HLN February 2014

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News February 2015 • FREE

Also available at hlntoledo.com

Give Parkinson's a one-two punch!

Also in this issue: • Get your skin ready for spring • Start making heart-healthy choices • You can beat job burnout!

• Excellence through Catholic education • How to avoid medication mishaps

• Sound Advice • Lifelong Learning • Academy Corner • Senior Living Guide • And much more...

Caring expertly. For every heart. mercyweb.org/heart

Get your skin ready for spring

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck?

These unfortunate changes caused by prior sun exposure can be improved dramatically with painfree, non-invasive cosmetic procedures performed by Dr. Handler.

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

This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin.

With only one treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain!

Is your dermatologist a dermatologist and is he/she board certified?

Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology.

Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

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

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

The results are diminished lines and a more “wide awake” and less tired appearance.

These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months!

Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen.

This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

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

To view before-and-after photographs of patients who have had these procedures performed

by Dr. Handler, visit Dr. Handler ’s website at drharveyhandler.com. For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400.

Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging.

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

Full Body Exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women

A

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

There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth.

Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients!

After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth.

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

www.drharveyhandler.com

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

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery.

No injections.

No downtime.

Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

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

419.885.3400

e lthy l ng ews

February 2015 • Vol. 20, Issue 2

Your Monthly Guide to Healthy Living

TAKING CARE OF YOUR LIFE

HEALTH & BEAUTY

12 Innovative program puts the brakes on job burnout 16 Senior living guide 17 The senior community transition: What are you really leaving behind?

29 Top 10 reasons to give tennis a try in 2015

by Mark S. Faber, USPTA Elite Professional 33 Time for a resolution reality check!

36 Health Crossword, by Myles Mellor 38 Running tips for beginners, by Amanda Manthey 42 A Walk in the Park Recovering from Selective Blindness Syndrome, by LeMoyne Mercer

2 Get your skin ready for spring 4 Research studies yield powerful tools to combat disease 7 Prostate cancer presents unique screening and treatment quandary 8 There’s no time like the present to start making heart-healthy choices!

11 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Shousher, AuD, CCC-A 24 Cardiac rehabilitation can help improve quality of life, by Dalynn Badenhop, PhD 25 Five tips to avoid medication mishaps 27 Acupuncture and real science

by Douglas A. Schwan, DC, Dipl ac 32 Spiritually Speaking What is love?

by Sister Mary Thill 34 Hearing screening vs. hearing test

by Randa Mansour-Shousher, AuD, CCC-A 40 Keep your heart healthy during the winter months

by Ashley Romijn, BSPS, and Michelle Schroeder, PharmD, BCACP, CDE 45 Nobody’s Perfect Be honest with your doctor

by Sister Karen Zielinski, OSF

FOOD & NUTRITION 14 The Academy Corner Optimizing a diet for weight loss

by Jason Liu 36 Eating Well Eat your way to a healthier heart

by Laurie Syring, RD/LD

OUR COMMUNITY 5 Delivering Parkinson’s disease a punch

by Christine A. Holliday 13 Lourdes Lifelong Learning: an educational, engaging, and social experience for adults 22 Vets benefit from clothing drive

by Christine A. Holliday 31 Otterbein Portage Valley offers way to prepare for upcoming surgeries 35 New Executive Director named for Lutheran Home at Toledo 39 Laurels rehab guest gives new meaning to “politically active”

Dear Readers, Thank you for picking up the February issue of Healthy Living News. Our cover story this month, written by long-time HLN contributor Chris Holliday, shines a spotlight on the new Knock Out Parkinson’s program, which helps local residents with Parkinson’s disease manage their symptoms in a most surprising way—through the sport of boxing. See page 5 for more details on this innovative approach.

In commemoration of National Heart Month, this issue is also brimming with information on how to keep this vital organ pumping strong, including insights on making heart-healthy choices from Mercy physician Dr. Karina Zapiecki (p. 8); advice on protecting your heart during the winter months from our friends at the University of Toledo College of Pharmacy (p. 40); suggestions for eating

CHILDREN & PARENTING 20 Catholic education—Values received, excellence achieved 21 Notre Dame Academy accepting applications to grades 7–9 21 Tips on empowering your daughter

Connect with Friends who Like Healthy Living News!

your way to a healthier heart from Laurie Syring, chief clinical dietitian at ProMedica Flower Hospital (p.

36); and much more.

Of course, that’s just scratching the surface! If you’re a parent who is currently exploring the various educational options for your child, be sure to read “Catholic Education—Values Received, Excellence Achieved” on page 20.

Or, if you’re an adult exploring educational opportunities for yourself, don’t miss the article on Lourdes University’s Lifelong Learning program (p. 13).

Here at HLN, we’re strong advocates of research studies. Without clinical trials—and the selfless volunteers who participate in them—none of the state-of-the-art medications, devices, or techniques currently used by healthcare professionals would have ever seen the light of day. If you or someone you love

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@HLNToledo

could benefit from participating in a study, we urge you to read the article on page 4.

In it, Melanie Wheeler, corporate director of ProMedica Research, clears up many of the misconceptions people might have about the risks or requirements of volunteering for these trials.

Last but not least, we’re extremely gratified to hear about the response our advertisers consistently receive from HLN readers.

Without advertising support, we could not continue bringing you the very best and latest in locally written health and wellness articles. So whenever you’re in need of a product or service, we urge you to contact our advertisers first. Tell them you saw it in Healthy Living News!

Until next month, stay safe, active, and healthy!

PROMEDICA IS GOING RED FOR PROMEDICA IS HEART GOING MONTH. RED FOR HEART MONTH. Help us celebrate National Wear Red Help us celebrate ® Day by wearing red National Wear Red ® on Friday, Feb. 6.red Day by wearing

on Friday, Feb. 6.

Share your heart Share month your selfie. #ToledoGoRed heart month selfie. #ToledoGoRed

promedica.org/heart promedica.org/heart

© 2015 ProMedica

© 2015 ProMedica

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

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

Contacts Business office:

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

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

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

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

Research studies yield powerful tools to combat disease

E

very state-of- the-art medication, device, or technique used by today’s healthcare professionals to fight disease or improve patients’ quality of life is available thanks to selfless volunteers who participated in research studies in the past. And it’s only through current clinical trials that the science of healing can advance for the sake of tomorrow’s patients.

Yet despite the potential benefits research studies offer to patients and practitioners alike, many people are reluctant to enroll in them due to certain misconceptions they might have about the risks or requirements of participating.

According to Melanie Wheeler, RN, BSN, MBA, CCRC, corporate director of ProMedica Research, “There’s a lot of misinformation out there regarding clinical trials, but without them, we simply cannot advance care for today’s patients

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC

Once participants are enrolled, they can’t leave Wheeler strongly emphasizes that participation in research studies is strictly voluntary at every stage. Patients are free to change their minds and leave a trial at any point, for any reason, without putting their ongoing treatment in jeopardy.

Participants are “lab rats” or “guinea pigs” As part of the extensive process of informed consent, the FDA requires

Constipation Frustration?

Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net.

Publisher: Kevin O’Connell

or for our children, grandchildren, and future generations. So a lot of education needs to be done.”

Wheeler notes that a general fear of the unknown is the biggest obstacle to participation in studies and identifies several prevalent myths that she and the ProMedica Research team strive to overcome. Among them:

Is your child suffering from constipation?

If your child is: •

Between 6-17 years of age

•

Is capable of and willing to swallow capsules

•

Suffers from constipation

Your child may be eligible to participate in a research study.

Social Media: Miranda Hassen Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe.

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

Why Participate?

• • • • • •

The investigational drug is already approved for use in adults.

All study-related clinic visits, medical evaluations, and study medication will be provided at no cost.

Participants may receive compensation.

The study requires only 6 clinic visits and 2 phone calls.

By participating, you and your child may help other children find relief from constipation.

––––––––––––––––––––––––––––––––––––––––––––––––––––––

For more information contact: Bonnie (Clinical Study Coordinator)

(419) 291-8200

that all study participants be advised of potential benefits, risks, and side effects of the therapy, and be made fully aware of what will be required of them at visits, how long they’ll be in the study, and the fact that continued participation is always voluntary. They must also be given an opportunity to ask any questions they might have.

During studies, participants are never subjected to any treatment or test that wasn’t fully disclosed and discussed in the informed consent process, and strict guidelines are in place to ensure they are treated fairly and ethically throughout.

They might get a placebo instead of an active treatment Contrary to popular belief, not all research studies involve the use of placebo. In fact, in many trials, it’s unethical to use one. For example, research on any drug for a serious or life-threatening illness, such as cancer or infection, would compare the effectiveness of the investigational drug to that of a proven drug that is considered the current standard of care—not to a placebo.

“However, even those who do get a placebo or the standard of care in a clinical trial tend to do better than non-participants because of the closer monitoring and more frequent visits, lab work, and follow-up involved.

Plus, if needed, the study coordinator can follow up with the participant’s primary care physician to get him or her seen, often on the same day rather than weeks down the road,” Wheeler adds.

They won’t get all the information they need to make an informed decision Again, informed consent is a vital and continuous process in any clinical study. Participants are not only given an extensive informed consent document to read and understand initially, but they also receive ongoing education and explanation throughout the course of the study.

Furthermore, patients are assessed to ensure they are able to comprehend everything outlined in the informed consent document, and Wheeler encourages them to involve family members, friends, caregivers, or other interested parties in the informed consent process. “The more people who are there to listen and understand what’s going on, the

better,” she says.

Ideally, patients considering participating in a research study will take home all the information they’re given, read it over carefully, discuss it with their loved ones, and then come to a decision. However, there are certain instances in which there isn’t as much time to reach a conclusion.

For example, in the case of stroke, there may be investigational drugs that can help save brain tissue, but because prompt initiation of treatment is so critical with stroke, patients may have a very brief window in which to consider participating. Because enrollment is always voluntary, this particular circumstance understandably increases the likelihood of patients declining to participate.

They have to travel far away to access clinical trials Accessing world-class clinical trials doesn’t have to involve traveling to the Cleveland Clinic, The Ohio State University, or other distant institutions.

In fact, plenty of groundbreaking clinical research work is being done right here in the Toledo area.

For example, Michael Moront, MD, FACS, a cardiovascular surgeon at ProMedica Toledo Hospital, was the first physician in the US to implant an investigational surgical aortic heart valve in a patient (actually, he implanted three patients in the same week) as part of the Medtronic, Inc. PERIGON Pivotal Trial.

As part of the VISION clinical trial, John Pigott, MD, FACS, a vascular surgeon at Jobst Vascular Institute at ProMedica Toledo Hospital, performed the first three procedures in the US using the Avinger Pantheris catheter for the treatment of peripheral artery disease (PAD). This innovative catheter allows vascular surgeons to see inside arteries in real time as they cut away the plaque that narrows them.

ProMedica urologist Timothy Schuster, MD, performed the world’s first Vortx Rx experimental treatment to reduce the obstructive symptoms of BPH, or enlarged prostate.

The Vortx Rx device, developed by HistoSonics, Inc., is based on histotripsy technology, a non-thermal focused ultrasound therapy that mechanically liquefies targeted tissues.

Also, Wheeler points out that she and her counterparts from other area health systems meet on a regular basis to discuss strategies for improving community awareness of research studies. “We’re working together to promote clinical research and help patients understand all the opportunities that are available to them. We still have many serious diseases to conquer, and the only way to reach that goal is to advance the science of healing through clinical trials,” she says. ❦ For more information on clinical research studies, visit www.promedica.org/ clinicaltrialsresearch and clinicaltrials. gov.

February is Heart Month.

HAVING SYMPTOMS OF A HEART ATTACK? If you think you’re having a heart attack, call 911 within five minutes. Make sure you can recognize the signs of a heart attack.

Chest discomfort Uncomfortable pressure, squeezing, fullness or pain in the center of the chest that lasts for several minutes. Or, it goes away and comes back.

Discomfort in other areas of the body Can include pain or discomfort in one or both arms, back, neck, jaw, or stomach.

Shortness of breath May come with or before chest discomfort.

Delivering Parkinson’s disease a punch

Other signs May include cold sweat, nausea or lightheadedness.

by Christine A. Holliday

P

arkinson’s disease (PD) is a progressive neurodegenerative disease that typically affects people between 40 and 70. It develops when brain cells that make the neurotransmitter dopamine die, causing a variety of symptoms, including stiffness or slowness of movement, changes in speech and gait, resting tremor, and compromised balance. There is

no cure for PD, but surgery or medication can ease some of the symptoms. Many in America are familiar with the disease because of the public visibility of boxer Mohammed Ali and actor Michael J. Fox, both of whom have been living with the disease for many years.

Several local residents

promedica.org/heart

© 2015 ProMedica

are among the 60,000 new cases diagnosed in America every year.

Our friends and neighbors suffer the symptoms to varying degrees, including the depression that often accompanies the diagnosis of a permanent disabling condition.

Those residents have found a surprising way to manage their symptoms: boxing. They are participating in a program called Knock Out Parkinson’s, offered in the former Fun Spot roller skating rink in East Toledo. Harry Cummins, a former boxer, coach, and trainer, has helped to organize the program to help Parkinson’s patients improve their motor skills, build up their cardiovascular systems, and help to stabilize their posture and walking motions.

Cummins notes that the program got its start in April, 2014 when Rachel Martinez, a UT graduate student in the Occupational Therapy Doctoral program and brother of a boxer who had trained with Cummins, asked if she could do her Capstone project there. They worked together with Dr. Beth Anne Hatkevich, one of Rachel’s professors and her faculty mentor, to set up a program to help patients at all stages

of the disease. The first group of four patients has grown to 27, from ages 47 to 84, and they attend sessions on Monday and/or Wednesday from 9:00 to 10:00 a.m.

Dr. Hatkevich continues to work with volunteers from the UT occupational and physical therapy programs to orient and evaluate new participants and to provide consultation to those who may be having difficulties with daily activities as a result

of Parkinson’s.

All work with the students as they stretch, strap on the boxing gloves, and do some serious punching of bags, as well as jumping rope, rope drills, and holding

KNOCK OUT PD the bag for a partner (a great way to work on balance.)

“There is no boxing against people,” Cummins explains with a smile.

“But we find that the activity really makes a difference in the students.

One woman in her late 70s came to the class shy and withdrawn and not able to move very well. After a few classes, she is moving a lot, talking to others, and is really tapping the

bag. One fellow in his mid 50s has worked hard at the boxing, and now he looks like a professional boxer. It is so rewarding to see that they are helped!”

Cummins notes that he is adding a third weekly session in February on Friday mornings from 9:00-10:00, and he invites those with any stage of Parkinson’s disease to give boxing a try. “We don’t charge for our program. We want to reach out to help people in our community. We know that exercise is good for cardiovascular health and for mental well-being.

Our boxing program gives participants a great workout.

We invite men and women to participate.”

The program is run at the International Boxing Club at 525 Earlwood Avenue in Oregon, Ohio. Mr. Cummins is available at the Club’s office at 419-244-8955 or 419450-8435, and by email at hec3rd@ aol.com. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Exercise has been shown to

DELAY THE DISEASE

Join a Parkinson exercise program today!

