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Look as young as you feel | Cancer health disparities Timely sun-protection tips | Back-to-school physicals are critical Retirement-planning pointers | Building resilience in kids

Time to look as young as you feel!

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hat will your face, neck, and procedures. These products also DR. HANDLER OFFERS TELEDERMATOLOGY hands reveal about you this improve the “tear trough” depression summer? When you are enjoying Dr. Handler has been providing virtual dermatology for patients over several years. Due to the viral pandemic, this may be and hollowness under your eyes and yourself with friends and family, of interest to his present and prospective patients. Go to Dr. Handler’s website at drharveyhandler.com and scroll to the cause darkening to be much less will the fine lines, brown spots (age obvious. bottom. On the right you’ll find a link to your care. You will receive a diagnosis and treatment program within 24 hours. spots), and sagging jowls and neck Do you want to reduce fine not portray your true age but make lines, acne scars, and age spots tightening and lifting of sagging skin occurs over a 6-month time you appear tired and withered? Why not consider a painless and (brown spots from sun exposure) and shrink pores? Then the period with results lasting 3-4 years! There is NO downtime and no-downtime cosmetic procedure to reduce your aging, sun-damnon-invasive Clear and Brilliant laser is for you. When the Clear NO pain. The NEW Thermage CPT Deep Tip system has been aged, and sagging facial skin and eliminate brown spots? Allow and Brilliant laser is combined with Thermage CPT Deep Tip, utilized by Dr. Handler for many years with excellent results and Dr. Handler to evaluate and personally recommend a skin-rejuthe results are ideal for patients who desire no downtime or pain very satisfied patients. Most patients see results at the completion venation program for you to reduce the signs of aging. Look as and predictable results of lifting sagging skin and smoothing fine of the procedure. young as you feel when gathering with friends and family. lines. Dr. Handler is the only dermatologist in northwest Ohio perFor lines between the eyes (worry lines, 11’s, ski slopes), Whenever aged and spotted sun-damaged skin is discussed, forming this procedure. crow’s feet, and the “sleepy and tired look with droopy eyelids,” the term used is rejuvenation. Wait! What about “pre-juvenation”?

Are you aware that Dr. Handler personally performs laser the use of Botox or Dysport works well to improve these areas.

Prevent and reduce the signs of future aging and sun damage procedures for removal of body hair anywhere hair grows? Yes, The results are diminished lines and a more “wide-awake” and with a skin-care program designed for the Millennial and prior-tanthis minimally painful laser destroys hairs around the chin, jawline, less tired appearance. ning-booth generation. Be proactive before the lines and age upper lip, underarms, ears, nose, bikini line, etc. And this laser is EXCESSIVE UNDERARM SWEATING? spots appear. Speak with the staff at Dr. Handler’s office to inquire not just for women. Many men have this laser performed to perMost cosmetically-oriented patients know that Botox and about specials for cosmetic procedures and topical products to manently remove chest and back hair as well as beard hair that Dysport are used to reduce the signs of aging. However, Dr. Hanreduce the signs of aging and fade and eliminate “age spots.” grows down onto the neck. dler has utilized these products over many years for excessive Dr. Handler personally performs many anti-aging procedures Dr. Handler also utilizes the latest in lasers for removal of sweating of the underarms. This excess sweating is known as that are “non-invasive” with minimal discomfort or downtime. You “age spots” (sun spots really) anywhere on the body. This laser hyperhidrosis and is associated with embarrassment and anxiety. can minimize under-eye darkening and wrinkling, raise those works especially well for the tops of hands covered with those Most patients require injections twice a year to reduce sweating droopy eyelids, shrink pores, lift sagging jowl areas, and appear “age spots.” Finally, Dr. Handler also performs laser removal of 80% or more! The procedure is associated with minimal pain and as youthful as you feel. Call Dr. Handler’s office for a personal unwanted blood vessels that grow on your face and enlarge with no downtime. evaluation with treatment recommendations designed specifically heat, stress, and the intake of alcohol. Again, pain and downtime The use of fillers, such as Restylane, Restylane Lyft, for your aging skin. are minimal with this laser.

Remember, 80% of the signs of aging are due to prior sun Anti-aging and cosmetic enhancements are not for any specifexposure and subsequent skin damage. All the brown spots (“age ic gender. Male cosmetic enhancement and anti-aging procedures spots”), broken blood vessels on the face, fine lines, and sagging have increased almost 300% in the past 5 years for sagging skin are caused almost entirely by sun! This is something young skin, darkening under the eyes with the “hollow” look, and brown people should be aware of since we get 80% of our lifetime sun spots. The utilization of fillers, such as Restylane and its family exposure by the time we are 18-20 years of age. of fillers, Juvederm, Radiesse, etc., is excellent for deep smile What about the “worry lines” between your eyes, deep smile lines and the “sad and tired look” as evidenced with sagging at lines, upper lip lines (lipstick runs uphill), and your sagging jowls the corners of the mouth, hollow cheeks, and aging of the hands. and neck? These unfortunate changes caused by prior sun exAnd, of course, the use of Dysport/Botox to reduce forehead posure and aging can be improved dramatically with pain-free, “worry lines” is superb.

Juvederm, Radiesse, and others, to “fill” deep smile lines and non-invasive cosmetic procedures performed entirely by Dr. All of these cosmetic enhancements are performed entirely the marionette lines (the sad look) from the corners of the mouth Handler.

by Dr. Handler. To view before-and-after photographs of patients produces immediate results lasting 12-15 months! Don’t look tired The NEW Thermage CPT Deep Tip procedure painlessly who have had these procedures performed by Dr. Handler, visit or sad when you are not! Since these products are combined with heats damaged collagen under your skin to tighten and lift sagwww.drharveyhandler.com. For more detailed information about a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the ging areas of the neck, jowls, and upper arms, and wrinkling of the above-mentioned procedures or products, please call Dr. injection of new fillers called “Restylane Silk” and “Restylane the skin on the abdomen. The NEW Thermage CPT Deep Tip Handler’s office at 419-885-3400. Also, remember to inquire about Refyne and Defyne.” These products markedly improve upper procedure utilizes radiofrequency energy (not laser). This prospecial pricing available on many cosmetic procedures and prodand lower lip lines (lipstick lines). Restylane Silk and Kysse also cedure also encourages a natural repair process that results in ucts to diminish the signs of aging and obtain a more vibrant and volumize your lips and restore their natural curve while looking further tightening, lifting, and younger-looking skin. With only ONE youthful appearance of your skin. Look as young as you feel. attractive and natural. There is no downtime with these noninvasive treatment, results are seen before leaving the office. Continued HAIR LOSS IN MEN AND WOMEN Are you losing hair from surgery, anesthesia, 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, board-certified dermatologist of Sylvania, Ohio, has a medical Smoother, tighter, younger-looking skin on face, arms, and chest treatment for decreasing your hair loss and increasing growth in many patients!

Pediatric skin disease diagnosis and treatment is one of Dr. No surgery.

Handler’s special fields in general Dermatology. Age of the child No injections. is not relevant since Dr. Handler diagnoses and treats eczema, No downtime. hemangiomas, contact and allergic dermatitis, and general “lumps and bumps” that children and infants develop. What about “birth ADULT, marks,” scalp and body “ringworm,” body and head lice, scabies, arvey andLer, m.d., f.a.a.d. psoriasis? If there is a lesion or spot on the skin, Dr. Handler is PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy trained to examine, diagnose, and treat appropriately. & COSMETIC Also, everyone should have a yearly full body exam to check 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY for skin cancer, changing moles, and new growths that develop on our bodies. This comprehensive exam should be conducted solely HAIR & NAILS by a board-certified dermatologist. ❦

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

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

CONTACTS Business office:

To advertise: Healthy Living News, 130 Louisiana Avenue, Perrysburg, OH 43552. Phone: 419-874-4491 or email Chet Welch at chetw@ perrysburg.com. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

Editorial office:

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

Co-Publishers:

Adam Welch Chet Welch

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

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

Welch Publishing Co. Copyright © 2020 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe.

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

/HLNToledo

@HLNToledo

August 2020 • Vol. 25, Issue 8

Your Monthly Guide to Healthy Living

BACK TO SCHOOL

ENRICHING YOUR LIFE (continued)

4 Home schooling – replacing anxiety with discovery by Dennis Bova 17 Building resilience in children: back to school during a pandemic by Jennell Brown, MA, LPC 18 Create the perfect at-home study zone 23 Back-to-school physicals are still critical 27 Eating Well – Stellar school lunches in five easy steps by Laurie Syring, RD/LD

31 The Devil and Mrs. Jones, Part 5 – Mrs. Jones in assisted living by Chris Stieben

ENRICHING YOUR LIFE 5 Still vital to keep older adults engaged as state eases COVID restrictions 9 Health Crossword Puzzle 12 A Walk in the Park – Black Canyon of the Gunnison by LeMoyne Mercer 16 Introducing accents to the garden or landscape 18 Many people don’t plan for the reality of retirement 20 Nobody’s Perfect – Easy access voting!

by Sister Karen Zielinski, OSF 24 Want to feel good on your feet? Get fitted for the right footwear by Aaron Z. Haydu plus Dave’s Races 28 You can ace that job interview!

29 Spiritually Speaking – Giving your life for others

by Sister Mary Thill

HEALTH & BEAUTY 2 Time to look as young as you feel!

7 Cancer health disparities: a complex challenge demanding a multifaceted solution 21 5 signs it’s time to change your fitness routine 22 Seasonal allergy sufferers: Get ready for ragweed!

25 Don’t let the bedbugs bite!

26 How what you eat impacts your hearing

by Dianna Randolph, AuD, CCC-A 30 You’re never too old for Super Slow Training 31 Health screenings prevent suffering and save lives 34 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A

OUR COMMUNITY 8 Laurels rehab team member explains the vital role of occupational therapy 9 Laurels residents open shop to reclaim snack time 11 Mercy Health dermatologist offers timely sun-protection tips 33 Senior Living Guide

Dear Readers, Discovery,” in which regular HLN Thank you for picking up the Au- contributor Dennis Bova shares adgust issue of Healthy Living News. As vice from educator Erin Grieger on we head into another back-to-school how parents can adapt to the “new season, parents all over normal” of education the country have more during the COVID-19 questions than answers pandemic (p. 4). Other in terms of what this must-read articles for school year might look parents of school-age like. Will their kids be kids include “Building back in the classroom, Resilience in Children: learning virtually at Back to School During Adam and Chet Welch home, or doing some a Pandemic,” by Jansort of hybrid learning? What novel nell Brown, a licensed professional challenges can they expect to face in counselor at The Willow Center (p. this as-yet-undefined educational 17); “Create the Perfect At-Home environment? What resources and Study Zone” (p. 18); “Back-to-School support services will be available to Physicals Are Still Critical,” with exthem if they’re required to juggle pert insights from Drs. Paul Schultz home schooling with their career and Reem Tawfik of UTMC Family responsibilities? For helpful answers Practice (p. 23); and “Stellar School to these and many other questions Lunches in Five Easy Steps” by Laurie related to the new school year, read on! Syring, Clinical Nutrition Manager at A good starting point is “Home ProMedica Flower Hospital (p. 27).

Schooling: Replacing Anxiety with Of course, readers who don’t

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have kids heading back to school will find plenty of interesting and informative articles in this month’s issue as well. For example, Dr. Rex Mowat of The Toledo Clinic Cancer Centers discusses cancer health disparities on page 7, Mercy Health dermatologist Dr. Erin Heuring offers timely tips on sun protection on page 11, and Chris Stieben, Director of the ABLE Long-Term-Care-Ombudsman program continues his series on Mrs. Jones’ experience in assisted living on page 31.

We’re confident you’ll find something worthwhile in the pages of this month’s issue, which we’re able to bring to you free of charge thanks to the support of our advertisers. If you choose any of their products or services, remember to tell them you “saw it in Healthy Living News.”

Until next month, stay safe and healthy!

Adam and Chet Welch Healthy Living News | August 2020 3

that closed schools. She let her children play in the snow, then turned to their schooling after dinner.

“We expect kids to be up and attentive. Now [with home schooling], you can tailor the day to your kids.”

by Dennis Bova THE STAY-AT-HOME order this past spring suddenly put youths and their parents in a sometimes-awkward situation of home schooling.

As a new academic year begins this month, still amid the pandemic, some school districts will welcome students back into classrooms. But not in all cases. Some students will learn from home at least part of the time. Awkwardness doesn’t have to be part of what can be a positive experience.

This is where Erin Grieger comes in. Erin writes a blog about education, has a Master of Arts in teaching mathematics from Bowling Green iety about home schooling, Grieger State University, is a former Central offers six tips: Catholic High School math teacher, 1. Parents, accept that and schools her three you can do this young daughters in “A lot of times people don’t their Perrysburg home. think they know enough to “I chose to home school teach their child,” she says. my children,” Grieg“The biggest hesitation someer says, “but there are times is that parents ask themsome people who are selves ‘how can we make this thrown into something work?’ But there are resources like home schooling parents can plug into to do that they didn’t sign the best for their child.” up to do.”

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2. Make a schedule “Kids thrive on structure and routine,” Grieger says. She suggests a dry-erase board with the day’s schedule, so that everyone—youths and parents—sees how the day will flow. This can include chores and playtime.

