HealthLinks Upstate July/August 2022


Making a difference, one family at a time. PruittHealth Hospice and Palliative Care offers a family-focused approach to care that creates an extra layer of support and consideration of alternative treatment options. Our caregivers are dedicated to providing compassionate care and comfort to our patients and their loved ones. PruittHealth delivers hospice and palliative care 24 hours a day, 7 days a week tailored to each patient’s individual needs. Contact us today and learn about the PruittHealth difference. The PruittHealth Organization complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Anderson • 864-226-1219 License # HPC-0102 Greenville • 864-962-6699 License # HPC-0102

These include: • Same-day appointment access • 24/7 access to your care team • Urgent care • Sports and Work Physicals • Discounted lab work • Office visits • EKG • X-rays • Flu shots • Sick visits • Chronic disease management • Virtual visits ASK ABOUT OUR EMPLOYER PARTNERSHIP PROGRAMS SPARTANBURG | CAYCE | GREENVILLE | DRAYTON MILLS | MOUNT PLEASANT 864.252.4808 | WWW.PALMETTOPROACTIVE.COM Direct primary care for you and your family. GET WELL. STAY WELL. LIVE PROACTIVE. Accessible & Affordable Healthcare Starts Here. PALMETTO PROACTIVE HEALTHCARE is a Direct Primary Care (DPC) family medicine practice that reunites the physician and patient in a proactive partnership. We dedicate our efforts to your care while keeping the cost of care affordable and known to our patients. With our PROACTIVE PATIENT PROGRAM (P3), you will have access to the care you need to get well and stay well for only 1of 5 Smart Money Moves $70 PER MONTH. No co-pays. No surprise bills. 1208 Ella Street Anderson, SC 29621 864-965-9150 118 S. Pendleton Street, Suite A Easley, SC 29640 864-306-4599 You can also contact these other physician owned and operated direct primary care clinics in the Upstate. Established 2010 1068 North Church Street Greenville, SC 29601 864-702-2365

3115 Brushy Creek Road, Suite C-1 Greer, SC 29650 | 864-655-7575 OUR 45TH YEAR IN PRACTICE DO YOU SUFFER WITH NEUROPATHY? WE OFFER FLEXIBLE APPOINTMENTS TO FIT YOUR SCHEDULE. Specialized Training in Peripheral Neuropathy. Only Available to the first 20 Callers Call 864.655.7575 SEE WHAT PATIENTS HAVE TO SAY: “These procedures are helping my Neuropathy! This is the first clinic to really make a difference in reversing my symptoms and give me hope for a better life.” –W.G., Greer, SC • Consultation • 24 point Nerve Exam • Thermal Infrared Imaging (see above) • Diabetic Nerve Pain • Fibromyalgia • Neuropathy Itch • Hypersensitivity Sheet feet • Chronic Pain • Cramping • Chemotherapy Induced Peripheral Neuropathy • Numbness • Pricking/Tingling • Sharp Electric Pain • Burning/Freezing Pain • Hurts to Walk • Balance Problems/ Coordination Issues • Restless Legs WE CAN HELP! $49 ($249 VALUE)

THE TRUSTED CHOICE When my dad suffered a stroke, it was my turn to help him with important decisions, like making the right choice in rehabilitation. I asked the medical professionals that treated him who they trusted for the best care and outcomes. They said Encompass Health, the nation’s largest system of rehabilitation hospitals. There, they created a rehabilitation program specifically designed for his needs using advanced technology and innovative treatments. And he was cared for by a highly trained, experienced staff that showed professionalism and compassion throughout his recovery. Now I know why they are the trusted choice of medical professionals. // ©2021:Encompass Health Corporation:MyTurn