University of Toledo Main Campus Health Education Building 419-530-6671

UTMC Morse Center/YMCA Health Science Campus 419-383-5370

Kingston Care Center 4121 King Rd. Sylvania, OH 43560 Thursday, Feb 5 419-517-8282

Knock Out Parkinson’s Program IBC 525 Eastwood Oregon, OH 43616 419-450-8435

Dance and Drum for PD The Beat Dance Company 1060 N. Main St. Bowling Green, OH 43402 419-308-7125

Movers & Shakers Fitness Clinic Fremont American Legion 200 Buckland Ave. Fremont, OH 43420 419-334-6630

Delay the Disease Fitness Classes Hancock County Agency on Aging 339 E. Melrose Ave. Findlay, OH 45840 419-423-8496 ext. 2004

Wood County Committee on Aging 305 N. Main St. Bowling Green, OH 43402 419-353-5661

Parkinson Foundation of Northwest Ohio

Dedicated to Educate, Comfort, and Raise Awareness Save the Date • Saturday, April 18 • 18th Annual Parkinson’s Disease Symposium • Parkway Place, Maumee

Prostate cancer presents unique screening and treatment quandary

I

f a routine screening test reveals that an individual potentially has cancer, it’s only common sense to confirm the diagnosis with a biopsy and then begin aggressive treatment as soon as possible to eradicate the disease, right? After all, we’ve heard time and again that the sooner cancer is detected and treated, the better the outcome is likely to be. Well, when it comes to prostate cancer, the best course of action isn’t always so clearly defined.

CANCER CENTER

or having to get up multiple times during the night to urinate.”

Prostate cancer risk factors

Dr. Sachs points out that family history is a major risk factor for prostate cancer, with heredity playing a role in 42 percent of cases according to studies. Having two or three first-degree relatives who have had the disease increases risk by five to 11 times the baseline risk, and in twins, it’s been noted that if one develops prostate cancer, there’s a high risk that the The PSA controversy other will too. “Having the BRCA1 The only screening tool available for or BRCA2 gene mutation is another prostate cancer is a test to check the risk factor. We usually associate these level of PSA, or prostate-specific anti- mutations with breast and ovarian gen, in the patient’s blood. Generally cancers in women, but they also speaking, a higher PSA level can be put men at risk for prostate cancer. correlated to a higher risk of prostate In fact, BRCA2 is associated with a cancer. However, other higher grade of prostate factors, such as enlarged cancer and a younger age prostate (benign prostatic of diagnosis,” he says. hyperplasia, or BPH) or Other factors that may infection of the prostate elevate prostate cancer risk (prostatitis), can also cause to one degree or another the PSA to rise, and some include consuming a diet men with prostate canhigh in animal fat and low cer can have a PSA level in vegetables, smoking, below what is considered and obesity. suspicious. So there’s a Factors that may help significant likelihood the lower prostate cancer risk test will yield either a false include a diet high in lyDr. Bradley Sachs positive or false negative. copene and soy as well as Why should this matter taking statins or the anti-dias long as the test ultimately catches abetic drug metformin. Ironically, more cases of prostate cancer? As Dr. exercise has not been shown to lower Bradley Sachs of The Toledo Clinic the risk of prostate cancer as it does Cancer Centers explains, “PSA testing for certain other forms. does lead to more diagnoses, but that also means more anxiety and decision Breakthrough treatments making. The vast majority of men If treatment, rather than observation, who have prostate cancer will die is determined to be the best course of with the disease, rather than from the action for a patient diagnosed with disease. Only about ten percent will prostate cancer, the oncologist has a actually get metastatic disease and variety of therapies to call upon in die from it. So, you have to consider addition to surgery or radiation. One whether the best approach is radia- of the biggest advances in this area tion or surgery—with possible side is the advent of two new agents that effects of incontinence and erectile work in different ways to decrease dysfunction—or just continued ob- testosterone—the hormone that drives servation, which many men aren’t prostate cancer. One of these is Zytiga, comfortable with. That’s why it’s which lowers testosterone levels in important to discuss all possible the body much better than previous options with your doctor if you have agents did, and the other is Xtandi, a suspicious PSA and urinary symp- which blocks testosterone receptors toms such as increased frequency, on the cancer cells. “Both of these urgency, hesitancy, decreased flow, are very effective and have a really

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

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

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

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

Why area doctors trust us the most…

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

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

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

nice side-effect profile. We used to do chemotherapy right away, but now we go right to these two,” says Dr. Sachs.

Another important advance is the Provenge vaccine. Actually an adaptive immunotherapy approach rather than a true vaccine, Provenge was one of the first treatments shown to be effective in fighting cancer in general. This approach involves taking white blood cells from men and then sending them to a lab where they’re exposed to PSA and certain proprietary chemicals in order to activate them and target them to prostate cancer. This treatment produces very few side effects and can extend the lives of men with metastatic prostate cancer by approximately three to four months.

Other breakthrough treatments include the chemotherapy agent

Jevtana and the radioactive isotope Xofigo (radium-223), which is effective against bone pain. However, according to Dr. Sachs, the most exciting recent breakthrough was shared at the June 2014 meeting of the American Society of Clinical Oncology (ASCO), where the results of the CHAARTED trial (Chemohormonal Therapy versus Androgen Ablation Randomized Trial for Extensive Disease in Prostate Cancer) were presented. This study looked at the effectiveness of upfront chemotherapy (using the drug Taxotere) plus androgen deprivation therapy (using a combination of the testosterone blockers Lupron and Casodex) compared to androgen deprivation therapy alone.

The results of the trial were quite dramatic. The median survival rate was 57.6 months for chemotherapy and ADT combined versus 44

months for ADT alone. The result was even more impressive for men with high-volume metastasis. Median survival for this group was 49.2 months for both chemo and ADT compared to only 32.2 months for ADT alone. “This amounts to a major breakthrough that will really change how we approach treatment for men who qualify,” enthuses Dr. Sachs. ❦

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

There’s no time like the present to start making heart-healthy choices!

H

eart disease is having a profound effect on the health of our nation. According to the Centers for Disease Control and Prevention (CDC), heart disease claims the lives of approximately 600,000 people in the United States every year and is the leading cause of death for both men and women. What’s more, heart disease is costing our nation billions of dollars annually ($108.9 billion

Outcomes Mean Everything...

We are a place to get better, a place for living.

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

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

(419) 867-7926 SWAN POINTE CARE CENTER

a Consulate Health Care Center 3600 Butz Road, Maumee, OH 43537 | www.consulatehealthcare.com

“

hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

We are committed to our mission of

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from coronary heart disease alone) in healthcare services, medications, and lost productivity.

To help Healthy Living News readers avoid becoming another heart-disease statistic, Mercy physician Karina Zapiecki, MD, offers the following advice:

Know the symptoms of heart attack Most people associate heart attack with crushing chest pain that radiates down the left arm and may be preceded by a sense of impending doom. While a heart attack can certainly cause these “classic” symptoms in any victim, male or female, it’s important to understand that the warning signs may be much more ambiguous—particularly in women.

As Dr. Zapiecki explains, “Women are more likely than men to experience vague symptoms, such as jaw or back pain, gastric pain or discomfort, nausea, or fatigue. Because the symptoms are less specific and more subtle, it’s often difficult for women to determine whether they’re actually experiencing a heart attack or something less serious like GERD, anxiety, or the flu.”

Know your risk factors Several factors are known to increase the risk of developing heart disease.

They include elevated blood pressure, elevated cholesterol levels, tobacco use, obesity, poor diet (especially one high in saturated fat), physical inactivity, excessive alcohol consumption, and family history of heart disease. Many of these factors are modifiable, meaning they can be influenced or controlled through

lifestyle changes and/or diabetes, more emphasis medical treatment. should be placed on the For her patients with diastolic number—the known risk factors for bottom number—versus heart disease, Dr. Zapiecthe systolic number. If ki recommends a lowthe diastolic number is dose aspirin regimen for above 90, there is a much prevention. If they do greater risk of developing experience suspicious heart disease,” says Dr. symptoms, they are to Zapiecki. take one 325 mg aspirin Total cholesterol and call 911 immediately. should be below 200, with However, not everyone the HDL (high-density is a good candidate for lipoprotein—the “good” aspirin therapy, so she cholesterol) being above Dr. Karina Zapiecki cautions HLN readers not 40 and the LDL (low-dento begin taking aspirin sity lipoprotein—the on their own before consulting with “bad” cholesterol) staying below 100. their physician.

However, it’s very important to keep in mind that factors such Know your numbers as age, gender, ethnicity, diabetes, Because blood pressure and choles- obesity, and smoking must be conterol levels play such a significant sidered—and discussed with your role in heart disease, it’s critical to doctor—in determining appropriate monitor these levels to ensure they target levels for both blood pressure stay within proper limits. The newest and cholesterol. recommendations for blood pressure are no higher than 140/90 for people Know your family history under age 60 and adults with dia- Dr. Zapiecki notes that it’s also very betes or kidney disease and 150/90 important to inform your doctor of for those age 60 or older. “Recent any family history of stroke or heart studies also show that in healthy attack. “This information is particularly people who are below age 65 with no important if your mother experienced

Kenneth E. Endicott, Prosthodontics, Inc.

one of these events before the age of 60 or your father before age 50,” she adds.

Adopt a heart-healthy lifestyle As already mentioned, modifiable factors such as the types of foods we eat, our level of activity, how much alcohol we consume, and whether or not we use tobacco play a major role in our overall heart disease risk.

With respect to diet, emphasis must be placed on getting more vegetables, fruits, low-fat dairy, and fish while

limiting meats and other sources of saturated fat. Alcohol consumption should be moderated to no more than seven drinks per week and three drinks per day for women and 14 drinks per week and four drinks per day for men. Of course, tobacco use should be shunned altogether. “Plus, we should all be getting at least 150 minutes of vigorous physical activity per week,” Dr. Zapiecki advises.

See a primary care physician Last but certainly not least, Dr. Zapiecki urges HLN readers to go to a primary

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care physician, not the emergency room, for their routine healthcare needs, even if they’re still relatively young and seldom sick. Developing a relationship with a primary care

Q

: My migraines have really intensified recently. They’ve been known to become severe with fluctuations in the weather. However, I’ve also noticed that while experiencing a migraine, I am regularly dizzy. Is this normal or something I should be concerned about?

A

: You’ll be relieved to know you’re not alone. Of the 20 million Americans who suffer from migraines, more than 5 million experience migraines coupled with dizziness. In fact, migraines and dizziness are

doctor who knows your personal and family medical history, lifestyle, and health goals is key to disease prevention and ensures much better continuity of care. ❦

directly related. Other side effects of your migraine could include anxiety, depression, low blood pressure, lightheadedness, and vertigo, or spinning. You may initially think these issues are related to your vision, but in fact, they’re directly connected to your hearing, more specifically your inner ear.

Your inner ear is responsible for maintaining balance. The labyrinth within the inner ear interacts with the vision and sensory systems. The cochlea, a snail-shaped chamber that

is filled with liquid, is lined with hair cells. These cells transform sound into electrical signals and send them to the brain. When you move, the brain ensures that your eyes continue to provide information regarding your position. It sends signals to the muscular system to maintain balance. This collection of systems working together is known as the vestibular system.

You’re more likely to experience other hearing-related issues, such as sensitivity to noise and ringing in the ears, if you suffer from migrainous vertigo. The good news is, with proper medical treatment, dizziness symptoms can be improved.

There are a few routes you can take to ensure this happens. For one, examine your lifestyle. You may be eating foods that trigger these migraines and vertigo. Common trigger foods include sourdough, chocolate, and red wine. It’s also recommended to quit smoking, avoid stressful situations, and partake in regular exercise, all of which are beneficial for your health overall. You may opt to take a daily preventative medication to block migraines from even starting.

Conversely, you may choose to only take medication when a migraine

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has begun.

Non-medication treatments can include biofeedback therapies and acupuncture. Contact your healthcare professional to find the migraine solution that is best for you. It’s important to consult a hearing healthcare specialist if you are experiencing dizziness or vertigo.

We don’t want you to make any

changes regarding treatments prescribed by your physicians; you need to make sure to check with them first. Our purpose is to make sure you are aware that the spinning, lightheadedness, or vertigo may be part of your migraine. Many of our patients get relief from the extra symptoms after they understand the connection and try their best to

identify whether there is a trigger.

As far as the winter season is concerned, migraine headaches are not as prevalent since there are no allergens like the pollen from flowers and freshly cut grass during the spring time and the ragweed pollen during the fall. So for now, enjoy the wintery weather and try to avoid

other factors that may cause the migraines and vertigo. ❦ 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).

Innovative program puts the brakes on job burnout

I

n today’s complex working environment, many businesses and organizations are striving to accomplish their objectives using fewer resources. As a result, more and more employees are struggling under the burden of unreasonable demands and an untenable workload, leaving them feeling overwhelmed, unsupported, and undervalued—and putting them at significant risk of job burnout.

Unlike the normal—even rewarding—tiredness one would expect to feel after completing a challenging work project, job burnout is a level of mental, emotional, and physical exhaustion that drains energy, saps

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419-873-1532 VERSION 1 - 27/APR/2012

Deb Olejownik and Cindy Patterson

motivation, dampens confidence, and promotes cynicism and resentment toward the job as well as doubt in one’s abilities and contributions. Left unchecked, burnout can take a serious toll on one’s physical and emotional well-being and begin to seep into relationships outside the job.

Recognizing this worrisome trend, two area professionals, Deb Olejownik and Cindy Patterson, co-owners of DJC Core Consulting, have made it their mission to help non-profit organizations, businesses, corporations, and individuals learn to recognize burnout, prevent it from taking root, or heal from its effects.

Olejownik’s background includes a 32-year relationship with Toledo Public Schools and a recent career transition to organizational consulting.

As a stress-management trainer, she taught a stress-management course at Washtenaw Community College

—Continues on page 41

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Lourdes Lifelong Learning: an educational, engaging, and social experience for adults

O

ngoing learning and social engagement are key elements of a vibrant, healthy adult life. Staying active, connected, and intellectually engaged not only keeps the mind nimble, but also promotes better overall health as we age. Adults in our community can find all the scholarly stimulation they seek—minus the pressure of homework, exams, and grades—in the Lourdes University Lifelong Learning program.

Lifelong Learning offers something for everyone, covering a diverse range of topics and interests in stimulating classes, day trips, special events, and a monthly lecture series.

Classes, which are held on the beautiful campus of Lourdes University and taught by Lourdes University professors or experts from the community, are open to adults of all ages, backgrounds, and religious affiliations.

The only prerequisite to participate is an interest in ongoing learning. Also, the courses demand only a modest investment of time, meeting once a week for no more than eight weeks, with some classes meeting only once.

Learning & Memory, Chocolate Creations, Making Sense of Music History, Wonderful Watercolors, Films of the World, Philosophy Is Still Phun, Survival Spanish, iPad, and Computer Overview are just a small sampling of the Lifelong Learning classes offered this coming spring.

Members can choose whichever courses, lectures, and events capture their imagination and fit into their lifestyle and schedule.

Those who love to combine a little learning with their travel are encouraged to take daytrips with Lifelong Learning. On April 8, daytrippers will head to the La Comedia Dinner Theatre in Springboro, Ohio for a performance of the classic Rogers & Hammerstein’s musical South Pacific. Then, on the Auto Baron Home Tour coming May 19, they'll experience the opulent estates built with the fortunes of the Dodge and Ford families: Meadow Brook Hall in Rochester Hills, Michigan, and the Ford House in Gross Pointe Shores, Michigan.

