Fox Theatre, AliveCoverageThe Fox Theatre’s much anticipated Marquee Club Presented by Lexus is now open. Thanks to a $10 million expansion, the largest one-time revitalization of the theater since opening in 1929, annual members and select ticket holders can expect concierge guest services, pre-sale ticketing notifications, and enhanced food and beverage service. Its rooftop terrace offers stunning views overlooking Peachtree Street making this the perfect pit stop before, during and after shows.

Details: 660 Peachtree St. NE., Atlanta; FoxTheatre.org

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By John F. Arnold, MD, MBA

The goal of any breast screening program is to find cancer early and reduce false positives. The American College of Radiology Commission on Breast Imaging has performed a thorough review of the evidence that annual mammography screening starting at age 40 for women of average risk can decrease breast cancer mortality by about 40%. Benefits of screening also include tumors being found earlier and the ability to discover high-risk lesions earlier.

OPISupported by Research

Over 70% of cancers occur in dense breasts. Mammography has limitations in imaging dense breasts. The ASTOUND study is defined as adjunct screening with tomosynthesis or ultrasound in women with mammography negative dense breasts. This was a multicenter screening trial of tomosynthesis and adjunct ultrasound screening in women with dense breasts. Adjunct ultrasounds led to significantly higher incremental breast cancer detection, the rate per 1,000 screening mammograms was 7.1/1,000 screening exams for ultrasound and 4.0/1,000 screening exams for tomosynthesis. Three studies—European Asymptomatic Screening Study, SOMO•INSIGHT Clinical Study, and performance studies by Shane, et al—included adding 3-D automated whole breast ultrasound to screening mammography to improve the performance of mammographic interpretation. Adding 3-D automated whole breast ultrasound has shown a significant increase in invasive cancer detection with a nominal insignificant decrease in specificity. Eighty-five percent of cancers found with screening ultrasound are node negative invasive cancer.

OPI is Leading The Way

OutPatient Imaging is introducing 3-D automated whole breast ultrasound at its Atlanta location. Even better, OutPatient Imaging will be performing an automated 3-D screening breast ultrasound as an adjunct to all screening mammograms with no additional cost to the patient during the introductory phase. Ultrasound is fully automated and takes approximately 30 seconds per breast. The exam requires no external compression other than the patient’s own body weight. The 3-D images generated from the ultrasound will be interpreted by the radiologist as an adjunct to the patient’s screening mammogram. Three-D automated breast ultrasound does not utilize ionizing radiation as tomosynthesis uses, therefore it can reduce the radiation exposure to the patient.

OutPatient Imaging is proud of its commitment to women’s health and will continue to offer patients a choice for all of their imaging needs.

OutPatient Imaging • 2284 Peachtree Road N.W., Atlanta, GA 30309 • (404) 225-5674 • outpatientimaging.net

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By Karen Foley

Jon Ramirez1. Get Outside

There are so many ways to take advantage of the sunny weather while at Windy Hill Athletic Club. Tennis is in full swing! Our Tennis In No Time program teaches beginners how to play in just 4 weeks. Plus, there are drills, adult instructional programs and socials to keep avid players and newbies on the court outdoors. Or, slow down the pace and relax by our resort-style pool. If you’re feeling adventurous, try our 50-foot rock climbing wall. Afterward, grab a drink and bite to eat at our café featuring summer specials.

2. Beat the Heat

Head to our fitness floors with boutique-style studios for yoga, barre, cycling, boxing and kickboxing classes, along with boot camps. We are also launching two new programs this summer called Aqua HIIT and Warrior. Not for the faint of heart, Aqua HIIT is a high-intensity interval training water aerobics class that features a variety of equipment and high-tempo music. You can now find this series on our Group X schedule.  Warrior is hosted in our PIT studio and is also on the Group X schedule. This 45-minute class features 3 stations and incorporates cardio, work on the floor, and work with weights.

3. Mingle

Join us from 1-5 p.m. on June 16 for our Big Summer Bash pool party. Vino connoisseurs will love our Wednesday Wine Down from 7-9 p.m. on July 17. And in August, we’ll host a Back-to-School Party.

