made of medical-grade titanium, and over time, it fuses with the existing bone cells in your jaw, creating a sturdy, permanent support for your new tooth. Dental implants can be used to replace a single tooth, multiple teeth, or even a full mouth.
The Preferred Method of Tooth Replacement
Dental implants have a lot of benefits that you won’t find in dentures, bridges, or crowns. They are a permanent solution that’s designed to look and function like natural teeth. Unlike other options, dental implants don’t need to be replaced, thanks to the fact that they are fused to the jawbone, whereas bridges and dentures are secured to the adjacent teeth or gums. Dental implants also don’t need to be adjusted over time, and they can aid in preserving adjacent teeth as well as bone mass in your jaw.
Why You Might Be A Good Candidate
Dental implants can be a good solution for women suffering from a loss of confidence in their smile or a loss of 70
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function in their teeth. Tooth loss can occur due to trauma, decay, or gum disease, and the loss of a tooth can often affect your adjacent teeth, causing shifting or increased wear as a result. Missing teeth can also lead to low selfesteem about your appearance. The goal of a dental implant procedure is to permanently restore function to your teeth, preserve the health of your remaining teeth and your jaw, and improve your confidence in your smile.
What to Expect from the Implant Procedure The procedure for the removal of a failing tooth and the placement of an implant can be done under either local anesthesia or full sedation, depending on your own preference for comfort. This procedure can often be done on the same day as your evaluation. Once you have healed from the implant procedure, which typically takes a few months, your dentist can complete the final phase of the process and secure your permanent crown to the implant. Thanks to recent advancements in technology, scans can be done to expedite this process instead of physical impressions, which ensures a higher level of comfort for the patient. HS
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, P.C.
Hal Jones, D.D.S. | Ivo Aaron Miller, D.D.S. | Steven P. Tipps, D.D.S. Brandon K. Cannon, D.D.S. | John A. Spann, D.D.S. | Wayne E. Tipps, D.D.S.
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Understanding PCOS Approximately 1 in 10 women experience Polycystic Ovarian Syndrome (PCOS). Here’s what you should know.
What Is PCOS?
Polycystic Ovarian Syndrome, often referred to as PCOS, is a common condition caused by a hormonal imbalance in women. This imbalance, if not controlled, can lead to a range of serious health issues, such as abnormal menstruation, difficulty getting pregnant, high cholesterol, type 2 diabetes, an increased risk of endometrial cancer, as well as an increased risk of depression.
What Causes PCOS?
Though the cause for PCOS is chromosomal, no one currently knows what triggers it. The imbalance of hormones surrounding the cysts that occur on the ovaries causes confusion in the body, which can lead to insulin resistance, decreased metabolism, or increased androgens, all of which can cause a chain reaction of developing symptoms.
Symptoms & Signs
PCOS has a range of symptoms including: • Irregular periods • Excess hair on your face, chin, neck, or other parts of your body that are typical of male hair growth (hirsutism) • Acne • Weight gain or difficulty losing weight • Skin tags • Thinning hair or hair loss
Diagnosis & Management
When it comes to diagnosis of PCOS, it is typically “ruled in” by your doctor – also known as a diagnosis of exclusion. Your doctor might evaluate your menstrual history to determine if the irregularities in your cycle are chronic or fall in a pattern. An ultrasound test verifies if there are multi-cystic features on your ovaries. Lab results confirm whether or not your insulin and/or hormone levels are abnormal. If diagnosed, there is no cure for PCOS, but there are many methods of effective management, including lifestyle changes and medication prescribed by your doctor. HS
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An Expert Weighs In “The cysts on the ovaries are not just fluid-filled spaces but are all hormonally active. Imagine if you were trying to have a serious conversation at a concert – more than likely, the message will get lost and the other person will be confused. Likewise, the noise from the wrong ratio of hormones can confuse your uterus, pancreas, thyroid, and brain. Those organs just fill in the blanks, usually with the wrong information, causing chaos. Polycystic Ovarian Syndrome can affect your periods, fertility, and your long-term health.” Dr. Shevonda Sherrow OB-GYN, Innovative Women’s Health Specialists
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Brenda, Leah, and Hadley
renda Morris passed down more than just genetics to her daughter, Leah Golden – she also passed down a love of running. While a student at Chattanooga Christian School and later the University of Tennessee at Knoxville, Leah followed in her mother’s footsteps – literally – as a track and cross-country athlete. Leah’s 12-year-old daughter, Hadley, is now continuing the tradition as a student at Girls Preparatory School. These three ladies love spending time together, especially on long hikes or while riding around in Leah’s new RV. Here, Brenda and Leah share with us family values, treasured memories, and their wellness philosophy that has spanned three generations.
HS What is your fondest mother/daughter memory? BM The year of my 60th birthday, Leah and I ran (and finished!) the New York Marathon. LG That race was the culmination of a big year for us. Earlier in the summer, I got to take Mom to Italy for the first time. We drove all over the country, and it was just beautiful. We really love traveling together. HS What values have been most important to your family over the generations? BM Several things come to mind: If you’re successful, remember your roots and how you got started. Always keep your faith through any adversity. Live every day to the fullest, because you never know when it might be your last. LG My mom grew up on a farm, and so did her mother, so we’ve just learned over time how to take care of things ourselves. It’s that “make it happen” mentality, and it’s what has helped us survive so much – from my stepdad’s passing from a brain tumor earlier this year to my own brain tumor, thankfully benign, that had to be taken out in January. It’s what helped me recover, get back to work, and get back to doing the things I love again. HS Leah, what do you consider the biggest lesson your mom has taught you? LG I think to stay grounded, to not feel sorry for yourself, and to make it happen. Oh, and when I was growing up, she always told me, “You have to change out the toilet paper roll. Don’t be lazy!” I couldn’t just set a new roll on top; it had to be put on its holder! (laughs)
Photo by Lanewood Studio
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HS You are a very active family! Tell us about your approach to wellness. LG If I can’t be active, I don’t know how I can exist! It’s second nature to me to be outside, go for a walk, run on the trails – it fills me up. And I’ve been so proud of Hadley; she is so focused and committed to her sport. Mom and I have enjoyed going to the meets and watching her do something she loves. BM Leah and I share a very competitive spirit, and that’s what running for me started out as – a competition. As I’ve gotten older, I appreciate running even more because it helps me stay mentally and physically healthy. HS
FALL FASHION is in the air.