The monthly lecture series offers

an engaging presentation on the third Friday of each month, from 10:00 to 11:00 a.m. in the Franciscan Center of Lourdes University. Lectures are free to Lifelong Learning members and first-time guests. Coffee and donuts are served at 9:15 so Lifelong Learners can meet and socialize beforehand.

Upcoming lectures include: Edmund Fitzgerald: What Really Happened? (Feb. 20)—Explore a brief history of shipping on the Great Lakes and several prevailing theories on the sinking of the ore ship Edmund Fitzgerald with Carrie Sowden, Archaeological Director for the Great Lakes Historical Society.

Federal Project One: The WPA Cultural Agencies (Mar. 20)—Learn about the programs President Franklin Delano Roosevelt created to provide work for artists, actors, musicians, writers, and other creative arts workers during the Great Depression with Tom Barden, professor emeritus of English at The University of Toledo and a member of the adjunct faculty at Lourdes University.

The A, B, C’s: Archaeologists, Bones, and Coroners (Apr. 17)—Learn about the life history written in our bones from Julie Saul and her husband Frank. Based at the Lucas County Coroner ’s Office, Julie and Frank have spent a lifetime reading these life histories, joining archaeologists in the jungles of Mexico and Central America to learn about the ancient Mayans, and working with law enforcement, coroners, and medical examiners on recent forensic cases, including multiple fatality disasters.

Let’s Talk Cars (May 15)—Roger Kwapich, host of The C.A.R. Show®, commercial radio’s top-rated automotive call-in-program, shares his extensive automotive expertise.

And that’s just scratching the surface of ways you can stay engaged, intellectually stimulated, and socially connected through the Lourdes University Lifelong Learning program.

For more information, visit lourdes. edu/lifelong or contact Dr. Laura Megeath, Lourdes’ Lifelong Learning Coordinator, at lifelong@lourdes. edu or 419-824-3707. ❦

Begin your Lifelong Learning journey at Lourdes University!

CLASSES

History, food, film, art, technology, wine tasting, and much more!

Learn for the fun of it, without grades or exams.

DAY TRIPS

Travel with us to new places! We take care of the details so you don’t have to. Spring trips are Auto Baron’s Home Tour and South Pacific.

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Laura Megeath, Coordinator lifelong@lourdes.edu • 419-824-3707

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THE ACADEMY CORNER Presented on behalf of

The Academy of Medicine of Toledo & Lucas County

Optimizing a diet for weight loss

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eight loss is a goal many aspire towards yet ultimately struggle to maintain despite the deluge of programs, advice, and products.

Research consistently demonstrates that a majority of people who lose weight regain it, often within a year.

Despite the common difficulties, we can consistently succeed through smarter eating and smarter drinking.

Contributing to the difficulties of weight loss, food and drink labels are needlessly complicated, often providing grossly misleading facts. For example, the proliferation of “low-fat” and “no-fat” food products available in supermarkets muddles the most fundamental aspect of weight loss or weight gain: caloric intake. Weight loss occurs only when caloric intake is less than caloric expenditure. Whether those calories come from fat, carbohydrates, or protein does not change that principle. Quite frequently, the amount of fat in a product does not correlate very well with the actual calorie count, and many “fat-free” foods are simply loaded up with an unhealthy amount of added sugars to make up for taste. Thus, the main goal in weight loss should be to limit caloric intake.

However, limiting caloric intake should be only the beginning of a healthy weight-loss plan. The next factor that comes into play is satiety, how full you feel, which is controlled by your brain courtesy of response signals from your digestive system.

In effect, this is how your body responds to each calorie you consume.

In the most basic situation, calories from bulk foods as compared to calories from fluids generate different signals to the appetite center in the brain. Bulk foods cause more distension of the stomach, which then signals the brain that you have been eating, leading to satiety.

Liquid calories, such as those wildly popular colas and fruit juices, do not send the same satiety-oriented signals to the brain. In fact, research shows that sugary drinks have a very minor

effect on appetite compared to water.

Therefore, a person will often either continue eating after a soda or not actually eat less during a meal with a soda, leading to an accumulation of calories and unhealthy sugars.

Satiety is also affected by the type of calorie consumed, whether protein, fat, or carbohydrate. Controlled for caloric load, recent research has confirmed that protein does a better job of suppressing the ghrelin levels in the body. Ghrelin is one of the protein signals to the brain that tells you that you’re hungry. This means that later in the day, you would have less of an urge to eat if you would simply shift from fatty or sugary sources of food to a source of protein as a snack. Good examples include roasted nuts or deli slices. High-protein diets are also often helpful for patients with obesity and metabolic syndrome.

Beyond satiety, we also need to consider the quality of each calorie we are getting. Some foods come loaded with nutrients essential for healthy skin, strong bones, strong muscles, and functioning organs while other foods are simply “empty calories.” Whereas a candy bar provides mostly calories with little nutritional gain, eating a few slices of apple dipped in some natural peanut butter with minimal sugar added can provide the sweet taste, but with the addition of protein, antioxidants, and nutrients.

Ultimately, maintaining weight loss requires high levels of discipline and sacrifice. However, focusing on limiting calories and keeping in mind how the body responds to each calorie and the nutritional value of each calorie will provide a wide variety of options for reaching individualized weight-loss goals. ❦ Jason Liu, MD candidate, University of Toledo College of Medicine, class of 2016. Written on behalf of The Academy of Medicine of Toledo and Lucas County.

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

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

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

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

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

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

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

Swan Pointe Care Center

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795 Bardshar Rd. Sandusky, OH 44870

419-867-7926

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

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

Senior Star at West Park Place

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

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

Heartland of Waterville

Parkcliffe Community

8885 Browning Drive Waterville, OH 43566

4226 Parkcliffe Lane Toledo, OH 43615

419-878-8523

419-381-9447

www.heartland-manorcare.com

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Swan Creek Retirement Village

Kingston Rehabilitation of Perrysburg

The Manor at Perrysburg

5916 Cresthaven Lane Toledo, OH 43614

345 E. Boundary Street Perrysburg, OH 43551

419-865-4445

419-873-6100

www.swancreekohio.org

www.kingstonhealthcare.com

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

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

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

The Laurels of Toledo

Bowling Green Manor

1011 Byrne Road Toledo, OH 43607

1021 West Poe Road Bowling Green, OH 43402

419-536-7600

419-352-4694

www.laurelsoftoledo.com

www.BowlingGreenManor.com

www.otterbein.org

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Orchard Villa

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

2841 Munding Drive Oregon, OH 43616

419-724-1200

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The senior community transition

What are you really leaving behind?

F

or many people, one of the biggest obstacles to moving from their long-time home into a senior living community is the perception that, in doing so, they’ll be leaving behind all that’s comfortable and familiar along with all the poignant memories they’ve created there over the years. While there’s no question that such a significant step can seem overwhelming and a little frightening, seniors who choose to make the move to senior living stand to gain much more than they lose.

“It’s only natural for seniors to focus on the things they’ll be giving up when they move into a community, but the truth of the matter is, they actually take with them all their memories and the things they genuinely treasure while saying goodbye to most of the hassles and worries of homeownership,” explains Carrie

McGlothlin, Regional Director of Marketing for Franciscan Living Communities.

The following are some of the aspects of homeownership—or simply living alone—that seniors won’t likely miss when they make the move to a senior community:

Challenging chores Among the many hassles left behind are various household and outdoor chores, some of which can put seniors at risk of serious injury. At this time of year, snow and ice removal from sidewalks and driveways is a routine job, but that just scratches the surface. In other seasons, there are tasks like lawn mowing, weeding, leaf raking, gutter cleaning, and window washing to tackle. Year-round indoors, there are chores like vacuuming, dusting,

USE

HO N E P O

and mopping in multiple rooms and often on more than one floor of the house. Of course, laundry is a never-ending job that may involve hauling heavy baskets up and down stairs, which puts seniors at risk of falling.

“In contrast, senior living communities, such as St. Clare Commons in Perrysburg, take care of all the yard work and outdoor maintenance and even offer housekeeping and laundry

services, freeing residents to pursue the activities they enjoy,” says McGlothlin.

Unanticipated repairs It’s an unavoidable reality of homeownership that, at one time or another, a pipe will leak, a furnace will fail, a toilet will run continuously, concrete stairs will crack, etc. When problems like these arise, most people need to call an expert to

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Join us Sunday, February 15 1:00- 3:00 pm Leave your winter worries behind and discover St. Clare Commons.

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A FRANCISCAN LIVING COMMUNITY ASSISTED LIVING MEMORY CARE REHABILITATION SKILLED NURSING HOMECARE SERVICES

12469 Five Point Road | Perrysburg, Ohio

come out and tackle the job, hoping he or she will be scrupulous, do the job right, and charge a fair price.

In a senior living community, staff members handle all such repairs at no additional cost and their services are just a phone call away.

Security worries Seniors living on their own are much more vulnerable to break-ins, physical attack, or other forms of victimization than their counterparts who live in a community with state-of-the-art security, in-room emergency alerting systems (help is always just a few

steps away), as well as staff and fellow residents who are concerned about—and watching out for—their safety, security, and well being.

Transportation tribulations As people get older, issues such as vision impairment or functional limitations can make it difficult or impossible to drive a motor vehicle safely. Therefore, seniors who are still living at home may have difficulty getting around without imposing on family members or friends to drive them. “Seniors who no longer drive can very easily become isolated,

which in turn can lead to symptoms of depression,” says McGlothlin.

“Here at St. Clare Commons, we offer residents transportation services for shopping, doctor appointments, and other necessities, as well as for all kinds of fun activities and social events out in the community.”

Coping with sickness unassisted Last but certainly not least, when seniors who are otherwise healthy and independent get sick, for example with the virulent strain of flu that’s currently circulating, being

home alone (or with a spouse who is also sick) can present some serious challenges. “In this situation, they may not be able to get to the pharmacy to pick up medications they need or the grocery store to restock their refrigerator and pantry. They may even be too weak to prepare meals for themselves, or they may become dehydrated without realizing it. Quality senior living communities employ specially trained staff who can provide all the care and monitoring they need until they’re feeling better and back to their independent lives again,” McGlothlin states. ❦

PROTECT YOUR CHILD’S SLEEP JUST AS YOU DO THEIR SAFETY

Sleep problems don’t just effect a child’s nights, they disrupt their days too. Lack of sleep can cause your child to have learning delays and be hyperactive, less alert, easily distracted, physically impulsive, injured from increased falls, and overweight.

How much sleep time do they need?

Infants

14-15 hours

Toddlers

12-14 hours

Preschoolers

11-13 hours

School-age

10-11 hours

Teenagers

9-10 hours

Establish a bedtime routine • Turn the TV, cell phone and computer off a half hour before bedtime, allowing for quiet play

• A warm bath and comfy pajamas will help your child ease into sleep • Take care of all of the “have-to’s” like brushing teeth and going to the bathroom so your child won’t ask after they’re in bed

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

• Read to your child or let them read to you for 10-15 minutes • Give your child a big hug, tell them that you love them, turn off the light, leaving just a night light on, say “goodnight” and leave the room • Children thrive on routine so be consistent even on the weekends Kohl’s Kids in Action offers free obesity prevention programs to your elementary school or at health fairs.

For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

DRINK WATER, EAT HEALTHY, SLEEP MORE AND GET MOVING!

St. Patrick of Heatherdowns • Open House March 1, 2015 • 1:00 - 2:30 p.m.

Classes Art • Band • Computer • French • Gym • Music • Spanish Extras Musical • Newspaper • Scouts • Sports • Tech Crew • Yearbook

Private Tours Available - 419-381-1775

Pre-Kindergarten - Grade 8 Extended Day and Hot Lunch Programs St. Patrick of Heatherdowns Where Christian Values and Knowledge Unite

Belong.

Come discover the new North Community Catholic School.

Check out our Open House!

North Community Catholic School Most Blessed Sacrament Campus (K-8)* 4255 Bellevue Road March 8 12:00 pm - 2:00 pm

Regina Coeli Campus (K-8)* 530 Regina Parkway March 1 12:00 pm - 2:00 pm

St. John the Baptist Campus (K-8)* 2729 124th Street February 22 11:30 am - 1:30 pm

*EdChoice, Jon Peterson and Austism Scholarship Providers.

St. Catherine Early Education Campus (ages 3-5) 1155 Corbin Road February 22 10:00 am - 2:00 pm

a supportive, caring environment.

As a result, kids educated in Catholic schools emerge better educated, better citizens, and better prepared to deal with the opportunities and challenges life has in store for them.

Here’s what a Catholic education will mean for your child:

CATHOLIC EDUCATION Values received

I

t seems as though two distinct and divergent sets of values are emerging in our society. One set seems to promote egocentrism, entitlement, moral relativism, instant gratification, and self-aggrandizement while the other embraces concepts such as faith, compassion, self-discipline, determination, accountability, and respect and empathy for others.

Parents who hope to raise their children with the latter set of values definitely have their work cut out for

Excellence achieved

Safe, supportive learning environment

them these days. The media and popular culture continually undermine their efforts to instill positive values in their children by sending and reinforcing the message that individual desires and impulses always take precedence over the needs of others and by dismissing positive values as antiquated or obsolete notions.

But parents who send their children to Catholic schools find that the values they hope to impart to them are upheld and reinforced in

With their emphasis on Catholic faith, individual responsibility, parental involvement, and respect for human dignity, problems such as behavioral challenges, substance abuse, and risks of violence are significantly lower in Catholic schools than in non-faith-based school systems. In addition, smaller class sizes mean that all students receive the support, personal attention, and interaction they need to excel academically.

Elevated expectations Catholic school teachers understand the basic principle that self-esteem results from accomplishment, not vice versa. Students are expected to achieve in their academic endeavors, and they’re given the tools and support they need to do so. The bar

of achievement is set high with the goal of preparing students for the rigors of secondary education and the working world.

Christ-centered learning Christ’s example is the foundation upon which Catholic education is based. Children are encouraged and nurtured to be Christ-like people and to recognize the presence of Christ in others. Parents appreciate the fact that Catholic schools uphold and strengthen the religious formation they’ve begun in the home.

Emphasis on self-discipline Personal responsibility is a hallmark of Catholic education. Students are given the decision-making skills they need to make sound judgments throughout their lives and to extend the respect and dignity deserved by others. Self-discipline leads to academic success, which leads to a more significant contribution to society.

Parents who care Just like you, other parents of Catholic school students want to play an active role in their children’s educational experience. In fact, many

In the face of new technology, we see opportunity; In the face of new curriculum, we see mastery not memorization; In the face of every student, we see Jesus.

Separated by two campuses yet integrated by one faith, and challenged by teaching excellence at every grade level, our student body is a community growing strong in mind and spirit.

We are St. Joseph School Sylvania.

PRESCHOOL – GRADE 8

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parents volunteer in a variety of capacities, such as playground or lunchroom supervision, classroom assistance, fieldtrip support, fundraising assistance, and many other areas. And the support works both ways. The schools are also happy to work together with parents as a team to help solve any problems or challenges that might arise.

Part of a community When your child becomes a part of a Catholic school, your family also becomes a member of this supportive, enriching community, which will allow your entire family to continue growing in their Catholic faith.

