HLN December 2018

Your Monthly Guide to Healthy Lifestyles

December 2018 • FREE

Also available at hlntoledo.com

WORRY-FREE WINTER GETAWAY

Holiday skin spruce-up | Taming multiple sclerosis Expert help for chronic wounds | Heart-smart advice for winter Pets make poor presents

It takes two to tango.

M E R C Y. C O M /O R T H O

SPRUCE UP YOUR SKIN for the holidays H

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning 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 beginning, now is the time to start engaging in a skin-care program that will be designed specifically for you to improve and reduce your signs of aging.

Dr. Harvey Handler will personally recommend and explain a skin-rejuvenation program for you to reduce the visible signs of aging.

The anti-aging treatments performed by Dr. Harvey Handler are “non-invasive,” 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. Harvey 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 and aging can be improved dramatically with pain-free, non-invasive cosmetic procedures performed entirely by Dr. Harvey 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). 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. Harvey Handler for many years with excellent results and very satisfied patients.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for 5-7 months after treatment.

The use of fillers, such as Restylane, Restylane Lyft, 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. Harvey 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, brown (age) spots, and diminishing acne scars, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby a laser is used to produce softer, smoother, diminished facial lines, smaller pores, lightening of brown spots, and improvement of acne

scars. 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. Harvey Handler is the only dermatologist in northwest Ohio performing this procedure.

Are you aware that Dr. Harvey 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. Harvey 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. Harvey 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.

Anti-aging and cosmetic enhancements are not for the female gender alone. Male cosmetic enhancement and anti-aging procedures have increased almost 300% in the past 5 years for sagging skin, darkening under the eyes with the “hollow” look, and brown spots. The utilization of fillers (Perlane, Restylane, Juvederm, Radiesse, etc.) is excellent for deep smile lines and the “sad and tired look” as evidenced with sagging at the corners of the mouth. And, of course, the use of Dysport/Botox to reduce forehead “worry lines” is superb.

All of these cosmetic enhancements are performed entirely

by Dr. Harvey Handler. To view before-and-after photographs

I

t is appropriate for patients to understand why it is in their best medical interest to always seek the advice of a board-certified dermatologist for skin care. Why is seeking a board-certified dermatologist the most beneficial route for solving skin disease issues versus a general practitioner, nurse practitioner, physician’s assistant, or any other medically-oriented individual?

Please be aware that a board-certified dermatologist has the following minimum education versus the above-mentioned quasi “skin doctors”: 1. Four years of college to earn a bachelor’s degree 2. Four years of medical school to become a medical doctor (MD) or doctor of osteopathic medicine (DO) 3. One year of an internship 4. 3-4 years in a dermatology residency program 5. Has passed exams for board certification in dermatology.

of patients who have had these procedures performed by Dr. Harvey Handler, please visit his website at www.drharveyhandler. com. For more detailed information about the above-mentioned procedures or products, please call Dr. Harvey Handler’s office at 419885-3400. Also, remember to inquire about holiday 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.

Look as young as you feel.

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!

Pediatric skin disease diagnosis and treatment is one of Dr. Harvey Handler’s special fields in general Dermatology. From birth and older, Dr. Harvey Handler diagnoses and treats eczema, hemangiomas, contact and allergic dermatitis, and general “lumps and bumps” that children and infants develop. What about “birth marks,” scalp and body “ringworm,” body and head lice, scabies, psoriasis? If there is a lesion or spot on the skin, Dr. Harvey Handler is trained to properly examine, diagnose, and treat appropriately.

Also, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist. ❦ Be aware and cautious of medi-spas and cosmetic centers organized and maintained by individuals other than a board-certified dermatologist or even any medical doctors (not MD’s). Many of these individuals have no formal education or training in skin disease diagnosis, treatment, or cosmetic enhancement of skin defects.

How do you know whether he/she is a board-certified dermatologist? Look for F.A.A.D. (Fellow of the American Academy of Dermatology, which is a designation from the American Academy of Dermatology) following their name. To confirm this information, check the website at aad.org/findaderm. None of the above requirements are met by a nurse practitioner, certified nurse practitioner, physician assistant, or any other medical doctor licensed to practice medicine. Do your homework before trusting your skin disease diagnosis and treatment to anyone but a board-certified dermatologist.

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

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

CONTACTS Business office:

To advertise: Healthy Living News, 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.

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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.

December 2018 • Vol. 23, Issue 12

Your Monthly Guide to Healthy Living

ENRICHING YOUR LIFE

HEALTH & BEAUTY

CHILDREN & PARENTING

5 Health Insurance Marketplace enrollment is open until December 15 10 A Walk in the Park – Roads to someplace special

by LeMoyne Mercer 16 Commonsense safety tips for holiday decorating 19 Spiritually Speaking – Increasing love in the world

by Sister Mary Thill 21 Healthy advice for the holiday season

by Jim Berger 24 You’re never too old for Super Slow Training 27 The human factor in long-term care

by Chris Stieben and Megan Benner Senecal 28 Think twice before giving pets as holiday presents 34 Health Crossword Puzzle 34 Eating Well – Six simple steps to mindful holiday eating

by Laurie A. Syring, RD/LD 39 Nobody’s Perfect – Have a healthy, holistic holiday season ` by Sister Karen Zielinski, OSF 40 It’s never too early to set your New Year’s fitness resolutions

by Amanda Manthey

2 Spruce up your skin for the holidays 7 Lymphoma: a curable cancer when detected and treated early 9 Recent treatment advances help tame multiple sclerosis 15 Laurels rehab clients strive to regain strength and stability with help of AlterG 18 UTMC Wound Care and Hyperbaric Center integrates services and specialists for patients with chronic wounds 22 Heart-smart advice to heed in wintertime 26 Wise words from Otterbein – Downsizing for seniors is a difficult task 30 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Schousher, AuD, CCC-A 31 ’Tis the season for gifting cosmetic services 33 Auditory neuropathy explained

by Randa Mansour-Shousher, AuD, CCC-A 36 Do you have facial redness, flushing, acne? Blush Aesthetics has solutions! by Dr. Erin Hennessey 38 Still plenty of time to get your flu shot!

43 The top five conditions treated with acupuncture by Douglas A. Schwan, DC, Dip ac

32 Ingredients of an enjoyable youth sports experience

by Mark S. Faber, USPTA Elite Professional 35 Bathroom safety tips for the entire family

OUR COMMUNITY 13 Protect your home and peace of mind while you travel this winter 17 All Good Things Christmas Open House 20 New concierge medical practice merges East and West to give patients the best 23 Experience the many pros of non-profit senior living 29 Charter Senior Living at Oak Openings honors residents’ history and legacy 37 Talbot Services – Saving one life at a time—one day at a time 45 Toledo’s very own historic place: Point Place-Toledo Yacht and Social Club

Connect with Friends Who Like Healthy Living News! /HLNToledo

@HLNToledo

Publisher: Kevin O’Connell Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Graphic Designer: Mary Ann Stearns Graphic Artist Intern: Teagan Polizzi Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2018 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe.

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

Dear Readers, heart-smart advice to heed in wintertime Thank you for picking up the from Dr. Rajendra Kattar of ProMedica December issue of Healthy Living Physicians Cardiology (p. 22); insights News. We understand how chaotic the on the latest advances in the management holiday season can be, and we sincerely of multiple sclerosis from Dr. Carmela appreciate that you’ve chosen to share a Gonzales of Mercy Health – Neuroscience few precious moments with us.

Institute (p. 9); a profile of the Rest assured, it will be time well University of Toledo Medical spent. We’re confident you’ll find Center Wound Care and Hysomething in the pages of this perbaric Center, which provides issue that informs, inspires, or integrated, multidisciplinary entertains you. treatment of chronic wounds The theme of this month’s under the direction of Dr. Mucover ties in with the Lucas nier Nazzal (p. 18); an expert Kevin O'Connell County Clerk of Courts US perspective on lymphoma from Passport Services (p. 12). If you’re Dr. Charu Trivedi of The Toledo planning a winter getaway that takes Clinic Cancer Centers (p. 7); a guide to you beyond US borders, you’ll need a cosmetic treatments and services that valid passport, so we encourage you to make great holiday gifts from Dr. Wade take advantage of the professional staff Banker of Luxe Laser Vein & Body Center and services provided at any of their (p. 31); and healthy advice for the holiday four locations. season from Jim Berger at Heartland This month’s issue also features timely Rehabilitation (p. 21).

Long-time HLN readers may have noticed that we welcomed a new graphic designer last month. After 20 plus years, Jan Sharkey decided it was time to retire so she can travel and visit her children and grandchildren—literally all over the world. We can’t thank Jan enough for her many years of professional service and friendship, and we wish her the very best in all her future endeavors! Taking over the role of graphic designer is Mary Ann Stearns, who has worked with us on several projects over the years. We’re thrilled to have Mary Ann join the HLN team!

On behalf of everyone here at Healthy Living News, I’d like to wish you and yours the very best this holiday season Until next month, stay safe, active, and healthy!

NITISHA MUTGI, MD

WHEN YOUR BODY’S ALWAYS CHANGING, YOU NEED AN

ADVOCATE OBSTETRIC & GYNECOLOGIC EXPERTS AT ST. LUKE’S Understanding inspires the obstetric and gynecologic advocates at St. Luke’s Women’s Health Network. It’s what calms a young woman during her first pelvic exam and supports weight management after pregnancy. Understanding gives voice to your worries about childbirth and offers certified nurse midwives as personal guides. It also helps you through menopause, so the biggest transformation of all feels more like a new beginning. Because no matter how your body’s changing, you need to feel like yourself again. That’s health, plus care. That’s St. Luke’s.

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10:47 AM We love feedback. Like us on Facebook. Follow 11/21/18 us on Twitter.

Health Insurance Marketplace

enrollment is open until December 15

T

hursday, November 1 marked the first day of the open-enrollment period for Ohioans looking to enroll in or change their plan through the Health Insurance Marketplace (Marketplace) for coverage in 2019.

Ohioans exploring affordable health insurance options can receive free assistance by making an appointment with a Certified Application Counselor at Neighborhood Health Association.

“Our trained Certified Application Counselors are well equipped to answer any questions our clients may have, offer step-by-step advice through the enrollment process, and identify health insurance dis-

for less than $100 per month.

After open enrollment closes on December 15, 2018, access to health insurance in the Marketplace is limited until the next open-enrollment period or to those who experience a qualifying life event such as job loss, change in household composition, etc. Please note, Medicaid enrollment is available year-round; Ohioans with annual incomes at or below 138 percent of the federal poverty level ($16,753 for an individual) can apply for coverage through Medicaid at any time during the year.

It is the mission of the NHA to put health within reach of all community members, regardless

Lost.

[ Direction. ]

Not sure where to turn? counts they can receive through HealthCare.gov,” says Antoinette Banks, NHA Certified Application Counselor. “Please call Neighborhood Health Association today at 419-720-7883 and schedule an appointment with one of our application counselors.”

Marketplace plans must include key benefits such as mental health care, maternity care, prescription drug coverage, and hospitalization services. Many Marketplace shoppers will qualify for a discount based on their income. Last year, more than 8 in 10 applicants could get a plan

of the ability to pay, through equal access to quality medical care and educational and support services essential for the well-being of body and mind. Through effective delivery of services, the NHA strives to become a national model of care for the under- and uninsured in our community, empowering patients through responsiveness to their needs and fostering a workplace invigorated with enthusiasm for our singular purpose.

For more information about the NHA, visit www.nhainc.org. ❦

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Healthy Living News | December 2018 5

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Lymphoma: a curable cancer when detected and treated early

T

he role of the body’s immune occurs between the ages of 15 and system is to stand guard against 40, usually in the 20s and 30s, and invading microbes and to go on the is seen rarely in people over age offensive when they are detected by 50. In contrast, non-Hodgkin’s usuproducing overwhelming numbers ally occurs in people over age 60. of infection-fighting white blood There’s also a significant difference cells, including lymphocytes. If between the two forms when it the immune system is functioning comes to prognosis. “Hodgkin’s properly, once the invader has been is generally considered a curable eliminated, the excess lymphocytes cancer. In fact, the five-year surshould begin to die off at a normal vival rate for Hodgkin’s is over 85 level. However, in some cases, the percent, and if it is caught before lymphocytes either fail to die off age 40, the rate increases to over after they’ve done their job or they 95 percent. Non-Hodgkin’s has a begin to multiply spontaneously pretty good five-year survival rate when no actual microbial threat is as well—between 70 and 75 percent. present. This abnormal lymphocyte However, there are at least 16 difgrowth can lead to the develop- ferent subtypes of non-Hodgkin’s, ment of tumors in the lymphatic and because there is so much varisystem—a form of cancer known ation in how this form presents, it as lymphoma. is often overlooked in the earliest, According to Charu Trivedi, MD, most curable stage,” she says. of The Toledo Clinic Cancer With respect to treatCenters, lymphoma can ment, Dr. Trivedi notes occur in any organ of the that chemotherapy and lymphatic system but most steroids are commonly commonly develops in the used for both Hodgkin’s lymph nodes. She further and non-Hodgkin’s lymexplains that there are two phoma, as is radiation, major classifications of lymdepending on the stage, phoma—Hodgkin’s and location, and symptoms. non-Hodgkin’s—which Surgery is sometimes used differ with respect to the to treat lymphomas, espespecific types of lymphocially if they are extranodal.

Dr. Charu Trivedi cytes involved, as well as Targeted treatments, such in their morphology when viewed as immunotherapy and biological under a microscope. Hodgkin’s tu- therapies, are also used as a single mors exhibit certain abnormal cells, modality and in combination with called Reed-Sternberg cells, that are chemotherapy to treat non-Hodgkin’s not present in non-Hodgkin’s tumors. lymphomas. Stem cell transplant Non-Hodgkin’s lymphoma is subdi- is considered in cases of relapsed vided as low-grade, intermediate, non-Hodgkin’s lymphoma. and high-grade lymphomas.

Dr. Trivedi is optimistic about the “In the earliest stage, the earliest newer drug Ibrutinib, a tyrosine kinase warning sign is usually a lump in inhibitor, which is showing promising the neck, underarm, or groin caused results in treating non-Hodgkin’s by swelling of the lymph nodes. lymphoma. This advanced therapy There is considerable variation in contains a monoclonal antibody symptomology depending on where that targets a specific protein on the in the body the tumor develops,” surfaces of lymphoma cells and then Dr. Trivedi says. Other potential delivers the medication directly to the signs to watch for include loss of cancerous cells, killing them without appetite, unexplained weight loss, harming healthy cells. For Hodgkin’s fever, fatigue, night sweats, ab- lymphoma, a newer antibody drug dominal pain, persistent coughing, conjugate, Brentuximab, is showing breathlessness, and uncontrollable promising results. itching (especially with Hodgkin’s), In addition to recognizing the pain, leg swelling, and prolonged potential symptoms of lymphoma, viral syndrome.

Dr. Trivedi emphasizes that it’s imDr. Trivedi explains that Hod- portant to know the risk factors for gkin’s lymphoma—the less common n Lymphoma - continued on p42 of the two general forms—often

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Healthy Living News | December 2018 7

Beat the winter blues with a getaway to Ohio Living Swan Creek!

Experience the best parts of winter with none of the headaches!

You’re invited to live in one of our trial-stay apartments from January through April at 50% off the standard rate (or $1,500 per month).* Our spacious one-bedroom, one-bath apartments come with brunch and evening meals, biweekly housekeeping and maintenance included.

Come enjoy the snow-covered landscapes and cups of hot cocoa by the fireplace, with none of the snow shoveling or furnace fixing. Now that’s a winter wonderland.

Call 419.865.4445 to learn more! *Or other negotiated dates. Offer valid pending approved application.

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8 December 2018 | Healthy Living News

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Recent treatment advances help tame multiple sclerosis P

eople who are diagnosed with misdirected immune response, some multiple sclerosis (MS) often ex- of the most common being tingling perience a wide range of concerns or numbness in the arms or legs, and fears over what their future weakness, or severe blurring or viwill hold. However, many of these sion loss in one eye. Symptoms may anxieties are based on a stereotyp- occur in only one side of the body, ical perception—more accurately a mimicking a stroke. misperception—of what it’s actually Exactly why MS develops is not like to live with MS. The reality is, fully understood, but a few different thanks to recent dramatic advances in theories have been proposed. “The treatment options, MS is more man- most widely accepted theory is that ageable today than ever individuals who develop MS before. have a genetic predisposiWhat exactly is MS tion to have a hyperactive and what are the signs immune system. Then an and symptoms of the environmental factor, such as disease? According to a virus, triggers the disease,” neurologist Carmela Dr. Gonzales states. “People Gonzales, MD, of Mercy with a family history of the Health – Neuroscience disease are at increased risk.

