Ask the Health Professionals

S P E C IA L A DVE R T ISING SE C T I O N
Ask the Health
Professionals
Ask the Doctor
Adult Attention Deficit Disorder (ADD).............................................S37
Chad Brock, M.D., Savannah Psychiatry
Balloon Sinuplasty.......................................................................................S39
David S. Oliver, M.D., F.A.C.S., Coastal ENT
Bio-Identical Hormone Therapy.............................................................S29
Mary Kay Ross, M.D., FACEP, Live Well MD
Breast Augmentation..................................................................................S47
Joel Shanklin, M.D., Coastal Empire Plastic Surgery
Breast Reconstruction . ............................................................................ S46
Cliff Cannon III, M.D., Coastal Empire Plastic Surgery
Corrective Breast Surgery.........................................................................S38
Thomas W. Horn, M.D., Finger and Associates
Enlarged Prostate/BPH..............................................................................S31
Michael Funderburk, M.D., Urological Associates of Savannah
Erectile Dysfunction....................................................................................S33
Stephen Michigan, M.D., Urological Associates of Savannah
Eyelid Lifts..................................................................................................... S44
Angela Rowden, M.D., F.A.C.S., Georgia Skin and Cancer Clinic
Facial Rejuvenation......................................................................................S47
Meghan McGovern, M.D., Coastal Empire Plastic Surgery
Female Urology.............................................................................................S33
Ruth Ann Miles, M.D., Urological Associates of Savannah
Flat Feet...........................................................................................................S43
Steven Shapiro, M.D., Savannah Orthopaedic Foot & Ankle
Foot & Ankle Joint Replacement ............................................................ S41
Mark A. Jenkins, D.O., Chatham Orthopaedic Associates, P.A.
Hip/Joint Replacement ............................................................................ S40
James F. Holtzclaw, M.D., Chatham Orthopaedic Associates, P.A
Hospice Care..................................................................................................S45
Kelly Erola, M.D., Hospice Savannah
Kidney Cancer.............................................................................................. S30
Buffi Boyd, M.D., Urological Associates of Savannah
Knee Arthritis . .............................................................................................S42
Greer E. Noonburg, M.D., Chatham Orthopaedic Associates, P.A.
Knee Ligaments ...........................................................................................S43
Spencer M. Wheeler, M.D., Chatham Orthopaedic Associates, P.A
“Mommy Makeovers” .............................................................................. S46
Luke Curtsinger, M.D., Coastal Empire Plastic Surgery
Neuromas........................................................................................................S45
Frederic Spector, D.P.M., Coastal Foot & Ankle Center
Pediatric Urology..........................................................................................S32
Richard Mazo, M.D., Urological Associates of Savannah
Preventing Skin Cancer............................................................................. S44
Sidney Smith, M.D., Georgia Skin and Cancer Clinic
Prostate Cancer........................................................................................... S30
David Cheng, M.D., Urological Associates of Savannah
Robotic Surgery............................................................................................S34
Samuel Torres, M.D., Urological Associates of Savannah
S28 savannahmagazine.COM
Compiled by Judy Bean
Photography by Bunny Ware, Lyn Bonham,
Christine Hall and Allie Morris
Rotator Cuff . ................................................................................................ S40
Robert Dow Hoffman M.D., Chatham Orthopaedic
Associates, P.A.
The Spine .......................................................................................................S42
Raphael R. Roybal, M.D., Chatham Orthopaedic Associates, P.A.
Spine Surgery................................................................................................S35
James Gunn Lindley Jr., M.D., FACS, Neurological Institute of
Savannah & Center for Spine
Stone Disease.................................................................................................S31
Michael Cox, M.D., Urological Associates of Savannah
Thyroid Problems.........................................................................................S34
William Moretz, M.D., ENT Associates of Savannah
Treatment-resistant Depression........................................................... S48
William G. Ellien, M.D., TMS Neuroscience Center of Savannah
Upper Extremity/Hand ............................................................................. S41
Ronald H. Levit, M.D., Chatham Orthopaedic Associates, P.A.
Vasectomy......................................................................................................S32
James Judy, M.D., Urological Associates of Savannah
Weight Loss....................................................................................................S36
Kyrin Dunston, M.D., FACOG, True Balance MD
Ask the Health Professional
Assisted Living..............................................................................................S53
Rita Slatus, Executive Director, Buckingham South
Outsourced Medical Billing......................................................................S52
Gary Nesbit, B.B.A. & Will Ronning, M.B.A., J.D.,
Coastal Medical Billing
Physical Therapy for Back Pain.............................................................. S49
Bryan W. Kist, P.T., D.P.T., O.C.S., Spine & Sport
Recovery from Dependency on Alcohol and
Prescription Pills......................................................................................... S50
Terry Bruce, President and CEO, Assisted Recovery Center of
Georgia
Speech Therapy for Children.....................................................................S51
Stephanie Auker, Speech & Language Pathologist, Live Oak
Children’s Therapy
Ask the Dentist
CAD/CAM Dental Technology................................................................S55
Julie Ann Routhier, D.M.D., Paderewski & Routhier, L.L.C.
