HLN February 2016 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News February 2016 • FREE

Also available at hlntoledo.com

Kids flourish in Catholic Schools

Also in this issue: • Winter skin spruce-up • Help for eating disorders • Local psychologist looks back • Meet Mobile Meals • Heart attack in women Healing the hearts of Northwest Ohio for 160 years.

Choose Mercy

• Spiritually Speaking • Walk in the Park • Walt's Corner • Nobody's Perfect • And much more!

Winter skin spruce-up

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 pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

Rejuvenation of aging hands

Photodamage plays a major role in the appearance of the hands and can give away one’s true age. The most common reason for treatment is brown (age) spots on the top of the hands and a “skeleton-like” appearance of the skin. This unfortunate result of sun damage can be greatly improved by utilizing a laser to destroy the brown spots. Further, Dr. Handler can reduce the signs of aging of the hands (veins and tendons showing through) with products that are used for facial sagging and wrinkling. Many patients have been treated for this form of “hand aging” with excellent results.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick runs uphill). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Prospective clients who decide to have non-ablative cosmetic procedures performed by Dr. Handler are not gender specific. Men are now utilizing products and having procedures to maintain their younger and vibrant look just as are women. Males seeking cosmetic procedures have tripled over the past 10 years in their desire to recapture their younger appearance. Age is not a factor in deciding to improve your self-image. Whether you seek to improve the appearance of your aging face, neck, or other “sagging” areas due to competition in the work force or simply for your own self-esteem, these procedures and anti-aging products are for you! Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view be-

fore-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www. drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler ’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin. Dr. Handler is currently offering special holiday discounts on all skin-care products. Call his office for complete details. Also, please remember to have a yearly full body exam conducted by a board-certified dermatologist to check for skin cancer.

Hair loss in men and women Are you losing hair from surgery, anaesthesia, illnesses, pregnancy 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

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.

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: 419-382-5751, fax 888-506-5790; email: editorhln@bex.net. Publisher: Kevin O’Connell

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Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2016 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

Your Monthly Guide to Healthy Living

FOOD & NUTRITION

2 Winter skin spruce-up 7 Is a cancer clinical trial the right choice for you? 9 Local help for women (and men!) with eating disorders, by Christine A. Holliday 14 The heart and hearing connection by Shelly Horvat, AuD, CCC-A 16 New hope for failed back surgery by Douglas A. Schwan, DC, Dip ac 18 Insulin-dependent diabetics encouraged to give insulin pumps a try, by Christine A. Holliday 26 Advanced Healthcare Center’s strong care continuum yields positive patient outcomes 30 Chronic pain? Headaches? Migraines? Have you heard of dry needling? by Jim Berger 31 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 34 Doctor-patient communication…Can we talk? by Robin Small 38 Nobody’s Perfect Trying to translate medical jargon by Sister Karen Zielinski, OSF 43 There’s no time like the present to start making heart-healthy choices! 44 Heart attack symptoms may differ for women

23 Walt's Corner Weeknight Chili 36 Eating Well New dietary guidelines in a nutshell by Laurie Syring, RD/LD

TAKING CARE OF YOUR LIFE 6 Health Crossword, by Myles Mellor 8 Spiritually Speaking Entering into the chaos by Sister Mary Thill 22 Running tips for beginners, by Amanda Manthey 23 A Walk in the Park What kind of jam do you like? by LeMoyne Mercer

CHILDREN & PARENTING 12 Discover the Catholic school difference 13 Middle-school boys want to be challenged 25 Looking past the end result (where the lessons are), by Mark S. Faber, USPTA Elite Professional 37 10 healthy, kid-approved winter activities by Kat Tomasewski

OUR COMMUNITY 5 ProMedica Health and Wellness Center offers convenient, collaborative, consolidated care 17 St. Clare Commons strengthens community connections with Tuesday Talks 20 Local psychologist looks back on nearly four decades in behavioral health 24 Laurels and Genesis Village partnership pays dividends 27 Owens receives grant from Delta Dental Foundation to improve oral health in Toledo 28 Sunset House marks 145 years of service to community 29 Resident of Bittersweet Farms to train and ski for Special Olympics 32 Senior Living Guide 35 Non-Profit of the Month: Mobile Meals of Toledo

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Travel Editor: LeMoyne Mercer

Print Designer: Jan Sharkey

February 2016 • Vol. 21, Issue 2

HEALTH & BEAUTY

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

Dear Readers, Thank you for picking up the February issue of Healthy Living News. Here at HLN, we try to balance our popular recurring material with fresh content to keep longtime readers engaged as well as welcome new readers to the fold. For example, we recently introduced Walt’s Corner, which features a tasty, flavorful recipe courtesy of Walt Churchill’s Market each month (p. 23); a new column highlighting one of our area’s nonprofit organizations (this month on Mobile Meals, p. 35); and a monthly piece contributed by Kat Tomasewski, who writes the wildly popular Mom on the Go in Holy Toledo blog (p. 37). We hope you’re enjoying these new offerings and welcome any feedback you might have. Our cover story this month shines a

spotlight on the many virtues and advantages of a Catholicschool education. Parents, if you’re currently exploring the different educational options for your child, we urge you read the article on page 12 as well as take advantage of the various open houses offered by area Catholic schools this month. This issue also features insights on the importance of clinical trials from Pam Shoup, Toledo Clinic Oncology Research Manager/IRB Coordinator (p. 7); tips on making heart-healthy lifestyle choices from Mercy physician Dr. Karina Zapiecki (p. 43); a retrospective on the career of Dr. Larry Hamme, Chief Clinical Officer at Unison, who has served our community for nearly four decades (p. 20); two patient success stories from our friends at

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Advanced Healthcare Center (p. 26); and perspectives on the new ProMedica Health and Wellness Center from Dr. Daniel Cassavar, President and Chief Medical Officer of ProMedica Physicians (p. 5). 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!

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he consolidation of medical providers and services for the sake of delivering more effective and collaborative care is a growing trend across the country. With the recent opening of the ProMedica Health and Wellness Center at the former Starlite Plaza in Sylvania, ProMedica has taken this concept to a whole new level.

The three-story, 230,000-squarefoot ProMedica Health and Wellness Center, which welcomed its first patients on January 11, houses multiple primary care groups as well as OB/ GYN, pediatric, ENT, gastroenterology, ophthalmology, bariatric, vascular, and behavioral health specialists in one location. The state-of-the-art facility also features a walk-in urgent care with extended hours (open until 10:00 p.m.), pharmacy, laboratory, radiology services, optometry services, a café, and community meeting rooms. According to Dr. Daniel Cassavar, president and chief medical officer of ProMedica Physicians, the concept for the new center arose from the recognition that many area physicians were practicing in separate facilities, fragmented from one another, which has a direct impact on the quality of the patient experience. “We found that many physicians’ offices were located in dated, undersized, and isolated buildings,” he explains, “so we saw a need to consolidate their care and other essential services under one roof as part of our mission to improve patient health and wellness.” With so many services available in one location, patients can potentially come in and see their family doctor; identify any health problems through a medical examination, lab work, or radiological testing; get their results immediately; see a specialist for an evaluation if appropriate; and then leave with a plan of action to

ProMedica Health and Wellness Center offers convenient, collaborative, consolidated care address the problem—all during the same visit. To help facilitate the best possible level of communication and coordination of care, the providers, patients, and family members can meet in special collaboration rooms to discuss findings, ask or answer questions, and go over the care plan to ensure everyone is on the same page. Dr. Cassavar notes that the new center is focused not just on providing convenient, collaborative treatment, but also on promoting general community wellness to prevent illness and hospitalization. “For example, we’re in a joint venture with Harbor to provide lifestyle coaching and we’re offering an innovative food pharmacy for patients who might benefit, such as those who are food insecure, obese, or diabetic. The food pharmacy will actually dispense

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healthy foods and nutritional information and recommendations to get patients off to a good start, and we can point them toward other helpful resources in the community. This is essential for people who are food insecure because if you can’t afford food, you also can’t afford to buy medications and will be less likely to comply with treatment,” he says. Patients appreciate the fact that the ProMedica Health and Wellness Center offers a centralized registration area and call center as well as the ability to fill out information online before their visit. For even greater convenience, staff members are available to escort patients from the registration area to the various offices until they get accustomed to the layout of the building. What’s more, beginning in May, a new electronic medical records system will be implemented at the center so all the information entered in the patient’s chart will be immediately available throughout the system, including ProMedica hospitals.

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

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

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“Consolidation of care is a nationwide trend, but we’re on the leading edge with offerings such as our food pharmacy and walk-in urgent care with extended hours. We continue to move the ball further down the road on how to provide safe, appropriate, and expeditious treatment while continually improving patient satisfaction,” says Dr. Cassavar. ❦

HEALTH CROSSWORD by Myles Mellor • ilovecrosswords.com • Answers on page 8 28 Flexible 31 Dieting equipment 33 Sheltered side 35 Hip bone nerve that can be troublesome 36 Bitter fruit full of vitamin C 38 One with a sleep problem 39 Down

Across 1 Beneficial bacteria 7 Medical professional, abbr. 9 Mid western city, for short 11 Get rid of impurities 13 Intake watched by dieters 15 __ __ rule (usually) 16 “___ got it!” 17 Sure! 18 Safe for consumption 19 Subject of otalgia 22 ____ metabolism 24 Unit of electric current 25 Iron symbol 26 It’s added to salads often 1

Down 1 Melon-like fruit 2 Gumbo vegetables 3 Refreshing drink, 2 words 4 Surprised expression 5 Heart, in slang 6 Mineral that’s good for 3

bones 8 It could be white or brown 10 BBQ equipment 12 Employ 14 Ending for addict and combat 20 Lip balm ingredient 21 Added salt, say 23 Puts on, as lotion 24 Lou Gehrig’s disease, for short 27 Light metal symbol 28 Raw fish food 29 Podded plant 30 Permit 32 Newborn’s malady 34 Health-giving berry 37 Post-wedding day title

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ProMedica will host a community open house for the ProMedica Health and Wellness Center on Saturday, February 6 from noon–3:00 p.m. There will be tours of the building, live entertainment, a health fair, and free giveaways. For more information on the ProMedica Health and Wellness Center, visit www. promedica.org.

26 28

29 33

6 February 2016 | Healthy Living News

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

Across

Down

Is a cancer clinical trial the right choice for you?

hen a patient is diagnosed with cancer, there are many questions, fears, and concerns that need to be addressed. Among these considerations is whether to participate in a clinical trial if one is available and the patient is determined to be eligible. This is a highly personal decision that only the patient can make, but it’s an option well worth exploring in coordination with an oncologist. According to Pam Shoup, CCRP, Toledo Clinic Oncology Research Manager/IRB Coordinator, cancer clinical trials are vital not just to the current patient population, but also to the future of cancer care. “Clinical trials allow access to new drugs and other cancer treatments. Through trials, new drugs are tested against the current standard-of-care treatment to determine whether they’re beneficial and safe. Unless patients are willing to go on clinical trials, we can’t answer these important questions,” she says. Cancer patients are encouraged to discuss the option of enrolling in a clinical trial with their oncologist, who will be able to determine whether the patient’s particular diagnosis meets the eligibility requirements for the trial and will work closely with the clinical research coordinators and the healthcare medical team to answer any questions the patient may have about the trial as well as assist in their participation. Shoup notes that the Toledo Clinic Cancer Centers oncologists are very knowledgeable in this regard and have over 30 years of experience participating in clinical trials through the National Cancer Institute. Among the barriers to cancer patients participating in clinical trials is the fear that they’ll receive a placebo instead of an active treatment, they’ll have to sacrifice regular treatment and interaction with their physician, or they’ll be treated like a “guinea pig.” But as Shoup explains, these perceptions are based on myth. “Placebos may be used in cancer clinical trials, but never if it denies the patient a more effective therapy or puts them at greater risk of harm. For example, many clinical trials are testing the standard-of-care treat-

ment plus the investigative drug or the standard-of-care treatment with a placebo. So, at the very least, the patient is receiving the current standard of care. Also, many times clinical trials have several ‘arms’ to the study that may allow for a patient’s treatment to cross over from a placebo to the investigative drug if it is determined his or her disease has progressed,” she says. It’s also vital for clinical trial candidates to be aware that they won’t have to sacrifice anything with respect

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

GET DIRECTIONS TO HERE to regular treatment if they choose to participate. In fact, to assess whether there is any potential benefit to a new drug or treatment, regular care must be ongoing throughout the study, taking into account factors such as the type of cancer, the current stage of the disease, and all the patient’s known medical and health conditions. Shoup further comments, “At a minimum, not only is standard treatment completed, but many times clinical trials require extra testing, such as additional lab values and scanning procedures that are routinely covered by the study. Patients are asked to interact very closely with their oncologist, clinical research coordinators, and medical team to monitor any adverse events, potential risks, and benefits the patient may be experiencing from the treatment, and to document whether the patient is experiencing any response to the new drug or treatment or progression of the disease.” Perhaps the biggest myth related to clinical trials is that once enrolled, participants are essentially “guinea pigs” who sign away their rights and have no control over what’s done to them. But the reality is, clinical trials have many protections and

Scan the QR code and use Google Maps to get directions to this location.

or call 419-479-5605 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 • The Toledo Clinic Cancer Centers has received NCQA Patient-Centered Medical Home (PCMH) Recognition for using evidence-based, patient-centered processes that focus on highly coordinated care and long‐term, participative relationships.

Dr. David Brown Dr. Mark Burton Dr. Shaili Desai

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

Dr. Bradley Sachs Dr. Charu Trivedi

—Continues on page 40

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

DO YOU HAVE A CHILD OR LOVED ONE LIVING WITH MENTAL ILLNESS?

