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  • Wellstar Foundation Receives Additional Funding to Support Child Literacy and Address Social Determinants of Health Through the Small TALK Program
Article Category: Highlights

Wellstar Foundation Receives Additional Funding to Support Child Literacy and Address Social Determinants of Health Through the Small TALK Program

Published on June 13, 2023

Last updated 03:08 PM June 13, 2023

Illustration of parent reading to child

Thanks to generous donations from the Joseph B. Whitehead Foundation and United Way, the Small TALKTM literacy development initiative will complete implementation in the Wellstar Kennestone Regional Medical Center market and create a model to expand the literacy ecosystem system throughout Wellstar Health System and beyond.

With more than 80% of brain growth occurring in the first three years of life, early language development is vital for literacy proficiency. Third grade is a critical milestone – by this time, children switch from learning to read to reading to learn. In the Greater Atlanta area, only 1 in 5 third graders are strong readers. Those who are not reading proficiently by this time are four times more likely to drop out of high school, and Black children and children who speak English as a second language are disproportionately impacted, according to the Cox Campus - Literacy and Justice for All initiative.

The Literacy and Justice for All initiative, a coalition of leading organizations such as the Joseph B. Whitehead Foundation, United Way of Greater Atlanta, Atlanta Speech School Rollins Center, Marietta City Schools and Wellstar Health System, is committed to creating a literacy ecosystem in Georgia and ensuring that youth have the literacy skills needed to succeed in life.

Through an initial grant from the Joseph B. Whitehead Foundation, Wellstar Kennestone and its affiliated pediatric offices have implemented Small TALK and their OB/GYN offices will complete rollout of the program this fall. Leveraging learnings from Grady Health System’s Talk With Me Baby initiative, Wellstar’s expanded program supports children of all ages as they continue to learn and grow. Small TALK is designed to help families understand the ongoing importance of early language nutrition for healthy brain development and engage in meaningful, quality interactions that expand vocabulary, literacy skills and cognitive development. Wellstar is the only health system in Georgia to provide this level of literacy support throughout the entire spectrum of pediatric care, from pre-birth through third grade and beyond.

Dr. Susan Staviss, a pediatrician with Wellstar, is one of the first physicians to integrate the Small TALK program into patient appointments. “The literacy ecosystem starts with parents and families even before a baby is born, and it continues throughout childhood,” said Dr. Staviss. “Starting with our tiniest patients, we make a point of talking to the child just as much as we talk to the parent or caregiver. Through our interactions and with resources and coaching, we help the whole family see how easy and natural it is to begin building literacy skills early.”

Small TALK teaches parents and caregivers to tune in to their child’s interests and what they’re doing as well as regularly ask open-ended questions to encourage responses with more than one word. By using complete sentences and complex vocabulary when speaking to children, the child begins to learn how to lift their own language and grow cognitive understanding. Talking, reading, playing and singing together help even the youngest children establish these skills.

Recently, Wellstar Foundation received nearly $1 million in additional funding from the Whitehead Foundation to finish implementing Small TALK across its broad service area and expand the program into neonatal intensive care units, prenatal and mother/baby care appointments and throughout Wellstar women’s health services. This support will also help Wellstar begin to share the Small TALK program and resources with other communities and health systems as a national model for early childhood development and literacy.

“Literacy is a key social determinant of health, and a healthier future begins with the health and well-being of our young people,” said Julie Teer, president of the Wellstar Foundation. “Ensuring our kids have access to the care they need has never been more critical than it is today. At Wellstar, we care for the whole family, and we’re there for every life milestone. The Small TALK program is just one of many ways philanthropy and partnership is helping us meet families where they’re at with innovative, personalized care close to home. We’re grateful to have partners like the Whitehead Foundation who are helping accelerate this important work.”

Through philanthropy and community partnerships like the Literacy and Justice for All initiative, the Wellstar Foundation is helping transform healthcare and fueling innovation and action to address the vital needs of Georgia’s diverse urban, suburban and rural communities.

To learn more about the Wellstar Foundation or to make a tax-deductible donation, visit wellstar.org/give. If you’re preparing for the arrival of a new family member, you can learn more about prenatal care at wellstar.org/womenshealth. To find a pediatrician to keep your child healthy, visit wellstar.org/kidcare.

Wellstar CEO Candice Saunders visits Small TALK program

Wellstar CEO Candice Saunders visits Small TALK program

Wellstar CEO Candice Saunders visits Small TALK program

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Susan Gail Williams Staviss Wellstar Foundation KidCare
Womens Health
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Youngster enjoys summer fun safely

Highlights

Summer Safety for Kids: What Parents Need to Know

Summer is a time for bike rides, pool days, sports camps, family vacations and long afternoons spent outdoors. A few simple precautions can help keep children safe and healthy.

