Chronic Care Management: Because Great Healthcare Doesn’t End at Your Appointment

July 17, 2026/in blog /by Daniel Keaton

When most people think about healthcare, they think about the time they spend with their provider during an office visit.

But what happens between those appointments?

For patients living with multiple chronic conditions, that’s often when the biggest challenges arise. Questions about medications. New symptoms. Difficulty managing treatment plans. Coordinating care between specialists. Making sense of lab results. Recovering after a hospital stay.

That’s where Chronic Care Management (CCM) makes a meaningful difference.

At Lake Country Medical Group, our Chronic Care Management program is designed to provide ongoing support for eligible patients long after they leave the exam room. Rather than waiting until the next appointment, our care coordination team stays connected throughout the month, helping patients navigate their healthcare journey with confidence.

What Is Chronic Care Management?

Chronic Care Management is a Medicare-supported program designed for patients living with two or more chronic health conditions that are expected to last at least 12 months or for the remainder of their lives.

The goal is simple: provide continuous support that helps patients stay healthier, avoid unnecessary hospitalizations, and better manage their conditions every day.

Our CCM team works closely with patients by:

Coordinating care between primary care providers, specialists, hospitals, and pharmacies
Reviewing medications and helping patients stay on track
Answering healthcare questions between appointments
Following up after hospitalizations or emergency room visits
Helping patients understand and manage chronic conditions
Identifying concerns early before they become bigger health issues
Developing and updating personalized care plans
Connecting patients with community resources when needed

It’s healthcare that extends beyond the office visit and provides peace of mind knowing there’s a dedicated team available to help every step of the way.

A Program Built on Compassion

Behind every successful care coordination program is a team committed to serving patients with compassion, consistency, and excellence.

Over the past several years, Alicia Ramfos has played a vital role in building and leading Lake Country Medical Group’s Chronic Care Management program. Under her leadership, the program has grown into an essential part of how we care for patients beyond the walls of our offices.

Alicia’s dedication to patient-centered care, innovation, and collaboration has helped create a program that has positively impacted countless patients and families throughout our community.

Today, Alicia has transitioned into a new role focused on Population Health and Business Development, where she continues helping Lake Country Medical Group expand its services and strengthen the care we provide throughout the Lake Country. While her responsibilities have evolved, the patient-first philosophy she established remains the foundation of our CCM program.

Welcoming Eden Wages

As our Chronic Care Management program continues to grow, we’re excited to welcome Eden Wages as our new CCM Program Director.

Although Eden is stepping into a new leadership role, she is certainly not new to the program. This August marks three years with Lake Country Medical Group, and during that time she has been an integral member of our Chronic Care Management team.

Many patients may recognize Eden from her work in medication management and pharmacy services, but throughout her time with LCMG she has gained experience in virtually every aspect of Chronic Care Management. From working directly with patients to supporting care coordination behind the scenes, she has developed a deep understanding of the program and the people it serves.

That experience makes Eden uniquely prepared to lead the program forward. She understands that great healthcare isn’t just about treating illness, it’s about building relationships, staying connected, and helping patients feel supported every day between appointments.

Working alongside the outstanding team that Alicia helped build, Eden is committed to continuing the tradition of compassionate, personalized care while helping the program continue to grow and evolve.

Care That Never Stops

“Healthcare doesn’t happen only during office visits. Some of the most important care takes place between appointments, and that’s exactly why our Chronic Care Management team exists,” says Dr. Nicolas Chronos. “By staying connected with our patients throughout the month, we’re able to answer questions, identify concerns early, coordinate care, and ultimately help people live healthier lives.”

At Lake Country Medical Group, we believe great healthcare is built on relationships, communication, and continuity of care.

Whether you’re managing heart disease, diabetes, high blood pressure, COPD, or multiple chronic conditions, our Chronic Care Management team is here to help you stay connected, informed, and supported throughout your healthcare journey.

Because exceptional healthcare doesn’t end when your appointment is over.

It continues every day in between.

Could You Benefit from Chronic Care Management?

If you have Medicare and are living with two or more chronic health conditions, you may qualify for our Connected Care Management program. Through our Connected Care Institute, our team provides ongoing support between office visits, including personalized care planning, medication management, care coordination, and regular check-ins designed to help you better manage your health.

To learn more about our Connected Care Institute and our Chronic Care Management program, Click Here:

Or call Lake Country Medical Group at (706) 485-4004 to speak with a member of our team and learn whether Chronic Care Management is right for you.

Stop Exercising to Lose Weight. Start Exercising to Live Longer.

July 4, 2026/in blog /by Daniel Keaton

By: Karen Schwartz, DNP, WHNP-BC

For decades, many of us were taught that the primary reason to exercise was to lose weight or become thinner.

“Burn calories.” “Lose inches.” “Get bikini ready.”

While those messages were well-intentioned, they unintentionally overshadowed the greatest benefit of exercise: helping us live longer, healthier lives.

Today, research tells a much more powerful story.

Exercise is one of the most effective “medicines” we have. It lowers the risk of heart disease, stroke, type 2 diabetes, dementia, osteoporosis, depression, and several cancers. It improves sleep, mood, balance, mobility, and cognitive function. It helps preserve independence as we age. Remarkably, many of these benefits occur even when the number on the scale doesn’t change.

You Don’t Have to Become Thinner to Become Healthier

In other words, you don’t have to become thinner to become healthier.

In fact, studies consistently show that people who improve their fitness have a lower risk of premature death, even if they remain overweight. Fitness often predicts longevity better than body weight alone.

