Honoring Your Wishes: The Importance of Advance Directives

By Nicolas Chronos, MD, FACC, FESC

Recently, I had the privilege of sitting down with a local funeral director to discuss the critical role that advance directives play in healthcare and funeral planning. Our conversation reinforced just how beneficial these documents can be—not only in ensuring that your healthcare preferences are honored but also in helping relieve the emotional burden on your loved ones during a difficult time. As we recognize the importance of planning ahead, I wanted to share this valuable information with our community.

What Are Advance Directives?

An advance directive is a legal document that outlines your healthcare preferences in the event you become incapacitated and are unable to communicate your wishes. It includes decisions about life-saving measures, such as whether to administer CPR, use a ventilator, or provide other interventions. But advance directives go beyond just medical care—they can also include instructions for your final arrangements, such as burial or cremation preferences.

Why Are Advance Directives Essential?

Advance directives provide peace of mind by ensuring your wishes are clear and respected. When you create one, you take control of your healthcare decisions, alleviating the need for loved ones to make these difficult choices on your behalf. According to the American Bar Association, advance directives are a critical part of maintaining your autonomy, even when you might not be able to speak for yourself.

Having an advance directive in place can also reduce confusion and potential conflict among family members, especially when it comes to making decisions about end-of-life care. An advance directive not only helps with medical care but also guides final arrangements, ensuring that family members can follow your wishes without uncertainty.

The Role of Funeral Homes

You might be surprised to learn that funeral homes also play a key role in honoring your advance directive. In Georgia, as well as many other states, funeral homes are legally required to honor these directives, including your designated agent for final arrangements. The funeral director will carry out your wishes regarding burial or cremation, ensuring that your plans are respected and that the process is handled smoothly.

This legal protection gives you confidence that your preferences will be followed, even when you’re no longer able to communicate them. This can be an enormous comfort to family members, knowing that everything is in place according to your wishes.

Help Is Here: Your CCM Manager Can Guide You

If you’re a Medicare patient living with two or more chronic conditions, you may qualify for Chronic Care Management (CCM)—a program designed to provide extra support between office visits. At Lake Country Medical Group, our CCM program is about more than just managing medications and appointments. We go above and beyond to make sure your long-term health and wishes are cared for in every way.

As part of this service, your CCM manager is available to help you complete your advance directive and ensure it is securely submitted to our clinic for inclusion in your medical record. This means your healthcare preferences will be easily accessible to your care team when it matters most.

It’s one more way we prioritize your peace of mind and put your care—and your choices—at the center of everything we do. 

Making Your Wishes Clear

It’s important to clearly outline your preferences in your advance directive, especially regarding healthcare decisions and final arrangements. You should designate an agent to make decisions on your behalf, whether it’s about life-saving treatments or funeral plans. The clearer you are, the easier it will be for your agent and loved ones to honor your wishes.

If you’re unsure where to begin, many hospitals, healthcare providers, and organizations such as the National Institute on Aging offer resources and templates to help you create an advance directive tailored to your needs.

Final Thoughts

Planning for the future is one of the most thoughtful things you can do for yourself and your loved ones. An advance directive ensures that your healthcare wishes are followed and that your family has a roadmap during an emotional time.

At Lake Country Medical Group, we encourage you to have these important conversations, speak with a local funeral director, and work with our CCM manager to ensure your advance directive is completed and securely included in your medical record.

We’re here to help every step of the way.

www.lakecountrymedicalgroup.com
706-485-4004

The Impact of Stress on Heart Health

By Nicolas Chronos, MD, FACC, FESC

April is Stress Awareness Month, and stress is something we all experience—it’s a natural part of life. But when stress becomes chronic, it can take a serious toll on your heart. As a cardiologist, I’ve seen firsthand how long-term stress can contribute to high blood pressure, heart disease, and unhealthy habits that put additional strain on the cardiovascular system. The good news is that understanding how stress affects your heart and learning to manage it effectively can make a world of difference for your long-term health.

How Stress Affects the Heart

When you’re stressed, your body releases hormones like adrenaline and cortisol. These hormones trigger a “fight or flight” response, increasing your heart rate and blood pressure. While this response is helpful in short bursts, chronic stress keeps your body in a heightened state for too long, leading to long-term cardiovascular strain.

Over time, this can contribute to:

  • High Blood Pressure (Hypertension): Persistent stress can cause your blood vessels to constrict and your heart rate to stay elevated, raising your blood pressure over time (American Heart Association).
  • Artery Damage and Heart Disease: Stress-induced inflammation may contribute to plaque buildup in the arteries, increasing your risk of heart attack and stroke (Mayo Clinic).
  • Irregular Heart Rhythms (Arrhythmias): Emotional stress can sometimes trigger abnormal heart rhythms, especially in people with pre-existing heart conditions.
  • Unhealthy Coping Mechanisms: When we’re overwhelmed, we may turn to habits like overeating, smoking, or drinking too much alcohol—behaviors that significantly increase heart disease risk.