College in the future A college degree is critical to career success, and Catholic schools are focused on preparing students for entry into college. A very large majority of elementary and secondary Catholic school students attend college. In fact, according to the National Catholic Educational Association, 99% of Catholic secondary school students graduate and 97% go on to college. ❦

Tips on empowering your daughter

D

id you know women earn about 60% of undergraduate and of all master’s degrees, close to half of all law and medical degrees, and 44% of all master’s degrees in business and management? Is your daughter going to be prepared for her future?

“As an educator for over 25 years in both co-educational and single-sex schools, as well as a parent to three adult children, it is no secret that girls think, interact, lead, and make decisions differently than boys,” explained Kim Grilliot, principal of Notre Dame Academy, an all-girls, grades 7–12 school. “Studies have also shown that girls are routinely called upon less, often receive less feedback, and can display lower self-esteem than boys in co-educational settings,” she added.

W W!

Mrs. Grilliot suggested some tips that parents can use to empower their middle school and high school daughters:

Encourage leadership roles Help your daughter step up and take a leadership role. Opportunities are everywhere. Maybe she can be a

✶ Only International

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Notre Dame Academy accepting applications to grades 7–9

S

tudies show that women graduates of single-sex schools have higher SAT scores, higher academic confidence, and a greater interest in graduate school.

These studies help reinforce what is happening in the U.S. today. Women earn about 60% of undergraduate and of all master’s degrees, close to half of all law and medical degrees, and 44% of all master’s degrees in business and management.

Notre Dame Academy, all girls, grades 7–12, is accepting applications now for grades seven, eight, and nine for fall 2015.

Notre Dame Academy has distinguished itself with top-level programs such as the prestigious International Baccalaureate Diploma Program, college credit opportunities, and international service trips to maintain educational leadership and provide young women with strong academic and spiritual formation.

Girls interested in grades seven and eight need to complete an application, but no testing is necessary. Some families are transitioning their daughters to eighth grade to provide them with an extra year to learn time-management skills and adapt to a college-prep high school curriculum. Students interested in seventh and eighth grade can apply for a new Empowerment Award, valued at $1,500, based on academics, leadership, and service. Applications are online and due Friday, February 26.

Eighth grade girls interested in ninth grade can take the High School Placement Test February 21 at 8:00 a.m. Testers must register to reserve their spot by calling 419-475-9359, ext. 1269.

For more information on how Notre Dame Academy empowers girls to grow as leaders, gain self-confidence, deepen their spirituality, and earn college credit in high school, contact Admissions at 419-475-9359, ext. 1269 or go to www. nda.org. ❦

✶ ✶ ✶ ✶

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homeroom rep at her school; volunteer to lead a project in her church youth group; help with a Girl Scout troop; or be a patrol leader, counselor at a summer Bible school, or a ZOOTeen.

There are a variety of ways for her to hone her leadership skills.

Help her discover her passions Middle school and high school are the perfect times to try new things. Does she like doing crafts or drawing? Try an art class. Does she love snapping pictures with her phone? Consider a photography course. Is she interested in athletics? Encourage her to play a sport she has never done. If she likes to sing, have her join a choir at school or in her church.

If she doesn’t make the school play, encourage her to join the stage or tech crew. One of the biggest programs at Notre Dame Academy is the Speech Team (one of people’s biggest fears is speaking in front of others). You never know where a new-found passion will lead you.

Encourage her to find her voice Teach your daughter how to be as-

sertive in expressing her thoughts and needs to adults and her peers but in a respectful manner.

a needy child during the holiday season, she develops self-esteem by helping others.

Help her inspire others

Encourage her to stretch herself

Encouraging a girl to get involved helps her develop a compassionate heart. When she serves a meal in a soup kitchen, helps a child learn to read, or shops for a special gift for

Girls need to continue to stretch themselves. It is better to work a little harder in a tougher class than to go for the easy “A.” ❦

Vets benefit from clothing drive

by Christine A. Holliday

F

ortunately for social service agencies and people in difficult situations, the holidays bring out the best in most people. Schools, churches, and individuals celebrate the holidays by providing toys for needy children, food for families who might go without, even gas cards or utility payments for people down on their luck.

At St. Ursula Academy, students and teachers did the same through a food drive and a campaign to “adopt” families at the holidays. Like many other schools, they collected gloves, socks, and hats for those who don’t

armed forces. I was surprised to see that at least 75% of the students had a connection to a vet. Some of them had lost family members in Iraq and Afghanistan, so they were familiar with the sacrifices veterans make in serving our country. That’s when we talked about doing something for vets,” he says.

The first part of the project was to contact the Office of Veterans Affairs, which provided a video giving background about Veterans Day. McGurk and his students showed the video to the entire school as a

have them. Their work to help others falls in line with one of the school’s core values: service.

Recently, the girls contributed to a new drive, this one to help homeless and struggling veterans. The idea originated with Social Studies teacher Andy McGurk, who wanted to make certain his students had a clear understanding of Veterans Day and why we remember vets at that time of year.

“The subject came up in one of my classes, and I asked the girls how many of them had a relative who had served or was serving in one of the

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St. Joan of Arc

Do you have Type 1 Diabetes and suffer from kidney disease?

Catholic School

If so, you may be interested in a new clinical trial that is testing the effectiveness of a new drug therapy.

PreK through Grade 8

We are recruiting adults with confirmed type 1 Diabetes for a study to determine whether a medication called allopurinol can delay the progression of kidney disease. The study is called Preventing Early Kidney Loss in Diabetes or ‘PERL’ and is sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and JDRF International.

All lab work and study medication are provided at no cost to those eligible to participate in the study.

Who Can Take Part in this Study?

Men and women between the ages of 18-70 diagnosed with type 1 diabetes (T1D) who also:

Where faith is not just a word... it’s our way of life.

• Have had T1D for at least 8 years • Have a history or presence of microalbuminuria or moderate macroalbuminuria • At the time of screening, have a serum uric acid level of > 4.5

OPEN HOUSE:

Sunday, February 22nd 11am- 2 pm

Compensation is provided for participation in the study To learn more about the PERL study, please visit: www.perl-study.org For more information and/or to schedule a screening appointment, please contact:

5950 Heatherdowns Blvd., Toledo, Ohio 43614 419-866-6177 Learn more at https:/school.joanofarc.org/sja/

Ginny Leone (734) 936-8656 or vleone@umich.edu Study ID: HUM00080944 IRB: IRBMED

SPRING SESSIONS We support families Starting in February - Register Today!

Basics

For any parent or caregiver of a child or adolescent living with a mental illness.

NAMI Basics offers education and support. It is taught by parents who have lived similar experiences with their own children. It is an educational program that provides learning and practical insights for families.

The course is offer free of charge and consists of six classes that meet weekly or bi-weekly for 2-1/2 hour sessions.

February 17 - March 24, 2015 • 6:30 - 9:00 pm Classes offered at 2753 W Central, Toledo - Kenwood Plaza

Family-to-Family This course teaches the knowledge and skills that family members need to cope more effectively.

Sign up online at

www. namitoledo.org or call

419.243.1119

The free 12-week course is taught by trained NAMI members who have lived with this experience and offers education and support for families and friends of people with mental illness.

Many describe the impact of this program as life changing.

Join the over 150,00 individuals just like you, who have gained information, insight, understanding and empowerment!

March 3 - May 19, 2015 • 6:00 - 8:30 pm Classes offered at Mayores Senior Center 2 Aurora Gonzalez Dr., Toledo

March 3 - May 19, 2015 • 10:00 am - Noon 2753 W. Central Avenue, Toledo OH 43606 Located in the NPI Building (Kenwood Plaza)

Classes offered at 2753 W. Central, Toledo - Kenwood Plaza

March 3 - May 19, 2015 • 6:00 - 8:00 pm

Classes offered at Flower Hospital, Medical Office Building Auditorium - 5200 Harroun Rd., Sylvania

struggling with

MENTAL ILLNESS. FAMILY SUPPORT GROUP

Do you have a loved one in a mental crisis?

Are you feeling overwhelmed, frightened, guilty? Do you need support and help learning ways to cope with these difficulties?

NAMI CONNECTIONS GROUP

Are you living with depression, bipolar, or anxiety disorder? Are you feeling frustrated, hopelessness, or confused? Do you need to talk with people who have experienced similar feelings and challenges?

Please join us for a free support group.

All support groups are led by trained facilitators.

Support groups meet Monday 7:00-8:30 pm.

2753 W. Central Avenue, Toledo OH 43606

419.243.1119

Located in the NPI Building (Kenwood Plaza)

www.namitoledo.org www.facebook.com

The University of Toledo Health

Cardiac Rehabilitation Program is welcoming new patients

UTMC offers the only cardiac rehab program within the Toledo city limits and the most comprehensive exercise facility in the area. All of our clinical exercise physiologists are certified by the American College of Sports Medicine, and our program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation.

Dalynn T. Badenhop, Ph.D., FACSM, FAACVPR

To schedule an appointment, please call: 419.383.5378

A Higher Degree of Healing

Elegant Living and Convenient Location!

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Located in the heart of west Toledo just minutes to the mall, numerous restaurants, shops and senior center!

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Appointments available within 7 days of referral.

CoMMuNitY AMENitiEs • Additional Garage Storage (included in rent) • Chair Lift • Laundry Room - Each Floor • Professionally Managed • Intercom System • Underground Parking Garage (included in rent) • Trash Removal

This video was one the students made, featuring an interview with a veteran and with students explaining why they were glad to be part of the drive.

It took a truck to deliver all the clothes collected to the VA in Ann Arbor, and McGurk hopes to have a similar drive next year, saying “This was an issue the girls could respond to, and they really did!” ❦

Cardiac rehabilitation can help improve quality of life

Our programs and services include: • Phase II Cardiac Rehabilitation • Phase III Cardiac Rehabilitation • Cardiopulmonary exercise testing The cardiac rehab staff is led by: Dr. Dalynn T. Badenhop

kick-off to a drive to collect articles of clothing for veterans a few days before November 11. The response was so good that the drive was extended from the original two weeks.

“We asked for any clothes a male veteran could use—shirts, sweaters, socks, coats, pants, shoes,” McGurk explains, “and the girls really responded. “We got a very good collection of items. The girls brought in quite a lot of clothes and quite a lot of variety, so all of us were very pleased.”

On Veterans Day, McGurk showed another video to the student body.

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C

ardiac rehabilitation is a medically supervised program tailored to a patient’s specific needs. This program of diet, exercise, counseling, and education can dramatically improve a patient’s health and quality of life.

Cardiac rehab patients undergo therapy three times a week for 12 weeks.

If you were to go through cardiac rehabilitation, we would first ensure your exercise program is safe and effective by having you perform a cardiopulmonary exercise (CPX) test. This test assesses the ability of your heart, lungs, blood vessels, and muscles to use oxygen efficiently.

The initial amount and intensity of the exercise is kept at a very low level. The amount of exercise is then gradually increased each week.

Highly trained nurses and clinical exercise physiologists continually evaluate your exercise tolerance as you work through the program.

Counseling is provided to help you lower high blood pressure, lose weight and abdominal fat, lower cholesterol levels, manage diabetes, manage daily stress, and quit smoking.

A registered dietician will teach you how to read food labels, and you will receive dietary counseling on how to reduce fat and total calories and increase fruits, vegetables, and fiber in your diet.

There are many benefits to participating in a cardiac rehab program.

You will:

• Learn your capabilities and limitations after suffering a heart attack or undergoing heart surgery.

• Be able to do more daily physical activity.

• Have less shortness of breath and swelling.

• Sleep better.

• Experience less depression and anxiety.

Patients who participate in a cardiac rehab program have a 50 percent lower risk of death and a 30 percent lower risk of another heart attack than patients who do not go through a cardiac rehab program.

Medicare and most health insurance companies provide benefits for cardiac rehab, so please contact your provider for further information about your benefits. ❦ Dalynn Badenhop, PhD, UTMC director of cardiac rehabilitation, has 30 years of experience in cardiac rehab and is certified by the American College of Sports Medicine.

Five tips to avoid medication mishaps

A

s our 55-and-over population continues to rise, so does the concern of health professionals regarding how to best manage their health and safety. One such concern is for the number of medications that are prescribed for seniors. According to the Journal of the American Medical Association, nearly one-third of Americans ages 57 to 85 take at least five or more prescription drugs, and some with chronic illness may take as many as 20.

Medication has tremendous benefits to curing, preventing, and easing chronic conditions. At the same time, the combination of medicines can lead to negative effects on the body, or even dangerous outcomes, if not carefully monitored. Elderly patients are particularly susceptible to issues caused by polypharmacy, a term used when a patient is taking over four different medications, increasing the risk of misuse or negative effects.

As a Certified Nurse Practitioner (CNP), Brenda Blackshear is all too familiar with the challenges of polypharmacy. Blackshear has managed and prescribed medications for over 20 years. As a full-time CNP for Kingston Residence of Sylvania, an assisted living and memory care community for seniors, she has seen how the stress of keeping track of medications can take a toll on residents and caregivers.

“In some cases, it’s the medication overload that is the tipping point for choosing to come to assisted living.”

“At Kingston, we have many residents who can manage their own medications on a daily basis, then as they age or their symptoms continue to worsen, the pill burden can become overwhelming. Fortunately, residents can choose to have our clinical staff monitor their medications and look for changes in their health or behaviors,” states Blackshear.

Part of Blackshear’s experience is de-prescribing medications for residents to improve their well-being and quality of life. “What you find is that people will take the same medication for years without question, or have prescriptions from the cardiologist, pulmonologist, and family physician.

It’s a case of having several healthcare providers prescribing medicines without having the entire picture.

So people get a number of pills and doses that could create potentially negative outcomes, like higher risks of falls or hospitalization,” Blackshear explains.

The success of any medicine truly hinges upon the communication among patients, doctors, and caregivers. A few simple measures can be taken to bridge communication in order to increase the success of a medication program and hinder the risks of medical mishaps.

1

Create a medication journal and keep it up to date

This is particularly important for patients who take multiple medications.

Be sure to include the physician, date the medication was originally prescribed, diagnosis (why and what it will be used for), and how long it needs to be taken.

Write down both the brand and generic name of the medication as well as the pharmacy source. If you use a smart phone, take a picture of all your prescription labels. Make a few notes about a drug after you start taking it. Include positive and negative effects that it caused you, such as nausea, anxiety, or joint pain.

Remember to include over-the-counter medication and herbal remedies as well. Tell your loved ones about the journal and where to find it in case of an emergency health situation.

2

Bring your medication journal everywhere you will receive healthcare

Your healthcare is a team effort with you being the key player. Keep all your doctors informed about your medications to ensure that you do not run the risk of having drug-related problems. Review your medications frequently with your physicians, particularly if you have been taking them for quite some time. The pharmaceutical market is continually making progress; you may find that new alternatives are available for your condition.

When a stroke

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3

Choose one pharmacy source if possible

Many drugs come with pages of information that are prone to be confusing rather than educational.

Find a pharmacy that has a strong team of experts who take the time to answer your questions and follow your medication closely. Studies show that about 40% of seniors fail to take their medication as instructed.

Take advantage of your pharmacy’s counseling service when you have a

question about a medicine. Be sure to review your prescription if you have any doubt as to how and when to take it. If you take generic drugs, ask the pharmacists whether the company providing your medication has changed. Even though drugs are closely monitored, they can have a small change from one generic provider to the next. A change to your generic prescription could cause new side effects. Contact your pharmacist if you suspect that your generic prescription is different.