4. Go to Camp

Our camp programs run through August 3. Plus, we have a tennis camp!

5. Join a League

Make new friends in one of our sports leagues. Some of the most popular ones are the Atlanta Lawn Tennis Association (ALTA), the United States Tennis Association (USTA), and our Top Dog Sports Tennis league.

6. Find Your Fit

Everyone from singles to families and kids can get involved at Windy Hill Athletic Club during the summer months. Visit the club and see what is right for you and your crew.

Windy Hill Athletic Club • windyhillclub.com

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By Grattan Woodson, MD, FACP

“Hair is all over the place—my clothes, my carpet, my sofa, and my car. It’s everywhere, especially in my shower drains. When is it ever going to end?”  The good news is that the shedding will end soon. At last, effective treatment for chronic telogen effluvium (CTE), the second most common cause of women’s chronic hair shedding, has arrived. The treatment is a simple-to-administer scalp spray used twice daily called Minca Scalp Spray.

women's hair lossThe Chronic Shedding Cause

Chronic telogen effluvium usually follows an episode of acute telogen effluvium (ATE). ATE is common and occurs for a great many reasons. It spontaneously resolves in 90% of women. CTE has several common features, including the loss of the ability to grow hair much longer than 6 inches, significant thinning of hair on both temples, and generalized thinning of hair on the entire head but with no scalp exposure.

The tireless work of hundreds of dedicated researchers has led to some definitive answers about this puzzling disease that provide insights into its nature. The key discovery was that the hair follicle has only a few ways it can respond to insults and CTE is one of them. In simplest terms, CTE is a disease of the hair cycle. The normal hair growth cycle lasts 6 years but in CTE it has been short-circuited resulting in its premature termination after only 18 to 24 months. When the cycle is terminated, the hair shaft is ejected from the follicle and lost from the scalp as the hair is shed. This is why women with CTE can’t grow their hair much longer than 6 inches.

Hair follicles are naturally out of sync with each other so when a hair needs to be replaced it is not likely to be too close to another one undergoing the same thing. With CTE since the cycle length is shorted so much hair is always being terminated. This explains why your hair is constantly shedding. While there is constant loss of hair and the hair is much thinner as a result, there is no loss of scalp cover because for every lost hair a new one is coming in to replace it and the lost hair is out of sync with each other.

A Minca Miracle

Armed with this knowledge we crafted Minca Scalp Spray designed specifically for women. Minca Scalp Spray gets the hair cycle back on track. Its inherent pharmaceuticals, hormones, and antihormones affecting the DNA of the hair follicle stem cell and provide the hair follicle with a protective environment. Minca Scalp Spray increases the blood flow to the base of the hair follicle, which increases the delivery of protein, minerals, fats, and all the many inputs needed to produce hair. These features of Minca Scalp Spray result in the gradual recovery of a normal hair cycle over time.

Our treatment services are not covered by insurance or Medicare. For a more information about our treatment services and the fee for our treatment services please visit our website at www.HairRegen.net or call Kim Teasley at 404.574.2373.

HairRegen • Grattan Woodson, MD, FACP • 404-574-2373 • 1418 Dresden Dr., Suite #225 Atlanta, GA • HairRegen.net

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StressBy Scott D. Miller, MD

We all procrastinate from time to time. In fact, some people say that they work better under pressure. Although physical and mental stress can both have some beneficial effects on our well-being, too much stress can undermine our goals that prompted this response in the first place. The challenge is recognizing the line between benefit and harm.

So what is the purpose of stress? In the most primitive sense, it is a survival mechanism. When faced with physical danger, hormones such as cortisol and adrenaline are rapidly produced in order to prepare us for a defensive or evasive action. However, a similar response can occur in a social or work setting. Over time, this motivation that pushes us through our daily routine can have some detrimental effects on our mental and physical health.

Stress can be a great tool for helping us achieve our goals. Merely setting a deadline or committing to a project can provide the necessary kick in the pants. Stress also conditions us to deal with more stress. Just think back to the things that stressed us out as teenagers. They seem so trivial now. Of course, the best example of good stress is exercise. In addition to all of the obvious health benefits, exercise prepares us for both the physical and mental rigors of life. Even a short walk can pull us out of that afternoon slump.