Institute, MS is an autoIn fact, people who have a immune disease in which first degree family member the person’s immune Dr. Carmela Gonzales, with MS have a sevenfold system begins to attack increased risk of developing nerves in the brain and spinal cord, the disease.” causing inflammation. Many differDr. Gonzales further explains that ent symptoms can result from this MS is more common in women than

in men and occurs more often among Caucasians than other ethnicities.

The age of onset is usually between 20 and 50 (MS is rarely diagnosed in people over age 50). It’s noteworthy that when MS develops in men or non-Caucasians, it tends to be more severe.

With winter approaching, Dr. Gonzales emphasizes that the colder months can present special challenges to people with MS. “The most significant is that lower amounts of sunlight and the resulting lack of vitamin D has been linked to worsening of symptoms and accelerated progress of MS. For that reason, it’s important to either supplement vitamin D or, better yet, get it from dietary sources such as leafy greens, dairy products, eggs, and certain fish,” she says.

Furthermore, people with MS need to be aware that spending less time outdoors during the colder months makes them more vulnerable to developing depression or experiencing a worsening of pre-existing

depressive symptoms.

Other factors that can exacerbate MS in wintertime include lack of exercise (regular physical activity is vital for preventing stiffness in the arms and legs) and improper diet.

“When it comes to MS, optimal nutrition is crucial, so it’s very important to be mindful of food temptations, especially over the holidays. Research also suggests that intermittent fasting—that is, fasting for 16 hours per day—helps to decrease the inflammation associated with MS. This approach to fasting is gaining acceptance not just for MS, but also for other neurological conditions such as Alzheimer’s and for certain cancers,” notes Dr. Gonzales.

While MS is incurable, it can be managed very effectively with modern medications. Dr. Gonzales explains, “For many years there were no good treatment options for MS. Prior to 2009 there were only four FDA-approved medications for MS. But since 2009, n

MS - continued on p32

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Healthy Living News | December 2018 9

A WALK IN THE PARK Pioneers on the Oregon Trail used to take a break at Scott's Bluff before continuing to their ultimate destination. Perhaps you should too.

Roads to someplace special

by LeMoyne Mercer

I

n retirement, Shirley and I are inclined to agree with Willie Nelson—just can’t wait to get on the road again. Like Willie, we look forward to places we have never been and seeing things we may never see again.

“Soon,” she says. “Soon!”

We should acknowledge that many people cannot or choose not to travel the way we do. This winter, for example, we are headed to Arizona. So are our friends Bill and Sandy who recently bought a winter home in Phoenix. Everything they need and want is found near their new home—shopping, restaurants,

recreation, social opportunities. If they fly, they can be in Phoenix in about six hours. Even by the most direct highway route, it would take three very long days to drive the 2,000 miles. Probably more. In addition, the most direct route is right through Blizzard Central out in the Great Plains.

And there are considerations in addition to travel time and weather risk. Some people have health issues that make long-distance driving uncomfortable. Others simply prefer not to. A solid three or four days on the road can be just plain boring.

Besides, flying is actually cheaper when you consider the cost of fuel, motels, and meals.

Nick, my barber, asked how long it takes us to get to Arizona.

“About three weeks,” I said. Nick’s eyebrows went up.

Then I explained that we never take the most direct route. The first goal is to get out of the cold and gray as quickly as possible. This year we have reservations for five days near Pensacola at the Gulf Islands National Seashore. It will take us two days to get there, but by the second morning we are not much concerned about ice storms and blizzards. Historically, we never bothered with reservations, but now so many Baby Boomers are into RVing that Fort Pickens Campground fills up.

After Pensacola, we’ll head around the Gulf to Padre Island near Corpus Christi, TX for an undetermined number of days. After that, it is over to San Antonio and then west on I-10 to Big Bend National Park. Also for

The Rio Grande emerges from Santa Elena Canyon in Big Bend National Park. A trail follows the side of the cliff back into the canyon.

an undetermined number of days. It is about 880 miles across Texas even without the detour to Padre Island so I-10 would seem to be the best bet if you are into efficient travel.

Which we are not. In 2016 we went from Padre Island to the King Ranch, crossed the tip of Texas and followed the Rio Grande north to Langtry, the home of Judge Roy Bean, before arriving at Big Bend. Taking the secondary roads in Texas is not necessarily slower.

Well, it may take longer because of stops along the way, but the legal speed limit is actually higher than on the interstates. Really. You could look it up.

After Big Bend we look forward to Cave Creek Canyon near Shirley is looking forPortal, AZ for ward to cocktail hour in the usual un- Cave Creek Canyon near Portal, AZ. determined number of days and then to White Water Draw to see 30,000 or so over-wintering sandhill cranes. Shirley says she is thinking of two nights or so there.

Eventually, we’ll arrive at Tucson where we stay at Gilbert Ray campground near Saguaro National Park.

(There are no campgrounds in Saguaro.) While there, we will restock

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10:39 AM

About 30,000 sandhill cranes spend the winter at Whitewater Draw in southeastern Arizona. You really can't blame them.

the pantry at Trader Joe’s and Total Wine. Our ultimate destination is Organ Pipe Cactus National Monument, about three hours farther west where the shopping opportunities are

It is always nice to be at Organ Pipe Cactus National Monument when the cacti are in bloom. There was a lot of rain this fall, so prospects are looking good.

somewhat more limited. From Organ Pipe, we plan to visit Sandy and Bill and other friends up in Phoenix.

Maybe continue on to Death Valley if there has been enough rain for a Super Bloom of desert wildflowers.

When it is time to come home, Sandy and Bill will head to the airport.

When Shirley and I head for home, we will almost certainly stop at the BLM lands at Las Cienagas for a few days and maybe at Roosevelt Lake, White Sands, Guadalupe Mountains National Park, Chiricahua National Monument, or Carlsbad Caverns.

Then we’ll spend a couple nights on the Natchez Trace Parkway working our way to Nashville before the final dash to Toledo. How long it takes us to get just about anywhere has nothing at all to do with travel time according to Google Maps.

After determining our ultimate destination, we focus on what to see that we may never see again.

It is a foregone conclusion that we will be driving our Roadtrek RV, but there is still the issue of which road to take. We have met quite a few RVers who avoid the interstates altogether because they prefer the more leisurely pace of the old state highway system. Lots of quaint, small towns with local attractions featuring some variation on the World’s Biggest

Farm Implement. We are informed that it is a much less stressful way to travel than to dodge the 18-wheelers on the interstates.

Well, maybe.

When our children were young, we liked family camping in Great Smoky Mountains National Park.

This meant driving down I-75 even though I never cared much for the stretch between Toledo and Cincinnati.

Ever since initial construction in the 1960s, I-75 has been under constant reconstruction. Much of it is still a mess. But it could be worse.

And it used to be much worse.

Before there were interstates, my father drove old Rt. 25 at a much more leisurely pace through hundreds of quaint Ohio small towns, quaint Kentucky small towns, and quaint Tennessee small towns. (Those were the days when AAA maps were liberally stamped with warnings about speed traps in quaint small towns.)

It was always a treat to follow trucks struggling uphill in low gear. And then there was the absolute thrill of avoiding head-on collisions with impatient drivers who decided to pass on the blind side of the hill or curve. So, as a driver, I do appreciate the benefits of the interstates.

In early geezerdom, Shirley and I finally had time to drive all the way to South Florida. Again I-75 was the natural route to the northern terminus of Florida’s Turnpike, which we took as far as Yeehaw Junction.

From there it was Rt. 441 around Lake Okeechobee and due south to Everglades National Park. On the map, I-95 looks like a better option, but the east coast of Florida is one continuous metropolis. Many think of Miami Beach and the Gold Coast as the very essence of Florida and they actually go there on purpose.

Been there. Done that. Don’t want to do it again.

Speaking of how things look on the map, one year while studying alternatives, I noticed that Rt. 27 runs right down the middle of the state. So we skipped the turnpike and cruised through the agricultural center of Florida on the lookout for the World’s Biggest Farm Implement.

Except agriculture had been replaced by retirement villages conveniently located a half mile apart. Each village is too small to warrant a dot on the map, but collectively they create a 500-mile-long suburb and strip mall.

Accelerate all the way to 45 mph then n

In the Park - continued on p45

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The Epworth Artist Series Presents:

Carols with music written for The Canadian Brass and Choir Featuring The Academy Brass Quintet

Wednesday, December 5, 2018 at 7:00 p.m.

This concert features the Chancel Choir, and The Academy Brass Quintet.

We’ll sing favorite Christmas carols for choir and congregation accompanied by Epworth’s adult hand bells and will feature favorite Christmas carols as arranged for the Canadian Brass Quintet and choir.

Music Director Cecil Baughman will also be perform on the organ.

This year our Epworth Tea Ladies will host a reception in our new lobby outside the sanctuary following the concert.

This concert is free and open to the public and is a great way to begin the Christmas season. So bring your friends and family as we celebrate the beginning of this wonderful season.

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Protect your home and peace of mind while you travel this winter W e’re approaching the winter-getaway season, a time when you can leave behind your workaday stresses—not to mention the bitter cold Northwest Ohio weather—and set off on a journey to experience different sights, sensations, climes (hopefully warmer), and cultures.

But while you’re preparing for that well-deserved winter vacation, be sure to make home security an integral part of your planning.

Here are some simple steps you can take to secure your home so you can have peace of mind and focus on fun and relaxation while you travel:

Don’t broadcast your departure!

We’ve become conditioned to posting every aspect of our lives on social media these days—a fact that is not lost on burglars. Broadcasting on Facebook or Twitter that you’re planning to be out of town—or, worse, that you’re currently partying in Aruba or Key West—is an open invitation to tech-savvy thieves. Share your travel plans only with trusted family and friends, but never through a public forum. Similarly, never leave an outgoing voicemail message announcing that you’re out of town.

Stop home deliveries

Newspapers piling up on the porch and mailboxes brimming over with letters are tell-tale signs that no one is home. Stop newspaper deliveries and arrange for the post office to hold your mail while you’re on vacation, or arrange to have someone retrieve these items every day so they don’t attract attention.

Arrange a house sitter

Ask a family member, friend, or neighbor to check on your house on a daily basis to make sure newspaper and mail deliveries have actually been stopped or to retrieve delivered items, to water plants so they don’t wilt and advertise your absence, and to check your home and property to make sure nothing appears out of order. A house sitter can also open and close curtains or shades to make the home look occupied.

If your neighborhood has a block watch program, consider participating in it. That way, you can rest assured that several people will be keeping an eye on your home while you’re

away, and you can return the favor for others when they go out of town.

Don’t forget the driveway

It may seem insignificant, but the absence of a vehicle in your driveway for several days is just one more sign that can confirm to burglars that your home is unoccupied and invite a break-in. If you have a second vehicle, park it in the driveway (locked of course) rather than in the garage. Or, invite a neighbor to park there while you’re gone.

Also, keep in mind that nothing says “no one’s home” better than a driveway and/or sidewalk left covered with snow for days on end. Arrange to have your paved surfaces shoveled promptly after every snowfall while you’re away.

Use lights and timers

Light may very well be the number one deterrent for burglars for two reasons—a well-lighted property makes it difficult to operate undetected and interior lights suggest that the targeted home is occupied.

Sure, burglars know that people leave lights on even when they aren’t at home, but why take the risk when there are easier targets out there?

The use of light timers is a great way to create the illusion of someone being home—made even more effective if a television or radio is also set on a timer so there is sound as well as light emanating from the home. You can even use a programmable timer that provides for some variation in the pattern so that the lights and/or sounds don’t come on at precisely the same time every night. A clever home owner could arrange for lights to turn on and off in different rooms of the house at different times so it seems as though people are moving from room to room.

And don’t forget to light the outdoors, too. Photosensitive outdoor lights that turn on at dusk and off at dawn can help illuminate your property and deter burglars. Also, it’s relatively easy and inexpensive to replace a porch light or other door light with a motion-sensing lamp that will turn on and light up the entryway when someone approaches.

What’s more, making a modest investment in professional-quality

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landscape lighting (something that may have to wait until next spring at this point) will not only discourage unwelcome nighttime forays onto your property while you’re away, but also provide the benefit of extending the aesthetic enjoyment of your landscape well into the evening hours when you’re home.

Lock it up!

Last but certainly not least, be sure to lock all doors and windows before you leave. This may seem painfully obvious, but a significant percentage of burglaries involve no forced entry whatsoever—the burglar simply enters the home through an unlocked door or window. So, double check those locks before you depart!

If you have a sliding glass door, you should secure it in two ways: with the lock itself as well as by placing a metal or wooden rod in the track.

And don’t leave spare keys outside under the welcome mat, in a plant

pot, above the door frame, or in one of those artificial hide-a-key rocks. Burglars are well aware of all the hiding places people tend to use for spare keys.

Remember, your objective when developing a home-security plan is to avoid presenting a soft target to burglars. No method is completely foolproof, but if you follow these steps, there’s a good chance thieves will think twice about breaking into your home and move on to greener pastures while you enjoy a well-deserved reprieve from winter ’s icy chill. ❦

Is your loved one transitioning from hospital to home?

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• We offer skilled nursing services, therapy and rehabilitation for recovery following surgery, an injury or illness.

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Healthy Living News | December 2018 13

To us Together is more than just a word. Since 2004, our full-service urogynecology and OB/Gyn center in Perrysburg, close to St. Luke’s Hospital, has worked hand in hand to treat the needs of women throughout the region. By providing the leading standard of care for every patient who walks through our doors, you can trust that together we can provide the comprehensive care you need to live the healthiest, happiest life.

Andrew J. Croak D.O., M.S., F.A.C.O.O.G is a specialist in the field of Urogynecology and Reconstructive Pelvic Surgery and one of Ohio's most experienced physicians in the field of vaginal atrophy and urinary incontinence. Dr. Croak is a leader in robotic surgery and was the first physician to bring Mona Lisa Touch to Northwest Ohio. In celebration of Breast Cancer Awareness month, Dr. Croak is offering special discounts on MonaLisa Touch for Breast Cancer Survivors.

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14 December 2018 | Healthy Living News

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Laurels rehab clients strive to regain strength and stability with help of AlterG

G

enesis Village resident Tom Keller, 79, has had difficulty walking and standing for many years due to severe chronic pain in his lower back, a problem that is now compounded by leg weakness resulting from a stroke. Pain medications and other pain-management therapies brought little relief, so Keller decided it was time to try something a bit different.

“My brother showed me a newspaper article about the AlterG Anti-Gravity Treadmill, and I found out that The Laurels of Toledo has one in their rehab center, so now I’m here as an outpatient trying it out to see if it will finally help me build strength in my legs and help me walk without pain,” he says The AlterG, developed by NASA engineers while studying the biomechanics of exercise in space, uses differential air pressure technology to “unweight” patients as they walk, stand, or perform various exercises on the treadmill under the close supervision of a therapist. The unit can unweight patients as much as

80% while allowing normal gait mechanics. Video cameras located at different positions on the treadmill allow the patient and therapist to observe on a monitor exactly what’s going on with the patient’s gait from multiple vantage points.

As of this writing, Keller has completed three sessions on the AlterG. While the jury is still out on how much

John Kranz

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it will help him ultimately, he notes that he already sees the potential of it. “I can walk on the treadmill for 20 to 30 minutes without pain,” he says. “In fact, the last time I used it, I walked over a quarter of a mile in 20 minutes.” He also observes that his pain level while using the AlterG is significantly reduced—only about one or two out of ten.

Of course, the AlterG is just one component of Keller ’s outpatient rehab program at The Laurels. Physical therapy assistant Matt Snyder also works with him using different exercises and techniques to improve his gait mechanics—a process made much easier by Keller’s background in engineering. “Tom is a very intelligent guy who can understand when I explain things in terms of anatomy and kinesiology—how our structure moves when we perform certain actions like sitting, standing, or walking,” Snyder Says. “For example, Tom’s pain improves when he’s sitting but gets worse when he stands or walks. At home, he also uses

a three-wheel walker to get around because leaning on the walker helps relieve the pain. This occurs because when we’re in a standing position, the body employs lumbar extension forces that are released when we’re sitting or leaning. We can mitigate this by tilting the pelvis in a certain way when we stand. That’s one of the first things we worked on with Tom.” Snyder further explains that the body’s natural reaction to weakness, such as Keller’s leg weakness following his stroke, is to stiffen up in order to improve stability—almost like a pirate’s peg leg. To help overcome this tendency in Keller, Snyder works with him using tai-chi-like stepping exercises that really break down the gait cycle into distinct elements.