From water safety and injury prevention to hydration, healthy screen time habits and knowing when to seek care, Wellstar Children’s of Georgia experts share practical tips to help your family make the most of summer.

By the water

Some of the best summer memories are made by the water—whether at the pool, lake or beach. But drowning can happen quickly and silently, so active adult supervision should always come first.

“Supervision is more than just being nearby. You have to be watching—not on your phone, not reading a book, not having a side conversation,” said Dr. Joanna Dolgoff, Wellstar Children's of Georgia pediatrician and spokesperson for the American Academy of Pediatrics. “It's a good idea to designate one adult as the water watcher, and their only job is to keep eyes on the kids."

Swim lessons are an important part of water safety, but they never replace supervision. For boating and other water activities, children should also wear a properly fitted U.S. Coast Guard-approved life jacket.

After swimming, dry kids’ ears thoroughly and avoid cotton swabs to help prevent swimmer's ear—an infection of the outer ear canal caused by trapped moisture.

“Earwax helps protect against swimmer's ear. It fights bacteria,” said Dr. Eric Berg, medical director of pediatric surgical services and medical director of complex pediatric otolaryngology at Wellstar Children’s of Georgia. “Sometimes when people are overly aggressive with cleaning their ears, they make themselves more predisposed.”

On the move

Summer gives kids more opportunities to ride bikes, play sports and explore the playground. Pediatric specialists also see more orthopedic injuries this time of year, making a few simple safety habits crucial.

"Most importantly, helmets," said Dr. Berg. "If they're riding a scooter, bicycle or skateboard, a properly fitted helmet can dramatically reduce the risk of serious head injury. The other piece that’s critical is parents modeling the behavior.”

Trampolines, monkey bars and climbing equipment are common sources of fractures and sprains, particularly when kids become fatigued. Supervise your child closely and offer plenty of breaks during active play.

At the same time, remember that some risk is a natural part of growing up.

"Kids have to learn their boundaries and what they’re capable of,” Dr. Berg said. "However, if they’re doing something that seems to put them in extreme danger, obviously intervene and redirect.”

Under the sun

Georgia's summer heat doesn't have to slow kids down—but staying ahead of it can help keep them safe.

“We have to be vigilant about making sure our children are staying hydrated and giving them breaks from the sun, particularly during the peak hours of the early afternoon,” Dr. Berg said.

Apply sunscreen before going outside and offer water frequently—even before kids ask for it.

"You don't want to wait until your child says, 'I'm thirsty,' because at that point they may already be getting dehydrated," Dr. Dolgoff said.

Heat can also make playground equipment, pavement and parked cars dangerously hot. Check outdoor surfaces before play and never leave a child unattended in a vehicle.

Watch for signs of heat exhaustion, including heavy sweating, weakness, headache, nausea or dizziness. If your child develops signs of heatstroke, such as confusion, loss of consciousness or a temperature above 104 degrees, call 911 immediately.

At home

Summer break often means later bedtimes and more flexibility, but healthy routines still matter.

"It's not about banning screens altogether—it's about finding the right balance," Dr. Dolgoff said. "The key is making sure screen time doesn't crowd out the things kids really need, like sleep, physical activity, reading, family time and social connections.”

The American Academy of Pediatrics recommends creating a family media plan with age-appropriate expectations, including screen-free times during meals and for at least an hour before bedtime.

"Instead of focusing on cutting out screen time, focus on cutting in other activities," Dr. Dolgoff said.

Summer is also a great time to reinforce healthy eating habits. Make water the drink of choice, limit sugary beverages and keep washed, ready-to-eat fruits and vegetables within easy reach.

"One of the biggest reasons kids' diets suffer is because they don't have that routine, and summer is like a free-for-all," Dr. Dolgoff said. "Keeping a consistent schedule and sitting down together for meals is really important during the summer."

Around town

Backyard barbecues, concerts and community festivals are some of summer's favorite traditions. Knowing what to watch for can help keep the focus on making memories.

If you're preparing fish, remove bones carefully before serving children and use caution when cleaning grills with wire brushes.

"Bristles can dislodge and cause big problems if they get hidden in a hamburger and eaten," Dr. Berg said.

Use insect repellent, perform tick checks after outdoor play and practice good hand hygiene and safe food handling to help prevent other common summer illnesses.

At fireworks shows and concerts, consider using earplugs or noise-reducing headphones and keep a safe distance from speakers and fireworks. Remember that children should never handle fireworks, including sparklers, which can cause serious burns and eye injuries.

