HLN December 2014

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News December 2014 • FREE

Also available at hlntoledo.com

Breastfeeding benefits babies

Also in this issue: • Look your best for winter • Christmas in Annecy, France • Planning a healthy hospital stay • Holidays and hearing loss • Season's eatings

• Nobody's Perfect • Spiritually Speaking • Health crossword • Sound Advice • And much more...

Smaller incisions. Quicker recovery. Easier decisions.

MERCY ROBOTIC SURGERY CENTER 419-251-ROBO | SmallerIncisions.com

A Catholic healthcare ministry serving Ohio and Kentucky

Look your best this winter!

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck?

These unfortunate changes caused by prior sun exposure can be improved dramatically with painfree, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, upper arms, abdomen, and jowls. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected.

This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin.

With only one treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain!

Is your dermatologist a dermatologist and is he/she board certified?

Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology.

Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas.

The results are diminished lines and a more “wide awake” and less tired appearance.

These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months!

Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen.

This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler.

To view before-and-after photographs of patients who have had these procedures performed

by Dr. Handler, visit Dr. Handler ’s website at drharveyhandler.com. For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400.

Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging.

Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer.

Full Body Exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women

A

re you losing hair from surgery, anaesthesia, illnesses, pregnancy and delivery, medications, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients?

There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth.

Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients!

After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth.

Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to slow your hair loss. Most patients notice a decrease in loss in 30-60 days! ❦

www.drharveyhandler.com

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

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery.

No injections.

No downtime.

Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

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

419.885.3400

e lthy l ng ews

Gopinath R. Upamaka, MD, FACC ProMedica Physicians

December 2014 • Vol. 19, Issue 12

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

TAKING CARE OF YOUR LIFE

2 Look your best this winter!

4 Nobody’s Perfect But I’ll drive you there

by Sister Karen Zielinski, OSF 5 Spiritually Speaking I still believe in Santa

by Sister Mary Thill 6 Oral chemo drugs expand cancer treatment options 9 Baby Boomers urged to seek Hepatitis C screening 18 Tips to enjoy a healthy and happy holiday season

by Dr. Mariam Mina 19 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Shousher, AuD, CCC-A 20 Seven steps to a healthy hospital experience 30 Holidays and hearing loss

by Shelly Horvat, AuD, CCC-A 35 How peripheral artery disease affects seniors 36 It’s time to plan your quit-smoking strategy 38 Heartland's hints for beating holiday stress and weight gain 40 Holidays got you down?

by Linda L. Smith, MA, LPC 41 Acupuncture and your aching back

by Douglas Schwan, Dc, Dipl ac 43 Warm water exercise improves health and mobility

10 Health crossword, by Myles Mellor 12 Reminiscing with Robert O’Connell Christmas in Annecy, France 15 Does your garden still inspire in winter?

21 It’s never too early to set your New Year’s fitness resolutions, by Amanda Manthey 22 Understanding prescription insurance

by Tracy Tran, BSPS, and Michelle Mangan, PharmD, BCACP, CDE 32 A Walk in the Park We are Trekkies—Roadtrek, not Star Trek, by LeMoyne Mercer 36 A coach's impact: beyond the Ws and Ls

by Mark S. Faber, USPTA Elite Professional

CHILDREN & PARENTING 44 Breastfeeding has a myriad of benefits for baby

FOOD & NUTRITION 8 Hosting the holiday feast? Think HoneyBaked 42 Eating Well “Season’s eatings”

by Laurie Syring, RD/LD

Dear Readers, Thank you for picking up the December issue of Healthy Living News. We understand how chaotic the holiday season can be and sincerely appreciate that you’ve chosen to share some of your valuable time with us.

We’re confident you’ll find something in the pages of this month’s jam-packed issue that informs, inspires, or entertains you.

As many of you know, my family recently experienced both the beginning and end of life’s journey, with the birth of our first granddaughter, Emma, and the passing of my father, Robert O’Connell—both of whom have a presence in this month’s issue.

Baby Emma appears on the cover, helping to set the mood for holiday cheer, and as a tribute to Dad, we’re rerunning one of his favorite installments of Reminiscing with

OUR COMMUNITY 16 Bowling tournament to benefit local cancer patients 17 Senior Living Guide 18 Toledo soup kitchen faces potential food shortage 24 Don’t miss “Date Night” at the yoga studio 25 Laurels honors veterans with weeklong celebration 26 Mercy and OCS open region’s first school-based health center at Clay High School 27 Free preview offers glimpse into course on healing from and preventing burnout 27 Central Catholic High School presents Sounds of Christmas 28 Enjoy a vibrant, active, independent lifestyle at West Park Place 32 Holidays in the Manor House returns 38 Bee at Ease—Life Celebration Specialists

Connect with Friends who Like Healthy Living News!

Robert O’Connell, which originally appeared in the December 2009 issue (p.

12). Many thanks to all our friends and readers who sent cards and emails in celebration of Emma and remembrance of Dad! Also in this issue, nurse practitioner Joanna Heck, of The Toledo Clinic Cancer Centers, shares her insights on oral chemotherapy (p. 6); Tracy Tran, a UT doctor of pharmacy student, and Dr. Michelle Mangan, a clinical assistant professor of pharmacy practice at UT, answer some common questions about prescription insurance (p. 22); ProMedica physician Kerri Simo explores the impact of Hepatitis C among baby boomers (p. 9); and pediatric nurse practitioner Cherie Csehi-

/HLNToledo

@HLNToledo

Sexton discusses the brand new Mercy Health Center at OCS (p. 26), which recently opened on the campus of Clay High School. This innovative school-based health center is the first of its kind in our region and represents an exciting collaboration between Mercy and Oregon City Schools for the betterment of our community.

Of course, that’s just scratching the surface of the diverse content in this month’s issue! And remember, if you’re inspired to take advantage of any of our advertiser’s products or services, be sure to tell them you saw it in HLN! On behalf of everyone here at Healthy Living News, I’d like to wish you and yours the very best this holiday season! Until next month, stay safe, active, and healthy!

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nobody’s perfect

Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community.

Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615.

Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net.

Ad reservation deadline is the 15th of the month preceding publication.

HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

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

Publisher: Kevin O’Connell

Sister Karen Zielinski, OSF

But I’ll drive you there

“I

’ll pick you up and drop you off at the book lecture. You don’t have to worry about parking or driving at night in the rain,” Mary told her sister Jean, who had just finished a course of radiation for cancer.

“I will pass this time. I don’t want to go,” Jean replied.

Jean said she was not feeling well and just was not “up to it.”

Mary knew her sister needed to get out, to socialize, go out to eat, and get back into the stuff of everyday life. Meeting people, going to concerts or out to dinner just helped immerse a person into the world. It was a chance to be inspired by people, ideas, good food, and fun events.

It was a positive way to shift the focus from her health to other people and things. Mary knew her sister had not been out socially since her medical appointments and wanted to help with her healing. She told Jean she should go out.

Jean was adamant—she was not

going to the book lecture. She also told her sister why she wanted to pass on the event. It was not just leaving her comfort zone, or driving and parking. There were some things that made her uncomfortable and anxious when she was away from home sometimes. She explained.

“My medications changed my

‘constitution’ a lot. Sometimes I need to use the bathroom many times in an hour. Also, when the weather changes, I get back pain and it is so hard for me to sit comfortably—often smack in the middle row of seats in a lecture hall. I just get anxious and

don’t even enjoy the event,” Jean confessed.

Both sisters knew that when a person gets sick, part of the recovery is addressing the whole person: physical, emotional, spiritual, and social. Mary was right inviting her sister out to help her with the social aspect of her healing, but Jean was right too. Emotionally and physically, she wanted to take a pass. She was anxious about going out and about.

Mary wondered if Jean was depressed and wanted to help her break a pattern of being a homebound couch potato. She really didn’t understand why her sister would not go to some events. After all, she was driving and would be there with her to help her with anything. Jean thought Mary was a bit pushy and did not know how anxious she was about some physical problems.

We all might have been in similar experiences. We set up a day trip for our parents and make arrangements to drive them to a hotel with walk-in showers, large rooms, and recliner chairs. They say they will go at first, but later change their minds and refuse to go. At first, we are flabbergasted. Then we are confused and a little miffed. We need to sit down and talk turkey with them and try to find out what is stopping them. If we gently talk to people who have been sick or are disabled or aging, we need to let them tell us their concerns and fears.

This conversation can be embarrassing for those who are in the process of recovery from any health issue. Do we like to talk about how our medications make us get acid

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media: Miranda Hassen Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe.

Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

4 December 2014 | Healthy Living News

419-843-6106.

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indigestion when we eat anything?

Or that we have severe neck and back pain when we sit in a car for more than two hours? Discussing frequent bathroom visits just adds to the list of things that make people anxious when they leave their homes.

Perhaps they are concerned about being “ready” and up at the time of departure. Maybe weather makes them move slowly in the morning.

Whatever their concerns, they need to voice them. It might sound inconsequential to us, but put yourself in their shoes.

On the other hand, they also need to know that their overall health depends on healthy stimulation, using muscles they might not have used in months, interacting with others and exploring different environments.

Having a cup of coffee at a restaurant, visiting a museum, playing cards with friends, or shopping for a new coat can stimulate our minds, spirits, and souls—and ultimately our bodies. We need to address the

whole person.

So as the holidays approached, Mary and Jean sat down and talked to each other. Really talked. Jean knows that she needs to start going out and about for her health. Mary now understands a little better the feelings and realities of her sister’s health challenges.

There is a saying about being anxious about new things: “What we think will happen usually never does.”

“Thanks for understanding, Mary.

Maybe soon, I’ll drive you somewhere,” Jean offered. ❦ 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.

BySister Mary Thill

Spiritually Speaking I still believe in Santa Santa Claus has grown larger and larger in my life until he fills almost the whole of it.…

Once I only thanked Santa Claus for a few dolls and crackers. Now, I thank him for the stars and street faces and wine and the great sea. Once I thought it delightful and astonishing to find a present so big that it only went halfway into the stocking. Now, I am delighted and astonished every morning to find a present so big that it takes two stockings to hold it, and then leaves a great deal outside; it is the large and preposterous present of myself, as to the origin of which I can offer no suggestion except that Santa Claus gave it to me in a fit of peculiarly fantastic goodwill.

—G.K. Chesterton

n my family, it was a Christmas Eve tradition for my dad to take us to see the Christmas decorations in nearby neighborhoods while my mom and oldest sister, Kathleen, stayed behind and did the dinner dishes and waited for Santa so they could help him with all the gifts he brought us. We enjoyed the lights and decorative toys and trees and sang Christmas carols and songs in the car on the way. We also talked among ourselves about what we were expecting Santa to bring us and if we would get any kind of toy or would it be clothes and practical stuff like that.

When we arrived home, we would bolt from the car and run into the house to see if Santa had come as we

were anxious to see what he brought each of us. When I was about six or so, I remember being disappointed because there wasn’t a gift for me under the tree. Mom finally told me to check out the bathroom, and there was a new buggy for my dolls parked next to the tub. It was too big to fit under the tree.

When I was in the 6th or 7th grade (can’t remember now), Santa actually came to our house and gave us our presents. We were so excited to have him as a guest, though he couldn’t stay long because he had so many other homes to go to that night. One year my brother, Jim, received a train set, and I remember my dad staying up way into the night setting it up in our living room and playing with

Care that lasts a lifetime.

Life is about making connections. Parents, siblings, friends, a spouse, and, yes, even a health system.

That is, if that health system is ProMedica. Because when you choose ProMedica, you’re choosing to be a part of the most connected health system in the region. Doctors, nurses, specialists, labs, pharmacies ... all linked and all working together on your behalf.

And when we’re all connected to each other, we can better share our common goal of living happier, healthier lives. Begin your connection today at promedica.org/wellconnected. © 2014 ProMedica

I

PROM1073_OldCouple_5x12.625_146C.indd 1 10/20/14 4:20 PM Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | December 2014 5

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it until Mom informed him it had to go to the basement because we were having lots of company on Christmas Day. I don’t remember Jim playing with the train though.

I love Christmas.

I love that in my Catholic/Christian faith we believe in the birth of Jesus, that he is the Son of God and that he came to be one of us and showed us how to love, live, suffer, and die. He brought many gifts to the world that will last forever, and I think it is a good thing that we can reflect both on the gifts that Santa brings and the gift that Jesus brings. Santa brings material possessions that show us how much we are loved by those who know us best. Some people receive gifts from strangers who try to make Christmas special by their generosity and giving spirit.

Jesus is the Gift, and what a precious gift he is.

G.K. Chesterton reminds us that we ourselves are gift and that even though we grow and change as the

years pass, we are still capable of believing in the miracle of Christmas, the miracle of God coming to earth to be one of us, the miracle of generosity from Santas of all kinds— parents, friends, colleagues, and even strangers.

My question during this special and precious time of year is, What will I give to those I love and to those in need this Christmas? Some will receive material gifts from the Santa in me, and some will receive the gift of myself from the Jesus in me. I hope I have time to help many people to still believe in Santa (and Jesus). I also hope and pray that we will appreciate the gift that we are to each other, a gift that was given to us “in a fit of peculiarly fantastic goodwill.” ❦ 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.

Oral chemo drugs expand cancer treatment options

T

he advent of oral chemotherapy drugs has significantly broadened the treatment options available to oncology practitioners today. Not only can these drugs be conveniently taken in the comfort of the patient’s own home, but they’re also just as potent and effective as intravenous (IV) chemotherapies when used properly.

According to Joanna Heck, a Certified Nurse Practitioner with The Toledo Clinic Cancer Centers (TCCC), the best candidates for oral chemotherapy are those who have a good understanding of their diagnosis and are able to swallow a pill or liquid, understand and follow the medication instructions and schedule, take medications on a consistent/regular basis, and keep track of any missed medications/doses. “They must also be willing and able to call their physician and communicate any needs or new problems that might arise,” she adds.

Though oral chemotherapies are self-administered in the home (in most cases, home delivery of the

medication can be arranged with the patient’s pharmacy), it’s nonetheless important for patients to follow up with their healthcare team throughout the course of treatment. This typically includes an initial office visit followed by monthly appointments to see how the cancer is responding to the drug and to monitor side effects. As treatment progresses, patients can

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usually be seen less often. patient the medication. Of course, all One way in which IV and oral of these drugs must be kept out of chemotherapies often differ is in the the reach of children, preferably in length of time they’re typically taken. a locked cabinet,” says Heck.

