HLN August 2015

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News Keep the in fun kids' sports!

August 2015 • FREE

Also available at hlntoledo.com

Also in this issue: • Summer skin spruce-up • Back-to-school eye exams • There's help for varicose veins • Putting the pressure on stubborn wounds • Accentuate your garden space

Smaller incisions. Quicker recovery. Easier decisions.

Mercy Robotic Surgery Center 419-251-ROBO | SmallerIncisions.com

A Catholic healthcare ministry serving Ohio and Kentucky

Summer skin spruce-up

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

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

This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain.

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

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

Upcoming wedding, high school or college reunion, or other life celebrations?

Discover the non-invasive and non-painful methods of tightening and lifting your facial skin (jowls, neck, and hooding eyelids). These procedures reduce “worry lines” and reshape and restore the sunken areas of your face due to aging and sun damage. All of the procedures that accomplish these goals are done personally by Dr. Harvey Handler, board-certified dermatologist in private practice in Sylvania, Ohio. He has thousands of happy and satisfied patients who attest to his skills and expertise in performing these “uplifting” procedures.

“wide awake” and less tired appearance. These products are also fantastic to reduce anxietyinduced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad!

Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick “runs uphill”). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

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

To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more

detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin.

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

Full body exams are best performed and evaluated by a board-certified dermatologist.

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

There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients!

After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and cause the hair you have be fuller and thicker.

This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth.

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

www.drharveyhandler.com

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

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery.

No injections.

No downtime.

Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

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

419.885.3400

August 2015 • Vol. 20, Issue 7

Your Monthly Guide to Healthy Living

TAKING CARE OF YOUR LIFE

CHILDREN & PARENTING

8 Nobody’s Perfect Why did I say that?

by Sister Karen Zielinski, OSF 11 Health Crossword, by Myles Mellor 19 A Walk in the Park Ford Country, by LeMoyne Mercer 34 Introducing accents to the garden space 38 Tips for race recovery, by Amanda Manthey 41 News from Otterbein Five ways for grandparents and teens to make summertime memories

5 That darn “F Word,” by Mark S. Faber, USPTA Elite Professional 13 Have you scheduled your child’s back-to-school eye exam?

14 There’s no substitute for a comprehensive eye exam 32 Start planning now for a successful school year

HEALTH & BEAUTY

24 Eating Well A grain of salt, by Laurie Syring, RD/LD

2 Summer skin spruce-up 6 Six easy tips for protecting your hearing this summer, by Randa Mansour-Shousher, AuD, CCC-A 7 Palliative care and the cancer patient: managing symptoms for maximum quality of life 12 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Shousher, AuD, CCC-A 16 Heartland health tip: Add more movement to your day, by Jim Berger 17 There is help for the discomfort of varicose veins 22 Mercy enhances wound-care capabilities with hyperbaric oxygen therapy 22 What is an intrathecal pain pump? by Amy Dugan, NP 26 Is positive thinking the best medicine?

by Douglas Schwan, DC, Dipl ac 39 Spiritually Speaking Need a spiritual guide?

by Sister Mary Thill 42 Five reasons men should adopt a woman’s approach to preventive health care

FOOD & NUTRITION

Your husband’s doctor just told you it’s time for hospice care. You’re overwhelmed and aren’t sure where to start. At ProMedica Hospice we provide our compassionate, patient-centered care anywhere you call home – whether it’s in your home, an assisted living or nursing facility or at Ebeid Hospice Residence.

OUR COMMUNITY 10 The Manor at Perrysburg celebrates 20 years of patient-focused care 29 The Laurels Cardiac Recovery Program: touching hearts and changing lives 30 Early intervention is key to more effective treatment of memory loss 31 Senior Living Guide 37 St. Clare Commons takes unique approach to memory care 39 New Executive Director to lead Lutheran Village at Wolf Creek 43 Kingston Care Center of Sylvania achieves perfect score on annual State of Ohio survey 43 Black Swamp Rowing challenges and inspires youth 44 Spring Meadows Senior Community receives Bronze National Quality Award

Connect with Friends who Like Healthy Living News!

Dear Readers, Thank you for picking up the August issue of Healthy Living News. The smiling little hockey star on this month’s cover serves as a reminder that children’s sports are supposed to be fun—not intensely competitive activities, opportunities for parents to relive their athletic glory days, or pathways to the pros. In fact, studies reveal that keeping the fun in kids’ sports not only increases their satisfaction and confidence, but also promotes a lifetime of participation. In his article on page 5, long-time HLN contributor and USPTA Elite Professional Mark Faber further explains why it’s so important to keep the “F Word” in kids’ athletics.

In recognition of National Children’s Eye Health and Safety Month, our friends at Schmakel Eye Care/The Vision Improvement Program/The Sensory Learning Program explain why a vision screening performed

In your home or ours.

by a pediatrician or school nurse is not a substitute for a comprehensive exam by a qualified eye doctor. See the article on page 14 for all the details.

If you or someone you love is experiencing memory issues, we urge you to read the profile of the Toledo Clinic Cognitive Center on page 30. Whether the memory loss is related to dementia, head trauma, or any other cause, Dr. Sherry-Ann Jenkins’ holistic, all-natural, non-pharmaceutical treatment approach can make a big difference.

Also in this issue, Dr. Donato Borrillo of Mercy Wound & Hyperbaric Center shares his expert insights on the use of hyperbaric oxygen therapy to treat stubborn wounds (p.

22); Dr. John H. Fish III, medical director of ProMedica Vascular Medicine, discusses the causes and latest treatments of varicose veins (p. 17); Amy Dugan, NP, of the University

/HLNToledo

ProMedica is the local health care system that can help you and your husband on this journey by providing expert guidance, care and support.

It’s all about being well connected.

@HLNToledo

of Toledo Health Interventional Pain Clinic defines the intrathecal pain pump, a stateof-the-art implantable device used to treat chronic pain (p. 22); and Heidi Nichols, CNP, of The Toledo Clinic Cancer Centers, explains the vital role of palliative care in cancer treatment (p. 7).

Whether you’re a parent with a child heading back to school this month or you’re simply looking for information to enhance your health, fitness, and well being, you’ll find something of interest in the pages of this issue. And remember, our content is always written by Toledo-area professionals specifically for residents of our local community—and, of course, made possible by the ongoing support of local advertisers.

To connect with ProMedica Hospice, call 419-824-7400.

promedica.org/hospice © 2015 ProMedica

e lthy l ng ews

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by Mark S. Faber, USPTA Elite Professional

O

k, stop right there! I have a feeling I know what “F Word” came to mind, but that’s not it at all! The “F Word” I’m referring to is “fun”!

In our win-or-lose society, the word fun has been all but removed from the world of sports. But no matter what the sport, it needs to be fun. A month or so ago, I wrote how overall participation in sports is down across the board. Going back through all of my educational material from over the years, there have been presentations and conversations about the fear of early specialization in sports and what it could lead to.

With the Women’s World Cup now completed (congratulations Team USA!), I came across an article that discussed how many of the members of the team had participated in several sports through high school. I have also discussed in several other articles the benefits of multiple sports in developing young children athletically.

Now, all of this is great, but kids are not going to stick with something just because it is good for them athletically. At the age of seven or eight, they really do not know what that means. What I can tell you is that if they are having fun and learning, then they will stick with it.

As a coach and now as a parent, I have seen how some folks are not really into that “F Word” too much.

Time and time again, I hear comments like, “We are spending all this money and you better work hard!” or “How can we be putting all of this time and effort into this for you not to win?”

These are just a couple of the lines I’ve heard.

I can also share that how a mom, dad, and coach physically respond to the good and bad will dictate how a

© 2015 ProMedica

That darn "F Word"

young child will react based on their stage of growth and development (the pleasing stage) and then will continue with them through their developmental years. It is important for children to see the people they want to please being neutral and positive as can be, for they will rationalize what makes people happy and unhappy. This creates a great deal of stress on a young person and certainly does not allow the young person to have fun.

As I do in most of my articles, I want to challenge readers to encourage their children to have fun.

Understand that your child is not out there trying to lose or make a bad play to upset you. Remember, they are kids and they are learning.

What is fun to you and me as adults is probably not fun for them. Kids like to move and be active; they do not like standing in lines and waiting.

From a tennis standpoint, the USTA’s 10-and-under tennis program (ROGY) is designed to get kids active by reducing, or in many cases eliminating, lines. It is not just about hitting a tennis ball, but also about developing kids athletically. What I am seeing firsthand is kids coming back more and more, and when asked if they are having fun, their answer is almost always yes. So, do you think that maybe, just maybe, there is a relationship between having fun and wanting to continue?

To go back to my second paragraph, not focusing on only one sport at an early age will provide variety in the child’s activity and, in turn, prevent possible burnout—all while creating a better opportunity to have fun in a different and fresh environment.

In closing, let me say I fully understand that hard work is not always “fun.” What I am saying here, as a parent and a coach, is that it’s my job to find someone—or be that someone—who can make that hard work more fun. It is also our job as adults to make sure the young kids of today do not determine whether something is fun or not based on winning or losing. So, let’s bring that darn “F Word”—fun—back into the picture! ❦

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To connect with ProMedica Home Health Care, call 800-234-9355.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2015

5

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

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

Contacts Business office:

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

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

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

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

Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-382-5751, fax 888-506-5790; email: editorhln@bex.net.

Publisher: Kevin O’Connell

Six easy tips for protecting your hearing this summer

T

he Better Hearing Institute (BHI) is encouraging people of all ages to protect their hearing this summer so they can treasure the sounds of the season for a lifetime. Packing earplugs along with the sunscreen for summer outings is just one of six easy tips that BHI is offering.

While many noisy recreational activities are part of summer fun, it’s extremely important to take precautions to ensure that these activities don’t harm our hearing.

Prolonged exposure to loud outdoor concerts, lawnmowers and other power tools, motorized recreational vehicles, target shooting, sporting events, and fireworks can potentially damage our ears. In fact, the single bang of a firecracker at close range can cause permanent hearing loss in an instant, making it forever more difficult to hear the quieter sounds of summer.

According to the World Health Organization (WHO), 1.1 billion teenagers and young adults (12- to 35-year-olds) are at risk of hearing loss due to exposure to damaging levels of sound at noisy entertainment venues and the unsafe use of personal audio devices.

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

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

6 August 2015 | Healthy Living News

“Hearing is the sense that connects us to each other,” says William Hal Martin, PhD, Professor of Otolaryngology, National University of Singapore, Program Director, MSc of Audiology, Center for Hearing, Speech & Balance, and Co-Director of Dangerous Decibels. “Exposure to highlevel sounds can not only destroy our ability to hear, it can cause tinnitus—ringing in the ears.”

Martin continues, “People of all ages are at risk of hearing loss from high-level sounds, but it easily can be prevented by simple steps. It is important to recognize when your ears are in danger and to safeguard them so you can enjoy listening to

friends, music, and sounds you love for the rest of your life.”

How noise affects our hearing We hear sound when delicate hair cells in our inner ear vibrate, creating nerve signals that the brain understands as sound. But just as we can overload an electrical circuit, we also can overload these vibrating hair cells. Loud noise damages these delicate hair cells, resulting in sensorineural hearing loss and often tinnitus (ringing in the ears). The cells that are the first to be damaged or die are those that vibrate most quickly—those that allow us to hear higher-frequency sounds clearly, like the sounds of birds singing and children speaking.

Sound volume is measured in decibels, with the softest sound a normal-hearing human can hear measuring at 0 dBA. Any sounds above 85 dBA for eight or more hours are considered unsafe. Most firecrackers produce sounds starting at 125 dBA peak SPL (sound pressure level), presenting the risk of irreversible ear damage.

Repeated exposure to loud noise over an extended period of time presents serious risks to hearing health, as well. If you have to shout over the noise to be heard by someone within arm’s length, the noise is probably in the dangerous range. Here are the warning signs: • You have pain in your ears after leaving a noisy area.

• You hear ringing or buzzing (tinnitus) in your ears immediately after exposure to noise.

• You suddenly have difficulty understanding speech after exposure to noise; you can hear people talking but can’t understand them.

To protect your hearing this summer: 1) Walk away and plug your ears.

If a loud noise takes you by surprise, quickly plug your ears with your fingers and walk away. Increasing

the distance between you and the source of the sound will help reduce the intensity (or decibels) at which the sound is reaching your ears.

2) Use earplugs. When you know you’ll be around loud sounds, use earplugs. Disposable earplugs, made of foam or silicone, are often available at local pharmacies. They’re practical because you can still hear music and conversation when they’re in your ears. But when they fit snuggly, they’re effective in adequately blocking out dangerously loud sounds.

3) Leave the fireworks to the professionals.

And when watching the show, stay a safe distance away— where you can enjoy the colors and lights but not expose yourself and your family to loud noises. To protect your hearing, make sure you’re wearing earplugs and that they’re securely in place before the show begins.

Also be sure to keep them in for the entire show.

4) Limit your time in noisy environments. When you do participate in noisy activities, alternate them with periods of quiet. And remember to use ear protection.

5) Turn it down. When listening to smartphones and other electronics, keep them at a low volume. Importantly, limit your use of headphones and ear buds. Remember, it’s not just the volume that matters; it’s also the duration of time spent listening.

6) Visit your local hearing healthcare professional for custom-fitted ear protection and a hearing test. A hearing test will determine your baseline hearing level and whether you have any hearing loss that should be addressed.

And as always, don’t hesitate to call Northwest Ohio Hearing Clinic with any questions or concerns you may have on how to protect your hearing this summer. ❦ 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).

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

Palliative care and the cancer patient Managing symptoms for maximum quality of life

M

ention the term “palliative care,” and what comes to most people’s minds is hospice care provided at end of life. While these two concepts have much in common and share certain objectives, there is a significant distinction between the two that patients fighting a serious illness, such as cancer, need to understand.

According to Heidi Nichols, CNP, of The Toledo Clinic Cancer Centers, “Palliative care is not synonymous with hospice. Its focus is on symptom management and maximizing the patient’s quality of life, but initiating palliative care doesn’t necessarily mean you’re no longer trying to cure the disease. In fact, palliative care can be utilized while patients are still on active treatment to reduce their symptoms and help them get through it.”

Nichols further explains that hospice care is not indicated until treatment is no longer working (or is causing more harm than good), the disease is progressing despite the care team’s best efforts, and the patient’s life expectancy is six months or fewer. While palliative care is a vital aspect of hospice, not all patients receiving palliative care are candidates for hospice.

In treating cancer patients, palliative care involves much more than oncology. It’s a multidisciplinary team approach that addresses emotional, psychosocial, and spiritual issues along with physical symptoms.

