HLN September 2014 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News September 2014 • FREE

Also available at hlntoledo.com

Precious in pink! Race for the Cure

Also in this issue: • Look your best this fall • Your link to Parkinson's support • Salt, sodium, and sense • Survivor's guide to OTC meds • Sleep apnea linked to hearing loss

• September Fest • Sound Advice • Health Crossword • Walk in the Park • And much more...

It’s time for a Mercy Physician 888-204-8775 mercyweb.org Physicians include those employed by Mercy and members of Mercy’s Care Network.

A Catholic healthcare ministry serving Ohio and Kentucky

Look your best this fall!

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 by prior sun exposure can be improved dramatically with painfree, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, upper arms, abdomen, and jowls. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only one treatment, results are seen before leaving the office. Continued 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!

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.

The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler 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 Deep Tip, 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. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit Dr. Handler ’s website at drharveyhandler.com. For more information about

the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging. Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer. Full Body Exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women

re you losing hair from surgery, anaesthesia, illnesses, pregnancy and delivery, medications, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients? There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients! After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth. Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to slow your hair loss. Most patients notice a decrease in loss in 30-t60 days! ❦

www.drharveyhandler.com

Reduce lines, fade sun spots Smoother, tighter, younger-looking skin on face, arms, and chest

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery. No injections. No downtime.

Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital)

419.885.3400

e lthy l ng ews

September 2014 • Vol. 19, Issue 9

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

TAKING CARE OF YOUR LIFE

2 Look your best for fall! 5 Nobody’s Perfect The stigma of mental illness by Sr. Karen Zielinski, OSF 7 Palliative care and the cancer patient: managing symptoms for maximum quality of life 10 Kick sleepless nights to the curb 14 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 15 What a difference a day makes! ProMedica Cancer Institute opens dedicated Lung Clinic 25 Get back in balance with Heartland Rehab 26 Prescription drug abuse takes heavy toll on children and families 30 Meditation and mindfulness help body and mind, by Linda L. Smith, MA, LPC 33 Survivor’s guide to over-the-counter medications during cold and flu season, by Kimberly Zitko, BSPS, and Michelle Mangan, PharmD, BCACP, CDE 35 Need speech therapy? There’s an app for that at The Laurels! 38 Breakthrough treatment for carpal tunnel syndrome, by Douglas A. Schwan, DC, Dipl ac 46 Sleep apnea linked to hearing loss by Dianna Randolph, AuD, CCC-A

22 Texting, texting! Know the dangers of distracted driving 24 Health Crossword, by Myles Mellor 36 Spiritually Speaking Sister Water by Sister Mary Thill 41 Development is a marathon, not a sprint by Mark S. Faber, USPTA Elite Professional 42 A Walk in the Park Midsummer Night’s Dream by LeMoyne Mercer 47 Don’t get stuck in your comfort zone by Amanda Manthey 48 Four simple rules of bicycle safety

FOOD & NUTRITION 16 Eating Well Salt, sodium, and sense by Laurie Syring, RD/LD

CHILDREN & PARENTING 20 Valentine Theatre has something for everyone by Christine A. Holliday

See p. 12 for details.

Dear Readers, Thank you for picking up the September issue of Healthy Living News. As the family image on our cover suggests, it’s time to get ready for the 21st Annual Komen Northwest Ohio Race for the Cure, to be held Sunday, September 28 in downtown Toledo. In fact, this issue marks our 18th consecutive year as a proud sponsor of Race for the Cure, a vital event that brings hope to so many area residents whose lives have been touched by breast cancer. For more details, see the article and schedule of events on page 4. Sticking with the topic of bringing hope to people fighting cancer, this issue also features articles on ProMedica’s new Lung Clinic, located at Hickman Cancer Center on the campus of ProMedica Flower Hospital, which is designed to shorten the time to treatment for

OUR COMMUNITY 4 Race for the Cure returns to downtown Toledo 8 Parkinson Foundation of NWO strives to connect Parkinson’s community with vital resources 12 Elizabeth Scott to hold 6th Annual September Fest! 18 HCF communities take holistic, individualized approach to Alzheimer’s/dementia care 28 Mercy STAR program helps cancer survivors take control of their symptoms 32 Back to school on the Hogwarts Express! 34 Fall wine tasting and cooking demo fundraiser at Bittersweet Farms September 17 37 South YMCA at the Morse Center Receives LIVESTRONG® at the YMCA implementation grant 40 Franciscan HomeCare and PersonalCare: eyes and ears on your health care at home 45 Sylvania Franciscan receives national award

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patients diagnosed with or suspected of having lung cancer (p. 15); Mercy’s implementation of the innovative STAR (Survivor Training and Rehabilitation) Program®, which helps cancer survivors take control of their symptoms during and in the aftermath of treatment (p. 28); and the role of palliative care in cancer treatment at The Toledo Clinic Cancer Centers (p. 7). Readers with Parkinson’s disease and their loved ones won’t want to miss the article on page 8 about the Parkinson Foundation of Northwest Ohio, an area non-profit organization that works tirelessly to connect members of the Parkinson’s community with

NOW

WHEREVER

See pg 12 for details

YOU ARE, WE ARE. /HLNToledo

@HLNToledo

critical resources and help improve their quality of life. My father, Robert O’Connell, has battled this debilitating disease for 30 years, and I can’t say enough about all the Foundation has done to benefit him. Last but not least, HLN is also proud to sponsor the Elizabeth Scott Community’s 6th Annual September Fest. This fun, familyfriendly, outdoor event, to be held Saturday, September 13 on the Community’s campus in Maumee, is free and open to the public. See page 12 for details. Nearly 2,000 guests turned out for last year’s September Fest, and they’re hoping to top that number this year. We urge you to come out and bring the whole family with you! Until next month, stay safe, active, and healthy!

Download our free app on your mobile device in the iTunes or Android store and always be well connected.

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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.

Contacts

Race for the Cure returns to downtown Toledo September 28

he Northwest Ohio Affiliate of Susan G. Komen is gearing up for the 21st Annual Komen Northwest Ohio Toledo Race for the Cure. The 5K run/walk event will take place on Sunday, September 28, 2014, in downtown Toledo. The Komen Northwest Ohio Race for the Cure is the largest fundraising event in Northwest Ohio. The event is held in support of the Susan G. Komen vision of a world without breast cancer. This year’s Race will be run “In Celebration” of Denise

McCroskey and “In Memory” of Linda “LuLu” Key. Along with more than 1,000 volunteers, the Race is made possible by national and local sponsors—including Presenting Sponsor Northwest Ohio Ford Dealers—who provide the financial support that is necessary to execute an event of this proportion. Pre-Race festivities will begin at 7:00 a.m., and the Race will kick-off at 9:30 a.m. at the conclusion of the Survivor Parade. This year only, advanced on-site

Komen Northwest Ohio Toledo Race for the Cure 2014 Schedule TIME ACTIVITY

LOCATION

7:00–9:30 a.m. Local Sponsor Tents Open

Washington Street

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

7:00–9:30 a.m. Kids Area Open

Inside 5/3 Field near the Swamp Shop

7:00–11:00 a.m. Survivor Tent Open

S. Superior Street at the corner of Washington Street

7:30–9:00 a.m. Race Day Registration

Inside 5/3 Field

8:00 a.m.

Inside 5/3 Field (3rd base side)

8:45 a.m. Survivor Parade

Starts on the field, directly following the Survivor Photo

Editorial office:

9:30 a.m.

Summit and Monroe Street

Business office:

Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net.

Publisher: Kevin O’Connell

Survivor Photo

5K Race Begins Followed by 5K Walk and 1 Mile Family Fun Walk

10:30 a.m. Race Results

Posted on the outside of 5/3 Field at the Home Plate Entrance on Washington Street

11:00 a.m.

Closing Stage at Washington Street and S. Superior Street

Medal Distribution and Award Ceremony

registration will be available at The Stranahan Theater (rather than at Brondes Ford Maumee), Toledo Ohio, on Thursday and Friday, September 25 and 26 from 10:00 a.m.–7:00 p.m., and on Saturday, September 27 from 10:00–4:00 p.m. Registration at The Stranahan Theater is $30 for ages 19 and older and $20 for ages 18 and under. Race-Day registration will be available at the registration table inside Fifth Third Field for $45 per person. For those who cannot make it out on Race Day, the Sleep in for the Cure registration option allows participants to support the Race without lacing up their shoes on Race morning. All Sleep in for the Cure participants will receive a Komen Northwest Ohio Toledo Race t-shirt and Race bib, just in case! Through events like the Komen Northwest Ohio Race for the Cure, the Komen Northwest Ohio Affiliate has invested nearly $10 million dollars in local breast health and breast cancer awareness projects in 24 counties in Northwest Ohio and Southeast Michigan. The Northwest Ohio Affiliate will also hold the 2nd Annual Komen Northwest Ohio Findlay Race for the Cure in downtown Findlay on Saturday, September 27, 2014. PreRace festivities kick off at 7:00 a.m. and the Race will kick off at 9:00 a.m.

About the Northwest Ohio Affiliate of Susan G. Komen Susan G. Komen is the world’s largest breast cancer organization, funding

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media: Samantha Watson 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.

4 September 2014 | Healthy Living News

419-843-6106. We love feedback. Like us on Facebook. Follow us on Twitter.

more breast cancer research than any other nonprofit while providing real-time help to those facing the disease. Since its founding in 1982, Komen has funded more than $800 million in research and provided more than $2.2 billion in funding to screening, education, treatment, and psychosocial support programs serving millions of people in more than 30 countries worldwide. The Northwest Ohio Affiliate alone has invested more

than $10 million in community breast cancer programs in 24 counties. Seventy-five percent of the net proceeds generated by the Affiliate stays in Northwest Ohio, and the remaining 25% funds national breast cancer research. Komen was founded by Nancy G. Brinker, who promised her sister, Susan G. Komen, that she would end the disease that claimed Suzy’s life. Visit www.komennwohio.org or call 1-877-604-CURE. ❦

nobody’s perfect Sister Karen Zielinski, OSF

The stigma of mental illness

lost a beautiful, talented high school student to suicide many years ago. I was teaching choirs at a suburban Cleveland high school and drove into the Toledo area with a few fellow teachers. We visited Tony Packo’s, the Toledo Zoo, and the grounds of what is now Lourdes University in Sylvania. After a fun day trip, we drove back to Cleveland. When I arrived home, I received a phone call from one of my student’s mothers. “Beth is dead. She took her own life with an overdose of pills.” I was stunned, saddened and did not understand what happened. Beth’s mother said her daughter was excited that she made the select show choir at the school, but Beth had seemed “a little sad.” She said Beth did a lot of organizing around the house: cleaning out her drawers and clothes closets, organizing her books and music—doing, in hindsight, what is known as the last things. Faculty and some students talked about her suicide in hushed voices…there was a stigma about it.

The high school sophomore had depression. My choir with her fellow choir members sang at her funeral. There followed a rash of sorrow in the music department, along with assemblies from local universities that addressed suicide. I received notes from her former boyfriend, in my notepad on my desk, saying he missed Beth and wanted to join her. I just happened to find it while on the phone. I immediately called the school office, but he was already hospitalized. Her boyfriend attempted suicide. He lived and went to counseling right away. I learned that you never take a person’s talk of suicide lightly— you must get them help. Robin Williams took his own life and suffered from severe depression. Some people asked why he did not get help with all his wealth. It just is not that simple with mental illness. Maybe the celebrity status of Williams can help bring about an awareness and education for all of us on mental illness. When someone is diagnosed with cancer or heart disease, we offer our

Because hearts don’t politely suggest. They attack. Your heart is your body’s most vital and trusted friend … right up until the moment it turns on you. But with ProMedica you have the means to attack back. Your ER physician can discuss your case with a certified cardiologist on duty 24/7 at ProMedica Toledo Hospital. If needed, you can be transported to Toledo Hospital for more specialized care. During recovery you’ll have access to dietitians and lifestyle coaches. And we haven’t even touched on ProMedica’s array of prevention services. Prevention, diagnosis, treatment, rehabilitation – it’s all connected at ProMedica. Begin your connection today at promedica.org/wellconnected.

PROM1073_5x12.625_134A.indd 1 6/20/14 3:28 PM Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2014 5

concern and prayers for them and accept it as a reality of life. We feel comfortable talking about it and might ask for support and prayers. I get frustrated when people attach such a negative, shameful stigma to persons who have a mental illness. Just as alcoholism is a disease, mental illness is too. Writer Richard Rohr wisely reflects:“God is not threatened by differences. It’s we who are.” In the news, we are bombarded by celebrities who marry for a matter of days and divorce. I am appalled at the mockery of the sacred bond of marriage. Financial or bank executives embezzle millions of dollars of working people’s money and destroy countless lives and people’s retirements. I think these individuals deserve to be stigmatized—not those who have a mental illness through no fault of their own. The National Institute of Mental Health explains that about 16–20% of the general population has mental illness. Their IQs may be normal or above average. Mental illness can occur at any age, and learning may or may not be affected. Mental illness can be an acute or a chronic illness. Mental illness can vacillate between rational and irrational behavior. Sometimes

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mental illness may be accompanied by an intellectual disability and/ or physical disability. It is treated by healthcare professionals with medication, psychotherapy, and counseling. Persons with mental illness do well when supported by a circle of family, friends, and a faith community. Why do we look at mental illness with such a negative view? When a

order, schizophrenia, or depression. People are less inclined to share that diagnosis with others. Mental illness brings along with it negative stereotypes and stigmas. Sometimes, even healthcare professionals can carry a stigma about mental illness. They sometimes tell their patients to stick to their medications and they should be all right. But it is more complex than that. My friend Annie has lived with Bipolar 2 DisWhy do we look at mental illness order for 22 years. She has lived and overcome the with such a negative view? many challenges of her disease. She believes, “As person lives with depression or bipo- a Catholic nun, my spirituality is a lar disorder, they might not be “fun big part of my life. I believe it is time to be around.” We might visit them for spiritual leaders and communisocially, and find ourselves drained of ties to say that we are here for those our own energy. It might challenge us suffering from mental illness, that to be around a somber environment. we care enough to make the effort We might feel drained when we visit to make a place for them. Through someone after a serious surgery or my life those who love and support hospital stay. Sickness is part of life. me have helped me live a healthy We all will be patients someday, and and full life.” She adds that aiming we need to generously do our best to eliminate the stigma about mento support those who are sick for a tal illness is a critical goal for all of society.To help others with mental while, or a lifetime. It is a different story when some- illness, she works two days a week at one we know is diagnosed with a Toledo’s Thomas M. Wernert Center. mental illness such as bipolar dis- It is a mental health recovery and

Kenneth Endicott Prosthodontics

Chun-Yu Liu

support center named in honor of Tom Wernert, who was the executive director of the Lucas County Mental Health Board for 30 years and a strong advocate for mental health until he passed away in 1999. The Mission of the Wernert Center is “To improve the quality of life for persons living with mental illness through peer-driven and focused programs which address recovery through education, peer support and advocacy.” Wellness requires relying on support or supervision of family or friends, good health habits like exercise and a solid sleep routine, and knowing the physical signs of an upcoming manic episode. People think that if patients “just take their medicine” they will be fine. It is not that simple. Perhaps we can honor the memory of Robin Williams in a positive way by being more open to mental illness as a part of human life. Maybe we can volunteer or learn more about the disease and end the stigmas in our hearts—and perhaps the hearts of others. ❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania,

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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.

Palliative care and the cancer patient

CANCER CENTERS

WE HAVE MOVED!