Managing Stress for a Healthier Heart

Managing stress isn’t just about feeling better—it’s about protecting your heart. Here are some of the best ways to keep stress in check:

1. Move Your Body

Regular exercise is one of the most effective stress relievers. Whether it’s a brisk walk, a swim, or a yoga session, physical activity lowers stress hormones, improves mood, and strengthens your heart.

2. Find Moments of Calm

Practices like deep breathing, meditation, or simply taking a few minutes to step outside and breathe deeply can help lower stress levels. Even small changes—like putting down your phone and enjoying a quiet moment—can have a big impact.

3. Fuel Your Body with the Right Foods

A heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins can reduce inflammation and support overall well-being. What you eat can directly impact how you feel.

4. Prioritize Sleep

Poor sleep increases stress levels and raises your risk of heart disease. Aim for 7-9 hours of quality sleep each night to help your body and mind recover.

5. Lean on Your Support System

You don’t have to manage stress alone. Spending time with loved ones, joining a community group, or seeking professional counseling can provide emotional support and perspective.

6. Know When to Seek Medical Help

If stress feels overwhelming or you experience symptoms like chest pain, shortness of breath, or palpitations, don’t ignore them. Talk to your doctor—stress-related heart problems are real, and we’re here to help.

Final Thoughts

Stress is a part of life, but it doesn’t have to control your health. By taking proactive steps to manage stress, you’re not just improving your well-being—you’re protecting your heart for the long run. If you have concerns about stress and your heart health, I encourage you to reach out.

At Lake Country Medical Group, we’re here to support you every step of the way.

Dr. Chronos
Lake Country Medical Group

706-485-4004

www.lakecountrymedicalgroup.com

Your Journey to Better Sleep: From Recognizing the Signs to a Personalized Treatment Plan

By Nicolas Chronos, MD, FACC, FESC

I’d like to take a moment to talk about a subject that touches many of our lives—sleep apnea. I know that when you hear the term, it might sound a bit alarming, but I want to reassure you: understanding and managing sleep apnea is a journey we can take together, and it’s entirely manageable.

Many of you come to our office with concerns like persistent tiredness or troublesome snoring, even when you believe you’re getting a full night’s rest. These symptoms might seem like minor inconveniences, but they can sometimes be signs that your sleep isn’t as restorative as it should be. Sleep apnea is a condition where your breathing repeatedly stops and starts during sleep, leading to interruptions that prevent you from reaching the deep, refreshing sleep your body needs. Over time, these interruptions can leave you feeling fatigued during the day and may even contribute to other health concerns such as high blood pressure or heart issues.

When you share these concerns with us, we start by listening carefully to your story—your experiences, your sleep patterns, and your overall well-being. It’s important to remember that sleep apnea is not a personal failing or something to be embarrassed about; it’s a medical condition, much like any other, that we can work on together.

If your symptoms suggest that sleep apnea might be affecting you, we typically recommend a sleep study to gather more information. Thanks to advancements in technology, this process is now simpler and far less intimidating than it once was. Rather than spending a night in a hospital or sleep lab, we offer a convenient home sleep test using a device called ACCUPEBBLE. This small, user-friendly device comes directly from our office with clear instructions. All you need to do is attach a few sensors, and then you go about your normal night’s sleep in your own bed. Many patients find that sleeping in their familiar environment provides us with a more accurate picture of their natural sleep patterns.

Once you’ve completed the test, our team reviews the data to determine if sleep apnea—or another sleep disorder—might be the culprit behind your symptoms. If the results are positive, the next step is to discuss treatment options that best suit your lifestyle and health needs. For many, this means using a CPAP (Continuous Positive Airway Pressure) machine, a device designed to gently keep your airway open during sleep. I understand that the idea of using a CPAP machine can feel overwhelming at first, but I assure you it’s a highly effective way to improve your sleep quality and overall health.

We work with trusted partners to help you get the right equipment. Depending on your insurance and specific needs, we collaborate with several reputable CPAP providers to ensure that you receive a machine that meets your medical requirements and aligns with your coverage.

I’m proud to share that many of our patients experience transformative results after addressing their sleep apnea. They often tell us that their improved sleep helps them wake up truly refreshed, more alert, and ready to tackle the day. It’s amazing to witness how a better night’s rest can boost energy levels, uplift moods, and enhance overall well-being.

My hope in sharing this with you is to demystify the process and let you know that you’re not alone. Sleep apnea is a common condition, and with the right approach, it can be effectively managed. The journey to better sleep is a step toward better health overall. If you have any concerns about your sleep or if you notice signs like loud snoring or ongoing daytime fatigue, please don’t hesitate to reach out. We’re here to support you every step of the way, ensuring that you enjoy the restful, rejuvenating sleep that is so vital to your well-being.

