HLN Toledo - January 2014 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

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e lthy l January 2014 â&#x20AC;˘ FREE

Also available at hlntoledo.com

Local CEOs share insights on

Healthcare Trends

Also in this issue: Look your best in 2014! The Art and Science of Beauty Needle your way to weight loss Clean your plate, Johnny A new old house in Savannah

Spiritually Speaking Financial fitness Balloon sinuplasty Nobody's Perfect Eating Well And much more...

Your lab results at your fingertips. Only from Mercy. MyChart. mercyweb.org or 888-987-6372

Look your best in 2014! V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused from prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The Thermage CPT procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging skin on the neck, upper arms, abdomen, and jowls. The Thermage CPT procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis is cooled and protected. This heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. The procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only one treatment, tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain! The Thermage CPT system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crows’ feet, and the “sleepy look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas with resultant diminished Is your dermatologist a dermatologist and is he/she board certified? Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology. Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

lines and a more “wide awake” and less tired appearance. This is also performed with minimal pain with results lasting 5-7 months and longer. The use of fillers such as Restylane, Perlane, Juvederm, Radiesse, and others to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. Dr. Handler’s office now has available a new camouflage makeup that is excellent to cover red or blue veins on the face or anywhere else on the body. It is also very helpful to camouflage and cover

Before

After

blue, red, or yellow bruises from prior cosmetic procedures, and especially useful for facial, neck, and chest redness secondary to the diagnosis of rosacea. Remember; this winter is the perfect time for eliminating unwanted hair of men or women on the face, chest, underarm, back, bikini, and leg areas with a special laser for hair removal. This is done exclusively by Dr. Handler with little pain and NO downtime or restrictions following the procedures. For more information about the above-mentioned procedures or products to reduce the signs of aging, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns regarding these procedures. Also, please visit Dr. Handler’s website at drharveyhandler.com to view many before-and-after photographs of patients who have had these procedures performed. And speak with his office staff to inquire about holiday specials on many cosmetic procedures and products to diminish the signs of aging.

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e lthy l ng ews

January 2014 • Vol. 19, Issue 1

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

TAKING CARE OF YOUR LIFE

2 17 18 20

8 Spiritually Speaking Hope is essential by Sister Mary Thill 11 Keeping financially fit, by Scott D. Brown 13 Maintaining those New Year’s resolutions by Amanda Manthey 14 Health Crossword, by Myles Mellor 27 Heartland Rehabilitation Services asks, “What’s your motivation?” 33 Try tennis as your 2014 fitness resolution by Mark S. Faber, USPTA P-1 41 A Walk in the Park A new old house in Savannah by LeMoyne Mercer

Look your best in 2014! The Art and Science of Beauty has arrived! Preventing and treating pressure ulcers Acupuncture for weight loss by Douglas Schwan, DC, Dipl ac 21 Anxiety: the most common mental disorder among Americans, by Linda L. Smith 22 Mercy Weight Management Center can help you adhere to your healthy resolution 26 Lunchtime sinus surgery in the doctor’s office sound too good to be true? 28 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 30 Can we prevent dementia? by Riaz N. Chaudhary, MD 32 Nobody’s Perfect A simple health resolution by Sister Karen Zi elinski 44 “Aging gracefully” by Carol Klotz 47 The expansion of the American physique by Christa Kantner

FOOD & NUTRITION 35 Eating Well Three steps to better health in 2014 by Laurie Syring, RD/LD 38 A few words from the Diabetic Meal Planner’s kitchen, by Wayne Goodwin

OUR COMMUNITY 4 Area Healthcare CEOs share insights on a dynamic year ahead 9 Toledo Clinic launches Therapy Dog Program for patients receiving chemotherapy 16 Laurels prepares patients for the real world beyond rehab center walls 24 Improving demential talk, by Jessica Derkis 29 Toledo Clinic surgeons launch specialized orthopaedic center 36 ProMedica Wildwood Athletic Club: on the cutting edge of medically based fitness 40 Retirement can be wonderful at Sunset Communities, by Christine A. Holliday

CHILDREN & PARENTING 31 The importance of the newborn hearing screening by Dianna Randolph, AuD, CCC-A 34 The Academy Corner Clean your plate, Johnny! by Lillie Morgan

Dear Readers, Happy New Year and thank you for picking up the January issue of Healthy Living News. With major provisions of the Affordable Care Act now or soon to be in effect, changes and challenges in the healthcare field have been prominent in almost everyone’s thoughts lately. But for healthcare CEOs, change is an ever-present reality. As treatments, technologies, and patient needs continually evolve, healthcare systems must continually innovate and adapt their services to better serve the community. This month, we’re proud once again to share insights from the CEOs of all three of our area health systems on the exciting healthcare changes that lie ahead for our community in 2014 (p. 4). Of course, this is the time of year when we traditionally resolve to make healthier lifestyle choices. If you usually have a hard time getting motivated to adopt healthier habits or have

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trouble sticking with them for the long term, we’re confident this month’s issue contains all the inspiration, encouragement, and information you need to not only choose a manageable resolution, but also adhere to your commitment so you can ultimately reap the rewards. This jam-packed issue also features mustread articles on the Toledo Clinic’s new Therapy Dog Program for chemotherapy patients (p. 9); the new Glass City Orthopaedic & Spine Center, launched by Toledo Clinic orthopaedic surgeons Dr. Jason Levine and Dr. Kraig Kristof (p. 29); the innovative approach of Mercy Weight Management Center, headed up by bariatric surgeon and licensed strength trainer Dr. Matthew Fourman (p. 22); the cutting-edge, medically based programs and services offered at ProMedica Wildwood Athletic Club (p. 36); the state-of-the-art In-Office Balloon Sinuplasty procedure, performed

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by Dr. Oliver Jenkins and Dr. Christopher Perry of the Toledo Clinic ENT Sinus Center of Excellence (p. 26); and the treatment and prevention of pressure ulcers courtesy of our friends at the University of Toledo Wound Care Center (p. 18). While we take great pride in the wide distribution of our hardcopy publication (we’re now the only local publication distributed in every Kroger, Walmart, Andersons, and Giant Eagle store in our area), we’re also extremely proud that our online publication at hlntoledo.com continues to attract new readers every month. We encourage you to visit the site often, as we update its content frequently throughout the month. Until next month, stay safe, active, and healthy!

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Area Healthcare CEOs share insights on a dynamic year ahead

Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

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Publisher Kevin O’Connell Editor Jeff Kurtz Travel Editor LeMoyne Mercer Sales Robin Buckey Layout and Design Jan Sharkey Distribution Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

ealthcare is a complex, everevolving field—and healthcare providers must always be prepared to adapt and innovate in order to continue delivering the most advanced treatments, technologies, and services to patients while promoting healthier communities. To get a sense of what the 2014 healthcare landscape will look like

for Toledo-area residents, Healthy Living News recently posed several key questions to the health system CEOs in our community, including Mercy President and CEO Andrea Price, FACHE; ProMedica President and CEO Randy Oostra, DM, FACHE; and University of Toledo President Lloyd Jacobs, MD. Here are the insights they shared:

Andrea R. Price, FACHE, President and CEO of Mercy What groundbreaking innovations will Mercy be launching/introducing in 2014? One of the most impactful innovations at Mercy that will have farreaching benefits to patients and physicians is our complete alignment to one electronic health record. By March 2014, all Mercy physician practices and hospitals throughout Northwest Ohio will be connected to the single electronic health record, CarePATH, established by our parent company, Catholic Health Partners (CHP), and built on the nation’s leading Epic technology platform.

Whether patients visit one of our employed or CarePATH-contracted physician practices, outpatient centers, or hospitals, their medical record will follow them and be readily on-hand. When time is crucial, caregivers can make informed medical decisions utilizing each patient’s available electronic record without having to make multiple phone calls to obtain key medical information or perform potentially duplicate tests. This one-source record uniquely positions Mercy for advancing comprehensive, cost-effective care to not only provide episodic care, but to

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also manage groups of patients and keep them healthy. As the leading electronic health record tool in the United States, the Epic technology is critical in supporting our healthcare system as we focus on providing the full range of care needed to keep people healthy, treat illness, and manage disease. Equally innovative is CarePATH’s patient-facing portal, MyChart. As physicians and patients create a partnership for health and wellness, patients can stay engaged with their health and access their health information anytime, anywhere, even on their smart phone. Through this secure tool, patients can communicate directly with their doctor’s office online and get answers to medical questions, manage appointments, view test results, request prescription refills, and easily keep track of and manage their and their family’s overall health. For patients and their care providers, this technology offers an opportunity for greater engagement in managing health, provides seamless care for patients, and gives instant access to Mercy care providers to enhance the delivery of healthcare. What do you see as the biggest healthcare challenge facing our community going forward, and how is Mercy rising to meet that challenge? Healthcare is in the midst of profound change, moving from a care model where the delivery is more fragmented to one where the patient is truly at the center. From that center, physicians will manage care and direct patients to the resources they need to keep them healthy, manage chronic disease, and treat illness or injury. In this new model of health delivery, the key is about care coordination with patients and their care providers working together as one cohesive team. For Mercy and CHP, as stewards of the resources entrusted to us, we are focused on continuing to lead through our unwavering commitment to excellence and compassion for our community right here in Northwest Ohio. Through enhancing physician partnerships and creating a clinically integrated network of care for all patients and their families, we will deliver better care and keep people healthier more efficiently.

Randy Oostra, DM, FACHE, President and CEO of ProMedica With the Affordable Care Act soon to be in full swing, how is ProMedica adapting to the changing healthcare landscape in order to continue meeting the community’s needs? We are seeing extraordinary changes in the way we deliver health care in our country. Even prior to the passage of the Affordable Care Act, we recognized the economic challenges of the healthcare industry accounting for a significant portion

of the gross domestic product. It was simply a financial model that was not sustainable. Despite the changing healthcare landscape, our focus remains on our Mission to improve the health and well-being of the communities we serve. We have been proactive in identifying ways to enhance efficiencies and lower costs while providing high-quality, safe, and compassionate patient care. For example, by utilizing electronic health records, we are able

You can get healthier by doing the right things. And the best way to start is a physical with your ProMedica doctor. Get on the road to living a long healthy life. Remember to schedule your physical with a ProMedica doctor today.

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As we build the healthcare model our community the very best of our of the future, patients and their famivery best; localizing resources—new lies need to know that our mission locations, new services—throughout remains at the center of everything our community so that we can prowe do at Mercy. For 158 years, Mercy vide the services that people need has worked to extend the healing most often where they live; and lastly, ministry of Jesus by improving the a coordinated team approach to a health of our communities. Having patient’s health and well-being. this longstanding mission at the heart Mercy Medical Center-Perrysburg of Mercy allows us to reinvent our is a recent example that merges our approach to healthcare three interconnected elein ways that not only ments. In the last 10 years, sustain our ministry, but Perrysburg and northern also create a better expeWood County have seen rience for our patients a 20 percent population and staff, while improvgrowth. Yet, there was ing the overall health of no access to emergency our communities. care in the community. A key example of this That changed in Novemreinvention stems from ber 2013, when Mercy the results of the 2011 opened the region’s first Lucas County Health freestanding, hospitalNeeds Assessment and quality emergency room Andrea R. Price Mercy’s work on adin Perrysburg. It provides dressing those needs. highly specialized servicThe assessment offered an eye-openes, is centrally located for the growing ing perspective on the health status community with quick access for and needs of our county and the EMS providers, and provides a coorcounties surrounding us. As a comdinated approach to emergency care munity, we are focused on five key including Life Flight transport when areas: addressing health disparities, required. Backed by Mercy’s highly increasing access to care, increasing regarded emergency medical care youth safety, promoting healthy livphysicians, services, and technology, ing, and decreasing tobacco use. the new ER serves all ages of patients At Mercy, we’re approaching sowith comprehensive emergency care, lutions through essential programs 24 hours a day, seven days a week. and initiatives, such as the Mercy At the center of our focus is a coorSt. Vincent Home Visitation prodinated, clinically integrated network gram. Because we understand that of care where the care relationship a healthy community starts with a is a partnership between patients healthy home, our program focuses and the doctors, nurses, and staff on weekly home visits to help nurmembers who make up their care ture child development, parenting team. All members of the team are education, and support. focused on coordinating their efforts to achieve better outcomes more effiWhen you look to 2014 and beyond, how ciently and to get our patients feeling do you see Mercy’s role in promoting a better and back to their families and healthy community evolving? lives quickly and with better health. And at the end of the day, an enThe overarching vision for Mercy has gaged healthcare team and patient three interconnected elements: the will result in a healthier community concentration of specialized services for us all. into centers of excellence that give

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Study finds renal artery stent procedure leads to similar outcome when compared to medication-only therapy NIH-funded research finds patients with high blood pressure and narrowed renal artery do not benefit from stenting procedure A commonly used stenting procedure to treat plaque build-up in the renal artery appears to offer no significant improvement when added to medication-based therapy, according to results from a new National Institutes of Health-funded study. The narrowing and hardening of one or both renal arteries, known as renal artery stenosis, occurs in 1 to 5 percent of people who have hypertension, or high blood pressure. The findings were presented at the American Heart Association (AHA) 2013 Scientific Sessions in Dallas, Texas on November 18, 2013 and appeared concurrently in the New England Journal of Medicine. Renal artery stenosis can lead to conditions including chronic kidney disease, coronary artery disease, and stroke. Effective treatment of this condition can improve blood pressure control, stabilize kidney function, and reduce incidence of serious cardiovascular events. “Demonstrating the ineffectiveness of certain medical procedures can be as valuable as proving the effectiveness of treatment techniques,” said Dr. Michael Lauer, director of the Division of Cardiovascular Sciences in the National Heart, Lung, and Blood Institute, which supported the study. “The findings from this study could help change clinical practice by encouraging health care providers to avoid unnecessary stenting procedures when treating renal artery stenosis.” According to the study’s researchers, between 1996 and 2000 there was a 364 percent jump in renal artery stenting procedures for Medicare beneficiaries. The procedure involves inserting a metal mesh tube into an artery to open the clogged passageway. An estimated 78 million Americans have hypertension, according to the AHA, and as many as 3.9 million people in the United States may have renal artery stenosis. “Renal artery stenting for this condition

remains a common practice because while several, smaller studies showed negative results, other research has suggested the procedure may help lower blood pressure and stabilize kidney function,” said Dr. Christopher Cooper, lead author of the study and Chairman of the Department of Medicine at the University of Toledo Medical Center. “Our larger study demonstrates that this procedure offers no incremental benefit when added to treatment with medication.” The Cardiovascular Outcomes in Renal Atherosclerotic Lesions study, known as CORAL, studied 947 patients whose plaque build-up in the renal artery narrowed the blood vessel by 60 percent or more. Participants, whose average age was 69, also had either systolic blood pressure of 150 mmHg or higher while taking two or more drugs or Stage 3 chronic kidney disease. Researchers from more than 100 institutions randomly split participants into one group that received medical therapy and another group that received a stent plus medical therapy. The research team examined the effect of the two treatment options on a combination of cardiovascular and renal outcomes that included death from renal or cardiovascular causes; heart attack; hospitalization for congestive heart failure; progressive renal insufficiency; or renal replacement therapy. During an average follow-up period of 43 months, researchers found that 35.1 percent of patients who received medical therapy and stents experienced one of the negative endpoints versus 35.8 percent of patients who received medication alone. Related Resources: - Clinical Trials.gov CORAL page http://www.clinicaltrials.gov/ct/show/ NCT00081731 - CORAL Home Page http://www.coralclinicaltrial.org/ - What is atherosclerosis? http://www.nhlbi.nih.gov/health/ health-topics/topics/atherosclerosis/ - What is high blood pressure? http://www.nhlbi.nih.gov/health/ health-topics/topics/hbp/

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clinical research study? The Jacobson Center for Clinical & Translational Research at the University of Toledo Medical Center is participating in over 65 enrolling clinical research studies.

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to improve care and care coordination, ensure the privacy and security of personal health information, and reduce health disparities. What groundbreaking innovations will ProMedica be launching/introducing in 2014? We are excited to introduce the ProMedica Mary Ellen Falzone Diabetes Center in the spring of 2014. In the United States, 25.8 million children and adults—8.3% of the population—have diabetes. Among adults, those numbers are 10.1% and 9.2% respectively in Ohio and Michigan. This center will be the first of its kind in our region, addressing this chronic disease. We are also moving forward with ProMedica’s alliance with Cleveland Clinic. In 2014, representatives from both health systems will begin laying the groundwork to create a clinicallyaligned network that will provide safe, high-quality care, advanced technology and clinical services, and better access for residents of Northwest Ohio. What do you see as the biggest healthcare challenge facing our community going forward, and how is ProMedica rising to meet that challenge?

have access to healthy food. Hunger and malnutrition can lead to chronic health conditions for children and adults, including diabetes, heart disease, and obesity. Through our Come to the Table initiative, ProMedica will continue working with community partners to build on a number of programs that were launched in 2013, including: • A hunger screening program that identifies patients who need food and connects them to community resources for further assistance and even provides an emergency food supply. • Providing convenient access to fresh fruits, vegetables, whole grains, and low-fat dairy products in area food deserts. • ProMedica’s food-reclamation program in partnership with Hollywood Casino. And on February 27, 2014, ProMedica will partner with The Alliance to End Hunger to host a half-day hunger summit in Washington, D.C., to encourage other healthcare organizations to address hunger as a health issue and federal legislators to protect food-related programs and policies. When you look to 2014 and beyond, how do you see ProMedica’s role in promoting a healthy community evolving?

