HLN April 2018 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News April 2018 • FREE

Also available at hlntoledo.com

Summer camps keep kids on the grow

Shape up and wake up your skin • Health Crossword Pediatric pulmonologist advises against vaping • Dave's Races Harbor takes the fight to addiction • Spiritually Speaking A green chair on a life-saving mission • Sound Advice Timely tips on healthy running • Nobody's Perfect

You can’t plan for an emergency, but you can have an emergency plan.

Shape up up and and wake wake up up your your skin skin Shape H H

ello, “Millennials”! Are the skin changes related to stress, pollution, ello, “Millennials”! thedamage skinskin changes related to stress, smoking, and priorAre sun and tanning starting topollution, showpolon ello, “Millennials”! Are the changes related to stress, and prior sun damage and tanning starting to show on yoursmoking, facial, neck, and chest skin? Are your jowls and neck starting lution, smoking, and prior sun damage and tanning starting to your facial, andfacial, chestneck, skin? Are yourskin? jowls andyour neckjowls starting to sag, andneck, areyour you noticing that darkening is developing around show on and chest Are and to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are neck starting to sag, and are you noticing that darkening is developing and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time around and under your eyes, your pores are enlarging, or “age spots” appearing? Donot? youryour friends question why you look tired allallthe when you are While these changes are mild just starting, are appearing? Do friends question why you lookand tired the time time when you are not? While these changes are mild and just starting, now isyou thearetime startthese engaging in aare skin-care thatnow will when not?toWhile changes mild andprogram just starting, now is the time to start engaging in a skin-care program that will be designed specifically for you to improve and reduce these signs is the time to start engaging in a skin-care program that will be designed be designed specifically for you to improve and reduce these signs of aging. Dr.for Handler personally recommend explain a skinspecifically you to will improve and reduce these and signs of aging. Dr. of aging. Dr. Handler will personally recommend and explain a skinrejuvenation program to reduce the visible signs of aging. Handler will personally recommend and explain a skin-rejuvenation rejuvenation program to reduce the visible signs of aging. The anti-aging treatments performed by Dr. Handler are “nonprogram to reduce the visible signs of aging. The anti-aging treatments performed by Dr. Handler are “noninvasive,” with minimal discomfort or downtime. Minimize under-eye The anti-aging treatments performed by Dr. Handler are “non-invasive,” invasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl with minimalraise discomfort or downtime. under-eye darkening, darkening, those droopy eyelids,Minimize shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office raise droopy eyelids, shrink lift Call sagging jowl areas,office and areas,those and appear as youthful as pores, you feel. Dr. Handler’s for aa personal personal evaluation with Call treatment recommendations for your your appear as youthful as you with feel. Dr. Handler’s office for a personal for evaluation treatment recommendations for aging skin. skin.with treatment recommendations for your aging skin. evaluation aging Remember, 80%ofof ofthe thesigns signs of aging aging are due dueprior to sun priorexposun of aging are are due to Remember, 80% 80% the signs of to prior sun exposure and subsequent skin damage. All the brown spots (“age sure and subsequent skin damage. All the All brown exposure and subsequent skin damage. the spots brown(“age spotsspots”), (“age spots”), blood brokenvessels blood vessels vessels on the fine face,lines, fine lines, lines, and sagging sagging skin broken on the on face, and sagging skinskin are spots”), broken blood the face, fine and are caused almost entirely by sun! This is something young people caused almost entirely by sun! something young young peoplepeople should are caused almost entirely by This sun!isThis is something should beofaware we get 80%lifetime of our sun lifetime sun exposure exposure by be aware sinceofwesince get 80% of our exposure by the time by the time we are 18-20 years of age. we are 18-20 years of age. What about aboutthe the“worry “worry lines” between deep smile lines” between youryour eyes,eyes, deepdeep smile smile lines, lines, upper lip lines (lipstick runs uphill), and your sagging jowls and upper lip lines (lipstick runs uphill), and your sagging jowls and sagging jowlsneck? and neck? These unfortunate changes caused by prior sun exposure These unfortunate changes caused by prior sun exposure be imsun can exposure can be dramatically improved dramatically withnon-invasive pain-free, non-invasive cosmetic non-invasive cosmetic proved with pain-free, cosmetic procedures proceduresentirely performed entirely by Dr. Handler. performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats heats procedure painlessly damaged collagen under your skin to tighten and lift sagging areas sagging areas and lift of the neck, jowls, upper arms, and abdomen. The NEW Thermage Thermage The NEW CPT CPT Deep Deep Tip Tip procedure procedure utilizes utilizes radiofrequency radiofrequency energy energy (not (not laser). laser). This This procedure procedure also also encourages encourages aa natural natural repair repair process process that that results results in in further further tightening, tightening, lifting, lifting, and and younger-looking younger-looking skin. skin. With With only only ONE ONE treatment, results are seen before leaving the office. Continued treatment, results resultsare areseen seen before leaving the office. Continued before leaving the office. Continued tighttightening of skin aa 6-month time tightening and lifting lifting of sagging sagging skin occurs occurs over 6-month time ening and and lifting of sagging skin occurs over aover 6-month time period period with results lasting 3-4 years! There is NO downtime and NO period with results lasting 3-4 years! There is NO downtime and NO with results lasting 3-4 years! There is NO downtime and NO pain. pain. The NEW Thermage CPT Deep Tip system has been utilized pain. The NEW Thermage CPT Deep Tip system has been utilized The NEW Thermage CPT Deep Tip system has been utilized by Dr. by for many years with results very by Dr. Dr. Handler Handler foryears manywith years with excellent excellent results and very satisfied satisfied Handler for many excellent results and veryand satisfied patients. patients. patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy For lines between the eyes (worry lines), crow’s feet, and the between theeyelids,” eyes (worry crow’s feet, and the and For tiredlines look with droopy the uselines), of Botox or Dysport works “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport well to improve these areas. The results are diminished lines and a works well to improve these areas. The results are diminished lines works“wide well toawake” improve The results are diminished more andthese less areas. tired appearance. These productslines are and a more “wide awake” and less tired appearance. These products and a more “wide awake” and less tired appearance. These products also fantastic to reduce anxiety-induced underarm sweating for 5-7 are also fantastic to reduce anxiety-induced underarm sweating for are also fantastic to reduce anxiety-induced underarm sweating for months after one treatment. 5-7 months after injection treatment. 5-7 months after injection treatment. The fillers, suchsuch as Restylane, Perlane,Perlane, Juvederm,Juvederm, Radiesse, The use useof of fillers, as Restylane, The use fillers, such as Restylane, Perlane, Juvederm, and others, to of “fill” deep to smile and the lines marionette lines (the sad Radiesse, and others, “fill”lines deep smile and the marionette Radiesse, and others, to deep lines and the marionette look) fromsad the corners ofthe the“fill” mouth produces immediate results lasting lines (the look) from corners ofsmile the mouth produces immediate lines (the sad look) from thetired corners oflook the mouth immediate 12-15 months! Don’t look or sad when youorproduces are Since results lasting 12-15 months! Don’t tired sadnot! when youthese are results lasting 12-15 months! Don’t look tired sadiswhen youNow, are products arethese combined with are a numbing agent, theaorpain minimal. not! Since products combined with numbing agent, the not! Since these products are combined with a numbing agent, the Dr. utilizes theDr. injection of new fillers “Restylane Silk” painHandler is minimal. Now, Handler utilizes thecalled injection of new fillers pain is minimal. Now, Dr. Handler utilizes the injection of new fillers and “Restylane Refyne.” These products markedly and called “Restylane Silk” and “Restylane Refyne.”improve Theseupper products calledlip “Restylane Silk” andRestylane “Restylane These products lower lines (lipstick lines). SilkRefyne.” also volumizes your lips markedly improve upper and lower lip lines (lipstick lines). Restylane markedly lower lip lines (lipstick lines).and Restylane and restores their upper natural curve looking attractive natural. Silk also improve volumizes yourand lips andwhile restores their natural curve while Silk also volumizes your lips and restores their natural curve while Restylane Silk also cannatural. be utilized to minimize “worry between looking attractive and Restylane Silkthe also canlines” be utilized to looking attractive and natural. Restylane Silk also can be utilized to your eyes.the There is no downtime withyour these non-invasive minimize “worry lines” between eyes. There is noprocedures. downtime minimize the “worry lines” between your eyes. There is no downtime finenon-invasive lines, large pores, and brown (age) spots, the Clear and withFor these procedures. fine lines, large pores, and visual brownresults (age) spots, the treatments. Clear and withFor these non-invasive procedures. Brilliant laser produces awesome after 3-5 Brilliant laser produces awesome visual results after 3-5 treatments. For fine lines, large pores, and brown (age) spots, the and This is a painless procedure whereby Dr. Handler utilizesClear a laser to This is a painless procedure whereby Dr. Handler utilizes a laser to Brilliant laser produces awesome visual results after 3-5 treatments. produce thousands of small columns of empty space in your dermis, produce of small columns ofDr. empty space in youraindermis, This is your athousands painless procedure whereby Handler utilizes laser to which body fills with its own collagen. This results softer, which your body fills with its own collagen. This results in softer, produce thousands of small columns of empty space in your dermis, smoother, and diminished facial lines and smaller pores and lightening smoother, and diminished facial lines and smaller pores and lightening which your body fills iswith its own collagen. results in softer, of brown spots. There NO downtime with thisThis procedure. When the of brown spots. There is NO downtime with this procedure. When the smoother, and diminished facial lines and smaller pores and lightening Clear and Brilliant laser is combined with Thermage CPT Deep Tip, of brown spots. There is NO downtime with this procedure. When the

Clear and Brilliant laser is combined with Thermage CPT Clear and Brilliant combined with Thermage the Deep results Tip,are theideal results forlaser patients areisideal whofor desire patients no downtime who desire or CPT pain no Deep Tip, the results are ideal for patients who desire no and downtime predictable or pain results and of predictable lifting sagging results skinofand lifting smoothing sagging fine skin downtime or painfine and predictable results of lifting saggingOhio skin lines. and smoothing Dr. Handler is lines. the only Dr. dermatologist Handler is the in only northwest dermatologist and smoothing fine lines. Dr. Handler is the only dermatologist performing in northwest thisOhio procedure. performing this procedure. in northwest Ohio performing this procedure. Are Areyou youaware aware that thatDr. Dr.Handler Handler personally personally performs performs laser laser Are you aware that Dr. Handler personally performs laser procedures proceduresforforremoval removalof of body body hairhair anywhere anywhere hair grows? hair grows? Yes, procedures for removal of body hair anywhere grows? this Yes,minimally this minimally painful laser painful destroys laserhairs destroys aroundhairs the hair chin, around jawline, the Yes, this minimally painful laser destroys hairs around the upper chin, jawline, lip, underarms, upper lip, ears, underarms, nose, bikini ears, line, nose, etc. And bikinithis line,laser etc. chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. isAnd notthis justlaser for women. is not just Many for men women. haveMany this laser men have this laser And this laser is not just for women. Many men have this laser performed performed to to permanently remove remove chest chestand andback performed to permanently remove chest and back back hair as hairwell as as wellbeard as beard hair that hair grows that grows downdown onto the hair as well as beard hair that grows down onto the onto neck. the Dr. neck. Handler Dr. Handler also utilizes also the utilizes latest the in latest lasers for neck. Dr. Handler also utilizes the latest in lasers for inremoval removal lasers of of for“age “age removal spots” of (sun “age spots spots” really) (sun spots anywhere spots” (sun spots really) anywhere really) on the theanywhere body.This Thison laser theworks works body.especially especially This laserwell well works for the the on body. laser for especially tops of of hands hands wellcovered covered for the tops withofthose those hands “age covered spots.”with Finally, tops with “age spots.” Finally, those Dr. Handler Handler “age spots.” also performs Finally, performs Dr.laser laser Handler removal also performs ofunwanted unwanted Dr. also removal of laser bloodremoval vesselsofthat that unwanted grow blood on your your vessels face that andgrow enlarge blood vessels grow on face and enlarge on with your heat, facestress, stress, and enlarge and the the withintake intake heat, stress, of alcohol. alcohol. and the Again, with heat, and of Again, intake pain and and of alcohol. downtime Again, are minimal minimal pain and with downtime this laser. laser. are All ofof pain downtime are with this All minimal these lasers lasers with are this are non-invasive non-invasive laser. withminimal minimaldown-time. down-time. these with Anti-agingand andcosmetic cosmeticprocedures enhancements are not for the the Anti-aging are notare fornot the for female Anti-aging and cosmetic enhancements female gender genderMale alone.cosmetic Male cosmetic cosmetic enhancement and antiantigender alone. enhancement and anti-aging female alone. Male enhancement and aging procedures procedures have increased increased over 213% the past past procedures have increased over 213% in the pastinin5 the years for aging have over 213% yearsskin, for sagging sagging skin, skin, darkening under the eyeslook, with sagging darkening under the eyes under with thethe “hollow” 55 years for darkening eyes with the brown “hollow” look, and brown of spots. The utilization fillers and spots. The utilization fillersThe (Restylane, Restylane the “hollow” look, and brown spots. utilization ofof fillers (Perlane, Restylane, Juvederm, Radiesse, (Perlane, Restylane, Juvederm, Radiesse, etc.)isisexcellent excellent Lyft, Restylane Refyne, Restylane Defyne, etc.) Restylane Silk, for “sad evidenced with for deep deep smile smile lines and and the the “sad look” look”foras asdeep evidenced with Juvederm, and lines Radiesse) is excellent smile lines

tt isis appropriate appropriate for for patients patients to to understand understand why why itit isis inintheir their best best medical medical interest interest to to always alwaysseek seekthe theadvice adviceofofaaboardboardcertified certified dermatologist dermatologistfor forskin skincare. care.Why Whyisisseeking seekingaaboardboardcertified dermatologist the most beneficial route certified dermatologist the most beneficial routefor forsolving solvingskin skin disease diseaseissues issuesversus versusaageneral generalpractitioner, practitioner,nurse nursepractitioner, practitioner, physician’s physician’sassistant, assistant,or orany anyother othermedically-oriented medically-orientedindividual? individual? Please be aware that a board-certified Please be aware that a board-certifieddermatologist dermatologisthas has the the following followingminimum minimumeducation educationversus versusthe theabove-mentioned above-mentioned quasi quasi “skin “skin doctors”: doctors”: 1. Four years of college to earn a bachelor’s degree 1. Four years of college to earn a bachelor’s degree 2. Four years of medical school to become a medical 2. Four years of medical school to become a medical doctor (MD) or doctor of osteopathic medicine (DO) doctor (MD) or doctor of osteopathic medicine (DO) 3. One year of an internship 3. One year of an internship 4. 3-4 years in a dermatology residency program 4. 3-4 years in a dermatology residency program 5. Has passed exams for board 5. certification Has passedinexams for board dermatology. certification in dermatology.

sagging at the corners of the mouth. And of course the use sagging at thelook” corners of theforehead mouth. And of at course the useof and of Dysport/Botox the “sad as to evidenced reduce with sagging “worry lines” the is corners superb. of Dysport/Botox to reduce forehead “worry lines” is superb. the mouth. All of And these of course cosmetic the use enhancements of Dysport/Botox are performed to reduce All ofby“worry these cosmetic enhancements are photographs performed forehead entirely Dr. Handler. lines” isTo superb. view before-and-after entirely Dr. Handler. Toenhancements view photographs of patients All ofbythese who cosmetic have had thesebefore-and-after procedures are performed performed entirely by Dr. of patients who have had these procedures performed by Dr. by Handler, Dr. Handler. visit To www.drharveyhandler.com. view before-and-after photographs For moreof detailed patients Handler, www.drharveyhandler.com. more detailed who information havevisit hadabout these procedures the above-mentioned performedFor by Dr. procedures Handler, visit or information about the above-mentioned procedures or www.drharveyhandler.com. products, please call Dr. Handler’s For more detailed office atinformation 419-885-3400. about products, please call Dr. Handler’s office at 419-885-3400. the Also,above-mentioned remember to inquire procedures about specials or products, available pleaseoncall many Dr. Also, remember to inquire about specials available on many cosmetic Handler’s procedures office atand 419-885-3400. products toAlso, diminish remember the tosigns inquire of cosmetic procedures and products to diminish the signs of aboutaging specials and available obtain aonmore many vibrant cosmeticand procedures youthful aging and obtain a more vibrant and youthful and appearance products to diminish of your skin. the signs of aging and obtain appearance of your skin. a more Also, vibrant Also,everyone everyone and youthful should appearance have a yearly of your fullskin. body should have a yearly full body Also, exam everyone to check should for skin have cancer a yearly conducted full body only exam byatoa exam to check for skin cancer conducted only by check board-certified for skin cancer dermatologist. conducted only by a board-certified board-certified dermatologist. dermatologist.

Hair loss in men and women

Hair loss in men and women Hair in men and women Areloss you losing losing hair from from surgery, anesthesia, Are you hair surgery, anesthesia,

Are illnesses, you losing hair from surgery, anesthesia, illnesses, illnesses, pregnancy, medications, stress, pregnancy, medications, stress, pregnancy, medications, stress, or “normal” genetics, oror “normal” “normal” hair hair genetics, loss secondary secondary genetics, loss toto hair loss secondary aging orlevels low blood levels ofThere nutrients? agingororto low blood levels nutrients? There are aging low blood ofofnutrients? are There are manyofofcauses of hair loss men and women. are many causes causes hair loss loss menin and women. MostMost arenot not many hair inin men and women. Most are not simply due to age or family history, and most are treatable. simply due due toto age age oror family family history, history, and andmost mostare aretreatable. simply Now these problems problems ofof hair hair loss losscan canbe beevaluated evaluatedand andthere there Nowthese Now is hope for reducing your hair loss and stimulating new growth. isishope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, Handler,board-certified board-certifieddermatologist dermatologistofofSylvania, Sylvania, Dr.Harvey Dr. Ohio, has a medical treatment for decreasing your hair lossloss and Ohio, a medical treatment for decreasing your hair Ohio, has a medical treatment for decreasing your hair loss increasing growth in many patients! and increasing growth in many patients! ❦❦ and increasing growth in many patients! Be Beaware awareand andcautious cautiousofofmedi-spas medi-spasand andcosmetic cosmeticcenters centers organized organizedand andmaintained maintainedby byindividuals individualsother otherthan thanaaboardboardcertified certifieddermatologist dermatologistororeven evenany anymedical medicaldoctors doctors(not (notMD’s). MD’s). Many Manyofofthese theseindividuals individualshave haveno noformal formaleducation educationorortraining training ininskin skindisease diseasediagnosis, diagnosis,treatment, treatment,ororcosmetic cosmeticenhancement enhancement ofofskin defects. skin defects. How Howdo doyou youknow knowwhether whetherhe/she he/sheisisaaboard-certified board-certified dermatologist? Look for F.A.A.D. dermatologist? Look for F.A.A.D.(Fellow (Fellowofofthe theAmerican American Academy of Dermatology, which is a designation Academy of Dermatology, which is a designationfrom fromthe the American Academy of Dermatology) following their name. American Academy of Dermatology) following their name. To confirm this information, check the website at aad. To confirm this information, check the website at aad. org/findaderm. None of the above requirements are met org/findaderm. None of the above requirements are met by a nurse practitioner, physician assistant, or any other by a nurse practitioner, physician assistant, or any other medical doctor licensed to practice medicine. Do your medical doctor licensed to practice medicine. Do your homework before trusting your skin disease diagnosis and homeworktobefore your skin disease diagnosis and treatment anyonetrusting but a board-certified dermatologist. treatment to anyone but a board-certified dermatologist.

www.drharveyhandler.com www.drharveyhandler.com www.drharveyhandler.com

Reduce lines, lines, fade fade sun sun spots spots Reduce Smoother, tighter, younger-looking skin on sun face, arms, and chest Reduce fade spots Smoother, tighter,lines, younger-looking skin on face, arms, and chest clear + + No Nosurgery. injections. clear No surgery. No injections. No downtime. brilliant clear + No downtime. injections. No brilliant ADULT, Hbrilliant arvey L. HandLer, m.No d., downtime. f.a.a.d., d PEDIATRIC, Harvey L. HandLer, m.d. d

Smoother, tighter, younger-looking skin face, arms, and chest No on surgery.

ADULT, ADULT, &PEDIATRIC, COSMETIC PEDIATRIC, & COSMETIC DERMATOLOGY DERMATOLOGY & COSMETIC HAIR & NAILS HAIR & NAILS DERMATOLOGY HAIR & NAILS

ipLomate and feLLow of ipLomate&and FeLLow d oF cosmetic ermatoLogy tHe american Board of dermatoLogy aduLt, pediatric tHe arvey american Board oFandLer dermatoLogym aduLt , pediatric &c osmetic dermatoLogy d dipLomate and FeLLow oF 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) tHe american Board dermatoLogy aduLt , pOffice ediatric & on cosmetic 5300 Harroun Rd.,oFSuite 126 (in the Medical Building the campusd ofermatoLogy Flower Hospital)

H L. H , . . 419.885.3400 5300 Harroun Rd., Suite 126 419.885.3400 419.885.3400

(in the Medical Office Building on the campus of Flower Hospital)

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

CONTACTS Business office: To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: 419-367-0966 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco. Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email editorhln@bex.net. Publisher: Kevin O’Connell

e lthy l ng ews

April 2018 • Vol. 23, Issue 4

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

CHILDREN & PARENTING

FOOD & NUTRITION

2 Shape up and wake up your skin 6 Is a cancer clinical trial the right choice for you? 14 Meningitis and hearing loss by Sarah Fontaine, AuD, F-AAA 18 Harbor takes the fight to addiction with integrated, patient-centered treatment 19 Achieve your best summer skin by Dr. Erin Hennessey 21 Heartland Rehab cautions: spring “To Do” list can take its toll on muscles and joints by Jim Berger 31 Wise Words from Otterbein Value trees 32 Effective diabetes management is not one-size-fits-all 37 Hormone replacement helps rev up health and fitness potential 38 Preplanning can ease your after-surgery woes 39 Timely tips from Mercy Health on running safety and performance 40 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 43 Nobody’s Perfect Keep it clean! by Sister Karen Zielinski, OSF

5 Local pediatric pulmonologist urges youth to avoid vaping 8 Summer camps keep kids engaged and growing 16 The certification benefit by Mark S. Faber, USPTA Elite Professional 22 FCAPC team works to break the cycle of family violence 26 Veggie-phobic kids? Get ‘em gardening

42 Eating Well Pre- and probiotics— do we really need them? by Laurie Syring, RD/LD 47 Vitamins as drugs? by Douglas A. Schwan, DC, Dip ac 48 Could your senior loved one be malnourished?