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www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 5 10 | YOU ARE WHAT YOU EAT The idea is to use food as preventive medicine, rather than having to rely on pharmaceuticals. 16 | SUN WORSHIPERS BEWARE Changes in pigmentation such as age spots, liver spots and freckles, along with wrinkles and other signs of aging on the face, are the result of photoaging, which is caused by exposure to the sun. 20 | ALL SYSTEMS CLEAR – CONTROLLING PANIC A body overreacts to a stressor, creating a fight-or-flight reaction that doesn’t apply to the day-to-day modern world. 24 | SOOTHE THE SKIN WITH THE HEALING POWERS OF PLANTS Check out some of the natural remedies native to areas in South Carolina you can use to soothe your skin ailments this summer. 30 | PUTTING YOUR BEST FOOT FORWARD It’s important to consult a podiatrist as soon as possible if you have a foot or ankle issue that is affecting your daily activities. 33 | WOMEN IN HEALTH We are lucky to live in a community where women not only are succeeding but leading and thriving in a field that touches everyone. 46 | FACIAL SCARRING: HEALING AND HIDING IN PLAIN SIGHT According to the American Society of Plastic Surgeons, in 2020, 15.6 million people in the United States had some form of facial surgery. 50 | TECHNOLOGICAL ADVANCES IN HEALTH CARE Whether health care technology is addressing vision deterioration, renal failure, heart disease or a host of other physical ailments, such advancements are significantly improving treatment for patients with these challenges. 52 | FROZEN STIFF: A PAINFUL CONDITION WITH AN OMINOUS NAME Doctors don’t know for sure what causes frozen shoulder, but they agree that the nagging problem can take up to a year or more to go away, and there’s a decent chance it eventually will return. 54 | A STEP BACK FROM REALITY Although they are a treatment and not a cure, ketamine infusions have been effective in helping people deal with depressed brain functioning. 58 | WHEN YOUR EYES ARE BIGGER THAN YOUR STOMACH While physical inactivity, processed food and the rise of fast food are contributing to health concerns, a general disregard of serving sizes also is a big issue. CONTENTS DIRECTORIES Dermatology/Plastic Surgery................................................. 63 BY THE NUMBERS Photoaging. ........................................................................ 17 Facial Scars. ........................................................................ 48 IN EVERY ISSUE Publisher’s Note....................................................................... 6 About the Cover...................................................................... 7 Living Healthy Area Events...................................................... 8 The Facts on Food & Drink.................................................... 12 The Lighter Side of Health Care. ........................................... 32 There's an App for That......................................................... 49 A Unique Case....................................................................... 56 Upstate Area Nonprofits........................................................ 60 The Pulse on Upstate Nurses. ................................................ 64 ISSUE 5.4 JULY/AUGUST 2022 UPSTATE SPONSORED MEDICAL CONTENT Let Your Smile Shine Brightly With Laser Dentistry................ 15 Healing Her Wholeheartedly. ................................................ 19 Regaining Your Alignment..................................................... 23 A Healing and Nurturing Environment. ................................. 27 Putting Patients First is a Philosophy That Works.................. 28 FEATURES

6 | www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com A Tribute to the Wonderful Women in My Life. Welcome to our special Women in Health edition of HealthLinks. With National Women’s Day coming up in August, this feels like a great time to pay our respects to some of the most influential women in our lives. For me, that means my wife – a health care leader in her own right – and my mother. If you’ve read any of my previous Publisher’s Notes, you are probably wellaware of my father’s recent passing. My words highlighted the loss, his impact on my life and the lessons he taught me. Yet I often neglected to mention the grace my mother displayed through her loss. Without forgetting about their nearly 40 years of marriage, she began to build a new life – day by day. She connected with friends, embarked on adventures and even renovated an old family home on the river where she grew up. She welcomed my daily calls and engaged with me on topics ranging from what was wrong with my golf game to deep insights into my father’s personality and professional legacy. She may not know this, but these conversations provided a balance that helped stabilize the anxiety I felt from losing my father. From yelling at the “blind” basketball referees to unwavering support through my scholastic trials to providing consistent motherly guidance and intuition, I can say with absolute certainty that I would not be here today with my mother. Then there’s my female, minority, doctor-of-nurse-practice wife, who has made a career out of saving children’s lives, which, ironically, is only her second most difficult job next to keeping me in line. In all seriousness, Dr. Marissa Kemp has been my crutch since I was 16 years old. She cheers me along when life is great and helps pick up the pieces when things fall apart. Trust me when I say she has pulled me out of some very dark corners. Her professional passion and drive provide the necessary inspiration to force me out of bed every morning. With each breath she makes my world a happier, more fulfilled place. Like our Women in Health rock stars in this issue of HealthLinks, Marissa provides proof that success and prosperity are achievable for women in our society. We all have women who shape our lives for the better. How many times have we been reluctant to go to the doctor, eventually giving in to the insistence of our wives, sisters or mothers, only to find out that if we had waited any longer to see a health care professional, we would have jeopardized our health? Let’s raise a glass to the amazing women who help keep us healthy and happy – and pave the way for continued success for future generations of females. Cheers to good health, Cul len Murray Kemp Cullen Murray-Kemp UPSTATE Publisher CULLEN MURRAY-KEMP Managing Editor THERESA STRATFORD Assistant Editor MOLLY SHERMAN Copy Editor BRIAN SHERMAN Art Director KIM HALL Webmaster GEORGE CONKLIN Internet GENE PHAN Sales Manager MANDY WILLIS Photography Partner CARIN SCATES Writers Media Consultant BRANDON CLARK Distribution Manager Latrale Gunther – Distribution: C&R Marketing Administration & Bookkeeping GINGER SOTTILE Distribution U.S. Post Office, Harris Teeter, Ingles, CVS, Food Lion, Medical Offices TO ADVERTISE IN HEALTHLINKS UPSTATE PLEASE CALL 864.612.7694 MEDICAL MARKETING GROUP HealthLinks Upstate reserves the right to refuse advertisements. Acceptance of advertisements does not imply the service or product is recommended or endorsed by HealthLinks Upstate. No part of this publication may be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from Medical Marketing Group, LLC. Medical Marketing Group 4 Carriage Lane, Suite 107, Charleston, S.C. 29407 843-732-4110 • Issue 5.4 July/August 2022 L.C. LEACH III ISABEL ALVAREZ ARATA LEAH RHYNE CHRISTINE STEELE JANET E. PERRIGO BILL FARLEY EILEEN CASEY DAVE CLUCAS STACY DOMINGO COLIN MCCANDLESS KATHERINE WATERS ANNE TOOLE LISA BRESLIN DENISE K. JAMES PUBLISHER'S NOTE Scan to discover our other HealthLinks platforms!

