HLN April 2013 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

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April 2013 • FREE

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Also in this issue: • • • • •

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Summer camps keep kids growing strong!

Surprising things dermatologists do Break the grip of Crohn's Disease Toledo Clinic Radiology in focus Think you know the face of hunger? Get your blue on April 10

• • • • •

Nobody's Perfect Health Crossword Personal Finance Spiritually Speaking Eating Well

What’s your weight loss wish?

www.MercyWeightManagement.com MERCY-10813-3_HealthyLivingNews_FrontCoverBanner_FA.indd 1

12/20/12 9:47 AM

What does a dermatologist diagnose and treat? I

f you ask most people what a dermatologist diagnoses and treats, you would hear answers like psoriasis, warts, eczema, acne, skin cancer, and sun-related diseases. Probably no one would include sexually transmitted diseases (STDs) or pediatric and gynecological diseases. Many years ago, Dermatology was called Dermatology and Syphilology in our training programs. Residencytrained and board-certified dermatologists are also well trained in the diagnosis and treatment of diseases of the skin of infants as well as diseases of the male and female genitalia. Don’t let wrinkles and During my military service age spots make you appear in the United States Air older than your years. Force, I treated hundreds of cases of sexually transmitted diseases. Now the role of STDs has largely been relegated to public health departments. However, syphilis has always been and continues to be known as the “great masquerader.” There are many other forms of STDs seen in a dermatology practice. They include genital herpes, syphilis, gonorrhea, genital warts, trichomoniasis, candidiasis (yeast), pediculosis pubis (aka crabs), scabies (the new masquerader), and molluscum contagiosum. Many of these “adult” diseases are frequently seen in the pediatric population due to contact from their caregivers. Human papilloma virus (HPV) has been making headlines for its connection to cervical cancer and the newly developed vaccines. However, the incidence of cervical cancer related to HPV is more uncommon than one would realize. There are more than 120 types of HPV transmitted via sexual contact. While some types of HPV are asThe best prevention for early aging and skin sociated with genital cancer is to protect your warts, most infections come and go with no skin from the sun.

2 April 2013 / Healthy Living News

symptoms. Only a few “high-risk” types of HPV have been linked to cervical cancer. Proper treatment of any skin disease first depends on establishing the correct diagnosis. Our medical knowledge has grown exponentially, and the specialization of medicine now has specialties within a specialty. I frequently see “jock itch” that is really a superficial skin cancer, fungus, yeast, irritant and contact dermatitis, and even zinc deficiency due to poor dietary habits. I also see pediatric and genital skin diseases that have been treated for months with an incorrect diagnosis and subsequent incorrect treatment. Even the “simple” diagnosis of acne can be treated totally inappropriately for months by non-dermatologists. Acne is a disease that makes no patient happy. These patients want proper treatment and outcomes as soon as possible. Who better to treat these patients than a board-certified dermatologist? The same

Before

After

is true of eczema seen in infants, children, and even adults. This disease is not simply treated with bath avoidance and creams. There is much more to the correction of the barrier interruption of their skin than simply applying a cream and taking a pill or liquid to cover the symptoms of itching. Finally, remember that the best physician to accurately diagnose and treat a disease of the skin is a dermatologist who has been formally trained in a formal residency program and board certified by the American Board of Dermatology. ❦ For more information relating to what a dermatologist treats, please visit the website of Dr. Handler at www.drharveyhandler.com or call his medical office at 419-885-3400.

www. drh a rv e y h a n d l e r . c o m

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

clear + brilliant Adult, Pediatric, & Cosmetic Dermatology Hair & Nails

No surgery. No injections. No downtime.

Harvey L. Handler,

m.d.

Fellow American Academy of Dermatology Board Certified in Dermatology 5300 Harroun Rd., Suite 126

in the Medical Office Building on the campus of Flower Hospital

419.885.3400

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

Contacts Business office:

To advertise: Healthy Living News, 375 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 © 2013 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.

H OWK\ O QJ HZV

April 2013 • Vol. 18, Issue 4

Your Monthly Guide to Healthy Living

Health & Beauty

Children & Parenting

2 What does a dermatologist diagnose and treat? 13 Keep a sharp lookout for diabetic foot ulcers by Karen Bauer, NP-C, CWS 14 Noise-induced hearing loss: How loud is too loud? by Dianna Randolph, AuD, CCC-A 17 Understanding head and neck cancer 22 Breaking the grip of Crohn’s Disease, by Carol Klotz 26 Springtime fitness tips from Heartland Rehabilitation Services 32 Complicated dental problem? Let Dr. Endicott put a smile back on your face 34 Diagnosis and prevention of diabetes by Riaz N. Chaudhary, MD 39 Don’t let another chair go empty, by Kara Steele 43 Specialized speech therapy integral to Laurels rehab continuum 47 Cataract facts, by Bennett Romanoff, MD 48 Hot news flash on treatment for hot flashes! by Douglas Schwan, DC, Dipl Ac 49 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A

5 Summer camps keep kids engaged and on the grow 25 Toledo Hearing and Speech Center’s summer fun! 30 Mercy Autism Services specializes in comprehensive, intensive autism intervention 52 Milestones: The toddler years 53 Could your child’s soiling accidents be encopresis?

Taking Care of Your Life 12 Nobody’s perfect Still walking after twenty years by Sister Karen Zielinski, OSF 18 Key tax changes for 2013, by Scott D. Brown 20 A Walk in the Park Ready for the Big Room by LeMoyne Mercer 24 Spiritually Speaking Climbing the mountain at 85+ by Sister Mary Thill 31 Health Crossword, by Myles Mellor 35 UT Patient Advocacy Program now accepting applications 37 Personal Finance Get ready for the “what-ifs” 46 Wear blue on April 10 and take a stand against child abuse 50 Don’t get stuck in your comfort zone by Amanda Manthey 57 Thinking of a career in massage therapy? 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. This issue features our 16th Annual Summer Camp Guide (p. 5)—a handy list of wonderful, diverse camps offered by area schools and other organizations at very affordable prices. Summer camps provide parents a terrific opportunity to steer their kids away from videogames and social

Food & Nutrition 14 Just like Mom used to make—almost by Kelly Hanner 44 Eating Well Gluten-free confusion by Laurie Syring, RD/LD

Our Community 16 Elizabeth Scott partners with Graham’s Foundation 28 ProMedica advocates to end hunger in our community 33 Nationally known expert in senior real estate market to speak in Toledo area 38 St. Clare Commons announces new partner: Concept Rehab Inc., by Jessica Derkis 40 Toledo Clinic Radiology Department puts focus on high-quality, convenient, affordable imaging 55 “Rising to the Occasion”: 16th Annual Parkinson’s Disease Symposium 56 Putting it all together: a wellness fair for everyone, by Sister Karen Zielinski, OS

Around Town CC4PM announces newest Oregon facility, 42;

Get on the “Sole Train” to Hannah’s Socks fundraiser, 42; Don’t miss the Serenity Farm 2K/5K Family Fun Walk/Run!, 54; Spring into fun at your Toledo Zoo, 57.

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media and help them rediscover the joy of sports, music, nature and the great outdoors, the arts, travel, a good book, and much more. With so much emphasis being placed on obesity these days, it might surprise you to learn that hunger continues to be a major issue, not only in our community but all across the nation. In fact, obesity and hunger are more closely linked than many people realize. Check out the article on page 28 to find out how ProMedica is taking the fight to hunger here in Northwest Ohio and Southeast Michigan. Parents of young children are urged to read the article about Mercy Autism Services on page 30. This expert team is helping children with autism achieve remarkable results through their hallmark

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Clinic Home Intensive Program (CHIP) and other services. The article includes a list of autism “red flags” parents should be watching for. Also in this issue, the audiologists at Northwest Ohio Hearing Clinic provide important insights on noiseinduced hearing loss and how to prevent it (p. 14). At this time of year, our local healthcare community offers a plethora of healthrelated seminars, lectures, and events to help area residents improve their lives. You’ll find information on several events that might pique your interest, such as the upcoming Parkinson’s Symposium (p. 55), right here in the pages of this issue. We hope you’ll take advantage of everything these organizations have to offer. Until next month, stay safe, active, and healthy!

Does Your Child Have Special Needs?

Is your bright child struggling with reading?

The Sensory Learning Program addresses Sensory

Your child may have 20/20 eyesight, but could still have a vision problem that makes it hard to learn.

Dysfunctions that often present in the form of: • Speech and Language delays • Self-stimulatory behaviors • Over sensitivities to sounds, textures, touch, etc.

• Agression, behavior, or learning problems • Poor balance and coordination • Inability to focus

Over 90% of participants have reported positive changes in the above mentioned areas as a direct result of completing the Sensory Learning Program

Complete a Free Child Assessment at www.SensoryLearning-Toledo.com Please join us for a FREE informational seminar to learn more about this drug free, non-invasive program. Where:

Charter One Bank 3130 Executive Parkway Toledo, Ohio 43606 When: Tuesday, April 9 Registration: 6:15 p.m. to 6:30 p.m. Seminar: 6:30 p.m. to 8:00 p.m.

What signs should I look for?

Acquired Brain Injury ADD/ADHD Autism Behavioral Problems Birth Trauma Cerebral Palsy Developmental Delay Down Syndrome Learning Disabilities Dysfunctional Sensory Integration

Child dislikes reading 3 Prefers to be read to Skips or rereads lines 3 Blurry vision, squinting, Eyestrain, headaches rubbing eyes Loses place when reading 3 Number/letter reversals Frequent, careless errors such as “b” and “d” Difficulty remembering 3 Confuses similar words what has been read or letters 3 Difficulty paying attention, 3 Homework takes longer ADD/ADHD than it should If your child has one or more of the above symptoms, he or she may have a learning-related vision problem. ELIMINATE DOUBT!

Vision improVement program (VIP) Dr. Jeffrey G. Schmakel, O.D.

3454 Oak Alley CT #200 • Toledo, OH 43606 •

419-578-0057

Call us today to schedule an initial developmental vision evaluation.

Note: Registration is required as space is limited.

To register, please call

419-578-0057

3 3 3 3 3 3

We’re making a difference

Attend a Free Informational Workshop Tuesday, April 23, 2013, 7- 8:30 p.m. Please call to register: 419-578-0057

We couldn’t say it better ourselves! Parents of children who have completed the Sensory Learning Program describe the positive changes they’ve observed: “He talks not just when spoken to. He starts the conversation. He uses more eye contact and more complete sentences. His articulation has improved, and he is able to verbalize his wants and needs.” —Pam, Maumee, OH

“He is more connected and has more meaningful conversations. He takes more risks, has better eye contact, and is playing with other children instead of running away.” —Mona, Toledo, OH

4 April 2013 / Healthy Living News

“We have seen increases in vocabulary. There has also been an increase in sentence length and in his willingness and ability to give details. He has gained a lot of independence, finding it easier to follow multistep directions and has better eye contact.” —Ellen, Bowling Green, OH (Note: This young man suffered from an anoxic brain injury four years ago.) “He is in our world now, not just in his. He is more aware of his surroundings and has very few meltdowns. —Kim, Whitehouse, OH

“She is much more active, aware, and engaged. She is babbling and repeating everything we say.” —Burna, Toledo, OH

“His whole social world has opened up for him. He now plays with his sisters and his friends.” —Erin, Lambertville, MI

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Summer camps keep kids engaged and on the grow I

t’s only April, and kids are still productively occupied in school, but, as every parent knows, that’s just about to change. Another summer break is looming right around the corner. What sort of summer do you see ahead for your child? Do you envision an exciting period of discovery, enrichment, adventure, skill development, and learning, or is a summer spent “cruising the couch” and whiling away the hours playing computer games the greater probability? The good news is, kids don’t have to spend the whole summer parked on their backside while their academic, athletic, musical, social, and creative skills backslide. Many area schools and organizations offer fun and exciting summer camps that not only keep kids engaged but also help them develop new skills, acquire new knowledge, and make new friends. Here are some great summer camp options 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. Camps are held rain or shine, with plenty of rainy day options. For more information, call 419-407-9701 or visit www. metroparkstoledo.com.

❑ Wee Workshop Preschool Summer Camp (Ages 3 to 5). Explore favorite Ohio animals through songs, pup-

pets, and games. Enjoy multi-sensory activities, crafts, and outdoor exploration. Adults will play alongside their child. Register child only. Wildwood Preserve, Metroparks Hall. All sessions Monday–Friday Fee: $55 ($45 Metroparks Members). Session 1: June 3–7, 10:00 a.m. to Noon. Session 2: July 15–19, 10:00 a.m. to Noon.

❑ Metroparks Explorers (Ages 5 to 7).

Camper’s appreciation and understanding of nature is sure to evolve during a week exploring “change.” Outdoor games, interactive activities, and animal exploration keep inquisi-

tive kids engaged as Metroparks naturalists guide them through nature’s ever-changing features. Each day features a new theme, making this a great experience for children who enjoy nature, history, and the outdoors. Wildwood Preserve is homebase with exciting trips planned to Pearson Metroparks and more. Bring your own lunch and water bottle. Equipment, supplies, and field trip transportation are provided. Wildwood Preserve, Metroparks Hall. All sessions Monday–Friday, 9:00 a.m. to 2:00 p.m. Fee: $115 ($95 Metroparks Members). Session 1: August 5–9. Session 2: August 12–16.

❑ Nature Camp (Ages 8 to 12). Camper’s appreciation and understanding of nature is sure to evolve during a week exploring “change” at Wildwood Preserve. Outdoor games, interactive activities, and animal exploration keep inquisitive kids engaged as Metroparks naturalists guide them through nature’s everchanging features. Each day features a new theme, making this a great experience for children who enjoy nature, history, and the outdoors.

Wildwood Preserve is home-base with exciting trips planned to Pearson Metropark and more. Bring your own lunch and water bottle. Equipment, supplies, and field trip transportation are provided. Wildwood Preserve, Metroparks Hall. All sessions Monday–Friday, 9:00 a.m. to 4:00 p.m. Fee: $115 ($95 Metroparks Members). Session 1: June 10–14. Session 2: June 17–21. Session 3: June 24–28.

❑ Camp Blue Jay (Ages 3 to 5). Explore favorite Ohio animals through songs, puppets, and games. Enjoy multisensory activities, crafts, and outdoor exploration. Adults will play alongside their child. Register child only. Oak Openings Preserve, Buehner Center. Monday–Friday, June 24–28, 10:00 a.m. to Noon. Fee: $55 ($45 Metroparks Members). ❑ Camp Earthstar (Ages 5 to 7). Spend a week discovering “change” in the wonderful setting of Oak Openings Preserve. We all change as we grow, some a little more than others. Come learn about the exciting world of butterflies, frogs, and the seasons with hands-on activities, songs, games,

Be a Titan Camper...

Summer is FUN at St. John’s Jesuit! For boys and girls in Grades 5-9 June 10 – August 2

FunCamps • Archery

• High Adventure

• Build-Your-Own-Arcade • Lego™ I and II • Chess

• Math Enrichment

• Digital Photography

• Science Enrichment

• Fishing

• Skateboarding

• Fly Fishing

SportCamps • Baseball • Basketball

• Soccer

• Track & Field Specialty Basketball • Wrestling • Football • Strength Specialty Football & Conditioning • Lacrosse Specialty Lacrosse

Register for two or more camps for $10 off. Free lunch for morning /afternoon campers! St. John’s Jesuit High School & Academy 5901 Airport Highway • Toledo, Ohio 43615 • 419.865.5743, ext. 231 Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

www.sjjtitans.org 5

Preschool through Gr ade 12

Weekly sessions June 17 – July 26 ✹ Glee-style Performing Arts ✹ Hands-on Math ✹ Playmaking ✹ Crafty Creations ✹ Soccer ✹ Tennis ✹ Cooking ✹ Algebra ✹ Knitting ✹ ACT/SAT Prep

✹ Yoga ✹ Philosophy ✹ Chemistry ✹ Flag Football ✹ Storytelling ✹ Sculpture ✹ Animal Exploration ✹ Foreign Languages ✹ Hob Haven Afternoon Camp ✹ Hobbit Day Camp

419-381-1313

Snap the QR code with your smartphone.

ADHD SUMMER PROGRAM Enroll your child today!

419.671.5550 We Can Help Harbor is offering an ADHD summer program for youth, ages 6-12 years old with Attention Deficit Hyperactivity Disorder (ADHD). Harbor’s Day Treatment program offers your child further opportunities to develop himself or herself through counseling, therapeutic activities, behavior management & peer interaction. • Develop problem solving and social skills • Develop social awareness necessary to get along better with other children • Improve self-esteem, peer relationships and ability to comply with adults’ requests

June 11th through August 16th Robinson School 1075 Horace Street, Toledo Morning Program

• Build skills to be successful at school, at home and in the community

Monday - Friday , 8:30 - 11:30 a.m.

• Transportation/Bus Fare Opportunities Available (Lucas County residents only within a 16 mile radius)

Tuesday - Friday , 12:15 - 3:15 p.m.

❑ Camp Badger (Ages 8 to 12). Spend

a week discovering the challenge of “change” in the wonderful setting of Oak Openings Preserve. During this action-packed week, we explore how frogs, butterflies, and the seasons change through fun outdoor games, hands-on activities, and animal exploration. Each day features a new theme, making this a great educational experience for children who enjoy nature, history, and the outdoors. Oak Openings Preserve is homebase with exciting trips planned to Pearson Metropark and more. Bring your own lunch and water bottle. Equipment, supplies, and field trip transportation are provided. Oak Openings Preserve, Oak Openings Lodge. All sessions Monday–Friday, 9:00 a.m. to 4:00 p.m. Fee: $115 ($95 Metroparks Members). Session 1: July 8–12. Session 2: July 15–19.

❑ The Art of Nature Camp (Ages 8 to

12). Nature is the greatest artist of all. At this special camp, use natural materials and nature as inspiration to create your own works of art. Bring your own lunch and water bottle. Wildwood Preserve, Metroparks Hall. Fee: $35 per program.

❑ Capturing Nature With A Lens and

A Paintbrush Art Camp: Monday, July 8, 9:00 a.m. to 3:00 p.m.

❑ Reduce, Reuse, Recycle Art Camp: Wednesday, July 10, 9:00 a.m. to 3:00 p.m.

❑ Earth To Clay And Sand To Glass Art Camp: Friday, July 12, 9:00 a.m. to 3:00 p.m.

Ellen’s Glass Act

Afternoon Program

Plan a safe & fun-filled summer with us! For eligibility or program consideration, contact Colleen Vonderembse at 419.671.5550 or cvonderembse@harbor.org.

6 April 2013 / Healthy Living News

and animal exploration. Home-base is Oak Openings Preserve with exciting trips planned to Pearson Metroparks and more. Bring your own lunch and water bottle. Equipment, supplies, and field trip transportation are provided. Oak Openings Preserve, Oak Openings Lodge. All sessions Monday–Friday, 9:00 a.m. to 2:00 p.m. Fee: $115 (Metroparks Members $95). Session 1: July 22–26. Session 2: July 29–August 2.

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.

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, visit toledozoo.org or call 419-3855721, ext. 2042.

❑ Animal Giants: 4 to 5 years, 9:00

a.m.–12:00 p.m. How much does an elephant weigh? How tall is a giraffe? How long is a python? Get the answers to these questions and find out the largest of the animal world. Session 1: June 10–June 14. Session 2: July 8–July12. Session 3: July 29–August 2. Members $130, Non-members $155. ❑ Just Like Me: 4 to 5 years, 9:00 a.m.–12:00 p.m. Animals have eyes, ears, and noses just like us! Even though we look different, creatures great and small use their ears for hearing, eyes for seeing, and noses for smelling. Session 1: June 17–June 21. Session 2: July 15–July 19. Session 3: August 5–August 9. Members $130, Non-members $155.

❑ Critters Down Under: 4 to 5 years,

9:00 a.m.–12:00 p.m. Wallabies, dingoes, crocodiles, and more! Australia is home to some of the most unique animals on the planet. Discover these

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critters while interacting with our new Wild Walkabout. Session 1: June 24–June 28. Session 2: July 22–July 26. Session 3: August 12–August 16. Members $130, Non-members $155

❑ Journey Through the Outback: 6 to 10 years, 9:00 a.m.–3:00 p.m. Take a trip to the Australian Continent to find out how crocodiles swim through the streams, how kookaburras can make great alarm clocks, and how hopping kangaroos are actually quite a common sight. From the Great Barrier Reef to the Outback, Australia has many curious critters to explore. Session 1: June 10–June 14. Session 2: July 8–July 12. Session 3: July 29–August 2. Members $160, Non-members $185.

❑ Polar Opposites: 6 to 10 years, 9:00 a.m.–3:00 p.m. It is a world of extremes! From the North Pole to the South Pole and everything in between, this planet is full of many different habitats. From rain every day to rain a few times a year, from the tallest mountains to the lowest valleys, animals find a way to survive. Session 1: June 17–June 21. Session 2: July 15–July 19. Session 3: August 5–August 9. Members $160, Non-members $185. ❑ Nature’s Got Talent: 6 to 10 years, 9:00 a.m.–3:00 p.m. Singing, dancing, and acting are not limited to just us people. In fact, animals have been perfecting their skills over millions of years. Find out who takes home the prize in Nature’s Talent Show. Session 1: June 24–June 28. Session 2: July 22–July 26. Session 3: August 12–August 16. Members $160, Nonmembers $185. ❑ Junior Zookeeper: 11 to 14 years,

9:00 a.m.–3:00 p.m. Have you ever wondered what it would be like to be a zookeeper? Working alongside a Nature’s Neighborhood staff member, you will take part in lots of hands-on activities, including diet preparation, cleaning, and feeding.

In addition, learn first-hand what it takes to be a zookeeper—you’ll even go behind the scenes! Session 1: June 10–June 14. Session 2: June 17–June 21. Session 3: June 24–June 28. Session 4: July 8–July 12. Session 5: July 15–July 19. Session 6: July 22–July 26. Session 7: July 29–August 2. Session 8: August 5–August 9. Session 9: August 12–August 16. Members $300, Non-members $325.

❑ Splash Bash: 6 to 7 years, 9:00

a.m.–3:00 p.m. There is no denying, water is everywhere! Discover the importance of water for everything from camels to fish. Maybe even get a chance to cool down from the summer heat with earth’s most precious resource, water. Session 1: July 15–July 19. Session 2: July 29–August 2. Members $160, Non-members $185

❑ Wild Artist: 6 to 7 years, 9:00 a.m.–

3:00 p.m. Let’s create wild art! Using paint, paper, clay, and other different materials, make your own art masterpieces and exhibit them at the endof-the-week art show. Session 1: June 17–June 21. Session 2: July 22–July 26. Session 3: August 12–August 16. Members $160, Non-members $185.

❑ If I Ran the Zoo: 8 to 10 years, 9:00 a.m.–3:00 p.m. Do you wish you could run a zoo? Or how about creating your own zoo? This camp allows you to become a zoo director. Learn more about what goes into creating zoos, and then apply what you learned to design and create a model of your dream zoo! Session 1: June 10–June 14. Session 2: August 5–August 9. Members $160, Nonmembers $185. ❑ Enrichment & Training: 8 to 10 years, 9:00 a.m.–3 p.m. Have you ever wondered how keepers keep animals at the zoo busy? Or how they get a polar bear to come inside? Discover the wonders of training while getting some hands-on experience with some smaller creatures. Also create other fun treats for our zoo animals.

