HLN April 2014

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Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News April 2014 • FREE

Also available at hlntoledo.com

A season of discovery

Summer Camp Guide 17th Annual

Parkinson’s Symposium

Also in this issue: • Look your best for summer • Organ donations bring more birthdays • Stay one step ahead of spring allergies • Making multisport more accessible • Back to sleep for babies

The sharpest minds in surgery. Right here. mercyweb.org

• Eating Well • Sound Advice • Health Crossword • A Walk in the Park • And much more...


Look your best for summer!

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with painfree, non-invasive cosmetic procedures performed by Dr. Handler. The Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging skin on the neck, upper arms, abdomen, and jowls. The Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis is cooled and protected. This heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. 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

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.

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! The 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 with resultant diminished lines and a more “wide awake” and less tired appearance. 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 the 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. Spring is the perfect time for eliminating unwanted hair of men or women on the face, chest, underarms, back, bikini, and leg areas with a special laser for hair removal. This is done exclusively by Dr. Handler with little pain and NO downtime or restrictions following the procedures. Dr. Handler also utilizes a special laser to reduce and eliminate “age spots” (from sun) on the face, chest, and top of the hands. And, for individuals with prominent blood vessels on their nose or anywhere on the face secondary to sun damage or the diagnosis of rosacea, the Vascular Laser is perfect for their removal. To view before-and-after photographs of patients who have had these procedures, 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. 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. ❦

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

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Harvey L. HandLer,

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in the Medical Office Building on the campus of Flower Hospital

419.885.3400


e lthy l ng ews

April 2014 • Vol. 19, Issue 4

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

CHILDREN & PARENTING

2 Look your best for summer 6 Lung cancer largely preventable through smoking avoidance 19 Discount hearing aids aren’t such a great deal by Randa Mansour-Shousher, AuD, CCC-A 20 Chronic pain a problem? by Douglas A. Schwan, DC, Dipl ac 22 Diabetes and the eye, by Bennett Romanoff, MD 26 Proactive spring allergy sufferers stay one step ahead of symptoms 28 Heartland Rehab promotes healthy choices for Easter and beyond 38 Don’t let unmanaged diabetes steal your sight! 42 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 46 Mercy Sports Medicine gets young athletes back to play promptly and safely 56 Art and Science of Beauty Botox for a more youthful face, by David F Baehren, MD, FACEP

9 Summer camps sharpen kids’ skills and banish boredom 50 For babies, it’s back to sleep in their own bed!

OUR COMMUNITY 4 17th Annual Parkinson’s Symposium: Discover how today’s research means hope for tomorrow 5 Northwest Ohio Affiliate of Susan G. Komen now accepting nominations for race honorees 25 Laurels program focuses on reducing rehospitalization, improving patient outcomes 40 Super Fitness celebrates 42 years of providing quality, affordable service to Toledo community 43 You don’t say, by Jessica Derkis 45 Nobody’s Perfect Dung you very much! Wellness Fair offers healthy life changes for everyone! by Sister Karen Zielinski, OSF

Dear Readers, Thank you for picking up the April issue of Healthy Living News. We’re extremely proud of the variety of content in this 60-page issue, which is brimming over with locally written health-related articles. We’re confident you and your family will find something to enrich your lives within its pages. Thanks as always to our advertisers whose support makes it possible to bring you this publication free of charge every month. I know it’s hard to believe, but it’s already time for parents to start planning how to keep their kids productively occupied over the summer months. Possibilities abound in our local area thanks to the many schools and other organizations that offer summer camps for kids. To find one that fits your child’s interests and aptitudes, check out our Annual Summer Camp Guide on page 9. At this time of year, our local healthcare

FOOD & NUTRITION 30 Eating Well A dark chocolate bunny is welcome in my Easter basket, by Laurie Syring, RD/LD

TAKING CARE OF YOUR LIFE 16 Understanding fund fees, by Scott D. Brown 18 Sweet sixteen: Organ transplant grants many more birthdays, by Kara Steel 24 Get trained in spa management or fitness 32 Don’t get stuck in your comfort zone by Amanda Manthey 34 Spiritually Speaking Carrying an umbrella by Sister Mary Thill 36 Elite Endeavors: making the benefits of multisport accessible to all 44 Health Crossword, by Miles Mellor 48 Perhaps the most important article you’ll ever read, by Russ Wakefield 49 Tennis pro vs. tennis teaching professional by Mark S. Faber, USPTA Elite Professional 51 A Walk in the Park Take it for granted by LeMoyne Mercer 53 Today’s memorial services aren’t limited to being six feet under

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community offers a plethora of health-related seminars, lectures, and events to help area residents improve their lives. This month, you’ll find information on several events that might pique your interest, such as the upcoming 17th Annual Parkinson’s Disease Symposium, to be held April 15 at Parkway Place in Maumee. Presented by UTMC’s Gardner-McMaster Parkinson Center and the Parkinson Foundation of Northwest Ohio, the symposium will emphasize the vital link between today’s clinical studies and tomorrow’s life-altering treatment breakthroughs. We’re grateful to Dr. Lawrence Elmer, Director of the GardnerMcMaster Parkinson Center, for providing his insights on this important topic on page 4. Also in this issue, Dr. Stanley Tao of

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ProMedica Physicians Eye Care shares his thoughts on diabetic retinopathy (p. 38), Burton Rogers of Mercy Sports Medicine discusses how to get injured young athletes back in the game quickly and safely (p. 46), Super Fitness celebrates 42 years of promoting a stronger, healthier Toledo community (p. 40), and Drs. Christopher Perry and Oliver Jenkins of The Toledo Clinic ENT Sinus Center of Excellence offer timely tips on how to stay ahead of spring allergy symptoms (p. 26). I’m also pleased to announce that, as our readership continues to grow on www.hlntoledo.com, we’ve made a major commitment to igniting and facilitating conversation about our online content. We urge you to visit the site often. Until next month, stay safe, active, and healthy!

NOW

WHEREVER YOU ARE, WE ARE.

Visit us at promedica.org/ connectwithus and always be well connected.

© 2014 ProMedica

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17th Annual Parkinson’s Symposium

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 Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell 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.

Editorial office:

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

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

4  April 2014  |  Healthy Living News

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Discover how today’s research means hope for tomorrow

hemed “Today’s Research—Tomorrow’s Hope,” the 17th Annual Parkinson’s Disease Symposium will shine a spotlight on the latest advances in Parkinson’s treatment and emphasize the vital link between participation in clinical studies today and future life-altering treatment breakthroughs for Parkinson’s patients. The Symposium, to be held Saturday, April 5, 2014, 9:00 a.m. to 2:00 p.m. at Parkway Place (2592 Parkway Plaza) in Maumee, Ohio, is presented by the University of Toledo Department of Neurology Gardner-McMaster Parkinson Center and the Parkinson Foundation of Northwest Ohio. The Michael J. Fox Foundation is co-sponsoring the event this year as well as providing the keynote speaker, Brian Fiske, PhD, the Foundation’s Vice President of Research. According to Dr. Lawrence Elmer, Director of the Gardner-McMaster Parkinson Center, there’s an interesting twist to the Michael J. Fox Foundation’s involvement in this year’s

Symposium. “They put together an tremely grateful for that,” he says. online research tool to help link Par“Today’s Research—Tomorrow’s kinson’s patients with research studies, Hope” isn’t just a nice slogan for a called the Fox Trial Finder, and they marketing campaign. Dr. Elmer has created a contest seen this theme challenging all the in action since Parkinson’s centers he started in the around the nation field of neuroloto see who could gy two decades ago. Cutting edge sign up the most people. We were medicines that are leading right up changing lives for to the end when Parkinson’s pathe University of tients today were Colorado suddenjust in the research ly surpassed us. phase back then. They ended up For example, the with 563 people, drugs rotigotine and we had 505. (Neupro®), a dopaBecause we were mine agonist that so close and the helps keep dopanext closest center mine levels stable The Michael J. Fox Foundation’s Vice Pressigned up fewer throughout the ident of Research, Brian Fiske, PhD, will be than 100 people, the keynote speaker of this year’s Parkinson’s day, and rasagiline The Michael J. Fox Symposium. (Azilect®), which Foundation decidblocks the breaked to co-sponsor down of dopamine our Symposium too, and we’re ex- in the brain, were both in clinical research studies 15 years ago. In fact, the very first study conducted at what was then the Medical College of Ohio (now UTMC) was on rotigotine. Now these drugs are changing lives. And this process is ongoing, opening up exciting possibilities and empowering Parkinson’s patients and Make Ma ke allller ergy ergy gy sho hots ts a their physicians with state-of-the-art thiiin th ng o off th he e pa as stt.. new treatments. “The drugs being To T olle ed do o Clini lilin niic EN ENT studied today are going to change is s no ow w pre resc scrriibi bing bing ng the whole course of Parkinson’s,” the a th att-h -home -ho ome om Dr. Elmer enthuses. “Some bypass alllle a erg gy trea ttrrea attm me en nt dopamine altogether. For example, NO N O-S O-S SH HO OTZ OTZ TZ one works through caffeine receptors. ora oral or all alllle errg gy y dro rop rop pss. s. Research has shown that stimulating these receptors improves the symptoms of Parkinson’s, which will be a BOARD CERTIFIED major breakthrough. Looking back, Oliver H. Jenkins, M.D. I have to ask myself, where were Christopher B. Perry, D.O. we 20 years ago? Back then, we had only three or four drugs for treating Specializing in Allergy, Parkinson’s. Now we have 10 or 15.” Nasal, and Sinus Disorders The benefit of having so many drug choices is that no single Parkinson’s medicine works for every SINUS CENTER OF EXCELLENCE patient. Nor is there an easy way to determine which combination of drugs will work. Having more www.ToledoClinicENT.com options means many more people Call us today for more information can be helped. or visit www.allamericanallergy.com Also owing to research, the whole Convenient, Same-day Allergy Testing and In-office Sinus CT Scans concept of what causes Parkinson’s

No Needles!

Toledo Clinic ENT

419.724.8368

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has been turned on its head in the last decade or so. It was long believed that the disease was related only to dopamine nerve cells. Now, it’s thought that Parkinson’s actually begins in the intestines and the olfactory bulb (where the sense of smell is located) and then gradually spreads from one nerve cell to the next, eventually reaching the brain. Dr. Elmer comments, “This has opened up exciting new avenues for research. If we can stop it from moving from one cell to the next, we can prevent it from spreading to the brain.” Dr. Elmer is also pleased to report that UTMC’s Gardner-McMaster Parkinson Center, which celebrates its first anniversary on April 1, has proven to be more impactful and busier than he ever dreamed possible. The interdisciplinary center, whose mission is to deliver outstanding clinical patient care, research, and education, combines all of the services Parkinson’s patients need under the same roof. In one convenient location, patients have access to the extensive expertise of Parkinson’s specialists Dr. Elmer and Dr. Krishe Menezes as well as nurse practitioners Molly (Mary) Scott and Kim Cole; all the latest medications; physical, occupational, and speech therapy; social workers who provide patient and caregiver support; as well as geriatric practitioners to meet their

general medicine needs. Dr. Elmer also hopes that a patient advocacy team, trained by the University of Toledo, will soon lend their talents to the center. “In addition, beginning this summer, Dr. Fredrick Junn, a neurological surgeon who practices in Detroit, will be coming to UTMC one or two days each month to perform deep brain stimulation surgery, so patients who would benefit from this treatment no longer have to travel out of town to get the surgery,” he says. The advent of stateof-the-art therapies, groundbreaking discoveries leading researchers to the very root of Parkinson’s, and the resounding first-year success of the Gardner-McMaster Parkinson Center are all cause for optimism and celebration. But there’s still considerable progress to be made in the treatment and understanding of Parkinson’s disease, and that demands further clinical studies. If your life is touched by Parkinson’s, your involvement in research today could very well lead to better therapies—or possibly even a cure—for this debilitating disease tomorrow. ❦

Owing to research, the whole concept of what causes Parkinson’s has been turned on its head in the last decade or so.

WHAT DO ALL BORN

LEADERS HAVE IN COMMON?

A WOMAN GAVE BIRTH TO THEM. (LADIES, IS THERE NO END TO OUR TALENTS?)

For more information or to register for the 17th Annual Parkinson’s Disease Symposium, please visit www.pfnwo. org or call the UTMC Volunteers Service Team Hotline at 800-438-5584.

Northwest Ohio Affiliate of Susan G. Komen now accepting nominations for race honorees

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he Northwest Ohio Affiliate of Susan G. Komen is pleased to announce we are now accepting nominations for both “In Celebration” and “In Memory” honorees for the 2014 Toledo Race for the Cure and Findlay Race for the Cure. Nominees from the following counties will be considered for the Toledo Race honor: Defiance, Erie, Fulton, Henry, Huron, Lucas, Ottawa, Paulding, Sandusky, Williams, Wood, and Monroe County, Michigan. Nominees from the following counties will be considered for the Findlay Race honor: Allen, Auglaize, Crawford, Hancock,

Hardin, Logan, Mercer, Putnam, Seneca, Shelby, Van Wert, and Wyandot. The deadline for the nominations will be May 21st, 2014. You can find nomination forms on our website at www.komennwohio.org. For more information, please call 419-724-2873. The 2nd Annual Findlay Race for the Cure will be held on Saturday, September 27, 2014, and the 21st Annual Toledo Race for the Cure will be held in downtown Toledo on Sunday, September 28, 2014. Registration for both Races will be available online at www. komennwohio.org starting in April.

VISIT PROMEDICAHEALTHCONNECT.ORG AND GET SOME HEALTHY TIPS ON NEGOTIATING THE WORKPLACE AS A WOMAN. Looking for advice on how to manage a career and maintain a healthy lifestyle at the same time? Then look to our panel of ProMedica experts – the women who’ve done it, and who’ve done it well. Join the discussion at ProMedicaHealthConnect.org.

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Lung cancer largely preventable through smoking avoidance CANCER CENTERS

WE HAVE MOVED!

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f you’re a tobacco user, smoking cessation should be your top priority right now—particularly if you want to avoid lung cancer. The correlation between tobacco use and lung cancer risk is strong and irrefutable. According to Richard Phinney, MD, of The Toledo Clinic Cancer Centers, while not everyone who smokes ends up getting lung

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

6  April 2014  |  Healthy Living News

Dr. Howard Ritter Dr. Bradley Sachs Dr. Charu Trivedi

cancer, smoking is the number-one risk factor for developing the disease and between 85 and 90 percent of lung cancer cases are associated with smoking. Even secondhand, or passive, exposure to tobacco smoke is enough to increase risk. In addition to smoking, other hazardous exposures, e.g., radon or asbestos, increase lung cancer risk, as well. Particular occupations, such as ship building, the insulation industry, and certain forms of mining, may be associated with these exposures. Also, external radiation exposure, for instance radiation therapy administered to the chest to treat breast cancer, increases the risk of developing lung cancer down the road. The symptoms of lung cancer vary, depending on the location of the tumor and other factors. “Among the main symptoms is a cough, which can be either productive or not,” explains Dr. Phinney. “If it is productive, the sputum may be clear,

but it’s much more concerning if it contains blood. In that case, you should see your physician immediately. Another worrisome result of lung cancer is pneumonia. When treating patients with pneumonia, primary-care physicians will usually check chest X-rays for evidence of a mass. Other common symptoms include fatigue, loss of appetite, and unintentional weight loss, which is definitely cause for concern.” Lung cancer can be “silent”— causing no obvious symptoms for an extended period—if the tumor is located in the periphery of the lung. When more centrally located toward larger airways, however, symptoms will more likely be noted. For example, if the cancer is in close proximity to one of the mainstem bronchi, the tumor will tend to compress the bronchus as it grows. To visualize this effect, think of holding a drinking straw between your thumb and forefinger and then squeezing the straw. Dr. Phinney notes that there are two main classes of lung cancer, smallcell and non-small-cell, and there are various subtypes within these broader categories. “Regardless of histology or staging, all forms of lung cancer are treatable. Not all stages are curable, but they are all treatable with varying degrees of effectiveness,” he adds. Staging of lung cancer is based on the size of the tumor, whether there is involvement of nearby lymph nodes, and whether the cancer has advanced outside the lung or metastasized to distant sites in the body. Dr. Phinney points out that lung cancer preferentially spreads to the lung (multiple areas in the same lung or to the other lung), brain, bones, and abdomen. Small-cell, which tends to be more aggressive, moves to the brain more commonly than non-small-cell does. For early-stage lung cancer, which tends to be localized, surgical resection is the primary treatment. Depending on the pathology of the cancer, chemotherapy may be considered after surgery. More locally advanced cancers, which can be difficult to resect, for example if they’re located close to an artery or other vital structure,

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are typically treated with a combination of chemotherapy and radiation. Metastatic lung cancers—those that have traveled to another site in the body, demand a more systemic approach, so chemotherapy is usually the treatment of choice. “With surgical resection of lung cancers, the goal is cure and the rate of success depends on the type of cancer you’re dealing with. Metastatic cancers are treatable but not curable, so the goal of treatment is control of symptoms and maximizing survival benefit,” Dr. Phinney states. The 5-year survival rate for lung cancer is also quite varied based on type, staging, and other factors. For example, for a stage-1 non-small-cell lung cancer, the survival rate at 5 years is 55 to 75 percent. That rate goes down as the stage increases—40 to 50 percent for stage 2, 10 to 35 percent for stage 3, and less than 5 percent for stage 4. Small-cell lung cancer is staged as “limited disease” or “extensive disease,” not as 1, 2, 3, or 4. Patients with limited disease have a median survival of about 20 months with treatment and 3 months without treatment. The median survival for patients with extensive disease is about 12 months with treatment but just 6 weeks without treatment. The good news is, there have been some positive developments in the area of lung cancer screening. An August 2011 study published in the New England Journal of Medicine showed that screening reduced mortality among a select population of high-risk individuals who were all between the ages of 55 and 74 with at least 30 pack years of smoking (1 pack year is the equivalent of having smoked one pack of cigarettes per day for a year) and who quit within the last 15 years. The study participants, who were screened with a low-dose CT once a year for three years, showed a reduction in mortality of about 20 percent specific to lung cancer and about 7 percent from all other causes. “This is the first study I’m aware of where a reduction in mortality was noted from screening. Previous screenings using chest X-ray showed no benefit,” observes Dr. Phinney. Still, smoking cessation or avoidance remains the most effective preventive measure against lung cancer. “The best advice I can give with respect to lung cancer prevention is don’t smoke. If you’re not a smoker, don’t start. If you’re a smoker, quit.

If your spouse or other loved one smokes, make them quit. And try to minimize your exposure to secondhand smoke,” Dr. Phinney advises. Toledo Clinic Cancer Centers, now located at 4126 N. Holland Sylvania Road, Suite 105, has nine board-certified hematologists/oncologists and ten nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC’s satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe remain open for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419479-5605.

Medical Mutual Dart Frog Dash: There’s still time

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ant to run a 5K, but not sure where to start? Let the Toledo Zoo help. You still have time to register and get fit for the Medical Mutual Dart Frog Dash on Saturday, May 17. With regular tips on training, nutrition, and more right up to race day, the Zoo helps you get ready, every step of the way. You’re welcome to walk or run the course, which travels through Zoo grounds and surrounding neighborhoods. Make it a family event with the 1K “fun run,” just for kids. New for this year, as an optional extra for the Dart Frog Dash, runners can help the Zoo raise extra dollars to purchase fish for the new Aquarium, opening in spring, 2015. It’s a great way to help yourself and help a treasured community organization at the same time! Just ask friends to make online donations to show their support for your Dart Frog Dash participation. Medical Mutual is the title sponsor of the Dart Frog Dash; Dave’s Running is the packet pick-up sponsor. Learn more at toledozoo.org/dartfrog.

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

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

Have you ever considered volunteering for a

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

To find out if one is right for you visit http://utmc.utoledo.edu/research/ patients/currentstudies.html or call 1-419-383-6919

HealtH Science campuS - center for creative education Bldg. 2920 transverse Drive, Floor 3, toledo, OH 43614

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

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FOR YOUTH DEVELOPMENT FOR HEALTHY LIVING FOR SOCIAL RESPONSIBILITY

A SUMMER TO DISCOVER Register Today for Summer Fun! • • • • •

Summer Child Care Day Camps Teen Leaders Camp Specialty Camps Sports Camps

ymcatoledo.org/summercamp

THE ADVENTURE OF A LIFETIME YMCA STORER CAMPS Summer Overnight Camp:

For boys and girls entering grades 2-12 • Water sports - sailboats, kayaks, canoes, snorkeling and stand-up paddleboards • 50’ climbing tower • 3 beaches for swimming • 2 equestrian centers with Western and English riding • Tree climbing • 15 element high-ropes course 6941 Stony Lake Rd., Jackson, MI 517.536.8607

ymcastorercamps.org

8  April 2014  |  Healthy Living News

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Summer camps sharpen kids’ skills and banish boredom

SCHOOL OF ART | COLLEGE OF MUSICAL ARTS | CREATIVE WRITING | THEATRE & FILM B

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ith April in the air, kids across the country are beginning to sense that the end of another school year is close at hand (assuming, of course, they don’t have to stay in class through July to make up for all those snow days back in January and February). But what sort of summer do you envision for your child? An exciting time of discovery, enrichment, and learning or a “lost summer” spent cruising the couch while tethered to the latest high-tech gadget? Generally speaking, when left to their own devices, kids will lean toward the latter option—sitting idly on their backside while their academic, athletic, musical, social, and creative skills backslide. But parents take heart! This summer can be different! Many area schools and organizations offer exciting summer camps that help keep kids productively occupied while sharpening their skills in academics, sports, and personal interests of all kinds. Who knows? They might even make some great new friends along the way! Here are some great summer camp options for parents and their kids to explore:

Metroparks Summer Camps Remember summer camp? Your kids will, too. Metroparks offers weeklong day camps and one-day camps. Applications for financial assistance are available for all camps. Metroparks summer day camps are held rain or shine, with plenty of rainy day options. Camps are available for a variety of ages and interests and based at Wildwood Preserve and Oak Openings Preserve. For more information, call 419407-9701 or visit www.metroparks toledo.com.