ENRICHING YOUR LIFE 14 Health Crossword by Myles Mellor 24 Super Slow Training: Never stop improving! 25 Consider these tax season moves, by Scott D. Brown 28 Don’t get stuck in your comfort zone, by Amanda Manthey 33 Spiritually Speaking Kindness by Sister Mary Thill 36 Is your family prepped for tornado season? 44 A Walk in the Park Road food by LeMoyne Mercer

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Molly O'Connell Print Designer: Jan Sharkey Graphic Artist Intern: Teagan Polizzi Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Social Media Intern: Marla Gootee Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2018 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.

OUR COMMUNITY 20 Don’t let another chair go empty: Organ donation saves lives 30 Senior Living Guide 34 A peek past the gate of Sunset Retirement Communities’ Indian Road campus 41 Laurels rehab client strives to regain fitness edge with help from AlterG 36 Sylvania Franciscans offer Mini Franciscan Pilgrimages

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Dear Readers, Thank you for picking up the April issue of Healthy Living News. This month’s cover story—our 22nd annual Summer Camp Guide (p. 8)—is dedicated to area parents who will soon be looking for ways to keep their kids productively occupied over summer break. Numerous schools and organizations throughout our community are offering camps this year, covering a broad range of interests and activities, so there’s no shortage of opportunities to make this a summer of discovery for your child. Also in this month’s jam-packed issue, you’ll find timely tips on running safety from Mercy Health (p. 39); words of caution about teens and e-cigarette use from ProMedica pediatric pulmonologist Dr. Benjamin Goldstein (p. 5); an illuminating profile on the Family and Child Abuse Prevention Center and their mission to

break the cycle of family violence (p. 22); advice you should consider before filing your tax return this year from Scott Brown of Morgan Stanley Toledo (p. 25); as well as expert insights on effective diabetes management from UT’s Dr. Robert Gotfried (p. 32), the importance of cancer clinical trials from Pam Shoup of The Toledo Clinic Cancer Centers (p. 6), and the role of hormone replacement in revving up health and fitness potential from Dr. Wade Banker of Luxe Laser Vein & Body Center (p. 37). Our editor, Jeff Kurtz, and I recently had the pleasure of meeting with Dr. Farzana Tausif and Jean Drees of Harbor to discuss how their organization is taking the fight to addiction using an innovative and integrated approach to treatment. You can read what they had to share on

@HLNToledo

the opioid crisis in our community on page 18, and be sure to look for future articles from our friends at Harbor in the months to come. Lastly, if you or someone you love is impacted by Parkinson’s disease, you won’t want to miss the 21st Annual Parkinson’s Symposium, presented by the Gardner-McMaster Parkinson’s Center and the Parkinson Foundation of Northwest Ohio. This vital event— themed “More than Movement”—will be held on Saturday, April 28, 2018, from 9:00 a.m. to 2:00 p.m. at Parkway Place (2592 Parkway Plaza) in Maumee. See the ad on page 15 for details. Until next month, stay safe, active, and healthy!

J. Bernie Quilter

Lucas County Clerk of Courts

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Local pediatric pulmonologist urges youth to avoid vaping

eveloped to help smokers kick the habit and commonly perceived to be a safe, healthy alternative to conventional cigarettes, e-cigarettes, as it turns out, score poorly on both counts. According to ProMedica pediatric pulmonologist Benjamin Goldstein, MD, e-cigarettes can be just as addictive as cigarettes, and the liquids used in these devices can contain a wide variety of unhealthy chemicals, including several known carcinogens. What’s more, owing to the popular misconception that they are a healthier option, e-cigarettes are gaining widespread popularity among younger people. “We have seen—and studies show—that while tobacco use is down among middle- and high-school students, e-cigarette and hookah use is actually on the rise in this population,” says Dr. Goldstein. In fact, the CDC reports that between the years 2011 and 2016, e-cigarette use increased from 0.6% to 4.3% among middle-school students and from 1.5% to 11.3% among high-school students. Dr. Goldstein also observes with concern that the misconception of e-cigarettes being safe and healthy has prompted inquiries about these products from certain patient populations who should not even consider trying them—those with chronic respiratory ailments such as asthma or cystic fibrosis. The presence of potentially harmful toxins in the bodies of teens who smoke e-cigarettes—commonly known as “vaping”—was established through research conducted by the University of California-San Francisco and reported in Pediatrics. This study examined a group of nearly 100 teens from the San Francisco Bay area, with the subjects divided into those who use e-cigarettes only, those who use

Research shows that teens who vape had three times higher levels of certain chemicals associated with elevated cancer risk than teens who neither vape or smoke.

both e-cigarettes and conventional cigarettes, and those who use neither e-cigarettes nor Dr. Benjamin Goldstein cigarettes. Compared to teens who neither vape nor smoke, those who vape had three times higher levels of certain chemicals associated with elevated cancer risk, including acrylonitrile, acrolein, propylene oxide, acrylamide, and crotonaldehyde. The levels of known carcinogens were even higher among the teens who both vape and smoke. In this group, the levels of benzene, ethylene oxide, acrylonitrile, acrolein, and acrylamide were three times higher than in those who vape only. The particular flavoring of the liquids used in e-cigarettes appears to correlate with the levels of worrisome chemicals as well. For example, in the aforementioned study, use of fruit flavors was associated with a higher level of acrylonitrile. Dr. Goldstein notes that one particular chemical, diacetyl, is being removed from e-cigarette flavorings due to its proven carcinogenic nature. Diacetyl, which is used to create a buttery flavoring, has been implicated in cases of "popcorn lung" among workers in a microwave popcorn factory. As a result of this exposure, the workers experienced chronic coughing, wheezing, and shortness of breath. This same chemical has been used in many different e-cigarette flavorings. How do e-cigarettes rate as a smoking-cessation aid? Poorly, states Dr. Goldstein. “The nicotine in e-cigarettes still stimulates the pleasure center in the brain and is no less addictive than the nicotine found in tobacco products. Quitting smoking requires a multifaceted approach with significant support, and e-cigarettes cannot be considered a safe and effective replacement therapy,” he says. Furthermore, though vaping and smoking may utilize different delivery vehicles, e-cigarettes and conventional cigarettes have more in common than people might think. Both use some type of heating mechanism to create an aerosol that is inhaled into the lungs along with any chemicals

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it might contain. The levels of these chemicals may be higher in cigarettes, but as noted above, many potentially carcinogenic chemicals are still present in e-cigarette flavorings. Dr. Goldstein’s best advice for

contain ingredients that we just do not know about and there is very little government regulation of these products. Vaping is simply not a safe, healthy alternative to smoking,” he emphasizes. ❦

Is a cancer clinical trial the right choice for you?

hen a patient is diagnosed with cancer, there are many questions, fears, and concerns that need to be addressed. Among these Independent Living Assisted Living considerations is whether to participate Nursing Care • Respite Care inRehabilitation a clinical trial if one is available Short Term Lutheran Village is Outpatient andTherapy the patient is determined to be direction Aa Lutheran whole new new direction eligible. This is a highly personal Village is in retirement living. decision that only the patient can in retirement living. a whole new direction make, but it’s an option well worth in retirement living. It's neighborhood! It’s aa neighborhood! exploring in coordination with an oncologist. Lutheran Village is It's a neighborhood! A community where residents a whole new direction According to Pam Shoup, CCRP, add life where to theirresidents years. in retirement living. Director, Toledo Clinic Research, Acan community cancer clinical trials are vital not just It's a neighborhood! Independent available NOW. can add Living lifeCondos to their years. Call 419-861-5616. to the current patient population, A ofcommunity where residents Lutheran Village at Wolf Creek, a ministry Lutheran Independent Living Condos available NOW. to the future of cancer care. Genacross Lutheran Services Homes Society in partnership with St. Luke’s Hospital. can add life tobut theiralso years. Call 419-861-5616. “Clinical Wolf Creek Campus Lutheran Village at Wolf Creek, a ministry Independent of Lutheran 2001 Perrysburg-Holland Rd. Living Condos available NOW.trials allow access to new Homes Society in partnership Holland with St. Luke’s Hospital.Call 419-861-5616. 2001 Perrysburg Road drugs and other cancer treatments. Holland, OH 43528 Lutheran Village at Wolf Creek, a ministry of Lutheran 2001 Holland, Perrysburg-Holland Rd. Ohio 43528 Through trials, new drugs are tested St. Luke’s Hospital. 419-861-2233 Homes Society in partnership with Holland, OH 435282001 Perrysburg-Holland Rd. against the current standard-of-care 419.861.2233 Holland, OH 43528 www.lhsoh.org 419-861-2233 treatment to determine whether 419-861-2233 For more information, visit they’re beneficial and safe. Unless www.lhsoh.org www.lhsoh.org GenacrossLutheranServices.org EQUAL HOUSING OPPORTUNITY

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middle- and high-school students who are considering trying e-cigarettes is the same advice he gives about tobacco use—avoid taking up the habit altogether. “The fact of the matter is, e-cigarettes can

EQUAL HOUSING OPPORTUNITY

patients are willing to go on clinical trials, we can’t answer these important questions,” she says. Cancer patients are encouraged to discuss the option of enrolling in a clinical trial with their oncologist, who will be able to determine whether the patient’s particular diagnosis meets the eligibility requirements for the trial and will work closely with the clinical research coordinators and the healthcare medical team to answer any questions the patient may have about the trial as well as assist in their participation. Shoup notes that the Toledo Clinic Cancer Centers oncologists are very knowledgeable in this regard and have over 30 years of experience participating in clinical

trials through the National Cancer Institute. Among the barriers to cancer patients participating in clinical trials is the fear that they’ll receive a placebo instead of an active treatment, they’ll have to sacrifice regular treatment and interaction with their physician, or they’ll be treated like a “guinea pig.” But as Shoup explains, these perceptions are based on myth. “Placebos may be used in cancer clinical trials, but never if it denies the patient a more effective therapy or puts them at greater risk of harm. For example, many clinical trials are testing the standard-of-care treatment plus the investigative drug or the standard-of-care treatment with a pla-

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cebo. So, at the very least, the patient research coordinators will carefully is receiving the current standard of review an informed consent docucare. Also, many times clinical trials ment with each willing participant. have several ‘arms’ to the study that The informed consent document may allow for a patient’s treatment outlines the purpose of the study, to cross over from a placebo to the the benefits one may receive, the investigative drug if it is determined risk that could be associated with his or her disease has progressed,” participation, any additional testing or procedures that will be required, she says. It’s also vital for clinical trial can- any costs the patient may incur, indididates to be aware that they won’t viduals and organizations that will be have to sacrifice anything with respect allowed to review the data obtained, to regular treatment if they choose to how confidentiality of the patients participate. In fact, to assess whether medical information is maintained, there is any potential benefit to a new and who the patient should contact drug or treatment, regular care must with any questions regarding their be ongoing throughout treatment, rights, or the study, taking into Clinical trials have ongoing participation account factors such in the study as the type of cancer, many protections and “Informed consent the current stage of the safeguards built into is more than a docudisease, and all the pathat requires a the clinical research ment tient’s known medical signature by the paprocess. and health conditions. tient and the clinician. Shoup further comRather, it is a process ments, “At a minimum, not only is to ensure each patient has a clear standard treatment completed, but understanding of what the clinical many times clinical trials require trial is about and what the expectaextra testing, such as additional lab tions may be for their participation values and scanning procedures that in the study. Most importantly, paare routinely covered by the study. tients always have the opportunity Patients are asked to interact very to withdraw from the clinical trial if closely with their oncologist, clinical they wish to,” Shoup states. research coordinators, and medical Entering a clinical trial does not team to monitor any adverse events, guarantee that a patient will have potential risks, and benefits the pa- increased benefit from the treatment tient may be experiencing from the compared to a patient being treated treatment, and to document whether outside of the clinical trial. What is the patient is experiencing any re- known is that the treatment they sponse to the new drug or treatment receive will be, at the very least, as or progression of the disease.” good as the treatment they would Perhaps the biggest myth related receive off study. Shoup explains, to clinical trials is that once enrolled, “Patients participating in a clinical participants are essentially “guinea trial are not only choosing an option pigs” who sign away their rights and they feel is best for them, but they have no control over what’s done may also find comfort knowing they to them. But the reality is, clinical are contributing to the advancetrials have many protections and ment of medical science and cancer safeguards built into the clinical research—and possibly paving the research process. way for better treatments for future The most important of these safe- cancer patients.” ❦ guards is an institutional review board, or IRB, consisting of both The Toledo Clinic Cancer Centers, located scientific and non-scientific members, at 4126 N. Holland Sylvania Road, Suite whose responsibility is to review and 105, has 12 physicians, 4 research nurses, approve—or disapprove—a clinical and 4 nurse practitioners on staff and trial before it’s used in a particular can provide imaging and laboratory clinical setting as well as to ensure diagnostic services, chemotherapy that the trial follows approved ethical services, and IV services. TTCCC also guidelines to protect patients and has satellite centers in Maumee, Adrian, the integrity of the science. and Monroe, as well as a partnership Once the IRB has approved a with the Mercy Health –Perrysburg clinical trial for use at the facility and Cancer Center for the convenience of the clinical trial has been deemed an the patient. For more information, please appropriate treatment approach for call The Toledo Clinic Cancer Centers at the patient, the oncologist and clinical 419-479-5605.

4126 N. Holland Sylvania Rd., Suite 105 Toledo, OH 43623

Call 419.479.5605

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

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Summer camps keep kids engaged and growing

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t’s only April, and kids are still productively occupied in school, but, as every parent knows, another summer break is looming right around the corner. What sort of summer do you envision for your child? If you hope it will be a time of discovery, enrichment, adventure, skill development, and learning, you’re in luck! Many schools and organizations in our area offer fun and exciting summer camps that will help them develop new skills, acquire new knowledge, and even make friends along the way. Here are some great summer camp options for you and your child to explore:

St. Francis DeSales High School Join in the fun at St. Francis this summer! For more information or to register, please visit sfsknights.org/ camps or call 419-531-1618.

Athletic Camps:

❑ Baseball Camp For those entering grades 4–9 June 3, 4–7pm June 4–6, 9am–noon Cost: $55 ❑ Basketball Camp For those entering grades 1–8 Session 1: June 11–14, 9am–noon Session 2: June 18–21, 9am–noon Cost: $55 ❑ Golf Camp For those entering grades 4–9 June 11–14, 9:00–11:30am Cost: $55 ❑ Football Camps For those entering grades 4–9 June 25–27, 9am–noon Cost: $25

Camp Metroparks Don’t just send your kids to summer camp, immerse them in nature and let their imaginations soar. Affordable, themed day camps are available at several Metroparks for ages 3 to 12. Choose the adventure that best fits your child. A memorable summer starts at your Metroparks.

REGISTRATION IS NOW OPEN! METROPARkSTOlEDO.cOM | 419-407-9700

8 April 2018 | Healthy Living News

❍ BigMan: June 28 For those entering grades 4–9 Cost: $10 ❍ Friday Night Lights: For those entering grades 4–9 June 29 & July 13 Cost: FREE

❑ Soccer Camp For those entering grades 2–9 July 9–12, 9am–noon Cost: $50 ❑ Lacrosse Camp For boys entering grades 3–6 July 16–18, 9–10:30am Cost: $55

Academic Camps

❑ Art Camp For those entering grades 5–8 June 11–15, 12:30–3:30pm Cost: $75 ❑ Musical Theatre

For those entering grades 6–8 June 11–15, 9am–noon Cost: $55

❑ Graphic Design Camp For those entering grades 7–8 June 11–14, 9:30am–noon Cost: $75 ❑ Robo Camp For boys entering grades 5–8 Session 1: June 11–15, 9am–noon Session 2: June 11–15, 1–4pm Cost: $75 per session ❑ Music Camp

For those entering grades 6–8 June 18–20, 9am–noon Cost: $55

❑ Cyber Camp For those entering grades 6–8 July 16–20, 9:00am–noon Cost: $75 Notre Dame Academy NDA’s Summer Academy offers a variety of Academic, Discovery, and Sports camp opportunities for girls, including:

STEM

❑ Coding I ❑ Computer Apps (for credit) NEW! ❑ Stem Girls Creativity

❑ Studio Sampler ❑ Fused Glass

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Healthy Living Ad-Summer Camp.pdf

❑ Nature Crafting NEW! ❑ Sew Creative ❑ Writers’ Cafe NEW! Cooking

❑ Cake Decorating NEW! ❑ Fun with Food ❑ Italian Cooking ❑ Make It, Bake It, Take It

ward to seeing Happy Campers in grades Kindergarten–8 this summer at SUA! Contact Rita Hayes, Director of Admissions, for more information at 419-329-2209 or rhayes@toledo sua.org.

Performance

❑ Beginning Piano NEW! ❑ Theater ❑ Voice & Performance Skills Lifeskills

❑ Safe Sitter ❑ Self Defense ❑ Drivers Ed (Sign up at www.

allstarde.com) ❑ 7th/8th grade Math/Writing TuneUp ❑ Study Skills Bootcamp

Academic

Metroparks Summer Camps Whether it’s kayaking at Oak Openings or chasing insects through the meadow at Wildwood, Metroparks offers an opportunity for kids to connect with nature and get outside this summer. For more information, call 419-407-9789.

❑ Health (for credit) ❑ Government (for credit) ❑ Computer Apps (for credit) NEW! ❑ Wee Workshop Camp: child and parSports The NDA Eagles, fourteen-time AllSports Champs, will also host a variety of sport camps, including volleyball, lacrosse, soccer, softball, basketball, golf, and rowing. Visit nda.org to register or view a full listing of NDA Summer Academy camps.

St. Ursula Academy Happy Camper St. Ursula Academy is excited to announce its variety of athletic and enrichment 2018 Summer Camps! Our athletic camps include a variety of sessions in volleyball, basketball, soccer, golf, lacrosse, and softball— all taught by certified coaches and featuring SUA athletes! These camps run throughout the summer. SUA’s enrichment camps run for four days and will be limited to two weeks this summer (June 4 and June 11) as our building undergoes an exciting renovation. (Our full slate of camp offerings will resume in Summer 2019!) Our selection of enrichment camps this year includes A Day in the Studio (art camp), A Day in the Lab (science, technology, engineering, and math [STEM] camp), A Day in the Kitchen (culinary camp), and American Girl Camp. We look for-

ent (ages 3–5). Introduce your child to nature and have fun at the same time! This child/adult companion day camp will feature outdoor adventures such as crafts, story time, and nature walks. Learn about birds, butterflies, flowers, and animals. Dress for outdoor play, and bring a water bottle. Register child only. Fee: $75 (members $65). July 9–13, 10am–noon, Oak Openings Preserve, Buehner Center.

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CAMPER St. Ursula Academy Summer Camps We look forward to seeing Happy Campers in grades K–8!

sports camps & enrichment camps

❑ Wee Workshop Camp: child only (ages

3–5). The camp focuses on children only so they can bond with nature and make new friends. Kids will learn about birds, butterflies, flowers, and animals while they enjoy outdoor adventures, crafts, story time, and nature walks. Dress for outdoor play, and bring a water bottle. Fee $95 (members $85). ❍ July 9–13, 1–3pm, Oak Openings Preserve, Buehner Center. ❍ July 30–August 3, 10am–noon, Wildwood Preserve, Metroparks Hall. ❍ July 30–August 3, 1–3pm, Wildwood Preserve, Metroparks Hall.

Our athletic camps include a variety of sessions all taught by certified coaches; they will run throughout the summer. SUA’s enrichment camps run for four days and will be limited to two weeks this summer (June 4 and June 11) as our building undergoes an exciting renovation! Our full slate of camp offerings will resume in Summer 2019!

❑ Outdoor Explorers Camp (ages 5–7).

Outdoor explorers will have a weeklong adventure experiencing the many habitats of the Metroparks, from sandy dunes to shady forests. Chase insects through the meadow,

for more information... www.toledosua.org or (419) 329-2209

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splash in the river, and search woodland trails for wildlife. Challenge yourself to try canoeing, archery, and exploration during field trips. Take part in hands-on experiments, games, and crafts. New this year: experience life as a kid 100 years ago! A daily snack is provided. Fee: $150 (members $140). ❍ June 11–15, 9am–2pm, Wildwood Preserve, Metroparks Hall. ❍ June 25–29, 9am–2pm, Oak Openings Preserve, Oak Openings Lodge. ❍ July 23–27, 9am–2pm, Wildwood Preserve, Metroparks Hall. ❍ August 6–10, 9am–2pm, Wildwood Preserve, Metroparks Hall.

❑ Nature Camp (ages 8–12). Nature

Camp combines outdoor activities with history, challenging yourself with enjoying games. Investigate the parks’ rivers, forests, and dunes, and learn about the plants and animals living there. Try canoeing, archery, fishing, tree climbing, and stream exploration on your fieldtrips. Experience life in the park 100 years ago. Take part in hands-on activities, games, and crafts. Bring a friend or make a new one here. A daily snack will be

provided. Fee: $210 (members $200). ❍ June 18–22, 9am–4pm, Wildwood Preserve, Metroparks Hall. ❍ July 16–20, 9am–4pm, Oak Openings Preserve, Oak Openings Lodge.

❑ Survival Camp (ages 8–12). Learn how to survive in the wilderness in this exciting and active camp. You’ll face and overcome obstacles during very busy outdoor activities, gaining individual and team skills through hands-on learning activities. You’ll learn about the importance of the basics of life: food, water, and shelter. And you’ll gain confidence from knowing what steps to take in the wilderness. Put your skills to work and see if you can survive an optional overnight campout at the Oak Openings Lodge on Thursday, June

2 018

ST. FRANCIS DE SALES

SUMMER CAMPS

28th. Separate registration required. Fee: $175 (members $165). June 25–29, 9am–2pm, Oak Openings Preserve, Buehner Center.