4

Pay close attention to changes in your body or behavior

Just as your body changes over time, so can the way you react to a certain medication. Symptoms such as headaches, dizziness, lethargy, irritability, or forgetfulness could be caused by alterations in the way you are reacting to your medications. Dr. Chad R. Worz, PharmD, a pharmacy expert for Kingston HealthCare, shares, “Older adults metabolize medication differ-

ently than younger adults. This will affect how the medication works as people age and also how medications may interact with one another.� Ask your spouse or caregiver to mention changes in your behavior that you may not be aware of, such as confusion or anger. Be sure to call your physician if you notice a difference in how you feel or act.

5

Accept help

Often seniors avoid asking for help for fear of being seen as less independent or weak. In the case of medication, one should consider that the result could be a better quality of life versus dire consequences.

Seek the help of a caregiver, such as spouse or other family member.

Involve them with your medication journal, and together seek resources to help manage your medication. Ask your pharmacist or physician about resources that they recommend for your particular needs.

While medications are necessary and invaluable for helping manage illness and experiencing better quality of life, it is important to be aware of mishaps that could occur by taking an uneducated approach to medicine, whether it be over-the-counter, natural remedies, or pharmaceuticals. By becoming more informed and involving your loved ones and clinical care givers, you increase the chances of having the best outcomes for health and wellness. â?Ś

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25% fewer doctor visits and used 15% less medication than the group of patients receiving just standard medical treatment.

Fertility

Acupuncture and real science

by Douglas A. Schwan, DC, Dipl ac

A

cupuncture doesn’t attract the high dollars for research from pharmaceutical companies that the next expensive new pill might. But, nonetheless, a growing body of research has taken this traditional Chinese medical procedure and elevated it to the level of mainstream medicine.

Migraines Trisha, a high-achieving teenage girl, was brought into our office by her parents with complaints of severe, disabling migraine headaches. At this point, she was experiencing them almost daily and hurt so bad her mother said she would lock herself in her dark bedroom and cry. Strong medications prescribed by her doctor didn’t seem to help and made her feel sick. After a workup in our office, she received a series of eight acupuncture treatments. We see her about once a month for update treatment, and her parents report that she has had only two minor headaches during that entire period.

A recent medical study that compared two groups of migraine sufferers published that one group, receiving standard medical drugs with acupuncture, had evidenced

Kathy was a 35-year-old urban professional. She had married after establishing her professional career and was anxious to start a family.

However, after three years and two IVF attempts, a pregnancy did not materialize. Her new family only had money for one more attempt, and she felt her biological clock ticking down. The thought of never having children of their own was crushing to Kathy and her husband Jim. After a consult with Kathy and her husband, it was decided to combine treatments due to time constraints with her biological clock. She would have acupuncture concurrent with her last IVF attempt in order to maximize chances of a full-term pregnancy.

We treated Kathy with acupuncture in combination with an advanced microstim technique and appropriate supplements. She was treated three times a week for four weeks. Sixty days after her last visit in our office, she returned with a big cake with a picture of a baby on it. We all decided to forego our healthy diets that day!

In a 2002 study that appeared in the reproductive journal Fertility and Sterility, a group of German researchers found that adding acupuncture to the traditional IVF treatment protocols substantially increased pregnancy success. In two groups, those receiving acupuncture along with their IVF had a successful pregnancy rate of 43% while those receiving IVF alone had a pregnancy rate of 26%.

An article published in the British Medical Journal and authored by researchers from the University of Maryland Medical School, found that acupuncture raises the odds

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We Use Individualized Therapy to Help Reduce Accidental Falls With our Therapy Program - let us help you stay safe this winter!

You should consider our therapy program if you have:

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Fallen recently or have a fear of falling

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Avoided normal activities

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Unsteadiness while standing, walking, or turning

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Suffered a stroke or hip fracture

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Side effects from medication that cause dizziness or weakness

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Are You Suffering?

Try Acupuncture!

AcupuncTure cAn help.

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

Better health. naturally.

“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.

Schwan chiropractic & Acupuncture center

Call for your FREE Consultation Today!

2828 W central Ave, Toledo • AcupunctureToledo.com

Covered by VA, BWC, PI Insurance

419-472-7055

of a successful in vitro fertilization by 65%.

Acupuncture in combination with specific nutritional and herbal counseling is also very effective on its own. Many couples who can’t afford the high cost of multiple IVF procedures find acupuncture, by itself, greatly increases their chances of a successful pregnancy.

Smoking, drugs, and other addictions

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©2014 Elizabeth Scott Community

Brian came in as a 44-year-old man with a long history of smoking and a recent history of lung cancer. Two months prior, he had part of his right lung removed and he was hopeful that this would “cure” his cancer. His surgeon told him that his cancer was related to his two-pack-a-day cigarette habit since age 16. He was also told that he would die if he smoked again.

As soon as Brian was released from the hospital, he fell back into his old habits. He would sneak away from his wife and light up a quick one in the garage. He tried a traveling hypnosis show for smoking and ended up smoking on the drive home. Already feeling 10x5.9_ES_NurseMaggieAd_HL_414.pdf bad from the cancer and surgery, he

1

found anti-smoking drugs nearly killed him.

In our office, we find that smoking-cessation patients usually respond well with two to four acupuncture treatments and some minor counseling. Our office package includes up to four treatments over the critical two-week period where falling back into old habits is most likely. After three treatments, Brian declared that he was “free of the nicotine demon!”

We saw Brian about six months later when he returned for his fourth free visit for a booster session. While he didn’t smoke again, he felt the urge ramp up as worry about his impending cancer checkup climbed.

We treated Brian for anxiety and stress, and to this day he remains cancer and smoke-free.

In 2011, the US Department of Justice, in association with American University, looked at acupuncture as a treatment for various drug addictions. Many drug courts were sentencing drug offenders to receive acupuncture as part of their sentence in order to help them kick their drug habits. They found that a number of studies in the literature 5/29/14 11:43 AM showed that acupuncture treatments

reduced cravings and symptoms of withdrawal and were more effective than conventional treatments alone.

Arthritic knees and backs Marlene limped into our office with severe lower-back pain and bilateral knee pain. She was 45 years old with a history of steel rods implanted into her lower spine as well as a left knee replacement years earlier. She was on a variety of pain drugs up to and including morphine-based drugs. She stated these drugs were no longer controlling her pain, and her surgeon said there was nothing more he could do.

Examination revealed that Marlene was hunched forward in pain and could only straighten up with considerable suffering. Her replaced right knee was stiff with very limited and painful motion. She said it felt like “glue” in the joint and just touching around it was excruciatingly painful. Her left knee had only 50% range of motion, and x-rays demonstrated bone-on-bone osteoarthritis throughout.

Marlene had a prescription in hand for a wheelchair, but she was determined to walk on her own as long as possible. She began crying

in the office when she described being forced to give up fostering abandoned dogs in her home due to her infirmities.

Despite Marlene’s many problems, we prescribed an acupuncture protocol for her that combined ancient needling techniques along with modern computer-controlled methodology. By needling specific acupuncture points and running a computer controlled microcurrent through specific needles, we were able to accelerate the body’s ability to deal with all the arthritic scar tissue and inflammation that was the main underlying problem. After a series of three-times-weekly treatments for a month, Marlene noted significant relief from pain, increased range of motion, and a pronounced improvement in her ability to walk.

She now returns twice a month as needed for tune-up visits. Marlene relates that she has not only begun fostering dogs again, but has adopted a Siberian/lab mix as her own.

In 2006, the National Institute of Health published a literature review of acupuncture research into treatment of osteoarthritic knee pain. They were looking to compare acupuncture to placebo (sham) treatments. The Na-

“ I love the geriatric population. They’re funny, honest… and you can learn a lot from them.”

Maggie M., RN, 2-year employee

Maggie enjoys caring for the elderly. Not just providing medical care, but getting one-on-one time with each resident. She believes the family atmosphere at the Elizabeth Scott Community provides a unique environment.

“The owners are here every day, and they’re definitely available when you need them. It’s a great place to work, and that makes for a nice living arrangement for our residents.”

Our founder, Elizabeth Scott, was also a nurse and believed in caring for residents like they were family. Sixty-five years later, nursing is still at the heart of our resident-centered care.

Independent & Assisted Living, Skilled Rehab.

Family owned and operated since 1949.

2720 Albon Road Maumee, OH 43537 (419) 865-3002 www.elizabethscott.org

To learn more about Maggie’s story, visit www.elizabethscott.org

can take

Simple Safe Secure

YOU

tional Institute of Health found that, “Acupuncture that meets criteria for adequate treatment is significantly superior to sham acupuncture, with no additional intervention, in improving pain and function in patients with chronic knee pain.”

Toledo, Ohio. His office may be contacted at FAQ@acupuncturetoledo.com.

For more information on Alternative Medicine or past articles, please visit our website at www.acupuncturetoledo.com.

Conclusion Acupuncture and nutritional therapies are very effective in treating a wide variety of conditions. Acupuncture procedures can be used in conjunction with or, at times, in place of drugs and surgery. It is also very safe with few side effects. The practice of acupuncture is a high-level skill and takes years of study to master.

In considering acupuncture, make sure your practitioner is trained and experienced in the condition you seek treatment for. ❦ Dr. Schwan is available to speak to your group on a wide variety of Alternative Medicine topics. He is a 1982 graduate of Palmer College of Chiropractic as well as a Diplomat in 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 standup comedian. His practice is located in

Top 10 reasons to give tennis a try in 2015

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s we head into 2015, people will be looking for new ways to accomplish their New Year’s resolution of getting themselves in better health. As I was surfing the internet, I stumbled upon a site, active.com, that shared an article on reasons people should try tennis, written by the Tennis Industry Association (TIA).

So here goes my David Letterman Top 10 list of reasons to try tennis as shared by the TIA:

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world point to tennis as one of the healthiest activities that you can participate in because it delivers overall physical, mental, and emotional gains.

It will add years to your life.

9. A happier life Tennis engages your mind and body at the same time, unlike a traditional workout at the gym. Because tennis players are more confident, healthier, less stressed, and more socially interactive, they’re just plain happier.

8. It’s social On court and off, you’re guaranteed to make friends through tennis.

The sport encourages interaction, communication, and just plain fun.

Plus, it’s great for making business connections.

7. The whole family can participate *Coupon must be presented at time of estimate. Offer only good with a signed full waterproofing system contract. Not valid with any other offers or onmust existing contracts. at time *Coupon be presented *Coupon mustDecember be presented at 2013 time of Offer expires 31, of estimate.

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No matter the age, gender, ethnicity, ability level, or fitness level, tennis is perfect for families to play together.

Few sports can offer the opportunities for families that tennis can.

6. Tennis teaches life lessons Participants, particularly youngsters, develop a work ethic, learn sportsmanship, accept responsibility, manage mistakes, enhance discipline, learn to compete, cope with pressure and adversity, develop healthy habits, learn teamwork, and more.

5. Tennis can be anything you want it to be Looking for competition, social play, team camaraderie, a good workout, time with family or friends, tournaments, and national championships?

Tennis has all of that, and more. The sport can be anything you want or need it to be.

4. It’s fun At every level of the game and at every age, from 10-and-under tennis through super-senior leagues, players have fun while getting a great workout.

3. It develops your mind Tennis requires alertness, tactical thinking, and problem solving, and evidence suggests it may generate new connections between nerves, promoting a lifetime of continued development of the brain.

2. Fitness The constant movement and action in tennis will burn calories, build muscle, increase bone strength, improve flexibility, fine-tune coordination, and enhance overall health and fitness.

1. It’s a sport you can play your whole life There’s no other sport you can play throughout your lifetime—from the earliest ages to your latest years— that gives you the physical, mental, emotional, and social benefits tennis gives you.

So contact one of the local indoor tennis clubs (Shadow Valley Tennis Club, Laurel Hill Swim and Tennis Club, or Perrysburg Tennis Center) and tell them you want to give tennis a try. Once you try it, you will be hooked and will start working towards sticking with your New Year’s resolution in a new and more-than-rewarding way! ❦

News From

OTTERBEIN Otterbein Portage Valley offers way to prepare for upcoming surgeries

R

ehabilitation programs following surgery are often prescribed by surgeons to aid in strength and healing, but starting weeks before surgery might help patients regain function even faster.

According to Dr. Julie Silver, a physiatrist at Spaulding Rehabilitation Hospital in Boston, “So-called ‘prehabilitation’ to prepare someone for an upcoming stressful event has been used quite a bit in orthopedic surgery. And there’s increasing interest in using it before cancer treatment, especially to help frail or elderly patients better tolerate what lies ahead.”

Researchers from McGill University in Montreal studied 77 patients scheduled for colorectal cancer surgery. A kinesiologist gave the patients

aerobic exercises and strength training to do at home. A registered dietitian gave them nutritional counseling and prescribed a whey supplement to make up any protein deficits, and a psychologist provided anxiety-reducing relaxation exercises.

Half of the patients were told to start the program before surgery—an average of about 25 days before— and to continue afterward for eight weeks. The other group was told to start right after surgery.

Not surprisingly, the group assigned to prehabilitation did better on a presurgery test that measured how far they could walk in six minutes. And it paid off.

Two months after surgery, the prehabilitation group walked an average of 23.7 meters farther than when

Skilled Nursing Neighborhoods Call Joy Reidl 419-308-0585

they started the study. Rehab-only patients walked an average of 21.8 meters less than when they started.

(A change of 20 meters is considered clinically significant.) And a greater proportion of the prehabilitation group was back to baseline exercise capacity by then. The study appears in the journal Anesthesiology.

Prehabilitation can include a combination of exercise, mindful meditation, improved eating, smoking cessation, and mental preparedness. There have been a variety of studies to show that preparing one’s mind and body for a stressful event improves the chances of successful outcomes after the event.

Otterbein Portage Valley Senior lifestyle Community is proud to announce a new monthly event for the public called Otterbein PreHAB. This ongoing Lunch and Learn series is free to the public. Men and woman anticipating a hospital stay

or surgery are invited to come and receive a free lunch, education about improving health and wellness prior to the surgery, and some information about what to expect while they are in the hospital.

The first PreHAB event will be held on Thursday, February 26th beginning at 11:30 a.m. at the Otterbein Portage Valley campus in Pemberville on Pemberville Road.

Debbie Davis, Diabetes Educator from Wood County Hospital, and Jaxon Bowles, Discharge Planner from St. Charles Hospital, will be the featured speakers. Participants will also be given a free copy of the book The Hospital Checklist to take home. Please call Jaime Brown at 419-833-8917 to make a reservation for this important event! ❦ Excerpts from this article were included from the October 29, 2014 edition of NPR Shots.

Portage Valley Lifestyle Community Call Lori Stitely 419-833-8917

BySister Mary Thill

Spiritually Speaking F

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ebruary has come to be identified over a math problem and reaches with love, the St. Valentine’s Day out to help him with a helpful clue kind of love, where we give people or a better way to solve a problem we love cards, candy, and flowers to comes to mind. The ears of the big show them our love. The candy and sister in the family who listens to a souvenirs for Valentine’s were on sibling who shares a very difficult the shelves of the stores even as the experience that she is unable to share Christmas stuff was on sale. I could with anyone else comes to mind. This hardly believe my eyes when I saw is how love plays out in a family.

