Healthy New Albany Magazine September/October 2015

September/October 2015

Mariel Hemingway shares what she’s learned about mental health

New Albany’s two Classics Where’s the Line campaign Healthful Halloween treats

NOw OPeN!

Ohio State’s Health and Fitness Center ⋅ 150 w. Main St., New Albany, OH

There is no routine fitness program.

Every person is different. Age, weight, genetics, and fitness goals, vary dramatically for each of us.

So every person’s path to health and fitness must, therefore, be customized for them. Nothing routine about it. That doesn’t happen at a typical fitness facility. But it can, and will, for you starting now.

At The Ohio State University Wexner Medical Center’s Health and Fitness Center, we offer customized fitness plans based on one-on-one assessments. Unlimited access to personal health coaching. Inspiring group classes taught by experts. Research-backed knowledge from Ohio State. The most advanced equipment and technology in central Ohio. And we’re bringing it all right to the heart of New Albany.

We are revolutionizing personalized health, and nothing about it is routine.

Ohio State’s Health and Fitness Center at the Philip Heit Center for Healthy New Albany • 614-685-1820 • go.osu.edu/newalbanyfit

presents

2015-2016 SeaSon

Actress, Author, Mental Health Advocate

Mariel Hemingway

Political Philosopher, Harvard Professor

Michael Sandel

Presidential Historian, Author

Jon Meacham

David McCullough

OCTOBER

J a n ua R y

M ay

JunE

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Historian and Author

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Presented in collaboration with Healthy New Albany

Individual tickets on sale at mccoycenter.org. All lectures will be presented at the Jeanne B. McCoy Community Center for the Arts in New Albany.

Speaker Sponsors:

Premier Sponsors:

Keith & Cindy Berend Family Fund

Lynne & Martyn Redgrave Christine & Jeffrey Rodek Fund

newalbanyfoundation.org | Follow us on

inside

September/October 2015 Vol. 5, No. 1

5 First Glance

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Letter from the Executive Editor

6 In & Out What’s happening in and out of New Albany

9 My Story Victoria Boals overcomes supposedly terminal brain cancer

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11 Personalities Bonnie Burman

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14 Drawing the Line Karen Days and Where’s the Line?

16 Fashionable Fundraising A&F Challenge

17 On the Path New Albany’s Two Classics

20 Economic Impact Classics’ effect on businesses

23 Initiatives Property tax abatements

36 Foods for Fitness Healthful Halloween treats

38 Bountiful Breakfast

26 Mariel Hemingway

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Empowered by introspection

Special Section

Mental Health

28 Fit Five Mariel Hemingway

29 Brawn and Brain Exercise and mental health

30 Anxiety Learning when to seek help

32 Horse Therapy

Oatmeal

PBJ Connections

40 Ask the Expert

33 Interior Décor Color’s effects on mood

Headache relief

34 SAD

44 Gadgets & Gear

Physical activity can help

35 Substance Abuse Strides for Sobriety 5K www.healthynewalbanymagazine.com

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On the Cover Mariel Hemingway Photo courtesy of Getty Images

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Happy Hour Specials Mon-Thurs 3–6pm

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www.healthynewalbanymagazine.com

Phil Heit Executive Editor TM

781 Northwest Blvd., Suite 202 Columbus, OH 43212 614.572.1240 www.cityscenecolumbus.com Kathleen K. Gill

Experience the dream of calling New Albany home

Jean M. Lesnick

Dave Prosser

Chief Creative Officer

Gianna Barrett

Vice President, Sales

Steven Hesson

Director of Sales and Operations

Garth Bishop

Managing Editor

Gary Hoffman

Creative Director

Sarah Sole

220 Market Street Ste. D 614-939-8937 614-537-5376 JeanL@newalbanyrealty.com

Family.

Friends.

Community.

Hannah Bealer David Allen, Victoria Boals, Cameron Carr, Shannon Jap, Scott McAfee, Athnie McMillan-Comeaux, Stephan Reed, Diane Schaefer, Christina Szuch, Bob Valasek

State Farm® has a long tradition of being there. That’s one reason why I’m proud to support The 11th Annual New Albany Walking Classic.

Get to a better State®.

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State Farm, Bloomington, IL

Contributing Writers

Julie Camp, Pam Henricks-Claxton, Robin Weitzel

Advertising Sales

Jamie Armistead

Accounting Manager

Healthy New Albany Magazine Advisory Board Healthy New Albany Magazine is the Official Publication of Healthy New Albany, Inc., convened by The New Albany Community Foundation.

Darrin Bright, M.D. April Domine Lisa Hinson Benita Jackson, M.D., M.P.H.

David Sabgir, M.D.

1211007

Assistant Editor

Editorial Assistant

Craig Mohre

Sandy Diggs Ins and Fin Svcs Sandy Diggs CLU, Agent 3 S High Street www.sandydiggs.com Bus: 614-855-1014

Editor

Francis Pellicciaro

Jamie Allen, M.D.

We’re all in this together.

President/CEO

Amy Sternstein, M.D. Lance White

The Ohio State University Wexner Medical Center OhioHealth New Albany-Plain Local Schools Hinson Ltd. Public Relations Aetna New Albany Community Foundation Mount Carmel Health System Nationwide Children’s Hospital UBS Financial Services

The Publisher welcomes contributions in the form of manuscripts, drawings, photographs or story ideas to consider for possible publication.

Enclose a SASE with each submission or email ssole@cityscenemediagroup.com. Publisher does not assume responsibility for loss or damage.

The appearance of advertising in Healthy New Albany Magazine does not constitute an endorsement of the advertiser’s product or service by the City of New Albany or Healthy New Albany, Inc..

Healthy New Albany Magazine is published in January, March, May, July, September and November. Subscriptions are free for households within New Albany-Plain Local Schools. For advertising information or bulk purchases, contact Gianna Barrett at 614-572-1255 or gbarrett@cityscenemediagroup.com.

No part of this publication may be reproduced without the written consent of the publishers. Healthy New Albany Magazine is a registered trademark of CityScene Media Group. Printed in the U.S.A.

www.healthynewalbanymagazine.com

Photography by Wes Kroninger

first glance

The Mental Side of Fitness My typical morning begins with a workout at the Philip Heit Center for Healthy New Albany, followed by a quick shower. Then I meander a minimal number of steps to my office, where a continuum of scheduled meetings begin.

Most days, I have the opportunity to fulfill requests from friends and area businesses to walk interested parties through the maze of personalized and innovative activities that are taking place at the Center.

One of the highlights I enjoy most is sharing with visitors the remarkable job our team performs in helping to change lives. So it was no coincidence that during one of my tours, I highlighted to my visitor that at least once per week, I am approached by someone with uninhibited enthusiasm about how the Center has impacted her or his life.

At the moment I highlighted this point, we were interrupted by a Center member who was eager to share how her life changed.

“Phil, excuse me for interrupting, but I want to let you know I am a new person and my life is so much more meaningful now,” she said.

What timing!

Eleven years ago, the New Albany Walking Classic became a reality. It was with the idea that this event would not only challenge one’s physical ability but that it would be the inspiration for the creation of the Center.

Over the years, it became evident that the Walk and its outcomes proved to be something much more than physical. The woman who shared how she felt like a new person was really expressing how much she has benefited mentally.

Too often we fail to acknowledge the impact physical activity has on mental well-being.

In this issue, you can find a number of stories about how mental and physical health are intertwined. Mental health professionals are often the first to see that their patients who engage in physical activity such as regularly walking become happier individuals. That’s the mental side of fitness.

Be happy. Walk on.

Healthfully,

Phil Heit, Executive Editor

www.healthynewalbanymagazine.com

Phil is holding flags representing a sample of the various nationalities that are represented during the Classic Invitational Grand Prix and the Walking Classic.

Germany, the United Kingdom and Canada are some of the places from which people travel to attend the Walking Classic. The event draws participants from all over Ohio and the United States. Riders in the Classic Grand Prix hail from locations including Argentina, Belgium, Canada, Colombia, France, Germany, Ireland, New Zealand and Venezuela.

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What's happening in and out of New Albany

Sept. 2

Developing Winners in Life through Sports 7-8:30 p.m., New Albany 1-8 Gymnasium Building, bsmith@naparks.org

For more events visit www.healthynewalbanymagazine.com

Sept. 13

Sept. 20

8 a.m., Market Square, www.newalbanywalkingclassic.com

8 a.m., McFerson Commons, Columbus, www.purplestride.org

New Albany Walking Classic

PurpleStride Columbus 2015

Sept. 5

Photo courtesy of Healthy New Albany

Second Annual Northwoods Foundation 5K

Photo courtesy of Northwoods Foundation

8 a.m., Northwoods, Dublin, www. northwoodsfoundation.org

Sept. 13

Discover Your Abilities 5K 8 a.m., McFerson Commons, Columbus, www.premierraces.com

Sept. 6-Oct. 25

Sneakers and Scavengers 6-7 p.m. Sundays, Philip Heit Center for Healthy New Albany, www.heitcenter.com

Sept. 7

Run 4 the Health of it 4 Mile and Kids Fun Run 2015 7:45 a.m., Westerville Sports Complex, www.copcp.com

Sept. 11

American Cancer Society’s Columbus to Cincinnati Run Noon, www.community.acsevents.org

Sept. 12

Heroes for Heroes 5K Obstacle Race Team Challenge 8 a.m., Civic Park, Reynoldsburg, www.ci.reynoldsburg.oh.us

Sept. 13

Columbus Home Run 5K Run

Photo courtesy of the City of Reynoldsburg

Hollywood Hustle 5K Run Walk 2015 10 a.m., Hollywood Casino Columbus, www.ymcacolumbus.org

Healthy New Albany Community Programs Philip Heit Center for Healthy New Albany, 150 W. Main St.

Noon, Huntington Park, Columbus, www.act.alz.org

Sept. 10

Sept. 17

6:30-7:30 p.m., Conference Room

Summer Squatch 10K Trail Race 6:15 p.m., Alum Creek State Park Rocks and Roots Trail, www.summersquatch10k.com

Sept. 18

Performance Enhancement for Young Golfers

Sept. 10

Just Add Yogurt 7-8:30 p.m., Demonstration Kitchen

35th Annual March of Dimes Night Moves

Sept. 22

5:30 p.m., 500 S. Front St., Columbus, www.nightmoves.marchofdimes.org

6-9 p.m., Conference Room

Sept. 19

9th Annual Defend Your Friend 5K Run/Walk 7 a.m., Scioto Audubon Metro Park, Columbus, www.cahs-pets.com

Sept. 19

Siemens 5K Pump and Run 7:30 a.m., Ariel-Foundation Park, Mt. Vernon, www.premierraces.com

New Albany Walking Club meets at 7:30 a.m. Sundays at the Heit Center, 150 W. Main St. 6

Sept. 20

Gluten-Free Eating: The Basics

Sept. 22-Oct. 27 Urban Zen

6:30-7 p.m., Tuesdays, Lounge

Oct. 5 and 12 STINKY U.