In most cases, IV chemotherapy is From the standpoint of oncology given over a few months and then practitioners, one of the biggest chaldiscontinued until the point that the lenges of oral chemotherapy drugs disease progresses or metastasizes. Oral is ensuring patient compliance in chemotherapies are generally given taking them. Whereas they can be over longer periods. Some are even completely confident that patients given for the patient’s lifetime until receiving IV chemo in the office are the treatment is no longer effective. getting the right medication at the The reason for this difference in proper dose, they can’t be so certain duration lies in the distinct functions when the prescribed drug is self-adthese two forms of chemo often ministered in the patient’s home. For perform. “IV drugs go various reasons, there is a in and attack the DNA of greater risk that patients cancer cells and destroy will fail to follow through them, whereas some of with their medications. the newer oral drugs are For example, they may used to suppress cersimply forget to take the tain hormones,” Heck drug or they may expeexplains. “For example, rience side effects and patients treated for breast choose to stop taking it. cancer are given IV chemo Financial burden may up front to kill the cancer. be an obstacle for some Then, to maintain and patients as well. In fact, prevent further cancer TCCC took part in a trial growth, they’re given of implementing oral a pill to suppress hor- It is important for patients chemotherapies into a taking oral chemo drugs to mones in the body that medical practice, and take the correct dosage as prepromote the growth of scribed. as they participated, the more barriers to patient cancer. They’ll usually be on that pill for at least compliance came to five years.” light, highlighting the importance Whether taken orally or intrave- of thorough patient education and nously, chemotherapies can cause monitoring. unpleasant physical side effects.

Currently, oral chemotherapies These will vary depending on the are available for several forms of patient and the class of drug being cancer, but not for all. There may taken, but the most common are also be patients who are precluded nausea, vomiting, and diarrhea, and from taking oral chemotherapies for possibly low blood count, increased various reasons, even though a drug risk of infection, and skin rashes. may be available for their cancer.

However, it’s often possible to In any case, oral chemotherapy is reduce or prevent many chemother- an important treatment option that apy side effects by taking a proactive cancer patients should explore and approach to care. TCCC offers a one- discuss with their oncologist. ❦ hour teaching appointment to every patient starting chemo, during which Toledo Clinic Cancer Centers, located they can provide nausea medication at 4126 N. Holland Sylvania Road, and discuss other measures for man- Suite 105, has nine board-certified aging side-effects, such as the use of hematologists/oncologists and ten nurse special skin creams to prevent rashes. practitioners on staff and can provide With oral chemotherapies taken in imaging and laboratory diagnostic the home, certain safety issues must services, chemotherapy services, and be taken into consideration as well. IV services. TCCC’s satellite centers “For instance, caregivers for patients in Maumee, Bowling Green, Oregon, may need to handle and store the Adrian, and Monroe remain open for medication according to the doctor’s the convenience of the patient, and and manufacturer’s recommenda- many TCCC patients are enrolled in the tions. Also, they may need to wear latest cancer research and studies in our gloves when handling the medication, region through the Toledo Community and if the drug is in a blister-pack, Oncology Program (TCOP). For more it should not be removed from the information, please call the Toledo Clinic package until just prior to giving the Cancer Centers at 419-479-5605.

CANCER CENTER

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

or call 419-479-5605 Toledo Clinic Cancer Centers has moved to better serve our patients and families.

Be sure to join us for our open house on March 5th, 2014 from 4pm - 7pm!

Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

Why area doctors trust us the most…

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

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

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

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

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December 21: 10 a.m. – 4 p.m.

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December 24: 10 a.m. – 4 p.m.

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Closed New Year’s Day January 2 & 3: 10 a.m. – 5 p.m.

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Holiday2014_HLN_DEC_5x12.625_02.indd 1 8 HONYB046 December 2014 | Healthy Living News

funny thing happens when you host the family holiday feast— with so much of your attention focused on meal preparation, you tend to miss out on all the things that make family get-togethers so special and important. While everyone else is enjoying each other’s company, reminiscing about old times, and renewing emotional bonds, you’re stuck in the kitchen. Sure, you catch snatches of conversation and laughter every time you bring out a dish, drink, or platter, but by evening’s end, you can’t help thinking you’ve missed another precious opportunity to be close to the ones you love.

This holiday season, why not begin a new tradition that frees you from food preparation so you can take part in the party and feel like family again? Why not put a HoneyBaked meal on your holiday table?

When hosting a holiday dinner— especially for the first time—one of your greatest anxieties is that the main course won’t turn out as hoped. What if your guests aren’t enthused about your choice of seasonings? What if the glaze you’re experimenting with falls flat? What if that centerpiece ham or turkey ends up overdone and dry—or, worse, undercooked and unsafe to eat?

HoneyBaked gets it right every time, so when you choose their products, you can be confident in the quality of your meal. Each HoneyBaked ham is hand selected for leanness, smoked up to 24 hours, and then spiral sliced to the bone so each tender, juicy slice is easy to serve. And who can forget that signature crunchy, sweet glaze?

HoneyBaked boneless turkey breasts are gently roasted, sweetly glazed, and irresistibly savory.

And the HoneyBaked product line isn’t limited to their signature sliced hams and boneless turkey breasts. They offer something for every taste—including whole turkeys (smoked, browned and roasted, or Cajun), barbecued ribs, barbecued pork roast, pork or beef roast with gravy, and thick-sliced bacon.

Some families choose a HoneyBaked product for their main course and then surround it with their favorite homemade side dishes. But you have the option of leaving all the cooking to HoneyBaked if you prefer. In addition to their savory main courses, they offer a wide variety of home-style side dishes, such as macaroni and cheese, garlic mashed potatoes, potatoes au gratin, sweet potato casserole, cinnamon apples, herbed stuffing, broccoli rice casserole, and, of course, green bean casserole.

They’ve even got you covered when it comes to rich, satisfying desserts!

Think HoneyBaked hams and turkeys are strictly for the holiday table? Think again! If you’re lucky enough to have leftovers (you may have to discreetly set some aside or else it will end up going home with your guests), rest assured there are myriad ways to incorporate delicious HoneyBaked products into your day-to-day cooking, including soups, salads, sandwiches, pastas, entrees, and brunch dishes.

Be sure to visit honeybaked toledo.com for recipe ideas (under Entertaining) as well as a complete HoneyBaked menu, catering information, gift ideas, store locations, monthly specials, and much more.

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11/11/14 5:27 PM

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Baby Boomers urged to seek Hepatitis C screening

T

hey may not be aware of it, but the members of the baby boomer generation—those individuals born between the years 1945 and 1965—are at significantly higher risk of carrying the Hepatitis C virus than any other age cohort. In fact, the Centers for Disease Control and Prevention (CDC) estimates that over 75% of Americans currently infected with Hepatitis C are baby boomers.

Hepatitis C damages the liver and is spread by exposure to the blood or blood products of an infected individual. A relatively small percentage of Hepatitis infections (15 to 25%) clear without treatment, but most cases become chronic. CDC data indicates that out of every 100 people infected with the Hepatitis C virus, 75 to 85 will develop chronic infection and 60 to 70 will develop chronic liver disease.

Why is the rate of infection so high among baby boomers? According to Kerri Simo, MD, a hepatobiliary and pancreas surgeon with ProMedica Physicians, there isn’t a completely satisfactory explanation for the higher incidence of the disease among this

particular age cohort, but it’s thought that many infected boomers contracted the virus during the 1970s and 80s, when the overall rate of Hepatitis C was highest but universal precautions had not yet been widely adopted.

“Because there wasn’t much emphasis on universal precautions, some people could have gotten infected from something as simple as a dental instrument,” Dr. Simo says. “There were also members of that generation who experimented with intravenous drugs, which significantly increases the risk of infection, even if done just once. But there’s no single, good explanation for the increased rate among baby boomers because not all those infected had risk factors or engaged in high-risk behaviors.”

Kenneth E. Endicott, Prosthodontics, Inc.

Unfortunately, because Hepatitis C is a “silent” disease, many of those infected are completely unaware that they have it and, thus, aren’t receiving appropriate medical treatment and can unknowingly spread the virus to others. Dr. Simo notes that it can take up to 20 years for people to discover they’re infected, unless they happen to know they’re at high risk and get tested. She further explains that of all patients with chronic Hepatitis C, about 20% will develop cirrhosis, or endstage liver disease, which causes symptoms such as ascites (fluid buildup in the belly) and encephalopathy (confusion that develops when toxins, such as ammonia, normally filtered by the liver build up in the blood). Out of the 20% who develop cirrhosis,

about 4% will develop hepatocellular carcinoma, or primary liver cancer.

In addition to members of the baby boomer generation, others at risk of contracting Hepatitis C include: • Anyone who has ever injected drugs, even once • Individuals with certain medical conditions, such as chronic liver disease or HIV/ AIDS • Anyone who received a blood transfusion or organ transplant before 1992 • Anyone with abnormal blood test results that can’t be explained • Health and safety workers who might have been exposed to the blood of an infected person, for example through a needle stick • Anyone on hemodialysis • Anyone born to a mother with Hepatitis C. Dr. Simo hopes baby boomers will view this information as a call to action to seek screening for Hepatitis C so more infected people will get diagnosed and treated. According to

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a CDC report, last year, only 50% of the people with chronic Hepatitis C were diagnosed and of those diagnosed, only 32 to 38% were referred to care. Only 7 to 11% of those referred actually began treatment, and only 5 to 6% of those individuals were successfully treated.

These statistics are discouraging because it’s known that suppressing the Hepatitis C virus reduces the risk of liver-related problems and primary liver cancer and lowers the risk of dying from the disease by 45%.

On a positive note, Dr. Simo points out that the last few years have seen an explosion of new drugs for treating Hepatitis C that are easier on the patient and appropriate for treating a greater number of patients. Plus, the rate of effectiveness is higher with these new medications, so the current cure rate of approximately 50% is anticipated to go up. “With all these advances, this is probably the most exciting time to be working with patients with Hepatitis C,” she adds. ❦

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Reminiscing with Robert O’Connell Christmas in Annecy, France

(Editor’s note: This installment of Reminiscing with Robert O’Connell originally appeared in the December 2009 issue of Healthy Living News. Robert recently passed away at the age of 83, and we wanted to honor his memory by running a prior column that reflects his spirit and love of family. We think he would have chosen this one.)

O

ur favorite Christmas, as a family, was in 1972 in Annecy, France.

I was fortunate to have been able to obtain a sabbatical leave for a school year from my teaching job at Ottawa Hills. Our son, Kevin, was an eighth grader, and our daughter, Anne, was a third grader.

The late Father Shugru, a wonderful priest from St. Francis High School (he was in charge of making arrangements for students at St. Francis who wished to spend their junior year in France) set up our contacts in Annecy, a town in the French Alps. We leased a chalet-type home in a small village adjacent to Annecy called Veyrier du Lac, overlooking beautiful Lake Annecy. Kevin attended San Michel in Annecy where I taught English. San

Michael was run by the Oblates of St. Francis. Anne went to a school in our village of Veyrier.

Christmas in France was celebrated more simply in French families. It was much less commercialized than in our country. Not every home had a Christmas tree. We were able to purchase a tree at a florist shop. There were no large Christmas tree lots.

Many French people, if they did have a tree, would decorate it with lighted candles in holders. However, we Americans were much more cautious. We bought construction paper and paint, and each of us made several decorations of our favorite things. We looped red yarn to hang

them on the tree and topped off the tree with a Star of Bethlehem. We thought our homemade decorated tree was especially beautiful.

Even though the French homes were not decorated as much as American homes, the streets and shops were very festive with lights and beautiful wreaths. There was a Christmas parade with Pere Noel (Father Christmas) throwing candy to the children.

We went to midnight Mass in Veyrier, which had no organ music. The choir sang some of our same carols acappella, of course, in French. It was as close to heaven as we could ever imagine on this earth.

Our gifts consisted of skiing gear since we were in the Alps and just a few miles from a ski resort called LaClusaz. We shopped in Geneva, a beautiful Swiss city, only a half hour from Annecy. School children were taken by bus to ski every Thursday during ski

season. We, as a family, skied as often as we could. We were so impressed by the little French children, who were almost toddlers, whizzing by us, skiing without poles.

For our Christmas dinner, we had ham for our main course. The boulangerie in our village was well known for their exceptionally good bread and croissants. The French have a custom at Christmas of baking a cake in the shape of a crown with a lucky coin inserted in the batter.

Whoever gets the piece with the lucky coin will have good luck all the next year.

Even though we missed our extended families, that Christmas in Annecy was the most memorable for the O’Connell family. ❦ Robert O’Connell was a lifelong Toledoan, a high school history teacher, and tennis coach at Rogers and Ottawa Hills high schools. He was also inducted into the Ohio High School Coaches Hall of Fame in 1991.

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Does your garden still inspire in winter?

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ust because it’s cold outside and that have the added advantage of your plants have settled down attracting wildlife. If you look around for a long winter’s nap is no reason and see nothing but bare ground, your garden can’t continue to serve consider planning some significant as a source of inspiration. One of design changes now so you can the true tests of a garden’s success implement them in the spring.

In the winter garden and landscape, is how pleasing it is to the eye after the last blossoms have faded and the color and structure come primarily last leaves have dropped. In winter, from evergreens. A good mix of the garden’s framework comes to evergreen ground covers, shrubs, the fore. With the eyes no longer and trees will lend texture, volume, engaged by foliage and flower, the and visual depth to your design. strength or weakness of a garden’s Colors range from greens of virtually year-round design becomes apparent. any shade to gold to frosty blue. Try Take the opportunity this month unifying your beds and borders with to assess your garden and landscape plantings of English ivy, pachysandra, with a critical eye. Ask yourself or vinca, and build on that foundation whether the trees with small needled and shrubs provide shrubs, such as pleasing shapes and mugho pines, textures, and judge birdsnest spruce, the backgrounds compact junipers, created by and spreading evergreens and yews. If your hedges. Look for landscape provides color interest in the adequate protection stems and stalks of from winter winds, faded perennials you can work in and persistent fruits some broadleaf Red twig dogwoods

evergreens, such as hollies, boxwood, make garlands, wreaths, and bough rhododendrons, and azaleas, for bundles—a great way to bring some contrasting leaf texture. fragrance and holiday cheer indoors Try to keep the scale of your for Christmas. garden in mind when making your Even without their leaves, selections. There are many deciduous trees and dwarf evergreen varieties shrubs can lend winter available, so you needn’t interest to your landscape. plant a full-size Colorado Look for varieties with blue spruce to get winter interesting bark or colorful interest. A popular favorite stems. The paper bark is the dwarf Alberta maple and river birch spruce. Growing only a are both good choices.

