2012physiciansguide jg

Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus 2012 WINTER PHYSICIANS GUIDE • 2 Text for Header Byline Byline two body copy body copy body copy body copy HENRY DAILY HERALD CLAYTON NEWS DAILY JACKSON PROGRESS-ARGUS 2012 WINTER PHYSICIANS GUIDE PHYSICIANS GUIDE YOUR LOCAL GUIDE TO HEALTH CARE PROVIDERS Covering the Southern Crescent CHOOSING THE RIGHT HEALTH CARE PROVIDER HAS NEVER BEEN EASIER Find the right match for you inside


Physicians Guide

Transcript of 2012physiciansguide jg

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Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus 2012 WINTER PHYSICIANS GUIDE • 2

Text for HeaderBylineByline two

body copy body copy body copy body copy





Covering the Southern Crescent


Find the right match for you inside

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2 • 2012 WINTER PHYSICIANS GUIDE Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus

All about generic medications . . . . . . . . . . . . . 2

Aquatic physical therapy . . . . . . . . . . . . . . . . . . 3

Physical therapy after joint replacement . . . . . 4

What to know about esophageal cancer . . . . 5

Considering Hospice . . . . . . . . . . . . . . . . . . . . . . 6

Osteoarthritis affects millions . . . . . . . . . . . . . . 7

Heart health tips no matter the weather . . . . . 8

Eagles Landing Diabetes . . . . . . . . . . . . . . . . . . 9

How to reduce prescription med costs . . . . 10

Health tip: “Eyes” Minding your business . . . . 11

Resurgens: your first choice for Orthopaedics . . . 12



Generic drugs are a therapeutic “copy” of brand-name drugs.

Every year, consumers save an estimated $8 to $10 billion dollars by using generic medications, according to the Congressional Budget Office.

The FDA regulates generic medications. They are allowed on the market only after testing has proved they produce the same effect on the body as their brand-name counterparts.

Not every drug has a generic. Generally, when brand-name drugs are first introduced, a patent protects them for 17 years before a generic alter-native can be manufactured. Drug companies can apply for extensions of this patent protec-tion period. If the patent period isn’t extended, other companies can introduce their version of the brand-name product after 17 years.

Lower costPrescription medications are one of the fastest-

growing areas of U.S. health care spending.One way to reduce the high cost of prescrip-

tion drugs is to switch to generic drugs, which are priced 25 to 80 percent lower than the equivalent brand-name versions.

One reason generic drugs cost less than their brand-name equivalents is that manufacturers of generics spend less money on advertising and product development because the brand-name equivalent already is well-known.

Quality assuredFDA rules state that a generic drug must be

“bioequivalent” to the brand-name drug, meaning it must have the same active ingredients, strength, dosage form, safety, quality, purity, stability and

performance. The generic drug also must be ab-sorbed at the same rate.

Drug makers must adhere to strict manufac-turing requirements to earn approval to sell their products. Keep in mind that generic drugs bought over the Internet from places outside the United States are not regulated by the FDA and may not meet the same standards for equivalency or safety as those sold in this country.

Differences between brand-name and ge-neric drugs that may make a difference in how compliant a patient is in taking the medica-tion are the size, shape and coating. These dif-ferences do not affect the quality, effectiveness or safety of a drug. Other differences between brand-name and generic drugs include taste and inactive ingredients.

Doctor approvedDepending on the medications you take and

how often you take them, you could save hun-dreds of dollars every year by taking generics in-stead of brand-name medications.

When your health care provider gives you a prescription for a brand-name medication, ask if he or she can prescribe the generic equivalent instead. You also can ask if you can switch from brand names to generics for medications you al-ready take.

In some cases, providers prefer brand names for medical or technical reasons. If so, your provider should be able to explain why.

If you have questions about generic alternatives for your medication, ask your Moye’s pharmacist to review your options with you.

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Aquatic Therapy provides physical rehabilitation in thedynamics of a heated pool.

• Alleviate pain assoc. with Arthritis, injury, or generalized muscular soreness.

• Decrease stress in joints, vascular swelling andmuscle spasms.

• Increase circulation, flexibility, strength, sensory awareness, and function.

• Conveniently located on exit 221 (Jonesboro Rd) off I-75 south, 1/2 mile west in TowneCenter Park.

• Call Now! (770-288-2441) for a 1-on-1 personalized appointment of Land or Aquatic Therapy.

• We accept most commercial Insurances, walk-ins,and referrals from Healthcare Providers.

• Morning and Evening hours available!

SPECIALIZING IN AQUATIC AND LAND THERAPYA Soothing Wave of Therapeutic Intervention!

Physical Therapy in Motion Inc.106 Vinings Drive, McDonough, GA 30253phone: 770.288.2441 • fax: 770.288.2442


Physical Therapy in Motion Inc. continues to help patients get on the move!