4:30-5:30 p.m., Conference Room

Oct. 8

Trick, It’s a Treat!

4-7 p.m.

For additional information, contact Abbey Brooks at 614-685-6345 or abbeybrooks@healthynewalbany.org. www.healthynewalbanymagazine.com

Photo courtesy of Pancreatic Cancer Action Network

in & out

Starting Oct. 31, Community Garden rental plots will be available for 2016. Visit www.newalbanycommunitygarden.shutterfly.com for more information.

Summer Farmers Market will be held 4-7 p.m. on Thursdays through Sept. 17 at Market Square. Visit healthynewalbany. org/activities/farmers-market for more information.

Sept. 27

Oct. 3

The New Albany Classic Invitational Grand Prix & Family Day

11 a.m., Upper Arlington High School, www.raceforhope.com

7:30 a.m., The Ohio State University Airport, Columbus, www.osuairport.org

10 a.m.-5 p.m., Wexner Home, www.thenewalbanyclassic.com

Oct. 3

Oct. 3

Sept. 20

Race for Hope

Don Scott Trot: A 5K on the Runway

Day for Angels 5K Run and 1 Mile Family Fun Walk 2015 Photo by Curtis Wallis

8 a.m., Alum Creek Park North, Westerville, www.facebook.com/dayforangels

3rd Annual Krusade4Kids 5K/1 Mile Family Event

Sept. 25

8:30 a.m., Homestead Park, Hilliard, www.katelynskrusade.org

6:15 p.m., Ohio Expo Center, Columbus, www.m3ssports.com

Oct. 3

Sept. 26

9 a.m.-noon, Saturdays, Philip Heit Center for Healthy New Albany, www.nafarmersmarket.wordpress.com

DSC 5K Run/Walk 9:30 a.m., Innis Park, Columbus, www.dsc.org

8 a.m., Hoover Dam Park, Westerville, www.premierraces.com

Oct. 3 and 4

Oct. 3

2015 Oktoberfest Meiler Vier

Race for Global Water 5K 2015

New Albany Symphony Orchestra presents Remembering Marvin Hamlisch

8 p.m., Saturday; 3 p.m., Sunday; Jeanne B. McCoy Community Center for the Arts, www.newalbanysymphony.net

New Albany Indoor Farmers Market begins

Oct. 4

Dreams on Horseback 5K and 1 Mile Walk 2015 9 a.m., Jefferson Country Club, Blacklick, www.premierraces.com Calendar continues on next page

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What's happening in and out of New Albany

Oct. 4

Red Tail Run, Flyway 5K and Walk for Wildlife 9 a.m., Ohio Wildlife Center, Columbus, www.ohiowildlifecenter.org

For more events visit www.healthynewalbanymagazine.com

Oct. 10

Oct. 18

8:30 a.m., Alum Creek Park North, Westerville, www.wivesbehindthebadge.org

8 p.m., Jeanne B. McCoy Community Center for the Arts, www.mccoycenter.org

Battle of the Badges 5K 2015

Oct. 11

Dash at Dusk 5K Run and Walk

Oct. 9

America 8 p.m., Jeanne B. McCoy Community Center for the Arts, www.mccoycenter.org

4:30 p.m., Liberty Park, Powell, www.premierraces.com

Boney James

Oct. 24

COSI Costume Fun & Run 5K and 1 Mile Family Fun Walk 2015 9 a.m., COSI, Columbus, www.cosi.org

Oct. 13

Photo by Robb McCormick Photography

in & out

The Jefferson Series: Mariel Hemingway 7 p.m., Jeanne B. McCoy Community Center for the Arts, www.newalbanyfoundation.org

Oct. 15 Photo courtesy of CAPA

Innovation as Competitive Advantage 9 a.m.-noon, New Albany Country Club, www.newalbanychamber.com

Oct. 18

Nationwide Children’s Hospital Columbus Marathon 7:30 a.m., north of North Bank Park, Columbus, www.columbusmarathon.com

Oct. 25

Fit for Freedom 5K 2015 8 a.m., Gahanna Creekside, www.facebook. com/fitforfreedom.1

Oct. 25

Ohio State Four-Miler

Oct. 31

Donut Run 7 a.m., Genoa Park, Columbus, www.joansfoundation.org

Oct. 31

Aruna 5K 7:30 a.m., Ohio Stadium, www.arunaproject.com

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www.healthynewalbanymagazine.com

Photo by Robb McCormick Photography

10 a.m., Ohio Stadium, www.ohiostatefourmiler.com

my story

By Victoria Boals

Editor’s Note: “My Story” is a first-person column about health issues that touch New Albany community members. Have a story to share?

Email ssole@cityscenemediagroup.com. Submissions should be no more than 500 words.

Victorious

NAHS junior overcomes supposedly terminal brain cancer

www.healthynewalbanymagazine.com

Photos courtesy of Victoria Boals

T

his is my story of becoming a brain cancer survivor.

I rebelled when I heard the word “terminal.” When someone said I might only have a few months left to live, I said, “No, I am not going to die from this.”

It was Sept. 11, 2013. I was in the hospital waiting for the results of my MRI. If there was ever a time to pray, it was then. I heard the words “brain tumor with possibly 9-18 months to live.” It was inoperable and incurable, with a zero percent chance of survival. The tumor, the size of a golf ball, was in the worst spot on my brain stem. I’d been having problems with my hearing, sight and balance.

Now I knew why.

I lay in my hospital bed and told my devastated parents not to worry because I wasn’t going to die from this: This journey is going to have a great ending.

This tumor is not going to take away my dreams of the future. And I will live each day to the fullest.

When I began radiation and chemotherapy, I almost died because my body could not handle the harsh side effects.

I was given a much lower dose of chemotherapy and could tolerate it without ending up spending days in the hospital after each round. Months passed, and my tumor started to change. It was dying from the inside out.

I started to get better. My body was getting stronger. My symptoms were less severe. I worked hard during my therapy sessions. I was able to attend school every day instead of having home instruction. I could play the piano again.

I switched to sports physical therapy to prepare for field hockey with my high school team in the fall. I was released from palliative/hospice care, and I no longer needed occupational therapy.

Victoria Boals, bottom center, attends the 2014 New Albany Classic with friends. Boals was given a VIP pass to the event.

My dad has sold my wheelchair, and my mom has loosened her grip of constant care by my side. I have beaten my once-terminal illness. The tumor is killing itself. It has changed from being inoperable and incurable. I am going to live. I have a purpose.

My purpose is to make a difference in the world of pediatric cancer. I want to find a way to stop cancer cells from forming. Once I finish high school, I want to find a way to stop children from going through the horrible suffering that pediatric cancer can cause.

I believe that life is what you make of it. I could have given up, but every time I see the beautiful children in the waiting room at the hospital, I feel so bad knowing exactly what they are feeling. It is unacceptable. I have a deep passion in my soul, and I want to help them. There is a reason I am on this journey. So many good things have happened to me along the way.

The New Albany community has embraced me throughout my journey. I have been given endless support in numerous creative ways. I have always believed I 9

Photos courtesy of Victoria Boals

Boals, pictured with Chief Meteorologist Bill Kelly, tours the ABC6/FOX 28 news station.

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Photo courtesy of Nationwide Children’s Hospital

the American Cancer Society. I tried to walk 18 hours. I was able to complete eight hours, sometimes walking in would be healed, and my the pouring rain, and faith has led the way. Canwent home at 2 a.m. to cer turned out to not be come back and finish about death. Cancer led the walk in the morning. me to a life of faith, which The New Albany/Gahwill lead me to finding a way anna teams combined to end the suffering.

Dr. Jeffrey Leonard raised over $60,000.

My journey began with My mom has written a a terminal diagnosis from book about my journey.

She says I’m livthe first neurosurgeon that I saw. Here I ing an inspirational life.

I’ve spent nearly am, with a different plan from my current two years fighting cancer.

I learned the Boals participates in a New Albany High School neurosurgeon, Dr. Jeffrey Leonard, who power of having faith and being positive. football game as honorary captain. can, someday, if the tumor starts growThe more positive I was, the more good ing, operate and make me cancer-free. with the rest of my life. I live life with courcame into my path.

It came from many The tumor has changed enough, and he age and appreciation. My life has meanamazing experiences with people, with showed me how he would remove every ing and a purpose. many of them praying for a healing.

All bit of cancer from my brain. After meeting that remains is a cyst in my head, and I with him in January, we made a deal. If Victoria Boals is a student at New Albany the tumor grows, I will let him take it all out. am able to live a full life.

High School. Feedback welcome at Through this journey I learned about But for now, I can live a normal, healthy ssole@cityscenemediagroup.com. strength as well as what I’m going to do life because the tumor is stable and not causing any debilitating symptoms.

And so my journey continues, Dr. RELATED READS www.healthynewalbanymagazine.com Leonard is there if I need him. I no longer have chemotherapy. I’m 16, a ju• NAHS student shares Crohn’s Disease experience nior in high school, playing field hockey.

• Columbus Academy student shares cancer survival story Soon I’ll be driving a car. I just recently participated in Relay for Life, a walk for • Breast cancer survivors on what they wish they knew when diagnosed www.healthynewalbanymagazine.com

personalities

By Sarah Sole

Getting Better with Time Director of the Ohio Department of Aging works to challenge negative stereotypes associated with aging

Photo by Scott Cunningham

B

onnie Burman made a vow when she was 16, and the director of the Ohio Department of Aging and New Albany resident has been working toward it ever since.

When Burman’s father, Morris, died at age 57 of heart disease and diabetes, his sisters chose to keep their elderly mother in the dark.

“They thought that if she knew that he had died, it would kill her,” Burman says.

Burman’s grandmother did not die for another five years. But in that time, she questioned why Morris, her “Moishe,” stopped visiting her.

At the time, 16-year-old Burman promised that she would never let anyone make a decision for an older person without him or her being involved in the decision.

“It was the defining moment in my decision to say, ‘I’m going to devote my life to this not happening in another family,’” Burman says.

Burman has spent the rest of her career ensuring that elders’ voices are heard.