Easter candy on the shelves next to Recent events here and around the Valentine candy. I’m really not the world have shown me how we sure what to think about all this con- globally love one another. Rescue sumerism, but I do want to rethink workers using their hands to dig and with you here just what it is we mean pull someone from a mudslide, car when we say we love someone. accident, or burning building show I came across the quote by St. their love.

Augustine a few months ago, and People who take part in a variety it struck something in me that said, of walks and runs for charitable “Yes, that is what love is!” I would causes, using their feet to hasten to like to submit that I see a lot of that help the needy and the poor, show kind of love here in the medical center their love. where I work. There are many helping Photojournalists and reporters hands here from the first person a who often risk their own lives to patient meets in Patient Access where capture a story, using their eyes to registration, blood tests, x-rays, and help all of us see the misery and want other tests may be of millions of human performed so the What does love look like? beings around our next set of caregivers world, certainly show It has the hands to help others. can do their thing. I us their love and see folks hastening It has the feet to hasten to the touch something in poor and needy. on their feet when us that, in turn, helps Code Blue and RRT It has eyes to see misery and us show our love.

Codes are called to Listening to the want. help the poor and It has the ears to hear the sighs outcry of hundreds the needy. I see kind and thousands of and sorrows of others. and caring looks That is what love looks like. people whose loved in the eyes of our ones and fellow coun —St. Augustine of Hippo caregivers as they trymen and women see the misery and have been killed by want in our patients in the Emer- terrorist guns and bombs show the gency Department. I hear the calm love that comes from hearing the and consoling words of nurses and sighs and sorrows of others. chaplains as they receive the sighs Valentine cards, candy, and flowers and sorrows of family members who certainly are visible ways to express have just witnessed the death of a our love, but I would suggest we take loved one. Love is very visible in a our love to another level and show it place like this. by using our hands, our feet, our eyes, What does love look like in a and our ears in such a way that the family setting? The worn and weath- people we love know what real love ered hands of a mother as she does is and that we know it and show it. As yet another load of wash, prepares another wise person once said, “Work another meal, washes another dirty is Love made visible” (Kahlil Gibran). floor, cleans another bathroom, and May our work, indeed, make our love changes yet one more diaper comes visible. Happy St. Valentine’s Day! ❦ to mind. The tired feet of a father who has literally walked miles on his job Sister Mary Thill, a Sylvania Franciscan as a mail deliverer in order to provide Sister, is Patient Liaison for Mature for his family comes to mind. The Health Connections at Mercy St. Vincent eyes of a junior high student who Medical Center. She can be reached at sees his younger brother struggling 419-251-3600.

A

Time for a resolution reality check!

s we approach the middle of the second month of the year, it is time to ask, how am I doing with my New Year’s resolutions? Am I still on track, or am I, like most people at about this time, ready to give up?

According to the USA.gov website, the most popular resolutions are: • • • • • • • • • • • • •

Lose weight Volunteer to help others Quit smoking Get a better education Get a better job Save money Get fit Eat healthy food Manage stress Manage debt Take a trip Reduce, reuse, and recycle Drink less alcohol.

A statistic from a “big box” gym identified that the most drastic drop off in gym attendance occurs 38 days from the New Year (February 7th).

We all begin the year with high hopes and big goals for our health and fitness. But only 30 days into the year, only six out of ten people are still on

track with their goal to lose weight, exercise more, or eat healthy. And by the end of the year, only one out of ten people have sustained their New Year’s resolution to be healthier.

What’s even worse, for those who actually do lose weight, 80 percent of them gain it back again and 67 percent of those people gain more weight back than they originally lost!

If we take a minute to look at our list of resolutions, we see one common point; they are all outcome-oriented.

Here is the problem with outcomes: We can’t control them. Life happens and the world we live in can be uncontrollable. If we want to lose ten pounds, we can’t command our body or will it to do so. We can, however control behaviors that will lead to the outcomes we want. We can eat more protein at each meal, limit our sugar and salt intake, walk one mile a day, and do three strength-training workouts a week.

The key to succeeding in your goals for 2015 is to start with—and continue with—small, manageable tasks that are within your control, that you can do now, today, or in the

near future. Things that you can do consistently and regularly are key.

When we take the outcomes we want and frame them into behaviors we control, we will be more successful.

Another question to consider as we look at the big resolution of weight loss that so many of us set is how to approach it. For most of us, the approach is to go on a diet to lose those ten pounds or whatever the number is. But by its very nature,

When we achieve the mind shift from a diet to a lifestyle change, the choices we make get easier.

a diet is temporary. We think of a diet in the short term with an end in sight. We struggle and hold out to the end or until we have reached the target. Once we have, we tell

ourselves that it’s over and we can go back to eating more normally. We hold off eating something because we are “on a diet,” but once we reach the goal, we can finally eat it again.

Wouldn’t it be better when we decide to lose weight to make it a lifestyle change? A lifestyle change, as the name suggests, is for life. You are in it for good. The result is that we begin to adapt behaviors to match the new lifestyle. You create ways to enjoy your food and adjust areas of your life to your new habits.

When we achieve the mind shift from a diet to a lifestyle change, the choices we make get easier. The weight-loss focus is to sustain it for the long term. It is possible to achieve this goal—along with a healthier, happier you.

Call Heartland Rehab (Arrowhead: 419-897-9822, Oregon: 419-697-8000, Perrysburg: 419-874-2657, Westgate: 419-536-8030, Bedford: 734-856-6737) to schedule your complimentary therapeutic weight management screening! Let Heartland help give you the tools to make 2015 the healthiest year yet! ❦

Suffering with orthopedic problems due to weight, you have a choice!

• • • • •

Reduce your low back, hip & knee pain Decrease your risk for heart disease Lower your risk for Type 2 Diabetes Improve your blood pressure Regain your acve lifestyle

With a combination of exercise, healthy coaching and behavior modification,

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Hearing screening vs. hearing test, by Randa Mansour-Shousher, AuD, CCC-A

H

ave you received a promotion for a free hearing screening?

Wondering what the difference is between a full diagnostic hearing test and the complimentary check?

Two words: hearing loss.

A screening only reveals whether or not you have a hearing loss. Typically, if you sign up for a screening, you already have an idea that you may have a hearing loss. While that may be a good first step in determining

whether you have a hearing loss, the screening isn’t going to give you an in-depth diagnosis and will require you to make an additional appointment for a full assessment, diagnosis, and treatment with an audiologist.

In other words, a screening is not a medical diagnosis and is not a substitute for a full evaluation.

A complete hearing assessment includes multiple tests that are performed by a licensed audiologist.

The Sensory Learning Program treats individuals that have been diagnosed with: • Autism • Aspergers • ADD/ADHD • Sensory Integration Disorder • Speech and Language Delays • Anxiety/Depression • Behavior Abnormalities

Essentially, an audiometric test assesses your ability to hear and the brain’s ability to receive and translate the sounds. The sounds begin as vibrations and evolve into sound waves. These waves travel at a certain frequency and amplitude. Eventually, the waves enter the ear and are turned into impulses, which are sent to the brain. The brain receives them and translates them.

A full hearing evaluation actually includes multiple assessments.

Tests include otoscopy, air conduction, bone conduction, and immittance testing.

The hearing test will include a tympanogram, which involves placing a small probe in the ear and assessing how well the eardrum and other structures in the middle ear function. Then, the audiologist will perform an acoustic reflex test. In this “ I have seen Garrett’s assessment, a behavior improve tremendously. probe is placed He is calmer, more relaxed, in the ear and more attentive, more focused, a loud tone is more confident, independent and emitted. The generally just a joy to be around .” test looks at the — H.C...Toledo reflex of the stapedius muscle; “My daughter is more this is important aware of her surroundings and because it’s assensory rich environments that sessing the proLike us! used to overwhelm her and send tection the ear her into a meltdown, no longer receives from bother her.” —S.C...Monroe loud noises, Follow us! typically over 70 decibels. The assessment will also evaluate your ability to for more information and to hear and underschedule a FREE Sample Session stand speech by you reDr. Jeffrey G. Schmakel, O.D. having peat the words 3454 Oak Alley Court • Suite 209 that you hear.

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identify the three main types of hearing loss to identify the treatment route. The first type of hearing loss is called conductive hearing loss, which occurs when the sound has difficulty being conducted from the outer ear through the ear canal to the eardrum and the ossicular chain, which are little bones in the middle ear. Often this type of hearing loss can be treated medically.

Another type of hearing loss is called sensorineural hearing loss, which happens when there is damage in the inner ear (cochlea) or to the nerve pathway from the inner ear to the brain. Unfortunately this type of hearing loss is usually permanent.

The most common recommendation the audiologist will discuss with you will be to obtain hearing aids to help hear conversations louder and clearer.

The last type of hearing loss is called mixed hearing loss, in which conductive hearing loss occurs at the same time as a sensorineural hearing loss. So, the damage may occur in the outer, middle, and inner ear at the same time, causing a mixed hearing loss. This type of hearing loss may be treated medically or surgically, but the use of hearing aids may still be necessary.

It’s important to discuss with the doctor any hearing-related issues you have experienced. This can include any exposure to excessive loud noises or ringing in the ears. You may not realize that certain medications or sicknesses can also have an effect on your hearing, so be sure to discuss them with the audiologist as well.

Based on the results of these tests, your audiologist will be able to determine the severity and pattern of your hearing loss and whether it’s temporary or permanent. The audiologist will divulge whether your hearing loss is conductive, mixed, or sensorineural and will help you determine the appropriate treatment for your hearing loss. You may need to see an ear, nose, and throat specialist; you may require annual monitoring; or you may benefit from a hearing aid.

An audiologist is able to make these recommendations for you.

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).

New Executive Director named for Lutheran Home at Toledo

L

utheran Homes Society (LHS) is a welcome addition to the Lutheran announces the appointment of Home at Toledo family.”

Michael Freeman as Executive DiMr. Freeman is a Licensed Nursing rector for Lutheran Home at Toledo, Home Administrator in the state of a care community located at 131 N. Ohio. He earned a Bachelor of Science Wheeling St. in Toledo, Ohio. in business administration from The As Executive Director, Mr. Freeman Ohio State University. Additionally, will be responsible for the day-to-day he has a master’s degree in business operations, community outreach, administration from Wright State and business development of the University, with a concentration in Lutheran Home at Toledo campus. health care. He has relocated to the The campus offers assisted living, Elmore, Ohio area with his wife. long-term and short-term skilled “I have a passion for the ministry nursing care, inpatient and outpa- at Lutheran Home at Toledo,” Mr. tient rehabilitation services, and Freeman stated. “It is an honor to respite care. lead an exceptional team of healthcare Mr. Freeman has been a leader in professionals every day who have long-term care for more a heart for providing than 20 years. Most reexceptional care and cently, he was employed services to those most

by Diversicare Healthcare in need. I am excited Services as the Adminabout the future of this istrator of Siena Woods ministry.”

Transitional Care CommuLutheran Homes Sonity in Dayton, Ohio. Mr. ciety is a social minisFreeman has spent more try organization based than half of his career in in Toledo, Ohio that not-for-profit, mission-drivhas been serving the en organizations. unique needs of youth “Michael comes to us and elderly since 1860.

Michael Freeman with many years of expeLutheran Home at Tolerience as an administrator do is a ministry of LHS and has demonstrated a passion for that began operating in 1906. Today, providing quality care and service,” more than 3,600 individuals located stated Steve Dumke, Senior Vice throughout Northwest Ohio and President for Home Health and Long- Southeast Michigan benefit from the Term Care Services. “He has a strong housing, medical care, and services commitment to the LHS mission and offered through LHS ministries. ❦

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One patient at a time

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

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

Lutheran Homes Society has four therapy centers to serve you.

Lutheran Village at Wolf Creek (West Toledo/Holland) 419-861-5634 Lutheran Home at Toledo (East Toledo/Oregon) 419-724-1841 Lutheran Home at Napoleon (Napoleon) 419-592-1688 Lutheran Memorial Home (Sandusky) 419-502-5706 Lutheran Homes Society 2021 N. McCord Road Toledo, OH 43615 www.LHSOH.org

Our rehab services include: y Inpatient and outpatient therapy

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

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

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

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

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

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

JHHS 32 0113

If you’re having trouble hearing and require a full assessment, feel free to call us at Northwest Ohio Hearing Clinic. We are happy to answer any questions you may have and set you up with an evaluation.

Eating Well

by Laurie Syring, RD/LD

Eat your way to a healthier heart

Congratulations and Thank You To our employees for their commitment to excellence and for helping us achieve the following awards and recognition!

Medicare 5 Star Facility www.medicare.gov

E

very February, we see redâ&#x20AC;&#x201D;hearts, that is, and lots of them. The heart is the symbol of love and, of course, Valentineâ&#x20AC;&#x2122;s Day. In keeping with this theme, February is also American Heart Month, a time to show love to those around us by making heartsmart choices that will help keep us alive and well for as long as possible.

Why do we need a whole month dedicated to heart health? Consider that cardiovascular disease is the number one killer of women and men in the United States and the leading cause of disability, preventing Americans from working and enjoying the people and things they love.

Whatâ&#x20AC;&#x2122;s more, cardiovascular disease

by Myles Mellor 2841 Munding Drive Oregon, Ohio 43616

Call or visit us today 419-697-4100

www.lhshealth.com

ilovecrosswords.com Answers on page 26

Across 1 Carrot or radish for example (2 words) 8 Dosage amounts, for short 9 Uses mouthwash 11 Kind of sandwich 12 ____ metabolism 14 Prickly plant 16 Environmental threat (2 words) 20 Natural form of medicine 21 It has a tibia and a fibula

24 Plants used medicinally 25 Memory loss 26 Blooming time of the year 27 Fever blisters, winter woes (2 words) Down 1 Cross between a cabbage and a turnip 2 Retreat 3 Veteransâ&#x20AC;&#x2122; hospitals 4 Green plum 5 Pulsate 6 Needing Rogaine?

7 Guarantees 10 Rogersâ&#x20AC;&#x2122; state 13 Legumes used in soup 15 Type of cheese 17 The interlinked environment 18 More food!

19 Epoch 21 â&#x20AC;&#x153;The Biggest ___â&#x20AC;?

22 Objectives in life 23 Skin soother 25 Feel like staying in bed

I HAVE CANCER. I have great hope.

Š2014 UT Health

costs over $300 billion each year, including the cost of health care, home health, medications, and lost productivity. I’d say those are some pretty compelling reasons for a month’s worth of focus on heart health!

While family history plays a role in heart disease risk (having a close family member with the disease increases your risk), many of the risk factors are modifiable—meaning you can change them. One of the big ones is diet. Giving your body the solid nutrition it needs is important for so many reasons, most importantly for lowering your risk of heart disease and stroke.

Did you resolve to give your diet a healthy overhaul back on January 1?

If you did, you’ve probably already discovered that making multiple diet changes at once can be overwhelming and often sets the stage for defeat. I encourage people to look at their diet and decide where they can make one change—maybe start by switching from whole milk to 1%, eliminating all deep-fried foods, or avoiding red meat. Try to stick with that one change for a couple of weeks until it

becomes an established habit and then try another change.

