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NOT INVITED! Cancer Connection in Our Community | Ashanti: It's about living Lung cancer screening saves lives | How to recognize Alzheimer's Reassess your financial goals | Look as young as you feel

Time to look as young as you feel!

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hat will your face, neck, and lines. Dr. Handler is the only dermaDR. HANDLER OFFERS TELEDERMATOLOGY hands reveal about you this fall? tologist in northwest Ohio performing When you are enjoying yourself with Dr. Handler has been providing virtual dermatology for patients over several years. Due to the viral pandemic, this may be this procedure. friends and family, will the fine lines, Are you aware that Dr. Handler of interest to his present and prospective patients. Go to Dr. Handler’s website at drharveyhandler.com and scroll to the brown spots (age spots), and sagging personally performs laser bottom. On the right you’ll find a link to your care. You will receive a diagnosis and treatment program within 24 hours. jowls and neck not portray your true procedures for removal of body age but make you appear tired and hair anywhere hair grows? Yes, this treatment, results are seen before leaving the office. Continued withered? Why not consider a painless and no-downtime cosmetic minimally painful laser destroys hairs around the chin, jawline, tightening and lifting of sagging skin occurs over a 6-month time procedure to reduce your aging, sun-damaged, and sagging facial upper lip, underarms, ears, nose, bikini line, etc. And this laser is period with results lasting 3-4 years! There is NO downtime and skin and eliminate brown spots? Allow Dr. Handler to evaluate not just for women. Many men have this laser performed to perNO pain. The NEW Thermage CPT Deep Tip system has been and personally recommend a skin-rejuvenation program for you to manently remove chest and back hair as well as beard hair that utilized by Dr. Handler for many years with excellent results and reduce the signs of aging. Look as young as you feel when gathgrows down onto the neck. very satisfied patients. Most patients see results at the completion ering with friends and family.

Dr. Handler also utilizes the latest in lasers for removal of of the procedure.

Whenever aged and spotted sun-damaged skin is discussed, “age spots” (sun spots really) anywhere on the body. This laser For lines between the eyes (worry lines, 11’s, ski slopes), the term used is rejuvenation. Wait! What about “pre-juvenation”? works especially well for the tops of hands covered with those crow’s feet, and the “sleepy and tired look with droopy eyelids,” Prevent and reduce the signs of future aging and sun damage “age spots.” Finally, Dr. Handler also performs laser removal of the use of Botox or Dysport works well to improve these areas. with a skin-care program designed for the Millennial and priorunwanted blood vessels that grow on your face and enlarge with The results are diminished lines and a more “wide-awake” and tanning-booth generation. Be proactive before the lines and age heat, stress, and the intake of alcohol. Again, pain and downtime less tired appearance. spots appear. Speak with the staff at Dr. Handler’s office to inquire are minimal with this laser.

EXCESSIVE UNDERARM SWEATING? about specials for cosmetic procedures and topical products to Anti-aging and cosmetic enhancements are not for any Most cosmetically-oriented patients know that Botox and reduce the signs of aging and fade and eliminate “age spots.” specific gender. Male cosmetic enhancement and anti-aging Dysport are used to reduce the signs of aging. However, Dr. Handler personally performs many anti-aging procedures procedures have increased almost 300% in the past 5 years for Dr. Handler has utilized these products over many years for that are “non-invasive” with minimal discomfort or downtime. You sagging skin, darkening under the eyes with the “hollow” look, excessive sweating of the underarms. This excess sweating is can minimize under-eye darkening and wrinkling, raise those and brown spots. The utilization of fillers, such as Restylane and known as hyperhidrosis and is associated with embarrassment droopy eyelids, shrink pores, lift sagging jowl areas, and appear its family of fillers, Juvederm, Radiesse, etc., is excellent for and anxiety. Most patients require injections twice a year to reas youthful as you feel. Call Dr. Handler’s office for a personal deep smile lines and the “sad and tired look” as evidenced with duce sweating 80% or more! The procedure is associated with evaluation with treatment recommendations designed specifically sagging at the corners of the mouth, hollow cheeks, and aging of minimal pain and no downtime. for your aging skin. the hands. And, of course, the use of Dysport/Botox to reduce The use of fillers, such as Restylane, Restylane Lyft, Remember, 80% of the signs of aging are due to prior sun forehead “worry lines” is superb.

Juvederm, Radiesse, and others, to “fill” deep smile lines and exposure and subsequent skin damage. All the brown spots (“age All of these cosmetic enhancements are performed entirely the marionette lines (the sad look) from the corners of the mouth spots”), broken blood vessels on the face, fine lines, and sagging

by Dr. Handler. To view before-and-after photographs of patients produces immediate results lasting 12-15 months! Don’t look tired skin are caused almost entirely by sun! This is something young who have had these procedures performed by Dr. Handler, or sad when you are not! Since these products are combined with people should be aware of since we get 80% of our lifetime sun visit www.drharveyhandler.com. For more detailed information a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the exposure by the time we are 18-20 years of age. about the above-mentioned procedures or products, please call injection of new fillers called “Restylane Silk” and “Restylane What about the “worry lines” between your eyes, deep smile Dr. Handler’s office at 419-885-3400. Also, remember to inquire Refyne and Defyne.” These products markedly improve upper and lines, upper lip lines (lipstick runs uphill), and your sagging jowls about special pricing available on many cosmetic procedures and lower lip lines (lipstick lines). Restylane Silk and Kysse also and neck? These unfortunate changes caused by prior sun products to diminish the signs of aging and obtain a more vibrant volumize your lips and restore their natural curve while looking exposure and aging can be improved dramatically with pain-free, and youthful appearance of your skin. Look as young as you feel. attractive and natural. There is no downtime with these noninvasive non-invasive cosmetic procedures performed entirely by HAIR LOSS IN MEN AND WOMEN procedures. These products also improve the “tear trough” Dr. Handler.

Are you losing hair from surgery, anesthesia, illnesses, depression and hollowness under your eyes and cause darkening The NEW Thermage CPT Deep Tip procedure painlessly pregnancy, medications, stress, genetics, or “normal” hair loss to be much less obvious. heats damaged collagen under your skin to tighten and lift sagsecondary to aging or low blood levels of nutrients? There are Do you want to reduce fine lines, acne scars, and age spots ging areas of the neck, jowls, and upper arms, and wrinkling of many causes of hair loss in men and women. Most are not simply (brown spots from sun exposure) and shrink pores? Then the the skin on the abdomen. The NEW Thermage CPT Deep Tip due to age or family history, and most are treatable. Now these non-invasive Clear and Brilliant laser is for you. When the Clear procedure utilizes radiofrequency energy (not laser). This proproblems of hair loss can be evaluated and there is hope for and Brilliant laser is combined with Thermage CPT Deep Tip, cedure also encourages a natural repair process that results in reducing your hair loss and stimulating new growth. Dr. Harvey the results are ideal for patients who desire no downtime or pain further tightening, lifting, and younger-looking skin. With only ONE Handler, board-certified dermatologist of Sylvania, Ohio, has a and predictable results of lifting sagging skin and smoothing fine medical treatment for decreasing your hair loss and increasing growth in many patients!

Pediatric skin disease diagnosis and treatment is one of Dr. Handler’s special fields in general Dermatology. Age of the child is not relevant since Dr. Handler diagnoses and treats eczema, hemangiomas, contact Smoother, tighter, younger-looking skin on face, arms, and chest and allergic dermatitis, and general “lumps and bumps” that children and infants develop.

No surgery.

What about “birth marks,” scalp No injections. and body “ringworm,” body and No downtime. head lice, scabies, psoriasis?

If there is a lesion or spot on ADULT, the skin, Dr. Handler is trained to arvey andLer, m.d., f.a.a.d.

PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy examine, diagnose, and treat appropriately.

Also, everyone should have a yearly full body exam to check & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) for skin cancer, changing moles, and new growths that develop on DERMATOLOGY our bodies. This comprehensive exam should be conducted solely HAIR & NAILS by a board-certified dermatologist. ❦

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2 November 2020 | Healthy Living News

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

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

CONTACTS Business office:

To advertise: Healthy Living News, 130 Louisiana Avenue, Perrysburg, OH 43552. Phone: 419-874-4491 or email Chet Welch at chetw@ perrysburg.com. 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.

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Brad Beebe,

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Graphic Designer: Mary Ann Stearns Web Designer: Strategically Digital LLC Social Media Specialist: Kate Oatis Distribution:

Welch Publishing Co. Copyright © 2020 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.

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Your Monthly Guide to Healthy Living ENRICHING YOUR LIFE

2 Time to look as young as you feel!

5 How to keep COVID from being an unwanted Thanksgiving guest by Dennis Bova 7 With timely vaccination, HPV-related cancers can be prevented 10 Mercy Health pulmonologist urges lung cancer screenings for high-risk patients 13 Stop losing sleep to GERD 20 Don’t forget to arm yourself against influenza 21 Do you know the symptoms of Alzheimer’s?

24 Eating well – Adopting a diabetes-friendly diet

by Laurie Syring, RD/LD 25 Why it’s vital to know your family health history 29 The hurdles of mental health and social media use in the COVID-19 pandemic by Leeann Beach, LPC 30 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 31 Tips to help your senior loved one sidestep medication errors

10 Health Crossword Puzzle 14 A Walk in the Park – The Sunbelt Tour

by LeMoyne Mercer 18 Winter Running Tips by Amanda Manthey plus Dave’s Races 22 Take a fresh look at your fiscal and financial goals 23 Spiritually Speaking – Hunger and bread

by Sister Mary Thill 26 Nobody’s Perfect – Simply natural medicine

by Sister Karen Zielinski, OSF 27 The Devil and Mrs. Jones, part 7 – Mrs. Jones’ facility resumes indoor visitation by Chris Stieben 30 Healthy aging, part 2 by Daniel J. Jachimiak, BA

32 You’re never too old for Super Slow Training 33 Holiday hearing tips by Dianna Randolph, AuD, CCC-A

Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email jeffreykurtz68@gmail.com.

Adam Welch Chet Welch

November 2020 • Vol. 25, Issue 11

HEALTH & BEAUTY

Editorial office:

Co-Publishers:

OUR COMMUNITY 6 Ashanti Hospice and Palliative Care: It’s about living 8 Elizabeth Scott begins construction on Enhanced Living units 9 U.S. News & World Report rates ProMedica Toledo Hospital one of Ohio’s best 12 Laurels and community partners work to lift residents’ spirits as COVID continues 17 UTMC: open for you 28 Cancer Connection in Our Community – Let’s celebrate National Family Caregivers Month

by Jean Schoen 35 Senior Living Guide

Dear Readers, Things may also be a bit different Thank you for picking up the No- this year for area residents who have vember issue of Healthy Living News. made a tradition of participating As we look forward to Thanksgiving in 5Ks or other races presented by later this month, many of local organizations on us are wondering what or around Thanksgiving. the upcoming holiday Many of these events season will look like with are still happening but COVID-19 still in the may have gone virtual equation and whether this time around. For we’ll be able to celebrate a listing of November alongside our loved ones run/walks sponsored by Adam and Chet Welch without taking unnecesDave’s Running Shop, sary health risks. For answers to these check out “Don’t Miss Dave’s Races” and other questions, be sure to read on page 18. this month’s cover story, “How to This month’s issue also features the Keep COVID from Being an Unwant- debut of a new column called Cancer ed Thanksgiving Guest” by Dennis Connection in Our Community (p.

Bova (p. 5), which includes timely 28), in which Jean Schoen, founder tips on how to celebrate safely from and president of Cancer Connection Alex Aspacher, community outreach of Northwest Ohio, will explore the coordinator for the Wood County various non-medical aspects of canHealth Department. cer; the second installment of Dan

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Jachimiak’s three-part Healthy Aging series (p. 30); an informative article on the Mercy Health – Lung Nodule Screening Program, which utilizes low-dose CT to scan for early stage lung cancer in high-risk individuals (p. 10); expert insights on HPV-related cancers from Dr. Hammad Rashid of The Toledo Clinic Cancer Centers (p.

7); and much, much more.

Happy Thanksgiving to everyone, and, as always, whenever you choose to utilize any of our advertisers’ products or services, please let them know you “saw it in Healthy Living News.”

It’s their confidence in the quality of our content—and in the effectiveness of HLN as a marketing platform—that allows us to keep providing the latest health and wellness news at no cost month after month and year after year.

Adam and Chet Welch

Healthy Living News | November 2020 3

STILL LOCAL. STILL YOURS. Everyone has a story. And, at St. Luke’s Hospital, ours has been to provide quality health care to our patients for more than 100 years. We recently joined McLaren Health Care, which means, as our story continues, we’ll have a new name – McLaren St. Luke’s.

While our name has changed, you can count on us for the same high-quality health care and long-trusted medical professionals. You can also expect us to strengthen and grow our already great services. With upgraded technology,

4 November 2020 | Healthy Living News

enhanced equipment, and soon updated surgical suites and intensive care center, we’re advancing our system today to meet the needs of tomorrow. Our commitment to being a leader in healing and your partner in health has been our history in northwest Ohio. And it’s still our priority because we’re still local and still yours.

Visit mclaren.org/stlukes or call 419-893-5911.

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How to keep COVID from being an unwanted Thanksgiving guest

by Dennis Bova DURING THIS PANDEMIC, the warm-weather holidays—Memorial Day, Fourth of July, Labor Day—have come and gone, leaving in their wake a rise in the number of people who’ve tested positive for COVID-19. Now comes a late-autumn holiday that poses its own challenges: Thanksgiving.

So how can people give thanks safely in the most family-centered of holidays? There are ways.

“This is not the time to let our guard down,” says Alex Aspacher, community outreach coordinator for the Wood County Health Department.

“We’ve definitely seen an increase in COVID-19 cases this fall.” He says as the weather gets colder, people will spend more time indoors, where the virus more easily transfers from person to person.

“We all look forward to holiday gatherings, but we have to find new ways to do the things we’re used to doing. We know people will still get together for Thanksgiving. Everyone has to consider what’s right for them,” he says.

“The safest way to celebrate Thanksgiving this year is to do so with only your family,” he says. That poses less of a risk than including members of an extended family who you don’t see often. “I want to encourage everyone to keep their families safe.

Think about how much you want to bring a big family together. We could be putting our loved ones at risk. The last thing you want to do is get a family member sick, especially one who is of advanced age or has a medical condition.

“People need to pay attention to wearing masks around anyone they don’t live with, wash hands, wipe surfaces clean—everything health officials have talked about since March.”