❑ Wee Workshop Preschool Summer

Camp (Ages 3 to 5). Explore a different nature theme each day through songs, puppets, and games. Enjoy multi-sensory activities, crafts, and outdoor exploration. Adults will play alongside their child. Register child only. Fee: $65 ($45 Metroparks Members). All sessions Monday–Friday, 10 a.m.–noon. Session 1: June 2–June 6, Wildwood Preserve, Metroparks Hall Session 2: July 7–July 11, Oak Openings Preserve, Buehner Center Session 3: July 14–July 18, Wildwood Preserve, Metroparks Hall Session 4: August 4–August 8, Swan Creek, Yager Center.

❑ Metroparks Explorers (Ages 5 to 7) Explore the super world of nature at Metroparks Explorers Camp! Campers spend the week learning about the

incredible “super heroes” that live in our own backyards. Super-strength, flight, and invisibility are just a few of the animal and plant super powers that explorers learn about in this camp. Every week includes two off-site adventures (transportation provided). Pack a lunch and a reusable water bottle for each explorer. Fee covers crafts and activities, one snack per day, and a t-shirt. Fee: $115 ($95 Metroparks Members). All sessions Monday–Friday, 9 a.m. to 2 p.m. Session 1: June 23–27, Wildwood Preserve, Metroparks Hall Session 2: July 21–25, Oak Openings Preserve, Oak Openings Lodge Session 3: August 4–8, Wildwood Preserve, Metroparks Hall Session 4: August 11–15, Side Cut, Lamb Center.

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Musical theatRe WoRkshop

SCHOLARSHIPS AVAILABLE www.bgsu.edu/smi

REGISTER NOW! the

Arts

❑ Nature Camp (Ages 8 to 12). Take

an adventure through the many places that plants and animals call “home,” and meet some dynamic wildlife duos along the way! At Nature Camp, campers discover what makes a habitat, explore different ecosystems throughout the Metroparks, and learn about the wild ways that plants and animals live together. Every week includes two off-site adventures (transportation provided). Pack a lunch and reusable water bottle for each adventure. Fee covers crafts and activities, one snack per day, and a t-shirt. Fee: $115 ($95 Metroparks Members). All sessions Monday–Friday, 9 a.m.–4 p.m. Session 1: June 9–12, Wildwood Preserve, Metroparks Hall Session 2: June 16–20, Wildwood

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9


Remember Summer Camp? Your kids will, too.

Registration is now open for Metroparks camps.

Preserve, Metroparks Hall Session 3: July 7–11, Swan Creek Preserve, Yager Center Session 4: July 14–18, Oak Openings Preserve, Oak Openings Lodge Session 5: July 28–August 1, Wildwood Preserve, Metroparks Hall.

❑ Teen Camp (Ages 13 to 16)

Details and Registration: MetroparksToledo.com 419-407-9701

This summer, Metroparks offers a variety of camps including new camps for adults, families, teens, new overnight camping, plus new locations.

Nature Camp (Ages 8 to 12) Metroparks Explorers (Ages 5 to 7) Wee Workshop Camp (Ages 3 to 5) Teen Camps (Ages 13 to 16)

Art Camp (Ages 8 to 14) Camp Expedition (Adults) Family Camp (Fun for the Whole Family) Overnight Camp (Fun for Everyone)

Get into Summer Notre Dame Academy Camps for Girls Only!

Fun

NDA offers a variety of summer camps with something for everyone. Various programs are available for girls entering grades 2- 9. Camps include dance, baton, crafts, science, exploratory language, theatre, audition skills AND SO MUCH MORE!

Basketball, Lacrosse, Soccer, Softball, Tennis & Volleyball Camps

Sports

Visit www.nda.org on April 15th for details. Notre Dame Academy

3535 W. Sylvania Ave. Toledo

10  April 2014  |  Healthy Living News

419-475-9359

Nature Camp graduates asked, and Metroparks could not say no! Teen Camp is back and better than ever! At Teen Camp, participants spend the week taking an in-depth look at the unique habitats of Metroparks, learning about the important roles of keystone species, and developing teamwork and leadership skills. Pack a lunch and reusable water bottle. Fee covers all other equipment, field trip transportation (provided), one snack per day, and a t-shirt. Fee $140 ($112 Metroparks Members). Monday–Friday, June 23–27, 9 a.m.–4 p.m., Side Cut, Lamb Center.

❑ Art Camp (Ages 8 to 14) Nature is the greatest artist of all. At this special camp, use natural materials and nature as inspiration to create one’s own works of art. Campers’ appreciation and understanding of nature is sure to evolve during a week exploring art’s connection to the environment. Each day features a new theme, making this a great experience for children who enjoy art, nature, history, and the outdoors. Wildwood Preserve is home-base with exciting trips planned. Bring your own lunch and reusable water bottle. Equipment, supplies, and field trip transportation are provided. Fee: $150 ($120 Metroparks Members). Monday–Friday, July 21–25, 9 a.m.–3 p.m., Wildwood Preserve, Metroparks Hall.

❑ Family Camp: Fun For The Whole Family (Ages 5 and up) Finally, the whole family can enjoy the Nature Camp experience together! Family Camp days are jam-packed with the perfect mix of educational and recreational activities. Campers spend time with both the family and other campers of similar age. Stay late on Wednesday for an evening around the campfire and lots of nighttime fun! Fee covers all other equipment, one snack per day, and a

t-shirt. Please register all participants. Campers must be at least five years old. Fee: $15 per person/per day ($12 Metroparks Members per person/ per day). Session1: Monday, June 30, 9 a.m.–3 p.m., Pearson, Packer-Hammersmith Center Session 2: Tuesday, July 1, 9 a.m.–3 p.m., Oak Openings Preserve, Buehner Center Session 3: Wednesday, July 2, 4–10 p.m., Wildwood Preserve, Metroparks Hall.

❑ Overnight Camp: Fun For Everyone For the busiest beavers out there, Metroparks crammed a whole lot of Nature Camp fun into an overnight expedition! Take a weekend getaway to the new White Oaks Campground located in beautiful Oak Openings Preserve. Metroparks naturalists lead canoeing, geocaching, hiking, ghost stories, s’mores, and much more. Come alone, with a sweetheart, or with the whole family! Maximum 32 people, 8 tents. Individuals under 18 must be accompanied by a parent or guardian. Overnight Camp begins at 4 p.m. on Saturday and ends at noon on Sunday. Saturday dinner and Sunday continental breakfast provided. Bring a tent, equipment, and sleeping bag. (Limited camping equipment is available to borrow. Make arrangements when you make your reservation by calling 419-4079701.) Please register all participants. Campers must be five years or older. Fee: $15 per person ($12 Metroparks Members/per person). Session 1: June 21–22 Session 2: July 19–20 Session 3: August 16–17. ❑ Camp Expedition (Adults) Ever feel a little jealous when sending the little one off to Nature Camp? This summer, go on your own adventure. Spend the week learning some fundamentals of environmental science, and explore Metroparks like never before. Camp specifically focuses on the ecology of the Oak Openings Region. Adults from all educational backgrounds are welcome! Pack a lunch and a reusable water bottle. Fee covers equipment and t-shirt. Different parks each day. Fee: $60 ($48 Metroparks Members).

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Monday–Friday, September 8–12, 10 a.m.–2 p.m., Oak Openings Preserve, Oak Openings Lodge.

Notre Dame Academy Camp for Girls Only! Notre Dame Academy offers a variety of fun and sports camps with something for everyone. Summer is the perfect time to have fun, make friends, and create memories. Various programs are available for girls entering grades 2–9, depending on the camp selected. Camp times are designed so girls can bring a lunch and participate in two camps. Applications and information are at www.nda.org, or call 419-475-9359 starting April 15. Space is limited in most camps, and grades vary for each. There are a variety of fun camps, including dance, baton and twirling, crafts, baking, science, exploratory language, theatre, audition skills, and so much more, maybe even a chance to learn how to row. Camp costs and grade levels vary. Check camp details at www.nda.org starting April 15. Girls in grades 4–9 in fall, 2014 can play with the best in basketball, softball, soccer, lacrosse, and volleyball (general and advanced sessions). Indoor sports are played in the Eagles’ air-conditioned gym. Outdoor sports are played on the fantastic fields on the NDA campus complete with picnic facilities for parents who watch. Camp sessions vary from $50 to $80. Remember, the Eagles have been Sports Champs for ten years in a row. Notre Dame Academy and its facilities are located conveniently near Westfield Mall at 3535 W. Syl-

vania Avenue.

Outdoor Pool Opens May 26th

Ellen’s Glass Act This summer, tap into your inner artist and join Ellen Rubin of Ellen’s Glass Act to learn how to create beautiful glass pieces using fusing techniques in a friendly, comfortable environment. Glass jewelry, wall art, wind chimes, holiday ornaments, picture frames, and dishes are just a sampling of the beautiful artworks you could create! The glass will not be hot while you work with it, so it’s a fun, safe activity for the entire family—even the kids. Ellen’s specialty is in the area of glass fusing, which is the process of “melting” one or more pieces of glass or glass particles together in a kiln to create beautiful works of art. Her studio is fully equipped with all the latest tools and equipment required to create wonderful works of glass art, including many stencils and photos for inspiration. For more information on classes and rates or to view a gallery of glass art created by Ellen and her students, please visit ellensglassact.com. Or, call Ellen at 419-699-2215.

BGSU Summer Music Institute 2014 Bowling Green State University offers its annual Summer Music Institute “Where Music Takes Flight” program for junior high and high school students. The program is designed specifically to enhance the musical skills of high school and junior high students and provides rich opportunities for aspiring young musicians to promote their musicianship in a challenging, stimulating, and fun-

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filled environment. The Summer Music Institute offers seven different camps and one workshop that target the needs of young instrumentalists, vocalists, and recording artists. A BGSU College of Musical Arts faculty member is typically in charge of making staff assignments and choosing curriculum. Session One (June 15–20): Double Reed Camp, Flute Camp, and Recording Camp Session Two (June 22–27): Brass Camp and String Camp Session Three (July 6–11): Super Sax Camp, Vocal Arts Camp, and Musical Theatre Workshop on July 12 For more information, please visit http://www.bgsu.edu/musical-arts. html (under Events).

Discover the wild world of

ANIMALS This summer, explore the past in Dinosaur Camp, travel the world in the Africa Safari and Rainforest camps, cast a line in local waters at Fishing Camp, or even become a Junior Zookeeper! Your Zoo’s Summer Safari camps, for kids age 4 to 14, fill fast -- reserve your spot today.

YMCA/JCC Summer Camps

toledozoo.org/camps

® Photo: Steve Kline

Come and join in the fun this summer at St. Francis!

2014 St. Francis Summer Camps Sports Camps • Wrestling • Golf • Baseball • Speed and Agility • Football • Basketball • Lacrosse • Soccer • Cross Country Academic Camps • Robo Camp • Graphic Design • Cyber Camp • Adventure Camp

To register please go to www.sfstoledo.org/camps or call (419) 531-1618

12  April 2014  |  Healthy Living News

For parents, extra support to keep youth healthy can go a long way. According to the latest findings of the YMCA’s Family Health Snapshot, a survey that gauges children’s activity levels during the school year, nearly 50 percent of U.S. parents say technological distractions, such as television, cell phones, or videogames, make it difficult to maintain a healthy lifestyle for their children. With more free time in summer, ensuring that kids practice healthy habits could be a greater challenge. To give youth an adventurous, active, and healthy summer, the YMCA and JCC of Greater Toledo offers day and resident camps for youth in Northwest Ohio and Southeast Michigan. YMCA camp programs provide a fun and unique experience that gives children and teens the opportunity to explore the outdoors, meet new friends, discover new interests, and create memories that last a lifetime. The Y offers day camp, teen leadership camp, sports and specialty camps, and resident camping at YMCA Storer Camps in Michigan’s Irish Hills, about an hour’s drive from Toledo. “YMCA camps provide a variety of opportunities to help ensure that youth are learning and being physically active in the summer, a time of exploration,” says Becky Spencer, vice president of camping for the YMCA and JCC of Greater Toledo. “Campers also learn how to be responsible and resourceful, work in groups, solve problems, and make

decisions that will help them grow as individuals—all while having fun.” Ms. Spencer says there are five reasons children and teens should attend summer camp: Adventure: Summer camp is all about a wide variety of fun adventures and new experiences, and especially exploring the outdoors. YMCA camps have a new adventure for every child and teen. Healthy fun: Day and resident camps offer fun, stimulating activities that engage the body and mind, and also help children and teens learn the importance of nutrition to help improve their eating habits. Personal growth: While being away from the routine back home, youth have a chance to learn new skills and develop confidence and independence by taking on new responsibilities and challenges. New friendships: Amidst the fun of camp games, songs, swimming, canoeing, and talent shows, campers meet new friends and strengthen existing friendships. Memories: Summer camp is an unforgettable experience that will give each camper memories (and campfire stories) that will last a lifetime. Youth return to school with plenty of camp stories to share! A leading nonprofit committed to nurturing the potential of youth, the Y has been a leader in providing summer camp for nearly 130 years. The YMCA continues to give youth an enriching, safe experience with caring staff and volunteers who model positive values that help build their kids’ character. Registrations for the upcoming camp season are now being accepted. The YMCA encourages parents to give their kids the gift of camp. And, to ensure that all youth have the chance to experience camp, the Y offers financial assistance to those in need. For more information, visit www.ymcatoledo.org.

Imagination Station Summer Camps While it’s hot and steamy outside, Imagination Station has fun-filled, weeklong summer camps loaded with cool science for you to experience. Camps begin June 16 and run each week through August 15 and are for kids ages 7–12 (in the fall). There

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are three exciting camp options to choose from: • We’ve taken our biggest and messiest experiments and put them together for a week of messy, sticky, gooey science fun with Super Splatter Science! • Join us for a behind-the-mask look into the powers of your favorite superheroes and the science behind them with Behind the Mask—new this summer! • Test your survival skills and prepare for unusual situations should such a moment ever arise with Survival Science. Your camper will receive daily instruction from 9 a.m.–4:30 p.m., take-home activities, memories that last a lifetime, and so much more. Extended day available from 8 a.m.–5:30 p.m. at no additional cost. Spots fill up fast, so call 419-244-2674, ext. 250, or RSVP online at imagination stationtoledo.org.

St. Francis DeSales High School Summer Camps Join in the fun at St. Francis this summer! For more information or to register, please call 419-531-1618. Athletic camps ❑ Baseball—June 8–11 (June 12 and 13 will be used for calamity days). For boys entering grades 4–9. Cost $55. Sunday, June 8, 4–7 p.m.; Monday, Tuesday, and Wednesday, June 9–11, 9 a.m.–noon. Head Coach Tim Gerken and staff will help you become the best player you can be. We will provide skill development and game opportunities to fulfill this purpose. Players have access to one of the area’s finest baseball facilities, including locker room, clubhouse, pressbox, indoor and outdoor batting cages, and indoor pitching mounds.

❑ Football—June 16–19. For boys

entering grades 4–9. 9 a.m.–noon. Cost: $55. The purpose of the camp is to help you become the best possible football player that you can be. Head Coach Chris Hedden and his staff will teach sound fundamentals at

each position that can be used in any football program. Campers will also spend time learning proper weight training techniques in the SFS fitness center. As much as possible, the participants will be divided into groups according to age and ability.

Exciting and diverse summer programs at Toledo Botanical Garden

❑ Wrestling—June 23–

26. For boys entering grades 4–9. 1–4 p.m. Cost: $55. Wrestlers will drill intensely to master take-down techniques, and major emphasis will be placed on set-up, penetration step, and finishing your short escapes, reversals, leg wrestling, and pinning combinations. The camp will be conducted by Head Coach Charles Dooley and his staff along with several former and current collegiate wrestlers.

❑ Basketball I—June 23–26. For boys

entering grades 4–9. 9 a.m.–1 p.m. Cost $55 (both camps $95). Camp will be conducted by Head Coach Travis Lewis, his staff, and current players. The purpose of the camp is to teach sound fundamentals and techniques needed to play the game of basketball. The staff will help you become the best player that you can be and instill a winning attitude.

Choose from: • FRIENDS OF WILDLIFE • PIONEER LIFE 1&2

The Young Entrepreneurs and Philanthropists Mini Camp!

• FAIRY GARDENS

• HOMEMADE BOTANICALS

• BLOOMING ARTISTS

• YARD ART

Register Online Today! www.toledogarden.org/summer2014 FOR MORE INFORMATION 419.536.5589 WWW.TOLEDOGARDEN.ORG

❑ Basketball II Offensive Skills—July

7–10. For boys entering grades 4–9. 9 a.m.–1 p.m. Cost $55 (both camps $95). Camp will be conducted by Head Coach Travis Lewis, his staff, and current players. The purpose of the camp is to teach sound fundamentals and techniques needed to play the game of basketball. The staff will help you become the best player that you can be and instill a winning attitude.

❑ Soccer—July 14–17. For boys entering

grades 2–9. 9 a.m.–noon. Cost: $75. The St. Francis Soccer Camp seeks to provide youth players with a fun, safe environment that will help establish a strong foundation for future success in soccer. The program is dedicated to developing you into the best soccer player possible. The camp specializes in low staff-to-camper ratio to guarantee individualized teaching and instruction. The camp strives to help campers achieve excellence on and off the field.

❑ Lacrosse—July 21–23. For boys

TOGETHER. AUTISM LIMITLESS. Working together to change the future.

entering grades 4–9. 9 a.m.–noon.

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13


Cost $55. The St. Francis Lacrosse Camp offers instruction in all aspects of the game: stick-work, tactical positions-play for attack, midfield, and defense. In addition, a strong emphasis will be placed on developing strong fundamental skills. Daily instruction will be offered in goal keeping and face-offs. The camp will be run by the coaching staff at St. Francis along with current high school players.

❑ Speed and Agility—July 28–30. For

boys entering grades 4–9. 9:00–11 a.m. Cost: $55. The purpose of the

camp is to learn how to become more competitive and athletic through speed and agility drills. Camp will be held by Head Varsity Track and Field Coach George Schaefer, his staff, and current St. Francis athletes. Athletes will be divided into groups according to age and ability. Academic camps Art Camp—June 23–27. For boys entering grades 5–­8. 8:30 a.m.–noon. Cost: $75. Snack provided. Call 419531-1618 for more details.

❑ Graphic Design Camp—July 7–11.

For boys entering grades 7–8. 8:30 a.m.–noon. Cost $75. Snack provided. This will be a working studio class, and through demonstrations and hands-on work, you will learn to solve visual problems using Adobe Photoshop and Adobe Illustrator. We will learn the utilization of the principles of design. From postage stamps to giant billboards, graphic design permeates our environment, so we will take a look at all aspects and begin to create our own. We will learn how to apply basic design con-

cepts to our work using typography, image space, color, and form. Creative activities will include taking our own pictures, photo manipulation, poster design, and magazine cover design.

❑ Cyber Camp—July 14–18. For boys

entering grades 6–8. 8:30 a.m.–noon. Cost $75. Snack provided. Campers will unleash their imaginations to create their very own computer games. The focus of this project is to expose them to computer programming

Continued on page 19

Eat hEalthy, slEEp morE, drink watEr and gEt moving! Mercy Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier. We’ve teamed up to offer parents and other caregivers’ practical advice on raising healthy children. Kohl’s Kids in Action is focused on four valuable steps that are important to better health: good nutrition, increased physical activity, proper water intake and good sleep habits.

Screen Time What does watching TV or playing video games have to do with your child’s health? Children are spending more time in front of a screen (screen time) and less time getting the 60 minutes of daily exercise they need to stay fit and healthy. Doctors suggest limiting the time children spend watching TV, playing video games or using computers for reasons other than schoolwork to no more than 2 hours per day. • Ask a friend or relative to play with the kids while you get your work done. • Team up with family or adult neighbors to spend one day a week supervising play activities for the kids. And remember: • No snacks, sugary drinks and fast food during screen time. • Turn off the TV during meals and use that time to discuss the events of the day. • Keep TV sets, DVD players, video games and computers out of children’s bedrooms. • Channel surfing is a sure sign of boredom. • It’s time to turn off the TV and get active! Mercy Children’s Hospital and Kohl’s Kids in Action offer free obesity prevention education to your elementary school or at health fairs. For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

14  April 2014  |  Healthy Living News

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Understanding fund fees by Scott D. Brown

W

hen it comes to long-term performance, fund fees matter. Whether you invest in mutual funds or exchange-traded funds (ETFs), you will pay fees that cover the costs of administering and managing the fund. But fees vary—often considerably. The average actively managed mutual fund, for instance, charges an annual fee of 1.26% of assets under management, and some funds charge 2.0% or more. At the other end of the spectrum, index-based ETFs charge an average fee of 0.52%, with some running under 0.1%.1 These fees can make a big difference in net returns over time. If you invested $10,000 today in a fund that earned 5% per year before fees and charged a 1.50% annual fee, at the end of 20 years, you would have 1

Source: Morningstar. Based on the average expenses of all funds within the Morningstar database as of December 31, 2012.

accumulated $19,897. If the same fund instead charged a 0.25% fee, the balance would have grown to $25,298—over 25% more.1 Fund fees can be divided into two categories: sales fees and annual recurring fees.

