FORSYTH COUNTY, Ga. — Forsyth County is welcoming a new public facilities director.
Brian Munhall was chosen to lead the Department of Public Facilities, the county said Feb. 5.
Brian Munhall is the new director of Forsyth County’s Department of Public Facilities.
The department manages and maintains county building operations, ensuring facilities meet state and federal safety mandates.
Munhall previously served as deputy director of the department. Prior to his employment with Forsyth County, he owned and operated a local business and worked in the technology and financial services industry.
Munhall holds a Bachelor of Science from Florida State University.
Assistant County Manager Barry Lucas said Munhall brings a wealth of expertise and experience to the position.
“I look forward to working with him on providing our residents the best, most costefficient facilities possible,” Lucas said. — Jon Wilcox
Don't be fearful of pruning trees
► PAGE 21
County officials approve subdivision with strict environmental protections
By JON WILCOX jon@appenmedia.com
FORSYTH COUNTY, Ga. — Plans for a 90-lot subdivision just west of Cumming call for more than half of its acreage be protected amid residents’ concerns for natural spaces.
At its Feb. 5 meeting, the Forsyth County Commission approved devel-
oper Traton’s request to rezone the 137 acres from agricultural to residential use. The land includes a pond, wetlands and forests and is located at 1381 Kelly Mill Road, about 2 miles west of Cumming.
Commissioner Todd Levent described the project’s environmental protections and density as unprecedented.
The homes will be built with a
density of 0.65 units per acre. Commissioners approved the request with the condition that all common areas and open space located outside lots, shall be permanently protected by a conservation easement.
“It’s unheard of,” Levent said. “To me, this is the only one I have ever seen.”
COUNTY, Page 14
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Body of missing person found in Mayfield Lake
By HANNAH YAHNE hannah@appenmedia.com
MILTON, Ga. — Divers with the Cherokee County Fire Department recovered the body of 27-year-old Nathan Smith from a Milton lake shortly before noon Friday, Feb. 6.
Smith, known professionally as DJ Young Slade, is the son of rapper Lil Jon. He was reported missing Tuesday, Feb. 3 after leaving his residence on Baldwin Drive in Milton around 6 a.m.
The Milton Police Department Criminal Investigations Division will continue treating the case as open and active until the official cause and
Alabama man found unconscious at wheel
FORSYTH COUNTY, Ga. — A 43-yearold Mobile, Ala., man was arrested on drug and intoxicated driving charges Jan. 20 after deputies reported finding him passed out in his vehicle on Shady Grove Road near Lake Lanier.
The Forsyth County Sheriff’s Office said deputies were dispatched about 3:30 a.m. to the report of a crash at a roundabout on Shady Grove Road just south of Cagle Drive.
Deputies reported finding the man asleep at the wheel with white foam coming from his nose. Law enforcement officers conducted a driving under the influence investigation and found the man to be intoxicated, the sheriff’s report said.
In the man’s pocket, deputies found a Seroquel pill, an antipsychotic medication that can produce sedation, the sheriff’s report said.
The man was charged with misdemeanor sale, distribution or possession of dangerous drugs, driving under the influence of drugs and prescription not in original container.
— Jon Wilcox
manner of death is determine by the Fulton County Medical Examiner. Police do not suspect foul play.
Divers had been searching the lake at 1000 Mayfield Road since Tuesday morning. Milton Police led the investigation with assistance from Milton Fire and Rescue, K-9 units and Cherokee County Fire and Emergency Services.
The roped-off crime scene expanded after crews began searching the area. Residents of the neighborhood said police asked to review door camera footage after he went missing.
“We extend our deepest condolences to the Smith family during this time,” Milton Police said in a statement.
POLICE BLOTTER
All crime reports published by Appen Media Group are compiled from public records. Neither the law enforcement agencies nor Appen Media Group implies any guilt by publishing these names. None of the persons listed has been convicted of the alleged crimes.
Man says online contact led to sexual extortion
FORSYTH COUNTY, Ga. — The Forsyth County Sheriff’s Office investigated a report of online sexual extortion Jan. 23.
A man reported that he had made contact with a girl on Tinder and continued communicating with her on Instagram and Whatsapp at her request.
The man said he sent a video of himself undressed. Soon after, he received a phone call from an unidentified person who threatened to publish the video unless he paid $1,000.
Deputies advised the man the extorters would likely demand additional money if he paid.
The incident was classified as a misdemeanor sexual extortion.
— Jon Wilcox
HANNAH YAHNE/APPEN MEDIA
Milton Police drained the lake at 1000 Mayfield Road where divers found the body of Nathan Smith, the 27-year-old son of rapper Lil John.
Alpharetta service station reports overnight burglary
ALPHARETTA, Ga. — Police investigated a burglary reported at an Old Roswell Road gas station after an alarm sounded Jan. 13.
Alpharetta police officers were dispatched about 2 a.m. after the alarm company contacted the department.
