HLN December 2017 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News December 2017 • FREE

Also available at hlntoledo.com

Holidays are historic at Sauder Village

As well as:

Plus:

• Shape up and wake up your skin • Downsizing is difficult for seniors • Healthy grieving during the holidays • Shedding light on seasonal depression • Mercy Health helps kids with hormone issues

• Heavenly holiday sweets • Eating Well • Nobody's Perfect • Spiritually Speaking • Sound Advice • Senior Living Guide

FOR AN APPOINTMENT TODAY CALL:

419-SAME DAY

Shape up and wake up your skin

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning booth visits starting to show on your facial, neck, and chest skin? Are your jowls and neck starting to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time when you are not? While these changes are mild and just starting, now is the time to start engaging in a skin-care program tailored specifically for you to improve and reduce these signs of aging. Dr. Handler will personally recommend and explain a skin-rejuvenation program designed for you to reduce the visible signs of aging. The anti-aging treatments performed by Dr. Handler are “noninvasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office for a personal evaluation with treatment recommendations for your aging skin. Remember, 80% of the signs of aging are due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age. What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by your new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxietyinduced underarm sweating for months after injections. This is performed entirely by Dr. Handler with minimal pain with results of decreased sweating lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad when you are not! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of new fillers called “Restylane Silk” and “Restylane Refyne.” These

products markedly improve upper and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist in northwest Ohio performing this procedure. Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows? Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck. Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal down-time. Call Dr. Handler’s office to find out when these procedures are being performed. These specific procedures are only done from September through May since a tan interferes with the process. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied

patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Also, remember to inquire about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin. Also, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist.

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 treatment for decreasing your hair loss and increasing growth in many patients! After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a program to decrease your hair loss, increase growth, and cause the hair you have be fuller, thicker, and stronger. This is not a product that is forever. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth. Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that will be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to minimize your hair loss. Most patients notice a decrease of loss in 30-60 days!

www.drharveyhandler.com

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

clear + brilliant

L. H

No surgery. No injections. No downtime.

, . .

ADULT, arvey andLer m d dipLomate and FeLLow oF PEDIATRIC, tHe american Board oF dermatoLogy aduLt, pediatric & cosmetic dermatoLogy & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY HAIR & NAILS

419.885.3400

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

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

e lthy l ng ews HEALTH & BEAUTY 2 Shape up and wake up your skin 7 The Toledo Clinic Cancer Centers: world-class cancer care close to home 10 Nobody’s Perfect Stand by me by Sister Karen Zielinski, OSF 12 What are the noises in my head? by Sarah Fontaine, AAA-F 15 Super slow training: Never stop improving 16 Healthy ways to cope with grief during the holidays 18 Heartland’s hints for a healthier holiday season, by Jim Berger 20 Winter fall-prevention tips for seniors 23 Practice safe snow shoveling this winter 24 Staying active in winter by Dr. Tere Koenig 29 Mercy Health nurse navigators guide cancer patients from diagnosis through survivorship 30 Shedding some light on seasonal depression 32 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 39 Insurance now pays for acupuncture and chiropractic treatments! by Douglas A. Schwan, DC, Dip ac 40 Mercy Health now offering pediatric endocrinology services

December 2017 • Vol. 22, Issue 12

Your Monthly Guide to Healthy Living

43 ‘Tis the season for chin treatments 44 Cutting-edge Fairwood program promotes healthy lifestyle and lasting weight loss

OUR COMMUNITY 5 Celebrate a “A 1920s Christmas” at Sauder Village 13 Genacross Lutheran ServicesToledo Campus designated an Employer of Choice 19 Holidays in the Manor House extended to 16 days 22 Franciscan Care Center and St. Clare Commons: there when you need them 26 At Sunset Retirement Communities, seniors discover what they’ve been missing 27 Metroparks Toledo and Mercy Health partner to increase fitness options at Wildwood 33 Laurels rehab client shows that attitude affects outcome 36 Senior Living Guide 42 Experience “A Night in Bethlehem” 42 Bethany House presents domestic violence documentary December 3 45 Local USTA Independent 7.0 Mixed Double team finishes season 2nd in the country

Travel Editor: LeMoyne Mercer

Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2017 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

6 Downsizing for seniors is a difficult task 28 Spiritually Speaking Blessed are the peacemakers, by Sister Mary Thill 34 It’s never too early to set your New Year’s fitness resolutions by Amanda Manthey 35 Health Crossword by Myles Mellor 37 A Walk in the Park When does the desert bloom? by LeMoyne Mercer

FOOD & NUTRITION 8 Eating Well Avoid the Jingle Bellies and Sugar Plumps by Laurie Syring, RD/LD 41 Six heavenly holiday sweets

CHILDREN & PARENTING 14 Blending: a key to youth sport development (part 1) by Mark S. Faber, USPTA Elite Professional

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

ENRICHING YOUR LIFE

Dear Readers, Thank you for picking up the December issue of Healthy Living News. We understand how chaotic the holiday season can be, and we sincerely appreciate that you’ve chosen to share a few precious moments with us. Rest assured, it will be time well spent. We’re confident you’ll find something in the pages of this jam-packed issue that informs, inspires, or entertains you. If you’re looking for a simple yet memorable holiday experience for the whole family, be sure to read this month’s cover story about Sauder Village, where you can join in celebrating “A 1920s Christmas.” Guided lantern tours, one-of-akind gifts, delicious baked goods, and sumptuous meals at The Barn

restaurants are just some of the attractions that hearken back to yesteryear at Sauder. See the full story on page 5. And that’s just scratching the surface! This month’s issue also features healthy strategies for coping with grief during the holidays from ProMedica Hospice (p. 16), profiles of Mercy Health’s new oncology nurse navigator team (p. 29) as well as the pediatric endocrinology services available at Mercy Health - Children’s Hospital Diabetes Care and Endocrinology (p. 40), insights on seasonal depression from UTMC psychiatrist Dr. Victoria Kelly (p. 30), thoughts on what it means to offer “world-class care close to home” from Dr. Rex Mowat of The Toledo Clinic Cancer Centers (p. 7), Heartland Rehab’s hints for a healthier holiday

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season (p. 18), the cutting-edge program that promotes lasting weight loss at Fairwood Health & Body Transition (p. 44), tips for staying active in winter from Dr. Tere Koenig of Medical Mutual (p. 24), and the various treatments available at Luxe Laser Vein & Body Center to help tone your chin in time for the holidays (p. 43). During this time of holiday gift giving, we’d like to remind readers: if you’re inspired to take advantage of any of our advertisers’ products or services, be sure to tell them you saw it in the pages of Healthy Living News. On behalf of everyone here at HLN, I’d like to wish you and yours the very best this holiday season. Until next month, stay safe, active, and healthy!

I want a doctor who treats me like a person, not a number. Thatâ&#x20AC;&#x2122;s why I choose The Toledo Clinic. The Toledo Clinic is the only physician-owned, physician-led healthcare organization in the region, which gives my doctor a greater say in my care. Plus, with 185 physicians practicing in over 40 different specialties in more than 60 locations, my whole family has access to expert care when and where they need it. The Toledo Clinic. When you choose well, you just feel better.

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at Sauder Village

ith unique shopping, delicious food, and the opportunity to experience Christmas traditions of d a y s - g o n e - b y, Sauder Village is a memorable place to visit with family and friends this holiday season. Reservations are now being accepted for the Holiday Lantern Tours, “A 1920s Christmas” to be held December 2, 8, and 9 at Sauder Village. There’s a new twist to the Holiday Lantern Tours this year—offering guests an interactive look at the American Christmas traditions of the 1920s. “We’re excited about the traditional stories, demonstrations, and hands-on activities that will be offered during our 1920s Christmas Lantern Tours,” shared Kim Krieger, Media Relations. “We’re sure our guests will enjoy strolling through the Historic Village to experience Christmas traditions of yesteryear while creating special memories with family and friends.” The flicker of a candle-lit lantern will light the way as a costumed guide takes groups on a journey back to the 1920s. Guests can help decorate the Grime family Christmas tree and frost cookies in the kitchen, all while learning about a family’s holiday experience in the 1928 Grime Homestead. While spending time at the hub of Christmas shopping, the Elmira Depot, visitors can compile their wish-list with a 1922 Montgomery Ward Catalogue, admire the sparkle and dazzle of the feather tree, play with the latest 1920s games and toys, and marvel at the beautiful and intricate designs of some holiday greeting cards. Guests can help act out The Night Before Christmas in the District 16 Schoolhouse. There is also an opportunity for everyone to make a Christmas novelty in the Tin Shop and sing 1920s Christmas

Carols in St. Mark’s Lutheran Church. “A 1920s Christmas” Holiday Lantern Tours last approximately 90 minutes and are repeated every half hour from 4:30-8:00 p.m. Tour dates are December 2, 8, and 9, and the cost is $13.00 for adults and $7.00 for children (ages 3 and up). Member discounts are available. Pre-registration is required for this evening program at Sauder Village. Call or visit the Sauder Village website at www.saudervillage.org to register. The Shops at Sauder Village are a great place to find one-of-a-kind Christmas gifts this holiday season. The Sauder Village Gift Shop and Lauber’s General Store offer a variety of handmade craft items, wooden toys, books, jewelry, home décor items, and so much more. Unique gifts are also available at Threads of Tradition Quilt Shop as well as the Sauder Store & Outlet located on the Sauder Village Complex. Also, with homemade pies, doughnuts, cutout holiday cookies, and cinnamon rolls, the Doughbox Bakery offers Sauder Village guests delicious treats to take home. The Barn Restaurant, built in 1861 on a farm just a few miles from Sauder Village, offers a unique place to enjoy a home-style meal. Guests enjoy dining under the hand-hewn timbers of this historic barn. There are a variety of special events planned throughout the holiday season, including live Christmas music the week of December 18-23 and a special New Year’s Eve Prime Rib Buffet on December 31. For those looking to extend their stay, overnight accommodations are available at the Sauder Heritage Inn. Guests feel right at home in the 98room Heritage Inn complete with an indoor pool and hot tub as well as a game and exercise room—all adjacent to the “Great Oak Tree.” The popular Holiday Lantern Tour Package includes a one-night stay, Barn Restaurant gift certificates, and lantern tour tickets. For more information about Holiday Lantern Tours or planning a memorable getaway to Sauder Village, call 800-590-9755, visit www.sauder village.org, like us on Facebook, or follow us on Twitter and Instagram.❦

Celebrate "A 1920s Christmas”

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

promedica.org/homehealthcare

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | December 2017

Wise words from

OTTERBEIN Downsizing for seniors is a difficult task

t’s complicated. Many seniors have lived in their homes for many, many years. In most cases, it is the house where they raised their family. With years comes “stuff.” When it’s time to downsize, the “stuff ” can be paralyzing and will actually prevent some seniors from shedding unneeded and unwanted items, causing them to stay in their homes. And while living independently is the goal for most people, that well-loved home might not be the safest place to be. Stairs, stuff, and tripping hazards can be deadly. Simplifying and downsizing are excellent goals for older persons, so here are some tips for success from Otterbein Senior Lifestyle Choices: 1. Don’t bite off more than you can chew. Tackle one room at a time. Don’t expect to downsize in a matter

of days. Try to set a goal to be done in a number of months. Work a couple of hours each day and finish a room at a time. 2. Frame the “keep” or “get rid of ” questions with seniors as yes-or-no questions. Open-ended questions cause confusion and will slow you down. Here’s an example: “We will keep your everyday dishes and get rid of the fancy china that you never use. Is that ok?” 3. Use the new residence as the goal and the space reference. Work toward what will fit into the new space. This creates a finite amount of items that can go. 4. Have two piles: the Keep and the Discard pile. Do not have a Maybe pile. The items in the maybe pile will end up getting boxed and will never

6 December 2017 | Healthy Living News

be looked at again. 5. Digitize photos, videos, and movies. But don’t throw the old photos away, especially if there are points of interest, old vehicles, or other items in the photo that could have historical value. Your local historical society or college may want them. A family member or friend may want the others. 6. Items that have value should be gifted or handled by a selling professional. Take the time to do some research so that these items are not lost or discarded. Check the references of selling professionals. 7. Learn about charity organizations that take donations, online garage sales, Craigslist, and liquidators/estate sale organizers as possible methods to deal with the items that will not be kept. Check references of professionals that you bring in to help sell your items. 8. Important papers can be downsized. You must keep originals for life of the following items: birth and

death certificates, social security card, pension plan documents, ID cards and passports, marriage license, business license, any insurance policy (good to keep even if they have a digital copy in case problems come up), wills, living wills, powers of attorney, vehicle titles and loan documents, house deeds, and mortgage documents. There are some papers that you keep for a little while: tax records and receipts (keep for 7 years); pay stubs and bank statements (keep for one year); home purchase, sale, or improvement documents (keep for 6 years after you sell); medical records and bills (keep at least a year after payment in case of disputes); and warranty documents and receipts (keep as long as you own them). Finally, keep the most current social security statement, annual insurance policy statements, and retirement plan statement. Get a shredder or take old documents somewhere that will shred them for you. Staples and Office Max have this service. ❦

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The Toledo Clinic Cancer Centers:

World-class cancer care close to home

here’s a common misconception bers of the staff know the patients among area residents that in order and their families, it’s more likely to receive the best possible cancer they’ll be aware of issues that might care, it’s necessary to travel to a major impact their ability to comply with cancer center or university situated care, such as financial difficulties or many miles away. But the truth of lack of access to transportation,” Dr. the matter is, world-class cancer care Mowat says. is available right here at home—a Furthermore, the staff and physishort drive from any point in the cians at TTCCC have the experience community—at The Toledo Clinic and expertise necessary to help move Cancer Centers (TTCCC). patients through the various systems “We may not have the same name and processes involved in their diagrecognition as some of the larger nosis and care—all the labs, imaging, institutions, but in the vast majority biopsies, IV port placement, surgical of cases we deliver procedures, etc.—at a equal or better care more rapid Being part of the markedly here and it’s just minpace than is often poscommunity can be sible at larger centers. utes from home,” says Rex Mowat, MD, of reassuring to the As Dr. Mowat explains, TTCCC. “We also “We’re involved with participate in 60 ac- patient and beneficial all these systems and to clinicians in tive clinical trials and know exactly how to have research ongoget patients through assessing the ing. Plus, being a the steps as quickly as patient's needs. private practice that possible. That’s imisn’t owned by a hospital or large portant not just from the standpoint institution, we can offer the highest of convenience and minimizing worry, quality care and services at a fraction but also because the sooner we know of the cost.” what the cancer is and what stage Local access to cancer care offers it’s at, the sooner we can get the numerous advantages beyond the patient started on the appropriate short drive. Dr. Mowat points out treatment.” that most cancer patients are older Of course, offering world-class and may be frail, so they commonly care here at home doesn’t mean depend on their spouse, children, or TTCCC receives no input from outfriends for transportation. If every test, side experts. The physicians there procedure, or office visit requires an routinely discuss patient cases with out-of-town trip, loved ones’ lives can their colleagues both in the practice be disrupted on every level—espe- and at other cancer centers across the cially if they’re still working and/or country. And if it is necessary to send have families of their own to care for. patients elsewhere for any reason, “Then, when you arrive at that the TTCCC staff will facilitate the distant center, it can be very difficult referral. “We’re also working toward to figure out where to park, which the ability to offer virtual second building you need to be in, and which opinions. We’re not there just yet, floor to go to. When you come here, but it’s coming,” states Dr. Mowat.❦ on the other hand, you don’t have the extra cost of traveling back and The Toledo Clinic Cancer Centers, located forth, parking is very straightforward, at 4126 N. Holland Sylvania Road, Suite the building is relatively small, and 105, has 12 physicians and 7 nurse you can get in and out quickly, so practitioners on staff and can provide visits are a lot less confusing and imaging and laboratory diagnostic frustrating for patients and their services, chemotherapy services, and IV families,” states Dr. Mowat. services. TTCCC also has satellite centers Being part of the community in Maumee, Bowling Green, Adrian, also means there’s a good chance and Monroe, as well as a partnership that patients will recognize at least with the Mercy Health –Perrysburg some of the staff when they come Cancer Center for the convenience of to TTCCC for care. That familiarity the patient. For more information, please is reassuring to patients as well as call The Toledo Clinic Cancer Centers at beneficial to the clinicians. “If mem- 419-479-5605.