BySister Mary Thill

Spiritually Speaking Entering into the chaos The homeless are remarkable people. Their very life is a prayer—desperate, silent, unspoken pleading with God to keep them alive. And by some miracle, no, not one miracle, but a continuous chain of miracles all day long and all night, they do stay alive, especially on freezing cold days and nights. —Joseph Girzone in The Homeless Bishop Mercy is the willingness to enter into the chaos of another. —Rev. James Keenan, SJ

I The National Alliance on Mental Illness (NAMI) of Greater Toledo is currently accepting registrations for 2016 Spring Classes. NAMI classes are offered at no cost and taught by trained NAMI members who have lived with similar experiences. The course teaches the knowledge and skills that family members need to cope more effectively. Education • Emotional Support Self Care • Empowerment

DAY AND EVENING CLASSES AVAILABLE

n light of what’s been happening in our world lately, I was struck by the bishop’s observation in Joseph Girzone’s book, The Homeless Bishop, where he seems to be praising the homeless for their remarkable resilience despite the many hardships they face all day long and all night. In this winter time here in Northwest Ohio, I’m aware of the homeless in our midst on these freezing cold days and nights. I’m also aware of the hundreds of thousands and now millions of homeless refugees in the Middle East and in Europe and in our own country who are fleeing from their homelands because of religious persecution, war, poverty, and racism. What can we do to help this situation? In light of the Jubilee Year of Mercy established by Pope Francis late last Answers to crossword from page 6 1

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To register or for more information about location and times of our classes, please call NAMI at 419.243.1119 or visit us at

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8 February 2016 | Healthy Living News

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year and to be observed throughout most of this year, I would like to share a few projects that are being done in our area as well as some possibilities for the future. The students at Lourdes University, as part of the Campus Ministry program, deliver meals to the homeless in Toledo on Wednesday nights. Some of the Sisters (retired and otherwise) make some of the meals and the students deliver them. The program is known as The Labre Project, named for St. Benedict Joseph Labre, patron of the homeless. It’s being done in Catholic high schools and colleges in several parts of the country. The purpose of the project is two-fold: to feed the homeless and to get to know them on a personal, face-to-face level. Two other projects for the homeless being done by members of the Sylvania Franciscan Village are Mats for the Homeless and the Restock Drive. Village participants are collecting plastic grocery bags and making them into mats for the homeless to sleep on. The intent is to have a dry place to sleep. The Restock Drive involves members of the Village to donate health and hygiene products for area shelters. Pope Francis has asked the Catholic churches in the world to open their doors and homes to the many homeless refugees. He has also asked the religious orders of men and women to do so. The Sylvania Franciscans are looking into working with other charitable groups in the area to provide a place for a refugee family or families. There are empty schools and convents and rectories that could possibly be used to house the homeless and some refugee families. What a wonderful collaborative effort this would be! You are perhaps aware of the wonderful work of The Cherry Street Mission and the homeless shelter at St. Paul’s in downtown Toledo. These are established agencies that

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deserve our respect and support as they have been practicing mercy, the kind of “mercy that is willing to enter into the chaos of another” as described by Father Keenan. I pray that each one of us will be willing to enter into the chaos of another’s life as we move along into this new year. I suspect we may not have to look very far to help others right in our families, among our friends, with our co-workers, and in our neighborhoods. Let us also stretch ourselves and reach out to the homeless and refugees that have come to our country for life, for a better life. ❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

Contacts:

Labre Project, Sister Barbara Vano, Campus Ministry, Lourdes University, 419-824-3861. Restock Project, Sister Janet Doyle, Sylvania Franciscan Village, 419-824-3533. Cherry Street Mission, 419-321-1835. St. Paul’s Community Center, 419-2555520. Volunteers are always needed and appreciated!

Local help for women (and men!) with eating disorders by Christine A. Holliday

iven the attention all of us pay to what we eat (or overeat or try to avoid eating) during the holidays, it seems appropriate that healthcare professionals will observe National Eating Disorder Week from February 23-March 1. Nine to 10 million Americans struggle with eating disorders of some kind, and many more of us have weird relationships with our food, such that we might need information about the best ways to handle questions about facing food. Dr. David Garner is the Founder, President, and Administrative Director of the River Center Clinic in Sylvania, and he indicated that the Clinic is the only place in Northwest Ohio that offers (and has offered for 20 years!) highly specialized treatment for those with serious eating disorders. He explained that there are several eating disorders, each of which has serious medical consequences. Anorexia nervosa is the most serious. The anorexic, who is most likely female and adolescent, (about 5% of

those suffering are men and increasing numbers of older men and women present with this disorder), struggles with an intense fear of gaining weight. The most common psychological theme involves the person’s self-esteem being strongly dependent on body image, and while the person’s mind is dominated by thoughts of food, not enough is eaten to maintain a healthy weight. Bulimia involves periods of consuming sizeable amounts of food, followed by activities to keep that food from causing weight gain. The bulimic might force herself to vomit or take large amounts of laxatives to remove the food from the body before it can add weight. Bulimics often report feeling “out of control” while they overeat and express concern that they are too fat or not thin enough.

General binge eating disorders involve the frantic out-of-control eating, but without the vomiting or laxatives. Those with these disorders admit to feeling shame about the behavior, which may cause them to eat alone, eat when not hungry, or eat to the point of discomfort. We know that food is fuel for our body organs and systems, so it makes sense that not providing the right kind and amount of fuel will have serious consequences. With anorexia, body systems and functions slow down to conserve energy. The anorexic may experience damage to the structure and function of the heart, loss of muscle tone and weakness, severe dehydration (which can lead to kidney failure), loss of menstrual cycle, severe constipation, infertility, even suicide. (The Academy for Eating Disorders reports that suicide accounts for as many as one-third of the deaths related to eating disorders, and a 2000 study showed that the suicide rate for women with eating disorders was 58 times greater than for those without.) Those who are bulimic are at risk for acid reflux disorder, inflammation

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Located just outside of Toledo, Ohio; we treat patients from all over the country.

Excellent treatment stems from exemplary outcomes.

Why pay for expensive inpatient treatment for eating disorders when it is not necessary?

For almost 20 years, we have successfully treated adults and adolescents with severe eating disorders at the Partial Hospitalization level of care as an economical alternative to inpatient treatment. Our PHP includes the option, at no extra charge, of independent living accommodations in our main facility. Inpatient treatment is rarely necessary for adolescents with eating disorders; most can be successfully and more economically treated in our 24-hour Residential Program.

1-877-212-5457 or visit us at river-centre.org CARF surveyors have stated that “The RCC has been identified by its referral sources as the best kept secret among behavioral health peers, the community, other funding sources, and persons served.”

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and possible rupture of the esophagus, chronically irritated throat, and severe imbalance of electrolytes (sodium, potassium, calcium, and other minerals), which can result in irregular heartbeat, possible heart failure, and death. Diabetes, high cholesterol, high blood pressure, gallbladder disease, menstrual problems, fatigue, heart disease, and sleep problems are often the result of binge eating disorder. All of the disorders are accompanied by emotional and social side effects, as well. For example, the binge eater may neglect her job or school responsibilities to find time to eat, and the anorexic is likely to show signs of depression or anxiety. Families will notice that the bulimic doesn’t like to eat with others or leaves to use the bathroom after eating. The bulimic will try to hide her damaged teeth and gums as well as the sores or callouses on her knuckles or hands. Dr. Garner notes that treatment of any of these eating problems involves a variety of strategies, including individual, group, and family therapies, as well as nutritional rehabilitation and medical help. The River Centre Clinic has several programs for male and female patients who are underweight, overweight, or of average weight; who are medically stable; and for whom substance abuse is not the primary problem. There is an Adolescent Program for patients 12-17 and an Adult Program for patients 18 and over. Specifically, the Center offers:

rooms in or near the main facility and is hospitalized five days each week, seven hours per day. •The Adolescent Residential Program offers a great deal of structure and 24/7 monitoring for teens up to age 17. Local teens can commute to the Center and stay 7-12 hours per day at the Center; out-of-town patients live with one, two, or three other roommates and learn a variety of skills, such as how to plan meals, how to manage stress, and how to interact with others. •The Binge Eating Disorder Intensive Treatment Program is a 4-hourper-day, 3.5-days-per-week program that offers individualized treatment with family-, group-, and individual-therapy components. It includes the opportunity for low-cost or free independent living at the Center. Dr. Garner worries about the tendency of people to oversimplify the solution to eating disorders. “There are nine to 10 million people in the US with eating disorders of some kind,” he notes. “The billion-dollar weight loss business misleads us into thinking it’s a matter of taking a pill or simply cutting back on food. But, too often dieting can lead to weight rebound in the long run. No, the health and social and emotional needs of those with eating disorders are best addressed by specialists who have the required training.” The staff at the River Centre Clinic includes a medical director, social worker, nurse, clinical counselor, therapist, registered dietician, licensed massage therapist and occupational therapist, and a creative director. Staff members take after-care very seriously and will work with patients and home-treatment teams after discharge. More information about River Centre Clinic is available at www. river-centre.org or by calling 877212-5457. The Center is located at 5465 Main Street in Sylvania, OH. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

•The Partial Hospitalization Program for adults, which provides more structure and support than outpatient treatment but is less expensive than inpatient treatment. The patient lives independently in dormitory-style We love feedback. Like us on Facebook. Follow us on Twitter.

pain?

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

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

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

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7:49:08 AM

Discover the Catholic school difference

At St. Ursula Academy... We know every HERO starts with “HER”

hildren who are nurtured both academically and spiritually and instilled with the values of self-discipline, commitment, and conscientiousness are poised to become the leaders of tomorrow. Parents who choose to send their children to Catholic schools find that this formation and development, begun in the home, is not only upheld but strengthened in a supportive, caring, faith-filled environment. As a result, their kids emerge better educated, more confident, 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 you and your child:

Safe, supportive learning environment 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

St. Ursula Academy &

Junior Academy grades 6 - 12

NOW ENROLLING For more information call 419-329-2209 or rhayes@toledosua.org 12 February 2016 | Healthy Living News

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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, college, and ultimately 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 vvvvwsignificant 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 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% of them go on to college. ❦

Middle-school boys want to be challenged

“C

oming from a small elementary school, the Academy was a great place that slowly immersed me in the high school experience. It provided amazing academic opportunities, building a foundation that allowed me to take many AP classes and even a college class at UT as a junior, while simultaneously helping me create lasting friendships,” said St. John’s Jesuit High School (SJJ) senior Jacob Hasselbach and a graduate of the St. John’s Jesuit Academy (Academy). “Boys want to be challenged. When we ask them why they chose the Academy, they are quick to say they wanted more challenges academically.

They are ready to step out of their comfort zones and try something new. Our young men come from over 30 different schools throughout Northwest Ohio and Michigan,” explained Academy principal Mike Savona ’75. The Academy is geared specifically for sixth, seventh, and eighth grade boys and follows many of the principles of Michael Gurian, educator and author, who is the foremost authority on gender-based learning. The Academy has the unique distinction of being one of only nine Gurian Model Schools in the US. “Our teachers are trained Gurian-certified professionals that utilize strategies that support the different learning needs of boys,” said Mr. Savona. “Middle school is a difficult time for adolescents, particularly boys. It is important to relate to them in a way that they feel encouraged, challenged in a positive way, and can explore their natural curiosity to try new things,” explained Mr. Savona.

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The Academy offers a variety of programs over and above a middle school academic curriculum. Action-oriented field trips; enrichment activities such as boat building, robotics, airplane building, cooking, video production, and more; and plenty of afterschool activities help channel boys’ energy. What many Academy graduates remember most is their Eighth Grade Capstone Project that encourages students to use 21st century skills in a social justice project of their choosing. It showcases a documentary film that highlights their research, challenges, action taken, and conclusion, the culmination of the skills they have learned during their time in the Academy. What makes the Academy a good fit for middle school boys?

opportunity to take highschool-level classes, with many taking at least one or two classes during their middle school years. • The development of men for others through theology classes, Mass, retreats, by example and Christian Service. • The Jesuit motto of cura personalis, care and growth of the whole person, is emphasized where each young man develops his individual strengths and talents. • Focus is on skill development including test preparation, organization, team building, writing, and more for high school and college.

• An Enrichment Program where boys channel their energy and step out of their comfort zone while exploring new skills. • Academics challenge and prepare boys for a college-prep education. • Boys have the

The best way to experience the Academy is to be a Titan for Day. For more information on the St. John’s Jesuit Academy, contact Admissions at 419-720-0766 or admissions@sjjtitans.org. The Academy is conveniently located at 5901 Airport Highway on the 54-acre campus of St. John’s Jesuit High School. ❦

The heart and hearing connection by Shelly Horvat, AuD, CCC-A

ebruary marks the annual awareness campaign for prevention and treatment of cardiovascular disease. Cardiovascular disease includes heart disease, stroke, and high blood pressure and is the nation’s number one cause of death and serious illness and disability. Well-known risk factors for the development of cardiovascular disease include diet and lifestyle, family history, and age, as well as conditions such as diabetes, hypertension, and other vascular disease. Since this is Northwest Ohio Hearing Clinic’s column about hearing and hearing loss, what does Heart Month and cardiovascular disease have to do with your ears? A surprising fact is that hearing loss is 54 percent more likely to be present in people with heart disease than in those without cardiovascular disease. According to a 2010 American Journal of Audiology report, impaired cardiovascular health can affect both the peripheral (outer, middle, and inner ear) and central auditory systems (brain), particularly among older people.

Researchers have determined that multiple mechanisms contribute to hearing loss from cardiovascular disease. High blood pressure causes the heart to work extra hard to pump blood to the various organs in the body. Inadequate blood flow to the small blood vessels in the inner ear may cause hearing to deteriorate. Alternatively, hypertension may be related to artherosclerotic disease, where there is a thickening of the wall lining of the blood vessels, and this may lead to poorer blood supply to the inner ear. Either way, the inner ear is very small and somewhat fragile, and any restriction in blood flow to the inner ear or the rest of the auditory system in the brain can cause irreversible damage. Certain inherited or genetic conditions have been found to affect both the heart and hearing. A Harvard Medical School study published in 2000 showed a common pattern of sensorineural hearing loss in patients with an inheritable condition called dilated cardiomyopathy (DCM). Some of the study participants showed the

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“

SJJA was the absolutely perfect place for me: an environment where students’ abilities were fostered but not coddled, where natural talent was showcased and allowed to thrive, and where academics and activities are balanced perfectly.

“

BE AN ACADEMY TITAN FOR A DAY. Call 419-720-0766 14 February 2016 | Healthy Living News

50 Years of Proven Results Jesuit Education– An Investment in the Future St. John’s Jesuit Academy for 6th, 7th & 8th Graders

St. John’s Jesuit High School & Academy Men for Others • Grades 6-12 5901 Airport Highway • Toledo, Ohio 43615 • www.sjjtitans.org We love feedback. Like us on Facebook. Follow us on Twitter.

hearing loss symptoms 20 years before their heart symptoms occurred. Based on this study, the authors concluded, “More immediately, recognition of the association between hearing deficits and cardiomyopathy has clinical importance. The identification of SNHL in an individual can prompt close monitoring and early intervention, practices that may ultimately reduce the high morbidity and mortality of DCM in these families.”1 In another study, published in The Laryngoscope, Dr. David Friedland and fellow researchers found that a certain low-frequency hearing loss pattern correlates strongly with cerebrovascular and peripheral arterial disease and may represent a screening test for those at risk. They even concluded that patients with low-frequency hearing loss should be regarded as at risk for cardiovascular events, and appropriate referrals should be considered.2 In summary, a healthy heart plays a big role in keeping the ears and auditory system intact. When the heart is not functioning well, blood supply to the rest of the organs in 1 Circulation. 2000;101:1812-1818, doi:10.1161/01.CIR.101.15.1812. 2 Laryngoscope, 119:473–486, 2009.

the body will also be compromised. Maintaining healthy heart habits and following heart-treatment plans recommended by your doctor can help you maintain your hearing ability.