In the last four years, she says, there has been an increase in individuals opting for community-based care over the traditional nursing home. The change revolves around the idea of creating home wherever someone is and ensuring that www.healthynewalbanymagazine.com

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Photo courtesy of the Ohio Department of Aging

all care is relationship-based and person-centered.

Burman points to Otterbein Senior Lifestyle Choices’ New Albany Skilled Nursing and Rehab Neighborhood as an example.

“They are a model of the kind of home of the future,” she says.

New Albany’s design as a walkable community also ensures that as people age, they are able to stay in their homes, and it’s what made Burman and her husband, Robert, move there in October.

“It’s just an exciting model for the rest of the state and the rest of the country,” Burman says.

While elder care has evolved, Burman and those she works with have also been working toward a change in the way people perceive the elders themselves. One of her proudest accomplishments since she was appointed as director in 2011, Burman says, is the work she’s done under Gov. John Kasich’s leadership to change the culture of aging in Ohio.

Instead of the declinist view of the aging as sick and frail, the department has worked to focus on a definition that recognizes elders as people who still possess potential. These individuals can continue to thrive and contribute as a vibrant part of the community, Burman says.

One of the ways the department conveys this message is by fostering in12

Bonnie Burman (middle) discusses the state’s StartTalking! program with its director Sarah Smith (left) and Ohio Department of Aging Legislative Liaison Dana Dunlap (right).

teraction between elders and students.

Throughout the state, elders volunteer to assist with the Ohio Department of Education’s Third Grade Reading Guarantee, a program that helps identify students in kindergarten through grade 3 who need extra reading assistance. The volunteering helps students get a one-on-one relationship, while also breaking down negative stereotypes associated with the elderly.

“The only way you do that is through touch and by a personal interaction,” Burman says.

Throughout Burman’s career, she has worked to give elders a voice through a variety of programs and advocacy.

From 1986 to 2007, Burman served in various positions at The Ohio State University, ending as director of the Office of Geriatrics and Gerontology at the university’s Health Sciences Center.

One of the programs she was most proud of while working at OSU gave medical students the ability to see through an elder’s eyes. From their first through fourth years in school, students would have a senior partner from a retirement community. The relationships helped the students understand the implications of the care they were going to be providing, Burman says. It taught them to look at what they were doing from the elder’s perspective.

Burman was with the Pioneer Network – a national organization focused on person-centered, long-term care – from 2007 to 2011. During this time, she was at the forefront of the elder care movement upon which Otterbein Senior Lifestyle Choices’ New Albany Skilled Nursing and Rehab Neighborhood was based. The goal was to ensure that as elders’ care needs change, they are respected and receiving relationship-based care.

“The person in charge is really the elder,” Burman says.

Even throughout her childhood, Burman was exposed to an evolution in elder care. Born in Buffalo, N.Y., Burman spent her childhood in Rochester, a city that, thanks to Dr. T. Franklin Williams, was at the forefront of geriatric care.

The youngest sister of two brothers, Burman attended Brighton High School.

From there, she went on to State University of New York at Buffalo for her undergraduate degree with an emphasis in history. She attended graduate school at the University of Rochester, studying American history and the history of medicine. She earned her doctorate at Johns Hopkins Bloomberg School of Public Health with an emphasis in health care policy and management.

In her current role as director, Burman is dedicated to encouraging her www.healthynewalbanymagazine.com

office to view things from a variety of perspectives. To that end, she has a collection of hats she employs during meetings to encourage creative thinking. There’s the red-white-and-blue hat, representing taxpayers. There’s a hat for the media, a hat for a senior citizen, a sky’s-the-limit hat, a hat for challenging others’ ideas and a “stop” hat.

“It is very important that people are able to understand somebody else’s perspective,” Burman says.

But the most important type of hat in her collection, Burman says, is her Sherlock Holmes hat. She’s given about six of them to her co-workers. She hands them out when she wants someone to ponder a problem a bit longer or focus harder. She’ll wear one herself, sometimes. Co-workers might also receive a Gumby character figurine, when Burman thinks they’re not being flexible enough.

“I do think you get more done when you’re having fun,” Burman says, “but this is really serious business.”

Much of Burman’s work focuses on prevention.

“There’s so much we can do to prevent some of the chronic diseases and decline,” she says.

To that end, Burman’s department is working with the Ohio Department of Health to launch a new program, Well Beyond 60!, that promotes planful and mindful thought and behaviors to encourage healthful aging.

“You can’t wait until you’re well beyond 60, or you’re not going to be well beyond 60,” Burman says.

Burman takes the idea of planning to heart. She and her husband are already developing plans for caring for each other. In the meantime, Burman stays active, both mentally and physically. An avid reader, Burman also enjoys walking her 14-year-old cockapoo, Lincoln.

Burman and her husband also enjoy spending time with their eight grandchildren. Together, they have four children.

Nora and Marissa are from her first marriage, while Maxine and Sam are from her husband’s previous marriage.

A member at the Philip Heit Center for Healthy New Albany’s fitness center,

Burman attends the Aqua Boot Camp class and also joined the New Albany Walking Club.

Burman is also busy writing a book about aging.

“When you have the opportunity to be a public servant, and when you have the opportunity to be in a mission-driven organization, then there really is no separation between your work life and your home life,” Burman says. “Because all you want to do is help, and all you want to do is serve.”

Sarah Sole is an editor.

Feedback welcome at ssole@ cityscenemediagroup.com.

RELATED READS www.healthynewalbanymagazine.com • CEO of Huntington Bancshares Incorporated Steve Steinour • CEO of Nationwide Children’s Hospital Dr. Steve Allen • New Albany-Plain Local Schools Superintendent April Domine

NEW ALBANY SYMPHONY ORCHESTRA LU I S B I AVA

• MUSIC DIRECTOR

Photograph © 2015 Len Prince-Mosaic program creator Rick Shane

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By Hannah Bealer

Drawing the Line “Where’s the Line?” campaign serves as a resource for those who witness abuse

Where’s the Line?

All correspondence is confidential and anonymous.

Call: (844) 234-LINE Text: 87028

“Where’s the Line?” is not a crisis hotline. Rather, bystanders can expect to receive information on familial violence as well as appropriate referrals to area agencies.

14

Photos by Scott Cunningham

W

hen Karen Days first accepted the position of president of the Center for Family Safety and Healing in 1999, Abigail Wexner offered her some advice.

“She said to me, ‘If we only raise awareness, we have failed. We have to do more than just raise awareness,’” Days says. “That’s something that’s been kept in my mind since 1999. Everything we did needed to have a purpose.”

With that motive in mind, the center’s “Where’s the Line?” campaign launched in January.

“Where’s the Line?” is a first-of-itskind public education campaign with the goal of encouraging dialogue and targeting a demographic so many comparable campaigns miss: bystanders.

The campaign addresses those who witness abuse or think they are witnessing abuse, but don’t know how to take action.

“We needed to get bystanders involved,” Days says. “Bystanders are sometimes in the lives of victims, formally or informally.”

The campaign addresses all shapes and forms of abuse rather than one subset – from child to elder, teen dating to domestic, emotional to verbal.

“We thought, ‘How do we reach the most people affected by family violence and child abuse?’ More recently,

Karen Days, president of the Center for Family Safety and Healing, and Abigail Wexner, founder and chairwoman

there’s teen dating violence, (with some children dating) as young as 11 or 12,” Days says. “There’s domestic violence and elder abuse, so we also needed to get the message out there about the issue of family violence.”

Wexner adds that, in the United States, five children a day die of child abuse or neglect. One in four women will experience abuse in her lifetime.

“This is astounding to me,” Wexner says. “Family violence is cyclical, so when we began this work about 18 years ago, we knew we were in it for the long haul.”

Wexner’s dedication to the center and campaign does not come from personal trauma, she says. Rather, it was a cause to which she could not turn her back.

“Over the years, many people have asked me if I’ve had some personal experience with family violence, and I have

not,” she says. “When a friend introduced me to this issue, it became a question of ‘How could I not get involved?”

The title for the campaign was born from the idea of bystanders asking the important question, “How do we know if someone has crossed the line?” After all, a parent spanking a child typically wouldn’t be considered abuse. But how does one know when it has gone too far?

“Bystanders didn’t turn their heads (in the past),” Days says. “They didn’t know what to do. (They didn’t have the opportunity to) get their questions answered confidentially. … What we want bystanders to do is risk being right. Call in and say they witnessed something, ask if it crossed the line.”

Since the campaign’s launch, Days says, about 160 calls, instant messages and texts have been received. When www.healthynewalbanymagazine.com

someone calls in, a resource coordinator on the other line assures the bystander everything he or she says is confidential and anonymous. “Where’s the Line?” is not a crisis line, however.

“She will ask about the situation, and what’s going on,” Days says. “She’ll have resources for not just our county, but for the rest of central Ohio.”

The resource coordinator will also explain why certain situations are excusable and why others are not. For example, a child being spanked is different from a child being picked up by the wrist.

“We’re building a mechanism for people to (gather resources) from a safe point,” Days says. “If it had been something where it required (the bystanders) to get involved, they would not be safe.

I wouldn’t have been comfortable with that. That would be what we’re always talking about: safety.”

As for the campaign’s impact on the community at large, Days says, conversations surrounding familial violence have flourished in recent months.

“It’s starting a dialogue,” she says.

“For example, people are asking others if they ever spanked their kids.”

As the community continues to take part in these discussions, Days says, bystanders are learning that what happens behind closed doors isn’t always a private matter.

“A lot of people might see it as, ‘We need to be minding our own business,’” Days says. “But if we’re going to eliminate violence, let’s start in the home.”

For more information, visit www. familysafetyandhealing.org.

Hannah Bealer is an assistant editor.

Feedback welcome at ssole@ cityscenemediagroup.com.

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Fashionable Fundraising

By Cameron Carr

Abercrombie & Fitch gives a party vibe to its fundraiser

D

16

Visitors walk around during the A&F Challenge 2014 event.

Photos courtesy of Abercrombie & Fitch

on’t be deceived by the nationally renowned bands, open bar or free food: This is actually a charity event.

The A&F Challenge, hosted by Abercrombie & Fitch, will attract roughly 3,000 people to the company’s New Albany headquarters for a 5K run/walk and 20-mile bike ride. After the races, the party begins. Specialty food tents, an open bar and a kids zone will accompany performances by American Authors and Smallpools.

“It is a fundraiser, so we expect people to contribute, but they get a lot for their money,” says senior Vice President and Treasurer Everett Gallagher.