❑ Survival Camp Overnight. Survival

campers, are you ready to take on the Oak Openings overnight? Here is your chance to put your survival skills to the test. With your adult chaperone, you will set up camp and participate in a variety of fun campout activities. A special glow kayak paddle on Mallard Lake is sure to be the highlight of your evening. Eat dinner before you come. Snacks and a light breakfast will be provided. Limited camping equipment available to borrow upon request. This overnight is available only to survival campers and one adult chaperone. Please register adult and camper. Fee: $35 (members $28). June 28, 7pm–8:30am, Oak Openings Preserve, Lodge.

❑ Archery Camp (ages 8–12). Chan-

nel your Katniss or Green Arrow to transform from a camper to an archer with five days of basic archery instruction. We’ll start at square one, so no prior archery experience is

ACADEMIC CAMPS ART CAMP June 11 - 15 • 12:30pm - 3:30pm For those entering grades 5-8; Cost: $75 MUSIC CAMP June 18 - 20 • 9am - Noon For those entering grades 6-8; Cost: $55 MUSICAL THEATRE June 11 - 15 • 9am - Noon For those entering grades 6-8; Cost: $55

10 April 2018 | Healthy Living News

paddling skills while learning how to stay safe on the water. Campers will learn the basics of canoeing, kayaking, and stand-up paddle boarding. Be prepared to get wet! Fee: $200 (members $190). July 23–27, 9am–2pm, Blue Creek Conservation Area, Nona France Area.

❑ Adventure Camp (ages 11–12). Enjoy

a whole week of outdoor challenges! Explore trails, streams, and forests. Climb a tree, paddle a canoe, draw a compound bow, and walk a slackline. Discover science, history, outdoor adventure, and stewardship. Camp

ATHLETIC CAMPS BASEBALL CAMP June 3 • 4pm - 7pm June 4 - 6 • 9am - noon For those entering grades 4-9; Cost: $55 BASKETBALL CAMP Session 1 June 11 - 14 • 9am - Noon Session 2 June 18 - 21 • 9am - Noon For those entering grades 1-8; Cost: $55 per session GOLF CAMP June 11 - 14 • 9am - 11:30am For those entering grades 4-9; Cost: $55

GRAPHIC DESIGN CAMP June 11 - 14 • 9:30am - Noon For those entering grades 7-8; Cost: $75

SOCCER CAMP July 9 - 12 • 9am - Noon For those entering grades 2-9; Cost: $50 LACROSSE July 16 - 18 • 9am - 10:30am For boys entering grades 3-6; Cost: $55

FOOTBALL CAMPS June 25 - 27 • 9am - Noon For those entering grades 4-9; Cost: $25

Space limited to 18 total people For boys entering grades 5-8; Cost: $75 per session

BigMan: June 28, $10 For those entering grades 4-9; Cost: $10

Session 2 June 11 - 15 • 1pm - 4pm

419-531-1618 // sfsknights.org

❑ Paddling Camp (ages 8–12). Build your

CYBER CAMP July 16 - 20 • 9am - Noon For those entering grades 6-8; Cost: $75

ROBO CAMP Session 1 June 11 - 15 • 9am - Noon

2323 W. Bancroft Street // Toledo, Ohio

required. The archery journey will end with a friendly competition on Friday. Fee: $175 (members $165). July 9–13, 9am–2pm, Westwinds, Turkey Foot Shelter.

Friday Knight Lights: June 29 & July 13 For those entering grades 4-9; Cost: Free

will be held daily, with rainy-day options if necessary. A daily snack will be provided. Fee: $210 (members $200). July 30–August 3, 9am–4pm, Oak Openings Preserve, Oak Openings Lodge.

The Toledo Zoo Summer Safari Camps

❑ Call of the Wild—Hiss, howl, and hoot in this fun camp about animal communication. Explore the many different ways animals talk to each other, from tail wags to dazzling displays. ❍ June 18–22 ❍ July 16–20 ❍ August 6–10 ❑ Zoo Olympics—Go for the gold in

The Toledo Zoo Summer Safari Camp is a week-long experience featuring fun games and activities, live animal visitors, and cool crafts. Registration is online. Please contact us at education@toledozoo.org with any questions.

this camp about the champions of the animal kingdom, and discover the animal record holders to see how you compare! ❍ June 11–15 ❍ July 16–20 ❍ July 30–August 3

Camps for 4- to 5-year-olds

❑ Animal Detectives—In this camp,

$135 for members, $160 for non-members. 9am–noon

❑ Born To Be Wild—From calves to

cubs, come and discover the Zoo’s newest residents and how they grow up in this camp all about animal babies and the families that raise them! ❍ June 4–8 ❍ June 25–29 ❍ July 23–27

❑ Movin’ & Groovin’—Did you know

that animals move in many different ways? Jump, run, or skip on over to the Zoo and join in on the fun by slithering like a snake, waddling like a penguin, or swinging like a monkey. ❍ June 11–15 ❍ July 9–13 ❍ July 30–August 3 ❍ August 13–17

❑ Once Upon a Zoo—Watch all your

favorite fairy tale animals come to life in this exciting story safari! Read and discover all about the story book stars that call the Zoo home! ❍ June 18–22 ❍ July 16–20 ❍August 6–10

Camps for 6- to 10-year-olds $180 for members, $230 for non-members. 9am–3pm

❑ Rainforest Rangers—Calling all

rainforest rangers! Join us on this journey through the jungle! Work together to complete missions and learn how you can help the animals that call the rainforest home. ❍ July 9–13 ❍ July 23–27 ❍ August 6–10

30+ Fun Summer Camps for girls in grades K-122 Register at nda.org

LIFESKILLS Safe Sitter Self Defense Drivers Ed (sign up at ww.allstarde.com.) 7th/8th grade Math/Writing Tune-Up Study Skills Bootcamp ACADEMIC Health (for credit) Government (for credit) Computer Apps (for credit) NEW!

you must use your detective skills to search for evidence that animals leave behind! Investigate animal tracks, scat, and feathers to solve mysteries and figure out the animal culprits! ❍ June 4–8 ❍ June 18–22 ❍ July 9–13

SPORTS CAMPS Basketball, Golf, Lacrosse, Soccer, Volleyball, Rowing

❑ Around the World—Bon voyage!

Travel to Asia, Africa, South America, the Arctic, Australia, and more—all in one week! Experience exotic animals found all over the world, and discover the unique cultures that live with this wildlife. Pack your bags, grab your passport, and let the adventure begin! ❍ June 11–15 ❍ June 25–29 ❍ July 23–27

❑ Catch Me If You Can—Are you faster

than a cheetah? Can you outsmart a fox? Explore some of the amazing ways that animals keep themselves safe from predators in this fun and exciting camp about predators and prey! ❍ June 4–8 ❍ June 25–29 ❍ July 30–August 3

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Experience Camps for 6- to 10-year-olds $195 for members, $245 for non-members. 9am–3pm

ambassadors! ❍ June 18–22 ❍ July 9–13 ❍ August 6–10

out what it is like to work in Nature’s Neighborhood. ❍ June 4–8 ❍ June 18–22 ❍ July 9–13 ❍ July 23–27 ❍ August 6–10

Experience Camps for

❑ Enrichment & Training (ages 8–10). 11- to 15-year-olds Have you ever wondered how keepers keep animals at the Zoo busy? Or how they get a polar bear to come inside? Discover the wonders of training and the importance of enrichment in the Zoo. ❍ June 11–15 ❍ June 25–29 ❍ July 16–20 ❍ July 30–August 3

❑ Wild Artist (ages 6–7)—Let’s create

wild art! Using paint, paper, clay, and other different materials, make your own art masterpieces and exhibit them at the end-of-the-week art show. ❍ June 4–8 ❍ July 23–27

$300 for members, $350 for non-members

❑ Junior Zookeeper I (ages 11–14)—Have

you ever wondered what it would be like to be a zookeeper cleaning exhibits, preparing diets, and being behind-the-scenes of the #1 Zoo in the nation? In this section of Junior Zookeeper, we will focus on reptiles, elephants, and education animals. Campers will also get to discover which animals live in our native prairies planted by Wild Toledo, our local conservation department, and find

❑ New! Zoo TV (ages 8–10)—Lights,

camera, action! See what life is like at the Zoo behind the lens of a camera. Learn all about some of the Zoo’s endangered species and even create your very own commercial for conservation starring one of our animal

❑ Junior Zookeeper II (ages

11–14). Have you ever wondered what it would be like to be a zookeeper cleaning exhibits, preparing diets, and being behind-thescenes of the #1 Zoo in the nation? In this section of Junior Zookeeper, we will focus on arctic and aquarium animals and birds. Highlights include checking out how our Wild Toledo is partaking in sturgeon conservation, discovering the challenges of working with animals that can fly and some that are much larger than you, and diving into what it is like to work as one of the Zoo’s aquarists! ❍ June 11–15 ❍ June 25–29 ❍ July 16–20 ❍ July 30–August 3

❑ Leaders of the Pack (ages 12–15). 9am–3pm (M,T,F). Overnight Adventure (Wed. 6pm–Thurs. 10am). Challenge yourself in this camp

all about being a leader! Get a chance to try our Aerial Adventure Course. Join in on a conservation project, create your very own video for a Zoo animal, and work with the education department to engage the public! Also campers will be able to spend the night in the Aquarium! ❍ June 11–15 ❍ July 16–20 ❍ July 30–August 3

❑ Conservation Explorers (ages 11–14).

Make a difference! Help Zoo staff with a conservation project, learn about the many ways the Zoo helps animals in the wild, and take a trip into the field for some firsthand conservation. ❍ June 4–8 ❍ June 18–22 ❍ August 6–10

Fishing Camps $300 for members, $350 for non-members ❑ Fishing Camp (ages 8–10). If you like to fish or have always wanted to try but have not had the opportunity, this camp is for you! Learn the basics

Summer Time at Maumee Valley

R E T S I G RE T O D AY

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12 April 2018 | Healthy Living News

SummerTime at Maumee Valley offers weekly morning and afternoon classes for students entering grades 1 through 12, as well as “Hobbit” Preschool camp for half or full-day weeks. Camps and classes run from June 18 through July 27 (closed July 2-6) and are open to all students. Come explore the arts (performing and visual), academics, and athletics at SummerTime at Maumee Valley!

Register at MaumeeValleySummerTime.org Questions? Email or call us anytime! Maumee Valley Country Day School 715 S. Reynolds Rd. | Toledo, Ohio | mvcds.org | 419-381-1313

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from rigging your pole to properly baiting your hook. Daily trips to local ponds, a charter trip on Lake Erie, and a fishing derby on Friday are part of the excitement. Rods, reels, and bait are provided, but if you like, you may bring your own gear. ❍ June 11–15 ❍ July 9–13

❑ Fishing Camp (ages 11–14). If you

like to fish, this camp is for you! Learn the basics from rigging your pole to properly baiting your hook. Daily trips to local ponds, a charter trip on Lake Erie, and a fishing derby are part of the excitement. Rods, reels, and tackle are provided, but please feel free to bring your gear if you wish. ❍ June 25–29 ❍ July 23–27

SummerTime at Maumee Valley Country Day School SummerTime welcomes students and instructors from throughout the area to come together and discover just how good a school can be. Our program is designed to complement each family’s summer schedule and children’s interests by allowing you to enroll for any week(s) you choose and for half-day and full-day options. The 2018 SummerTime camps and classes will include:

❑ Hobbit Camp: Full-day and halfday options available for ages twoand-a-half years old (by June 2018) through five years old. Morning session: 9am–12pm. Afternoon session: 12:30–3:30pm. Hobbit Day Camp is the perfect “burrow” for your four- or five-yearold child. Each week we highlight a special theme that is addressed through our books, snacks, art, and activities. Camp activities include reading together, preparing our own yummy treats, climbing and sliding on the playground, arts and crafts, yoga for kids, and exploring the woods around us. We’ll also make time for singing, playing games, and cooling off in the afternoon. Our day will have lots of learning but, like Hobbits, we’ll allow plenty of time for just enjoying the summer.

And, for sure, we’ll set aside a short time each afternoon for resting. Campers who stay all day or for the Lunch Supervision with their Half-Day Option will need a lunch with beverage (refrigeration and microwave are available), sunscreen, and insect repellent. All-day and afternoon campers will need a bathing suit and towel for rest time.

❑ Morning & Afternoon Specialty

Camps (grades 1–12): SummerTime at Maumee Valley also offers summer morning and afternoon specialty classes for students with interests in academics, the arts, and athletics. Summer morning specialty classes and camps are for children entering first grade–high school. Morning sessions run from 9am–12pm, and afternoon sessions run from 12:30–3:30pm.

❑ Full-Day Specialty Camps (Grades

1–8) focus on the same topic all day long. The campers can dig deeper into their interests through this experience. Campers must bring a packed lunch. SummerTime camps and classes will be offered from June 18–July 27 (closed July 2–6). Class sizes are limited, and applications are accepted on a first-come-first-served basis. For more information, visit mvcds.org or contact Jennifer Griffin at 419-3811313, ext. 175 or jgriffin@mvcds.org.

much more. All activities are adapted based on the need of each child. We have something for everyone ages six–high school.

Renesha Warren at 419-866-6500, ext. 270 for additional information. Need a break from caregiving? Come visit Noah’s House, our children’s respite home. We offer 24-hour staffing, meals, medication administration, transportation, pool, spa, and sensory room. Noah’s House is a unique children’s respite home that offers overnight stays for children with an intellectual disability and/or who are medically fragile. This service is available during camp sessions for an additional cost and accepts various funding sources. ❦

7 weekly themed sessions ❍ June 11–15 ❍ June 18–22 ❍ June 25–29 ❍ July 2–6 ❍ July 9–13 ❍ July 16–20 ❍ July 23–July 27 We are accepting applications April 1, 2018–May 1, 2018. There is no application fee. Please contact

Anne Grady Services + Summer Camps Nature Walks • Indoor Pool / Spa • Bicycles • Arts & Crafts • Sports • Cooking Anne GrAdy Summer CAmpS offer extended school year services with qualified staff working with campers to help children retain the skills they have learned throughout the school year in a traditional camp setting. All activities are adapted based of the need of each child. We have something for everyone ages 6 through high school. 7 Weekly Themed SeSSionS July 2 - 6 June 11 - 15 July 9 - 13 June 18 - 22 June 25 - 29

July 16 - 20 July 23 - July 27

We are accepting applications April 1 - May 1. There is no application fee. Please contact Renesha Warren at 419-866-6500, x 270 for additional information. 1525 Eber Road, Holland, Ohio 43528

419-866-6500

www.annegrady.org

Anne Grady Services Summer Camp Program Anne Grady Summer Camp offers Extended School Year Services. We have qualified staff working with campers to help children retain the skills they have learned throughout the school year in a traditional camp setting. About our Summer Camp Program— Anne Grady Summer Camp is located in Holland, Ohio, but accepts children from Lucas, Fulton, and Wood counties. We work with local school districts to help meet each student’s individualized need. Our camp experience includes nature walks, indoor pool and spa, bicycles, arts and crafts, sports, cooking, and so

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | April 2018

Meningitis and hearing loss by Sarah Fontaine, AuD, F-AAA

id you know that early symptoms of meningitis may mimic influenza (flu)? Although peak flu season is soon coming to an end, it is important to be aware of the severity of other life-threatening illnesses, such as meningitis. Meningitis is an inflammation of the membranes (meninges) surrounding your brain and spinal cord. The swelling from meningitis typically triggers symptoms such as headache, fever, and a stiff neck. These symptoms may develop in several hours or over the course of a few days. Possible signs and symptoms in anyone over the age of two include sudden high fever, severe headache with nausea or vomiting, confusion, fatigue, difficulty waking, sensitivity to light, or loss of appetite/ thirst. Young children below the age of two may exhibit symptoms such as constant crying, excessive sleeping, sluggishness, poor feeding, and a bulge in the soft spot on top of the baby’s head (Mayo Clinic). The three most common causes of meningitis include viral, bacterial, and fungal infections. Viral infections are the most common cause of meningitis, followed by bacterial infections and, rarely, fungal infections. Bacterial infections can be life-threatening, which makes identifying the cause essential. In general, the bacteria can be spread from one individual to another by indirect or direct contact, e.g. sneezing, coughing, sharing meals, and kissing (CDC, 2018). Bacteria can enter the bloodstream and travel to the brain and spinal cord leading to acute bacterial meningitis. It can also occur when bacteria directly invade the meninges from an ear or sinus infection, from a skull fracture, or after some surgeries (Mayo Clinic). In many cases, immediate medical intervention can help treat individuals who experience meningitis. However, patients are often left with life-changing complications. Hearing loss is one of the most common complications experienced by survivors. The underlying mechanism of hearing loss is not well understood and is likely a combination of factors, including direct labyrinth involvement, cochlear

neuroepithelial damage, and vascular insult (Kutz et al., 2006). Obtaining an audiological evaluation throughout the treatment and recovery process is imperative, particularly in the pediatric population. Research suggests that as many as 30.6% of children who experience bacterial meningitis will develop a permanent hearing loss (Kutz et al., 2006). Other complications commonly seen in meningitis are memory difficulty, learning disabilities, brain damage, gait problems, neurologic disorders, and kidney failure. Routine hearing testing is essential to identify, monitor, and treat the hearing loss, which will impact outcomes for hearing, speech, language, and education. Untreated hearing loss can result in devastating consequences for both the pediatric and adult populations. Patients with hearing loss who have not established language, e.g. infants and young children, will suffer from compromised auditory input. Auditory information is imperative to foster expressive and receptive language development. If a child is unable to hear specific consonant sounds, such as /s/, /f/, or /th/, they will be less able to produce those sounds. Ultimately, this can delay their ability to have intelligible spoken language. Other avenues of education may also be negatively impacted, including written language, reading, and social skills. Adults with hearing loss who delay treatment options are also depriving the brain of essential auditory information. Hearing loss, whether sudden from meningitis or slowly progressive in nature, can result in negative consequences other than the inability to follow speech. Research continually reveals that individuals who delay treatment options for their hearing loss, e.g. hearing aids, are more likely to withdraw themselves from their everyday activities. Feelings of embarrassment, anxiety, fatigue, and stress often lead patients to begin pulling away from activities they enjoy because they are unable to hear. In addition, untreated hearing loss is independently associated with a 24% increased risk for cognitive

impairment and 30-40% increased rate of cognitive decline (Lin et al., 2013). An audiologist is the healthcare expert who is responsible for the diagnosis, treatment, and management of hearing and balance disorders. If you or a family member knows someone who experiences hearing difficulty, please encourage them to have a comprehensive audiological evaluation. Being able to listen and communicate is one of life’s greatest blessings, and everyone deserves the

ability to hear. The audiologists at the Northwest Ohio Hearing Clinic have years of experience and provide patient-centered care to address your listening concerns. To schedule an appointment, please call 419-383-4012 or 419-873-4327. ❦ Sarah Fontaine, AuD, F-AAA, 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).

HEALTH CROSSWORD by Myles Mellor • ilovecrosswords.com • Answers on page 28

Across 1 Spa treatment 6 Genetically altered foods 8 The O in EVOO 9 Life, in short 11 Tart vegetable often used as a dessert 12 Blue-green ___ 14 Power measurement 15 Mollusks 18 Quick sleep 19 Herb with medicinal qualities 21 Toyota, e.g. 24 Raise 25 Stomach function 1

31 Swiss ___ : healthy green vegetable 32 Making better 34 Vital organ in blood circulation 35 Nurses, with to Down 1 Farmers’ ____ 2 Finding suitable vendors for food, e.g. 3 Family member 4 Mode or king (2 words) 5 Outward flow 6 Milk providers 7 Chemical-free farming 10 Vegetable that may be 4

green, red, or orange 13 Drs.’ group 16 Are situated 17 Mediterranean diet fruit 20 Appropriate 22 Mass. peninsula 23 Flexor or extensor 26 Nation with a long history of using herbs in medicine 27 Visit 28 Crying vegetable 29 Clean off 30 Good scrambled 32 Having a high temperature 33 Dosage quantity, abbr. 7

10 12

13 14

23 24

29 32

14 April 2018 | Healthy Living News

30 33

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Across

4 Mode o

PARKINSON’S PARKINSON’S DISEASE DISEASE

N A H T N A E H R MO ORE T

M PROGRAM O O V VpARkinSon’S DiSeASe: E Directions E to the MoReDisease THAn MoVeMenT M Parkinson’s Symposium M E E Parkway Place N 2592 Parkway Plaza N Maumee, OH 43537 T 419-794-2121 T www.parkwayplace.biz 8:30 a.m.

21st Annual Symposium

8:30-9:00 a.m.

Coffee & Pastries; Vendor Displays, 50/50 Raffle Ticket Sales

9:00-9:15 a.m.

Welcome Jeremy Hartle, Vice-President PFNWO

9:15-9:30 a.m.

GMPC Current Events Lawrence Elmer MD, PhD, Director - GMPC

Doors Open

9:30-9:45 a.m.

Guest Q&A

9:45-10:15 a.m.

The BORDER before the diagnosis Lawrence Elmer MD, PhD

10:15-10:45 a.m.

Break 50/50 and Raffle Ticket Sales

10:45-11:45 a.m.

Connecting the PIECES Early and Middle PD Lawrence Elmer MD, PhD

21st Annual Symposium 1 1:45 a.m.-12:15 p.m. The bigger PICTURE 21st Annual Symposium From the South Advanced PD Saturday, April 28, 2018 Lawrence Elmer MD, PhD I-75N via the ramp to Toledo Saturday, April 28, 2018

9:00 a.m. to 2:00 p.m. 12:15 p.m.-1:15 p.m. Lunch: 50/50, Baskets, and Take exit 192 on the left to merge9:00 onto a.m. to 2:00 p.m. Grand Prize Raffle Drawing 1-475 N. US-23 N towards Maumee, Ann 1:15-1:30 Arbor p.m. Clinical Research Update Parkway Place Take Exit 4 to merge onto US-24 E towards Maumee Wilson, Parkway Place OH Stephanie MSN, APRN, CCRC 2592 Parkway Plaza, Maumee 43537 Turn right on S. Detroit 2592 Ave. Parkway Plaza, Maumee OH 43537 1:30-1:45 p.m. Parkinson’s Foundation of Take theParkway 1st right into parking lot for Parkway Place Maumee, Place, 2592 Parkway Plaza, NW Ohio Ohio 43537

SATURDAY, ApRil 28, 2018 9:00 a.m. to 2:00 p.m.