Wishing you peaceful nights and brighter days,

Dr. Chronos
Lake Country Medical Group

706-485-4004

www.lakecountrymedicalgroup.com

doctor in background with a anatomical heart on his desk

Heart Health Month: A Conversation with Dr. Chronos and Michelle Lamm

By Nicolas Chronos, MD, FACC, FESC & Michelle Lamm, AGNP

February is Heart Health Month, a time dedicated to raising awareness about cardiovascular disease and promoting healthy habits. At Lake Country Medical Group, heart health is at the core of what we do every day. To mark this important month, Dr. Nicolas Chronos and Michelle Lamm, AGNP, sat down for a discussion about heart disease prevention, the importance of early intervention, and how small lifestyle changes can make a significant impact on overall heart health.

Dr. Chronos: Michelle, February is Heart Health Month, and it’s always a great time to remind our community about the importance of cardiovascular wellness. Given that heart disease remains the leading cause of death in the U.S., we have a lot of work to do when it comes to prevention and education. What’s the biggest misconception you see when talking to patients about heart health?

Michelle Lamm: One of the biggest misconceptions is that heart disease is only a concern for older men. Women, especially younger women, often don’t realize that heart disease is their leading health risk as well. In fact, it claims more lives than all cancers combined. We have to keep reinforcing that prevention starts early, and it applies to everyone.

Dr. Chronos: That’s such an important point. We see it all the time—women coming in with symptoms that don’t fit the classic ‘elephant-on-the-chest’ heart attack description. Instead, they might have fatigue, shortness of breath, nausea, or even jaw pain. Raising awareness about these differences is crucial.

Michelle Lamm: Exactly. And that’s why prevention is key. Lifestyle changes like healthy eating, regular exercise, and stress management can significantly lower the risk of heart disease. You and I worked hard to bring the Dean Ornish Cardiovascular Disease Reversal Program to our community, and we saw firsthand how powerful lifestyle medicine can be. Small changes can make a big impact.

Dr. Chronos: Absolutely. The research is clear—heart disease can often be prevented and even reversed through diet, exercise, and medical management. But for many patients, taking that first step can feel overwhelming. What advice do you give to patients who don’t know where to start?

Michelle Lamm: I tell them to focus on one change at a time. Maybe start by adding more fruits and vegetables to their meals or swapping processed foods for whole foods. Walking for 30 minutes a day is another simple but powerful step. Following a heart-healthy diet, like the Mediterranean diet, is another great way to protect the heart—it emphasizes whole grains, lean proteins, healthy fats like olive oil, and plenty of fresh produce. And of course, knowing your numbers—blood pressure, cholesterol, and blood sugar—can help us identify risks early.

Dr. Chronos: That’s great advice. Prevention really comes down to making heart-healthy choices every day. And for those already diagnosed with heart disease, we have so many advanced treatments available right here at Lake Country Medical Group, from cutting-edge imaging to personalized medication management. It’s about creating a plan that works for each individual.

Michelle Lamm: That’s what I love about our team approach to cardiology. We’re not just treating heart disease—we’re working with our patients to prevent it in the first place. Education is a big part of that, and I love seeing patients become more empowered in their own health.

Dr. Chronos: Couldn’t agree more. This Heart Health Month, we encourage everyone to take a moment to assess their heart health, make small but meaningful changes, and reach out to us if they have any concerns. We’re here to help, whether it’s for prevention, diagnosis, or treatment.

Michelle Lamm: Absolutely. And let’s not forget—showing your heart some love isn’t just about what you do in February. It’s a lifelong commitment.

Dr. Chronos: Well said, Michelle. Here’s to a heart-healthy community, all year round!

Heart health is a journey, and every small step counts. Whether it’s choosing healthier foods, getting more active, or simply learning more about your heart, every effort adds up to a stronger, healthier future. At Lake Country Medical Group, we are here to support our community in making heart-healthy choices every day. If you have any concerns about your heart health or want to learn more about prevention and treatment options, don’t hesitate to reach out. Your heart is in good hands with us.

706-485-4004

www.lakecountrymedicalgroup.com

The Future of Healthcare: Innovation and Access for Our Community

By Nicolas Chronos, MD, FACC, FESC

At Lake Country Medical Group, we are committed to delivering high-quality, patient-centered care. Healthcare is rapidly evolving, and as we navigate changes in technology, practice models, and rural healthcare initiatives, our focus remains on improving access and outcomes for our patients here in Lake Oconee and beyond.

With so many shifts in the healthcare landscape, it’s important to understand how these changes impact the way you receive care. Whether it’s the difference between private practice and large healthcare systems, the role of technology in streamlining services, or the efforts to expand healthcare access in rural areas, each of these factors plays a crucial role in shaping the future of medicine. Here’s a closer look at some key areas affecting healthcare today and how we at Lake Country Medical Group are addressing them:

Private Practice vs. Big Healthcare: What It Means for You

In today’s healthcare landscape, patients often find themselves navigating between large hospital systems and private practices like ours. While big healthcare organizations offer extensive resources, access to specialists, and cutting-edge treatments, they can sometimes feel impersonal and overwhelming. Long wait times, high costs, and bureaucratic hurdles can make it difficult for patients to receive timely, personalized care.