Get into Summer NDA Camps for Girls Only! Grades 5 to 9* Come to NDA this summer and try something new!

Fun

Nationally Accredited Preschool & Kindergarten since 1940

Affordable, fun, and educational 2, 3, or 4-day per week attendance Fun-filled daily themes All camps run from 8:30am - 11:30am

- Fri.) Tues. hurs.) 1th ( on. - T 3 h t t 7 h (M .) 8 2 2 d r y 3 - Thurs Ma June h (Mon. August 5th - 15t

iPhotography, iMovie, Broadcasting & Journalism, Dance, Hip Hop, Behind The Scenes, Geo-Caching, Audition Skills, Acting, Mom & Me Tennis and more...

Volleyball, Basketball, Soccer, Lacrosse, & Softball camps

Sport

Visit www.nda.org for camps and applications. * Varies Depending on Camps Selected

Notre Dame Academy 3535 W. Sylvania Ave. Toledo Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

419-475-9359 7

Session 1: June 24–June 28. Session 2: July 8–July 12. Members $160, Nonmembers $185.

❑ Junior Field Researcher: 11 to 14

years, 9:00 a.m.–3 p.m. Make a difference! Help Zoo staff with a conservation project, learn about the many ways the Zoo helps animals in the wild, and take a trip into the field for some first-hand conservation. Session 1: June 24–June 28. Session 2: July 22–July 26. Members $250, Non-members $275.

❑ Fishing Camp: 8 to 10 years & 11 to

Weeklong Day Camps Wee Workshop Preschool Camp (Ages 3 to 5) Wildwood Preserve • June 3-7 • July 15-19 Metroparks Explorers (Ages 5 to 7)

Nature Camp (Ages 8 to 12) Wildwood Preserve • June 10-14 • June 17-21 • June 24-28 Camp Blue Jay (Ages 3-5) Oak Openings Preserve June 24-28

Camp Earthstar (Ages 5-7) Oak Openings Preserve • July 22-26 • July 29-August 2 Camp Badger (Ages 8-12) Oak Openings Preserve • July 8-12 • July 15-19

Wildwood Preserve • August 5-9 • August 12-16

One-day Camps The Art of Nature Camp (Ages 8 to 12)

Wildwood Preserve • July 8 - Capturing Nature With A Lens And A Paintbrush Art Camp • July 10 - Reduce, Reuse, Recycle Art Camp • July 12 - Earth To Clay And Sand To Glass Art Camp

Registration is now open for Metroparks day camp. Financial aid available. Details & Registration: MetroparksToledo.com | 419-407-9701

14 years, 9:00 a.m.–3 p.m. Whether you’ve fished before or just want to give it a try, this camp is for you! Learn what it takes to be a good angler from knot tying to rigging and fish handling. You’ll take daily trips to local fishing ponds, rivers, and lakes—including a charter boat trip on Lake Erie! Fishing poles, rigging, and bait are provided, but feel free to bring your own gear if you have it. Session 1: June 17–June 21 (8 to 10 years). Session 2: July 15–19 (11 to 14 years). Session 3: August 5–August 9 (8 to 10 years). Members $200, Non-members $225.

BGSU Summer Music Institute

Come and join in the fun this summer at St. Francis! 2013 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 8 April 2013 / Healthy Living News

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 funfilled environment. The Summer Music Institute offers eight different camps that help to 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 16–21): Piano, Vocal Arts, String, and Double Reed camps. Session Two (June 23–28): Flute, Brass, Recording Studio, and Super Sax camps. Session Three (June 27–July 3): Musical Theater Camp. For more information, please visit www.bgsu.edu/colleges/music/outreach/smi/.

Notre Dame Academy This is the summer to “try something new” at Notre Dame Academy with a variety of fun and sports camps. Summer is the perfect time to have fun, make friends, and create memories. 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 419-4759359 after April 1. Space is limited in most camps, and grades vary for each camp. Girls who want to tap into their creative side can try everything from iPhotography, iMovie, Hip Hop, or Dance to attending a Performance and Audition Skills Clinic or Theater Camp. Inquiring minds can go off campus to explore the world of journalism from broadcasting and newspaper to radio and social media. Try Mom and Me Tennis or Beginner Tennis and learn the basics of the game and how to rally back and forth. Looking for a little more adventure? Go off campus on a Geo-Caching mission or sign up for the new “Behind the Scenes Camp,” which promises to take you where only a few get the opportunity to go. NDA offers a wide variety of fun camps for girls entering grades 5–8 in fall of 2013. Camp costs vary. Girls in grades 4–9 in fall, 2013 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. Notre Dame Academy and its facilities are located conveniently near Westfield Mall at 3535 W. Sylvania Avenue.

St. Ursula Academy St. Ursula Academy offers many choices for athletic and enrichment camps each summer. We welcome a variety of ages and encourage students to grab their friends and make plans to “camp” at SUA. From our outstanding Drama Camp that fills up each year to our superior athletic camps, experience the difference at SUA! Visit our website, www.toledosua.

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org, to find a detailed listing of each and register now before it’s too late.

Toledo Hearing and Speech Center This summer, Toledo Hearing and Speech Center has something to offer any family with a child who has a communication disorder at an affordable price. The Center’s summer programming includes groups in The Autism Center’s ACCEL program, speech therapy, occupational therapy, and for the fourth summer, Deaf and Hard of Hearing Day Camp. The Autism Center is offering five different groups for children with autism, including a social group and a reading group. The Autism Center also offers an individualized ABA program that can be delivered at home, school, or at the Center. The Center will also be offering speech therapy groups for children ages 2 to 10 that will help children gain or retain their skills over the summer vacation months. The occupational therapy group will be focusing on self-care skills for children ages 7+. There are also openings for individual speech and occupational therapy as well. The day camp for Deaf and Hard of Hearing children will again provide fun and socialization for children who are often isolated over the summer. New this year is the incorporation of philanthropy and giving back to the community by the teen participants. For more information on summer programming at Toledo Hearing and Speech Center, please contact Kim McIntosh at 419-241-6219, ext 203 or kmcintosh@heartoledospeak.org. Space is limited, and registrations are due by May 1, 2013.

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 (meeting to be held April 24 from 6:00 to 7:00 p.m.), Junior Fit Youth Bootcamp, Youth Swim for Fitness, and group and private swim lessons. Also, the St. James Club is now offering gymnastics and tumbling.

For complete program information, please visit www.stjamesclub.net or call 419-841-5597.

Gateway School Our Gateway School Summer Camps are for children who are toilet trained through children who are finishing kindergarten. We will meet each day from 8:30 a.m. to 11:30 a.m. Gateway Summer Camps will follow a weekly theme of animals, travel, outdoor adventure, and cultural parties. These fun-filled themes will help us organize our daily activities. Along with art, blocks, computers, dramatic play, fine motor, gross motor, language arts, music, science, and social studies centers and activities set up inside and outside the school, the children will also have the opportunity to experience a themed curriculum. Please visit gatewayprek.com (under Tuition/ Forms) to view the curriculum and for more information.

Circle Pines Center

Toledo Hearing & Speech Center Summer Programs

Cool! Autism, Speech and Occupational Therapy

Deaf & Hard of Hearing Center (DHHC)

Beginning in June. Registration deadline May 1. Children ages 3 and up. Led by either Speech/ Language Pathologist, Occupational Therapist, ABA Specialist or Autism Teacher. Some groups feature co-treatment.

For kids with all degrees of hearing loss. Meet weekly at scheduled location. Build social skills and confidence. Staffed by camp interpreters and adult volunteers.

For more information contact: kmcintosh@heartoledospeak.org (DHHC) vmccomb@ heartoledospeak.org

4841 Monroe Street Suite 103 Toledo, Ohio 43623

419.241.6219 419.241.5912 fax HearToledoSpeak.org

Our program combines elements of a traditional summer camp (swimming, sports, campfires, hikes, theater, dance, arts and crafts) with cooperative work projects (construction, organic gardening, trail maintenance, and cleaning). In addition, educational activities focus on topics like climate change, food politics, social justice, ecosystems, and the importance of critical thinking. Parents frequently report that their kids come home more independent, thoughtful, and interested in the world around them. Our focus on cooperation as an interpersonal strategy and viable economic alternative is embodied in our daily chores, work projects, decision making, camp store, and other activities. Meal clean-up is a time when staff and campers work together and learn the importance of working to maintain a community. Every morning, we do work projects all around camp to teach cooperation and give campers an appreciation for work itself. Often, campers are most excited to tell their parents about work projects: showing off vegetables they planted, trails they trimmed, or a shed they helped to build. Session 1: July 7–20. Two weeks. Peace and sustainability—A two week session that includes all our traditional camp activities, with a focus on peace and sustainability.

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St. Ursula Academy Summer Camps • Admit One • For Summer Fun

Memories & Friendships to Last a Lifetime

Session 2: July 21–27. One week. Funkadesi: World music and culture— Have fun learning Latin, Caribbean, African, and Indian music and culture while learning about affirming identity, getting along with others, and more! Funkadesi is Chicago’s premier multicultural music group. Session 3: July 28–August 10. Two weeks. Folk opera—A two-week session in which, along with our regular camp activities, the campers will produce the annual Folk Opera, a musical, theatrical spoof of Circle Pines summer camp, presented Friday evening, August 9.

Sports, Arts & Enrichment Camps Camp Laffalot TM

St. Francis DeSales High School

Registration Begins March 18, 2013

Join in the fun at St. Francis this summer! For more information or to register, please go to www.sfstoledo.org (click on “2013 Summer Camps” under “Athletics”) or call 419-531-1618.

To Register

Or For More Information Visit Our Website www.toledosua.org Or Call 419•531•1693

SFS Athletic Camps: ❑ Speed and Agility—June

10–12. For boys entering grades 4–9. 9:00 a.m.–11:30 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.

❑ Baseball—June 10–13 (rain date June 14). For boys entering grades 4–9. 9:00 a.m.–Noon. Cost: $55 ($50 if registered before June 3). 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,

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SAFARI CAMPS This summer, discover and learn about the exotic wildlife and wonders of the Australian outback. Become a junior zookeeper or fish the Lake Erie islands.

including locker room, clubhouse, pressbox, indoor and outdoor batting cages, and indoor pitching mounds.

❑ Golf—June 10–14. For boys enter-

ing grades 6–8. 9:00 a.m. to 1:00 p.m. Cost: $95.The St. Francis Golf Camp seeks to provide young players with a fun, safe environment that will establish a strong foundation for future success in golf. The camp specializes in low staff-to-camper ratio to guarantee individualized teaching and instruction. Players will then take their game to local courses.

❑ Football—June 17–20. For boys

entering grades 5–9. 9:00 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.

❑ Basketball—June 24–27. 9:00 a.m.–Noon for boys entering grades 4–6. 1:00 p.m.–4:00 p.m. for boys entering grades 7–9. Cost: $55. 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. Those who attend camp will receive a camp T-shirt. ❑ Wrestling—June 24–27. For boys

entering grades 4–9. 9:00 a.m.–Noon. 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

Camps are available for kids ages 4 to 14 but fill fast, so reserve your spot today. toledozoo.org/camps

10 April 2013 / Healthy Living News

Photo: Stacey Burhart

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Individual Children Scout Troops Groups Adult Classes

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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.

❑ Lacrosse—July 8–10. For boys enter-

ing grades 4–9. 9:00 a.m.–Noon. Cost: $55. The St. Francis Lacrosse Camp offers instruction in all aspects of the game: stick-work, tactical positionsplay 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.

❑ Soccer—July 15–18. For boys entering grades 2–9. 9:00 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. ❑ Cross Country—August 2–3. For

boys entering grades 6–9 (see sfs toledo.org for times). Cost: $30. Coach Jim Neary and the cross-country staff will offer guidance on distance training, race preparation, and competition strategy. Campers will train with Knight runners, work out in the fitness center, and compete in relays on the track.

SFS Academic Camps:

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 concepts to our work using typography, image space, color, and form. A few of the things we will create are taking our own pictures, photo manipulation, poster design and magazine cover design.

there is a wide range of exciting camp experiences to choose from. Campers will learn from teachers who are experts at fishing, arcade games, LEGO Robotics, chess, drama, skateboarding, digital photography, archery, science, and math. For student-athletes wanting to improve their skill levels, SJJ head coaches are on site to work with campers on the fundamentals of football, basketball, baseball, soccer, lacrosse, wrestling, and track & field. In addition, a Total Athlete Camp teaches campers about nutrition, strength training, proper lifting techniques, and cardiovascular exercise utiliz-

❑ Cyber Camp—July 15–19.

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

❑ Knight Adventure Camp—July 15–

19. 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.

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❑ Robo Camp—June 24–28. For boys

entering grades 6–8. 8:30 a.m.–Noon. Cost: $75. Snack provided. Explore 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.

❑ Graphic Design Camp—July 8–12.

For boys entering grades 7–8. 8:30 a.m.–Noon. Cost: $75. Snack provided. This will be a working studio

ing The Lyden Center at SJJ, one of Toledo’s best fitness facilities. SJJ Summer Camps are affordable with Sports Camps priced at $50 or $60. Most Summer FUN Camps range between $50 and $75. Summer FUN Camps involving travel are $100 to $175 for the week. Discounts are available for campers interested in doing two sessions. Morning and afternoon campers will be served a free lunch. SJJ is registering campers now, and space is limited. For additional information, call 419-865-5743, ext. 246, or visit www.sjjtitans.org. ❦

St. John’s Jesuit SJJ creates summer fun for boys and girls in grades 5 to 9. Heading back to school over the summer is not on most kids’ agendas…except when they’re participating in the Sports Camps or Summer FUN Camps at St. John’s Jesuit High School & Academy. St. John’s Jesuit engages kids in specialty camps that are designed to develop skills, foster creativity, and make learning fun. The Summer FUN Camps are for boys and girls entering grades five through nine in fall of 2013. From scaling a climbing wall to target practice with a bow and arrow,

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nobody’s perfect Sister Karen Zielinski, OSF

Still walking after twenty years

he cause is good, so the team keeps on walking! The “Sister Act” Toledo MS Walk Team will gather in the University of Toledo’s Health building for their 20th team photo on April 14, 2013. It’s not for the free fruit, pop, pizza, coffee, and bagels. Although the day and its goodies are fun, these women and close to 3,000 others are reaching out and doing some serious good. Their walk will raise awareness and funds for those who live with the devastating effects of multiple sclerosis (MS). Some team members push themselves and walk ten miles. Others walk a mile or five miles, while still others (like me!) symbolically walk a few feet. Distance does not matter. It is the faithfulness to helping their sisters and brothers with MS that matters. The opportunity to raise funds for MS research, programs, and education propels them to fill out their Walk registration forms, collect pledges, and show up on a sometimes rainy and cold spring morning. The first Sister Act Team (including me as Captain and a person with MS and Sisters Sharon Havelak and Maria Pacelli Spino) met under a

shelter house at Toledo’s Ottawa Park and tried to keep warm. Every year, more and more members joined the Sister Act Team (see chart). Associates of the Sisters of St. Francis (men and women who partner with the Sisters of St. Francis in their mission and prayer) joined, as well as co-workers and relatives of the sisters. Membership in the Sister Act team was fluid. It wasn’t always easy to do. Some years, the Sisters had important congregational meetings where all the Sisters gathered for prayer, planning their future direction and discussing policies and ministries. They still walked. Some years, five or six walkers did a fast five miles, but there was a Sister Act team! The Sisters were determined and faithful. Some years, there were thirty walkers, some years three. But they had a team each year. In a world where marriages sometimes last only for months, youth drop out of school, and people don’t always honor commitments or jobs, this “in between” commitment needs to be acknowledged. We celebrate wedding anniversaries, completing 25 years at a job, finishing high school or a term as board member

Sister Act Members, 1993-2013—20 years! Sisters: Barbara Stallman Cecile D. Glodek Karen Zielinski, Captain Brenda Rose Szegedy Diana Lynn Eckel Ann Marie Emon Carol Ann Grace Elizabeth Zielinski

Faith Cosky Fidelis Rubbo Jordan Schaefer

Sharon Havelak Sharon White Sheila Shea Toni Rode (Tiffin)

Paz Valdez A.M. Davis Geralyn Halkoski

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Joy Barker Judy Zielinski Julie Myers Kateri Theriault Kathleen Horvat Magdala Davlin Marguerite Polcyn Maria Pacelli Spino

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Friends: Associates: Brenda Lemerand Diane Becker Sharon Andersen Patricia O’Shea Remley Phyllis Steele

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12 April 2013 / Healthy Living News

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for an organization, etc., for a reason—faithfulness. Showing up and living what you said you would do is a profound commitment. The Sisters of St. Francis do a lot of good. This walk, so well planned by the Northwestern Ohio Chapter of the National MS Society, is right up their path. It is a continuation of their ministry to help where there is a need. Sister Act members have raised awareness of MS and tens of thousands of dollars for local programs and cutting-edge research to end MS forever, to stop MS in its tracks. Ending MS means no one will receive an MS diagnosis again. Every step matters. Every dollar counts. Every person makes a difference.

For the three Sisters of St. Francis who live with MS—Sisters Mary Lou Kurek, Elizabeth Zielinski, and Karen Zielinski, the Sister Act team has walked right into their hearts. What a wonderful gift of healing! Please visit MSconnection.org to learn more. ❦

soap and water, apply topical moisturizer daily, ensure your shoes fit properly or obtain custom fit diabetic footwear, avoid going barefoot, and wear thick, white socks. If you notice any changes to your feet, avoid using betadine, hydrogen peroxide, or alcohol on the area as

these agents can further dry your skin and contribute to further skin breakdown. It is acceptable to apply a small amount of triple antibiotic ointment to a small cut or scrape, but remember: if the area does not show signs of healing after a couple of days or if it begins to show red-

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

Keep a sharp lookout for diabetic foot ulcers by Karen Bauer, NP-C, CWS

iabetic foot ulcers (DFU) are wounds that occur on the feet of a person with diabetes. Diabetes is a chronic illness that occurs when a person’s body does not make enough insulin or does not use the insulin that it makes properly. This leads to increased blood sugar levels, which can eventually lead to damaged blood vessels and nerves, which can contribute to skin breakdown. Diabetes also slows the normal healing process and increases a person’s risk for infection. Other health conditions associated with diabetes also increase your risk of a diabetic foot ulcer, including neuropathy (nerve damage that causes decreased sensation), peripheral vascular disease, foot deformities, high blood pressure, high cholesterol, and vision problems. Certain medicines, such as steroids, as well as poor nutrition, smoking, and being overweight will also increase your risk of a diabetic foot ulcer. If you have been diagnosed with diabetes, it is very important that you take very good care of your feet. Even a small scratch can turn into an ulcer; it is important to have even small injuries or changes to your feet evaluated by a medical professional to prevent large, difficult-to-treat ulcers. Animal or insect bites, blisters, scratches, burns, calluses, corns, or puncture wounds should be evalu-

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ated right away to avoid resulting complications. Ensure that your shoes do not fit too tightly as that can also cause areas of friction that 7\YJOHZL predispose you to 5V[ ]HSPK ^P[O HU` V[OLY VMMLY deeper foot ulcers. Complications of diabetic foot ulcers are the most common cause of lowerextremity amputation in the industrialized world. Foot complications are also the most common reason for hospitalization in persons with diabetes, accounting for up to 25 percent of all diabetic hospital admissions. Early detection and appropriate treatment Hammad Amer, M.D. Jihad T. Abbas, M.D., FACS Munier M.S. Nazzal, M.D., FRCS, FACS Gerald B. Zelenock, M.D., FACS of ulcers may prevent up to 85 percent of amputations Division of Vascular/Endovascular Surgery & Wound Care and signifiSpecializing in all diagnostic and interventions in peripheral vascular disease: cantly decrease • Noninvasive diagnosis • Dialysis Access the likelihood • Peripheral Arterial Disease: • Portal Hypertension Endovascular Interventions of hospital ad• Venous Disease Open Procedures mission. • Varicose Veins Vascular • Carotid Disease: Laser Ablation So what Endovascular Balloon/Stent Radiofrequency SURGERY can you do Carotid Endarterectomy Injection Sclerotherapy • Aortic Disease (Abdominal/Thoracic) to prevent a • AV Malformation Open Aneurysm repair diabetic foot • Vascular Trauma Endovascular Repair • Wound/Ulcer Management ulcer? Gently Aortic Dissection • Renal/Intestine Vascular Disease cleanse your feet daily with utmc.utoledo.edu/clinics/vascularsurgery

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Karen Bauer is a nurse practitioner with the University of Toledo Medical Center Wound and Hyperbaric Center. For more information regarding diabetic foot ulcers or wound care, please call 419-3834500 or visit utmc.utoledo.edu/clinics/ wound.

Noise-induced hearing loss

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here are many causes of hearing loss, such as ear infection, wax impaction, or just getting older, but the only truly preventable hearing loss is loss due to noise exposure. According to Naskar et al and the National Institute of Deafness, an estimated 12.5% of children and adolescents aged 6–19 years and 17% of adults aged 20–69 years have suffered permanent damage to their hearing from excessive exposure to noise. Noise-induced hearing loss can be prevented by the consistent use of hearing protection. It can be caused

by single exposure to excessive noise, like a gun blast, or by many years of exposure to loud noise, like factory or construction work. At Northwest Ohio Hearing Clinic, we see many patients who have hearing loss due to noise exposure. Most often, these patients suffer from some sort of tinnitus (ringing in the ears) also. The audiogram for noise-induced hearing loss always looks the same. There is always a loss of hearing at around the frequency of 4,000 Hertz and usually the hearing recovers at 8,000 hertz. When graphed on the audiogram, the loss looks “notched.” Over time with consistent exposure and adding in the effects of aging,

Just like Mom used to make—almost by Kelly Hanner

love white bean soup. Back in the day, I used to enjoy my parents' white bean soup. It was rich, hearty, and savory, and something about putting a ham bone into the soup really made my mouth water every time I found out we were having it for dinner. Now that I cook for myself, I have eliminated most sources of cholesterol and animal protein from my diet. You can imagine how my heart would break every time I would visit my parents and see they were preparing their white

bean soup with the ham bone in it for dinner. I finally decided enough was enough and set out to make my own white bean soup, sans the ham bone. Still rich and hearty, this soup tastes just as remarkable without the unnecessary cholesterol and is much friendlier to your waistline. Kelly Hanner is a health, nutrition, fitness, and financial coach with a degree in nutrition. For more recipes or to get a jumpstart on a healthier lifestyle, visit www.tubbytotoned.com.