Sales fees Some mutual funds charge a sales fee, known as “load.” There are three types of loads: a front-end load (A shares), a back-end load (B shares), or a level load (C shares). There are also no-load funds, which have no sales fee but may change other fees.

B shares: Back-end load funds typically charge what is known as a “contingent-deferred sales charge” that is reduced over time, typically from 5% to 0 over five to ten years after purchase. The sales charge may be collected on either the existing net asset value at the time you withdraw the funds or on the net asset value at the time of purchase, depending on the fund. The advantages of a backend load are that all of your money goes to work for you immediately, and if you hold the shares long enough, you will not pay a sales charge. C shares: Level-load funds may collect a sales charge based on the net asset value each year, and some may also include a small front-end or back-end load. These somewhat higher costs may result in lower income per share than income earned on Class A shares. Therefore, these funds may be appropriate for an

A shares: The front-end load is deducted at the time of purchase—typically 2.5% to 5.5% of NAV. Investors in A shares should have an extended time frame for their investment goals. If circumstances change, however, the shares can be redeemed at any time without additional charges.

investor with an investment time frame of less than five years. In addition to sales fees, a fund may also charge other one-time fees, such as redemption fees (for redeeming shares), exchange fees (for exchanging shares within a fund family), account fees, or purchase fees. Such fees are typically charged by no-load funds.

Annual recurring fees Annual recurring fees are those that constitute a fund’s annual operating expenses, which, expressed as a percentage of the fund’s average net assets, form the fund’s “expense ratio.” These expenses are made up of three types of fees: Management fees: Fees paid for managing the fund’s investment portfolio, or advisory fees. 12b-1 fees: Fees paid for distribution costs, including broker commissions,

Expense ratios at a glance

Active

Index

All funds

Mutual funds

1.26%

0.64%

1.24%

ETFs

0.94%

0.52%

0.61%

Source: Morningstar, as of December 31, 2012.

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

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

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

16  April 2014  |  Healthy Living News

NY CS 7181350 BC004 09/12 CRC394531

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advertising and marketing expenses, and shareholder service fees. Other expenses: Other expenses not included above, such as legal fees, custodial, or accounting expenses. These operating expenses are deducted from the fund’s assets, lowering its net return to investors and making them a critical element in gauging a fund’s bottom-line performance.

Mutual funds vs. ETFs In general, actively managed funds carry higher fees than index funds, and mutual funds carry higher fees than ETFs. But there are exceptions. When choosing mutual funds or ETFs, keep in mind that fees aren’t everything. A low-fee fund may underperform and a high-fee fund may outperform, more than compensating for fees. Fund selection should also be appropriate for your risk profile and target asset allocation. Taxes are another consideration, as some funds may generate more capital

Free Whitening for new patients

gains than others. As your financial advisor, you can count on me to take these different factors into consideration when choosing the right funds for your portfolio. Let me work with you to choose the funds that best meet your specific needs. ❦ If you’d like to learn more, please contact Scott Brown, First Vice President, Financial Advisor, Morgan Stanley Toledo, OH, at 419-842-5312.

involves risks similar to those of investing in a broadly based portfolio of equity securities traded on exchange in the relevant securities market, such as market fluctuations caused by such factors as economic and political developments, changes in interest rates and perceived trends in stock prices. The investment return and principal value of ETF investments will fluctuate, so that an investor’s ETF shares, if or when sold, may be worth more or less than the original cost. Article by McGraw Hill and provided courtesy of Morgan Stanley Financial Advisor. The author(s) are not employees of Morgan Stanley Smith Barney LLC (“Morgan Stanley”). The opinions expressed by the authors are solely their own and do not necessarily reflect those of Morgan Stanley. The information and data in the article or publication has been obtained from sources outside of Morgan Stanley and Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of information

or data from sources outside of Morgan Stanley. Neither the information provided nor any opinion expressed constitutes a solicitation by Morgan Stanley with respect to the purchase or sale of any security, investment, strategy or product that may be mentioned. Morgan Stanley Financial Advisor(s) engaged Healthy Living News to feature this article. Scott may only transact business in states where he is registered or excluded or exempted from registration http://www.morganstanleyfa.com/ theauroragroup/. Transacting business, follow-up and individualized responses involving either effecting or attempting to effect transactions in securities, or the rendering of personalized investment advice for compensation, will not be made to persons in states where Scott is not registered or excluded or exempt from registration. Morgan Stanley Smith Barney LLC. Member SIPC. CRC 739371 [10/13]

An investment in an exchange-traded fund involves risks similar to those of investing in a broadly based portfolio of equity securities traded on exchange in the relevant securities market, such as market fluctuations caused by such factors as economic and political developments, changes in interest rattes and perceived trends in stock prices. The investment return and principal value of ETF investments will fluctuate, so that an investor’s ETF shares, if or when sold, may be worth more or less than the original cost. Investors should carefully consider the investment objectives and risks as well as charges and expenses of a mutual fund or exchange traded fund (ETF) before investing. To obtain a prospectus, contact your Financial Advisor or visit the fund company’s website. The prospectus contains this and other information about the mutual fund or ETF. Read the prospectus carefully before investing An investment in an exchange-traded fund

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

4352 Sylvania Avenue, Forum Building, Suite G, Toledo, Ohio 43623 • www.DentalTreatmentToledo.com Connect with our advertisers via our online issue at www.hlntoledo.com   |  Healthy Living News  |  April 2014

17


Sweet sixteen

Organ transplant grants many more birthdays by Kara Steele

S

Ask Us,

we’re here to help. With so many choices, it’s hard to know what is the right solution for your loved one who perhaps needs rehabilitation after a fall, or long-term skilled nursing care. As a family-owned, family-operated facility, we understand the importance of finding just the right place for that special loved one to call home. We can also help you sort through questions about skilled care,long-term care, assisted living services, insurance coverage, Medicare and more. Consider us your best choice.

ixteen years ago, doctors were doubtful my dad would be alive to celebrate another birthday. Rewind to July 1997. My dad started to slow down. His energy was slipping away from him. His skin and the whites of his eyes turned yellow. And he was retaining liters of fluid in his stomach. One trip to the doctor, and we found out my dad had “endstage liver disease.” Twelve years before that, hepatitis C made its way into one of the units of blood my dad received to treat a bleeding ulcer. Over those 12 years, hepatitis C destroyed my dad’s liver. The fatigue, jaundice, and weight gain he was experiencing translated to him functioning on less than a quarter of his liver. The only hope for him to survive: a liver transplant. My dad was put on the National Transplant Waiting List in August of 1997. My 14-year-old self tried not to think about it, but I knew what would happen if he did not get a transplant—he would become one of the people who died because the need for organs far outweighs the availability. I did not want my dad to become a statistic. In September of 1997, my dad’s health did a cliff dive and he took up residence on the 11th floor of

the Cleveland Clinic so he could be monitored 24/7. I spent the next few weekends traveling back and forth from Toledo to Cleveland. Every trip, my dad would look worse than he did the week before. He used to be so full of energy, but hepatitis C turned him into a frail, yellow man who couldn’t even walk. My dad was dying, and there was nothing I could do. Then, on November 5, 1997—my mom’s birthday—a miracle happened. He got “the call.” A liver was found for him. After his 13-hour surgery, he started looking like my dad again. A few weeks later, my dad returned home, and he has been making the most of his second chance at life ever since. I blame my dad for my career—in a good way—because witnessing what someone and their family did for my dad in what must have been the most horrible time in their lives inspired me to try to give back by working at Life Connection of Ohio, the non-profit organization that promotes and facilitates organ donation. On March 13, my dad celebrated his 57th birthday. I will forever be grateful to the 60-year-old high school electronics teacher from southern

A transplant gave Allison the chance to

Spring Meadows for Extended Care • Astor House for Assisted Living

You’re invited to visit us at 1125 Clarion Ave. Holland or call 419-866-6124 • www.springmeadowsecf.com

18  April 2014  |  Healthy Living News

just be a kid.

www.DonateLifeOhio.org

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Ohio, whose liver saved my dad’s life and allowed him to have 16 more birthdays. My dad is one of the lucky ones. When he was put on the National Transplant Waiting List in 1997, there were about 53,000 people waiting for life-saving organ transplants in the United States. Now, there are over 120,000! The good news: One person has the power to save eight lives through organ donation and enhance the lives of 50 more through

tissue donation. It is important to learn the facts about organ and tissue donation and discuss your wishes with your family. For more information about donation, call Life Connection of Ohio at 419-893-1618 or “like” Life Connection of Ohio on Facebook. To register as a donor, visit www. DonateLifeOhio.org. ❦ Kara Steele is director of community services for Life Connection of Ohio.

What’s that you say? Discount hearing aids aren’t such a great deal by Randa Mansour-Shousher, AuD, CCC-A

W

a hearing aid, adjust it, and perform maintenance on it throughout its life. Someone selling hearing aids by mail-order or at your local big box store simply does not have the tools or knowledge to expertly assess, advise, or fit you for a hearing aid. Answering a brief questionnaire on a website will not effectively determine which hearing aid is best for you. In the end, you will end up frustrated that your discounted hearing aid is not meeting your needs. You will end up tossing it aside, and, essentially, you will have wasted the investment in your hearing. The moral of the story: Shop around for the best provider, not the cheapest hearing aid. At Northwest Ohio Hearing Clinic, we are equipped with the newest technology hearing aids. Most importantly, we are staffed with the highest quality audiologists. With over 60 years of combined experience, we are licensed and certified to fit the best hearing aids on the market. Because of the individualized nature of hearing loss and dizziness, we pride ourselves on our customized approach to treating and caring for each patient. We listen so you can hear. ❦ 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).

Continued from page 14

in a fun, kid-friendly experience. Campers will then use Power Point presentation software to illustrate and market their videogames.

❑ Knight Adventure Camp—July 14–18.

For boys entering grades 6–8. 8:30 a.m.–noon. Cost: $75. Snack provided. Adventure campers will work individually and in teams to learn various skills. Instructors will provide hands-on classroom teaching and field experience to students who will engage in friendly competitions. Campers will be divided into teams and use the skills they receive in compass reading, map reading, and terrain association to find specific locations. The St. Francis pool will be utilized to teach water-survival methods, including making flotation devices out of clothing and other fun things.

❑ Robo Camp—July 21–25. For boys entering grades 6–8. 8:30 a.m.–noon. Cost: $75. Snack provided. Ex-

plore the world of robotics using LEGO’s NXT line. You will build robots with motors and sensors to perform tasks and react to their environment. You’ll learn how to program the bots by using software in which you place icons in sequence to create the instructions that you desire. It’s a lot of fun and introduces the concept of programming with objects and structures such as loops and conditional statements.

St. James Club Summer memberships for the St. James Club, located at 7337 W. Bancroft St. in Toledo, are now on sale. Members enjoy heated outdoor and indoor swimming pools, a children’s wading pool, free unlimited group exercise classes, and free child care. Summer fitness programs for kids include the Summer Swim Team, Junior Fit Youth Bootcamp, Youth Swim

Continued on page 54.

APARTMENT HOMES IN A 55+ COMMUNITY

Located in the heart of west Toledo, the affordable Jackman Regency offers a convenient location that is just minutes to the mall, numerous restaurants, shops and senior center!

JACKMAN REGENCY APARTMENTS COmmUniTy AmeniTieS • Additional Garage Storage (included in rent) • Chair Lift • Laundry Room on Each Floor • Professionally Managed • Intercom System • Underground Parking Garage (included in rent) • Trash Removal ApARTmenT AmeniTieS • Air Conditioning • Buckeye Cable (included in rent) • Ceiling Fan • Disposal, Electric Range, Refrigerator, Self-Cleaning Oven • Gas Heat and Hot Water (included in rent) • Mini and Patio Blinds • Private Balcony • Wall to Wall Carpeting

e frequently get asked by our patients, “What’s the deal with all the insanely discounted hearing aid advertisements?” It’s a simple question with a not-so-simple answer. Whether you’re just starting the search for hearing aids or you’re not quite ready to take the next step, we thought it beneficial to explain the difference. While we acknowledge cost is a significant determinant in selecting a hearing aid, it’s important to point out what drives the price. Hearing aids are now more widely accessible than ever from a variety of sources. It used to be that only audiologists, physicians, and hearing aid dispensers provided hearing aids. Today that’s just not the case. Everyone from WalMart to Costco and online vendors to mail order vendors is advertising hearing aid products. Before jumping in and selecting the lowest-cost hearing aids, it’s important to step back and assess you, your hearing loss needs, and your lifestyle. Only an audiologist has the experience and doctoral knowledge to guide you in your decision. There is not one hearing aid that fits everyone’s needs. Because everyone’s hearing loss is different, an individual’s hearing loss adapts differently to those hearing aids. An audiologist will also consider your lifestyle needs when recommending a hearing aid. Perhaps most importantly, an audiologist is certified to fit

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

19


Douglas A. Schwan, DC, Dipl ac

Chronic pain a problem? A

s patients in the US are aging, more and more are suffering debilitating pain from an accumulation of injuries over their life. While pain pills are a short-term solution, people are realizing that there are alternatives to drugs, which frequently give diminished returns in terms of

pain relief over time. Then there is the added problem of addiction as dosages are dialed up for the same level of pain relief. While acupuncture has been around for over 4,000 years, it has only been in the last four decades that people in the Western hemisphere

have become aware of it. And while traditional Chinese medicine can treat a wide range of disorders, it is mainly through pain relief treatments that Americans have come to perceive acupuncture. The perception of acupuncture as a treatment for pain came about in 1971 when a journalist named James Reston was visiting China and developed appendicitis. After emergency surgery, he was suffering from severe pain and was treated with acupuncture. To his amazement, he experienced good relief, and on his return to the States, he wrote extensively about acupuncture for pain. This stimulated research by Western medicine into the use of acupuncture for pain control. Recently, Western researchers reviewed a large number of research studies and collated their findings by publishing in the Archives of Internal Medicine. They found that acupuncture significantly helped people suffering from osteoarthritis, migraines, and chronic back, neck, and shoulder pain. It took a long time for researchers to figure out how stimulating specific points on the body with needles provided pain relief. Eventually, two mechanisms were uncov-

ered. The first was a neurological mechanism. The nerve pathways for pain leading into the spinal cord pass through “gate” circuits that can be turned on or off by other nerves. For example, if you accidently touch a hot stove with your hand, your reflex is to pull the burned fingers into your body and grip them with the opposite hand. This gripping stimulates additional nerves that effectively “close the gate” to many of the pain-conducting fibers. The second mechanism is stimulating the production of endorphins, which are the body’s natural morphine. Most of the time, pain is important to the body; after all, it got your hand off that hot stove pretty quickly, didn’t it? But sometimes pain can persist long after an injury has healed. Many times, the pain can be stuck in a positive feedback loop, where it seems to feed on itself. This is often seen in cases of osteoarthritis, old back injuries, and chronic conditions like fibromyalgia. No matter the cause, chronic pain can severely curtail the activities that make daily living worthwhile. Gus was a patient seen in our office recently for chronic back pain. Gus related the story that 13 years ago, he fell off a truck dock and injured his back. At the time, he thought he was just bruised up, and after a quick trip to the local emergency room, he was sent home with pain killers and told to rest. The next morning, Gus woke up and had what is known as “foot drop,” which is paralysis of the muscles in the foot that raise it up. In other words, his right foot “flopped down” when he tried to walk. This

Serious illness raises tough questions. Let our experts help with what’s weighing on your mind.

ToughQuestionsStraightAnswers.org © 2014 Hospice of Northwest Ohio CMYK-U.indd 1 20NWOH-096   AprilMark.10.25x4.4c 2014  |  Healthy Living News

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was a serious medical condition, and by the next day, Gus was on an operating table getting major surgery. Fast forward to today: Gus was seen in our office. He had a ten-inch surgical scar on his lower spine, and he has been wearing a cock-up foot brace since the surgery, as the foot drop condition did not improve. His main complaint today was back and right leg pain. He has had it for years, but lately it seemed to be getting worse. Traditional Chinese medicine is all about getting energy to an injured area so that it can heal properly. The Chinese call this energy “Qi” (pronounced “chi”), modern medicine calls this “vital” energy, and chiropractic refers to it as “innate” energy. Whatever you want to call it, it is important that the body has enough of this healing energy to heal! In our office, I like to combine aspects of ancient healing with modern healing. Acupuncture has long used needles to stimulate certain points and imbue these points with energy. But the body doesn’t seem to care where the energy comes from. So, with Gus, we used needles along his damaged spine and nerve roots

and then hooked in a computerized stimulator to the needles. This provided an abundance of energy right at the point of the problem. Modern medicine is using this approach to facilitate healing in patients that are energy impaired. For example, broken bones can be encouraged to heal by stimulating them with electrical currents. We put Gus on an eight-visit treatment program to see if it would relieve some of his chronic pain. We also used a microstim unit hooked to the damaged nerve in his leg to see if we could get any improvement, although I wasn’t particularly optimistic after 13 years. After the fourth visit, his wife remarked that he wasn’t using his cock-up foot brace nearly as much and noticed increased strength when he used a resistance band to exercise his foot. His pain had dropped from a level eight out of ten to five out of ten and was continuing to improve. Gus has demonstrated that the body has an amazing ability to heal itself even years after a “permanent” injury. In our office, we have often found that when Qi is added to the body, other health problems, seem-

ingly unrelated to the pain, often begin to improve. Western medicine often considers acupuncture a treatment for pain only. However, acupuncture treats many diseases that don’t always involve pain. The World Health Organization (WHO) recognizes 40 conditions that respond to acupuncture care, including hypertension, digestive disorders, respiratory disorders,

Today I discovered I am a

Traditional Chinese medicine is all about getting energy to an injured area so that it can heal properly.

chef

At The Lakes of Monclova, we offer a variety of onsite resident activity programs tailored to our residents’ interests and abilities, ranging from cooking classes to painting workshops and more. Our residents’ beautifully designed private assisted living suites are only steps

away from our array of five-star amenities. Our programs and services are designed with one thing in mind: exceeding the expectations of our guests and their families.

allergies, chronic fatigue, pre-menstrual syndrome, smoking cessation, drug addiction, alcoholism, sexual dysfunction, anxiety, and mental depression. Acupuncture has even been used successfully in weight loss and facial-rejuvenation programs. Acupuncture will never replace mainstream medicine in the management of patients, but used in conjunction with other therapies, it can be a Godsend. And for some, like Gus, whose pain lasted for years before beginning acupuncture, adding this therapy might make a big difference—and maybe with a little extra bonus. Dr. Schwan is available to speak to your group on a wide variety of alternative health topics. He is a Doctor of Chiropractic and a Diplomate of the International Academy of Medical Acupuncture. He is an author, lecturer, and one-time stand-up comedian. He has maintained an active practice in Toledo, OH for the last 32 years. He may be contacted at Dr_Schwan@ acupuncturetoledo.com. For more information on alternative medicine, please visit our website at www. acupuncturetoledo.com.

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

419-866-3030 • lakesofmonclova.com 6935 Monclova Road • Maumee, OH 43537 Connect with our advertisers via our online issue at www.hlntoledo.com   |  Healthy Living News  |  April 2014

21


Diabetes and the eye by Bennett Romanoff, MD

D

Put your

Best face forward

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Dr. Christopher Perry Board Certified in Facial Plastic Surgery and ENT

419-724-8368

5800 Park Center Court Suite C • Toledo, Ohio 43615 www.ToledoRhinoplasty.com

22  April 2014  |  Healthy Living News

iabetes is becoming much more prevalent in the population compared to just one or two generations ago here in the United States. Diabetes is now classified into two types. Type I diabetes usually occurs in young people and is primarily caused by the immune system attacking the pancreatic beta cells. When the beta cells fail, the body cannot produce insulin, which is responsible for metabolizing carbohydrates or blood glucose. Type I diabetes can occur at any age but usually affects only 5 to 10 percent of all adult diabetics. Type II diabetes is more commonly referred to as adult-onset diabetes. However, it is now occurring in younger people due to obesity in this age group. This type of diabetes is caused by insulin resistance where the cells in the body cannot process insulin as usual. Type II diabetes is often related to obesity, race or ethnicity, older age, family history, poor health, lack of exercise, and, occasionally, women with a history of gestational diabetes. It is much more common in African Americans, Hispanics, and Native Americans. According to the Centers for Disease Control (CDC) and the National Institutes of Health (NIH), approximately 24 million people, or 8% of the population, have diagnosed or undiagnosed diabetes. Mainly due to the alarming rate of obesity of Americans, lack of physical activity, and the genetics of the disease, this percentage is increasing. The total economic impact, including direct and indirect costs, is approximately $175 billion per year!