As we all know, good health depends on eating well, staying ProMedica will continue to Randy Oostra active, not smoking, focus on our caring Mission and getting regular to improve health and wellcheckups. However, our ability to do being beyond the walls of our facilithis depends on our economic and ties. It may seem counterintuitive, but social conditions. In order to achieve we are going to place a heightened our Mission, we must understand the emphasis on keeping people healthy social determinants of health that are and out of the hospital. prominent in our region. One of the Through population health, Probiggest healthcare challenges that we Medica aims to proactively manage have identified in our region is hunthe health of distinct populations. ger. Hunger can have a significant The goal will be to provide coordiimpact on a person’s health. Nearly nated care, support a better quality a quarter of families in Northwest of life, improve health outcomes, and Ohio and Southeast Michigan do not reduce admissions and readmissions. Lloyd A. Jacobs, MD, President of The University of Toledo With the Affordable Care Act soon to be in full swing, how is UTMC adapting to the changing healthcare landscape in order to continue meeting the community’s needs? Even going as far back as when The University of Toledo Medical Center was still the Medical College of Ohio, the hospital has been adapt-

ing constantly to stay ahead in a dynamic healthcare industry. We’ve built strong, high-quality programs that stress the full continuity of care for patients from when they first enter UTMC to follow-up visits to prescription drug counseling. We’ve aggressively moved forward with implementing a comprehensive digital patient record keeping

system that ensures and about disease, and greater security and for some patients, their confidentiality, better conditions were just beaccuracy, and increased yond our understandspeed and efficiency. ing of medicine. While We have achieved, well we clearly still have and in advance of the 2014 will always have a great deadline, meaningful deal to learn, logistics use level one—a piece of has now replaced knowlfederal jargon defining edge as the limiting facreal goals and emphator. We will never be able sizing the importance to do all we know how of electronic medical to do for every patient Lloyd A. Jacobs record keeping. in need of care because We also established we simply do not have the first Accountable Care Organithe resources, be they doctors and zation in Northwest Ohio, a direct clinicians, equipment, time, or the outgrowth of the Affordable Care Act financial means. designed to ensure all physicians, cliThis is especially true as the baby nicians, specialists, and subspecialists boomer generation retires and the have a complete view of a patient’s need for care increases while remedical history, resulting in less resources stay flat or even decline in dundancy and more affordable care. some cases. I do not mean this to be unhappy news; it is a tremendous What groundbreaking innovations achievement by the medical and will UTMC be launching/introducing science researchers that we have in 2014? learned all we have. Medicine is a human pursuit, In 2013, UTMC opened the Gardnerand as such it will never be perfect. McMaster Parkinson Center and the But UTMC always will strive for Eleanor N. Dana Cancer Center, two perfection. It is the implementation clinical facilities that are unique in of electronic medical records, the Northwest Ohio and represent some drive to eliminate redundant mediof the most advanced neurological cal testing, the simulator training for and oncological care. students and accomplished clinicians, In 2014, look for more advancethe team-based care that ensures all ments in these areas as well the grand clinicians know the complete medical opening of the Interprofessional Imhistory of a patient—it is these admersive Simulation Center (IISC). vancements and efficiencies that will Each and every year, one of this help ensure as many patients as posinstitution’s most important contribusible are receiving the most advanced tions to our community’s health is a care we know how to provide. new class of professional healthcare providers. When you look to 2014 and beyond, how At UTMC now, and increasingly do you see UTMC’s role in promoting a in the future, medicine is and will healthy community evolving? be a team effort. The age of the true solo practitioner is over. With the Academic medical centers set the bar IISC able to provide virtual reality for standards of care in their commumedical cases, UT medical students, nities, and that is a responsibility we nurses, pharmacists, therapists, and always have been proud to assume. others will all graduate having far UTMC continues to provide the highmore practice, training, and experiest quality care at the lowest cost, and ence working as a team. This means competition created by that very high fewer errors for patients, less money clinical standard ends up benefitting spent for on-the-job training after all who seek care in Northwest Ohio. graduation, and a healthier comThe health of this community munity. The importance of simulator always will depend on our productraining for medical students cannot tion of the healthcare workforce, and be overstated. thanks to the IISC, UT graduates will have far more advanced skills when What do you see as the biggest healthcare they begin their careers than many challenge facing our community going of their peers from other instituforward, and how is UTMC rising to tions. UTMC and the UT Colleges of meet that challenge? Medicine and Life Sciences, Nursing, Pharmacy and Pharmaceutical SciUp until several decades ago, knowlences, and Health Science are pillars edge used to be the limiting facof this community’s ongoing health tor in health care. We only knew and wellness, and we are proud and so much about the human body privileged by the position we fill. ❦

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Spiritually Speaking Hope is essential Hope is essential to generate the needed warm temperature and loving atmosphere required to ensure that the forces of cynicism, greed and violence do not suck the life out of the divine dream birthing in you.

—Edward Hays

Prayer is hope’s breathing. When we stop praying, we stop hoping.

—Pedro Casaldaliga

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t’s a brand-new year, a brandnew month, a brand-new week, a brand-new day—let’s make the most of it. Let’s be people of hope—a virtue, a quality, a grace much needed in these troublesome times. I don’t know about you, but I’ve become aware of challenges and issues in our modern society that I never knew existed or never imagined happening in my own backyard. Let me share with you some of the challenges I think we will see become more and more prominent in this new year. Human trafficking has been around for centuries. It may have had different names in different times, but it is what it is—using human beings, often very young girls and boys, for the pleasure of grown men and women. I was amazed to discover that it is very common in hotels and motels during big sports events like the Super Bowl and the Olympics, not to mention other times and even right here in Northwest Ohio. As a matter of fact, our region is known for its human trafficking, especially along the turnpike (rest stops), in gas stations (where truckers

stop), and along stops on I-75. More and more media coverage has been given to this problem, and more and more people have become aware of the toll it takes on the lives of the very young and their families. We have a few programs and shelters in our area for women and girls who are trying to get out of this form of slavery. There are Sisters in my Order who are part of a local committee working on legislation and programs to help these vulnerable and broken women and girls. The Sylvania Franciscan Sisters, of which I am a member, came to Toledo in 1916 to help teach the Polish immigrants in the Catholic schools. Immigration reform is an important part of our community discussion these days, especially as it has come to the forefront in the media. The US Catholic Bishops have asked our Congress to be aware of the important role the immigrants play in our daily lives by working in the fields picking the food we eat, cleaning hotels and convention centers, preparing and serving in restaurants, and caring for the sick and elderly in our hospitals and nursing homes. To even think of not giving these hard-working people the dignity of a living wage so they can be part of the society in which they live is inhuman to say the least. To continue to treat them as foreigners, as aliens, and to use them to do the work we don’t or won’t do is a sad commentary on this country that began as a nation of immigrants over 200 years ago. Pope Francis has certainly awak-

     

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ened our world to the needs of the let them tell their story and ask for poor. He is an example himself of forgiveness, a prayer, and a blessing. one who reaches out to the poor, the The challenge in this New Year homeless, the sick, and the elderly. that lies before us is to be people of They say he goes out at night and hope. We need to be people who visits the homeless and those he finds generate the warm temperature and who need someone to loving atmosphere that talk with or to listen to Prayer is hope’s Ed Hays speaks of in them. I’m sure there are breathing. When we the quote above. We those who would ask need to be people who stop praying, we why he doesn’t house work against the forces the poor in the Vatican of cynicism, greed, and stop hoping. somewhere or build violence in our world. —Pedro Casaldaliga places for the sick and We need to be people of the elderly nearby or prayer because as Pedro take the money and treasures from Casaldaliga says, Prayer is hope’s the Vatican and use that money to breathing. When we stop praying, we give to the poor. I think they miss stop hoping. The world, the country, the point of his actions. He knows and we need hope! Blessings on all that people need shelter and matethe hopeful among us! Amen! ❦ rial things, and he is providing what society often forgets or neglects to give Sister Mary Thill is a Sylvania Franciscan these most vulnerable folks—someone Sister. She is Patient Liaison for Mature who is not afraid to touch them, to Health Connections at Mercy St. Vincent embrace them, to really listen and Medical Center. She can be reached at talk with them, someone who will 419-251-3600.

Toledo Clinic launches Therapy Dog Program for patients receiving chemotherapy

he Toledo Clinic Oncology and Hematology Clinic is pleased to announce the introduction of our new Therapy Dog Program. For weeks, we have experimented with bringing in Therapy Dog Volunteers to boost the morale of patients. Our initial goal with starting the program was to create an environment that reduced the anxiety of patients receiving chemotherapy. “Not only have we found this to have a positive effect on the people who come to Toledo Clinic for treatment, but our staff has also benefited from having man’s best friend around,” states Angela Boudouris-Powers, a rep from the Toledo Clinic Oncology and Hematology Clinic. Though many people think of clinics as a place you go when something is wrong, that need not mandate a negative atmosphere for patients. The Therapy Dog Program at the Toledo Clinic has helped us solve just that. Regular visits from

Therapy Dogs and their volunteer handlers provide an exciting spark to the office atmosphere. Many patients who are undergoing chemotherapy, or are waiting to begin their treatment, love the interaction and have found that it not only takes their mind off why they are here in the first place, but also becomes a focal point of laughter and conversation. The positive effect on patients as well as staff is undeniable. Looking ahead, we’d like to utilize this program more, potentially in other divisions of the Clinic, given its clear-cut ability to raise staff and patient morale in the Toledo Clinic’s Hematology and Oncology departments. In doing so, we’d like to raise awareness of the Therapy Dogs International Organization, because without them, none of this would be possible. Therapy Dogs International is always looking for volunteers or donations. Find out more at www. tdi-dog.org.

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Keeping financially fit by Scott D. Brown

chieving financial success is no simple matter. It takes hard work, perseverance, and adherence to strategies of saving, investing, and managing your finances. Just as there are good habits associated with staying physically fit, there are also best practices involved with keeping financially fit. Simple strategies such as using debt wisely, taking advantage of tax-advantaged investment vehicles, and monitoring spending habits all go a long way toward helping you achieve your personal, business, and financial goals. Consider the “financially fit” best practices below. If you are not already doing them, consider how they could improve your financial picture.

Reduce and manage debt Consider how much you spend on debt service for mortgages, auto loans, credit cards, and student or other loans. Lenders typically look at two metrics when deciding whether or not to extend credit: the front-end and back-end ratios. The front-end ratio shows what percentage of your income goes toward housing expenses, including mortgage payments, real estate taxes, homeowner ’s insurance, and association dues. The back-end ratio shows what portion of your income is needed to cover all of your monthly debt obligations, 10.25x4_ES_USNewsAd_HL_513.pdf 12/18/13 including housing, credit card bills,

car loans, student loans, and other debt service. Most lenders look for a front-end ratio of no more than 28% and a back-end ratio of 36% or less.1 Develop a plan for eliminating credit card debt. Credit card debt is one of the most expensive debts you can carry. Interest rates often top 18% on existing balances. Paying off just $100 more per month on a $5,000 balance could pay off the entire balance in 32 months instead of 94 months, saving almost $3,000 in interest (assuming an interest rate of 18% and a 2% minimum monthly payment).2 Check your credit report. Credit reports offer a snapshot of how the world views your “creditability.” Credit scores range between 300 points and 850 points, and most fall between 600 and 750. A score above 700 usually suggests good credit management.3 You can request a free copy of your credit report once each year from each of three major credit reporting agencies—Equifax, Experian, and TransUnion—at AnnualCreditReport.com.

Set a budget and track monthly spending. This is one of the most effective ways to control your costs. The simple act of recording expenses forces you to think about them and to see exactly how much you are spending on a given item on a monthly or annual basis. A $5 latte at the local coffee shop may seem insignificant

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on its own, but if you buy one five days a week, that adds up to over $100 per month and $1,200 per year. Pay bills on time using online recurring services. Online bill payment saves time and postage and lets you avoid late fees by automating payments for many services. Timely bill payment also factors in your credit score. According to FICO, credit history accounts for about 35% of your

Source: Experian, www.experian.com/ 10:35:55 AM credit-education/what-is-a-good-creditscore.html.

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credit score.4 Cancel recurring expenses you don’t use. Many services today are purchased on a subscription basis, with monthly charges and automated annual renewals. That includes club memberships, gyms, newspapers, magazines or online publications, not to mention cable TV and phone service. Taken individually, none of these expenses may amount to a lot, but when looked at collectively over the course of a year, they can be surprisingly high. Consider how often you use these services or if they can be renegotiated with the provider by reducing elective options.

Save more by using tax-deferred accounts Contribute the maximum to your 401(k) or other employer-sponsored retirement plan. Your company retirement savings plan offers one of the best ways to save for retirement. Contributions to traditional plans are tax deductible, and earnings are tax-deferred. And in many plans, employers will match a portion of your contributions. In a 401(k) plan, employees can contribute up to $17,500 4

Source: Fair Isaac Corporation, 2013, www. myfico.com/crediteducation/whatsinyourscore. aspx.

in 2013. Individuals aged 50 or older can contribute an additional $5,500.5 Contribute to an IRA. Contributions to a traditional IRA may be deductible, so they may reduce your taxable income. Contributions to a Roth IRA are after tax, but distributions are tax free when you retire. Whether or not you can contribute to a Roth is based on your Adjusted Gross Income. Traditional and Roth IRA contribution limits for the 2013 tax year—which may be made up until April 15, 2014—are $5,500 per individual and $6,500 for those aged 50 or older.6 Note that deductibility of traditional IRA contributions phases out above certain income levels, depending upon your filing status and if you or your spouse are covered by an employer-sponsored retirement plan. Look into a Health Savings Account (HSA). If you have a high-deductible health plan, you may be able to contribute to an HSA. These accounts let you set aside pre-tax money to pay for healthcare costs not covered under your plan. The maximum contribution to an HSA for 2013 is $3,250 if 5

Source: Internal Revenue Service, www.irs.gov/ uac/2013-Pension-Plan-Limitations. 6 Source: Internal Revenue Service, www. irs.gov/Retirement-Plans/Plan-Participant,Employee/Retirement-Topics-IRA-ContributionLimits.

you have single coverage, or $6,450 if you have family coverage. No income limits apply to HSAs, and funds do not have to be used in a given year. HSAs are offered through banks or other financial services companies and may be available as part of your employer benefits package. For more information, see IRS publication 969 Health Savings Accounts and Other Tax-Favored Health Plans.7

Plan for the future Set aside money for emergencies and retirement. Whether through contributions to an employer plan or automated payroll deductions to a savings or investment account, making regular, systematic contributions is the easiest and most effective way to save over time. And when it comes to saving, time is your ally because of the power of compounding, so the earlier you start, the more you’ll save. Create a will. Especially if you have children, a will serves not only to specify executors and beneficiaries of your estate, but also to designate guardians for minors. If you die without a will and have minor children, the probate court will appoint a guardian for them, and there is no guarantee 7

Source: Internal Revenue Service. www. irs.gov/pub/irs-pdf/p969.pdf.

that the court’s appointment of a guardian will coincide with your own wishes. Review your beneficiaries annually. This includes your will, insurance policies, and retirement accounts. Keep in mind that an account with a designated beneficiary is not included in your estate for distribution purposes. It is distributed to the designated beneficiary. So you will want to make sure your account beneficiaries are coordinated with named heirs in your will. ❦ If you’d like to learn more, please contact Scott Brown, First Vice President, Financial Advisor, Morgan Stanley Toledo, OH, at 419-842-5312. Article by Wealth Management Systems, Inc. and provided courtesy of Morgan Stanley Financial Advisor. The author(s) are not employees of Morgan Stanley Smith Barney LLC (“Morgan Stanley”). The opinions expressed by the authors are solely their own and do not necessarily reflect those of Morgan Stanley. The information and data in the article or publication has been obtained from sources outside of Morgan Stanley and Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of information or data from sources outside of Morgan Stanley. Neither the information provided nor any opinion expressed constitutes a solicitation by Morgan Stanley with respect to the purchase or sale of any security, investment, strategy or product that may be mentioned. Tax laws are complex and subject to change. Morgan Stanley Smith Barney LLC (“Morgan Stanley”), its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice and are not “fiduciaries” (under ERISA, the Internal Revenue Code or otherwise) with respect to the services or activities described herein except as otherwise agreed to in writing by Morgan Stanley. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Individuals are encouraged to consult their tax and legal advisors (a) before establishing a retirement plan or account, and (b) regarding any potential tax, ERISA and related consequences of any investments made under such plan or account. Morgan Stanley Financial Advisor(s) engaged Healthy Living News to feature this article. Scott Brown may only transact business in states where he is registered or excluded or exempted from registration http://www.morganstanleyfa.com/ thefadel-browngroup/.Transacting business, follow-up and individualized responses involving either effecting or attempting to effect transactions in securities, or the rendering of personalized investment advice for compensation, will not be made to persons in states where Scott Brown is not registered or excluded or exempt from registration. Morgan Stanley Smith Barney LLC. Member SIPC.