Officers cleared the area but found no one inside. They observed signs of a forced entry at the back door, a lock in the office and a door to the cashier area.
Paint marks led police to suspect a yellow crowbar was used.
The business’s keyholder said cash was stolen from a safe but was not certain about the amount.
Cameras recorded three people participating in the crime, police said.
Alpharetta police identified a vehicle that may have been involved and said it may be connected to burglaries in Roswell and Sandy Springs.
The incident was classified as a first-degree burglary.
— Jon Wilcox
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Fulton County files court motion to retrieve 2020 ballots
By ZOE SEILER zoe@appenmedia.com
ATLANTA — Fulton County has filed a motion in federal court seeking the return of all documents from the 2020 election that the Federal Bureau of Investigation took while serving a search warrant on Jan. 28. The motion also seeks to unseal the search warrant.
The parties to the motion include Fulton County Commission Chair Robb Pitts and the Fulton County Board of Registration and Elections, according to an announcement from the county.
The FBI executed a search warrant at 5600 Campbellton Fairburn Road in Union City on Wednesday, Jan. 28.
A court order signed by Magistrate Judge Catherine M. Salinas authorized agents to seize all physical ballots from the 2020 election in Fulton County, all ballot images and Fulton County’s 2020 voter rolls, the Georgia Recorder reported.
Pitts previously said the county was getting ready to turn over those records as part of an ongoing lawsuit.
The United States Justice Department’s civil rights division sued Fulton County Court Clerk Che Alexander in December 2025.
The lawsuit claims that Attorney General Pam Bondi sent a letter to the Fulton County Elections Board in October 2025 demanding records responsive to a State Election Board resolution. A subpoena
requested “all used and void ballots, stubs of all ballots, signature envelopes and corresponding envelope digital files from the 2020 general election in Fulton County.”
A hearing was scheduled for Feb. 9 regarding the transfer of the 2020 election documents to the state.
During a press conference on Feb. 4, Pitts said he thinks the confiscation of the county’s ballots is about more than the 2020 election and is tied to sowing distrust in the 2026 and 2028 elections.
“When Tulsi Gabbard showed up, that was a signal to me that this is bigger than just the confiscation of our records,” Pitts said.
According to The Guardian, Gabbard, who is the Director of National Intelligence,
is also reviewing the 2020 election, with Trump’s approval, and working independently of the Justice Department investigation. She did join the FBI raid at the Fulton elections facility on Jan. 28.
Pitts is concerned about the midterm elections this year, as Georgia’s senators are up for reelection.
“It’s going to be important, and anything that can be done to influence that, I think, is going to be done,” Pitts said. “I think this is probably the first step in whatever they’re going to do in order to depress voter participation, voter registration, making whatever changes they think are necessary to help their case in 2026, but
See FULTON, Page 14
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Bestselling author to nurture reading in Forsyth County
CUMMING, Ga. — The Forsyth Conference Center will host bestselling author Liz Moore on Tuesday, March 10 as part of the county library’s community reading program, Forsyth Reads Together.
Moore will speak and sign books at the event. A selection of her work will be available for sale.
The goal of the library’s program is to get Forsyth County reading and talking about the same book. For its 13th year, the program selected Moore’s book, “The God of the Woods,” a thriller that earned her multiple accolades, including recognition from The New York Times and People magazine.
Admission to the program at 3410 Ronald Reagan Blvd. in Cumming is free, but attendees should register in advance on the Fulton County Public Library’s website.
An Evening with Liz Moore will be one of several events hosted by Forsyth County Public Library (FCPL) as part of Forsyth Reads Together, co-sponsored by the Forsyth County Public Library, the Forsyth County Arts Alliance at the Forsyth County Community Foundation, and the FCPL Friends and Advocates.
For more information or to register to attend An Evening with Liz Moore, visit ForsythPL.org.
— Hannah Yahne
Jimmy Song (NMLS#1218336)
Sandy Na (NMLS#983548) 770-454-1861 (Norcross Branch)
Author Liz Moore will speak at the Forsyth Conference Center March 10 about her bestselling book, “The God of the Woods,” as part of Forsyth Reads Together.
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Arts Center features Black History Month exhibit
By JON WILCOX jon@appenmedia.com
JOHNS CREEK, Ga. — A Black History Month art exhibit in Johns Creek challenges visitors to ask themselves big questions.
Althea Foster, curator and program director for The Arts Center at Johns Creek, said the almost 40 works from esteemed museums are not only beautiful, but they are imbued with meaning.
“It is also about communicating truth,” Foster said. “Maybe it will change the way you feel about things, and maybe it won't, but it's a very human experience that we can all share.”
Now through March 7, The Arts Center, 6290 Abbotts Bridge Road, Building 700, will host “Black Joy as Power and Resistance: African American Printmakers.” It features prints from a variety of techniques, many by contemporary artists.