The importance of prevention and treatment of cardiovascular disease The Centers for Disease Control and Prevention (CDC) wants people to understand the risk factors for cardiovascular disease, such as obesity, inactivity, and diabetes, and to keep their blood pressure and cholesterol under control. They also recommend that we all maintain a healthy diet, get regular exercise, and avoid smoking so that we can control risk factors and help protect our hearts. Uncontrolled high blood pressure is a leading cause of heart disease and stroke. A record 67 million Americans have high blood pressure. High blood pressure often shows no signs or symptoms, so it is important to have it checked regularly and to follow your physician’s orders

regarding blood pressure. An active lifestyle can improve cardiovascular health and increase blood flow to the ear. According to the American Journal of Medicine study, increased physical activity can actually decrease your risk for hearing loss. Another study also indicated that individuals who exercised at least once a week saw a 32-percent reduction in the risk of suffering from hearing loss when compared to sedentary people.3 Be heart and hearing healthy and have your hearing tested as part of your routine medical care. Individuals with risk factors for developing heart disease and those who have already been diagnosed should be especially vigilant about hearing health.

Signs of sensorineural hearing loss • Difficulty hearing high3 Source: “The Association Between Cardiovascular Disease and Cochlear Function in Older Adults.” Population Health Program Faculty, Wisconsin University, First Annual Population Health Poster Session selected abstracts 20012002.

frequency (or high-pitched) sounds clearly • Difficulty hearing speech in noisy places • Hearing muffled voices • Tinnitus, or a ringing sound in the ears. Maybe it’s time to get your hearing checked for more reasons than just the obvious. If you are being treated for any type of cardiovascular disease or know that you are at risk for the disease, we recommend that you come in for a baseline hearing evaluation as well as annual monitoring. Further, if you have been diagnosed with sensorineural hearing loss, we recommend that you speak with your family doctor about your risks for cardiovascular disease. Feel free to call the audiologists at Northwest Ohio Hearing Clinic to discuss the heart-hearing connection and schedule your baseline or annual hearing test. ❦ Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Don’t let another occasion pass you by without hearing your friends and family. did you struggle hearing during the holiday season? This Valentine’s week join us for refreshments and an educational discussion “Tips to make this Valentine’s day enjoyable with your loved ones.”

February 9, 2016 • 10:30 am to Noon University of Toledo Medical Pavilion 1125 Hospital drive, room 40 We’ll be happy to answer any questions and schedule a complimentary hearing consultation. RSVP TODAY at 419.383.4012 sPace is limiTed.

Toledo 419.383.4012

Perrysburg 419.873.4327

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New hope for

FBS

failed back surgery SAVE THE DATE FOR THE 13

by Douglas A. Schwan, DC, Dip ac

ANNUAL

Celebrating Mothers – Past, Present and Future

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“My husband and I had a two pack a day cigarette habit. We tried patches, gum and drugs but nothing worked. A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!” ... Kristin & Tyler

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

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ailed back surgery (FBS) is a real bugaboo. It leads to chronic neck, arm, or back pain and/or leg pain that occurs after surgery. The most common complaints with FBS include burning and aching pain involving the back and/or legs. Patients can report sharp, stabbing pain into the extremities. Surgery is excellent for removing points of compression in the spine. Treating a localized disc bulge or removing part of a bone that presses directly on a nerve (laminectomy) can eliminate the original nerve pressure. However “pinched” nerves are not the only source of pain in spinal problems. Chronic inflammation can arise from diffuse arthritis, surgical adhesions, fibrous scar tissue, and osteoarthritis, all contributing to unrelenting FBS pain. Additional surgery usually does not help and can even make the situation worse by further traumatizing the tissues, creating additional adhesions and scar tissue. Jenny came into our office and was crying as she recited her history of spinal pain. Jenny, now 50 years old, had been in a major car wreck when she was 16. She was the only survivor of a car full of teenagers. The accident left her in a coma for over a month, and she required multiple spine surgeries involving metal rods and fusions to stabilize her broken spine. Thirty years later, she presents with relentless chronic back, hip, neck, and arm pain. Reading reports by several of her treating doctors over the years impresses one with the compassion they exhibited, as one treatment approach after another was tried without measurable success. Finally, one doctor suggested she give alternative medicine a try in a last-ditch effort to find relief. After our consultation with Jenny, and an extensive examination, it was determined that most of her pain arose from post-surgical scar tissue and chronic inflammation, impacting nerves in her neck and low back with pain into her fingertips and right leg. After talking with jenny, she agreed

to a trial course in acupuncture with microstim. This involves traditional acupuncture procedures with the addition of computerized microstim applied through the needles. This has the effect of amplifying energy in the local area, softening scar tissue and adhesions as well as breaking down the trapped inflammatory acids in the tissues that contribute to chronic pain. Jenny was finally able to get relief with microstim acupuncture treatments. After just a few treatments, she was able to sleep through the night. This was a miracle for her after years of waking up in pain and pacing the floor for hours. Donna was another candidate for this new treatment. She had surgery 10 years earlier for a low-back condition and, while she initially had good results, her pain returned with a vengeance 18 months later. After enduring spinal injections, rounds of physical therapy, and a “nerve burning,” she was still in disabling pain. In our office, we found a great deal of local low-back inflammation and swelling. She began a course of acupuncture microstim treatments that afforded her a great deal of relief. Acupuncture is based on the idea that the body is able to heal itself as long as it can freely circulate what the Chinese refer to as Qi (pronounced “chi”) energy. Doctors of chiropractic refer to this energy as the “innate healing energy of the body” while the medical profession refers to it as “vitalistic energy”—different names for the same thing. Acupuncture stimulates energy at the points treated. The application of microstim through the needles “turbocharges” this energy. Even modern orthopedic surgeons are using “bone stimulators” to accelerate bone regrowth in bad bone fractures.

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Microstim acupuncture techniques have also been used successfully in other failed surgery cases. For example, they are quite effective in cases of carpal tunnel syndrome, shoulder adhesive capsulitis, and post-surgical knee replacement pain. The source of pain is usually the soft tissues surrounding the area with a chronic inflammation and long-term pain and disability. Acupuncture treatments are safe, effective, and non-addictive, unlike traditional narcotic approaches to chronic pain. To see if you might benefit from this new procedure, consult with a doctor who practices orthopedic acupuncture with microstim. ❦ If you would like more information on acupuncture or chiropractic, please visit our website at www.acupuncturetoledo. com. Dr. Schwan is available to speak at your group’s function on a wide variety of alternative medicine topics, such as chiropractic, acupuncture, herbal medicine, cold laser, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio.

St. Clare Commons strengthens community connections with Tuesday Talks

hrough a variety of enriching programs and offerings, St. Clare Commons, a Franciscan Living Community located at 12469 Five Point Road in Perrysburg, is striving to make connections not just with current residents and their families, but also with members of the broader community. As part of this effort, the Community is hosting Tuesday Talks—a series of informative and enlightening presentations, held on the second Tuesday of every month from 6:00 to 7:00 p.m. “This is an exciting new aspect of our outreach,” says Lindsay Duke, Director of Admissions/Marketing for St. Clare Commons. “Our goal in offering these talks, which are free and open to anyone who would like to attend, is to bring in experts who will discuss various topics of interest to the community as well as answer questions and evoke discussion.” Tuesday Talks kicked off in January with a presentation on fall prevention and will continue throughout 2016.

On February 9, author Julie Rubini will discuss her biography, Missing Millie Benson (signed copies will be available for purchase). The March 8 talk, presented by Dr. André Aguillon of The Regional Center for Sleep Medicine, will be on Sleep Awareness, touching upon topics such as how to fall asleep, how to stay asleep, and how to awake refreshed. Then on April 12, attorney Dean Horrigan will discuss estate planning and the legal needs of older Americans. Members of the community are encouraged to share their ideas for future Tuesday Talks topics as well. “In fact, we’ve set up the email address tuesdaytalks@stclarecommons. org specifically for those who would like to recommend a topic or simply discuss one of the events. You can also call us at 419-931-0050 with your thoughts or suggestions,” Duke adds. Of course, St. Clare Commons

AN EVENING WITH AUTHOR JULIE RUBINI

continually strives to provide enriching, enjoyable experiences for residents and their families as well. In that spirit, the staff recently contacted all of their vendors and invited them to donate Christmas trees to be placed around the facility during the holidays. The donating organizations were encouraged to decorate the trees in any manner of their choosing, and the residents were then asked to select their favorite tree. The winning tree was donated by Bridge Home Health & Hospice. “The tree-donation program was a lot of fun for residents, and our vendors found that it was a great way to connect with them while getting the word out about their products and services, so we plan to do it again in 2016. Our residents patronize all sorts of businesses in the community—not just health-related ones—so we invite everyone to participate,” says Duke. ❦ For more information on Tuesday Talks, the tree-donation event, or any other programs, services, or amenities at St. Clare Commons, please call Lindsay Duke at 419-704-4403.

Don’t miss upcoming TuesdayTalks

Tuesday, February 9 6:00 PM - 7:00 pm

SLEEP AWARENESS March 8

Dr. Andre U. Aguillon of The Regional Center for Sleep Medicine will explain the importance of quality sleep.

ESTATE PLANNING APRIL 12

Attorney Dean Horrigan gives advice on the legal needs of older Americans. Join us as local author Julie Rubini presents the making of her fascinating biography, Missing Millie Benson. Signed copies will be available for purchase.

Join us for a series of interesting talks at St. Clare Commons the second Tuesday of every month. 6:00 pm - 7:00 pm. Drinks and light hors d’oeuvres.

Have a good idea for future topics? Let us know at 419.931.0050 or TuesdayTalks@StClareCommons.org

St. Clare Commons

A FRANCISCAN LIVING COMMUNITY ASSISTED LIVING MEMORY CARE REHABILITATION SKILLED NURSING

12469 Five Point Road | Perrysburg, Ohio

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Insulin-dependent diabetics encouraged to give insulin pumps a try by Christine A. Holliday

o you know the seventh leading cause of death in the United States? It is diabetes, and, if the American Diabetes Association is correct, there were at least 29.1 million Americans who had diabetes in 2012, with 8.1 million undiagnosed. The disease affects seniors, children, and adults, with 1.4 million Americans diagnosed with diabetes each year. Such a serious health concern deserves attention, and Rebecca Ray, a nurse practitioner at Endocrine Specialists on Woodley Road in Toledo, is leading the charge. She is especially eager for those with diabetes, and those who will be diagnosed, to be aware of the technology used to manage the disease. She is excited to explain to those patients that they can still live full lives as they learn to live with the disease. The pancreas is the major player in this discussion. The pancreas produces digestive juices that help break down foods. Those juices are excreted into the bloodstream directly and into

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ducts, including the small intestine. The pancreas also produces the hormone insulin and secretes it into the bloodstream, where it regulates the body’s glucose (blood sugar) level. We do ourselves (and our pancreas) a favor when we eat a balanced diet, avoid smoking and drinking, limit our portion sizes, and go easy on high-sugar drinks like soda pop. Sometimes, and there is no way to prevent or cure this condition, the body’s own immune system attacks and destroys the cells that produce insulin. The cause may be a result of genetic risk factors or environmental factors, or, as some researchers theorize, a virus. In any case, the result is Type 1 diabetes, a condition that requires the patient to take insulin multiple times every day. This type of diabetes can be controlled by keeping blood sugar levels within a normal range, which requires daily blood glucose testing and monitoring of carbohydrate intake. The more common kind of diabetes is Type 2 diabetes, which happens when the body doesn’t make enough insulin or can’t use the insulin it produces. Lifestyle and genetics play a role in this type, and Type 2 has been linked to obesity and a sedentary lifestyle. The risk of having Type 2 diabetes increases with age, and African-Americans, Asian-Americans, Pacific Islanders, and Hispanics/Latinos are at higher

risk for this type than other ethnic groups. This type can be controlled with exercise, diet, oral medications, and, if needed, insulin. A healthcare provider may test a patient for diabetes if the patient reports weight loss, blurry vision, increased hunger and thirst, frequent urination (especially during the night), sores that don’t heal, and/or tingling or numbness in the hands and feet. The complications of untreated diabetes are very serious and can include kidney disease, nerve damage, problems with vision, skin infections and sores, dental disease, and heart disease, with higher risk for heart attack and stroke. Healthcare providers can test for diabetes (and pre-diabetes) with a blood test. The Fasting Plasma Glucose Test requires an overnight fast (eight hours) and measures the amount of sugar in the blood in milligrams per deciliter (mg/dl). A reading of 126 mg/dl indicates diabetes; a reading of 100-125 mg/dl is an indication of pre-diabetes. An Oral Glucose Tolerance Test measures the sugar level after the fast and then two hours after drinking a beverage high in glucose. A reading of 140-199 mg/dl after the glucose drink will indicate a pre-diabetic condition, and a reading above 200 mg/dl is proof of diabetes. Once the diagnosis is made, the healthcare provider and patient will discuss the best plan of care. All patients will receive training in how to monitor their blood sugar. Mrs. Ray explains, “Our pancreas produces one kind of insulin. Insulin is delivered by the pancreas in small amounts several times per hour, and when we eat, the pancreas delivers a larger amount of insulin in response to the amount of carbohydrates we consume. This is all to maintain a normal blood sugar level. There are two kinds of insulin prescribed to

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patients. One is short-term insulin (known as bolus insulin), which is typically delivered before a meal. The other is basal insulin, also known as background insulin, which keeps the body’s blood sugar at a normal level all day long whether the patient eats or not. This means the patient with insulin-dependent diabetes must take multiple daily injections to maintain adequate blood sugar levels and if he does not, complications begin.” This is where Mrs. Ray enters the picture. She would like more patients

with diabetes to look at technology that allows an easier way to manage diabetes. She explains, “For decades and up until now most patients used a needle to inject their own insulin multiple times per day. We would like diabetics to take a look at the insulin pumps used to deliver insulin. They are programmed to each patient based on diabetes type. The pumps require one injection every three days (to apply the pump) and are portable and easy to use. Additionally, they require much less insulin because it

is being absorbed slowly.” The pumps deliver insulin in small doses 24/7 to maintain a normal blood sugar, reducing short-term and longterm complications of diabetes. Just before meals, when more insulin is needed to handle the carbohydrate in the meal, the pump can deliver a larger dose based on what the patient plans to eat, decreasing the risk of low and high blood sugars from the traditional fixed mealtime insulin doses that are prescribed. Some insulin pumps include

databases to help the patient determine the carbohydrate level in the planned meal and program the number into the device. Some pumps have blood glucose meters that are wireless, sending the patient’s blood sugar number directly to the pump, and some have already produced pumps that have integrated continuous glucose monitoring systems with alarms to remind the patient that the blood sugar level is too low or too high. One pump even stops delivering insulin and alerts the

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

Are your kids getting enough water? Something as simple as drinking the proper amount of water is critically important to the health of our children. Kids who don’t drink enough water are prone to constipation, more likely to be cranky, feel tired and tend to be less active. To stay hydrated, it’s important to keep these things in mind: • Frequent, smaller amounts of water work best • An orange, lemon or lime slice will add color and flavor • If you feel thirsty, you’re probably already dehydrated Have your kids drink water before, during and after any outdoor activity. They need at least 8 cups of water per day. Avoid sipping any sweetened beverage, such as fruit drinks, sodas and punches. They add extra calories and sugars that can lead to obesity and tooth decay. 100% fruit juice is OK at mealtime, but between meals, water is best! Kohl’s Kids in Action offers free obesity prevention education to your elementary school or at health fairs. For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

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patient if it senses that the glucose has fallen too low. Mrs. Ray also explains, “When a patient on insulin is active, his blood sugar tends to go too low because exercise acts like insulin. When a patient uses an insulin pump, he is able to decrease the amount of insulin he is getting temporarily to avoid low blood sugars. If the patient is sick, when blood sugars typically rise, he is able to temporarily increase how much insulin he is getting. This is all part of the education we reinforce during our pump clinics.” One might expect these pumps to be cumbersome, but many are no bigger than a deck of cards. Some have tubing that connects the device to the site where a needle or plastic cannula is inserted under the skin and held in place with adhesive and can be easily disconnected for showering or swimming. Others have no tubing but are in direct contact with the skin and are held in place for two or three days with

adhesive. One type uses buttons to deliver the insulin but most have electronic delivery systems and are easy enough for a diabetic patient of any age to master. Mrs. Ray notes that patients as young as two or four are able to use them (with parental assistance) and the youngest patient in their practice, an 11-year-old, has been successful in using one of the pumps. “In fact,” she notes, “we have more than 100 patients who have had success with a pump, and we’d like to see more patients willing to give them a try. We can train them in how to use the pumps and give them the feeling of having more control over their diabetes. We even have some Type 2 diabetics who have learned to manage their diabetes so well on the pump that they eventually have gone off the pump because they are paying more attention to their carbohydrate amounts, losing weight, and exercising!”

