HLN August 2016 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News August 2016 • FREE

Also available at hlntoledo.com

Back-to-school success!

issue: Also Alsoininthis this issue:

• Shape up your skin for summer • Summer health reality check • Got room for one more? • Acupuncture for vets • Major changes coming to Medicaid

Plus:

• Baby University • Nobody's Perfect • Spiritually Speaking • Dave's Races • And much more! poor balance

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Shape up your skin for summer

ery few individuals realize that 80% of their facial appearance with aging is due to prior 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 “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm

Summer heat, bugs, and UV rays

We waited all winter for this; now are we ready? Don’t forget to apply a sunscreen with an SPF of 30 (higher SPFs are unnecessary) 30 minutes before exposure to UV and to use the correct amount even on cloudy and bright, overcast days. One tablespoon for the face! Reapply after heavy sweating or swimming. Bug sprays with permethrin are safer, less irritating, and more cosmetically acceptable than those with DEET.

sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results of decreased sweating 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 lines). 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. Prospective clients who decide to have non-ablative cosmetic procedures performed by Dr. Handler are not gender specific. Men are now utilizing skin products for reducing the appearance of aging and having procedures to maintain their younger and vibrant look just as are women. Males seeking cosmetic procedures have tripled over the past 10 years in their desire to recapture their more youthful appearance. Age is not a factor in deciding to improve your self-image. Whether you seek to improve the appearance of your aging face, neck, or other “sagging” areas due to competition in the workforce or simply for your own self-esteem, these procedures and anti-aging products are for you!

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 conducted by a board-certified dermatologist to check for skin cancer.

Hair loss in men and women

Are you losing hair from surgery, anaesthesia, illnesses, pregnancy, medications, stress, 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 or family history, and most are 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, boardcertified dermatologist of Sylvania, Ohio, has a medical treatment for decreasing your hair loss and increasing growth in many patients! After appropriate examination of your scalp hair and appropriate blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease your hair loss, increase growth, and cause the hair you have to be fuller and thicker. This is not a product that is forever. 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 will 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 of loss in 30-60 days! ❦

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

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ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery. No injections. No downtime.

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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

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.

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e lthy l ng ews

Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2016 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.

Your Monthly Guide to Healthy Living

TAKING CARE OF YOUR LIFE

5 Set the stage for a successful back-to-school experience 22 Awesome resources for back-to-school meal planning by Kat Tomasewski 34 Prevent the heartbreak of head lice this back-to-school season 36 Add vaccinations to your back-to-school checklist 37 Commonsense campus-safety tips 38 Sitting in the front row, by Mark S. Faber, USPTA Elite Professional

11 Health Crossword, by Myles Mellor 25 Spiritually Speaking A call for reverence, Part 3 by Sister Mary Thill 32 How to compare assisted-living and skilled-nursing facilities 33 Tips for race recovery, by Amanda Manthey 40 A Walk in the Park Hang in there, Baby! by LeMoyne Mercer 46 Major changes coming to Medicaid this month

FOOD & NUTRITION

HEALTH & BEAUTY

26 Walt's Corner BBQ Ribs from Chef Bill 30 Eating Well Pick 4 System makes back-to-school lunches as easy as 1-2-3-4, by Laurie Syring, RD/LD

2 Shape up your skin for summer 6 Cancer patients getting palliative care are better poised to tolerate treatment 10 Nobody’s Perfect Is sleeping in a recliner unhealthy? by Sister Karen Zielinski, OSF 12 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 14 A summer health reality check, by Jim Berger 19 Mercy Health Sports Medicine Bump Clinic helps area athletes stay in the game 20 Acupuncture for veterans by Douglas A. Schwan, DC, Dip ac 28 Osteoporosis: sticks and stones (and falls and bumps) can break my bones, by Christine A. Holliday 43 ProMedica Cancer Institute tackles treatment-related cardiac issues 47 Tinnitus treatment options, by Shelly Horvat, AuD, CCC-A 48 Using technology as part of rehabilitative therapy produces results, by Robin Small

OUR COMMUNITY 5 Lucas County Children Services hosts back-to-school drive 8 Non-Profit of the Month: Baby University 9 You’re invited! September special events at St. Clare Commons 14 Enjoy cool jazz at Toledo Botanical Garden 17 Fieldstone Villas at Sunset Village: Forget what you think you know about senior living! 18 Do you have “Room for One More”? by Dusti Minier 24 With Laurels AlterG, woman with rare neuromuscular disease gets edge on gravity 31 Sylvania Franciscans honor 12 Jubilarians 36 Bittersweet offers soccer lessons for teens with autism 44 Franciscan Care Center commitment to service extends to Honor Flight vets, by Christine A. Holliday

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Travel Editor: LeMoyne Mercer

Print Designer: Jan Sharkey

August 2016 • Vol. 21, Issue 8

CHILDREN & PARENTING

Editor: Jeff Kurtz Sales: Robin Buckey Molly O'Connell

Dear Readers, Thank you for picking up the August issue of Healthy Living News. It seems like we just got settled into summer, but it’s time once again for the beginning of another school year and our annual Back-toSchool issue. Whether your child is just starting school for the first time, heading off to college, or somewhere in between, you’ll find something in the pages of this issue that will help ease the transition. Of course, for readers who don’t have schoolaged kids, our back-to-school content is balanced with plenty of additional material focused on health, fitness, and wellness. A small sampling of this month’s must-read content includes articles on Mercy Health Sports Medicine’s Saturday Morning Bump Clinic, available to local athletes of all ages beginning this month

and continuing through the fall sports season (p. 19); ProMedica Cancer Institute’s new cardio-oncology program, which was developed to help reduce the risk of treatmentrelated cardiac complications for cancer patients (p. 43); the role of palliative care in treating patients at Toledo Clinic Cancer Centers (p. 6); the importance of getting appropriate vaccinations for your child prior to the start of the school year (p. 36); major changes to Medicaid that are going into effect this month (p. 46); and Franciscan Care Center’s commitment to serving returning Honor Flight vets (p. 44). And that’s just scratching the surface! Change is the only constant in the healthcare industry, and that applies to our community, as well. For example, if you haven’t heard already, St. Luke’s

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Hospital in Maumee is once again operating as an independent entity. For more details on what this change might mean for you and your family, please see the ad on page 13. We are extremely fortunate to have such a vibrant healthcare community and so many exceptional, highly trained medical professionals serving Northwest Ohio and Southeast Michigan. Also, keep in mind that, while it may be steaming hot right now, back-to-school season usually means milder temperatures are right around the corner. Why not plan to take advantage of the coming cooler weather to get active in the great outdoors? Your body will thank you for it! Until next month, stay safe, active, and healthy!

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he beginning of a new school year can elicit a broad range of concerns and anxieties in both kids and parents. For kids, the emotional response falls somewhere between eager anticipation and outright dread—depending largely on their experiences in the previous school year. Parents are, on the one hand, relieved that their kids’ time will once again be productively occupied. But on the other hand, they’re also a bit worried about how their children will cope with the novel academic and social challenges of a new school year. The good news for parents and kids alike is that back-to-school time doesn’t have to be so anxiety-provoking. With a little planning, preparation, and limit-setting, kids can be poised to hit the ground running when that first school bell rings. Here’s how:

Turn back the clock and restore routine 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 repre-

Set the stage for a successful back-to-school experience sentative 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.

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 in the house. Teach your kids that when they’re running low on any necessary supply at school, they are to note the item immediately on the

LCCS hosts back-to-school drive

ummer is in full swing, but it is never too early to start thinking about backto-school. Buying supplies is the first step to getting ready, which is why Lucas County Children Services (LCCS) is asking members of the community to help provide supplies for children in need. Many of the families working with LCCS lack the resources to send their children to the first day of school with all the supplies they need. LCCS is collecting donations that will be distributed to the growing number of children in need of supplies. The next time you go to the store, consider buying one or two items to donate. LCCS is looking for NEW: backpacks/ book bags, spiral notebooks, pocket folders, binders, and binder paper, #2 pencils, pens (blue or black), colored pencils, erasers, pencil pouches, yellow highlighters, 24pack crayons, dry-erase markers, washable markers, rulers, scissors, white glue and glue sticks, tissues, and disinfectant wipes. Donations can be dropped off at Lucas County Children Services, 705 Adams St. (between Erie and Ontario Streets), downtown Toledo.

The chance to be a daughter, again. ProMedica Home Health Care provides all the services your mom needs to keep her at home, and healthy. We will take care of monitoring her after her surgery, providing wound care, physical therapy, and home medical equipment for you and for your mom. ProMedica is the local health care system that can care for her at every stage from getting her to the doctor to making sure that her medications are working for her. It’s all about being well connected. To connect with ProMedica Home Health Care, call 800-234-9355.

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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 all work should be in the appropriate folder and in your child’s backpack as soon as homework is finished. Purchase an assignment 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.

…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 the TV or computer, it might do him or her some good to get involved in least one after-school activity that doesn’t involve a flickering screen.

Be there Perhaps the most important thing 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 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 go much more smoothly. ❦

Cancer patients getting palliative care are better poised to tolerate treatment

ain, fatigue, nausea, shortness of breath, loss of appetite, insomnia, anxiety, depression, financial worries—these are just a sampling of the distressing symptoms and side effects cancer patients or their

family members might experience as they fight this disease. And it’s much more difficult to wage that battle and maintain the best possible quality of life throughout the disease process and its treatment if these symptoms

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aren’t properly managed. That’s where palliative care comes in. A relatively new medical specialty, palliative care is an integrated approach to managing or alleviating symptoms and distress in both patients and their families. According to Heidi Nichols, CNP, of The Toledo Clinic Cancer Centers, this includes any physical, emotional, psychological, social, or spiritual symptoms or concerns that might arise. Thus it takes a multidisciplinary team of doctors, nurses, psychologists, social workers, clergy, and other professionals to provide comprehensive palliative care. Because every patient is unique, there’s no black-and-white timeframe in which it’s appropriate to begin palliative care and the priority of care can vary considerably. As Nichols explains, “Patients can experience a wide range of symptoms and everyone copes differently. Some patients may become symptomatic and distressed very early in their diagnosis while others may have very few issues early on. Also, depending on the individual, the symptoms may be more physical or more emotional. It’s very individualized, which is why an integrated approach is so important. In general, if a patient is symptomatic, the earlier we intervene with palliative care, the better, and whatever symptom is most distressing to the patient or family gets the highest priority.” Though providing comfort is an important aspect of palliative care, its impact goes far beyond that for patients and families alike. Studies show that when cancer patients’ symptoms are controlled through palliative care, they tend to have better strength and endurance and are better able to tolerate their treatment regimen. In contrast, patients who are tired, fatigued, and emotionally drained are less likely to tolerate therapy, which can affect their outcomes. Of course, alleviating the patient’s symptoms and distress also makes life much easier for family members who may be feeling overwhelmed by all the extra burdens and responsibilities that constant caregiving imposes on them—an added level of stress that can put their own health at risk. “Anytime we can prevent or reduce symptoms in a patient, it gives family members more strength and energy to fulfill that critical caregiver role,” says Nichols. It’s important to understand that

palliative care is not just for cancer patients. Supportive care to control symptoms and eliminate distress can be beneficial for a wide range of serious disease processes, such as congestive heart failure, chronic obstructive pulmonary disease (COPD), kidney failure, and many others. What’s more, it’s a very common misconception that palliative care is the same thing as end-of-life hospice care. Both forms of care use a multidisciplinary approach and are similarly focused on alleviating symptoms and distress in patients and families, but they differ from one another in key ways. “Hospice is for patients with no curative diagnosis, no reasonable expectation of improvement through treatment, and a limited life expectancy, while palliative care can be provided for any disease and with no restrictions on prognosis, even if aggressive curative treatments are being given,” Nichols explains. Palliative care also differs from hospice in that it may include the use of physical therapy, physiotherapy, and other modalities to help improve the patient’s strength, function, and mobility, anticipating that he or she will recover and eventually return to normal activities of daily living. Hospice, on the other hand, is more focused on managing symptoms in order to maximize comfort and minimize stress during the end-oflife transition. Whatever symptoms their patients may be grappling with, the overall objective of Toledo Clinic Cancer Centers’ palliative-care team remains the same: “We do anything we can to eliminate distress for patients and their families and put them in a better place to tolerate treatment and recover faster,” Nichols states.❦ Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified 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. For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105 Toledo, OH 43623

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OF THE MONTH Baby University

ince 2007, Mosaic Ministries (formerly Western Avenue Ministries) has been facilitating positive transformation to Toledo’s south side, one of the poorest neighborhoods within the city of Toledo. In addition to assisting with housing, food, and employment, we achieve this transformation by empowering people to break the chains of poverty through education, enhanced parenting skills, and stronger families. Education has been recognized as one component in lifting people out of poverty and achieving an enhanced quality of life. With cradle-to-career success as our overarching goal, Mosaic Ministries initiated Baby University in 2010, a free 10-week program for low-income parents of children from birth to three years of age, which informs and challenges parents of young children and expectant parents to take an active role in their child’s development. In each session, parents and children attend separate groups that meet concurrently. The staff provides diapers, gift cards, childcare, and meals at every session as incentives for consistent participation. Outreach workers recruit participants and do home visits with Baby U participants. All participants are connected to a network of programs and resources that collaborate with Baby University. Since its inception, over 400 parents have graduated from Baby University. Baby University operates throughout the school year in 10-week sessions. Every Saturday, parents attend class with Kelly Kaiser while their children, ages six weeks through kindergarten,

attend their own sessions with trained childcare educators Baby University gives parents the tools to help their children thrive, such as how to read to their children, how to parent effectively with loving discipline practices, and how to build self-esteem and praise their children. Parents receive books for their children, and outreach workers do home visits and connect all participants to a network of programs and resources that collaborate with Baby University. Children are more successful if they are read to at least 15 minutes a day, disciplined in effective and loving ways, provided quality health care, and nurtured in loving relationships with parents. While research has shown that high-quality preschool dramatically improves outcomes in low-income children, it is also proven that loving relationships during the early stages of life help the development of the hard-wiring of the brain in learning, memory, and stress response, allowing children to become better learners later in school. Baby U connects families with much-needed social services including safe housing, mental health services, heating assistance, medical care, GED

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classes, job training, hot meals before and after each session for children and parents, food pantry, clothing closet, diapers, and other incentives. In addition to the Baby University classes for parents and early childhood experiences for the children, Baby University includes breakfast and lunch for parent and child, food assistance, clothing assistance, a medical clinic, and transportation if needed. Baby University offers a graduate class for those participants who wish to continue, called “Getting Ahead.” This class helps participants achieve additional life goals in budgeting, employment, housing, and stability. This successful program is the first step in a transformational pipeline for South Toledo Children’s Zone, affecting 6,600 households beginning with Baby University and eventually progressing to preschool, summer learning programs, charter K-12 grades, and after-school tutoring. ❦ For more information about Baby University, including volunteer and donor information, visit www. babyutoledo.com or contact Kelly Kaiser at 419-346-9425 or Kelly.kaiser@ wamteam.org.

You’re invited! September special events at St. Clare Commons

s part of their ongoing effort to connect with the broader community, St. Clare Commons, a Franciscan Living Community located at 12469 Five Point Road in Perrysburg, is offering two special events in September that are open to the public. One promises to tantalize your taste buds, the other to soothe your stress!