White Bean Soup Vegan, low cholesterol, high protein • Makes 5 servings 1½ Tbs. olive oil 1½ cups diced onion 1 cup diced carrot 2 stalks celery, diced 1 tsp. Himalayan salt

1 tsp. dried oregano 3 cloves minced garlic 4½ cups northern beans, drained & rinsed (3 cans) 2 cups water (I use distilled)

In large pot, heat olive oil with diced onion on medium heat. Cook for about 5 minutes, until transparent. Add the diced carrot and celery and allow to cook 5 minutes. Add the salt, oregano, and garlic. Take 1 cup of the northern beans and mash with a potato masher in a bowl. Add the mashed northern beans and the rest of the beans with the 2 cups of water to the pot. Cook on medium heat, stirring occasionally for about ½ hour. Makes about 5 to 6 cups. We love comments and feedback. Like us on Facebook. Follow us on Twitter.

the audiogram shows a sloping configuration where hearing is normal in the low to middle frequencies then slopes (like a ski slope) in the high frequencies. Many occupations are more prone to noise-induced hearing loss. Some include agriculture, mining, construction, manufacturing, utilities, transportation, military, musicians, and orchestra conductors. There are also many recreational activities that cause people to be exposed to noise, including concerts, car or motorcycle racing, firearms and hunting, fireworks, loud car stereos, and even some movie theaters. Sight and Hearing Associations test the loudness of children’s toys and publish their list of the top noisy toys every year around Christmas time. Most of the toys listed have a decibel level of over 100. We have a number of patients who ask, “How loud is too loud?” To give a frame of reference, normal conversation is about 50 decibels, a whisper is about 30 decibels, a lawn mower is about 90 decibels, and a rock concert is about 120 decibels. According to Ohio Safety and Health Administration (OSHA), any sound over 85 decibels is too loud and exposure to that decibel level necessitates the use of hearing protection. Not only is the level of loudness

important to consider, but also the duration of noise exposure. OSHA recommends hearing protection when exposed to 90 decibels for 8 hours, 100 decibels (chainsaw) for 2 hours, 110 decibels (snowmobile from driver’s seat) for 30 minutes, 120 decibels (concert) for 7.5 minutes. The sound of a gun blast or fireworks at close range can cause instant damage to your ear. This damage can be long term or short term. Short-term exposure can cause a temporary loss of hearing and tinnitus. This usually goes away after a few minutes or hours. But repeated short-term exposure can cause permanent hearing loss and tinnitus. With this in mind, hearing protection is highly recommended to anyone exposed to excessive noise whether it is long-term or short-term exposure. Recent studies have shown that personal sound systems are causing hearing loss in young people. The reason for this is because the insertstyle headphones don’t block out the background noise, so people have a tendency to turn them up. This increase in loudness along with prolonged use can cause hearing damage over time. A good test to judge whether

personal headphones are too loud is the three-foot rule. If you cannot hear a normal conversation at three feet away (arm’s length), then the volume is too loud. The newer noise-reduction headphones that fit over the ears are a better choice than the “iPod-style” earphones that fit in the ears. At Northwest Ohio Hearing Clinic, we offer many types of custom-made hearing protection. With a custommade product, the fit will always be comfortable and you will be protecting your hearing without worrying whether you have the earplug in correctly. We offer earplugs for hunters, which contain a valve for occasional high-impact noise. There are earplugs for musicians who have to hear all the frequencies of music. We also make an earplug for general-purpose hearing protection, like for when you’re doing yard work or just want some silence. Whatever your reason, we can find the right type of hearing protection for your needs. Another question we often get is, “Is there a cure to my hearing loss?” The answer is most likely no. Noise exposure causes a sensorineural or “nerve” hearing loss. This type of hearing loss is due to damage to the

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auditory nerve, and it is permanent. Wearing hearing protection to prevent further loss is always recommended, but if the hearing loss is causing communication problems, hearing aids are likely recommended. With today’s new digital technology and open-fit type of hearing aids, we are able to amplify only the frequencies that have the hearing loss (which is usually the high frequencies). With this increased amplification, clarity of speech greatly improves, especially in the presence of background noise. If tinnitus is also involved, amplifying these higher frequencies often masks the tinnitus, providing relief. Noise-induced hearing loss can affect anyone at any age, and, unfortunately, once the damage is done, there is no cure. It is very important to protect your hearing any time you are in a situation with excessive noise. Many types of hearing protection are available. If you are unsure what is best for your situation, please contact our office and one of our audiologists will be happy to assist you. ❦ Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 3000 Arlington Ave. in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Elizabeth Scott partners with Graham’s Foundation

he Elizabeth Scott Community has partnered with the Graham’s Foundation, a local non-profit organization dedicated to helping families cope with the challenges of their premature babies. Elizabeth Scott was the top-level “Miracle” sponsor for the Graham’s Foundation’s March 10, 2013 Parents of Preemies Day, which was held from noon to 3:00 p.m. at Health Care REIT, 4500 Dorr Street in Toledo. The Parents of Preemies Day in Toledo is part of the Graham’s Foundation’s nationwide effort to provide community outreach, support and awareness events for parents of preemies and their children, the general public, and the media. The Toledo event featured a brunch, children’s activities, and exhibits that brought together a hand-selected group of prematurity specialists. In addition, life coaching experts and professional counselors discussed how prematurity impacts families and how specific

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services and therapies can improve outcomes for premature infants and children. Why would an elder care facility partner with an organization supporting parents of preemies? The answer lies in their deep connection with the local preemie community. “At Elizabeth Scott we give to those causes that are close to the hearts of our residents,” says Matt Bucher, Elizabeth Scott’s Director of Marketing and fourth-generation family owner. “Being family owned and operated, we also look for causes that are close to the hearts of the owners as well. My wife and I, along with two other employees, have gone through our own preemie journeys and wanted to help other parents of preemies.” Bucher and his wife, Jean, Elizabeth Scott’s Assistant Director of Nursing, are the proud parents of Maximillian, who was born premature on May 25, 2010. “I knew something was not good when we got to the hospital and the

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doctors and nurses were scrambling,” says Matt. “Needless to say, I was faced with a heavy dose of reality, a sinking feeling in my stomach, and I had no idea about the journey we were about to embark on,” says Matt. Max was quickly delivered through emergency Cesarean section at 27 weeks, weighing only one pound and five ounces. Max had all of the challenges associated with prematurity and struggled for survival—as do most premature babies in the Neonatal Intensive Care Unit (NICU). Max spent 89 days in the hospital. Today, Max is an energetic, healthy, and happy toddler with a charming, delightful personality. The three months that he spent in the hospital brought an enormous amount of stress, fear, and uncertainty into the lives of Matt, Jean, and the entire family. They are grateful for the Graham’s Foundation support to parents facing the same challenges they did. In October 2009, Mary Mikesell, Human Resources Assistant at The Elizabeth Scott Community, rushed to Toledo Hospital’s emergency room with pregnancy issues. “I knew something wasn’t quite right,” says Mary. “Soon after my husband and I would realize that things were serious and that our daughter, Brianna, would be delivered during an emergency C-section. Hours after my arrival, our two-pound, eight-ounce “peanut” entered the world. Her due date was not for another 84 days.” During the 67-day stay in the hospital’s NICU, Brianna had many hurdles to overcome. She kept fighting, and days before Christmas, the

Mikesells received an amazing gift— the doctors decided that Brianna was strong enough to go home. Like all preemie babies, that wasn’t the end of the story. Once home, Brianna continued to see medical specialists. One by one, they informed the Mikesells that their “peanut” had overcome her issues and no longer needed their care. Brianna is now a healthy, feisty, and amazing little three-year-old. She will attend pre-school this fall and continues to keep her parents on their toes.

Matt and Jeanie Bucher of The Elizabeth Scott Community are parents of Max, a preemie baby, who will turn three years old in May. Elizabeth Scott is a major sponsor of the Graham's Foundation.

Lynda Wisniewski, Elizabeth Scott’s Level III Activities Coordinator, is the proud grandmother of Olivia Elaine born on November 21, 2012 at one pound, three-and-three-quarter ounces. Olivia’s parents are Jessica (Lynda’s daughter) and Ryan Franks. Her original due date was February 25, 2013. Olivia was doing wonderfully when she was first born. But 48 hours after her birth, her health took a drastic turn. “At 2:50 a.m., the neonatologist walked into our room and told us Olivia had hemorrhaged and had lost half of her blood, which filled her airway and caused a brain

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Independent living, assisted living, skilled rehab, At The Elizabeth Scott Community we and skilled nursing options can be overwhelming. guarantee, in writing, future room availability for our residents in any level of As you compare different living environments, care we offer as the need arises. remember that a loved one’s health and finances can change over time. So, make sure you fully It’s “The Elizabeth Scott Way,” making sure understand if the facility will have a place for each resident’s needs are met, now and in Mom or Dad in the future. the future. Guaranteed.

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bleed,” says Lynda. Bucher says he is Matt Bucher watches his son color “We were told she working with staff pictures at the Parents of was stable but in critimembers of the GraPreemies Day event. cal condition, and ham’s Foundation the doctors were to explore ways to unsure if she would involve Elizabeth survive.” Scott residents and Olivia began a staff members with long process of gradthe Graham’s Founually being weaned dation. “We think from breathing mait can be a benefit chines to oxygen to breathing all to both organizations,” says Bucher. on her own. In addition, her heart To learn more about the Graham’s murmur eventually disappeared. Foundation or their Parents of Preemies By the end of January, she reached Day, visit www.grahamsfoundation. three pounds and was finally able to org. To learn more about the stories be bottle-fed. “It has been one long, of Elizabeth Scott’s precious preemie emotional roller coaster that has taken babies and their families, visit www. a toll on our lives,” says Lynda. Baby elizabethscott.org. ❦ Olivia is scheduled to go home soon.

Understanding head and neck cancer

he group of cancers collectively ness, persistent sore throat, difficulty known as “head and neck cancer” swallowing, ear pain, chronic cough, can develop in many different, sensiand a lump in the neck. Because tive anatomical structures of the head many of these symptoms are also and neck, specifically the mucosal associated with less serious condilinings of areas such as the oral cavtions, it’s all too easy for those exity, pharynx (throat), larynx (voice periencing them to downplay their box), nasal cavity, nasal sinuses, and, significance. In many instances, it’s in rare instances, the salivary glands. not until a lump develops in the neck Also, it’s common for these cancers that people seek medical attention. to spread to the lymph nodes of the Interestingly, Dr. Sachs notes, many neck. However, cancers of the brain cancers of the oral cavity are being or eye or those that arise in the skin, caught early by dentists during roubones, or musculature of the head tine oral exams. and neck region are not typically The greatest risk factors for decategorized as head and neck cancer. veloping head and neck cancer are “The term ‘head and tobacco use and alcohol neck cancer’ refers to squaconsumption. More remous-cell carcinomas that cently, a strong connecdevelop in the lining of the tion has also been made oral cavity or the aerodibetween exposure to gestive tract,” explains Dr. human papilloma virus Bradley Sachs of The To(HPV) and the risk of ledo Clinic Cancer Centers. head and neck cancer. “Squamous-cell cancers We’ve known for many also develop on the skin, years that HPV is assobut they tend to be more ciated with increased aggressive in the mucocervical cancer risk, but sal linings of the head and now doctors are seeing Dr. Bradley Sachs neck. The most common an increase in head and sites of occurrence include the vocal neck cancer, usually affecting the base cords, tonsils, base of the tongue, and of the tongue or tonsils, in younger inside of the mouth.” people with HPV who have no hisThe National Cancer Institute estory of alcohol or tobacco use. timates that there were over 50,000 Susceptibility may also increase cases of head and neck cancer in the with previous exposure to radiation, US in 2012, accounting for approxipoor oral hygiene, certain occupamately three percent of all cancers. tional exposures, and possibly lower These cancers are nearly twice as consumption of fruits and vegetables, common in men than in women, and but smoking, alcohol use, and HPV are much more prevalent in people exposure are known to have the most over age 50 than among the younger significant impact on risk. “Vaccinapopulation. tion for HPV will no doubt bring The most common symptoms of down the rate over time; however, head and neck cancer include nonwe’re continuing to see a lot of pahealing sores in the mouth, hoarsetients with HPV who present with a Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

small tumor that already has lymph node involvement,” Dr. Sachs says. The appropriate treatment option for head and neck cancer varies based on several factors, such as the particular anatomical structure affected

and the size and stage of the cancer. “Early head and neck cancer is usually treated with surgery followed by radiation. If it’s more advanced and, for example, located at the base of the tongue, we have the option of using

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an organ-sparing approach, combining chemotherapy and radiation to shrink the tumor. This technique can be very tough on patients, but when you combine chemo and radiation, each amplifies the effects of the other. Instead of ‘one plus one equals two,’ it’s more like ‘one plus one equals five,’” comments Dr. Sachs. The good news is, the cure rate for head and neck cancer is relatively high, even with advanced disease. What’s more, patients with HPVrelated cancer typically have an even better prognosis. There’s something about the biology of the virus-triggered tumors that makes them more sensitive to treatment. When facing a diagnosis of cancer, more and more patients are choosing The Toledo Clinic Cancer Centers.

With eight board-certified hematologists/oncologists and eight nurse practitioners on staff, The Toledo Clinic Cancer Centers can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. Also, there are several offices (including the main location at 4235 Secor Road and satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convenience of the patient. Many Toledo Clinic Cancer Centers 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.

Key tax changes for 2013 by Scott D. Brown

Now open and accepting new patients.

See for yourself how our small office can give you huge results!

BEFORE

AFTER

he eleventh-hour extension of many of the Bush-era tax rates narrowly skirted an across-the-board increase in most federal tax rates. But the new rules differ in a number of ways from the old—particularly for those in the top tax bracket. Here are some of the important tax alterations you’ll want to be aware of as you plan for 2013: Higher marginal tax rates: Legislation that resolved the fiscal cliff

WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING RELIEF AN COMFORT. WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING

created the first upward tax-bracket revisions in decades. With the top marginal income tax rate now 39.6%, tax management strategies that once had limited cost-benefit may now be more attractive. For example, if you are relying on cash flow from a fixedincome portfolio in a taxable account, you may find that municipal bonds might offer better net cash flows now than they might have last year, even if their gross yields might be lower. Capital gains and equity dividend taxes: The favorable tax rates on long-term capital gains and qualified equity dividends are now effectively graduated for many taxpayers. That means you may have to do a complex calculation to estimate the tax rate you might be liable for on your income from these sources. As a general rule, long-term capital gains and qualified dividend tax rates for those in the 10% and 15% income tax brackets are zero. For those in the 25% to 35% brackets, the rate is 15%. And for taxpayers in the top bracket (39.6%), it’s 20%. Here’s where it becomes interesting: You may be subject to a higher rate on long-term gains and dividends than your ordinary marginal tax bracket might imply. That’s because your capital gains and dividend income tax bracket will be assigned according to what your ordinary tax bracket would have been if the capital gains and dividend income were tallied as ordinary income instead. For example, assume that your employment earnings put you in the

help control pain. calm we bring RELIEFfears. AND COMFORT. WE HELP CONTROL PAIN. WE CALM FEARS. ef and comfort. how “You’re not in this alone.” n we WE help you? we WE HELP CONTROL PAIN. WE BRING RELIEF AND COMFORT. p control pain. wepain. WE HELP control m fears. we bring reCALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP CONTROL and comfort. how n we helpWE you? we calm PAIN. WE CALM FEARS. WE BRINGFEARS. RELIEF AND COMFORT. WE HELP p control pain. we m fears. we bring WEreWe are the area’s largest and most experienced provider of CONTROL PAIN. WE CALM FEARS. BRING RELIEF AND COMFORT. and comfort. how WE BRING relief AND comfort. hospice care, a nonprofit organization solely dedicated to n we help you? we WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING RELIEFproviding AND the best possible end-of-life experience for our p control pain. we patients and their families. m fears.HOW we CANbring WE helpreyou? Ask for us by name. The sooner you do, the more we can help. and comfort. COMFORT. WE HELP CONTROLhow PAIN. WE CALM FEARS. WE BRING n we help you? we p control pain. RELIEF AND COMFORT.WE HELPwe CONTROL PAIN. WE CALM FEARS. m fears. we bring reand comfort. how WE BRING RELIEF AND COMFORT. WE HELP CONTROL PAIN. WE n we help you? we p control pain. we CALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP CONTROL m fears. we bring reand comfort. how PAIN. WE CALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP 18 April 2013 / Healthy Living News We love comments and feedback. Like us on Facebook. Follow us on Twitter. an we help you? “We are experts in managing symptoms and pain as patients

get closer to the end of life. It’s very important to call as soon as possible so we can help you with the disease process you are facing. We will support you at every turn so you know

you’re not alone.“ – Dr. Vicki Bertka, Hospice of Northwest Ohio physician

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33% tax bracket and you also have significant income from qualified long-term capital gains and qualified dividends. To estimate your dividend and capital gains tax liabilities this year, you’ll need to add your investment income total to your ordinary income total. You could then see what tax bracket the combined tally would put you in, and by how much. In this case, the portion of investment income that brings you up to the 39.6% threshold would still be taxed at 15%, but any portion of capital gains and dividend income beyond that would be taxed at the higher 20% rate. You could pay the top rate on favored investment income even though your ordinary income tax bracket would still be 33% for wages, salaries, interest income, and the like. Keep in mind that the new 3.8% Medicare tax on investment income (more below on this) applies to qualified dividends and capital gains, effectively increasing the net tax rate even further for some taxpayers. Medicare tax on unearned income: This tax is new for 2013 even though, strictly speaking, it was not part of

the fiscal cliff legislation, but rather, mandated by the Affordable Care Act. The actual tax is assessed only on “unearned” income— typically interest, dividends, royalties, annuities, rents and other passive activity income, capital gains on investments, and trading of financial instruments and commodities. The trigger for this tax is your modified adjusted gross income (MAGI): $200,000 for single taxpayers, $250,000 for those married filing jointly. Any strategy that effectively defers or reduces your reportable income can help you manage the impact of this tax in 2013. Estate, gift, and generation-skipping taxes: The taxes on inherited wealth and major gifts are higher now than they have been in recent years. But they are lower than they would have been if there had been no new action by Congress. What is more, for the first time in a decade, there may be a sense of statutory stability. As the law now stands, estate and gift taxes will remain as they are, without sunset or expiration provisions. The

maximum exclusion amount ($5.25 million in 2013) will be indexed for inflation in the future if needed, but there are no scheduled changes in tax rates or other assessment policies. One new feature stands out: A taxpayer’s unused estate/gift exclusion allowance can be passed on to a surviving spouse and added to his or her own personal exclusion amount. Keep in mind that this transfer of a future tax benefit can be made only to a spouse who is a US citizen. Alternative minimum tax: Like the estate tax, the alternative minimum tax (AMT) gained a new measure of predictability from the fiscal cliff law. Inflation adjustments have become a permanent part of the basic AMT calculation. That means that for income earned in 2012 and reported on tax returns filed this year, the basic exemption amount is $50,600 for individuals and $78,750 for couples. For income earned during 2013, the exemption amounts are $51,900 for singles and $80,800 for couples. This is only a general summary of highlights from the new laws. It is not tax advice. Before you take any tax management steps, you should consult your tax advisor. Also, please keep in mind that in federal tax discussions, tax benefits for spouses

are available only to those couples whose marriages can be recognized by federal law. That said, please feel free to contact me with any investment-related tax questions you might have. I would be pleased to help you assess the impact of tax changes on your investment and financial accounts. ❦ If you’d like to learn more, please contact Scott D. Brown, First Vice President, Financial Advisor, Morgan Stanley Smith Barney, Toledo, OH, at 419-842-5312. Web address: http:// fa.morganstanleyindividual.com/ thefadel-browngroup/. Sources: Tax information was compiled from Internal Revenue Service Revenue Procedure 2013-15, IRS news release IR-2013-4 (Annual Inflation Adjustments for 2013, January 11, 2013), Internal Revenue Bulletin No. 2013-2 (January 7, 2013), and IRS news release IR-2012-78 (In 2013, Various Tax Benefits Increase Due to Inflation Adjustments, October 18, 2012). 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 D. Brown may only transact business in states where he is registered or excluded or exempted from registration http://www.morganstanleyfa.com/thefadel-browngroup/. Transacting business, follow-up and individualized responses involving either effecting or attempting to effect transactions in securities, or the rendering of personalized investment advice for compensation, will not be made to persons in states where Scott D. Brown is not registered or excluded or exempt from registration. Investments and services offered through Morgan Stanley Smith Barney LLC, member SIPC.

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

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

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A Walk in the Park

Ready for the Big Room

hose of you who have been reading this column for 15 years or so may have gotten the impression that Shirley is an intrepid adventurer. She wrestles with alligators, boxes with bears, and kicks rattlesnakes off the trail. Frankly, she has not done quite so much of the former two in recent years, but she is still pretty good at the latter. So, you may be shocked to learn that she has a secret fear. Or once did, anyway. Shirley confessed to a modest inclination toward claustrophobia.