Contorted filbert few inches a year and The paper bark has rustreaching a maximum colored bark that, as the height of only 5-6 feet, the dwarf name implies, peels away to reveal Alberta is ideal for small yards and a cinnamon-colored underbark. The garden spaces. It’s also hardy enough river birch’s bark is a pretty reddishto stand up to the toughest winter brown and also exposes a lighter layer as the outer bark exfoliates. our area can dish out.

If you have the room for them, To make a dramatic color statement, larger needled evergreens provide plant a thicket of red twig dogwoods. an excellent opportunity for holiday The glossy, red canes are a great eye decorating. Not only do they do a catcher, especially in large, isolated good job of supporting light strings, masses. The canes tend to lose their but they can also be lightly pruned to attractive red coloration as they age,

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however, so be prepared to prune the older growth back to the ground each year.

For a unique shape, add a contorted filbert (a.k.a. Harry Lauder’s walking stick) to your landscape for both winter and growing season interest. The stems of this deciduous shrub are twisted into corkscrews, giving it a wonderful gnarled appearance that really lends drama.

Berries are another valued feature in the winter garden. Not only are they colorful, but they also encourage birds to make regular stops, adding life and activity to the landscape. Winterberries

sport bright red fruits that will persist until the birds catch sight of them, and barberries and cotoneasters keep their fruit through Christmas. Many varieties of holly are also berry producers. Just be sure to plant both male and female together in the same area so pollination can take place. If you have room for a tree, consider adding a crabapple.

Many cultivars have fruits that persist well into winter and are strikingly beautiful when laced with a light dusting of snow.

Though many gardeners cut their perennials back in fall, some varieties

should be left standing for winter interest. This is especially true for ornamental grasses, such as Japanese silver grass and other Miscanthus species, which have interesting seed heads and foliage that turns an attractive red or brown during the winter months. Blue fescue clumps maintain a bright blue or dark green all winter long and should also be left unpruned. Sedum varieties, like showy stonecrop, also make a great winter statement. Domes of pink blooms turn reddish in late autumn and contrast nicely against the plant’s blue-green leaves.

When it comes right down to it,

winter interest is anything you decide it should be. Some gardeners find subtle beauty in the somber hues of faded plants, while others like as much color as they can get. Still others could care less about the garden in winter, preferring to put gardening out of their minds completely until growth begins again in spring. But even if you hate to be outdoors in the winter, you can still design a small winter garden to be enjoyed from indoors through a picture window.

If you don’t know where to start, try your local garden center. Most are happy to assist customers with landscape design projects, sometimes free of charge (provided you choose to purchase your plants from them).

You may just find the winter garden captivating! ❦

Bowling tournament to benefit local cancer patients

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on and Fran Kusz are celebrating the life of their daughter Kathy who is a breast cancer survivor. The couple is hosting a Bowling Tournament Fundraiser on Saturday, December 6 at noon at Miracle Lanes, 5030 Jackman Road. The entire community is invited to participate. The entry fee is $25 and includes three games of no tap bowling, free shoe rental, bowling tournament towel, random prize drawings, and a silent auction. Proceeds from the event will support the free programs of Cancer Connection of Northwest Ohio, Inc. (CCNWO) for local cancer patients and their families.

“We are honored to be a part of this celebration with the Kusz Family—they are wonderful people and care very much about our community,” states Jean Schoen, Founder and President of Cancer Connection of Northwest Ohio, Inc. Register online at www.

CancerConnectionOfNorthwest Ohio.com or by calling Ron and Fran at 419-475-0963. Want to bowl but can’t? Enter as an Honorary Bowler with a $25 tax-deductible donation. Contact Ron and Fran for details.

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795 Bardshar Rd. Sandusky, OH 44870

419-867-7926

419-502-5700

www.consulatehealthcare.com

www.lhsoh.org

Senior Living Guide Choosing a senior living community that’s right for you or a loved one is among the most important—and challenging— decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent living, assisted living, continuing-care, and subsidized low-income housing communities.

To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

Senior Star at West Park Place

Kingston Care Center of Sylvania 4121 King Road Sylvania, OH 43560 419-517-8200 www.kingstonhealthcare.com

Pelham Manor 2700 Pelham Rd Toledo, OH 43606 419-537-1515 www.jewishtoledo.org

Ridgewood Manor

Parkcliffe Community

3231 Manley Road Maumee, OH 43537

4226 Parkcliffe Lane Toledo, OH 43615

419-865-1248

419-381-9447

www.consulatehealthcare.com

www.parkcliffe.com

Swan Creek Retirement Village

Kingston Rehabilitation of Perrysburg

The Manor at Perrysburg

5916 Cresthaven Lane Toledo, OH 43614

345 E. Boundary Street Perrysburg, OH 43551

419-865-4445

419-873-6100

www.swancreekohio.org

www.kingstonhealthcare.com

3501 Executive Parkway Toledo, OH 43606 419-972-2280 www.seniorstar.com

Otterbein Skilled Nursing and Rehab Neighborhoods Monclova/Perrysburg 3529 Rivers Edge Drive Perrysburg, OH 43551 Joy Riedl • 419-308-0585 jriedl@otterbein.org

250 Manor Drive Perrysburg, OH 43551 419-874-0306 www.ManorAtPerrysburg.com

The Laurels of Toledo

Bowling Green Manor

1011 Byrne Road Toledo, OH 43607

1021 West Poe Road Bowling Green, OH 43402

419-536-7600

419-352-4694

www.laurelsoftoledo.com

www.BowlingGreenManor.com

www.otterbein.org

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Bowling Green Care Center

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

850 West Poe Road Bowling Green, OH 43402

419-724-1200

Geri Ricker • 419-833-8917 gricker@otterbein.org

419-724-1414

419-352-7558

www.lhsoh.org

www.BGCareCenter.com

www.sunset-communities.org

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

17

Tips to enjoy a healthy and happy holiday season

UTMC Family Physicians on Main Campus Accepting New Patients

Our board certified physicians offer a patient-centered medical home and emphasize wellness and illness prevention, as well as care for patients with chronic or acute illnesses. Medical services provided in our office include: • Minor procedures • Diagnostic testing • Women’s care • Massage therapy by appointment For your convenience, we have a lab and pharmacy on site and are located on the main campus of The University of Toledo at 1735 West Rocket Dr.

Dr. Mariam Mina

Appointments available within 24 hours for acute illness.

For an appointment, please call: 419.530.3581 A Higher Degree of Healing

by Dr. Mariam Mina

G

aining weight during the holiday season is a national pastime.

Most of us pack on a few pounds during the holidays and keep the extra weight permanently.

Here are some tips to help you enjoy your holiday in a healthy and fun way: • Start your day with a breakfast; it is the most important meal of the day. After a long night’s rest, your body needs fuel to get your metabolism going and give you energy for the rest of the day.

• Do not skip meals. Going too long between meals affects your body’s metabolism. Your body will be storing calories instead of burning calories if you skip meals. Don’t fall for the mistaken idea that the less you eat, the more you will lose.

You can manage your hunger and avoid overeating by spreading out the calories into five small snack-size meals.

• Do you know mild dehydration can slow down your metabolism? Fuel up with water—at least 8 glasses a day.

• Your body burns more calories digesting protein than digesting fat and/or carbohydrates. Replace some carbs with lean-protein-rich foods to boost your metabolism.

• Build up your muscles. Each pound of muscle uses about 6 calories a day just to sustain itself, while each pound of fat

H

Finally, enjoy your holiday by eating healthy, exercising more, and spending quality time with family and friends!

Dr. Mariam Mina is a University of Toledo Assistant Professor and Family Physician. She earned her medical degree from Cairo University School of Medicine, Egypt and completed her residency at St Luke's Hospital/UTMC. She practices medicine at the UTMC Family Physicians office on the UT Main Campus and is accepting new patients.

Toledo soup kitchen faces potential food shortage

elping Hands of St. Louis is in urgent need of food donations for the center’s food pantry and soup kitchen due to the closure of a distributor that donated meat along with increasing numbers of people seeking assistance. Helping Hands is in particular need of new local organizations and businesses to become long-term partners to meet the growing need.

The East Toledo center recently has experienced a significant increase in food requests. Director Paul Cook attributes the increases to the 30 percent cut in food stamps and more families moving into the East Toledo area. If the trend continues, Helping Hands is projected to have more total requests for food in 2014 than any year since 2010.

18 December 2014 | Healthy Living News

burns only 2 calories a day—so your resting metabolic rate is higher when you have more muscle.

• Eating right starts with stocking healthy food in your pantry and refrigerator. Don’t go grocery shopping while you are hungry, and shop from a prepared list so impulse buying is kept to a minimum.

• One of the most important but least recognized factors in keeping your metabolic fires well stoked is managing stress effectively. Chronic stress disrupts the hormones that regulate everything from appetite to fat storage, so schedule time every day for relaxation, exercise, yoga, or other stress-management activities.

Helping Hands has also seen an increase in visits to the food pantry, which transitioned to a “client-choice” pantry in the summer. The pantry is providing 100 to 150 more grocery bags per month in the past months compared with 2013.

Donation needs include: meat products, beef, ham, roasts, boxes of chicken legs, chicken thighs, whole chickens, small boxes of macaroni and cheese, one-and-a-half-ounce cans of tuna fish, and 12-ounce jars of peanut butter.

Donations may be sent to or dropped off at Helping Hands from 9:00 a.m. to 3:00 p.m. Helping Hands is located at 443 Sixth St., Toledo, Ohio 43605. For more information or to arrange a different delivery time, please call Paul Cook at 419-691-0613, ext. 2.

We love feedback. Like us on Facebook. Follow us on Twitter.

Q

: My anxiety and stress levels have been at an all-time high recently, and now that the holiday season is upon us, my stress is rising.

I’ve also noticed that my hearing has declined. Is this coincidence, or is there a correlation?

A

: Believe it or not, there is a strong connection between your hearing and your mental health. Studies have shown that those patients who experience stress and anxiety are more likely to complain of hearing loss and tinnitus. The tinnitus might even be more prevalent than the hearing loss because it can come along out of the clear blue sky and

DON’T LET TINNITUS CONTROL is more noticeable.

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from work are more likely to have heart rate need to stay normal, and in turn, the risk of developing anxiety hearing loss.

Another hearing-related symptom with hearing issues and tinnitus will of stress and anxiety is enhanced not be a factor. tinnitus. Tinnitus, or ringing in the ears, If your hearing has suddenly affects about 12.2 million Americans. declined and you’ve been more Moreover, about 50 million Americans anxious recently, it’s important to will experience tinnitus at one point contact your hearing-healthcare inYOU their lives.

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We don’t want Call us today to learn morethis about holiday this new and season exciting tinnitus you a wonderful holiday season this totreatment causeoption. our patients any of these year! ❦ conditions; rather, we want you to enjoy the season with family and Randa Mansour-Shousher, AuD, friends. Take time for yourself, and if CCC-A, is a Doctor of Audiology with that means increasing your relaxation Northwest Ohio Hearing Clinic, located (Practice Name) time and spending less time shopping at 1125 Hospital Dr., Suite 50 in Toledo forXXX-XXX-XXXX last-minute necessities, make the (419-383-4012) and 1601 Brigham Dr., right choice. Your blood pressure and Suite 160 in Perrysburg (419-873-4327).

TAKE CONTROL OF YOUR TINNITUS Because of your tinnitus, is it difficult for you to concentrate?

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Counseling with an experienced hearing healthcare professional trained in managing into Special Guest Speaker: Dr. Laurie Bennett, Au.D. experienced hearing healthcare professional trained in managing into the sounds of your life? experienced hearing healthcare professional trained in managing the sounds your life? experienced hearing healthcare in managing into theinto sounds of your of life? tinnitus, improves your chances professional of success intrained regaining your Professional Training Audiologist tinnitus, improves your chances of success in regaining your in regainingof tinnitus, improves your chances of success yourWidex so, may you may have tinnitus.

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Because of your tinnitus, do you feel desperate?

December 11: 9:30 and Noon

Join us for a Tinnitus Educational Seminar

December 10 and 11

Call us today to learn more about this new and exciting tinnitus Call us today to learn more about this new and exciting tinnitus Call us today to learn more about this new and exciting tinnitus treatment option. treatment option.treatment option. treatment option.

TiNNiTuS ScrEENiNg –

Call for an appointment

(Practice Name) (Practice Name) (Practice(Practice Name) Name)

XXX-XXX-XXXX XXX-XXX-XXXX XXX-XXX-XXXX

XXX-XXX-XXXX Toledo 419.383.4012 | Perrysburg 419.873.4327 www.nwohc.com | Hours Monday-Friday 8am - 4:30pm

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | December 2014 19 TAKE CONTROL OF YOUR TINNITUS test totest see if ZEN2GO becan right yo TAKE CONTROL OF YOUR TINNITUS TakeTake thisthis quick testquick to see if ZEN2GO cancan be right for you.

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Be aware of signage.

News From

OTTERBEIN Seven steps to a healthy hospital experience

I

n a June 12, 2014 article in The Huffington Post, Dr. Jim Merlino, a chief experience officer at the Cleveland Clinic, outlined for reporter Rachael Grannell a short list of practical ideas that can help you have a healthy experience and avoid some of the chaos that we perceive comes with a hospital stay. Your experience will depend in part on the questions you ask and discussions you as the patient or family member initiate. Don’t be afraid to ask questions!

Here are the seven tips: 1. Get an idea of what it’s like to be a patient before you’re admitted. Ask your physician about the procedure. Ask what type of room you will recover in, where that part of the hospital is located, and who will care for you.

The more you discuss prior to your stay, the more comfortable you will be.