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

Call 419.479.5605

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

The Only Cancer Center in the Region to Offer Prevention of Chemotherapy Related Hair Loss § Dr. Adnan Alkhalili

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Plan, plan, plan!

EATING WELL by Laurie Syring, RD/LD Avoid the Jingle Bellies and Sugar Plumps

he holiday season is upon us— though for some people, that season keeps getting larger and larger along with their waistlines. Nowadays it seems “the holidays” begin with the opening of that first bag of Halloween Candy and continue right on through the Super Bowl with all its associated snacking. With nearly a third of the year now lumped under the “holiday” heading, it’s no wonder we’re packing on the pounds! How much weight are we really gaining during this festive season? New studies suggest Americans gain less than two pounds between Thanksgiving and Christmas. That doesn’t sound so bad, right? After all, I can gain that much in a day! But look at it like this: If you don’t take off those two “paltry” pounds

after the holidays and you keep on adding two pounds a year for 20 years, you’re up 40 pounds from your high school “fighting weight.” The issue isn’t so much that we overindulge on Thanksgiving and Christmas Day. We can (excuse the pun) bounce back from that easily enough. The problem is, when we take in an extra 500 calories a day, every day, for four to six weeks, the pounds can really start to add up. I’m talking four to eight pounds over the holiday season! The good news is, you don’t have to miss out on all your favorite holiday foods. You can still enjoy your “seasons eatings”—but perhaps with a little moderation, portion control, and mindfulness this time around. Here’s how:

I can’t emphasize this enough. Take a look at your monthly calendar and write down all the parties, gatherings, and lunch and dinner invites. Think about any eating challenges/ opportunities you might encounter at each one, and consider how to enjoy the event as you stick to your healthy eating plan. Also, try to prioritize your parties. Ask yourself what is going to be fun about this event and what issues you need to watch out for. For example, if you know you won’t be able to resist grandma’s famous potato latkes, plan and budget your calories for this special item.

over 500 calories! Consider substituting club soda with a twist instead.

Be choosy “A little bit of everything” is not a good healthy eating strategy—especially during the holidays when there’s a whole lot of “everything” to choose from. Before you dig in, decide what you must have and what you can live without. Perhaps a warm, freshbaked gingerbread cookie is a must, but you can probably do without those tasteless store-bought cookies. Holiday party buffet lines are especially perilous. Before you dig in, peruse the whole line and decide which items are really worth splurging on. Don’t waste your calories on items that you can eat at any time of year or just aren’t all that tempting to you.

Eat before you go If you’re hungry before you head for that holiday gathering, eat a healthy snack at home so that you don’t overeat at the party. Have a piece of fruit, a yogurt, and a protein granola bar.

Watch the booze Libations can be loaded with a lot more calories than you realize. That rum-spiked eggnog alone can contain

Outcomes Mean Everything... We are a place to get better, a place for living. When people reach points in their lives when they depend on others, our compassionate caregivers create a place to live, providing care for our patients like family, not because it’s their job, but because it’s their calling.

Don’t rely on bonus time at the gym Spending extra time at the gym is good for stress relief and maintaining your exercise routine, but the calories burned won’t necessarily counteract all those extra holiday calories. The number of calories burned during a workout is relatively small compared to the damage you can do at a party. For example, the 300 calories you burned on the elliptical will only wipe out a couple of small cookies. So sad, I know.

ADDISON HEIGHTS

Planning for your holiday parties can make it easier for you to stick with your healthy eating goals and give you an edge when it comes to handling surprise calories that come your way. Your perspective plays an important part, as well. Do you look at the holidays as a strictly food-centric season or an opportunity to spend more time with the people you love? Why not shift the focus from food to family and friends? Above all, keep in mind that you can still enjoy the treats of the season—as long as you’re mindful of your choices. ❦

a Consulate Health Care Center

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

Call us today to schedule a personalized tour, and we can answer any questions you may have about our services for you or your loved one.

(419) 867-7926 Health and Rehabilitation Center

“

We are committed to our mission of

Providing Service With Our

Hearts

and

Hands”

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

3600 Butz Road, Maumee, OH 43537 | www.consulatehealthcare.com

8 December 2017 | Healthy Living News

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Gift Certificates available!

nobody’s perfect Sister Karen Zielinski, OSF

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10 December 2017 | Healthy Living News

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etting sick is a scary, life-changing event. When we are first diagnosed with some ailment or chronic condition, we might be overwhelmed. We become anxious. It is scary: Will I be able to continue working, walk, or eat normal food? Will this illness cause pain? Is there a cure? Are there medicines that can help with the pain or even slow down the progression of the disease? Will I be able to afford the medicines and all the doctor appointments and medical procedures if I need them? All of this can be new to us, and we can experience a fear of all these unknowns. Most of us can figure out what treatment to begin, which medicines to take, or which doctor or surgeon to help with our medical challenges. Different healthcare professionals can guide us through different procedures, recommend rehab centers, and offer suggestions about which drugs to take and even how to pay for them as we begin our medical journeys. But what can really help us get through these overwhelming health crises is someone to accompany us on our health journey. Accompanying a patient can take many forms. Whether it is a group of friends from our church, our family members, some long-time golfing buddies, or friends from high school, there is something positively therapeutic about having a live human being with us when we are so vulnerable. Just knowing that a person will drive you to an appointment and wait for you until you are finished with your test, or that a family member will make certain your prescription is picked up, can lessen the fear of the medical unknown immensely. When you are ill, you can experi-

ence so much anxiety over not only the illness itself, but also over the “stuff ” of daily life: How will you pick up your medicines? Or schedule future follow-up appointments? Or get some groceries so you can eat? Knowing that people will be there for you and do these things reduces your anxiety a great deal. You can then concentrate on resting and getting better. Tons of health research shows that lessening anxiety can help speed up the healing process. At a funeral recently, prayer petitions were read during the service. One said, “For the doctors and nurses who helped Dan while he was in the hospital.” Another read, “For all those people who do not have the support of others to accompany them during their health journey.” During the holiday season, we often struggle with gift ideas. We stew over what gift we should give someone. A simple yet wonderful gift might be to stand by a person who is ill and accompany them on their journey to wellness. Why not make a gift of accompanying someone who is ill? Tell them you will drive them to appointments, or just call and show up with some soup, chicken casserole, or a cup of coffee. Think how relieved you would feel knowing that you had someone to stand by you. ❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

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What are the noises in my head? by Sarah Fontaine, AAA-F

he perception of ringing, buzzing, or humming in the absence of external sounds is formally known as tinnitus. Approximately 50 million Americans experience some degree of tinnitus, and nearly 20 million of those individuals are chronically burdened by it (American Tinnitus Association). There are many factors that can cause tinnitus to occur. Hearing loss due to aging or noise exposure is commonly accompanied by tinnitus. Exactly how hearing loss is associated with tinnitus is still being investigated by researchers. However, it is known that hearing loss can cause specific changes in how the brain processes sound. As the brain receives less sound stimulation around a specific pitch (frequency), it begins to adapt and change. Tinnitus is hypothesized to act as the brain’s way of filling

in the missing sound information it no longer receives from the auditory system (American Tinnitus Association). Other variables such as excessive ear wax, head/neck injuries, traumatic brain injuries, ototoxic (ear-damaging) medications, and various health conditions can potentially cause the development of tinnitus. Stress can also play a significant role in tinnitus. As the holidays approach and we become occupied with chores and to-do lists, stress can certainly present itself. Tinnitus, alone, does not necessarily indicate any one of the items listed. Individuals experiencing tinnitus should consult their physician or an audiologist for a full examination to diagnose the underlying cause of symptoms. Many

times, discovering the underlying root of tinnitus can help with coping and working through the tinnitus. An audiologist is a hearing healthcare professional who is able to diagnose and treat individuals who experience hearing loss, tinnitus, and dizziness. During a tinnitus assessment, an audiologist reviews a thorough case history that investigates various aspects of the individual’s tinnitus, including onset, medical history, factors that relieve/ worsen tinnitus, sleep, etc. Additional questionnaires are utilized to help quantify the impact of the tinnitus on the patient’s daily life. The diagnostic portion of the evaluation includes a comprehensive hearing assessment along with

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additional measures to help quantify the tinnitus. Ultra-high-frequency pure tones are evaluated to gain an understanding of hearing acuity outside the standard frequency range tested. Distortion product otoacoustic emissions (DPOAEs) testing is another diagnostic tool that provides useful information on the integrity of the sensory cells in the organ of hearing. Lastly, a pitch and loudness match of the tinnitus is determined to help place parameters on the perception of the patient’s tinnitus, which can ultimately guide treatment options. Various treatment options are available for individuals with tinnitus. Unfortunately there is no “magic pill” to solve the problem. Many patients who have hearing loss and tinnitus find benefit and a reduction in the perception of their tinnitus by wearing hearing aids. Hearing aids are able to provide the brain with access to sounds through amplification, which allows the brain to hear more meaningful auditory input, such as speech. Individuals without hearing loss have also experienced success with hearing aid use, HEAR HOW GREAT as various ear-level deYOUR WORLD CAN vices have the ability to deliver various masking SOUND sounds to help relieve 1. Come in for a consultation. If you’re a the tinnitus. candidate, you’ll go home with Flex:trial hearing aids, precisely programmed to your hearing Additional digineeds and preferences. tal, compact devices 2. Wear the Flex:trial hearing aids for two are clinically proven weeks with no commitment. Try the Flex:trial medical devices that hearing aids everywhere life takes you for two weeks with no commitment and no deposit. demonstrate long-term 3. At the end of the trial, if your world sounds relief from tinnitus by better, the hearing aids are yours to be fit. playing customized And, they’ll be customized to your unique tones to help desensineeds and listening environments, based on tize the patient to their tinnitus (e.g., Neuromonics Oasis). Another product that has shown great success among our patients is the Sound Pillow, which is a pillow with an embedded speaker. This device RSVP BY DECEMBER 11, 2017 was designed by an acoustic engineer and is able to produce relaxing Appointments are available: sounds when trying to December 12th - 13th fall asleep each night. The Sound Pillow has the flexibility for various audio inputs, e.g. streaming iPhone 1125 Hospital Dr. Suite 50 1601 Brigham Dr. Suite 160 Toledo, OH 43614 Perrysburg, OH 43551 music, sports games, 419-745-9555 419-745-9737 and audio books. The www.northwestohiohearingclinic.com Sound Pillow has pro-

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12 December 2017 | Healthy Living News

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vided significant relief for individuals who are burdened by the impact of tinnitus on their sleep hygiene. Many patients have shared their battles with tinnitus and its effect on their everyday life. A recent patient was referred to our clinic for severe, bothersome tinnitus. The patient noted that he felt defeated and depressed, and had lost hope for any solutions to help his tinnitus. He had sought consultation from an array of healthcare professionals but felt lost and alone. He reported previously trying a specific brand of hearing aid, but did not find relief from that

product. After a thorough tinnitus each patient’s tinnitus journey is consultation and trial of hearing aids unique and requires individualized that specialize in tinnitus masking, care and attention. the patient found significant relief If you or a loved one suffers from from his tinnitus. He stated it was the effects of tinnitus, take action Ministry support 2021not N. McCord Roadrather | Toledo, OH 43615 | P:help 419.861.4990 the first time in years that he did sooner than later to lessen hear the sounds in his head. the burden. Please call the audioloIt is important to note that each gists at the Northwest Ohio Hearing person has various factors that can Clinic to make an appointment for a certainly impact the success of tinnitus comprehensive tinnitus assessment.❦ treatment. For this gentleman, it was simply listening and maintaining a Sarah Fontaine, AAA-F, is a Doctor of flexible approach to the trial of treat- Audiology with Northwest Ohio Hearing ment options tailored to his concerns. Clinic, located at 1125 Hospital Dr., Suite This patient’s testimony serves as an 50 in Toledo (419-383-4012) and 1601 account of the impact tinnitus can Brigham Dr., Suite 160 in Perrysburg have on our well-being, and how (419-873-4327).

he Genacross Lutheran Services-Toledo Campus, formerly Lutheran Home at Toledo, was named a bronze Employer of Choice by LeadingAge Ohio for 2017-2018. The award recognizes providers of aging services who demonstrate leadership in employee development and engagement and meet stringent workforce development criteria. “We continue to strive to enhance our employees’ work experience as well as their mission to serve our residents,” said Thomas Grubs, Executive Director of the Toledo Campus. “We are very proud to be recognized for our employee culture and commitment to excellence.” This is the inaugural year for the Employer of Choice program, which awards gold, silver, and bronze-level designations. The Toledo Campus was one of 30 organizations across the state that received the bronze level, and there were only three that received the gold level and none with the silver designation.