Here are some other heart-healthy dietary changes you can make: • Choose plenty of fruits and vegetables. When filling your plate, cover half of it with fruits and veggies first rather than filling up on meat, potatoes, and gravy.

• Choose more whole grains and beans and legumes.

• Work some meatless meals into your weekly menu. Joining the “Meatless Mondays” initiative is a good way to reduce your family’s intake of saturated fat.

• At snack times, reach for nuts and seeds instead of chips and candy bars.

• Choose fish three times per week. Living in the Midwest, we do always have that luxury.

No, fried perch sandwiches and pan-fried walleye don’t count, in case you were wondering! However, canned

Crispy Baked Chicken Strips 4 cups corn flakes, lightly crushed 1 tsp garlic powder 1 tsp Italian seasoning, salt free 1 tsp paprika ¼ cup parmesan cheese, grated

½ tsp salt (optional) Fresh ground pepper to taste 1 to 2 lbs chicken, boneless, skinless tenderloin Vegetable spray

Preheat oven to 350°F. Spray a baking sheet with vegetable spray. Set aside.

Place crushed cereal, garlic, Italian seasoning, paprika, parmesan, salt, and pepper in a 1-gallon plastic bag and mix together well. Place in a pie plate.

Roll chicken tenderloins in cereal mixture until coated well. Place in single layer on baking sheet. Spray chicken lightly with vegetable oil spray.

Bake 30 to 45 minutes until chicken is golden brown and tender.

Serving: 3 strips (235 calories, 6 gm fat, 28 gm protein, 77 mg cholesterol, 220 mg sodium)

Total Body Rehabilitation Center is pleased to announce the addition of Triggerpoint Dry Needling (TDN) to its practice.

• • •

•

tuna and salmon are acceptable alternatives.

Choose fat-free dairy products.

Choose lean poultry (don’t eat the skin), and limit red meat to no more than 9 ounces a week.

Limit salt and sodium to no more than 2000 mg a day, and limit sugar-sweetened beverages. Drink more water!

Eat reasonable portions.

—Continues next page

Creamy “Ranch” Salad Dressing ½ cup plain fat-free yogurt ½ cup nonfat or low-fat sour cream 1 green onion, minced 2 Tbs fresh parsley, minced ½ tsp lemon herb seasoning, salt free ½ tsp honey ¼ tsp Italian herb seasoning, salt free Whip together yogurt and sour cream in a blender or food processor. Stir in remaining ingredients. Refrigerate one hour. Serve cold over salad or as a vegetable dip.

Serving: 2 Tbs. (17 calories, 0 fat, 22 mg sodium, 1 mg cholesterol)

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

Same day appointments available with our physician assistant

419.473.2273

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

Welcoming New Patients

Eating heart-healthy is about making wise choices, so be sure to read those food labels carefully. Try to eat a variety of different healthy foods so your diet isn’t missing any key nutrients your body needs. If you could use a little inspiration, get yourself an American Heart Association Cookbook and visit the websites cdc. gov/nutrition/ and choosemyplate. gov. I’ve also included two of my favorite heart-healthy recipes on

page 37 so you can get a sense of how flavorful healthy eating can be.

Most importantly, try not to become overwhelmed—make only one or two changes at a time.

Remember, February is the month of love. Why not give yourself—and the people who love you—the gift of a healthy heart? ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Running tips for beginners

by Amanda Manthey

The Grass is always greener on the Land•Art side

Call for a free lawn care estimate.

419-666-5296 We are committed to quality We use the best exclusive granular turf builders available, and we stand behind their performance.

If needed, additional grandular fertilizer, and liquid weed control will be applied at no extra charge.

We’d like to Thank our valued loyal customers!

A

re you interested in running but afraid of the first steps? Here are a few tips to get you off on the right foot and on your way to enjoying the sport of running. Most important, consult your physician before starting any exercise program.

As a runner, the most important piece of equipment is your pair of running shoes. Before starting your running program, visit a shop such as Dave’s Performance Footgear, which specializes in running shoes, for an assessment of your needs and a personalized fit.

One of the most common complaints of new runners is, “I can’t breathe.” Focus your energy on exhaling rather than inhaling. As your need for air increases, think about forcing the air out of your lungs rather than sucking it in. This will make you less tired than when you are huffing and puffing and will also help prevent hyperventilation.

In the beginning, take frequent short runs after resting sufficiently.

Your runs should last long enough for your body to get a workout but still be able to recover in time for your next run. If you over exercise and your muscles do not recover to their original condition, you will not gain any benefit. Strength is gained during rest when your muscles repair the fibers that are broken down during exercise. But remember, every runner is different when it comes to the amount and frequency of exercise that is appropriate. Listen to your body.

As a novice runner, take quick steps rather than long ones. You will not tire as fast if you take short, fast steps rather than long, slow ones, especially when you are tackling hills. When running downhill, lean

your body forward in order to try to keep your body perpendicular to the hill.

Novice runners need motivation and a schedule. Join a beginner running group or seek out a running partner. Some runners find that taking music along on their workouts helps make running fun. When using headphones, though, play the music at a reasonable level so you can hear traffic noise and remain alert to potential hazards. Speaking of hazards, if you are running alone, carry identification and always run against traffic, preferably on sidewalks or running paths.

One of the best ways to improve and get more enjoyment out of running is to enter road races. The experience of finishing a running race is exhilarating. Start with the goal of a 5K (3.1 mile) road race, “fun run,” or a relay race with your running friends.

Races can provide a foundation for enjoying a long life of running.

Happy running! ❦ Amanda Manthey is a former collegiate runner for Eastern Michigan University.

She writes about running and fitness for Dave’s Running Shop.

Don’t miss Dave’s races!

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

Blizzard Breakfast Run Saturday, February 7, 2015, 9:00 a.m. at 740 Glenwood Rd., Rossford, Ohio.

This is a great training run for the upcoming Glass City Marathon. Choose

between the 3.5-mile or 7-mile training run. This is a non-timed event, but there will be a clock at the finish line for your convenience. $5.00 for TRRC Members, $7.00 for non-mem-

bers. Registration will be available on Friday, February 6, 2015 at Dave’s Running Shop, Perrysburg, from 5:00 to 8:00 p.m. Race day registration will begin at 8:00 a.m. New race

time begins at 9:00 a.m. with both distances. Breakfast will be served after the race to all participants. For more information, please email jeff. taylor@davesrunning.com. ❦

Laurels rehab guest gives new meaning to “politically active”

F

or rehab guests at The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, motivation to keep pushing through the program and making progress can come from any number of different sources. For some, it may be the desire to get back to a favorite activity or pastime, such as cooking, fishing, walking the dog, or playing with the grandkids. Others may have a passion to return to their chosen sport with greater strength and full function after an injury. Still others might set their sights on simply regaining their independence and managing activities of daily living, such as dressing and bathing.

But for Mary Hollis the greatest motivator is getting back to serving her community and actively supporting her favorite political candidates.

Hollis, age 90 and a lifelong To-

ledoan, gives new meaning to the term “politically active.” For decades, she has been actively involved in the Democratic Party, having served as an Ohio delegate to the Democratic National Convention for presidents

Jimmy Carter and Bill Clinton, an elected board member of the Democratic Party Central Committee, and a member of the Perry Burroughs Democratic Women’s Club. A former corrections officer for the Lucas County Sheriff ’s Office, Hollis also serves on the Mother Ministry at Jerusalem Baptist Church and was honored by the National Association of Negro Business and Professional Women’s Clubs, Inc. in 2002. Plus, she has attended the inaugurations of several presidents, including both of Barack Obama’s.

Hollis has been a rehab guest at The Laurels on several occasions, mostly for orthopedic issues. But her most recent visit stemmed from a stroke she experienced after being admitted to the hospital for acute mental

status changes.

When the stroke occurred, Hollis was given the clot-busting drug TPA (tissue plasminogen activator), which stopped further damage, but not before the stroke had significantly affected her strength, function, and speech. Having had excellent clinical outcomes and very positive customer-service experiences during her prior Laurels visits, she was adamant about returning there for rehabilitation following the stroke.

“When she got here, Mary was pretty weak from the stroke and had a lot of trouble walking and talking.

She could articulate speech but had difficulty finding the right words,” recalls Laurels physical therapy assistant Justin Bates. “So we did a lot of different exercises to improve her overall strength and balance and had her work with a speech therapist to

address that deficit. Now, she’s doing very well and starting to walk with a cane. She was even strong enough to go home at Christmas and spend the holiday with her family.”

When most people are recovering from injury or illness, they get messages of support from their family, friends, and coworkers. Hollis, gets personal letters from presidents. In fact, upon hearing she was recovering from a stroke, President Obama just recently sent her a card urging her to get well soon. According to Laurels Rehab Services Director Julie Leidel, the rehab team has an ongoing joke that they’d better push Hollis hard to succeed because the Secret Service may be watching.

For her part, Hollis is eager to get back to Mother Ministry and her work in support of her political party. She also has only good things to say about Bates and the rest of the Laurels rehab team. “These people are wonderful and very dedicated to helping you recover and get back to your life. Believe me, if you aren’t able to walk when you get here, they’ll have you walking before you leave!” she remarks. ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services.

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

Keep your heart healthy during the winter months

by Ashley Romijn, BSPS, and Michelle Schroeder, PharmD, BCACP, CDE

W

inter is currently in full swing here in Northwest Ohio and Southeast Michigan, and those cold temperatures can bring about a variety of problems. We want everyone to stay healthy this winter, and this starts with keeping your heart healthy!

One big problem that our area faces this time of year is a heavy dose of snow. Although most of us are aware of the dangers associated with prolonged exposure to the cold or driving on the snow-covered streets, many do not realize that one of the most dangerous tasks of winter is shoveling your driveway. A study conducted by Nationwide Children’s Hospital found that snow-related injuries and emergencies account for an average of 11,500 hospital visits each year.1 The causes for hospital visits range anywhere from bruising or a head injury due to a slip on the ice to the most fatal outcome—a heart attack. Approximately 100 deaths are caused by snow shoveling each year 1 New National Study Finds 11,500 Emergency Department Visits, Nearly 100 Deaths Related to Snow Shoveling Each Year. Retrieved January 8, 2015, from http://www. nationwidechildrens.org/news-room-articles/ new-national-study-finds-11500-emergencydepartment-visits-nearly-100-deaths-related-tosnow-shoveling-each-year?contentid=86424.

in the United States, all of which are a result of cardiac-related injury.2 In today’s column, we’re going to discuss exactly why shoveling snow is such a strenuous activity for your heart, those who are at a higher risk for having heart issues while shoveling snow, and tips to make shoveling that pesky snow a little bit easier on your heart!

Shoveling snow is a workout for your heart!

If you’ve shoveled snow in the past, I’m sure you’ve gone inside afterwards a little sweaty and very exhausted.

This is because shoveling snow is a true workout for you and all of your muscles, including your heart. During this activity, your blood pressure and heart rate are both increased, even more so than if you were exercising on a treadmill!3 Shoveling snow requires you to use your upper body to lift heavy, wet snow, which can 2 11,500 emergency department visits related to snow shoveling each year, national US study finds. Retrieved January 8, 2015, from http://www.sciencedaily.com/releases/2011/01/110118101356.htm.

3 Why do so many people die shovelling snow? Retrieved January 8, 2015, from http:// www.bbc.com/news/blogs-magazine-monitor-30119410.

impose a burdensome workload on your heart. Combine cold air, which causes constriction of the blood vessels and thus reduces blood supply and oxygen to the heart, with the physicality of this activity, and you get a recipe for cardiac issues.

Who is at increased risk for heart attack while shoveling snow?

Shoveling snow is, obviously, a necessary task in this part of the country, but some people are more vulnerable to experiencing heart trouble during this activity. Those who should exercise caution before shoveling snow are: • Adults age 55 and older • Individuals with known cardiovascular disease or history of a heart attack • Individuals with high blood pressure or high cholesterol • Smokers • Individuals who are physically inactive or lead a sedentary lifestyle.

If you have one or more of these risk factors or if you want to be sure you’re healthy enough to engage in strenuous activities like shoveling, consult your family practitioner or cardiologist.

Snow shoveling safety tips If you do face the inevitable task of shoveling the driveway and sidewalk, we have compiled a list of tips to make it easier on your body and your heart: • Do a light warm-up exercise before you start.

• Give yourself frequent breaks.

• Do not eat a heavy meal, smoke, or use alcohol immediately before you start.

• Use a small shovel or a snow blower.

• Dress in layers, and be sure to wear a hat, scarf, and gloves.

Listen to your body!

It is important to know your body and recognize when you are experiencing signs and symptoms of certain medical conditions such as hypothermia, asthma exacerbation, or cardiac arrest—all of which are real concerns when shoveling snow.

To stay on the topic of heart health,

below is a list of heart attack warning signs from the American Heart Association:4 • Chest pain, including squeezing, pressure, fullness, or uncomfortable pain • Discomfort in one or both arms or in the neck, jaw, or stomach • Shortness of breath • Nausea or vomiting • Lightheadedness • Cold sweat.

Good luck to all HLN readers in their quest to make it through the winter of 2015! Remember to make your heart health a priority and be safe when clearing the snow off your driveway! ❦ Ashley Romijn is a sixth-year doctor of pharmacy student at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Schroeder is a clinical assistant professor of pharmacy practice at UT and is currently the program director of the outpatient diabetes education program.

Innovative program puts the brakes on job burnout

Continued from page 12 in Ann Arbor, Michigan, and she is currently an academic student coach at Lourdes University in Sylvania, Ohio.

Co-owner Cindy Patterson is a global real estate analyst for Owens Corning in Toledo, Ohio, and has served on non-profit boards and in other capacities in the non-profit world for the last 20 years.

“Deb and I met at Lourdes University in the Masters in Organizational Leadership program,” Patterson recalls. “At first, we were assigned to do projects together, but we hit it off right away, so we later chose to work together on projects and research.”

When the two began their consulting business, with a focus on non-profits, they observed that in smaller organizations, the same people are often called upon over and over again to do all the work.

Many of these individuals, while still passionate and dedicated, were so overstretched and overburdened that they seemed to be losing hope.

“So before we could get into strategic planning, fundraising, and other organizational concerns, we found that we really had to address that critical communication piece,” says Olejownik.

In addition to working with non-profits, they were doing staff retreats, where it soon became apparent that there is fertile ground for burnout training in many other organizational structures as well. So they decided to expand their target market to include businesses, corporations, and individual employees. Each time Olejownik and Patterson presented on the topic of burnout, the response was overwhelmingly positive and participants would question why they didn’t offer a comprehensive program on the subject.

That feedback motivated them to

The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider.

4 Shoveling Snow Health Hazards.

Retrieved January 7, 2015, from http:// www.heart.org/HEARTORG/Affiliate/Shoveling-Snow-Health-Hazards_UCM_426562_Article.jsp.

Medical/Surgical Treatment of the Foot & Ankle

John S. Carroll, DPM * Michael D. Cardinal, DPM* John W. Lane, DPM*

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develop Bouncing Back from Burnout, an eight-week program that educates organizations and employees on the signs of burnout and gives them the necessary tools to overcome it. “The program starts right in with ‘Rebuilding the Foundation,’ which has usually crumbled to the point where professional guidance is needed in order to move forward, and takes participants right through ‘Planning for the Future,’” Patterson explains.