2. Prepare what you can before you arrive. Try to do as much required paperwork as possible prior to your admission. Remember to take musthaves: your social security card, your insurance cards, a photo ID, and a

form of payment just in case some things are not covered by insurance.

Ask your physician if there are other things you should bring.

3. Learn the layout of the hospital.

Look online prior to your stay to locate maps. Ask for a paper map.

Skilled Nursing Neighborhoods Call Joy Reidl 419-308-0585

20 December 2014 | Healthy Living News

4. Know when to make an appointment and when it’s time for the emergency room. If your pain is unmanageable and it’s after hours, you will probably go to the ER. Don’t be afraid to ask questions in the ER. It is a fast-paced place, but you are the customer and the patient.

5. Know when it’s best to schedule surgery. Discuss this with your surgeon. Most surgeons have blocks of time for surgery. It’s good to schedule during one of those blocks so that you don’t get bumped.

6. Know how long your doctor has been working. Doctors have demanding jobs, but they’re also human beings.

They experience exhaustion and burnout. It is absolutely acceptable to ask how long the doctor or other staff member has been on the clock. If that person gets offended, that’s not a good sign and the patient should be ready to seek another caregiver.

7. Keep track of your caregivers.

Everyone from the doctor who performs surgery to the aide who brings ice chips plays an important role in helping you get the care you need.

Keep a spiral notebook at your bed-

side. Keep a record of who comes into your room to talk to you, who gives you medication, and what drugs are being administered. Also use it to write down questions to ask.

Lori Stitely, Healthcare Counselor at Otterbein Portage Valley, and Joy Riedl, Healthcare Counselor at the Otterbein Skilled Nursing Neighborhoods, have years of experience helping people with hospital stays and post-hospital rehab. You can reach Joy or Lori with your questions, toll free, at 1-855-300-5686. ❦ You can read the entire article at www.huffingtonpost.com/2014/06/12/ hospital-facts_n_4856009.html.

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Portage Valley Lifestyle Community Call Lori Stitely 419-833-8917

We love feedback. Like us on Facebook. Follow us on Twitter.

It’s never too early to set your New Year’s fitness resolutions

ne of northwest Ohio’s most festive holiday celebrations. Over 30 areas of the beautiful Manor House decorated by hundreds of volunteers.

by Amanda Manthey

W

ith 2015 just a month away, it’s time to start thinking about those New Year ’s resolutions and a perfect time to re-evaluate your personal fitness goals. If you’re a novice runner, an advanced runner, or even a member of a local gym, the approaching New Year is a great time to set short- and long-term goals for yourself. Whether it’s for weight loss or to improve your 5K run time, personal goals will keep you on track.

Here are five tips for maximizing your resolutions this year: • Set three measurable personal short-term goals (one- to twomonth periods) and three long-term goals to accomplish next year. Remember to reward yourself with personal tokens, such as a massage or a new workout outfit.

• Chart your progress and goals by using a running log or calendar. Visualizing your accomplishments will provide support, reassurance, and motivation to keep achieving those goals.

• Keep a regular schedule. This helps maintain normalcy in your life by designating that time of day as “your own personal workout time.”

Whether it’s with a running group or a workout companion, a schedule will help regulate your busy lifestyle and help you reach your personal goals.

• Develop a fitness/exercise consciousness. Running or working out is just like brushing your teeth daily to help maintain your personal health. Make exercise a part of your daily routine.

• Inspire a friend, family member, or coworker to join you for a run, walk, or an hour at the gym. You can make a difference in your life and their life. By motivating someone else, you are motivating yourself to be a role model, and believe me, it’s contagious. ❦ Amanda Manthey is a former collegiate runner for Eastern Michigan University.

She writes about running and fitness for Dave’s Performance Footgear.

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any applicable fees, please visit davesrunning.com.

Jingle Bell Run—Saturday, December 6, 2014, 9:00 a.m. at 3100 Main Street in Maumee, Ohio. Jingle Bell Run/Walk® for Arthritis is a fun, festive event for the whole family!

Put on your reindeer antlers and running shoes and come join us for some holiday cheer. Raise funds to fight arthritis, the nation’s leading cause of disability. Run or walk a 5-kilometer (3.1-mile) route with your team members and celebrate the season by giving. Contact: ezion@ arthritis.org.

UpTown Toledo’s 5K Santa Race— Saturday, December 13, 2014, 9:00 a.m. at UpTown Green Park, 1900 Madison Ave., Toledo, Ohio. A fun, festive romp to ring in the holiday season in Toledo’s most eclectic arts and entertainment district. Toledo’s first ever Santa Run will debut in UpTown to help raise funds for the UpTown Green Park, an exciting new public space coming in the summer of 2015. Contact: david. crafts@mercycollege.edu.

Snowman Scamper 5K Run/ Walk/”Ski”—Saturday, December 13, 2014, 9:00 a.m. at Findlay Evangelical Free Church, corner of CR 236 and Heatherwood Dr. in Findlay, Ohio.

The 5th annual event, raises money for Findlay’s Chopin Hall, supporting the needy folks of our community.

Come in costume and double your chances of winning some awesome door prizes! Contact: dspridgeon@ findlayohio.com. ❦

Saturday, December 6 – Sunday, December 14 10 a.m. – 8 p.m. Wildwood Preserve. Free.

Don’t Miss These Other Annual Holiday Events!

Holiday Café & Craft Show, Metroparks Hall Festivities In The Farmhouse, East entrance Shop for festive decor to bring some holiday spirit into your home at our craft show.

Families will enjoy arts and crafts and story telling in the charming Farmhouse.

See MetroparksToledo.com for schedule and details.

Holidays 2014-HL.indd 1

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21

Understanding prescription insurance

by Tracy Tran, BSPS, and Michelle Mangan, PharmD, BCACP, CDE

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

Lutheran Village is a whole new direction in retirement living.

It's a neighborhood!

A community where residents can add life to their years.

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

Lutheran Village at Wolf Creek, a ministry of Lutheran Homes Society in partnership with St. Luke’s Hospital.

2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 EQUAL HOUSING OPPORTUNITY

www.lhsoh.org

O

ften, when we visit the doctor’s office, depending on the type of insurance we have, the co-pay will be the same as indicated on the medical insurance card. Therefore, we rarely think twice about or question the amount of the co-pays that are billed to us, whether they are for general visits, blood work, or x-rays.

However, when it comes to getting a prescription filled, so many questions are being asked at the drop-off window. Is the prescription covered? If so, how much will the prescription cost? To answer some of these questions and help everyone gain a better understanding regarding their prescription insurance coverage, here are some of the most frequently asked questions at the pharmacy: How can I tell if my prescription will be covered by my insurance?1,2 1 U.S. Office of Personnel Management. Frequently Asked Questions regarding Insurance. http://www.opm.gov/faqs/topic/insure/index. aspx?cid=53ff4cd1-6ccc-4e63-8a4f-60c25ed0a34e&page=1. Assessed November 7, 2014.

2 U.S. Office of Personnel Management. Frequently Asked Questions regarding Insurance.

If your doctor prescribed you a medication that is on your health plan’s drug formulary, it should be covered in some way by your prescription insurance. A drug formulary is a list of prescription drugs (both generic and brand name) that are preferred by your health plan. Health plans are normally comprised of a team of physicians and pharmacists who recommend drugs for the formulary based on the drug’s quality, safety, and effectiveness. Any medications that are not on this “preferred” list may not be covered unless your healthcare provider submits a prior authorization claim to your health plan.

The formulary list should be provided to you when you sign up for a specific health plan, either in a booklet or by online access to the file. Most prescription insurance plans also have a website where you can log in to your specific plan, enter the name and strength of the drug you were prescribed, and find out whether your medication is covered and what you can expect your co-pay to be. Calling the customerservice number, usually printed on the back of your insurance card, is another way of determining whether your prescription will be covered by your insurance.

What is a co-payment and how is the price for different medications decided?2 A co-payment is a fee paid by you for each prescription you receive. The co-payment amount will depend on what “tier ” your drug belongs to on your health plan’s formulary. A drug formulary is typically grouped into three tiers. Most often, tier 1 includes generic medications and has the lowest co-payment. Tier 2 also includes preferred brand-name medications and has a low co-payment. Tier 3 includes non-preferred brand-name medications and has the highest co-payment of all three tiers. In order to get the most out of http://www.opm.gov/faqs/topic/insure/index. aspx?cid=53ff4cd1-6ccc-4e63-8a4f-60c25ed0a34e&page=1. Assessed November 7, 2014.

22 December 2014 | Healthy Living News

your health plan, look at the different formularies that best fit your need based on the medications you are prescribed.

What does it mean when the pharmacist tells me there is a prior authorization for my prescription?3 Besides the three-tiered formularies, there are other drugs that may be prescribed by your doctor that might not be covered by your health plan.

These restrictions are to encourage doctors to use medication correctly and to save money by preventing medication overuse. If a medication prescribed by your doctor is not on your formulary list, the doctor must obtain an approval from your health plan in order for you to receive the medication that you need. This is called a prior authorization. This restriction might be in place because there are lower-priced alternatives on the formulary, there are safety issues, or the medication has a high potential for inappropriate use.

How do prior authorizations work?

In most cases, once the insurance sends back a rejection claim to the pharmacy with the message “Prior authorization is required,” the pharmacy then contacts the prescriber via fax or electronically to let them know that the medication needs a prior authorization. From there, the doctor will have to decide whether to switch the medication or submit a prior authorization claim to the health plan. Once the health plan approves or denies the claim, they will fax the information back to the doctor and inform the patient of their decision. This whole process typically takes one to five business days depending on the urgency of the medication and/or situation.

Now that you have a better understanding of how prescription coverage works in terms of formulary, co-payment, and prior authorization, hopefully your next trip to the pharmacy will be a better experience for you. Just remember that if you do not agree with any decisions made by your insurance companies, you 3 Understanding Your Health Plan Drug Formulary. http://healthinsurance.about.com/od/ prescriptiondrugs/a/understanding_formulary. htm. Assessed November 7, 2014.

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have the right to appeal with your insurance when it comes to improving your health conditions. Knowing your insurance plan, your doctor, and your pharmacist will help you to be a more active participant when it comes to taking care of your health.❦ Tracy Tran is a sixth-year doctor of

pharmacy student at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Mangan is a clinical assistant professor of pharmacy practice at UT and is currently the program director of the outpatient diabetes education program.

The information presented in this column is intended for your general

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knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have

Don’t miss “Date Night” at the yoga studio

L

adies are free when they bring a date. That is the unique offer that one Toledo yoga studio has made to bring the practice of yoga to a wider audience.

Anne Boyle firmly believes that yoga is good for everyone. At Zen in the District, the studio she founded and has operated in downtown Toledo for 10 years, she has clients of all ages, shapes, and fitness levels. But most of them are women. “Men tend to think that yoga is only for agile, skinny little girls. That’s just not true,” she says.

“Yoga is equally valuable for both sexes and all ages.”

To encourage more men, Anne added a men’s yoga class to the schedule led by a male instructor. But attendance was spotty.

Mary Wiezbenski is a regular client at Zen. She bought a gift certificate to the men’s yoga class for her husband, Kevin. But Kevin was dragging his feet about actually attending. It turns out, several women had purchased gift certificates for their partners and very few of the men had used them.

That’s when Anne Boyle had the big idea. She decided that Tuesday evening practice would be free for

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any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider.

women who brought a man with them. And Date Night at Zen was created.

The class is pretty casual for a yoga studio. There’s a lot of talk and teasing. “I get some groans and sass (from the men) when I call for forward folds. But on the other hand, the men are stronger at plank position,” says Anne.

A forward fold is fingertips to the floor with straight legs.

Plank is like the starting position for a push up.

Kevin Wiezbenski is now enjoying his yoga practice.

“I love it,” he said. “It’s a great stress reliever and it’s good exercise.” Kevin is a retired police officer who manages court security in downtown Toledo. His wife, Mary, adds, “We’ve been married 33 years. Yoga is something new to do together and it’s more healthy than going to a movie and eating popcorn.” Mary manages a banquet center and catering operation. “Brides can be stressful,” she noted.

Will and Tami Baskin are already active but enjoy their Date Night yoga. “It keeps you loose,” said Will.

He plays racquetball and says that yoga is a good complement. Tami Baskin swims and uses the elliptical and now includes yoga in her fitness routine.

Anne Boyle said that Date Night policy is pretty flexible. “We don’t turn away singles, and we have had same-sex dates. But the concept stands: bring a date on Tuesday, and it’s two for the price of one.”

The studio plans to reinstate a men’s yoga class in the new year, but they are thinking of keeping date night on the calendar, too. “It worked to bring in more of the gentlemen, and it’s so much fun. We are just loving the energy,” Anne said.

Zen in the District is at 1700 Canton Street at Spielbusch Avenue, on the second floor above Wittenberg Bail Bonds. Date Night is Tuesday, 6 to 7 p.m. No registration is necessary.

For more information, visit Zeninthe district.com or email zeninthe district@gmail.com. ❦

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Laurels honors veterans with weeklong celebration

M

ilitary veterans hold a special place in the hearts of the rehab staff at The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road. Not only do they honor these individuals for their selfless service to our country, but also for the inspiration and motivation they provide to others undergoing physical and occupational therapy at the facility.

In fact, each year, The Laurels celebrates veterans throughout the entire week in which Veterans Day falls, including rolling out a red carpet and holding a pinning ceremony for vets on their special day of observance.

This year, 12 veterans took part in the ceremony, including two men who are currently in short-term rehab following their fourth joint replacement surgery.

One of these venerable military men, Robert Carter, age 87, is a retired police sergeant and former Navy man who achieved the rank of Master Chief Electronics Technician—as high a rank as an enlisted man can aspire to in the Navy. Carter recently returned to The Laurels for rehab after undergoing replacement surgery

for his right knee, performed on October 27 by Dr. Robert Kalb. To date, Carter has had both knees and both shoulders replaced.

Though he remarks that recovering from this latest knee replacement has been far more challenging than it was for his left knee (which he described as “a piece of cake”), he hasn’t wavered in his motivation to get back on his feet. Within a week of his surgery, he was able to walk

Robert Carter

short distances by himself with the assistance of a walker—a true source of inspiration for others in the therapy gym who may have had only one joint replaced.