—Continues on page 45

Local psychologist looks back on nearly four decades in behavioral health

n his 37 years with Unison Behavioral Health Group, Inc., Larry E. Hamme, PhD, has seen more than his share of changes. While the disorders he treats in both children and adults are essentially the same today as they were when he earned his license to practice psychology in 1987, many of them differ markedly in their severity and the methods or medications used to treat them. Dr. Hamme notes that he’s observed a significant increase in the rate of alcohol and drug addiction over the years and that the drugs in widespread use today are much stronger than they once were—even during the crack cocaine epidemic of the 1980s. He particularly laments the rise of opiate abuse, which has had devastating consequences in our community. Certain disorders have also increased in frequency. For example, whether due to better diagnosing or other factors, ADHD is much more common today and the rate of autism has increased ten-fold. But there have been positive changes as well. As Dr. Hamme points out, “The medications used to treat certain biologically based disorders, such as schizophrenia and bipolar, have significantly improved, offering greater efficacy with fewer side effects. In the past, these drugs had such serious side effects that patients would often refuse to take them.” Through all these changes, both good and bad, Dr. Hamme has always

felt right at home in the behavioral health field. His interest in psychology began in high school, when his brother, a college student majoring in psychology at the time, told him about Pavlov’s dogs and the concept of classical conditioning. So, when it was his turn to go to college, he chose to major in psychology with a minor in biology. “This was one of the best decisions I’ve ever made,” he recalls. “Psychology is a perfect match for me. Structurally, it brings together several different disciplines and functions as a bridge between the mind and body.” Dr. Hamme received his Bachelor of Arts and Master of Arts degrees from North Carolina Central University and was the first African American to receive a PhD from the Clinical Psychology Department at the University of Toledo. He was also selected as an Outstanding Minority Alumni by the University of Toledo in 2000. He currently works as Chief Clinical Officer at Unison and is sole proprietor of Larry E. Hamme PhD, and Associates, a private practice serving individuals, families, and couples in Ohio and Michigan. In addition, he has served as a consultant to the Lucas County Children’s Services Board for over 20 years and has conducted a variety of workshops for both professionals and lay people. He plans to retire in June of 2016, at which point he will have served the local community for 38 years.

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However, while gratified by all of these academic and professional achievements, Dr. Hamme’s greatest source of pride is having raised his daughter from 16 months of age to adulthood as a single parent. “That was a challenge but truly the most rewarding thing I’ve done in my life,” he emphasizes.

Dr. Larry E. Hamme

As a student in graduate school, Dr. Hamme worked primarily with individual patients. But shortly after coming to Unison, he began to appreciate the value of family and group therapy—a very different approach developed by social workers. “I soon discovered that in community mental health, a systems approach is the most effective. For example, if a child is having a behavioral problem stemming from the family dynamic, you need to work with the whole family to get to the bottom of the issue. After all, the child is with you for only an hour but he or she is living in a pathological environment seven days a week. Once I learned how important the family’s role is, I decide to do my dissertation on Family Therapy Outcomes,” he says. Dr. Hamme also discovered he has a strong affinity for working with kids. His first young patient was a third- or fourth-grader with autism who wasn’t getting good results from therapy. Testing revealed that the child’s verbal IQ was very high but his performance IQ was very low. He saw nothing in a Rorschach (“inkblot”) test but could talk in depth about complex topics such as the economy and inflation. Dr. Hamme determined that the boy needed more directed therapy instead of “play therapy,” which is relatively loose and unstructured. Both Dr. Hamme’s

supervisor and the child’s mother were highly impressed with the way he handled the child. “That’s really what set me on the path to working with kids,” he recollects. In addition to his widely renowned work with children and adolescents, Dr. Hamme has done extensive work with gang members over the years, striving to educate them on the consequences of their choices and steer them down a healthier, more productive path. He notes that gang members, just like everyone else, want to fit in and feel they belong. Unfortunately, gaining acceptance in a gang often requires violent activity and those who are deeply involved seldom escape the life. Reaching them demands a lot of understanding and an innovative approach. He recalls one gang member, “Julio,” who had been in foster care since age 12 and was taking part in Lucas County Children Services’ emancipation group after turning 18. The group helps young adults develop the necessary life skills to function independently after they emancipate from the agency’s services. During one meeting, Julio got involved in a dispute with some other group members and became very argumentative and threatening. “He kept yelling, ‘I’m not afraid to die! I’m not afraid to die!’ Finally I said to him, ‘Julio, I know you’re not afraid to die. You’re afraid to live.’ That really seemed to make an impression on him. He finally sat back down, let out a breath of air, and let go of his anger,” Dr. Hamme says. Sometimes being innovative means looking for helpful allies in unlikely individuals. For instance, one of the people Dr. Hamme asked to assist with the emancipation group is neither a social worker nor psychologist, but a former skinhead and ex convict. Big, heavily tattooed, and rather intimidating-looking, this man inspires respect. And because group members identify with his former gang status, they’re inclined to listen when he urges them to stay in school, off drugs, and off the streets. “He’s like a blast of reality,” Dr. Hamme states. “Most of the kids really respond to him because they see him as one of their own, just further down the road.” With February being designated Black History Month, Dr. Hamme urges young minority people to consider a career in the field of psychology. “It’s a long haul and a lot of work, but once you’re done, you can

Congratulations Dr. Larry E. Hamme, Unison’s Chief Clinical Officer, on 37 years of service to our community!

CREATING HOPE.

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pursue teaching, research, therapy, consultation, or one of many other professional avenues. It’s a field that offers a lot of opportunity and flexi-

bility. Looking back over my career, I’d have to say it was well worth it,” he says. ❦

Running tips for beginners by Amanda Manthey DELTA

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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

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22 February 2016 | Healthy Living News

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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 Performance Footgear.

A Walk in the Park by LeMoyne Mercer

What kind of jam do you like?

hirley and I often meet people who say they envy what they call our “adventures.” Perhaps they have seen our pictures of scenery and wildlife in Healthy Living News and it strikes them as somehow exotic and even dangerous. “You meet bears in the woods and don’t get eaten!” The perception that bears are people eaters has been reinforced by the Toledo Zoo’s acquisition of two bear cubs whose mother was euthanized because she ate a hiker

Walt’s Corner Turn to this tantalizing column each month for a healthy, flavorful recipe from Walt Churchill’s Market—like this one for Weeknight Chili: Weeknight Chili Use Tall Grass Fed Beef, which is leaner, higher in protein, naturally rich in Omega 3/6 and contains high levels of antioxidants. It is all natural and hormone-, steroid-, and antibiotic-free. Support local when you buy Dei Fratelli tomato products. Ingredients: 2 Tbs. olive oil 1 large onion, chopped, plus more for serving 4 cloves garlic, chopped Kosher salt and black pepper 1½-2 lb. Tall Grass Fed ground beef ¼ cup Dei Fratelli tomato paste 2 Tbs. chili powder 2 tsp. ground cumin 2 14.5-oz. cans Dei Fratelli Chili ready diced tomatoes 2 15.5-oz. cans kidney beans, rinsed 2 15.5-oz. cans pinto beans, rinsed ½ cup water Shredded cheese and/or sour cream for topping.

Directions: Heat the oil in a large pot or Dutch oven over medium heat. Add the onion, garlic, and ¼ teaspoon each salt and black pepper and cook, stirring occasionally, until tender, 12 to 15 minutes. Add the beef, increase heat to mediumhigh, and cook, breaking up the beef with a spoon, until no longer pink, 8 to 10 minutes. Add the tomato paste, chili powder, and cumin and cook, stirring, for 2 minutes. Add the tomatoes (with their juices), beans, ½ cup water, 1 teaspoon salt, and ½ teaspoon black pepper and bring to a boil. Reduce heat and simmer, stirring occasionally, until slightly thickened, 25 to 30 minutes. Serve with the cheese, onion, and sour cream.

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in Yellowstone. And, yes, we have met quite a few bears over the years. Even lived to tell about it. Some of them were on trails in the Smoky Mts., Shenandoah, the Tetons, Yellowstone, or Glacier National Parks. Many more, however, were seen from our vehicle, probably the safest way to view most wildlife. Our daughters could tell you about the legendary encounter with wild burros in the Black Hills of South Dakota. A herd was standing in the

shade of some trees across a meadow. I got out of the big old Buick Estate Wagon to take a picture. This excited their curiosity so they came over to get acquainted. “Say, what shutter speed are you using in this light?” one wanted to know. This prompted Shirley to utter those immortal words, “LeMoyne, get in the car!” So I did. The herd surrounded us. One came to Shirley’s window and gave it a big, wet lick with a tongue that would put a giraffe to shame. Shirley locked the door. Now, I did not see these animals as threatening. But that is just the point. Far too many tourists seem to think that national parks are basically petting zoos where all the animals have been trained to pose for photos. And, as with those burros, it is often assumed that because the animal is not behaving in a clearly aggressive way it is okay to approach and poke your camera in its face. First, don’t assume that you can recognize all the warning signs that animals may exhibit just before they turn aggressive. From the animal’s point of view,

—Continues on page 40

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Laurels and Genesis Village partnership pays dividends

he recently established partnership between The Laurels of Toledo and Genesis Village is already making a significant difference in the health and well-being of the individuals these organizations serve. By combining their unique skill sets and resources, The Laurels and Genesis Village are able to provide a much more comprehensive care continuum together than either facility could provide on its own. Through this creative partnership, patients have access to The Laurels’ expert physical, occupational, and speech therapists and state-of-theart rehab gym (which now features the AlterG® Anti-Gravity Treadmill®) as well as Genesis Village’s home health services, provided by Interim Healthcare, and other on-site amenities, including an indoor pool, whirlpool, fitness center, and wideopen spaces for walking and other exercise. Genesis Village is also a proud host site for SilverSneakers®, an innovative exercise program for active older adults offered through participating health plans. Having access to both facilities’

resources has made a significant difference in the quality of life for Genesis Village resident Bob Mallory. For most of his life, Mallory, 74, has had the tendency to experience a drop in blood pressure and severe dizziness upon standing. He remarks, “It was extremely frustrating. I felt lost and didn’t know what to do.” After a recent bout with this condition, which resulted in Mallory passing out and falling, he was briefly hospitalized. Afterward, he came to The Laurels for rehabilitation. Laurels physical therapy assistant Brad Weaver explains, “When Bob first came to The Laurels, he could only stand for about 15 seconds before becoming very symptomatic and having to sit back down. Our main focus in therapy was to increase his overall standing tolerance with his vitals in the normal range. We did a lot of work just trying to build his overall dynamic balance with increased duration in a standing position along with various strengthening activities. His medications were switched up a bit, too. At the time of his discharge back to Genesis, he could easily

24 February 2016 | Healthy Living News

stand for one to two minutes and his blood pressure drop wasn’t nearly as bad. If we can keep his blood pressure going in the right direction, there will also be some good gait training in his future.” Mallory says he noticed a change for the better about halfway through his therapy program. His blood pressure numbers were improving, and he wasn’t feeling dizzy as often or as quickly. “The dizziness used to come on so fast that it would be overwhelming, but then it gradually became more moderate and I could tell when it was beginning so there was time to take appropriate measures,” he adds. Weaver is reassured knowing Mallory returned to Genesis Village after

completing rehab at The Laurels. With the resources and services available at Genesis, he’ll be certain to receive the follow-up care he needs and will be much less likely to end up back in the hospital. “The most important thing is, Bob is not going to ‘fall through the cracks’ during this transition,” he says. “Both here at The Laurels and at Genesis, everyone—nurses, aides, therapists, and home care providers—is on ‘Team Bob’ and dedicated to keeping him going in the right direction.” Mallory describes his rehabilitation journey as a learning experience, noting that the staffs at both The Laurels and Genesis Village are remarkable. “Everyone at both facilities knows you by name and takes the time to stop and talk to you. They’re not just

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nurses and therapists; they’re more like friends and family,” he says. The Laurels of Toledo, located at 1011 Byrne Road, 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. Genesis Village is located at 2429 S. Reynolds Rd. in Toledo. Visit genesisvillage.org or call 419-720-1286 for more information.

