HLN February 2018

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News February 2018 • FREE

Also available at hlntoledo.com

Explore Catholic schools

• Shape up and wake up your skin • Comprehensive, cutting-edge vascular care • Opioid-free pain relief • Protecting seniors in flu season • Help for heart arrhythmias • Dealing with adult congenital heart defects

Serve up an Ace March 3

You can’t plan for an emergency, but you can have an emergency plan.

Shape up and wake up your skin

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ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning booth visits starting to show on your facial, neck, and chest skin?

Are your jowls and neck starting to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time when you are not? While these changes are mild and just starting, now is the time to start engaging in a skincare program tailored specifically for you to improve and reduce these signs of aging. Dr. Handler will personally recommend and explain a skin-rejuvenation program designed for you to reduce the visible signs of aging.

The anti-aging treatments performed by Dr. Handler are “noninvasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office for a personal evaluation with treatment recommendations for your aging skin.

Remember, 80% of the signs of aging are due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age.

What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by your new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

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

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad when you are not! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of new fillers called “Restylane Silk” and “Restylane Refyne.” These products markedly improve upper and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures.

For fine lines, large pores, and brown (age) spots, the Clear

and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist in northwest Ohio performing this procedure.

Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows?

Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc.

And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck.

Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal down-time.

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t is appropriate for patients to understand why it is in their best medical interest to always seek the advice of a boardcertified dermatologist for skin care. Why is seeking a boardcertified dermatologist the most beneficial route for solving skin disease issues versus a general practitioner, nurse practitioner, physician assistant, or any other medicallyoriented individual?

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

All of these cosmetic enhancements are performed entirely

by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Also, remember to inquire about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin.

Also, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist.

Hair loss in men and women

Are you losing hair from surgery, anesthesia, illnesses, pregnancy, medications, stress, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients? There are many causes of hair loss in men and women. Most are not simply due to age or family history, and most are treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for decreasing your hair loss and increasing growth in many patients! ❦ Be aware and cautious of medispas and cosmetic centers organized and maintained by non-board-certified dermatologists. These skin centers use individuals other than a board-certified dermatologist or even non-licensed medical doctors with no formal education or training in skin disease diagnosis, treatment, or cosmetic enhancement of skin defects.

How do you know whether he/she is a board-certified dermatologist? Look for FAAD (Fellow of the American Academy of Dermatology, which is an arm of the American Academy of Dermatology) after their name. To confirm this information, check their website at aad.org/findaderm.

None of the above requirements are met by a nurse practitioner, physician assistant, or any other medical doctor licensed to practice medicine. Do your homework before trusting your skin disease diagnosis and treatment to anyone but a board-certified dermatologist.

www.drharveyhandler.com

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

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

419.885.3400

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

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

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

Phone: 419-367-0966 or email Kevin O’Connell at sfstennis76@bex.net.

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

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Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email editorhln@bex.net.

Publisher: Kevin O’Connell

Editor: Jeff Kurtz

e lthy l ng ews HEALTH & BEAUTY 2 Shape up and wake up your skin 6 Obesity and cancer risk: What’s the connection?

13 Acupuncture for nausea in pregnancy and cancer, by Douglas A. Schwan, DC, Dip ac 20 Toledo Clinic specialists provide expert pain management without opioids 21 Sunset’s timely tips for protecting seniors this flu season 22 Mona Lisa Touch resolves intimate post-menopausal issues 26 Clarifying cholesteatoma of the middle ear, by Shelly Horvat, AuD, CCC-A 29 Heartland’s heart-healthy hints for February, by Jim Berger 30 Your cosmetic and skin-care questions answered

by Dr. Erin Hennessey 32 Spiritually Speaking Mindless violence, by Sister Mary Thill 33 Holed up: a dementia caregiver’s guide to cabin fever 35 Wise Words from Otterbein Doctor-patient communication…

Can we talk?

36 Mercy Health – Heart and Vascular Institute offers comprehensive, cutting-edge approach to vascular care

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

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

Dear Readers, Thank you for picking up the February issue of Healthy Living News.

This month, many of us begin to lose the motivation to follow through on those healthy New Year’s resolutions.

If you find yourself faltering, don’t lose heart! Remember, a lifetime of good health pays life-changing dividends—but it also demands a lifelong commitment. We pledge to do our part each month by providing the very latest locally written content that encourages a healthy lifestyle.

This month’s cover story on the benefits of Catholic education (p. 9) will hopefully provide inspiration to parents who are contemplating where to send their kids to school. In fact, several local Catholic grade schools are hosting open houses this month so families can experience firsthand what they have to offer. See the ads accompanying

February 2018 • Vol. 23, Issue 2

Your Monthly Guide to Healthy Living

39 Valentine’s Day gifts that keep giving for a lifetime 40 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 42 Nobody’s Perfect When should I get medical help? by Sister Karen Zielinski, OSF 44 UTMC program provides much-needed specialty care for adults with congenital heart defects 49 Mercy Health uses advanced technology to shield heart during left breast radiation

CHILDREN & PARENTING 9 Catholic education—Values received, excellence achieved 10 Northwest Ohio Scholarship Fund provides path to hope through quality education 11 Blending: a key to youth sport development (Part 3),

by Mark S. Faber, USPTA Elite Professional

FOOD & NUTRITION 31 Eating Well Don’t overdo it when you dine out, by Laurie Syring, RD/LD

ENRICHING YOUR LIFE 24 Health Crossword

by Myles Mellor 28 Super Slow Training­— Never stop improving!

41 Running tips for beginners

by Amanda Manthey 45 A Walk in the Park Camping with the kids, by LeMoyne Mercer

OUR COMMUNITY 5 ProMedica launches new center focused on AFib and other cardiac arrhythmias 14 At St. Luke’s Hospital, it’s all about heart 16 Accomplished vocalist sings Laurels’ praises following hip-replacement rehab 17 Dinner and silent auction to benefit community health in Guatemala 18 Senior Star is first senior living community in country to Use BikeAround™ 34 Senior Living Guide 38 Toledo attorney trusts his care to Franciscan Care Center 40 Serenity Farm seeking volunteers 48 Bittersweet resident to train and ski for Special Olympics

Connect with Friends Who Like Healthy Living News! the article for full details.

This month’s jam-packed issue also contains must-read articles on the state-of-the-art vascular care available at Mercy Health – Heart and Vascular Institute (p.

36) and the advanced radiation technology available at Mercy Health – Perrysburg Cancer Center to protect the heart when treating patients with breast cancer (p.

49); the opioid-free pain-treatment options offered by Toledo Clinic pain specialists Dr. Joseph Atallah and Dr. James J. Otting II (p. 20); ProMedica’s new Heart Rhythm Center, dedicated to treating AFib and other cardiac arrhythmias (p. 5); and the cutting-edge services available to adults with congenital heart defects at the UTMC Heart & Vascular Specialty Clinic (p. 44).

In addition, you’ll find ideas for Valentine’s Day gifts that keep on giving

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from Luxe Laser Vein & Body Center (p.

39); insights on the many ways St. Luke’s is taking heart care to a whole new level (p.

14); and a profile of the new BikeAround program available to residents of West Park Place (p. 18).

Healthy Living News is the proud media sponsor for several fundraising events held by local non-profit organizations throughout the year. This month, we’re pleased to help spread the word about SewHope’s dinner and silent auction to benefit community health in Guatemala, as well as the Zepf Center’s Serve up an Ace event to fund their mental health programs. Please see the ads on pages 18 and 37 respectively for more information.

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

4 February 2018 | Healthy Living News

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ProMedica launches new center focused on AFib and other cardiac arrhythmias

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ardiac arrhythmias—disorders affecting the normal rhythm of the heart—are very common in the United States and around the world. Foremost among them is atrial fibrillation, or AFib, which affects a tremendous number of patients and increases in incidence as people get older. In fact, approximately 15 percent of people over age 65 have AFib and that percentage climbs higher and higher as they get older.

ProMedica electrophysiologist Kamala Tamirisa, MD, explains that AFib is an irregular heart rhythm in the top chambers of the heart, usually (but not always) the left chamber. “In people with this form of arrhythmia, the top chamber of the heart quivers and doesn’t contract properly so it becomes an inefficient pump. As a result, blood is not sent down to the bottom chambers effectively. Instead, the blood pools, which can allow clots to form and potentially lead to the complication of stroke,” she says.

In some cases, AFib is incidentally diagnosed during other medical testing, but most people with the condition notice symptoms such as heart palpitations, chest pain with shortness of breath, fatigue, weakness, dizziness or lightheadedness, or confusion.

Though AFib is very common, people who are obese and have sleep apnea are at highest risk for

[ Direction. ] developing the condition. Others at elevated risk include people over age 60 as well as those who have high blood pressure (especially if not well controlled), heart disease, a history of prior heart surgery, or certain other chronic conditions such as diabetes.

AFib is also sometimes seen in certain athletes who are otherwise very fit, particularly those who participate in endurance sports that demand long periods of elevated cardiac performance, for example marathons, triathlons, cross-country skiing, and long-distance cycling.

To ensure people in our community who have AFib or other cardiac arrhythmias get the most advanced, specialized care available, ProMedica recently launched our region’s first dedicated Heart Rhythm Center at ProMedica Toledo Hospital. “This center, which is focused exclusively on treating heart arrhythmias, has been two and a half years in planning and execution,” states ProMedica electrophysiologist Johan Aasbo, DO. “The facility includes 6,500 square feet of space, with three operative electrophysiology labs, four procedure rooms, teaching space, and other support areas.”

However, Dr. Aasbo emphasizes that the ProMedica Heart Rhythm Center is not just a physical space.

“It’s also a philosophy focused on working collaboratively as a multidisciplinary team to provide the

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highest quality care to this patient population,” he says.

According to Dr. Tamirisa, there are numerous options for treating AFib, the simplest being cardioversion—essentially jolting the heart to restore a normal rhythm. However, cardioversion is a temporary fix and only 40 to 50 percent effective.

The second treatment option is antiarrhythmic medication to get the heart out of AFib and into a normal rhythm. But this treatment option has two drawbacks: “One is that, at most, it’s 40 percent effective. The other is that these drugs can cause significant side effects, such as lung or liver toxicity, so you have to monitor them very closely,” says Dr. Tamirisa.

If more conservative methods fail and the patient’s quality of life is being affected, the best treatment option for AFib is an advanced, minimally invasive procedure called ablation. This technique involves threading a flexible wire catheter through a vein in the groin and up to the heart. Then, the small area of abnormal heart tissue that is causing the irregular heartbeat is ablated using either radiofrequency energy or liquid nitrous oxide. Dr. Tamirisa remarks that ablation is relatively low-risk and, depending on the type of AFib, has a cure rate between 60 and 80 percent. In younger patients, that rate climbs to 85 percent.

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Ablation can also be used in conjunction with a pacemaker. In this case, the antrioventricular (AV) node—the nerve that conducts electrical impulses from the top chambers of the heart to the bottom chambers—is ablated.

As a result, the top chambers remain in AFib, while the bottom chambers pump normally with help from the pacemaker.

Dr. Aasbo adds, “Whatever treatment we’re considering, a strategy to reduce stroke risk always has to be part of the conversation. For most patients, that means the use of blood thinners. Also, while we have a lot of treatment options at our disposal, it’s important to keep in mind that treatment is always more effective when it’s started at an earlier stage.

The longer you wait to treat AFib, the lower the chances of correcting the problem.”

In addition to having access to the most advanced treatment options, patients of ProMedica’s new Heart Rhythm Center stand to benefit from the extensive combined experience of the multidisciplinary care team. As Dr. Aasbo explains, “With ablation or any other intervention, there’s always some risk, so safety and efficacy are our key priorities. Research clearly shows that concentrated expertise and procedural experience—not just of the doctor, but of the entire center—yields better outcomes.” ❦

Obesity and cancer risk: What’s the connection?

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6 February 2018 | Healthy Living News

ost people are well aware there’s a strong link between excess body weight and chronic health issues like high blood pressure, heart disease, and diabetes. Perhaps less well known is that obesity and cancer risk are also strongly correlated. In fact, according to Dr. Bradley Sachs of The Toledo Clinic Cancer Centers, it’s estimated that approximately 20% of cancer cases in the US can be attributed to excess body weight.

Furthermore, studies have shown that people who are overweight or obese generally have a higher risk of cancer recurrence and less favorable treatment outcomes.

Why is it so important to recognize the relationship between cancer and body weight? As Dr. Sachs explains, “When you consider that

70% of US adults age 20 or older are either overweight or obese, and that children and adolescents are getting heavier as well, it’s clear the problem of excess body weight has reached epidemic proportions, putting more and more people at increased risk of developing cancer in the future.”

The most accurate way to measure obesity is by using the body mass index (BMI) scale, along with measurements such as waist circumference and waist-to-hip ratio.

On this scale, a BMI of 18.5 to 24.9 is considered normal, 25.0 to 29.9 is overweight, and 30.0 to 39.9 is obese (with a BMI of 40.0 or higher being severely obese).

Where fat is deposited on the body appears to influence cancer risk as well. “Belly fat, for instance, is more

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metabolically active, and there seems to be a correlation between having fat around the belly and having fat deposited within the organs, which has a greater effect on cancer risk,” states Dr. Sachs.

Research has shown that higher amounts of body fat are associated with an increased risk of several different types of cancer. For example, according to the NIH (www. cancer.gov): • Women who are overweight or obese are two to four times more likely than normal-weight women to develop endometrial cancer.

• People who are overweight or obese are up to twice as likely as normal-weight people to develop liver cancer.

• People who are overweight or obese are about 1.5 times as likely to develop pancreatic cancer as normal-weight people.

• People who are overweight or obese are nearly twice as likely as normal-weight people to develop renal cell cancer, the most common form of kidney cancer.

• Many studies have shown that, in postmenopausal women, a higher BMI is associated with a modest increase in the risk of breast cancer. For example, a 5-unit increase in BMI is associated with a 12% increase in risk. Among postmenopausal women, those who are obese have a 20% to 40% increase in risk of developing breast cancer compared with normal-weight women.

• Compared with normalweight people, people who are overweight have about a 20% increase in the risk of gallbladder cancer, and people who are obese have a 60% increase in risk.

• People who are obese are about 30% more likely to develop colorectal cancer than normalweight people.

Exactly how excess body fat increases cancer risk is not known, though several theories have been suggested. “One is that adipose tis-

sue—or fat—creates a chronic low level of inflammation, which over time damages the DNA. And we know that DNA damage is what ultimately causes cancer. We can correlate that to what we know about certain inflammatory diseases and cancer risk. For example, there’s a higher incidence of colon cancer among people with ulcerative colitis and Crohn’s disease, and a higher risk of esophageal and gastric cancer among people with GERD,” Dr. Sachs says.

Other factors that the NIH suggests could explain the link between obesity and cancer include (but aren’t limited to) the higher level of estrogen present in fatty tissue (linked to an increased risks of breast, endometrial, ovarian, and other cancers); the higher blood levels of insulin and insulin-like growth factor common in obese people (linked to an increased risk of colon, kidney, prostate, and endometrial cancers); certain hormones produced by fat cells, called adipokines, that are associated with cell proliferation; and the effects fat cells have on other cell growth regulators.