The works are on loan from Atlanta’s High Museum of Art, New York’s The Museum of Modern Art and Whitney Museum of American Art , among others. The display marks the 12th annual Black History Month exhibit by The Arts Center at Johns Creek.
“This exhibition is particularly special because we have been able to
“That’s So Zora,” a screenprint by Jerushia Graham and Lynn Linmeier, is on display at The Arts Center at Johns Creek in February.
borrow works from museums that are considered the deans of African American art,” Foster said.
Whether visitors are artistically uninitiated or well-studied, Foster said she
thinks the works will spark feeling and thought.
For example, a series of prints titled “Flowers of Trees 1, 2, 3 and 4” by Savannah artist Laurie Darby holds a hidden meaning.
“You look at them and you say, ‘Oh, these are very lovely,’” Foster said. Then when you read the artist statement, you find out that she remembers her grandfather's stories of people being lynched from magnolia trees.”
Many of the works are more hopeful. Jerushia Graham’s “Architect of Futures Yet Unseen,” one of Foster’s favorites, shows an innocent child and evokes “a universal sense of humanity that surpasses race,” Foster said.
“You look at this child, and you imagine what they might achieve,” she said.
“Cornbread and Buttermilk” by Curlee Raven Holton tells the life experiences of an elderly man in America. Layered with text, it recounts the experiences of a Black man in America.
“You're getting a lot of different perspectives,” Foster said.
The messages within the works at The Arts Center are more important than ever, the museum curator said. As some work to discredit the importance of marginalized groups in the country, works found in the exhibit demonstrate the power and beauty of experiences of all people.
“We can look at these as specifically African American, but they're American works,” Foster said. “These people have made their place in American art, and their works deserve to be shown.”
Sam Gilliam’s “Wind,” a mixed media on loan from the Experimental Print Institute,” is on display at The Arts Center at Johns Creek in February.
PHOTOS BY: JON WILCOX/APPEN MEDIA
Althea Foster, curator and program director for The Arts Center at Johns Creek, looks at “For Whites Only,” a serigraph by Faith Ringgold on loan from the Experimental Print Institute, Feb. 6.
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Pizzeria wins praise from ‘One Bite’ review
By HANNAH YAHNE hannah@appenmedia.com
SANDY SPRINGS, Ga. —Pizza by Yandys in Sandy Springs received recognition from Barstool Sports founder Dave Portnoy in one of his recent “One Bite” pizza reviews.
Everybody knows the rules: Portnoy takes one bite (often two) before rating the pizza on a scale from 1-10. He’s ranked hundreds of pizza restaurants since launching the series over a decade ago.
Portnoy ranked a slice of cheese pizza from Pizza by Yandys at a 7.7, higher than the other two pizza locations he tried while in Atlanta.
“What a little hidden gem,” Portnoy said in a video posted on his social media accounts. “This is, for Atlanta, very good pizza.”
Pizza by Yandy’s opened in December 2024 inside Carniceria Los Pinos, a Mexican grocery store at 6342 Roswell Road N.E.
A true family-run business, Yenara Najera works the cash register as her husband, Diego, slides pizzas into the oven. His specialties include a buffalo chicken pizza, and one of their most popular pies, the hot honey char pepperoni pizza topped with swirls of ricotta cheese. The pizza alla vodka offers a different take on the classic margherita and they have a Hawaiian pizza topped with pineapple and ham.
Pizza by Yandy’s offers takeout and there’s seating inside the grocery store for visitors to enjoy their fresh pizza pies.
See PIZZA, Page 9
HANNAH YAHNE/APPEN MEDIA
Business owner Diego Najera pipes ricotta on top of Pizza by Yandy’s hot honey char pepperoni pizza Feb. 5.
BUSINESSPOSTS
Pizza:
Continued from Page 8
Their son works on the weekends, and Yenara described the owner of the grocery store they occupy as a brother.
Before moving to Atlanta in 2020,
Diego had dreamed of opening a pizza restaurant where they lived in New York City. Now, his dream is a reality that has gained the attention of multiple influencers in the past year helping grow the community that Pizza by Yandy’s serves.
“I’m very happy and I’m glad that my husband got his dream,” Yenara said.
An employee prepares a pizza before putting it in the oven Feb. 5 at Pizza by Yandy’s in Sandy Springs.
Business owners Yenara and Diego Najera take an order at Pizza by Yandy’s Feb. 5.
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Johns Creek orchestra schedules Feb. 13 gala
JOHNS CREEK, Ga. — The Johns Creek Symphony Orchestra will kick off its 19th anniversary season with its annual Hearts and Harmony Gala Feb. 13.
The event is scheduled for 6:30-9:30 p.m. at the Atlanta Athletic Club, 1930 Bobby Jones Drive.
The gala will feature fundraising and festivities. Highlights include musical performances by orchestra members, food, champagne, dancing, raffles and a benefit auction.
The gala is the “perfect setting to
enjoy a thrilling evening out, meet new friends and help music thrive,” the orchestra said in a statement. Every dollar raised will go toward ensuring the orchestra’s music programs, community events and concerts continue.