There are even palliative treatments that are intended to reduce symptoms rather than cure the cancer.

For example, if reducing the size of a tumor will improve pain or other unpleasant symptoms, treatments such as radiation, chemotherapy, or hormone therapy can be utilized for that purpose. “However, when using these treatments with palliative rather than curative intent, we’re much less tolerant of side effects because the focus is on quality of life as well as extension of life,” says Nichols.

While palliative care won’t cure cancer, patients receiving it often have greater longevity in addition to

improved symptoms. In some cases, this outcome can be attributed to reducing symptoms that are directly life-threatening, such as difficulty breathing, but in other instances, it has more to do with an increased will to live. As Nichols observes, living with the symptom of constant pain can be very fatiguing and demoralizing for patients. Relieving that pain can actually make patients feel good enough to want to live longer and fight their disease. And with all the pain medications and therapies available to oncology practitioners today, it’s rare that pain cannot be effectively managed with some method or combination of methods.

Family caregivers also tend to benefit when palliative care is provided. Of course, no one wants to see their loved one suffer, but there’s also a sort of “trickle-down effect” when the patient is suffering less. To illustrate this effect, Nichols describes a recent scenario of a mom with lung cancer who was staying with her adult children and having difficulty breathing at night. She would have to wake up multiple times throughout the night to use her inhaler, so no one in the home was getting any rest. “We were able to intervene with some medications, diuretics, aerosols, and some adjustments to her oxygen that didn’t affect her cancer but greatly improved her breathing, so everyone started sleeping better,” she says.

Perhaps the biggest misconception patients have about palliative care is that it signals the end and that their caregivers are no longer working to cure them. “We try to reassure our patients that starting palliative care doesn’t mean we’re giving up on a cure. We’ll always be involved in their care, and they’ll always be our patient. Even if the focus does change from active treatment to supportive care, we’ll be no less involved in their care,” says Nichols. ❦

CANCER CENTER

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

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

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

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

Why area doctors trust us the most…

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

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

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

Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2015

7

TM

Women are calling this “life changing.”

Have you experienced changes in your vaginal health? If you are experiencing vaginal dryness, itching, burning, painful urination or pain during intercourse, it’s OK to talk about it.

Ask us about the MonaLisa Touch!

We are the first medical practice in the Northwest Ohio area offering this advanced new nonhormonal, painless, in-office laser treatment.

For more information, plan to attend an

Educational Seminar in the St. Luke’s Hospital Auditorium August 24th 6:30 p.m Seating is limited to 50, so R.S.V.P. early!

Introductory offer of 20% OFF treatments for the first 30 who commit.

8 August 2015 | Healthy Living News

hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe

for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

nobody’s perfect Sister Karen Zielinski, OSF

Why did I say that?

“D

o you know that you are gaining weight?”

“I didn’t want to call you to help since you look so pale.”

“Wow! When did you start using a cane?”

Just when we finish rehab after a knee replacement, or go through surgery and chemo, we return home to get back to our everyday lives.

We are proud of getting through all the medical stuff we have just faced, when someone, a coworker, friend, or neighbor, says something that can jar our recovery. The remarks made to us are not malicious, but perhaps not well thought out.

It’s not that we intentionally say things that might offend or ruffle a patient’s feathers, it’s more that we want to talk with them, to be present to them and say things, perhaps without thinking our words through.

Emily Maxwell is trying to help people find realistic, appropriate words to use with those going through medical challenges. She recalls, “When I had cancer in my 20s, I learned that being sick can be really lonely. One reason is because a lot of people don’t know what to say, so they disappear or say the wrong thing entirely. And as a friend, it is hard to know what to say. I created Empathy Cards because I thought we needed some better, more authentic ways to communicate about illness and suffering.”

Emily McDowell, CEO and Creative Director, sells Empathy cards through her studio: Emily McDowell Studio (http://emilymcdowell.com/collections/ empathy-cards). Her cards are honest, sometimes funny and tender, and always gently respectful of the receiver

of the card.

She is not the only person with a line of cards that creatively say things that are realistic and supportive. Hallmark has a few series of cards that do that, and Pine Cone Press from the Sisters of St. Francis offers Encouragement cards (http://www.allgoodthingsosf. org/store/c21/Encouragement_.html).

The cards might make people think about what they should or should not say to patients.

The following are real words I heard spoken to recovering patients:

“Do you know that you are gaining weight?” There is a saying that you

never ask a person their weight. When a person gets back from the hospital or rehab center, their bodies have gone through physical trauma, like surgery, or a medical treatment. Their inactivity from being in a hospital or rehab bed, loads of medications, and inactivity can add weight or retention of fluids.

People usually know their bodies.

If they try to put on a pair of shoes, a pair of slacks, or a shirt and cannot easily button it or put it on, they know they have gained weight. Why draw attention to their physical body when they have just had a medical procedure?

“I didn’t want to call you to help since you look so pale.” When a person

has undergone surgery and has lost hair on their head and color in their cheeks, they are on the road to recovery and healing. Often, it is difficult for them to go out and about in public because they are very aware of their appearance. To draw attention to the physical can lower their confidence

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about being out in public. A remark or question that draws attention to their bodies, and not their spirit or inner self, might be embarrassing to them, or even hurtful.

Not only are you affirming that they look a little unhealthy, but you are deciding for them what they can or cannot do. When we decide what a person can or cannot do, it seems we are deciding about their ability, or disability. It might be better to say to them, “I would love you to join us in our volunteer project, but you be the judge of your health.

Tell me when you are ready.”

provide a little more stability and safety to the patient and prevent a fall and having to deal with setbacks.

We need to be affirming to all people, especially those who have been sick. A hospital chaplain said that, whether people are in an acute-care setting, rehab, etc., when speaking to others, a guide might be,”What would you like to hear if you were the person.” When a person returns home, we might ask them something specific.

Do they need laundry washed?

Plants watered?

Groceries?

It seems that the bottom line is “Wow! When did that we need to be you start using a cane?” honest and sensitive athy Emp ll's Emily McDowe This comment, again, and l, ectu to the patient’s resp est, draws attention to the cards are hon y. funn feelings, appearance, sometimes physical appearance and and needs. We need limitations. Using a cane to do what we say we will do for can be the smartest thing a person them. If we tell them we will come can do after a major surgery, a knee with some juice they like or that we replacement, or a chemo round. Using will call them, then we must do that. a cane can be temporary (and if it If we say we will remember them in is not, that does not matter). It can our prayers, we need to do that, too.

Kenneth E. Endicott, Prosthodontics, Inc.

We must do some real, mindful, talk!

Or we can send an empathetic card.

Some real things to say The following tips come from Toni Bernard, author of How to Be Sick: A Buddhist-Inspired Guide for the Chronically Ill and their Caregivers: “You look so good, but how are you really feeling?” It’s hard for us to respond to comments like, “You look so good” (or the always dreaded, “But you don’t look sick”) because we know that you’re just trying to be nice. If we respond truthfully with, “Thanks, but I feel

awful,” you might be embarrassed or think we’re being ungrateful. It would be such a relief to be asked a question that goes to the heart of the matter: “How are you really feeling?”

“I’m going to the grocery store; can I pick anything up for you?” This is a helpful question, as opposed to, “Call me if there’s anything I can do.” We’re unlikely to respond to the latter. It’s too open-ended an offer, meaning we won’t call and say, “Can you go to the grocery store and get me some dish soap?” We don’t want to make you go somewhere that you aren’t

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otherwise going. But if you let us know that you’re already going to the store, that’s a different matter entirely! In fact, the more specific your offer of help, the better. For example, we’d love to hear an offer to do one of those life tasks that back up for us because we’re not well enough to get to it: take our car for an oil change (we’ll pay for it!); weed in our garden for a bit; do a load of laundry; even clean our refrigerator.

“How are you holding up? Do we need to stop visiting so you can rest?” What a blessing it would be to hear a visitor

offer this “prompt.” I’ve lost count of the number of times my body was telling me to lie down, but I didn’t excuse myself. Even if we’re wilting away or are in bad pain, most of us are unlikely to bring it up ourselves because we don’t want to let you down. But if we know you’re aware of and sensitive to our limitations, we’ll respond honestly.

“I hope you’re as well as possible.” To those of us living day-to-day with health challenges, this comment is so spot-on that many of us just use the initials AWAP when communicating

with each other, as in, “I hope you’re AWAP.” Reflecting on this, wouldn’t it be a compassionate comment to make to anyone? ❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the Mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

The Manor at Perrysburg celebrates 20 years of patient-focused care

T

he past 20 years in the healthcare industry have been highly dynamic. Changes or innovations in medical treatments and technology, information management, the structure of organizations, and many other areas have presented healthcare professionals with both challenges and exciting opportunities.

To keep pace with the ever-evolving healthcare industry, The Manor at Perrysburg (a member of the HCF Management family of companies) has continually expanded and enhanced its services and amenities. But one thing has remained constant since the facility opened its doors in 1995— the staff ’s dedication to providing individualized, patient-centered care.

In her 20 years working in Medical Records at The Manor at Perrysburg, Jeannie Jennings has seen her share

of changes. “For instance, back when I first started here, everything was paperwork. Now all records are kept on computer,” she observes. “We’re also in the process of changing to a completely new system of diagnosis coding, which must be in place by October 1st. So there’s a lot of activity around that.”

Other changes Jennings has noted over her career include a vastly increased role for nurse practitioners in providing patient care; shorter and shorter duration of hospital stays, which means patients coming to The Manor at Perrysburg for rehab often still require an acute level of medical care; as well as a pronounced difference in the “typical” resident she sees.

“When I first started, all of our residents were long-term and most of them were in wheelchairs. Since that

time, short-term, post-hospital care has really grown, so many patients come to us for rehab and then transition home,” Jennings says.

Of course, the services and physical plant of The Manor at Perrysburg have evolved dramatically as well. In addition to the long-term residence, the facility features a state-of-the art therapy wing with private and companion rooms (added in 2012), and a secure, tranquil dementiacare unit, for a total of 125 beds. In terms of environment, residents and visitors experience a warm, welcoming neighborhood atmosphere with updated furnishings and décor rather than the sterile, institutional impression once typical of skillednursing facilities.

Mary McConnell, Administrator at The Manor at Perrysburg, notes that

providing individualized care and resident choice is a primary focus for the staff. “We’ve always been—and continue to be—a family owned facility and have always provided person-centered care. This concept is starting to catch on across the country, but it’s been a hallmark here since our founding. We just continue to fine-tune it,” she explains.

Choice is evident in many areas of the Manor at Perrysburg community.

For example, whereas it was once common practice for care facilities to offer only one food choice at mealtimes, residents can now order from five or six different options and enjoy their meals in a restaurant-style dining room. Also, the on-site café offers a place for residents and their guests to gather and socialize. They can even eat their meals there if they prefer.

Looking for other ways to make The Manor at Perrysburg more homelike, a Journey to Home Committee, including members of the staff, residents, and even family members, was formed. “The committee looked at ways to create more choices and make people feel even more at home here. One of the ideas they came up with was to provide some shopping opportunities. So we now have a cart selling products in our facility two days a week. It’s run by residents for residents, and they just love it,” McConnell says.

If longevity is any indication, the environment at The Manor at Perrysburg must resonate with the staff, as well. Many employees have been with the organization for 10 to 15 years, and some, including Jennings, have been there over 20

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3:19 PM

years. HCF Management recently created a Platinum Club—complete with a special recognition dinner—to honor those staff members with 20 or more years of service.

To celebrate The Manor at Perrysburg’s 20th anniversary, the facility will be hosting a 1950s-themed car show on Thursday, September 10th from 5:30 to 8:00 p.m. “In addition to the vintage cars, we’ll all be dressed in 50s attire and serving a variety

of delicious foods such as sausage dogs, funnel cakes, French fries, and snow cones. This event is just one example of how our residents enjoy the very best quality of life while having all their medical needs met,” says McConnell. ❦

Rehab to Home, Close to Home.

For more information about The Manor at Perrysburg or to schedule a personal tour, please contact Barbara Mullholand at 419-874-0306.

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Q

: My parents both wear hearing aids, and it seems like they are always fussing with the batteries. Can you give me some information on hearing aid batteries?

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: I will be happy to help you out.

We often have patients coming in to see us because they’re having trouble with their hearing aids, and the first thing they do is change the battery even if it was replaced a few days ago. Many times this isn’t the problem, but that’s a whole different question-and-answer segment.

As you know, hearing aids need energy to run, which is why batteries are used. It’s important to have a good battery to provide steady energy to the hearing aid, allowing it to run effectively. Think of it as an engine in a car: The better the engine, the smoother the car ride.

It’s the same with the batteries. The consistent power of the battery will make the hearing aid sound clearer and not noisy.

Battery life varies depending on the style, technology, and usage of the hearing aids. You may expect anywhere from three days to two weeks. The battery needs to be changed if it completely goes dead.

Some individuals say the hearing aid starts sounding distorted or they have to turn up the volume more than usual. The newer hearing aids may speak to you and say “Battery low” or even produce a beeping sound warning you it’s time to consider a new battery, so make sure you always carry an extra set with you. And, as always, it’s a good idea to keep them out of extreme heat or cold to avoid draining the power.

I would suggest leaving the seal on the battery until it’s ready to be used. That will protect the shelf life of the battery because as soon as the seal is broken, the battery starts to drain. Let the air strike the battery for about 30 seconds before placing it in the battery compartment to allow the best performance for your

hearing aid.

Here are some important points to keep in mind: • A standard hearing aid battery lasts anywhere from three to 22 days, depending on the hearing aid type, battery type and capacity, and the amount of hearing aid use.

• Change your batteries if sounds become distorted or you have to turn up the volume more than usual.

• Some hearing aids will also make a small beeping sound when the battery is low. Be sure to switch batteries immediately when you hear the alarm.

• Hearing aid batteries often lose power very suddenly, so it’s smart to carry an extra set of batteries with you at all times.

• To protect against discharging your backup batteries, keep them away from coins, keys, or other metal objects.

• Always purchase unopened battery packages. Make sure the seal on a new battery is unbroken. A hearing aid battery begins to discharge as soon as the protective seal has been removed.

• Store hearing aid batteries at normal room temperatures. Do not refrigerate them.

• Wash your hands thoroughly before changing batteries.

Grease and dirt on the batteries may damage the hearing aid.

• Leave the battery compartment of your hearing device open at night so moisture can escape.

Doing so will keep the battery from corroding and damaging the hearing aid.

• Remove dead batteries immediately. A completely discharged battery may swell and become difficult to remove.