Managing symptoms for maximum quality of life

ention the term “palliative care,” and what comes to most people’s minds is hospice care provided at end of life. While these two concepts have much in common and share certain objectives, there is a significant distinction between the two that patients fighting a serious illness, such as cancer, need to understand. According to Heidi Nichols, CNP, of The Toledo Clinic Cancer Centers, “Palliative care is not synonymous with hospice. Its focus is on symptom management and maximizing the patient’s quality of life, but initiating palliative care doesn’t necessarily mean you’re no longer trying to cure the disease. In fact, palliative care can be utilized while patients are still on active treatment to reduce their symptoms and help them get through it.” Nichols further explains that hospice care is not indicated until treatment is no longer working (or is causing more harm than good), the disease is progressing despite the care team’s best efforts, and the patient’s life expectancy is six months or fewer. While palliative care is a vital aspect of hospice, not all patients receiving palliative care are candidates for hospice. In treating cancer patients, palliative care involves much more than oncology. It’s a multidisciplinary team approach that addresses emotional, psychosocial, and spiritual issues along with physical symptoms. There are even palliative treatments that are intended to reduce symptoms rather than cure the cancer. For example, if reducing the size of a

tumor will improve pain or other unpleasant symptoms, treatments such as radiation, chemotherapy, or hormone therapy can be utilized for that purpose. “However, when using these treatments with palliative rather than curative intent, we’re much less tolerant of side effects because the focus is on quality of life as well as extension of life,” says Nichols. While palliative care won’t cure cancer, patients receiving it often have greater longevity in addition to improved symptoms. In some cases, this outcome can be attributed to reducing symptoms that are directly life-threatening, such as difficulty breathing, but in other instances, it has more to do with an increased will to live. As Nichols observes, living with the symptom of constant pain can be very fatiguing and demoralizing for patients. Relieving that pain can actually make patients feel good enough to want to live longer and fight their disease. And with all the pain medications and therapies available to oncology practitioners today, it’s rare that pain cannot be effectively managed with some method or combination of methods. Family caregivers also tend to benefit when palliative care is provided. Of course, no one wants to see their loved one suffer, but there’s also a sort of “trickle-down effect” when the patient is suffering less. To illustrate this effect, Nichols describes a recent scenario of a mom with lung cancer who was staying with her adult children and having difficulty breathing at night. She would have to wake up multiple times throughout

Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105 Toledo, OH 43623 GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

or call 419-479-5605 Toledo Clinic Cancer Centers have moved to better serve our patients and families. Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

Why area doctors trust us the most… • Area’s most experienced cancer care team • Enrolling more patients in clinical trials than any other cancer care provider in the region • Largest number of referred patients • NW Ohio’s first QOPI Certified Cancer Center Dr. David Brown Dr. Mark Burton Dr. Shaili Desai

Dr. Tim Kasunic Dr. Rex Mowat Dr. Richard Phinney

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2014

the night to use her inhaler, so no one in the home was getting any rest. “We were able to intervene with some medications, diuretics, aerosols, and some adjustments to her oxygen that didn’t affect her cancer but greatly improved her breathing, so everyone started sleeping better,” she says. Perhaps the biggest misconception patients have about palliative care is that it signals the end and that their caregivers are no longer working to cure them. “We try to reassure our patients that starting palliative care doesn’t mean we’re giving up on a cure. We’ll always be involved in their care, and they’ll always be our patient. Even if the focus does change from active treatment to supportive care, we’ll be no less involved in their care,” says Nichols. ❦

many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community

Parkinson Foundation of NWO strives to connect Parkinson’s community with vital resources

he diagnosis of Parkinson’s disease raises a dizzying array of Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, questions in the minds of those imSuite 105, has nine board-certified pacted. How will this disease affect hematologists/oncologists and ten nurse my body? Can medications help me? How will my loved ones cope with practitioners on staff and can provide Westgate Family Pharmacy Cricket West Shopping Center all the changes that lie ahead? What imaging and laboratory diagnostic 3147 W. Central Avenue about my career? What can I do to services, chemotherapy services, and Toledo OH 43606 419.531.0000 FAX: 419.535.0007 stay as healthy and active as possible IV services. TCCC’s satellite centers Open: Mon.- Fri. 9:30 am to 7:00 pm disease? Who can I turn to with the inWE Maumee, Bowling Green, Oregon, Sat. 10:00 am to 3:00 pm can takeand Monroe remain open for emotional support? Grappling Adrian, for Simple Local questions—and YOU the convenience of the patient, and with all of these Postal Customer

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8 September 2014 | Healthy Living News

the myriad others that inevitably arise—can feel overwhelming and create a sense of hopelessness and isolation. Understanding that when it comes to Parkinson’s disease, “knowledge is power and hope is everything,” the Parkinson Foundation of Northwest Ohio (PFNWO) is committed to improving the quality of life for those touched by the disease and connecting them and their loved ones with the information, support, and resources they need in order to live life to the fullest despite their diagnosis. “We’re a gateway to Parkinson’s disease resources,” says Tom Dunbar, president of PFNWO and a Parkinson’s patient. “Our focus is to do whatever we can to make people with Parkinson’s and their loved ones aware of ways they can live better with the disease and understand that they’re not alone.”

Supporting the support groups Connecting members of the Parkinson’s community with support groups and reaching out to support group facilitators to make sure they’re receiving the resources they need is a vital component of PFNWO’s mission. Support groups, which are offered at no cost, are invaluable to Parkinson’s patients, caregivers, and others touched by the disease. Participants provide critical emotional support to one another while sharing coping mechanisms and strategies for maximizing quality of life. “Support groups are important not only for the camaraderie and emotional validation they offer mem-

bers, but also for the practical information participants can share with one another,” states PFNWO vice president Gail Zimmerman, whose father had Parkinson’s disease. “For example, if one member comments, ‘I’m having difficulty swallowing my medication,” another might suggest, ‘Have you thought of taking it with applesauce?’ Or, they can discuss types of exercise that seem to be effective. There are all kinds of tips for living better with Parkinson’s that members can share.” To help strengthen area support groups for the benefit of the Parkinson’s community, PFNWO recently held an open-forum meeting with area facilitators to discuss what resources they need, how to get more people involved in groups, and how to ensure members get the most out of group meetings.

Promoting exercise programs Exercise has been shown to slow the progression of Parkinson’s and to improve balance, strength, motor coordination, and flexibility in people with the disease. “These benefits not only improve mobility and the ability to perform daily activities, but they also help reduce the risk of falling—or of getting seriously injured if a fall does occur,” Dunbar says.

Parkinson Foundation of Northwest Ohio

Dedicated to Educate, Comfort and Raise Awareness 12-Week Session

THE PARkINSON FOUNDATION OF NORTHWEST OHIO’S MISSION is to establish optimal quality of life for the Northwest Ohio Parkinson’s community through awareness, education and care.

Are you a Patient with or a Caregiver for someone who has Parkinson’s? The Parkinson Foundation of Northwest Ohio (PFNWO) is a local organization focused on providing a method of communication and support. The PFNWO can best be thought of as a GATEWAY to PD resources. You can find information about living with or caring for someone with PD, links to many helpful websites for more detailed information about PD, and best of all—information about the region’s support groups—for some firsthand information about life with PD. The Parkinson Foundation of Northwest Ohio, serves the 22 counties that make up Northwest Ohio. Established to disseminate information about Parkinson disease to all interested residents of NW Ohio, it is a non-profit organization committed to improving the quality of life for those affected by Parkinson disease.

Beginning September 18

knock-Out Parkinson’s Program

Mondays and Wednesdays 9 a.m. IBC, 525 Earlwood, Oregon, Ohio

Thursdays 11 am - Noon The Arbors at Waterville

5th Annual Romp, Stomp and Run

Centennial Terrace, 5773 Centennial Road, Sylvania, Ohio 10 a.m. - 2 p.m. / 5K, 1 Mile Romp, Kids Fun Run, Kids Carnival, Health Fair, Silent Auction and LIVE Music! For more information or to register, visit the events page at PFNWO.org or call 1-800-438-5584

9th Team Fox Walk to benefit the Michael J Fox Foundation

Bay Park Hospital, Oregon, Ohio Kids Activities start at 9:30 a.m. / Walk steps off at 11:00 a.m. Prizes, Refreshments, Raffle & More! For more information or to make a donation visit www.teamfox.org search for fundraiser Janet Clough, visit the events page at PFNWO.org or call 1-800-438-5584

Shaken, Not Stirred 5th Annual Gala

6-10 p.m. / The Pinnacle, Maumee, Ohio Dinner, Dancing, Silent Auction and Live music by Dan and Don For more information or to register, visit the events page at PFNWO.org or call 1-800-438-5584

SUPPORT GROUPS If you are new to a group, please call ahead to confirm meeting time and location. Ashland County 2nd Tuesday 2:00 p.m. Belmont Tower, 2140 Center Street, Ashland, OH Jeff Rowsey 419-581-8715

Among the exercise programs that PFNWO supports is Delay the Disease, developed by professional fitness instructor David Zid of Columbus, Ohio, and offered in various locations throughout Northwest Ohio (locations and further details are available at pfnwo.org). Delay the Disease is a group fitness program “designed to empower people with Parkinson’s disease by optimizing their physical function and helping to delay the progression of symptoms.” Other examples of innovative exercise programs PFNWO supports include Knock-Out Parkinson’s, a therapeutic boxing program that helps delay Parkinson’s disease and targets its symptoms, and Dance and Drum for PD, which utilizes energetic, rhythmic, full-bodied movement and

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Auglaize County 3rd Monday 2:00-3:00 p.m. Joint Township District Memorial Hospital, 200 St. Clair Street, St. Mary’s, OH 45885, 419-394-3335 Linda Dicke 419-394-3335 Seneca & Sandusky County PD Support Group ProMedica Memorial Hospital / Seneca County PD Support Group 2nd Tuesday 2:00 p.m. Meets every other month: Jan, Mar, May, Jul, Sept, Nov Fremont American Legion 200 Buckland Avenue Fremont, OH 43420 Lesley King 419-334-6630 Hancock County 3rd Monday 12:30 p.m. St. Michael’s Catholic Church, 750 Bright Rd, Findlay, OH 45840 Dennis Ploszaj 419-425-8506

Lima Area Parkinson’s Support Group 1st Thursday of each month, 2:00-3:00 p.m. *No meetings December, January, and February St. Rita’s Outpatient Rehab, 830 W. High St., Lima, Ohio 45801 Beth Hartoon 419-523-5391 Mailing Address: Beth Hartoon, 11120 Rd. R Columbus Grove, OH 45830 Lucas County 2nd Thursday 1:30 p.m.Meetings do not occur January, February & March Boulevard Church of Christ, 7041 W. Sylvania Ave, Sylvania, OH 43560 Carrie Boze 419-841-3070 Parkinson Project of NW Ohio Young On-Set Group 2nd Wednesday 7:00 p.m. *Meets every Month EXCEPT July Fort Meigs Center for Health Promotion (Perrysburg YMCA), 1451 Eckel Junction Rd., Perrysburg, OH 43551, 419-874-1234 Linda & Michael Kramer 419-499-2457 Barbara Harris 419-448-9333

Perrysburg Parkinson Disease Support Group 1st Thursday 2:30 p.m. Zoar Lutheran Church, 314 E. Indiana Ave, Perrysburg, OH 43551, 419-874-4346 Kristen Schuchmann 419-383-6737 Putnam County Parkinson’s Support Group 4th Wednesday 11:15 a.m.- 12:45 p.m. *No meetings in December, January and February Henry’s Restaurant, 810 N Locust St., Ottawa OH 45875 Beth Hartoon 419-523-5391 Mailing Address: Beth Hartoon 11120 Rd. R Columbus Grove, OH 45830 Sandusky Parkinson’s Support Group 1st Thursday 3:00 – 4:30 pm South Campus of Firelands Hospital Old Providence Chapel, Hayes Ave, Sandusky, OH 44870 Sandi Bodi 419-357-2895 Western Ohio 3rd Thursday 2:00 p.m. Briarwood Village, 100 Don Desch Dr., Coldwater, OH 45828 Paul Honigford 419 678-2851

Williams County 3rd Monday 12:30 p.m. *Excluding County Holidays Bryan Senior Center, 1201 South Portland, Bryan, OH 43506-2079, 419-636-4047 Laura Rohlf 419-924-2927 / 419-636-4047 Wood County 2nd Thursday 1:30 – 2:30 p.m.Bowling Green Senior Center, 305 N Main St., Bowling Green, OH 43402 4193-352-7558 David Buenting, Facilitator CAREGIVER SUPPORT GROUPS Toledo Caregivers Support Group (C.A.R.E.S.) 1st Monday – 6:30 p.m. Except Holidays Lutheran Village at Wolf Creek Assisted Living, 2001 Perrysburg-Holland Rd., Holland, OH 43528 Kristen Schuchmann 419-383-6737 Lisa Keaton 419-383-6770 Findlay Caregivers Support Group 1st Monday – 11:30 a.m. Bob Evans, 2400 Tiffin Ave, Findlay, OH Carol Hassan 419-423-1486

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Taiko-based drumming to challenge participants’ strength, balance, flexibility, locomotion, and magnitude of movement. Knock-Out Parkinson’s is offered at International Boxing Club, 525 Earlwood Ave. in Oregon, Ohio (contact Rachel Martinez at 419-309-6770 or martin29@rockets.utoledo.edu), and

Dance and Drum for PD is offered at the BEAT Dance Company, 1060 N. Main St. in Bowling Green, Ohio (contact tammymetzstarr@gmail. com or 419-308-7125).

Special events In addition to linking people with community resources and promoting area Parkinson’s support groups and fitness initiatives, PFNWO offers fun and informative special events designed to help raise awareness of the disease and funds to help fight it. In fact, all area residents whose lives are touched by Parkinson’s are encouraged to mark their calendars for the following events:

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The 5th Annual Romp, Stomp and Run will be held on Saturday, September 20, 2014, from 10:00 a.m. to 2:00 p.m. at Centennial Terrace. “This will be a day of fun for the entire family, featuring a 5K race, one-mile Romp/ Walk, and Kids Fun Run as well as a kids’ carnival, health fair, silent auction, and live music. You can come out and enjoy the day, run or walk if you’re able, or just sit and enjoy a soda or beer while you listen to the music,” Dunbar says. Organized by Janet Clough in memory of her father, the 9th Annual Team Fox Walk to benefit the Michael J. Fox Foundation will be held on Saturday, October 4, 2014 at ProMedica Bay Park Hospital. Featuring kids’ activities, prizes, refreshments, raffles, and more, this event was developed to fund the Michael J. Fox Foundation for Parkinson’s Research, raise awareness of the benefits of exercise in delaying the effects of Parkinson’s disease, and create a fun, family-ori-

ented community event. Those who like their fun “Shaken, Not Stirred,” won’t want to miss the 6th Annual Parkinson’s Disease Gala, to be held on Friday, October 10, 2014 from 6:00 to 10:00 p.m. at the Pinnacle in Maumee, Ohio. This 007-themed event will feature dinner, dancing, a silent auction, and music by Dan and Don. “We wanted this gala to be a fun, lighthearted evening for people living with Parkinson’s and a thank-you to all those in the community who support our efforts through their generous donations,” Zimmerman explains. For more information on any of these events, visit pfnwo.org or call 1-800-438-5584.

Your information destination People with Parkinson’s disease, along with their caregivers and other loved ones, often have specific questions and concerns in common. In keeping with their commitment to

improve the quality of life for those affected by Parkinson’s, PFNWO provides on their website (pfnwo. org) a wide range of information and answers pertinent to the disease, such as locations and contacts for area support groups and exercise programs, listings of special events, a quarterly newsletter, donation information, and links to a variety of community resources. The site even features Welcome Packets for newly diagnosed patients and the families and friends of individuals with Parkinson’s. A wide variety of helpful material can also be accessed via the PFNWO Message Center at 1-800-438-5584. “The more information we have accessible, the better for people touched by Parkinson’s. Our goal is to be that community resource that helps connect Parkinson’s patients and their loved ones with all the tools they need to live life to the fullest,” says Dunbar. ❦

Kick sleepless nights to the curb

ccasional bouts of sleeplessness are a fact of life for most people, but for some, a good night’s sleep seems almost unattainable. They may have difficulty dropping off to sleep every night, or, if they are able to fall asleep, they may wake up at some point (or several points) during the night and find that they are unable to regain their restful state. Chronically tired as a result of their insomnia, these weary souls stumble through the day in a fog. Work suffers, relationships are strained, and the vicious cycle of sleeplessness spins on and on. While there are pharmaceutical solutions to the problem of insomnia, sleep medications can cause undesirable side effects (sometimes really undesirable) and may even promote dependency. Oftentimes, making a few simple lifestyle modifications can help people get the rest they need

to take on the day with confidence. So, before reaching for that sleeping pill, try the following steps:

Get regular Failing to keep a regular sleep/waking schedule throws off your body’s clock and may make restfulness elusive. Determine how many hours of sleep you need to function effectively and base your schedule on that number. Try to go to sleep at the same time every night and wake at the same time every morning, and be sure to maintain this pattern over the weekend and on holidays, as well. It may be tempting to stay up late Friday night and sleep in on Saturday morning, but this disruption of your regular sleeping habits may have you tossing and turning all week long.

to enter that stage during waking hours can sabotage restful sleep at night. Limit naps to no more than 30 minutes, and avoid taking naps close to your regular bedtime.

Watch what you eat and drink Going to bed hungry can distract you from sleep, so eating a light snack before bed can help quiet a rumbling tummy. However, eating heavy foods or excessive amounts right before bedtime can cause indigestion and keep you awake. Grandma’s old insomnia remedy of warm milk can help you feel drowsy as can other warm, non-caffeinated drinks. On the other hand, caffeinated beverages and foods, such as coffee, tea, soda, and chocolate, are notorious sleep stealers and should be consumed in moderation—and never close to bedtime. Although alcohol may seem to produce a relaxed state, it actually disrupts sleep and, hence, should be limited.