EmbellishCollection.com | Warehouse Row | 423.752.7463
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SWEATER WEATHER COZY KNITS TO KEEP YOU WARM THIS FALL
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t’s officially that time of year when sundresses and sandals are swapped for scarves and sweaters. Depending on the knit and weight of the yarn, the right sweater can protect you from freezing temps or provide the perfect extra layer on a breezy evening. Plus, a cozy sweater is a tried-and-true staple of any autumn wardrobe. Check out these stylish options from local retailers!
PHOTOGRAPHY BY RICH SMITH
Kelly Atkinson Abby Lane
Photo by Emily Long
Anita Headrick Alice Blue
OTTOMAN KNIT TUNIC BY TRIBAL Terri Holley Embellish
“This soft and stretchy tunic from Tribal is made mostly from polyester and spandex. We love the rich color and fashionable funnel neck, which provides extra protection from chilly weather! This top is best paired with leggings or skinny jeans and your favorite fall handbag.” Kelly Atkinson, Abby Lane MODEL: Kim Martin, Signal Mountain
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IZABELLA SWEATER BY PAIGE
RIBBED CREW SWEATER BY VINCE
“This sweater is perfectly cozy yet feminine thanks to its shoulderbaring design. The foldover neckline can be worn to show off both shoulders, or just one shoulder for an asymmetrical look. Crafted from the softest wool blend yarn in classic black, this will be your new favorite day-to-night sweater.” Anita Headrick, Alice Blue
“This ribbed crew neck sweater is made from a lightweight wool and cashmere blend – it’s the perfect weight for transitioning into fall and moving right through our winter climate! Pair it with denim slacks and a statement necklace for the ultimate autumn look.” Terri Holley, Embellish
MODEL: Lindsay Rose, Chattanooga
MODEL: Debra Smith, Dalton, GA
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Ready, Set, Go TOP TRAVEL MUST-HAVES Whether you prefer to travel by plane, train, or car, extra space in your luggage is always a hot commodity. Save some room and avoid common travel mishaps with these marvelous on-the-go products.
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ETHIQUE SHAMPOO AND CONDITIONER BARS Whether you want one less liquid to get through security, or you’re prone to messy busted bottles, Ethique’s shampoo and conditioner bars may just be the solution. They have virtually no preservatives, and there are options for a variety of hair types. Biodegradable ingredients and wrappers, along with ditching the use of plastic bottles, also make this an eco-friendly choice.
PACK-N-WIPE COMPACT DISPOSABLE TOWELS Great for more than just your on-the-go beauty routine, Pack-n-Wipe’s compact towels are lightweight and portable. Just add water, and the disk will turn into an absorbent wipe that can handle everything from removing makeup to cleaning up spills. The wipes are all-natural and biodegradable and have no chemicals, additives, perfumes, or inks. A travel case also allows this product to be packed in the smallest of spaces.
NUWAY 4HAIR TRAVELER BRUSH Broken bristles are a thing of the past with NuWay’s travel hair brush. Nylon bristles allow you to detangle wet or dry hair without discomfort, and the argan oil infused tips leave your hair silky and soft – not greasy. Between its sleek travel case and compact size, this product is a great pick for any trip.
6TH SENSE 2-IN-1 FLAT/CURLING IRON At just 11 inches long in its heat-resistant carrying case, this combination straightener and curling iron packs a punch. Tourmaline technology provides hair with a glossy finish, and its dual voltage means it’ll work around the globe. Transition from curling to straightening by just flipping a switch, and the safe and fast heating system will have you looking pictureperfect in a matter of minutes. HS
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Leveraging Lasers What You Need to Know About the Different Treatment Types BY CHRISTINA CANNON
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lthough we’ve all heard of laser hair removal, that might be where your familiarity with cosmetic laser treatments stops. But lasers aren’t just used for stopping unwanted hair growth at the source – they can aid in diminishing fine lines and wrinkles, banishing pigmented lesions, and weakening acne scars. Here, we shed some light on the different laser treatments and the skin conditions they tackle head-on.
What Are Laser Treatments?
Before diving into which laser treatments do what, you might be wondering how they work. Laser is an acronym for light amplification by stimulated emission of radiation. In layman’s terms, a laser is a source of high energy light that utilizes a single color or wavelength and transmits light onto a very focused area. In cosmetic settings, the light is used to produce heat, which destroys the undesirable skin condition in question.
What Are the Different Types, and What Do They Treat?
When it comes to laser treatments, there are two basic types: ablative and nonablative. Ablative lasers vaporize the top layer of damaged skin, while non-ablative lasers penetrate deeper into the skin without removing the top layer. From there, options abound, but there are still several main types.
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CO2 LASERS: Typically ablative lasers, CO2 lasers use carbon dioxide to create an infrared beam of light. They are among the most popular because the energy they generate is absorbed well by water-dense body tissue. With high precision and few side effects, these lasers are commonly used to treat scars, warts, wrinkles, and conditions set deeper in the skin. IPL (INTENSE PULSED LIGHT): Though technically not a laser, this treatment uses strong strobes or pulses of light to penetrate skin discoloration. IPL is generally used to banish red or brown spots, as well as break up inflamed blood vessels just below the skin’s surface. FRACTIONAL LASERS: Fractional lasers work by breaking up the laser’s energy into thousands of smaller beams, which create deep, narrow columns of clotting skin tissue. The subsequent healing process results in fast growth of new, healthy tissue, making this a prime treatment for age-related blemishes.
ERBIUM LASERS: Erbium lasers, which can be either ablative or non-ablative, are primarily used to promote collagen remodeling, which helps keep skin healthy. For this reason, they are often used to treat skin’s laxity, age spots, wrinkles, and fine lines. PULSED DYE LASERS: These typically non-ablative lasers use a yellow wavelength and utilize heat to absorb skin colorations and reduce coloration. Pulsed dye lasers are different from IPL treatments in a variety of ways, but primarily in that they use an organic dye that is included in the lasing medium. ND:YAG LASERS: This laser (which stands for neodymium-doped yttrium aluminum garnet, in case you were wondering) is frequently used by experts to reach a much deeper layer of tissue and tackle conditions such as birthmarks, tattoo, and hair removal.
What Can You Expect?