The golden ticket raffle returns this year with the winner enjoying a luxury travel experience to one of five worldclass destinations — Santorini, Tuscany Bay, Bali, Thailand or Dublin. The winner need not be present.
— Jon Wilcox
JOHNS CREEK SYMPHONY ORCHESTRA/PROVIDED
The Johns Creek Symphony Orchestra will hold its annual Hearts and Harmony Gala Feb. 13 at the Atlanta Athletic Club.
WHAT THEY ARE KNOWN FOR
1. Wander. Hooded snake.
Clint Eastwood, e.g.
2. Aldous Huxley, e.g. Tie. Hurry.
3. Dress. Coffee order. Alfred the Great, e.g.
4. Family girl. City on the Ruhr.
John Paul II, e.g.
5. Small change. Rodney Dangerfield, e.g. Ape.
6. Rob Bean, e.g. Hayseed. Catch sight of.
7. Geronimo, e.g. Bunsen burner. Grotto. 2/12/26 Sudoku PuzzleJunction.com
1 Wander. Hooded snake. Clint Eastwood, e.g.
2. Aldous Huxley, e.g. Tie. Hurry
How to Solve: Each line in the puzzle above has three clues and three answers. The last letter in the first answer on each line is the first letter of the second answer, and so on. The connecting letter is outlined, giving you the correct number of letters for each answer (the answers in line 1 are 4, 5 and 5 letters). The clues are numbered 1 through 7, which each number containing 3 clues for the 3 answers on the line. But here’s the catch! The clues are not in order - so the first clue in Line 1 may (or may not) actually be for the second or third answer in that line. Got it? Good luck!
To solve the Sudoku puzzle, each row, column and box must contain the numbers 1 to 9.
3. Dress. Coffee order. Alfred the Great, e.g.
4. Family girl. City on the Ruhr. John Paul II, e.g
5. Small change. Rodney Dangerfield, e.g. Ap
6. Rob Bean, e.g. Hayseed. Catch sight of 7. Geronimo, e.g. Bunsen burner. Grotto.
9.
How to Solve: Kakuro, also known as Cross Sums, is a challenging number puzzle, solved in a crossword style grid. The rules are easy: A number above the diagonal line in a black square is the sum of the white squares to the right of it. A number below the diagonal line is the sum of the white squares in the sequence below it. You may only use the digits 1 to 9, and a digit can only be used once in any sequence.
How to Solve: To solve the Sudoku puzzle, each row, column and box must contain the numbers 1 to
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County:
Continued from Page 1
Levent said the density and protections are in part the result of ongoing discussions he’s had with the developer and nearby residents.
Those aspects are important considering residents’ concerns about rampant growth within the county and diminishing
Fulton:
Continued from Page 3
more importantly in 2028,” Pitts said.
President Donald Trump lost the 2020 election after serving his first term in office. He lost the national vote by about 7 million votes to Joe Biden and lost Georgia by 11,779 votes. Trump has maintained that he won the 2020 election.
The results have been reviewed, audited, and hand-counted, and the results remain the same.
“Last week, I committed to the voters of Fulton County, and the world for that matter, that we will use every resource at our disposal to fight for their vote, and that we
quantities of undisturbed land, Levent said.
Traton initially proposed a 121-lot plan with a density of about 0.88 units per acre. That proposal met opposition during an Oct. 28 Planning Commission meeting.
Several residents, including Bob Slaughter, founder of the Smart Growth Forsyth County, spoke against it. The nonprofit “focuses on county-wide issues to achieve environmentally responsible,
will fight using all resources against those who seek to take over our elections,” Pitts said.
Pitts said Fulton County wants to retrieve the ballots because it is unaware of what is happening with them. The county would like to inventory the documents. He added that the officials were not given notice of the raid or copies of what was taken.
Secretary of State Brad Raffensperger said, during an interview with WSB, that he doesn’t understand why federal officials are reliving the 2020 election. He is not aware of what the FBI is looking for or why.
“We probably know as much as you do because the search warrant that was issued is sealed, so no details were provided to us or to the press or to Fulton County,”
well-planned and balanced development.”
Slaughter said he initially worried the project would contribute considerable impervious surfaces, potentially harming the Big Creek watershed by reducing water quality to habitats that rely on it.
Others, like Madelyn Davis, agreed and added the project would contribute to the county’s rapidly growing population and overdevelopment.
“We may not be calling Forsyth home for much longer if it continues at this
Raffensperger said.
Democratic lawmakers held a press conference on Feb. 4 and condemned the FBI raid.
“This is a blatant attempt by our federal government not to just interfere with Georgia’s elections but to take them over,”
Rep. Saira Draper (D - Atlanta) said. “When President Trump is talking about nationalizing elections, he is talking about Georgia.”
She added that it is not normal for the federal government to get involved in state elections.