The Challenge may look like a party, but since its start in 2001, the event has raised more than $10 million. A&F underwrites all costs of the event, allowing for 100 percent of the money raised to go directly to charity.

“It’s a huge part of our culture to give back in whatever way we can,” says Director of Human Resources Josh Seacrest.

A&F’s philanthropic mission focuses on health and wellness of youth, and the Challenge reflects that. The Challenge focuses on charities related to young adults and children as well as the community.

In 2007, A&F committed to raising $10 million for The Ohio State University Wexner Medical Center. Targeting $1 million a year, the Challenge has already raised more than $8.5 million toward that goal, despite taking a year off in 2009.

“We’re hoping to meet our goal early,” says Seacrest.

The Mowgli’s perform at the 2014 A&F Challenge.

For A&F, the Challenge serves as a way to benefit causes important to the company while also connecting with the community.

“It’s a great way to have fun and support really important causes in the community,” says Gallagher.

Cameron Carr is a contributing writer. Feedback welcome at ssole@ cityscenemediagroup.com.

RELATED READS www.healthynewalbanymagazine.com • A look at central Ohioans’ philanthropy • Volunteer Subha Lembach • Memorial Tournament after-party for charity • Small companies’ charity efforts • Local authors give back

www.healthynewalbanymagazine.com

on the path

By Bob Valasek

All Eyes On New Albany

Photo courtesy of Healthy New Albany

The reputations of New Albany’s two Classics extend far beyond city limits

N

ew Albany’s history contains a very important chapter about Les Wexner and Jack Kessler visiting Europe to obtain ideas about livable and walkable civic design.

That international influence can be seen in the Georgian architecture, the town center and New Albany walking paths, and it even extends to New Albany events. While many New Albany residents annually attend the New Albany Classic Invitational Grand Prix and the New Albany Walking Classic, the participation extends statewide, countrywide and even internationally.

The Walking Classic The Walking Classic is the largest walking-only race in the country. Now in its 11th year, the event includes two courses, a 10K and a half marathon, and the participation for the regularly sold-out event is capped at 4,000 walkers. While over 20 percent of the walkers in the Walking Classic can roll out of bed and walk from the front doors of their homes to the starting line of the race, there are also walkers who may be suffering from jet lag after arriving from countries such as Germany and the United Kingdom for www.healthynewalbanymagazine.com

the race. Canada also has a strong representation in the event.

Kristin Ferguson, the race’s marketing director, knows the geographic diversity of the participation is growing.

“I think our word-of-mouth advertising is one of the greatest compliments about our event, because we do not advertise nationally. And yet, because the walking/running event world is a tight group of individuals, you tend to see the same people at different venues, so word of mouth has been our greatest form of getting information out about the walk,” she says. “(It’s) remarkable that this is how we have grown, and that’s what’s happened.”

One of the pillars of the Walking Classic, the New Albany Walking Club, takes its members to events around the country and the globe, from Florida to the Great Wall of China, and touts the virtues of the Walking Classic along the way.

It also doesn’t hurt to have three Walking Classic participants who are Walking Club members achieve incred-

ible success at the Ohio Senior Olympics. This year, Dave Ridenour placed first in the men’s 1,500-meter race walk, Rena Ridenour placed first in the women’s 1,500-meter race walk and Neal Eiber placed second in the men’s 1,500-meter race walk.

In addition to rising international participation, the Walking Classic draws participants from all over Ohio and the United States. In all, walkers come from 250 different ZIP codes, proving that while the event may feel very local here in 43054, many of the participants may be seeing our white fences for the very first time. Over 200 of the walkers, roughly 6 percent, come from out of state, and over 2,500 walkers come from places in Ohio other than New Albany.

None of this discounts the local fervor for the event, though.

“There is a lot of local pride for the event because it brings positive attention to our community from outside our city,” Ferguson says.

17

Photo by Wil Shilling

Abigail Wexner

The Classic Invitational Grand Prix

That same local New Albany pride is on display at New Albany’s other marquee event, the New Albany Classic Invitational Grand Prix. Now in its 18th year, the equestrian event takes place in conjunction with Family Day on the grounds of Leslie and Abigail Wexner’s home in New Albany. Abigail founded the event in 1998 as a fundraiser to support the Center for Family Safety and Healing and family violence initiatives, and the 2014 event drew over 18,000 attendees.

The riders in the equestrian show jumping event are invited each year based on the top 20 ranked riders on the Federation Equestre Internationale (FEI) list. There are 10 additional spots for up-and-coming riders outside of the top 20, so that means national and international representation in the event can vary from year to year.

“Over the years, international riders have hailed from Argentina, Belgium, Canada, Columbia, France, Germany, Ireland, New Zealand and Venezuela,” Abigail Wexner says.

While the fans cheer for all the riders, one group of international participants seems to get a little more attention than the others.

18

www.healthynewalbanymagazine.com

“Classic fans have been very enthusiastic about the riders from Ireland,” Wexner says. “We have had two Irish riders win the Authentic Cup since we began 18 years ago: Shane Sweetnam, aboard Chaqui Z, in 2014; and Darragh Kerins, aboard Night Train, in 2007.”

The Authentic Cup is the perpetual trophy the Classic winner receives. Perpetual trophies are held by the winner until the next event, when the winner must compete again in order to keep the trophy.

The riders who receive the biggest cheers are the U.S Olympic riders, of whom many have participated in the Classic over the years, including Beezie Madden, McLain Ward, Margie Engle and Leslie Howard. Wexner notes that even the U.S. riders have a bit of international flair, though, because it is likely that their show jumping horses were bred in and imported from Europe.

The Classic’s reputation and quality have contributed to it being named the No. 1 specialty equestrian event in the country by the North American Riders Group.

“This is so very gratifying, because it is voted on by the riders, and we’ve placed in front of some pretty special competitions like the Trump Invitational in Palm Beach and the Central Park Horse Show,” Wexner says. “Many of our riders are Olympic, World Equestrian Games and Pan-Am Games competitors, and they appreciate the quality of the event.

It is our goal to bring them back each year, so our team works hard to make it an exceptional experience for the rider, the owners and the horses.”

Bob Valasek is a contributing writer.

Feedback welcome at ssole@ cityscenemediagroup.com.

RELATED READS www.healthynewalbanymagazine.com • Classic Grand Prix spurs local interest in riding • Wooden carousel horses at the Classic Grand Prix • A look at some 2014 Walking Classic Participants • New Albany development spurred by Walking Classic www.healthynewalbanymagazine.com

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CRUCIAL CLASSICS

By Garth Bishop

Signature New Albany events mean big boosts for local businesses

Photo by Nick Falzerano

Photo by Scott Cunningham

N

ew Albany’s big September events are set up to support good causes – promoting health, preventing family violence, etc.

Given the heavy emphasis on those causes, not to mention the long reach both events have, it might be easy to overlook the positive effects visited on the New Albany community. But make no mistake: The New Albany Classic Grand Prix & Family Day and the New Albany Walking Classic pay big dividends for local businesses as well.

Increased Visibility “These are events that local residents and businesses have always at- Riders, trainers, owners and other team members tended and participated in, but increas- come to New Albany from a myriad of locations, including Beezie and John Madden of Cazenovia, ingly, people from out of town (participate) New York. Beezie is the highest ranked U.S. as well,” says Cherie Nelson, executive female rider in the world and an individual and director of the New Albany Chamber team Olympic medal winner. of Commerce. “Having these visitors drive around New Albany increases the exposure of all the businesses in New Albany, regardless (of whether visitors) eat, shop or buy services the actual day of the event or in the near future.”

More than 25,000 people are part of the two events, says New The Concert at The Classic presented by Justice draws music fans Albany Public Infor- from throughout the region to the event to hear the hottest pop acts. mation Officer Scott aware of them – as well as other major goMcAfee, and their ings-on in New Albany – and are prepared draws are substantial.

The Classics also serve to draw for temporary changes in traffic patterns.

The Classic eyeballs to New Albany. Improving the Last year, the Classic drew more city’s standing in the eyes of the world than 18,000 guests. Of them, about has its advantages, too.

“People coming to New Albany 20 percent were from outside the cenfor those showcase events can only tral Ohio region, including Pennsylvania, strengthen people’s perceptions of how Indiana, Michigan, Kentucky and other great New Albany is as a community,” parts of Ohio.

“The Classic parks approximately says McAfee.

Real estate agents often hold open 3,500 to 4,000 cars on event day,” houses the weekends of major events, says Stephanie Lorenz, event director for the Classic.

Nelson says.

Per statistics from the Greater CoThe city works closely with the organizers of both events through its Event Lo- lumbus Sports Commission, those outgistics Committee, ensuring residents are of-towners spend over $1 million during 20

the weekend. Restaurants, coffee shops and grocery stores are among the mostvisited area businesses, says Lorenz.

“You wouldn’t be at all surprised to see a group of people in riding attire lined up at Starbucks (in) Market Square at any time that weekend,” Lorenz says.

Hotels also do big business. Among owners, riders, grooms and event attendees, hotels in and around New Albany put up 160 rooms.

Also benefiting from the Classic are the arts and athletic organizations that provide activities and entertainment – and, in so doing, are exposed to a wide audience. Columbus Children’s Theatre and Royal Arts Fencing Academy have participated in years past and will be back this year. BalletMet will be on hand for the first time this year. A number of businesses – from Bungalow Home and Doran’s Farm Market to Subway and Giant Eagle – contribute goods and services to the Classic, and, in turn, are celebrated through materials including digital boards and T-shirts during the event.

“These businesses are making a commitment to ending family violence by supporting the Classic and the Center for Family Safety and Healing, so we make sure the thousands of guests in attendance know that so they can patronize those companies,” Lorenz says.

The event has also seen 4,400 volunteers contribute about 27,000 hours of time since its inception, and earned more than $1.5 million worth of earned media coverage in 2013 and 2014, including national publications.

The Walking Classic The Walking Classic is also a big draw outside of central Ohio, owing in large part to its status as the biggest walking-only event in the U.S. The Walk, which capped entrants at 4,000 this year, brings in participants from approximately 40 states and Canada.

Those outsiders are already in a position to patronize local businesses, but Walk organizers sweeten the deal, nudging attendees toward such spots as Mellow Mushroom, Rusty Bucket and Ella. www.healthynewalbanymagazine.com

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The Walking Classic draws participants from 40 states and Canada.

“We partner with all of our local restaurants, so often, (participants) get coupons in their race packets the week before,” says Kristin Ferguson, marketing director for the Walk.