Carter comments that most of his life has been spent in military-type environments, from his youthful days as a Cub Scout, Boy Scout, or Sea Scout to his adult years as a Navy man and police officer.

Perhaps it’s this background that has made this member of the “Greatest Generation” so disciplined, persistent, and uncomplaining throughout his multiple rehab stays at The Laurels.

Like Carter, Army veteran Edward Heller, age 90, has also had replacement surgeries for both shoulders and both knees. Owing to his past successful rehab outcomes at The Laurels, he chose to return to the facility after his most recent surgery to replace his left shoulder, performed on October 29 by Dr. Paul Fenton.

Heller was just weeks out of high school when he enlisted in the Army during World War II. He notes that his service overseas took him to England, France, Belgium, and Holland. After the war, he took advantage of the

Edward Heller

GI Bill to become an engineer. He then worked as an engineer for the Department of Defense for 30 years.

According to Julie Leidel, Rehab Services Director for The Laurels, “Mr. Heller is such an inspiration. From the day he was admitted, he’s never even needed a wheelchair, and his function and range of motion have been improving ever since.”

Leidel further explains that needing multiple joint replacements simultaneously, as both Carter and Heller did, presents certain challenges, such as determining the order in which the joints should be replaced.

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25

Doctors have certain established guidelines that can aid in this decision, but every individual is unique. For instance, Heller had his left shoulder replaced last because it’s on his nondominant side.

In some cases, it’s a simple matter of starting with the joint that’s most painful and debilitating, but that’s not always a reliable gauge. “If, for example, you need to have both the hip and knee on the same side replaced, the doctor will usually advise doing the hip first, even if the knee seems to be causing more pain.

The reason being, pain experienced in the knee can be referred from the hip, so if you do the hip first, you can then determine how much pain is actually coming from the knee,” Leidel says.

For Carter and Heller, the question may now be academic because, as Carter jests, they’re running out of joints to replace. But if either of them does end up needing rehab again, no doubt it’ll be at The Laurels.

“I would recommend this place to anyone who has a joint replaced.

The people here are very nice, and they keep pushing you along until you reach your goals,” Heller says. ❦

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. For more information,

I

n an innovative effort to strengthen community health and wellness, Mercy and Oregon City Schools (OCS) have partnered to open our region’s first school-based health center on the campus of Clay High School. Staffed

by Cherie Csehi-Sexton, District Certified Pediatric Nurse Practitioner for OCS, Mercy Health Center at OCS will provide a full range of healthcare services, including immunizations, well care, sick visits, sports injury care, sports physicals, and urgent care, to anyone in the community age 21 or under, regardless of whether they are OCS students.

Csehi-Sexton, who has nine years’ experience caring for the children of Oregon City Schools as both a school and district nurse, in addition to private practice and pediatric emergency medicine, notes that she first heard

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students can sign a consent form allowing their kids to come to the center for care so they don’t have to leave work to bring them here. The students can then schedule their visits during academic assist or study hall periods so they miss very little if any actual class time. Even students who don’t attend Clay High School will benefit from the center’s proximity about this novel healthcare concept in the community and convenient about five years ago when she was before- and after-school hours.” caring for her mother in Colorado.

However, Csehi-Sexton emphasizes “One of the nurse practhat Mercy Health Center titioners there found out at OCS is open to the that I work in a school entire community, not system and asked, ‘Oh, just Clay High School or are you in a school-based other OCS students. She’s health center?’ I had no also hoping to expand idea what that was, so I the center’s offerings to started doing research include adult services in and learned that these the future as well as to centers are located right transition from a partwhere our target populatime to full-time practice. tion is and provide very Currently, the center is easy, convenient access open 20 hours per week, to healthcare services,” including Mondays from Cherie Csehi-Sexton she says.

5:00 to 8:00 p.m., TuesTo determine whether days from 8:00 a.m. to the Oregon community would sup- 3:00 p.m., Thursdays from 8:00 a.m. port such an initiative, OCS surveyed to noon, and Fridays from 7:00 a.m. parents in the district. The feedback to 1:00 p.m. (closed on Wednesday). was overwhelmingly positive, with These hours were chosen based on 95% of those who responded say- feedback provided by parents during ing they would definitely utilize a the survey process. school-based health center. OCS also Mercy Health Center at OCS explored various funding options, opened its doors on November 11, ultimately partnering with Mercy and Csehi-Sexton was surprised to to launch the new center. have a patient on the first day, two Though Mercy Health Center at more the following day, and several OCS is part of the Clay High School calls to schedule appointments. “To building, it functions as a private pe- have a brand-new concept and practice diatric practice with its own separate generate that level of interest from the entrance and designated parking. The community beginning on day one is center’s location and work-friendly very exciting and encouraging,” she hours help minimize absenteeism says. ❦ for students as well as time lost on the job for parents. As Csehi-Sexton To make an appointment at Mercy Health explains, “Parents of Clay High School Center at OCS, please call 419-696-5533.

Mercy and OCS open region’s first school-based health center at Clay High School

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Free preview offers glimpse into course on healing from and preventing burnout

In your home or ours.

D

JC Core Consulting, LLC, is 5:30–7:30 p.m. (Monday, April 6, holding three 90-minute pre- no class in observance of the Easter views to introduce its holiday). Location nine-week Bouncing to be decided.

Back from Burnout The second workshop to individworkshop runs uals, businesses, and consecutive Fridays, organizations. The March 6 through previews are free.

May 1, from 8:30– “We are offering 10:30 a.m. at ITT previews on different Technical Institute, days and at differ1656 Henthorne ent times to provide Blvd., Maumee, options to match OH 43537 (Friday, people’s schedules,” April 3, no class in said Deb Olejownik, observance of the co-owner of DJC Core Easter holiday).

Deb Olejownik and Cindy Patterson Consulting. “During Register for a the 90-minute preview, we give peo- preview on the DJC Core Consulting ple a glimpse into how we help Facebook page or contact Deb leaders, employees, and those in the Olejownik at 419-392-7737 or non-profit sector manage stress and deb@djccoreconsulting.com.❦ bounce back from burnout.”

Olejownik’s background includes a 32-year relationship with Toledo Public Schools and a recent career transition to organizational consulting. As a stress management trainer, she taught a stress management course at Washtenaw Community College in Ann Arbor, Michigan, and currently at Lourdes University in Central Catholic High School Sylvania, Ohio. will present its annual Sounds Co-owner Cindy Patterson is a of Christmas show on Sunday, global real estate analyst for Owens December 14 at 3:00 p.m. at the Corning in Toledo, Ohio, who has Valentine Theatre, 410 Adams served on non-profit boards and in Street in downtown Toledo. The other capacities in the non-profit world Central Catholic Glee Club, Mixed for the last 20 years. The women met Chorus, Gospel Choir, Concert in classes they took for their Masters Band, String Orchestra, Alumni in Organizational Leadership program Glee Club, and Irish Dance Team at Lourdes University. will perform holiday favorites “We clicked right away,” Patterson to celebrate the season. Tickets said. “Working together was a very are $7, $10, and $5 for students. smart decision for both of us. We are These can be purchased by calling very excited to be offering programs Central Catholic High School at that will really make a difference to 419-255-2280, ext. 1052, or ordering people.” online. Tickets purchased at the The Bouncing Back from Burnout Valentine Theatre box office will previews are Wednesday, December include an additional $2 surcharge 5, 9:00–10:30 a.m.; Thursday, January per ticket.

15, 5:30–7:00 p.m.; and Wednesday, February 4, 11:30–1:00 p.m.

The previews are free and will be held at West Park Place, 3501 Executive Parkway, Toledo.

The next Bouncing Back from Burnout workshops for 2015 run for nine weeks. The first workshop runs consecutive Mondays from March 2 through April 27, from

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Enjoy a vibrant, active, independent lifestyle at West Park Place

T

oday’s seniors want to enjoy an independent lifestyle that takes advantage of all that Toledo has to offer, and residents of Senior Star at West Park Place are doing just that.

West Park Place associates take pride in cultivating a community for seniors who enjoy an active and vibrant lifestyle and services that make life easier and carefree. From professionally-designed apartment homes with amenities designed for ultimate services, to new and innovative programming

such as Zumba Gold®, Dakim BrainFitness®, and Laughter Yoga, residents are enjoying the very best of senior living. Family members of all ages are also enjoying the lifestyle and services provided at West Park Place through intergenerational activities, community events, and private family parties such as birthdays, anniversaries, or game day watch parties.

What about health care? Does West Park Place offer health assistance and care to residents?

Home health is a vital part of West Park Place’s Aging in Place Philosophy which enables residents to remain part of the community longer through receiving the proper support and services they need should their health circumstances change. West Park Place associates make each resident’s health and well-being a top priority.

To help accomplish this, West Park Place has cultivated a long-standing, cooperative relationship with a local home health agency, Senior Care Management.

Senior Care Management is located within the Senior Star community so residents can benefit from the services that licensed nurses and home health aides provide 24 hours a day, 7 days a week. This allows residents to get cost effective services plus greater control of their living environment and convenient access to professional caregivers.

“We believe an onsite home health agency provides vital benefits to our residents and offers

peace of mind to their family members knowing assistance is right here at home,” stated Kirsten Pickle, Senior Star at West Park Place Executive Director. “We have worked closely with Senior Care Management for over 17 years and the seamless relationship between our staff and the nurses has served our residents well time and time again.”

Residents at West Park Place can contract directly with Senior Care Management or with any other home health agency of their choice to receive personal assistance or nursing care as they need it and when they need it. ❦

For more information on the Aging in Place Philosophy at West Park Place, please call 419-442-0791, or for more information about the community, visit the website at www.seniorstar.com.

THE TOLEDO CLINIC Caring for Newborns to Seniors James D. Diethelm MD Ryan Szenderski PA-C

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Welcoming New Patients 28 December 2014 | Healthy Living News

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We all remember too well the cold and snow of last winter and the travel difficulty and confinement that accompanied it.

Senior Star has the solution - Make our community your new home and experience a winter that is filled with warmth, friendships, social events, and world class service.

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West Park Place Invites You to Attend.

Call 419.442.0474 to attend these free events! Limited Seating!

New Year’s Eve Celebration December 31 • 2:00 p.m.

Get ready to ring in the New Year with your friends and family at West Park Place! Entertainment will be provided by local favorite The Flatland Four Band.

Food, drinks, friends and fun - here’s to 2015!

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29

Holidays and hearing loss

by Shelly Horvat, AuD, CCC-A

Deck the Halls!

T

he holiday season can be very stressful for someone with a hearing loss. Increased interactions with people in noisy places can make hearing loss more noticeable.

Holidays bring large parties, family gatherings, and group meals in noisy restaurants. These situations make it difficult for normal-hearing people to hear conversations due to background noise. For people with hearing loss, conversations can be nearly impossible to hear in these loud, noisy situations. It’s easy for someone with a hearing loss to feel left out and isolated when they’re in a large group of people or a noisy place. Differences in hearing aid technology level and the degree and type of hearing loss mean that some people will have more trouble hearing speech in noise or at a distance than others.

Below are some tips and strategies to help you hear better this holiday season: 1) Find a favorite friend or relative and move the conversation into a quiet room or a quieter corner. Children’s voices are usually more difficult to hear than adult voices, so to socialize with children, find another room to play a game or read a story if that’s an option.

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2) Reduce the distance between you and the person talking. The ideal distance is approximately three to five feet.

3) Be sure to ask your host to turn off any background music during dinner. This includes not only dining at someone’s house, but also dining at restaurants. Be vocal with your server and/or the restaurant manager and ask them to turn down the music.

Other guests will benefit from and appreciate this gesture also. And if a football game is blaring from a TV, turn it off, or if that’s not an option, set it on mute.

4) Help out in the kitchen where there are usually fewer people gathered. Enlist someone else to wash dishes, though, because you don’t want your back turned towards the conversation. Dry the dishes, put food away, or just keep the other kitchen helpers company.

5) When sitting down to dinner, make sure you choose a seat that is best for you. Here are some seating suggestions: • If you have a “better side,” seat yourself so that most people are on that side.

• Seat yourself next to a person you usually have the least difficulty hearing or lipreading (avoid those folks with bushy mustaches and beards!). You’ll hear people directly across from you or on either side of you the best.

• Find a listening buddy. Seat yourself next to someone who usually has the patience to clue you in on what the conversation is about or the punch lines you’ll miss.

• Try not to seat yourself facing a window because the glare could make it difficult to see

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people’s faces across from you.

6) Remember that conversation is a two-way interaction. Do not monopolize it in an attempt to direct and control it. Listening takes more energy than talking.

7) Don’t hesitate to tell those around you what they can do to make communication easier. Inform them of the importance of speaking more slowly, making sure that they are close to and facing you, as well as using facial expressions and gestures to get the message across. Many people are embarrassed because

they have no idea how to talk with a hearing aid wearer. Put them at ease and assure them that natural, unexaggerated speech is easiest for you to understand.

8) Remember to be assertive about your needs! Be pleasant and polite but assertive!

9) When attending a religious service or holiday concert, try to arrive early so that you can get a seat as close to the front as possible.

Request an assistive listening device if available.

10) Avoid tension. Try to relax and keep your sense of humor. Tension

interferes significantly with the ability to speech read and drains energy.

It is not possible for even the best of listeners to hear everything. The ability to laugh at yourself is a great help in adjusting to any situation or condition.

Lastly, make sure that your hearing aids are in excellent working order.

Visit your audiologist and have your hearing aids checked and cleaned and ear canals checked. If you’re thinking about getting hearing aids, now is the perfect time to get them so that you won’t miss out on the holiday fun.

Or, if you know of a family member who struggles to hear, consider giving him or her the gift of hearing. Call us at Northwest Ohio Hearing Clinic at our Toledo office (419-383-4012) or our Perrysburg office (419-873-4327) to schedule an appointment so that we can help you hear well for the holidays. ❦ Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

EAT HEALTHY, SLEEP MORE, DRINK WATER AND GET MOVING! Mercy Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier.

We’ve teamed up to offer parents and other caregivers’ practical advice on raising healthy children. Kohl’s Kids in Action is focused on four valuable steps that are important to better health: good nutrition, increased physical activity, proper water intake and good sleep habits.

Screen Time What does watching TV or playing video games have to do with your child’s health?