www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 7 ABOUT THE COVER... I have to say that one of my favorite things about summer in the South is the fresh food. Watermelon, blueberries, tomatoes, peaches – I could spend hours at our local farmers markets admiring all the fresh local produce. That’s why I love this cover. To me, it’s absolutely beautiful. When I think about food in the summer, I think of a colorful garden salad or a refreshing fruit plate. It’s just a way to make these hot, hazy days a little bit brighter. This is a jampacked issue filled with great information, so we hope you are enjoying this magazine while lounging in the hammock or at the beach. It’s our Women in Health issue, and we have interviewed some of the most influential local women in health care. Get to know who they really are through the pages of this magazine. Of course, we would be remiss not to warn you about the dangers of UV rays in a summer issue. Check out our story about correcting dark spots and how you can keep your skin healthy. We also covered how to handle panic attacks and ketamine, a treatment for depression. Since you’ll have your flip-flops on for the next couple of months, you might want read our story on common foot problems. There are so many great features in this issue – too many to list here. You’ll have to read it for yourself. For the wonderful photos of our Women in Health, we want to say a special thank you to Carin Scates Photography. And we also want to thank Hatcher Gardens in Spartanburg for providing the tremendous setting for the Women in Health head shots. Thank you to our graphic designer and our copy editor for making sure this issue not only looks beautiful but also is well-read. And we want to recognize our wonderful writers, all of whom are extremely valuable to us. We appreciate all their hard work. Thank you to our sales staff, especially Mandy Willis, and everyone on the HealthLinks team for their contributions to this issue. And, of course, thank you to our sources. They lend us their expertise and time, both of which are priceless. We hope you enjoy this summer issue of HealthLinks magazine. And, as always … To health and happiness, Theresa Stratford, managing editor JULY/AUGUST 2022 COMPLIMENTARY CHARLESTON | DORCHESTER | BERKELEY UP S TAT E JULY/AUGUST 2022 KETAMINE’S CURING JOURNEY FOOD OVER PHARMACEUTICALS SPECIAL WOMEN IN HEALTH ISSUE ABBEVILLE | ANDERSON | CHEROKEE | GREENVILLE | GREENWOOD | LAURENS | PICKENS | OCONEE | UNION | SPARTANBURG CONTROLLING PANIC ATTACKS UPSTATE HIGH-QUALITY, BEAUTIFUL PHOTOGRAPHY See through a different lens!

8 | www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com TUESDAYS, THURSDAYS AND SATURDAYS FROM JUNE TO NOVEMBER Anderson County Farmers Market 8 a.m. to 1 p.m. 402 N. Murray Ave. • Anderson THURSDAYS FROM MAY TO SEPTEMBER CLEMSON FARMERS MARKET 3 p.m. to 6 p.m. 578 Issaqueena Trail • Clemson SATURDAYS FROM APRIL TO DECEMBER HUB CITY FARMERS MARKET 8 a.m. to noon 498 Howard St. • Spartanburg MONDAYS THROUGH SATURDAYS YEAR-ROUND GREENVILLE STATE FARMERS MARKET 8 a.m. to 6 p.m. 1354 Rutherford Road • Greenville SATURDAYS FROM MAY TO OCTOBER LANDRUM FARMERS MARKET 8 a.m. to noon 111 N. Trade Ave. • Landrum THURSDAYS FROM MAY TO SEPTEMBER PALMETTO FARMERS MARKET 4 p.m. to 7 p.m. 121 W. Main St. • Williamston SATURDAYS FROM MAY TO SEPTEMBER SIMPSONVILLE FARMERS MARKET 8 a.m. to noon 405 E. Curtis St. • Simpsonville THURSDAYS FROM MID-APRIL TO SEPTEMBER SIX MILE FARMERS DEPOT 4 p.m. to 7 p.m. 102 S. Main St. • Six Mile VARIOUS DATES TRAVELERS REST FARMERS MARKET 8:30 a.m. to noon 235 Trailblazer Drive • Travelers Rest HEALTHY AREA EVENTS l ving UPSTATE

www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 9 A Place to Live. A Place to Love. Small Town. Big Heart. Located in the foothills of the Upstate, Inman is a growing community with small-town charm. Attractive neighborhoods, a historic downtown, great schools, and a perfect location—these are just a few of the qualities that make Inman a great place to live and work. So whether you're a resident, a business owner, or a visitor thinking of making Inman your home, we are here to provide you with outstanding municipal services - a vital part of any great community's quality of life. FAMILY & LOCALLY OWNED SINCE 1975 Experience the SPORTSCLUB DIFFERENCE