Prepare a suitable sleep environment If at all possible, make your bedroom a haven for sleep and intimacy only. Relegate work and all other activities, including television viewing (violent shows and lively debate programs are not conducive to nighttime tranquility), to a different part of the house so your mind and body know it’s time to rest whenever you’re in

the bedroom. Listening to soothing music in the bedroom, on the other hand, can help promote drowsiness. Setting aside a dedicated sleeping space can be a challenge for college students and small-apartment dwellers who must use their limited space for a multitude of purposes. In these situations, it can be helpful to set aside a quiet space, such as a soft, comfy chair, where you can relax to the point of drowsiness before heading off to bed. Room temperature is another important consideration in your sleeping quarters. A hot, stuffy atmosphere feels confining and uncomfortable, so keep it on the cool side by opening windows, using fans, or running the air conditioning. Keep extra blankets within easy reach in case the temperature gets too cool in the middle of the night or early morning hours. If you are having a hard time keeping your room dark enough for sleeping—perhaps because you must sleep during daylight hours or your neighbor’s motion-sensing security light turns on every time a car, pedestrian, or moth passes by—consider putting heavier curtains or blinds in the window or using a blindfold. If excess noise is a problem, try using earplugs. Also, don’t underestimate the importance of a good mattress. You spend a good portion of your life on your mattress, so don’t skimp on its quality. Sound, restful sleep is worth the few extra dollars you might have to pay for a good sleeping surface.

Prepare your body and mind for sleep To prepare yourself physically and mentally for sleep, it’s helpful to get regular exercise during the day. However, avoid exercising within

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Know how and when to nap A short midday “power nap” can really recharge your batteries and help you manage the challenges of the day with more energy and enthusiasm. But excessive daytime napping can disrupt your natural rhythms and make it difficult to fall asleep and stay asleep at night. Remember, it takes anywhere from 45 to 90 minutes to reach the deep sleep stage, and sleeping long enough

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10x12_ES_SeptFest_HL_814.pdf

a few hours of bedtime. To further enhance restfulness, try gentle stretching, taking a warm bath, or a back massage to relieve tension before bed. Many people find that praying or meditating before going to bed is conducive to restfulness, as well.

Schedule time to worry Perhaps the greatest thief of restful

sleep is lying awake worrying about work, family problems, and other stressors. Rather than make this a disruptive nighttime ritual that keeps you tossing and turning, schedule some time every day, perhaps for a half hour after dinner, to write down any problems you have to deal with the next day and brainstorm solutions. ❦

Elizabeth Scott to hold 6th Annual September Fest!

or the sixth consecutive year, the Elizabeth Scott Community in Maumee will celebrate fall with its Annual September Fest! The free, family friendly, outdoor event is open to the public and will be held on Saturday, September 13 from noon to 5:00 p.m. on the Elizabeth Scott Community’s campus, 2720 Albon Road, Maumee. Elizabeth Scott, which offers independent and assisted living as well as skilled rehab, is celebrating its 65th anniversary this year. Nearly 2,000 guests turned out for September Fest last year. “We add something new to the event each year,” says Matt Bucher, Director of M a r ke t i n g for the facility. “For example, this year we’re adding four new activities—a Jungle Island Animal Farm, Rock Wall, Pony Rides, and Train Rides. Plus new entertainment featuring Johnny Rodriguez.” The event also includes a 35-foot-tall zip-line, a rock climbing wall, giant inflatables, arts and crafts, and activities for kids.

“We’re also bringing back our popular antique farm tractors that will be on display again,” says Bucher. “A lot of festivals feature classic cars. We’re a little different with our antique farm tractors.” The tractors are part of an antique tractor club called Power of

Yesteryear. Bucher says there is significance to having the antique farm tractors at September Fest, since the Elizabeth Scott Community began in his great-grandmother’s farmhouse. Today, that farmhouse is still a part of the Elizabeth Scott campus. “Plus, we’re located in a rural area, so we believe there is a nice country feel to our September Fest.” Musical entertainment includes headliner Johnny Rodriguez, a popular local musician. Kaiden Chase will provide the warm-up to Rodriguez. Returning again is the Off Broadway Dance Company, a local tap dancing troupe. Elizabeth Scott’s September Fest will also feature Las Vegas style casino games with play money. “The casino games are a huge hit with the residents of our facility,” says Bucher. “But they are open to anyone who attends the event.” Those who attend can also purchase food and refreshments from We Are Ribs, a multiple winner of

the Northwest Ohio Rib-Off; Nick’s World Famous Hot Dogs; R & L Concessions; and Bialecki’s Old Fashion Ice Cream. Non-alcoholic soft drinks will also be sold. Admission and parking are free. Elizabeth Scott’s September Fest will be held on its campus, 2720 Albon Rd. in Maumee just west of I-475 between Salisbury Road and Airport Highway. The Elizabeth Scott Community has been family owned and operated since it was founded in 1949. For more information about September Fest, call The Elizabeth Scott Community at 419-865-3002 or visit www.elizabethscott. org. ❦

8/21/14

11:36 AM

SP ONSORED BY:

ELIZABETH SCOTT’S 6TH ANNUAL SAT., SEPT. 13 • 12-5 pm New!

Jungle Island Animal Farm Pony & Train Rides ■ Rock Wall ■ ■

Plus!

Zip-Line Giant Inflatables ■ Antique Tractor Display ■ Arts & Crafts ■ Las Vegas Casino (play money) ■ Live Entertainment ■ Food to Purchase ■ ■

Elizabeth Scott’s 6 Annual September Fest! th

New This Year!

Jungle Island Animal Farm • Pony Rides • Train Rides • Rock Wall

Plus!

CMY

Zip-Line • Giant Inflatables • Antique Tractor Display • Arts & Crafts Tent Kids’ Tentv • Las Vegas Casino (play money, no cash winnings)

Entertainment

New! Johnny Rodriguez—Headliner • New! Kaiden Chase—Warm-up The Off Broadway Dance Company—Tap Dancing Troupe

Food to Purchase

We Are Ribs • Nick’s World Famous Hot Dogs • R & L Concessions Bialecki’s Old Fashion Ice Cream • Soft Drinks (no alcohol)

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: We are getting an influx of college graduates into our workforce next month. I am responsible for the safety training, which we place prime importance on, considering we are a construction company. Are there any tips for implementing a healthy workplace in terms of hearing?

: You are right to include hearing health as part of your company’s wellness. It’s commendable, and hopefully other companies will follow your lead. You may be surprised to hear that hearing loss is tied to other prevalent workplace wellness issues, including smoking, diabetes, and obesity. In fact, 40 million Americans suffer from hearing loss; the majority of these individuals are in the

workforce. According to the Better Hearing Institute, 10% of full-time employees have a diagnosed hearing loss; more than 30% suspect they have a hearing loss but have not been treated. By addressing hearing upfront, you reduce employee stress. It’s a win-win for your company and employees. Communication is one of the keys to success in any business relationship. If an employee has an undiagnosed hearing loss, he or she may be missing out on essential conversations, which could be disadvantageous to the business. Also, limited communication can adversely affect performance, productivity, and earning potential. More specifically, individuals with untreated hearing

loss lose about $30,000 in income every year. Hearing loss can lead to fatigue and distress, pose a risk to hearing signal hazards in a working environment, and increase sick leave. In sum, undiagnosed and untreated hearing loss severely diminishes engagement and quality of life. It’s in the best interest of the employee and company to address this. By encouraging employees to include hearing tests as part of their routine health maintenance, they will be able to proactively identify any potential hearing loss. Moreover, if there is a hearing loss, there are a variety of treatments and workplace accommodations that may be made to allow individuals to perform their job effectively. This will create a working environment where an employee feels like his/her health matters, ultimately increasing their engagement, productivity, and success in the workplace. Also, since you did mention you

work for a construction company, we’d be remiss if we didn’t mention the importance of hearing protection in the workplace. By providing ear protection to your employees, you are essentially preventing any potential hearing loss in the future as a result of working in a construction environment. If you’re unable to offer hearing tests and hearing protection in the workplace, consider partnering with an audiologist in the area. The audiologist can take care of your employees’ comprehensive hearing health needs. Northwest Ohio Hearing Clinic would be proud to play this role 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 (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

TINNITUS AND YOU. IT’S TIME FOR A CHANGE.

What a difference a day makes!

ProMedica Cancer Institute opens dedicated Lung Clinic

he American Cancer Society estimates that there will be over 224,000 new lung cancer cases in the US this year and 159,260 people will die from the disease. In fact, lung cancer kills more Americans each year than cancers of the colon, breast, and prostate combined. Unfortunately, as with many forms of cancer, lung cancer is often “silent”—causing few or no obvious symptoms—in the earliest, most treatable stages. Thus, cases commonly go undiagnosed until they reach more advanced stages when the outlook for a cure is less favorable. Recognizing that expediting diagnosis and treatment of lung cancer leads to significantly better outcomes for patients, ProMedica has established a dedicated Lung Clinic at Hickman Cancer Center, part of ProMedica Cancer Institute, on the campus of ProMedica Flower Hospital. Ronald Wainz, MD, a pulmonologist with ProMedica Physicians and Medical Director of the new Lung Clinic, explains, “The issue in treating lung cancer is that many times there’s a delay in diagnosis. When it’s discovered, for example, that a patient has a spot in his or her lung, the workup for the suspected cancer typically takes much longer than we would like. So, we’ve established our clinic based on a model that’s used at major academic medical centers to shorten the time to treatment.” ProMedica Cancer Institute Executive Director Ann Kujawa adds,

“Lung cancer is one of the top five the pulmonologist again as well as new Lung Clinic situated on the camcancers we treat within ProMedica, the other specialists as appropriate to pus of ProMedica Flower Hospital is but because of the challenges of di- review the team’s recommendations also beneficial to patients from the agnosis, treatment is typically begun and to ask any questions that might standpoint that dedicated support at stage three or four, and patients arise. By day’s end, the patient will personnel, such as social workers, often come to us through the emer- walk away knowing exactly what to dietitians, pharmacists, and healgency department. If we’re able to expect next, including their results ing care, are right there at the same streamline diagnosis and treatment, and individualized plan, which will be location for convenient referrals if the positive impact to the patient shared with the referring physician. appropriate. experience will be major.” “Our approach is fairly unique In addition to the new Lung Clinic, The new Lung Clinic offers week- in the region,” Dr. Wainz says. “In ProMedica Cancer Institute is in the ly evaluations, performed every a typical scenario, a patient goes to process of putting together a lung Monday. A patient with suspected see his or her doctor for a workup, is cancer screening program to help or diagnosed lung cancer will be scheduled for testing, comes back to detect lung cancer in the earliest, scheduled to be seen at the clinic the doctor to review the test results, most treatable stages. This is based within a week. Upon arriving in and is then sent to other specialists on research and national recomthe morning, the patient and his or for evaluation. The approach we mendations. The screening involves her loved ones will be greeted by a use here consolidates this four- to performing a low-dose CT scan of nurse navigator and will meet the six-week process into a single day, the chest on individuals who meet consulting lung specialist for an initial which not only shortens the time to specific high-risk criteria. This will assessment. Any necessary imaging treatment, but also alleviates a lot be repeated annually over a threeor other testing, such as CAT scan of stressful waiting for the patient.” year period. “The program isn’t in and pulmonary function testing, According to Kujawa, having the place yet, but we hope to bring it to will be performed on the fruition soon,” states Dr. Wainz. same day as well. The nurse “This all speaks to ProMedica’s navigator plays a role in this commitment to being a leader in coordination. cancer care. Having a multidisciAt midday, a multidisciplinary team of physicians and plinary team of lung cancer specialists working together toward specialists, including a pulthe common goal of diagnosing monologist, medical oncoland treating lung cancer earlier ogist, radiation oncologist, and more effectively is a trementhoracic surgeon, pathologist, dous benefit not only to patients, and radiologist, will meet to but to the larger community,” says review and determine the Kujawa. ❦ appropriate next steps for the individualized treatment To make an appointment or for more plan. The Lung Clinic at Hickman Cancer Center shortens the information on the lung clinic, please In the early afternoon, time to treatment and alleviates a lot of stressful waiting call Hickman Cancer Center at 419the patient will meet with for the patient. 824-1952 and ask for the Lung Clinic.

Serious illness raises tough questions.

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Salt, sodium, and sense

alt—we need it, but not too much! When adding salt, we have to walk a fine line between making foods more palatable and overdoing it at the possible expense of our health. I was recently asked if sea salt is good for you. The simple answer is “no more so than the regular kind.” Grain for grain, sea salt has the same sodium content as table salt. Some people claim that sea salt has a more condensed flavor, meaning you can use less of it to get the same taste effect. If that’s true, then I suppose it might be a healthier option. However, you have to keep in mind

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Dietitians don’t encourage people to limit their salt intake just to make them miserable. Getting too much salt in your diet can contribute to the development of hypertension, or high blood pressure, which boosts your risk of dying of a heart attack or stroke—even more so than smoking. In fact, in 2005, high blood pressure was responsible for one-sixth of all deaths in the United States. By logical extension, then, lowering your salt intake can help reduce your blood pressure along with your risk of heart disease and stroke.

Some readers out there might be thinking, “Ah, but I don’t have high blood pressure or a family history of it, so I can eat all the salt I like, right?” Well, you might want to think again. Over time, 90 percent of people in this country develop hypertension. Blood pressure naturally rises as you age, especially if you have been eating a high-sodium diet most of your life.

How much is too much? Okay, so how much salt is enough and how much is too much? Actually, the human body needs only about 500 mg of sodium per day for normal

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Salt and hypertension

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that intensity of flavor is highly subjective. Campbell’s has spent millions in development trying to reduce the sodium in their Chicken Noodle Soup. The challenge they face is that salt does more than make their soup taste salty; it also contributes to its silky-smooth mouth feel. Nonetheless, they continue to try to get the salt out.

8/14/14 1:36 PM

functioning. But as Americans, we (of course) tend to consume way too much—on average 3,400 mg per day. That’s about 1½ teaspoons of salt every day! The real culprit is sodium, which makes up 40% of the weight of table salt (sodium chloride). The US Dietary Guidelines for Americans recommends that we limit our sodium intake to 2300 mg a day and even lower to 1500 mg a day if you already have high blood pressure and heart disease. One teaspoon of salt has about 2300 mg of sodium. It’s helpful to think in terms of teaspoons of salt since that is what we use in cooking and at the table.

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Where is all that sodium coming from? We get most of our sodium from our diet. If comes from restaurant and processed foods—mainly burgers, fries, pizza, soups, gravies, spreads, and salad dressings. Some restaurant menus can have items that contain 4000–8000 mg sodium per serving. The FDA recently announced they will be issuing voluntary salt reduction guidelines for the food industry. This could—and I hope it does—trigger a major change in sodium intake from processed foods. Cutting back is tricky. Most people don’t know or realize the amount of “hidden” sodium they consume. Here are some simple tips for reducing your intake:

You owe it to yourself Following a low-sodium diet can be difficult at first, and making dishes palatable with less salt takes some

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Tips for cutting back on salt

• Try preparing more food at home, as you can control how much you put in and what products you are using. • Put the salt shaker away, and avoid salty foods like ham, bacon, chips, frozen foods, deli meats, cheese, olives, and pickles. • Try using balsamic vinegar in soups, sauces, and vegetables because the vinegar mimics the taste of salt. Lemon juice is good on vegetables in place of salt, too. • Try herbs/spice blends in place of salt. • The American Heart Association has an excellent Low-Salt Cookbook.

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creativity. However, we learn the taste of salt as kids, so we can unlearn or desensitize ourselves to the taste as adults. It may take four to eight weeks to get accustomed to a low-sodium diet—but then when you do eat something salty, it will be almost inedible to you. Use more Kensington Garden Villas fresh veggies, fruits, beans, and grains, and you’ll be halfway there. Now Leasing Senior Villas In Waterville Shunning a little salt is a sacrifice worth making for the sake of your health. Drugs have not solved Kensington Garden Villas the problems of heart disease and hypertension (salt appears to damage the heart beyond what any drug can “fix”), so cutting back on sodium not only saves lives and dollars, it just makes good sense. Looking for some delicious ways to go low-salt? Try the following recipes:

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Baked Tortilla Chips 1 pkg. corn tortillas 1 Tbs. vegetable oil 3 Tbs. lime juice 1 tsp. ground cumin 1 tsp. chili powder Preheat oven to 350 degrees. Cut each tortilla into 8 chip-sized wedges and arrange in a single layer on a cookie sheet. In a mister bottle, combine the oil and lime juice. Mix well and spray each chip until slightly moistened. Combine the cumin and chili powder in a small bowl and sprinkle on the chips. Bake about 7 minutes. Rotate the pan

and bake another 7 minutes or until chips are crisp but not too brown. Serve with salsas, garnishes, and guacamole.

Black Bean Salad 1 can black beans, lower sodium, drained and rinsed 1 can whole-kernel yellow corn, lower sodium, drained and rinsed ½ cup red onion, chopped 1 red pepper, chopped 1 Tbs. lime juice 1 Tbs. cilantro, chopped 1 tsp. cumin ½ tsp. black pepper Combine all ingredients in a large mixing bowl. Stir gently as to not mash the beans. Chill for several hours. Serve alone, with low-sodium crackers, with lower-sodium nacho chips, spooned over grilled chicken breast, or on a lettuce salad.