Esthetic Dentistry....................................................................................... S54
Bradley Busbee, D.D.S., Morrison Dental Associates
Non-surgical TMJ Treatment.................................................................. S54
Eric Gladden, D.M.D., Gladden Dental
Restoring Missing Teeth............................................................................S53
Jessanna Smith, D.M.D., Tybee Teeth
Snap-On Smile ©...........................................................................................S55
Scott Cohen, D.D.S., Cohen Dental Center
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S P E C IA
What Every
Savannahian
Needs to Know
About...
Bio-Identical Hormone
Therapy
Mary Kay Ross, M.D.,
FACEP
Live Well MD
337 Commercial Drive, Suite 100
912-352-1234
livewellmdsavannah.com
What are bio-identical
hormones?
Bio-identical hormones
are hormones that are
bio-chemically identical to those produced
by the human body.
Bio-identical hormones
contain no added
molecules compared
to synthetic hormones
thus allowing our
bodies receptors to bind
perfectly with them.
Why are bio-identicals
better?
Synthetic hormones
such as Premarin® and
Prempro® are derived
from horse estrogen
which is much stronger
than human estrogen
and thus doesn’t bind
as well with hormone
receptor cells. In turn,
they are prescribed in
unnaturally high doses
causing multiple side
effects and have been
linked to cancer, heart
disease and other health
problems.
Can I get by without
hormone therapy?
OCTOR
ASK D
Perhaps. But there is a
serious argument that
hormone therapy plays
a large role in preventative medicine in addition
to providing relief
from sleeplessness, hot
flashes, mood disorders
and intimacy problems.
How do you administer bio-identical
hormones?
STATS
Medical Degree: University of Louisville (KY), advanced training in Anti-Aging
Medicine and Hormone Replacement Therapy
Board Certifications: American Board of Emergency Medicine, American
Academy of Anti-Aging Medicine (Board-eligible)
Affiliations: American Medical Association, American College of Emergency
Physicians, American Academy of Cosmetic Surgeons, North American
Menopause Society, American Society for Laser Medicine and Surgery
We offer a wide range
of treatment options
from transdermal
creams to injections
for both our male and
female patients. We
also offer implantable
pellets only once we’re
certain the dose is right
for the patient, so each
one feels his or her very
best.
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What Every
Savannahian
Needs to Know
About...
Kidney Cancer
Buffi Boyd, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
What is kidney cancer?
Kidney cancer is abnormal kidney cells that grow out of control. They first
grow locally but can spread to other areas such as lymph nodes, lung, bone,
central nervous system, etc.
How is it detected?
Kidney cancers are most commonly diagnosed incidentally on X-rays
obtained for other reasons. The classic presenting symptoms include blood
in the urine, flank/back pain and a palpable mass (only present in about 10
percent of patients).
Can kidney cancer be cured?
OCTOR
D
K
S
A
Kidney cancers can be cured (with surgical resection). Cure rates depend
on stage at presentation (which is related to tumor size and whether it has
spread). Primary treatment includes surgical resection (laparascopic and
conventional open surgery) and thermal treatments (heating and freezing).
STATS
Board Certification: Urology
Medical Degree: Medical College of Georgia
Residency: Medical College of Georgia
What Every
Savannahian
Needs to Know
About...
Prostate Cancer
David Cheng, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
What is prostate cancer?
The most commonly diagnosed cancer in men in the United States. The
prostate is a male sex gland just below the urinary bladder and surrounds
the upper part of the urethra. When cells in the prostate undergo malignant
transformation, they can grow without limit and control, resulting in tissue
damage and even death. The cause is unknown.
Who is at risk for prostate cancer?
The major risk factor is age. Men in their 50s have about a 10 percent
chance of developing this cancer, but men in their 80s have nearly an 80
percent chance.
How important is prostate cancer screening?
Screening is recommended for men over the age of 50, younger men with
strong family history and for African Americans.
OCTOR
ASK D
S30 savannahmagazine.COM
STATS
Board Certification: Urology
Medical Degree: Cornell University
Residency: Mount Sinai Hospital
S P E C IA L A DVE R T ISING SE C T I O N
What Every
Savannahian
Needs to Know
About...
Stone Disease
Michael Cox, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
What is a kidney stone?
A kidney stone is an accumulation of mineral salts and other
chemical substances in the urine that crystallize to form a solid
mass, or “stone,” in the kidney.
Who is at risk for kidney stones?
Gender (male), ethnicity (more common in Caucasians) and age (uncommon
in children and adolescents) are important risk factors. Geography is
also relevant with increasing prevalence in hot, arid and tropical regions.
Georgia lies in the “Stone Belt” and has one of the highest prevalence rates
of stone disease.
STATS
OCTOR
D
K
S
A
Board Certification: Urology
Medical Degree: Jefferson Medical College
Residency: Barnes-Jewish Hospital: Washington University in St. Louis
Languages: English and Spanish
What Every
Savannahian
Needs to Know
About...
Enlarged
Prostate/BPH
Michael Funderburk, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
What happens with an enlarged prostate?
Also known as BPH (benign prostatic hyperplasia), an enlarged prostate
restricts a man’s urine flow, causing a sense of urgency, a slow urine stream,
dribbling or repeated nighttime bathroom visits.
Is it dangerous?
At its worst, BPH makes it impossible to urinate. If neglected too long, it
can cause kidney and bladder damage.
What are the treatment options?
Medication helps most men. If that doesn’t work, there are minimally
invasive outpatient solutions.