Though the Classics are two of the city’s best-known events, other items on its annual agenda serve to bring in outsiders and revenue as well. Among them is Pelotonia, which, while not limited to New Albany, does make an important stop there and even ends there for those brave souls who undertake the longest route possible.

“You’ve got a six-week period where not only are there many, many people who are visiting our community and seeing just how wonderful it is, but all three events give so much back to central Ohio and New Albany,” McAfee says.

That give-back includes the money Pelotonia raises for cancer research, the Classic raises for the Center for Family Safety and Healing and the Walking Classic raises for services, particularly those at the Philip Heit Center for New Albany, that make New Albany a healthier community.

Pelotonia takes place in August, as does another local event that has an effect on the city’s economy: the Taste of New Albany, organized by the chamber.

“The city and the chamber use the Taste of New Albany to invite and entertain prospective businesses that might be considering opening (in) or relocating to New Albany,” says Nelson.

Nelson also points to Pelotonia and Ride 2 Recovery’s Honor Ride, which took place for the first time this past May, as events that attract attention to the city and its companies.

Charlie Dankworth, CFP®, CIMA® Senior Vice President–Wealth Management Wealth Advisor 614-939-2202 charles.dankworth@ubs.com Dankworth Wealth Management UBS Financial Services Inc. 180 Market Street, Suite 200 New Albany, OH 43054 ubs.com/team/thedankworthgroup *Barron’s Top 1,000 Financial Advisors in the U.S. is based on asset under management, revenue, and quality of practices. Accolades are independently determined and awarded by their respective publications. Accolades can be based on a variety of criteria, including assets under management, revenue, compliance record, length of service, client satisfaction, type of clientele and more. Neither UBS Financial Services Inc. nor its employees pay a fee in exchange for these ratings. Past performance is no guarantee of future results. For more information on a particular rating, please visit ubs.com/us/en/designation-disclosures. Awarded Barron’s as one of the Top 1,200 (2015, 2014) and Top 1,000 Financial Advisors in the U.S. (2013, 2012, 2011, 2010). As a firm providing wealth management services to clients, we offer both investment advisory and brokerage services. These services are separate and distinct, differ in material ways and are governed by different laws and separate contracts. For more information on the distinctions between our brokerage and investment advisory services, please speak with your Financial Advisor or visit our website at ubs.com/workingwithus. Certified Financial Planner Board of Standards, Inc. owns the certification marks CFP® and Certified finanCial PlannerTM in the U.S. CIMA® is a registered certification mark of the Investment Management Consultants Association, Inc. in the United States of America and worldwide. ©UBS 2015. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC. 7.00_Ad_4.75x4.875_NV0514_DanC

Garth Bishop is managing editor.

Feedback welcome at ssole@ cityscenemediagroup.com. www.healthynewalbanymagazine.com

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initiatives

By Scott McAfee, Public Information Officer Renderings courtesy of the City of New Albany

Property Tax Abatements Abatements grow region, help schools and taxpayers

I

t seems counterintuitive to think that property tax abatements are responsible for creating more than $47 million in new revenues to our schools. After all, aren’t abatements tax giveaways? Well, yes and no.

Abatements are indeed tax breaks to companies used nationwide to attract businesses to communities. But look deeper, and the financial and land use benefits of abatements are undeniable.

Financial Benefits

Earlier this year, the city did a study in conjunction with the Franklin County Auditor’s Office to determine the total school revenues resulting from business development in the New Albany International Business Park. The numbers were staggering. Since 1998, school property tax revenues from land in the New Albany International Business Park nearly tripled ($15.8 million, compared to $5.4 million if land had not been developed).

This occurs because property tax abatements are only in effect on the building,

Rendering of the interior of the Tween Brands campus in the New Albany International Business Park.

Development in the New Albany International Business Park generates much-needed community revenues.

not the land itself, and land values can exponentially increase when developed.

In addition to these increased property tax revenues, the New Albany-Plain Local School District received $37.2 million in shared income tax revenues

because the city shares income taxes equally with the district whenever abatements are provided to companies.

Combined, our business park has generated $53 million for our schools since 1998, even with abatements in effect. As a comparison, had this land not been developed, our schools would have received roughly $5.4 million, or $47.6 million less.

Land Use Benefits

Rendering of the exterior of the Tween Brands campus in the New Albany International Business Park www.healthynewalbanymagazine.com

Generally, land can either go undeveloped or be developed commercially or residentially. Without the use of abatements, the commercial viability of land is dramatically reduced, likely prompting residential development. While business development produces zero new students, residential development eventually creates the need for more teachers and school buildings, which can greatly increase homeowner taxes. Our community success at commercial development has created jobs for our region, 23

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financially benefited our schools and assisted New Albany taxpayers by reducing the number of potential students in our schools.

In addition to our business park, the Philip Heit Center for Healthy New Albany and Market & Main are developments in the heart of our town providing community benefits to residents of all ages. The Heit Center, our community health destination, is being paid for in large measure by long-term leases from our medical partners. Foot traffic from the Heit Center helped bring about the Market & Main development (with Mellow Mushroom, Hudson 29 Kitchen + Drink and other specialty retail shops), and our schools are receiving 100 percent of their portion of property taxes from this new development.

New Albany is a master planned community, and city leaders will continue to have the best interests of our schools in mind concerning commercial or residential development. Our schools are a vital component of our community.

Aside from our economic development efforts to support our schools, the city also pays 100 percent of the costs of the school resource officer and D.A.R.E. programs on the school campus throughout the year.

Even with these efforts, both financially and through the reduction of potential students within our district, our schools will continue to be reliant on your financial support to help them obtain their mission of developing highachieving, ethical, self-directed and intellectually curious citizens of the world.

Scott McAfee is a contributing writer and public information officer for the city of New Albany.

Feedback welcome at ssole@ cityscenemediagroup.com.

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• The evolution of one of New Albany’s central streetscapes • Community paths powered by business park • Preserving New Albany’s beauty www.healthynewalbanymagazine.com

Special Section

Mental Health

www.healthynewalbanymagazine.com

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Mental Health

Empowered by Introspection Photo courtesy of Michael Segal Photography

Mariel Hemingway uses family history as a means for mental health advocacy

By Sarah Sole

F

Images courtesy of Mariel Hemingway

or years, Mariel Hemingway looked to outside sources to clear the fog of doubt and fear that she felt from growing up in a family that suffered from mental health issues and communication dysfunction.

But it wasn’t until she began to tell her own story and analyze the ways in which that history influenced her behaviors that she was able to understand the reasons behind her actions, the habits she formed as a child.

“We make choices based on our training,” she says.

The Emmy-nominated actress will share her story with New Albany in a series of events centered on mental health, including a student lecture Oct. 12 and an Oct. 13 lecture for the 2015-16 season of the New Albany Community Foundation’s Jefferson Series.

The subject of mental health has surrounded Hemingway’s family. Her grandfather, famed writer Ernest Hemingway, committed suicide in 1961. His father and two siblings com-

The two books Hemingway wrote, published in April, are memoir Out Came the Sun: Overcoming the Legacy of Mental Illness, Addiction and Suicide in My Family (right) and Invisible Girl (left).

26

Mariel Hemingway sits outside at her home in Mailbu, Calif.

mitted suicide, too. Hemingway’s eldest sister, Joan, nicknamed Muffet, was diagnosed with schizophrenia. Both of her parents heavily depended on alcohol. And in 1996, Hemingway’s sister, Margot (eventually known as Margaux), died from a phenobarbital drug overdose that was ruled a suicide.

While Hemingway has written a handful of books, ranging from autobiographical stories to self-help and healthy living, her most recent, published in April, include memoir Out Came the Sun: Overcoming the Legacy of Mental Illness, Addiction and Suicide in My Family and Invisible Girl, a memoir for young adults written from the perspective of a young Hemingway.

In Out Came the Sun, Hemingway writes that becoming like her other family members was a constant fear for her.

“They were the people I loved the most and the people whom I was the most like, but they were also terrifying examples of how balance could be thrown off and an otherwise regulated existence could be overwhelmed by emotional blockage or mental disarrangement,” she writes.

As the youngest of three girls, Hemingway says she played the role of “good girl” growing up. Much of the beginning of Out Came the Sun describes the type of turbulent relationships – especially that of her parents – that she found herself learning how to negotiate.

As a child, she coped with the chaotic relationships by becoming compulsive about neatness, keeping her room perfectly arranged. While Hemingway still likes how order in her life can reflect order in her mind, she has become able to approach this with moderation.

“It doesn’t freak me out the way it used to,” she says. www.healthynewalbanymagazine.com

Photo courtesy of Mariel Hemingway

Other habits have also become less addictive for Hemingway with time and reflection. These include her compulsive approach to health and food.

And while Hemingway used the outdoors as a way to escape when she became overwhelmed – Out Came the Sun describes her going on long walks after the deaths of her mother, father and sister – she now approaches hiking with a healthier attitude.

“It didn’t feel like a drug anymore,” she says.

Once you can examine your actions and the reasons for them, Hemingway says, you become empowered to make different choices.

“That frees you from it being a habit that controls you,” she says.

Part of Hemingway’s growth came from identifying the ways in which she relied on outside approval instead of her own.

“Society makes you believe that you can’t make decisions without somebody else’s approval,” she says.

Communication was also something she struggled with because of the lack of healthy examples from her family.

“That was the thing that I didn’t know how to do as a kid,” Hemingway says.

In Out Came the Sun, Hemingway writes of the fights between her parents that inevitably followed the house parties they often hosted.

Hemingway with Dr. Oz on his show this year

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Mental Health fit five with Sarah Sole

Emphasizing Body and Mind

Author Mariel Hemingway shares her wellness habits

Healthy New Albany Magazine: Are there any foods that you avoid or emphasize?

Mariel Hemingway: I avoid sugar and anything processed. I emphasize eating organic, local, sustainable and seasonal veggies, fruit and even pasture-raised, humanely treated meats and poultry. If it isn’t treated well, then I won’t eat it.

HNA: What are your favorite ways to stay active?

MH: I love yoga and do it four days a week. But what I truly love is to get outside. My favorite thing in all the world is to be in the mountains of Idaho, hiking through the amazing landscape, ending up at a river or lake where I dunk into the cold, cold, cold water.

HNA: What do you like to do to relax?

MH: I take naps now. My partner, Bobby Williams, got me hooked on afternoon naps for about 15 to 20 minutes; there is powerful healing in napping.

HNA: What are some things you do to reduce stress and anxiety?