Looking past the end result (where the lessons are)

by Mark S. Faber, USPTA Elite Professional

or sports fans, the college football bowl games and NFL playoff season create a lot of excitement. The coach in me does not always watch the games for the outstanding play, but for the lessons that can be learned and then related to my teams and students. In today’s world, it is hard to get people to take the focus off the wins and losses. As I watched the events unfold during the NFL playoffs and thought about the NCAA bowl games, I decided to change my article for this month. As a coach, I am always looking for teaching moments that not only affect my surroundings, but also the masses. In a short week, I believe three of the biggest lessons should have been learned by young athletes, and their parents and coaches: Situation #1: Halftime score: University of Oregon 31 and Texas Christian University 0. The first half of this game was totally controlled by Oregon. TCU was without their starting quarterback, and they started a quarterback who had never started a game. TCU looked like a team that just was out of sorts and not able to recover. As the teams went into halftime, Oregon’s

quarterback suffered an injury; however, they were in complete control. Lesson #1: End score: TCU 48 and Oregon 41. The lesson here is about opportunity and never giving up. On numerous occasions, I have witnessed kids and parents say, “Man they are getting killed! They have no chance!” The odds were stacked against TCU for sure, as they have been many times for all of us in sports/life. But what TCU and their quarterback did was nothing short of amazing. They did not give up. They did not take the “poor-me” approach that I’ve seen so many times. They took the “wow-what-an-awesome-opportunity” approach to make a historic comeback and battle as hard as they could. Sure, if they would have lost, they would have felt terrible, but they could have looked themselves in the mirror and known they gave everything they had and did not give up. We must continue to instill this trait in our young people today. Situation #2: Under 3 minutes to go in the game and Cincinnati is leading Pittsburg in 1st round of NFL playoffs. The Cincinnati Bengals looked as if they were going to shake their playoff slump. They were so close, and then all of a sudden the actions of a few players changed that direction. There was a targeting penalty, but the next penalty for unsportsmanlike conduct is what really cost them. A player on the Bengals team put his thoughts and actions ahead of the team. Lesson #2: Bengals lose on a lastsecond field goal set up by penalty. The lesson here is simple. We’ve all disagreed with a coach or official at one time or another. But there has been a recent trend of young athletes yelling at officials and even their teammates. Kids do not just do this on their own. They see it and imitate it. Where do they see it? They see it in professional athletes, parents, and coaches. Let us hope what they saw in this game was how a talented player got into it with an official and cost his team a game. The lesson we all must take as adults is that we must set the positive example and not accept actions that can be harmful to our youth and their teams. This is a very hard thing to do at times, although it is the right thing to do.

was being brought on with under a minute left to go in the game to kick a simple game-winning field goal. The team was sitting pretty comfortable knowing this guy was out there. Then the unthinkable happened…he missed. leading Minnesota Vikings by one point with under 30 seconds to go. The Seahawks and Vikings were battling it out in one of the coldest games in recent NFL history. The kicker for the Vikings had made three field goals already and had been very successful all season. He

Spring

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Lesson #3: Vikings lose and kicker is focus of reporters. The lesson is not in the miss or a missed opportunity; it is simply in how he handled the situation. In his interview after the game, he was obviously asked about the missed field goal. His answer was, “I just missed it.” The reporters continued

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to ask him questions, and some were leading towards the fact that the snap or hold was bad. He refused to acknowledge that and said the missed kick was on him. He accepted responsibility for the miss. If I had a dollar for every time I had heard a player, parent, or even a coach make an excuse why something happened versus accepting the facts, I would not be playing the Powerball this week. Young athletes need to learn to accept the good and the bad. In life, everything is not going to go the way we think, and we need to learn to handle it with the same grace as the Minnesota Vikings’ kicker did. In closing, sports have so many lessons to teach about life. These three lessons are so important, and they are pretty simple: 1. Never give up (battle until the end). 2. Sportsmanship matters. 3. Accept responsibility for your actions. If we as parents and coaches can help the youth of today understand these items as well as others, then we will be making such a positive impact on the future. ❦

Advanced Healthcare Center’s strong care continuum yields positive patient outcomes

ue to their strong partnership with the adjacent Advanced Specialty Hospital, the recent launch of a state-of-the-art pulmonary unit, and, of course, the skill and dedication of their staff, Advanced Healthcare Center is able to help patients heal faster and get home sooner. A short-term rehabilitation and long-term skilled-nursing facility located at 955 Garden Lake Parkway in Toledo, Advanced Healthcare Center shares a collaborative relationship with Advanced Specialty Hospital of Toledo, a long-term-acute-care hospital (LTACH) located on the same campus. The purpose of an LTACH is to provide treatment for medically complex patients who require an extended period of hospital-level care and aren’t quite ready to transition to rehab or long-term skilled-nursing care. Examples include patients with traumatic injuries,

respiratory failure, difficult-to-heal wounds, post-surgical complications, congestive heart failure (CHF), stroke, complex orthopedic conditions, and many others. It was this expertise in treating complex health issues and dealing with multiple comorbidities that recently put a patient—a man in his 50s who was hospitalized for respirator y failure—on the path to regaining his prior quality of life. While in the hospital, this individual was completely ventilator dependent and had a tracheostomy to help him breathe. He was morbidly obese and had numerous comorbidities, including hypertension, chronic obstructive pulmonary disease (COPD), CHF, and borderline type 2 diabetes. He’d also experienced a prior stroke, resulting in right-

sided weakness, and had a history of meningitis. After being stabilized at the hospital and meeting appropriate LTACH criteria, this gentleman was transferred to Advanced Specialty Hospital where the respiratory therapists, who are available 24/7, worked on weaning him off the vent and gradually reducing the size of his tracheostomy under the direction of the pulmonary physician. During his stay there, he was weaned down to a nocturnal vent, meaning he had to use it only while sleeping. According to Megan Smiddy, Director of Provider Relations for the campus, which is owned by Communicare, Advanced Healthcare Center’s parent company located in Cincinnati, Ohio, “By the time he was transferred to Advanced Healthcare Center, he was on a nocturnal vent, his tracheostomy had been capped, and he was using minimal oxygen. He was also able to sit upright on his own and began working through his rehab program for strengthening, mobility, and respiratory therapy so he could get back home and back to his life.

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From the time he was admitted to Advanced Specialty Hospital until he was discharged from Advanced Healthcare Center, a total of 81 days elapsed, which is impressive when you consider all of his comorbidities. Today, he’s stable, still working on his therapy, and continuing to get stronger.” Another patient—a woman in her early 70s—benefitted primarily from Advanced Healthcare Center’s state-of-the-art dedicated pulmonary unit. Headed by Dr. Raheel Jamal of Respiratory Specialists, Inc., the new pulmonary unit offers specialized care and education to patients with conditions requiring ventilation, such as new tracheotomy patients and those with COPD or CHF. Advanced Healthcare Center is one of only a few skilled nursing facilities in our region to offer this type of unit. This patient, who was hospitalized for COPD, was on full ventilator support and had a tracheostomy. In addition, she was on dialysis, had problems with swallowing and depended on a feeding tube through her abdomen (PEG tube) to eat, had

type 2 diabetes, and was limited by knee and ankle pain. “Also, when she got here, this patient, who is fiercely independent by nature, required full assistance with activities such as bathing, self care, dressing, and sitting up,” Smiddy says. After arriving at Advanced Healthcare Center, she began working with the pulmonary and rehab teams. She was gradually weaned off the ventilator and down to minimal oxygen, and her tracheostomy was eventually removed. The therapists also worked on her mobility, ambulation around the house, and ability to transfer from bed to a chair. “Upon her discharge home, approximately three months after being admitted, she was able to perform all these activities independently with standby assistance, and she was back on a normal diet. Now, she’s back at home with family support,” notes Smiddy. ❦

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Owens receives grant from Delta Dental Foundation to improve oral health in Toledo

wens Community College recently received a $5,000 grant from Delta Dental Foundation to help purchase a mobile dental chair and dental unit for students to take to nursing homes and rehabilitation centers to provide dental cleanings to residents. The Owens Community College Dental Hygiene Program is designed to prepare graduates for positions in private dental offices; hospitals; managed care facilities; federal, state, and municipal health departments; and correctional institutions. Emphasis is placed on the relationship between prevention, education, the clinical phases of dental hygiene, and basic and social sciences. Hands-on clinical experience allows the students to treat a variety of patients: pediatric to geriatric, including medically compromised and special needs. “Many elderly people experience significant barriers to receiving necessary dental care,” said Beth Tronolone, RDH, director of Owens’ Dental Hygiene Program. “This grant

Women are calling this “life changing.”

will allow students not only to experience caring for these individuals, but also to experience planning the community project and identifying the patients needs and providing the necessary care and referral for the patients.” The Delta Dental Foundation is focused on ensuring that children and adults in Ohio receive high-quality oral-health education and high-quality dental care. Through its Brighter Futures initiative, Delta Dental is committed to improving people’s oral and overall health and well-being through advocacy, education, and philanthropy. “We are proud to recognize the work being done by Owens Community College Dental Hygiene Program by selecting it as one of our grant recipients,” said Teri Battaglieri, Delta Dental Foundation director. “By increasing access to dental care, we can help improve the oral and overall health and well-being of children and adults by preventing serious health issues down the road.” ❦

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Sunset House marks 145 years of service to community

t’s common practice for organizations and companies to tout their years of service as a selling point. The greater the longevity, the higher the perceived stability and level of commitment to the community. So when Sunset Retirement Communities announced that its Sunset House on Indian Road—which was founded in 1871 and incorporated in 1873—will mark its 145th anniversary this year, many in the Toledo area couldn’t help but take notice. Asked what accounts for this remarkable longevity, Gayle Young, Director of Marketing, Communication and Public Relations for Sunset Retirement Communities, explains, “Since its inception, Sunset has continually evolved to meet the community’s needs. It began as a mission in 1871 by Harriet May Barlow, president of the Women’s Christian Association of Toledo at the time, who saw the need to meet the ‘moral, spiritual, mental, social, and physical welfare’ of the homeless and friendless women in our area. Through the passage of time—which saw the establishment

of a home on Collingwood in 1889, a land campaign from 1928 to 1930 to secure the present location of the Manor at Indian road, various renovations and additions from the 1940s to the 1970s, the addition of male residents and couples to Sunset House at the beginning of 2000, and last year’s major renovation of the Manor—we have always sought new and inventive ways to add quality to our homes.” Part of the Toledo community since its inception, Sunset House and Sunset Retirement Communities has throughout its long history striven to identify the evolving needs of the population and made changes and accommodations to meet them. What started as a “Home for Friendless Women” now provides options for assisted living, healthcare, and both inpatient and outpatient rehabilitation. Assisted-living options include beautifully remodeled studio and one- and two-bedroom

apartments, and additional levels of care can be added as residents’ needs change, completing the continuum of care so residents can remain in their home for as long as possible. The recent 18-month renovation of the Manor at Sunset House, which included updating the assisted-living apartments with quality finishes and appliances, helped bring the facility

into the 21st Century without compromising its traditional character. “The stately Victorian Manor, which opened its doors in 1930, offers a historic charm and elegance to enhance a vibrant life,” Young says. “Residents are surrounded by antiques and rich history, embedded with current finishes and amenities. Our walls are decorated with beautiful artwork,

and in the china cabinets you’ll find fine china tea cups on display. It’s the perfect blend of old and new! You would be hard pressed to find another community that embraces the charm of yesteryear with the amenities of today like Sunset House does.” The second phase of the renovation in Sunset Hall, soon to be underway and anticipated to take four to six months, will involve remodeling the rooms, which were originally built in the mid-80s, to add showers to all bathrooms, removing old wooden built-in storage units to provide more flexible floor space, new paint and carpeting, as well as updating the common areas and hallways. All of these updates and amenities serve to further enhance Sunset’s already warm, home-like atmosphere. In fact, providing an environment that feels like home to residents and their loved ones is a high priority at Sunset. As Young points out, “ResisUnsEt ViLLaGE Assisted Living, Healthcare, Memory Support, Ashanti Hospice Sylvania, Ohio

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W W W. s U n s E t - C O m m U n i t i E s . O R G We love feedback. Like us on Facebook. Follow us on Twitter.

dents are encouraged to bring their own belongings and furnishings so they can create a personalized living space that’s a reflection of who they are, and it’s not difficult to find sitting areas in which to entertain one’s friends and family, read a book, start a card or board game, discuss current events, or even practice piano. Also, just like at home, you can grab a snack or meal when you want, and there are plenty of scheduled activities to fill your day.” At Sunset, everyone has opportunities for growth, regardless of their age or ability. This is a reflection of the Eden philosophy that Sunset has embraced, which is focused on

providing person-centered care and vibrant, life-affirming environments. “In an Eden community, the resident is the center of every aspect of daily life. Adding to the charm of the Eden philosophy, our residents can enjoy the aviaries, aquariums, cats, and dogs throughout Sunset House,” Young says. Those interested in learning more about Sunset House are encouraged to stop by for a personal tour and to ask any questions they may have. For more information or to schedule a tour, call 419-536-4546 or visit www.sunset-communities.org. Sunset House is located at 4020 Indian Road in Toledo. ❦

Resident of Bittersweet Farms to train and ski for Special Olympics

or the eighth year in a row, Bittersweet Farms resident Beth Meyer will head up north for a week to train and ski at the Boyne Mountain Resort. Each year, Ms. Meyer prepares for the Boston Mills and Brandywine Special Olympics Competition, to be held this year on February 3-4, 2016, in Cleveland, Ohio. During the last week of January, Ms. Meyer will receive daily two-hour private lessons from the best and most experienced ski instructors. In addition to training and lessons, Ms. Meyer gets to enjoy the benefits of the mountain resort, such as staying in a private room donated by a member of the Michigan Alpine Competition Council (MACC), water park activities, and riding on the snow groomer at least

once during her stay. Ms. Meyer says, “This ski trip means the world to me. Not only is skiing a great adrenaline rush, but it’s also very therapeutic. Skiing is a great physical activity, and the training I receive while at Boyne Mountain gets me into shape for racing. I’m so thankful to Gino for sponsoring me each year.” Gino Chiappetta from C.H. Asset Management generously arranges and donates the funds each year that give Ms. Meyer this incredible opportunity. The Boyne Ski School, Michigan Alpine Competition Council (MACC), Toledo Ski Club, and personal funds also help to provide the funding for Ms. Meyer to train at Boyne Mountain Resort. ❦

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

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Chronic pain? Headaches? Migraines?

Bonnie Kauffmann, Ph.D. Psychologist, LICDC Harbor Behavioral Health

Have you heard of dry needling? by Jim Berger

The Elderly and Post-Holiday Season If you are a family member or caregiver of an aging loved one, you may observe changes in their mood or behavior during or after the holidays. You may notice unusual signs of fatigue, sadness, or limited interest in the holiday season and celebration. The winter holiday season can often intensify sadness and loss which aging individuals often experience.

has spiritual beliefs, are a way to feel the magic of the season as well as engage in holiday activities or volunteering to help others. Decorating, gift wrapping, and making seasonal crafts together are other ways to engage and help individuals feel included. Introduce foods with better nutrition or unique foods for the season, particularly if there is a lack of interest in food or loss of appetite.