We try to educate our patients and remind them not to keep changing batteries without ruling out other

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issues, such as wax and debris in the hearing aid canal portion or microphone, a broken wire, or a hard tube.

I hope you find this information helpful and will relay it to your parents. If you have other concerns, please feel free to contact us. ❦

I

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).

Have you scheduled your child’s back-to-school eye exam?

f you’re the parent of a school-aged child, the month of August will likely be spent stockpiling school supplies, picking out backpacks, and finding new clothes or uniforms that fit just right. But, as you complete your back-to-school checklist, don’t overlook the critical step of scheduling a comprehensive eye exam for your child.

Why add an eye exam to the already lengthy back-to-school list?

Learning and good vision are inextricably linked, and the demands on a child’s eyesight increase steadily with progression through school.

A child who can’t focus properly on the subject matter at hand is destined for poor academic performance, which can have a lifelong impact on his or her attitude toward school and learning.

What’s more, with the growing reliance on tablets, smart phones, and other electronic devices as educational tools, the increase in “screen time” is leading to more visual challenges, such as computer vision syndrome (CVS), among kids of all ages.

But it’s not just academic performance that is impacted when kids’ eyesight is suboptimal. Their athletic and recreational activities can suffer, as well. After all, it’s difficult to enjoy and excel in team sports when you can’t keep your eye on the ball. Even playing games in the backyard with friends is hampered when a child’s vision is impaired.

It’s important for parents to be aware that a child’s vision matures right along with the rest of his or her body and that prescriptions can

change frequently. Therefore, regular eye exams are needed to catch changes for the worse before they begin to impact learning. According to the American Optometric Association (AOA), every child should receive an eye exam at six months of age, at age three, and again just before starting school (age five or six). Schoolage children should have their eyes examined every two years or annually if they require corrective lenses.

But aren’t those vision screenings performed by your child’s pediatrician or school nurse sufficient?

Don’t bet your child’s vision and academic performance on it. Vision screenings should not be considered a substitute for comprehensive eye exams.

While they can help alert parents to the possibility of vision impairment, they can also overlook serious problems that an experienced eye doctor would catch.

In fact, according to one study, approximately 11 percent of children passed a vision screening despite having vision problems requiring correction.

Your eye doctor’s main concern in conducting an eye exam is establishing a clear picture of your child’s eye health and vision development. Along with conducting a comprehensive review of your child’s health and developmental history, the doctor can check the eyes, both internally and externally, for evidence of disease or general health problems; test your child’s visual acuity at near and far distances; check eye coordination and eye muscle function; verify that the eyes can perceive depth and easily shift focus from near to far; check eye-hand-foot coordination; and test

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13

for problems like amblyopia (lazy eye), strabismus (crossed eyes), color vision deficiencies, nearsightedness, farsightedness, and astigmatism.

If the exam reveals any vision or eye-health deficiencies, the doctor can recommend the appropriate corrective measures.

Parents and teachers can do their part to help detect vision problems in their children or students by staying alert to the following signals: • Holding reading materials too close or consistently sitting too close to the television.

• Using a finger to follow along or losing their place when reading.

• Squinting, tilting the head, or closing one eye to see better.

• Frequently complaining of headaches or tired eyes.

• Frequently rubbing the eyes.

• Excessive tearing or light sensitivity.

• Avoiding activities that require near vision, such as reading or using the computer.

• Avoiding activities that require far vision, such as sports.

• Getting lower-than-normal grades.

Any of these symptoms should prompt a visit to the eye doctor to have your child checked for refractive errors such as nearsightedness, farsightedness, or astigmatism.

School places demands on kids’ vision that go well beyond what’s written on the blackboard. So schedule a comprehensive back-to-school eye exam now and give your child the best opportunity for academic success. ❦

There’s no substitute for a comprehensive eye exam

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o you make vision care a priority?

Are preventive eye exams just as routine as going to the dentist on a regular basis? In our experience, this is typically not the case. Why is dental health any more important than vision health? Are your teeth more important than your eyes? Is being able to chew more important than being able to see? Both are equally important and require regular, comprehensive exams by qualified doctors who specialize in the fields of dentistry and vision.

All too often, parents say that their child had an eye exam under one of two circumstances: either the school nurse checked his or her vision during a routine screening at school or the pediatrician did it at the child’s well visit. But neither case is a substitute for a comprehensive eye exam.

Going back to the dental concept, if the school nurse checked your child’s teeth, you wouldn’t count that as a dental exam. Nor would you cancel your child’s yearly dental visit because a pediatrician peeked in his or her mouth and said everything looks good. School nurses and pediatricians are experts in their field, but they make no claim that their evaluations and screenings are substitutes for comprehensive eye exams. Many parents, though, are

assuming that to be the case.

Screenings at school and during well visits at the pediatrician’s office check to make sure the child can see 20/20 on the eye chart, but there is more to vision than just being able to see the 20/20 line. Dr. Jeffrey Schmakel, OD, of Schmakel Eye Care/ The Vision Improvement Program/ The Sensory Learning Program, is a developmental optometrist who has extensive training and experience in diagnosing and treating vision issues that can cause a child to struggle in school.

Not being able to turn the eyes in for near work, skipping words or lines, and the inability to clear images from the near to the far are all examples of vision issues that can negatively impact school performance. If your child takes an excessive amount of time to complete homework, does not read for enjoyment, complains of headaches, covers an eye when doing near work, or has poor comprehension when reading, a comprehensive eye exam and evaluation can determine whether a vision-related learning problem could be the issue.

If you would like more information or to schedule an appointment with Dr. Schmakel, call 419-578-0057, or visit our website at www.toledo eyecare.com.

VERSION 1 - 27/APR/2012

14 August 2015 | Healthy Living News

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“How can I fully describe what the Sensory LearningSM Program did for our son? How do I summarize in words what can only be felt in the heart, seen in the glimmer of an eye, or tasted in the salt of joyful tears? The Sensory Learning Program is the difference between a boy who couldn’t live with a drop of water touching his shoe and a boy that jumps barefoot in mud puddles; a boy whose mother cannot sing him a lullaby and a boy who sings them to his mother; a boy who runs terrified away from any bug and a boy who brings his mother a caterpillar in the palm of his little hand and says “Look, Mom, it’s a fuzzy caterpillar!” with all of the emotion and wonder of a four year-old exploring his world. What did the Sensory Learning Program do for us? We have our son back.” ~ Rene from Michigan “I have seen Garrett’s behavior improve tremendously. He is calmer, more relaxed, attentive, focused, confident, independent and generally just a joy to be around.” ~ H.C. from Toledo “He talks not just when spoken to. He starts the conversation. He uses more eye contact and more complete sentences. His articulation has improved, and he is able to verbalize his wants and needs. ~ Pam from Maumee

dr. Jeffrey g. Schmakel, o.d.

3454 Oak Alley Court • Suite 209 — Toledo —

419.578.0057

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15

HEARTLAND HEALTH TIP

will not only help your health, but it will also help your productivity as well!

Most of us are not used to taking frequent breaks in our work, so the first thing we need to do is simply remember to stand up and move.

Our smart phones can make this easy for us by setting a reminder on the phone.

Add more movement to your day

by Jim Berger

T

oo much time in a chair can cause health-related issues such as blood sugar spikes and heart disease to name two. Reading this may make us want to toss the chairs out of our homes and offices, but, of course, that is not practical!

Working out every day doesn’t completely solve the problem, either.

As it turns out, the problem has more to do with how long our muscles are inactive rather than how much time we spend working out.

So what is the answer? Our lives are very sedentary—much more sedentary than even our parents’ or our grandparents’ lives. And as a result, we are a sicker society. Is there a way to fight the threat of our chairs?

Great news! Yes, there is. The answer is to get up and move. It is really as simple as that.

Now, you definitely need to make time for exercise at some point nearly

every day of the week. That goes without saying. But beyond the workout, if you want to combat the threat of sitting, it is crucial that you sit less and move more.

It’s just a matter of taking the stairs, visiting a colleague’s office rather than sending him an email, or just getting up and walking around.

The bottom line is that we’ve got to move more and we need to do it more often.

In fact, it is suggested that we get up and move around every 20 minutes or at least every 60 minutes.

You may find that you focus better and are more creative if you step back from your work a couple of times every hour or so. The mind can only stay in focus mode for so long before it needs to be recharged with a little rest.

Taking “movement breaks”

I’m up! Now what?

The next question is what should you do when you get up? Use some of the following tips and tricks: Hold walking or standing meetings— Some people have found success in holding standing meetings or taking meetings out of the office or conference room to one where you are walking and talking.

Install a treadmill desk— Treadmill desks are simply treadmills with a desk attachment upon which you can place your computer, phone, and other office supplies. You can work while walking at a slow speed.

Take the stairs—If you typically use an elevator to get to your office or apartment, consider taking the

stairs instead. You can also use the stairs to just get a little movement during your sitting breaks.

Take some exercise breaks—Engaging the muscles is a great way to get your blood moving and give your metabolism a boost. This can be done either through body weight exercises, such as squats, lunges, and desk push-ups, or by having some simple free weights around and using them on a break.

Choose a different parking spot— Rather than choosing a close parking spot, choose one that will force you to have a good walk when visiting stores or arriving for work.

Stand up when the phone rings—Make it a habit to not take calls sitting down.

Mingle while standing—If you are used to sinking into a chair in the break room or at networking events, resist the urge; socialize on your feet.

It is worth the effort to find ways to sit less and move more.

It’s time to start thinking about back-to-school prep It’s hard to believe that I am writing about back-to-school, but as school supplies are filling store shelves, it

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16 August 2015 | Healthy Living News

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is time to prepare for a new school seaon. Is your child’s backpack making the grade?

While backpacks are among the most convenient ways to carry books and school supplies, an overloaded and/or improperly worn backpack gets a failing grade, according to the American Physical Therapy Association (APTA). Wearing backpacks improperly, or ones that are too heavy, puts children at increased risk for musculoskeletal injuries and postural changes.

Here are some tips for safe backpack use: • Wear both straps.

• Remove and put on backpacks carefully and avoid excessive twisting.

• Wear the backpack over the strongest mid-back muscles.

• Lighten the load. Keep the load at 10-15% or less of the student’s bodyweight.

When selecting a new backpack, choose ergonomically designed features that enhance safety and comfort: a padded back; wide, padded straps; hip and chest belts; multiple compartments; and reflective material to enhance visibility of the child to drivers at night.

Parents and children can avoid injury by recognizing the following

V

warning signs that the backpack is too heavy: • Change in posture when wearing the backpack • Struggling when putting on or taking off the backpack • Pain when wearing the backpack • Tingling or numbness in arms and legs (mostly arms) • Red marks on the shoulders.

Encourage activity. Children who are active tend to have better muscle flexibility and strength, which makes it easier to carry a backpack. Also, consult your physician or a physical therapist if back/neck pain and discomfort continue. A physical therapist can assist with improving flexibility and strength to decrease pain and improve health. ❦ Heartland R ehabilitation Services, provider of outpatient physical, occupational, and hand therapy and wellness services, also offers special rehab programs for runners, concussion, sports injury management and prevention, and balance and dizziness at five locations in the metro Toledo area: Maumee, Perrysburg, Oregon, Lambertville, and Toledo. Call Jim Berger, Area Manager, at 419787-6741 for more information about services, treatment, and educational programs.

There is help for the discomfort of varicose veins

aricose veins—those bulging, twisting, unsightly veins most commonly appearing on the legs and feet—can be a source of embarrassment during shorts and bathing suit season. But the issue with varicose veins isn’t always strictly cosmetic.

While most cases aren’t serious, they can cause considerable discomfort, and in some instances, they can even be related to a more significant vascular health condition.

According to vascular medicine specialist Dr. John H. Fish III, medical director of ProMedica Vascular Medicine, part of Jobst Vascular Institute, “Varicose veins result primarily from weakness within the walls or valves of veins near the surface of the skin—often in so-called truncal veins, which are superficial veins that we don’t usually see. This

weakness or valve problem causes the blood in the legs to reflux, which essentially means the veins fill up with blood but don’t empty properly.”

Symptoms that may be associated with varicose veins include pain, swelling, itching, and irritation at the site, which tend to be worse at the end of the day. Also, because the veins are located at the surface of the skin, they’re vulnerable to injury and bleeding from minor impacts. “Bleeding can even occur spontaneously without injury, usually in the morning while showering, because the skin over the vein gets so thin that the hot water actually causes it to break,” Dr. Fish explains. Blood clots can also form as a result of the reflux (especially in individuals with other risk factors for clotting)—in rare cases progressing into deeper veins.

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Of significant concern are problems (usually reserved for larger veins); related to the larger issue of chronic endovenous ablation, in which laser venous insufficiency, or CVI, in which or radiofrequency energy is used the general flow of blood from leg to heat up and close off the vein; veins back to the heart is impaired. and sclerotherapy, which involves In this case, the valve problems and injecting a chemical, typically in the pooling of blood in the legs can also form of a foam, that ablates the vein lead to skin discoloration and ulcers from the inside. that are reluctant to heal, painful, and “These procedures are standard prone to weeping and infection. Dr. for more advanced problems, but Fish notes that these ulcers demand they can also be done for cosmetic very aggressive medical management. reasons. We try to tailor the right People at increased risk of treatment to the patient, starting developing varicose veins include with conservative measures and, if those with a family history of the medically necessary, moving on to condition; those whose occupation more aggressive methods. Patients requires heavy exertion or standing with moderate to severe cases that or sitting for long periods; and those can’t be managed in an office setting who are overweight may need to go to or obese. Damage to surgery, but that’s a vein, for example becoming less and stemming from blunt less common. We can trauma (e.g., a sports now treat around 95 injury), inflammation, percent of cases in an or clotting, also boosts outpatient setting,” risk, and women says Dr. Fish.

Newer techniques are at greater risk than men. “Women are also evolving to are more prone to give doctors more varicose veins likely options in treating because estrogen has varicose veins. a relaxing effect on Examples include the veins and because the use of a special certain genderglue to close the related anatomical veins from the inside Dr. John H. Fish, III differences may affect and innovative foam the flow of blood out techniques for treating of the legs,” says Dr. Fish. larger and larger veins.

Whatever the degree of their As these technologies advance, severity, varicose veins can be treated some treatment methods are being successfully—always beginning with left behind. For instance, Dr. Fish a conservative approach. The first emphasizes that the obsolete technique step in treatment is compression, of “stripping” the great saphenous which helps the valves in surface vein has been abandoned in favor veins work better and prevents blood of laser or radiofrequency ablation. from pooling in the legs.