At Lake Country Medical Group, we take a different approach. As an independent practice, we prioritize patient-centered care, ensuring that each individual receives the attention they deserve. We focus on building lasting relationships, providing flexible scheduling, and making healthcare decisions based on what’s best for you—not dictated by corporate policies or insurance mandates. If your care requires a specialist or service we don’t provide directly, we guide you toward the best possible provider for your unique needs—without being restricted by insurance networks or hospital affiliations. This means our recommendations are always based on what will truly benefit you, ensuring continuity of care that aligns with your best interests.

Harnessing Technology to Improve Care

Medical technology is advancing rapidly, and at Lake Country Medical Group, we are embracing these innovations to enhance patient care. One of the most exciting developments is the integration of AI into electronic medical records (EMRs), which has the potential to streamline administrative tasks, improve diagnostic accuracy, and personalize treatment plans. AI can help flag potential health concerns early, allowing for proactive intervention and better disease management.

Additionally, remote monitoring devices and telemedicine services enable patients to stay connected with their healthcare providers from the comfort of their homes. These tools are particularly beneficial for those managing chronic conditions such as hypertension, diabetes, or heart disease. While we welcome these advancements, we remain committed to ensuring that technology never replaces the personal connection between doctor and patient. Instead, we use these tools to enhance the care we provide, making healthcare more efficient, accessible, and effective.

Expanding Access to Care in Rural Communities

Rural communities often face unique challenges when it comes to accessing healthcare, including fewer medical facilities, longer travel distances, and a shortage of specialists. That’s why initiatives like the Lake Country Rural Health Initiative (LCRHI) are so critical. By providing free screenings, educational resources, and outreach programs, we aim to bridge gaps in care for those who might not otherwise have access.

Our team is actively working to bring healthcare closer to those in need by partnering with local organizations, utilizing mobile health clinics, and exploring innovative models of care delivery. Whether it’s providing preventative screenings, hosting community health events, or offering telemedicine services, we are committed to ensuring that everyone in our region has access to the high-quality care they deserve.

Investing in a Healthier Future

Healthcare isn’t just about treating illness—it’s about prevention, education, and long-term wellness. One of the most exciting areas of innovation is in rehabilitation and recovery, where advanced technologies like RomTech’s rehabilitation devices are helping patients regain mobility and recover from cardiovascular procedures faster than ever before. These technologies make recovery more accessible and effective, reducing the risk of complications and improving quality of life.

Additionally, the intersection of healthcare and agriculture is playing a growing role in community health. ‘Smart farms’ and data-driven agricultural practices are improving the quality of food, reducing environmental stressors, and promoting healthier lifestyles. As we learn more about the impact of nutrition and environmental factors on overall well-being, these advancements will help shape the way we approach preventative care.

At Lake Country Medical Group, we believe that investing in rural healthcare benefits not only individuals but also strengthens our community as a whole. When people have access to quality medical care, they lead healthier lives, businesses thrive, and our local economy flourishes.

Moving Forward Together

As we continue to grow and evolve, our mission remains the same: to provide compassionate, high-quality care with a personal touch. By embracing innovation while staying true to our patient-first philosophy, we are ensuring that the future of healthcare in Lake Oconee remains bright.

We are grateful for the trust you place in us and look forward to continuing to serve Lake Oconee and the surrounding areas. If you have questions about your healthcare or want to learn more about the services we offer, don’t hesitate to reach out. We’re here for you—because your health is our priority.

Boost Immune Health with Antioxidants

By Grace Greenwald, RN for Lake Country Medical Concierge

There’s no denying that “Sick Season” is around the corner and no debate that antioxidants are good for Immune (and overall) Health. In addition to receiving your vaccinations to help prevent the spread or modulating the symptoms of Covid-19, Influenza, and Pneumonia, consider boosting your intake of antioxidants! Antioxidants have gained increasing attention since the 1990’s because of their powerful benefits to counteract oxidative stress within the body. In turn, this optimizes health and prevents sickness and disease.  Antioxidant supplements and antioxidant-rich foods continue to be simple ways to add a powerful line of defense to the body, as they come in easy to consume forms such as matcha/green tea drinks, acai bowls, golden milk, or just good ol’ fashioned fresh fruits and vegetables. Supplements and injectable forms also exist for those who wish to elevate their health with a dietary boost or IV Hydration Therapy. Topical antioxidants also offer skin benefits to promote healthy cell regeneration and fight hyperpigmentation from sun damage, resulting in glowing, healthy skin. Antioxidants are here to stay, not only because they’re found in delicious foods, but they also play a vital role in health by protecting the body as a whole against oxidative stress.

What is oxidative stress?

Everyone’s heard of oxidative stress, but what exactly does that refer to? Oxidative stress occurs from damage caused by free radicals. Free radicals are unstable molecules that have lost an electron from either normal body processes like metabolism, reactions due to exercise, or from external sources like cigarette smoke, pollutants, or radiation. Simply put, electrons don’t like to be alone, they like to be in pairs! Unstable free radicals steal an electron from other healthy molecules, turning that molecule into another free radical and, if excessive, wreak havoc in the body and its defense system.