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She can handle tight spaces, like the Fat Lady Squeeze at Mesa Verde, provided it is for just a short time. Touring caves was out of the question—until two years ago. On our way back from Yellowstone, we stopped at Wind Cave National park in South Dakota. There was a short tour offered by a very long ranger. Shirley screwed her courage to the sticking place and soon found that the experience was not nearly as daunting as she expected. Last year we visited Mammoth Cave in Kentucky. But, then, most of us would not be concerned about confined space in a place called Mammoth. This year, Shirley declared that she was ready for the Big Room. That would be in Carlsbad Caverns in New Mexico. The experience was exceptional right from the beginning. At 10:00 on March 1, only four of us were given the mandatory ranger instructions for the self-guided tour. Rule 1: Stay on the trail. Rule 2: Don’t touch the rocks. The cavern has been there a few million years, but if tourists go touching the rocks they’ll corrode away before Memorial Day. The same people wrote the rule against throwing stones into the Grand Canyon. If everyone did that, you know, there would not be any Grand Canyon. Perhaps that was a tad flippant. Oil from your skin can permanently discolor the rocks you touch. The Park Service says that visitors also come trailing clouds of dead skin cells and microscopic bits of fabric shed by the friction of pants legs rubbing together. It is the same process, more or less, that creates those dust bunnies under your bed. At Carlsbad, park employees go hunting for those bunnies. It must be part of the initiation rites for new rangers. The cave is very dimly lighted. Even after your eyes adjust, it is still mostly dark in there. Not nearly as dark as it used to be. When you hear about the days

of cave exploration by Jim So he took people in with him. White and the early visitors, Among the first, in 1915, you can only conclude that was a photographer whose those people were insane. images created quite a stir. And that’s not flippant. It White’s tours began with a is difficult to exaggerate the 170-foot descent in a guano challenges of early Carlsbad bucket. You can bet that all of exploration. his guests prayed fervently for Obviously, there were no his well-being. Jim White was paved trails with handrails the only person who knew the to keep you from falling into way deep into the cave. More the Seventh Ring of Dante’s importantly, he was the only Inferno. Nor was there electric person who knew the way lighting—even of the very out. Since then, cavers have dim sort provided today. The developed the Rule of Threes: When a stalagtite cavern could be lighted like Let three people know where coming down meets Las Vegas, but that would a stalacmite going you are going. Take at least encourage the growth of algae up, a column is three people with you. (One and diminish the low-light formed. to go for help and one to stay with the injured party.) Take “cave experience.” at least three sources of light. The first visitors, 1,000 years ago, left signs of their presence just inside A visit to Carlsbad Caverns today is the huge cave opening. There is no not nearly as daunting, but it can still evidence that they entered the darkbe quite challenging. There are three ness. This just shows that people were main tours: two self-guided from the a lot smarter 1,000 years ago. Natural Entrance and the Big Room In the late 1800s, white settlers and a ranger-led tour to the King’s discovered the cave entrance because Palace. If your time is limited or you hundreds of thousands of bats could have physical limitations, an elevator be seen like a cloud of smoke emergdescends 755 feet to the entrance to ing in the evening. All those bats crethe Big Room. ated an economic incentive to enter Shirley and I decided to combine the two self-guided tours and rented the darkness. Bat poo—guano-was an audio guide. A written guide piled 40 feet deep. It was mined as would be totally useless where there a natural fertilizer. is not enough light to read by. The A young cowboy, Jim White, explored still deeper into the cave. His total distance is only a little over stories of what he had seen, though, two miles but, trust us, by the time had the same credibility as early acyou emerge three hours later, it will counts of the wonders of Yellowstone. seem a lot longer. The paved trail descends very steeply through a series of switchbacks for a distance equivalent to taking the stairs down an 80-story building. That’s why the rangers are so adamant that the walk is not for those with heart conditions or bad knees. Don’t think for a minute that walking down is easy. Your legs will soon convince you otherwise. The Natural Entrance is impressively large and well lighted by the The trail from the Natural Entrance descends desert sun—for a short distance. Ahead steeply for the equivalent of 80 stories. you can see the black hole from which not even light can escape. Sorry. For a second there I got my astronomy mixed up with my cavernology. Shirley’s first reaction to the descent was not “Ow!” but “Wow!” And she kept on saying it. The woman needs to develop her vocabulary. But you could pull out your thesaurus and list superlatives all day without doing justice to Carlsbad. The descent follows what is called the Main Corridor. Highlights include the Bat Cave (Sorry, boys, no Batmobile in this one.) the Devil’s Spring, the Devil’s Den, and the Witch’s Finger. Evidently, Jim White’s early explorations involved a certain We love comments and feedback. Like us on Facebook. Follow us on Twitter.

level of foreboding. After hundreds of trips farther and farther into the caverns, his place names became more positive—the Chandelier Ballroom and Fairyland, for example. Near the end of the Main Corridor is Iceberg Rock, a 200,000-ton boulder that broke loose from the ceiling a long time ago. The Park Service Sometimes the ceiling appears tries to be reassuring. to be covered with icicles. “Not to worry,” says the audio guide, “there is only

an eensy-teensy chance that you will get bonked by another 200,000 ton boulder.” As spectacular as the Main Corridor is, you ain’t seen nothing until you get to the Big Room. The ceiling from which boulders won’t fall is way, way up there. The guide says the open space is about the size of 14 football fields. Before the age of electronic measuring devices, the early explorers had

to be clever—which is a synonym for the term “insane” I used above. One way to reach the ceiling was to tie a rope to a helium balloon and then snag the rope around some projection near the ceiling. Then all you had to do was shinny up the rope just like you used to do in gym class. Well, maybe not the way you used to do it but apparently there were fools willing to try this trick. More than size, though, is the way the cave is decorated. “Decoration” is cave talk for all the fantastic shapes that rock comes in down there. Two hundred fifty million years ago, the

area was part of a reef in an inland sea. Over time, the seabed was uplifted by geological pressure that also created the nearby Guadalupe Mountains. Rain water seeped into the buried limestone of what had been seabed while hydrogen sulfide rose from oil and gas fields below. They combined to make an acidic solution that dissolved the limestone, opening up the huge chambers that make up the system of caverns. After the empty space was formed, the process of “decoration” began just as you would furnish an empty new house. Slightly acidic water

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Kohl’s Kids in Action offers free obesity prevention programs 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.

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from above carried dissolved minerals such as calcite. When the water reached the cave and evaporated, it left behind the minerals that slowly grew into wondrous shapes.

in gym was tough. Turns out the Bottomless Pit is only 140 feet deep. The cave explorers sent by National Geographic in the 1920s were wimps in comparison. They threw rope ladders into the darkness. • Stalactites—form when water In 1930, Congress created Carlsbad drips from the ceiling Caverns National Park. Rope ladders • Stalagmites—form when water were replaced by wooden ladders falls on the floor and some actual stairways. Some • Columns—form when are still visible along the the ‘tites coming down trail but are no longer used. meet the ‘mites going Thank goodness. They look up mighty rickety now. Visitors • Draperies—are hung undoubtedly preferred them when water runs down to guano buckets. a slanted ceiling Carlsbad Caverns was • Flowstone—layers of a memorable experience calcite deposited by for us. Among the lessons, water flowing over a claustrophobia is not an issue floor or wall. when you are in a space that The trail in the Big Room is far bigger than any buildfollows the perimeter past the ing you have ever been in. A rope ladder from the Temple of the Sun (nothing The Mall of America would 1924 National Geoironic in that name), the Top graphic expedition de- get lost in one of the side of the Cross, and the Bot- scended 90 feet into the alcoves. After three hours, tomless Pit. How far down Lower Cave. Suddenly, Shirley and I were glad to is it to the bottom of the a guano bucket sounds see the elevators. Climbing Bottomless Pit? Standing like a much better idea. all the way back up would there, looking over the edge not have been just another into the heart of darkness, I was not walk in the park. ❦ the slightest bit curious. Somebody was, however, and threw a rope in LeMoyne Mercer is the travel editor for and climbed down. And down. And Healthy Living News and the regular down. You thought the rope climb contributor of A Walk in the Park.

By Carol Klotz

Breaking the

grip

of Crohn’s Disease

re you miserable with Crohn’s Disease or IBS (irritable bowel syndrome)? Or perhaps you know someone stricken with Crohn’s or another debilitating illness categorized under IBS, such as diverticulitis. In case you aren’t familiar with Crohn’s, it is a chronic inflammatory condition of the gastrointestinal tract. It cannot be cured.

Been there! This is my testimony about how the usual ravages of this horrible disease don’t affect me much anymore. Though I will never be cured of Crohn’s, my life has really taken off as a result of using food in place of medicine. The first time I ever became aware of Crohn’s disease was when I was diagnosed over 40 years ago, in 1970. At that time, I was hospitalized because of recurring high fevers, diarrhea, pain in the abdomen, and weight loss. Also, my eyes were very bloodshot. My current friends confessed to me later that they thought I had a drinking problem as they were always red. Later I suffered from iritis, a painful inflammation of the eye that can be a side effect of Crohn’s. I probably had Crohn’s during high school and college as I was very thin and had pains in my stomach during that time. Crohn’s is a difficult disease to diagnose. During that hospitalization, doctors first thought I had spinal meningitis, then lupus. Finally, after many tests, it was determined that I had Crohn’s and treatment began with diet changes and Prednisone. In l975, I learned how serious this disease can be. Only seven months

after getting married, I had to have emergency surgery when my small intestine perforated. My surgeon informed me that he removed 42 centimeters of small intestine, including the ileal secal valve, and a temporary ileostomy was performed because of peritonitis—and to save my life. If I hadn’t already been a patient in the hospital, I may not have survived. In fact, surgery was performed about four months later to “resect” the small intestine from the ileostomy. My next surgery—in a total of six surgeries because of Crohn’s—was to remove kidney stones, which developed due to the shortened intestine. I then experienced the pain of fistulas and abscesses and had to have two emergency surgeries to correct this. If you have experienced this, you know it is incredibly painful—and I thought kidney stones were bad! My final surgery (for Crohn’s) removed about another 12 inches of intestine. Needless to say, I was miserable at times.

Done that! Even though I was blessed with excellent medical care in Chicago and Toledo, I experienced many prescriptions and their damaging side effects. These included Prednisone, which was prescribed for 27 years. A side effect of this drug was cataracts; they have since been removed. Among many other medications that I used, my doctor prescribed Flagyl for quite a long period of time as well as Purenithol, a chemotherapy-type drug that requires blood testing every two months as it kills both the “good” and the “bad.”

Crohn’s Disease, IBS Been there. Done that.

Now I have an active life! Interested? Call me Carol Klotz

419-343-9189 22 April 2013 / Healthy Living News

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No more! About six years ago, I heard about a real, time-tested natural supplement— mangosteen juice—in a radio ad. This is made from a delicious fruit grown mainly in Southeast Asia. Parts of the fruit have been used for hundreds of years for wellness purposes. This fruit contains unusual “phytochemicals” (naturally occurring chemicals) known as “xanthones” (and others too), which are antioxidants. These xanthones are found in greater abundance in the mangosteen fruit than in almost any other known fruit in the world. Because of the documented wellness effects of this fruit, especially in its native regions, there are many detailed lab studies (mainly from Asia) that indicate its usefulness in various wellness situations. American researchers have become more active during the last few years as the fruit and its juice have gained popularity in our country. You can find many research studies dating back for years at www.pubmed.org (key in the words “xanthone” and “mangosteen”). I heard that the mangosteen had anti-inflammatory effects, so I thought it might help me. And since the mangosteen is a fruit and has no side effects, I decided to give it a try. As God had always taken such good care

of me in the past, I reasoned, “This is a fruit created by God and bottled by man.” I was especially interested in the “energy” benefits that I heard about in the radio ad. When I started drinking mangosteen juice in 2007, I was experiencing much discomfort after my last Crohn’s surgery in 2006. At my doctors’ suggestions, many things had been tried to alleviate this discomfort, including pancreatic enzymes, but nothing had worked. After two weeks of drinking only about an ounce of mangosteen juice each day, I experienced an increase in energy and friends thought I looked so much better. I also no longer had migraine headaches, which I often had a couple times a week. I then increased the amount of juice to an ounce in the morning and an ounce in the evening. After about three to four months, I realized that the side effects from that surgery were gone. No discomfort whatever. I continued taking the mangosteen juice with its wonderful benefits of more energy, no migraines, and no pain or discomfort from Crohn’s. Then, about three years ago, I started experiencing damaging side effects to my liver and kidneys due to the prescription drugs I had been taking for years. I realized I had better get off these prescription drugs but

was fearful of stopping them. I sure possibility of kidney stones). I am didn’t want a flare up of the disease. now off all those medications! Under the guidance of two excellent I slowly learned that not all manmedical doctors, a gastroenterologist gosteen juices are the same. Some and a world-renowned colorectal are diluted. Some only use part of surgeon, I was able, with periodic the mangosteen fruit. To get better blood monitoring, to get off all my results more quickly, the most effecprescription medications for Crohn’s tive mangosteen juice uses the whole while substituting the natumangosteen fruit, which includes the ral alternative pericarp (the rind). Some people who treatment of are used to drinking bad-tasting juice or medicine to help them wonder mangosteen juice. With their how a juice that tastes so good can guidance, I inactually help you. creased my manThere is no magic in what I did. gosteen juice to Mangosteen juice six ounces twice a is based on science, day for a month, not hope. I have then reduced it to learned that many four ounces twice others have had the a day for a month. During same results while this time, I was gradually fighting their own quitting the prescription Crohn’s and IBS illdrugs. Now I maintain nesses. I am conon just two ounces in the vinced that many morning and evening. My people can get relief cholesterol and blood presfrom this wonderful sure are all in the normal juice and am sharing this message to to desirable ranges. When I started drinking get the word out. mangosteen juice, I had I have always been taking Purenithol, Tribeen active, even clor (for high triglycerides), Carol Klotz says she is pain free, while fighting the and Hydrochlorathiazide feels great, and has plenty of energy illness before dis(a diuretic to reduce the thanks to her mangosteen. covering mango-

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steen juice. After having Crohn’s for 20 years, I took up horseback riding, played polo for five years, and rode horseback across the mountains in Vermont on a five-day trip. I’ve done a 100-miles-in-a-day bicycle ride and completed a very strenuous six-day outward-bound-type program in the mountains of northern California. I wouldn’t let Crohn’s stop me. I also was a model/actress and spokesperson in commercials and movies in Chicago. I remember getting the part in a fitness/treadmill commercial because “I looked so healthy and had so much energy.” While filming that commercial, I

remember being so miserable with abdominal pain. Now I not only look healthy, but feel healthy. With this wonderful juice, I am even more active and comfortable now. At age 66, I am pain free, feel great, and have energy. I do water aerobics three times a week as well as Zumba. I run and also bike 15-20 miles a day several times a week in the summer. And, my colonoscopy is now scheduled for every five years instead of every six to 12 months! Throughout the history of my disease, I have spoken before several groups, including the Minnesota Chapter of the National Foundation

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for Ileitis & Colitis. Crohn’s doesn’t have to limit us or cramp our style. “No matter how you feel, get up, dress up, and fight for your dreams.” Don’t get me wrong. This disease is too powerful to not follow your physician’s care. However, there may come a time when an alternative treatment may be helpful. Fighting drug side effects or not, you may eventually want to find a way to

wean yourself from some of your drugs as I did. If you are interested in more information about how I helped myself, with the care of my physicians, please feel free to call me at 419-343-9189. If you want to learn more about Crohn’s Disease and how to deal with it, consult the website of the Crohn’s and Colitis Foundation of America, www. ccfa.org. ❦

BySister Mary Thill

Spiritually Speaking Climbing the mountain at 85+ The Lord is calling me to “climb the mountain,” to devote myself even more to prayer and meditation.—Pope Benedict XVI

or some reason I am compelled to write about the recent resignation of Pope Benedict XVI. The media seems to be fascinated with all that goes on in the Vatican when a Pope resigns. Actually, this is a first for any contemporary news reporter as this hasn’t happened in over 600 years. By the time you read this article, we may know who the new Pope is and will have already formed ideas about what effect he will have on the Catholic Church, the running of the Vatican, and the world at large. The last two Popes did seem to have much to say about what is happening in our world, I can only hope and pray that the new Holy Father will take even bolder and

broader steps in helping us to live in a more loving and peaceful church and world. Pope Emeritus Benedict has shown us a side of the ministry that continues to mystify me as to why someone in his 80’s would even want the job. As a gerontologist, I know that as we move along in our life’s journey, we experience many changes in our body, mind, and spirit. How can someone 85 years old work an 18-hour day, be available to world leaders and others who seek his wisdom and his blessing, and travel the world on various occasions? He can’t, at least not this man at this time. How many of us have seen other

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80+-year-olds trying to do a fulltime job and in the process become more of a hindrance than a help to those they are supposed to be assisting? Supreme Court Justices, even some Congressmen, some heads of state and founders of companies who don’t do an honest inventory of what they really can and are doing in their later years may need to take the Holy Father’s example to heart and be honest with themselves as to what they really can accomplish during this Third Age of life. I can only imagine what Pope Benedict went through when he felt the Lord calling him to “climb the mountain” of prayer and meditation. The spiritual and contemplative part of life seems a very fitting place to spend one’s later years when you realize that you cannot keep the pace of a 30-year-old and when you know that there are others who can and will do the job with the necessary and new skills you simply don’t have. I think it’s sad when someone has to be fired or forced out of the work place when they are unable to do the work and don’t seem to realize that it’s time to let go and retire to a life that is more fitting for this stage of their life.

I have friends who ask to be told when they can’t do their job anymore, when they have become a driving hazard, and when they should retire to a life that will bring them much happiness and relieve the stress of co-workers around them. Ideally, we come to those realizations on our own, but it’s not always easy to let go, especially when you’ve been holding on for years. I give credit to Pope Emeritus Benedict for knowing himself well enough that by his resignation he seemed to be saying, “Amen! I’ve done what I was able to do. Now it is time for God to call someone else to take up the work of the Kingdom of God.” Humility comes with wisdom, and I see this act of resigning to be a visible sign of Benedict’s humility and wisdom. I hope and pray that as he enters his new ministry of prayer and meditation, the Church and the world feel his presence in a new way. He can truly be a spiritual Father to all, for who doesn’t need someone to pray for them? ❦ 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.

Toledo Hearing and Speech Center’s summer fun!

he Toledo Hearing and Speech Center started off the New Year in style as they moved to a new office location! On January 14, the Center opened its doors at 4841 Monroe Street, Suite 103 in the Harvest Square office complex, near the corner of Harvest and Monroe. The office includes 6,500 square feet of brand new, renovated therapy and treatment space. All treatment areas have observation and sound access for parents/caregivers to

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watch treatment for good carryover at home. With grant funds from Give Autism the Boot, several new pieces of therapy equipment have been purchased. The OT rooms have been outfitted with zip lines, ball pits, and crash mats. All clinical staff are utilizing ipads as well as incorporating other new toys into therapy. The Toledo Hearing and Speech Center serves over 100 children every week in speech therapy, occupational therapy, The Autism Center, and Visual Music Concepts. “As busy as this winter has been relocating and getting settled, we are already planning for our summer fun and camp programs,” states Pam Myers, Executive Director. “We have something to offer any family with a child that has a communication disorder at an affordable price.” The Center’s summer programming includes groups in The Autism Center’s ACCEL program, speech therapy, occupational therapy, and for the fourth summer, Deaf and Hard of Hearing Day Camp. The Autism Center is offering five different groups for children with autism, including a social group and a reading group. The Autism Center also offers an individualized ABA

Family and Child Abuse Prevention Center’s 13th Annual Spring Luncheon

Every Home Should be A Safe Home

Friday, April 26, 2013 Inverness Club 4601 Dorr Street, Toledo 11:30 am Registration 12:00 – 1:30 pm Luncheon, Program & Raffle If you would like attend, please contact Lori Kocol at 419-244-3053, ext. 221 or lkocol@fcapc.org. Information is also listed on our Facebook page.

We are currently seeking volunteers to participate in this clinical research study who: • Are 18 years of age and older • Have been diagnosed with type 2 diabetes • Are unable to control their diabetes with their current metformin therapy (1500 mg/day or higher) For additional information about the benefits and risks of the study, please contact us: Clinic name:

Clinical Research Source, Inc. Telephone:

419-873-1532

26 April 2013 / Healthy Living News

program that can be delivered at home, school, or at the Center. The Center will also be offering speech therapy groups for children ages 2 to 10 that will help children gain or retain their skills over the summer vacation months. The occupational therapy group will be focusing on self-care skills for children ages 7+. There are openings for individual speech and occupational therapy as well. The day camp for Deaf and Hard of Hearing children will again provide fun and socialization for children who are often isolated over the summer.

New this year is the incorporation of philanthropy and giving back to the community by the teen participants. “Being a nonprofit agency, we are delighted that the teens are interested in volunteering as part of their camp experience,” says Myers. For more information on summer programming at Toledo Hearing and Speech Center, please contact Kim McIntosh at 419-241-6219, ext 203 or kmcintosh@heartoledospeak.org. Space is limited, and registrations are due by May 1, 2013. ❦

Springtime fitness tips from Heartland Rehabilitation Services

pring has arrived, the weather will be getting warmer, the days are getting longer, and it is time to get outside to play and do yard work. However, after taking time off during the colder months, many people often jump right back into playing sports and strenuous yard cleanup, creating pain in the neck, back, shoulders, knees, or elbows. Below are a few simple tips to help prevent the pain from overdoing things. • Wear properly fitting equipment/ clothes, especially shoes that provide support. • Get plenty of rest after each game or yardwork session. You must let your muscles and ligaments recover after strenuous exertion. • Drink plenty of fluids to prevent weakening of the muscles and ligaments. • Never forget to warm up. Work with a trained sports-medicine specialist or therapist to learn the best warm-up exercises and stretches. This applies not just to athletes, but also to homeowners getting ready to work out in the yard. • Prevent overuse. The majority of injuries are due to repetitive overuse syndromes. Listen to your body; if you start to feel aches and pains, call it a day. • If you have an injury that sidelines or limits you , don’t try to come back too soon.