This shift in thinking is incredibly freeing.

Instead of asking:

“How many calories did I burn today?”

Ask yourself:

Did I make my heart stronger today?
Did I improve my balance?
Did I preserve my muscle?
Did I invest in my future independence?

One of the greatest changes we see with aging is the gradual loss of muscle mass and strength. This process contributes to falls, fractures, disability, and loss of independence. Regular resistance training and physical activity help slow this process, making everyday tasks, from climbing stairs to carrying groceries, easier for years to come.

Exercise is also one of the most effective treatments for fatigue, anxiety, and poor sleep. While it may seem counterintuitive, moving your body regularly often creates more energy rather than less.

A Word of Caution

Not everyone should focus on increasing exercise in the same way.

For individuals who are underweight, frail, recovering from illness, or experiencing significant muscle loss, the priority is often rebuilding strength and improving nutrition rather than burning calories. In these situations, exercise should be individualized and designed to preserve or restore muscle, improve balance, and support overall function, not promote further weight loss.

The New Goal

The goal of exercise is not simply to look better.

The goal is to:

Maintain muscle as you age.
Protect your heart and brain.
Preserve your balance and mobility.
Reduce your risk of chronic disease.
Maintain your independence.
Improve your quality of life.
Increase your chances of living a longer, healthier life.

If weight loss happens along the way, that’s perfectly fine. But it should be viewed as a possible side effect, not the primary purpose.

The next time you lace up your walking shoes, head to the gym, or take a bike ride, remember this: you’re not just exercising for today.

You’re investing in the ability to enjoy your grandchildren, travel, play golf, garden, dance at family weddings, and live life on your own terms for as long as possible.

That’s a goal worth moving for.

Lake Country Medical Group is accepting new patients.

📞 706-485-4004
🌐 www.LakeCountryMedicalGroup.com

When a Migraine Is More Than “Just a Headache”

June 12, 2026/in blog /by Daniel Keaton

Understanding Migraine Symptoms, Triggers, and Treatment Options

Most people experience headaches from time to time. A stressful week, poor sleep, dehydration, allergies, or even too much screen time can all leave you reaching for pain relievers.

Migraines are different.

A migraine is not simply a severe headache. It is a neurological condition that can affect how the brain processes pain, light, sound, movement, and even concentration. For many people, the head pain is only one part of the experience.

And while migraines are common, they are often misunderstood.

What Does a Migraine Feel Like?

Many people expect a migraine to look a certain way.

They imagine intense pain on one side of the head that forces someone into a dark room for hours.

While that can certainly happen, migraines do not always follow a textbook pattern.

Some people experience throbbing pain. Others feel pressure behind the eyes or across the forehead. Some develop nausea or vomiting. Others become extremely sensitive to light, sound, or certain smells.

Many people report feeling exhausted, mentally foggy, or unusually irritable before the headache even begins.

Some experience what is known as an aura. An aura can include visual changes such as flashing lights, blind spots, zigzag lines, or temporary disturbances in vision. Others may experience tingling sensations, numbness, or difficulty finding words.

Because migraine symptoms vary so much from person to person, diagnosis is often about understanding the entire pattern rather than focusing on a single symptom.

Looking Beyond the Pain

When evaluating headaches and migraines, healthcare providers look at much more than pain alone.

Questions often include:

How often are headaches occurring?
How long do they last?
Are they becoming more frequent?
What symptoms come with them?
Do they interfere with work, family activities, or sleep?
What treatments have been tried?
Has anything changed recently?

The answers help paint a clearer picture and guide decisions about treatment.

Common Migraine Triggers

Not every migraine has an obvious trigger, but certain patterns often emerge over time.

Common migraine triggers may include:

Poor sleep or changes in sleep schedule
Dehydration
Skipped meals
Stress
Hormonal fluctuations
Weather changes and barometric pressure shifts
Alcohol
Excessive caffeine or caffeine withdrawal
Bright lights
Strong odors
Neck tension
Extended screen time

Keeping a headache journal can be extremely helpful. Tracking when migraines occur, how long they last, associated symptoms, and potential triggers often reveals patterns that are difficult to recognize otherwise.

Sometimes the information gathered from a simple diary becomes one of the most valuable tools in creating an effective treatment plan.

The Problem With Simply “Pushing Through”

Many people who suffer from migraines become experts at functioning despite them.

They go to work.

They care for their families.

They attend events and keep commitments.

They learn how to push through the discomfort because they feel they have no other option.

Unfortunately, that can lead people to delay seeking help.

If migraines are becoming more frequent, lasting longer, requiring increasing amounts of medication, or preventing you from fully participating in daily life, it may be time for a medical evaluation.

The good news is that migraine treatment has advanced significantly in recent years.

Today, there are more options than ever before to help reduce migraine frequency, shorten attacks, and improve quality of life. Treatment plans may include lifestyle modifications, trigger management, acute medications, preventive therapies, or newer migraine-specific treatments depending on the individual patient.

The goal is not simply to get through the next migraine.

The goal is to help you experience fewer of them.

When Should You Be Concerned?

Most headaches and migraines are not dangerous, but certain symptoms should never be ignored.

You should seek immediate medical attention if you experience:

A sudden, severe headache that reaches maximum intensity within seconds or minutes
The worst headache of your life
A headache accompanied by weakness, numbness, confusion, or difficulty speaking
Vision loss or significant visual changes
A headache following a head injury
A headache accompanied by fever, stiff neck, or severe illness
A new headache beginning after age 50
A significant change in your usual headache pattern

When something feels dramatically different from what you have experienced before, it is always worth getting evaluated.