"Do not underestimate the danger of sparklers," Dr. Dolgoff said. "Sparklers burn at about 2,000 degrees Fahrenheit, which is hot enough to melt some metals.”

When something doesn't feel right

Even with the best preparation, bumps, bruises and illnesses happen. Knowing where to go for care can help your child get the right treatment quickly. Wellstar offers expert pediatric care through urgent care, emergency care and primary care locations across Georgia.

Most scrapes, cuts, sprains and minor fractures can be treated at an urgent care center. More serious injuries—including severe fractures, large cuts, eye injuries and head injuries involving loss of consciousness or confusion—should be evaluated in an emergency department.

“Concussions can sometimes take 24 to 72 hours to really start to show themselves,” said Dr. Berg. “If your child isn’t acting like themselves, it might be appropriate to check with your pediatrician.”

Fortunately, most children recover well from minor summer injuries and illnesses. But no one knows your child better than you do.

“Kids are remarkably able to heal themselves and recover,” Dr. Berg said. “But be conscious and aware—trust your mom or dad instincts that if something seems off, don't hesitate to get it checked out.”

Learn more about pediatric care at Wellstar Children’s of Georgia and find a pediatric expert near you.

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Highlights

Find Comprehensive Breast Care with Wellstar

Breast health is an important part of every woman’s overall wellness. Routine breast cancer screening and timely evaluation of breast concerns can lead to earlier detection, more treatment options and improved outcomes. At Wellstar, we are committed to helping women feel informed and empowered throughout every stage of their breast health journey.

Catch cancer early

Regular screening mammograms remain one of the most effective tools for detecting breast cancer early, often before symptoms develop. If you’re at average risk of developing breast cancer, you should start annual mammograms at age 40. However, if you have a family history of breast cancer or other risk factors, your care team may recommend starting earlier and will help you create a screening plan.

In addition to annual screening, our team helps women understand their individual breast cancer risk and personal screening recommendations. Whether you are coming in for a routine screening, evaluation of a breast symptom or guidance regarding elevated cancer risk, our goal is to provide compassionate, expert care.

Care for benign conditions and cancer

Our breast health specialists provide evaluation and treatment for a range of breast conditions, from common benign concerns to newly diagnosed breast cancer. We understand that any breast abnormality can create anxiety, and we work closely with you to provide clear communication and individualized care plans.

We treat many benign breast conditions, including:

  • Breast cysts 
  • Fibroadenomas 
  • Breast pain 
  • Dense breasts
  • Nipple discharge 
  • Breast infections and abscesses 
  • High-risk and atypical breast lesions 

If you’ve been diagnosed with breast cancer, we provide comprehensive, multidisciplinary care and guide you through each step of diagnosis, treatment and beyond. We also care for women who are considered high-risk for breast cancer, including those with significant family histories, prior high-risk breast lesions or inherited genetic mutations such as BRCA and other hereditary cancer syndromes. Our team works closely with you to develop personalized surveillance and risk-reduction strategies tailored to your individual needs.

Advanced breast surgical care

At Wellstar, women have access to advanced breast surgical care delivered with a focus on precision, safety and cosmetic outcomes whenever possible. We offer procedures to diagnose and treat breast conditions using evidence-based surgical techniques.

Our surgical services include:

  • In-office ultrasound-guided breast biopsies 
  • Excisional breast biopsies 
  • Duct excisions 
  • Partial mastectomies (lumpectomies)
  • Sentinel lymph node biopsies and targeted axillary dissections 
  • Mastectomies with flat aesthetic closures
  • Skin-sparing and nipple-sparing mastectomies 
  • Breast reconstruction in collaboration with plastic surgery specialists

We aim to streamline care and reduce delays in diagnosis and treatment. If you require breast cancer surgery, our surgeons utilize best-in-class techniques designed to achieve excellent oncologic outcomes while also preserving appearance and quality of life.

Patient-centered approach to breast care

We believe exceptional breast care goes beyond medical treatment alone. Everyone deserves compassionate, personalized care in a supportive environment where questions are encouraged and concerns are heard.

From the first consultation through follow-up care, our team is dedicated to helping you feel comfortable, informed and confident in your care plan. We recognize that navigating breast concerns or a cancer diagnosis can feel overwhelming. We strive to make the process as seamless as possible through coordinated care, patient education and ongoing support.

Learn more about breast surgery at Wellstar.

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Highlights

How Bariatric Surgery Can Improve Type 2 Diabetes—Even Before Significant Weight Loss

The Weekly Check-up Atlanta


People who seek medical help for weight management are used to hearing that results take time. Imagine the surprise of some patients with type 2 diabetes when their blood sugar improves meaningfully within days or weeks of bariatric surgery.