Plan in 30-minute chunks, she says, especially for younger children.

“Do, say, English for 30 minutes, then play for 30 minutes, like color or do a puzzle. Otherwise, the kids will say ‘I’m bored.’“ “Also, schedule times to eat,“ she says, “or else they will eat all day long.

Every three or four hours, schedule a snack time.”

3. Know that abnormal is OK “Parents need to know that it’s OK that what they’re doing doesn’t look like a normal school day,” she says. The youths can sleep in, do their lessons in their pajamas—like some adults have been doing while working from home—and have playtimes spread throughout the day. “It’s not like they have to be scheduled from 8:00 a.m. to 3:00 p.m. like they would be in school.”

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home school district, Grieger offers resources on her website (eringrieger. com), as do other educators.

4. Be flexible Youths and adults have their own rhythms. “Some kids thrive doing their work in the morning, then having the rest of the day to play,” she says. “Others don’t do anything until after lunch. Have a schedule and be willing to change that schedule and be flexible until you find how your child works best. You can have things scheduled to do but not necessarily on a timeline.”

For instance, Grieger tells of the time when there was a big snowfall

5. Make time for you It’s important for parents to have their own space and time. “Depending on your personality, time for yourself could be in the morning, before the children get up, to read the Bible or have coffee with a newspaper.

Or for those who are night people, the kids need to be in bed and then parents can have time for themselves.

Whether at the beginning or the end of the day, or both, there needs to be time for reprieve.”

If parents need a break in the middle of the day, take it—and it’s OK if during that time the children can watch a little TV. The other important component to you-time is exercise. “I don’t mind if my children play where and while I work out,” Grieger says. “Let them come down and be with you. That helps you relieve your stress, and it helps them see that you’re taking care of yourself. What they see you do is what they will repeat as an adult.

And talk to them so they understand that you have needs and you have to get things done”—which leads to the final and most important tip: 6. Communicate “The biggest thing is communication, between parents and children, between families and schools. Talk about the expectations of the day, of the routine, so everyone knows what’s going on for the day.”

The goal of these tips is to replace the anxiety of home schooling with a sense of personal discovery. “I’m hoping people will see this—and it is a disruption in their lives—as the silver lining, to see how their child can excel in something not as structured as a normal school day is.

There is a structure and routine to home schooling, but not as much as a regular school day. There’s more freedom to see what works for each individual child. I’m hoping that some of these students will have the freedom to explore some things that they’re passionate about, or help them learn better,” she says.

Dennis Bova is a retired newspaper reporter, columnist, and copy editor. ❦

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Still vital to keep older adults engaged as state eases COVID restrictions WITH OHIO GRADUALLY reopening and area residents tentatively returning to normal activities and routines, it’s important to remember that not everyone can take equal advantage of the relaxed restrictions. People who are more vulnerable to COVID-19, such as older adults in senior living communities, must remain especially vigilant against the disease and continue to take steps that minimize their risk of exposure. So, while the rest of us are beginning to interact with one another once again (hopefully at a safe social distance), many in this population are still coping with isolation. That’s why it’s so important to reach out to our older loved ones and help them stay engaged as this pandemic continues.

Staying connected with older loved ones isn’t just a matter of preventing boredom. It’s also extremely important from the standpoint of their physical and emotional health. Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities, explains, “Ample research has shown that social isolation and loneliness can contribute to a wide range of physical, emotional, and mental-health problems in older adults,” she says. “In fact, according to the National Institute on Aging, social isolation and loneliness are linked to higher risks of high blood pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer ’s disease, and even death among older adults.”

To help keep our senior loved ones engaged and connected during the ongoing COVID-19 pandemic, Young offers the following suggestions: Schedule face-to-face visits Many senior living facilities and communities have been offering faceto-face visits through glass windows or doors throughout the pandemic, allowing family members to check on their loved one’s well-being and just enjoy time together, albeit with a barrier in between. However, effective June 8 for assisted-living facilities and July 20 for nursing homes, the State

of Ohio began to allow outdoor visits at the direction of Governor DeWine.

Sunset is now providing this opportunity to residents and their loved ones while adhering to all appropriate safety and health guidelines.

“If you have a loved one residing in a senior community, be sure to find out what the community is doing to facilitate in-person visits and take advantage of these accommodations as frequently as possible,” Young advises.

Plan virtual visits While there’s no real substitute for in-person visits, virtual face-to-face communication using an app such as Zoom, Skype, or FaceTime comes in a close second when it comes

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Keep the letters and care packages coming!

Though our culture is becoming increasingly virtual, older adults still overwhelmingly appreciate tangible correspondence and packages. So, in addition to emails and visits both in-person and virtual, be sure to keep those “snail mail” cards and letters coming—especially those containing family photos that your loved one can cherish.

Young notes that Sunset also offers “Boredom Busters,” such as word n

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Cancer health disparities: a complex challenge demanding a multifaceted solution

IN ANY DIVERSE population, cancer or other factors? “It could be any or health disparities are virtually certain all of the above,” states Dr. Mowat. to arise among people of different “We see all these factors playing a races or ethnicities, genders, socio- role, but it’s so complex and hard 4126 N. Holland Sylvania Rd., Suit economic backgrounds, geographic to sort out.”

In some cases, barriers to cancer origins, and other distinctions. HowToledo, OH 43623 ever, these disparities often defy easy care are a simple matter of proximity explanation, making it very difficult to services. For instance, someone for healthcare professionals to over- living in the inner city who needs to see a doctor in the subcome them. urbs but has limited access Rex Mowat, MD, of to reliable transportation The Toledo Clinic Cancer may be unable to keep Centers, elaborates, “We’re appointments. The same a very heterogenous group could apply to an impoverof human beings, so disished individual in a rural parities are to be expected, Located on N. Holland Sylvania Road, we h setting who can’t afford and the reasons for them gas and lives 30 miles from are highly complex and laboratory, MRI and other specialty service the nearest doctor. often interrelated. We see Notwithstanding the disparities in prevention, conveniently located on Loc the premises. challenges that cancer diagnosis, treatment, and Rex Mowat, MD health disparities present, outcomes—all across the lab 4126 N. Holland Sylvania Rd., Suite 105 board. We can’t always correct them, the dedicated team of providers at 4126 N. Holland Sylvania Rd., Suite 105 con but whenever there’s a chance that The Toledo Clinic Cancer Centers Toledo, OH 43623 4126 N. Holland Sylvania Rd., Suite 105 we can fix them, we have to make continually strives to help overcome OH 43623 4126 N.Toledo, Holland Sylvania Rd., Suite 105 Toledo, OH 43623 the effort. I consider that a challenge obstacles to treatment and achieve Toledo, OH 43623 the best possible outcomes for paworth taking.”

Dr. Mowat further explains that tients of all backgrounds. One way cancer care keeps getting better and they accomplish this is by adhering outcomes have consistently improved to national care protocols that are for all groups. Nonetheless, dispar- blind to race, age, sex, etc., but they’re Located on N. Holland Sylvania Road, we have ities persist. “For example, African also finding ways to be more pro§ Dr. § Dr. Rex Mowat laboratory, MRI andAlkhalili other specialty services Located onAdnan N. Holland Sylvania Road, we have Americans, especially men but also active in leveling the playing field conveniently onSylvania the premises.

Located onMRI N.located Holland Road, we have laboratory, and other specialty services women who have breast cancer, in our community. “For example, § Dr. Mohammed Al-Nsour § Dr. Richard Phin have worse cancer death rates than while it’s not finalized yet, we’re laboratory, MRI and other specialty services conveniently located on the premises. § Located on N. Holland Sylvania Road, we have D white people do. While the outcomes working on developing a partnerconveniently located on the premises. § Dr. David Brown § Dr. Bradley Sac for African Americans have clearly ship with the Neighborhood Health laboratory, MRI and other specialty services § D n Dr. David Brown n Dr. Dhaval Parikh improved over time, they’re still Association and Dana Cancer Cen§ Dr. Mark Burton § Dr. Nauman Sh conveniently located on the premises. lagging, which means there’s more ter, whose goal is to provide equal § D n Dr. Shaili Desai n Dr. Richard Phinney access to quality medical care and room for improvement,” he says. § Dr. Shaili Desai § Rashid Dr. Abhay Shelk n n Dr. Mersiha Hadziahmetovic Dr. Hammad § D Other examples of ethnicity-related support services to all community members.

We’re partnering with disparities that Dr. Mowat identifies §n Dr. Alkhalili §TimDr. Tim Kasunic § Dr. nRex Dr. Charu Trived Dr. Adnan Kasunic Dr.Mowat Bradley § Sachs § D include Native Americans being more NHA and Dana Cancer Center to §n Dr. Mohammed Al-Nsour Richard Phinney Adnan Alkhalili § Dr. Rex Mowat n Dr. Rex Mowat Dr. Charu Trivedi vulnerable than other groups to cer- help a very significant group who § D Adnan Alkhalili §§ Dr. Mowat Brown Bradley Sachs §§ Dr. Dr. David Mohammed Al-Nsour Dr. Rex Richard Phinney tain types of cancer, specifically gall are underserved for a variety of bladder, stomach, and kidney cancer. reasons,” says Dr. Mowat. §§ Dr. Dr. David Mohammed §§ Dr. Phinney Mark Burton NaumanSachs Shahid BrownAl-Nsour Dr. Richard Bradley Perhaps most importantly, The Also, despite having a lower incidence §§ Dr. Brown §§ Dr. Sachs Shaili Burton Desai Abhay Shelke Dr. David Mark Dr. Bradley Nauman Shahid for all cancers combined compared to Toledo Clinic Cancer Centers provid§§ Dr. Burton §§ Dr. Shahid Tim Kasunic Charu Trivedi Dr. Mark Shaili Desai Dr. Nauman Abhay Shelke white people, Hispanic people have a ers treat every patient as a unique individual, not just as a representative higher rate of cancers associated with §§ Dr. Shaili Desai §§ Dr. Abhay Shelke Dr.Alkhalili Tim Kasunic Charu § Dr. Adnan § Dr.Dr. RexTrivedi Mowat infection, such as cervical, liver, and of a group. “Treating every patient § Dr. Tim Kasunic § Dr. Charu Trivedi stomach cancers (related to infection as an individual, taking into account § Dr. Mohammed Al-Nsour § Dr. Richard Phinney with HPV, hepatitis, and Helicobacter any factors that could potentially For the convenience of our patients, we also have satellite lead to disparities in their diagnosis, pylori, respectively). offices in Bowling Green, Maumee and Monroe. § Dr. David Brown § Dr. Bradley Sachs Are these disparities related to treatment, or outcome, is the surest innate racial bias, lack of insurance, way to circumvent unconscious bi§ Dr. Mark Burton § Dr. Nauman Shahid stigma associated with particular ases,” Dr. Mowat states.

The Toledo Clinic Cancer Centers, diagnoses, refusal of doctors to accept § Dr. Shaili Desai § Dr. Abhay Shelke ToledoClinicCancerCenters.com Medicaid, limited access to screening, n Toledo Clinic - continued on p11 § Dr. Tim Kasunic § Dr. Charu Trivedi poor medical care in general, genetics, ToledoClinicCancerCenters.com

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ToledoClinicCancerCenters.com Healthy Living News | August 2020 7

Laurels rehab team member explains the vital role of occupational therapy WHEN PEOPLE HEAR the term “occupational therapy,” many mistakenly conclude that this discipline has something to do with career building or helping people find job opportunities. Others might erroneously assume that occupational therapy is just another name for physical therapy. But if neither of these definitions hits the mark, then what exactly is occupational therapy?

According to the website of the American Occupational Therapy Association (aota.org), “Occupational therapy is the only profession that helps people across the lifespan to do the things they want and need to do through the therapeutic use of daily activities (occupations). Occupational therapy practitioners enable people of all ages to live life to its fullest by helping them promote health and prevent—or live better with—injury, illness, or disability.”

Cristina Nickle, a licensed certified occupational therapy assistant (COTA/L) at The Laurels of Toledo, adds that occupational therapy (OT) is used in a wide variety of environments, including skilled nursing, hospitals and acute care, and outpatient set-

tings. OT is also used across a broad spectrum of populations, ranging from pediatric to adult, geriatric, and mental-health clients.

“Here at The Laurels, the focus of occupational therapy is on functional activities of daily living, or ADLs, such as bathing, dressing, and toileting, as well as higher-level tasks, such as housekeeping, cooking, and doing laundry,” Nickle says. “Many people come here for a rehab stay right out of the hospital, and our job

is to get them ready to return home successfully.”

Among the higher-level tasks that The Laurels’ OT staff addresses with clients are avocations that bring fulfillment to life, such as gardening.

In fact, The Laurels uses a raised-bed flower garden, located in a courtyard adjacent to the rehab gym, to help clients work on the skills necessary to plant and tend flowers. They also take clients on community outings to work on the skills they’ll need to function and navigate in real-world environments.

In addition to helping with ADLs and higher-level tasks, the Laurels OT team provides wheelchair positioning for clients who need a customized wheelchair or specialized seating.

Another specialized service they provide is splinting to help manage contracture, or the tightening of tendons and other tissues that can limit flexibility and dexterity, for example in people who have experienced a stroke and are unable to use one side of their body.

“Education is another major component of our job. We teach a lot of compensatory strategies and educate

Outpatient Therapy

clients on the use of adaptive equipment so they can live and function as independently as possible,” Nickle says.