Dr. Fish’s patients often ask whether Compression techniques may having varicose veins removed or include wearing simple support ablated is bad for their circulation. stockings, wrapping the legs, or the He assures them that if anything, use of a special device that applies their circulation will actually improve compression to the legs. Other after treatment. Some also question conservative measures that can be whether varicose veins are harmful helpful include exercise and weight to their health. To these patients, he control, and the use of horse chestnut explains that these bulging, unsightly extract, available without prescription, veins are seldom dangerous but can to reduce swelling. cause a lot of discomfort and affect If conservative methods aren’t their lifestyle. He is, however, much effective, the patient has issues with more concerned and aggressive in using compression over a long period, his approach if there is a larger issue or the problem is related to more of venous insufficiency that leads to advanced venous disease, more ulcerations. ❦ aggressive measures can be taken to remove or ablate the varicose veins. To learn more about varicose veins and These options include phlebectomy, the various treatment options, call 419which involves making a small 291-2003 or visit www.promedica.org/ incision and removing the vein vascular.

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A Walk in the Park

them, Monument Valley is The West.

A 17-mile dirt road, of which 13 miles is a one-way loop, takes you through the valley. There are 11 designated view points along the way, and the speed limit is only 15 mph, so you can drive and gawk in relative

by LeMoyne Mercer

safety. Even surly adolescents who resent being forced to travel with Mom and Dad can’t resist gawking.

And sending hundreds of selfies.

(The trip was like, you know, like totally boring. But don’t I look, like, totally awesome?)

Parkinson Foundation

Ford Country

of Northwest Ohio

Dedicated to Educate, Comfort and Raise Awareness

6th Annual Romp, Stomp and Run

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n the 1930s, Harry Goulding owned a trading post and lodge in northeastern Arizona on the border with Utah. The scenery was, and is, spectacular, but it was a hard life in the best of times and the Depression did not make it easier. Goulding thought he could generate more business if people knew what a magnificent place it was to visit. He managed to convince movie director John Ford that he should consider the area for a film.

Ford ended up making seven films there: • Stagecoach—John Wayne’s first starring role • My Darling Clementine—Henry Fonda as Wyatt Earp • Fort Apache—John Wayne & Henry Fonda • She Wore a Yellow Ribbon—The Duke again • Rio Grande—The Duke yet again • The Searchers—Starring Guess Who still again In 1969, Sergio Leone, creator of those Clint Eastwood “spaghetti westerns,” shot his homage to Ford, Once Upon a Time in the West, in the master’s location. Parts of Thelma and Louise and Back to the Future were shot there. Johnny Depp played Tonto

Centennial Terrace, 5773 Centennial Road, Sylvania, OH 5K, 1 Mile Romp, Kids Fun Run, Kids Carnival, Health Fair, Silent Auction and LIVE Music!

8:30 a.m. Same Day Race Registration / 10 a.m. 5K Race 11 a.m. Kids Fun Run / 11:30 a.m. 1 Mile Romp/Walk Online Pre-Register @ www.runsignup.com/Race/OH/Sylvania/RompStompandRun By mail: ParkinsonFoundation of NW Ohio, 580 Craig Dr., #8, Perrysburg, OH 43551 For more information or to make a donation, visit PFNWO.org, events page, or call 1-800-438-5584

there in The Lone Ranger. (Nobody remembers who played the Ranger.)

This is where Forrest Gump abandoned his cross-country run.

The landscape that Goulding loved and John Ford gave to the whole world is a relatively small parcel of the Navajo Indian Reservation called Monument Valley Tribal Park. It is truly one of God’s monumental achievements, and it is easy to understand why the Navajo revered the wind-sculpted spires and monoliths.

There is no easy way to get to Monument Valley. It is a long way from any major airport, so visitors have to be highly motivated. Still, a high percentage of all visitors make their way from as far away as Europe and Asia—even in summer when temps usually exceed 100 degrees. For

10th Team Fox Walk to benefit the Michael J Fox Foundation

Bay Park Hospital, Oregon Kids Activities start at 9:30 a.m. / Walk steps off at 11:00 a.m.

Prizes, Refreshments, Raffle & More!

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Shaken, Not Stirred 6th Annual Gala

6-10 p.m. / The Pinnacle, Maumee, OH Dinner, Dancing, Silent Auction and Live music by Dan and Don For more information or to register, visit the events page at PFNWO.org or call 1-800-438-5584

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19

For about $50 to $75, you can take a guided tour in a small, open bus.

It can be hot and dusty, but at least there is someone to explain what it is you are looking at. If you feel like a splurge, you might choose a private tour in a four-by-four through the back country to the top of a mesa for even more outstanding views.

So they tell me. Be prepared to look nonchalant when they tell you it will cost $1,000. Or more.

Still, you might be more comfortable in your own vehicle, enjoying the air conditioning while those truck tourists

are sucking dust. Or, at least that’s what I thought before we actually took the drive. The dirt road is almost as bad as the Anthony Wayne Trail in April. It is rutty, potholed, and steep in places with some tight turns. Cars with low ground clearance may not be advisable. For that matter, our RV scraped its undercarriage way more times than I like to think about.

The road begins with a steep descent into the valley. After about a quarter mile, Shirley said, “We can go back now!” But I thought once we reached the valley floor the road

would improve and so would her attitude. I was wrong about the road.

And about Shirley. [Note to Self: It is never wise to severely annoy your traveling companion only one week into a ten-week tour. Usually we attribute emotional stress to “the altitude.” On this day, I would like to attribute it to 104 degrees. It is totally implausible to blame it on anything I might have done.]

The Roadtrek pitched and tossed like a small boat caught in a Lake Erie storm. Bottles and cans tinkled and rattled as they were pitched about in

East Mitten and West Mitten. East is on the left, West is on the right no matter what all of your maps say.

our cupboards. If not for the courage of the fearless crew….

The viewpoints 1. The Mittens—East and West Mitten are impressive buttes that roughly resemble Michigan.

2. Elephant Butte—When the light is just right and you are looking west with your left eye closed and balancing on your right foot, this looks sort of like an elephant. Think of it as a Rorschach test in stone.

3. The Three Sisters—Stone pillars that resemble nuns. To the same extent that manatees resemble the Little Mermaid.

4. Ford Point—From which the director composed some of his trademark scenes with a lone horseman silhouetted against the skyline. Ford chose the place because, from the promontory, there are unbelievable views of the Mittens, Sentinel Mesa, Big Indian, Merrick Butte, Castle Rock, and Stagecoach. (I wonder where they came up with the name for that one.)

5. Camel Butte—Another Rorschach test. It looks like an elephant to me, but I am assured that it has a hump rather like a camel’s.

6. Rain God Mesa—A god stored water for The People on the south side of the mesa. The water ran out ages ago, but the mesa is still impressive.

There is a side road to ancient Anasazi dwellings and petroglyphs. Access is restricted to those on escorted

The Totem Poles. A white man's notion of Indian culture. The Navajo have no idea what a totem pole is. Note how many trees there are in the desert that could be used making totem poles.

20 August 2015 | Healthy Living News

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Our Assisted Living Facility Received Perfect Results the last 4 out of 5 Times on the Annual Survey and Inspection, Conducted by the Ohio Department of Health

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Camel Butte. Looks more like an elephant to me.

take a short stroll through the desert just to enjoy a little desert solitude.

Some find desert solitude spiritual.

Some find it frightening. Know thyself.

Inhale the clean desert air. Smell the plants. Commune with the lizards.

There are lots of lizards. Theoretically, there are lots of snakes. We didn’t see any. Maybe you’ll be luckier.

We have heard a surprising number

of tourists lament that they didn’t have their cameras when they visited the Magnificent Whateveritwas. Fortunately, federal regulations forbid ever being more than five feet from your cell phone so you can probably make do with that. But I think the quality of the scenery deserves a real camera. You’ll want prints.

Enlargements, too. It took millions of years to create Monument Valley.

When you are telling your friends about the place—and you will tell them about it—you’ll be glad you didn’t shortchange the experience.

Accommodations Goulding’s Lodge and campground are four miles outside the Tribal Park.

—Continues on page 45

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

Same day appointments available with our physician assistant

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7640 W. Sylvania Ave. Suite E Sylvania, Ohio 43560

Welcoming New Patients

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©2015 Elizabeth Scott Community

tours. Perhaps the Navajo have seen E. Mitten doesn’t look anything at what happens to their heritage when all like Michigan. visitors are allowed to roam freely.

11. The Thumb—A rock formation 7. Sandy Springs—Way more sand that actually does look like what it than springs. In fact, no springs at is called. A young Navajo told me that they think it more resembles all when we were there.

8. The Totem Poles—We saw totem another appendage. But I can’t spell poles on our trip to Alaska. People in it in Navajo and the publisher won’t Arizona don’t know what totem poles print it in English. By the way, the look like. But you can hire a guide Navajo people are not responsible with a four-wheel-drive vehicle to for the fanciful names given to any get a closer look. Maybe when you of the above landmarks. get really, really close you say, “Oh, When you have completed the yeah. I can see it now.” one-way part of the loop, you re9. Artist’s Point—Now, this place I trace the initial portion from the can appreciate. In retirement, I have opposite direction. It is like seeing tried to teach myself water color entirely different scenery. I stopped painting. With another 20 years of for more photos of the same diligent effort, I old sites—some like this and hope to achieve some like that. It takes a lot mediocrity. Meanof patience to travel with me. while, the scenery Perhaps you would like to inspires artists of all skill levels. But the humidity is so low the paint dries on the palette before it even gets to the paper.

The view across the desert is the Mittens and Merrick Butte with pinnacles on the horizon off toward Monument Pass.

10. The Window—There is a view of the valley and East Mitten through the gap between Elephant Butte and Artist's Point has inspired a plethora of paintings. Photos 10.25x5_ES_AwardWinAd_HL_715_HI.pdf 1 a 7/17/15 AM Ford. few films11:48

by John Cly Butte.

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21

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Is welcoming new patients

yperbaric oxygen (HBO) therapy may be familiar to many in the context of treating conditions such as decompression sickness in scuba divers and carbon monoxide poisoning. But the applications for this treatment have expanded to other areas of medicine, including wound care. HBO has been proven effective in helping to heal stubborn wounds in conjunction with the standard treatment methods of debridement, antibiotic use, and offloading (relieving pressure on the wound).

During HBO, patients breathe pure oxygen in a pressurized chamber.

Increasing the atmospheric pressure in the chamber increases the amount of oxygen that the patient’s blood can carry, thus delivering more oxygen to the tissues, which helps promote healing.

The chambers themselves come in all shapes and sizes, with some designed to hold only one patient (monoplace chambers) and others holding several patients wearing oxygen hoods (multiplace chambers).

Expanding upon their state-of-theart wound-care capabilities, Mercy Wound & Hyperbaric Center will soon offer HBO (a monoplace chamber) to appropriate candidates on

an outpatient basis at both Mercy St. Charles Hospital and Mercy St. Vincent Medical Center.

However, it’s important to understand that HBO is not a miracle cure. According to Donato Borrillo, MD, a physician at Mercy Wound & Hyperbaric Center who is board certified in hyperbaric medicine, on staff for hyperbarics at many local and regional hospitals, past president of the Midwest Chapter of the Undersea Hyperbaric Medical Society (UHMS), and the dive physician for the Toledo Zoo Aquarium, “Hyperbarics is just another tool we can use to heal problem wounds, and only about ten percent of a wound clinic’s patients are candidates for the treatment.

Before proceeding with hyperbaric treatment, we always ask ourselves, does it make sense clinically, how will it affect the tissue bed, and will it work?”

Typically, wound care clinics providing HBO do so initially on an outpatient basis. According to Dr. Borrillo, common outpatient applications for HBO include diabetic wounds of the lower extremities, wounds or adverse effects related to radiation treatment (for example, osteoradionecrosis of the mandible,

What is an intrathecal pain pump?

by Amy Dugan, NP

A

Types of pain treated at the Interventional Pain Clinic include:

• • • • • • • • • • • •

Back and neck pain Arm or leg pain Arthritis Disc herniation and bulging Degenerative disc disease Facet joint disease Reflex Sympathetic Dystrophy (RSD) Nerve damage Phantom pain Neuropathies Muscular strains Pain resulting from cancer and injuries

For more information or to schedule an appointment, please call:

419.383.6699 Located at:

Joseph Atallah, MD

Amy Dugan, NP

The University of Toledo Health Center for Pain Management offers inpatient and outpatient care to people of all ages who suffer from acute, chronic and cancer-related pain. The Center focuses on an individual pain management plan for each patient, using state-of-the-art procedures including implantable technologies.

UTMC Medical Pavilion 1125 Hospital Drive Toledo, Ohio 43614 A Higher Degree of Healing

22 August 2015 | Healthy Living News

n intrathecal pain pump is an implantable device used for treatment of chronic pain. These pumps are implanted for a variety of chronic pain types, including spine pain, abdominal pain, and cancer pain. A variety of medications are infused from the implanted pump into the spine. Pain relief is achieved by adjusting the medications to the needs of the specific patients. These pumps have significantly changed lives in a large number of patients.

Pain pump medications are refilled in the clinic as an outpatient procedure. Refills are generally done every three to six months, depending on the specific medications that are present in the patient’s pump. This procedure is quick and easy and

is performed by a qualified person who has been specially trained in this technique.

The implanted pump has a lifespan of approximately seven years. At that time, the pump must be replaced so that functioning is uninterrupted. This procedure is done as an outpatient.

Please call our office at 419-3836699 for an appointment to discuss whether you are a candidate for this implantable device for pain control. Our practice has had great success with patients being satisfied with this technique to help control their chronic pain. ❦ Amy Dugan, NP, University of Toledo Health Interventional Pain Center

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which can develop after radiation for head and neck cancer), osteomyelitis, and compromised skin grafts or flaps.

Deep-seated infections, such as bacterial infection of bone, or osteomyelitis, tend to respond well to hyperbaric treatment as an adjunct to antibiotics and surgery due to the anaerobic nature of the bacteria involved. That is, these types of bacteria thrive in low-oxygen environments. The oxygen that hyperbarics delivers deep into the skin and bone makes the environment inhospitable for them, thus promoting healing.

More emergent conditions need to be treated on an inpatient basis.

The list of these conditions is more extensive, but examples include carbon monoxide poisoning, scuba diving injuries related to decompression, necrotizing fasciitis, gangrenous limbs, and compartment syndrome in the limbs.