Aquatic Physical TherapyCoy Leverette III, MPTPhysical Therapy in Motion and Aquatic Therapy Center

Aquatic Physical Therapy is used as part of a complete rehabilitative program for patients suffering from a progressive illness, injury, surgery, or increased sensitivity and pain. Designed uniquely for patients by a licensed physical therapist, Aquatic Physi-cal Therapy creates a safe environment for a patient in need of progressive reha-bilitation with goals of returning to nor-mal functional land based activities.  The aquatic environment uses four proper-ties of water to advance the healing pro-cess and is beneficial to restore a person’s functional abilities. Buoyancy is utilized by providing body assistance and support, decreasing joint compressive forces and stress on muscles/ bones, and displacing body weight up to 75% with water at chest height. Warm Temperatures reduce pain perception, encourage muscle relaxation and improves range of motion/ flexibility. Hydrostatic pressure improves circulation/ venous return while decreasing swelling/ edema and muscle spasms. Resistance can promote improvements in balance/ coordi-nation and increasing strength, endurance and sensory awareness.

Many patients diagnosed with a variety of disabilities may benefit from Aquatic Thera-py. Listed are some common medical condi-tions treated (not limited to):

| Orthopedic Injuries / Trauma | Pre and Post-op rehabilitation| Chronic Fatigue Syndrome | Guillian Barre Syndrome| Arthritis / Fibromyalgia| Muscular Dystrophy| Multiple Sclerosis (cooler temperatures)| Parkinson’s Disease| Neurological Deficits/ CVA| Stress Disorders | Joint Replacement | Motor Learning| Obesity | Prenatal | Spinal Injury/Disorders | Osteoporosis| Generalized Weakness| Reflex Sympathetic Dystrophy

Although Aquatic Therapy is ben-eficial to an array of medical condi-tions, there are some conditions that are inadvisable factors to participat-ing in this form of physical therapy. Listed are some common contrain-dications and precautions (not lim-ited to):| Incontinence of bowel and bladder| Infection/fever/contagious skin rash | Open wounds/ unhealed surgical incisions| Communicable disease (Hepatitis A, Strep)| High/Low blood pressure

| Seizure disorders | Impaired lung capacity| Tracheostomy| Unstable Angina| Severe Impulsivity| Colostomy| Acute stroke| Vertigo| Orthostatic hypotension| Chlorine allergy| Extreme fear of water| Diarrhea| Vomiting| DVT

| Respiratory DiseasesAquatic Therapy can be an essen-

tial part of many rehabilitation pro-grams with goals towards returning to land based functional activities. It is mindful to understand the dy-namic properties of water in estab-lishing and achieving desired goals for patients during the healing pro-cess. Overall, Aquatic Therapy can help improve mobility, strength, and function to quickly promote patient compliance and indepen-dence with home based programs.

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The Importance of Physical Therapy after Joint ReplacementRyran Traylor, Director of Center for Rehabilitation ServicesSylvan Grove Hospital

Physical therapy plays an important role in helping patients return to everyday activities following joint surgery to replace hips, knees, shoulders, fingers or ankles. Making a full re-covery takes a considerable amount of time and significant effort on the part of the pa-tient, but is often possible with the help of a physical therapist.

According to Savannah Reeves, PT and Assistant Director for Sylvan Grove’s Center for Rehabilitation Services, “Pre-Op classes are also a great way to learn about things to expect after surgery as well as exercises and stretches that can be done prior to surgery that can also help with recovery. Inpatient re-habilitation following your acute stay furthers your progress so that you are more advance when you go to outpatient therapy.”

Physical therapy following joint replace-ment surgery usually begins with a thorough assessment of your condition and the devel-opment of a treatment plan. During a quick screening, the physical therapist will check your heart rate, breathing, skin integrity, and range of motion and functional strength of other areas of the body. An evaluation of your overall ability to move may be done and you may be asked to complete a questionnaire to describe problems you could encounter with day-to-day activities, such as getting dressed. Finally, the therapist will make a recommen-

dation of how many visits and for how long you will need physical therapy.

Although our goal is to reduce your pain and discomfort, we also want to exceed your expectations and get you back to an active lifestyle. Our therapists are knowledgeable, compassionate, and will encourage you; but ultimately it will take a dedicated and moti-vated patient to obtain the best outcome and achieve the greatest level of function.  

Your physical therapist will recommend certain exercises as part of your rehabilitation program. Exercise can help improve flexibil-ity, decrease swelling, increase strength, en-hance endurance, improve balance and coor-dination, and lessen difficulties in performing daily activities. The type and intensity of exer-cises you do will take into account the surgery that was performed, type of replacement joint and condition of the joint before surgery.

If you had a shoulder replacement, for ex-ample, your physical therapy program would typically begin with isometric strengthening exercises. This would focus on muscles that lift and push the arm forward and backward, raise the arm, and turn the shoulder. As your therapy progresses, elastic bands would be in-troduced to further strengthen shoulder mus-cles. Approximately 12 weeks after surgery light weights can be used, beginning with one-pound weights and gradually progressing

up to five-pound weights. As you go through physical therapy it is

important not to overdo the exercises. If you notice any swelling, you may be doing too much, too fast. A small amount of muscle dis-comfort during therapy is to be expected, but if you experience pain, you may be irritating or straining the joint too much. Check with your physical therapist if you experience any problems with your exercises.

Physical therapy may feel uncomfortable at first, but exercises will help speed your re-covery and reduce pain after surgery. If you had a total hip replacement, you will be asked to begin walking to increase circulation in your legs and feet, and to prevent blood clots. It may take months to make a full recovery. During that time your physical therapist will work with you to build endurance so your muscles will work effectively for longer peri-ods of time. You also may be asked to start weight-bearing and postural exercises, as well as balance and coordination exercises.