Wrapping rubber bands around jar lids or door handles to make them easier to grip and turn; buying milk by the quart or half-gallon rather than by the gallon so it’s easier to lift; and storing frequently used kitchen items on the counter, table, or a bottom shelf are just a few of the simple compensatory strategies occupational therapists can teach clients.

A sampling of adaptive equipment that can make it easier for clients to manage ADLs includes mechanical reachers, sock aids, long-handled shoehorns, long-handled ergonomic combs for reaching the hair on the back of your head, long-handled sponges for bathing hard-to-reach areas, button aids for people with fine-motor limitations, and elastic shoe laces, which never come untied and essentially convert tied shoes into slip-ons.

Laurels occupational therapists can also perform home evaluations to observe clients’ living environments and recommend steps or modifications that will make them safer, such n Laurels - continued on p9

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Laurels - continued from p8

as removing throw rugs and other tripping hazards, improving lighting in hallways, installing grab bars in showers/tubs and around toilets, using a bench to transfer in and out of the tub, etc.

Though OT is distinct from physical therapy, the two disciplines often work hand in hand at The Laurels to help clients regain the strength, mobility, and function they need to get back to their normal lives safely and successfully. Nickle adds, “We also work closely with speech therapy, especially if a client needs help with self-feeding. In this situation, the speech therapist will work with the client on swallowing and the muscles involved in that process while the occupational therapist will work with the client on bringing hand to mouth and using utensils.”

Nickle points out that the American Occupational Therapy Association’s motto is “Live life to the fullest.” “That philosophy is what occupational therapy is all about,” she emphasizes. “We’re here to help our clients maximize their potential, return home safely, and enjoy the highest possible quality of life.”

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. ❦

Laurels residents open shop to reclaim snack time

RUNNING OUT OF chocolate and other tasty treats is never a welcome development. But when you’re in the middle of a pandemic and there’s no possibility of replenishment, watching your snacking options dwindle can be downright distressing.

That’s the scenario residents of The Laurels of Toledo recently faced when they realized their vending machines were running low on snacks and sodas and, due to COVID-19, no one would be coming to refill them anytime soon. Their solution was to open a café of their own—dubbed the Snack Shack—offering an assortment of different candies and chips, along with several varieties of diet and regular soda.

Page Rostetter, MED, CTRS, RTCR, Activities Coordinator at The Laurels of Toledo, explains, “For our guests, seeing things disappearing from the vending machines is like going to the kitchen pantry and finding it empty.

So, they decided to take matters into their own hands by opening the Snack Shack in our main dining room.”

Laurels resident Jon Resanovich, who is one of the Snack Shack operators and has many years of retail experience under his belt, comments that the project is going over among residents even better than anticipated. “Now that everyone is getting comfortable with the concept, they’re lining up at the door when opening time is announced. Of course, we’re practicing social distancing. There are two doors to the main dining room, so customers enter through one door, buy their items, and then exit through the other door, all while maintaining a safe distance from one another,” he says.

The Snack Shack is open to residents as well as staff and is stocked with merchandise purchased at Kroger and Gordons. According to Resanovich, Snickers bars are the

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most popular candy, and Pepsi, Coke, and Mountain Dew are the leading soda options.

Rostetter notes that the enterprise is self-sustaining, with profits used to purchase replacement items for the shop. “Once COVID-19 goes away and we can have vendors in to refill the machines again, the Snack Shack will likely close, but our goal is to use some of the money raised to buy something nice for the Recreation Therapy Department, such as an iPad or a projector,” she says.

The Snack Shack project is just one of many examples of how The Laurels of Toledo strives to empower their guests and give them something to focus on and be proud of, especially during these challenging times.

For more information on The Laurels of Toledo, please call 419-536-7600 or visit www.laurelsoftoledo.com. ❦

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10 August 2020 | Healthy Living News

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Mercy Health dermatologist offers timely sun-protection tips THOUGH COVID-19 CONTINUES to dominate the health-related headlines, it’s important to keep in mind that many other aspects of health still demand our attention. Among them is protecting our skin from the sun’s harmful ultraviolet rays when we spend time outdoors.

Erin Heuring, MD, of Mercy Health Dermatology, explains that Erin Heuring, MD in addition to increasing the risk for most forms of skin cancer, sun damage is the number-one cause of photoaging, or premature aging of the skin due to cumulative UV exposure.

She also warns that there’s no such thing as a safe suntan. “Any change in skin color due to sun exposure—whether it’s a suntan or sunburn—indicates DNA damage to the skin, which increases the risk of photoaging and skin cancer. And keep in mind that tanning beds are not a safer alternative to natural sunlight exposure,” she says.

Sunscreen is, of course, a vital tool for protecting the skin against sun damage. Dr. Heuring recommends using a broad-spectrum product (protecting against both UVA and UVB rays) with an SPF, or Sun Protection Factor, of 30 or higher. Sunscreen should also be reapplied every two hours as well as after perspiring heavily and wiping the skin or after swimming and toweling dry. “The amount of sunscreen you apply should be approximately enough to fill a shot glass, which is sufficient to cover the average person’s body,” she says.

Dr. Heuring prefers mineral-based sunscreens over chemical-based ones, so look for products containing zinc oxide or titanium dioxide. Mineral-based sunscreens are “physical sunscreens” that form a protective barrier on the surface of the skin that reflects away harmful UV rays.

However, sunscreen use is just the “tip of the iceberg” when it comes to sun protection. Dr. Heuring also advises

limiting sun exposure by wearing a wide-brimmed hat, long-sleeved shirt, and long pants as well as seeking shade whenever possible. “Also, while the risk of damaging sun exposure is greatest in summertime, especially between 10:00 a.m. and 4:00 p.m. when UV levels are at their highest, don’t assume you’re safe outside because it’s not a bright, sunny summer day. UV rays penetrate clouds and are a concern year-round,” she says.

In addition to recommending steps to limit sun exposure, Dr. Heuring urges HLN readers to monitor themselves routinely for any potential signs of skin cancer, including melanoma and non-melanoma cancers.

She explains that melanoma can either occur “out of the blue,” typically as a dark or brown spot, or arise from an existing mole. When checking for warning signs of melanoma, it helps to know your ABCDEs. This acronym stands for: Asymmetry—If you draw a line through the middle of the mole, the two sides don’t match.

Border—The border of the growth is jagged or meandering rather than smooth.

Color—More than one color is present in the growth.

Diameter—Any growth the approximate size of a pencil eraser or larger warrants examination.

Evolving—The growth is changing over time (the most important characteristic).

“It’s important to monitor your moles as well as perform a full-body skin check on a monthly basis to identify any new growths,” Dr. Heuring states. “If you have difficulty seeing certain parts of your body, you can find techniques online for observing hard-to-reach areas using a hand mirror.”

Some potential signs of non-melanoma cancers (i.e., basal cell and squamous cell carcinomas) to watch for include a sore that won’t heal,

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a pimple-like growth that doesn’t go away, or a scar-like growth that appears without injury or trauma and doesn’t go away. “Also, be aware that burn scars and severe scars are high-risk areas for developing skin cancer,” Dr. Heuring adds.

As an additional safeguard against skin cancer, it’s a good idea to see a dermatologist for a full-body exam at least once if you haven’t already.

After that baseline visit, the doctor can determine whether regular follow-up is appropriate based on your risk factors, for example if you have a personal or family history of skin cancer or you’re over the age of 50.

For more information or to schedule an appointment with a Mercy Health dermatologist, visit mercy.com. ❦

n

Toledo Clinic - continued from p7

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

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

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

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Healthy Living News | August 2020 11

trance road to the south rim of Black Canyon of the Gunnison National

A WALK IN THE PARK High winds in the harsh desert climate twist junipers and pinyon pines into interesting shapes.

Black Canyon of the Gunnison

by LeMoyne Mercer IF YOU WERE driving north from Durango, CO on Rt. 550—which you should because the drive along the Animas River up into the mountains is spectacular—you would pass through the historic towns of Silverton and Ouray before reaching Montrose in about 100 miles. You could do that in about two and half hours. But you

should take your time. It is called the Million Dollar Highway not because it cost that much to build, but because the views are worth that much and more. There are numerous excuses to stop along the way, including in the historic towns themselves. The entire town of Ouray, for example, is a National Historic Site.

At Montrose, turn east on Rt. 50 for about ten miles to reach the en-

stretch it drops 480 feet in two miles.

Fast water, laden with grit and rocky debris, continues to carve the canyon ever deeper.

The canyon is called Black because the walls are so close together that the depths are in shadow until the sun is almost directly overhead.

The geological features and more subtle colors of the opposite canyon walls are more apparent because of their relative proximity. (Details are

You might want to visit the historic town of Silverton. The old mine is just a few miles up the road.

Park. Then begin the long climb to the canyon rim. When Shirley and I were novice travelers in the West, we assumed that the great canyons were below ground level. After all, if the Grand Canyon is a mile deep, logically you would look way down into it. Which is true. But only after you climb a mile up to the rim. Like the rim of Grand Canyon, the Black Canyon is at an elevation of about 8,000 feet.

The Black Canyon was cut by the scouring action of the Gunnison River as it roars through the depths. The Gunnison descends farther in the 48 miles through the national park than the Mississippi does in its entire 1,500 miles between Minnesota and the Gulf of Mexico. Within the park boundaries, the Gunnison drops almost 100 feet per mile, and in one

The Gunnison River looks small from the rim, but bear in mind that it is a half mile down there. lost at the Grand Canyon because the opposite walls are miles away.)

Geological features are particularly evident at the Painted Wall, the tallest sheer cliff in Colorado at 2,250 feet, where volcanic intrusions, or dikes, of lighter colored pegmatite create strange shapes that have been fanci-

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climb back up.

Another option for reaching the river is the East Portal Road that makes a steep, 16% grade descent through tight switchbacks. It is open only to vehicles less than 22 feet—including trailer. That’s a little national park humor. How many vehicle and trailer

imagine would be willing to come to your rescue even if it were physically possible? Still, the limited number of drivers who do it seem to think it’s no big deal. Park literature says “Camping, fishing, and picnicking are available.” More park humor, I suppose.

We think there is a much better way to get into the canyon. The Park Service offers a ranger-narrated boat tour on the Gunnison River that begins at Morrow Point. Reaching the 42-passenger pontoon boat requires a drive back down to Rt. 50 and then east about 25 miles. There is no point in making that drive unless you first call ahead for the required reservations. And there is no point in that either if you have physical limitations.

The Park Service is very explicit about the effort required to reach the boat dock: first you descend exactly 232 steps (which, obviously, you will climb coming out) to a trail on an abandoned narrow-gauge railway bed that follows the river for a scenic 3/4 mile. “We suggest leaving the trailhead no less than 45 minutes prior to the tour and allowing more time for a slower pace,” says the Park n A Walk in the Park - continued on p14

The lighter colored rocks on the Painted Wall are said to resemble Oriental dragons. fully interpreted as Oriental dragons.

The South Rim Road follows the canyon with 13 pullouts along the way. From your vehicle, you can get a more or less adequate view of the canyon. Take just a short walk out to the very lip of the canyon from any or all of the pullouts, and the views are way better than just adequate. At the Sunset View pullout, for example, you can look down a long stretch of the canyon to where the sun seems to decline into the notch formed by the walls. It is a lovely place to visit right after your supper when the sky turns all golden and red and deep purple velvet. Last summer, Sunset View was where Shirley and

This mule deer doe appreciated the shade of our RV on a warm July afternoon.

After sunset, the dark sacred night becomes the attraction. Because of its distance from major metropolitan areas, the night sky at the Canyon is unaffected by so-called light pollution.

One moonless night, an astronomy club brought huge telescopes and invited campers to have a look. By

The popular walk out to Warner Point is only a mile and a half with an elevation gain of about 400 feet. combinations do you think total less than 22 feet? And of at least equal importance is an absolutely reliable brake system and unshakable faith in your engine and transmission.

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Two bighorn rams stayed behind to keep an eye on us during the departure of the ewes and lambs.

I met about a dozen bighorn sheep.

The ewes and lambs moved away promptly, but a couple rams hung around to give us a good look-over and serve as a rear guard.

The campground is a safe haven for quite a few deer, especially newborn fawns and their mothers, because predators are less likely to intrude there. A doe sought relief from the July sun by plopping down in the shade right next to our RV, and her twin fawns meandered through regularly even as we sat reading or sipping adult beverages in our camp chairs. Similarly, a grouse hen came to feed on the serviceberries at our campsite. She was not at all shy in our presence.

A sage grouse hen continued feeding on serviceberries at our site even though we were only a few feet away. “huge” I mean we had to climb six-foot step ladders to reach the eye pieces.

Rings of Saturn, oh, my! And what looks like a bright star at a corner of the Big Dipper is actually a binary, two stars orbiting each other.

There are trails along the rim of the canyon and out to Warner Point that are relatively easy. There are also trails for the young, strong, and very courageous that make the precipitous descent all the way to the river. Many who do this are motivated by the trophy trout that reside in the rushing waters down there. Now, Shirley and I have used the park several times as a base for fly fishing in the area, but we have never been so highly motivated that we would go all the way down there and then deal with the near-vertical

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A Walk in the Park - continued from p13 Service. After descending from the canyon rim, you are still at about 6,500 ft. elevation and, if not yet acclimated, you may find yourself a little short of breath and walking slower than usual. If you are not confident that you can descend 232 steps and walk 3/4 mile at the brisk rate of 1 mph, perhaps you should rethink the whole thing. n

The scenic boat tour is reached via a 3/4-mile walk along an abandoned narrow-gauge railway bed.