18 September 2014 | Healthy Living News

Providing activitybased programming

Meeting residents where they are

Programming at the Manor at Perrysburg is activity-based with the goal of nurturing usefulness, pleasure, success, socialization, normalcy, and fun among the residents. Many of the activities center around reminiscing, which not only honors and affirms residents’ memories, experiences, interests, and relationships, but also helps the staff better understand residents’ backgrounds and care needs. Alaire Blair, BFA, Activities Director for the Manor at Perrysburg and Program Coordinator for the dementia unit, commonly uses reminiscing activities to help engage residents. For example, she might show residents a cookbook from their era and say, “I’m going to have a dinner party. Can you help me figure out what to make?” Or she might bring in flowers or herbs from her garden to see what sort of reaction they’ll elicit. She’s constantly on the lookout for books, puzzles, images, and other items that can help residents connect with memories.

It could be said that people with Alzheimer’s and other forms of dementia live in a world of their own, typically reverting in their minds to times, events, and relationships stored away in long-term memory. Interestingly, studies show that people with dementia often revert to a time of life that they perceived as the happiest. McConnell notes that women often revert to the time period between age 16 and 25 while men common-

with dementia, and we use a holistic approach in our programming to enhance their lives and honor their individual abilities, perceptions, and experiences,” explains Mary McConnell, LNHA, Administrator of the Manor at Perrysburg.

Staying Calm, Quiet, and Flexible The motto of the Manor at Perrysburg’s dementia-care staff is “Calm, Quiet, and Flexible,” which reflects the atmosphere they strive to create in the secure dementia unit (called Coral Bell Court) and the innovative

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ly go back to their 40s. Rather than attempt to pull them back to “reality,” the staff strives to meet them where they are. For example, one resident always talked about how she needed to go and take care of her horses. Instead of reminding her that she no longer owned horses, the staff would ask questions about her horses—what kind/colors they are, etc.—to redirect her attention while honoring her memories. “When we meet residents in their world, we’re not trying to deceive them, because that’s their reality. We’re trying to validate what’s important to them,” explains Brittney Baney, RN, Unit Manager for dementia care at the Manor at Perrysburg. In some cases, validating residents’ memories demands some quick thinking. “For instance, one gentleman who worked second shift for many years would try to leave our facility every day at starting time,” recalls Blair. “At first, we tried to remind him that he no longer had a job, but that made him upset, so we had to get creative by telling him things like, ‘Your foreman called and said you’re shut down for the night,’

Dedicated Dementia Care

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

HCF communities take holistic, individualized approach to Alzheimer’s/dementia care aring for people with Alzheimer ’s and other forms of dementia requires an exceptional degree of flexibility, creativity, patience, and compassion. The specially trained staff members at the Manor at Perrysburg, Bowling Green Care Center, and Bowling Green Manor (all area HCF Management facilities) bring all of these traits—and more—to the individualized Person-Centered care they provide each day. “We think of the people in our secure dementia care neighborhood not as dementia patients, but as people

approach they take when caring for and interacting with residents whose behavior and perceptions are always in flux. To help promote a sense of tranquility for residents, the staff uses a variety of soothing techniques, such as aromatherapy, sensory stimulation, and relaxation exercises. Being flexible as a dementia caregiver means continually assessing what is or is not working for residents and being prepared to adapt care and interactions accordingly—often on a moment-to-moment basis. Also, Bowling Green Care Center is currently in the process of launching a new program called Behavior-Based Ergonomic Therapy (BBET) in its dementia unit (tentatively slated for rollout this month). Developed by Dr. Govind Bharwani, Co-Director of Ergonomics and Alzheimer’s Care at Wright State University, and Meena Bharwani, Consultant, DGM Partners, BBET is an individualized non-pharmacological approach to Alzheimer’s and dementia care that utilizes music, video, stimulating therapy, and individualized activity to help prevent mental stress, agitation, and behavior problems in residents.

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which made sense to him.”

Strengthening families When families choose to trust the care of their loved one with dementia to the specially trained professionals at HCF communities, they soon discover that the decision has a significant impact on their family dynamic. Instead of being exhausted, 24-hour-a-day caregivers, family members can simply go back to being wives, husbands, sons, or daughters to the resident. “Of course, families are welcome and encouraged to spend time with their loved one at the facility—and many actually stay here with their loved one—but when they do come to visit, it’s to enjoy quality time together. In fact, one family comes here every night to share dinner with their father, which makes him feel like he’s taking them out for dinner,” McConnell says.

Understanding dementia “Dementia” is an umbrella term that covers a wide range of disorders. The most common form is Alzheimer’s, but other examples include frontal lobe, Parkinson’s, lewy body, and vascular dementias. The dementia-care staff members at HCF com-

munities are thoroughly educated on the characteristics of each type of dementia and how the different forms can affect resident behavior. Frontal lobe dementia, for example, tends to cause impulse-control problems, which can lead to sudden acts of aggression from people with the disease, Baney explains.

For more information about The Manor at Perrysburg, please contact Barbara Mullholand at 419-874-0306. For

Bowling Green Care Center and Bowling Green Manor, please contact Jeff Miller at 419-351-6514. • •

Keeping residents safe Both the Manor at Perrysburg and Bowling Green Care Center offer safe, secure, tranquil, and neighborhood-like units for residents with dementia. Bowling Green Manor does not have a dedicated dementia unit but can provide care for patients with Alzheimer’s and other dementias if it’s deemed safe and appropriate for them and the other residents. McConnell notes that secure dementia units are not designed to lock residents in, but to keep the activity, noises, and frustrations of the larger world out so the residents feel safe and relaxed and are less likely to become agitated. “As their dementia progresses, their world tends to get smaller and smaller, so the secure unit becomes their comfort zone,” she adds. ❦

Valentine Theatre has something for everyone by Christine A. Holliday

s fall comes, we think about activities we can enjoy indoors. One of the best local places to enjoy indoor activities is the Valentine Theatre. Let’s take a look at this gem of Toledo’s cultural, music, and theatre world.

mural depicting the early years of the Valentine was painted in 1999 and is on display for all to see. • The Theatre seats 900 patrons. It is considered an “opera house,” with acoustics that allow human voices to travel throughout the entire theatre without the need for amplification. (Some actors may use body microphones to protect their voices or to maintain the highest level of amplification.) • The Theatre stage can handle

• The Theatre opened in 1895 with a performance of Rip Van Winkle, starring well-known actor Joseph Jefferson who had appeared in opera houses and theatres around the world. On opening night, he compared the Valentine to some of the best theatre venues he had seen in his career. Toledo’s proximity to the water made it easy for famous actors and actresses to come to perform in Toledo, which many considered an “artistic The Valentine mural is the largest public painting ever hub” of this part of the installed in Toledo. Painted by Paul Geiger, it depicts the country. A 68.5-foot early years of the Theatre. Here are two small sections.

•

large and small casts, and skilled manipulation of curtains and lights makes possible a variety of visuals. The building that houses the Theatre covers an entire city block. There is more to the Valentine than just the state-of-the-art Theatre. The Historic Lobby seats up to 100 guests for weddings or business meetings, and a Grand Lobby can provide seating for 230 people. The Valentine season runs from September through June. The schedule includes series presented by the Theatre, including Classic Movies, Art House films, Children’s, and Broadway. The Theatre is home to performances by many local groups, including Central Catholic and St. John's Jesuit high schools, Masterworks Choral, Toledo School for the Arts, Toledo Ballet, and the Toledo Jazz Orchestra, Toledo Opera, and Toledo Symphony. The Theatre hosts an annual major fundraiser, The Gala. This year’s event on November 1 will feature Broadway’s original Jersey Boys (now known as “The Midtown Men”). Local actors can work on new and traditional scripts in an 80-seat black box theatre known as Studio A. Studio A presentations this year will include “Evil Dead, the Musical” in late October, “Greater Tuna” in January, 2015, and “The Hound of the Baskervilles” in March, 2015. Of the 50,000 patrons who visit the Valentine each year, more than 15,000 are school children. Local businesses and foundations help fund the presentation of professional national theater productions to these students. These presentations support Common Core standards, and Theatre staff provide study

guides and take-home packets to continue the lessons in the classroom and at home. A new program geared toward school children of all ages, “Valentine School Days,” was started in the 2013–2014 year, and officials have increased programming for the coming school year as a result of the great response to the program. Executive Director Jori Jex explains that, “The Valentine strives to provide presentations that will appeal to a broad-based audience with productions that have true artistic merit and some real slapstick aspects,

too. Together with the wonderful performances that are produced by our local arts agencies, the Valentine stage is a home for the arts!” The choice about which presentations will be staged at the Valentine comes after Marketing Director Matt Lentz returns from a major performing arts conference in New York each January. The staff takes the information he has about production requirements and schedules, and they formulate a schedule that includes more than 160 events each season. It is quite a juggling act, making sure that there is time in the schedule for the local artists as well as shows and performers who are invited to perform there.

Ms. Jex invites fans and supporters of the arts to visit the Valentine Theatre’s website, www.valentine theatre.com, for a look at this season’s schedule as well as the opportunity to purchase tickets online. “Our Board and our staff work very hard,” she said, “to honor the mission of the Valentine—to produce and provide cultural and performing arts experiences for diverse audiences, of all ages, to enhance the quality of the cultural and economic life of the City of Toledo, Lucas County, northwestern Ohio and southeastern Michigan.”❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

For more information, contact:

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419-873-1532 Studio A gives local actors a place to hone their craft.

VERSION 1 - 27/APR/2012

20 September 2014 | Healthy Living News

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afe driving is a skill that demands complete concentration. Allowing one’s attention to drift from the road, even for a brief moment, can have tragic consequences. In fact, according to the National Highway Transportation Safety Administration (NHTSA), in 2011, 3,331 people were killed and an estimated additional 387,000 were injured in motor vehicle crashes that were reported to have involved distracted driving. Unfortunately, all too many of us continue to tempt fate by driving while distracted. What constitutes “distracted driving”? The NHTSA defines it as “any non-driving activity a person engages in that has the potential to distract him or her from the primary task of driving and increase the risk of crashing.” Essentially, doing anything that takes your eyes off the road (visual distraction), your hands off the steering wheel (manual distraction), or your mind off what’s going on around you (cognitive distraction) is considered distracted driving. Chatting on a cell phone and texting while driving are certainly major forms of driver distraction that have justifiably garnered their share of attention lately, but they aren’t the only activities competing for our attention on the road. Other examples of common driver distractions include activities like changing the station or music selection on your car stereo or MP3 player, taking a bite of fast-food hamburger or a sip of coffee or soda, checking your makeup (or, worse, applying makeup) in the car mirror, reading a map, conversing with passengers, improperly secured pets moving around inside the vehicle, or, depending on the location of the viewing screen, even watching a video. Texting while driving is particularly worrisome because it simultaneously involves visual, manual, and cognitive distraction. Owing to their lack of experience, which can lead to poor judgment at crucial moments, the drivers most at risk of being involved in a fatal distraction-related vehicle crash are

those under 20 years of age. NHTSA data reveals that 11 percent of all drivers younger than 20 who were involved in fatal crashes were reported to have been distracted while driving. Unfortunately, drivers in this age group are also the most likely to communicate through texting. Of course, teenage drivers aren’t the only ones who are being distracted by technology. More and more drivers of all ages are using cell phones and other portable devices while behind the wheel—e.g., MP3 players and GPS navigation devices. What about hands-free cell phones? Aren’t they considerably safer than handheld phones? While that would seem to make sense, hands-free devices, such as headsets, speaker phones, or Bluetooth devices, do little if anything to reduce distraction-related accidents. While they may address the issue of manual distraction, they do nothing to eliminate the cognitive distraction associated with cell phone use. In fact, based on the findings of a University of Utah study, using a cell phone while driving, whether it’s handheld or hands-free, delays a driver’s reactions as much as having a blood alcohol concentration at the legal limit of .08 percent. Another myth is that some people deal better than others with driving distractions because they are simply better at multitasking in general. The truth is, good “multitaskers” have, through practice, become skilled at switching from one task to another rapidly. However, they are no better than anyone else when it comes to performing more than one task simultaneously. Hence, whatever they might think, they are no less likely to

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What’s happening at Senior Star? Virtual Dementia Tour © September 8 & 24 • 2:00 p.m.

Senior Star is proud to offer to the public the Virtual Dementia Tour,© a program that results in greater understanding, compassion, and improved care for people living with dementia. Senior care professionals and caregivers who have attended our VDT say they have a deeper understanding of the physical and mental challenges experienced by those they are caring for. Created by PK Beville of Second Wind Dreams.

Ohio’s Part in the Underground Railroad September 10 • 11:30 a.m. Joy Armstrong and Sarah Groves from the Sylvania Historical Society will offer insight into Ohio’s role in the Underground Railroad.

Walgreens Wellness Series Flu Presentation September 23 • 3:00 p.m. A Walgreens pharmacist will be giving an informative presentation about the flu. Points will include: • What is the flu • Flu symptoms • How the flu can be treated • Flu vaccinations • Common Myths • The flu and senior citizens

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be involved in a distraction-related motor vehicle accident. While many states have enacted, or are soon to enact, legislation that

Recovery to Home...

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One patient at a time

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everyone on the road, and we all have a stake in solving it. Each of us must do our part to set aside distractions when we drive. After all, no phone call, text message, song, or bite of food is so important that it’s worth putting yourself or other drivers at risk of serious injury or

•

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death. It’s especially important for parents of teenage drivers to discuss the dangers of texting, cell phone use, and other forms of distracted driving with their teens as well as to provide a positive example by avoiding distractions whenever they climb into the driver’s seat. ❦

y Physical, occupational and speech therapy y Skilled nursing care

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26 31

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ational Balance Awareness Week (September 15–21, 2014) has been established to educate the community regarding the symptoms of vestibular disorders so that individuals experiencing problems can seek help to receive an accurate diagnosis and get effective treatment. Vestibular disorders can affect anyone, but with the proper intervention and treatment (usually one to three physical therapy treatments) provided by a therapist trained in addressing vestibular disorders, individuals can improve and the dizziness and vertigo symptoms can be resolved.

Beating BPPV

Our rehab services include: y Inpatient and outpatient therapy

Get back in balance with Heartland Rehab

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The most common vestibular disorder is BPPV: Benign Paroxysmal Positional Vertigo. BPPV produces a sensation of spinning, called vertigo, that is both paroxysmal and positional, meaning it occurs suddenly and with a change in head position. In addition to vertigo, symptoms of BPPV may include imbalance, difficulty concentrating, and nausea. Activities that bring on symptoms

can vary in each person, but symptoms are precipitated by changing the head’s position with respect to gravity, such as looking up or rolling over and getting out of bed. BPPV can be tremendously disruptive to a person’s work and social life, as well as pose a health hazard due to an increased risk of falls associated with dizziness and imbalance. BPPV occurs when tiny calcium carbonate crystals (otoconia), which are located on certain structures in the inner ear (the utricle and saccule), become dislodged and migrate into the semicircular canals. When in their normal position, the otoconia help us perceive movement and gravity, but when they break loose and collect where they shouldn’t, they can cause a range of symptoms, including lightheadedness, dizziness or vertigo, nausea and vomiting, and imbalance. BPPV symptoms are typically accompanied by abnormal rhythmic eye movements called

nystagmus. BPPV affects 2.4% of all people at some point in their lifetimes and accounts for at least 20% of diagnoses made by

physicians who specialize in dizziness and vestibular disorders. It’s also the cause of approximately 50% of dizziness in older people. Vestibular tests used to diagnose BPPV include the Dix-Hallpike maneuver and the Supine Roll test. These tests allow a therapist or physician to observe the nystagmus elicited in response to a change in head position. Recommended treatment for most forms of BPPV includes repositioning head maneuvers that move the displaced otoconia out of the affected semicircular canal.

Fending off falls Besides dizziness and vertigo, Heartland Rehabilitation Services also addresses a major health concern among older adults: falls. In fact, falls are the leading cause of injury deaths, the most common cause of non-fatal injuries, and the most common reason for hospital admission due to trauma in older adults. Research shows that a cumulative effect of multiple interacting factors increases fall risk in any one individual. The factors may include muscle weakness; medications; gait, balance, visual, neurological, or cardiovascular deficits; history of falls; age; and other medical issues. Physical therapists use a number of tests and measures to determine an individual’s risk of falling. During the initial examination, the clinician will focus on range of motion, muscle strength, and sensory integrity. The clinician will also look at foot and ankle flexibility, strength, as well as weakness around the knee and hip. Additionally he or she will get a strong understanding of the individual’s recent fall history as

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•

Unsteady on your feet? Feeling Dizzy? Everything Spinning? Naonal Balance Awareness Week September 15-21, 2014 Heartland is the balancing act you need for your recovery! ♦ Vestibular Rehabilitation ♦ Fall Proof™ Exercise Classes ♦ Balance and Posture Screenings

If you or someone you know has a fallen or is at risk for falls give Heartland a call, we can help!