Your physical therapist will recommend more advanced exercises as your condition continues to improve. During follow-up visits your therapist can make sure you are perform-ing the exercises routinely and safely. Eventu-ally you will be released to full activity, but keep in touch with your therapist to ensure that you achieve your optimal range of mo-

tion and make a complete recovery.Life has a lot to offer, so please take advan-

tage of it. Get rehab, get active, and feel better; you owe it to yourself!

Ryran Traylor is Director of the Cen-ter for Rehabilitation Services at Sylvan Grove Hospital located in Jackson, GA. The Center for Rehabilitation provides extended care services for rehabilitation and recovery in a comfortable and quiet setting convenient to Rockdale, Newton, Spalding and Henry counties. The pro-gram also provides outpatient adult and pediatric services.

For more information or to request a brochure, contact us at

770.775.7861 or visit www.sylvangrovehospital.com

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2745 Dekalb Medical Parkway Lithonia, GA 30058 770-255-7470 [phone] 770-255-7471 [fax]

Atlanta Oncology Associates offers Georgia’s highest quality

Radiation Therapy care through the

physicians and staff of

Atlanta Oncology Associates.

Radiation Oncology:IMRT, IGRT • Prostate Brachytherapy with Permanent Seeds or HDR

Partial Breast Irradiation using Contura or MammoSite or AccuBoost TechnologyKeloid Therapy • CT and X-ray Imaging

What to know about esophageal cancer Experts predict that roughly 17,000

new cases of esophageal cancer will be diagnosed in the U.S. and 2,000 cases in Canada this year, according to the Ameri-can Cancer Society and the Canadian Di-gestive Health Foundation. Although not as prevalent as some other cancers, cancer of the esophagus is a concern for many men, who are more likely than women to be affected. Despite its prevalence, esoph-ageal cancer remains relatively under the radar among the general public.

Anatomy of the esophagusThe esophagus is a hollow tube that

connects the mouth to the stomach and the remainder of the digestive system. It lies just behind the trachea and in front of the spine. Food that is chewed and swal-lowed will travel down this muscular tube -- which averages 10 to 13 inches long in most adults -- until it reaches the stomach to start the digestion process.

Called the upper esophageal sphincter, this is a muscle that relaxes to open and allow food to enter. At the bottom of the esophagus is the area that connects the esophagus to the stomach, known as the gastroesophageal, or GE, junction. Part of the lower esophagus is the lower esopha-geal sphincter, which regulates the flow of food into the stomach and prevents stom-ach acid from entering the esophagus.

Inside of the esophagus are differ-

ent layers. The first layer is the mucosa, which has different layers of its own. The innermost layer of the esophagus is the epithelium, which is made up of flat, thin cells called squamous cells. This layer is where most cancers of the esophagus begin, according to the ACS. The other layers of the esophagus are the submucosa, muscularis propria and the adventitia. These layers are largely made up of connective tissue, muscles, nerves, and blood vessels.

In many cases, the cancer will begin in the inner-most layer of the esophagus (mucosa) and work its way outward. However, the cancer can occur any-where.

Risk factors for esophageal cancerThere are no definitive causes of

esophageal caner, but doctors surmise that chronic irritation of the esopha-gus may contribute to the mutation of DNA, which leads to the presence of abnormal cancer cells.

Behaviors and factors that may cause this irritation include:

• Alcohol consumption• Smoking• An esophageal sphincter that won’t relax• Gastroesophageal reflux disease (GERD)• Frequent consumption of very hot

liquids• Obesity

• Consuming foods preserved in lye • Barrett’s Esophagus, a condition

where the lining of the esophagus is damaged from acid reflux

• Gender and age: men over the age of 70 are at greater risk

SymptomsThe Mayo Clinic says that very early

stages of esophageal cancer may cause no symptoms. However, as the disease pro-gresses and tumors form, there may be some symptoms. One of the more com-mon is a feeling of a lump or blockage in the throat that disrupts the ability to swallow. Sufferers may choke on food or feel that it gets stuck going down.

Chest pain or burning similar to GERD heartburn also may occur. Coughing or hoarseness can be symp-toms as well. Over time, individuals may lose weight without trying due to their impaired ability to eat.

Screening for esophageal cancer is not frequent because of the rarity of the con-dition and a lack of evidence of an iden-tifiable risk group. Therefore, it is often up to patients to ask for screening from their doctors.

TreatmentDoctors can do a series of tests to di-

agnose the cancer. These may include an endoscopy to see inside of the esopha-gus, different imaging scans to take pic-

tures of the esophagus and checking the function of other organs to see if cancer is present.

Depending on the severity of the can-cer, an oncologist may recommend the following treatments.

• Surgery to remove a tumor.• Surgery to remove a portion of the

esophagus and reconnect it to the stom-ach by pulling the stomach up or using a piece of the colon.

• Surgery to remove a portion of the stomach, esophagus and surrounding lymph nodes.

• Insertion of a stent to hold open the esophagus and relieve esophageal obstruction.

• Insertion of a feeding tube that by-passes the throat.