“The worst thing that we can do as a society, as a state, and as leaders under this Gold Dome is to underestimate the threat,” Draper said.
Georgia Senate Republicans have introduced a resolution calling for Raffensperger
FORSYTH COUNTY/PROVIDED
A revised plan for a subdivision west of Cumming proposes 90 lots and lands protected by a conservation easement.
pace,” she said. “I do not want to sit with my kids in traffic for 30 minutes trying to get to their day care.”
But following the Oct. 28 meeting, Traton introduced a revised plan with greater wildlife protections and reduced density.
Slaughter said he attributes those changes to the concerns vocalized by residents. He said he considers the new proposal an improvement.
“It's a direct result of the residents’s involvement,” he said.
to turn over the voter registration list to the Justice Department. Raffensperger’s Office previously provided a redacted version of the voter list that excluded sensitive information. The Justice Department is now suing Raffensperger for failing to provide an unredacted list, according to WSB Radio.
Rep. Eric Gisler (D - Watkinsville) said the secretary of state is required to safeguard personal information, like birth dates, Social Security numbers, and driver’s license numbers, and is prohibited from releasing that information under state law. He introduced a resolution reaffirming the existing law.
“This resolution should not be partisan,” he said. “It should not even be necessary. It is a statement of what the law already requires.”
At Peachtree Town & Country, real estate is never just a transaction, it’s a personal experience. One defined by care, discretion, and the way you’re made to feel every step of the journey. We believe what lasts long after closing isn’t paperwork or process, but the confidence, trust, and comfort you felt along the way. By listening closely and guiding thoughtfully, we create extraordinary experiences that build lasting relationships — and a legacy of service you can feel.
8 heart health facts moms-to-be should know
Brought to you by – Wellstar
Pregnancy is a time of excitement and change, but it also puts added strain on the heart. Here’s what every expectant mom should know about heart health during pregnancy.
1. High blood pressure can be silent— and dangerous.
Some women develop high blood pressure during pregnancy. High blood pressure can lead to preeclampsia, a condition that can cause organ damage and, in severe cases, seizures.
If you have a history of high blood pressure, heart disease or a family history of cardiovascular conditions, tell your care team. Your physician may recommend that you monitor your blood pressure at home.
2. Heart failure can happen—even in healthy moms.
A rare but serious condition called peripartum cardiomyopathy weakens the heart, usually in the last month of pregnancy or the months following delivery.
Talk to your clinician immediately if everyday activities leave you exhausted or struggling to breathe. Other concerning symptoms include persistent coughing, swelling in your legs or feet and dizziness.
3. Pre-existing heart conditions and hypertensive disorders require extra care.
If you’ve ever had heart disease, a heart defect or high blood pressure—including hypertension or hypertensive disorders—pregnancy can increase your risks. Even women without symptoms before pregnancy may need extra monitoring.
Talk with your clinician early about a care plan. High-risk pregnancies may require specialist support, like a maternalfetal medicine physician or cardiologist.
4. Blood clots are more common during pregnancy.
Pregnancy increases the risk of thromboembolism, a serious condition where blood clots can travel to the lungs and cause a pulmonary embolism. The risk is even higher for women with a history of clotting disorders, obesity or limited mobility.
To reduce your risk of blood clots, stay active, stay hydrated and watch for warning signs like leg swelling, redness or pain. If you notice these, call your care team right away.
5. A racing heartbeat may be abnormal.
You can expect some changes in heart rhythm during pregnancy, but arrhythmias (irregular heartbeats) can be a sign of something more serious. Hormone changes, increased blood volume and underlying conditions like thyroid disorders can all contribute to an irregular heartbeat.
If your heart races often, feels like it’s skipping beats or you feel dizzy or faint, let your clinician know immediately. Keep track of when these symptoms happen.
6. Postpartum recovery still puts stress on the heart.
Keep all postpartum checkups, even if you feel fine. Watch for new symptoms like chest pain, shortness of breath or extreme fatigue. If you had high blood pressure during pregnancy, continue monitoring it after delivery.
7. Your hospital choice matters
For women at high risk, delivering in a hospital with access to specialized prenatal tests, genetic testing like amniocentesis, fetal evaluations and emergency cardiac care can make all the difference.
Wellstar provides specialized care for mothers and babies in our community, including:
• Wellstar Avalon Health Park: Car -
dio obstetrics at the Wellstar Center for Cardiovascular Care office
• Wellstar North Fulton Medical Center: Cardio obstetrics at Wellstar Center for Cardiovascular Care, 4500 Hospital Blvd.
8. Mental health and stress impact heart health . Anxiety and stress can affect your heart. If you’re feeling overwhelmed, talk to someone. Your mental health is as important as your physical health. If you are pregnant and have questions about your heart health, talk to your obstetrician about a referral to our cardio obstetrics team. Wellstar provides specialized cardio obstetrics care in Alpharetta and Roswell. Find an obstetrician at wellstar.org/ womenshealth.