More studies are needed to determine whether losing weight helps reduce cancer risk in those who are overweight or obese, but evidence seems to be pointing in that direction. “For example, studies have shown that obese people who undergo bariatric surgery to lose weight are at lower risk of developing cancer than those who are obese but don’t have the surgery,” Dr. Sachs says. “Furthermore, there’s strong evidence showing that, regardless of weight, physical exercise lowers cancer risk.” ❦ The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 12 physicians and 7 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Bowling Green, Adrian, and Monroe, as well as a partnership with the Mercy Health –Perrysburg Cancer Center for the convenience of the patient. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605.

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St. Patrick of Heatherdowns • Open House Sunday, March 4, 2018 • 1:00 - 2:30 p.m.

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Private Tours Available - 419-381-1775

Pre-Kindergarten - Grade 8 Extended Day and Hot Lunch Programs St. Patrick of Heatherdowns A Vibrant Catholic Community

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ST. URSULA ACADEMY St. Ursula Academy, grades 6-12, is Toledo’s oldest, all-female, Catholic, fully-accredited, college preparatory school. SUA has been educating young women since 1854.

TO LEARN MORE: Call 419-329-2209 or visit ToledoSUA.org Living Ad.indd 1 | Healthy Living News 8 Healthy February 2018

1:52 PM We love feedback. Like us on Facebook. Follow us 1/19/18 on Twitter.

CATHOLIC EDUCATION Values received, excellence achieved

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

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

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

But parents who send their children to Catholic schools find that the values they hope to impart to them are upheld and reinforced in a supportive, caring environment. As a result, kids educated in Catholic schools emerge better educated, better citizens, and better prepared to deal with the opportunities and challenges life has in store for them.

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

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 achieve in their academic endeavors, and they’re given the tools and support they need to do so. The bar of achievement is set high with the goal of preparing students for the rigors of secondary education and the working world.

HOLY TRINITY CATHOLIC SCHOOL PRESCHOOL - 8TH GRADE

See Us In Action During Our

Open House Week March 5-9

8:00 a.m. - 3:00 p.m.

For more information call 419-644-3971

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

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

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

Preschool Playdates February 9, March 7, & April 11 9:00-10:30 a.m. Reserve Your Spot!

Academic Excellence Educating the Whole Child 11:1 Student to Teacher Ratio Unparalleled Virtue Curriculum Advanced Math Available for all Grades Project Based Learning Science Curriculum NWOSEF Qualifying Science Fair Superkids Reading & Accelerated Reader Programs Music, Art, Phys. Ed., and Technology Classes 7th & 8th Grade Latin Drama Club & Spring Musical

www.myholytrinityschool.com Facebook: Holy Trinity Catholic School 419-644-3971

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to work together with parents as a team to help solve any problems or challenges that might arise.

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

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

Northwest Ohio Scholarship Fund provides path to hope through quality education

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ost parents strive to give their kids the best possible start in life, including a quality education that provides a solid foundation for success. Evaluating all the available options, many decide that private schools offer the greatest opportunity for kids to build their future and reach their fullest potential. However, not all families in our community can afford the tuition and other expenses associated with a private-school education. That’s where the Northwest Ohio Scholarship Fund comes in.

Founded in 1999 by local philanthropists who shared the goal of making private-school education affordable for low-income families, the Northwest Ohio Scholarship Fund (NOSF) has since provided $12.6 million in need-based scholarships to 14,700 K-8 students in their 19-county service area. This school year alone, 670 students, attending 71 different private schools across northwest Ohio, are using NOSF funding to help cover education expenses.

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Among the founding members of NOSF was Bishop James Hoffman, who served Toledo’s Roman Catholic community from 1981 to 2003 and wished to make Catholic schools accessible and affordable to everyone. Today, NOSF scholarships are still used primarily to send kids to Catholic and religious-affiliated schools, but families can also use them for Montessori schools, other independent schools, and even homeschooling expenses.

In addition, vouchers are available for families in districts with failing public schools so they have the option of choosing a private school for their kids. However, to be eligible, the children must attend the public school unless they are just entering kindergarten.

“Our bottom line is that every parent should be able to choose the best school for their child regardless of their income,” states NOSF executive director Ann Riddle. “This program opens the door especially for single parents who wouldn’t otherwise have the opportunity to send their kids to private school, which helps strengthen their sense of family,

community, and stability.”

NOSF scholarships are privately funded, with assistance coming from individuals, corporations, and foundations. Though the program is local, NOSF partners with the Children’s Scholarship Fund (CSF), a national school-choice initiative founded by Ted Forstmann and John Walton and headquartered in New York. “As our national partner, CSF matches the funds we raise.

In fact, we’ve received $4.3 million in matching funds from CSF since 1999, enabling us to expand our reach significantly throughout the community,” Riddle says.

In addition to matching local dollars, CSF sets the income/household size eligibility guidelines for NOSF scholarships, which are based on the federal school lunch program.

To be eligible, families must be at or below 270 percent of the poverty level. “So, for example, a family of four making $66,000 per year would qualify,” states Riddle. They must also reside within NOSF’s 19-county service area, which includes Allen, Crawford, Defiance, Erie, Fulton, Hancock, Henry, Huron, Lucas, Ot-

Growing Minds.

Creating Futures.

tawa, Paulding, Putnam, Richland, Sandusky, Seneca, Van Wert, Williams, Wood, and Wyandot counties.

The program application is available online at nosf.org, and the deadline to apply for the 2018-2019 school year is Friday, April 27, 2018. Applicants will be entered into a lottery, and those chosen will be notified in May. Riddle explains, “Once a family’s name is drawn, they don’t have to go through the lottery process the following year, provided they continue to meet eligibility guidelines and their child’s school attendance

remains at 90 percent or better. We don’t follow kids’ grades, but we do monitor their attendance. Also, children can be added to the program as long as the family’s eligibility is maintained.” ❦ For more information on the Northwest Ohio Scholarship Fund or scholarship eligibility requirements, please visit nosf.org, email info@nosf.org, or call 419-720-7048. To apply online at nosf. org, select “Application Process” under the “Scholarships” tab at the top of the home page.

by Mark S. Faber, USPTA Elite Professional

Blending: a key to youth sport development (Part 3)

T

wo months ago, I started a threepart series on youth sport development based on three questions that tend to pop up daily in the world of youth sports. Once again, here are the three questions that are being discussed in this series: 1. How should we decide what level of competition/practice is appropriate for a child?

2. Should a child play and focus on only one sport?

3. How much time should a child spend playing to achieve his or her goals?

The first month the discussion was about blending the practice and competition components. Remember, there are great benefits to practicing and competing against all levels of

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players and taking them away from that means you are skipping important parts of development. Last month we ventured into the discussion about how having a child become a better athlete at a young age will give them an advantage in overall development. One of the key ways to make this happen is to expose your child to more than one sport at a young age versus the hot concept of “sport specialization” at a young age. The key windows of various skill learning, based on age, were also shared. Hopefully all of this stimulated some thoughts and possible discussions.

As we approach the third question in this series, it is important to recognize that this is probably one of the greatest challenges a parent faces during a child’s development. I say this from my experiences in the tennis world, for two questions seem to come up and have not changed over the years: 1. If these players are playing four hours a day, then my child needs to play at least that much, correct?

2. What can we do or set up to play every day of the week?

Does it make sense in the world of development that if a player is shooting more baskets, hitting more tennis balls, or hitting more baseballs they will improve faster? Yes, if a player goes from doing nothing to working four hours a week, they have just increased their activity 400%. However, there are two major concerns with playing too much.

One of them is overuse injuries, which we are seeing more and more frequently. The other is burnout and the loss of fun and enjoyment of Answers to crossword from page 24 1

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playing the sport.

Here is part of a presentation I gave for the USTA at an Early Development Training Center last year.

All this information comes from their research and work with various industry leaders. When reading, you can easily substitute any sport where it says “tennis.”

“As we mentioned earlier, the number of sport specific injuries is on the rise in adolescent youth.

They are training too much, too often, at too young of an age. It is important that we create balance in their lives and give them an opportunity to learn and discover things on their own. What the research is showing is that a big part of the increase in injury is due to the kids having too much structured time on the tennis court.

“The number of hours of structured lesson time on the court each week should mirror the child’s age. The other time should be spent playing other sports or playing tennis in an unstructured environment. That means that no coaches and/or parents are there telling the kids what to do. They are taking that time to learn on their own and develop problem-solving skills.

“As the child grows older and stronger, the ratio of tennis-specific training to unstructured play changes.

Give your child the time they need to explore their own game on their own.

In the long run, this will make them a much better tennis player as well as a much better person! Remember, we are trying to develop champions on and off the court.”

Hopefully you can see that this issue is very critical and these insights will provide guidance in your thoughts and plans with your young one. This is important to understand, not only for parents but also coaches.

In the end, both coaches and parents would like to see the child become the best they can be; however, it should not be at the cost of a young athlete’s health and well-being.

Finding that balance is so crucial, but it’s not easy. When in doubt, keep the philosophy simple: “Athlete first, winning second.” By doing this, the decisions become easier. The discussions might become more difficult, but the big picture will have a greater chance of being longer and brighter.❦

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by Douglas A. Schwan, DC, Dip ac

Acupuncture for nausea in pregnancy and cancer

N

ausea is that horrible feeling that you need to vomit. Nausea is a fairly common condition that everyone experiences at one time or another in their life. It can be brought on by eating something that has gone bad or by going on a drinking binge. Severe migraines or allergies can also trigger short-term bouts of nausea and vomiting. If the nausea and vomiting extend over a period of weeks, it can lead to dehydration and even hospitalization if food and water can’t be kept down.

This problem is especially bad in patients experiencing severe morning sickness associated with pregnancy or chemo and radiation therapy associated with cancer treatment.

Many drugs can be prescribed to suppress nausea and vomiting. The trouble with this approach is you really want to stay away from strong prescription medication during the early months of pregnancy when symptoms are typically at their worst.

With cancer patients, less is more in terms of allowing the body to fight the cancer without piling up additional drugs on top of the chemotherapy.

One treatment from Alternative Medicine that has been gaining rapidly increasing acceptance in the West is acupuncture. Western doctors have recently embraced what Eastern Medicine has known for thousands of years: Acupuncture is extremely beneficial in safely reducing the symptoms of nausea and vomiting associated with chemotherapy and pregnancy.

Acupuncture has only been approved by the US Food and Drug Administration as a medical procedure since 1996. It is now a fully licensed profession in all 50 states and starting to be widely practiced by physicians extensively trained in this discipline.

Even Medicaid and the Veterans Administration have full insurance coverage for acupuncture for pain and other disabling conditions. Other insurance companies are slowly adding

acupuncture coverage as they see the advantages over prescribing longterm pain medications for chronic conditions.

Nausea and vomiting can be traced back to abnormal secretion of neurotransmitters in the brain. Research studies have shown that acupuncture seems to work by regulating these neurotransmitters, reducing the nausea.

Cancer patients have also found acupuncture helpful for pain, overwhelming fatigue, anxiety, depression, neuropathy, as well as insomnia.

Additional research by the Medical College of Wisconsin has found that acupuncture procedures are beneficial in controlling some other side effects of chemo and radiation therapy. About 50,000 people a year are diagnosed with throat and head cancers. Radiation therapy to these areas can result in extreme dry mouth and painful swallowing. Symptoms can be so severe that they interfere with a person’s ability to tolerate the cancer treatments.

The report, published in the Journal of Cancer Therapeutics & Research, outlined how doctors took a group of patients that were failing to respond to medication and oral rinses, and found that over a series of ten acupuncture sessions, patients reported gradual improvement with a complete resolution of their painful swallowing after four acupuncture treatments and a 30-40% improvement of dry mouth complaints after 10 acupuncture treatments.

Research into morning sickness associated with pregnancy has shown that acupuncture provides good, drug-free benefits when provided as a regular weekly therapy during the first trimester of pregnancy. This period is typically when symptoms of nausea and vomiting are at their worst. Acupuncture presents no risk to the growing fetus and, indeed, can be used for back

—Continued on page 48

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Advanced equipment supports both low- and high-risk catheterizations, as well as elective and emergent angioplasty and interventional procedures, with a direct move to cardiac surgery if necessary.

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The program helps patients work proactively to manage their disease. It is led by the patientâ&#x20AC;&#x2122;s own physician, who works with St. Lukeâ&#x20AC;&#x2122;s team of multidisciplinary specialists to create customized plans for medication management, education, and lifestyle. â&#x20AC;&#x153;Keeping primary physicians central to care is another facet of our drive to improve heart health care in northwest Ohio,â&#x20AC;? Wakeman said.

Continuing care with cardiac rehabilitation A key marker for survival after a heart-related event is exercise and education. St. Lukeâ&#x20AC;&#x2122;s passion to continually improve a seamless system of heart and vascular care is on full display at the St. Lukeâ&#x20AC;&#x2122;s Cardiac Rehabilitation program. This program, as with all of St. Lukeâ&#x20AC;&#x2122;s cardiac services, is open to any patient with a primary diagnosis of heart disease, regardless of where they were initially treated. â&#x20AC;&#x153;Weâ&#x20AC;&#x2122;re always moving forward,â&#x20AC;? said Wakeman. â&#x20AC;&#x153;Our charge is to continually advance the knowledge, skills, and facilities needed to provide the best, most advanced heart and vascular care in northwest Ohio. â&#x20AC;&#x153;Weâ&#x20AC;&#x2122;re exceptionally proud of where we are today,â&#x20AC;? he continued, â&#x20AC;&#x153;and weâ&#x20AC;&#x2122;re extremely excited about tomorrow.â&#x20AC;? â?Ś

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

CHARLES GBUR, MD CDR(ret), MC, USN

WHEN YOU’RE FIGHTING A BATTLE, YOU NEED A

WARRIOR CARDIOVASCULAR SPECIALISTS AT ST. LUKE’S Strength lives in the hearts of the cardiovascular warriors fighting for your life at St. Luke’s Hospital.

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15

Accomplished vocalist sings Laurels’ praises following hip-replacement rehab

D

ebilitating joint pain not only impairs one’s mobility and function, making normal daily activities extremely challenging, but it also limits the sufferer’s ability to get out in the world and share his or her gifts and talents. For Bradley Baker, who recently underwent total replacement of his left hip, that gift is a transcendent baritone singing voice that has enriched and inspired listeners and students the world over.

Bradley, 54, a Toledo native who moved to Los Angeles at age 19 to study music, attended the University of Southern California and performed in the LA and Orange County areas for over 25 years. His rich voice has also graced several operas, musicals, concerts, and guest-artist performances in more than 35 countries. Bradley even has two world-premier opera openings to his credit, including “Israel” by Mark Peterson and “Costaso”

by William Grant Still. In addition to performing on stages around the world, he has trained aspiring singers for nearly three decades, both in the United States and internationally.

Unfortunately, while Bradley’s

voice soared to new heights, his overall health began to deteriorate.

He put on considerable weight, and his joints paid the price. Noting how unhealthy he looked while directing the musical “Big River ” in LA, his Toledo family decided it was time for an intervention. “One day, I got a call from the whole family and they said, ‘Don’t get mad, but we think you need to come home and get well,’” he recalls. “Looking back at how sick I was, I know I would be dead right now if they hadn’t intervened.”

Returning to Toledo and moving in with his sister, DeMita Baker, Bradley was, for the most part, bed-ridden.