Genacross Lutheran Services-Toledo Campus is a member of LeadingAge Ohio, a nonprofit trade association that represents approximately 400 long-term care organizations and hospices, as well as those providing ancillary healthcare and housing services. The continuum of care reflected by member organizations serves an estimated 400,000 elderly

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by Mark S. Faber, USPTA Elite Professional

Blending: a key to youth sport development (part 1)

s a youth sports coach, the years might pass by but the same questions seem to arise when working with players and parents. The top three questions that seem to come forward are: 1. How should we decide what level of competition/practice is appropriate for my child? 2. Should my child play and focus on one sport only? 3. How much time should my child be playing to achieve his/her goals? Over the next three months, I will be sharing with the readers some basic thoughts and information on all three of these questions that transcend all sports. This month we will be focusing on the first question: How should one decide on the level of competition for a child’s practice and play environments? This question is always a tough one, for you must look at it from several angles. However, if you look at it based on the masses and not the

outliers, then the answers become easier. Two simple questions I always ask myself and the parents are: 1. Is the child the best (and I mean number 1)? 2. Where is the child in terms of maturation? Why would I ask those questions? Well, if a player is not number 1, then that means there are still better players and they have something to strive for. Being the best means being the best. What does maturation rate have to do with it? Well, if the child is 12 years old but appears to be10 based on growth, then moving him or her up to a higher age division could cause physical issues simply based on the size and strength of the other

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athletes that have hit their growth spurts earlier. So, it would be okay to wait for growth to start to occur before making that move. The flip side also needs to occur. A false sense could be created if a player is bigger, stronger and faster at an early age. This is where adjustments would need to be made as well. Neither of these are easy conversations. However, they need to be had in the best long-term interest of the child. When discussing this issue with parents and players, another statement I often hear is, “My child plays so much better when they practice and compete against ‘better’ players.” This statement tends to be accurate, not because of anything special or secret, but simply because when a person is competing or practicing with a “better ” player, expectations are lowered. When that happens in youth sports today, young athletes tend to perform better. Once again, it usually has nothing to do with their playing level, just reduction of the pressure they feel. From a practice standpoint, let me share two thoughts. One, it is important for a child to learn how to fight and battle. Two, a child needs to learn to be a leader and how to be the “top dog.” Both come from practicing with different levels. If you are the best in the group, that’s a good thing, for it’s important to experience the pressure of being at the top with people battling to gain your spot. The other benefit that comes with being the “best” is how people look up to you as a leader. Now, if a player is in a practice environment where they are not the “best” player, then they will be the one battling and fighting to move up in the group. See? Being at the top and fighting to reach the top are equally important in an athlete’s overall development for they need to learn how to handle both sides of the plate. Always being in a group with “better” players does not allow one to experience this. From a competition standpoint, a simple formula of thirds should be used. This concept is simple: Onethird of your competition should be against people you are favored

to beat, one-third should be against people you have a 50/50 chance of beating, and the final third should be against people who are favored to beat you. Here is a breakdown of each:

One-third—you’re favored This allows an athlete to experience the pressure of being the favorite and dealing with the stressors that come with it in a variety of situations. Many times, when players are faced with this pressure, they will experience a tightening in their game and their level of play might drop, not because of the other players’ level, but because the athlete is facing and struggling with opponents who want to move up. This is a great opportunity to grow!

One-third—50/50 odds This allows for an athlete to experience a true battle and learn how to figure things out. Also, many times the opponents in this group are an athlete’s true peers, and that is who they are compared to if there are any college aspirations.

One-third—you’re not favored This allows an athlete to have the complete opposite experience of when they are the favorite. Many times one will see a rise in play in this scenario, which can create a false sense of the athlete’s skill level. But again, this improvement is usually due to the reduction of pressure on the athlete. Certainly, there are different views on the formula described above. However, if you look at it from the standpoint of a long-term developmental process, then blending is important, not eliminating. By eliminating, you are essentially skipping steps in the process. For an athlete to be the best he or she can be, skipping steps could produce holes in the overall long-term development physically, mentally, and emotionally. As a coach and parent, it is my role and responsibility to try to help everyone become the best they can be overall, and that includes practicing and competing against all levels. Next month, we will discuss the issue of sport specialization. In closing, I would like to take this opportunity to wish all of you the happiest of holiday seasons. Please enjoy this time with your family, as it is truly the most important thing we have. ❦

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Healthy ways to cope with grief during the holidays

he holidays are hectic and stressful for everyone, but for people coping with the loss of a loved one, the strain of the holiday season—a time when family togetherness and traditions are the focus—can seem overwhelming. Their emotional anguish can be especially poignant in that first holiday season after their loved one’s passing. While no two bereavement journeys are exactly the same, there are healthy ways for people who are grieving to better cope with their loss during the holidays and perhaps even find new meaning and significance in the season.

Give yourself permission to grieve According to ProMedica Hospice bereavement coordinator Bill Fink, one of the most important things grieving people can do is simply to recognize that the feelings they’re having are natural. “The holidays are filled with so many traditions and memories of times past. It’s perfectly normal to experience a sense of sadness and loss. Don’t ignore that feeling. It’s much better to talk about it and share it with others. Also, don’t be afraid to speak the name of the person who died. Everyone is thinking about him or her anyway. There’s nothing wrong with saying, ‘Hey, we really miss Grandpa’ or ‘It’s not the same this year without Grandma.’”

Know your limits

The grieving process is physically and emotionally draining. It’s also natural and necessary in order to achieve acceptance and eventually restore well-being. While moving through the passages of grieving, it’s normal for the bereft person’s mood and energy level to fluctuate. It’s important to be aware of this and to share with family and friends what you’re realistically able to manage with respect to holiday activities and obligations. “It’s essential not only for grieving people to express what they need and can reasonably manage, but also for everyone else to listen and be open to what they have to say. It’s okay if they need to change things or say no to certain gatherings or commitments this year,” Fink says.

Don’t hesitate to delegate If there are certain responsibilities that you usually take on during the holidays—hosting family get-togethers, writing and sending Christmas cards, picking up visiting relatives from the airport, planning and preparing meals, baking cookies, etc.—but you don’t feel you have the energy for them this year, don’t be afraid to ask someone else to lend a hand. Most likely, many of the people around you will be more than happy to step in and ease your burden. Or, you may just realize that some of those self-imposed obligations aren’t really necessary and decide to skip them

this holiday season so you can focus your energy on the things that really matter to you.

Re-evaluate holiday traditions Time-honored traditions promote family togetherness, but they can also evoke emotional pain when they’re closely linked with the memory of a lost loved one. Fink notes that only the grieving person can decide whether or not it’s appropriate to continue those established traditions. “You might feel that it’s best to keep doing things the way you’ve always done them and going to the same places you’ve always gone, or you might decide this would be a good year to start some new traditions. There’s no right answer,” he says.

Keep your loved one’s memory alive Honoring a deceased loved one’s memory in some unique way might just be the perfect new holiday tradition. For example, the family could light a special candle for the loved one and place it on the dinner table, on the mantel, or in another prominent location; hang a stocking by the fireplace and invite everyone in the

family to put in a note that expresses their feelings about the person; or make a donation to a charitable organization in his or her name each holiday season. Or, you could simply set aside a little time for the whole family to look at photographs of their loved one and share memories.

Avoid isolation Though it’s natural and necessary for grieving people to seek time alone for reflection and healing, this process should not lead to isolation from family and friends. You need their support—and they very likely need yours. As Fink explains, “It’s normal to want some solitude when you’re grieving, but withdrawing from everyone and staying in isolation is unhealthy.”

Seek support Most importantly, people who are struggling with the grieving process should seek out the support of others who understand what they’re going through and have the compassion and expertise to help them heal, move forward, and find new hope. For example, ProMedica Hospice offers several grief groups that bereaved people are encouraged to join. Grieving people can also call ProMedica Hospice’s main office at 419-824-7400 and set up a time to speak one-onone with a bereavement coordinator. ❦

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Heartland’s hints for a healthier holiday season, by Jim Berger

he holiday season is upon us. It’s a time when we are busy decorating, shopping, baking, and attending holiday functions. We have little time for anything extra in our day. We also have to deal with the potential for wintry weather. It is a special time of year and one that many of us enjoy—but it’s also a time when many of us tend to abandon our healthy habits. We don’t eat as healthy as we should, and we skip out on the exercise regime that we had been following. As a result, our stress level meter is in the red zone. Every year we say we are going to do things differently, but it doesn’t seem to happen. So this year let’s change all that. By making small modifications to our holiday habits, it’s easy to stay healthy and still enjoy the season despite the hustle, bustle, and stress.

Here are eight hints that might help: 1. Plan, plan, plan, and don’t overcommit!

2. Select he healthier food choices when you’re out to dinner or at a party. If you know that may not be an option, then eat beforehand and limit your snacking at the event. 3. Don’t skip meals—including breakfast. People who eat breakfast consume fewer calories throughout the day than those who skip this important meal. 4. Monitor your hunger. Never show up at a party or buffet really hungry—you will most certainly overeat. Drink water and have a protein-filled snack (such as nuts or cheese) before arriving. This will help you to have more self-control around the temptation. 5. Watch your portion size. If you have an idea of how much food you are putting on your plate, you will be less likely to overdo it. 6. Stay hydrated by drinking more water than anything else. 7. Exercise: “Sneak” exercise into your day. If you already have an established exercise regimen, keep it up and you’ll make it through the holidays without compromis-

ing your fitness. Remember, several short periods of physical exertion worked in throughout the day are just as beneficial to your health as one long, continuous period of activity. Consider trying the following: • Taking the stairs instead of the elevator. • Parking at the far end of the parking lot to get in extra steps. • Walking down every aisle of the store whether you need something there or not. • Walking in place or on a treadmill or doing some stretches while watching your favorite holiday TV shows. • Walking around the inside of your house while talking on the phone. • Getting up from your desk every half hour and walking a lap around the office at work. • Putting on some music and

Don’t Let Back, Hip, Knee or Ankle Pain stop you this Holiday!

dancing if you can find a little alone time! • Doing simple body weight exercises at home or at work: squats, lunges, pull and push movements. Of course, these are just suggestions. No doubt, you’ll be able to think of many different ways to work simple exercises into your day. Moving burns more calories than sitting, so the more active you are, the more calories you’ll burn. You need both exercise and a healthy diet to maintain over the holiday season. Don’t neglect either one! 8. Sleep: During the holiday season, we seldom get enough sleep. Sleep plays a very important role in our health. The greater the fatigue and stress, the more likely we are to grab unhealthy sweets and snacks to give us energy. Try to plan your schedule so you can get eight hours of sleep a night.

•

all Heartland ehailitaon Ask How Therapy can help! top in or a unconal oeent screen!          18 December 2017 | Healthy Living News

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The holidays shouldn’t hurt! During this time of year, we are also a little more prone to injury due to weather, hustling around, and not paying attention. Injuries that we typically see are related to falls outside (ice and snow), back/shoulder injuries due to picking up and carrying larger and heavier boxes or items, snow shoveling using improper technique, working in the same position for extended periods of time while baking or wrapping gifts, as well as not maintaining good posture or taking breaks. When you have an injury or an ache/pain that lasts for a few days and doesn’t appear to be getting better, don’t wait any longer. Go seek help! You may think about trying to get in to see your primary care provider, but you may not be able to get an appointment until the New Year. A more effective solution to those aches and pains is to see a physical therapist. Therapy will not only address the pain issue or injury, but the therapist will also review

with you proper body mechanics and movement so you can avoid injury in the future. In many cases you can schedule an appointment for therapy without seeing your primary care provider first. This is known as direct access to therapy, and Ohio and Michigan are states that allow this. Heartland outpatient physical therapists understand what you are dealing with. Our team of physical therapists will establish a plan specific to you. Our focus is on making sure you stay involved in all your favorite holiday activities. Let our therapy team of experts help to keep you active and moving during this holiday season! ❦ If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741, or visit us at www.heartlandrehab.com. Heartland Rehabilitation Services has five outpatient physical therapy clinics in the greater Toledo area.

Holidays in the Manor House extended to 16 days

ll-new decorations, lighted trails, and an extra week to see them are reasons to visit this year’s Holidays in the Manor House at Wildwood Preserve Metropark. The free event sponsored by Metroparks Toledo opens Saturday, December 2 and continues through Sunday, December 17. Hours are 10:00 a.m. to 8:00 p.m. each day. Started more than 40 years ago as a volunteer initiative to thank Lucas County residents for voting to preserve the property now known as Wildwood, the annual event has become a holiday tradition in northwest Ohio. With visitation growing in recent years, reaching nearly 30,000 people, the event is being extended to 16 days. The process of decorating the 30,000-square-foot mansion begins nearly a year in advance when decorators submit proposals to a committee, which makes the final selections. This

year, decorators will incorporate a Metroparks theme into each of the more than 30 displays. New this year: Stroll a lighted path leading from the Metz Visitors Center to the Manor House, explore a fairy garden, and enjoy other outdoor decorations. Visitors are invited to stop at the Welcome tent to make a s’more over a campfire. Carriage rides return this year on the Fridays, Saturdays, and Sundays of the event. Reservations are required and can be made at Metroparks Toledo.com. The cost is $6 per person; children under 5 are free. Guests are also invited to bring donations of new hats, scarves, and gloves to place on the Mitten Tree in the Manor House. Items collected are donated to local children in need. The Mitten Tree is an annual project of Volunteers In Parks.