If you think a laser treatment might be right for you, there are some additional things you should know. Since laser-treated skin is even more sensitive to sun than normal, many experts recommend getting a treatment in the fall or winter months when days are shorter and cooler temperatures are more likely to keep you inside. With most non-ablative procedures, patients can expect little to no pain and no downtime. Ablative treatments, on the other hand, can cause some discomfort, and deeper procedures may require sedation. It’s also common with ablative procedures for your skin to be raw and scab over for several weeks as it heals. When discussing your treatment with a specialist, be upfront and honest about all the medications or supplements you’re taking, as they can affect the outcome of your procedure or healing process. While some conditions can achieve the desired effect after just one session, most laser treatment plans call for a series of visits. But once the series is complete, results tend to be long-lasting! HS
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Caring for Clothes BY C H RI ST I NA CANNO N
Clothes are important. We live our lives in them. So, it’s no surprise that when you spend your hard-earned cash on a new outfit, you want it to last. Read on for some things you can start incorporating into your clothes care routine to get the most mileage out of your garments. Don’t wash clothes too often. Washing and drying machines can place a lot of wear on clothes. While things close to your body like underwear, socks, t-shirts, and leggings should be washed after every wearing, consider skipping a few loads of laundry when it comes to jeans, blazers, pajamas, and the like. Bonus points if you use a clothesline when laundry day rolls around! Turn it inside out. When it comes to washing dark garments, turning them inside out will help preserve their color. Printed T-shirts can benefit from this method too. Turn them inside out to keep from fading or cracking the print.
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Use cold water. Washing your clothes in cold water not only results in less damage; it’s cheaper and better for the environment too. Hot water weakens fibers and can dull the colors in your clothes. Avoid harsh chemicals and perfumes. While bleach and strong detergent can go a long way to get rid of dirt and stains, it can also wreak havoc. But chemicals’ effects on clothes doesn’t stop there. Perfumes, hairsprays, and other products can also damage your clothes, so it’s best to use products before getting dressed to avoid buildup. Remove stains when they happen. No one wants to walk around with stained clothing, so for better success, try cleaning stains immediately after an accident. Carry a stain removing pen with you, and educate yourself on the best ways to get out the various types of stains. Learn to repair or upcycle. Instead of tossing out a blouse the next time a button pops off, learn how to fix it. Knowing how to do simple repairs like sewing a fallen hem can save you hundreds in the long run, and don’t be afraid to turn articles of clothing into something else entirely! HS
YO U LO O K MA RV E LO U S ! — Across the Chattanooga region, exceptional skin, body, and facial cosmetic enhancements are offered for both men and women. What follows are several of our area’s most accomplished practices and the exceptional services that they offer.
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BOTOX®
For Treating Wrinkles An Interview with:
Traci Lyons, RN
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How do you develop a Botox plan for each client? We recommend a consultation with all new clients to determine the best plan for the patient. We assess anatomy and facial expressions for muscle strength, as well as client wishes during the appointment.
SPECIAL PROMOTIONAL SECTION
How long does the appointment take? The first appointment can take approximately 30 minutes to allow time for an assessment and developing a plan. Any routine visits only take around 15 minutes.
How long does it take to recover from the procedure? There is minimal downtime following our procedures. They’re often nicknamed “lunchtime” rejuvenations, because people can receive a Botox treatment during their lunch break and then return to work.
About the Clinic About Us: We offer the most advanced techniques in injectables and lasers that are available. We have been voted Chattanooga’s top medical spa two years in a row through Best of the Best. What we offer: Injectables (Botox, fillers), laser services, skin care, body contouring devices, microneedling, Kybella, and PRP Certifications: Certified through Allergan, Galderma, and MERZ; PRP Certification Revive Aesthetics & Wellness 1605 Gunbarrel Road, Chattanooga, TN 37421 423.994.3194 wereviveu.com @ReviveAesthetics @revive_aesthetics @revive_skinandlasers
What steps does a patient need to take following the procedure? You will need to keep your head elevated for approximately four hours, and avoid scrubbing or rubbing the area of injection on the day of the procedure. You may resume normal exercise 24 to 48 hours after the procedure.
What is your philosophy when it comes to caring for your patients? We never want to change our client’s appearance – only enhance their natural attributes so that they can look and feel their best!
Traci Lyons, RN; Cami Killom, NP
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L A S E R FAC I A L T H E R A P Y
For Resolving Facial Spider Veins An Interview with:
Dr. Vincent Gardner, Surgeon
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What causes facial spider veins? Spider veins are caused by blood pooling in veins near the surface of the skin. Factors such as age, heredity, obesity, trauma, and changing hormone levels can cause spider veins to occur. They tend to increase with age and are most common among people over 30 and pregnant women.
SPECIAL PROMOTIONAL SECTION
How do you develop a plan for each individual client’s needs? The treatment plan is typically developed based on the size and location of the veins that need to be treated. Smaller surface veins respond well to laser treatments, whereas larger blue veins may require additional treatment methods.
What’s the recovery like following treatment for facial spider veins? Side effects include minimal bruising and swelling for a few days following the procedure. You may experience changes in skin coloration around the treated veins that typically fade over time. Any discomfort can be easily managed by overthe-counter, non-aspirin pain relievers.
About the Clinic About Us: The Vein Institute at Southern Surgical Arts is a dedicated facility with one goal: the comprehensive treatment of vein disorders. Using cutting-edge technology in our state-of-the-art facility, our award-winning, boardcertified surgeon, Dr. Vincent Gardner, is dedicated to improving the health, comfort, and appearance of our patients. What we offer: Treatment for spider veins on hands, face, and legs; varicose vein treatment; Neograft hair regrowth and rejuvenation Certifications: Certified by American Board of Surgery, the American Board of Cosmetic Surgery, and the American Board of Venous and Lymphatic Medicine; credentialed in ultrasound and Registered Surgeon in Vascular Interpretation (RPVI); faculty of SSAs’ American Academy of Cosmetic Surgery’s Fellowship Program; board examiner for the American Board of Cosmetic Surgery The Vein Institute at Southern Surgical Arts 1405 Cowart Street, Suite 321, Chattanooga, TN 37408 120 Cornerstone Way #3, Calhoun, GA 30701 423.551.8346 YourVeinInstitute.com @veininstitutessa @veininstitutessa
How do you follow up with your patients after treatment? We have close follow-ups with each and every patient to ensure satisfaction and success of the procedures.