“We’re also spending a longer period of time focusing on the stance phase of the gait cycle to improve Tom’s balance,” Snyder adds.

Like Keller, Luther Crest resident n

Laurels - continued on p46

Healthy Living News | December 2018 15

Commonsense safety tips for holiday decorating T

he holidays are here, and it’s time once again to deck the halls with all manner of holiday décor. While holiday decorating can be fun for the whole family, and certainly helps to make the season bright, it can also pose a variety of safety hazards. To minimize the dangers of holiday decorating, consider the following commonsense safety tips: Learn ladder safety Stringing lights or placing decorations high on your house or in a tall tree will necessitate the use of a ladder.

But, if you aren’t accustomed to—or comfortable with—using a ladder, you could end up being seriously injured from a fall or electrical shock.

Here are some ladder-safety rules that you should familiarize yourself with before attempting to use one: • Make sure the ladder is appropriate for the job and is in good repair. Before raising the ladder, perform a visual

• • • •

•

•

inspection to make sure there are no cracked or broken rungs or joints.

Wear slip-resistant footwear.

Position the ladder on a flat, level, stable surface, never on top of another object.

Do not attempt to raise or climb a ladder in high winds or in the vicinity of power lines.

To ensure stability, place the base of the ladder one foot away from the structure it’s leaning against for every four feet of height to the point where the ladder makes contact with the top of the structure.

Before climbing an A-frame stepladder, be sure to lock the brace in place. Before climbing an extension ladder, make sure the locks are fully engaged.

If you intend to climb from the ladder onto a roof or other platform, make sure the ladder is tall enough to extend at least

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three feet beyond the platform.

• Face the ladder when climbing or descending, keep your body centered on the ladder, and always keep both feet on the rungs.

• Never climb higher than the second rung from the top on a stepladder or the fourth rung from the top on a straight ladder or extension ladder.

Also, don’t forget that the paint shelf on a stepladder is not designed to be used as a step.

Consider Christmas tree safety Not only is the Christmas tree an enduring symbol of the season, but it’s also a potential fire hazard and source of injury. If you plan to decorate an artificial tree, verify that it is labeled “fire resistant.” Fire-resistant trees can still catch fire, but the materials they’re made with are designed to resist burning and to extinguish quickly if they do ignite.

On the other hand, there’s no such thing as a fire-resistant live tree. Cut live trees are a significant fire hazard because they can dry out very easily if not handled properly. Before buying a cut tree, check for freshness by pulling a branch through your hand and bending a needle between your thumb and forefinger. If the tree is fresh, few needles should fall off in your hand and a bent needle will not break.

Also, be sure to put a fresh cut on the bottom of the trunk immediately before putting the tree in its stand and adding water. If you have the cut made at the Christmas tree lot, take it home immediately and put it in water. Otherwise, the cut will seal off and the tree won’t take water. Of course, water should be maintained in the tree stand at all times while the tree is in the house.

When choosing a location for a Christmas tree in your home, look for an area with minimal foot traffic that is removed from any open flames or other heat sources, such as fireplaces, candles, radiators, and registers. Also, make sure an electrical outlet is in close proximity so you don’t have to run an extension cord across the room to plug in your lights.

Decorate without the danger As with artificial Christmas trees, all materials and decorations used to trim a tree should be flame-resistant or non-combustible. If you have small children in your home, keep breakable or sharp ornaments out of reach and avoid ornaments that closely resemble candy, cookies (e.g., gingerbread men), or other food as a child may be tempted to bite into them or swallow them. Also, forego any ornaments that have small, removable parts that could pose a choking hazard.

If you decorate your tree with tinsel, make sure it’s not made of lead.

While you’re not likely to find lead tinsel for sale in stores, you might still come across it at a flea market or garage sale, or you might have some tucked away in your own garage or attic. Of course, both dogs and cats have a tendency to eat tinsel, which can cause dangerous intestinal blockages, so the use of tinsel of any kind is not recommended if you have pets in the house.

Let there be light safety Light strings present the obvious hazard of electrical shock when not used properly or in accordance with the manufacturer’s recommendations.

Choose light strings that have been tested and rated by a recognized testing laboratory, such as Underwriter’s Laboratory (UL), and avoid “bargain” strings that do not have fused plugs.

Also, keep in mind that some lights are rated for indoor use only and some are rated for both indoor and outdoor use. This information should be clearly stated on the product package. Never use indoor-rated lights for outdoor decorating. The same rule applies to extension cords. Make sure they are rated for their intended use. Furthermore, be sure to follow the manufacturer’s directions with respect to the number of light strings connected to a single extension cord.

Before hanging lights, whether you’ve had them for several seasons or just purchased them that day, inspect each string for frayed wires, loose or missing bulbs, or damaged sockets. Missing bulbs can be replaced with new bulbs of the same wattage,

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but damaged light strings should be returned or discarded.

When hanging light strings outdoors, fasten them securely to prevent wind damage, using plastic holders or hooks—never nails, staples, or tacks. Also, outdoor lights should be plugged into a circuit protected by a ground-fault circuit interrupter (GFCI), which is designed to instantaneously interrupt the flow of current if a short is detected. Of course, whenever you leave home or go to bed, the lights should be turned off.

Be careful with candles Candles can create a warm, soothing, holiday atmosphere, but if an open candle flame comes into contact with a combustible material—such as paper, drapery, or dried-out pine boughs—things are apt to get a lot warmer in your home than you’d like. Never decorate a Christmas tree with lit candles or place candles near live wreaths or garlands, and make sure your candle holders or rings are nonflammable. Always place candles on a stable, level surface and out of reach of children and pets. And, never turn your back on a burning candle. Put it out before leaving the room or going to bed. ❦

All Good Things Christmas Open House set for December 4

Gift Certificates available!

A

ll Good Things Art & Gifts is having a Christmas Open House on Tuesday, December 4, 2018, from 4:00 to 7:00 p.m. Stop in and explore the shop which features many Sister artisans who have created unique greeting cards, walking sticks, prayer pillows, jewelry, ceramic tiles, and Holy Aroma soaps, lotions, and body washes. Fair trade items are also available.

Light refreshments will be served at the Open House. Shoppers will receive 25% off all ceramic tiles (in stock), and Holy Aroma products will be sold at a buy-two-get-onefree offer.

All items purchased at All Good Things help support the mission of the Sisters of St. Francis of Sylvania. ❦

Serenity Farm concludes 17 years of quality services to Northwest Ohio.

We invite and thank our community to continue in support and keep equine assisted therapies and learning programs strong at Serenity. Programs include: Therapeutic Riding, Mini therapy horses (outreach), Equine assisted Learning and Volunteer program. Come join us in 2019!

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6832 Convent Blvd., Sylvania, OH Call: 419.824.3749 Order online! www.allgoodthingsosf.org Healthy Living News | December 2018 17

UTMC Wound Care and Hyperbaric Center integrates services and specialists for patients with chronic wounds

I

ndividuals who have a wound that surrounding community, with the will not heal or is slow to heal can goal of providing integrated, expert face significant health risks beyond wound care under one roof and cothe pain and discomfort of the wound ordinating services with other area itself, including localized or systemic clinics. The Center coordinates a infection that can literally threaten multidisciplinary team of board-cerlife or limb. The good news is, indi- tified physicians, nurses, and other viduals in our community who are healthcare professionals, all certified suffering with problem wounds that in their fields and specially certified have not improved with convention- in the management of wound care al care can access the high-quality and hyperbaric oxygen therapy. advanced treatments and medical The integrated team of medical expertise they need at The University experts includes vascular, general, and of Toledo Medical Center plastic surgeons, and infectious disease specialists Wound Care and Hyperwith access to additional baric Center.

Dr. Munier Nazzal, physicians including ormedical director and chief thopaedic surgeons, endoof Vascular and Wound crinologists, and physical Service at The University rehabilitation specialists. of Toledo Medical Center Having all these experts in Wound Care and Hyperthe medical center enables baric Center, explains that patients to be evaluated the Center was developed and treated comprehenDr. Munier Nazzal about seven years ago in sively without having to response to a considertravel to multiple sites. able need identified in the UTMC According to Nazzal, “A chronic patient population as well as in the wound or ulcer is one that persists for

Restoring emotional wellness to older adults.

SENIOR BEHAVIORAL HEALTH Seniors encounter unique emotional and mental health-care issues as they age that can lead to anxiety, deep depression or behavioral concerns. Senior Behavioral Health at The University of Toledo Medical Center offers short-term, inpatient treatment for affected adults ages 55 and older.

Services include: • Behavior modification • Group and individual therapy • Treatment for mental-health issues, including dementia • Medication management

For more information or to schedule an assessment, call 419.383.6161. utmc.utoledo.edu/clinics/seniorbehavioralhealth

18 December 2018 | Healthy Living News

more than four weeks without at least a 40-percent improvement or persists more than 90 days without healing.

These wounds can develop due to a medical condition or medication the patient is taking, or because the particular type of wound requires special care to heal.” The UTMC Wound Care and Hyperbaric Center team routinely treats diabetic foot ulcers, arterial ulcers, non-healing surgical wounds, venous stasis ulcers, pressure ulcers, chronic osteomyelitis, radiation-related tissue damage, and other conditions that prevent wounds from healing.

Of the various conditions that can contribute to non-healing wounds, diabetes is, perhaps not surprisingly, the most prevalent. Other potential contributing conditions include arterial disease, venous insufficiency, chronic bone infection, cancer, obesity, immobility, poor nutrition, and a past history of cancer and radiation treatments.

Nazzal explains that the first step in treating a non-healing wound is to eliminate or control the underlying cause, for example by helping a diabetic patient manage his or her blood sugar effectively. The team can then begin dealing with the wound itself, using cutting-edge treatments and technology to help it heal faster. “For example, we can use state-of-the-art wound dressings, including biological dressings containing factors that promote healing, or amnion-based dressings containing materials derived from the placenta. Also, for patients with conditions that impair oxygenation, such as diabetes or tissue damage resulting from radiation treatments, we can use hyperbaric oxygen therapy to increase the supply of oxygen to the wound or ulcer,” he says.”In addition, we use the most advanced methods to improve blood flow to save limbs.”

In fact, the UTMC Wound Care and Hyperbaric Center offers the area’s only hospital-based multi-place hyperbaric chamber for hyperbaric oxygen therapy (HBOT), providing the most advanced and comprehensive treatment for all simple and complex wounds.

During HBOT treatments, the patient remains in a pressurized

hyperbaric chamber while wearing special headgear and comfortably breathing 100 percent oxygen. Under pressure, the breathed oxygen dissolves into the patient’s tissues and the bloodstream, increasing the delivery of oxygen to the site of the chronic wound and promoting healing. Increased oxygen to the damaged tissue also helps reduce swelling, increase new blood vessel growth, and fight infection.

While undergoing treatment, patients can sit, stand up, lie down, watch TV, read, sleep, or even talk with other patients. A trained staff member stays inside the chamber with patients at all times. The therapy is performed as an outpatient procedure in a series of daily two-hour sessions, and an average of 40 treatments are usually needed.

HBOT treatments are very safe and cause few if any side effects.

“Some patients experience ear pressure as with flying or diving, but there are certain maneuvers they can use to equalize the pressure and relieve any discomfort. A few other complications can arise, but they are fairly uncommon and usually minor,” Nazzal notes.

Diabetics and other patients who are at increased risk of developing chronic wounds are urged to check their body (especially the legs and feet) frequently for any small wounds or ulcers; avoid trauma, for example by wearing proper footwear; seek medical help immediately if a wound or ulcer is detected; and avoid smoking, which causes vasoconstriction, replaces good oxygen with other gasses that don’t promote healing, and damages the epithelium of the blood vessels (the lining of the interior surface of vessels).

Nazzal adds, “Remember, dealing with chronic wounds effectively is not the function of one specialty. It takes a variety of different specialists and often family members because not all patients are able to help themselves. The whole team has to be integrated to make sure the patient is well served.”

To schedule an appointment at The University of Toledo Medical Center Wound Care and Hyperbaric Center, please call 419-383-3812. ❦

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Spiritually Speaking Increasing love in the world

by Sister Mary Thill You shall love the Lord your God with all your heart, with all your soul, with all your mind, and with all your strength.

The second is this: You shall love your neighbor as yourself. +Matthew 12:28-31

‘T

is the season of love and giving to others as we move into Hanukkah, Christmas, and Kwanzaa. I know it’s been “Christmas” in some of the stores since July, but now we’re looking into a more manageable time frame to celebrate some special holidays in our multicultural society.

Since I’m a Catholic, Christian, Franciscan religious woman, Christmas is my focus during the month of December. We Catholics actually begin our liturgical year in November with the season of Advent, a time of preparation for Christmas. I feel it’s becoming a lost observance with the huge push of Christmas happening 1 10.25x5_ES_Wagner_Ad_HL_618_HI.pdf all around us. It’s a time to reflect on

our connection to our Jewish heritage and look at our world before Jesus came to earth to be among us and like us in all things except sin. We do believe that Jesus is the Son of God, the Messiah promised to God’s people centuries ago, and we rejoice that God sent his only begotten Son to live among us and to announce the Good News of God’s love for us and to show us how to live peacefully among all people.

If there is one message that Jesus preached very clearly and often, it is that of needing to be people who love God, our neighbors, and ourselves.

His was not a message of prejudice or hate of any kind. He often spoke and told stories about how we were to love one another, even our enemies.

He not only spoke about it, but he lived his message and, in the end, even died out of love for all people.

It is a mystery to me that in recent times I see my Christian sisters and brothers speaking and acting as if it is all right to hate people who look, 6/28/18 12:34 PM act, and believe differently than they

do. I see so much fear in their actions suggested and she actually got some and feel sorry for them that this fear of her needs met. She was grateful has taken hold in their hearts and for my listening to her and for the leads them to follow others who feed help I could give her for food and a their fears. The opposite of love is place to sleep each night. She helped not hate; it is fear. me to see who she was and is and How do we increase how different our …the most effective way to love in the world and lives have turned increase love in the world… rid ourselves and our out because of our (is)to not separate ourselves world of fear? Get to individual circumfrom the suffering of the know people who are stances. Her needs world.When we’re close to different from us, “peopulled out of me my those who are in pain, their ple who are not like us, love and generosity need evokes love in us. Very outside our systems of and compassion. few of us have the largess, the success and security, so I think Jesus is the magnanimity to just decide we can read life from model of showing us to be loving. Someone has to another perspective,” how to increase love ask it of us, as our marriage writes Father Rohr. in the world. Coming partners and children do. We to live among us as a I recently had the have to place ourselves in privilege of meeting a baby, a child, a teensituations with people who homeless woman who ager, a young adult are not like us, outside our came to my office to and experiencing systems of success and setell her story and ask many of life’s adcurity, so we can read life ventures just as we for help. She helped from another perspective. The me to see my life from do certainly shows needs we witness will pull us another perspective. me what I must do toward love, toward generosAt first, I found myself to be a true follower ity and compassion. dreading her presence of the Son of God. +Father Richard Rohr as she came often and Blessings on your I had to really stop holidays and your and listen to what her real needs way of increasing love in the part were. As time went on, I began to of the world in which you live. realize that she was truly a survivor, someone who wanted to change her Sister Mary Thill is a Sylvania Franlife and situation but sometimes did ciscan Sister. She is Patient Liaison for not have the courage or energy or Mature Health Connections at Mercy resources to do so. She would come Health – St. Vincent Medical Center. to me and tell me that she did what I She can be reached at 419-251-3600. ❦

“My biggest concern was that dad would run out of money.”

“They sat down with us and explained all the costs. That’s when I knew I could afford to live here.”

- Kathy Schwartz, Daughter

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New concierge medical practice merges East and West to give patients the best

W

e tend to associate Western medicine with advanced technology and Eastern medicine with holistic healing and wellness—and oftentimes we think of these two healthcare realms as being separate and distinct from one another.

However, at Concierge Connected Holistic Health Care, the practice of Murthy Gokula, MD, cutting-edge technology and holistic healing services are joined together in order to provide exceptional integrated care that keeps patients healthy in body, mind, and spirit.