Arrowhead 419.897.9822 Oregon 419.697.8000 Perrysburg 419.874.2657 Westgate 419.536.8030 Bedford 734.856.6737 Contact Center 800.699.9395 Therapy for Today, Wellness for Life!sm www.heartlandrehab.com Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2014

well as environmental hazards, especially within the home. The therapist, along with the individual being treated, will devise a treatment approach based on the exam and the risk factors identified. The plan will include balance retraining, gait training, exercises, education, and environmental assessment. Here are four quick tips to help prevent falls at home:

Prescription drug abuse

takes heavy toll on children and families

1. Clear pathways 2. Make sure lighting is good 3. Make sure most used or needed items are within reach 4. Move slowly and steadily. Heartland Rehabilitation Services offers a “Fall Proof™” exercise class to reduce the risk of falls and improve overall posture. During the entire month of September, Heartland Rehabilitation Services is offering complimentary balance screenings at all of its locations. ❦

hen we think of drug abuse, “street drugs,” such as crack cocaine and heroine, typically come to mind. We don’t usually associate this problem with therapeutic medications that physicians prescribe to make us feel better when we’re sick or in pain. But, according to Laura Neal, Associate Manager of the Department of Family Services for Lucas County Children Services (LCCS), misuse of prescription drugs has become a pervasive problem, not just in our community but nationwide. Among the more commonly abused prescription medications are various

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TAKE NEXT STEP

Becoming a foster parent starts with asking questions and getting accurate information. Talk to your family about fostering...and then register for the free training program. In exchange for providing a caring home to a child, you might find yourself with the next video football champion (or scientist). We’ll provide the free training and resources you need to become a foster parent, along with ongoing financial and other supports to help your family welcome a new member. To learn more, call 419-213-3336, visit us online at www.lucaskids.net or find us on Facebook at www.facebook.com/LucasCountyChildrenServices. Sign up now for our next traIning classes: • Tues./Thurs. 6 – 9 p.m. Sept. 2 – Oct. 9 • Saturdays 9 a.m.– 4 p.m. Sept. 20 – Oct. 25

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Classes are held at the LCCS training center, 705 Adams St. in downtown Toledo.

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when you’re strung out on opiates. Addicts are typically lethargic and unmotivated and focus all their energy on getting more drugs, so their kids are often neglected. When it’s necessary to remove the kids from addicted parents, it can be hard to reunite them, so the children often need to stay in our care longer. What’s worse, when their kids—along with the responsibility of parenting—are removed, some opiate abusers sink even further into their addiction. They go deeper and deeper into the ‘tunnel’ and have to be dragged back out,” Neal says. Even more disturbing is the growing trend of our community’s and nation’s youth experimenting with prescription medication abuse. In fact, more young people today are abusing prescription drugs like OxyContin and Vicodin than are abusing marijuana. Treatment of opiate addiction typically requires an intensive inpatient detoxification program coupled with medications that block the euphoric effects of opiates and/or inhibit cravings for them, such as Methadone, Suboxone, or Vivitrol. Following inpatient rehab, addicts commonly transition to an intensive outpatient step-down or sober-living program. Therapy to address underlying emotional issues or unresolved trauma may be necessary, as well. “This addiction is very hard to break. Relapses and setbacks are commonplace, and it’s not unusual for addicts to make multiple attempts at rehab before they succeed,” Neal remarks. In addition to treating the addict, it’s essential to treat the addict’s children and family, as well. Addicts who have had their children removed are often allowed to visit them on a regular basis, so LCCS may refer the relative caregivers to Al-Anon so they can learn how to support the addict’s recovery and avoid enabling. There are community agencies in Lucas County that run programs designed to help break the cycle of addiction, reduce the risk of abuse and neglect, support recovery, and promote reunification in families with parents who are substance abusers. LCCS caseworkers provide another level of protection for children of addicted parents. All are trained to recognize the signs of parental drug abuse and can help kids and families connect with the services they need to overcome addiction. ❦

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If you’ve thought about becoming a foster parent, it’s time to take the next step.

opiate pain relievers such as oxycodone (e.g., OxyContin, Percocet, and Percodan), hydrocodone (e.g., Vicodin), and codeine (e.g., Tylenol 3). “These opiates, though legitimately prescribed for pain, are highly addictive because special receptors in the body are extremely sensitive to them,” states Neal. “Even when taken appropriately for pain, it is possible to become dependent on these drugs.” The opiate receptors Neal mentions are distributed throughout the body and brain—including in the brain’s “reward center.” So, in addition to pain relief, opiates produce feelings of pleasure, tranquility, and euphoria. Unfortunately, people who become addicted to these drugs must, over time, take more and more in order to experience the same pleasurable sensation and will become violently ill if they try to stop taking them. Some form of medically supervised detoxification program is absolutely essential to break the cycle of addiction. To support their habit, addicts often must resort to tactics such as “hospital hopping,” or going from emergency room to emergency room complaining of pain in hopes of getting a prescription for pain medication. Perhaps not surprisingly, there’s a major market on the streets for illegal prescriptions for opiates and other drugs. Also, as Neal points out, people who abuse opiates will often mix them with other drugs. For example, after coming down from opiates, they may take cocaine to bring themselves back up. While opiate abuse is devastating to the addict, it also has a profound effect on the addict’s children and family. “Parenting is a challenge for anyone, but it’s especially difficult

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Mercy STAR program helps cancer survivors take control of their symptoms

wing to advances in cancer diagnosis and treatment, more and more cancer patients are either being cured or living much longer with the disease. While this is news worth celebrating, it’s important for cancer survivors and their loved ones to understand that they may still face certain physical and emotional challenges during or in the aftermath of treatment. To help cancer survivors overcome these issues and reclaim the

highest possible degree of function and quality of life, Mercy offers STAR Program® rehabilitation services at their Mercy St. Vincent’s Hospital, Mercy St. Charles Hospital, Sunforest Court, and Fort Meigs locations. “STAR, which stands for Survivorship Training and Rehabilitation, is for anyone who has gone through—or is going through—cancer, says Doris Metz, one of Mercy’s STAR-certified physical therapists. “Some of our

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patients have beaten cancer and completed treatment, while others are still fighting it. Even those who are in the later stages and have an unfavorable prognosis can benefit from cancer rehab. Our goal is to manage or reduce patients’ symptoms and the side effects of treatment, help them resume their normal activities, and empower them to get back to their lives.” Initiating cancer rehab before treatment begins can also be beneficial, helping patients build the strength and endurance they need to better tolerate their treatment and any accompanying side effects. The STAR model of cancer rehabilitation was developed by cancer survivor Dr. Julie Silver, an assistant professor at Harvard Medical School, and is being implemented across the country in hospitals, cancer centers, and rehabilitation practices. Mercy launched this innovative program in January of 2013. Metz notes that all the practitioners on Mercy’s multidisciplinary oncology rehabilitation team—doctors, nurses,

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physical and occupational therapists, speech-language pathologists, and others—are specially trained in cancer care and how to manage any issues that might arise from the disease or its treatment. Also, everyone on the team has to complete continuing education to maintain their certification and stay current with all the latest information and best practices. Pain, intense fatigue, balance and gait problems, weakness, swelling (lymphedema), swallowing and eating difficulties, and speech problems are just a sampling of the issues that cancer patients might experience during and after (sometimes long after) treatment. Other common problems include chemotherapy-induced peripheral neuropathy, defined as tingling or numbness in the extremities due to nerve damage caused by chemotherapy drugs, and scar adhesions that limit range of motion. Cancer rehabilitation can address and improve all of these symptoms and many others. In some cases, cancer survivors are wary of attempting rehab because they don’t think they’ll be able to manage the exercises due to limitations such as scar adhesions. But effective management of these symptoms is usually possible. Metz gives the example of a breast cancer patient who has undergone mastectomy. “The breast tissue is located so close to the armpit that scarring following mastectomy can significantly limit how far the patient is able to raise her arm—a symptom commonly known as ‘frozen shoulder.’ We can work with the patient using certain stretching and strengthening exercises to improve her shoulder range of motion while keeping an eye out for lymphedema. If swelling does occur, we have a lymphedema specialist on our team who can use massage and other techniques to reduce it,” she says. Outcomes for cancer patients taking advantage of Mercy’s STAR Program rehabilitation services have been very positive. Metz remarks that patients who participate in the program tend to walk faster, experience more endurance with less fatigue, and exhibit better range of motion. “Essentially, we’re seeing patients with improved function and greater quality of life—and that was our goal

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Meditation and mindfulness help body and mind

by espite common itators often meditate an hour belief to the conor more a day. But retrary, meditation and Linda L. Smith, MA, LPC search suggests that mindfulness are not as little as five to ten strictly religious pracminutes a day can tices. They did arise from provide measurable beneancient Eastern religions, and many fits. Meditation also takes many forms. followers of these religions still do Some involve the repetition of and practice them—including Taoism, focus on a mantra, or phrase. Others Buddhism, and Hinduism. Howev- involve walking or even meditative er, more recently in contemporary chanting. Several training programs America, meditation and mindfulness have gained widespread popularity, are being used completely outside including Transcendental Meditation (TM). of religious practice. Meditation started gaining popuMindfulness, on the other hand, larity in the US in the Sixties—largely is the on-going practice of attention because of celebrities of the period, and focus on every aspect of one’s including the Beatles, who studied experience of living in the present Eastern spirituality in India. Mind- moment. While meditation requires fulness, on the other hand, started that a specific period of time be set gaining attention more recently. aside for the practice, mindfulness The popularity of these practices is rising as research provides growing evidence of their benefits, which include stress reduction and improved physical and mental health. In fact, many employers, including the US military, offer training in these practices to improve the productivity and health of workers. Evidence suggests it can help lower blood pressure, reduce cholesterol levels, improve digestive disorders, reduce chronic pain, strengthen the immune system, and even produce enzymes that reduce inflammation and the effects of aging. What are meditation and mindfulness?

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While the two have much in common, they are not the same. Meditation is a specific practice involving, most commonly, sitting still and paying attention to one’s breathing and one’s thought processes. A common misconception about meditation is that it requires the emptying of the mind of thoughts—a virtual impossibility! The actual aim is to learn to let thoughts and feelings arise and fall peacefully in the mind without attaching to them. Long-time med-

can be practiced every waking hour of the day. All human activities from eating and bathing to working and talking can be done mindfully. While meditation and breathing practice are typically used to help achieve mindfulness, many other techniques can also contribute to living mindfully. Attention to the moment can be gained by living simply, spending time in nature, and

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reducing unnecessary distractions such as electronic media. Most important is paying close attention to whatever we are doing in the moment and not allowing our thoughts to wander to worries about the past or the present. Intensive training programs are available to teach mindfulness, including Mindfulness-Based Stress Reduction (MBSR).

How do meditation and mindfulness work? Many Americans begin meditation or mindfulness for the reduction of stress. Both practices help train the mind to detach from thoughts, interpretations, and projections on our experience, which in turn helps regulate and stabilize emotions that contribute to stress and anxiety. The mental discipline gained also increases the ability to pay attention, focus, and concentrate, which in turn helps improve memory. The focus on deep and regular breathing in these practices has a similar relaxing effect. The shallow breathing associated with stress and anxiety reduces oxygen and accumulates carbon dioxide in the blood. This deprives the body—and more importantly the brain—of the oxygen needed to energize its cells. On the other hand, deep breathing, which involves expansion of the diaphragm and the lungs, has positive effects on the body and mind, including: • Increase of oxygen intake • Slowing of the heart and breathing rate • Reduction of the stress hormone cortisol • Increase of the feel-good hormones in the brain and body The result is a sense of energy, relaxation, and overall well-being that contributes to health and balance in both body and mind.

What are the mental health benefits? With all these positive effects, it’s not surprising that meditation and mindfulness help reduce the symptoms of many mental disorders. Studies have shown increases in positive outlook and improvement in anger management. These practices also reduce depression and make relapse less likely. Evidence from brain scans shows that they appear to reduce activity in parts of the brain linked to depression. They are also associated with reduced activity in and the size of the part of the brain that registers fear and anxiety. As a result, they can help reduce the distress of anxiety disorders, including panic attacks, agoraphobia, and generalized anxiety disorder. Other conditions that show improvement with meditation and mindfulness include schizophrenia, bipolar disorder, and ADHD. Meditation and mindfulness practice has also been shown to increase understanding and compassion and to improve engagement and sympathy with others. Because these practices reduce stress and anxiety and help free our minds from unnecessary worries, they make it easier to trust others and feel positive emotions rather than focusing on fears. This can result in improved relations with others, whether in romantic partnerships, with co-workers, or in other day-to-day interactions. In many ways meditation and mindfulness help us to live our lives better and more wisely. We are able to make better judgments and decisions and be more understanding and compassionate of others.

How do you begin practicing meditation or mindfulness? Incorporating a short daily period of meditation is the best way to begin reaping the benefits of these practices. Adding five to ten minutes of meditation to your daily routine, preferably at a regular time, can be easy and enjoyable. While many who practice meditation argue that there is one “best” way to do it, research has shown benefits from many different forms of meditative practice. What is most important is finding what works best for you. Meditation need not be painful, and if worrying about how to do it properly adds to your stress, then you are not doing it right! Here are some tips for getting started, but modify them as needed to find the best practice that works

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• Find a quiet place where you will not be interrupted. You may want to set aside a corner of a room and decorate it with objects or pictures that you find restful. Set a timer if you are concerned about the length of time you meditate. • Find a sitting position comfortable for you, either on the floor cross-legged or sitting in a chair. Place pillows under you as needed to cushion your tailbone or position your legs comfortably. • Sit with an erect but relaxed posture

that enables you to expand your lungs fully when you breathe deeply. Be sure your shoulders are down and back in a relaxed position – but not slumped. • Open or close your eyes as works best for you. If closing your eyes allows distracting images to appear, try meditating with your eyes open, looking slightly downward toward the floor or at the flame of a candle set before you. • Begin breathing naturally, paying attention to the rising and falling of your breath as you breathe in and out. Make sure you are doing “belly breathing,”

with your stomach expanding as you inhale. If your shoulders are lifting upward, you are probably not fully expanding your lungs. • You may find it helpful to count your breaths, or to repeat a phrase that helps you focus and relax, such as “I am calm and peaceful” or “I am one with the world.” • As thoughts come into your mind, simply notice them and go back to paying attention to your breath. Don’t be upset that your mind continues to work—be compassionate of yourself! By pulling your attention back to your breath each time, you are learning to relax and focus despite the distractions of your mind. Don’t seek or expect a dramatic moment of enlightenment or a mystical experience from your meditation practice. It is about being at peace in the present moment. At first, you may notice only a slight feeling of physical relaxation, but as time passes you will begin to notice subtle effects throughout your life. As you become more mindful, you will feel more fully alive and aware as you play with your child, talk to your spouse, walk through the grocery store, or eat your dinner. When stressful events occur, you will learn automatically to relax, focus on your breathing, and view things from a calmer, wiser perspective. Linda L. Smith, MA, LPC, is a licensed professional counselor at Central Behavioral Healthcare in Toledo, Ohio.

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The Toledo-Lucas County Public Library is all aboard the Hogwarts Express! Platform 9¾ as young readers gear up for a new school year. Six of our neighborhood branch locations are hosting fun events, especially for Harry Potter readers and fans! So head over to Platform 9¾ and catch the Hogwarts Express to your favorite School of Witchcraft and Wizardry! Whether you wear your school robes or come in Muggle attire, you’re guaranteed a magical time.

Departure and arrival dates/times: Saturday, September 13—2:00 to 3:30 p.m. at Sanger Branch, 3030 W. Central Ave. (419-259-5370) Wednesday, September 17—7:00 to 8:00 p.m. at Point Place Branch, 2727 117th St. (419-259-5390) Tuesday, September 23—6:30 to 7:30 p.m. at Toledo Heights Branch, 423 Shasta Dr. (419-259-5220) Saturday, September 27—2:00 to 3:00 p.m. at Holland Branch, 1032 S. McCord Road (419-259-5240) Tuesday, September 30—6:30 to 8:00 p.m. at Heatherdowns Branch, 3256 Glanzman Road (419259-5270) Saturday, October 4—2:00 to 3:00 p.m. at Washington Branch, 5560 Harvest Lane (419-259-5330) We love feedback. Like us on Facebook. Follow us on Twitter.