Children are spending more time in front of a screen (screen time) and less time getting the 60 minutes of daily exercise they need to stay fit and healthy.

Doctors suggest limiting the time children spend watching TV, playing video games or using computers for reasons other than schoolwork to no more than 2 hours per day.

• Ask a friend or relative to play with the kids while you get your work done.

• Team up with family or adult neighbors to spend one day a week supervising play activities for the kids.

And remember: • No snacks, sugary drinks and fast food during screen time.

• Turn off the TV during meals and use that time to discuss the events of the day.

• Keep TV sets, DVD players, video games and computers out of children’s bedrooms.

• Channel surfing is a sure sign of boredom.

• It’s time to turn off the TV and get active!

Mercy Children’s Hospital and Kohl’s Kids in Action offer free obesity prevention education to your elementary school or at health fairs.

For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

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

31

A Walk in the Park LeMoyne Mercer

We are Trekkies— Roadtrek, not Star Trek Shirley fell in love with a giant tree in Sequoia National Park. I try not to be jealous.

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rom 1975 until 2009, Shirley and I were tent campers. Yes, that’s right. We slept in a tent. Right on the ground. Well, almost. In the early days we slept in sleeping bags on foam pads. Later, our old bones preferred a queen-size air mattress. The first thing Shirley did when we set up camp was connect the pump and inflate the mattress. Whirrrrrr! Music to my ears.

It was a good life. Honest. We traveled all over the country, first

F

with the kids and then as blissful empty-nest companions.

Our winter destination in retirement was Florida. The plan was to follow the spring north as the weather improved. But in 2009, the weather never improved. We left the Everglades, got as far as Orlando and made a U-turn. That experience convinced us that it was time to get an RV. We had spent enough time in campgrounds to get a good look at

One of our favorite winter destinations is Organ Pipe Cactus National Monument, right on the Mexican border in Arizona.

Badlands National Park can be rather warm in July. We are glad the park has electric hookups so we can run the air conditioner.

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The 30,000-square-foot mansion at Wildwood Preserve Metropark will glitter and glow with holiday cheer during Holidays in the Manor House, Sunday, December 6 through Sunday, December 14. The free event will be open from 10:00 a.m. to 8:00 p.m. each day.

The Toledo tradition draws 15,000-20,000 people over nine days to see what new ideas volunteer decorators have dreamed up to make each year different. More than 30 areas of the three-story, Georgian colonial-style home will be decorated.

Open 10 a.m. to 8 p.m.

December 6 to 14

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most of the options. Besides, I had been doing research for years in anticipation of the day when we would toss the tent. (I always had been too frugal to buy an RV that would sit in the driveway 50 weeks a year.) What we wanted is called a Class B motor home—basically a van conversion with all the amenities of the Class A motor coach (a bus conversion) or a Class C (built on a truck chassis) in a much more compact form.

I went to a local dealer looking for a PleasureWay or Roadtrek. He said, “You don’t want one of those.

I can put you in something twice as big for half the money.” He just didn’t grasp the concept. We weren’t looking for big. We were looking for maneuverable and flexible. We wanted the freedom to go into town and park right on the street or to go way back into National Forests on narrow, winding gravel roads in the mountains.

So, I said, “If I came to you looking for a Porsche, would you try to sell me a Lincoln Town Car because it is twice as big for half the money?” He was not amused.

But he did understand that part about paying more for smaller Class B motor homes than for the larger rigs. A Class C starts with a naked truck chassis and the motor home is built directly on it. Class B rigs start as full-size vans into which all the features must be custom fit. The engineering and labor required to work in the confined space is considerably more challenging.

I went online. A dealer in Detroit had a Roadtrek in our price range.

The Roadtrek galley has just enough room for one person to do the dishes. One small person.

That's my excuse and I'm sticking with it.

When I called to ask about it, he said, “Too late. A man from California just bought it. He’s flying in tomorrow to pick it up.”

That should tell you something.

Campers looking for well-built Class B rigs are willing to pay the air fare in addition to the price of the RV. Shirley and I ended up going to Columbia, SC for our Roadtrek 190 Popular.

On the outside, it looks like a Chevrolet van conversion with a high top. On the inside it has just about everything you get in the larger rigs—except space. Standard features include a sink, two-burner propane stove, microwave oven, refrigerator, toilet, freshwater tanks and water heater, shower, queensize bed, flat-screen TV, electric heat pump for both air conditioning and

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33

heating, propane furnace for when it‘s too cold for a heat pump, gasoline powered generator for electricity, supplemental deep-cycle battery for interior lights.

Engineering the appliances has to account for varying conditions—on the road, in camp without hookups, in camp with hookups. The three-way refrigerator, for example, operates on DC power from the supplemental battery that is constantly recharged while we are driving. If we are camped without hookups, the refrigerator operates on propane. When we have hookups, it operates on electricity just like your refrigerator at home.

The Roadtrek refrigerator is flexible but small. This means we must carefully plan what we take. Only “high value” food goes in the freezer compartment—steaks, pork tenderloin, salmon filets, chicken breasts.

No bulky stuff. A Costco-size bag of frozen kale would completely fill it.

The refrigerator has room for fresh meat, eggs, cheese, yogurt, vegetables, juice, wine, and condiments.

We could live for well over a month on the contents of our refrigerator and pantry.

The AC and furnace are rarely used. For one thing, our objective

is to go someplace warm when it is cold and someplace cool when it is hot. That is, Florida and Arizona in the winter and the mountains in the summer. Still, we have been glad to have air conditioning crossing the Great Plains in summer and the furnace on our way to Florida.

The microwave works when we are in campgrounds with hookups or when we turn on the generator.

Together with the propane stove, meal preparation can be easy and convenient. But most of our meals are prepared and eaten outside, the way God intended. Camping is an extended picnic. Sometimes, though, it rains on your picnic so it is nice to have the option to move under the awning or inside the rig. The driver’s

When it rains, we have the option to eat in rather than dine out.

and passenger’s seats both swivel all the way around. A compact drop-leaf table, stored in the closet, is set up in less than a minute.

There is a learning curve for operating and maintaining an RV. Our first real trip in May 2009 was specifically designed to acquaint ourselves with all the rig’s systems. Frankly, the Roadtrek owner’s manual was far less than helpful. The engineers who wrote it—I spent decades working with engineers and recognize their style—tend to tell you what to do but not how to do it.

Even so, we headed down I-75 in joyful ignorance toward the Smoky Mountains. In Cades Cove, we met a young woman in an ancient Roadtrek.

We compared notes. (Trekkies do this whenever we meet up.) How long does a 10-gallon tank of propane last? Oh, a long time, she said. In retrospect, it was a stupid question.

The answer is, it depends on how often you use it. (As it turns out, we typically get about a month per tank.)

After three days in the Smokies, we headed up the Blue Ridge Parkway during the height of the azalea and wildflower season. It took us five days to reach Shenandoah National Park in Virginia. At Big Meadows Campground, we met Donna and Bob who came over to share Roadtrek experiences. They

A glass of port after dinner in the deep woods of Washington state is a genteel way of roughing it, don't you think?

In New Orleans, we parked on the street a block from Cafe du Monde. Cafe au lait is pretty good, but the powdered sugar on beignets is really messy. Do we look like we care?

had owned all kinds of rigs and had downsized from a huge Class A to their Roadtrek the way many retirees trade in their family-size homes for condominiums.

We agreed that size matters. It’s not how big your rig is, it’s what you do with it. We prefer our Class B because it can go anywhere. If we are in Savannah, Charleston, San Antonio, or Tucson we can park right on the street where the big rigs cannot. In the mountains, we can take gravel roads to remote destinations where they don’t want to go even if they could.

Mostly, what we do with our Roadtrek is travel. Now, you might think that is an obvious thing to do in an RV. Many people, however, prefer to head to a destination and stay put. Our friends Russ and Susan, for example, are full-time RVers. They spend their summers as volunteer hosts at Yellowstone and their winters in Orlando. In practice, their RV is their stationary winter home in Florida and their summer home in Wyoming.

It is also important to consider your minimum lifestyle requirements. Can you picture yourself “dry

—Continues on page 44

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How peripheral artery disease affects seniors

P

eripheral artery disease (PAD) is a serious disease that can lead to many issues and unnecessary complications in all age groups, especially senior citizens. PAD, also known as ischemia, is when there is a restriction in blood supply to tissues causing a shortage of oxygen and nutrients needed to keep tissue alive and healthy. Oftentimes, PAD is caused by an issue with the blood vessels transporting the necessary nutrients throughout the body.

PAD in the lower extremities can result in leg pain and cramping as well as weakness and inability to walk short or long distances. Approximately 20% of Americans aged 70 and older suffer from this disease. While PAD can cause some limitations and inconveniences, serious problems occur when wounds result from

the shortage of oxygen and nutrients to the lower limbs.

Ischemic wounds occur as a direct result of blocked blood flow to skin and other tissue.

This condition is called arterial insufficiency. Ischemic wounds are often found on the legs, feet, and toes, typically on shins, heels, tips of toes, or between the toes where the skin rubs together.

Ischemic wounds can be dark red, yellow, gray, or black in color, and they usually do not bleed. There may or may not be swelling around the wound, depending upon whether infection is present or not. If any of the above signs or symptoms are present, contact your healthcare provider to determine the best plan for your personal health.

Prevention and treatment of ischemic wounds begins with careful

and routine inspection of the skin and feet. Proper skin and foot care is especially important for individuals with known poor circulation in the legs. Carefully examine the tops and bottoms of feet and between the toes every day.

Do not wait to treat a minor skin or foot problem. Certain lifestyle choices should also be made to help prevent ischemic wounds, such as quitting smoking, exercising per a healthcare professional’s recommendation, maintaining good nutrition and adequate fluid intake, and actively managing other medical conditions (such as high blood pressure, high cholesterol, and diabetes).

Since PAD is a disease primarily found in seniors, it is extremely important for those caring for this population to be aware of any signs or symptoms present and seek treatment as soon as possible. St, Clare Commons, A Franciscan Living Community located in Perrysburg, has partnered with the Wound Care Center at the University of Toledo Medical Center to ensure residents are screened and proper treatment is given. Karen Lynn Bauer, Certified

Nurse Practitioner at the Wound Care Center, stated, “While many seniors are affected by PAD, only two percent show symptoms. We have screening processes and techniques that allow us to be proactive and help reduce wounds and other complications.”

Bauer and her team will be holding educational and screening opportunities for the public in January at St. Clare Commons. On Thursday, January 8, 2015, a Lunch-N-Learn will be held to educate about PAD and its signs and symptoms. All community members are invited to attend and enjoy a free lunch. On Thursday, January 15th, screenings for PAD will be given at St. Clare Commons throughout the day. The screening process lasts approximately 15 minutes. If you would like more information regarding either program or to RSVP, please contact Chelsea Diedrich at 419-931-0050 or cdiedrich@stclarecommons.org.

If you or someone you know has questions or concerns about PAD, ischemic wounds, or other skin and wound disorders, please contact the Wound Care Center at the University of Toledo Medical Center at 419-3834500. ❦

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35

A coach's impact: beyond the Ws and Ls

by Mark S. Faber, USPTA Elite Professional

O

ver the years, I have had coaches that have made an impact on me as an athlete, a person, and an industry professional. There are so many that I feel it is best to avoid listing them for fear of not naming all of them. What I do want to share with you is why they made an impact.

As an athlete, I was fortunate to be pretty solid in baseball, soccer, and tennis. My results were also pretty solid, and I was lucky to have some high-level opportunities that most people do not get to experience. I share this with you for my coaches obviously knew how to get the best out of us when it came to performing in the moment, but they also taught me many life lessons that I still use today.

Today, there is such a focus on winning and losing that many times coaches do not have the opportunity to make an impact on young lives.

Because of our “microwave society” mentality, everyone seems to want to get everything done quickly, often skipping the process. Well, it is this process that allows a coach to not only help develop the athlete athletically, but also to start to share life lessons from the sport and how they mirror life at times.

My simple advice: slow down and let the process occur. The process takes time. Find a coach who understands how to get the most out of the athlete, but who does not lose sight of what life is all about.

Once again, winning is great (much more fun than losing), but remember that the lessons taught through the wins and losses help mold a person during times of their life beyond the sports field.

In closing, I would like to share that last month, the Toledo area and tennis lost one of these exceptional coaches. Bob O’Connell (father of Healthy Living News publisher Kevin O’Connell) passed away. The kids he coached when they were in high school still share their experiences

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36 December 2014 | Healthy Living News

with me. Now, when you are talking about athletes who are discussing experiences and lessons learned from Coach Bob from over 30 years ago, you know this coach understood that the sport was a vehicle to make an impact on each student-athlete’s life.

So, I challenge each and every

parent, no matter what the sport, to find a coach who will not only provide your child with a great skill set, but is willing to help them in life as well. Give the process a chance so that 30 years later, they will be talking about their coach and the lessons they learned. ❦

It’s time to plan your quit-smoking strategy

W

ith 2015 just a few weeks away, many of us are beginning to take stock of our lives so we can identify undesirable behaviors that we’d like to leave behind in the new year. For many, that will mean resolving to finally quit cigarette smoking. But, as anyone who has tried to abandon a bad habit can attest, quitting smoking “cold turkey” is no easy undertaking.

The reasons for quitting smoking are easy to identify. We’ve all heard, for example, that cigarette smoke contains around 4,000 nasty chemicals and that smoking contributes to a wide range of health problems, such as chronic obstructive pulmonary disease (COPD), cardiovascular disease, and many different forms of cancer.

Still, quitting any addictive behavior, no matter how harmful it may be to your health, takes more than willpower. If you’re going to “kick the butt” in 2015, you’re going to need a solid strategy that addresses all aspects of your lifestyle. According

to the Centers for Disease Control and Prevention (CDC), the five following steps are keys to quitting that have helped many smokers join the ranks of non-smokers:

1) Prepare yourself and your environment First, get your calendar and choose a firm date for quitting. January 1 may be a good choice for you, but if your New Year’s Day consists of back-to-back parties where other smokers will be puffing away and temptation will be running high, it might be prudent to schedule quitting on a different day.

Next, clear your living space, working space, and vehicle of all cigarettes and cigarette-related paraphernalia, including lighters and ashtrays. Ask that others respect your new smoke-free environment by refraining from smoking in your home or workspace.