Perch Fry, September 8 On Thursday, September 8 from 3:00 to 6:00 p.m., St. Clare Commons will be hosting a Perch Fry, courtesy of Port Clinton Rotary, and everyone in the community is invited. Fish aficionados can enjoy a perch sandwich for $10.00, perch sandwich platter* for $12.00, perch taco for $7.00, or a perch taco platter* for $8.00. (*Platters include

fresh hand-cut fries and coleslaw.) Not a fan of fish? No worries! They’ll also be serving up brats for $3.00 and hot dogs for $2.00. Handcut fries will be $2.00 and $3.00 for small and large orders respectively, and pop and water will be available for just a dollar. Dessert is on St. Clare Commons! “This will be our first-ever Perch Fry, and everyone is welcome to attend. We’re anticipating a really amazing turnout!” says Lindsay Duke, Director of Admissions/Marketing for St. Clare Commons.

Caregiver Expo, September 15 Recognizing the challenges and stress family caregivers can experience when putting such intense focus on a loved one’s needs, St. Clare Commons is offering a special Caregiver Expo just for them on Thursday, September 15 from 1:00 to 3:00 p.m. “The Expo is an opportunity for caregivers—who always give so much

of themselves—to be on the receiving end of pampering for a change,” Duke says. “The day’s services and activities will include massages, Tai Chi, art therapy sessions, and a presentation by a psychologist on stressrelief strategies for caregivers. They can bring their loved one with them, and we’ll provide the care while they enjoy the pampering. It’s all about setting aside worries and stress and just relaxing for a few hours.” And when the Expo ends, participants won’t leave empty handed! Caregivers will go home with dinner for themselves and their loved one, prepared by St. Clare Commons’ chef, as well as with a relaxation CD and other pampering gift items. The Caregiver Expo will be limited to 30 participants, so those interested in attending are asked to RSVP by the preceding Monday, September 12, at 419-931-0050. ❦ For more information on the Perch Fry, Caregiver Expo, or any other programs, services, or amenities at St. Clare Commons, please call 419-357-8926.

Leave your worries behind and discover St. Clare Commons. Our Assisted Living offers exceptional amenities in a beautifully designed setting including executive chef prepared meals, weekly happy hour, piano lounge and more! For a personalized tour, call Jean at 419.357.8926.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2016

New Age OrthOpedic treAtmeNt New! Live Stem Cell Joint Injections

New science shows that amniotic stem cell injections in the joints can restore motion and relieve pain by healing aging and damaged tissues in the joints. Dr. Whitted can administer an injection to the shoulders, hips, elbows and knees – with dramatic results of healing and pain relief. Let Dr. Whitted and his staff tell you more about this fascinating new area of science in the field of orthopedics.

Non-Surgical Joint Treatments Hip, Knee and Shoulder Surgery Total Joint Replacement Dr. Glenn E. Whitted

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Dr. Glenn Whitted is a medical doctor and orthopedic surgeon, Board Certified in Orthopedic Surgery since 1994. He is fellowship trained in Joint Reconstruction, an accomplishment achieved by fewer than 20% of orthopedic physicians. His goal is to deliver personalized care, and to work with you to develop a treatment plan tailored to your special needs.

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Nobody’s Per f ect Sister Karen Zielinski, OSF

Is sleeping in a recliner unhealthy?

any of us have done it. We grab our current book or slip in a DVD and settle back to watch a movie. Then, hours later, we wake up. We missed the whole movie because we fell asleep in our recliner. After we turn off the TV, we might make a bathroom stop and go to our bed. But many people return to their recliners and call it a night. They sleep in their chairs. And that might not be the best thing to do for our bodies. Or is it okay? Some people sleep in a recliner because they cannot transfer easily into a bed. Others might have respiratory problems and breathe better sleeping with their head in an upright position. But is there an advantage to sleeping horizontally in a bed? The average person spends about a third of their life sleeping. That is a lot of time, and sleep can ensure that a person does not do any physical damage to their body. Sue Noethen, LPTA, from Concept Rehab, recommends that people sleep in their beds. She says, “If you can, sleep in your bed. Continual sleeping in a recliner can result in knee and hip contractures. That is the tightening of the muscles over the joint which can limit upright posture and standing. Those contractures can throw off your center of balance and increase the risk of a fall.” People who can’t sleep in a conventional bed have turned to recliners as a solution. The fact that doctors sometimes suggest recliners to patients and do not report health concerns indicates that it is not unhealthy. It is quite common for pregnant women to find sleeping in bed uncomfortable—especially as they approach their due date. Moving to a recliner has allowed many women to sleep

much easier. People who suffer from acid reflux (GERD) say sleeping in a chair on their left side eases discomfort. Heart bypass patients have reported that they have been unable to sleep on their sides for many weeks after their operation. Sleeping in a recliner allows them to get restful sleep. Sleep apnea is a disruption in the breath during sleep resulting in oxygen deprivation. Some people suffering from sleep apnea report positive outcomes when sleeping in a recliner, which they attribute to sleeping in an upright position. Those suffering from osteoarthritis or spinal stenosis may be advised by a doctor that sleeping on a recliner might enable them to sleep. The reason given is the ability of the recliner to elevate the head and knees. There are three basic positions we take on when we sleep in a bed: on our backs, on our sides, and on our stomachs. There are many theories of what these positions do to our bodies. About two-thirds of people sleep on their sides. So what should a person do? Sleep in a bed or on a recliner? I asked Michael Ozamoto, Senior Ergonomics Specialist at the UCLA Office of Environment, Health & Safety, if it is better to sleep in a recliner or a bed. He replied, “It depends on your positioning, the recliner, and your sleep preference. Sleeping in a bed or recliner reorients the spine from a vertical position that compresses the spinal discs (standing, sitting) to a horizontal position that decreases pressure on the spine and allows fluid to return to the discs. Sleeping in a recliner but leaving it in a locked, upright seated position increases spinal pressure compared to sleeping on a bed or reclining and elevating the feet.”

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He added that some users experience difficulty getting into or out of large cumbersome recliners and could benefit from automated or low force recline mechanisms. Back sleepers will find recliners comfortable, while side sleepers and stomach sleepers will find them less so. Back sleepers who snore or have other obstructive breathing disorders will like recliners as they offer an easy way to elevate the head and open the airway. So, at least the question is raised: What is the best place for you to sleep? Talk to your healthcare professional, and be aware of your body when you

sleep in a bed or a recliner. Read up on some sleep websites to see what might be best for you. Good night. ❦ 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.

HEALTH CROSSWORD by Myles Mellor • ilovecrosswords.com • Answers on page 12

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It restores gynecologic health by generating

MonaLisa Touch laser treatment is a simple It restores gynecologic healthprocedure by generating new collagen, It new restores gynecologic health by generating collagen, elastin and vascularization MonaLisa Touch laser treatment that takes less than 5the minutes. athe simple procedure elastincollagen, andisin vascularization in vaginal tissue. new elastin and vascularization vaginal tissue. is a simple procedure

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: I’ve noticed tinnitus, or ringing in my ear. What should I know about it?

: Recently, a surplus of attention has been given to tinnitus and ringing in the ears because of the high percentage of adults affected by tinnitus who are looking for answers. They also want to learn how to handle tinnitus and hearing loss, which is sometimes associated. Tinnitus affects over 50 million Americans, according to the American Tinnitus Association. It’s described as ringing, buzzing, roaring, hissing, or whistling sounds, which may be in one ear or both, in the presence of no external noises. These sounds can vary in volume and intensity and are most noticeable when you are in a quiet environment. Many patients are aware of it at night when they are trying to fall asleep. For the majority of us, tinnitus may be barely annoying, but some describe it as extremely disruptive to their life. You should try to identify the cause of your tinnitus. It isn’t a disease but a symptom that can be caused

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by several things, such as exposure to loud noises, impacted cerumen (wax), ototoxic drugs, various medical conditions, and aging. A complete physical examination and tinnitus evaluation by an audiologist, including a hearing test, is recommended. We have been seeing patients with tinnitus for several years. Tinnitus is treatable, and the treatment approach may vary depending on the cause. For instance, if it’s due to a medical condition such as high blood pressure, the goal should be to reduce your blood pressure, which will, in turn, reduce the tinnitus. If the ringing is due to a related hearing loss or damage caused by exposure to excessive noise, there are hearing aids that can provide relief through “Zen” programming. And, of course, it’s also important to recognize the relationship between stress and increased tinnitus. Managing your stress through relaxation measures or exercising will reduce the effect of the tinnitus. No drug has been approved by the FDA to treat tinnitus, but anti-anxiety medications, antidepressants, and antihistamines have been reported to help. Northwest Ohio Hearing Clinic has several options to help treat tinnitus, tinnitus retraining therapy being one to consider. Feel free to contact us to discuss your situation. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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12 August 2016 | Healthy Living News

Q A

One hospital stands apart by providing more experience. St. Luke’s is one hospital, performing more robotic-assisted surgeries than any other hospital in the region. Whether you’re having general surgery or a highly specialized gynecological procedure, you’ll recover faster and with less pain – all from the comfort of a warm, suburban setting. Plus, we’re the only area provider that accepts every major insurance plan.

We’re St. Luke’s Hospital. One hospital that stands apart.

Wondering if robotic-assisted surgery is right for you? Visit StLukesHospital.com

5901 Monclova Rd. Maumee, OH 43537 | 419.893.5911 Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2016

IT’S TIME

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ummer is still here, but it is almost time for back-to-school and to start thinking fall sports and activities. You spent the earlier part of the year establishing a health-and-fitness routine to get ready for the summer. When it arrived, you had a healthier attitude, a positive outlook, and a more toned physique. But as we all know, summer, with all its fun and relaxation, can be tricky when it comes to maintaining our fitness. Bad habits that we stopped before can creep in slowly over the summer. You start skipping some workouts because it’s either too hot or you have too much to do. You indulge a little more in the foods and drinks that aren’t the best for keeping your weight in check. It happens little by little, one small choice at a time. Here are a few common reasons you can gain weight during the

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summer and some ways to prevent it: Disrupted sleep: Summer brings more daylight and longer days, and the sunshine can impact our circadian rhythms. If we don’t get enough sleep, our bodies typically respond by packing on a few extra pounds, so make sure you get at least seven hours of sleep each night. Heat: Heat and humidity drain us of our energy, causing us to move less. The less we move, the more our metabolism slows down and the fewer calories we burn. We need to find a way to move and move with a purpose. Travel time: Summer typically brings about more travel, and while

traveling, it is usually more difficult to eat healthy. Before you travel, figure out the healthy snacks you are going to take along with you and plan on selecting the healthier options when you stop for a meal. Cookouts: Cookouts, family and friends getting together, it wouldn’t be summer if we didn’t do these things. They are fun, but they also present us with challenges. When we get together during these times, we are more apt to eat more of the unhealthy foods that are filled with sugar, calorie-dense, and heavily processed. Don’t overdo it with these foods; look for the fruits, vegetables, and lean meats. Also, limit the sugary drinks and or drinks that are higher in calories. It may be the right time to consider using a personal trainer to help get you back on track. Why do you need a trainer? Just as with many aspects of life, when we get off course, we need to have someone bring us back on to hold us accountable. For our health and exercise program, the person

Enjoy cool jazz at Toledo Botanical Garden

he Jazz in the Garden concert series, a beloved summer tradition at Toledo Botanical Garden, began its season on Thursday, July 9, with weekly performances through Thursday, September 10. This concert series features an array of jazz artists performing a wide variety of styles every Thursday evening from 6:30 to 8:30 p.m. inside the gorgeous grounds of the Garden. The relaxed garden setting and friendly atmosphere has made Jazz in the Garden a favorite Thursday evening destination for Northwest Ohioans and visitors of all ages. Back by popular demand is Po Mo’s Ribs for those wanting to purchase food and beverages. As always, visitors are invited to bring their own picnics and drinks into the Garden and are encouraged to

bring a blanket or folding chairs to kick back and enjoy the cool jazz on hot summer nights. Admission prices are $10.00 for adults, $5.00 for Toledo Botanical Garden Members, and free for kids 12 and under.

Remaining 2016 Jazz in the Garden dates and performers: August 4: 6th Edition August 11: Ramona Collins August 18: Straight up August 25: Mike Lorenz September 1: Quartet Bernadette September 8: Soul Hustle. The Ohio Arts Council helped fund this program/organization with state tax dollars to encourage economic growth, educational excellence, and cultural enrichment for all Ohioans.

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to assist us is the personal trainer! Celebrities have success in taking the pounds off and toning up because they use coaches and trainers. More than 91% of people that start an exercise program quit early on. Sixty-one percent will give up within the first few months. Why is that? Because changing your lifestyle is hard and getting fit requires time, determination, and support. If any of these components is missing, the odds at being successful in your goal and plan drop significantly. The good news is, this support piece can guarantee that the other two are not lost. A personal trainer can be very helpful in all three areas: 1. A personal trainer will help with time—finding time in your schedule to work out and keeping you involved long enough to reach your goals. 2. A personal trainer will help you keep your determination. The trainer will remind you why you

are doing what you are doing, help you move past obstacles that arise, and talk you out of excuse making. The trainer will keep you moving forward. 3. A personal trainer will support you as your source for practical, stepby-step instructions for building health. A trainer will design a fitness program that is right for you with the right exercises to accomplish your goals. Don’t try to go it alone; we all need help. Position yourself for success! As I stated earlier, many people are starting to think about fall sports—football, soccer, and volleyball—and one injury that becomes more newsworthy this time of year is concussion. Most discussions about concussion center around football, but concussions can happen in other sports, at home, at school, on the playground, and anytime the brain is jostled quickly. Concussions can happen with an impact to the head,

but they can also occur with a quick, forceful jostling of the head. However they’re caused, concussions can be very scary for everyone involved. The signs and symptoms may be very minimal and last only a short period, or they may be more severe and last longer. If a concussion occurs in a sport, at school, on the playground, or at home, you should: • Pull your child from that activity. Don’t let them continue in that activity until the concussion has been addressed correctly. • Monitor for concussion symptoms. Headache, dizziness, sensitivity to light or noise, difficulty concentrating, and forgetfulness are some of the major signs. • Get in to see your physician as soon as you can. You know your kids and how they act. If their behavior has significantly changed, go to the emergency room to have them checked to make sure nothing more serious is going on. Remember, if the concussion hap-

pens during a sporting event, game, or practice, your child will not be able to return to that sport until they are cleared to return by their physician. If your child is in school, you’ll need to meet with the teachers and administration to work through a Return to School program. With our Return to Play and Post Concussive Rehabilitation programs, Heartland Rehabilitation Services can help individuals who have signs and symptoms that last longer than two weeks. Heartland Rehabilitation Services’ clinicians have all gone through intensive training in Concussion Management. Call Heartland Rehabilitation Services if you have questions about concussions, or contact Jim Berger at the phone number below. ❦ Heartland Rehabilitation Services, provider of outpatient physical and occupational therapy, offers a full complement of wellness services, including gym memberships, personal training, Pilates, SilverSneakers, and more. Contact Jim Berger, Area Manager, at 419-787-6741 or jberger@ heartlandrehab.com.