You Do Not Have to Live With Frequent Migraines

One of the most common misconceptions about migraines is that they are simply something people have to learn to live with.

They are not.

If headaches or migraines are becoming a regular part of your life, affecting your ability to work, enjoy time with family, travel, exercise, or simply feel your best, there may be treatment options available that can help.

At Lake Country Medical Group, we believe patients deserve answers, support, and access to care that helps them live healthier, more comfortable lives.

Because while migraines may be common, they should never be dismissed.

And the right treatment can make a meaningful difference.

If you are experiencing frequent headaches or migraines, talk with your healthcare provider about your symptoms and treatment options.

Lake Country Medical Group is accepting new patients.

📞 706-485-4004
🌐 www.LakeCountryMedicalGroup.com

Magnesium Deficiency: Signs, Symptoms, and Why So Many Adults May Be Low

May 20, 2026/in blog /by Daniel Keaton

By Nicolas Chronos, MD, FACC, FESC , Karen Schwartz, DNP, WHNP-BC and Dr. Phoebe Sahawneh, PharmD

Understanding the Importance of Magnesium for Your Health

Magnesium may not get as much attention as vitamins like D or B12, but it plays a critical role in nearly every major system in the body. From supporting heart health and muscle function to helping regulate sleep, mood, and energy production, magnesium is essential for overall wellness.

According to Dr. Nicolas Chronos, magnesium is one of the most overlooked nutrients in modern healthcare.

“Magnesium is involved in hundreds of cellular processes throughout the body,” says Dr. Chronos. “It supports cardiovascular health, nerve signaling, muscle function, and energy production. When levels are low, the effects can show up in ways many people would never immediately connect to magnesium.”

At Lake Country Medical Group, providers are seeing increasing interest in magnesium deficiency, especially among adults experiencing fatigue, muscle cramps, poor sleep, headaches, or ongoing stress.

A Collaborative Approach to Wellness at Lake Country Medical Group

At Lake Country Medical Group, patient care often involves collaboration across multiple specialties to help patients better understand the many factors that can impact their overall health and wellness.

This article was developed with insight from:

Dr. Nicolas Chronos, cardiologist and founder of Lake Country Medical Group, who focuses on cardiovascular health, prevention, and whole-body wellness
Karen Schwartz, Women’s Health Nurse Practitioner and primary care provider at Lake Country Medical Group, who works closely with patients on preventive care, hormone health, bone health, fatigue, sleep concerns, and overall wellness
Dr. Phoebe Sahawneh, part of Lake Country Medical Group’s PharmD and medication reconciliation team, who helps patients and providers evaluate medications, supplements, interactions, and overall medication safety

Together, the team works to help patients identify underlying factors that may be contributing to symptoms like fatigue, muscle cramps, headaches, poor sleep, and low energy, including potential nutritional deficiencies such as magnesium deficiency.

How Common Is Magnesium Deficiency?

Research suggests magnesium deficiency may be far more common than many people realize.

National nutrition surveys indicate that nearly half of U.S. adults do not consume enough magnesium through diet alone. Some researchers estimate that a majority of adults may have what is known as chronic latent magnesium deficiency, meaning magnesium stores within the body are depleted even when standard bloodwork appears normal.

One reason magnesium deficiency can be difficult to detect is because less than 1% of the body’s magnesium is found in the bloodstream. Most magnesium is stored in bones, muscles, and tissues.

“Patients are often surprised to learn that a normal lab result does not always rule out low magnesium stores,” explains Dr. Phoebe Sahawneh. “The body works very hard to maintain stable blood levels, even when overall magnesium reserves may be declining.”

Symptoms of Low Magnesium

Because magnesium supports so many body systems, deficiency symptoms can vary from person to person.

Common signs of magnesium deficiency may include:

Muscle cramps or muscle tension
Fatigue or low energy
Trouble sleeping
Increased stress or anxiety
Headaches or migraines
Weakness
Tingling sensations
Irregular heartbeat in more severe cases

“These symptoms are often nonspecific, which means they can easily be attributed to stress, aging, or other health conditions,” says Karen Schwartz, WHNP-BC. “For many patients, symptoms like fatigue, poor sleep, headaches, or muscle tension may have several contributing factors, including nutritional deficiencies that are often overlooked.”

Karen Schwartz notes that magnesium also plays an important role in bone health, muscle function, stress regulation, and overall wellness.

Why Are So Many People Low in Magnesium?

Several modern lifestyle factors may contribute to widespread magnesium deficiency.

Processed Foods and Modern Diets

Many highly processed foods contain significantly less magnesium than whole, unprocessed foods. Refining grains and processing packaged foods can strip away much of their natural mineral content.

Changes in Soil and Farming

Research has also shown that fruits and vegetables may contain lower mineral levels today than they did decades ago due to changes in farming practices and soil depletion.

Aging and Medications

As people age, the body may absorb magnesium less efficiently. Certain medications can also lower magnesium levels over time, including:

Acid-reducing medications
Some diuretics
Certain antibiotics
Some medications used for blood pressure or heart conditions

“This is where medication review becomes especially important,” explains Dr. Phoebe Sahawneh. “Many patients do not realize their medications may impact nutrient levels. Our medication reconciliation team helps evaluate the full picture, including possible interactions, deficiencies, and supplement considerations.”

Best Food Sources of Magnesium

Increasing magnesium-rich foods is often the first step providers recommend.