STATS
ASK
DOCTOR
Medical Degree: University of Missouri – Kansas City School of Medicine
Residency: Massachusetts General Hospital
Certifications: Urology
Privileges: Memorial University Medical Center, St. Joseph’s/Candler
Health System
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What Every
Savannahian
Needs to Know
About...
Vasectomy
James Judy, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
What is a vasectomy?
It’s a method of contraception: a minor surgical procedure to prevent sperm
produced by the testicles from reaching the ejaculation fluid.
Does it work immediately as a contraceptive?
No. Couples should continue to use their present form of birth control until
specimens are checked to see whether sperm is present.
Will my sex life be affected?
Desire and performance are not affected. You should not notice any change
in the fluid or volume of fluid because sperm only makes up about 10
percent of the ejaculation fluid.
STATS
OCTOR
D
K
S
A
Board Certification: Urology
Medical Degree: Medical College of Georgia
Residency: Memorial Health University Medical Center
What Every
Savannahian
Needs to Know
About...
Pediatric
Urology
Samuel Richard Mazo, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
What is a Pediatric Urologist?
A urologist who specializes in taking care of children under
the age of 18.
When should my child see a pediatric urologist for bedwetting or urinary incontinence?
If it is interfering with the social development of the child or
if there are associated urinary tract infections.
STATS
ASK
DOCTOR
S32 savannahmagazine.COM
Board Certification: Pediatric Urology, Urology
Medical Degree: Medical College of Georgia
Residency: University of Michigan
Fellowship: Meath Hospital
Professional Organizations: American Urological Association, Society for
Pediatric Urology, American Academy of Pediatrics
S P E C IA L A DVE R T ISING SE C T I O N
What Every
Savannahian
Needs to Know
About...
Erectile
Dysfunction
Stephen Michigan, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
Is Erectile Dysfunction a normal part of aging?
Not entirely and the loss of sexual function is not inevitable. Changes in
erectile function are the result of normal aging and specific medical conditions which occur more commonly in older individuals. These include, but
are not limited to, diabetes, hypertension, heart disease, various cancers
(and cancer treatments), hyperlipidemia and neurological disorders. Other
contributing factors are lifestyle choices such as smoking and drinking.
How is Erectile Dysfunction treated?
There are a variety of medications (oral and injectable), mechanical aids and
surgical procedures which, depending on the cause, can successfully treat
sexual dysfunction in men.
STATS
OCTOR
D
K
S
A
Board Certification: Urology
Medical Degree: Johns Hopkins University
Residency: Bellevue Hospital and Johns Hopkins Hospital
What Every
Savannahian
Needs to Know
About...
Female Urology
Ruth Ann Miles, M.D.
Urological Associates of Savannah, P.C.
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
Why might a woman see a urologist?
Women of all ages have issues with bladder control, frequent urination,
strong urinary urges or urinary incontinence. Some also have pain from
infection or chronic bladder inflammation. These conditions are best treated
by a urologist.
Can’t my “regular” doctor or OB/GYN treat those problems?
These conditions typically are treated initially by a primary care physician or
OB/GYN. If the condition persists, it’s time for referral to a specialist, who
can provide nerve stimulation for overactive bladder and other advanced
treatments.
STATS
OCTOR
ASK D
Medical Degree: University of Miami School of Medicine
Residency: New Jersey Medical School
Certifications: Urology
Privileges: Memorial University Medical Center, St. Joseph’s/Candler
Health System
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What Every
Savannahian
Needs to Know
About...
Robotic Surgery
Samuel Torres, M.D.
Urological Associates of Savannah
230 E. DeRenne Ave.
912-790-4000 | urologysavannah.com
What is a robotic prostatectomy?
A minimally invasive surgical procedure done with a da Vinci robot to
remove the cancerous prostate gland and related structures. The da Vinci is
a remote-controlled robot that facilitates minimally invasive procedures with
its enhanced range of motion and visibility, reducing patients’ blood loss
and leading to faster recovery.
Who is a candidate for a robotic prostatectomy?
It is an advanced treatment option for the majority of patients with
prostate cancer in need of surgery. Those who may not qualify for this
type of surgery are obese patients and patients who’ve had multiple
abdominal surgeries.
STATS
OCTOR
D
K
S
A
Board Certification: Urology
Medical Degree: University of the Philippines
Residency: Upstate Medical Center Syracuse and Memorial Health
University Medical Center
Fellowship: Baylor
What Every
Savannahian
Needs to Know
About...
Thyroid
Problems
William Moretz, M.D.
ENT Associates of Savannah
5201 Fredrick St.
912-351-3030 | www.entsavannah.com
What thyroid problems should we be aware of?
There are several thyroid conditions your physician will be able to diagnose
and treat. Typically, our office is involved when surgical management is
indicated. Most of the surgery we perform is for thyroid nodularity and
compressive multinodular thyroid glands.
How can these conditions be treated?
Surgery for the thyroid gland can be performed safely, with minimal risks.
Many of the techniques for thyroid surgery have been refined with new
technology, including endoscopic visualization and harmonic instruments.
This technology allows for incisions as small as 1.5 centimeters. Typically,
thyroid surgery can be performed safely on an outpatient basis without the
need for drains.
ASK
DOCTOR
S34 savannahmagazine.COM
STATS
Medical Degree: Medical College of Georgia
Residency: Otolaryngology/Head and Neck Surgery from Medical College of
Georgia
Board Certified: Otolaryngology/Head and Neck Surgery
Full Hospital Privileges: Candler/St Joseph’s Hospital, Memorial Hospital
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What Every
Savannahian
Needs to Know
About...