Your Financial Future: Will You Be Ready? Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex. As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs. Please call me to arrange a meeting about your wealth management needs. Scott D. Brown First Vice President Financial Advisor 7124 W. Central Ave Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/thefadelbrowngroup/

• Equities, fixed income and mutual funds • Trust and estate planning services • Alternative strategies • Individual Retirement Accounts • Brokerage services • Business financial services • Lending services • Financial planning services

The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Morgan Stanley Smith Barney LLC, its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters. Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, not a bank. Where appropriate, Morgan Stanley has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services. Banking and credit products and services are provided by Morgan Stanley Private Bank, National Association, Morgan Stanley Bank, N.A. or other affiliates. Investment services are offered through Morgan Stanley Smith Barney LLC, member SIPC. Unless specifically disclosed in writing, investments and services offered through Morgan Stanley are not insured by the FDIC, are not deposits or other obligations of, or guaranteed by, the Bank and involve investment risks, including possible loss of principal amount invested. © 2012 Morgan Stanley Smith Barney LLC. Member SIPC.

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Mainting those New Year’s resolutions by Amanda Manthey

ne month almost down and eleven more to go. Is keeping that New Year ’s resolution harder than you thought? If your resolution entailed improving your general health by exercising and you already feel you are on the downhill stretch, follow these easy, uplifting tips. Most of us lose interest in a daily workout because it is too boring, too long, or we are short on time. We all battle the workout blues at one time or another. First, reevaluate your New Year’s resolution so it is attainable and fits your personal fitness expectation. Develop three levels of workout routines to maximize your goals, and create an organizational hierarchy based on your abilities. The three levels will be labeled minimal workout, moderate workout, and exceptional workout. The key ingredient is to listen to

your body and do only what you are capable of dong. On the days when your body feels energized and more time is available, your workout can be more intense and longer. On the days when your body is sore and time is limited, your workout can be less intense and shorter. Rather than saying, “I’ll do it tomorrow,” reduce the workout and use your three-level workout routines as a quick guide. Remember, you do not want to start over. Reducing your workout instead of skipping a workout maintains consistency and continues to build stamina. Here are a few ideas when time is limited and some form of exercise is better than no exercise: • Reduce your cardio minutes if time is limited, or reduce your resistance or speed if lacking motivation, whether it is on a

machine at the gym or running outside. • When strength training, choose machines or strengthening exercises that will target two or more muscle groups. This may entail combining two or more exercises into one exercise. This can be more efficient and less time-consuming if done correctly. Consistency is the key to a successful New Year’s resolution. If the workout blues are approaching, reevaluate your situation and make adjustments to your workout routine. You might need to alter your longor short-term goals so that they are attainable fitness goals. Remember, don’t give up and keep a consistent workout lifestyle even if it is minimal. It will leave you feeling great each and every day and one step closer towards accomplishing your New Year’s resolution. ❦ Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Running Shop.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community

events sponsored by Dave’s Performance Footgear. For more information on any event, please visit davesrunning.com.

Dave’s Running Spring Marathon Training Tuesday, January 7, 2014-Sunday, April 27, 2014 at 5100 W. Central Avenue in Sylvania, Ohio. Dave’s Marathon Training Group gives you the benefit of personal coaching through a training plan designed to enable you to achieve your goal. The marathon and halfmarathon program will begin the first week of January, and the 5K program will start the first week of March. The Glass City Marathon/5K will be the focus of all the programs offered. Each program will have different pace groups to meet your needs and assigned coaches for each group. Come out and join hundreds of other runners just like you. Included in the program will be a Saucony gender-specific jacket and Saucony Tech Tee for the half and full marathoners. All half and full marathoners will also receive a coupon book with incredible in-store discounts. The 5K runners will receive a Saucony Tech Tee. Prior to the start of the training programs, you will receive a welcome

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letter regarding the logistics of the training. Best of luck, and thanks for allowing Dave’s Running the opportunity to coach you. For more information, please email jeff.taylor@davesrunning.com.

Dave’s 10-Miler/5K Sunday, January 12, 2014, 2:00 p.m. at 605 Taylor Street in Delta, Ohio. Dave’s 10 Miler was started in 1974 by Dave himself and has happened every year regardless of the unpre-

dictable weather. At the race, we have seen highs of 65 degrees to blizzard conditions and ice on the road, so be sure to dress for the weather. The course starts at Delta High School and loops through the beautiful countryside of Delta, Ohio. After the race, stay and enjoy some hot chicken noodle soup, sandwiches, and the shower facilities. Great training run for spring marathons! For more information, please email alenburke@ gmail.com.❦ ❦

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Laurels prepares patients for the real world beyond rehab center walls

trengthening weakened muscles, improving range of motion, restoring balance, and bolstering the skills needed to manage activities of daily living are among the many aspects of rehabilitation that physical and occupational therapists must address with clients before transitioning them back to their normal lives. But at the Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, the process of putting rehab guests on the pathway back to their home and community doesn’t stop at the front door. Through their innovative Home Evaluation and CommunityReentry programs, the Laurels therapy team takes guests’ rehab beyond the facility walls and right out into the real world. Just ask Phyllis Dowell. She was referred to The Laurels for physical and occupational therapy following knee replacement surgery. Dowell was having significant problems with her knees, her left knee giving her more pain than the right. After evaluating the problem, her doctor remarked, “I’ve got some bad news for you. You’re going to need a knee replacement.” Asked which one, he replied, “It doesn’t matter; both are

bone-on-bone.” Dowell told her doctor. “I’ll make a deal with you. If it gets to the point where I can’t walk or the pain is really bad, I’ll have the operation.” Eventually, Dowell reached that point and proceeded with the surgery, having her left knee replaced on October 28 by orthopedic surgeon Dr. Robert Kalb. Arriving at The Laurels, Dowell’s individualized physical and occupational therapy began in earnest at 7:00 a.m. on day one. Prior to surgery, she was fully independent and able to drive, so the goal was to restore her prior level of function and independence. The rehab was intense, but Dowell kept her sense of humor throughout. For the first three weeks, she needed to use a wheelchair. When her function improved to the point where she could transition from that familiar wheelchair to a walker, she joked, “What? You’re going to take away my brother?” She made a similar jest when two weeks later she transitioned from the walker—which she had dubbed “her sister ”—to a straight cane. During Dowell’s initial evaluation, the Laurels therapy team discovered

a few “red flags” that needed to be extension cords; proper function of explored further. One was that Dowell smoke detectors; the height of furnilived alone on the third floor of her ture (e.g., is a couch or chair too low apartment building. The other was for the patient to get up?); access to the fact that she was sleeping in a appliances; the need for handrails, reclining chair every night. grab bars, or non-slip surfaces; ac“So the first thing we did was percess to a phone; proper illumination; form a home assessment and make and much more. “Then we can offer a priority list of what Phyllis needed any suggestions for modifications or to attain to make her transition home adaptive equipment that will make safe, which included additional furthe home safer and more accessible,” nishings,” explains Christina Nickle, a says Laurels physical therapy assistant licensed certified occupational therapy Justin Bates. assistant at The Laurels. “Then we came Just as therapy doesn’t end at the back, discussed her rehab center’s doors, situation as a team, community reentry and developed a isn’t limited to the community-reentry familiar environment plan for her.” of the patient’s home. During a home A much bigger world assessment, the awaits out there—so Dowell’s innovative therapy team evaluates all diftherapy team used ferent aspects of her need for addithe home’s safety tional furnishings and accessibility, as an opportunity for example, the to present her with number of steps some unique chalboth inside and lenges. “We took out; the presence Phyllis on a shopof clutter and trip- The Laurels therapy team works with rehab ping trip,” says Bates. ping hazards such guests in both indoor and outdoor environ- “We told her she had as throw rugs or ments. one hour, got on a

bus, and went to the furniture store.” The shopping excursion helped improve Dowell’s functional mobility in both outdoor and indoor environments, beginning with the bus ride, which required her to climb and descend stairs. Outdoors, she was challenged with walking on icy sidewalks and uneven surfaces. While shopping and picking out furniture at the store, she had to maneuver around obstacles, sit down and get back up while trying out furnishings, walk and scan from side to side, and even navigate some unexpected stairs and inclines in the floor (with a little help from Nickle and Bates)—all skills

that she’ll need to call upon in other real-world environments as well. Having completed her inpatient therapy at The Laurels, Dowell is now looking forward to returning for additional rehab on an outpatient basis. She hopes that with the assistance of the Laurels therapy team and state-of-the-art facilities, she’ll soon be walking completely unassisted. ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

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The Art and Science of Beauty has arrived!

elcome “The Aesthetics Group!” The Art and Science of Beauty is finally here for NW Ohio and SE Michigan! Linda Recker, founder and CEO of The Aesthetics Group, is a licensed managing aesthetician and certified permanent cosmetic professional. She is now doing exactly what she has wanted to do for the last 15 years. New beginnings is ultimately why a butterfly was chosen as the group’s logo; it’s a symbol of transformation. We take the time to really know our clients, their lifestyles, passions, needs, and desires. We are very passionate about making your visit with us enjoyable and result oriented. The Aesthestics Group’s Medical Director is David Baehren, MD. He grew up in the Toledo area and earned his MD at the Medical College of Ohio (now the University Of Toledo College Of Medicine) in 1986. He completed his residency in Emergency Medicine at The Ohio State University and served as chief resident. Dr. Baehren is board certified and is certified to perform liposuction and facial injections. He founded Rejuvenation Cosmetic Laser Center in 2009 and is thrilled to join Linda, Brandi, and Cortnie to collaborate in The Art and Science of Beauty at The Aesthetics Group. The other members of the group include Brandi Marroquin, a licensed managing aesthetician and professional makeup artist. She has been in the beauty and dermatology industry for 15 years. Her specialty is professional makeup artistry (weddings, special events, senior pictures, lessons). She is also

highly skilled in skin care and spray tanning. Being in the dermatology industry, she wants to promote a safer way to get that glow without the dangers of long-term sun exposure. Last but not least, joining The Aesthestics Group is Cortnie Fogo, an aesthetician and makeup artist specializing in alternative, fantasy, and special effects makeup. She and Brandi complement each other with their makeup services, offering a range of beauty makeup and unique photo shoot styles. Cortnie feels that loving what you do and continually learning are vital keys to success in any field. She is excited to join forces with everyone and grow together as a team. The Aesthetics Group specializes in skin care and will be providing the following services for their clients: laser skin renewal, laser body contouring, face injectables, chemical peels, microdermabrasion, facials, face/body waxing, permanent makeup, spray tanning, professional makeup, and retail cosmetic services. Come join The Aesthetics Group in the journey of The Art and Science of Beauty and find your beauty at its best! The Aesthetics Group Office is located at 900 W. South Boundary 4B, Perrysburg, Ohio, and will be open on January 6, 2014. For more information, please call or email The Aesthetics Group at 419508-2770 or agroup4b@gmail. com. Look for our monthly column in February on Skin Care Tips in the Winter. ❦

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The Art & Science of Beauty tHe aestHetics Group Dr. DaviD Baehren rejuvenation cosmetic laser center; medical aesthetics director LinDa K. recKer LLc the aesthetics Group ceo BranDi Marroquin Beauty by Brandi llc cortnie Fogo spa fogo 900 w. south Boundary 4B, perrysburg • 419.508.2770 email: agroup4b@gmail.com theaestheticsgroup

Preventing and treating pressure ulcers

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pressure ulcer, or “bed sore,” is injury to the skin and/or underlying soft tissue, usually over a bony prominence, as a result of pressure. Prolonged or high pressure applied to a specific area over time creates ischemia, or lack of blood supply to the area, resulting in tissue death. This initially occurs under intact skin, which may or may not open as a result of additional friction, pressure, or shear forces. Pressure ulcers affect 1.3-3 million individuals in the US today, with 10-18% of individuals in acute care centers suffering from them. It is estimated that 2-28% of individuals in long-term care centers and 1-29% of individuals enrolled in home health care suffer from a pressure ulcer. The Agency for Healthcare Research and Quality states that pressure-ulcerrelated hospitalizations increased by 80% from 1993-2006. The National Pressure Ulcer Ad-

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visory Panel (NPUAP) serves as the authoritative voice for improved patient outcomes in pressure ulcer prevention and treatment through public policy, education, and research. The NPUAP is a great resource for pressure-ulcer-related questions relating to nutrition, offloading (or pressure relief), ulcer treatment, and new research initiatives. Diagnosis of a pressure ulcer centers around staging the ulcer, with the stages being based on the anatomic depth of soft-tissue damage. A stage-1 ulcer remains intact with unresolving redness of the skin, a stage-2 ulcer is very superficial, a stage-3 ulcer extends into subcutaneous tissue, and a stage-4 ulcer involves bone, muscle, tendon, or cartilage. There are also two stages that describe ulcers that cannot be staged due to nonviable, or dead, tissue covering the ulcer and apparent dead tissue under the skin. There are many risk factors for developing a pressure ulcer, including friction and shear; frequently moist skin from incontinence, sweat, or other fluids; and immobility. Other risk factors are suboptimal nutrition, poor circulation, dementia, and neurological diseases that result in diminished sensory perception, decreased mobility, or confusion. A pressure ulcer can occur in a matter of hours of unrelenting pressure applied continuously, especially in patients who are ill, have poor nutrition, or have decreased oxygenation systemically. Once a pressure ulcer has occurred and been diagnosed, it is very important to initiate multifactorial treatment modalities. Of course, the best way to treat an ulcer is to prevent it from occurring. The best way to do this is to ensure that patients are adequately repositioned frequently, both when lying down and when sitting up. There are also many types of support surfaces that can be placed on mattresses and in wheelchairs to redistribute pressure, as well as mattress and cushion replacement systems. It is important, however, to continue frequent repositioning when utilizing such surfaces. Treatment and prevention also

both include frequent skin assessment in patients who have pressure ulcers or are at risk for developing skin breakdown. It is recommended that the skin be evaluated at least daily, or more frequently in patients who are at very high risk for pressure ulcer development. Skin-barrier ointments should be used on incontinent patients to protect skin from moisture and caustic material. Evaluating a patient’s nutritional status, especially with regard to protein, is crucial in the management of pressure ulcers as well. Healing skin requires increased amounts of protein as well as adequate caloric and fluid intake. There are some vitamins, such as Vitamin C and Vitamin A, as well as minerals such as Zinc, that have shown promise with aiding in wound healing. There is no current standard recommendation for supplementation of these nutrients, however. Topical therapy, or ulcer dressings, also plays a major role in the treatment of pressure ulcers. There are many advanced topical therapies available, all geared toward managing different characteristics of an ulcer. It is important for each patient who

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has a pressure ulcer to be evaluated by a wound-care specialist to help determine the appropriate dressing. It is also important to see a qualified wound-care practitioner to remove any devitalized tissue from the ulcerated area in order to prevent infection and promote wound healing. Infection must also be identified and treated appropriately. Also of extreme importance in the management of pressure ulcers is allowing for pressure redistribution using the methods described above. Many wound centers work closely with durable medical supply companies to help ensure patients receive necessary support surfaces. Certified orthotists are also sometimes a part of wound-care teams, providing offloading shoewear for pressure ulcers on the feet. Pressure ulcers require a multidisciplinary team of experts to adequately manage, and a wound-care team is essential in helping to prevent pressure-related skin ulcerations. If you, a loved one, or someone you know suffers from such an ulcer or is at risk for developing a pressure ulcer, please don’t hesitate to call the University of Toledo Wound Care Center at 419-383-4500. ❦

Jihad T. Abbas, M.D., FACS

Munier M.S. Nazzal, M.D., FRCS, FACS

Gerald B. Zelenock, M.D., FACS

The University of Toledo Medical Center Division of Vascular/Endovascular Surgery & Wound Care Specializing in all diagnostic and interventions in peripheral vascular disease: • Noninvasive diagnosis • Peripheral Arterial Disease: Endovascular Interventions Open Procedures

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Dr. Endicott graduated from Ohio State University College of Dentistry in 1970 and received his Master of Science in Prosthodontics in 1974. He is on staff at The Toledo Hospital and has been serving the Northwest Ohio and Southwest Michigan area for years.