It is not the holiday season or celebration itself that causes these changes in types of emotion among the elderly, rather, the fact that the holidays tend to bring up memories of earlier or happier times, loss of loved ones, or loss of one’s role. What should you look for in your aging loved one or friends and that may be experiencing symptoms of depression?

Ask about their feelings and let them talk about their memories and losses. Often people believe that by talking about the losses it makes an individual even more depressed; this is generally not the case and avoiding discussion about feelings and loss actually may increase depression. It is all right if your loved one has feelings of depression or loss. Allow them to talk about the memories, their beliefs, and their losses. Losses are not only people in their lives, but also the roles that they once played in the family, the contributions that they once made, and their overall sense of importance, which may have changed or diminished as they have aged. Health or mobility may interfere with ability to engage in activities that were once important to them. Finding other activities and responsibilities to include them in may help with this.

• • • • • • • •

Depressed or irritable mood Loss of interest in daily activities Weight loss Expression of helplessness or feelings of worthlessness and sadness Lack of attention to personal care and hygiene Fatigue Difficulty concentrating or forgetfulness Obsessive thoughts or talking about death

There are several ways in which you can help an elderly loved one or friend during the holidays. The first is to get involved. It can help the elderly person feel important by including them in general activities such as making holiday cookies and distributing them to neighbors, families, and friends. Church or spiritual activities, if the person

If a depressed mood continues or if there is significant impairment in ability to care for oneself, then consulting with a professional is advised. ANY TIME THERE IS TALK OF SUICIDE A PROFESSIONAL SHOULD BE CONTACTED IMMEDIATELY. Harbor is available to provide assistance by calling (419) 475–4449.

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30 February 2016 | Healthy Living News

ry needling: What is it and can it help? Let’s first evaluate the benefit of physical therapy and how it can help relieve headaches and chronic pain: Physical therapy (PT) is a specialty service that remediates impairments and promotes mobility, function, and quality of life (i.e., providing hands-on care to assist in recovery after injury to return you to activities of life and previous athletic activities). Physical therapy commonly includes patient education; hands-on manual therapy; mechanical devices such as traction; physical agents that include heat, cold, electricity, sound waves, radiation, and light therapy; and the use of specific exercises and other interventions. In addition, physical therapists work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs. These programs provide services and guidance to develop, maintain, and restore maximum movement and functional ability throughout an individual’s life. So, yes, physical therapy is a key service to alleviating pain. Dry needling is a highly effective form of physical therapy for the treatment of a multitude of musculoskeletal and neuromuscular conditions as well as headaches. Dry needling is the use of acupuncture needles to relieve muscular pain and myofascial (muscular) disorders. It is a small part of the overall physical therapy plan of care that has allowed patients to heal and recover from injury more quickly. Dry needling is not a new process and has its roots in Far Eastern medicine. The history of dry needling dates back to the 1940s with Dr. Janet Tavell. She identified the muscular trigger points and the referral patterns that were elicited with dry needling. In 1970, Dr. C. Gunn developed the concept and techniques of Intramuscular Stimulation, or the second generation of dry needling. In the

late 1970s Dr. H.C. Dung discovered the homeostatic points and Dr. Yuntao Ma expanded on this research and its clinical application. Dr. Ma discovered a relationship between homeostatic points and human biomechanical homeostasis. Thus, the third generation of dry needling was established. The performance of modern dry needling by physical therapists is based on Western neuroanatomy and modern scientific study of the musculoskeletal and nervous system. How does dry needling work? Dry needling is not acupuncture. It involves inserting thin, solid-filament needles into the muscle to stimulate the healing process of soft tissue. Dry needling targets the trigger points, or hyper-irritated muscle tissue, which is the direct and palpable source of the individual’s pain. It helps to accelerate healing by causing a micro lesion within the pathological tissue, thus allowing for increased circulation to the injured area, improved oxygen delivery, and stimulation of the neural pathways that can block pain messages as they travel from your central nervous system to your muscles. The aim of dry needling is to achieve a local twitch response to release muscle tension and pain. This mechanical and neuromuscular effect provides an environment that enhances the body’s ability to heal, which ultimately reduces pain. Dry needling, when combined with appropriate strengthening or stabilization exercises and biomechanical assessment, can help alleviate both acute and chronic muscular disorders. When combined with traditional physical therapy interventions, dry needling is an effective intervention in relieving pain, improving range of motion, and accelerating healing. Dry needling has shown to be effective in dealing with: • Acute and chronic tendonitis • IT band syndrome

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• Plantar fasciitis • Athletic and sports overuse injuries • Chronic pain conditions • Neck and upper back pain • Headaches: migraines and tension-type • Lower-back pain • Calf tightness/spasms • Tennis elbow/golfer’s elbow • Shin splints • Muscle spasms. Dry needling has been so effective that the 2012 Washington Redskins became one of five NFL teams to use dry needling in addressing tightness and weakness in players. Heartland Rehabilitation Services has two clinicians that are trained in dry needling: Alex Vargo, PT, and Kim Schulisch, PT. Both have seen success in using dry needling with other therapy interventions. Alex had an individual referred to him for dry needling to address a severe migraine problem. The patient’s migraine pain and discomfort dropped significantly in intensity and duration following five dry-needling treatments. She was able to manage daily routines and activities and to identify the difference between a tension-type headache and a migraine.

Kim was presented with a young athlete with chronic shin splints. He experienced significant pain in his shins after running for less than five minutes. He and his parents tried a variety of medical treatments throughout the community over a period of six months with no significant pain relief. They heard about Heartland and their dry needling successes. They were skeptical but willing to try. After four visits of dry needling and PT for core stabilization, he was able to actively run for 10 minutes before he started feeling pain. After four weeks of therapy, he was able to complete 40 minutes of his sport with little to no pain. It has been two months since he completed physical therapy involving dry needling with Kim, and he is actively playing sports pain free. Heartland Rehabilitation Services offers dry needling as a part of its treatment regime at its Oregon, Westgate, and Bedford clinics. If you are interested in finding out more about dry needling, call Alex at 419697-8000 or Kim at 734-856-6737. ❦ Heartland Rehabilitation Services, provider of outpatient physical therapy, occupational therapy, hand therapy, and

wellness services, has five locations in the metro Toledo area: Maumee, Perrysburg, Oregon, Lambertville, and Toledo. Call

Jim Berger, Area Manager, at 419-7876741 for more information about services, treatment, and educational programs.

physical and emotional well-being.

: During our holiday family gathering, my niece told me her husband was told by his cardiologist that he should get his hearing assessed because there may be a link between hearing loss and cardiovascular disease. Is that true?

: I have to agree with that statement. According to the Better Hearing Institute, research has shown that there is a link between hearing loss and cardiovascular disease along with other chronic illnesses, such as Alzheimer’s disease, depression, kidney disease, and diabetes. And when left untreated, hearing loss adversely affects quality of life, earnings, and

Five heart-healthy reasons to get a hearing test Listed below are reasons to get your hearing examined: 1. Six decades of research point to a heart-hearing health link. A comparative review of more than 60 years of research found a correlation between cardiovascular health and hearing health. Specifically, the study authors concluded that the negative influence of impaired cardiovascular health on both the peripheral and central auditory system—and the potential

•

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The Lakewoods II & III 1021 Garden Trail Toledo, OH 43614 419-382-1200 www.thelakewoodsoftoledo.com

Senior Living Guide Choosing a senior living community that’s right for you or a loved one is among the most important—and challenging— decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent living, assisted living, continuing-care, and subsidized low-income housing communities. To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

Senior Star at West Park Place

St. Clare Commons 12469 Five Point Road Perrysburg, OH 43551

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

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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

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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

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Sunset House

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Parkcliffe Community

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795 Bardshar Rd. Sandusky, OH 44870

Heartland of Waterville

3501 Executive Parkway Toledo, OH 43606

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Lutheran Memorial Home

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

Advanced Healthcare Center

1011 Byrne Road Toledo, OH 43607

955 Garden Lake Parkway Toledo, OH 43614

419-536-7600

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Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Oakleaf Village

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

4220 N. Holland Sylvania Rd.

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32 February 2016 | Healthy Living News

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positive influence of improved cardiovascular health on these same systems—have been found through a sizable body of research.1 2. The ear may be a window to the heart. Some experts find the evidence showing a link between cardiovascular health and hearing health so compelling that they say the ear may be a “window to the heart.” They encourage collaboration between hearing-care providers, cardiologists, and other healthcare professionals. Some even call on hearing-care professionals to include cardiovascular health in patient case history and to measure their patients’ blood pressure.2 1 http://ow.ly/BqqPy 2 http://ow.ly/Bp7oV, http://ow.ly/BqYsK, http://ow.ly/BqZdt)

3. The same lifestyle behaviors that affect the heart impact hearing. More evidence of the interconnectedness between cardiovascular health and hearing health is found in three studies on modifiable behaviors: One found that a higher level of physical activity is associated with lower risk of hearing loss in women. Another revealed that smokers and passive smokers are more likely to suffer hearing loss. And a third found that regular fish consumption and higher intake of long-chain omega3 polyunsaturated fatty acids are associated with lower risk of hearing loss in women. Coincidence? Or does it all come back to blood flow to the inner ear? Research is ongoing.3 4. Addressing hearing loss improves quality of life, helps reduce stress. Eight out of 10 hearing aid users say they’re satisfied with the changes that have occurred in their lives due to their hearing aids. Many say they see improvements in their life overall and in interpersonal relationships, and that they experience reduced anger and frustration 3 http://ow.ly/BqrlJ, http://ow.ly/Bqsz0, http:// ow.ly/BqtO3

and enhanced emotional stability.4 5. Today’s hearing aids are better than ever and virtually invisible. State-of-the-art, sleek, sophisticated, and low-profile, today’s hearing aids combine high-performance technology and style with durability and ease-ofuse. They’re a high-tech tool to help people maintain youthful lifestyles and stay socially, physically, and cognitively active. The options are so varied that there’s an attractive solution for just about anyone. So let’s not waste any time. February is Heart Awareness Month, so if you have a concern regarding yourself or a family member or friend, take the step to get your hearing assessed by an audiologist and, as always, feel free to contact us with any questions or concerns. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). 4 http://ow.ly/AZ2D7

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Wise words from

OTTERBEIN Doctor-patient communication… Can we talk? by Robin Small

ee if this sounds familiar: You have a medical appointment. You check in at the front desk on time and take a seat. You wait for quite a long time, and then finally your name is called. You go to the exam room, and the nurse comes in, asks a few questions, and takes your blood pressure. You wait some more. The doctor comes in, asks a few more questions, writes a prescription, and is gone. You leave the office with more questions than answers. You aren’t quite satisfied. Patient-physician communication is very important for successful healing. An analysis from The Joint Commission, a nonprofit that accredits US healthcare organizations, faulted “inadequate communication”—both between physicians and between patients and their doctors—in more than 70 percent of sentinel events, or

adverse health outcomes not related to the natural course of a patient’s illness. This means that if we can improve the communication and effectiveness of the visit to a physician, there is a greater chance for a positive outcome.

What can a patient do?

your questions are, the more direct answers you’ll get. Prioritize your concerns. Know that your doctor may not have time to answer all 50 of your questions, so ask them in order of importance. “When a patient prioritizes their concerns, it tells me they have very specific health interests and they understand we’re both working with limited resources,” says Dr. Nirmal Joshi, chief medical officer for Pinnacle Health System. “It also tells me you respect my time and allows us to focus on what concerns you most about your medical situation.” Don’t be afraid to ask for another appointment. Ultimately, you want

As a patient, you are not powerless when it comes to effective communication in the exam room and after you leave. There are things you can (and should) do to ensure your voice is heard and your concerns are addressed. Come prepared. Know what you intend to talk about before you arrive for your appointment. Write down your concerns and questions, and make them specific. The more pointed

34 February 2016 | Healthy Living News

But Doctor! You haven't asked why I'm here yet!

all of your concerns addressed with ample time and attention. So rather than trying to rush through your list of questions, if you don’t finish, ask for a follow-up appointment. Dr. Joshi says it’s not uncommon for patients to remember something they wanted to talk about as the doctor is getting ready to leave the room. In that situation, the doctor has a choice—address the concern quickly, possibly sacrificing good clinical care, or set up another opportunity to discuss the issue. As a patient, you can take the reins by requesting a follow-up. Be willing to communicate outside the exam room. “Never underestimate the power of communication that’s not necessarily face-to-face,” says Dr. Joshi, who recommends patients ask their doctors whether they are willing to email. “Many physicians love that. I personally love that. That freedom allows me to instantaneously communicate with patients when I have the time for them.” Email or communication through an online patient portal or telephone number is particularly useful when a face-to-face appointment has already occurred and you have questions

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about what was discussed or your treatment instructions. Bring someone with you. “If the person getting care happens to be elderly or is otherwise incapable of asking questions in an assertive way, I strongly advise them to bring someone along,” Dr. Joshi says. When a caring son or daughter is present, for instance, Dr. Joshi says the expectations are very high, and he is most likely to respond in kind. In other words, the added person can serve as a medical advocate for the patient who may otherwise just accept that “doctor knows best.”

The bottom line Your time with your doctor is limited, so making every moment count is crucial. Though it may seem like 15 minutes can’t possibly be enough, learning to use these precious moments wisely will help you get the most out of each appointment. To receive the entire article by Dr. Joshi, please call Otterbein Marketing at 419-833-8917. ❦ Robin Small is Regional Director of Marketing for Otterbein Senior Lifestyle Choices.