From the North

Presented by:bY pReSenTeD Presented by:

Holding the Pieces Together Jeremy Hartle, Vice-President, PFNWO

The program is Parkinson’s or a Free Will Gif be appreciated

Space is Limite

To register by m SYMPOSIUM RE The University of Gardner-McMas 3000 Arlington Toledo, OH 43 or online: www.p or by phone: 80

Please leave a messa or two.

Name: ___________

# of Guests:_______

Street Address: ____

City State Zip: _____

Phone: ___________

Email: ___________

Meal Selection (

#________ S

#________ B

I would like to m Toledo, Departm

Gardner-McMaster Take the ramp onto US-23 S towards Toledo1:45-2:00 p.m. Outside the Box Gardner-McMaster Support for Every Stage In the Name of ___ Merge onto I-475 South Parkinson Center Regional Support Center Group Leaders Take Exit 4 to merge onto US-24 EParkinson towards Maumee Checks can be ma Turn right on S. Detroit Ave. Department of Neu AnD Parkinson’s Sympo Registration Deadline Friday, April 16, 2018 Take the 1st right into parking lot for Parkway Place Parkinson Foundation Parkinson Foundation oF northwest ohio From the East oF northwest ohio Take the Ohio Turn Pike West towards Toledo Thefor Symposium free to those who are affected with Parkinson’s or care for someone with PD. Take exit 59 US-20 istoward US-23/I-475 However, a Free Will Gift of $10/person would be appreciated. Keep right at the fork and merge onto US-20 E/S Space is limited. Pre-registration required: online at www.pfnwo.org or phone 800.438.5584 Reynolds Rd. Turn left at OH-25 N/US-24 E Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | April 2018 15 Turn right at S. Detroit Ave. Take the 1st right into parking lot for Parkway Place,

& &

Amount $______

Tausif, who shares Harbor’s passion for treating the whole patient, is a board-eligible physician specializing in Family Practice Medicine, with over 25 years of experience providing care to youth and adults. Her role at Harbor includes offering an overall addiction-treatment program called here’s no question that substance CEO, John Sheehan, who looks at Medication-Assisted Treatment, or abuse and addiction have reached the problem of addiction with a very MAT. She notes, “A human life is at epidemic proportions across our different lens and continually poses stake, so we use every tool at our nation—including right here in the the question, ‘What’s the next right disposal to treat patients holistically, Toledo area. It has also become evident thing we can do for the patient in including counseling, therapy, sober support meetings, drug that the methods used in the past our continuum of care?’ testing to monitor for subto combat the problem of addiction Stopping substance abuse stance use, and a variety simply don’t measure up to the scope before it starts has always of different community of the crisis we’re currently facing. been a goal at Harbor, services and resources.” Too many lives are still being lost to but John has moved us The medications Dr. overdose, especially among those into a more integrated Tausif can utilize include abusing opiates. treatment approach that oral pills to reduce sympRecognizing that a much more reaches patients where toms of opiate addiction aggressive approach is necessary to they are, draws on a wide and withdrawal, as well reach people in the grips of addic- variety of different reas an injectable, long-lasttion before it’s too late, Harbor has sources, and helps guide ing medication that is adexpanded its focus beyond prevention them from A to Z.” ministered once a month to include an integrated approach Reflecting this new to reduce cravings for that intervenes early and treats the commitment, Harbor has Dr. Farzana Tausif alcohol and opiates. brought on board Farzaentire person. However, Dr. Tausif Jean Drees, Executive Director of na Tausif, MD, to help Marketing & Community Relations for patients grappling with addiction emphasizes that there is no magic Harbor, explains, “This new approach through the organization’s Substance pill for beating addiction and sucemerged under the guidance of our Use Disorder Treatment Program. Dr. cessful treatment doesn’t focus on the addiction alone. “It’s important to understand that substance abuse is a comorbidity of mental health issues. If you just treat the addiction without getting to the underlying problem, such as depression, the patient will end up right back where he or she started in no time. Think of it like fixing only one part of a car that has multiple mechanical problems. Our Discover Rosary Care Center – on the goal is to get patients sober and into peaceful Motherhouse grounds of the long-term recovery, but they aren’t Sisters of St. Francis of Sylvania. going to get well if we treat individual • We offer skilled nursing services, symptoms without looking at the therapy and rehabilitation for recovery whole picture. Furthermore, no form following surgery, an injury or illness. of addiction treatment will succeed • Our team can help you evaluate if the patient is not motivated to get your care needs. well,” she says. • We are Medicare and Medicaid It’s also crucial for the Harbor team certified and accept most other to “take patients where they are” commercial insurances. in determining treatment—taking into account factors such as how • Long-term care and respite care are also available. long they’ve been using and what socioeconomic factors might be contributing to the addictive behavior Rosary Care Center welcomes all or preventing them from following in a warm, caring environment. through with treatment. Telehealth—the use of telecomCall for a tour today. 419.824.3600 munication technology to provide jphillips@rosarycare.org patient care remotely—is another area in which Harbor is breaking new 6832 Convent Blvd. • Sylvania, Ohio ground. While telehealth is widely A Sylvania Franciscan ministry used in other medical arenas, Harbor’s application of this technology for

Harbor takes the fight to addiction with integrated, patient-centered treatment

A full wellness clinic with Acupuncture, Traditional chinese Medicine, and Massage Therapy.

TO THE POINT

RECOVERY FROM STROKE This patient had tried alternatives and hadn’t found a solution. Until she visited Tamara TCM Wellness Clinic. Hear what she had to say: “After months of occupational and physical therapy, I decided to include acupuncture and alternative medicine to help me recover from a devastating stroke in 2012. I am happy to report that Tamara TCM is the leading factor for the feeling and movement that I have regained in my arm and leg since my stroke a year a go. Tamara has been a very important part of my recovery and I recommend her to you without any reservations. I have been impressed with the wide variety of health issues she has been able to effectively treat. Whatever your symptoms; I am sure Tamara can help you to feel better. she’s the Best, Give Her a Try!” This story is just one of the many successes at Tamara TCM Wellness Clinic. Many conditions are effectively treated with acupuncture.

call to book with one of our highly trained licensed Acupuncturists.

419.345.4996 Tamara TCM Wellness Clinic 120 Dudley St Maumee, OH 43537 www.TamaraTCM.com

Pins not your thing? We offer massage too! 16 April 2018 | Healthy Living News

Is your loved one transitioning from hospital to home?

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EVERYONE NEEDS HELP SOMETIMES!

Mental Health Issues Affect 1 in 5 People

Harbor Adult, Youth, and Family Services • Individual, Family & Group Counseling – Anxiety & Depression – Grief & Bereavement – Stress Management – Anger Management – Relationship Issues – Family Dynamics – Abuse & Neglect Treatment • Crisis Intervention • Wellness Education • Employee Assistance Programs (EAP) • Vocational Rehabilitation Services & Training • Health Home Services

• • • • • •

Substance Use Disorder Treatment Telehealth Services Diagnostic Assessments Community-Based Therapy Community Support Services Developmental & Behavioral Pediatrics – ADHD – Autism Spectrum Disorder – Learning and Language Disabilities • Primary Care • Psychiatric Evaluation • Psychological Testing

Treatment Does Work! Harbor’s Substance Use Disorder Treatment Programs are designed to help people with substance use problems and mental illnesses reclaim their lives. We help people to become resilient by developing and using abilities, supports, and knowledge, to work a recovery plan and have a life that is healthy and successful without using substances.

Services Include:

• Medication-Assisted Treatment (MAT) • Intensive Outpatient Treatment (IOP) • Non-Intensive Outpatient Services • Residential Treatment for Women

419.475.4449 www.harbor.org

• Individual Counseling • Group Counseling • Family Counseling • Case Management • Urinalysis

Medicaid, Most insurances, Medicare and private pay accepted.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | April 2018

treating addiction and other mental to a proper continuum of care.” health issues puts the organization on Dr. Farzana Tausif is now accepting the cutting edge. “We have wonderful patients at Harbor’s new location at physicians and advanced practice nurses right here in our community, but the demand for mental health By Mark S. Faber, USPTA Elite services is so high that we have to find innovative ways to supply enough caregivers. With telehealth, we can ould you go to a doctor who ‘beam in’ providers from anywhere did not go to medical school? in the country to assess patients and Would you take your taxes to an prescribe treatment,” Drees says. Harbor has also positioned itself accountant who is not a CPA? Do on the leading edge by forming part- fitness facilities hire personal trainers nerships with area health systems. who are not certified? The answer is For example, the organization has no. So, why would you take a tennis long collaborated with ProMedica lesson from a tennis professional to help reach more patients in need who is not certified? In the tennis industry, this is an of mental health services, and just recently Lighthouse Telehealth, a age-old question that many of us subsidiary of Harbor, partnered with face every day. As a USPTA-certified Mercy Health to provide Inpatient professional, a member of the USPTA Physician and Advanced Practice National Board of Directors, and a Nurse support, ensuring 24/7 coverage Director of Tennis, this issue is one for behavioral health/substance use that I and my colleagues face often. At disorder patients at Mercy Health times, arguments can be made from facilities. “These partnerships rep- both the certified and uncertified resent just one of the many ways sides. We struggle with this question Harbor is working to improve access and discussion because if you go to a to integrated treatment for people local golf course, especially a country struggling with addiction,” Drees club, you’ll struggle to find a facility states. “To get the best possible out- that does not staff a PGA-certified comes, it’s essential to increase access professional. 10.25x5_ES_GotYouCovered_FINAL_HL_1017_HI.pdf 1 10/4/17 1:23 PM

3909 Woodley Road in Toledo. For more information or to schedule an appointment, please call 419-475-4449.❦

Professional

The certification benefit

This article is going to discuss the positives of being certified by the United States Professional Tennis Association (USPTA). W h e n consumers go to a tennis facility and see a tennis professional with the letters USPTA by his or her name, they should instantly know this person has gone through a process of testing and continuing education that brings credibility. To become a certified USPTA professional, one must be educated in the art of working with 10-and-under tennis players, demonstrate the ability to teach private and group lessons by passing an on-court test, be able to identify developmental flaws by passing a stroke analysis test, pass a written exam that covers all phases of the tennis industry, as well be proficient in teaching items often overlooked, such as proper grips. As

you can see, this is a comprehensive test that occurs over a period and, most importantly, requires a person to demonstrate the knowledge and abilities needed to pass the test by meeting the standards of the association and the standards that the tennis consumer deserves. Once a tennis professional passes the initial USPTA certification exam, their growth and development does not stop. The USPTA requires continuing education that is provided through various sources, online and in person, with the biggest ones being regional and world conferences. Once again, the consumer might ask, “Why is this so important?” What I would like to share is that this type of continuing education is common in many other fields, including the medical profession, accounting, and even hairdressing. So, if these professions, as well as many others, require continuing education for people in their fields to stay current in the latest trends and laws, why would you not want to have your tennis professional receive the same kind of education, so you know that you are getting the latest techniques and

Trying to find the right facility for an aging parent? The family owned Elizabeth Scott Community offers a complete range of care, from Independent & Assisted Living to Skilled Nursing & Rehabilitation. All on a single campus. So as a loved one’s health needs change, we can offer higher levels of care without the hassles of moving to another facility. Stop in for a tour and find out how we have you covered. Contact Matt Bucher, Director of Marketing, (419) 724-5021 or mbucher@elizabethscott.org.

We’ve Got You Covered.

Independent & Assisted Living, Skilled Nursing & Rehabilitation.

2720 Albon Road Maumee, OH 43537 www.elizabethscott.org

18 April 2018 | Healthy Living News

CMY

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concepts to help you become the best you can be? Going back to the USTA Net Generation brand, if you see a USPTA professional listed on the site, you also now know that they have passed the USTA background check. In today’s world, especially when working with youth, this should be something of comfort for parents out there. The point of this article is simple. As you begin to get yourself or your child involved in the sport of tennis, whether just for the summer or not, when you see the letters USPTA beside a tennis professional's name, you will know that they had to take and pass a comprehensive certification test as well as maintain a level of education through a series of continuing education programs. If you happen to

find this professional through the USTA Net Generation website, you also know they’ve passed a background check. So, when you are out there looking at various tennis programs for yourself and your family, take a moment to ask the facilities whether their teaching professionals are certified. Many local facilities have both USPTAcertified and uncertified professionals. The point of this article is not to say that teaching professionals can’t be successful without certification; it is simply to state that when someone has exposure to a USPTA-certified professional, they will know that they are backed by an association that strives “to elevate the standards of tennis-teaching professionals and coaches.” ❦

Before you feel it, THERMAL IMAGING can see it. Take advantage of every option available to monitor your breast health. • Breast and full body imaging

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Achieve your best summer skin

CENTRAL PARK WEST HEALTH CENTER

by Dr. Erin Hennessey

3130 Central Park West Drive Toledo www.thermapproach.com

s we move into spring, I always like to discuss with my patients what their goals are for their best summer skin and how we can achieve those goals together. There are three topics that have been coming up more often this month than others: acne scars and large pores, “liver spots” or “age spots,” and tired-looking skin. If these are concerns for you as well, read on! As an acne-suffering adult, I can speak to the scars left behind being a reminder of a very difficult time period. Where teenage acne suffering is sometimes seen as “normal” or “standard,” having acne or acne-like rosacea as an adult adds a certain psychological aspect that is challenging. Being self-conscious about facial acne can be hard to deal with and can lead to seeking desperate measures in the pharmacy skin-care section or the aisles of your favorite skin-care store. Have you been there? Looking for the one thing that just might do the trick this time? With the inception of Sciton’s ForeverClear BLL® protocol, we have been able to achieve vast improvements in the appearance of acne on the face and body. This is a light treatment.

It is not a laser. It does not involve oral or topical medications and does not involve lotions and potions (my male patients tend to prefer not to use treatment creams in general). In our practice, we treat once weekly for a total of six weeks then begin a maintenance protocol. Sometimes this involves light treatments every three to six months. Other times patients choose to maintain with topical medications. Each treatment package and maintenance is unique to your needs, your lifestyle, and your preferences. Once acne is under control, it’s time to think about minimizing the scarring. Most people are busy, and more than a couple days of downtime is going to be disruptive to their life. Some of the newest protocols that we use with Halo® can make significant improvements to acne scarring, large or obvious pores, redness, and brown spots in all skin types. Being able to apply makeup and get back to life the next day while still getting amazing results makes Halo® a very attractive and effective alternative to older technologies. Combining both BBL and Halo can give you excellent improvement

PAIN RELIEF in as little as 5 MINUTES!

Deep Tissue Laser Therapy™ is an innovative, scientifically based process offering relief in as little as 5-15 minute sessions. This non-invasive approach, has long lasting benefits with no side effects! • Low back and neck strain • Bulging, fused or slipped discs • Carpel Tunnel Syndrome (CTS) • Temporomandibular Joint Disorder (TMJ) • Epicondylitis (Tennis Elbow) • Headaches, including migraine and sinus • Arthritic conditions (osteoarthritis and rheumatoid arthritis) • Sports injuries • Post surgical recovery OTHER SERVICES WE OFFER: • Bioidentical Hormone Replacement • Nutrition Counseling • Meridian Stress Assessments • Physician Assisted Weight Loss • Laser Hair Removal • HCG WEIGHT LOSS AND TESTOSTERONE THERAPY

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and restore a glow to your skin. If you have acne, acne scars, brown spots, red spots, or tired-looking skin, give us a call at 419-362-6090. Our consultations are complimentary and you will meet with a medical professional who can answer all of your questions and provide different options to achieve your goals. If you would like to learn more about caring

for your skin, call, text, or e-mail us. We would love to meet you! Mention this article and receive a complimentary BBL ForeverClear® or ForeverYoung® treatment with the purchase of a HALO treatment.❦ Dr. Erin Hennessey is a nurse practitioner at Blush Aesthetics.

Don’t let another chair go empty: Organ donation saves lives A liver transplant saved Allison’s life. “I love my new liver! I’m healthy, happy and full of life.” Register as an organ donor at lifeconnectionofohio.org

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n overstuffed Green Chair embarked on a life-saving mission eight years ago, and it’s still going strong. Life Connection of Ohio, the non-profit organization that promotes and facilitates organ donation in northwest and west central Ohio, uses its Green Chair to raise awareness about organ, eye, and tissue donation. Why a Green Chair? When the chair is empty, it represents overwhelming sadness from the loss of someone who was waiting for a transplant that didn’t come in time. But when someone is sitting in the chair, it showcases a transplant recipient’s second chance at life. The tagline of the campaign is “Don’t let another chair go empty” because if more people register as organ, eye, and tissue donors, that means fewer empty chairs. The Green Chair serves as a platform to encourage people to literally take a seat and talk about organ, eye, and tissue donation. Here are a few common misconceptions that have surfaced at Green Chair appearances: •“Will my medical treatment suffer if I say ‘yes’ to donation?” Absolutely not. This myth has been portrayed on television drama shows, where many writers don’t let the facts get in the way of a good dramatic story. The reality is that every effort will be made to save someone’s life, regardless of their choice to donate. The medical staff dedicated to saving lives at hospitals is a completely separate team of people than those who coordinate donation. It is only after

all life-saving efforts have failed that donation becomes an option. •“Can I still have a viewing if I donate?” Yes. Organ recovery surgery is a very careful, respectful procedure, and if an open-casket funeral was possible before donation, it should be possible afterward. •“Is my religion against donation?” Probably not. All major religions in the United States either encourage donation, viewing it as a charitable act, or leave the decision up to the individual. •“Will there be any cost to my family if I donate?” No. All costs associated with donation are billed to the organ-procurement organization. •“Am I too old—or too sick— to donate?” Not necessarily. The oldest donor was in his 90s, and people with histories of diabetes, cancer, and other diseases have still been able to give the gift of life. It is important to say “yes” to donation regardless of age or health conditions, as medical professionals will determine whether someone’s organs and tissues are healthy enough to transplant after death. The truth is that one person has the power to save eight lives through organ donation and heal 50 more through tissue donation. With more than 115,000 people on the national transplant waiting list, donation is needed now more than ever. The sad reality is that 20 chairs go empty every day because the need for organ donation is much higher than the availability. Don’t let another chair go empty! Register as an organ, eye, and tissue donor at www.lifeconnectionofohio. org. ❦

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HEARTLAND REHAB CAUTIONS: Spring “To Do” list can take its toll on muscles and joints by Jim Berger

ow that April has arrived, the warmer weather of spring is here. That means it’ll soon be time to tackle all the items on that “To Do” list you’ve been compiling all winter long. Whether it’s working in the garden, reorganizing that garage or shed, or just doing a little spring cleaning around the house, you’ve got some major chores ahead of you. But before you “spring” into a flurry of physical activity so you can start checking items off your list, be mindful of the fact that many common household maintenance tasks can put a lot of stress and strain on muscles and joints—particularly the shoulders, back, neck, and knees. This is especially true for those of us who were sedentary over the winter, people recovering from injuries, and seniors. To minimize your risk of injury while completing your “To Do” list,

consider the following tips:

Warm up first I stress this here because I feel it is something we often fail to do. We jump right in and start moving, lifting, and bending, and we have not done our muscles and joints a favor. Just as with any form of exercise, it’s important to warm up before you begin working around the house or garden. A 5- to 10-minute warm up involving simple exercises and stretches for your upper and lower back, neck, arms, and legs will help

limit the shock your body may go through.

Don’t overdo it! Listen to your body, and don’t try to push through pain or overdo it, especially at the start of your spring cleaning. If you experience an aching back or neck, slow down and stretch or stop and switch to a different task. Remember, Rome wasn’t built in a day. Don’t try to tackle your entire “To Do” list in a single day, either!

Use labor-saving implements If it’s necessary to move heavy materials around—e.g., those bags of topsoil or mulch, or the worn-out tire or dead car battery in your garage—give your body a break by using a hand cart, garden cart, wheelbarrow, or other assistive tools to lighten the load.

Go easy on your knees! Try to avoid kneeling on both knees simultaneously. Instead, keep one foot on the ground to give your back more stability. If it’s necessary to

Having Back, Hip, Knee or Ankle Pain?

kneel, use a kneeling mat, knee pads, or a pillow to absorb some of the pressure.

Use proper body mechanics When grabbing or lifting, bend at the knees—not the waist—and contract your abdominal muscles. This will help you avoid straining your lower back. Also, change your body position frequently to avoid stiffness or cramping. Carry objects close to your body and whenever possible at waist height.

Cool down and soak After you’re finished working, take a short walk and do some light stretching to cool down. To prevent next-day soreness, take a nice warm bath or shower.

Pain? Call Heartland! If you do experience pain beyond minor muscle soreness, don’t ignore it! Call your local Heartland Rehabilitation Services office for advice and or a consultation. Ohio has direct access so you can see a physical therapist,

•

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at least for the initial consultation, without a prescription. If your injury requires rehab, Heartland Rehabilitation Services has the clinical expertise and experience to help you recover quickly and get back to your life. Heartland also offers a variety of specialty services, including Balance and Dizziness Treatment Program, Chronic Disease Management Program (Diabetes, COPD, CHF), Healthy Lifestyle and Wellness Program, and Work-Related-Injury Management. All of our therapy services are patient-focused. Remember, when it comes to deciding where to go for physical therapy, it’s “Your Health... Your Choice.”