A team of advanced heart care specialists means more expertise for you.
At Wellstar, you’ll find more than 100 cardiologists and cardiovascular surgeons across our cardiovascular services team who are ready to care for you. Whether you need preventive screenings or treatment for complex heart conditions, your heart is in good hands with our skilled team— highly rated by patients like you.
We are leading the way in Georgia and beyond with innovative technology and experienced clinicians to ensure you have the expertise you need close by. Learn how Wellstar can help keep your heart going strong at wellstar.org/northfultonheart.
Honored to be Voted: Best Dermatologist and Best Vein Specialist
Insist on the
BEST
Dr. Brent Taylor is a Board-Certified Dermatologist, a Fellowship-Trained Mohs Surgeon, and is certified by the Board of Venous and Lymphatic Medicine in the field of Vein Care.
He is an expert in skin cancer and melanoma treatment, endovenous laser ablation, minimally invasive vein procedures and cosmetics procedures such as Botox and injectables.
Kathryn is a certified physician assistant with over 23 years experience as a Dermatology PA and cosmetic dermatology.
Her specialties include general dermatology such as acne, eczema, rashes, hair loss, full body skin exams, abnormal growths etc. Kathryn also specializes in cosmetic dermatology including lasers, injectables, micro-needling, PRP, facial peels, sclerotherapy for spider veins and at home skin care.
Is Lidocaine a secret weapon against cancer?
Surgery of Atlanta
We always worry about the negative side-effects that a medicine might have. At the end of a pharmaceutical company’s commercials, an auctioneer very quickly states the twenty terrible things that might happen if you take the advertised medicine. Side effects range from your ear falling off when you sneeze to the belief that you are Elvis. Side-effects make almost any medicine sound scary. But occasionally, a positive side effect emerges. Sometimes, we discover something wonderful about a medicine that is wholly unexpected.
Examples of positive side-effects are not hard to find. The medicine finasteride was first being used to help decrease the size of the prostate in men who were having difficulty urinating. An unexpected positive side-effect was discovered when it was noticed that many of the men were re-growing their scalp hair. With finasteride, male pattern baldness was often partially reversed or stopped in its tracks.
One of the most recent medications discovered to have a possible positive side effect is lidocaine, which has been around since 1943. Lidocaine is an injectable anesthetic. We use lidocaine for skin biopsies, excisions, Mohs surgeries and countless other procedures every day in the dermatology office. Amazingly, lidocaine may be more than an anesthetic. It may also have anti-cancer effects.
A team of surgeons in India operating on breast cancer divided patients into two groups. One group had standard breast cancer surgery. The other group received a lidocaine injection around the tumor 7-10 minutes prior to surgery. During the 5 years after surgery, the group that received the lidocaine injection had an 8.5% rate of the cancer recurring (popping up again) at a distant site versus an 11.6% rate of distant recurrence in the surgery-only (no lidocaine) group. The study has some limitations including not being a double-blind trial and being a single-center study, but it is intriguing enough to warrant further investigation. The authors reported that injecting lidocaine around breast cancer before removing it increased survival in their study.
What made the surgeons perform this study in the first place? Why lidocaine? Over the last few years, researchers have discovered that
electrical gradients maintained across the membranes of cancer cells are important to their ability to metastasize or spread. Our cells have pumps in them called “ion channels.” They allow certain ions to pass across the cell membrane. The resulting ion concentration gradient creates an electrical charge across a cell. This gradient affects the way other proteins in the cell function. Importantly, some of the proteins affected by the charge across a cell membrane are important for healthy cells’ growth and development as well as for cancers’ ability to grow and spread.
Lidocaine works by blocking sodium channels in cell membranes. Disrupting the electric charge across a cancer cell membrane was suspected to have the potential to weaken the cancer itself. Pre-clinical studies supported this hypothesis, and the breast cancer surgeons took the next step of performing a trial with breast cancer patients and peritumoral lidocaine injections.
I don’t know if breast cancer surgeons in the United States consider these results valid, are awaiting confirmatory studies or are already injecting lidocaine. However, in dermatology, these results are exciting because, for now, we do not need to change anything that we are already doing. Every day that I perform Mohs surgery, we inject the area around a tumor with lidocaine prior to surgically removing the cancer. If lidocaine is more than an anesthetic, then our patients are likely already benefiting from any anti-cancer properties that lidocaine has.
Mohs surgery is the gold standard for treating most skin cancers and has a cure rate that is usually at or above 99%. Perhaps lidocaine is one of the secrets to this success.
Dr. Brent Taylor
Kathryn Filipek, PA-C
Brought to you by – Dr. Brent Taylor, Premier Dermatology and Mohs
Supporting senior heart health with in-home care
Brought to You by –
February is American Heart Month, a time to take stock of your heart health and understand risks of heart disease and how to manage related heart conditions. This is especially important as we age. The CDC says most adults over 60 live with at least one factor for heart disease, and it remains the leading cause of death for seniors. For older adults, heart health takes a daily commitment that goes beyond an occasional visit to the doctor’s office.