•

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Rates from www.mercyweb.org/ & www.promedica.org/ as of 06/16/2016 PROMEDICA https://www.promedica.org/Public%20Documents/TH-TCH_Pricing_Sheet.pdf https://www.promedica.org/Public%20Documents/FH_Pricing_Sheet.pdf https://www.promedica.org/Public%20Documents/BPH_Pricing_Sheet.pdf

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MERCY http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Anne%202016.pdf http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Charles%202016.pdf http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Vincent%202016.pdf

16 August 2016 | Healthy Living News

Toledo*

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Fieldstone Villas at Sunset Village

as their health status and functional abilities change—so they never have to worry about moving to a different community just because

Forget what you think you know about senior living!

unique concept in senior living—Fieldstone Villas at Sunset Village—will soon come to fruition on the Sylvania campus of Sunset Retirement Communities. Located in a luxuriant, park-like setting complete with walking paths, lush landscaping, and beautiful views overlooking ponds and meadows, Fieldstone Villas will redefine the traditional image of a retirement facility while freeing residents from the burdensome chores of homeownership. Residents of this 12-unit Life Plan Community (formerly called a CCRC) will quickly forget any preconceived notions they may have about senior communities being impersonal, sterile, and institutional. The opulent, well-appointed villas come in six

different floor plans and offer a wide range of features and amenities, including two bedrooms, two baths, all appliances, granite countertops, ample storage, laundry rooms, garages, patios, some sunrooms, and plenty of natural light and serene outdoor views. What’s more, Fieldstone Villa residents who require physical rehabilitation services will have access to a brand-new, state-ofthe-art rehab facility, which boasts a warm-water therapy pool and 15 private, apartment-style suites. Residents will also appreciate the fact that, as members of a Sunset community, they can access more care services

their needs have increased. At Fieldstone Villas, “maintenance-free” means just what it sounds like—all aspects of home maintenance, both inside and outside, will be provided. That includes lawn care and snow removal, preventive maintenance, appliance and plumbing repairs, and even bi-monthly housekeeping. According to Senior Villa Advisor Felice Wolff, handling all aspects of home maintenance is just one of the many ways Fieldstone Villas will encourage residents to live their lives to the fullest. “We will also offer

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social and cultural activities, exercise opportunities, classes, and meals,” she says. “In addition, once you are living at Fieldstone Villas, you and your family will never be burdened with the decision of moving again. You have guaranteed priority access to higher levels of care should you need it, and, should you outlive your financial resources, Sunset Communities will always be your home.” Freed from tiresome and time-consuming household chores, Fieldstone Villas residents can focus more energy and attention on their health and fitness as well. Among Sunset’s many offerings and services that promote a healthier lifestyle are exercise classes and equipment and monthly visits from a wellness nurse, during which residents can monitor their blood pressure, ask questions about their health concerns, or participate in a wellness class. Of course, living life to the fullest is also about ongoing personal growth—something Sunset strongly encourages in all their communities. Wolff notes that Fieldstone Villas will offer a life-enrichment calendar chock full of educational and cultural activities, all based upon residents’ preferences. “Options may include a SUNSET VILLAGE

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2016

MISSION: E L B I S POS

Lucas County Children Services is on a mission: Sign up 400 new foster homes in 2016.

Investigate for yourself! Talk to your family about fostering, and learn about the need in our community. Then, check out our free training program and the resources we provide to help your family welcome new members, including ongoing training, financial assistance, and the help of supportive caseworkers and other foster parents. Check out our upcoming classes, all at LCCS offices, 705 Adams St.:

Tu/Th evenings, 6–9 p.m. Sept. 6 – Oct. 13 Saturdays, 9 a.m.–4 p.m. Oct. 15 – Nov. 19

class on cooking for two, the history of the Sylvania area, architectural designs found around our community, or a tea tasting. Or we may plan outings to the art museum, maritime museum, or the symphony. It’s entirely up to the residents to determine which classes and outings we offer,” she says. Area seniors who are interested in

Your medications come organized by date and time, securely sealed in individual, easy-open packages. So when it’s time to take your next dose, you just tear the package off the pack and your pills are there. That’s all there is to it: no boxes, no bottles, no bother. Call us to transfer your prescriptions today! Our Services Include: • FREE Specialized blister packaging for your prescriptions • FREE local prescription delivery • Guaranteed lowest cash prices including $4 Generic prescriptions • Medical supplies and home medical equipment • We accept all insurance plans!

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18 August 2016 | Healthy Living News

To learn more about Fieldstone Villas at Sunset Village, please call Sunset’s Information Center at 419-386-2686.

Do you have “Room for One More”? by Dusti Minier

o…I am not asking for a ride to the movies. I am talking about Lucas County Children Services (LCCS) and its mission to find 400 new foster homes in 2016. LCCS is looking for happy, healthy, and stable families to become foster parents. “We are striving to replenish our foster care network,” says Yvette Muhammad, LCCS placement department supervisor. “Many of the current foster

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

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living independently in an upscale neighborhood setting should not hesitate to explore all that Fieldstone Villas has to offer—interest in the community is high, and the units are going fast! ❦

homes in our agency’s network are aging or being over-utilized due to increased need.” When there are not enough foster homes within the LCCS network and the number of children who cannot safely remain with parents or relatives continues to grow, the agency must often resort to using other networks to find homes. This can lead to siblings being split up or children being taken out of their community. “We don’t want that for any child. That’s why we need foster parents,” says Muhammad. Over the course of this year, the LCCS recruitment committee has been working hard to achieve its goal of licensing 400 new homes. Staff members have attended farmers markets, parades, and festivals as well as other community events. “Our goal has been to be out in the community as much as possible,” says Celine Woods, LCCS recruitment specialist. “We want to be able to talk to people, answer their questions, and address any concerns they have

about being a foster parent.” Significant progress toward this year’s goal of 400 homes has already been made. LCCS has licensed more new homes since January than during any one-year time period in the last five years, according to Muhammad. LCCS employees have shown a remarkable amount of support towards achieving this goal. “We have had more staff involvement this year than any of the past 29 years I have been here,” says Deloise President, adoption department supervisor. “We have 26 staff members on the recruitment committee, and that is just phenomenal.” Although many people question whether or not they are foster parent material, LCCS staff encourages those who are curious to call and ask questions. “There are a lot of misconceptions out there that people have in regards to being a foster parent. We are looking for people from all walks of life,” Muhammad says Some common misconceptions about being a foster parent include that you must be married or a stayat-home parent. In fact, you can be a single foster parent and have a fulltime job. Some people worry they are too old or not suited because they have no kids of their own. Neither of these factors will keep someone from being a foster parent. Others might be concerned about not being “rich.” You only need to show that you have enough income to meet your personal needs. Some people might think they are not trained to be a foster parent when, in fact, LCCS provides the training and resources needed to become a foster parent. They also provide ongoing financial support and other supports to help families welcome a new member. “The

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main concerns people have about becoming a foster parent are about daycare, financial strain, providing clothes, and medical care, but we can provide support for all of those needs,” Woods says. Lucas County Children Services would like to thank the members of the community who have already expressed interest in becoming foster

parents. Anyone interested in learning more or with questions can call 419213-3336. The next training sessions begin September 6 (Tuesday/Thursday evenings, 6–9 p.m.) and October 15 (Saturdays, 9 a.m.–4 p.m.). We hope to see you there! ❦ Dusti Minier is a public relations intern with Lucas County Children Services.

Mercy Health Sports Medicine Bump Clinic helps area athletes stay in the game

and valet parking will be available for athletes and families. According to Dr. Rogers, athletes injured either at Friday’s game or during the preceding week can report to the Bump Clinic for registration on Saturday morning; get any x-ray imaging that needs to be done; and see a physician, who will evaluate the athlete and his or her x-rays. “The physicians are either orthopedic or primary-care doctors, and most are sports medicine fellowship trained,” he adds. “Beyond the Saturday morning Bump Clinic, any athlete, young or old, may be seen in our 7:00 a.m. walk-in sports medicine clinics. These

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rom young athletes playing at the junior-high or high-school level to adult competitors and “weekend warriors,” no one likes to be sidelined from their favorite sport by injury. Getting back in the game and supporting the team is an important element of every athlete’s ethos. To help injured athletes in our community return to play as quickly and safely as possible, Mercy Health Sports Medicine will be offering a Saturday Morning Bump Clinic at Mercy Health – St. Vincent Medical Center beginning this month and continuing through the fall sports season. “The Bump Clinic will operate from Saturday, August 6 through the first week of December,” states Burton L. Rogers, Jr., ED.D, MBA, Med, ATC (Ohio and Michigan), PTA, Regional Administrative Director of Mercy Health – Toledo’s Sports Medicine program. “The clinic, which begins at 7:00 a.m., will be held in Mercy Health – St. Vincent Medical Center ’s orthopedic department,

appointments are made through the Mercy Health Sports Medicine Hotline number listed below.” If the injury warrants physical therapy, it will be initiated that same day, and any athlete seen for physical therapy on Saturday will also be treated on Sunday at Mercy Health Sports Medicine’s Sunforest Court clinic. In addition, all appropriate documentation will be put in place and the athlete’s trainers and coaches will be notified of his or her playing status, typically by noon on Saturday, so they know whether the athlete will be returning to play for next week’s game. “Our objectives with this clinic are to get injured athletes in, get them evaluated, start treatment, and communicate with families, coaches, and trainers so everyone is aware of the athlete’s status,” says Rogers. The Bump Clinic is also well poised to treat athletes with concussion or suspected concussion—a major concern at all levels of play today, from youth sports to the pros. Concussed athletes who come to the clinic should bring along their ImPact and SCAT3 testing (Immediate Post-Concussion Assessment and Cognitive Testing and Sports Concussion Assessment Tool, respectively) so the treating physician can evaluate the results of these assessment tests. Rogers notes that because the Bump Clinic team must comply with

Ohio House Bill 143—Ohio’s youth concussion law—any presenting athlete who has a concussion or is perceived to be concussed must be restricted from participating in the sport for 24 hours, be seen by a physician, and complete five days of functional progress to return-to-play under the guidance of a licensed athletic trainer and the physician. “If

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YOU CAN CHOOSE! You have the right to decide where to go for rehabilitation. Let your doctor know that you choose a Lutheran Homes Society ministry for your recovery. We have four locations to serve you: Lutheran Village at Wolf Creek (Holland) 419-861-2233 Lutheran Home at Toledo 419-724-1414 Lutheran Home at Napoleon 419-592-1688 Lutheran Memorial Home (Sandusky) 419-502-5700

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20 August 2016 | Healthy Living News

For more information about the Saturday Bump Clinic at Mercy Health – St. Vincent Medical Center, please call 419343-0005.

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24/7 Sports Medicine Hotline at 419754-PLAY(7529). Anyone can call this number, literally at any time, and connect with a licensed athletic trainer who can answer questions and give specific directions on how to deal with a sports-related injury or concussion. ❦

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the athlete gets through those five days with no relapse of symptoms and chooses to resume playing, he or she will be cleared to do so. On the other hand, if symptoms return, for example, on day three, the process automatically starts over at day one. Once the athlete is cleared, a document is signed and stored in the administrative files of the particular school,” he says. In addition to the Saturday Bump Clinic, Mercy Health provides a

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or thousands of years people have sought help for pain, anxiety, depression, and post-traumatic stress disorder through acupuncture. As this discipline has gained increased favor with Western practitioners, more and more insurance companies are including these treatments in their coverage. In the last few years, the federal government has had trouble treating veterans with chronic pain and with anxiety-related post-traumatic stress disorders. The proliferation of veterans addicted to powerful pain narcotics has created a backlash and the desire to seek treatments that offer fewer long-term consequences. Acupuncture is just one of several new alternative medical therapies offered at the VA to try to address pain and mental health. Our office was one of the first clinics to join the VA in an experimental program designed to help veterans with chronic pain and mental-health issues. This experiment is now expanding under the Veterans Choice program to include many additional clinics that can offer outpatient alternative medicine treatments not usually available directly through the VA centers. James Gavin was a typical Marine vet patient. Sitting up on the exam table, he was preparing for his first acupuncture treatment. He talked about how he was injured in a rollover accident while in the service. He underwent three surgeries: the first to fuse his spine with metal rods, the second to remove a broken rod, and the third to remove scar tissue that was pinching nerves in his back. The end result of all these surgeries was horrid, debilitating pain. His story is a common one. He was prescribed increasingly heavier

doses of opioids. “I’ve been taking pills and the patches for years now. The doses keep getting higher and higher. At some point between the pain and the drugs I can’t even think straight anymore,” he said. Gavin related a common story with veterans. Gavin is not unusual. Prescription of opioids has increased year over year with veterans, and with that, the National Institute on Drug Abuse reports that prescription drug abuse is higher among veterans than with the general population.

Gavin talked with his VA doctor about an alternative treatment for his pain. His doctor suggested he give acupuncture a try and referred him to our office. Our goals were to try to lower the pain in his back with a specialized kind of acupuncture called electrostim acupuncture. The idea being to lower his dependence on opioid medication and gradually wean him off strong drugs. Gavin sat patiently as thin acupuncture needles were placed along his spine. Some were placed in his ear to stimulate additional pain relief. Once the needles were in place, little wires to a microstim generator were attached to the spinal needles and a pulse of low-level stim was sent through the needles. This technique amplifies the energy available for healing and helps to break down inflammatory acids that tend to build

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up in the scar tissues around his surgical site. “That feels pretty good,” Gavin said as the stim was turned on. His self-reported pain before treatment was an 8 out of 10, with 10 being absolute agony. After a few minutes with the stim turned on, Gavin reported that the pain dropped to about a 3 or 4. Gavin was treated for a total of 20 minutes. “I think I fell asleep those last few minutes I was so relaxed,” Gavin volunteered as the needles were removed and he sat up. Following the treatment, Gavin received a few gold “beads,” about the size of a grain of rice, in his ear. These stimulate acupuncture points between visits and help reinforce the main treatment. They last a couple of days before falling out on their own. James Arron was the next veteran up. An officer who served in Iraq during the Gulf war, he has been plagued with nightmares, anxiety, insomnia, and depression since returning stateside. Diagnosed with post-traumatic stress disorder, he was initially prescribed several medications that left him feeling, in his words, “mentally impaired.” His doctor at the VA suggested that an alternative medicine technique like acupuncture might be worth a shot and referred him to our office. “Ever since I got back from the Gulf I’ve had issues with sleeping and severe anxiety attacks,” said Arron. “I lay awake tossing and turning all night long, and when I do sleep, I experience recurring nightmares and wake up drenched in sweat.” He went on to say, “I have tried at least five different medications, but they either don’t help or leave me so doped up I can’t function.” In Arron’s case, we tried a more holistic approach. We performed an Electro Meridian Imaging (EMI) examination, which allows us to measure the Qi (pronounced “chi”) energy of the major channels within his body. From this study we were able to deduce that he had a predominate Yin energy deficiency in his Heart acupuncture channel. Such deficiencies commonly give rise to physical symptoms such as anxiety, restlessness, palpitations, insomnia, dream disturbed sleep, poor memory, and night sweats. This was very much Arron's presentation.