Aspacher suggests people visit the Centers for Disease Control and Prevention (CDC) website—cdc.gov— for tips on Thanksgiving safety. He explains them and adds a few others:

• If you are having family visit from out of town, ask in advance how widespread COVID-19 is where they live. If the virus is more prevalent where they live, the risk is greater if they come to your house.

• All families have disagreements, he says, so have a conversation with family members ahead of time to avoid conflicts about wearing masks, social distancing, and other changes to the Thanksgiving routine.

• Tell people to stay home if they’ve shown any COVID-19 symptoms or were exposed to anyone who may have had the virus in the previous 14 days.

• Talk in advance about how the holiday will play out.

“Everybody should be on the same page,” Aspacher says. The details to be covered are whether it would be better to gather for the meal outside, or in a larger room than usual, or having card tables set up for each family.

• If eating indoors, open windows to increase ventilation or have a fan circulating air.

• “Avoid potluck-style gatherings where everyone brings something,” Aspacher says.

“The CDC encourages everyone to bring their own food and drinks. If you are serving multiple families with the same food, have one person do the serving so everyone’s not sharing utensils. And consider using paper towels when washing and drying hands so everybody doesn’t share the same towel. Identify ways to keep everybody apart and not touching the same surfaces.”

• “We recommend people wear masks around people they don’t live with,” Aspacher says.

“And keep six feet apart. Doing both is better.”

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• “Zoom is a great alternative if you don’t want to have a gathering. Our family did that last Thanksgiving. We conferenced-in some people who couldn’t make it in person,” Aspacher says.

Before the holiday arrives, he adds, “it’s more important than ever to get a flu shot. COVID-19 and the flu have similar symptoms. If you protect yourself from the flu, you’re cutting away symptoms that may be confused with COVID-19.”

As for post-holiday, Aspacher says, “If after you attended any gathering, especially a family gathering, or if you’ve been around more people than usual, be aware if you’re showing COVID-19 symptoms. If you do, you’ll want to let your family know

that. Seek testing. If you test positive, tell the family because everyone who has been around you should be quarantining so as not to spread the virus to others.”

And this bring us to December.

Aspacher says two weeks or so after Thanksgiving it’ll be clear whether families did take preventative steps.

If not and the number of those testing positive for the virus rises, it’ll affect Christmas and other December holidays.

“We’re optimistic that we’ll reach people—nobody wants to get their family sick, so let’s take these steps to reduce the chance of that happening,” he says. “It’s going to take all of us working together to get past this.”

Dennis Bova is a freelance writer, editor, and marketer. ❦

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Ashanti Hospice and new days begin at sunset. Palliative Care: It’s about living sUnsEt hOUsE Assisted Living, Healthcare, Ashanti Hospice Toledo, Ohio

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EVERY LIFE IS UNIQUE, following a distinct path guided by the individual’s values, dreams, and aspirations. As the end of that journey draws near, hospice care can make it possible for individuals to spend their remaining days in comfort and dignity, still empowered to chart their own course.

Hospice care, an important Medicare benefit, is a form of palliative care that is reserved specifically for clients who are terminally ill and are no longer receiving curative treatment for their underlying disease. Hospice caregivers focus on managing symptoms and maximizing quality of life for patients and their families.

Who is eligible for hospice care?

Gayle Young, Executive Director of Sales and Marketing, explains, “To qualify for hospice, an individual must have a terminal diagnosis with a

conversation sooner rather than later.

“End-of-life care can be a delicate subject, but the best time for families to discuss the option of hospice and its many benefits is as early as possible before a crisis occurs. During a health crisis, indecision or disagreements among family members about the best course of action can mean a lower quality of life for the client and the loss of valuable time with loved ones during those precious remaining days. Having a conversation about end-of-life choices also enables the family and loved ones to honor an individual’s wishes rather than guessing what that person would want for their end-of-life journey,” Young states.

The Ashanti Hospice and Palliative Care team is comprised of several compassionate members, includ-

prognosis of six months or less, and the individual and his or her family must agree that they are seeking comfort measures. However, hospice services can be provided beyond six months as long as a physician recertifies that the individual is terminally ill.”

Sunset’s hospice service, called Ashanti Hospice and Palliative Care— which is available to residents of Lucas, Wood, and Fulton counties—focuses on treating not just the illness, but the whole person, and centers on comfort. “Ashanti is about living, not dying. It’s about making each client’s end-of-life journey their own,” Young adds.

It’s important to recognize that hospice services can be beneficial long before life’s end is imminent. In fact, when hospice care is initiated, symptoms can be managed, stress and anxiety can be alleviated, clients can shift their focus to the loved ones in their lives, and a care partner team can be created, supporting the client through this vital phase of life. So, it’s encouraged to have the hospice

ing doctors, nurses, STNAs, social workers, a spiritual counselor, as well as massage therapists and trained volunteers. The team partners with clients’ families to deliver the most holistic care possible wherever clients reside—whether it’s in their home, at one of Sunset’s communities, or in another assisted-living, independent-living, or skilled-nursing facility.

This multidisciplinary team works closely with the client and his or her loved ones to develop a care plan and help guide them through the end-of-life journey. This plan of care is reviewed routinely to ensure the client’s needs and wishes are being met and any treatments are in line with his or her goals.

Ashanti’s services can include providing expert medical care, coordinating any home-care supplies and equipment that are needed, as well as aiding in controlling symptoms and managing pain and medication.

Emotional and spiritual support are also available to the client and family, n Sunset - continued on p13

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With timely vaccination, HPV-related cancers can be prevented HUMAN PAPILLOMAVIRUS, or HPV, proximately equal risk of developing is associated with several forms of some form of HPV-related cancer. cancer. Most notable among them “Cervical cancer is the number-one is cervical cancer, which claims the HPV cancer, and of course cervilives of approximately 260,000 women cal cancer is much more common worldwide each year, but this virus in women than penile cancer is in is also commonly linked to anal, oro- men. Also, the risk of anal cancer pharyngeal, vulvar, vaginal, penile, is slightly skewed toward a greater and other cancers. The good news is, risk for women. On the other hand, cervical cancer and other HPV-related when you look at oral cancers, the cancers are now largely preventable risk appears to be the other way around, with men being at greater through timely vaccination.

According to Hammad Rashid, MD, risk,” says Dr. Rashid.

In addition to avoiding the sexual of The Toledo Clinic Cancer Centers, HPV is transmitted through sexual behaviors known to have a direct activity or other close skin-to-skin correlation with increased risk, the best defense we have contact. Most HPV infections against cervical cancer resolve on their own within and other HPV-related about a year, but in some cancers is vaccination at individuals, the infection the appropriate age. In becomes chronic, potentially the United States, the leading to cancer. “The risk available vaccine is Garof developing HPV-related dasil 9, which is effective cancer is directly proporagainst nine different tional to a few risk factors, subtypes of HPV, includspecifically having sex with ing those involved in multiple partners or having Hammad Rashid, MD cervical, anal, and orosex with an individual who pharyngeal cancers. In has had multiple partners,” he states. In addition, individuals who fact, Gardasil vaccination reduces are immunocompromised, especially the risk of developing HPV-related those with HIV, are at substantial risk cancers by greater than 95 percent.

The timing of vaccination is critical, of developing HPV-related cancer.

How does chronic infection with however. “It’s important for Gardasil HPV lead to cancer? Dr. Rashid ex- to be given before sexual debut, ideally plains that in order to replicate, the at age 11 to 12. Once the virus is in virus must enter a human cell and the body creating chronic infection, utilize the cell’s “machinery” to pro- the vaccine is no longer effective. In duce the proteins it needs to make the US, the vaccine is usually given copies of itself. In the process, the to boys and girls in the 9 to 12 age infected cells can become damaged group, but there is some consensus to the extent that cancer begins to that it can also be given to the 13 to 25 age group based on the thought develop.

However, it’s important to note that this population may have been that there are numerous subtypes of exposed to some, but not all, HPV HPV and not all of them are associated subtypes. Over age 25, there’s no with cancer. Nor does infection with consensus that the vaccine has a role a cancer-related subtype inevitably to play,” Dr. Rashid explains.

Furthermore, Gardasil is generally lead to cancer. “For example, HPV types 1, 2, and 4 are associated with very well tolerated. Some questions common warts, and other types are have been raised about a link between known to cause genital warts, but the vaccination and multiple sclerosis, these are benign conditions, not ma- but there is no scientific evidence lignancies. Cervical cancer is usually to support this connection. “In the caused by types 16 and 18, and these medical field, we believe the benefits same types are associated with anal of getting vaccinated far outweigh any potential risks,” Dr. Rashid says. and oral cancers,” Dr. Rashid says.

The Toledo Clinic Cancer Centers, Based on epidemiological data, n Toledo Clinic - continued on p17 men and women appear to be at apConnect with our advertisers via our online issue at hlntoledo.com

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Healthy Living News | November 2020 7

Elizabeth Scott begins construction on Enhanced Living units THE ELIZABETH SCOTT COMMUNITY has kicked off construction of a new set of Level 2 Enhanced Living units that will be followed by the renovation of existing Level 2 units.

The construction work began several weeks ago. Virtual Design Studios in Holland, Ohio is the architect on the project, and the general contractor is Whitta Construction based in Fostoria.

“Our Level 2 units are part of the original farmhouse built in 1949 where my great grandmother first began caring for residents,” says Matt Bucher, Elizabeth Scott Community’s Director of Marketing. “All of the other portions of our campus are much newer, so it was time to upgrade this unit. The issue has been that we’ve had residents living in these original units, so we had to figure out a way to accommodate them in order to renovate their rooms.”

The solution was to first construct a 3,500-square-foot addition to the current facility. The new wing will have six fully accessible private rooms as well as one new fully accessible double room for a couple. “Once we have these new rooms built, we can slowly transition our residents from 10.25x5_ES_SkilledRehFac_Ad_HL_820_HI.pdf the older wing into the new rooms,”

Exterior architectural rendering of the new Elizabeth Scott Community Level 2 Enhanced Living wing. Construction and renovation are expected to be completed in the fall of 2021. says Bucher. “Then, that will give us the flexibility to renovate the older rooms. When construction and renovation have been completed, we will have over 6,000 square feet of space devoted to the Level 2 Enhanced Living wing.”

The renovation to the original farmhouse where the Level 2 Enhanced Living units are housed will undergo renovation.

Rooms will 1significant 8/7/20 10:01 AM receive new insulated windows for

better comfort. An enclosed sunroom overlooking the main campus will be built where the entrance steps are located now. “This will create a large front porch and offer residents a comfortable place to relax while adding curb appeal to the overall facility,” says Bucher.

All new and renovated rooms will be private with private bathrooms and showers. Each will have their own individual thermostat to control

©2020 Elizabeth Scott Community

THEY KEEP COMING BACK.

8 November 2020 | Healthy Living News

heating and cooling in each room.

An updated nurse call system is part of the plans along with an updated safety system including new fire alarms and sprinklers. The beauty shop will also be renovated to make it larger with better lighting, and the entire facility will receive new paint and carpeting. The entire project should be complete sometime in late 2021.

“The market demand for these types of units with private rooms dictated what we needed to do,” says Bucher. “We’re excited about the construction and renovation because it will be a huge benefit to current and future residents. Our most recent construction project was in September of 2015 when we opened our new Skilled Rehabilitation Unit.”

The Elizabeth Scott Community, located at 2720 Albon Road in Maumee, is a family owned and operated facility that offers Independent Living, Enhanced Living, Skilled Nursing, and Skilled Rehabilitation on a single campus. For more information about the Elizabeth Scott Community, contact Matt Bucher, Director of Marketing, at 419-724-5021. ❦

How can you judge the quality of care at a rehab facility? Ask the patients who’ve been there.

They’ll tell you we offer great, customized care with an emphasis on protecting their health during these trying times. They’ll tell you our response time is fast and the food is good.

How can we be so sure? Because our patients keep coming back when they need additional therapy.

If your provider prescribes skilled rehabilitation, choose the facility with repeat customers. Contact Matt Bucher, Director of Marketing, for more information.

Note: File photos used here were taken prior to the COVID-19 pandemic.

Independent & Assisted Living, Skilled Nursing & Rehabilitation 2720 Albon Road Maumee, OH 43537 (419) 865-3002 • elizabethscott.org We love feedback. Like us on Facebook. Follow us on Twitter.

U.S. News & World Report rates ProMedica Toledo Hospital one of Ohio’s best EACH YEAR, U.S. News & World Report ranks our nation’s hospitals based on a variety of factors, including medical outcomes, patient experience, nurse-to-patient ratios, and many others. Designed to give patients additional information to consider in determining where to receive care, the rankings were generated by evaluating data on nearly 5,000 hospitals in 16 adult medical specialties, 10 adult procedures or conditions, and 10 pediatric specialties. The organization also ranks hospitals in each state and nearly 100 metro areas with the goal of making it easy for everyone to find excellent medical care close to home.

The 2020 rankings should give Toledo-area residents confidence in the fact that high-quality, leading-edge healthcare services are available here in the local community. ProMedica Toledo Hospital has earned the ranking of number one hospital in the Toledo area and number 11 in the state of Ohio. Fur-

thermore, ProMedica Toledo Hospital has been ranked “high performing” in seven out of 10 adult procedures, including heart failure, abdominal aortic aneurysm repair, aortic valve surgery, heart bypass surgery, knee replacement, hip replacement, and chronic obstructive pulmonary disease (COPD). Hospitals designated as “high performing” are considered to be in the top 10 to 20 percent in their respective categories.

“We’re thrilled to receive this recognition, which we owe to our highly trained and knowledgeable medical staff and our dedicated employees,” states Dawn Buskey, president of ProMedica Acute Care Hospitals.

“This honor also clearly demonstrates that area residents don’t need to look outside our community for stateof-the-art care. They can get it right here at home.”

Buskey explains that in determining rankings, U.S. News & World Report uses a blended model that looks at a variety of different areas.

For example, medical outcomes are evaluated based on data reported by the Centers for Medicare and Medicaid Services, while patient experiences are gauged through Press Ganey surveys, which ProMedica Toledo Hospital administers to all patients in order to gather constructive feedback and identify areas for follow-up and improvement.

Four of the seven procedures for which ProMedica Toledo Hospital has been ranked “high performing” are in the category of cardiac and heart surgery. “This isn’t surprising considering our team consists of highly qualified cardiac specialists, including the most experienced cardiothoracic surgeons in Northwest Ohio, who perform more than 900 surgeries every year,” Buskey states.

The “high performing” rankings for knee and hip replacement also come as no surprise because ProMedica Wildwood Orthopaedic and Spine Hospital, a division of ProMedica

Toledo Hospital, is the region’s only hospital devoted solely to orthopaedic care and is Joint Commission certified in total hip and total knee replacement. The orthopaedic medical staff there boasts an exceptional level of experience in these procedures, performing more than 12,000 surgeries each year.