A Perfect Place to Recover

If you decide to go, be prepared for more park humor. On the dock, we were required to don life vests and have the security of the buckles pass ranger inspection. Once we actually climbed aboard, however, we were permitted to remove the vests and stow them under our seats. If you are inclined to scoff, bear in mind that safety should be taken seriously. So, do your scoffing in the silence of your head. The rangers are all too aware that they are sometimes required to follow ludicrous procedures established by bureaucrats who have never been within 1,000 miles of the park. Smart alecky passengers don’t make things any easier for them.

Besides, by the time you complete your tour, you will probably have forgotten all about that anyway. The boat cruises past landmarks such as the granite Curecanti Needle, rising 700 feet at a bend in the river, and Chipeta Falls that spills from way up the cliff face. There is also the chance to see falcons, ospreys, and swifts, and hear a canyon wren sing “Down, down, down, down!” Watch for bighorn sheep on the sheer cliff walls, too.

Now, back at the beginning, I suggested that the Black Canyon could

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The 700-foot granite Curecanti Needle is a major landmark on the boat tour into Black Canyon. be reached via the scenic route up from Durango. Actually, that is just one of the scenic routes. Shirley and I have also enjoyed the drive west on Rt. 50 from I-25 and to the North Rim on Rt. 133 from I-70. There is a campground on the North Rim that is somewhat quieter and less visited if you prefer that sort of thing. Bear in mind, though, that there is no visitor center on the North Rim. If you like national park exhibits, souvenirs, and advice from rangers, this may not be your best choice. Also note that there is no direct route from one rim to the other so you will need to allow two or three hours should you decide to make the drive to the other side of the canyon.

If you pick up a Colorado map, you will notice that the roads in the western two thirds of the state tend to have little black dots all along them because they are designated scenic routes. Well, yes, of course they are!

All of the ways to reach the Black Canyon are scenic. There is simply no

bad way to get there. Even I-70, not particularly awe inspiring between Ohio and Denver, suddenly becomes a joy to drive, especially through the Glenwood Canyon section that parallels the Colorado River with white-water rafters rushing through it. In our opinion, once you reach the Front Range of the Rocky Mountains, you just can’t go wrong.

If you enjoy resort communities, you should visit Aspen, Vail, Breckenridge, or Glenwood Springs. They are all located conveniently on or close to I-70. If, like us, you prefer camping, hiking, and fishing, we heartily recommend either Rt. 160 across the south or Rt. 50 across the middle of the state. You might even plan a circle tour by combining both routes so as to include Great Sand Dunes National Park and Mesa Verde National Park as well as the Black Canyon.

None of this matters, though, if you are totally unimpressed by purple mountain majesties, above the fruited plain. (That would be Pike’s Peak near Colorado Springs that inspired the song.) But being unimpressed is not entirely beyond possibility. Shirley’s father, bless his heart, was a flat-land farmer apt to make observations such as “Ya seen one mountain, ya seen ‘em all” or “Mountains just get in the way of the view.” Which is why I am tempted to think that infant Shirley was secretly left by the fairies. She has a soul built for outdoor adventure. And a good thing it is, too, or she would have missed out on many a delightful walk in the park.

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Excursions for up to 12 persons (419) 666-5952 (Day) (419) 297-2356 (Night) LeMoyne Mercer is the travel editor for Healthy Living News. There www.lakeeriefishing.com is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com.

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Healthy Living News | August 2020 15

Introducing accents to the garden or landscape be converted into interesting art pieces or planters in the garden.

And that layer of rust just adds to their rustic appeal!

PLANTS ARE THE foundation of any garden or landscape, but the atmosphere of a garden can be further enhanced through the use of gardening accents, such as statuary, birdbaths and feeders, wind chimes, stepping stones, and other artistic touches. These elements can make a delightful impression if they’re used judiciously and conform to the scale and character of the garden itself.

The many roles of garden accents Accents give gardeners the opportunity to say something about themselves and their passions that they can’t necessarily communicate through foliage and flowers alone. They also help to create a cohesive visual impression that unifies the landscape.

Strategically placed statuary leads the visitor down garden paths and draws the eye to specific focal points.

The soothing trickle of a water feature or delicate tones of a wind chime delight the ears. Birth feeders and baths not only provide visual interest in and of themselves, but the birds they attract also add movement and beauty to the scene. Not to mention, birds help protect plants by feasting on undesirable pests in the garden.

Select a feel or theme Choosing and placing garden accents is much like choosing and placing plant material. Your choices should complement one another and work together to create a coherent feel or theme. Just as barberry or yucca

plants would be out of place in a shade garden, a classical statue of Bacchus wouldn’t make much sense in a Japanese garden. On the other hand, a Japanese lantern, ornate crane statue, pergola, or bamboo deer chaser would be appropriate in that setting.

A “theme” can be just about anything of your choosing—from classical to abstract to religious to whimsical. If angels or cherubs intrigue you, that could be your theme. Or perhaps you’re fond of a particular pet or wild animal that you’d like to see reflected throughout your garden.

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

Your choice of materials The material your accents are made of can impact the look of your gar-

den, as well. Stone, terra cotta, and wood tend to convey an earthy feel.

Metal accents are a good choice for creating an ornate or modern impression. Concrete is, perhaps, the most versatile as it can be painted and glazed to look natural, formal, or virtually anything in between.

The only drawback to concrete is its tendency to crack under harsh weather conditions. Copper accents have really grown in popularity as they stand up to weather very well and take on an attractive greenish patina as they age, which allows them to blend well with surrounding plant material. Colored glass hummingbird feeders and other glass accents offer an intriguing splash of color in the landscape.

No-cost accents Garden accents needn’t be costly store-bought items, either. Old milk cans, farming or gardening implements, wheelbarrows, and other old heirlooms taking up space in your garage or shed can

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

Keep in mind that walls and wooden fences offer wonderful accent opportunities. Wall-mounted planters or fountains make ideal embellishments for these surfaces.

Plaques, sundials, and other mountable artwork can also be used to enliven a wall or span of fencing.

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

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Building resilience in children: back to school during a pandemic

by Jennell Brown, MA, LPC

children honestly and specifically.

Rather than, “You were good while shopping for school supplies,” say, “I love how you kept your distance from other shoppers and kept your hands to yourself.” Not only is specific praise more believable, but it lets children know exactly what is expected of them.

IT IS THE question every parent is asking: “Will my kids go back to school this fall?” It is possible that schools may reopen for on-campus learning, continue with remote learning, or even incorporate the two models into a novel curriculum hybrid. With so many diverse possibiliConnection ties, it’s nearly impossible One of the best protecto know how to prepare. tive factors we can provide While we may not be able for children is a solid sense to predict what the near of security and uncondifuture of going back to tional love. A 2020 publicaschool will look like, we tion on risk and resilience can prepare ourselves and in family well-being during our children for any posthe COVID-19 pandemic, sible outcome by building written by Prime, Wade, resilience. and Browne, suggests that Resilience is the abilbuilding and maintaining ity to recover and adjust supportive family relationquickly to change. Chilships allows children to feel dren have shown more understood by utilizing physical resilience to emotion regulation support Jennell Brown, MA, LPCC COVID-19 than adults, from their parents. Let but what about mental and emotional health resilience? As children know that home is a safe the uncertainties about the return space to verbalize their fears of the to school are prolonged, children’s upcoming school year and to process emotional distress persists. Building their strong emotions. resilience in children can provide the tools they need to respond to Character Children can develop a good sense emotional distress and overcome of character as they begin to recognize adversity.

For this article, I’ve adapted the themselves as a caring individual. Part Seven C’s of resilience outlined by of adapting to a worldwide health Kenneth Ginsburg, MD, in his book crisis is understanding the imporA Parent’s Guide to Building Resilience tance of community and considering in Children and Teens: Giving Your the needs of others. Children can Child Roots and Wings to elaborate feel good about selfless actions by on a means of building resilience understanding that even though it in children preparing to go back might not be comfortable, wearing to school during a pandemic. They a mask while in school can protect other people from getting sick. include: Competence Competence is the ability to handle situations effectively. Encourage children to focus on their individual strengths and identifying how to use those strengths. For example, children growing up in the world today have an instinctual ability to work with technology, a skill that in the day of virtual/distance learning is worthwhile.

Contribution A sense of purpose is gained when children recognize the importance of their contributions. Talk with children about how many other people in the world don’t have the comfort of sanitized spaces or the convenience of online learning. Modeling generosity and teaching the value of serving others when able helps children realize that the world is a better place because they’re a part of it.

Confidence Confidence allows children to believe in their own abilities. Praise

Coping The ability to cope with stress

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n

effectively can help children overcome an array of life’s challenges.

Normalize feelings of stress and anxiety while modeling positive coping strategies and facilitating solution-focused discussion. For example tell them, “It’s okay to feel worried about not seeing your friends as often this school year, but if we can’t see them at school, we will schedule virtual group hangouts to stay connected.”

Control When children are able to recognize that their decisions can control outcomes, they learn how to respond to challenges in ways that promote positive results. It’s important to communicate to children that while we can’t control how COVID-19 affects the school year, the decisions we make in response to these events can keep us safe and happy.

Ultimately, there is no simple means of preparing for the upcoming school year. The best we can do for children is to help them develop flexibility to change and provide them with a sense of resiliency to overcome life’s unpredictable challenges.

Jennell Brown, MA, LPC, is a licensed professional counselor at The Willow Center and can be reached at 419-7205800.

References: Ginsburg, K. R., & Jablow, M. M. (2006). A parent’s guide to building resilience in children and teens: Giving your child roots and wings. Elk Grove Village, Ill: American Academy of Pediatrics.

Prime, H., Wade, M., & Browne, D. T. (2020). Risk and resilience in family well-being during the COVID-19 pandemic. American Psychologist. https://doi.org/10.1037/ amp0000660 ❦

Sunset - continued from p5

searches, crossword puzzles, and sudoku pages, to challenge residents’ minds and help keep them productively occupied. “If you know your loved one likes these activities, consider putting several of them together and sending them in a package for him or her to enjoy,” she recommends.

Consider a senior community Young further notes that one of the best ways for seniors to stay engaged and active is to move into a community that’s dedicated to their needs and interests. “Here at Sunset, our residents never have to experience isolation because we have a built-in community and offer a wide variety of activities and amenities that nourish them in body, mind, and spirit,” she says. “In addition, our expansive care continuum includes independent living, assisted living, memory care, and health care, so residents are never put in the position of having to leave behind their home and supportive community just because their care needs have changed.”

For more information on Sunset Retirement Communities, please call 419-536-4645 (Sunset House), 419-7241200 (Sunset Village), 419-724-1220 (The Woodlands), or 419-386-2686 (Fieldstone Villas), or visit www. sunset-communities.org.

Though Sunset is not currently offering in-person tours due to the COVID-19 crisis, interested individuals are encouraged to call the admissions team at any of Sunset’s locations. These knowledgeable and friendly professionals will be happy to share their insights as well as photos of the various communities. Also, virtual tours of the different Sunset locations can be viewed at www. sunset-communities.org. ❦

James D. Diethelm, MD Ryan Szenderski, PA-C Same day appointments available with our physician assistant

419.473.2273 7640 W. Sylvania Ave., Suite C2 Sylvania, Ohio 43560

Welcoming New Patients Healthy Living News | August 2020 17

Many people don’t plan for the reality of retirement business. Many times, you’re not in a position to be as generous as you would like. Big withdrawals from your nest egg early in your retirement can seriously crimp your spending in later years.

MANY OF US aren’t addressing the realities of retirement planning.

Here are some of the worst mistakes being made today: Underestimating life expectancy Twenty-five years ago, insurance companies estimated life expectancy at 83 years. Despite the volumes of media coverage generated over recent years about our increasing lifespans, many investors still underestimate—often severely—just how long they could live. This plays havoc with retirement planning and finances. Recently, a 90-yearold woman said that her friends are planning a party for her with 150 guests when she reaches 100.

Many financial planners now develop retirement plans based on a life expectancy of 90 to 95 years. While people get it intellectually, the implications of longevity haven’t been an integral part of their thinking.

Failing to consider long-termcare needs The question you must ask yourself is, “Could your nest egg cover the potential cost of long-term care?” Premature long-term care can be steep and difficult to cover. However, the notion of spending a few thousand dollars a year for long-term-care insurance, versus the possibility of hundreds of thousands of dollars in the future, is smart money management.

Making large loans to family members You’re retired or on track for a comfortable retirement. A family member asks you for a large loan for a house, college, or to start a

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www.citizenadvisory.com Investment advisory and financial planning services offered offe through Planners Alliance, LLC, a SEC Registered Investment Advisor. Subadvisory services are provided by Advisory Alpha, LLC, a SEC Registered Investment Advisor. Citizen Advisory Group is a separate and unaffiliated entity from Planners Alliance, LLC and Advisory Alpha, LLC.