Based on his EMI pattern, we devised a set of treatment points to address Arron’s complaints. Several points were needled in the ear, wrist, and ankles for 20 minutes each. He reported a deep sense of relaxation halfway into the first treatment. From here we will set him up on a twice-weekly treatment program for a few weeks to get his symptoms under control, and then we will likely see him twice

monthly to maintain the correction. Alternative medicine techniques such as acupuncture are starting to explode into the mainstream of Western medicine. While certainly not a cure-all for chronic pain and anxiety-related conditions, they are one more effective tool in the arsenal of treatments. Veterans interested in acupuncture treatments can get a referral from their VA doctor for outpatient treatment under the Veterans Choice program. ❦

Dr. Schwan is available to speak to your group on a wide variety of alternative medicine topics, such as chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic and president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time standup comedian. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2016

by Kat Tomasewski

Awesome resources for back-to-school meal planning

s a child, I was a bit like Sue Heck (from The Middle TV show on ABC). I always enjoyed and even looked forward to going back to school. I adored the novelty of it all: new classroom, teacher, books, crayons (to this day I still appreciate a new box of Crayolas), school supplies, etc. The potpourri of anticipation, hope, and possibilities seemed to fill the air. It was invigorating! Fast-forward 20 years, and suddenly I am on the other end of backto-school. Now I am the individual responsible for making certain the children receive those new boxes of Crayolas in addition to the other million items on their school-supply lists. And let me just say, Bruce Banner becoming the Hulk is a walk in the park compared to children transitioning from their lazy summer routine to their regimented backto-school routine. The novelty of back-to-school has definitely worn off, the anticipation deflated, and that invigorating feeling has been

replaced with a sense of impending doom (well, maybe not quite that bad, but you get the gist). Back-to-school has become one of the most stressful events of the year. What’s more, in addition to having to purchase school supplies, clothes, etc.; sign kids up for extracurricular activities; drive kids to said extracurricular activities; and help with homework and fundraisers, one must also squeeze in time to meal plan. There just aren’t enough hours in the day! That is why I have collated some resources that can help us parents with meal planning during the chaos of back-to-school:

Door-to-Door Organics No time to tackle the supermarket? Kick back, knock out your weekly

shopping in minutes, and let Doorto-Door deliver all your natural and organic groceries. Door-to-Door Organics is an online grocery-delivery service that partners with hundreds of local farmers and artisans to deliver fresh organic produce, farm-fresh milk and dairy foods, humanely raised meats and chicken, sustainable fish and seafood, and more local, natural foods right to your doorstep. They source organic and local foods whenever possible. Organic Produce Boxes start at $19.99 plus delivery (free delivery on $75 or more). Website: https:// greatlakes.door todoororganics.com

Prep Dish Shop once, prep once, and enjoy healthy, stress-free meals all week! They plan the meals—you savor them. They are with you every step of the way with real food and stress-free weekly menus that truly hit the spot. How it works: They thoughtfully craft a week’s worth of gluten-free

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and paleo meals that feature seasonal ingredients to make the most of your budget, save you time, and surprise your taste buds. Along with a weekly menu, you’ll get a printable grocery list and instructions for prep day—just two hours of preparation yields scrumptious, good-for-you dishes all week long. You select either a monthly subscription ($14 per month) or a yearly subscription ($99 per year). Every Friday you’ll receive a newsletter with links to your meal plan plus recipes and tips. Website: http://prepdish.com/

Wildtree Wildtree offers the highest quality herbs, spices, and culinary blends that are free of preservatives, additives, and fillers and promote a healthier lifestyle. They believe in the value of making cooking a quicker, easier, more healthful project for those who are short on time. Wildtree also offers a fun adventure for those who wish to be more creative in the kitchen. Invite your friends for an evening of relaxation, food, and fun! How does a day or evening full of fabulous food, useful information, all shared with a group of friends and family, sound to you? They give you all the ingredients to throw a wonderful and fun party any time in the comfort of your own home. Their independent representatives will show your guests how to make cooking quicker, easier, and more healthful for those who are short on time. Plus, home tasting parties are a fun, interesting adventure for those who wish to be more creative in the kitchen. (Contact representative for pricing.) Website: http://www.mywildtree. com/katiegaster ❦ Kat Tomasewski writes the wildly popular Mom on the Go in Holy Toledo blog. Kat is a wife and mother living in Northwest Ohio and is a regular contributor to WTOL. She shares her knowledge on healthy recipes, parenting tips, local family friendly activities, and marriage advice.

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22 August 2016 | Healthy Living News

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pain?

Autoimmune Disorders? WHAT ARE STEM CELLS? Stem Cells are unspecialized cells that maintain and repair tissues. Stem cells are unique in that they have the potential to develop into many different types of cells. In regeneration, stem cells may seek out areas that need repair or restoration. Our body’s natural healing process is fairly efficient, but modern science can accelerate the process. WHERE DO STEM CELLS COME FROM? There are primarily two types of stem cells used for treatment: Adult stems cells are present in all areas of the body. Mostly located in the area of small capillaries. They serve as a storage area to be called upon in areas of aging or need. Our fat contains the largest number of such cells, and has become a major source to easily obtain the tissues. Embryonic, which are derived from embryos.

WHAT IS STEM CELL THERAPY? Stem Cell therapy is the process of extracting adult stem cells from abdominal fat and reintroducing them into the body where they can do the most good. The process begins by extracting a few ounces of fat from the patient in a procedure similar to liposuction. Once the fat has been harvested, it undergoes a series of steps to separate and isolate the stem cells. The stem cells are then re-introduced to the body by IV and/or by injection, for more localized treatments. Localized treatments can help with back, knee, shoulder, and other joint pain. In addition, stem cells can be applied to the face, neck and scalp, using a micro-needle system, to give the patient a more healthy and youthful look. The treatments are outpatient procedures, conducted in a sterile environment in your doctor’s office, utilizing state-of-the-art equipment. Under local anesthesia and/or sedation, the process is relatively painless and safe, with minimal downtime.

HOW CAN STEM CELL THERAPY BENEFIT ME? Stem Cell Therapy Patients Report an Overall Improved Quality of Life. Stem Cell Therapy has been know to help improve a variety of conditions, including: High Blood Pressure • Diabetes Joint Pain • Chronic Pain • Tingling & Numbness • Fatigue • Dizziness Memory Issues • Anti-Aging Orthopedic & Orthopedic Spine Issues. Stem Cell Therapy patients have also reported higher energy levels, better sleep and overall improved quality of life. No treatment can be guaranteed, and outcomes will vary from patient to patient. Your doctor will conduct an individual assessment to determine the best course of action. HOW LONG DOES IT TAKE TO SEE AN IMPROVEMENT? Individual ailments vary, and the outcome of stem cell therapy depends on your body’s unique healing process. Some patients may experience results immediately, or within just days of receiving treatment. Other patients have taken months to reach optimal resolution of their chronic 11/3/2015 ailment. No one can guarantee the outcome for this, or any treatment. Each patient is unique and results will vary. Your physician will determine a treatment plan tailored especially for your condition that gives you the best chance for success. For more information go to www.StemCellKnowledge.com EliteBeauty.indd 2 EliteBeauty.indd 2

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2016

7:49:08 AM

With Laurels AlterG, woman with rare neuromuscular disease gets edge on gravity

or Julie Isola, having the rare neuromuscular disorder congenital myasthenic syndrome, or CMS, has been a tremendous challenge—and not just from the standpoint of its debilitating symptoms. Having lived with the disease for 41 years as of this month, it wasn’t until just eight years ago that she was accurately diagnosed and started on an appropriate treatment regimen. “CMS causes generalized weakness in every muscle of the body, including the eyelids and throat,” she explains. “For years, I lived with the diagnosis of ‘some form of muscular dystrophy.’ I had muscle biopsies, EMGs, and other testing, but no one could give me a clear answer about what I have. It wasn’t until about eight years ago that my gene mutation was found and I finally got a proper diagnosis.” Around 10 years ago, Isola’s health was failing rapidly, and the need to accurately identify her disorder became urgent. At the very least,

she didn’t want to die not knowing what disease she was fighting. Her journey to identify the culprit took her to several prominent medical institutions.

At Ohio State University, a physician noted that her condition looked like CMS, ran several tests, and put her on steroids. Later she was sent to the Cleveland Clinic, where they did plasmapheresis and other treatments that can be effective in treating the disease

24 August 2016 | Healthy Living News

myasthenia gravis, or MG. “They hoped I would respond, but because I don’t have MG, I not only didn’t respond, but the treatments nearly killed me,” she recalls. From the Cleveland Clinic, she went to the Mayo Clinic in Minnesota. There they performed DNA testing on Isola and her parents and finally discovered the gene mutation for CMS. The medication they prescribed for her was albuterol—a drug more commonly associated with asthma treatment. Isola takes the medication in pill form rather than the inhalant form widely used by asthmatics. Once she was tapered off the steroids and MG medications and began the albuterol regimen, her condition improved dramatically within a short period. “I would say my health took a 180-degree turn within a week of starting the albuterol. I was able to get out of my wheelchair on my own and walk across the room as well as carry a small laundry basket. Prior to that, I couldn’t walk any distance without assistance or carry as much

as a purse. I call albuterol my ‘miracle drug,’” she says. Her dramatic improvement notwithstanding, Isola still has her good days and bad days, noting, “The most consistent thing about CMS is its inconsistency. I still fight the disease every day, and I’ve faced death many times, even since my diagnosis. As long as I listen to my body and slow down and rest when necessary, I’m usually okay, but if I get sick or stressed, my symptoms tend to get worse.” Recently, while waiting for one of her many doctor appointments, Isola learned of a unique form of therapy that might help with her condition. While leafing through an issue of Healthy Living News in a UTMC waiting room, her nurse aide happened upon an article about the AlterG Antigravity Treadmill—a state-ofthe-art therapeutic modality offered locally at The Laurels of Toledo—and showed it to Isola. The AlterG, developed by NASA engineers while studying the biomechanics of exercise in space, uses differential air pressure technology to “unweight” (or “unload”) patients as they walk, stand, or perform various exercises on the treadmill under the close supervision of a therapist. The

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unit can unweight patients as much as 80 percent while allowing normal gait mechanics. Isola was intrigued by the possibilities this technology presented, so her aide offered to call The Laurels for more information. Julie Leidel, Rehab Services Director for The Laurels, invited Isola to visit The Laurels where she could see the AlterG firsthand while the staff looked into her insurance eligibility. Fortunately, her insurance provider agreed to cover the therapy, so she scheduled her first session. “At first, I was a little apprehensive about going to The Laurels because I always thought of the facility as a nursing home, but now I’m so glad I did!” Isola states. “My workouts have always been very limited. CMS makes my body feel like dead weight, so I can’t really use a regular treadmill without putting all my weight on my arms, and I could walk maybe 15 feet before I’d have to stop. But when I got on the AlterG, I discovered I don’t have to worry about body weight and gravity. It was the first time in my life that I could move my feet at that pace. It actually brought me to tears.” Isola also has the highest regard

for her physical therapist, Lynne Nidek, as well as all the other staff she’s encountered at The Laurels of Toledo. “Lynne is awesome, and I just adore her. She and everyone else there have such a positive attitude and are always willing to help you in any way they can. I’ve been to a lot of different therapists over the years, and I’ve found that it’s so important to have good rapport and chemistry between the therapist and patient,” she says. Though she’s used the AlterG a limited number of times thus far, Isola is proud that she just recently hit the one-mile mark and was able to use the machine for 45 minutes with a few breaks. She’s hopeful that continuing to use this advanced technology will help her increase her endurance, maintain her muscle mass, and improve her circulation so the edema she experiences in her feet and legs can eventually be alleviated. “Using the AlterG also helps me emotionally. My whole mood improves when I’m able to work out. So it’s not just about building strength and stamina. The AlterG hits a lot of different areas, both physically and emotionally,” she says. After experiencing the benefits

of the AlterG firsthand, Isola has been spreading the word about this cutting-edge technology to others, including her physician at the Mayo Clinic and members of her CMS support group, many of whom live in Europe or other parts of the world. A common question she gets in response is, “How can I access the AlterG where I live?” For her part, Isola is grateful

that she doesn’t have to travel any farther than The Laurels of Toledo to use this technology. ❦ 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.

BySister Mary Thill

Spiritually Speaking A call for reverence, Part 3 Reverence is the place where religion and science meet. It directly addresses many of the public and private concerns and crises of our times. …reverence is a transformational practice both for individuals and societies. It is a building block for human rights, animal welfare, environmental activism, peacemaking, and more. Reverence can change the world in ways that profoundly benefit all of us. —Frederic and Mary Ann Brussat

everence becomes the subject of this article in light of recent happenings in our country and in

our world. I’ve already written on the subject in my March and April columns, and I feel drawn to reflecting and writing about this crucial topic again. This crazy world in which we live calls for some sanity, and I see an attitude of reverence being one way to bring some sense and sensibility to what is happening here and now. If reverence is the place where religion and science meet, then all the disagreements that seem to spring up due to religious beliefs and scientific progress ought to meet in that place

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called reverence where folks can listen to each other and see where the commonalities are and agree to live peacefully with the differences. As we have learned from history, scientists who have been condemned for their discoveries by some religious leaders (e.g. Galileo vs. the Catholic Church) will eventually be seen as correct by a new generation of religious leaders and scientists who have taken the time to seek the truth with new information. Reverence, not war, allows a transformation to take place at the individual and societal level. If reverence is transformational and a building block for human rights, animal welfare, environmental activism, peacemaking, and more, then we need to get on with this attitude of reverence and begin seeing it as a critical value in our society if we ever want to live peacefully and become the human beings we are meant to be. Would people be killing one another if they truly reverenced human beings for who they are rather than who we thought they should be? Where do we get the notion that we are the ideal person and everyone else should be like us? I learned a

It’s 4 o’clock, what’s for dinner?

long time ago that the world would be boring if everyone was like me. I’m actually delighted to see that we, as a society, are becoming aware of the need to treat animals more humanely and not only as creatures created for our wants and pleasure. What is the purpose of places like zoos and sea worlds if the animals kept there are not treated with reverence? Do we even need such places anymore when social media can bring animals of every kind right into our living rooms, even onto our cell phones? And what about the way the animals we eat are treated as they are raised for our consumption? I’m not ready to go vegan just yet, but there is definitely some truth to our becoming what we eat. How much of what we eat contributes to our poor health and chronic diseases? Do we even reverence ourselves enough to consider the effect that what we eat and drink does influence our body, mind, and spirit? Pope Francis has called us all to reverence our Common Home in his letter to all the people, Laudato si’. It’s been a little over a year now that this call for reverence for our

Walt’s Corner

Not a problem at Walt Churchill’s Market.

Turn to this tantalizing column each month for a healthy, flavorful recipe from Walt Churchill’s Market—like this one for BBQ Ribs from Chef Bill:

BBQ Ribs from Chef Bill

Ingredients for the ribs: Any style of ribs—baby back ribs, spare ribs, beef ribs, etc. The BBQ Chef: Char-IT Fresh Mediterranean Dry Rub Ingredients for the sauce: 16 oz. plain Greek yogurt (such as Fage)10 oz. jar Mina Harissa Sauce (mild or spicy to personal preference) 1 large bunch of fresh mint, julienned 1 Tbs. Alessi Coarse Sea Salt

www.waltchurchillsmarket.com Maumee 419.794.4000 | Perrysburg 419.872.6900 26 August 2016 | Healthy Living News

Directions: Pre-heat oven to 300 degrees. Coat ribs with dry rub, place in a roasting pan, and seal tight with foil. Bake at 300 degrees for 2 hours. Allow to cool in refrigerator with cooking juices for two hours (overnight is best) to allow the meat to rest so it doesn’t fall apart

when it hits the grill. Mix all the sauce ingredients together in a mixing bowl with a whisk until well blended. (This will keep 4 to 6 weeks covered in the refrigerator.) Finish the ribs on the grill, preferably over charcoal or wood chips. Use the juices in the roasting pan to baste while grilling, adding some olive oil if necessary. When the ribs are done, let them rest about 5 minutes. Cover with the already-made sauce or serve the sauce on the side for dipping. You can find all the quality ingredients for this and our other amazing recipes at our Maumee or Perrysburg location.

Courtesy of Chef Bill, Walt Churchill’s Markets.

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home has been circulating around the world, and I’m happy to see so many people embracing its values and premises and calling us to work together for a better world to leave the generations who will follow us. What have I done to show reverence for my home, planet Earth? What recycling efforts do I have and how have I encouraged others to join me in my efforts? Reverence does indeed have the power to change the world in ways that profoundly benefit all of us.

Reverence embraces diversity, reverence gives us patience, reverence encourages compassion, reverence is universal if only we allow it into the very fiber of our being. Please, God, give me reverence and give it to me now! ❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy Health St. Vincent Medical Center. She can be reached at 419-251-3600.