The pain in his left hip was excruciating, and he left home only when necessary for medical appointments and church. DeMita did everything she could to ease his pain, including buying a new, more easily accessible vehicle, but nothing seemed to make much difference in his suffering.

Bradley knew he needed a hip replacement, but doctors told him he would have to lose weight and reduce his body mass index first. With

16 February 2018 | Healthy Living News

help and motivation from DeMita, he did just that, shedding a total of 90 pounds. Then on December 5 of 2017, he underwent hip-replacement surgery. Afterward, he was less than optimistic about his prospects for full recovery. “On the second morning, I woke up and tried to move my toes, and that caused the worst pain of my life. I was sure I’d never walk again,” he recalls.

His concerns proved to be unfounded.

Four days after surgery, he came to The Laurels of Toledo, where the physical and occupational therapists went right to work.

“When Bradley first came here, he was in a pretty rough place,” says Laurels licensed certified occupational therapy assistant Cristina Nickle. “He needed

assistance from two people to transfer in and out of bed, and he had verbalized that he didn’t think he’d be able to walk. He also had issues with a blood clot, high blood pressure, high blood sugar, and asthma.

But within a few days we told him, ‘We’re getting up.’ At first it was hard for him to grasp that he could do it, but his pain was being managed so it was easier than he thought. He still had two people supporting him, but he was able to stand up and walk about 30 feet that day.”

Laurels physical therapy assistant Bre Cajka adds, “I feel we bonded really well with Bradley. He put his trust in us and kept working on the techniques he was taught, so each day he felt a little more like himself.”

The goals Bradley set for himself included transferring into and

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out of a car safely; managing the four large stairs that lead into his sister’s house; getting back to Northpoint Church of the Nazarene, where he serves as choir director; and teaching voice lessons again.

“From the standpoint of occupational therapy, the biggest thing we worked on with Bradley was transfer training as well as making sure he had all the adaptive equipment he needed in order to follow post-surgical precautions, such as a reacher, a sock aid, a long-handled shoehorn and sponge, and a commode over the toilet,” says Nickle.

Cajka remarks, “Physical therapy focused primarily on mobility, getting around the household and community, boosting his confidence when climbing stairs, and following those hip precautions. Fear of falling on the stairs and in the shower was an issue for Bradley, but with the proper techniques and adaptive equipment, he was soon able to overcome it.”

Despite his initial worries, Bradley is up and walking again, using a walker as of this writing. He even made it to Northpoint Church of the Nazarene on December 24 for a Christmas production he was directing. “I was determined to get there and sing ‘O

Holy Night,’ which has become my trademark. So my sister came by to pick me up in her SUV. At church, I sat on a stool to sing, but I was able to get up and walk down the aisle,” he says. Thanks to the efforts of the Laurels rehab team, he’s also able to tackle the stairs at his sister’s house

safely and confidently.

Looking to the future, Bradley anticipates the need for additional joint-replacement surgeries, including both knees and his right hip. Of course, he plans to go to The Laurels of Toledo for rehab following each procedure.

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 419-5367600 or visit www.laurelsoftoledo. com. ❦

Dinner and silent auction to benefit community health in Guatemala

F

ood, fun, and a fantastic cause— they form the golden trio of a great event, and all three will be found on the evening of March 2, 2018, at the annual L.E.A.P. Fundraiser (Love Ends All Poverty). Proceeds from L.E.A.P. go directly to SewHope, a Toledo-based non-profit that works among impoverished communities in northern Guatemala. This year’s event will include dinner, music, a silent auction, a raffle, and a special appearance by Dr. Murray Howe (son of hockey great Gordie Howe), who will be speaking on his recently published book, Nine Lessons I Learned from My Father.

SewHope began 11 years ago as an effort to bring quality health care

and education to the Peten region of Guatemala. Dr. Anne Ruch, an OB/ GYN in the Toledo area, had been leading short-term medical missions to Guatemala for many years and wanted to make a more lasting impact.

She and her husband came together with a small group of people from Toledo to form SewHope. They soon discovered that cervical cancer was the leading cause of cancer death in young women there, and so prevention of this disease became a major priority of the organization.

SewHope now operates a clinic in Guatemala, screening for cervical cancer and providing women’s health care in a region where most women have never

even heard of a Pap smear. Thanks to the screenings and early treatment, hundreds of women have been saved from an early death from cervical cancer. Dr. Ruch credits the success of their work to the enormous generosity and kindness of the people of Toledo.

As SewHope worked with these Guatemalan women and listened carefully to community feedback, more needs became apparent. SewHope’s operations also include an education program for school-aged children,

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17

an agricultural co-op for community women, and a public health initiative that supplies local families with safer, cleaner stoves in their homes. “We’ve found that women, in particular, are key players in a community’s wellbeing,” explains Rachel Easley, executive director of SewHope. “By educating girls, providing skills-training and economic opportunity to mothers, and helping women keep their bodies healthy and strong, we’re providing a foothold for the community to climb out of poverty.”

L.E.A.P. is SewHope’s major annual fundraiser—past events have been a great time, and this year promises not to disappoint. Ac-

cording to Gloria Buganski, L.E.A.P. chairperson, “L.E.A.P is an evening with friends to celebrate and support our efforts in Guatemala. There’s something for everyone. It’s always a lot of fun.”

An exciting addition to this year’s event will be speaker Dr. Murray Howe. The youngest son of the famed “Mr. Hockey,” Dr. Howe will be talking about his father’s influence in his life, and will be autographing copies of his new book, Nine Lessons I Learned from My Father. A few special items of Gordie Howe memorabilia will be available in the silent auction.

“Something for everyone” applies to the silent auction portion, as well;

from artwork to gift baskets to golf outings, there’s a wide variety of items and experiences up for grabs.

This year’s big-ticket auction item is a luxurious ocean-side vacation rental on Mexico’s Pacific coast, complete with a personal chef, household staff, private beach access, and a breathtaking view (more details available at www.SewHope.org).

Tickets for the event are $65 per person, or $600 for a table of ten.

Senior Star is first senior living community in country to Use BikeAround™

S

enior Star is pleased to announce that they are the first senior living community in the United States to purchase BikeAround™, an innovative program developed in Sweden to help older adults with cognitive disabilities as well as seniors who want to keep active. Senior Star at West Park Place is among the first of Senior Star’s 14 communities in the United States to implement the new program.

BikeAround™ pairs a stationary, individually adjustable assistive bike with Google Street View to take those using the bike on a virtual ride down memory lane. Users input a street address of a place that means something to them, a childhood home or other memorable location anywhere around the world that the Google image has photographed, and use the pedals and handlebars to “bike around” their old neighborhoods and/or destinations that have personal significance. BikeAround™ also makes it possible to organize themed outings to places that the user has always wanted to experience.

Senior Star is thrilled to be on the cutting edge of delivering this type of innovative programming to the residents who live at West Park

18 February 2018 | Healthy Living News

The event will be held on March 2, 2018, from 6:30 p.m. until approximately 10:30 p.m., at Parkway Place in Maumee. Tickets and more information are available online at www.

SewHope.org.

Whether you’re a hockey fan, a silent auction connoisseur, or simply looking for a fun way to support a great cause, L.E.A.P. is the event for you. Mark your calendars for March 2nd! ❦

Place. “Being on the forefront of providing programs that will benefit the physical, emotional, and social well-being of the residents who call Senior Star home is inherent to our core values,” said Senior Star CEO Anja Rogers. “We are excited to bring this unique technology to residents and look forward to sharing in their personal stories and journeys from using BikeAround™.”

Locally, residents of West Park Place will experience the benefits of a program designed to keep them physically and cognitively healthy and active. “Along with other Senior Star signature programs, BikeAround™ will provide our residents with an activity that uses their muscles and increases circulation all while exercising their memory,” said Kirsten Pickle, executive director at Senior Star West Park Place. “This offers our residents the chance to reminisce or to see new places, but also encourages lifelong learning along with physical and mental exercise.”

For more information about Senior Star at West Park Place, to schedule a tour, or to see the debut of the BikeAround™, call 419-531-9211 or visit the website at seniorstar.com/ westparkplace. ❦

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Senior Star at West Park Place is excited to announce a fun, unique, and interactive way for residents to explore the world - Exclusive to West Park Place!

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Toledo Clinic specialists provide expert pain management without opioids

O

ur nation is in the grips of an opioid crisis, and oftentimes addiction to these drugs can be linked back to the legitimate use of narcotics prescribed for chronic pain management. Though the dangers of these drugs have become apparent and their use is now tightly regulated, opioid abuse and overdose remains a widespread problem in communities all across the country. What’s more, the underlying problem of chronic pain that helped fuel this epidemic in the first place has not gone away.

“Chronic pain is a major problem all around the world, with back and neck pain being especially common and a leading cause of work absenteeism,” explains Toledo Clinic pain specialist Joseph Atallah, MD, of Interventional Pain Consultants. “In the past, the trend was to treat pain using opioid drugs, and any doctor could prescribe them. We didn’t have a good understanding of their risks and side effects. But now that we know how dangerous they can be, the government has responded by tightening regulations. As a result, some patients who can no longer access opioids by prescription are

turning to heroin, so now we’re dealing with a heroin crisis.”

The good news for chronic pain sufferers in our community is that Dr. Atallah and his partner James J. Otting II, MD, offer multiple options for controlling chronic pain without resorting to opioids. “Many people are living with debilitating pain on a daily basis, and it’s our goal to help them overcome it. We’re both board certified in pain management and offer cutting-edge alternatives to opioids, including techniques no other providers are using,” Dr. Otting states.

Though, as interventional specialists, Drs. Atallah and Otting are experts in controlling pain without the use of medication, they do offer non-opioid drugs as a first line of defense. From there, options expand to include simple injections, such as triggerpoint, epidural, and facet joint injections, as well as radiofrequency ablation, which targets nerves that transmit pain impulses with radiofrequency energy, thus blocking the pain.

Dr. Atallah further explains, “We also specialize in implantable pain-management devices, for example spinal cord stimulators, which replace the feeling of pain with a tingling sensation and are very effective for patients who have undergone multiple spine surgeries or have chronic pain that’s not well controlled by other means. Another tool at our disposal is intrathecal drug delivery, which involves administering a minute amount of non-opioid medication into the fluid around the spinal cord.

This technique works well for both chronic pain and cancer pain and is much more effective than narcotics. We can also offer neurolytic blocks for relief of cancer pain.”

Providing lasting relief of chronic pain has a tremendous effect on virtually every aspect of patients’

lives. However, the role Drs. Atallah and Otting play isn’t limited strictly to pain relief. “We’re also focused on rehab to improve function so chronic pain sufferers can get back to the activities that are most important to them, whether that means sleeping through the night, returning to work, performing with less pain on the job, going to church, socializing with friends, playing with the grandkids, or participating in family activities,” says Dr. Otting. “In addition, many people with chronic pain also have issues with depression and anxiety, which is why it’s so critical that we have a pain psychologist as a member of our team.”

Drs. Atallah and Otting both agree that there are always options for managing patients’ pain, whatever its cause or degree of severity. “I’ve never told a patient that nothing more can be done,” Dr. Otting states.

“In the rare case that we can’t help someone here, we can refer him or her to someone else who can.” Dr.

Interventional Pain Consultants is located at The Toledo Clinic, 4235 Secor Road, Building 1 North. Drs. Atallah and Otting are currently accepting new patients by doctor referral. Please call 419-479-5777 to schedule an appointment.

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Atallah adds, “Our state-of-the-art interventions, such as implantable devices and the intrathecal pump, provide long-lasting control of chronic

pain and cancer pain, even for those who have lost all hope of finding relief.” ❦

new days begin at sunset.

Sunset’s timely tips for protecting seniors this flu season

T

he flu virus is currently receiving more than its usual share of news coverage, with many outlets reporting that this year’s outbreak is especially severe and has even resulted in several fatalities in our area.

Being among the populations most vulnerable to flu complications, seniors are urged to take prudent steps to avoid contracting the flu and to seek medical care promptly if they get sick with the flu.

What exactly is the flu?

Influenza, or the flu, is a contagious respiratory illness that spreads in one of two ways. The more common mode of transmission is when someone infected with influenza sneezes, coughs, or talks and produces airborne droplets that enter the mouth or nose of a healthy person nearby. It’s also possible to get the flu by touching an object or surface (e.g., a doorknob or countertop) that is contaminated with the virus and then touching your own mouth, nose, or eyes.

Symptoms to watch for include sudden onset of fever, muscle or body aches, headache, cough, sore throat, fatigue, and runny or stuffy nose. Symptoms may also include vomiting and diarrhea, but this is more common in children than in adults.

Why are seniors at such high risk?

Gayle Young, Director of Marketing, Communication, and Public Relations for Sunset Retirement Communities, explains, “When seniors get sick with the flu, they’re much more likely to develop severe complications that can lead to hospitalization or even death. One reason for this vulnerability is that as we age, our immune system tends to weaken so we can’t fight off infection as efficiently. Also, the older we get, the more prone we are to develop chronic medical conditions that can be worsened by the flu, such as congestive heart fail-

ure, chronic obstructive pulmonary disease, diabetes, or kidney disease.

Another issue is that the weakness and fatigue commonly associated with flu increases the risk of debilitating falls in seniors, who often have balance and mobility issues to begin with.”

Young further notes that one of the most worrisome potential complications of influenza in seniors is pneumonia, which can quickly become life-threatening. Seniors should seek immediate medical attention if they experience symptoms of pneumonia, which can include (among others) a cough that produces mucus; chest pain when breathing or coughing; shortness of breath; fatigue or weakness; fever and chills; nausea, vomiting, or diarrhea; and mental confusion.

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How can seniors protect themselves?

“The first and best line of defense against catching the flu is getting the flu vaccine, and we encourage all of our residents who are candidates for the vaccine to get it before the start of flu season,” says Young. “Even though the flu season is already peaking this year, it can extend as late as May, so you can still protect yourself—and others around you—by getting a flu shot as soon as possible.”

Each year’s flu vaccine contains an inactivated form of the particular strains that research determines are most likely to be circulating in that particular flu season. The match between the strains in the vaccine and those actually circulating in the community isn’t always perfect, so it’s possible to get the flu despite

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getting vaccinated. But according to the Centers for Disease Control and Prevention, even if the shot isn’t closely matched, it still has the potential to impart benefits—the reason being, antibodies produced in response to the vaccine can provide protection against different but related influenza strains.

Of course, maintaining healthy habits can help keep influenza at bay as well. “We encourage our residents to eat adequate amounts of healthy, nutrient-rich foods; drink plenty of fluids; get ample recuperative rest; and exercise on a regular basis so they can maintain a healthy body and immune system—and each of our communities offers a wide range of programs, services, and amenities to help them achieve these goals,” Young says.

In addition to an annual flu vaccination and getting adequate nutrition, rest, and exercise, seniors can help prevent the spread of the flu through frequent, thorough hand washing; keeping their hands away from their mouth, nose, and eyes; covering their nose and mouth with the crook of their arm when coughing or sneezing; and avoiding close contact with others who are sick. “Of course, it’s

also vital for seniors’ caregivers and loved ones to take all these same precautions so they don’t spread the flu to this vulnerable population,” Young adds.

How long will it take to recover?