• Chemotherapy and radiation treat-ment used separately or together.

Again, the type of treatment will be based on a doctor’s recommendation.

Survival rates for esophageal cancer continue to improve through the years as doctors have better methods of diag-nosis and treatment at their disposals. However, statistics do indicate that the majority of esophageal cancer patients will die within five years of diagnosis. Getting diagnosed early and reducing behaviors that can lead to the cancer are a person’s best precautions.

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Considering HospiceConsidered to be the model for quality,

compassionate care, hospice takes a team-oriented approach to assisting patients with a life-limiting illness. Hospices provide ex-pert medical care, pain management, and emotional and often spiritual support ex-pressly tailored to the patient’s needs and wishes. At the center of hospice care is the belief that each patient has the right to live the remainder of their life pain-free and with dignity.

Today, one out of three people in the United States choose hospice care when they are in the final stages of an illness or injury. When you speak to a loved one of a hospice patient, they will often express that they wish they had started hospice earlier. Sometimes the doctor, patient or family member resists hospice because he or she thinks it means there is no hope, but elect-ing hospice care is not giving up. Hospice care promotes quality of life; it does not limit life. Hospice focuses on what each patient and his or her family needs - it is family-centered care.

Hospices serve individuals who have, if the illness follows the expected course, a life expectancy of six months or less. While many hospice patients have some form of cancer, others have cardiac and respira-

tory disease, renal disease, Alzheimer’s, Lou Gehrig’s disease, AIDS and cirrhosis. In most cases, care is provided in the pa-tient’s home, but can also be provided in in-patient hospice centers, hospitals, and nursing homes and other long-term care facilities based on the needs and desires of the patient and family.

Most hospices take an interdisciplinary approach to care. While nurses address to symptom control and comfort, certified nursing assistants help with physical needs like bathing and hygiene and chaplains may tend to spiritual needs. Social workers help

a patient and/or his or her family identify what they might need to make a difficult time more manageable, and trained volun-teers can sit with a patient so the family can take a much-needed break, go to the store or attend to their own medical needs. The patient’s physician continues to provide oversight of the patient’s overall care or the hospice’s Medical Director may assume medical oversight if the patient chooses.

Hospice is covered under Medicare, Med-icaid, most private insurance plans, HMOs, and other managed care organizations. To be eligible for hospice benefits, a doctor must

certify a life expectancy of six months or less, though the patient may be recertified at the end of this period if needed. No referral is needed for most forms of hospice care.

While hospice provides many patients with the type of compassionate care they desire during the final stages of life’s jour-ney, hospice care is not for everyone. For more information about admission re-quirements and benefits, contact an admis-sions counselor at Sacred Journey Hospice to evaluate your individual needs and situ-ation 138 Peach Drive  McDonough, GA 30253, (678) 583-0717.

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Jose Mathew D.O. Dr. Jose Mathew specializes in treating patients with pain-related injuries and illnesses to the nerves, muscles, joints and bones, his procedures include: • Evaluation of Back and Leg Pain

• Evaluation of Neck and Arm Pain

• Modern techniques in Diagnosis of painful conditions

• Team approach with Neurosurgery and Non Surgical Spine Specialist

for diagnosis and treatment of painful spine conditions

• Minimally Invasive Techniques for treatment of spinal pain

• Non Invasive approach to painful medical conditions

• Manipulative Therapy for selected patients

Appointment: 770-997-0600Locations: Stockbridge, Grif� n, Fayetteville and Riverdale

And South Atlanta



Dr. Jose Mathew specializes in treating patients with pain-related injuries and illnesses to the nerves, muscles, joints and bones,

Locations: Stockbridge, Grif� n, Fayetteville and Riverdale


Dr. Jose Mathew specializes in treating patients with pain-related injuries and illnesses to the nerves, muscles, joints and bones,

Locations: Stockbridge, Grif� n, Fayetteville and Riverdale


Dr. Jose Mathew specializes in treating patients with pain-related injuries and illnesses to the nerves, muscles, joints and bones,

Locations: Stockbridge, Grif� n, Fayetteville and Riverdale

Osteoarthritis affects millions of aging men and womenWhile there are many benefits to getting older, few peo-

ple associate the aging process with all the good things that occur as a person approaches their golden years. Instead, aging is more often associated with aches and pains than grandkids and trips around the world.

Though such associations are unfortunate, they are rooted in the reality that aging often comes with a few ailments. One such ailment many older adults deal with is osteoarthritis, which, according to the Centers for Disease Control and Prevention, affects more than 12 million men and women over the age of 65 in the United States alone. In Canada, one in 10 adults has osteoarthritis, proving this most common form of arthritis does not discriminate based on geography.

But as prevalent as osteoarthritis might be, the millions of men and women currently living with the condition are proof that it doesn’t have to ruin a person’s golden years. In fact, learning about osteoarthritis, its risk factors and prospective treatment options can help those men and women currently living with the condition or those con-cerned about developing it down the road.

What is osteoarthritis?Osteoarthritis, or OA, is also referred to as degenera-

tive joint disease. The most common type of arthritis, OA occurs when cartilage begins to wear away. Cartilage is an essential part of each joint, helping to absorb shock and enabling the joint to move smoothly. OA most often oc-curs in the body’s weight-bearing joints, which includes the hips, knees and spine.