OSTEOPOROSIS

Sticks and stones (and falls and bumps) can break my bones by Christine A. Holliday

B Clinical Research Source, Inc. 419-873-1532

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ones. You’ve got 206 of them (more or less, depending on your age), each with plenty of big jobs. They provide the framework of the body, protect internal organs, allow us to move, and help maintain a necessary supply of calcium. Their red marrow contains stem cells, which can grow into cells with specialized jobs when needed and produces red blood cells to carry oxygen all over the body. Your bones benefitted from your active life as a child and sufficient amounts of Vitamin D and calcium in your diet. You helped your bone health by not smoking or drinking too much but probably didn’t notice when the strength of your bones was at its peak at age 25. You also probably didn’t sense when the protein, collagen, and calcium that are “knit” together to make strong bones started to become porous after age 35, the time at which men and women start to lose .3% to .5% of their bone density per year. If you are a post-menopausal woman, without the bone-strengthening benefits of estrogen, or a man with decreasing amounts of testosterone, you might have learned from your doctor that you are at greater risk of decreasing bone density. While men have denser bones than women and African Americans have higher bone density than Caucasians, all can suffer from easily broken bones as they age. In fact, one out of every

two women and one in four men over 50 will have an osteoporosis-related fracture in her or his lifetime. The result of the weakening of bone density is known as osteoporosis. The name says it all, if you recognize the Greek root words osteo from ostoun (bone) and porosis from poros (pore). It is a condition without symptoms, until a bone breaks. Then something as simple as a stress fracture caused by minimal trauma, like walking or sneezing or coughing or bumping into something, will reveal the extent of damage to the bones. And, if the pain is not enough, there is always the likelihood of lost work time, disability, and a negative change in one’s quality of life as the patient waits for the bone to heal, if it can. Hip fractures that require prolonged bed rest can have further complications, including blood clots that travel from the veins in the leg to the lungs, where they form pulmonary embolisms. Statistics suggest that 20% of women with a hip fracture will die in the year following the injury as an indirect result of the fracture. A spine fracture due to osteoporosis puts a patient at risk for another such fracture within the next few years. Post-menopausal women who have suffered a fracture of the vertebra face an increased risk of another vertebral fracture within a year. So, how can you know if you are in danger of osteoporosis? The

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Healthy bone

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National Osteoporosis Foundation lists several risk factors: • Early menopause and no use of supplemental estrogen • Family history of a hip fracture or osteoporosis • History of anorexia nervosa, an eating disorder, or a low body weight • Hormone treatment for prostate cancer • Older age • Past bone fractures • Rheumatoid arthritis (RA), some digestive illnesses, and certain other diseases • Smoking • Steroid medicine use for a long time (for asthma or other conditions) • Three or more alcoholic drinks per day. Bone density tests can identify the extent of damage to bone health, if any, and can help a doctor prescribe preventive measures or treatment options even before you break any bones. According to the National Osteoporosis Foundation guidelines, there are several groups of people who should consider bone density testing: • All postmenopausal women below age 65 who have risk factors for osteoporosis • All women aged 65 and older • Postmenopausal women with fractures; this is not mandatory because treatment may be started regardless of bone density. • Women with medical conditions associated with osteoporosis. Your health care provider can tell you if you have a medical condition associated with osteoporosis. • Women whose decision to use medication might be aided by bone-density testing • Men age 70 or older • Men ages 50-69 with risk factors for osteoporosis. To do your best to avoid fractures, consider starting with the diet. Adults up to age 50 need 1,000 milligrams of calcium per day. After age 51 for women and 71 for men, that number increases to 1,200 milligrams. Milk is the easiest way to get that

calcium; an 8-oz. glass of it has 300 milligrams. Yogurt is another good choice, as is Swiss cheese (1 oz. has the same 300 milligrams as the glass of milk). Three ounces of sardines give more calcium than that glass of milk, and dark, leafy greens are great sources of calcium. Fortified juices and breakfast cereals deliver plenty of calcium, too, as do calcium supplements. (Watch your intake of the supplements, because too much calcium can lead to kidney stones.) Soy foods, such as tofu, act like estrogen in the body and appear to make soy products and the isoflavones they contain especially useful for women past menopause. Salt robs the body of calcium, so use it sparingly. Vitamin D makes possible the absorption of calcium from our food. Vitamin D supplements can help with that, as can spending a bit of time in the sun. Sunlight triggers the body’s production of Vitamin D, which is crucial for helping to form strong bones. After eating good food, consider weight-bearing exercise, such as dancing, tennis, brisk walking, or bicycling. Activities that put a bit of stress on the bones and muscles force them to work against gravity, which forces the body to produce more bone material, making the bones denser. Pilates-type exercises and yoga are especially helpful in strengthening the spine, which is one of three most likely places for a fracture, along with the hip and wrist. Home safety is another consideration. The website WebMD has several suggestions for those at risk of falling or breaking bones: • Keep all rooms well lit to minimize the danger of bumping into furniture or falling. • Have a sturdy railing on all staircases, and use bathrooms and bedrooms on the main floor. • Install grab bars in bathrooms near the tub and the toilet. • Make certain bath mats and tub mats are made with skid-proof material. • Consider installing shower seats and raised toilet seats, both of which will minimize the need to bend down.

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ARE YOU STRUGGLING TO HELP A LOVED ONE LIVING WITH MENTAL ILLNESS? The National Alliance on Mental Illness (NAMI) of Greater Toledo has 2 FREE programs that can help! • Our Family Navigator can help you find resources and services to help your loved one. Or if you need more ongoing support • Our Mentor Program will match you with someone who understands your struggle. A Mentor will listen, offer support and help you find resources. Mentors can meet with you in person and provide support over the phone.

Also, give some thought to installing showers with a lower threshold. • Remove all cords, throw rugs, or decorative items that make a pathway dangerous for somebody unsteady on his feet. • Make certain shoes are well fitting and not likely to catch on rugs or stairs.

physician will be able to prescribe the correct drug for your particular situation. The National Osteoporosis Foundation (www.nof.org) offers plenty of information about preventing osteoporosis, promoting strong bones, and reducing human suffering through education, advocacy, and research. ❦

Your doctor is the best source of information about your own personal health. If medicine can help, your

Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

EATING WELL by Laurie Syring, RD/LD

If you are interested in either of these programs or have any questions please contact:

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Perfecting the art of lawn care: Results measured in yards

Pick 4 System makes back-toschool lunches as easy as 1-2-3-4

t’s hard to believe it’s back-to-school time already. That means parents are once again faced with the chore of shopping for backpacks, lunchboxes, clothes, and a host of other school supplies. However, based on what I hear from parents, packing lunches has to be the most dreaded back-toschool task of them all. This dread stems from a dilemma all too familiar to parents of school-aged kids: On the one hand, they know most lunches are destined to get thrown away or traded; on the other hand, they feel guilty if they don’t send their little loved ones off to school with proper nourishment. School lunches are always an alternative, but they present their own dilemma. Traditionally, school

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lunches have gotten a bad rap, likely owing to the “mystery meat” and soggy vegetables the cafeteria ladies served up for so many years. Since then, they’ve gotten a healthier makeover thanks to Michelle Obama and celebrity chef Jamie Oliver. However, they’ve arguably become almost too

healthy—to the extent that kids aren’t eating them at all—so the guidelines are easing up a bit now. Anyhow, back to packing lunches. It’s important for parents to understand that lunchtime at school is not about ravenous kids devouring nourishing lunches. As far as most kids are concerned, it is social time and has little or nothing to do with food. Also, keep in mind that your child has maybe 20 minutes to finish eating. If you pack six items representing all the food groups, he or she will be lucky to eat three of them. The good news is, parents can eliminate a lot of the uncertainty surrounding back-to-school lunches by implementing the Pick 4 System. With this system, you make a chart or checklist of Pick 4 food items (see examples below) and place it on the fridge. Make sure these items are kept stocked and within easy reach so kids can grab them. In fact, it’s a good idea to get kids involved in choosing their own lunch foods because that way they’ll be more inclined to eat them. Here’s how Pick 4 works: 1. Pick a protein—for example, turkey or chicken breast, roast beef, tuna fish, hardboiled eggs, peanut butter, or cheese cubes. 2. Pick a drink—preferably milk, 4 to 6 ounces of 100% fruit juice, or water. 3. Pick a fruit or vegetable—baby carrots, pea pods, bell pepper

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strips, salsa, apple slices, banana, melon cubes, strawberries, or orange wedges to name a few. 4. Pick a snack—baked chips, pita chips, pretzels, yogurt, or nacho chips. In choosing foods and beverages for your child’s school lunch, try to limit sugar to the extent possible. (Save sweetened beverages and baked goods for a weekend treat.) And don’t be afraid to think outside the box. Buy a thermos for winter soups or other hot items, or send a container of cold cereal if your kid loves it. Again, they are more likely to eat foods they’ve chosen for themselves. Get creative! Parenting magazines often have great recipes and fun ideas for kids’ lunches. To avoid morning madness, encourage your child to make his or her food choices and set them out the night before. The whole family

can get involved in planning healthy lunches—with you functioning as the gatekeeper. Even if you usually pack your child’s lunch using the Pick 4 System, you can still take advantage of the school’s hot lunch program from time to time. Review the meal calendar with your child each month and choose days that offer food choices he or she enjoys. Also keep in mind that most kids will have an afternoon snack too, so they don’t need to fill up so much at lunch. Remember, lunchtime at school is “Social Hour” for kids. But they’ll be more likely to get at least some nutritious food in their bellies if you make lunch packing as easy as 1-23-4! ❦

Delivering Mobility SolutionS

Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Sylvania Franciscans honor 12 Jubilarians

he Sisters of St. Francis of Sylvania are pleased to announce that 12 Sisters recently celebrated anniversaries of religious life. Six Sisters celebrated 60 years and six Sisters celebrated 50 years of “joyful servanthood among all people.” The Jubilarians were honored at a Liturgy on June 25 in Our Lady Queen of Peace Chapel on the Motherhouse grounds in Sylvania followed by a lunch for family and friends in the Franciscan Center.

60 years Sister Donna Kordiak, from Minneapolis; Sister Elizabeth Zielinski, from Cleveland; Sister Mary Ann Grzeskowiak, from Wyandotte, Michigan; Sister

Myra Ciesielski, from Hamtramck, Michigan; Sister Pauline Kijek, from Detroit; and Sister Serra Minier, who entered from immaculate Conception Parish in Port Clinton, Ohio.

50 years Sister Ann Carmen Barone, who entered from SS. Peter & Paul Parish in Sandusky, Ohio; Sister Faith Cosky, from Detroit; Sister Fidelis Rubbo, from Garden City, Michigan; Sister Janice Marie Peer, from SS. Cyril & Methodius in Rossford, Ohio; Sister Magdala Davlin, from SS. Peter & Paul Parish in Sandusky; and Sister Verona Kurtzman, who entered from St. Joseph Parish in Crestline, Ohio.❦

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Twelve Sylvania Franciscans, representing 660 years of “joyful servanthood among all people,” recently celebrated their Jubilees. Six Sisters were honored for 60 years and six Sisters for 50 years. Back row, from left: Sisters Faith Cosky (50 years), Fidelis Rubbo (50 years), Magdala Davlin (50 years), Serra Minier (60 years), Pauline Kijek (60 years), Mary Ann Grzeskowiak (60 years), and Janice Marie Peer (50 years). Front row, from left: Sisters Ann Carmen Barone (50 years), Elizabeth Zielinski (60 years), Donna Kordiak (60 years), Myra Ciesielski (60 years), and Verona Kurtzman (50 years).

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How to compare assisted-living and skilled-nursing facilities

any people who are faced with consider the reputation of the facility there are non-refundable fees, he having to research assisted-liv- in the medical community. “Ask your suggests getting an explanation for ing and skilled-nursing facilities for family doctor or people you know them. Also, does the facility accept a loved one sometimes don’t know in health care about the facility in Veterans Administration (VA) benefits? where to begin. It is difficult enough question. Most healthcare profession- Is there a cost for additional services to understand the various services a als will have had some experience such as medication assistance, dresssingle facility offers. But how do you with or knowledge of the facility in ing, and/or bathing? “Some facilities compare several facilities? offer a menu of items from which to question.” Matt Bucher, Director of Marketing choose, and these all come for the Elizabeth Scott Community at a price,” says Bucher. “Our prices at Elizabeth in Maumee, has developed a list of criteria to help those families who Scott are comprehensive, visit him. The list, titled “Dare to for the most part.” Compare,” is part of the company’s Another consideration website, www.elizabethscott.org. is the number of levels of “The first question I think a family care a facility offers. For member should ask is if the facility in example, Elizabeth Scott question is family owned or corporate offers independent living, owned,” says Bucher. “That makes a two levels of assisted living, big difference in how employees and skilled nursing, as well as a residents are treated. You should be new skilled rehabilitation able to meet and talk to the owners.” facility. “This is important, Bucher says Elizabeth Scott has been Staff members at the Elizabeth Scott Community treat each since the health and well-beresident as if they were a family member. family owned and operated since ing of elderly residents will 1949, and that family atmosphere change over time and they is pervasive throughout the facility. Costs are always a key consider- will require more care,” says Bucher. “People here like that we treat them ation, says Bucher. He advises families “Families shouldn’t have to move as family members,” he says. “Who to find out in advance if there is an their loved one because the facility wouldn’t like that?” application fee and if there are any can’t accommodate their needs.” 1 9/22/15 10:22 community AM Next,10.25x5_ES_SkilledRehFac_Ad_HL_915_HI.pdf Bucher says families should non-refundable fees. If He also says Elizabeth Scott offers

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• If your loved one begins to wander, does the facility have a secure environment? • Is there a nurse available 24 hours a day, 7 days a week? • Do residents appear happy and content? • Did you receive a warm greeting from all staff welcoming you to the facility? • Is the staff available to meet unscheduled needs 24 hours a day, 7 days a week? • Is there evidence of organized activity programs? • Do residents participate in activities outside the facility? • Does the facility provide the services of a registered dietician if needed? • Does the residence provide

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a guarantee to current residents for skilled nursing placement even when private pay funds are depleted. “The long-term financial piece is often overlooked, and if it isn’t in writing, I would proceed with caution,” says Bucher. Other questions a family should ask include:

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transportation to doctor appointments? “These are all important questions a family should ask each facility they visit,” says Bucher. “And they should keep notes on the various sites they compare so they can eventually sit down and make an educated decision.” The Elizabeth Scott Community, located at 2720 Albon Road in Maumee, was established in 1949.

It is a family owned and operated facility offering independent living, two levels of assisted living, skilled nursing, and skilled rehabilitation. All services are located on a single campus with all facilities connected. For more information, visit www. elizabethscott.org or contact Matt Bucher, Director of Marketing, at 419724-5021 or mbucher@elizabethscott. org. ❦

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Tips for race recovery by Amanda Manthey

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. ❦

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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

2016

DAVE’S MARATHON

TRAINING

Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness on behalf of Dave’s Running Shop.

Call (419) 345-0616 to schedule your fall pool closing. Plus, $50 off closings for first-time customers.

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

Tomahawk Trot 5K—Friday, August

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Parkview, Wauseon, Ohio.

Sylvania Superkids Triathlon/Duathlon—Saturday, August 6, 2016, 7:30 a.m. at Olander Park, 6930 W. Sylvania Ave., Sylvania, Ohio.