Diabetes can affect multiple organ systems in the body, including the kidneys, heart, nervous system, arteries, veins, and eyes. Many secondary conditions, such as high blood pressure, stroke, heart disease, poor circulation, dental disease, and blindness, are caused by diabetes. Diabetes is a major cause of blindness in adults under the age of 70, representing upwards of 24,000 new cases of legal blindness each year according to the American Diabetes Association (ADA). Diabetes can cause a multitude of eye problems, including sudden but temporary fluctuations in vision, cataract formation, secondary glaucoma, double vision secondary to paralysis of nerves to the ocular muscles, droopy eyelids, and diabetic retinopathy. Sudden changes in vision are often one of the early signs of diabetes. As blood sugar levels fluctuate, changes in the lens of the eye can result. When the human lens thickens or thins as a result of blood sugar, the vision may undergo large changes. Fortunately these changes are usually temporary and one’s “normal” vision returns after the blood sugar levels are normalized. Normal aging cataracts often occur at an earlier age and advance more rapidly in diabetics compared to people of the same age without diabetes. Diabetics also can get a type of cataract that is not typical in non-diabetics. Fortunately, cataracts can be easily removed in a very short and usually painless outpatient procedure. As with most other surgery in diabetics, however, the risks and possibility of

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complications are increased. Diabetics are more predisposed to glaucoma and, in some cases, very serious and hard-to-control glaucoma. Most cases of glaucoma are easily treatable by eye drops and lasers. All diabetics should be screened for glaucoma at least once each year. Severe glaucoma, caused by abnormal growth of blood vessels on the iris, often requires surgical intervention usually performed by an ophthalmologist who is a glaucoma specialist. A somewhat uncommon manifestation of diabetes is paralysis of the third cranial nerve. This nerve controls eye movement and also elevates the upper eyelid. When this nerve is affected by diabetes, it can cause severe double vision and a profound droop of the upper eyelid. The paralysis can be partial with more mild symptoms in many cases. This condition may or may not get better over time depending on the individual circumstances. The most common manifestation of diabetes is called diabetic retinopathy. Most diabetics will develop some form of this condition. This condition can lead to blindness if not treated. Even with the best treatment, legal blindness is still possible. Diabetic retinopathy usually starts with nonproliferative diabetic retinopathy (NPDR). This is, in many cases, quite benign and often does not require therapy. When therapy is indicated, it is usually done with lasers. Lasers are quite effective in slowing down the advancement of diabetic retinopathy. Sometimes, edema or swelling of the macula, the center of vision, can result. When this occurs, vision can be significantly affected. In more advanced cases, called proliferative diabetic retinopathy (PDR), new abnormal blood vessels grow on the retina and optic nerve. This can lead to hemorrhaging in the vitreous and on or in the retina. This, in turn, can lead to retinal detachment and severe glaucoma. These are very serious complications of diabetes and often lead to blindness, even with the best of treatment. Fortunately, ophthalmologists with specialty training in retina and vitreous, called retinologists, can offer excellent management of both NPDR and PDR. Lasers are the mainstay of therapy for these conditions. Newer, more advanced therapies are emerging with a new class of drugs called anti-VEGF. These are now being

studied along with steroid implants to help control more advanced cases of PDR. Of course, the best therapy is prevention. I recommend that all diabetics have annual exams with a medical eye doctor, an ophthalmologist, starting with the diagnosis of diabetes. Having annual eye exams or more often if indicated, controlling the diabetes with proper diet, and proper weight regimens under the guidelines of the ADA give the best chance of minimizing diabetic retinopathy. Regular exams by a physician and home monitoring of the blood sugar are also essential for good control of diabetes. Fortunately huge advancements in the care of diabetes and the eye have been made in the past 30 years. New research and medical studies are ongoing in regard to these ocular conditions. Loss of vision and blindness are much less common now than just two generations ago.❦ Dr. Bennett Romanoff is Chief of Ophthalmology at Flower Hospital, a Clinical Assistant Professor of Ophthalmology at the University of Toledo College of Medicine, and an instructor of Ophthalmology in the

Parkinson Foundation of Northwest Ohio

Dedicated to Educate, Comfort and Raise Awareness

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 Traci Malaska or Connie Butler at 419-207-3003.

Perrysburg 1st Thursday – 2:30 p.m. Zoar Lutheran Church, 314 E. Indiana Ave, Perrysburg, OH 43551 419-874-4346 Kristen Schuchmann 419-383-6737

Auglaize County 3rd Monday – 2:00-3:00 p.m. Joint Township District Memorial Hospital, 200 St. Clair Street, St. Mary’s, OH 45885, Linda Dicke 419-394-3335

Putnam County 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

Defiance Area 3rd Tuesday – 2:00 p.m. The Second Baptist Church, 1945 E. Second St., Defiance, OH 43512 Nancy Temme 419-262-2950 Fremont Memorial Hospital 2nd Tuesday – 2:00 p.m. Every other month: January, March, May, July, September, November Fremont Moose Lodge 2507 Hayes 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

Sandusky 1st Thursday – 3:00-4:30 p.m. South Campus of Firelands Hospital Old Providence Chapel, Hayes Ave, Sandusky, OH 44870 Sandi Bodi 419-357-2895 Western Ohio - NEW LOCATION 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

Lima Area 1st Thursday of each month, Wood County 2:00-3:00 p.m. 2nd Monday – 1:30-2:30 p.m. No meetings December, January and Bowling Green Senior Center, Parkinson Foundation of Northwest Ohio / 580 Craig Drive #8 / PBM#202 / Perrysburg, Ohio 43551 / 800-438-5584 February 305 N Main St., Bowling Green, OH 43402 St. Rita’s Outpatient Rehab, 4193-352-7558 830 W. High St., Lima, Ohio 45801 David Buenting, Facilitator Beth Hartoon 419-523-5391

Independent Living Assisted Living Nursing Care • Respite Care Short Term Rehabilitation Outpatient Therapy

Lutheran Village is a whole new direction in retirement living. It's a neighborhood!

Lucas County 2nd Thursday – 1:30 p.m. No meetings January, February and 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

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

SAVE THE DATE!

A community where residents can add life to their years.

Parkinson Foundation of Northwest Ohio

Independent Living Condos available NOW. Call 419-861-5616.

Friday, October 10 – The Pinnacle, Maumee

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Family Practice residencies with Flower and Toledo Hospitals. Since setting up his practice in 1978, Dr. Romanoff has helped thousands of patients in

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ealing Arts Institute now offers a certification in Spa Management in addition to a Group Exercise Certification and Older Adult Specialist Certification. Healing Arts Institute (HAI) began in 1997 as a massage therapy school but continues to add more programs in the allied health field and technical skills and trades. For those who want a career in massage therapy, HAI offers an excellent program that can take less than 12 months to complete, and financial aid is available for those who qualify. The testimonials from graduates on their website reflect the outstanding reputation of the school. This program is approved and accredited on both national and state levels.* The new Spa Management Certification course is a five-course curriculum that can help prepare students and working professionals to take on management responsibilities in a spa environment. This course is designed for those who want to specialize in the management side of the spa profession, especially working in hotels, salons, resorts, cruise ships, or spas. The spa industry is growing, and more hotels are including spas as an amenity for guests. What is convenient about this course is that most of it is offered online, which provides a flexible schedule for those who are already working in the spa industry. The first day of class for this course is April 28. The Group Exercise Certification course includes nine weeks of intensive training. The program includes lecture materials and practical skill lab demonstrations with interactive participation. These drills will expand into functional training, sports conditioning, circuit, boot camp, dance, step, kickboxing, hi-low, and indoor cycling. A mind-body class overview in yoga and Pilates will cap it off so you can have a functional knowledge of its value as you progress in your career. Lecture materials will cover

the essentials of group exercise music, choreography, safety techniques, as well as basic applied science specifically relating to group exercise. This course is also recommended for three college credits by the American Council on Education (ACE), and the first day of class is April 12. You can also get the training and education you need to serve the fastest growing fitness population in the US and receive your Older Adult Specialist Certification. This 38-hour course includes classroom lecture, practical training, testing, and a 20-hour internship. This unique certification provides you with the specific knowledge and practical skills needed for working with older adult clientele. Learn what common ailments and physical conditions are germane to this special population and how to design age-appropriate, fun, and functional exercise programs. This course is recommended for two college credits by the American Council on Education. For those who are already trained in healthcare, fitness, or massage therapy, Healing Arts Institute offers a variety of continuing-education classes throughout the year, some of which are free. HAI memberships are becoming quite popular because they provide the public with access to free monthly massages and discounts on yoga classes, The Body Therapy Store (which sells equipment and supplies that are related to health, fitness, and bodywork), and more. For more information, visit www. haiohio.com or call 419-874-4496. ❦ *Healing Arts Institute is approved by the State Medical Board of Ohio, accredited by the Accrediting Commission of Career Schools and Colleges (ACCSC), and registered with the State Board of Career Colleges and Schools (Reg.#0203-1626T). For disclosure information, go to http://www.haiohio.com/massagetherapy-training/ge-disclosures/.

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The Laurels of Toledo focuses new program on reducing rehospitalization and improving patient outcomes

F

or patients who have undergone surgery or experienced a debilitating injury or illness, the journey from an acute-care setting to a rehab facility and back home again can be challenging, stressful, and confusing. Without expert guidance, it can be difficult for patients to see exactly where their road to recovery is leading—or whether they’re even on the right road at all. At The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, a vital component of the staff ’s care philosophy is maximizing communication and minimizing anxiety throughout this entire transition so their guests can focus their energy on rehabilitation with their clinical goals clearly defined. One of the many ways The Laurels

affirms this philosophy is through the facility’s new nurse navigator program, which officially launched on January 2 of this year after a trial period in Columbus-area Laurels facilities. As Laurels Nursing Director Susie Moore explains, “Our nurse navigators are highly skilled RNs who work with new admissions, complete assessments, and address all of their holistic needs to reduce the likelihood that they will have to return to the hospital.” A nurse navigator is part of the guest’s initial assessment and sees him or her every day for the first five days after admission. Thereafter, the navigator sees the guest (in addition to ongoing assessments by the nursing and therapy staffs) once a week until discharge unless there is a sudden

change in his or her condition. “Anytime a guest has an acute change of condition—even if they’re here long term—the nursing team contacts the navigator, who then does an assessment, contacts the physician, and gets new orders in place so we can deal proactively with the sudden change,” says Laurels Administrator Edward Beatrice. The Laurels has two RN nurse navigators on staff who are on duty approximately 10 to 12 hours a day, depending on their caseload, and provide seven-day-a-week coverage.

Because The Laurels takes admissions 24 hours a day and seven days a week, the navigators’ hours are apportioned such that one is always available upon admission to address any clinical needs and put the guest and family at ease. The navigators also round with the physicians to help keep effective communication flowing among the doctors, the guests, and their families. Moore points out that the nurse navigators’ holistic approach to care is just what many of The Laurels’ guests need most. “For example,

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No Needles! Make Ma ke allller ergy ergy gy sho hots ts a thiiin th ng o off th he e pa as stt.. To T olle ed do o Clini lilin niic EN ENT is s no ow w pre resc scrriibi bing bing ng the a th att-h -home -ho ome om alllle a erg gy trea ttrrea attm me en nt NO N O-S O-S SH HO OTZ OTZ TZ ora oral or all alllle errg gy y dro rop rop ps s. s. BOARD CERTIFIED

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if someone comes here following an elective surgery, such as a knee, hip, or shoulder replacement, our nurse navigators understand that surgery can affect multiple systems in the body and that other chronic conditions, such as diabetes or heart disease, often figure into the equation as well. With the help of the nurse navigators, we can monitor all these conditions and keep guests stable so they can complete therapy and transition back to home,” she says. The navigators also help guests understand and stay on track with the nursing and therapy goals outlined in their Pathway to Home, an innovative, collaborative program that was implemented at The Laurels to ensure that guests, their families, and the rehab and nursing teams are all working to accomplish the same clinical objectives before the guest is discharged home. The fact that The Laurels’ nurse navigator program is already making a significant difference for guests and their families is borne out by statistics. According to Beatrice, Ohio’s state-

wide average for rehospitalization of skilled-nursing-care guests—in other words, all the guests in skilled-nursing facilities who end up back in the hospital within 30 days—is 24 percent. However, in the month of February at The Laurels, the rehospitalization rate was just 10 percent—less than half the state average. “If you take into account the number of skilledcare patients we have plus the fact that we have such a wide variety of diagnoses with the potential for acute changes, it’s pretty clear that our clinical team is dong a wonderful job of managing guests holistically in coordination with the nurse navigators,” says Beatrice. For guests and their families, the nurse navigators are not only reassuring, but also a bridge of communication between them and their doctors and other clinical staff. “This program gives them an extra person with clinical expertise who is focused entirely on their care needs from a holistic standpoint and eases that transition from acute care to rehab and back home again,” Moore says.❦

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26  April 2014  |  Healthy Living News

fter the record snowfalls and bitter, teeth-chattering cold we experienced this past winter, the arrival of warmer spring weather is more than a welcome relief. But for springtime allergy sufferers, any “relief ” is shortlived. For them, the advent of spring means but one thing: the return of incessant sniffling, sneezing, itchy eyes and nose, coughing, wheezing, and other miserable allergy symptoms. What triggers this constellation of unpleasant symptoms? The answer: airborne pollen. And contrary to popular misconception, the pollen that causes spring allergies is not from all those colorful flowers that are just starting to emerge. Those typically have heavy, sticky pollen that’s carried from flower to flower

by bees and other pollinating insects. In early spring, the real culprit is pollen from trees such as maple, alder, birch, and oak. Examples of other offenders in our area include ash, beech, box elder, cottonwood, mulberry, sycamore, and willow. Of course, as spring turns to summer and summer transitions to autumn, other allergy-triggering plant pollens kick in to wreak further havoc on allergy sufferers. Early spring tree pollen is followed by grass pollen in late spring and summer, and grass pollen gives way to weed pollen (e.g., the ubiquitous ragweed) in late summer. For individuals allergic to multiple pollen types, this can mean a continuous progression of misery from early spring until the first hard

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frost in autumn. According to Dr. Christopher Perry and Dr. Oliver Jenkins of The Toledo Clinic ENT Sinus Center of Excellence, the key to effectively managing spring allergy symptoms is to take a proactive approach to treatment. “Don’t wait to take action until you’re in the middle of the allergy season and already feeling miserable. If spring allergies

have plagued you in the past, now is the time to work with your doctor to develop an appropriate treatment plan to get ahead of those symptoms,” Dr. Perry explains. Spring allergy sufferers’ first line of defense is to avoid exposure to airborne pollen to the extent possible. For example, they should try to: • Stay indoors on hot, dry, or windy days, when pollen tends to be at its worst. • Limit outdoor activities to midday versus the early morning and evening when the pollen count is usually higher. • Wear a dust mask when doing outdoor chores. • Change clothes and shower after spending time outdoors. • Keep windows closed and use air conditioning for cooling (both at home and in the car). • Frequently (at least weekly) vacuum rugs and carpeting, preferably using a vacuum cleaner equipped with a highefficiency particulate air (HEPA) filter. • Frequently damp mop floors and wipe down other hard surfaces with a damp cloth or sponge. • Run a dehumidifier to keep your home’s air dry. • Use a HEPA filter in your bedroom. • Wash bedding in hot water (at least 130 degrees F). • If practical, replace carpeting with hardwood or laminate flooring. • Bathe furry pets often, and banish them from the bedroom. In addition to pollen avoidance,

doctors may recommend over-thecounter or prescription-strength antihistamines, decongestants, nasal sprays, eye drops, or other remedies to ease symptoms. But again, allergy control with medications is most effective when treatment is initiated before symptoms start to flare up, not after you’re suffering with them. Dr. Perry points out that, while pollen avoidance and medication use can be effective in managing allergy symptoms in the short term, the best treatment from the standpoint of long-term control is allergy immunotherapy, which involves administering gradually increasing doses of a known allergen (verified through testing) until the body becomes tolerant of it. In the past, the only available form of allergy immunotherapy was subcutaneous injection—better known as “allergy shots.” While subcutaneous immunotherapy is very effective, some people are so anxious about needles that they’d rather tolerate the misery of allergy symptoms than subject themselves to regular injections. However, Drs. Perry and Jenkins have a solution to that problem. The Toledo Clinic ENT Sinus Center of Excellence now offers a needle-free alternative to traditional allergy immunotherapy called NoShotz sublingual allergy drops, which are administered by simply placing a few drops of medicine under the allergy sufferer’s tongue. “The drops contain minute levels of the offending allergen, for example a particular tree pollen that we’ve determined is triggering the patient’s symptoms. In time and with continued exposure, the patient develops a tolerance so that allergy symptoms, like stuffy, runny nose, itchy, watery eyes, and sneezing, are relieved,” Dr. Perry explains. Dr. Jenkins adds, “The No-Shotz oral allergy treatment is not only needle-free, but it’s also more convenient than traditional allergy shots because it’s administered at home by the patient or the patient’s parents. We want to make it easy and painless for our many patients experiencing allergies to get the relief they deserve.” ❦ For more information or to schedule a visit, please call The Toledo Clinic ENT Sinus Center of Excellence (located at 5800 Park Center Court, Suite C, in Toledo) at 419-724-8368 or go to www. ToledoClinicENT.com.

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Heartland Rehab promotes healthy choices for Easter and beyond

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W

e flip our calendars to April, and that means Easter is right around the corner! After the long winter we have endured, the bright, cheerful colors of spring are going to be a welcome sight. But the cheerful colors are not limited to flowers and eggs. We also see tantalizing color in the Easter candy and packaging of it. What we don’t see or really think about is the high amount of sugar in those chocolate bunnies or eggs and the empty calories they hold. No one wants to hear bad news, but you really do need to know what you are getting yourself into when you reach for that Easter treat. Brace yourself, this may hurt a bit…

Sugar is really bad for you! When you consume Easter candy, or most candy, you are getting a large dose of sugar. It can be in the form of high-fructose corn syrup or cane sugar, and it will have disastrous effects. And then there are the preservatives—but that is for another article. Within the first 20 minutes or so of consuming candy, you will have a spike in your blood sugar level as the sugar enters your bloodstream. It arrives in the form of glucose, which is your body’s main source of energy. This sudden rise in blood glucose stimulates your pancreas to produce large amounts of insulin, the hormone that helps your cells take in the available glucose. Some of this glucose is used immediately for energy, and the rest is stored as fat to be used later. The more sugar you eat, the more insulin your body produces as it works hard to remove the glucose from your blood. The result is a higher level of insulin in your blood stream, which then signals your body that you need more glucose, which causes you to crave even more sugar. But even worse, after repeated exposure to high insulin levels, your body no longer responds properly to the storage effects of insulin. The end result is high blood sugar levels and potential diabetes. You start to feel weak and tired and have trouble concentrating because your brain uses glucose to function. If your blood sugar level stays

elevated, damage to other organs and parts of your body may occur, such as blindness, decreased kidney function, loss of sensation due to nerve damage, and greater susceptibility to infections.

Is that chocolate bunny really worth it? But Easter comes only once each year! Do you really have to worry about it? Yes, you do because there will always be an excuse to eat poorly. In February, it was the Super Bowl and Valentine’s Day. In November, December, and January, we had Thanksgiving, Christmas, and New Year’s Eve. And don’t forget Halloween back in October. See what I mean? It can go on and on. We can always come up with excuses for eating unhealthy foods— birthday parties, evenings out with friends, work functions and meetings, church dinners. Every one of these occasions screams, “But this is special! It’s okay just this once!” At some point, you have to stop the insanity, make a decision, and choose health so that the indulgence truly becomes the exception, not the rule.

Easter alternatives Here are some simple alternatives that don’t require you to miss out on the celebration of the event while others eat that 6th chocolate egg: • Dried fruit (eat with a protein such as nuts) • Very dark chocolate (choose some with very little sugar) • Nuts • Fresh fruit • Whole-grain crackers and pretzels. For the kids Now some non-food ideas for kids’ baskets: • Jump rope • Sidewalk chalk

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• • • •

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Have a healthy Easter! Easter should be a time for a new beginning, a healthier you! You should look to feel refreshed and energized from the long winter. But is that the case? Does your body feel ready to celebrate, or is it on the sluggish side. Do you need a little motivation to get started? The key is to start by looking ahead and leave the past in the past. However, in order to make the best start, we need to take a look at what may have sabotaged your previous efforts to get in shape. Do any of these sound familiar? Impatience. We expect instant gratification in many aspects of our life; fitness is one of them. But, it can come as quite a shock to find that fitness doesn’t happen quickly. There is no short cut or magic pill to fitness. If fitness and weight loss didn’t

happen quickly in the past, prepare yourself now for a different attitude. You need to plan to celebrate small results and be patient as the transformation happens. Lack of planning. If you have tried fitness and failed, it is almost certain that you came up short in the area of planning. Without forethought and intentionality, you cannot eat a healthy diet, get enough sleep each night, and stick with an exercise routine. This time, you should plan before you start. Support. If you have attempted to get fit with little support, you are not alone. Many people try to change their lifestyle on their own. Few are successful. We all need support, encouragement, and positive reinforcement to make us feel better, and that comes from others.

healthy, but it doesn’t matter now. What matters is what you do today, tomorrow, and next week. How can you do it differently this time?