It happens—and it’s a dramatic sign of the benefits bariatric surgery holds for many patients, said Dr. Fritz Jean-Pierre, a board-certified bariatric surgeon and national leader in minimally invasive and robotic techniques for the treatment of obesity and metabolic disorders.

When changes in blood sugar following bariatric and metabolic surgery were first observed in the 1990s, the reason was a mystery. But today, medical experts know more about the hormones that regulate hunger and insulin production. They also know more about how bariatric surgery affects the same hormones.

Understanding type 2 diabetes: It starts with insulin resistance

Insulin is a hormone that regulates blood sugar. Insulin resistance happens when muscle, fat and liver cells fail to respond to insulin, causing the pancreas to overproduce the hormone. Eventually, blood sugar rises. Patients may develop prediabetes or type 2 diabetes.

Another hormone that affects weight is GLP-1. It’s naturally produced in the gut after eating. GLP-1 helps regulate blood sugar by:

  • Stimulating insulin
  • Suppressing glucagon, a hormone the pancreas produces that raises blood glucose levels
  • Slowing digestion

Many recognize GLP-1 today because of the class of weight-management drugs such as Ozempic, Zepbound and Wegovy. These medications mimic and amplify the effects of the GLP-1 hormone.

How bariatric surgery affects hunger hormones and improves health

Several types of bariatric surgery are performed at Wellstar. While each procedure alters the digestive system differently, all appear to influence the hormones that regulate hunger and blood sugar.

Hormones, such as GLP-1, that promote fullness and insulin sensitivity increase after surgery. The liver produces less excess glucose, and the body becomes more sensitive to insulin. Other hormones—like ghrelin, which signals the brain that the stomach is empty—decrease after surgery.

“We've known since the early 2000s that after bariatric surgery, you have a boost in GLP-1 hormone production,” said Dr. Jean-Pierre. “Patients notice improvements in their blood sugars and that feeling of fullness.”

As a result of hormonal changes triggered by surgery, patients who are not yet on insulin replacement therapy may enter diabetes remission relatively soon, according to Dr. Jean-Pierre.

“The patient may have lost only 5 or 10 pounds yet their blood sugars have become normalized,” he said. “Their diabetes is completely controlled without medication after surgery. That’s the best-case scenario.”

For other patients, improved blood sugar may take longer. Still, clinical trials show that bariatric surgery leads to diabetes remission in 33% to 90% of individuals at one year after bariatric and metabolic surgery.1

“These surgeries are not just changing or shrinking the patient’s stomach,” Dr. Jean-Pierre said. “We're changing their metabolisms in a way that will help improve a lot of related health conditions like high blood pressure, abnormal cholesterol and fatty liver disease.”

Long-term health benefits of bariatric surgery

There are many health risks of type 2 diabetes and obesity. Those include high blood pressure, high cholesterol, sleep apnea and joint pain. Unmanaged diabetes can lead to damage to nerves, kidneys, eyes and heart. Stroke risk is also higher in people with diabetes.

Physicians have more treatment options for obesity than ever, including surgery, medications and lifestyle changes. Wellstar Center of Best Health is a comprehensive weight management clinic with clinicians, dietitians, psychologists and exercise physiologists who work collaboratively with surgeons.

Together, they learn about each patient’s situation and develop a personalized treatment plan with the best chance of success. Some patients may benefit from both surgery and medication.

“Obesity is a chronic, relapsing, multi-variable disease process that we have to approach from different angles in order to best treat it,” said Dr. Jean-Pierre. “You must approach it comprehensively, including nutrition and exercise. Medication itself is not a magic bullet. Surgery is not a magic bullet.”

Wellstar’s weight loss teams support patients throughout their healthcare journey. The goal is to see patients reach their goals and return for follow-up care in even better health.

“It’s amazing when all of these treatment options fire in the right direction and we see the health improvements that come along with surgery,” such as:

  • Better diabetes control
  • Lower blood pressure
  • Less joint inflammation and pain
  • End of the need to use a CPAP for sleep apnea

“Most surgeons fix something, then you don't see your patient again. With bariatric surgery, it's a very different relationship,” Dr. Jean-Pierre said. “We see our patients for a long period of time afterward. We get to share in their successes and see their accomplishments as they lose that weight.”

Learn more about obesity medicine at Wellstar and make an appointment to see an obesity specialist at one of our locations.

1 Affinati, Alison H et al. “Bariatric Surgery in the Treatment of Type 2 Diabetes.” Current diabetes reports vol. 19,12 156. 4 Dec. 2019, doi:10.1007/s11892-019-1269-4

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