Survivor’s guide to over-the-counter medications during cold and flu season

In your home or ours.

by Kimberly Zitko, BSPS, and Michelle Mangan, PharmD, BCACP, CDE

early everyone has faced the overwhelming situation of walking into a store’s over-the-counter-medications section and having to select the right medication for that sore throat, fever, running nose, or aching head. With cold and flu season around the corner, every pharmacy is gearing up with all of the essentials for over-the-counter treatments of cold and flu symptoms. The average American adult will have between two and four colds per year with the typical cold and flu season being between September and May.1 Whether you or a loved one is sick, there are basic facts about over-thecounter medications that will help you navigate the seemingly infinite array of medications in a safe and effective manner. Survival basics of all overthe-counter products start with reading the label. The United States Food and Drug Administration regulates how an over-the-counter medication is labeled so it is uniform across all products. It is laid out by active ingredients, uses, warnings, directions, purpose, inactive ingredients, and other information.2 The first place to start when reading an over-the-counter drug label is the main active ingredient. This is also the first place where it can be easy to get confused. Active ingredients are typically listed by their generic name instead of the brand name we 1 American Lung Association. http://

www.lung.org/lung-disease/influenza/ in-depth-resources/facts-about-the-common-cold.html 2 United States Food and Drug Administration. www.fda.gov/Drugs/EmergencyPreparedness/BioterrorismandDrugPreparedness

may be familiar with. Some examples include acetaminophen instead of Tylenol or diphenhydramine instead of Benadryl. The active ingredient also has its purpose identified as well as common uses for this medication. It is important to decode the medical jargon of the medication “purpose” in order to know what a medication is for. The “uses” category is helpful but may not give the full picture of what that ingredient is best for.

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For all over-the-counter medications, you should always follow the directions for safe use outlined on the label and pay attention to the warnings. Over-the-counter drugs are tested for how safely consumers can use the product and follow directions.3 Here are some easy tips for safely navigating the basic cold and flu ingredients: • Decongestants are meant to unblock a stuffy nose, while antihistamines will help stop running noses and sneezing. Many people take

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antihistamines for allergies. • Cough suppressants are to quiet cough that is not bringing up any phlegm. Coughing is an essential mechanism to help clear phlegm, so we don’t always want to suppress a cough, but there are certain instances where it is a bother to have one. • Expectorants are to help break up phlegm in your chest so you can cough it up. If you are already coughing up phlegm, you shouldn’t really need this medication. Drinking plenty of water will help break up phlegm naturally. • Pain relievers help minor aches and pains associated with cold and flu as well as reduce fever. It is key to

Fall wine tasting and cooking demo fundraiser at Bittersweet Farms September 17 Bittersweet Farms will be hosting a fall wine tasting and CSA cooking demonstration on Wednesday, September 17, 2014 from 5:30 to 7:30 p.m. Admission is free; however, donations of $10 are suggested and encouraged. Four cooking demonstrations, using Bittersweet Farms fresh produce, will be conducted by Bittersweet Farms’ Dietary Manager and culinary team. An informational wine tasting focusing on red wines will also take place for guests. All donations will benefit Bittersweet Farms. Please RSVP to sdane@ bittersweetfarms.org or 419-8756986, ext. 1263 by September 8. Bittersweet Farms, located at 12660 Archbold-Whitehouse Road in Whitehouse, Ohio, is a 31-year-old non-profit organization that serves adults with autism through recreational, residential, and vocational support using a working farmstead model. The mission of Bittersweet Farms is to positively impact the lives of individuals with autism and those whose lives they touch.

remember that medications in this class will bring down a fever, so monitor the presence of fever before you take this medication. Pain relievers are also the cornerstones for many combination products. It is critical to pay attention to the label in combination products so you are not taking too much of any medication, since there are multiple active ingredients.3 • Many over-the-counter medications can interact with your prescription medications, and many also have age restrictions. It can be very helpful to check with your pharmacist if you are taking other medications or if you are selecting over-the-counter medications for children. Some other helpful tips to get you through this cold and flu season include being smart about prevention with routine hand washing and getting an annual flu shot. Viruses cause the cold and flu, so taking antibiotics won’t make you feel any better, but the cold and flu are highly contagious. You can spread the flu approximately one day before feeling ill and five to seven days after becoming ill.4 Stick to prevention and symptomatic relief. Other ways to relieve symptoms besides medications include getting plenty of rest, drinking fluids, and using a humidifier or vaporizer.5 Your community pharmacy is a center for resources for staying healthy this cold and flu season, so never hesitate to consult your pharmacist for any of your health needs. ❦

Need speech therapy? There’s an app for that at The Laurels!

lways looking for innovative ways to help rehab guests regain as much normal function as possible, the therapy team at The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, has found a very useful ally in today’s popular technology. One manifestation of this is the incorporation of iPad apps into speech therapy programs and exercises. “The traditional tools of speech therapy are verbal questions, paper-and-pencil tests, flashcards, and so forth,” explains Laurels speech therapist Ashley Soyez. “But we’ve found that there are a lot of excellent apps for the iPad and other tablets that are either specific to speech therapy or contain elements that we can incorporate into our programs. While we still use traditional methods, this technology is often more engaging and interactive for guests, which facilitates greater participation.” To appreciate the many ways iPad technology can assist speech therapists in their job, it’s helpful to understand what speech therapy actually entails. Speech therapy is a

broad discipline that deals with all aspects of language and perception and how they affect a patient’s ability to communicate. In addition to specifically focusing on language functioning, speech therapists also address issues with attention, memory, cognition, and problem-solving. At The Laurels of Toledo, speech therapy integrates seamlessly with physical and occupational therapy components. Soyez was recently able to incorporate iPad technology into the rehab program for Laurels guest Allen Siggers, who came to the facility following an intracranial hemorrhage—i.e., a

bleed in the brain. Among the deficits Siggers experienced was double vision, so a lot of the work Soyez did with him focused on scanning and image correlation in addition to attention and complex memory. For example, one iPad app that helped Siggers work on his vision, attention, and reaction time involves looking at a field of colored dots and connecting like-colored dots with a time-limit goal in mind. Another app he used, which should be familiar to anyone who has ever played the old electronic game “Simon,” involves observing a sequence of lights and then repeating the sequence, with the number of lights in each sequence getting progressively larger. He also worked on visual retraining and memory by viewing two photos containing a lot of visual stimuli and identifying subtle differences between them. Initially, Siggers’ double vision made it very difficult to perform these tasks without ex-

periencing severe nausea, but with time and persistence, he was able to acclimate so his accuracy and reaction time continued to rise. Whereas he could remember only a three- or four-light sequence initially, he can now remember a sequence of eight lights. “What’s weird is that in bed at night, I would be lying there thinking about it and seeing those dots and flashing lights,” Siggers remarks. While Siggers wasn’t familiar with the iPad before starting rehab at The Laurels, he took to the technology readily. “I never had used this type of technology before, and it looked complicated and challenging at first. But Ashley did such a good job of explaining it to me that it turned out to be relatively easy. I really like the interactive nature of it,” he says. For people with language deficits, the use of some form of augmentative and alternative communication (AAC) technology can often be very beneficial in communicating thoughts and needs to people around them. These devices can range from very high-tech, such as an electronic communication board that’s triggered by eye movement,

Kimberly Zitko is a sixth-year doctor of pharmacy student at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Mangan is a clinical assistant professor of pharmacy practice at UT and is currently the program director of the outpatient diabetes education program. The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider. 3 OTCsafety.org. http://otcsafety.org/en/

treatments/multi-symptom-cold-medicines/ 4 Centers for Disease Control and Prevention. http://www.cdc.gov/flu/about/ disease/spread.htm 5 Centers for Disease Control and Prevention. http://www.cdc.gov/getsmart/ antibiotic-use/symptom-relief.html

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to very low-tech, such as a handheld board with pictures or words on it that the user can point to. Perhaps not surprisingly, the hightech AAC devices can cost well into the thousands of dollars. However, several different companies now offer downloadable iPad apps that perform relatively high-tech AAC functions at a fraction of the cost. “Also, for people with memory deficits, I usually recommend compensatory memory strategies, such as taking lots of notes, using calendars, making a list of important phone numbers, and setting timers or reminder alarms for medications. There are iPad apps for all of these purposes as well,” says Soyez.

It’s important to understand that high-tech apps are intended to complement traditional speech therapy methods, not replace them. Soyez still worked with Siggers using traditional approaches such as medication management tools. But taken together, high-tech and traditional techniques give therapists all the more options and tools to help clients get back to their lives at the highest possible level of functioning. ❦ 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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780 million people do not have access to clean water and almost 2.5 billion do not have access to adequate sanitation. —2013, United Nations Year of Water Cooperation: Facts and Figures

guess we learned a thing or two about life without access to clean water this summer. I heard many comments about how we take our water for granted, how we use it so freely without thinking of how precious it is, how important it is and how it influences our lives by more than just quenching our thirst. I reflected on how this was an opportunity for us to experience how 780 million people on planet Earth live without clean water day after day. It also made me aware of how some people rise to the occasion and reach out to others while some people take advantage of the situation or become obsessed with the situation. As I thought about writing this article in relation to the water crisis, I couldn’t help but think of what St. Francis of Assisi wrote about water way back in the Middle Ages, calling

it “Sister Water” and how on target he was in naming her qualities—very useful, humble, precious, and pure. I can only imagine what the water situation was like during St. Francis’s lifetime, and I sense he had a great appreciation for this precious gift from the earth. Here it is, many centuries later, and I wonder if we really have any idea of just how precious our seemingly unlimited water supply truly is. Our water crisis this summer hopefully gave us a sense of the preciousness of this natural resource. I understand that we have been dealing with the green algae in Lake Erie for at least 19 years, and yet we have just let the problem grow and grow (literally) until it reached another critical level of poisonous toxins. It is sad to see that after the event, so many people are so willing to play the “blame game.” As I see it, we all have a part to play in doing something about this humble and useful resource. I’ve been listening and reading about conservation and recycling of our natural resources for decades now. As followers of St. Francis, the Patron of Ecology, the Sisters in my Community have been wrestling with caring for the earth at our Motherhouse in Sylvania.

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Lourdes University, located on our campus, has taken the lead in several areas, and just this summer, a group of students and faculty developed a rain garden on the campus. Another initiative being put into place is replacing plastic water bottles with special water fountains for filling reusable drinking containers. Recycling plastic, paper, aluminum, and glass has been in place for several years now, and the Sylvania Franciscan Village/campus community has hosted a zero waste lunch where literally everything is recycled and nothing is wasted. It’s very exciting to see everyone pitching in and trying to save the planet one small step at a time. The water crisis also made me want to look into just how many people on the planet do not have access to clean water as a daily event. If you go on the internet, you can find an abundance of information about the water situation around the world. If you have always lived without easily accessible water, it becomes a way of life to spend hours each day trying to find clean water and carrying it

back to your home and family. One statistic I read reported that “Women (around the world) spend 200 million hours a day collecting water.” “Every 21 seconds, a child dies from a water-related illness” (Water Facts: Water.org). I often wonder what will become of us and our way of life if we continue to over use and abuse the wonderful resources we have on Earth to help us live healthy, happy, and holy lives. My prayer these days is one of gratitude for all the things we have that make this area such a wonderful place to raise a family, get an education, practice a religion of our choice, and achieve a healthy lifestyle. I join St. Francis in his prayer and praise the Lord for Sister Water and hope we can continue to work together to keep her very useful, humble, precious and pure. ❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

South YMCA at the Morse Center receives

LIVESTRONG

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he South YMCA at the Morse Center will become a provider of the nationally recognized LIVE– STRONG at the YMCA program thanks to an implementation grant from YMCA of the USA (Y-USA), the Y’s national resource office, in partnership with the LIVESTRONG® Foundation. Launching later this year, the 12-week physical activity and well-being initiative helps people affected by cancer reach their holistic health goals. Additionally, programs like LIVESTRONG at the YMCA are part of the Y’s overall commitment to help cancer survivors recover in a safe and supportive environment. LIVESTRONG at the YMCA is an evidence-informed program based on best practices for cancer survivor exercise. The goals of the program are to empower adult cancer survivors to improve functional capacity and to increase their quality of life through an organized program of fitness and strength offered in a supportive, small-group setting. According to the CDC, nearly

14 million people in the U.S. today are cancer survivors—those living with, through, and beyond a cancer diagnosis. Historically, healthcare providers instructed cancer patients to rest and avoid activity or exertion, but studies now demonstrate the importance of physical activity for cancer survivors. “Research shows exercise is the simplest way for cancer survivors to reduce fatigue, improve their mood, and bounce back more quickly from the debilitating effects of cancer treatment,” said Dr. Ruth Rechis, LIVESTRONG Foundation Vice President of Programs. “The Y is the perfect collaborator for the program because of its national reach, commitment to meeting the needs of all community members, and history of program innovation in support of health and wellness. Through our partnership, we’ve now been able to widely expand the program into more than 300 cities throughout the country to ensure survivors have access.” —continues

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The South YMCA at the Morse Center is one of 10 Ys in the US to receive a 2014 LIVESTRONG at the YMCA implementation grant from Y-USA in partnership with the LIVESTRONG Foundation. This grant

will help with the initial program training and implementation, while the South YMCA will be responsible for raising the balance of funds required to sustain these efforts and offer the 12-week exercise program free of

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charge to survivors. “We are honored to bring LIVESTRONG at the YMCA to Toledo and share the passion of the LIVESTRONG Foundation for inspiring and empowering people affected by cancer. We look forward to working together to make a difference in the lives of cancer survivors and their families,” said Craig Palmer, executive director at the South YMCA. ”Additionally, as the leading community-based network committed to improving the nation’s health, offering programs like LIVESTRONG at the YMCA also

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enables us to build organizational capacity and infrastructure to help better serve cancer survivors.” LIVESTRONG at the YMCA is made possible by a cooperative agreement between Y-USA and the LIVESTRONG Foundation, which seeks to inspire and empower people affected by cancer. Launched in 2008, LIVESTRONG at the YMCA is designed to improve the health and day-to-day quality of life for the country’s growing population of cancer survivors and their families. To date, more than 22,000 cancer survivors have participated in the program nationwide. ❦

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arpal tunnel syndrome (CTS) is a nasty condition that occurs when a nerve in the wrist is pinched. The wrist is made up of eight tiny, marble-shaped bones called, “carpals.” These bones are packed tightly together in such a way that allows us to move our wrists in almost any direction. Within the packed carpal bones are two small, tight tunnels through which the median nerve passes. This nerve innervates the fingers, thumb, and palm of the hand. All these wrist structures are held tightly together by ligaments. If the wrist is damaged, either through an acute fall or just chronic overuse, the ligaments holding the carpal bones in their proper place can become damaged and thicken. This results in compression of the median nerve, leading to the classic symptoms of CTS.

As the nerve is compressed, it also becomes inflamed and swells, creating a double-whammy effect as the swollen nerve tries to fit through a too-small opening. CTS sufferers typically complain of numbness, tingling, and pain into the hand. Symptoms are usually worse at night and patients wake up and find they have to shake their hands to get feeling back into them. As the CTS progresses, pain increases to the point where it is present during the day and the ability to use the hand becomes almost impossible. While there are a number of causes for CTS, the root cure is to decompress the median nerve. There are various approaches, up to and including surgery, that have achieved various levels of success in alleviating at least some symptoms. But all approaches have significant potential for side effects and most are not curative. If the symptoms of CTS are allowed to persist too long, then the median nerve can become permanently damaged with no hope for relief. Acupuncture has been used for many years in the treatment of CTS with good results. A 2008 research study in Clinical Pain Review demonstrated that just plain acupuncture was equally effective as prednisone

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(a steroid) in the alleviation of symptoms. However, recently, researchers have developed a new technique termed “microstim-acupuncture,” whereby a microcurrent is applied through locally inserted acupuncture needles. This relatively painless, safe procedure has been found to create a local effect that loosens the thickened ligament bands holding the carpal bones and reduces local nerve inflammation, thus alleviating compressive forces on the nerve. The effectiveness of this breakthrough technique over traditional acupuncture is several orders of magnitude and seems to provide much longer lasting relief. What is microcurrent? It arises from a computer-controlled unit that generates a very precise, low-current electrical stimulus, which can be used to treat specific points on the body. The clinical advantage of being able to use microamp devices is that this corresponds closely to the human nervous system. This is a case where “less is better.” Kelly was a recent typical CTS patient in our office. She had practiced as a beautician for the past 25 years and had developed CTS symptoms from overuse syndrome. She was wearing cock-up wrist splints at night and now wears them during the day. The pain and numbness had progressed to the point where she could no longer hold scissors in her hand. After a consult with an orthopedic surgeon, Kelly was scheduled for wrist surgery in five days. We performed some standard orthopedic tests on Kelly to confirm that she did, indeed, suffer from CTS. We then proceeded to utilize microstim-acupuncture for 20 minutes. Immediately following treatment, Kelly reported improved symptoms even before she left the office. Kelly subsequently completed her prescribed series of eight treatments over four weeks. She canceled her surgery and now reports to be totally symptom free. She no longer wears her wrist braces and has full use of her hands. This is a fairly typical outcome for CTS sufferers and why this new treatment approach is termed a breakthrough in carpal tunnel treatment. Additionally, patients suffering

from failed back surgery, spinal stenosis, degenerative disc disease, or any chronic spinal pain have seen benefits with this procedure. The microcurrent supplied through the acupuncture needles is effective in reducing muscular tightness, spasm, and pain. This treatment approach seems to alleviate local inflammation and soften thickened ligaments and adhesions in the spine that frequently develop with long-term degenerative arthritic conditions. Microstim-acupuncture is safe, effective, and relatively painless.