Spine Surgery
James Gunn Lindley, M.D.
Neurological Institute of Savannah
and Center for Spine
4 Jackson Blvd.
912-355-1010
neurologicalinstitute.com
What’s new in spine
surgery?
Two big stories about
artificial disc replacement and minimally
invasive spine surgery
(MIS).
What about artificial
discs?
Although they’ve been
in use for years, the long
term results are showing
that artificial discs in
the cervical and lumbar
spine not only preserve
motion but provide
outcomes that are
similar or better than
fusion - once considered
the gold standard. Also.
artificial discs make it
less likely that patients
will need additional
procedures.
Is disc replacement an
inpatient procedure?
OCTOR
ASK D
Replacing neck discs
has been an outpatient
procedure for years, but
replacing lower back
discs requires a one or
two day hospital stay.
However, Savannah now
has a disc replacement
device – we are one
of only four locations
nationwide performing
the procedure – that
allows minimally invasive lower back disc
replacement, reducing
hospital time.
What else can MIS do?
STATS
Medical Degree: Medical University of South Carolina
Residency: Wake Forest University Medical Center
Certifications: American Board of Neurological Surgery
Affiliations: Congress of Neurological Surgeons, North American Spine Society,
American College of Surgeons, Southern Neurological Society, Spine Arthroplasty
Society, American Association of Spine Physicians, Georgia Neurological Society,
Medical Association of Georgia, American Medical Association, American
Association of Neurological Surgeons
It targets small, precise
areas to reduce muscle,
tendon and ligament
disruption to address
nerve compression and
degenerative conditions
of the spine. MIS procedures minimize post-op
pain, the likelihood of
repeat surgery and time
in the hospital. In fact,
most MIS procedures
can be performed on an
outpatient basis.
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What Every
Savannahian
Needs to Know
About...
Weight Loss
Kyrin Dunston, M.D., FACOG
True Balance MD
800 B E. 70th St.
912-401-0449
truebalancemd.com
What is TRUE weight loss?
True weight loss is when you
lose weight easily, and it stays
off. When you are overweight,
imbalances occur that need to
be addressed. The body needs
to be rebalanced, resetting
your system and allowing it
to release weight naturally.
Rebalancing also prevents
weight from returning.
How can I achieve TRUE
weight loss?
Natural supplements that rebalance the body’s systems are
incorporated into the program.
Your body is recalibrated
to burn stored fat for fuel,
thereby achieving the goal of
weight loss.
What should be included in a
TRUE weight loss program?
The true weight loss program
includes an eating plan and
supplements. The eating plan
and supplements address the
five key areas of dysfunction
that occur from being overweight. The five areas include:
s.ATURALHORMONEBALANCING
— thyroid, insulin, estrogen,
progesterone, testosterone,
and the stress hormones, like
cortisol.
s$ETOXIlCATIONˆREMOVING
undesirable chemicals from the
body that hinder weight loss.
CTOR
O
D
K
AS
STATS
Board Certification: American Board of Obstetricians & Gynecologists, Member
of American Academy of Anti-Aging Medicine Fellowship Program
Medical Degree: Jefferson Medical College
Professional Organizations: American Academy of Anti-Aging Medicine,
American College for Advancement in Medicine, Life Extension Foundation
S36 savannahmagazine.COM
s#ORRECTIONOFNUTRITIONAL
deficiencies — most overweight
people have deficiencies of
specific vitamins, minerals and
macronutrients.
s)NmAMMATIONˆFOODSENSI
tivities and chronic infections
can be the cause of this.
s"ARRIERSˆBREAKINGDOWNTHE
barriers that keep you stuck in
an unhealthy lifestyle.
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What Every
Savannahian
Needs to Know
About...
Adult Attention Deficit
Disorder (ADD)
Chad Brock, M.D.
Savannah Psychiatry
635 Stephenson Ave.
912-352-2921
savannahpsychiatry.com
Is there such thing as
adult onset Attention
Deficit Disorder (ADD)?
ADD is a childhood
disorder than can persist
into adulthood. An
adult may have always
had the problem but
was able to compensate
for it. Major life changes
can overwhelm their
compensation measures
and make focus issues
more evident. For
example, a young adult
with untreated ADD
may make it to college
with the structure their
parents provided only to
falter in college because
of the freedom and lack
of structure.
Are there non-medical
treatments for ADD?
OCTOR
ASK D
Yes! Exercise can have
a tremendous benefit.
I encourage my adult
ADD patients to engage
in vigorous cardiovascular exercise before
their workday. Also,
having someone help
you establish structure
to your day can be
beneficial. People with
ADD often fail in their
decision-making. You
are less likely to go
astray if you have set
daily patterns.
STATS
Education: M.D., The University of Oklahoma College of Medicine
Residency: Medical University of South Carolina
Privileges: Memorial University Medical Center
What are the current
trends in treating ADD
with medication?
Stimulants used to have
to be dosed several
times a day. Now there
are several extended
release formulations
that can be taken in the
morning and will last
throughout the day.
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What Every
Savannahian
Needs to Know
About...
Corrective Breast Surgery
Thomas Horn, M.D.