Immune cells are particularly vulnerable to oxidative stress because of the type of fat (polyunsaturated) that they have in their membrane. High amounts of oxidative stress over time can be especially detrimental to the immune system.

What are antioxidants?

Antioxidants are the heroes that can break this cycle. “Antioxidants” refer to a whole class of molecules (including certain vitamins, minerals, compounds found in plants, and some compounds formed in the body) that share the same goal of protecting the body and the immune system against oxidative stress. A variety of sources contain different antioxidants, and each antioxidant has its own unique way of supporting that goal.  

6 Antioxidants for Oxidative Stress Protection + Immune Health

  1. Vitamin C

Vitamin C is a powerful antioxidant that also contributes to immunity. It works by readily giving up one of its electrons to free radicals, thereby protecting important molecules like proteins, fats, and carbohydrates from damage. Vitamin C is a water-soluble vitamin, which means storage in the body is limited, and consistent intake of this nutrient is vital. Research shows that not getting enough Vitamin C can impact immunity by weakening the body’s defense system. Vitamin C is found in many fruits and vegetables, including strawberries, bell peppers, citrus, kiwi, and broccoli. The benefits of Vitamin C’s antioxidant capabilities are more than just internal. Benefits are also seen when a concentrated source of this antioxidant is applied to the skin. For example, topical Vitamin C serums are often recommended by dermatologists and estheticians to help protect the skin and address hyperpigmentation.

  1. Epigallocatechin 3-gallate (EGCG)

Green tea is easily, and unofficially, considered one of the world’s healthiest foods, and the presence of EGCG is one reason for this drink’s reputation. EGCG is the most abundant, potent, and researched polyphenolic antioxidant found in green tea leaves. It has been shown to protect against damage caused by free radicals. Drinking green tea is a great way to reap the benefits of EGCG and other nutrients found in tea leaves, or it’s also available as an extract in nutritional supplements. If you choose to drink green tea, it’s important to remember that water preparation matters. Using hot water to steep green tea not only preserves, but it also encourages more antioxidant activity compared to using cold water, as hot water may be better at extracting polyphenols from the leaves. If you steep before you sleep, look for decaffeinated green tea!

  1. Glutathione

Glutathione is a powerful antioxidant that the body makes internally from three amino acids (AKA building blocks of protein): Cysteine, Glutamate, and Glycine. Not only does this antioxidant protect the body against oxidative stress, it also supports healthy liver detoxification processes, and is a powerful topical agent used to diminish sun damage. Glutathione levels naturally decrease with age, and lower Glutathione levels in the body are associated with poorer overall health. Since it takes all three of those amino acids to form Glutathione, ensuring that the body has adequate levels of all three is vital. Cysteine is the difficult one. It’s considered the “rate-limiting” step in this equation, since it’s usually the one in short supply, and Glutathione can’t be formed without it. Cysteine contains sulfur, so foods like unprocessed meat, garlic, and asparagus are great choices to support Cysteine levels. Like Cysteine, the compound N-acetylcysteine (found in supplements and often labeled NAC) can also be used to support the body’s Glutathione levels. Glutathione is considered “The Fountain of Youth” among holistic medicine specialists because it acts like a Swiffer in the entire body, donating electrons to stabilize free radicals, and eliminating them completely in one big systemic sweep! Glutathione and NAC are available via intramuscular or IV injection which are optimal as Glutathione supplements tend to be destabilized by the gut when consumed orally.

  1. Curcumin

Curcumin is the yellow pigment and considered the active ingredient in the spice turmeric. In the culinary world, turmeric is best known for playing the leading role in curries as well as in golden milk. Studies show that curcumin has been shown to improve markers of oxidative stress, act as a free radical scavenger, and assist with other antioxidant processes in the body. Curcumin isn’t very bioavailable, so your body isn’t able to fully capture the benefits when consumed on its own or just as turmeric. By adding other spices or herbs like black pepper or fenugreek one can significantly increase their body’s ability to utilize Curcumin.

  1. Vitamin E

Vitamin E is a fat-soluble vitamin, meaning it’s best absorbed with fat. It acts as an antioxidant by stopping the production of free radicals from forming when fat is oxidized, or burned. Vitamin E is found in nuts and seeds (almonds, sunflower seeds, and hazelnuts) as well as green leafy vegetables. Vitamin E also plays a role in heart, eye, skin, and cognitive health. 

  1. Quercetin

Quercetin is one of the most well-studied flavonoids, or plant compounds, typically found in onions, kale, broccoli, apples, and tea. Quercetin acts as a free radical-scavenging antioxidant, helps inhibit oxidative stress, and supports a healthy immune response.

What’s the bottom line?