Buskey notes that the exceptional U.S. News & World Report rankings aren’t the only honors ProMedica Toledo Hospital has received this year. In fact, the hospital has also earned a place on Healthgrades’ 2020 list of America’s 50 Best Hospitals, placing the facility in the top 1 percent of hospitals in the nation for consistently providing overall clinical excellence across a broad spectrum of conditions and procedures year over year. “This is just one more testament to the exceptional clinical outcomes we achieve thanks to the high-quality medical care team we have here,” she says. ❦

Being recognized is an honor.

Caring for you is our privilege.

We’re so proud that our commitment to outstanding patient care has been recognized by U.S. News and World Report, which recently named ProMedica Toledo Hospital as number 1 in metropolitan Toledo. While receiving awards and designations such as this is a great compliment, our highest honor is the privilege of caring for you and your family.

promedica.org/toledo-hospital

© 2020 ProMedica

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10/13/20 5:48 PM Healthy Living News | November 2020 9

Mercy Health pulmonologist urges lung cancer screenings for high-risk patients THE TECHNOLOGY TO screen long- safe for patients to get screened on time smokers for lung cancer has an annual basis over a long period. been available for several years. This Simply put, catching malignant nodinnovative technique, called low- ules in the lungs early on with this dose screening CT of chest, makes it technology saves lives. “It’s estimatpossible for doctors to identify lung ed that there will be about 180,000 cancer at an early stage, before pa- new cases of lung cancer in the US tients begin to show symptoms and this year. Low-dose CT scanning has when the disease is most treatable and been shown to reduce the risk of lung potentially curable. Unfortunately, cancer mortality by about 20 percent far too few people who are at high over historical averages. With this risk of developing lung cancer—the technology, we can save about five lives for every 1,000 we number-one cancer killer in screen,” Dr. Tita states. both men and women—are Individuals between taking advantage of the the ages of 55 and 77 who opportunity to be screened. have at least a 30-packJames Tita, DO, a critical year history of smoking care pulmonologist with (the equivalent of smoking Mercy Health – Respiraone pack of cigarettes per tory Specialists, explains, day for 30 years or two “Despite the fact that lowpacks a day for 15 years) dose CT screening has been or who quit smoking less available for about six years than 15 years ago are conJames Tita, DO now, less than five percent sidered candidates to have of patients who are eligible for screening are actually getting it. this screening. Dr. Tita notes that the In fact, currently, 85 percent of lung recommended age range for screening cancers are diagnosed at an advanced will be expanded next year to ages stage, meaning they’re not curable.” 50 to 80. Furthermore, low-dose CT As the name suggests, low-dose CT screening is now covered by Medicare, delivers a reduced level of radiation Medicaid, and commercial insurances.

The Mercy Health – Lung Nodule to the patient compared to a normal CT scan, roughly equivalent to that Screening Program offers low-dose CT of a mammogram, ensuring that it’s scanning in eight locations through-

HEALTH CROSSWORD

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out our community and recently achieved an impressive, potentially record-breaking, number of lung cancer screenings—about 223 in a single month. “Our primary goal is to catch malignancies early, ideally in stage 1, when they can usually be removed surgically and the cure rate is highest,” states lung nurse navigator Kendal Delaney, RN, BSN, who heads the program.

Delaney points out that, in addition to low-dose CT, a major component of the Mercy Health – Lung Nodule Screening Program is smoking cessation. “For most of the patients we screen, smoking is still an issue. I stress to all of them that smoking is the number-one preventable cause of death and that quitting might prevent them from ever needing the services of our surgeons,” she says.

Dr. Tita adds, “When you quit smoking, your risk of lung cancer goes down almost immediately, and after about 15 years, you’re near the level of risk as someone who never smoked.”

Despite the recent substantial uptick in patients getting screened through Mercy Health’s program, too many people at high risk of developing lung cancer are still slipping through the cracks. Either they’re failing to

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get screened at all or they’re going for their initial screening and then failing to follow up. Delaney notes that this “one-and-done” mindset is a major roadblock when it comes to catching lung cancer early and saving lives through screening, so she and her team continually strive to educate patients and their primary care providers on the importance of follow-up—especially when an initial screening identifies something suspicious.

Dr. Tita shares Delaney’s concern, stating, “In some cases, patients come in for an initial screening and get a good result, meaning no nodules are found, and then think they’re done.

But high-risk individuals need to get screened on a yearly basis. Just because they don’t have lung cancer this year doesn’t mean it can’t show up next year.”

When low-dose CT screening reveals something suspicious, patients can rest assured that they’ll get the support and follow-through they need. Dr. Tita comments, “Every month, we have a conference here that includes myself representing pulmonology, a radiation oncologist, a medical oncologist, a radiologist, and a thoracic surgeon.

Together we go over all the cases that n Mercy Health - continued on p34

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Healthy Living News | November 2020 11

Laurels and community partners work to lift residents’ spirits as COVID continues WE’VE ALL GROWN WEARY of the limitations imposed by COVID-19, but for many people residing in longterm-care facilities—who are among the most vulnerable to the virus—the pandemic-imposed social restrictions have been especially challenging.

Page Rostetter, MED, CTRS, RTCR, Activities Coordinator at The Laurels of Toledo, notes that residents place tremendous value on spending time with family but have been severely limited in their ability to do so due to COVID. “We try to keep them in touch with their loved ones in any way we can, for example by arranging window visits and connecting them visually through apps such as FaceTime, Zoom, and Google Duo. However, now it’s starting to get chilly outside, making window visits difficult, and virtual visits have their limitations as well. For some of our residents with dementia, using FaceTime can actually create a problem because they hear their family member’s voice and then go looking for them in the facility and get upset

when they can’t find them,” she says.

Rostetter further explains that the reduced stimulation and social interaction associated with COVID restrictions is not only extremely boring and tedious for residents of long-term-care facilities, but can also lead to cognitive decline and worsening of dementia.

Recognizing the heavy toll the continued lockdown is taking on residents—and with the holiday season right around the corner—Rostetter and her coworkers asked themselves

what they could do to brighten up the facility and help buoy residents’ spirits. They decided to start with a little decorating in partnership with several organizations that had already reached out to The Laurels offering their assistance, including the University of Toledo

Outpatient Therapy

Recreation Therapy Club, UTCOM Cares, UTCOMLS Geriatrics Club, and UTCOMLS OB/GYN Club.

Using crayons and window clings with autumn themes—such as pumpkins and turkeys—they set about sprucing up The Laurels, starting with the long-term-care side of the facility and later moving on to the rehab side. “Now when the residents look through their windows, they can see something positive that puts them in the holiday spirit and brings smiles to their faces. Also, to ensure residents get to enjoy the decorations, the nursing assistants try to keep the blinds wide open, which lets in a lot of cheerful sunlight,” Rostetter states.

During one of the recent window-decorating sessions, the residents were treated to a visit from one their favorite guests— n Laurels - continued on p13

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Laurels - continued from p12

Rostetter’s fuzzy little Pomeranian, named Sasha. “The residents have been asking me to bring Sasha in, but she’s not allowed into the facility because dogs have the potential to transmit the virus. So, we had her doing window visits with residents,” she says. In addition, at this writing, The Laurels is planning a Halloween trick-or-treat parade with kids coming to show off their costumes outdoors while the residents enjoy the spooky spectacle through the windows.

Also, Rostetter is proud to report that the Snack Shack—the café opened by Laurels residents when their vending machine stocks began to run low and no one could come in to refill them due to COVID—is still going strong and supplying residents with treats and sodas.

“These may all be little things, but when you add them up, they can really help make a difference in residents’ outlook and overall sense of well-being. They need that—in fact, we all need that—now more than ever,” she says.

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com. ❦ n

Sunset - continued from p6

as well as additional services to help soothe and comfort the client, such as massage and aromatherapy. “As hospice treatments begin and the Ashanti team and family members collaborate to deliver the best care possible, clients can expect their quality of life to be maintained or improve depending on their unique situation,” Young says.

The Ashanti team is available to meet with potential clients and their families at any time to explain the hospice benefit. To schedule a meeting or for additional information, please call Ashanti Hospice and Palliative Care at 419-724-1047 or visit www. sunset-communities.org/ashanti. ❦

Stop losing sleep to GERD “JOSH,” AGE 45, was just beginning to experience some of the aggravating physical complaints common to middle age. Having packed on more than a few extra pounds, his BMI of 29 placed him well within the ranks of the overweight and right on the cusp of obesity.

Once-simple activities like climbing the stairs left him out of breath, his knee joints ached, and lower-back pain frequently prevented him from getting restful sleep.

Josh was also vexed by another problem: Severe heartburn was becoming an almost nightly ritual.

Oftentimes, a nagging dry cough would accompany the burning sensation, and he would occasionally awake suddenly with a sour taste in his mouth after having regurgitated a small amount of stomach fluid. On some nights, propping his upper body with several pillows prevented these symptoms, and popping antacid tablets offered temporary relief, but the root problem persisted. A visit to his primary care physician revealed that Josh had gastroesophageal reflux disease, or GERD. GERD is a chronic digestive disorder that develops when stomach acid frequently refluxes—or backwashes—into the esophagus (the tube through which food passes to the stomach) and irritates and inflames the esophageal lining. This reflux occurs because the circular band of muscle located at the lower end of the esophagus—called the esophageal sphincter—functions abnormally.

When it’s doing its job as it should, the esophageal sphincter remains closed until food or liquid flows down to the stomach. Then, it relaxes just long enough to allow the food or liquid to pass and then closes again. But if this band of muscle relaxes abnormally or becomes weakened, stomach acid, and possibly bile, can travel the wrong way and back up into the esophagus, causing heartburn and other unpleasant symptoms. In addition to heartburn, these symptoms might include (among others) hoarseness or sore throat, a dry cough, difficulty swallowing or a sensation of swelling in the throat, regurgitation of food or stomach acid, and even chest pain.

Over time, constant acid reflux can also lead to the formation of scar tissue and consequent narrowing of

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• Avoid smoking.

• Elevate the head of the bed, either by placing a wedge (available at drug stores and medical supply stores) between the mattress and box springs or by placing wood or cement blocks under the feet of the bed.

the esophagus, ulceration and bleeding of the esophagus, precancerous changes to the esophageal lining, as well as other complications.

Risk factors for GERD include, but aren’t limited to, obesity, asthma and other respiratory diseases, smoking, excessive alcohol consumption, diabetes, hiatal hernia, and pregnancy.

As Josh’s doctor explained, his excess body weight was likely a major contributing factor to his problem.

Essentially, his abdominal fat was applying pressure to the stomach and diaphragm, causing the lower esophageal sphincter to open when it shouldn’t.

Some lifestyle changes were definitely in order for Josh. Under his doctor ’s supervision, he began a weight-loss program based on exercise and nutrition and gradually shed 20 pounds over the course of several months. In the process, he also shed most of his symptoms and began to enjoy much more restful sleep. He still experiences occasional heartburn, but he can usually manage it with over-the-counter medications.

As in Josh’s case, GERD can often be diagnosed through a simple medical history, but various tests are also available to assist in diagnosis when necessary. In addition to encouraging Josh to shed excess pounds, his doctor recommended the following lifestyle modifications to help reduce the frequency of his heartburn symptoms: • Eat smaller meals and avoid eating for at least three hours before going to bed.

• Avoid foods or beverages that seem to trigger GERD symptoms. Examples of common dietary triggers include fried foods, fatty foods, garlic and onion, tomato sauce, alcohol, and caffeine.

• Avoid wearing tight-fitting clothes.

Certain over-the-counter and prescription-strength medications can be helpful in managing heartburn symptoms, as well. However, you should consult with your physician before taking any medication to ensure it will be both safe and effective for you and won’t have any harmful interactions with other medications you may be taking.

Like Josh, most GERD sufferers find symptom relief with over-the-counter or prescription-strength medications and lifestyle changes. However, if this conservative approach is not effective, your doctor may recommend one of several different surgical procedures that can be performed to prevent stomach acid from refluxing into the esophagus. ❦

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Healthy Living News | November 2020 13

A WALK IN THE PARK

Otherwise mature adults can regress to their days as kids in the back seat constantly repeating the immortal question. So, if four days seems like too much to swallow, how would you react to the idea that it takes us about five or six weeks? But it takes that long only because Shirley and I avoid the most direct route by going due south to reach better weather as quickly as possible. Then we hit the pause button several times along the way. For us, the journey itself is the destination. You may think of 2,000 miles as a long, long trip, but we think of it as a series of connected mini-vacations.

Where and how you travel is a reflection of personal preferences.

We like wildlife. Some get nervous just thinking about bears and snakes and gators. Oh, and spiders. We like historic sites that might bore you out of your mind. We seek quiet seclusion way back in the mountains, but you might be more comfortable socializing

The organ pipe cactus lives only as far north as southern Arizona. Even that is barely warm enough, so it favors south-facing slopes.

The Sunbelt Tour Part 1

by LeMoyne Mercer ONE OF THE most frequent questions we get is, “How long does it take to get to…?” Reasonable people want to know what they are facing before they commit to it. In recent years, we have spent the winters in Arizona, mostly at Organ Pipe Cactus Na-

tional Monument right smack on the Mexican border. So, how long does it take to get to Organ Pipe? The most direct route is 2,037 miles. But that is right through Blizzard Central.

Driving time would be about four days if there were no snow in the prairie or ice in the mountains.

For many people, the thought of four days on the road is daunting even without the snow and ice.

During the 2019 government shutdown when the campground was closed, we stayed right on the hardpacked sand beach on Padre Island.

Later joined by a dozen other RVs spread out over a mile.

with 87 of your closest friends. We like fly fishing, but you might prefer your trout sautéed with lemon-butter sauce rather than wriggling in your hand. We like sleeping in our own RV bed, but you might prefer to have housekeeping turn down the coverlet and leave a chocolate on your pillow. And even if you personally would like to take a shot at doing it our way, you may be married to someone who is much more reluctant. We have talked about our travels with more than one couple in which the conversation ended with happy anticipation on one face and rolling eyes on the other.

When our children and grandchildren leave after Christmas, we are heading for five days at Fort Pickens in Gulf Islands National Seashore near Pensacola. Shirley made reservations back in August hoping that we wouldn’t be locked down again this winter. Or, even worse for the folks down there, the hurricane season will shut things down. The campground normally fills between the holidays, so reservations are necessary even though we would prefer not to restrict our flexibility that way.