Otherwise, you run the risk of reinjuring yourself, possibly even more severely than before. Though it’s important to start slowly and proceed with caution, participating in outdoor activities and yard work is a great way to stay healthy this spring and summer. A physical therapist can provide treatment for injuries you might incur and help speed your recovery so you can get back to doing what you enjoy! Don’t forget that an ergonomically incorrect work environment can lead to aches and pains as well. If you’re experiencing neck, shoulder, or back pain and can’t identify the cause, you might want to evaluate your work area or station. Here are some tips to keep in mind if you work in an office and sit at a desk for most of the day:

“Top 10” ways to monitor your workstation health 1. Keep feet on the ground. Make sure your feet are touching the floor or a footrest when seated. Your knees should be at a 90-degree angle. This distributes weight better and takes pressure off the upper body. Consider investing in a height-adjustable chair, or use a stool. 2. Sit up straight. Make sure you sit tall with your weight on your buttocks and feet. The pelvis should be straight up and down. Chairs with adjustable backs and arms aid in proper sitting posture. 3. Keep your eyes level with the screen. A good rule of thumb is to make sure

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the top of your head is parallel with the top of the screen. Think “topto-top.” Anything less could lead to neck strain. 4. Keep your forearms parallel. Make sure your forearms are parallel to the floor and your elbows are at a 90-degree angle. Your forearms should rest on chair arms or on your desk to bear your upper-body weight. 5. Settle your shoulder blades. Your shoulder blades should be settled on the back of the ribs, not in an arched or hunched position. This includes while talking on the phone. Use a speakerphone, headset, or shoulder rest for the phone handset. These will help prevent unnecessary neck strain. 6. Use proper mouse positioning. Place your mouse near the keyboard so you do not have to reach for it. Reaching for the mouse can over-stretch and fatigue the muscles. 7. Rest your eyes. Look away from the computer as often as possible and focus on distant objects. Staring uninterrupted at a computer screen for long periods of time can cause eye strain and headaches. An antiglare screen can also help prevent eyestrain. 8. Take a break. Take a break from the computer at least every 20 minutes. 9. Stretch and move. Do stretches, such as head turns and shoulder rolls, and march in place while seated or standing. 10. Watch for problems. Pay attention to warning signs such as headaches, fatigue, muscle pain, or cramping, and make adjustments early.1

•

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

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Finally if the work you do is more physical, consider these tips to help prevent injury and pain: • Know your load. Always be familiar with the objects that you are handling. Know the weight, and watch out for shifting loads. • Use a wide base of support. This will help with balance and reduce the chance of twisting or falls. • Maintain the lower back arch. “When

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in doubt, stick your butt out” is a good reminder to help reduce disc pressure and injuries. Lift close. Strain on the spine is amplified by moving the weight away from your center of gravity. Use a smooth lifting motion. Avoid the extra stress of sudden or forceful movements. Pivot the feet. This will reduce the stress on the lower-back structures caused by twisting. Communicate with others. Ask for help and know loads beyond your capability. ❦

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ProMedica advocates to end hunger in our community

f you think you can easily recognize the face of hunger, you might want to think again. That face isn’t necessarily gaunt and emaciated and living in a distant developing nation or an impoverished area. It could be

the face of your next-door neighbor, a co-worker, your child’s classmate or playmate, the server at your favorite restaurant, or anyone else you interact with on a daily basis. In fact, according to data compiled by the Food Research and Action Center, in 2011, more than 18.1% of households in Ohio were food insecure, meaning they lacked consistent access to enough food for an active, healthy life. Here in Lucas County, 22.1% of residents depend on some form of food assistance, 25.6% of children live in poverty, and 37.3% of children participate in the free/ reduced lunch program. Recognizing the implications of these troubling statistics, ProMedica is working hard to address and raise awareness of the growing issue of hunger in our community and partnering

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with other like-minded organizations pertension, diabetes, certain cancers, and other ailments. Then, they go to to meet the challenge head on. It might seem counterintuitive their doctor with illnesses they can’t that hunger can be a problem in a heal from because they lack elements nation in which 65% of adults are in the body that promote healing. On either overweight or obese, but ac- top of that, to treat those conditions, cording to Stephanie Cihon, Corporate they’re often put on medications that Director of Community Relations have to be taken with food, so it’s a for ProMedica, there is a strong link vicious cycle.” And those aren’t the only health between obesity and hunger. “It was impacts associated with hunger and actually through our work in obesity in the community that we made this malnutrition. Food-insecure people get more colds, stomachaches, connection,” she explains. “What and migraine headaches and are we’ve learned is that people almost three times more likely who are hungry tend to have to be in poor health overall. In irregular eating patterns that addition to colds and stomachcan lead to obesity, and many aches, hungry children are more people who are overweight prone to ear infections, iron or obese lack access to deficiency, and cognitive quality, nutritious and physical developfoods.” mental issues. PregMichelle Boose, nant women who MD, MPH, of Proare food insecure are Medica’s Center for more likely to deliver Health Services, elaborates: underweight babies. “Being obese doesn’t mean Perhaps most troubling, you’re getting your calories teens grappling with hunger from healthy foods. It’s an are five times more likely issue of quantity versus Many people who are quality. Many people of overweight or obese lack to commit suicide than their food-secure peers. limited economic means access to quality, Given the availability nutritious foods. lack access to grocery of government assistance stores selling healthy fresh foods, so they turn to the corner con- programs, such as school breakfasts venience store for two-for-one hotdogs and lunches, the Supplemental Nutriand biggie-size drinks or to the dollar tion Assistance Program (SNAP), and menu at a fast-food restaurant. As a the Special Supplemental Nutrition result, they have a greater chance of Program for Women, Infants, and becoming obese and are at increased Children (WIC), it’s tempting to asrisk of developing heart disease, hy- sume there’s no excuse for hunger and malnutrition in America. But these programs only go so far. “For example, food-insecure kindergarteners may be getting breakfast and lunch through school but what about dinner every night? What are they doing over the weekends and on vacation? What about over summer break?” queries Cihon. “Also, SNAP and WIC are intended to be supplemental. Sometimes it’s hard to make them stretch until the end of the month. That commonly leads to cyclical eating and irregular meals, which causes certain metabolic changes because the body perceives it’s going into starvation mode,” Dr. Boose adds. The face of hunger in our society is changing largely because the face of poverty is changing. Cihon notes that we’re starting to see less generational poverty and more situational Same Great Program)

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and stretching your food dollar. ProMedica is also partnering with the Toledo Museum of Art to develop and present Witness to Hunger, an exhibition of photographs taken of willing families, depicting their experiences with hunger. This exhibit will not only give families an opportunity to tell their story, but also to help guide ProMedica's work by ensuring their partnerships and assistance are actually what the community needs. Witness to Hunger will be on exhibit this summer at the Toledo Museum of Art. From there, it will go on the road to various hospitals as well as to legislative briefings in Columbus. In October, it will even travel to Washington DC, where the Alliance to End Hunger is hosting a summit for congressional leaders and healthcareindustry leaders from across the country. And that’s just scratching the surface of ProMedica’s

collaborations and initiatives intended to address the growing health issue of food insecurity in our community. “We know hunger is a problem that won’t change overnight,” Dr. Boose explains. “Our goal is to start changing perceptions and get everyone moving in the same direction with respect to nutrition. It takes the whole community coming together.” ❦

A FOUNDATION OF

six involved in the conversation and excited about healthy eating and the importance of exercise as well as to engage their parents/caregivers in discussions on topics such as positive parenting, healthy food preparation,

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healthier foods when going through a free-choice food pantry,” Cihon says. Healthy Kids Conversation Maps are another powerful tool ProMedica uses to provide nutritional education. Trained facilitators use these interactive maps to get kids in grades one through

MeDic MAnA Ation geMe nt

poverty. Simply put, more and more people are just a paycheck away from food insecurity. In fact, in our community, the fastest growing zip codes for food assistance are in areas stereotypically thought of as affluent. What’s more, there’s not as much assistance infrastructure in those areas and there’s less awareness of what services are available and how to access them. “You can’t look at someone and say, ‘They’re dressed nicely or they aren’t excessively skinny, so they don’t have a hunger problem,” says Dr. Boose. The good news is, through Come to the Table, a comprehensive program to fight hunger in our community, ProMedica and its partners are attacking hunger on numerous fronts. For example, ProMedica partners with Toledo Botanical Garden to promote urban and home gardening initiatives and with the Toledo Farmers Market to increase access to healthy, locally grown produce. In addition to conducting its own annual food drive to help stock local food banks, ProMedica partners with several food-assistance and hunger-relief organizations in the community, such as Seagate Food Bank, the Martin Luther King Kitchen, and the Friendly Center to positively impact the problem of food insecurity. Education is a major component of ProMedica’s efforts to fight food insecurity, as well. For instance, ProMedica strives to share with its internal staff and partner agencies information on how to provide healthier alternatives when donating or providing food to those in need of assistance. “We’re trying to discourage donors from just cleaning out their pantries. What’s needed are healthy staples, such as brown rice, peanut butter, whole-grain pasta, and low-sodium canned soups and vegetables. We also offer an educational piece on how to select

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Mercy Autism Services specializes in comprehensive, intensive autism intervention

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hen treating children with autism, early, intensive treatment is the key to achieving optimal out6 7 comes. Guided by this philosophy and utilizing cutting-edge evidence-based interventions, the interdisciplinary team at Mercy Autism Services is helping children across the autism spectrum reach their greatest potential. “We’re an intensive-intervention clinic specializing in helping kids with 14 autism between birth and age 12 and their families,” explains Michelle Nagle, M.Ed., CCC/SLP, Coordinator of Mercy Autism Services. “We offer diag20 nostic services in addition to speech therapy, occupational therapy, 23 Applied Behavior Analysis (ABA), and the P.L.A.Y. Project. These are the four most widely recognized interventions, and we were the first clinic in Northwest Ohio to offer all of these services.” Nagle is encouraged to see growing recognition of autism in our society as Experience the power of laser therapy with the well as better undermost advanced therapeutic option available, Deep standing of autismTissue Laser Therapy™ from LiteCure® Medical. spectrum disorders among healthcare This drug-free, surgery-free, pain-free modality quickly relieves pain associated with: practitioners. These factors are leading → TMJ → Neck Pain to earlier diagnosis → Migraines → Back Pain → Plantar Fasciitis → Sciatica and earlier initiation → Carpal Tunnel → Arthritis of treatment, which → Sports Injuries → Bursitis is vital. “Research → Soft Tissue Damage → Disc Injuries shows that it’s critical → More... → Shoulder Pain to begin treatment as soon as concerns arise. We’ve worked now offering deep tissue laser therapy with children as young as 14 to 18 Mark S. Neumann, D.O. Specializing in Anti-Aging & Functional Medicine months, and we’ve 1715 W. Dean Rd. Suite B •Temperance MI seen the most amazing progress in our 734.847.4700 • 419.474.4700 drmarkneumann.com kids’ skill development and ability to function in school

and in the community. It can really be life changing,” she says. Mercy Autism Services’ Medical Director, Dr. Richard Solomon, a renowned expert, author, and international speaker on autism, typically has a waiting list of children to be evaluated, so the team will often bring children in and begin therapy to treat identified deficits even before a diagnosis has been given. For example, if a child isn’t talking when it’s developmentally appropriate, speech therapy is necessary and beneficial whether he or she has autism, Down Syndrome, or just a language delay. Everyone on the team is trained and equipped to identify the signs and characteristics of autism. Of course, it’s important for parents to be alert to autism “red flags” in their children as well—again, the sooner the problem is identified and treatment is begun, the better the outcome is

likely to be. Nagle advises parents to keep an eye out for these symptoms in particular: failure to respond to their names, reduced interest in people, underdeveloped or odd interest in toys/objects, and delayed babbling or delayed development of first words. Mercy Autism Services’ hallmark program is the Clinic Home Intensive Program, or CHIP, which places heavy emphasis on speech therapy, occupational therapy, Applied Behavior Analysis, and the P.L.A.Y. Project. It’s also the most intensive treatment program with respect to hours of intervention. Kids in the program participate six hours a day, four days

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a week for a total of 24 hours. The program is ongoing year round. Smallgroup and one-on-one components also set the CHIP program apart. The P.L.A.Y Project provides in-home training and support for families of kids with autism. Trained consultants provide three-hour visits on a monthly basis to teach parents techniques that are effective, fun, and useful in day-to-day interactions with their child. â&#x20AC;&#x153;We also have other programs that developed around CHIP, such as Giant Steps, which is a kindergartenreadiness program, and Supplemental Services that allow parents to come in and custom design a program that best meets the individual needs of their child. It is beneficial for our families and the children to have options to choose from in terms of programs, as no two children with autism are the same and not every familyâ&#x20AC;&#x2122;s needs can be met with the same program. Many of our parents have challenges related to travel, finances, or work schedules that have to be overcome, and some come to see us from quite far away. If they can only get to the facility two days a week, thatâ&#x20AC;&#x2122;s still better than nothing at all,â&#x20AC;? Nagle says. Each childâ&#x20AC;&#x2122;s progress in treat-

ment is measured from a different baseline, depending on where he or she fits on the autism spectrum. But all of the children treated at Mercy Autism Services make significant progress. Nagle notes that many children treated at the clinic have been able to return to a regular classroom and are performing very well. Nagle is especially proud that children who come to Mercy Autism Servicesâ&#x20AC;&#x2122; state-of-the-art clinic have no idea that theyâ&#x20AC;&#x2122;re actually working hard while theyâ&#x20AC;&#x2122;re there. â&#x20AC;&#x153;They just think theyâ&#x20AC;&#x2122;re coming to play and have fun,â&#x20AC;? she states. â&#x20AC;&#x153;Theyâ&#x20AC;&#x2122;re always very excited to come, and the staff is very excited to see them. Weâ&#x20AC;&#x2122;re autism-specific and very family centered. This is a place kids can receive specialized, individualized care in a safe, supportive, and loving environment. Parents are relieved because we understand the special educational, behavioral, and therapeutic needs of children with autism, and weâ&#x20AC;&#x2122;re completely equipped to work with them.â&#x20AC;? â?Ś The Clinic for Mercy Autism Services is located at 3521 Briarfield Blvd. in Maumee, Ohio. For more information, please call 419-794-7259 or email Mercy_Autism@mhsnr.org.

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

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

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Complicated dental problem? Let Dr. Endicott put a smile back on your face

or over 40 years, Kenneth Endicott, DDS, MS, has been restoring smiles in the Toledo area. But Dr. Endicott is not your ordinary dentist. As a prosthodontist, he has undergone two years of additional training in advanced restorative dentistry, involving the fabrication of full and partial dentures, full-mouth reconstruction, implant reconstruction, crown and bridge work, correction of cleft palette, treatment of temporomandibular joint (TMJ) disorders, repair of traumatic injury to the teeth and mouth, and more.

For example, if a patient is in the process of losing teeth, has already lost teeth, or has been told he or she needs to have teeth removed, Dr. Endicott’s practice has the skill set, technology, and on-site fabrication capability to get that patient smiling with confidence again. “We also see a lot of patients who have removable partial dentures they aren’t happy with and have been told by their dentist that they’re not a good candidate for a crown and bridge. Through a minor treatment called crown lengthening, we can make the most of what’s left of the tooth so they become a candidate for this procedure,” explains Dr. Endicott. In addition to advanced restorative dental techniques, the practice also offers general dentistry and cleanings; root canal therapy; custom-fit appliances for bruxism (teeth grinding); custom-fit prosthetic oral devices; cosmetic-dentistry services, including whitening and Lumineers; as well as oral and nitrous oxide sedation. Dr. Endicott is even skilled in sedation through hypnosis. Busy patients appreciate the fact that Dr. Endicott’s practice makes every effort to accommodate their needs and work around their hectic schedules. Owing to the practice’s

extensive expertise and in-house lab, patients requiring tooth replacement or repair can often have this work done on the same day so they don’t have to go around for days hiding their smile. The practice also offers free second opinions to make patients fully aware of all the treatment options available to them. A graduate of Ohio State University, where he earned both his Doctor of Dental Surgery credential and his Master of Science in Prosthodontics, Dr. Endicott taught in the dental residency program at St. Vincent Hospital and Medical College of Ohio and was Dental Chief of Staff at St. Vincent’s in 1990. He has practiced dentistry at his current location, the Forum Building at 4352 Sylvania Avenue, for over 30 years. He is a past Board of Director for the Toledo Dental Society and is a member of the American Dental Association and Ohio Dental Association. Dr. Endicott places a high value on family and community. This father of two and grandfather of three is proud to have provided prosthodontic services to area residents for so many years. He’s also gratified by the long-term loyalty of the practice staff, some of whom have been with him for two or three decades. That

level of commitment translates into exceptional continuity of care for patients. Exciting changes are also taking place in Dr. Endicott’s practice. Among them is welcoming a new hygienist, Michelle Belegrin, to the dental-care team. In addition, the Forum Building, which is conveniently located close to Westfield Franklin Park Mall, is currently undergoing a complete renovation to modernize the facilities. “We’ve been providing prosthodontic care to residents of Northwest Ohio for over 40 years, and we continually strive to earn the trust of the community we’ve served for so long. We’re here to meet your challenging dental needs, we’re here for follow-up after treatment, and we’re here every day,” states Dr. Endicott. ❦ For more information on the dental office of Kenneth Endicott DDS, MS & Associates, please call 419-882-8388.

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We are pleased to welcome hygienist Michelle Belegrin to the practice. Michelle joins us in our goal to provide the best and friendliest total mouth care.

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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.

419-882-8388 • 4352 Sylvania Avenue • Forum Building, Suite G • Toledo, Ohio 43623 32 April 2013 / Healthy Living News

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News From

Otterbein Nationally known expert in senior real estate market to speak in Toledo area

ick Hunsicker, a nationally recognized real estate consultant from Texas, is a man with a heart for seniors. After growing a very successful real estate practice, Rick recognized the need to assist seniors in the process of moving from older homes. He started his own business designed to help retirees around the United States better understand what to consider when making a move and the many factors that influence selling a home in today’s market. While building his business, Rick learned that he had serious damage in his

heart and went on the waiting list for a heart transplant. In 2007, he was given the gift of a new heart. Since that time, Rick has been passionate about his mission to help senior citizens realize that life is precious and that it’s wise to make decisions about retirement living that will encourage successful aging. Rick is a popular speaker who travels the country sharing his insights on the real-estate market gained from years of experience and research. He feels strongly that it is

important for retirees to have the knowledge to make decisions about home ownership and senior living. Rick has talked with seniors across the United States, and he is in touch with the current trends in options available to retirees. Rick is a good speaker, but he has learned that he can help people best by listening to and learning what’s most important to each person about senior living. Rick Hunsicker’s heart transplant changed his life, and now he wants to help others with life’s important real-estate decisions. Come and hear

Rick’s insights about “What Seniors Need to Know” at Otterbein Portage Valley on Wednesday, April 24th at 4:00 p.m. Following the seminar, a complimentary dinner will be served. It’s important to RSVP for this event by Friday, April 19th as space is limited. Call 419-833-8917 for more information and to reserve your seat. Otterbein Portage Valley is a senior living community located at 20311 Pemberville Road, Pemberville, Ohio. The community is just a short 20-minute drive from downtown Perrysburg. ❦

About Otterbein Portage Valley Otterbein Portage Valley in Pemberville is a beautiful 165-acre continuing-care “lifetime” community. Arising from the need, creativity, and passion of a group of local physicians, business people, and community members, this location celebrated 30 years in business this year. Independent villas and apartments, personalized services for continued independence, assisted living, rehabilitation, short-term respite care, and long-term nursing are all readily available on one campus. The larger organization, now known as Otterbein Senior Lifestyle Choices, was founded in 1912 and offers many senior

lifestyle choices in services and healthcare. The Ohio ministry serves nearly 2,000 people and is related to the United Methodist Church. Otterbein offers countless choices in all five full-service senior-lifestyle communities located in Pemberville, Lebanon, St. Marys, Cridersville, and Lakeside as well as the five small-house neighborhoods—a new concept in skilled nursing care—located in Perrysburg, Monclova, Springboro, Middletown, and Maineville. Additional information regarding Otterbein Senior Lifestyle Choices is available at www.otterbein.org.

Rick Hunsicker will tell you why staying put is no solution. What Seniors Need to Know Today 4 p.m. Wednesday, April 24

Otterbein Portage Valley •20311 Pemberville Road•Pemberville, OH •www.otterbein.org Rick Hunsicker, a nationally known expert in senior living for more than 25 years, presents a seminar that debunks three beliefs that may have kept you from moving on to a new retirement experience.

Otterbein offers a wide range of residences, from studio apartments to large patio homes, all just minutes from the excitement and convenience of downtown.

• My older home is paid off, and it’s an investment.

Following Rick’s presentation, we’ll welcome your questions and you’ll have a chance see and hear the latest from the Otterbein partners.

• Home rates will rebound one day soon, so I’ll wait until later to sell.

Dinner will be provided in the dining room following the seminar.

• Retirement communities are boring places with little to offer someone like me. Rick will discuss each belief, and explain why 2013 is your year of opportunity. You’ll come away with valuable information. You’ll also discover why Otterbein may be the best solution to the waiting game, with a beautiful campus where active, creative seniors take advantage of fun activities and fulfilling physical and social opportunities in our life enrichment center.

R.S.V.P. by April 19. Complimentary dinner is included!

(419) 833-8917 Call TODAY to reserve your space! Space is limited, so reply now!

About Rick Hunsicker Rick Hunsicker has a 26-year career in the senior living industry. After successfully selling real estate, he formed his own organization helping seniors understand the advantages of a senior living community and why selling the home may be the best long-term plan for life. He has helped thousands of seniors with his insights.

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Diagnosis and prevention of diabetes by Riaz N. Chaudhary, MD

he American Diabetic Associadeaths in 2007. It is the leading cause tion had a recent study done, of blindness and kidney failure. This which has shown that at the present disease also accounts for more than time, 7% of the U.S. population has 60% of non-traumatic lower-limb amputations. diabetes mellitus. The total number of patients with type I and type II The diagnosis of diabetes is based diabetes mellitus is 22.3 million, which on blood sugar testing and glycois a significant increase from 2007 sylated hemoglobin. In order for when the number was 17.5 million. your doctor to diagnose you with diabetes, testing must show a fasting The highest incidence of diabetes is in California and Florida. The blood sugar above 126, blood cost for treating diabetes has sugar above 200 after a twoalso increased. In 2012, the hour glucose-tolerance test, cost for diabetic treatment or a casual blood sugar test was $245 billion compared above 200 along with classic to 2007 when the cost was hyperglycemic symptoms. $174 billion. That is a 41% Performing a hemoglobin increase over five years. The A1C has recently been recomcost of caring for diabetes has mended as a test to diagnose increased 14% since 2002 due diabetes mellitus. A result of to inflation. 6.5 or higher means that you There are two types of Dr. Riaz Chaudhary are diabetic. diabetes: Type I diabetes preThere is also a condition dominantly affects young people, and called pre-diabetes in which your they are insulin dependent. Type II fasting blood sugar is between 100 and 125, your blood sugar is bediabetes typically begins at an older age with genetic basis, and people tween 140 and 199 after a two-hour with it are less insulin dependent. glucose-tolerance test, and you have There is significant morbidity from a hemoglobin A1C of 5.7 to 6.4%. diabetes as it contributed to 231,404 Diabetes screening should begin

34 â&#x20AC;&#x192; April 2013 / Healthy Living News

at the age of 45 and are a pre-diabetic and should be repeated every follow certain recomthree years. Screening mendations, you can can begin at any age if prevent yourself from your body mass index becoming a diabetic. is above 25 or you have Lifestyle intervention, such as a low-cala family history of diaorie diet, weight loss, betes. Diabetes is more prevalent in Africanand regular exercise, was effective in 58% Americans, Native Americans, Asians, and of cases. Metformin, Pacific Islanders. Screenwhich is used to coning is recommended in trol hyperglycemia, females with a history showed a 31% reducof gestational diabetes tion in conversion from and those who have de- Prevention of diabetes is easier pre-diabetes to diabelivered babies weighing than living with the disease. tes. Lifestyle changes over nine pounds. You consisting of at least should be screened if your high30 minutes of daily exercise and the density lipoprotein (HDL or good loss of 7% of total body weight were cholesterol) is less than 35 or your effective in both men and women, all triglyceride level is more than 250 ethnic groups, and in people above age mg per deciliter. Having coronary 60 who are genetically predisposed. artery disease, heart failure, or poor Metformin was more effective in circulation in your legs also qualifies obese patients and those younger you for screening. than 60 years of age. The researchers In the clinical presentation of dialooked at this study 10 years later betes, the initial stage is silent and and found that even after 10 years, complications can develop before treatthe people who adopted lifestyle ment begins. If you have an impaired changes had a 31% reduction in the fasting glucose that is between 100 and incidence of diabetes. Those who took 125 or your A1C is between 5.7 and Metformin saw a reduction of 18%. Diabetes is a world-wide epidemic, 6.4%, you have a 5-10% annual risk affecting 387 million patients. Counof becoming diabetic. Studies done about 10 years ago showed that if you tries like India and China have seen a

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UT Patient Advocacy Program now accepting applications

avigating the healthcare system can be difficult for patients and their families, but a program at The University of Toledo can help make it less complicated. The UT Graduate Certificate in Patient Advocacy Program prepares you to serve as a liaison between patients and healthcare providers in a year’s time with four online courses that can be completed in two semesters. “The American healthcare system is one of the most complex in the world,” said Debra O’Connell, a Director of the Patient Advocacy Program and a UT research assistant in the neurology department. “We want to give our students the tools necessary to better navigate the system and successfully deal with whatever medical challenges

they encounter.” The courses teach students everything from the finer points of Medicare and Medicaid to how to find reliable healthcare information on the Internet.