Why physical therapy is for you Physical therapy in an outpatient clinic setting treats individuals with pain, muscle weakness, difficulty walking, post-operative-care needs, neurological conditions, arthritis, worker’s comp injuries, sports injuries, and more. Treatment might include manual therapy, such as joint mobilization, soft tissue massage, astym/iastym, dry needling and cupping; modalities such as electrical stimulation, ultrasound, heat/cold, traction, or laser

therapy; training or strengthening to improve gait, balance, endurance, and day-to-day functioning; work reconditioning and training for safety and ergonomics; and education with the patient and family. Heartland Rehabilitation has four

your exercise routine. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit us at www.heartlandrehab.com.❦

FCAPC team works to break the cycle of family violence

he Family and Child Abuse Prevention Center was founded in Lucas County in 1974 by a local pediatrician and a small group of concerned citizens who saw firsthand the devastating effects of child abuse. While child protection and law enforcement agencies have a crucial role in child protection, the founders of FCAPC had the foresight to see the need for additional community partners. From the compassion, dedication, and vision of this small group of people, an organization evolved with dedicated professionals who diligently work to break the cycle of interpersonal violence. With offices in Lucas and Ottawa counties, Family and Child Abuse Prevention Center serves approximately 50,000 individuals each year.

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locations in the Toledo area with knowledgeable staff to assist with your physical and occupational therapy needs. Each location also offers a monthly membership for a small fee, with no contract, and the expertise of licensed clinicians to help you with

The mission of Family and Child Abuse Prevention Center is to “intervene and educate to reduce family violence.” The services include a Children’s Advocacy Center, Animal Assisted Therapy, court-based advocacy for victims of domestic violence, the Batterer Intervention Program, case management and support groups for survivors of domestic violence, Help Me Grow services, professional and community awareness training, home-based and school-based child abuse and violence prevention programs, and facilitation and support of local abuse prevention coalitions. Founded in 1997, the Children’s Advocacy Center (CAC) is a program of Family and Child Abuse Prevention Center (FCAPC). As one of the first CAC’s in the state, we are now one of the 20+ programs in Ohio to have full accreditation status by the National Children’s Alliance, the accrediting body for CAC’s nationwide. Our mission is to provide the community with a coordinated, multidisciplinary, and sensitive approach to child abuse through a child-friendly center in which child abuse can be investigated. The CAC also recognizes the need to reduce the trauma that children and families experience during the investigation and prosecution process. The CAC provides services to over 1,000 children and non-offending caregivers each year. Over the past 44 years, the Family and Child Abuse Prevention Center has made such a large impact on the lives of the members in our community. FCAPC has been able to reach over one million individuals with their programming. They have taught over 250,000 children in our community ways to keep themselves safe and how to tell someone if they are being abused. They have turned victims into survivors with their domestic violence court advocacy program. They have helped children and their non-offending caregivers heal from the devastating effects of child sexual

abuse. They have taught batterers how to lead non-violent lives. They have taught the community how to protect children. Each year it becomes harder to maintain this stellar program due to an increased need for services and a steady decline in grant funding sources. We never charge a fee for services provided to victims and their non-offending caregivers. Many of our clients would not get the help they deserve without our free services. All of this work could not be done without our community. Generous donations allow FCAPC and the CAC to continue to impact the lives of 50,000 people this year in our community. FCAPC would love for you to attend the Spring Luncheon on May 4, 2018 at the Inverness Club. They want you to hear the incredible impact that the Family and Child Abuse Prevention Center and the Children’s Advocacy Center have on our clients directly from our clients. Their stories of survival are compelling and allow you to see exactly where your dollars are being delivered. If you cannot make the event, please consider a monetary donation to end the cycle of abuse in our community. Family and Child Abuse Prevention Center/Children’s Advocacy Center is located at 2460 Cherry Street, Toledo, OH 43608. Phone: 419-244-3053. Website: www.fcapc.org. Please like us on Facebook and Twitter. ❦

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Experience Matters. Ohio Living Swan Creek has 25 years of experience providing a truly personalized approach to retirement living. We know you have a lifetime of experience, yet you still look for something interesting and new in everything that happens. At Ohio Living Swan Creek you will find like-minded friends who support each other, while different-minded friends stimulate fresh thinking. Built on 34 wooded acres, we feature a desirable location and provide the luxuries and comfort that make you feel like you are in a five-star hotel. When you experience our conveniences, amenities and an exceptional staff at your service, you will know why experience matters.

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Connecting friendship, fun and activity Ohio Living Swan Creek know what it means to live life to its fullest everyday. We offer opportunities to socialize, gain knowledge, maintain fitness, worship, experience the arts and more! Below is a sampling of our programs and activities: Social and Cultural Opportunities Armchair Theatre Group l Art Workshop l Choir Bell Ringers l Cocktail Classes l Concert and Theater Outings l Craft Classes l Dinner Club Gardening l Group Tours l Holiday Celebrations Lunch Outings l Movie Nights l Musical Performances l Shopping and Day Trips Theme Happy Hours l Travel Club l Volunteer Opportunities l Wine & Design Class Educational Opportunities Book Club l Community Guest Speakers Language Learning Classes l Lourdes University Lifelong Learning Classes l Lucas County Library Visits l Men’s Lunch and Learn Group Technology Center and Classes Campus Centers & Services Courtyard Putting Green l Craft Room l Fitness Classes l Gift Shop l Kridler-Meloy Wellness Center Library l MyIndependence by Ohio Living Home Health & Hospice l Reed Chapel l Spiritual Life Programing l Woodshop

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o you think you don’t have time years. “I have been doing high-into exercise? Or perhaps you have tensity workout for years at regular been exercising regularly for years gyms, but it is more efficient if you but can’t see where you have made have the correct equipment,” he any progress. Well, how about trying explained. “Don’t let the fact that something new? it is high-intensity put you off. It is The hottest trend in exercise is perfect for everyone and all ages, the high-intensity, 30-minute, once- including ‘Type A’ personalities and a-week (yes, we said once-a-week) even pregnant women.” This workexercise method, often referred to as out is not only efficient, but also safe Super Slow Training. Though it goes because it is totally one-on-one with contrary to what most of us have Wakefield monitoring and adjusting heard, believed, or practiced, it is your every move. now the most-discussed While anyone can fit a form of exercise, with ev30-minute workout into eryone from celebrities to their schedule, skeptics CEO’s and even pregnant will ask how it is possiwomen welcoming the ble for this to actually opportunity to free up work. There are two main their time and still, or reasons for the results: even finally, get results. Moving slowly keeps the What do you have to lose? tension on the working It can be done on your muscle throughout the lunch hour, and you don’t whole movement. There is even have to change and none of that fast momenPhysical therapy assistant shower. tum that helps you work Matthew Morrow and personal Super Slow Training while lifting weights. This trainer Beth Dunsmoor seems to be particularly is done very, very slowly, popular among women of all kinds— really working those muscles. The from young students to woman in their high intensity causes the body to 90’s. But according to Russ Wakefield, adapt. The exercise is a stimulus, and an experienced personal trainer and the body uses seven days to recover, owner of TriggerPoint, “The type producing the desired results. of woman we see most frequently According to Wakefield, any adis one who is very busy with her ditional exercise can prevent the career and family and helps out in body’s building of strength and the community. She does yoga and fat-burning muscle mass. He added knows she needs strength training that lower-intensity activities, such as but believes she doesn’t have the running, stair stepping, and treadmills, time—that is, until one of her friends really don’t burn that many calories tells her about TriggerPoint.” and can cause injuries to the knees A TriggerPoint client named Mary and hips. fits this description perfectly. “I do We had the opportunity to oblow-force, intense exercise at Trig- serve Eric Bueter, a client, during his gerPoint because, as a lawyer, I have workout. Arriving and remaining in limited time but know that I need to street clothes, with fans turned on strengthen my muscles and bones. to keep the room cool, Bueter slowly The workout takes about 20 minutes and efficiently went through his once or twice a week. Even I can make routine under Wakefield’s tutelage time for that. It’s demanding, but they with weights and on the Super Slow supervise you every step of the way. exercise machines before returning to Plus, the amazing technology makes work. Wakefield added that Bueter it easier to focus on the work to be has been working with him for a done. It’s all business. I zip in, they number of years, and during that take me through my paces, and I’m time the weights have been gradually out the door. I can’t recommend it increased under his supervision. ❦ enough!” she said. If there is a good advertisement Four free trial sessions are offered. For an for this workout, it is Wakefield him- appointment, call Russ Wakefield at 419self, who has been an advocate of 536-0408. TriggerPoint, located at 2449 high-intensity workouts for over 25 N. Reynolds Rd., is also on Facebook. We love feedback. Like us on Facebook. Follow us on Twitter.

Consider these tax season moves by Scott D. Brown

hough comprehensive tax reform was passed into law late last year, most of the changes will be applied to 2018 taxes and don’t affect your 2017 tax return. With that in mind, here are some moves to consider before you file your return this year:

Make an IRA contribution for 2017 It’s not too late to save for retirement and possibly generate a tax benefit for 2017 at the same time. The deadline to make a contribution to an Individual Retirement Account (IRA) for 2017 is April 17, 2018. Note the two primary types of IRAs: 1. Traditional IRAs, to which your contributions may be tax deductible; or 2. Roth IRAs, for potential tax-free income if certain conditions are met.1 Roth IRAs are funded with 1 Restrictions, tax penalties and taxes may apply. For a distribution to be an income-tax-free qualified distribution,

after-tax dollars. The maximum contribution is the lesser of (a) your taxable compensation for 2017, or (b) $5,500 (or $6,500 if you are age 50 or older) for 2017. These limits apply to all your IRAs combined.2 If you’re self-employed or a small business owner, consider establishing and funding a Simplified Employee Pension Plan (SEP IRA). For 2017, the maximum contribution to an SEP IRA is $54,000, and the deadline to contribute is the due date of the federal income tax return for your business, generally April 17, 2018 for it must be made (a) on or after you reach age 59½, due to death or qualifying disability, or for a qualified first-time homebuyer purchase ($10,000 maximum), and (b) after the five tax year holding period, which begins on January 1 of the first year for which you made a regular contribution (or in which you made a conversion or rollover contribution) to any Roth IRA established for you as owner. 2 Other limitations may apply (e.g., age restrictions for traditional IRA contributions and income restrictions for Roth IRA contributions)

self-employed individuals.3

Consider a Roth IRA conversion While income limits may preclude some investors from making regular annual contributions to a Roth IRA, anyone can perform a Roth IRA conversion by rolling over eligible funds from a Traditional IRA or employer-sponsored retirement plan to a Roth IRA. When you convert, you must pay taxes on the amount converted as ordinary income for the year of conversion distribution (or deemed distribution), except to the extent the amount converted is treated as a return of your after-tax contributions, if any.4 Subject to certain requirements, 3 An SEP contribution for 2017 may be made through the filing extension deadline (generally 10/15/18 for self-employed individuals), provided the client or their tax advisor has obtained an extension to file the federal income tax return for the business. 4 Determining the portion of your retirement distribution that is treated as a return of your after-tax contributions, if any, is complex, and, if the distribution is from a non-Roth IRA, you are generally required to look at all your nonRoth IRAs to make that determination (and not just the IRA from which you are taking the distribution). You should speak with your own tax advisor before taking a retirement distribution (including a conversion distribution)

after-tax money in an employer-sponsored qualified retirement plan, such as a 401(k) plan, may be directly converted to a Roth IRA tax-free. Before taking any action, you should speak to the administrator of the plan and your own tax advisor. Please note that you have until October 15, 2018 to recharacterize a 2017 Roth IRA conversion distribution. This allows you to reverse or undo a Roth IRA conversion and avoid paying income taxes on the taxable amount of the conversion distribution. This recharacterization option is typically utilized if the stock market value of the account’s investments declined after the conversion. The new tax law repeals this recharacterization option for conversion distributions in 2018 or later years.5 A Roth IRA conversion may not be appropriate for everyone.6 Consult 5 An individual can still recharacterize a regular annual Traditional IRA contribution to a Roth IRA contribution or a regular annual Roth IRA contribution to a Traditional IRA, provided the recharacterization is done timely and complies with all the applicable requirements. 6 There are a number of factors taxpayers should consider before a Roth conversion, including (but not limited to) whether or not the cost of paying taxes today outweighs the benefit of income tax-free qualified distributions in the future. Before converting, taxpayers should consult their tax and legal advisors based on their specific facts and circumstances.

Your Financial Future: Will You Be Ready? Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex. As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs. Please call me to arrange a meeting about your wealth management needs. Scott D. Brown Senior Vice President Branch Manager 7311 Crossleigh Ct. Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/theauroragroup/

• • • • • • • •

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

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

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Talk to your financial advisor about the tax-reclaim services available through one of our partners These moves can help lessen your 2017 tax bill. Additional strategies may be available for Morgan Stanley clients. Contact a financial advisor or private wealth advisor to determine which steps might be appropriate for you. ❦

with your tax and/or legal advisor regarding your individual situation.

Fund your Health Savings Account If you established a Health Savings Account (HSA) in 2017, you have until tax day to contribute funds to the account to use in 2018. The funds you contribute to an HSA aren’t subject to federal income tax at the time of deposit and can accumulate and roll over year-to-year if they aren’t spent. You must be enrolled in a high-deductible health plan to be eligible to contribute to an HSA. The maximum contribution to an HSA for a family of four is $6,900 for 2018.

options (and you may be able to engage in a combination of these options depending on your employment status, age and the availability of the particular option): 1. Cash out the account value and take a lump sum distribution from the current plan subject to mandatory 20% withholding, as well as potential taxes and a 10% penalty tax, OR continue tax deferred growth potential by doing one of the following: 2. Leave the assets in your former employer’s plan (if permitted), 3. Roll over the retirement savings into your new employer’s qualified plan, if one is available and rollovers are permitted, or 4. Roll over the retirement savings into an IRA. Each option offers advantages and disadvantages, depending on your

If you’d like to learn more, please contact Scott Brown, Senior Vice President/ Branch Manager, Morgan Stanley Toledo, Ohio, at 419-842-5312. The author(s) and/or publication are neither employees of nor affiliated with Morgan Stanley Smith Barney LLC (“Morgan Stanley”). By providing this third party publication, we are not implying an affiliation, sponsorship, endorsement, approval, investigation, verification or monitoring by Morgan Stanley of any information contained in the publication. The opinions expressed by the author(s) are solely their own and do not necessarily reflect those of Morgan Stanley. The information and data in the article or publication has been obtained from sources outside of Morgan Stanley and Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of information or data from sources outside of Morgan Stanley. Neither the information provided nor any opinion expressed constitutes a solicitation by Morgan Stanley with respect to the purchase or sale of any security, investment, strategy or product that may be mentioned. This material does not provide individually tailored investment advice. It has been prepared without regard to the individual financial circumstances and objectives of persons who receive it. The securities discussed in this material may not be suitable for all investors. Morgan Stanley Wealth Management (“Morgan Stanley”) recommends that investors independently evaluate particular investments and strategies, and encourages investors to seek the advice of a financial advisor. The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Tax laws are complex and subject to change. Morgan Stanley Smith Barney LLC (“Morgan Stanley”), its affiliates and Morgan Stanley Financial Advisors and Private Wealth Advisors do not provide tax or legal advice and are not “fiduciaries” (under the Internal Revenue Code or otherwise) with respect to the services or activities described herein except as otherwise provided in writing by Morgan Stanley and/or as described at www.morganstanley.com/ disclosures/dol. Individuals are encouraged to consult their tax and legal advisors regarding any potential tax and related consequences of any investments made under an IRA. Typically, a retirement plan participant, who receives an eligible rollover distribution from an employer-sponsored retirement plan has the following four

Review your foreign investments If you have received income from international investments, you may be eligible to reclaim some or all of the foreign taxes withheld on these investments. You can typically recoup taxes from international investments paid on investments between two and seven years in arrears, depending on which jurisdiction you invested in.

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particular facts and circumstances (including your financial needs and your particular goals and objectives). Some of the factors you should consider when making a rollover decision include (among other things) the differences in: (1) investment options, (2) fees and expenses, (3) services, (4) penalty-free withdrawals, (5) creditor protection in bankruptcy and from legal judgments, (6) Required Minimum Distributions or “RMDs”, (7) the tax treatment of employer stock if you hold such in your current plan and (8) borrowing privileges. The decision of which option to select is a complicated one and must take into consideration your total financial picture. To reach an informed decision, you should discuss the matter with your own independent legal and tax advisor and carefully consider and compare the differences in your options. ©2018 Morgan Stanley Smith Barney LLC. Member SIPC. All rights reserved. CRC 2034462 (3/18).

Veggie-phobic kids?

Get ‘em gardening! T

here’s no question that starting kids on a diet rich in vegetables and fruits sets them squarely on a path to good health in adulthood. But, as every parent knows, convincing kids to actually eat vegetables and fruits is a different matter altogether. Let’s face it; promises of good health in the misty future aren’t going to overcome the “yuckiness factor” many kids have come to associate, fairly or not, with eating veggies and fruits. However, more and more parents are discovering that kids are inclined to eat—or at least sample—produce that they’ve actually had a hand in growing. What better reason to get your kids involved in vegetable gardening this spring?

Many Lessons to learn In addition to encouraging them to make healthier food choices, a vegetable garden has myriad life lessons to teach children. Planting and carefully tending vegetable plants teaches kids responsibility, improves observational skills, highlights the connection between effort and reward (or lack of effort and the absence of reward), and demonstrates the value of patience and postponing gratification. Not to mention, gardening is a rich sensory experience that gets kids outdoors and away from the electronic gadgetry that tends to consume young people’s attention these days. Working on a gardening project together is also an excellent bonding opportunity for parents and kids to share.

a hose. If the soil on your property is heavy clay, a raised garden bed is a good option. If your property is too small to realistically accommodate an in-ground garden or you live in an apartment or condo with no yard, you can always set up a container vegetable garden on a porch, patio, or balcony instead. Ideally, you’ll want to position the garden where it is easily accessible to the children (e.g., near their play area) so they’ll have a greater sense of connection to—and ownership in—the project. If you have an established vegetable garden, consider setting aside a portion of it just for the kids to cultivate.

Arm them with the right tools Adult gardening tools, e.g., shovels, trowels, cultivators, and rakes, aren’t designed for easy wielding by smaller kids. They also tend to have sharp or pointy edges that can cause injury if mishandled. A set of kid-friendly tools can be the perfect solution to this dilemma. Kids’ tools tend to be brightly colored (i.e., fun!), are designed for smaller hands to grip, and typically have more blunt “business ends” so accidental injury is less likely. You can even repurpose old spoons and measuring cups as shovels and soil scoops for the smallest gardeners.

Let them choose the plants Young gardeners are most likely

Choose the right location Pick a sunny location with good, well-drained soil that contains ample composted organic matter. Make sure the location is also easy to reach with We love feedback. Like us on Facebook. Follow us on Twitter.

they require more patience than some veggies do as well as a fairly substantial amount of garden space.

Put them to work! Even from a very young age, children can assist with gardening chores. With some adult supervision, little ones can take on responsibilities commensurate with their size, strength, and attention span, such as sowing seeds, digging holes for

transplants, watering, pulling weeds, and keeping a sharp eye out for garden pests. (Their position close to ground level makes youngsters especially adept at spotting pesky, plant-munching critters.) In addition to assisting with these chores, bigger kids can be enlisted to help with some of the more physically demanding gardening tasks or those chores requiring a bit more finesse, such as turning and amending the soil, cultivating or raking around plants and between rows, spreading mulch, tying up plants, pruning, and, of course, overseeing the efforts of

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their younger siblings.

Keep it fun! Most importantly, make sure your kids have fun with the garden project. Don’t fret if they wind up covered with mud from head to toe every time they work in the garden or if they present every bug they dig up for your close inspection. Remember, it’s all about fueling their curiosity about the natural world and developing their gardening skills. And if they decide they like the taste of fresh vegetables in the process, so much the better! ❦

Friday, May 11, 2018 The Premier 4480 Heatherdowns Blvd. Toledo, Ohio 43614

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to sample the fruits of their labor when they’re allowed to choose which vegetable plants to grow. Peas, beans, lettuce, carrots, radishes, and cherry or grape tomatoes are just a sampling of veggies that are particularly popular with kids. Essentially, any veggies that little hands can easily pick and are ready to eat fresh from the garden (with a good rinsing, of course) will win kids over. Pumpkins, with their obvious Halloween connotations, are another favorite, though

For our mothers, daughters and ourselves, it’s important that we learn how heart disease and cancer can be linked. Please join us for this educational and community health forum! Name: ______________________________________________________________________________________________________________ Address: ____________________________________________________________________________________________________________ City: _______________________________________________________________ Phone: __________________________________________________

State: _____________

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c I prefer a meatless option for lunch. Payment Tickets are $20 per person. Total amount paid: $ _____________________ Guest names: ________________________________________________________________________________________________________ Please make checks payable to ProMedica Physicians Cardiology and send to 2940 N. McCord Road, Toledo, Ohio 43615. You may also pay with credit/debit card: £ MasterCard

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Signature: ___________________________________________________________________________________________________________ Ticket price includes a delicious breakfast and a heart-healthy lunch. Local and national vendors will be present and selling their products. Also check out our health fair with free screenings. If you prefer to complete your registration by phone, please call Dee Your at 419-842-3096 or by email at dee.your@promedica.org.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | April 2018

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

hen you’ve been running the same course at the same pace for a long period, the route and scenery become boring and you might feel as though you’re on “autopilot” during your run. Most runners experience these same feelings at one time or another during their training. Challenging yourself daily with your running program will help minimize your “comfort-zone” tendencies. Here’s how: First, runners should set personal fitness goals to improve fitness performance. Whether you are improving your time or your distance, you should be monitoring these personal goals weekly. Remember, if you do not set personal goals for yourself, you’ll never reach them. A daily running log is a great way to monitor time, distance, and running routes to notice patterns in your running and will enable you to achieve your goals.

In addition, choosing different running routes to vary the scenery and terrain will allow you to challenge yourself as a runner. But, most important, remember to choose safe running routes either in a park or on streets with sidewalks. Adding sprints to your workout and varying your speed at different points during your run will provide a more effective, challenging workout, as well. Cross training is another great way to vary your workout routine. Choosing at least two cross-training sports to include in your running program will provide a well-balanced, challenging fitness program. Finally, evaluate yourself as a runner and choose one or two areas in running that you can improve upon, and focus your attention on those areas. For example, my areas of concern are hills and incline workouts.