Yet it is a powerful new treatment in the management of degenerative wrist and spine conditions. This breakthrough treatment is now covered by Workers Compensation claims and personal injury accident claims for both CTS and spinal conditions. This new approach is different from standard acupuncture and requires a practitioner proficient in its technique. If you are a patient interested in microstim-acupuncture, I encourage you to contact a holistic practitioner and inquire about a free consult to see if this breakthrough

treatment is right for you. Dr. Schwan is available to speak at your group’s function on a wide variety of alternative medicine topics, such as chiropractic, acupuncture, herbal medicine, cold laser, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

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Playing on a team offers something for everyone regardless of age, gender, cultural background, and physical ability or skill level. Do you want to have fun, enjoy camaraderie and participate in friendly competition? It is as easy as 1-2-3!

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Survey: With the 2013 age restructuring change, please go to www.surveymonkey.com/s/CBLTC9K. All players who take the survey and include their name and contact info will be eligible for $$$ prizes. Deadline for survey is Sept. 20, 2012, this will impact 2013 scheduling. Be sure you are heard. Thank you!

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Congratulations to all of our District Champions! 40 September 2014 | Healthy Living News

or people recuperating from surgery, coping with a chronic illness, or rebuilding muscle strength following a long hospital stay, expert, individualized home healthcare services are often the key to regaining or maintaining function, safety, and the highest possible degree of independence. With this objective foremost in mind, the dedicated caregivers of Franciscan HomeCare and PersonalCare (both ministries of Franciscan Living Communities) are poised to provide a wide spectrum of in-home care services, ranging from skilled nursing, therapy, and other specialized services to assistance with everyday activities or caring companionship. According to Coleta Schmidlin, Director of Franciscan HomeCare and PersonalCare, HomeCare (commonly referred to as home health services), which is reimbursable by insurance, is for patients with some type of skilled need, such as nursing (provided by an RN or LPN) or physical, occupational, or speech therapy. Wound, diabetic, IV, cardiac/pulmonary, orthopedic, and neurological care are also included under the HomeCare banner, as are home health aide services and medical social work assistance. “The typical HomeCare patient is someone who has had an acute exacerbation of a chronic illness, but can also be someone who has received a new diagnosis, needs assistance with medications, is recovering from surgery, requires IV therapy, or has lost muscle strength from being in the hospital for a while. He or she might also be someone who just isn’t ambulating at home, which is usually recognized by a loved one,” Schmidlin says. Medication management is a vital component of the services HomeCare nurses provide. With so many clients taking a wide variety of medications and seeing multiple specialists, the proverbial left hand doesn’t always know what the right hand is doing, so it’s all too easy for them to take the

wrong dose or skip doses altogether. “We get a list of all the patient’s medications and have one physician oversee what they’re taking. Simply setting up a reminder system, such as a pill organizer or blister pack, can also help patients manage their medications safely and effectively,” states Schmidlin. Franciscan HomeCare subcontracts with the same therapy companies that provide physical, occupational, and speech therapy services at their skilled communities, ensuring excellent continuity of care for patients, which promotes greater compliance and a much higher degree of patient comfort. The home health aides on the HomeCare staff are all STNAs, or State

Tested Nursing Assistants. PersonalCare is private-pay and provided by highly qualified, thoroughly screened home health aides. These services include personal care, such as help with bathing, grooming, dressing, and toileting; companion care, examples of which include conversation, participating in hobbies or crafts, playing games, or accompanying patients to doctor appointments; and homemaker assistance, such as help with meal preparation, laundry, running errands, and light housekeeping. When PersonalCare services are initiated, the patient is first assessed by a nurse to ensure all his or her needs are being met. In many instances, unrecognized skilled needs are identified and can then be initiated, in which case bathing assistance, if required, will be covered by insurance until the skilled services are concluded.

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Schmidlin points out that the HomeCare staff serves as another set of eyes and ears in the patient’s home to help identify areas of concern that the patient may not be aware of. For example, a patient with congestive heart failure who is supposed to be on a low-sodium diet might be eating foods that are relatively high in salt without realizing it. They can also perform routine assessments on patients with chronic health conditions, such as diabetes, heart disease, or COPD, so new symptoms or changes in blood pressure, lung sounds, blood sugar levels, etc. don’t go unnoticed. “We also strive to help our patients stay at their current level of functioning, so if they’re living independently, they can continue to do so, or if they’re already in assisted living, they can remain there rather than transition into skilled care. We want them to maintain their independence for as long as possible,” says Schmidlin. Carrie McGlothlin, Regional Director of Marketing for Franciscan Living Communities, observes that HomeCare services can also help keep patients out of the hospital. For example, a post-knee-replacement patient who works with a physical therapist at home to strengthen weakened muscles and improve his or her balance and gait is much less likely to experience a fall—an event that often leads to hospitalization and the need for an increased level of care. “Plus, so many times when a person is discharged from the hospital, they’re handed discharge instructions and a list of medications they need to take. If they have difficulty getting those medications or accidentally duplicate them, they can end up right back in the hospital,” she says. A physician’s referral is necessary to initiate HomeCare, and this can often be coordinated by staff at doctors’ offices, hospitals, or skilled-care or assisted-living facilities. Patients can also call Franciscan HomeCare directly, and the staff there will be happy to coordinate a referral. A doctor ’s order is not necessary to initiate PersonalCare. “However they connect with our services, it’s a privilege for us to come into a patient’s home— their sanctuary—and serve as that additional set of eyes and ears. We’re always respectful and mindful of patients’ needs and values as we provide care in whatever environment

they call home,” Schmidlin states. ❦ For more information on Franciscan HomeCare or PersonalCare services, call 567-455-0414.

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Development is a marathon, not a sprint by Mark S. Faber, USPTA Elite Professional

s I talk with many parents around the country, I recognize that parents’ passion for their children’s success is very high. In fact, I would contend that sometimes the parents have a little more passion than the kids do. What calms me somewhat is the fact that this theme is not specific to the sport of tennis; I also hear it from my friends who are parents of kids in other sports as well as from academically and musically driven families. What I would like to share in this month’s article is some information I discovered online on the tennis blog www.tennisconsult.com. The post I’ll be sharing and commenting on is “Five Rules for Developing a Tennis Player Under 12 Years,” posted on August 1, 2014 by Allistair McCaw. Here are the five rules McCaw shares: 1. Stay the course, follow the longterm plan. If you don’t have one, then find a tennis coach who does. 2. Focus on developing the athlete. They should be spending at least 40-50% on the other athletic skills. 3. Compete, but the goal must be focused on working on the game (technique, tactics, mindset), not results. 4. Limit competitions (no more than 30% per year). 5. The best monitor of progression is what I like to call the “fun-o-meter.” Keep developing technique skills, as well as their athletic development for progress—and not a tennis ranking sheet. After reading this blog, I thought it would be very important to share with the readers of Healthy Living

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News. This advice is appropriate not only for tennis, but in my mind it can be related to so many other things as well. To keep it simple here is an easy cheat sheet for all of you: 1. Know where you are and where you want to be. Just like a family trip, know how you are going to get from point A to point B, and if you don’t know how, do not be afraid to ask. 2. It is not all about hitting shots; many people can hit a tennis ball. 3. Use competition as a test to see where the development is; do

not base the development on the trophy at the end. 4. When young, you don’t have to play every tournament. 5. Development is fun and if viewed/ handled correctly creates a love for the game. The statistic that we should all be aware of is that more than 70% of kids give up their sport before the age of 13, mostly because of burnout and pressure. So the goal is to keep things in perspective and realize that in whatever your child decides to pursue, the mindset of the parent, coach, and

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n midsummer night, June 21, the longest night of the year, we were in Denali National Park in Alaska. The sun goes down for about two hours, but it never actually gets dark. Twilight lingers all night long. On this particular midsummer night, Shirley played Titania. I played Oberon. Or maybe Puck. No, wait. Shirley insisted that I was best suited for the part of Bottom the weaver wearing the ass’s head. (She says that Bottom/Ass is the worst pun Shakespeare ever concocted.) I reminded her that Titania found Bottom simply charming. “Thou art as wise as thou art beautiful,” she says of him. To which Shirley replied, out of character, “Poo!” But I digress. We began midsummer with a nice omelet (onion, bacon, cheese), toast with lingonberry preserves, and freshly perked coffee. Then we took the park shuttle to the ranger dog sled demonstration. Ranger Ellen was a nice young woman from Pennsylvania who announced that she was proud to be a recent college graduate actually employed in the career of her choice. She also explained a lot of stuff about how sled dogs are biologically adapted for hard work in the cold. Pound for pound, they are the strongest draft animals in the world. Their optimum working temperature is -10°F. The dogs are very people friendly and love to have their ears scratched and their bellies rubbed. And they sleep on top of their dog houses just like Snoopy. The highlight was a demonstration of sled pulling. When the dog handlers brought out the sled and harness, all the dogs commenced barking and

yapping and howling. “Pick me,” they yelled. “Oh, please, please, please, pick me!” The five lucky dogs chosen got up on their hind legs and pranced over to the sled, calling back over their shoulders, “Nyah! Nyah! Too bad for you! See you later, suckers!” The prize for getting chosen is the chance to pull the rangerette (wearing a crash helmet) once around an oval track. Before they start, an assistant checks to make sure that moose have not wandered into the area. Now, you might think that pulling a loaded sled over snow and ice is pretty tough. Therefore, pulling it over gravel and dirt would be nearly impossible. But you would be wrong. These dogs are the happiest government employees you are ever going to see. Except, maybe, for the IRS. After the dog show, we drove 15 miles up the park road to Savage River. Travel beyond there is by special permit to limit impact on the wilderness. We scheduled a trip on a park bus for two days later on the possibility that we might see Mt. McKinley, or Denali as the Athabascans call it. Denali, the highest mountain in North America at 20,320 feet, is so massive that it generates its own weather pattern. There is only a 30% chance that it won’t be obscured by clouds. If you get to see The Mountain, you buy a medal proclaiming your membership in the 30% Club. Meanwhile, at Savage River, we saw some caribou, which was pretty cool. And then lots of rain, which was also pretty cool. But not in a good way. This was supposed to be an enchanted day, but I can’t lie

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to you. (Well, I could. is not the State Bird. It is right, but compared to Denali, as that sort of thing.) We were pleased You’d never know. But the ptarmigan. The town Shirley would say, poo! The Mountain to qualify for initiation into the 30% our publisher has a strict of Chicken, AK is named was silhouetted against the blue sky, Club. policy against lying.) for the State Bird. The the whole thing covered with snow, On the bus with us was a charming Back in camp, cold miners who founded the glistening in the morning light. couple from Israel. He is Executive and wet, Shirley turned town could not agree on As the day wore on, Denali attracted Director of the University of Haifa, on the RV furnace “just how to spell Ptarmigan. or formed a wreath of clouds around and she is a lovely goil from New to take the chill off.” More good news. Joisey who emigrated to Israel. She also decided that They had not heard of Yuval Zaliuk On June 23, we took this was a pasta night. that eight-hour tour on when he was a conductor in Israel Comfort food for Titania, or Music Director of the Toledo the park bus. Just a few my Fairy Queen. But miles in, we rounded Symphony. But they were familiar The Alaska State Bird is running the furnace on a curve, and there was with his Almondina biscotti. Midsummer night? For the tarmegun. Tarmigan? Denali rising behind And there were people from crying out loud! What’s Tarmigen? Chicken. That’s it, two lesser peaks. Any Arkansas and Chicago who, like she think this is, Alaska Chicken. place else they would be us, had spent the night at the Walor something? impressive in their own Marts in Whitehorse and Fairbanks. While we are in the True Confessions Which, by the way, looked more mode, there is the matter of the Alaska like RV sales lots than Wal-Marts By noon the clouds on Denali State Bird. Not the eagle. The mosquito. were forming rapidly, and soon usually do. I met a couple of airmen from the Our driver, Lee Lipscomb, it was was no longer visible. Eielson Air Force Base at the Fairbanks said we should call out if we saw Those who travel all the way to Alaska and actually get to see it some animals so he would stop. Wal-Mart. They said the Strategic Air are the fortunate few. Command had established a hotline Otherwise he was going to keep to their counterparts in Siberia by his eyes on the road, which we all order of Gen. Jimmy Stewart. The its head. In the early days agreed was a wise thing to do. We purpose is to forestall unnecessary of the park, a staff member eased into it with a coyote. Some scrambling of jets in case three or might stay awake at night of us were amazed. Some just said, four mosquitoes show up on Russian just in case the clouds “Poo!” (I’m not saying who.) radar. Maybe they were pulling my cleared away and the Then there were some caribou guests could be awakened way, way down in the river bottom. leg. You never can tell with airmen. Anyway, I later learned that they Our first view of Denali in the early morning light qualified to see it. (When it stays Then a grizzly sow with twin cubs. were right about one thing. The eagle us for membership in the 30% Club. light all night, you can do Lee was patient and stopped while

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Learn to play tennis in just six weeks

Anyone can learn to play tennis in just six weeks through the Tennis Made Easy Program offered by Shadow Valley. The cost is $79.00 for six lessons, and each session includes classes for adults and seniors (56 and over). Classes meet for 60 minutes once a week over a six-week period. Tennis Made Easy is taught by Toledo’s top tennis professionals. Participants will also receive a free six-week membership, free childcare services, free

Play with the Pro classes, and free fitness classes at the Maumee location. Shadow Valley@Central is located at 5400 W. Central Avenue, Toledo, Ohio, 43615. Day and weekend classes will be offered. Classes for groups of 4-7 can also be arranged. Classes begin September 15th. Call early to reserve your place in either of these six-week sessions. To register, call Kari at 419537-0001 or Carol at 419-865-1141.

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need of more Zumba. Just like the bison that act like they own the road in Yellowstone. Like the Alaska Highway, the park road is an adventure in itself. Beyond Savage River it remains unpaved and mostly single lane. The bus drivers have some arcane system for determining who has the right of way and who has to find a place to pull over. At Polychrome Pass, The Denali Park buses give there is no place to pull visitors a chance to get close over. There is the road to grizzly bears and other and there is the abyss. wildlife without a dangerous In the early days of interaction. the park, they called we opened bus windows it Poison Pass. One little to take pictures. drop and you’re dead. A There was a red fox former park employee close up, then a bull caribou said she used to get lying in the snow trying You might think that coyotes out and walk with the to avoid the biting insects. and foxes are no big deal, but people who could not Then a grizzly taking a nap many park visitors are unaccus- tolerate it. On our trip, tomed to anything more exotic on a flat rock outcropping. the Israeli woman and than squirrels. His right rear leg was the Arkansas woman pedaling fast the way a just shut their eyes. The dog does when he is dreaming about woman from Chicago across the chasing a squirrel. aisle from me said she had a cramp There were Dall sheep—just white in her leg from “hitting the brakes specks on the mountain until you so hard.” A boy and, later, an older zoomed in on them. A young bull man called for Lee to stop so they moose with embarrassing antlers. could deposit their breakfast outside A massive bull moose that moved rather than inside the bus. The rest off into the willows before I could of us were mighty grateful. Getting get a shot. there, you may have heard, is half the fun. Sometimes, just arriving alive is good enough. Timing is everything when it comes to travel adventures. Often you see something or miss something by a matter of minutes or even seconds. We happened to see Denali when the summit was absolutely clear. Later, clouds came in. And later the rains came again. Interior Alaska is in a This bull caribou was lying in snow to avoid rain shadow that makes it normally the bugs. It didn’t work. warmer and drier than other parts of the state. We were in Denali for a On the return trip, Lee said he week. It rained five days. would not stop for caribou off in the Tour buses with Princess Cruise distance. “Unless they are right on Lines logos disgorged eager visitors. the road,” he said, “we have to keep moving.” And, you know, right on cue, up popped a half dozen caribou right in the road. They climbed the ridge to the left and ran parallel for a few yards before coming back into the road. Lee was getting worried about falling behind schedule. Then came the grizzly ambling down the middle of Since 2005, about half the visitors to Denali arrive by the road. Nothing to see but rail. The Alaska RR has double-decker cars from which a big bear butt seriously in passengers get panoramic views. We love feedback. Like us on Facebook. Follow us on Twitter.

Since 2005, more than half the Denali visitors have arrived on the Alaska Railroad. People on a package tour get a limited opportunity to enjoy the wonder and majesty of Denali

On the way back, our bus driver said he would only stop for caribou sightings if they were right on the road.