Despite the growth of the patient advocacy field, UT is one of only a handful of institutions in the country offering such a program.

more about our healthcare system to be engaged and succeed,” O’Connell said. Students who live outside Ohio qualify for in-state tuition through UT Learning Ventures. Classes for the Graduate Certificate in Patient Advocacy Program

The first course, offered in the fall, will cover who patient advocates are and where they work, as well as an overview of the healthcare system. And the second fall course will involve legal issues, such as wills, power of attorney, confidentiality issues, and mental competency. The third and fourth classes, which will be offered in spring, will explore the healthcare system as a whole and involve a project for students to view patient advocacy in action. Overall, the course is designed to educate participants about the healthcare system and better enable them to assist themselves and others when making medical decisions. Completion of the course will not, however, necessarily qualify its students to become patient advocates. Despite the growth of the patient advocacy field, UT is one of only a handful of institutions in the country offering such a program. The only requirement for application is a bachelor’s degree from an accredited college or university. Applicants with undergraduate degrees in any field are welcome to apply, including students with legal, business, pharmaceutical, nursing, or other healthcare-related backgrounds. “The program contains legal and healthcare professional elements and can be particularly attractive to individuals in those fields, but it is designed for anyone interested in learning

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start in August, and the deadline for enrollment is August 1. To learn more about the program and to apply, visit www.utoledo.edu/ hshs/paralegal/Patient_Advocacy_ Graduation_Certificate.html or contact Debra O’Connell at 419-530-5421 or Debra.OConnell@utoledo.edu. ❦

Health Care is complicated But that’s where you come in. Patient advocates, or professionals who act as liaisons between patients and the health-care provider, are needed now more than ever. You can supplement your undergraduate degree with training in this field through The University of Toledo’s Graduate Certificate in Patient Advocacy Program. This is a 100 percent online graduate certificate that can be completed in just two semesters. For more information call or e-mail Debra O’Connell – 419.530.5421 or Debra.Oconnell@utoledo.edu.

JHHS 32 0113

rapid increase in the number of those diagnosed with diabetes. A recent study showed that there are 90 million cases of diabetes in China—representing a tripling over the past 10 years. Sugar control was 40% among patients in China whereas patients in the United States have 70% control over their sugar. This study, the Diabetes Prevention Program, had 3,234 participants who were either overweight, obese, or had impaired glucose tolerance and were placed on diets and given exercise routines, weight loss and Metformin, or a placebo. If you meet any of these criteria, please call your doctor to have testing done promptly. ❦

Finding comfort during the most difficult times. At ProMedica, we are with you throughout life’s journey. Now, during the most difficult times, ProMedica Hospice is here, offering comfort, care and guidance for you and your loved ones. Call us anytime, day or night, and we’ll be there. Because we’re all on the journey together. ProMedica Hospice, in your home or ours.

MI: 734-568-6917 | OH: 419-824-7400 promedica.org/lifejourney |

Hospice_10.25x12.625_PROM-HSPC-02A.indd 36PROM973 April 2013 / Healthy Living News

3/20/13 4:49 PM We love comments and feedback. Like us on Facebook. Follow us on Twitter.

Personal Get ready for the “what-ifs”

he future holds many uncertainties, and your retirement is no exception: “What age should I retire?” “How long will I live in retirement?” “When should I start taking Social Security?” “How will rising medical costs affect me?” That’s why planning is so critical, and a good plan will take into account many of the possible uncertainties. In the process of developing your personal retirement plan, it’s important to map out these “what-ifs”—the scenarios, priorities, and choices that you’ll build into your strategy. For example, you may have realized that your retirement priorities include spending as much time on the water as possible or staying in your lifelong home. Each represents a significant expense— perhaps a new cabin cruiser, or extensive aging-in-place upgrades and a longterm care policy—that would affect not only your retirement lifestyle but also your retirement finances. Each priority generates questions: What if you paid up front? What if you chose financing? How would one or the other affect your monthly income, investments, and legacy plans? Other unexpected developments may arise, such as your company offering you an early retirement package. You may then need to decide whether you can afford to accept the early retirement package or forgo it and continue with your predetermined retirement date. Or perhaps you can reprioritize certain goals so that you can afford to take the early retirement package.

Turning what-ifs into a plan “Exploring the what-ifs allows you to try on decisions before you actually have to make them,” says Greg Shiveley, first vice president of FA Platform, Strategic Solutions Group, Wells Fargo Advisors. “You’re able not only to design a retirement lifestyle that reflects your priorities but also to have added confidence that you’ll be able to achieve it.” The process starts with narrowing down the list of what-ifs to those

scenarios most applicable to your circumstances. A couple for whom assisting family is a priority might explore the repercussions of offering financial assistance to an adult child or having an older relative move in—or both. A single person for whom independence is a priority and who has a family history of living to age 95-plus will have a very different what-if conversation with his or her financial advisor. Shiveley notes that exploring whatif scenarios can be especially useful when a couple or individual has multiple high priorities, which may have come to light during a priority-setting exercise with their financial advisor. “It’s an opportunity to examine the implications of giving one goal higher priority than the other, as well as what would be required to achieve both priorities,” he explains. One outcome may prove vastly preferable to another—or small trade-offs or strategy changes could make achieving both goals possible. Working through the options with someone you trust who also happens to be familiar with your finances and personal preferences—namely, your financial advisor—greatly simplifies the process. Regardless of the strength of that relationship, however, you remain in the driver’s seat. “While your advisor is there to provide insight and support, ultimately you make decisions about how to proceed,” Shiveley emphasizes. What’s more, you can return to the what-if process whenever you’re faced with a major decision or a change in your circumstances. “The reports and plans that come out of this exploration are not something you just put on a shelf,” Shiveley points out. “They’re living, breathing documents that can adapt with you.” ❦ This article was written by Wells Fargo Advisors and provided courtesy of Michael R. Foster, First Vice President–Investments, Quantitative Choice Portfolio Manager, Marcus W. Jones, First Vice President–Investments, Quantitative Choice Portfolio Manager, David R. Hollinger, Vice President–Investments, and Matthew Langham, Financial Advisor, in Perrysburg at 419-872-3840. Wells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. ©2012 Wells Fargo Advisors, LLC. All rights reserved. 0812-0081 [87575-v1] 08/12.

Be prepared for whatever life throws your way Our unique Envision® process helps you identify your top priority goals and develop a plan designed to help you live your life the way you want. It also offers you the flexibility to adjust your priorities to account for any of life’s changes, such as: • Increasing medical costs • Helping a child or grandchild afford higher education • Caring for an elderly parent • And more To find out how the Envision process can help ensure your investment plan keeps pace with your life, please contact me today.

Michael Foster First Vice President - Investments Quantitative Choice Portfolio Manager 419-872-3859 • 1-800-245-5782 Fax: 419-874-6315 michael.r.foster@wfadvisors.com

Marcus Jones First Vice President - Investments Quantitative Choice Portfolio Manager 419-872-3858 • 1-800-245-5782 Fax: 419-874-6315 marcus.w.jones@wfadvisors.com

David Hollinger First Vice President - Investments 419-872-3875 • 1-800-245-5782 Fax: 419-874-6315 david.r.hollinger@wfadvisors.com

Matthew Langham Financial Advisor 419-872-3857 • 1-800-245-5782 Fax: 419-874-6315 matt.langham@wfadvisors.com

28300 Kensington Lane Perrysburg, OH 43551 fosterjonesinvestmentgroup.wfadv.com Investment and Insurance Products: u NOT FDIC Insured

u NO Bank Guarantee

u MAY Lose Value

Wells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. ©2012 Wells Fargo Advisors, LLC. All rights reserved. 1212-01108 [78693-v3]

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By Jessica Derkis

St. Clare Commons announces new partner: Concept Rehab Inc. We have been called to heal wounds, to unite what has fallen apart, and to bring home those who have lost their way. —St. Francis of Assisi

t. Clare Commons announced a new care partner: Concept Rehab Inc. (CRI) of Toledo. CRI has been serving therapy needs of skilled nursing rehabilitation communities since 1984. Currently more than 600 employees, CRI has a proven record of hiring topnotch physical, occupational, speech and other therapists who are specialists in their respective areas, particularly working with seniors. CRI is very active in the National Association for the Support of Long Term Care and numerous other state associations, including Ohio Health Care Association, Leading Age Ohio, Ohio Academy of Nursing Homes, Health Care Association of Michigan, and other key associations in Ohio, Michigan, and Pennsylvania. Unlike many other contract companies, their hallmark for over 30 years has been partnering with the entire healthcare team. Concept Rehab Inc. recognizes the importance of being responsive to the needs of all mem-

bers of the care team and strives to develop the relationships necessary to achieve the highest potential for all residents. CRI’s goal is to respond immediately to all issues in an approachable, flexible, and creative manner. Facilitating communication and partnerships between therapy and community staff, assisting with strategic planning and program enhancement initiatives, and proactively participating with legislative issues and changes that impact the delivery of care to seniors are all part of their mission. Just like St. Clare Commons and the Sisters of St. Francis, Sylvania, Concept Rehab Inc. believes in serving educational needs of professional caregivers and the community, too. CRI is dedicated to assisting all residents in maintaining their highest level of independent functioning through fun, interactive, and creative treatment sessions. True to St. Clare Commons’ philosophy of treating

each person as an individual, CRI addresses each resident uniquely to create individualized treatment plans with treatment sessions that are geared toward their particular interests, hobbies, and functional needs. Maintaining this focus generates a motivating and trusting therapy environment that enables strong functional outcomes and satisfied customers. Acknowledged by many customers and consultants, CRI has been recognized for services considered “Best in Class,” including Toledo Business Journal’s Best of Lake Erie West for several years running. A state-of-the-art therapy lab and a team that is up-to-the-minute in rehabilitation treatments are a must for St. Clare Commons who is already forging a new era in senior living with technology, amenities, services, and options. St. Clare Commons, which will be a Continuing Care Retirement Community when complete, will open in four or five stages. Phase One, offering Assisted Living, specialized Memory Care, and Nursing/Rehabilitation

levels, will open later this year. To learn more, join St. Clare Commons and more than 30 other local services and ministries for the Senior Health & Safety Fair at St. Rose School on Thursday, April 4 from 9:00 a.m. to 2:00 p.m. Screenings provided will include balance and gait, blood pressure, metabolism, osteoporosis, and nervous system. Thank you to other Senior Health & Safety Fair sponsors and participants: Wood County Committee on Aging, Area Office on Aging, Franciscan Care Center, Kingston Healthcare, Browning of Waterville, Arbors of Oregon, Nursing Resources, Ohioans Home Health, Interim Home Health, Heritage Home Health, Wellsbrooke Home Health, Comfort Keepers, Christian Home Health, Visiting Angels, Hospice of Northwest Ohio, Advance Care Planning Coalition, Ashanti Hospice, Bartholomy Massage, St. Julian’s Fitness, Turning Point Chiropractic, Stevens Van Lines, Moving Concierge, Darcey McKinley of Key Realty, Ansberg-West and Witzler-Shank Funeral Services, Seth Hudson of New York Life, Ashley

g ! rinest i H B our 3 . e th e to pril XIII m A X Co fair ohn job ed J ss e l B

Opening Summer 2013

12469 Five Point Road • Perrysburg, Ohio 419.250.5227 • StClareCommons.org ASSISTED LIVING | MEMORY CARE | REHABILITATION | SKILLED NURSING | FUTURE PLANS INCLUDE INDEPENDENT VILLAS AND APARTMENTS

38 April 2013 / Healthy Living News

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Group, All Good Things, Bowling Green Sentinel-Tribune, and Directions Credit Union. And a special thanks to Annunciation Radio (89.7 Toledo/88.3 Sandusky). ❦

Jessica Derkis is the Community Information Director for St. Clare Commons. For more information, contact Jessica or Rachel at 419-931-0050 or email info@stclarecommons.org.

Don’t let another chair go empty, by Kara Steele

n overstuffed Green Chair embarked on a life-saving mission three years ago, and it’s still going strong. Life Connection of Ohio, the nonprofit organ-procurement organization in Maumee, is touring the Green Chair around Northwest Ohio to raise awareness about organ and tissue donation. Why a Green Chair? When it’s empty, the chair represents overwhelming sadness from the loss of someone who was waiting for a transplant that never came. But when someone is sitting in the chair, it showcases a recipient’s second chance at life. The tagline of the campaign is “Don’t let another chair go empty” because the more people who register as organ and tissue donors, the fewer empty chairs there will be. Thanks to the incredible generosity of an organ donor, for the last 15 years, my dad, a liver recipient, has been able to sit in his favorite green leather La-Z-Boy chair. And though my Cousin Michael’s favorite green corduroy La-Z-Boy chair went empty after he passed away, for the last 14 years, two men in Michigan have been able to sit in their favorite chairs and see their families grow because of my cousin’s gift of cornea donation. The goal of the Green Chair is for it to serve as a platform to encourage people to literally take a seat and talk about organ and tissue donation. And we need those conversations to happen now more than ever, as a scary milestone was reached last month when the U.S. Transplant Waiting List hit 117,000 people, including more than 3,400 Ohioans. The sad reality is that 19 chairs go empty every day because the need for organ transplants far outweighs the supply. To try to remedy this situation, Life Connection of Ohio is gearing up for its third annual 24-hour Donate Life Sit-in. This round-the-clock event will take place from 9:30 a.m. Wednesday, April 17, through 9:30

a.m. Thursday, April 18, at WTOL. During those 24 hours, Life Connection of Ohio volunteers and staff will rotate in and out of the Green Chair so it literally won’t go empty. Be sure to tune in to WTOL or visit www.toledonewsnow.com during those times to watch the inspiring event unfold! Green Chair TV commercials have also been making the rounds. These commercials encourage people to learn the facts about organ and tissue donation by specifically addressing three common misconceptions. They are: “Will my medical treatment suffer if I am a donor?” Absolutely not! Every effort will be made to save someone’s life, regardless of their donation decision. The medical professionals working hard to save lives at hospitals are a completely separate team of people than those who coordinate organ and tissue donation. If all life-saving efforts have been exhausted and a person is declared dead, it is only then that donation is an option. “Is there an age limit for donation?” No. It is important to register as a donor regardless of age or medical condition, as medical professionals will determine whether donation is possible after death. “Is my religion against donation?” Probably not. All major religions in the United States support organ and tissue donation, and many view it as an act of love and charity.

Are You Overweight? Diabetic? Hypertensive? Taking Too Many Medications? Would you like to lose weight and the risks associated with being overweight while reducing medication?

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If you see the Green Chair out in the community, be sure to take a seat and share your thoughts about organ and tissue donation! For more information about donation, contact Life Connection of Ohio at 419-8931618 or “like” Life Connection of Ohio on Facebook. To register as a donor, visit www.DonateLifeOhio.org. ❦ Kara Steele is Director of Community Relations for Life Connection of Ohio.

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40 April 2013 / Healthy Living News

Toledo Clinic Radiology Department puts focus on high-quality, convenient, affordable imaging

atients requiring diagnostic imagtiple follow-up scans, for example to ing services look for several key monitor cancer. Even if it’s necessary to do scans on a regular basis, features in a provider: high-quality, accurate imaging; timely scheduling the radiation exposure is still much of appointments; prompt communilower with low-dose CT,” he says. cation of results; convenient access Furthermore, low-dose CT scanning, owing to its enhanced safety, will to services; and the lowest possible out-of-pocket expense. The likely become mandatory expert team of clinicians at soon, so the Toledo Clinic the Toledo Clinic Radiology Radiology Department is Department takes pride in already ahead of the curve meeting—or exceeding—all when it comes to protecting of these expectations. patients. The Toledo Clinic RadiolDr. Jacob is proud that ogy Department provides the Toledo Clinic Radiology a full range of specialized Departments’ MRI results imaging services, including are second to none, which x-ray, low-dose CT scan, is attracting more and more Dr. Moshir Jacob referrals from area physiMRI, PET scan, digital mammography, diagnostic ulcians who recognize the quality of their imaging. In fact, the trasound, and nuclear medicine, in Toledo Clinic’s imaging services are a comfortable, conveniently located suite on Toledo Clinic’s main campus available to anyone in the community, at 4235 Secor Road in Toledo. Imagnot just Toledo Clinic patients. ing services are also available at a In addition to exceptional quality, second location at 4126 North Holland convenience, and timeliness, the Toledo Sylvania Road. In most instances, apClinic Radiology Department offers pointments can be scheduled within pricing that is among the lowest in 24 hours and results are read and the region. For patients, this translates shared with the patient’s doctor on into significantly reduced coinsurance payments as well as much greater the same day. This last point is of particular impor“breathing room” before insurance tance to patients undergoing testing policy limits are reached. to confirm or rule out a worrisome But what really sets the Toledo diagnosis. “For example, when we Clinic Radiology Department apart perform a CT scan, it’s usually for is its staff. “They’re consummate prosomething serious. The patient is very fessionals and very service-focused,” anxious and concerned and possibly Dr. Jacob remarks. “My experiences experiencing pain and discomfort. with them are always excellent, and Our ability to schedule testing and they accommodate my patients every time I need testing urgently. In the obtain results in the same day helps to alleviate a lot of unnecessary waitpast, patients needing immediate ing and anxiety,” explains Moshir imaging services had to be sent to Jacob, MD, Medical Director of The the emergency room. Now we can do everything right here on site, usually Toledo Clinic. on the same day. And if I have any When it comes to radiology testconcern or would like to discuss the ing, clinicians must often weigh the benefits of accurate imaging and case, I can immediately consult with diagnosis against the possible health one of our in-house radiologists so implications associated with radiation patients are never kept waiting for exposure. Putting patient safety first, their results.” ❦ Toledo Clinic Radiology services include low-dose CT scanning, which For more information about the Toledo reduces the patient’s radiation expoClinic Radiology Department or to sure by as much as 50 percent while schedule an appointment, please call 419producing higher quality images than 479-5935 or visit www.toledoclinic.com. can be achieved with conventional CT. Dr. Jacob notes that the benefit of low-dose CT is especially noteworthy in two circumstances. “One is when scanning children, where certain health hazards are well known. The other is when a patient requires mulWe love comments and feedback. Like us on Facebook. Follow us on Twitter.

Top Physicians & Affordable Healthcare Services: A Trusted Northwestern Ohio Resource for over 85 Years Radiology Services:

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From more information on our service visit www.toledoclinic.com/healthcare-services Main Campus: 4235 Secor Road, Toledo, Ohio 43623 • 419.473.3561 • 800.444.3561 Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

CC4PM announces newest Oregon facility

OPEN HOUSE

You are invited to Bayside... Wednesday, April 24, 2013, 5:30 - 7:30 p.m. Please join us at CC4PM’s newest facility and surgical center for an evening with our medical providers and Wellness Team as they introduce…

...an innovative approach to reducing pain and improving your everyday function.

CC4PM, WCSC, & flo - Bayside 846 S. Coy Road, Oregon, OH 43616 419-693-9459 www.CC4PM.com RSVP to: jbshick@yahoo.com

April 10, 2013 BLUE: Haettenschweiler Regular Wear: Sling Bold Oblique Regular

Take a sTand againsT child abuse. WeaR blue TO WORk, schOOl OR PlaY.

April is National Child Abuse Prevention Month. Lucas County Children Services received nearly 5,000 reports of suspected child abuse and neglect last year. Join us on April 10 as we unite to protect kids in our community.

Child Abuse Is Preventable. Take a picture of yourself, your group, classroom or company wearing blue, and post it on our Facebook page! For more information, email information@co.lucas.oh.us or find “Lucas County Children Services” on Facebook. 92.5

42 April 2013 / Healthy Living News

he Comprehensive Centers for Pain Management (CC4PM) is pleased to announce the grand opening of our newest facility combining medical, therapy, and wellness services and an ambulatory surgical center (ASC) at 846 S. Coy Road, Oregon. An open house is scheduled for the medical and general communities on Wednesday, April 24, 2013 from 5:307:30 p.m. Guests will be able to take a guided tour and meet our medical providers and Wellness Team. “Our management and billing company, DECA Health, Inc., specifically designed our new building to allow the complete spectrum of our services to be more accessible to the eastern portion of our service area,” said Dr. William G. James, Jr., Medical Director. The new facility will house CC4PM, West Central Surgical Center, and FLO–Bayside. WCSC–Bayside has been modeled after CC4PM’s nationally-accredited ASC located on Central Avenue in Toledo. AAAHC accreditation for the Bayside ASC is pending. According to Dr. James, “At WCSC– Bayside, we will offer the most advanced interventional, diagnostic, and

Get on the “Sole Train” to Hannah’s Socks fundraiser

outpatient surgical pain-management procedures available in the region.” CC4PM–Bayside will also include “FLO–Enhanced Therapy and Wellness,” an innovative approach to reducing pain and improving everyday function. “The addition of FLO will offer an extension of our comprehensive approach to optimizing the quality of life for our patients,” said Dr. James. Services will include licensed therapies, acupuncture, behavioral pain management, nutritional support, sleep hygiene, and exercise programs including yoga and Pilates. With all services conveniently offered in one central location, patients and others in the community can enjoy the experience of improving their overall wellness and functionality. CC4PM has been the premier multidisciplinary pain management practice in N.W. Ohio and S.E. Michigan since 2003. Their focus is on providing individualized care using the latest technology and ancillary services to help chronic pain patients greatly relieve their symptoms and increase their everyday function. Chronic pain conditions may be related to work or personal injury, post-operative issues, effects of acute or long-term illness, or even an unknown source. By utilizing the center’s services, CC4PM’s patients enjoy the effects of a well-rounded health-optimization program in their daily lives. For more information about CC4PM, visit the company’s website at www.cc4pm. com. For more information and to RSVP to our April 24 Open House, please call Lisa Francis at 419-843-1369, ext. 121. ❦

Board members and volunteers of Hannah’s Socks plan to wow attendees as they plan an evening of music, food, drink, silent auction, and fundraising. The 2nd annual Sole Train event will be held Friday, April 26, 2013 from 7:00 to 11:00 p.m. at The Blarney Bullpen, 601 Monroe St. in downtown Toledo. Attendees will be entertained by the “rock and sole” music of the popular band MoonDogs. “The community and media have been generous in their support of Hannah’s Socks. Sole Train is one more way that people can show their support for this wonderful and important organization,” commented Hannah’s Socks board member and Sole Train chair Jan Aguilar. “Sole Train is sure to be a fun and highly recognized event, but most importantly, it will raise money to help Hannah’s Socks provide more socks to the ever-growing number of needy families in our community,” she continued. Tickets for Sole Train can be purchased for $30 per person, $50 per couple. Sponsorship opportunities are also available. Contact Jan Aguilar at jana@hannahssocks.org or 419-260-1989 or visit www.hannahssocks.org for more information.