10 | www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com IT’S TRUE: YOU ARE WHAT YOU EAT By L. C. Leach III Healthy eating is something most of us have heard ever since our days of learning the basic nutritional food groups. Now, more than ever before, because of increased medical knowledge and changing habits in work and leisure, a healthy diet may not only be the starting point for what ails you but the thread that can keep you going for a really long time.

www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 11 “What we eat plays a huge role in how we feel and how our body operates,” said Dr. Cici Carter, physician and owner of FreshMed LLC, in Charleston. “The foods we consume in our diet are the building blocks to everything going on at a microscopic level.” Consider wheat, rye and barley, grains that are among the world’s most important food sources. But the Mayo Clinic reports that about 200,000 people in the United States suffer from an immune reaction to gluten, a type of protein found in these grains. Over time, it creates inflammation that damages the lining of the small intestine, leading to medical complications. The solution, Dr. Carter said, is to opt for other grains such as quinoa, brown rice, tapioca and millet. “The idea is to use food as a preventive medicine, rather than having to rely on pharmaceuticals,” she said. “And on the whole we’re all becoming more aware of how and where we’re getting our food.” While this idea officially originated more than 100 years ago, it has been steadily evolving since the 1940s. For example, the U.S. Department of Agriculture created the original seven food groups in 1943 but opted for the model of the four basic food groups from 1956 to 1992. Then came the food pyramid in 1992, MyPyramid in 2005 and MyPlate in 2011, which is the most current USDA nutritional guide. While the 1956 version of eating healthy simply mentioned fruit and vegetables as a combined dietary staple, the current nutritional standard also offers serving sizes, plus the recommendation to make “half your plate fruits and vegetables.” “The focus is now much more on plant-based items, with fruits and vegetables being equivalent to proteins and grains, with a splash of dairy,” Dr. Carter said. “We’ve learned much more about the nutritional properties of what we eat and related those properties to benefits and possible harmful impacts on our health.” Let’s say you want to opt for a certain style of eating for an entire week, consuming three square meals a day. Dr. Carter recommended the MyPlate option: • BREAKFAST – Two organic eggs over easy in ghee or olive oil over a bed of arugula with half of a smashed avocado with sea salt and lemon juice. • LUNCH – Spring mix salad – no iceberg or romaine lettuce – with organic chicken breast, plus lots of vegetables such as red and yellow peppers, carrots, red onions, tomatoes and broccoli, with two tablespoons of flaxseed sprinkled on top with an oil-based dressing. • DINNER – Baked salmon over a bed of quinoa and roasted Brussels sprouts. And in terms of contributing to a much longer quality of life, Dr. Carter recommended numerous foods that work to fight off chronic diseases: • ORGANIC DAIRY: milks and yogurt – to reduce risk for cancers and allergic responses such as asthma and eczema. • WILD CAUGHT SALMON – Contains omega 3 nutrients, which are considered to be an anti-inflammatory fatty acid. • CRUCIFEROUS VEGETABLES: broccoli, Brussels sprouts, cauliflower – They’re high in fiber and contain sulforaphane to help maintain healthy weight, stabilize blood sugar, reduce chances for diabetes, bind toxins and flush them from the body. • UNSALTED NUTS: ALMONDS, WALNUTS, BRAZIL NUTS – They contain proteins, healthy oils and omega nutrients. • BERRIES: BLUEBERRIES, BLACKBERRIES, RASPBERRIES – They are packed with antioxidants and can reduce the risk of cardiovascular disease and cancers. • FLAXSEEDS: LIGNANS – They contain fiber, protein and omega 3 nutrients to protect against cancer. They often are used as a beneficial garnish in salads and other foods. • GREEN TEA – It contains antioxidant and anti-inflammatory properties, plus a calming amino acid to help with mood and cognition. Other foods with a high content of fiber, probiotics or antioxidants include oats, green tea, organic yogurt, beans and turmeric. “The goal now is to eat a lot of whole foods versus processed foods,” Dr. Carter said. “We’ve had to evolve this recommendation based on the weight-related conditions we’ve watched develop over the years.” The World Health Organization reported that in 2016, more than 37% of adults in the United States were either overweight or obese – more than triple the 1975 figure. That number now stands at more than 42%, equating to a yearly death toll of about 2.8 million people. With a simple change in eating habits, Dr. Carter said you can not only live longer and feel years younger but, eventually, when you pass the age of 80, you’ll come to view aging as simple chronology. “We’ve learned much more about the nutritional properties of what we eat and related those properties to benefits and possible harmful impacts on our health,” she said. “So while it does take a certain amount of work and active participation to make changes to your eating habits and lifestyle, the outcomes are certainly worth it.”