If you’ve resolved to quit smoking,

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chances are you’ve tried and failed to quit before.

Before trying again, evaluate your prior attempts at quitting to determine what sabotaged your efforts in the past and resolve not to repeat those mistakes.

When your quit date arrives, stop smoking completely. Don’t allow yourself “just one or two” cigarettes or even a single puff.

2) Line up support Having family, friends, and coworkers on board with your smoking-cessation plan is critical. Let them in on your plan and ask that they help in any way that they can—primarily by avoiding smoking around you or leaving cigarettes out where you can get your hands on them.

You’ll also need professional support. Talk to your doctor about quitting, and avail yourself of an individual, group, or telephone counseling program. Working with a counselor or smokingcessation coach can actually double your chances of quitting successfully. The Toledo-Lucas County Health Department provides a list of local smokingcessation programs and services on its website at lucascountyhealth.com/#/health/tobacco-prevention.

for a cigarette. Spending time in the company of other smokers—especially in situations where alcohol is being consumed—can also sabotage your smoking-cessation efforts.

The onset of difficult emotions, such as irritability and depression, after quitting can make it very difficult to stay the course. When a smoker knows that a better mood is just a few puffs away, the urge to give in can be almost overwhelming.

If you experience such feelings, it’s time to get a move on! Exercise, such as brisk walking, is the

best way to boost your mood.

Some smokers let the worry of weight gain after quitting derail their efforts to quit. While many smokers do gain weight after cutting out cigarettes, the maximum weight gain is typically less than ten pounds. By eating healthy and staying active, you can help keep these post-quitting pounds from piling on.

For more information and resources on smoking cessation, call 1-800-QUIT-NOW or visit www. smokefree.gov. ❦

3) Substitute healthy activities If smoking has been a part of your daily routine for some time, you’ll need something healthy to do when you would otherwise be smoking.

Change your routine, such as the route you take to work, where you take breaks in the workplace, and where you eat meals, especially when that routine puts you in situations where you’d usually smoke. Plan regular walks or other enjoyable activities. Try sipping water instead of puffing on a cigarette. If you start to feel stressed, try exercise or take a hot shower or bath.

4) Make medication part of your plan.

Used properly and under the supervision of a physician, certain prescription and over-the-counter smoking-cessation medications can significantly reduce the desire to smoke and improve your likelihood of quitting for good. Your doctor can help determine if you are a good candidate for medication and help you choose a medication that is best for you. According to the CDC, if you are pregnant, trying to become pregnant, nursing, under the age of 18, smoke fewer than 10 cigarettes per day, or have a medical condition, you should consult with your doctor before using any smoking-cessation medication.

5) Don’t give up if you slip up!

Relapse is common when trying to quit smoking, especially within the first three months of quitting.

In fact, most successful quitters made several attempts before finally kicking the habit. If you find yourself puffing away again, don’t lose heart.

“Get back on the horse” and start again. Also, be aware that certain situations contribute to relapse.

If you can learn how to avoid these “hot button” situations, you’ll be less likely to find yourself on the slippery slope to smoking again.

Drinking alcohol, for instance, lowers your inhibitions, which increases your chances of reaching

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37

Heartland's hints for beating holiday stress and weight gain

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t is the holiday time of year, which for many of us means holiday parties, holiday eating, and continual rushing around. Then throw into the mix the potential for inclement weather of snow and ice. It is a special time and one that many of us enjoy, but it’s also a time when many of us don’t eat as healthy as we should and skip the exercise regime we had been following. This month, we’re going to share ways to get through the holiday season—and right into the New Year—in good health.

Cookies, cakes, candy—these are cravings many of us seem to have with greater frequency at this time of year. Why now more so than in August? Let’s talk about a powerful hormone that’s necessary for life but can make your health suffer if it’s not maintained at the optimal level—cortisol.

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The hormone cortisol is primarily responsible for regulating blood sugar; helping to metabolize fats, protein, and carbohydrates; and assisting in managing our stress response. This time of year produces a lot of stress, and cortisol helps us to function during these stressful times.

When stress goes up, cortisol kicks in and delivers help. We get a

quick burst of energy, our memory sharpens, and our sensitivity to pain decreases. If the stress doesn’t let up, neither does the cortisol. Unfortunately, what is healthy in small bursts becomes dangerous over the long term.

Typically with prolonged high levels of cortisol in your bloodstream: • You will crave foods that are high in carbs (like cake and cookies).

• You will gain weight in your abdominal area (which increases your risk of heart disease and diabetes).

• You will have trouble sleeping.

Under normal circumstances, cortisol levels tend to be higher in the morning when they’re triggered by the emerging daylight. This gives you a boost of energy to jumpstart your day. As the day wears on, cortisol levels should drop, helping to prepare you for a good night’s sleep. If your cortisol level actually rises and stays at a dangerously high level, by bedtime you will feel tired yet wired and you’ll be unable to relax and fall asleep.

To help reset the cortisol clock, try the following tips: • Reduce stress. Easier said than

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osing a loved one is never easy, and having to plan the arrangements for your lost loved one is often the last thing you want to do in this time of grief. We, at Bee at Ease, want to lighten your burden and relieve the stress of your planning. We want to help you celebrate your loved one’s life.

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creating a menu selection and suggesting caterers; coordinating rental items; giving referrals for memory boards, videos, and floral preservation; along with making transportation arrangements and preparing and addressing thankyou notes. We love to help take care of these details so you can spend time with your family and celebrate the life and legacy of your loved one.

Let us help you with your life celebration needs and allow you to Bee at Ease!

Contact Brooke Lauber-Cobb, Life Celebration Specialist, at 419270-4359 or info@BrookeLauber Cobb.com.

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• •

•

•

done. Developing strategies on how to cope with stress more effectively may be all it takes to balance your cortisol.

Be consistent. Going to bed and getting up at the same time each day will help.

Use light wisely. Darken your room well when you go to bed, and flood it with light when it is time to get up. This will help with your natural circadian rhythm, your body’s internal clock.

Avoid naps. If your circadian clock is off, you may find that you get very sleepy in the afternoon. However, taking a nap may make it more difficult to fall asleep at night. Try to resist naps.

Eat most of your calories early.

If you can eat the bulk of your daily calories earlier in the day as opposed to later in the day, you may find that you can recalibrate your circadian rhythms more easily.

Start smart We all want to at least maintain and not put on pounds during the

holiday season. The best way to achieve this is a combination of exercise and a balanced diet. At this time of year, some of us think we can overindulge later in the day if we do an intense workout earlier in the day. Not true. You just can’t out exercise a bad diet!

Try the following tips to start fresh and recreate your body!

• Plan, plan, plan. Try to make healthier food choices when out to dinner or at a party. If you know that may not be an option, then eat before and limit the snacking at the event.

• Eat breakfast. People who eat breakfast consume fewer calories throughout the day than those who skip this important meal.

• Monitor your hunger. Never show up at a party or buffet really hungry—you will most certainly overeat. Drink water and have a protein-filled snack (such as nuts or cheese) before arriving. This will give you more self-control around the temptations.

• Watch your portion size. If you have an idea of how much food

you are putting on your plate, you will be less likely to overdo it.

• “Sneak” exercise into your day. If you already have an established exercise regimen, keep it up and you’ll make it through the holidays without compromising your fitness.

Remember, several short periods of physical exertion worked in throughout the day are just as beneficial to your health as one long, continuous period of activity.

Have you thought about and tried to do the following?

• Take the stairs instead of the elevator.

• Do a little housework or outside work every day.

• Park at the far end of the parking lot.

• Walk down every aisle of the grocery store whether you need something there or not.

• Walk in place or on a treadmill or do some stretches while watching your favorite holiday TV shows.

• Walk around inside your house while talking on the phone.

• Get up from your desk every half hour and walk a lap around the office at work.

• Put on some music and dance if you can find a little alone time!

Of course, these are just suggestions. No doubt, you’ll be able to think of many different ways to work simple exercises into your day.

Keep in mind that all activity burns calories, so the more active you are, the more calories you’ll burn. You can even have fun with it! Challenge yourself or compete with your family to see how much additional activity you can work into your day. You need both exercise and a healthy diet to maintain over the holiday season.

Don’t neglect either one! ❦

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through the eyes of an adult. Appreciate the positives and accept the negatives of your current life. For the most fulfilling holiday, focus on the happiness of others rather than yourself.

Holidays got you down?

Commercialization of the holidays

by Linda L. Smith, MA, LP

C

F

resh-baked cookies. Specially selected gifts. Families gathered around the table for festive meals. For many, the holiday season is full of expectations—or at least wishes—for happiness, excitement, and joy. But it’s a rare holiday season that lives up to such expectations. Let’s look at some of the factors that can hinder our enjoyment and what we can do to make our holidays happier and more fulfilling.

The nature of nostalgia Nostalgic memories of childhood— made even more fanciful by the passage of time—flood many hearts

and minds during this period. It’s nostalgia that makes many of us crave what we believe we experienced in holidays past. More often than not, these memories from our distant past are now viewed through the rose-colored glasses of childhood.

But everything may not have been as wonderful as our memories seem to portray. When we enjoyed what we thought was the perfect holiday, we may have been unaware of realities such as our parents’ marital problems, financial stresses, or ominous news on the global scene.

What to do: Change your expectations and live today’s holidays

No one can deny that today expectations of bigger, better, and more expensive gifts detract from the true spirit of the holidays. Ads flood the TV and newspapers. Black Friday and Thanksgiving Day shopping presents an ugly specter of greed and, in some cases, even violence as shoppers fight for the best holiday bargains. And in many families, concern about how to afford holiday gift buying creates heartbreaking dilemmas.

What to do: Reject—or at least reduce—your materialism. If time allows, make simple but meaningful gifts. Reproduce and frame a treasured photo or poem. Fill a blank book with favorite memories or quotations. Teach your children the value of generosity and compassion by letting them select a charity or service organization to receive a donation in their name. A number of organizations treat blindness or

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The complexities of the modern family Some of us can remember times past when holiday traditions were simple and often went unchanged for decades. Today it’s more and more difficult, if not impossible, to find a time when everyone in the family can get together. More family members live at a distance than in years past. In addition, divorces can create complex holiday visitation schedules and remarriages can multiply the number of families involved.

What to do: Be flexible. Be willing to modify traditions that no longer work. Remember that you can’t please everyone and you don’t need to.

For fairness, you might make an agreement to rotate the location and timing of family celebrations every few holidays. Above all, don’t be rigid. Any sentence that begins “On the holiday, we always…” probably contains a rigid attitude that needs to be changed.

Self-defeating health practices We all know this is the season that makes New Year’s resolutions necessary! If we took better care of ourselves during the holidays, our resolutions on January 1 wouldn’t have to be so severe—and unlikely to succeed!

Eating too much, drinking too much, dropping out of our exercise regimens is ok on occasion. But if we abandon all self-control for weeks or a whole month, it’s just irresponsible and self-destructive.

What to do: Be moderate in all things. You don’t have to abstain from all holiday eating and drinking, but practice portion control. Eat one or two cookies, not a plateful. One or two pieces of hand-made candy after dinner, not a handful. One or two drinks over the course of an evening, not a night of binge drinking.

Get in some exercise even if it’s just a ten-minute walk around the block after dinner. And find some time to relax and escape from the stresses of the season. Even sitting quietly and breathing deeply for a few minutes can make a big difference. You’ll feel better, sleep better, and feel better about yourself, not just today but also on January 1.

Grief over lost loved ones The holidays can be an especially

40 December 2014 | Healthy Living News

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painful time for those who have lost a loved one. Whether the loss was just in the last year or many years distant, it is during the holidays when we are most aware of those who are no longer with us. Family gatherings and other traditions often seem empty, and our sense of loss is even more painful because it seems that so many others are full of excitement and joy during the holidays. Even with the passage of time, holidays can be the most painful time of the year for many.

What to do: Take action. Do something to commemorate your lost loved one. Even if it’s been many years and you feel you “should be over it by now,” do something to honor their memory and your love for them. Many like to visit the grave at the holidays, but there are many other things to do you may find more comforting. Give a donation to the hospice or another favorite charity.

Send a thank-you card to the nursing or retirement home staff who cared for your loved one. Put a candle in a window and light it every night.

Visit someone else who has recently lost a loved one.

Troublesome relatives The holidays are often the worst time for dealing with troublesome relatives. Probably the largest category is those who drink too much.

Alcoholics have ruined many holidays with their over-drinking, which often ends in fights or domestic violence during the holiday season. Others may have various emotional problems that make them cruel or abusive for no apparent reason. Some people who are themselves unhappy may try to make others unhappy just like they are.

What to do: Without apology or explanation, minimize the time spent with those who are troublesome.

Whether it is a relative or a friend, do whatever you have to do to protect yourself and your family from those who are abusive. It is especially crucial to protect your children from exposure to such individuals.

Remember that excessive drinking is frequently involved in sexual abuse of both children and adults.

Loneliness Many people lack an adequate network of family and friends, and the holidays can be the loneliest time of the year for them. During the holidays, bars are typically crowded with

those who have nowhere else to go.

Many elderly have no family with which to spend the holidays. And many who suffer from depression or other disorders are often alone and isolated during this time of the year.

What to do: Find company that supports you. Reach out to friends or family you may not have contacted instead of waiting for them to contact you. Find a church that provides Blue Christmas events or other activities for those who lack a social network.

Volunteer your time. Many organizations in the area provide holiday meals and need volunteers to help

cook and serve. The best way to ease loneliness on the holidays is to find a way to help someone else.

The holidays, while typically a joyful, expectant time, can be the most painful time of the year for many. If that’s the case for you, know that you are not alone. Be hopeful.

Be kind. Reach out to others. Many would say that’s the true meaning of the season. ❦ Linda L. Smith, MA, LPC, is a licensed professional counselor at Central Behavioral Healthcare in Toledo, Ohio.

Acupuncture and your aching back by Douglas Schwan, Dc, Dipl ac

N

early 80% of people will suffer severe back pain in their lifetime.

In fact, back and neck pain is the number one reason people consult for acupuncture treatment.

Acupuncture as a treatment was first written about in China more than 4,000 years ago. We know it goes back before the written word because we have found Egyptian mummies with burn marks corresponding with back and neck pain acupuncture treatment points. It seems the Egyptians figured out that if you held a burning stick against certain points of the body, you could alleviate back pain!