18 August 2020 | Healthy Living News

Underestimating expenses in retirement Don’t think you’ll be spending a lot less money when you retire— forget all the old rules. Today, many retirees are healthy, travel more, and are fixing up their houses. Maybe their spending slows in later years, but not at first. If you don’t have a handle on current cash flow and expenses, you can’t get started on retirement planning.

Focusing on your nest egg to the exclusion of all else The lesson here is while the need to grow your nest egg is critical, you cannot focus only on finances and neglect the most important part of later life. How are you going to spend your time and fill your days?

Many of us don’t prepare well to retire. Some invest money fairly consistently along the way but don’t prepare their life for smooth and fulfilling transitions.

Citizen Advisor y Group is a comprehensive financial services firm that helps Northwest Ohio’s soon-to-be-retired and retired residents effectively plan for and prepare for life’s greatest journey.

In addition to helping clients with their finances, Citizen Advisory Group offers monthly health and wellness events.

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

Investment advisory and financial planning services offered through Planners Alliance, LLC, an SEC Registered Investment Advisor. Citizen Advisory Group is a separate and unaffiliated entity from Planners Alliance, LLC and Advisory Alpha, LLC. ❦

Create the perfect at-home study zone WITH ANOTHER SCHOOL year approaching and Covid-19 still prevalent, many questions are yet to be answered in terms of how kids will actually attend class. But whether they’ll be doing the bulk of their learning in the classroom, virtually from home, or some combination of the two, they’ll need good study habits as well as a place in the home that’s conducive to productive schoolwork in order to achieve academic success.

Parents can help their kids reach these goals by encouraging them to take the following steps: 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 shopping list so you can replenish it.

Designate a workspace Each child should have a designated area in the home for homework and studying. Ideally, the workspace should be well illuminated, free of clutter, and stocked with the appropriate supplies. A good working surface—ideally a desk, but a table with room to spread out materials can work just as well—is also essential.

Eliminate distractions In addition to meeting the aforementioned criteria, your child’s workspace should also be quiet and relatively free of distractions, espen Study zone - continued on p23

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Blood pressure on a roller coaster?

Call us – your primary experts.

Blood pressure, blood sugar, pulmonary issues and other conditions require regular monitoring and occasional referral to a sub-specialist.

Whether you have a common health ailment or a specialized condition, your primary care provider is an important and consistent participant in your circle of care.

Build a relationship with your primary care provider at The University of Toledo Medical Center and discuss your ongoing health needs.

Call 419.383.4000 for an appointment.

Telehealth options are available! utmc.utoledo.edu/primarycare @utoledomedicalcenter @UTMedCenter

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Healthy Living News | August 2020 7/21/20 2:00 19 PM

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by Sister Karen Zielinski, OSF THE END IS near—for casting your vote: Tuesday, November 3, 2020, the presidential Election Day. No matter what your personal party affiliation is, you need to vote. The fact that we, as Americans, have the right to vote and worked hard to include many groups to have that right. Some nations do not have safe and free elections; we need to remember that it is our privilege and duty to vote.

Three constitutional amendments (see box) state that certain citizens are included in the voting process.

Persons with disabilities need to be included in the voting process. To ensure that no physical challenge keeps people from voting, the ADA (Americans with Disabilities Act) works with Boards of Elections in every state to ensure that all people can vote, whether they have limitations with mobility, hearing, or sight or other challenges. And Lucas County is accessible! Really accessible.

Tim Monaco, Deputy Director of the Lucas County Board of Elections, explains that voters with disabilities have options when they cast

their ballot, “Some might choose early voting where they can drop off their ballot at a dropbox at One Government Center, 1301 Monroe Street. Others might choose to vote by absentee ballot or by physically showing up at a voting site.”

Monaco continues, “There will be nearly 130 sites on polling day, all accessible. Board of Elections employees go through an ADA training to learn about access and details of assessing the sites and making them work for voters who need ramps, signage, or even voting machines.

Accessible voting machines have marking pads that read the ballot so a visually challenged voter can hear it read on earphones and then mark their ballot using a Braille-andraised-buttons touch pad.”

The ADA requires one of these voting machines at each site. Thanks to the vision of the Lucas County Board of Elections, all voting machines at each site are accessible and can be adapted to add accessibility options.

Monaco says that he welcomes comments, suggestions, or questions concerning the physical accessibility of the sites. “We always try to improve n

Nobody's Perfect - continued on p21

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The right to vote did not come easily to all United States’ citizens.

Eligibility to vote in the United States was established both through the United States Constitution and by state law. Several constitutional amendments speak of voting inclusion: The Fifteenth Amendment: “The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any state on account of race, color, or previous condition of servitude.”

The Nineteenth Amendment: “The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any state on account of sex.”

The Twenty-sixth Amendment: “Prohibits the states and the federal government from using age as a reason for denying the right to vote to citizens of the United States who are at least eighteen years old.” ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Nobody's Perfect - continued from p20 our sites to keep them safe and user-friendly for our voters,” he says.

“The Lucas County Board of Elections staff are trained in ADA compliance for the state of Ohio. Every year, half of the sites are assessed for compliance and the other half the next year. So all sites are looked at in two years. If a site is found to be non-compliant, it is adapted, or we will find a different location,” he explains.

That is good news for those who want to get out and vote, knowing that wherever they vote, the venue is accessible. Many voters will be relieved and feel less anxious about going to the polls if they know each voting site in Lucas County is accessible.

Voters can vote on site at their assigned election venue, or they can choose to vote by absentee ballot but must request a ballot. Ballots and directions can be found online, but the application cannot be emailed; only military or overseas voters can email the forms. All others must be mailed to or dropped off at the Board of Elections office. Voters can simply download the form, fill it out, and mail it back to the Lucas County Board of Elections.

The Lucas County website is easy to use and a great help to voters.

Monaco states, “We are always trying to improve, so let us know how we can improve your voting experience. Your comments are important to us, and we take them seriously and want to improve our sites. If voters have any questions, they can call us and we can direct your calls to the people who can help you.”

Kudos to the Lucas County Board of Elections! However you do it, vote.

It is an American right and privilege.

For more information, visit the Lucas County Board of Elections website at https://www.co.lucas. oh.us/index.aspx?NID=75 or call 419-213-4001. n

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. ❦

PEOPLE ARE CREATURES of habit.

We tend to stick with familiar routines because they’re comfortable and give us a certain sense of control over our circumstances. When we’re in a routine, we can go on “autopilot” and just coast along. However, when it comes to fitness, sticking with the same old routine can eventually produce less-than-impressive results or even become counterproductive. To stay firmly on the path to achieving our fitness goals, it’s necessary to change up our routines from time to time.

How do we know when we’re due to change up our workout routine?

Here are five signs: 1. Progress is tapering off When we begin a new fitness regimen, we tend to get gratifying results (in terms of weight loss or increased strength, endurance, or flexibility) early on, but gradually progress slows and we see fewer and fewer benefits for our efforts.

The reason for this plateau effect is that the body has a remarkable ability to acclimate and adjust to the demands and stresses placed upon it, so what was once challenging becomes easier and yields diminishing fitness returns. Changing up your fitness routine every so often will keep your body “guessing” and prevent adaptation.

2. Your current workout is too easy Expanding on the first point, one clear indication that your body has adapted to your fitness regimen is that your workout has become too easy. Though it might seem to be evidence of progress that you can breeze through your workout, you’re actually at a stand-still.

A few signs that your workout may be too easy include: • You seldom break a sweat.

• Your heart rate barely budges.

• You can carry on a comfortable conversation during your workout.

• You find that you’re focusing more on your cell phone, the TV, chatting with fellow gymgoers, or other distractions than on your workout.

• The tenth rep of a given strength-training exercise is as easy as the first.

• You no longer experience any degree of fatigue after a workout.

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5 signs it’s time to change your fitness routine

3. You’re bored with your workout Sticking with any fitness regimen takes considerable motivation because, let’s face it, there are always easier—and more fun—things we could be doing instead of working out. If you think your workout is dull or borders on drudgery, odds are rather slim that you’ll stick with it long enough to see results.

4. You’re getting injured “No pain, no gain” is among the worst fitness advice ever dispensed— not because working out should never cause any degree of soreness or discomfort, but because this saying downplays the fact that pain is the body’s way of saying “slow down” or “stop what you’re doing.”

Pain during workouts can arise from a variety of different fitness missteps, such as using incorrect form, overusing a joint or muscle group, failing to give your body adequate time to recover in between workouts, exercising beyond your current capabilities, etc. So, if you’re experiencing pain with your workouts, don’t try to push through it. Find out what you’re doing wrong and adjust your regimen accordingly.

5. You’ve set a new fitness goal Perhaps you’ve lost all the weight you wanted to lose and now would like to focus on improving your muscle strength and definition. Or maybe you’ve run several 5Ks and are now setting your sights on a multi-sport event such as a duathlon or triathlon.

Keep in mind that the workout program you used to reach your prior fitness goals may or may not be sufficient—or

appropriately targeted—to help you accomplish your new goal.

If you’re noticing any of these five signs and would like to change up your workout, a good place to start might be scheduling some time with a personal trainer. He or she can help you make timely, appropriate alterations to your routine in order to prevent those frustrating plateaus so you continue to make strides toward your fitness goals. ❦

Announcing Continuing Healthcare of Toledo (formerly Fairview Skilled Nursing & Rehab Center)

Continuing Healthcare Solutions is excited to be in your community!

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Healthy Living News | August 2020 21

Seasonal allergy sufferers: Get ready for ragweed!

A MAJOR TRIGGER of seasonal allergy symptoms is just beginning to take flight. From around mid-August until the first killing frost, a particularly irritating pollen will be spreading far and wide through the air, making a significant percentage of Americans miserable with symptoms such as sneezing, runny nose, nasal congestion, eye irritation and puffiness, itchy nose and throat, headaches, and asthma flare-ups.

The source of this airborne scourge? two miles.

Ragweed (whose generic name is, Ragweed.

Ragweed is just one of many weeds ironically, Ambrosia) is found throughthat pollinate during this period, but out the US but is most abundant in it’s the most common and causes the the Midwest and Eastern states. It most problems for allergy sufferers. tends to thrive best in areas where Those particularly sensitive to ragweed the soil has recently been disturbed pollen may even begin to experience or anywhere it has a chance to get a symptoms in early August. Ragweed foothold ahead of other weeds and is a very prolific pollen producer. The grasses, such as along roadsides and plant lives for only one year, but in riverbanks, in abandoned fields, that time, it can produce up to one and in vacant lots. The seeds of the billion pollen particles. In fact, about ragweed plant can lie dormant for 75 to 90 percent of the pollen floating decades until environmental condiin the air from August to October is tions favor germination.

The symptoms of ragweed allergy from ragweed. can often be managed effectively Not only is ragweed pollen exwith medications or, if they fail to ceptionally abundant, but it’s also a world-class traveler. Though most provide adequate control, allergy of the pollen settles relatively close immunotherapy (a.k.a. allergy shots). to the source plant, it can be borne However, avoidance should also be essential element of upon the10.25x5_ES_Nurse_Covid_Ad_HL_COL_620_HI.pdf wind for a distance upwards considered 1 7/20/20an 11:53 AM of 400 miles and an altitude of up to the strategy to minimize the impact

of ragweed pollen. Moving to an area where the pollen is less abundant—such as higher altitudes, out West, or, perhaps, Hawaii—is one avoidance alternative, but let’s face it, for most people, that’s just not a practical solution. Besides, given the extensive range of the ragweed plant and the distances its pollen can travel, it’s not so easy to move beyond ragweed’s reach.

A good avoidance strategy includes trying to stay indoors with air conditioning and a high-efficiency particulate air (HEPA) filter when the pollen count tends to be highest.

Ragweed pollen is most profuse between the hours of 10:00 a.m. and 3:00 p.m., so allergy sufferers should try to stay indoors during that time frame. When spending time outdoors, it’s a good idea to take your allergy medications prior

to heading out and to wear a face mask if you’re able. (With the ongoing COVID-19 pandemic, this will allow you to kill two birds with one stone.) When you come back indoors, be sure to change out of your clothes and wash your hair to avoid transferring pollen to your furnishings and bed.

Because numerous weeds pollinate at the same time as ragweed, it’s important for people who experience allergy symptoms during late summer and fall to have testing done to determine which, if any, other pollens might be affecting them.

Also, if testing identifies more than one form of pollen as a trigger, it’s necessary to treat for all of them. For example, if immunotherapy is the chosen method of allergy management, extracts from each identified pollen allergen would need to be included in the injections.

Remember, if ragweed pollen is making you miserable, you have choices apart from moving to another part of the country or continuing to suffer with symptoms. If medications aren’t doing the job, immunotherapy is a great alternative. Your allergist can help you develop an effective long-term management strategy so you’re not stuck indoors for three months of the year. ❦

Why Do They Do It? We’re talking about our staff.

The nurses and STNAs who interact closely with residents to offer care and assistance. The dietary staff who prepare and serve meals and clean up afterwards. The environmental services department that cleans and disinfects apartments and public areas, plus the maintenance staff who fix things that need fixing.

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COVID-19 lurks outside our walls every day. Inside, staff members do everything they can to protect and care for our residents.

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Why do they do it?

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Because they’re committed. Committed to providing care for elderly residents who need it. They do it because they're compassionate and caring and maintain an emotional bond with each resident.