Foods naturally high in magnesium include:

Leafy green vegetables
Almonds and cashews
Pumpkin seeds
Avocados
Beans and legumes
Whole grains
Dark chocolate
Bananas

“Nutrition remains foundational,” says Dr. Chronos. “Supplements can sometimes help, but healthy dietary habits are still incredibly important for long-term health.”

Should You Take a Magnesium Supplement?

Not all magnesium supplements are the same. Different forms of magnesium vary in how well they are absorbed and tolerated.

Some forms are commonly used for muscle support and sleep, while others may be more likely to cause digestive side effects.

According to Dr. Phoebe Sahawneh, choosing the right supplement should depend on the individual patient, their symptoms, medications, and overall health history.

“Patients often walk into the store and see multiple magnesium products without knowing the differences,” she says. “That is why it is important to discuss supplements with your healthcare provider or pharmacist before starting them.”

The Bottom Line on Magnesium and Overall Wellness

Magnesium is a vital mineral that supports heart health, sleep, muscle function, energy production, and nervous system balance. Yet many adults may not be getting enough through diet alone.

If you are experiencing persistent fatigue, muscle cramps, headaches, poor sleep, or increased stress, it may be worth discussing magnesium levels and nutritional health with your provider.

At Lake Country Medical Group, the care team works collaboratively across specialties, including cardiology, primary care, women’s health, and medication management, to help patients better understand the factors that may be impacting their overall wellness.

Lake Country Medical Group is currently accepting new patients. If you would like to learn more about our services or schedule an appointment with a member of our team, we are here to help.

706-485-4004
lakecountrymedicalgroup.com

Strong Bones, Stronger Future

May 14, 2026/in blog /by Daniel Keaton

By Dr. Eric Silver and Karen Schwartz, DNP, WHNP-BC

A Conversation on Osteoporosis and Women’s Health

It usually does not start with a diagnosis.

It starts with something small. Maybe your back feels a little different. Maybe your posture has changed over time. Maybe someone mentions you seem a little shorter than you used to be.

Or sometimes, there are no signs at all. Until there is a fracture.

That is what makes osteoporosis so easy to overlook and so important to talk about.

So we sat down with two of our very own to ask the questions many women are not always thinking about, but should be.

Eric Silver, MD and Karen Schwartz, DNP, WHNP-BC shared their insight on what osteoporosis is, why it matters, and what you can do to stay ahead of it.

What is osteoporosis, and why does it matter?

Dr. Silver:
Osteoporosis is a condition where bones become weaker and more fragile over time. The challenge is that it develops quietly. Most people do not realize it is happening until a fracture occurs.

Karen:
And by that point, bone loss has often been happening for years. That is why awareness and early conversation are so important.

Why are women at higher risk?

Karen:
Women naturally have lower bone density than men, and hormonal changes play a big role. Around menopause, estrogen levels drop, and that can accelerate bone loss.

Dr. Silver:
When you combine that with longer life expectancy, the risk increases over time. It is something we want to be proactive about, not reactive.

Are there signs women should be watching for?

Karen:
There are not always obvious symptoms, which makes it tricky. But there are a few subtle signs we talk with patients about.

Loss of height over time
Changes in posture
Back pain without a clear cause
Fractures that happen more easily than expected

Dr. Silver:
Even small changes like those are worth paying attention to. They can be early indicators that something is changing with your bone health.

When should women start thinking about prevention?

Dr. Silver:
Earlier than most people think. Bone health is something you build over time.

Karen:
The habits you develop in your 20s, 30s, and 40s make a big difference later on.

Dr. Silver:
That includes getting enough calcium and vitamin D, staying active with weight-bearing exercise, and avoiding smoking.

Karen:
And understanding your personal risk factors. Family history, medications, and certain health conditions all play a role.

When should you be screened?

Karen:
For many women, bone density screening starts around age 65.

Dr. Silver:
But some women may need to be screened earlier depending on their risk factors.

Karen:
That is why it is important to have a provider who knows your history and can guide you based on what is right for you.

How does bone health fit into overall wellness?

Dr. Silver:
It is all connected. Bone health is not separate from the rest of your health.

Karen:
It ties into hormones, nutrition, physical activity, and even long-term independence and quality of life.

Dr. Silver:
That is why we take a comprehensive approach. We are not just looking at one issue. We are looking at the whole picture.

What is the biggest takeaway for women?

Karen:
Osteoporosis is common, but it is not something you have to wait for.

Dr. Silver:
There are steps you can take now that make a real difference later.

Karen:
And those steps do not have to be complicated. They just have to be consistent.

Let’s Start the Conversation

Your health is built over time. The earlier you start the conversation, the more you can protect what matters most in the years ahead.

If you have questions about your bone health, your risk factors, or whether it is time for screening, we are here to help.

📞 Call us at 706-485-4004
🌐 Visit lakecountrymedicalgroup.com

Now Accepting New Patients

Women’s Health, Stress, and the Heart: A Conversation That Matters

April 23, 2026/in blog /by Daniel Keaton

By Dr. Nicolas Chronos and Karen Schwartz, DNP, WHNP-BC

From Dr. Nicolas Chronos

In cardiology, one of the most important shifts we have made in recent years is recognizing that women’s heart health does not always follow the same patterns we see in men.

Stress, hormonal changes, and conditions like microvascular disease often present differently, and they require a more integrated approach to care.

That is why I believe strongly in partnering with experienced women’s health providers who understand these connections at a deeper level.