MH: I meditate twice daily for 20 minutes. Silence is one of our biggest teachers, and the result is that it reduces stress and anxiety. Also, breathing is key to finding inner peace, especially if you are suffering from any kind of mental imbalance.

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Photo courtesy of Hinson Ltd Public Relations

In a new section in Healthy New Albany Magazine, we talk to prominent national or community figures who have made their mark on Columbus in some way and learn about what they do on a regular basis to stay healthy. Healthy New Albany Magazine had a chance to talk with author, actress and mental health advocate Mariel Hemingway and get her opinions on healthy living.

HNA: How do you see the relationship between physical and mental health?

MH: I truly believe that it is a mistake to separate the mind and body relationship. What we do with our physical bodies, how we move, what we ingest – everything affects the brain. All food and liquid that we eat or drink is made up of chemical compounds, and those compounds affect our brains.

How we do everything in our lives affects everything else. I think it is super important to stay mindful of that fact.

Sarah Sole is an editor.

Feedback welcome at ssole@ cityscenemediagroup.com.

RELATED READS www.healthynewalbanymagazine.com • Fit Five with Sen. John Glenn

“Alcohol, which was as much a part of the family as any of us, inflamed all aspects of the problem,” she writes of her parents’ dysfunctional relationship.

Communication was also difficult between Hemingway and Margaux, who, before she fleetingly achieved fame as a model and actress, was an outspoken middle child who craved attention.

When Hemingway herself found acting through a role with Margaux in the 1976 film Lipstick, she says, she was unconsciously looking to the film cast for the balance that she couldn’t find within her own family.

“It was such a replacement,” she says.

When Hemingway participated in the 2013 documentary Running from Crazy, which examines her pursuit to find clarity regarding her family’s history of mental illness and suicide, the experience was different from a typical role for a television show or film.

Hemingway worked on the documentary for two years on and off with director Barbara Kopple. In addition to archival footage of her father, Jack, and Margaux, the production also included Hemingway’s partner, Bobby Williams, and Langley, one of her two daughters.

The days of her interviews were intense, Hemingway says, and the experience felt raw. She got to a point where she was no longer monitoring how she responded to questions.

While the documentary focused on her family, Hemingway’s experience motivated her to write Out Came the Sun to share a part of the story that she says wasn’t covered in the documentary.

While the film touched on possible sexual abuse by her father of Muffet and Margaux, it was important for Hemingway to clarify her narrative with her book and focus more on the inability of her family to feel connected with one another.

“Families are complicated,” she says.

While she is focusing on health and mental advocacy, her acting career is not something Hemingway wants to forfeit.

In fact, she says that her self-awareness could improve her craft.

Sarah Sole is an editor.

Feedback welcome at ssole@ cityscenemediagroup.com. www.healthynewalbanymagazine.com

Mental Health

Brawn and Brain Exercise’s benefits are mental as well as physical

Visit www.shannonjapmd.com for contact information regarding mental health therapists in New Albany.

By Dr. Shannon Jap

www.healthynewalbanymagazine.com

Photo courtesy of Shannon Jap

W

e’ve all been told to “get plenty of rest” when fighting a common cold or flu, but what do you do when you suffer from common conditions such as anxiety or depression?

Does chicken soup help? As a board-certified child, adolescent and adult psychiatrist in private practice in New Albany, I often discuss exercise and activity scheduling with my patients as a part of their treatment plan.

Depression is not just about being sad. People are also fatigued and experience sleep and appetite changes, low motivation, and trouble concentrating.

Similar to feeling sick with a cold, people often struggle to get out of bed or off the couch. It can be difficult for those dealing with such symptoms to believe that physical activity could help.

Exercise has been shown to prevent physical conditions such as diabetes, heart disease and obesity. Although there is very little clinical evidence that shows exercise helps prevent mental health conditions, there is a significant amount of anecdotal data that supports exercise’s efficacy in improving mood, self-esteem and energy.

I often notice my patients with depression who add exercise – as little as a daily walk – to their current treatment often benefit from improved energy, better sleep and greater motivation. One published study from Harvard comparing the effects of exercise to antidepressant medication Zoloft in adults with depression found that exercise’s effects lasted longer than those of the antidepressant.

The reason people benefit from exercise is complex. Psychological factors include distraction from daily stress, increasing positive interactions with people and environment, and increasing self-esteem. Biological factors include changes in neurotransmitters

Four-year-old Oliver (right) and 2-year-old Stanley help parents Shannon and Peter Jap cross the finish line at the 2014 Challenge New Albany Half Ironman.

such as serotonin, noradrenaline and dopamine, which contribute to improved mood and anxiety. An increased steroid reserve can counteract stress.

Exercise also enhances the action of endorphins to reduce the perception of pain and improve mood.

The Centers for Disease Control and Prevention recommends 30 minutes or more of moderate-intensity physical activity on most or, preferably, all days. This includes activities such as brisk walking, swimming, biking or dancing. Activity may be spread out in segments throughout the day.

Still, it’s important to note that demanding friends or loved ones who are more severely depressed “get up and exercise” might make them feel more like failures if they aren’t able to comply with an exercise program without first being

medically treated for their condition.

Exercise can be an alternative to medication or augment medication, but it requires regular monitoring by a physician. I also recommend working with a cognitive behavioral therapist to help you reach your goals.

Dr. Shannon Jap is a child, adolescent and adult psychiatrist working in New Albany. Feedback welcome at ssole@ cityscenemediagroup.com.

RELATED READS www.healthynewalbanymagazine.com • Battling the winter blues • Fending off holiday doldrums • Nonprofit mental health center Concord Counseling Services • Walk with a Doc 29

Mental Health

With Sarah Sole

Breathing Deeply Learning when to seek help for anxiety

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nxiety can be a debilitating mental illness that keeps individuals from enjoying life or even going about daily tasks. When people suffer from anxiety, it can be difficult for them to know where to start in identifying and seeking help. Healthy New Albany Magazine talked to New Albany-based counselor Jonathan Miller to learn more about this illness.

Healthy New Albany Magazine: What are some short- and longterm physical effects that anxiety can have on a person’s body?

Jonathan Miller: The first thing that happens is the body gets ready to fight or run. It’s the same fight-or-flight reaction we used to hear about on the

Jonathan Miller is a licensed professional clinical counselor working in New Albany. He’s provided therapy in group practices and community mental health since 1998, relying on evidence-based practices such as cognitive behavioral therapy, dialectical behavioral therapy and exposure therapy. He treats adults for depression, anxiety, trauma, anger, grief and personality disorders. More information can be found at his website, www.millercounselingllc.com.

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Discovery Channel. Automatically, the survival areas of our brain speed up our breathing to get oxygen into the bloodstream, increase our heart rate to get that oxygen around to the muscles and tense the muscles to get ready for action. In our frontal cortex – the logical, thinking part of our brain – we know rambunctious kids or a stack of bills is nothing to get agitated about. The brain’s limbic system, which handles emotions, perceptions of danger and our level of physical arousal, only sees a threat.

Long-term, high levels of anxiety can wear us down. The brain uses hormones such as adrenaline, cortisol and norepinenephrine to get the body ready for action. Researchers have found elevated cortisol levels may lead to memory deficits and learning trouble over time.

We’ve all watched two-term presidents turn gray with the job; there’s evidence high cortisol levels age us more quickly.

HNA: How can talking with a counselor or therapist help a person deal with anxiety?

JM: Anxiety is the most treatable condition in mental health. A therapist can help patients check the automatic thoughts that can stress them out.

These always feel true, but that doesn’t make them helpful. Through cognitive restructuring, people can work out different thoughts – ones that are realistic but still helpful – and practice those until they’re in the habit of thinking that way naturally.

For phobias, compulsions and anxiety in specific situations, exposure therapies are often helpful. A therapist can help a person set up a “stepladder” of situations that cause that anxiety. They’ll help patients stay in each situation long enough for their nerves to learn it’s not actually dangerous. Once that situation

doesn’t bother patients anymore, they’ll be ready to move up to one that’s a little more intense.

There’s another therapy called Eye Movement Desensitization and Restructuring that helps people who have been through trauma. The research suggests it helps the brain process those memories more quickly. EMDR often helps people treat the trauma symptoms without going through the memory in a lot of detail.

HNA: What are some guidelines to figure out when it is a good idea to seek medication to alleviate symptoms of anxiety, and how is dosage determined?

JM: First, remember anxiety is an ordinary, healthy emotion that everyone has. If people get stressed over deadlines, edgy before they give a presentation or shy when they first walk into a party, that means they’re normal.

If anxiety causes problems in someone’s life, he or she has an anxiety problem. People should consider getting treatment if their nerves interfere with work, school or relationships. Medication can be right in a crisis, or to give short-term relief while a patient treats the problem in therapy.

Doctors calculate dosages based on a patient’s weight and research findings. Since everyone’s body chemistry is different, it can take a few appointments to find the right medication and dose.

HNA: What are some options other than medication for dealing with anxiety?

JM: We stress our bodies with poor diet and lack of exercise. If people aren’t eating right or working out regularly, good habits can do a lot to cool down agitation.

Daily relaxation practice is the cornerstone of treating anxiety. When peowww.healthynewalbanymagazine.com

You don’t just recover, you enjoy your stay. ple relax themselves completely each morning and keep it up day after day, their baseline anxiety levels start to come down. That’s why yoga instructors are often so serene: The benefits of a daily routine add up over time.

The important part is that people relax themselves with the kind of relaxation exercises found online. Yoga, meditation and mindfulness practice are also effective. Hot baths, walks in the park and recordings of nature sounds are all soothing, but they don’t have the same long-term effect as relaxation exercises. Also, “relaxation” isn’t the same as “hobby.” When someone tells me they play video games to relax, I’ll ask, “How often do you wind up cursing at the game?”

HNA: Can anxiety issues manifest themselves in different ways as a person ages?

JM: Children often show anxiety differently from adults. They’ll have headaches, stomachaches or diarrhea. Sometimes they’ll refuse to speak or get overwhelmed by separation anxiety.

Grown-ups with good memories know childhood isn’t the carefree time of life we see on TV. Even young children can worry excessively. If you ask a third-grade teacher, he or she could probably tell you about a former student terrified he or she wouldn’t get into a good college.

Sarah Sole is an editor.

Feedback welcome at ssole@ cityscenemediagroup.com.

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Mental Health

By Hannah Bealer

Beyond Human Help PBJ Connections uses horses to heal

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Photo courtesy of PBJ Connections

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olly Jedlicka grew up with horses – an opportunity that, she says, made her feel incredibly blessed. A licensed social worker, Jedlicka was eager to share her love of horses with those who could benefit from the animals on another level.