The attractions at Fort Pickens are the powder-sugar beach and the historic fort that guarded the entrance to Pensacola Bay from 1834 through WWII. Each morning, reveille echoes across the bay from the naval air station, and soon thereafter jets head out over the Gulf on training missions. The Blue Angels are stationed at Pensacola when not on tour. Five days at Fort Pickens

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Experience from the most experienced

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3:23 PM We love feedback. Like us on Facebook. Follow us on6/1/20 Twitter.

sand beach. This time we’ll probably stay a week or so before heading on west through San Antonio. In 2016, instead of that route, we went down from Corpus Christi to tour the King Ranch (about the size of New England) and then followed the Rio

Historic Fort Pickens guarded the entrance to Pensacola Bay from 1835 until the end of WWII. The coastal defenses in WWII were somewhat more sophisticated than this old muzzle-loaded cannon. is just long enough to decompress and adjust to much more pleasant weather. Actually, adjusting takes closer to five minutes than five days.

Next stop is Beaumont, TX just for the night. By the time we reach Houston the following morning, rush hour should be over and we can continue down the Gulf Coast to Corpus Christi and across the long bridge to Padre Island. Twice in the last few years we have arrived just when rangers and volunteers were releasing rescued Ridley’s sea turtles

Rescued sea turtles are returned to the surf by rangers and volunteers. back into the surf. In 2019, when Malaquite Campground was closed during the government shutdown, we parked right on the hard-packed

The Spanish mission we know as the Alamo is easy to find right in downtown San Antonio. Four others are spaced a day’s travel apart. On foot, that is. Minutes by car.

The historic King Ranch, about the size of New England, is still raising cattle and showing tourists how it is done.

Grande up to Langtry to visit Judge Roy Bean’s saloon/courtroom. Bean was the self-proclaimed “Law West of the Pecos.” You may recall Walter Brennan’s portrayal in The Westerner starring Gary Cooper.

The original Jersey Lilly Saloon run by Judge Roy Bean was much cruder than it looks in the movies.

In 2021 we are planning on the Fort Stockton Walmart where RVers are welcome to overnight. Walmart Supercenters have security cameras for our peace of mind, and we restock our pantry in appreciation for the hospitality. We resisted the Walmart option for years even though several hundred RVers had tried to convince us it was safe, convenient, and free.

About 150 miles south of Ft. Stockton is Big Bend National Park. It takes its name from the long curve in the Rio Grande that gives Texas its distinctive shape. We may stay several days to a week. There are great hikes and wildlife ranging from roadrunners to javelinas. We are especially fond of walks out to the Window, back into Santa Elena

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having supper and/or breakfast. If you are nervous about the COVID, they will bring your meal out to the RV. Cracker Barrels have smaller parking lots and, therefore, tend to be quieter than Walmarts. You may have noticed the designated RV parking spaces behind the restaurants.

Then it is Rt. 9 due west across southern New Mexico to Rodeo and south to Cave Creek Canyon near Portal, AZ on the state line. The

The trail along the Rio Grande back into Santa Elena Canyon follows the cliff face until there is no longer any place to put your feet.

Canyon, and up a bluff overlooking the river just before sunset. The Lost Mine Trail was a disappointment. It’s a long, steep climb, and we never did find the mine.

From the Bend, it is on to El Paso where our goal is to get through town before the evening rush hour.

At exit 11 on I-10 is a Cracker Barrel where RVers are also welcome to park overnight. We say thanks by

Cave Creek Canyon near Portal, AZ, is one of our favorite stops on the way to Organ Pipe. narrow canyon has impressive sheer cliffs and tall rock spires, but, at 5,000 ft. elevation, January nights can dip n

A Walk in the Park - continued on p16

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Healthy Living News | November 2020 15

A Walk in the Park - continued from p15 into the 20s. The RV furnace is appreciated. Also appreciated is Jane, the personable camp host who, before she retired, lived in Bowling Green, Sylvania, Delaware, and Cleveland. Now she just chases the sun and scenery as a volunteer camp host. The high canyon walls block the early morning sun, so it can stay quite cool until after 9:00.

Shirley will perk a second pot of coffee as consolation. How long we stay will be determined by the weather. Narrow desert canyons with streams running through are prone to flash flooding, so attention must be paid.

The next stop is Whitewater Draw to see overwintering flocks of waterfowl: 30,000 or so sandhill cranes plus snow geese, various ducks, song birds, and the occasional harrier hawk.

Officially, we are not “birders.” Unofficially, 30,000 of any kind of animal is rather impressive. In mid-afternoon the cranes begin arriving in flocks of a dozen or so at the small, shallow lake where they spend the night out of the reach of predators. In the morning, though, it is as if the work whistle blew and they all jump up to leave at the same time to feed in neighboring corn fields. (Yes, corn in Arizona.) The really big show is n

The saguaro is the most recognizable of cactuses—even for people who can’t pronounce it. The national park dedicated to its preservation is at Tucson.

Gilbert Ray is Old Tucson Studios, a set for movie and TV Westerns. They stage gunfight shows and movie stunt demonstrations as well as performances by Can-Can dancers. (As in Tombstone, we don’t visit such places, but huge numbers of tourists seem to enjoy them.)

If you are interested in the real old Tucson, take a walking tour of the Presidio district where the city originated in 1775. In addition to both units of Saguaro NP, we recommend the Desert Museum, which has all kinds of exhibits with a special focus on wildlife in natural habitats. There are large enclosures to give the animals plenty of room to roam behind natural-looking stone walls and moats. We always visit the spectacular San Xavier del Bac Spanish mission on the nearby Tohono

at dawn. We might stay two nights.

On through Tombstone to Tucson where Saguaro National Park has two units east and west of town. Neither unit has a campground, so we stay two or three nights at Gilbert Ray CG in Tucson Mountain County Park. It is just over Gates Pass from the city, but the intervening mountain ridge makes it feel secluded. Very close to

We visit San Xavier del Bac on the Tohono O’odham Indian Reservation every time we are in Tucson.

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O’odham Indian reservation. After Mass, we’ll have some Indian fry bread fried by real Indians—not the Old Tucson pretend kind. We share a savory red chili Indian taco and the sweet honey-cinnamon version before shopping at the reservation co-op farm store.

About 150 miles west is our ultimate destination. Organ Pipe is in the Sonoran Desert—the green desert—where the columnar cactus reaches the northern-most extent of its range. There is an amazing diversity of plant and animal life that totally destroys preconceived notions about dull, brown, boring desert environments. Organ Pipe is simply gorgeous when various cacti and desert wildflowers are in bloom. Wildlife ranges from coyotes to good ol’ Bob the resident bobcat and birds such as Gambel’s quail, phainopeplas, cactus wrens, Gila woodpeckers, and Harris’s hawks that hunt in packs like wolves. Sunrises and sets in the Arizona desert are

simply phenomenal.

Sometimes, though, even Organ Pipe is not quite far enough. Twice we have continued on up to Lake Havasu City to see London Bridge (Really. It was disassembled in London and reassembled there). Then to Hoover Dam and Lake Mead near Las Vegas for a couple days before reaching Death Valley.

On the first trip we toured Scotty’s Castle, the opulent winter vacation

The desert gold of the Super Bloom in Death Valley is not quite what the ‘49ers had in mind. home of Albert and Bessie Johnson.

Walter Scott, known as Death Valley Scotty, was an eccentric miner full of tall tales (i.e., he was a con man) who befriended the Johnsons. In their absence, he claimed that he had built the Castle with the proceeds of his secret gold mine. In Oct. 2015, it was nearly destroyed in a flash flood of biblical proportions—i.e., about an inch and a half of rain. The Castle was scheduled to be restored by 2021, but that estimate was pre-COVID. The good news is that the rain and flash flood that caused so much damage also brought on a rare and spectacular Super Bloom of desert wildflowers a couple months later.

Thousands of acres of unexpected flowers in Death Valley is a particularly stunning and memorable sight. We spent four days there and returned to Organ Pipe via Joshua Tree National Park because, as you understand by now, we try to return by a different route in order to maximize the experience.

After a month or six weeks at Organ Pipe, it will be time to think about heading home. Next month I’ll tell you how we make the long road home just another walk in the park by finding still more places to pause on the return trip.

LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com.

Please leave comments on the site. ❦

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UTMC: open for you THE UNIVERSITY OF TOLEDO MEDICAL CENTER (UTMC), the University’s community-focused teaching hospital, has been the topic of much community debate over the last several months. UToledo leadership, including the University Board of Trustees, has worked tirelessly the last several years to stabilize UTMC. As the only remaining independent hospital in our community, UTMC faces significant challenges as market shifts in healthcare favor large, corporate health systems.

And yet, UTMC has a unique and vital role in Toledo.

Located on UToledo’s Health Science Campus, UTMC provides high-quality patient care and clinical learning experiences for some 200 healthcare learners from the University’s Colleges of Health and Human Services, Medicine and Life Sciences, Nursing, and Pharmacy and Pharmaceutical Sciences. In the past, UTMC had been the University’s primary clinical training site, but because of its small size, there has always been the need to partner with other healthcare entities to provide enough learning opportunities for our students.

“UTMC is an exceptional clinical learning site for our University,” said Interim UToledo President Gregory Postel. “We’re preparing the next generation of health professionals in the fields of nursing, respiratory care, pharmacy, occupational therapy, and medicine. These learners will soon be the healthcare leaders our region needs.”

While the hospital is best known for specialties like orthopaedics, cancer treatment, kidney transplant,

and behavioral health, UTMC also provides critical care for the Toledo community through the hospital’s emergency department and primary care physicians. In an effort to enhance and expand services that are critically needed in the Toledo community, the hospital is exploring new and expanded partnerships with the Toledo Clinic, Veterans Affairs, and the Lucas County Mental Health Board and will continue its close working relationship with the University of Toledo Physician group.

The hospital recently announced a three-year partnership between the Eleanor N. Dana Cancer Center at UTMC and The Toledo Clinic Cancer Centers to expand services and oncology resources to residents of northwest Ohio. The arrangement creates collaboration between physicians, shared services, research, and clinical trials.

The hospital’s primary care physicians are ready and able to help you and your family. Whether you need a well-child visit, an annual

Toledo Clinic - continued from p7 located at 4126 N. Holland Sylvania Road, Suite 105, also provides imaging, laboratory, chemotherapy and IV services. The cancer center consists of 7 medical and 2 radiation oncologists along with 8 nurse practitioners and 4 research nurses. The cancer center also has satellite centers in Maumee, Napoleon, Bowling Green, Wauseon, and Monroe.

The Toledo Clinic Cancer Centers has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National Committee for Quality Assurance. Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience. They are the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition.

For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦

physical, treatment for a sudden illness, or ongoing care for a chronic condition, your primary care provider is an important part of your circle of care. Familiar with your health history and ongoing health needs, a primary care provider from family or internal medicine should be your first call for general health concerns.

They can diagnose current ailments and prescribe a course of treatment to get you on the road to good health

Blood pressure on a roller coaster?

n

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and continued wellness.

UTMC’s Emergency Department continues to treat heart attacks and strokes, as well as other acute care needs, such as severe abdominal pain, breaks, sprains and severe cuts that need stitches, and provides on-site access to specialists in cardiology, infectious diseases, general surgery, neurology, and orthopaedics, just to name a few. UTMC’s team of board-certified emergency physicians, trauma surgeons, registered nurses, and other specially trained staff can provide immediate treatment of any medical or surgical emergency.

“Our hospital is open and ready to care for you and your family. We are grateful for the support of our entire community and our patients who have trusted us with their care,” said UTMC CEO Rick Swaine. “If you or your family needs medical care, our outstanding primary care physicians at the Comprehensive Care Clinic are ready to care for you.

And while I hope you don’t need it, we’re also here for you in the event of an emergency.” ❦

Call us – your primary experts.

Call 419.383.4000 for an appointment. Telehealth options are available! utmc.utoledo.edu/primarycare @utoledomedicalcenter @UTMedCenter

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9/18/20 1:20 17 PM Healthy Living News | November 2020

Winter Running Tips

by Amanda Manthey AS THE WINTER MONTHS APPROACH, running outdoors in cold conditions is not as appealing as the warmer months to many of us. Using these helpful winter running tips will make your workout safer and, hopefully, maintain your desire and commitment.

Cold and icy conditions are the ideal scenario for slipping and injuring a muscle or even breaking a bone.

It’s advisable to warm up indoors before you hit the pavement and to be especially vigilant if the conditions are icy or wet. When running in cold weather, warm up slowly and gently. Your muscles are cold and need a chance to warm up to prevent injury. Most wise runners use the winter season for maintenance runs. You are increasing your risk of injury if you try to do speed work in the severe cold.

Try not to run on icy roads and

opt for snow as this surface will provide you with better traction. If you must run in an icy area, think about putting spikes over your running shoes, but make sure you have proper instruction before hitting the pavement.

Choose the proper clothing to keep you warm and comfortable while still maintaining your performance.

Synthetic and breathable fabrics will wick perspiration away from the body to the outer surface of the garment where it can evaporate more easily.

You want to dress in layers with the layer closest to your body being a light-weight wicking fiber. Also, wear a warm hat when running in cold conditions. Approximately 40 percent of body heat is lost from the head, which affects the whole body’s circulation.

Cold weather running can be dehydrating. Make sure you do not reduce the amount of fluids you drink just n Dave’s - continued on p34

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. For more information on the following events, including any associated costs/fees, please visit davesraces.com.

Hero Hustle 5K Saturday, November 7-Saturday, November 14, 2020. Coronavirus, masks, and quarantines making you feel like you need to stretch your legs? Community Tissue Services (CTS) of Northwest Ohio and Life Connection of Ohio (LCO) are proud to present the seventh annual Hero Hustle 5K Run/Walk as a virtual event this year! The mission of the Hero Hustle 5K remains the same: to strengthen support, education, and recognition of organ, eye, and tissue donation in Northwest Ohio.

Red Kettle Relay, 5K, and Fun Run Saturday, November 7-Saturday, November 14, 2020. The Salvation Army of Northwest Ohio cordially invites you to participate in the 7th Annual Red Kettle Run. This event both promotes our Red Kettle campaign and serves as a kickoff for the Red Kettle season. This year we have decided for everyone’s safety to go entirely virtual with this race. This allows our participants to race on their own time, in their own neighborhood, and then submit their times digitally. This year we are pleased to again be working alongside Dave’s Running, who will help to provide participants with measures to meet their fitness goals.

Churchill’s Half Marathon Saturday, November 14-Saturday, November 21, 2020, 8:00 a.m. A scenic point-to-point course starting at Perrysburg High School. The course travels over rolling hills along the Maumee River, taking you through Perrysburg, Waterville, and Maumee and finishing at The Shops at Fallen Timbers.