How to do it differently this time: 1) Don’t be afraid of or discouraged about the time it may take. You didn’t wake up one morning 20 pounds heavier or out of shape from the night before. This is where patience and courage comes in. What is your dream or your goal? Do you want to lose 20 pounds? Do you want to run a mile? Do you

want to eat a diet that energizes you? Maybe you want to exercise for six days a week. Do not let the distance you have to cover cause you to give up before you even begin. Recognize that this will take some time. Every single fit person you know started somewhere short of where they are now. How did they get to their present condition? By taking it one day at a time, celebrating every victory, and getting up when they fall down. You can do the same. 2) To quote Alan Lakein, “Failing to plan is planning to fail.” If you don’t have a plan, the matter that seems to

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be the most urgent at the time will get attention, to the exclusion of all others. Without a plan, your own health will always take a backseat to what seems the most important at the moment. Having a plan will keep less important things from creeping in and sabotaging your health. Count on this: If you do not plan for fitness and health, it simply will not happen. Before you even start your new lifestyle change, decide: • When and how you will get your exercise: Be realistic in time, number of days, and type of exercise. (Good intentions are just good intentions and don’t convert to better health.) • What foods you will eat and how you will ensure that you have access to those healthier food choices. • How you will arrange your schedule so that you get at least seven hours of sleep each night. Without a strategy, you set yourself up for failure. Plan to succeed! Take some time right now to jot down some ideas to overcome the obstacles that you know will arise. Be prepared for them, and you will

breeze through them. 3) It takes a whole team to win a game. It is no secret that the biggest determiner of success in fitness and weight-loss efforts is accountability. Remember, getting fit is not easy. If it were, we would not see such a large number of people who are overweight or obese. If it were easy, more people would be doing it! In order to make sure you succeed this time, get some support. The people in your support system will be interested in how you are doing. They will encourage you when you lose your motivation. They will talk you out of making those unhealthy food choices. They will expect you to tell them how you are doing. They will keep you focused on your goals and plan. They will hound you when you begin to slack off. Who knows, they may even join you! A healthier lifestyle is within your reach if you are ready for it! Heartland Rehabilitation Services, outpatient physical therapy and occupational therapy provider, offers a Healthy Lifestyle Weight Loss class and wants to be on your team, supporting and guiding you to making healthier food choices and establishing an exercise

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A dark chocolate bunny is welcome in my Easter basket

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nything made of chocolate that comes in an Easter basket couldn’t possibly be good for you, right? Well, let’s not be so hasty! Not all Easter sweets are created equal. Believe it or not, a bunny made of dark chocolate has a variety of benefits that more than justify some moderate indulgence. Plus, there’s no reason you shouldn’t savor dark chocolate long after the excitement of the egg hunt has faded. In fact, dark chocolate is a bitter-sweet treat you can enjoy yearround. So, to shamelessly misquote a misquote of Marie Antoinette, I boldly proclaim, “Let them eat dark chocolate!”

Dark chocolate origins It was the ancient Mayan’s who first discovered the health benefits of chocolate. They ground the beans from the cocoa tree into a bitter brew (in no way resembling what we know as chocolate today) that was used as a traditional medicine for heart ailments, depression, and other conditions.

Today’s take Nowadays, manufacturers remove cocoa beans from their pod, and ferment, dry, roast, and grind them into cocoa liquor. The beans may be further processed into cocoa butter

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and cocoa powder. Cocoa liquor, cocoa powder, and cocoa butter can then be combined with sugar and vanilla to make chocolate. Dark chocolate contains higher amounts of cocoa solids and smaller amounts of sugar compared to milk chocolate, thus it is richer and deeper in flavor.

Why is dark chocolate healthy? So, what are these health benefits of which I boast? Cocoa and dark chocolate contain high levels of antioxidant flavonoids known as flavonols. These health-protective chemicals may help ward off heart disease, diabetes, dementia, and stroke. In recent studies and journal articles, dark chocolate was shown to have a protective effect against cardiovascular disease. It lowers blood pressure and cholesterol and may protect the heart by improving endothelium (the cells that line the heart and blood vessels) function and insulin resistance—a predictor of diabetes. Cocoa flavonols are thought to be absorbed by, and accumulate in, the areas of the brain involved in learning and memory. According to a study in Neuroscience & Biobehavioral Reviews, long-term consumption of dark chocolate may have protective effects against cognitive decline, including dementia and stroke. Not to mention, there’s the distinct pleasure of enjoying a rich square of dark chocolate. It may also improve mood, with the potential to ease symptoms of anxiety and depression, says a study in Psychopharmacology.

How much can I enjoy? This is the tricky part—the nutrition prescription to be exact. First, you have to be selective when shopping

for this fine confection. Choose the darkest chocolate that your palate will allow because the darker the chocolate, the better it is for you. Most studies use dark chocolate with a 70% or higher cocoa content. Ingredients should include cocoa butter (no other fats like palm or coconut oils), sugar, vanilla, and not much else. Also, note that one ounce of 70% dark chocolate has about 168 calories and 12 grams of saturated fat. That’s why I emphasized “moderate” indulgence in my opening paragraph. Limit portions to one ounce about three to five times a week—not a whole three-ounce bar every day—and make sure to offset the extra calories by eating a little less of something else. To enhance your enjoyment, you can pair your chocolate with three to four ounces of red wine or a small handful of almonds. What about milk chocolate, you ask? Sorry, I know it’s wonderfully sweet, creamy, and delicious, but milk chocolate offers far fewer nutritional benefits than dark chocolate and may even be neutral from a health standpoint.

Don’t forget your healthy habits! As you’ve probably already guessed, this wonderful, healthy indulgence must be paired with daily exercise and an overall healthy eating plan, which includes eating whole grains, fruits, and vegetables daily. In other words, the health benefits of dark chocolate aren’t going to offset a regular routine of cheeseburgers and fries. So go ahead and let the Easter Bunny fill your basket with his dark chocolate likeness! Then enjoy it in moderation—for your health! ❦

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

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31


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

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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 personal goals weekly. Remember, if you do not set personal goals for yourself, you’ll never reach them. 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. 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 Running Shop.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. For more information on any event, please visit davesrunning.com. Ed Dibble Run Saturday, April 5, 2014, 8:00 a.m. at Oak Openings Metropark, 5230 Wilkins Rd., Whitehouse, Ohio. This is a fantastic marathon training run just a few weeks out from the Glass City Marathon. Oak Openings offers a variety of trails. We will be utilizing the all-purpose trail and a portion of the Wabash Cannonball Greenway Trail. Crushed stone and paved trails will be used to ensure good footing. Runners can choose any distance desired on an out-and-back course up to 21 miles. When possible, we will use mile markers so runners can choose their distance. For more information, please email jeff.taylor@ davesrunning.com. We Pink We Can 5K For A Cure Saturday, April 12, 2014 at 4404 TR 142 in Findlay, Ohio. 5K Walk/Run starts at 10:00 a.m. One-Mile Fun Run starts at 9:40 a.m. This race will benefit breast-health programs and breast-cancer research via Rochelle Manley participating in a Susan G. Komen three-day, 60-mile walk. For more information, please email info@ wepinkwecan.com. Powerhouse 5K Saturday, April 12, 2014, Wabash Cannonball Trail, 6510 Texas Street in

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Whitehouse, Ohio. Powerhouse 5K starts at 8:30 a.m. Kids 1K Fun Run starts at 9:30 a.m. For more information, please email lorri_britsch@ roadrunner.com. Building Bridges 5K Saturday, April 12, 2014, 9:00 a.m. at the University of Toledo, 2801 W. Bancroft St. in Toledo. Enjoy running in the spring air? Like to chat with engineers? Are you an engineer and love to run? Then the Building Bridges 5K, hosted by Engineers Without Borders, is for you! The funds raised for this event will go towards EWB’s ongoing bridge project in Los Sanchez, Honduras. The bridge EWB is designing will allow the people of Los Sanchez to access the health clinic, school, and markets located there. For more information, please email adam.beaman@rockets.utoledo.edu. The 5th Annual Run the Res 5K/10K Sunday, April 13, 2014, at Gray Park in Fostoria, Ohio. 5K/10K starts at 2:00 p.m. Run the Res Kids Fun Run starts at 1:00 p.m. This year’s race will once again feature a 5K and 10K course and our 3rd Annual “Kids Fun Run” for children ages 3 to 9. The course

is on flat, paved roads around the scenic Fostoria reservoirs #2 and #3. For more information, please email alexshiff@gmail.com. Color Your Life…Join in the Fun…Run! Sunday, April 13, 2014, at 4050 Old US 24, Liberty Center, Ohio. Blue, Red, Green, and Yellow Corrals begin at 2:30 p.m., 2:45 p.m., 3:00 p.m., and 3:15 p.m. respectively. Join us (ages five and older) for a two-mile, non-timed, non-competitive colorful adventure at beautiful Widewater Retreat Center. For more information, please email Hc3Partnership@gmail.com. No Kid Hungry 5K Saturday, April 19, 2014, at Monclova Primary School in Monclova, Ohio. 5K Run/Walk starts at 10:30 a.m. Onemile Kids Fun Run starts at 10:00 a.m. This event is being held to support the Share Our Strength-No Kid Hungry Campaign. Your entry fee will go towards the campaign and make an impact on many children’s lives. For more information, please email 2014003@anthonywayneschools.org. Walk MS: Findlay Saturday, April 26, 2014, 8:00 a.m. at the University of Findlay Koehler Athletic Complex, 1000 N. Main St.,

Findlay, Ohio. For more information, please email jeff.taylor@daves running.com. Washington Twp. Fire Dept. 5K Run Saturday, April 26, 2014, 9:00 a.m. at 19033 SR 12 in Arcadia, Ohio. The Washington Twp. Fire Department hosts this annual race in memory of Jason Breyman, a member of the department who lost his life in a tragic vehicle crash. All proceeds from the race are donated directly to the Jason Breyman Scholarship fund, which awards an outstanding Arcadia High School Senior $1,000

yearly towards their college tuition. The race begins at Arcadia School, winds through the village, and finishes with a down back on CR 216 to the school. For more information, please email dspridgeon@findlayohio.com. Glass City Marathon Sunday, April 27, 2014 at the University of Toledo Glass Bowl, 2801 W. Bancroft St. in Toledo. 5K Run/Walk begins at 7:15 a.m.. Half Marathon, Marathon, and 5-Person Marathon Relay begin at 7:00 a.m. For more information, please email jeff.taylor@ davesrunning.com. ❦

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BySister Mary Thill

Spiritually Speaking Carrying an umbrella

WISE Choices for Seniors Today’s seniors are more active than ever. Many are finding this time in their life to be full of activities with family and friends alike. With life expectancies expected to reach record highs, this brings about issues unique to seniors. Harbor is excited to be launching a new, evidenced-based, program targeting the unique needs of Lucas County seniors. Wellness Initiative for Senior Education (WISE) is a six week substance abuse prevention and wellness program funded through the Mental Health & Recovery Services Board of Lucas County. This program will focus on topics such as stress management, strategies for healthy living, and medication management. Professionals trained in the WISE program and will begin to facilitate the program at various locations across Lucas County beginning in late April. Our first collaboration is with the Margaret Hunt Center. All sessions are free and open to the public. For more information about how to bring WISE to your site, please contact Carrie Arndt at 419214-3820 Ext. 2839.

Carrie Arndt, OCPSII, LCDCIII, CTTS

Assistant Manager, Prevention Education

Celebrating

100

YEARS

419.475.4449 www.harbor.org

Developmental & Behavioral Pediatrics

Harbor is proud to welcome Dr. Michael Walker back to Harbor in a newly created position as Medical Director, Developmental & Behavioral Pediatrics. Dr. Walker is a fellowship trained and board certified Developmental/Behavioral Pediatrician, one of only two in the Toledo area. He has extensive experience evaluating young children with developmental delays and Autism Spectrum Disorders. Harbor’s Developmental and Behavioral Pediatric Team is dedicated to providing a comprehensive approach to the diagnosis of children with a variety of developmental and behavioral concerns.

Dr. Walker is currently accepting patients at Harbor Developmental & Behavioral Pediatrics 6629 West Central Avenue, Toledo, Ohio. Please refer patients to 419-475-4449 for appointment availability.

Meet Dr. Michael Walker

Developmental & Behavioral Pediatrician “I am thrilled to be rejoining Harbor as the Medical Director for Developmental/Behavioral pediatrics. We have exciting plans to expand our excellent clinical diagnostic and treatment programs. Our goal is to be a center of excellence and the provider of choice for Developmental Pediatrics in Northwest Ohio.�

419.475.4449 | www.harbor.org 34  April 2014  |  Healthy Living News

Weather is a great metaphor for life: Sometimes it’s good, sometimes it’s bad, and there is nothing much you can do about it but carry an umbrella.

I

—Terri Guillemets

have no way of knowing what the weather will be like when you read this article, but I do know that spring will definitely be here‌at least in some way, shape, or form. We may even be carrying our umbrellas. I think we experienced a winter that will not soon be forgotten, one that has gone on the books as a record-setting winter and one that we will talk about for the rest of our lives. Sort of reminds me of my elder friends who can tell of similar experiences from their many decades of life on Planet Earth. With the help of today’s meteorologists and all the gadgets and gizmos they have to predict the weather, I’ve come to better understand how storms form, how some parts of the country seem to always “get hit,â€? and why the weatherman/woman is not always right. Sort of like life, and that’s why we need to carry an umbrella. As we thaw out and become aware of crocuses, tulips, and daffodils trying to break out of their bulbs in the frozen earth to reach for the sun, we too may need to thaw out from the darkness and depression of winter and begin to open ourselves to the healing rays of the sun, which bring warmth and light and a sense of joy to those who notice these almost miraculous changes in our weather. I know people who don’t seem to be affected by the weather. I am not one of them. I remember a guest on our campus several summers ago who came in from a rainstorm, and when I asked him if he liked being caught in the rain, he told me that he didn’t even notice that it had been raining. Even his wet hair and clothing didn’t seem to bother him. I would have had an umbrella and my rain jacket to keep me dry and happy. As Terri Guillemets says in the quote above, our weather is a great

metaphor for life. I believe this is true for me. I like the change of seasons here, and I missed them when I spent some time in Louisiana in the late nineties. I complain about some aspects of winter, but I can also appreciate the beauty of the snow and ice. I complain about the spring rains, but I certainly appreciate the glorious trees, bushes, and flowers in bloom during and after the rain. I complain about summer with its heat and humidity, but I love the warmth of the sun on my face and all the fruits and vegetables the sun blesses with growth and nutrients. I complain about autumn when there are signs of death everywhere even as the beauty of the colored leaves brings joy to my eyes and my soul. My life journey has contained a lot of joys and sorrows, successes and disappointments, stability and change, and I’ve been able to deal with it all holding up the “umbrellaâ€? of faith, hope, and love as each experience “rainedâ€? down on me. Having supportive family and friends certainly also added to my ability to weather the storms and share the joys of my life. Yes, indeed, “weatherâ€? is an excellent metaphor for life and carrying an umbrella certainly helps.â?Ś 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. Answers to crossword from page 44

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

35


Elite Endeavors Making the benefits of multisport accessible to all

J

im and Joyce Donaldson of Elite Endeavors know from many years of experience that preparing for and participating in multisport competition is good for the body, mind, and spirit. Unfortunately, too many people have the misconception that duathlons, triathlons, and other multisport events are beyond the reach of the average person and strictly for elite athletes who are at the pinnacle of strength and physical fitness. To help dispel this myth, Elite Endeavors offers a wide range of opportunities for people of all ages, genders, shapes, sizes, and fitness levels to experience the exhilaration of multisport and tap into their inner triathlete/duathlete.

Focus on youth More than any other age group, young people today need opportunities to set aside all the electronic distractions, get off the couch, and get active. On Saturday, August 9, in the same month that the Youth

Olympic Games will be coming to eat right, and experience a great social Nanjing, China, Elite Endeavors will atmosphere,” Joyce says. be hosting their 28th annual Sylvania SuperKids Triathlon/Duathlon/Fun Opportunities for Run (ages 7 to 14) at Olander Park Paraathletes in Sylvania, Ohio. The Donaldsons are pleased to note The swim and run will take place that paratriathlon will be a full-medal inside the park, while the bike com- event in the 2016 Olympics to be held ponent will head west up the Sylva- in Rio de Janeiro, Brazil, and they’re nia Avenue bike path, into the local doing their part to encourage physineighborhood, and back to Olander cally challenged athletes—including Park. SuperKids will also be a run- returning military veterans who were bike-run format for kids who don’t injured in action—to participate in swim. All kids will participate within multisport. their own age group, and For example, the Sylthe Fun Run is for youngvania Triathlon/Duathlon, sters ages 3 to 6. to be held on Sunday, “This event is focused August 10 at the Tam-Oon participation and Shanter Sports Complex the development of and Olander Lake character and sportsin Sylvania, has manship, not just been designated a competition. We hope “paratriathlon friendit will inspire kids of ly” event by USA Triall shapes, sizes, and athlon. In this popular SANCTIONED EVENT fitness levels to get event, now in its 33rd PARATRIATHLON FRIENDLY more active, learn to year, paraathletes will 2014

compete alongside able-bodied athletes. Joyce remarks that the venue for the Sylvania Triathlon/Duathlon is ideal for paracompetition because the terrain is flat, there are no obstructions on the beach, and there’s a spacious transition area to accommodate all kinds of assistive equipment. “The paratriathlon movement is not just about competition,” Jim explains. “It’s about helping people with physical limitations connect or reconnect with sport, promoting ethical principles and fair play, and creating inspirational role models throughout the world. For many of our returning military, it’s an opportunity to find an arena in which to begin or continue the sport of a lifetime.”

Helping women re-emerge and reconnect with sport Many women devote a considerable portion of their lives to children and family—often at the expense of their own physical, emotional, and spiritual

TRIATHLONS DUATHLONS 5k www.EliteEndeavors .com

RUN FOR THE BULLS May 10 - Secor Metro Park Fundraiser – Supports Lucas County Pit Crew - Run as Individual - Run with Your Dog!

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36  April 2014  |  Healthy Living News

CLARK LAKE

JUNE 25 - Centennial Quarry Wednesday 6:30pm - Rookie and Veteran Friendly - Great Event for First Timers! TRI/DU/5k

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SMOKE THE TURKEY

SEPTEMBER 28 - Downtown Toledo

NOVEMBER 27 - St. James Club

Susan G. Komen of NW Ohio - Fundraiser — Run/Walk “Imagine Life Without Breast Cancer”

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Thanksgiving Day Run/Walk Benefitting Hospice of NWO 5k

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well-being. Elite Endeavors encourages women to get reacquainted with their inner triathlete at the Women’s Only Triathlon & Dri Tri on Sunday, July 27. This event encourages women ages 15 to 80 to dust the cobwebs off their sneakers and bicycles and experience multiport regardless of their level of athletic experience. A run-bike-run format (the Dri-Tri) is offered for women who don’t wish to swim. “Also, I have started a Women’s Only Tri/Du Club, ‘Women for Women in Multisport,’ which will encourage women of all experience levels—from rookies to seasoned veterans—to reemerge and reconnect with athletics, achieve their personal fitness goals, set new ones, and be inspired for the journey of accomplishment that lies ahead,” Joyce says.

New for 2014 Jim and Joyce are both excited to announce a new family-friendly event for 2014—the Quarry Ridge Triathlon/Duathlon & 5K, to be held Wednesday, June 25 at Centennial Quarry. This evening event, which begins at 6:30 p.m., is for ages 15 and up and for all levels of ability. After the race, there will be a great post-event party, with a live band, food, and beverages for the whole family to enjoy. On April 12, 2014, Elite Endeavors will present a Rookie Clinic. This seven-hour course will include classroom sessions, swimming, transition, nutrition, and everything else a rookie needs to know to get ready for the season! Another change for 2014 is that the annual Dooby Du, a formula 1 format (run-bike-run-bike-run) duathlon, will be held in the fall on Sunday, September 21 at Secor Metropark. ❦

For more information, questions, or to register for these or any other upcoming Elite Endeavors events, please visit eliteendeavors.com. Be sure to like Elite Endeavors on Facebook (facebook.com/ EliteEndeavors). AND, watch for Dave’s Running Shop’s 12-week triathlon training program, coming in May.

Mercy St. Vincent Medical Center receives 2013 Ohio Excellence Award Mercy St. Vincent Medical Center has been selected for the 2013 Ohio Excellence Award amongst all its peers and competitors by the U.S. Institute for Excellence in Commerce (USIEC). Each year, the USIEC conducts business surveys and industry research to identify companies that have achieved success in their local business environment and industry category. Mercy St. Vincent is recognized for having enhanced the commitment and contribution of small businesses through service to the hospital’s customers and community. Small businesses of Mercy St. Vincent’s caliber enhance the consumer-driven stature that Ohio is renowned for. Mercy St. Vincent has consistently demonstrated a high regard for upholding business ethics and company values. This recognition by USIEC marks a significant achievement for Mercy St. Vincent as a leader in healthcare and in setting benchmarks that the industry should follow.

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In your home or ours.

Compassion. Courage. Comfort. When you hear a loved one needs hospice care, it can be overwhelming. What matters most is maintaining a life of quality and dignity with comfort.

Don’t let unmanaged diabetes steal your sight!