When a person has OA, the cartilage in a joint stiffens and loses it elasticity, which makes it more susceptible to damage. Joints will be stiff in the morning, a stiffness that can last roughly 15 to 20 minutes. As the day progresses and the joints are used more and more, the pain can inten-sify and swelling can occur. This is typically because, as the joint’s cartilage continues to deteriorate, the tendons and ligaments are stretching and causing pain.

Are there symptoms of OA?There are symptoms of OA, but these can vary greatly

from individual to individual. Some people experience few symptoms of OA even if X-rays indicate their joints have undergone significant degeneration. In addition, the pain associated with OA isn’t necessarily constant, and some people can go years without experiencing any OA-related pain. Such instances are most common among people with OA of the hands and knees.

Those who do exhibit symptoms of OA can do so in a variety of ways. Men and women with progressive carti-lage degeneration in their knee joints might become bow legged or develop a limp, which will worsen as the carti-lage continues to degenerate.

OA of the spine often causes pain in the neck or lower back. Severe pain can be caused by bony spurs that form along the spine, and numbness and tingling of affected body parts can result as well.

Men and women with OA of the hands can also ex-

Dr. Mathew joinsAllSpine Surgery Center

Dr. Mathew joins AllSpine Minimally Surgery Cen-ter after many years of specialized training in the treat-ment of spinal disorders. A native of Dublin, Georgia and graduate of University of Georgia, he has spent years learning the latest in science and research relat-ing to modern techniques for treating patients with pain-causing disorders. Additionally, he completed a fellowship in interventional spine and musculoskeletal medicine where he was trained extensively in the use of fluoroscopically as well as ultrasound guided inter-ventions. Board certified in Physical Medicine and Rehabilitation, he specializes in non-surgical methods of restoring function to patients with total body pain including: joint, back and spine.

Continued on page 8

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8 • 2012 WINTER PHYSICIANS GUIDE Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus

hibit symptoms, which are usually bony deformities along the joints of the fingers. Heberden’s node is a bony enlargement at the small joint of the fingers that occurs because of bone spurs resulting from OA in that joint. A bony knob that occurs at the middle joint of the fingers, known as Bouchard’s node, is also quite common among men and women with OA of the hands. While neither of these nodes is es-pecially painful, they are associated with limited motion of the affected joint.

Patients with OA at the base of the big toes might notice the formation of a bunion, something that researchers sug-gest is possibly genetic, as it can be found in numerous female members of certain families.

The Arthritis Society in Nova Scotia notes that, early on, men and women with OA will find their symptoms are typically only triggered by high impact activities. However, eventually the pain can be triggered by daily activities and might not subside until men and women get adequate rest. Some people even feel pain for most of the day, including when they are attempting to fall asleep at night.

Can OA be treated?OA can be treated, but men and wom-

en must recognize that it cannot be cured. As mentioned above, some people’s symp-toms can disappear for years at a time. But they will return, and treatment, if it was ceased, must then continue.

OA is most common among people who are overweight, so one of the most ef-fective ways to reduce pain from OA is to lose weight and get regular exercise. This takes pressure off of joints that are being heavily taxed. To lose weight, choose a low-fat diet that features plenty of vegetables, fruits, lean proteins and whole-grains. For a more specific diet, consult a physician.

Though exercising when pain from OA is significant might seem counterin-tuitive, exercise is actually great for the joints. Each person is different, so consult a physician before beginning a new ex-ercise regimen. However, don’t shy away from aerobic exercises, including walk-ing, swimming or even riding a bicycle, or strength-training exercises like weight-lifting, which makes the muscles stron-ger and more capable of supporting the joints. And as with any exercise routine, don’t forget to stretch.

Another treatment option for joints hurting because of OA is the application of a heating pad or a cold pack. Cold and heat can be applied several times per day (always cover the skin with a towel prior to application to avoid skin damage). But those nursing an injury should only apply cold for the first few days.

Medications are another treatment option for OA. Discuss medications, which can include over-the-counter anti-inflammatory pills, such as Advil, Aleve or Motrin, prescription medications, and corticosteroid injections, with a physician who can help determine the best course of action.

While surgery is not a necessary course of treatment for the majority of OA suf-ferers, for some it is. Surgical options can be a minimally invasive arthroscopic procedure, a joint fusion surgery wherein the joint is removed and bones are held together with screws, pins or plates, or a complete or partial joint replacement. Another surgical option is an osteotomy, a procedure where a section of the bone is cut and removed to improve joint align-ment and stability.

More information about OA is avail-able at the Arthritis Society Web site at www.arthritis.ca.

Continued from page 7

Heart health tips no matter the weather

The weather and temperature outdoors can have a large impact on energy levels and motivation to exercise. Warm, sunny weather can beckon one outdoors, while cold or rainy weather could keep one hi-bernating inside -- which is not good for the spirit or the body, including cardiovas-cular health.

Staying active when the weather seems to be pitted against you can be challeng-ing. However, there are many things you can do to make the best of things and still get the exercise needed for a healthy heart.