Olejownik, who acknowledges having firsthand experience with job burnout, notes that helping people reconnect to their core values and overcome communication issues are major elements of Bouncing Back from Burnout. “If an employee’s core values aren’t in line with the practices or philosophy of the organization or if communication issues are perceived to be insurmountable, there’s an inevitable collision and they often don’t know how to move on from it. We have the expertise to walk and talk them through this dilemma and help them determine whether the problem can be resolved or perhaps it’s time to seek a different work environment,” she says.

Patterson adds, “Not everyone with burnout is in the same stage

at the same time, so we help them identify where they are in that process and give them the tools to start changing the situation right away.”

Bouncing Back from Burnout is highly interactive, and each time the program is presented, new issues and questions invariably arise. In fact, Patterson points out that she and Olejownik often learn just as much as the participants do. And because every individual and organization is unique, there’s a steady flow of new information and perspectives that they can share with participants in future programs.

The communication aspect of their courses has proven to be so important across the board that Olejownik and Patterson are currently in the process of developing a comprehensive communication program that they hope to launch in the fall of 2015. They’re planning to preview components of the program through webinars beginning in spring of 2015.

Previews are also offered for Bouncing Back from Burnout, with the next two scheduled for Wednesday, February 4, from 11:30 a.m. to 1:00 p.m. and Thursday, February, 19, from 5:30 to 7:00 p.m.. Both previews will be held at West Park Place, located at

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The full Bouncing Back from Burnout program will be offered on consecutive Monday evenings from 5:30 to 7:30, beginning March 2, at Westgate Village Office Center, 3450 W. Central Ave. in Toledo, and on Friday mornings from 8:30 to 10:30, beginning March 6, at ITT Technical Institute, 1656 Henthorne Blvd. in Maumee. The courses will span a total of nine weeks with one week off in observance of the Easter holiday.

Register on the DJC Core Consulting Facebook page, at www. djccoreconsulting.com, or by contacting Deb Olejownik at 419-392-7737 or deb@djccore consulting.com. ❦

LEMOYNE MERCER

A WALK IN THE PARK Recovering from Selective Blindness Syndrome

A

s travelers, Shirley and I like to say that there are a thousand places we want to go to and another thousand we want to go back to. In the “go back to” category is Everglades National Park. Since I retired, we have been able to indulge our “go back to” wishes every year. We sometimes go to Texas and Arizona as well, but the Everglades in winter is always first on the itinerary.

We have known some of the Everglades park staff for several years, and they go out of their way to be welcoming and accommodating.

Cindy, for example, brings cantaloupe-size avocados to our campsite because she knows Shirley makes excellent guacamole. Erin seems to have resolved some of the soap opera issues in her life and gone on to better things. Alice has taken Phil’s

place at the entrance gate since he retired. (Makes me wonder where National Parks employees go when they retire.) Ranger Myrta is still protecting wildlife and introducing college students to the joys of “environmental science.” (More about that later.) Ranger Kirk always asks where we are from every time he sees us. (That would be at least six or seven times a year for the past ten years.) And his reaction is always the same. “Toledo?” he says. “I’m from Akron. I love to eat at Mancy’s when I am passing through.” Kirk works summers at Canyon Village in Yellowstone. We have never yet run into him there, but when we do, I’m going to ask him where he’s from.

We have a comfortable, familiar routine in the Everglades. Every day, we are awakened by mockingbirds and then have a nice breakfast in the sunshine. Quite often, a hawk comes to perch in a nearby slash pine to see what we are having. The towhees and catbirds also come to see if they can talk us into sharing.

After breakfast, we head over to the Anhinga Trail. It is an easy mile or so of pavement and elevated boardwalks that takes you out through the saw grass and over Taylor Slough. We try to get there before the school buses arrive with their wild-eyed, noisy cargo. School groups vary widely in their approach to the experience. Some teachers are quite knowledgeable and provide illustrated checklists so students can look for and identify the animals and birds. Other teachers just let the kids run amok. A walk in the park can be a stimulating educational experience or an escape from it altogether for both educator and educatee.

We encountered a well-disciplined and inquisitive class of fourth graders.

“Is this Mrs. Kohler ’s class?” I asked. (A half hour earlier I had overheard her giving them intro-

We are often visited by a hawk that comes to see what we are having for breakfast.

ductory instructions.)

Their eyes got bigger.

“How did you know that? How did you know that?” several of them asked, impressed by my clairvoyance.

“Mrs. Kohler is famous,” I said, “for having world-class students.”

Mrs. K. came up behind me just in time to hear that comment. From the way she grinned and grabbed my hand, I think she was happy. Good teachers don’t get nearly enough recognition.

Everglades National Park is only 45 miles from Miami, but most city dwellers and their children have never been there. First timers of any age immediately begin hyperventilating over alligators. It is a little-known fact that seeing an alligator leads to Selective Blindness Syndrome (SBS).

The chief symptom is that everything but alligators becomes temporarily invisible. There was the lady, for example, who said to her husband, “Just keep walking. There’s nothing to see here.” If she had not been afflicted with SBS, there are quite a few things she might have seen.

The gallinule's long toes enable it to walk across lily pads without sinking.

Let’s start with Shirley’s favorite marsh bird, the purple gallinule.

(We have also heard it referred to as a “galleon,” a “Galileo,” a "Gallagher, a "granule," and a “Galliano.”)

It is a blue, chicken-size relative of the marsh hen or mud hen or coot with a red and yellow beak and a pale blue forehead. It really is quite handsome, though I wouldn’t call it purple exactly.

The gallinule tends to hang out in undergrowth at the edge of the water. It has really long toes that enable it to walk across lily pads without sinking. It can swim but usually prefers not to. Perhaps it has seen what can happen when you go swimming in gator country.

And speaking of marsh hens, coots, or mud hens, there are lots of them too. There is a rumor that Muddy and Muddonna spend the off season with relatives in Florida. We have never seen them, but there are a lot of old coots in the Everglades.

It is easy to miss a gallinule or not recognize it when you do see it. But there are thousands of large birds that you can’t miss and most you would recognize immediately.

A fellow tourist came up to me and asked, “Are you a bird watcher?”

I declined to answer on the grounds that TV sit-coms always cast “bird watchers” as socially awkward dorks who lack even the charm and savoir faire of Dr. Sheldon Cooper.

“What,” he asked, “is that big black bird that looks like a vulture?”

“Well,” I said, “we call that a black vulture.”

There are also turkey vultures that have red heads instead of black. But only card-carrying dorks know that sort of thing.

Vultures, like dorks, have acquired negative reputations thanks to popular media. Both, however, have important roles in the environment. In 2010, for example, there was a rare freeze in South Florida. Thousands of dead fish and a deadly smell almost eliminated the pleasures of walking the Anhinga Trail. Within a couple days, though, the vultures, with a little help from the gators, totally removed all the carrion. Anthropologists explain that the dork’s chief contribution to the social environment is to enable people with no discernible achievements to feel superior nonetheless.

There are two more big black birds that are common in the Everglades—the cormorant and the anhinga. They have several similarities in appearance and behavior that make it difficult for non-dorks to tell them apart.

Let us turn first to the bird that lends its name to the Anhinga Trail.

It swims underwater to spear fish with its pointed beak. The fish is typically removed by whacking it against the tree where the anhinga is perched. Sometimes it takes a lot of whacking. The fish is swallowed head first to keep its spines from cutting the anhinga’s throat on the way down.

Anhinga feathers are not coated with oil like most waterfowl. This makes it easier for the bird to stay submerged while fishing, but it also means that the anhinga must dry its wings by spreading them in the sunshine.

Virtually all of that is also true of cormorants except they catch fish with their hooked beaks instead of spearing them. Sometimes cormorants carry their fish right into a

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impressive birds in the park. Or anywhere else for that matter. You may have seen them fishing in local waters. Or, like us, you may have had a heron steal the fish out of your backyard water garden. The great blue’s motto is, “Why should I waste time catching my own lunch if I can just take yours?”

Other herons we see regularly in the Everglades are the little blue, little green, tri-colored, and black crowned night heron. Then there are the storks, egrets, ibises, roseate spoonbills, and stilts. Unless you are afflicted with SBS, all can be fascinating to watch while they are fishing. A hovering

OUR AMERICAN-MADE O UR O U R STORY .

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Sometimes it is hard to tell if an anhinga chick is eating or being eaten. Heads completely disappear down parents' throats.

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crowd of tourists on the boardwalk to keep the great blue herons from stealing them.

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Little green herons fish from low-hanging branches. They just lean forward and extend necks that are much longer than they might appear.

osprey that plunges into the water to seize a fish is also pretty dramatic.

And we won’t even go into the varieties of turtles and snakes. Except to mention that one year we heard that there was a big rattlesnake taking a nap right in the Gumbo-Limbo Trail. “But don’t worry,” we were told, “the rangers have it roped off.”

How in the world, I wondered, do you rope off a rattlesnake? It turns out the rangers had stretched some yellow plastic tape across the trail to keep visitors from getting too close.

The snake didn’t seem to mind how close we got.

While you are afflicted with SBS, the best place to go is to the end of a short spur trail to what Shirley and I call the Wisconsin Hole. There can be up to three dozen gators sunning themselves there, and, in mating season, they may be roaring or bellowing. The deep rumble makes the water dance on their backs.

Ranger Myrta had a class of environmental science students from UW who had “volunteered” to clear away non-native reeds that were encroaching on the hole. The kids were in there with machetes while Myrta stood watch at the edge of the water with a ten-foot pole. The gators, meanwhile, were lined up shoulder to shoulder with their jaws just resting on the shore or occasionally mimicking the arm motions of University of Florida football fans.

Whenever a gator stood up to take a step forward, Myrta reached out and bonked it on the snout. The UW students tried hard to keep their minds on their work instead of on the gators. It can be challenging to wield a razor-sharp machete with your right hand while looking over your left shoulder. We admired their selfless dedication to the environment.

That’s why, in their honor, we call it The Wisconsin Hole.

On the opposite side of the loop trail is another spur that goes out to what we call the No Little Hole. In January and February, this is a good place to see those purple Gallianos, little blue herons, little green herons, little snowy egrets with golden feet, and perhaps even a bittern.

The natural camouflage of the latter makes it virtually invisible even if you don’t have SBS. Most of all, though, we look forward to seeing the little piebald grebes.

By the end of March, nesting season is wrapping up for many of

The bittern is so well camouflaged that it is hard to see even if you are not experiencing SBS.

the marsh birds. Still, we’d walk out there just in case. “No little grebes again today,” said Shirley. “And no little greenies or little blues either.”

So we started calling it the No Little Hole even when, like this January, there are lots of little grebes, little greenies, and little blues.

We have walked the Anhinga Trail hundreds of times (truly) since our first visit back in the ‘80s. You might think that the same old, same old would get boring after a while. In our experience, though, once you recover from that initial case of SBS, every day on the Anhinga Trail is just a walk in the park.

❦

LeMoyne Mercer is the travel editor for Healthy Living News Baby gators are born hungry. This one took a long and the regular contributor of A time to properly masticate his sunfish dinner.

Walk in the Park.

nobody’s perfect Be honest with your doctor • by Sister Karen Zielinski, OSF

I

used to watch the TV Show House, a medical drama starring Hugh Laurie as Dr. House. House was a cantankerous person but a brilliant diagnostician. His bedside manner was rough and often rude, but he could diagnose every obscure ailment before the hour-long show ended. Despite his brash interpersonal manners with his fellow medical staff and patients, he spoke the truth to them. One of his classic lines dealt with patient honesty with their physicians.

Dr. House simply said, “Everybody lies.”

The writers of TV’s House got it right when they gave Hugh Laurie’s jaded alter ego that motto. In a Columbia University survey, researchers found that more than half of women ages 25 to 49 aren’t entirely honest with their physician during their doctor visit. The top reasons: They were embarrassed, didn’t think the information was important, or didn’t want to face a scolding. But if anything, your doctor needs TMI (too much information)—not answering doctor questions completely leads to errors in diagnosis or treatment.

According to WomensHealth. com, there are three instances when it pays to “tell the truth, the whole truth, and nothing but the truth” when talking to your doctor:

Your doctor asks whether you smoke You tell your doctor you are not

smoking, but actually you’ve been known to bum a smoke—or three— on nights out.

Possible fallout: You don’t need a doctor to tell you that lighting up can raise your cancer risk. What you may not know is that smoking also increases your risk of blood clots and stroke if you’re on any hormonal contraceptive. Smoking also raises blood pressure, so if you’re taking any meds that could also increase your BP, such as certain antidepressants, let your doctor know if you’re lighting up.

Your doctor asks whether you take a multivitamin You say you take a daily multivitamin.

But you are on a first-name basis with the manager at the local health food store. You take many other vitamins and “natural” supplements.

Possible fallout: Although most Americans keep up-to-date records of their prescriptions, less than half include over-the-counter (OTC) meds and vitamins and just 20 percent list the herbs they take, reports an American Pharmacists Association survey. “Supplements can interact with other medications and interfere with their effectiveness,” says Julie Dolan, MD. "For example, St. John’s Wart is believed to influence serotonin levels in the brain, so your doctor would advise you to stop taking it if you’re also on certain antidepressants. Be safe; provide a

list of everything you take.”

You doctor asks whether you drink You answer that you drink occasionally, usually only on the weekends—and it’s never more than a glass. But, although you don’t drink every night, you’ve been known to gulp a beer at happy hour, then a glass of wine with dinner, then a couple of cocktails afterward.

Possible fallout: Mixing too many margaritas with certain medications (statins and some OTCs, even Tylenol) can damage the liver. And if you have diabetes, excess drinking can lead to high blood pressure and nerve damage. If your nights out tend to turn into four-martini affairs (even if only occasionally), tell your doctor to help avoid problems.

Honesty is good for our overall health. Some people plan their doctor visits with what they will tell and what they will not. One patient visits her doctor for her annual physical. She gets her basic tests—blood, urine, mammogram, and bone density if ordered. She writes down any questions about what is going on in her body and makes sure she prioritizes the most urgent concerns. She tells the doctor she has trouble sleeping and that some of the medications she is taking seem to be helping her.

She asks a few questions and seems to be doing well.

She is not telling her doctor the complete story about her health; she is not being completely honest with her doctor. She does not want to tell how she is doing because she does not want to be bothered with

more tests, shots, or medications. She sometimes is worried about a few new symptoms, like constipation, constant dry coughing, or back pain, but feels they will go away and does not bring them up at the visit.

A doctor is not a mind reader and can only respond to what a patient says at a visit. If a person has problems with constipation, or hearing, and they are too embarrassed to speak up about it, it cannot be addressed.

Although we might have visited a doctor for many years, there are so many patients that a doctor cannot remember each person’s specific symptoms and case history even after reviewing the patient’s charts.

You may want to say what you think your doctor wants to hear, like you are smoking less or eating healthier foods. It is important to tell your doctor the truth, even if it is embarrassing. Your doctor can best help you only when he or she knows what is really going on.

Also, be honest with your doctor about how you feel about your visit.

Tell your doctor if you feel rushed, worried that you didn’t have enough time, or uncomfortable with your visit. You can offer to come back for a second visit to talk more about your health concerns. Honestly. ❦ Sister Karen Zielinski is the Director of Canticle Studio, which is a part of the Sisters of St. Francis of Sylvania’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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