What is your philosophy when it comes to caring for your patients? My goal is to improve the health, comfort, and appearance of every patient who comes to The Vein Institute. Every patient should feel heard, at ease, and confident in our ability to determine the best plan of action for any treatment administered.
Top: Dr. Gardner, MD; JaDon Gardner; Robin Long, RVT; Bottom: Mary Beard
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B R E A S T A U G M E N TAT I O N
For Enhancing Your Figure An Interview with:
Dr. Christopher Chase, Surgeon
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How do you develop a plan to best suit each client?
AS S O C I ATE S I N PL AST IC SURGERY CHRISTOPHER CHASE, MD & LINDSAY BRIGHT, FNP-C
At the complimentary consultation, we discuss the patient’s desires, review their medical history, perform an exam, then discuss the options available that will give the patient their desired result.
SPECIAL PROMOTIONAL SECTION
What is the implant procedure process like? First, we do a pre-operative sizing to determine the patient’s desires. The procedure involves a small incision, creating a pocket for the implant, then using sizers intra-operatively we determine the best implant for the patient.
What’s the recovery like following this procedure? Recovery is typically easy. Mild pain and swelling occurs after surgery, but it resolves quickly. Patients are usually back to routine, low-stress activities within a week and are fully recovered to resume exercise and full activities by six weeks.
How do you follow up with your patients after an implant procedure? What follows are two to three follow-up visits to ensure patient progress. At the first post-op visit, patients are instructed in proper aftercare. Over the next several weeks patients resume their normal routines, and we provide intermittent check-ins to ensure everything is healing well.
About the Clinic About Us: We are Chattanooga’s premier plastic surgery practice providing surgical and nonsurgical cosmetic and aesthetic services to enhance, restore, and beautify the face, breasts, and body. What we offer: We offer cosmetic surgeries such as breast augmentation, breast lifts, tummy tucks, mommy makeovers, facial rejuvenation such as face and neck lifts, and much more. Specialties: We specialize in procedures that help women regain confidence in their appearance. Certifications: Certified by the American Board of Plastic Surgery and the American Board of Surgery; Member of the American Society for Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, and the American College of Surgeons Associates in Plastic Surgery 3404 Navajo Drive Chattanooga, TN 37411 423.624.0021 captivatingbeautychattanooga.com @plasticsurgerychattanooga @plasticsurgerychattanooga
What is your philosophy when it comes to caring for your patients? Our philosophy is that our patients and their satisfaction are our top priority. We treat our patients like family and treat them the way we would want to be treated. Providing the best possible outcome for every patient is our standard.
Top: Susan Underwood; Tonya Waller, LMA; Dr. Christopher Chase, MD, FACS; Carrie Cobb, CCMA; Danielle Phillips, CCMA; Bottom: Misty Reed, RN; Belva Farmer; Lindsay Bright, NP; Ashley Bledsoe, CST
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DERMAL FILLERS
For Anti-Aging Skin Care An Interview with:
Dr. Alisha Armstrong, Owner and Medical Injector
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How do you develop a dermal filler plan for each client? We begin with a consultation, an assessment of the face, and a discussion with the patient about their goals for the treatment. Factors such as age of the patient, medical history, health, current medications, and ethnicity will determine our approach.
SPECIAL PROMOTIONAL SECTION
What is the procedure process like? Our dermal filler procedure process begins with our initial consult where expectations, fears, and questions are addressed. Next, we address pain management options. The injecting period of the appointment varies by type and location of procedure.
What’s the recovery like following this procedure? The recovery is patient- and procedure-specific. We send our patients home with ice and Arnica montana tablets that help prevent bruising and swelling and help speed the healing process. Discomfort is minimal, and any residual swelling and bruising will resolve within two weeks.
How do you follow up with your patients after a dermal filler procedure?
About the Clinic About Us: At Premier Medical Aesthetics, we believe that every patient deserves a Premier Level of Care. The goal is to provide natural results without making the patient look like a different person. What we offer: Premier Medical Aesthetics offers a high level of education with an unsurpassed quality of care and experience in Chattanooga’s NorthShore district. Specialties: Neurotoxins, Dermal Fillers, Thread Lifts, Platelet Rich Plasma Injections, Fat Dissolving Injections, Laser Treatments, Hair Removal Treatments, Chemical Peels, Plasma Fibroblast Treatments, Hair Restoration Treatments, Microneedling, and Skin Rejuvenation Treatments Certifications: Facial Aesthetics Master, International Academy of Aesthetics Premier Medical Aesthetics 300 Cherokee Boulevard, Suite 110 Chattanooga, TN 37405 423.498.5777 premiermedspachatt.com @PremierMedSpaChatt @premiermedspachatt
We schedule a follow-up visit at the two-week mark to assess the results and make any adjustments as necessary. The expected duration will be discussed with the patient during the consultation phase of the appointment and again at the follow-up.
What is your philosophy when it comes to caring for your patients? Safety. Satisfaction. Connection. These three basic principles are at the core of our human needs, and I carry them into every patient interaction.
l-r: Jessica Archer, LA; Jana Williams; Dr. Alisha Armstrong, DNP, NP-BC-APRNCANS; Dr. Arthur J. VonWerssowetz MD, BA, FACS; Hollis Wilkey; Sheena Rowland
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FAC E L I F TS
For Restoring Years to Your Appearance
An Interview with:
Dr. Michael Kluska, FAACS, FACOS, DO Surgeon
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SPECIAL PROMOTIONAL SECTION
How do you develop a facelift plan for each client? I treat every individual like a unique work of art. Developing a procedure plan begins with listening to my patients to establish their goals while customizing a plan specific to their desires and needs. My 20 years of experience, extensive training, and artistic background provides me with the superior skills necessary to accomplish their aesthetic goals.
How and where is the procedure performed? All of our procedures are performed in our state-ofthe-art, fully accredited surgical facility. Designated as the first Center of Excellence in plastic surgery in the United States, our facility features the very best in equipment and patient care and truly focuses on patient safety.
About how long do the procedure and recovery take? Depending on the chosen procedure, cosmetic facial surgery can take 1-4 hours, and recovery time usually ranges from 3-10 days.
What type of results can be expected? Facelift surgery involves balancing out the individual features of the face to create harmony so that each patient has improved balance for natural, long-lasting results. Being able to combine multiple surgical methods with cutting-edge technology allows me to maximize my surgical results while minimizing scarring and ultimately providing the patient with quicker recovery.
