Hip & Knee Replacement Considerations

In today's fast-paced world, maintaining good heart health has never been more important. The collaboration between the American Heart Association and the Wellstar Congregational Health Network (CHN) is making meaningful progress in empowering four local churches to prioritize heart health. Wellstar CHN identified these partner churches in Metro Atlanta as facing significant gaps in the tools needed to support the well-being of their congregations. This initiative aims to increase awareness about high blood pressure, provide necessary tools for monitoring heart health, and save lives by ensuring these churches have CPR-trained staff and are equipped with devices like automated external defibrillators (AEDs).

Collaborating to achieve community well-being

The American Heart Association has long been at the forefront of cardiovascular health education, advocacy and research. By joining forces with Wellstar, which is dedicated to improving health and wellness in Georgia, the organization is expanding its reach into local communities.

The Wellstar CHN, which works closely with churches and faith-based organizations, has been committed to serving congregants’ physical, mental, and spiritual well-being for over 20 years. This collaboration represents an impactful move toward offering practical solutions to help address heart disease, the leading cause of death in the U.S.

Making early detection a priority

A key initiative under this collaboration is the establishment of blood pressure monitoring stations within the churches. These stations are designed to provide easy access for community members to check their blood pressure regularly. High blood pressure, often called the "silent killer," can lead to serious health complications such as heart attacks, strokes, and kidney failure if left undiagnosed and untreated.

By placing blood pressure monitoring stations in church spaces, people are encouraged to regularly monitor their health in a familiar, supportive environment. The program also provides educational materials on how to maintain healthy blood pressure levels, empowering individuals with the knowledge they need to act early.

These stations serve as a gateway to better health, helping people detect high blood pressure and seek medical advice sooner.

Providing access to lifesaving tools in churches

Another vital part of this collaboration is the provision of AEDs to participating churches. An AED is a portable device that can deliver an electric shock to someone experiencing sudden cardiac arrest (SCA), which can be fatal without prompt intervention.

Placing AEDs in churches means congregants and visitors have access to lifesaving tools in a cardiac emergency. These devices are easy to use, with step-by-step instructions, and they can dramatically increase the chances of survival if used quickly.

The goal is to equip churches with not just AEDs, but also the training to use them effectively. The American Heart Association provides training for church staff, volunteers and congregants so they can act confidently in the event of a cardiac emergency. For many people, churches serve as central gathering points within a community, making them ideal locations for AEDs to be readily available.

Building stronger communities through heart health

The American Heart Association and Wellstar CHN partnership is about more than providing tools—it is about building a healthier, more resilient community. By focusing on heart health, these initiatives aim to reduce the risks of heart disease and cardiac emergencies. They also foster a culture of wellness, where faith-based organizations can be hubs for health education and support.

Churches play a significant role in their communities, offering spiritual guidance and physical and emotional support. By embracing these heart health initiatives, they become even more integral in shaping healthy futures for everyone who walks through their doors.

Looking ahead to a healthier future

This joint effort between the American Heart Association and the Wellstar CHN is a shining example of how local groups can work together to make a tangible impact. By providing blood pressure monitoring stations, AEDs, and ongoing health education, the organizations are helping to save lives, prevent heart disease, and empower communities to take proactive steps toward better health.

As heart disease continues to affect millions of individuals each year, collaborations like these are crucial in shifting the narrative from reactive to proactive health care. Together, we can create a healthier future for ourselves, our families and our communities.

A big thank you to the churches below for empowering their members by hosting these heart health educational programs and providing the tools needed to improve their health and well-being. Your work in the community is inspiring.

• Trust the Truth Community Church Marietta
• West Hunter Street Baptist Church Atlanta
• East Point First Baptist East Point
• Crossroads Community Ministries Atlanta

Dr. Scott Miller, a Wellstar urologist and expert in robotic and laparoscopic surgery, joined Dr. Bruce Feinberg on 95.5 WSB’s The Weekly Checkup. Together, they tackled common questions about urology, prostate health, incontinence and more.

Does dark urine mean I have a medical problem?

There’s no normal color for urine, Dr. Miller explained. Most of the time, expect urine to be “fairly diluted, almost like water or very pale yellow.”