There are four areas that make a major difference and are critical to improving your heart health: monitoring your blood pressure and cholesterol, regular exercise, following a heart-friendly diet and consistently taking prescribed medications.
It’s important to know your numbers. High blood pressure is a leading cause of heart disease, and while almost half of all US adults have high blood pressure, only 1 in 4 have it under control. Scheduling regular screenings for blood pressure and cholesterol is a key first step. Use February as a time for lifestyle review, whether it’s adjusting home routines to establish a consistent sleep schedule or following recommended changes like the Mediterranean Diet to replace recipes heavy in salt.
In-Home care plays a critical role supporting the heart health of your older loved one and identifying concerns early. Subtle changes like fatigue, shortness of breath, decreasing social interactions,
less interest in eating, weight loss or swelling, unsteady gait, forgotten medications or appointments can all signal the need to examine new symptoms.
A skilled and well-matched caregiver provides daily support for heart healthy routines to prevent or manage chronic conditions like congestive heart failure or hypertension. This includes maintaining physician approved physical exercise to improve circulation and reduce fall risks. Your caregiver can provide reliable reminders to take medications and monitor vital signs like blood pressure. Support for nutritional needs include heart-healthy food preparation, watching sodium levels and encouraging hydration. Following a consistent sleep schedule and addressing social isolation, which can contribute to loneliness and chronic stress, are important measures for well-being. Your caregiver can also help with visits to the doctor and coordinating communication with family members.
At Home Helpers we know that aging in the warmth and comfort of home is the preference of most seniors. Our team has the depth and skill to assist with all personal care, help around the house, provide specialized care for Alzheimer’s or Parkinson’s, and help with recuperative care after surgery or a changing health condition. We’re here to help, from four hours a day, several days a week to 24/7 care. For a free consultation, please call Home Helpers of Alpharetta and North Atlanta Suburbs at (770) 681-0323.
Exploring ways to help your marriage
If your marriage feels like it’s slipping or slipping away, your instinct might be to try harder —buy flowers, do more around the house, say “yes” to everything she asks. But the hard truth? Overcompensating with niceness can actually push her further away.
It’s not that kindness is bad—it’s that acting “nice” out of fear, guilt, or anxiety isn’t attractive.
Think about hiring for an important role at work.
The first candidate agrees with everything you say, even when they’re wrong. Eager to please, but for some reason you don’t fully trust them.
The second candidate listens well and stands firm in their values. They’re steady, confident, empathetic, and bring clarity in tough situations. Who would you hire?
Your wife wants candidate #2 — a man who’s self-assured, present, and strong. She doesn’t want someone who either bends to keep the peace or reacts with anger and frustration; she wants someone she can count on. How do you start showing up that way?
The Gottman Method, a world-renowned, research-backed approach to relationships, offers three key strategies to help.
1. Self-Soothing: Stay Calm Under Pressure
One of the biggest mistakes men make in struggling marriages is reacting to their wife’s moods versus responding . If she’s distant, guys panic. If she’s frustrated, we either get defensive or overcompensate with niceness.
Instead, practice Gottman technique to stay calm and present.
Action Steps:
• The next time you feel anxious or frustrated, take a deep breath, lean back, and count backwards from five to one before responding.
• As your heart rate slows down, remind yourself that her emotions aren’t a reflection of your worth.
• Then, instead of reacting out of fear, focus on providing clarity from your perspective or seeking clarity from her perspective.
A man who can handle conflict without losing control is far more at tractive than one who scrambles to “fix” things or blows up in frustration.
2. Create Small, Meaningful Bids for Connection
Many men try to fix their marriage with big gestures matters are small, consistent mo ments of connection
Dr. John Gottman calls these “bids for connection”—the little ways we reach out for attention and intimacy. The problem? In struggling marriages, these moments seem to disappear.
Action Steps:
• Instead of asking, “How was your day?” ask, “What were some favorite parts of your day?”
• Make a habit of putting down the phone and turning towards her when she speaks, showing you’re fully pres ent.
• Offer a light touch on the shoul der, a smile and summarize what
you’re hearing. These micro-moments rebuild trust and intimacy in ways grand gestures cannot.
3. Stand Firm in Your Values (Without Being Defensive)
Brought to you by – Jason Howard, MA, LPC
Jason Howard
OPINION
Do not fear pruning trees and shrubs
Pruning our woody trees and shrubs is one of the most important parts of caring for them. There is a purpose for every plant you have in your landscape: it could be there for privacy, for flowers or fruit, or to support local wildlife. The urban environment causes plants to grow differently than they would in their native habitat. Trees in a subdivision get much more sun than they would growing in a forest where their growth is focused upward toward the sun. In a subdivision, trees can develop heavy side branches and uneven growth that leads to splitting, breaking and falling on our homes and cars. Structural pruning safeguards the function of large shade trees and protects property. Shrubs grown for hedges are often enthusiastic, vigorous growers requiring attention to keep them in the desired bounds. If flowers are the desired goal, the timing of pruning is critical. Pruning a young plant creates the framework for the plant to do what you want later on. The earlier you begin guiding the plant in the direction you want, the better.