12 | www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com The Facts on Food & Drink THE AGE OF THE MUSHROOM CRAZE By Molly Sherman

www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 13 Capsules, extracts, powders – oh, my. Mushroom is the trendy fun-guy for addressing health ailments, preventing disease and improving body functions. As most trends go, the mushroom was well-known and liked before its time in the Western spotlight. Recapped in the journal article, “Medicinal Mushrooms: Ancient Remedies Meet Modern Science,” mushrooms have been used as medicine for thousands of years. Around the year 450 B.C., the Greek physician Hippocrates classified a mushroom as an anti-inflammatory; fifth-century alchemist Tao Hongjing described several medicinal mushrooms; and 5,300 years ago, Ötzi the Ice Man carried a birch polypore and amadou to help him survive the Northern Italian Alps. Today, mushrooms are marketed for cancer fighting qualities, enhanced learning and memory, reduced inflammation, wound healing – the list goes on. Consumers have been responsive to the promises of fungi. The global market for functional mushrooms – those with proclaimed health benefits beyond expected nutritional value – generated $7.98 billion in 2020 and is estimated to reach $19.33 billion by 2030. This is thought to be an extension of the Western re-orientation toward plantbased ingredients and rising health consciousness, according to Allied Market Research. One particularly popular “guy” in the rising Western inclination to use mushrooms is lion’s mane. It is often packaged into powder and capsules for the advertised purpose of repairing nerve damage and promoting nerve health. These claims are likely in reference to a 2012 study that found an aqueous extract of lion’s mane promoted regeneration of rats’ peroneal nerves in the early stage of recovery. It’s unlikely the results of studies on single chemical compounds are likely to translate to whole fruiting bodies or concoctions, according to a review of mushroom use in medicine by Nicholas Money. “It is impossible, for example, to link the immunological consequences of injecting mice with cell wall polysaccharides to the expediency of drinking hot tea brewed from shiitake,” he said in his review. Nevertheless, companies marketing herbal medicines refer to such studies or use their popularity as a basis to promote the validity of their products. MUD\WTR, marketed as a coffee alternative, has created a blend of lion’s mane, chaga and reishi mushrooms. The company highlights benefits to consumption: supported mental performance, soothing properties and supported healthy immune function, respectively. The claim for lion’s mane is likely partially referencing a study done with older adults with mild cognitive impairment that found daily doses of three grams of lion’s mane mushrooms significantly improved mental functioning, and the benefits disappeared when supplementation stopped. The product’s claim is diluted of key variables like consistency of doses and intake but promises seem to be rooted in the results of the study. The Food and Drug Administration exercises oversight allowing nutritional supplements to make qualified health claims that describe functional developments of the ingredients – still holding dietary guidance and nutrient information in strict regard. Manufacturers are allowed to stretch health claims, as long as they are based in truth, and do not claim, like a drug could legally, that their product will “diagnose, treat, cure or prevent any disease,” according to the FDA. Mushroom extracts “can be sold in the United States for the stated purpose of ‘comprehensive immune support,’ or just about anything else, as long as the company provides the standard disclaimer,” wrote Money. He noted that current applications in claims exploit references to studies and sometimes neglect potential harm; however, he recognizes at the end of his review that the exploration of medicinal mushrooms suggests mushrooms “do contain compounds with important pharmacological properties.” While there is evidently much to be wary of in product claims, research suggests there is “mush” more than meets the eye when it comes to fungi.

DANIEL J KNAUSE, DMD 2131 Woodruff Road, Suite 1100 , Greenville, SC 29607 At the corner of Hwy 14 and Woodruff Road 864-288-8388 Greenville’s family-owned source for compassionate care utilizing the latest dental technology. HOLISTIC OPTIONS At Southern Laser Dentistry, we respect the beliefs and needs of our patients who want the most natural and bio-compatible options. DR. K ALIGNERS In office design and manufacture of precision clear aligners at a great value. Brighten your BEAUTIFUL SMILE with FREE WHITENING after completion of Dr. K clear aligners. ONE VISIT CROWNS CEREC Single Appointment Permanent Crowns. LASER DENTISTRY As one of fewer than 10 offices in the state with the groundbreaking Solea Laser, we have eliminated the drilling and need for numbing with most fillings.