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• Group training opportunities throughout the 16-week program (indoor, and out) • Coupons for shoes and gear at Dave’s Running Shop • Discounts to featured Dave’s races during the training program • Access to Medical and Physical Therapy professionals to keep you healthy, happy, and running!

Bring in this coupon and get • Social events to meet other runners • Weekly training emails explaining each week’s workouts as well as useful running and training tips

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Dave’s Turkey Chase 5K, Presented by ProMedica Saturday, November 21-Saturday, December 5, 2020, 8:30 a.m. The annual Dave’s Turkey Chase 5K, presented by ProMedica is the ideal Thanksgiving Day family fun run/walk. With media sponsor WTOL 11 in downtown Toledo, the event also includes a virtual Gobble Wobble and benefits Cherry Street Mission Ministries.

The event starts on Summit St. at WTOL 11, heads passed 5/3 Field, onto Huron St. passing by the Huntington Center and continues across Cherry St, then back onto Summit St. to the finish along the Maumee River behind WTOL 11 studios.

WRC Virtual Turkey Trot 5K Thursday, November 26-Monday, November 30, 2020. Our 2020 race, the 10th annual, is virtual, but we encourage participants to walk, run, or crawl a 5k during Thanksgiving Week. Participants could even bike, drive, or sit in a La-Z-Boy during our traditional Thanksgiving morning race time. But we hope that WRC Trotters will pick a favorite course or use the official Turkey Trot course and submit photos of the experience using #WRCTurkeyTrot5K. 23rd Annual Turkey Trot Thursday, November 26, 2020. Virtual four-mile fun run or fun walk. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Runny nose turned into a green meanie?

Call us – your. primary experts.

Sniffles, common colds, sinus infections and the flu can quickly escalate to more severe respiratory infections and health complications. Your primary care provider can help you understand the differences between cold and flu and update your vaccines to stay healthy.

Build a relationship and start a conversation about your health needs with your primary care provider at The University of Toledo Medical Center.

Start a conversation today, 419.383.4000. utmc.utoledo.edu/primarycare @utoledomedicalcenter @UTMedCenter

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Healthy Living News | November 2020 12/13/19 9:02 19 AM

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be serious—even deadly. In fact, the Centers for Disease Control and Prevention (CDC) estimates that from October 1, 2019 through April 4, 2020, there were between 39,000,000 and 56,000,000 flu illnesses, between 410,000 and 740,000 flu hospitalizations, and between 24,000 and 62,000 flu deaths in the US.

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However, with the proverbial ounce of prevention—an annual influenza immunization—you and your family can avoid falling victim to the flu as well as help minimize its spread to others who may be especially vulnerable.

What exactly is the flu?

The flu is a contagious respiratory illness that spreads in one of two ways.

The more common mode of transmission is when someone infected with influenza sneezes, coughs, or talks and produces airborne droplets that enter the mouth or nose of a healthy person nearby. It’s also possible to get the flu by touching an object or surface (e.g., a doorknob or countertop) that is contaminated with the virus and then touching your own mouth, nose, or eyes.

Symptoms to watch for include sudden onset of fever, muscle or body aches, headache, cough, sore throat, fatigue, and runny or stuffy nose. Symptoms may also include vomiting and diarrhea, but this is more common in children than in adults. Also, it’s important to note that having the flu doesn’t necessarily mean you will exhibit all these symptoms simultaneously.

According to the CDC, complications of the flu can include bacterial pneumonia, ear infections, sinus infections, dehydration, and worsening of chronic medical conditions, such as congestive heart failure, asthma, or diabetes.

Who’s most at risk?

In addition to people with the chronic medical conditions just noted, those at greater risk of developing flu complications include the elderly, the young, and pregnant women.

While otherwise healthy people who don’t fall into the high-risk category are less susceptible to serious complications—and, hence, might be tempted to forego getting vaccinated—it’s important to keep in mind that they can still spread the virus to vulnerable members of the population, putting them at risk of serious complications.

It’s also worth noting that it’s not always the elderly who are hardest hit by the flu. For example, approxn

Influenza - continued on p21

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For accommodation of persons with special needs at meetings, call 567-277-0337, TTY 711. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. © 2020 UnitedHealthcare Services, Inc. All rights reserved.

Y0066_21SPRJ55537_C SPRJ55537 For accommodation of persons with special needs at meetings, call 567-277-0337, TTY 711. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare002E81AE

Influenza - continued from p20 imately 90 percent of the more than 12,000 deaths caused by the 2009 H1N1 pandemic were among people younger than age 65. n

The flu vaccine The CDC recommends an annual influenza vaccination for everyone six months of age and older with any licensed, age-appropriate flu vaccine. The flu vaccine causes antibodies to develop in the body approximately two weeks after vaccination. These antibodies provide protection against infection with the flu strains contained in the vaccine, which are those that health experts anticipate will be most common in the current flu season.

But the flu season has already begun. Isn’t it too late to get vaccinated?

According to the CDC, flu activity usually peaks in January or February but the season can begin as early as October and extend as late as May. Just because the season may already be underway doesn’t mean it’s too late to get vaccinated. You can still protect yourself—and others around you—by getting a flu shot as soon as possible.

Who should get vaccinated?

As mentioned, the CDC recommends influenza vaccination for all people age six months or older with very rare exceptions. Vaccinations are especially important for children and the elderly; anyone age 50 years or older; those at risk of complications from the flu, such as pregnant women, people with asthma, diabetes, or other chronic illnesses; people with a weakened immune system; those who live or work in nursing homes, hospitals, or long-term-care facilities; students living in dormitories; and anyone planning to travel or spend time in crowded conditions during flu season.

Those who shouldn’t be vaccinated include children under six months of age and people with severe, life-threatening allergies to the flu vaccine or any ingredient in the vaccine, which might include gelatin, antibiotics, or other ingredients. ❦

Do you know the symptoms of Alzheimer’s?

AS WE GET OLDER, it’s normal to become more forgetful. Recollecting the name that goes with a familiar face, finding the right word in conversation, locating a misplaced set of car keys, or recalling the reason for entering a room can become more challenging with age. Oftentimes, people describe these common memory lapses as “Alzheimer’s moments.”

But it’s critical to distinguish between typical age-related forgetfulness and the symptoms of Alzheimer’s disease—a progressive, degenerative neurological disorder.

Recognizing and heeding the early warning signs of this devastating form of dementia can help affected people reap the greatest benefit from treatment, maintain their independence longer, and take a more active role in planning for their future care and support.

Here are some common Alzheimer’s warning signs to watch out for: Persistent and progressive memory loss In contrast to normal age-related memory lapses—such as temporarily forgetting the name of an acquaintance—Alzheimer’s-related memory loss tends to be more persistent and troubling and becomes worse over time. Some signs to watch for include forgetting recently acquired information; forgetting important dates, appointments, or events (and not recalling them later); repeating the same questions or comments over and over; misplacing possessions in peculiar locations; and forgetting the names of loved ones or everyday objects.

Problems with speaking or writing Beyond simply struggling to find the right word from time to time, people with Alzheimer ’s may develop more profound difficulty with vocabulary in speech or writing. They may have a hard time joining or continuing a conversation, identifying or giving the right name to common objects (the Alzheimer’s Association provides the example of someone calling a watch a “hand clock”), and

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the stage of life they’re in. Also, spatial and visual disorientation associated with the disease can lead to a sense of confusion or being lost in familiar surroundings.

reading and writing. Similarly, they may develop problems with abstract concepts like numbers, which can lead to difficulty with balancing the checkbook, paying bills, and managing other aspects of finance.

Problems with familiar daily tasks People with Alzheimer’s typically experience greater and greater difficulty performing routine activities, particularly those that involve multiple steps, such as preparing a familiar meal, remembering the rules of a game, or using a familiar tool or appliance. As the disease progresses, even basic activities of daily living, such as bathing and dressing, may become difficult.

Time and place disorientation It’s perfectly normal as we age to have difficulty remembering the day of the week or month but then recalling what it is shortly thereafter.

People with Alzheimer’s, however, may lose the ability to remember the day, month, season, year, or even

design

Exercising poor judgment Alzheimer’s also has a negative influence on judgment and decision-making ability.

For example, someone with the disease might go outside in the middle of winter with bare feet and wearing only pajamas or walk across the street through heavy traffic instead of at a crosswalk. Or, someone who was once an astute money manager might begin to exercise poor financial judgment, such as giving away money that he or she needs to cover expenses or simply doesn’t have.

Mood and personality changes The havoc that Alzheimer’s wreaks in the brain can cause people with the disease to experience a range of emotional issues, such as anxiety, depression, fearfulness, or mood swings.

They may also withdraw from social situations they once enjoyed and exhibit behavioral changes, such as increased irritability, suspiciousness, or aggressiveness.

No Alzheimer’s patient is typical It’s important to be aware that no two Alzheimer’s patients experience the exact same symptoms in precisely the same order. If you observe any of the above symptoms in yourself or a loved one, don’t hesitate to schedule an appointment with a physician. ❦

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Take a fresh look at your fiscal and financial goals BUILDING A HEALTHY FINANCIAL LIFE is an important concern that everyone should address with diligence and care. Rather than being a one-time event, evaluating your finances—and ensuring you don’t lose sight of your goals—requires timely, purposeful attention.

Imagine, for example, if you went to the doctor, created a thorough and personalized health strategy, carefully stuck to the plan, and then didn’t have another appointment for five years. You might have felt as if you didn’t need to go for a checkup because your plan helped you make healthy life choices. However, the reality is that a lot can change in a very short period of time, such as medical advancements, new ailments, and more. Though you believed you were on the right path, you might have missed critical guidance and professional insight.

The same scenario applies to your financial life: your fiscal strategies and priorities evolve with you, and they require ongoing oversight for your financial wellness. Crafting a thoughtfully designed strategy is

only the beginning of your financial journey. To make the most of your opportunities, you should revisit your strategy and financial goals at least once a year.

Address life changes Key question to answer: Have I experienced any major life events?

Your financial strategies should fit your life. So, if your life changes, your finances should change, too.

We recommend you talk to your financial representative about any events or experiences that might affect your financial priorities whenever they occur.

Revisit your estate plan Key question to answer: Does my estate plan thoroughly and accurately reflect my wishes?

Creating a clear, airtight estate plan is a powerful gift you can give your family. You should revisit your estate plan once a year to make sure you have clearly shared your wishes, designated your beneficiaries, and protected your assets.

FUN DOESN’T

RETIRE

Analyze your tax liabilities Key question to answer: Have changes to tax laws or personal circumstances affected my tax liabilities?

Even the most tax-efficient financial strategy still needs regular review to ensure it reflects current laws and your evolving life. By keeping up with the changing tax momentum—and revising your strategies as needed—you can help mitigate unnecessary tax liabilities and better preserve your assets.

Review your retirement savings Key question to answer: Am I saving enough to comfortably retire when I desire?

Pursuing a satisfying, financially secure retirement is an important goal for many investors. Each year, you should review your fiscal strategy and retirement plan to determine if you are positioning yourself for the retirement you desire—or if you need to make adjustments to get back on track.

Just like an annual checkup with your doctor, an annual review of your financial goals, priorities, and strategies is part of a healthy financial life. With this regular review, you’ll better keep your financial wellness in

A Perfect Place to Recover

Investment advisory and financial planning services offered offe through Planners Alliance, LLC, a Investment Investment advisory and financial planning services offered through by Advisory Alpha, LLC, a a SEC Registered Advisor.

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22 November 2020 | Healthy Living News

Please call 419-872-0204 for a complimentar y consultation to review your individual situation.

Investment advisory and financial planning services offered through Advisory Alpha, LLC, a Registered Investment Advisor. Insurance, Consulting, and Education services offered through Citizen Advisory Group.

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I rehabilitated after knee surgery at Rosary Care because I don’t have anyone at home to help me.

My room was private with a bathroom – and it was clean!

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Hunger and bread

by Sister Mary Thill WHAT A STRANGE THANKSGIVING CELEBRATION we will have this year, the year of the Covid-19 pandemic. I think many of us hoped that things would have returned to normal by this time, and it looks as if that won’t happen for several months into the new year. Do we really want to observe this cultural holiday after all we’ve been through? What do we have to be thankful for anyway?

Let me count the ways.

As I write this article, I am viewing the most gorgeous maple tree in full autumn colors and my soul can only rejoice in its beauty and thank God for my eyesight and the fact that I live here and have seen this magnificent sight grow ever more beautiful for several days now. Autumn has always been my favorite season, but this year it seems to have special meaning to me. Perhaps I have become more aware of such beauty because of so many challenges confronting us these last several months.

As I reflect on the connection between hunger and bread in our world today, I am struck by Gandhi’s remark that feeding my brothers and sisters is one way that God shows God’s presence to them. When I see people around me collecting food for the food bank, for shelters, for soup kitchens, I am grateful that even when we may have our own problems, we can still reach out to others who we feel have needs greater than our own. God seems to depend on our generosity, but it is often when we give and share with others that people sense there is a God and that God is watching over them.

Sometimes I feel overwhelmed when I hear about and see for myself the numbers of people in our world, in our country, in my state, in my city who are in need of food and other necessities. I am grateful for St. Mother Teresa’s words of wisdom that help me realize what it is that I can do for even one person. In this

There are people in the world so hungry, that God cannot appear to them except in the form of bread. +Mahatma Gandhi If you can’t feed a hundred people, then feed just one. +St. Teresa of Calcutta You pray for the hungry.

Then you feed them.

That is how prayer works. +Pope Francis time of quarantine for our elders, I can easily reach out to one person in our nursing home and help her get what she needs to make her life comfortable and a little less lonely.

The gratitude she expresses is even more precious and meaningful and helps me to see that I can still make a difference in someone’s life.

It is Pope Francis’s wise words that help me put into perspective the connection between my spiritual life and the physical world in which I live. In these trying times, I have certainly prayed for the hungry. I pray that the bread we need will be there for us each day and the next, and I am particularly grateful for the essential workers, the bakers, who often rise early and make the many delicious and nourishing breads that feed our bodies and our souls.

Let’s take some time to reflect on just what it is we can be grateful for this Thanksgiving and see how we can be the bread for others, the one who helps others see God in the meal we prepare for them, the one whose prayer led them to feed others.