Finger and Associates
5356 Reynolds St., Suite 505
912-354-4411
fingerandassociates.com
What is corrective
breast surgery?
Corrective breast
surgery is for prior
breast augmentation
and breast reconstruction patients who are
unhappy with their
results. This type of
surgery restores the
natural beauty of an
individuals breast’s as
well as her confidence.
What problems do
patients seek help
with?
Each patient has a
unique set of problems that they wish to
correct. These can range
from saline implants
with visible wrinkles
to size mismatches to
general displacement of
an implant.
Is this type of surgery
a specialty for you?
Corrective breast surgery
has become about
half of my practice.
Addressing corrective concerns involves
a great deal of time
between myself and my
patient to determine her
individual priorities and
best solution.
How do you prevent
future problems?
OCTOR
D
K
S
A
STATS
Medical Degree: University of Florida, College of Medicine
Residencies: Medical College of Georgia (General Surgey), University of
Miami (Plastic surgery)
Board Certifications: American Board of Surgery, American Board of
Plastic Surgery
S38 savannahmagazine.COM
During the consultation
I make sure my patients
have realistic expectations of what she de
desires to look like. I
then make sure I can
perform a corrective
surgery to meet these
expectations. Surgically,
there are many challenges, such as maintaining nipple sensation,
keeping the implant in
the correct location and
removing any asymmetries in the breast.
My goal is to give my
patients the breasts she
always desired.
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What Every
Savannahian
Needs to Know
About...
Balloon Sinuplasty
David S. Oliver, M.D.,
F.A.C.S.
Coastal Ear, Nose and Throat, L.L.C.
322 Commercial Drive, Suite 2
912-355-2335
What is balloon
sinuplasty?
It’s a new, minimally
invasive procedure
for relieving sinusitis. Unlike past sinus
surgery, balloon
sinuplasty involves
no scraping, no tissue
removal, no excessive
bleeding or bruising —
and just a day or two of
recovery time.
How does it work?
A small catheter is introduced into the nose. A
balloon is then passed
over a lighted wire into
the sinus and inflated
to a pressure strong
enough to permanently
dilate the bony openings of the affected
sinuses.
Who is a good
candidate?
OCTOR
ASK D
Balloon sinuplasty
doesn’t relieve allergies
or nasal polyps, and
progressive diseases
may require other
treatments. It is ideal
for people who have
had several episodes
of sinusitis and rounds
of antibiotics within a
year. Children who have
chronic runny noses,
snorting and mouthbreathing can also be
good candidates. We
have performed the
surgery on patients of
all ages, including children as young as 3.
STATS
Medical Degree: Medical University of South Carolina
Residency: Medical College of Virginia
Certifications: Fellow, American College of Surgeons, Academy of OtolaryngologyHead and Neck Surgery and American Academy of Procedural Coders
Organizations: American Medical Association, Georgia Medical Society, Medical
Association of Georgia
Privileges: St. Joseph’s/Candler Health System, Memorial University Medical Center,
Evans Memorial Hospital
And the results?
So far, results have been
positive and lasting,
much more so than
adenoid surgery alone
or the old-fashioned
sinus-scraping surgery.
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What Every
Savannahian
Needs to Know
About...
Rotator Cuff
Robert Dow Hoffman, M.D.
Chatham Orthopaedic Associates, P.A.
4425 Paulsen St.
912-355-6615 | chathamorthopaedics.com
What exactly is the rotator cuff?
The rotator cuff is a group of four muscles that cover the ball of the
shoulder or the head of the humerus. These muscles allow you to rotate
your shoulder and to reach overhead. They are important muscles for many
everyday work and sports activities.
Why is the rotator cuff so prone to injury?
The rotator cuff can be injured in certain activities that place a great deal of
stress on those muscles such as sporting activities, throwing motions and
overhead lifting. The rotator cuff also becomes significantly more prone to
injury as we age.
How can patients avoid rotator cuff injury/strain in the
future?
OCTOR
D
K
S
A
There is no way to completely eliminate the risk of injury. However,
maintaining good rotator cuff strength is essential to avoiding injury,
especially if you engage in heavy lifting, heavy overhead work and sporting
activities.
STATS
Board Certification: American Board of Orthopaedic Surgery
Medical Degree: Duke University School of Medicine
Residency: University of Iowa Hospital and Clinics
What Every
Savannahian
Needs to Know
About...
Hip/Joint
Replacement
James F. Holtzclaw, M.D.
Chatham Orthopaedic Associates, P.A.
4425 Paulsen St.
912-355-6615 | chathamorthopaedics.com
How does a patient know when it’s time for a hip/joint
replacement?
The answer to this question will be different for each individual. I tell
patients that when their joint pain limits them from doing activities that
make their life enjoyable, then it is time to consider surgery. The main
indication to proceed with surgery is disabling pain.
How long does it take to recover from hip/joint
replacement?
A patient is usually hospitalized for one to two days and is on crutches or a
walker for approximately two weeks after the procedure. Patients usually
require physical therapy for four to six weeks, which is significantly less than
the 12 weeks usually required for knee replacement surgery.
How can a hip/joint replacement help improve a patient’s
quality of life?
OCTOR
ASK D
Hip and knee replacement surgery have a long track record of providing
excellent outcomes for patients. The main reason a patient’s quality of life is
improved is due to the elimination of their joint pain.