What is your philosophy when it comes to caring for your patients? My philosophy is simple: “Less is more, and treat each and every patient like family.” Patients today want noticeable, natural results with minimal downtime. With the best in surgical technology, I can offer my patients natural results with less invasive scarring and markedly diminished recovery times.
About the Clinic About Us: At Southern Surgical Arts, we aim to positively impact patients’ lives through natural-looking enhancements that leave casual acquaintances wondering what’s different. Our surgeons have refined artistic skills, extensive experience, and the latest training to provide the results that meet your goals. Dr. Kluska listens carefully to what you need, making sure that he understands your goals and can recommend the right procedure. At Southern Surgical Arts, we perform all procedures in our fully accredited, stateof-the-art surgical facility. Specialties: Face, breasts, body, and skin Certifications: Triple board-certified in General Surgery, Plastic/ Reconstructive Surgery, and Cosmetic Surgery. Fellow of the American Academy of Cosmetic Surgery and the American Osteopathic Board of Surgery Southern Surgical Arts 1405 Cowart Street, Suite 202, Chattanooga, TN 37408 423.266.3331 southernsurgicalarts.com @SouthernSurgicalArts @drdaddyk
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HER STORY Every woman has a story to tell, and no two stories are alike. Meet the women who have persevered through challenges and tribulations and come out the other side stronger than ever. These unique individuals have seen their fair share of adversity but continue to inspire those around them with the lessons they have learned and their love of life. Read on for four truly motivating stories by the women who experienced them firsthand. Photography by Sarah Unger
I was blessed to grow up in a loving home surrounded by family and friends. I went to work at an early age and thought I found the fairytale when I met my children’s father. I relocated to Ft. Lauderdale. We had a peaceful marriage, a beautiful home, and two amazing daughters. UNTIL … my husband was transferred to Chattanooga, and I learned he was living another life. A painful divorce soon followed. To say my world changed dramatically is an understatement. I was now a single mother with two young daughters in a new town trying to figure out life. One day my cousin said, “Sandra, you are a Stringer woman (my maiden name), and you are strong.” I knew she was right, and her words echoed in my head. There were a lot of strong women in my family, and I drew from their
strength, my faith, my family, and a lot of great friends. I decided to return to school and complete my bachelor’s degree. I then volunteered at the Chattanooga Area Chamber of Commerce, engaged in a lot of community service, and focused on my daughters. After several years, I met Jim Brewer, and we blended a family of five children ages 8 to 18. It was definitely challenging, but we loved each other and built a great life together. Shortly after getting married, Jim was diagnosed with tongue cancer. A 14-year battle began, with trips to MD Anderson – surgeries, chemo, radiation, and partial jaw removal. In February of 2018, Jim lost his battle, and I was forced again to reinvent myself during a time of grief. What I learned is you can’t escape grief – you must go through
the stages of denial, anger, bargaining, depression, and finally acceptance. A great counselor helps too. Looking forward is part of my nature, and finding something to occupy my time in constructive ways helped. I received my yoga instructors license in 2019 and continue to draw strength from my faith, family, and friends. For the past eight years, I have been the VP of Membership & Investor Relations at the Chattanooga Chamber, and I have three adorable step-granddaughters and a grandson on the way. My children are pretty great too. Life is not always easy, but I have learned it is important to count your blessings even during the most difficult times.
Sandra Brewer NORTH CHATTANOOGA
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HER STORY
Having a unique beginning in life as the second-born baby from a set of identical twin girls, I was the smaller, weaker twin who started life by spending weeks in a homemade incubator. My childhood years were pretty routine, yet blessed with the usual family activities, loving grandparents, schooling, and church. Those years quickly flew by with one major exception; between 3 and 10 years of age, I contracted ALL of the childhood diseases and survived, yet was left with severe hearing loss that has presented challenges throughout my life. I’ve worn hearing aids since age 11, and I mastered good speech, language, and lipreading skills through speech therapy. By the time I entered ninth grade, I had fully accepted my hearing loss and even enjoyed wearing my hearing aids. Then the tables turned. A few of my classmates began teasing me, calling me ugly names, and ridiculing me. During those times, I changed. I developed a thick skin to protect myself from the hurt I felt, became less shy, learned that I was reasonably talented with academics, and finally became the thoughtful, confident, assertive, respectful woman I am today. As I have matured, I have become a different woman who is loving, hardworking, community service-oriented, and yes, a staunch advocate for people living with hearing loss. I wanted to make a difference for others living with hearing loss just like me, and that I did! I am a mother and grandmother, a career educator, a woman of strong faith, and a cancer survivor. Twelve years ago, I underwent surgery and chemotherapy treatments for ovarian cancer. Then, four years ago, I had surgery for breast cancer, recovered exceptionally well, and remain cancer-free today. I’ve learned to remain calm, be positive, and make the very best of each day. I’ve learned to allow strong faith to carry me through difficult times, and I’ve learned that I can give back to others by sharing my individual gifts and talents through community service and volunteering. As a woman living with deafness and a two-time cancer survivor, I feel truly blessed and fulfilled by a life of teaching, community service, and love of family. Life is good!
Bea Lyons NORTH CHATTANOOGA
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HER STORY
“This has been my best year!” says no one except me. I’ve watched several people post on social media about how 2020 has been the worst year of their lives. There’s a lot of change, the constant use of a mask and sanitizer, and the fear of the unknown. But for me, this has been a wonderful year of self-reflection. Before, my life seemed full. I was a mom, a woman who relished in her career and goals, a motivator who lost 100 pounds and kept it off, and a person with a bright smile who loves to encourage others. But honestly, last spring I was starting to feel empty and was plagued with the thoughts of “what’s next?” In March when I was told to work remotely for my position with the Chattanooga Tourism Co., I was in shock. I was thinking, “Don’t they know I am an extrovert? I need people.” But I learned that what I was really missing was myself. I normally focus so much on my work, but this time the world shut down and priorities shifted. COVID-19 sat the world down, including me. During quarantine, I was selfish and focused on what was important to Donna - my family, health, having a job, appreciating my home, genuine relationships, and finally, ME. Before the pandemic, I would just go through the motions of life, not taking the time to truly enjoy it. So, I decided to make a change for myself. Beginning in April, I woke up every morning in prayer, meditation, and gratitude. That helped me appreciate every moment, big or small, and brought me so much peace. I would call or video chat with family and friends. I sent texts just to check in on those I loved. I read great motivational books. I created home and outdoor workouts designed just for me. I became more passionate about my career and more grateful for my coworkers. I started baking again, and my mom and I cook together on Sundays. And I spent plenty of time simply dancing and singing in my sweet home by myself. Those small things helped me mentally and physically. I loved Donna all over again! We as women do so much for everyone else and are constantly trying to please everyone else that sometimes we forget about ourselves. I believe that every year, we need to reset, find time for ourselves, pray, and find peace and joy as life continues to hit us with the unknown. 2020 has set me up to win, and I hope people will continue to see God’s joy in me in every facet of my life.