Holidays in the Manor House December 2nd – 17th Admission is Free MetroparksToledo.com Ring in the holidays at one of northwest Ohio’s most festive celebrations. More than 25,000 people make Holidays in the Manor House at Wildwood Preserve a family tradition. See how volunteer decorators transformed the 30,000-squarefoot home into a winter wonderland. Connect with the season and Get Outside Yourself.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | December 2017

Winter fall-prevention tips for seniors

eniors often go to considerable lengths to reduce the risk of falling inside the homeâ&#x20AC;&#x201D;eliminating tripping hazards such as throw rugs and extension cords, installing grab bars in bathrooms and railings on stairs, applying a non-skid surface to the bathtub, and so on. Then, along comes Old Man Winter to turn all of Northwest Ohio and Southeast Michigan into one big slip-and-fall

hazard. Area seniors who arenâ&#x20AC;&#x2122;t especially cautious and vigilant at this time of year can all too easily end up experiencing a painfulâ&#x20AC;&#x201D;and potentially debilitatingâ&#x20AC;&#x201D;fall on icy or snow-covered surfaces. However, with the proper precautions, seniors can minimize the risk of slipping and falling on slick outdoor surfaces in wintertime. Here are some suggestions that will help:

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Hire a snow-removal service Not only does the act of shoveling heavy snow in the cold present serious health risks to seniors in and of itself, but it also puts them in much greater jeopardy of slipping or losing their balance and falling. Consider hiring a professional snow-removal serviceâ&#x20AC;&#x201D;if not a grandchild or neighbor kidâ&#x20AC;&#x201D;to take on this treacherous chore for you. It will be money well spent, and your body will thank you for it.

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regain your balance. Wear gloves instead of warming your hands in your pockets, and get help with carrying groceries or other loads on icy or snowy surfaces.

Donâ&#x20AC;&#x2122;t bring winter indoors Snow and ice carried indoors on boots and shoes can create a major slip-and-fall hazard on hard flooring surfaces, such as wood, linoleum, and laminate. Remove snowy/icy footwear at the door (and encourage visitors to do the same), and be sure to wipe up tracked-in snow, ice, or water promptly.

We all know itâ&#x20AC;&#x2122;s wise to verify that Get connected we have adequate tread We all recallâ&#x20AC;&#x201D;and have probaon our vehicle tires beLT SA bly snickered atâ&#x20AC;&#x201D;the famous fore winter sets in, but itâ&#x20AC;&#x2122;s Life AlertÂŽ catchphrase: â&#x20AC;&#x153;Help! equally important to ensure Iâ&#x20AC;&#x2122;ve fallen and I canâ&#x20AC;&#x2122;t get up!â&#x20AC;? that your shoes, boots, and But experiencing a debilitating other footwear will provide fall with no one nearby to help adequate traction on snow is no laughing matter. Factor in and ice. Dress shoes can be particularly slip-prone, so if youâ&#x20AC;&#x2122;re extremely cold temperatures, and heading somewhere dressy, itâ&#x20AC;&#x2122;s a such a fall can quickly turn deadly. good idea to wear boots en route To avoid this scenario, itâ&#x20AC;&#x2122;s strongly and carry your dress shoes with you advised that seniors utilize a medso you can change into them when ical alert system so medical help and other emergency services are you arrive. available at the push of a button. Reinforce railings At the very least, they should carry That ornate wrought-iron railing along a cell phone in an easily accessible your sidewalk front stairs may give location on their body so they can your home wonderful curb appeal, call someone for help if necessary. but how will it hold up if it has to support your whole weight after you Consider preventive slip on ice? If itâ&#x20AC;&#x2122;s wobbly, rusty, or physical therapy otherwise structurally compromised, Stronger arm, leg, and core muscles itâ&#x20AC;&#x2122;s a good idea to get it replaced with will help you maintain your balance something sturdier. better, make it easier to catch and stabilize yourself if you slip, reduce Keep your hands free the risk of serious injury in the event While navigating potentially slick of a fall, and help you get back on sidewalks, driveways, steps, or park- your feet more easily. A qualified ing lots, be sure to keep your hands physical therapist or personal trainer free so you can grab a railing or other should be able to help you implement stable object in the event of a slip or a manageable workout regimen that so you can break your fall if you canâ&#x20AC;&#x2122;t will strengthen these key muscles.â?Ś

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

If you are 55 or better call today to join us for lunch, tour and a FREE $10 gas card!

419.865.4445

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

5916 Cresthaven Lane Toledo, Ohio 43614 | 419.865.4445 | ohioliving.org OLSC 10x12 Ad 91517.indd 1 PM Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | December9/15/17 2017 4:2321

Franciscan Care Center and St. Clare Commons:

There when you need them

“I

My rehab is here at Franciscan Care Center. Franciscan Care Center is accredited by The Joint Commission, demonstrating compliance with national standards for quality and safety. Accreditation is a voluntary process that is above and beyond what is required by federal and state mandates, and validates our commitment to the highest level of care. It’s why home is here.

Call Scott today at 419.882.6582 for a tour and to learn more about our services.

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Leave your winter worries behind at St. Clare Commons.

Sometimes Dad just needs a little extra help, but we can’t always be there. Since moving to St. Clare Commons, we rest easier knowing they are there when we can’t be. Call 419.931.0050 to learn about our assisted living and memory care options.

Assisted Living Memory Care Skilled Nursing Rehabilitation Respite Care Long-term Care

12469 Five Point Road | Perrysburg, Ohio

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feel that the physical therapy got me back on my feet, gave me strength and encouragement. It is a wonderful place to recover. I couldn’t walk when I arrived, but now I can dance out the door to go home,” explained Susan, a recent resident of St. Clare Commons. No one knows when he or she may need skilled nursing or rehabilitation, but two highly accredited campuses are ready to serve when needed— CHI Living Communities Franciscan Care Center in the Sylvania area and St. Clare Commons in Perrysburg. Both are the perfect steppingstone for recuperating between hospital and home. Both offer post-acute rehabilitation programs designed for those recovering from situations such as cardiac conditions or stroke, fractures, hip or knee replacements, or other medical circumstances where help is necessary in the transition from hospitalization to home. Staffed 24 hours a day with highly skilled medical professionals who are committed, they offer personalized physical, occupational, and speech therapies. Private rooms with rehabilitation centers just steps from your door help you improve and grow stronger as staff adjusts care and services until you are ready to go home. Impacting cardiac care Under the direction of a board-certified cardiologist, Franciscan Care Center offers an Enhanced Inpatient Cardiac Rehab program designed to help improve the well-being of individuals who have experienced an acute cardiac event. A team approach helps maximize performance and gets you back to your normal lifestyle. The Enhanced Inpatient Cardiac Rehab program includes cardiac education, development of an exercise program, heart-wholesome meals, healthy lifestyle changes, medication management, and home safety. Cardiac education by licensed nurses, therapy professionals, and nurse

practitioners covers topics that range from healthy lifestyle changes to stress release. St. Clare Commons welcomes new physicians to campus St. Clare Commons recently added Daniel A. Welt, MD, as Medical Director, Hany J. Jacob, MD, as Pulmonologist, and Nathan Hill, MD, as Medication Pain Management Specialist to its physician team. Well known in the Toledo area, all three physicians are affiliated with major northwest Ohio hospitals and stand ready to assist in the transition from skilled nursing to home. Gold Seal of Approval® from the prestigious Joint Commission Franciscan Care Center and St. Clare Commons have earned The Joint Commission’s Gold Seal of Approval® for Nursing Care Center Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient and resident care. This is a voluntary process that is above and beyond what is required by federal and state mandates. “The Gold Seal of Approval® is not mandatory for nursing homes. Rather, it shows that both Franciscan Care Center and St. Clare Commons are committed to quality care by going above and beyond what is mandated,” explained James Melia, Administrator for Franciscan Care Center. Faith-based healing ministries What makes both campuses special is their commitment to nurture the healing ministry of the Church. Scott Arkebauer, Director of Marketing for Franciscan Care Center, when he was visiting a local hospital, ran into a former resident of Franciscan Care Center who was going to need some rehabilitation after a fall. When Scott asked where he was going after leaving the hospital, his answer was, “Franciscan Care Center. I won’t go anywhere else.” What the gentleman appreciated most about Franciscan Care Center were the prayers that Sr. Jordan Schafer, OSF, Director of Mission Integration and

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Chaplain, offered for his recovery and its nurturing ministry. “What stands out to us the most at St. Clare Commons is the strength of their therapy department. My husband was able to meet his goals before coming home. Having a private rehab suite was great, and we really enjoyed the food,” explained Harriet, wife of Ronnie, a former resident in St. Clare Commons Skilled Nursing and Rehab wing. Franciscan Care Center offers rehabilitation, skilled nursing, and long-term care. Located at 4111 N. Holland Sylvania Road in Toledo, Franciscan Care Center is close to all Toledo area hospitals in the Sylvania area. Call 419882-6582 for more information or go to homeishere.org. St. Clare Commons is located just minutes down the road from Levis Commons in Perrysburg, and offers a continuum of care that includes assisted living, memory care, skilled nursing, and rehabilitation. For a tour or more information, call 419931-0050 or go to homeishere. org ❦. UTMC 1247 CARE_HLN_HalfPg.pdf

CARE

very winter, snow shoveling causes more than its share of injuries, ranging from strained or pulled muscles to thrown-out backs. Also, after a heavy snowfall, it’s not unusual to hear news reports of people who suffer heart attacks—sometimes fatal—while shoveling. These avoidable injuries and tragedies occur because it’s easy to underestimate how the sudden, intense exertion of snow shoveling taxes the body—especially when that body has been otherwise sedentary for most of the year. Snow shoveling is hard on the heart because it can cause a rapid increase in heart rate and blood pressure. In fact, one study revealed that after shoveling snow for just two minutes, the heart rates of sedentary men exceeded the rate typically recommended for aerobic exercise. Exerting in cold air is also hard on the body and makes it more difficult to breathe. In addition to people who lead a sedentary lifestyle, those who are at increased risk for heart attack while shoveling snow include those who 3/17/17 11:56 AM have had a previous heart attack, those

that embraces all of you.

with a history of heart disease, those who smoke, and those with high blood pressure or high cholesterol. In addition, caffeine and nicotine should both be avoided prior to shoveling snow as these stimulants can increase your heart rate and cause your blood vessels to constrict, placing even more stress on the heart muscle. As with any strenuous activity, you should stretch and warm up your muscles (taking a five-minute walk will suffice to warm your muscles) before you begin shoveling snow to minimize your chances of injury. If one of the aforementioned heart attack risk factors applies to you or you have any other health concerns, consult with your doctor before taking on the strenuous chore of shoveling snow. The best way to prevent back strain and other muscle aches while shoveling is to use proper body mechanics. Your hands should be positioned about 12 inches apart on the

shovel for the best leverage, and your feet should be approximately hip width apart for balance. Whenever possible, push the snow out of your path rather than try to lift it. If you must lift the snow, bend at your knees, keeping your back straight, and try to contract your stomach muscles as you lift. Avoid twisting your body or flinging snow long distances, and try to step into the throw when dumping snow from the shovel. If you experience any pain, shortness of breath, or unusually excessive perspiration while shoveling, stop immediately. The type of shovel you use can make a difference when it comes to shoveling safety, as well. Choosing a model with a smaller blade will limit the amount of snow you can lift at one time, thereby minimizing the strain on your body. Also, a plastic blade will be lighter and easier on your back than a metal one. To keep snow from clinging to your shovel and

A compassionate team focused on you. We’re more than a center for advanced treatment and specialized care. We’re caregivers who specialize in you. Our medical experts take the time to listen, answer your questions and provide the comfort and attention you deserve. Whether your relationship is with one of our primary care physicians, hospital nurses or outpatient technicians, it’s a relationship built on trust. • Provided quality care for more than 300,000 people last year • Investing in a patient-centered network of primary care providers • Committed to personalized care designed around your individual health needs • Setting the standard of excellence in patient care*

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putting undue strain on your back, spray the blade with a lubricant before you begin shoveling. To keep your body warm while preventing overheating, dress in layers and wear a warm hat, gloves or mittens, scarf, and boots that provide good traction. Keep in mind that just because you’re working on your

own driveway or sidewalk doesn’t mean you’re any less vulnerable to frostbite and hypothermia. When beginning a session of shoveling, start out slowly and gradually build up to a steady pace—just as you would when doing any other form of strenuous exercise. Take frequent

—Continued on page 45

by Dr. Tere Koenig

T 3400 Meijer Drive Toledo, OH 43617

(419) 344-0563 NWOhioKetamineClinic.com

In partnership with:

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he cold temperatures, snow, and ice that come during the winter months can make you want to stay indoors. That doesn’t mean you should hibernate or become a couch potato. You still need to get some exercise each day for your health’s sake. People who stay active reduce their risk for heart disease, high blood pressure, certain cancers, diabetes, and osteoporosis. Plus, working out regularly can improve your mood, increase your energy level, strengthen your immune system, help you sleep better, and lower your risk of injury. There are plenty of ways to make exercise part of your day even when you want to stay inside.

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If you want to go for a stroll but it’s too cold outside, head to the mall. Many malls have walking clubs, or you can always just go by yourself. Be sure to wear non-slip shoes and watch out for ice and snow others may have tracked in. You can join an exercise class if you want to do something a little more strenuous. Your local fitness center, community center, YMCA, retirement villages, and assisted living facilities may offer classes that meet your needs. They’re a great way to stay active and socialize with others. You can also join a health club or find an indoor pool close by. Swimming is fun and a great exercise.

Home, sweat home You can get your heart rate going by doing simple things around the house. Routine chores like mopping or vacuuming can serve as a workout. You can climb up and down the stairs if you’re

able to do it safely. A sturdy chair can be used for balance so you can perform squats or stretch your legs and back. Pick up a couple of weights, a yoga mat, and an exercise DVD, and you have your own home gym. You can find senior-friendly fitness videos online, in stores, or even at your local library. You could also buy a new or used stationary bike or treadmill. Whatever you do, just be sure to have a clear space to use, water nearby for hydration, and your phone in case you get injured and need to call for help.