Antioxidants are a crucial part to any healthy diet. They help protect the body from damage caused by oxidative stress and support immune function. There are many more antioxidants that are beneficial to health than those listed here. The best way to ensure that you’re getting enough antioxidants from your diet and supporting the antioxidants the body makes on its own is to consume a diet high in plants like fruits, vegetables, nuts, seeds, and legumes. If you are interested in your blood levels of certain antioxidants being tested via Quest Lab, supplementation with Metagenics, IV Hydration Therapy, or a skin consultation with our Aesthetic Nurse, discuss with your provider at your next visit!

www.lakecountrymedicalgroup.com

www.lakecountrymedicalconcierge.com

Woman holding her hair.

SPRING CLEAN YOUR SKINCARE

By: Grace Greenwald 

Aesthetic Nurse Injector & Owner of Refine with Grace Aesthetics

There is a belief held by many skincare enthusiasts that you must pause your skincare regimen during the summer. Even though you may be shelving retinols, avoiding chemical peels and other more aggressive treatments for the season, that doesn’t mean you still can’t attain visible results. What is changing is your environment and those changes bring new challenges to our skin. 

Think about the summer season. You experience increased sun exposure as well as heat and humidity. These things can cause skin concerns such as excess pigmentation, sun damage, dryness and sensitivity. Living an active lifestyle and enjoying all that Lake Oconee has to offer means more time in the sun. Some patients complain of freckles, sunburn, dehydrated skin, oily skin, rosacea outbreaks, and/or acne flare-ups. These are all natural skin responses to being exposed to natural elements. Fortunately, there are numerous methods available to treat these conditions safely and effectively during the warmest months.

Protect your skin this spring and summer with these tips from Grace Greenwald (Owner of Refine with Grace) \

GET BACK TO THE BASICS

No matter the time of year, always make sure to cleanse, exfoliate, and tone. Not only do these steps help maintain your skin health, but following a daily regimen can restore skin barrier function, reduce excess surface pigment, and minimize surface oils and debris. If you don’t already have a regimen of your own, you can schedule a consultation at Refine with Grace to begin a medical-grade regimen tailored specifically to your concerns and goals.

SAFETY FIRST

The most essential skincare product for any skin type is sunscreen. Our skin is our largest organ and deserves a lot of love! SPF protects your skin from harmful rays from the sun. When selecting an SPF product, make sure it has broad-spectrum protection from different types of light and radiation. All of the sunscreens we offer are formulated with Triple-Spectrum Protection®, and include an exclusive antioxidant blend to protect skin from free radical damage and IR-A rays. That also includes blue light from electronics, too, making sunscreen an even more important player in your regimen beyond the summer months.

Having trouble knowing which sunscreen is best? Anything is ALWAYS better than nothing! However, Grace recommends the ZO Skin Health line because of the variety of coverage and the options available to tailor to your lifestyle and preferences. For beach trips or for perspiration-heavy days, Daily Sheer Broad-Spectrum SPF 50 is a great, water-resistant option, offering a non-greasy formula with a sheer matte finish. Looking for something to add into your makeup routine or provide on-the-go coverage? Sunscreen + Powder Broad-Spectrum SPF 40 provides buildable coverage with color-enhancing pigments + light reflecting minerals for a gorgeous, luminous glow.

BRIGHTEN UP!

If dealing with pesky dark spots is one of your skin health goals, products that are clinically proven to increase luminosity, visibly improve skin clarity and fade the appearance of dark spots for a brighter, more even complexion are a great option to get results even when sun exposure is increasing with spring and summer activities!

For more moderate cases of excess pigmentation, pair your skincare regimen with 10% Vitamin C (not all are created equal so consult is key!). This potent dose of Vitamin C helps brighten the complexion while also providing protection from environmental triggers. Combining the antioxidant, hydration and anti-aging benefits of photosensitivity-safe products will keep your complexion radiant all summer long without causing sun sensitivity.

STAY COOL, LAKE OCONEE

Beat the heat by storing skincare products in the refrigerator, or purchase a mini cosmetics fridge to keep at your vanity for a convenient, cooling, calming experience! Hydration is also key for maintaining healthy, beautiful skin so don’t forget to ask about our IV Hydration Therapy options to get ahead of dehydration as the temperatures rise. No matter your skin type or skin concern, Refine with Grace has your skin health, aesthetic appearance, and wellness covered this summer and beyond.

Still curious about how to maximize your summer skin routine? 

Give Grace a call or text to set up a consultation at (706) 338-0433.

Refine with Grace is conveniently located within Lake Country Medical Group and Lake Country Medical Concierge in Harmony Crossing.

 

Lake Country Medical Group Employee Spotlight: Rannie McCannon

 

Lake Country Medical Group and Concierge would like to welcome Rannie McCannon to our practice. She brings with her a tremendous amount of experience working within the community as well as a keen understanding of medication regimen and working with pharmaceutical companies. Rannie graduated from Greene County High School and was a cheerleader there for four years. She worked for Jay and Melinda Spivey at Lake Oconee Family Pharmacy here in The Harbor Club until it closed. In 2003, she was hired as a full-time Pharmacy Technician at Publix Pharmacy. Rannie stated, “I really enjoyed working at Publix and I’m very proud to say that I worked there for 18 1/2 years! I enjoyed working and building relationships with all of the Patients, Pharmacists and Technicians over the years.” 