www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 15 Anyone who has ever shied away from regular visits to the dentist is likely a perfect candidate for the modern, innovative technology of laser dentistry and Chairside Economical Restoration of Esthetic Ceramics procedures. Most everyone knows that dental care is a vital aspect of their health, but a substantial portion of the population does not maintain a regular, ongoing relationship with a dental practice. According to a 2020 study by the Centers for Disease Control and Prevention, 63% of adults age 18 and older made a dental visit in the previous year. While that does seem like a fairly large number, it also means that nearly 40% of adults in that category are not seeing a dentist annually. There are many reasons why people skip regular dental checkups, but the most prevalent among them seems to be the fear of an uncomfortable or even painful experience. As reported by healthline. com, 3% of men and nearly 5% of women have dentophobia, or fear of the dentist. This phobia may have been the result of past trauma or simply an aversion to the sounds, smells and sensations of the traditional tools of the dental trade most of us grew up with. Imagine a dental office free from the high-pitched whine of the drill, where fillings don’t require the poke of the novocaine needle and where crowns are fitted the same day, requiring no return visits. Southern Laser Dentistry in Greenville offers just this kind of experience to its patients through the use of laser dentistry and CEREC technology. Daniel Knause, DMD, a lifetime resident of Greenville, is one of only a handful of dentists in South Carolina using the state-of-the-art Solea laser for most fillings – without drilling or numbing. In fact, Dr. Knause employs multiple lasers for specific procedures, including ulcer treatment, cold sore treatment, gum depigmentation and more. Use of lasers for these procedures typically results in faster healing and less bleeding. Southern Laser Dentistry’s CEREC machine gives the dentist and his staff the ability to create dental pieces that don't require “goopy” impressions. Dr. Knause makes crowns, bridges, custom night guards, bleach trays, onlays and inlays, and he even has his own line of in-house clear aligners – appropriately named “Dr. K Aligners.” Because the CEREC machine is in the office and onsite staff is trained in its use, Dr. K Aligners are less expensive and do not require the use of a separate lab. The practice also offers cosmetic dentistry. Southern Laser Dentistry has been brightening patients’ smiles in the Greenville area since 2020, with a staff of six specialists supporting Dr. Knause. A holistic health practice, its goal is to be the leading laser dental office in the region. And with cutting-edge technology, a friendly and knowledgeable staff and the forward-thinking and innovative Dr. Knause in the driver’s seat, it seems they may have already reached that goal. LET YOUR SMILE SHINE BRIGHTLY WITH LASER DENTISTRY For more information, contact Southern Laser Dentistry at 864-288-8388 or visit By Dave Clucas SPONSORED MEDICAL CONTENT “Dr. Knause makes crowns, bridges, custom night guards, bleach trays, onlays and inlays, and he even has his own line of in-house clear aligners. “

16 | www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com SUN WORSHIPERS BEWARE By Isabel Alvarez Arata It’s impossible to hide from the sun, especially when there are multiple benefits to being outdoors, including encouraging movement, boosting mood and reducing stress. Unfortunately, however, sun damage is a concern for many Americans, especially those over 50. Changes in pigmentation such as age spots, liver spots and freckles, along with wrinkles and other signs of aging on the face, are the result of photoaging, which is caused by exposure to the sun. According to Yale Medicine, “Unlike normal, chronological aging, which is dictated by age and genetics, photoaging happens when ultraviolet light from the sun or tanning beds permanently damages the skin’s structure.”

www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 17 Photoaging starts in the teens to early 20s and can be measured by comparing the skin on the face to an area of the body that is not exposed to the sun. Wrinkles, pigmentation changes, loss of skin elasticity, rough and uneven skin texture and tone and redness and broken capillaries all are signs of photoaging. While everybody is susceptible to this problem, some people are more prone to sun damage, especially those with pale skin, light-colored eyes, blond or red hair and those who burn easily. In addition to genetic factors, geographical location and climate play a significant role in the extent of photoaging that people may develop as they age. One of the best ways to address photoaging is to prevent further damage. UVA radiation damages the skin at all levels, affecting collagen and elastin, while UVB light irradiates the outer layer of the skin, damages DNA and can cause precancerous cells known as actinic keratoses to form. The American Academy of Dermatology recommends daily use of a broad-spectrum sunscreen with a sun protection factor of at least 30 to shield skin from UVA and UVB rays. It also recommends generous applications of sun protection, water-resistant formulas and re-applying sunscreen every two hours or after swimming and sweating. Daily use of sun protection, wearing UV-protective, wide-brimmed hats, staying in the shade and avoiding peak sun hours aid in preventing further photoaging but will not undo damage that already has been done. While most treatments for sun damage are considered cosmetic and therefore not covered by insurance, people who want to look younger can invest in a variety of therapies to reduce common signs of photoaging. Options include fractional skin resurfacing lasers and pulled dye lasers, which can help make the skin appear younger while also healing broken blood vessels and reducing redness. Different lasers are used to address different concerns, but they are, in general, an excellent choice to boost the skin’s elasticity and overall appearance. Another option, intensive pulsed light therapy, is similar to laser therapy, but, instead of focusing just one wavelength of light on the skin, releases light of many different wavelengths. Another popular and somewhat more affordable option are chemical peels, where a chemical substance such as glycolic acid is used to gently remove the top layers of the skin and reveal a more youthful complexion. In addition, many topical medications address pigmentation changes and skin texture. Both overthe-counter products and prescription medications with active ingredients such as retinoids have been shown to even the skin tone and reduce fine lines caused by photoaging. When addressing photoaging, it’s important to discuss concerns and desired outcomes with a trusted dermatologist. Both dermatologists and physician-staffed med spas are equipped to safely address the effects of sun damage with minimally invasive treatments and ongoing prevention. The best time to address the effects of skin aging is usually when patients can stay out of the sun for at least a few weeks at a time because many treatments make the skin extra sensitive to UVA and UVB rays. Treating photoaging can be a slow process, especially since sun exposure is inevitable, but patience, dedication and an innovative skin-care team can make all the difference. PHOTOAGING By the Numbers More than 1 OF 3 AMERICANS report getting sunburned each year. Source: U.S. Department of Health and Human Services. Most people only apply about 20% TO 50% of the amount of sunscreen needed to achieve the amount of SPF on the label. Source: National Center for Biotechnology Information. Most adults need about 1 OUNCE OF SUNSCREEN – enough to fill a shot glass – to fully cover their entire body. Source: American Academy of Dermatology. Tanned skin is damaged skin, yet nearly 1 OF 3 YOUNG white women engage in indoor tanning each year. Source: U.S. Department of Health and Human Services. It has been reported that approximately 80% OF SKIN aging on the face can be attributed to UV exposure. Source: National Center for Biotechnology Information. Wrinkles, pigmentation changes, loss of skin elasticity, rough and uneven skin texture and tone and redness and broken capillaries all are signs of photoaging.