Head out in the cold Going outside for fresh air on a mild day can be good for you if you take the proper precautions. Be sure to wear layers of clothing—a thin synthetic material followed by a layer of fleece and topped off with a waterproof, breathable layer. Make sure to cover your extremities, especially fingers, ears, and toes, which are the most susceptible to frostbite. Wear shoes or boots that have traction to help prevent slipping on snow and ice. Finally, don’t forget to apply sunscreen. You need it even if the skies are cloudy. Remember that any type of physical activity can count as exercise. Try to incorporate being active into everyday living year round. Make it part of your routine. The first exercise you should do is just get up off the couch! ❦ Dr. Tere Koenig is Chief Medical Officer for Medical Mutual.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | December 2017

At Sunset Retirement Communities, seniors discover what they’ve been missing

eniors who are considering moving to a retirement community often feel as though they’re getting pulled in two different directions. On the one hand, factors such as changes in health status, their children’s concerns over their safety and well-being, or the passing of a spouse/partner or caregiver convince them that moving might be the best option. On the other hand, an entirely different set of factors tends to persuade them otherwise. For example, they may be reluctant to leave behind the familiar surroundings of home, overwhelmed by the prospect of downsizing and moving many decades’ worth of accumulated possessions, or simply anxious and afraid of facing the unknown. Some may also have difficulty accepting that they are in declining health and need assistance with activities they used to manage easily on their own. However, according to Gayle Young, Director of Marketing, Communication, and Public Relations for

Sunset Retirement Communities, seniors who make the move to a Sunset community gain much more than they leave behind. “New residents soon realize all that they were missing while bogged down by the chores and obligations of homeownership. They may rediscover hobbies and pastimes they once loved, or they may discover entirely new passions or talents they didn’t even know they had. The comment we hear

most often from people who recently joined the Sunset family is, ‘I wish I’d made the decision to come here much sooner,’” she says. Sunset Retirement Communities,

an independent, nonprofit organization that has been serving our region since 1871, offers a full continuum of care services, including assisted living, memory care, and health care at Sunset House; assisted living, health care, memory support, and a brand-new, stateof-the-art rehab center at Sunset Village; independent living apartments at The Woodlands; active-living homes at Fieldstone Villas; and hospice and palliative care services through Ashanti Hospice and Palliative Care. “That means that as residents’ care needs change, there will always be a place for them here at Sunset. Also, residents never feel isolated here because they have a built-in community. They may reconnect with old friends or find new ones, and they always have the support of our dedicated staff,” Young says. Of course, Sunset is about much more than care services. Residents can also choose from countless activities that will help keep them engaged

and growing. Exercise and wellness activities, card games, lively discussions, arts and crafts classes, musical groups, shopping excursions, and museum visits are just a sampling of the many ways residents can spend their time. Young emphasizes that with winter fast approaching, now is a great time for seniors to set aside the snow shovel, put down that heavy bag of rock salt, stop worrying whether the furnace will hold out another season, and move to Sunset where staff members handle all the snow and ice removal as well as utility maintenance. “In addition, we serve delicious meals here at Sunset, so you never have to risk making that perilous drive to the grocery store in wintry weather,” Young says. To help determine whether living at Sunset Communities is the right choice, Young encourages seniors to consider if: • They are ready to downsize and leave behind home and yard maintenance, especially in SUNSET VILLAGE

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SUNSET RETIREmENT COmmUNITIES 26 December 2017 | Healthy Living News

W W W. S U N S E T - C O m m U N I T I E S . O R G We love feedback. Like us on Facebook. Follow us on Twitter.

extreme weather. • They are ready to let someone else handle grocery shopping and/or daily meal preparation. • They want convenient access to social events such as dinners, movies, special interest classes, church services, and exercise. • They want the peace of mind that comes from knowing helpful associates are on hand, around the clock, seven days a week. • Living alone is not a safe option. • They are having difficulty managing daily life, are not eating a healthy diet or

skipping meals, are letting personal and home cleanliness decline, have little to no interest in once-loved activities, or are experiencing feelings of isolation. “If, after answering all these questions, you’re still unsure, consider calling us at 419-536-4645 (Sunset House), 419-724-1200 (Sunset Village), 419-724-1220 (The Woodlands), or 419-386-2686 (Fieldstone Villas) to schedule a personal tour,” Young suggests. “What better way to make up your mind than to meet our staff and residents and see our communities in action?” ❦

Metroparks Toledo and Mercy Health partner to increase fitness options at Wildwood

etroparks Toledo and Mercy “This will add a new dimension Health are pleased to announce to the Metroparks experience,” said a new partnership that will provide Dave Zenk, executive director of Metroparks’ visitors new ways to Metroparks Toledo. “Many people enjoy the outdoors while improving use the parks as part of a healthy their health and wellness. lifestyle, and now, thanks to Mercy The Mercy Health Foundation is Health, we will be able to provide donating $100,000 a year for each of the additional ways to improve fitness next five years to fund the purchase in an outdoor setting.” and installation of all-weather, ergoMetroparks is working with David nomically-designed fitness equipment Williams & Associates, a Game Time that incorporates the elements of a distributor that has supplied equipwell-rounded fitness routine into ment for many of the park district’s outdoor fitness stations. Through this playgrounds. gift, Mercy Health and “At Mercy Health, our the Metroparks want to commitment to health exprovide additional health tends beyond the walls of resources for the commuour facilities. We want to nity at no charge. empower the community The first of the new to take back their own equipment will be inwell-being and start the stalled near the Ward Pajourney to healthy living,” vilion at the east entrance said Bob Baxter, president to Wildwood Preserve as Equipment to be installed and CEO, Mercy Health. is designed for aerobic and “The Metroparks are a soon as spring 2018. Mercy Health and balance exercise, core and staple in northwest Ohio, Metroparks collectively muscle strengthening, and and they serve as a great are working to address accessibility. community destination for the obesity epidemic in outdoor fun and exercise. Lucas County. With nearly 70 percent Mercy Health is honored to partner of all Lucas County residents either with them on bringing another eloverweight or obese, this new out- ement to outdoor activity via these door equipment venue is designed fitness stations.” for users of all abilities and fitness Zenk added, “Mercy Health brings levels so residents, even with no expertise in health and wellness, in previous exercise experience, can use addition to its generous financial it to begin their health journey. The support. This is the kind of partGTfit workout stations from Game nership that allows us to go beyond Time at Wildwood will include three providing core services, leveraging nodes with equipment designed the expertise of our community while for aerobic and balance exercise, minimizing the financial burden on core and muscle strengthening, and the taxpayers.” ❦ accessibility.

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eace be with you! Pax et bonum! Shalom! Salaam! I don’t know about you, but I’m amazed at how many of us greet one another with some word or sign of peace these days. I know why we do so. We are hungering for peace in a time of so much violence and conflict, so much unrest and fear, so much arguing and nasty language, so much incivility and just plain bad manners. We hope to balance all this negativity with a semblance of positive energy brought on by peaceful words and actions. When I came to the convent in 1957, I was greeted with the Latin phrase “Pax et bonum!” which I quickly learned meant “Peace and all good!” Every time we entered a building, we greeted one another with that phrase. I liked it because it felt like peace came upon anyone who was present. It was also often accompanied with a hug, another sign of peace. I pictured Jesus and his followers greeting one another in a similar way, and certainly St. Francis and his followers kept up the tradition. Many of the Sisters in my community continue this tradition to this day, and we certainly need it as we are daily bombarded with so many violent actions and events. When I think of the time in which Jesus was born into this world, and read the story of the angels visiting the shepherds and singing of peace on earth, I am reminded that there has always been conflict in this world and that Jesus came to help us to see how important it is to love one another in order for there to be peace. Just what that peace entails is described by Ralph Bunche in his Nobel lecture quoted above. Real peace is not just a good feeling. Real peace should be good for everyone: the long-suffering and

long-starved, the forgotten peoples of the world, the underprivileged and the undernourished. And this peace must begin . . . without delay and the promise of a new day and a new life. During this Christmas season, we certainly have many opportunities to bring peace to refugees and immigrants, to the homeless among us, to family members in need, to neighbors in crisis, to co-workers who have recently lost jobs, to someone who has been struggling with cancer, and to a friend who has just received

news of the death of a loved one. How can we do all this, you ask, when we have our own families to care for over the holidays? Give some of what you lavishly give to your family and friends to a stranger. Give some of your precious time to someone who needs a ride to the doctor or to the grocery store. Give a donation to an agency that helps refugees get settled in our area. Give clothing to an agency helping flood victims or hurricane victims. Give household items to someone who has lost everything in a fire. You get my drift—give, give, give. This may mean that your family won’t get as much this year as before, but with so much given to us, how can we neglect others who have less or nothing? Remember when the angels sang to the shepherds, “Glory to God in the highest heaven, and peace on earth to those with whom he is pleased”! We are certainly among those with whom God is pleased when we help our brothers and sisters. The gift we receive for our generosity is peace! That’s how peace comes and stays in this world and a new day and a new life comes to all.

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Peace! Shalom! Salaam! Pax et bonum! ❦ Sister Mary Thill is a Sylvania

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

Mercy Health nurse navigators guide cancer patients from diagnosis through survivorship

or cancer patients, the journey from diagnosis and treatment through the “new normal” of survivorship can seem overwhelming. Along the way, they must learn to understand their diagnosis and treatment options, coordinate visits with multiple specialists, find out how and where to access supportive resources in the community, as well as make critical decisions impacting their care and quality of life—all while coping with the symptoms and side effects of their cancer and treatment regimen. However, patients at the Mercy Health Cancer Centers never have to face this journey alone. According to Melissa Rinker, CTR, Manager of Ancillary Services for Mercy Health Oncology, “To help guide and support cancer patients through treatment and beyond, Mercy

Health developed a very robust, comprehensive nurse navigator program that is unique in Northwest Ohio. The program was launched about five years ago specifically for breast cancer patients because treatment for that diagnosis must be multidisciplinary and has a lot of ‘moving parts’ that can be very challenging for patients to navigate alone. That original program was so successful that in 2017 we decided to apply the concept to all newly diagnosed cancers. So today we have a team of five oncology nurses who actively navigate our cancer patients.” Rinker further explains that when a patient comes in for diagnostic testing—typically a biopsy—and is determined to have cancer, a nurse navigator gets on board soon thereafter and makes contact with both the

patient and the ordering physician to determine what information, appointments, further testing, or other services and resources the patient may need. “We can also begin to assess less-obvious needs as well as barriers to care,” she says. “For example, a patient may need a particular treatment but may lack transportation to access it. In that case, we can connect the patient with a social worker to help eliminate that barrier. Or, if we observe that a patient newly diagnosed with cancer has lost 20 pounds, we know to get a dietitian involved right away.” Kelly Martinez, RN, a member of Mercy Health’s nurse navigator team, emphasizes the importance of prior oncology nursing experience in the

Each member of the nurse navigator team has a specialized background that can be very helpful in guiding patients through treatment.

role she and the other navigators play in patients’ care journey. In fact, she notes that the navigator team has well over 100 years of combined oncology experience. “A nurse navigator is someone who helps manage symptoms and side effects, answers questions about test results, serves as a liaison with the multidisciplinary care team to ensure everyone is on the same page, and stays with the patient all the way into survivorship. That individual really needs to be an experienced nurse.” Martinez also points out that in addition to general oncology experience, each member of the nurse navigator team has a specialized background that can be very helpful in guiding patients through treatment. “I have a background in radiation, so if a patient is scheduled to undergo radiation and is nervous about it, I can tell him or her exactly what the treatment will entail and what to expect to help alleviate that anxiety,” she says. By virtue of their extensive experience in the oncology field, the navigators have developed strong relationships with area organizations that offer vital support services and resources to cancer patients and

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their families, such as Nightingale’s Harvest, Ovarian Cancer Connection, and the Dental Health Center of Northwest Ohio. Furthermore, the navigators can significantly enhance the coordination of patient care at other facilities. “For instance, if a patient needs to go to the Ohio State University, the University of Michigan, Henry Ford Hospital, or another institution for treatment, a second opinion, or a clinical trial, I can contact my counterpart in that office to get him or her in for an appointment quickly,” Martinez states. While it can be difficult to quantify the benefits patients receive when a nurse navigator is advocating on their behalf, Rinker points out that Mercy Health oncologists have noticed a difference. “The doctors have observed that giving patients the right information at the right time helps manage their expectations while reducing anxiety and complications. As a result, their symptoms and visits are better managed,” she says. “Plus,” states Martinez, “we can make sure important things don’t fall through the cracks. If a patient misses an office visit or test, we can call to find out what happened and

help address any barriers that might have prevented them from keeping the appointment. We’re basically a friend in the office who is advocating for patients all the time.” ❦

Shedding some light on seasonal depression

n autumn, as natural sunlight levels begin to decline and colder temperatures prompt us to spend more time indoors, it’s not unusual to experience a change in our mood and energy level. For most of us, this change is relatively mild and manageable. However, for individuals with seasonal depression, or “the winter blues,” that seasonal shift can

30 December 2017 | Healthy Living News

You’re not alone. Nurse navigators are here for you with Mercy Health Cancer Care. Nurse. Advocate. Friend. Our nurse navigators do all of this and more. With a nurse navigator by your side,

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be severe enough to significantly impact their ability to function and quality of life. According to UTMC adult psychiatrist Dr. Victoria Kelly, seasonal depression—formerly known as seasonal affective disorder, or SAD—is not a holiday-related phenomenon. Rather, it’s a subtype of major depressive disorder that begins to manifest symptoms as daylight hours get shorter in the fall, worsens through winter, and continues until spring. The individual’s mood completely returns to normal from spring until the next fall. Seasonal depression is diagnosed only after this pattern has repeated for at least two years in a row. Compared to other forms of depression, seasonal depression sufferers are more likely to struggle with symptoms of low energy, oversleeping, cravings for high-carbohydrate foods, and irritability. Other symptoms common to depression may include feelings of hopelessness or worthlessness, fatigue, loss of interest in pursuits they previously enjoyed, difficulty concentrating, and thoughts of death or suicide. So how does sunlight exposure—or the reduction thereof—influence mood? According to Kelly, the decrease in sunlight passing through the eyes from fall through winter can have a significant impact on the neurotransmitters serotonin and melatonin, which are strongly associated with mood and the body’s natural circadian rhythm—the internal “clock” that regulates the sleep/wake cycle. Also, the vast majority of the Vitamin D the body needs is produced by sunlight exposure on the skin, whereas only a small percent comes from the foods we eat. Vitamin D is involved in numerous regulatory processes, including those affecting neurotransmitter levels in the brain, cell growth, neuromuscular and immune function, and reduction of inflammation. Kelly notes that 4 to 6 percent of people meet the full criteria to be diagnosed with seasonal depression,

but another 10 to 20 percent may have milder symptoms. People at increased risk of developing the condition are those who already have a mood disorder, such as depression or a bipolar spectrum disorder; females (four times greater risk than males); young adults; and those who live further from the equator. While we commonly associate the onset of seasonal depression with the autumn time change, when symptoms are usually noticeable, Kelly notes that the condition actually tends to begin earlier than most sufferers realize—around the month of September. She states, “At that point, people with seasonal depression often just feel more tired and have less energy and motivation. They may also report feeling ‘blah’ or ‘empty.’ But if nothing is done to nip the problem in the bud, the symptoms can progress to more intense sadness, crying spells, and general unhappiness with life.” Kelly explains that for people predisposed to seasonal depression, prevention is key. In fact, she urges her patients with the condition to start developing a game plan for fall as early as August. “This can be challenging for parents with school-aged kids because August is back-to-school time, but it’s so important that they take care of themselves and get ahead of those symptoms,” she says. “Preventive measures might include increasing exercise at onset and continuing through winter, increased outdoor light exposure or phototherapy, and Vitamin D supplementation with a doctor ’s approval. Those with a predisposition to seasonal depression might also benefit from the prophylactic use of antidepressant medication.” Phototherapy involves sitting in front of a full-spectrum, 10,000 lux, UV-filtered light box for approximately 30 minutes each morning. The person sits about a foot away from the box (which is tilted at a 45-degree angle) and can drink