At Lake Country Medical Group Rannie is taking on the roles of Chronic Care Management Coordinator and Medical Reconciliation Specialist. According to Dr. Nicolas Chronos, “Rannie is friendly, efficient, and effective. Since hiring Rannie we have seen a dramatic improvement in our ability to reconcile medications, check patients are on the correct medications, and save money for patients on their prescriptions. I am amazed by Rannie’s desire and ability to make sure patients are able to take the medications they need by finding grants and coupons to make their medications more affordable.”

What Is Medical Reconciliation? 

Medication reconciliation is the process by which a healthcare professional creates a comprehensive list of all the medications a patient is currently taking, including information such as the proper route of administration, dose, time, and frequency of the medication. This sounds simple but it is actually a process that oftentimes gets disregarded in the business of a medical practice or hospital.

In fact, according to the NIH, 

“The average hospitalized patient is subject to at least one medication error per day. This confirms previous research findings that medication errors represent the most common patient safety error. More than 40 percent of medication errors are believed to result from inadequate reconciliation in handoffs during admission, transfer, and discharge of patients. Of these errors, about 20 percent are believed to result in harm. Many of these errors would be averted if medication reconciliation processes were in place.” 

Why is medication reconciliation important? 

Medication reconciliation is important because it reduces the medication errors made in regards to the patient. With more than 7 million Americans impacted by medication errors every year, this process is integral to the healthcare system. When medication lists are inaccurate, a patient may be receiving too much or too little of a certain medication. Healthcare professionals will also be checking to make sure that there are no duplicates on the list. A second healthcare professional who monitors the medication reconciliation process, ensures that a double-check is being done so that all medications are being prescribed within safe levels, none are being duplicated, and that the patient is safe from harm caused by medication errors. 

At Lake Country Medical Group and Concierge we believe it is vital to be diligent about medical reconciliation. We have had new patients come to their first visit with a list of medications which have not been properly managed by previous providers. In just two months Rannie has helped our patients understand their medications and ensure that the medications they are taking are serving their purpose and not causing harm. 

In addition, Rannie has been able to help many of our patients save money on their prescriptions. In several cases she has saved them thousands of dollars! When asked to share an example Rannie explained, “the other day a patient stated to me that he couldn’t afford his Eliquis medication and that he was spending over $200 per month for the medication. I reached out to the Eliquis Foundation that helps fund certain Medicare patients. Once all of the correct documents were sent in, the patient was approved. Because of their annual income, they were able to receive Eliquis free of charge for the remainder of the year! That saved them a total of $2,400 for the year which is amazing!!”

All About Rannie McCannon 

  1. How long have you worked for Dr. Chronos? 

I have worked with the Lake Country Medical Group for almost two months and it thrills me to come to work everyday to be of support to the team. 

  1. What do you enjoy most about working at the practice? 

I really enjoy working with the patients. I know most of them already which is also exciting! 

  1. How long have you lived in Georgia’s Lake Country and where are you originally from? 

I have lived here in Greensboro, Ga. all of my life. I love this community as it is where I was raised and where I have raised my family. 

  1. Can you tell us a little bit about your family? 

I’m very honored to say that I’m happily married to my wonderful husband, Robby McCannon, who is a Greene County Deputy Sheriff. He is also very well known in the community. We share a total of 21 years together and have 2 beautiful children (Rj and Jaxon) whom we adore so much!

 

Resources – 

https://www.ncbi.nlm.nih.gov/books/NBK2648/

 

 

Don’t Put Away Your Mask Yet

 

Written by: Ofek Laks, Public Health Intern at Lake Country Medical Concierge

 

With the new COVID-19 Variant known as Omicron sweeping all over the United States, it is important we continue taking precautions. The Georgia Department of Health has reported as of January 18th, 2022 that there are “1,679,773 confirmed cases” in the State of Georgia. With the number of cases continually increasing, it is crucial to be prepared when leaving the house. As well as, continue practicing social distancing and wearing a mask when possible.

 

How Masks Work

Covid-19 is transmitted through respiratory droplets when the people around you cough, sneeze, talk, and breath. In order to protect yourself and others around you the CDC recommends the continued  usage of masks due to the increase in Omicron cases. The effectiveness of masks depend on how they fit one’s face and if there are filters or respirators inside to block the respiratory droplets.

Types of Masks

There are 3 types of masks that help with the prevention of contraction for COVID-19 and each have their own statistics on how effective they are. The CDC has come out with recommendations on which they believe is the best for protection.

The most common type of masks are the cloth masks. The benefits of these masks are that they have no nose wire so it allows for more flexibility, and it is a breathable fabric that can be customized to whatever designs people want to wear. Unfortunately, cloth masks are the least effective and are recommended only if you do not have another option. The EPA reports that these masks are only about “80%” effective for the prevention of spreading the virus. Another downside is that there are gaps arounds the side of the face and they are not as effective if they become wet or dirty, so there needs to be constant maintenance with their cleanliness.