Urine color may be different in the morning after a night’s sleep without hydration. Some prescription and over-the-counter medicines, like multivitamins, can also affect urine color. Any red in urine could indicate the presence of blood. That’s a sign to call your primary care provider or urologist.

Should I be worried about bubbles in my urine?

That depends, according to Dr. Miller.

“If bubbles form simply because of the way your urine stream hits the water—causing a little turbulence—there’s no need for concern,” he said. “But if you actually feel the bubbles or air passing as you urinate, that’s different. It could indicate a bladder infection or an abnormal connection between the urinary and GI (gastrointestinal) tract.”

In that case, Dr. Miller said a doctor would likely order tests to determine the cause and recommend appropriate treatment.

Do women need urologists?

Yes. Urologists specialize in treating the kidneys and the bladder in both women and men, in addition to addressing prostate health in men.

“Anyone with a urologic issue should see a urologist,” Dr. Miller said. He noted that women are more likely than men to experience conditions like kidney stones and urinary tract infections, making specialized care essential.

Is bladder leakage inevitable with aging?

Dr. Miller noted that bladder control issues are common, but they can be an avoidable part of aging.

“Some females assume bladder control is a natural consequence of childbirth or aging,” he said. “But in reality, these are all treatable issues and sometimes very simple fixes.”

Dr. Miller said that both women and men can benefit from treatments that may include medications, lifestyle changes and minimally invasive procedures. He encourages those experiencing bladder control concerns to talk with their primary care doctor or urologist rather than assume it’s something they must live with.

What about erectile dysfunction? Is it unavoidable with aging?

Erectile dysfunction (ED) can occur at any age, Dr. Miller said. But it is more common as men get older.

“ED isn’t necessarily a direct result of aging. … For instance, testosterone levels naturally decline with age, which can contribute to ED. But that’s not necessarily the cause of the erectile function,” he said.

Underlying health conditions, such as heart disease, are sometimes related to ED and are more common as people age.

People with other diseases, such as diabetes, may also experience erectile dysfunction, he explained.

At any age, patients should see a doctor as soon as they start having erectile dysfunction, Dr. Miller said. Doctors can test and rule out other causes. Early treatment for erectile dysfunction is often more successful than when patients delay seeing a doctor.

Is vasectomy safe? Is it reversible?

Not only is vasectomy safe, but it’s also the “most effective form of permanent birth control,” Dr. Miller assured listeners. The outpatient procedure is performed in a doctor’s office, and recovery is quick.

Some men worry that a vasectomy might affect their sexual function or desire, but that’s not true, Dr. Miller added. Vasectomy doesn’t affect the testicles, where testosterone, the male hormone, is produced or the delivery of the hormone to the bloodstream.

Dr. Miller said that when patients ask if vasectomy is reversible, he cautions that while vasectomy reversal is possible, it is a complex procedure with no guarantees. The patient’s age, how much time has passed since the vasectomy and the partner’s fertility all influence the chances of achieving pregnancy.

“So, never count on it,” he said. “But there are other ways to achieve pregnancy, even in someone who has had a vasectomy, including retrieving sperm directly from the testicle” then attempting in-vitro fertilization.

If I have prostate cancer, does that mean I need surgery?

Advances in prostate cancer detection and treatment have changed considerably in how doctors treat the disease, Dr. Miller said.

“Up to 40% of all prostate cancers we diagnose are at least initially candidates for active surveillance,” he said. Of those, 40 to 50% will, over three to five years, require treatment. Even in those cases, he added doctors “have a lot of ‘runway.’”

“It’s like landing a commuter jet on a 747 runway. We don’t need to start at the very beginning of the runway to safely land before the runway runs out,” he said.

For some patients, that may eventually mean they are candidates for laparoscopic surgery to remove the prostate gland or parts of it that are cancerous.

Advances in diagnostic tools, such as MRIs, genetic testing and genomic testing, have also revolutionized the detection and treatment of prostate cancer, according to Dr. Miller. Genetic testing can help determine a person’s risk of developing prostate cancer, while genomic testing reveals the molecular makeup of tumors and helps guide treatment decisions between doctors and patients.