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Microchips Bring Major Changes to Hearing Care Chicago, IL - The world is going wireless, homes function flawlessly without cords. We surf the internet from planes. GPS devices give us street directions as we drive. And now-thanks to advanced microchip technology-the hearing impaired can enjoy home entertainment and mobile phones with the same ease and flexibility as those with normal hearing. Wireless Transmission of Sound - The ability for hearing aids to receive sound sent wirelessly from the television, stereo and computer is now a reality. Hearing aid patients no longer need awkward necklace-style devices to receive wireless audio signals. Individuals can listen “privately” through their hearing instruments, at the volume they prefer. Others in the room enjoy a volume comfortable for them. The same microprocessor technology allows hearing aid wearers to enjoy hands-free use of cell and home photos. By using a small Bluetooth™ accessory clipped to a shirt or automobile visor, clear conversation is sent from the phone to both ears. The phone can stay put away in a pocket or handbag during calls. Options for Noisy Environments - Along with enabling direct-to-ear-wireless communication, microprocessors help hearing aid wearers more easily understand speech in noisy environments. New techniques, such as band-splitting and specialized sound classifications, facilitate more natural hearing in challenging environments. Now, instead of across-the-board amplification, patients can prioritize important sounds, such as speech, while retaining auditory awareness of less critical sounds. Patients can also choose to focus on speech exclusively. Trust Breakthrough in Hearing Technology - The new line of Beltone Trust™ hearing aids sends phone conversation and TV directly into hearing instruments while letting users stay connected to their surroundings at the same time. Beltone is the only manufacturer to utilize a robust 2.4 GHz wireless signal-which, when coupled with Trust’s advance microprocessors-allows wireless transmission of sound up to 23 feet from entertainment devices The Beltone Trust™ hearing instrument’s Spatial Directionality feature enables more natural hearing in noisy surroundings. Using directional technology, one ear focuses on speech, while the other ear monitors sounds from around the individual. Speech Spotter Pro™ allows the user to focus on speech, and tune out background noise completely.

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coffee, check emails, or read the newspaper during treatments. Kelly states that phototherapy yields improvement in three-quarters of patients who use it. It’s noteworthy that in some cases, the severity of seasonal depression warrants seeking prompt professional intervention. “If at any point you’re having thoughts of death or suicide, or if the condition is impacting your

ability to function—for example, if you can’t get out of bed to take the kids to school or you can’t get things done at work—you should definitely see a doctor,” Kelly advises. If you suspect that you have seasonal depression, contact your physician or the Adult Psychiatry Outpatient Clinic at The University of Toledo Medical Center at 419-383-5695 for additional guidance. ❦

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treatment regimen. Tinnitus may start causing anxiety and stress to the body through the autonomic nervous system, which controls involuntary processes in the body such as heart rate, breathing, and blood flow. For some, the tinnitus becomes a negative experience that : I would love nothing more may affect their employment, family, than to educate you a little on and social life. Some individuals with this subject. The medical term for tinnitus are bothered so much that the ringing in your ears is tinnitus. sleep, relaxation, and concentration Tinnitus is described as a sound in the are affected. It can also affect quality ear or head when there is no other of life to the point that some avoid certain gatherings and/ noise in the environment. There are many or events that they feel Individuals with tinnitus usually state they have causes of tinnitus, are bothersome to their ringing, buzzing, whis- such as exposure tinnitus. The goal is to take contling, roaring, or other to loud noise, trol of the tinnitus before noises in their ears. Usually ear infections, it controls you. Many there is damage occurring and certain treatment options are in the inner ear hair cells that produces tinnitus as medications. available, and treatment is personalized for each a side effect. According to the American Tinni- person depending on the severity tus Association, about 15% of people and the impact tinnitus has on their have tinnitus under the age of 55 wellbeing. If you would like more and the number rises to over 30% information on tinnitus and treatfor those over the age of 55. Tinnitus ment options, give me a call and I’ll may not disturb a person and it may be happy to discuss this further with be temporary, but for many people you. Meanwhile, the holiday season is the tinnitus is quite disturbing and upon us and can be stressful, so stay healthy and try to enjoy the season permanent. One needs to understand that for what it is meant to be all about.❦ there are many causes of tinnitus, such as exposure to loud noise, ear Randa Mansour-Shousher, AuD, infections, and certain medications. CCC-A, is a Doctor of Audiology with Most commonly, tinnitus occurs in Northwest Ohio Hearing Clinic, located association with a hearing loss. The at 1125 Hospital Dr., Suite 50 in Toledo goal is to figure out what is causing (419-383-4012) and 1601 Brigham Dr., the tinnitus and then plot out the Suite 160 in Perrysburg (419-873-4327). : I recently started having episodes of ringing in my ears, and it’s driving me crazy. Would you mind explaining what it is, the technical term for the ringing, along with other facts I should know to help me understand it better? I know I can count on you for the explanation.

32 December 2017 | Healthy Living News

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Laurels rehab client shows that attitude affects outcome

hen entering a physical rehabilitation program following surgery, injury, or illness, there’s no obligation to bring a positive attitude with you to therapy sessions. But for Laurels rehab client Sandra Wright, there really is no other alternative. Optimism and positivity are just part of who she is, and it shows in her dedication to her therapy program, her outcome, as well as the impact she has on everyone around her. A Toledo native and a graduate of Woodward High School, Wright worked in the printing business for 28 years and owned an office-cleaning business from 1980 to 2014. This mother of two daughters, four grandchildren, and (soon) four great grandchildren loves spending time with family and visiting the Eleanor Kahle Senior Center. She also enjoys cooking, baking, and collecting records from the ‘50s and ‘60s. Wright’s need for therapy stems from her recent total hip replacement— the result of a medical condition that caused her severe pain and put her at high risk of a debilitating fracture. She states, “The pain had gotten so

bad that I could hardly get into bed or into the car, and I had to use a walker because I was so unstable. I figured I’d better get the hip replaced before it breaks.” Julie Leidel, Rehab Services Director for The Laurels of Toledo, explains that Wright’s hip problem was due not to normal wear-and-tear, as is usually the case, but to a condition called avascular necrosis. With this condition, the blood supply to the bones is inadequate, causing bone tissue to weaken and die. Wright chose The Laurels of Toledo for post-surgical rehab after talking with a neighbor who was also preparing to undergo hip replacement surgery. “She told me they’ll pick you up from the hospital and drive you to the facility, and once you’re in outpatient rehab, they’ll shuttle you to your appointments and back home for free. I thought, how wonderful! How can I pass that up? So I called the therapy department and got an appointment with Julie. She and I had multiple conversations before I came here, so I knew exactly what to expect,” she says.

As soon as Wright arrived at The Laurels on October 26, she began to demonstrate an attitude that Leidel

describes as remarkable. “Sandra is such a trooper! She not only does everything within her therapy protocol, but she also loves doing all the extra things in the gym in order to reach her goals sooner. That’s not the case with most rehab clients. Also, she has a wonderful personality and is always making people laugh and doing what she can to motivate

others around her,” Leidel states. What’s more, Wright never misses an opportunity to participate in events and activities at The Laurels—whether it’s joining in a volleyball game in the dining room, attending musical performances, or playing bingo or card games. “I’ll participate in everything and volunteer for anything,” she says. In addition to a wide variety of leg exercises, Wright’s therapy involved working with the NuStep, which is a recumbent cross trainer considered state-of-the-art in the rehab community, as well as the AlterG Anti-Gravity Treadmill, a cutting-edge therapy modality that uses differential air pressure technology to “unweight” patients as they walk, stand, or perform various exercises. Leidel comments, “Sandra was walking with a shuffling gait pattern, reduced stride, and lack of heel strike. Using the AlterG, we were able to unweight her by 30 percent, allowing her to significantly improve her gait pattern.” Leidel further notes that one of the challenges facing Wright was that her hip flexor muscles were

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so weak that she was unable to lift her legs into bed. To help overcome this obstacle, Wright used an assistive device called a leg lifter, which, Leidel says, essentially looks like one of those “invisible” dog leashes sold at amusement parks and carnivals. This device has a loop at one end that is placed over the foot, and it’s stiff enough that the legs can be lifted using arm strength. In anticipation of Wright completing inpatient therapy and being discharged home, the Laurels therapy team also conducted a home safety visit at her apartment complex to make sure she would be able to get around and function there safely. They found that the complex is set up very well in this regard—even featuring a chair lift that carries residents down to the parking garage and a heated driveway that prevents slippery snow and ice from accumulating. Because

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of her hip precautions, however, the team will order an extended tub bench for Wright so she can get in and out of the bathtub safely. Though, as of this writing, Wright still uses a walker, her pain is no longer an issue and her mobility and function have improved dramatically. She plans to continue rehab at The Laurels on an outpatient basis and looks forward to leaving that walker behind altogether. Once fully recovered, she plans to travel to North and South Carolina to visit family there and to resume all her favorite activities. ❦

ith 2018 just a month away, it’s time to start thinking about those New Year ’s resolutions and a perfect time to re-evaluate your personal fitness goals. If you’re a novice runner, an advanced runner, or even a member of a local gym, the approaching New Year is a great time to set short- and long-term goals for yourself. Whether it’s for weight loss or to improve your 5K run time, personal goals will keep you on track. Here are five tips for maximizing your resolutions this year:

➠ Set three measurable personal

short-term goals (one- to two-month periods) and three long-term goals to accomplish next year. Remember to reward yourself with personal tokens, such as a massage or a new workout outfit.

➠ Chart your progress and goals

help regulate your busy lifestyle and help you reach your personal goals.

➠ Develop a fitness/exercise con-

sciousness. Running or working out is just like brushing your teeth daily to help maintain your personal health. Make exercise a part of your daily routine.

➠ Inspire a friend, family member,

or coworker to join you for a run, walk, or an hour at the gym. You can make a difference in your life and their life. By motivating someone else, you are motivating yourself to be a role model, and believe me, it’s contagious. ❦ Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Performance Footgear.

by using a running log or calendar. Visualizing your accomplishments will provide support, reassurance, and motivation to keep achieving those goals.

➠ Keep a regular schedule. This helps maintain normalcy in your life by designating that time of day as “your own personal workout time.” Whether it’s with a running group or a workout companion, a schedule will

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Miracle on Main Street 5K Sunday, December 3, 2017, 4:00 p.m. (Santa’s Little Helper Kids Dash at 5:00 p.m.) at 5651 Main St., Sylvania, Ohio.

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Across 1 Gland secretions 5 Teenage blemish 9 Salad plant 11 Garden herb 12 Levantine vegetarian dish 15 Health insurance category, for short 17 Have a good meal 18 Hi to a dude 19 Pickled buds used as a garnish 20 Sound system, for short 21 FDA prevention order 23 Painful rashes 25 Highest point

10 Baton Rouge campus, briefly 13 Fruits that are squeezed 14 Stretch out 16 Atlas feature 19 Container 21 Antacid choice, briefly 22 Big citrus fruit 23 Marinade herb 24 Have fun with Down 26 __ favor (Spanish 1 Fit as a fiddle “please”) 2 Cuban dance 28 Chinese food additive 3 Buckeyes’ sch. 30 Lab animal 4 Georgian, for one 32 Tribute of sorts 6 The human soul 33 Bachelorette party 7 Non-drinker attendee 8 Rashes can cause them 27 Soccer ___ 29 Wheat ____ juice 31 They run along paths and trails 34 Unit of corn 35 Baking ___ 36 Spoon measurement, abbr. 37 ____ curry

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Across

Down

36 December 2017 | Healthy Living News

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Masses of brittlebush in bloom can put on quite a show.

chance of seeing anything in bloom. In the Desert Southwest, there are wildflowers in bloom virtually every month of the year even though the popular perception is that the desert is basically brown all the time. It may not be the lush bloom of semi-tropical Florida, but you may be surprised at the variety and vibrancy of desert flowers. The best place to improve your odds is the Sonoran Desert in Southern Arizona. The Sonoran is the “green desert” because plant life there is much more prolific and diverse than in the three other American deserts— Chihuahuan, Mojave, and Great

National Park Service smile before explaining yet again in a less flippant manner. “The official answer is it kinda depends.” The Desert Southwest is a popular destination during the winter months. (You may very well be planning your trip right this minute.) In addition to warmth and sunshine, many of us want to brag to the folks back home that we have seen the desert in bloom. If you are really lucky, you can be there when it comes alive with color in one of those “super blooms.” Northerners are accustomed to seasons when things grow and then In early spring, snakes begin to emerge from die or go dormant and then, in due their dens. Fortunately, I know a woman who course, come back to life again. Jan1:23 PM you have zero uary1 in10/4/17 Ohio means will kick 10.25x5_ES_GotYouCovered_FINAL_HL_1017_HI.pdf them off the trail for me.

There is a surprising range of flowering plants in the deserts of the Southwest where many people expect only sand and rocks.

by LeMoyne Mercer

A Walk in the Park

When does the desert bloom?