Blessings to all those who will reach out in new and creative ways to feed the hungry this Thanksgiving Day! Sister Mary Thill is a Sylvania Franciscan Sister. She is recently retired from Mercy Health – St. Vincent Medical Center and looks forward to being and doing in a new time and in new ways. ❦

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Healthy Living News | November 2020 23

by Laurie Syring, RD/LD THE MONTH OF NOVEMBER has been designated National Diabetes Month, a topic close to my heart as my dad had type 1 diabetes and now my son has type 1 as well. Although type 2 diabetes is much more prevalent and more of a lifestyle-related disease, it is still an impairment of the pancreas that prevents it from secreting adequate amounts of insulin into the bloodstream where it helps the sugar from food enter the cells where it is used for energy.

How prevalent is diabetes? The numbers are staggering! One in ten Americans has diabetes, and another 84 million are at risk of developing type 2 diabetes. So, this month’s column is dedicated to raising awareness of this illness, promoting healthy living, and reducing the risk factors for developing diabetes.

In terms of risk factors for type 2 diabetes, one of the biggest is obesity.

Fortunately, this major factor is modifiable—it can be controlled and improved through proper diet and physical exercise. For most people with type 2 diabetes, weight loss can also make it easier to control blood glucose and offers a host of other health benefits.

EATING WELL Adopting a diabetes-friendly diet Today we’re going to focus on a “diabetic diet.” Although the American Diabetes Association doesn’t prescribe one particular diet, they do recommend choosing an eating plan that is healthy and well balanced with carbohydrates. The right diet for a diabetic is one that focuses on three key elements—eating moderate amounts of food, making healthy food choices, and establishing routine mealtimes.

A diabetic diet is a healthy diet, rich in nutrients and low in fat and calories. The main foods are fruits, vegetables, and whole grains. As regular readers of this column know, this healthy way of eating isn’t just good for people who have diabetes or want to lower their risk of developing the disease, but for the whole family as well.

Right about now, many of you are

24 November 2020 | Healthy Living News

probably thinking, “What about carbs?”

Carbohydrates (sugars, starches, and fiber in food) raise blood sugar levels faster than protein and fats do. In fact, they have the biggest effect on blood sugar. Nonetheless, your body needs them. Eating carbohydrates in a meal along with fats and protein actually curbs the rise in blood sugar after a meal. So, the goal isn’t to exclude carbs. Rather, it’s to aim for a variety and consistent intake of carbohydrates.

What does this look like in practice? For breakfast you might choose a high-fiber carbohydrate along with lean protein and “good” fat, e.g. whole-grain toast and an egg-white omelet with spinach, broccoli, and tomatoes made in a little olive oil.

For lunch, follow the same concept of combining high-fiber carb with

lean protein and healthy fat, such as a turkey wrap made with a wholegrain, low-carb tortilla, roasted turkey meat, part skim cheese, lettuce, and tomatoes.

Likewise for dinner, you could choose quinoa, grilled or baked fish, and a sensible amount of olive oil, olives, or avocado with the fish.

For a healthy snack, choose fresh vegetables and hummus, a packet of tuna with six whole-grain crackers, an apple with peanut butter, or popcorn.

Are you seeing the pattern here?

Make healthy choices at routine(ish) times.

Contrary to popular misconception, eating healthy and balanced meals when you have diabetes and are trying to work on your weight doesn’t mean you can’t eat foods that taste delicious. I always tell my patients, “The proof is in the pudding,” so to speak. By checking your blood sugar one to two hours after a meal, you can find out if what you’re eating is just right or too much. Tracking your blood sugar from meal to meal will reveal which foods and combinations of foods work best for you. Of course, if you have diabetes, you should be consulting with your doctor and a n

Eating Well - continued on p25

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Why it’s vital to know your family health history WHEN FILLING OUT those extensive medical questionnaires or talking with your healthcare provider during routine medical visits, you’re invariably subjected to a battery of questions related to your family health history.

Answering this line of questioning with any degree of accuracy can be

challenging to say the least. After all, in these hectic times, most of us have a hard enough time remembering what we ate for breakfast, let alone recalling hazy details like what health conditions Great Grandma had and how old she was when she developed them.

However, your doctor isn’t asking these questions to annoy you or trip you up. He or she is looking for valuable insights that can help determine your risk of certain diseases or conditions as well as help guide screening and care planning so you’re less likely to develop the problem in the first place or, if the condition does arise, it’s caught early on when treatment tends to be most effective. n

Which details are important?

If possible, your family health history should cover three generations of your family to include parents and grandparents, aunts and uncles, nephews and nieces, siblings, and children. Record details such as any known diseases or conditions (high blood pressure, heart disease, diabetes, cancer, Alzheimer’s, etc.), age of disease onset, and ethnicity. For individuals who have passed away, record the cause of death and age at death.

Also, give special consideration to the following key features identified by the National Institutes of Health: • Diseases that occur at an earlier age than expected (10 to 20 years before most people get the disease) • A disease occurring in more than one close relative • The occurrence of a disease that does not usually affect a certain gender (for example, breast cancer in a male) • Certain combinations of diseases within a family (for example, breast and ovarian cancer, or heart disease and diabetes).

What can your doctor do with this information?

Your family health history is vital n

Health history - continued on p29

Eating Well - continued from p24

dietitian to help with your eating plans and medications.

So, what I hope you’ll take away from this article is that you can help keep your blood glucose level in a safe range by making healthy food choices and tracking your eating habits.

Guidance is available out there if you need it. Though the American Diabetes Association doesn’t promote any one diet, they do promote the MyPlate method (www.choosemyplate.gov), which recommends filling half your plate with fruits and vegetables, a quarter with lean protein, and the other quarter with whole grain. Other diets, including Carbohydrate Gram Counting and the Mediterranean diet, have also been found helpful in controlling blood glucose.

Whatever diet you choose, choose what will work for you. Find healthy substitutions for your favorite foods, learn to enjoy the taste of eating right (well?), and, of course, get a 30-minute dose of exercise every day.

Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. â?Ś Connect with our advertisers via our online issue at hlntoledo.com

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by Sister Karen Zielinski, OSF “SLEEP IS THE best pill you can take for what ails you,” said my now-retired neurologist when I told him that my injectable medications were causing muscle pain. I wondered if he could prescribe a medication for it.

He also gave me a number of other simple and practical non-pill directions for feeling better. When I told him my feet and legs were often ice cold, he said, “Wear socks.” When I told him I was drinking lots of water every day and was so frustrated when I needed the bathroom often, he told me to drink water, but perhaps drink a little less and see if it cuts down on my visits. I did, and it did!

The point is, as many of us know by our own experiences, healing can come to our overall health in many ways—not just a new pill or procedure.

So, when I grew to understand how my MS worked in my body, I had more knowledge and control over it. I learned to take a deep breath and be practical, doing simple things to improve the quality of my everyday life.

When I was frustrated when my legs were weaker than usual, I went

n body’s perfect

Simply natural medicine outside for a little while, whether it was to empty the trash, get something from the trunk of my car, or drink a cup of coffee sitting by a tree. Nature and all of creation can be therapeutic. I felt a little more relaxed when I came back to the house.

My co-worker and friend Kathy knows how to tap the therapeutic value of the natural world. She shared what she had been doing with the outdoor world. She saw the phrase, “Metroparks—now more

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than ever!” on an ad that came in the mail, a reminder of the upcoming park issue on the November ballot.

Kathy has always been attracted to the Metroparks and their ever-expanding variety of natural delights in the Toledo area. But, somehow, the busyness of life made her unlikely to venture out on her own to explore.

Last December, when she had a birthday looming, she told her adult children that all she wanted from them was a promise to accompany her on Metropark adventures during the coming year. So, one by one, they picked a park destination and wrote a cute rhyme explaining why they were choosing which park (dates TBD). She was thrilled!

In May, Daughter #1 took Kathy to Bend View Park near Waterville.

After a refreshing woodsy trail trek— including a panoramic view of the bend in the Maumee River—they went on to have lunch and enjoy some Waterville highlights.

In July, Daughter #2 and family took her to Middle Grounds Park near downtown. There they took a leisurely summer stroll, picnicked, watched boaters and fishermen, and enjoyed the unusual perspective of the High Level Bridge from below.

In September, with Son #1 and family, she set out for Fallen Timbers Battlefield, only to learn it was closed that day. They rerouted and went to Side Cut, where they hiked and enjoyed a picnic lunch. The close-up river views were great; the shallows almost made them want to go wading! They later went on to Toledo Botanical Gardens, where they enjoyed the herb garden, gazebo, and other beautiful garden structures of wood and

stone. They played in the “secret garden” playground.

Recently, on a warm, sunny October Sunday, they embarked with Daughter #3 on a trip to Secor Park. They took a leisurely walk in the woods, enjoying early fall colors and picking up (green) black walnuts. She was interested in the historic Wolfinger cemetery but will have to save that for another day, as the grandchildren (3, 6, and 8) were much more drawn to the fun playground.

Son #2 has promised a trip to Oak Openings and the sand dunes there. Kathy is looking forward to that sometime before her next December birthday. There are many more great parks to explore—and she thinks she will get there “maybe next year!”

I saw Kathy after she returned from one of her park adventures.

She seemed peaceful, energized, and rested. It was as if she just returned from a vacation.

Spending time outdoors, even on your porch or in a park or cafe, can be healthy. The beauty of a warm sun, colorful trees, and scents of grass and leaves are medically healing.

Our blood pressure can go down, we are less depressed, and we are in the most natural doctor’s office.

We are living creatures. We are a part of our wonderful created world.

Spending time in our world does not cost a lot and can often distract us from anxiety over the challenges of our lives. A good challenge for each of us might be to try to start small and get out of the house. Our health and well-being can improve by things that are not medications. A pill does not solve every health problem. A dose of outdoors can be healing.

It’s just what the doctor should order.

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. ❦

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The Devil and Mrs. Jones Part 7 Mrs. Jones’ facility resumes indoor visitation

by Chris Stieben MRS. JONES HAS BEEN ABLE TO SEE HER FAMILY PERIODICALLY due to the implementation of outdoor visitation. At times her assisted living had to pause the visits due to smaller outbreaks of COVID-19 in the community and among staff and residents.

Now, with the new Centers for Medicaid and Medicare Services guidance, and guidance from the Ohio Governor, facilities are now starting to do indoor visitation. The new guidance relies on the same

to a home is struggling with their change in environment and lack of physical family support.

2. A resident is grieving after a friend or family member recently passed away.

3. A resident needs cueing and encouragement with eating or drinking and is experiencing weight loss or dehydration.

4. A resident who used to talk and interact with others is experiencing emotional distress, seldom speaking, or crying more frequently.

While this is a great step forward, there are still some restrictions in place. However, this is an important step towards re-introducing normalcy to residents and their families while enabling them to stay safe as we manage and navigate the challenges posed by COVID-19.

If you have questions about your options for visitation with your family, please give us a call. Again, a perfect solution that pleases everyone has not been found, but together we can work through barriers to help

one another and ensure residents are supported. The ombudsman program can be reached by calling 419-259-2891. If we can’t answer your live call, please leave a message with your name and contact number so that we can follow up with you and talk about your experiences.

Chris Stieben is Director of the ABLE Long-Term-Care-Ombudsman Program, which can be reached at 419-259-2891 (http://ombudsman.ablelaw.org). ❦

criteria as the outdoor visitation with additional reporting requirements for the facilities. The guidance for outdoor and indoor visitation now takes into account the following: 1. Case status in the surrounding community 2. Case status in the home(s) 3. Staffing levels 4. Access to adequate testing for residents and staff 5. Personal protective equipment supplies 6. Local hospital capacity.

In addition, new to the visitation rules are options for “compassionate care” visitation. This enables families to secure indoor visitation with their loved ones based on decline that the resident experiences. The following are examples of times that a compassionate care visitation may be appropriate: 1. A resident who was living with their family before being admitted Connect with our advertisers via our online issue at hlntoledo.com

Healthy Living News | November 2020 27

by Jean Schoen WHAT IS A CAREGIVER? Wikipedia’s definition is “a paid or unpaid member of a person’s social network who helps them with activities of daily living.” Caregiving is most commonly utilized to address impairments related to aging, disability, a disease, or a mental disorder.

Being a caregiver usually creeps up on you. At some point you realize you have made a commitment to take care of someone else. Often it is triggered by a major health event, such as cancer.

It can be difficult and stressful. Life as you know it stops, and all your energy is invested into caring for your loved one. Before you realize it, caregiving has become your new career and you adjust to a new normal.

However, caregivers play other roles as well. You may have a job, children to raise, a spouse, or other family commitments. The addition of caregiving to that list can easily lead to frustration and exhaustion.

You are rarely trained to do the broad range of tasks required of caregivers.

If you find yourself in a caregiver role, you will be more successful if you learn to take care of yourself.

Some things to remember:

CANCER CONNECTION IN OUR COMMUNITY

Let’s celebrate National Family Caregivers Month • You cannot be perfect.

• You have a right to all your emotions.

• Depression is the most common emotion of long-term caregivers.

• Set realistic expectations—for yourself and your loved one.

• Lean about the disease and what you can expect.

• Learn the skills you need to safely care for your loved one.

• Lean to say “no” to the things that you cannot do.

• Learn to accept help from others.

1 28ad_healthyliving_1020_half.indd November 2020 | Healthy Living News

• Identify your stressors and the coping skills needed to deal with these stressors.

Caregiving is often a 24/7 job, and everyone needs a break sometimes.

Getting away, even for a short time, can give you perspective and remind you that there is a world out there.

Taking a break can give you a chance to connect with others, share, laugh, catch up, and renew yourself. It can also be a time for just doing things that are relaxing for you, such as reading, taking a nap, or going for a walk. Breaks are a necessary step in

taking care of yourself so that you are better able to care for someone else.

Remember, you can’t do it alone!

It’s vital to ask for help and obtain support for your caregiving situation.

The longer you are a caregiver, the more isolated you can become. A lack of social interaction can lead to a decline in your own health. The only way to be successful over time is to honor your own needs as well as your commitment to caring for someone else.

Caregiving is the most difficult job I have ever had, but also one of the most rewarding.

The month of November is an opportunity to recognize, support, and empower those who do so much.

Look around and take note of those you know who have taken on this role.

To all of you caregivers—thank you for all that you do! You are truly appreciated!