I am pleased to introduce Karen Schwartz, DNP, WHNP-BC, whose work focuses on caring for women through every stage of life, with particular expertise in menopause and long-term wellness.

From Karen Schwartz, DNP, WHNP-BC

If there is one thing I have learned over more than two decades in women’s health, it is this:

Women are often carrying more than anyone realizes.

Between careers, families, caregiving, and the constant pressure to keep everything moving, many women learn to push through symptoms rather than pause and ask what their body may be trying to tell them. Stress becomes normalized. Fatigue becomes expected. Changes in sleep, mood, or energy are often brushed aside.

But over time, those signals begin to matter.

Chronic stress does not just affect how you feel emotionally. It can influence your cardiovascular system, your metabolism, your sleep patterns, and your overall resilience. It can raise blood pressure, contribute to inflammation, and change how your body responds to everyday demands.

And for many women, this is happening at the same time as hormonal change.

Perimenopause and menopause represent one of the most significant physiologic transitions in a woman’s life. As estrogen levels decline, we begin to see shifts that affect far more than reproductive health. There are real and measurable changes in cardiovascular risk, bone density, body composition, cognitive clarity, and mood.

This is also the time when many women begin to notice symptoms that do not always have a simple explanation.

You may feel more fatigued than usual. You may notice shortness of breath with activities that once felt easy. You may experience chest discomfort that may not feel like the “classic” crushing or pressure-like pain often described with heart attacks. Instead, it may feel like tightness, burning, aching, heaviness, sharp discomfort, or pain in the jaw, back, neck, shoulder, or upper abdomen. You may feel like your endurance has changed, or that your body is responding differently to stress.

Any new, worsening, persistent, or unexplained chest discomfort should be treated as urgent and evaluated immediately, especially if it occurs with shortness of breath, sweating, nausea, dizziness, or weakness.

In some cases, these symptoms can be related to what is known as microvascular disease.

Unlike traditional heart disease, which involves blockages in larger coronary arteries, microvascular disease affects the smaller vessels of the heart. These vessels play a critical role in delivering oxygen and nutrients, and when they are not functioning properly, the symptoms can be subtle but very real.

What makes this challenging is that standard cardiac testing does not always detect these changes right away. That can lead to frustration for patients who know something is not right, even when initial tests appear normal.

This is one of the reasons why listening carefully and looking at the full clinical picture is so important.

My approach to care is rooted in understanding that no single symptom exists in isolation.

When I meet with a patient, we are not just discussing one concern. We are looking at how stress, hormonal changes, lifestyle factors, and medical history all intersect. We are identifying risk early, not waiting for problems to become advanced. And we are creating a plan that is both proactive and personalized.

For some women, that plan may include focused lifestyle strategies. Nutrition, movement, sleep, and stress management are foundational and often underestimated in their impact.

For others, it may include targeted therapies, whether that involves hormone therapy when appropriate, non-hormonal options, or additional evaluation to better understand cardiovascular risk.

For many, it is simply having a space where they feel heard and understood.

I believe menopause is not something to endure. It is a transition to navigate with the right support and the right information.

I also believe that women deserve to understand what is happening in their bodies, not just be told that it is normal.

Because while some changes are expected, that does not mean they should be ignored.

Your energy matters.
Your clarity matters.
Your long-term health matters.

My goal is to partner with you in a way that supports not just symptom relief, but long-term wellness, helping you feel your best now while also protecting your health for the future.

Now Accepting New Patients

Karen Schwartz, DNP, WHNP-BC, is now seeing patients at Lake Country Medical Group.

If you are navigating menopause, experiencing changes in your health, or simply looking for a more comprehensive approach to women’s care, we are here for you.

Call 706-485-4004 or visit lakecountrymedicalgroup.com to learn more or schedule an appointment.

Stress Awareness Month: The Hidden Strain on Your Body

April 13, 2026/in blog /by Daniel Keaton

By Nicolas Chronos, MD, FACC, FESC

April is Stress Awareness Month, and it serves as an important reminder that stress is not just an emotional experience. It is a physiological process that can affect nearly every organ system in the body.

In many ways, stress has become part of the background noise of modern life. We move quickly from one responsibility to the next, often without taking time to recognize what our bodies are experiencing along the way.

What I often tell patients is this. The body keeps score.

Even when we believe we are managing stress well, the body may be telling a different story.

Understanding the Stress Response

Stress begins in the brain. When you perceive a threat, whether physical or emotional, your body activates a complex system involving the hypothalamus, pituitary gland, and adrenal glands. This is known as the HPA axis.

This system releases hormones such as cortisol and adrenaline, which prepare the body to respond.

You may notice:

Increased heart rate
Elevated blood pressure
Faster breathing
Heightened alertness

This response is designed to be temporary. It is highly effective in short bursts.

However, the challenge today is that many people are not experiencing short bursts of stress. They are experiencing a constant, low-grade activation of this system.

Over time, that changes how the body functions.

What Chronic Stress Does to the Heart

From a cardiovascular standpoint, chronic stress places a continuous burden on the heart and blood vessels.

When cortisol levels remain elevated, several things can occur:

Blood vessels become less flexible
Blood pressure remains persistently elevated
Inflammatory markers increase
Cholesterol levels may be affected

This combination creates an environment where atherosclerosis, or plaque buildup in the arteries, can develop more rapidly.

We also see an increased risk of arrhythmias, particularly in patients who are already predisposed.

In more acute situations, intense emotional or physical stress can trigger a condition known as stress-induced cardiomyopathy, sometimes referred to as Takotsubo syndrome. This is a temporary weakening of the heart muscle that can mimic a heart attack.