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I purposely choose certain routes that concentrate on hills to challenge myself as a runner. There are many ways to discover new challenges as a runner. Find out for yourself what you can do to minimize your “comfort-zone” tendencies. It will make you a better runner. Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Performance Footgear.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information, including any applicable fees, please visit davesrunning.com. The 9th Annual Run the Res 5K/10K Sunday, April 15, 2018, 2:00 p.m. (Run the Res Kids Fun Run at 1:00 p.m.), at Gray Park in Fostoria, Ohio. This year’s race will once again feature a 5K and 10K course and our 8th Annual “Kids Fun Run” for children ages 3 to 9. The course is on flat, paved roads around the scenic Fostoria reservoirs #2 and #3. Walk for Water 2018 Sunday, April 15, 2018, 1:15 p.m., at the University of Toledo, 2801 W. Bancroft St., Toledo, Ohio. Walk for Water is a fundraising 5K Walk and Run to increase Toledo’s awareness of the worldwide lack of access to clean water and to raise funds to help Clean Water for the World in their efforts to provide water-purification units at no cost to local communities in developing countries.

system, utilizing the University Parks Bike Trail. A tour through Sylvania leads you to Olander Park, passing the statue of Sy Mah, then back down the bike trail to a short tour of the UT campus, concluding with the finish in the newly renovated Glass Bowl. Events include the Mercy Health Glass City Marathon, Yark 5-person Marathon Relay, Owens Corning Half Marathon, and companion Findley Davies Kids Marathon. New this year is a complementary 5K on Saturday morning. Cooper Tire Centennial 5-Miler & 5K Race Saturday, April 28, 2018, 9:00 a.m. at Findlay High School, 1200 Broad Ave., Findlay, Ohio. Proceeds from this race will support the Cooper Tire & Rubber Company Centennial Scholarship Fund, a component of the Findlay-Hancock County Community Foundation. The scholarship provides financial support for the children of U.S. Cooper employees who are high school seniors pursuing further education at a technical college, university, or other institution. Super Saints 5K Saturday, April 28, 2018, 9:00 a.m. at 16976 County Road Q1, Napoleon, Ohio. All proceeds go to the Super Saints Relay for Life Team in Henry County, Ohio. The course is approximately 3.1 miles on flat county roads and will begin and end at St. Paul’s Lutheran Church, Napoleon Township. Dooby Du Duathlon Sunday, April 29, 2018, 8:30 a.m., at Secor Metropark, 10001 W. Central Ave., Sylvania, Ohio. This event begins in the suburban Secor Metropark, just west of Toledo in Berkey, Ohio, and consists of a 2.5K run, 13.5-mile bike, and 5K run. ❦ Answers to crossword from page 14 1

Mercy Health Glass City Marathon Saturday, April 21 to Sunday, April 22, 2018, at the University of Toledo, 2801 W. Bancroft, Toledo, Ohio. One of the fastest marathon courses in the Midwest, The Mercy Health Glass City Marathon (GCM) course will begin on Secor Road at the University of Toledo West Entrance, circle campus before heading west into beautiful Ottawa Hills. The course then leads you to the area’s finest metropark

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

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Plaza Apartments 2520 Monroe Street Toledo, Ohio 43620 419-244-1881 www.vmc.org

Senior Living Guide Choosing a senior living community that’s right for you or a loved one is among the most important—and challenging— decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent living, assisted living, continuing-care, and subsidized low-income housing communities. To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

Foundation Park Alzheimer's Care Center

Darlington Nursing & Rehabilitation Center 2735 Darlington Rd. Toledo, Ohio 43606 419-531-4465 www.darlingtonnursinghc.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

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250 Manor Drive Perrysburg, OH 43551

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Sunset House

Ohio Living Swan Creek

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Glendale Assisted Living

4030 Indian Rd. Ottawa Hills, OH 43606

5916 Cresthaven Lane Toledo, OH 43614

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

5020 Ryan Road Toledo, OH 43614

1621 S. Byrne Rd. Toledo, OH 43614 419-385-3958 www.foundationpark.com

Fieldstone Villas 9640 Sylvania-Metamora Rd. Sylvania, OH 43560 419-386-2686 www.sunset-communities.org

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Senior Star at West Park Place

The Woodlands 4030 Indian Rd. Ottawa Hills, OH 43606 419-724-1220 www.sunset-communities.org

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

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

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30 April 2018 | Healthy Living News

1011 Byrne Road Toledo, OH 43607 419-536-7600 www.laurelsoftoledo.com

Genacross Lutheran Services Toledo Campus 131 Wheeling St. Toledo, OH 43605 419-724-1414 www.GenacrossLutheranServices.org

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

StoryPoint Senior Living 1470 Pray Boulevard Waterville, OH 43566 419-878-1000 www.storypoint.com

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Wise words from

OTTERBEIN Value trees It think that I shall never see A poem lovely as a tree. A tree whose hungry mouth is prest Against the sweet earth’s flowing breast; A tree that looks at God all day, And lifts her leafy arms to pray; A tree that may in summer wear A nest of robins in her hair; Upon whose bosom snow has lain; Who intimately lives with rain. Poems are made by fools like me, But only God can make a tree.

—"Trees," by Joyce Kilmer

he poet Joyce Kilmer knew the importance of trees when he wrote this lyric poem in 1913. His words speak about trees as evidence of God’s creation personified. Arbor Day, the celebration of trees, is coming on April 27. It is a day, established by J. Sterling Morton, to recognize the importance of trees. Morton moved from his hometown of Detroit, Michigan in the mid 1800s to Nebraska where he found a landscape lacking trees. He was a lover of nature and

also recognized the value of trees for conservation and industry. He mobilized the citizens of the Nebraska Territory to plant trees, and in 1872 the first Arbor Day was established. Over the years, The Arbor Foundation has continued to fulfill Morton’s mission to propagate trees. He is remembered for the quote, “Each generation takes the earth as trustees.” Today, research studies are pointing to another reason to value trees. Studies link the presence of trees with human health. Specifically, researchers found that people experienced more deaths from heart disease and respiratory disease when they lived in areas where trees had disappeared. “There’s a natural tendency to see our findings and conclude that, surely, the higher mortality rates are because of some confounding variable, like income or education, and not the loss of trees,” study researcher Geoffrey Donovan, who is a research forester at the Pacific Northwest Research

Station of the U.S. Forest Service, said in a statement. “But we saw the same pattern repeated over and over in counties with very different demographic makeups.” The study, which is published in the American Journal of Preventive Medicine, involved data from 1,296 counties spread over 15 states. Researchers examined how many deaths from heart and respiratory disease occurred over 18 years. The researchers found an association between areas that had been affected by the emerald ash borer beetle—which kills trees, leaving areas treeless—and 15,000 more deaths from heart disease and 6,000 more deaths from respiratory disease. “This finding adds to the growing evidence that the natural environment provides major public health benefits,” researchers wrote in the study. You can read more about these studies and how trees may affect

good health by reading “Growing Quality of Life: Urban Trees, Birth Weight, and Crime” by John Kirkland and Geoffrey Donovan on the U.S. Forest Website, http://www.fs.fed.us/. Also of note is the author Matthew Silverstone who has written a book entitled “Blinded By Science,” touting evidence confirming the healthful benefits of trees including the effects they have on various issues such as depression, concentration levels, and even the ability to alleviate headaches. The book cites a number of studies that show the connection between good mental health and well-being in locations where there is regular interaction with trees. On the British website NatureAndHealth.com, there are six suggestions that you can do this month to increase your time spent with trees and possibly experience better health: 1. Bring plants into your office space or where you work. 2. When going for walks, choose

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | April 2018

paths where you will be walking through parks or nature with trees. 3. Bring your friends and family to treed areas more often when you go outside or play with the kids. 4. Plant a garden and be amongst nature. You connect with your food and the earth. 5. Plant a tree in your own yard or even in an area you feel could use a tree! 6. Make time to be amongst trees daily or every other day. Don’t be afraid to jump right in and

hug the tree! Otterbein Portage Valley Senior Lifestyle Community is nestled next to a 50-acre woods with marked walking trails. Trees were also planted on the campus, and the villa homes were built over the past 35 years. Many trees have been planted by families as memorials to loved ones. We are a community that believes in the power of healing through God’s creation. Joyce Kilmer was right: “I think that I shall never see a poem as lovely as a tree”! Celebrate Arbor Day 2018 by planting a lovely tree!❦

Effective diabetes management is not one-size-fits-all

n epidemic of obesity is spreading across our nation along with a host of related chronic ailments such as type 2 diabetes. In fact, according to Dr. Robert Gotfried, medical director of Family Medicine at Glendale Medical East, a significant proportion of the adult patients he sees in his practice have diabetes and are at increased risk of associated complications, most notably cardiovascular disease. Though diabetes has become alarmingly widespread, Gotfried emphasizes that treatment of the disease is not one-size-fits-all.

considered adequate to diagnose diabetes.

Initial treatment

Once a diagnosis of diabetes is given, the initial course of treatment depends on how high the patient’s A1C is. “With some patients, I’ll look at the reading and suggest insulin in conjunction with the drug metformin,” says Gotfried. “Metformin offers a lot of advantages and most doctors would agree with using it as a first line of treatment. It does a really good job of lowering A1C and is generally well tolerated, relatively How is diabetes diagnosed? low-risk, and inexpensive. It also does To understand how doctors determine not contribute to weight gain or can the course of treatment for patients even cause some mild weight loss.” with diabetes, it’s helpful Gotfried notes that the to understand how the point at which diabetes condition is diagnosed. treatment becomes more Gotfried explains that individualized is when a in the past, glucose-tolsecond medication is necerance tests and fastessary to reach blood-suging-blood-sugar levels ar-management goals. “At were used to diagnose this point, I evaluate the diabetes, and hemoglovarious medications from bin A1C testing was used the standpoint of potential to monitor response to benefit beyond just lowtreatment. Hemoglobin ering A1C. For example, A1C measures a patient’s research demonstrated average blood sugar over that Jardiance was the Dr. Robert Gotfried a three-month period. first diabetes medication Nowadays, A1C is used University of Toledo Physicians to reduce cardiovascular to diagnose the condition risk. A few years after that as well as to monitor how effectively study, the drug Victoza was shown it is being managed and to help pre- to reduce risk in all-cause mortalidict potential complications. An A1C ty, not just cardiovascular disease. reading of 6.5 or higher is generally Another medication, called Actos,

32 April 2018 | Healthy Living News

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showed stroke risk reduction, even in people who don’t have diabetes,” he says. Sulfonylureas (e.g. glyburide, glipizide, and glimepiride), which were the best option available to doctors before metformin was introduced, are still prescribed for many patients. Some studies found that these medications increase cardiovascular risk while others have found that they don’t. However, no studies have found that they reduce cardiovascular risk. “I’d rather use a medication that helps lower risk rather than just A1C,” states Gotfried.

What should the A1C target be? The target A1C for any given patient is also not one-size-fits-all. Furthermore, there is no consensus among various professional organizations with respect to A1C recommendations. The American College of Physicians recently released a position statement calling to relax the A1C target to between 7 and 8 because they concluded that being too aggressive in pursuit of a lower A1C increases the risk of dangerous low-blood-sugar reactions. In contrast, the American Diabetes Association recommends targeting an A1C below 7, and the American Association of Endocrinologists advises keeping A1C below 6.5. From Gotfried’s standpoint, some flexibility with the guidelines is necessary in order to strike a balance between the patient’s A1C and other factors such as quality of life and risk of complications. “For instance, we’ve recognized for a while that it can be appropriate to loosen A1C recom-

mendations for elderly people. The goal is to prevent complications, and the elderly often have a lot of other conditions in addition to diabetes, so being too aggressive in pursuit of a particular number can result in low-blood-sugar reactions, which is problematic. So, for people over age 65, we can accept an A1C up to 8,” he explains. Regardless of the patient’s age, Gotfried factors in his or her overall health in determining an appropriate A1C target. For those who are otherwise healthy, he targets less than 7, but for complex patients who aren’t completely healthy and have other medical problems, he’ll accept an A1C up to 8. If patients are in overall poor health or are elderly with a limited life expectancy and targeting a low A1C will not provide any benefit or risk reduction, he will accept A1C readings up to 8.5. Gotfried also believes strongly in shared decision-making with his patients, noting, “I think it’s very important to engage patients in this process so they understand what we’re trying to achieve with respect to their blood sugar levels, why I might choose one course of treatment over another, and what the potential risks and benefits are for any medications I prescribe for them. It’s not about targeting a particular number; it’s about getting patients to understand their treatment and helping them achieve the best possible quality of life.” If you are curious about your A1C number, call for an appointment with a provider at Glendale Medical East at 419-383-5555. ❦

Spiritually Speaking By Sister Mary Thill

Kindness You need three things to be successful in life in the only way that counts. The first is kindness. The second is kindness. And the third is kindness. —Mister Rogers In the Last Judgment scene, Jesus makes an extraordinary pronouncement. The only thing that matters for our final judgment is whether we cared lovingly for those in need.

—Patricia Livingston

think that Jesus the Christ and Mister Rogers have something to say to us these days especially in light of the way social media are used and abused by all kinds of folks. If you believe in the power of words and are aware of how often they lead to action, you may be as confused as I am regarding the continual barrage of information presented as the truth, fake news, research, and any number of descriptors posing as the correct facts and figures. We celebrated the 50th anniversary of “Mister Rogers’ Neighborhood” in February of this year. What a tribute to a man who very directly and simply made everyone who watched his show feel as if he or she were the only person he was addressing no matter the topic or the event being presented. He spoke with such kindness and gentleness that even

older folks tuned in because they, too, needed someone with such a kind and gentle manner touching them in their often-too-lonely lives. I would hope that there would be more shows on TV for kids these days that show kindness, gentleness, and care for self and others the way Mister Rogers did in his “neighborhood.” Jesus certainly told us and showed us how we were to treat one another by his words and actions. Many other religious leaders have also emphasized the need to show love and kindness to others, especially the needy and downtrodden, the sick and the suffering, the vulnerable and the weak. As I reflect on my need to be kind, I cannot help but look at how I can pull this off as my getting to heaven depends on it! I’m shocked at how many times I think I’m being kind when, in fact, I’m really looking out for my own interests. I do a good deed for someone and find myself looking for them to do the same for me because I did something for them. Kindness? I think not. I go the extra mile for someone and resent it when they do not do so for me. Kindness? I think not. I quietly and secretly donate my time and talent to a worthy cause and expect it to be noticed by

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someone and feel unappreciated when it isn’t acknowledged. Kindness? I think not. There seems to be a fine line between being kind and being useful with ulterior motives. I must say, though, that I have witnessed kindness on many levels by any number of people with whom I have come in contact. At least it seemed so to me. I’ve seen nurses suit up to enter a hospital room to debug a homeless patient with a spirit of concern and kindness. I’ve seen family members and friends sit for hours with the dying, providing comfort with prayers, song, gentle massage, and

kindness. I’ve seen policemen gently talk down someone threatening to take his own life. I would suggest that you take time to reflect on when your kindness is genuine and when you have seen others being kind to you or to others. Remember, “You need three things to be successful in life in the only way that counts.” Kindness. Kindness. KINDNESS.❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy Health – St.v Vincent Medical Center. She can be reached at 419-251-3600.

A peek past the gate of Sunset Retirement Communities’ Indian Road campus

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SunSet RetiRement CommunitieS w w w. s u n s e t - C o m m u n i t i e s . o r g 34 April 2018 | Healthy Living News

estled in a serene, wooded setting in the heart of Ottawa Hills is one of our region’s best-kept secrets— Sunset Retirement Communities’ Indian Road campus. Home to Sunset House and The Woodlands at Sunset House, the campus offers a full range of living options and care levels to area seniors who wish to be part of a vibrant, enriching community. Sunset House, founded in 1871, was originally established as a “Home for Friendless Women” but now provides several options for assisted living as well as on-site long-term care and therapy services for residents who need them. “Also, as residents’ needs change and they require a different level of care, we can quickly evaluate their needs and provide an appropriate living arrangement,” says Gayle Young, Director of Marketing, Communication and Public Relations for Sunset Retirement Communities. The assisted-living options at Sunset House include studio and one- and two-bedroom apartments. Most were recently updated with modern, high-quality finishes and appliances. A second phase of renovation in Sunset Hall involved refreshing the rooms by installing showers in bathrooms, removing old wooden built-in storage units to provide more flexible floor space, adding new paint and carpeting, as well as updating the common areas and hallways.

However, Young emphasizes that the recent upgrades in no way impacted the historic allure of Sunset House. “Much of what makes Sunset House unique was maintained to reflect its storied past,” she explains. “The stately Victorian manor, which opened its doors in 1930, offers a certain charm and elegance to support a vibrant lifestyle. Residents are surrounded by antiques and rich history, complemented with modern finishes and amenities, so it’s the perfect blend of old and new!” This innovative blending of modern and historic serves to further enhance the warm, home-like atmosphere at Sunset House. In fact, providing an environment that feels like home

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to residents and their loved ones is a high priority at Sunset. As Young points out, residents are encouraged to bring their own belongings and furnishings so they can create a personalized living space that’s a reflection of who they are. “Residents also have access to ample spaces for entertaining friends and family, reading a book, playing cards or a board game, discussing current events, or even practicing piano. Also, just like at home, you can grab a snack or meal when you want, and there are plenty of scheduled activities to fill your day.” Adding to the cheerful, life-affirming environment at Sunset House is a connection to nature in the form of aviaries, aquariums, and cats and dogs. Seniors who are seeking a luxury, independent lifestyle will find all they’re looking for and more at The Woodlands at Sunset House.

UTMC 1247_2 CONFIDENT_HLN_HalfPg.pdf

Established in 2001, The Woodlands offers residents their own private living space in a one- or two-bedroom apartment, featuring a wide range of amenities and safety features. Their favorite furnishings and cherished possessions add the finishing touches to make their new living space feel even more like home. Residents of The Woodlands leave behind housekeeping, lawn care, snow removal, home repairs, and all the other worries and costs associated with private homeownership. What they gain is a carefree lifestyle with an attentive staff that is dedicated to their happiness and well-being. “Not to mention, The Woodlands’ dinner menu rivals the best restaurants in town!” Young says. In addition to all the comforts and amenities, Woodlands residents soon discover that the community allows and encourages them to maintain whatever lifestyle they choose and offers a wide range of opportunities to engage in social, intellectual, and physical endeavors. “The Woodlands is a place to focus on the things you love—being 3/17/17 11:52 AM active, pursuing interests,

CONFIDENT my doctor is in tune with my needs.

and sharing companionship with friends, families, and neighbors. We pride ourselves on creating a lively and fun community for our residents to enjoy. Our residents often tell us they wish they’d made the move sooner,” states Young. Of course, independent living at The Woodlands is just the beginning of the continuum of care offered at Sunset. As residents’ care needs change, appropriate services will be available to accommodate them, whether they require assisted living, skilled nursing, memory support,

respite care, rehab, or hospice and palliative care. If seniors aren’t certain which level of care is best for their needs, the very knowledgeable staff at Sunset House or The Woodlands will be able to help them find a personalized fit. To schedule your own peek past the gate of Sunset’s Indian Road campus, please call Sunset House at 419-536-4645 or The Woodlands at 419-724-1220. Additional information on any of Sunset’s communities and services can be found on their website, www.Sunset-communities.org.❦

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Advanced care and healing close to home. We’re here for you. And we are an integral part of this community. The University of Toledo Medical Center offers best in class specialties, better outcomes, and expert physicians, nurses and medical technicians in a superior continuum of care that’s close to home and dedicated to the area’s health and healing. • Served more than 300,000 people last year alone • Recognized by Consumer Reports among the top academic hospitals in preventing bloodstream infections* • Continuing to provide outstanding medical education, teaching and research • Keeping you at the center of all we do

We’re strong. We’re committed. And we’re confident in the future. Visit uthealth.utoledo.edu

* Named one of Consumer Reports’ highest-scoring U.S. teaching hospitals at preventing central-line infections between 2011 and 2015.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | April 2018

Is your family prepped for tornado season?

e’ve all seen those TV shows about “preppers” who go to elaborate lengths—stockpiling provisions, conducting whole-family drills for every conceivable contingency, and turning their homes into virtual fortresses—in anticipation of various doomsday scenarios. While sensible people could argue the merits of over-preparing for the eruption of the Yellowstone supervolcano, a thermonuclear strike, or the planet flipping on its axis, there’s no question that anyone living in a tornado-prone region, such as Northwest Ohio and Southeast Michigan, should have a solid tornado-preparedness plan in place. In our area, tornados are a very real threat and the peak tornado season is already underway (it generally spans the months of April through July, but tornados can occur at any time of year), so if you haven’t done anything to prepare yet, there’s no time like the present! Here are the steps you need to take:

Know a watch from a warning Even people who have lived in tornado-prone areas all their lives sometimes confuse the terms “tornado watch” and “tornado warning.” A tornado watch is posted when conditions are right for a tornado to develop. This is a good time to make sure all of your emergency supplies are present in the room you plan to shelter in, stay tuned to local weather broadcasts or a weather-alert radio for updates, and review with your family what to do in the event of a tornado. A tornado warning indicates that a tornado has actually been sighted by storm spotters or detected by weather radar—and that means you and your family should seek shelter immediately.

Know the meteorological warning signs Our local meteorologists

36 April 2018 | Healthy Living News

keep us pretty well informed of severe weather developments, but in the event that you’re outdoors and out of touch with local broadcasts, it’s important to be able to recognize potential tornado warning signs. If conditions are right for a tornado, be alert to the following: • Low, dark clouds with a sickly, greenish caste • Fast-moving or rotating clouds • Whirling dust or debris beneath a cloud base • Hail • A thunderstorm followed by a strange calm • A visible funnel cloud • A loud, continuous roaring sound, likened to a jet or locomotive.t

Designate a safe room Don’t wait until the sirens are blasting outside to choose which room of your home to shelter in during a tornado. Know ahead of time where everyone should go if a warning is called. The best location is a basement or cellar. If that’s not an option, designate a small interior room (such as a bathroom or closet) or hallway that’s on the lowest floor of your home and as far away from windows as possible. If you reside in a mobile home, it’s important to understand that it’s not safe to remain there during a tornado. Instead, plan to take refuge in a community shelter or other permanent structure close by in the event of a tornado.