STATS
Board Certification: American Board of Orthopaedic Surgery
Medical Degree: Emory University School of Medicine
Internship: Duke University Medical Center
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Foot and Ankle
Joint Replacement
Mark A. Jenkins, D.O.
Chatham Orthopaedic Associates, P.A.
4425 Paulsen St.
912-355-6615 | chathamorthopaedics.com
Why is the foot/ankle so prone to injury?
The foot and ankle have no inherent bone stability. This particular part
of the body is mainly held together by ligaments and tendons, making it
especially vulnerable to injury.
What are some of the benefits of having joint replacement
surgery on the ankle?
With joint replacement surgery, patients can keep adequate ankle range
of motion. This procedure can benefit patients by greatly improving their
mobility and their quality of life.
How long is the typical recovery time for foot or ankle
replacement?
The recovery time can take anywhere from four to six months. Physical
therapy is an important part of the recovery process.
OCTOR
D
K
S
A
STATS
Osteopathic Degree: Kirksville College of Osteopathic Medicine in
Kirskville, Mo.
Internship: Ohio University College of Osteopathic Medicine
Residency: Grandview Hospital and Memorial Center in Dayton, Ohio
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Upper Extremity/
Hand
Ronald H. Levit, M.D.
Chatham Orthopaedic Associates, P.A.
4425 Paulsen St.
912-355-6615 | chathamorthopaedics.com
What is the recommended treatment for carpal tunnel
syndrome?
Carpal tunnel syndrome may often be managed by non-surgical methods.
Splinting, medications and steroid injections may be successful. If these
measures do not provide significant relief, then surgery is recommended. I
perform a minimally invasive endoscopic procedure that is very successful
and allows my patients to return to activities earlier and is less painful than
traditional surgery.
Why is the hand such a difficult part of the body to operate
upon?
The hand is a complex structure with many small and intricate components.
Multiple tendons, bones, muscles, ligaments and nerves must work in unison
to perform even the simplest task. During surgery, I utilize advanced techniques I refined during additional fellowship training.
ASK
DOCTOR
STATS
Board Certification: American Board of Orthopaedic Surgery
Medical Degree: University of Texas Health Science Center in San Antonio,
Texas
Residency: Henry Ford Hospital in Detroit, Mich.
Fellowship: Curtis National Hand Center in Baltimore, Md.
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Knee Arthritis
Greer E. Noonburg, M.D.
Chatham Orthopaedic Associates, P.A.
4425 Paulsen St.
912-355-6615 | chathamorthopaedics.com
Is there any way to prevent arthritis in the knee?
Despite some claims in the media, there is no “cure” for arthritis. There
are several factors that can prevent or slow the development of arthritis
including weight loss, low-impact exercise, physical therapy, braces and shoe
inserts.
What are the treatment options for patients with arthritis?
Managing arthritis is a long-term commitment, and establishing a treatment
plan with your doctor is an important first step. A combination of prevention and treatment is usually the most effective approach. Once arthritis is
present, a number of different options are available including medications,
dietary supplements, steroid injections and viscosupplementation injections.
Individuals who have not gained lasting relief from nonsurgical management may be offered a variety of operations including knee arthroscopy,
partial knee replacement or total knee replacement.
OCTOR
D
K
S
A
STATS
Board Certification: American Board of Orthopaedic Surgery
Medical Degree: Dartmouth University
Residency (Affiliated): Madigan Army Medical Center in Tacoma, Wash.
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The Spine
Raphael R. Roybal, M.D.
Chatham Orthopaedic Associates, P.A.
4425 Paulsen St.
912-355-6615 | chathamorthopaedics.com
Why is the spine so prone to injury/debilitation?
The spine is a series of linked joints comprised of bone and cartilage tissue
that perform the simultaneous function of providing both motion and
stability while protecting the neurological structures. Because the spine is an
erect series of joints in delicate balance, the paraspinal musculature is prone
to fatigue as well as injury from over usage.
When is surgery the right option for back pain?
Surgery is appropriate when the correctible spinal pathology commonly
referred to as a “pain generator” is accurately identified. In general, this is
only after conservative treatment options have failed.
Are there certain spinal conditions when early surgical intervention is advisable?
Yes. Neurological deficits such as weakness, atrophy or bowel and bladder
dysfunction and progressive deformity due to scoliosis and fracture can
compromise the health of the cervical or thoracic spinal cord and require
early intervention.
OCTOR
ASK D
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STATS
Board Certification: American Board of Orthopaedic Surgery
Medical Degree: University of New Mexico School of Medicine in Albuquerque, N.M.
Residency: University of Arizona, University Medical Center in Tucson, Ariz.
Fellowship: Texas Back Institute in Plano, Texas
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Knee Ligaments
Spencer M. Wheeler, M.D.
Chatham Orthopaedic Associates, P.A.
4425 Paulsen St.
912-355-6615 | chathamorthopaedics.com
What are the most common knee ligament injuries?
Although the knee is comprised of many ligaments, the two most commonly
injured are the medial collateral ligament, commonly known as the MCL,
and the anterior cruiciate ligament, commonly known as the ACL. MCL
injuries occur when a valgus force is applied to the knee, causing it to strain.
The ACL ligament is usually injured by pivoting or cutting maneuvers and is
rarely caused by trauma.
What is the best course of treatment for an ACL injury?