“I had a strong interest in mental health, so we kind of married the two to combine horse and mental health services,” Jedlicka says.

In 2006, Jedlicka and co-founder Glenda Childress created PBJ Connections. By 2007, they began accepting clients.

At its main location in Pataskala, PBJ Connections has seven horses, four donkeys and an orange cat named Clark for use in therapy sessions. However, through partnerships with Otterbein University, The Ohio State University and others, PBJ Connections has access to about 50 additional horses.

PBJ Connections assists clients “across the board,” Jedlicka says, including children who might be on the autism spectrum or on probation. “(We have) kids who are fairly healthy, but struggling because their parents are divorcing, all the way to kids with severe depression, anxiety or bipolar disorder,” she says.

Children who are low-functioning or nonverbal are referred to other programs that include treatment suitable for their needs, Jedlicka says.

PBJ Connections offers group, individual and family therapy. Area school districts, such as Columbus City Schools and Westerville City Schools, can also send children deemed at-risk to PBJ Connections. These children come in groups of about 10 and visit for an hour and a half each week to work on coping skills and managing emotions, Jedlicka says.

In a typical therapy session, Jedlicka says, clients are asked to project their feelings and thoughts onto the horses.

“We invite the clients to spend some time with the horses and see what comes up with the issues they’re coming in with,” she says. “Maybe they’ll say, ‘That horse is just like my brother because it’s pushing me around.’”

The clients can set boundaries with what the therapy horse is representing, Jedlicka says. Horses react to humans as if they’re members of their herd.

“It’s really powerful for clients,” she says. “They can see what they’re struggling with through the horse. (Horses) react to the people around them. The horse will act very similarly to a person who might push boundaries (with a client), and the clients learn how to assert themselves differently.”

Jedlicka recalls several powerful therapy sessions involving a teenager at risk of suicide and her mother.

“One of the donkeys was looking a little rough; his coat didn’t look good. That particular donkey stood right between

PBJ Connections offers group, individual and family therapy. It also works with area school districts, including Columbus and Westerville.

the mom and daughter and they ended up naming that donkey ‘frustration and anxiety,’” Jedlicka says. “That donkey represented the strained relationship.”

During the mother and daughter’s third therapy session, the donkey stopped standing between the two.

“It was pretty powerful for them,” Jedlicka says. “It promoted this calm communication between the mom and the daughter that never happened at home.”

Hannah Bealer is an assistant editor. Feedback welcome at ssole@cityscenemediagroup.com.

RELATED READS www.healthynewalbanymagazine.com • Grandview Heights High School therapy dog • Westerville’s use of dogs for therapy and care • Dublin’s canine careers www.healthynewalbanymagazine.com

Mental Health

By Diane Schaefer

Feeling Blue

Interior décor colors can affect your mood

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hen you walk into a room, what’s the first thing you notice? Its color.

The reaction we have to color is affected by factors such as age, gender, culture, personal experiences and associations, as well as climate and region.

“We have an innate reaction to color,” says Andrew Elliot, professor of psychology at the University of Rochester.

For example, many consider green relaxing because it is associated with growth and nature.

“Green ranges from old, traditional English libraries in a darker hunter green where you can sit down, concentrate and read to a spring-like yellow-based green, which symbolizes new birth or new growth,” Elliot says. “We’ve learned certain associations with color. Red makes the heart race because we associate it with fire trucks and ambulances, while yellow is associated with our dear grandmother’s kitchen.”

Sometimes there can be a disconnect between the color of a room and what the room is intended for, such as when a room meant for relaxing is painted red. To provide continuity between color and function, Neal Hauschild, interior designer and owner of Nth Degree Home in New Albany, suggests using cool colors such as blue and green for rooms meant for relaxing or quiet time.

“We generally associate those colors with serenity and calmness. However, if we want to create an atmosphere of energy or excitement, warmer colors like yellow and orange are recommended,” Hauschild says.

Color is key to how décor is perceived. New York interior designer Scott Sanders, in House Beautiful magazine, suggests using brighter, warmer colors in a big room to “bring the walls in,” and cooler colors to “push walls out” in a smaller room. Color establishes visual weight and balance and can affect the

www.healthynewalbanymagazine.com

relationship with other decorative elements in the room.

“If you put a bold primary-based piece of art in a pastel room, it’s probably not going to seem quite right. Colors of art should balance colors of space,” Sanders writes.

Due to a lack of sunlight, those who suffer from Seasonal Affective Disorder, a type of depression that occurs during winter but subsides in spring and summer, may want to rethink the color palette for their living and work spaces, particularly if that color is a predominantly neutral hue. The color brown may have a similar effect. According to color psychology – the educational discipline exploring how color affects mood – even though it is considered a natural color that evokes a sense of strength and reliability, brown can create feelings of sadness and isolation.

Splashes of color can bring relief, even if temporary, from those seemingly endless winter months.

“Add accent pieces and artwork with vibrant colors to liven a neutral color palette, change the wall color and/or install different lighting that can warm the tones of colors, such as yellow and tan,” Hauschild says.

Experts in interior design encourage experimenting with color, and not being afraid of dark colors. If you love a color, test it and follow your heart. Most importantly, when it comes to the color of your living and work spaces, pay attention to your intuition.

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Diane Schaefer is a contributing writer. Feedback welcome at ssole@ cityscenemediagroup.com.

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Mental Health

By Athnie McMillan-Comeaux

Searching for Sunshine Physical activity can help people deal with symptoms of Seasonal Affective Disorder

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our hands are freezing, your car won’t start for the winter, you’d be fine, but our schedules and you haven’t seen the sun in weeks. Frigdon’t permit that.” id winter weather can certainly be a bummer.

Coping mechanisms do exist for those But for people with Seasonal Affective Diswith SAD. order, those chilly, cloudy winters are more than “Get outside for a brisk walk or other physijust an annoyance. cal activity in the winter, especially on blue-sky For the afflicted, cold, cloudy weather can days. Stay physically active, even if it’s indoors,” cause symptoms of depression, which can afFristad says.

Fristad also recommends using a light box, fect not only personal happiness, but relationships which mimics sunlight and can help individuals with loved ones and work productivity. feel a little closer to those sunny summer days.

The symptoms of SAD are slightly different In a nutshell, staying active and taking adfrom those of other types of depression.

Dr. Mary Fristad vantage of what little sunlight is available – or just “It’s a ‘hibernating’ depression: increased sleep, increased appetite – especially carbohydrate craving making your own – seems to be the best way to combat SAD. – and decreased energy or fatigue,” says Dr. Mary Fristad, professor of psychiatry at The Ohio State University Wexner Athnie McMillan-Comeaux is a contributing writer. Feedback Medical Center. “If you could be a bear and climb into a cave welcome at ssole@cityscenemediagroup.com.

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Mental Health

By Stephan Reed

In the Long Run Charity aids teenagers struggling with substance abuse

W

hen participants in the annual Strides for Sobriety 5K lace up their sneakers, they do so with the next generation’s well-being in mind.

Based in Dublin and expanding to New Albany, Strides for Sobriety has worked to maximize the exposure to options for local teens battling alcohol and substance abuse since the organization’s February 2014 incorporation.

“Our goal is to provide financing for children who would never be able to receive treatment if it weren’t for someone subsidizing the costs,” says Ramona Penland-Coyle, founder of the organization.

Penland-Coyle was inspired to create the charity while her son, Michael, was in treatment.

“The drive truly started as we watched kids get turned away at centers,” she says. “Insurance would only pay for the costs if the teenagers showed signs of being suicidal. Once that passed, they were on their own if they couldn’t cover costs. Michael would have dinner with a person one night and they would be gone the next.

One friend he developed a relationship with ended up relapsing and passing away. That’s when we realized we had to do something.”

Founders understand the limitations of the group, which is why they aim solely to provide the necessary tools for teenagers to pursue sobriety on their own.

“We’re here to give them the avenue and the education,” Penland-Coyle says. “They have to make the decision.

It cannot be forced.”

Strides for Sobriety has its largest fundraiser 5K during the third week of April.

However, since the group has grown, it has added more events throughout the year. The Fall Equinox 108 Sun Salute fundraiser will take place 7-9 p.m. Sept.

22 at the Dublin Nutrition Club.

www.healthynewalbanymagazine.com

For more information about the organization, upcoming events and how to get involved, visit www.stridesforsobriety.com.

Stephan Reed is a contributing writer. Feedback welcome at ssole@ cityscenemediagroup.com.

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Foods for Fitness

By Christina Szuch

Healthful Eats Can Be Treats Nutritionist Lauren Blake discusses how healthful foods can be used for Halloween snacks Banana Ghosts

Tangerine Pumpkins

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H

alloween is all about being spooky, but for parents, the amount of junk food involved can be the most bone-chilling part.

Of course, candy and other sweet treats are a huge part of the trick-ortreating tradition, but not every Halloween food’s calorie count or sugar content has to be frightening. Even fruits and vegetables can be fun treats.

Lauren Blake, nutritionist at the Philip Heit Center for Healthy New Albany, has suggestions for nutritional treats that are easy to put together and every bit as exciting and holiday-themed as more traditional snacks.

Banana Ghosts

Peel a banana, cut it in half – so that each half is vaguely ghost-shaped – and use chocolate chips to create eyes and a mouth.

Bananas contain fiber and potassium and also taste very sweet, Blake says.

Even the chocolate chips help make these some health-conscious ghosts.

“Combining them with a little bit of dark chocolate makes for a treat chockfull of antioxidants,” she says. (www.weelicious.com)

Candy Corn Fruit Parfait

Clementine Pumpkins

Peel a clementine or any small orange. For the pumpkin stem, stick a 1-inch piece of celery into the top of the orange.

“The sweetness of the oranges and crunch from the celery make the perfect pair,” Blake says. www.healthynewalbanymagazine.com

Photo by Sarah Sole

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Additionally, both celery and oranges are low-calorie foods that contain vitamins and minerals. (www.weelicious.com)

Apple Monster Mouth

Apple Monster Mouths

Cut an apple into four pieces, removing a wedge from each to serve as the mouth. Cover the mouth with nut butter and then fill it with teeth: slivered almonds or other nuts.

This treat contains protein and healthful fats to balance out the apple’s sugars. (www.ocmommagazine.com)

Candy Corn Fruit Parfait

Create the color scheme of candy corn by layering a clear cup with pine-

Photo by Sarah Sole

From 4-7 p.m. on Oct. 8, The Philip Heit Center for Healthy New Albany will offer a free Halloween celebration that includes treats that are both tasty and healthful.