“2

:30,” said the ranger to a tourist at the visitor center. He had answered that question a dozen times already. And it was only 9:15. But he straightened his Smoky Bear hat and turned on his official

Little pincushion cacti often have several blossoms, but they don't last long.

Basin. Even in the Sonoran, park rangers may get a little frustrated because people can have quite rigorous personal notions of what “the desert in bloom” means. Some, for example, won’t settle for anything less than a saguaro blossom. Which, by the way, opens at night so it can be hard to see unless you are a lesser long-nosed bat. But there are several thousand other flowering plant species in the Sonoran Desert. People with more flexible requirements might be quite content with the blossoms of other varieties of cactus, agave, herbaceous wildflowers, shrubs, and trees. Blooms in February or March depend upon factors such as how much rain there was back in November or December and what the average temperature has been recently. And what side of the mountain you happen to be on and how far up that mountain slope you are. Which is why the official answer is, “It kinda depends.”

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CMY

Last winter, Shirley and I visited Padre Island and Big Bend National Park in Texas before arriving in southern Arizona on Jan. 20. We spent the next 10 weeks just hanging out in the sunshine, waiting for the desert to bloom. There were scattered blossoms, of course, but we knew what was in store if we were just patient. Deep into our geezerdom, we have gotten increasingly proficient at doing nothing whatsoever for extended periods. Then it’s time for a nap. Many of the ocotillo already had bright scarlet flowers when we arrived. It is hard to believe that there can be ocotillo side-by-side, one all greened up and showing off its blossoms and the other looking like a bundle of dead, thorny sticks. Didn’t they both benefit equally from the same sun, rain, temperatures, and soil conditions? Go figure. After their flowers fade, ocotillo leaves turn golden and red and drop off just like maple leaves do every autumn in Ohio. Then, after a little shower, the leaves and blossoms come back very quickly. The cycle can be repeated several times a year. Arizonans have a saying: “It may

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only rain 10 inches a year, but you’ll remember the night it came.” They are accustomed to dealing with long dry spells interrupted by flash floods, in which the water runs off barren soil and rock a lot faster than it can soak in. Every little dip in the road has a warning sign that says don’t drive through here if it is raining. You have probably seen TV news coverage of what happens when drivers ignore the warnings. Desert plants, like Arizonans themselves, are programmed to deal with no water for extended periods and then boat loads all at once. Cacti have shallow, wide-spreading root systems that suck up rain water faster than a politician can jump in front of a TV camera. They also have pulpy inner flesh for absorbing impressive amounts of water. (The cacti, not the politicians—though some of them seem a little pulpy too.) The waxy surface skin of cacti limits water loss through evaporation. Some wildflowers also have learned to live life in a hurry. Rain, germination, blossoming, and seed produc-

Scorpionweed is a nasty name for such a beautiful desert flower.

tion follow each other boom, boom, boom. In what sounds like a contradiction, many of these plants also have learned patience. The seeds of desert wildflowers have a thick, hard

Spotting some staghorn cactus blossoms along a desert trail is the reward for patience.

coating that delays germination until ample rainfall dissolves it. That may take decades. When the right combination of moisture and temperature is present for a super bloom, the show is simply stunning. In recent memory, there have been super blooms in Death Valley and in the Mojave Desert of Southeastern California. When Shirley and I are not just lounging around, we have been known to walk the same desert trails repeatedly checking on the progress of the bloom. (Also enjoying the birds and other wildlife, but that’s a story for another day.) Shirley is particularly adept at remembering what was in bud stage yesterday and might be ready to pop open today. At Organ Pipe Cactus National Monument, for example, the Desert View Trail climbs a ridge, runs along the crest, and descends to a dry wash before circling back to the trailhead. The brittlebush had great masses of long-stemmed buds. But most of them dragged their feet for weeks before

their blossoms opened. Meanwhile, Shirley also kept a daily watch on the little pincushion cacti, the various cholla, and a plethora of wildflowers. In late January, there was misty rain that lasted all day. A cactus wren perched Soon there were on an ocotillo. It is little green shoots sometimes called a canpushing up from dle plant because of the flame at the tip of each between the rocks all along the ridge stalk. top on the Desert View. Then, faster than you would believe, there were patches of beautiful little blue scorpionweed. (Some wildflowers have names that don’t reflect their true beauty.) The scorpionweed was soon joined by the low-growing desert star daisy. Down at the edge of a dry wash on the Palo Verde Trail, we noted the quick evolution of the fairydusters. The pink flowers on waist-high shrubs are wispy and delicate like miniature versions of the feather dusters your grandmother used. Or, less fancifully, they look rather like pink dandelion seed heads. For still more vibrant color, we were always on the lookout for Mexican gold poppies, orange globe mallow, and scarlet skyrockets. Yellow is the dominant color or, at least, the color of dominant plants. Brittlebush and creosote can have hundreds of golden blossoms on every mature plant, so just a few of them in bloom stage can make an impressive show. Organ Pipe Cactus National Mon-

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Golden Mexican poppies are among our favorite desert wildflowers. We love feedback. Like us on Facebook. Follow us on Twitter.

ument was established to protect and preserve the columnar species of that name. It reaches the far northern extent of its range in southern Arizona right on the Mexican border. Even there it is obvious, even to the casual observer, that it prefers the greater warmth of the south-facing slopes. Think of that—a plant that finds most of Arizona still not quite warm enough. You might think that plants that evolved in a harsh environment would be pretty hardy. They are—once they get a good start. The saguaro cactus, for example, is very slow growing. It can take six or seven decades before it produces the first of its signature arms. Though an individual saguaro may eventually produce thousands of seeds, almost all of those seeds are destined to fall on rocky ground, get eaten by animals, or get washed away in flash floods. Survival often depends upon a seed falling or being deposited in bird droppings at the base of a palo verde, a mesquite, or an ironwood tree. There it has shelter and an outside chance to

grow big enough to make it on its own. Ultimately it will crowd out and displace the “nurse tree” that sheltered it. Though there can be wildflowers virtually any time, the peak bloom season is usually April and May. By then, of course, many snowbirds have flown north for essential conferences with tax accountants and physicians. Besides, springtime temperatures in the desert are reaching the upper-80s and 90s on their way to the 110s. Rattlesnakes and various other serpents are emerging from their winter dens. Some of us are really enthusiastic about seeing the desert in bloom but somewhat less sanguine about reptiles. (Fortunately, I have a woman who walks ahead of me to kick the snakes off the trail.) Even if you cannot hang around until April or May, you will surely find that a desert trail in the winter months is still just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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by Douglas A. Schwan, DC, Dip ac

Insurance now pays for acupuncture and chiropractic treatments!

fter 36 years in private practice, I have seen Alternative Medicine enter the mainstream. Years ago, if you told your medical doctor that you were seeing a doctor of chiropractic or an acupuncturist for treatment, many of them would comment negatively or, at a minimum, look at you askew. And insurance coverage? Forget about it. If you wanted those strange “alternative” treatments, you had to fork over your hardearned cash. Insurance reimbursement was reserved solely for pills, potions, and surgery. But as Bob Dylan sang, “the times, they are a-changing.” Almost every major insurance company now routinely covers chiropractic care. Medical physicians are now referring directly to Alternative Medicine practitioners for a wide

variety of nontraditional treatments. In January of 2017, the Veterans Administration rolled out an experimental one-year program to offer a variety of treatments to veterans. These treatments included acupuncture, chiropractic, hypnosis, pain counseling, massage, and certain other alternatives to the basic services offered to date. After a period of evaluation, it was determined that some of these services helped patients while others offered little benefit. Both acupuncture and chiropractic services demonstrated significant benefits to veterans and were added to the list of covered services. For the first time, a veteran could opt for Alternative Medicine treatments for pain, failed spine surgery, PTSD, anxiety, depression, migraines, back pain,

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and a host of other conditions! The government quickly saw the value in treating chronic pain this way. The narcotic prescription epidemic sweeping America was simply devastating populations of people with chronic pain. America was crying out for a new way to treat pain. Soon Ohio Medicaid programs were required to include new coverage for acupuncture and expanded coverage for chiropractic. Patients served by Caresource, Molina Health, Paramount Advantage, United HealthCare, and Buckeye Health now all have direct access to acupuncture and chiropractic by any participating doctor. Regular insurance plans such as Aetna, Flex spending accounts, and HNA accounts also can be used for chiropractic or acupuncture. Treating chronic pain with strong pain medications is a slippery slope. Pain medications do not treat the problem but merely mask the symptoms. Over time, the body develops a tolerance for strong pain meds. The body then requires progressively higher dosages to achieve the same level of pain relief. This does not even include the secondary side effects of taking these types of medications long term. And acupuncture isn’t just for humans anymore. Veterinarians at the National Zoo in Washington, D.C., recently treated Panda Tian Tian with acupuncture for muscle loss and a sore shoulder It might be time to consider a healthier approach. Alternative Medicine is safe and effective and may be an avenue worth exploring for those with chronic pain or addictions. ❦ Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He

is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian and has maintained

an active practice in Toledo, OH for the last 36 years. He is available for lay lectures and may be contacted at Dr_Schwan@AcupunctureToledo.com.

Mercy Health now offering pediatric endocrinology services

hildhood growth and development Among the many aspects of her job is a tumultuous process under that Dr. Patel finds fulfilling is when the best of circumstances. Even kids she’s faced with a challenging case who reach all the developmental and has to go into medical detective milestones at the appropriate times mode. “I love looking at all the pieces can find that the road to maturity is a of the puzzle and then figuring out bumpy one. However, for kids with how they fit together so I can help hormone disorders that affect their the family understand what’s going health and the manner and rate at on. It’s extremely rewarding to see which they grow and mature, this their relief when their child’s probperiod can be especially lem takes a 180-degree turbulent. turn,” she states. Dr. Patel also emThe good news for this young patient popphasizes that kids arulation and their paren’t just little adults, ents in our community which is why a pediis that they can now get atric endocrinologist’s the specialized treatrole is so important in ment and guidance they addressing hormonal need from pediatric issues in childhood endocrinologist Parul and adolescence. She Patel, MD, of Mercy observes, “There’s a Health - Children’s Hoslot happening in the pital Diabetes Care and childhood phase, inEndocrinology. cluding puberty, and “As a pediatric enthere are very specific Dr. Parul Patel docrinologist, I speproblems during growth cialize in all things and maturation that a hormone-related, and primarily see pediatric endocrinologist can uniquely kids with problems related to hor- address.” mone excess or hormone deficiency,” Of course, not all problems affecting says Dr. Patel. “Kids who are on the children and adolescents stem from small side or too tall for their age, a hormone excess or deficiency, so those experiencing delayed or early a big part of a pediatric endocrinolpuberty, those with too much or too ogist’s job is to use good listening little thyroid hormone, and those skills to determine, for example, why with diabetes are examples of the a young patient is unhappy with patients in my ‘wheelhouse.’” his or her height or the way things

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are going in school. Guiding them through that awkward period may be a simple matter of helping them understand what’s going on with their body. As with any health concern, treatment outcomes for hormonal disorders in children tend to be most favorable when the problem is detected early. Kids’ primary care physicians are an excellent first line of defense when it comes to early detection of many hormone-related health issues, such as being too short or too tall than expected for their age. However, parents can play a big part as well by watching for certain signs and symptoms in their children. For instance, a child who is suddenly drinking a lot more water, urinating very frequently, and getting up repeatedly at night to urinate may be exhibiting early signs of diabetes. The same applies to a child who was once toilet trained but is now having accidents. “Parents often catch these signs over the holidays when kids are home from school and they notice that ‘Jimmy’ is going to the bathroom every ten minutes or drinking water by the gallon,” Dr. Patel says. Parents should also be on the lookout for behavioral changes in their kids, such as a former “A” student who is now unable to focus and is having difficulty sleeping. These behavioral signs, along with certain physical symptoms such as palpitations and diarrhea, can indicate hyperthyroidism—an excess of thyroid hormone. If parents observe any of these symptoms, they’re encouraged to discuss their concerns with their child’s primary care physician, who can then refer the child to a pediatric endocrinologist if appropriate. Dr. Patel is thrilled to be part of the Mercy Health - Children’s Hospital Diabetes Care and Endocrinology

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team and thankful that she can put her expertise into action helping young patients and their families. “With this program, Mercy Health is providing a service that can benefit many families in our area. I love what I do, and I m so grateful for the opportunity to give families the guidance they need during a very

challenging phase of life, she says. ❦ Mercy Health - Children’s Hospital Diabetes Care and Endocrinology specializes in helping patients ages 0 to 18 with diabetes, thyroid disorders, and adrenal disorders. For more information or to make an appointment, call 419251-8025.

Six heavenly holiday sweets

weet treats are part of every family’s holiday tradition. Time-tested recipes for delicious confections of all kinds are handed down from one generation to the next and lovingly prepared every holiday season—with the occasional individual touch added along the way. Perhaps one of the following heavenly holiday sweets will find its way into your family’s traditional repertoire. These recipes may not be low in calories, but then the occasional dietary indulgence around the holidays is good for the spirits. Enjoy these treats in moderation.

Peppermint bark 6 ounces semisweet chocolate, coarsely chopped

2 tsp. vegetable oil 6 ounces white chocolate, coarsely chopped 1/3 to 1/2 cup crushed candy canes Line the bottom and sides of a 9-inch square baking pan with aluminum foil, smoothing out any wrinkles. Melt the semisweet chocolate and 1 tsp. of vegetable oil in a heatproof bowl over a saucepan of simmering water. Immediately pour the melted chocolate into the prepared pan and tilt the pan so the chocolate makes an even layer. Place in the refrigerator for about 30 minutes or until the chocolate has set. Melt the white chocolate and remaining 1 tsp. of vegetable oil in a heatproof bowl over a saucepan of simmering water. Immediately pour the melted white

chocolate over the dark chocolate and tilt the pan so the chocolate is in an even layer. Sprinkle the crushed candy canes evenly over the white chocolate. Place in the refrigerator for about 30 minutes or until the chocolate has set. Remove the peppermint bark from the pan by lifting the edges of the aluminum foil. Peel back the foil and break the bark into small, irregular pieces. Makes about 25 pieces.