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octors consider diabetes a “si- that the key to successful treatment lent” disease, meaning one can is maintaining proper control over go through life with this condition blood sugar levels, working together for many years before experienc- with the primary care physician. “If ing any obvious physical we can keep the patient’s symptoms. But lack of hemoglobin A1C below awareness doesn’t pre7, the risk of microvasvent chronically elevated cular complications is blood sugar from wreakvery low. However, every ing havoc on the body. If number above 7 increases not properly managed, the risk by 37 percent. If diabetes will eventually the patient’s A1C is very lead to serious long-term high, for example 14 or 15, health problems and can we know that we need even be fatal. to start monitoring for Among the serious complications,” he says. Dr. Stanley Tao complications of diabetes Hemoglobin A1C is a that commonly develop test that reflects patients’ with no overt early symptoms is average blood sugar level over the diabetic retinopathy. According to course of several months, rather than Stanley Tao, MD, MPH, of ProMedica a “snapshot” of their blood sugar Physicians Eye Care, diabetic reti- at one point in time. The higher nopathy is the number-one cause of the number, the greater the risk of blindness in the country, specifically complications. in people ages 24 to 75. In fact, no Nonetheless, it’s important to understand that complying with other cause even comes close. He explains, “Microvascular dis- treatment and getting blood sugar ease is the first sign of diabetes in the under control won’t immediately body, and the eye contains many reverse retinopathy or other ravages sensitive blood vessels. Diabetic ret- of diabetes. For example, a patient inopathy develops when sugar in who has had unmanaged diabetes the blood damages these vessels and for 10 years but adopted a healthier tissue begins to die. Microvascular lifestyle only a few months ago may damage also occurs in the kidneys not see a measurable benefit for and extremities, so, in addition to several years. It’s much the same as retinopathy, most of my patients a long-time smoker who chooses to also show signs of kidney failure and quit. The balance doesn’t shift back decreased sensation in their feet.” to better health instantaneously. The encouraging news is, diabetic As an ophthalmologist who speretinopathy is preventable and, when cializes strictly in treating the retina, present, can generally be treated to Dr. Tao is often a diabetic patient’s last prevent blindness, minimize vision chance to avoid permanent loss of loss, and optimize vision. Dr. Tao notes vision. Using state-of-the-art surgical

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techniques and advanced medicine, he can usually halt the progression of diabetic retinopathy and prevent blindness. In some cases, though, the best he can do is slow the progression and buy the patient time. “The outcome depends largely on how well patients manage their blood sugar. With surgery and procedures, I can generally maintain vision and prevent medical blindness, but the quality of vision is ultimately up to the patient. The best chance of maintaining sight is to have regular dilated eye exams and follow up with proper blood sugar control,” he says. As our community’s diabetes problem continues to grow, so does its demand for highly specialized eye surgery. In response, ProMedica has established eye surgery services at ProMedica Flower Hospital. The surgery department features the very best equipment and capabilities in Northwest Ohio, making it possible for surgeons to treat the most advanced forms of diabetic retinopathy as well as trauma to the retina, retinal detachment, and other complicated eye problems. When people think of the tools utilized by eye surgeons, the first one that usually comes to mind is laser. While ProMedica Physicians Eye Care’s ophthalmology team does use laser and has access to the very latest version at ProMedica Flower Hospital, it’s only one of many tools at their disposal. “We also use microincisional, minimally invasive techniques using instruments so small that the wounds they create actually self-seal, making sutures unnecessary,” Dr. Tao says. One of the procedures performed with this form of technology is Pars Plana Vitrectomy, which involves removing the eye’s jelly-like vitreous fluid—which can accumulate blood that leaks from vessels damaged by

diabetic retinopathy, causing vision impairment—and then replacing it with saline solution. This cutting-edge procedure is performed on an outpatient basis under local anesthesia. “These microincisional techniques have considerably decreased surgery and recovery times and are revolutionizing patient outcomes,” states Dr. Tao. “It made a huge difference when ProMedica Flower Hospital chose to invest in this technology. It really is the Ferrari of surgical equipment!” Further demonstrating their commitment to the health and well-being of community residents with diabetes, ProMedica will be celebrating the grand opening of the ProMedica Mary Ellen Falzone Diabetes Center on Thursday, April 24. The new center, named in memory of a young girl who passed away from complications of type 1 diabetes, is located on the campus of ProMedica Toledo Hospital and will provide pediatric and adult patients access to an expert, multidisciplinary team of endocrinologists, diabetic educators, dietitians, advanced practice providers, and pharmacists so they have all the tools and encouragement they need to manage their disease successfully. The center’s specialized care and services will include diabetes counseling to help patients live a full and healthy life, insulin therapy and glucose monitoring systems through the on-site ProMedica Pharmacy Counter, medication therapy management counseling with ProMedica Pharmacy Counter ’s expert pharmacist, and access to primary care providers.❦

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HOME ENVIRONMENT We want to make your loved one feel comfortable and as much at home as possible. We encourage your loved one to bring personal items for a more home-like environment.

STABLE, CONSISTENT STAFF OVER 100 YEARS OF COMBINED NURSING EXPERIENCE We want to make your loved one feel comfortable and as much at home as possible. We encourage your loved one to bring personal items for a more home-like environment.

RECREATIONAL ACTIVITIES AND MONTHLY SOCIALS We want to make your loved one feel comfortable and as much at home as possible. We encourage your loved one to bring personal items for a more home-like environment.

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We want to make your loved one feel comfortable and as much at home as possible. We encourage your loved one to bring personal items for a more home-like environment.

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Fax 419-868-3515

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Toledo Family Pharmacy

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A Personal Healthcare Resource You Can Trust. Toledo Family Pharmacy is an INDEPENDENT FAMILY OWNED pharmacy that is dedicated to serve the community and offer the BEST FRIENDLY SERVICE we can to guarantee our patients customer satisfaction. • SENIORS GET UP TO A 30% DISCOUNT • GUARANTEED LOWEST PRICES IN TOWN • FAST, FRIENDLY SERVICE • Transferring your scripts is easy. We’ll do all the work with 1 phone call. • FREE local delivery • Free medication setups • Incontinence supplies • Free glucose meters for our diabetic patients • We accept ALL INSURANCE PLANS

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Dr. Hesham El Gamal Dr. Hesham El Gamal is the Physician Advisor for the Ridgewood Manor Pulmonary Recovery Program.* Dr. El Gamal specializes in pulmonary and critical care medicine. He coordinates a highly trained team of health care providers to lead the pulmonary program. Dr. El Gamal is Board Certified in Internal Medicine, Internal Critical Care, Sleep Disorders and Pulmonary Medicine. Dr. El Gamal has privileges at several northwest Ohio Hospitals. He is licensed to practice medicine in multiple states including Ohio, Michigan, and Indiana. *as of October 1, 2013

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40  April 2014  |  Healthy Living News

Super Fitness celebrates 42 years of providing quality, affordable service to Toledo community e’ve all seen those local television commercials with people of different ages, genders, body types, and backgrounds proudly proclaiming, “I am Super Fitness!” But what exactly does this mean? To Ron Hemelgarn, owner of Super Fitness, now celebrating its 42nd anniversary, this statement is much more than an advertising slogan. It’s a living reality that guides every decision he makes on behalf of members—and it’s the reason Super Fitness is now 42 years strong while so many other fitness facilities have come and gone. “Who is Super Fitness? It’s our members,” says Hemelgarn. “It’s the thousands of people who come through our doors every day—including many who have been with us since we began in 1972—because of our ongoing commitment to providing the highest quality product for the best possible value. We even had a 100-year-old member come in last December to renew his membership. We’ve been blessed with such loyal members because they’ve discovered that coming to Super Fitness adds years to their life and life to their years.” In fact, as long-time members will attest, while the price of a Super Fitness membership hasn’t changed significantly in 42 years, the value it delivers has increased markedly. What started out in 1972 as a very modest fitness center has been continually expanded and updated to keep pace with changing community needs. Today, Super Fitness offers two state-of-the-art fitness centers for the convenience of members, including a 100,000-square-foot facility at 343 Newtowne Drive (Telegraph and Alexis Rd.) and the new 60,000-square-foot facility on North Reynolds

Road near Dorr Street. In addition to providing a vast selection of the very latest cardio and strength-training equipment, which ensures that members never have to wait in line or have their workouts constrained by time limits on equipment, Super Fitness offers spacious aerobics areas; a pool, sauna, and whirlpool; group exercise classes; programs for seniors; a private Super Fit Kids Club and Ladies Only section, both featuring specially sized equipment; wheelchair-accessible exercise equipment; equipment designed especially for obese members; and much more. Hemelgarn adds, “Not only do we offer a wide range of customized and accommodative equipment so virtually everyone can take full advantage of our facility, but we also feature the most advanced equipment, which is so expertly and precisely engineered that the risk of injury while using it is virtually nonexistent. Plus we continue to offer personal training services at no additional cost to our members.” The expert personal trainers at Super Fitness also ensure that members’ workouts continually evolve so their fitness results don’t plateau and their bodies don’t become acclimated—or “immune”—to a particular workout routine. There are even multiple lines of brand-name circuit-training equipment, each of

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which works the muscles in a slightly different way, that members can utilize so they don’t experience diminishing fitness returns over time. Hemelgarn cautions that the current fad of extreme fitness training can potentially do much more harm than good to participants, especially those who have been inactive for many years. “Extreme workouts can lead to serious injuries, which is something we don’t have here. We’re about fitness. Whether you’re a toddler, a senior, or somewhere in between, we have a safe workout regimen and the appropriate equipment for you. For example, someone who is extremely overweight will benefit from exercising in the pool initially. Then, after they build a little strength and improve their mobility and flexibility, they can safely move on to other activities,” says Hemelgarn. Super Fitness also demonstrates a commitment to battling obesity in our community through their annual Extreme Weight-Loss Challenge, an eight-month program that encourages contestants to achieve a healthier body weight. Hemelgarn remarks that the results of this competition are phenomenal, adding, “Losing 100 pounds, as some of our participants have done, is a completely life-altering experience. Through the Extreme Weight-Loss Challenge and other programs we offer, we’ve helped thousands of Toledo-area residents live healthier lives.” Hemelgarn is continually impressed to see members of all shapes and sizes, all levels of fitness, and all different backgrounds exercising alongside one another. He also observes that it’s not unusual for multiple generations of the same family to meet, exercise, and bond with one another at Super Fitness. For many area seniors, a day just isn’t complete without a morning visit to Super Fitness. “It’s amazing

to come in each morning and see a couple hundred senior members walking on the track, splashing in the pool, relaxing in the sauna or whirlpool, and using the machines while socializing with one another and discussing current events. We’re extremely proud that our facility has become such an important social hub for seniors,” he says. To help celebrate the club’s 42nd anniversary and to thank members for their continued support, Super Fitness will host a free Membership Party on Sunday, March 30 from

11:00 a.m. to 3:00 p.m. at the Newtowne Drive location. Thousands of dollars in cash and prizes will be given away, and around 30 different vendors will be on hand, offering discounts to Super Fitness members on a wide variety of products and services. Attendees will also have the opportunity to match wits in a fun trivia game based on the Family Feud concept. “It’s just our way of saying thank you for 42 great years to all of our loyal members. After all, they are Super Fitness,” states Hemelgarn. ❦

M

We also . . . • Host STNA Classes • CPR / AED / First Aid Classes • Provide BCII / FBI Background Checks • Emergency Response Systems

natural fit for us because it promotes good health—which is our business— plus it supports the community. This is a wonderful event, and we’re happy to be a part of it and participate in it.” “This event is for both runners and walkers. One hundred percent of

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Dedicated to fitting your personal needs Whether you walk, run, or simply need shoes that fit well, we can evaluate your foot type to help you select a shoe with support and cushioning that fits.

LHM to host Swing into Spring Auction and Fun-Raiser

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oin Luther Home of Mercy (LHM) for their Swing into Spring Auction and Fun-Raiser on Friday, April 25, 2014. Silent auction bidding and dinner will begin at 5:00 p.m. The live auction will begin at 6:30 followed by dessert/ coffee and entertainment. Tickets are $15.00 in advance or $18.00 at the door. Auction items include jewelry, tools, home décor, furniture, artwork, gift certificates, sports equipment, electronics, leather goods, craft items, and much more. Luther Home of Mercy is located at 5810 Main Street in Williston, Ohio. For more information, contact 419-972-4354, kschank@lutherhome.org, or mobrien@lutherhome.org.

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Mobile Care Group to sponsor Cancer Connection’s 3rd Annual 5K Walk/Run obile Care Group (MCG) is honored to once again partner with Cancer Connection of Northwest Ohio, Inc. (CCNWO) for the 3rd annual “Spring Into Action Against Cancer” 5K Walk/Run on Sunday, April 13, 2014 at Secor Metropark. CCNWO offers personal, handson support for cancer patients and their families. They create programs and coordinate services that provide for the physical, emotional, and spiritual needs of patients and families fighting cancer. Money raised at the 5K will be used to fund services in the community, including the Hand-in-Hand program, which offers accompaniment to physician appointments and weekly checkin phone calls. Free services also include housing, holistic programs, children’s programs, and spiritual care programs, among other things. Joe Wallace, president of MCG, states, “Good corporate citizens support the community. This event is a

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essential to prevent moisture from entering the ear. There are different styles of earplugs that allow the ears to be kept dry. There are custom-made earplugs, which are usually formed from an impression of the ear. This style allows the least amount of leakage to enter the ear canal. Doc Plugs are another type. These come in different sizes, fit into the ear, and also protect the ear from water entering. Special eardrops can be used in the ear following water exposure to ensure the ear stays free of any moisture. In addition, it’s always imperative to keep the ear free of any wax, which can trap bacteria in the ear, causing an infection. It may be necessary to visit a physician to clean the ears prior to a trip. The treatment for swimmer’s ear can be either an oral antibiotic or prescription ear drops. The good news is, swimmer’s ear can be avoided with proper ear care year-round. Northwest Ohio Hearing Clinic can make custom earplugs to help you or your child avoid swimmer’s ear on your next trip—It may just be the most important thing you pack! ❦

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: My family is going on a spring vacation in a few weeks. My son is prone to swimmer’s ear every year when we hit the beach. What can we do to prevent it this trip?

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the proceeds stay in our community to continue supporting local cancer patients and their families—all ages, all cancers,” adds Jean Schoen, founder and president of CCNWO.

: Swimmer ’s ear is definitely preventable, and we highly recommend taking the necessary steps to avoid the pain it can cause during a vacation. Swimmer’s ear, or external otitis media, is a bacterial infection of the outer ear and ear canal and is most common among teenagers and young adults, but we know that external otitis is not limited to any age group. We have seen this occur at every age, from young children to an avid adult swimmer. It’s typically caused by excessive exposure to water, primarily from swimming and other water sports. Divers may suffer more than lap-type swimmers. External otitis media starts as an itch and turns into swelling and pain. Eventually, it can even cause the lymph nodes of the neck to enlarge. It can even turn into temporary hearing loss. The goal is to enjoy the swimming and not suffer from an episode of external otitis media, which may cause a grave event. Individuals that frequently suffer from swimmer’s ear or people planning to spend an extended amount of time exposed to water should take steps to avoid this infection. It’s

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).

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You don’t say,

by Jessica Derkis

“The advantage of knowledge is that wisdom preserves the life of him who has it.”

—Ecclesiastes 7:12b

I

t’s never easy to think of oneself as sick or frail or even dying. But does your family know what is important to you in case of such events? A friend recently shared that she had to make decisions for her brother during a very short, catastrophic illness. She went through many of the same emotions I had with several family members: Am I making the right decisions? Am I honoring wishes? Do I know my loved one well enough? Will no one help with these decisions? A kind chaplain, a well-educated caregiver, a listening physician can only carry you so far. If they had only let us know what was important to them, we wouldn’t feel such guilt on top of their loss. It doesn’t have to be that way. That’s why April is National Advance Care Planning Month! Advance Care Planning (ACP) is the product of courageous conversations with your loved ones.

I am so thankful to my mother-inlaw, Marie, who has not only planned for end-of-life care, but also for the inevitable funeral right down to the reception menu! And she is a spunky 66-year-old we don’t expect to go anywhere soon. But what a gift she has given our family! As local elder law attorney Phil Wylkan says, “Get it right and write!” Having all your documents in order is such a help for those medical professionals who will help your family honor your wishes. And that doesn’t always mean spending hundreds or thousands of dollars to make sure your family doesn’t have to wonder what you want or would have wanted. Meet some of the members of the Advance Care Planning Coalition of Greater Toledo at the Senior Health & Safety Fair, to be held on Thursday, April 3 at St. Rose Parish from 9:00 a.m. until 2:00 p.m. They will have more infor-

mation on guiding that conversation and putting it in writing. Plus, the Senior Health & Safety Fair will offer terrific speakers to include:

• Chad Huber of Chamberlain Law Offices: “What is Probate?” • Dr. Dominique Lash: advances in orthopedic medicine • Drs. Jeff and Rachel Elmore: beneficial chiropractic care for seniors.

• Dr. Robert Lavey: Wood County Hospital’s Cancer Care In addition, home health agencies, Center hospice organizations, bankers, care • Sandra Clark of Toledo organizations, funeral planners, comSymphony Orchestra: Brain munities, and other groups specialHealth through Music izing in the distinct needs of seniors • Phil Wylkan of Hall & Wylkan Elder Law: Navigating Senior Benefits • Shannon Miller of Wood County Committee On Aging: meals, programs, outings, and events of the WCCOA • Jessica Derkis of St. Clare Commons: Memory Care and Behavior Based Ergonomic Therapy • Dr. Hares Akbary: Wood County Hospital’s Marie (pictured here with her mother, Harriet) learned while Intervention Pain helping care for her mother that finding out wants and wishes Medicine is very important.

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will be on hand. Whether you’re a well-versed senior, a baby boomer looking to downsize, or a son or daughter looking for ways to start the safety-concerns conversation, you will find something new and interesting at this Health Fair. So, join St. Clare Commons and more than 30 other local services and ministries for the Senior Health & Safety Fair at St. Rose School, located at 215 E. Front St, in Perrysburg. There is no charge, and a continental breakfast and light lunch will be

provided for all participants. In the meantime, if you would like a tour of the Behavior Based Ergonomic Therapy program for memory care, to learn more about St. Clare Commons, a free Assisted Living Shoppers Guide, or the Advanced Care Planning workbooks, contact Jessica at 419-931-0050 or info@stclarecommons.org. Happy Spring! ❦ Jessica Derkis is the marketing director for St. Clare Commons.

by Myles Mellor

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44  April 2014  |  Healthy Living News

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nobody’s perfect Sister Karen Zielinski, OSF

Dung you very much! Wellness Fair offers healthy life changes for everyone!

V

Zoo and the Imagination Station, and other fun events. *Emotional Wellness shares various resources available for better mental health, offers ways to deal with behavioral issues, and provides family tips for drug prevention and ways to listen to and find help for those at risk of suicide. Area professionals will offer handouts and answer questions. *Environmental Wellness will talk about rain gardens and horticulture, and the Lucas County Sustainability Commission and the Ohio State Extension will promote a united effort towards environmental health. *Spiritual Wellness will offer an indoor labyrinth attendees can walk to promote spiritual health and to reduce stress, exhibits to learn about the ancient art of Pysanky (intricately designed painted Easter eggs), and interaction with spiritual directors with ideas for spiritual reflection. There will also be related crafts for children. *Physical Wellness is loaded with things like stretching techniques, nutrition, medical information, blood pressure and cholesterol screening, a healthy cooking demonstration, and lots of resources. There will be refreshments, handouts, and raffle prizes, and admission is free. It’s a one-stop place to load up on total health! ❦

ictor J. Strecher, PhD, MPH, author are often missing wellness for the of On Purpose: Lessons in Life and whole body and soul. When asked Health from the Frog, the Dung Beetle, whether he thinks healthcare today and Julia, will present a talk designed embraces his purpose-centered view, to help people make quantum, mean- he replies simply, “No.” ingful, and fully engaged changes The dung beetle symbolism used in their lives, which can positively in his book is whimsical and pragimpact both physical and matic. Strecher chose the mental health. six-legged creature for his The second annual Sylbook because, “I wanted vania Franciscan Village a sage or an oracle for the Wellness Fair addresses five journey—a Yoda or a Jiminy areas of wellness: social, Cricket character. Then, I environmental, spiritual, discovered Winston on a emotional, and physical. 3,500-year-old Egyptian It hopes to change every cartouche in the British living person who attends Museum. Khepri, the scarby offering a more compreab god of ancient Egypt, hensive embracing of our was the god of rebirth and Victor J. Strecher bodies—God’s creation—in transformation. The model a Franciscan approach. It’s happening for Khepri was the dung beetle.” on Wednesday, April 9, from 3:00Vic Strecher is a Professor and 6:00 pm at the Franciscan Center Director for Innovation and Social in Sylvania, Ohio; Strecher gets the Entrepreneurship at the University whole event rolling with his talk of Michigan School of Public Health. from 3:00-4:00 with the wellness fair He will be available to sign books following right after. after his presentation. Strecher’s “On Purpose” seems like The 2014 Village Wellness Fair a perfect fit for the inclusive health seems like it will deliver—on purpose. fair. As he states, “I believe that our Most local health fairs promote society has lost its way when it comes physical wellness by offering eduto our understanding of ‘health.’ cation, blood pressure screenings, We increasingly equate health with and blood work. Current health longevity. I have a feeling that if we fairs offer physical wellness topics lived to be 200, we’d spend even more like exercise demonstrations and time watching what the Kardashian healthy cooking recipes. sisters are doing or the latest Miley A sampling of topics and exhibits Cyrus twerking video. I’m not con- includes: vinced that we spend much time *Social Wellness, which addresses thinking about a ‘fulfilled life’ or a loneliness and social interaction and life aligned with one’s purpose. Two promotes ways to get involved, like thousand years ago, the Roman Stoic line dancing; Exhibits from the SylSeneca said that ‘When a man does vania Library, visits from the Toledo not know what harbor he is making for, no wind is the right wind.’ I think more people need that harbor.” What is the Sylvania Franciscan Village? Strecher’s unique take on health Formally established in 2009, the Sylvania Franciscan Village choices and making fully engaged (SFV) is comprised of Lourdes University, the Sisters of St. changes in our lives ties in perfectly Francis of Sylvania, and Sylvania Franciscan Health. The with the Wellness Fair, which addresses SFV was formed to harness energies for the greater good the human person as a whole, not just and benefit of those who share the Franciscan mission. Visit a physical person. This wellness fair www.sylvaniafranciscanvillage.org for more information. will be totally complete. Other fairs

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Mercy Sports Medicine gets young athletes back to play promptly and safely

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or any dedicated young athlete sidelined with an injury, the primary objective is getting back in the game to support the team as quickly as possible. The sports-care professionals at Mercy Sports Medicine understand that achieving this objective with a high degree of safety demands prompt intervention and expert, individualized services—a philosophy that has earned them the trust of numerous school districts and sports organizations throughout our region. “We’re currently blessed to be entrusted to provide care for close to 25 different school districts in Northwest Ohio and Southeast Michigan,” says Burton Rogers, Jr., Ed.D, MBA, ATC, PTA, Regional Administrative Director for Mercy Sports Medicine. “Within those contracts, we’re responsible for providing coverage to nearly 45 different schools, including high schools and the junior high schools feeding into them.” In addition to their extensive support of area schools, Mercy Sports Medicine has contractual relation-