The detrimental effects of stress go far beyond the feeling of being “stressed out.” These consequences include the following:

  • Elevation in blood pressure
  • Increased risk of heart disease
  • Lowered testosterone
  • Weight gain
  • Poor sleep patterns
  • Depression and mood swings
  • Risky behavior
  • More stress and anxiety

Reducing stress can be simple. Here are some tips:

  • Exercise daily
  • Make a good night’s sleep a priority
  • Prioritize tasks and goals
  • Make lists
  • Learn to say “no”
  • Socialize

Also, consider relaxation techniques such as meditation, yoga, or simply listening to music. Making time for stress reduction will save you time in the long run.

The right amount of stress can boost both our mental and physical abilities. However, too much of a good thing can wreak havoc on our health. You might not even realize when you cross that line. Men are notorious for neglecting their health, and stress reduction is no exception. The possibility of stress affecting your testosterone level should be enough motivation.

Look for my article on “Man Versus Prostate” in the next issue.

Scott D. Miller, MD, is the Medical Director of Robotic Surgery at WellStar North Fulton Hospital. He is a urologist with WellStar Urology in Roswell and has practiced in Atlanta for over 20 years. WellStar North Fulton Hospital offers services to address and prevent conditions associated with stress. Call 770-956-STAR (7827) today to learn more about heart screenings, cardiac rehabilitation, or sleep studies at WellStar North Fulton.

Scott D. Miller, MD • WellStar North Fulton Hospital • (470) 956-4230 • ScottDMillerMD.com

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By David Martin, RN

Do you ever find yourself awake in the middle of the night, counting sheep, and trying not to think about how restless your legs feel? Or, while working long hours at your desk, are your legs begging you to get up and move around? Restless legs syndrome (RLS) is a neurological disorder that affects 10% of adults in the U.S. and is a potentially debilitating sleep disorder that should not be ignored.

VeinInnovations UltrasoundTaking a Deeper Look

After 16 years of studying and treating legs at VeinInnovations, we have found that many of our patients complain of restless legs at night. They describe sleepless nights caused by a tingling or crawling underneath the skin that makes them feel the urge to move their legs, or even cause them to jerk uncontrollably. Some patients also complain that they experience these symptoms throughout the day when they’ve been seated for long periods of time. Moreover, many patients come to us because they have been diagnosed with RLS and their medications are not working for them. Having an ultrasound can determine whether or not their RLS symptoms are being caused by vein disease.

“The ultrasound examination is a definitive way to rule out significant venous disease. If we rule out vein disease, then we can refer the patient out for neurological treatment of RLS. We know that the causes of restless legs can be neurological, however these symptoms mimic vein disease so we better not automatically assume the symptoms are being brought on by one or the other. On the other hand, if restless legs are based on venous disease, we have seen dramatic resolution of restless legs through vein treatment procedures,” says Darrell Caudill, Medical Director of VeinInnovations.

Don’t Suffer in Silence

Venous disease is treated using minimally invasive vein procedures done in a doctor’s office setting that help diseased or malfunctioning veins redirect blood into other veins for improved circulation. Many patients not only experience improvement of their RLS symptoms, but also many other symptoms caused by damaged veins. Some patients who have symptoms similar to those with restless legs syndrome are pleasantly surprised when they get their first good night of sleep post treatment. Better yet, when there is a positive ultrasound for vein disease along with one or more symptoms, about 90% of these vein treatment procedures are covered by insurance.

The ultrasound guides our treatment and is an effective diagnostic tool, whether the patient is suffering from varicose veins, swollen ankles, skin changes on the legs, restless legs at night or leg cramps. If you’ve had an ultrasound and vein disease was ruled out, restless legs could be caused by a myriad of other things such as central nervous system abnormalities, neurological abnormalities in the spine or brain, cortisol or iron deficiency, family history, medications, or caffeine. However, if you suffer from any RLS-like symptoms, or just tired, heavy legs, call VeinInnovations and make an appointment for an ultrasound to be performed by one of our registered vascular technologists to determine whether you may be suffering from treatable venous disease.