Jean Schoen is founder and president of Cancer Connection of Northwest Ohio, Inc. (419-725-1100). ❦

10/16/2020 11:49:07 AM

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The hurdles of mental health and social media use in the COVID-19 pandemic Netflix recently released a documentary called The Social Dilemma DEALING WITH THE COVID-19 that has shed light on the significant PANDEMIC over the last seven impact social media outlets can have months, we’ve found ourselves wading on us. Tristan Harris, co-founder of the Center for Humane Techthrough the murky waters nology, shared, “We’re [tech of loneliness, disconnection, companies] training and uncertainty, frustration, conditioning a whole new and loss. The face-to-face generation of people that human interaction that when we are uncomfortable once existed in our lives or lonely or uncertain or before March 2020 was afraid, we have a digital quickly ripped away and pacifier for ourselves. That replaced with a screen for is kind of atrophying our many of us. With these own ability to deal with increased feelings, our that.” In combining this tolerance level in handling knowledge of how social difficult interactions and media is created to pacify opposing views on sohuman weakness, loneliLeeann Beach, LPC cial-media platforms has ness, and uncertainty with decreased. We lack filters where we once enforced them, we the pandemic and our world’s unrest, start waging war on the words of we discover a recipe for destruction.

How do we navigate a world-wide others, and we dissect the dissopandemic and social media outlets nance between us and our friends and family we once thought were that sniff out our every thought, so aligned with us. The correlation feeling, craving, and action? Here between our current mental health are some helpful ways to approach and our social-media usage in this social media and our daily interactions (online or offline) in this season: time of the pandemic is alarming.

In August 2020, The Centers for Disease Control and Prevention Remember, you have a choice Yes, you may absolutely not have (CDC) reported on the impact that the COVID-19 pandemic is having a choice (or responsibility) for how on mental health, substance use, and someone treats you or responds to suicidal ideation. Responses were you, but you unequivocally have a collected from 5,412 adults age 18 and choice in how you respond to them. over during the period of June 24-30, Maybe that response is a call to action, 2020 for this report. It was found that or it could be a call to get reflective/ “40% of U.S. adults reported strug- introspective or to acknowledge gling with mental health (anxiety, your need to set a boundary and depression, trauma/stressor-related block those individuals. You are the symptoms, and suicidal ideation) or only one who has the ability to stop scrolling and trolling through your substance use.”

Additionally, the CDC found that social media site of choice.

10.7% of the respondents were seriously considering suicide within 30 days before completing the survey.

In addition, research Cigna has done annually on loneliness discovered that three out of five (61%) of the 10,000 adults surveyed reported experiencing loneliness, which Cigna subsequently called “epidemic levels.”

Take a break It is staggering to look at the results Bring mindfulness to your sofrom each survey, recognizing that cial-media usage. Most smart phones likely three out of five adults in the now have the ability to tell you how U.S. who already wrestled with an many hours you have spent on varelevated baseline of loneliness are ious apps. Look at those hours and experiencing further loneliness and determine whether that feels like a isolation throughout the pandemic, healthy amount of usage. Identify resulting in increased mental health the reasons you accessed your social concerns.

by Leeann Beach, LPC

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n

Health history - continued from p25

to your doctor for a variety of reasons.

The most obvious is that it can be used to help assess your risk of various diseases, including rare disorders and conditions he or she might not otherwise consider.

Another is that it can be used to help determine the appropriate type, timing, and frequency of diagnostic/screening tests. For example, the usual recommendation for individuals at normal risk of colorectal cancer is to get their first screening colonoscopy at age 50.

However, if one of your parents or siblings had colorectal cancer before age 50, your doctor might recommend that you begin getting screened at a younger age. Similarly, if you’re female and have a family history of breast cancer, e.g. in your mother or sister, your doctor might recommend beginning screening mammograms earlier than normal.

Family health history can also influence doctors’ recommendations with respect to lifestyle habit modifications that can help lower disease risk, referral to different specialists, risk-reducing medications or treatments, genetic testing/ counseling for children or siblings, and numerous other aspects of prevention and treatment.

Does family history equal medical destiny?

It’s important to understand that having a family history of a particular disease or condition does not necessarily mean you’re destined to develop it. Many fac-

tors beyond genetic predisposition can play a role in disease risk, and in some cases simply adopting a healthier lifestyle—avoiding smoking, eating healthier foods, exercising more, etc.—can reduce your disease risk. In other words, your family health history doesn’t equal your medical destiny. Being armed with this knowledge, and sharing it with your doctor and care team, can help you make the best possible medical and lifestyle choices from the standpoint of prevention.

How should you gather your family health history?

You can try to glean details from family death certificates and other records, but the best way to gather family health information is to have actual conversations with your loved ones. And what better time than Thanksgiving to converse with family members? In fact, Thanksgiving has been designated National Family History Day. You can then compile this information in hardcopy format, or you can store it in electronic format in, for example, My Family Health Portrait, a free, web-based app available at https://phgkb.cdc. gov/FHH/html/index.html.

Whatever format you use, be sure to share your family health history with your family members and healthcare provider, and update it promptly whenever you become aware of a new piece of information. ❦

media account to begin with that day (curiosity, boredom, habit, looking for connection), and identify tangible ways to meet those same needs without an electronic device in front of you. Give yourself permission to unplug and recharge in a different way.

Recognize that there’s more than meets the eye It is vital to remember that we’re only seeing one dimension of a person through their post on social media, and not the fullness of who they are.

We can’t always see what they’re struggling with, their desperation for significance and belonging, the offensiveness/defensiveness pouring out of a place that feels far too painful to pry open and process. We are merely seeing a one-dimensional representation of a four-dimensional person with a story that we may never have the privilege of truly knowing.

While simple, these steps are a powerful place to start in caring for our own mental health and the health of those around us.

Leeann Beach, LPC, is a Licensed Professional Counselor with The Willow Center and can be reached at 419-720-5800.

Sources: https://www.cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm https://www.cigna.com/static/www-cigna-com/docs/about-us/newsroom/studies-and-reports/combatting-loneliness/cigna-2020-loneliness-factsheet.pdf Orlowski, Jeff & Rhodes, Larissa. (2020). The Social Dilemma [Netflix]. ❦

Healthy Living News | November 2020 29

Healthy aging Part 2

fruits • Spinach and other green, leafy vegetables.

IN THE FIRST PART of the 20th century, the average life expectancy was only 45 years. Today the average life expectancy has increased to 78.6 years.

Our sense of control over our lives is the key in determining whether we just add years to our life or we add life to those years.

Many older Americans do not get enough vitamin B6, B12, and folic acid. Low levels of these vitamins raise homocysteine levels. Some studies have shown that elevated homocysteine levels increase your risk for cardiovascular disease. It’s also been shown that people with very low levels of these vitamins may experience mental deficiencies such as memory loss and disorientation.

Saturated fats are found in foods from animal products, such as wholeor low-fat dairy products and red meats. Concentrate on keeping your fat from saturated products as low as possible. Be wary of products containing trans-fatty acids, found in fried fast foods and packaged products, such as baked goods and margarine. It’s equally important to include some “good” fats (monounsaturated and polyunsaturated) found in nuts, seeds, avocados, fatty fish like salmon or tuna, and plant oils like olive and canola.

Calcium is an important mineral that most Americans, especially older adults, do not get enough of. Calcium, along with weight-bearing exercise, helps keep your bones strong. Try to get your calcium from food. If you have trouble getting enough calcium, which is primarily found in dairy products, almonds, some greens, and calcium-fortified foods, consult with your physician about taking a calcium supplement. Vitamin D, another vitamin that many older adults need more of, will help you absorb calcium and will help you reduce your risk for certain diseases.

Fruits, vegetables, and whole grains are the “Stars” of nutrition that will keep your energy up and your weight down. These foods provide fiber, which many studies report protects against some cancers and heart disease.

Emphasize a plant-based diet—these food choices have been proven to be easy to follow, can help with short- and long-term weight loss, are low in environmental impact, and reduce the risk of cardiovascular disease, some cancers, cognitive decline, and diabetes.

by Daniel J. Jachimiak, BA

Q:

Have you received a promotion for a free hearing screening?

Wondering what the difference is between a full diagnostic hearing test and the complimentary check?

A:

Two words: hearing loss. A screening only reveals whether or not you have a hearing loss. Typically, if you sign up for a screening, you already have an idea that you may have a hearing loss. While a screening may be a good first step in determining whether you have a hearing loss, it isn’t giving you an indepth diagnosis and will require you to make an additional appointment for a full assessment, diagnosis, and treatment with an audiologist. In other words, a screening is not a medical diagnosis and is not a substitute for a full evaluation.

A complete hearing assessment includes multiple tests that are performed by a licensed audiologist.

Essentially, an audiometric test assesses your ability to hear and the brain’s ability to receive and translate the sounds. The sounds begin as vibrations and evolve into sound waves. These waves travel at a certain frequency and amplitude. Eventually, the waves enter the ear and are turned into impulses, which are sent to the brain. The brain receives them and translates them.

A full hearing evaluation actually includes multiple assessments. Tests include otoscopy, air conduction, bone conduction, and immittance testing. The hearing test will include a tympanogram, which involves placing a small probe in the ear and assessing how well the eardrum and other structures in the middle ear function. Then, the audiologist will perform an acoustic reflex test. In this assessment, a probe is placed in the ear and a loud tone is emitted. The test looks at the reflex of the stapedius muscle; this is important because it’s assessing the protection the ear receives from loud noises, typically over 70 decibels. The assessment will

also evaluate your ability to hear and understand speech by having you repeat the words that you hear.

A comprehensive hearing test helps identify the three main types of hearing loss to identify the treatment route. The first type of hearing loss is called conductive hearing loss, which occurs when the sound has difficulty being conducted from the outer ear through the ear canal to the eardrum and the ossicular chain (the little bones in the middle ear).

Often this type of hearing loss can be treated medically.

Another type of hearing loss is called sensorineural hearing loss, which happens when there is damage to the inner ear (cochlea) or damage to the nerve pathway from the inner ear to the brain. Unfortunately, this type of hearing loss most of the time is permanent. The most common recommendation the audiologist will discuss with you will be to obtain hearing aids to help hear conversations louder and clearer.

The last type of hearing loss is called mixed hearing loss, in which a conductive hearing loss occurs at the same time as a sensorineural hearing loss. So, the damage may occur in the outer, middle, and inner ear at the same time, causing a mixed hearing loss. This type of hearing loss can be treated medically or surgically, but hearing aids may still be necessary.

It’s important to discuss with the doctor any hearing-related issues you have experienced. This can include any exposure to excessively loud noises or ringing in the ears. You may not realize that certain medications n Sound Advice - continued on p34

30 November 2020 | Healthy Living News

Eat for the long run Physical activity and a nutritious diet are the cornerstones of healthy aging. In recent years, researchers have discovered that we have unique nutritional requirement as we get older.

With age, the need for calories goes down but the need for nutrients goes up. We need to concentrate on having adeDaniel J. Jachimiak quate fluids, fiber, healthy fats, calcium, and adequate protein. Eating a high-saturated-fat, high-salt, high-calorie diet has a range of long-term unhealthy consequences from obesity to heart disease and cancer. People who enjoy more nutritious diets increase the quality, as well as the quantity, of their older years.

Below is a list of 10 healthy foods.

Of course, there are many other plantbased foods that we could call healthy foods, but these are some of the stars.

Eating these healthy foods can be satisfying and help us avoid eating unhealthy foods loaded with sugar and salt.

• Sweet potatoes and other yellow, orange, and red vegetables • Legumes: beans, split peas, lentils • Broccoli and other cruciferous vegetables • Whole grains • Blueberries and other berries • Garlic and onions • Walnuts and other nuts and seeds • Salmon and other fatty fish • Oranges and other citrus

n

Healthy aging - continued on p31

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Tips to help your senior loved one sidestep medication errors IT’S NOT UNCOMMON for older adults to take multiple medications to treat the various chronic health conditions that tend to develop as we age. Unfortunately, the more medications an individual takes, the greater their risk of medication errors, especially when factors such as memory loss or dementia enter the equation. At best, medication errors deprive people of the desired benefit and yield a less favorable outcome. At worst, they can lead to serious health consequences, possibly even death.

How can family caregivers prevent their elderly loved ones from making potentially dangerous medication errors?

Here are several tips that can help: Maintain a comprehensive medication list To ensure you know which medications your senior loved one is taking, compile a comprehensive n

purpose of each medication and any label directions, such as the necessity to take the drug with food or a certain amount of liquid or any foods/liquids that should not be consumed along with the medication.

Any old medications that are no longer prescribed for your loved one should be disposed of properly to eliminate the possibility of accidentally taking them.

list with the name of each drug, the dosing instructions, and the name of the prescribing physician. Be sure to include any over-the-counter medications and/or supplements as well.

Keep the list current, adding newly prescribed meds and deleting old ones no longer taken. Encourage your loved one to take the list to medical

appointments and the pharmacy—or bring it yourself if you plan to accompany your senior family member to the appointment.

long-term. Short-term memory is used for remembering something immediately after you’ve heard it (such as a name or phone number).

This information is quickly forgotten unless you rehearse it so it can go into your long-term memory bank.

It is believed that there are three components to memory: registering, retraining, and retrieval. Registering involves focusing intently and coding the experience, name, place, and time into our short-term memory bank.

Retraining requires rehearsal to secure the experience into our long-term memory banks. Retrieval involves recall and recognition so we can use that information.

Researchers report that what we think of as memories are ultimately patterns of connections between nerve cells. There are two things that help make that connection happen besides simply rehearsing: (1) if the event has emotional significance and (2) if it relates to something you already know.

Try to make these two connections when trying to remember names, events, or people.

Older people generally have different conditions required for optimal mental performance. Age seems to affect the part of memory that enables you to do more than one thing at a time. Studies show that older people are more distractible, less able to filter out outside stimuli, and less able to juggle two or more tasks that can be

easily managed at a younger age.

Practically, this means that for optimal working conditions, be aware what’s going on around you and make an attempt to minimize any distractions.

As we get older, absorbing complex new information may take more time, but our vocabulary and accumulated wisdom do not fade away.

Studies show that when the brain is stimulated, tiny branches of brain cells sprout new branches called dendrites.

It might surprise you to know that some parts of memory loss among healthy older people are actually reversible with training.

A younger person can recall more words on a list than an older person can. But with training, an older person can triple their word recall. Not only do they do better than their pre-training scores, but they also do better than younger people without training. Lifelong learning may be the greatest antidote to mental decline.

Scientists from UCLA’s Brain Research Institute say the important thing is to be actively involved in areas unfamiliar to you. Anything that is intellectually challenging can serve as a kind of stimulus to growing dendrites and making connections.

The UCLA scientists suggest these ways to make and strengthen brain connections: • Play challenging games like Scrabble, bridge, chess, and crossword puzzles. People

Get familiar with the medications In addition to taking note of proper dosing, familiarize yourself with the

Use the same pharmacy To the extent possible, try to go to the same pharmacy each time you have to fill or refill a prescription. The more familiar your pharmacist is with your senior loved one’s health conditions and medication list, the greater the likelihood that he or she will be able to identify prescribing errors or potential adverse drug interactions before they become a problem. n Senior meds - continued on p33

Healthy aging - continued from p30

Stay mentally alert If you ask men and women what their primary goal is when they get older, almost without fail, their answer is, “I want to remain mentally alert.”