The Hormonal and Metabolic Effects

Stress does not stop at the cardiovascular system.

Cortisol plays a central role in metabolism, and when levels remain elevated, it can lead to:

Increased blood sugar levels
Insulin resistance
Weight gain, particularly around the abdomen
Disruptions in appetite regulation

Over time, these changes can increase the risk of developing conditions such as Type 2 diabetes and metabolic syndrome.

Stress also affects other hormones, including those that regulate sleep and energy, which is why many people under stress report feeling both fatigued and unable to rest.

The Brain and Nervous System

Chronic stress has a direct impact on the brain.

It can affect areas responsible for memory, decision-making, and emotional regulation. Patients may describe:

Difficulty concentrating
Feeling mentally “foggy”
Increased irritability or anxiety
A lower threshold for feeling overwhelmed

Sleep is often one of the first areas affected. When the brain remains in a heightened state of alertness, it becomes more difficult to fall asleep and stay asleep.

This creates a cycle where poor sleep further amplifies stress, and stress continues to disrupt sleep.

The Immune System Connection

One of the more overlooked effects of chronic stress is its impact on the immune system.

Short-term stress can temporarily enhance immune response. But over time, chronic stress suppresses immune function.

This can lead to:

Increased susceptibility to infections
Slower healing
Greater levels of systemic inflammation

Inflammation, in particular, is a key factor in many chronic diseases, including cardiovascular disease.

Why Stress Often Goes Unrecognized

One of the most important points to understand is that stress does not always present itself in obvious ways.

Patients rarely come in saying, “I am dealing with chronic stress.”

Instead, they come in with:

Elevated blood pressure
Persistent fatigue
Poor sleep
Headaches or muscle tension
Digestive concerns

Part of our role as physicians is to connect these dots.

When we step back and look at the full picture, stress is often a contributing factor.

Practical Strategies That Make a Difference

Managing stress does not require removing every source of pressure from your life. That is not realistic.

What we focus on instead is helping the body return to a more balanced state.

Some of the most effective approaches include:

Consistent Sleep
Sleep is one of the most powerful tools for regulating stress hormones. Establishing a regular sleep schedule can significantly improve how the body responds to stress.

Physical Activity
Exercise helps reduce cortisol levels and improves cardiovascular health. This does not have to be intense. Even regular walking can have a meaningful impact.

Structured Breaks
Taking intentional pauses during the day allows the nervous system to reset. Even a few minutes can be beneficial.

Limiting Constant Input
Continuous exposure to news, emails, and digital notifications keeps the brain in a state of alertness. Creating boundaries around this can reduce mental strain.

Connection and Support
Spending time with others, whether family, friends, or community, plays an important role in buffering stress.

In some cases, additional support such as counseling or guided stress management techniques may be appropriate.

When It Is Time to Take a Closer Look

If you are noticing persistent symptoms such as fatigue, poor sleep, elevated blood pressure, or a general sense that your body is not functioning as it should, it may be time to take a closer look.

At Lake Country Medical Group, we approach care by looking at the whole person. That includes understanding how stress, lifestyle, and underlying medical conditions interact.

Addressing stress is not separate from medical care. It is part of it.

A Final Thought

Stress is not always something we can eliminate. But it is something we can better understand and manage.

The earlier we recognize its effects, the more opportunity we have to prevent long-term damage.

Your body is constantly communicating with you. The key is learning how to listen.

If you have been feeling the effects of stress, this is a good time to take a step back and refocus on your health.

Take the Next Step

If stress is beginning to affect how you feel day to day, you do not have to navigate it alone.

Our team at Lake Country Medical Group is here to help you take a closer look at your overall health and develop a plan that supports both your physical and mental well-being.

You can learn more or request an appointment by visiting www.lakecountrymedicalgroup.com or by calling (706) 485-4004.

By Nicolas Chronos, MD, FACC, FESC

DVT Awareness Month: Do Not Ignore What Your Legs May Be Telling You

March 23, 2026/in blog /by Daniel Keaton

By Kenneth Sternberg, DO, FACC

March is DVT Awareness Month, and it is an important reminder that leg symptoms should never be brushed aside.

Many people assume leg swelling, heaviness, cramping, or visible veins are simply part of getting older or standing too much. Sometimes those symptoms are related to chronic venous disease. But in other cases, they can be a warning sign of something more serious, including deep vein thrombosis, or DVT.

DVT occurs when a blood clot forms in a deep vein, most often in the leg, thigh, or pelvis. If part of that clot breaks loose and travels to the lungs, it can become a pulmonary embolism, which is a potentially life-threatening condition. That is why awareness matters.

What is DVT?

DVT is a blood clot in the deep venous system. Unlike spider veins or even many varicose veins, DVT is not just a cosmetic issue. It is a medical condition that requires prompt attention.

Common symptoms can include:

Swelling in one leg
Pain or tenderness
Warmth in the affected area
Redness or discoloration

In some cases, there may be very few symptoms at all, which is one reason DVT can go unnoticed.

Risk factors include recent surgery, injury, hospitalization, prolonged sitting or travel, pregnancy, hormone therapy, certain cancers, obesity, smoking, and family history.

Not Every Leg Problem Is a Clot, But Every Leg Problem Deserves a Proper Evaluation

One of the most important things I tell patients is this: not all leg symptoms mean DVT, but persistent leg symptoms should still be evaluated.