Are you Helping or Enabling? On December 9, 2013, Mary’s life was taken by her son, a heroin addict. No one will ever know the exact circumstances, but there’s no doubt that his addiction had everything to do with it. It took me nearly two years to calm my anger toward him, and to accept that this powerful, easily obtained drug shares a large part of the blame. Drug addiction has no social or economic boundaries. Often, loved ones are just as affected as the addicts themselves. I can’t count the number of times I suggested that she get help for herself in order to deal with her own well-being and worsening mental health. She was trying to support him on one income, watching him tell lie after lie, and watching her possessions disappear to be sold for drugs. But the worst was the agony of watching her son go through withdrawals in between failed attempts at getting clean. Each time her son went through detox, Mary hoped it would be the last time. She would believe that he was now “clean” and things could get better. But they didn’t because heroin doesn’t give up that easily. Detox is just that; detoxification of the body, or removal of the drug. However, heroin alters the brain. The cravings come back and the cycle starts again, especially without clinical intervention. He had

lost his job because of the addiction, and had no health insurance. Mary’s love for her son kept her believing in him. She didn’t understand his relentless desire for the high that heroin provided, and felt relief when he would tell her that he wasn’t using any longer. That relief was usually short lived, typically ending after giving in to what always seemed like a reasonable request for money. Perhaps for gas for the car so he could look for a job, or so he could pay an overdue bill. Likely the money was used for more heroin. Even though he was an adult, she was still his mother and she wanted to help him. Unfortunately, her good will was actually enabling his addiction. Mary’s death, while tragic, has inspired a resource to be developed that will help to prevent it from happening again. More effort and resources are necessary to provide families of addicts with the information and support they need to be able to help their loved one and themselves. A Place For Mary is a part of the solution by offering resources and support to families with relatives or loved ones who are substance abusers. Visit www.APlaceForMaryHBH.com to find out how you can help yourself so you can help the addict rather than enable them. -Betsy, A friend of Mary’s

www.APlaceForMaryHBH.org | www.harbor.org We offer convenient hours, flexible payment methods and strict confidentiality. Most insurances, Medicaid, and private pay accepted.

Women’s Distance Festival—Sat-

urday, August 6, 2016, 9:00 a.m. at the Shoppes at Fallen Timbers, 3100 Main St., Maumee, Ohio.

Filling Homes 5K/10K Road Race and Kids Fun Run—Saturday, August

Sunday, August 14, 8:30 a.m. at Swan Creek Metropark, 4659 Airport Hwy., Toledo, Ohio.

Pemberville 5-Miler—Friday, August 19, 2016, 8:00 p.m. at 104 E. Front St., Pemberville, Ohio.

Making Waves for Wishes 5K Walk/ Run—Saturday, August 20, 2016, 9:00

a.m. at 3902 N. Summit St., Toledo, Ohio.

6, 2016, 9:00 a.m. at Oberhaus Park, 750 W. Maumee, Napoleon, Ohio.

Line Drives for Larry 5K—Saturday, August 20, 2016, 8:00 a.m. at N. Glenwood Ave., Wauseon, Ohio.

Pat Wagner Memorial 5K Run/ Walk—Saturday, August 6, 2016, 8:00

Run Baby Run and Walk: Like Arrows—Saturday, August 20, 2016

a.m. at Liberty Benton High School, 9190 County Rd. 9, Findlay, Ohio.

Sylvania Triathlon & Duathlon—

Sunday, August 7, 2016, 7:30 a.m. at Olander Park, 6930 W. Sylvania Ave., Sylvania, Ohio.

Metamora Park-O-Rama 5K—Sat-

urday, August 13, 2016, 8:00 a.m. at 223 W. Main St., Metamora, Ohio.

Up, Up and Away 5K—Saturday, August 13, 2016, 8:00 a.m. at Emory Adams Park, 1827 S. Blanchard Street, Findlay, Ohio.

Project V.O.I.C.E. 5K Run/Walk—

at the University of Toledo Medical Center, 3000 Arlington Ave., Toledo, Ohio.

Ottawa Hills Back-to-School 5K—

Sunday, August 21, 2016, 9:00 a.m. at 2532 Evergreen Rd., Ottawa Hills, Ohio.

2016 Haiti Hustle 5K—Saturday,

August 27, 2016, 9:00 a.m. at Bedford High School, 8285 Jackman Rd., Temperance, Michigan.

Hawk Hustle—Sunday, August 28, 2016, 9:00 a.m. (Fun Run at 8:30 a.m.) at Maumee Valley Country Day School, 1715 S. Reynolds Rd., Toledo, Ohio.❦

Prevent the heartbreak of head lice this back-to-school season A loved one’s drug addiction or alcoholism is never your fault. Addiction affects more than just the addict. Family and loved ones of addicts are often subjected to physical and emotional pain. Alcohol and drug use might directly impact your life and your family, but that does not mean you are to blame.

A Place For Mary is here to help you. It’s natural to feel hurt by your loved one’s addiction, but it’s important to recognize these emotions for what they are. Support groups and organizations are available to help family and friends accept these feelings while learning how to support an addicted loved one and themselves during recovery. A Place for Mary is an online resource that offers tips, resources, and information that can help you cope with having a loved one who is addicted to drugs or alcohol.

www.APlaceForMaryHBH.org

call from the school nurse, telling you that your child has head lice is enough to send shivers up your spine. After all, what parent wants to hear that their child is infested with a parasite? However, while lice certainly aren’t nice, misinformation about these pests leads only to unnecessary worry and overreaction, not the effective resolution of the problem.

What are head lice? 419.475.4449 | www.harbor.org We offer convenient hours, flexible payment methods and strict confidentiality. Most insurances, Medicaid, Medicare, uninsured and private pay accepted.

34 August 2016 | Healthy Living News

Head lice are tiny, wingless insects, approximately the size of a sesame seed, that reside on the scalp and hair of humans and feed on blood

from the scalp. They do not, contrary to popular misconception, live on pets. Female lice lay poppy-seedsized eggs, called nits, on the shaft of hairs, usually around a half inch from the scalp (where heat from the scalp incubates them). The nits hatch in about a week, and it takes 10 days for the newly hatched lice to reach adulthood, at which point, the females lay more eggs and the cycle continues.

What are some common head lice myths? Myths about head lice abound. Here are some of the more common exam-

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ples followed by the straight scoop: Myth: Head lice can easily spread by jumping from one person’s head to another. Fact: Lice cannot jump, fly, or hop to another host. They can, however, crawl to another host. They most commonly spread by direct headto-head contact or by sharing items that come into direct contact with the head or neck, such as combs, brushes, barrettes, hair ribbons, head bands, bandanas, sports helmets, hats, scarves, pillows, or earphones. Also, lice do not reproduce off the human body, and unhatched eggs do not spread from person to person. Lice cannot live long without a human host, only about two days. Myth: Lice are a sign of poor personal hygiene. Fact: Lice will infect a clean, healthy head just as quickly as they will an unclean head. No amount of bathing or shampooing will reduce the likelihood of becoming infected. Myth: Only children are vulnerable to lice infestations. Fact: People of all ages can get head lice. They tend to be most prevalent

in children age 3 to 12 because they are more inclined to come into close contact with one another during play or athletics and to share personal items. In addition, lice don’t discriminate based on a person’s race, ethnicity, or socioeconomic background, and having longer hair does not put a person at greater risk of becoming infected with lice.

How can head lice be prevented? The Centers for Disease Control and Prevention website (www.cdc.gov) recommends taking the following precautions to prevent and control the spread of head lice: • Avoid head-to-head (hair-tohair) contact during play and other activities at home, school, and elsewhere (sports activities, playground, slumber parties, camp). • Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes. • Do not share combs, brushes, or towels. Disinfest combs and brushes used by an infested person by soaking them in hot

water (at least 130°F) for 5-10 minutes. • Do not lie on beds, couches, pillows, carpets, or stuffed animals that have recently been in contact with an infested person. • Machine wash and dry clothing, bed linens, and other items that an infested person wore or used during the two days prior to treatment using the hot-water (130°F) laundry cycle and the high-heat drying cycle. Clothing and items that are not washable can be drycleaned or sealed in a plastic

bag and stored for two weeks. • Vacuum the floor and furniture, particularly where the infested person sat or lay. However, spending much time and

money on housecleaning activities is not necessary to avoid reinfestation by lice or nits that may have fallen off the head or crawled onto furniture or clothing. • Do not use fumigant sprays or fogs; they are not necessary to control head lice and can be toxic if inhaled or absorbed through the skin.

How are head lice typically treated? Treatment of head lice usually entails the use of a medicated shampoo, cream, or lotion. Over-the-counter products are often successful, but if these aren’t effective, your doctor may need to order a prescription-strength product. A fine-tooth nit comb can be used to manually remove dead lice and their eggs from the hair shaft. Whether using over-the-counter or prescription-strength head lice treatments, it’s critical to apply them in strict accordance with label instructions or your healthcare practitioner’s recommendations. Never exceed the amount of product recommended or combine different head lice medications unless your healthcare provider expressly advises you to do so. ❦

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t is time to start preparing for anb (Hib) other school year, and physicians • Pneumococcal conjugate at The University of Toledo’s Rocket (PCV13) Pediatrics want to remind parents to • Measles, mumps, and rubella add vaccinations to their back-to(MMR) school checklist. • Varicella (VAR) The Ohio Department of Education • Hepatitis A (HepA). requires certain immunizations for Your child’s pediatrician will have students prior to beginning school in a record of all vaccinations given and kindergarten, along with will make recommendarequired booster shots for tions based upon his or older children. New this her age. year is a meningococcal Dr. Mukundan said vaccine for students enpediatricians do a good tering the seventh and job of keeping kids on 12th grades. schedule with vaccina“The vaccine itself is tions, but parents should not new. It has been recdouble check prior to the ommended for around start of school, particularly ten years but is only now if they have missed any required for school attenwell child checkups. If you dance,” said Dr. Deepa find your child is behind Mukundan, UT Health Dr. Deepa Mukundan on his or her vaccinations, expert in pediatric infecit is possible to get caught up prior tious diseases. “Teens and young to the first day of school. adults are at greatest risk for contract“Some immunizations can be ing meningitis, a virus that causes given concurrently,” Dr. Mukundan inflammation of the membranes said. “Those that need to be admincovering the brain and spinal cord.” istered as a series of injections can Other required immunizations be started prior to school with the for school attendance are: rest given according to the planned series. Parents will need to provide • Diptheria, tetanus, and proof that the first shot has been acellular pertussis (DTaP) given and the child is in the process • Haemophilus influenzae type

Bittersweet offers soccer lessons for teens with autism

ittersweet, Inc. is expanding its Social Living Club (SLC) with a six-week soccer program. The SLC is a recreational program that provides social and community opportunities to teens with autism. The SLC is partnering with Total Sports Complex in Rossford to offer soccer lessons to teens with autism. The six-week program will be taught by coaches from Total Sports Complex. The program will provide an introduction to soccer, dribbling, passing, rules of the game, sportsmanship on and off the field, and formations and plays of the game. Beginning August 3, the program will be on Wednesday evenings from 6:30 to 8:00 p.m. at Total Sports Complex at 10020 South Compass Drive, Rossford, Ohio 43460. The cost for the course is $75. Scholarship opportunities from ProMedica and the Great Lakes Collaborative for Autism are available. Social Living Club participants must be able to participate in the activity independently or with the appropriate support staff provided by the family. For more information, contact Kate Gulbrand at 419-206-7803 or kgulbrand@bittersweetfarms.org.

36 August 2016 | Healthy Living News

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of completing his immunizations.” Children not recommended to receive a particular vaccine due to medical reasons are permitted to attend school under the immunization law. A waiver must be completed by a parent or guardian and written documentation provided by a doctor. Immunization waivers also are permitted for reasons of conscience, including religious convictions, but Dr. Mukundan advises parents to educate themselves about communicable diseases before making the decision to skip vaccinations. “Vaccinations are perhaps the best technological advancement in medicine. They prevent potentially life-threatening diseases from spreading through our communities,” Dr. Mukundan said. “Because they have been so effective in controlling the outbreak of disease, we do not see the devastating effects of the illnesses and we forget how important it is to protect our most vulnerable community members.” She recommends adults take time to check their vaccination records as well. “The young, the elderly, and those with compromised immune systems are at most risk for contracting seri-

ous illnesses, and with grandparents playing a larger role in the lives of the young people in their families, they can unknowingly spread viruses and bacteria to each other,” said Dr. Mukundan. “It is a good idea to be sure you are up to date on your boosters, and I would recommend anyone who has contact with children to also have an annual flu shot and be up to date on the pertussis and pneumonia vaccine.”

Immunizations can be provided at your physician’s office, the Lucas County Health Department, some pharmacies, and walk-in clinics. UT Health physicians also hold vaccination clinics at Scott High School, Reynolds Elementary, Pickett Academy, and Robinson Elementary in Toledo. Call Connie Schenk, clinical nurse manager and coordinator of Toledo Public Schools clinics, at 419-383-5082 to schedule an appointment. ❦

Commonsense campus-safety tips

his month, college campuses all across the country will come alive with incoming students, many of whom will be leaving behind the protective environment of home for the very first time. Amid tearful goodbyes to anxious parents and the eager anticipation of upcoming academic challenges and extracurricular activities, it’s easy to overlook the all-important issue of campus safety. But ignoring this key concern can leave students vulnerable to crime. Here are some commonsense

campus safety tips that every college student—new or returning—should observe:

Know your way around Spend a little time familiarizing yourself with the routes you will be traveling to and from classes and other activities. Iden-

tify paths (and parking lots if you drive) that are well-lit and well-traveled by other students. Avoid those that lead through deserted, wooded, or infrequently traveled parts of campus. Remember, the safest route isn’t always the shortest distance from point A to point B. Be sure to identify the locations of emergency telephones around campus. These are your direct link to campus security. If you live on campus, familiarize yourself with the location of emergency exits and fire extinguishers in your dormitory and learn all pertinent safety protocols, such as where to go and what to do in case of a tornado or other contingency.

Use campus safety services If a shuttle bus service is available to transport you to and from your destination on campus, utilize it instead of walking at night. Many colleges also offer escorts to accompany students who would otherwise have to walk across campus alone. In addition, it’s a good idea for students to take advantage of any free classes or seminars offered by the college that cover topics such as self defense or acquaintance-rape prevention.

SARAH SMITLEY

Family Navigator and Mentor Program Coordinator ssmitley@namitoledo.org

419.243.1119, ext. 202 www.namitoledo.org

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2016

Seek safety in numbers The old adage “There’s safety in numbers” is definitely applicable to college campuses. Whenever possible, walk with at least one other trusted student, especially at night. When walking with friends to a party or other social event, plan to leave together at an agreed time so no one gets stuck walking home alone. Even when walking in groups at night, limit your travel to well-lit, well-traveled routes.

Don’t be lax about locking up! Criminals prefer to take the path of least resistance. Don’t make things easy for them by leaving your dorm room or car door unlocked or by propping open your dormitory’s exterior doors. If your roommate is out and you have to leave your room for any amount of time—even if you’re just stepping down the hall—be sure to lock the door behind you. Never leave valuable items in plain sight either in your dorm room or in your vehicle.

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Together we can Change the Future! 38 August 2016 | Healthy Living News

someone you encounter makes you feel wary or afraid, get away immediately. It’s better to risk offending someone than to put yourself in a potentially dangerous situation.

Keep your mental edge Keep in mind that alcohol consumption lowers inhibitions, impairs judgment, slows reaction time, and very commonly plays a role in acquaintance-rape and other crimes. If you are of legal drinking age (21 or over), consume in moderation so you can keep your wits about you as well as keep an eye on your friends while visiting nightclubs or attending parties. Also, never leave a drink unattended or accept a drink from someone you don’t know and trust. ❦

Sitting in the front row

Vary routines Familiarity may breed contempt, but it can also help a criminal determine when you’re likely to be alone and vulnerable or when your room is likely to be empty and unprotected. Vary your routines so no one can easily key in on your habits. For example, try to take a different (but equally safe) route to class from time to time and alter your departure times. On the other hand, it’s a good idea to keep your friends, roommate, family members, and other trusted individuals apprised of your schedule so they’re aware of when you will be gone and when you should return.