Here are a few ideas to get you started.Head outdoors: Instead of the regular

workouts you do, consider something that makes the most of the weather out-doors. If it’s hot outside, consider walking by the seaside where the ocean mist can keep you cool, or having your feet in the laps of water reaching the sand. Unless you are the Wicked Witch of the West, a little rainfall will not make you melt. Don a raincoat and take a brisk walk around the neighborhood. If it’s cold outdoors or if there’s an residual snow sledding or ski-

ing remain fun ways to burn calories. All of these activities count as moderate to vigor-ous exercise, which is recommended daily for most people.

Workout indoors: This doesn’t neces-sarily mean heading to the nearest gym. It’s possible to get recommended exercise at home or at another location. Walking briskly around a mall is good exercise and you can window shop in the process. Lift heavy items around the house in place of dumbbells. Doing regular household chores with more vigor is another way to get blood flowing and your heart pumping.

Eat right: It’s far too easy to indulge in comfort foods, but they tend to be fatten-ing. Eating the right foods to maintain a healthy weight goes a long way toward pro-tecting the heart. Be sure to eat breakfast ev-ery day, and choose fruits and vegetables as snacks over sweet and salty items. Canned varieties are just as healthy as fresh produce and can offer a variety of flavors when certain foods are not in season. Be sure to

include plenty of foods high in fiber. Not only will they help keep cholesterol levels in check, but it will also help you to feel full faster and longer.

Dress appropriately: Weather is often unpredictable. Therefore, dress in layers so you can remove or add clothing as needed to remain comfortable. Children and older adults are more susceptible to the effects of cold weather. According to Jersey Shore University Medical Center, when tem-peratures are low your heart works harder to keep the body warm. Dressing warmly can help avoid taxing the heart. The same caution applies when the temperature is extremely warm. It’s easy for the elderly to overheat and become dehydrated. Dress in light clothing and remember to drink plenty of water.

Before starting any exercise regimen, it is important to discuss your plans with a physician. He or she can determine if you are physically capable of moderate exercise or if any illnesses may impede your ability.

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Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus 2012 WINTER PHYSICIANS GUIDE • 9

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HyperthyroidismWhat is the thyroid gland?

The thyroid gland is located in the neck, just below your larynx (voice box). It produces two hormones, triiodothyronine (T3) and thyrox-ine (T4). T3 and T4 travel through the blood-stream to all parts of the body where they regu-late how the body uses and stores energy. This is sometimes called your “metabolism.”

Thyroid function is controlled by the pitu-itary gland (located in your brain). The pitu-itary produces thyroid-stimulating hormone (TSH), which stimulates the thyroid to pro-duce T3 and T4.

What is hyperthyroidism?Hyperthyroidism is a condition in which

the thyroid gland is overactive and produces too much thyroid hormone.

Hyperthyroidism is most common in wom-en between ages 20 and 40, but men can also develop this condition.

Signs and Symptoms of Hyperthyroidism

• Feeling too hot• Increased sweating • Muscle weakness• Trembling hands• Rapid heartbeat• Tiredness/fatigue• Weight loss• Diarrhea or frequent bowel movements• Irritability and anxiety• Eye problems (e.g., irritation, discomfort)

• Menstrual irregularities• Infertility

If left untreated, hyperthyroidism can lead to other health problems. Some of the most serious involve the heart (e.g., rapid or irregular heart beat, and congestive heart failure) and the bones (e.g., brittle bones, known as osteoporosis).

What causes hyperthyroidism?Graves’ disease is the most common cause of

hyperthyroidism. It occurs when the immune system attacks the thyroid gland, causing it to enlarge and make too much thyroid hormone. It is chronic (longterm) and typically runs in families with a history of thyroid disease. A common characteristic of patients with Graves’ disease is swelling behind the eyes that causes them to bulge outward.

Less commonly, other causes of hyperthy-roidism include:• Thyroid nodules: Lumps on the thyroid gland that may secrete too much thyroid hormone.• Subacute thyroiditis: A painful inflamma-tion of the thyroid typically caused by a virus.• Lymphocytic thyroiditis: A painless inflam-mation caused by lymphocytes (a type of white blood cell) inside the thyroid.• Postpartum thyroiditis: Lymphocytic thy-roiditis that develops shortly after pregnancy.

How is hyperthyroidism diagnosed?Your doctor will perform a physical examina-

tion and order blood tests to measure your hor-mone levels. You have hyperthyroidism when

the levels of T4 and T3 are higher than normal and the level of TSH is lower than normal.

To determine the type of hyperthyroidism you have, your doctor may do a thyroid radioac-tive iodine uptake test to measure how much io-dine your thyroid takes up, and take a picture of your thyroid (a thyroid scan) to see its shape and size, and if there are any nodules present. (Other tests can also be used to evaluate nodules).

How is hyperthyroidism treated?Treatment for hyperthyroidism will depend

on its cause, your age and physical condition, and how serious the condition is. Available treatments include:

• Antithyroid medications. These drugs low-er the amount of hormone the thyroid gland makes. The preferred drug is methimazole. For pregnant or lactating women, propylthiouracil (PTU) is preferred. These drugs control, but may not cure, the condition.

• Radioactive iodine. This treatment will cure the thyroid problem, but usually leads to perma-nent destruction of the thyroid. You will likely need to take thyroid hormone pills for the rest of your life to provide normal hormone levels.