Dr. Borrillo explains that hyperbaric treatment for diabetic wounds of the lower extremities was approved by the Centers for Medicare & Medicaid Services back in 2003, spurring on the growth in hyperbarics for

wound care. “These patients typically undergo 40 to 60 treatments and come in five days a week. The duration of a typical ‘dive’ is 90 minutes, with the whole process taking about two hours—just long enough to watch one of your favorite films,” he says.

To determine whether a patient’s wound will respond favorably to hyperbarics, the wound-care team performs transcutaneous oxygen monitoring, which measures the amount of oxygen being released at the tissue level. If the tissue bed does not perfuse (fill with blood) properly, the wound will not respond to hyperbarics and the patient will likely need to see a vascular surgeon.

“In fact, effective treatment of problem wounds takes a multidisciplinary approach with several different medical specialties represented, including vascular, podiatry, hyperbaric, general surgery, and infectious disease,” notes Dr. Borrillo.

Though HBO is very safe, it’s not without its risks. Dr. Borrillo stresses that safety is of primary importance at Mercy Wound & Hyperbaric Center and that the team follows all Na-

tional Fire Prevention Association guidelines. Patients are also given a thorough safety briefing and must wear and bring into the chamber only what they’re told (books are off limits because they’re flammable).

The most common risk associated with hyperbaric treatment is middle ear barotrauma—the pain, popping, or stuffiness people often experience with altitude changes, such as when flying or driving in mountains. Patients who experience this problem can be sent to an ENT physician to have tubes placed in their ears before proceeding with HBO.

Changes in vision can also occur with HBO. “Typically when this happens, near vision improves and far vision gets worse. In most cases, the changes are short-lived and reverse after hyperbaric treatment is stopped,” says Dr. Borrillo. ❦ For more information on Mercy Wound & Hyperbaric Center and hyperbaric oxygen therapy, please call the Wound & Hyperbaric Center at either Mercy St. Charles Hospital, 2600 Navarre Ave., Oregon, 419-696-6220; or Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, 419-251-5271.

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Eating Well

by Laurie Syring, RD/LD

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24 August 2015 | Healthy Living News

A grain of salt

I

n past columns, I’ve discussed salt and sodium many times. We already know that consuming too much salt is unhealthy for us, but more and more studies continue to find fault with our beloved seasoning. We know we need to limit our salt intake, but the low levels recommended are virtually unachievable when you consider that all our favorite foods—canned soups, rice mixes, pasta sauces, snack crackers, you name it—continue to be loaded with salt.

In fact, according to researchers from the University of North Carolina, highly processed foods dominate the items we place in our shopping carts at the supermarket.

And “highly processed” is usually just another way of saying “high-sodium.”

Sodium, high blood pressure, and the organs Ample research has shown that the number-one thing you can do to control high blood pressure is to lower your sodium intake. Other studies have discovered that a small percentage of the population is not “salt sensitive,” meaning that salt intake does not affect their blood pressure.

That’s all fine and good, but since it’s difficult to know which group you belong to, the Guideline for Americans still stands—that is, to lower your sodium intake.

Whether or not your blood pressure is affected by the sodium you consume, recent research out of the University of Delaware indicates that high salt intake can still cause substantial damage to other organs.

The researchers found that high salt intake may impair the lining of blood vessels, potentially involving blood clotting, and immune function.

High sodium intake can also cause hardening of the arteries, weaken heart and kidney function, and interfere with nervous system function (the fight-or-flight response). Not

surprisingly, this study emphasizes the importance of monitoring salt/ sodium intake.

What are the current sodium guidelines?

Salt is an essential mineral, but we need only about 500 mg per day for normal body function. The USDA recommends getting no more than 2300 mg of sodium per day for all Americans. The revised Guidelines for Americans, which will ease up on the extremely low level previously recommended while still limiting intake, will be released later this year.

How much salt are we actually eating? The typical American eats 4,000 to 10,000 mg per day on average, especially if fast food is on the menu.

Can we learn to dislike salt?

Believe it or not, yes we can! As babies, we do not know the taste of salt. We acquire a taste for it from our parents when we watch them eat salty foods and they give us salty foods to eat. In other words, liking salt is a learned behavior that can be unlearned.

Studies show that patients who eat a lower-sodium diet develop a higher sensitivity to high-sodium foods after about 16 weeks—often to the point where they cannot eat an item they used to eat frequently.

However, learning to dislike salt takes time and patience. It may take six to 15 times of trying a lower-sodium product until you develop a “taste” for it. This is especially true for canned soups.

Step up the herbs and spices Reducing salt doesn’t mean you can’t still tantalize your taste buds.

Instead of reaching for the salt shaker, spice up your foods with your own seasoning blends. There’s no hardand-fast rule for how to blend spices and how much to use when you

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Recovery to Home...

One patient at a time

Lutheran Homes Society’s rehabilitation services focus on the needs of the patient. Do you want a private room for your recovery?

We have that. Looking for individualized care? We have that, too. Our care plans are designed to restore function, reduce pain, prevent further injury, and, most importantly, get you back home.

Lutheran Homes Society has four therapy centers to serve you.

Lutheran Village at Wolf Creek (West Toledo/Holland) 419-861-5634

cook, so go ahead and experiment a little. Making your own herb blends can be fun as well as tasty. You can even make them up ahead of time and store them in a labeled jar.

Here are some blends you might want to try: • For eggs/omelets, mix basil, dill weed, garlic, and parsley.

• For poultry, combine oregano, marjoram, and sage.

• For Italian flair, try basil, marjoram, oregano, rosemary, sage, savory, and thyme.

• For BBQ, combine cumin,

Our rehab services include:

Lutheran Home at Toledo (East Toledo/Oregon) 419-724-1841 Lutheran Home at Napoleon (Napoleon) 419-592-1688 Lutheran Memorial Home (Sandusky) 419-502-5706 Lutheran Homes Society 2021 N. McCord Road Toledo, OH 43615 www.LHSOH.org

y Inpatient and outpatient therapy

y Physical, occupational and speech therapy y Skilled nursing care y IV therapy y Complex wound care y Tracheostomy care y Home assessments y And much more

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garlic, hot pepper, and oregano.

• For veggies, try basil, parsley, and savory.

Remember that powdered herbs are more potent than dried herb flakes. And when cooking with fresh herbs, add them when the food is hot and toward the end of cooking for the most favorable results.

Be creative and, most important, take time to enjoy the new taste you have discovered! ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Is positive thinking the best medicine?

by Douglas Schwan, DC, Dipl ac

C

an we really “think” ourselves back to health? Does being a “Debbie Downer” lead to increased risk of disease? It has been known for a long time that the mind has a powerful impact on the body’s function.

In fact, drug companies have to take into account the powerful placebo effect when testing new drugs. Some patients just improve with sugar pills because they “think” they are taking a powerful drug.

Our bodies are vastly complicated machines with several control and feedback systems, including two separate nervous systems: autonomic and somatic. The somatic nervous system is under our direct control and moves muscles when we direct it to.

The autonomic system automatically controls things we don’t consciously have to control—things like respiration, heart rate, digestion, etc. It would be a real pain without this automatic system, as we would have to remember to make our hearts beat!

The placebo effect implies we have some mental self-control over our body's ability to heal itself. Indeed, a few physicians today will actually prescribe a sugar-pill placebo and

see results with anxiety, depression, pain relief, etc., stemming from the simple belief by the patient that they were taking a strong drug.

Western medicine has developed an entire discipline around training the mind to heal the body. It is termed image therapy. The therapy itself can vary but basically involves anything from self-hypnosis for relaxation techniques to vivid imagery where one fancies him or herself as a “White Knight” battling, say, cancer cells in their body.

But using the mind to heal is an ancient technique. Indeed, yoga is a thousand-year-old-plus Eastern discipline originally designed to induce a state of relaxation and focus one’s energies internally in an effort to exert conscious control over the body. Practitioners can voluntarily take over certain functions of their autonomic system, such as heart rate, temperature, blood pressure, and brain wave function to mention a few.

Although studies have delivered mixed results, patients with advanced diseases like cancer tend to show mild to moderate improvements, but patients have demonstrated clear reduction of risk factors like stress, blood pressure, and pain and have been aided in their psychological recovery from devastating illness.

The real benefit of positive thinking is not to “cure” oneself of a morbid disease (although some studies show improvement with directed imagery) but instead to put the body and mind at peace with itself and thus improve its ability to maintain health—not let disease get a foot in the door, so to speak. —Continued on pg. 28

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h alt he . od nts go me ow o r h ’s m ve ife co f l dis ll o l. to a el 0877 njoy e w 13- ou e Liv 0) 4 p y e. 80 el lif at ( n h ur us ca yo Call ind m It’s of ce ea dp an MedMutual.com/YourHealth © 2015 Medical Mutual of Ohio

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27

Many studies have linked stress and anxiety to health conditions.

Stress and anxiety seem to worsen or increase the risk of conditions like heart disease, Alzheimer’s disease, diabetes, depression, stomach and gut problems, and asthma. People with stress and anxiety also tend to self medicate with food, alcohol, or tobacco, leading to obesity, cancer, and liver disease.

Our bodies have a fight-or-flight response when confronted with a stress-producing situation, such as an angry bear jumping out in front of us on a trail. We have to be prepared instantly to fight or run away, and our body is instantly flooded with stress hormones while our autonomic

nervous system charges itself up to prepare for either option. However, in our complex society today, people have constant stressors, which can leave their bodies chronically saturated with stress hormones and a hyped-up autonomic nervous systems. This, in turn, keeps the body in an over-revved state, leading to early failures and energy exhaustion.

Much like a car constantly running at a high RPM, it will start to fail sooner rather than later.

So we know that anything that reduces stress and allows us to relax can have a positive effect on health.

So what positive steps can you take?

One of the first things you can do is examine your life. Does your job keep

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more for organic lettuce, the problem isn’t the lettuce. Sit down and talk it out. Or stop wasting time hoping for change and seek a relationship that is less stress-inducing.

Learning to relax can be a major achievement. Just sitting in a chair or bath with your eyes closed and consciously releasing the tension in each muscle group from your head to your toes can be a liberating experience. Add a scented candle for some aromatherapy and relaxing music, and you have the perfect trifecta for stress reduction.

Mild exercise, such as walking around the block once per day or a light jog, will release stress-reducing endorphins. A regular massage has been shown to relax muscles and clear pent-up toxins, like lactic acid and other inflammatory acids, trapped in muscles. Consider alternative therapies. Acupuncture for stress and anxiety has been shown to have a calming effect on brain activity.

Also consider a pet. Loneliness can be a killer, and pets provide companionship, a reason to exercise (“Go for walk?”), and someone to cuddle with—a simple act shown to reduce key stress hormones.

But perhaps one of the most effective techniques to reduce immediate overall stress is to add image therapy to your activities. If you toss and turn with insomnia over the events of the day, consider imagining yourself in some fantasy, perhaps piloting a spaceship or mentally designing an award-winning garden—anything to break the circular cycle of negative thoughts. Think positively with thoughts like, “I will wake up full of energy and ready to take on the day!” and avoid negative thoughts like, “I hope I don’t wake up sick.”

We only have one life journey, and it is important to get as much enjoyment from it as we can. Positive thoughts can lead to a better and healthier trip. ❦ Dr. Schwan is available to speak at your group’s function on a wide variety of alternative medicine topics, including chiropractic, acupuncture, herbal medicine, cold laser, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio.

For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

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The Laurels Cardiac Recovery Program: Touching hearts and changing lives

F

ollowing a cardiac event or surgery, patients face an uphill physical and emotional journey back to normal function and activities. To help cardiac patients transition safely and confidently from the hospital setting to home while preparing them for formal cardiac rehab, The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, offers a comprehensive Cardiac Recovery Program that addresses all of these challenges.

According to Laurels physical therapist Lynne Nidek, fatigue is a significant factor for cardiac patients, so simple daily activities, such as getting up in the morning, using the bathroom, getting dressed, and preparing meals, can be completely exhausting. And after every modest effort they make, they need to take a rest. “In cardiac recovery, energy conservation and pacing of activity is a huge focus and it’s more important for patients to do short stints of activity followed by rest rather than long, continuous exercise sessions,” she explains. “As they progress in recovery, we move on to exercises such as biking and walking as well

as activities like homemaking or gardening so they can get back to the things they enjoy doing.”

While patients are at rest and doing activities in cardiac recovery, their heart rate, blood pressure, and oxygen levels are monitored very closely. The nursing staff also takes daily weights and labs and provides wound care for surgical incisions as needed.

Furthermore, The Laurels recently partnered with UTMC to open a Transitional Care Unit (TCU), complete with telemedicine technology and highly skilled clinical oversight.

“That means we’re in direct contact with the cardiac physicians at UTMC, and we work closely with Mercy St. Vincent Medical Center.

Doctors round here every few days, which is extremely important for cardiac patients, whose condition can change very quickly,” says Nidek.

Education is a major component of cardiac recovery, as well. For example, patients with congestive heart failure are taught how to make proper food choices, reduce sodium

intake, and drink the right types and amounts of fluids to avoid the fluid retention and edema common to their condition.

To ensure their vitals are watched closely, patients are taught how to self-monitor with a blood pressure cuff and to be vigilant for symptoms such as increased heart rate and sudden weight changes. Throughout the program, their vitals are tracked on a sheet, and they’re given a copy that they can take to their doctor, providing objective data that shows how their vital signs correlate with activity.

Because cardiac patients who have undergone surgery often experience pain and discomfort when

inhaling deeply, they’re also taught deep-breathing techniques to open up the lungs using a device called an incentive spirometer. “Plus, we teach patients how to use compensatory strategies and adaptive equipment so they can get back to the activities they enjoy despite lifting restrictions or other limitations,” Nidek adds.

Education even extends to patients’ family members, who typically play an active role in their loved one’s recovery. They too need to know about any special dietary needs the patient may have, what symptoms to watch for, and how to connect with support services available in the community.

For George Smith, the Laurels Cardiac Recovery Program has been life altering. Over the course of numerous orthopedic surgeries, Smith, who has rehabbed at The Laurels on several occasions, developed serious cardiac complications, including two heart attacks in 2013. As a result, he recently had to undergo triple bypass surgery. Nidek points out that he had to be rehabilitated orthopedically to even tolerate the bypass. After that surgery, he returned to The Laurels

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29

Sherry-Ann Jenkins, PH.D. Cognitive Center phone: 419-479-5556

The Cognitive Center has a holistic approach to slowing down memory loss while assisting the patient to function at a higher cognitive level. This is accomplished through: • Customizing daily memory exercises to train other parts of the brain that is functioning properly to compensate for areas that inactive.

• Recommended counseling and support for patient and family along with participation in activities that enhance brain functioning.

• Adjustments to diet to support greater brain function.