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www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 19 Holistic Health of the Carolinas, a functional medicine and holistic health practice located in Spartanburg, provides a range of services for treating women’s health issues. Holistic Health focuses on the individual as a whole, encompassing the mind, body and spirit, according to board-certified Holistic Health Practitioner Dr. Sherian Wells. “It’s understanding that your body is sacred and important,” she said. The spiritual component entails respecting whatever religious and spiritual practices a patient has and incorporating that into treatment plans. In regard to the mind, it means “ensuring you’re in a state to receive healing and pursue wellness,” noted Dr. Wells. She explained that functional medicine is about integrating traditional medicine with natural medicine to heal the entire person. “Functional medicine also means that all of the organs are properly functioning and the body’s functioning as a whole,” asserted Dr. Wells. “It’s about understanding the relationship between each organ so everything works as it should.” One of the women’s health issues that Holistic Health treats is a condition called polycystic ovary syndrome, which makes it difficult for a woman to conceive. It may produce excess hormones, causing women to develop excess hair or pimples. “It causes a general state of discomfort,” said Dr. Wells. Holistic Health typically treats PCOS by conducting individual assessments, then doing bloodwork through its full-service blood testing facility. Next, a custom-designed treatment plan is developed, “because everyone’s results will be different,” Dr. Wells commented. Additionally, Holistic Health treats women for issues such as depression and anxiety. Dr. Wells emphasized that Holistic Health provides an integrative approach to care that comprises one component in the mental health wheel. “We look at the entire person and not just the issue,” she remarked. “We test to make sure the body is functioning as it should. We try to get the body in balance first.” Holistic Health also provides fertility aid, conducting individual assessments for each woman, then looking at panel testing issues to try and determine the cause of the infertility and collaborating with partners who help prepare the body for birth. As part of the integrative approach, a person might be referred to someone who works well with Holistic Health’s customized treatment plan. “Internally, we create a treatment plan with our massage therapists to remove toxins from the body,” said Dr. Wells. Holistic Health also is a full-service testing facility for hormone imbalance, offering hormone regimens that can balance the body and address issues related to post-birth, menopause and puberty. “It’s important to note that a lot of women are suffering in silence,” stated Dr. Wells. “That this is the norm to be unhappy and unwell. There is hope to restoring energy and balance in the body.” HEALING HER WHOLEHEARTEDLY Prospective patients can schedule virtual or in-person appointments online at By Colin McCandless SPONSORED MEDICAL CONTENT “We test to make sure the body is functioning as it should. We try to get the body in balance first. “ HOLISTIC HEALTH OF THE CAROLINAS

20 | www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com I was 22 the first time I experienced a panic attack. It was September of 2001, several weeks after the attack on the Twin Towers. I lived across the river from Manhattan in Northern New Jersey and lost a friend when the Towers fell. I awoke in the middle of the night gasping for air. I felt like there was a semi-truck parked on my chest. I was sobbing, choking and I didn’t know what was happening. Corrigan Rutherford, a Charleston-based educator and school administrator, understands those feelings all too well. “All of your body systems shift into overdrive,” she said. “You might vomit, your heart races and you don’t know if you’re going to explode or not. You just know, ‘I have to get out of this place or I am going to die.’” ALL SYSTEMS CLEAR – CONTROLLING PANIC By Leah Rhyne