Pack a tornado kit The American Red Cross recommends preparing an emergency kit that in-

cludes one gallon of water per person for at least three days, non-perishable food, first-aid supplies, three days of essential prescription medications, clothing and bedding, emergency tools, sanitation supplies, and copies of important documents. Other items that are wise to have on hand in your shelter room include a charged cell phone, a battery- or crank-powered radio and flashlight, replacement batteries if applicable, spare keys to your vehicles, photo identification, a list of important phone numbers, and a credit card or cash.

prevent further injury. • Use only battery-powered light sources, not matches, lighters, candles or oil lamps, in case there is a gas leak. Do not operate light switches, which could spark and ignite leaking gas. In fact, if you know or suspect your home has been damaged, it’s best to shut off the electricity and natural gas/ propane supply. • Move around with caution, and be on the lookout for downed power lines and other hazards. • Stay out of heavily damaged buildings, which may collapse or present other hazards.

Drill your family’s emergency procedures

Don’t forget shoes and durable clothing! When the tornado siren sounds in the middle of the night, most of us stumble down to the basement in our pajamas or bathrobe. If we have anything on our feet, it’s likely to be little more than a pair of slippers or socks. But think how hazardous such attire could prove to be in the event that your home sustains serious damage in the storm and you have to evacuate through broken glass, nails, and other sharp debris. Make sure sturdy shoes and other durable clothes are handy in your shelter room for every member of the family, and put them on when a tornado warning is sounded.

Plan for the aftermath In addition to knowing where to go, what to do, and what to have on hand before and during a tornado, it’s also important to know what to do after a tornado strikes your home: • Designate a specific area to meet in case the family gets separated. Ideally, you should designate an alternate meeting place, as well, just in case the first location is too hazardous. • Render first aid or assistance to family members or neighbors who are injured or trapped, but do not attempt to move someone who is seriously hurt unless doing so is necessary to

At least once a year, it’s a good idea to test your family’s emergency preparedness by conducting a tornado drill. Doing so will reassure you that everyone knows where to go and what to do when the siren sounds and that you have all the materials you need in your emergency kit. Don’t wait for the real thing to make sure you’re ready! ❦

Sylvania Franciscans offer Mini Franciscan Pilgrimages in April and May

he Sylvania Franciscan Sisters will again host “Mini-pilgrimages” on the Franciscan campus in Sylvania on Thursday, April 19; Friday, April 20; and Thursday, May 10, 2018. The pilgrimage and tour will take place from 10:00 am until noon each day, and participants can meet at Madonna Hall, 6832 Convent Blvd., Sylvania, OH. Pilgrims walk among the sites on campus that are tributes to the lives of Saint Francis and Saint Clare. The pilgrimage includes personal reflection, the history of the Sylvania Franciscan Sisters, and lunch. The cost is only $20. To make a reservation please contact Sister Joan Jurski at 419-824-3528 or jurski@ sistersosf.org.

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Hormone replacement helps rev up health and fitness potential

eaching one’s full health and fitness potential depends to a significant degree on the body’s natural ability to build and repair muscle, shed excess body fat, and maintain a high level of energy. However, this innate capacity to rev up fitness can prove elusive to health-conscious individuals under a variety of circumstances. For example, people new to exercise who have been working out since New Year may be reaching a point today where they aren’t sure where to go next or how to get better results from their fitness efforts. Others may have a long history of health and fitness but are finding that they’ve reached a plateau and are getting diminishing returns from exercise. Still others may simply recognize that their energy level has declined steadily over the years and now would like to feel better and healthier. According to Dr. Wade Banker of Luxe Laser Vein

& Body Center, people in all three of these categories can benefit—and maximize their fitness potential—by correcting the levels of certain hormones in their bodies. “As we age, our bodies stop producing hormones such as testosterone and human growth hormone,” Dr. Banker says. “It’s a natural decline, and it’s the reason we age, but by correcting these hormone levels, we can give the average person more energy, greater ability to gain muscle and lose weight, an increased sex drive, and a greater overall feeling of well-being.” Even those new to exercise can experience these benefits, Dr. Banker notes. What’s more, they’ll see much better results in developing muscle mass with hormone replacement because testosterone is the building block for muscle. Those who have been fit for many years but have reached a plateau or just need some extra energy

can benefit from a restored level of human growth hormone, or HGH. “HGH is a turbocharger for muscle growth and repair, so when the body needs to fix muscles, it turns to testosterone and HGH. Without adequate levels of these hormones, the body is unable to repair muscle efficiently,” he says. It’s important to understand that the products Dr. Banker uses to restore hormone levels are not to be confused with steroids, “black market” products, or the latest TV wonder pill—and they must be administered under medical supervision. To boost HGH levels safely, Dr. Banker uses a product called Sermorelin, which instructs the body to produce more HGH naturally. Why not just administer synthetic HGH instead of Sermorelin? He explains, “Sermorelin works by signaling the body’s own glands to make more

HGH, so the level is regulated by the body. On the other hand, if you just supplement with synthetic HGH, the level is unregulated and the body actually stops making its own.” The bottom line, according to Dr. Banker, is that anyone who is looking to feel healthier and more energetic—whether male or female—is a potential candidate for hormone replacement. “Restoring those hormone levels to where they were in your youth is like rewinding the age clock. It actually makes you feel younger again,” he says. For more information on hormone replacement therapy, please call Luxe Laser Vein & Body Center at 419-893-2775. Free consultations are offered to determine whether hormone replacement is an appropriate option for each individual. Additional information is also available online VEIN & BODY CENTER at luxe-laser.com. ❦

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Preplanning can ease your after-surgery woes

Concept Rehab Physical Therapists: Caitlin Phalen and TJ Marcotte

here, at Franciscan Care Center.

Staff first met Mr. Kaplan at the hospital and when asked where he was going for rehab, he said, “First, second, and third choice is Franciscan Care Center and I’m not going anywhere else.” “It’s quiet and I have immediate access to help. There is a willingness with the people there to work with me. I like the therapists, particularly TJ. They all work well together.”

Franciscan Care Center Rehabilitation Skilled Nursing Long-term Care 4111 N. Holland Sylvania Road | Toledo, Ohio | 419.882.6582

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ou’ve met with the doctor. Scheduled your surgery. Have all your hospital plans in place. But what happens after surgery when the hospital is ready to release you? A little preplanning here can make your recovery faster. According to Alicia Cantua, Admissions and Marketing for Franciscan Care Center, doing your homework ahead of time for after your hospital stay can help your care go smoothly, ease your mind, and get you back on your feet faster.

paperwork ahead of time will ease your mind. Before you need care is the time to check with your insurance company, particularly if you might be using multiple sources, and to know what is covered and your options. It helps when everything is in place.

Franciscan Care Center: your stepping stone to home quickly

What questions to ask

Franciscan Care Center is the perfect setting for recuperating between hospitalization and home. Our post-acute rehabilitation program is designed for those recovering from situations such as cardiac conditions or stroke, fractures, hip or knee replacements, or when you aren’t quite ready to be at home. Franciscan Care Center is Medicare and Medicaid certified and earned The Joint Commission’s Gold Seal of Approval® for Nursing Care Center Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects the organization’s commitment to providing safe and effective patient and resident care.

Typical questions you need to ask when selecting your after-hospital recovery care can include:

The Franciscan Care Center difference

Know where you want to go after your hospital stay Home or skilled nursing center? If you are expected to do some of your recovery or rehabilitation in a skilled nursing center afterwards or if you aren’t sure, it’s good to make your selection before surgery. “When you are not feeling well, it is hard to make decisions that are right for you. We encourage people to tour Franciscan Care Center and see our difference before they need us,” Cantua explained.

• What services does the center offer? • Do they have rehabilitation therapy available every day? • What types of therapy are available—physical, occupational, and/or speech? • Do they offer any specialty programs or enhanced clinical capabilities? • Will they do a home assessment before you are ready to go home? • Do they have private or semiprivate rooms?

Complete paperwork beforehand If you will need skilled care after your hospital stay, making your selection beforehand and completing your

• An Enhanced Inpatient Cardiac Rehab Program under the direction of a board-certified cardiologist • Rehabilitation Therapy Services offered seven days a week • Physical, occupational, and speech therapies are available • Wound, pain, cardiac, and infectious disease management • Home evaluations prior to returning home • Private rooms available and state-of-the-art facilities.

The healing ministry of the Church In addition to top care, Franciscan Care Center nurtures the healing ministry of the Church through comprehensive and spiritually enriching services for seniors of all faiths including Masses,

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38 April 2018 | Healthy Living News

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sacraments, and prayer services. Franciscan Care Center is committed to creating an environment where home is truly here for all who enter and their families. â?Ś For more information on how Franciscan

Care Center can help with your preplanning or to tour, call 419-882-6582 or go to homeishere.org. Conveniently located in the Sylvania area at 4111 N. Holland Sylvania Road, Franciscan Care Center is the perfect stepping stone from hospital to home.

Timely tips from Mercy Health on running safety and performance

he CDCâ&#x20AC;&#x2122;s current Physical Activity Guidelines recommend that adults get at least 150 minutes of moderate-intensity aerobic exercise, 75 minutes of vigorous-intensity aerobic exercise, or an equivalent combination of each on a weekly basis. According to Mercy Health physical therapist and nine-time Iron Man triathlete Jeff Swartz, people who are committed to meeting this recommendation can get all the healthy aerobic activity they need by taking up running. â&#x20AC;&#x153;The health benefits of aerobic activities like running are well established, including helping to improve a wide range of chronic diseases, such as cardiovascular disease, diabetes, anxiety, and depression,â&#x20AC;? Swartz says. â&#x20AC;&#x153;Even people diagnosed with osteoarthritis of the knee or hip can benefit. Thereâ&#x20AC;&#x2122;s a myth that running will further damage these joints, but evidence suggests it can actually make them better. Plus, itâ&#x20AC;&#x2122;s just nice to get outside in spring and enjoy the weather. All you need is a good pair of running shoes!â&#x20AC;? Those who really enjoy running might even consider training to participate in a local fun run or 5Kâ&#x20AC;&#x201D;or perhaps something a bit more ambitious, such as the upcoming Mercy Health Glass City Marathon, scheduled for Sunday, April 22. Of course, caution is paramount when planning to attempt one of those ambitious runs. The surest way to end a running career before it really gets off the ground is to push too hard and end up sidelined with an overuse injury, so itâ&#x20AC;&#x2122;s critical for runnersâ&#x20AC;&#x201D;especially those new to the activityâ&#x20AC;&#x201D;to build up their endurance and speed gradually. Swartz explains, â&#x20AC;&#x153;The most common running-related

injuries I see are stress reactions, which are precursors to stress fractures. These usually occur when runners try to do too much too soon or they simply donâ&#x20AC;&#x2122;t listen to their body. If your body says you shouldnâ&#x20AC;&#x2122;t run today, you should take it easy, or you might want to go biking instead of running today, you need to pay attention.â&#x20AC;? When runners do experience injuries, Swartz notes that his job is to determine the cause and correct it. This involves assessing a variety of factors, including the patientâ&#x20AC;&#x2122;s running form, training program, posture, and range of motion and strength from head to toe. â&#x20AC;&#x153;Once we identify and address the problem, patients usually do pretty well and get back to running relatively quickly as long as theyâ&#x20AC;&#x2122;re compliant with therapy,â&#x20AC;? he says. â&#x20AC;&#x153;However, in some cases, runners who have been dealing with problems for many months come to us looking for a quick cure because theyâ&#x20AC;&#x2122;re scheduled to run a marathon in a few weeks. Thatâ&#x20AC;&#x2122;s simply not a realistic expectation. The sooner you begin therapy for an injury, the better the outcomeâ&#x20AC;&#x201D;and the less youâ&#x20AC;&#x2122;ll have to spend for therapy visits.â&#x20AC;? With respect to injury prevention, the most important thing aspiring marathon runners can do is seek specialized training well in advance of the event. For example, Daveâ&#x20AC;&#x2122;s Performance Footgear offers a 16week training program that will fully prepare runners to participate successfully in a half marathon or full marathon. Also, runners need to be aware of certain warning signs that indicate they shouldnâ&#x20AC;&#x2122;t attempt to run before seeking medical attention. According to Swartz, these include experiencing pain beyond

a â&#x20AC;&#x153;3â&#x20AC;? (on a scale of 0 to 10), limping or otherwise compensating for pain while running, waking up at night with pain, and experiencing pain while running that doesnâ&#x20AC;&#x2122;t go away afterward. â&#x20AC;&#x153;Most importantly, if you have pain that is not getting better or is actually getting worse after seven to ten days, you need to see someone for treatment, for example Dr. Jason Smith, who is the Medical Director of the Mercy Health Glass City Marathon and the Director of Sports Medicine for Mercy Health Toledo,â&#x20AC;? he says.

On the day of a marathon or other race, runners can minimize injury riskâ&#x20AC;&#x201D;and maximize their performanceâ&#x20AC;&#x201D;by sticking to what worked in their training program when it comes to factors such as speed, nutrition, and even footwear. In addition, they need to be attuned to the weather forecast and prepared to make adjustments on the fly in areas such as their clothing and hydration. For more information about Mercy Health â&#x20AC;&#x201C; Physical Therapy and the Runners' Clinic, please call 419-2518788. â?Ś

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: This is a great question to ask at this time of year since vacations will be starting up in the near future. Swimmer’s ear is definitely preventable, and we highly recommend taking the necessary steps to avoid the pain it can cause during a vacation. Swimmer’s ear, or external otitis media, is a bacterial infection of the outer ear and ear canal and is most common among teenagers and young adults. However, there is no specific age when external otitis hits. We have seen it in everyone from young children to avid adult swimmers. This condition is typically caused by excessive exposure to water, primarily from swimming and other water sports. For example, divers may suffer more than lap swimmers due to the forceful water possibly entering the ear canal. External otitis media starts as an itch and turns into swelling accompanied by pain. Eventually it can cause the lymph nodes of the neck to enlarge, and it can even turn into temporary hearing loss. The goal is to enjoy the swimming and not suffer from an episode of external otitis media, which may cause a grave situation. Individuals that frequently suffer from swimmer’s ear or those planning to spend an extended amount of time exposed to water should take steps to avoid this infection. It’s essential to prevent moisture from entering the ear. Some serious swimmers will even wear swim caps to help avoid an episode of swimmer’s ear. I personally don’t like wearing caps because they pull my long hair when I put them on and take them off.

Fortunately, we are able to offer some other options. Different styles of earplugs are available to help keep the ears dry. Custom-made earplugs, for example, are formed by taking an impression of the ear, almost the same concept as the orthodontist getting an impression for a retainer. Best practices include visualizing the ear canal with an otoscope to make sure there are no abnormalities that raise concerns prior to taking an impression of the ear. Out of all the styles available, these allow the least amount of leakage to enter the ear canal. Another style is called Doc Plugs, which come in different sizes. A Doc Plug fills the whole outside ear and enters the canal. This type is mostly used by infrequent swimmers or those who have had some type of surgery and need to protect the ear canal during a healing period. Special eardrops can also be used after water exposure to ensure the ear stays free of any moisture. In addition, it’s always imperative to keep the ear free of wax, which can trap bacteria in the ear and cause infection. It may be necessary to visit a physician to clean the ears prior to a trip. The treatment for swimmer’s ear can be either an oral antibiotic or prescription ear drops. The good news is, swimmer’s ear can be avoided. Proper ear care yearround can prevent this condition. At Northwest Ohio Hearing Clinic, we are here to help you or your child avoid swimmer’s ear on your next trip. It may just be the most important thing you pack. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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Laurels rehab client strives to regain fitness edge with help from AlterG

ost people who experience a debilitating injury can readily pinpoint the time, place, and reason it occurred. But if you ask Tammy Knack exactly when, where, and how her posterior left proximal hamstring muscle detached from the bone, she’ll tell you she has no idea. An avid fitness enthusiast with a background in bodybuilding, Knack was in the habit of working out vigorously on a daily basis. Then one day she noticed pain in her hamstring. “I thought I’d just pulled it at some point, but it wasn’t getting better. In fact, it continued to get worse. Six months later, I couldn’t even sit anymore,” she recalls. Knack went to see her doctor, who said he believed the hamstring had detached—a suspicion that was confirmed via MRI. So on January 28, Knack underwent surgery to have the bone cleaned and the hamstring reattached. Afterward, she was told she would need rehab to regain full function and mobility. Wondering where to go for these services, Knack recalled reading an article in Healthy

Living News about The Laurels of Toledo and the state-of-the-art AlterG Anti-Gravity Treadmill available there. The AlterG, developed by NASA engineers while studying the biomechanics of exercise in space, uses differential air pressure technology to “unweight” patients as they walk, stand, or perform various exercises on the treadmill under the close supervision of a therapist. The unit can unweight patients as much as 80% while allowing normal gait mechanics. “So I visited The Laurels and decided it fit my needs exactly, not only because of the AlterG, but also because, if you live within a certain radius, they’ll send a van to pick you up for rehab sessions and drop you off afterward, which means you don’t have to inconvenience anyone else to get to and from appointments,” says Knack. Laurels physical therapy assistant Matt Snyder explains that when Knack arrived at The Laurels, she was wearing a full-length, hinged brace on her left leg and depended on a

walker for mobility. “Initially, we had to keep Tammy’s brace locked in full extension, and all the work we did was pretty gentle and conservative to avoid disrupting that surgical repair,” he says. “Over time, we’ve been able to unlock the brace more and more, and our emphasis so far has been on normalizing Tammy’s gait pattern—allowing her knee to bend a bit as her foot comes off the ground and then letting the knee swing through more normally. Es-

sentially, we’re encouraging the knee to actively function instead of being locked into extension.” Snyder also notes that Knack no longer relies on a walker, stating that the Laurels rehab team has been able to progress her from the walker to a cane to, as of this writing, walking short distances with no assistance. In addition, Knack will soon see her surgeon, who, hopefully, will clear her to leave the brace behind and begin more aggressive rehab involving resistance and strengthening exercises. Of course, the Laurels therapy team and the AlterG have played a major role in helping Knack achieve her rehab gains. “The staff here is just wonderful! If anyone is looking to get back to their prior level of activity, The Laurels is the place to do it. Plus, the Anti-Gravity Treadmill has been a lifesaver. With it, I’m now up to walking one-and-a-half miles at 75 percent of my body weight,” she enthuses. Looking to the future, Knack’s goal is to get her function and mobility back to 100 percent and to reach the

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point where she can speed walk for 25 to 30 miles. “I can’t run anymore, and bodybuilding is probably a thing of the past, so I may be getting into something like Pilates or yoga. There’s no way I’m going to sit around doing nothing,” she states.

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.laurelsof toledo.com. ❦

EATING WELL by Laurie Syring, RD/LD

Pre- and probiotics—do we really need them?

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e don’t usually give it much thought, but our intestinal tract contains millions of healthy bacteria along with yeast and some harmful bacteria. The composition of bacteria in your gut can vary naturally (i.e., it’s just the way you were born), or it can change over time due to factors such as diet, stress, or antibiotic use. No doubt you’ve noticed a lot of references in the news to “probiotics” and “prebiotics” in recent years. What are these, and what do they have to do with your health? Probiotics are “good” bacteria, and prebiotics are non-digestible carbohydrates that act as food for probiotics. When taken together, they form a “friendship” of sorts. Research on these products has skyrocketed over the past decade, and probiotics are being studied to help treat chronic diseases like obesity, heart disease, and osteoporosis. Other probiotics research has established the benefits of their use for gut and immune health.

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Probiotics are named for their genus, species, and strain. Within each species are thousands of different strains. All do a little something different, and many work together for good gut health. Therefore, for general wellness, it’s best to pick a product containing multiple species rather than a single strain. To determine exactly what you’re getting, check the product label. Many of these products will list which species of beneficial bacteria they contain in CFUs, or colony forming units. It is usually recommended to keep

the CFUs at 10(9)—or 1 billion CFU per dose.

Cautions and considerations As with any health regimen, be sure to consult your healthcare provider before taking probiotics to ensure they’re appropriate for you. And, of course, you should follow the package prescription, keeping in mind that more is not always better. Also, be sure to separate doses by at least two hours, especially if you’re taking antibiotics. If you’re taking probiotics for ongoing health issues, such as irritable bowel, try taking them for two to three weeks, and if that doesn’t help, stop taking them for a few weeks and try a different product. While pre- and probiotics have been found to be very helpful and provide for optimum gut health, you should never stop taking medications without a physician’s approval, give these product to children unless approved by their pediatrician, or self-treat illnesses without consulting your doctor.

Pro- and prebiotics in foods Many people regularly consume pro- and prebiotics without even realizing it. For example, fermented dairy products like yogurt and kefir contain live “good” bacteria, such as lactobacillus and bifidobacteria, as well as the fuel they need to thrive. Look for the phrase “live active bacteria cultures” on the label of your favorite yogurt. Other food sources include sauerkraut, miso soup, fermented soft cheese like gouda, and even sour-

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dough bread. Prebiotics are found in whole grains, bananas, onions, garlic, honey, asparagus, and artichokes. Of course, in addition to foods, pre- and probiotics can be found in dietary supplements. There’s also a drinkable probiotic called kombucha, which contains bacteria and yeast in abundance. Many manufacturers produce kombucha, and you can find it in the health food section of stores such as Kroger and Fresh Market.

Final “gut check” Prebiotics help nourish your gut, and a diet rich in prebiotic foods is a great source of vitamins, minerals, and

other nutrients that give you energy throughout the day. However, there is no research to support the idea that prebiotics themselves will increase your energy level. Your chances of achieving the desired results will be better if you learn which food sources contain pre- and probiotics and buy only clinically tested supplements. Remember, the primary benefit of pre- and probiotics appears to be helping you maintain a healthy digestive system and, in turn, a healthier you! ❦ Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital.

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Keep it clean!

ashing our hands is an important part of staying healthy. I try to wash mine often, and even sing the “Happy Birthday” song twice to make sure I am getting the most germs off my hands. I dry my hands and then put my clean hands on the handles of my electric cart. I then realize that my hands are not very clean anymore and that I just picked up a zillion germs. Our vehicles go with us everywhere: to the bathroom, dining room, out shopping, on cars and busses. When someone sneezes and we are near, we inherit a lot of germs. Any medical device that is used to help a person walk, or a “mobility device,” can get pretty dirty. We handle money and touch the arms of our wheelchair. We finish a meal and then touch our on-and-off switches, steer our electric carts with a wheel, or push buttons. Those who use walkers might stand in line at a store and touch their walker after they have paid their bills with money, which has been handled by hundreds of people with dirty hands!