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magine you are 80 years old, no longer can drive, and have children who live out of state but want to stay in your own home. How do you get your food? You are a diabetic and just can’t control your sugar levels. Where can you turn? You just had hip replacement surgery and are going home but you live alone. How do you get to the store plus have the quality of nutrition you need to heal? You have children that can help you, but they all work and they already do so much for you. How can you stay independent when you just can’t cook anymore? Many in our community turn to Mobile Meals of Toledo for that help. The mission of Mobile Meals of Toledo, Inc. is to help clients sustain independence and enhance their quality of life by delivering nutritious food. Anyone with a medical need can have meals delivered; there is no age limit or income restriction. There is a charge for the program, but the fee is on a sliding scale based on income and

rent/mortgage or property taxes. The Auxiliary to the Academy of Medicine founded the Home-delivered Meal Program in 1967 and this year is Mobile Meals’ 49th year of service to the greater Toledo area. The meal program serves anyone needing assistance with meal preparation or diet maintenance. They have served people from age

two to 106 and have gone from serving four clients a day to over 500 a day. In 2014, they delivered 460,685 meals and provided $177,565 in assistance to meal clients who could not afford to pay the full cost of service. The agency touched the lives of and provided independence to 1,282 clients throughout 2014. Mobile Meals of Toledo’s Weekender Program provides food to

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children in economically challenged neighborhoods who would otherwise get inadequate nourishment over the weekend. Cut off from government lunch programs, many students receive little to eat on Saturday and Sunday. By Monday morning, these children are too hungry to concentrate on their class work. The program began in January 2008 and provided 6,105 bags of kid-friendly, shelf-stable food to three Toledo inner-city schools. In school year 2014-2015, the number of bags delivered grew to over 46,000 to six area schools. Students receive a bag of food to take home with them every Friday afternoon during the school year. The bags contain kid-friendly snacks— all are healthy items, require no refrigeration, and are easily opened by children. This program ensures that students have enough to eat all weekend long so they can come to

EATING WELL

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school Monday morning nourished and ready to learn. The Volunteer Program is as important to the agency as the services they provide. The program provides opportunities for around 800 people from all walks of life to give back to their community in 2-4 hours a month. It also provides Mobile Meals with much-needed volunteer drivers who save them over $350,000 each year in delivery costs. Oftentimes the volunteers are the only people the client sees in the course of their day, and that human contact is so important to all of us. It is also a daily check on the client. If you need help with meal preparation or you know that a loved one, neighbor, church member, friend, etc. needs the assistance, please call the agency at 419-255-7806 or visit www. mobilemeals.org. Mobile Meals of Toledo can help! ❦

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e’ve been anticipating the release of our government’s 2015 Dietary Guidelines since last February. Well, here it is 2016 and they ’ve finally arrived! I can’t imagine what took so long, but I suspect bureaucratic red tape had something to do with it. Anyhow, these guidelines are intended to help Americans eat healthy and improve their eating habits. Despite the delay, their release could be considered timely, since many of us are struggling to stick with our New Year’s resolutions to eat better. You can find full details on the guidelines at http:/health. gov/dietaryguidelines/2015/, and a plethora of sites will appear if you search “2015 Dietary Guidelines.” But essentially they boil down to the following key recommendations: 1. Follow a healthy eating pattern across your lifespan Note that this is very different from “going on a diet.” To me, a diet is very short term—you eat healthy for a certain period in order to lose weight, fit into that bathing suit, etc. and then go right back to your old ways of eating. Not the healthi-

est approach! As long-time readers know, “Make healthy food choices on most days” has been my mantra for years. You can’t and won’t make perfect choices every day, but trying for a lifetime to eat healthy on most days will make a difference. 2. Focus on variety, nutrients, and quantity To meet all your nutritional needs, it is essential to eat a wide variety of foods, especially fruits and vegetables, each day. Choose nutrient-dense foods—those that give you more nutritional “bang” for your caloric “buck”—and keep a close eye on the amount. 3. Limit calories from added sugars and saturated fats and reduce sodium intake It seems now that sugar is the bad guy, and there’s plenty of science to support this. We know a diet high in saturated fat is harmful, as well, and that reduced sodium fits into a healthier eating pattern. 4. Shift to a healthier beverage choice It has been several years now since ProMedica did away with sugar-sweet-

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ened beverages, and many hospitals have followed suit. You and your family should too! The research shows overwhelmingly that sugar-laden drinks contribute to obesity and heart disease in this country. 5. Support healthy eating patterns for all Can we do all this alone? Probably not if we don’t have the food industry, restaurants, and other constituencies on board. This guideline encourages schools, hospitals, restaurants, and everyone at home to work with their communities to offer healthy and affordable foods, to support healthy eating in multiple settings. 6. Don’t forget physical activity The final chapter of the dietary guidelines reviews each age group and recommends healthy activities based on age and ability. It also defines the different types of exercise—aerobic, muscle strengthening, and bone strengthening—and encourages doing all types each day.

Final thoughts These Dietary Guidelines, which are

updated about every five years, were first developed many years ago when the food supply was sometimes limited and poor-quality diet contributed to nutritional deficiencies and disease. Now that we have conquered most deficiencies and our population is trending toward obesity and inactivity, the guidelines have changed to address the concerns of the current day. Research and science have shown that healthy eating patterns and regular physical activity can help people achieve and maintain better overall health. These guidelines make it easy to achieve healthier habits because they’re flexible enough to fit any eating pattern—whether it’s ethnic, vegetarian, Mediterranean, etc. It’s ultimately up to you what foods you eat, how much you eat, and in what settings you eat. These guidelines, along with health professionals, organizations, and the government, are all there to provide support and help you make the best possible choices for you. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

By Kat Tomasewski

10 healthy, kid-approved winter activities

ind-chill advisories, school delays, hunting down matching mittens, runny noses, and chapped lips—yep, winter has officially arrived! Gone are the days of the kiddos running outside to play with friends for hours on end. Now it seems like the sun is setting as soon as they get home from school. But the cold temperatures and lack of sunlight are no excuse to hibernate. Children need to stay active year round, no matter the weather outside. However, finding fun, engaging, winter-friendly activities can be tricky, especially when the warmth of a blanket and your child’s favorite videogame beckons. Here are 10 kid-approved ways to keep your children active this winter: 1. Just Dance—Kiddos take turns dancing to their favorite songs or make it a family affair. The Disney version is perfect for young ears. Cost: free (assuming you have a device and a version of Just Dance).

2. Sky Zone Trampoline Park— Children can jump out all that excess energy and the result is a fabulous fun workout! Cost: 60-minute jump, $13; 90-minute jump, $18 (toddler time is Friday, 11:00 a.m.-noon). Website offers more info. 3. Open Gym at Sunrise Gymnastics (ages 1-5)—This is my preschooler’s all-time favorite! Cost: $8. 12:001:00 p.m. Monday, Tuesday, and Saturday. 4. Walking to school—One of our New Year’s resolutions is to walk to school one day a week. Check out Live Well Greater Toledo for a map and estimated time for

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throw the snowball and try to hit a target. If you wish to make it a competitive obstacle course, time the children and have each child dye their snowball a different color and see which snow color was closest to the target. Cost: free. 9. Ice skating—Ice skating outside is nothing short of magical. Ottawa Park has an open-air ice rink; in fact, it is the only open-air ice rink in NW Ohio and SE Michigan. Open skate time and skate rentals are available, and the Rink Café offers a break and warm-up. Cost: general admission is only $4 (children under 3 are free), and skate rental is $2. 10. Roller skating—Ohio Skate is where it’s at! Check out their website for times, skate rental, and sweet deals! Perfect place to meet up with friends or have a family fun night! Thus, with these funfilled activities, winter should become something you look forward to, so bundle up, get out, and enjoy your time together as a family. ❦ Kat Tomasewski writes the wildly popular Mom on the Go in Holy Toledo blog. Kat is a wife and mother living in Northwest Ohio and is a regular contributor to WTOL. She shares her knowledge on healthy recipes, parenting tips, local family-friendly activities, and marriage advice.

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your child’s walk or bicycle ride to school. Cost: free. Spend the day at Maumee Bay—Enjoy a stroll along the boardwalk, go sledding, or play on the playground, then head inside, warm up by the fire, and relax in the indoor pool, complete with fun splash fountains. Cost: pool passes $12 per person, age 2 and under free. Available 8:00 a.m.-10:00 p.m. Sunday-Thursday. YMCA classes—The YMCA offers a fabulous variety of classes for children of all ages, dance, basketball, swimming, etc., for both members and nonmembers. Cost varies. Scavenger hunt at the park—There are so many awesome Metroparks in the Toledo area! Bundle up and get out and explore a new park each week or a different trail each week. Add to the fun and print off a scavenger hunt for the kiddos. Pinterest offers a nice variety of winter scavenger hunts for all ages. Cost: free. Snow much fun course— Set up an obstacle course outside for the kiddos. Have them run a determined distance, stop to make a snow angel, then get up and jump over a small snow mound, run another determined distance and make a snowball,

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Trying to translate medical jargon

was at the barn, hoping I would see the biscuit in the basket. Wearing my sweater, I saw one go through the pipes. We needed a cement head to go to the sin bin so someone could make a Gordie Howe hat trick. Translation: I was at the barn (the Joe Lewis Arena), hoping I would see the biscuit (puck) in the basket (net). Wearing my sweater (hockey jersey), I saw one go through the pipes (goal post). We needed a ce-

ment head (a player better at fighting than playing the game) to go into the sin bin (penalty box) so someone could make a Gordie Howe hat trick (Gordie Howe, one of hockey’s alltime greats, was known for both his scoring and his fighting prowess. So when a player scores a goal, notches an assist, and gets into a fight all in the same game, that’s a Gordie Howe hat trick. A “natural” Gordie Howe hat trick happens when a player does

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all three in one period). Director of Nursing (or any regHockey speak, or hockey jargon, istered nurse or licensed practical reminded me that every discipline, nurse in the building where my sport, hobby, has its own specialized office is located) could still give language. It can be challenging to me my weekly intramuscular inlearn the meaning of any jargon, but jection—not a subcutaneous one. I am always amazed at my need for I receive one cubic centimeter of medication. I take the shot to translating medical jargon. I was enrolled in a PPO health slow down the progression of my insurance plan that changed to an multiple sclerosis. HMO. Things were great since eiOf course, my medical doctor ther the DON or the ADON (or any wants to monitor my liver function RN or LPN) could still give me my and overall blood health, so I take the weekly IM injection—not a sub cue usual blood tests, which include the one. I receive one cc of medication. complete blood count (and, of course, I take the shot to slow down the the red blood count and white blood progression of my MS. Of course, count are part of it). I can tolerate my MD wants to monitor my liver blood work, but am no fan of the function and overall blood health, so magnetic resonance imaging scan. I take the usual blood tests, which Whew! Now I know why medinclude the CBC (and, of course, the ical abbreviations are used! They RBC and WBC are a part of it). I can are shorter in both the written and tolerate the blood work, but am no spoken word. The disadvantage of using the abbreviations is that we fan of the MRI scan. I could go on with medical abbre- might not know exactly what the viations ad nauseam, but I choose to test we are about to take is called stop. What I said was: or what it is going to involve. We I was enrolled in a Preferred do not know the actual term, and Provider Organization health in- knowing the actual name of a test or surance plan that changed to a procedure can help us better tolerate Health Maintenance Organization. the medical test, alleviate anxiety, Things were great since either the etc. Knowledge is power, they say, 1 Director10.25x5_ES_SkilledRehFac_Ad_HL_915_HI.pdf of Nursing or the Assistant and I9/22/15 believe10:22 it. AM

Medical and pharmaceutical abbreviations abound and touch our daily lives. Every discipline has its own jargon, or terminology that is specific to its field. Words such as

tempo, key signature, and movement are just a few examples of musical jargon, and in many disciplines, jargon is often shortened and abbreviated (we all know that a PC is a personal computer). When words are multisyllabic and hard to pronounce, it is understandable that we use abbreviations. So where to find out about a medical abbreviation? First of all, ask your healthcare professional. Ask your doctor, nurse, pharmacist, or the technician who will be giving you the medical test.

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They are usually the best sources of information. I ask my doctor or nurse about medications and they explain about pill sizes, doses, and medical tests. I also look up terms in a medical dictionary. I usually look things up on the web. Once I googled “medical abbreviations” and the Clinicians Ultimate Reference page came up (http://www.globalrph.com/abbrev. htm). Sometimes doctors’ offices have pamphlets that explain medications, tests, and procedures. Often, they explain the abbreviation for the tests or drugs. So, when you don’t know what someone is talking about medically because of medical jargon or abbreviations, check out what they mean. Do it stat! (From the Latin “statim,” meaning immediately!) ❦

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Continued from page 7

Is a cancer clinical trial the right choice for you? safeguards built into the clinical research process. The most important of these safeguards is an institutional review board, or IRB, consisting of both scientific and non-scientific members, whose responsibility is to review and approve—or disapprove—a clinical trial before it’s used in a particular clinical setting as well as to ensure

that the trial follows approved ethical guidelines to protect patients and the integrity of the science. Once the IRB has approved a clinical trial for use at the facility and the clinical trial has been deemed an appropriate treatment approach for the patient, the oncologist and clinical research coordinators will carefully review an informed consent document with each willing participant. The informed consent document outlines the purpose of the study, the benefits one may receive, the risk that could be associated with participation, any additional

testing or procedures that will be required, any costs the patient may incur, individuals and organizations that will be allowed to review the data obtained, how confidentiality of the patients medical information is maintained, and who the patient should contact with any questions regarding their treatment, rights, or ongoing participation in the study “Informed consent is more than a document that requires a signature by the patient and the clinician. Rather, it is a process to ensure each patient has a clear understanding of what the clinical trial is about

and what the expectations may be for their participation in the study. Most importantly, patients always have the opportunity to withdraw from the clinical trial if they wish to,” Shoup states. Entering a clinical trial does not guarantee that a patient will have increased benefit from the treatment compared to a patient being treated outside of the clinical trial. What is known is that the treatment they receive will be, at the very least, as good as the treatment they would receive off study. Shoup explains, “Patients participating in a clinical trial are not only choosing an option they feel is best for them, but they may also find comfort knowing they are contributing to the advancement of medical science and cancer research—and possibly paving the way for better treatments for future cancer patients.” ❦ Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region. For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605. Continued from page 23

A Walk in the Park its body language may have given repeated warnings which you chose to ignore so you deserve what is coming to you. Second, don’t assume that because an animal appears slow and awkward that it is not capable of sudden, rapid, and surprisingly agile behavior.

Traffic always backs up when bison are in or near the road.

40 February 2016 | Healthy Living News

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Still, visitors to the national parks tend to be most concerned about bears even though the chances of being injured or killed by something else are far greater. Bison, moose, and elk fall into this category. Not necessarily because they are more aggressive than bears but because there are more of them and they are far more likely to have encounters with humans. Bears don’t stand around in herds right out in the open. When they see a human, their natural inclination is to leave the area. That’s why the most effective way to avoid bear encounters while hiking is to talk loudly to your companions or even to the unseen bear that may be munching some thimbleberries right around the bend. “Hey, bear! We’re coming through. Don’t mean you any harm!”

You don't have to shove your camera right in a grizzly's face. That's what the zoom button is for.