Physical, social, or economic power is pretty useless without intact mental faculties.

One of the most common myths about aging is that age inevitably brings a rapid loss of brain power.

This fear of age-related loss is often unnecessarily exaggerated. In fact, probably the worst aspect of memory loss is the fear of it. We forget a name or where we put the car keys and we immediately think, “Is this an early sign of dementia? Am I getting Alzheimer’s?” Probably not. Current estimates are that only 10 percent of all elderly people ages 65 and over will get Alzheimer’s.

Thanks to advances in brain imaging, scientists have learned that brain loss with aging is not as severe as was once thought. Data from men and women who continue to flourish in their 80s and 90s show that in a healthy brain, any loss of brain cells is relatively modest and is pretty much restricted to specific areas, leaving the other areas functioning at an optimum level. There are certainly some changes that do occur, but like other characteristics of aging, much of the brain power decline is due to disuse rather than aging.

Memory is either short-term or

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•

•

•

•

who do jigsaw puzzles show good spatial ability, which can be helpful when following directions.

Try a musical instrument and your brain will have a whole new group of muscle-control problems to solve. Then the brain has to correlate notes on a paper with the fingers to create tones.

Fix something. Learn to repair things that you’ve never repaired before. The actual repair is not the important thing; it’s the challenge of doing something new.

Try the arts. If your verbal skills are good, buy a set of watercolors and take a course.

If your mechanical skills are good, take a writing class.

Or you could use your feet— exercise. Or you could surround yourself with provocative people. Or you could seek complex problems to solve.

Everything we’re talking about in this article will help you to remain mentally active and alert as you get older. And remember, it’s never too late.

Daniel J. Jachimiak, BA, is a life coach and life skills trainer working with teens, adults, and seniors in the Toledo area. Dan can be reached at djachimiak@bex.net or 419-7872036. ~You can have a better life~ ❦

Healthy Living News | November 2020 31

You’re never too old for Super Slow Training THOUGH MOST OF the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years.

One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed. “I thought, ‘This is great! I need to keep doing this!” she recalls.

At that time, Anderson was beginning to have difficulty managing the stairs outside her home and wasn’t sure whether she would be able to continue living there. She had even purchased two canes to help her navigate the stairs. However, after just a handful of Super Slow Training sessions, she began to notice a positive change. “I could tell a difference after doing the program once a week for just three weeks.

I realized I was getting stronger and could go up and down those stairs without much effort whereas I struggled before. So I said I’m never going to quit this. I’m still not using either of those canes, and I attribute that to coming to TriggerPoint and making my muscles stronger,” she says.

TriggerPoint owner Russ Wakefield explains that Super Slow Training involves lifting and lowering weights at a very slow rate, keeping consistent tension on the muscle throughout its

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whole range of motion. High-tech monitors on the specially designed Super Slow Training equipment help clients maintain the proper form, technique, and tempo during workouts.

This method differs from conventional strength-training techniques in that there is no fast momentum to help do the work for you.

Though slow, this technique is intense, really working the muscles. It’s also very safe, with highly experienced and educated trainers working one-on-one with clients

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32 November 2020 | Healthy Living News

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and monitoring and adjusting their every move. After this intense exercise stimulus, the body recovers for seven days, producing the desired results.

Ours is a busy, fast-paced society that allows us little time to focus on health and fitness, so TriggerPoint clients appreciate the fact that Super Slow Training demands no more than a half hour of their time once a week. In fact, the program can be completed over your lunch hour with no requirement to change clothes or shower afterward. What’s more, as you progress through the program and begin to see results you never thought possible, that weekly workout time may actually decrease.

Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body types—even pregnant women—can participate in and benefit from this time-efficient program. Anderson has certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly.

Asked what she would tell others in her age group about Super Slow Training, Anderson states, “You are never too old for this. If you have physical limitations, the trainers will help you work around them.

Remember, health problems are expensive and become more and more likely the older you get. You can’t just sit around reading magazines and eating bonbons and expect to stay healthy. You have to get moving and keep moving!”

Wakefield urges anyone who is seeking a more efficient strength-training and conditioning alternative—or is simply tired of getting disappointing results from conventional workouts— to follow Anderson’s example by calling TriggerPoint and giving Super Slow Training a try. “This efficient, evidence-based program might just be the exercise solution you’ve been looking for,” he states.

For an appointment, call Russ Wakefield at 419-536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook. ❦

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Holiday hearing tips

by Dianna Randolph, AuD, CCC-A WE’VE ALL HAD the experience of being together with family during the holiday season and there is Grandma or Grandpa sitting quietly in the corner alone. You might think he or she isn’t feeling good and wants to be left alone or is mad about getting the wrong gift. But did you ever think your grandparent might be suffering from a hearing loss that is making him or her anxious and quiet?

For those who suffer from hearing loss, this time of year can cause anxiety. The numerous dinners and get-togethers can cause listening difficulties right up through the New Year.

To make situations even more challenging for the hearing impaired, the wearing of masks to decrease the spread of COVID-19 has made n

communicating even harder due to the loss of visual cues and the muffling of speech. The data show that each mask essentially serves as a low-pass filter, attenuating the high frequencies (2000-7000 Hz) spoken by the wearer, with the decibel (dB) level of attenuation ranging from 3 to 4 dB for a simple medical mask and close to 12 dB for the N95 masks (HearingReview.com, April 1, 2020).

This decrease in speech clarity, on top of a high-frequency hearing loss, will make conversations extremely difficult

Senior meds - continued from p31

Watch for evidence of medication mismanagement Keep track of your senior loved one’s medication supply. Running out too quickly or too slowly could indicate he or she is either taking extra or skipping doses respectively. Discuss with your doctor or pharmacist any potential side effects associated with each medication, and keep an eye out for signs that your loved one may be experiencing them. Also, be sure to take advantage of any medication counseling offered through your pharmacy or available as part of your loved one’s Medicare plan.

Get organized A simple pill organizer with separate compartments for each day of the week (and sometimes different times of day) can be a useful tool for preventing medication errors. Just be aware that your senior loved one may need help setting up the organizer at the beginning of each week, especially if he or she has issues with manual dexterity and/or reduced vision. Also, more and more pharmacies are now offering the service of dispensing medications in blister or bubble packs to help eliminate guesswork when it comes to when and how much to take. Why not utilize this service if available? What’s more, you can take advantage of technology designed to help people stay on track with their medications, such as one of the various smartphone medicine-reminder apps.

Establish a routine and shed light on the subject Like brushing your teeth, taking medications at the same time and place every day helps to establish a predictable routine and reduce the likelihood of accidentally skipping doses. It’s also advised to encourage senior loved ones to take medications only in a well-illuminated area where they can see exactly what they’re doing and double check the labels of each drug to make sure they’re not mixing them up. This is especially important when two or more drugs have very similar names or are very similar in size or color. ❦ Connect with our advertisers via our online issue at hlntoledo.com

and very frustrating for the listener and the speaker.

Northwest Ohio Hearing Clinic values family time and wants to help by giving suggestions on how to make holiday communication enjoyable.

Here are some simple tips that will help your loved one feel part of the excitement during the holidays: 1. When you are out at a restaurant or have a large family gathering, remember to have your family member who is hearing impaired sit away from noise with their back to a wall. This will allow them to have less competing ambient noise to deal with. If the server is wearing a mask, your family member may have difficulty understanding them and may need some assistance depending on the noise level of the restaurant.

2. When there’s a large group of people, take turns speaking. This will make listening easier not just for the individual with the hearing loss, but also for everyone else.

3. Get the person’s attention before starting to speak. Call their name or simply tap them on the shoulder to get their attention. They’ll be ready to listen with both ears.

4. If they don’t understand what you said, try rephrasing it, giving them the ability to hear it again.

5. If the gathering is in someone’s home, make sure the lighting in the room is bright. Dim lighting can make it difficult to see faces and read lips. You might say, “Grandpa reads lips? I never knew that.”

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reading lips but might not rely on it as much. This is why people with even a mild hearing loss will have greater difficulty communicating when masks are worn.

6. If someone is singing or music is being played, wait to talk to them until it’s over. The less competition to hearing, the better the experience will be.

7. To ensure they heard what you said correctly, ask them to repeat what you said.

8. To enhance communication, talk to the other family members before your gathering so all are aware and on the same page on how to communicate with your hearingimpaired family member.

9. Before the gathering, ask your family member, “How can I help make your listening experience less stressful?” Showing an interest will allow them to be relaxed and less anxious.

Finally, the best tip we can give you is: 10. Don’t have your family member wait to improve their hearing one more year. Seek help and advice before the family dinner. This is so everyone can enjoy the holiday season this year. The audiologists at Northwest Ohio Hearing Clinic know the importance of family, especially during the holiday season. We can help you make the most beneficial decision to improve your hearing, your relationship with your family, and your quality of life. Call our office and schedule your personal consultation, and we encourage family members to join in on the appointment.

Wishing you and your loved ones a happy holiday season from our family to yours. Thank you for your interest in our column, and, as always, please contact us with any questions or concerns.

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

Healthy Living News | November 2020 33

Mercy Health - continued from p10 are worrisome for cancer and make recommendations for the patient’s care to the provider who ordered the study. It’s a very active process to ensure patients get a comprehensive evaluation and the appropriate treatment if necessary.”

For more information visit mercy.com and search lung screening or call 419407-1740. Patients wanting to schedule lung screening can call scheduling at 419-407-1770 and follow the options. ❦ n

Dave’s - continued from p18 because you are not sweating as much as in the warmer weather. Cold weather can mean more urination, which, by itself, is a source of fluid loss. It is imperative that you remember to maintain adequate hydration before and after running in cold weather to ensure your muscles recover.

Remember to use moisturizers and sun block to prevent blister formation and redness on your skin and face.

Running in the winter months can be enjoyable if you dress appropriately and use your best judgment on the running conditions. Remember, the winter time is perfect for maintenance runs. Be winter smart this season and, hopefully, you will stay warm and safe. n

Amanda Manthey is a former collegiate runner at Eastern Michigan University.

She writes about running and fitness for Dave’s Performance Footgear. ❦ n Sound Advice - continued from p30 or sicknesses can also have an effect on your hearing, so be sure to discuss them with the audiologist as well.

Based on the results of these tests, your audiologist will be able to determine the severity and pattern of your hearing loss and whether it’s temporary or permanent. The audiologist will divulge whether your hearing loss is conductive, sensorineural, or mixed, and will assist you in determining the appropriate treatment for your hearing loss. You may need to see an ear, nose, and throat specialist; you may require annual monitoring; or you may benefit from a hearing aid. An audiologist will be able to make these recommendations for you.

If you’re having trouble hearing and require a full assessment, feel free to call us at Northwest Ohio Hearing Clinic. We are happy to answer any questions you may have and set you up with an evaluation.

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). ❦

34 November 2020 | Healthy Living News

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Toledo, Ohio 43623 Northwood LossRealtyGroup.com 419.698.3822 We love feedback. Like us on Facebook. Follow us on Twitter.

Elizabeth Scott Community 2720 Albon Road Maumee, OH 43537 419-865-3002 www.elizabethscott.org

Continuing Healthcare of Toledo 4420 South Ave. Toledo, Ohio 43615 419-531-4201 www.ContinuingHC.com

Rosary Care Center 6832 Convent Blvd.

Sylvania, OH 43560 419-824-3600 www.sistersosf.org

Genacross Lutheran Services Wolf Creek Campus

Senior Star at West Park Place

Park Terrace Nursing and Rehabilitation

2001 Perrysburg-Holland Rd. Holland, OH 43528

3501 Executive Parkway Toledo, Ohio 43606

2735 Darlington Rd.

419-861-2233

419-442-8563

www.GenacrossLutheranServices.org

www.seniorstar.com/westparkplace

Toledo, Ohio 43606 419-531-4465

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.

www.parkterracenursing.com

Parkcliffe Community 4226 Parkcliffe Lane Toledo, OH 43615 419-381-9447 www.parkcliffe.com

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

St. Clare Commons

The Manor at Perrysburg

Gardens of St. Francis

Fieldstone Villas

12469 Five Point Road Perrysburg, OH 43551

250 Manor Drive Perrysburg, OH 43551

930 S. Wynn Road Oregon, Ohio 43616

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

419-931-0050

419-874-0306

419-698-4331

419-386-2686

www.homeishere.org

www.ManorAtPerrysburg.com

www.homeishere.org

www.sunset-communities.org

Sunset House

Ohio Living Swan Creek

Franciscan Care Center

The Lakes of Monclova

4030 Indian Rd. Ottawa Hills, OH 43606

5916 Cresthaven Lane Toledo, OH 43614

4111 N. Holland-Sylvania Rd. Toledo, Ohio 43623

Monclova Road Maumee, Ohio 43537

419-536-4645

419-865-4445

419-882-6582

419-866-3030

www.sunset-communities.org

www.ohioliving.org

www.homeishere.org

www.lakesofmonclova.com

The Woodlands

Plaza Apartments

The Laurels of Toledo

4030 Indian Rd. Ottawa Hills, OH 43606

2520 Monroe Street Toledo, Ohio 43620

1011 Byrne Road Toledo, OH 43607

Browning Masonic Community

419-724-1220

419-244-1881

www.sunset-communities.org

8883 Browning Drive Waterville, Ohio 43566

419-536-7600

419-878-4055

www.vmc.org

www.laurelsoftoledo.com

Sunset Village

Genesis Village

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

2429 S. Reynolds Rd. Toledo, OH 43614

Genacross Lutheran Services Toledo Campus

419-724-1200

419-720-1286

www.sunset-communities.org

www.genesisvillage.org

Connect with our advertisers via our online issue at hlntoledo.com

www.bmcohio.org

131 Wheeling St. Toledo, OH 43605

The Glendale Assisted Living 5020 Ryan Road Toledo, Ohio 43614 419-340-6721

419-724-1414 www.GenacrossLutheranServices.org

www.glendaleassistedliving.com

Healthy Living News | November 2020 35

Personalizing the Right Care for You Whether safely in our clean facilities or virtually from the comfort of your own home, we’re creating the personalized solutions you need, to meet you where you need us.

Because no matter how the world around us changes, we believe your health care should always revolve around you.

Visit mercy.com/primarycare to connect with a primary care provider today.

PRIMARY CARE FOR FO R THE UNIVERSE OF YOU

36 November 2020 | Healthy Living News

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