Practice situational awareness Keep your senses sharp, and be aware of your surroundings at all times. For example, when walking on campus, don’t impair your hearing with earphones or absorb your attention in a cell phone conversation. When driving, quickly check under, around, and in the back seat of your vehicle before climbing in. Most important, trust your instincts if they tell you a particular situation is not quite right or an individual poses a threat. If

By Mark S. Faber, USPTA Elite Professional

or the past 22 years, I have had the fortunate opportunity to have a front-row seat to see athletes develop, not only as athletes, but also as individuals. It is safe to say that, over the years, the prism through which I have viewed this development has changed dramatically. Now, with that being said, my commitment to helping those athletes achieve their goals has not. What I would like to share this month are several thought-provoking concepts that I believe are very important to parents and players:

It’s about the journey At the end of the journey, the relationship you have with your child should be, and is, much more important than any championship, ranking, or scholarship. By no means am I saying there cannot be goals. What I am saying is that, in the end, the parent/child relationship should

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One last thing on this subject: Please remember that, win or lose, nothing really good will come from providing feedback right after an event. Give this a try: Wait a half hour or so before initiating any conversation on what just occurred.

you say “Wow, they seem to have ‘it.’” But please let me be the first to share that that not every child has the “it factor.” So, when watching your child compete, please remember to keep your expectations appropriate to his or her age and overall ability, for this will help them in their overall development as well as with their confidence. As I mentioned above, I have been given the opportunity to sit in the front row and see many young athletes advance in their sport and life journey. Above are the three greatest lessons that I have not only

Did you know witnessed, but also learned myself. I can only hope that, as a parent, I will remember these same lessons. In closing, I would like to share one more item: As aDid coach,you I have know learned that every parent has their child’s best interest in their mind. However, please remember that your child’s coach does too. So, sit back, enjoy the journey, and remember that, in the end, when everything is said and done in this journey, the parent/child relationship should be one that lasts a lifetime, not one that’s destroyed over a sports dream. ❦

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not be based on or contingent upon any of these achievements. This is a journey that should be challenging and enjoyable. Sure, there will be bumps in the road; however, how we handle those bumps has a long-lasting effect on how our kids will handle those bumps in the future with their own children.

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Effort is more important than victory

Time and time again, I have witnessed both parents and coaches react very differently to the outcome of a sporting event depending on whether their child/team won or lost. In turn, these individuals often attempt to explain that their reaction had nothing to do with the result being a defeat. However, very often it’s obvious that the parent’s/coach’s reaction is based on the result. Remember, winning and losing cannot be controlled. Effort is 100 percent controllable, and 100 percent positive effort does not guarantee positive results. No matter the sport, if controllable performance goals are set, then constructive feedback can be given and the most important thing—the parent/child relationship—can be maintained.

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Your child is a child, not an adult

When I first started in the industry, I was just as guilty of this one as many parents are. But the positive thing is, over the years and after countless hours of education from leaders in not only athletic development, but child development, the picture has become very clear. When we as coaches are trying to develop young athletes, we must remember that what we are challenging them to do must be something they are able to accomplish at their age. And as parents, it is important to not expect a child to execute or accomplish something we see an adult athlete accomplish on TV. Now, there is something called the “it factor”—where you look at someone and they just stand out from all the others. They can naturally do things that are way ahead of others their age. When you look at them,

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A Walk in the Park by LeMoyne Mercer

Hang in there, Baby!

t Bryce Canyon National Park, Shirley and I took a one-mile loop trail from Rainbow Point. At an elevation of 9,100 feet, the area is blessed with some of the best air quality in the world, so there are stunning panoramic views extending for up to 200 miles. The Bristlecone Pine Trail is an easy stroll with an ascent and descent of only 195 feet to a stand of the trees. Bristlecones are special because they can survive for nearly 5,000 years in the challenging

environment of 8,000 to 11,000 feet elevation in the desert Southwest. Can you even conceive of a living thing born in 3,000 BC and still alive today? Currently, the oldest known bristlecone pine, at nearly 4,800 years, is named Methuselah. It lives in a “secret location.” Secret because its older predecessor, Prometheus, was cut down at age 4,900 by a doctoral student doing climate change research. How’s that for irony?

6006 ReynoldsSenior_HealthyLiv_816.qxp_Layout 1 7/20/16 4:05 PM Page 1

The wind rising up the canyon wall caused the bristlecones to sway and rustle slightly and release their piney scent. Ravens and Steller ’s jays came to squawk at us as we gazed off toward the pink cliffs of Yovimpa Point. When you arrive at Bryce, the magnificent canyon is the first and, perhaps, the only thing on your agenda. Unless you know about bristlecone pines, you may not be motivated to give any attention to pine trees that just look like pine trees. When you understand their significance, the trees may become more fascinating. Especially if one of them has personal meaning. In 1994, I took a picture of a pine clinging by its toenails to the edge of the canyon. Shirley kept a small framed print with the inscription “Hang in there, Baby!” on her desk at work. There are undoubtedly some days when all of us could benefit from the tree’s example of perseverance in a harsh climate. Last summer, we found her tree still hanging in there. Shouldn’t have been surprised, though. It is a rather small tree that doesn’t look much over a few hundred years old. The main attraction at Bryce Can-

At Inspiration Point there is a whole series of alcoves and windows in the canyon walls. They represent early stages of hoodoo development.

yon is not technically a canyon, though I will continue to refer to it as such because, well, that’s its name. To be geologically correct, the “canyon” is a dozen horseshoe-shaped amphitheaters cut a thousand feet or more into a colorful plateau of limestone, shale, and sandstone. The rocks take their color from minerals: iron (red and brown), limonite (yellow), and manganese (lavender). That plateau, by the way, is at the top of the Grand Escalante Staircase, a series of ever higher plateaus that begin their climb at the Grand Canyon. (Many people know that the Grand Canyon is more than a mile deep. Some also know that’s because the rim is more than a mile

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high.) From the Kaibab Plateau, the steps rise, in about 100 miles, up the Vermillion Cliffs, the Chocolate Cliffs, the White Cliffs, and the Gray Cliffs before reaching the Pink Cliffs at Bryce. The names of the cliffs are not fanciful. They accurately describe the dominant colors imparted by the mineral content of the rock. At Bryce Canyon, erosion by wind, rain, and frost has carved pink and orange limestone shafts called hoo-

Thor's Hammer is a block of harder rock balanced on a shaft of softer rock. Eventually it will be undercut and collapse.

doos that are up to 150 feet tall. When water freezes, it expands about 10 percent, gradually widening crevices and forming holes, much the same way that potholes form in Toledo streets. (The main difference is that rock formations in Bryce can be beautiful and fascinating. Potholes rarely are.) The rocks in Bryce are not hard, slick granite but layers of crumbly sedimentary rock with varying degrees of density. The softer layers crumble more readily when subjected to freezing and thawing. At Bryce, there are about 180 days a year when the temperature rises from freezing in the early morning to warm in the afternoon, so there is a lot of crumbling going on. Hoodoos form from narrow walls of rock called fins. The freeze-thaw cycle flakes away the softer stone until a window appears in the fin and it looks like a natural bridge or arch. The window continues to enlarge over time until the top of the arch collapses under its own weight. The supporting structures at either end are left as freestanding columns or spires. Further sculpting by wind, rain, and frost turns a rock spire into a hoodoo, which is just another name for a spire with a strange shape.

One of these is called Thor ’s Hammer because it is topped by a hammerhead-shaped balanced rock. Balanced rocks result when a harder layer is left standing on more fragile layers that are subject to faster erosion. Eventually, the balanced rock will be completely undercut, lose its support, and fall. Bryce’s hoodoos and balanced rocks erode at the lightning speed of two to three feet a century. Very soon, geologically speaking, they will all collapse. Of course, while erosion is busy destroying what exists today, it is also busy making replacements. You can see fins with windows in varying stages of development everywhere you look in Bryce Canyon. Trails from the canyon rim lead

There are trails down in there, but I bet you can't find them. You can probably find your way back up to the rim, though. Probably.

down through a series of rocky labyrinths with narrow, winding passageways that make it impossible to see where you have come from or where you might be going. But don’t worry. Hardly anybody ever gets permanently lost in there. Hardly ever. You have heard the streets of New York referred to as “concrete canyons” because the tall buildings resemble sheer cliff sides. At Bryce,

Wall Street is a narrow passage between sheer cliffs that reminded someone in the Park Service of the "concrete canyons" of New York City.

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they return the favor. From the rim at Sunset Point, the Navajo Trail switchbacks steeply down about 500 feet to a narrow passage called Wall Street then continues on to Silent City. There are groves of Ponderosa pines and fir in the relatively sheltered environment of the slot canyons. There are also wildflowers, such as evening primrose, sego lily, and Indian paintbrush, that contribute

additional splashes of color to the landscape. But the rocks are the stars of the show. These rock stars, so to speak, have acquired fanciful names such as the Camel, the Wise Man, and the Temple of Osiris. You could just continue along the Navajo loop back to Sunset Point. We recommend, though, taking the connecting Queen’s Garden Trail that returns to the rim at Sunrise Point.

Naturally, you could do this loop in either direction, but the descent from Sunset Point to Wall Street is steeper and, therefore, the climb to the rim is steeper if you choose to go in that direction. The Queen’s Garden takes its name from a hoodoo said to resemble Queen Victoria with her long dress trailing behind her. Place names in the West can be highly imaginative,

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but, in this case, we think there really is a resemblance. Judge for yourself. There are places where the trail passes through windows in the fins or narrow rock walls. One of these is called Fat Lady Squeeze. Not politically correct. Shirley and I have been through other Fat Lady Squeezes. (There’s one down in Hocking Hills, for example, and at Mesa Verde.) She takes offense. Why have we never heard of a Fat Man Squeeze? I tell her she has no reason to take it personally. Besides, it really isn’t much of a squeeze. Perhaps it was tighter before erosion had its way with it. Back up at Sunrise Point there is a half-mile paved trail running right along the rim, so it is an easy walk back to the parking lot at Sunset Point where you left your vehiQueen Victoria is a readily recognizable cle or to the nearby park hoodoo, but it is not visible from the lodge. If you are staying rim. You'll have to take a little walk at the lodge, you might in the park. also want to stroll back to Sunset Point at dusk when flocks of ravens come cawing their way to rookeries in the cliff face as the sky turns crimson. For a somewhat more challenging walk, consider leaving from Fairyland at the north end of the park. It is only five and a half miles but is rated strenuous. In the thin air at 9,000 feet, just getting out of your chair might be rated strenuous. I think the view from Fairyland Fat Lady Squeeze does not seem all that is the best in the park. tight. Especially if the hiker is rather small. And that’s saying something. There are so many hoodoos in Fairyland that thousands of them are still without names. As far as I know, there is no park rule forbidding you to call them whatever you want. If you are really up for a challenge, the Underthe-Rim Trail runs 23 miles for the entire length of the park from Fairyland Point to Rainbow Point. It is a backpacking trail that has two backcountry Ravens by the hundreds return each camp sites that may be evening to the rookery at Sunset Point. used with a permit. There

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are connecting trails that lead up to the rim if you come to your senses and decide that you are not having nearly as much fun as you expected. For that matter, your trip into the canyon need not be on foot. Trail rides of two hours ($65) and three hours ($90) can be arranged at the park lodge or online. We haven’t taken any trail rides since Shirley’s Great Grand Canyon Mule Debacle. If you don’t already know about that, don’t ask her about it. It’s a touchy subject. If you choose not to enter the canyon, either on two feet or four, there are impressive views from anyplace along the rim. Stop at some

or all of the dozen pullouts along the park road. The scenery between Fairyland and Rainbow Point is all spectacular and photo-worthy. For that matter, the scenery along the road leading into the park is rather impressive as well. You can probably find something as inspirational as the tree that encouraged Shirley to hang in there when the going got tough. However you choose to do it, your visit to Bryce is bound to be memorable and 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.

echocardiogram with strain pattern imaging, which involves the use of special computer software to identify any section of the heart that may be lagging behind the rest. This can be occurring even if the heart’s overall output is good. From the patient’s perspective, this state-of-the-art screening is just as comfortable and convenient as a standard echocardiogram performed for any other reason. It’s totally non-invasive and done on an outpatient basis. Candidates for ProMedica Cancer Institute’s cardio-oncol-

ogy clinic include patients at any stage of their cancer treatment or survivorship—especially those who have heart disease, but also including those with no existing heart issues. Dr. Krupp emphasizes that participating in the program will not delay the patient’s cancer treatment. However, if necessary to reduce the risk of heart damage, the treatment may be adjusted based on findings in the cardio-oncology evaluation. “The big driver of all this is survivorship,” he says. “Cancer patients are surviving in numbers we’ve

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ProMedica Cancer Institute tackles treatment-related cardiac issues

or people diagnosed with cancer, beating their disease is priority one. And with today’s cancer treatments becoming more and more effective and targeted, the odds of surviving cancer continue to grow. It is currently estimated that there are 15.5 million cancer survivors in the US, and the American Cancer Society projects that by the year 2026, that number will increase to 20 million. However, as cancer survivorship increases, doctors are recognizing that life-saving cancer therapies, such as chemotherapy and radiation, often have long-term adverse consequences on heart health. In fact, this is the case for approximately one-third of cancer patients. According to ProMedica Physicians hematologist/ oncologist Kenneth Krupp, MD, “We’re seeing unprecedented cancer survivorship numbers because the drugs we use are getting better, but many of those drugs also have potential cardio-toxic effects. So, first and foremost, we want to treat the patient’s cancer successfully, but at the same time, we need to be vigilant against heart damage from the treatment.” ProMedica Physicians cardiologist Adil Karamali, MD, agrees with this assessment, adding, “A few years ago,

a Medicare survey showed that cardiovascular disease is a greater cause of death in cancer survivors than the cancer itself. The eight- to ten-year survival rate for patients treated with chemotherapy who have at least two risk factors for heart disease—such as smoking, high blood pressure, family history of heart disease, or a bad lipid profile—is much worse than it is for those with no risk factors.” To help reduce the risk of cardiac complications for cancer patients in our community, ProMedica Cancer Institute has developed a cardio-oncology program that includes a weekly cardio-oncology clinic at Hickman Cancer Center on the campus of ProMedica Flower Hospital. This collaborative program strives to identify cancer patients who are at risk of cardiac complications, take preventive measures to protect cancer patients against cardio-toxicity before and during treatment, as well as monitor patients for long-term cardiac complications that might surface after cancer treatment is complete. Dr. Karamali notes that good screening tools are making it easier to identify at-risk patients. In addition to extensive blood work, the first line of investigation includes

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never seen before, and after beating their cancer, the last thing we want is for them to lose their lives to a cardiac event. That’s why the cardiology-oncology collaboration is so important. We need to start protecting patients’ hearts before

cancer treatment is initiated and to continue monitoring and treating them long afterward.” ❦ For more information, please call ProMedica Cancer Institute at 877-2911441. Ask for the cardio-oncology clinic.