A bout with the flu usually ends within two weeks, but complete recovery may be a more drawn-out process for seniors who have been weakened by the infection. In some cases, a period of rehabilitation may be necessary to strengthen de-conditioned muscles, rebuild stamina, or address any lingering balance issues. “In fact, we’ve seen several seniors, who’ve recently had a bout of flu, need a short-term stay at our new rehab center, which is located on the campus of Sunset Village in Sylvania, in order to regain strength and function,” says Young. ❦ For more information on protecting seniors from the flu or on any of the services and amenities available at Sunset Retirement Communities, please call 419-536-4645 (Sunset House), 419724-1200 (Sunset Village), 419-7241220 (The Woodlands), or 419-386-2686 (Fieldstone Villas).

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ollowing menopause, approximately 60% of women experience a condition known as genitourinary syndrome of menopause (GSM). GSM is made up of multiple symptoms, including vaginal itching, irritation, and dryness. Additional symptoms might include urinary urgency, dysuria, and increased nighttime voiding. The most significant symptom, however, is painful intercourse due to vaginal atrophy. As a result, intimacy is affected and interpersonal relationships can become strained.

Unfortunately, many women in this population suffer in silence, believing it to be an inevitable part of the aging process.

According to urogynecologist Dr. Andrew Croak, Director of the Northwest Ohio Center for Urogynecology & Women’s Health, GSM develops due to the reduction in a woman’s estrogen level following a menopausal state. “The whole pelvic floor is very estrogen dependent,” he explains. “As a woman’s estrogen level decreases and the receptors are no longer fed, the blood supply to those tissues decreases and they go from being lush, thick, and well-moistened to being thinner, dryer, more delicate, and much more sensitive. In some cases, the tissue is so thin and tender that a simple swipe from a q-tip can actually cause bleeding.

Dr. Croak notes that breast cancer survivors are among the women who are highly vulnerable to GSM. “We have had very poignant stories of women who, in treating their breast cancers with anti-estrogens or oophorectomy, had their GSM symptoms become extremely severe.

Mona Lisa Touch was able to ward off the effects of these breast cancer treatments on their vaginal health and restore their levels of comfort and confidence in being intimate.

We’ve also received testimonials touting the program’s overwhelming success from several women who attend the Victory Center,” he states.

Other populations that suffer

exponentially with GSM are those that cannot take hormones due to thromboembolic disease and those with lichen sclerosis. “In fact, we have had our greatest successes with lichen sclerosis patients. Every patient with the disease that we’ve treated with this technology has seen improvement. Younger patients with vulvodynia and dryness from prolonged birth control pill use or breastfeeding have also seen benefit,” comments Dr. Croak.

FDA-approved Mona Lisa Touch is a CO2 fractional laser that delivers gentle laser energy to medically treat the vaginal wall. The laser stimulates fibroblastic growth, which in turn helps generate a new blood supply and stimulates collagen production.

As a consequence, the thickness, elasticity, and moistness of the vaginal tissues increase while sensitivity, pain, and irritation decrease. It is the only vaginal laser instrument with a true medical indication that has been scientifically validated with numerous trials and ongoing grants.

The great news is, with the advent of this painless, in-office, non-hormonal procedure, offered first in the area by the Northwest Ohio Center for Urogynecology & Women’s Health, women can actually achieve complete resolution of these unpleasant symptoms and reclaim a higher quality of life. The therapy is administered over the course of three in-office treatments spaced six weeks apart, and each session takes less than five minutes. Dr. Croak notes that the treatments are as easy as undergoing an annual Pap smear with a speculum but don’t take as long.

Thus far, the outcomes for patients undergoing Mona Lisa Touch therapy have been remarkable. “After the first treatment, we’re seeing 85% improvement, with many women able to participate in pain-free intercourse for the first time in years. By the end of the third treatment, the improvement rate is nearly 100%.

Recent one-year data shows that

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92% of patients are still satisfied. Our success rates match that reported in international data,” says Dr. Croak.

Testimonials speak for themselves.

One patient said, “I don’t have the dryness and itchiness and burning.

As far as leakage is concerned, I don’t have that anymore.” Another patient from New York City exclaimed, “This is a gift from God that I was able to get my life back. Intimacy is only one part of it. I would like other women to know that there is help out there, it is for real, and it works!”

However, Dr. Croak cautions women that, “Inferior imitators are surfacing and making the claim that they treat GSM under the guise of ‘vaginal rejuvenation.’ The American Congress of Obstetricians and Gynecologists as well as the American Urogynecologic Society have a very clear position statement that vaginal rejuvenation has no scientific basis and should not be offered to patients.

Despite this clear statement, there appears to be an increasing population of non-pelvic specialists without physician supervision opportunistically trying to offer these procedures for their aesthetic clientele. They are often retrofitting old cosmetic lasers and radiofrequency devices in order to provide this service without due diligence making sure the patient has had a proper gynecologic exam.

Furthermore, they are not offering appropriate gynecologic follow-up should any issues arise.”

Dr. Croak has seen several complications from these so-called laser centers, including an unfortunate patient from Detroit who underwent a “vaginal rejuvenative” procedure for vaginal pain. “It was found that her pain was actually an underlying vaginal cancer. The directing physi-

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cian, who is not a gynecologist, did not examine her but had his staff provide treatment. To add insult to injury, she also paid double what most gynecologic specialists would charge for Mona Lisa Touch,” says Dr. Croak. “A few other patients who had frustrating vaginal-rejuvenation knock-off treatments called me for a second opinion because after they had their treatments elsewhere and experienced problems, they were told by the treating non-pelvic specialist to go to the ER because they don’t treat gynecologic problems.”

The bottom line is that patients have to be smart consumers. “It’s vital for women to understand that

when they are signing up for the Mona Lisa Touch procedure, they are getting the only FDA-approved treatment for menopausal genitourinary symptoms, backed by over 21 robust research studies, and provided by experts in female pelvic medicine who can answer all questions about pelvic health and address any additional gynecologic issues a patient may have,” he says.

For more information on Mona Lisa Touch or to schedule an appointment, please call the Northwest Ohio Center for Urogynecology & Women’s Health at 419-893-7134.

Financial incentives and discounts are available for this therapy. ❦

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Across 1 Lettuces, kale, etc - 2 words 8 Crunchy salad veggie 9 Citrus fruits 10 Vichyssoise vegetables 11 Herbal drink, 2 words 12 US Capital, for short 13 Dieting taboo 15 Low-___ diet 16 Fuzzy fruit 17 Airline, for short 18 Space exploration org.

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Across

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Experience Matters.

Ohio Living Swan Creek has 25 years of experience providing a truly personalized approach to retirement living. We know you have a lifetime of experience, yet you still look for something interesting and new in everything that happens.

At Ohio Living Swan Creek you will find like-minded friends who support each other, while different-minded friends stimulate fresh thinking. Built on 34 wooded acres, we feature a desirable location and provide the luxuries and comfort that make you feel like you are in a five-star hotel.

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Below is a sampling of our programs and activities: Social and Cultural Opportunities Armchair Theatre Group l Art Workshop l Choir Bell Ringers l Cocktail Classes l Concert and Theater Outings l Craft Classes l Dinner Club Gardening l Group Tours l Holiday Celebrations Lunch Outings l Movie Nights l Musical Performances l Shopping and Day Trips Theme Happy Hours l Travel Club l Volunteer Opportunities l Wine & Design Class Educational Opportunities Book Club l Community Guest Speakers Language Learning Classes l Lourdes University Lifelong Learning Classes l Lucas County Library Visits l Men’s Lunch and Learn Group Technology Center and Classes Campus Centers & Services Courtyard Putting Green l Craft Room l Fitness Classes l Gift Shop l Kridler-Meloy Wellness Center Library l MyIndependence by Ohio Living Home Health & Hospice l Reed Chapel l Spiritual Life Programing l Woodshop

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By Shelly Horvat, AuD, CCC-A Clarifying

cholesteatoma of the middle ear

A

cholesteatoma is an abnormal, noncancerous skin growth that can develop in the middle ear space just behind the eardrum. It’s most commonly caused by repeated, untreated middle ear infections but may also be a birth defect. Cholesteatomas may cause hearing loss, balance trouble, and dysfunction of the facial muscles.

They are somewhat rare, with the annual incidence of cholesteatomas being 9-12 cases per 100,000 adults and 3-15 case per 100,000 children.

can cause the eustachian tube to malfunction or stay closed for too long, causing negative ear pressure to develop. This can cause a partial vacuum to occur in the middle ear space. The vacuum may pull part of the eardrum into the middle ear space, creating a cyst that can turn into a cholesteatoma. This growth or cyst then becomes larger as it fills with old skin cells, fluids, and other waste materials.

Causes of cholesteatomas

The symptoms of cholesteatoma start out mild and become more severe as the cyst grows larger and occupies

Repeated and often untreated ear infections are the main cause of cholesteatomas. Along with repeated ear infections, they may also be caused by a poorly functioning eustachian tube (the tube that leads from the back of the nose to the middle ear space). The purpose of the eustachian tube is to allow air to flow from the back of the throat to the middle ear space and to equalize middle ear pressure. Allergies, colds, sinus infections, chronic ear infections, and structural abnormalities of the eustachian tube

Symptoms

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Complications If left untreated, a cholesteatoma will grow larger and cause destruction of the surrounding bone. It can also damage the eardrum, bones of the ear, and nerves of the face. The cholesteatoma can also allow bacteria and fungi to thrive, causing infections in the middle ear space and even into the meninges of the brain. This can become a life-threatening situation, so prompt medical care is necessary.

Diagnosis

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space in the middle ear cavity. Initially, drainage may leak from the ear canal.

As the cyst grows, it can cause a pressure or aching sensation to develop in the ear or behind the ear. It can also cause hearing to decrease by not allowing the eardrum or bones of the middle ear to move properly. Some people report tinnitus (ear ringing or humming) as a symptom. Along with ear pain, pressure, or tinnitus, other symptoms include dizziness or balance trouble as well as facial muscle weakness or paralysis.

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An ear, nose and throat physician will determine the presence of a cholesteatoma by examining the ear canal and eardrum using an otoscope. He or she will be looking for eardrum abnormalities. A CT scan may need to be ordered if symptoms such as dizziness or facial muscle weakness are seen. A complete hearing evaluation by an audiologist will also be performed to assess middle ear function and hearing ability.

Treatment The only way to treat a cholesteatoma is to surgically remove it. The cyst must be removed to prevent complications from it growing larger, eroding the middle ear bones, or infecting the area surrounding the ear, including the lining of the brain.

Cholesteatomas do not go away naturally and usually continue to grow and cause problems.

Once diagnosed, treatment of the cholesteatoma typically includes a regimen of antibiotics, ear drops, and cleaning of the ear canal by the ear, nose and throat physician to treat the infected cyst, reduce inflammation, and drain the ear. Following that initial treatment, a plan for surgical removal is made.

In most cases, the surgery is performed on an outpatient basis under general anesthesia. A hospital stay may be required if the cyst is very large or serious infection is present. After the initial surgery for cyst removal, there may be a need for follow-up surgery to reconstruct any damage to the ear caused by the cyst.

Follow-up appointments with the surgeon will be necessary to evaluate the result of the surgery and to be sure that the cyst has not returned.

Some side effects of the surgery for some people are temporary dizziness and taste abnormalities. These side effects typically resolve within a few days.

Another treatment after surgery may be a hearing aid to restore hearing lost from the cholesteatoma. Various options for amplification must be explored by the patient and audiologist to find the most appropriate option for the medically treated ear.

Prevention Cholesteatomas can be prevented by treating ear infections as well as treating causes of chronic eustachian tube dysfunction. However, cysts may still occur. It’s important to treat cholesteatomas as early as possible to prevent complications. Call your doctor right away if you believe you have a cholesteatoma. Symptoms of repeated ear infections, ear pain, drainage, pressure, dizziness, and facial weakness should be evaluated by a physician. An audiologist can test hearing and middle ear function and refer to an ear, nose and throat physician if middle ear hearing loss and dysfunction is present.

Call the audiologists at Northwest Ohio Hearing Clinic at 419-383-4012 or 419-873-4327 if you have any questions about your hearing, ears, or balance. ❦ 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).

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SUPER SLOW TRAINING Never stop improving!

S

o you think you don’t have time to exercise? Or perhaps you have been exercising regularly for years but can’t see where you have made any progress. Well, how about trying something new?

The hottest trend in exercise is the high-intensity, 30-minute, oncea-week (yes, we said once-a-week) exercise method, often referred to as Super Slow Training. Though it goes contrary to what most of us have heard, believed, or practiced, it is now the most-discussed form of exercise, with everyone from celebrities to CEO’s and even pregnant women welcoming the opportunity to free up their time and still, or even finally, get results. What do you have to lose? It can be done on your lunch hour, and you don’t even have to change and shower.

Super Slow Training seems to be particularly popular among women of all kinds—from young students to woman in their 90’s. But according to Russ Wakefield, an experienced personal trainer and owner of TriggerPoint, “The type of woman we see most frequently is one who is very busy with her career and family and helps out in the community. She does yoga and knows she needs strength training but believes she doesn’t have the time—that is, until one of her friends tells her about TriggerPoint.”

A TriggerPoint client named Mary fits this description perfectly. “I do low-force, intense exercise at TriggerPoint because, as a lawyer, I have limited time but know that I need to strengthen my muscles and bones.

The workout takes about 20 minutes once or twice a week. Even I can make time for that. It’s demanding, but they supervise you every step of the way.

Plus, the amazing technology makes it easier to focus on the work to be done. It’s all business. I zip in, they take me through my paces, and I’m out the door. I can’t recommend it enough!” she said.

If there is a good advertisement for this workout, it is Wakefield himself, who has been an advocate of high-intensity workouts for over 25 years. “I have been doing high-intensity workout for years at regular gyms, but it is more efficient if you have the correct equipment,” he explained. “Don’t let the fact that it is high-intensity put you off. It is

perfect for everyone and all ages, including ‘Type A’ personalities and even pregnant women.” This workout is not only efficient, but also safe because it is totally one-on-one with Wakefield monitoring and adjusting your every move.

While anyone can fit a 30-minute workout into their schedule, skeptics will ask how it is possible for this to actually work. There are two main reasons for the results: Moving slowly keeps the tension on the working muscle throughout the whole movement. There is none of that fast momentum that helps you

work while lifting weights. This is done very, very slowly, really working those muscles. The high intensity causes the body to adapt. The exercise is a stimulus, and the body uses seven days to recover, producing the desired results.

According to Wakefield, any additional exercise can prevent the body’s building of strength and fat-burning muscle mass. He added that lower-intensity activities, such as running, stair stepping, and treadmills, really don’t burn that many calories and can cause injuries to the knees and hips.

We had the opportunity to observe Eric Bueter, a client, during his workout. Arriving and remaining in street clothes, with fans turned on to keep the room cool, Bueter slowly and efficiently went through his routine under Wakefield’s tutelage with weights and on the Super Slow exercise machines before returning to work. Wakefield added that Bueter has been working with him for a number of years, and during that time the weights have been gradually increased under his supervision. ❦ Four free trial sessions are offered. For an appointment, call Russ Wakefield at 419536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook.

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

Heartland’s heart-healthy hints for February

by Jim Berger

T

he month of Feb- ruary brings to mind many images of hearts.

However, the most important heart is your own! February has been designated by Congress as American Heart Month, and with good reason.

The heart-disease statistics identified by the Center for Disease control are shocking!

Heart disease facts: • Heart disease is the leading cause of death for both men and women. More than half of the deaths due to heart disease in 2015 were in men.