• Educational sessions for caretaker to assist them in providing a safe environment for their love ones and support groups for personal assistance.

The Cognitive Center calls all patients every 3 weeks in order assess the effect of their therapy and allows the patient to have someone talk to about their memory issues. At the Cognitive Center, the patient and family are both actively involved and integral parts in the treatment plan.

Dr. Jenkins is welcoming new patients.

Office Location

4417 N. Holland Sylvania Toledo, OH 43623

30 August 2015 | Healthy Living News

GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

for cardiac recovery.

“I wouldn’t trade these people for the world,” Smith states in reference to the Laurels rehab team. “As far as I’m concerned, they should be wearing capes because they truly are superheroes. When I started out here, I was in a wheelchair, but now I’m walking and I feel great. Without them, there’s no telling where I’d be today.”

Nidek notes that Smith had some complications with his breathing early on, but they soon resolved with treatment, and with continued rehab, he progressed from using a wheelchair to a walker to a cane and is now able to walk without the aid of an assistive device.

Gerald Golatka was skeptical at first that cardiac recovery at The Laurels would be of any real benefit. But that perception would soon change. A long-time smoker, Golatka recently experienced a heart attack and had to undergo double bypass surgery. He recalls that when he arrived at The Laurels afterward,

he was very weak, in pain, and a little off balance. Just walking short distances left him out of breath.

“When I first came to the rehab gym and started working on the exercise machines, I was thinking to myself, ‘This isn’t going to do anything,’” he says. “But a few days later, I started feeling a little better and realized it was making a difference. By the end of it, I wanted to come down to the gym all the time.”

Like Smith, Golatka is tremendously impressed by the Laurels staff.

“I’m so glad I came here. The people here are really experts at what they do. They’re always asking if you need anything or if there’s anything they can do to make your stay better.

They’re just wonderful, and I can’t thank them enough." ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services.

For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

Early intervention is key to more effective treatment of memory loss

D

r. Sherry-Ann Jenkins, PhD, of the Toledo Clinic Cognitive Center is striving to reach more and more patients with memory issues as early as possible. Though her holistic, all-natural, non-pharmaceutical treatment approach can improve memory loss at any stage, it is most effective at reversing the progression of memory decline and preserving the patient’s quality of life when implemented at the earliest sign—or even suspicion—of a problem.

The Toledo Clinic Cognitive Center, which recently moved from the Toledo Clinic’s Secor Road campus to a new location at 4417 North Holland Sylvania Road, treats patients with all forms of memory impairment, whether related to Alzheimer’s or other forms of dementia, head trauma,

stroke, or diseases such as multiple sclerosis, epilepsy, or Parkinson’s.

Dr. Jenkins can also help patients with memory issues stemming from chemotherapy treatment or fibromyalgia. “Approximately 30 percent of people who undergo chemotherapy start to have cognitive problems— known as ‘chemo brain’—and people with fibromyalgia are vulnerable to memory issues commonly referred to as ‘fibrofog.’ In either case, if I can intervene early enough, I can hopefully reverse the problem and prevent it from becoming permanent,” she says.

Treatment begins with neurocognitive testing to determine which specific areas of memory are deficient. Then, lab work is done to help confirm the cause of memory loss (different types of memory loss are often associated with specific metabolic changes that are detectable in the blood) and a PET scan is performed so Dr. Jenkins can actually see which parts of the brain are functioning well and which are not. This information is then used to design an individualized program with the goal of teaching the functioning parts of the brain to compensate for those that aren’t

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

Spring Meadows Senior Community 1125 Clarion Ave. Holland, OH 43528 419-866-6124 www.springmeadowsecf.com

Aspen Grove Assisted Living Residence 7515 Secor Rd. Lambertville, MI 48144 734-856-4400 www.aspengrovefamily.com

St. Clare Commons 12469 Five Point Road Perrysburg, OH 43551 419-931-0050 www.homeishere.org

Sunset House 4030 Indian Rd. Ottawa Hills, OH 43606 419-536-4645 www.sunset-communities.org

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

Lutheran Village at Wolf Creek 2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 www.lhsoh.org

Swan Pointe Care Center

Lutheran Memorial Home

3800 Butz Road Maumee, OH 43537

795 Bardshar Rd. Sandusky, OH 44870

419-867-7926

419-502-5700

www.consulatehealthcare.com

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

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

Senior Star at West Park Place

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

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

Heartland of Waterville

Parkcliffe Community

8885 Browning Drive Waterville, OH 43566

4226 Parkcliffe Lane Toledo, OH 43615

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419-381-9447

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Swan Creek Retirement Village

Kingston Rehabilitation of Perrysburg

The Manor at Perrysburg

5916 Cresthaven Lane Toledo, OH 43614

345 E. Boundary Street Perrysburg, OH 43551

419-865-4445

419-873-6100

www.swancreekohio.org

www.kingstonhealthcare.com

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

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

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

The Laurels of Toledo

Bowling Green Manor

1011 Byrne Road Toledo, OH 43607

1021 West Poe Road Bowling Green, OH 43402

419-536-7600

419-352-4694

www.laurelsoftoledo.com

www.BowlingGreenManor.com

www.otterbein.org

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Orchard Villa

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

2841 Munding Drive Oregon, OH 43616

419-724-1200

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

419-724-1414

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working properly. The concept is the same as when helping the body learn to compensate for any other limitation—for example, learning to brush your teeth with the opposite hand when your dominant hand is injured.

Each individualized program includes special dietary changes to promote greater brain function as well as daily memory exercises designed to improve short-term memory. Also, patients are strongly encouraged to socialize, take advantage of support groups (e.g., through the Alzheimer’s Association), and get actively involved in the community, for example through volunteering at their church, a senior or youth center, or an Alzheimer’s adult day care center.

“People with memory issues all too often isolate themselves at home, but I’ve found that staying engaged in the community is absolutely essential to successful cognitive healing,” Dr. Jenkins says.

The active involvement of loved ones is another key element of Dr. Jenkins’ innovative treatment approach.

In fact, she encourages patients’ spouses, adult children, siblings, and friends to participate in the initial consultation appointment. This gives her the opportunity to explain what’s going on with their loved one and to emphasize that the whole family needs to become part of the cognitive rehab process. The input of family and friends also helps Dr. Jenkins develop

a more comprehensive picture of the patient’s cognitive issues so she can better tailor the treatment plan.

Dr. Jenkins is also pleased to announce that the Toledo Clinic Cognitive Center will soon be welcoming a licensed counselor, who will coordinate support groups (a service patients have requested), workshops, and seminars on issues important to patients while functioning as their caseworker and making sure they’re getting connected with all the services and support they need.

In addition, the center will be offering financial counseling to help patients and their families make sound money-management and estate-planning decisions as well as to help them navigate health insurance and meet expenses related to assisted living or skilled nursing. “This person will be someone patients and their loved ones can trust to help protect their financial future," states Dr. Jenkins.

Perhaps the best-known member of the Toledo Clinic Cognitive Center team is Jasper, the center’s resident working dog, who helps calm anxious or fearful patients through his comforting, friendly, furry presence. Depending on patients’ level of nervousness, Jasper will either lie reassuringly at their feet or nestle right in their lap. ❦ For more information on the Toledo Clinic Cognitive Center or to schedule an appointment, please call 419-479-5556.

Start planning now for a successful school year

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hose lazy, hazy days of summer will soon be drawing to a close, and that can mean only one thing in kids minds—school will soon be back in session. Depending on how the previous school year wrapped up, returning to school can elicit a broad range of emotional responses from a child, ranging from eager anticipation to outright dread.

Parents, too, have mixed feelings about the start of a new school year.

On the one hand, the kids won’t be constantly underfoot, griping that they’re so bored. On the other hand,

32 August 2015 | Healthy Living News

back to school means back to morning chaos, helping with homework and school projects after a long day at work, playing chauffer for all those athletic and after-school activities, and spending a small fortune on school supplies and clothing. And let’s face it, many parents worry, at least a little bit, about how their child will respond to new academic challenges and social situations.

The good news for parents and kids alike is that back-to-school time doesn’t have to be chaotic and anxiety-provoking. With a little planning,

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preparation, and limit-setting, your kids will be poised to hit the ground running when that first school bell rings.

Turn back the clock and establish routines Kids’ waking times tend to get later and later as summer progresses. By summer’s end, it’s not uncommon for kids to be waking up several hours later than they will need to on school days. But if we wait until the first day of school to readjust our kids’ sleep schedules, they’ll spend the first week of school in a sleep-deprived stupor, drifting off in class and missing critical information.

Two weeks before school starts, begin waking your child a little earlier each day until the desired waking time is reached so he or she won’t be so shocked and disoriented when the alarm clock goes off on the first day of school.

Also, lessons, activities, and meals in school are necessarily regimented.

This can be a difficult adjustment for kids who have grown accustomed to more or less doing what they want

when they want all summer long.

Introducing more structured activities into your child’s day prior to school starting will help soften the blow.

Establish expectations Perhaps your child’s academic showing or behavior last year wasn’t representative of his or her best efforts. Going into the new school year, it’s important to establish your expectations for academic performance and conduct at the outset. Keep in mind, however, that straight A’s or zero demerits may not be the most realistic expectation for your child.

Look at last year’s performance and raise the bar from there. Also, now is the time to discuss rewards for meeting or exceeding expectations as well as consequences for poor behavior or lackluster effort.

in the house. Teach your kids that when they take the last of a particular item from home or if they’re running low on any necessary supply at school, they are to note the item immediately on the shopping list so you can replenish it.

Get organized Organization is key to academic success, especially at the junior-high and high-school levels. Each child should have an ergonomically correct work space that is well illuminated, set apart from distractions, free of clutter, and

stocked with the appropriate supplies.

Also, establish a set quiet time for study and homework, which allows your child sufficient time to complete assignments and get to bed on time for a good night’s sleep. Older kids who have more than 45 minutes of homework should be allowed short breaks. Set the standard that materials from one subject should be put away before another subject is begun and that all work should be in the appropriate folder and in your child’s backpack as soon as homework is finished. Purchase an assignment

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Stock up Help your child get off on the right foot by purchasing all necessary school supplies early this month. Most schools send home a comprehensive checklist of the supplies needed for each grade level. In addition, make up a “school supply shopping list” and place it in a centralized location

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notebook for your child and check it daily to make sure all assigned work is being completed on time.

Ease the transition Changing to a new school is a major source of anxiety for kids. Meeting new classmates and teachers, navigating new facilities, and getting acclimated to a different schedule can be scary for them. Even something as simple as using a locker for the first time can be frightening. To help ease the transition, take your child on a tour of the school grounds and facilities so that new building won’t seem so frightening and unfamiliar when school starts. You might even get a chance to try out that locker to make sure the combination works!

Don’t trivialize fears For some kids, especially those who have struggled academically in the past or who have been bullied by classmates, the fear of failure or of being victimized again can make starting a new school year especially upsetting and intimidating. Avoid downplaying or dismissing such concerns. Instead, acknowledge that those fears are understandable and legitimate and talk with your child

about how any problems that might arise can be resolved. If your child has been bullied, assure him or her that if it happens again, steps will be taken immediately to put an end to the behavior.

Don’t over-program…

Extracurricular activities are great, but your child doesn’t need to be involved in every sport, play, lesson, club, and committee that’s offered.

Just like adults, kids need downtime to relax and decompress. Otherwise, stress can build up to an unhealthy level—even in children who seem to thrive on going “full throttle” all the time.

…or under-program On the other hand, being a complete couch potato isn’t good for kids’ health and well-being, either. If your child’s idea of extracurricular activity is spending every waking moment plugged into videogames or the computer, it might do him or her some good to be “nudged” into doing at least one after-school activity that doesn’t involve a flickering screen.

parents can do to help their kids get started on a stellar school year is to simply be there for them during this stressful period. That means, to the extent possible, parents should try to avoid any unnecessary commitments or extra projects that consume

Introducing accents to the garden space

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lants are the foundation of any garden or landscape, but the atmosphere of a garden can be further enhanced through the tasteful use of gardening accents, such as statuary, birdbaths and feeders, wind chimes, stepping stones, and other artistic touches. Emphasis must be

Accents give gardeners the opportunity to say something about themselves and their passions that they can’t necessarily communicate through foliage and flowers alone.

They also help to create a cohesive visual impression that unifies the landscape. Strategically placed statuary leads the visitor down garden paths and draws the eye to specific focal points. The soothing trickle of a water feature or delicate tones of a wind chime delight the ears. Bird feeders and baths not only provide visual interest in and of themselves, but the birds they attract also add movement and beauty to the scene.

Not to mention, birds help protect plants by feasting on undesirable pests in the garden.

Perhaps the most important thing

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placed on the word “tasteful” here because in order for garden accents to make an effective impression, they must be used judiciously as well as conform to the character and scale of the garden itself.

Haphazard selection and placement of statuary or other accents can make your garden look more like a miniature golf course than the tranquil sanctuary you’re hoping to create.

The many roles of garden accents

Be there

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their free time during those first few weeks of school. If your kids know you’re available to answer questions, discuss concerns, or simply lend a listening ear, their transition to a new grade and/or new school will be much smoother. ❦

We are committed to our mission of

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and as such, our employees take the extra measures to create the comforts of home during a critical time.

Select a feel or theme Choosing and placing garden accents is much like choosing and placing plant material. Your choices should complement one another and work together to create a coherent feel or theme. Just as barberry or yucca plants would be out of place in a shade garden, a classical statue of Bacchus wouldn’t make much sense in a Japanese garden. On the other hand, a Japanese lantern, ornate crane statue, pergola, or bamboo deer chaser would be appropriate in that setting.

A “theme” can be just about anything of your choosing—from

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classical to abstract to religious to whimsical. If angels or cherubs intrigue you, that could be your theme. Or perhaps you’re fond of a particular pet or wild animal that you’d like to see reflected throughout your garden.

Memorial accents are a wonderful and dignified way to keep the memory of a departed loved one alive. Even those ubiquitous garden gnomes can be tastefully incorporated. (Just be aware that garden gnomes are a common target for mischievous scavenger hunters!)

Health Care is complicated But that’s where you come in.

Patient advocates, or professionals who act as liaisons between patients and the health-care provider, are needed now more than ever.

You can supplement your undergraduate degree with training in this field through The University of Toledo’s Graduate Certificate in Patient Advocacy Program.

Your choice of materials

This is a 100 percent online graduate certificate that can be completed in just two semesters.

For more information call or e-mail Debra O’Connell – 419.530.5421 or Debra.Oconnell@utoledo.edu.