Donna Elle Harrison RED BANK
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I’m the eldest of nine and a native of Springfield, Massachusetts. My parents loved children and, although it was a major financial sacrifice, Mom and Dad blessed us with a blended family of biological, fostered, and adopted brothers and sisters – six boys and three girls. There was a lot of love, joy, and laughter in our noisy home! After graduate school, I landed in Miami and enjoyed wonderful careers in education and philanthropy with United Negro College Fund, United Way, Miami Dade Community College, Greater Miami Convention & Visitors Bureau, and others. I loved South Florida and thought it could be my forever destination. My parents had retired and relocated to the Tampa Bay area, so I was able to visit frequently. Dad passed in 2001. And as life would have it, Mom’s health declined at the same time that I was experiencing a major disappointment in my professional journey. The speedbump in my career provided me with the opportunity to step in and help my family. It allowed me to enjoy Mom and to be with her until her passing. That time with her, and my sister Beckie who was also Mom’s caregiver, was precious beyond words. After Mom died, I had a decision to make. Do I return to South Florida or move onto new opportunities that I had identified through my great network of family and friends? I longed for a new adventure, and I was eager to return to education and to work with children. I was curious and excited when I learned about a great opportunity in Chattanooga. I visited, and six months after Mom’s death, I made Chattanooga my home. Out of that loss and pain came the freedom to redefine my journey. Now seven years later, I am at Chattanooga Preparatory School – the place where I have found the most joy and the greatest purpose. I’ve also been able to serve as a founding member of the Sankofa Fund for Civic Engagement and as a board member for the Community Foundation of Greater Chattanooga and Chattanooga Symphony & Opera. I am delighted to be able to merge both of my passions, education and philanthropy, and I look back to the lessons with which Mom and Dad have grounded me on the importance of giving back to our communities. HS
Elizabeth Williams EAST BRAINERD
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Women Celebrating Women The word inspire is defined as the act of filling someone with the urge or ability to do something, and here in Chattanooga, we have no shortage of incredible women who motivate those around them day in and day out. Whether they intentionally set out to be a role model or random acts of kindness are simply in their DNA, these women are making the world a better place. Read on to learn more about the individuals who encourage others to be the best version of themselves told by those they inspired most.
P H OTOGRAPHY BY RICH SMITH
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inspired: Cari Brown inspiration: Catharine Coll I first met Catharine eight years ago at a small ballroom dance showcase here in Chattanooga. Little did I know how much this amazing person would change my life. I was a beginner student at the time and new to the world of dance. What I first noticed about Catharine was the way she held her own across the dance floor. She radiated with a confidence and sense of purpose that I longed to learn. I knew immediately that I needed dance in my life. I wanted to learn how to embody that type of elegance and grace. Several years later, I was blessed with a dance instructor internship and the opportunity to work with Catharine. She welcomed me with open arms and was nothing but encouraging and supportive as I learned how to share this wonderful art with others. Catharine and I have been through the good, the bad, and the not so ugly. We have had each other’s backs at numerous Dancing with the Chattanooga Stars, Dare to Dances, and student showcases at the studio – not to mention countless rhinestoned costume changes. In addition to being an accomplished dancer, my dear friend is also a talented graphic design artist. I am inspired every day to be more and to do more in my life by her example, and the fact that she never stops believing in me. She has taught me so much about myself not only in dance, but in life.
CARI
“I am inspired every day to be more and to do more in my life by her example, and the fact that she never stops believing in me.”
CATHARINE
INSPIRED
inspired: Jamie Rehm inspiration: Jamie Brock My friend, my confidant, my hero – her name is Jamie Brock. We met through our kids and the special bond of the Signal Mountain community. She tutored both of my boys and made them feel like they were academic rock stars every time they left her house. She makes all of her kids feel that way. Teaching is her passion, and it is unprecedented. She goes above and beyond for every single child in her class. I am 100% certain that I could ask her about her kids from her first classroom, and she would not only name each one, but follow it with something positive about them. Jamie never complains, although she has a lot she could complain about. She is a cancer survivor and is still going through the challenges of it on a daily basis. You would never know it by the constant smile on her face and the texts she sends asking about how your family is doing, all while dismissing any problems she might be going through. We have “get our nails done” days every couple of weeks, and it is during this time that I get all of my doubts out about my parenting skills and small business challenges. It usually ends up with her cheering me on with anything I am facing. We also talk about her struggles with cancer and how we can make it better, and she always turns it around to someone who is suffering more or to the admiration she has for her doctors. She is my hero, and I want to be just like her when I grow up!
JAMIE REHM
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“Jamie never complains, although she has a lot she could complain about ... You would never know it by the constant smile on her face.”
JAMIE BROCK
INSPIRED
inspired: Jennifer Summerlin inspiration: Tahnika Rodriguez
Of the many things in life I am most thankful for, my friendship with Tahnika is one of them. We met in Junior League years ago and just clicked. Our friendship continues to strengthen to this day, and I know that I can count on her for anything. This includes a hug, a laugh, support, and even a good dose of honesty when I need it. Our values are very similar, and we can talk to each other to work through life’s challenges, all while being each other’s sounding board. Tahnika is an accomplished businesswoman, volunteer, and most importantly, wife and mother. Her family is her everything, and I admire that about her. Tahnika has served on many boards and works with many nonprofits and organizations; she continues to find a balance that allows her to spend valuable time with her family while providing leadership and inspiration to those around her – including me. She is a friend to all and leaves everyone around her with a feeling of warmth and love. I don’t know that you will find anything – or anyone – better. HS
“She is a friend to all and leaves everyone around her with a feeling of warmth and love.”