Costumes are encouraged.

apple and mandarin oranges (or clementine slices) topped with vanilla Greek yogurt. Pieces of candy corn can also be sprinkled on top.

In addition to being a source of carbohydrates, the parfait contains antioxidants from the fruit and protein from the Greek yogurt. (www.familyfreshmeals.com) Christina Szuch is a contributing writer. Feedback welcome at ssole@ cityscenemediagroup.com.

RELATED READS • Healthful snacks for children who play sports • Vending machines that carry healthful options • Good and bad fats • Eating green • Mobile food diaries

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By David Allen

Photos by Sarah Sole

Bountiful Breakfast

Oatmeal serves up valuable nutrients as the first dish of the day

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merican journalist John Gunther once said, “All happiness depends on a leisurely breakfast.”

It’s hard to argue with Gunther.

Longtime knowledge has supported breakfast as the most important meal of the day.

One of the reasons breakfast is so appealing is in its name. Most people go 7-10 hours without eating due to sleep.

During this extended time without nutritional intake, the body breaks down triglycerides and increases glucagon release in the bloodstream for energy.

Breakfast allows for a kick-start – not only to your metabolism, but to your energy. A good breakfast can make or break your daily nutritional profile and your motivation to keep healthy throughout the day.

In that vein, oatmeal has consistently been, for centuries, a staple of the Western world’s breakfast.

Mainstream health critics might argue that oatmeal, like many carbs, 38

is detrimental to one’s health. But whole grain oatmeal, and whole grains in general, have been shown to be healthful in many aspects. Oatmeal has a high level of fiber, which promotes and assists regulation and a healthy digestive system.

In addition, much of oatmeal has a certain type of fiber, insoluble fiber,

which has an extra benefit to the human body. By being insoluble (unable to dissolve), it promotes satiety and can help improve blood glucose, hypertension and obesity.

However, oatmeal can be taken to unhealthful levels. By utilizing refined grains and sugar-loaded toppings, your healthful, obesity-preventing breakfast www.healthynewalbanymagazine.com

“All happiness depends on a leisurely breakfast.”

American journalist John Gunther

can become a dieter’s nightmare — at least, if eaten too often.

For toppings, aim to use whole, unprocessed foods such as fruits, and sometimes even veggies.

When using fruit, look for fruits that have a low glycemic index, as a lower glycemic index promotes satiety by digesting more slowly than foods with higher glycemic indexes.

A wonderful option is utilizing peanut butter on oatmeal. With its high level of unsaturated fat, along with protein and fiber, the topping is a nutritious and delicious option to begin the day.

Other healthful nut butters include pistachio, almond and macadamia.

One should avoid using high sugar alternatives such as processed dried fruit and whipped cream. These digest quickly, and may cause someone to feel hungry very early on in the day. Even oatmeal cookies, long lauded as the unpopular cousin of chocolate chip cookies, can be a wonderfully healthful sweet treat or midday snack.

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Ask the Expert With Hannah Bealer

Finding Relief NCH doctor tackles the causes and warning signs of headaches

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by something else: secondary, in which they are caused by infection or trauma.

The two major forms of primary headaches are migraine and tension-type headaches. In general, tension-type headaches tend to be less severe and less likely to interfere with daily activities than migraines.

Migraines tend to be more severe in nature; often, but not always, throbbing and associated with nausea/vomiting, light and/or sound sensitivity, and dizziness. A small number of people who suffer from migraines complain of an aura, a phenomenon that occurs before the headache, often a visual problem.

But most people do not have auras.

Lastly, a neck injury may cause headaches, something we call a cervicogenic headache. These patients will often complain of pain in the back of the neck going up the back of the head.

EXPERT:

Headache pain can be found in a variety of places around the head, including above the eyes, behind the head, ears, neck, etc.

Does the location of your pain mean anything in terms of cause or prognosis?

Many times headaches, especially minor ones, are perceived as harmless. But can it be a sign of an underlying health problem? How?

Dr. Howard Jacobs

In most cases, no. Doctors have long been taught that migraines tend to be one-sided pain, but in children and adolescents, the pain is more often on both sides and very often across the forehead or behind the eyes. As such, it is often misdiagnosed as sinus pain. Sinus infections can cause pain, but pain is not the only symptom. Sinus infections also cause fever and nasal drainage along with pain. People who state they get frequent sinus headaches likely have migraines.

We may get a bit more concerned about headaches in the back of the head. Headaches in this location are still most likely tension-type headaches or migraines, but can also rarely be a sign of increasing pressure in the back of the head that could be caused by a tumor or other abnormality in the area. Again, though, these are quite rare.

veryone has experienced it a few times in his or her life: a headache.

This annoying and sometimes excruciating pain can seriously impact our well-being and overall happiness.

Dr. Howard Jacobs, attending headache specialist and hospitalist at Nationwide Children’s Hospital, answers Healthy New Albany’s questions on managing headaches, what to look out for when a child has a headache and when it’s time to seek professional help or medication.

What are the differences between a headache and a migraine?

“Headache” is a general term to describe, obviously, pain in the head.

Headaches can be primary, or caused

Dr. Howard Jacobs is an attending headache specialist and hospitalist at Nationwide Children’s Hospital and clinical associate professor of pediatrics at The Ohio State University.

Jacobs has published numerous articles and book chapters on topics relating to pediatric headaches. He has a particular interest in the effect genetics play in migraine therapy and the relationship of weather and migraines. Jacobs and his wife reside in New Albany.

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What about the characteristics of the pain? For example, does experiencing a dull ache as opposed to a throbbing pain mean anything?

Again, classic teaching is that a migraine is a throbbing headache. In adults, this is usually true, but in pediatric patients, the pain may be steadier in nature. So the nature of the pain is not a good diagnostic sign.

A mild headache in the absence of any other signs is likely to be of little concern. However, if there are other associated symptoms, it may warrant further evaluation. Fever, weight loss, lack of appetite, urinary changes, decreased activity, change in mood or behavior, or neurologic issues such as seizure, tremors, weakness or paralysis are all signs that the patient should be evaluated.

Also, a headache that is progressively worsening over time, or a headache that is worse in the morning and worsened by straining, such as having a bowel movement, may suggest increased pressure in the head and should be evaluated.

At what point should someone seek medical attention for his or her pain?

A sudden severe headache or a change in the headache’s sensation should be evaluated. Another good rule of thumb is that if the headaches are inwww.healthynewalbanymagazine.com

terfering with your life, then it is time to get them evaluated so therapy can be instituted to return your (or your child’s) life to normal.

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What are some of the causes of headaches that we might not consider?

People often overlook the obvious – what we call lifestyle issues. Lack of adequate sleep; skipping meals; not drinking enough fluids; lack of exercise; stress at home, work, school or all of the above contribute mightily to headache.

Caffeine use also is a major problem. Caffeine is a double-edged sword.

It has long been used to treat migraines and, on an occasional basis, does have anti-migraine effects, but if taken too often (the daily cup of coffee), it can make headaches worse. This is what is called a medication-overuse headache, which we see in probably half of our patients.

Caffeine, acetaminophen and ibuprofen – in addition to stronger medicines such as morphine, codeine and barbiturates – are likely to worsen headaches if they are taken too often. Unfortunately, people who are suffering from frequent severe headaches often keep taking more and more of these medicines to try to get rid of the pain, without realizing that, in fact, they are making their situation worse. That is when seeking medical care becomes extremely important, to break the cycle and stop the overuse.

Foods are often blamed as being migraine triggers, something that in general seems overrated. I find it seldom makes a huge difference. That said, if tomatoes make your headache worse, don’t eat them.

About 50 percent of women with migraines will note that their headaches are much worse during their menstrual period.

Many people complain their headaches worsen with weather changes.

The headache medicine literature goes back and forth as to whether weatherrelated migraines exist. Regardless of what the literature says, many of my patients tell me that when storms move in, or when it gets really hot, they know they are going to get a headache. In fact, I wrote an article a few years back on a way to treat weather-related headaches. www.healthynewalbanymagazine.com

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What are some natural ways to control headache pain?

Yoga, acupuncture, self-hypnosis and biofeedback have all been shown to help headache pain, but require a commitment and “buy-in” from the patient. If you say “That stuff will never work,” then you’re going to be right.

Eating three meals a day, every day; getting adequate sleep at night without napping during the day; drinking lots of liquids (a good gauge is if your urine is clear); getting exercise and dealing with and, if possible, removing the stresses in your life will go a long way toward improving the headache situation.

There are supplements that may also help. Magnesium has the best evidence, but riboflavin, coenzyme q-10 and the herbals, butterbur and feverfew, all appear to have some effect on migraines. They may take weeks or months to work, though.

What over-the-counter pain relievers do you recommend to your patients? What makes them superior to other medications?

For tension-type headaches, acetaminophen (Tylenol) is often adequate.

Migraines, however, seldom respond to this. Many migraine sufferers get ad-

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At what point does someone need to turn to prescription medication for pain?

When the over-the-counter medicines are not successfully aborting the headache or the headaches recur. Or if the headaches occur more than once a week or last more than a few hours.

What should parents know about headaches in children?

How does a child’s headache differ from an adult’s? What special treatment does the child need?

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equate relief from ibuprofen (Motrin or Advil) or naproxen (Aleve). The key is to take the medicine as soon as possible.

The medicines all work best if taken at the onset of headache pain. However, do not take these medications more than two to three days per week or you may develop a medication-overuse headache.

12/9/12 3:41 PM

Unlike the classic adult migraine, which is one-sided and throbbing, migraines in the pediatric population may be bilateral and may not be described as pounding. Part of this may be the difficulty a child has in describing what is going on, but it also may represent a difference based on the maturity of the nervous system itself.

Every parent who brings a child to the headache clinic is worried to some extent, maybe only a bit or maybe profoundly, that the headache represents a brain tumor. Please be assured that this is rarely the case and that your doctor, a neurologist or a headache specialist understands your concern and will be able to rule it out for you, often without an MRI or CT scan.

Hannah Bealer is an assistant editor.

Feedback welcome at ssole@ cityscenemediagroup.com.

RELATED READS www.healthynewalbanymagazine.com • Ask the Expert: Good and bad bacteria • Ask the Expert: Preserving hearing in children and adults • Ask the Expert: Cosmetic medicine • Ask the Expert: Sleep problems • Ask the Expert: Celiac disease www.healthynewalbanymagazine.com

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