VEININNOVATIONS • (678) 731-9815 • VeinInnovations.com

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By Jill M. Golsen, DMD

When you got married your partner didn’t snore. Now, there is a chain saw in the bedroom. You have now moved to the guest room. You are grumpy, have dark circles under your eyes, are always tired and are probably grinding your teeth too! Or, even worse, your child is snoring and sleeping with his or her mouth open and not breathing well! They are grinding their baby teeth down to nubs and everyone just says, “Oh, it’s normal.”

snoringNo, It’s Not Normal

This is not just snoring. Behind the “snoring curtain” are issues that must be diagnosed and resolved! There are so many levels to this problem. People can die during an apneic event because they stop breathing! At the very least when we snore, we are not going into deep sleep. It’s all about the airway and if it’s blocked, which is not good.

Resolving the Issue

In our office, we see people who are grinding their teeth or their front gums might be red and bleeding, which is our first clue that something is wrong. Next, we ask a few questions about their sleep habits. The CPAP machine is not always the answer. So don’t stop reading! After a discussion with the patient, we talk about the route to diagnosing this issue. Since there can be so many causes and treatment options, it’s important to not put the same label on everyone. We must listen to the patient and really think about the plan of action. Not getting this resolved can break up marriages! I have had patients come to me who are incredibly upset over their situation. Depending on our chat, we determine if it’s a sinus or dental issue.

If it’s a sinus issue, I always refer my patients to a great ear, nose and throat (ENT) specialist who knows sleep issues and how to resolve them. You want to get this resolved! In children, this is terrible to let go on. So please don’t! Children especially feel the effects. Chronic sinusitis, throat infections, mouth breathing, flattened baby teeth, poor performance in school—these are all signs. Facial bone development can be affected by a child’s inability to breath. Think about that.

If any of this sounds familiar, “Houston, we have a problem!” Another round of antibiotics for their 6th sinus infection is not acceptable! Your poor child needs to be seen by an appropriate doctor who can resolve the issue.

After a thorough evaluation by us, and possibly an ENT doctor, and maybe a sleep study for a spouse, then the recommended treatment can be prescribed. This could be as simple as an appliance to wear to change the jaw position or nasal or sinus surgery.

Any of the prescribed solutions will help you breathe better and sleep better, which will make you feel better!

Get your partner back in the bedroom! Call our office if anyone in your family snores! We would love to help guide you and your family to be healthier—and happier!

Golsen Family Dentistry • Jill M. Golsen, DMD • (770) 667-0669 • GolsenDental.com

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By Mohammad Wehbi, MD

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

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

Most patients only decide to see a gastroenterologist when the bleeding, pain, burning or itching becomes unbearable. When symptoms do become a problem, the physicians at Atlanta Gastroenterology Associates have been trained and certified in the CRH O’Regan System® to offer patients relief. In the past, surgery was frequently recommended to treat internal hemorrhoids. This nonsurgical method involves using a small rubber band to strangulate the base of the swollen vein and cut off the blood supply to the hemorrhoid. Some patients may need more than one treatment, but the treatments can be spread out a couple of weeks apart. The procedure itself is minimally invasive and is over 90% effective. Plus, it does not require anesthesia, lasts less than five minutes and is typically performed in the office. Many patients go back to work after their appointment and resume normal activity. With this procedure, patients can finally end their discomfort for good.

Advantages of the CRH O’Regan System®

  • Highly effective treatment for hemorrhoids
  • Minimal pain or discomfort
  • Patients can quickly resume normal activity and return to work
  • No anesthesia needed
  • Procedure lasts about five minutes
  • Performed in office or endoscopy suite

Atlanta Gastroenterology Associates • AtlantaGastro.com

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By Vamsi Kancherla, MD

Laser spine surgery—we hear more about it every day. But what is it really? In this edition of Partners in Health, we share more about this treatment tool and answer common questions about it.

Common Questions

What is laser spine surgery?