The next best masks that are recommended are procedure or medical masks. These are disposable masks with a nose wire that allows for a proper fit around the nose, mouth and chin for protection. A benefit of these masks is that they have been known to be easier to breathe in compared to cloth masks and KN95 masks. They are also disposable so if they happen to get dirty you can throw them away and get a new one with no issue. The EPA reports that they provide up to “90%” of protection from respiratory droplets.  A downfall is that they can sometimes not fit properly around the face since it has a wider fit. The CDC recommends that if you wear a disposable mask, to pair it with a cloth mask on top to provide the most protection while still being able to breath properly.

The masks that provide the most protection when it comes to the spreading of COVID-19 are the KN95 masks. These masks include respirators that provide surgical protection against not only respiratory droplets, but other hazards that can occur. The benefits of these masks are that they can be sealed tightly to your face if fitted and the EPA reports that it provides more than “95%” of protection from the virus. These masks have also been approved by the National Institute for Occupational Safety & Health (NIOSH) for having a specific quality requirement on the amount of protection.

Lake Country COVID accessibility

Feel like you are experiencing symptoms or want to get your COVID-19 vaccine? Lake Country Medical Group has resources and accessibility for all of their patients needs via appointment. We are able to offer PCR and antibody testing to those who desire it through our front desk via email for appointments. Vaccinations are also available at Lake Country Medical Group through appointments for the Moderna Vaccine and Booster. The contact information for joining the waitlist for the vaccine clinic is frontoffice@cardiologycareclinics.com. If you do not want to wait on the list for an appointment here at Lake Country Medical Group, we can also give recommendations to locations where they offer both rapid and PCR tests. Call the front desk for more information. Lake Country Medical Group has also started the infusion of REGEN-COV antibodies for current patients who are post-exposure to COVID-19 and need preventative measures if not fully vaccinated. In order to make an appointment join the same waitlist as the ones above.

 

Information from:

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/types-of-masks.html

https://www.epa.gov/sciencematters/epa-researchers-test-effectiveness-face-masks-disinfection-methods-against-covid-19

https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-mask/art-20485449

https://dph.georgia.gov/covid-19-daily-status-report

https://www.regeneron.com/downloads/treatment-covid19-eua-fact-sheet-for-patient.pdf

Oily Fish, Fish Oil Supplements Linked to Lower Diabetes Risk

In the largest study of its kind to date, regularly eating oily fish such as salmon, sardines, lake trout and albacore tuna reduced the risk of type 2 diabetes.[1]

The observational study, which was published in Diabetes Care, analyzed the health and diet of nearly 400,000 middle aged and older UK residents across roughly 10 years.[2] The study found people who eat one or more servings weekly of oily fish have a 22% lower risk of type 2 diabetes compared with those who never eat oily fish. Even people who eat less than one serving of oily fish weekly have a 16% lower risk of type 2 diabetes. Non-oily fish, on the other hand, has no link to type 2 diabetes risk reduction, according to the study.  While the study may lead to future dietary guidelines for prevention of type 2 diabetes, clinical trials are needed before any formal recommendations are made.

Other Potential Benefits of Oily Fish

Fish oil contains high amounts of omega-3 fatty acids called eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).[3] Omega-3 acids support essential functions throughout the human body, from maintaining cell membranes to promoting hormone production.

Some research indicates omega-3 acids may reduce the risk of heart attack or stroke, according to the American Heart Association.[4] Other research suggests omega-3 acids can help reduce inflammation and even fight depression, according to studies published by the National Institutes of Health (NIH).[5][6]

Staying Safe with Fish

Oily fish is an attractive option for good health — not only for its rich omega-3 content and potential type 2 diabetes risk reduction, but also for its high amounts of protein, vitamin B12, vitamin D, iron, and numerous other nutrients. [5] However, it’s important to remember fish contain mercury. The Food and Drug Administration (FDA) provides detailed guidelines for safely eating fish, including which fish contain more mercury than others. As always, remember to talk with your doctor before making changes to your diet.

Though regularly eating oily fish was linked to the greatest type 2 diabetes risk reduction, the study found those who consistently took fish oil supplements had a 9% reduction in risk.[1] It’s important to remember not all fish oil supplements are equal. Make sure you choose high-quality, highly concentrated supplements  such as OmegaGenics EPA-DHA 1000 from Metagenics and follow the recommended dosage.

Sources:

  1. https://care.diabetesjournals.org/content/early/2021/01/05/dc20-2328
  2. https://www.medscape.com/viewarticle/945007
  3. https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/fats-and-cholesterol/types-of-fat/omega-3-fats/
  4. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/fish-and-omega-3-fatty-acids
  5. https://pubmed.ncbi.nlm.nih.gov/21784145/
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976923/
  7. https://www.fda.gov/food/consumers/advice-about-eating-fish