4352 Sylvania Avenue • Forum Building, Suite G • Toledo, Ohio 43623

Acupuncture for weight loss by Douglas Schwan, DC, Dipl ac

ow that the holidays are behind us and our New Year’s resolutions are ahead of us, it is time to buckle down and attack the new year with style! One of the most common resolutions is to lose the weight that has been creeping up on us over the past year. The cold weather and hearty holiday meals conspire to add inches to our

waistlines. Losing weight is probably one of the most challenging goals that a person can undertake. It is not an easy goal: Despite the constant bombardment of weight-loss diets, pills, and programs, the average weight of Americans has been creeping up over the last decade. One ancient treatment that has been received with renewed interest is acupuncture for weight loss. Most people think acupuncture is for pain, but actually it can be used for a wide assortment of conditions as well as a treatment for addictions like smoking or alcohol. Overeating is just one more addiction that can be treated with acupuncture. So what exactly does acupuncture do? Treatments for weight loss can vary from patient to patient. Most people overeat as a way to self-medicate for conditions like anxiety, stress, depression, or just plain boredom. So it is important not only to suppress the appetite, but also to alleviate the underlying contributions to overeating. Studies have shown that specific

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acupuncture treatments can increase energy, helping to burn calories. Treatments can also influence hunger cravings arising from the hypothalamus. This two-pronged effect increases calorie burn and suppresses the appetite—multiplying weight loss significantly. As part of any good program, a good acupuncture treatment regime will include advice on nutrition and diet. We live in a very toxic food environment! Even the politicians are getting into the act by trying to ban or regulate large soda pops and sugar. Some simple steps can lead to a vast improvement in overall health. So when selecting an acupuncturist for weight loss, make sure the practitioner is experienced in both nutrition and diet analysis to ensure the best chance of success. Kristen had come into our office after the birth of her second son. She was 35 years old and about 40 pounds over what she thought was her ideal weight—extra weight she could not seem to shake. She went to the gym twice a week religiously and did an hour of cardiovascular in a spinning bike class. She also skipped meals in an attempt to limit calories but found she then got a ravishing appetite and overate several times a week. She also felt fatigued all the time and complained of “dragging her butt.” The first thing we did for Kristen was perform an Electromeridian Imaging exam (EMI), which allowed us to measure the qi (pronounced

“chi”) levels of important diagnostic acupuncture points. These showed low overall energy, imbalances associated with stress and anxiety, as well as overactivity of the hypothalamus, which regulates hunger. We also had Kristen give us a detailed history and fill out a nutritional workup. From this we found that she often would skip eating all day and then, after her workout, binge on a large meal. One of the many pieces of advice we gave to Kristen was to eat a large breakfast every single day. Studies have shown that this stimulates gut hormones and stokes the body’s metabolism. People actually will burn more calories if they consistently eat a breakfast. We are also finding out other important benefits to an early meal. People that eat a breakfast every single day have a 30% less chance of developing type 2 diabetes later in life! In fact, there is a direct correlation between one’s risk of diabetes and how frequently they eat breakfast! We also advised Kristen on her workout routines. She is to eat a small to moderate-sized meal before her workout. This provides a steady flow of sugar into the bloodstream during her aerobic exercise and prevents the low blood sugar immediately following intense exercise that led to her binging. Studies have shown that people engaging in intense aerobic exercise without eating first tend to consume many more calories than they burned off! We then started Kristen’s weight loss acupuncture treatment in earnest. The aim of her treatment was to lower the energy feeding her hypothalamus, thereby suppressing her appetite. She received treatment to specific points to increase fat burn and to raise overall energy levels. On the nutritional support side, we noted a strong history of heart disease in her family and put together suggestions for grape seed extract and non-flush niacin to help limit arterial plaque and reduce bad cholesterol levels. Kristen was treated twice weekly for four weeks to ramp up her metabolism and balance her completely. In addition, she received a small, almost invisible

magnet attached to her ear that she was instructed to squeeze every time she felt hungry. Once Kristen finished the treatment program, she elected to return once a month for a “tune-up” visit to maintain her momentum. After six months of care, Kristen reached a weight loss of 30 pounds, and she continues to progress in her program without resorting to starvation diets or dangerous pills. During her treatment, we continue to educate her one step at a time on developing healthy food habits. Kristen could eat anything she wanted and was not placed on any specific limiting diet. She just learned a few things about calories and the body’s metabolism, and that helped her make good choices. The acupuncture helped increase her energy, suppressed her appetite, and reduced her overall feeling of stress and anxiety. Using acupuncture to tackle weight loss is a multipronged approach. The most successful programs incorporate not only the actual acupuncture treatments, but also nutritional and dietary counseling. The one great thing about this approach is that the extra weight comes off just like it was put on: slowly and gradually with an average weight loss of one to two pounds per week without resorting to starvation diets. The other plus is a general improvement in overall health and body function. Before you start any acupuncture program for weight loss, make sure the practitioner you select has extensive experience in this particular field, as experience—and success—among practitioners can vary wildly. Most states require that acupuncturists be licensed to assure that they have completed the necessary education and training standards to practice. You may see L.Ac. (Licensed Acupuncturist) following his or her name. Acupuncturists may also be doctors who have completed a postgraduate program of study. ❦ Dr. Schwan is available to speak at your group function on a wide variety of Alternative Medicine topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture and president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time standup comedian. He has practice locations near Westgate in Toledo, Ohio and may be contacted at faq@acupuncturetoledo.com. For more information on Alternative Medicine or weight loss acupuncture, please visit our website at www.acupuncturetoledo.com.

ANXIETY The most common mental disorder among Americans by Linda L. Smith

ontrary to popular belief, anxiety disorders, rather than depression, are the most common mental disorder among both adults and adolescents in the U.S. In any 12-month period, approximately 18% of the population will experience an anxiety disorder, and over a lifetime, nearly 30% will meet the criteria for at least one anxiety disorder. Anxiety disorders include several distinct types: panic disorders, phobic disorders (including specific phobias, agoraphobia, and social phobia), obsessive-compulsive disorders, posttraumatic stress disorder, and generalized anxiety disorder. While the symptoms these produce vary, at the core of each are strong feelings of apprehension, panic, or fear, often with accompanying physical symptoms. Stress is a normal response to life situations, and in moderate amounts, it can actually improve performance. Anxiety disorders, on the other hand, produce extreme and maladaptive anxiety that interferes with normal functioning and causes great distress. The causes of anxiety disorders are multiple and complex. There is strong evidence that individuals who develop anxiety disorders inherit a personality type predisposed to anxiety. In fact, researchers have identified specific genes associated with anxiety disorders. The upbringing and early experiences of those born with such a predisposition will determine whether they eventually develop one or more anxiety disorders. Growing up in a stressful household with parents who are themselves anxious and over-protective is particularly likely to contribute to the development of such a disorder, as well as growing up with parents who are alcoholic, who are overly critical or perfectionistic, or who suppress a child’s natural desire to be self-expressive. A number of

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additional factors can contribute to the development of anxiety disorders, including certain medical conditions, traumatic experiences, a high-stress lifestyle, overuse of alcohol or stimulants, poor nutrition, negative self-talk, and mistaken beliefs about oneself or the world. Unfortunately, nearly 65% of those suffering from anxiety disorders do not receive appropriate levels of mental health care, according to the U.S. Department of Health and Human Services (2012). Anxiety disorders frequently produce disturbing physiological symptoms, such as heart racing, chest tightness, insomnia, shortness of breath, dizziness, and digestive disturbances. Because of these physical symptoms, those suffering from various forms of anxiety are more likely to seek help from a primary care physician than a psychotherapist. In fact, nearly one-third of patients consulting primary care physicians seek help for symptoms related to anxiety disorders. These patients are frequently prescribed medications that may reduce the symptoms but not address the causes and long-term solutions to the problem. Whether the primary care physician recommends it or not, individuals

seeking help for psychological distress such as an anxiety disorder should always also seek the help of a psychotherapist. Psychotherapy provides benefits that medication alone may not. For instance, therapy provides significant levels of relief from the symptoms of anxiety disorders more quickly with longer-lasting results—and unlike many medications, with no unpleasant side effects. Psychotherapists use many methods to help clients with anxiety disorders. For example, relaxation techniques, mindfulness practice, and meditation have all been shown to be effective, as well as moderate exercise. Cognitive Behavioral Therapy helps clients correct negative self-talk and mistaken beliefs that contribute to anxiety disorders. Writing exercises and keeping a journal have also been shown effective. Despite the commonness of anxiety disorders, they respond well to treatment and generally present a very positive prognosis for those who seek help early. Watch for future columns to learn more about the symptoms and treatment of specific types of anxiety disorders. ❦ Linda L. Smith is a licensed professional counselor at Central Behavioral Healthcare in Toledo, Ohio.

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Mercy Weight Management Center can help you adhere to your healthy resolution

very New Year, you resolve to adopt a healthier lifestyle and lose weight. You literally hit the ground running for a while and even manage to shed some of those unwelcome pounds. Then, over the ensuing weeks or months, that motivational spark slowly fades and you slip inexorably back into the same old unhealthy habits. A year later, you’re right back where you started, carrying the same excess weight (and possibly a few additional pounds to boot), feeling bad about yourself, and resolving once again to take better care of your body. This self-defeating cycle plays out again and again for thousands of Americans who can’t put their finger on where they’re going wrong and why they seem doomed to fail when it comes to fitness. But according to bariatric surgeon and licensed strength trainer Dr. Matthew Fourman, Director of Surgical and Medical Weight Loss for Mercy Weight Management Center, the main reason people don’t follow through on their fitness resolutions isn’t all that mysterious. “It’s very easy to be enthusiastic and ‘all in’ right out of the gate, so people try to do too much too soon, for example exercising vigorously five days a week,” he explains. “The trouble is, when you’re not used to physical activity, making such a major commitment is just setting yourself up for failure. You can’t go from being totally inactive to running a

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marathon. It’s best to start simple, exercising for 20 minutes three times per week, and then build from there. Also, it’s very easy to reorganize your priorities for the short term, but unless exercise becomes an established habit, it just ends up getting pushed by the wayside.” When it comes to weight loss, Dr. Fourman notes that one of the major obstacles standing in people’s way is all the misleading nutrition information floating around out there. Foods marketed as wholesome and healthy can actually be part of the problem. For example, one popular breakfast cereal is claimed to have as much protein as an egg. While that may be true enough, it’s not the whole nutritional truth. An egg, after all, contains no sugar or carbohydrates and is only 70 calories. The same can’t be said for the breakfast cereal—or for those granola bars that advertisers want us to believe are the snack of choice for healthy hikers and backpackers. Another mistake people often make when they resolve to lose weight is adopting a one-size-fits-all regimen. Obesity is a highly complex disorder that requires an individualized treatment approach. That’s where the Mercy Weight Management Center comes in. “I take a lot of pride in the center and the comprehensive program we’ve built. It’s not just surgery or medical weight loss. No matter what an individual wants to achieve or how much weight they

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need to lose, we have a program that will work for them. We try to attack the disease of obesity from every angle, and we have a dietitian and a workout center on site to help our patients achieve their goals. We’ve also just wrapped up the pilot stage of a new childhood obesity program, so we’re now poised to help people of all ages manage their weight,” says Dr. Fourman. Patients with 100 or more pounds to lose may be good candidates for bariatric surgery. Dr. Fourman can perform laparoscopic gastric bypass, sleeve gastrectomy, or adjustable gastric banding, depending on what’s most appropriate for the patient. Unfortunately, patients often feel as though resorting to surgery is like waving the proverbial white flag—essentially an admission that they can’t do it on their own. But this is the wrong way to look at the situation. More and more, physicians are beginning to recognize that obesity is not a character flaw, but a complex disease, and bariatric surgery is one of the most effective tools available for weight loss. In fact, many studies have shown that surgery is far and away more effective than diet and exercise alone when it comes to controlling obesity. Diet and exercise must still be part of surgical patients’ everyday lives, but then they work much more efficiently when combined with surgery. “I reassure patients that bariatric surgery is a brave choice that will change their lives if they put the work into it. A lot of people on the outside looking in think that obese people just need to eat better and exercise, but they’ve tried every diet out there and nothing has worked. People’s perception needs to change. Surgery is just one piece of the puzzle, but it’s a valuable tool if used correctly,” Dr. Fourman notes.

Whatever a patient’s weight-loss goals, follow-up and accountability are critical for long-term weight-management success—and both are offered at the Mercy Weight Management Center. Dr. Fourman follows up with his patients frequently to make sure they’re staying on track, particularly in that all-important first year when they’re trying to turn newly learned healthy behaviors into long-term habits. Surgical patients are invited to participate in weekly follow-up meetings to monitor their progress and provide encouragement. Also, the friends patients make at the Center often help provide ongoing support and motivation, which can be critical when they’re struggling. Dr. Fourman is also a strong proponent of strength training as part of patients’ ongoing weight-loss or general fitness efforts. It’s especially important for bariatric surgery patients because they tend to lose lean muscle mass following surgery, which can slow down the metabolism and sabotage weight loss. Patients appreciate the fact that the Mercy Weight Management Center is designed specifically for people like them who are working to overcome similar challenges. So, they don’t feel uncomfortable or intimidated working out there, as they might at a typical fitness club. “We give them a safe, comfortable environment to work out in, which eliminates that excuse from the equation,” remarks Dr. Fourman. ❦ For more information on the Mercy Weight Management Center, please call 419-251-8760 or visit www. mercyweightmanagement.com.

We take the fear out of seeing the dentist! Khaldoun Attar, DDS

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Throw Away Your Dentures! Why throw away your dentures? Think of all the inconveniences and discomforts of wearing full dentures. This can be the solution for you. Who are the best candidates? The ideal candidates are those who are about to lose their teeth and those who are current denture wearers. What do we offer? Full-service dental office using the most advanced Oral Rehabilitation & Technology. We accept most dental insurances while offering easy payment options. Sun Dental & Dentures Advanced Oral Rehabilitation Center 4038 Talmadge Road, Suite 103 Toledo, OH 43623 (419) 720-0448

How do I get started? Call our office to schedule your free consultation with Dr. Attar. Call for your complimentary 3D scan and ALL-ON-4 consultation with Dr. Attar ($750.00 value). Visit our website: www.sundentalanddentures.com Sun Dental & Dentures Advanced Oral Rehabilitation Center 5801 Telegraph Road, Suite 1 Toledo, OH 43612 (419) 478-4440

Improving dementia talk by Jessica Derkis “… and when things are going badly, they forget about prosperity.” —Sirach 11:25a

edical professionals agree that there is no cure for Alzheimer’s, a form of dementia. But there is progress being made around the world. Studying amyloids in the brain, using immunotherapy solutions, improving early stage testing, and changing diet and exercise are all being considered to more accurately find, treat, and stave off the effects of the many diseases known as dementia. “Northwest Ohio is home to more than 38,000 people living with Alzheimer’s disease,” says Salli Bollin, Executive Director of the Alzheimer’s Association, Northwest Ohio Chapter, “and with deaths from this disease continuing to rise, it is clear that urgent, meaningful action is necessary.” For Dr. Govind Bharwani, this call has been part of his mission since 2009. Bharwani has married a number of disciplines including nursing care, neuroscience, as well as music, video, tactile, and memory box therapies. The

goal is to better understand the course of the disease itself and more effectively communicate with those diagnosed. Dr. Bharwani created BehaviorBased Ergonomics Therapy (BBET) and has been instrumental in the design of St. Clare Commons. BBET originated on the campus of St. Leonard in Centerville, Ohio, a sister community to St. Clare Commons, in 2010 and has since proven overwhelmingly effective. Follow-up studies have shown 65% fewer uses of certain antipsychotic medications for behavior management at St. Leonard’s specialized dementia care program, a 35% reduction in resident falls, and a 55% drop in the use of PRN (emergency) medications. There was also a more than 50% improvement in mood. The bonus of working within residents’ capabilities, desires, and comfort levels: caregivers are also half as likely to be injured. With a lot of preparation, ergonomically designed features, and proper training in use of space and abilities, residents feel healthier and have better and more meaningful interactions. Even those who would normally

withdraw are more engaged. Working for in- and outpatient rehabilitation, with the many devices and systems assisted-living apartments, a secure as instructed by Dr. Bharwani, the area featuring efficiency suites specialteam feels more at ease and residents izing in dementia care, and comfortable feel less stressed. Everybody feels a short-term-nursing-care suites. Other amenities you will find in the new sense of success. Dr. Bharwani has been 136,000-square-foot healthcare recognized nationally, and building include a state-of-thesenior communities across art therapy lab, Starbucks™, a the nation have implemented piano bar and lounge, a wellhis program to improve pastocked library, a community education space, a beautiful tient care. Long-Term Living magazine recently named chapel, and many connections Dr. Bharwani a “Leader of to Blessed John XXIII Parish. Tomorrow.” The team at St. St. Clare Commons is a Clare Commons is excited to member organization of Franbring his methods and tools ciscan Living Communities Dr. Govind Bharwani (FLC). FLC is a division of to Northwest Ohio. Are you ready to learn Sylvania Franciscan Health, more? The doctor is in! Join Dr. Govind sponsored by the Sisters of St. Francis Bharwani on Thursday, January 9 at of Sylvania, Ohio. FLC is a missioneither of two informational sessions. driven, industry-leading provider He will host Lunch Bunch at St. Rose of senior living services throughout Parish at 11:30 a.m. and an evening Ohio and Kentucky. The organization session at St. Clare Commons at 6:00 offers continuum-of-care options inp.m. for seniors and their families. cluding independent living, assisted Learn about the neuroscience behind living, skilled nursing, rehabilitation, Alzheimer ’s and caring for loved memory care, senior housing, and ones who have been diagnosed with home health services. it. Please call 419-931-0050 to reserve May your New Year be richly blessed for either time. Refreshments will be with wonderful memories, new expeprovided at both. riences, and all things good. ❦ The first phase of St. Clare Commons is now open and newly Medicare Jessica Derkis is the Marketing Director certified! Reservations are available for St. Clare Commons.

rehab renew St. Clare Commons’ rehabilitation and therapy center is Medicare Certified and now open.