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The material your accents are made of can impact the look of your garden, as well. Stone, terra cotta, and wood tend to convey an earthy feel. Metal accents are a good choice for creating an ornate or modern impression.

Concrete is, perhaps, the most versatile as it can be painted and glazed to look natural, formal, or virtually anything in between. The only drawback to concrete is its tendency to crack under harsh weather conditions. Copper accents have really grown in popularity as they stand up to weather very well and take on an attractive greenish patina as they age, which allows them to blend well with surrounding plant material. Colored glass hummingbird feeders and other glass accents offer an intriguing splash of color in the landscape.

No-cost accents Garden accents needn’t be costly

When you walk into your garden setting and peer around, all of the statuary and accents should not immediately “leap out” at you. If they do, then your accents are probably crowded together, out of proportion, and most likely overpowering your plantings. Accents should harmonize with their surroundings. They should treat you to little serendipitous surprises as you meander through the landscape. Small statues peeking out from among the foliage or nestled among flowers can draw your eye to particular groupings of plants. Taller statues can serve as focal points, perhaps as a reward at the end of a garden path.

Keep in mind that walls and wooden fences offer wonderful accent opportunities.

Wall-mounted planters or fountains make ideal embellishments for these surfaces. Plaques, sundials, and other mountable artwork can also be used to enliven a wall or span of fencing.

A lasting impression Perhaps the greatest advantage of garden accents is that they leave a lasting impression. They provide years of enjoyment without having to be watered, pruned, or replanted each growing season.

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store-bought items, either. Old milk cans, farming or gardening implements, wheelbarrows, and other old heirlooms taking up space in your garage or shed can be converted into interesting art pieces or planters in the garden. And that layer of rust just adds to their rustic appeal!

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St. Clare Commons takes unique approach to memory care

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visit to St. Clare Commons, a Franciscan Living Community located at 12469 Five Point Road in Perrysburg, is likely to change any preconceived notions you might have about senior living. From the Starbucks® café where residents can relax and socialize with family and friends over a steaming cup of coffee, to the full library with shelf upon shelf of current literature, to the elegant dining facility and piano bar, to the beautifully manicured outdoor spaces, the living environment feels more like a resort than a retirement community.

“All these amenities are important to today’s seniors and make our community a destination where families can spend time and enjoy a delicious meal or cup of coffee with their loved one, and where residents feel like they’re the host,” says Mark Mullahay, Regional Administrator for Franciscan Living Communities.

“This social model is an essential part of the quality healthcare services we provide at St. Clare.”

St. Clare Commons’ continuum of care includes all levels of assisted living, in- and outpatient rehabilitation, skilled nursing care, and memory care. To help give family caregivers a break, the community is also providing respite care services, for example so Mom or Dad has a safe, familiar place to go for a short stay while their at-home caregiver takes a much-needed vacation. It’s also an opportunity for a short-term, trial stay with no long-term commitment.

Of course, residents’ spiritual needs are given high priority at St. Clare Commons, with the facility featuring a serene on-site chapel and having many connections to St. John XXIII Catholic Parish. In addition, one of the facility’s two in-house TV channels is dedicated to broadcasting masses and other religious services (the other continuously streams activities and events going on in the community).

One of many areas in which St. Clare Commons is breaking new ground is their innovative approach to memory care for residents with Alzheimer’s or other forms of memory impairment. The secure, state-ofthe-art memory care program was specifically designed to provide the expert, advanced care necessary to meet the unique needs of this population. The specially trained staff provides intensive, compassionate personal care and close, 24-hour-aday supervision while working with residents and their physicians and

families to maximize quality of life.

Memory care residents live in a neighborhood setting comprised of all private suites, with exclusive dining, living, and activity areas.

They also have access to a secure, lushly landscaped outdoor courtyard with gazebos for relaxing and visiting with loved ones in the shade, a raised garden for those who like to get their hands in the soil, and a soothing waterfall (one of several water features on the grounds) just beyond the fence.

The environment in the secure memory care residence can, perhaps, best be described as exclusive. “One of the keys to successful memory care is creating a safe, secure environment just for the residents,” explains Jane Miller, Director of Marketing and Admissions. Furthermore, the residence has a very quiet and tranquil atmosphere, which helps reduce the agitation and frustration that memory-impaired individuals often experience.

“Residents are also encouraged

Mom was having a hard time remembering to take her medications and she wasn’t eating regularly. Since moving into a memory care suite at St. Clare Commons, she’s like a new person. She’s not only happy, but thriving here! It’s reassuring to no longer worry about her safety and security.

For a personalized tour, call Jane at 419.931.0050.

St. Clare Commons

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to furnish their suites with furniture from their own homes. When they’re surrounded with familiar furnishings and sleeping in the same bed they’ve used for years, they experience a sense of normalcy that reduces agitation and the risk of falling,” Miller adds.

Among the key features of St. Clare Commons’ memory care services is a revolutionary program that offers a unique, personalized approach to Alzheimer’s and dementia care. It works by preventing the two main causes of behavioral concerns in memory-impaired residents—boredom and disengagement.

Customized interventions, including music, video, and stimulating therapies, help reduce residents’

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cognitive stress. There’s also an on-site resource center for caregivers, which provides them the tools necessary to meet each resident’s needs according to his or her individual learning style, personality, behavior, and cognitive skill level. The goal is that through the use of these interventions, residents will experience reductions in the need for anti-psychotic and behavior-management medications, a lower risk of falls and injuries, decreased agitation, and improvement in overall mood and level of engagement. ❦

by Amanda Manthey

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unning gives you a great workout that challenges both your body and your mind. When you cross the finish line in a race, your body is exhausted but your work is not over. After you exercise, you need to restore your body’s balance and power. Adhering to these post-race recovery tips will give you the edge for a more rapid recovery.

First, water is the most essential ingredient you put into your body.

Water helps in your recovery by cleansing wastes from your system. It helps dissolve nutrients and carries them to all parts of your body. Always stay hydrated, and drink water even if you don’t feel thirsty yet. As runners, we should drink up to three quarts of water a day. After a run, you should drink about 16 ounces of fluids and more if you run longer. Staying hydrated after the event will aid in a faster recovery.

When you exercise, your body burns carbohydrates for energy and breaks down your muscle tissue.

Complex carbohydrates are key to any athlete’s diet because they provide a steady, nutrient-rich energy supply. Immediately after your race, your body utilizes glucose in order to rebuild and recover from your intense effort. Fruits, energy bars, and pretzels are quick, easy snacks that help initiate your replenishing

process.

Runners also need to replenish their electrolytes. Electrolytes affect fluid balance in the body and are necessary for proper functioning of your nerves and muscles. When you exercise, you lose electrolytes through perspiration. One way to renew your electrolytes is by drinking a sports beverage. These drinks help restore your body by preventing dehydration.

Repair and restore your body with proteins.

Proteins are essential in the repair of your muscles, ligaments, and tendons. Muscle proteins power you through your race. After a strenuous race, new muscle proteins must replace damaged ones. Good sources of protein are meats, fish, eggs, and dairy products.

Fruits and vegetables are filled with vitamins, minerals, and fibers essential to a runner. Bananas, a good source of potassium, are believed to decrease cramping.

Recovery and regeneration are crucial training concepts that enable you to produce the results you want.

Following your race, enjoy several rest days or easy training days to help accelerate the recovery process. ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University.

She writes about running and fitness on behalf of Dave’s Performance Footgear.

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Don’t miss Dave’s races!

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

Pat Wagner Memorial 5K Run/Walk Saturday, August 1, 2015, 8:00 a.m. at Liberty Benton High School, 9190 County Rd. 9, Findlay, Ohio.

Women’s Distance Festival—Saturday, August 1, 2015, 9:00 a.m. (100meter Heels Race at 10:30 a.m.) at The Shoppes at Fallen Timbers, 3100 Main St., Maumee, Ohio.

Tomahawk Trot 5K—Friday, August 7, 2015 at Wauseon High School, 840 Parkview, Wauseon, Ohio. 5K starts at 7:30 p.m. Kids half-mile and quarter-mile races begin at 7:00 p.m.

Up, Up, and Away 5K—Saturday, August 8, 2015, 8:00 a.m. at Emory Adams Park, 1827 S. Blanchard St., Findlay, Ohio.

The Tooth Trot Color Dash—Satur-

day, August 8, 2015 at Dental Excellence of Napoleon, 610 Broadmoor Ave., Napoleon, Ohio. 1-Mile Fun Run at 8:15 a.m. 5K Fun Run at 9:00 a.m.

Pemberville 5 Miler—Friday, August 14, 2015, 8:00 p.m. at 104 E. Front St., Pemberville, Ohio.

Line Drives for Larry 5K—Saturday, August 15, 2015, 8:00 a.m., N. Glenwood Ave., Wauseon, Ohio.

The Amazing Grace Race—Saturday, August 15, 2015 at Grace United Methodist Church, 601 E. Boundary St., Perrysburg, Ohio. 5K Run/Walk at 8:00 a.m. Kids Run at 9:00 a.m.

Run for the Barns 5K—Saturday, August 22, 2015, 8:00 a.m. at 530 S. Main St., Hicksville, Ohio.

Filling Homes 5K/10K Road Race and Kids Fun Run—Saturday, August 22, 2015, 9:00 a.m. at Oberhaus Park, Napoleon, Ohio.

Run Baby Run and Walk—Saturday, August 22, 2015, 7:30 a.m. at Secor Metropark, 10001 Central Ave., Berkey, Ohio.

Ottawa Hills Back to School 5K— Sunday, August 23, 2015, 9:00 a.m. at Ottawa Hills High School, 2532 Evergreen Rd. Ottawa Hills, Ohio.

Haiti Hustle 5K—Saturday, August 29, 2015, 9:00 a.m. at Bedford High School, 8285 Jackman Rd., Temperance, Michigan.

stated Steve Dumke, Vice President/ COO. “He has a strong commitment to the LHS mission and is a welcome addition to the Lutheran Homes Society family.”

Lutheran Homes Society is a social ministry organization based in

Toledo, Ohio, that has been serving the unique needs of youth and elderly since 1860. Lutheran Village at Wolf Creek, a ministry of LHS in partnership with St. Luke’s Hospital, began operating in 1997. ❦

BySister Mary Thill

Spiritually Speaking Need a spiritual guide?

Everyone needs a spiritual guide: a minister, rabbi, counselor, wise friend or therapist. My own wise friend is my dog. He has deep knowledge to impart.

He makes friends easily and doesn’t hold a grudge.He enjoys simple pleasures and takes each day as it comes. Like a true Zen master he eats when he’s hungry and sleeps when he’s tired. He’s not hung up about sex. Best of all, he befriends me with an unconditional love that human beings would do well to imitate.

—Gary Kowalski in The Souls of Animals

D

o you know that August 26 is National Dog Day? If you live in Toledo and read The Blade, the local newspaper, you already know that

Toledo is a dog-lover ’s town. The paper even has a list of dogs who are up for adoption or have been put down each day. Toledo Memorial Cemetery, actually located in Sylvania, recently opened a section for pets—our very own pet cemetery!

I think we are pretty well informed about dogs in our fair city and may even have a special celebration on the 26th, though I haven’t heard or seen plans for any such event yet. Do you think we are going to the dogs?

I have never personally owned a dog and may never own one. I do wish I had a dog, but living in a convent with two other Sisters and none of us being home all day, I would not want

New Executive Director to lead Lutheran Village at Wolf Creek

L

utheran Homes Society (LHS) in Napoleon Ohio. announces the appointment of Mr. Napierala is a Licensed NursJason Napierala as Executive Director ing Home Administrator in the state for Lutheran Village at Wolf Creek, of Ohio. He earned a bachelor ’s a senior living community located degree in administrative services at 2001 Perrysburg Holland Road in from the University of Toledo. He Holland, Ohio. worked his way through college as a As Executive Director, Mr. Napierala state-tested nursing assistant (STNA) will be responsible for the day-to-day and has maintained that certification operations, community outreach, throughout the years by continuing and business development to work shifts as an STNA. of the Wolf Creek campus, He lives in Metamora, Ohio which includes indepenwith his two sons. dent living, assisted living, “Honestly, I am excited short-term and long-term to advance the goals of the skilled-nursing care, and ministry and to work with rehabilitation services. the team at Lutheran Village Mr. Napierala has at Wolf Creek to make the worked in the long-term healthcare delivery system care industry for 25 years. the best that it can be,” Mr. Jason Napierala Most recently, he was emNapierala stated. “Working ployed for four years by Gentogether, I am sure we will esis HealthCare as the Administrator be nothing but successful.” of Swanton Valley Center in Swanton, “Jason comes to us with many years Ohio. Prior to that, Mr. Napierala of experience as an administrator worked four years as the Administrator and has demonstrated a passion for at Golden Living Center-Northcrest providing quality care and service,”

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to leave Lucy (or whatever we would call her) by herself during the day. I wonder what happens to the pooch when there are only adults in the house. Who becomes the “mistress”?

Who takes care of the dog? Who feeds her? Who trains her? Who stays up with her when she is sick or hurt? Who takes her to the vet or the groomer or gives her a bath? These are important questions to ask when pets are involved.

My real reason for writing about dogs this month is to bring out the important role they play in our lives.

I’m not sure I would go so far as Gary Kowalski would and be able to see a dog as a spiritual guide, but I do tend to agree with the reasons he sees a dog playing this important role in one’s life.

My experiences with Phred, the therapy dog at the Heart Center at St. V’s, convinced me that there is more going on between a dog and a person than sometimes meets the eye. Phred would walk into a patient’s room, a total stranger, and would be accepted immediately by someone he did not know but sensed needed him to just be there for him or her.

Patients would smile and greet the dog and gently pet him and begin to talk about a dog they have at home who missed them and vice versa. A few patients even thought Phred was their dog because they took to one another as if they had been owner and pet.

Watching patients, and sometimes even the staff, interact with Phred proved to me that a dog, or some other kind of pet, can help us get in

touch with our spiritual side and give us the unconditional love we seem to crave. Staff and patients in a heart center are certainly in need of such reminders of such love as they are surrounded by very difficult situations and experiences. One patient going for open heart surgery within an hour of Phred’s visit said that he felt immensely relieved of his fear and anxiety and was ready for the traumatic surgery because seeing the dog and petting him helped him calm down to a peaceful state of mind and spirit.

I have seen and heard of the calming effect that pets, especially dogs, have on patients in nursing homes and those under hospice care. The dogs, in turn, seem to sense who needs them the most and will actually visit people who seem to need them the most. There are reports of dogs in the hospice setting going into the room of someone who is dying and staying there until they have died. There is probably a scientific reason for this, but I also think there is a spiritual bond that exists between humans and animals. Perhaps this is proof of the connectedness of all of creation. We depend on God’s wonderful gifts of creation to make our lives meaningful and enjoyable.