National Park. If your bus to The Mountain is booked for a day when it rains, well, that’s just the way it goes. Shirley and I lead magical lives. We can afford to hang around until conditions are right. Or, we can move on if we get impatient. This year, Puck dropped the magic fairy dust in our eyes so we fell in love with the first Denali we saw upon awakening. Sure, I still may have the long ears, but I don’t care. Neither does my Titania. A chance to see Denali will always be for us just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Sylvania Franciscan receives national award

I loved every minute of it. It is only with wisdom, love, guidance and the grace of God; my parents who instilled the love within me; and all the dear Sisters who mentored me

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ylvania Franciscan Sister Geraldine Paluszak was recently honored by the Franciscan Federation with the 2014 “Cultivating Kindom Power” Award for her 66 years of ministry as a joyful servant who exuded hospitality, inclusivity, and compassion in everything she did. Sister Geraldine received the award July 20 in St. Louis, Missouri at the Federation’s annual conference. “Throughout her ministry in both education and health care, Sister Geraldine brought people together who were at odds and helped them work through their differences, said Sylvania Franciscan Sister Nancy Surma, who nominated her for the award. “She treats everyone with the same respect and care. Sister Geraldine’s kind heart has helped her reach out to all kinds of patients and residents in her pastoral ministry. She has been an inspiration and a role model for me.” Sister Geraldine demonstrated her Franciscan charism during the 20 years she worked at Trinity Medical Center in Brenham, Texas where she was director of mission integration. She had a wonderful gift for assisting people in tense situations and knew how to facilitate crucial conversations to resolve difficulties. She was chosen for this award because she has a clear understanding of Jesus’ vision of the “Kindom of God” and knows how to reach out to all types of people in a loving way. Sister Geraldine entered the Sisters of St. Francis of Sylvania, Ohio from Nativity parish in Toledo in 1943 and

that I gratefully have become who I am today. Hopefully, with God’s blessing, I will continue to live the Franciscan life and spread God’s love in all of creation—God’s Kindom.”❦

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Sylvania Franciscan Sister Geraldine Paluszak, right, recipient of the 2014 Franciscan Federation Award for spreading God’s love throughout her 66 years of ministry, stands with Sister Nancy Surma, who nominated her for the award, at the annual conference July 20 in St. Louis.

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taught school for 25 years in Toledo and Cincinnati, Ohio, and Minneapolis, Minnesota. She was principal of schools for 14 years in Rossford, Ohio and St. Paul, Minnesota. It was her peaceful and loving spirit that allowed her to successfully overcome the concerns and demands of parents from two schools in Northwest Ohio during a contentious merger. “To be the recipient from our Congregation for the Franciscan Federation Award for the one who ‘Cultivates Kindom Power’ is very humbling and, yet, a great honor,” said Sister Geraldine. “To be recognized for simply doing for so many years ‘what was mine to do’ as a Franciscan woman and also director of mission integration is a reward in itself, for

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Sleep apnea linked to hearing loss by Dianna Randolph, AuD, CCC-A

o you or someone you know have sleep apnea? If so, you/they may be more prone to hearing loss. According to the National Heart, Lung, and Blood Institute, sleep apnea is a common disorder where you have one or more pauses in breathing or shallow breaths when you sleep. The short pauses can last a few seconds to a few minutes and can occur over 30 times a minute. Usually breathing is started again with a loud snort or a choking sound. The National Sleep Foundation estimates that 18 million people have sleep apnea. Untreated sleep apnea is known to be associated with other health problems, including high blood pressure, stroke, heart attack, obesity, diabetes, and generalized inflammation. The link between hearing loss and sleep apnea may be related to the issues of inflammation and blood vessel function. A 2014 study printed in the American Thoracic Society by Amit Chopra, MD, and others looked at about 14,000 US participants in the Hispanic Community Health Study/Study of Latinos. About 53 percent were women, and on average the subjects were 41 years old. All completed in-home sleep studies and hearing testing. About 10 percent of the study volunteers had sleep apnea. Around 30 percent had some form of hearing impairment, according to the study. The researchers took into account age, gender, Hispanic/Latino backgrounds, and health-related issues such as high blood pressure, diabetes, fat levels in the blood, cigarette and alcohol use, history of hearing loss or snoring, and noise exposure. People in the study were more likely to have hearing impairment if they were of Cuban and Puerto Rican backgrounds, had a higher body mass index, were people who snored, or had been diagnosed as having sleep apnea. The study authors found that sleep apnea was associated with

46 September 2014 | Healthy Living News

a 31-percent increase in high-frequency hearing impairment and a 90-percent increase in low-frequency hearing impairment. Sleep apnea was also linked to a 38-percent increase in both high- and low-frequency hearing loss. Hearing loss in the high frequencies would cause issues with clarity of speech. The majority of our hearing aid patients have a high-frequency hearing loss, and the goal is to give back the clarity of speech to make hearing and understanding speech in noisy situations easier. We easily and successfully do this with high-frequency-emphasis digital amplification. With a low- and high-frequency hearing loss, there is a clarity issue but also an overall hearing (volume) issue. The low frequencies are mostly responsible for the volume of speech. For our patients with this type of loss, again we use amplification to help increase the clarity of speech but also the overall volume. According to Rebecca Spencer, a neuroscientist and associate professor in the department of psychological and brain sciences at the University of Massachusetts, Amherst, “You wouldn’t know if one comes before the other: sleep apnea appears before hearing loss, or hearing loss appears before sleep apnea and maybe they don’t come together at all. They may not be related except by a third factor.” Because a possible link has been discovered between sleep apnea and hearing loss, the next step should be a smaller study that looks more closely at the question of whether sleep apnea actually causes hearing loss, said Spencer. She also pointed out that the data drew only from people of Hispanic and Latino descent. It would be important to look at the association between hearing loss and sleep apnea among a broader ethnic and geographical group, she added (WebMD). Another study by Jau-Jiuan Sheu, MD, an associate professor of neurology at Taipei Medical Hospital

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in Taiwan, and colleagues found that men with sudden sensorineural hearing loss are more likely to have previously diagnosed obstructive sleep apnea than those without the hearing loss. Like the previous study, the researchers said the relationship between obstructive sleep apnea and sudden sensorineural hearing loss may be associated with a number of cardiovascular and metabolic issues. “A possible explanation for the association . . . is that obstructive sleep apnea indirectly contributes to the development of sudden sensorineural hearing loss via the effects of cardiovascular disease and cardiovascular risk factors,” the authors of the study wrote (Hearing Journal: April 2012, Volume 65, Issue 4, p. 36). Dr. Seva Polotsky, an associate professor of medicine at John Hopkins University, said sleep apnea leads to dyslipidemia and increased cholesterol levels and directly affects vascular walls because of oxidative stress or inflammation. “It’s well proven that sleep apnea increases blood pressure. A combination of these factors results in an increase of cardiovascular disease, which may result in cerebrovascular insufficiency that may lead to hearing loss” (Hear-

ing Journal: April 2012, Volume 65, Issue 4, p. 36). The study goes on to say that one of the reasons the results were found in men may be because women are less exposed to sleep apnea than men and it is not investigated as often in women. Both these studies only show a link between sleep apnea and hearing loss and not a direct relationship between the two. It appears that more research needs to be done. One conclusion that can be made is that there are more health factors linked to hearing loss than first thought—not only sleep apnea, but diabetes and cardiovascular problems as well. Hearing loss just isn’t caused from the aging process or noise exposure, so leading a healthy lifestyle could also save your hearing. With 18 million people having sleep apnea, it is common for us to see it in our own office. When a patient presents with sudden hearing loss, we complete a full case history and audiological evaluation. Most often these patients are referred to an otolaryngologist for treatment. If you or someone you know has difficulty hearing or notices a sudden hearing loss, we encourage you/them to get

a hearing test as soon as possible. At Northwest Ohio Hearing Clinic, we have three doctorate-degreed audiologists who can assess your hearing and give you the appropriate recommendations. Please call one of our convenient locations to schedule an appointment. ❦

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).

Don’t get stuck in your comfort zone by Amanda Manthey

hen you’ve been running the same course at the same pace for a long period, the route and scenery become boring and you might feel as though you’re on “auto pilot” during your run. Most runners experience these same feelings at one time or another during their training. Challenging yourself daily with your running program will help minimize your “comfort-zone” tendencies. Here’s how: First, runners should set personal fitness goals to improve fitness performance. Whether you are improving your time or your distance, you should be monitoring these

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personal goals weekly. Remember, you can’t reach goals that you never set for yourself. A daily running log is a great way to monitor time, distance, and running routes to notice patterns in your running and will enable you to achieve your goals. Some are available online for free, such as the Runner’s World Online Logbook at www.runnersworld.com. In addition, choosing different running routes to vary the scenery and terrain will allow you to challenge yourself as a runner. But, most important, remember to choose safe running routes either in a park or on streets with sidewalks.

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Adding sprints to your workout and varying your speed at different points during your run will provide a more effective, challenging workout, as well. Cross training is another great way to vary your workout routine. Choosing at least two cross-training sports to include in your running program will provide a well-balanced, challenging fitness program. Finally, evaluate yourself as a runner and choose one or two areas in running that you can improve upon, and focus your attention on those areas. For example, my areas of concern are hills and incline workouts. I purposely choose certain routes that concentrate on hills to challenge myself as a runner. There are many ways to discover new challenges as a runner. Find out for yourself what you can do to minimize your “comfort-zone” tendencies. It will make you a better runner. Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Performance Footgear.

She writes about running and fitness on behalf of 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, please visit davesraces.com. Ready, Set, Go! 5K Run/Walk— Saturday, September 6, 2014, 9:00 a.m. (Fun Run starts at 8:30) at 3200 Bright Road in Findlay, Ohio. Proceeds will go toward a newly established Emergency Student Fund on the Owens Community College Findlayarea campus. Contact: stefanie_ madison@owens.edu. Strides for Scholarships 5K— Saturday, September 6, 2014, 9:00 a.m. (Kids Fun Run starts at 8:45) at 1035 W. Wayne St., Paulding, Ohio. To raise scholarship funds for area high school seniors majoring in a health career. Contact: pchhr@saa.net.

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Sunshine Walk, 5K Run & Roll— Saturday, September 6, 2014, 8:30 a.m. at 8035 Monclova Rd., Monclova, Ohio. Help support Sunshine’s work with individuals with developmental disabilities. Contact: bampthor@ sunshine.org. Putnam County YMCA/Kalida Pioneer Days 5K—Sunday, September 7, 2014, 9:30 a.m. (1-Mile Fun Run/ Walk at 9:35, Tot Trot at 10:30) at 301 N. 3rd St., Kalida, Ohio. Contact: lisapcymca@woh.rr.com. Rock & Run United 5K—Sunday, September 7, 2014, 9:00 a.m. at Swan Creek Preserve Metropark, 4659 Airport Hwy., Toledo, Ohio. Celebrate healthy living and the power of giving, advocating, and volunteering. Contact: tonya.bennert@unitedwaytoledo.org. Trot for a Track—Sunday, September 7, 2014, 9:00 a.m. at 14544 Co. Rd. 6, Metamora, Ohio. Proceeds will go towards maintaining the track facilities at Evergreen High School. Contact: Heidi_1410@yahoo.com. Bar 145k Break for Bourbon— Thursday, September 11, 2014, 7:00 p.m. at 5305 Monroe St., Toledo, Ohio. Contact: jake@bar145toledo.com. Race for a Cause—Saturday, September 13, 2014, 8:30 a.m. on the University of Toledo’s Health Science Campus, 3000 Arlington Ave., Toledo, Ohio. Proceeds will be donated to the Sparrow’s Nest (a women’s shelter) of the Cherry Street Mission Ministries. Contact: Zachary. Caverley@rockets.utoledo.edu. Grasshopper 5K Run/Walk— Saturday, September 13, 2014, 8:30 a.m. in Eells Park, Tiffin, Ohio. Funds will benefit Lakota high school student athletes with their college expenses

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he bicycle is a fun, efficient, and healthy form of transportation. What’s more, bikes are non-polluting, inexpensive to own and maintain, and a good way to more intimately observe the little details of the world that motorists usually miss. From a health standpoint, bicyclists get to enjoy the benefit of an aerobic workout while feeling the sun on their faces and the wind in their hair. But before pedaling down the road, it might be a good idea to review some

and raise money for the Lakota Cross Country Memorial Scholarship. Contact: grasshopperhill5k@gmail. com. Ridgeville 5K—Saturday, September 13, 2014, 9:00 a.m. at 20356 Co. Rd. X, Ridgeville Corners, Ohio. Contact: mkruse@nwoesc.org. TRRC Open 5K—Saturday, September 13, 2014, 7:30 p.m. at 2315 Walden Pond Dr., Toledo, Ohio. Contact: nearyjd@yahoo.com. Tunnel to Towers Defiance 5K Run/ Walk—Saturday, September 13, 2014, 8:45 a.m. at 702 W. Third St., Defiance, Ohio. Contact: t2tdefiance@gmail. com. Romp Stomp and Run—Saturday, September 20, 2014, 10:00 a.m. (Kids 1-Mile Fun Run at 11:00, 1-Mile “Romp” Walk at 11:30) at Centennial Terrace, 5773 Centennial Rd., Sylvania, Ohio. Proceeds to benefit the Parkinson Foundation of Northwest Ohio. Contact: nancy.temme@utoledo.edu. YES FM 5K Run & Walk—Saturday, September 20, 2014, 9:00 a.m. (1K Kids Run at 8:30, Family Walk at 9:05) at 3100 Main St., Maumee, Ohio. Contact: cindy@yeshome.com. Alexa Brown 5K—Saturday, September 20, 2014, 8:45 a.m. (Kids 1K at 8:15) on Main St. in Clyde, Ohio. Proceeds go to CureSearch for childhood cancer research. Contact: wbrown71439@woh.rr.com. One Step At A Time—Saturday, September 27, 2014, 9:00 a.m. at 950 Webster St., Defiance, Ohio. This 5K Run/Walk has been planned to help raise awareness about depression and its sometimes fatal result—suicide. Contact: tlovins@fsno.org. ❦

ing or proceeding from a stop, allow plenty of room between yourself and other cyclists or vehicles on the road, and always ride with traffic, not against it. When bicyclists and motorists collide, it is often the result of the cyclist’s failure to yield the right-of-way at a stop sign, red light, or driveway. Always operate your bicycle with the same care and attentiveness you use when driving a motor vehicle, and be sure traffic has cleared before entering intersections.

2) Ride visibly Of course, it’s also vital for vulnerable cyclists to be clearly visible to others on the road. Wear brightly colored clothing and a light-colored helmet so you stand out in traffic during the day. At night, make sure you have an operational white front light and red rear reflector. Equipping your bike with a red rear light is also a good idea. Your clothing for night riding should be eye-catching and reflective. Whenever possible, avoid riding

in a motorist’s blind spot, and be sure to hold your place in a moving traffic lane. If you try to pass a line of stopped or slowing cars on the right to get through traffic faster, you may be invisible to a right-turning vehicle and cause a collision at the next intersection. Also, be sure to ride just to the right of the moving lane of traffic, and take care to avoid swerving suddenly into the path of an oncoming or overtaking car. Such sudden, erratic movements cannot be anticipated by motorists and often lead to accidents.

3) Ride defensively Even though you may be following all the rules, others on the road may fail to do so, putting you at risk. If you ride defensively and try to anticipate the mistakes of other cyclists and drivers, you’ll be better poised to avoid accidents. The key to defen-

sive riding is to stay alert and continually scan the road ahead for obstructions, hazardous conditions, or motorists/other cyclists operating in an unsafe manner. Plan ways to maneuver around or away from danger. If you see a problem developing, be prepared to act decisively to avert it. While you’re thinking defensively, keep in mind that not all bike accidents involve collisions with cars. In fact, even though car-bike collisions are more likely to result in serious injury (usually to the cyclist), the vast majority of bike accidents do not involve motor vehicles at all. Riding into obstructions like posts or potholes accounts for approximately half of cycling accidents. Mishaps also occur when cyclists using the same path

or road run into each other. Other causes include riding too fast for conditions, failing to control speed downhill or on a gravel patch, and losing control due to poor maneuvering or braking skills.

4) Ride with the right safety equipment Of course, every cyclist should also wear appropriate protective gear, including a helmet, elbow pads, and knee pads. Considering that head injuries cause the majority of deaths and permanent disabilities resulting from bike accidents, the helmet should be considered the most critical element of the protective ensemble. Make sure it conforms to the standards provided by the Consumer Products Safety Commission (CPSC).

No contest! They say you never forget how to ride a bike once you learn how, but cyclists often forget that they’re subject to the same rules of the road as motorists are. Ignoring the rules may get you where you want to go faster, but it can also put your life in jeopardy. Just remember, in a contest between a speeding car and a bicycle, the car wins every time. ❦

bicycle-safety tips. of basic Here are four simple

bicycle-safety rules you should always keep in mind on your two-wheeled excursions:

BICYCLE SAFETY

predictably

1) Ride

Riding predictably simply means following the same rules of the road that all other drivers must follow. Obey all traffic signals and signs, yield the right-of-way when appropriate, signal your intentions before turn-

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A Catholic healthcare ministry serving Ohio and Kentucky Physicians include those employed by Mercy and members of Mercy’s Care Network.