Peruvian mummified witch doctors buried and preserved in the cold Andes mountain range also demonstrate tattoos of lines and points that eerily correspond with modern known acupuncture channels and points. It is thought, perhaps, that when civilization first developed in China and traders built the Silk Road trade route, Chinese physicians tagged along and saw some of these early procedures and, most importantly, returned to China and wrote them down. That is why today Eastern medicine is referred to as Traditional Chinese Medicine rather than Persian or

Egyptian medicine.

Most practitioners nowadays combine the ancient treatment with needles with modern techniques to enhance the treatment effect. The pain relief effect is thought to arise from stimulation of the nerves in the back and spine that turn the “pain gates” off. It is also known that acupuncture techniques can alter local chemical levels and moderate brain activity far removed from the acupuncture

site, promoting a relaxed state and increased sense of well-being.

Indeed, these “brain-effects” are the reason acupuncture can be used for depression, anxiety, and behavior changes such as smoking cessation, weight loss etc.—all conditions that require alteration of addictive feedback neural loops in the brain.

In this day and age, acupuncture is a very safe procedure. Problems with local infections are relatively very rare due to the development of one-use disposable needles. The procedures are also relatively painfree as the acupuncture needles are so slim and hair-fine that four or five acupuncture needles can typically fit in the opening of a hypodermic needle.

Most treatment sessions last approximately 20 minutes. Your doctor may add what is known as microstim to your treatment protocol. Acupuncture is all about adding energy to the point of injury, and chronic areas of back pain tend to be cold and degenerative in nature. By adding microstim to the treatment, energy is directly placed into the damaged area and significantly promotes healing by stimulating blood flow into the area and dissolving local adhesions and scar tissue—especially around spinal nerves.

The ancients understood this principle and utilized an herb called “moxa” to provide energy to a treatment area. They would utilize a special needle with a metal cup-like top.

They would pack the cup with the

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41

A

moxa herb and light it on fire so it would slowly burn and, thereby, transfer heat energy down the metal shaft of the needle and into the acupuncture point. Using modern microstim gives better control of the energy flow as well as less risk of ember burns.

Of course, acupuncture is only one part of Traditional Chinese Medicine (TCM), just as surgery is only one branch of modern medicine.

TCM also incorporates herbal medicine, nutrition, massage (cupping),

and other practices. Our office always includes a broad approach in our patients’ care.

Like any other complex profession, it takes years of study to become proficient in the practice of acupuncture as well as nutritionally competent to advise on proper use of herbs, vitamins, and nutritional factors for conditions as varied as chronic pain, fibromyalgia, depression, osteoarthritis, addictions, etc.

If you are considering acupunc-

ture, seek out a practitioner who is well-credentialed. Acupuncture is a fully licensed profession in most states. However, training can vary considerably depending on the practitioner ’s main profession. Some just dabble in it after only a couple weekend seminars, while dedicated practitioners have four years or more of study. The right person should also be able to put you at ease, answer your questions, and make you feel that you understand your treatment fully before proceeding. ❦

For more information about TCM, acupuncture, or Schwan Chiropractic & Acupuncture Center, please visit us at www.AcupunctureToledo.com or email faq@acupuncturetoledo.com. Dr Schwan is a Doctor of Chiropractic and a Diplomate of the International Academy of Medical Acupuncture. He is an author, lecturer, and one-time standup comedian.

He has maintained an active practice in Toledo, OH for the last 32 years. Dr. Schwan is available to speak to your group on a wide variety of alternative health topics.

Eating Well

by Laurie Syring, RD/LD

"Season's eatings"

A

ll too often, the fleeting pleasure of holiday feasting leads to unwanted long-term weight gain. This is bad for your health on many levels, and if you don’t take a proactive approach to the temptation of holiday foods, those pernicious pounds can really add up over time. In fact, on average, Americans gain one to two pounds over the holidays, sometimes even more. If these pounds are not lost and gradual gain continues over the years, you are contributing to the rise in obesity statistics.

Luckily there are some strategies for preventing weight gain and still enjoying the holiday season. The Academy of Nutrition and Dietetics offers the following tips and suggestions:

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Enjoy three meals a day On the day of your party or holiday, it is so important to stay the course with your eating regime—including eating a healthy breakfast and lunch.

Don’t plan to skimp earlier in the day so you can “save” calories for the big meal later. Do so, and you’ll likely end up going overboard with your eating at the party and taking

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in way too many calories despite your best intentions.

Fill up with fiber Put more fiber on your holiday menu, including whole fresh fruits, vegetables, and whole grains. High-fiber foods are high in volume, which means they’ll help satisfy your hunger with fewer calories.

Downsize your plate We’ve all had those moments when our eyes are bigger than our stomach.

To help counteract this tendency, try using a smaller plate when you eat.

This allows you to choose less food and encourages proper portion size.

Also, fill your plate with vegetables and salad first so you can’t pile on as many high-calorie items.

Savor the flavor It seems silly that we spend days on holiday food preparation only to wolf down the entire meal in 10 minutes!

Enjoy your food, and savor the flavors of every bite. Chew slowly, and participate in the party discussion.

Be physically active Not all holiday customs have to be food-oriented. On the day of your party or holiday, establish a new family tradition by taking a walk outside or finding an indoor activity that you can all do together.

Eat mindfully When perusing the buffet, don’t just We love feedback. Like us on Facebook. Follow us on Twitter.

load up your plate with every hors d’oeuvre or treat that catches your eye. Decide which foods you really must have. Be choosey. Spend your calories wisely; don’t waste them on items you may eat frequently.

Around the holidays, developing healthy eating habits and introducing new family activities can be difficult.

Hopefully these tips and suggestions can help prevent holiday weight gain and get you started—or keep you on the path—toward a healthy weight.

Make changes gradually and give yourself the gift of good health this season. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Warm-water exercise improves health and mobility

W

ater exercise can offer multiple benefits for people at any age or fitness level. Water allows our bodies to be buoyant, so the experience causes less stress and impact on the joints than land exercise. This makes aquatics an ideal activity for those with arthritis or back problems as well as those who are recovering from orthopedic surgery or stroke.

Some pools are saltwater, creating greater buoyancy and allowing a person to move even more fluidly in the water. As a result, more calories are burned using less exertion.

After a few months of regular warm-water exercise, people usually see great results, such as improved joint mobility, increased muscle flexibility, better balance and overall functioning of the body, as well as decreased pain in everyday life. According to the Arthritis Foundation, “Research has shown warm-water therapy works wonders for all kinds of musculoskeletal complaints, including fibromyalgia, arthritis, and low back pain.” In addition, water exercise is linked to increased circulation, reduced risk of injury, and lower blood pressure.

Kingston Rehabilitation of Perrysburg offers three different types of warm saltwater classes, including Gentle Water Exercise, Water Aerobics, and Water Walking. The classes are led by a certified instructor.

Gentle Water Exercise class focuses on balance, muscle strength, endurance, flexibility, full range of motion, and light cardio. It is great for those who are recovering from injury or wish to maintain their present fitness level without doing high-impact movements. Water Aerobics focuses on cardio, strength, endurance, and increasing heart rate. It is a higher-impact class and a great choice for those looking for a challenge and to get into shape. During Water Walking

class, participants are free to do their own exercises in the pool. All three of these classes are fun and open to the entire community to enjoy.

Duane Abbajay is an avid participant in the Gentle Water Exercise class at Kingston. Duane was a linebacker and defensive end for the Wisconsin State football team back in the 1950s.

He since has undergone two hip and two knee replacements. His shoulders are next in need, but Duane wants to try to avoid more surgery through aquatics, and it’s working. Duane claims, “After recovering from my injury, I started water therapy, and exercising in water feels much better overall. Every day I continue to feel better and better.”

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Breastfed babies can react to food allergens passed on in the breast milk, but this problem can usually be resolved through diet modification on the mother’s part.

Breastfeeding has a myriad of benefits for baby

Why are breastfed babies healthier?

A

ll moms want to give their babies the best possible start in life. From car seats to cribs and everything in between, moms look for the safest and most reliable infant products. Of course, they also want to ensure their babies get the best possible nutrition for optimum health and growth.

With respect to meeting an infant’s nutritional needs, there’s no better choice than breastfeeding.

There’s no question that breast milk is the ideal first food for infants. Compared to bottle-fed babies, breastfed babies have lower rates of hospital admissions, ear infections, diarrhea, rashes, and other ailments.

In fact, the infant mortality rate in Third World countries is proven to be significantly lower among breastfed babies. Also, being completely free, breastfeeding is the ideal choice for moms on a tight budget.

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What’s so special about mother’s milk?

Human milk is specifically “designed” for human babies and contains the exact amount of fatty acids, lactose, water, and amino acids necessary for proper digestion, brain development, and growth. The protein found in cow’s milk, on the other hand, is ideal for calves but not so easily digestible for human babies.

Infant formula is an acceptable alternative, but it lacks many of the ingredients found in breast milk.

Also, infants can have an allergic reaction to some formulas, which is not the case with mother’s milk.

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Other benefits to baby Suckling at the breast strengthens the baby’s jaws and promotes the growth of straight, healthy teeth.

Also, a breastfed baby can start and stop suckling at will to control the rate at which milk is delivered from the breast, whereas bottle-fed babies must constantly feed in reaction to the pressure of the nipple in their mouths.

Nursing also helps to establish the critical psychological bond between a mother and her infant, and skin-to-skin contact gives the baby a sense of warmth and comfort. Plus, it’s no coincidence that a newborn baby’s visual acuity is limited to 12-15 inches. That’s the approximate distance between a nursing baby and its mother’s face.

When breastfeeding should be avoided

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Breastfed babies tend to have fewer health problems than formula-fed babies because a mother’s antibodies are transferred directly to the infant in her milk. And, since the mother will have developed antibodies to most of the diseases in her immediate surroundings, her baby will enjoy the same immunity. Also, macrophages—cells that kill various bacteria, fungi, and viruses—account for approximately 80 percent of the cells that make up breast milk. What’s more, breastfed babies develop significant amounts of beneficial bacteria in their digestive tracts that prevent the proliferation of harmful microorganisms.

SUPERIOR FIT

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There are very few medical conditions or illnesses that restrict a mother from breastfeeding her baby.

Colds, flu, and many other common ailments cannot be transferred to a baby through breast milk, and, as mentioned, if a nursing mother does have an illness, she will most likely develop antibodies to the disease that will be passed along to the infant in her milk.

However, HIV, the virus that causes AIDS, can be carried in the milk and prohibits breastfeeding. Illnesses like herpes, hepatitis, and streptococcus infections may also preclude nursing.

Any concerns moms might have about the safety of breastfeeding should be discussed with their physician.

How long should you breastfeed?

The American Academy of Pediatrics recommends breastfeeding a baby for at least the first 12 months. Solid foods can usually be introduced somewhere between four and six months of age.

After one full year of drinking breast milk or formula, most children can be offered cow’s milk.

Of course, there’s no rule that says moms have to stop breastfeeding their child at 12 months. In fact, the World Health Organization recommends breastfeeding a child until age two or even longer. ❦

Walk in the Park Continued from page 34

camping” without hookups for water and electricity? How about internet access or TV? Russ insists on having his satellite sports package, and it is common for the big rigs to have TVs as big as the side of their bus.

My old friend Roger used to say, “Remember, wherever you go, there you are.” I-75 has four to six lanes full of people who are convinced they would be happier someplace else. You can get away from home easily enough, but it is much more difficult to get away from yourself. If you are in a small RV on an extended trip, you can’t get away from your spouse either. How’s that relationship working out for you? Cheek by jowl for two or three months can teach you more than you ever wanted to know about intimacy.

After a week in Shenandoah, we were feeling pretty confident that we

Elk routinely wander through our site at Mammoth Campground in Yellowstone.

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had the hang of RVing, so in July, we left on our First Great Western Tour.

Yellowstone. Up through Montana to the Lolo Pass on the Lewis & Clark route and down the gorgeous Columbia River Gorge. Mount Rainier and Olympic National Parks in Washington. Along the Pacific coast of Washington and Oregon with its lighthouses, sea stacks, and sea lions and seals. Over to wonderful Crater Lake and through California to Lassen Volcanic National Park (a real surprise discovery) and Lake Tahoe. A week in Yosemite enjoying Tuolumne Meadows, Half Dome, El Capitan, Bridal Veil Falls, and spectacular Yosemite Falls (spectacularly dried up the week after Labor Day.) Then to Sequoia-Kings Canyon to see and hug the giant trees. Crossed the Mojave desert with its Joshua trees to Lake Mead and Hoover Dam near Las Vegas. Up I-15 to Zion National Park where the campgrounds were full even in September. A ranger said, if we didn’t mind camping for free we could find a place along the river a few miles back. We didn’t mind. At Bryce Canyon, stopped to say howdy to the hoodoos. On through Colorado where, on Sept.

25, we followed a snow plow over the

Vail Pass at 11,000 feet. We covered 8,687 miles and saw an inspirational sampling of amber waves of grain, purple mountains, and fruited plains.

Since then we have averaged 20,000 miles a year in our Roadtrek.

Shirley and I have been to all 50 states. (That was not an objective. It just worked out that way.) Last summer, we completed the list by going to Alaska. Our route took us to the Tetons and Yellowstone and then up through the Canadian Rockies. When Shirley told people we were going to Alaska, they invariably wanted to know if we were taking a cruise.

A cruise is luxurious, comfortable, and convenient. But the price you

The ranger at Zion said we could park down by the river if we didn't mind camping for free. We didn't mind.

pay is more than dollars. You travel on someone else’s schedule. We saw Denali because we had the flexibility to wait for clear weather. If your tour group is leaving, you’re leaving too, even if you didn’t get to see what you came to see.

Still, many people cannot conceive of driving all that way.

We can. A trip of 12,060 miles is not to be undertaken lightly. It is done the same way you eat an elephant—one bite at a time.

Is a Roadtrek or other Class B right for everyone? Decidedly not. For us, though, almost six years in the Roadtrek has been just a walk in the park. ❦

LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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46  December 2014  |  Healthy Living News

Learn to set up and maintain a marine aquarium!

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

47

Mercy Robotic Surgery Center

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