It really doesn’t matter what you say in bear country as long as you are heard. It’s the same as mumbling to your spouse from behind the morning paper. This phatic communion is just a way to acknowledge the presence of someone. You could look it up. National park visitors often try to sidle up to grazing animals, but that is just courting trouble. Their camera may have a 32X zoom lens digitally enhanced to 128X, but that is never quite good enough. In Yellowstone’s Hayden Valley last summer, a herd of bison was crossing the road. A woman left her car to get better photos. Meanwhile, several bison moved between her and her car. She came over to ask for shelter at our RV. Nice lady. But she confessed that she had behaved stupidly. Also caught in the herd were several motorcyclists with women passengers hugging their waists. As they should have! Cars, pickup trucks, and RVs can’t move until the bison decide to get out of the way. Neither can Harleys. It must be rather unnerving to be totally surrounded by bison, snorting and rumbling

just a few feet away, with no way to escape or take shelter. It doesn’t even take a herd of bison to create a traffic snarl. Big bulls sometimes seem to prefer a leisurely saunter right down the yellow line in the road. It is not safe to pass on either side. (See that State Farm Insurance commercial for what can happen.) So traffic begins to pile up. Near the Gardiner entrance, a fellow in a white T-shirt and red ball cap left his pickup to get closer to a bull elk. The elk moved away. The man followed. The elk moved away. The man followed. The elk turned and lowered his head, pointing his rack directly at the guy. What a magnificent photo opportunity! The man didn’t see this as a really strong hint that he should back off. Small children are often uninhibited in their pursuit of animals. On far too many occasions, we have seen loosely supervised little kids run towards a deer or elk. “Mommy, why is he running away?” The child is lucky it runs away. We have seen innocent looking deer rise up on their hind legs and lash out with their sharp hooves. It looks like one of those cartoons about boxing kangaroos. Except it can be lethal. During breeding season, the hormones run amok in some rather large animals. Bull bison, moose, and elk tend to become rather touchy and far less patient with the shenanigans of humans. You can probably remember some of your own regrettable behavior when your adolescent mind was unhinged by a flood of hormones. Irritable on occasion? Not very tolerant of unbelievably stupid people? Like your parents, for example? The breeding cycle greatly improves your chances of seeing large animals engaged in vigorous behavior—so to speak. As bison cows approach the season, the big bulls start sniffing around, literally, to see if they are in a receptive mood. Bulls in a breeding frame of mind become quite jealous and belligerent with other bulls and anything else that moves. They kick up dirt like a baseball manager discussing a call with the umpire. All that head butting you have seen on the National Geographic channel happens during a very limited season. Likewise, the bull elk start bugling and chasing away the competition during the rut. Bull moose behave like—well, bull moose. Bighorn rams start ramming their heads together. Love is a many splendored thing.

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FOR ALL THE RIGHT REASONS TRUST AND ENCOURAGEMENT, TO GET HOME SOONER.

So, if you have driven 1,500 miles to a western national park and want to get wildlife photos to impress the folks back home, what can you do? We have heard lots of people ask the ranger where all the animals are. I overheard one fellow suggest that they be trained to stay in a particular place for the convenience of visitors. A woman asked why they couldn’t just move the Deer Crossing sign closer to a pullout on the road. Teachers say there is no such thing as a stupid question. Park rangers, I’m betting, have a different opinion. Rangers patiently explain that animals are free to go where they want to go, do what they want to do. Most people are hoping for advice just a tad more specific, so I’ll offer two suggestions. There actually are places where you are more likely to see wildlife. The woman with the Deer Crossing request gets partial credit. Those signs are posted where crossings are more likely because many animals follow regular pathways. Take the signs seriously. OK. Most of the time the sign is just crying wolf. Sometimes, though, when it says Mountain Sheep on Road you come around the curve and meet a whole herd of them.

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Sometimes when the sign says Mountain Sheep on the Road you can believe it.

There are places where large animals really do appear regularly. We have never been to Mammoth Campground in Yellowstone when there were not elk passing through. They hang out down along the Gardner River and climb through camp on their way to the tender, irrigated grass up in the town of Mammoth. In September, the elk rut happens there and hordes of professional photographers show up for it. In spring, the elk cows give birth right in the campground. The bears know this so they show up too. You are not guaranteed to see bison in Hayden Valley, but the odds are way better than 50-50. In recent years, the Lamar Valley seems to be loaded with bison and pronghorns.

In the Tetons, you need to go out into Antelope Flats to find them. Or, if you want to see moose, just stay in the Gros Ventre Campground. We have had breakfast with members of the local Moose Lodge on numerous occasions.

Moose often come for a breakfast of willows in Gros Ventre Campground in the Tetons. Usually they are quite docile. Usually.

The other key is timing. That is, your chances of seeing wildlife increase dramatically in the early morning and just before dark. Shirley has this notion that 4:00 to 6:00 a.m. is the very best time of the day. If you want to see a bear, she is right. If you want to see someone grouchy as a bear, she is also right. Many animals move from open meadows into the forest in the morning and come out again in the evening. One evening we were watching a herd of elk come out of the lodgepole pines to feed in the meadow. We should have been watching the herd of bison sneaking up behind us. Who would have thought that those big brutes were so good at tip-toeing? Early on the morning we left Yellowstone last summer, we saw two bears and a huge herd of bison in Hayden Valley. Near West Thumb on the shore of Yellowstone Lake was a bull elk with impressive rack. On the road over Dunraven Pass at Mt. Washburn was a small herd of bighorn ewes feasting on wildflowers. Not many years ago, the only way we could count on seeing bighorns was to hike to the summit of Mt. Washburn. More recently, we have seen bighorns right on the road at Zion, Badlands, and Rocky Mountains National Parks. We camped in the national forest just outside of Rocky Mountains so that we could arrive early enough the next morning to get a campsite at Timber Creek. Just inside the park boundary, an elk crossed the road right in front of us. Then another. Then a lot more, mostly cows with calves and a sprinkling of young bulls with spiky racks. When we thought that was the end of the herd,

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Usually, though, wildlife viewing involves something a little less dramatic. I thought I saw some white pelicans in the Yellowstone River so I pulled over to have a look. They turned out to be trumpeter swans. Several cars pulled in behind us because that’s what you are supposed to do in Yellowstone. The surest way to create a traffic jam in the western Bull elk hanging out together in August. During the September rut, they aren't quite so fraternal.

still more emerged from the woods. They seemed in a big hurry to get their morning Starbucks. A few minutes later, climbing Trail Ridge Road over the spine of the mountains, we came upon nine mature bulls just lounging around together like chummy members of the Elks Club. This was on Aug. 6. By Sept. 6 their hormones would be kicking in. That would mark the end of their fraternal order as they began to gather their harems for the rut. Since the reintroduction of wolves into Yellowstone, wolf watching has become a phenomenon. People invest in high-powered spotting telescopes because normal wolf viewing distance is about the same as the Andromeda Galaxy. Spotters select a location where wolves have been known to appear and then spend an entire day—or week—just waiting. Wolf watchers travel in packs so one watcher doesn’t have to spend 100% of his time with one eye closed, peeking through a tripod-mounted scope. If you see a dozen watchers all watching at the same time, you know that they are actually watching something, not just waiting for something. So, naturally, you pull over to find out what they are looking at. Maybe they’ll let you take a quick look through their scope at the pack feeding on an elk carcass. There’s a good chance the wolves will be competing with a bear or two, a few nimble coyotes, and a conspiracy of ravens.

These "white pelicans" turned out to be trumpeter swans. Several cars pulled over to look. Not enough to make a real swan jam.

parks is to emerge from your vehicle and raise your camera. Within seconds, 47 other vehicles will pull over to see what you are looking at. Though I just referred to “traffic jam,” in the parks the staff call them by the name of the animal responsible. There are bison jams, bear jams, bighorn jams, elk jams, pronghorn jams. In this case, none of us blocked

the road or became responsible for a swan jam. No matter what kind of jam you prefer, getting memorable photos in our national parks is just a walk in the park if you know when and where to go. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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

They include elevated regimen for prevention. If they do eart disease is having blood pressure, elevated experience suspicious symptoms, a profound effect on cholesterol levels, tobac- they are to take an aspirin and call the health of our nation. According to the Centers co use, obesity, poor diet 911 immediately. However, not ev(especially one high in eryone is a good candidate for aspirin for Disease Control and saturated fat), physical therapy, so she cautions HLN readers Prevention (CDC), heart inactivity, excessive alcohol not to begin taking aspirin on their disease claims the lives consumption, and family own before consulting with their of approximately 600,000 history of heart disease. physician. people in the United States Many of these factors are every year and is the leadmodifiable, meaning they Know your numbers ing cause of death for both can be influenced orWestgate con-FamilyBecause blood pressure and cholesmen and women. What’s Pharmacy Dr. Karina Zapiecki Cricket West Shopping trolled through lifestyle terolCenter levels play such a significant more, heart disease is cost3147 W. Central Avenue changes and/or medical ing our nation billions Toledo OH 43606role in heart disease, it’s critical to 419.531.0000 FAX: 419.535.0007 monitor these levels to ensure they of dollars annually ($108.9 billion treatment. Open: WE Mon.Fri. 9:30 stay am to 7:00 pm For her patients with known risk within proper limits. The newest from coronary heart disease alone) Sat. 10:00 am to 3:00 pm take factors for heart disease, Dr. Zapiecrecommendations for blood pressure in healthcare services, medications, can Simple Local kiYOU recommends a low-dose aspirin are no higherPostal thanCustomer 140/90 for people and lost productivity. Safe To help Healthy Living News readers avoid becoming another heart-disease Secure statistic, Mercy physician Karina Now you can be confident in taking your Zapiecki, MD, offers the following daily medications. advice: Your prescribed medications are organized

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.

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above 40 and the LDL (low-density lipoprotein—the “bad” cholesterol) staying below 100. However, it’s very important to keep in mind that factors such as age, gender, ethnicity, diabetes, obesity, and smoking must be considered—and discussed with your doctor—in determining appropriate target levels for both blood pressure and cholesterol.

Know your family history

S OOTH RUN S RUN OOTH TR INS TOUGH RUN OOTH TR IN TOUGH TR IN TOUGH

Dr. Zapiecki notes that it’s also very important to inform your doctor of

under age 60 and 150/90 for those age 60 or older and adults with diabetes or kidney disease. “Recent studies also show that in healthy people who are below age 65 with no diabetes, more emphasis should be placed on the diastolic number—the bottom number—versus the systolic number. If the diastolic number is above 90, there is a much greater risk of developing heart disease,” says Dr. Zapiecki. Total cholesterol should be below 200, with the HDL (high-density lipoprotein—the “good” cholesterol) being

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any family history of stroke or heart attack. “This information is particularly important if your mother experienced 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 one

drink per day for women and one and a half 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 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 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. ❦

Heart attack symptoms may differ for women

f you think a heart attack is always signaled by crushing chest pain and that heart disease is primarily a problem for men but not women, you need to think again. While some degree of chest pain or discomfort is the most common symptom of heart attack, it’s not unusual for very different symptoms to manifest themselves during a heart attack, particularly among women. With respect to men being more vulnerable to heart disease than women, that’s a myth, too. In fact, heart disease is the number-one killer of both men and women—and women are actually more likely to die from heart disease than men are. “Typical” symptoms of heart attack may include (but aren’t limited to) pain, discomfort, pressure, or squeezing in the chest; pain radiating down the inside of the arm (usually, but not always, the left arm); pain in the upper body, such as above the upper back, in the jaw, or in the neck; shortness of breath; lightheadedness; nausea and vomiting; abdominal pain or heartburn; sweating; and anxiety. Both men and women can experience any of these symptoms during a heart attack, but according to the National Institutes of Health (NIH), fewer than 30 percent of women who have had a heart attack report having chest pain or discomfort prior to the attack and 43 percent report having no chest pain whatsoever at any point during the attack.

Symptoms unrelated to chest pain, such as pain in the neck, jaw, shoulder, or upper back; shortness of breath; weakness; unusual fatigue; nausea or vomiting; lightheadedness or dizziness; sweating; and indigestion-like symptoms, are more likely to occur in women than in men during a heart attack. Because the “characteristic” chest pain is often absent and many of these symptoms are subtle and can be attributed to other common ailments, such as the flu, gastrointestinal issues, or arthritis pain, women commonly delay seeking medical help for heart attack until after significant damage has already been done to the heart muscle. What’s more, once they do seek medical help, it’s all too easy for doctors to misdiagnose the problem because many are conditioned to view crushing chest pain as the hallmark symptom of heart attack. Interestingly, many women who have had a heart attack report having experienced warning signs as early as a month or more before the actual event—though they may not have recognized them for what they were at the time. NIH research shows that the most common early warning signs of heart attack among women are unusual fatigue, sleep disturbance,

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and shortness of breath. Another factor that often contributes to women ignoring potential heart attack symptoms or delaying seeking treatment is the tendency of women to assume the role of family caregiver. Women commonly put the needs of children, spouses, elderly parents, and other loved ones ahead of their own and, so, feel awkward or embarrassed about drawing attention to themselves or putting their needs ahead of others—even when it comes to major health concerns. Also, since women’s heart attack symptoms or early warning signs tend to be more subtle, they may wait to see if they resolve on their own or try remedies for other ailments, such as indigestion or arthritis pain, before seeking help. A heart attack occurs when waxy plaques block the flow of oxygen-rich blood to the heart muscle. If the blockage isn’t relieved promptly, the heart muscle tissue that is supplied by the blocked artery will soon begin to die. The more time that is lost in seeking emergency medical care for a heart attack, the more heart tissue is lost. Hence, it’s critical for both women and men to be aware of their heart attack risk and educate themselves on the wide range of symptoms that heart attacks can cause.

According to the NIH, risk factors for heart attack include a family history of heart disease, age (over 45 for men and over 55 for women), stress, unhealthy diet, smoking, being overweight or obese, diabetes or pre-diabetes, high blood pressure, high triglycerides, and high cholesterol. It’s important to discuss your risk factors with your doctor. Some can be controlled through appropriate lifestyle changes—exercise, proper diet, smoking cessation, etc.—while others might be manageable with proper medical treatment. If you think you’re having a heart attack, call 911 without delay. Don’t attempt to drive yourself or have a friend drive you to the emergency room. Emergency medical technicians will be able to initiate medical treatment as soon as they arrive on the scene as well as en route to the ER, which can buy your heart valuable time. They’ll also get you to the hospital—and advanced care—as quickly and safely as possible. Most important, don’t let concern about a potential false alarm dissuade you from seeking prompt emergency medical care if you suspect you’re having a heart attack. When it comes to the number-one killer of both men and women, it’s better to be safe than sorry. ❦

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Continued from page 20: Give insulin pumps a try

“We really would like to raise awareness of these pumps,” Mrs. Ray said. “Our patients are well educated on their function and how to manage their blood sugars, but some of them find that other healthcare professionals aren’t familiar with them. We need to make certain all who are affected by diabetes requiring insulin therapy get the information they need about insulin pumps. That knowledge can make a real difference in the costs of treating diabetes and the consequences of not treating the disease.” She points to statistics offered by The American Diabetes Association, “The total costs of undiagnosed diabetes in the US in 2012 was $245 billion ($176 billion in direct medical costs and $69 billion in reduced productivity). And, after adjusting for population age and

sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes. Some may look at the insulin pump as an expensive alternative to the traditional treatment of insulin-dependent diabetes, but there are many studies that have proven, and I have seen firsthand, how these devices have decreased longterm complications, reduced overall health costs, and improved the quality of life for patients.” Endocrine Specialists is accepting new patients at 3830 Woodley Road in Toledo. Call 419-724-0004 or visit www.endomds.com for more information. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

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