• About 630,000 Americans die from heart disease each year— that’s one in every four deaths.

• Coronary heart disease is the most common type of heart disease, killing about 366,000 people in 2015.

• In the United States, someone has a heart attack every 40 seconds. Each minute, more than one person in the United States dies from a heart-diseaserelated event.

• Heart disease is the leading cause of death for people of most racial/ethnic groups in the United States, including African Americans, Hispanics, and whites. For Asian Americans or Pacific Islanders and American Indians or Alaska Natives, heart disease is second only to cancer.

• Heart disease costs the United States about $200 billion each year. This total includes the cost of healthcare services, medications, and lost productivity.

Risk factors High blood pressure, high LDL cholesterol, and smoking are key risk factors for heart disease. About half of Americans (49%) have at least one of these three risk factors.

Several other medical conditions and lifestyle choices can also put

people at a higher risk for heart disease, including: • • • • •

Diabetes Overweight and obesity Poor diet Physical inactivity Excessive alcohol use.

These statistics and risk factors are alarming, but there is some good news. Each of us can decrease our chances of heart disease. It is a doable process that can be fun, inexpensive, and, most of all, lifesaving.

Heart-healthy hints With all this focus on the heart, we at Heartland Rehabilitation would like to provide you with a few simple steps you can take to develop a healthier heart.

From a nutritional standpoint, making a few simple changes and healthier substitutions to your regular diet will make it more heart-friendly.

They include: • Limit intake of hydrogenated oils that can be found in fast food, margarine, or fried foods.

• Use extra virgin olive oil and

garlic when cooking.

• Instead of shortening or butter for baking, use applesauce for half of the butter amount. You may need to decrease baking time by 25%.

• Use low-fat or fat-free versions of milk, sour cream, or cream cheese in a recipe.

• Reduce sugar by 1/4 to 1/3 in baked goods. Cinnamon, vanilla, or almond extract can be used to increase sweetness.

• To increase fiber intake, replace regular grains with whole grains or whole-wheat flour.

• Eat the darker green or leafier lettuces as opposed to iceberg lettuce for more fiber.

Regular exercise is another key for a healthier heart. Here are some simple guidelines for beneficial exercise: • Try to exercise three to four times a week for at least 30 minutes.

• A combination of cardio (walking, treadmill, etc.) and resistance exercise is beneficial.

• Remain consistent, start out

  • • • • •

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



Healthy Lifestyle Change 

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

Arrowhead: 419-897-9822

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29

• • • •

slowly, and progress your exercise program as tolerated.

Remember to stretch before and after exercise.

Keep hydrated and rest between sets.

Consult a physician prior to beginning any exercise program.

Consult a physical therapist

for an individualized exercise program or to treat any injuries you may have.

If you have already thought about making changes to a hearthealthier lifestyle in 2018, are you still on track? A statistic from a “big box” gym identified that the most drastic drop off in gym attendance occurs 38 days from the New Year

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:

CRYSTAL SHARP

Family Navigator & Mentor Program Coordinator csharp@namitoledo.org

419.243.1119, ext. 202 www.namitoledo.org

(February 7th). We all begin the year with high hopes and big goals for our health and fitness. But only 30 days into the year, only six out of ten people are still on track with their goal to lose weight, exercise more, or eat healthy. By the end of the year, only one out of ten people have sustained their New Year ’s resolution to be healthier.

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

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

When we take the outcomes we want and frame them into behaviors we control, we will be more successful.❦ Heartland Outpatient Physical Therapy is available to everyone. Stop by any of Heartland’s four Outpatient Centers for a heart-healthier-lifestyle screen: Arrowhead: 419-897-9822, Oregon: 419-697-8000, Perrysburg: 419-8742657, and Bedford, MI: 734-856-6737.

Contact Jim Berger at 419-787-6741.

Your cosmetic and skin-care questions answered

by Dr. Erin Hennessey

A

s we move into February, the month of the Valentine, I would like to address some questions about what types of tools we have to help you love your look.

“I want my lips to look like they did 10 years ago. I want them enhanced, but super natural. I have only seen poorly done lips, so I am scared.

How can I make sure that my lips look natural but plump too?”

–Emily G, 24

Emily, communication with your injector is very important when it comes to any filler procedure. Make sure that you have realistic expectations and bring some examples of looks that you like and looks that you don’t.

Bring pictures of yourself when you really enjoyed how your lips looked.

There are some great FDA-approved

lip-enhancement products from Juvederm and Restylane to help you achieve the rejuvenation you are looking for!

“I have acne scars that really bother me, but I cannot afford a lot of downtime. What can be done to improve –Angie L, 34 them?”

HALO, which is a combination laser, is an amazing option for acne scars.

It is completely customizable, so we can be more aggressive in some areas and gentler in others for minimal downtime. You can also apply mineral makeup and return to normal activities the day after the treatment, making it perfect for busy folks.

“I saw BBL (Broad Band Light) treatment before-and-after pictures on the Blush Facebook page, and

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4/13/17 5:33 PM We love feedback. Like us on Facebook. Follow us on Twitter.

Services, one thing will not change – our deep commitment to faithfully serving people of many different generations.

These establishments also routinely serve oversized portions loaded with calories and sodium—often more than what you should eat over the course of an entire day.

In fact support Linda, our master aesthetician/ studies show thatMinistry in many instances, 2021 N. McCord Road | Toledo, OH 43615 | P: 419.861.4990 dermatician in the office, has great one main entrée can contain more cost-effective treatments and products than a day’s worth of calories before that she can recommend to attain factoring in the beverage, appetizer, that healthy, dewy look. Although and dessert. everyone’s skin needs are different, Unfortunately, despite being armed she can customize a plan that includes with this information, avoiding overa process for helping the dry, dead stuffing in restaurants isn’t as easy top layer of the skin to keep moving as it might seem. Most of us do not up and off. have the willpower to just eat half our meal or stop when we’ve had Thank you so much for all of your enough. This is due to the cephalic questions! We offer free consultations, response that Pavlov studied. When so if you are curious about new ways we see and smell food, our sympaof caring for your skin and a custom- thetic nervous system revs up, insulin ized plan, please reach out to us at is secreted to lower our blood sugar, 419-362-6090 or visit our website at and our stomach relaxes, preparing www.blushnwo.com. ❦ us to eat all the food within reach.

So what can you do to avoid overDr. Erin Hennessey is a nurse indulging in restaurants if physiology practitioner at Blush Aesthetics. is fighting against you? When you know you’ll be dining out later, try to budget your daily calories by eating a lean, low-calorie breakfast and lunch. Then, before heading out, keep your appetite in check by having a healthy snack, such as an apple or yogurt. Also, plan to exercise a little I just feel that no matter how much moisturizer I use, it never actually does the job. What are my options?”

–Jennie, 52

Before

After

the results were great. Is there any downtime with BBL? Does it hurt?”

–Shayna M, 47 There is no downtime with BBL. Moisturizer and mineral makeup can be applied immediately after the treatment! BBL is great for acne, rosacea, brown spots, red spots, wrinkles, and skin laxity. Again, it is another one of our customizable treatments, so we can really focus on any problem areas while still stimulating your own skin to make collagen, which is essential for youthful-looking skin.

In terms of discomfort, most people describe it as “warm” or “spicy.” There is no pain or discomfort associated with it, and the treatment ends with a warm tissue massage setting for tightening, which feels amazing in this cold weather.

“I love my BBL treatment results, but with this winter cold, my skin is so incredibly dry. I am in and out of areas of forced heat all the time, and

Before

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EATING WELL

by Laurie Syring, RD/LD

aesthetics

Don’t overdo it when you dine out

T

oledo loves to dine out! I’ve often said that on any given Friday night, half the city is out at restaurants and the other half is in the service industry serving those diners. That’s probably the reason many restaurant chains (e.g. Taco Bell) like to use Toledo as a test market for their new product lines. Our top-three cuisines are American, Chinese, and Italian, and it should come as no surprise that pizza is especially popular. Did you know Americans combined eat the equivalent of 11

acres of pizza a day?

But here’s the kicker: If you’re one of the thousands eating out tonight, you’re probably overdoing it. Even if you’re trying to make healthy choices, your meal probably still contains too many calories and fat grams and too much sodium. This is true not just for fast-food establishments, which often bear the brunt of blame for providing “bad” nutrition and contributing to the obesity epidemic, but also for most sit-down, table-service restaurants.

SIMPLE, EFFECTIVE SKINCARE SOLUTIONS! Dr. Erin Hennessey & Linda Recker 900 West South Boundary, Suite 7A Perrysburg, Ohio 43551 www.blushnwo.com info@blushnwo.com 419-362-6090

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31

longer on the day before and after your restaurant meal to compensate for the additional calories.

Once you’ve arrived at the restaurant, other helpful hints include skipping the appetizer if you know you want dessert (or vice versa), choosing one or two appetizers instead of an entrée and pairing them with a side salad, and splitting or sharing your entrée (ask for a to-go box and set aside half your entrée to take home—before you start eating). Also, avoid deepfried foods. Instead, choose grilled protein options, steamed vegetables, and salads ala Sally Albright (served with the dressing on the side). Many establishments make it easy to find healthy entrees by designating them as such on the menu.

Don’t forget that drinks can be loaded with extra calories as well. Try to avoid sugar-sweetened beverages, and remember that alcohol contains calories too. If you do plan to drink alcohol, avoid drinks with lots of extra calories from juices or mixes. Better yet, forgo the alcoholic beverages and sodas altogether and ask for a nice, refreshing glass of water with lemon instead.

You can blame biology or lack of willpower, but it’s difficult to dine out

and avoid or limit your favorite dishes.

So it might be a healthier option to eat more meals at home, where you can control the fat, calories, and sodium.

Dining in can also be a better choice for the budget-conscious. Although it may not seem like it lately, meals prepared at home with meat and vegetables bought at the grocery store are much more affordable than restaurant meals.

of those jobs cause a lot of damage to our health and the environment.

A doctor prescribes surgery to get rid of back pain; another tells you that injections and exercise will take care of the pain. You are feeling overwhelmed and indecisive and become anxious, doing violence to Laurie Syring, RD/LD, is chief clinical your spirit.

What about all the demands being dietitian at ProMedica Flower Hospital. made on you by family, friends, coworkers, neighbors, etc.? So many folks want you to commit yourself to helping a frail family member, volunteering at the neighborhood soup kitchen, taking on the leaderBy Sister Mary Thill ship of a fundraiser at church or at work, etc. It may seem as if you are being asked to help everyone and do everything, and that is what constinot seen the last few episodes, but tutes “mindless violence.” all in all I enjoyed the experience.

As you reflect on these demands in I’m not sure if “enjoyed” is the right your life, you may want to take into word, but I did get a lot out of the consideration the violence that can continual battle between good and take place just driving to and from evil, which pretty much, in my opin- work or running an errand. Even ion, is the plot of the whole story to the point of doing the driving beginning back in the 1970s. It is a when there were others that could classic theme that is usually depicted have done so but you chose to add by violent thoughts and actions and the task to your very busy schedule. lots of bad stuff happening to people, Think of how much time you spend places, and things. There are also, on your cell phone or computer or thank heaven, characters who have watching TV when you could be redeeming qualities of goodness, doing other things or doing nothing helpfulness, kindness, and love. at all because you refuse to add to the Usually when I think of or see mindless violence in your life. Even violence, I see shooting, blowing up the hustle and bustle of the recent things and people, holidays can add a vehicles crashing Be kind to yourself lot of mindless viointo each other, lence to an already street fights, terfull life. Do you rerorism on various ally need to make levels, wars, and dozens of cookies, the possibility of cut down your own nuclear annihilatree, buy gifts for tion. I usually don’t everyone in your think of the confamily, etc.? Can cept of mindless you see the violence violence as described by Thomas here even in these well-meaning acts?

Merton in the quote above. Suzanne When am I doing violence to myself Stabile came up with the term “mind- in such mindless ways? My measure less violence” after reading Merton’s is to assess the level of anxiety, requote. She actually offered a class sentment, even anger at doing things in Mindless Violence at the retreat for others when I really don’t need center where she worked and had to add such tasks to my already full much success in getting other adults life. I need to say “no” and prioritize to see how much violence they do my activities to meet the energy, to themselves and others as they go health, and feeling of well-being at about their daily lives. Let’s take a this age and stage in my life. Aging, look at this new kind of violence. illness, and death teach us these In this day and age, we are all lessons, but I don’t think we have too easily drawn into conflicting to wait for these things to happen concerns. One person tells you to to us before we learn the lessons of try this job; another tells you not mindless violence. Be gentle with to and to go in another direction. yourself so you can be gentle with One politician promises to bring others. Love yourself so you can back jobs; another warns that some

Spiritually Speaking Mindless violence To allow oneself to be carried away by a multitude of conflicting concerns, to surrender to too many demands, to commit oneself to too many projects, to want to help everyone in everything, is to succumb to violence.

—Thomas Merton, Trappist monk

I

went to the movies during Christmas break and saw the latest Star Wars movie. My housemates asked me how I liked it, and I told them that I found it very violent, was lost a bit in the story line because I had

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Wherever you choose to eat, remember that there’s no award for cleaning your plate! So, Toledo, go ahead and dine out (or in). But when you do, remember to do so with moderation, using the tips I’ve provided here as your guide. ❦

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32 February 2018 | Healthy Living News

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love others too. Reflect often on the ways that violence enters into your actions, and mindless violence will eventually be overcome in your life and in the lives of those you meet.❦

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

HOLED UP A dementia caregiver’s guide to cabin fever

T

he holidays have come and gone for another year and, with them, any fanciful notions about dashing through a winter wonderland. Now it’s time to face the harsh realities of February in the Midwest—prolonged cold, icy snow, and seemingly endless days stuck indoors. Winter in these parts is enough to give anyone a case of cabin fever.

Although the term implies a medical condition, cabin fever is more accurately a state of mind. Being cooped up at home during long periods of bitter weather leads to winter doldrums, and Midwesterners afflicted with cabin fever exhibit symptoms ranging from listlessness to despair.

Not surprisingly, cabin fever ’s effects are especially severe in individuals with Alzheimer ’s or other forms of dementia. Knowing cabin fever’s signs could help you recognize when someone under your care is afflicted so you can help them cope.

What cabin fever looks like Cabin fever produces symptoms similar to those associated with claustrophobia, anxiety, and depression.

Sufferers can exhibit greater than normal irritability, trouble sleeping, lack of patience, and an overall inability to concentrate. “Both cabin fever and Alzheimer’s share many symptoms with depression,” explains Kathi Allen, director of nursing for Foundation Park Care Center. “So, when dementia patients experience cabin fever, those symptoms are understandably magnified.”

Allen says cabin fever affects each

person with Alzheimer’s differently. Those used to spending most of their time indoors might avoid its effects for weeks. Others could begin showing symptoms after only a day or two. “For some Alzheimer’s patients, cabin fever causes feelings of sadness or hopelessness,” says Allen. “Many are overly tired, and most withdraw socially.”

With so many symptoms in common, it’s important that caregivers avoid mistaking depression for a temporary case of cabin fever. For that reason, Allen recommends discussing any behavioral changes with a physician.

Dealing with cabin fever Activity is a surefire cure for cabin fever. Keeping busy helps relieve the sense of confinement and lessens restlessness in a homebound person with Alzheimer’s. Choose activities that keep the individual engaged, not just occupied. Research shows that goal-oriented activities help create feelings of usefulness and self-worth.