Dr. Gokula, who is board certified in Family Medicine and Geriatric Medicine, has a strong interest in hospice and palliative care and in limiting the use of medications in treatment. He explains that his approach to concierge medicine “is about serving with excellence and providing personalized, convenient, and well-connected care.” He also embraces the concept that “the patient is the boss and the doctor is the coach,

keeping you and your family or caregivers in the driver ’s seat where your healthcare is concerned.”

Concierge Connected Holistic Health Care patients can reach Dr. Gokula at any time through remote state-of-theart telemedicine technology.

“In your initial assessment, we will give you a thorough examination, and then, based on your specific diagnosis, we will give you an easy-to-use Bluetooth enabled device specific to your condition to take home, such as a blood pressure monitor, thermometer, pulse oximeter, or blood glucose meter, allowing us to monitor your health remotely,” he says. Patients also receive comprehensive training in connected care and in the use of the devices they’re given.

If patients do experience a non-emergent health issue, they

20 December 2018 | Healthy Living News

have the option of contacting Dr. Gokula online through telemedicine technology or scheduling a visit either at their home or in his office located at 2230 West Laskey Road in Toledo.

Members of Dr. Gokula’s practice are also invited to attend holistic classes covering a wide variety of topics, such as meditation, acupuncture, yoga, relaxation therapy, massage therapy, and much more. These holistic classes are held in a traditional yurt—a circular Mongolian tent—located on the same property as Dr. Gokula’s office.

Other benefits Connected Holistic Health Care patients enjoy include: • Personalized appointments • Greater flexibility for appointment times • Preventive and continuous care • Expanded communication

with Dr. Gokula through robust communication resources • Top-notch care using a holistic PRISM approach to health with a single focus to improve function and quality of life • Medical apps for health promotion and disease management.

“I’m the first practitioner in this area to bring all of these services together, merging conventional and alternative therapies to keep patients healthy in body, mind, and spirit,” says Dr. Gokula. “I’m bringing together the East and West to give my patients the very best—and they deserve nothing but the best.”

Dr. Gokula’s unique approach to medicine is available to patients at a reasonable and competitive price 24/7/365. For more information, please call Concierge Connected Holistic Health Care at 419-214-1213. ❦

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Healthy advice for the holiday season

by Jim Berger

H

appy holidays! It is that exciting time of year, but it can also be a little more stressful than other times.

October brought Halloween, and then we went right into fall cleanup and, for many of us, open enrollment (insurance coverage) time. Next it was Thanksgiving, and now it is Christmas and the new year.

In past articles, I talked about some of the holiday stressors and things to do but never about open enrollment and, in particular, wellness services. Open enrollment is that time of year to review your medical coverage plan and identify whether it is right for you. If you are like me, you have been provided with a lot of information about the different options that your employer offers.

You need to look at coverage, providers, costs, etc. to determine the best healthcare coverage. This can be overwhelming.

I think about those who are Medicare eligible and figure it should be

easier, but I would be fooling myself.

It is, I think, harder. Besides the traditional Medicare plan, individuals have options to go to Medicare replacement plans—Medicare Advantage plans.

All insurance companies offer them.

But what are these plans? Here is a brief explanation: You can get your Medicare benefits through original-traditional Medicare, or a Medicare Advantage plan (like an HMO or PPO). If you have original Medicare, the government pays for Medicare benefits when you get them.

Medicare Advantage plans, sometimes called “Part C” or “MA” plans, are offered by private companies approved by Medicare. Medicare pays these companies to cover your Medicare benefits. If you join a Medicare Advantage plan, the plan will provide all of your Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) coverage.

Then you also can get Medicare supplemental plans.

The reason I bring this up is that many of these plans are offering a

wellness component that covers fitness memberships. Some of the wellness programs offered include Silver Sneakers, Silver & Fit, and Renew Active to name just three.

Heartland Rehabilitation Services Outpatient Physical Therapy Clinics accepts all three of these programs in the wellness services offered.

What a value to those who get this benefit! The value happens, though, only if it is used.

One goal that I have for myself and that others have shared is to be as active as long as possible. Using

HAPPY HOLIDAYS!

this fitness membership through your Medicare plan is the most costeffective way to remain active and be physically and cardio fit. Don’t lose out on this opportunity to be a healthier version of yourself—first for you but also for your family and friends—by not using this benefit.

Ways to “sneak” exercise into your day

Exercise is part of a healthy lifestyle. It’s great if you have a regular exercise regimen, such as a running program, strengthening/ movement/cardio classes, or a regular appointment at the gym. It’s important to remember, however, that the main goal is to get active and stay active. If you are striving to develop an active lifestyle and want to n

Advice - continued on p42

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Don’t Let Back, Hip, Knee or Ankle Pain stop you this Holiday! all Heartland ehailitaon  -Hw ca w hlp y?    





  

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Healthy Living News | December 2018 21

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Heart-smart advice to heed in wintertime

he arrival of cold, snowy winter weather can mean different things to different people. For some, this change is a harbinger of cheerful holidays and fun outdoor activities.

For others, it signals the return of treacherous driving, snow-removal chores, and the pending onset of cabin fever. But whether you love it or hate it, it’s important to be aware that winter also ushers in an increased

risk of experiencing a heart attack or other coronary event.

According to Rajendra Kattar, MD, FACC, of ProMedica Physicians Cardiology, cardiologists typically see an uptick in the rate of heart attacks—more specifically, acute coronary syndrome, which includes heart attack as well as unstable angina—during the winter months. He explains, “One reason risk increases

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is that with colder weather, you start diate attention.â&#x20AC;? to have constriction of the blood Dr. Kattar further explains that vessels, including the coronary ar- the classic at-risk patient who hasnâ&#x20AC;&#x2122;t teries. Plus, when youâ&#x20AC;&#x2122;re out in the experienced a heart attack yet is cold, youâ&#x20AC;&#x2122;re putting a little more someone who has diabetes, suddenly stress on the heart. Another reason increased blood pressure, high chois that there is a higher rate of viral lesterol, and a family history of coroillness, such as cold and nary disease. Anyone who flu, in winter, which can has these factors should bring about an underlying automatically watch for coronary condition that heart attack symptoms, puts the heart in a more even if they â&#x20AC;&#x2122;ve never been diagnosed with a compromised position.â&#x20AC;?

Perhaps not surprising, heart conditionâ&#x20AC;&#x201D;because shoveling snow is one of oftentimes the first sign the biggest culprits in terms of a problem is a heart of wintertime activities that attack or other coronary increase heart-attack risk. event. â&#x20AC;&#x153;Also, the older you A few different contribget, the higher your risk Dr. Rajendra Kattar uting factors are at work of heart attack, but that here. In addition to the blood vessel doesnâ&#x20AC;&#x2122;t mean you should ignore constriction just described and the risk factors if youâ&#x20AC;&#x2122;re in your 40s, increased burden on the heart from 50s, or 60s,â&#x20AC;? he emphasizes. heavy exertion, being outside shovAs with any medical condition, eling snow in the cold can also cause an ounce of prevention is definitenumbness that masks heart attack ly worth a pound of cure when it symptoms so they arenâ&#x20AC;&#x2122;t detected comes to heart attack. In addition to as early as possible. Of course these knowing your risk factors, Dr. Katsame factors come into play not just tar â&#x20AC;&#x2122;s advice for avoiding becoming with onerous wintertime chores like a wintertime heart-attack statistic shoveling, but with any outdoor ac- when exerting outdoors is to bundle tivities that involve exerting in cold up to keep your body warm, cover weather, even fun, recreational ones up your mouth (breathing in cold like skiing or ice skating. air increases the risk of coronary Dr. Kattar advises HLN readers to spasm and constriction of the corbe alert to the potential symptoms onary arteries), and taking frequent of heart attack when exerting out- breaks. â&#x20AC;&#x153;We all want to finish that doors in winter. â&#x20AC;&#x153;The most common shoveling job, but you shouldnâ&#x20AC;&#x2122;t symptomâ&#x20AC;&#x201D;though it doesnâ&#x20AC;&#x2122;t occur be out in the cold exerting for an in everyoneâ&#x20AC;&#x201D;is chest pain. Howev- hour straight. You may get cold and er, it doesnâ&#x20AC;&#x2122;t have to be sharp chest numb and not feel symptoms that pain; it can be a subtle ache, chest may be occurring. I tell my patients tightness, or discomfort radiating to that every 15 minutes they should the arm. Also, there can be exertional go inside to take a break and warm or non-exertional jaw pain or pain up, especially as the outdoor air between the shoulder blades. These gets colder,â&#x20AC;? he says. Of course, symptoms can be concurrent with anyone already diagnosed with a shortness of breath, or the person heart condition is best advised to can experience shortness of breath delegate the chore of snow shoveling alone. In women, exertional chest to someone else. pain is classical, but the pain can also Furthermore, Dr. Kattar urges be non-exertional. Some experience cardiac patients to seek medical relatively vague symptoms such as attention at a facility such as ProMedica Toledo Hospital, which has indigestion,â&#x20AC;? he says. â&#x20AC;&#x153;The key thing to remember,â&#x20AC;? an in-house cardiologist. â&#x20AC;&#x153;Any time, Dr. Kattar adds, â&#x20AC;&#x153;is if you have day or night, we have a cardiologist any sudden, acute symptoms, you who can come down immediately to need to go to the ER right away. the emergency room and evaluate Call 911. Donâ&#x20AC;&#x2122;t wait to see your cardiac patients. In fact, weâ&#x20AC;&#x2122;re the primary care doctor the next day. only hospital in the region to offer Sudden symptoms warrant imme- this service,â&#x20AC;? he says. â?Ś

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Experience the many pros of non-profit senior living

I

n choosing a senior-living community, numerous factors enter into the decision-making process. Naturally, seniors want a community that offers a home-like atmosphere, a wide variety of services and amenities, friendly fellow residents, and the ability to continue enjoying all the activities that matter most to them.

But according to Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities, another factor seniors and their loved ones should consider when choosing among the many different senior-living options is whether a community is run by a non-profit or for-profit organization. “There are high-quality communities in both categories, but non-profits seem to be ahead of the curve in focusing on person-centered care,” she comments.

What exactly distinguishes a non-profit community from its for-profit counterpart when both charge fees and the cost of each is generally about the same? As Young explains, non-profits differ in that once expenses are paid, any additional funds are typically reinvested to benefit the residents, the organization’s mission, and the community at-large.

There is no requirement for return on investment, reducing the incentive to implement cost-cutting measures that might adversely impact residents’ quality of life, such as reductions in programming, staffing, or services.

Young adds, “Non-profit communities like Sunset are driven by their mission, not the profit motive, which means they are focused on serving residents. We still must abide by all the same local, state, and federal rules and regulations, but non-profits are generally better poised to implement programs and services that best meet the needs of the older population.

Staffing ratios and the overall quality of care and services also tend to be better in non-profits.”

At Sunset, the mission embraced by

the entire staff is Enriching Individual Life Journeys, which focuses on the residents and making their days as joyous and fulfilled as possible. “You can see evidence of this every day in all of Sunset’s communities—for example in the wide variety of activities we offer to keep residents engaged and growing, such as educational programming, exercise classes, community outings, and intellectually stimulating presentations by area experts,” Young says.

A powerful reflection of Sunset’s commitment to mission rather than profit motive is their promise that if residents ever legitimately exhaust their financial resources, they will still have a home for life. Furthermore, Sunset offers a full care continuum that includes assisted living, memory care, and health care at Sunset House; assisted living, health care, memory support, and a state-ofthe-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 residents are never put in the position of having to leave behind their home and supportive community just because their care needs have changed.

Perhaps most important, residents in non-profit communities often find that their needs and wishes correspond well with the organization’s vision and mission—as well as the staff ’s priorities—and that they are empowered to influence the community’s day-to-day operation and activities.

For more information on Sunset Retirement Communities, please call 419-536-4645 (Sunset House), 419-724-1200 (Sunset Village), 419-724-1220 (The Woodlands), 419-386-2686 (Fieldstone Villas), or 419-724-1047 (Ashanti Hospice and Palliative Care), or visit www.sunset-communities.org. ❦

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You’re never too old for Super Slow Training T

hough most of the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years.

One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed.

“I thought, ‘This is great! I need to keep doing this!” she recalls.

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

difference after doing the program ly designed Super Slow Training once a week for just three weeks. equipment help clients maintain the I realized I was getting stronger proper form, technique, and tempo and could go up and down those during workouts. This method differs stairs without much effort whereas I from conventional strength-training struggled before. So I said I’m never techniques in that there is no fast going to quit this. I’m still not using momentum to help do the work either of those canes, and I attribute for you. that to coming Though slow, to TriggerPoint this technique and making is intense, really my muscles working the musstronger,” she cles. It’s also very says. safe, with highly experienced and Tr i g g e r Lutheran Homeseducated Society istrainers now Point owner Genacross Lutheran Services Russ Wakefield working one-onexplains that one with For more than 150 years, Lutheran Homes clients Super Slow monitoring Society has been ready toand help when life presents challenges and opportunities.

To better reflect Training inand adjusting the diverse populations we now serve, we’re volves lifting their every move. changing our name to Genacross Lutheran and lowering Peg Anderson goes slowly through After this intense the paces Services. Through our youth services, affordable weights at exercise stimulus, at TriggerPoint. housing, home health, community services, and senior living options, we will adapt to meet a very slow the body recovers the needs of people in and around northwest rate, keeping for seven days, Ohio. Moving forward as Genacross Lutheran consistent tension on the muscle producing the desired results.

Services, one thing will not change – our deep throughout its whole range of motion.

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

Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body types—even pregnant women—can participate in and benefit from this time-efficient program. Anderson has certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly.

Asked what she would tell others in her age group about Super Slow Training, Anderson states, “You are WOLF CREEK CAMPUS never too old for this. If you have (Formerly Lutheran Village at Wolf Creek) Independent Living physical limitations, the trainers GenacrossLutheranServices.org Assisted Living will help you work around them.

Independent LivingCare Nursing Care • Respite Remember, health problems are exLiving ShortAssisted Term Rehabilitation Nursing Care • Respite Care pensive and become more and more Outpatient Therapy Short -Term Rehabilitation likely the older you get. You can’t Outpatient Therapy just sit around reading magazines and eating bonbons and expect to stay healthy. You have to get moving Independent Living and keep moving!”

Assisted Living Nursing Care • Respite Care Wakefield urges anyone who is Short Term Rehabilitation Lutheran Village is seeking a more efficient strength-trainOutpatient Therapy whole new direction ing and conditioning alternative—or Aa Lutheran whole new direction Village is is simply tired of getting disapin retirement living. retirement living. ainwhole new direction pointing results from conventional in retirement living.

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Call 419-861-5616. solution you’ve been looking for,” A ofcommunity where residents Lutheran Village at Wolf Creek, a ministry Lutheran Independent Living Condos available NOW. states.

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419-861-2233 Homes Society in partnership with anSt.appointment, call Russ Wakefield at Holland, OH 435282001 Perrysburg-Holland Rd. 419.861.2233 419-536-0408.

Holland, OH 43528 www.lhsoh.org 419-861-2233 TriggerPoint, located at 2449 N. For more information, visit 419-861-2233 www.lhsoh.org Reynolds Rd., is also on Facebook. ❦ www.lhsoh.org GenacrossLutheranServices.org EQUAL HOUSING OPPORTUNITY

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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.

We’re strong. We’re committed.

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Visit utmc.utoledo.edu to learn more.

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Healthy Living News | December 2018 25

Wise words from Otterbein Downsizing for seniors is a difficult task

I

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

26 December 2018 | Healthy Living News

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 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 1 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 human factor in long-term care

by Chris Stieben and Megan Benner Senecal

P

eople take care of people in this day and age. Machines have broadened our ability to do more than ever before, but when it comes to personal care, machines have not been able to accomplish the task. They can only enhance our relational interaction in long-term care. The relationships we make and cultivate in long-term care make the difference in the quality of the care provided.

There are two essential relationships that need to be cultivated when it comes to navigating long-term-care services and supports:

Relationships with your family and loved ones

Staying involved with your loved one once they move into a longterm-care setting is a very important contributor to their continued health and happiness. I can’t count the number of times I’ve started chatting with a resident only to discover that the only thing they really want is someone to visit them. But, when I ask why their family doesn’t visit, the canned response is “They are busy with their own lives.” This is true for me too unfortunately. I don’t call, visit, or interact with my loved ones as often as I should. Yes, we are all busy building lives with our spouses and friends, but that doesn’t mean we can’t schedule a weekly call or visit with someone we love. Especially, if that someone is transitioning into long-term care and needs our support to ease that transition and advocate for quality person-centered care.