For an ACL injury occurring in the young and active athletic population, the
recommended treatment is an ACL reconstruction to provide stability of the
knee. In patients who are older and not doing a lot of pivoting or cutting
activities, other options such as bracing are certainly viable.
OCTOR
D
K
S
A
STATS
Board Certification: American Board of Orthopaedic Surgery
Medical Degree: Medical College of Georgia
Internship: University of Florida, Jacksonville-General Surgery
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Flat Feet
Steven Shapiro, M.D.
Savannah Orthopaedic Foot & Ankle
6715 Forest Park Drive
912-352-FEET | savannahfoot.com
Are flat feet ever serious?
Actually, they can become very painful. Flat feet can lead to pain in the
arch, ankle, knee and even the hips and lower back.
How do you treat the pain?
There are conservative, non-surgical treatments like orthotics and exercises.
If those don’t work, we now have arch implants and other minimally
invasive surgical procedures for both children and adults. These modern
procedures have less down time than surgeries of the past.
STATS
OCTOR
ASK D
Medical Degree: George Washington University School of Medicine
Residency: Harvard Orthopaedic Residency Program
Fellowship: University of Texas at Southwestern, Foot and Ankle
Board Certifications: Diplomat, American Board of Orthopaedic Surgery;
Fellow, American Academy of Orthopaedic Surgeons; Member, American
Orthopaedic Foot and Ankle Society
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Eyelid Lifts
Angela Rowden, M.D., F.A.C.S.
Advanced Eye Care at
Georgia Skin and Cancer Clinic
900 Mohawk St., Suite A
912-376-2591
What do you wish more people knew about eyelid lifts?
That an eyelid lift, or blepharoplasty, is often covered by insurance. If you
have to lift your eyebrows to keep your eyes open, or the sides of your lids
droop and impede your side vision, a lift could be medically indicated and
insurance-eligible.
How can you tell if a lift is medically indicated?
As an oculoplastic surgeon (an eye surgeon who specializes in surgery of
the eyelids and orbit), I can perform the tests to determine if your lids are
impeding your vision.
OCTOR
ASK D
STATS
Medical Degree: University of Kansas School of Medicine
Residency: University of Missouri at Kansas City / University of Kansas,
School of Medicine
Board Certifications: American Board of Ophthalmology / Fellow: American
Academy of Ophthalmology / Fellow: American College of Surgeons
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Preventing
Skin Cancer
Sidney Smith, M.D.
Georgia Skin and Cancer Clinic
900 Mohawk St., Suite A
912-925-0067
georgiaskinandcancer.com
When should I see a dermatologist about possible skin
cancer?
If you’ve ever had a sunburn with peeling or blisters, get a full-body check
every year or two. More urgently, if a spot on your skin has changed in any
way, come see us immediately!
Why do people postpone coming in?
Some are afraid of needles. The good news is we mix bicarbonate with our
anesthesia so the initial injection doesn’t hurt. Most procedures are covered
by insurance, but don’t be afraid to ask for a reduced fee if you are uninsured.
ASK
DOCTOR
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STATS
Medical Degree: Medical College of Georgia
Residency: Dermatology: University of Alabama. Internal Medicine:
Vanderbilt University
Board Certifications: American Academy of Dermatology, American College
of MOHS Physicians, American Board of Internal Medicine
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Neuromas
Frederic Spector, D.P.M.
Coastal Foot and Ankle Center
352 Commercial Drive
912-354-3668
What is a Neuroma?
Neuromas are a common cause of pain to the ball of the foot. This problem
is caused by compression of the interdigital nerve to the third and fourth
toes. It occurs more frequently in women.
What are the symptoms?
Symptoms are severe pain and cramping to the ball of the foot and sometimes numbness to the toes.
Are there surgical and non-surgical treatments available?
Yes. Shoes should be wide, roomy and padded. If a cortisone injection does
not help, then surgery may be necessary.
STATS
ASK
DOCTOR
Medical Degree: Ohio College of Podiatric Medicine
Residency: Kaiser Permanente Medical Center, Hayward, Calif.; Southeastern
Medical Center, North Miami Beach, Fla.
Board Certification: Diplomate, American Board of Podiatric Surgery
Hospital Affiliations: St. Joseph’s/Candler, Memorial Health University
Medical Center
Professional Organizations: Fellow, American College of Foot and Ankle
Surgeons
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Hospice Care
Kelly Erola, M.D.
Chief Medical Director, Hospice Savannah, Inc.
1674 Chatham Parkway
912-355-2289 | HospiceSavannahHelps.com
What happens when a patient goes to hospice?
One doesn’t necessarily “go” to hospice. We happen to have a Hospice
House, but most hospice care takes place at home. Hospice is a course
of treatment a patient can choose while keeping their own doctor. It’s all
about quality of life.
How will we know when it’s time?
So many people say “I wish we’d called sooner.” If you feel overwhelmed
by dealing with a life-limiting illness, call us. We’ll assess your situation
honestly and compassionately. If it’s too soon for hospice care, we’ll help
you find the help you need now.
ASK
DOCTOR
STATS
Board Certification: Fellow, American Academy of Family Physicians;
Fellow, American Academy of Hospice and Palliative Medicine
Medical Degree: McMaster University School of Medicine, Hamilton, Ontario
Residency: Ottawa Hospital, Ottawa, Ontario
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Breast
Reconstruction
Cliff Cannon III, M.D.