Involving someone with dementia in performing household chores, for example, can make the person feel important and relevant.

What’s more, having tasks to complete helps someone with Alzheimer’s establish much-needed routines.

Of course, activities don’t have to be all work. “Having fun goes a long way toward easing cabin fever,” says Foundation Park’s Allen. “We encourage participation in singing, dancing, playing games, and crafts.”

Also beneficial are activities that

stimulate the senses—seeing, hearing, smelling, tasting, and feeling—as much as possible. “The most important thing is that participation be voluntary,” explains Allen. “Fun activities that engage the senses help motivate individuals to take part.”

Don’t forget the caregiver If you’re caring at home for someone with dementia, you could find yourself suffering your own case of cabin fever. When that happens, take advantage of mild days to get outside, even for a little while, to enjoy a change of scenery.

And speaking of changing scenery, respite services provide individuals with Alzheimer’s and their caregivers much-needed breaks. Respite care is available at home or in care settings such as adult day centers and residential facilities. Adult day centers offer individuals with Alzheimer’s safe places to spend the day with others. Residential facilities provide options for overnight stays—whether for several days or a few weeks—allowing caregivers time to work or take vacations. “Our experience is that respite stays provide caregivers breathers that actually help strengthen their caregiving abilities,” reports Allen. ❦

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

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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.

St. Clare Commons

The Manor at Perrysburg

12469 Five Point Road Perrysburg, OH 43551

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Foundation Park Alzheimer's Care Center 1621 S. Byrne Rd. Toledo, OH 43614

Darlington Nursing & Rehabilitation Center 2735 Darlington Rd. Toledo, Ohio 43606 419-531-4465 www.embassyhealthcare.net

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

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Fieldstone Villas 9640 Sylvania-Metamora Rd. Sylvania, OH 43560

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The Laurels of Toledo

Senior Star at West Park Place

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

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

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

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34 February 2018 | Healthy Living News

1011 Byrne Road Toledo, OH 43607 419-536-7600 www.laurelsoftoledo.com

Genacross Lutheran Services Toledo Campus 131 Wheeling St. Toledo, OH 43605 419-724-1414 www.GenacrossLutheranServices.org

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

Orchard Villa 2841 Munding Drive Oregon, OH 43402 419-697-4100 www.lhshealth.com

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Wise words from

OTTERBEIN Doctor-patient communication…

Can we talk?

S

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?

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 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 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 commu-

nicate 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 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

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | February 2018

35

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. ❦

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ebruary is designated American Heart Month to raise awareness of heart disease and encourage people to make lifestyle choices that promote a healthy heart. With heart disease being the leading cause of death for both men and women in the US, February’s focus on the heart is more than justified. However, it’s important to remember that heart disease doesn’t occur in isolation; it goes hand-in-hand with vascular disease.

“Each blood vessel is connected to every other vessel in the body, 60,000 miles worth. The reality is, if you have heart disease, you have vascular disease,” explains Robert Hacker, MD, FACS, of Mercy Health – Heart and Vascular Institute, Director of Vascular Surgery. On the flip-side, the same lifestyle choices and habits that help keep the heart strong and healthy also promote good vascular health.

Who is at risk for developing vascular disease? According to Dr. Hacker, some people have a genetic predisposition to the disease, but this is only a small portion of the population. Those at highest risk are smokers and diabetics. Age is a factor as well; 15 to 20 percent of people over age 70 have peripheral vascular disease. Males and African Americans/people of African descent are also at increased risk. Only a small number of people develop the disease as a result of taking particular medications.

Dr. Hacker notes that statistics shed some light on the prevalence of vascular disease in smoking and diabetes populations. According to the Centers for Disease Control and Prevention website (cdc.gov), 36.5 million US adults currently smoke cigarettes and 75 percent of those individuals smoke every day. What’s more, cigarette smoking accounts for 480,000 deaths each year in the US, including 41,000 from secondhand smoke.

With respect to diabetes, the

American Diabetes Association’s website (diabetes.org) reports that 1.5 million Americans are diagnosed with the disease every year. In 2015 alone, 30.3 million Americans—9.4% of the population—had diabetes, though only 23.1 million of them were diagnosed with the disease; nearly 7.5 million people have no idea they are ill. Adding insult to injury, 15 percent of patients with diabetes also experience foot ulcers or other lower extremity wound complications.

“When you consider these numbers along with the fact that 15 percent of diabetics develop foot ulcers and other various pathologies, you start to get a sense of how dramatic the problem really is. These same people are at risk for coronary artery disease, kidney disease, and even stroke,” states Dr. Hacker.

Vascular disease can affect both the arteries (vessels that carry blood away from the heart) and veins (vessels that carry blood back to the heart), though Dr. Hacker points out that the vast majority of cases involve the arteries.

Arterial disease can cause symptoms or conditions such as non-healing wounds, reproducible pain when walking, painful and discolored toes (“blue toe syndrome”), heart attack, aneurysm disease, and stroke. Venous insufficiency can lead to non-healing wounds of the legs, skin discoloration and staining around the ankles, large varicose veins, and pain.

Dr. Hacker adds, “One group with peripheral vascular disease suffers from a condition called claudication.

This is when an adequate amount of oxygenated blood reaches the muscles when the person is at rest, but not when they are exerting themselves.

As a result, painful cramping occurs with certain activities such as walking or climbing stairs. Sometimes they have back pain, hip pain, thigh pain, or even calf pain. It’s very important to identify these individuals and follow

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them closely because 15 to 20 percent of these patients will convert within a year to clinical limb ischemia, an imbalance of oxygen delivery that results in wounds or pain at rest that may require bypass surgery or even amputation.”

Unfortunately, 20 percent of people with vascular disease are asymptomatic—meaning they don’t even know they have it. In many cases, the first sign of the disease is some type of cardiac malfunction, such as coronary artery disease. Also noteworthy is the fact that nearly all people on dialysis for kidney dysfunction have vascular disease.

Though many doctors can treat vascular disease with competence, patients who seek treatment at the Mercy Health – Heart and Vascular Institute stand to benefit from a more nuanced, finessed approach to care.

“You wouldn’t take your Maserati or John Deere to just any mechanic for maintenance or repairs, and the same holds true for your vascular health.

Seeing a vascular specialist enhances patient-to-physician communication and understanding, allows for the development of a long-term relationship that significantly improves care if a problem does arise, and even helps

contain healthcare costs because you’re getting the right testing or treatment at the right time. In some cases, the right care doesn’t involve surgery at all. Oftentimes, the most appropriate course of action is observation and supportive care in coordination with the patient’s primary care physician,” Dr. Hacker states.

Dr. Hacker and fellow Mercy Health vascular surgeon Mohammed Junaid Akbani, MD, are highly skilled, fellowship trained, and experienced surgeons who utilize the most cutting-edge open and endovascular surgical techniques. They use the very latest x-ray, laser, and wire-catheter technology, allowing them to provide comprehensive treatments of both arterial and venous problems with exceptional patient satisfaction and outcomes. “For example, we’ve seen a tremendous improvement in the survival of patients with ruptured abdominal aortic aneurysms using newer techniques,” says Dr. Hacker.

“In the old days, only about five percent of these patients survived their repair at 30 days. But with the new endovascular procedure, survival at 30 days is greater than 90 percent; I have had patients even leave the next day with an incision no larger

than a fingernail.”

Having extensive training and experience has allowed Dr. Hacker to engage with a wide variety of vascular specialists around the nation and in other countries. Dr. Hacker is also proud to be part of the “complex, hybridized, multidisciplinary treatment paradigm” at the Mercy Health – Heart and Vascular Institute.

“We’re combining all the cutting-edge techniques with the very latest research so we can provide the right care at the right time for the right reason on the right patient,” he says.

Of course, the best way to treat vascular disease is to prevent it from developing in the first place. To help keep vascular disease at bay, Dr. Hacker suggests the following guidelines, but a discussion with your primary care physician is critical: • Maintain a good relationship with a primary care physician.

• Avoid smoking.

• Exercise regularly (150 minutes of moderate-intensity exercise or 75 minutes of vigorous exercise per week).

• Maintain a healthy weight (BMI below 30).

• If appropriate and

recommended by your doctor, follow an antiplatelet therapy regimen (aspirin therapy).

• Keep your blood pressure below 130 mm Hg (systolic) and 80 mm Hg (diastolic).

• Keep your LDL cholesterol level below 100 (below 70 if you have diabetes or other complex medical conditions), using a statin drug if appropriate and prescribed by your doctor.

• If vascular disease is already present, follow up with a vascular specialist every six months, with testing as appropriate.

“Building that relationship with a specialist is so important for patients with vascular disease. It’s a comfort knowing you have someone with that level of expertise on your side,” says Dr. Hacker.

Dr. Hacker is double board certified in General and Vascular Surgery, a Fellow of the American College of Surgeons, and holds two credentials in vascular ultrasound. He is the Medical Director of Mercy Health – St. Vincent’s Vascular Division and Medical Director of Mercy Health’s Vascular Ultrasound Lab. ➠

ZEPF CENTER’S 11TH ANNUAL TENNIS FUNDRAISER

SERVE UP AN ACE March 3rd, 2018 TWO’S ATHLETIC CLUB, 2222 CASS RD, TOLEDO, OHIO 43614

Great Cause

Funds raised at this event support Zepf Center families.

Meet and Play

Meet and Play with professional tennis players, Murphy and Luke Jensen and Melanie Oudin.

Silent Auction

Participate in our fabulous silent auction.

Door Prizes

Don't miss out on your chance to win!

Socialize

Enjoy yourself while meeting new people and supporting the Zepf Center!

Special Guests include Tennis pro’s, Luke and Murphy Jensen along with Melanie Oudin.

Luke and Murphy Jensen - 1993 Grand Slam Doubles Champions who were key in putting U.S. tennis “on the map” globally. Melanie Oudin, once ranked 31st in the world, 2011 US Open Mixed Doubles Winner.

Tennis pro Mark Faber, USPTA Midwest Vice President and Director of Tennis at Twos Athletic Club, will be coordinating the tennis fun for players of all skill sets.

FOR MORE INFORMATION OR TO REGISTER PLEASE VISIT WWW.ZEPFCENTER.ORG Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | February 2018

37

Dr. Hacker, Dr. Akbani and the entire Mercy Health – Heart and Vascular Institute are committed to providing you with rapid compas-

Toledo attorney trusts his care to Franciscan Care Center

My cardiac rehab is here at Franciscan Care Center.

W

Designed to get you back to your normal lifestyle, it’s the perfect stepping stone in the transition from hospital to home.

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

Skilled Nursing Rehabilitation Long-term Care

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At St. Clare Commons,

Home is here!

Just minutes from Levis Commons, and adjacent to St. John XXIII Catholic Community, St. Clare Commons offers private living spaces including assisted living and memory care suites, in a beautifully-designed, compassionate environment.

Accreditation by The Joint Commission demonstrates St. Clare Commons’ commitment to the highest level of quality skilled nursing care. It’s why home is here.

For more information call 419.367.7586.

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38 February 2018 | Healthy Living News

sionate care for all your heart and vascular-related conditions. For more information, got to mercy.com. Sameday appointments are available. ❦

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hen Toledo attorney Robert diac conditions or stroke, fractures, Kaplan needed rehabilitation hip and knee replacements, or illness. services, he turned to Franciscan The professional team monitors each Care Center, again. When staff first resident’s medical condition through met Mr. Kaplan at the hospital and specially-designed, individualized he was asked where he was going care plans. With a rehabilitation center for rehab, he said, “My first, second, and therapists just steps from their and third choice is Franciscan Care door, residents improve and grow Center,” and he wasn’t going any- stronger as the Franciscan Care staff adjusts care and services until they where else.

According to Mr. Kaplan, his first are ready to go home. The short stay at Franciscan Care Center was a stay at Franciscan Care Center is the short recovery of six days. “It was an perfect steppingstone from hospital incredible experience my first time,” to home. he said. His latest stay was longer.

According to Mr. Kaplan, he learned Franciscan Care Center, located about Franciscan Care Center from a in the Sylvania area, is known for friend who recuperated there. “My its quality of care, having earned friend said it was quiet; I like quiet,” The Joint Commission’s Gold Seal of he said.

Approval® for Nursing Care Center Since his stay was longer the secAccreditation. This demonstrates their ond time, Mr. Kaplan took advantage compliance with national standards of some of the social gatherings at for health care quality and safety. Franciscan Care Center. “It’s quiet Accreditation is a voluntary process and I had immediate access to help. that is above and beyond what is There was a willingness in the people required by federal and state man- here to work with me,” he stated. dates, and validates Franciscan Care Franciscan Care Center is a place Center’s commitment to the highest where spirituality and values are at quality of care. the heart of its healing and nurtur“The Gold Seal of Approval® is not ing ministry. Mr. Kaplan credits Sr. mandatory for skilled nursing cen- Jordan Schaefer, OSF, Director of ters. Rather, it shows Franciscan Care Mission Integration and Chaplain, Center has a commitment to quality for getting better during his first stay care by going above and beyond at Franciscan Care Center, noting, “I what is mandated,” explained James was at a point that I was not getting Melia, Administrator for Franciscan better. Sr. Jordan prayed for me, and the next day, I started getting Care Center.

That quality and dedication to better. If the therapy didn’t work, providing the best care is why Mr. Sr. Jordan’s prayers would,” he said Kaplan chose Franciscan Care Center with a chuckle. “Sr. Jordan stopped again when he needed rehabilitation. by every day and encouraged me.”

“I like the therapists, particularly TJ. Although he is Jewish, Mr. Kaplan They all work well together. There felt his spiritual needs were met. “Sr. is a lot of harmony as they work Jordan said a prayer and I felt much together,” he said. better. Everyone Franciscan Care needs prayers,” he Center is the perfect said. setting for recuperatThere is a reaing between hospitalson that CHI Livization and home in ing Communities one of their private Franciscan Care suites. Franciscan Center says, “home Care Center’s postis here.” Because acute rehabilitation Left to right: Concept Rehab physical leadership and program aids those therapist Caitlin Phalen, Robert Kaplan, staff have a passion recovering from acute and Concept Rehab physical therapist TJ around a common situations such as car- Marcotte. mission to improve We love feedback. Like us on Facebook. Follow us on Twitter.

lives and communities with reverence for all creation, integrity in all they do, compassion for those they serve and their families, and excellence by putting forth their personal and professional best.

Franciscan Care Center is located at 4111 Holland-Sylvania Road in

T

the Sylvania area, providing premier skilled nursing and rehabilitation services as well as long-term care.

Franciscan Care Center makes every person feel that home is truly here.

To learn more, call 419-882-6582 or go to homeishere.org. Follow Franciscan Care Center on Facebook. ❦

Valentine’s Day gifts that keep giving for a lifetime

raditional flowers and chocolates may be popular go-to gifts for Valentine’s Day, but let’s face it, these items don’t tend to last very long.

That’s not necessarily the statement you want to make to your romantic partner. As a longer-lasting alternative, Dr. Wade Banker of Luxe Laser Vein & Body Center recommends several cosmetic gift options that will keep right on giving—some even for a lifetime. Best of all, many of these gift are affordable on virtually any budget. Examples include:

Laser hair removal

“Nearly everyone wishes they didn’t

have to shave or wax away unwanted hair,” states Dr. Banker. “With laser hair removal, which we perform using state-of-the-art medical-grade lasers, they can leave these chores behind forever—and at a very affordable price. In fact, smaller areas can be treated for under $100.”