In today’s world of technology and machines, a simple calendar appointment, a call reminder, or an app that delivers food and desserts to a lonely resident once a week can maintain that sense of belonging and strengthen the relationships we struggle to have time for.

Caregiver relationships

Making the decision to utilize long-

term-care services is difficult. There are a thousand different ways that the transition can be made even more difficult, and that includes not cultivating a relationship of trust and open communication with staff.

Once you or your loved one moves into a nursing home, it is important to establish a positive relationship with staff from the start. While it is widely recognized that staff are there to take care of the resident, it is important to note that the staff are only human. Developing a positive and open communication standard with staff at all levels will enable you or your loved one to receive person-centered care and allow for a dialogue that ensures self-determination for the resident.

One way to do this is to regularly attend the care-plan meetings that are held upon admission and then quarterly or as needed after that.

Care-plan meetings are a good way to become familiar with the plan the facility has in place for you or your loved one and to identify preferences that would otherwise be unknown without your involvement. Here again, in today’s world of tech and machines, we can take 10 minutes to video conference and be present and on the team that directs the care we expect.

Be assured that a relationship between the caregiver and a loved one is being built. Whether it is positive or negative can be facilitated by us and our involvement in these relationships.

It is important to note that as hard as the best workers in the facility try, mistakes may still be made. As such, be understanding of the limitations within long-term care while at the same time expecting excellent customer service and follow-up.

Christopher Stieben is Director of the ABLE Long-Term-Care Ombudsman Program, which can be reached at 419259-2891 (http://ombudsman.ablelaw. org), and Megan Benner Senecal is a member of the Ombudsman office. ❦

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Healthy Living News | December 2018 27

Think twice before giving pets as holiday presents

G

iven all the benefits that companion animals bestow upon us, it’s no wonder that puppies, kittens, and other pets make such popular holiday gifts. But before you bless one of the loved ones in your life with a furry friend, keep in mind that what you’re actually giving is a major commitment that will stretch far into the future.

If you give a companion animal to someone who is unprepared for this high level of commitment or if the animal proves to be a poor match for the recipient’s lifestyle, energy level, or financial resources, the outcome could be disastrous. And when the reality of pet ownership collides with preconceived, unrealistic expectations, it’s almost always the pet that gets the short end of the stick.

The holidays are chaotic

One of the first things to consider if you’re contemplating giving someone a pet for a present is the fact that the holiday season is actually a very bad time to introduce a pet to a new home. If you get stressed by the hectic pace of the holidays, just imagine how overwhelming the different

sights, sounds, and smells of the season can be to a pet just entering the scene. Besides, most of us are too busy cleaning, cooking, decorating, entertaining, and attending to other holiday obligations to find adequate time to begin training a pet and helping it get adjusted to a new environment.

What’s worse, the holidays present a lot of dangerous temptations to a curious pet, including “people food” that is potentially harmful to animals, bite-size ornaments, flickering candle flames, and electrical cords to name but a few.

Plus, with our attention diverted by all the holiday hoopla and with various visitors coming and going throughout the season, it’s all too easy for a dog or cat to slip out the door unnoticed and wander off.

Rather than subject

a pet to all this chaos, it’s best to wait until things settle down and return to normal in the home. As a fun alternative, you can give a “teaser gift,” such as a leash, collar, squeaky toy, pet bed, or kennel—anything short of the animal itself that announces the fact that a much more significant gift will be coming later on.

No surprises, please!

Unless you’re giving a pet to your own children and you’ve already made the personal commitment to provide all necessary care and accommodations for the animal, it’s best to discuss any such purchase with the intended recipient well ahead of time to make sure he or she is willing and able to take on the long-term responsibility of pet ownership—and to ensure that the animal and/or breed you have in mind is a good match for the recipient from the

standpoint of its temperament and energy level. You might think that a frisky, adolescent black lab would make an ideal companion for your 75-year-old, widowed mother-in-law, but she might find this dog’s limitless energy overwhelming. On the other hand, a calm older dog that has already been housebroken and trained to respond to certain basic commands might be the perfect choice.

Consider the cost

Remember that no animal is free— even if there is little to no up-front purchase cost. When giving a dog or cat for a present, what you’re essentially doing is handing the recipient many years worth of ongoing expenses. Veterinary care, both routine and emergency, can literally add up to thousands of dollars over the lifespan of a pet. No one likes to put a price tag on a beloved, devoted companion animal, but it’s a tough pill to swallow when the estimate for your pet’s emergency surgery exceeds your bank balance. Even n

Pets - continued next page

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Charter Senior Living at Oak Openings honors residents’ history and legacy

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very life follows a distinct path.

This journey leads us through a wide variety of experiences and relationships that shape who we are as individuals, develop and hone our personalities, and help define what we like and dislike.

Recognizing that everyone’s story is unique and worth celebrating, Charter Senior Living of Oak Openings, a new assisted-living and memory-care community opening this month in Sylvania, Ohio, strives to honor each resident’s history and legacy every day through innovative programming and the highest quality care and services.

“I’ve been running senior-living facilities for over 20 years and in the long-term-care industry closer to 40 years. What really sets Charter Senior Living apart is the way we value our residents and explore their legacy,” says Sue Johnson, the community’s executive director.

The first Charter community to open in the state of Ohio, Charter Senior Living of Oak Openings offers 24 one-bed apartments for assisted-living clients and 36 memory-care apartments for clients with Alzheimer’s, dementia, or memory loss.

Johnson notes that Charter is unique in its approach to memory care. “We have a dementia care specialist on staff who created the FlourishSM Memory Care program based on leading-edge research and best practices from around the country,” she explains. “This comprehensive program is based on the foundational principle that residents can flourish no matter where they are on life’s journey or in the process of their Alzheimer ’s or dementia. It also helps families overcome some of the challenges of visiting a memory-impaired loved one who may not remember who they are or may be unable to talk with them in a meaningful way.”

One component of the FlourishSM program that is especially beneficial to family members of memory-care residents is STAR, an acronym that

stands for Specific Therapeutic Assisted Recreation. This program helps family members learn more about their loved one’s legacy and history through a special box that contains items reflecting their past experiences, hobbies, or interests. Items with favored textures or aromas may be included in the box as well. “These items, particular to the resident, offer a good place to start discussion and engage with one another during visits. We also have baskets containing similar items for staff members. So, for example, if a resident tends to be awake during the evening and is prone to pacing or exhibiting anxious behavior, the staff member can grab the basket and have meaningful interaction with the resident rather than set him or her in front of the television,” Johnson says.

Charter ’s focus on helping all residents find purpose isn’t limited to formal programming. It’s also woven into the tapestry of day-to-day activities. For example, at mealtimes, residents in memory care are given oshibori—warm, moist towels used for wiping one’s hands before eating. This helps to cue residents that it is time for a meal. These towels are scented with different aromas depending on the time of day, for instance citrus or peppermint in the morning to spur appetite, or eucalyptus or lavender in the evening for calming and relaxation.

Meals are also special at Charter Senior Living of Oak Openings for a different reason—the quality of the food served courtesy of dining room services director DeWain Emerick, who manages the food department and is the main chef on the day shift. According to Johnson, Emerick earned his position through a cook-off between the top candidates, which was held in the kitchen of the Sylvania Senior Center with some of the center’s managers participating in the judging alongside Charter staff.

Emerick took top honors, so Charter Senior Living of Oak Openings

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n

residents now enjoy his delicious, healthy, from-scratch cooking.

Of course, Emerick is just one among many exceptional staffers at Charter Senior Living of Oak Openings. In fact, Johnson comments that Charter ’s top management has empowered her to not only hire the very best employees, but also to recognize and value their efforts in order to help bring out their very best. “I feel this is the best team I’ve had so far. All the managers are passionate local people who bring extensive experience to the job and are dedicated to providing exceptional care to residents and understanding their life history. Together we’re creating an environment where everyone is family, residents love to live, and employees love to work,” she says.

Charter Senior Living of Oak Openings is located at 6805 Sylvania Ave. in Sylvania, Ohio. For more information, please contact Amy Klosterman, the community’s marketing director, at 419-250-5346. ❦

Pets - continued from p28

the ongoing cost of feeding can be burdensome for some people, especially if the animal requires a specialized diet.

Then there are the incidental costs of pet ownership to consider.

For example, if your cat stops using its litter box and begins wetting or spraying on carpets, drapery, and furnishings, the cost of replacing these items can really add up. Dogs that take a shine to chewing up possessions or have frequent accidents around the house can take a major bite out of your budget, as well.

Take your time in choosing

A pet should never be purchased on impulse. Ideally, the prospective pet owner should be afforded the opportunity to meet and interact with various animals (e.g., at your local Humane Society or animal shelter) in order to connect with the one whose temperament, energy level, and care requirements are the most compatible. Remember, the more thought that is invested in matching a companion animal to the right family or individual, the better the outcome is likely to be—for both the animal and the recipient. ❦

THE SECRET’S OUT. AN EASIER, MORE ENJOYABLE SENIOR LIFESTYLE IS COMING. PASS IT ON! The wait is over. Sylvania’s newest senior living community is ready to be your next home. Call now to be one of the first to experience why Charter Senior Living of Oak Openings is the place for exceptional comfort and innovative care.

419.419.0408 www.charteroakopenings.com 6805 Sylvania Ave. | Sylvania, OH 43560 Healthy Living News | December 2018 29

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Q

: I have a loved one with hearing loss. Can you give me some suggestions on how to ensure the holidays are an enjoyable time for this family member?

A

: We all have had the experience of being together with family during the holiday season and there is Aunt Jane sitting quietly in the corner by herself. You might think she isn’t feeling good and wants to be left alone or she’s mad because she didn’t get the sweater she really wanted. But, did you ever think she is suffering from a hearing loss, which may be making her anxious and quiet? For those who suffer from hearing loss, this time of year can cause anxiety. The numerous dinners and get-togethers cause a great deal of listening difficulties from Thanksgiving through New Year.

Northwest Ohio Hearing Clinic values family time and wants to help by giving suggestions on how to make communicating an enjoyable experience. Here are some simple tips that will help your Aunt Jane feel part of the excitement during the holidays: 1. When you are out to a restaurant, remember to have your family member with hearing loss sit away from noise with their back to a wall so they have less competing ambient noise to deal with.

2. When there’s a large group of people, take turns speaking. This will make listening easier, not only for the individual with hearing loss but also for everyone else.

3. Get Aunt Jane’s attention before starting to speak. Call her name or simply tap her on the shoulder; she’ll be ready to listen with both ears.

4. If she doesn’t understand what you said, try rephrasing so

she has a chance to hear it again.

5. Make sure the lighting in the room is bright. Dim lighting makes it difficult to see faces and read lips. You might say, “Aunt Jane reads lips? I never knew that.”

In fact we all have the talent of reading lips but might not rely on it as much.

6. If there is singing taking place, avoid speaking at the same time.

Wait until the song is over to tell them about the refreshments. The less competition to hearing, the better the experience will be.

7. To ensure they heard what you said correctly, ask them to repeat what they heard.

8. To enhance communication, talk to the other family members before your gathering so all are aware and on the same page on how to communicate with your family member.

9. Before the gathering, ask your family member, “How can I help make your listening experience less stressful?” Showing an interest will allow them to be relaxed and not as anxious.

The best tip we can give you is: 10. Don’t have your family member wait to improve their hearing one more year. Seek help and advice before the family dinner.

This is so everyone can enjoy the holiday season this year.

Wishing you and your loved ones a happy holiday season from our family to yours. Thank you for your interest in our column, and, as always, please contact us with any questions or concerns.

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

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’Tis the season for gifting cosmetic services

E

veryone has that hard-to-shop-for loved one—that family member or friend whose tastes and interests are difficult to discern and turns every holiday gift-giving season into a guessing game. However, it may be that this reluctant recipient would appreciate a more personalized gift that enhances his or her appearance and self-confidence rather than another bottle of wine or scented candle.

If this is the case, Luxe Laser Vein & Body Center has you covered with a variety of affordable cosmetic services and treatments that would make the perfect holiday gift for that hard-to-shop-for individual—or for anyone else in your life who wants to look and feel his or her best. Some excellent options include:

A gift card

Luxe Laser provides a very wide variety of cosmetic services, treatments, and products, so if you aren’t sure which one your loved one would appreciate most, you can always go with a gift card. “We offer gift cards in all denominations, allowing the gift recipient to apply it toward whatever he or she

wants whenever it’s most convenient,” says Dr. Wade Banker of Luxe Laser.

Other cosmetic services or products that make very popular gifts include:

Laser hair removal

Nearly anyone with unwanted hair growing anywhere on their body is a candidate for laser hair removal. This virtually painless, fairly inexpensive procedure uses concentrated laser energy to heat and destroy the hair follicles below the surface of the skin and requires absolutely no downtime.

The result is permanent elimination of unwanted hair, so you never have to worry about shaving or waxing the area again.

Tattoo removal

If your loved one still sports a tattoo of a former partner ’s name or anything else he or she now finds inappropriate or embarrassing, the gift of laser tattoo removal might be right on target. “Tattoo removal is very affordable and a much more popular gift than you might think because there are so many people out there with tattoos they no lon-

ger want. We can remove any color of ink from any color of skin while leaving behind no scars, marks, or discoloration. You’ll never even know a tattoo was there,” says Dr. Banker.

CoolSculpting

A loved one who may have mentioned being frustrated with stubborn fat deposits might welcome the gift of CoolSculpting. “This completely non-invasive, no-downtime fat-removal process involves externally treating areas of stubborn fat with low temperature to destroy the fat cells, which are then cycled out of the body naturally,” Dr. Banker explains. “CoolSculpting is also reasonably affordable and can be purchased in a single cycle or as many cycles as the person wants, so it’s a very flexible gift.”

RF skin tightening

Another completely non-invasive, no-downtime procedure that makes a great holiday gift is radiofrequency (RF) skin tightening. This treatment can help to relax fine lines, create a more full appearance in the face, and tighten loose skin in various areas of the body.

“Not only are these treatments painless, but they are actually enjoyable for patients, producing a gentle warming of the skin that feels like a relaxing spa treatment,” adds Dr. Banker. Currently, Luxe Laser is offering a package of four RF skin-tightening procedures for just $1,000.

Botox parties

As always, Luxe Laser hosts Botox and injectable parties right on site in their state-of-the-art gathering space. “If you and your friends are interested in trying Botox or a filler, this makes a great group gift idea. We provide the facility free of charge, so all you have to pay for is the Botox or filler,” Dr. Banker says For more information on any of these services or procedures, please call Luxe Laser Vein & Body Center at 419-8932775. Consultations are always free.

VEIN & BODY CENTER Additional information is also available at luxe-laser.com. ❦

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Healthy Living News | December 2018 31

Ingredients of an enjoyable youth sports experience

by Mark S. Faber, USPTA Elite Professional Reflecting on my athletic past as well as my experiences as a coach, I have witnessed a variety of interactions between children and their parents.

Another sports season will be here before we know it, so there’s no time like the present to share the following tips on how to maintain a positive relationship between parents and children alike as they venture through the youth sports journey:

1. Your reactions speak louder than any word you might say

Everyone has heard how powerful body language is. Guess what, you are hearing it again. I have seen many kids collapse during a performance when they see mom or dad storm out of an athletic facility because they are mad. I have seen athletes break down when they see their parents slam down their hands or grab their

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heads in disgust after making an error or a bad decision.

This is especially the case with younger athletes. The younger they are, the more they want to please, so if they see anything but a neutral to positive expression, things will tend to head south fast. Try to stay as neutral to positive as possible and try to provide encouraging gestures during the events. And remember, the body language does not stop when the event ends; it magnifies (in my mind) when the event ends.

I have seen many a kid not want to go to the parent or coach when it was time to leave, for they could tell how upset or unhappy they were.

Try to control your body language for it truly screams and yells more than you might realize.

2. The words you say truly mean a great deal

Where body language says a great deal, words can make or break the relationship between a player and their parent. As a parent now, I see things a lot differently. You think that you are helping your child by giving them “advice” after a game; however, that is not how a child views it even if it is coming from the right place.

I have learned that children always try. Sometimes, I might think they could try harder, but in their mind, they truly believe they tried their hardest and did their best. How you approach this is so important. Simply putting yourself in their shoes briefly will help you realize and understand the mindset and, in return, adjust what you might say or how you might say it. The words on effort become so important, for we cannot get so focused on the wins and losses that we lose focus on the component that will carry on in life and is truly controllable—effort.