• Surgery. Surgical removal of the thyroid gland (thyroidectomy) is a permanent solution, but not usually preferred, because of the risk of damage to the parathyroid glands (which control calcium metabolism in the body) and to the nerves to the larynx (voice box). Surgery is recommended when either antithyroid medication or radioactive

iodine therapy would not be appropriate.• Beta blockers. These drugs (e.g., atenolol)

can control many troubling symptoms, espe-cially rapid heart rate, trembling, and anxiety caused by this condition.

All of these therapies have risks. Your doctor will work with you to determine which treat-ment option is best for you.

What should you do with this information?

Many of the signs and symptoms of hy-perthyroidism may be associated with other conditions. An endocrinologist, a specialist in hormone-related conditions, can help diagnose and treat hyperthyroidism.

If you have ever been treated for hyperthy-roidism, or are currently being treated, see your doctor regularly so that your condition can be monitored. It is important to ensure that your thyroid hormone levels are normal and that you’re getting enough calcium from your diet, supplements or both.

ResourcesFind-an-Endocrinologist:www.hormone.org or call

1-800-HORMONE (1-800-467-6663)American Thyroid Association:

www.thyroid.orgNational Graves’ Disease Foundation:

www.ngdf.orgThyroid Foundation of America:

www.allthyroid.org or call 1-800-832-8321

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10 • 2012 WINTER PHYSICIANS GUIDE Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus

Your pharmacy and gift shopIt doesn’t matter what you’re looking for on your gift list, we have:

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How to reduce prescription medication costs For the millions of people who rely on

prescription medications every day, the day when a drug faces generic competition is one many circle on their calendars. That’s because generic prescriptions are often sig-nificantly less expensive than brand name medications, and consumers are able to save substantial amounts of money once a brand name drug faces generic competition.

But many men and women currently taking a brand name prescription might be quick to point out that, while generic medications cost less, brand name pre-scriptions often rise in price in the months before they face generic competition. Such was the findings of a 2011 study from the AARP Public Policy Institute that ex-amined the 217 brand name drugs most commonly used by people in Medicare. Prices of drugs facing generic competi-tion in 2010 rose by an average of nearly 14 percent in 2009, an increase that was nearly twice the amount of all other drugs. So while drugs might be more affordable once they can be purchased generically, consumers can expect brand name drug manufacturers to drastically increase their prices in the months prior to facing generic competition, as the manufacturers are, in a way, looking for one last big revenue score before their patents expire.

That’s a troublesome reality for anyone taking a brand name prescription, but es-pecially so for older men and women living on fixed incomes. Though drug manufac-turers aren’t likely to change their practices, there are still ways men and women can reduce prescription medication costs.

Ask for generics. If there are generic alter-natives to brand name medications available, always ask a physician for those medications instead of their more expensive brand name counterparts. Don’t just assume a physician will prescribe generics. Sometimes doctors prescribe brand name medications despite the availability of cheaper and equally effec-tive generic medications.

“Test drive” a drug first. Just because a doctor prescribes a drug doesn’t mean the patient will respond to that drug. Many men and women find they are too sensi-tive to a given medication and stop tak-ing it after just a few days. Unfortunately, they paid for a full prescription and cannot return the pills they don’t plan to use. In-dividuals who have a history of sensitivity to medications should “test drive” a drug first, ordering just a few pills or asking a physician for samples to see how well the body handles them. This won’t necessarily matter for people with flat-dollar copay-ments (you will essentially have to pay two

copayments if the drug proves effective), but those without such a plan can save themselves some money if medication does not work out.

Buy in bulk. Men and women who have been taking a certain medication for a long time and expect to keep taking it might want to consider buying the medi-cine in bulk. This can save money; just make sure pills purchased won’t surpass their expiration date before you take them.

Inquire about combination medica-tions. Sometimes medications used to treat the same condition can be purchased as combination pills. This will only require one prescription instead of two.

On a similar note, men and women

taking medications for two different con-ditions might also be able to take just one medication that treats both conditions. For instance, some blood pressure medications have proven effective at treating other con-ditions as well. But don’t experiment on your own. Consult your physician about your medications and ask if any of them can be used to effectively serve double-duty and save you money.

Look for programs that offer relief. There are programs that offer some relief with regards to paying for prescription medications. Discuss such plans with a physician to determine your eligibility, which might be determined by your age or current prescriptions.

Glaucoma does not always exhibit symptoms As the human body ages, certain things

might not work as well as they used to. Though no two individuals are the same, there are certain things people expect to deal with as they age.

Changes in vision are one thing many people associate with aging. Some people maintain perfect vision throughout their lives, while others’ vision deteriorates and conditions begin to develop. Though not exclusive to the elderly, glaucoma is one such condition many seniors must deal with. But even though risk for glaucoma increases as a person ages, that doesn’t mean younger men and women should not famil-iarize themselves with this condition and learn its symptoms and characteristics. In fact, glaucoma can be present for years be-fore it’s recognized. This only further high-lights the importance of understanding this condition so, should it appear, it can be ef-fectively treated as soon as possible.