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Specialized speech therapy integral to Laurels rehab continuum

ention speech therapy, and what comes to most people’s minds is some form of voice coaching. While strengthening the voice and improving articulation are important elements of speech therapy, they actually constitute a relatively small part of a speech therapist’s job. Speech therapy is a much broader discipline concerned with all aspects of language and perception and how they affect a patient’s ability to communicate. Speech therapists are also trained to diagnose and treat swallowing disorders. At The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, speech therapy is an integral component of the rehabilitation continuum. “Many people in the community can benefit from speech therapy, especially the way we provide it here as part of a complete unit that includes physical and occupational therapy,” states Laurels

speech therapist Sean Vornhagen. “For instance, while I’m helping a patient with a swallowing deficit, an occupational therapist can be right there alongside me working on his or her ability to sit up and maintain balance, which is necessary for proper swallowing. We believe the whole therapy package is stronger than any individual component.” Vornhagen notes that he does a lot of work with patients’ thinking skills and how they correlate with language. As a result of the aging process, illness, or injury, these skills can be lost or impaired, affecting people’s understanding and ability to influence their environment through language. Using standardized tests, a speech therapist can pinpoint specific deficits and then initiate a highly individualized treatment program to address them. For example, a patient who has just come from the hospi-

tal following a stroke will often have multiple new medications to manage. Language and perception deficits can have a major impact on the patient’s ability to take those medications properly and safely. Using a special mock medication tool, Vornhagen can break down the process into its component parts and screen for deficits at every stage. He explains, “If successful medication management is your overall goal, planning and problem-solving skills must be in place to ensure you’re taking the medications according to schedule and in the proper sequence, you need reading comprehension to understand the directions and warnings written on the medication labels, and you need good auditory comprehension so you understand what you’re told about the medications or you can communicate that you aren’t understanding. The idea is to break the process down into its component parts, to start small and then work

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your way up.” The Laurels’ speech therapy program also includes strategies and protocols to overcome or compensate for memory loss—a significant and growing issue among our aging population. One such tool is the Language Activity Resource Kit (LARK), which contains various objects (sock, plate, envelope, penny, ruler, etc.), images, and print materials that can be utilized to trigger various associations and responses and help restore effective communication. For patients with dementia, the therapy team will often utilize labeling of objects to help spark memory and language associations. Another helpful technique is to show the patient a photo of an item and ask him or her to locate the object in a particular environment, such as a kitchen setting. —Cont. next page.

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For Todd Kerr, a similar memory strategy proved to be very effective. Kerr originally came to The Laurels for orthopedic rehab on his knee, which was severely infected. Owing to the infection and the amount of pain medication he was taking, he also suffered significant memory loss. “With Sean’s help and after getting the infection under control, I was able to turn that deficit around and develop techniques that help me remember things much better now,” he says. Vornhagen adds, “What worked for Todd was a lot of listing and delayed rehearsal. Essentially, we would have him look at an object or image and have him wait for a period of time before identifying it. Then, we gradually made the delay between seeing the item and identifying it longer and longer to strengthen his memory.” Virginia Haywood-Smith, who once actually worked as a speech therapist, benefited from a very different form of speech therapy. Having experienced a few strokes, which made language difficult for her, Haywood-Smith came to The Laurels with a feeding tube in place and problems swallowing. What made a significant difference in her case was an advanced technology called VitalStim, which is a

non-invasive therapy that involves the application of external electrodes to weakened neck muscles. Stimulating the appropriate muscles while the patient swallows food or liquid causes them to contract and regain strength so they can assist in swallowing. Vornhagen points out that the ability to swallow properly isn’t just about quality of life. It’s about quantity of life, adding, “If you notice you’re coughing or clearing your throat frequently or you have the feeling that food is getting stuck in your throat when you eat, you could be a candidate for swallowing therapy.” Furthermore, Vornhagen urges anyone who is experiencing a problem with communication to seek the help of a qualified speech therapist. “A deficit in communication is just as important as a physical deficit, such as the inability to walk or transfer. It’s a huge quality of life issue. Remember, how you think and communicate with the world is really what makes you who you are,” he says. ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. For more information, please call 419-536-7600 or visit www. laurelsoftoledo.com.

Eating Well by Laurie Syring, RD/LD

Gluten-free confusion

ou’ve probably noticed a lot of foods labeled “gluten-free” on grocery-store shelves these days. What’s the story behind all these products? Gluten is a protein found in wheat, barley, and rye that can trigger an autoimmune reaction in people with celiac disease— a condition that affects one out of every 133 Americans (though most of them don’t know it) and causes symptoms such as stomach pain, diarrhea, and weight loss. Celiac disease should not be confused with wheat allergy, which is completely different. Wheat allergy is very rare and occurs mainly in children who often outgrow it. While celiac disease is a sensitivity to gluten, wheat contains up to 27 different proteins. Some children are truly allergic to many of these proteins.

44 April 2013 / Healthy Living News

Then there’s “wheat belly,” a term made up by Dr. William Davis, whose best-selling book by the same name links wheat consumption to every single malady known to man. You can probably guess my opinion on the validity of the claims this author makes. So how can we sort through all this wheatinduced confusion? Let’s delve a little deeper: A gluten-free diet is a must for all people who have celiac disease. If you have symptoms of undiagnosed celiac disease, you need to have a diagnostic workup by your physician, including lab work and an intestinal biopsy, to confirm the diagnosis. You should also be tested if you have a family member with celiac disease or symptoms suggestive of celiac disease. Potential

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symptoms can go beyond the gut to excess calories throughout the day include headaches, iron deficiency even when excluding wheat. And as anemia, fatigue, dermatitis, and inregular “Eating Well” readers know, fertility. Do not “self treat” with a I never recommend a weight-loss wheat-free diet prior to testing, as program that excludes an entire food this can lead to false test results. Only group because that means you’re also after (if) the diagnosis is excluding important key given should you start nutrients. to eliminate gluten from Luckily for persons your diet. with celiac disease or wheat allergy, the food A wheat allergy is an IgE-mediated (IgE is imindustry is now selling a munoglobulin E, a type of growing variety of healthy antibody involved in algluten-free foods, such lergic reactions) response as pastas, cereals, and to several wheat proteins crackers. But don’t make and should be diagnosed the mistake of assumby a physician/allergist. ing “gluten-free” always Allergic individuals must Unless you have celiac disease means “good for you” beavoid all wheat. I know or a wheat allergy, there is no cause they’re also manua person with a wheat benefit or need to avoid foods facturing plenty of junk, allergy whose symptoms containing gluten. like cookies, brownies, were really acting up with donuts, muffins, pizza no obvious cause. She finally figured dough, and granola bars. I’m not out it was her new door wreath, which saying going gluten-free means you was decorated with wheat stalks! can never splurge, however. Even the But unless you have celiac disease or healthiest diets can include moderate a wheat allergy, there is no benefit or amounts of sugars and fats. need to avoid foods containing gluten. Gluten-free diets do tend to be In fact, hundreds of research studhealthier, as people with celiac disies have found tremendous benefits ease are choosing more fresh fruit, related to whole-grain consumption. vegetables, nuts, beans, low-fat dairy, For those who have no choice in seafood, and poultry, and pairing the matter, following a strict glutenthose choices with rice, corn, and free or wheat-free diet can be difficult. potatoes. They’re also eating less fast Wheat and gluten can be found in the food, though more and more restaumost obvious foods, such as breads, rants are starting to offer gluten-free crackers, pasta, and cereals, but they selections on their menus. also have a funny way of sneaking For people with celiac disease, into some of the most unlikely foods, eating the proper foods is key to including at least one brand of hotpromoting healing of any damage dogs, tomato soup, salad dressing, caused prior to diagnosis as well as and even ice cream. preventing future health problems, What about eschewing gluten for so it’s vital to seek the support of a weight loss purposes as Lady Gaga physician and dietitian. With their help, you’ll be empowered with the announced she was going to do last summer? A gluten-free diet can help knowledge to choose nutritious, wellyou lose weight if it means you are tolerated foods and you’ll be rewarded no longer eating cakes, cookies, pizza, with symptom relief and better overall bagels, and pasta, but there’s no evihealth and well-being. ❦ dence to support that going glutenfree will melt the pounds away. After Laurie Syring, RD/LD, is chief clinical all, you can easily eat 2,200 to 3,000 dietitian at ProMedica Flower Hospital.

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he child-welfare advocates at Lucas County Children Services (LCCS) recognize that it takes a community to prevent child abuse. If we fail to take an interest in kids’ lives and take action when we suspect abuse or neglect is going on, some of the most vulnerable and helpless members of our community will continue to be victimized—with potentially tragic consequences. To heighten awareness of this troubling issue and provide an opportunity to take a visible stand against child abuse, LCCS is asking everyone in the community to Wear Blue on Wednesday, April 10. “Our Wear Blue campaign, now in its second year, urges everyone to come together and make the statement that they’re not going to stand for child abuse,” says Julie Malkin, Public Information Officer for LCCS. “We’re also asking them to take photos of themselves and their coworkers decked out in blue attire and post them on our Facebook page, www. facebook.com/LucasCountyChild renServices.” The issue of child abuse in our community has never been more pressing. Malkin points out that in 2012, 822 children in Lucas County were substantiated victims of child abuse, representing an increase of 40 percent over the previous year. The

number of referrals (calls from individuals concerned about the welfare of a child) that the agency received increased by 20 percent last year. Even more alarming is the fact that 10 Lucas County children lost their lives to abuse and neglect in 2012. One of these children was killed in a random shooting, and three more were victims of a murder/ suicide, but the rest were cases of neglect or trauma. “I haven’t seen so many young lives lost to abuse and neglect since I started here at LCCS. We’ve lost kids in past years to street violence, but never so many to neglect and abuse,” Malkin states. What’s behind this troubling trend? No doubt there are numerous contributing factors, but Malkin believes the struggling economy has played a major role. In 2012, Toledo hit its lowest economic point and just began to climb back up, placing considerable stress on area families. Some families struggle with parenting under the best of circumstances, but when severe financial hardship limits their ability to pay for basic necessities or even leads to the loss of their home, the added stress can easily cause an already volatile domestic situation to reach crisis proportions. It’s at these times that kids are especially

on April 10 and take a stand against child abuse

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LCCS adds springtime foster/adopt training classes Lucas County Children Services, the county agency responsible for investigating and protecting children from abuse and neglect, is responding to community demand and a great need for foster and adoptive parents. The agency is scheduling an additional series of information/ training classes on Saturdays, April 20 through May 25, 2013. Classes run from 9 a.m. until 4 p.m. at the LCCS offices at 705 Adams Street. To register for the classes, call 419213-3336 or visit www.lucaskids.net. The agency currently needs adults and families who can provide loving and stable foster homes for babies, young children, and groups of three or more brothers and sisters, as well as adoptive homes for children

age seven and older and groups of brothers and sisters. Qualifying to be a foster or adoptive parent is easier than you think. You: • Must be at least 18 years of age to adopt; 21 to become a foster parent • Can be married or single • Can own or rent a home with at least two bedrooms • Can work outside the home • Must have a source of income • Need a safety inspection for your home • Agree to a background check • Receive free training • Receive financial support, based on your child(ren)’s needs

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vulnerable to abuse. to the public from 4:30 to 7:30 p.m. at participate in the Wear Blue campaign Manhattan’s restaurant, located at 1516 this April 10th. Toledo is a caring Child abuse typically takes place behind closed doors and out of public Adams Street in downtown Toledo. community, and we can all reach out view. That’s why it’s so important for Come in wearing blue and receive and show how much we care for kids everyone in the community to take one dollar off a blue drink. Then, on by wearing blue on that one special part in kids’ lives and do something if Friday, April 19 at 11:30 a.m., the anday,” Malkin says. ❦ child abuse is suspected. “Child abuse nual Child Memorial will be held at has to be the community’s business,” Lucas County Children Services (705 For more information on the Wear Blue Malkin explains. “We have to rely Adams Street in downtown Toledo) campaign, please visit www.facebook. on the schools, law enforcement, to commemorate the ten children in com/LucasCountyChildrenServices or and anyone else who has contact our community who lost their lives lucaskids.net. If you suspect a child is with kids to take a stand and call us last year to abuse, neglect, or street being abused or neglected, don’t hesitate if they suspect abuse. If something violence. to call Lucas County Children Services doesn’t seem quite right or you ob“We’re encouraging everyone to at 419-213-2273. serve a change in behavior or school performance, take the time to ask the child what’s going on in his or her life. If you suspect abuse or neglect, call our hotline at 419-213-2273.” The Wear Blue campaign is a lighthearted, artistic way to get the word out about a very serious topic, and participants are encouraged to get as creative with their expression as possible. The local art community is by Bennett Romanoff, MD even getting involved. In fact, word has it that LCCS’s building has been targeted for a timely blue “yarn bombcataract is a clouding of the lens yellow appearance. This can greatly ing” (a.k.a. “guerilla knitting”)—a of the human eye. We all have a diminish one’s vision over time. playful, impermanent form of public There are many misconexpression that involves wrapping lens in our eye that is necessary for ceptions about cataracts. structures, architectural features, etc. focusing light onto our retina. As we age, with exposure to ultraviolet Cataracts are not a film over in sleeves of colorful yarn. the eye, they are not made (UV) light, the lens slowly becomes Medical VPP 10, Ad (Healthy Living News_HP) 2/20/13 5:06 PM Page 1 AlsoMutual on April a free information worse by overuse of the eye, session and reception will be offered less transparent, assuming a cloudy

Cataract facts

and they usually occur in both eyes. Certain risk factors do increase the risk of getting cataracts. These risk factors include cigarette smoking, including secondhand smoke, diabetes, steroid use, UV light exposure, family history, eye injury, and unknown factors. The earliest symptoms are a slight decrease in night vision and halos and glare around lights. Cataracts are easily diagnosed by an ophthalmologist. Cataracts are a “normal” aging change since everyone is exposed to UV light. They are, by far, the most common eye condition as we age. When one’s lifestyle is compromised, the cataract can easily be removed in a typically painless outpatient procedure that typically takes only eight to 15 minutes to perform. After surgery, patients can usually resume virtually all their activities and it is extremely rare to experience any pain or discomfort at all. The surgical technique, called micro-incision phacoemulsification, is typically performed through a three-millimeter wound. The phacoemulsification unit uses ultrasound to “liquefy” the M&M-sized cataract and sucks it out of the eye. An intraocular lens implant (IOL), which is calculated individually for each patient, is inserted back in the

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eye to allow the light rays to clearly focus back on the retina. Even though complications are very rare, they can occur with even the most experienced ophthalmologists. Certain conditions, such as diabetes and former eye trauma, can increase the chances of complications. For more detailed information on cataracts and/or cataract surgery, go to the website of the American Academy of Ophthalmology (www. aao.org) or the American Society of Cataract and Refractive Surgery

(www.ascrs.org).❦ 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 Family Practice residencies with Flower and Toledo Hospitals. Since setting up his practice in 1978, Dr. Romanoff has helped thousands of patients in Northwest Ohio achieve better quality of vision with upto-date treatments and solutions.

Hot news flash on treatment for hot flashes! by Douglas Schwan DC, Dipl Ac

April is Autism Awareness month!

Join us in supporting local families affected by autism and

Conquer the Possible!

Glass City Kids Marathon Saturday, April 27, 2013 University of Toledo Glass Bowl

Come at 11:30 and meet the

University of Toledo Rockets Football Players!

Kids can get autographs, pictures, and have them cheer as they cross the finish line!

The Findley Davies Kid’s marathon includes runs for kids of all ages (1/4 mile run, 1/2 mile run, & 1 mile run) $10 Registration includes a refreshments, finisher’s ribbon, and bag with teddy bear, water bottle, and hat.

You can pre-register or just show up on race day! Glass City Marathon is Sunday, April 28th! There’s still time to register for the marathon, 5K or form a relay team and raise money for Great Lakes Collaborative for Autism and be entered in drawing to win a week’s stay in Hawaii!

For more information visit www.GreatLakesAutism.org 48 April 2013 / Healthy Living News

his was one of the harder monthly articles I’ve had to write. Normally, I write down information on topics that I have been treating for 31 years and know inside and out. However, in the last few years, we have seen an upheaval in thinking about treatment approaches to menopausal-type symptoms. Before, the centralized medical thinking was to get every woman at menopausal age on hormonereplacement therapy (HRT). Almost without exception, a woman around 50 years old would walk out with a prescription for Prempro or something similar. A good friend of mine is a family practice medical doctor, and we get along great except for his insistence that my wife be put on Prempro! We almost came to blows at times over this, and at one point, he suggested to her that it was tantamount to abuse for her to be deprived of this “miraculous” drug even though she had no symptoms. Well a few years went by, and the landslide of research finally demonstrated beyond a doubt that HRT greatly increased a woman’s risk of dying of ovarian, breast, or uterine cancer. This was a touchy call since so many women were on HRT therapy! The biggest study was one performed by the Womens Health Intitiative (WHI). They reported that women who took drugs like Prempro had statistically significant increases in the rates of

breast cancer, coronary heart disease, strokes, and pulmonary emboli. A year after the study was stopped in 2002, an article was published indicating that estrogen plus progestin also increases the risks of dementia. The study concluded that HRT usage was dangerous and had side effects that vastly outweighed its benefits. This news dropped the number of women taking HRT by about half. It is sobering to note that there was a sharp decrease in breast cancers found during the next 12 months. What is interesting is that during this turn away from prescription HRT drugs, more and more women who were troubled by menopausal symptoms turned to alternative medicine to help alleviate their symptoms. Women are starting to understand that menopause is a natural end to their reproductive period. So they are asking, “Why not treat it naturally?’ When I first see a woman complaining of menopause-related symptoms, we start a three-fold process of treatment. The first stage is diet consultation. It is important to realize that saturated fat consumption limits the liver’s ability to metabolize estrogen. It is, therefore, important to limit commercial beef and chicken products and fried foods as they are high in saturated fats. Another factor is the extreme toxicity of sugar. It is no secret that local governments, like in New York, and the

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FDA are seeking ways to legally limit the amount of sugar to consumers by outlawing super-sized pops and regulating sugar as a controlled substance. High amounts of caffeine are to be avoided as caffeine can accentuate symptoms. Pop contains large amounts of phosphorous, which accelerates bone loss associated with menopause. We advise women to increase their consumption of phytoestrogens, which are plant-derived, natural estrogen-like compounds. The top foods in this category include soy, grains, oats, wheat, brown rice, tofu, almonds, cashews, and fresh fruits and vegetables. The second approach we utilize is to incorporate herbal medicine into the treatment program. Each woman undergoes an individual nutritional assessment that includes a review of her health history, filling out a nutritional form and computerized evaluation, and measurement of specific diagnostic acupuncture points by use of acupuncture meridian imaging software. Each patient is advised which herbs, vitamins, and supplements would best suit them to alleviate their symptoms as well as limit complications like osteoporosis, heart disease, diabetes, and colorectal cancer, whose rates increase after menopause. The third leg of our triumvirate of treatment is use of Oriental medicine techniques, such as acupuncture, in the management of symptoms associated with menopause. Oriental medicine does not view menopause as a “disease” but instead views it as an imbalance of the body ’s qi (chi) energy as a woman transitions out of the child-bearing period of her life. Since the early 70s, studies around the globe have suggested that acupuncture and Chinese herbal medicine are effective treatments for hot flashes, anxiety, insomnia, vaginal dryness, and many other symptoms associated with menopause. The idea

is to help bring the body back into balance and allow it to settle down during the menopausal transition. Alternative medicine has exploded as more and more patients are turning away from dangerous drugs and seeking out safer options. Today, acupuncture is an acknowledged and respected field of medicine that requires formal training and licensure in order to practice. Acupuncture and Oriental medicine is an art and a science. It also is a profession that takes years of study to master. When considering any alternative medicine practitioner, look for one with formal training and experience in the treatment of menopause. ❦ Dr. Schwan is available to speak at your group function on a wide variety of Alternative Medicine topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of Palmer College of Chiropractic and a Diplomate of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian. He has

practice locations near Toledo Hospital and in Perrysburg, OH. He may be contacted at FAQ@acupuncturetoledo.

com. For more information on Alternative Medicine, please visit our website at www.acupuncturetoledo.com.

in the ear canal to naturally direct sound. This yields exceptional sound quality and the reduction of feedback, or whistling. The engineered soft foam allows the Lyric to contour to the ear canal and maintain health over an extended wear period. Additional engineered technology creates a protection from moisture. An audiologist will place the Lyric in the patient’s ear at the initial office visit, no surgery required. Then, the Lyric is customized and programmed for the patient’s specific lifestyle needs.

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The patient has the ability to adjust the settings and volumes as needed. The hearing aid is fitted and dispensed through an annual subscription, and when the battery dies, a new hearing aid is removed and replaced by the audiologist with ease. Patients have the freedom to wear the Lyric throughout normal, daily activities, including sleeping, showering, working out, and talking on the phone. One of the greatest advantages to the Lyric is that it requires no battery charging or maintenance. The battery lasts 120 days! Patients who have used the Lyric

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Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 3000 Arlington Ave. in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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consistently comment on the natural quality of sound, comfort of the hearing aid, and the little to no feedback. It sounds like your friend is already experiencing the many benefits of the Lyric. If you suffer from hearing loss, the Lyric may be your perfect solution. Call us today to schedule your hearing assessment and free trial with Lyric. ❦

by Amanda Manthey

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

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Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. For more information, please visit davesrunning.com. We Pink We Can 5K For A Cure!—

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Saturday, April 6, 2013 at 4404 TR 142 in Findlay, Ohio. 5K Walk/Run begins at 9:00 a.m. One-mile Fun Run begins at 8:40 a.m. This is a fundraiser for team We Pink We Can, who will be participating in the Susan G. Komen three-day, 60-mile walk. Proceeds from the 3-day walk go to cancer research and cancer patient services. We will be having a one-mile Fun Run and a 5K Walk/Run. Each participant in the Fun Run will receive a ribbon. Each pre-registered participant in the 5K will receive a T-shirt. Prizes will be given to 1st and 2nd in the age divisions with an overall Male and Female winner. Ed Dibble Training Run—Saturday, April 6, 2013, 8:00 a.m. at 4139 Girdham Road in Swanton, 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 20 miles. When possible, we will use mile markers so runners can choose their distance.

Powerhouse 5K—Saturday, April 13, 2013, 8:30 a.m. (Kids Run at 9:30 a.m.) at 6510 Texas Street, Whitehouse, Ohio. 5K on the Wabash Cannonball Trail. 4th Annual Run the Res 5K/10K— Sunday, April 14, 2:00 p.m. in Gray Park, Fostoria, Ohio. This year’s race will once again feature a 5K and 10K course and our 2nd 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. Provided with registration is a race shirt as well as a goody bag compliments of our sponsors. Awards will be given to the Top Overall Male/ Female runners 5K and 10K, Top 3 each age group Male/Female 5K and 10K, and all Kids Fun Run participants will receive a ribbon. This year we will be using chip timing and offering online registration. Please visit www.runtheres.org for additional race details. Walk MS: Toledo—Sunday, April 14, 2013, 8:00 a.m. at 2801 W. Bancroft in Toledo. Run to the Rapids—Saturday, April 20, 2013, 9:00 a.m. at Blue Bell Island Park, 24040 Front Street, Grand

Rapids, Ohio. A spring run through downtown Grand Rapids, Ohio that will visit side streets and follow back to Mary Jane Thurston Park. You will cross over the bridge and sprint to the end on the tow path behind the business district. The Grand Rapids Arts Council first spring fundraiser with the proceeds being shared with A.L.S. Sexual Assault Awareness Month 5K & Dog Walk—Saturday, April 20, 2013, 10:00 a.m. (Dog Walk starts at 10:15 a.m.), at the BGSU Student Recreation Center, 1411 Ridge St., Bowling Green, Ohio. This event is a fundraiser for the SAAFE Center in Wood County, which provides crisis intervention, emotional support, medical and legal advocacy, support groups, and information and referrals for sexual assault, stalking, sexual harassment, and sex trafficking victims. Enjoy a beautiful morning of running or walking through the Bowling Green State University campus. The race starts and ends at the BGSU Student Recreation Center. There will be a drawing after the race with prizes from wonderful local businesses. Dooby Du Duathlon—Sunday, April

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21, 2013, 7:15 a.m. at Secor Metropark, 10000 W. Central Avenue, Berkey, Ohio. Formula 1 format: 2-mile run, 6.5-mile bike, 2-mile run, 6.5-mile bike, 2-mile run. Visit eliteendeavors.com for full details. Walk MS: Findlay—Saturday, April 27, 2013, 8:00 a.m. at the University of Findlay Koehler Athletic Complex, 1000 N. Main St., Findlay, Ohio. Route length: 1, 3, & 5 miles. Glass City Marathon—Sunday, April 28, 2013, at the University of Toledo Glass Bowl in Toledo. The Marathon, 5-Person Marathon Relay, and Half Marathon begin at 7:00 a.m. The 5K Run/Walk begins at 7:15 a.m. ❦ Answers to crossword from page 30 1

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Dealing with Bullying

Bullying: it’s a word that congers up strong emotions in teachers, parents and kids alike. But just what is bullying and what can we do about it? Bullying is a real or perceived threat by one against another who is seen as weaker. There was a time when kids bullying other kids was dismissed by adults as a typical right of passage or just “kids being kids.” Fortunately, a lot has changed since then and we now know that bullying can have very real and dangerous consequences. Kids who are bullied are more likely to experience anxiety, depression, academic difficulties, health problems, and substance abuse. Some children are fearful to report bullying out of a fear that it will make the problem worse. Parents can support and protect their child by being on the look out for warning signs that include; unexplained injuries, sudden loss or disappearance of expensive items or objects that the child holds dear, an apparent lack of friends, self destructive behaviors, or strong resistance to attend school or social gatherings. So now that we know how serious bullying is we recognize that we have an obligation to prevent it. But how?