3. When you say things matters

Coaches and parents alike often have great insight after watching a game from the outside. And many

32 December 2018 | Healthy Living News

times the ones that play have a different view on what was happening during the event. This information is surely beneficial; however, knowing when to share it is key. If an athlete just did not play well, trust me, they probably know it and don’t need to be told 10 seconds after coming off the playing field. Also, combining it with one and two above really provides a recipe for disaster.

I can recall situations when I was an athlete growing up where my parents wanted to help me so badly that sometimes they unknowingly tried to share this with me way too quickly after an event, win or lose.

I was lucky to have two incredibly knowledgeable and loving parents, and my results never affected my relationship with them. However, we did have one little stumbling point and that was at times when the feedback came way too quickly.

Right after an event, emotions are high one way or the other, and that tends to lead to a short fuse for all parties. We developed a little rule that I would challenge all readers to try: For 30 minutes after an event, we would talk about anything but the event. Now, if I brought it up, then we would talk about it. We found that 30 minutes was a good cooling-down period, win or lose.

The conversations we had after that 30 minutes seemed to sink in more and, I can honestly say, made a huge impact on my development as a person and athlete.

4. Be the parent and let the coach be the coach

I have shared this thought before with the readers, but I believe it is important to repeat it occasionally.

I am learning this firsthand as my children are starting to participate in sports. Man, do I admire my parents.

With both being successful athletes themselves, they never stepped on my coach’s toes in any sport I played. It is so easy to fall into the trap, for you really want the best for your child and really want to help. The key is if you want to have a long-lasting and meaningful relationship with your child, trust the coach to do what they are hired to do and enjoy the fact that you get to watch your child play a sport and improve. If you feel that something needs to be addressed, do not be afraid to talk

with the coach. My advice is don’t go around the coach. Doing so will confuse the child and lead to violations of the first three items I wrote about. Trust me, this is much easier said than done, but it is so important.

There are so many more things I could share on this topic, for I have seen and experienced so much good and bad in sports. Don’t get me wrong, I have seen exceptions to what I have shared above. However, for every one exception I have seen at least 50 non-exceptions. Sports are such a great tool to teach life skills. Sure, the wins are great, but the losses and bad performances cannot be magnified to a point that children hate playing or, more importantly, develop an unhealthy relationship with their parents. I hope that all of you are able to try the above tips and, in turn, all parties have an awesome sports experience! ❦ n

MS - continued from p9

we’ve seen an explosion of newer and more effective options. Today there are 16 MS drugs to choose from, soon to be 17, and that number continues to grow. These drugs have also become progressively better, with the earliest injectable medications being the least effective, oral medications being more effective, and the recently introduced IV infusions being the most effective.”

Looking to the future, Dr. Gonzales hopes to see neurologists taking a much more proactive approach to MS treatment as well as taking better advantage of the latest and more effective medications, noting that doing so will prevent a lot more patients from being permanently disabled. She’s also enthusiastic about the progress made thus far in taming this fear-evoking condition. “MS is no longer the ‘big, bad monster’ that it used to be,” she says. “There’s still no cure, but we can manage it very effectively. With proper treatment, it’s no longer a foregone conclusion that MS patients will need to use a wheelchair or have to go to a nursing home at an early age. In fact, there are a lot of people with MS who are able to lead productive, fulfilling lives.”

Mercy Health – Neuroscience Institute, Neurology is accepting patients. For more information, visit mercy.com ❦

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Auditory neuropathy explained

by Randa Mansour-Shousher, AuD, CCC-A

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here are t h r e e main types of hearing loss—conductive, sensorineural, and mixed.

Conductive hearing loss is related to disturbance of the outer and/ or middle ear system and most of the time is temporary. There is a high prevalence of conductive hearing loss within the pediatric population because of simple ear infections, which cause this type of hearing loss.

The second type, sensorineural hearing loss, is commonly associated with the older population, and the treatment of choice is typically the use of hearing aids.

Mixed hearing loss, as you might guess, involves some hearing loss caused by permanent damage, suggesting a nerve hearing loss, complicated by a conductive component that may or not be medically treatable.

Auditory neuropathy is a wellknown type of hearing loss. This hearing disorder affects the inner ear hair cells. The ear can hear the sounds transmitted from the outer to the inner ear but then has a problem transmitting the sound to the brain. When the hearing is tested, the results may show a mild to even severe hearing loss or even normal hearing but will always show results of poor speech discrimination, suggesting the individual has trouble understanding

conversations clearly.

Red flags go up for the audiologist because those with auditory neuropathy would expect better speech discrimination based on the degree of hearing loss predicted by the audiogram. The individual may be able to hear the sound, yet processing the spoken word is a challenge. They may describe that they can understand only half the word, a phrase doesn’t make sense to them, or even that speech may seem out of sync.

There are several possible causes of auditory neuropathy. One is that the auditory neurons responsible for transmitting sound information from the inner ear to the brain may be damaged. Other potential causes include direct damage to the auditory system or an inherited genetic mutation that changes the function of the auditory organ so it doesn’t allow the connection between the inner ear and the brain.

The process of diagnosing auditory neuropathy includes a medical evaluation from an otolaryngologist (ear, nose and throat physician) and testing provided by the audiologist. These tests include auditory brainstem response (ABR) and otoacoustic emissions (OAE). An ABR test is performed with electrodes on the head and ear to monitor the brain wave in response to sound

presented. The OAE test uses a tiny microphone placed in the ear canal to measure the very soft sounds produced by the outer hair cells when the auditory stimulation is presented. The sign that leads to the diagnosis is an abnormal ABR reading along with a normal OAE, which tells us that the outer hair cells in the inner ear are working normally.

In some cases, people diagnosed with auditory neuropathy experience improvement. Some infants may improve and start to hear and speak, while other infants stay the same or get worse depending on the function of the outer hair cells over time. In people with neuropathy, the hearing sensitivity will also differ—remaining the same, changing over time, or changing more rapidly depending on what the underlying cause is found to be.

Research is underway to determine which treatment is most ef-

fective. There are some who believe hearing aids or cochlear implants are beneficial, while others state that frequency modulation (FM) is helpful. However, there currently isn’t any type of evaluation to help determine what treatment patients with auditory neuropathy would benefit from.

Auditory neuropathy is not a “typical” hearing loss that is seen every day, but it is a type that should be diagnosed and treated as soon as possible. If you would like more information or suspect someone you know may be suffering from auditory neuropathy, feel free to contact our office.

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

De OF ce FER mb V er ALID 3 rd -31 s t

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your tummy gurgles, you’re low on energy, and you feel hungry.

EATING WELL Six simple steps to mindful holiday eating simple and realistic ways to put the concept into practice:

by Laurie A. Syring, RD/LD

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his holiday season, instead of concentrating on eating low fat, low sugar, vegan, and organic foods while moderating our alcohol consumption, let’s shift our focus to enjoying and being more mindful about what we put in our mouths—in other words, practicing “mindful eating.”

Many people think mindful eating is chewing each bite for a really long time and eating very slowly, but it’s about much more than that. Mindful eating draws upon all the senses as we choose foods that are both satisfying and nourishing to the body, allowing us to become more aware of the positive benefits of making better food selections. It’s about bringing the mind and body together.

With the busy, crazy, stressful holidays (I’m talking Halloween to New Years) being the time of year when we are most likely to eat “mindlessly,” there’s no time like the present to start eating more mindfully.

But since you probably won’t have an opportunity to attend a retreat or conference on mindfulness this holiday season, let’s go over some

1. Listen to your body

We’ve all experienced that awful feeling of being “Thanksgiving Day full”—that state we find ourselves in after feasting a bit too enthusiastically.

To paraphrase a certain famous comedian, if you wind up lying flat on the floor with your pants unbuttoned and begging for antacids, you just might be Thanksgiving Day full! To avoid this scenario, pay attention to your body’s signals and stop eating when you feel full.

2. Eat only when you’re hungry

Boredom, stress, sadness, frustration, and loneliness are not good reasons to eat. I recently overheard a nurse say, “Today I’m eating my emotions!” while grabbing a doughnut and chips in the cafeteria. This is exactly what you don’t want to do! Or, if you do it, limit your indulgence to one day or one meal and get back to mindfulness the next. True mindful eating—as opposed to emotional eating—involves identifying your body’s signals and eating only when you receive the appropriate cues. In other words, it’s time to eat when

HEALTH CROSSWORD

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3. Develop a healthy eating environment

Mom knew what she was doing when she insisted that the entire family sit down at the table at a given time for each meal (and when she insisted we stop drinking milk directly out of the container). Sitting down with others at the table, putting food on plates, using utensils, and setting aside the TV, cell phones, and other distractions allows us to share and make connections with one another as well as slow down and enjoy the food and conversation to the fullest.

4. Make healthy food choices most of the time

Regular HLN readers will recognize this as my long-time mantra! It’s fine to enjoy the occasional indulgence, but on most days and at most meals, you should find nourishing foods that are both satisfying and comforting. The more nourished you are, the less likely you are to eat unhealthy “comfort” foods. Practice eating healthier foods and strive to continue expanding your variety. Remember, it takes about two weeks of healthy eating to really notice a change in your body, but you will begin to feel a difference physically, digestively, and mentally.

5. Think farm-to-table

As you pick out foods at the store or farmers market, take the time to learn where your food comes from and how it’s grown. Many of us don’t consider where a meal comes from beyond the supermarket. Paying Crossword more attentionby to Myles the foodMellor source 1

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allows us to connect to the food, its nourishing qualities, and the natural world around us more deeply.

Pausing to consider the people who made this food available can be a humbling experience.

6. When you’re eating, just eat!

How many of us eat while driving, sitting at our desks in front of the computer, or watching TV? Multitasking while eating is a recipe for missing your body’s cues. At mealtimes, try to disconnect and enjoy each other’s company as well as the food before you.

While formal mindfulness training is ideal and highly recommended, what we do and what we eat in the real world is often a different story. To get started on a better path, take these insights of slowing down, listening to your body, avoid multitasking, having meal rituals, and being more aware of your food and try them—or rather practice them—for the next few weeks. After eating, try writing down the two or three things that were positive about the meal, and most importantly, enjoy your holidays and your holiday eating in a more positive and mindful way.

There are many opportunities to learn more about mindful eating.

For example, check out YouTube videos, books, www.thecenterformindfuleating.org, wexnermedical. osu.edu, and aacfm.org (Ann Arbor Center for Mindfulness).

Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. ❦

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Bathroom safety tips for the entire family

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f all the rooms in a house, the bathroom is second only to the kitchen when it comes to family safety hazards.

When you think about it, the average bathroom is a veritable warehouse of dangers—toxic medications and cleaning chemicals, slip-and-fall hazards, electric appliances in close proximity to water sources, etc. In fact, family members of every age face at least some degree of risk in the bathroom.

Here are some of the most common bathroom-based hazards and steps you can take to eliminate them:

For the kids

The bathroom is an especially dangerous place for toddlers and very young children. Medicine bottles and chemical containers can be very attractive to them, so if they have unsupervised access to such products for even a brief period, an accidental poisoning can easily occur. Even so-called childproof caps will deter a determined child for only so long.

To keep medications or potentially caustic or toxic chemicals out of children’s hands, securely latch any cabinets or drawers that contain them.

Better yet, remove the substances from the bathroom altogether and store them in a high place, well out of a child’s reach.

Toilets and bathtubs present their share of safety hazards to kids as well. Young children seem to find the swirling water of a flushing toilet irresistible and are sometimes tempted to take a closer look. If the toilet seat should happen to fall shut at the wrong time, the result could be a painful black eye, bloody nose, cut lip, smashed finger, or other injury.

What’s worse, despite the relatively small volume of water toilets hold, it’s still possible for young children to drown in them. This most often occurs when an unsupervised toddler falls headfirst into the toilet and can’t get free. Installing an inexpensive toilet seat safety latch will help prevent such a tragedy as well as injury caused by a falling lid.

Bathtubs can cause injury if a child falls while attempting to climb

in, especially if the tub has high sides or is sunken.

And, parents must be especially vigilant at bath time to prevent accidental drowning or scalding. Young children should never be left alone in a bathtub (not even for a brief moment), placed in the tub while you’re filling it with water, or allowed to play with the faucet handles or spout while bathing. Also, set your home’s water temperature no higher than 120 degrees Fahrenheit to prevent accidental scalding.

To prevent slip-and-fall accidents, cover the bathtub floor with a nonslip bath mat.

With respect to electrical safety, parents or older siblings should never leave a hair dryer, hair straightener, curling iron, or other small appliance plugged in where a child can reach it or accidentally bump it into water.

Also, make sure any conventional electrical outlets you might have in the bathroom are replaced with GFCI (ground fault circuit interrupter) outlets, which will cut off the flow of electricity immediately if an improper ground situation—such as a hair dryer being submerged in water—is detected. Newer homes should have these already, but older ones may not. Check to be sure!

For seniors

Seniors will also benefit from many of the aforementioned bathroom safety features, such as using a non-slip mat in the bathtub and limiting the water temperature to 120 degrees, but additional safety measures may need to be implemented to accommodate the mobility limitations, reduced vision, balance issues, and memory/cognition problems that often accompany aging. Examples include: • Replacing a standard tub/ shower with a walk-in model • Using a bath bench to facilitate safer transfer into and out of the bathtub • Replacing throw rugs with lowpile, non-skid bath mats • Installing safety grab bars/ handrails around the tub/ shower and toilet n

Bathroom - continued on p46

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Healthy Living News | December 2018 35

Quality Care = Quality Results We are committed to providing the best care possible in an environment that promotes quality of life.

Do you have facial redness, flushing, acne?

Blush Aesthetics has solutions!

by Dr. Erin Hennessey

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The Manor at Perrysburg has proudly served the Perrysburg, Maumee, Rossford and Toledo areas since 1995.

When skilled nursing and rehabilitation is necessary, it is our goal to get you home safely – as quickly as possible.

Our experienced team of professionals focuses on you as an individual and your specific needs. We develop a therapy plan and approach that is designed to help you heal faster and achieve your unique goals. In an effort to ensure a complete continuum of care, our rehabilitation team includes: physicians, nurse practitioners, nurses, social workers and therapists. Our clinical care specialties include recovery programs for complex medical conditions along with traditional therapy.

Outpatient Services provide comprehensive Physical, Occupational and Speech Therapy – We offer a separate treatment center and state-of-the-art exercise equipment. Our therapy staff develops individualized plans of treatment for each patient we serve.

Specialized Services – Arthritis, Fall Prevention, Prehab, Pain Management, Stroke Recovery, VitalStim® Plus and Wound Care.

Long-Term Care, Hospice Care, Palliative Care – Arms of Care, Respite Care and Person Centered Care

36 December 2018 | Healthy Living News

s I look at pictures of Santa’s iconic rosy cheeks, I cannot help but wonder why none of his elves helped him with his rosacea. As the seasons change and we welcome weather that is unpredictable, some of us will experience flushing of the skin or pink or red nodules on the face. If you are experiencing these symptoms, you may have rosacea.

Rosacea is a common disorder of the skin that causes flushing and blushing but can also cause redness, swelling, visible blood vessels, and acne-like breakouts.

Usually the affected areas are the cheeks, forehead, nose, and chin, but occasionally the ears, chest, Before and back can be red all the time. Typically, the symptoms start after the age of 30, and the redness can worsen with environmental factors like cold weather, indoor heat, and sun exposure or other triggers like spicy food and alcohol consumption.

According to the National Rosacea Society, approximately 16 million Americans have rosacea, but only a small number of those affected are being treated.

Another cause of facial redness is acne and acne scaring. Most people assume that acne is a “teen” skin condition, and there is truth to that.

However, adults struggle with acne as well and often the same therapies that are effective in treating teen acne fail to improve adult acne. In addition, there are treatments that improve acne, but not the scars that it leaves behind.

Thankfully, we now have both! At Blush, we have the wonderful benefit of the technology ForeverClear Broad Band Light™ to help both rosacea and acne! In addition, we have multiple customized formulations of topical therapies that specifically target the type of acne you have for amazing results.

At Blush, we focus on controlling these conditions and improving the redness, scars, or marks left behind

for a glowing, beautiful appearance to the skin. Our Broad Band Light™ technology, new Blush Rosacea Silicone cream, and Blush Hormonal Acne cream have no downtime and can help you take steps toward clearer, more even skin.

Through the month of December, if you purchase three ForeverClear™ Acne and Rosacea treatments, you will receive one complimentary one on us.

This is great for college students to complete a treatment series over break, or for high school students that want to go back to school in January with renewed confidence.