So try to keep your walkers, wheelchairs, or electric carts clean. Some vendors of these devices use the word “sanitized” when they refer to cleaning the equipment. I clean and sanitize my electric cart many times a week. I first use a soft cloth to wipe my electric cart all over: the arm rests, the seat, the controls and switches, and last, the bottom platform where my feet rest. I sometimes spray Windex or any household cleaner over the cart and then wipe it off with paper towels or a soft cloth. Sometimes I repeat the process, especially if there is a lot of salt from the snow on the bottom of my platform. After the Windex is completely dry, I take Lysol or Clorox wipes and use one or two of them over the cart, especially my handlebars, seat, armrests, and steering buttons. There are still many germs on my electric cart, but I know that it is a bit cleaner than before I washed it. A friend of mine told me that when her dad had lived at a local assisted living/nursing home, the staff held

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a monthly “car wash.” Residents brought their walkers, wheelchairs, or electric carts to a room where the staff cleaned their “cars.” A special bonus of these monthly events was that the staff engaged and talked to the owners of the vehicles! I think of other mobility-related places that need a cleaning regularly: grab bars in bathrooms, bedrooms, or meeting rooms; the round “little blue man” switch that opens an automatic door; water fountains; and the outside of a bathroom paper towel rack. I try to avoid touching these without a Clorox wipe, which I keep in my purse or cart basket. I see people open automatic doors by pressing the switch with the bottoms of their canes. Bathroom grab bars sometimes have body lotion on them, and towel racks sometimes are wet with hands that were not completely dried. Yuk! My doctor and I have had many conversations about the importance of hand washing, and the fact that, nowadays, sometimes we are getting too clean with all the hand sanitizers and use of bleach wipes. I still keep

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a small bottle of hand sanitizer in my basket if I cannot get to a sink. Of course, washing with soap and water for a good amount of time is the best way to keep our hands clean. The friction of rubbing our hands together with water and soap is a great way to get clean. I think it is good to remember that after you wash and dry your hands, take a paper towel and lightly wipe the handles to your electric cart or walker. Then put your hands on your mobile device. Remember to clean your “car ” when you get home. It’s a great and often forgotten thing to do. You will feel cleaner and just generally better than if you left it unwashed. ❦ 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 of St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

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hirley and I are RVers who travel extensively. We typically spend winters in Florida and/or Arizona and summers in the Rocky Mountain West. When we are traveling, we eat out most of the time. And by “out” I mean outside. I was not fully aware of just how seldom we eat in restaurants until I was reading my journal entries for our 2016 summer trip. We left at 5:30 on a beautiful June morning. Stopped for breakfast a couple hours later at the Cracker Barrel in Elkhart, IN. Continued on to the Tetons in Wyoming, zigzagged across Idaho, through the magnificent

The restaurant at the Mabry Mill is a must stop on the Blue Ridge Parkway.

Columbia River Gorge in Oregon and then down the Pacific coast to northern California, turned east towards Reno, Nevada and Great Basin National Park and up through Salt Lake on our way back to the Tetons again. What were the marvelous restaurant meals we enjoyed along the 7,299 total miles? Well, there was that breakfast at Cracker Barrel. So, how did we manage to survive? Our breakfast choices include pancakes or French toast with fruit; eggs

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We might have a glass of wine or some excellent bourbon with a light snack. We like St. Andre brie, Tillamook extra aged cheddar, Jarlsberg, smoked Gouda, and herbed goat cheese. Salami, sopressata, capicola, or thin-sliced deli meats. Little red peppers stuffed with herbed feta cheese. Colossal olives stuffed with garlic, or bleu cheese, or almonds. Or perhaps just some mixed olives. Marinated mushrooms. Some of Shirley’s fantastic homemade pimiento cheese or tapenade. And, of course, some nice crackers or crusty bread. Don’t get the impression that we have all of this stuff at one time. Well, not usually. But we have been Shirley really likes going out for a nice known to skip dinner if cocktail hour steak dinner. runs long. over easy or scrambled with sausage Dinner entrees include thick cuts or bacon; biscuits with gravy; hash of prime grade steak, salmon filets, browns with onion, colored peppers, tuna steaks, pork tenderloin or chops crumbled bacon, or sausage and with Shirley’s chutney. Perhaps a cheese (basically a skillet casserole); couple crab cakes or salmon cakes. an array of omelets; juice of some Shrimp and grits. Chicken grilled or kind; always, always a pot of fresh- fried in the cast-iron skillet or roasted perked coffee that Shirley starts on whole in the Cobb cooker. It has been the RV stove while I am setting up several decades since we roasted hot the Coleman stove outside. dogs on sticks. Lunch is typically yogurt with We can get by on this Spartan granola or, if we are hiking or fishing, diet because, as campers, we are trail bars or trail mix and some fruit. accustomed to roughing it. Even so, Before dinner, we usually enjoy last summer’s trip was not typical. cocktail hour. I crank out the RV aw- Which got me to thinking about the ning and set up chairs in the shade. times1 when eating is defined the 10.25x5_ES_GotYouCovered_FINAL_HL_1017_HI.pdf 10/4/17 1:23 out PM

usual way. When we do the Blue Ridge Parkway to enjoy the spring flowers or the fall color, we make a point of stopping at the Mabry Mill in Virginia. The historic mill is picturesque and offers tours that demonstrate how wheat and corn are ground into flour and meal. The restaurant breakfast menu is heavy, so to speak, on pancakes, eggs, bacon, sausage, and saltcured country ham. And grits, Give Shirley some of course. For grilled chicken on lunch or dinner, penne pasta with you might want spinach and freshly to try their fried grated Parm, and she green tomatoes is a happy camper. Just with bacon and don't ever forget the pimiento cheese capers. on toast. Or maybe

We might get shrimp and grits at the River House, or I could just make it myself.

the pulled pork. Leave some room for some cobbler. You might even consider skipping the meal altogether and just have a dish of warm cobbler with a scoop of ice cream. While I’m on this Southern cooking theme, and at the risk of slighting Charleston, we must not overlook our favorite city, Savannah, Georgia. There are many great places to eat in Savannah. Shirley and I went to The Lady and Sons Restaurant before Paula Deen became Paula

When we are on the road, some loaded hash browns with toast and fresh-perked coffee is a pretty good start.

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I pulled hair.) Once was Emeril’s in New Orleans owned, Deen, Inc. At the time, enough. For us. Your of course, by celebrity chef Emerit was in a downtown mileage may vary. il Legasse. White table cloths and storefront with bare, At the old Lady & more forks than anyone with only old, creaking wooden Sons, shrimp and grits two hands could possibly use. Our floors and mismatched (pronounced with two waiter, dressed as if he had been rickety furniture they syllables—gree-itz) was nominated for an Academy Award, must have found at plenty good enough. helped us choose from the menu. yard sales. The menu The menu now includes And which fork to use. Emeril’s was listed perfectly ordiParmesan crusted cat- magnificent. Even though I still have nary Southern dishes: fish. Italian cheese on no idea what it was we ate. Except fried okra, fried green catfish? For crying out for the crème brulee. But whatever tomatoes, fried chickloud! And roasted duck that stuff was, it was undoubtedly en, anything you can with crab Florentine. the best we ever put in our mouths. think of fried. And some Mmm, mmm! Just Within easy walking distance of things you would never the way your Georgia Emeril’s is Café Du Monde where I think of. Science has clearly established that The fried chicken at the Old grandma used to make do remember what we had because it was what everyone has—café au cholesterol is what they Country Store in Lorman, MS it. Meanwhile, at the lait and beignets. (Or bag nets as our put in food to make it was so good we ordered some to go—even after stuffing ourselves River House, in a re- friend Nelson says.) Jackson Park taste good. stored cotton ware- with its statue of Old Hickory on Then Paula went and at the lunch buffet. house, they do not horseback is across the street, the got all uppity. Moved the restaurant from the storefront to pretend to be humble, down-home cathedral rising behind it. The golden a much larger building with shiny, rednecks. The menu leans toward statue of St. Joan of Arc, the Maid of new, genuine commercial-grade more aspirational fare that is still Orleans, is a half block up the street. furnishings. Paula prospered on the seasoned with Southern charm. The Behind the Café, Ol’ Man River just keeps rollin’ along. Food Network. Outside her new fried chicken, for example, comes Under the awning, place, hundreds of folks spilled off jazz musicians fill the sidewalk and started blocking with collards just the air with improtraffic at the corner of Congress and the way it is supvisational meloWhitaker, wrestling with each other posed to. For $20. The shrimp and dies. Ah, Nawlins! and pulling hair for places in line. We While I’m did that just once. (Shirley wrestled. grits (one syllable here—gritz) thinking of celebat the River House rity chefs, Alton goes for $23 and Brown said that is worth it. You the Old Country might also enjoy Beignets and cafe au lait are obligatory treats Store in Lorman, the grouper Oscar at Cage du Monde in New Orleans. Mississippi has the or the shrimp and crawfish etouffe. best fried chicken he ever put in his For lunch, Shirley and I prefer their mouth. So I let Shirley coerce me marvelous seafood bisque with a into to going there yet again for our loaf of bread still warm from the anniversary in October. Alton does oven and a brandy snifter of Artillery not lie. The buffet includes slaw with Punch to share. (One little sip will chopped sweet pickles, mac & cheese, blow you away.) You can keep the field peas & snaps, sweet potatoes, We realize that you - the family member and brandy snifter with their logo. We mustard greens, green beans with care giver, are the most important person have a set. ham, pork chops, ribs, catfish, and, to an individual with Alzheimer’s Disease or a related dementia. We want you to be And speaking of blown away, of course, chicken. We ate way more an integral part of the team. We will be we went to the even more upscale than we should. You don’t eat just there to guide you through those periods when you discover love is not enough to care for your loved one during the difficult times associated with dementia.

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because you’re hungry. You eat because you can’t get over the fact that it is the best fried chicken you ever put in your mouth. Extra crispy on the outside. Extra tender and juicy on the inside. Mr. Arthur Davis, the owner, and Erica, our waitress, sang to customers while wandering from table to table refilling glasses with sweet tea. I could also reminisce about meals in Fredericksburg, Texas where the restaurants reflect the heritage of the first settlers. German not Texican. The founder of Fredericksburg, Baron Otfried Hans Freiherr von Muesebach, arrived in 1846 accompanied by a boatload of immigrants. The baron insisted on being called just plain old John in his new country. Plain Old John gave the Comanche Indians a huge pile of money and insisted “Now, we are not going to hurt each other are we?” The Comanches, undoubtedly puzzled by John’s outrageous accent and his Prussian companions wearing spiked helmets and curly mustaches, just took the money and said “Oh, yeah, well, whatever. Why not?” Legend has it they used the cash as a down payment on a casino in Austin. At one of the 712 German restaurants, Shirley and I shared a plate of assorted sausages, kraut, and pickled beets because our waitress insisted that only a native-born Texan could possibly eat a whole serving all by himself. While we were in town, we also had some smoked brisket. In Texas, the smokers are filled with beef rather than pork. In Cajun country, you eat a huge platter of mud bugs at Crawfish Town in Breaux Bridge. Or maybe a boil with andouille sausage made locally. In Arizona, you go to Mexican restaurants and eat Indian fry bread on the reservation. In New Mexico, you eat one of those chilies and try to look nonchalant as you chug a beer to put out the fire. In Homer, Alaska, you eat halibut and salmon.

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In the Yukon, you eat bannock bread or huge cinnibuns. (Shirley says the ones at Tetsa Lodge are even better than at Wall Drugs in South Dakota.) In the Florida Keys, you eat conch chowder or maybe some fried conch. Maybe some hog fish. Though Shirley and I sometimes

The owner of the Tetsa Lodge on the Alaska Highway in the Yukon gets up early every morning to bake excellent cinnibuns.

eat out just like normal people, we probably don’t do it as frequently as normal people. Often, the setting is as important as the food. Which is pretty much where this story started. When we are camped in the mountains, sipping some bubbly chilled in a trout stream just a few feet away, waiting for the charcoal to turn gray and the sky to turn rosy, I don’t recall Shirley ever saying, “Wouldn’t it be nice to go out for dinner tonight?” But no matter whether we eat out or we eat “out,” it is always just a walk in the park. ❦

We are there every step of the way.

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.

by Douglas A. Schwan, DC, Dip ac

Vitamins as drugs?

Heart The heart and associated veins and arteries are important in maintaining good blood flow around the body. Blood brings oxygen and nutrition while removing waste and carbon dioxide from every cell in the body. One problem commonly associated with the heart is plaque buildup in arteries. This can lead to blocked arteries in the heart or restricted blood flow in other places such as the neck arteries. Anything that can retard or reverse this plaque buildup will decrease the incidence of heart attacks or strokes. There has been much in the news lately about red wine’s beneficial effects on the heart. Many doctors agree that something in red wine appears to help your heart. It’s possible that antioxidants, such as flavonoids or

a substance called resveratrol, have heart-healthy benefits. However, alcohol itself in quantity does the body no favors. That is why grape seed extract is recommended as an alternative. The natural combinations of flavonoids and resveratrol are present without the alcohol. Supplementing a heart-healthy diet with grape seed extract just might be a good thing for your heart.

Stomach The digestive system is fraught with problems, but the stomach seems to be the worst offender. Often drinking a ginger spiced tea or taking ginger root supplements will help quell a chronically upset stomach. For more serious problems, such as chronic gastritis or ulcerative lesions, taking a supplement such as a live probiotic may help repopulate the stomach with “good” bacteria. A nasty strain of bacteria can take root in the stomach lining and cause progressive pain for years. The important point here is that you should take a live strain probiotic. These are sold from small refrigerators in health food stores. Probiotics sold over the counter at room temperature are merely the spores of the bacteria and are not absorbed as well. Remember to continue to refrigerate the live bacteria at home.

Prostate The prostate is a walnut-sized gland

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s our society becomes more health conscious, there is a general trend toward a more natural approach to getting healthy. Many people are shying away from the idea of taking strong prescription drugs on a regular basis. The question then becomes, what is the alternative? While it is true that vitamins, minerals, coenzymes, herbs and such can help with established medical conditions, their more powerful role is in preventative medicine. With that in mind, we will discuss the use of some of the more potent supplements as they relate to major organ systems.

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found in men that straddles the urethra. As men age, the gland tends to swell. This can lead to problems completely emptying the bladder, feelings of urgency, a need to get up multiple times at night to urinate, a weak urine stream, or straining to start urinating. There are a couple of noted supplements that can decrease prostate swelling. One such herb is saw palmetto, an extract that comes from the dried ripe fruit of the saw palmetto plant, Serenoa repens. A second supplement is the mineral zinc. Zinc is of interest as a treatment for enlarged prostates because it is present in large amounts in prostate cells. Zinc plays a protective and anti-inflammatory role. While zinc supplementation is helpful with enlarged prostate, avoid doses over 100 mg a day, as excessively high doses may be linked to an increased risk of prostate cancer.

Inflammation-cancer Chronic inflammation and cancer are closely linked. Inflammation basically irritates cells causing damage over time. If that damage involves a gene-regulating cellular division, you can get development of a cancer cell.

That is why irritating your lungs by smoking increases your risk of lung cancer. Inflammation over the short term is a good thing: It is the body’s response to injury. However, if the inflammation fails to resolve, it can lead to long-term chronic pain, likely contributing to an increased incidence of cancer. One powerful supplement in the fight against inflammation comes from the turmeric root used as a spice. The bioactive portion of the turmeric root are substances collectively called “curcuminoids.” Refined turmeric with concentrated curcuminoids can be bought as curcumin over the counter. The interesting thing about curcuminoids is that they seem to suppress inflammation when taken regularly. Investigations at major universities are ongoing to see if they also have any value as an actual cancer treatment. The thing to remember if taking turmeric root or the more potent curcumin is that they need to dissolve in something fatty to be properly absorbed. They should be taken with food or a fatty vitamin like Vitamin D or E or omega oil. Taking a

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pepper-based supplement, such as bioperine, can also increase bioavailability of the curcuminoids and other supplements by up to 2,000 percent.

Pancreas-diabetes Our American diet today is heavily laden with simple carbohydrates—pop, prepared snacks, candy, etc. People crave white sugar. The pancreas is responsible for regulating this sugar in our bloodstream by producing insulin. The more sugar we eat, the harder the pancreas must work. Eventually the pancreas “burns out” and is no longer able to produce enough insulin and the condition of type 2 diabetes develops. The whole idea of prevention with respect to type 2 diabetes centers around the idea of not burning out our pancreas due to the overconsumption of simple sugars. One supplement that helps preserve insulin in the blood, thereby taking some load off the pancreas, is chromium picolinate. Chromium seems to bind with free insulin, keeping it around a bit longer than normal. This helps decrease the load on the pancreas. A side benefit is it seems to suppress the appetite a bit, helping with weight loss, excess weight being a big risk factor for diabetes. Research suggests other supplements, such as vitamin C taken daily, may lead to an improvement in both blood glucose levels and lipid (cholesterol and triglyceride) levels. Also, magnesium levels are often low in people who have problems with insulin secretion and in people with complications of diabetes. Supplementation may be beneficial. Of course, the single best way to fight type 2 diabetes is through regular exercise and giving up the big-ticket sugar items like pop and pastries. For some perspective, imagine those little sugar packets you see at restaurants. One 20-ounce can of pop contains, on average, 17.5 of those packets worth of sugar! If you drink just one 20-ounce pop per day for a year, that translates to about 150 calories every day. That is about 54,750 extra calories per year, and at 3,500 calories per pound, you are adding 15.64 pounds to your body every year! The perfect recipe for obesity. Do your pancreas a favor and just say no. The important thing to remember with supplementation is that, “if a

little is good, a lot is not better.” The body can only use so much of any given supplement, and any excess just clogs up the body’s machinery. Dosages may vary for each patient, so be sure to check with a knowledgeable healthcare provider to see what your specific needs are. ❦ Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic and Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time standup comedian. He has maintained an active practice in Toledo, OH for the last 36 years. He is available for lay lectures and may be contacted at Dr_Schwan@acupuncturetoledo.com. For more information on Alternative Medicine, please visit his website at www.acupuncturetoledo.com.

Could your senior loved one be malnourished?

he aging process is often accompanied by a wide range of physical, psychological, emotional, economic, and social changes, some quite obvious but others much more subtle. Among the many changes seniors experience—or perhaps as a result of them—is an increased risk of malnutrition. Why are seniors at any greater risk of malnutrition than the younger population? After all, if they’ve been eating right all their lives, shouldn’t the same healthy habits continue into their senior years?

Contributing factors Actually, there are several significant factors that can influence the way seniors eat or absorb nutrients. Among them: Reduced mobility—Limited mobility, which can stem from a wide range of physical conditions common to

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aging, can make it very difficult for seniors to get to the grocery store to buy food for themselves or even get to the kitchen to prepare healthy meals for themselves. Medications—Certain medications (or combinations of medications) can cause loss of appetite, changes in the way foods taste, nausea, or other unpleasant side-effects that interfere with eating. Difficulty chewing or swallowing— Oral problems, such as missing teeth, severe decay, poor-fitting dental appliances, gum disease, mouth dryness, or sores in the oral cavity, can make chewing difficult or painful, and certain diseases and treatments can impair the muscles involved in swallowing. Dietary restrictions—Medical dietary restrictions, such as limiting salt or sugar, can cause seniors to lose interest in foods they once enjoyed. Impaired senses—As we age, the senses of taste and smell tend to diminish, which can also lead to loss of enthusiasm toward eating. Depression—Factors such as the loss of mobility, failing health, chronic illness, grief over the loss of a loved one, and loneliness can lead

to depression, which often causes appetite loss. Social isolation—For many seniors, dining is a social experience. Eating alone because of limited mobility or chronic illness may cause them to lose interest in cooking and eating. Economic hardship—Seniors on a tight, fixed income may be unable to afford food or may try to save food for the future instead of eating it now to satisfy their current nutritional needs. The onset of dementia—Various forms of dementia and other cognitive problems significantly increase the risk of malnutrition among seniors.

Senior malnutrition “red flags” Malnutrition in seniors is a stealthy health issue that often goes undetected until serious complications arise and their health has already begun to deteriorate. However, there are certain “red flags” that family and friends of at-risk seniors should be watching for. Examples include pronounced weight loss, clothes fitting more loosely than normal, a once hearty eater suddenly losing his or her appetite or losing interest in a favorite restaurant, expired or

also order screenings for nutritional deficiencies as well as provide referrals to dietitians, psychologists, or other specialists if appropriate.

spoiled food left in the refrigerator, unhealthy skin tone, bruising easily, dental problems, poor wound healing, a normally active senior becoming lethargic, symptoms or complaints of depression, and symptoms of dementia or other cognitive problems.

How can you help? If you observe any of these warning signs or simply suspect your senior loved one is having difficulty eating or not getting adequate nutrition, there are several things you can do to make a difference: Discuss your concerns with your loved one’s healthcare provider. Resolving the problem may be a simple matter of changing medications, altering dietary restrictions, addressing oral issues that interfere with chewing, or getting therapy to address swallowing difficulties. A physician can

Assist with food shopping and preparation. Seniors with limited mobility may greatly appreciate someone stepping in to help with their grocery shopping and meal cooking. When preparing meals and snacks, try to make them nutrient-dense. If your senior loved one is on a salt-restricted diet, enliven bland foods with herbs and seasonings instead of table salt. If circumstances make it impractical for family or friends to provide this type of support, an alternative is to arrange for a home health aide to step in and provide these services or to utilize a community senior nutrition service, such as Meals on Wheels. Put the social component back in mealtimes. Schedule meal-time visits with your senior loved one—whether in his/her home, your home, or a senior center. Not only will this provide you an opportunity to monitor for signs of eating problems, but it will also help alleviate the sense of loneliness and isolation that can lead to depression. ❦

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