46  April 2014  |  Healthy Living News

ships with two major volleyball clubs and the University of Toledo hockey team. This August, they’ll provide trainers, emergent care, and sameday physician consults for the Small College Baseball World Series. In addition, they’re looking to continue their relationship with the Lake Erie Monarchs college summer baseball team. Beginning in fall, they’ll be providing coverage for CYO football and soccer at the Monsignor Schmit Athletic Complex on Holland Sylvania Rd. “We’re also pleased to have been asked to provide athletic training for Sylvania Northview’s Men’s and Women’s Lacrosse and for Northwest Ohio Rugby, a new league that came to our area about a year ago,” Rogers adds. One of the services Mercy Sports Medicine provides to ensure injured young athletes get the quick intervention they need is Saturday Morning Bump Clinic, which is offered throughout football season. A player injured in Friday night’s game can come in to Mercy St. Anne Hospital on Saturday morning to be triaged,

imaged if necessary, evaluated by a physician, and started on physical therapy if appropriate. Those who are started on physical therapy are then seen on Sunday for an additional treatment, so by Monday, they’re in the best possible position to return to practice and hopefully suit up for Friday’s game. The doctors Mercy Sports Medicine works with are all on board with the objective of seeing injured players within 24 hours, and communication among the player, physician, athletic trainer, coaches, and other involved parties is ongoing and thorough. “When you’re on such a tight timeline to get an injured player back in the game safely, it can be catastrophic if something falls through the cracks. So quick entry into our system and maximal communication between everyone in the loop are essential,” Rogers says. Rogers also notes that young athletes, coaches, trainers, officials, parents and anyone else involved with youth athletics should be aware that, as of last April, the State of Ohio enacted House Bill 143, which put in place a new concussion-management protocol that must be followed before concussed athletes can return to play. Under the new protocol, athletes are baseline tested and their score is recorded. If injured, they’re given the same test again to quantify their status. If they are concussed—or even perceived to be concussed—they must be withheld from play and evaluated by a physician. Before getting back in the game, the young athlete must go through a several-day process of gradually increasing physical activity to determine whether an increased level of exertion causes symptoms of concussion to return. If symptoms don’t recur, the athlete is gradually returned to play, but if they do come back with increased exertion, the player

is referred back to the physician for further evaluation. It’s also important to understand that concussions aren’t limited to just football and hockey. In fact, no sport is exempt. According to Rogers, one “non-contact” sport that has a surprisingly high incidence of concussion is soccer, specifically women’s soccer. Concussions can occur when soccer players head the ball or two players going after the same airborne ball run into each other headfirst. “We’re also beginning to look at whether repeated trauma from heading the ball has a cumulative effect. Evidence from recent studies shows that the same brain tissue damage that can occur in football and hockey players—known as chronic traumatic encephalopathy—can also occur in soccer players,” he says. In addition to concussion, Mercy Sports Medicine professionals commonly see a wide variety of lower-extremity injuries, such as ankle sprains, knee sprains, and ACL injuries, as well as low-back pathologies related to a variety of factors such as weak core musculature, one leg being longer than the other, and foot mechanics. Rogers observes that overtraining is another major issue for young athletes. “I’ve seen athletes who practice at school for two hours and then head right to the gym afterward to work out more. Down the road, they often find that they actually have less function because they don’t allow for any recovery time,” he comments. From the standpoint of prevention, Mercy Sports Medicine trainers work proactively with their young athletes to strengthen key muscle groups so they can hopefully keep injury at bay. They also support efforts to reduce the risk of overuse injuries in young athletes, such as establishing pitch counts (restricting baseball pitchers to a certain number of pitches over a certain number of games and a certain number of days)

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for little league. Asked what advice he would give parents of young athletes, Rogers replies, “Never overlook what you think could be a problem. So often, athletes come to us five days down

the road with an injury that they, their parents, or the coach wanted to ‘wait and see if it will get better.’ We’re advocates of early intervention. If you’re suspicious of anything, get it checked out.”

Rogers also advises parents to be careful about their kids overtraining or participating in multiple sports simultaneously. “Personally, I recommend a down season for kids. Beyond the physical recovery, they need time to recharge emotionally. In fact, everyone needs time to recover—not just the players, but also their families,” he adds. The good news is, when young athletes are injured, their still-growing bodies lend themselves to quicker recovery. In some cases this can be a challenge because as soon they start to feel better, they want to get right

back onto the field or court whether they’ve healed completely or not. “But when they’re compliant with rehab, they recover very well,” says Rogers. “The key is early intervention. We’re very service-driven, so any time an athlete in our care gets injured, our goal is to initiate treatment as quickly as possible. The sooner we intervene, the sooner the young athlete can get back in the game.” ❦ For more information about the Mercy Sports Medicine Program, or for an immediate referral, contact 419-2514000.

Perhaps the most important article you’ll ever read by Russ Wakefield

A

bodacious statement? Hopefully, but just what is “bodacious”? The word bodacious, meaning “outlandishly bold,” comes from the name Boudicca, a Celtic queen. After her husband was killed by Roman soldiers, she led her people in several amazingly successful battles against the Roman army before finally being defeated. Hopefully this article will keep you out of the wheelchair and away from the walker and help you maintain a high level of physical ability to the end of your life—making you good to the last drop. Worthwhile goal, wouldn’t you

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say? But just how? Over the years, I’ve asked fitness enthusiasts and trainers alike, “What is exercise?” I can count on one hand anyone that had a working definition. Now, they could describe the desired state of fitness, but they couldn’t define exercise. Now a little history of who I am and a definition of what exercise is. Over 40 years ago, I suffered from tuberculosis. It caused such a reduction in my function, health, and appearance that you might have thought I had just been released from a gulag. I weighed about 114 pounds, and it was tough to just get through the day, let alone screw up the courage to exercise. At that time, most people were exercising, and those who did so exercised about 10 to 20 hours a week. I joined a local gym, where I met quite a collection of fitness characters. I followed their advice and got nowhere. Have you ever seen those commercials about “the most interesting man in the world”? I met him, and he was Arthur Jones. Back when I was suffering with tuberculosis, I read about him in a national magazine and called on a Sunday to leave a message for some free information. He picked up the phone, which I didn’t expect, and simply said, “Jones here!” I told him my story, and he replied. “Son, you don’t go to a horse to learn how to win a horse race; you go to a horse trainer. I’m a horse trainer!” I told him I didn’t know what he meant. He continued, “Those men you’ve been talking to

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are merely prize bulls on steroids. It would take me five years to unlearn everything they think they know.” Over the next three hours, he set me straight. He reduced my exercise time down from 10.5 hours a week to one hour per week. Results? In six weeks, I improved 7,000% over what I did the previous year and a half, representing about 750 hours of exercise versus the six hours I spent doing it correctly. Arthur asked me, “If it really took 10 hours a week, would it be worth it?” He added, “Russ, don’t confuse your genetics for knowledge on the subject. We’ll teach you what works!” That was 40 years ago. We now know it requires even less time exercising to get all the benefits, including: • Building strength and muscle mass • Improving your basal metabolic rate • Lowering your body fat percentage • Increasing your aerobic capacity • Improving your body’s bloodsugar tolerance • Improving your LDL/HDL cholesterol ratio • Lowering your blood pressure • Increasing your bone density • Improving your body’s ability to regulate its internal temperature. 10.25x5_ES_NurseMaggieAd_HL_314_HI.pdf

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©2014 Elizabeth Scott Community

If you believe you don’t have the

time to stimulate your body to a high level of functional ability, it’s just not true. It takes so little time to get worthwhile results without injury or hours in the gym. Here’s the definition of exercise from Ken Hutchins that we profess at Triggerpoint:

Exercise is a process whereby the body performs work of a demanding nature, in accordance with muscle and joint function, in a clinically controlled environment, within the constraints of safety, meaningfully loading the muscular structures to inroad their

strength levels to stimulate a growth (cascade of beneficial changes) mechanism within minimum time. ❦ Russ Wakefield is the CEO of Triggerpoint. For more information, please visit Triggerpoint-pt-Toledo.com.

By Mark S. Faber, USPTA Elite Professional

Tennis pro vs. tennis teaching professional

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ver the past few months, I have shared with Healthy Living News readers many opportunities and reasons to give tennis a try. This month, I am going to take a step back from what has become the norm of this monthly article and share some insight on those who actually deliver the tennis product, the “tennis pros.” First and foremost, I should emphasize that the term “tennis professional” can be somewhat misleading. When people hear the phrase “tennis professional,” they instantly think of Roger Federer, Rafa Nadal, Venus Williams, and so forth. The better term for what we do is “tennis teaching professional.” Although, there are teaching professionals who have played professional tennis, the majority of us have not. Don’t get me wrong; many have played tennis at 1a very 3/19/14 11:40 AM high level; it’s just that most

of us have not played on TV. One might then ask, what is a tennis teaching professional? There are all types of teaching professionals, and finding the right individual who fits your needs is key. One thing to look for when choosing a teaching tennis professional is certification by one of the teaching organizations in

the world. The two most popular associations are the United States Professional Tennis Association (USPTA) and the Professional Tennis Registry (PTR). Both of these organizations provide training and continuing education for their members and help them stay on the cutting edge of all levels of tennis.

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49


Teaching professionals who are certified by one or both of these associations have received education or have the opportunity to receive education in some of the areas I have mentioned in previous articles: 10 and under tennis, cardio tennis, and entry-level tennis to name just a few. The USPTA is stepping up its efforts to help the teaching professional become more educated by joining forces with both the PTR and PTA to create an online training program at coachyouthtennis.com. By no means am I saying that if a teaching professional is not certified, he or she is not a good teaching professional. I have had several friends who were not certified yet were good teaching professionals. Nonetheless, you can be confident that certified teaching professionals have been trained and have received, or have had the opportunity to receive, continuing education to not only improve their own skills, but more importantly, the skills of their students. If you would like more information on the USPTA or PTR, please visit uspta.com or ptrtennis.org, respectively. ❦

For babies, it’s back to sleep in their own bed!

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leeping in the same bed with a baby may seem perfectly natural to parents who want to ensure their child feels loved, protected, and reassured throughout the night— and especially to exhausted nursing moms who must wake repeatedly for nighttime feedings. But according to Dean Sparks, executive director of Lucas County Children Services (LCCS), this simple, loving act can actually put babies’ lives in danger. In 2012 alone, there were 16 sleep-related infant deaths in Lucas County. In fact, with the exception of medical-related fatalities, sleep-related incidents were the number-one

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50  April 2014  |  Healthy Living News 92.5

cause of infant death that year, surpassing drowning, fire, and all other categories. “We’ve seen a high concentration of babies dying unexpectedly from sleeping in an unsafe environment,” Sparks explains. “These tragedies have occurred in a variety of different circumstances, but the common denominator is usually the child sleeping with the parents. We don’t necessarily consider these cases of child abuse or neglect, but we need to change this practice.” When an adult co-sleeps with an infant, it’s all too easy for the much-larger adult to inadvertently roll onto the child, causing asphyxiation or severe injury—especially if the adult is impaired by drugs or alcohol. Even if the adult doesn’t actually roll over the baby, there’s a significant risk of the baby’s airway being blocked by bed linens, blankets, or pillows, or, if the bed is positioned against a wall, that that the infant will become trapped between the sleeping parent’s body and the wall. Sparks advises, “Babies must be in their own crib or bassinette, by themselves, with no blankets, toys, bumper pads, or other objects. The sheet should be tight-fitting, and the child should be in a onesie. Also, it’s very important to put babies down to sleep on their backs, not their tummies. When my kids were little, parents were told to keep babies on their tummies in case they spit up during the night, but now the phrase we want parents to remember is ‘Back to Sleep.’” For parents who can’t afford to buy a crib or bassinette for their baby, our community has a program through the Toledo-Lucas County

Health Department, called Cribs for Kids, that will provide them a pack ‘n play portable crib as well as an educational program on safe sleeping practices for babies. Sparks also reminds parents that with April being designated Child Abuse Prevention Month, now is a good time to refocus on issues such as appropriate discipline, the dangers of shaking babies, and the importance of providing close supervision around pools (three Lucas County kids drowned in pools last year), streets, and other danger zones as we head into the warmer months. To help raise community awareness of the tragedy of child abuse and neglect in Lucas County, LCCS is urging area residents (and their friends, families, and co-workers) to take part in the annual “Wear Blue” campaign on April 9. Now in its third year, the campaign encourages residents to wear blue on this special day to demonstrate their unified resolve to eradicate child abuse—a tragedy that is totally preventable. Participants are encouraged to share photos of themselves decked out in blue with everyone in the community by posting them on LCCS’s Facebook page, facebook. com/LucasCountyChildrenServices; tweeting them to @LucasCoOHKids; or emailing them to information@ co.lucas.oh.us. “Also, word has it that members of the local art community may once again subject our agency’s building to a blue ‘yarn bombing,’” states Julie Malkin, public information officer for LCCS. “Last year’s yarn bombers had so much fun doing it that they decided to come back for more!” On a more somber note, on April 25 at 11:30 a.m., LCCS invites the public to attend its annual Child Memorial to commemorate Elaina Steinfurth, who died last year as a result of maltreatment. This solemn ceremony, which will include raising the Child Memorial flag and musical performances by the Scott High School choir, will be held at the agency’s offices at 705 Adams Street in Toledo. “We think about Elaina a lot,” Sparks says. “It’s tragic whenever a community loses a child, especially under such terrible circumstances. We urge everyone in the community to join us in honoring her on April 25.”❦

on April 9th

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A Walk in the Park LeMoyne Mercer

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egular readers of this column are aware that Shirley and I are history buffs. When we travel, we are looking not only for scenic attractions and good trout fishing, but also for places with historic significance. That includes destinations like Colonial Williamsburg and Valley Forge; the homes of Washington, Jefferson, Madison, and Monroe; Yorktown where Cornwallis surrendered, ending the Revolution. We have followed, generally, the route of Lewis and Clark up the Missouri to Lemhi Pass, where they crossed the Continental Divide, and then down the Lochsa River to the Columbia and on to Fort Clatsop on the Pacific coast. For sheer number of sites, though, nothing compares to the Civil War battleground parks, beginning with Fort Sumter in Charleston Harbor where the whole thing began on April 12, 1861. The most successful Union general, eventually, was U. S. Grant. But not until President Lincoln had tried McDowell, McClellan (twice), Burnside, Hooker, and Meade. Grant was put in charge after his success in the West, that is, in the Mississippi Valley.

Take it for granted

Landing, about five miles north of Johnston’s position. His plan was to drive Grant’s army into the swamps and cut off the escape route. At the front of the Union army were the green troops of Gen. Sherman’s Fifth Division and Prentiss’s Sixth Division, who were being drilled and taught army discipline. No action was anticipated, and Grant was not even with his army at the time because his horse had fallen on him, injuring his leg. He could barely get around on crutches. Johnston wanted to launch a surprise attack at 3 a.m. on April 5, but storms produced muddy roads and delayed the transmission of orders so the advance was a day late getting started. Meanwhile, Beauregard had issued orders that conflicted with Johnston’s plans. By the time Johnston learned about it, the march had begun and it was too late to change things.

That success came first at Forts Henry and Donelson in middle Tennessee, both of which he captured between Feb. 8 and 16, 1862. In the process, he earned the nickname “Unconditional Surrender” Grant. Before those victories he had not been held in high regard by his superiors. The loss of the forts caused the Confederates under Generals Albert Sidney Johnston and P. G. T. Beauregard to regroup at Corinth in northern Mississippi. Grant proceeded up the Tennessee River to the Mississippi state line where, on April 6 and 7, the bloodiest battle of the war, to that point, was fought. Part of his army camped at a little Methodist country church called Shiloh. Johnston decided to attack Grant’s Army of the Tennessee before he could be reinforced by Gen. Don Carlos Buell’s Army of the Ohio. Most of Grant’s army The Union iron-clad gun boat USS Cairo spent a century was on the west bank of buried in Mississippi mud until it was resurrected and put the Tennessee at Pittsburg on display at the Vicksburg Military Park.

Even so, the Confederates surprised and overran Prentiss’s green troops, pushing them about a mile along a sunken road. The Union troops eventually rallied and used that road as a trench from which they could fire on Rebel forces that made a dozen attempts to advance across an open field. Rebels referred

The cemetery at Shiloh testifies to the bloody nature of the battle: The Union lost 13,047 killed, wounded, and missing. The Confederacy lost 10,694, including their commanding general.

to that part of the battle as The Hornet’s Nest because of the intense fire they drew every time they tried to move forward. Later, Grant noted that you could walk across the field “stepping on dead bodies without a foot touching the ground.” But there was more to come. Prentiss held out until 5 p.m. when he was finally outflanked and forced to surrender his 2,200 men. The surrender itself further slowed the Rebel advance while they sorted things out. This gave Grant time to arrive on the scene and form another defensive line that held off other attacks until nightfall. Among the most

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Monuments to Gen. U. S. Grant always remind me of a trivia question: Who is buried in Grant’s tomb? A: No one. Grant’s tomb in NY City is above ground. Grant was not buried.

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Grant continued the conquest of the Mississippi Valley that split the Confederacy in two and ultimately led to its downfall. Shirley and I visited the Shiloh National Military Park by taking a short detour from the Natchez Trace that runs between Nashville and Vicksburg. We picked up a park map and took the auto tour after watching Tennessee provided a grand monument at Shiloh. The battle was fought near a little country church on the Tennessee River.

critical losses to the Confederates on the first day of battle was the mortal wound sustained by Gen. Johnston. Beauregard, who took command, decided not to make another assault just before sundown. That night, Union gunboats came up the Tennessee to shell Rebel positions. Every ten minutes, Union shells crashed into their campsites, which were made even more miserable by torrential rains and mud. In addition, Buell’s army arrived from Savannah, TN to reinforce Grant. In the morning, it was the Union’s turn to push the Rebels before them. At 2:30 p.m., Beauregard ordered a withdrawal. The loss at Shiloh dashed any Southern hopes of retaking western and middle Tennessee.

The monument of the 1st and 3rd Mississippi regiments is not what you might think. They were African-American soldiers serving in the Union army.

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!

1

Call your local USTA League Tennis Coordinator.

2

Register via usta.com and select TennisLink option.

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Play Tennis and have fun!

ATTENTION USTA League Tennis Players: We would like to thank and congratulate all of our players who participated in the 18 & over, 40 & over and 55 & over leagues this year. A special congratulations to the 3.0 Men’s 18 & over team captained by Chris Cunningham that will be advancing to the National Championships - Good luck!

Congratulations to all of our District Champions! 52  April 2014  |  Healthy Living News

NWO USTA League Tennis Coordinator

Amy Beaverson 419-472-1095 nwotaleagues@att.net

the half-hour film at the visitor center. Locations on the map identify troop positions during different phases of the battle. Aspects of the battle were horrendous even compared to the usual level of horror in any war. The Bloody Pond, for example, is where soldiers from both sides went for water to drink and bathe their wounds. It was given that name because of all the men and horses who died there, turning the water red with their blood. The monuments at Shiloh are modest by Civil War battlefield standards, but the sacrifices made there The Illinois monument at Vicksburg is simwere definitely not modest by any ilar to the New York monument at Gettysstandard. burg. Union victories in the battles were From Shiloh, Grant’s next major virtually simultaneous and were celebrated as objective was capturing Vicksburg. The Glorious Fourth throughout the North. President Lincoln had identified it as the key to controlling the Mississip- Grant marched his forces down the pi River and thus the cotton-based west bank of the Mississippi and economy of the South. “Vicksburg is crossed over at Bruinsburg, south of the key,” he said. “The war can never Vicksburg, with the help of Admiral be brought to a close until that key Porter ’s navy ships. The crossing is in our pocket.” succeeded because of an elaborate It was also key because control of series of diversions that kept the the Mississippi was crucial for the Confederates from figuring out what economy of the Union as well. Grain he was up to. and manufactured goods from what Grant moved inland, fighting a is now the Midwest went to market series of five battles until he captured via the Father of Waters. Lincoln knew Jackson, the state capital. Grant’s this from personal experience. As a forces defeated Confederate Gen. young man, he had been a flat-boater, John Pemberton at Champion Hill taking goods down the river. While and chased the remnants of his army he was learning about its economic to the fortress at Vicksburg. After importance, he also saw firsthand trying two bloody assaults, Grant the moral implications of slavery in established siege lines and gradually the South. tightened the noose by trenching In December of 1862, Grant set out ever closer. There are now placards to put that key in Lincoln’s pocket. on the battlefield that show just how In January, Confederates at Ar- very close those lines were. Eventukansas Post were defeated and Grant ally Federal and Confederate troops proceeded to make five attempts to capture Vicksburg with combined infantry and gunboat attacks. They all failed. What distinguished Grant from Union generals in the East was tenacity. Typically, when they suffered defeat—which they usually did when confronting Lee and Jackson—they withdrew to lick their wounds and think about it for a while. When Grant There are numerous antebellum mansions in Vicksburg open to was thwarted at one the public for guided tours. Even if you are not a Civil War buff, point, he would find a trip to Vicksburg in the spring is still a real treat. And if you another point and don’t like architecture, there is always the food. If you don’t like keep forging ahead. food, take a carriage ride. If you don’t like carriages, try river In March, 1863, boat gambling. If...never mind. We love feedback. Like us on Facebook. Follow us on Twitter.


could engage in casual conversation when they had declared unofficial ceasefires. After 40 days, on July 4, 1863, Pemberton was forced to surrender because the city was out of food and his soldiers were out of ammunition. The day before, Lee had been defeated at Gettysburg, so the Union celebrated two major victories within 24 hours. Taken together, Gettysburg and Vicksburg signaled the end of the Confederacy even though the war continued for almost two years. Because of his success at Vicksburg, Grant was promoted to Lieutenant General and put in charge of all Union forces. In the East, those forces were often demoralized because their leadership seemed so inept compared to Robert E. Lee. Union commanders were always worried about what Lee was going to do next. Grant was determined to make Lee worry about what he was going to do next. Soldiers on both sides learned to take it for granted, so to speak, that no matter what happened, Grant was going to keep pressing forward. The Vicksburg National Military Park is almost as impressive as Gettysburg. In particular, the domed monument erected by the State of Illinois is reminiscent of the New York monument at Gettysburg. Ohio is well represented not by a huge monument, but by separate ones for each of the 39 regiments that were sent by our state. A special feature at Vicksburg is the recovered and partially restored iron-clad gun boat USS Cairo. That’s pronounced Kay-ro for the city in Illinois, not the one in Egypt—as in they say Leema; we say Lima. The navy played a critical role in the capture of Vicksburg, and it is only fair that Grant should share some of the credit with Admiral David Porter. Some of you may not be as excited about Civil War sites as Shirley and I are. Even so, the trip down the Natchez Trace is a pleasure, especially in the spring. Furthermore, Vicksburg is a pretty town, proud of its heritage, that features tours of gorgeous antebellum mansions. Consider a web search for a list of the homes you might like to visit. We have been to Vicksburg several times and have always found the experience just a walk in the park. ❦

Today’s memorial services aren’t limited to being six feet under

“N

othing is certain except for death and taxes.” While there’s a lot of debate around exactly who coined that phrase, the fact remains: we all do pay taxes (especially significant this time of year) and, eventually, we’re all going to die. And while death can be a very sad and emotional occasion, it’s also a time to celebrate a life well lived and a person well loved. A funeral used to consist of two or three days of visitation at the funeral home and a memorial or church service the last morning, followed by a procession to the cemetery for burial. Today, in most cases, visitation lasts only a day, with the memorial service, procession, and burial the next. What people don’t realize is that this same arrangement can be used for a cremation service. Why are families treating the remains of a loved one differently today than in years past? “With both traditional burial and cremation, we believe the end result is the same: to provide a place for families to come and remember,” says Jeff Clegg, president/CEO of Toledo Memorial Park. “Cremation simply requires a much smaller container.