JENNIFER
TAHNIKA
Photo by Emily Long
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Overcoming Loneliness BY MARY B ETH WALLAC E
A
ccording to the Cigna U.S. Loneliness Index, three out of every five adults, or roughly 61%, reported that they were lonely – and that study was published in January, mere months before the COVID-19 pandemic forced people to isolate themselves inside four walls and spend more time alone. Loneliness has reached epidemic levels in the United States, yet many people are unsure of how to address this complex emotion; although a common experience, loneliness can be difficult to define clinically. Here, Dr. Chris Harris, a licensed professional counselor with Focus Treatment Centers, discusses the toll that loneliness can take, as well as strategies that can help you feel less alone.
Humans are social creatures – it’s what helps us survive. However, as we grow older, it is common for our social networks to dwindle, leading to feelings of isolation and loneliness. Of course, loneliness isn’t confined to one group of people, such as the elderly or those who live alone. Dr. Harris points out, “Many people feel lonely who are married, have a large friend group, or are popular in social gatherings. The quality and level of intimacy in our relationships matter more when it comes to feelings of loneliness than the number of friends we have.” Unfortunately, if left unchecked, loneliness can have a severe impact on your overall health. In fact, loneliness has been linked to mental health problems, including anxiety and depression, as well as respiratory illnesses, cardiovascular disease, sleeping disorders, and other illnesses. “A recent study from Brigham Young University on loneliness found that it can be as damaging as smoking 15 cigarettes a day,” Dr. Harris shares. In more recent months, the introduction of COVID-19 and its repercussions, including lockdowns and stay-athome measures, has exasperated the problem. “With direct ‘social distancing’ guidelines that have been issued across the nation, people are less likely to interact with their family and friends,” Dr. Harris explains. “The consequences of COVID-19, using what we know about loneliness, are impacting both physical and emotional aspects of connection, which places our mental health at significant risk.” In the age of COVID-19, you may be wondering what you can do to abate feelings of loneliness. The following tips can help you cope during these unprecedented times:
Connect virtually.
“Everyone is learning how to FaceTime, Zoom, etc., these days,” Dr. Harris says. “Schedule a time to talk to family members or reconnect with old friends.” Of course, don’t feel limited to family and friends! You can participate in online exchanges with people from around the world, whether via online sports games, dating sites, or forums that relate to your hobbies and interests.
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Join an online support group.
The popularity of online support groups has risen exponentially since the start of COVID-19, and these groups can provide benefits that other avenues may not. “Talking with others who are experiencing similar feelings of loneliness can be very helpful,” Dr. Harris explains. “You’ll not only get ideas for improving your personal situation, you’ll also gain perspective in realizing that you’re truly not alone in how you feel.”
Get physical.
Dr. Harris suggests, “Give a hug to those living with you, and spend extra time connecting physically. Physical touch is a love language and can aid in creating intimacy.” On a different note, getting physical – as in physical activity – can do wonders for your mental health. Try a YouTube video of a new workout at home, or you can go for a 30-minute walk around your neighborhood.
Find an online therapist.
Stay busy.
This might look like starting a new project, learning a new skill, or finding healthy distractions, such as reading and listening to music. Doing something kind for someone else – perhaps by sending a handwritten letter in the mail or checking in on a neighbor – not only benefits the other person, it may help you feel less alone by improving your connection to others.
“If loneliness, anxiety, and/or depression are negatively impacting your life, it may be a good time to reach out to a professional. Whenever mental health symptoms begin to affect our relationships, work, sleep, and appetite, it is a warning sign,” Dr. Harris advises. “A variety of online therapy websites are out there with many different options.” Don’t let your symptoms take over your life before you reach out for help! HS
DR. CHRIS HARRIS DIRECTOR OF EATING DISORDER PROGRAMS & LICENSED PROFESSIONAL COUNSELOR, FOCUS TREATMENT CENTERS
Lisa McBryde’s Yoga Flow A Guided, At-Home Workout P H OTOGRAPHY BY RICH SMITH
“Yoga is a practice of moving meditation, and the movement begins with the breath. It allows us to move outside of the thinking mind and concentrate on the breath, as well as build strength and flexibility in the body.” -Lisa Lewis McBryde, RN, RYT 200, Teacher at Southern Soul Yoga “This flow will focus on opening the hips and shoulders while challenging core stability, lower body strength, and balance. Hold each of the standing poses for three to five breaths – complete each pose on one side, and then move to Downward Dog before moving to the other side. Repeat the sequence four times as you get started. I have also included two poses for relaxation. All you need is a mat, possibly a block or books, and a stable surface. Enjoy!”
Warrior I Start your practice in Downward Dog to feel grounded, then step the right foot forward and replace your right hand. Meanwhile, turn your left foot out to 45 degrees and then lift your torso and arms up. Try to bend your right knee as much as possible, but not more than 90 degrees. Press firmly into the outer edge of your left foot. Allow the sternum and pelvis to face forward and keep your back leg strong.
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*Shot from alternate angle to showcase proper form.
Warrior II From Warrior I, open your hips and shoulders to the left as you take your gaze over your right hand. Keep your arms at shoulder height. Reposition your stance for a heel-toe or heel-arch alignment. Bend your right knee to 90 degrees, but don’t allow it to extend past your ankle. Straighten your back leg. Press into all four corners of your right foot for stability.
Sky Archer
Triangle
From Warrior II, straighten your forward leg as you come into a side body stretch. Allow your right hand to reach back toward the right hamstring or calf while your left arm reaches up and back. Pull the femur back as you engage the muscles in the leg and hip. Be mindful of the position of your neck. This is a great opening for the psoas muscle as well as the low back!
From Sky Archer, extend your left arm forward as much as possible while maintaining spinal extension. Allow your hand to rest on your shin, a block, or the floor. Hips and shoulders should be open to the right. Gaze up, ahead, or down, depending on the position of your neck and shoulders. Rotate the upper ribs up and back as you rotate the sternum toward the ceiling. Engage the femur into the hip socket without hyperextending your knee.