www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 21 Panic attacks, or panic disorders, are common these days and are becoming ever more so. “Panic disorders are extremely prevalent nowadays, especially in the population of 18 to 25 years old,” said Steven Krozer, CEO and nurse practitioner at iTrust Wellness Group in Greenville. “Mental health symptoms, which include panic disorders and generalized anxiety disorders, have increased approximately 30% to 40% in the last several years in this population alone.” “I think the world being as connected as it is with social media and a global internet, direct consumers of information by technological needs are exposed to a significant amount of information than that of other generations,” he added. “News, for example, is now global – school shootings, COVID-19 and economic collapse potential. This is what our population is exposed to every day.” In short, we’re all stressed all the time, and it’s difficult to find an escape route. So our bodies overreact. That’s exactly what a panic attack is, in fact. A body overreacts to a stressor, creating a fight-or-flight reaction that doesn’t apply to the day-to-day modern world. Katy Stebbins Yahr, MA, LPC, with Still Point Counseling in Mount Pleasant, explained: “Panic attacks occur when your brain is having an overreaction to the body’s natural physiological response to fear or danger.” Causes can include stimuli in your environment or something as simple as drinking too much caffeine, trigging your body to respond with an increase in physiological activity. “Your brain sends signals to prepare you for what it is incorrectly coding as an emergency,” she continued. “Your sympathetic nervous system triggers the release of adrenaline and cortisol. The blood flows to your major muscles, and your heart rate increases and breathing quickens to prepare you to flee or fight.” So what do you do when you experience a panic attack? Said Yahr: “Most people experience a panic attack for about 10 to 15 minutes, which is how long it takes until the brain has exhausted all of its resources attending to the perceived emergency. Knowing it will subside is empowering for people who experience panic attacks.” She encourages her patients to set a timer so they can track how much time actually passes. It’s also important to know the symptoms and how they differentiate from a physical condition such as a heart attack. Symptoms to look out for include squeezing, fullness or pain in the center of your chest and pain or discomfort in one or both arms, the back, neck, jaw or stomach. “If you’re unsure,” said Yahr, “you should always go to the emergency room to get checked.” Treatments for panic disorders can include antidepressant medication to calm down the nervous system as well as supportive care like cognitive-behavioral therapy. CBT teaches people to recognize physical sensations early so they can use tools such as deep breathing, exercise or mediation to control their symptoms. It’s widely used to treat anxiety, depression, eating disorders and addiction. These are all tools familiar to Rutherford, who uses a mix of them to keep her panic in check. “I try to be more organized in my daily life,” she said. “I work to control the things I can control. I’ve worked with a therapist, and I’ve learned a little bit of anti-anxiety medication can help a lot. It’s enough to slow my brain down.” And as for me, I remain on a journey similar to Rutherford’s. Panic will always be there, on the edge of my world, but, with the tools I’ve put in place through the years, I know I’ll be fine. You will, too. And if you’re worried, don’t forget: It’s always OK to ask for help. INCREASING THE RISK Factors that may increase the risk of developing panic attacks or panic disorder include: • Family history of panic attacks or panic disorder; • Major life stress, such as the death or serious illness of a loved one; • A traumatic event, such as sexual assault or a serious accident; • Major changes in your life, such as a divorce or the addition of a baby; • Smoking or excessive caffeine intake; • History of childhood physical or sexual abuse. Source: Mayo Clinic.

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www.Ups tatePhys i c i ansSC . com | www.Hea l thL i nksUps tate. com | 23 Don’t wait for the numb tingling in your neck to spread to other parts of your body and affect your ability to move. The tingling often is a sign that the top bones in the neck need realigning to keep your body and organs functioning properly – and one of the principal places in the Upstate to have it checked and treated, if necessary, is Upstate Spine & Wellness, LLC. Now in its 32nd year in Greer, Upstate Spine & Wellness is owned and operated by Doctor of Chiropractic Wayne Laney. And whether you are experiencing lack of coordination, muscle weakness, extreme sensitivity to touch or numb tingling in your neck and other limbs, Dr. Laney accepts and cares for patients of all ages and needs. “When there is a misalignment in the top bones of the neck, people can experience pain and dysfunction anywhere in the body because these bones are situated around the brain stem, as well as important nerves, arteries and veins supplying the brain,” said Dr. Laney, now in his 45th year of practice. “My goal is to help you regain your alignment so that the arteries, veins and brain stem are free from impingement and able to then regulate structural/ functional balance.” One dysfunctional effect from this misalignment is a condition known as creeping nerve death. Often known by its medical name, paresthesia, it is damage to peripheral nerves – those located outside the brain and spinal cord. “It’s part of peripheral neuropathy, which can slowly ‘kill’ nerves, cells and muscle in your arms, legs, hands and especially your feet,” Dr. Laney said. Early warning symptoms include tingling and numbness, along with the inability to feel your feet, which can gradually increase your risk of injury and falls. More advanced-stage symptoms can bring loss of coordination and dexterity and the inability to feel clothing like socks or gloves. “When I originally started my practice in Yakima, Washington, in 1977, I saw creeping nerve in probably 5% of my patients,” Dr. Laney said. “Now it’s above 10%, due to having more seniors as patients in recent years.” Treatments vary – including medication, B12 vitamin supplements, and, in extreme cases, limb amputation. But Dr. Laney said the first step to determining a course of action regarding any corrective chiropractic measure is to see your doctor and have a physical exam. And if you need any corrective treatment, Dr. Laney will help you get back on track through the Atlas Orthogonal technique. “It is an advanced scientific instrument correction to adjust the atlas vertebrae – the top bone of the neck – without popping and cracking the neck,” said Dr. Laney, a former instructor of the technique. “It is a specialty of mine and it’s suitable for all ages.” Dr. Laney concluded: “You can’t always expect your body to remain the same as you get older, but there are always treatments to allow your mind and body to restore their functions and to heal.” REGAINING YOUR ALIGNMENT For more information, visit By L. C. Leach III SPONSORED MEDICAL CONTENT