Franciscan Care Center commitment to service extends to Honor Flight vets

by Christine A. Holliday

he Franciscan Care Center is a residential and rehabilitation facility for the care of elderly and those who need extensive rehabilitation services. They offer a newly renovated, 109-bed skilled nursing area (49 fully furnished private rooms and 60 shared suites) as well as an acute rehabilitation area. Each resident has an individualized care plan in an environment that emphasizes dignity and compassion. The skilled nursing program includes services ranging from 24-hour nursing supervision and assistance with personal care to physical, speech, and occupational therapy as well as physician, dental, ophthalmology, podiatry, and psychology services. The acute rehab area features 25 private suites and its own nursing station for those who are recovering from acute conditions like stroke, fractures, hip or knee replacements, or cardiac arrest. Their website (www. fccsylvania.org) gives a complete look at their programs (with a virtual tour)

and the opportunities for a rich and rewarding life in a supportive community at 4111 N. Holland-Sylvania Road, phone 419-882-6582. What you won’t find there is mention of a special service provided by the Franciscan Care Center. For several years, the Center has provided the food for those returning from Flag City Honor Flights, trips arranged for veterans of World War II, the Korean War, and the Vietnam War to visit the Armed Forces memorials in Washington, D.C. The meal program is a wonderful outreach for American veterans and their families. Deb Wickerham is the Flight Director for the Flag City Honor Flights, based in Findlay, Ohio. She explains her program and how the FCC got involved: “Our program

finds veterans and takes them to Washington, D.C. for a day to see the memorials for the Armed Forces. In 2011, a resident at the Franciscan Care Center was one of the veterans who took the trip, and the people there wanted to do something to help. For the 2012 trip, they provided what they called an ‘All American meal’ for the veterans returning from a trip. Before their involvement, we had snacks waiting for the returning vets as part of our Welcome Home program. But, they now provide hot dogs, chips, cookies, soft drinks, and water for up to 400 people at the conclusion of the flights. It is a wonderful ending to the trip.” Jill Schlievert, administrator at The Franciscan Care Center, says, “Providing the food for the vets is a real honor. It is a powerful experience to be there when they return and see how the Honor Flight people show appreciation for their service. We

Photos by Will Miller and Paul Parrick

really feel blessed to be part of this program.” The Flag City Honor Flight program annually flies up to 80+ veterans on a charter airplane from Grand Aire at Toledo Express Airport to Baltimore, where the veterans and their guardians board a bus for the ride into Washington, D.C. Each receives a special T-shirt and hat identifying them as Honor Flight members. A

police escort guides the bus to the memorials, where the vets have time to spend visiting with other vets and members of the public. Wickerham notes that the vets are always surprised at how many tourists want to shake their hand and have their photos taken with the vets. “They don’t realize that people think of them as the heroes they are!” she says. The veterans watch the changing of the Guard at Arlington National Cemetery, and they visit the Iwo Jima memorial. A hot lunch is part of their day’s activities, and they fly back to Toledo at the end of the day. That’s where the veterans get their big Welcome Home. Sometimes as many as 1,000 people are waiting at the airport. They form an Honor Guard that the vets walk through as they leave the plane, serenaded by the Genoa American Legion Band. Each vet is “pinned” with an American flag pin, and each receives a “goodie bag” from local Boy Scouts who stage a Mail Call for the vets. Each goodie bag contains an 8 x 10 photo of the memorial for the veteran’s branch of the service, a book about all the memorials, a mockup of the front page of the local paper featuring photos from their trip (emailed home while the vets are in Washington), and notes and cards from school children from several Findlay schools. Banners and posters decorate the hangar door, which is closed until all the vets are off the plane. The doors are then opened to the All-American meal provided by the Franciscan Care Center, who sets up and serves the food. Wickerham is especially grateful for the contribution of FCC. She reports that the costs of arranging the once-a-year trips to Washington

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approach $90,000, and the support of groups like the Franciscan Care Center is very much appreciated. “The vets send us thank-you notes and describe the whole experience as ‘the best in their lives’ and ‘emotional and satisfying.’ One vet told me that if he had a nickel for every time he heard ‘Thank you for your service’ or had somebody shake his hand, he’d be a rich man. That’s exactly what we want them to feel—real appreciation and gratitude for their service.” The Flag City Honor Flight program is looking for vets to take the flight and are finding lots of them in Toledo. Wickerham is focusing on World War II vets, who are the oldest American veterans, but is also working on recruiting vets from the Korean and Vietnam wars. She is glad that so many young people are involved as volunteers for the program, saying, “These flights are teachable moments for our children. We can show them that we appreciate the brave men and women who defended our freedoms and give the kids a chance to talk to these soldiers and sailors.” Flag City Honor Flight is staffed entirely by volunteers; all funds

raised go to the costs of the flights, which include chartering the plane, providing food, buses, police escort, insurance, the goodie bags, mailings and postage, etc. More information is available at their website, www.

flagcityhonorflight.org, or at 419306-9723. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Major changes coming to this month

ccording to Lucas County Job & Family Services, area residents who are enrolled in Medicaid need to be aware that two major changes that could significantly impact their ability to access the program’s benefits will be implemented beginning August 1 of 2016. The first change is that two additional populations will be included in the auto-closure process. Effective August 1, with the exception of pregnant women, individuals who are aged, blind, or disabled as well those receiving long-term

care services will be closed out of the program automatically if they fail to re-enroll in Medicaid by their annual renewal date. For example, if a recipient’s individual renewal date was in July but he or she failed to recertify by that time, benefits will no longer be accessible as of August 1. That could mean showing up at the local pharmacy to fill a much-needed prescription and being unable to do so. Medicaid benefits are approved for a period of 12 months, and toward the end of that time, the participant is sent a renewal package to fill out

and return. Unfortunately the renewal form is 14 pages long, which discourages many people from completing it, so the return rate for the packet is quite low. The good news is, Medicaid recipients can initiate renewal and prevent disruption in benefits simply by making contact with Job & Family Services and letting them know they wish to re-enroll—whether by phone call, fax, or simply dropping off a written note. If they do miss the deadline and are automatically shut out of Medicaid, there is a 90day reinstatement period. The second noteworthy change that will go into effect on August 1 is that Medicaid “spend-downs” will be eliminated. In the past, certain individuals whose income was too high to qualify for Medicaid could become eligible by “spending down” the difference, i.e. by deducting medical expenses from their income. Under the new guidelines, the threshold income is increasing to 75% of the Federal Poverty Level (up from 64% previously), which is $733 per month for one person or $1,100 per month per couple, and anyone who exceeds that income is ineligible. In addition to income, liquid assets, such as

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checking accounts, savings accounts, trust funds, etc., are factored into the eligibility equation. These assets cannot exceed $2,000 for one person or $3,000 for a couple. With spend-downs eliminated, options may still be available for those whose income exceeds Medicaid eligibility guidelines. Individuals who receive Medicare are encouraged to explore their options by calling the Ohio Senior Health Insurance Information Program (OSHIIP) at 1-800-686-1578. Those who aren’t enrolled in Medicare can call 1-800648-1176 to schedule an appointment with a navigator for assistance with marketplace insurance or to determine whether they may be eligible for Medicaid Expansion, or Group 8, coverage. Also, in partnership with Toledo/ Lucas County CareNet, Adrienne Biernacki, Policy Analyst for Lucas County Job & Family Services, offers monthly information sessions on Medicaid for all interested individuals and community partners. Her next presentation will be on Thursday, August 11, from 1:00 to 2:30 p.m. in the Toledo-Lucas County Public Library McMaster Center, located at 325 N. Michigan St. in downtown Toledo.

Lucas County Job & Family Services also welcomes questions about

Medicaid eligibility and the recent program changes at 419-213-8800. ❦

Treatment options by Shelly Horvat, AuD, CCC-A

innitus (prounounced TIN-ih-tus or ti-ni-tis) is the perception of ringing, buzzing, chirping, hissing, whistling, or other sounds coming from within the ears or head. For some people, it is present constantly, for others intermittently. Tinnitus can also vary in loudness depending on how much background noise is present in the room or the level of attention one gives to it. Tinnitus is a common problem, affecting one in five adults. Tinnitus isn’t a condition itself—it’s a symptom of an underlying condition, such as age-related hearing loss, ear injury, noise exposure, or a circulatory system disorder. Although tinnitus

is often associated with hearing loss, it does not cause the loss, nor does a hearing loss cause tinnitus. Although bothersome, tinnitus usually isn’t a sign of something serious. When tinnitus affects someone’s ability to concentrate, sleep, or relax, we recommend treatment. Treating an identified underlying cause sometimes helps. Other treatments reduce or mask the noise, making tinnitus less noticeable. The audiologists at Northwest Ohio Hearing clinic use many tools to help people manage their tinnitus condition. These treatments reduce the perceived intensity of tinnitus. They are not “cures,” since they do

not repair the underlying causes of tinnitus nor do they eliminate the tinnitus signal in the brain. Instead, they help lessen the burden of tinnitus by relieving the attentional, emotional, and cognitive impact of tinnitus. These treatment tools address the tinnitus condition by relieving the anxiety, stress, social isolation, and hearing difficulties that accompany the tinnitus. 1. Rule out and/or treat any medical causes of tinnitus, such as high blood pressure, TMJ (temporomandibular joint) dysfunction, impacted earwax, sinus or allergy issues, head and neck injuries, or medications toxic to the ears. Treatment of chronic pain, chronic stress, migraine headaches, depression, PTSD, and sleep disorders such as sleep apnea are also encouraged because these conditions can worsen tinnitus symptoms. This may involve referral to other specialties, such as an ear, nose, and throat physician; allergist; family physician; dentist; or neurologist. 2. Rule out any ongoing causes or exacerbations of tinnitus, such as the use of noisy equipment (lawnmowers, power tools, loud music, etc.). We also provide guidance on the best type of

EAT HEALTHY, SLEEP MORE, DRINK WATER AND GET MOVING! Mercy Health – Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier. We’ve teamed up to offer parents and other caregivers practical advice on raising healthy children. Kohl’s Kids in Action is focused on four valuable steps that are important to better health: good nutrition, increased physical activity, proper water intake and good sleep habits.

Screen Time

What does watching TV or playing video games have to do with your child’s health? Children are spending more time in front of a screen and less time getting the 60 minutes of daily exercise they need to stay fit and healthy. Doctors suggest limiting the time children spend watching TV, playing video games or using computers/tablets/phones for reasons other than schoolwork to no more than 2 hours per day. No screen time is recommended for children under two. Excessive screen time is linked to: • Poor school performance • Behavioral and attention problems • Disruptive sleep patterns • Childhood obesity And remember: • Avoid snacks, sugary drinks and fast food during screen time • Keep screens out of children’s bedrooms • It’s time to turn off the screens and get active! Kohl’s Kids in Action offers free obesity prevention education to your elementary school or at health fairs. For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

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ear protection to use in noise. When disposable foam earplugs are not enough, we offer custom earplugs for long-term ear protection. 3. Hearing aids to treat hearing loss and tinnitus. Tinnitus is a side effect or symptom of hearing loss. Treating the hearing loss with daily use of hearing aids alleviates the tinnitus symptoms for most patients. Amplification stimulates the ears and brain, giving back sound to the ears and brain, allowing the brain to relax and to stop having to compensate or work so hard to hear or fill in the blanks of the missing speech sounds. Hearing aids have proven to be an extremely successful tool for tinnitus treatment

in our practice. Many good-quality hearing aids are also equipped with special programs that play a masking noise to cover up tinnitus when the person is in a quiet area. 4. Sound therapies. External noise played at soft levels can cover the sound of the tinnitus and reduce the perception and negative reactions to the tinnitus. At Northwest Ohio Hearing Clinic, we offer several types of sound therapies. One example is the Sound Pillow. The patented Sound Pillow was developed by a veteran whose tinnitus prevented him from sleeping. The Sound Pillow Sleep System is a plush, hypoallergenic pillow with

two virtually undetectable speakers that were engineered for total comfort and great stereo sound. The system comes complete with an easy-to-use MP3 player pre-loaded with nature sounds, hypnotic-binaural music, as well as white noise, blue noise and pink noise files. The MP3 player can also be loaded with personal music or recordings.

and providers. The first step to tinnitus treatment is a comprehensive hearing and tinnitus evaluation. Call Northwest Ohio Hearing Clinic to schedule your evaluation or to speak with an audiologist if you have questions about your tinnitus. We can be reached at our Toledo location at 419-383-4012 or our Perrysburg location at 419-873-4327. ❦

No two patients with tinnitus are alike, so the best treatment option is often contingent on multiple factors that are unique to each patient. Successful management of tinnitus is often a combination of treatments

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

Wise words from

OTTERBEIN Using technology as part of rehabilitative therapy produces results by Robin Small

electing the right nursing home and therapy team is a critical decision for patients, families, and their physicians. Oftentimes, people choose a long-term-care facility, outpatient clinic, or rehabilitation provider based on things like convenience of location and facility amenities. While these are logical considerations, nothing should be more important than the rehabilitation provider ’s ability to provide effective treatment options for the individual’s specific health condition. With the proper rehabilitation care, patients and residents are often able to enjoy better quality of life and independence. In many cases, they are even able to return to the activities they enjoy and a lower level of care in the community.

What are Therapeutic Modalities? Therapeutic Modalities are therapy treatment programs that provide non-surgical, medication-free treatment options for a variety of conditions. They have been developed around medical research using proven rehabilitation procedures. These programs include ultrasound, shortwave diathermy, gentle electrical stimulation, or infrared light. Therapeutic Modalities are often used by professional sports teams to manage pain, re-educate muscles, and increase circulation for improved healing after an injury. The therapy teams at Otterbein offer specialized treatment programs to help patients which include Accelerated Care Plus (ACP) Therapeutic Modalities.

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Ultrasound Ultrasound uses sound waves to target tissue and the circulatory system. The waves penetrate the muscles and tissue, causing them to become warm and relaxing them. This relaxation helps with tightness and spasms, the widening of vessels, and increased circulation to areas that will assist in healing. The frequency of the machine can be adjusted to decrease inflammation as well.

Shortwave diathermy Diathermy is the only way to heat large, deep areas. The heating causes the blood vessels to expand, thus increasing the rate of blood flow and oxygen delivery to the muscles and tissues. It increases circulation, accelerates heating, controls pain, and increases soft tissue extensibility. Diathermy will benefit patients in healing tissue, pain, and joint restrictions.

Gentle electrical stimulation Gentle electrical stimulation uses electrical pulses to create comfortable muscle contractions. It is used to help manage pain, re-educate muscles, increase local circulation

to assist with healing, help manage muscle spasms, and increase range of motion. This form of therapy is used to assist in the treatment of pain, slow-healing wounds, and weakness. It’s also helpful for joint and orthopedic procedures and the prevention of falls.

Depending on the patient’s condition, needs, and goals, therapists may use a variety of therapy techniques to get the best results. These therapies

Infrared light Infrared light harnesses the healing power of wavelengths of light. When it is applied to injury sites, it increases circulation, reduces inflammation, and promotes healing. Infrared light promotes nitric oxide release, which enhances blood flow. The blood flow brings oxygen and nutrients to injured, aching tissues, which causes them to heal faster. Are Therapeutic Modalities safe and effective? The Therapeutic Modalities in our specialized treatment programs use state-of-the-art medical technology that has been used safely and effectively for many years among people of all ages. The treatments are comfortable and well accepted by patients. Are Therapeutic Modalities used in all of ACP’s specialized treatment programs?

• A recent fall or fear of falling • Recovery from a joint replacement • Complications from a stroke • Loss of movement • Bladder problems • Slow-healing wounds • Post-surgical recovery • Carpal tunnel syndrome • Muscle weakness related to COPD.

How to get help

may or may not include the use of Therapeutic Modalities. Who should consider trying specialized treatment programs? Our specialized treatment programs may be helpful in the treatment of many common conditions and related symptoms experienced by aging adults and others, including: • • • • •

Pain Swelling Arthritis Muscle weakness Coordination or balance problems

To learn more about the specialized treatment programs offered by Otterbein’s therapy teams, which include Accelerated Care Plus (ACP) Therapeutic Modalities, contact the Otterbein community nearest you. (Contact information is available at www.otterbein.org.) A quick professional health evaluation is all that is needed to get started. You should speak to your doctor about these treatment options. To find out more about Therapeutic Modalities, please visit the ACP website at www.acplus.com. ❦ Robin Small is Regional Director of Marketing for Otterbein Senior Lifestyle Choices.

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Stroke doesn’t care where you live, so we bring emergency treatment right to your front door.

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