Can I change my diet to prevent kidney stones?

Dr. Miller recommends two dietary habits to help prevent kidney stones: drinking plenty of fluids and limiting sodium intake—not only table salt, but also foods high in sodium, including diet and snack foods. He advised that when you have a meal high in sodium, counter its effects by drinking extra water.

In general, “most of the things in your diet will have very little effect on your chance of having kidney stones,” Dr. Miller said.

Because calcium is one of the chemicals that makes up kidney stones, Dr. Miller said many people ask if they should avoid calcium to prevent kidney stones. In most cases, the answer is no. Women especially need adequate calcium in their diets to support bone health and reduce their risk of osteoporosis.

Find a urologist at Wellstar

Do you have questions or concerns about your urinary health? Wellstar’s expert urologists are ready to help. Visit wellstar.org/urology to learn more or schedule an appointment.

MARIETTA, Ga. (Feb. 20, 2025) – Wellstar Health System announced today the launch of residency programs at two more of its hospitals: Wellstar Paulding Medical Center in Hiram and West Georgia Medical Center in LaGrange.

Including its partnership with Augusta University’s Medical College of Georgia (MCG) at Wellstar MCG Health, Wellstar will now operate seven teaching hospitals in the state. In addition to Wellstar Paulding and Wellstar West Georgia, four other Wellstar hospitals—Wellstar Kennestone, Wellstar Cobb, Wellstar Douglas and Wellstar Spalding Medical Centers—are already designated as teaching hospitals.

Known as Graduate Medical Education (GME), the Paulding and West Georgia residency training programs will create 60 new physician positions—30 in each hospital. Both programs will focus on internal medicine with an emphasis on rural primary care.

In the last decade, Wellstar has grown its GME program from 14 trainees in 2016 to nearly 300 today, many of whom have remained with Wellstar and in Georgia.

Through Wellstar’s partnership with Augusta University’s Medical College of Georgia, Wellstar MCG Health Medical Center is the primary clinical training site for more than 500 GME positions. The new residency slots mean Wellstar will soon support more than 860 physicians in training.

Wellstar executives said one of their goals is to help fill an increasingly dire need for physicians in rural areas.

“We know that doctors are more likely to stay in communities where they train,” said Wellstar President and CEO Candice L. Saunders. “Because of that, we’ve committed significant resources to training physicians who care for people in rural areas where the need is much greater for highly skilled clinicians.”

“We must all work together to ensure students who graduate from medical schools in Georgia can remain in our state for residency and beyond,” said Augusta University President Russell T. Keen. “Programs like these are an essential part of ensuring a healthier future for our state. I am thankful to our educational partners at Wellstar for their vision and investment and I look forward to finding new ways to ensure our partnership continues to positively impact the lives of the people of Georgia.”

Later this year another hospital that serves rural areas, Wellstar Spalding in Griffin, will graduate its first class of resident physicians. The 10 graduates will be offered positions within the healthcare system. Wellstar is also pursuing a Rural Track Program (RTP) designation, which would allow for additional physician trainees to be based at Wellstar Kennestone but practice at rural hospitals across the state.

“Besides improving the health and wellness of Georgia’s rural communities, we’re also helping to make them stronger economically,” said Dr. Val Akopov, senior vice president of Wellstar Medical Group. “These new physicians and their families live and work in these small towns, which positively enhances our shared vision for our state.”

“Now with 304 students per class, Medical College of Georgia is among the top five largest medical school class sizes in the nation but is a net exporter of medical students,” said MCG Dean Dr. David Hess. “Growth in undergraduate medical education is only one part of addressing our nation’s and state’s growing physician shortage. We must also invest in GME—Georgia is one of the fastest growing and most populous states yet we still rank 40th in residents per capita. Statewide growth and expansion of residency slots is certainly a step in the right direction.”

Wellstar is also investing in its current educational portfolio through the expansion of its medical libraries, capital improvements to its Center for Healthcare Simulation, the construction of a new Anatomical Skills and Research Lab and new medical technologies to assist patients at the bedside.