Peanut brittle 1 cup white sugar 1/2 cup light corn syrup 1/4 tsp. salt 1/4 cup water 1 cup peanuts 2 Tbs. butter, softened 1 tsp. baking soda Grease a large cookie sheet. Set aside. In a heavy 2-quart saucepan, over medium heat, bring to a boil sugar, corn syrup, salt, and water. Stir until sugar is dissolved. Stir in peanuts. Set candy thermometer in place and continue cooking. Stir frequently until temperature reaches 300°F or until a small amount of mixture dropped into very cold water separates into hard and brittle threads. Remove from heat; immediately stir in butter or margarine and baking soda; pour at once onto cookie sheet. With

2 forks, lift and pull peanut mixture into rectangle about 14x12 inches; cool. Break candy into pieces.

Marzipan pralines 14 ounces marzipan (a prepared almond paste available in many specialty stores) 1/3 cup powdered sugar 2 to 3 shot glasses of kirschwasser (a brandy made from fermented cherry juice) 40 sour cherries, drained 14 ounces dark chocolate 40 walnut halves Drain the sour cherries, and soak them in kirschwasser for 24 hours. Mix the marzipan with the powdered sugar and knead into a Answers to crossword from page 35 1

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pliable dough. On a surface covered with powdered sugar, roll out a sheet roughly 1/2- to 1/4-inch thick. Remove the cherries from the Kirschwasser and drain. Cover each cherry with a circle cut from the marzipan sheet, creating a neat ball. Melt the chocolate over a double boiler or

Experience “A Night in Bethlehem”

ee the live animals in the stable, touch the pottery and woven fabrics, hear the music, and feel the excitement of a special baby’s birth when Hope Lutheran Church hosts “A Night in Bethlehem,” December 9-10 from 1:00-4:30 p.m. each day. The public is invited to this free Christmas event to experience first-century Bethlehem, just as it would have been at the time of Jesus’ birth. Take in the sights, smells, and sounds of the bustling marketplace, complete with authentic shops staffed with artisans, a wine press, and live animals including sheep, goats, and even a camel. Hope Lutheran Church is located at 2201 Secor Road (corner of Secor and Bancroft). Parking for handicapped and those needing special assistance is available in the lot off Indian Road. Additional parking is available at Ottawa Hills Elementary School, 3602 Indian Road, with complimentary shuttle service running to and from the church. For more information, visit www.hopetoledo.net.

in the microwave. Dip each cherry-marzipan ball into the chocolate and place on a cookie rack. While the chocolate is still soft, press a walnut half onto each ball. Allow to harden in the refrigerator. Makes 40 candies.

Chocolate raspberry truffles 1 can (14-ounce size) sweetened condensed milk 1/4 cup raspberry liqueur 2 Tbs. butter or margarine 2 Tbs. seedless raspberry jam 2 packages (12-ounce size) semisweet chocolate morsels 1/2 cup confectioners sugar OR 1/2 cup crushed almonds, toasted Microwave first 4 ingredients in a large microwave-safe bowl at high for 3 minutes.

Stir in chocolate morsels until smooth. Cover and chill 1 hour. Shape mixture by tablespoonfuls into balls, and roll in confectioners sugar or almonds. Makes 4 dozen.

Turtle brownies 4 ounces unsweetened baking chocolate 3/4 cup butter or margarine 2 cups sugar 4 eggs 1 cup flour 14 ounces caramels 1/3 cup heavy cream 2 cups pecans or walnuts, divided 12 ounces semisweet chocolate chips (optional) Set oven to 350°F. Grease foil-lined 13” x

Bethany House presents domestic violence documentary December 3

“B

read and Roses Too,” a documentary about domestic violence and the history of Bethany House, Toledo, will premiere on Sunday, December 3, 2017, 3:00 p.m., at the Sylvania Franciscan Center, 6832 Convent Blvd., Sylvania, Ohio. The event is free, and the public is invited. The Sisters of St. Francis are the founders of Bethany House and continue to sponsor the long-term domestic violence shelter today. Sister Mary Jon Wagner, OSF, congregational minister, and Sister Theresa Darga, OSF, assistant congregational minister, are executive producers of the film, and Sister Judith Ann Zielinski, OSF, of New Group Media from South

Bend, Indiana, is the writer and producer of the project. Since 1984, Bethany House has provided safe, long-term transitional shelter for local victims of domestic violence. Come hear stories of healing in the onehour film, which features former Bethany House residents and others telling the tale of domestic violence and recovery. Coffee and light refreshments will follow the documentary, and audience members will have an opportunity to meet local representatives working to end domestic violence and ask questions. For more information, call 419727-4948 or email execdirector@ bethanyhousetoledo.org.

9” baking pan. Microwave chocolate squares and butter in microwavable bowl on high until butter is melted. Stir until chocolate is completely melted. Stir sugar into chocolate until well blended. Mix in eggs. Stir in flour. Spread 1/2 of batter in prepared pan. Bake 25 minutes or until batter is firm to the touch. Meanwhile, microwave caramels and cream in microwavable bowl on high 3 minutes or until caramels begin to melt. Whisk until smooth. Stir in 1 cup nuts. Gently spread caramel mixture over brownie batter in pan. Sprinkle with chocolate chips if desired. Pour remaining unbaked brownie batter evenly over caramel mixture; sprinkle with remaining nuts. (Some caramel mixture may leak through.) Bake 30 minutes. Cool in pan. Run knife around edge of pan to loosen brownies from sides. Lift from pan using foil as handles. Cut into bars. Makes 24.

Almond macaroons 2 cups unpeeled almonds 1-2/3 cups powdered sugar 5 egg whites 90 round baking wafers (available in specialty food stores) Preheat the oven to 275° F. Place the almonds in a bowl and cover with boiling water. Let stand for about 3 minutes. Remove almond skins. Place the almonds in a blender and grind to a semi-course consistency. Add sugar and blend again. Beat egg whites and combine with almond-sugar mixture. Place baking wafers on a cookie sheet. Using a wet teaspoon, put a small amount of mixture onto each wafer. Place in the oven for 25 to 30 minutes until the mixture has become crisp and dry. Do not let the cookies brown. Remove and allow the cookies to cool on a rack. ❦

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‘Tis the season for chin treatments

he holiday season is a popular time to seek cosmetic treatments. This time of year, it’s often convenient to schedule time off work, coats and sweaters are the norm, and bathing suit weather is still many months in the offing. While Botox, Juvederm, and other injectables are very popular for quick fixes during the holidays, some of the most commonly sought cosmetic procedures when holiday photos are on the horizon are those focusing on the chin area. “Everybody notices their chin, especially now when we’re spending so much time with family and friends,” says Dr. Wade Banker of Luxe Laser Vein & Body Center. “Chin imperfections just tend to ‘pop out’ and it’s easy to be self-conscious about them when we know they’ll be captured in holiday photos. Luckily, chin issues are some of the easiest and most affordable to remedy and there are a variety of options to address them,” Dr. Banker explains that two particular issues related to the chin are especially bothersome to his clients—excess fat buildup and loose skin. When it comes to permanent fat

removal in the chin area, there are three options to choose from, one of which can also tighten the skin.

CoolSculpting The first option he describes is a non-invasive technique involving the use of a very small CoolSculpting applicator. CoolSculpting technology uses low temperature, applied externally, to destroy fat cells, which are then cycled out of the body naturally. “Of the three chin-treatment options, CoolSculpting yields the most modest result. However, it has the significant advantage of requiring absolutely no downtime, plus it can be repeated to build upon the results,” says Dr. Banker.

Kybella The second chin-treatment alternative is Kybella. Considered a nearly non-invasive option, Kybella is an injectable product that melts fat, which is then cycled away naturally by the body. Dr. Banker points out that Kybella produces a slightly better

result than CoolSculpting and is a bit more accurate because the doctor can easily control where the injections are made. The accuracy of CoolSculpting, in contrast, is somewhat limited by the fixed shape of the applicator. If a modest result is desired, a single

treatment of Kybella may be sufficient. However, the procedure can be repeated until the desired result is achieved.

Smart Lipo The chin-treatment option with the highest degree of efficacy is minimally invasive Smart Lipo. During Smart

Lipo, fat is melted under the skin and physically removed at the time of the procedure, allowing for the removal of much more fat than can be achieved with either CoolSculpting or Kybella. Thus, a very dramatic result can be produced with a single treatment. What’s more, Smart Lipo offers the additional advantage of tightening loose skin. In fact, it’s the only chin treatment on the market that can make that claim. Dr. Banker adds, “The only way to tighten skin permanently is from underneath, and we have the advanced technology to achieve that. Our Smart Lipo machine is equipped with the PrecisionTx side-firing laser, which is specifically aimed at tightening skin, and it produces amazing results. It’s like getting a chin lift without surgery.” HLN readers who would like to learn more about the various chin-treatment options and which procedure would be best for their unique needs are encouraged to call Luxe Laser Vein & Body Center at 419-893-2775. Consultations are VEIN & BODY CENTER always free. Additional information is also available at luxe-laser.com. ❦

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Is your loved one transitioning from hospital to home? Discover Rosary Care Center – on the peaceful Motherhouse grounds of the Sisters of St. Francis of Sylvania. • We offer skilled nursing services, therapy and rehabilitation for recovery following surgery, an injury or illness. • Our team can help you evaluate your care needs. • We are Medicare and Medicaid certified and accept most other commercial insurances. • Long-term care and respite care are also available.

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44 December 2017 | Healthy Living News

Cutting-edge Fairwood program promotes healthy lifestyle and lasting weight loss

f you’ve turned to this article, there’s adrenal glands. These glands work a good chance you’ve resolved to closely together in balancing energy shed excess pounds in 2018. There’s in the body. As we get older—esalso a good chance that you made pecially over age 40—the level of that same resolution last year. And the fat-storing hormones tends to get a year before that. Now, lot higher relative to the ask yourself this quesfat-burning hormones. tion: Are you really any As a result of this horlighter now than you monal imbalance, we were last year? Could it not only gain weight, be that you’re actually but we also tend to feel heavier? tired, foggy, and listless The simple truth all day.” about weight-loss resDr. Peisley’s interolutions is that they’re est in the relationship easier said than done. between hormones You set the bar high and and weight loss develstart out with the best oped after seeing his of intentions, hoping wife struggle to shed that, this time around, pounds. “She was eating your resolve will hold all the right things and Dr. Jason Peisley up until bathing-suit exercising five days a season when you’ll week for a period of unveil that perfect body to a beach four to five months, but the number full of envious onlookers. Then a on the scale wouldn’t budge. She funny thing happens on the way to was also feeling depressed and her that mythical beach. That high level energy level was down,” he recalls. of motivation leads to some initial “One day she looked at me and said, success but gradually gives way to ‘You’re a doctor. Tell me what I’m feelings of frustration, deprivation, doing wrong.’ But I didn’t have a and general edginess. Forbidden clue. It was then that I realized there foods start beckoning from the fridge, must be a lot more to the equation. and you start thinking to yourself, So I went out to Utah to learn about “One little bite can’t hurt.” Before you this program, then came back and know it, that number on the scale is tried it on my wife. She lost about back to square one or even higher. 38 pounds in just 12 weeks on the According to Dr. Jason Peisley of program!” Fairwood Health & Body Transition, Fairwood Health & Body Transition the reason this unhealthy cycle repeats offers a five-week program in which over and over again for so many participants can lose between 15 and people is that the typical approach to 20 pounds, a 12-week program that weight loss involves the temporary can yield a loss of 30 to 50 pounds, modification of eating and exercise and a maintenance program lasting habits. He states, “When we think up to 18 months that helps clients about going on a diet, we’re already maintain the healthy lifestyle habits thinking about going off the diet. So they’ve learned. we start the latest trendy diet plan, New clients begin the program and we may even lose a little weight, with a free informational class, offered but then we always gain it right back Tuesday evenings at 6:30, where they after we stop dieting. The only way learn the “10 Fat-Burning Secrets.” to avoid repeating this cycle is to After that, they meet one on one adopt lifelong healthy habits.” with Dr. Peisley to go over their To help clients achieve this goal, health history, discuss their goals, Fairwood has introduced a highly and determine how the program innovative program that focuses can help them achieve those goals. on promoting a healthy lifestyle “Based on all that information, and restoring the natural balance of we customize a program to the client hormones in the body. As Dr. Peisley with a focus on proper eating habits. explains, “The body has both fat-stor- To help balance the hormone system, ing and fat-burning hormones, which restore gut health, and boost energy are associated with the thyroid and levels, we use all-natural, organic nuWe love feedback. Like us on Facebook. Follow us on Twitter.

trients that are only available through a doctor’s office. Clients also come in on a weekly basis to meet with an accountability coach, who helps them stay on track,” says Dr. Peisley. In addition to hormone-balancing nutrients, Fairwood’s clients have access to several state-of-the-art modalities that promote optimum health and sustained weight loss. Among them are whole-body vibration, which improves muscle mass, burns fat, reduces cellulite, and even helps with bone density; infrared sauna, which helps pull toxins out of tissues, speeds up metabolism, and alters hormone imbalances; as well as detox body wraps using B vitamin cream, which penetrates through the skin to help open fat cells and increase circulation and lymphatic flow. Dr. Peisley notes that clients can lose anywhere from four to 14 inches off their body every time they do a body wrap—though maintaining this result depends on making healthy lifestyle choices thereafter. He also points out that the detox body wrap is not a dehydration wrap, but a pure fat-loss modality. Above all, Dr. Peisley emphasizes that the program at Fairwood Health & Body Transition is about health first and foremost. People with conditions such as diabetes, high cholesterol, high blood pressure, and even autoimmune diseases can experience

improvement on the program. “The weight loss is just a positive byproduct of getting healthy and balancing those hormones, he says. “In fact, if you follow through with the program and take advantage of the different treatment modalities we offer here, Fairwood will be your last stop for weight loss.” ❦ For more information on the programs and services available at Fairwood Health & Body Transition, please call 419-517-1030 or visit www. FairwoodHealth.com.

Practice Safe Snow Shoveling Continued from page 24

breaks if necessary. This slow-andsteady approach may stretch the chore out for a little longer, but it will be much easier on your heart and other muscles. If you feel overheated at any point, go inside, shed a few layers, and rest until you recover. Also, don’t forget to drink plenty of water to stave off dehydration. If you aren’t certain that you can manage strenuous yard work, such as shoveling snow, without putting your health in jeopardy, don’t take the risk. Spending a few dollars to have a neighbor or professional contractor do it for you could be the best investment you’ve ever made. ❦

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