ForeverClear™ is also used to treat adult acne and rosacea. Patients can resume normal daily activities immediately after treatment, / After and makeup or moisturizer can be applied in office after the treatment.

If you want to improve your confidence this winter or give the gift of great skin, call Blush Aesthetics for a free, personalized consultation. If you have someone in your life who would love to come see us, gift cards are available on our website at www. blushnwo.com. Follow us on Facebook and Instagram @blushaesthetics for additional deals and information. Let us come up with an effective plan for your skin improvement!

Dr. Erin Hennessey is a nurse practitioner at Blush Aesthetics. ❦ Answers to crossword from page 34 1

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

Talbot Services

A

Saving one life at a time— one day at a time

ddiction destroys families; it destroys lives, generation after generation. Talbot Clinical Services of Ohio, LLC and Talbot Services DIP offer people struggling with alcoholism and drug addiction the opportunity to reclaim their life and their family.

For over 12 years, Talbot Services DIP has been providing alcohol and drug prevention, education, and driver intervention services for Northwest Ohio. With the 2015 opening of Talbot Clinical Services, the organization took the next step in their life-saving mission by providing outpatient chemical dependency treatment with a special emphasis on opiate and heroin addiction.

Matthew Talbot, the organization’s namesake, was born in Dublin, Ireland, in1856. He died in 1925. By the age of 13, he was, by his own report, an active alcoholic and addict. In his early 30s, he had a spiritual experience that changed his life. He embraced recovery and spent the rest of his days working the docks of Dublin helping others find and maintain an alcohol- and drug-free life.

Following the example of Matt Talbot, and sponsored by a local hospital, the Talbot Center opened its doors in 1986 as an alcohol and other drug treatment center. For 20 years, the Center provided care for those afflicted by the brain disease of addiction. The hospital ceased providing those services in 2006.

Fortunately the vital education and intervention services continued uninterrupted with the incorporation of Talbot Services DIP. This independent effort is committed to continuing Matt Talbot’s example of caring for addicts and alcoholics—saving lives.

Education and intervention provided by Talbot Services DIP include: The 72-hour Driver Intervention Program designed for individuals who have been convicted of a first time charge of OVI, or operating a vehicle impaired. Clients are usually required by a municipal court to attend. These services are held over a three-day weekend in either the Rossford or Holland Court Yard Marriott Hotel.

The 48-hour Non-Residential Educational Intervention Program was

developed to meet the needs of those clients who have alcohol or drug-related charges.

The 8-hour Remedial Defensive Driving Program is a one-day course open to anyone who may have experienced a 12-point driver’s license suspension through the Bureau of Motor Vehicles or desires to earn a two-point credit to be applied to their driver’s license.

Six (6) Day Education/Plus Program is recommended for those required by the Court to complete an extended Driver Intervention Program for possibly having multiple alcohol- or drug-related offenses or a Breath Alcohol Concentration (BAC) of .17 or higher.

Our mission of saving lives continues via the services provided

by Talbot Clinical Services of Ohio, including: • Comprehensive diagnostic assessments • Medically assisted recovery • Outpatient treatment • Intensive outpatient treatment • Group counseling • Individual counseling • Case management • On-site urinalysis • Relapse prevention and alcohol/drug education • Use of suboxone and other medications.

Talbot Clinical Services does require regular attendance and participation in group, family, and individual therapy sessions as well as attendance at 12-step recovery meetings. All services are licensed by the Ohio Department of Mental Health and Addiction Services. Our doctors, nurses, counselors, and other staff are caring professionals, dedicated to recovery, with the highest regard for their clients.

Talbot Services offers three Toledo area locations: Treatment Services are provided at 732 Main St. Toledo, 419-691-0600. Driver Intervention Weekends are held at either the Courtyard Marriott at 9789 Clark Dr., Rossford; or the Courtyard Marriott at 1435 East Mall Dr., Holland, 419308-9859.

More information is available at talbotservicesdip.com. ❦

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Continue on Main Street through light at Starr Avenue – Talbot is on your right in the first block An Ohio MHAS Certified Provider Healthy Living News | December 2018 37

Still plenty of time to get your flu shot!

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We realize that you - the family member and care giver, are the most important person to an individual with Alzheimer’s Disease or a related dementia. We want you to be an integral part of the team. We will be there to guide you through those periods when you discover love is not enough to care for your loved one during the difficult times associated with dementia.

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he flu season has barely gotten underway, and already you’re seeing some worrisome signs. Co-workers have recently begun calling in sick.

Your spouse just spent the weekend in bed with a sore throat, fever, aching muscles, and fatigue. Your kids have mentioned that a lot of their classmates have been missing school lately. It’s probably just a matter of time before your number comes up and you come down with a debilitating case of the flu.

You might think to yourself, “If only I’d gotten a flu shot before the start of the season, I’d be protected.

Unfortunately, it’s already December, so it probably won’t do me much good to get vaccinated at this point.” But the truth of the matter is, despite the fact that the flu season has already begun, there’s still time to get vaccinated if you haven’t come down with the flu yet. Remember, the flu season runs from November until May and doesn’t typically peak until January or February.

It’s important to get a flu vaccine on an annual basis because the strains of flu that circulate during flu season

vary from year to year. Each year’s vaccine contains the strains that health experts believe are most likely to be circulating and causing illness during the upcoming flu season. Even if the current vaccine is composed of the same flu strains as the previous year’s vaccine, it’s still important to get vaccinated again because, according to the Centers for Disease Control and Prevention (CDC), last year ’s vaccine may not be strong enough to protect you this year.

What happens if you’re exposed to a strain of the flu not included in the vaccine? First, it’s important to keep in mind that, when the right flu strains are selected for the vaccine, the prevention rate is between 70 and 90 percent. You can become ill if you’re exposed to a strain not included in the vaccine, but the vaccine will still give you some protection against the most serious, life-threatening complications.

The CDC recommends that all people over the age of six months get vaccinated against influenza— especially those at greater risk of developing flu-related complications

that can lead to hospitalization or death, including children under the age of five, people age 65 or older, pregnant women, and people with chronic health conditions or a compromised immune system.

It’s also critical for people who live with or work around people in these higher-risk categories to get vaccinated.

Some people avoid getting the flu shot because they believe there’s a risk of contracting the flu from the vaccine itself. However, this fear is unfounded. The flu vaccine is available in two forms: an injection and an intranasal mist. The viruses contained in the injected form are inactivated, or dead, so there’s no chance that they can cause the flu. The intranasal mist contains attenuated, or weakened, viruses and is approved for healthy people between the ages of 2 and 49 years, with the exception of pregnant women.

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nobody’s perfect Have a healthy, holistic holiday season

by Sister Karen Zielinski, OSF

I

never thought I would feel this way, but the gifts that have moved me (almost to tears) are simple gifts from the heart. My elderly neighbor, John, used to open the door to my building when he saw me coming home. I use an electric cart because of my multiple sclerosis, and he used to come out and open two doors for me. Actually, it is easier if I do it myself, but how could I deny his gift to me? His thoughtfulness touched me.

Another neighbor, Helen, gave me her homemade breadcrumbs.

Often, she would ask, “Need any bread crumbs?” I always accepted them—and then I used them in some recipe.

What touched me about these gifts was that they came from the person’s heart—they were from their heart to mine.

Do not get me wrong—I like gifts.

I enjoy a candle for my prayer corner, scented lotions and books, but the gifts from my Johns and Helens really were given to me. Person-to-person.

Their gifts remind me of “The Little Drummer Boy”: “Come, they told me. I have no gifts to bring. Shall I play for him?”

Simple, heartfelt gifts are countercultural, a gift exchange that can’t be beat. Each time I hear “The Little Drummer Boy,” I am grateful for the profound, yet simple gifts they gave me. Maybe each time we hear a special holiday song we can prepare

our hearts for the simple gifts our friends will give us this Christmas or holiday season.

The holiday season, which begins for most Americans with Thanksgiving and continues through New Year’s Day, often brings unwelcome guests—stress and depression. There are never enough days to plan a perfect holiday. Instead, we might find ourselves facing a dizzying array of demands—parties, shopping, baking, cleaning, Advent activities at church, and entertaining, to name a few.

We can rediscover the meaning of any holiday we celebrate by mindfully choosing what we want to do, planning people-centered events, and basically simplifying our season.

We need to think carefully about all the different aspects of these special days—mindfully, in the framework of our spiritual, physical, and emotional health—and not center on just one aspect, like shopping. Some areas that need balancing and simplifying during the holidays might include:

Church events

• Do a daily Advent or preholiday meditation each time you see an Advent wreath, candle, or symbol that represents your holiday.

• Pray the Liturgical readings a few days each week from an online site or a parish missal.

• Decide which parish/worship activities you will participate in/ attend.

Family and home

• Simplify home decorations, limit new purchases, put up one tree, and hang fewer outdoor lights.

• Cut back on food for the holidays—serve one less meat or bake one less cookie.

• Have a talk with relatives about consolidating family gatherings.

Gift giving

• Reduce your gift giving, and give only consumable things like soaps or homemade meals.

• Cut down on Christmas cards.

Call those who are out of town, or visit them in the New Year.

• Adopt a non-profit organization or church project. Donate time and treasure to it.

Revolutionize gifts

• Call or visit someone in a nursing home or someone who lives alone. So many people are lonely, and ongoing attention might mean much more than another pair of pajamas.

• Make or buy a meal and eat it with them. Check on what they like to eat (make certain it is healthy for them based on their health), and talk to them while you share your presence.

• Adopt a nonprofit organization or church project. Donate something to it, and ask your friends to help you make decisions while you call or support the organization.

A compromise of gift giving seems like a great idea. Give a smaller gift, like a small wreath for their door, an LED flameless candle, or a bar of good scented soap. Add a gift of visiting them once a month, and let them choose what you will do. They might like you to read parts of a book when you visit or play a movie from an iPad or tablet. Bring popcorn and make it a theatrical visit.

Another gift might be taking them out for lunch or a visit when you bring Chinese carryout to their room. Visit with them, and plan your next lunch.

Another wonderful gift might be a promise to take them to a drugstore or dollar store. A simple activity like going shopping can be a wonderful event, especially when a person does not drive much or needs a little more help getting around.

The gift of attention is what is important. You might bring a small item, but people are grateful. Everyone likes to be remembered, no matter what you give or who they are. So, be a little creative this season, and give the generous gift of your presence.

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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It’s never too early to set your New Year’s fitness resolutions

by Amanda Manthey

W

ith 2019 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 twomonth 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 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 help regulate your busy lifestyle and help you reach your personal goals.

• Develop a fitness/exercise consciousness. 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.

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

Swanton Shines 5K Run/Walk and Kids Run Saturday, December 1, 2018, 5:00 p.m. (Kids Run at 6:00 p.m.) at Pilliod Park, 305 Chestnut Street, Swanton, Ohio.

7th Annual Jingle Bell 5K Saturday, December 1, 2018, 9:00 a.m. at 901 E. Main St., Leipsic, Ohio.

Miracle on Main Street 5K Sunday, December 2, 2018, 4:00 p.m. (Santa’s Little Helper Kids Dash at 5:00 p.m.) at 5651 Main St., Downtown Sylvania, Ohio.

Great Scot and Findlay YMCA Jingle Bell Jog Saturday, December 22, 2018, 9:00 a.m. at Great Scot, 2021 Broad Ave., Findlay, Ohio.

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Advice - continued from p21

maintain that lifestyle, it’s important to find activities that you can work into your daily routine and that you enjoy.

Here are a few ways to sneak in some exercise during the holiday time so you don’t have to wait until 2019: • Take the stairs instead of the elevator.

• Do some type of housework every day that keeps you moving for at least 15 minutes at a time.

• Park at the far end of the shopping center parking lot and walk to the store.

• Walk down each and every aisle in the store, even if you don’t need something in that aisle.

• Walk in place or do stretches while watching television.

• Walk around the inside of your house while you are talking on the phone.

• Get up from your desk and walk a lap around your office once every hour while you are at work.

• Put on your favorite music and dance, dance, dance!

• Do a 15-minute body-weight n

Lymphoma - continued from p7

developing the disease. As previously mentioned, age (over 60 for non-Hodgkin’s and between the ages of 15 and 40 for Hodgkin’s) is a risk factor for both forms. Other factors known to elevate risk include European ancestry; exposure to certain chemicals such as agricultural pesticides or herbicides; nuclear radiation exposure; prior chemotherapy or radiation; being immune-deficient or having an autoimmune disease; exposure to HIV, Epstein-Barr virus, human herpes virus type 8, Chlamydia, Helicobacter pylori, or hepatitis C; having poorly controlled celiac disease; having breast implants; being overweight or obese; and consuming too much dietary fat.

“Remember, lymphoma is most curable when it is caught and treated early—and the key to early detection is knowing the risk factors and warning signs. If you experience any of the symptoms described here, don’t hesitate to see your doctor for an evaluation,” Dr. Trivedi advises.

The Toledo Clinic Cancer Centers, located at 4126 N. Holland

42 December 2018 | Healthy Living News

exercise challenge daily: squats (getting up out of a chair), wall push-ups, marching in place, “TYI” with the arms, lateral lunges/steps, and bending over and touching your knees are some exercises that could be part of our daily routine.

You can probably think of some additional simple ways to add exercise into your day. Keep in mind that all activity burns calories and any activity that you add into your day means more calories burned. Challenge yourself to see how much activity you can add and have fun with it!

Have a safe and wonderful holiday from your Heartland Rehabilitation family.

Heartland Rehabilitation, your local outpatient physical and occupational therapy provider, can assist you in the development of a healthy exercise program or if you are recovering from an injury. Heartland has four locations in the greater Toledo and Bedford, Michigan areas with experienced and knowledgeable therapists. For more information, contact Jim Berger at 419-787-6741 or jberger@hcr-manorcare.com.Therapy for Today…Wellness for Life. ❦ Sylvania Road, Suite 105, has 15 physicians, 4 research nurses, and 6 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Napoleon, Bowling Green, Adrian, and Monroe, as well as a partnership with the Mercy Health – Perrysburg Cancer Center for the convenience of the patient.

TTCCC has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National Committee for Quality Assurance.

Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience. TTCCC is the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition.

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

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The top five conditions treated with acupuncture

by Douglas A. Schwan, DC, Dip ac

A

cupuncture is effective in treating a wide range of conditions.

Some of them might even surprise you. Here are the top five:

1. Infertility

For thousands of years, acupuncture, in combination with other adjuncts of Oriental Medicine, has been successfully used to treat infertility.

Researchers are beginning to study the effects that acupuncture produces in a woman’s body.

Anovulatory infertility, which is infertility caused by lack of egg release during the monthly cycle, is one of the most common causes of infertility. An article in the Journal of Taishan Medical College noted that acupuncture treatments in combination with traditional clomiphene therapy increased pregnancy rates, increased blood flow through the uterine arteries, and reduced side effects caused by the clomiphene.

Pregnancy rates were notably higher and side effects were greatly decreased over the traditional clomiphene plus estradiol cypionate and dydrogesterone protocol when just acupuncture and clomiphene were used.

When adding acupuncture to IVF treatments, an increased successful implantation rate of 15 to 17% has been reported.

2. Chronic inflammation

Inflammation comes in many forms. You jam your finger on a door jamb, and within minutes it’s red, sore, and warm. This is acute inflammation, and it is a sign that the body is beginning the healing process as blood and proteins flow into your damaged finger. A few days later, your finger is back to normal.

But there is another, more insidious type of inflammation called chronic inflammation. Chronic inflammation is more of a system-wide problem.

It is inflammation run amuck. It has been linked to everything from diabetes, arthritis, and fibromyalgia

to hair loss, Crohn’s disease, and Alzheimer’s disease.

Chronic inflammation is linked to a haywire immune system, which attacks healthy tissues. Symptoms of chronic inflammation vary wildly, but depression, stomach pain, joint pain, and chronic fatigue are all common symptoms.

Researchers have long known that acupuncture treatments help when it comes to treating the symptoms associated with chronic inflammation.

Through intense research, they are beginning to understand the underlying mechanism of action.

Inflammation, whether chronic or acute, begins with a cascade of pro-inflammatory proteins. One of these, tumor necrosis factor alpha (TNF-a), is found to be inhibited by acupuncture treatment. Acupuncture also seems to help calm the large vagus nerve that is linked with the immune response.

3. Pain

Perhaps one of the largest conditions treated by acupuncturists is pain.

Pain is the body’s warning system that something is wrong. Sometimes the pain response is broken and chronic pain ensues. This is one reason the prescription of opioid medications is so prevalent in our society today.