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Independent & Assisted Living, Skilled Nursing & Rehabilitation

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22 August 2020 | Healthy Living News

www.elizabethscott.org 419.865.3002

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

© 2020 Elizabeth Scott Community

We were founded in 1949 on the philosophy of caring for residents as if they were family. That’s why they do it.

K

Back-to-school physicals are still critical THE RETURN TO school this fall looks different for families across the region.

Preparing to return to the classroom should include more than just backto-school shopping for supplies and new clothes. Back-to-school physicals, or well checks, are equally important to ensure families have a clear picture of their child’s health as they begin the school year.

UTMC family medicine physician Dr. Paul Schultz notes that physicians often see young chilPaul Schultz, MD dren for visits while older kids often are healthier and have less need to visit a doctor throughout the year.

“Kids are fairly healthy once they’re beyond early elementary school, so sports and back-to-school physicals are often the only time a physician gets to see them, especially in middle and high school years,” Schultz explains.

“Physicals also provide us with an opportunity to check a child’s vision, hearing and mental wellbeing, and importantly to make sure they’re up n

to date on vaccines.”

The annual appointment is also important to check on any known health conditions that may need regular monitoring so that a child’s school has updated health information. Chronic conditions like asthma, diabetes, food allergies or other illnesses may require medication and documentation for school administrators.

Dr. Reem Tawfik, also a UTMC family physician, notes that the physicals also Reem Tawfik, MD are an opportunity right now for healthcare providers to reinforce health, hygiene and safety measures that are important for kids to follow at school given the recent increase in COVID-19 cases.

The doctors note however that the virus’s resurgence should not be a cause for families to abandon their annual physicals.

“There’s always the option of a telehealth appointment, whether you need a well-check or you aren’t feeling

Study zone - continued from p18

cially if he or she tends to have trouble staying focused. If your home’s layout or construction makes it difficult to exclude noise (e.g., the sound of the television or siblings playing in an adjacent room) from the study area, consider establishing a set household quiet time for study or invest in a pair of noise-cancelling headphones for your child.

Cell phones and other devices can also be a major source of distraction to kids when they’re supposed to be studying. However, because these technologies are commonly incorporated into the educational experience these days, excluding them completely may not be realistic. A better option may be to establish the rule that they can be used only for school-specific purposes during established homework/study times.

Organize and prioritize Consider hanging a bulletin board or marker board in your child’s study space where he or she can post important information such as homework assignments, test dates, and project due dates. Purchase an assignment notebook for your child and check it daily to make sure all assigned work is being completed on time. Your child may also benefit from using a daily checklist for each class or subject so they can learn to keep track on their own of what they’re expected to accomplish. Set the standard that all work should be in the appropriate folder and in your child’s backpack as soon as homework is finished.

Perhaps most importantly, kids may need a little help learning how to prioritize their work based on considerations such as due date, the complexity of information, or the size and scope of a paper or project. This might involve teaching them a few new techniques such as breaking up larger assignments or projects into smaller chunks so they’re more manageable, studying for tests a little every day instead of cramming at the last minute, and tackling more complex homework assignments earlier in the evening when their minds are still fresh. ❦ Connect with our advertisers via our online issue at hlntoledo.com

well and need to see your doctor,” says Tawfik. “Families also should be confident that physicians’ offices are taking all of the safety measures necessary to make patients feel safe and comfortable.” These include handwashing, masking, disinfecting exam and waiting rooms, social distancing in waiting areas and short wait times to minimize the time people spend in common spaces.

The same is true for schools as they prepare to welcome students, teachers and staff back to the building. Schultz notes that families should understand that plans to return to school are going to be highly dependent on the status of COVID-19 in the community at that time. “It’s important for parents to be very proactive in understanding the procedures being put in place,” he says, urging families to communicate with teachers and administrators and understand that they too are dealing with changing circumstances.

Many students will be required to wear a mask when they return to school, a practice that has been difficult for some adults to follow throughout the pandemic, but Schultz notes that

role modeling wearing masks in public and having kids wear them before the school year begins is key to success.

“Positive reinforcement for kids is important,” adds Tawfik. “Try to make it a little fun with colorful masks or masks with their favorite characters, and they’ll be more likely to adapt to it.”

The doctors note that kids may face challenges having been away from teachers, friends, coaches and teammates throughout the spring and summer, compounded with online or hybrid schedules this fall, so it’s important to give them an opportunity to express their feelings or frustrations.

Schultz also emphasizes the value of spending time outdoors.

“There’s strong evidence to support that 8-10 hours of outdoor time each month is good for children’s and adults’ mental health,” he says.

“Do it safely but get outdoors. It does wonders.”

Dr. Paul Schultz and Dr. Reem Tawfik see patients at UTMC Family Practice at the UT Comprehensive Care Center.

Call 419-383-4000 to schedule an appointment. ❦

Book bag.

Pencil pouch.

And a health check?

Call us – your primary experts.

Your child’s annual well-check is essential for measuring growth and development. Make sure your child’s vision and hearing are A-OK for the classroom, vaccinations are up-to-date to keep them healthy and they’re in tip-top shape to play sports.

Your primary care doctor also is a friendly face who can help your child manage school-related anxiety.

Build a relationship with your primary care provider.

Ask for family medicine at The University of Toledo Medical Center and discuss your ongoing health needs.

Call 419.383.4000 for an appointment.

Telehealth options are available! utmc.utoledo.edu/primarycare @utoledomedicalcenter @UTMedCenter UTMC 1473 Health Check_HLN_5x6.25.indd 1

7/20/20 1:17 23 PM Healthy Living News | August 2020

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Get fitted for the right footwear

by Aaron Z. Haydu, Dave’s Running Shop MANY DISPARATE FACTORS shape a person’s well-being and health equity throughout Northwest Ohio.

Creating opportunities that have the potential to reach everyone in the community is challenging, but when we’re able to see the trees through the forest by compartmentalizing and focusing efforts, the potential becomes more real.

From healthcare professionals working long hours on the frontline of the COVID-19 crisis, to first responders moving quickly to provide urgent support, to grocery store clerks, to food-processing workers standing in one spot for their entire shift so we have access to daily essentials, happy feet are the root of long-term sustainability.

Feet are often taken for granted when evaluating personal well-being, but when you make your foot health a priority, many of the lifestyle aches

8

and pains you’re dealing with can be reduced or even eliminated. It all starts with what type of footwear you put on, how often you change them throughout the day, and when you replace them with new ones.

The human foot has 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments all working together to provide support, balance, and mobility. Those are a lot of moving parts. Additionally, everyone’s feet are set up a little bit differently and should be evaluated individually.

Getting fitted for the proper footwear consists of several observational and measuring steps. All of these steps are pretty basic, but it takes a trained professional to evaluate what they all mean once put together.

During a fitting at Dave’s, you’ll be asked to walk, run, or jog; stand in varying ways; and flex your feet through a few low-intensity movements. Measurements will be taken, and your existing shoes will be inspected for wear patterns before

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Let our staff of qualified coaches guide you every step of the way.

Sign up at www.davesrunning.com/training Here’s what you get: • A comprehensive training plan geared towards helping you reach your goals • Cool training gear!

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

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

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Check our website for location hours nearest you!

24 August 2020 | Healthy Living News

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any type of shoe is recommended and tried on for comfort. You’ll be able to walk around the store in each pair and ask any questions that arise. It may be that you simply need an insole for the type of shoe you’re already wearing. Ultimately, it’s about what feels best to you, so you shouldn’t ever feel pressured into any one choice during a fitting.

Changing shoes throughout the day is one way to maximize their life and reduce your foot fatigue. Those you’ve spent your workday in are not

necessarily what you should wear around the house or while exercising. Consider a pair of soft recovery sandals or ultra-cushioned shoes for around-the-home wear and running shoes with the right lift for your calf flexibility during your runs, walks, and cross-training routines.

Remember not to over-tighten your shoe laces; your feet need good circulation to perform at their optimal levels. Going barefoot at some points throughout the day is also a great way n

Dave’s - continued on p25

Run the 419 with Dave’s Running Shop Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any associated costs/fees, please visit davesrunning.com X&A 5K Thursday, August 6 to Thursday, August 13, 2020. Due to COVID-19, this race is now virtual only. This is a just-for-fun race. We encourage you to complete the virtual run/walk and post your start and finish pictures to social media using #X&A5K. No awards will be distributed this year. The Village of Deshler has created a new 5K course, which will be posted at the Deshler Reservoir (located across from the Deshler American Legion, 505 South Stearns Ave., Deshler, Ohio). Feel free to use this course, last year’s course, or a course of your own choice to run/walk in memory of Xavier and Aidan Wensink.

Jeep 4-Miler Virtual Event The Toledo Jeep Fest Board of Directors unanimously decided to cancel the in-person weekend event scheduled for Friday, August 7 to Sunday, August 9, in and around downtown Toledo. However, we are still offering Jeep enthusiasts from around the country an option to run, walk, or cruise virtually this year. Toledo Jeep Fest will return in 2021 to celebrate the 80th anniversary of Jeep in Toledo.

Dave’s Training – Fall 2020 Monday, August 10 through Saturday, November 14, 2020 at 5700 Monroe St., Sylvania, Ohio. See davesrunning.com for details.

Virtual CASA Be a Hero 5K Saturday, August 15 to Saturday, August 22, 2020. Participate from anywhere! Complete a 5k run or walk anytime between 8/15 and 8/22. We will send instructions on how to submit times (you can also select an untimed option). Because we have gone virtual, we will be using the honor system with timing and awards will not be offered to age group or overall winners.

THS Bark in the Park Virtual Run Our annual 10K run, 5K run, and 1-mile leisure walk are going digital, which means you can join the fun at any time! Walk, jog, or run on your own time throughout the month of August, and record your time on our virtual platform. See davesrunning.com for more details.

Toledo Zoo Dart Frog Dash Toledo Zoo’s Dart Frog Dash is going virtual! Choose your own time and course and run or walk. It’s fitness fun for the whole family! Don’t worry, you still get the swag and remain a proud supporter of the Toledo Zoo too! For details, visit toledozoo.org/dartfrog or call 419-385-5721, ext. 2091. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Dave’s - continued from p24

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to stay in touch with your feet and what they might be trying to tell you.

Unfortunately, shoes will not last a lifetime. They only last so long before the stability and cushioning begin to break down and no longer support your foot health. When worn regularly, shoes typically last about six months before they should be replaced. Frequency of wear, type of activity, wear patterns, and miles put on them will be the primary deciding factors in their overall lifespan.

Don’t let the name fool you. Dave’s Running Shop provides footwear for people of all ages and lifestyle preferences. You don’t have to be a runner to find the right footwear at Dave’s. In fact, a large number of our customers don’t run at all—but they keep coming back because their feet feel good in their selection and they were treated right during their visit.

Dave’s Running Shop is the only locally owned and operated footwear store in Northwest Ohio, and was the first running shop in Ohio. Founded in 1973, four area locations serve the community from Sylvania, Perrysburg, Findlay, and Delta. The staff is thoroughly trained on the ideal fitting process and latest footwear technology, and no one at Dave’s works on a footwear sale commission. The sole mission is to fit each individual in what’s right for them and their lifestyle goals.

After getting fitted on your first visit, Dave’s will maintain your purchase history and be able to evaluate initial recommendations to meet your evolving needs and preferences each time you visit—giving your feet exactly what they need to feel good the whole time you’re on them. ❦ Answers to crossword from page 9 1

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Don’t let the bedbugs bite!

“GOOD NIGHT, SLEEP tight, don’t let the bedbugs bite!” For decades, parents have shared this peculiar little proverb with their children at tuck-in time. Naturally, most kids dismiss it as just some quaint, old-fashioned rhyme with no modern-day relevance, along the lines of “Ring around the rosie.”

However, these tiny bloodsuckers continue to be a problem in the modern day and can be tough to eradicate once established.

Adult bedbugs are reddish-brown in color, oval-shaped, and approximately the size of an apple seed. Juveniles are much smaller and transparent in color—except after feeding, when they take on a bright-red coloration. Somewhat superficially similar to ticks or small cockroaches, bedbugs, when actually seen by their host, are sometimes mistaken for other insect or arachnid species. Bedbugs have vestigial wings that are incapable of flight, so they get around strictly by crawling.

Bedbugs feed by sucking the blood of humans or other animals while they sleep. They feed on exposed areas of skin, usually the face, neck, arms, and hands, leaving small, itchy welts, which are typically red in color and may have a darker red spot in the center. The bites, which cause no pain to the sleeping host, are often aligned in a row. It can be difficult to discern bedbug bites from a skin rash or the bites of mosquitoes, fleas, or other biting insects.

Reactions to bedbug bites vary considerably, as well. Some people seem to have no reaction whatsoever—and, in fact, may not even notice that they’ve been bitten—while others may have an allergic response with symptoms such as severe itching, hives, or blisters. It’s also important to note that scratching affected areas on the skin can lead to secondary bacterial infection, warranting medical treatment.

Bedbugs tend to get a foothold in places where many people share close quarters or where there is a frequent turnover of nighttime occupants, such as hotels, motels, hostels, dormitories,

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apartment complexes, military barracks, hospitals, and homeless shelters.

Contrary to popular misconception, bedbug infestations are not limited to dirty or unsanitary environments.

Even the most meticulously maintained facility can harbor bedbugs as long as there is a warm-bodied host to feed on and there are places to hide.