1 2 3 4 5 6

Keep the lines of communication open. Ask your child about his or her day. Be on the lookout for vague answers or a child who withdraws when asked about lunch, recess, or time spent on the school bus.

The toddler years

Encourage children to report bullying at school so that teachers and counselors can intervene early. Teach your child how to respond to a bully. Be strong and act confident. Tell the other person to stop and walk away if this fails. Discuss ways your child can stay safe including having him be able to identify safe adults that he can go to when away from home. Remember that parents are the best advocates for their children. Be sure to talk to school personnel to ensure that your child’s school is meeting their responsibility to maintain your child’s safety. Encourage your child to get involved in activities that she enjoys and/or is good at. This will increase her circle of social contacts with like minded peers and will improve her confidence and self esteem.

If you need additional help dealing with your child’s bullying issues, call Harbor at 419-475-4449.

Carrie C. Craun, M.A., PCC-S

Milestones

Clinical Therapist Harbor Developmental and Behavioral Pediatrics

419.475.4449 www.harbor.org

ast month, we looked at the developmental milestones parents can expect from their child in the first tumultuous year of life. This month, we continue the “Milestones” series with a look at the toddler years. By this time, most parents have settled in to their new roles and have come to accept the fact that change is the only constant when it comes to raising a child. They’re also starting to realize that this little newcomer is capable of enriching their lives in ways they never would have imagined. Remember, every child is unique and develops at his or her own pace. What follows is only a general guideline. If you have any concerns about your child’s development, be sure to discuss them with your pediatrician.

story, and communicate his desires by pulling, pointing, or grunting. By 18 months, he should be able to say 15 to 20 words, imitate words, use two-word phrases, pull toys along the ground, stack three blocks, use a spoon and cup, and look at pictures and name objects. He will also show affection, give kisses, point to some body parts, and scribble. Temper tantrums may also make their debut, along with hitting, biting, and other forms of acting out.

15 to 18 months By 15 months, your toddler should be eating only table foods. Give him his own spoon and fork at mealtimes to encourage self-feeding. His initial efforts will be clumsy, but let him keep trying. The bottle should be gone completely at this point. Serve beverages in a “sippy cup” instead. Don’t be surprised or discouraged if your child becomes a finicky eater or eats only one good meal a day at this stage. Keep offering nutritious foods, and your child will get all the nutrients he needs through the course of the week. Your toddler should also be sleeping all night long without waking at this point, but some children may experience “night terrors.” Sleeping in a crib is still normal until around age two (assuming he hasn’t figured out how to climb out of the crib). One nap during the daytime is still the norm. Developmentally, your 15-monthold will be able to say about five recognizable words and can understand simple commands. He should be able to walk well, stoop, climb stairs, stack two blocks, feed himself with his fingers, drink from a cup, listen to a 52 April 2013 / Healthy Living News

“The Terrible Twos” By two years, the battle of wills is really in full swing. The only thing a two-year-old seems to care about is getting what he wants whenever he wants it. Hence, this stage is often referred to as “The Terrible Twos.” But the “Twos” can be more terrific than terrible if you stay positive and practice a little creative discipline. Do stay on your guard for safety issues, however, as your toddler can get into lots of trouble as he continues to explore and learn about his surroundings. Picky eating may still be an issue, and don’t expect him to eat more than one meal per day. Don’t worry; he’s not going to starve to death. If he’s hungry, he’ll eat. It will help if you establish regular mealtime schedule and sit down as a family to eat. Consult with your pediatrician about switching from whole milk to skim or any dietary concerns you might have, such as the child refusing all vegetables. It’s fine if your two-year-old is still

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happy in a crib. There’s no hurry to move him to a regular bed unless he keeps climbing out. Try to maintain a regular nap and bedtime schedule so your child will sleep better and you’ll be less stressed. At two years, a child should be able to go up and down stairs one step at a time, kick a ball, stack five blocks, use at least 20 words, speak in two-word phrases, follow two-step commands, and imitate adults. His motor skills will also be improving, so he may be able to dress himself given a little help with zipping and snapping. At play, your child will be happy to play alongside other children. This is known as parallel play. Children don’t tend to play interactively until around age three.

able and confident using the potty, you can begin relegating diapers to naptime and nighttime and start him on training pants. The toilet-training process can be helped along by purchasing a potty chair that allows your child’s feet to reach the floor or a stool for leverage. It also helps to have a reward system in place, such as taping a sheet of paper next to the toilet and putting a gold star sticker on it whenever he has a toilettraining success.

Potty training

Three years

Most children become toilet trained between 18 and 30 months of age, but it’s not uncommon for it to occur later. The process generally takes from two weeks to two months. A child is considered toiled trained when he can walk to the toilet, undress, urinate or defecate, and pull up his pants unassisted. Toilet training should not be forced and should be initiated only when your child is clearly ready. You’ll know he’s ready to start when: • He understands the necessary vocabulary—words like tinkle, pee, poop, dry, wet, clean, messy, and potty. • He has seen others use the potty and knows what it is for. • He prefers clean, dry diapers and likes to be changed. • He understands the connection between dry pants and using the potty. • He can recognize the sensation of a full bladder and the urge to have a bowel movement. • He can briefly postpone the urge to go until he gets to the potty. Successful toilet training depends on parents staying patient and relaxed. Try to make the experience fun, and be sure to lavish praise and encouragement. If things take a negative turn, stop training and try again in a month or two. Remember, it’s not a race. Try to coordinate practice times with your child’s body signals. Give him about five minutes at each practice run. Never force him to go. Once he has gone spontaneously several times, you can end the practice runs. Of course, you may need to keep up with reminders for a few months after his initial success. As your child gets more comfort-

not make this stage pass any faster. Your three-year-old should be able to play well with others, and it’s normal for him to have imaginary play friends. His speech will also be improving. You should be able to understand about 75 percent of what he says. It’s not uncommon for kids this age to stutter or leave sentences unfinished. This is normal, and he will outgrow it as his language skills continue to develop. A three-yearold should be able to jump, pedal a tricycle, color (outside the lines),

and complete simple art projects. He should also be able to tell you his name, age, and gender. A child changes so much in the toddler years. Sometimes it’s hard to believe that your rambunctious little preschooler was only recently a helpless baby in your arms. Fortunately, you, as a parent, have the same ability to learn and adapt as your child, so you’ll be able to cope when he heads off to school. But that’s a subject for another month. ❦

Could your child’s soiling accidents be encopresis?

By age three, your child’s eating habits may be improving but still somewhat sporadic. Some days he’ll seem like a bottomless pit, and other days he’ll be back to his old finicky ways. This is no cause for concern as long as it averages out over the week. By now, your child should be sleeping in a bed, and he should still be taking naps. For some children, one nap every other day is sufficient. He may also start to have bad dreams and become fearful of monsters (or itsy bitsy spiders) at this stage. If your three-year-old is toilet trained but is wetting at night, it can help to put “pull-ups” on him at bedtime and to encourage one more trip to the toilet before sleeping. However, limiting fluids does

ax is your typical happy-golucky eight-year-old. He loves playing games on his iPad, is less than enthusiastic about school, and occasionally teases his younger sister. Max also has an embarrassing secret: He experiences frequent soiling accidents that he can neither explain nor seem to prevent. Max’s parents first discovered his problem about a year ago. Oftentimes when he undressed for bed or when they were sorting laundry, they would notice a dark stain or even small stools in his underwear. At first, they assumed Max’s loss of bowel control was due to a simple bout of diarrhea, but when the soiling continued and Max appeared

to be in good health otherwise, they began to suspect something else might be going on. Max’s pediatrician diagnosed encopresis, a bowel condition resulting from chronic constipation that dulls the ability to perceive the natural urge to defecate and leads to frequent, uncontrollable soiling accidents. While Max may feel embarrassed about his encopresis, he certainly isn’t alone. In fact, 25 percent of all visits to pediatric gastroenterologists are attributed to constipation and encopresis. And the condition is six times more prevalent among boys than it is among girls. However, encopresis is something parents often don’t like to talk about, perhaps because they fear the problem is behavioral—that their kids lack self

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control or are simply too lazy to use the bathroom. But nothing could be further from the truth. Not only are kids with encopresis unable to control their soiling accidents, but they usually don’t even feel anything happening when they occur. Parents sometimes mistakenly attribute this lack of awareness to indifference or nonchalance toward soiling. What’s worse, some may even use punishment in an effort to put an end to the accidents, which only serves to humiliate the child. Max’s parents were baffled as to why odor didn’t tip him off that he’d had an accident and needed to change and clean himself. But it’s important to understand that the brain quickly becomes accustomed to the smell of feces, so children with encopresis seldom notice any unpleasant odor after soiling. Functional constipation, or constipation that has no clear medical explanation, is the forerunner of encopresis in the vast majority of cases. Constipation can result from numerous possible causes, such as diet, decreased fluid intake, illness, stress, lack of privacy when using the toilet (often the case in daycare centers and schools), or lack of easy access to a toilet. Constipation leads to difficult or painful elimination and a tendency for kids to try to “hold it” for as long as they can. Once the child begins to hold his or her bowel movements, stools begin to accumulate in the colon. And the longer the stools remain in the colon before passing, the more

water is removed from them, making them dryer, harder, and more difficult to pass without pain. Eventually, the colon becomes distended, the muscles associated with the intestines weaken, and the nerves that send the message that it’s time to defecate become impaired. When enough feces accumulates in the lower part of the colon, the anal sphincter can no longer hold back the stool and soiling occurs. In many encopresis cases, liquid stool leaks around the hardened feces, which explains the dark stains Max’s parents observed. If left untreated, encopresis can lead to worsening of soiling accidents as well as loss of appetite, stomach pain, wetting and urinary tract infections due to pressure exerted on the bladder by the distended colon, and tearing of the skin around the anus from attempting to pass large, hardened stools. The good news is, encopresis is very treatable. Parents with children exhibiting symptoms should contact their pediatrician sooner rather than later because the earlier treatment is initiated, the easier it is to reverse the problem. The first step of treatment is usually cleaning out the distended bowel so it has a chance to return to normal size and begin proper functioning again. Doctors usually recommend some combination of stool softeners, laxatives, and enemas, depending on the child’s age and other factors. The next step is to help the child resume having regular bowel movements on his or her own. The use of stool softeners usually continues at this stage to ensure the bowel doesn’t

Don’t miss the Serenity Farm 2K/5K Family Fun Walk/Run! Serenity Farm invites you to join in the 6th annual 2K/5K Family Fun Walk/Run on May 18, 2013 in Pemberville, Ohio. Participants will assemble in front of the Pemberville Fire Hall at 104 East Front Street. Free refreshments will be available to all participants, and all proceeds will benefit children and family programming at Serenity Farm. Register by April 27th to guarantee T-shirts. Event-day registration begins at 1:00 p.m. The 5K (3.1-mile) run begins at 2:00 p.m., and the 2K (1.2-mile) walk begins at 2:15 p.m. The cost is $5.00 for kids ages 12 and under and $20.00 for all other participants. Schools are also encouraged to get involved. Represent your school, and the 2K/5K trophy could be yours! Call the farm office for more details on how to win the Horse Trophy for your school. To register or for more information, visit www.serenityfarm. org. or call 419-833-1308. 54 April 2013 / Healthy Living News

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simply fill back up with hardened stool. Doctors also recommend scheduling time for the child to sit on the toilet twice daily for approximately five to ten minutes per session, preferably right after meals so the child can learn to recognize the signal that it’s time to defecate. Keeping a journal of the child’s progress, recording details of each time he goes, is also helpful and the best way to detect relapses, which are not unusual on the road to conquering encopresis. Once a regular pattern of bowel movements is established, it’s important for parents to remain vigilant for evidence of relapse and to promote continued bowel regularity by keeping the child well hydrated, encouraging exercise, and giving him plenty of high-fiber foods at mealtimes, such as vegetables, fresh fruits, raisins, and high-fiber cereal. Most important, parents must be both patient and persistent. It can take anywhere from several months to a year for the child’s distended colon to return to normal size and begin functioning properly again. Above all, children with encopresis need their parents’ understanding, support, and reassurance that their condition is temporary—and no reason to be ashamed. ❦

“Rising to the Occasion”: 16th Annual Parkinson’s Disease Symposium

eter Schmidt, PhD, Vice President, Programs and CIO at the National Parkinson Foundation, and Suzanne Geffen Mintz, MS, founder of National Caregivers Association, will keynote the 16th Annual Parkinson’s Disease Symposium, to be held April 27, 2013 at Parkway Place, 2592 Parkway Plaza, Maumee, Ohio. Doors open at 8:20 a.m. The program begins at 9:15 a.m. and ends at 2:15 p.m. Dr. Schmidt also oversees NPF’s research, education, and outreach initiatives; leads NPF’s Quality Improvement Initiative; and is active in research on diverse care-related topics in Parkinson’s disease. He joined NPF from Cornus Partners, an investment bank, where he focused on healthcare innovation. Previously, Dr. Schmidt created chronic disease management systems and was COO of a joint venture of Oxford, Stanford, and Yale, delivering on-line

education. Educated at Harvard and Cornell, he had a fellowship at New York’s Hospital for Special Surgery in biomedical engineering. Suzanne Mintz left a career in interior architecture to take the reins of the National Family Caregivers Association, a nonprofit she co-founded to give voice to the 50 million people in the United States who provide care for a chronically ill, disabled, or elderly family member or friend during any given year. In 2013, her organization officially became the Caregiver Action Network, the nation’s leading family caregiver organization working to improve the quality of life for Americans who care for loved ones with chronic conditions, disabilities, disease, or the frailties of old age. The program will also include presentations by Lawrence Elmer, MD, PhD, Professor of Neurology,

Director, The Center for Neurological Health, Director, Parkinson’s Disease and Movement Disorders Program, and his team members: Dr. Krishe Menezes, Associate Professor of Neurology; Michelle Masterson, PT, PhD, Chair, Department of Rehabilitation Sciences, Associate Professor and Program Director, Physical Therapy Program; Gayle Kamm, PharmD, BCPS; and Molly Scott, NP. Also included are coffee and pastries in the morning and lunch in the afternoon. Other activities include raffles, giveaways, and displays by many venders. Sponsored by Teva Neuroscience and presented by the Parkinson Foundation of Northwest Ohio and the University Of Toledo Medical Center ’s Parkinson’s Disease and Movement Disorders Program, the event promises to inform, update, and empower all in attendance. The symposium is a spring tradition of community outreach for people with Parkinson’s disease (PD), their families, and healthcare professionals. The program is free and open to anyone whose life has been affected by Parkinson’s disease. Space is limited, and pre-registration is required. To register, call 800-438-5584 or visit www.pfnwo.org. ❦

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TOUR OUR CAMPUS We invite you to come and see how good life can be at The Lakes of Monclova. Tour our campus and we will give you a loaf of freshly baked bread as our thank you.

levels – from moderate to comprehensive. Staff members are available 24 hours a day. And not only can we help with things like grooming, housecleaning, and laundering, we’re specially trained for memory issues, too. Enjoy casual living with just the right blend of support. For more information and a personal tour of our health campus, call today.

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Putting it all together: a wellness fair for everyone, by Sister Karen Zielinski, OSF

“W

hat is the most important piece of equipment for your camera,” my photography instructor asked our class. We suggested the lens, the F-stops, the batteries. We were way off, according to him. “It is your owner’s manual!” That did not seem very dramatic or important to me many years ago, but I have come to realize how profound his advice truly was—he was an advocate of “knowledge is power” and “read the directions.” If we know how our camera works, how to keep it safe and clean, how to take pictures in low light and bad weather, and how to use film or digital equipment, we can be more productive and less fretful. Taking care of our bodies is much the same. We need to read our body manuals to keep our bodies in good working condition. The old adage “knowledge is power” fits in here. And there is going to be a living “body manual” in Sylvania. The Sylvania Franciscan Village will host its first Wellness Fair on Wednesday, April 10, from 3:00 p.m. to 6:00 p.m. in the Franciscan

r u o y k r a

Center in Sylvania. This free event is an interactive, comprehensive wellness fair that offers something for everyone. The Fair covers five areas of wellness: Social, Environmental, Spiritual, Emotional, and Physical. It truly hopes to be an owner’s manual for every living person who attends. Social Wellness addresses loneliness and promotes ways to get involved. The Toledo Zoo will help you make friends with the animals as will the exhibit on pet therapy. Play social bingo, take your social profile, and learn about many social opportunities in the Toledo and Sylvania communities. Emotional Wellness explores the myths of mental illness, offers ways to deal with bullying, and shares family tips for drug prevention and ways to listen and find help for those at risk of suicide. Sr. Karen Zielinski tells her story of living with health challenges and shares tips on “Holy Healthcare.” At the Environmental Wellness exhibit, you will learn how to com-

le a C

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post, test your environmental I.Q., and hear about summer camps for kids and what’s new at Olander Park. The Toledo/Lucas County Sustainability Commission will be on hand to promote a united effort towards environmental health. Share Franciscan traditions and values at the Spiritual Wellness exhibits. Come and learn how to make a peace crane,

learn about mini-pilgrimages, and find ways to use photography for spiritual reflection. There will also be crafts for children. Physical Wellness is loaded with exercise techniques, nutrition, blood pressure and cholesterol screenings, a healthy food demonstration, yoga, and lots of resources. The nursing students from Lourdes University will also be

presenting both educational and interactive aspects of healthcare and hygiene. Think your hands are clean when you wash them? Come and take the hygiene test! The Wellness Fair is a perfect after-school activity. The gym will have free-throw shooting, corn hole games, and Wii activities besides the many fun and educational exhibits. There will be food, drink, prizes, freebies, and fun for the whole family. You won’t want to miss this owner’s manual! For more information about the Sylvania Franciscan Village Wellness Fair, contact Sr. Janet Doyle at 419-824-3533 or jdoyle@ sistersosf.org. ❦ Formally established in 2009, the Sylvania Franciscan Village (SFV) is comprised of Lourdes University, the Sisters of St. Francis of Sylvania, and Sylvania Franciscan Health. The SFV was formed to harness energies for the greater good and benefit of those who share the Franciscan mission. Visit www.sylvaniafranciscanvillage.org for more information.

Well Wise Whole A Wellness Fair

Wednesday, April 10th 3:00 ~ 6:00 p.m. Franciscan Center 6832 Convent Blvd, Sylvania, OH

Sample Exercise Techniques Learn your Social Profile Find out how to compost Check your blood pressure Make peace cranes Discover pet therapy Learn myths of mental illness

Great handouts Prizes Games Freebies Raffles Food

Free! Open to Everyone! Fun for the entire family! No Registration necessary

Plus the Toledo Zoo and Imagination Station!!

www.sylvaniafranciscanvillage.org 56 April 2013 / Healthy Living News

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Thinking of a career in massage therapy?

he massage therapy profession is growing by leaps and bounds. A recent stock market watch release showed that the fastest growing program being added to educational institutions is massage therapy. With so many massage therapy programs being offered throughout the country, one may question what to look for in a program. When researching schools that offer training in massage therapy, ask to see their state board pass rates or visit the state medical board’s website. The state board pass rates are a

reflection of the quality of education that a school offers. Does the school specialize in massage therapy training? Think about your needs as a student. Would you prefer a school that is focused entirely on massage therapy training or a school that offers numerous programs? How long has the school been offering the training? Massage therapy is not an easy subject to teach, especially in Ohio. Students must take many hours of anatomy and physiology. The longer a school has been teaching the program, the more experienced the school is in using the best educational tools available to help their graduates succeed. How qualified are the instructors? When you invest in an education, you want the best possible instructors available. Find out how much teaching experience the instructors have as well as the kind of teaching methods used. Visit the school. Since you’re going to be investing your time in this learning experience, you’ll want to be in the most comfortable environment possible. By touring the school, you will get a feel for the atmosphere of

the classroom and the administration. Healing Arts Institute in Perrysburg is a nationally recognized school specializing in massage therapy since 1997. With small classes and experienced instructors, the school has a record of high state board pass rates. According to Jodi Romaker, President and Founder of Healing Arts Institute, “Students commute from as far away as Indiana, Michigan, and the Cleveland area to attend the school due to its reputation of excellence.” All massage schools in Ohio must be approved by the State Medical Board of Ohio. However, Healing Arts Institute has gone beyond this minimum standard by achieving national recognition and accreditation. The school is also approved for funding by the U.S. Department of Education, which enables eligible students to receive federal financial aid for their education. Enrol today by calling 419-8744496 or visit their website at www. healingartsohio.com. The school also offers student massages to the public for about half the cost of a professional rate. ❦

the State Medical Board of Ohio, an accredited member of the Accrediting Commission of Career Schools and Colleges and registered with the State Board of Career Colleges and Schools (Reg. #02-03-1626T).

Spring into fun at your Toledo Zoo

o April Fool’s joke here; the Toledo Zoo offers wild reasons to be your family’s springtime destination. Visit toledozoo.org for more info. Starting Tues., April 2: Stroller Safari: Animals of Different Colors Wed., April 3–Fri., April 5: Spring Break Camp Sat., April 6: Animal Tricksters Sat., April 6–Sun., April 7—Zoo Snooze: Playful Primates Starting Tues., April 9: Animal Tales: Animal Giants Sat., April 20: Party for the Planet Earth Day Celebration Sat., April 27: Louie’s 10th Birthday

Healing Arts Institute is approved by

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