Coastal Empire Plastic Surgery
900 Mohawk St., Suite A
912-920-2090 | coastalempireplasticsurgery.com
What’s the latest in breast reconstruction?
The latest technique in Savannah is the DIEP flap: Skin and fat — but not
muscle — are taken from the patient’s lower abdomen to reconstruct the
breast. The new breast is made of the patient’s own living tissue, and the
abdominal contour is improved, much like a tummy tuck.
What else should I know?
Breast reconstruction surgery after mastectomy is extremely safe. It
won’t interfere with ongoing treatment or increase the risk of the cancer
coming back.
OCTOR
D
K
S
A
STATS
Medical Degree: Mercer University School of Medicine
Residency: Medical Center of Central Georgia, Macon
Fellowship: Tulane University School of Medicine, New Orleans
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Mommy
Makeovers
Luke Curtsinger, M.D.
Coastal Empire Plastic Surgery
900 Mohawk St., Suite A
912-920-2090 | coastalempireplasticsurgery.com
What is a “Mommy Makeover”?
A combination of procedures for women whose bodies have been changed
by pregnancy, childbirth and lactation. It can include a breast lift, tummy
tuck, liposuction and other options.
When can I have a makeover?
At least three months after you stop breastfeeding; once you are sure your
family is complete.
What results can I expect?
Depending on your choices, you can flatten your tummy, remove stretch
marks, lift the breasts, restore their volume or get your hourglass figure
back. Our goal is to help you feel good about your body.
OCTOR
ASK D
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STATS
Board Certifications: American Board of Plastic Surgery
Medical Degree: University of Louisville (KY) School of Medicine
Residency: University of Texas Health Science Center (general surgery),
University of Pittsburgh (plastic surgery)
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Facial
Rejuvenation
Meghan K. McGovern, M.D.
Coastal Empire Plastic Surgery
900 Mohawk St., Suite A
912-920-2090 | coastalempireplasticsurgery.com
Does “facial rejuvenation” mean a facelift?
Not necessarily. Although I’m trained in facial surgery, as I’ve matured in my
practice, I’ve learned many techniques to restore the look of youth without
surgery. There are some things that simply cannot be corrected without
surgery, but there are some surprisingly subtle ways of restoring what we
lose as we age and maintaining a natural, youthful look. This can be accomplished with minimal to no downtime for many patients.
Will the results be as good as surgery? It really depends on
your goals and desires.
No matter what, the idea is for people to say “Gosh, you look great!” not
“Gosh, who’s your surgeon?”
OCTOR
D
K
S
A
STATS
Board Certifications: American Board of Plastic Surgery
Medical Degree: University of Virginia
Residency: LehighValley Hospital, Allentown, PA
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Breast
Augmentation
Joel Shanklin, M.D.
Coastal Empire Plastic Surgery
900 Mohawk St., Suite A
912-920-2090 | coastalempireplasticsurgery.com
Can breast implants look natural?
Yes, especially with a gel implant placed under the chest muscle. But some
women want more fullness or cleavage.
What if I’m not sure what I want?
I invite patients to come in with their favorite clothes, to try on different
implants and see how they look. Some bring their friends or husbands
along.
Are implants safe?
Very safe. Since the 1980s, when some had problems, implants are probably
the most investigated medical devices.
OCTOR
ASK D
STATS
Board Certifications: American Board of Plastic Surgery
Medical Degree: University of Louisville (KY) School of Medicine
Residencies: University of Arizona (general surgery), University of California
(plastic surgery)
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Treatment-Resistant
Depression
William G. Ellien, M.D.
TMS Neuroscience Center of Savannah
415 Eisenhower Drive, Suite 1
912-356-8300
TMSSavannahGA.com
Is treatment-resistant depression
widespread?
Yes. Of the 14 million
Americans suffering
from Major Depression
every year, only 30
percent of them achieve
remission from their
first anti-depressants.
That percentage keeps
dropping on subsequent
tries.
What can be done?
If an antidepressant trial fails, noninvasive, non-drug
Transcranial Magnetic
Stimulation (TMS) may
be prescribed. New to
Savannah, it’s the first
FDA-cleared treatment
for recurrent major
depression in many
years. TMS directs ultra
rapid, MRI-strength
magnetic pulses to
stimulate an area of
the brain that helps to
regulate mood.
Is it affordable?
Although few insurers
cover TMS at present,
we work with a case
management company
that has a 75 percent
success rate in appealing
reimbursement
denials. Also, there are
reputable treatment
financing plans.
OCTOR
ASK D
Is it really worth it?
STATS
Medical Degree: Jefferson Medical College of Thomas Jefferson University
Residency: Dwight David Eisenhower Medical Center, Fort Gordon, Ga.
Certifications: American Board of Psychiatry and Neurology
Other: Chairman, Department of Psychiatry, and Medical Director, Behavioral Health Center
at Memorial Health University Medical Center; Chairman, Department of Psychiatry and
Behavioral Sciences at Mercer University School of Medicine, Savannah Campus; Physician
of the Year in 2009 at Memorial
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Absolutely! The
brutal facts are major
depression is a proven
brain disease and the
world’s leading cause
of disability — at
enormous economic
costs. It significantly
increases individual risks
of stroke, heart attack
and diabetes. It triples
the risk of dying from a
myocardial infarction.
TMS is life saving!