In order to do that, you must have a basic understanding of plant growth and how plants respond to pruning. When a seed germinates and begins to grow, it only grows from one point, the very tip, called the apex or the terminal bud. This apex produces a hormone, auxin, that flows down through the plant and inhibits the growth of any lateral or side buds. This is called apical dominance, and the strength of it varies from species to species. When the apex is cut off, the flow of auxin is stopped and directed to lateral (side) buds, which begin to grow.
Pruning stimulates new growth. The size of the root system remains the same, and it’s now supplying a smaller plant. The remaining leaves and branches are getting an increased flow of nutrients and more light, and the plant will respond with greater growth.
There are two basic pruning cuts: heading and thinning.
Heading cuts off the terminal buds, eliminating apical dominance and stimulating growth near the cuts. This is the most invigorating, sometimes aggressive, type of pruning and results in dense compact growth and loss of the natural plant form. This is the type of pruning best used for hedges and can be used to rejuvenate some, not all, overgrown ornamental broadleaf shrubs, such as
About the author
Marcia O’Shaughnessy is a Master Gardener who believes in the value the Extension Service plays in improving the lives of Georgians by returning to them the information and advances made at the University of Georgia. In 1995 she was given a copy of ‘Gardening with Native Plants of the South’ by Sally Wasowski and had an epiphany after reading the book, becoming a staunch believer in the importance of native plants, especially in the suburban landscape. She is very happy that they are no longer the sole province of specialty nurseries, but readily available most places plants are sold.
crape myrtle, holly, and ligustrum. These shrubs can be cut back severely to 12 inches and they will recover.
Thinning retains the natural form of the plant and is the least invigorating style of pruning. It is accomplished by cutting back an entire branch to its point of origin. Because apical dominance is undisturbed, there is not a lot of bushy side shoot growth. Thinning is important in maintenance: to guide the direction of growth, shorten branches, and let light and air into the crown.
The best time for structural pruning of trees is in the winter when sap flow is at a minimum. The worst time is in spring when sap is surging to
push out new growth. When the leaves are off the trees it’s easy to see the form of the tree and think about what the goal is for the tree. Look for the four Ds: dead, diseased, dying or damaged wood. That is the first and easiest step to take. DYI trimming can be done up to 12 feet without a ladder, and up to 20 feet with a pole tool. Wear a hard hat for trimming tall limbs and always wear safety glasses to protect your eyes. With anything taller it is best to hire an ISA (International Society of Arboriculture) Certified arborist.
Flowering Shrubs. Pruning flowering shrubs, on the other hand, can be a little more complicated, as pruning at the incorrect time can prevent future flowering. Prune spring-flowering shrubs (lilac, azalea, spirea, etc.) right after they finish blooming, before they set buds for next year. Summer- and fall-blooming shrubs should be pruned in late winter or early spring.
These techniques do not apply to conifers, or cone-producing evergreens with needle-like leaves. Conifers will not grow back if pruned past the green part of a branch.
It is important to care for your pruning tools by keeping blades sanitized, sharp and clean. Painting wounds made by pruning is not advised. Correct cutting technique is the best guarantee of clean healing. When pruning, it’s important not to damage the branch collar, a ring of tissue at the base of a branch, and the bark ridge, a ridge of tissue where two branches come together. Prune just outside
of these areas, and don’t leave a stub. Stubs slow healing and provide entry for disease.
Now is the time to take this information out into your landscape. Start with the easy step first: identify the four Ds – dead, damaged, dying, and diseased. Then look at your trees and shrubs through the lens of purpose and ask yourself what you want this tree or shrub to do. Form follows function, literally in this case!
Happy Gardening!
North Fulton Master Gardeners, Inc. is a Georgia nonprofit 501(c) (3) organization whose purpose is to educate its members and the public in the areas of horticulture and ecology in order to promote and foster community enrichment. Master Gardener Volunteers are trained and certified by The University of Georgia Cooperative Extension. Previous Garden Buzz columns are featured at: https:// appenmedia.com/opinion/columists/ garden buzz/.
Save the date for NFMG’s 2025 signature event: Garden Faire on April 11. Learn more at nfmg.net.
MARCIA O’SHAUGHNESSY/PROVIDED Pictured are examples of poorly pruned trees.
MARCIA O’SHAUNESSEY Guest Columnist
What is the Education Answer Book?
For more than 35 years, Appen Media Group has published The Answer Book – a comprehensive local community guide. The Education Answer Book provides a packaged guide containing the most important information needed by current and new residents who make decisions about higher education, day care, pre-schools, private schools, tutoring, coaching and child development.
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