That’s why God created dogs! ❦ (Note: Phred died in December, 2013. Phreyja, one of his offspring, continues to provide loving support to the patients and staff at the Heart Center.)

Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

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News From

OTTERBEIN Five ways for grandparents and teens to make summertime memories

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ugust is the sweet spot for family connections and making memories. Family picnics, reunions, vacations to see grandparents, and county fair season all provide opportunities for connections. As summer nears an end and the school year is fast approaching, there are wonderful ways to bring the generations together for some quality time that will result in memories that will last far into the future. The older and younger generations have experiences and knowledge to share. Plan to get together with someone who is 40+ years your junior or senior! Here are your opportunities: Technology—Every year, more seniors are using the internet and social media. Studies show that the more those over 65 use social media, the greater the chances for them to be

engaged in social settings face-toface. Who knows better how to use technology than teens and those in their 20s? Does grandma want to learn how to use the “free” smart phone given to her with her cell phone contract? Does grandpa want to get on Facebook so that he can see the photos that family members post?

Does Aunt Helen want to learn how to Google for recipes on the web?

Schedule and promise to keep five sessions in August, just one hour per session, to slowly go over the basics.

One rule for the young person: Let the elder hold the device and do the entering. We learn by doing, and it’s the same for older learners.

Also, remember to review each lesson

before starting a new concept. Here’s the payoff: When the lightbulb goes off and your loved one “gets it,” everyone wins!

Recipes—Family recipes get lost when no one records them. Grandma might make great fried chicken, but most likely she doesn’t follow a written recipe. She uses a little of this and a little of that. Schedule four days in August to get together and cook.

Use your phone or tablet computer to video the process. Write the recipes in a notebook or in a recipe app.

Good food brings back great memories. Record some of the memories of when the food was served. Make a photo book of the recipes, memories, and photos. Share the recipes with family. This is a legacy, and everyone will be glad that family “secret recipes” have been captured and will not be lost.

Photos—Same as above! Schedule four days in August to sort through boxes of old photos. Buy some archival-quality labels and put them on the back of the photos. List the

people in the photos, relationships, and short summaries of the time and place. When the folks in the photos are gone, the memories and relationships will go on and on.

Another idea is to scan the photos and create a photobook of some of the most special occasions.

Exercise—Use the guide at https:// www.nia.nih.gov/health/publication/ exercise-physical-activity/introduction and schedule two sessions each week in August and start an intergenerational exercise group—even if it’s a group of two! Exercise, as allowed by a person’s physician, is the number-one way to stay healthy and help to improve health problems. For example, studies show that people with arthritis, heart disease, or diabetes benefit from regular exercise.

Exercise also helps people with high blood pressure, balance problems, or difficulty walking. If a young person and an older person pair up and become exercise buddies, there is a 100% chance that close relationships and better physical well-being will result!

Entertainment—Laughter is the best medicine! Give the gift of time to each other. Play games. Learn a

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41

new card game. Try a video game together. Share music. Go and get frozen yogurt together. Take a threehour painting class. Visit the Art Museum. Go to the ballpark. Enjoy Wheel of Fortune together. Pick some tomatoes. Shuck some corn. Go to the fair. Love this chance to just “be”!

We, at Otterbein Senior Lifestyle Choices, would love to hear some of the stories of your intergenerational connections in August. Send stories and a photo to Robin Small, Regional Director of Marketing, rsmall@otterbein.org. We’ll feature your story on Facebook and some will appear in HLN next month! Enjoy!

Five reasons men should adopt a woman’s approach to preventive health care

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espite the fact that, on average, men tend to live shorter lives and become sick and disabled earlier than women do, they’re far less inclined than women to seek routine preventive health care and screenings.

Even when they’re experiencing pain or other physical symptoms, men often shrug off seeing a doctor for evaluation and treatment.

Whatever the motivation behind this tendency—whether it’s a false sense of invincibility, fear of embarrassment, or the misguided notion that seeking help is a sign of weakness—men have much to gain and nothing to lose by taking advantage of preventive healthcare services. Here are five reasons men would do well to “think prevention” (something most women do from a fairly young age) when it comes to their health care:

medical conditions are “silent,” causing no obvious physical symptoms. For example, one can have elevated blood pressure, cholesterol, or blood sugar yet feel just fine. Left untreated, however, these conditions can lead to very serious health issues down the road.

2

The earlier diseases are caught and treated, the better. No doctor has ever uttered the words, “If only you’d waited a bit longer to come in, we might have been able to cure you!” Outcomes are always best when diseases are detected and treated at the earliest stage. Even in cases where the disease cannot be cured, early detection and initiation of treatment can often help patients live significantly longer and maximize their quality of life throughout the disease process.

And again, don’t assume physical symptoms will alert you that something is wrong. Many cancers, for example, cause no symptoms in the early stages, and some are already advanced by the time symptoms manifest themselves.

3

1

Many diseases are “silent.” Men are often proudly diligent with respect to preventive motor vehicle maintenance—checking the tire pressure, changing the oil, topping off fluid levels, inspecting belts, replacing the air filter, etc.—yet can’t be bothered to schedule preventive healthcare visits to ensure their bodies are functioning as they should.

They assume that because they feel okay, they must be healthy. And why bother a doctor when there’s nothing wrong with you?

But the reality is, some serious

42 August 2015 | Healthy Living News

Preventive health care provides accountability Preventive health care usually involves making healthy lifestyle choices or modifications, such as eating better, exercising more, avoiding tobacco use, moderating alcohol consumption, etc. The results of these efforts (or lack thereof) are reflected in blood work values, blood pressure readings, the number on the exam room scale, and other measurements. Knowing your doctor will routinely evaluate your progress helps keep you accountable on the path to a healthier you.

4

Risk factors can be addressed You may have a family history, occupation, or lifestyle habit that puts you

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at elevated risk for a certain disease without even realizing it. In taking your history, the doctor can identify these risk factors and recommend screenings accordingly. For example, if one of your family members was diagnosed with a certain form of cancer, your doctor might recommend that you begin screening for that cancer earlier than normal or that you undergo genetic testing to evaluate your risk.

5

The nagging will stop! If you’re a man who shuns medical care, there’s likely a woman in your life—a wife, mother, daughter, or sister—who urges you to see the doctor more frequently. She’s not doing this to annoy or aggravate you. She’s doing it because she cares about you and wants to ensure you’ll be around in her future. Seeing a doctor is a pretty small price to pay to make her happy and keep you healthy! ❦

Stacey Hoffman, MD Kingston Medical Director

Black Swamp Rowing challenges and inspires youth

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lack Swamp Rowing is a new, competitive, club-based team that was started in the 2015 spring season.

The team was founded by competitive rowers, their families, and a highly experienced coach who wanted an opportunity to row competitively and to gain the knowledge and experience to row at the collegiate level.

In the early spring, Gary and Jean Heller of Whitehouse, recognizing the dedication and determination of this group, bought a boat and trailer for the team. Around this same time, McDonald's owners Karen Elwardany and Jon Harris had heard what Black Swamp Rowing was trying to accomplish and immediately offered their support to sponsor the team.

Since then, other businesses have followed suit and offered their support as well.

Practicing out of Toledo Sailing Club, Black Swamp Rowing is an exciting new addition to the rowing community because this is a club-based

team, which means that athletes from any high school in Northwest Ohio can try out for the team. Currently, Black Swamp Rowing includes 13 high-school-aged rowers in Northwest Ohio who compete in varsity or novice races at regattas across the Midwest.

The team is coached by Trevor Jones and his wife, Kelly, who not only coach the rowers on technique, strength, and conditioning but also focus on leadership, respect, teamwork, and sportsmanship. Both Trevor and Kelly have been coaching for 13 years and have supported the startup of Black Swamp Rowing from the beginning.

They have played an essential role in getting the team started and the success that the team has already achieved.

Recently, the team competed in the Midwest Junior Championship in Cincinnati, one of the most competitive regional regattas in the nation.

The Varsity Girls 4+ boat finished

Kingston Care Center of Sylvania achieves perfect score on annual State of Ohio survey

K

ingston Care Center of Sylvania received a perfect state survey score by realizing zero deficiencies.

It is apparent from the recent State of Ohio survey that the facility genuinely reflects its mission to provide the best possible clinical and therapeutic care to patients who are transitioning from surgery or injury as well as maintaining excellence in customer satisfaction.

“We certainly couldn’t be prouder of our staff and all their hard work.

They continue to exceed our expectations as well as state and federal mandated requirements for

our rehabilitation facility,” said Erin Rothfuss, Administrator. “The fact that we achieved a perfect score, while maintaining full patient occupancy for the last several months, as well as keeping up with the ever-increasing clinical demands on the skilled-nursing industry, is quite an accomplishment.”

In addition to serving the surrounding area of Sylvania with skilled nursing, the company has a new state-of-the-art rehabilitation complex in Perrysburg, and also provides assisted-living and memorycare communities for seniors in both Sylvania and Perrysburg regions.

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43

5th overall. The Varsity Boys 4+ boat finished 4th overall, missing Nationals by one second. The Novice Girls 4+ boat finished 5th in their heat in one of the toughest heats of the race.

Black Swamp Rowing has two graduating seniors from Anthony Wayne High School who will be rowing at the collegiate level. Carley Pawliski will be rowing for Philadelphia University, and Maddison Conway will be rowing for the University of Dayton starting in the fall. Both girls have been coached by Trevor

and Kelly for the last four years and competed at the National level.

The goal of Black Swamp Rowing is to continue to grow and to purchase more equipment to expand rowing opportunities for the team.

Due to the community support that Black Swamp Rowing has received in such a short time, they are able to grow their team and begin recruiting additional rowers For more information about Black Swamp Rowing, please visit www. blackswamprowing.com. ❦

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THE

Sign up now for our next training classes: One Week: August 17 – 22, 2015 9 a.m. – 4 p.m.

If you’ve thought about becoming a foster parent, it’s time to take the next step. The kids need you!

Classes are held at the LCCS training center, 705 Adams St., in downtown Toledo.

Becoming a foster parent starts with asking questions and getting accurate information.

Talk to your family about fostering...and then register for the free training program.

In exchange for providing a caring home to a child, you might find yourself with the next video football champion (or scientist).

We’ll provide the free training and resources you need to become a foster parent, along with ongoing financial and other supports to help your family welcome a new member.

To learn more, call 419-213-3336, visit us online at www.lucaskids.net or find us on Facebook at www.facebook.com/LucasCountyChildrenServices.

Spring Meadows Senior Community receives Bronze National Quality Award

S

pring Meadows Senior Community has been recognized as a 2015 recipient of the Bronze – Commitment to Quality Award for its dedication to improving the lives of residents through quality care. The award is the first of three distinctions possible through the National Quality Award Program, presented by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL). The program honors centers across the nation that have demonstrated their commitment to improving quality care for seniors and individuals with disabilities.

“It is a great honor to be recognized

by AHCA/NCAL with a National Quality Award,” said Phil Whitker, Administrator for Spring Meadows Senior Community. “Improving the lives of the residents and families we care for every day is what brings us joy. This award symbolizes the dedication and commitment we have to the quality journey.”

Implemented by AHCA/NCAL in 1996, the National Quality Award

Program is centered on the core values and criteria of the Baldridge Performance Excellence Program.

The program assists providers of long-term and post-acute care services in achieving their performance excellence goals.

The program has three levels: Bronze, Silver, and Gold. Centers begin the quality improvement process at the Bronze level, where they develop an organizational profile with essential performance elements such as vision and mission statements and an assessment of customers’ expectations. Trained examiners review each Bronze application to determine whether the center has met the demands of the criteria. As a recipient of the Bronze – Commitment to Quality Award, Spring Meadows Senior Community may now move forward in developing approaches and achieving performance levels that meet the criteria required for the Silver – Achievement in Quality Award.

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A Walk in the Park Continued from page 21

Rooms go for about $110 to $130.

(John Ford and John Wayne paid slightly less when they stayed there in 1939.) Cabins are about $135. The campground offers tent sites and RV sites without hookups for about $25. RVers who prefer hookups pay about $50. Campground amenities include hot showers. Shirley said it was worth $50 just for the showers.

That may have been an assessment pointed in my direction. There is cable TV and Wi-Fi. We generally

don’t watch TV while traveling, but I asked at the desk about where to get the best Wi-Fi connection. He said coverage had been rather spotty of late. I told him it was just like our trip to Alaska where everybody said they had Wi-Fi but it was all spotty and nobody actually got a connection.

There is an indoor swimming pool. I suppose it is indoors because the water would boil you like a lobster if you swam outside in August.

Shirley and I stayed in Goulding’s campground because we had already spent three days in the desert and having electricity to run our RV air conditioner seemed highly desirable.

Oh, and every night they show one of those John Wayne movies.

Goulding’s was the only lodging in the area until the Navajo built the View Hotel with restaurant and a small museum in 2008. Rooms go for about $250 to $375 and book up far in advance. All 95 face east for sunrises that justify the hotel name.

For other options, you could drive 20 miles south to Kayenta, AZ or 20 miles north to Mexican Hat, UT. No matter where you choose to stay, I think the view is priceless.

(Shirley is bound to come around one of these days. Just not anytime soon.) If you can manage it, get up at sunrise when the desert is absolutely

quiet—unless all your neighbors have the same idea and refuse to shut up with all that ooing and ahing. Take your revenge by singing a few bars.

Around her neck she wore a yellow ribbon She wore it in the spring time and in the month of May When they asked her why she wore the ribbon She wore it for her lover in the US Cavalry (Big finish, now!)

Even if you can’t sing, a visit to Monument Valley is still just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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nity has demonstrated its commitment to providing quality care, and I commend them for that,” said the AHCA/NCAL National Quality Award Board of Overseers Chair, Christine Boldt. “I encourage Spring Meadows Senior Community to continue its quality journey by striving for the Silver and Gold levels.”

The awards are sponsored by AHCA/NCAL Associate Business Members My InnerView by National Research Corporation and PointRight.

My InnerView represents the true voice of nursing-home and assisted-living residents, families, and employees with the most insightful quality-measurement solutions and satisfaction surveys in the healthcare continuum. PointRight is the recognized leader in data-driven analytics for health care and insurance.

Spring Meadows Senior Community is family-owned and operated and has been located in Holland, Ohio, since 1975. The facility offers assisted-living options, full-time nursing care, long-term and short-term rehabilitation (physical, speech, and occupational therapy), and hospice services. ❦

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