With that also comes several unique choices for one’s final resting place.” Cremation continues to be an option for many families. A study conducted by the Cremation Association of North America (CANA) found a constant increase in the percentage of deaths resulting in cremation between 1985 (15 percent) and 2007 (34 percent). The trend is expected to continue, reaching 56 percent by 2025. While the decision is a very personal one, CANA research shows these to be among the factors for consideration when making the cremation decision: • People are living longer and choosing cremation for themselves. • More people are moving to retirement destinations in other regions. • Cremation has become acceptable. • Religious restrictions are diminishing. • Flexibility and options in memorial services are increasing. It now comes with more options than just scattering the ashes over land

or water or placing them in an urn on the mantle. “Cremation—especially in a pre-planning setting—allows you to choose exactly what you want. The options are endless,” says Clegg. “It doesn’t have to eliminate funeral or graveside services—and in many cases it can be followed by a ground burial. What you can do is tailor the service in the way that’s most meaningful to your loved one—or even yourself.” The funeral home still serves in the traditional role, as a venue for visitation and often the service, completing the proper death documentation, preparing the body for burial, and turning it over for inurnment. At Toledo Memorial Park, cremation accounts for about 30 percent of the burials. That number has remained steady over the past six or seven years, despite the fact that the total number of burials has been on a steady decline (strictly due to the number of people choosing cremation). Toledo Memorial Park offers nine options for cremation burial, including Swan Lake, Nature’s Crossings, Veteran’s Monument, Angel Urn Garden, Chapel of Peace, and more. Even with the scattering option,

419-843-6106.

LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park. Connect with our advertisers via our online issue at www.hlntoledo.com   |  Healthy Living News  |  April 2014

53


the death is recorded and a memorial is provided, whether as a granite marker placed along Acacia Lake or a bronze butterfly placed on a granite boulder at Nature’s Crossing, which is even more essential in these days of genealogy. “We’ve invested close to one million dollars in mapping and documentation within the park. We’re able to locate anyone regardless of the type of burial they choose,” Clegg says. He adds that he sees an increase in pre-planning, which not only ensures that all of the wishes are met, but also alleviates the family’s financial and emotional burden of having to make final arrangements. “In any industry, costs can be expected to double over a 10-year period. People can lock in today’s prices and often have the services paid off long before they are needed—but still have the options to make changes and pay for upgrades over time.” Over the last three years alone, Toledo Memorial Park’s pre-need trust has grown to more than a half million dollars. It comes down to preserving memories, any time that feelings and emotions call us to be closer to the ones we have lost. “Everyone wants to be remembered in some way, whether they want to admit it or not,” says Clegg. “Most people want a set place where they can honor their loved one, not just on a holiday, birthday, or special occasion, but rather any given day of the week. Permanent memorialization not only provides a lasting tribute to a loved one, but also gives peace of mind and a place of pilgrimage. Caring about and remembering others is what life and memorialization are all about.” ❦

Summer Camps

Continued from page 19

for Fitness, and group and private swim lessons. St. James Club is also offering gymnastics, tumbling, and, new this summer, tennis lessons. For complete program information, please visit www.stjamesclub.net or call 419-841-5597.

Toledo Botanical Garden Children’s Education Summer Programs ❑ Pioneer Life 54  April 2014  |  Healthy Living News

Tuesday, June 17, 2014, 9 a.m.–noon. Travel in time as you discover our 200-year-old Peter Navarre cabin. Get firsthand experience with grinding corn, making butter, cutting wood, and the other chores, challenges, and joys of life as a pioneer. When chores are done, play games from the 1800s and make a toy to keep. $18 members, $20 non-members. Ages 6–12. Limit 20 Pioneers.

❑ Pioneer Life—Part 2

Tuesday, June 24, 2014, 9 a.m.–noon. Session two allows us time to go into fire starting skills, tracking, twine making, and other primitive outdoor skills used by pioneers of old as well as nature lovers of today. $18 members, $20 non-members. Ages 6–12. Limit 20 Pioneers.

❑ Fairy Gardens

Wednesday, June 25, 2014. 9 a.m.– noon. These whimsical gardens are as much fun to create as they are to care for. Girls and boys alike can create miniature adventure lands for fairies and princesses as well as dinosaurs, dragons, gargoyles and gnomes or even construction trucks! Attendees will receive a container, soil, plants, landscaping materials, and two miniature accent pieces. Additional miniatures of all sorts will be available for purchase, or bring your own. Come prepared with extra pin money to “personalize” your garden. We will conclude by sharing “fairy tales” about our gardens! $18 members, $20 non-members (plus extra miniatures if purchased). Ages 6–12. Limit 20 Story Makers.

❑ Blooming Artists

Two opportunities: Thursday, July 10, 2014, and Thursday, July 24, 2014, both 9 a.m.–noon. Easels set up throughout the garden will provide your canvas to experiment with chalk, pencil, and watercolor. Staff will be on hand to assist each artist and offer input. Participants will take their priceless “originals” home. Each class: $18 members, $20 non-members. Ages 6–12. Limit 20 Artists.

❑ New this year! The Young

Entrepreneurs and Philanthropists Mini Camp! YEP classes offer a unique opportunity for participants to design, create, and market handmade products related to nature and then sell them at the TBG Summer Plant Sale. Proceeds will be used to support future TBG programming. The Mini Camp consists

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of two sessions: a three-hour class during the week to create the product and an afternoon class on Friday, July 18, 2014 during the Plant Sale where they will put their advertising and marketing plan into action to benefit the less fortunate. Each participant will be asked to work at least a onehour shift between 3 and 7 p.m.

❑ YEP Homemade Botanicals—Tuesday,

July 15, 2014, 9 a.m.–noon. Using herbs and flowers in our garden, each participant will create their own unique organic products (such as soaps and candles) and design labels to market and personalize each item. The fee covers materials needed to make two of each product, one to keep and one to donate. $23 members, $25 non-members. Ages 8 and up. Limit 20 Crafters.

❑ YEP/Yard Art—Two sessions:

Wednesday, July 16, 2014, 9 a.m.– noon, and 5:30 to 8:30 p.m. Using resources from nature as well as discarded treasures and repurposed household objects, artists will create one-of-a-kind yard art items for others to buy and enjoy! The fee covers all materials needed to make two of each product, one to keep and one

to sell. Mom and Dad, be a kid again by creating yard art with your child. Attend as your child’s assistant for no charge or as an individual participant for an additional $20. $23 members, $25 non-members. Ages 8 and up. Limit: 20 Crafters. ❦

Toledo Zoo Summer Safari Camps Engage and educate your child with five-day camps at the Toledo Zoo during the summer. We keep kids’ minds as active as they are with Toledo Zoo Summer Safari Camps. Children in each age group explore Zoo topics and interact with live animals. We’ve got terrific topics to engage the interests of children, enrich their summer experience, and expand their science awareness—all while they’re having fun. For more information on any of the camps, please call 419-385-5721 ext. 2042 or email peggy.coutcher@toledozoo.org. June 9 to 13 Penguins to Polar Bears (ages 4 and 5) Dinosaurs! (ages 6 to 10)

Zoo Scene Investigation (ages 6 to 10) If I Ran the Zoo (ages 8 to 10) Junior Zookeeper (ages 11 to 14) June 16 to 20 Shake, Rattle, and Roll (ages 4 and 5) Wild Artist (ages 6 and 7) Africa Safari (ages 6 to 10) Camp Penguin (ages 6 to 10) Fishing Camp (ages 8 to 10) Junior Zookeeper (ages 11 to 14) June 23 to 27 Animal Giants (ages 4 and 5) Rainforest (ages 6 to 10) Zooper Heroes (ages 6 to 10) Enrichment and Training (ages 8 to 10) Junior Zookeeper (ages 11 to 14) Junior Field Researcher (ages 11 to 14) July 7 to 11 Shake, Rattle, and Roll (ages 4 and 5) Africa Safari (ages 6 to 10) Zoo Scene Investigation (ages 6 to 10) Enrichment and Training (ages 8 to 10) Junior Zookeeper (ages 11 to 14) July 14 to 18 Penguins to Polar Bears (ages 4 and 5) Wild Artist (ages 6 and 7) Dinosaurs! (ages 6 to 10) Camp Penguin (ages 6 to 10) Fishing Camp (ages 11 to 14)

Junior Zookeeper (ages 11 to 14) July 21 to 25 Shake, Rattle, and Roll (ages 4 and 5) Wild Artist (ages 6 and 7) Rainforest (ages 6 to 10) Zooper Heroes (ages 6 to 10) Junior Field Researcher (ages 11 to 14) Junior Zookeeper (ages 11 to 14) July 28 to August 1 Animal Giants (ages 4 and 5) Dinosaurs! (ages 6 to 10) Rainforest (ages 6 to 10) If I Ran the Zoo (ages 8 to 10) Junior Zookeeper (ages 11 to 14) August 4 to 8 Penguins to Polar Bears (ages 4 and 5) Africa Safari (ages 6 to 10) Zooper Heroes (ages 6 to 10) If I Ran the Zoo (ages 8 to 10) Fishing Camp (ages 8 to 10) Junior Zookeeper (ages 11 to 14) August 11 to 15 Animal Giants (ages 4 and 5) Zoo Scene Investigation (ages 6 to 10) Camp Penguin (ages 6 to 10) Enrichment and Training (ages 8 to 10) Junior Field Researcher (ages 11 to 14) Junior Zookeeper (ages 11 to 14) ❦

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56  April 2014  |  Healthy Living News

The Art and Science of Beauty Botox for a more youthful face by David F. Baehren, MD, FACEP

Y

ou may be considering ways to look younger. Specifically, you may want to do something about your face. The face, and particularly the region around the eyes, is the window not only to your soul, but also to your birth certificate. Many people want to appear more youthful. This is why there are so many alternatives for facial rejuvenation. Options include cosmetic surgery, laser facial treatments, facial peels, facial fillers, medication to grow eyelashes, permanent eye makeup, a wide variety of cosmetic creams (cosmeceuticals), and Botox. You may not want to invest the time and money into a long-lasting solution such as cosmetic surgery, but perhaps you would like to improve your appearance without doing something drastic. Botox could be a great option for you. Botox is a brand name for botulinum neurotoxin. It is one of several brands that can be used to accomplish the same goal. Like Kleenex and Rollerblade, the brand name has been so heavily linked to the product that the words are used interchangeably in casual conversation. For that reason I will use the word Botox. Facial wrinkles, specifically wrinkles that come with motion of the face, are the problem, and Botox is the solution. Wrinkles form when muscles in the face contract. If we can make these muscles temporarily unable to contract, fewer wrinkles will form. Botox is very potent, and only a tiny amount is required to prevent the nerve signal from getting to the muscle fibers. It acts gradually over several days and has a peak effect at about two weeks. Duration of effect varies between individuals and how expressive a person is with their face, but typically the treatment will last for three to four months. Most injectors will ask patients to return at two

weeks to inject additional amounts or areas if the initial injections are not fully effective. Botox is approved by the Food and Drug Administration for treatment of the lines that form between the eyebrows with a stern or frowning face, commonly called 11s, and with crow’s feet that come with squinting or smiling. The drug is commonly used off label, without FDA approval, in the forehead and at bunny lines that form when raising the nose. Botox has been used safely in these areas for years. Certain medications, allergies, or previous surgery may cause the injector to lower the dose or to recommend against using Botox. Risks of using Botox are few, but you should consider them before consenting to injection. The eyebrow may drop down, or the upper eyelid may become weak. These complications can be avoided by proper injection site selection, mixing the medication in small volumes, and being conservative about the initial dose that is used. Limited bleeding, bruising, or swelling can occur at the injection site. It is important to understand that when using Botox, you are trading wrinkles for less movement or animation of your face. Most people prefer the happy medium of a reduction of wrinkles without causing a completely frozen appearance of the face. In the hands of a properly trained injector who is meticulous about technique and documentation, Botox treatment is quick, nearly painless, and safe. And it is a solid investment in feeling great about the way you look. ❦ David F. Baehren, MD, FACEP, is the medical director for Aesthetics Group.

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By Carol Klotz

D

Great sleep can be yours

id you know that 10% of Americans suffer from sleeping problems, while fully 25% report not getting enough sleep at least on occasion? (National Sleep Foundation at www.nationalsleepfoundation. org.) These numbers may even be higher. You do know, however, that lack of sleep can make you grumpy and foggy. You may not know what it can do to your sex life, memory, health, looks, and even ability to lose weight. Here are some surprising—and serious—effects of sleep loss (sourced from WebMD):

Sleep loss can “dumb you down”

Sleep plays a critical role in thinking and learning. Lack of sleep hurts these cognitive processes in many ways. First, it impairs attention, alertness, concentration, reasoning, and problem solving. This makes it more difficult to learn efficiently. Second, during the night, various sleep cycles play a role in “consolidating” memories in the mind. If you don’t get enough sleep, you won’t be able to remember what you learned and experienced during the day.

Sleep deprivation can lead to serious health problems

Sleep disorders and chronic sleep loss can put you at risk for heart disease, heart attack, heart failure, irregular heartbeat, high blood pressure, stroke, and diabetes. According to some estimates, 80% of people with insomnia—a sleep disorder characterized by trouble falling and staying asleep—also have another health condition.

Lack of sleep can age our skin

Most people have experienced sallow skin and puffy eyes after a few nights of missed sleep. But it turns out that chronic sleep loss can lead to lackluster skin, fine lines, and dark circles under the eyes. When you don’t get enough sleep, your body releases more of the stress hormone cortisol. In excess amounts, cortisol can break down skin collagen, the protein that keeps skin smooth and elastic. Sleep loss also causes the body to release too little human growth hormone. When we’re young, human growth hormone promotes growth. As we age, it helps increase muscle mass, thicken skin, and strengthen bones. “It’s during sleep—what we call slow-wave sleep—that growth hormone is released,” says sleep expert Phil Gehrman, PhD. “It seems to be part of normal tissue repair— patching the wear and tear of the day.”

Lack of sleep can kill sex drive

Sleep specialists say that sleep-deprived men and women report lower libidos and less interest in sex. Depleted energy, sleepiness, and increased tension may be largely to blame.

Lack of sleep can make you forgetful

Trying to keep your memory sharp? Try getting plenty of sleep. In 2009, American and French researchers determined that brain events called “sharp wave ripples” are responsible for consolidating memory. The ripples also transfer learned information from the hippocampus to the neocortex of the brain, where long-term memories are stored. Sharp wave ripples occur mostly during the deepest levels of sleep.

Losing sleep can make you gain weight

When it comes to body weight, it may be that if you snooze, you lose. Lack of sleep seems to be related to an increase in hunger and appetite, and possibly to obesity. According to a 2004 study, people who sleep less than six hours a day were almost 30 percent more likely to become obese than those who slept seven to nine hours.

Sleepiness can cause accidents

Sleep deprivation was a factor in some of the biggest disasters in recent history: the 1979 nuclear accident at Three Mile Island, the 1966 nuclear meltdown at Chernobyl, and others. But sleep loss is also a big public-safety hazard every day on the road. Drowsiness can slow reaction time as much as driving drunk. The National Highway Traffic Safety Administration estimates that fatigue is a cause in 100,000 auto crashes and 1,550 crash-related deaths a year in the US.

start for me. Yesterday, I got up and cleaned two of four bathrooms at home! My energy level seems to be coming back. I’ve been paying a cleaning service to clean my whole house. Each day I can do more. Way to go XALO!

Kim T.—I’ve been drinking Ageless for about eight days now. I am starting to notice some gradual changes with some spots I have on my face. I am hoping soon they will be gone. What’s insane is my energy level. It is off the hook! Let’s talk about my moods… what moods? I only have one mood, and that’s a great one! People think I’ve lost my mind, and that’s the way I like it! Life is too short not to have a whole bunch of fun. Yippee! Ann T.—The first morning after taking XALO, I noticed that my usual morning stiffness was gone. I felt refreshed and ready to face the day. Now, after four nights, I realize that not only is the stiffness gone, but I am falling asleep quickly and sleep well, without tossing and turning. And, my restless leg symptoms are gone. Can’t wait to discover more changes! Lisa C.—I am sleeping like a baby. Hand spots decreased. I have more focus and clarity, and I am liking lipstick as my lips are

just a tad fuller…crazy, crazy! Hans A.—First time I have woken up with a blood pressure under 155 (norm 165-175 for years, day eight with Ageless).

What you should expect: • •

Immediately: improved circulation and warmth; improved energy, mental clarity and focus. In four to six weeks: improved muscle tone, overall energy (less fatigue), mood/cognitive health, and immune function. In 60 to 90 days: improved cardiovascular health and skin tone (more youthful skin), reduced belly fat, and weight loss.

Getting older isn’t a choice. We can’t reverse the sands of time. But how we age—whether we choose to do it prematurely or with grace—is something we can control. You only have one body. Start now to reduce the signs of aging and live your life the way you want. If you are interested in more information on how to look and feel younger than your age, please feel free to call me at 419-343-9189. Or, visit www.forever38.net. Take advantage of the 30-Day Money-Back Guarantee.

Lack of sleep can be depressing

Over time, lack of sleep and sleep disorders can contribute to the symptoms of depression. In a 2005 Sleep in America poll, people who were diagnosed with depression or anxiety were more likely to sleep less than six hours at night. The most common sleep disorder, insomnia, has the strongest link to depression. In a 2007 study of 10,000 people, those with insomnia were five times as likely to develop depression as those without. In fact, insomnia is often one of the first symptoms of depression.

Enter XALO Ageless

Based on revolutionary science, XALO Ageless revitalizes the cells that make up your body’s entire composition to give you back that zest for life. Revitalizing and repairing your body’s cells through unique blends, XALO improves from the inside out, improving blood circulation, enhancing skin appearance, and combating visceral belly fat. Below are some results of people taking XALO Ageless for a very short period of time. Rosaline J.—The first night I drank XALO, I slept for six hours! I haven’t slept that many hours in years (insomnia). So, this is a great

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58  April 2014  |  Healthy Living News

(419) 537-0131

Equal Employer Opportunity • Equal Housing Opportunity

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Full service Ad Agency specializing in TV, Radio, Cable, Station Negotiation, and Pre- and Post-Buy Analysis

406 Illinois Ave, Maumee, OH 43537 http://toledo.ohio.usa.taoist.org

Occupational Therapy

Home Health Aides Skilled Nursing Care Non Medical Care and more....

Personalized Care adult day Care

Taoist Tai Chi SocietyÂŽ

Providing Certified Wound Care Physical Therapy

Bonded / Licensed / Insured

Equine therapy services at

Serenity Farm Equestrian Center

Therapy with amazing results Therapy Horses give from their hearts

419-944-4780

Serenity Farm Equestrian Center

Bus: 419-476-4341 Fax: 419-476-4194

PATH Certified Instructors

1905 Centennial Road Toledo, Ohio

21870 Lemoyne Road Luckey, Ohio 43443 419-833-1308

www.serenityfarm.org

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

59


The sharpest minds in surgery. Right here. Every day, your Mercy providers and specialists, nurses and therapists, work side by side, with the world’s most advanced technology, delivering innovative treatments in Heart, Cancer Care, Orthopaedics, Bariatrics, and so much more. We are committed to helping the residents of the Greater Toledo area, Be Well. Right Here.

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