A laser is merely a tool (like a scalpel, burr, etc.) used in performing minimally invasive or open spine surgery. It can:

  • Help make necessary cuts (rather than using the traditional scalpel)
  • Aid in removing and/or shrinking tumors and/or disc material around the spinal cord

Is there any medical evidence for the use of lasers in spine surgery?

Laser Spine SurgeryWhen used safely, lasers may play a very small role in minimally invasive or open spine surgery. There is no scientific evidence in well-respected medical journals to suggest that lasers are critical and/or useful in the vast majority of spine surgeries.

Can lasers be harmful?

Yes. A laser is a straight beam of light that is ill-suited for removing lesions hiding around corners. The ability to navigate angles safely is an important feature of the traditional scalpel. Because nerves are often tucked into narrow anatomic structures, a straight beam of light, like a laser, can accidentally injure a nerve, causing permanent neurologic problems. The heat from a laser can sometimes be transmitted to adjacent anatomical structures and also damage nerves.

Can lasers be helpful?

Very few conditions require the use of a laser. But in certain areas of surgery, lasers have been helpful. For instance, in lipomyelomeningocele surgery (removal of fatty tissue that is pressing on the spinal cord unnaturally and dangerously) the laser can be a useful tool. However, its role in the surgery is small.

Myths

Myth 1: Laser Spine Surgery is Medically Recognized

Laser spine surgery is not readily accepted in the medical community. It is not a topic of discussion among medical professionals at meetings of the North American Spine Society and the American Association of Neurological Surgeons.

Myth 2: Laser Spine Surgery is Affordable

Because the technology is not clinically accepted and has not been proven, laser spine surgery is typically not covered by health insurance. As a result, procedures have been known to add up to $20,000 to $50,000 in out-of-pocket costs.

Myth 3: Laser Spine Surgery is Effective

Commercials for laser spine surgery often promise significant relief with less risk of complications and shorter recovery times. The truth is that it has not been proven what can actually be accomplished with a laser. Laser surgery is not the same as minimally invasive back surgery, which does produce results. And pain does not show up on X-rays or MRIs. This means that even if pain goes away, it can be hard to prove whether the surgery cured the pain or the pain just went away on its own.

When considering minimally invasive spine surgery options, ask yourself a few important questions: 

  • Does the practice or institution you are considering teach courses on the use of its technique at national spine meetings?
  • Is this procedure something that other respected surgeons have adopted?

If the answer to these questions is “no,” you may want to investigate other options.

Resurgens Spine Center • Non-surgical & Surgical Spine Care • 23 Convenient Atlanta Locations • Resurgens.com/Spine

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Just in time for summer, chef Michelle Matlock of Sage Woodfire Tavern Buckhead shares a sweet and savory watermelon salad with an Agave Poppyseed Vinaigrette to serve at your next gathering.

photography by Becky SteinINGREDIENTS:

Agave Poppyseed Vinaigrette

¾ cup agave syrup

¾ tablespoon Dijon mustard

¾ cup rice wine vinegar, unseasoned

¾ cup poppy seeds

1 teaspoon Kosher salt

2 teaspoons black pepper, fine ground

¼ cup smoked paprika

1 fresh lime, juice and micro zest

1 ½ cups EVOO

 

Roquefort Watermelon Napoleon

12 watermelon disks, seasoned with Kosher salt and black pepper

¼ cup micro cilantro per salad

2 tablespoons crumbled Roquefort cheese per salad

2 tablespoons crushed smoked almonds per salad

2 tablespoons sliced dates per salad

¼ cup Agave Poppyseed Vinaigrette per salad

DIRECTIONS:

In 1-quart container, combine the agave syrup, Dijon mustard, rice wine vinegar, poppy seed, kosher salt, black pepper, smoked paprika, lime juice and zest. With a blender, purée until all ingredients look well blended. While blender is still running, pour the EVOO into the mixture one cup at a time to create an emulsion.

To create four salads, assemble three watermelon disks in a layered tower fashion. Sprinkle remaining salad ingredients on and top with Agave Poppyseed Vinaigrette. Details: 3379 Peachtree Road NE., Atlanta; SageWoodfireTavern.com/Buckhead

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