Bedbugs like to stay in close proximity to their hosts, so when they aren’t feeding, they drop off and take refuge in nearby nooks and crannies, such as in the mattress, box springs, bed frame, drapery, carpeting, or other upholstered furniture. They’ll even refuge under peeling wallpaper or paint, behind light switches or in electrical outlets, under carpet tack strips, in window or door frames, behind baseboards, behind pictures or other wall hangings, in stuffed

animals, or in virtually any other crack or crevice in the vicinity. If you happen to be spending the night in an infested hotel or motel, you might accidentally bring bedbugs home with you aboard your luggage or other belongings.

Owing to their diminutive size and nocturnal nature, bedbugs aren’t always easy to spot. In addition to telltale bites on the skin, common signs of their presence include rust-colored or dark specks (their excrement) on the mattress, bed linens, or walls; bloody smears on the sheets from crushed bedbugs; and molted exoskeletons near hiding places. If the infestation is severe, you might also notice an offensive sweet, musty odor, which is produced by the bedbugs’ scent glands.

To avoid introducing bedbugs to your home, be very cautious about bringing in secondhand beds (mattresses, bedsprings, frames, etc.), bedding, furniture, or clothing. If you do, inspect it thoroughly for evidence of an infestation. Suspect n

Bedbugs - continued on p30

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How what you eat impacts your hearing

by Dianna Randolph, AuD, CCC-A MANY OF US are being very health conscience these days. You may be watching your diet due to existing health issues, or you may just want to stay healthy, lose weight, and keep it off. Whatever the reason, there are many health benefits to a healthy diet and lifestyle, but have you ever thought that what you eat may impact your hearing health?

A study done by Brigham and Women’s Hospital followed the health of 70,000 women for 22 years.

These women ate one of three diets: the Alternate Mediterranean Diet (AMED), the Dietary Approaches to Stop Hypertension (DASH) diet, and the Alternative Healthy Eating Index-2010 (AHEI-2010). These diets are rich in fruits, vegetables, seeds, nuts, legumes, whole grains, low-fat meats such as seafood or poultry, and low-fat dairy. It was also recommended that the women limit their

intake of red meat, processed foods, and sugary drinks.

The results of this study showed that the women following these diets decreased their chances of hearing loss by 30%. One interesting result the researchers found was that minerals such as folic acid, potassium, and zinc decreased the risk of hearing loss also (Hearing Health Foundation 2018).

Let’s look at each of these nutrients separately and why they help with hearing. Potassium, which is found in bananas, potatoes, and legumes, helps the function of the inner ear and the way sounds are converted into signals that are interpreted by the brain. Zinc, which is found in nuts and dark chocolate, has been found to help with tinnitus. This has been noted in people who had low zinc levels in their blood. Zinc plays a role in the synapse of the auditory system. Unfortunately, in a 2016 study by Person, Pug, da Sliva and Torloni, there was no evidence that

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the use of oral zinc supplements improves symptoms in adults with tinnitus. Folic acid may slow the onset of hearing loss, known to regulate blood flow. The inner ear needs a constant regulated flow of blood to keep it functioning, and this is where folic acid can help. Examples of foods rich in folic acid are leafy greens and broccoli.

Healthy eating during our adult life certainly is beneficial to our overall health and our hearing health, but good nutrition should start during childhood.

The Centers for Disease Control and Prevention (CDC) reported that children with poor nutrition have an increased risk of adult health issues such as heart disease, high blood pressure, diabetes, and cancer. A recent study showed that children with poor nutrition were twice as likely to suffer hearing loss as a young adult.

A study at Johns Hopkins Bloomberg School of Public Health looked at the relationship between hearing health and nutrition in 2,200 young adults in Nepal. This study showed that those adults who were too short or too thin for their age and had a history of malnutrition were twice as likely to show signs of hearing loss. It is thought that poor nutrition that leads to stunted growth can also lead to poor ear development beginning in the womb, and being underweight due to malnutrition can increase the risk of developing ear infections.

People with diabetes are more likely to develop hearing loss than people who are non-diabetic. According to a National Institute of Health study by Chika Horikawa, PhD, pre-diabetic subjects have a 30% increased risk of hearing loss.

Having type two diabetes for a long period of time will take its toll on your hearing as well as other parts of the body. Diabetes damages the nerves of blood vessels of the body.

So what foods are best for your hearing health? Coincidently, they

are the same foods that are good for your overall health. To maintain healthy hearing, it is recommended to eat foods rich in vitamin B12, folic acid, omega 3s, magnesium, zinc, and potassium. Studies have shown that a diet rich in these nutrients helps fight off the free radicals that are damaging to our bodies and our hearing.

Conversely, decreasing certain foods in your diet can help preserve your hearing and your overall health.

These foods are vegetable oils (use extra virgin or canola oil instead), processed foods, foods with partially hydrogenated oils, whole or 2% milk, cream cheese, sugar or artificial sweetener (use stevia or honey instead), refined carbohydrates such as white bread or pasta, sodium, and foods with chemicals or pesticides (stick with organic when possible).

As you can see, leading a healthy lifestyle can have more benefits than you thought. Eating right helps every aspect of your health. It is not too late to start a healthy lifestyle. Changing your diet and incorporating some exercise slowly will make a new lifestyle more manageable, which means you’ll be more likely to succeed.

If you think you have issues with your hearing or would like to establish a baseline, please call Northwest Ohio Hearing Clinic and schedule an audiological evaluation with one of our audiologists. We will also answer questions and give you recommendations to maintain your hearing health.

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

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Stellar school lunches in five easy steps

by Laurie Syring, RD/LD THIS YEAR, BACK-TO-SCHOOL time is going to look very different to us.

Many school districts are still trying to figure out how to get kids back to the classroom, and many states are still trying to decide whether to let kids go back to school at all. But wherever kids are learning, they still have to eat, right? Ugh! That brings up the dreaded school lunch bag!

When figuring out what to put in that little paper sack, some parents really try to jazz it up and even check out the latest on Pinterest for inspiration. Then there are others who can barely manage to throw some things together in the morning. Wherever you fall between these two extremes, keep in mind that research has shown time and again that eating a healthy breakfast and lunch improves student performance. So, it’s important to supply your kids with the best breakfast and lunch that you can.

You can prepare lunches every morning before you head to work or do it the night before. Either way, you can provide the perfect lunch all throughout the school year. The key is planning and knowing what your kids will eat—then making sure you have those food items on hand.

Here are five easy steps that will help you assemble stellar school lunches: 1. Make a list Just as you do for school supplies, make a list of the foods your kids like and be sure to take it with you to the grocery store. Your list should consist of four columns: “Carb,� “Protein,� “Fruit,� and “Vegetables,� and you

should buy four or five items from each column to have on hand for making lunches. Better yet, take your kids with you to help pick out the items they will eat. This will keep them engaged and included in the food-buying decisions.

I’m sure you’ve noticed that the food prices have soared recently, so being a savvy shopper counts. To help cut costs, use coupons, look for sale items, and try to shop at lower-priced stores such as Aldi.

2. Pack it right Choose the right containers for lunch. Nothing is worse than opening a lunch and finding that all the food is smashed. Look for a sturdy lunch box or bag, as well as sandwich holders, “bento box� divided containers, different sized storage containers, and snack bags. Also, consider something insulated. Thermos containers are ideal for keeping food hot or cold. One of my kid’s favorite lunches was a thermos of hot soup. To save money, buy quick-clean items that you can put in the dishwasher and reuse (assuming your kids remember to bring them home from school, that is).

3. Learn to like and reuse “warm-ups�

I don’t dare say the dreaded “L word� (leftovers) at our house. Uttering that word is a sure way to make the kids call and order a pizza! So instead, I say “warm-ups.�

Warm-ups can be served in their original form (cold pizza anyone?) or reworked into better options, for example turning taco meat into a taco salad, turning rotisserie chicken into chicken salad for sandwiches or eating with crackers, tossing pasta with veggies and some vinaigrette

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dressing, and mixing rice with meat and vegetables for a nice little meal.

Of course, simply serving some hot soup or chili in a thermos is always a good option.

4. Make it fun Yes, we all love those extreme Pinterest lunch parents and marvel over their incredible lunch box creations. But who really has time for that? Try some simple, fun things to jazz up your childâ&#x20AC;&#x2122;s lunch. Look for fun napkins and fun lunch baggies. Cut sandwiches into different shapesâ&#x20AC;&#x201D;what kid does not love Smuckers Uncrustables? Use your own cookie cutters for a homemade, less expensive version.

Use one of those cute bento-box-style containers to pack a variety of finger foodsâ&#x20AC;&#x201D;for example, a few chunks of cheese, grapes, dried cranberries, and almonds. Look for prepacked convenience items such as puddings, fruit, jello, and cheese. As a nice finishing touch, write a quick note on their napkin or on the fruit they peel, such as a banana or orange. n Eating Well - continued on p32 â&#x20AC;&#x201A;â&#x20AC;&#x201A;Healthy Living Newsâ&#x20AC;&#x201A;|â&#x20AC;&#x201A;August 2020â&#x20AC;&#x192;27

of candidates. Here’s how:

You can ace that job interview!

IN MANY PEOPLE’S minds, job interviews are right on par with public speaking and painful dental procedures in terms of the anxiety they provoke.

The fear of being placed in the proverbial hot seat and having your expertise, experience, and personality thoroughly dissected by a perfect stranger (or strangers) is enough to reduce even the most unflappable job candidate to a pool of nervous perspiration. But a modest amount of advanced preparation can really calm your nerves and help you stand out among the crowd

Research the organization Come to the interview armed with knowledge of what the organization does, what its mission and goals are, and how it has contributed to its particular industry. After all, how can your interviewers decide you’re a good fit for their company if you don’t even have a basic understanding of what you’d be fitting into? It’s also helpful to do a little research on the people who will be conducting the interview so you at least know their titles and how they fit into the company hierarchy.

Prepare thoughtful answers to common questions You can’t necessarily anticipate and prepare for every potential interview question, but some are almost certain to come up in one form or another. For example, you shouldn’t be caught off guard by questions like, “Why do you want to work for our company?” or “What makes you a good candidate for this job?” Also, keep in mind that certain questions almost always come with a “flip side.” For instance, if the interviewer asks you to list your three greatest strengths, you can expect him or her

to follow up with, “Now, list your three greatest weaknesses.” Don’t be caught off guard by this.

Dress—and groom—for success You only get one chance to make a positive first impression, so it’s wise to research the company’s dress code and dress at that level or, better yet, one step above it for the interview.

Your grooming—hair, fingernails, oral hygiene, etc.—should be impeccable, and makeup and jewelry should be kept to a minimum. Also, try to avoid wearing strong-smelling lotions, colognes, or perfumes.

Arrive early Plan to arrive approximately 10 minutes ahead of your scheduled interview. Come in late, even by a few minutes, and you can more or less rule out getting hired. From the hiring manager’s perspective, if you can’t bother to show up to the interview on time, you’ll likely have the same lackadaisical attitude toward regular work attendance.

Treat everyone with respect Don’t forget that every interaction you have with employees of the company—whether by phone or in person—is part of the interview

process. Virtually everyone you talk to or encounter during your visit will be assessing your character and how well you might fit into the company culture, so it’s very important to be pleasant, courteous, and respectful to everyone you interact with at every stage of the interview process.

Be aware of your body language You can say all the right things in a job interview but still undermine your message through awkward body language and other nonverbal cues. Throughout the interview, try to maintain an upright, open posture and make good eye contact without appearing as if you’re staring down the interviewer. Also, try to avoid overly demonstrative gestures or unconscious nervous behaviors, such as tapping your fingers or twirling your pen.

Never slam your former employer It’s okay to discuss difficult situations you may have encountered in your previous employment in the context of how you coped with and grew from them, but comments about past employers and coworkers should always be kept positive. Bashing your boss or coworkers gives the n

Interview - continued on p32

NEIGHBORHOOD HEALTH ASSOCIATION

28 August 2020 | Healthy Living News

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by Sister Mary Thill IT SEEMS THAT every day during this pandemic I see one or more stories of people who are giving or have given their lives for others. The obvious ones, doctors, nurses, EMTs, and many folks who work in health care, are the subject of hero and heroine stories and receive my praise and gratitude for such dedication. The essential workers who are keeping the country running and supplying us with food, energy, and many other material resources are dying at even greater rates, giving their lives for others. During this same time I have seen people who are entrusted with bringing the country and world together during such trying times disrupting the harmony of the whole by reporting false information and distracting us with what seems to be their own agenda rather than focusing on the common good.

Giving your life for others I think that we need to focus on those who do reach out to others and support them in any way we can. In so doing, we can also give our lives for others by using our talents and resources for those who need them more than we do. There will always be those among us who need food, clothing, shelter, health care, and the many necessities of life. Even Jesus Christ made note of that fact during his life here on earth. Father Arturo Paoli, quoted on this page, was an Italian priest who rescued many Italian Jews during WWII. He was someone who gave his all and his resources so that others might live. Most of us know what the Rev. Martin

Luther King, Jr. did to help us become aware of the intellectual and moral blindness suffered by our society, and we can certainly call upon his wise words and example in light of what has happened lately in our country.