What is glaucoma?Glaucoma is a term used to refer to a

group of conditions that can cause dam-age to the optic nerve. The optic nerve is responsible for carrying visual information from the eye to the brain, and oftentimes optic nerve damage is a result of increased

pressure in the eye. In the United States, glaucoma is the second most common cause of blindness. In Canada, the Glau-coma Research Society of Canada reports that more than 400,000 Canadians have glaucoma today.

What role does intra-ocular pressure play?

The eyes are filled with fluids that help maintain pressure in the eye. That pres-sure is called intra-ocular pressure, or IOP. IOP is not a bad thing, but high IOP is a risk factor for glaucoma. Measuring IOP is fairly easy. Doctors will use a tonometer to measure IOP, but men and women should know that normal IOP does not necessar-ily mean a person does not have glaucoma, nor does high IOP mean a person does have glaucoma. While high IOP is a risk factor for glaucoma and controlling IOP

Page 11: 2012physiciansguide jg

Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus 2012 WINTER PHYSICIANS GUIDE • 11

Two Convenient LocationsMcDonough (East Lake) 2145 Highway 155 N, 30252

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“Until I met Dr. Hart-Moreland, I usu-ally had to go back to the doctor 2 or 3 times before I felt comfortable with my glasses because I have so much astig-matism, but she nailed it the � rst time! Now my entire family visits her, and we wouldn’t have it any other way.” E. Tucker, Stone Mountain, GA


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“Eyes” Minding your Business What do eyes have to do with business-

everything! We are a visual society taking in most of the data that we process via our eyes and visual system. When our eyes are not functioning well or at optimal levels, our productivity falls off.

What does this really mean? It means we are losing money. It is estimated by medical research that decreased visual productivity in the workplace reduces a business’s bot-tom line by as much as 4-19%. Minimal visual changes for an employee that makes $30,000 per year can result in as much as $1200 - $5700 in work deficiency – lost in-come per year.

Patients frequently present with com-plaints of visual discomfort, tired eyes, and headache from prolonged use of their eyes in the workplace. (As always, whenever you have specific concerns regarding your eyes, you should follow it up with an eye examina-tion to diagnose and treat your issues.) Here are a few reasons why persons in the work-place may not be as productive..

Computers – in this day and time it is quite unusual to not work on a computer. Computers are such an integral part of to-day’s operations primarily because every company wants to be more efficient and productive while improving the bottom

line. Computers can make this opportunity possible.

Dr. Dennis Ruskin and Dr. Brian Feld-man presented results at the 7th Interna-tional Conference on Human computer Interaction in San Francisco and stated that vision related distress has become just as great a cause for concern among workers in the workplace as musculoskeletal problems. In other words, if you have complaints while using the computer at work, you are not alone.

Uncorrected Vision -Small amounts of nearsightedness, farsightedness or astigma-tism can also cause decreased productivity in the workplace. While small amounts of myopia (nearsightedness) can cause some distress, more often than not, it is the hy-peropia and or astigmatism that really makes near tasks unbearable.

Hyperopia or farsightedness wreaks havoc because when it is uncorrected, the body is forced to over-use the lens. Over a period of time, this is can be taxing to the visual system. Eyewear worn for the computer or just at work can alleviate symptoms related to this type difficulty.

There are some other simple things that you can do to alleviate eye and visual dis-comfort while in the workplace. First, make

sure you have good lighting. If the overhead lighting is not sufficient, consider getting a desk lamp to assist with your visual comfort at the screen. Additionally, consider using an antiglare screen on your computer moni-tor to assist with visual comfort. Lastly, try to refrain from wearing lots of white cloth-ing while at work. Colored clothing does not reflect as much light from the screen and thereby causes less visual distress.

As with most visual tasks, taking 5 min-ute rest breaks and looking out a window or down a hallway to change your focus also is a tremendous help. By changing your focus, you give your eyes some much needed rest from a tedious near task. .

Similarly, small amounts of uncorrected astigmatism normally would not result in a correction however if you find yourself squinting to see on a regular basis or people tell you that you are always frowning with your brows furrowed, it is time to have your eyes examined. Again a mild correction in either the form of glasses or contact lenses can save you lots of discomfort and wrinkles.

Remember that your eyes are the receptors that take in information for you to respond and react in the work environment. Seem-ingly small issues with your eyes and visual system can result in mistakes and major de-

creased productivity in the workplace. As always, regular eye examinations with Dr. Hart-Moreland of East Lake Eye Care (or your family eye care provider) along with us-ing some of the tips in this article can ensure you have a lifetime of great vision and that your eyes are helping you mind your business!

Santrell Hart-Moreland O.D., M.P.H., Family Practice Optometrist

Owner and Doctor of East Lake Eye Care with two locations to serve you:

158 Fairview Road, Suite B, Ellenwood, GA 30294

678-289-58352145 Highway 155 N,

McDonough, GA 30252770-914-3399

Page 12: 2012physiciansguide jg

12 • 2012 WINTER PHYSICIANS GUIDE Henry Daily Herald • Clayton News Daily • Jackson Progress-Argus

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Resurgens provides specialized expertise and broad experience with thirteen physicians and four locations in the Southern Crescent. Resurgens is helping Georgians get back on their feet, back to work, and to liv-ing their lives to the fullest. When the need for musculoskeletal care arises, patients can trust they are getting the finest care available.

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