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Lunchtime sinus surgery in the doctor’s office sound too good to be true?

GraDuate CertifiCate in

Contemporary Gerontological Practice Do you... • Want a better understanding of the unique needs and strengths of older adults? • Aspire to enhance your current credentials or develop expertise in gerontological practice? • Have a desire to increase your knowledge about funding opportunities to support innovative programs for older adults? This program is designed to prepare individuals for working with older adults and their families in the current interdisciplinary health care system. to learn more, please contact:

Victoria Steiner, PhD at 419.383.5647, by email at victoria.steiner@utoledo.edu or visit utoledo.edu/depts/csa/gradcertificate.html

ore than 37 million Americans suffer with chronic rhinosinusitis, a persistent inflammation of the nasal cavity and paranasal sinuses that causes a wide range of unpleasant physical symptoms, such as headache, facial pressure and pain, sinus drainage, nasal congestion, reduced sense of smell and taste, tooth pain, bad breath, and fatigue. These recurrent symptoms can significantly interfere with daily activities and diminish one’s quality of life. Dr. Oliver Jenkins and Dr. Christopher Perry of the Toledo Clinic ENT Sinus Center of Excellence have helped many chronic sinusitis sufferers (including pediatric patients) in Northwest Ohio and Southeast Michigan breathe easier through a revolutionary, minimally invasive endoscopic procedure called Balloon Sinuplasty. During this procedure, a small, flexible balloon catheter is placed through the nostril and into the blocked sinus. The balloon is then inflated to gently restructure and open the sinus passageway, restoring normal sinus drainage and function. The procedure is similar in many ways to the balloon angioplasty technique used to open narrowed coronary arteries. “We’ve done literally thousands of these procedures and have found that Balloon Sinuplasty is just as effective at relieving symptoms of nasal congestion, sinus pressure and drainage, and headaches, and its long-term success rate is equal to or better than that of traditional surgery. In fact, in approximately 98 percent of patients undergoing the procedure, the sinuses remain open indefinitely,” notes Dr. Perry. He goes on to explain that, “Conventional endoscopic sinus surgery involves the removal of bone and tissue to open up blocked sinus passageways, which can lead to post-operative pain and scarring and often requires uncomfortable nasal packing to control bleeding. In stark contrast, Balloon Sinuplasty simply restructures the bone and tissue around the natural opening into the sinus, which translates into less

pain, less bleeding, faster recovery time, and no need for painful nasal packing.” The Balloon Sinuplasty procedure until now has been performed in the operating room setting with the patient asleep under general anesthesia. But Drs. Jenkins and Perry now offer a pioneered form of the procedure called In-Office Balloon Sinuplasty, which they perform right in the office in about one hour, using only a topical and local anesthetic. Not only is In-Office Balloon Sinuplasty more convenient and costeffective than surgery at the hospital, but it’s also just as safe and effective as surgery performed in the operating room. What’s more, patients do not have to worry about the risk of side effects or complications associated with general anesthesia. Dr. Jenkins notes, “The experience is much like going to see the dentist to fill a cavity.” “The advent of In-Office Balloon Sinuplasty makes it possible for us to help chronic sinusitis sufferers who don’t want general anesthesia or who are unable to tolerate it. In essence, more patients who would benefit from this procedure now have access to it. Our Balloon Sinuplasty patients are also pleased to learn that there is virtually no downtime following the in-office procedure. In fact, patients are able to return to work the next day,” says Dr. Perry. Balloon Sinuplasty isn’t appropriate for every patient, and traditional endoscopic sinus surgery is still an important tool utilized by ENT surgeons. But more than 90% of patients who undergo this revolutionary procedure find long-awaited relief from their debilitating sinusitis symptoms—and that’s something worth celebrating. ❦ The Toledo Clinic ENT Sinus Center of Excellence is located at 5800 Park Center Court, Suite C in Toledo. For more information about In-Office Balloon Sinuplasty, call 419-724-8368 or visit www.ToledoClinicENT.com or www.ToledoRhinoplasty.com.

Heartland Rehabilitation Services asks, “What’s your motivation?”

otivation. You probably had a lot of it before the holidays. You found energy to shop, to address holiday cards, to cook, to visit, to party. But, by the time the new year starts, you’re often tapped out and ready to relax in your winter weather cocoon of inactivity. Just about the time we are encouraged to make resolutions (to improve our health, to lower our weight, to save more money, to spend more on activities that reduce stress), we run out of gas. Plenty of us use the New Year celebrations to promise ourselves we will diet or exercise more. But, too often we are among the 50% of people who start diet and exercise programs but give up before six months have passed. We are forced to face the fact that, while our intentions are good, we just aren’t that interested in getting healthy and fit. If we really had the motivation, we would get the job done, wouldn’t we? So, if you’re serious this time, the trick might be to find out what kind of motivation it will take to keep you on track long enough to reach your goal.

First, set your goal Finding that goal might take a bit of work, too. Think about how much weight or how many inches you want to lose, and keep it realistic so you aren’t easily disappointed. Give some thought to how many times each week you can work toward that goal, and keep that an honest estimate, too. Imagine which clothes will fit better and/or which new clothes you will purchase. Take pictures of those clothes or the scale…whatever it takes to cement the goal in your mind. Post them where you will see them…maybe in the kitchen where you are tempted to snack.

Solve the motivation equation Once you’ve decided on a goal, think about how you can keep yourself motivated. The presence of a friend who accompanies you on your workouts or keeps tabs on you via computer or twitter can work wonders as you exercise toward your goal. Maybe challenging another person to his or her own health improvement goal will provide the energy and commitment you need.

Money works for some. Maybe a dollar amount for every pound or inch lost is your ticket to success. Putting the accumulating dollars in a seethrough jar makes the reward visible (and even more desirable). The idea of a trip or new electronic “toy” you can buy with that growing cash pile might be just the push you need. An actual health scare may be what it takes to motivate some people. The threat of a heart attack, stroke, debilitating injury, diabetes, or discomfort caused by increased weight can scare even the least motivated among us into action. Worry about

setting a bad example for family members might propel you onto a treadmill or into the pool. Invite them to go with you…to see that you are taking their concerns seriously. Other motivators may include wanting to look better, wanting to be more active to play with the kids or grandkids, wanting to be physically fit (stronger, more flexible), wanting to manage stress more effectively, or wanting to be able to walk without worrying about falling due to balance issues or joints that are stressed because of excess weight.

What’s the bottom line? Each of us gets only one body, and if you don’t take care of it, nobody else will. Find your own motivator and push yourself. Start out slow and small and build up your confidence and your resolve. Pat yourself on the back for the small triumphs, and remember how good those successes feel. Those small steps will have cumulative results—stronger heart and other muscles, sharper

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mind, fewer bouts with age-related health concerns, better posture, more attractive appearance, less stress, and bragging rights that you set a goal and stuck to it. Keep that trip or toy or proud family member in mind and go for it! Need some additional assistance or expertise in working on this healthier lifestyle plan? Heartland offers a Therapeutic Weight Management Program, Licensed by Physicians Choice for Weight Loss®. Let Heartland assist you with the joint pain caused by excess weight and have it covered by your insurance. Heartland also provides wellness opportunities of SilverSneakers, Gym Memberships,

13-21 BG Health Fall Jan's 2013_Layout 1 10/18/13 11:46 AM Page 22

and Personal and Group Training, all to help on this lifestyle journey. Heartland Rehabilitation Services has five locations in the Toledo, Ohio and Bedford, Michigan areas with knowledgeable staff to assist with your physical and occupational therapy needs. Each location also offers a monthly membership for a small fee, with no contract, and the expertise of licensed clinicians to help you with your exercise routine. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit us at www. heartlandrehab.com.

: I travel a lot for work, sometimes up to once per week. The problem is, whenever I fly, I suffer from intense ear pain. There is no way for me to avoid the travel, so what can I do to minimize and prevent this pain?

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: It sounds like you may be suffering from eustachian tube dysfunction. I think it would be a good idea if we describe the anatomical structure of the eustachian tube so that you can fully understand. The eustachian tube connects the middle ear to the throat and is made up of four muscles. It aids in pressure equalization and mucus drainage. During normal circumstances, the eustachian tube is closed, but it also has the ability to open when necessary. To prevent damage, it opens to let air through, which essentially equalizes the pressure between the middle ear and the atmosphere. When the eustachian tube doesn’t open properly to let air pass through, it creates a bulge in the eardrum, which results in pain and muffled sounds. Dramatic pressure differences can lead to a hearing loss, which we call conductive hearing loss. A conductive hearing loss occurs when there is an issue with the outer and the middle

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n I’ve noticed whe e. as se di ng lu s chronic time Q. My mother ha she has a hard id m hu d an m ere war ore easily. Is th the weather is m re ti to s em also se to help? breathing. She alth care can do he e m ho ng hi anyt e with heat e have a hard tim as se di ng lu ith w le of ways; A. Many people n help in a coup ca re ca th al he e she is and humidity. Hom mom in her home to make sure t your inhalers and a nurse can visi , especially her tly ec rr co ns io at increase taking her medic re can also help ca th al he e om H so ts. gy conservation er aerosol treatmen en r fo n io ct ru ide inst e less easily. stamina and prov like your mom, tir e, as se di ng lu that those with

ear but the inner ear is free of any damage. Varying altitude changes can also lead to fluid buildup that could result in ear infections. Some common immediate techniques for clearing ear pressure include chewing gum, swallowing, or yawning. Many people swear by chewing gum during a flight’s takeoff and landing. You may notice babies uncomfortable and crying on a plane. Babies and young children do not have the ability to equalize the pressure in the ears because their eustachian tubes differ from an adult’s in angle and size. As a result, they may experience pain during flying. There may be things you can do to plan ahead for your next trip. Speak to your physician to determine if you may use some type of antihistamine. Other patients may need a simple procedure to allow the eustachian tube to function properly. Feel free to reach out to us if we can help answer any questions for you. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Let us help... For more information about how Senior Independence Home Health & Hospice can help someone with lung disease, contact Beverly at 419-865-1499

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5810 Southwyck Blvd., Ste. 101 Toledo, Ohio 43614

Toledo Clinic surgeons launch specialized orthopaedic center

ith our population aging and before coming to The Toledo Clinic. more and more baby boomers He is one of only a few orthopaedic surgeons in the region that are trained reaching retirement age, our nation’s to perform the minimally invasive need for orthopaedic care and serhip arthroscopy procedure. vices has never been higher. To help Hip arthroscopy involves the insermeet this burgeoning demand in our tion of an arthroscope (a thin, flexible, community, Toledo Clinic orthopaelighted scope equipped with a camera) dic surgeons Jason Levine, MD, and through a small incision to examine Kraig Kristof, MD, have combined the inside of the hip joint for their highly specialized disease or abnormalities. If skill sets to form the Glass a problem is noted—for exCity Orthopaedic & Spine ample, damage to the tissue Center. that surrounds the hip socket “This new center will offer the people of Toledo or loose pieces of bone or carand the physicians of the tilage that interfere with the Toledo Clinic a specialized hip’s movement—additional facility that takes care of instruments can then be inboth basic and complex serted to repair the damage, issues affecting the spine, remove the loose body, etc. shoulder, elbow, knee, and “In the past, there was hip,” says Dr. Levine. “Dr. nothing we could do for paDr. Jason Levine Kristof will focus exclutients complaining of hip sively on spine work, and pain other than wait for I’ll perform my specialty the problem to advance to of arthroscopy and sports the point that replacement medicine in addition to was necessary. Now, using seeing patients for other this minimally invasive arorthopaedic complaints.” throscopic procedure, we As the senior segment can halt the progression of of our population expands, damage to the hip and hopeDrs. Levine and Kristof fully eliminate the need for anticipate—and are alreplacement in the future,” ready seeing—a growing Dr. Levine explains. demand for orthopaedic Dr. Levine also works arthroscopically on the shoulder, services such as joint reDr. Kraig Kristof elbow, and knee. Using a placement. The number of hip fractures and other minimally invasive approach traumas is also rising along with the and small incisions, he can do proceaverage age of our population. What’s dures that traditionally require very more, as we get older, it’s natural large incisions to perform. to experience more degenerative Dr. Levine’s first day of clinic at processes in the spine that require the Glass City Orthopaedic & Spine orthopaedic intervention. Center will be January 6, and Dr. Drs. Levine and Kristof have known Kristof has been seeing patients there each other since they were in residency since this past summer. “If you’re together back in the early 2000s, experiencing back pain, joint pain, and both were fellowship trained in or other orthopaedic complaints, highly respected programs known just call our office at 419-479-5424 throughout the country and around and we’ll get you in to be seen right the world for producing exceptionally away,” he says. ❦ skilled surgeons. Dr. Levine completed his fellowship in arthroscopy and Answers to crossword from page 14 sports medicine at the Mississippi C U C U M B E R S O I L Sports Medicine and Orthopaedic I O A D H L E Center in Jackson, Mississippi, and L O W C H A M O M I L E Dr. Kristof (who was featured in A K M C V K the November 2013 issue of Healthy N U T M E G K I E V Living News) earned his spine felT A R C S E A R O L L E D O A T S N D lowship at William Beaumont in O L O L Q U L I D Royal Oak, Michigan. E X C A R R O T S Dr. Levine was at the University C C S E D U N O N of Toledo for six and a half years and H O N E Y V I R O N served as the orthopaedic surgeon O O N E I M P U N for the UT Rockets for seven seasons P O W E R N O S T R U M 1

phone: 419-479-5424 fax: 419-479-5425

The Toledo Clinic is pleased to announce that Dr. Jason Levine will be returning his practice to the Greater Toledo Region January 1, 2014. Dr. Levine is a fellowship trained, board certified, orthopaedic surgeon with over 13 years of orthopaedic experience. He specializes in sports medicine, joint replacement, and trauma. He has joined Dr. Kristof at the new Glass City Orthopaedic & Spine Center, located at the Toledo Clinic Main Campus, 4235 Secor Road, Toledo Ohio.

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Can we prevent dementia? by Riaz N. Chaudhary, MD

t present, the United States has encouraging trends. For example, a national long-term survey of people approximately 4 million people age 65 and above, conducted from with acquired dementia. The yearly 1982-1999 by Maton cost of taking care of these and colleagues in the patients is $100 billion. USA, found that the Dementia is defined as a deterioration in cognitive incidence of dementia ability, which impairs the was 5.7% in 1982 but successful performance of declined to 2.9% by activities of daily living. In 1999. common language, that The US Health and means loss of memory, Retirement Study of inability to keep your baladults over age 51, done by Langa et al, found ance, loss of the ability to calculate, and loss of the that in 1993, the adults ability to make sound judgover age 70 had a 12.2% ments or solve problems. incidence of dementia. Dr. Riaz Chaudary In 2002, the incidence It is estimated that above was 8.7%. age 70, the incidence of dementia is 10%. In persons over age 85, 20-40% The Rotterdam Study, conducted have some degree of memory loss. in Europe, showed a similar trend: In The diagnosis of dementia is made 1990, the incidence of dementia per by doing many mental-status exams. 1,000 persons was 6.56%. In 2002, it A person’s orientation, attention, calcame down to 4.92%. culation ability, recall, and language A study done in England called the are tested. Based on the patient’s score Cognitive Function and Aging Study, (out of a possible 30) on these tests, a which consisted of two studies (CFAS healthcare professional will determine 1 and 2), was first done from 1989 to whether they have dementia or not. 1994 with a sample size of 7,500 perStudies reported in recent medisons. This first study found that the cal literature have revealed some incidence of dementia was 8.3%. The

second study, conducted from 2008 to 2011 and having the same sample size, showed an incidence of 6.5%. The main question these studies raise is, why are we seeing a decrease in dementia among different populations? Experts hypothesize this might be due to three reasons: 1) better education; 2) greater economic well being; and 3) better control of vascular risk factors, which includes better treatment of hypertension, smoking cessation, and the use of drugs like statins to control high cholesterol. There is also evidence that increased

Keeping your mind active is one of the keys to preventing dementia.

physical activity among the elderly reduces the incidence of dementia. It has been postulated that the negative influences that could reverse this trend include increasing incidence of obesity and diabetes mellitus. The practical suggestion readers should take away from this discussion is that if you are age 51 or above and you want to reduce your risk of dementia, first and foremost, you should control your vascular risk factors, which includes smoking cessation and control of hypertension and hyperlipidemia. Second, you should continue engaging in improving your education and doing tasks in your life that require critical thinking and study. It has also been shown that persons who continue to engage in productive activity have lower incidence of dementia. ❦ Dr. Riaz N. Chaudhary is the founder of the Oregon Clinic. He is a Diplomat of the American Board of Internal Medicine, and Geriatrics; and Clinical Associate Professor of Medicine at the University of Toledo Medical Center, where he completed his Internal Medicine Residency.