Our challenge today is to find others, as well as to take a good look at ourselves, and see if we are using our freedom rightly and also using our minds to the fullest capacity. My hope and prayer these days is that our head and heart will be working in harmony and that what we do flows from a sense of freedom to give generously and lovingly to others because we can see that this is what we must do “so that the world may be more beautiful, more just, more at peace.”

Remember, we are in this together!

Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient

Sunlight

To be religious is to give your life so that the world may be more beautiful, more just, more at peace; it is to prevent egotistical and self-serving ends from disrupting this harmony of the whole. +Arturo Paoli, missionary priest Unlike physical blindness that is usually inflicted upon individuals as a result of natural forces beyond their control, intellectual and moral blindness is a dilemma which man inflicts upon himself by his tragic misuse of freedom and his failure to use his mind to its fullest capacity.

One day we will learn that the heart can never be totally right if the head is totally wrong. +Martin Luther King, Jr. Liaison for Mature Health Connections at Mercy Health – St. Vincent Medical Center. She can be reached at 419-251-3600. ❦

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

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

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

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

TriggerPoint owner Russ Wakefield explains that Super Slow Training involves lifting and lowering weights at a very slow rate, keeping consistent tension on the muscle throughout its whole range of motion. High-tech monitors on the specially designed Super Slow Training equipment help clients maintain the proper form, technique, and tempo during workouts.

This method differs from conventional strength-training techniques

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in that there is no fast momentum to help do the work for you.

Though slow, this technique is intense, really working the muscles. It’s also very safe, with highly experienced and educated trainers working one-onone with clients and monitoring and adjusting their every move. After this intense exercise stimulus, the body recovers for seven days, producing the desired results.

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

Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes n

that clients of all ages, backgrounds, personalities, and body types—even pregnant women—can participate in and benefit from this time-efficient program. Anderson has certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly.

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

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

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

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

Bedbugs - continued from p25

clothes, bed linens, curtains, drapes, or similar items should be laundered thoroughly in hot water (a minimum of 120 degrees Fahrenheit) to kill any stowaway bedbugs. Placing garments or fabrics in the clothes dryer at medium to high heat for a minimum of 20 minutes will also kill bedbugs and their eggs. When traveling and staying in hotels, motels, or similar lodging, inspect the bed and surrounding areas for telltale signs or the bugs themselves and be sure to store your suitcases on an elevated surface, such as a rack, table, or dresser, not on the floor. Before leaving, double check your luggage and its contents carefully. Once you get home, launder your clothing at the hottest recommended water temperature for the fabric and dry it at the highest recommended setting. Also, since some bedbug species will feed on other animals, such as birds and bats, as well as humans, it’s important to seal off any points of access to your residence that wild animals could potentially exploit.

If you suspect your home has become infested with bedbugs, your best bet is to contact a qualified pest-management professional. Bedbugs can be extremely difficult to control once they get a foothold, and homeowners’ efforts to eradicate them on their own often yield unsatisfactory results. A qualified professional will utilize an integrated approach that is both safe for you and your family and effective against these resilient parasites. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

The Devil and Mrs. Jones Part 5 Mrs. Jones in assisted living

Health screenings prevent suffering and save lives WHEN YOU’RE FEELING perfectly fit and healthy, getting screened for a disease or disorder might seem unnecessary. After all, “If it ain’t broke, don’t fix it,” right? But as any healthcare professional will tell you, the whole point of health screenings is either to identify risk factors for a disease before it develops or to catch an existing but as-yet undetected problem at the earliest possible stage, before symptoms arise.

Why is early detection so critical?

Many serious health conditions—such as high blood pressure, diabetes, osteoporosis, and various forms of cancer—are “silent” early on, meaning they cause no noticeable symptoms in the initial stages when they tend to be most treatable or potentially even curable. In some cases, by the time symptoms appear, a disease has already advanced to the point that treatment is no longer effective.

Health screenings can also be a powerful tool for disease prevention— not just early detection. For example, if screening reveals a worrisome trend in your blood pressure, blood sugar, or cholesterol level, your doctor can advise you on lifestyle changes you can make or medications you can take to help bring the level back into the desirable range. As a result of screening and some simple lifestyle modifications, you might be able to prevent a manageable risk factor from leading to a more serious chronic health condition, such as diabetes or cardiovascular disease.

People can benefit from many different health screenings throughout their lives, and several factors influence which specific health screenings an individual should get. Based on factors such as your age, sex, personal history, family history, and lifestyle habits, your doctor will help determine which screenings are right for you, the age at which you should consider getting initial screenings, and the appropriate timing/frequency of follow-up screenings.

While a comprehensive listing of health screenings is beyond the

scope of this article, here are just a few examples of ones that can save you a lot of suffering or even save your life.

Heart-health screening This blanket term encompasses a variety of different measurements that influence cardiovascular health and the risk for heart attack and stroke, such as body weight, blood pressure, cholesterol level, and blood glucose. Of course, blood glucose screening is also vital from the standpoint of diabetes prevention and management.

Mammogram Mammograms involve the use of low-dose x-ray to screen women for breast cancer or to assist in diagnosis if a growth has been identified. This screening tool is essential to early breast cancer detection along with monthly self-exams and regular medical exams.

Pap test The Pap test, or Pap smear, involves taking a sampling of cells from a woman’s cervix and looking for early changes that can lead to cervical cancer.

The sample can also be tested for the presence of human papillomavirus, or HPV, which is associated with nearly all cervical cancers.

Colonoscopy During a colonoscopy, a thin, flexible, lighted tube with a tiny video camera attached is passed through the rectum and colon to look for abnormalities such as cancerous or precancerous polyps. The doctor can biopsy abnormal tissue or remove suspicious polyps during the procedure as well.

COVID-19 Of course, with the pandemic still ongoing, the screening/testing on most people’s minds today is for COVID-19.

In this case, screening usually takes the form of a questionnaire that asks about your contacts, travel history, physical symptoms, etc., whereas different types of testing are used to

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by Chris Stieben WHEN WE LAST left Mrs. Jones, she was preparing to admit into an Assisted Living (AL) to better support her care needs. The transition was difficult, as Mrs. Jones’ family was very involved in popping in on her and making sure her needs were met.

Mrs. Jones was required to quarantine per COVID-19 precautions but was still able to see her family via video chat or through her window.

Since Mrs. Jones has been in her AL apartment, a lot has changed.

Reports from local and state health authorities indicate increased infections of COVID-19 and rates of infections and hospitalizations are on the rise. As those in long-term care (ALs included) are most at risk due to multiple factors, many restrictions remain in place. These restrictions can be frustrating, especially for those residents who have been isolated from family for several months during the pandemic.

At Mrs. Jones’ AL facility, they have begun to set up and facilitate outdoor visits between family and residents. Mrs. Jones is excited about this, but her family gets frustrated as they aren’t able to visit frequently and the process is cumbersome due the requirements for scheduling and screening prior to visits.

Each facility is provided with guidance from the Ohio Department of Health in terms of when and how to safely implement outdoor visits with determine whether you’re actively infected with the virus or were infected as evidenced by the presence of antibodies in your blood.

Again, this is just a sampling of the many different health screenings available, and you can decide which screenings are appropriate for you in consultation with your doctor. It’s important to understand that health screenings do have their limitations and, in some cases, can yield false

family. However, that guidance leaves some room for interpretation and visits can be postponed if there are concerns that visits cannot continue to be done safely. For example, some of the primary considerations in the decision to proceed with outdoor visits are as follows: 1. Case status in surrounding community 2. Case status in the home(s) 3. Staffing levels 4. Access to adequate testing for residents and staff 5. Personal protective equipment supplies 6. Local hospital capacity.

If one or more of the above criteria is compromised, it is likely that facilities will scale back or pause outdoor visitation for safety purposes. While facilities have the discretion to do so, there are also considerations on how lack of visitation can impact residents’ psychosocial health. Continue to call, make window visits, and stay in contact with your loved ones who reside in long-term care or who are still at home but have been socially isolating for their protection.

If you or a loved one are experiencing issues with a facility and their outdoor visitation policy or experiencing difficulty connecting with your family in other ways, please reach out to the Long-Term-Care-Ombudsman Program so that we can talk about what is happening and discuss your advocacy options. If you would like to volunteer with our program, please call. The Ombudsman can be reached at 419-259-2891.

Chris Stieben is Director of the ABLE Long-Term-Care-Ombudsman Program, which can be reached at 419-259-2891 (http://ombudsman.ablelaw.org). ❦ positives or false negatives. However, the results of a health screening are a good starting point for further evaluation and discussion with your doctor and can be used as a baseline against which future results can be compared.

Perhaps the most important message to take away is this: If you’re healthy and feeling fine right now, getting timely, appropriate health screenings will help ensure that you stay that way. ❦ Healthy Living News | August 2020 31

n

Eating Well - continued from p27

5. Make it different Kids get fatigued eating the same thing every day, so try to mix and match it up—even if that just means putting ham and cheese on a bun or tortilla instead of sandwich bread. Having different items on hand makes it easy to make lunch fun and different. In addition, encourage your kids to make their own lunches on most days (or the night before) so they have a vested interest in eating it.

A first-grade teacher told me long ago that lunch is not actually about eating lunch for kids—it’s “social time.” So, try to avoid overloading their lunch with lots of items. With all the discussions going on around them, they simply won’t have time to eat them all. Stick to maybe just three items in each lunch. And don’t be afraid to step “outside the box” of usual lunchtime fare. If your kids like dips and veggies instead of sandwiches, then why not give them something they’ll enjoy?

Again, this school year may look very different from past years. Kids may just have to eat at their desk instead of the cafeteria, so be sure to provide plenty of wipes and hand sanitizers.

Also, buy plastic spoons and forks to have on hand, and perhaps try to avoid packing too many “finger type” foods. Finally, it’s okay to add a small snack or sweet treat.

These steps should provide you with a good game plan to make easy five-minute lunches—and hopefully give your kids something to look forward to at lunchtime instead of the same-old-same-old.

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Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. ❦ Interview - continued from p28 impression that you lack professionalism and discretion. Besides, it’s a very small world, and there’s always the possibility that the interviewer and your old boss know one another. n

Don’t forget to ask questions Many job candidates are so focused on making a good impression and giving all the right answers that they forget a job interview is supposed to be a two-way street. So, when asked if they have any questions for the interviewer, they draw a complete blank. Don’t miss this golden opportunity to demonstrate your interest in the organization. Come prepared with a handful of thoughtful questions, such as “What key characteristics are you looking for in the person who fills this position?” or “What do you see as the biggest challenges currently facing the company/department?”

Be thankful Last, but certainly not least, be sure to exchange business cards with everyone involved in the interview process so you can promptly send them a note or email, thanking them for their time and restating your interest in the position. ❦

32 August 2020 | Healthy Living News

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Senior Living Guide

Parkcliffe Community

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

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

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

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9640 Sylvania-Metamora Rd. Sylvania, OH 43560

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8883 Browning Drive Waterville, Ohio 43566 419-878-4055 www.bmcohio.org

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Healthy Living News | August 2020 33

Q

: My husband was involved in a pretty serious automobile accident where the airbag deployed. He is very lucky to be alive and walked away from the accident with what we thought was little harm. I took him right away to the emergency room for an examination even though EMS evaluated him on the scene. By the time we arrived at the hospital, he started to complain that he felt like he had tinnitus. My question is, could the airbag be the cause of his tinnitus?

A

: First of all, I’m thankful your husband did not suffer greater injuries. I have to concur that airbags can definitely cause tinnitus along with hearing loss and other complications. In September of 1998, the Intermodal Surface Transportation Efficiency went into law requiring that all cars sold in the United States have air bags installed. Of course, it has been successful at reducing the rate of deaths and severity of injuries over the years. To get back to your question, though, yes, airbags do have effects when deployed.

The most common complaints are hearing loss and tinnitus. The type of hearing loss varies from a loss in one

ear to bilateral hearing loss, conductive hearing loss (affecting the outer or middle ear), mixed hearing loss (affecting the outer, middle, and inner ear), or even sensorineural hearing loss (affecting the inner ear), also known as nerve loss.

Physical injury could occur to the eardrum (tympanic membrane), causing a perforation or hole in the eardrum. If that happens, a hearing loss may develop, and if the perforation does not heal on its own, surgical intervention may be required to patch the tympanic membrane.

A study performed by the Michigan Ear Institute found that the orientation of the ear toward the airbag was associated with the hearing loss, aural fullness, and tympanic membrane perforation.

Sometimes if more than one airbag is deployed, the volume of the noise increases and may be louder than if you were standing outside an airplane without ear protection. It has also been thought that it causes more pressure, thereby increasing the risk of a perforation to the tympanic membrane.

The concern I have is that people may not notice the hearing loss or tinnitus or fail to seek help for a mild hearing loss or tinnitus. If the hearing loss is in the range above the speech frequency range, it may not be apparent to the individual right away, so they don’t seek help. We always try to encourage our patients to let us know of even a slight change in their hearing or tinnitus after any kind of event. Be aware that if a hearing loss is temporary from an airbag deployment, you will probably note an improvement within a few hours according to documented studies.

I hope you find this information helpful. Be cognizant of the injury your husband sustained and seek medical attention, including a hearing test since the tinnitus cannot be treated without determining whether a hearing loss exists. And, as always, if we are able to answer any of your concerns, please do not hesitate to call Northwest Ohio Hearing Clinic.

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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