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LIVE WELL
Legs Up The Wall Move near a wall where you can fully extend the legs up and be supported by the floor. Scoot your hips against the baseboard; you may find it more comfortable to lie on your side first and get as close to the wall as possible. Extend your legs up with your heels firmly on the wall. Separate your feet about hip-width apart, and bend your knees if needed to accommodate tight hamstrings and/or low back issues. Close your eyes while softening the abdomen, chest, shoulders, hands, and face. This posture works wonders for anxiety, stress, insomnia, and jet lag! Try to stay in position for five minutes. HS
Supta Baddha Konasana After completing the standing series on both sides for four rounds, lie down on your back and gently hug your knees in. Feel supported on your mat as you bring the soles of your feet together and let your knees fall out and down – you can support them with blocks or blankets if needed. Allow your shoulders to soften down your back, and take your arms away from your body. Close your eyes as you allow the breath to soften. Stay here for 10 to 20 breaths.
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VIRTUAL FALL BALL
11.19.2020 | 7:00 - 8:00 PM
Visit ChattMD.org Benefiting: Project Access, LifeBridge & The Youth Leadership Forum
The Avocado Advantage What has more potassium than a banana, more fiber than an apple, and a hearty dose of heart-healthy monosaturated fat? No wonder the avocado has achieved superfood status! Whether you dice it, slice it, or mash it, you’re sure to benefit for this fruit’s many – and we mean many – vitamins and minerals. For a little avocado inspiration, check out these healthy and delicious recipes from Chattanooga locals!
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Did you know? “I’d like some ‘alligator pear’ toast, please!” That’s right – alligator pear is another term for avocado, due in part to its shape and the color of its skin.
Mezcla Cocina Y Cantina’s Spicy Vegan Avocado Salsa BY ANA MARIA BRAVO, CHEF Ingredients
• 8 serrano peppers, deseeded and deveined (can use less peppers for less heat) • 2 garlic cloves • 1 Ib. fresh tomatillos, husk removed • 1/2 onion • 1 avocado • 1/2 bushel cilantro • 1 Tbsp. coarse sea salt • 3 oz. water
Photos by Sarah Unger
Directions
1. Roast the peppers, garlic, tomatillos, and onion on a flame grill or pan. Make sure to only cook the tomatillos halfway. Remove from heat once they start to brown. 2. Add all cooked ingredients in a blender along with the avocado, cilantro, salt, and water. Blend ingredients together until the salsa is smooth and creamy. 3. Garnish with fresh chopped avocado pieces and cilantro.
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Mary Haymaker’s Avocado, Tomato, and Corn Salad Serves 4 Ingredients
For the dressing: • 1/4 cup freshly squeezed lime juice • Zest of 1 lime • 1/2 cup extra-virgin olive oil • 1 clove garlic, very finely minced • 1 tsp. Dijon mustard • 2 tsp. honey • 1/4-1/2 tsp. kosher salt, to taste • 1/4 tsp. ground black pepper
Mary Haymaker of SoddyDaisy writes the local food blog Chattavore.com and loves to make recipes that combine fresh flavors with easy preparation. “This salad is perfect for when you are craving summer flavors in the fall or winter,” Mary says. “Avocados are great yearround, and you can usually find good quality grape or cherry tomatoes year-round as well!”
Directions
1. To make the dressing, place all ingredients in a jar. Tightly close the lid and shake vigorously to emulsify. 2. Place all salad ingredients into a medium bowl, reserving some of the herbs for garnish. Pour half of the dressing over the salad and toss to combine. Add more dressing to taste or reserve remaining dressing to pass at the table. Sprinkle remaining basil and chives on top of the salad and serve immediately. Note: This salad is great to pack for lunch, but wait until the last minute to add the avocado. The acid from the lime juice will help keep the avocado from turning brown, but some browning will still occur.
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Photos by Rich Smith
For the salad: • 2 ripe avocados, pitted, peeled, and diced • 1 pint grape or cherry tomatoes, halved or quartered depending on size • 1/2 cup fresh corn kernels or thawed frozen corn kernels • 1/4 cup fresh basil, cut into thin ribbons • 2 Tbsp. fresh chives, chopped (freeze-dried herbs also work well here!)
LIVE WELL
T H E F I T N E S S 5 : Alex Wright, Chattanooga, TN
TOP 5 WORKOUT SNACKS It’s no surprise that what you eat – both before and after a workout – can help you achieve your fitness goals. In fact, properly fueling your body translates to more energy, speedier muscle recovery, and better overall performance. Here, fitness and nutrition coach Alex Wright gives us the 411 on her favorite pre- and post-workout snacks.
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Banana and SunButter with Pepitas “This is the perfect snack to fuel up before exercising! Having a balance of protein, carbohydrates, and healthy fats will give you the sustainable energy you need to crush your workout.”
Fruit and Veggie Smoothie “Smoothies are such a great way to sneak in your daily veggies. My personal favorite smoothie is a combination of spinach, avocado, frozen cherries, blueberries, and nut butter or non-dairy yogurt. Blend together for the perfect way to refuel post-workout.”
Sliced Deli Turkey and Bubbies Pickles “There’s no better combination than this one! Not only is this snack packed with protein and probiotics, it’s also easy to pack and eat when you’re working out on the go. Gut health is so important for achieving your fitness goals, and probiotic pickles are a delicious way to keep your tummy on track.”
Guilt-Free Trail Mix “Does that sugar craving have you locked in the battle of, ‘Should I or shouldn’t I?’ With this guilt-free trail mix, the battle is over! Start with pepitas, which are full of protein and healthy fats, and combine them with some non-dairy chocolate chips. It’s the treat you deserve after a good sweat session.”
Avocado, Avocado, Avocado “There are so many ways to enjoy avocado. A few of my favorites are: mashed with your favorite seasoning, paired with fresh veggies or pretzel thins, or sliced on top of whole grain or sweet potato toast for an awesome pre-workout snack.” HS
“I have always been active through sports and competitive dance, but my love for health and fitness really took off about six years ago,” Alex says. “As a fitness and nutrition coach and as a hairstylist, I love helping people feel their best – inside and out!” 114
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“We all work to a common goal. To protect our patients from the dangers of heart rhythm problems.” At the Heart Rhythm Center at The Chattanooga Heart Institute, our team of highly-trained specialists treat the serious problems caused by abnormal heart rhythm–like the increased risk of blood clots and stroke. We use the most advanced procedures to identify and manage arrhythmias, AFib and related diagnoses. All to help you live symptom-free, and get back to enjoying life. Visit chattanoogaheart.com/HeartRhythmCenter or call 423-697-2308.