Luxe offers other very affordable laser treatments as well. One of the more popular at this time of year is laser tattoo removal, which can be had for only $120 per session regardless of the tattoo’s size. “Of course, this is a particularly good option before Valentine’s Day if your tattoo happens to be a former partner’s name or a

reminder of a past relationship,” Dr. Banker says.

Injectables

Injectables, such as Botox, Juvederm, Voluma, Volbella, and Vollure, are extremely popular among Luxe’s clients and make very affordable Valentine’s gifts. Dr. Banker notes that Botox sells for only $10 per unit, and Juvederm can be had for as little as $300. “Also, despite the fact that they’re less likely to talk about it than women are, more and more men are discovering the affordable benefits of injectable cosmetic treatments as well,” he adds.

People who are looking for a good group gift idea might consider throwing a Botox party in Luxe Laser ’s brand new group area. Luxe will take care of the food, wine, drinks, setup, cleanup, and injections, and there is no additional charge to host a party.

SkinMedica products

The SkinMedica line offers a variety of skin-care products made with top ingredients based on the latest and very best research. These products are always 30 percent off at Luxe Laser, making them a very affordable way to start and maintain a healthy

skin regimen.

Fat removal

A loved one who is struggling to get rid of stubborn fat deposits might appreciate the gift of non-invasive CoolSculpting or minimally-invasive Smart Lipo. At Luxe Laser, CoolSculpting is always 30 percent off and can be had for as little as $525, and Smart Lipo is available for as little as $2,500.

Breast augmentation

Those looking for a way to make a much bigger statement might consider giving the gift of a breast augmentation. Starting at $4,000 at Luxe Laser, breast augmentation may cost more than a traditional Valentine’s Day gift, but many consider the life-altering change it brings about for their loved one to be well worth the price.

“As alternatives to traditional Valentine’s Day gifts, these treatments and products can really make someone’s day—and continue making their day for a lifetime. Best of all, no matter what your budget may be, there’s something you can afford that will help your partner look and feel his or herVEINbest,” Dr. Banker says. & BODY CENTER For more information on any of these services or procedures, please

OUR SERVICES, YOUR RESULTS.

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call Luxe Laser Vein & Body Center at 419-893-2775. Consultations are

Q

: As time goes on, I’m discovering more and more how my hearing is related to other areas of my health. Is there any unusual relationship that I should be aware of?

A

: You’re absolutely correct. Overall, our health is connected and different areas can affect other areas.

Hearing can have a direct relationship to diabetes, heart disease, and depression. You may be surprised to learn that smoking (both firsthand and secondhand) increases your chance of developing a hearing loss significantly.

Smoking cigarettes and even cigars may cause the nose and throat

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to be irritated and, in turn, develop mucus, which is made up of bacteria. Because there are bacteria cells in the mucus, it can increase the opportunity to develop into an ear infection. When one is exposed to secondhand smoke, it increases the risk of ear infections, especially in babies and young children since this age group is prone to infections due to their underdeveloped immune systems. In fact, being exposed to tobacco smoke for more than 10 hours per week actually increases the risk of developing hearing loss by 40% compared to non-smokers, and heavier smokers have an elevated risk.

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Hearing loss is indirectly related to smoking because smoking leads to heart disease. Cardiovascular problems arise when blood supply is reduced; when you smoke, blood supply to the ears decreases. As a result, sensory cells in the ears start to die. Moreover, the toxic chemicals in cigarette smoke can adversely affect the middle ear vibrations as well as the inner ear.

Because of this, smoking can eventually impair the brain’s ability to hear sounds altogether.

The good news is that former smokers have no increased risk for hearing loss. Therefore, it’s highly encouraged to quit smoking to eliminate this risk completely. Regardless of age, ethnicity, or even

level of noise exposure, smoking and hearing loss are inextricably linked.

While we’ve heard many reasons why it’s important to quit smoking altogether, potential hearing loss is another motive to kick the habit.

If you do decide to quit smoking (kudos to you!), be sure to have a comprehensive hearing evaluation performed to assess any damage.

It’s never too late to quit! ❦ 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).

Serenity Farm seeking volunteers

S

erenity Farm Equestrian Center, located in Luckey, Ohio, is recruiting volunteers for spring/ summer/fall programming schedules. Looking to meet new people?

Love to learn new things and work on small teams? Serenity Farm offers all that and more.

Here’s what our current volunteers have to say about the experience: “I actually took 2,000 steps in just one class assisting with a rider, bam Fitbit!”

“The hour class times go so fast assisting clients it was easy to take on an entire season with my busy schedule.”

“The amount of education available to volunteers is amazing!

Thank you SF staff!”

Serenity Farm serves community members in four different programs:

• Physical Therapy (Hippotherapy) • Mini therapy horse visits • Equine Assisted Learning New volunteer orientations will be held on February 3 and March 3 at the farm office from 10:00 a.m. to noon. Registration is required to attend. Visit our Volunteer Page online at www.serenityfarm.org and start your journey with Serenity as together we reach goals for our clients, students, and visitors to the farm. Note: Interns are encouraged to apply.

• Therapeutic Riding

Physical Therapy – Hippotherapy Equine Assisted Learning Team Thunder: Mini therapy horse visits

Well trained, qualified staff and volunteers!

Serenity Farm equeStrian Center 21870 Lemoyne road, Luckey, Ohio 43443

419.833.1308

40 February 2018 | Healthy Living News

www.serenityfarm.org

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

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

Welcoming New Patients We love feedback. Like us on Facebook. Follow us on Twitter.

Running tips for beginners

by Amanda Manthey

A

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

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

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

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

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

As a novice runner, take quick steps rather than long ones. You will not tire as fast if you take short, fast steps rather than long, slow ones, especially when you are tackling hills. When running downhill, lean your body forward in order to try to keep your body perpendicular to the hill.

Novice runners need motivation and a schedule. Join a beginner running group or seek out a running partner. Some runners find that taking music along on their workouts helps make running fun. When using headphones, though, play the music at a reasonable level so you can hear traffic noise and remain

alert to potential hazards. Speaking of hazards, if you are running alone, carry identification and always run against traffic, preferably on sidewalks or running paths.

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

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

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

She writes about running and fitness for Dave’s Performance Footgear.

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Don’t miss Dave’s races!

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

Blizzard Breakfast Run Saturday, February 3, 2018, 9:00 a.m. at 740 Glenwood Rd., Rossford, Ohio.

This is an unscored training run for the upcoming Glass City Marathon.

Choose between the 3.5-mile or 7-mile training run. This is a non-timed event, but there will be a clock at the finish line for your convenience. $5.00 for TRRC Members, $7.00 for non-members. Breakfast will be served after the race to all participants.

Hot Cocoa 5K Run/1-Mile Walk Saturday, February 17, 2018, 9:00 a.m. at 6930 W. Sylvania Ave. in Sylvania, Ohio. The Hot Cocoa 5K Run/1Mile Walk is being held in partnership with Olander Park’s 2017 Family Winter Fest, which takes place from 11:00 a.m. to 4:00 p.m.

The 1-Mile Walk will be around Olander Park/Lake. The 5K Run will start at the community building/

8

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

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41

Nederhouser Building, run north on the trail, exit out north to the neighborhood, and then circle back to and finish in Olander Park. All 5K finishers will receive a finishers medal.

Proceeds will go to youth programs for the prevention of drug and alcohol use in our community.

Dave’s Spring 5K Training Program

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We’ll get you results! With over 80% of our participants getting PR’s the last few years, the results speak for themselves!

Our coaches will design a program for you to train in a group setting that motivates and inspires you so that come race day, you’re ready to rock!

Our seven-day-a-week, eight-week training program includes group runs on Wednesday evenings at Fallen Timbers and Saturday morning training at one of the metroparks.

The “Newbie”—So, are you new to running, looking to transition from walking, or just wanting to complete your first 5K race? We will get you from the couch to the finish line with a detailed, eight-week plan that will gradually build you from

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42 February 2018 | Healthy Living News

walking to running and get you to the finish line.

The Casual Runner—You’ve got some experience with the 5K, but you have dreams of running faster and just aren’t sure how to approach it.

Let us take the base you have built and use that to your advantage! We will make you faster by pushing you with a detailed training program in a motivating, fun atmosphere.

The Fastest of the Fast—3.1 miles of racing—no problem right? What if your dream is the “Gold Standard,” a sub-20-min 5K? Our experienced staff will craft a plan to not only push you to your fastest PR (Personal Record), but also encourage you and have a lot of fun getting there in the process!

It doesn’t matter whether your New Year’s resolution was to start running and complete your first 5K or to break 20 minutes, we will put you in the proper training pace group to get you to the finish line! $69.95 gets you tons of exclusive “In-Training” discounts at the store, a Dave’s Next Level Training shirt, detailed training plan, and twice weekly group runs hosted by our coaching staff! In addition, you will get group emails and be added to our Facebook training group page to receive daily updates, motivation, and instruction. ❦

Sister Karen Zielinski, OSF

When should I get medical help?

I

spent New Year’s Day in the emergency room.

I had been out and about all during the Christmas holidays and spent a good amount of time outside in extremely cold weather, cleaning off my van, waiting for friends to arrive, or getting picked up. The wind chill those days was below zero. My feet and hands were very cold.

On New Year’s Day, I happened to notice that my small toe on my left foot was bruised and very dark, almost purple/black in color. With all the hype on the local television

stations about frostbite, I became concerned. Normally, I would have just considered the deep color a bruise from hitting my toe against my electric cart or the seat in the car.

But since I had recently spent some extended times outside in the bitter cold, I grew concerned.

I live with multiple sclerosis and have a compromised immune system.

Also, I am getting older! I had to decide if I needed to have my dark toe checked out. I know of people who “felt a little sick” who did not see a healthcare professional and ended

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up in the hospital with pneumonia, a heart “episode,” or a stroke.

I did not want to go out on this frigid winter day but knew that if there was a chance that I did have frostbite or a broken toe, I would be grateful for being proactive and safe.

I decided to leave my warm home and visit the emergency room. If there was anything wrong with my foot, it should be examined sooner than later. So many times people say, “I should have gone to the doctor right away, before this became a bigger problem!”

It turned out I had a severe bruise on my left toe and foot. I was a bit embarrassed that I even went to the emergency room, but what propelled me to go was that I wanted to be proactive with my health. If I did have frostbite or a broken toe, I needed to care for it medically, and I knew I would be to blame if there were any serious problems. So, I went to the emergency room and waited nervously in the examination room for over two hours. During that alone time, I nervously prayed, asking God to let it be nothing major. I also planned which hospital I wanted to be admitted to if they needed to do UTMC 1247_2 COMMUNITY_HLN_HalfPg.pdf surgery.

After learning that I had a severe bruise, I was given directions about pain pills and told to see my primary care physician in three days to check my healing. I had peace of mind, and I am glad I went.

1

It is challenging trying to balance being obsessed with every little ache and pain and going to the doctor for a symptom that might develop into a serious health problem. How do you decide to seek medical help?

If you have a cold or the flu, you probably know what to do to treat it. If you have a cut or scrape, you might feel that if over-the-counter pain medications don’t help after a number of days, you need to seek medical care.

At the website merckmanuals.com, Michael R. Wasserman, MD, Chief Medical Officer, Rockport Healthcare Services, Los Angeles, CA, explains 3/10/17 4:03 PM that when you suffer from a cold or

flu, you should call your doctor for advice if you have vomiting or are unable to keep fluids down, or if you have painful swallowing, coughing that lasts more than two or three weeks, an earache, or any symptoms that last more than a week.

He also writes, “In general, true emergencies should be handled by calling 911 or the local emergency service to provide ambulance service to the nearest hospital. However, deciding what qualifies as an emergency is sometimes difficult because symptoms vary greatly. Learning as much as possible about symptoms of life-threatening disorders (such as heart attack and stroke) in advance is useful, and good judgment is often required. If the problem seems possibly life threatening, the emergency department is the place to go.”

So when should you go to the emergency room? Dr. Wasserman advises that any of the following warrants an ER visit: • • • • •

COMMUNITY health experts who treat you like a neighbor.

Signs of a heart attack Signs of a stroke Difficulty breathing Heavy bleeding Burns that are open, char, or blister the skin; that result from

• •

• • • •

•

inhalation; that cover a large area; or that are on the hands, face, feet, or genitals Severe injury (as in a motor vehicle accident) Poisoning that causes symptoms (if symptoms are minor or do not develop, the poison control center can be called first at 800-222-1222 for advice) A severe allergic reaction Shock Sudden, severe pain anywhere Vomiting blood or coughing up a relatively large amount of blood (more than a few streaks in sputum) Sudden, severe worsening of a serious chronic disorder, such as asthma or diabetes. ❦

Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

Investing in the health of our hometown.

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UTMC program provides muchneeded specialty care for adults with congenital heart defects

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A stronger, healthier heart

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If you are living with a heart condition, our cardiovascular rehabilitation program can improve your health and quality of life.

This individualized program includes: • Nutrition counseling for low sodium diet and weight monitoring • Exercise program with cardiac monitoring • Education to develop therapeutic lifestyle changes and improve risk factors for heart disease • Dedicated behavioral health support to manage stress, anxiety and depression associated with cardiac events

For information or to schedule an appointment, call 419.383.5378.

44 February 2018 | Healthy Living News

Cardiovascular Rehabilitation 1125 Hospital Drive Toledo, OH 43614

A

ccording to the Adult Congenital specialized care is such a significant Heart Association (ACHA), Con- concern for adults with CHDs: genital heart defects (CHD)—prob• Adults with CHDs continue to lems with the heart’s structure that face a high risk of early death are present at birth—are the most and disability. common birth defects, occurring in • Individuals with CHDs often nearly one out of every 100 babies. need additional operations and/ Holes in the heart and misplaced, or medications as adults. This is malformed, and/or missing valves, true even when they’ve had a vessels, and heart chambers are among successful repair. the most common CHDs, and many • Common long-term CHD cases involve a combination of problems of CHDs include these problems. developmental delays, Not that long ago, most children difficulty with exercise, heart born with a CHD were not expected rhythm problems, heart failure, to survive to adulthood. But today, sudden cardiac arrest, stroke, owing to advances in medicine, that’s and premature cardiovascular no longer the case. In the United death.

States alone, there are currently • Compared to the general 1.3 to 1.5 million adult survivors of population, adults with CHDs CHDs. In fact, there are now more have three to four times higher US adults living with CHDs than rates of emergency room visits, there are children with them. hospitalizations, and intensive “Twenty-five years ago, upwards care unit stays. of 80 percent of kids with congenital • People with CHDs are now heart defects died by adolescence,” living long enough to develop explains Dr. Julie Kovach of the UTMC new problems such as high Heart & Vascular Specialty Clinic. blood pressure, obesity, and “Nowadays, thanks to technological acquired heart disease like the advances and the expertise of pediatric rest of the adult population. cardiology surgeons, at least 95 percent of kids with CHD What’s more, besurvive to adulthood, tween 15 and 20 percent some with very comof adult CHD patients are plicated problems such unaware of their condias hypoplastic left heart tion. Oftentimes, it’s not syndrome. At one time, until certain symptoms the mothers of children arise later in life that the born with this condition defect becomes evident. were told to take them “For example, a small home and keep them hole in the heart may comfortable until the not manifest itself until end. Now these kids middle age or later, when are graduating college.” the individual develops a Though this increase heart rhythm problem,” in CHD survivorship is Kovach says.