Many patients come in with:

Bulging varicose veins
Leg heaviness or fatigue
Swelling
Burning or itching
Cramping or restlessness
Skin changes around the ankle or lower leg

These symptoms are often related to chronic venous insufficiency, a condition where the valves in the veins are not functioning properly and blood begins to pool in the legs.

At Lake Country Medical Group, our goal is to determine why your legs are bothering you. We look beyond the surface and evaluate the underlying circulation. When appropriate, we use ultrasound to identify whether the issue is a clot, venous reflux, or another vascular concern.

What We Do for Legs Right Here in Lake Oconee

Patients in the Lake Oconee area do not have to travel far for advanced vein care.

Our Leg Vein Treatment Clinic evaluates and treats a wide range of venous conditions, from spider veins and varicose veins to more advanced disease. We offer minimally invasive, in-office treatments tailored to each patient’s specific condition, including:

Radiofrequency ablation
Adhesive closure
Foam ablation

These procedures are designed to treat the underlying problem with minimal downtime, often allowing patients to return to normal activity the same day.

Left untreated, vein disease can progress over time, leading to worsening swelling, skin changes, and even non-healing wounds. Early evaluation gives us more options and better outcomes.

Why Early Evaluation Matters

The earlier we identify a vein issue, the more effectively we can treat it.

If symptoms are related to venous insufficiency, treatment can relieve discomfort and prevent progression. If there is concern for a blood clot, timely diagnosis is critical. And if the issue is something else entirely, identifying it early helps ensure you receive the right care.

Too many people live with leg discomfort for years, assuming it is something they simply have to tolerate. In many cases, they do not.

When You Should Seek Help

You should not ignore symptoms such as:

Swelling in one leg
Leg pain or tenderness
Warmth or redness
Heaviness or aching
Visible varicose veins
Restless or fatigued legs
Skin discoloration
Slow-healing sores

If you experience sudden shortness of breath, chest pain, or feel lightheaded along with leg symptoms, seek immediate medical attention.

A Final Thought During DVT Awareness Month

Your legs can tell us a lot about your health.

This month is a good opportunity to pay attention to symptoms you may have been putting off. Whether the issue is a blood clot, chronic venous insufficiency, varicose veins, or another circulation problem, the most important step is getting the right diagnosis.

We are proud to offer leg vein evaluation and treatment right here in the Lake Country. If you are dealing with swelling, discomfort, visible veins, or other leg concerns, we are here to help you understand what is going on and what treatment options may be right for you.

To learn more, call 706-485-4004 or visit:
https://lakecountrymedicalgroup.com/about-us-healthcare-professionals/leg-vein-treatment-clinic/

You can also complete the leg vein evaluation form on the page above, and a member of our team will be in touch to guide you on next steps.

You do not have to ignore what your legs are telling you.

By Kenneth Sternberg, DO, FACC

March Blog a lady sleeping in the background

Why Sleep Is the Most Underrated Health Habit

March 7, 2026/in blog /by Daniel Keaton

By Nicolas Chronos, MD, FACC, FESC

When most people think about improving their health, they think about exercise, nutrition, or weight loss.

Very few people say, “I need to work on my sleep.”

And yet, in my years of caring for patients, I have found that sleep may be one of the most powerful and overlooked influences on overall health.

Sleep is when your body repairs itself. Your heart rate slows. Blood pressure resets. Hormones rebalance. Your brain processes the day. When sleep is disrupted night after night, those systems never fully recharge.

Over time, poor sleep can contribute to high blood pressure, irregular heart rhythms, difficulty losing weight, memory problems, and chronic fatigue. It does not always happen dramatically. Often, it happens gradually, and people begin to accept feeling tired as normal.

It is not normal to wake up exhausted every day.
It is not normal to struggle to stay awake in the afternoon.
It is not normal to feel like your energy has quietly disappeared.

That is why sleep and respiratory health have become an increasingly important part of how we approach care at Lake Country Medical Group. Heart health, lung health, metabolic health, and sleep are deeply connected. We cannot treat one well while ignoring the others.

To help strengthen this part of our care, I am grateful to have a dedicated respiratory professional on our team who works closely with patients every day. I would like to introduce Laura, our Respiratory Therapist, to share more about what that means for you.

Breathing Well. Sleeping Deeply. Living Fully.

By Laura Davis, RRT

When I meet patients, many of them tell me the same thing:

“I just thought I was getting older.”
“I figured being tired was part of life.”
“I didn’t realize my breathing could affect my sleep.”

Breathing and sleep are inseparable. If your breathing is disrupted at night, even slightly, your body never reaches the deep, restorative stages of sleep it needs. You may not remember waking up, but your body does.

Sometimes it shows up as loud snoring.
Sometimes it shows up as morning headaches.
Sometimes it is brain fog, low motivation, or irritability.
And sometimes it is shortness of breath during the day that people have quietly adapted to.

Our role is to help connect those dots.

At Lake Country Medical Group, we evaluate patients for sleep-related breathing disorders and provide comprehensive respiratory support. That includes home sleep testing, CPAP education and management, and ongoing follow-up to ensure therapy is comfortable and effective.

For many patients, CPAP remains the gold standard treatment for obstructive sleep apnea. When properly fitted and supported, it can dramatically improve energy, focus, blood pressure control, and overall health.

But we also understand that CPAP is not the right solution for everyone.

If a patient cannot tolerate CPAP despite proper fitting and support, we can evaluate and coordinate referrals for Inspire therapy. Inspire is an implanted device that works with your body’s natural breathing patterns to help keep the airway open during sleep. Instead of wearing a mask, the therapy is activated at bedtime with a small handheld remote. For appropriately selected patients, it can be an effective alternative and significantly improve quality of life.