The importance of the newborn hearing screening by Dianna Randolph, AuD, CCC-A

id you know that every baby in the state of Ohio who is born in a hospital or birthing center has their hearing screened before they are discharged from the hospital? This state law was implemented in June of 2004 and is known to be one of the first high-risk screening programs across the country, which many have duplicated. Why is this so important? According to the American Academy of Pediatrics, one to three of every 1,000 newborns in the United States are born with some sort of hearing loss and 95% of babies with hearing loss are born to hearing parents. You might not think thatâ&#x20AC;&#x2122;s a large number, but just think of the impact starting from speech and language development to employment opportunities. Itâ&#x20AC;&#x2122;s important to perform this screening as early as possible because infants start learning speech and language development skills by six months of age and the majority of speech and language is learned by the age of three. The child learns to imitate sounds early on, which is part of their language and speech development milestones. If their hearing ability is impaired, then speech and language is slow to develop or is not able to be developed at all.

The newborn hearing screening programâ&#x20AC;&#x2122;s goal is to identify those children who may be at risk for hearing loss and to intervene early. Studies have shown that children with hearing loss who are identified early on and enroll in therapy are able to develop better language skills than those who donâ&#x20AC;&#x2122;t. The earlier a childâ&#x20AC;&#x2122;s hearing loss is identified, the sooner the child benefits from strategies that will help him or her learn to successfully communicate. In the state of Ohio, when a new-

born does not pass the initial hearing screening at birth, further testing is recommended. A common reason babies fail the initial hearing screening is fluid in the middle ear or a blockage in the ear canal. Having an ear canal that is too small is another factor, and the baby being agitated and crying during the test will cause a negative result. After discharge, a visit to an audiologist for more thorough testing is recommended for the baby. This should be done as soon as possible, but no later than three months of age. The physician overseeing the care of the baby after discharge will be well aware of the protocol and sensitive to assuring follow up takes place. Two different tests are utilized as part of the screening program for newborns. Both tests require no activity from the baby except to be still and quiet. The first test is called an Otoacoustic Emission (OAE) test. This test involves putting a small soft probe in the babyâ&#x20AC;&#x2122;s ear canal. The probe contains a microphone and two speakers. The speakers send two soft tones down the babyâ&#x20AC;&#x2122;s ear canal, and the microphone will pick up an â&#x20AC;&#x153;echoâ&#x20AC;? response if the hearing nerve is being stimulated by the tones. If no response is picked up, it could mean there is hearing loss, but it may also mean there is a blockage of the sound. The other test is called an Auditory Brainstem Response (ABR) or Brainstem Auditory Evoked Response (BAER). This test involves putting electrodes on the babyâ&#x20AC;&#x2122;s head and small earphones in the ears. Clicklike tones are played through the earphones one ear at a time. The electrodes will pick up electrical activity in the brain that is present if hearing is present. If either of these tests is not passed, it is recommended that an audiologist evaluate the baby. The two tests described above are repeated but on a more diagnostic level. The majority of babies who do not pass in the hospital will most likely pass at their follow-up assessment, which could include a battery of diagnostic tests. If not, they are referred to an otolaryngologist for a medical examination and to obtain

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medical clearance for amplification. Remember, the sooner an infant is fit with hearing aids when found to be warranted, the better the chance they will develop speech much quicker, keeping in mind that it is favorable to have amplification implemented by six months of age. The audiologists at Northwest Ohio Hearing Clinic became involved in the screening program prior to 2004 when chosen as a clinical site for the pilot program for high-risk babies. Our staff of Doctors of Audiology will provide the diagnostic testing needed if a baby does not pass the initial hearing, counsel the parent through the appropriate steps, and follow up afterwards. At these appointments, we will ask for a thorough

Sister Karen Zielinski, OSF

A simple health resolution

Approved by the State Medical Board of Ohio. Registered with State Board of Career Colleges and Schools (Reg. #01-03-1626T). For disclosure information, go to http://www.healingartsohio.com/FINANCIAL-AID.html

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Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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prenatal and birth history. We also ask for the baby to be asleep during this appointment, so scheduling around feeding or naptime is ideal. In conclusion, remember, if your baby does not pass, do not panic; it does not mean your baby has hearing loss. It just means further testing is recommended. If you have any questions or concerns about your baby’s hearing, please don’t hesitate to call our office and talk to one of our audiologists. ❦

“W

hat is this?” asked a fifth grade boy at a local holiday craft fair. He was strumming his finger on top of a book. I wrote the book, and I was staffing a table with a volunteer. We sold Christmas gifts, soaps, ceramic tiles, lotion bars, seismic critters, and other things that the Sisters of St. Francis create. We took our Sylvania store, All Good Things, on the road before Christmas. We were at Toledo’s Christ the King Parish and school one Friday. Different classes visited the vendor tables and purchased Christmas gifts and items for themselves. Staff and people from the community came, too. The grade-school students came with their envelopes filled with dollar bills, loose change, and the anticipation of buying some very cool stuff—like the ever-popular foam rubber and plywood “bow and arrows” or the Michigan and Ohio State mini pillows. This little fellow came to our table, looked at the prayer pillows, and stopped at the end of the display where a pile of my books were stacked. I smiled at him, knowing full well that a little kid was not about to purchase

a book when there were cool things stacked all around the gym…but I was wrong. “To answer your question, the book talks about 12 different health topics, like medical tests, when your suffering cannot be seen, and praying through your health challenges,” I explained. He placed his hand on the cover and said that he wanted to buy it for his mom who had MS (multiple sclerosis). He said he thought she might like it. I was moved to tears but did not want him to see me crying because I thought he might get frightened. Who was this person? “How much is it?” He rummaged through his envelope of dollar bills and change. I was about ready to just give him the book but realized that it might be better if he bought it himself or paid for a part of it. There is something about buying something to make it more a part of one’s life experience. It means more. I told him the price and added that since I had MS myself, I would pay for half the book since I have a real love and connection for people with MS. So,

he dug into his paper envelope and we split the cost of the book. He asked me to sign it for his mom and I told him that he was a very generous young man to do a loving thing and buy something specifically for his mom. It’s not that other things sold would not be gifts for others, but this to me was remarkable for a young grade-school student. Who wants to buy a book when there are candy and necklaces and team pillows around for sale? My little friend showed me that thinking of others’ health happens at all stages and ages of our lives. He showed a true concern for another person. It was a healthy spiritual caring for his Mom. I thought that this other-centered caring might be a great, doable New Year ’s health resolution. It is not ambitious, but little and practical— just do a little thing for someone

else, whether they are sick or well. It does not have to cost a lot and can be a simple gesture like asking a colleague how they are feeling, or if they want a cup of coffee on your way back from the water cooler. It might be bringing a colleague or a clerk at a store a candy bar or a card. Little things can move us to better days, and better health. I thank that young man for reminding me that small acts of kindness can help us all in the New Year. ❦

by Mark S. Faber, USPTA P-1

t this time of year, people tend to enjoy the foods and spirits of the season. Also, people tend to get away from their usual exercise routines and/or make their yearly New Year’s resolution to get themselves into better shape. I have shared many different aspects of tennis with you over the past three months. This month, I would love to share with you how tennis is not only a lifetime sport, but also how it provides you with a great way to get yourself in better shape. Now, before I share some data with you, it is important to understand that the number of calories one burns depends on each individual based on, but not limited to, weight, height, sex, air temperature, and fitness level. Going out and simply playing an hour of tennis, singles and doubles, burns a nice amount of calories. The website mycaloriesburned.com shared the following data from Medicine & Science in Sports & Exercise (the official journal of the American College of Sports Medicine): A 130-pound person playing singles can burn 472 calories in an hour or 354 in doubles. If a person weighs 205 pounds, playing singles

THE 890V3

Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the Mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

Try tennis as your 2014 fitness resolution

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burns 745 calories in an hour or 558 in doubles. Now, it is important to note the intensity of play will also be a factor. The issue with the above is that you need a person or three others. Many folks have done various types of exercise classes at the local gym. A new offering is a class called Cardio Tennis. Michele Krause, TIA Cardio Tennis Manager, shares that women can burn 300-500 calories while men will burn 500-1,000 during a one-hour class with six to eight people on the court. Cardio Tennis is designed for all levels of play and includes fun drills and games usually done to music. Michele shares, “Cardio Tennis can be compared to running on a treadmill for 60 minutes in that the calorie burns will be very similar. However, almost no one stays on a treadmill for 60 minutes. Cardio Tennis is total mind and body engagement, a very social group activity, plus you are practicing learning a skill, which all adds up to having a blast!” So this year, instead of making that New Year’s resolution and once again letting it slide, give your local tennis club a call and get involved with one of their Cardio Tennis classes! ❦

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THE ACADEMY CORNER Presented on behalf of

The Academy of Medicine of Toledo & Lucas County

Clean your plate, Johnny! by Lillie Morgan In keeping with recent Academy Corner discussions regarding the American obesity crisis, Ms. Morgan’s discussion offers another perspective. Obesity continues to play a major role in the incidence of morbidity and mortality and the occurrence of a variety of conditions. It is also a significant factor in escalating healthcare costs. For decades, “Clean your plate” has been a household mantra. Sensible food selections and portioning in our younger generation, as well as encouraging an active lifestyle, will help to shape their adult food selections, health, and wellbeing.

—Ron Shapiro, MD

he classic parental admonishment, “Clean your plate, there are starving children in Africa!” is perhaps no longer good advice. Overweight and obesity has become so common and brings with it so many complications that the American Medical Association recently voted to classify obesity as a disease in itself. The extra weight that 30% of adults

in the United States carry around is more than just a burden; it also increases our risk for certain cancers, diabetes, high blood pressure, stroke, heart attack, high cholesterol, sleep apnea, and arthritis to name just a few. The concerning thing is that these health problems are starting to affect those of younger and younger ages and now as many as 1 in 5 of our children suffer from obesity. With high-fat, high-sugar foods often costing much less than healthier options, and such a wide variety of “junk” foods available, many of our youth don’t eat the recommended portions of fresh fruits, vegetables, whole grains, or dairy and instead receive most of their daily intake from so-called “empty” calories that are not nutritious. According to the CDC, children and adolescents aged 2-18 years get almost half of their daily intake from

empty calories, and the main culprits are items like soda pop, fruit drinks, dairy desserts, grain desserts, and pizza. Overnutrition is now becoming as much of a problem as undernutrition. This means that even while many children may be eating enough, or even too much, food a day, it often does not contain the right amount of vitamins and minerals to provide the proper building blocks for growing bodies. Let’s take steps to protect our children from the increased health risks associated with being overweight or obese. Lifelong eating habits become ingrained when we are children, physical inactivity becomes a pattern, and every extra pound added makes the job of becoming healthier more and more difficult. Children should be encouraged to limit screen time, including videogames, television, and computer use, to less than two hours a day. It is also important for kids to get at least one hour of active play time a day; this promotes strong bones and muscles and builds self esteem.

Today I discovered I am a

chef

At The Lakes of Monclova, we offer a variety of onsite resident activity programs tailored to our residents’ interests and abilities, ranging from cooking classes to painting workshops and more. Our residents’ beautifully designed private assisted living suites are only steps away from our array of five-star amenities. Our programs and services are designed with one thing in mind: exceeding the expectations of our guests and their families.

Have a conversation with your child’s doctor about appropriate nutrition for their age and activity level. Then take a look at the nutrition label information of the foods your child eats the most. Are they loaded with artificial ingredients, salt, sugar, or fat? Can you find healthier alternatives for them or limit the portion size of those favorites? Children learn best by example, so making changes to eat healthier and being more active as parents is also important. It is easy to become overwhelmed, so start by making small, gradual changes to your routine and work to maintain them. Try to make being healthy fun! Involve the whole family in learning about nutrition, preparing food, or going outside to play a game. Let’s not let anything hold back the bright future of our children. Give your kids the best chance for health that you can, starting today! ❦ Lillie Morgan, fourth year medical student, The University of Toledo College of Medicine, on behalf of The Academy of Medicine of Toledo and Lucas County.

. Come in for a private tour and recieve a complimentary lunch or dinner on us. Call 419-866-3030 to schedule your tour today!

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Eating Well by Laurie Syring, RD/LD

Three steps to better health in 2014

osing weight and getting into shape are at the top of many people’s priority lists as we ring in the New Year. Often these goals and objectives fall short on or about day 17—usually because we set unrealistic goals and end up getting minimal results in the short term. Looking to change fitness and eating routines can be overwhelming and confusing. Look out for quack products that promise to make you thinner faster and get you in better shape in just minutes a day. If it sounds too good to be true, it probably is. Educate yourself; remember, knowledge is power. We’re faced with over 300 food/eating decisions each day, and being empowered with the right information will allow you to make healthy choices and set you

#1 Keep a food diary Huh, what? Who has time for that? Well, you might want to find the time because numerous science-based studies have shown that people wanting to lose weight have much better success when they keep a food diary. It’s the number-one thing you can do for yourself—a “magic bullet,” so to speak. There are many approaches you can take to keeping your diary. For example, you could jot everything down in a plain old notebook, download a form from the web, check out choosemyplate.gov, or even download an app such as myfitness pal (yep, there’s an app for that!). Writing down everything that goes in your mouth—yes, I mean every bite, lick, and taste—keeps you accountable, allows you to look back on the day and see where your eating downfalls are occurring, reminds you what you already ate, and somewhat prohibits you from overeating or snacking on something when you know you have to write it down.

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#2 Lift weights up for success. I could write about literally hundreds of food, health, or nutrition topics this month, but I want to keep things simple and sensible for readers. Let’s start with just three basic steps you can take to achieve better health in 2014. We’ve got a whole year to drill down on these concepts, but for now let’s just focus on the following:

Strength training is key at any age or fitness level. In the past 30 years of the “fitness craze,” have you seen Americans getting thinner by spending hours on the treadmill? No! Don’t get me wrong, cardio is an important part of health and fitness, but it must be combined with strength training for effective and long-lasting weight loss. The weights build strong muscles, and muscles are much better calorie

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burners than fat tissue—even when you’re at rest. It’s all about improving your metabolic rate and making you a better calorie burner. Some strengthtraining exercises don’t even require weights. Squats, leg lifts, and wall sits, for example, can all be performed using only your body weight. Need a little inspiration to help get you started? Two of my favorite books are The Cardio Free Workout by Jim Karas and t by Miriam Nelson, PhD.

#3 Snack well I’m talking about watching all those little extras that can really pack on the pounds—a cookie here, a handful of chips or snack crackers there. Keep in mind that any extra calories are going to be stored as fat. An extra 250 calories a day—the equivalent of two peanut butter cups—can add a half pound a week. That’s 26 extra pounds a year! When snacking, choose healthy, low-calorie items. Try fresh fruits, low- or nonfat yogurt, and veggies. Avoid potato chips, sweets, and typical no-nos while trying to drop extra pounds. Learn to just say no, so to speak. Your inner voice must step in to impose some discipline and restraint. And remember, if you eat

it, you need to write it down in your food diary!

Be the best you can be in 2014

Starting in February - Register Today!

Basics

For any parent or caregiver of a child or adolescent living with a mental illness. NAMI Basics offers education and support. It is taught by parents who have lived similar experiences with their own children. It is an educational program that provides learning and practical insights for families. The course is offer free of charge and consists of six classes that meet weekly or bi-weekly for 2-1/2 hour sessions.

February 18 - March 25, 2014 • 6:30 - 9:00 pm

Classes offered at 2753 W Central, Toledo - Kenwood Plaza

Family-to-Family This course teaches the knowledge and skills that family members need to cope more effectively.

www. namitoledo.org or call

419.243.1119 2753 W. Central Avenue, Toledo OH 43606 Located in the NPI Building (Kenwood Plaza)

The free 12-week course is taught by trained NAMI members who have lived with this experience and offers education and support for families and friends of people with mental illness. Many describe the impact of this program as life changing. Join the over 150,00 individuals just like you, who have gained information, insight, understanding and empowerment!