Dr. Julie Kovach a welcome development, The good news is, the it does present a unique medical community is challenge: very few practitioners taking steps to address this shortfall are properly trained to provide the in access to specialized care. Kovach specialized care this population re- notes that an accreditation process has quires, so many CHD patients don’t been implemented to standardize the know where to turn for ongoing quality of care for adults with CHDs, care when it’s no longer appropriate and a board-certification program is to see a pediatric cardiologist. As now in place so both pediatric and a result, fewer than 10% of adults adult cardiologists can get certified with CHDs in the US who need care in treating this complicated patient from specialty adult CHD centers are population. receiving this recommended care.

After more than 25 years of informal These facts, provided by the ACHA, training in this specialty—acquired by explain why this lack of access to working closely and collaboratively We love feedback. Like us on Facebook. Follow us on Twitter.

with pediatric cardiologists—Kovach is now among the few physicians in northwest Ohio who are board certified in treating adults with CHDs. “This process has been very exciting, but we’re still very small in number.

The board-certification exam has been administered twice so far, with a total of 190 cardiologists across the country successfully passing the first one and an even smaller number passing the second. Across North America, there are only about 400 of us, and I’m the only one in Toledo,” she says.

Kovach further remarks that the board-certification exam was among the most challenging she’s taken—and she’s taken quite a few over the years.

“In addition, a high score is needed to pass the exam, which ensures you have the necessary expertise to treat the complex problems these patients experience,” she states.

Extensive literature shows that people with CHDs live longer when they’re cared for by experts in adult CHD, such as the team at the UTMC Heart & Vascular Specialty Clinic.

Also, according to best practices and guidelines put forth by the American College of Cardiology and the American Heart Association, adults with CHD should be seen at least

once by an expert in adult CHD, and those with more complex cases should receive the majority of their care from such an expert. “If you have questions about a congenital heart defect, or you were followed for a CHD in childhood but haven’t been as an adult, we urge you to come in for a checkup. We can pick

up on problems before they become major issues and make sure you get the specialized care you need,” says Kovach.

Patients do not need a referral to see Dr. Julie Kovach. Appointments can be made by calling The UTMC Heart & Vascular Specialty Clinic at 419-931-0030. ❦

by LeMoyne Mercer

A Walk in the Park Camping with the kids

vacation time, we could head west.

Two days of steady driving could get us to Rocky Mountain National Park. When we could finally get three weeks off, Yellowstone and Glacier became possibilities. Our 1988 trip included Painted Desert/Petrified Forest, Grand Canyon, Zion, Cedar Breaks, Bryce Canyon, Capitol Reef, Arches, and back to Rocky Mountain on the way home.

We think the kids learned a lot about geography, geology, birds, and animals. Some trips included backpacking excursions that produced additional challenges and rewards.

Even more important, though, were the life lessons picked up along the way: How to travel without whining “Are we there yet?” or making a game of annoying

I

have mentioned numerous times that our family vacations with the kids were usually to the national parks. We saw a lot of country that

way. At first our trips were limited to the Smokies and Shenandoah because they are within a one-day drive. As Shirley and I accrued more

Hiking down into Bryce Canyon took us to some marvelous scenery.

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45

There is a short but very steep climb from Trail Ridge Road in Rocky Mountain National Park.

each other—and us. I wish there was some secret method I could share with parents because this is a biggie.

The only thing I can come up with is they traveled extensively while still too young to develop bad habits. All day in the car was “normal,” so they just went with it.

You are not as tired as you think you

are. After a day backpacking in the mountains, all of us started to feel that we could not go another step.

After pitching the tents, though, there was always a magical, instantaneous recovery. Usually this involved going down to the stream to hop on rocks and soak tootsie toes.

Sleeping in a tent, right on the ground,

Recovering from a long day on the trail usually involved going down to a stream to soak the tootsie-toes.

10.25x5_ES_GotYouCovered_FINAL_HL_1017_HI.pdf

1

10/4/17

1:23 PM

in a dark forest with strange night noises all around probably won’t kill you. Tree limbs rubbing against each other in the wind make interesting sounds.

Small animals—raccoons, opossums, skunks—rustling around in the leaves on the forest floor can also make you say, “What was that?” And rushing mountains streams really do start to sound like a room full of people talking.

Skunks enjoy coming to dinner. Cades Cove Campground in the Smokies used to have a skunk problem.

Every evening they came to see what might drop from the picnic tables.

We never experienced a single skunk ever letting loose even though they were bold enough to walk right between our legs in search of an errant cheese curl. The girls learned to stay calm and enjoy the show as panicky neighbors screamed, “Get the kids in the car, Martha!”

Meeting bears on the trail does not have to be a near-death experience. They learned early not to get between mother bears and their cubs. The trick is, when only the cub is visible, knowing where “between” is. So, you just wait patiently for the cub or even adult bear to go on about its business. In the West, we carried bear bells just to let the grizzlies know we were in the neighborhood. It is considered bad manners to approach a grizzly unannounced. Sometimes it was hard not to think of bear bells

Faced with the prospect of carrying Teddy every step for four days, Sarah opted to settle for the real bears she met on the trail.

as dinner bells for bears.

Another place you don’t want to be is between a bear and food. Our rule was never any food of any kind in a tent.

“The smelliest thing allowed in here is you,” I told the girls. All food had to be stored overnight out of reach of bears. Black bears are excellent climbers, so you don’t put food in a tree but suspended from a rope between trees out of reach. The girls learned to identify trees far enough apart and without limbs that might place the bear within striking distance.

We never lost anything to the bears.

But small critters can be an even

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CMY

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One of the advantages of "roughing it" is the chance to pick absolutely fresh blueberries for your pancakes.

greater challenge. Along the Appalachian Trail is a series of three-sided huts for backpackers. In recent years, the huts have acquired bear-proof food-storage systems. Back in the Olden Days, the huts had chain-link fencing along the open side so your food could be brought inside and still keep the bears outside. In the middle of the night, though, there were little scratchy sounds and the patter of tiny feet. All of the huts were mousy buffets. The solution was to suspend food bags with aluminum pie plates rigged above them like the squirrel baffles you put on bird feeders. Don’t know who provided the plates but every mountain hut seemed to come with several.

How “Karen” keeps you from getting lost. Hiking across the bare rock surface at the crest of Cadillac Mountain in Acadia National Park, we followed a route marked by piles of rocks— cairns. Little Jessica could not see this Karen person we were supposed to be following. It is also handy to have a topological map that tells you not only where you are going but how much ascending and descending is involved. Going down is not neces-

Three-sided huts on the Appalachian Trail saved pitching tents at night and then packing them up the next morning.

sarily a good thing if the topo shows that your destination is ultimately quite a bit higher. Non-hikers tend to believe that descending is much easier than ascending. All it really means is that a different set of muscles and joints gets to ache.

You can survive a long time on ramen noodles. With three kids and their gear in the station wagon and, later, the minivans, there was not much room left over for non-essentials. Such as food. We survived on pasta, rice, and canned goods. Half the space in the Coleman cooler was occupied by ice that all too soon became ice water and, then, just water. Living on ramen was a handy skill when they left for college. Shirley and I started eating better after we had access to all the room for food created by the absence of three kids. We are eating even better since we stepped up to an RV with a refrigerator. Do the kids resent that? Hard to tell. But they definitely have noticed. And casually commented on it. Repeatedly.

It gets cold in the mountains even though it is mid-summer back in the flat lands. Been snowed on, hailed on, and rained on. But “the sun’ll come out tomorrow” as Annie teaches us.

Still, I pity the fool who heads into the mountains without foul weather gear, appropriate footwear, or even a bottle of water.

Everybody has to pull his own weight.

Shirley and I carried full packs, and the kids carried what seemed appropriate to their age and size. (Seemed appropriate to us, not necessarily to them.) I think it helps kids set priorities. Do I really need this thing if I know I will have to carry it every

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.

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We climbed Mt. Washburn through the snow on our first trip to Yellowstone in 1985.

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47

Backpacking teaches the virtue of everyone carrying their share of the load. (Well, almost everyone.)

single step for the next four days?

Camping is a cultural experience.

When Sarah and Jessica were taking French at Notre Dame Academy, we hosted a couple of exchange students from France. Students are matched with families by filling out questionnaires. Shocking news: Kids will lie if they think it will improve their chances of coming to America.

Laurense (Lolo), from Marseilles said she was an experienced camper. Took us about 15 seconds to figure out this was not true. Still, we taught her the basics such as roasting hot dogs over a fire. Later we toasted marshmallows to make s’mores. “Then you eat them with ketchup?” she asked.

Use your outdoor voice. Which is probably the opposite of what you think. Our rule in established camp-

grounds is, if your neighbors can hear what you are saying, you are talking too loud. The corollary to this is the Inverse Ratio Rule: The lower the quality of music, the louder it will be played. Nobody ever plays Bach’s Goldberg Variations with the volume cranked all the way up.

Campground etiquette also means you don’t go stomping through your neighbor’s site uninvited. We have noticed that fewer and fewer Americans are aware of this once-common courtesy. And Europeans and Asians don’t hesitate to walk right through your “living room.” People who have camped in Europe tell us that, population density being what it is there, the definition of personal space is far different from

In 2017, we took Sarah and her kids on a cowboy cookout in Yellowstone. Sarah was disappointed that there were no ramen noodles the way she remembers real camping.

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48 February 2018 | Healthy Living News

what some of us continue to expect.

We experienced a notable exception this summer in Yellowstone. There was an elk calf bedded down in the sage behind our RV. A neighbor girl and three other kids came over.

“Now, go ask politely if we can see it,” she said to them.

We hope that our grandchildren are learning to be at least that polite and open to the other things they can learn from and in the national parks. (“Use your outdoor voice” still needs a little work.)

Tillie and Lydia, like their mother, got their start at Cades Cove in the Smokies. Nick and Lizzie joined us this summer in Yellowstone and the Tetons. Like their mother, they learned what it is like to get snowed on in June.

Unlike their mother, they were not forced to survive on ramen noodles.

In addition to the food from the RV refrigerator, we went on one of those chuck wagon dinners that included steaks grilled to order. Nick’s favorite part was cowboy story time around the campfire after dinner. Lizzie enjoyed petting the horses on their velvety smooth noses. She takes right after her grandmother. Or, maybe it’s the other way around.

Bottom line, compared to the way our children camped, the grandchildren have somehow acquired the false impression that camping is supposed to be just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com.

Acupuncture

Continued from page 13

pain, swelling, neuropathy, and other pregnancy-related disorders.

If you would like to experience the benefit of acupuncture treatments, be sure to seek out a licensed and experienced provider. Many physicians who actively practice acupuncture will offer a free consultation to discuss the procedures and whether they are likely to help with your specific issues. ❦ Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic &

Acupuncture Clinic in Toledo, Ohio.

He is an author, lecturer, and one-time stand-up comedian. He has maintained an active practice in Toledo, OH for the last 36 years. He is available for lay lectures and may be contacted at Dr_Schwan@AcupunctureToledo.com.

Bittersweet resident trains and skis for Special Olympics for 10th year

F

or the 10th year in a row, Bittersweet resident Beth Meyer spent a week up north training and skiing at the Boyne Mountain Resort. This year, Ms. Meyer was preparing to compete in the Boston Mills and Brandywine Special Olympics Competition on February 7-8, 2018, in Cleveland, Ohio. From January 21-26, Ms. Meyer received daily two-hour private lessons from the best and most experienced ski instructors at the Boyne Mountain Resort. In addition to training and lessons, Ms. Meyer enjoyed the benefits of the mountain resort, such as staying in a private room donated by a member of the Michigan Alpine Competition Council (MACC), participating in water park activities, and riding on the snow groomer at least once during her stay.

Gino Chiappetta from C.H. Asset Management generously arranges and donates funds each year to 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.

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 at Boyne Mountain gets me into shape for racing. I’m so thankful to Gino, Boyne Mountain, the Toledo Ski Club, and MACC for sponsoring me each year.” ❦

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Mercy Health uses advanced technology to shield heart during left breast radiation

W

ith cancer patients living longer and survival rates increasing, the potential long-term side effects of cancer treatment are becoming more evident.

Among these is an increased risk of heart disease in women who underwent radiation therapy for left-sided breast cancer. With older radiation techniques, treating the left breast also tended to expose the heart—which is located on the same side of the chest—to a fair amount of radiation, potentially damaging healthy heart tissue and leaving the patient more vulnerable to a cardiac event down the road.

In an effort to mitigate this risk, cancer centers began administering radiation with these patients in a prone (face down) rather than supine (face up) position, which allows the breast to fall forward, creating a space between the heart and breast.

But this technique proved to be effective in protecting the heart for only some patients.

The good news for women in our community is that the Mercy Health – Perrysburg Cancer Center now offers advanced radiation technology that helps position the patient so her heart is more effectively shielded from exposure, thus reducing her risk of long-term cardiac complications.

Eric Kielhorn, MD, a Board Certified Radiation Oncologist with Toledo Radiation Oncology who is the Director of Radiation Oncology at the Mercy Health – Perrysburg Cancer Center, explains that this new technology, AlignRT developed

by Vision RT, is used in conjunction with what is called the Deep Inspiration Breath Hold (DIBH) technique.

“With this technique, the patient is instructed to take a deep breath and hold it for 15 to 20 seconds, which creates a space between the breast

and heart while the radiation is being administered,” he says. “However, ‘a deep breath’ is subjective, so we use AlignRT to determine whether the space is adequate with inhalation and it’s safe to administer the radiation.”

According to Dr. Kielhorn, AlignRT monitors the patient in real time to ensure her body remains in the correct position and there is enough space between her breast and heart, ensuring that the radiation is targeted precisely. If the patient moves out of the desired position—for example by inhaling too much or too little— AlignRT will automatically signal for the treatment delivery system to pause the radiation. Treatment using AlignRT technology is not only highly accurate but also reproducible, which ensures the same degree of accuracy in subsequent treatment sessions. What’s more, it can be adjusted during treatment as needed.

“With DIBH and AlignRT technology, we can reduce radiation exposure to the heart to an extremely

low level. Taking the deep breath changes the patient’s anatomy and allows us to block the heart more aggressively without compromising treatment. This is a tremendous benefit because, based on published studies, we know that the higher the level of radiation exposure to the heart, the greater the likelihood of long-term cardiac complications,” Dr. Kielhorn says.

Though the most common use for AlignRT is protecting the heart from radiation exposure during left-breast treatment, this safe, non-invasive technology also has applications in treating other cancers, for example brain, lung, liver, and head and neck cancers. According to Vision RT, this technology is currently available in Ohio only in the Toledo, Columbus, and Cleveland areas.

For more information on this technology or other services at the Mercy Health – Perrysburg Cancer Center, please call 567-368-1500 or visit mercy.com. ❦

Check another to-do off your list It’s time for your mammogram. If you’re over 50*, this 15-minute test could save your life. Our women’s imaging centers use only the highest quality digital mammography, breast ultrasound and breast MRIs to get fast, accurate results.

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I went to push the snow...and pulled my back instead.

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