In addition to sleep services, we also offer Pulmonary Function Testing right here in our clinic. Pulmonary Function Testing allows us to measure how well your lungs are working. It helps evaluate conditions such as asthma, COPD, unexplained shortness of breath, and other respiratory concerns. This testing gives us objective data so we can tailor treatment plans and monitor progress over time.

What makes this program unique is that it is integrated. We are not just looking at one symptom. We are looking at the whole picture.

If your sleep is affecting your heart, our cardiology team is involved.
If shortness of breath is limiting your activity, we evaluate lung function.
If fatigue is impacting your daily life, we investigate why.

You do not have to drive out of town for answers. And you do not have to navigate it alone.

One of the most rewarding parts of my role is seeing patients experience real improvement. They tell us:

“I have more energy.”
“My breathing feels easier.”
“I didn’t realize how much better I could feel.”

Better breathing at night leads to better living during the day. And healthy lungs support a healthy heart.

A Simple Question for March

As we move into a new season, I encourage you to ask yourself one simple question:

Am I truly resting and breathing well, or am I just getting through the day?

If you have concerns about snoring, fatigue, CPAP intolerance, shortness of breath, or chronic respiratory symptoms, our team is here to help. Whether that involves sleep testing, CPAP support, Inspire referral evaluation, or Pulmonary Function Testing, we will guide you step by step.

Better sleep and better breathing are not luxuries. They are foundational to long term health.

If sleep has become a struggle, or if you simply feel like something is not quite right, we encourage you to take the next step. Visit our website to learn more about our sleep and respiratory services, or call our office to schedule a conversation with our team. You do not have to live with exhaustion. Better rest and better breathing may be closer than you think.

706-485-4004
https://lakecountrymedicalgroup.com/about-us-healthcare-professionals/sleep-health

By Dr. Nicolas Chronos, MD, FACC, FESC & Laura Davis, RRT

A Team Approach to Heart Care in Lake Oconee

February 18, 2026/in blog /by Daniel Keaton

By Dr. Nicolas Chronos & Susan Leighty, NP

A Message from Dr. Nicolas Chronos

February is recognized nationwide as a time to focus on cardiovascular health. It serves as an important reminder that caring for your heart is one of the most impactful investments you can make in your long-term well-being.

At Lake Country Medical Group, heart care is not seasonal. It is central to who we are. As a cardiologist, I have seen firsthand how early detection, prevention, and thoughtful management can significantly improve both quality and length of life. I have also seen how avoidable delays can change the trajectory of someone’s health.

This month offers an opportunity to pause, reflect, and take proactive steps. Whether you have an existing heart condition or simply want to better understand your risk factors, now is an excellent time to prioritize your cardiovascular health.

I am grateful to work alongside an exceptional team. One member of that team brings decades of cardiology experience and a deep commitment to patient care. I would like to introduce Susan Leighty, NP.

Continuing the Conversation

By Susan Leighty, NP

Thank you, Dr. Chronos.

Cardiology has shaped much of my professional journey. I bring over 30 years of nursing experience, including 20 years dedicated specifically to cardiology at St. Joseph’s Hospital in Atlanta.

My career began in inpatient cardiology before I joined the Atlanta Cardiology Group. I later returned to St. Joseph’s Hospital to work in outpatient cardiology services and as a clinician with the Heart Transplant Program. During that time, I earned national certification as a Clinical Transplant Coordinator. Transplant awareness remains one of my passions, as I have witnessed how organ donation can profoundly change and save lives.

Today, as a Family Nurse Practitioner at Lake Country Medical Group, I have the privilege of caring for patients right here in our community.

Understanding the Bigger Picture

Heart disease remains one of the leading causes of death in the United States. The encouraging reality is that many cardiovascular conditions are preventable or highly manageable when addressed early.

Heart health involves far more than heart attacks. It includes:

High blood pressure
High cholesterol
Coronary artery disease
Heart rhythm disorders
Heart failure
Valve disease
Advanced heart disease requiring specialized evaluation

Symptoms are not always dramatic. Chest discomfort and shortness of breath are common warning signs, but fatigue, swelling, dizziness, or decreased stamina can also signal underlying concerns.

Listening to your body and seeking evaluation when something feels different can make a meaningful difference.

Prevention Is Powerful

One of the most effective tools in cardiology is prevention. During patient visits, we focus on:

Blood pressure control
Cholesterol management
Diabetes optimization
Weight management
Regular physical activity
Heart-conscious nutrition
Smoking cessation support

Small, consistent changes can significantly reduce long-term risk.

For those already living with heart disease, careful monitoring and individualized treatment plans can improve quality of life and reduce complications.

A Team Approach to Cardiac Care

At Lake Country Medical Group, heart care is collaborative. I work closely with Dr. Chronos and the broader medical team to ensure each patient receives coordinated, comprehensive support.

Whether someone needs routine screening, management of chronic heart conditions, or evaluation for more advanced therapies, our goal is to provide expert care close to home.

A Simple Question to Consider

When was the last time you had your heart evaluated?

If you have high blood pressure, high cholesterol, diabetes, a family history of heart disease, or new symptoms that concern you, this is an excellent time to schedule a visit.

Protecting your heart today helps safeguard your tomorrow.

To schedule an appointment with our cardiology team:
706-485-4004
www.lakecountrymedicalgroup.com

We are honored to care for you here in the Lake Country.