February 1 - April 6, 2014 • 3:00 - 5:00 pm

African American class offered at Greater St. Mary Church, 416 Belmont (off Collingwood)

February 18 - May 6, 2014 • 10:00 am - Noon

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February 18 - May 6, 2014 • 6:00 - 8:00 pm

Classes offered at Flower Hospital, Medical Office Building Auditorium - 5200 Harroun Rd., Sylvania

March 4 - May 20, 2014 • 1:00 - 3:00 pm

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Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

ProMedica Wildwood Athletic Club

I consider it an honor to help guide you down the road to a healthier life—and I hope these three simple steps will get you through the dreaded day 17, when most people abandon their diet efforts. Eating well truly makes you feel good, but remember, it’s not about “dieting.” My motto is “Choose the right foods on most days.” Also, it pays to be patient. It can take anywhere from three to 18 months before something becomes ingrained as a habit, and change can be slow. Start with one manageable change, such as switching from whole milk to 1% milk, so you can enjoy a small taste of success. As you gradually change out your foods for healthier ones, you’ll find your tastes change too. Something you’ve not had in a while will suddenly taste too salty, too sweet, or too rich. Every small change can yield huge benefits. I’m also looking forward to another year of writing this column. Let’s sail right past January 17 together with our healthy eating habits intact. Look for Eating Well each and every

SPRING SESSIONS

month—bringing you the knowledge to be the best you can be. ❦

On the cutting edge of medically based fitness

onsistently offering the very latest medically based fitness programs, equipment, and amenities—as well as highly skilled, expert trainers—is no small order for a fitness facility. But ProMedica Wildwood Athletic Club has risen to meet the challenge. Wildwood has made the commitment to provide members not just with state-of-the-art, researchbased exercise equipment, but also individualized, clinically integrated health and fitness programs that help members of all ages, body types, and fitness levels achieve their unique goals and overall better health. Nowhere is this commitment more evident than in Wildwood’s continuing effort to earn certification by the Medical Fitness Association (MFA). MFA certification indicates that a facility meets a wide range of standards and guidelines to be recognized as a medically based center. “Achieving MFA certification is a long, rigorous

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www.namitoledo.org www.facebook.com

process,” explains Suzette Valiton, General Manager of ProMedica Wildwood Athletic Club. “To be certified, a facility must show a year’s worth of meetings with a medical director and have a year under its belt of operating under all the MFA’s guidelines, which cover virtually everything from the minute you walk in the door—including aspects such as our programming, the forms we use, safety, emergency response, and even the spacing between equipment. MFA certification says our operations go above and beyond the rest with respect to medical and clinical components as well as our level of hospital integration.” In fact, at the MFA’s annual conference, held in San Diego, California November 20-22, 2013, Valiton was honored with the Rising Star Award – Central Region in recognition of her tireless collaborative efforts to convert Wildwood to a clinically

integrated, hospital-based center. As went a major renovation, including MFA President and CEO Bob Boone a complete overhaul of the cardio states, “MFA is thrilled to have such and strength-training equipment, locker room updates, pool resurfacstrong leaders dedicated to helping their communities become healthier ing, a new steam room, new highthrough medically based fitness prodefinition TVs, and more, in order grams. We are proud to recognize to ensure members enjoy the best centers and individuals who are possible experience. making a difference through the The new equipment was sourced provision of individualized fitness from highly reputable, state-of-theprograms and services that impact art manufacturers, such as Precor, lifestyle-related chronic diseases within Cybex, Technogym, Power Plate, Keiser, their community.” Nautilus, and Concept2. Pieces were There’s no question that Wildchosen not just because they’re new wood’s medically based programs, to the market, but because research services, equipment, has proven that they and staff are advantaget excellent results. geous to members, but “Members are loving they also benefit comthe new equipment, munity physicians, and we’re always physical therapists, hearing from them and other healthcare that the club is so professionals who can clean, the staff is so be confident that the friendly and helppatients they hand ful, and they have off to Wildwood will peace of mind knowreceive the expert care ing expert trainers are and individualized helping them reach programming and sertheir goals,” Valiton vices—e.g., exercise, remarks. nutrition, and weightWildwood also loss programs—that strives to introduce lead to more favorable programming that Suzette Valiton outcomes. appeals to younger Valiton emphasizes that it’s the facilclients—especially their “twentyity’s degreed, licensed, and certified something” members. Extreme fitness trainers who really set Wildwood apart. programs tend to resonate with this “They take into account where you age group, so Wildwood has incorpoare currently in your fitness journey rated high-intensity offerings, such and where you want to be and tailor as Athlekinetix, F.I.T. Bootcamp, and their training accordingly—not just Cardio Fusion, into their lineup. These classes are included with the price of for clinical clients, but also for elite athletes, young people, or anyone membership, and participants can else. We’re also proud of our staff rest assured that the experienced, continuity. We tend to attract and medically focused instructors will retain exceptional employees, and guide them safely through these colleges like to send their interns to intense workouts. us for our unique, clinically based Members can also work with one of approach,” she says. Wildwood’s member advocates—their personal concierge at the club—to Of course, promoting continuity and maintaining rigorous standards determine which programs, services, doesn’t mean Wildwood isn’t innoand events might be a good fit for vative. The facility recently underthem. Intro classes for various pro-

Should I have my hearing tested?

To schedule an appointment with our licensed audiologist, please call...

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Toledo Clinic ENT Audiology Services 5800 Park Center Court, Suite C Toledo, OH 43615

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“Amenities like these are among the many reasons our clients feel comfortable, cared for, and confident in our programming,” says Valiton. ❦

A few words from the Diabetic Meal Planner’s kitchen by Wayne Goodwin

hanksgiving, Christmas, and New Year’s Eve parties have already come and gone. And for most of us, so have our diets. We are here to help you keep the resolution you made concerning your diet. I say “we” because since the last article in the October issue, I have taken on a partner to expand the Meal Plans offerings beyond just the diabetic diet and to help spread the word about our unique products. John Pantel, MS, RDN, LD, is on board. Together we will be writing Meal Plans not only for diabetics, but also for Healthy Weight Loss and other specialized diets. But for this series of articles, we will be focusing on the diabetic in the family. No sooner do you actually lose

a few of those pesky pounds from the holidays when you find yourself planning a Super Bowl party—more chips, dips, casseroles, and desserts than you need. Well, we have a meal plan for you that will not break the dietary budget but will keep you eating all through the pregame, the game, and the halftime commercials.

Super Bowl Grazing Dinner We start with the bean dip and veggies followed by the poppers during the pregame show. Then we bring on the chili (which we serve in a cup) at halftime during all of those great commercials. And we end with the fruit in the Kahlua dip during the second half. It’s easy to prolong this meal if you include your afternoon

snack during the pregame, have the dip and poppers during the first half followed by the chili during halftime, and then enjoy dessert during the second half. No one will ever suspect that you had a caloric- and diabeticfriendly grazing experience.

Mary’s White Chili Difficulty: easy • Prep time: 15 min Cook time: 60 min • Yield: 16 cups

1 T olive oil 2 cups diced onion 3 cloves garlic, minced 1 T cumin 1 t cayenne 1 T dried oregano 2 15-oz cans of white corn, drained 2 15-oz cans great northern beans, drained 1 6-oz can chopped green chilies 8 cups low-sodium chicken broth 2 lbs of cooked chicken meat in bite-sized pieces, we use a rotisserie chicken for this. In a pot big enough to hold all the ingredients, sauté the onions and garlic in the oil over medium heat for 5 minutes. Add the cumin, cayenne, and oregano and cook for another 2 minutes. Add the corn, beans, chilies, and broth, and stir to mix well. Bring to a boil, reduce the heat to a simmer, cover, and cook for 45 minutes. Add the cooked chicken to

the pot, and stir to mix well. Cook until the chicken is heated through. Nutritional data for 1 cup: 216 calories, 16 gm available carbs, 19 gm total carbs, low glycemic index, 4 gm fiber, 186 mg sodium, 42 gm cholesterol.

White Bean and Artichoke Dip

sheet, skin side down. Cut the ham into 18 pieces, and lay one on top of each pepper half. Top with equal amounts of the cheese mixture. Top with equal amounts of the bread crumbs. Bake for 20 minutes. Serve warm. Nutritional data for 1 popper (half a pepper): 33 calories, 0 gm available carbs, 1 gm total carbs, low glycemic index, 0 gm fiber, 96 mg sodium, 9 gm cholesterol.

Difficulty: easy • Prep time: 10 min

Kahlua Dip for Fruit

Cook time: none • Yield: 2 cups

1 15-oz can great northern beans, drained and rinsed 1 15-oz can artichoke hearts, drained and rinsed 1 clove of garlic, minced 3 T lemon juice 1 T olive oil A dash each of salt and pepper Put all the ingredients in the bowl of a food processor and process until smooth. Serve immediately, or let sit for a while for flavors to blend. We usually serve chilled. Nutritional data for ¼ cup: 88 calories, 10 gm available carbs, 14 gm total carbs, low glycemic index, 4 gm fiber, 66 mg sodium, 0 gm cholesterol.

Baked Jalapeño Poppers Difficulty: easy • Prep time: 20 min Cook time: 20 min • Yield: 18 poppers

9 medium-sized jalapeno peppers 2 oz thinly sliced lean deli ham 3 oz low-fat cream cheese at room temperature 1/3 cup grated cheddar cheese 2 T Panko style bread crumbs Preheat the oven to 400°F. Cut the peppers in half lengthwise. We remove the seeds and veins, but if you like it more spicy, leave them in. In a small bowl, mix the cheeses and set aside. Put the pepper halves on a baking

Meal Item White Bean and Artichoke Dip Cucumber sticks Radish halves Baked Jalapeno Poppers Mary’s White Chili Kahlua Dip for Fruit Apple wedges Hulled strawberries Non-caloric beverage Total meal calories Available carbs Total carbs Glycemic index Sodium (mg) Fiber Cholesterol (mg)

Difficulty: easy • Prep time: 5 min Cook time: none • Yield: 1 cup

1 cup low-fat sour cream 1 T Kahlua or similar beverage 1 T light brown sugar Mix all of the ingredients in a small bowl. Serve immediately, or let stand in the fridge for an hour or so to let the flavors blend. Nutritional data for 2 T: 61 calories, 2 gm available carbs, 4 gm total carbs, low glycemic index, 0 gm fiber, 18 mg sodium, 16 gm cholesterol. Enjoy this grazing meal with family and friends! And join us again in the April issue when we will have another meal using springtime ingredients. ❦ Wayne’s four books, Everyday MEAL PLANS for Diabetes, More Everyday MEAL PLANS for Diabetes, Sodium Restricted MEAL PLANS for Diabetes, and Holiday MEAL PLANS for Diabetes, can be ordered in digital or print format through www.amazon.com/ author/waynegoodwin. Print copies only are available for $21.30 (tax included) per book or through Wayne Goodwin, Box 666, Holland, OH 43528. Personal checks are accepted as well as Visa, MC, Discover, or Amex. Send card number, expiration date and credit card code, mailing address, and contact phone with your order.

1400 cal/day 1800 cal/day 2200 cal/day ¼ cup 1/3 cup ½ cup 3 oz 4 oz 5 oz 4 halves 5 halves 6 halves 2 2 3 2/3 cup ¾ cup 1 cup 3 T 4 T 5T 4 oz 5 oz 6 oz 2 oz 3 oz 4 oz Free Free Free 478 598 750 44 57 69 57 73 90 Low Low Low 408 471 637 13 16 20 69 84 108

After the hustle and bustle of the holiday season subsides, we may become more aware of indications that all is not well with our child’s school performance. By now, adjusting to a new school, new teacher, or harder curriculum, should have already occurred. This is the time when school is getting serious and teachers are very deliberately measuring each child’s performance against goals. This is often the time when we begin to realize there may be a need for further investigation into a child’s difficulties at school. The discussion should take a two-pronged approach. Meet with the teacher to learn about specific concrete examples of strengths and weaknesses as well as some observations and ideas of possible causes. It is appropriate to discuss a plan for how the educational team and family can help the child. Having these discussions in the presence of your child requires tact and sensitivity. It is very important to learn about and discuss your child’s strengths and gifts as part of these conversations. Be open to a different interpretation of your child’s situation. Each child comes with unique strengths. It may be that your child’s “normal” is different than your expectation, and adjustments are in order In addition, schedule an appointment with the child’s pediatrician or family doctor. A thorough exam can rule out any medical causes and help point to specific areas for further exploration. Examples of some concerns your pediatrician can help uncover include anemia that is leaving your child with less ability to focus on school, a mild hearing or vision problem, a sleep disorder, an emotional problem such as anxiety from being bullied, or a neurological problem such as ADHD (attention deficit hyperactivity disorder). The doctor may order tests, therapies, or refer a child to a specialist for further evaluation. Regardless of the cause, there are things you as a parent can do to help your child. Make sure he or she is getting adequate rest and physical activity. Listen to your child and hear his side of the story. Make sure your child isn’t overextended with outside activities. You as the child’s parent have the right and the responsibility to limit your child’s “screen time” (video games, computer, TV) so that she has adequate time to complete school work and engage in a variety of wholesome activities. Make it a priority to involve your child in activities which provide positive reinforcement and fun, so that self esteem remains intact. With a little early attention to school problems now, your child very likely will be able to reach the end of the school year on a positive note.

Lorraine Fay, MD Developmental Pediatrician

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Retirement can be wonderful at Sunset Communities by Christine A. Holliday

ometimes, retirement is a reward for a dedicated work life. A retiree can often expect to have time for the hobbies, travel, movie dates, or visiting that a regular work schedule doesn’t allow. Families find time to get reacquainted, and friendships are made or enriched.

Sunset residents make and sell Paws Cause dog biscuits to benefit the Pet Fund of Sunset House.

Far too often, however, retirement can be a scary time. If one’s savings aren’t sufficient, one’s health isn’t good, or families aren’t on good terms, retirement can be a nightmare. Sunset Retirement Community recognizes both realities. In fact, they have known since 1871, when

they opened their doors, that there are seniors who can no longer support themselves. They know that the need for personal assistance with everyday activities increases with age, and that for many, an unsteady economy has made their retirement accounts less stable. That is why they make a clear promise, through their Residents’ Assistance Fund, to each of their residents: • No one is ever asked to leave or do without necessities because they have run out of money. • To the extent their funding allows, they invite into their homes elders who have no money, are living in unsafe or unhealthy conditions, or have no family members to help them. • They will provide residents with personal items vital to their overall well-being when the residents cannot afford them. Their first residents were women, but they welcomed their first male

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resident in 2001. Single residents or couples are welcome there now in private apartments, and all can benefit from a continuum of care that runs from Independent Living, Assisted Living, or Memory Support to Nursing Care and Ashanti Hospice and Palliative Care. U.S. Census Bureau statistics reveal that the 85-and-older age group is the fastest growing segment of the North American population. That growth in numbers has necessitated the establishment of long-term care facilities, many of which Dorothy Mockensturm, Director of Development and Communications for Sunset Retirement Communities, describes as “large, for-profit companies focusing on a financial bottom line.” She adds, “Staffing and/or goods and services may be cut to maintain a profit.” In contrast, Sunset is a not-forprofit organization, a proven leader in long-term care in Toledo. They receive consistently high-ranking state survey

Sunset's Red Hat Society members exhibit a little "Red Hattitude."

results, as well as being awarded five stars overall in U.S. News and World Report’s Best Nursing Homes. Their location in an upscale neighborhood in the Toledo area belies their whole story. Mockensturm notes, “Sunset moved to Indian Road long before the village of Ottawa Hills existed. We are priced about the same as our fellow long-term-care providers. Many of our residents do pay their own way, some pay for a while until their funds are exhausted, some are admitted without being able to pay because they meet our mission.” Currently, nearly 300 residents (average age 88) enjoy services at one of three locations. For those who like the idea of independent living and have no serious health problems, the Woodlands at Sunset House (4030 Indian Road) offers one- or twobedroom apartments with beautiful views of the campus. Chef-prepared meals are available, and a library, wellness center, putting green, and housekeeping services every two weeks allow residents to enjoy their current lifestyles without worry. Sunset House, at 4020 Indian Road, offers one-bedroom or studio apartments, which residents can decorate with their own furniture and decorations, as they can in all parts

of the centers. The residential living program includes monthly wellness assessments, nursing consultations, and monitoring or administration of medication. An experienced staff is available 24 hours a day to provide assistance with daily living activities or social activities. As a resident’s needs increase, Sunset offers more care. The healthcare center provides skilled nursing services if needed, as well as comprehensive rehabilitation services (physical, occupational, and speech therapies). Sunset Village offers the same rehabilitation services and memorysupport health care. Residents have the option of living in an apartment or one of the neighborhoods, both of which have all meals included, experienced staff on duty 24 hours/ day, and a wide variety of activities. A wellness center and full-service beauty and barber shop keep residents happy, and the beautiful suburban setting (9640 Sylvania-Metamora in Sylvania, OH) is inspiring and relaxing. Respite care is available at both Sunset House and Sunset Village for as short as a weekend or as long as 60 days. It is designed to give caregivers peace of mind and freedom to take a much-needed break. The Ashanti Hospice Program provides services to those who have a terminal diagnosis with a prognosis of six months or less. A team of healthcare professionals works with family members to provide medical support, pain management, and symptom control for the patient, offering care for the whole person and the family. The Hospice program is located at 4020 Indian Road. Sunset House and Sunset Village are Certified Eden Alternative registered facilities. That designation marks them as providers who offer care that focuses on the needs of the individual rather than an outdated hospital-style model of care. The environment is vibrant, with the presence of pets, children, plants and flowers, and a variety of activities making the homes places where people are enjoying life. More information is available: Sunset House (419 536-4645), Woodlands (419-724-1220), Sunset Village (419-724-1200), and Ashanti Hospice (419-724-1047). Mrs. Mockensturm can provide information about the Residents’ Assistance Fund at 419-724-1225. Website: www.sunset-communities. org. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