Many studies have shown that acupuncture is effective for many types of pain. Researchers have had to dig down to try and figure out the mechanism by which acupuncture works. Recent studies have demonstrated that acupuncture stimulates the release of neurotransmitters, including opioids, in the central nervous system. Acupuncture has also been shown to cause changes in beta-endorphin production via the hypothalamus. Beta-endorphins and natural opioids are the body’s own pain-suppression system.

4. Nerve repair

Carpal tunnel, Bell’s palsy, peripheral neuritis, sciatica, and radiculopathy are just a few examples of nerve damage in the body.

Acupuncture assists in the promotion of nerve healing. According

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to one major study, published in Neural Regeneration Research, nerve conduction tests of acupuncture patients with nerve injuries showed “an effective response” in 80% of patients participating in the study.

The results indicate that acupuncture treatments promote functional repair after nerve injury.

5. Failed back and neck surgery syndrome

Patients seem to be pouring into physicians’ offices with complaints of chronic pain localized to a past spinal surgery. This complaint has become so prevalent that doctors have named it “failed back surgery syndrome” (FBSS). Typically, a patient will have back surgery and initially get favorable results. But after a few years, the pain returns to the surgical site with a vengeance.

At this point the pain seems to involve a chronic inflammation of the

soft tissues at the surgical site. This type of back pain is not correctable through additional surgery, and patients are frequently referred to pain-management centers.

One recent study involved 80 patients. The improvements noted included a reduction in back or neck pain and leg or arm pain. Also noted were improvements in sensory and motor nerve impairment. Patients who were previously heavily impacted in their ability to perform activities of daily living found they were able to do much more after treatment.

Recent advances in acupuncture include a technique called micropulse acupuncture. This technique has proven particularly effective in controlling pain of chronic injuries and FBSS. In this technique, traditional acupuncture needles are placed in points near the old surgical site. A n

Acupuncture - continued on p46

Are You Suffering?

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AcupuncTure cAn help.

• Migraines, Fibromyalgia & Arthritis • Infertility, Menopause & PMS • Bell’s Palsy, Carpal Tunnel & Sciatica • Pinched Nerve, Allergy & Sinusitis • Smoking, Weight & Stress Control

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“My husband and I had a two pack a day cigarette habit.

We tried patches, gum and drugs but nothing worked.

A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!” ... Kristin & Tyler

Dr. Douglas Schwan, Licensed Chiropractor & Acupuncturist Over 32 Years experience with holistic health care Educated: Palmer College & International Academy Medical Acupuncture

Schwan Chiropractic and Acupuncture is dedicated to promoting health and wellness through the traditional Eastern techniques of acupuncture, nutrition, chiropractic and lifestyle choices.

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In the Park - continued from p11 enter another 25 mph zone. Over and over and over. Remind me again how a leisurely pace is less stressful.

Or, perhaps you have driven west on I-70, I-80, I-90, or I-94 and you know that crossing Kansas, Nebraska, or either of the Dakotas can bring out the child in all of us: “Are we there yet?” It’s not really 17,000 miles across Nebraska. It just seems like it. So we look for attractions and distractions along the way. We would never drive 2,000 miles just to visit Badlands National Park, Mt. Rushmore, Devil’s Tower, Wind Cave National Park, Theodore Roosevelt National Park, or the Little Big Horn Battlefield. Or any of the second tier attractions: Scott’s Bluff, Signature Rock, the home of Buffalo Bill Cody, and Fort Laramie for example. Even the Corn Palace in Mitchell, SD. In Central Kansas, there is a sign inviting travelers to “See the Rattlesnakes Pet the Baby Pigs.” We have been tempted a couple times but have not yet seen the snakes pet the pigs.

In contrast to the Plains States, I don’t think there is such a thing as a boring highway mile in the whole state of Utah, home of five national parks plus easy access to Monument Valley and the Grand Canyon that are just across the line in Arizona. Utah is gorgeous even if you never went to one of the national parks. Which would be just plain foolish. And one

Toledo’s very 0wn historic place, in Point Place-Toledo Yacht and Social Club

n

One of these days, you should consider taking Rt. 101 along the Oregon-Washington coast.

of these days you should set aside time to take Rt. 101 along the coast of Oregon and Washington. We can also recommend The Loneliest Road in America—Rt. 50 across central Nevada from Reno to Ely. Simply stunning scenery. The road crosses a series of ridge tops from which you can see from here to eternity. And virtually no traffic.

Another kind of road is the one that is barely a road at all—the gravel roads typically found in national forests of the West. Sometimes they

W Devil's Tower is a convenient stopover when we are headed to or from Wyoming and Montana. According to the movie, it was also a convenient stop for space aliens making a brief encounter of the third kind.

even dispense with the gravel so it is just dirt. As fly fishers, Shirley and I often rely on unpaved roads in the mountains of Colorado, Wyoming, Idaho, or Montana because trout insist on living only where the streams run clear and the scenery is magnificent.

Traffic tends to be light, which also contributes to the restful solitude.

hat a great setting if you are looking for a place to have a gathering or a holiday party.

The Toledo Yacht Club, 3900 Summit Street, is now available to rent for private parties, showers, weddings, conferences, retreats, or group meetings. There is a beautiful ballroom as well as two other different size dining rooms available for rental. The location, overlooking the Maumee Bay, and the newly redecorated and updated rooms with water views make the Toledo Yacht Club the perfect setting or any occasion. You will find the rental fees considerably less than other venues of this excellence.

Memberships are also available. Yes, it is a social club as well as a yacht club.

You don’t have to own a boat to be a member either. There are a lot of club activities for non boaters, as well as a restaurant, bar and pool. However, there are plenty of docks available for boats ranging in size, from 18 to 80 feet.

TYC has deep-water docks and very Toledo Yacht and Social Club easy access to Lake Erie. It is right on the Bay. Members also have the ability to use the rooms for private parties at no cost. A special membership drive is going on right now.

There is also a great restaurant, Saba’s Bistro, open to the public every Friday and Saturday evening from 5:30 to 8:30. You can make reservations (419-283-4864) or just come for open dining.

If you would like to take a tour of the Toledo Yacht Club, find out about membership or dockage, or rent the facility, call 419-726-3485. There is a new manager and plenty of willing members that would be glad to show you around the club. ❦

We drove a bumpy gravel road up Pacific Creek just so Shirley could catch this nice cutthroat trout.

The quality of forest service roads varies widely. Some are well maintained and you can cruise right along.

Thing is, you never know when you might suddenly encounter a serious rut, a stretch of washboard, or an obstacle course of random potholes.

Fortunately, as a Toledoan, I have certification in advanced pothole avoidance. Even so, Shirley gets a little nervous when she hears glass jars clashing together and the cupboard doors come popping open. It is a price we are willing to pay because a gravel road always means we are headed someplace special.

If you love where you are going, what you are doing, and who you are with, it doesn’t really matter what kind of road you are on. They are all just a walk in the park.

LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for his photos. You might want to see more at anotherwalkinthepark. blogspot.com. Please leave comments on the blog site. ❦

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Healthy Living News | December 2018 45

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

TO THE POINT

RECOVERY FROM STROKE This patient had tried alternatives and hadnâ&#x20AC;&#x2122;t found a solution. Until she visited Tamara TCM Wellness Clinic. Hear what she had to say: â&#x20AC;&#x153;After months of occupational and physical therapy, I decided to include acupuncture and alternative medicine to help me recover from a devastating stroke in 2012. I am happy to report that Tamara TCM is the leading factor for the feeling and movement that I have regained in my arm and leg since my stroke a year a go. Tamara has been a very important part of my recovery and I recommend her to you without any reservations. I have been impressed with the wide variety of health issues she has been able to effectively treat. Whatever your symptoms; I am sure Tamara can help you to feel better. sheâ&#x20AC;&#x2122;s the Best, Give Her a Try!â&#x20AC;?

This story is just one of the many successes at Tamara TCM Wellness Clinic.

Many conditions are effectively treated with acupuncture.

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

419.345.4996

John Kranz, 89, has leg weakness and instability due to a stroke, which has caused him to fall on several occasions. After learning about the AlterG from a posting on Luther Crestâ&#x20AC;&#x2122;s mailroom bulletin board and discovering that The Laurels of Toledo has one available for rehab clients, he decided to go there and give it a try on an outpatient basisâ&#x20AC;&#x201D;taking advantage of the facilityâ&#x20AC;&#x2122;s free bus transportation service to get to and from appointments. â&#x20AC;&#x153;My most recent fall was about three weeks ago when I was coming back to my room from the mailroom, and it took me about three days to get over the soreness,â&#x20AC;? Kranz recalls. â&#x20AC;&#x153;I knew I needed to work on the weakness in my legs as well as the stability in my right knee, which sometimes just gives out. I use a walker, but Iâ&#x20AC;&#x2122;m trying to get away from the walker and back to a cane.

Iâ&#x20AC;&#x2122;m hoping the AlterG will help in that regard.â&#x20AC;?

Kranz is also impressed that the state-of-the-art AlterG technology was developed by NASA. This is, perhaps, not surprising since John Kranz is first cousin to Gene Kranz, the famed NASA flight director best known for his oversight of the historic Apollo 13 mission.

The first time he used the AlterG, Kranz was a bit surprised when the chamber was inflated and he was lifted off his feet, but four sessions later, he is pleased with the technology and optimistic that it will help him regain his strength and stability. â&#x20AC;&#x153;The AlterG has been really helpful.

It gives me the positive outlook that I can make real progress. It will take time to see one way or another, but Iâ&#x20AC;&#x2122;m going to keep trying as long as theyâ&#x20AC;&#x2122;ll let me. I want to get as much out of it as possible, and I donâ&#x20AC;&#x2122;t want

Pins not your thing?

We offer massage too!

to miss a single session,â&#x20AC;? he says.

The Laurels of Toledo accepts Medicare, Medicaid, and most private commercial insurances. With a physicianâ&#x20AC;&#x2122;s order, outpatient therapy at the Laurels is available, as well as inpatient rehabilitation stays and long-term care. For more information, call 419-536-7600 or visit www. laurelsoftoledo.com. â?Ś

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Acupuncture- continued from p43

micropulse generator attached to the needles sends a micro electrical pulse down the needle into the tissues.

This has the effect of stimulating the regrowth of micro blood vessels into the area, allowing the body to restructure fibrous scar tissue into a healthier connective tissue and releasing trapped inflammatory acids contributing to the chronic pain.

Modern research has demonstrated acupunctureâ&#x20AC;&#x2122;s effects on the nervous system, endocrine and immune systems, cardiovascular system, and digestive system. By stimulating the bodyâ&#x20AC;&#x2122;s various systems, acupuncture can help to resolve pain and improve sleep, digestive function, and sense of well-being.

Patients interested in acupuncture are encouraged to find a physician who practices this form of Eastern medicine and discuss their health concerns. Most physicians will offer a free consultation to see if acupuncture is a â&#x20AC;&#x153;good fit.â&#x20AC;?

Slowly, insurance companies are beginning to see the benefits of acupuncture treatment. In Ohio, acupuncture is covered 100% by Veterans Benefits, Ohio Medicaid, and Workers Compensation. Acupuncture is also covered by a few health insurance plans, but not all. If your plan covers acupuncture, make sure your provider will bill your insurance company for

O VERLOOKING THE B AY & R IVER

Host your celebration at the

Sabaâ&#x20AC;&#x2122;s Bistro Restaurant

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

Laurels - continued from p15

3900 Summit Street, Toledo

3 beautiful, different size rooms available to rent for:

â&#x20AC;˘Holiday Partiesâ&#x20AC;˘Weddingsâ&#x20AC;˘Showersâ&#x20AC;˘Meetings

46â&#x20AC;&#x192;December 2018â&#x20AC;&#x201A;|â&#x20AC;&#x201A;Healthy Living News

CALL 419-726-3485 FOR DETAILS

Bistro Restaurant Sabaâ&#x20AC;&#x2122;s open every Friday and Saturday

5:30-8:30 at TYC. Call 419-283-4864

Open every Friday and Saturday 5:30-8:30 at Toledo Yacht Club.

Call 419-283-4864

the service. If your company offers a FLEX spending account or HSA account, those funds may also be used to cover acupuncture costs.

While around for thousands of years, acupuncture is now being accepted as a legitimate treatment in the management of many conditions in Western medicine.

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. â?Ś

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Bathroom - continued from p35

â&#x20AC;˘ Increasing the overall illumination for maximum visibility â&#x20AC;˘ Installing a light or increasing the level of illumination in the medicine cabinet to prevent dangerous medication mix-ups â&#x20AC;˘ Installing a nightlight in the bathroom â&#x20AC;˘ Replacing glass shower doors with break-resistant plastic â&#x20AC;˘ Clearly labeling or color-coding the hot- and cold-water faucets.

For everyone

Regardless of your age or physical condition, potential dangers await you in the bathroom. Anyone can slip and fall on wet linoleum, tile, or marble, so non-slip mats should be a feature in household bathroom.

And, even though an adult is unlikely to intentionally submerge an electrical appliance, it takes only a small oversight to bump a hair dryer or curling iron into the toilet, tub, or sink. If you get in the habit of unplugging and putting these items away when youâ&#x20AC;&#x2122;re not using themâ&#x20AC;&#x201D;or better yet, use them in the bedroom insteadâ&#x20AC;&#x201D;you can eliminate the risk of electrical injury.

Proper handling of chemicals in the bathroom should also be a concern for family members of all ages. Many cleaning fluids are volatile and can cause severe burns or eye injury if accidentally spilled or splashed. Even their fumes can pose a health risk, so itâ&#x20AC;&#x2122;s imperative to make sure the bathroom is properly vented before you begin cleaning. â?Ś

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

Continuing Healthcare of Toledo 4420 South Ave. Toledo, Ohio 43615 419-531-4201 www.ContinuingHC.com

Rosary Care Center 6832 Convent Blvd.

Sylvania, OH 43560 419-882-2016 www.sistersosf.org

Genacross Lutheran Services Wolf Creek Campus 2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 www.GenacrossLutheranServices.org

Darlington Nursing & Rehabilitation Center

Plaza Apartments 2520 Monroe Street

2735 Darlington Rd.

Toledo, Ohio 43620

Toledo, Ohio 43606

419-244-1881

419-531-4465

www.vmc.org

www.darlingtonnursinghc.com

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

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

Foundation Park Alzheimer's Care Center

St. Clare Commons

The Manor at Perrysburg

12469 Five Point Road Perrysburg, OH 43551

250 Manor Drive Perrysburg, OH 43551

419-931-0050

419-874-0306

www.homeishere.org

www.ManorAtPerrysburg.com

Sunset House

Ohio Living Swan Creek

Franciscan Care Center

4030 Indian Rd. Ottawa Hills, OH 43606

5916 Cresthaven Lane Toledo, OH 43614

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

419-865-4445

419-882-6582 www.homeishere.org

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

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

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

419-724-1200

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

www.sunset-communities.org

www.otterbein.org Connect with our advertisers via our online issue at www.hlntoledo.com

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

419-386-2686 www.sunset-communities.org

www.foundationpark.com

www.ohioliving.org

419-381-9447 www.parkcliffe.com

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

419-385-3958

419-536-4645

4226 Parkcliffe Lane Toledo, OH 43615

Fieldstone Villas

1621 S. Byrne Rd. Toledo, OH 43614

www.sunset-communities.org

Parkcliffe Community

Charter Senior Living of Oak Openings 6805 Sylvania Avenue Sylvania, Ohio 43560 419-419-0408 www.charteroakopenings.com

Browning Masonic Community

The Laurels of Toledo 1011 Byrne Road Toledo, OH 43607

8883 Browning Drive Waterville, Ohio 43566

419-536-7600

419-878-4055

www.laurelsoftoledo.com

www.bmcohio.org

Genacross Lutheran Services Toledo Campus 131 Wheeling St. Toledo, OH 43605

Genesis Village 2429 S. Reynolds Rd. Toledo, OH 43614 419-720-1286

419-724-1414 www.GenacrossLutheranServices.org

www.genesisvillage.org

Healthy Living News | December 2018 47

It Takes Two to Tango H E A LT H C A R E F O R T H E U N I V E R S E O F YO U

The way you move moves the people around you. Move pain-free with orthopedic and sports medicine care from Mercy Health, the official physicians of pro and more everyday athletes. To find a sports medicine or orthopedic doctor near you, visit mercy.com/ortho

Orthopedics and Sports Medicine