A Walk in the Park LeMoyne Mercer

A new old house in Savannah

hirley and I have enjoyed trips to Savannah at least once each year for 15 years. We prefer to visit in October, for our anniversary, and in March or April when the azaleas, rhododendrons, and camellias are in bloom. The major attraction for us is the historic district where numerous antebellum mansions and their gardens have been lovingly restored. The restoration movement began at the Davenport House in 1955 when seven Savannah women saved it from demolition. In 1963, the 1820 Federal style mansion was opened to the public with period furnishings based on the inventory taken when Isaiah Davenport died in 1827. Saving the Davenport House inspired the creation of the Historic Savannah Foundation and the preservation movement that probably saved the city itself from becoming a Southern equivalent of Detroit. Having 12 million visitors a year generates an enormous economic benefit for the city. Our friend Dan last visited Savannah when he was in the military before the city’s renaissance. His memory of the city is a lot of big old houses that had suffered from neglect for decades and/or been turned into slum tenements. In addition to their stately architecture and beautiful furnishings, each house comes with a story—quite often more than one story, some of which could come straight out of a William Faulkner novel or a play by Tennessee Williams. And some of the stories end up in movies. Or the houses themselves were in the movies. Perhaps the most notorious is the Mercer House because of its connection with the book (or, as they say in Savannah, The Book) and Clint Eastwood’s movie Midnight in the Garden of Good and Evil. The house was built by Civil War General Hugh Mercer, great grandfather of songwriter Johnny Mercer. (The soundtrack for the movie is all Johnny Mercer.) It was just another rundown property when purchased and restored by antiques dealer Jim Williams who was tried for the sensational murder of his homosexual lover. Among the most beautiful of the Savannah mansions is the pumpkin-colored Sorrel-Weed House with its green shutters and balconies. Cinderella could pop out of it at any moment. That color, by the way, was resisted at first by the Historical Society, but the owner produced paint chips that showed it to be the original color of the house. In the Greek Revival style, it has a double entrance with Doric columns on the portico. Inside, the oval library and numerous details are architecturally interesting, but even more interesting are the stories of the people of the house. Moxley Sorrel, son of the builder, was a hero of the Battle of the Wilderness. At the age of 26, he became the youngest Brigadier General in the Confederate army. Robert E. Lee had visited the house before taking command

of the Army of Northern Virginia. On the Union side, Gen. Sherman was a guest before the war and occupied the nearby Green-Meldrim House after he captured Savannah and offered it to Lincoln as a “Christmas present.” Many visitors are drawn to the house by the story of Moxley’s father, Francis Sorrel, a wealthy plantation owner from the West Indies. He married Lucinda Moxley, who was just 17 years old and from a wealthy family with whom he did business. (There is a long tradition in the South of using family surnames as the given names of sons. It helps preserve the heritage of both sides of the family.) Lucinda died after just five years, and two years later, Francis married her younger sister, Matilda. Meanwhile, Francis was engaged in an affair with a young slave, Molly, for whom he had arranged special quarters for their convenience. One day, Matilda went looking for Molly and walked in on them. Then walked out on them, so to speak, by jumping head first from the second-story balcony. Later, Molly was found hanging from a noose in another apparent suicide. This narrative may or may not be true. It doesn’t really matter to the tourists who gobble up the popular Savannah ghost tours, a major subset of the historic tours. Just when Shirley and I begin to think we have toured all of the old houses, a new one opens up. Now, obviously the historic mansions are not “new,” but a steady stream of them is currently in renovation. There are

The distinctive pumpkin-colored Sorrel-Weed House is a popular stop on Savannah ghost tours.

enough houses now being restored to keep us happily visiting for the rest of our lives. Last October, the newest old mansion on our list was the Harper-Fowlkes House, another outstanding example of the Greek revival style. The house was built in 1844 for banker Aaron Champion from Massachusetts. (Over the years, we have been surprised by the number of Southern mansions that were owned by Damn Yankees.) During the Civil War, Champion is said to have hidden the gold from his bank in a well in the garden. After the war, he recovered all but one $10 gold piece. Rather makes you wonder who would take just $10 and leave the rest. Champion’s daughter inherited the house, and it passed through several other hands until its owners could no longer maintain it. Like most of the other spectacular antebellum mansions of Savannah, it became a derelict. Alida Harper, born in 1908, had admired the home since she was a child and purchased it in 1939 against wiser counsel from her family and friends and bankers. Even if she succeeded in restoring its lost dignity, the property would still be, at that time, in an unfortunate location. Alida Harper has a claim to be called the first restorationist, even if she was, for 15 years, just about the only one. Eventually she restored ten homes one at a time and became intimately involved with the Savannah preservation movement. One of the ten is the Green-Meldrim house that had served as Sherman’s Savannah headquarters. As a child, Alida contracted typhoid fever and a rare form of tuberculosis that left her with physical limitations. Even so, she remained socially active and involved in parties, bridge games,

and business interests. Her business acumen was critical because, though socially connected, Alida acquired wealth not by inheriting it but by earning it while continuing to live frugally. The antique furnishings of the Harper-Fowlkes House today might be considered priceless. When Alida purchased them, however, they came with very definite prices. Because of her physical limitations, Alida never expected to marry—until she met Hunter McGregor Fowlkes. Unfortunately he died a year and a half later. When Alida died in 1985, she left the house to the Society of the Cincinnati for use as their state headquarters. Members of the Society are direct male descendants of George Washington’s officers and included Alida’s father and brother. She stipulated that the Society was to maintain and preserve the house and its furnishings so that future generations could see the lifestyle of the mid 1800s. The Harper-Fowlkes House is located on Orleans Square, one of two dozen squares or small parks in the layout of the Savannah historic district. In the center of each is a monument, fountain, gazebo, or other architectural feature. Traffic flows around the squares in a counter-clockwise direction like traffic circles. Along the perimeter of each square are lots for residences and much larger “trust lots” for public buildings such as schools, churches, or markets. Some of the trust lots, the size of entire city blocks, are taken up by single mansions. Size alone could make these homes impressive. Couple size with distinctive, historic architecture and delightful gardens, and you can appreciate Savannah’s renaissance as a tourist destination. The Harper-Fowlkes House is con-

The Harper-Fowlkes House sits on a “trust lot” on Orleans Square. That is, the house and its back garden occupy an entire city block.

structed of Savannah gray brick that was stuccoed over and then scored to look like large stone blocks. There is a course of real stone in a band that separates the first and second floors. The elevated entrance is framed by Corinthian columns and reached via double curved sandstone steps. The front hall floor is of impressive black and white Georgia marble. Ample interior daylight is provided by an oval ocular, or sky light, three stories up through a rotunda. The centerpiece of the hallway is a mahogany clock that has been in the house since its completion in 1847.

The fountain of the Society of the Cincinnati occupies the place in the garden where the original owner’s well hid gold from Yankee soldiers.

Ornamental wrought iron gates are a common feature of Savannah mansions.

As is typical of antebellum mansions, most of the original furnishings are gone with the wind. The antique furnishings we see today are often from the period but not original to the house. Alida carefully decorated with fabrics, carpets, and furniture from the late 18th through the 19th centuries. In the parlor, for example, is an upholstered Hepplewhite chair and a Sheraton mahogany table.

A Chippendale camel-back sofa is upholstered in Italian silk damask. The dining room features a huge 1835 Sheraton table and a mahogany sideboard. The walls appear to be covered by rich wood paneling, but they are actually plaster painted in a manner called faux bois—false wood. The ornate plaster crown molding is original to the house. So, too are all the chandeliers, which were originally gasoliers (gas lamps). Our guide said that Alida wanted them converted to electricity for safety reasons. When her electrician told her it could not be done, she went to the library for a book on wiring and did it herself. Upstairs, the bedroom features the Rococo bed with half tester (canopy) and other furnishings that are typical of 19th century mansions. Much of the second floor is dedicated to the use of the Society of the Cincinnati for their Trustees Reading Room and regular meetings. In addition to tours, the HarperFowlkes House is a popular site for weddings and was chosen by Robert Redford for the set of The Conspirator, the 2010 film about Mary Surratt, the only woman hanged for participating in the plot to assassinate Lincoln. Undoubtedly, Redford chose to film in Savannah because the house and its

neighbors in the historic district can credibly pass for 1860s Washington. Shirley and I encourage you to visit the Harper-Fowlkes House or any of the other historic mansions and gardens open for tours. Go to the spectacular Bonaventure Cemetery and listen to some ghost stories. Enjoy some Low Country cuisine. Pause at a park bench in Chippewa Square, like Forrest Gump, as you stroll through as many of the squares as your feet can handle. Put Forsyth Park and its magnificent fountain high on your list. At the end of the day, or a week, you’ll be pooped but satisfied by your walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

The Corinthian columns are said to have been modeled after the Temple of the Winds in Athens.

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Aging gracefully, by Carol Klotz W

hat comes to mind when you hear the term “anti-aging”? Some may say, “dealing with gray hair, sunspots, wrinkles, aches, pains and on and on. Some more clever may say, “avoiding premature death.” Anti-aging is about more than “how you look,” but also “how you feel.” Living longer is about being present for the people whom you care about and being able to connect with them. So what do we know about this “aging” process (or perhaps we should call it “age management”)? There is some “good news” and some “bad news.” Bad news first: Quality of life is declining rapidly. There is a pandemic of diabetes. Obesity rates have doubled in the U.S. since 1980. We are literally killing ourselves with sugar. Not only is there an increase in diabetes, but sugar causes other problems, such as the breakdown of collagen in the skin, and contributes to brain disease. Alzheimer’s disease is now being called type 3 diabetes. Heart disease is still a killer. 70% of all heart attacks are caused by inflammation of the arterial wall. The research of Dr. Peter Libby, Chief of Cardiovascular Medicine at the Brigham and Women’s Hospital in Boston and Professor of Medicine at the Harvard Medical School, has helped open up a new understanding of the role of inflammation in cardiovascular disease and heart attacks.

Now the good news: Life expectancy is increasing—one in three children born today have the chance to reach over 100 years of age. Scientists are discovering that the human body, when properly maintained, should on average be able to live to 120 years old. There are people who are actually doing it. They are called “super agers.” These people embrace the science, research, and proven nutritional guidelines that help them live healthier and longer lives than their counterparts. Multiple studies have been done on people who have aged gracefully and are considered healthy as they enter the “golden years.” Their blood was tested and compared to other people who aren’t very healthy, and they found that the number-one distinction between the two groups was that the healthier subjects had higher levels of antioxidants in their blood—much higher than people that same age and the equivalent of younger people. So, when you see someone who is aging gracefully, they have higher levels of antioxidants. This is coming from proper nutrition, exercise, maintaining hormones, and nutritional supplements. Decisions, decisions! The aging process is not pretty. You start to lose muscle tone and gain visceral belly fat, and your bones become more porous and easier to fracture, etc. So, we need to make a decision. Do we want to “age poorly” or “age gracefully”? Research is showing we can actually slow our response to the aging process on the cellular level through nutritional supplementation. Some of the botanical elements that help do this are: Mangosteen—Aptly named the “Queen

of Fruits,” and known traditionally for its healthpromoting properties, the mangosteen contributes to healthy function of the body’s immune, intestinal, and respiratory systems among others—combating free radicals that damage optimal cell functioning. Lychee Polyphenol—High in antioxidants, lychee has been valued in the East for promoting healthy aging. In the West, clinical studies have examined the lychee’s ability to support metabolic function, reduce belly fat, improve circulation, and regenerate skin and other tissue. Shilajit—Used for centuries on the Indian subcontinent, shilajit has been shown to have a host of numerous health benefits. A rejuvenator and adaptogen, shilajit helps the body adapt to stress at a cellular level by improving mitochondrial function and reducing oxidative stress. L-Leucine—L-leucine is an essential amino acid; your body cannot make it, so it must get it directly from food or supplements. It helps preserve lean muscle, and to heal bone, skin and muscle tissue. GABA—Known as the “euphoric amino acid,” GABA brings a natural high, calmness, and a powerful sense of well being. It is believed to stimulate the pituitary gland to naturally secrete human growth hormone, production of which declines radically as we age. Tribulus Terrestris—Famous among athletes for its capacity to promote muscle mass, tribulus also has a strong effect on the body’s production of testosterone (and everything associated with it). Aloe— More than 200 scientific papers have been published worldwide on the remarkable properties of this plant. Known primarily for use in healing, aloe is also high in vitamins, minerals, amino acids, and fatty acids. Grape Seed & Skin Extract— Resveratrol is the activator in grape seeds and skins that “switches on” the enzyme SIRT1 in the human body. Scientific research has shown that SIRT1 inhibits inflammation and slows neural and physical degradation associated with the aging process. Beet-Root Extract—Beet-root extract promotes cardiovascular health because it is a precursor to nitric oxide, a substance that causes muscles (including the heart) to work more efficiently. It also is rich in betalains, compounds that have demonstrated antioxidant properties. XALO Ageless blends all of the above How we age is a choice—a choice no longer reserved for the wealthy and famous. With XALO Ageless, you can tackle aging at its source and manage aging in a healthy way. XALO Ageless is designed to make your “good days longer and your hard days better.” XALO’s all-natural formulas focus on the causes of exhaustion, aging, and daily wear and tear to let the prime of your life continue indefinitely. Based on revolutionary science, XALO Ageless revitalizes the cells that make up your body’s entire composition to give you back that zest for life. Revitalizing and repairing your body’s cells through unique blends, XALO improves from the inside out, improving blood circulation, enhancing skin appearance, and combating visceral belly fat. Below are some results of people taking XALO Ageless for a very short period of time.

Rosalind J.—The first night I drank XALO, I slept for 6 hours! I haven’t slept that many hours in years (insomnia). So, this is a great start for me. Yesterday I got up and cleaned two of four bathrooms at home! My energy level seems to be coming back. I’ve been paying a cleaning service to clean my whole house. Each day I can do more. Way to go XALO! Kim T.—I’ve been drinking ageless for about 8 days now. I am starting to notice some gradual changes with some spots I have on my face. I am hoping soon they will be gone. What’s insane is my energy level. It is off the hook! Let’s talk about my moods . . . what moods? I only have one mood, and that’s a great one! People think I’ve lost my mind, and that’s the way I like it! Life is too short not to have a whole bunch of fun! Yippee! Ann T.—The first morning after taking Xalo, I noticed that my usual morning stiffness was gone. I felt refreshed and ready to face the day. Now, after four nights, I realize that not only is the stiffness gone, but I am falling asleep quickly and sleep well, without tossing and turning. And my restless leg symptoms are gone. Can’t wait to discover more changes! Lisa C.—I am sleeping like a baby . . . hand spots decreased . . . I have more focus and clarity, and I am liking lipstick as my lips are just a tad fuller . . . crazy, crazy! Hans A.—First time I have woken up with a blood pressure under 155 (norm 165-175 for years, day 8 with Ageless).

Carol Klotz—Here are my personal results, in order, after taking XALO Ageless for 60 days: Besides great sleep, I have more energy and stamina. A mole on my jaw line is gone. Flexibility is improved. My visceral belly fat is decreasing— down 1½” in waist! Lips are plumping up (Yeah). My face overall is looking younger. My vision is much clearer—everything seems so bright and crisp. When I saw my doctor a couple of weeks ago, my blood pressure was 122/78. My doctor wanted to know what I was doing to be in such great shape. What you should expect • Immediately: improved circulation and warmth; improved energy, mental clarity, and focus • In four to six weeks: improved muscle tone, overall energy (less fatigue), mood/cognitive health, and immune function. • In 60 to 90 days: improved cardiovascular health and skin tone (more youthful skin), reduced belly fat, and weight loss. Getting older isn’t a choice. We can’t reverse the sands of time. But how we age—whether we choose to do it prematurely or with grace—is something we can control. You only have one body. Start now to reduce the signs of aging and live your life the way you want. If you are interested in more information on how to look and feel younger than your age, please feel free to call me at 419-343-9189. Take advantage of the 30-Day Money-Back Guarantee.

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